How to Get Maryland Medicaid Benefits

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This article is a collection of the best answers to Maryland Medicaid’s most frequently asked questions.

Medicaid is a government-sponsored healthcare program for low-income families and individuals who fulfill specific income and resource requirements. Only the aged, blind, or disabled can access resources within the defined restrictions.

We have scoured the internet to provide all you need to know about the Maryland Medicaid Benefits.

You will learn everything you need to know about Iowa Medicaid in this article.

What is the Maryland Medicaid Program?

Maryland Medicaid is a service for people and families with income and resources that fall inside specific parameters. Resources primarily apply to the elderly, blind, or disabled population within the bounds of specified rules.

Who is eligible for the Maryland Medical Program?

You must be a resident of the state of Maryland, a national or citizen of the United States, a permanent resident, or a legal alien in need of health care or insurance help, and have a low income to qualify for MaineCare. You also need to fit one of the following criteria:

  • Is pregnant 
  • Is in charge of a child under 18 
  • Is blind
  • Having a family member with a disability, or
  • Age 65 or older is required

You must fall under one of the following thresholds for household income (before taxes) in order to qualify:

Annual Household Income Limits (before taxes)

Household Size*Maximum Income Level (Per Year)
1$18,075
2$24,353
3$30,630
4$36,908
5$43,186
6$49,463
7$55,741
8$62,018

For households with more than eight members, add $6,277 per additional member.


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How do I contact Medicaid in Maryland?

Contact through the following numbers:

877-463-3464

410-767-6500

What are the Medicaid plans in Maryland?

Maryland’s Medicaid Plans include the state’s new MCO Program. Most Medicaid participants in the state must enroll in HealthChoice MCOs. Except for a few specialized therapy treatments and long-term care services, MCOs provide a range of Medicaid services. 

The contract covers care for substance use disorders, but it also includes services for mental health, which are provided through the state’s mental health sector and paid for on a fee-for-service basis.

For the management of services under the HealthChoice program, Maryland has contracts with 8 MCOs. 

National, for-profit plans include United Healthcare Community Plan & AmeriGroup Community Care (HealthChoice and PAC)

Diamond Plan is a national, for-profit plan which only provides a HealthChoice plan. Local, for-profit health insurance includes Priority Partners and Jai Medical Systems. 

Local, for-profit HealthChoice plans include MedStar Family Choice, Maryland Physicians Care, & Riverside Health. Been That, a neighborhood non-profit, handles care coordination for the Staying at Home Waiver. 

Maryland enters into agreements with all MCOs capable of meeting its requirements and establishes rates via an administrative procedure based on actuarial calculations.

What if a person’s income is too high to qualify for regular Medicaid benefits?

Maryland may grant a Medicaid spend-down for old, blind, and crippled adults who do not meet the eligibility requirements.

If you require Medicaid coverage and your income exceeds the state’s Medicaid income limits. To qualify for Medicaid, you can use this program to subtract a portion of your medical costs from your income.

If your medical costs significantly reduce your usable payment, you can qualify for a Medicaid spend-down.

What is covered by Maryland Medicaid?

Based on your coverage group—which is decided by your income, age, medical needs, or whether you require assistance with daily living—MaineCare pays for medically essential services (ADLs).

The following are some instances of services that might be covered:

  • Seeing a doctor
  • Medications on prescription
  • Services for behavioral health
  • Labs and X-rays
  • Hospital and emergency room visits

Can I have both Maryland Medicaid and Medicare?

Medicare and Medicaid are available to those 65 years old or older. If you are younger than 65, you can only receive Medicaid benefits if all other eligibility requirements are met.

Maryland Medicaid Waivers?

On behalf of the Medicaid Office of Maryland, the Developmental Disabilities Administration (DDA) oversees the Family Supports, Community Supports, and Community Pathways 1915(c) Medicaid home and community-based waiver programs

The federal Centers for Medicare and Medicaid (CMS) have approved a Waiver program that enables states to waive or modify the standard standards so that Medicaid and other services can be provided to people with different needs or income levels in different locations at different times. 

This kind of program offers services in the community to those who qualify as an alternative to getting them into a facility. The initial and ongoing fulfillment of particular technical, medical, and financial requirements by applicants.


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Medicaid Eligibility

What is the highest income limit for Maryland Medicaid?

The highest income limit for Iowa Medicaid is approximately $18,075 for an individual. Roughly $24,353 for a family of two (or higher depending on family size).

What documents do I need to apply for Medicaid?

Your Medicaid office can ask you for the following:

  • Proof of birthdate (e.g., birth certificate)
  • A passport, driver’s license, birth certificate, green card, or employment authorization card are examples of documents that can be used as evidence of lawful residence or citizenship in the United States.
  • A record of all income sources, both legal and illegal (e.g., paycheck stubs, retirement benefits, Supplemental Security Income)
  • Proof of sources (e.g., bank or stock statements, life insurance policies, property)
  • Evidence of residence (e.g., rent receipt, landlord statement, deed)
  • Including the Medicare card and any insurance cards (you can also provide a copy of the insurance policy)

What is the best Medicaid in Maryland?

The same services are provided to all plans in Maryland. No single ideal strategy exists for the whole state; citizens must select a plan that works best for their own county.

Whatever plan you select will get the same level of care and support.

Where do I find the letter showing the reason(s) for denial or discontinuance from Maryland Medicaid?

For enrollment and checking of your Maryland Medicaid health information status visit https://www.marylandhealthconnection.gov/


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Where can I upload the documents for Maryland Medicaid?

You can submit documents for Maryland Medicaid at Maryland Health Connection.

Documents can be mailed to Maryland Health Connection, PO Box 857, Lanham, MD 20703, if you cannot submit them online. Please don’t send originals. Include the bar-coded cover sheet enclosed with your notification, or print your name and application ID on the file.


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Editor
Sabrina is a former campaign manager who has decided to focus her effort to help people contact senators and get help. She leads our Editorial Team with Ronald and Lawrence to curate content and resources that help us navigate the system.

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