Get the free DHMH 1159C - Maryland Medical Programs - mmcp dhmh maryland
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MARYLAND MEDICAL ASSISTANCE PROGRAM LIEN WORKSHEET NOTE: COMPLETE THIS FORM ONLY IF THE PERSON OWNS HOME PROPERTY. PART I. INSTITUTIONALIZED PERSON'S IDENTIFICATION Name Representative Address PART
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What is dhmh 1159c - maryland?
dhmh 1159c - maryland is a form used by healthcare providers in Maryland to report their Medicaid claims and reimbursement information to the Department of Health and Mental Hygiene (DHMH).
Who is required to file dhmh 1159c - maryland?
Healthcare providers in Maryland who participate in the Medicaid program are required to file dhmh 1159c - maryland. This includes hospitals, clinics, physicians, and any other provider that submits Medicaid claims for reimbursement.
How to fill out dhmh 1159c - maryland?
To fill out dhmh 1159c - maryland, healthcare providers need to provide information such as patient demographics, services provided, dates of service, billing codes, and the amount charged. The form can be filled out electronically or on paper, following the instructions provided by DHMH.
What is the purpose of dhmh 1159c - maryland?
The purpose of dhmh 1159c - maryland is to collect data on Medicaid claims and reimbursement in Maryland. This information is used by DHMH to monitor the Medicaid program, ensure proper payment to providers, and analyze healthcare utilization and costs.
What information must be reported on dhmh 1159c - maryland?
On dhmh 1159c - maryland, healthcare providers must report patient information such as name, Medicaid ID, and demographics, as well as details of the services provided, including diagnosis codes, procedure codes, dates of service, and the amount charged. They must also provide their own information, such as their provider number and contact details.
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