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| February 21, 2003 |
| From: Brian Hepburn,
Interim Executive Director, MHA |
| To: All Psychiatric
Rehabilitation Program (PRP) Directors: |
| This communication is to provide
clarity regarding the issue of summer camp. After
considerable discussion with local Core Service
Agency (CSA) directors, and in conjunction with
a review of current Public Mental Health System's
(PMHS) policy and guidelines, it is evident that
summer camp is not a reimbursable service within
the PMHS.
However, this is to be distinguished from psychiatric
rehabilitation services that are medically necessary
and occur over the summer months. For example,
children and adolescents who have been receiving
PRP services during the school year may continue
to need support during the summer. For children
needing these services during the summer months,
MAPS-MD should be contacted for
a medical necessity review.
PRP services during the summer months, must meet
Medical Necessity Criteria, and must be preauthorized
in the same way as PRP services are authorized
throughout the year in order to be reimbursed.
Please contact your local CSA director if you
have questions regarding this policy.
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| Please make sure that if a provider changes
locations, phone numbers, or fax numbers, that MAPS-MD is
notified in writing of the change. This will help MAPS-MD
refer consumers appropriately and will allow MAPS-MD to correspond
with providers in a timely manner. If MAPS-MD is not notified
of these demographic changes, authorization letters or
payment may be delayed.
Providers should use the Provider
Action Request (PAR) Form for updates.
Also, provider changes must be reported to the Maryland
Medicaid Provider Master file at 1-410-767-5340. Failure
to report changes to both Maryland Medicaid and MAPS-MD
may result in non-payment of claims.
License updates must be handled through the Maryland
Medicaid Provider Master File. All providers must ensure
that Maryland Medicaid has an up-to-date license to
avoid payment issues. |
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Maryland Public Mental
Health System Rates
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