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Medicaid Eligible Consumer Information
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HOME |
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Medicaid Eligible Consumer Information
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HOME |
Your benefits include the following:
Contact your Managed Care Organization (MCO) to make sure your physical care needs are addressed.
One call provides access to all services, 24 hours a day, any day of the year. Call for help or information about:
Who will take the call?
A Client Service Representative (CSR) will answer the phone. They will ask for general information such as your name and the reason for calling. If treatment is needed, the caller can speak with a Care Manager.
A Care Manager coordinates the services to be provided. They are experienced and licensed and will help you get the best care possible.
All staff must follow strict rules and follow all laws and regulations about releasing consumer information. A consumer must provide written authorization before information is released, unless a psychiatric emergency or law shows otherwise. No one can obtain information from the PMHS about your care unless they are part of the Public Mental Health System providing or managing your health care services.
Maryland's PMHS is set up to meet your mental health needs anywhere in the state. Services covered may include:*
*Please note: All of the above services may not be available to all consumers.
When you think you might have a mental health problem, getting help may be urgent. You can obtain help quickly in these ways:
MAPS-MD must approve a service before a provider can give you care. They approve services that will best meet your needs.
Services are approved because they they are:
If you believe you or a family member has an emergency, you should go to the emergency room closest to your home or you can call 911. If you're not sure, be safe: Call the MHP help line at 1-800-888-1965. You will be helped to assess the seriousness of the situation. If it is an emergency, you will be helped to obtain care right away. Locally, you may also call the Life Crisis Hotline at 800-422-0009 to discuss your concerns.
Emergency rooms in the Mid-Shore region are located at Chester River Health System, 100 Brown Street, Chestertown, MD; Dorchester General Hospital, 300 Byrn Street, Cambridge, MD; and Memorial Hospital at Easton, 219 South Washington Street, Easton, MD.
Remember: All hospital treatment that is not an emergency requires that you or your provider first call MAPS-MD at 1-800-888-1965 for approval before admission.
If you or your provider do not agree with a MAPS-MD decision about your care, you may appeal. The appeal process can include three levels of review. Care Managers must ask the opinion of a physician advisor before care can be denied and must offer an alternate plan to the services being requested.
Medical Assistance recipients also have the right to appeal to the State Office of Administrative Hearings (11101 Gilroy Road, Hunt Valley, MD 21031; 410-229-4100) at any point during the appeal process.
Consumers who do not have Medical Assistance can appeal to the Mental Hygiene Administration after other levels have been tried.
If you are not satisfied with a provider, services or the mental health system, call toll-free 1-800-888-1965. MAPS-MD will assist you and refer your call or issue to the appropriate party.
You may also call MSMHS at (410) 770-4801 and we will assist you.
For questions regarding private insurance please contact: Maryland Insurance Administration - MIA at 525 St. Paul lace, Baltimore, MD 21202-2272, 410-468-2000 or 1-800-492-6116, TTY: 1-800-735-2258, http://www.mdinsurance.state.md.us
The Care Manager at MAPS-MD consults with your provider to develop a care plan. If hospitalization is needed, the Care Manager approves a certain number of days. MAPS-MD will monitor your care and work with your providers.
MAPS-MD will pay providers for the services that you receive. If you do not receive Medical Assistance, you may be asked to pay part of the fee based on your ability to pay.