MedicaidAdministrativeMedium impact
Hospital Administrative Days
Maryland Medicaid·MD·Hospital
Effective date
Jul 1, 1997
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has clarified that Managed Care Organizations (MCOs) are responsible for paying administrative day rates to hospitals for Medicaid recipients who no longer need acute care but are awaiting discharge to nursing facilities or other appropriate placements. Hospitals should bill MCOs directly for these administrative days according to existing regulations.
Action Required
Immediately: Maryland hospitals should ensure they are billing MCOs directly for administrative days when Medicaid recipients no longer require acute care but await discharge placement. Review existing billing processes to confirm administrative day claims are being submitted to MCOs rather than directly to the state Medicaid program. Contact Medical Care Policy Administration at (410) 767-1455 with questions.