DIVISION OF LONG TERM CARE
Samuel Colgain III, Chief
(410)767 1712

The Division of Long-Term Care was organized
in 1987 The Division reviews and controls the use of
long term care services provided by special chrome,
psychiatric and rehabilitation hospitals, skilled and
intermediate nursing facilities, home health and per
sonal care programs, medical day care, and commu
ruty placements for the developmentally disabled

DIVISION OF MEDICAL ASSISTANCE
RECOVERIES
Greta E Rolland, Chief
(410) 767 1760

The Division of Medical Assistance Recoveries
started in 1969 The Division operates third party
liability programs Through these, other responsi
ble parties are pursued for payment of health care
received under the Medical Assistance Program,
and money spent on behalf of recipients is recov
ered from sources allowed by federal or State law

DIVISION OF UTII IZATION
& ELIGIBILITY REVIEW
Rosalie Koslot, Chief
(410) 767 1694

Formed in 1979, the Division of Utilization and
Eligibility Review is responsible for the use and
eligibility review of the Medical Assistance Pro
gram The Division oversees corrective managed
care, diabetes care, and hospice care, and quality
assurance for these programs, and for health main
tenance organizations, and the Maryland Access to
Care Program The Division investigates and refers
for prosecution and money recoveries fraud cases
involving recipients of the Medical Assistance Pro
gram and the Pharmacy Assistance Program, iden
tifies and refers recipients who have misused
benefits, and oversees the recipient component of
the surveillance and utilization review subsystem of
Medicaid Management Information System The
Division also is responsible tor projects relating to
child abuse and to the use of Medicaid services

MEDICAL CARE POLICY
ADMINISTRATION

Joseph M Millstone, Director
John G Folkemer, Deputy Director

201 West Preston St
Baltimore, MD 21201—2399 (410) 767-1432
(410) 767-5206

The Medical Care Policy Administration began
as the Policy Administration in 1975 In 1987, the
Policy Administration was renamed the Health Sys

terns Financing Administration The Administra-
tion received its present name in March 1990
The Administration develops and reviews poli-
cies and regulations that establish eligibility criteria,
define services, detail coverage, specify limitations,
and determine reimbursement rates for the Medical
Assistance Program (Medicaid) In addition, it up
dates the State Plan for the Medical Assistance
Program and secures federal approval for program
changes to assure the continued availability of fed
eral matching funds

The Administration is aided by the Medical
Assistance Advisory Committee and works through
ten divisions Acute Care, Administrative Services,
Aging Services, Community Support Services, Eh
gibility Services, Long Term Care, Maternal and
Child Health, Primary Care, Special Populations,
and Waiver Programs

MEDICAL ASSISTANCE ADVISORY COMMITTEE
Mary Ann Thompson, Chair, 1996

Staff Mary Pat Farkas (410) 767 5206

The Medical Assistance Advisory Committee
was created for the Medical Assistance Program by
the Secretary of Health and Mental Hygiene in
accordance with the federal Social Security Act (sec
1902A(22)) The Committee advises and consults
with the Deputy Secretary for Health Care Policy,
Finance, and Regulation

The Committee's thirty members are appointed
to three year terms by the Secretary of Health and
Mental Hygiene Members serve on one of several
subcommittees which review pending legislation,
Five Year Plan objectives, or special programs

DIVISION OF ACUTE CARJE
Patricia C Burkholder, Chief
(410) 767 1455

Established in July 1979, the Division of Acute
Care plans, prepares, and amends regulations, and
interprets policy for the following parts of the
Medical Assistance Program Free-standing Dialy
sis Centers, Hospitals, Medical Laboratories, Resi
dential Treatment Centers, and Pharmacy

DIVISION OF ADMINISTRATIVE SERVICbS
Theresa G Smith, Chief
(410)767 1436

The Division of Administrative Services was
formed in March 1990 The Division conducts
personnel transactions, prepares budgets, promul
gates Medicaid regulations, and formulates amend
ments to the Medicaid State Plan