MedicaidAdministrativeMedium impact
Clarification of Primary Care Provider Site Visit Requirements During Credentialing for HealthChoice Managed Care Organization Networks
Maryland Medicaid·MD · Family Medicine, General Practice, Internal Medicine +1 more·Managed Care Organizations
Effective date
Aug 12, 2024
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has clarified requirements for site visits during the credentialing process for primary care providers joining HealthChoice managed care organization networks. This policy update provides specific guidance on when and how site visits must be conducted during provider credentialing.
Action Required
Immediately: Primary care providers seeking credentialing with HealthChoice MCO networks in Maryland must ensure compliance with updated site visit requirements during credentialing process. Review credentialing applications to confirm site visit scheduling meets new clarified standards. Contact MCO credentialing departments to verify current site visit procedures.