Policy UpdatesMedicaidApril 23, 2024

Clarification of expansion of outpatient surgery redirection procedures

On February 11, we notified you of the below change in outpatient surgery procedures here: Expansion of outpatient surgery redirection procedures. Please use this notification as a clarification on what is required for medical necessity. 

Effective April 1, 2024, all outpatient procedures and surgeries listed below should be conducted in a freestanding, unregulated, facility. This update is applicable in Anne Arundel County, Baltimore City, Baltimore County, Carroll County, Howard County, Montgomery County, Prince George's County, and District of Columbia for members 18 years of age and above.

In Maryland, where the availability and accessibility of surgery in unregulated space supports the access needs of our members, these services will require review and precertification of the site-of-service when hospital outpatient, or regulated, site of service is requested.

When medical necessity of the service is met for those services requiring medical necessity review, the services will then require review and precertification of the site-of-service (when hospital outpatient or regulated, site of service is requested).

All service authorization requests will be processed according to state requirements.

Definitions:

  • Administrative denial for site of service: The denial for payment of a requested site or place of service for reasons other than a lack of medical necessity
  • Freestanding facilities: In Maryland, freestanding facilities are defined as practices that render services in unregulated, non-hospital space
  • Medical necessity: Refers to activities that may be justified as reasonable, necessary, or appropriate based on objective and evidenced-based clinical standards of care. Examples of criteria that are the basis for the determination that a service, procedure, or supply is medically necessary include but are not limited to:
    • Precertification: Process by which medical necessity criteria are applied to ensure that proposed care is medically necessary and performed at the appropriate level of care
    • Site of service review: Once medical necessary has been determined for the requested procedure or service, a site of service administrative review will be required to ensure the service will be provided in the most efficient and cost-effective setting.

Impacted CPT®/HCPCS codes:

Code

Description

Otolaryngology

30000

DRAINAGE OF NOSE LESION

30020

DRAINAGE OF NOSE LESION

30100

INTRANASAL BIOPSY

30110

REMOVAL OF NOSE POLYP(S)

30115

REMOVAL OF NOSE POLYP(S)

30117

REMOVAL OF INTRANASAL LESION

30118

REMOVAL OF INTRANASAL LESION

30130

EXCISE INFERIOR TURBINATE

30140

RESECT INFERIOR TURBINATE

30220

INSERT NASAL SEPTAL BUTTON

30310

REMOVE NASAL FOREIGN BODY

30520

REPAIR OF NASAL SEPTUM

30580

REPAIR UPPER JAW FISTULA

30630

REPAIR NASAL SEPTUM DEFECT

30801

ABLATE INF TURBINATE SUPERF

30802

ABLATE INF TURBINATE SUBMUC

30901

CONTROL OF NOSEBLEED

30903

CONTROL OF NOSEBLEED

30930

THER FX NASAL INF TURBINATE

31020

EXPLORATION MAXILLARY SINUS

31030

EXPLORATION MAXILLARY SINUS

31032

EXPLORE SINUS REMOVE POLYPS

31200

REMOVAL OF ETHMOID SINUS

31205

REMOVAL OF ETHMOID SINUS

31525

DX LARYNGOSCOPY EXCL NB

31526

DX LARYNGOSCOPY W/OPER SCOPE

31528

LARYNGOSCOPY AND DILATION

31529

LARYNGOSCOPY AND DILATION

31530

LARYNGOSCOPY W/FB REMOVAL

31535

LARYNGOSCOPY W/BIOPSY

31536

LARYNGOSCOPY W/BX & OP SCOPE

31540

LARYNGOSCOPY W/EXC OF TUMOR

31541

LARYNSCOP W/TUMR EXC + SCOPE

31545

REMOVE VC LESION W/SCOPE

31570

LARYNGOSCOPE W/VC INJ

31571

LARYNGOSCOP W/VC INJ + SCOPE

31574

LARGSC W/NJX AUGMENTATION

31576

LARYNGOSCOPY WITH BIOPSY

31578

LARGSC W/REMOVAL LESION

31591

LARYNGOPLASTY MEDIALIZATION

31611

SURGERY/SPEECH PROSTHESIS

69000

DRAIN EXTERNAL EAR LESION

69100

BIOPSY OF EXTERNAL EAR

69140

REMOVE EAR CANAL LESION(S)

