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MedicaidAdministrativeMedium impact

Cognito Implementation: New Process for Submitting Span Inquiries to LTCPRU

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

Summary

Maryland Medicaid has implemented Cognito as the new system for submitting span inquiries to LTCPRU (Long Term Care Prior Review Unit). Providers must now use this new electronic process instead of previous submission methods for long-term care authorization requests.

Action Required

Action needed
Immediately: Billing team and providers must transition to using Cognito system for all span inquiries to LTCPRU. Register for Cognito access if not already enrolled. Update workflow procedures to submit long-term care prior authorization requests through the new electronic system. Stop using previous submission methods for span inquiries.

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