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This document lists the providers and entities sanctioned from participating in the Maryland Medicaid program along with their details including names, specialty, sanction type, sanction date, and
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How to fill out Sanctioned Providers and Entities from Participation in Maryland Medicaid Program

01
Obtain the Sanctioned Providers and Entities list from the Maryland Medicaid Program website or relevant administrative office.
02
Review the list carefully to identify any providers or entities you or your organization may be associated with.
03
Gather necessary documentation that confirms your or your organization's relationship with the identified providers or entities.
04
Complete the required form, ensuring all fields are filled out accurately with regards to the sanctioned providers and entities.
05
Submit the completed form along with any required documentation to the Maryland Medicaid Program via their designated submission method (mail, online submission, etc.).
06
Retain a copy of the submitted form and documentation for your records.

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

01
Any healthcare providers or entities that wish to participate in the Maryland Medicaid Program must consult the Sanctioned Providers and Entities list to ensure compliance.
02
Organizations that employ healthcare providers need to check the list to avoid hiring individuals or entities that are sanctioned.
03
Recipients of Medicaid services may want to verify that their providers are not on the sanctioned list to ensure continuity of care.
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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 refer to individuals or organizations that have been prohibited from participating in the Maryland Medicaid Program due to violations of regulations or laws.
All healthcare providers and entities that are part of the Maryland Medicaid Program must file information regarding sanctioned providers and entities, including those who may subcontract or collaborate with them.
To fill out the form, gather the required information about the sanctioned providers or entities, including their identification details and the nature of the sanctions. Follow the specific instructions provided with the form, ensuring all sections are accurately completed.
The purpose is to ensure that only compliant and qualified providers participate in the Medicaid Program, safeguarding the integrity of healthcare services and protecting beneficiaries from potential harm.
The information required includes the name, address, and identification number of the sanctioned provider or entity, details of the sanction, the effective dates, and any relevant documentation supporting the sanction.
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