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    Local Health Department Billing Manual

    ​​​Archive

    Back to Main Page

    Overview
    With so many important resources available, this section is an archive of prior information that remains relevant. 
    Document Title
    062317 DHMH Opioid DUR SBIRT
    10 Common Medical Billing Mistakes That Cause Claim Denials
    12 Signs It's Time to Change Your Clearinghouse
    2014 MCO Appendix B Amendment to HealthChoice Provider Service Agreements
    2016 MDH Contracting Letter to LHDs
    ​2019 AAP - Coding for Pediatric Preventive Care
    2019 AAP - Coding for Pediatric Preventive Care -
    2020 Title X Job Aid FPNTC Copay Job Aid
    2021 CPT MPFS Update Worksheet​
    2021 Healthy Smiles Provider Manual
    2021 MD Medicaid Medical Laboratory Fee Schedule 2.16.21
    ​2021 Medicaid Professional Services Fee Schedule 1.1.21 UPDATED 3.10.21
    340B Compliance Self-Assessment Policy
    340B Drug Pricing Program Infographic
    340B Family Planning Guide​
    340B Family Planning Policy Procedure Manual​
    340B Family Planning Policy Procedure Manual (Sample)
    99211 Checklist
    A Guide to Cigna's Preventive Health Coverage for Health Care Professionals
    AAP Adolescent Confidentiality​ ​​​
    AAPC 2019-2020 Influenza Vaccine Codes and Pricing
    AAPC Health Plan Search: Provider Manuals and Policies
    AD New Requirements Certification Licensure - Effective October 1, 2015
    Administrative Functions
    Administrative Guide: Pass-through Billing, CLIA Requirements, Reimbursement Policy
    Adult Immunizations Reimbursement Survey - Medicaid MCOs
    Adult Vaccine and NDC List - 2019
    Advantage MD (HMO) Quick Reference Guide - 2020
    Advantage MD (PPO) Benefits Comparison​ Chart - 2020
    Advantage MD Provider Manual - 2020
    Aetna 2020 Behavioral Health Provider Manual
    Aetna Behavioral Health Provider Manual 2021
    Aetna Better Health COVID Televideo Codes March 2020​
    Aetna Better Health COVID-19 FAQs for Network Providers​ April 2020
    Aetna Better Health Healthchoice Provider Manual 2021
    Aetna Better Health MCO
    Aetna COVID March 2020
    Aetna Dental and Oral Surgery Claim Documentation Guidelines
    Aetna Essentials April 2022
    Aetna Office Link February 2022
    Aetna Office Link January 2022
    Aetna Office Link Updates December 2021
    Aetna Office Link Updates June 2021
    Aetna Office Link Updates March 2022
    Aetna Office Link Updates September 2021
    Aetna OfficeLink May 2022​
    Aetna Officelink Updates June 2022​
    Aetna Provider Communication June 2022​
    Aetna Provider Communications​
    Aetna Update on the COVID-19 Vaccine
    Aetna Update onthe COVID-19 Vaccine
    Aetna Vaccine Provider Communication​
    ​Affordable Care Act: Young Adult Insurance Coverage FAQs​​
    Alcohol and Drug Requirements Certification Licensure
    AMA Announces CPT Update for Pediatrics​
    AMA CPT Coding Alert Covid Booster Updates May 2022​
    AMA CPT Coding Alert Covid Booster Updates May 2022​
    AMA cpt Emergency Release COVID Related Code File
    AMA CPT Emergency Release COVID Related Code File
    AMA CPT Update New Provisional COVID Vaccine Code
    AMA E and M 2021 Coding Changes
    AMA E&M 2021 Coding Changes
    AMA New Codes for COVID Immunizations
    AMA Technical Corrections 2021
    AMA Technical Corrections 2021 EM Updates
    AMA_ CPT NEWS ALERT
    AMA: Telehealth Implementation Playbook
    Amerigroup Medicaid Botox Update​​​
    Amerigroup Medicaid Provider Newsletter Dec. 2021
    Amerigroup Provider Manual 2021
    Amerigroup Provider Newsletter January 2021
    Amerigroup Provider Newsletter Nov 2021
    Amerigroup Provider Newsletter Oct. 2021
    ​Amerigroup SBIRT​
    Amerigroup SBIRT Flier
    Amerigroup Sexually Transmitted Disease Services Lab​
    Any DATA 2000 Waived Practitioner (MD, NP, PA) and Local Health Department with DATA 2000 Waived Practitioners - May 15, 2017
    Appeals and Grievance Form - May 20, 2014
    Audiology, Physical Therapy, and Early Periodic Screening, Diagnosis, and Treatment (EPSDT) Provider Manual​
    Audiology, Physical Therapy, and EPSDT Provider Manual - Final 7-8-20
    Audiology, Physical Therapy, and EPSDT Provider Manual - Final July 8, 2020​
    ​Audiology, Physical Therapy, and SPSDT Provider Manual Final 7.8.20
    Authorization Quick Reference Guide - June 2017
    Authorization to Disclose Substance Use Treatment Information Coordination of Care Form
    Availity Portal FAQs - 2017
    Beacon Billing Intermediary Authorization Form​
    Beacon CAQH Provider Credentialing Recredentialing FAQ​
    Beacon Health Options Outpatient Mental Clinics Rendering Provider Requirements for Claims Submission - April 12, 2019
    Beacon Maryland Provider eNewsletter May 2016
    Beacon Memo: Provider Registration Update - December 16, 2019
    Beacon OTP Compliance
    Beacon Provider Alert: SUD OMS Discharge Service Code - June 2018
    Beacon Provider Credentialing Criteria Checklist
    Beacon Reimbursement - 2020
    Beacon SUD Discharge FAQ - 06-21-2018
    Beacon SUD Discharge FAQ (90889/HG)
    Beacon SUD Discharge Form & Process 6.21.18
    Beacon SUD Transmittal 25 Q & A IOP PHP Drug Testing 5.29.19​
