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Section 300- Coverage Groups - Maryland Medical Programs - mmcp dhmh maryland

Section 300- Coverage Groups - Maryland Medical Programs - mmcp dhmh maryland 2025

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The document COMAR 10.09.24.03 outlines the coverage groups and eligibility criteria for Maryland's Medical Assistance (Medicaid) program, detailing various categories such as Categorically Needy (CN), Medically Needy (MN), and specific programs for children, pregnant women, and individuals with disabilities. It includes information on application processes, eligibility requirements, and the Pickle Amendment, which allows certain former SSI recipients to retain Medicaid benefits despite changes in income due to Social Security adjustments. The document also provides guidance on local department contacts and frequently asked questions regarding coverage groups.

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What is the ASO for Medicaid in Maryland?

Carelon Behavioral Health is proud to serve as Marylands Administrative Services Organization (ASO) for Medicaid participants receiving behavioral healthcare, making it easier for people in need of services to get the right care, at the right time, and in the right setting.

What is the income limit for medical assistance in MD?

Income Limits Monthly Income Limit Effective January 1, 2025 Household Size Adults Children 1 $1,801 $4,202 2 $2,433 $5,677 3 $3,065 $7,1525 more rows

What is the Maryland Medical Care Program?

MCHP provides care through a variety of Managed Care Organizations (MCOs) for: Children under age 19, who are not eligible for Medicaid. Pregnant women of any age. Whose countable income is at or below 200% of the federal poverty level (or up to 300% of the federal poverty level with a premium)

How do I check my Medicaid coverage in Maryland?

Click here to check on a patients eligibility for Maryland Medicaid benefits. Or, call the States Eligibility Verification System (EVS) at 866-710-1447.

What is the medical assistance program in Maryland?

In Maryland, Medicaid is also called Medical Assistance. Medicaid can provide health insurance to pay for medical care such as doctors, hospitals, prescriptions, mental health treatment, substance abuse treatment, and more.

What does the State of Maryland medical assistance program cover?

Your MCO through Medicaid covers doctor visits, pregnancy care, prescription drugs, hospital and emergency services, and more, at no cost. Maryland Childrens Health Program (MCHP) covers full health benefits for children up to age 19.

Does Medicaid pay 100% of medical bills?

What Medicaid Covers. Once an individual is deemed eligible for Medicaid coverage, generally there are no, or only very small, monthly payments, co-pays or deductibles. The program pays almost the full amount for health and long-term care, provided the medical service supplier is Medicaid-certified.

Section 300- Coverage Groups - Maryland Medical Programs - mmcp dhmh maryland 2025

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What is the ASO for Medicaid in Maryland?

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What is the Maryland Medical Care Program?

How do I check my Medicaid coverage in Maryland?

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What does the State of Maryland medical assistance program cover?

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Section 300- Coverage Groups - Maryland Medical Programs - mmcp dhmh maryland 2025

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Got questions?

What is the ASO for Medicaid in Maryland?

What is the income limit for medical assistance in MD?

What is the Maryland Medical Care Program?

How do I check my Medicaid coverage in Maryland?

What is the medical assistance program in Maryland?

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People also ask

What does the State of Maryland medical assistance program cover?

Does Medicaid pay 100% of medical bills?

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