Information for Vendors and Developers
In 2020, the Centers for Medicare and Medicaid Services (CMS) passed a rule requiring health insurers to make it easier for patients to access their health care, including prices, and for providers to report this information. CMS purpose is to improve quality and access to health information, allowing Medicaid participants and their providers to make informed health care decisions. The CMS rule requires the Maryland Department of Health to develop a series of application programming interfaces (API).
Patient Access API - Available November 5, 2021The patient access API enables Medicaid participants to allow a 3rd-party app to access their health information. Participants can download a registered app(s) to their smartphone or other electronic device to access:
- Claims data
- Pharmacy formulary information
DevelopersTo register an app to the Patient Access API, visit
SAFHIR.
For more information see:
Provider Directory API - Available July 1, 2021The provider directory API exchanges provider information between MDH and a search engine or third-party app on a smartphone or other electronic device. The provider information shared includes the following five (5) criteria:
- Name
- Phone number
- Street address
- Zip code
- Type/specialty
Developers