MedicaidReimbursementMedium impact
Emergency Amendments 10.09.10
Maryland Medicaid·MD · Geriatrics·Nursing Home
Effective date
Jul 1, 1999
We identified it
Jun 20, 2026
Summary
Maryland Medicaid nursing facility reimbursement rates and requirements have been temporarily modified through emergency amendments. Key changes include adjusted efficiency allowances (reduced from 50% to 40%), revised maximum per diem rates (reduced from 119% to 115%), modified capital value rental calculations, and elimination of cost reporting requirements for providers with less than 1,000 Maryland Medicaid days per year.
Action Required
By September 30, 1999: Nursing facilities in Maryland must update their Medicaid billing to reflect reduced efficiency allowances and maximum per diem rates. Facilities with less than 1,000 Maryland Medicaid days annually can opt out of cost reporting by providing written notice to the program within 3 months after fiscal year end. Billing teams should review current interim rates and adjust expectations for final rate settlements.