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Maryland Department of Health
MCO Updates
Maryland Medicaid Administration
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FY 2020 Transmittals
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Provider-Transmittals
PT #
Date
Provider Type #
Topic
PT 01-20
7/11/2019
Community First Choice #8, Community Personal Assitance Services #5
Fiscal Year 2020 Rates for the Community First Choice and Community Personal Assistance Programs
PT 04-20
9/16/2019
General Provider #87
Medicaid Program Updates for Fall 2019
PT 07-20
9/25/2019
Hospice # 17
Disenrollment from Hospice; Submission of Enrollment E-requests
PT 06-20
9/24/2019
Psychiatric Rehabilitation Program #1
Claims Submission
PT 10-20
10/8/2019
MCO #134
Screening and Enrollment Responsibilities for managed Care Network Providers
PT 09-20
9/30/2019
MCO #133, Healthchoice Diabetes Prevention Program #1
Coverage of National Diabetes Prevention Program for HealthChoice Enrollees, Effective September 1, 2019
PT 02-20
7/11/2019
Home and Community Based Options Waiver #11
Fiscal Year 2020 Rates for the Home and Community-Based Options Waiver and ICS Programs
PT 11-20
10/9/2019
Hospitals #270, MCOs #135, Pharmacy #208, Physician #146, Nurse Practitioner #24, Physician Assistant #4, FQHC #15, LHD #10
Carve In of the HIV/AIDS Medicatiions Effective January 1, 2020
PT 12-20
10/21/2019
Nursing Home #273
Nursing Facility Pay-for-Performance Scores
PT 13-20
11/14/2019
Hospital #271
Inpatient Hospitalization Services for State Correctional and_or Local Jail Inmates
PT 14-20
11/18/2019
Psychiatric Rehabilitation Program #2
Claims Submission (Update to Transmittal PT 06-20)
PT 15-20
11/21/2019
Hospice #18
Hospice Payment Rates for Federal Fiscal Year 2020
PT 03-20
8/23/2019
Hospital #268
Updated Billing Guidance on Hospital Observation Stays Revised
PT 16-20
11/22/2019
Lead Environmental Investigations #1, MCO #135
Coverage of Lead Environmental Investigations for Medicaid and MCHP Enrollees, Effective September 1, 2019
PT 26-19
7/1/2019
Model Waiver Program #49, EPSDT: Nursing Services #43
Fiscal Year 2020 Nursing Services Program Rates
PT 08-20
12/25/2019
Hospital #269
Fiscal Year 2020 Medicaid Rates for Administrative Days
PT 05-20
12/24/2019
All Provider Types
Public Behavioral Health System Administrative Service Organization Vendor Change
PT 17-20
1/9/2020
Hospital #272, MCO #136, Pharmacy #209, Physician #147
Carve Out and Preauthorization of Zolgensma
PT 19-20
2/4/2020
MCO #136
Breast Pump Coverage in the HealthChoice Program
PT 27-19
7/1/2019
Nursing Home #272
Region Realignment; Fiscal Year 2020 Rates for Nursing Facility Services
PT 18-20
2/3/2020
Hospital #273
Updated Billing Guidelines for Routine Labor and Delivery Claims
PT 22-20
3/16/2020
MCO #137
Processing Appeals Filed by Providers Representing HealthChoice Enrollees
PT 20-20
2/21/2020
Hospital #274
REVISED 2.19.2020 Updated Billing Guidelines for Routine Labor and Delivery Claims
PT 24-20
5/1/2020
Labs #71
COVID-19 Reimbursible Laboratory Codes
PT 23-20
3/16/2020
SUD #26
Coverage of Buprenorphine Injection
PT 25-20
5/8/2020
Hospital #275
Updated Billing Guidelines for Routine Labor and Delivery Claims
PT 21-20
2/21/2020
Home Health #67
Calendar Year 2020 Home Health Fee Schedule
PT 26-20
5/22/2020
Labs #72
UPDATE- COVID-19 Reimbursible Laboratory Codes
PT 28-20
6/1/2020
SUD #28
Medicare Coverage of Opioid Treatment Centers
PT 01-21
7/27/2020
REM #9
Fiscal Year 2021 Rates for the REM Case Management Provider
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