MedicaidAdministrativeMedium impact
Return of the Temporary Waiver of Requirements for Concurrent Reviews and Guidance on the Submission of Documents as a Result of the Network Security Incident
Maryland Medicaid·MD·Provider Transmittal
Effective date
Jan 13, 2022
We identified it
Jun 20, 2026
Summary
Maryland Medicaid is temporarily relaxing concurrent review submission requirements for hospital inpatient admissions during the Omicron COVID-19 emergency, eliminating technical denials for late submissions. Additionally, due to a network security incident, all out-of-state inpatient admission requests and administrative appeals must now be submitted via secure email instead of fax, effective January 13, 2022.
Action Required
REQUIREMENTS:
- By January 13, 2022: Billing and utilization review teams must stop faxing out-of-state inpatient admission requests and administrative appeals to (410) 333-5425. Instead, submit all such requests via secure email to mdh.hospitalservicesfax@maryland.gov.
- Immediately: Resubmit any requests faxed on or after January 13, 2022 to the secure email address above.
- Update all submission procedures and staff contact lists to reflect the new email-only requirement for out-of-state inpatient admissions and administrative appeals.
- During the declared state of emergency (ends when Governor's Omicron emergency declaration ends): Submit concurrent reviews as soon as practical; technical denials will not be issued for late submissions beyond 48 hours or next business day.
- Note: This waiver applies ONLY to Maryland Medicaid fee-for-service (FFS) hospital admissions. Maryland HealthChoice MCOs maintain their own utilization review requirements—contact MCOs separately for their policies.
- Contact Denise James at denise.james@maryland.gov with questions about out-of-state admission submission procedures.