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The Rare and Expensive Case Management (REM) Program is Maryland’s, case managed, fee for service alternative to HealthChoice Managed Care Organization (MCO) participation. The REM Program is for individuals receiving Maryland Medical Assistance with a qualifying diagnosis that is rare in occurrence and expensive to treat.
The Rare and Expensive Case Management (REM) program provides medical case management and other services for eligible individuals with specific medical conditions. This is a voluntary program. You will have an REM case manager who will help you make a plan of care and to find the services you need. Your services must be medically necessary ...
To apply, download and print the REM Intake Referral Form and then meet with your physician. The REM application must be completed and signed by the referring physician and include proper medical documentation supportive of the qualifying diagnosis.
This section will require specific information pertaining to each REM diagnosis. The history and physical sections should be completed. Please refer to the guidelines listed on the REM disease list for the recommended medical documentation for each REM eligible diagnosis. Please contact the REM Intake Unit at 1-800-565-8190 if you have any ...
5 sty 2024 · The Rare and Expensive Case Management (REM) Program is a case managed fee for service alternative to HealthChoice Managed Care Organization (MCO) participation for recipients with specified rare and expensive conditions.
WO-331: REM Emergency Enhancements. 1. Update REM Client Summary Report to Ensure Diagnosis Info Pulls from Active and Approved REM Intake Form. Description: The REM Client Summary Report, report type “Active REM Clients with REM Diagnosis Expiration Between (date to date)” should pull the REM Qualifying Diagnosis from the most recent ...
a referral to the REM program by using the REM Intake and Referral Form (Refer Section 5, Addendum). Participation in the REM program is voluntary. Some examples of diagnoses, which qualify children for the REM Program include spina bifida, cystic fibrosis, hemophilia, congenital anomalies, degenerative disorders, and
