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DHR Service: Medical Assistance

Please note that applications for all Medical Assistance programs can be obtained, completed and submitted at your local health department, Dr’s office and hospital Social Work Departments.


Maryland Children’s Health Insurance Program MCHIP uses Federal and State funds to ensure that all Maryland’s children have medical insurance. The program provides full health benefits for children up to age 19, and pregnant women of any age who meet the income guidelines. MCHIP 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
  • Children of employed parents whose employer does not offer family health insurance (NOTE: Even if you have health insurance, it’s best to apply and let the case manager assigned to your application determine your eligibility)

 

To apply, complete an application and provide the requested information. Applications can be mailed in or taken to any location listed below.

 

You will need:

  1. General information about family members ( names, birth dates and social security numbers)
  2. Proof of income
  3. If pregnant, written proof of pregnancy and expected date of delivery signed by your doctor or nurse.


Medicaid, also called Medical Assistance (MA) pays the medical bills of needy and low-income individuals. It is administered by the State and pays medical bills with Federal and State funds.

Medicaid coverage is granted to individuals receiving other public assistance, including Supplemental Security Income (SSI), Temporary Cash Assistance (TCA), and Foster Care. Low-income families, children, pregnant women, and aged, blind, or disabled adults may also qualify. You can have private health insurance and be eligible for Medicaid. If you need help paying your medical bills, you should find out for sure by filing an application at your Local Department of Social Services.

You must file an application to find out if you are eligible for Medicaid. To do this, you can go to The Local Department of Social Services (LDSS) in the city or county where you live or if you are applying for a child or a pregnant woman, you may apply at your Local Health Department.  You can also file an application on line at www.marylandsail.org

The Maryland Medicaid Pharmacy Program Recipient Access Hotline

Recipients with pharmacy related issues may call the toll-free Medicaid Pharmacy Program Recipient Access Hotline at 1-800-492-5231. Local Baltimore Metropolitan area callers may dial 410-767-5800 from 8:00 a.m. to 5:00 p.m. Monday through Friday. Do not use these numbers for eligibility or enrollment issues.

Medicare Buy-In Program
Medicare Buy-In Program also known as QMB (Qualified Medicare Beneficiary) and SLIMB (Specified Low-Income Medicare Beneficiary) is designed to protect low-income Medicare beneficiaries from the significant and growing costs required to receive Medicare coverage, including out-of-pocket cost sharing expenses (deductibles and co–payments).

QMB (Qualified Medicare Beneficiary) Program serves individuals with modest assets (up to $4,000 per individual or $6,000 per couple) with combined incomes that do not go over 100 percent of the federal poverty level. The State Medicaid program pays their Medicare Part B premiums and cost-sharing amounts.

SLIMB (Specified Low-Income Medicare Beneficiary) Program pays only the Part B premium for those with incomes between 100 and 120 percent of poverty with assets up to $4,000 per individual or $6,000 per couple.
Click here for Application form.

LTC Medicaid Nursing Home Assessment Wizard

The Long Term Care (LTC) Medicaid Nursing Home Assessment Wizard is an independent opinion rendered by AutoGov as to the likelihood of a potential applicant’s Medicaid eligibility. Based upon answers you submit, the wizard will provide you with a pre-application assessment predicting the likelihood that your case will be eligible for benefits.

Final eligibility determination for any application is made solely by the State of Maryland Department of Human Resources.

LTC Medicaid Nursing Home Assessment Wizard