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
A new utilization control agent has been assigned for a specific insurance plan effective February 1, 2016. This change affects administrative processes for utilization management and prior authorization workflows with this payer.
Action Required
By February 1, 2016: Billing team and front desk staff must update contact information for utilization control and prior authorization requests to reflect the new agent assignment. Update payer contact lists in billing system and staff reference materials to ensure requests are submitted to the correct entity.