A. INTRODUCTION This section explains the use of the State of Maryland Eligibility Verification System and briefly summarizes the billing for services provided to MCO recipients, (EVS) including newborn care. Although the section provides resource information on relevant MCO billing instructions, it is not intended to supplant the MCO’s billing instructions. MCO specific billing instructions can be found on each MCO’s web site or in their manual. Included in this section is also billing information about fluoride varnish application, Vaccines for Children program, and other services specific to child’s health that should be billed to Medicaid Fee-for-Service (FFS). In addition, the section instructs providers how to bill using the CMS-1500 Claim Form or 837P electronic format.
A. INTRODUCTION This section explains the use of the State of Maryland Eligibility Verification System (EVS) and briefly summarizes the billing for services provided to MCO recipients, including newborn care. Although the section provides resource information on relevant MCO billing instructions, it is not intended to supplant the MCO’s billing instructions. MCO specific billing instructions can be found on each MCO’s web site or in their manual. Included in this section is also billing information about fluoride varnish application, Vaccines for Children program, and other services specific to child’s health that should be billed to Medicaid Fee-for-Service (FFS). In addition, the section instructs providers how to bill using the CMS-1500 Claim Form or 837P electronic format.
Section_6_2017.docx