Click here for a list of recent updates and changes made by MedStar Family Choice in response to the Novel Coronavirus (COVID-19). Provider alerts are frequently sent out to inform providers about changes in coverage, new policies, programs and more. See the alerts listed below. To view the Provider Newsletters, click on the issue you want to view below:

 

 

 Provider Alert  Date

 Clinical Appeals CY24 Q2

 April 11, 2024

 MFC Statement on Weight Loss Medications

 April 9, 2024

 Provider Newsletter Q1 2024

 April 2, 2024

 Alaffia Health

 April 1, 2024

 MFC MD Pharmacy Copayments

 March 21, 2024

 Summary of changes to the MedStar Family Choice Maryland HealthChoice Plan Quick Authorization Guide effective for date of service 4/15/2024

 March 18, 2024

 Change Healthcare Cyber Attack

 March 8, 2024

 BLOOD GLUCOSE MONITORS AND CONTINUOUS GLUCOMETER SUPPLIES 

 February 27, 2024

 Provider Demographic Changes

 February 22, 2024

 Fraud, Waste and Abuse

 December 20, 2023

 4th Quarter Provider Newsletter

 December 15, 2023

 Updates on Provider Manual 

 December 1, 2023

 Summary of changes to the Medstar Family Choice Maryland HealthChoice Plan Quick Authorization Guide effective 1/1/2024

 November 30, 2023

 MFC MD Provider Newsletter Quarter 3

 November 17, 2023

 Emergency Room Autopay List

 November 14, 2023

 Practitioner Data Issue 

 September 22, 2023

 Refund Lockbox Change

 September 19, 2023

 Fall Into Wellness Flyer

 September 12, 2023

 Summary of changes to the MedStar Family Choice Maryland HealthChoice Plan Quick Authorization Guide effective for date of service 10/01/2023

 August 30, 2023

 Important Provider Billing Reminders

 August 23, 2023

 URGENT UPDATE RELATED TO CRITICAL SHORTAGE – PENICILLAN G BENZATHINE (BICILLIN®)

 July 25, 2023

 MDH Transmittals That Have Recently Been Released 

 July 21, 2023

 Provider Alert: Important Appeal Outcomes

 July 18, 2023

 MD MA House Bill 1080 Healthy Babies Equity Act 

 July 11, 2023

 We Need Your Help - Medicaid Redetermination Efforts Actively Underway

 July 5, 2023

 Maryland Provider Newsletter Q2 2023

 June 30, 2023

 Biomarkers for Companion Diagnostic Testing & Targeted Drug Therapy

 June 30, 2023

 Utilization Managment Townhall 2023 Authorization Process

 June 8, 2023

 Maternal Opioid Misuse (MOM) Program Provider Toolkit

 June 2, 2023

 New Maryland Prescription Drug Monitoring Program Web Hub

 June 1, 2023

 PHE Ending Provider Update

 May 31, 2023

 Awareness for Xylazine circulating in Maryland

 May 31, 2023

 Redetermination Efforts Underway

 April 18, 2023

 MD Provider Newsletter Q1 2023

 March 31, 2023

 UM Townhall Authorization Process

 March 30, 2023

 Utilization Management Townhall 2023

 March 27, 2023

 Important Information Regarding Redetermination 

 March 27, 2023

 Formulary Announcement for Providers March 2023

 March 24, 2023

 NPI Billing Alert March 2023

 March 23, 2023

 NATIONAL DRUG CODE (NDC) REPORTING REQUIREMENTS

 March 23, 2023

 HPV - Maryland Cancer Collaborative

 March 21, 2023

 SDOH Webinar Save the Date

 March 13, 2023

 MFCMD Manual Updates

 March 3, 2023

 CRITICAL PROVIDER ALERT: PROVIDER PORTAL REGISTRATION PROCESS

 January 31, 2023

 Formulary Announcement for Providers January 2023

 January 23, 2023

 RSV and Flu Provider Alert January 2023

 January 13, 2023

 MD Provider Newsletter 4th Quarter

 December 30, 2022

 Provider Billing Alert Reminder - Form Locater 24J

 December 29, 2022

 URGENT PROVIDER ALERT: THIRD PARTY ADMINISTRATOR VENDOR TRANSITION

 December 27, 2022

 2022 Added Benefits for Pregnant Members

 December 16, 2022

 COLOGUARD December 2022

 December 15, 2022

 Provider Billing Alert Reminder - Form Locator 24J

 December 10, 2022

 Provider Billing Alert - Service Facility Location

 December 8, 2022

 Avoiding Medication Denials

 December 3, 2022

 MFC Provider Alert MD & DC Medicaid 2022 – Fraud, Waste and Abuse

 December 2, 2022

 MFC Vendor Alert MD & DC Medicaid 2022 – Vendor Alert – Fraud, Waste and Abuse

 December 2, 2022

 Emergency Room Autopay List

 December 1, 2022

 Summary of changes to the MedStar Family Choice Quick Authorization Guide Effective January 1, 2023

