Running a PRP shouldn't mean fighting your EMR every month.
DLA-20s on schedule, IRPs tied to real scores, group attendance that holds up in an audit, and billing built around the monthly claim cycle — in an EMR that actually knows what a PRP is.
Generic EMRs don't know what an H2018 is.
You've made a generic EMR work for a program it was never designed for: counting visits by hand at the end of the month, tracking DLA-20 due dates in a spreadsheet, hoping the IRP matches what the assessment actually said, and reconstructing group attendance the week OHCQ shows up. Mallow was built inside a Maryland practice that ran PRP for years — the workflows below aren't adaptations, they're the point.
DLA-20s that stay on schedule
The DLA-20 is built in as a scored instrument — not a form you build yourself. Domain scores carry clinical narrative, reassessment reminders fire from the enrollment date, overdue assessments are flagged, and score trends display longitudinally so six-month reviews and re-authorizations write themselves from real data.
IRPs connected to assessed need
When clinicians build or review a rehabilitation plan, current DLA-20 scores sit alongside the goals. The line surveyors look for — low score, matching goal — is visible and auditable instead of reconstructed at audit time.
Group attendance that survives scrutiny
Group sessions, attendance confirmation, and per-member documentation in one flow. Who attended, who was documented, who was billed — the same answer to all three questions.
Contact notes built for PRP
On-site and off-site contact notes with the fields Maryland PRP documentation actually requires — no repurposed therapy note templates.
Supervision and credentials, tracked
Supervision documentation for direct-care staff and credential expiration tracking with reminders — the two findings that sneak up on every PRP.
Authorizations: units used vs. units approved
Live authorization tracking so you know a client is approaching their limit before the claim denies, not after.
Billing built around the monthly claim cycle.
PRP billing doesn't work like therapy billing, and Mallow doesn't pretend it does. Visits accumulate against the month; documentation status is visible before anything bills, so unsigned notes never become unbillable surprises; H2018 and H2016 claims flow through validation, EDI submission to the clearinghouse, and denial tracking like every other claim in the system — with the visit counts and modifiers in front of you instead of buried in a report.
Every PRP running today has already earned its license. Your EMR should work as hard as you did.
With new PRP enrollments frozen through December 2026, every Maryland PRP is an established program — most of them running on software built for somebody else. Switching feels risky; that's why our onboarding is structured: discovery, configuration, data migration, role-based training, and two weeks of go-live support.
Related reading
A Practical Guide to DLA-20 Assessment Workflows in Maryland PRP Programs
The Daily Living Activities (DLA-20) functional assessment is not optional in Maryland PRP programs. It is the foundation of medical necessity for Medicaid billing, the basis for Individual Rehabilitation Plan (IRP) goal-setting, and one of the first things a Carelon reviewer or OHCQ surveyor will ask to see.
April 6, 2026PRPWriting IRPs That Survive a COMAR Audit: A PRP Documentation Guide
The Individual Rehabilitation Plan is the single most important document in a PRP client's chart. It is the clinical roadmap that justifies every billable service you provide.
April 20, 2026Billing & ComplianceMaryland Extends PRP Enrollment Moratorium Through December 2026: What Existing Providers Need to Know
On June 24, 2026, the Maryland Department of Health announced another extension of its temporary moratorium on new Medicaid behavioral health provider enrollments. The extension runs from July 1, 2026 through December 31, 2026 -- the fourth consecutive extension of a freeze that has been in place since July 2024.
July 6, 2026Billing & ComplianceWriting Progress Notes That Survive a Medicaid Audit: What Reviewers Actually Look For
There is a particular kind of dread that settles over a practice when a Medicaid audit letter arrives. The billing team pulls the sampled charts, the clinical director starts reviewing notes, and within minutes, the pattern becomes clear: some clinicians write notes that could withstand any level of scrutiny, and others write notes that are, charitably, thin.
June 1, 2026Frequently asked questions
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