MedicaidAdministrativeMedium impact
PT 01-26: Nursing Facility Quality Assessments - Changes to Pay-for-Performance Eligibility
Maryland Medicaid·MD · Geriatrics·Specialty Services
Effective date
Jul 1, 2025
We identified it
Jun 18, 2026
Summary
Maryland nursing facilities will lose eligibility for pay-for-performance awards if they have outstanding quality assessment payments (payments not made within 60 days after each quarter). This adds a new financial penalty requirement to the existing P4P eligibility criteria.
Action Required
Immediately: Nursing facility billing teams must ensure all quality assessment payments are made within 60 days of each quarter end to maintain P4P eligibility. Review current payment status with Maryland Medicaid's Office of Finance. Set up automated reminders for quarterly payment deadlines: Q1 by Nov 29, Q2 by Mar 1, Q3 by May 30, Q4 by Aug 29. Late payments result in loss of P4P awards and potential collection fees of 17% plus attorney costs.