Maryland HealthChoice
Credentialing and enrollment guides for Maryland HealthChoice across 1 states.
Quick Overview
Timeline
30 - 60 days
CAQH
Not Required
Re-credentialing
Every 5 year(s)
States Available
1
About Maryland HealthChoice
Maryland Department of Health, Office of Medicaid — HealthChoice
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Prepare Your Application
Complete Maryland HealthChoice's provider enrollment application with all required information and supporting documentation.
Submit Your Application
Submit your completed enrollment package to Maryland HealthChoice. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 30-60 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Maryland HealthChoice?
Our specialists handle the entire Maryland HealthChoice enrollment process: applications, follow-ups, and approvals across all 50 states.
Required Documents
Background Check
CV/Resume
Malpractice Insurance
Required in most states; some state programs waive for government employees
Medical License
NPI Certificate
Enrollment Forms
Maryland Medicaid Provider Enrollment (eMedicaid)
Contact Information
Provider Credentialing
1-800-766-8692
Mon-Fri 8am-5pm
Provider Services
1-800-766-8692
Claims & Billing
1-800-766-8692
Quick Links
Need Help?
Let PayerReady handle your Maryland HealthChoice credentialing and enrollment.
Get Started NowAvailable States
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.
Select Your State
Choose your state for Maryland HealthChoice-specific credentialing details including timelines, contacts, and local requirements.
Maryland HealthChoice credentialing requirements by state
Maryland HealthChoice enrollment is not identical everywhere. The table below lists what actually differs across the 1 state Maryland HealthChoice operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Network | Timeline | State-specific notes |
|---|---|---|---|
| Maryland | Open | 30–60 days | Maryland Medicaid (HealthChoice) enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the MDH (Maryland Department of Health) eMedicaid provider enrollment portal. (3) Submit application with MD state license, proof of malpractice insurance, and required documentation. (4) Background check including state and federal criminal history is required for all providers. Maryland operates managed care through HealthChoice with 9 MCOs across the state. Behavioral health providers accepted include LCPC, LCSW-C (Licensed Certified Social Worker - Clinical), and LCMFT with active Maryland licensure. Revalidation is required every 5 years. |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified March 22, 2026. Network status changes without notice — confirm before you file.
Common questions about Maryland HealthChoice credentialing
How long does Maryland HealthChoice credentialing take?
Maryland HealthChoice credentialing typically takes 30–60 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.
Does Maryland HealthChoice require CAQH?
No. Maryland HealthChoice does not enroll through CAQH ProView, so credentialing data is submitted directly on Maryland HealthChoice's own application instead. You still need the same underlying documents — license, DEA where applicable, malpractice coverage and work history.
Which states does Maryland HealthChoice operate in?
Maryland HealthChoice has credentialing operations in 1 state. 1 of those 1 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.