Sec. 10.09.30.06. Payment Procedures

A. Request for Payment.

(1) Requests for payment of services rendered shall be submitted according to procedures established by the Department. Payment requests which are not properly prepared or submitted may not be processed, but shall be returned unpaid to the provider.

(2) Requests for payment shall be submitted on the form specified by the Department.

(3) STEPS providers shall bill the Program the fee specified in §C of this regulation.

B. Billing time limitations for claims submitted pursuant to this chapter are set forth in COMAR 10.09.36.

C. Payments. Payments shall be made:

(1) Only to a qualified STEPS provider as specified in these regulations;

(2) According to the following fee-for-service schedule for STEPS, effective July 1, 2011: DescriptionFee Per Unit of Service

(a) One completed STEPS comprehensive evaluation and multidisciplinary assessment $370;

(b) One completed Medical Eligibility Review form (MDH 3871) for applicants to the Home and Community-Based Services Waiver for Older Adults under COMAR 10.09.54 and the Living at Home Program under COMAR 10.09.55 $52;

(c) Initial STEPS case management (only one unit of service may be reimbursed during the initial 60 days following the beginning of STEPS case management)$90;

(d) Other ongoing STEPS case management (only one unit of service may be reimbursed per month) $15.