MedicaidPrior AuthMedium impact
Preauthorization
Maryland Medicaid·MD·Home Health
Effective date
Jul 1, 2007
We identified it
Jun 20, 2026
Summary
Maryland Medicaid now requires preauthorization for home health services when anticipated payments exceed $6,027.90 in any 30-day period, effective July 1, 2007. This threshold is based on the current Medicaid average nursing facility rate.
Action Required
Billing team must implement preauthorization requests for Maryland Medicaid home health services when anticipated interim payments exceed $6,027.90 in any 30-day period. Contact Staff Specialist for Home Health Services at (410) 767-1448 or 1-877-4MD-DHMH extension 1448 for questions about preauthorization procedures.