MedicaidAdministrativeMedium impact
PT 28-26: Clarification of 257 Submission Processes
Maryland Medicaid·MD · Geriatrics·Specialty Services
Effective date
Oct 17, 2025
We identified it
Jun 18, 2026
Summary
Maryland extended the October 1, 2025 deadline for submitting MDH 257 Long Term Care Patient Activity Reports to Telligen with no new deadline set. The policy clarifies two submission methods: new web process via MarylandBenefits.gov or existing fax process, with specific procedures depending on whether the nursing facility or hospital requested the level of care.
Action Required
Immediately: Nursing facilities must note that MDH 257 submission deadline has been extended past October 1, 2025. Update workflows to use either new web submission via MarylandBenefits.gov or continue fax submission to Telligen at 1-888-297-4276. Follow specific procedures based on whether nursing facility or hospital requested level of care: upload doctor's orders to Qualitrac for facility-initiated requests, fax all documents for hospital-initiated requests.