69145

REMOVE EAR CANAL LESION(S)

69205

CLEAR OUTER EAR CANAL

69222

CLEAN OUT MASTOID CAVITY

General surgery

19020

INCISION OF BREAST LESION

19120

REMOVAL OF BREAST LESION

19125

EXCISION BREAST LESION

20551

INJ TENDON ORIGIN/INSERTION

20552

INJ TRIGGER POINT 1/2 MUSCL

20553

INJECT TRIGGER POINTS 3/>

21011

EXC FACE LES SC <2 CM

21012

EXC FACE LES SBQ 2 CM/>

21013

EXC FACE TUM DEEP < 2 CM

21014

EXC FACE TUM DEEP 2 CM/>

21552

EXC NECK LES SC 3 CM/>

21554

EXC NECK TUM DEEP 5 CM/>

21555

EXC NECK LES SC < 3 CM

21556

EXC NECK TUM DEEP < 5 CM

21930

EXC BACK LES SC < 3 CM

21931

EXC BACK LES SC 3 CM/>

22902

EXC ABD LES SC < 3 CM

22903

EXC ABD LES SC 3 CM/>

36000

PLACE NEEDLE IN VEIN

36010

PLACE CATHETER IN VEIN

36012

PLACE CATHETER IN VEIN

36215

PLACE CATHETER IN ARTERY

36246

INS CATH ABD/L-EXT ART 2ND

36569

INSJ PICC 5 YR+ W/O IMAGING

36821

AV FUSION DIRECT ANY SITE

36901

INTRO CATH DIALYSIS CIRCUIT

36902

INTRO CATH DIALYSIS CIRCUIT

37761

LIGATE LEG VEINS OPEN

37765

STAB PHLEB VEINS XTR 10-20

37766

PHLEB VEINS - EXTREM 20+

37785

LIGATE/DIVIDE/EXCISE VEIN

38221

DX BONE MARROW BIOPSIES

38222

DX BONE MARROW BX & ASPIR

38505

NEEDLE BIOPSY LYMPH NODES

40490

BIOPSY OF LIP

40510

PARTIAL EXCISION OF LIP

40520

PARTIAL EXCISION OF LIP

40808

BIOPSY OF MOUTH LESION

40810

EXCISION OF MOUTH LESION

40812

EXCISE/REPAIR MOUTH LESION

40814

EXCISE/REPAIR MOUTH LESION

40816

EXCISION OF MOUTH LESION

41010

INCISION OF TONGUE FOLD

41100

BIOPSY OF TONGUE

41105

BIOPSY OF TONGUE

41108

BIOPSY OF FLOOR OF MOUTH

41110

EXCISION OF TONGUE LESION

41112

EXCISION OF TONGUE LESION

41113

EXCISION OF TONGUE LESION

41116

EXCISION OF MOUTH LESION

41825

EXCISION OF GUM LESION

42100

BIOPSY ROOF OF MOUTH

42104

EXCISION LESION MOUTH ROOF

42106

EXCISION LESION MOUTH ROOF

42107

EXCISION LESION MOUTH ROOF

42330

REMOVAL OF SALIVARY STONE

42335

REMOVAL OF SALIVARY STONE

42405

BIOPSY OF SALIVARY GLAND

42408

EXCISION OF SALIVARY CYST

42410

EXCISE PAROTID GLAND/LESION

42415

EXCISE PAROTID GLAND/LESION

42420

EXCISE PAROTID GLAND/LESION

42425

EXCISE PAROTID GLAND/LESION

42440

EXCISE SUBMAXILLARY GLAND

42450

EXCISE SUBLINGUAL GLAND

42500

REPAIR SALIVARY DUCT

42800

BIOPSY OF THROAT

42804

BIOPSY OF UPPER NOSE/THROAT

Gastroenterology

43197

ESOPHAGOSCOPY FLEX DX BRUSH

43214

ESOPHAGOSC DILATE BALLOON 30

43229

ESOPHAGOSCOPY LESION ABLATE

43233

EGD BALLOON DIL ESOPH30 MM/>

43236

UPPR GI SCOPE W/SUBMUC INJ

43254

EGD ENDO MUCOSAL RESECTION

43450

DILATE ESOPHAGUS 1/MULT PASS

43453

DILATE ESOPHAGUS

45100

BIOPSY OF RECTUM

45171

EXC RECT TUM TRANSANAL PART

45172

EXC RECT TUM TRANSANAL FULL

45190

DESTRUCTION RECTAL TUMOR

45346

SIGMOIDOSCOPY W/ABLATION

45349

SIGMOIDOSCOPY W/RESECTION

45350

SGMDSC W/BAND LIGATION

45905

DILATION OF ANAL SPHINCTER

45910

DILATION OF RECTAL NARROWING

45915

REMOVE RECTAL OBSTRUCTION

45990

SURG DX EXAM ANORECTAL

46020

PLACEMENT OF SETON

46040

INCISION OF RECTAL ABSCESS

46045

INCISION OF RECTAL ABSCESS

46050

INCISION OF ANAL ABSCESS

46060

INCISION OF RECTAL ABSCESS

46083

INCISE EXTERNAL HEMORRHOID

46200

REMOVAL OF ANAL FISSURE

46220

EXCISE ANAL EXT TAG/PAPILLA

46230

REMOVAL OF ANAL TAGS

46257

REMOVE IN/EX HEM GRP & FISS

46261

REMOVE IN/EX HEM GRPS & FISS

46262

REMOVE IN/EX HEM GRPS W/FIST

46270

REMOVE ANAL FIST SUBQ

46275

REMOVE ANAL FIST INTER

46320

REMOVAL OF HEMORRHOID CLOT

46505

CHEMODENERVATION ANAL MUSC

46607

DIAGNOSTIC ANOSCOPY & BIOPSY

46700

REPAIR OF ANAL STRICTURE

46706

REPR OF ANAL FISTULA W/GLUE

46707

REPAIR ANORECTAL FIST W/PLUG

46750

REPAIR OF ANAL SPHINCTER

46910

DESTRUCTION ANAL LESION(S)

46917

LASER SURGERY ANAL LESIONS

46922

EXCISION OF ANAL LESION(S)

46924

DESTRUCTION ANAL LESION(S)

