Medicaid Provider Information

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

Security Incident Updates

​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

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




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