MedicaidAdministrativeMedium impact
Rescission of PT 21-22 Clarification of Payment Responsibility of Emergency Medicine Professional Fees in Emergency Department Settings
Maryland Medicaid·MD · Emergency Medicine·Provider Transmittal
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has rescinded Provider Transmittal 21-22 which previously clarified payment responsibility for emergency medicine professional fees in emergency department settings. This means the previous guidance is no longer valid and billing teams should revert to prior policies or await new guidance.
Action Required
Immediately: Billing teams handling Maryland Medicaid emergency department claims should stop following guidance from Provider Transmittal 21-22 regarding payment responsibility for emergency medicine professional fees. Review billing procedures for emergency medicine services to ensure compliance with pre-PT 21-22 policies until new guidance is issued.