MedicaidCoverageMedium impact
Medicaid Coverage of Fertility Preservation Services for Iatrogenic Infertility, Effective October 7, 2023
Maryland Medicaid·MD · OB-GYN, Oncology, Endocrinology·Provider Transmittal
Effective date
Oct 7, 2023
We identified it
Jun 20, 2026
Summary
Maryland Medicaid now covers fertility preservation services for patients who may become infertile due to medical treatments (iatrogenic infertility). This new coverage began October 7, 2023 and affects billing for fertility preservation procedures when medically necessary due to cancer treatments or other medical interventions that cause infertility.
Action Required
Immediately: Billing team should review the full Provider Transmittal PT 34-24 document to identify specific fertility preservation CPT codes now covered by Maryland Medicaid. Update billing system to allow these services for Maryland Medicaid patients when medically necessary due to treatments causing infertility. Verify coverage criteria and any prior authorization requirements detailed in the full transmittal.