MedicaidAdministrativeMedium impact
Proposed Amendments to HealthChoice Regulations
Maryland Medicaid·MD·Managed Care Organizations
We identified it
Jun 20, 2026
Summary
Maryland's HealthChoice Medicaid managed care program is removing the term 'medically appropriate' from all regulations, extending MCO change periods to 90 days for new enrollees, requiring MCO responses to preauthorization requests within 2 days of receiving clinical information (maximum 7 calendar days), and adding Comprehensive Substance Abuse Assessment as a self-referral service.
Action Required
By September 18, 2006: Review current Maryland Medicaid managed care procedures to ensure compliance with updated regulations. Update staff training on the 2-day preauthorization response requirement and inform patients that MCO changes are allowed within 90 days of initial enrollment. Monitor for final regulation adoption after comment period closes.