MedicaidAdministrativeHigh impact
New Utilization Control Agent
Maryland Medicaid·MD·Hospital
Effective date
Feb 1, 2007
We identified it
Jun 20, 2026
Summary
Effective February 1, 2007, KePRO replaced Delmarva Foundation as the utilization control agent for Maryland Medicaid, requiring all utilization review documentation to be submitted to KePRO's new address and contact numbers. This affects prior authorization requests, medical eligibility reviews, and administrative processes for hospitals and long-term care facilities.
Action Required
Before February 1, 2007: Billing team and utilization review staff must update all systems and processes to submit required documentation to KePRO instead of Delmarva Foundation. Update contact information to: KePRO, Executive Plaza II, 11350 McCormick Road, Suite 102, Hunt Valley, MD 21031. Update phone numbers to 866-581-6773 and fax numbers to 866-581-6769 (Long Term Care) or 866-581-6771 (Acute Care). Attend upcoming training sessions in January. Failure to redirect submissions will delay authorization approvals.