Maryland Medicaid requires providers to submit information about their patients in order to continue treatment. MATClinics accepts Maryland Medicaid and we need to make sure we have all the information necessary to fulfill Medicaid requirements. We need your help to make sure that there is no interruption in your treatment.
Much of this information is similar to what we ask in the intake form as well as at your appointments. Unfortunately we have no choice but to ask it again here, and then again every six months. Please take your time and be as accurate and careful as possible.
At the end there will be a SUBMIT button. Please do not leave this form until you have hit SUBMIT.