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Definitions of Medicaid in Maryland
Medicaid in Maryland*
"Medicaid (also called Medical Assistance) is a program that pays the medical bills of people who have low income and cannot afford medical care. Medicaid provides three types of critical health protection:
- Health insurance for low-income families, children, the elderly, and people with disabilities;
- Long-term care for older Americans and individuals
- Supplemental coverage for low-income Medicare beneficiaries (e.g., payment of Medicare premiums, deductibles, and cost sharing)."
*source: Maryland Department of Health and Mental Hygiene
, Baltimore, MD 21201
Children's Medicaid in Maryland
See the section on this page
Health Programs for Children: CHIP: Maryland
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Medicaid in Maryland: How It Works; An Introduction to Maryland Medicaid; What is Maryland Medicaid?
- Medicaid brochure or publication:
Maryland Medicaid at a Glance
source: Maryland Department of Health and Mental Hygiene 2 pages; languages: English from the webpage: "...Like other states, Maryland receives federal financial assistance for coverage of Medicaid eligibles through matching federal payments. The proportion of federal payments is based on the state’s per capita income. Maryland’s matching rate is 50% for most services... "
- also from Maryland Department of Health and Mental Hygiene:
web page: Medicaid/Medical Assistance Overview languages: English from the web page: "Medicaid covers persons who fall into certain “categories” such as low- income families, children, pregnant women, women with breast or cervical cancer, the elderly, and persons with disabilities. People who receive money through Supplemental Security Income (SSI) or Temporary Cash Assistance (TCA) automatically receive Medicaid. In addition, persons may qualify for Medicaid because of high medical expenses (commonly hospital or nursing home care), if they have low income and assets and are aged, blind, or disabled... "
- web page:
A Consumer's Guide to Getting and Keeping Health Insurance in Maryland: MEDICAID
source:healthinsuranceinfo.net - Georgetown University's Health Policy Institute languages: English from the webpage: "...Medicaid... In Maryland you may be eligible for Medicaid if you are an infant, a child, pregnant, or a parent of a child and your family income meets the Medicaid income standards... "
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- brochure:
Maryland Medicaid Program: An Overview
source:Poverty & Race Research Action Council
file size: 22 pg. languages: English
from the brochure:"Medicaid provides medical and long-term care coverage to
low income Maryland citizens
.. Medicaid covers three main groups
.. Children and pregnant women
.. The elderly
.. Persons with disabilities
.. The Maryland Children’s Health Program (MCHP) provides health coverage to children in families with incomes below
200% of poverty (a monthly family premium is required for families between 200% and 300%); pregnant women with
incomes up to 250% of poverty are covered under Medicaid..."
- web page:
Key Medicaid Information for Maryland for 2010
source:Elder Law Answers
languages: English
Explains important basics about Maryland Medicaid. Topics include protections for the community spouse, transfers, income, and estate recovery..."
- web page:
Maryland & United States State Medicaid Fact Sheets
source:Kaiser Family Foundation
languages: English
- brochure or publication:
The Healthy Maryland Initiative: Good for Maryland's Economy
source:Families USA
languages: English
from the web page:
"Expanding coverage through the Healthy Maryland Initiative is a sound investment. During 2004-2005, 778,220 Marylanders were uninsured—137,340 of them were children. Covering kids and parents through Medicaid will improve the health and productivity of Marylanders, help bring insurance costs under control, and stimulate Maryland’s economy...
"
- web page:
Health Policy for Low-Income People in Maryland
source:Urban Institute
languages: English
from the web page:
"A unique combination of bold innovation and strong regulatory involvement characterizes health care policy in Maryland. The state has used Medicaid rather than a separate state-designed program to pursue coverage expansions, including the recent Children’s Health Insurance Program (CHIP), and has been aggressive in enrolling beneficiaries under capitated managed care. Maryland’s group insurance market reforms were compliant with the Health Insurance Portability and Accountability Act of 1996 (HIPAA)...
