Publications
This transmittal provides instructions to Home Health Agencies on how to investigate claims that have been denied when an personal care assistant has billed for 16 hours or more in a single day.
The Department of Health Care Finance is issuing the attached policy and procedure (P&P) to address barriers to access to buprenorphine and a lack of consistency in prior authorization (PA) and dosage requirements, both among managed care organizations (MCO)…
Sustainability Subcommittee Meetings - June 9, 2016
The Department of Health Care Finance (DHCF) is revising its procedure regarding timelines for when a Home Health Agency (HHA) is required to notify its Long Term Care Supports and Services Contractor (Delmarva) of the intent to accept or deny Personal Care Aide (PCA) services to a beneficiary…
This transmittal provides clarification regarding the Medicaid enrollment and NPI inclusion requirements for ordering and referring providers and reminds providers of the Streamlined Medicaid Provider Enrollment Process established on February 19, 2014.
Methods for Determining Cost Effectiveness of Caring for Certain Disabled Children at Home Instead of an Institution (Katie Beckett Eligibility Group)
In recognition of Mental Health Awareness month and National Children's Mental Health Awareness Week, the purpose of this transmittal is to inform EPSDT providers about the importance of mental health screening in the primary care setting, and other resources available in…
As a follow-up to Transmittal 15-43 published on November 5, 2015, the purpose of this transmittal is to alert primary care providers of a permanent rate increase for primary care services which became effective on January 1, 2016.
The Department of Health Care Finance, in collaboration with the Department of Human Services Economic Security Administration (ESA), is changing its policies and procedures to improve our agencies' ability to effectively enroll and track newborns eligible for Medicaid.…