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Oral Nutritional Supplements and Supplemental Vitamins EPSDT and REM Coverage Limits

Maryland Medicaid·MD · Pediatrics, Family Medicine, General Practice +2 more·EPSDT
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Maryland Medicaid has updated coverage limits for oral nutritional supplements and supplemental vitamins under EPSDT (Early and Periodic Screening, Diagnostic and Treatment) and REM (Rare and Expensive case Management) programs. This policy change affects billing and coverage criteria for pediatric and special needs patients requiring nutritional supplementation.

Action Required

Action needed
Immediately: Billing team must review the updated Maryland Medicaid policy for oral nutritional supplements and vitamins coverage limits. Update billing procedures to reflect new EPSDT and REM coverage criteria. Providers should verify patient eligibility and coverage limits before prescribing nutritional supplements to Maryland Medicaid pediatric patients. Document medical necessity according to updated guidelines to ensure claim approval.