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MedicaidCoverageMedium impact

Coverage of Durable Medical Supplies/Durable Medical Equipment

Maryland Medicaid·MD·Managed Care Organizations
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Maryland Medicaid managed care organizations updated their policy on coverage of durable medical supplies and durable medical equipment. This policy change affects billing and coverage determinations for DME and medical supplies provided to Maryland Medicaid managed care members.

Action Required

Action needed
Immediately: Billing team should review the updated Maryland Medicaid DME/DMS coverage policy at the provided URL to understand current coverage criteria and billing requirements. Update internal billing guidelines and prior authorization workflows for Maryland Medicaid managed care plans accordingly. Verify coverage determinations align with new policy before submitting claims.