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MCO Updates

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    ​FY 2018 Transmittals

     

     Provider-Transmittals

    		 
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    PT 01-188/4/2017
      
    		Enrolling Individual/Rendering Maryland Medicaid Providers
    PT 02-188/16/2017
      
    		Basis of Cost Determination Field Required for Drugs Purchased Under the 340B Discount Program
    PT 03-188/10/2017
      
    		Fiscal Year 2018 Medicaid Rates for Administrative Days
    PT 04-189/20/2017
      
    		Pricing for services on encounter data to comply with the Medicaid and CHIP Managed Care Final Rule, effective January 1, 2018
    PT 05-1810/18/2017
      
    		Hospice Payment Rates for Federal Fiscal Year 2018
    PT 06-1810/19/2017
      
    		Implementation of the interRAI-Pediatric Home Care Assessment, interRAI Coding Clarification, and Prioritization of LHD Assessments
    PT 07-1810/25/2017
      
    		2017 Nursing Home Pay-for-Performance Scores
    PT 09-1811/21/2017
      
    		Drug Testing Payment Changes
    PT 10-1811/21/2017
      
    		Clarifications Regarding COMAR 10.09.06
    PT 08-1811/28/2017
      
    		Charging Participants for Unauthorized Covered Drugs
    PT 11-1812/13/2017
      
    		Retention of Medical Records
    PT 12-1812/13/2017
      
    		Clarification on Reimbursing Freestanding Birth Centers
    PT 13-1812/15/2017
      
    		Prior Authorization Changes Under the Maryland Contraceptive Equity Act Effective January 1, 2018
    PT 14-181/10/2018
      
    		Reimnursement for Remote Patient Monitoring Services Provided Through Physicians, Nurse Practitioners, and Physician Assistants Effective January 1, 2018
    PT 15-181/10/2018
      
    		Reimbursement for Remote Patient Monitoring Services Through Home Health Agencies Effective January 1, 2018
    PT 16-181/10/2018
      
    		HealthChoice Very Low Birth Weight Delivery Payment Policy and Billing Process Effective January 1, 2018
    PT 17-181/22/2018
      
    		Minimum Data Set Validation—Effective January 2018
    PT 18-181/25/2018
      
    		MCO Request to Disenroll Members Who Move Out of State
    PT 19-181/30/2018
      
    		Additions to the Healthy Kids Preventive Health Schedule Effective January 1, 2018
    PT 20-182/12/2018
      
    		Medicaid Program Updates for Winter 2018
    PT 21-183/9/2018
      
    		Revised Process for Submitting Retroactive Eligibility Cases to Telligen
    PT 22-183/12/2018
      
    		Clarification of MCO Coverage of Emergency, Post-Stabilization, and Ancillary Services
    PT 23-183/15/2018
      
    		Calendar Year 2018 Home Health Fee Schedule
    PT 24-183/16/2018
      
    		Correction to EPSDT Transmittal No. 39
    PT 25-185/8/2018
      
    		Contraceptive Coverage Changes Under the Maryland Contraceptive Equity Act Effective July 1, 2018
    PT 26-185/7/2018
      
    		Administrative Days, Concurrent Reviews, and Explanation of Benefits
    PT 27-186/18/2018
      
    		Coverage of Audiology Services, Hearing Aids, Cochlear Implants, and Auditory Osseointegrated Devices
    PT 28-186/18/2018
      
    		Fiscal Year 2019 Rates for the Community First Choice and Community Personal Assistance Services Programs
    PT 29-186/18/2018
      
    		Fiscal Year 2019 Rates for the Home and Community-Based Options Waiver and Increased Community Services (ICS) Programs
    PT 30-186/18/2018
      
    		Fiscal Year 2019 Rates for Brain Injury Services
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