The Fee-for-Service (FFS) Medicaid-enrolled pharmacist providers can bill Maryland Medicaid for professional services rendered within their lawful scope of practice.
If you are a pharmacist who wants to bill FFS Medicaid for your services, you must be enrolled as a participating provider through MPRIME (Maryland Provider Registration and Information Management Enterprise).
FFS Reimbursement Rates
For rates, see the Professional Providers Manual.
FFS Billing
For billing and coding information, see Fee-For-Service Claims Guidance for CMS 1500 Billing Instructions.
FFS Payment
Note that Medicaid makes payment to the pharmacy, not the pharmacist.