46930

DESTROY INTERNAL HEMORRHOIDS

46940

TREATMENT OF ANAL FISSURE

46945

INT HRHC LIG 1 HROID W/O IMG

46946

INT HRHC LIG 2+HROID W/O IMG

46947

HEMORRHOIDOPEXY BY STAPLING

46948

INT HRHC TRANAL DARTLZJ 2+

47000

NEEDLE BIOPSY OF LIVER

49082

ABD PARACENTESIS

49422

REMOVE TUNNELED IP CATH

49500

RPR ING HERNIA INIT REDUCE

49570

RPR EPIGASTRIC HERN REDUCE

49585

RPR UMBIL HERN REDUC > 5 YR

Opthamology

65710

CORNEAL TRANSPLANT

65730

CORNEAL TRANSPLANT

65750

CORNEAL TRANSPLANT

65755

CORNEAL TRANSPLANT

65756

CORNEAL TRNSPL ENDOTHELIAL

67105

REPAIR DETACHED RETINA PC

67107

REPAIR DETACHED RETINA

67108

REPAIR DETACHED RETINA

67145

PROPH RTA DTCHMNT PC

68811

PROBE NASOLACRIMAL DUCT

Orthopedic surgery

20520

REMOVAL OF FOREIGN BODY

20525

REMOVAL OF FOREIGN BODY

20526

THER INJECTION CARP TUNNEL

23030

DRAIN SHOULDER LESION

23071

EXC SHOULDER LES SC 3 CM/>

23075

EXC SHOULDER LES SC < 3 CM

23120

PARTIAL REMOVAL COLLAR BONE

23140

REMOVAL OF BONE LESION

23150

REMOVAL OF HUMERUS LESION

24000

EXPLORATORY ELBOW SURGERY

24006

RELEASE ELBOW JOINT

24071

EXC ARM/ELBOW LES SC 3 CM/>

24075

EXC ARM/ELBOW LES SC < 3 CM

24101

EXPLORE/TREAT ELBOW JOINT

24102

REMOVE ELBOW JOINT LINING

24105

REMOVAL OF ELBOW BURSA

24110

REMOVE HUMERUS LESION

24120

REMOVE ELBOW LESION

24310

REVISION OF ARM TENDON

24357

REPAIR ELBOW PERC

24358

REPAIR ELBOW W/DEB OPEN

24366

RECONSTRUCT HEAD OF RADIUS

24515

TREAT HUMERUS FRACTURE

24516

TREAT HUMERUS FRACTURE

24586

TREAT ELBOW FRACTURE

24615

TREAT ELBOW DISLOCATION

24665

TREAT RADIUS FRACTURE

24666

TREAT RADIUS FRACTURE

25000

INCISION OF TENDON SHEATH

25071

EXC FOREARM LES SC 3 CM/>

25073

EXC FOREARM TUM DEEP 3 CM/>

25075

EXC FOREARM LES SC < 3 CM

25076

EXC FOREARM TUM DEEP < 3 CM

25085

INCISION OF WRIST CAPSULE

25110

REMOVE WRIST TENDON LESION

25115

REMOVE WRIST/FOREARM LESION

25118

EXCISE WRIST TENDON SHEATH

25120

REMOVAL OF FOREARM LESION

25130

REMOVAL OF WRIST LESION

25260

REPAIR FOREARM TENDON/MUSCLE

25270

REPAIR FOREARM TENDON/MUSCLE

25275

REPAIR FOREARM TENDON SHEATH

25280

REVISE WRIST/FOREARM TENDON

25290

INCISE WRIST/FOREARM TENDON

25295

RELEASE WRIST/FOREARM TENDON

25350

REVISION OF RADIUS

25545

TREAT FRACTURE OF ULNA

25605

TREAT FRACTURE RADIUS/ULNA

25606

TREAT FX DISTAL RADIAL

25607

TREAT FX RAD EXTRA-ARTICUL

25608

TREAT FX RAD INTRA-ARTICUL

25609

TREAT FX RADIAL 3+ FRAG

25624

TREAT WRIST BONE FRACTURE

25628

TREAT WRIST BONE FRACTURE

25635

TREAT WRIST BONE FRACTURE

25645

TREAT WRIST BONE FRACTURE

25652

TREAT FRACTURE ULNAR STYLOID

26011

DRAINAGE OF FINGER ABSCESS

26020

DRAIN HAND TENDON SHEATH

26045

RELEASE PALM CONTRACTURE

26055

INCISE FINGER TENDON SHEATH

26070

EXPLORE/TREAT HAND JOINT

26075

