Medicaid Provider Information

Find provider information--including forms, program updates, and fee schedules--on this page. 
 
 
COMING SOON! NEW PROVIDER ENROLLMENT PORTAL! Click here for more information.
 

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.
 
 

BEHAVIORAL HEALTH INFORMATION

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:
 
 

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 Waiver Program

           Factsheet#4              Long-Acting Reversible Contraceptives (LARCs)

           Factsheet#5              Permanent Sterilizations

           Factsheet#6              Abortion Services

           Factsheet#7              Obstetrics and Gynecology 

                       

 

TELEHEALTH RESOURCES