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.