MedicaidReimbursementMedium impact
Amendments to Nursing Facility Services Regulations
Maryland Medicaid·MD · Geriatrics·Nursing Home
Effective date
Jan 1, 2004
We identified it
Jun 20, 2026
Summary
Maryland Medical Assistance Program is reducing nursing home reimbursement rates and eliminating separate billing for behavior management, ostomy care, and injections, which will now be included in per diem payments. The changes reduce interim payments by $9.3 million and sunset June 30, 2005.
Action Required
Maryland nursing facilities: Stop billing separately for behavior management, ostomy care, and injections as of January 1, 2004. These services are now included in per diem payments for the four levels of care. Update billing systems to remove these as separate line items and ensure HIPAA compliance with new procedures.