Md. Code Regs. 10.09.33.09 - Payment Procedures
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 July 1, 2022,
through June 30, 2023, at a monthly rate of $127.21 per participant;
and
(2) Effective July 1, 2023, at
a monthly rate of $131.03 per participant.
Notes
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