eMedicaid For more information, visit us online at Medicaid Providers
Lets you apply online to become a Medicaid www.emdhealthchoice.org State of Maryland
Provider and responds immediately to your application. General Questions and Troubleshooting: Now eMedicaid offers you Provides online registration and allows access Call 410-767-5503, Option 2 a secure online access to: to eMedicaid services from anywhere, anytime. Monday through Friday Gives you a fast, easy way to verify a Medicaid enroll as a Medicaid Provider; recipient's eligibility, which is required before you For claims status, see Provider Relations Call Center Schedule at: verify recipient eligibility; and render services. Web-based Recipient Eligibility https://mmcp.health.maryland.gov/ obtain payment Verification validates current dates of service and Under About our Programs, Provider Information past eligibility up to one year. eMedicaid will information. indicate if the recipient is enrolled with a Managed For Provider Application & Password Support: Care Organization (MCO) or has third party 410-767-5340 insurance. Allows multiple users from the same office to access Medicaid payment information. With turnover, vacations, and sick leave, it's nice to be able to cross-train your staff. Gives you immediate access to your Remittance Advice for up to two years. Maryland Department Tips for registering: Have your Medicaid Provider of Health Number handy Medicaid Program Have the Provider’s Social Security and/or Federal Employer ID Number (FEIN) available Larry Hogan, Governor Read the recommended documents provided Boyd Rutherford, Lt. Governor online Dennis R. Schrader, Secretary Provider Handbook Eligibility Verification System (EVS) The services and facilities of the Maryland Department of Health (MDH) User Guide are operated on a non-discriminatory basis. This policy prohibits discrimination on the basis of race, color, sex, or Explanation of Benefits (EOB) Codes national origin and applies to the provision of employment and granting of advantages, privileges, and accommodations. Provider Fee Manual Physician Services The Department, in compliance with the Americans With Disabilities CMS-1500 - Physician Claims Act, ensures that qualified individuals with disabilities are given an opportunity to participate in and benefit from DHMH services, programs, Maryland Department CMS-1500 - Billing Instructions benefits, and employment opportunities. of Health Medicaid Program August 2017 eMedicaid is hosted and secured by ITS Tip: If you are part of a group, have 5. Accept the terms of the Electronic the Maryland Provider Number of Signature Agreement. Check the box to each group for which you render agree, and continue. services at this Practice Location. 6. Verify all information you entered, check Specify the effective date of your the box to agree, and submit. membership with each group. Important!P rint out the confirmation page with 6. Verify Step 5 information. Check the box to agree, your User ID for signing in to the site. and submit. Important!Print out the Transaction Confirmation page for your records. If indicated on the page, Now You Can Sign In! fax a copy of your license to 410-333-5341. Getting Started Administrators Can: Browse tohttps://encrypt.emdhealthchoice.org If You ARE Already Enrolled as a ? Add/Delete Users. Participating Medicaid Provider... ? Manage Users profile. If You ARE NOTAlready a Follow these instructions for eMedicaid Provider Registration: ? View transaction logs for all Users. Participating Medicaid Provider... Tip: If you need to access Recipient 1. Decide who will act as Administrator for the Complete the initial Provider Enrollment and Eligibility Verification or Remittance site. Only one person in your organization can Provider Type information and follow these key Advice, add yourself as a User. take this role; typically it is the Office Manager. steps to apply to be a Medicaid Provider: The Administrator is the only person authorized 1. Accept the terms of the to set up individual Users, designate which Users Can: ElectronicSignature STOP! services each User has access to, and delete Agreement. Check the box If you are a Users. ? Verify Recipient Eligibility. to agree, and continue. Personal Care Aid, please Tip: Only authorized Users can access ? View Remittance Advice for the Provider 2. Read the Provider the Recipient Eligibility Verification locations they are authorized to view. contact your Agreement. Check the local Health or Remittance Advice. Administrators ? Access Remittance Advice on Monday. box to agree to the terms, Department. who want access to these services must and continue. add themselves as a User. ? View archival Remittance Advice 3. Complete the Provider Information, 2. Complete the Provider Information. Enter for up to including Federal Employer ID and/or Social the first 7 digits of your Medicaid Provider two years. Security number. Number, your Social Security and/or Federal Employer ID, your email, and website address. 4. Verify Step 3 information. Check the box to Check the box to agree, and continue. agree, and continue. 3. Supply your Personal Information. As the 5. Give details for the Practice Location you person completing the form, you must enter are enrolling, including the Practice Address this information and designate your relation- and information from the Provider’s Medical ship to the Provider. and Laboratory License, as applicable. 4. Set your password. Your password must be at least8 characters and is case-sensitive. After sign- in, the Administrator can change the password. MDH cannot provide this password toyou.
Department of Health and Human Services DEPARTMENTAL APPEALS BOARD Appellate Division California Department of Health Care Services Docket No. A-10-94 Decision No. 2373 March 30, 2011 DECISION