MedicaidAdministrativeMedium impact
PT 79-26: Administrative Days Reimbursement in Nursing Facilities
Maryland Medicaid·MD · Geriatrics·Claims & Billing
Effective date
Apr 23, 2026
We identified it
Jun 18, 2026
Summary
Maryland Medicaid has updated requirements for administrative days reimbursement in nursing facilities, clarifying placement attempt documentation, billing practices, and submission timelines. Facilities must document at least 3 placement attempts per month and submit MDH 2129 forms within 15 days after the claim month ends.
Action Required
By May 8, 2026: Nursing facility billing teams must update administrative day billing procedures to use only revenue code 0169 (except rare ancillary services). Submit MDH 2129 forms to Telligen via fax 888-297-4276 within 15 calendar days after each claim month ends. Document at least 3 placement attempts monthly with contact dates, facility/agency names, persons contacted, and outcomes. Failure to comply may result in payment denial or recoupment.