MedicaidPrior AuthMedium impact
Non-Emergency Medical Transportation (NEMT) Retroactive Coverage
Maryland Medicaid·MD·Provider Transmittal
We identified it
Jun 20, 2026
Summary
Maryland Medicaid now allows retroactive prior authorization and coverage for Non-Emergency Medical Transportation (NEMT) services. Providers can submit requests for authorization and reimbursement for NEMT services provided up to 90 days prior to the authorization request date.
Action Required
Immediately: Billing team should review any denied NEMT claims from the past 90 days and consider resubmitting with retroactive prior authorization requests. Update workflow to include option for retroactive NEMT authorization when patients received emergency or urgent transportation without prior approval.