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Who is eligible for medical assistance in Maryland?

MCHP provides care through a variety of Managed Care Organizations (MCOs) for: Children under age 19, who are not eligible for Medicaid. Pregnant women of any age. Whose countable income is at or below 200% of the federal poverty level (or up to 300% of the federal poverty level with a premium)

Do you need a referral for 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.

Is Maryland Physicians Care an MCO?

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 Marylands HealthChoice enrollees.

What is an MCO Maryland?

While completing your Maryland Medicaid application, you will be asked to choose a Managed Care Organization (MCO).

What kind of insurance is Maryland Physicians Care?

Maryland Physicians Care offers medical coverage and health benefits that are close to home. This coverage includes access to primary and urgent care visits, pregnancy and new mother benefits, specialists care, pharmacy coverage, primary mental health services, vision and dental care* (including adults), and more.

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What is timely filing for Maryland Physicians Care?

Timely Filing Limitations Providers must submit electronic or paper claims to MPC for reimbursement within one hundred eighty (180) days from the service date. For a claim on a CMS 1500 claim form, one hundred eighty (180) days are counted from the day the service was performed.

What is the phone number for Maryland physicians care appeal?

To file, members may call 1-800-953-8854 or complete the Members Appeal form. MPC can also mail or fax the appeal form to you and assist in completing the form.

How do I contact Maryland physician care?

Call Maryland Physicians Care Member Services at 1-800-953-8854.

Is Maryland Physicians Care the same as Medicaid?

Free, High Quality Health care Services in Maryland Meritus Medical Center is co-owner of Maryland Physicians Care (MPC) a Medicaid managed care organization (MCO). MPC has provided its members with free, quality health care for more than 20 years.

Who owns 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 Marylands HealthChoice enrollees.

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