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Provider Relations

The MedStar Family Choice Provider Relations Department values our Provider Network, and our staff is available to assist network providers with education, inquiries, questions, problems and concerns by phone (1-800-905-1722) or fax (1-855-600-3077).

MedStar Family Choice Provider Relations Representatives work very closely with our providers to keep you informed about MedStar Family Choice MCO and our provider network. We also provide orientations for all new providers and refresher orientations for current providers.

Representatives conduct site evaluations every three years on all participating provider offices. Site evaluations may be repeated before the three year period if we receive member complaints regarding an office location.

In addition, representatives are available to assist providers with credentialing, demographic updates and provider terminations. We also drop by our network provider offices to deliver updates and assist with any MedStar Family Choice concerns.

Contact Us

The Provider Relations Department is available to take your calls Monday through Friday, 8:30 a.m. to 5 p.m. on the MedStar Family Choice Provider Telephone Line at 1-800-905-1722 or email us at [email protected]. You may also fax us at 1-855-600-3077. Messages and faxes received will be addressed within one business day.

Please call us at this number for the following inquiries:

  • To obtain a member roster (each PCP office is mailed a monthly roster)
  • To verify provider participation with MedStar Family Choice
  • To voice a member concern
  • To obtain MedStar Family Choice Provider Manuals and other reference materials
  • To learn about submitting claims electronically.
  • To assist with any questions or concerns you have regarding MedStar Family Choice

EPSDT Certification

We encourage all of our participating providers who see Medicaid patients under the age of 21 to become EPSDT certified through the Maryland Healthy Kids Program. Any primary care physician providing services to a Medicaid recipient under the age of 21 is subject to an audit through the Maryland Healthy Kids Program. Learn more here...

Have questions? Call us!

Referral and Authorization Questions
Care Management Dept.
1-800-905-1722
Fax 410-933-2274 or 888-243-1790

Claim Information
Processing Center
1-800-261-3371 or click here

Eligibility Status
Outreach Dept.
1-800-905-1722 or www.emdhealthchoice.org

The Provider Relations Contacts (PDF) document will locate your Provider Relations Representative.

Information current as of: 07/17/17