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MedicaidAdministrativeMedium impact

PT 61-26: Updated Timing of Emergency Service Review Submissions for Undocumented or Unqualified Aliens

Maryland Medicaid·MD · Emergency Medicine, Nephrology·Provider Transmittal
Effective date
Feb 24, 2026
We identified it
Jun 18, 2026
Days to comply

Summary

Maryland Medicaid updated the timeline for emergency service review submissions for undocumented or unqualified aliens. Providers must now submit eligibility applications within 3 months of service date and medical records to Telligen within 60 days of financial eligibility decision (caseworker signature on OES 401 form Section 4).

Action Required

Action needed
Immediately: Maryland providers serving undocumented/unqualified aliens must update workflow to ensure OES 401 forms and medical records are submitted to Telligen within 60 days of caseworker signature (not service date). Train staff on new timeline requirements - late submissions will result in 'outcome not rendered' decisions and potential claim denials.