 November 30, 2022 

 Third Party Administrator Transition Townhall Invite 

 November 21, 2022

 CRITICAL PROVIDER ALERT: THIRD PARTY ADMINISTRATOR VENDOR TRANSITION

 October 31, 2022

 3rd Quarter Provider Newsletter

 October 1, 2022

 Summary of changes to the MedStar Family Choice Quick Authorization Guide Effective November 1, 2022

 September 30, 2022

 Provider Billing Alert - NDC Billing Reminder 11-22

 Provider Billing Alert CMS 1500 FL 24J EFF 01-01-23

 Provider Billing Alert - Change to DME MUE Edits 01-01-23

 November 25, 2022

 Monkeypox Information

 September 16, 2022

 DME-DMS-OXYGEN-CPAP-BIPAP-Parenteral Nutrition Orthotics and Prosthetics

 September 7, 2022

 Important Notice Skilled Nursing Facility Level of Care Disenrollment Process

 September 7, 2022

 Important Notice for Pharmacy Medication Requests 

 August 30, 2022

 Important Reminder Regarding Laboratory Services  

 August 25, 2022

 MFCMD Provider Manual Updates Effective September 14, 2022

 August 15, 2022

 Monkeypox Update to MDH’s Medicaid Bureau

 July 29, 2022

 COLOGUARD July 2022

 July 21, 2022

 Updates to Pharmacy Request Timing and Forms

 June 27, 2022

 2nd Quarter Provider Newsletter

 June 2, 2022

 Updates Related to COVID-19 Therapeutic Drugs and Guidance for COVID-19 Treatments 

 May 27, 2022

 MDH Updates to MPRA and EMS Forms

 May 23, 2022

 Additional Resources in Response to Infant Formula Shortages

 May 20, 2022

 2022 Childhood Wellness Visit Incentive Program

 May 17, 2022

 Provider Education Session 2022

 May 16, 2022

 Provider Manual 

 May 3, 2022

 Multiple Surgical Reduction - Professional Billing 

 April 8, 2022

 MDH OPS Substance Disorder and Treatment Seminar 

 April 5, 2022

 1st Quarter Provider Newsletter 

 March 15, 2022

 Infant Recall Formula 

 March 3, 2022

 COVID-19 Utilization Management Update - Return to Normal Operations

 February 25, 2022

 COVID-19 Utilization Management Updates

 February 8, 2022

 COVID-19 Counseling for Pediatric Patients

 January 21, 2022

 COVID Updates December 2021

 December 28, 2021

 COVID-19 Vaccination Incentive

 December 22, 2021

 4th Quarter Provider Newsletter

 December 21, 2021

 MedStar Select Term Notice

 December 17, 2021

 Emergency Room Auto-Pay List for 2022

 December 13, 2021

 Behavioral Health Treatment Resources

 November 3, 2021

 Quick Authorization Guide Changes

 November 1, 2021

 Specialty Drugs

 October 25, 2021

 Fraud, Waste, and Abuse

 October 25, 2021

 Baltimore City Health Department Vaccine Distribution

 October 25, 2021

 Maryland Addiction Consultation Service for MOMs TeleECHO Clinic 

 October 16, 2021

 COVID-19 Resources 

 September 27, 2021 

 3rd Quarter Provider Newsletter 

 August 31, 2021

 Diabetes Prevention Program 

 August 21, 2021 

 Important Notice regarding High Cost Medications for Maryland Medicaid Members

 July 17, 2021 

 COVID-19 Update - State of Emergency Ending 

 July 16, 2021 

 Payer ID for Maryland HealthChoice electronic claims 

 June 29, 2021 

 Multiple Surgical Reduction – Professional Billing ;

 June 28, 2021  

 MDH BHA Vaccine Hesitancy and Helping the Helpers 

 May 26, 2021 

 2021 Summer Wellness Incentive Program

 May 21, 2021 

 Waystar Clearinghouse Accepting Electronic Claims 

 April 26, 2021 

 Quarterly Provider Validations_April_2021

 March 30, 2021 

 Updated Guidance for Testing and Treatment of Lead Exposures

 March 10, 2021 

 How to Become a COVID-19 Vaccine Provider/ ImmuNet

 March 9, 2021 

 Provider Manual Update

 January 11, 2021

 Quarterly Provider Validations_January_2021

 January 6, 2021 

 Prior Authorization Request Forms

 December 5, 2020 

 Updated Quick Authorization Guide Effective 1/1/2021 

 November 25, 2020 

Information current as of: