MedicaidReimbursementHigh impact
Proposed Amendments 10.09.10
Maryland Medicaid·MD · Physical Therapy, Occupational Therapy, Speech Therapy·Nursing Home
Effective date
Oct 1, 1999
We identified it
Jun 20, 2026
Summary
Maryland Medicaid is implementing significant changes to nursing facility reimbursement including removing physical and occupational therapy costs from reimbursable cost centers and establishing separate payment procedures for PT, OT, and speech therapy services. The changes also modify various cost center ceilings, efficiency payments, and occupancy standards.
Action Required
By October 1, 1999: Billing teams serving Maryland nursing facilities must update reimbursement procedures to exclude physical and occupational therapy costs from Other Patient Care cost center billing. Implement new separate billing procedures for PT, OT, and speech therapy services to Maryland Medicaid recipients. Update cost center calculations to reflect new ceiling percentages (120% for Other Patient Care, 114% for Administrative/Routine) and efficiency payment structures. Review bed hold day billing to exclude nursing cost center reimbursement for acute hospitalization and therapeutic leave days.