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Completion of the Maryland Prenatal Risk Assessment Form (DHMH 4850)

Maryland Medicaid·MD · OB-GYN, Family Medicine·Managed Care Organizations
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Maryland healthcare providers must complete the Maryland Prenatal Risk Assessment Form (DHMH 4850) for prenatal care patients enrolled in Managed Care Organizations. This form is required to assess risk factors and ensure appropriate care coordination for pregnant patients.

Action Required

Action needed
Immediately: Providers delivering prenatal care must complete Maryland Prenatal Risk Assessment Form (DHMH 4850) for all pregnant patients enrolled in MCOs. Download form from Maryland Department of Health website and integrate into prenatal care workflow. Add form completion to prenatal visit checklist in EMR.