You must submit a clean claim to the Maryland Medical Assistance
Program within 12 months of the date of service (for acute
hospitals—date of discharge). A clean claim is an original, correctly
completed claim that is ready to process. Submit claims immediately
after providing services.
Exceptions to the claim submission statute can be made under the following circumstances:
SOLUTION: Resubmit the corrected claim through normal claims
processing channels, including documentation of original timely
submission (copy of Remittance Advice). Corrected claim must be received
within 60 days of the last rejection.
SOLUTION: Submit the claim through normal claims processing
channels, including documentation of retroactive eligibility (IMA 81
–Notice of Retro eligibility). Claim must be received within 12 months
of the eligibility decision date.
SOLUTION: Submit the claim with a copy of the Medicare EOMB
through normal claims processing channels. Be sure to place recipient
and provider numbers in the required Medicaid fields. Claim must be
received within 120 days from the date of Medicare EOMB
NOTE: When a claim is past 12 months from the date of service
statute, documentation “MUST” be attached. If this is not done, the
system automatically rejects that claim
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(410) 767-6500 or 1-877-463-3464