Q: Do I need a Medicaid Provider Number and how do I get one?
A: Yes, you will need to have a Medicaid Provider Number to access the DHMH Eligibility Verification System (EVS). EVS will provide information on whether individuals you are serving are currently enrolled in PAC or Medicaid. To get a Medicaid Provider Number, you need to complete and mail in an application. DHMH recently mailed provider applications with special instructions for substance abuse providers to all OHCQ-certified providers who do not have a Medicaid provider number. If you need a provider application, contact Susan Harrison in the DHMH Office of Health Services at 410-767-1434. You will need to attach your OHCQ certification form. You will need to sign the attestations, as well as the attached contract. An accurately completed application takes about 3 to 4 weeks to process.
Q: How do I get a Medicaid Provider Number if my OHCQ certification is not current?
A: The Office of Health Care Quality (OHCQ) is currently running behind schedule on renewals for OHCQ-certified addictions providers. If you are a provider that has timely submitted an application for renewal with OHCQ, but it has not occurred for reasons of administrative delay (not concerns about quality of services), you can request a letter from OHCQ that states that you are a provider in good standing. This letter should be included in your application for a Medicaid provider number.