MedicaidCoverageMedium impact
Home Health Services- Elimination of “Homebound” Requirement
Maryland Medicaid·MD·Managed Care Organizations
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has immediately eliminated the 'homebound' requirement for home health services coverage. Patients can now receive medically necessary home health services without being confined to their home, as long as services meet medical necessity and appropriateness criteria.
Action Required
Immediately: Billing team must update home health service authorization processes to remove homebound status verification for Maryland Medicaid patients. Update intake forms and documentation requirements to focus on medical necessity and appropriateness criteria instead of homebound status. Train staff on new eligibility criteria that services must be medically necessary, appropriate for home delivery, part-time/intermittent (max 4 hours/day), and delivered in patient's residence including assisted living facilities.