CLARIFICATION OF MEDICAL ASSISTANCE ELIGIBILITY BEGIN DATE. FIA issued action transmittal titled, Applications for Prison Inmates Prior to
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1 CLARIFICATION OF MEDICAL ASSISTANCE ELIGIBILITY BEGIN DATE FIA issued action transmittal titled, Applications for Prison Inmates Prior to Release on March 29, 2005; training was held for the liaisons from the Department of Public Safety and Correctional Services and the Family Investment Administration s Local Departments of Social Services on 04/13/05 and 04/26/05. During the training there was a question concerning the medical assistance begin date for the inmate. Eligibility will begin based on the date the customer is released from incarceration. The Department of Health and Mental Hygiene s Division of Recipient Eligibility Programs staff are aware of the procedures for processing these applications. Procedures for the LDSS staff are outlined on Page 4 and the top of page 5 of the action transmittal. In addition to the procedures outlined in the action transmittal, please insure staff complete the following steps: 1. When faxing the C-TAD over to DREP, indicate in the upper left-hand corner in bold lettering, DPSCS Request. This will identify the customer as a pre-release inmate and alert DREP to process the C-TAD immediately. 2. Enter in the eligibility begin date field on the C-TAD, the first day of the month (Example: 05/01/05) in which the customer became eligible for community medical assistance. 3. On the DEM1 screen, the living arrangement should be AH, for living at home, in the month the customer is released. This will allow the system to determine eligibility in the month of release. 4. In the Narration section of CARES, include the actual date the customer was released from incarceration. 1
2 ATTACHMENT A COUNTY Local Department Inmate Liaison List TELEPHONE LIAISON NUMBER FAX ALLEGANY Deb Foote (301) (301) ANNE ARUNDEL Mazie Johnson (410) (410) Catonsville Sunday Mbagwu (410) (410) Essex/Dundalk Paige Vance (410) (410) Reisterstown Hazel Whittenburg (410) (410) BALTIMORE CO Towson Sandra Pigott (410) (410) Primary Lana Howell (443) (443) BALTIMORE CITY Backup Elaine Modlin (443) (443) CALVERT James Olsen (410) (410) CAROLINE Rayshelle Robinson (410) (410) CARROLL Phyllis Seipp (410) (410) CECIL Barbara Helsel (410) (410) CHARLES Larriette Neal (301) (301) DORCHESTER Sharlene Harris (410) (410) FREDERICK Denise Mayer (301) (301) GARRETT Tom Rosser (301) (301) HARFORD Carol Clark (410) (410) Primary Hakim Olajide (410) ext. 325 HOWARD Backup Louise Andrews (410) ext. 318 (410) KENT Lisa Smith (410) (410) MONTGOMERY Kathy Barrett (240) (240) PRINCE GEORGE S Teresa Harris (301) (301) QUEEN ANNE S Beatrice Brown (410) (410) SOMERSET Terry Jackson (410) (410) ST. MARY S Melissa Perley (240) (410) TALBOT Martin Payne (410) (410) WASHINGTON Sharon Shafer (240) (240) WICOMICO Chris Bishop (410) (410) WORCHESTER Germaine Garner (410) (410)
