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Resources and tools for providers and health care professionals

We invite you to use this website, created especially for health care professionals, to find resources that can help you as you care for your patients. Here you can find our medical policies, stay up to date on the latest news or get training on our many tools and benefit plans.

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Provider Portal resources

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Work with us electronically

Our digital solutions offer you the fastest way to find plan information, manage tasks, check statuses and decisions — all without calling.

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News

Maryland Medicaid: Offer members language assistance services

Display our multi-language sign at your practice offering free interpreter assistance in 62 languages.

Radiology prior authorization requirements for APWUHP members

American Postal Workers Union require prior authorizations for high-end radiology services for their members.

Coverage changes for OneTouch meters and test strips

Preferred alternatives of diabetic testing supplies by plan. Effective dates vary starting in 2025.

Maryland Medicaid: Primary care provider policy updates

Maryland Medicaid policy updates regarding members’ assigned primary care providers and eligibility.

Help patients receive colorectal cancer screenings

We offer valuable tools to help your discussions with patients about colorectal cancer screenings.

North Carolina Medicaid: Use casting supplies code A

Claims submitted with an incorrect casting supplies code will be denied.