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MedicaidAdministrativeMedium impact

Medicaid Hospice for MCO Enrollees

Maryland Medicaid·MD · Palliative Care·Hospice
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Maryland Medicaid has issued new guidance on hospice coverage for MCO (Managed Care Organization) enrollees, establishing steps to ensure hospice patients are properly enrolled in MCOs. This affects billing and enrollment processes for hospice services under Maryland Medicaid managed care plans.

Action Required

Action needed
Immediately: Review the Maryland Medicaid transmittal PT23-2K to understand new MCO enrollment requirements for hospice patients. Billing team and admissions staff must update hospice enrollment procedures to ensure Medicaid hospice patients are properly enrolled in MCOs before services begin. Coordinate with case management to verify MCO enrollment status for all Maryland Medicaid hospice patients.