MedicaidReimbursementHigh impact
Fiscal Year 2027 Rates for Nursing Facility Services
Maryland Medicaid·MD · Geriatrics, Palliative Care·Nursing Home
Effective date
Jul 1, 2026
We identified it
Jul 17, 2026
Summary
Maryland Medicaid nursing facility rates are increasing by 1% effective July 1, 2026, based on FY 2027 budget bill SB0282. Rates are adjusted by each facility's case mix index and include 2024 rebasing data. The Medicare coinsurance worksheet has been updated, and the personal needs allowance increases to $109.00 per month per Medicaid participant.
Action Required
By July 1, 2026: Billing team must download updated prospective rate letters from the secure web portal via Myers and Stauffer LC (MSLC) using the provider number verification process. Share rate letters with accounting/bookkeeping staff to update billing system rates in the accounting software. Download and implement the updated Medicare Coinsurance Worksheet from the Nursing Facility Document Library for all dates of service on or after July 1, 2026. Update internal records to reflect the new personal needs allowance of $109.00 per month for Medicaid participants. If rate letters are not received by June 30, 2026, contact MSLC at (410) 356-9256 immediately. Failure to update rates will result in underbilling and revenue loss.