MedicaidCoverageMedium impact
Coverage of Routine Costs Associated with a Qualifying Clinical Trial
Maryland Medicaid·MD·Provider Transmittal
We identified it
Jun 20, 2026
Summary
Maryland Medicaid will now cover routine costs associated with qualifying clinical trials. This expands coverage for patients enrolled in approved clinical research studies, allowing providers to bill Medicaid for standard care services provided during these trials.
Action Required
Review the full Provider Transmittal PT 52-23 document to understand specific billing requirements and qualifying criteria for clinical trial coverage. Update billing procedures to identify and properly code routine services for Maryland Medicaid patients enrolled in qualifying clinical trials. Train billing staff on documentation requirements for clinical trial-related claims.