MCO Updates

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​FY 2018 Transmittals

 

 Provider-Transmittals

 
  
  
  
  
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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