Page 3
102
Public Information Provision of Public Information If anyone requests public information about MA policies and procedures, DHMH must provide the information either orally or in writing. Information must be provided about the: MA eligibility requirements, including the income and resource limits, and the policies related to spend-down of over-scale income and reduction of over-scale resources; Available MA services; and The applicant‟s or recipient‟s (A/R‟s) and representative„s rights and responsibilities. DHMH publishes fact sheets and brochures and a website about MA at: http://mmcp.dhmh.maryland.gov. Information about MA eligibility is also available by calling the DHMH Division of Eligibility Services: 410-767-1463 or 1-800-492-5231 ext.1463. HIPAA Privacy
The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) require the use of standard electronic health transactions by health insurance plans; including private, commercial, Medicaid and Medicare, healthcare clearinghouses and healthcare providers. The primary intent of the law is to allow providers to meet the data needs of every insurer electronically with one billing format using standardized healthcare industry data and code sets. Centers for Medicare & Medicaid Services (formerly known as Health Care Financing Administration) Common Procedure Coding System (HCPCS) are the specified code set for procedures and services. Additional information on HIPAA can be obtained from the Department‟s web site at http://dhmh.maryland.gov/hipaa.