MedicaidCoverageMedium impact
Facility Fee for Dental Services Rendered in an Ambulatory Surgical Center (ASC)
Maryland Medicaid·MD · Dentistry, Oral & Maxillofacial Surgery·Provider Transmittal
We identified it
Jun 20, 2026
Summary
Maryland Medicaid will now cover facility fees for dental services performed in Ambulatory Surgical Centers (ASCs). This allows dental procedures requiring ASC-level care to receive appropriate facility reimbursement in addition to professional fees.
Action Required
Immediately: Billing teams at ASCs providing dental services should verify their ability to bill facility fees to Maryland Medicaid. Update billing workflows to capture both professional and facility components for qualifying dental procedures. Confirm modifier and billing requirements with Maryland Medicaid for proper claim submission.