MedicaidBilling CodesMedium impact
Proposed Amendments to Oxygen & Related Respitaory Equipment Services
Maryland Medicaid·MD · Pulmonology, Critical Care, Sleep Medicine·Oxygen
Effective date
Oct 15, 2003
We identified it
Jun 20, 2026
Summary
Maryland Medicaid is transitioning from local procedure codes to national HCPCS codes for oxygen and respiratory equipment services, eliminating preauthorization requirements for items under $5, and allowing fax submissions for preauthorization requests with telephone notification required.
Action Required
By October 15, 2003: Billing team must update all oxygen and respiratory equipment claims to use new national HCPCS codes instead of local Maryland codes per the revised fee schedule. Update system to eliminate preauthorization requirements for replacement items under $5. Configure fax capability for preauthorization requests but ensure telephone notification to Program when faxing. Failure to use correct HCPCS codes will result in claim processing delays.