MedicaidAdministrativeMedium impact
Maryland Medicaid: Pregnant individuals must complete the MPRA form
UnitedHealthcare·MD · OB-GYN, Family Medicine·State news
We identified it
Jan 12, 2026
Summary
Maryland Medicaid now requires pregnant individuals to complete the Maryland Prenatal Risk Assessment (MPRA) form during their first prenatal visit. Providers can receive $40 reimbursement by completing the form, sending it to the local health department within 10 days, and submitting a claim using CPT code H1000.
Action Required
For Maryland providers: Complete MPRA form with pregnant Medicaid patients during first prenatal visit. Send completed form to local health department within 10 days. Submit claim with CPT code H1000 for $40 reimbursement. Update billing staff to include H1000 in prenatal visit workflows for at-risk assessments.