MedicaidPrior AuthMedium impact
Preauthorization
Maryland Medicaid·MD·Home Health
Effective date
Jul 1, 2013
We identified it
Jun 20, 2026
Summary
Maryland Medicaid updated the preauthorization threshold for home health services effective July 1, 2013. Preauthorization is now required when anticipated interim payments exceed $7,196.10 in any 30-day period.
Action Required
Billing team must update systems to trigger preauthorization requests for Maryland Medicaid home health services when anticipated interim payments exceed $7,196.10 in any 30-day period. Update billing workflows to check payment thresholds before service delivery. Claims exceeding this threshold without preauthorization may be denied.