MedicaidCoverageMedium impact
PT 07-26: Medicaid Coverage for Radiological and Imaging Services Provided by Certified Nurse Practitioners
Maryland Medicaid·MD · Family Medicine, Internal Medicine, OB-GYN +2 more·Managed Care
Effective date
Jul 1, 2025
We identified it
Jun 18, 2026
Summary
Maryland Medicaid now allows certified nurse practitioners to interpret and bill for specific radiological and imaging services including chest X-rays, abdominal X-rays, obstetric ultrasounds, and other imaging studies. This expands billing opportunities for practices with CRNPs providing these interpretation services.
Action Required
Immediately: Billing team must update system to allow certified nurse practitioners to bill for radiology interpretation services using the specified CPT codes for Maryland Medicaid patients. Verify CRNP enrollment and certification status in billing system. Update encounter forms and provider templates to include these billable interpretation services for CRNPs.