MedicaidAdministrativeLow impact
Nurse Practitioner Costs
Maryland Medicaid·MD · Geriatrics·Nursing Home
Effective date
Oct 30, 2002
We identified it
Jun 20, 2026
Summary
Maryland Medicaid clarifies that nursing facilities cannot include nurse practitioner costs that are reimbursable through Medicaid or Medicare programs on their cost reports. However, certain NP costs like quality assurance, training, and routine nursing salaries are allowable if properly documented with time studies.
Action Required
This policy affects nursing home cost reporting only and does not require action from medical billing teams providing direct patient care services.