Maryland HealthChoice
- MedStar Medicare Choice/MedStar Select Provider website
- For Providers
- Make Provider Changes
- Provider Support
- Provider Resources
- Preauthorization and Utilization Management
- Refer a Patient to a Specialist
- Pharmacy
- Claims
- Check Claims Status
- Requirements: False Claims and Statements
- Fraud and Abuse Retractions
- Emergency Room Auto-Pay List
- Claims and Billing Procedures
- Claims Submission
- Electronic Claims Submission
- Timeliness of UM Decisions
- Denial Codes and Reasons
- Claims Appeals Procedures
- Claims and Refunds
- National Drug Code
- Modifier 32
- Modifier TH
- Observation Authorization
- Visual Evoked Response (VER) / Visual Evoked Potential (VEP)
- Quality Assurance and Monitoring Programs
Below are the forms and attachments referenced throughout the Provider Manual. Original copies may be obtained upon request by calling the Provider Relations Department at 1-800-905-1722.
- School Based Health Center Report Form
- Maryland Prenatal Health Risk Assessment
- Maryland Healthy Kids Preventive Schedule
- Local Health Department Service Request Form
- Hospital 1184 Newborn Report Form
- MFC Outreach Form
- Specialty Mental Health Diagnoses Payable by MFC
- Specialty Mental Health Diagnoses Payable by SMHS
- Request for Fair Hearing
- LHD Healthy Start Contacts
- LHD Transportation Contacts
- Transportation Grant Contacts