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News and Events

Providers can review the latest updates from Maryland Physicians Care regarding pharmacy authorizations, medical requirements and coverage changes in the links below. Sign up to receive e-newsletters from Maryland Physicians Care to receive the latest news and updates straight to your inbox.

Recent Updates and Changes

General Updates

Coronavirus Information for Providers
Important Claims Processing Update
Training Opportunities for Providers
Healthy Babies – Pregnancy and Postpartum Coverage (7/1/23)

Medical Updates

MPRA Requirements (PDF)
Monkeypox Update to Maryland HealthChoice Program (6/23/22)
Ambulatory Surgery Center Requirements for Pain Management and Orthopedic Surgery Services
Maryland Statewide Human Monkeypox (MPX) Vaccination Pre-Registration System
JHH Transplant Program Letter

Pharmacy Updates

New Opioid Prior Authorization Requirement – 90 MME Limit (PDF)
Opioid Overdose Clinical Tools
Opioid Prescription Checklist (PDF)
Guidelines for Prescribing Opioids (PDF)
Non-Opioid Treatments (PDF)

Important Provider Network Changes

2nd Quarter 2023 (PDF)
3rd Quarter 2023 (PDF)
4th Quarter 2023 (PDF)
1st Quarter 2024 (PDF)

Newsletters

Provider News

Effective 5/1/2024 Maryland Medicaid Mandates Retail Pharmacy Copayments

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03/18/24: Q1 Provider Forum Deck

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ADHD and Stimulant Use Disorder

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12/11/23: Q4 Provider Forum Deck

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ER Sudden and Serious List Updated

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09/21/23: Q3 Provider Forum Deck

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Provider Events

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Attention: Similac Powdered Formula Recall

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