MedicaidAdministrativeMedium impact
Changes in Billing Procedures for Medical Laboratories with a CLIA Certificate of Waiver
Maryland Medicaid·MD · Pathology, Family Medicine, Internal Medicine +1 more·Laboratory
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has updated billing procedures for medical laboratories that hold a CLIA Certificate of Waiver. This affects how laboratory services are billed and reimbursed under the state Medicaid program.
Action Required
Immediately: Maryland providers with CLIA Certificate of Waiver must review and implement new billing procedures for laboratory services under Medicaid. Contact Maryland Medicaid or review the full policy document for specific procedural changes. Failure to follow updated procedures may result in claim denials or payment delays.