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Medicaid Planning · Maryland

Maryland Medicaid look-back rules

Medicaid look-back rules rules for Maryland.

Published: September 4, 2026. Last checked: September 5, 2026.

Look-back period

60 months for transfers made on or after February 8, 2006

Source: Maryland Medicaid Manual Release MR-140 [state-medicaid-agency] — April 2007 release; 60-month rule applies to transfers made on or after February 8, 2006

Transfer-penalty divisor

$12,501 per month and $411 per day

Source: Maryland Medicaid Manual Appendix Schedule MA-6 [state-medicaid-agency] — Penalty divisor effective July 1, 2025; retained in the 2026 appendix

How the state administers the rule

For institutional and waiver transfer review, divide uncompensated value first by the monthly amount and divide any remainder by the daily amount. The posted divisor is effective July 1, 2025 and remains the current state-posted Schedule MA-6 on the retrieval date.

Source: Maryland Medicaid Manual section 1000 [state-medicaid-agency] — Final manual section dated May 15, 2014 Additional authority: Maryland Medicaid Manual Appendix Schedule MA-6 [state-medicaid-agency] — Penalty divisor effective July 1, 2025; retained in the 2026 appendix

Sources

Methodology & sources

Checked at least annually and whenever the state publishes a new transfer-penalty divisor or administration rule.

General information, not legal advice.