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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 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 ...
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.
The Rare and Expensive Case Management (REM) Program provides community-based care coordination services for people with specialized health care needs, providing access care services in a cost effective setting outside a managed care organization.
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. REM program participants are assigned a case manager.
Rare and Expensive Case Management Program (REM) A fee for service Medicaid program that provides medical benefits for individuals with qualifying medical conditions. History of the REM Program. Began in 1997. Started when medical assistance recipients began enrolling in MCOs for their medical care.
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 ...