    Beacon SUD Uninsured Grant Funded Individuals Revised 06-03-16
    Beacon Tip Sheet: FIS Claim Rejection Messages​
    Beacon to Optum MDH Transition FAQs 12.6.2019
    Beacon to Optum Transition Information EOY
    Beacon Value Option Group Practice Tip Sheet
    Behavioral Health Provider Manual - 2020
    Behavioral Health Services - Common Billing Codes
    Behavioral Health Services Common Billing Codes
    Better Health of Maryland: Provider Guide - March 5, 2019
    BHA Clinical Letter Help the Helpers Supports Overview 3.8.21
    BHA Memo: Guidance Regarding Telehealth Expansion Regulations - March 12, 2020​
    Billing and Coding Manual for Title X Family Planning Clinics
    Billing Behavioral Health Services
    Billing Coding Guide for HIV Prevention
    Billing Credentialing Physician Extenders (Nurse Practitio ners and Physician Assistants) ​
    Billing for HIV Services
    Billing for Telehealth Encounters: An Introductory Guide on Fee-for-Service​​
    Billing for Telehealth Program Manual-Updated
    Billing for Vaccines for Children Program
    Billing Immunization Services
    Billing Software Clearinghouse Checklist​
    BlueLink Final2 December 2020
    Buprenophine New Rates Retro Effective 01012018 Provider Alert
    CAQH Provider Credentialing Database Intro
    CAQH Provider Use Guide V7 2016
    CAQH Proview Provider User Guide V32
    Cardea: A Coding Guide for Programs and Providers​
    Care Management
    CAREFIRST _ COVID VACCINE BILLING
    CareFirst BlueLink April 2021​​
    CareFirst BlueLink February 2021
    CareFirst CO
    ​CareFirst Community Plan 2021 Medical Provider Manual
    CareFirst Community Plan Provider Manual​
    CareFirst COVID Testing TX Extending Coverage 9.24.20
    CareFirst COVID Vaccine Billing
    CareFirst COVID-19 Dental
    CareFirst Dental CVID-19
    CareFirst March 2020 COVID-19 CEO Message & Info
    CareFirst MD Preserve Telehealth Access Act Provider Alert
    CareFirst New Address
    CareFirst on Call: Professional Reference Card - August 2018
    CareFirst Provider Manual 2021
    CareFirst: Dental Claims Submission Guidelines​
    CareFirst/Johns Hopkins University Members Changed Plans Effective 1.1.2021
    Case Management and Disease Management
    CCU Modernization Project - July 2018
    CDC and OPA 2017 Recommendations Providing Quality Family Planning Services
    Central Collection Unit (CCU) COMAR Regulations
    Challenges to Patient Confidentiality Infographic​
    Change-Healthcare Fact Sheet 2021
    Checklist for Examining Your Claims Process
    CHP MDID Card
    Cigna _ Transformations _ COVID-19_ Interim guidance for behavioral providers
    Cigna 1st Quarter 2021 Newsletter
    Cigna Continued COVID Accommodations
    Cigna Coronavirus Billing Guidance FAQ
    CIGNA COVID -19 PHE Extension
    Cigna COVID PHE Extends
    Cigna COVID-19 PHE Extension
    Cigna COVID-19 Update April 2021
    Cigna COVID-19 Update July 28, 2020
    Cigna COVID-19 Vaccine Reimbursement Flyer
    Cigna Cyberthreat Information 11.2020
    Cigna Dental Services COVID-19
    Cigna January 2021 Update
    Cigna July 2020 COVID-19 Updates
    Cigna Key COVID-19 Updates for Sept. 2021
    Cigna Key COVID-19 Updates for September 2021​​​
    Cigna Medicare Advantage Provider Manual 2021
    Cigna Member ID Cards
    Cigna Network News 1st Quarter 2022
    Cigna Network News 4th Quarter 2021​​​​​​
    Cigna Network News Q3 2021​
    Cigna Network News Q4
    Cigna News COVID Accommodation
    Cigna Provider Manual 2021
    Cigna Q2 2021 Network News
    Cigna Q4 Network News Posting v5
    Cigna Transformations COVID 19 Interim Guidance for Behavioral Providers
    Cigna Transformations COVID-19 Interim Guidance for Behavioral Providers
    Cigna Update December 2020
    Cigna Update EXT PHE 042 2021
    Cigna Virtual Care Reimbursement Policy
    Claim Retraction Policy - October 2018
    Claim Submission
    Claim Submission Guide​
    Claim Submission Instructions - November 28, 2017
    Claims and Encounter Data Submissions - 2020
    ​Claims Processing
    Clearinghouse Functions and Benefits​​
    Clinical Criteria for Hepatitis C Therapy
    CMS - Pneumococcal Conjugate Vaccine Coverage
    CMS 12 .2014 Memo MA Payment FFS Provided Without Charge Free Care
    CMS 1500 Claim Form – How to Avoid Common Denials
    CMS Addition of QW Modifier
    CMS Announcement ICD 10 MS DRGs V39.1 New Procedure Codes
    CMS Announcement ICD10 MS DRGs V39.1 New Procedure Codes
    CMS August 19, 2020 Telehealth Presentation
    CMS Behavioral Health Services Fact Sheet
    CMS Billing for Methadone 1.20.21
    CMS CDC HRSA Bulletin: Opportunities to Improve HIV Prevention and Care Delivery to Medicaid and CHIP Beneficiaries​​
    CMS Checking Medicare Eligibility
    CMS Consolidated Appropriations Act of 2021 Provider Requirements and Resources
    CMS COVID-19 Vaccine Toolkit 11.23.2020
    CMS HHS Medicare Advantage COVID-19 Memo March 10, 2020
    CMS HIV Screening Codes
    CMS Home Health Prospective Payment System Rate Update MM12509
    CMS Informational Bulletin: 2019 Federal Poverty Level Standards - February 11, 2019
    CMS Medicaid SUD & Mental Health Parity Final Rule 3.29.16 FAQs