EXPLORE/TREAT FINGER JOINT

26080

EXPLORE/TREAT FINGER JOINT

26105

BIOPSY FINGER JOINT LINING

26110

BIOPSY FINGER JOINT LINING

26111

EXC HAND LES SC 1.5 CM/>

26113

EXC HAND TUM DEEP 1.5 CM/>

26115

EXC HAND LES SC < 1.5 CM

26116

EXC HAND TUM DEEP < 1.5 CM

26160

REMOVE TENDON SHEATH LESION

26180

REMOVAL OF FINGER TENDON

26200

REMOVE HAND BONE LESION

26210

REMOVAL OF FINGER LESION

26236

PARTIAL REMOVAL FINGER BONE

26320

REMOVAL OF IMPLANT FROM HAND

26432

REPAIR FINGER TENDON

26433

REPAIR FINGER TENDON

26437

REALIGNMENT OF TENDONS

26440

RELEASE PALM/FINGER TENDON

26442

RELEASE PALM & FINGER TENDON

26445

RELEASE HAND/FINGER TENDON

26455

INCISION OF FINGER TENDON

26516

FUSION OF KNUCKLE JOINT

26520

RELEASE KNUCKLE CONTRACTURE

26525

RELEASE FINGER CONTRACTURE

26530

REVISE KNUCKLE JOINT

26535

REVISE FINGER JOINT

26540

REPAIR HAND JOINT

26608

TREAT METACARPAL FRACTURE

26615

TREAT METACARPAL FRACTURE

26650

TREAT THUMB FRACTURE

26665

TREAT THUMB FRACTURE

26676

PIN HAND DISLOCATION

26715

TREAT KNUCKLE DISLOCATION

26727

TREAT FINGER FRACTURE EACH

26735

TREAT FINGER FRACTURE EACH

26742

TREAT FINGER FRACTURE EACH

26746

TREAT FINGER FRACTURE EACH

26756

PIN FINGER FRACTURE EACH

26765

TREAT FINGER FRACTURE EACH

26841

FUSION OF THUMB

26842

THUMB FUSION WITH GRAFT

27043

EXC HIP PELVIS LES SC 3 CM/>

27047

EXC HIP/PELVIS LES SC < 3 CM

27062

REMOVE FEMUR LESION/BURSA

27323

BIOPSY THIGH SOFT TISSUES

27324

BIOPSY THIGH SOFT TISSUES

27327

EXC THIGH/KNEE LES SC < 3 CM

27329

RESECT THIGH/KNEE TUM < 5 CM

27331

EXPLORE/TREAT KNEE JOINT

27334

REMOVE KNEE JOINT LINING

27337

EXC THIGH/KNEE LES SC 3 CM/>

27340

REMOVAL OF KNEECAP BURSA

27345

REMOVAL OF KNEE CYST

27347

REMOVE KNEE CYST

27372

REMOVAL OF FOREIGN BODY

27403

REPAIR OF KNEE CARTILAGE

27407

REPAIR OF KNEE LIGAMENT

27418

REPAIR DEGENERATED KNEECAP

27570

FIXATION OF KNEE JOINT

27606

INCISION OF ACHILLES TENDON

27613

BIOPSY LOWER LEG SOFT TISSUE

27614

BIOPSY LOWER LEG SOFT TISSUE

27618

EXC LEG/ANKLE TUM < 3 CM

27620

EXPLORE/TREAT ANKLE JOINT

27626

REMOVE ANKLE JOINT LINING

27632

EXC LEG/ANKLE LES SC 3 CM/>

27638

REMOVE/GRAFT LEG BONE LESION

27640

PARTIAL REMOVAL OF TIBIA

27658

REPAIR OF LEG TENDON EACH

27659

REPAIR OF LEG TENDON EACH

27665

REPAIR OF LEG TENDON EACH

27680

RELEASE OF LOWER LEG TENDON

27685

REVISION OF LOWER LEG TENDON

27690

REVISE LOWER LEG TENDON

27705

INCISION OF TIBIA

28291

CORRJ HALUX RIGDUS W/IMPLT

28295

CORRECTION HALLUX VALGUS

29800

JAW ARTHROSCOPY/SURGERY

29804

JAW ARTHROSCOPY/SURGERY

29805

SHO ARTHRS DX +- SYNOVIAL BX

29819

SHO ARTHRS SRG RMVL LOOSE/FB

29820

SHO ARTHRS SRG PRTL SYNVCT

29821

SHO ARTHRS SRG COMPL SYNVCT

29830

ELBOW ARTHROSCOPY

29835

