Learn About Medical Assistance

Medical Assistance

In Maryland, once an individual is determined eligible for SSI, they are automatically entitled to receive Medical Assistance (also called Medicaid) health insurance, (MA). However, receiving MA does not automatically entitle you to SSI. MA provides a comprehensive health care plan. Medically needy families or children who meet the income and asset eligibility requirements can apply for Medicaid. For more information on Medicaid services, call 1-800-492-5231 or 410-767-5800 or click here.

Medical Assistance for Families will provide comprehensive health care to many parents and other family members caring for children who are up to age 20. Eligibility depends on family size and income. The annual income limit is about $21,200 for a family of three. There is no limit on assets. For more information click here.

Maryland Children’s Health Program (MCHP)

Children who are age 18 or younger and not receiving SSI (as well as pregnant women of any age) may qualify for MA through the Maryland Children’s Health Program (MCHP). Eligibility depends on family size and income. At this time, the annual income limit is about $36,620 for a family of three. Starting October 1, 2013, you can apply for MCHP through Maryland Health Connection. You can also call 1-855-MHC-8572 (1-855-642-8572) to apply over the phone.

Early, Periodic, Screening, Diagnosis and Treatment (EPSDT)

The Early Periodic Screening, Diagnosis, and Treatment (EPSDT) is the child health component of Medicaid.

Children’s Medical Services Program
Children’s Medical Services, also called CMS, is a program of the Maryland Department of Health and Mental Hygiene. CMS can help low-income, uninsured or underinsured Marylanders ages 0-21 years get specialty care for a chronic illness or disability by paying for needed services.

Public Insurance Programs and Children with Special Health Care Needs from the Catalyst Center
A Tutorial on the Basics of Medicaid and the Children’s Health Insurance Program (CHIP)

Find a Medicaid Provider: HealthChoice Managed Care Organizations – MCOs

National Center for Medical Home Implementation

A medical home is an approach to providing comprehensive primary care that facilitates partnerships between patients, clinicians, medical staff, and families. A medical home extends beyond the four walls of a clinical practice. It includes specialty care, educational services, family support and more.