MedicaidDocumentationHigh impact
Conditions of Participation
Maryland Medicaid·MD · Pediatrics, Family Medicine·EPSDT
Effective date
Jan 19, 2001
We identified it
Jun 20, 2026
Summary
Maryland Medicaid's EPSDT Private Duty Nursing program is conducting onsite audits of providers. All participating providers must maintain comprehensive documentation including current nursing licenses, CPR certifications, competency checklists, clinical experience verification, and detailed nursing progress notes that specifically describe medical care and interventions provided.
Action Required
Immediately: All EPSDT Private Duty Nursing providers must ensure compliance with documentation requirements for ongoing audits. Billing team must verify all nursing staff have current licenses and CPR certifications on file. Review and update nursing progress note documentation policies to include specific details about medical procedures, interventions, frequency, duration, and patient condition changes. Maintain employment records with character references and face-to-face interview documentation. Contact Maryland Division of Nursing Services at (410) 767-1448 with questions. Failure to maintain proper documentation may result in compliance violations.