How Maryland Medicaid Works

Medicaid is available to individuals and families with limited income and resources, including pregnant women and some immigrants.

Children up to age 19 may qualify for Medicaid coverage through the Maryland Children's Health Program (MCHP), even if their parents don't qualify.

Unlike most health plans, enrollment is available year-round.

If you need help applying for Medicaid or finding the right plan, dial 211 or connect with a Medicaid navigator program.

Get Help With Medicaid

Who Qualifies for Medicaid?

Medicaid is typically available to those who financially qualify and are:

An adult 20-64 years old
A child 0-19 years old
Pregnant individual
Parent or primary caretaker
Former foster care youth

If you receive other types of public assistance, you may automatically be offered Medicaid.

Medicaid costs are income-based and depend on family size. To get an idea of whether you qualify, recent guidelines indicate that coverage is available for a family of four with children at incomes up to $8,855 per month. However, eligibility changes. View the latest guidelines.

Áp dụng

Pregnant Women

While pregnant, you may be eligible for Medicaid. You can apply at any time during the pregnancy. Coverage also extends past birth for 12 months, so you have time to access postpartum and other health services.

There are income limits.

Are Immigrants Eligible for Medicaid?

Depending on your immigration status, you may be able to apply for Medicaid. You typically qualify if you've lawfully been in the U.S. for 5 years.

However, children under 21 are not subject to the 5-year rule. Also, pregnant women (regardless of immigration status) are eligible for Medicaid.

You don't need a Social Security Number (SSN) or Taxpayer Identification Number to apply. If you request financial help and file taxes, you will be asked for your SSN.

Federal rules are changing, including the qualifications for financial help with a private plan. You can still apply, but costs may go up.

Read the Maryland Health Connection Frequently Asked Questions (FAQs) about immigration status.

Read the FAQs

Medicaid for Children

Children may qualify for additional Medicaid health benefits under the Maryland Children's Health Program (MCHP). It's the state's Medicaid program for children up to age 19. Costs may vary, depending on income and family size.

Maryland Children's Health Program

Like Medicaid, care is provided by a Managed Care Organization (MCO).

The MCO provides the following benefits for children:

Chăm sóc nha khoa
Doctor visits, including sick and well-visits
nhập viện
Công việc trong phòng thí nghiệm và thử nghiệm
Hỗ trợ sức khỏe tâm thần
Điều trị sử dụng chất gây nghiện
Chích ngừa và chích ngừa cúm
Thuốc theo toa
Vận chuyển đến các cuộc hẹn y tế
Tầm nhìn

Áp dụng

How Medicaid Works

Most people on Medicaid receive care through a Managed Care Organization (MCO).

If you're not enrolled in an MCO, your doctor must submit their fee to Medicaid for payment. These are fee-for-service plans.

What's a Managed Care Organization (MCO)?

MCOs are private insurance companies chosen to provide and manage Medicaid benefits.

The MCO covers your health care.

What's Covered?

Most health care services are covered by Medicaid.

The MCO covers basic health services:

Thăm khám bác sĩ, bao gồm kiểm tra thường xuyên và bác sĩ chuyên khoa
chăm sóc thai kỳ
Kế hoạch hóa gia đình và kiểm soát sinh sản
Thuốc theo toa
Dịch vụ bệnh viện và cấp cứu
Sơ đẳng dịch vụ sức khỏe tâm thần thông qua bác sĩ của bạn
Xrays and lab work
Home health services

You'll also get coverage for dental care under Maryland's Healthy Smiles Program.

Finding an MCO

You have options for an MCO. Check which providers serve your area and whether your doctors and pharmacy are part of the MCO.

You can also view the additional services that each provides.

View a list of Managed Care Organizations to find the one for your situation.

Compare options

How do I get help with enrollment?

If you have questions, free help is available in counties throughout Maryland. Navigators can answer questions in-person and help you find the most savings, and help with enrollment.

The navigator programs are offered through third parties. Find the one nearest you.

Far Western Counties

Where: Garrett, Allegany, Washington
Who: Western Maryland Health Insurance Connector (AHEC West)
Phone: 888-202-0212

Mid Western and Central Counties

Where: Frederick, Carroll, Howard, Baltimore, Baltimore City, Anne Arundel
Who: Health Care Access Maryland (HCAM)
Phone: 855-288-3667 and choose the navigator option.

Capital North

Where: Montgomery
Who: Montgomery County Health Connection
Phone: 240-777-1815

Capital South

Where: Prince George's County
Who: Prince George's Health Connect (PGC Health Connect)
Phone: 301-927-4500

Eastern Shore & Southern

Where: Harford, Cecil, Kent, Queen Anne's, Talbot, Caroline, Dorchester, Wicomico, Somerset, Worcester, Calvert, Charles, St. Mary's
Who: Seedco
Phone: 855-445-5540

Local health departments and departments of social services can also help. You can also call Maryland Health Connection at 1-855-642-8572 or attend a local event.

health counselor offering help at computer

How Do I Enroll?

Medicaid enrollment is through Maryland Health Connection.

What is Maryland Health Connection?

It's a one-stop enrollment resource for Medicaid and private insurance. You can get an estimate of coverage costs before creating an account and applying for a plan.

Khi nào đăng ký?

Enrollment is open year-round for MCHP and Medicaid, through Maryland Health Connection.

If you become pregnant, you can also enroll in a health plan or change it within 90 days of learning you're pregnant.

Các cá nhân cần gia hạn bảo hiểm mỗi năm một lần. Bạn sẽ được liên lạc khi đến lúc gia hạn.

What is the application process?

There are 3 ways to apply for Maryland Medicaid, and the Maryland Children's Health Program (MHCP):

Gọi 1-855-642-8572
Áp dụng trực tuyến.
Download the agency’s mobile app (Enroll MHC) on Quả táo hoặc Android.

After applying for help, you may need to verify your information, such as your income, citizenship, Social Security number, or other coverage.

You may also need to print, sign, and upload an affidavit to prove your information. Tìm hiểu thêm về các loại tài liệu bạn có thể sử dụng để xác minh thông tin của mình và các bản khai có tuyên thệ mà bạn có thể cần để đủ điều kiện nhận Medicaid.

During the application, you'll also choose a Managed Care Organization (MCO).

Áp dụng

Find a Doctor Who Takes Medicaid

Once you have Medicaid, you can use the Maryland Department of Health's Provider Finder tool to find a doctor or facility that accepts Medicaid.

Quay số 211

Hãy trò chuyện với một người chu đáo và giàu lòng trắc ẩn 24/7. Họ cũng có thể kết nối bạn với các nguồn lực.

Quay số 211 (di động)

khám phá các chương trình hỗ trợ

Tìm hiểu về các chương trình trợ cấp và cách kết nối với bộ phận hỗ trợ.

khám phá các chương trình hỗ trợ

Tìm hiểu về các chương trình trợ cấp và cách kết nối với bộ phận hỗ trợ.

Who Qualifies for Medicaid?

Pregnant Women

Are Immigrants Eligible for Medicaid?

Medicaid for Children

Maryland Children's Health Program

How Medicaid Works

What's a Managed Care Organization (MCO)?

What's Covered?

Finding an MCO

How do I get help with enrollment?

Far Western Counties

Mid Western and Central Counties

Capital North

Capital South

Eastern Shore & Southern

How Do I Enroll?

What is Maryland Health Connection?

Khi nào đăng ký?

What is the application process?

Find a Doctor Who Takes Medicaid

thông tin sức khỏe liên quan

Quay số 211

khám phá các chương trình hỗ trợ

khám phá các chương trình hỗ trợ

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