Who needs to be Certified by the Maryland Healthy Kids Program?
All primary care providers who plan to serve Maryland Medicaid/MCHP children under 21 years of age must be certified by the Maryland Healthy Kids Program. The certification requirement applies to PCPs contracted with MCOs and PCPs providing care to recipients not enrolled with an MCO (commonly referred to as fee-for-service and using a red and white Medical Assistance card). Providers needing certification as primary care providers include solo practitioners, group practices and rendering providers within group practices who are: Board certified providers in pediatrics, family medicine and internal medicine Licensed physicians and osteopaths, and certified nurse practitioners Health care providers such as federally qualified health centers, hospital outpatient department clinics and school-based health centers.
