MedicaidPrior AuthMedium impact
Fee Schedule for Fiscal Year 2014
Maryland Medicaid·MD · Psychiatry, Pediatrics·Personal Assistance/Care Services
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has expanded peer review pre-authorization requirements for antipsychotic medications prescribed to youth under 18 years old. This affects psychiatric and pediatric practices billing for antipsychotic drug prescriptions in Maryland.
Action Required
Psychiatry and pediatric providers in Maryland must obtain peer review pre-authorization before prescribing antipsychotic medications to patients under 18 years old. Update EMR systems to flag these prescriptions and ensure prior authorization is obtained before dispensing. Failure to obtain pre-authorization may result in claim denials for associated visits and medication coverage.