Out-of-Network Services May be Authorized

Out-of-Network Consumer Education Resources

Beginning January 2023, Marylanders with state-regulated private health insurance plans (click for info on state-regulated plans) can get mental health and substance use disorder treatment from a provider who is not in their plan’s provider network without paying high out-of-pocket costs if a network provider is not available. To help educate the public about the new requirements, the Legal Action Center has developed tools that are available on their website.

The Maryland Insurance Administration has posted each carrier’s procedure for requesting approval for non-participating provider services on its website.

Request Authorization to Receive Out-of-Network Services for Mental Health & Substance Use Disorders

The Maryland Insurance Administration held a program for consumers to explain how to use the new provisions of the balance billing law that took effect January 2023. Click here for the slides.