MedicaidAdministrativeMedium impact
Updated Clarification on MCO Payment Responsibility for Health Behavior Assessments Administered in an Acute Care Setting
Maryland Medicaid·MD · Psychiatry, Emergency Medicine, Internal Medicine +1 more·Behavioral Health Administration Services Organization
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has updated clarification on which Managed Care Organizations (MCOs) are responsible for paying health behavior assessments when administered in acute care hospital settings. This affects billing responsibility and payment coordination for behavioral health services in hospitals.
Action Required
Immediately: Maryland providers should review the full transmittal document to understand updated MCO payment responsibilities for health behavior assessments in acute care settings. Billing teams must verify which MCO to bill based on the updated guidance. Contact MCO representatives if uncertain about payment responsibility to avoid claim denials.