MedicaidAdministrativeMedium impact
PT 30-26: Fall 2025 General Provider Updates
Maryland Medicaid·MD · Dentistry, Family Medicine, Pediatrics +1 more·Provider Communication
Effective date
Jan 1, 2026
We identified it
Jun 18, 2026
Summary
Maryland Medicaid issued fall 2025 updates covering preferred drug list benefits, dental vendor transition to DentaQuest effective January 1, 2026, vaccine coverage guidance, and consolidation of developmental disability waiver programs effective October 6, 2025.
Action Required
By December 31, 2025: Dental providers must submit all outstanding claims with dates of service through December 31, 2025 to ensure timely filing limits are met before DentaQuest transition. Review vaccine coverage transmittals PT 21-26 and PT 22-26 for updated COVID-19 and MMRV vaccine billing guidance. Providers serving developmental disability patients should review consolidated Community Pathways Waiver information at DDA's webpage.