DATE: October 29, 2026
TO: All Health Insurers, Nonprofit Health Service Plans, Health Maintenance Organizations, Dental Plan Organizations, and entities that arrange provider panels on behalf of carriers
RE: Compliance with Provider Directory Updates and the Multi-Carrier Common Online Provider Directory Information System Pursuant to § 15-112.3 of the Insurance Article
The Maryland Insurance Administration (MIA) has received questions concerning Bulletin 26-20, and is issuing this bulletin to clarify its enforcement position.
Bulletin 26-20 designated DataSpring as the Provider Directory Information Source pursuant to § 15-112.3 of the Insurance Article. Section 15-112.3(c) states, in relevant part:
(c) A carrier shall accept new and updated provider directory information for a provider submitted:
(1) (i) through the multi–carrier common online provider directory information system; or
(ii) directly to the carrier; and
(2) from:
(i) the provider;
(ii) a hospital or academic medical center that:
1. is a participating provider on the carrier's provider panel; and
2. acts as a credentialing intermediary for the carrier for providers that:
A. participate on the carrier's provider panel; and
B. have privileges at the hospital or academic medical center; or
(iii) any other person that performs credentialing functions on behalf of a provider.
So long as a carrier is accepting new and updated provider directory information through either the multi-carrier common online provider directory information system, or directly, as specified in the statute, or both, the carrier is in compliance with the law.
Carriers are encouraged to begin accepting provider directory information through the multi-carrier online provider directory information system in order to reduce the reporting burden on providers and to improve the accuracy of provider directories.
Questions or comments may be sent to Mary Kwei, Associate Commissioner of Market Regulation and Professional Licensing, Maryland Insurance Administration, 200 Saint Paul Place, Suite 2700, Baltimore, MD 21202, or call 410-468-2113, or email to [email protected].
MARIE GRANT
Commissioner
Signature on Original
Mary M. Kwei
Associate Commissioner
Market Regulation & Professional Licensing