MedicaidAdministrativeLow impact
Proposed repeal of Regulations .01-.17 and adoption of new Regulations .01-.17 under COMAR 10.09.69 Managed Care Program: Rare and Expensive Case Management (REM)
Maryland Medicaid·MD·Rare and Expensive Case Management Program (REM)
Effective date
Jan 1, 2004
We identified it
Jun 20, 2026
Summary
Maryland is proposing to repeal and replace regulations for the Rare and Expensive Case Management (REM) program under Maryland Medicaid Managed Care, clarifying eligibility criteria, provider requirements, and service limitations. The policy formalizes deletion of several optional services including acupuncture, behavioral management, and specialized equipment that were never implemented.
Action Required
Maryland Medicaid providers should review the proposed REM program changes if they serve patients with rare and expensive conditions. Submit comments to Michele Phinney at Maryland Department of Health by November 3, 2003 if the changes will impact your practice operations.