Medicaid Provider Information

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

​Medicaid Coronavirus Disease 2019 (COVID-19) Updates

​During this rapid​ly evolving situation, we will provide updates as they become available. All Medicaid Providers should check the Medicaid COVID-19 Provider Updates page often.  For general coronavirus information, visit coronavirus.maryland.gov​​​​.​

 

COVID-19 Fee Schedules

Public Notice


RECENT UPDATES
EHR Incentive Program Update

MDH is conducting a health information technology environmental scan survey as part of required closeout activities for the Maryland Medicaid Electronic Health Record (EHR) Incentive Program. This program helped fund health information technology for eligible providers to purchase and adopt electronic health record (EHR) technology and offered some incentive payments. The purpose of the survey is to gather information about the adoption, meaningful use, and interoperability of electronic health records (EHR) systems, the Health Information Exchange (HIE) capabilities/interests, and the Health IT landscape in Maryland. 

MDH would like to gain information and insights regarding your experiences and perceptions about the EHR Incentive Program. The online survey opens Monday, May 17th, and will remain continuously open until it closes on Monday, June 14, 2021.  

The survey will take approximately 10 minutes to complete. Click the following link (“MD Medicaid Health IT Provider Survey”​) to be directed to the survey. The online survey is available to any healthcare provider serving Maryland Medicaid members currently or in the past.

 Please email MDH.MarylandEHR@maryland.gov if you have any questions.  


ePREP is Live! Click here for more information.

PROVIDER ENROLLMENT INFORMATION

Maryland Medicaid Provider Enrollment Portal, ePREP. Click here for more information

​​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

​​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