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MedicaidAdministrativeMedium impact

PT 52-26: Medicaid Coverage and Benefits for Incarcerated Individuals

Maryland Medicaid·MD · Emergency Medicine·Medical Policy
Effective date
Jan 20, 2026
We identified it
Jun 18, 2026
Days to comply

Summary

Maryland Medicaid updated procedures for incarcerated individuals' hospital services, replacing Corizon Health with Centurion of Maryland as the Utilization Control Agent. Hospitals must now verify Medicaid eligibility through EVS and obtain preauthorization from Centurion for planned admissions, while following specific notification procedures for emergency and bedside commitment cases.

Action Required

Action needed
Immediately: Update hospital billing procedures for incarcerated patients. Billing team must verify Medicaid eligibility through EVS system for all inmates. For planned admissions, obtain preauthorization from Centurion (866) 202-8690, option 1. For emergency admissions, notify Telligen within 48 hours and Centurion within one business day. Update contact information from Corizon Health to Centurion of Maryland. Contact Centurion Health Medicaid specialist at (240) 329-4953 for enrollment assistance.