• 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.

    Expansion of residential drug treatment reimbursement under way
    Guidance to providers is first step toward helping more people get inpatient help
    Baltimore, MD (May 12, 2017) –  Maryland expansion of residential drug treatment reimbursement advanced today, as the Medicaid program sent guidance materials to providers in advance of the July 1 implementation. The expansion, solidified in the program’s federally approved waiver, will enable providers to receive previously denied reimbursement, a statutory obstacle that contributed to the opioid crisis here.
    “The expansion of this reimbursement to residential treatment providers could not come at a better time,” said Health and Mental Hygiene Secretary Dennis R. Schrader. “We are so grateful for the support Gov. Larry Hogan provided for our Medicaid waiver application that featured this reimbursement as a linchpin of the policies put in place to combat the opioid epidemic.”
    Medicaid’s expansion of treatment reimbursement and similar policies coincide with Governor Hogan declaring a state of emergency in Maryland and forming the Opioid Operational Command Center, which works to improve state and local agencies’ collaborations to raise awareness and to save lives.
    The IMD Waiver, approved by the U.S. Centers for Medicare & Medicaid Services on December 27, 2016, will provide Medicaid reimbursement for inpatient, 8-507 treatment services. This will increase provider capacity and Marylanders’ access to these services. The federal IMD exclusion has prohibited Medicaid reimbursement for adults between the ages of 21 and 64 who are receiving services provided in a hospital, nursing facility, or other institution of more than 16 beds that is primarily engaged in providing diagnosis, treatment, or care of persons with mental diseases, including medical attention, nursing care and treatment of individuals with mental diseases.
    Because of this non-payment policy, many Medicaid enrollees with acute psychiatric and addiction treatment needs have been referred to hospital emergency departments and general acute care inpatient units, rather than smaller, community-based specialized providers with expertise to care for these individuals. The IMD exclusion waiver is part of a series of innovations being employed by the Medicaid program to combat the opioid epidemic.
    In partnership with all eight of its HealthChoice managed care organizations, the program Maryland Medicaid is working to reduce opioid misuse, dependence, overdose and death in both Medicaid fee-for-service and HealthChoice managed care programs.
    HealthChoice policy changes, effective July 1, 2017, will work to:
    ·         Prevent medical and non-medical opioid use, abuse, and substance use disorder from developing;
    ·         Identify and treat opioid dependence early in the course of the disease;
    ·         Prevent overdose deaths, medical complications, psychosocial deterioration, transition to injection drug use, and injection-related disease; and
    ·         Identify and outreach to providers who do not follow standard practice.
    All high-dose and long-acting opioids, including fentanyl prescriptions issued to Maryland Medicaid members, are now subject to prior authorization. In addition to these new prior authorization requirements, Maryland Medicaid is also encouraging providers to:
    ·         Consider non-opioids as first-line treatment for chronic pain;
    ·         Offer naloxone to patients who meet certain risk factors;
    ·         Conduct thorough substance use disorder screening prior to prescribing opioids;
    ·         Refer patients to treatment that are identified as having a substance use disorder; and
    ·         Use the Department’s Prescription Drug Monitoring Program for all Controlled Dangerous Substance prescriptions.
    This joins the May 15, 2017, implementation of a payment policy for community-based Medication Assisted Treatment (MAT) – a clinical intervention that combines the use of medications and substance use disorder counseling. Medicaid will now provide a re-bundled methadone reimbursement rate to include a $63 per-week-per-patient bundle for methadone maintenance, and the ability for Opioid Treatment Programs (OTP) to bill for outpatient counseling separately, as clinically necessary. 
    This July, the HealthChoice program will mark its 20th year. Since 1997, HealthChoice has helped Maryland Medicaid manage cost, enhance service utilization, and increase health care quality for Medicaid recipients. Today, HealthChoice serves more than 80 percent of Marylanders enrolled in Medicaid. Eight managed care organizations partner with the Department to ensure access to quality services through a broad network of providers across the state.
    Last year, Maryland Medicaid marked its 50th year of serving Maryland’s most vulnerable populations through the provision of medically necessary services.