MedicaidPrior AuthMedium impact

Preauthorization

Q: Who is affected by this change?

This affects Maryland Medicaid Family Medicine, Internal Medicine, General Practice providers in MD on Medicaid plans.

Maryland Medicaid·MD · Family Medicine, Internal Medicine, General Practice·Home Health

Effective date

Not stated

We identified it

Jun 20, 2026

Days to comply

—

Summary

Maryland Medicaid has implemented new preauthorization requirements for home health services. This policy change affects billing teams who handle Maryland Medicaid patients requiring home health care services.

Action Required

Action needed

Immediately: Billing team must review the Maryland Medicaid provider transmittal PT04-11 to identify specific home health services requiring preauthorization. Update billing workflows to verify preauthorization status before submitting claims for Maryland Medicaid home health services. Train staff on new preauthorization procedures to prevent claim denials.

Related policy hubs

Maryland Medicaid policies MD policy changes Family Medicine Internal Medicine General Practice