MedicaidCoverageMedium impact
Clarification of Coverage of Ancillary Services for Emergency Room Visits
Maryland Medicaid·MD · Emergency Medicine·Managed Care Organizations
We identified it
Jun 20, 2026
Summary
Maryland Medicaid clarified that ancillary services (lab, radiology, etc.) provided during emergency room visits are covered under the ER visit and should not be billed separately. This affects how practices bill for services provided in conjunction with ER care.
Action Required
Immediately: Billing team must review and update billing procedures for Maryland Medicaid patients receiving ancillary services during ER visits. Stop billing ancillary services separately when provided as part of ER care. Update billing system rules to bundle these services with the ER visit for Maryland Medicaid claims to avoid claim denials.