MedicaidReimbursementMedium impact
PT 37-26: Hospice Payment Rates for Federal Fiscal Year 2026
Maryland Medicaid·MD · Palliative Care·Claims & Billing
Effective date
Oct 1, 2025
We identified it
Jun 18, 2026
Summary
Maryland Medicaid has updated hospice payment rates for Federal Fiscal Year 2026, effective October 1, 2025. The new rates are based on Medicare's annual hospice rates and include both full market basket rates and reduced rates (4% reduction) for providers who don't comply with quality reporting requirements.
Action Required
By October 1, 2025: Billing team must update payment rate tables in billing system for all Maryland Medicaid hospice claims using the new FFY 2026 rates. Verify compliance with quality reporting requirements to ensure full market basket rates apply rather than the reduced 4% penalty rates. Update rates based on specific CBSA area/region where services are provided.