MedicaidPrior AuthMedium impact
Prior Authorization Changes Under the Maryland Contraceptive Equity Act Effective January 1, 2018
Maryland Medicaid·MD · OB-GYN, Family Medicine, Internal Medicine +1 more·Provider Transmittal
Effective date
Jan 1, 2018
We identified it
Jun 20, 2026
Summary
Maryland eliminated prior authorization requirements for contraceptive drugs and devices under the Maryland Contraceptive Equity Act effective January 1, 2018. Healthcare providers can now prescribe and bill for contraceptives without obtaining prior authorization from Maryland Medicaid Managed Care Organizations.
Action Required
By January 1, 2018: Billing teams at Maryland practices should update their systems to remove prior authorization requirements for contraceptive medications and devices when billing Maryland Medicaid plans. Update staff workflows to streamline contraceptive prescribing and billing processes since prior auth is no longer required.