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Maryland MedicaidMedicaid · Reimbursement · Nursing Home · MD · Geriatrics, Palliative CareHigh impact

Fiscal Year 2027 Rates for Nursing Facility Services

Act
by Jul 1, 2026
Effective date
Jul 1, 2026
Identified
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.

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What to do

by Jul 1, 2026 · 5 steps
01Billing team must download updated prospective rate letters from the secure web portal via Myers and Stauffer LC (MSLC) using the provider number verification process.
02Share rate letters with accounting/bookkeeping staff to update billing system rates in the accounting software.
03Download and implement the updated Medicare Coinsurance Worksheet from the Nursing Facility Document Library for all dates of service on or after July 1, 2026.
04Update internal records to reflect the new personal needs allowance of $109.00 per month for Medicaid participants.
05If rate letters are not received by June 30, 2026, contact MSLC at (410) 356-9256 immediately.
If missed: Failure to update rates will result in underbilling and revenue loss.

Original notice

Fiscal Year 2027 Rates for Nursing Facility Services
health.maryland.gov · Always check the source before changing claims.
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Related changes

See all Maryland Medicaid changes →
Fiscal Year 2026 Rates for Nursing Facility ServicesHighEffective Jul 1, 2025 · Nursing HomeFiscal Year 2006 Interim Rates for the Period 07/01/05-08/31/05MediumEffective Jul 1, 2005 · Nursing HomeJanuary 1, 2015 through March 31, 2015 Rates for Nursing Facility ServicesLowEffective Jan 1, 2015 · Provider TransmittalJuly 1, 2016 through September 30, 2016 Rates for Nursing Facility ServicesLowEffective Jul 1, 2016 · Provider TransmittalBrowse every Maryland Medicaid change in the policy list

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Maryland Medicaid policiesMD policy changesGeriatricsPalliative Care

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