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Maryland Manual, 1985-86
Volume 182, Page 207   View pdf image (33K)
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rates. In addition, it maintains an up-to-date State
Plan and obtains federal approval for Program
changes to assure the continued availability of
federal matching funds.

The Administration works through four Divi-
sions: Long Term Care, Acute Care, Eligibility
Services, and Specialized Health Services.

COMPLIANCE ADMINISTRATION

Lawrence R. Payne, Director

300 W. Preston St.
Baltimore 21201 Telephone: 383-6367

By developing and implementing procedures to
monitor and control the delivery of health care
services, the Compliance Administration assures
that Medicaid benefits are effectively used. It
designs computer applications to detect aberrant
practices; administers systems to preauthorize
costly or abused services; and investigates and
refers fraudulent activities for prosecution. By
recovering reimbursements from all liable third
parties, the Administration also ensures that Med-
icaid is the pay or of last resort.

The Administration is organized into four Divi-
sions: Field Investigation, Health Services Review,
Medical Assistance Recoveries, and Special Health
Programs.

OPERATIONS ADMINISTRATION

Melvina C. Ford, Acting Director

201 W. Preston St.
Baltimore 21201 Telephone: 383-2628

The Operations Administration develops and
maintains systems for prompt and accurate reim-
bursement of claims submitted by providers of
health care services. It maintains files of approved
providers of services and of Maryland residents
certified as eligible to receive services through the
Medical Assistance Program. The Administration
also manages the Maryland Pharmacy Assistance
Program. This state-funded program helps pay for
prescriptions, insulin, and certain medical supplies
for low-income families and individuals who are
not eligible for Medicaid.

The Administration consists of four Divisions:
Systems and Support Services, Invoice Processing,
Programs and Liaison, and Medicaid Information
Systems.

Health and Mental Hygiene/207

MEDICAL ASSISTANCE ADVISORY
COMMITTEE

Chairperson: Douglas H. Morgan

Provider Representatives: Richard Buck, 1985;
Darrell R. Cammack, Jr., 1985; Harry
Klinefelter, M.D., 1985; Helen B. McAllister,
M.D., 1985; Maureen McCleary, 1985; Allen
Bennett, P.D., 1986; Lee Bemhardt, 1986; Peter
Borchardt, 1986; Benjamin J. Kimbers, Jr.,
D.D.S., 1986; Edward Matricardi, 1986; Judith
Ratliff, 1986; John Braxton, Jr., M.D., 1987;
William Hankins, 1987; Joseph LaAsmar, 1987;
Regina M. Phillips, R.N., 1987; Melvin Rubin,
1987; Jackie J. Vickers, 1987.

Consumer Representatives: Mildred Bright, 1985;
Phyllis Colston, 1985; Ronald Harris, 1985;
Rosalyn Hurwitz-Hartman, 1985; Cecilia
Moore, 1985; Gladys Moran, 1985; Jack
Bovaird, 1986; Helen Bridges, 1986; Loretta
Brown, 1986; Eileen Leaman, 1986; Millie
Tyssowski, 1986; Eva Brown, 1987; Jean
Dockhorn, 1987; Felicia Martin, 1987; Ethel
Pace, 1987.

Ex officio: Douglas H. Morgan, for the Secretary of
Health and Mental Hygiene; Gloria Washington,
for the Secretary of Human Resources.

The Medical Assistance Advisory Committee
was created for the Medicaid Program by the
Secretary of Health and Mental Hygiene in accor-
dance with sec. 1902 A(22) of the federal Social
Security Act. The Committee advises and consults
with the Assistant Secretary for Medical Care
Programs. Composed of health care provider and
consumer representatives, the Committee is ap-
pointed for three-year terms by the Secretary of
Health and Mental Hygiene. Members serve on
one of several subcommittees, which review pend-
ing legislation, Five-Year Plan objectives, or spe-
cial programs.

ASSISTANT SECRETARY FOR
MENTAL HEALTH, MENTAL
RETARDATION, ADDICTIONS, AND
DEVELOPMENTAL DISABILITIES

Trevor R. Hadley, Ph.D., Assistant Secretary

201 W. Preston St.
Baltimore 21201 Telephone: 383-7130

The Assistant Secretary for Mental Health,
Mental Retardation, Addictions, and Developmen-
tal Disabilities is responsible for the Mental Hy-
giene, Mental Retardation and Developmental
Disabilities, Drug Abuse, and Alcoholism Control

 



 
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Maryland Manual, 1985-86
Volume 182, Page 207   View pdf image (33K)
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