MedicaidAdministrativeLow impact
Pricing for services on encounter data to comply with the Medicaid and CHIP Managed Care Final Rule, effective January 1, 2018
Maryland Medicaid·MD·Provider Transmittal
Effective date
Jan 1, 2018
We identified it
Jun 20, 2026
Summary
Maryland Medicaid managed care plans must now include pricing information for services on encounter data submissions to comply with federal regulations. This affects how encounter data is reported but does not directly impact billing workflows or reimbursement rates for providers.
Action Required
No immediate action required for billing teams. This is an administrative requirement for managed care organizations to include pricing data in their encounter submissions to the state, not a change to provider billing procedures.