MedicaidAdministrativeMedium impact
On-going Treatments and Health Care Services New HealthChoice Enrollees
Maryland Medicaid·MD·Provider Transmittal
Effective date
Nov 17, 1997
We identified it
Jun 20, 2026
Summary
Maryland HealthChoice MCOs must continue providing ongoing treatments and services to new Medicaid enrollees during transition periods until completing initial evaluations and developing new care plans. The policy establishes a formal process for service changes including 10-day notice requirements and appeal rights.
Action Required
Maryland providers in HealthChoice MCOs must ensure continuity of care processes are established: 1) Provide timely specialty referrals to new members, 2) Continue authorization for ongoing services without delay during transition periods, 3) Give 10-day written notice before reducing services with appeal rights information, 4) Continue services during appeals process until Department decides, 5) Pay special attention to Special Needs Populations for continuity of care.