When does this change take effect?

This change is effective Oct 1, 1999.

MedicaidPrior AuthMedium impact

Preauthorization

Q: Who is affected by this change?

This affects Maryland Medicaid Physical Therapy, Occupational Therapy, Speech Therapy providers in MD on Medicaid plans.

Maryland Medicaid·MD · Physical Therapy, Occupational Therapy, Speech Therapy·Home Health

Effective date

Oct 1, 1999

We identified it

Jun 20, 2026

Days to comply

—

Summary

Maryland Medicaid home health services require preauthorization when interim payments in a 30-day period exceed $3,686.70 (increased from $3,357.90). This applies to services anticipated to exceed the Medicaid average nursing facility rate.

Action Required

Action needed

Billing team must identify Maryland Medicaid home health cases where 30-day interim payments may exceed $3,686.70 and obtain preauthorization before service delivery. Contact Maryland Home Health Services at (410) 767-1448 or 1-800-685-5861 extension 1448 for preauthorization procedures. Claims exceeding the threshold without preauthorization may be denied.

Related policy hubs

Maryland Medicaid policies MD policy changes Physical Therapy Occupational Therapy Speech Therapy