Information for providers
Make Provider Changes
Learn how to submit provider changes via Medstar Family Choice Provider Web Portal.
Provider Support Resources
View important news, alerts, newsletters, provider manual, COVID-19 resources, and more for providers.
Claims, Appeals, and Grievances
MedStar Family Choice has a variety of forms and information related to the claims, appeals, and grievance process.
Clinical Practice Guidelines
A listing of guidelines for a variety of conditions.
Pharmacy and Formulary Information
Learn about MFC’s formulary and authorizations.
Preauthorization and Utilization Management
Federal rules require that MCO providers enroll with the MCO’s state Medicaid agency. To continue to render Medicaid reimbursable services, you must enroll with the Maryland Medical Assistance Program (Medicaid), even if your practice will be providing services only to HealthChoice participants. As an existing MedStar Family Choice provider, you are required to enroll through ePREP. As of April 1, 2019, MedStar Family Choice does not accept any new provider credentialing applications without a Maryland Medicaid provider number. To make this process easier for your practice, the Maryland Department of Health has implemented a new self-service electronic Provider Revalidation and Enrollment Portal (ePREP). ePREP is now the one-stop shop for provider enrollment and demographic changes. Please visit Eprep.Health.Maryland.gov to submit your enrollment application or create an account linked to your existing enrollment. Click here for more information.
Information current as of: