Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.33 - Health Homes
Section 10.09.33.09 - Payment Procedures
Universal Citation: MD Code Reg 10.09.33.09
Current through Register Vol. 51, No. 19, September 20, 2024
A. The Department shall reimburse the health home for covered services according to the requirements in this chapter and the rate established in §C of this regulation.
B. Request for Payment.
(1) The health home provider is authorized to
bill for the intake and ongoing monthly rate for a participant when:
(a) The participant is receiving PRP, MTS, or
OTP services; and
(b) The intake
portion of the participant's eMedicaid file has been submitted and initial
services have been delivered.
(2) After completing the required health home
service provision reporting in eMedicaid, the health home provider shall,
within 30 days from the end of the month during which health home services were
provided, submit a request for payment for all participants who received two
health home services during that month.
(3) A health home provider shall bill the
Department for the appropriate rate specified in §C of this
regulation.
C. The Department shall reimburse according to the following fee schedule:
(1) For dates of service from January 1, 2021, through
June 30, 2022, at a monthly rate of $118.61 per participant; and
(2) Effective July 1, 2022, at a monthly rate
of $127.21 per participant.
Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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