MedicaidAdministrativeMedium impact
PT 02-26: Minimum Data Set Validation
Maryland Medicaid·MD · Geriatrics·Specialty Services
Effective date
Jul 1, 2025
We identified it
Jun 18, 2026
Summary
Maryland Medicaid is implementing new penalty enforcement for nursing facility MDS validation audits effective July 1, 2025, ending the education period. Facilities with negative error rates above 20% will face financial penalties including rate reductions and audit costs.
Action Required
By July 1, 2025: Nursing facilities must ensure MDS documentation meets PDPM requirements and maintains negative error rates at or below 20%. Implement corrective action plans if previously identified during educational audits. Review medical record documentation standards to support MDS coding and prepare for potential penalty audits with financial consequences.