MCO Updates

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FY 2007 Transmittals

PT#

Date

Provider Transmittal No.

Topic

PT 01-07

07/10/06

Model Waiver Program Transmittal No. 24; EPSDT Private Duty Nursing Transmittal No. 11; Home Health Transmittal No. 44

Amendments to COMAR 10.29.27 Home Care for Disabled Children Under a Model Waiver

PY 02-07

07/14/06

Hospital Transmittal No. 194

Medicaid rates for administrative days

PT 03-07

07/14/06

Nursing Home Transmittal No. 204; Residential Treatment Center Transmittal No. 10

New audit contractor

PT 04-07

07/21/06

Home Health Transmittal No. 45

Preauthorization

PT 05-07

07/28/06

Home Health Transmittal No. 46

Proposal Amendment to COMAR 10.09.04 Home Health Services

PT 06-07

09/08/06

Living at Home Waiver Program Transmittal No. 12; Waiver for Older Adults Transmittal No. 17

Distribution of provider service forms for the Waiver for Older Adults and the Living at Home Waiver Programs

PT 07-07

08/11/06

Managed Care Organization Transmittal No. 61

Proposed Amendments to HealthChoice Regulations

PT 08-07

08/22/06

Managed Care Organization Transmittal No. 62

Proposed Amendments to HealthChoice Regulations

PT 09-07

08/28/06

Waiver for Older Adults Transmittal No. 17

New Policy for reimbursement of Medicaid Waiver for Older Adults assisted-living services

PT 10-07

09/08/06

Healthy Start Program Transmittal No. 6

Proposed Amendments to Healthy Start Program

PT 11-07

10/04/06

Medical Day Care Transmittal No. 56; Waiver for Older Adults Transmittal No. 18

Authorization of medical day care service by Medicaid Waiver for Older Adults case managers

PT 12-07

11/20/06

Pharmacy Transmittal No. 182

Acceptability of Oral Prescriptions; Expanded List of Maintenance Medications; Elimination of List of Non-substitutable Drugs

PT 13-07

12/19/06

Hospital Transmittal No. 195

Fee for Service Hospital Day Limits

PT 14-07

01/08/07

Nursing Home No. 205; Hospital Day Care No. 57; Waiver for Older Adults No. 19; Model Waiver No. 25; Living at Home Waiver No. 13; TBI Waiver No. 1; Physician No. 131; Nurse Practitioner No. 16

New Utilization Control Agent

PT 15-07

01/16/07

General Provider No. 61

Employee Education Requirement

PT 16-07

01/25/07

Managed Care Organizations Transmittal No. 63

Proposed Amendments to HealthChoice Regulations

PT 17-07

03/14/07

EPSDT: Private Duty Nursing Services No. 12; Model Waiver Program No. 26; Home Health No. 47

Proposed Amendments to COMAR 10.09.04 Home Health Services

PT 18-07 04/02/07 Managed Care Organizations Transmittal No. 64 Amendments to HealthChoice Regulations
PT 19-07 04/02/07 Managed Care Organizations Transmittal No. 65 Amendments to HealthChoice Regulations
PT 20-07 04/23/07 Waiver for Adults with Traumatic Brain Injury Transmittal No. 2 Waiver for Adults with Traumatic Brain Injury - Amended Regulations COMAR 10-09-46
PT 21-07 5/04/07 Waiver for Older Adults Transmittal No. 20 Waiver for Older Adults - Amended Regulations COMAR 10.09.54
PT 22-07 5/04/07 Waiver for Older Adults Transmittal No. 21 New Billing procedure for reimbursement of Medicaid Waiver for Older Adults assisted living services
PT 23-07 5/25/07 Dental Transmittal No. 39 Periodic Oral Evaluation - Dental Services for Children under age 21 in accordance with COMAR 10.09.05 - Dental Regulations and COMAR 10.09.23.06.D - Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Regulations
PT 24-07 6/11/07 Medical Day Care Transmittal No. 58 Fiscal Year 2008 Per Diem Rate
PT 25-07 6/11/07 Living at Home Waiver Program Transmittal No. 14 Fiscal Year 2008 Program Rates
PT 26-07 6/11/07 Waiver for Older Adults Transmittal No. 22 Fiscal Year 2008 Program Rates
PT 27-07 6/26/07 General Provider Transmittal No. 62 Addition of Preventive Codes for "Family Planning Examinations including Self-Referred Family Planning Examinations"
PT 28-07 6/15/07 Waiver for Children with Autism Spectrum Disorder Transmittal No. 9 Fiscal Year 2008 Program Rate Increases
PT 29-07 6/26/07 Nursing Home Transmittal No. 206 Fiscal Year 2008 Interim Rates
PT 30-07 6/26/07 Physicians' Transmittal No. 132 Proposed Amendment to Physician Services, COMAR 10.09.02
PT 31-07 6/26/07 Medical Supply and Equipment Transmittal No. 62 DME Payment Procedures; Coverage of Apnea Monitors and Supplies
PT 32-07 6/26/07 Waiver for Older Adults Transmittal No. 23 Claims reimbursement process for providers of Environmental Accessibility Adaptations and Assistive Devices/Equipment