Maryland Medicaid: Plan ahead for the MPRIME provider enrollment transition

REQUIREMENTS: Before July 1, 2026 (for moderate- and high-risk providers): Billing and enrollment staff must submit all pending new enrollments, revalidations, and updates in ePREP before the application hold begins. Applications must be submitted by June 30, 2026. Before August 1, 2026 (for limited-risk providers): Submit all pending applications and updates in ePREP before this hold date begins. Applications must be submitted by July 31, 2026. Immediate (ongoing through September 2026): Administrative/enrollment staff must monitor ePREP for revalidation notifications and complete all required revalidations before hold periods to avoid suspension. Verify that all providers have active SDAT identification numbers in good standing; individual billing providers must confirm their SDAT ID begins with 'L'. When MPRIME launches in October 2026: All providers must create new MPRIME accounts (existing records will be preloaded but user profiles do not carry over automatically), re-associate with existing records to regain access and administrative rights, and review SDAT identification numbers to ensure compliance. Providers without active, good-standing SDAT IDs will be unable to submit applications. Consequences of inaction: Providers who do not submit applications before hold dates or complete revalidations may be suspended and unable to resolve issues until after MPRIME transition is complete. Inability to contract with MCOs could result in loss of Medicaid revenue.