MedicaidAdministrativeMedium impact
Maryland Licensing Board Interface Process Clarification
Maryland Medicaid·MD · General Practice, Family Medicine, Internal Medicine +14 more·General Provider
Effective date
Sep 10, 2024
We identified it
Jun 20, 2026
Summary
Maryland Medicaid implemented an automated licensing board interface process that eliminates the need for providers to manually upload license updates or submit supplemental applications via ePREP. Providers need only renew licenses with their Maryland licensing board, and updates will sync automatically (with a 5-day delay: Thursday night update → Friday morning system sync → Tuesday ePREP visibility). Providers must renew licenses at least 2 weeks before month-end to avoid temporary suspension.
Action Required
REQUIREMENTS:
- By end of current billing cycle: Notify all Maryland-licensed providers in the billing team's practice that they NO LONGER need to submit license updates or supplemental applications via ePREP for renewal—only update licenses directly with their Maryland licensing board.
- Immediately: Add calendar reminder for each provider's license renewal date at LEAST 2 WEEKS before expiration (not the last week of the month) to prevent automatic temporary suspension.
- Before next provider license renewal: Establish protocol to wait 1 week after provider renews license with Board before resubmitting any claims previously denied due to suspension. If account still shows suspended after 1 week, contact mdh.providerenrollment@maryland.gov.
- Ongoing: Do NOT submit claims for dates of service when provider has active suspension status. Resubmit all claims denied due to suspension only AFTER provider returns to active status.
- Inform practice leaders and providers: Out-of-state licensed providers must continue submitting supplemental applications via ePREP (this change applies ONLY to Maryland-licensed providers). Track which providers are Maryland-licensed vs. out-of-state to apply correct process.
- Compliance deadline: By January 1, 2025, monitor for board interface expansion to acupuncturists, occupational therapists, dietitians, and nutritionists (policy states "by start of 2025").