Maryland ABA prior auth — launching soon.
The platform is built. Maryland payer rules for Carelon BHASO (Medicaid carve-out) and CareFirst are ready. We're taking early-access signups from MD practices now.
- 2
- MD payer rule sets built
- 180
- Day re-auth tracking
- 0
- Manual payer lookups
Maryland Medicaid — Carelon BHASO
Rules built — launching soonSubmission
Portal
Initial
180 days
Re-Auth
180 days
Single statewide ABA carve-out — all MCO members under 21
- All nine HealthChoice MCOs route ABA PA through Carelon BHASO
- CDE by a qualified health-care professional required before auth
- MD Licensed Behavior Analyst (LBA) required
- 180-day auth cycles (EPSDT, COMAR 10.09.28)
CareFirst BCBS MD
Rules built — launching soonSubmission
Portal
Initial
6 months
Re-Auth
6 months
Largest MD commercial payer — some plans route through Magellan
- State mandate: coverage to at least age 19, no hour/dollar caps
- Progress assessment required every 6 months
- PA required before services — no retroactive exceptions
- Medical policy 8.01.011A governs criteria
Questions about Maryland coverage? hello@korafy.ioAdditional MD payers added as rules are validated. Commercial expansion (Aetna MD, UHC MD) planned for Phase 2.
The same rules engine — configured for Maryland.
NJ is live and running today. Maryland payer rules are built to the same standard and will be available to early-access practices at launch.
Payer requirements configuration — payer rules enforced before submission
Ready to stop chasing payer rules?
Be among the first ABA practices on Korafy.