MedicaidDocumentationHigh impact
Medical Day Care Documentation Requirements
Maryland Medicaid·MD · Geriatrics, Internal Medicine·Medical Day Care
Effective date
Sep 17, 1997
We identified it
Jun 20, 2026
Summary
Maryland Medicaid medical day care providers must strictly adhere to documentation requirements including daily attendance sheets with arrival/departure times, physician-signed care plans updated every 90 days, and nursing observations documented for the first 5 days then every 30 days. Bills can only be submitted for recipients who were present for the minimum 4-hour requirement.
Action Required
Immediately: Medical day care billing teams must verify all submitted claims include proper documentation - daily attendance sheets signed by staff and director with recipient names, Medical Assistance numbers, arrival/departure times, and transportation type. Ensure care plans are physician-approved and updated every 90 days. Document nursing observations for first 5 days of attendance then every 30 days minimum. Only bill for days when recipients were present for minimum 4 hours and received services consistent with care plan.