Maryland PBHS Provider Manual
Note: Please reference the Optum Maryland PBHS Provider Manual to review policies and procedures as well as administrative processes germane to all Optum Maryland providers.
- PBHS Provider Manual (pdf) (Updated 9/15/22)
- PBHS Level of Care Appendix (pdf) (Updated 5/1/23)
- PBHS Medical Necessity Criteria
- PBHS Billing Appendix (pdf)
- Crisis Services Billing Appendix (effective 6/1/24) (updated September 2024)
- UB04 Hospital Billing Instructions & Revenue Code Matrix
- CMS-1500 Paper Form Submission Guidelines
- UB04 - Claim Submission Guidelines