The State of Maryland requires certification of medical directors for Health Maintenance Organizations (HMOs) and of private review agents.

Medical Directors for HMOs

​​Estimated length of time to complete application: two hours. Estimated application verification time: two days. Estimated application determination time: 24 days.

• Medical Director Certification Instructions
• Medical Director Certification Application
• Medical Director Re-certification Instructions
• For those who need to renew their existing certification
• Medical Director Re-certification Application

Private Review Agents (Utilization Review)

Estimated length of time to complete application: four to ten hours. Estimated application verification time: 30 days. Estimated application determination time: 120 days.

• Private Review Agent Checklist
  
• Private Review Agent Certification Application
  Private Review Agent Application Filing Instructions​
  
• Certified Private Review Agents in Maryland​
• This document lists the registered private review agents in Maryland.