MedicaidPrior AuthMedium impact
Preauthorization
Maryland Medicaid·MD·Home Health
Effective date
Jul 1, 2004
We identified it
Jun 20, 2026
Summary
Maryland Medicaid home health services now require preauthorization when anticipated payments in any 30-day period exceed $5,274.00, effective July 1, 2004. This threshold represents the Medicaid average nursing facility rate.
Action Required
Billing team must implement preauthorization request process for Maryland Medicaid home health services when anticipated 30-day payments exceed $5,274.00. Contact Maryland Staff Specialist for Home Health Services at (410) 767-1448 or 1-877-4MD-DHMH extension 1448 for preauthorization procedures. Claims exceeding this threshold without preauthorization may be denied.