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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.
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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 ...
Maryland’s Rare and Expensive Case Management (REM) Program is a case-managed fee-for-service alternative for participants with specified rare and expensive medical conditions and are eligible to participate in the HealthChoice program.
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The purpose of the REM Program is to ensure that recipients with rare diagnoses have access to high quality, medially appropriate health care services in a cost effective setting outside of a managed care organization. Medical Criteria for REM. Must have specific ICD10 code diagnosis.
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