MedicaidAdministrativeLow impact
Revised Medicaid Hospice Client Enrollment and Disenrollment Processes
Maryland Medicaid·MD · Palliative Care·Hospice
Effective date
Jan 1, 2005
We identified it
Jun 20, 2026
Summary
Maryland is implementing a new electronic process for enrolling and disenrolling Medicaid hospice clients, replacing paper-based processes with email submissions using a new E-request form. Providers can email the form to Hospice@dhmh.state.md.us or fax to 410-333-7125 if email is unavailable.
Action Required
By January 1, 2005: Maryland hospice providers must transition from paper-based enrollment to electronic submissions using the new Hospice E-request form. Set up email capability to send password-protected forms to Hospice@dhmh.state.md.us, or use fax backup to 410-333-7125. Continue maintaining all required documentation (physician certification, election declarations) in client files as before.