MedicaidPrior AuthMedium impact
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 now requires specific authorization and claims submission procedures for dental surgery services performed in ambulatory surgery centers and outpatient hospital settings. This policy establishes new requirements for obtaining approvals and submitting claims for these higher-level dental procedures.
Action Required
Immediately: Review the complete Maryland Medicaid transmittal PT 14-25 to identify specific authorization requirements for dental surgeries in ASC and outpatient hospital settings. Billing team must update workflows to ensure proper authorization is obtained before scheduling dental surgeries in these facilities. Update billing procedures to follow new claims submission requirements for Maryland Medicaid patients. Failure to comply may result in claim denials.