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Addendum for Maryland Medical Assistance Program Application FACILITY/ORGANIZATION PT 54 IMD RESIDENTIAL SUD ADULT If you have questions, please contact the Provider Enrollment Helpline at 18444MDPROV
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Provider type 54 sud is a classification used to identify a specific category of service providers in the healthcare system that pertains to a certain type of service delivery or reimbursement.
Healthcare providers who fall under the classification of type 54 sud, including certain facilities and organizations that deliver specific services, are required to file the provider type 54 sud.
To fill out provider type 54 sud, providers must complete the relevant sections of the form, providing necessary information such as identification details, service descriptions, and financial data as specified in the instructions.
The purpose of provider type 54 sud is to ensure proper classification and reporting of certain healthcare services and to facilitate accurate billing and reimbursement processes for these services.
Information required on provider type 54 sud includes provider identification details, type of services rendered, patient encounter data, and any relevant financial information associated with the services provided.
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