Learn your requirements regarding member appointments and timeframes, and coverage for after hours.
The MedStar Family Choice Provider Manual provides information on the HealthChoice program, the requirements of an MCO, and the requirements of providers participating in MedStar Family Choice. Download the Provider Manual
For MedStar Family Choice contact numbers and information about pre-authorizations.
A list of services that require pre-authorization.
To change a member's primary care provider in our records, providers can help them complete the Member PCP Selection Form on the PCP Assignment Changes page.
You can satisfy your cultural diversity training requirements by taking the education courses here.
View the guide to implementing the National CLAS Standards.
Information on prior authorization and utilization management along with forms.
Primary care providers should use the Maryland Uniform Consultation Referral Form when referring to a specialist provider.
Provider alerts are frequently sent out to inform providers about changes in coverage, new policies, programs and more.
Use our Find a Doctor tool to locate a provider near your patient.
Provider newsletters are sent out quarterly.
New providers can find a variety of details about MedStar Family Choice in this training as well as department contact information.
These are Maryland Department of Health's coding guidelines for developmental/mental health screenings by primary care providers.
A listing of clinical practice guidelines for a variety of conditions.
A form for patients to allow the release of their medical records and authorization for use or disclosure of protected health information.
This training provides details of the quality improvement programs for the Maryland HealthChoice Program.
MedStar Family Choice needs your help in addressing the critical public health issue of under-vaccination of Maryland's adolescents and young adults against the Human Papillomavirus (HPV). The Maryland Department of Health has a variety of tools available for providers.
Living Well is a seven-week MedStar Health program that helps patients with chronic conditions take charge of their health and their life.
EPSDT is the Early and Periodic Screening, Diagnosis and Treatment Program (also known as the Healthy Kids Program) through the State Medicaid Program. This program establishes preventive care standards for children under the age of 21.
As a provider, it is important to follow the Lead Testing Schedule as it applies to Medicaid recipients.