PT# |
Date |
Provider Transmittal No. |
Topic |
PT 01-12 |
08/08/2011 |
Nursing Home Transmittal No. 234 |
DHMH 257 - Revised Form and Process |
PT 01-11 |
07/14/10 |
General Provider No. 79 |
Part B Coinsurance Payments |
PT 02-11 |
07/14/10 |
Nursing Home No. 228 |
Fiscal Year 2011 Interim Rates |
PT 03-11 |
08/16/10 |
Nursing Home Transmittal No. 229 |
2010 Nursing Home Pay-for-Performance Scores |
PT 04-11 |
08/16/10 |
Home Health Transmittal No. 55 |
Preauthorization |
PT 05-11 |
09/01/10 |
Personal Care Services Transmittal No. 47 |
Fee Schedule for FY 2011 |
PT 06-11 |
09/14/10 |
MCO Transmittal No. 80 |
Payment to FQHC for unforeseen Illnesses |
PT 07-11 |
09/14/10 |
Personal Care Services No. 48 |
Denial/Termination of Personal Care Services |
PT 08-11 |
09/14/10 |
EPSDT No. 32 |
Procedure Change-Modifier Required for Initial Medical Exam of Child in State-Supervised Care |
PT 09-11 |
09/29/10 |
Nursing Home Transmittal No. 230 |
Local Contact Agency for MDS Section Q Referrals |
PT 10-11 |
09/29/10 |
Nursing Home Transmittal No. 231 |
Nursing Facility Reimbursement Handbook |
PT 11-11 |
10/21/10 |
Hospital Transmittal No. 209 |
Fiscal Year 2011 Medicaid Rates for Administrative Days |
PT 12-11 |
10/21/10 |
Managed Care Organizations Transmittal No. 81 |
MCO Medicaid Fraud Reporting |
PT 13-11 |
12/07/10 |
Program for All-Inclusive Care for Elderly (PACE) Transmittal No. 2 |
Administrative and Reporting Requirements and Formats--Maryland Medical Assistance PACE Program |
PT 14-11 |
01/19/11 |
Various |
New Utilization Control Agent |
PT 15-11 |
01/20/11 |
Hospital #211 |
Acute Care Utilization Review Process |
PT 16-11 |
01/24/11 |
Audiology #4 |
Audiology Provider Manual and Fee Schedule |
PT 17-11 |
03/16/11 |
Managed Care Organizations |
CORRECTION To Managed Care Organizations Transmittal No. 81 “MCO Medicaid Fraud Reporting” |
PT 18-11 |
03/25/11 |
Managed Care Organization No. 83 Hospice No. 9 |
Coverage of Hospice and Treatment Services for Children |
PT 19-11 |
04/14/11 |
Managed Care Organization No. 84 Hospital No. 212 |
Observation for Primary Adult Care Recipients |
PT 20-11 |
04/19/11 |
Pharmacy No. 194 |
Mandatory Pharmacy cost of Dispensing Analysis (PCDA) |
PT 21-11 |
06/14/11 |
Physician # 134 |
July 1, 2011 Provider Fee Schedule Change |
PT 22-11 |
06/14/11 |
Medical Day Care # 77 |
Revised Fiscal Year Per Diem Rate, Effective July 1, 2011 |
PT 23-11 |
06/14/11 |
Waiver for Children with Autism Spectrum Disorder #15 |
Adjustment for Fiscal Year 2012 program Rates |
PT 24-11 |
06/14/11 |
Waiver for Older Adults #36 |
Adjustment for Fiscal Year 2012 Program Rates |
PT 25-11 |
07/01/11 |
Nursing Home # 233 |
Administrative Days in Nursing Facilities |
PT 26-11 |
06/14/11 |
Model Waiver # 37 and EPSDT: PDN # 18 |
Adjustment for Fiscal Year 2012 Program Rates |
PT 27-11 |
06/14/11 |
Living At Home # 25 |
Fiscal Year 2012 Program Rates |
PT 28-11 |
06/24/11 |
Pharmacy # 195 and MCO #85 |
Changes to Pharmacy Dispensing Fee |
PT 29-11 |
06/30/11 |
MCO # 86 |
Change in Reimbursement to District of Columbia Hospitals Effective July 1, 2011 |