- also from Urban Institute:
brochure:
Home and Community-Based Services for Older People and Younger Adults with Physical Disabilities in Maryland
languages: English
from the brochure:
"T...This paper addresses the home and community services system for older people and younger adults with physical disabilities in Maryland, focusing on the state administrative structure, eligibility and assessment, services covered by Medicaid and other programs, cost containment, and quality assurance. This report also summarizes government officials’ and key stakeholders’ opinions about how well the Medicaid and state-funded programs serving the aged and disabled work....
"
- web page:
Maryland Medical Assistance Program
source:GovBenefits.gov - Your Benefits Connection
languages: English
from the web page:
"Medicaid, also called Medical Assistance, is a program that pays the medical bills of certain needy and low-income individuals. It is administered by the state and pays medical bills with Federal and state funds... You can have private health insurance and be eligible for Medicaid. The rules are different for different groups and the kinds of medical care covered are different for different groups...
"
Maryland Medicaid Eligibility, How to get Medicaid in Maryland, Requirements
- web page:
Medical Care Programs Eligibility
source:Maryland Department of Health and Mental Hygiene
languages: English
from the web page:
"The following general list of eligibility groups is intended to familiarize you with the types of coverage available from Medical Assistance (Medicaid) and Maryland’s other Medical Care Programs. To find out if you are eligible for Medical Assistance or other public assistance, please apply at your Local Department of Social Services (LDSS). If you are applying for assistance for a child or are pregnant, you may apply for the Maryland Children’s Health Program (MCHP) at your Local Health Department (LHD)..."
- web page:
(Maryland) Family Investment Administration: Medicaid
source:Maryland Department of Human Resources
languages: English
from the web page:
"Medicaid coverage is automatically granted to individuals receiving other public assistance, including Supplemental Security Income (SSI), Temporary Cash Assistance (TCA), and Foster Care..."
- web page:
Medicaid Eligibility
source: Centers for Medicare & Medicaid Services
languages: English
from the web page:
Many groups of people are covered by Medicaid. Even within these groups, though, certain requirements must be met. These may include your age, whether you are pregnant, disabled, blind, or aged; your income and resources (like bank accounts, real property, or other items that can be sold for cash); and whether you are a U.S. citizen or a lawfully admitted immigrant. The rules for counting your income and resources vary from state to state and from group to group. There are special rules for those who live in nursing homes and for disabled children living at home.
Maryland Medicaid Citizenship Requirements
Applying for Maryland Medicaid
- web page:
How Do I Apply For Medicaid?
source:Maryland Department of Health and Mental Hygiene (DHMH)
languages: English
from the web page:"...If you do not get SSI or TCA payments, you must file an application to find out if you are eligible for Medicaid. To do this, you must go to the Department of Social Services in the city or county where you live. You will be asked to complete and sign an application form and will be interviewed by an eligibility worker..."
- web page:
MEDICAID
source:Maryland State Archives
languages: English
from the web page:"...To apply for Medicaid assistance, Maryland residents visit their county or city department of social services. There, they are interviewed and submit an application..."
- web page:
Maryland Children's Health Insurance Program
source:Maryland Department of Human Resources
languages: English
from the web page:"...You must file an application to find out if you are eligible for Medicaid. To do this, go to The Local Department of Social Services (LDSS) in the city or county where you live. If you are applying for a child or a pregnant woman, you may apply at your Local Health Department..."
- brochure:
Maryland Children's Health Insurance Program
source:DC Metro Area Self-Sufficiency Calculator - Wider Opportunities for Women
languages: English
from the brochure:"...To apply for Medical Assistance for Families:
. Submit an application to your local Montgomery County Department of Health and Human Services by mail, fax, or online.
. Apply online at Service Access and Information Link (SAIL)
. Print out a Medical Assistance application.
. Call 1 (800) 456-8900 to have an application sent to you.
. Call your local Area Agency on Aging for a QMB/SLMB application...."
Maryland Medicaid Offices; Medicaid HOTLINE
Maryland Medicaid Health Plans, HMO, Maryland Primary Care Physicians
- web page:
HealthChoice
source:Maryland Department of Health & Mental Hygiene
languages: English
from the web page:"...HealthChoice is the name of the Maryland’s statewide mandatory managed care program which began in 1997. The HealthChoice Program provides health care to most Medicaid recipients..."