ELBOW ARTHROSCOPY/SURGERY

29836

ELBOW ARTHROSCOPY/SURGERY

29837

ELBOW ARTHROSCOPY/SURGERY

29838

ELBOW ARTHROSCOPY/SURGERY

29840

WRIST ARTHROSCOPY

29844

WRIST ARTHROSCOPY/SURGERY

29845

WRIST ARTHROSCOPY/SURGERY

29847

WRIST ARTHROSCOPY/SURGERY

29860

HIP ARTHROSCOPY DX

29861

HIP ARTHRO W/FB REMOVAL

29885

KNEE ARTHROSCOPY/SURGERY

29886

KNEE ARTHROSCOPY/SURGERY

29887

KNEE ARTHROSCOPY/SURGERY

29899

ANKLE ARTHROSCOPY/SURGERY

29901

MCP JOINT ARTHROSCOPY SURG

29915

HIP ARTHRO ACETABULOPLASTY

29916

HIP ARTHRO W/LABRAL REPAIR

63661

REMOVE SPINE ELTRD PERQ ARAY

63663

REVISE SPINE ELTRD PERQ ARAY

64530

N BLOCK INJ CELIAC PELUS

64600

INJECTION TREATMENT OF NERVE

64610

INJECTION TREATMENT OF NERVE

64642

CHEMODENERV 1 EXTREMITY 1-4

64644

CHEMODENERV 1 EXTREM 5/> MUS

64646

CHEMODENERV TRUNK MUSC 1-5

64702

REVISE FINGER/TOE NERVE

64719

REVISE ULNAR NERVE AT WRIST

64774

REMOVE SKIN NERVE LESION

64776

REMOVE DIGIT NERVE LESION

64782

REMOVE LIMB NERVE LESION

64784

REMOVE NERVE LESION

64788

REMOVE SKIN NERVE LESION

64795

BIOPSY OF NERVE

64831

REPAIR OF DIGIT NERVE

64835

REPAIR OF HAND OR FOOT NERVE

Urology

54360

PENIS PLASTIC SURGERY

Wound care

11000

DEBRIDE INFECTED SKIN

11010

DEBRIDE SKIN AT FX SITE

11012

DEB SKIN BONE AT FX SITE

11770

REMOVE PILONIDAL CYST SIMPLE

11772

REMOVE PILONIDAL CYST COMPL

11900

INJECT SKIN LESIONS </W 7

12020

CLOSURE OF SPLIT WOUND

12031

INTMD RPR S/A/T/EXT 2.5 CM/<

12032

INTMD RPR S/A/T/EXT 2.6-7.5

12034

INTMD RPR S/TR/EXT 7.6-12.5

12035

INTMD RPR S/A/T/EXT 12.6-20

12037

INTMD RPR S/TR/EXT >30.0 CM

12041

INTMD RPR N-HF/GENIT 2.5CM/<

12042

INTMD RPR N-HF/GENIT2.6-7.5

12051

INTMD RPR FACE/MM 2.5 CM/<

12052

INTMD RPR FACE/MM 2.6-5.0 CM

Procedure: site of service precertifications:

  1. When an authorization request for specified services/procedures is initiated for services to be performed in an outpatient hospital facility or regulated space and the service meets medical necessity criteria, the requester must also identify any special circumstance(s) to justify why the service must be provided in the hospital-based or regulated setting. If the requester cannot provide a special circumstance, the service will be redirected to a participating freestanding practice/facility.  
  2. When an authorization request meets medical necessity for the service, but no special circumstances are provided (see Definitions) to support the provision of services in a hospital-based or regulated setting and the requesting care provider does not accept redirection to a freestanding or unregulated site of service, then an administrative denial for site of service will be issued. The care provider/member will be notified that the services meet medical necessity for approval, but the site/location of services is being administratively denied. An administrative denial letter will be issued per requirements.
