By submitting this referral, you confirm you are an authorized partner agency representative and have obtained the client’s consent to share their information with Utility Advisor Inc – Critical Medical Needs Program (UA CMNP). All information is transmitted securely and used only for official processing by UA CMNP, a Maryland Department of Social Services agency. This website is maintained and operated by UA CMNP in accordance with state privacy and data-security standards. Submission of this form does not guarantee eligibility or assistance.