MedicaidPrior AuthHigh impact
Updated Procedures for Professional Service and Laboratory Preauthorizations
Maryland Medicaid·MD·Provider Transmittal
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has updated procedures for obtaining preauthorizations for professional services and laboratory tests. This affects how providers must request and manage prior authorizations for Medicaid patients in Maryland.
Action Required
Immediately: Billing team and providers must review the updated Maryland Medicaid preauthorization procedures document. Update workflow processes for requesting prior authorizations for professional services and laboratory tests for Maryland Medicaid patients. Train staff on new submission requirements and timelines to prevent claim denials.