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MedicaidAdministrativeHigh impact

Sunsetting of the Temporary Waiver of Requirements for Concurrent Reviews

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

Summary

Maryland Medicaid is ending the temporary waiver that suspended concurrent review requirements. Healthcare providers must resume submitting concurrent reviews for ongoing inpatient stays and extended treatments as previously required before the temporary waiver.

Action Required

Action needed
Immediately: Resume submitting concurrent reviews for all ongoing inpatient stays and extended treatments to Maryland Medicaid. Update utilization review processes to ensure timely submission of concurrent review requests. Contact Maryland Medicaid for specific submission requirements and deadlines. Failure to submit required concurrent reviews may result in claim denials or payment recoupment.

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