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​

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


Jun 30, 2023

​MedChi


Jun 30, 2023

Maryland Gegeneral Assembly
MD Total Cost of Care Model​​


May 31, 2023



CMS
Advance DirectiveMay 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





Feb 22, 2023



Maryland Insurance Administration