- CareFirst CHPMD Providers: Starting 11/2, you can submit medication prior authorizations electronically through the CareFirst Provider Portal. For more information watch this recorded webinar or access the step-by-step guide.
- All Providers: Billing NPI Reminder:The billing NPI submitted on claims must match the billing NPI on file with CareFirst,NPPES and MPRIME(CareFirst CHPMD). If your billing NPI is not enrolled with CareFirst, add it here .
- PreAuth/Eligibility/Benefits and Claims Status will be unavailable Sat,Nov 14 from 6AM to 3PM for FEP members
- PreAuth/Provider Portal/CFD applications will be unavailable Sun,Nov 15 from 6PM to Mon,Nov 16 at 5AM
Change Healthcare notifying individuals of data breach. Learn more here.
Upcoming Medicaid Changes - What Providers Should Know
Dear Provider,
We are sharing important information about upcoming Medicaid changes that may affect some Maryland Medicaid members beginning January 1, 2027. Some members may need to meet new federal work and renewal requirements to maintain coverage.
As a trusted source of information for your patients, providers can play an important role in helping members understand what may be changing, stay informed, and connect them with official state resources. Early awareness can help members avoid delays or gaps in coverage.
What providers can do now:
Providers can help raise awareness by making information visible throughout their practice setting. To support these efforts, the Maryland Department of Health has developed a provider toolkit with educational materials, FAQs, and outreach resources.
Recommended actions include:
- Downloading educational materials from the toolkit. Posting flyers or posters in waiting rooms and check-in and check-out areas.
- Including information in patient portals or appointment reminders.
- Directing patients to MarylandHealthConnection.gov/Checkin for official updates and resources.
Thank you for your continued partnership in helping members stay connected to care and Medicaid coverage.
With Care,
CareFirst BlueCross BlueShield Community Health Plan Maryland (CareFirst CHPMD)