Back to dashboard
MedicaidAdministrativeMedium impact

Process for Submitting Retroactive Eligibility Cases to Telligen

Maryland Medicaid·MD·Provider Transmittal
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

Maryland Medicaid has established a new process for submitting retroactive eligibility cases to Telligen using a standardized form. Healthcare providers must use this specific form when requesting retrospective eligibility reviews for Medicaid patients.

Action Required

Action needed
Immediately: Billing team must obtain and use the new Retro-Eligibility Review Request Form when submitting retroactive eligibility cases to Telligen. Ensure all patient information, admission/discharge dates, diagnosis codes, procedure codes, and DRG information are complete before submission. Verify eligibility before submitting as indicated on the form. Keep the fax number 443-561-3320 available for transmission issues.

Related policy hubs