MedicaidAdministrativeHigh impact
Maryland Medicaid: Balance billing is not permitted
UnitedHealthcare·MD·State news
Effective date
May 18, 2026
We identified it
Jun 13, 2026
Summary
Maryland Medicaid providers are reminded that balance billing members is strictly prohibited. Providers cannot balance bill when charges exceed fee schedules, claims are denied, or claims are under review, and must verify eligibility before services.
Action Required
Immediately: Billing team must verify all Maryland Medicaid member eligibility before providing services through UnitedHealthcare Provider Portal. Update billing systems to prevent balance billing for any Maryland Medicaid members. Train staff to collect only Medicaid-permitted cost-sharing and bill other insurance carriers first before Medicaid. Failure to comply may result in payment recoupment, sanctions, or termination from Maryland Medicaid program.