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MedicaidCoverageMedium impact

Breast Pump Coverage in the HealthChoice Program

Maryland Medicaid·MD · OB-GYN, Family Medicine, Pediatrics +1 more·Provider Transmittal
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Maryland Medicaid's HealthChoice Program has updated breast pump coverage policies. This affects billing and coverage requirements for durable medical equipment providers serving pregnant and postpartum patients in Maryland's Medicaid managed care program.

Action Required

Action needed
Immediately: Billing team should review the full Maryland Medicaid provider transmittal document to understand specific coverage criteria, billing procedures, and documentation requirements for breast pump claims. Update billing workflows for Maryland HealthChoice members to ensure compliance with new coverage guidelines.