    CMS Medicaid SUD & Mental Health Parity Final Rule FAQs
    CMS Medicare and Medicaid Basics
    CMS Medicare Monoclonal AB COVID Program Instruction
    CMS Memo: Implementation of Section 5052 of the Support for Patients and Communities Act – State Plan Option under Section 1915(l) of the Social Security Act
    CMS MLN 006818 2021 12 Clinical Laboratory Fee Schedule 508
    CMS MLN COVID FFS SE20011 11.9.20
    CMS MLN COVID-19 Vaccine 11.5.2020 Final
    CMS MLN How to Use NCCI Medicaid
    CMS MLN Opioid Treatment Programs
    CMS Monoclonal Antibody Coverage Infographic
    CMS PECOS Multi-factor Authentication
    CMS Summary Sheet on Bundled Payments for Behavioral Health Integration Services
    CMS Telehealth Codes Updated January 2022
    CMS Will Pay for COVID-19 Booster Shots
    CMS_ ADDITION OF QW MODIFIER_ MM12269_
    CMSC Informational Bulletin: Aligning Dental Payment Policies and Periodicity Schedules in the Medicaid and CHIP Programs
    Code J1050 Depo Provera ACOG
    Coding and Billing Bicillin LA and CR
    Coding for Pediatric Preventive Care
    ​​Coding for Vaccine Administration
    Collecting Copays and Applying A Sliding Fee Discount Schedule
    COMAR 10.09.32 Targeted Case Management for HIV Infected Individuals
    COMAR 10.09.32. Targeted Case Management for HIV-Infected Individuals
    COMAR 10.09.71.04 E: MCO Notification of Denials to Patients - 2018
    COMAR 10.63 Key Personnel​
    Combination of SUD Services - Effective July 1, 2017​
    Community-Based Substance Use Disorder Fee Schedule - May 6, 2020​
    Community-Based Substance Use Disorder Fee Schedule - Updated May 6, 2020
    Comparison of 2019 and 2021 Final Title X Rules
    Confidentiality Issues STI 15-25 yrs.​ mm6609
    ​Contact Information - 2020
    Coronavirus (COVID-19) Interim Billing Guidance for Commercial Customers - April 9, 2020
    Covid 19 Vaccines and Monoclonal Antibodies
    Covid 19 Vaccines and Monoclonal Antibodies​
    COVID AMA Webinar Coding and COVID 19 Vaccine​
    COVID Antibody Treatment Form for Maryland 2021
    COVID Best Practices & Resources​
    COVID CMS 99211 CPT Code Update
    COVID CMS Toolkit on COVID-19 Vaccine: Health Insurance Issurance Issuers and Medicare Advantage Plans
    COVID CPT Assistant Guide 99072 September 2020​​
    COVID December Update
    COVID Fact Sheet Recovery and Wellness Support​
    COVID Facts BHA Partners 8.14.2020​
    COVID FAQs Telehealth 1.19.2021
    COVID ImmuNet COVID-19 Vaccine Registration Order Guide
    COVID ImmuNet COVID-19 Vaccine Registration Order Guide​
    COVID ImmuNet COVID-19 Vaccine Registration Order Guide
    COVID January 2021 Update
    COVID Student and Young Adult Resource Guide for Coping During COVID-19
    COVID Student and Young Adult Resources Guide for Coping During COVID-19
    COVID Vaccine Provider Communication
    ​COVID-19 Billing Information​​
    COVID-19 CMS Frequently Asked Questions (FAQs) on Medicare Fee-for-Service (FFS) Billing
    COVID-19 Coding Guidelines 2021
    COVID-19 FAQs for Network Providers - April 2020
    COVID-19 Information for Dental Providers
    COVID-19 NDC HCPCS Crosswalk Update
    COVID-19 New Administration Code for Pfizer Pediatric Vaccine Booster Dose
    COVID-19 Power Point Slides April 22, 2020​
    COVID-19 Public Health and Medical Emergency Declarations and Waivers
    COVID-19 Reimbursable Laboratory Codes Fee Schedule Update​​​​​​
    COVID-19 Reimbursable Laboratory Codes Fee Schedule Update 1.12.21
    COVID-19 Reimbursable Vaccine and Infusion Codes Fee Schedule
    COVID-19 SR Health Seeing Patients Virtually Getting Paid Guide May 14, 2020​
    COVID-19 Telehealth Checklist FY2020
    COVID-19 Telehealth Guidance for School-Based Health Centers
    COVID-19 Teleheatlth Guidance for School-Based Health Centers
    COVID-19 UHC Date Provision Guide
    COVID-19 UHC Provider Billing Guidance​
    COVID-19 Update FDA Authorization​​
    COVID-19 Vaccination Registration through ImmuNet JHHC​
    COVID-19 Vaccine Billing and Coding​
    Delegation Provider Guide - February 2020
    Delta Dental COVID-19 August 18, 2020 Updates​
    Dental and Oral Surgery Claim Documentation Guidelines - April 2019
    Dental Procedure Codes and Nomenclature (CDT Codes)
    Dental Program - 2020
    DHMH Substance Use Disorder Services
    Dual Eligible Medicare and Medicaid 2020 Standards
    ECP LHD Amendment to Instructions on Essential Community Providers
    ECP LHD Amendment to Instructions on Essential Community Providers​​
    ECP LHDs Amendment to Instructions on Essential Community Providers
    Electronic Health Record - Health IT Playbook
    Electronic Payment Solutions - 2020
    Electronic Remit Advice (ERA) and Standard Paper Remit (SPR)
    Eligibility Verifica​​​tion System (EVS) Brochure - October 2019
    Emdeon: Clearinghouse Brochure Example
    eMedicaid Main Screen: Provider Welcome
    Ensuring Access to Equitable Affordable Client Centered
    EPSDT Provider Policy Manual - Effective 7-1-18
    EPSTD Provider Policy Manual Effective 7.1.18
    EPT Fact Sheet for Health Care Providers FINAL as of 3.19.19
    Essential Community Provider Data Form
    Evaluation Management Coding Job Aid
    Expedited Partner Therapy
    Expedited Partner Therapy​​
