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Maryland Manual, 1996-97
Volume 187, Page 317   View pdf image (33K)
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The Division coordinates and manages three
home and community based services waivers the
Model Waiver, Senior Assisted-Housmg Waiver,
and Developmental Disabilities Waiver The Divi
sion also directs nine targeted case-management
services programs, and two managed-care waivers
and proposals (Maryland Access to Care and the
Diabetes Care Waiver)

PROGRAM SYSTEMS &
OPERATIONS ADMINISTRATION

Joseph E Davis, Director

201 West Preston St
Baltimore, MD 21201—2399 (410) 767 5400

The Program Systems and Operations Adminstra-
tion began in 1975 as the Medical Care Operations
Administration In November 1993, the Adrrunistra
tion was reorganized under its present name The
Administration develops and maintains systems for
prompt and accurate payment to 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 Assis-
tance Program (Medicaid) The Administration also
manages the Pharmacy Assistance Program For low
income families and individuals who are not eligible
for Medicaid, this State funded program helps pay for
certain kinds of maintenance prescription drugs for
chronic conditions, ann infective drugs, including
AZT, and insulin syringes and needles
The Administration directs Information Services,
Program Operations, and Technical Operations

INFORMATION SERVICES
Hugh C Carnngton, Deputy Director
(410) 767-6830

Information Services originated by 1967 as the Di-
vision of Data Processing under the Bureau of Analysis
and Records By 1973, the Division was placed under
the Office of General Administration As Data Systems,
the unit was reorganized by 1977 as part of the Office
of Service Operations As the Division ofData Processing
in 1981, it came under the Fiscal and Support Operations
Administration By 1983, the Division became part of
the Information Systems Administration, renamed the
Information Services Administration in 1985 The Ad
ministration, as Information Services, was made pan of
the Program Systems and Operations Administration m
November 1993
The Administration devises information process-
ing strategies and implements the policy, procedures,
and controls required for automation programs The
Administration also provides systems analysis, pro
grammmg and data communications, and training
and computer operation services for the Depart
ment's information systems throughout the State

PROGRAM OPERATIONS
John P Stewart, Deputy Director
(410) 767 5406

Under Program Operations are the Kidney Dis
ease Program, Maryland Access to Care (MAC)
Recipient Services and Medical Assistance Provider
Relations, and Recipient Eligibility Programs

KIDNEY DISEASE PROGRAM
Barbara A Bradford, R.N , Chief
(410) 767 5000

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

MARYLAND A CCESS TO CAR£
(MAC) RECIPIENT SERVICES &
MEDICAL ASSISTANCE PROVIDER RELATIONS
Dawn L Grosshandler, Chief
(410) 767 5444

Recipient Hotline (410) 767-5800
toll free 1 800492 5231

MAC Provider Hotline (410) 767 5460
toll tree 1 800 934 6704

Medicaid Provider Hotline (410) 767 5503
toll free I 800 445 1159

The Maryland Access to Care (MAC) Program
started 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 ros
ter 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 providers and informs Medical Assis-
tance recipients about the Program

RECIPIENT ELIGIBILITY PROGRAMS
Vacancy, Chief
(410)767 5406

Recipient Eligibility Programs began as the Di
vision of Programs and Liaison The Division was
renamed the Division of Eligibility Services in 1989
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 eli-
gibility problems It also oversees the Pharmacy
Assistance Program
and the Buy-In Programs for

 

 



 
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Maryland Manual, 1996-97
Volume 187, Page 317   View pdf image (33K)
 Jump to  
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