MedicaidPrior AuthMedium impact
Adoption of Amendments to Disposable Medical Supplies/Durable Medical Equipment Services
Maryland Medicaid·MD · Family Medicine, General Practice, Pediatrics +2 more·Medical Supply and Equipment
Effective date
Jan 7, 2002
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has eliminated prior authorization requirements for disposable incontinence pants (up to 240 per month) for patients 3+ years old and disposable incontinence underpads (up to 135 per month) for patients 3+ years old. These supplies can now be billed without preauthorization as long as quantities stay within the specified limits.
Action Required
Immediately: Billing team must update prior authorization workflows to remove preauth requirements for disposable incontinence pants (up to 240/month) and underpads (up to 135/month) for Maryland Medicaid patients aged 3+ years. Update billing system rules and staff training materials. Claims can now be submitted directly without prior authorization for quantities within these limits.