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Maryland MedicaidMedicaid · Coverage · Claims & Billing · MDMedium impact

PT 67-26: Medicaid Fee-for-Service Payment of Medically Necessary Ancillaries on Administrative Days

Act
immediately
Effective date
Jan 1, 2026
Identified
Jun 18, 2026

Summary

Maryland Medicaid now allows billing of specific medically necessary ancillary services on Administrative Days, but medical/surgical supplies are no longer covered separately as their costs are now included in the base Administrative Day rate. Hospitals must use the updated MDH 1288 form and follow new revenue code guidelines for metabolic panels.

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What to do

immediately · 3 steps
01Stop billing medical/surgical supplies separately on Administrative Days as costs are now included in base rate.
02Update billing system to use new revenue codes for Basic Metabolic Panel (0301) and Comprehensive Metabolic Panel (0301).
03Download updated MDH 1288 form from Medicaid UCA website and train staff on new ancillary documentation requirements for Administrative Day requests.

Codes mentioned

80048800538502585610837358410082310710467401874150741607046071260

Original notice

PT 67-26: Medicaid Fee-for-Service Payment of Medically Necessary Ancillaries on Administrative Days
health.maryland.gov no longer serves this document. We saved a copy on Nov 7, 2026.
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Related changes

See all Maryland Medicaid changes →
Medicaid Fee-for-Service Payment of Medically Necessary Ancillaries on Administrative DaysHighEffective Jan 1, 2026 · HospitalPayment of Medically Necessary Ancillaries on an Administrative DayHighEffective Jul 1, 2024 · HospitalMedicaid Coverage for Radiological and Imaging Services Provided by Certified Nurse PractitionersMediumEffective Jul 1, 2025 · Managed Care OrganizationsPT 07-26: Medicaid Coverage for Radiological and Imaging Services Provided by Certified Nurse PractitionersMediumEffective Jul 1, 2025 · Managed CareBrowse every Maryland Medicaid change in the policy list

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