WHAT IS THE REM PROGRAM?
The Rare and Expensive Case Management (REM) Program is a case managed service alternative, that is part of the Maryland Medicaid HealthChoice Program. The REM Program support individuals with specified rare & expensive conditions. Medicalincs (as a subcontractor to The Coordinating Center) is a REM Provider.
SERVICES COVERED UNDER REM PROGRAM
The goal of the program is to provide integrated, community-based care coordination services for individuals living with these rare & expensive conditions.
Medicalincs provides individuals in the REM program with specialized care coordination services that will improve their access to appropriate, high quality, cost-effective services, and also improve the overall individual care experience.
PHYSICIAN VISITS
HOME HEALTH
SERVICES
PHARMACY
INPATIENT HOSPITAL
SERVICES
DURABLE MEDICAL
EQUIPMENT
RADIOLOGY & LAB
SERVICES
THERAPIES
/PT/OT/SLP/ASSISTIVE
TECHNOLOGY
DISPOSABLE MEDICAL
SUPPLIES
WHAT IS THE REM PROGRAM?
Eligibility
– Must be eligible for Medical Assistance (Medicaid)
– Must have a REM qualifying diagnosis
Referral
An individual can be referred by anyone for the REM program. Medicaid managed care organizations (MCOs) refer individuals when they identify those with REM qualifying diagnoses whose needs are outside the scope of the managed care organizations’ benefits and services.
HOW TO APPLY
Download and print the REM Intake Referral Form
Review eligibility criteria
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
Submit completed form and all supporting clinical information to the:
Maryland Department of Health REM Intake Unit
201 W. Preston Street, Room 210
Baltimore, Maryland 21201-2399
Fax 410-333-5426
For questions, please call the REM Intake Unit at 1-800-565-8190.
An individual can be referred by anyone for the REM program. Medicaid managed care organizations (MCOs) refer individuals when they identify those with REM qualifying diagnoses whose needs are outside the scope of the managed care organizations’ benefits and services.
REM TEAM SPOTLIGHT
Ada Horsfall
Director [ Population Health & Practice Transformation ]
Kristin Yirenkyi
Sr. Clinical Manager
FOR MORE INFORMATION...
- Phone: 240-200-0025 Ext 105