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Maryland Medicaid Expansion
Medicaid Expansion:
Maryland is fully participating in the Medicaid Expansion under provisions of the Affordable Care Act (ACA).
 
For additional background on the State’s policy decisions regarding the Medicaid Expansion option, see: Background.
 
Medicaid in Maryland:
The MD Department of Health and Mental Hygiene administers the state’s Medicaid program, called Maryland Medical Assistance Program.
Information about Medicaid can be found at: https://mmcp.dhmh.maryland.gov/SitePages/Home.aspx.
Provider Participation:
Providers must enroll in the Medicaid fee-for-service program to receive payments for covered services. Information about enrolling in the Medicaid fee-for-service program can be found at: https://mmcp.dhmh.maryland.gov/SitePages/Home.aspx.
The MD Medicaid website provides information about services covered by fee-for-service payments and payment amounts: https://mmcp.dhmh.maryland.gov/SitePages/Home.aspx.
In order to retain access to all Medicaid patients in the state, providers must also connect to the managed care plans individually.
 
Medicaid Managed Care:
Some Medical Assistance Program beneficiaries are enrolled in managed care plans. Basic information about the programs, called HealthChoice, can be found at: https://mmcp.dhmh.maryland.gov/healthchoice/SitePages/Home.aspx.
Some managed care plans cover individual Maryland counties and independent cities. The Medicaid website has jurisdictional information: https://mmcp.dhmh.maryland.gov/SitePages/Home.aspx.
Medical Assistance Program Beneficiaries Participating in Managed Care:
Managed care plans participating in HealthChoice offer detailed information about covered benefits for individuals enrolling in their plans. This information is available on the managed care websites shown below.
Managed Care Plans Participating in HealthChoice:
Amerigroup Community Care
Plan Website: http://www.myamerigroup.com/English/Medicaid/md/Pages/MD-2012.aspx
 
Diamond Plan (Coventry Health Care of DE)
 
Jai Medical Systems
 
Maryland Physicians Care (Meritus Health)
Plan Website: http://www.marylandphysicianscare.com/default.aspx
 
MedStar Family Choice
 
Priority Partners
Plan Website: http://www.ppmco.org/
 
Riverside Health of Maryland
 
United Healthcare

 
 
 
 
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