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MedicaidAdministrativeMedium impact

Processing Appeals Filed by Providers Representing HealthChoice Enrollees

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

Summary

Maryland Medicaid has updated procedures for processing appeals filed by healthcare providers on behalf of HealthChoice enrollees. This affects how providers submit and manage appeals for denied claims or coverage decisions.

Action Required

Action needed
Immediately: Billing team and providers should review the new Maryland Medicaid appeal procedures for HealthChoice enrollees. Update appeal submission workflows and ensure staff understand new requirements for filing appeals on behalf of patients. Access the full policy document at the provided URL for detailed procedural changes.

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