    EZ Coder - Adult Immunization and Well Visit
    EZ Coder - Child and Adolescent and Well Visit
    Fact Sheet #7: OB/GYN Services
    Fact Sheet 2017 The Ryan White HIV/AIDS Program - The-Basics
    Fact Sheet: The Ryan White HIV/AIDS Program - The Basics​​​​​​
    Fact Sheet: The Ryan White HIV/AIDS Program - The Basics
    Fact Sheet: The Ryan White HIV/AIDS Program - The Basics​
    Family Planning CCU Collection FAQs
    Family Planning Chart - What Makes a FP Patient
    Family Planning Coding Frequently Asked Questions Title X
    Family Planning Coding Frequently Asked Questions Title X​​​​
    Family Planning COVID-19 Social Media Toolkit April 2020 FPNTC
    Family Planning NACHC
    Family Planning Revenue Cycle Assessment Tool
    FINAL BHA Telehealth Post Emergency Revised​
    Flu 2020-2021 Reference Chart
    Forms
    FPNTC Collecting Co-Pays and Applying Sliding Fee Discount Schedule Job Aid
    FPNTC Family Planning and Related Health Services for Men Checklist
    FPNTC Family Planning and Related Health Services for Women Checklist
    FPNTC Financial Management Change May 2020
    FPNTC Title X Telehealth Staffing Steps Outline 8.21.20
    ​​Front Office Training Checklist​
    ​FY 2021 Ability to Pay Outpatient Memo
    FY21 Ability to Pay Guide​
    FY21 Dental Rates
    FY21 Non-chargeable List ​
    ​Glossary of Health Coverage and Medical Terms
    Guidance on Billing Requirements
    Guttmacher Institute Public Health Solutions - Confidentiality Review
    HCPCS Codes Established for Coding the Levonorgestrel
    Health Plans
    HealthChoice DPP - Lifestyle Change Program
    HealthChoice DPP FAQs - 4-15-20​
    HealthChoice DPP Lifestyle Change Program
    HealthChoice DPP Manual - Updated 4-24-20
    HealthChoice DPP Manual Updated 4.24.20
    HealthChoice: MCO Agreement - 2020
    HealthChoice: MCO Comparison Chart - Revised February 28, 2020
    HealthChoice: MCO Requirements - 2020
    HealthChoice: Provider Brochure - August 2018​
    Hep B Screen Medicare 2018​
    Hepatitis C
    Hepatitis C CPT Codes
    Hepatitis C Sample Treatment Plan
    HHS _ PHE EXTENSION 04 2021
    HHS Launches New Reimbursement Program for COVID-19 Vaccine Administration Fees Not Covered by Insurance
    HHS Title X 2019 Guidance: Frequently Asked Questions​
    History of Present Illness and Review of Systems Guidelines
    HIT Payer Coverage Billing Expansion COVID-19​​​​
    HIV Coding Wall Poster
    HIV-Specific ICD-10 Codes
    ​How Medicaid and VFC Work Together​
    HP VFC Policy Change FAQs 2016​​
    HP VFC Policy Change FAQs February 2016
    HRSA COVID 19 CAF Program Fact Sheet
    Hyperlinks to Forms
    ICD-10 Palm Card - Updated 3-13-19
    Immunet COVID-19 Vaccine Registration Order Guide
    ​Immunization (IZ) Services Billing Guide
    Immunization Coding for OB-GYN 2019
    Immunization CPT Codes Look-Up
    Impact of the Title X Rule in Maryland
    Important JHHC Provider Office Resources
    Important Phone Numbers to Know - November 2019
    Introduction and Background
    ​Introduction to Electronic Health Records (EHRs)
    ​IZ Admin Elsewhere in LHD
    Jai Provider Manual 2021
    JHHC - USFHP Low Back Pain Imaging Policy - Post Service Claim Review
    JHHC Additional CPT Codes Requiring Preauthorization
    JHHC Additional Place of Service Codes Allowed for USFHP Telemedicine Visits
    JHHC Additional Security Measures for HealthLINK Access
    JHHC Changes to Place of Service Codes for Telehealth Services
    JHHC Corrected FAX Number - Additional CPT Codes Requiring Preauthorization
    JHHC Correction Use of Long COVID-19 Code
    JHHC COVID-19 Reimbursement Policy Update
    JHHC COVID-19 Vaccination Registration through Immunet
    JHHC Emergency Reimbursement Policy Set for COVID-19 Diagnostic Testing, Treatment, and Vaccination
    JHHC eviCore Lab Management Program​​
    JHHC Medical Records Request for HEDIS Measurement Year 2021
    JHHC New CPT Codes Requiring Preauthorization Effective September
    JHHC New Site-of-Service Preauthorization Requirements
    JHHC On Demand Virtual Care Now Available for USFHP Members​​​​​
    JHHC Priority Partners Guidance on the Continuation of Telehealth
    JHHC Priority Partners Provider Manual 2021
    JHHC Provider Notice ABA No Longer Covered as a Telehealth Visit for USFHP
    JHHC Provider Notice ABA No Longer Covered as a Telehealth Visit for USFHP​​
    JHHC Provider Pulse Newsletter Summer 2021
    JHHC Provider Pulse Winter 2021
    JHHC Provider Update Cigna PPO to Provide National Network for Johns Hopkins EHP​
    JHHC Provider Update ICD 10 Codes to Identify SDoH​
    JHHC Provider Update ICD-10 Codes to Identify Social Determinants of Health​​​​​
    JHHC Reimbursement Policy Update
    JHHC Reminder - Please Use Correct Address
    JHHC Reminder of Utilization Management Processes in Light of Recent COVID Surge
    JHHC Updated Addresses for Claims
    Johns Hopkins/CareFirst Members Changed Plans Effective January 1, 2021
    Kaiser HealthChoice Provider Manual Feb. 2020
    Key Performance Indicators for Peak Financial Performance
    LARC Quick Coding Guide - Contraceptive Implant and IUDs
    LARC Quick Coding Quide-Contraceptive Implant and IUDs
