MedicaidCoverageMedium impact
PT 67-26: Medicaid Fee-for-Service Payment of Medically Necessary Ancillaries on Administrative Days
Maryland Medicaid·MD·Claims & Billing
Effective date
Jan 1, 2026
We identified it
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.
Action Required
Immediately: Stop billing medical/surgical supplies separately on Administrative Days as costs are now included in base rate. Update billing system to use new revenue codes for Basic Metabolic Panel (0301) and Comprehensive Metabolic Panel (0301). Download updated MDH 1288 form from Medicaid UCA website and train staff on new ancillary documentation requirements for Administrative Day requests.