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    The Maryland Department of Information Technology (“DoIT”) offers translations of the content through Google Translate. Because Google Translate is an external website, DoIT does not control the quality or accuracy of translated content. All DoIT content is filtered through Google Translate which may result in unexpected and unpredictable degradation of portions of text, images and the general appearance on translated pages. Google Translate may maintain unique privacy and use policies. These policies are not controlled by DoIT and are not associated with DoIT’s privacy and use policies. After selecting a translation option, users will be notified that they are leaving DoIT’s website. Users should consult the original English content on DoIT’s website if there are any questions about the translated content.

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    Provider Enrollment

    MDH Provider Enrollment no longer accepts paper applications. Providers must enroll via ePREP at ePREP.health.maryland.gov. You may also click on the "ePREP" link next to your provider type to enroll.
     
    For more information about ePREP, please visit health.maryland.gov/ePREP.
     
    To access application addenda, please click on the "X" next to the appropriate provider type.

    To view the Maryland Medicaid Provider Agreement, click here​.   ​
     

    A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z

    A

      
      
      
      
      
    AUDIOLOGY PROVIDER19ePREPePREPePREP
    AMBULATORY SURGERY CENTER39X
    ADAA CERTIFIED ADDICTIONS OUTPATIENT PROGRAM50X
    ACUPUNCTUREACePREPePREP
    AMBULANCE COMPANYT1X
    AUTISM WAIVER40X
    APPLIED BEHAVIOR ANALYSISABePREPePREP

    B

      
      
      
      
      
    BRAIN INJURY WAIVER                    86X

    C

      
      
      
      
      
    CHIROPRACTOR13ePREPePREP
    CLINIC, ABORTION30ePREP
    CLINIC, DRUG32X
    CLINIC, FAMILY PLANNING33ePREP
    CLINIC, RURAL37ePREP
    CLINIC, LOCAL HEALTH DEPARTMENT35X
    CLINIC, GENERAL38X
    CLINIC, FEDERALLY QUALIFIED HEALTH CENTER34X
    CASE MANAGEMENT - NOT ELSEWHERE CLASSIFIED81ePREP
    CERTIFIED PROFESSIONAL COUNSELORCCePREP
    COMMUNITY OPTIONS - ASSISTED LIVING (ALF)76X
    COMMUNITY OPTIONS - OTHER76X
    CENTERINGPREGNANCYN/AX


    D

      
      
      
      
      
    DIALYSIS FACILITIES61X
    DMS/DME PROVIDER62X
    DIAGNOSTIC SERVICES, OTHER60X
    DIETITAN/NUTRITIONIST.85ePREPePREP
    DDA SERVICES PROVIDER NEW ENROLLEES90X
    DENTAL PROVIDER14XX
    DIABETES PREVENTION PROGRAM (DPP) PROVIDERDPX
    DOULADLXX


    E

      
      
      
      
      
    EPSDT THERAPEUTIC BEHAVIORAL SERVICES51X


    F

      
      
      
      
      
    FREESTANDING BIRTH CENTER31ePREP
    FREESTANDING ONCOLOGY CENTER36X

    H

      
      
      
      
      
    HOSPITAL - SPECIAL OTHER CHRONIC7X
    HOSPITAL - SPECIAL OTHER ACUTE6X
    HOSPITAL - CHRONIC5X
    HOSPITAL - CHRONIC REHABILITATION4X
    HOSPITAL - ACUTE1X
    HOSPITAL - ACUTE REHABILITATION3X
    HOME AND COMMUNITY BASED SERVICES, OTHER40X
    HOME HEALTH AGENCY41X
    HMO/PACE70ePREP
    HOSPICE PROVIDER71ePREP
    HEALTHCHOICE MANAGED CARE ORGANIZATION72ePREP
    HOME AND COMMUNITY BASED SERVICES 1915i89X
    HIV CASE MANAGEMENTVCX
    HOME AND COMMUNITY BASED SERVICES 1915iHGXX
    HOME VISITING SERVICESHVX
    HEALTHYSTEPSN/AX


    ​I

      
      
      
      
      
    INTERMEDIATE CARE FACILITY - ADDICTION55X
    INTERMEDIATE CARE FACILITY - ID56ePREP
    IMD RESIDENTIAL SUD ADULT54X

    L

      
      
      
      
      
    LABORATORY10ePREP
    LOCAL EDUCATION AGENCIES/LOCAL LEAD AGENCY91X

    M

      
      
      
      
      
    MENTAL HEALTH GROUP THERAPY PROVIDER27ePREP
    MEDICAL DAY CARE - CHILDREN43ePREP
    MEDICAL DAY CARE - ADULTS42X
    MENTAL HEALTH CLINICMCX
    MOBILE TREATMENT PROGRAMMTX
    MENTAL HEALTH CASE MANAGEMENT PROVIDERCMX
    MEDICARE CROSSOVER ONLYXVX


    N

      
      
      
      
      
    NURSE PRACTITIONER23ePREPePREP
    NURSE MIDWIFE22ePREPePREP
    NURSE ANESTHETIST21ePREP
    NURSE PSYCHOTHERAPISTS24ePREP
    NURSING FACILITY57X


    O

      
      
      
      
      
    OCCUPATIONAL THERAPIST18ePREPePREP

    P

      
      
      
      
      
    PODIATRY PROVIDERS11ePREPePREP
    PSYCHOLOGIST 15ePREP
    PHYSICAL THERAPIST16ePREPePREP
    PHYSICIAN20ePREPePREP
    PERSONAL CARE MONITOR47ePREP
    PEDIATRIC NURSING/HOME HEALTH AIDE SERVICES AGENCY53X
    PORTABLE X-RAY59X
    PHYSICIAN ASSISTANT80ePREP
    PRESCRIBING PROVIDER92X
    PSYCHIATRIC REHAB SERVICES FACILITYPRX
    PHARMACYRXePREP
    PARTIAL HOSPITALIZATION PROGRAMMHX
    PAIN MANAGEMENTN/AX

    R

      
      
      
      
      
    RESIDENTIAL TREATMENT CENTER88X

    S

      
      
      
      
      
    SPEECH/LANGUAGE PATHOLOGIST17ePREPePREP
    SOCIAL WORKER94ePREP
    STEPS CASE MANAGEMENT81X
    SCHOOL BASED HEALTH CENTER (SBHC)N/AX
    SUPPORTED EMPLOYMENTSEX


    T

      
      
      
      
      
    THERAPY GROUP PROVIDER - EPSDT (PT. OT. SPEECH)28ePREP


    U

      
      
      
      
      
    URGENT CARE CENTER8X


    V

      
      
      
      
      
    VISION CARE PROVIDER12ePREPePREPePREP