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MCO Updates
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FY 2018 Transmittals
Provider-Transmittals
PT #
Date
Provider Type #
Topic
PT 01-18
8/4/2017
Therapy Group No.1
Enrolling Individual/Rendering Maryland Medicaid Providers
PT 02-18
8/16/2017
FQHC No. 12; Hospital No. 251
Basis of Cost Determination Field Required for Drugs Purchased Under the 340B Discount Program
PT 03-18
8/10/2017
Hospital No. 252
Fiscal Year 2018 Medicaid Rates for Administrative Days
PT 04-18
9/20/2017
MCO No. 120
Pricing for services on encounter data to comply with the Medicaid and CHIP Managed Care Final Rule, effective January 1, 2018
PT 05-18
10/18/2017
Hospice No. 14
Hospice Payment Rates for Federal Fiscal Year 2018
PT 06-18
10/19/2017
Local Health Department No. 6
Implementation of the interRAI-Pediatric Home Care Assessment, interRAI Coding Clarification, and Prioritization of LHD Assessments
PT 07-18
10/25/2017
Nursing Home No. 265
2017 Nursing Home Pay-for-Performance Scores
PT 09-18
11/21/2017
Beacon Health Options No. 14; Laboratory No. 70; Mental Health Services No. 3; Nurse Practitioner No. 21; Physician No. 143; Physician Assistant No. 3; Substance User Disorder No. 23
Drug Testing Payment Changes
PT 10-18
11/21/2017
Beacon Health Options No. 15; Substance Use Disorders No. 24
Clarifications Regarding COMAR 10.09.06
PT 08-18
11/28/2017
MCO No. 121, Pharmacy No. 205
Charging Participants for Unauthorized Covered Drugs
PT 11-18
12/13/2017
Hospital No. 253
Retention of Medical Records
PT 12-18
12/13/2017
MCO No. 122
Clarification on Reimbursing Freestanding Birth Centers
PT 13-18
12/15/2017
Clinics No. 69; Hospitals No. 254; Local Health Departments No. 7; MCO No.122; Nurse Midwives No. 28; Nurse Practitioners No. 266; Obstetricians No. 1
Prior Authorization Changes Under the Maryland Contraceptive Equity Act Effective January 1, 2018
PT 14-18
1/10/2018
Remote Patient Monitoring Transmittal No. 1
Reimnursement for Remote Patient Monitoring Services Provided Through Physicians, Nurse Practitioners, and Physician Assistants Effective January 1, 2018
PT 15-18
1/10/2018
Home Health No. 64
Reimbursement for Remote Patient Monitoring Services Through Home Health Agencies Effective January 1, 2018
PT 16-18
1/10/2018
MCO No. 123
HealthChoice Very Low Birth Weight Delivery Payment Policy and Billing Process Effective January 1, 2018
PT 17-18
1/22/2018
Nursing Home No. 266
Minimum Data Set Validation—Effective January 2018
PT 18-18
1/25/2018
MCO No. 124
MCO Request to Disenroll Members Who Move Out of State
PT 19-18
1/30/2018
EPSDT No.39
Additions to the Healthy Kids Preventive Health Schedule Effective January 1, 2018
PT 20-18
2/12/2018
General Provider No. 85
Medicaid Program Updates for Winter 2018
PT 21-18
3/9/2018
Hospital No. 255
Revised Process for Submitting Retroactive Eligibility Cases to Telligen
PT 22-18
3/12/2018
Hospital No. 256, MCO No. 125
Clarification of MCO Coverage of Emergency, Post-Stabilization, and Ancillary Services
PT 23-18
3/15/2018
Home Health No. 65
Calendar Year 2018 Home Health Fee Schedule
PT 24-18
3/16/2018
EPSDT No. 40
Correction to EPSDT Transmittal No. 39
PT 25-18
5/8/2018
MCO No. 126; Hospital No. 257; Clinics No. 70; Abortion Clinics No. 4; Family Planning No. 4; Nurse Midwives No. 29; Nurse Practitioners No. 23; Obstetricians No. 2
Contraceptive Coverage Changes Under the Maryland Contraceptive Equity Act Effective July 1, 2018
PT 26-18
5/7/2018
Hospital No. 258
Administrative Days, Concurrent Reviews, and Explanation of Benefits
PT 27-18
6/18/2018
Audiology No. 6; EPSDT No. 41; Hearing Aid Dispenser No. 11; Hospital No. 259; MCO No. 127; Physicians No. 144
Coverage of Audiology Services, Hearing Aids, Cochlear Implants, and Auditory Osseointegrated Devices
PT 28-18
6/18/2018
Community First Choice No. 7; Community Personal Assistance Services No. 4
Fiscal Year 2019 Rates for the Community First Choice and Community Personal Assistance Services Programs
PT 29-18
6/18/2018
Home and Community-Based Options Waiver No. 10
Fiscal Year 2019 Rates for the Home and Community-Based Options Waiver and Increased Community Services (ICS) Programs
PT 30-18
6/18/2018
Waiver for Adults with Brain Injury No. 2
Fiscal Year 2019 Rates for Brain Injury Services
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