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The manual provides detailed administrative guidance and billing instructions for Medicaid providers rendering prenatal, gynecological, and family planning services to women enrolled in Maryland Medicaid’s
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How to fill out Maryland Medical Assistance Program OB/GYN/Family Planning Provider Services and Billing Manual

01
Download the Maryland Medical Assistance Program OB/GYN/Family Planning Provider Services and Billing Manual from the official website.
02
Read the introduction section to understand the purpose and scope of the manual.
03
Review the eligibility criteria for providers outlined in the manual.
04
Follow the step-by-step instructions for completing the required forms accurately.
05
Ensure that all necessary documentation is included when submitting claims.
06
Consult the billing guidelines section for codes and modifiers specific to OB/GYN and family planning services.
07
Check for updates or revisions to the manual periodically to ensure compliance.
08
If needed, contact the Maryland Medical Assistance Program help desk for any clarifications.

Who needs Maryland Medical Assistance Program OB/GYN/Family Planning Provider Services and Billing Manual?

01
OB/GYN healthcare providers offering services to Maryland Medical Assistance Program participants.
02
Family planning service providers seeking reimbursement for covered services.
03
Billing specialists and coders working with OB/GYN and family planning providers.
04
Medical administrators managing compliance and billing processes.
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People Also Ask about

Your MCO through Medicaid covers doctor visits, pregnancy care, prescription drugs, hospital and emergency services, and more, at no cost. Maryland Children's Health Program (MCHP) covers full health benefits for children up to age 19.
Your MCO through Medicaid covers doctor visits, pregnancy care, prescription drugs, hospital and emergency services, and more, at no cost. Maryland Children's Health Program (MCHP) covers full health benefits for children up to age 19.
Medicaid, also called Medical Assistance (MA) pays the medical bills of needy and low-income individuals. It is administered by the State and pays medical bills with Federal and State funds.
Income Limits Monthly Income Limit Effective January 1, 2025 Household Size Adults Children 1 $1,801 $4,202​ 2 $2,433 $5,677 3 $3,065 $7,1525 more rows
Medicaid can provide health insurance to pay for medical care such as doctors, hospitals, prescriptions, mental health treatment, substance abuse treatment, and more. Special Medicaid programs pay for care in nursing homes, or for long term services and support in your home or in an assisted living facility.
​Mary​land Family Planning Program​​ The Maryland Family Planning Program makes sexual and reproductive health services accessible and affordable to support the life and health goals of all Marylanders.
Medicaid can provide health insurance to pay for medical care such as doctors, hospitals, prescriptions, mental health treatment, substance abuse treatment, and more. Special Medicaid programs pay for care in nursing homes, or for long term services and support in your home or in an assisted living facility.
Medicaid, also called Medical Assistance (MA) pays the medical bills of needy and low-income individuals. It is administered by the State and pays medical bills with Federal and State funds.
​Mary​land Family Planning Program​​ The Maryland Family Planning Program makes sexual and reproductive health services accessible and affordable to support the life and health goals of all Marylanders.
Income Limits Monthly Income Limit Effective January 1, 2025 Household Size Adults Children 1 $1,801 $4,202​ 2 $2,433 $5,677 3 $3,065 $7,1525 more rows

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The Maryland Medical Assistance Program OB/GYN/Family Planning Provider Services and Billing Manual is a comprehensive guide outlining the policies, procedures, and billing practices for OB/GYN and family planning services covered under the Maryland Medical Assistance Program.
Providers offering OB/GYN and family planning services to Maryland Medical Assistance Program recipients are required to file and adhere to the guidelines set forth in the manual.
To fill out the manual, providers need to follow the specified formats for submitting claims, complete required sections relating to services rendered, patient information, and ensure all necessary documentation is attached as outlined in the manual.
The purpose of the manual is to provide detailed guidance for health care providers on delivering services and submitting claims for reimbursement under the Maryland Medical Assistance Program, ensuring compliance with regulations and standards.
Information that must be reported includes patient demographics, services provided, billing codes, and necessary supporting documentation to substantiate claims for reimbursement.
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