Prescriber Enrollment Requirements
The Centers for Medicare and Medicaid Services require State Medicaid agencies to enroll providers who prescribe medications to Medicaid participants.
Therefore, any practitioner who is not currently enrolled in Maryland Medicaid must enroll to continue to prescribe medications for Maryland Medicaid participants.
For providers not currently enrolled with Maryland Medicaid who are unable to prescribe to Maryland Medicaid participants
Providers enrolling in Maryland Medicaid for the first time may apply via Maryland Medicaid's electronic Provider Revalidation and Enrollment Portal (ePREP). Visit ePREP.health.maryland.gov to access Maryland Medicaid's ePREP.
In ePREP, providers will be able to enroll under the provider type affiliated with their medical license (e.g., as Provider Type 20, Physician).
All providers enrolling with Maryland Medicaid must sign the Provider Agreement, and must agree not to bill Medicaid participants directly. Enrollment does not require practitioners to provide services to additional Medicaid participants.
If you are unable to enroll via ePREP, visit Maryland Medicaid Provider Enrollment and download the paper application that is appropriate for your provider type.
Please visit New Provider Enrollment Portal-ePREP for more information about ePREP.
Please direct any questions or concerns to mdh.rxenroll@maryland.gov.
For providers prescribing to Maryland Medicaid participants who do not wish to enroll in Maryland Medicaid
Maryland Medicaid urges providers who do not plan to enroll in Maryland Medicaid to direct their Medicaid patients to enrolled providers who could write their prescriptions.
For assistance directing patients to an enrolled provider, contact the Maryland Medicaid participant's HealthChoice managed care organization or the HealthChoice Enrollee Helpline at 1-800-284-4510 (toll-free).
Behavioral health providers may call Beacon Health Options (formerly ValueOptions) at 1-800-888-1965 (toll-free) for assistance directing patients to a Maryland Medicaid-enrolled provider.
Please direct any questions or concerns to mdh.rxenroll@maryland.gov.