MedicaidAdministrativeLow impact
Bed Reservations in Assisted Living Facilities; Charging of Miscellaneous Fees for Waiver Participants
Maryland Medicaid·MD · Geriatrics·Waiver for Older Adults
Effective date
Jul 31, 2003
We identified it
Jun 20, 2026
Summary
Maryland Medicaid clarifies that assisted living facilities can charge waiver participants for bed reservations during absences, but charges cannot exceed the Medicaid per diem rate and facilities cannot charge prohibited fees like room deposits or admission fees.
Action Required
No immediate action required for billing teams. This policy is from 2003 and applies only to Maryland assisted living facilities participating in the Waiver for Older Adults program. If your practice coordinates care for patients in Maryland assisted living facilities, review that facilities are not charging prohibited fees to Medicaid waiver participants.