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MedicaidCoverageMedium impact

Maryland Medicaid Clinical Coverage Updates for First Quarter 2023 (January- March 2023)

Maryland Medicaid·MD·Provider Transmittal
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Maryland Medicaid has issued clinical coverage updates for Q1 2023, but only summary information is available without specific details of the changes. The billing team needs to access the full transmittal document to understand the specific coverage modifications and billing impacts.

Action Required

Action needed
Immediately: Billing team must download and review the full Provider Transmittal PT 25-24 from the Maryland health website to identify specific coverage changes, affected CPT/HCPCS codes, and any new prior authorization requirements for Maryland Medicaid patients. Update billing procedures based on the detailed policy content.