Get Prior Authorization Criteria Form - Maryland Physicians Care

Maryland Physicians Care (MPC) is a locally managed care organization owned by Ascension Saint Agnes, Holy Cross Health, Meritus Health, and UPMC Western Maryland. MPC administers health care services to Maryland's HealthChoice enrollees.

Contact the State of Maryland's Eligibility Verification System (EVS) at 1-866-710-1447 or contact Member Services at 1-800-953-8854 to verify enrollment. What are services covered by Maryland Physicians Care?

Medicaid, also called Medical Assistance (MA) pays the medical bills of needy and low-income individuals. It is administered by the State and pays medical bills with Federal and State funds.

Preauthorization is required for some professional services, medical procedures and HCPCS Level II codes. Maryland Medicaid Fee-for-Service will preauthorize services when the provider submits adequate documentation demonstrating that the service is medically necessary.

Contact the State of Maryland's Eligibility Verification System (EVS) at 1-866-710-1447 or contact Member Services at 1-800-953-8854 to verify enrollment. What are services covered by Maryland Physicians Care?

We also cover several over-the-counter drugs. To find out which medications are covered, or for questions regarding your MPC Pharmacy benefits, please call the Member Services department at 1-800-953-8854. Do Members Need Referrals From Their Primary Care Providers (PCPS) For Well-Woman Checkups? No.

Enrolling with MPC With MPC, you'll have access to free, quality health care services, including vision, convenient virtual doctor visits, unlimited resources for pregnant members and new moms, and so much more!

Resources for Physicians Holy Cross Health is an owner of Maryland Physicians Care, a Medicaid managed care organization. It is the third largest Medicaid managed care organization in the state and currently administers health care services to over 215,000 members.