    Local Health Departments TB Control Coordinators Contact Information
    MABHA Questions BHA Final Responses Updated March 14, 2020
    Managed Care Organization (MCO) Agreement - 2020
    Managing Your Revenue Cycle: What You Should Expect from Your Clearinghouse
    Maryland Billing Appendix OPTUM BH2536 Final Revised
    Maryland EPT Provider Guide​
    Maryland Family Planning and Reproductive Health Program Administrative Guidelines - 2015
    Maryland Family Planning and Reproductive Health Program Administrative Guidelines​ - 2015​​​
    Maryland Health Care Commission: Reimbursement for Telehealth Services - March 2020
    Maryland Health Connection Fact Sheet: Substance Use Disorder Treatment
    Maryland HealthChoice MCOs Accreditation Status – Updated by NCQA as of September 16, 2019​
    Maryland Healthy Kids Preventive Health Schedule
    Maryland Healthy Kids Preventive Health Schedule​​
    Maryland Healthy Smiles: Adult Dental Pilot Program Provider FAQs
    Maryland Healthy Smiles: Provider Manual - Version 8.1
    Maryland Insurance Request for Confidentiality - 2017
    Maryland Local Health Department TB Program Phone Directory​​
    Maryland Medicaid
    Maryland Medicaid Dental 2021 CDT Fee Schedule Updated 1.7.21
    Maryland Medicaid Dental Fee Schedule and Procedure Codes (CDT)​
    Maryland Medicaid Dental Fee Schedule and Procedure Codes (CDT) - Revised January 2020
    Maryland Medicaid Reproductive Health Services Overview - September 2019
    Maryland Medicaid Self-Referral Services
    Maryland Medicaid Telehealth​ Dentistry Guidance - Effective March 5, 2020
    Maryland Medicaid Telehealth June 2020 Update Hyperlinks
    Maryland Medicaid Telehealth Program COVID-19 Update March 2020
    Maryland Medicaid Telehealth Program FAQ Updated
    Maryland Medicaid Telehealth Program Manual March 2020 Update
    Maryland Medicaid: New Provider Enrollment Portal - ePREP March 2020
    Maryland Medical Assistance Family Planning Program Card
    Maryland Medical Assistance Program Professional Services Manual - Effective January 2020
    Maryland Minor Consent Laws 10 26 12
    Maryland Minor Consent Laws 10 26 12​
    Maryland One Health Bulletin - September 25, 2015
    Maryland Oral Health Resource Guide - 2020 Edition
    Maryland Oral Health Resource Guide 2020 2021 Edition
    Maryland State Family Planning Title X Program Review Tool
    Maryland Title X Facts 2020-3 MD
    Maryland Title X Family Planning and Reproductive Health Program Information - 2017
    MCO Notification of Denials to Patients - 2018
    MCP Newsletters
    MD Charges for Enhanced Infection Control and Personal Protective Equipment
    MD Medicaid Fee Schedule 2020 Updates 11.1.20
    MD Medicaid Professional Services Provider Manual - 2019
    MD Medicaid UBH Claims Guide
    MD Physician Care 2021 Provider Manual​​
    MDH 2020 Certification Licensure for Behavioral Health-SUD Providers
    MDH Behavioral Health Memo: Drug Testing Payment Charges - January 2018
    MDH BHA Guidance Regarding Telehealth Expansion Regulations COVID-19 March 2020
    MDH BHA Recovery and Wellness Support Resources for the COVID-19 Outbreak
    ​MDH BHA Telehealth Post Emergency Revised 7.16.21​​​​​​​​​​
    MDH BHA Telehealth Post Emergency Revision 7.16.21​​​
    MDH Coding Guidelines for Screening Tools for Primary Care​​​​​​​​​​​
    MDH Coding Guidelines for Screening Tools for Primary Care - Final
    MDH COVID FAQ Telehealth 9.22.20
    MDH Guidance on Well-Child Visits and Preventive Care During the COVID-19 State of Emergency
    MDH Managed Care Organization (MCO) Notification of Denials to Patients - 2018
    MDH Memo COVID-19 #16: DDA Waivers Programs Telehealth and Telephonic Guidance April 2020
    MDH Memo May 22, 2020 Lab Codes
    MDH Memo Reconciliation and Recoupment BHASO Update
    MDH Memo: Prior Authorization Changes Under the Maryland Contraceptive Equity Act Effective January 1, 2018
    MDH Memo: Provider Information Required on MA Claims
    MDH Protocols - Health Officers to Obtain the Secretary's Signature - 2014
    MDH Public Health Emergency Extension October 7, 2020
    MDH Telehealth FAQs May 26, 2020
    MDH: Adult Dental Pilot Program
    MDH: Adult Dental Pilot Program Overview​
    MDMA Amerigroup Provider Newsletter November 2020
    MDPP CMS Billing and Payment FAQs
    MDPP Expanded Model PHE Flexibilities 3.30.2020​
    MDPP Resources MLN 9.24.2020
    Medicaid Amerigroup Provider Newsletter December 2020​
    Medicaid Credentialing ePrep
    Medicaid Hepatitis C Therapy Prior Authorization Form
    Medicaid Hepatitis C Therapy Prior Authorization Form​
    Medicaid Program Updates - Spring 2016​
    Medicaid Provider Guidance COVID-19 Secretary's Orders Changes
    Medical Billing Software​
    Medical Policy Update Bulletin February 2021
    Medical Record Documentation Standards - 2017​
    Medicare 99211 Checklist
    Medicare Advantage Provider Quick Reference Guide - 2020
    Medicare Advantage: Health Care Professional Provider Manual - 2020
    Medicare Billing for COVID-19 Vaccine Shot Administration
    Medicare Claim Processing Manual
    Medicare Claim Processing Manual - July 2019
    Medicare Claims Processing Manual - Completing and Processing Form CMS-1500
