Medical Day Care Services Waiver Case Management Implementation

REQUIREMENTS: — By February 28, 2026: Billing and administrative staff must identify all existing MDCSW participants in your patient roster and provide them with CMA selection information (list of five agencies with contact details and QR code). Document which CMA each participant selects or confirm auto-assignment date for compliance tracking. — Before March 16, 2026: Update internal workflows and billing systems to reflect that case management services will NO LONGER be billed or provided by your AMDC. Remove any case management billing line items, CPT codes, or service codes from existing participant plans of service (POS). — Effective March 16, 2026: All billing, clinical, and administrative staff must cease submitting case management claims or documenting case management as an AMDC-provided service. Continue to collaborate with assigned CMAs on POS development and updates, and respond promptly to CMA requests for documentation and service updates. — For all new applicants after February 17, 2026: Provide the CMA selection list and QR code at the time of level of care assessment. Assist participants with technology access for QR code scanning if needed. Ensure participants understand they have 21 calendar days to select a CMA or one will be auto-assigned. — Ongoing (after March 16, 2026): Maintain clear communication channels with each participant's assigned CMA. Respond to all requests for coordination, documentation, and service updates within standard timeframes. Do NOT provide or bill for case management services; provide only authorized medical day care services as outlined in the approved POS. CONSEQUENCES: Failure to transition by the effective date may result in service disruptions for participants, claim denials for improperly billed case management services, and potential compliance violations with Maryland Department of Health regulations.