Maryland House Bill 1153: Maryland Medical Assistance Program and Health Insurance - Claims for Reimbursement - Downcoding

Maryland · 2026 Regular Session

What it does

Prohibiting insurers, nonprofit health service plans, health maintenance organizations, and managed care organization from downcoding a claim for reimbursement under certain circumstances; establishing certain procedures that insurers, nonprofit health service plans, health maintenance organizations, and managed care organizations are required to follow if the insurer, nonprofit health service plan, or health maintenance organization intends or makes a final decision to downcode a claim; etc.

Latest action

Hearing 3/05 at 1:00 p.m. (2026-02-13)

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