Maryland HB1376 modifies the Maryland Medical Assistance Program and Maryland Children's Health Program to streamline transfers to special pediatric.

Maryland HB1376 modifies the Maryland Medical Assistance Program and Maryland Children's Health Program to streamline transfers to special pediatric hospitals. The bill requires these programs to provide a prior authorization determination for transfers upon request from a special pediatric hospital or referring health care provider. It also mandates retrospective reviews if the hospital or provider disagrees with a determination that a transfer is not medically necessary.

Maryland HB1376 modifies the Maryland Medical Assistance Program and Maryland Children's Health Program to streamline transfers to special pediatric.

Maryland HB1376 modifies the Maryland Medical Assistance Program and Maryland Children's Health Program to streamline transfers to special pediatric hospitals. The bill requires these programs to provide a prior authorization determination for transfers upon request from a special pediatric hospital or referring health care provider. It also mandates retrospective reviews if the hospital or provider disagrees with a determination that a transfer is not medically necessary.