MedicaidAdministrativeMedium impact
Clarification on Payment Responsibility for Psychological Testing for Medical and Behavioral Health Services
Maryland Medicaid·MD · Psychiatry, Family Medicine, Internal Medicine +1 more·Provider Transmittal
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has issued a clarification on which entity is responsible for payment of psychological testing services when provided for medical versus behavioral health purposes. This affects billing workflows for practices that provide psychological testing services to Maryland Medicaid patients.
Action Required
Immediately: Billing team should review the full Maryland Medicaid Provider Transmittal PT 27-24 to understand updated payment responsibility guidelines for psychological testing. Update billing procedures to ensure psychological testing claims are submitted to the correct payer based on whether services are for medical or behavioral health purposes. Verify patient coverage and payer responsibility before providing services.