MedicaidAdministrativeMedium impact
New Utilization Control Agent as of February 1, 2016
Maryland Medicaid·MD·Provider Transmittal
Effective date
Feb 1, 2016
We identified it
Jun 20, 2026
Summary
As of February 1, 2016, a new Utilization Control Agent has been designated for Maryland Medicaid managed care plans. This affects the entity responsible for reviewing and approving certain medical services and prior authorization requests.
Action Required
By February 1, 2016: Billing and prior authorization staff must update contact information and submission processes for the new Utilization Control Agent. Verify all pending prior authorization requests are redirected to the new agent. Update internal reference materials with new contact details and submission requirements.