MedicaidAdministrativeMedium impact
Enrollee State Fair Hearing Process Change; Third-Party Liability Change for Prenatal Care
Maryland Medicaid·MD · OB-GYN·Provider Transmittal
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has updated the enrollee appeals process for state fair hearings and modified third-party liability procedures specifically for prenatal care services. These changes affect how billing disputes are handled and how third-party insurance coordination works for pregnancy-related care.
Action Required
Review updated Maryland Medicaid fair hearing procedures for member appeals and update prenatal care billing workflows to comply with new third-party liability requirements. Contact Maryland Medicaid for specific implementation guidelines since detailed procedures are not provided in the transmittal.