Local Health Department Billing Manual

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​Local Health Department Billing Operations


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Overview​

Maryland has unique billing and compliance guidelines. Provided in this section are State-Specific guidelines on COMAR and other key State-based provisions.


Document TitleDate Document Added
​  ​Source
General
​Maryland HealthChoice Program Provider Manual​​
Oct 22, 2024​​Wellpoint
​


Oct 8, 2024​
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JAI Insurance
​
Maryland Medicaid (MA) Billing Instructions HCFA 1500​​

​Oct 5, 2024
​
​Maryland Medicaid
​United Healthcare Gold Care Frequently Asked Questions​​

​Oct 1, 2024
​United Healthcare
​UnitedHealthcare National Gold Card Program CPT Code List​

​Oct 1, 2024
​United Healthcare

​Health Insurance Claim Form​​
​Aug 5, 2024
​NUCC
​UHC EZ Claim Pay available in additional states, starting July 1​
Jul 1, 2024​​Payer
​Advances in Healthcare Equity​

Jul 8, 2024​​OPM
​
Original Medicare vs. Medicare Advantage
​
​
Jul 20, 2024
​
CMS MLN
​
Two-step claims reconsiderations and appeals process reminder - UHC​

Jul 16, 2024​​

​United HCD
​2024 Guidelines for Better Management of Self-Pay Patients​
May 2, 2024
Office Ally
​New Guidance on Self-Pay Patients Under No Surprise Billing Rules​

​Apr 29, 2024
​Health Law Blog​
​RWHAP:Billing & Reimbursement​
​Apr 29, 2024
​Target HIV
​Medicaid: Billin​g and Coding Guidance​

​Apr 29, 2024
​Medicaid
​
2024 Maryland Vaccines For Children (VFC) Program Online Enrollment​​
​
Apr 29, 2024
​
MDH
​​Maryland Healthy Smiles Dental Program (MHSDP) Adult Dental Pilot FAQ-Providers​

Apr 29, 2024
​Target HIV
​3 Best Practices to​ Encourage Patient Portal Use​
​Feb 28, 2024
​HealthLeaders
Top claim denials (July 2023 - September 2023)​
Oct 27, 2023
Novitas
Novitasphere Enrollment eGuide​
Oct 27, 2023
Novitas
States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model​
Sep 21, 2023
CMS
Medicare encourages states to test global health budgets​
Sep 21, 2023
HealthLeaders
​​
Ryan White Report Data & Receive Technical Assistance​
​

Jun 30, 2023

​HRSA
​
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Jun 30, 2023

​MedChi
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​
Jun 30, 2023
​
Maryland Gegeneral Assembly
​
​MD Total Cost of Care Model​​

​
May 31, 2023


​
CMS
​Advance Directive​May 31, 2023
Maryland Office of the Attorney General
​
Determination of Ability to Pay and Fees to be Collected​
Feb 22, 2023​​COMAR
​
Maryland Board of Physician 2022 Legislative Summary​​
Feb 22, 2023​
​Maryland Board of Physicians

MACHO List of Health Officers​​​​​​
​


​Feb 22, 2023
​
MACHO
​Maryland Health Connection Data Report​
Feb 22, 2023​​Maryland Health Connection
Maryland Department of Health
​Maryland: HealthySteps Billing and Coding Guide​
​Oct 10, 2024
​MDH
​515 Billing Instructions - EPSDT School Health Related​​

​Oct 6, 2024
​MDH
​Fiscal Year 2025 LHD Unified Funding Document Conditions of Awards​
Aug 20, 2024​
​MDH
​
State of Maryland DHMH LHD Funding System Manual​​

Aug 15, 2024​
​
MDH
​​Time limits on debts​
May 2, 2024
​People's Law Library
​COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICE Notice of Proposed Action​
​Mar 30, 2024
​Dept of Health and Mental Hygiene
​Maryland Department of Health chartsstate/16dhmh​
​Feb 28, 2024
​MDH
​Maryland Department of Health Contact Information​
​Jan 28, 2024
​MDH
​MD Medical Assistance Program EPSDT: Nursing Services Transmittal No 55​​
​Dec 22, 2023
​MDH- Maryland Medicaid
​MD Medical Assistance Program Model Waiver Program Transmittal No 59​​
Dec 22, 2023
​MDH- Maryland Medicaid
​Maryland Annual Wellness Visits​

​May 31, 2023
​MDH
​
Maryland Primary Care Program​

May 31, 2023​

​MDH
​MDH MACO Administrators 2022​
Feb 22, 2023​​Maryland Association of Counties
​MDH Organizational Chart​
Feb 22, 2023​​MDH
Regulatory
​How to Get and Use Your Medical Records​
Sep 29, 2024​​Maryland Attorney General
​COMAR 10.09.96.02 Remote Patient Monitoring​

Sep 27, 2024​​COMAR
​​​Setting of Charges for Local Health Departments​
Mar 30. 2024
​COMAR Sec 10.02.01.04
​Setting of Charges for Laboratories Administration​​
Mar 30, 2024
​COMAR Sec 10.02.01.07
​Setting of Charges for Private Providers​

Mar 30, 2024
​COMAR Sec 10.02.01.06
​
Determination of Ability to Pay and Fees to Be Collected​
​
Mar 30, 2024
​
COMAR Sec 10.02.01.08
​
Billing and Collection of Charges and Fees​

Mar 30, 2024

​COMAR Sec 10.02.01.09
​
Distribution and Application of Amounts Collected​

Mar 30, 2024

COMAR Sec 10.02.01.11

​Records and Reports Required​

​Mar 30, 2024
​COMAR Sec 10.02.01.11
​​
Maryland Medicaid Program Self-Referral Provisions for HealthChoice Members​

Feb 28, 2024
​
MDH
​
Maryland Medicaid Program Family Planning Services​
​​Feb 28, 2024
​MDH
​​
​Maryland Medicaid Program Long-Acting Reversible Contraceptives (LARCs)​
​
Feb 28, 2024
​
MDH
​Maryland Medical Care Program Abortion Services​
Feb 28, 2024​​MDH
​Maryland Medicaid Program OB/GYN Services​
​Feb 28, 2024
​MDH​


​

Jun 30, 2023

​
​State of Maryland




​

​Jun 30, 2023


​State of Maryland


​
​Jun 30, 2023



​State of Maryland



​
Health Education and Advocacy Unit

​

Feb 22, 2023
​
​Maryland Attorney General
​Maryland Insurance Administration Provider Issues


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Feb 22, 2023

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Maryland Insurance Administration





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