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Manual Overview

The Maryland State Medical Assistance (MA) Manual was developed to assist Case Managers (CMs) with determining eligibility for MA for the State of Maryland. The MA Manual is a supportive guide for Local Departments of Social Services (LDSS), Local Health Departments (LHD), and other governmental and non-governmental entities.

It provides a clear statement for the State of Maryland policies and procedures for eligibility for MA which has been printed to date. The policies and procedures described here are supported by Maryland‟s MA state plan, which has been approved by the Centers for Medicare & Medicaid Services (CMS) and embodied in the Code of Maryland Regulations (COMAR 10.09.24).

The Manual embodies 16 chapters with table of contents and objectives in the beginning of each section, attachments and examples within each section, Frequently asked Questions (FAQs) and Answers at the end of each section, and COMAR located in the back of the entire Manual. All applicable statutes and regulations should be referenced as needed for more detailed information regarding its usages. In order to obtain information regarding a particular topic, one can find it in the following ways:

 Refer to the Table of Contents;

 Refer to the Code of Maryland Regulations (COMAR 10.09.24);  Check the individual section content and objectives;  Reference the Frequently Asked Questions (FAQs) and Answers at the end of each section; or  Check updated manual releases.

Goals for this Manual 1. Provide a clear understanding of the Maryland MA program and your role within the eligibility determination process; and 2. Provide a quick guide to help you find answers to questions you may have about MA eligibility. The online version of this manual can be downloaded in its entirety. It may also be downloaded in sections on the State website at http://dhmh.maryland.gov.

The State of Maryland MA Manual was developed by the Office of Eligibility Services.