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MedicaidCoverageMedium impact

Contraceptive Coverage Changes Under the Maryland Contraceptive Equity Act Effective July 1, 2018

Maryland Medicaid·MD · OB-GYN, Family Medicine, Internal Medicine·Provider Transmittal
Effective date
Jul 1, 2018
We identified it
Jun 20, 2026
Days to comply

Summary

The Maryland Contraceptive Equity Act requires insurance plans to cover all FDA-approved contraceptive methods without cost-sharing, prior authorization, or medical management restrictions effective July 1, 2018. This includes contraceptive drugs, devices, products, and related services including counseling and follow-up care.

Action Required

Action needed
Billing team should verify that contraceptive-related services for Maryland patients are billed without copays or deductibles, and ensure no prior authorization is being requested for FDA-approved contraceptive methods. Update billing system to reflect zero patient responsibility for these services for Maryland Medicaid patients.