MedicaidAdministrativeMedium impact
Proposed Amendments to HealthChoice Regulations
Maryland Medicaid·MD·Managed Care Organizations
We identified it
Jun 20, 2026
Summary
Maryland Medicaid managed care (HealthChoice) is implementing several regulatory amendments including adding new recipient eligibility exclusions, requiring MCO participation in monthly enrollment reconciliation, allocating quality performance incentives, and adding emergency services to self-referred services list.
Action Required
By February 20, 2007: Review proposed amendments if your practice serves Maryland Medicaid managed care patients. Monitor for final regulatory changes that may affect eligibility verification processes, quality reporting requirements, and emergency services billing procedures. Update internal procedures once final regulations are published.