Medicaid Provider Information

Find provider information--including forms, program updates, and fee schedules--on this page. 
 

RECENT UPDATES

- ePREP is Live! Click here for more information.

- Information for Pharmacist Prescribers

- New Service! Remote Patient Monitoring 

- Information for Attending Providers​

PROVIDER ENROLLMENT and RE-ENROLLMENT MATERIALS

Choose the application that is specific to your provider type. If you are re-validating your enrollment, please select the "Re-Validation" check box on the application.
 
 

AUDIOLOGY SERVICES INFORMATION

 
 

BEHAVIORAL HEALTH INFORMATION

Announcing: Optum Maryland will be the new Behavioral Health Administrative Service Organization (ASO). Effective January 1, 2020

For important information regarding the transition, please visit the ASO Transition Page​


In the interim, Behavioral Health services must be authorized by the Department's designated Administrative Service Organization, Beacon Health Options.
 
 

BILLING GUIDANCE, FEE SCHEDULES, and PREAUTHORIZATION INFORMATION

 

 

CREDIBLE ALLEGATION OF FRAUD​​

 

DENTAL and LABORATORY INFORMATION

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ELIGIBILITY VERIFICATION SYSTEMS (EVS) INFORMATION

EVS is a system available to allow verification of Maryland Medicaid recipient eligibility status. DHMH has a few EVS applications:
 
eMEDICAID
eMedicaid is a secure online service for Maryland Medicaid Providers where you can verify recipient eligibility, obtain payment information and Remittance Advice (RA).

EPSDT/HEALTHY KIDS RESOURCES

 

GENERAL INFORMATION

 
 

HOSPICE SERVICES INFORMATION

 
 

ICD-10 TRANSITION INFORMATION



INDEPENDENT REVIEW (IRO) INFORMATION

 

MARYLAND MEDICAID SANCTIONED PROVIDERS LIST 


REPRODUCTIVE HEALTH PROVIDER RESOURCES

  • Factsheets for the HealthChoice Self-Referral Manual & OB/GYN/Family Planning Provider Services Manual

                                              Maryland Medicaid Overview

           Factsheet#1              Self-Referral Provisions for HealthChoice Members

           Factsheet#2              Family Planning Services

           Factsheet#3              Maryland Family Planning Program

           Factsheet#4              Long-Acting Reversible Contraceptives (LARCs)

           Factsheet#5              Permanent Sterilization

           Factsheet#6              Abortion Services

           Factsheet#7              Obstetrics and Gynecology

                       

 

TELEHEALTH RESOURCES