MedicaidPrior AuthMedium impact
Preauthorization
Maryland Medicaid·MD·Home Health
Effective date
Jul 1, 2000
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has increased the preauthorization threshold for home health services from $3,686.70 to $4,012.20 per 30-day period. Providers must obtain preauthorization when anticipating interim payments exceeding this new threshold amount.
Action Required
Billing team must update preauthorization procedures to use the new $4,012.20 threshold for Maryland Medicaid home health services requiring preauthorization in any 30-day period. Update billing system alerts and staff training materials to reflect the increased threshold amount.