Provider Support

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.

Case Management Department

MedStar Family Choice has a dedicated staff of nurses and social workers that can assist your office in obtaining pre-authorization, care coordination, and case/disease management services.

Read our Clinical Practice Guidelines.

Complex Case Management

Our qualified staff of nurses and social workers can assist in caring for your patients. Complex Case Management is one of our services, provided by nurses and social workers. These professionals are available to coordinate healthcare services for MFC members who require extensive use of resources, or who need assistance to coordinate complex care.

Disease Management

Disease Management is a service provided by our MFC nurses and social workers. This program focuses on members with specific chronic diseases. The program was developed to assist your patients in better understanding their disease, and to reinforce the physician's treatment plan for the patient.


MedStar Family Choice has a dedicated staff of Outreach Representatives that work with our members to ensure that they are receiving the care they need. The team assists in scheduling first doctor's appointments with MFC providers, arranging for transportation, and on specific quality initiatives.

Preauthorization and Utilization Management

MedStar Family Choice follows a basic pre-authorization process: A member's physician forwards clinical information and requests for services to MedStar Family Choice by phone, fax or infrequently by mail. Reviewers and Physician Advisors are also available to discuss any and all utilization management decisions, questions or issues.

Quality Improvement

The Quality Improvement Department works closely with the Maryland Department of Health to ensure our members receive optimum care.

Information current as of: 05/14/19