  3. The member/patient will be notified of the administrative denial for site of service and offered alternative in-network care providers upon request.

Medical Necessity Criteria

List of relevant case or member-specific facts that support the use of hospital-based or regulated space procedures. Reasons may include but are not limited to:

  • Ability of a freestanding site of service to safely and adequately accommodate and support the member in the course of treatment because of specialized equipment or staff skill set.
  • Access or availability of a freestanding site of service within the 30-minute or 30-mile standard.
  • Member is under 18 years of age except as noted for specific specialty procedures (for example, ENT, sleep studies, high-tech radiology, routine laboratory services, infusion drugs, etc.).
  • Suffering from any of the following conditions:
    • Respiratory disease:
      • Asthma (uncontrolled/actively treating)
      • Chronic Obstructive Pulmonary Disease/Emphysema (uncontrolled/actively treating)
      • Obstructive sleep apnea (OSA) and CPAP/APAP use within past 6 months
      • Pediatric members with confirmed OSA (obstructive sleep apnea) and Tonsillectomy & Adenoidectomy planned (no CPAP/APAP use required)
    • Cardiac disease:
      • Congestive heart failure symptomatic in the last month (any episode of documented or active congestive heart failure, emergency room visit, admission, worsening chronic congestive heart failure, recent adjustment of medicines, etc.)
      • Myocardial infarction within the last six weeks
      • Arrhythmia within the last six weeks
      • Pacemaker in place
      • Automatic implantable cardioverter defibrillator in place
      • On warfarin or another anticoagulant
      • On Plavix® or another platelet inhibitor
  • Severe anemia/Hematocrit <=25% &/or thrombocytopenia, platelets <=150,000
  • BMI/Body Mass Index >=40
  • Chronic Kidney Disease (CKD) stage 3 or higher
  • History of any complication with sedation, anesthesia, or surgery

Reference

Please note, this is not a comprehensive redirection list. These codes are in addition to those included in prior redirection updates. For code-specific precertification requirements, please refer to our Precertification Lookup Tool.

What if I need assistance?

If you have questions about this communication or need assistance with any other item, contact your local provider relationship management representative or call Provider Services at 833-707-0868.

Thank you for the quality care you provide to our members.

Coverage provided by Wellpoint Maryland, Inc.

MDWP-CD-057242-24-SRS56329

PUBLICATIONS: May 2024 Provider Newsletter