MedicaidDocumentationHigh impact
Documentation Requirements
Maryland Medicaid·MD · Physical Therapy, Occupational Therapy, Speech Therapy·Home Health
Effective date
Aug 29, 1997
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has established specific documentation requirements for home health services, including signed progress notes for all visits and physician-signed treatment plans updated every 60 days. Failure to maintain proper documentation will result in claim denials and payment recovery.
Action Required
Immediately: Home health agencies must implement documentation protocols including signed and dated progress notes for all skilled nursing, aide, physical therapy, occupational therapy, and speech therapy visits. Ensure physician treatment plans are reviewed and signed every 60 days with homebound certification. Maintain vendor invoices and delivery tickets for all medical supplies. Keep all records available for audit and retain for 6 years after cost report audit. Failure to maintain documentation will result in claim denials and payment recovery.