• English

    Google Translate Disclaimer

    The Maryland Department of Information Technology (“DoIT”) offers translations of the content through Google Translate. Because Google Translate is an external website, DoIT does not control the quality or accuracy of translated content. All DoIT content is filtered through Google Translate which may result in unexpected and unpredictable degradation of portions of text, images and the general appearance on translated pages. Google Translate may maintain unique privacy and use policies. These policies are not controlled by DoIT and are not associated with DoIT’s privacy and use policies. After selecting a translation option, users will be notified that they are leaving DoIT’s website. Users should consult the original English content on DoIT’s website if there are any questions about the translated content.

    DoIT uses Google Translate to provide language translations of its content. Google Translate is a free, automated service that relies on data and technology to provide its translations. The Google Translate feature is provided for informational purposes only. Translations cannot be guaranteed as exact or without the inclusion of incorrect or inappropriate language. Google Translate is a third-party service and site users will be leaving DoIT to utilize translated content. As such, DoIT does not guarantee and does not accept responsibility for, the accuracy, reliability, or performance of this service nor the limitations provided by this service, such as the inability to translate specific files like PDFs and graphics (e.g. .jpgs, .gifs, etc.).

    DoIT provides Google Translate as an online tool for its users, but DoIT does not directly endorse the website or imply that it is the only solution available to users. All site visitors may choose to use alternate tools for their translation needs. Any individuals or parties that use DoIT content in translated form, whether by Google Translate or by any other translation services, do so at their own risk. DoIT is not liable for any loss or damages arising out of, or issues related to, the use of or reliance on translated content. DoIT assumes no liability for any site visitor’s activities in connection with use of the Google Translate functionality or content.

    The Google Translate service is a means by which DoIT offers translations of content and is meant solely for the convenience of non-English speaking users of the website. The translated content is provided directly and dynamically by Google; DoIT has no direct control over the translated content as it appears using this tool. Therefore, in all contexts, the English content, as directly provided by DoIT is to be held authoritative.

    Our Staff:

    Nedina Broy-Stevenson, Deputy Chief


     (410) 767-5129

    Edward Williams, Accountant Supervisor II


    (410) 767-6003

    Carmen Oketch-Williams, Accountant Advanced

    carmen.oketch-williams @maryland.gov​

    (410) 767-5138

    Denise Lewis, Accountant Advanced


    (410) 767-1595


    The Division of Cost Accounting (DCA) is charged with the following fiscal responsibilities:

    DCA is responsible for establishing charges for services rendered by MDH providers and inpatient facilities.

    • DCA is responsible for the annual preparation of the Medicare and Medicaid Federal Cost reports for the MDH facilities.  The purpose of these cost reports is to obtain Federal fund reimbursement for all allowable MDH inpatient costs.
    • The Division also prepares and submits the department’s federal Indirect Cost Report that is used to obtain federal grant award reimbursement for the Department’s indirect costs as defined by federal guidelines.
    • DCA is responsible for the annual reconciliation of all PCIS payments.
    • The Division is also responsible for the administration of the post audit settlement process for all provider audits performed by the MDH Audit Division.

    Local Health Department and Private Vendors Forms

    The following Forms are Microsoft Word, Adobe PDF and Excel Documents.  To view or open, please select one of the following:

    Division of Reimbursements

    The Division conducts financial investigations to determine the legally responsible parties for the care provided to individuals by the MDH facilities.  As part of this investigation, the Division determines the legally liable person’s ability to pay in accordance with Maryland laws and determines existing and potential third party insurers. Once the responsible party is determined, the Division then performs billings for the State hospital centers in an effort to recover the cost of care.

    The Division consists of a Central billing office located in Baltimore, Maryland and nine field offices located in MDH hospital centers through out the State.  These nine Field Offices also provide financial agent services to an additional four state health care facilities, including nursing facilities and residential treatment facilities located statewide. In addition to conducting financial investigations and ability to pay determinations, the Field Office staff performs Medicaid eligibility determinations and Medicaid certifications for the inpatients of the facilities.

    The Central Office provides executive direction, fiscal accounts management, and management information systems to support the operations of the entire Division. The Central Office also provides legal support, and prepares claim filings against the estates of deceased recipients of services. The Central Office bills the cost of care to the recipient of service, the responsible relative, commercial insurances, Medicare and/or Medicaid depending upon the available coverage and eligibility.  All funds recovered are returned to the State Treasury as an offset of the cost of providing care to those who are indigent. 
    The Division bills for the cost of care provided to inpatients receiving care at the MDH facilities which include two Chronic facilities, two nursing facilities, two Developmental Disability facilities, and the seven Mental Health facilities.

    Laws and Regulations

    The Division of Reimbursements operates under principals of law as set forth by the Health-General Title 16, §16 of the Annotated Code of Maryland, and by the Maryland Code of Regulations (COMAR), Maryland Code of Regulations (COMAR) under sections 10.02.01, 10.02,03, and 10.04.01.  COMAR describes the responsibilities of the Division, the Department and the recipient of service and their legally liable sponsors. Further, COMAR describes the methodology used in the ability to pay determination, and special allowances and exemptions from the law. 

    COMAR (B), defines a chargeable person as  (1) “any responsible relative; and (2) Except for a recipient of services, any other person who is legally responsible in an individual or representative capacity for the care of the individual.”

    A responsible relative is described in as “(1) Spouse of a recipient of services; (2) Parents of a recipient of services who is a minor; and (3) Children of a recipient of services.”
    COMAR 10.02.02 addresses “Abandonment or Abuse of Responsible Relatives by Recipients of Care”.  This Chapter defines abandonment and/or abuse and also defines what proof is required to substantiate this exemption.

    COMAR 10.02.03 addresses “Appeal Hearings to the Division of Reimbursements” and defines the opportunity for appeal, the notification process and the requests for a rate review and an appeal hearing.

    COMAR 10.04.02 addresses the “Establishment and Payment of In-Patient Charges by Recipients of Services and Other Chargeable Persons for the Patient’s Care”.  Issues addressed in this Chapter include the “Determination of the Ability of a Recipient of Services to Pay” and the “Determination of the Ability of a Responsible Relative to Pay.