Retroactive Eligibility

The local Department of Social Services determines retroactive eligibility. Claims MUST be received within 9 months of the eligibility decision date, including documentation from DSS. No retroactive eligibility will be granted without a letter from either the Department of Social Services (DHR81) or the Department of Human Resources (DHMH 3257). Without an accompanying letter, retroactive eligibility will not be granted. There will be no exceptions.

Treatment Plan Update

• MAPS-MD Care Managers will only backdate Outpatient Care and/or Treatment Plan 30 days from the stamped date of receipt, or 30 days from the postmarked date.
• CSAs will no longer backdate Outpatient Care/Treatment Plans.
• Backdating more than 30 days must be approved by MHA, and will only be given if MAPS-MD is in error.

Treatment Plan Reminders

• Treatment plans should only be faxed to 1-410-953-1903.
• Please use the confirmation of authorization plan receipt. MAPS-MD uses this receipt in order to verify that the plans are received, all pages are included, and legible.
• Provider's fax machine confirmation, e.g., "send successful" is not sufficient verification that treatment plans were received by MAPS-MD.
• Once verified, MAPS-MD will return the confirmation form to the provider. Please note that this is the only approved receipt accepted.
• Please do not re-fax treatment plans. MAPS-MD has an internal process in place in order to research treatment plans that are faxed to the designated fax machine (410-953-1903).

Reminder: Timely Filing/Appeals Business Rule

We continue to see an influx of claims that are repeatedly denied due to the timely filing and/or appeal statute. As a reminder, providers have 9 months to submit a claim from the date of service, and an additional 60 days from the date of the denial to correct a claim. All appeals must have a cover letter attached, outlining the reason for the appeal and any additional documentation. Please advise applicable office.

New Claims Address

Effective June 1, 2001, all MAPS-MD Claims should be sent to the following address:

This address replaces the PO Box 624 , Owing Mills, MD 21117, address.

Diagnosis Code Update (Revised Listing as of 3/28/02)

Download a list of the valid diagnosis codes accepted in the Public Mental Health System. All codes must be billed up to the fourth or fifth digit when applicable.

Retraction Notice Reminder

There are 30 days to compare/research past billing accounts, with an additional 60 days to submit corrected claims.

The procedure encouraged to following includes:

1. Read the entire report carefully and compare it with your past bills (EOPs)
2. If you have questions, please contact Customer Service at 800-595-9688
3. There is an internal process that must be followed in order to help the providers, but the first step is to contact customer service.

Previous Issues Bulletins