- also from Maryland Department of Health & Mental Hygiene:
brochure:
MCO
Comparison Chart
2 pages; languages: English
from the brochure: "In Maryland’s HealthChoice program health care services are provided through managed health care organizations, called MCOs. You need to choose an MCO now.
Use this chart to help pick your MCO. If you do not decide in time, the state will choose one for you. Don’t
lose your chance to pick your MCO...."
Find Maryland Medicaid Physicians, Doctors
Children's Medicaid: Health Programs for Children: Maryland CHIP, SCHIP:
What is Medicaid for children in Maryland?
Children's Medicaid and CHIP in Maryland:
Medicaid covers persons who fall into certain “categories” such as low- income families, children, pregnant women, women with breast or cervical cancer, the elderly, and persons with disabilities....
The Maryland Children’s Health Program (MCHP) gives full health benefits for children up to age 19, and pregnant women of any age who meet the income guidelines. MCHP enrollees obtain care from a variety of Managed Care Organizations (MCOs) through the Maryland HealthChoice Program.
Those eligible for MCHP are:
Children under age 19, who are not eligible for Medicaid, and whose countable income is at or below 200% of the federal poverty level (FPL)...
"
*source: Maryland Department of Health and Mental Hygiene
, Baltimore, MD 21201
What is CHIP?
- "
Originally created in 1997, the Children's Health Insurance Program (CHIP) is a state and federal partnership that provides low-cost health insurance coverage for children in families who earn too much income to qualify for Medicaid but cannot afford to purchase private health insurance coverage. States have considerable flexibility to establish income eligibility rules for CHIP, but children enrolling in the program must be otherwise uninsured.
"
source: InsureKidsNow.gov - Sponsored by the U.S. Department of Health and Human Services.
, Washington, DC
- web page:
Maryland Children's Health Program (MCHP)
source:Maryland Department of Health and Mental Hygiene (DHMH)
languages: English
from the web page
"...The Maryland Children’s Health Program (MCHP) began in July 1998. MCHP uses federal and state funds to provide health care coverage to low-income children up to age 19 and pregnant women of any age...
"
- web page:
Maryland’s Children Health Plan (MCHP) and MCHP Premium Program
source:healthinsuranceinfo.net - Georgetown University's Health Policy Institute
languages: English
from the webpage:
"...The Maryland Children’s Health Program (MCHP) is a federal/state program that gives full health benefits for children up to age 19, and pregnant women of any age who meet the income guidelines...
"
- web page:
Maryland Children's Health Program (SCHIP)
source:GovBenefits.gov - Your Benefits Connection
languages: English
from the webpage:
"...The Maryland Children's Health Program (MCHP) gives full health benefits for children up to age 19, and pregnant women of any age who meet the income guidelines. MCHP enrollees obtain care from a variety of Managed Care Organizations (MCOs) through the Maryland HealthChoice Program...
"
- bublication / brochure:
Children’s Health Coverage Maryland
source:Children's Defense Fund
languages: English
from the web page: "General information about children’s health coverage... - State-based resources, including possible enrollment partners - Steps for enrolling a child in coverage program - Follow-up flyer for parents - Health resources, by county, for children who are not eligible for coverage...
Maryland Children’s Health Insurance Program provides free and low-cost health coverage. If you are a family of four with income of ..."
- also from Children's Defense Fund:
brochure:
Health Coverage for All Children: Maryland
2 pages; languages: English
from the brochure:
"Do children in Maryland’s CHIP program receive the same comprehensive benefits as
children in Medicaid? Yes. Maryland is one of 13 states (plus the District of Columbia) that has used CHIP funding to
cover all children eligible for CHIP and Medicaid under one program. As a result, children in CHIP in these states receive the same comprehensive health and mental health coverage (through the Early and Periodic Screening Diagnostic and Treatment (EPSDT) benefit) that all children in Medicaid receive...
"
- brochure or publication:
Maryland MEDICAID FACTS
source:AMERICAN ACADEMY OF PEDIATRICS
languages: English
from the web page:
"How does Medicaid help children in Maryland? Children make up 55% of Maryland’s Medicaid population, but are of very low cost, accounting for only 25%
of the state’s Medicaid spending. In general, Maryland children who are in families of four with incomes below $40,000 are eligible for Medicaid.*
"
- Medicaid brochure:
Maryland Public Health Insurance for Children
source:National Center for Children in Poverty (NCCP)
languages: English, Spanish
from the brochure:
"...The two major federal funding sources for low-income children’s public health insurance are Medicaid and the State Children’s Health Insurance Program (SCHIP). States enjoy some flexibility in their Medicaid programs for children,...
