MedicaidPrior AuthMedium impact
Preauthorization
Maryland Medicaid·MD·Home Health
We identified it
Jun 20, 2026
Summary
Maryland Medicaid now requires preauthorization for home health services when recipients have third-party insurance coverage. Providers must obtain prior authorization before delivering home health services to ensure proper coordination of benefits and avoid claim denials.
Action Required
Immediately: Billing team must verify third-party insurance status for all Maryland Medicaid recipients before scheduling home health services. Obtain preauthorization from Maryland Medicaid for any recipient with dual coverage. Update intake procedures to check for third-party coverage and flag cases requiring preauth. Failure to obtain preauthorization will result in claim denials.