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MedicaidAdministrativeMedium impact

Billing Medical Assistance for Ambulatory Surgical Center Services

Maryland Medicaid·MD·Ambulatory Surgical Centers
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

This policy provides guidance on billing Medical Assistance (Medicaid) for services performed at Ambulatory Surgical Centers in Maryland. It outlines coverage criteria, billing procedures, and reimbursement rates for ASC services under the Maryland Medicaid program.

Action Required

Action needed
Billing teams serving Maryland Medicaid patients at ASCs should review current billing practices against this policy guidance. Ensure ASC claims are submitted with appropriate facility codes and follow Maryland Medicaid's specific coverage and documentation requirements. Verify reimbursement rates align with the fee schedule outlined in the policy.