Medicaid

How to Get Credentialed with Maryland HealthChoice in Maryland

Network: Open
30-60 Days

Quick Overview

Timeline

30 - 60 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

Maryland-Specific Requirements

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.

Medicaid Information — Maryland

Agency: Maryland Department of Health, Office of Medicaid

Program: HealthChoice

Portal: https://emedicaid.maryland.gov

Phone: 1-800-766-8692

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Maryland.

2

Prepare Your Application

Complete Maryland HealthChoice's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Maryland HealthChoice.

4

Track & Follow Up

Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Background Check

Federal/state background check required for Medicaid enrollment

CV/Resume

Work history required

Malpractice Insurance

Conditional

Required in most states; some state programs waive for government employees

Medical License

NPI Certificate

Enrollment Forms

Maryland Medicaid Provider Enrollment (eMedicaid)

Required
Online Open →

Contact Information

Provider Enrollment

National

1-800-766-8692

General Provider Inquiries

National

1-800-766-8692

Quick Links

Provider Portal

Need Help?

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Other Payers in Maryland

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Kaiser Permanente CareFirst BlueCross BlueShield CareFirst BlueCross BlueShield (Maryland)
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