MAPS-MD Issues Bulletin   January 1999


MHA Provider Agreement: If you have not already completed the MHA Agreement and forwarded it to MAPS-MD, please do so ASAP. If this form is not completed, it could result in claims payment denials. If you have not received an Agreement, you can call (410) 953-1818 to request one.

Nine Month Submission Deadline: Effective April 1, 1999, MAPS-MD will begin enforcing the time submission deadline of nine months from date of service. This will be in effect for all new claims from July 1, 1998 forward. If you have unbilled claims for dates of service July 1, 1997 through July 1, 1998, please submit these to MAPS-MD before April 1, 1999. Claims that have been received for these dates will be subject to normal processing guidelines.

Gray Zone Information:
Just a reminder - to verify Gray Zone consumers that require recertification you must access the MAPS-MD Gray Zone Web Site, as MAPS-MD will not notify you of the need to recertify.

MAPS-MD Gray Zone Web Site Address - www.gzmd.com

MAPS-MD will no longer be informing providers of Gray Zone eligibility end dates and the need for recertification, as this information is available on the Gray Zone Web Site and is updated daily.

NEW MAPS-MD Gray Zone Data Collection Worksheet (DCW) - Download in RTF format: dcw.rtf

Consumer Information:
Social Security Numbers - MAPS-MD will always use the SSN on file with the Department of Health and Mental Hygiene regardless of any contrary information that has been submitted by the provider. Gray Zone consumers will always be loaded in the MAPS-MD system with the SSN from the State. Should a provider submit a different SSN, MAPS-MD will note the Medicaid System SSN on the DCW when it is returned to the provider.

Note: Claims payment will not process if there are discrepancies between the SSN MAPS-MD has on file and the number submitted by the provider. This must be an exact match along with the consumer's date of birth.

Qualified Medicare Beneficiary (QMB): Effective December 1, 1998, QMB beneficiaries must be billed using the , Consumer's Medicaid number for services not covered by Medicare. No co-pay will apply to non-Medicare covered services. Any past services paid incorrectly should be rebilled on paper to the attention of:

"Attn: Claims Manager"
"Re: Qualified Medicare Beneficiary Billing"