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Maryland Department of Health
Managed Care Organization Updates
Maryland Medicaid Administration
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Provider-Transmittals
PT #
Date
Provider Type #
Topic
PT 01-22
7/13/2021
General Provider Transmittal #88
Summer 2021 General Provider Transmittal Updates
PT 02-22
7/27/2021
Ambulatory Surgical Centers #3, Dental #50
Dental Ambulatory Surgical Center (ASC) Claims Submissions
PT 03-22
7/27/2021
Hospitals #282
Timely Filing Requirements for Retroeligibility Submissions
PT 04-22
7/30/2021
Hospitals #283
Sunsetting of the Temporary Waiver of Requirements for Concurrent Reviews
PT 05-22
8/20/2021
Nursing Home # 280
Fiscal Year 2022 Rates for Nursing Facility Services
PT 06-22
8/20/2021
Nursing Home # 281
Fiscal Year 2022 Supplemental Payments for Nursing Facilities
PT 07-22
8/26/2021
Hospitals # 284
Fiscal Year 2022 Medicaid Rates for Administrative Days
PT 08-22
9/23/2021
Early Intervention and School Health Service Providers # 3
Guidance on the Continuation of Telehalth for IEP/IFSP Services
PT 09-22
10/7/2021
EPSDT # 47, Physical Therapy #4, Occupational Therapy #1, Speech/Language Pathologist #2, Therapy Group #4, MCO #146
Guidance on the Continuation of Telehealth for Therapy Services
PT 10-22
10/12/2021
Hospitals #285
Clarification on Timely Filing Requirements for Retrospective Reviews and Claims Submissions
PT 11-22
10/26/2021
ABA # 3
Guidance on the Continuation of Telehealth for ABA Services
PT 12-22
10/26/2021
Hospice # 21
Federal Fiscal Year 2022 Hospice Rates
PT 13-22
11/3/2021
Model Waiver #52; EPSDT: Nursing Services #48
One-time Rate Increase for Home and Community Based Services
PT 14-22
11/3/2021
Home Health #69
One-time Rate Increase for Home and Community Based Services
PT 15-22
11/3/2021
Waiver for Children with Autism Spectrum Disorder #28
One-time Rate Increase for Home and Community Based Services
PT 16-22
11/3/2021
CFC # 11; CPAS #8
One-time Rate Increase for Home and Community Based Services
PT 17-22
11/3/2021
Medical Day Care #95
One-time Rate Increase for Home and Community Based Services
PT 18-22
11/3/2021
Waiver for Adults with Brain Injury #6
One-time Rate Increase for Home and Community Based Services
PT 19-22
11/3/2021
HCBOW #14; ICS #1
One-time Rate Increase for Home and Community Based Services
PT 20-22
11/5/2021
Early Intervention and School Health Service Providers #4
Rate Increase for Certain School-Based Services Covered Under an IEP/IFSP
PT 21-22
11/8/2021
Hospitals #286; MCO #147
Clarification of Payment Responsibility of Emergency Medical Professional Fees in Emergency Department Settings
PT 22-22
11/8/2021
Dental #51; FQHC #17; LHD #11
Postpartum Dental Benefits
PT 23-22
12/3/2021
MCO #148
Hepatitis C Virus (HCV) Retrospective Review Process
PT 24-22
12/3/2021
Nursing Home # 282
2021 Nursing Facility Pay-for-Performance Scores
PT 25-22
12/7/2021
MCO # 149
HealthChoice COVID-19 Incentive Policy
PT 26-22
12/17/2021
Hospital # 287; MCO # 150
Rescission of PT 21-22 Clarification of Payment Responsibility of Emergency Medicine Professional Fees in Emergency Department Settings
PT 27-22
12/22/2021
CFC # 12; CPAS # 9; HCBOW # 15; Model Waiver # 53; ICS # 2; Waiver for Adults with Brain Injury # 7; Waiver for Children with Autism Spectrum Disorder # 29
Continuation of Telehealth for Certain Services
PT 28-22
1/6/2022
MCO # 151
Pharmacy Copay Requirements for HealthChoice Managed Care Organizations, Effective April 1, 2022
PT 29-22
1/15/2022
Nursing Home # 283; Chronic Hospital # 1; Special Pediatric Hospital # 1; Residential Treatment Center # 12
Guidance on Private Daily Room Rate Form
PT 30-22
1/21/2022
Physician # 152; FQHC # 18; MCO # 152
COVID-19 Counseling for Pediatric Patients
1 - 30
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