dures, and controls required for automation pro-
grams. The Administration also provides systems
analysis, programming and data communications,
and training and computer operation services for
the Department's information systems throughout
the State.

TECHNICAL OPERATIONS
Under Technical Operations are the Division of
Medicaid Information Systems (MMIS); the MMIS—
II Project; and the Division of Claims Processing.

DIVISION OF MEDICAID INFORMATION SYSTEMS
Alan R. Shugart, Chief
(410) 225-5408

Established in 1982, the Division of Medicaid
Information Systems serves as the data processing unit
for Medical Care Programs. The Division performs
systems analysis and programming and maintains a
teleprocessing network. It maintains and operates the
Medicaid Management Information System (MMIS),
an automated claims processing and information re-
trieval system mandated by the federal government.
The Division also provides data processing for the
Pharmacy Assistance Program; Geriatric Evaluation
Services (GES); and Statewide Evaluation and Plan-
ning Services (STEPS).

MMIS—II PROJECT
John J. O'Brien, Chief
(410) 225-6937

Formed in 1993, the MMIS—II Project is work-
ing to replace the Medicaid Management Informa-
tion System (MMIS). The Project will secure a
certified MMIS from another state, enhance it to
meet Maryland needs, install it on the State com-
puter, and integrate it with new information sys-
tems technologies.

DIVISION OF CLAIMS PROCESSING
Joseph L. Fine, Chief
(410) 225-5795

The Division of Claims Processing originated as the
Division of Invoice Processing and received its present
name in Fiscal Year 1990. The Division processes all
claims for payment made by providers of health care
services under the Medical Assistance, Pharmacy As-
sistance and Prenatal Assistance Programs. Processing
includes mail sorting, microfilming, entry of claims
into the Batch and Invoice Control File of the Medi-
caid Management Information System, and process-
ing of payments in excess of $1.5 billion annually for
12 million claims received. The Division maintains
records of payments to, as well as collection from, the
more than 25,000 health care providers enrolled in the
Medical Assistance Program. The Division also serves
as a centralized purchasing and inventory unit for the
Administration.

PROGRAM OPERATIONS
Under Program Operations are Recipient Eligibil-
ity Programs; the Kidney Disease Program; and Mary-
land Access to Care (MAC) Recipient Services and
Medical Assistance (MA) Provider Relations.

RECIPIENT ELIGIBILITY PROGRAMS
John P. Stewart, Chief
(410) 225-5406

Recipient Eligibility Programs began as the Di-
vision of Programs and Liaison. The Division was
renamed the Division of Eligibility Services in Fiscal
Year 1990 and was reorganized under its present
name in November 1993.
Recipient Eligibility Programs is responsible for
systems and procedures that update the Recipient
Eligibility Master File; produce and issue Medical Care
Program identification cards; and resolve eligibility
problems. It also oversees the Pharmacy Assistance
Program and the Buy-In Programs for Medicare Parts
A and B. Under the Buy-In Programs for Medicare,
the State, through the Medical Assistance Program,
pays federal premiums for people certified by the local
department of social services as unable to cover hos-
pital insurance (Part A) or medical insurance (Part B).

KIDNEY DISEASE PROGRAM
Barbara A. Bradford, R.N., Chief
(410) 225-5000

The Kidney Disease Program began in 1971. The
Program financially assists Marylanders who are certi-
fied end-stage renal disease patients. This assistance for
treatment is available only after all other medical and
federal insurance coverage has been pursued.

MARYLAND ACCESS TO CARE
(MAC) RECIPIENT SERVICES &
MEDICAL ASSISTANCE (MA) PROVIDER RELATIONS
Dawn L. Grosshandler, Chief
(410) 225-5444

Recipient Hotline: (410) 225-5800
toll free: 1-800-492-5231

MAC Provider Hotline: (410) 225-5460
toll free: 1-800-934-6704

Medicaid Provider Hotline: (410) 225-5503
toll free: 1-800-445-1159

The Maryland Access to Care (MAC) Program began
in December 1991 and was reorganized under its present
name in November 1993. To improve the quality of
health care for Medical Assistance recipients, the Program
maintains a roster of primary care physicians. Recipients
having difficulty finding their own physician may choose
a primary care provider enrolled with the Program. That
provider then refers the recipient to medical specialists as
needed. The Program enrolls both recipients and provid-
ers and informs Medical Assistance recipients about the
Program.