    Medicare Claims Processing Manual - Preventive & Screening Services June 2018
    Medicare Claims Processing Manual Update 10.19.2020
    Medicare CMS Billing Form 7.2019
    Medicare Coverage: Parts B & D
    Medicare COVID-19 Telehealth FAQs
    Medicare COVID-19 Vaccine Shot Payment
    Medicare Enrollment and Claim Submission Guidelines
    Medicare ICD-10 Updates October 2020
    Medicare ID Card Guide - 2020
    Medicare Immunization Factsheet
    Medicare New 2019 Waived CLIA Tests
    Medicare New CLIA Waived Tests MM12204
    Medicare Part B Immunization Billing​
    Medicare Part D Vaccines and Vaccine Administration​
    Medicare PHE Modifier Chart
    Medicare Provider Enrollment
    Medicare Remittance Advice Resources and FAQs
    Medicare Roster Billing for Mass Immunizers
    Medicare Telemedicine Health Care Provider Fact Sheet
    Medicare Vaccine Coverage Part B vs. Part D
    Medicare Vision Services Fact Sheet Updated​​​​​
    Medicare Wellness Visits ICN MLN6775421
    Medstar MCO Provider Manual 2021
    Member Handbook - July 2017
    Member ID Card
    Member ID Card Digital Tool - 2020
    Member Identification Card Quick Reference Guide
    Memo Maryland Medicaid IEP/IFSP Telehealth Clarification Guidance April 2020​
    Memo: Community Based Public Behavioral Health Providers 2% Rate Increase and Medicaid Program Updates for Spring 2016
    Memo: Community-Based Medical Laboratory Billing for Substance Use Disorder Screening /Testing for Calendar Year 2017
    Memo: Credentialing and Claims Reminder for Physician Assistants and Nurse Practitioner​ - 2019
    Memo: Drug Testing Payment Charges
    Memo: Medicaid Billing for Drug Testing and Screening - January 2017
    Memo: Payment for Presumptive and Definitive Urine Drug Testing - April 22, 2019
    Memo: Primary Care Fee Increase and Changes to Billing Codes for Vaccines for Children Administration (VFC) on January 1, 2013
    Memo: Public Behavioral Health System Administrative Service Organization Vendor Change - September 2019​
    Memo: Reprocessing Plan for Outstanding Psychiatric Rehabilitation Program (PRP) Reconciliation
    MLN 2019-2020 Influenza Resources for Health Care Professionals
    MLN Booklet: Behavioral Health Integration Services - Final 2019
    MLN Booklet: Dual Eligible Beneficiaries Under Medicare and Medicaid
    MLN Booklet: Medicare Mental Health​
    MLN Booklet: Medicare Mental Health - January 2020
    MLN COVID-19 Lab Fee and Charge Payment Update July 8, 2020
    MLN COVID-19 Medicare FFS Update July 30, 2020
    MLN Fact Sheet: Behavioral Health Integration Services
    MLN Matters SE1013
    MLN Matters SE18001: Proper Coding for Specimen Validity Testing Billed in Combination with Drug Testing
    MLN Matters SE19022: 2019-2020 Influenza (Flu) Resources for Health Care Professionals ​
    MLN Matters: Screening for Hepatitis C Virus in Adults​
    MLN New Modification of POS Codes for Telehealth
    Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service​
    MPC Newsletter: Spring 2020​
    NASTAD Issue Brief: Billing and Reimbursement
    National Family Practice Title X Confidential and Covered
    NDC Crosswalk Sample 2021
    NDC Crosswalk Tables
    New Codes for Laboratory Tests for COVID-19
    New COVID-19 CPT Codes 2020
    New COVID-19 CPT Codes 2020​​
    New Medicare Card Information - April 2018
    NFRHA Online Training Tool
    NFRHA Superbill Example​​
    Nongentital Infections Testing - NAAT Code Guide FINAL for STD TAC Website Posting 11.1.16
    Novartis E&M Audit Guide - September 2014
    Novitas Medicare Part B Website
    Novitas Solutions e-News - January 2019
    Novitasphere New User Checklist
    NUCC 1500 Claim Form Instruction Manual
    NUCC 1500 Claim Form Instruction Manual​​​
    NUCC Claim Manual - July 2019
    Nutrition and Diabetes Prevention Programs
    Nutrition and Diabetes Prevention Programs​
    Nutrition and Diabetes Prevention Programs​​
    Nutrition Program​
    ​Office Ally Clearinghouse
    Office Ally: Online Claims Entry Instructions​
    Office Ally: Service Center User Manual
    Office of Inspector General: Waiving of Co-Pays and Co-Insurance
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    OPTUM BHA and MDH Tobacco Control Survey 11.24.21
    OPTUM BHA SOR Spring 2022 Newsletter
    OPTUM Change Index OPTUM National Network Manual
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    OPTUM Incedo Quick Reference Guide​
    OPTUM March 2021 BHA Letter from Deputy Secretary
    ​OPTUM Maryland Billing Appendix BH2536 Final Revised 5.8.20
    OPTUM Maryland Billing Appendix BH2536 Final Revised 5.8.20
    OPTUM Maryland PBHS LOC Appendix BH2555 FINAL
    OPTUM Maryland PBHS LOC Appendix BH2555 FINAL​​
    Optum Maryland PBHS Provider Billing Appendix - Revised 5-8-2020
    Optum Maryland Provider Alert: Critical Information for Launch - December 31, 2019
    OPTUM Maryland Provider Manual Product Implementations BH2535 - Final Revised 02.05.20
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    Optum Maryland Public Behavioral Health System (PBHS) Level of Care Appendix
    OPTUM MD BH Claims Quick Reference Guide
    OPTUM National Network Manual
    OPTUM Network Notes Newsletter Fall 2020
