MedicaidPrior AuthMedium impact
Preauthorization
Maryland Medicaid·MD·Home Health
Effective date
Jul 1, 2006
We identified it
Jun 20, 2026
Summary
Maryland Medicaid requires preauthorization for home health services when anticipated interim payments exceed $5,796 in any 30-day period, effective July 1, 2006. This updates the previous threshold amount but keeps all other preauthorization procedures unchanged.
Action Required
Immediately: Home health billing team must verify preauthorization is obtained before providing services when interim payments will exceed $5,796 in any 30-day period for Maryland Medicaid patients. Update billing system alerts to flag cases approaching this threshold. Follow existing preauthorization procedures from Home Health Transmittal No. 42 dated September 19, 2005.