MedicaidPrior AuthMedium impact
Clarification of Authorization and Claims Submission Requirements for Dental Surgery Services Performed in Ambulatory Surgery Centers and Outpatient Hospital Settings
Maryland Medicaid·MD · Dentistry, Oral & Maxillofacial Surgery·Dental
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has clarified authorization and claims submission requirements for dental surgery services performed in ambulatory surgery centers and outpatient hospital settings. This affects how dental procedures must be authorized and billed when performed in these facility settings.
Action Required
Immediately: Billing team should review the full Maryland Medicaid transmittal document to understand specific authorization requirements for dental surgery services in ASCs and outpatient hospitals. Update billing workflows to ensure proper authorization is obtained before scheduling dental surgeries in these settings. Verify claims submission procedures comply with the clarified requirements to prevent denials.