MedicaidPrior AuthHigh impact
Preauthorization Requirements for Disposable Medical Supplies and Durable Medical Equipment for Maryland Medical Assistance Fee-For-Service Recipients in the Community- Effective Immediately
Maryland Medicaid·MD·Medical Supply and Equipment
Effective date
Oct 27, 2000
We identified it
Jun 20, 2026
Summary
Maryland Medical Assistance (Medicaid) now requires preauthorization for all disposable medical supplies and durable medical equipment for fee-for-service recipients in the community, effective immediately. All requests must be submitted using form DHMH 4527 with physician signature and documented medical necessity.
Action Required
Immediately: For Maryland Medicaid fee-for-service patients, billing team must obtain preauthorization using form DHMH 4527 before providing any disposable medical supplies or durable medical equipment. Verify patient eligibility using EVS at 410-333-3020 or 1-800-492-2134 to ensure they are fee-for-service and not in managed care. Ensure all forms are signed by ordering physician or include copy of physician's order. Claims will be denied without proper preauthorization.