    OPTUM New Authorization Plans Provider Alert 9.1.2020
    OPTUM New Excecutive Order for Congregate and Residential Programs​
    OPTUM New Executive Order for Congregate and Residential Programs​​​
    OPTUM PBHS Provider Manual January 2020
    OPTUM PBHS Provider Manual January 2020​​​
    OPTUM Provider Alert - Individual Provider License Expiration
    OPTUM Provider Alert 10.19.2020
    OPTUM Provider Alert 12.9.2020
    OPTUM Provider Alert Adding Codes Omitted from Auth Request
    OPTUM Provider Alert Changes to Submitting Authorization Correction Requests
    OPTUM Provider Alert Guidance on the Continuation of Telehealth for ABA Services
    OPTUM Provider Alert Individual Provider License Expiration
    OPTUM Provider Alert Payable Provider Types and Services in the ER
    OPTUM Provider Alert SUD Residential Treatment Notice
    OPTUM Provider Alert SUD Residential Treatment Notice​​​
    OPTUM Provider Alert Updated Fee Schedule
    OPTUM Provider Alert Updated Guidance for PRP RRP Referrals August 2021
    Optum Provider Alert: Optum as New Behavioral Health ASO for Maryland - November 15, 2019
    Optum Provider Alert: Optum as New Behavioral Health ASO for Maryland - November 15, 2019​
    Optum Provider Alert: Release of Information (ROI) - November 6, 2019
    OPTUM Provider Portal Quick Reference Guide Incedo​
    OPTUM Psych Medical Necessity Alert 3.1.2021
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    Optum Quick Reference Guide - December 5, 2019
    ​OPTUM Reconciliation Provider Alert Memo 7.21.2020
    OPTUM Reconciliation Survey Provider Alert 7.23.2020
    OPTUM Recoupment of Retro-Eligibility and Overpayments
    OPTUM Recoupment Sequence 11.17.21
    OPTUM Recroupment of Retro-Eligibility and Overpayments
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    OPTUM Remaining Authorization Units Feature in Incedo Provider Portal​​​​​​​​​​​​
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    OPTUM Residential Eating Disorder Program for Adults and Adolescents​​​​​​​​​
    OPTUM Staggering of PRP Authorizations
    ​OPTUM SUD Authorization Parameters Update
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    OPTUM SUD IOP Alert 3.19.2021
    OPTUM Telehealth Updates Correction July 16 2021​
    OPTUM Telehealth Updates Correction July 16, 2021​​​​​
    OPTUM Timely Filing Waiver
    OPTUM Uninsured Eligibility Alert 2.26.2021
    OPTUM Uninsured Eligibilty Alert 2.26.21
    OPTUM Update to Clinical Request Forms
    OPTUM Updates to Clinical Request Form
    OPTUM Updates to TCM Forms 10.30.20
    OPTUM Updates to TCM Forms 10.30.20
    OPTUM Use of UA Modifier
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    OPTUM Vaccine Administration Information Form
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    OPTUM Waived Cost Sharing Updated
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    OPTUM_ ARP Rate Increase New Fee Schedule Nov. 1 2021​
    Outsource Billing Considerations
    Participating Provider Quick Reference Guide
    ​Patient Portal Key Features
    Patient Portals Benefits and Key Features
    ​​​Payer Portals - 2019​​​
    ​Payer-Provider Portals
    Payor - Provider Portals
    PECOS
    PECOS CMS Website - Provider Enrollment and Certificate
    PECOS Medicare Log-In Page
    ​Pediatric Coding - Commonly Administered Pediatric Vaccines
    Pediatric Coding - Commonly Administered Pediatric Vaccines
    Pediatric Coding Table - Commonly Administered Pediatric Vaccines
    Pediatric Coding Table - Commonly Administered Pediatric Vaccines 8-2019
    Pediatric Influenza Vaccine List
    Pediatric influenza Vaccine List - 2019-2020
    Pediatric/VFC Vaccine NDC List
    Pediatric/VFC Vaccine NDC List 2019
    Physician Credentialing and Recredentialing​ FAQs​
    ​Policies and Procedures​
    Practice Management System Key Features and Functionality Requirements
    Practice Mate(TM) - Free Practice Management Software​
    Practitioner Credentialing Application - October 2016
    Practitioner Office Site Evaluation Form - June 5, 2012
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    PrEP 101 Consumer Information
    PrEP Flow Chart
    PrEP Guidelines
    Priority Partners EOB Notice April 2018
    Priority Partners Member Incentive for Completing COVID-19 Vaccination
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    Products and Benefits Guide - 2020
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    Provider Administrative Guide - 2020
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    Provider Alert: Two Percent Rate Increase for Community Based Behavioral Health Providers 6 26 17​
    Provider and Facility Participation Criteria - 2019
    Provider Data Exchange Form
    Provider Handbook - 2020
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    Provider Manual - 2019
    Provider Manual - 2020​
    Provider Manual - February 2020
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    Provider Manual - May 2020
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    Provider Newsletter - December 2019
    Provider Portal User Guide: Remittance/Notice of Payment
    Provider Quick Reference Guide
    Provider Quick Reference Guide - 2020
    Public Health Emergency Extension Notice July 24, 2020
