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This document lists sanctioned providers and entities that are barred from participating in the Maryland Medicaid Program. It includes information about the individuals and corporations, their specialties,
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How to fill out Sanctioned Providers and Entities from Participation in Maryland Medicaid Program

01
Gather all necessary documentation related to the providers and entities you need to sanction.
02
Access the Maryland Medicaid Program’s official website or portal for sanctioned providers.
03
Locate the section specifically for Sanctioned Providers and Entities.
04
Review the list of sanctioned providers and entities to ensure you have the correct information.
05
Fill out the required forms accurately, providing details such as names, addresses, and relevant identification numbers.
06
Double-check all entered information for accuracy and completeness.
07
Submit the filled-out forms as directed (online, by mail, etc.).
08
Keep a copy of the submitted forms for your records.
09
Wait for confirmation of the submission, and follow up if necessary.

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

01
Healthcare providers who bill Medicaid for services provided.
02
Organizations and entities that participate in the Maryland Medicaid Program.
03
Compliance officers in healthcare organizations looking to ensure they are not engaging with sanctioned individuals.
04
Maryland Medicaid Program administrators assessing provider qualifications.
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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 are healthcare providers or organizations that have been prohibited from participating in the Maryland Medicaid Program due to violations of regulations or legal standards.
Healthcare providers, entities, and organizations that provide services under or are associated with the Maryland Medicaid Program are required to report any sanctioned providers or entities.
Entities must complete the required reporting form by identifying the sanctioned providers, including details such as the nature of the sanction, dates, and any relevant documentation supporting the reported information.
The purpose is to ensure patient safety, maintain program integrity, and comply with federal and state regulations by preventing entities with a history of misconduct from participating in the Medicaid Program.
Required information includes the name of the sanctioned provider or entity, the type of sanction, effective dates of the sanction, and any relevant case numbers or documentation related to the sanction.
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