Provider Information

Medicaid ABA Applications

Providers must enroll as ABA providers with the Maryland Medical Assistance Program before they register with Beacon Health Options.  Please note that all ABA providers must have a unique NPI # for ABA services prior to completing the Medicaid application. 

• ePREP

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Provider Council Minutes

• Revised Regulations JOT CALL (PDF)
• June 2018 ABA Provider Council Minutes (PDF)
• September 2018 ABA Provider Council Minutes (PDF)
• December 2018 ABA Provider Council Minutes (PDF)
• March 2019 ABA Provider Council Minutes (PDF)

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Claims/Finance

• Reimbursement
  • Fee Schedule – Effective 01/01/19 (PDF)
  • Guide to Using Direct Claims Submission (PDF)
  • Mailing Address for Paper Claims
  • PaySpan® Health: Healthcare Payment and Remittance Advice (A free service to providers for EFT and ERA receipt)
  • How to Register as a Provider in PaySpan® Health
• Clinical/Utilization Management
• Combination of Services Rules (Updated 01-01-2019)
• Beacon Health Options Maryland Service Grid (Effective 07-12-18)
• Compliance
• COMAR
• Provider Audits
• Audit Tools
• Definitions