"
- also from National Center for Children in Poverty (NCCP):
web page:
Maryland Public Health Insurance for Parents
languages: English
from the web page:
"Most family plans are funded through Medicaid, but a handful of states have waivers to use State Children’s Health Insurance Program (SCHIP) funds to cover parents. ...
"
- web page:
Maryland Demographics of Low-Income Children
languages: English
from the web page:
"Research suggests that, on average, families need an income of about twice the federal poverty level to meet their most basic needs. Children living in families with incomes below this level—$40,000 for a family of four in 2006—are referred to as low income...
"
- web page:
Maryland: CHIP Program Name and Type
source:Kaiser Family Foundation statehealthfacts.org
languages: English, Spanish
from the web page:
"Individual state profiles...
"
- web page:
Maryland Medicaid, SCHIP, & Federal Authority
source:State Coverage Initiatives
languages: English
Maryland Medicaid Benefits and Coverage: Medicaid Services
- brochure or publication:
Women and Medicaid in Maryland
source:National Women's Law Center
3 pages; languages: English, Spanish
from the brochure or publication:
"Medicaid ensures that women in Maryland have access to a comprehensive set of important health care services.
. Medicaid programs are required to provide certain health services to some covered populations —including family planning services, inpatient and outpatient hospital care, and pregnancy-related care—...
"
- web page:
Benefits by State: (October 2006)
source:Kaiser Family Foundation
languages: English, Spanish
from the web page:
"Medicaid benefits: Online database
"
- brochure or publication:
Mental Health and Substance Abuse Services in
Medicaid and SCHIP in Maryland (2003)
source: US Dep't of Health and Human Services, Substance Abuse and Mental Health Services Administration
file size: 4 pg.; languages: English
from the brochure:
"As of July 2003, 638,662 people were covered under Maryland's Medicaid/SCHIP programs. There were 525,080 enrolled in the Medicaid program, 107,109 enrolled in the Medicaid SCHIP expansion program and 6,473 in the separate SCHIP program. In state fiscal year 2003, Maryland spent about $ 4.2 billion to provide Medicaid and SCHIP services....
"
Medicaid Prescription Drugs; Preferred Drug List
Maryland Medicaid Dental Services; Dentist
Other Health Coverage Options in Maryland
- brochure:
What You Can Do If You Lose Your Health Insurance Coverage
source:Maryland Insurance Administration
3 pages; languages: English
from the brochure: " In these economic times, some Marylanders are losing their jobs, and as a result, their health insurance coverage. Here are some options that you may want to consider if you lose your health insurance coverage..."
- also from Maryland Insurance Administration:
web page:
What Consumers Need to Know About Discount Medical and Discount Drug Plans
4 pages; languages: English
from the web page: "In Maryland, there are two basic types of discount plans available: Discount Medical Plans and Discount Drug Plans. These plans may be structured to look like insurance, but they are not insurance and don’t pay any of your health care costs. Instead, discount plans give plan members access to a group of providers of health care services and supplies on a discounted basis..."
- web page:
Overview of MHIP Plans
source:The Maryland Health Insurance Plan (MHIP)
languages: English
from the web page: " A state health insurance plan that provides coverage to Maryland residents who are unable to obtain health insurance due to a health condition or have recently lost group coverage. Plan options..."
- also from The Maryland Health Insurance Plan (MHIP):
web page:
MHIP Application Booklet
30 pages; languages: English
from the web page: "If you are having trouble finding individual health insurance, the State of Maryland offers coverage when other health plans will not. But before jumping in, get the facts..."
- web page:
HRSA - Find a Health Center - Search Page
source:U.S. Department of Health & Human Services
languages: English
from the brochure:"Federally-funded health centers care for you, even if you have no health insurance. You pay what you can afford, based on your income. Health centers provide
•checkups when you're well
•treatment when you're sick
•complete care when you're pregnant
•immunizations and checkups for your children
•dental care and prescription drugs for your family
•mental health and substance abuse care if you need it..."
