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  • Healthchoice Local Health Services Phone Request Form - Mmcp Dhmh Maryland

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DHMH 4582 8/14 HealthChoice LOCAL HEALTH SERVICES REQUEST FORM Client Information Client Name: Address: City/State/Zip:.

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Contact support

The toll free number is (855) 642-8572 or TTY (855) 642-8573. You may also apply at your local health department or local department of social services.

HealthChoice offers health care to most Medicaid recipients and enrollment is year-round. These recipients select a Primary Care Provider (PCP) to be their personal doctor and oversee their medical care.

Call Maryland Health Connection at 1-855-642-8572; or. Complete the form you received in your enrollment toolkit and mail in.

Call Center Toll-free 1-855-642-8572. 8 a.m.–6 p.m. Our consumer support center offers assistance in more than 200 languages, as well as Relay for the deaf and hard of hearing.

Call Maryland Health Connection at 1-855-642-8572; or. Complete the form you received in your enrollment toolkit and mail in.

You or members of your family may qualify for Medicaid through Maryland Health Connection to receive free or low-cost health care. Enrollment in Medicaid and the Maryland Children's Health Program (MCHP) is available any time of year.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232