MCO Updates

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P 47-166/20/2016Community First Choice No. 4, Community Personal Assistance Services No. 1FY 0271 Rates for Community First Choice and Community Personal Assistance Services Programs
PT 03-167/27/2015Health Home Providers Transmittals No. 4Health Home Billing
PT 04-168/20/2015Ambulatory Surgical Centers Transmittal No. 2; Clinics Transmittal No. 67; Dialysis Facility Transmittal No. 8; IDTF and Portable X-Ray Provider Transmittal No. 2; Laboratories Transmittal No. 63; Urgent Care Centers Transmittal No. 1Maryland Medical Assistance Program ICD-10 Implementation Policy
PT 05-168/20/2015ValuOptions Transmittal No. 3Maryland Medical Assistance Program ICD-10 Implementation Policy
PT 06-168/20/2015PACE Program Transmittal No. 5Maryland Medical Assistance Program ICD-10 Implementation Policy
PT 07-168/20/2015Waiver for Children with Autism Transmittal No. 21Maryland Medical Assistance Program ICD-10 Implementation Policy
PT 08-168/17/2015Managed Care Organizations Transmittal No. 105; Pharmacy Transmittal No. 202Maryland Medical Assistance's Copayments for American Indians/ Alaskan Natives (AI/ AN)
PT 09-168/20/2015Audiology Transmittal No. 5; Early Intervention Case Management Transmittal No. 5; EPSDT Transmittal No. 36; Hearing Aid Transmittal No. 10; Physical Therapy Transmittal No. 22; School Provider Transmittal No. 2Maryland Medical Assistance Program ICD-10 Implementation Policy
PT 10-168/28/2015Physicians Transmittal No. 140; Hospital Transmittal No. 235Preauthorization's for Physicians and ICD-10 Implementation
PT 11-168/28/2015Dietician and Nutritionist Transmittal No. 1 Maryland Medical Assistance Program ICD-10 Implementation Policy
PT 12-168/28/2015Nurse Anesthetists Transmittal No. 9; Physician Assistants Transmittal No. 2; Podiatry Transmittal No. 28 Maryland Medical Assistance Program ICD-10 Implementation Policy
PT 13-168/28/2015EPSDT: Nursing Services Transmittal No. 24; Home Health Transmittal No. 61; Model Waiver Program Transmittal No. 44Maryland Medical Assistance Program ICD-10 Implementation Policy
PT 14-168/28/2015Medical Supply and Equipment Transmittal No. 68Maryland Medical Assistance Program ICD-10 Implementation Policy
PT 15-168/28/2015Oxygen Transmittal No. 29Maryland Medical Assistance Program ICD-10 Implementation Policy
PT 16-169/24/2015Hospital Transmittal No. 236Fiscal Year 2016 Medicaid Rates for Administrative Days
PT 17-169/9/2015Federally Qualified Health Center Provider Transmittal No. 4; General Clinic Provider Transmittal No. 68Enrolling Individual/Rendering Maryland Medicaid Providers
PT 18-169/24/2015Ambulatory Surgical Centers Transmittal No. 2; Managed Care Organizations Transmittal No. 106; Dental Program Transmittal No. 47Replacement of Ambulatory Surgical Centers Transmittal No. 1
PT 19-169/24/2015Community First Choice Transmittal No. 3; Home and Community Based Options Waiver Transmittal No. 6; Living at Home: Maryland Community Choices Transmittal No. 32; Waiver for Older Adults Transmittal No. 43Maryland Medical Assistance Program ICD-10 Implementation Policy
PT 20-169/29/2015Community First Choice Transmittal No. 2Fiscal Year 2016 Program Rates – Shared Personal Assistance Services
PT 21-169/29/2015Personal Assistance Services Transmittal No. 55Fiscal Year 2016 Program Rates
PT 22-169/30/2015Nursing Home Transmittal No. 256Resident Roster Review and Billing Instruction Guidance
PT 23-1610/5/2015Nursing Home Transmittal No. 2552015 Nursing Home Pay-for-Performance Scores
PT 24-1610/23/2015Hospice No. 11Hospice Rates for October 1, 2015-December 31, 2015
PT 25-1610/27/2015Health Homes Transmittal No. 5Nurse Care Manager Role and Billable Services
PT 26-1611/5/2015Pharmacy Transmittal No. 203Adherence to Criminal Law § 8-301 (b)
PT 27-1611/17/2015Laboratory Transmittal No. 64Diagnosis Code Requirement
PT 28-1612/14/2015EPSDT Transmittal No. 37; Managed Care Organizations Transmittal No. 107; Local Health Departments Transmittal No. 4; Federally Qualified Health Centers Transmittal No. 5Additions to Healthy Kids Preventive Health Schedule
PT 29-1612/21/2015ADAA Certified Substance Use Disorder Treatment No.1; Laboratory No.65; Managed Care Organization No. 108; Opiod Treatment Provider No. 2; ValueOptions No. 4Community-based Medical Laboratory Billing for Substance Use Disorder Drug Screening/Testing for Calendar Year 2015
PT 30-1612/21/2015ADAA Certified Substance Use Disorder Treatment No.1; Laboratory No.65; Managed Care Organization No. 108; Opiod Treatment Provider No. 2; ValueOptions No. 4Community-based Medical Laboratory Billing for Substance Use Disorder Drug Screening/Testing for Calendar Year 2015
PT 31-161/4/2016Home Health No. 63Calendar Year 2016 Home Health Fee Schedule
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