M

Make sure to renew your Medicaid coverage soon to keep your current benefits.

You can renew your Medicaid coverage 3 ways:
• Online @ marylandhealthconnection.gov
• Or call the Maryland Health Connection Call Center at 1-855-642-8572
• Or go to your local Department of Social Services, Health Department Office, Connector Entity, or Navigator Site

Utilization Management (UM)

Things to know:

  • Utilization Management (UM) staff are available by telephone, from 8 am to 5:30 pm EST, Monday through Friday (except company holidays), to render UM decisions.
  • Obtaining prior authorization is the responsibility of the PCP or treating provider. Members who need prior authorization should work with their provider to submit the required clinical data.
  • If you would like to contact the UM Department, please call 1-800-730-8530 or 1-410-779-9369. If the local telephone number is called the UM Department may accept collect calls. Or you can email us at CHPMDHealthServices@carefirst.com.
  • CareFirst Community Health Plan Maryland (CareFirst CHPMD) staff always identify themselves by name, title and name of organization when initiating of returning calls regarding UM issues.
  • Language assistance is available for members to discuss UM issues. CareFirst CHPMD also offers TDD/TTY services for members who are hard of hearing, deaf, and/or speech disabled.