- brochure:
Maryland Health Center Fact Sheet
source: National Association of Community Health Centers (NACHC)
languages: English
from the brochure:"Maryland Federally-Supported Health Centers, 2008"
- also from National Association of Community Health Centers (NACHC):
web page:
Find a Health Center
languages: English
from the web page:
"If you need affordable health care, a Community Health Center may be what you're looking for... Click here to find the health center closest to your address or to see a list of health centers in your state or county/parish...
"
- brochure:
Consumer Guide for Getting and Keeping Health Insurance in Maryland
source:Georgetown University Health Policy Institute
file size: 44 pg.; languages: English
from the brochure:
"...In Maryland, as in many other states, your health insurance options are somewhat dependent on your health status. Even if you are sick, however the laws protect you in the following ways.....
"
Maryland Medicaid and Nursing Homes, Assisted Living, Home Health Care
- web page:
The Medicaid Home and Community-Based Services Waiver; New Medicaid Eligibility Requirements
source:Maryland Department of Aging
languages: English
from the web page:
"The purpose of the Medicaid Waiver for Older Adults is to enable individuals who are aged 50 and over who require long-term care services to remain in a community setting even though their advanced age or disability would warrant placement in a long term care facility. The Waiver allows services that are typically covered by Medicaid only in a nursing facility, to be provided to eligible persons in their own homes or in assisted living facilities...
"
-
web site:The Maryland Long Term Care Care Project
Maryland Medicare Medicaid Nursing Homes Directory
languages: English
from the web page:
"These are Maryland Nursing Homes in cities A - Z.
" In addition to the state directory described above, there are nursing home directories for principal Maryland cities. An examples:
Maryland Assisted Living
languages: English
from the web page:
"A consumer's guide to information and help about assisted living in Maryland, with a directory of assisted living facilities...
"
Maryland Home Health Care Agencies
languages: English
from the web page:
"A consumer's guide to information and help about Home Health Care services in Maryland, with a directory of home health care agencies...
"
Maryland Medicaid Waiver Programs
Medicaid Waiver for Older Adults
"The purpose of the Medicaid Waiver for Older Adults is to enable individuals who are aged 50 and over who require long-term care services to remain in a community setting even though their advanced age or disability would warrant placement in a long term care facility. The Waiver allows services that are typically covered by Medicaid only in a nursing facility, to be provided to eligible persons in their own homes or in assisted living facilities..."
*source: Maryland Department of Aging , Baltimore, Maryland 21201
for more information, see:
More resources about Maryland Medicaid Waiver Programs:
- web page:
Waiver Programs
source:Maryland Department of Health and Mental Hygiene
languages: English
from the web page: "The four basic types of 1915(c) HCBS waivers available for states based on the target population’s level of alternative long-term institutional care are:
--intermediate care facility-mental retardation (ICF-MR) level of care for mentally retarded and/or developmentally disabled individuals;
--chronic or rehabilitative hospital level of care for individuals who are medically fragile, chronically ill, or severely disabled;
--psychiatric hospital level of care for individuals who are severely or chronically mentally ill; and
--nursing facility level of care for individuals who are elderly, physically disabled, and/or cognitively impaired..."
- web page:
Medicaid Home and Community Based Waiver Program
source:Baltimore County, MD Government
languages: English
from the web page: "In-home services available are: Personal Care, Respite, Environmental Assessments & Modifications, Behavior Consultation Services, Personal Emergency Response Systems, Home Delivered Meals, Diet and Nutritional Services, Family and Consumer Training, Non-emergency medical transportation and Senior Center Plus Services..."
- web page:
(Maryland) Medicaid Waivers and Demonstrations List
source:Centers for Medicare & Medicaid Services
languages: English
from the web page:
"...This list contains information about state-specific Medicaid waiver and demonstration programs. Users can access fact sheets, copies of proposals, approval letters, and other documents related to specific programs...
"
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MD: Maryland Medicaid: The Medicaid Project, Eligibility, Maryland Medicaid Rules, Application