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MedicaidPrior AuthMedium impact

Interim Acute Hospital Process for Preauthorization for Elective Inpatient Admissions, Concurrent Reviews, Retrospective (3808) Reviews or X02 Case Requests

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

Summary

Maryland Medicaid has implemented a new interim process for acute hospital preauthorization requirements covering elective inpatient admissions, concurrent reviews, retrospective reviews, and X02 case requests. This policy establishes specific workflows and requirements for hospital-based care authorization.

Action Required

Action needed
Immediately: Review the interim acute hospital preauthorization process for any Maryland Medicaid patients requiring elective inpatient admissions. Billing team must update workflows to comply with new concurrent review and retrospective review requirements. Contact Maryland Medicaid for specific authorization procedures before scheduling elective inpatient cases to avoid claim denials.

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