MedicaidPrior AuthMedium impact
Authorization of Medical Day Care Services by Medicaid Waiver for Older Adults Case Managers
Maryland Medicaid·MD · Geriatrics·Medical Day Care
Effective date
Nov 1, 2006
We identified it
Jun 20, 2026
Summary
Maryland Medicaid Waiver for Older Adults now requires case managers to preauthorize Medical Day Care services frequency for waiver participants, effective November 1, 2006. Physicians still must order MDC services but no longer need to specify frequency - case managers determine and authorize the number of days per week.
Action Required
Before November 1, 2006: For Maryland Medicaid Waiver for Older Adults participants receiving Medical Day Care services, billing team must obtain case manager preauthorization forms specifying frequency of attendance before billing. Maintain all preauthorization forms in participant records for 6 years. Cannot bill Medicaid for MDC services exceeding case manager's authorized frequency.