MCO Updates

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PT 01-167/1/2015Nursing Homes No. 254July 1, 2015 through September 30, 2015 rates for nursing facility services
7/1/2015Clarification of Medicaid Authorization and Appeals Process
PT 02-167/1/2015AllClarification of Medicaid Authorization and Appeals Process
PT 39-156/25/2015General Provider Transmittal No. 81, Managed Care Organizations Transmittal No. 104Incorrect Billing of Participants with Medicaid
PT 38-156/23/2015General Provider No. 80Maryland Medical Assistance Program Spring Updates 2015
PT 01-166/22/2015Nursing Home Transmittal No. 254July 1, 2015 through September 30, 2015 rates for nursing facility services
PT 37-156/19/2015 Autism Waiver No. 20, Community First Choice No. 2, EPSDT Nursing Services No. 23, Home and Community Based Options Waiver No. 5, Medical Day Care No. 87, Model Waiver Program No. 43, Personal Care Services No. 54Fiscal Year 2016 Program Rates
PT 36-156/18/2015Physician Assistants No. 1Medicaid Billing and Enrollment for Provider Type 80 (Physician Assistants)
PT 35-155/15/2015Medical Day Care Providers No. 86Revised Freedom of Choice Consent Form and Medical Day Care Documentation Chart
PT 34-154/1/2015Hospitals No. 233Hospital Presumptive Eligibility Policy Updates
PT 32-153/30/2015Abortion Clinics No. 01Coding and Reimbursement Changes for Abortion Clinics
PT 33-153/30/2015Hospital Providers No. 232Reporting National Drug Code (NDC)/Quantity by 340B designated hospitals when billing for drugs
PT 31-152/3/2015Health Home Providers No. 3Health Home Service Clarifications
PT 26-151/20/2015Model Waiver No. 42, EPSDT Nursing Services No. 22EPSDT Nursing Services Program Rates - Fiscal Year 2015
PT 28-151/16/2015Waiver for Children with Autism Spectrum Disorder No. 19Waiver for Children with Autism Spectrum Disorder January 1, 2015 Service Rates
PT 29-151/16/2015Medical Day Care No. 85Medical Day Care Services Per Diem Rate Effective January 1, 2015
PT 30-151/16/2015Nursing Home No. 253January 1, 2015 through March 31, 2015 Rates for Nursing Facility Services
PT 11-1512/31/2014Personal Care Services No. 53Eligibility for Personal Assistance Services
PT 27-1512/31/2014Home Health No. 60Revised Home Health Fee Schedule
PT 25-1512/29/2014Ambulatory Surgical Centers No. 1Facility Fee for Dental Services Rendered in an Ambulatory Surgical Center (ASC)
PT 23-1512/20/2014Substance Use Disorder No. 15Medicaid Billing and Enrollment for Hospitals
PT 24-1512/20/2014Substance Use Disorder No. 16Medicaid Billing and Enrollment for Laboratories
PT 12-1512/15/2014Mananged Care Organization No. 103, Pharmacy No. 201Carve-out of Substance Use Disorder (SUD) Medications
PT 13-1512/15/2014Nursing Home No. 252Update on upcoming reimbursement methodology changes
PT 14-1512/15/2014Dental Program No. 46Dental Fee Schedule Increases
PT 15-1512/15/2014Waiver for Children with Autism Spectrum Disorder No. 18Autism Waiver Service - Intensive Therapeutic Integration
PT 16-1512/15/2014Substance Use Disorder No. 8Medicaid Billing and Enrollment for Provider Type 50
PT 17-1512/15/2014Substance Use Disorder No. 9Medicaid Billing and Enrollment for Provider Type 32
PT 18-1512/15/2014Substance Use Disorder No. 10Medicaid Billing and Enrollment for Individually Licensed Mental Health Providers
PT 19-1512/15/2014Substance Use Disorder No. 11Medicaid Billing and Enrollment for Federally Qualified Health Centers
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