Complete the applicant information and address history for the past seven (7) years. Prior authorization is one way Maryland Physicians Care monitors the medical necessity and cost-effectiveness of our members' services.Licensing forms are available as printable PDF documents below. They must be completed manually. Providers are responsible for making appropriate decisions related to coding and reimbursement submissions. Activities Requiring a Letter of Authorization, Md. Code Regs. 26.23. The Administration may grant a request at its sole discretion. (Annotated Code of Maryland, Environment Article 5-510(c), and Code of Maryland. The form will not work properly if you try to fill it out in a web browser. To ensure your privacy, we need you to fill out the form included with this letter.