MedicaidAdministrativeHigh impact
Dental Ambulatory Surgical Center (ASC) Claims Submissions
Maryland Medicaid·MD · Dentistry, Oral & Maxillofacial Surgery·Provider Transmittal
Effective date
Aug 1, 2021
We identified it
Jun 20, 2026
Summary
Effective August 1, 2021, Maryland Medicaid has discontinued email submission for dental ASC claims. All dental ASC claims must now be submitted on paper using the ADA dental claim form with "ASC DENTAL" written on the CMS-1500 form. Claims must be routed to different addresses based on whether they fall within or beyond the 12-month timely filing statute.
Action Required
By August 1, 2021: Billing team must immediately cease email submissions of dental ASC claims to Maryland Medicaid. Implement new paper-based submission process: (1) Print all dental ASC claims on ADA dental claim forms using CMS-1500 format; (2) Write "ASC DENTAL" on each CMS-1500 form submitted; (3) Route claims submitted within 12 months of service to Maryland Medicaid Claims Processing Unit, P.O. Box 1935, Baltimore, MD 21203; (4) Route claims submitted beyond 12 months to Maryland Medicaid Provider Relations Unit - Professional Claims, P.O. Box 22811, Baltimore, MD 21203. Update billing workflows, staff training materials, and claim submission procedures accordingly. Failure to comply will result in claim rejection and delayed processing. Contact Earl Tucker at earl.tucker@maryland.gov for policy questions.