MedicaidAdministrativeHigh impact
Acute Inpatient Hospitalizations: New Concurrent Review Process
Maryland Medicaid·MD·Provider Transmittal
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has implemented a new concurrent review process for acute inpatient hospitalizations. This means providers must now undergo real-time review during patient stays rather than just pre-authorization.
Action Required
Immediately: Billing and utilization management teams must implement new concurrent review procedures for all acute inpatient stays under Maryland Medicaid. Contact Maryland Medicaid to understand specific review timelines and documentation requirements. Failure to comply with concurrent review may result in claim denials or reduced reimbursement.