MDOT MTA Mobility Certification Application, Part B

MobilityLink, the ADA paratransit service in the Baltimore region, decides eligibility through MDOT MTA's Mobility Certification Application. Part B is the healthcare provider certification of the applicant's conditions and how they affect independent travel on MTA buses and trains. Applicants are told to pick the provider who knows their condition best, and an interview follows.

Who completes it

The applicant completes Part A (Sections 1 to 10, plus optional Section 11 naming an agent). A healthcare or disability professional, such as a physician, NP, PA, therapist, audiologist, psychologist, LCSW or vocational rehabilitation counselor, completes and signs Part B with a license number.

Submitting and payment

How to submit it
New applicants call the Certification Office to schedule an in-person interview and bring the completed application; emailed, faxed or mailed new applications are not accepted. MTA decides within 21 days of the interview or functional assessment.
Who pays
The application does not address payment for completing Part B.

Good to know

  • Section 2 asks for written diagnoses with ICD-10 or DSM codes, how long the provider has treated the patient, the last visit (virtual counts), and short-term or long-term duration.
  • Section 3 has 17 transit questions, including memory, recognizing danger, seeking help when lost, heat, ice and poor air quality, balance, hills, vision, hearing and safety concerns.
  • Part B also asks about medications that hinder independent travel, cognitive disability, and seizure disorders with the date of the last seizure and whether medication controls them.
  • If MTA misses the 21-day deadline, the applicant gets presumptive eligibility. Denied or conditionally eligible applicants have 60 days to appeal.

Get the official form

Download the current version from the source each time; forms change without notice.

MDOT MTA Mobility Certification Application - Part B: Healthcare Provider Certification

How this list is checked

A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.

Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.

Frequently asked questions

Who can complete Part B of the MDOT MTA Mobility application?

Physicians, physician assistants, nurse practitioners, ophthalmologists, optometrists, audiologists, physical, occupational, respiratory and speech-language therapists, psychologists, psychiatrists or psychiatric social workers, licensed clinical social workers, vocational rehabilitation counselors and independent living specialists. The provider certifies they are licensed and currently treating the applicant.

Can the MobilityLink application be mailed in?

Not for new applicants. They call the Certification Office to schedule an appointment and must bring the application to the in-person interview; emailed, faxed or mailed applications are not accepted. Recertification applicants instead complete a brief telephone interview after MTA receives their application.

Is the MDOT MTA Mobility application available in Spanish?

Yes. MDOT MTA posts an accessible Spanish version of the certification application alongside the English one. Applicants who need another alternative format, or help understanding the forms, can contact Mobility Information or use Maryland Relay.