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This document lists individuals and entities sanctioned from participating in the Maryland Medicaid program, detailing their names, specialties, sanction types, dates, addresses, and other relevant
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How to fill out sanctioned providers and entities

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How to fill out Sanctioned Providers and Entities from Participation in Maryland Medicaid Program

01
Access the Maryland Medicaid Program application form.
02
Locate the section titled 'Sanctioned Providers and Entities'.
03
Review instructions carefully to understand the requirements for this section.
04
Gather necessary information about any sanctioned providers or entities you need to report.
05
Fill out the corresponding fields with accurate details such as names, identification numbers, and reasons for sanctions.
06
Ensure all required documentation is attached to support the information provided.
07
Double-check all entries for accuracy and completeness before submission.
08
Submit the form as per the guidelines provided, whether online or via physical mail.

Who needs Sanctioned Providers and Entities from Participation in Maryland Medicaid Program?

01
Healthcare providers applying to participate in the Maryland Medicaid Program.
02
Administrators and compliance officers in healthcare organizations.
03
Individuals seeking to understand the compliance framework of Medicaid providers.
04
Legal and regulatory professionals involved in Medicaid compliance.
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People Also Ask about

Welcome to HealthChoice Maryland Medicaid's managed care program.
Access EVS by Phone Providers may also call the Maryland Medicaid EVS at 1-866-710-1447. You will need a NPI or provider number to access the system.
​If you are a health care provider who wants to bill Medicaid for your services, you must enroll as a participating provider through ePREP​, Maryland Medicaid's online Electronic Provider Revalidation and Enrollment Portal.
A sanction (also referred to as a medical sanction) is the result of a disciplinary action taken against an individual's license by a state administrative board- commonly by a state licensing board.
Apply for Medicaid or MCHP Apply over the phone 1-855-642-8572. Request a paper application by calling 1-855-642-8572.
Once your agreement is signed and returned to the network, you are given an effective date and provider number so that you can begin billing the plan and receiving “In-Network” reimbursement for your claims. Expect networks to take 30 – 45 days for this process (after credentialing is complete).
Contact Provider Services Call CentersPhoneHours Provider Services Call Center 410-767-5503 or 1-800-445-1159 Monday from 8:30 a.m. to noon. Tuesday, Wednesday and Friday from 8:30 a.m. to 4 p.m. Maryland ePREP Hotline 1-844-463-7768 Monday through Friday from 9:00 a.m. to 5:00 p.m. Closed on state holidays.

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Sanctioned Providers and Entities refers to healthcare providers and organizations that have been barred from participating in the Maryland Medicaid Program due to violations of laws and regulations.
All enrolled providers and organizations participating in the Maryland Medicaid Program must file disclosures regarding any changes in their status related to sanctions or exclusions.
To fill out the disclosure form, providers must provide detailed information about their entity, the nature of the sanctions, and any relevant documentation that supports their claims.
The purpose is to ensure that individuals and entities that pose a risk to the integrity of the Medicaid system are identified and barred from participating, thus protecting beneficiaries.
Providers must report the type of sanction, the duration, relevant dates, and any other necessary details concerning their exclusion or debarment from participation.
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