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    Public Mental Health System Rates - Effective July 1, 2018
    Quick Guide to Cigna ID Cards - 2020
    Quick Reference Guide - 2019
    Quick Reference Guide - 2019-2020
    Quick Reference Guide - 2020
    Quick Reference Guide for Health Care Professionals - May 2020
    Rabies COMAR Regulations​​
    Refugee Services Coding Guide
    Reimbursement for Lab Tests Performed in the Clinic
    Reimbursement for SBIRT Services
    Reproductive Health Title X Compliance Resources
    Request for Confidential Communications Form
    Request for Reimbursement for Non-Medicaid Services
    Revenue Cycle Management
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    Revenue Cycle Management - Clinical
    Revenue Cycle Management - Front-End Processes
    Revenue Cycle Management - Key Performance Indicators (KPIs)
    Revenue Cycle Management Process
    Revised Rates and Regulations for HIV Targeted Case Management
    Ryan White Dental Facts - 2016
    Ryan White Dental Facts 2016 2021
    Ryan White Eligibility
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    Ryan White HIV/AIDS Program Legislation - HIV/AIDS Bureau 2016​
    Ryan​ White Legislation - Title XXVI HIV Health Care Services Program
    Ryan White Program Admin Facts
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    Ryan White Program Overview Facts
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    SAMHSA: Coding for Screening and Brief Intervention Reimbursement
    Sample Financial Hardship Policy
    Sample Medical Practice Internal Control Work Program
    Sample Paper Claim Form 2012
    Sample Title X Grantee Compliance Plan for 2019 Title X Regulations
    Sanofi Pasteur Product Coding​
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    SBHC Contact List - FY 2020
    SBHC LEAHP Telehealth Schools Webinar Shifting Policy Practice Landscape 6.11.2020
    ​SBHC Medicaid Billing Review 9.14.2020
    SBHC Provider Manual
    SBHC Sample Superbill - 2017
    SBHC Visit Report Form
    SBIRT Brochure
    SBIRT Fact Sheet
    SBIRT Factsheet Medicare March 2020​​​​​
    SBIRT Poster
    SBIRT Press Release April 2016
    SBIRT SAMHSA January 2020
    School-Based Health Center (SBHC) Provider Manual - November 1, 2019
    School-Based Health Center (SBHC): Provider Manual - November 1, 2019
    School-Based Health Center Provider Manual​
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    Section II. Creating the Billing Foundation​
    Section III. Revenue Cycle Management​
    Section IV. LHD Programs and Services​
    Section IX. Resources​
    Section V. Billing Related Software​
    Section V. Billing Related Software
    Section VI. Maryland Payors
    Section VI. Maryland Payors​
    Section VII. Contracting and Credentialing
    Section VII. Contracting and Credentialing​
    Section VIII. Compliance
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    Section X. Archive​
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    Setting the Stage: Policy and Funding Landscape Impacting Third-Party Billing for STD-related Services
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    ​Statement of Disclaimer​
    STI BH Counseling for Prevention USPSTF 8.2020
    STI NCSD Billing Guide Oct. 2012
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    STI, HIV and Family Planning Coding Guide - 3-2018
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    Telehealth MDH COMAR 10.09.49 October 2019
    Telehealth Payer Billing Guide Revised 12.1.2021
    Telehealth Payer Billing Guide Revised 2021​​​
    Telehealth Payer Billing Guide Revised 4.10.21
    Telehealth Program Manual - Updated October 2019
    Telehealth Services
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    Title X 101 Fall 2020
    Title X Charges, Billing and Collections Guidelines
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    Title X Fact Sheet
    Title X Federal Register - March 2019
    Title X Job Aid FPNTC Copay Job Aid ​
    Title X Verifying Patient Income
    Title X Wins Final
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    UHC Commercial Medical Policy Update Bulletin​​​​​​​​​​​
    UHC Commercial Medical Policy Update Bulletin December 2021
    UHC Commercial Reimbursement Policy Update Bulleting December 2021
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    UHC COVID 19 Provider Billing Guidance
    UHC COVID Billing Updates March 2021
    UHC COVID-19 Hyperlinks Updated June 19, 2020​
    UHC COVID-19 Practice Admin Program July 2020
    UHC COVID-19 Provider Billing Guidance June 15, 2020​
    UHC COVID-19 Provider Billing Guidance Updated July 2021
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    UHC COVID-19 Temporary Provision Guide​​​​​​
    UHC COVID-19 Temporary Provision Guide 4.19.2021
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    Understanding Features and Functions of an EHR
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    Using Standard Orders for Administering Vaccines: What You Should Know
    Vaccine Administration Patients over 19 & Non-VFC
    Vaccine Information Sheets - Required Use​
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