MedicaidAdministrativeMedium impact
Clarification of Timeframe Measurement for HealthChoice Enrollee Grievances, Appeals, and Authorizations
Maryland Medicaid·MD·Provider Transmittal
Effective date
Jan 9, 2023
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has clarified how timeframes are calculated for HealthChoice enrollee grievances, appeals, and prior authorization requests. This policy provides specific guidance on when the clock starts and stops for these administrative processes.
Action Required
Immediately: Administrative staff handling Maryland Medicaid HealthChoice cases must review the updated timeframe calculation rules for grievances, appeals, and prior authorizations. Update internal tracking systems and workflows to ensure compliance with the clarified measurement periods. Document process changes in staff training materials.