MedicaidCoverageMedium impact
Clarification of HealthChoice Coverage of Cologuard for Colorectal Cancer Screening
Maryland Medicaid·MD · Gastroenterology, Family Medicine, General Practice +1 more·Provider Transmittal
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has issued a clarification regarding HealthChoice coverage of Cologuard for colorectal cancer screening. This provider transmittal provides updated guidance on when and how Cologuard testing is covered under Maryland's Medicaid managed care program.
Action Required
Immediately: Review the full Provider Transmittal PT 29-23 to understand updated Cologuard coverage criteria for Maryland HealthChoice patients. Update billing staff and providers on any new coverage limitations or requirements for colorectal cancer screening using Cologuard. Verify patient eligibility and coverage before ordering tests.