Provider Information

PROVIDER INFORMATION CALL CENTER
 Monday through Friday 8:00 AM to 5:00 PM
Available to assist providers with questions regarding claim status, recipient eligibility greater than one year, problem resolution and training with CMS 1500 and UB04. When calling, please note the following prompts:
 
v  Press #1 on your phone keypad for Recipient Eligibility one year or less
v  Press #2 on your phone keypad for CMS 1500 claim status
v  Press #3 on your phone keypad for UB04 Hospital, Long Term Care, Home Health, Dialysis claim status
v  Press #4 on your phone keypad for Provider Liaison &Training Unit (problem resolution and training with CMS 1500 claims)
v  Press #5 on your phone keypad for Provider Enrollment (enrollment, changes and updates of provider files)
PROVIDER RELATIONS DIVISION
Press #2 on your phone keypad
Please make sure you have your Maryland Medicaid 9 digit provider number, recipient ID, date of service and or the Invoice control Number (ICN) for the claim(s) in question.
(10 minute time limit per caller)
CLAIM TYPE DAY TIME TELEPHONE NUMBER
CMS 1500
 (Professional Billing)

MONDAY

 8:00 - 12:00 (410) 767-5503
1-800-445-1159
COMMUNITY-BASED SERVICES
 (Personal Care/Waiver)

MONDAY

 12:00 - 5:00 (410) 767-5503
1-800-445-1159
COMMUNITY-BASED SERVICES
 (Personal Care/Waiver)		 TUESDAY 8:00 - 12:00 (410) 767-5503
1-800-445-1159
CMS 1500
 (Professional Billing)		 TUESDAY 8:00 - 5:00 (410) 767-5503
1-800-445-1159
CMS 1500
 (Professional Billing)		 WEDNESDAY 8:00 - 5:00 (410) 767-5503
1-800-445-1159
COMMUNITY-BASED SERVICES
 (Personal Care/Waiver)		 THURSDAY 8:00 - 5:00 (410) 767-5503
1-800-445-1159
CMS 1500
 (Professional Billing)		 FRIDAY 8:00 - 5:00 (410) 767-5503
1-800-445-1159

v  If you have problems accessing the above Provider Relations Division telephone numbers, you may call the Supervisor at 410-767-5363.
MEDICAL ASSISTANCE PROBLEM RESOLUTION DIVISION
 Press #3 on your phone keypad
CLAIM TYPE DAY TIME TELEPHONE NUMBER

UBO4

HOSPITAL
HOME HEALTH/
DIALYSIS

 MONDAY 12:30 - 5:00 (410) 767-5457

UBO4

LONG TERM CARE

HOME HEALTH/ DIALYSIS

 TUESDAY

8:30 - 12:00

 (410) 767-5457

UBO4

HOSPITAL

 TUESDAY 12:00 - 5:00 (410) 767-5457
 

UB04

HOSPITAL

 WEDNESDAY 8:30 - 5:00 (410) 767-5457
 

UB04

LONG TERM CARE

HOME HEALTH/ DIALYSIS

 THURSDAY

8:30 - 5:00

 (410) 767-5457 

UB04

HOSPITAL

 FRIDAY

8:30 - 5:00

 (410) 767-5457 

v If you have problems accessing the above Medical Assistance Problem Resolution numbers, you may call the Manager at 410-767-5397

Note A: If you have problems accessing the Provider Relation telephone numbers, you may call the Supervisor of that Division at (410) 767-5363.

Note B:  If you have problems accessing the Medical Assistance Problem Resolution numbers, you may call the Manager of that Division at 410-767-5397.

 

  WHAT ADDITIONAL SERVICES ARE PROVIDED BY THE PROVIDER  RELATIONS  DIVISION?
 
Audit Trails
Check Tracer Requests
Electronic Funds Transfer (EFT) information
One Stop Vendor Payment Inquiry to monitor payments online: http://compnet.comp.state.md.us
Employment Verification (Providers Only)
 

  WHAT FORMS AND INSTRUCTIONS MAY I OBTAIN?

 
Abortion, Hysterectomy and Sterilization
Adjustment Form DHMH 4518A
Fee Schedules
EVS User’s Guide
eMedicaid User Guide (to obtain remittance advices online)
Provider Handbook
Billing Instructions (CMS 1500, UB04)
 

  HOW CAN I REQUEST A CANCELED CHECK?

 
You may call (410) 767-5342 between the hours of 8:00 a.m. to 4:30 p.m.
 

  WHAT INFORMATION DO I NEED TO OBTAIN A CANCELED CHECK?

 
Provider number
Invoice date
Invoice number
Check amount
Contact person
Contact telephone number
Federal ID number or Social Security number
 

  HOW CAN I REQUEST AN EXPLANATION OF BENEFITS (EOB)?

 
Providers must be enrolled in eMedicaid. If you need information or assistance to enroll in eMedicaid, please call 410-767-5340. Once enrolled, providers may download their weekly EOB by accessing the following website: www.emdhealthchoice.org

  WHAT INFORMATION DO I NEED TO OBTAIN AN EOB?

 
Provider number
Invoice date
Invoice number
Contact person
Contact telephone number

  HOW CAN A PROVIDER REQUEST TRAINING FOR CMS-1500 PAPER BILLING?

 
The Provider Training and Liaison Unit provide quarterly trainings to Maryland Medicaid providers. To register for the training, call 410-767-6024 or go to www.dhmh.state.md/mma/providerinfo and click on Provider Training to view the schedule and registration form.

 External Links Disclaimer:
  This site contains links to other Internet sites only for the convenience of World Wide Web users. DHMH is not responsible for the availability or content of these external sites, nor does DHMH endorse, warrant or guarantee the products, services or information described or offered at these other Internet sites.

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