Skip to Main Content
Menu
Menu
You must have Javascript enabled to see this menu.
Maryland.gov Home
Facebook
Twitter
YouTube
Social Media Directory
Search
Home
MDH Home
Children's Health
Pharmacy
Long Term Care
Health Choice
Notice:
JavaScript is not available in your browser. Some enhanced features will not be available until JavaScript is enabled.
PROGRAM INFORMATION
State Innovation Model (SIM)
About our programs
Apply for Medicaid
Applications for Long Term Care (all9709 versions available)
Provider Information
QUICK LINKS
Medicaid COVID-19 Provider Updates
Medicaid COVID-19 Participant Updates
BH ASO Transition Information
CHILDREN'S HEALTH
Maryland Children's Health Program
Provider Search
HEALTHCHOICE
EPSDT
Maryland HealthChoice Program
Provider Search
FAMILY PLANNING
Maryland Family Planning Program
PHARMACY
Maryland Medicaid Pharmacy Program
LONG TERM SERVICES AND SUPPORTS
Community Support Services
Maryland Money Follows the Person Program
Home and Community-Based Services
Nursing Facility Services
Maryland Access Point
Left_Content
Main_Content
Local Health Services Request Form
Instructions for the Local Health Services Request Form
Local Health Services Request Form
- Updated August 2014
Brief Instructions and LHD Contact Information
Center_Content