Provider Information

 

Provider Information
 
 

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APPLY AS A MEDICAID PROVIDER or RE-ENROLL AS A MEDICAID PROVIDER  New Item!
gold bullet Nursing Facility Assessment and Reimbursement Handbook 2-2010  This is a .PDF document. Adobe Acrobat Reader download version 4.0 or higher is required to view PDF files.
gold bullet Nursing Facility Assessment and Reimbursement Handbook 10-2010 for MDS 3.0  This is a .PDF document. Adobe Acrobat Reader download version 4.0 or higher is required to view PDF files.
gold bullet Maryland Monthly Assessment 10-2010 for MDS 3.0  This is a .PDF document. Adobe Acrobat Reader download version 4.0 or higher is required to view PDF files.
gold bullet MAPCSP FY 08 Rate Memorandum This is a .PDF document. Adobe Acrobat Reader download version 4.0 or higher is required to view PDF files.
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Hospice Services
gold bullet Provider Relations Call Center
gold bullet Time Limits - Submitting Invoices 
gold bullet Billing Instructions for Professional, Institutional and Dental Providers (Revised October 2011)
gold bullet Health Information Portability and Accountability Act (HIPAA)
gold bullet Frequently Asked Questions List 
gold bullet Provider Transmittals 
gold bullet Drug Formularies
gold bullet Physician Fee Schedule Update 2010 CPT Additions  This is a .PDF document. Adobe Acrobat Reader download version 4.0 or higher is required to view PDF files.  New Item!
gold bullet 2011 Physician Fee Schedule (eff.7/1/2011)) This is a .PDF document. Adobe Acrobat Reader download version 4.0 or higher is required to view PDF files. Updated!   
gold bullet 2010 Physician Services Provider Fee Manual - Revision 2010 (eff. 1/1/2010) This is a .PDF document. Adobe Acrobat Reader download version 4.0 or higher is required to view PDF files. Updated!
gold bullet Physician Services Provider Fee Manual - Revision 2009 (eff. 1/1/2009) This is a .PDF document. Adobe Acrobat Reader download version 4.0 or higher is required to view PDF files.    
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Physician Forms for Abortion, Hysterectomy, Sterilization, and Preauthorization  This is a .PDF document. Adobe Acrobat Reader download version 4.0 or higher is required to view PDF files.
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Medical Laboratory Fees in Excel (effective 2011) 

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Medical Laboratory Fees in PDF (effective 2011)  This is a .PDF document. Adobe Acrobat Reader download version 4.0 or higher is required to view PDF files.
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Dental Fee Schedule and Procedure Codes  Updated! July, 2009

Dental Billing Instructions  This is a .PDF document. Adobe Acrobat Reader download version 4.0 or higher is required to view PDF files. 

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EPSDT:  Audiologist and Hearing Aid Dispenser Services (COMAR 10.09.51) Provider Manual  This is a .PDF document. Adobe Acrobat Reader download version 4.0 or higher is required to view PDF files.  Updated!
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Vision Care Services Provider Fee Manual - May 2010  This is a .PDF document. Adobe Acrobat Reader download version 4.0 or higher is required to view PDF files.
gold bullet Vision Preauthorization Form  This is a .PDF document. Adobe Acrobat Reader download version 4.0 or higher is required to view PDF files. 
gold bullet EPSDT Chiropractic, Speech Language Pathology, Occupational Therapy and Physical Therapy Provider Manual This is a .PDF document. Adobe Acrobat Reader download version 4.0 or higher is required to view PDF files.  Updated! 6/7/10
gold bullet Podiatry Services Provider Manual revised July 2009  Microsoft Word document
gold bullet OB/GYN Family Planning Services Provider Manual (Revised January 2012)  This is a .PDF document. Adobe Acrobat Reader download version 4.0 or higher is required to view PDF files. 
gold bullet Provider Training
gold bullet Local Health Services Request Form 
gold bullet MMA Provider & Other Entities Sanctioned List - Updated!  12/13/11  This is a .PDF document. Adobe Acrobat Reader download version 4.0 or higher is required to view PDF files.  
gold bullet Maryland Healthy Kids Program 
gold bullet Medicare Advantage Plan Cost Sharing Memorandum  This is a .PDF document. Adobe Acrobat Reader download version 4.0 or higher is required to view PDF files.  
gold bullet Medicare Advantage Plan Billing Instructions for UB04  This is a .PDF document. Adobe Acrobat Reader download version 4.0 or higher is required to view PDF files. New Item!
gold bullet Medicare Advantage Plan Billing Instructions for CMS-1500 B  This is a .PDF document. Adobe Acrobat Reader download version 4.0 or higher is required to view PDF files. New Item!
gold bullet Billing Instructions for ADAA Certified Addictions Outpatient Program Providers  This is a .PDF document. Adobe Acrobat Reader download version 4.0 or higher is required to view PDF files.
gold bullet Private Duty Nursing/Home Health Aide Fee Schedule - Eff. 11/1/08  This is a .PDF document. Adobe Acrobat Reader download version 4.0 or higher is required to view PDF files.
gold bullet Private Duty Nursing/Home Health Aide Fee Schedule - Eff. 07/01/11 This is a .PDF document. Adobe Acrobat Reader download version 4.0 or higher is required to view PDF files.
gold bullet Provider Guidance - Credible Allegation of Fraud and Payment Suspension  New Item!

Credible-Allegation-of-Fraud-Ltr  This is a .PDF document. Adobe Acrobat Reader download version 4.0 or higher is required to view PDF files. 

CMS-Additional-Guidance-Credible-Allegation-of-Fraud  This is a .PDF document. Adobe Acrobat Reader download version 4.0 or higher is required to view PDF files.

 

 

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