MedicaidPrior AuthMedium impact
Preadmission Screening and Resident Review
Maryland Medicaid·MD·Nursing Home
Effective date
Sep 1, 1997
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has increased the preauthorization threshold for home health services from $2,966.40 to $3,198.60 for any thirty-day period, effective September 1, 1997. Providers must obtain preauthorization when anticipated interim payments exceed this new rate.
Action Required
By September 1, 1997: Billing team must update preauthorization procedures to use the new threshold of $3,198.60 for Maryland Medicaid home health services in any thirty-day period. Monitor anticipated interim payments and obtain preauthorization when exceeding this amount to avoid claim denials.