Latest Memos

• Patient Driven Payment Model Memorandum 7/13/2020​
• Advisory Level of Care Determinations
• Acceptable Nursing Facility Level of Care Documentation
• Utilization Control Agent - Telligen Transition (link)
• 2017 Nursing Facility Pay-For-Improvement Changes
• FY19 Quality Assessment

Latest Transmittals

• Nursing Facility Training Presentation
• Nursing Facility Reimbursement Manual
• Nursing Facility UB04 Billing Instructions     
• Frequently Asked Questions From Trainings 1.29.15
• Previous Communication on Reimbursement Changes (link)
• Resident Roster User Guide​
• MDS Validation Minimum Review Standards

Online Format for Submitting ​​Quality Assessment Reports

​Conversion to Patient Driven Payment Model​

For more inforamtion, see Patient Driven Payment Model​.

Resident Roster Information and Cost Reports

​Nursing Facility Information

• Medicaid Long Term Services and Supports in Maryland: FY 2016-2020 Nursing Facility Services Chart Book​​​
• ​Transmittal 262 Attachment - Census Form (excel)
• DHMH 1189 Census Form ​
• Utilization Control Forms
• Long Term Care Forms
• Pay For Performance
• General Frequently Asked Questions

Medical Eligibility

• Nursing Facility Transmittal 213
• Nursing Facility Transmittal 237
• DHMH 3871B

MCO 90-Day Policy

• MCO Transmittal 113; Nursing Home Transmittal 261
• Frequently Asked Questions regarding 90-day policy

​For more information, see the Nursing Facility Document Library.