MedicaidPrior AuthMedium impact

Peer Review Program for Mental Health Medications in CHildre and Adolescents

Q: Who is affected by this change?

This affects Maryland Medicaid Psychiatry, Pediatrics, Family Medicine, Pharmacy providers in MD on Medicaid plans.

Maryland Medicaid·MD · Psychiatry, Pediatrics, Family Medicine +1 more·Pharmacy

Effective date

Not stated

We identified it

Jun 20, 2026

Days to comply

—

Summary

Maryland Medicaid has implemented a peer review program requiring prior authorization for mental health medications prescribed to children and adolescents. This affects billing for psychiatric medications and may require additional documentation and approval processes before prescribing.

Action Required

Action needed

Immediately: Providers treating children and adolescents on Maryland Medicaid must obtain peer review approval before prescribing mental health medications. Update EMR templates to include peer review documentation requirements. Billing team must verify peer review approval is obtained before submitting pharmacy claims. Claims without proper peer review may be denied.

Related policy hubs

Maryland Medicaid policies MD policy changes Psychiatry Pediatrics Family Medicine Pharmacy