3 ATTACHMENT B Department of Public Safety and Correctional Services Inmate Liaison List FACILITIES TELEPHONE CONTACT NUMBER Jennifer Sears (410) BALTIMORE MD. Reception and Diagnostic Center (MRDCC) Janet Washington-Rice (410) Baltimore City Detention Center/ Women s Detention Center (BC/DC/WC) Harry Conyers Gladys Agwu Donna Dyson Anna Falcon Annette Geiger Lisa Venable (410) (410) /4208 (410) (410) (410) (410) Metropolitan Transition Center (MTC) Home Detention Center (HDC) Baltimore Pre-Release Unit (BPRU) Baltimore City Correctional Center (BCCC) MD. Correctional Adjustment Center (MCAC) Waynyell Jackson Margherita McMullen Victoria Good (410) (410) x2788 (410) JESSUP Shirley Price (410) MD. Correctional Institution-Jessup (MCI-J) Barbara Potts, Supervisor (410) MD. Correctional Institution-Women (MCI-W) Baltimore Pre-Release Unit-Women (BPRU-W) MD. House of Correction (MHC) Pam Norbeck, Supervisor Michael Ruckle Monique Wilson (410) (410) (410) Hannah Gould, Supervisor (410) MD. House of Correction Annex (MHC-X) Debra Williams (410)
4 ATTACHMENT B Department of Public Safety and Correctional Services Inmate Liaison List Brockbridge Correctional Facility (BCF) Jessup Pre-Release Unit (JPRU) Southern MD. Pre-Release Unit (SMPRU) Herman L. Toulson Correctional Boot Camp (TBC) Lauri Day (410) x 330 Central Laundry Pre-Release Facility (CLF) EASTERN Marie Carter (410) Eastern Correctional Institution (ECI) Rose Beteck Sylvia Bratten David Parsons (410) (410) x 6347 (410) x 6350 Eastern Correctional Institution Annex (ECI-X) Nancy Lynch (410) x 5580 Popular Hill Pre-Release Unit (PHPRU) Eastern Pre-Release Unit (EPRU) WESTERN Western Correctional Institution (WCI) Bill Taylor (301) Anita Hartman-Rozas (301) Jack Parsons (301) Clint Lepley (301) Nicholas Bambacus (301) Mary Ann Ford (240) Robin Secrist (240) Keri Hendershot-Weymire- (240) HAGERSTOWN MD. Correctional Training Center (MCTC) Herman E. Donnelson/ Emergency Housing Unit (HED/EHU) MD. Correctional Institution- Hagerstown (MCI-H) Minerva Rosenthal (240) Roxbury Correctional Institution (RCI) Marilyn Crawford Minerva Rosenthal (240) (240)
5 Allegany County DSS P.O. Box 1420 Cumberland, MD (301) Anne Arundel County DSS 80 West Street Annapolis, MD (410) Baltimore City DSS Central Medical Assistance c/o Lana Howell 2000 N. Broadway Baltimore, MD (443) Baltimore County DSS Catonsville District c/o Sunday Mbagwu 910 Frederick Road Baltimore, MD (410) Essex District c/o Paige Vance 439 Eastern Avenue Baltimore, MD (410) Reistertown District c/o Hazel Whittenburg 130 Chartley Drive Reistertown, MD (410) UPDATED LIST May 4, 2004 LOCAL DEPARTMENT OF SOCIAL SERVICES Towson District Frederick County DSS c/o Sandra Pigott P.O. Box 237 Drumcastle Center Frederick, MD York Road (301) Baltimore, MD (410) Calvert County DSS 200 Duke Street Prince Frederick, MD (410) Caroline County DSS P.O. Box 100 Denton, MD (410) Carroll County DSS 10 Distillery Drive Suite 10 Westminster, MD (410) Cecil County DSS P.O. Box 1160 Elkton, MD (410) Charles County DSS P.O. Box 1010 LaPlata, MD (301) Dorchester County DSS P.O. Box 217 Cambridge, MD (410) Garrett County DSS Garrett Highway Oakland, MD (301) Harford County DSS 2 S. Bond Street Bel Air, MD (410) Howard County DSS 7121 Columbia Gateway Drive Columbia, MD (410) Kent County DSS P.O. Box 670 Chestertown, MD (410) Montgomery County DHHS 401 Hungerford Road 5 th Floor Rockville, MD (240) Prince George s County DSS 805 Bright Seat Road Landover, MD (301) ATTACHMENT C Queen Anne s County DSS 125 Comet Drive Centreville, MD (410) Saint Mary s County DSS P.O. Box 509 Leonardtown, MD (240) Somerset County DSS P.O. Box 369 Princess Anne, MD (410) Talbot County DSS P.O. Box 1479 Easton, Maryland (410) Washington County DSS 122 N. Potomac Street Hagerstown, MD (240) Wicomico County DSS 201 Baptist Street Suite 27 Salisbury, MD (410) Worcester County DSS P.O Box Commerce Street Snow Hill, MD (410)
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