Provider News

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
MFC and CINQCARE Provider Notification- Maternal Health Program	October 24, 2024
PCP Referral to In-Network Specialist No Long Required Revised 10-17-2024	October 17, 2024
MDH MPRA and EMS Forms	October 4, 2024
Provider Alert- MFC Payment Integrity Update Effective 9-1-2024	September 1, 2024
Summary of Changes to the MedStar Family Choice Quick Authorization Guide Effective 9-1-2024	September 1, 2024
Memorandum- Health Care Requirements for Children in OOH Care	August 29, 2024
MFC Provider Alert MDH PT 80-24 Summer General Provider Updates	August 15, 2024
Prior Authorization (PA) Criteria for GLP-1 Medications- Formulary Changes Effective 8-1-2024	August 1, 2024
Summary of Changes to the MedStar Family Choice Quick Authorization Guide Effective 7-14-2024	July 14, 2024
MFC Prior Authorization- CrowdStrike Security Software Disruption	July 9, 2024
MedStar Family Choice Provider Newsletter Q2 2024	June 30, 2024
Provider Alert- FDA & Tandem Diabetes Care Warning	May 20, 2024
Opioid Authorization Requirements Reminder	May 8, 2024
SDS Claims Submission	April 19, 2024
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

Information current as of: 10/24/2024

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