UnitedHealthcareMedium ImpactAdministrative
Maryland Medicaid: See which primary care provider policies have changed
Published January 12, 2026Effective July 18, 2025
AI Summary
UnitedHealthcare Community Plan (Maryland Medicaid) clarified that participating providers can see any Medicaid member regardless of PCP assignment, but PCPs remain responsible for generating referrals to network specialists and coordinating care before members seek specialist services.
Action Required
Immediately: Front desk staff should verify member eligibility through Maryland Department of Health's EVS Portal or UnitedHealthcare Provider Portal for all Maryland Medicaid patients, regardless of PCP assignment. PCPs must ensure proper referral generation and care coordination for all specialist visits to maintain compliance with referral requirements.
Plan Types
Medicaid
States
MD
Specialties
family-medicine, internal-medicine, general-practice, pediatrics, all-specialties