Effective immediately, providers should complete a correction request form if a change is needed to information that was submitted on the preauthorization request, such as provider name and number or dates of service. If a change is needed, please complete the...

Effective October 1, 2018, Telligen, Inc., Maryland Department of Health's utilization control agent, will complete review for Maryland Medicaid participants who request disposable medical supplies (DMS) requiring preauthorization. Please read the complete memo for...

On May 8, 2018, Maryland Department of Health released a memorandum. This memorandum serves as a reminder to DME providers of several best practices regarding the Qualitrac Portal. The recommendations contained in the document serve to help minimize errors and assure...

Maryland Department of Health released a transmittal on March 9, 2018, explaining the revised process for submitting retroactive eligibility cases to Telligen for review. These cases can now be submitted through the Telligen Provider Portal. Please find complete...

The Telligen Provider Portal will enforce password changes every sixty days starting August 1, 2017. Please review the instructions on how to change a password in the system. The attachment also provides information for the Telligen Help Desk if you need assistance or...

Maryland Department of Health has released a new memo providing guidance on Section 2302 of the Affordable Care Act. Medicaid participants under age 21 for whom hospice care is elected are entitled to services that are curative or life-prolonging as well as to...

Maryland Department of Health released a memo on May 24, 2017 adding additional Durable Medical Equipment procedure codes to be submitted for review to Telligen. Please see the attached memo for details and a complete listing of the additional codes. Memo - 05/24/17

Please review the latest instructions for processing Retro-Eligibility cases for Acute reviews. Maryland Department of Health is requesting that providers attach a copy of the Retro-Eligibility Decision Form to all UB04's submitted for retro-eligibility cases in order...

Maryland Department of Health provided a memo to update the procedure codes to be submitted to Telligen. The list now includes procedure codes E1161, E1232-1238 (wheelchairs), and T5001 (positioning chair used for feeding). See the memo below, dated March 2, 2017, for...

Telligen, The Maryland Department of Health's utilization control agent, is offering training sessions for DME providers. In addition to providing pertinent program information and updates, these sessions will cover recent system upgrades to Qualitrac, which will...