How to Apply for Medicaid in Maryland

Applying for Medicaid in Maryland involves several steps. Firstly, you need to determine eligibility by checking income and household size guidelines. Next, you can submit an application online through the Maryland Health Connection website or by calling the customer service number. Alternatively, you can complete a paper application by printing from the website or requesting a copy by mail. Once the application is submitted, you will be notified of the approval decision via mail or phone. If approved, you will receive a Medicaid card and begin receiving benefits. Keep updated with renewal requirements to maintain coverage.

Eligibility Requirements for Medicaid in Maryland

Medicaid, a health insurance program overseen by the state and federal government, offers comprehensive medical coverage to individuals and families with limited resources. In Maryland, eligibility for Medicaid is determined by a variety of factors, including income, pregnancy status, and household composition, among others. Understanding the eligibility criteria is essential for those seeking Medicaid coverage.

Age and Disability Requirements

  • Infants and children up to 19 years of age are typically eligible for Medicaid, regardless of family income.
  • Pregnant women, irrespective of income, are also granted Medicaid coverage.
  • Individuals with certain disabilities, irrespective of age, may qualify for Medicaid if they meet specific income and resource limits.

Income Limits

To qualify for Medicaid based on income, individuals and families must meet certain income thresholds. These limits vary depending on household size and composition. In Maryland, for a single person, the income limit is set at 138% of the federal poverty level (FPL). As of 2023, this translates to an annual income of $18,754. For a family of four, the income limit is $37,470 per year, which is 138% of the FPL.

Resource Limits

In addition to income limits, Medicaid also considers an individual’s or family’s resources when determining eligibility. Resources include cash, bank accounts, stocks, bonds, and certain real estate holdings. Generally, individuals can have up to $2,000 in countable resources, while couples can have up to $3,000. However, certain resources, such as a primary residence and personal belongings, are exempt from this calculation.

For more detailed information on eligibility requirements, please refer to the table below:

CategoryEligibility Criteria
Age and DisabilityInfants and children up to 19 years of age, pregnant women, and individuals with certain disabilities
Income Limits138% of the federal poverty level (FPL)
Resource Limits$2,000 for individuals and $3,000 for couples

Additional Considerations

  • In Maryland, Medicaid offers coverage to certain immigrant populations, including children born in the United States to undocumented parents.
  • Medicaid eligibility can change over time due to changes in income, family composition, or disability status. It’s important to report any changes promptly to the state Medicaid agency.
  • To apply for Medicaid in Maryland, individuals can submit an application online, through the mail, or in person at their local Department of Social Services office.

The Medicaid Application Process

Medicaid is a government-sponsored health insurance program offered to eligible low-income individuals and families. To apply for Medicaid in Maryland, you can go through one of the following methods:

  1. Online:
  2. Go to the Maryland Department of Human Services website and click on the “Apply for Medicaid” link.

  3. By Mail:
  4. Download and print the Medicaid application form from the Maryland Department of Human Services website. Fill out the form completely and mail it to the address provided on the form.

  5. In Person:
  6. Visit a local Department of Social Services office. Offices are located in cities across the state. Find the nearest office by using the office locator on the Maryland Department of Human Services website.

Once you apply for Medicaid, you will need to provide the following information:

  • Your name, address, and date of birth
  • Your Social Security number
  • Your income and assets
  • Information about your household members
  • Proof of citizenship or lawful immigration status

If you are applying for Medicaid for a child, you will also need to provide:

  • The child’s name, address, and date of birth
  • The child’s Social Security number
  • Proof of the child’s relationship to you

After you submit your application, the Department of Human Services will review your information and determine if you are eligible for Medicaid. You will be notified by mail of the decision within 30 days.

Medicaid Eligibility Requirements
CategoryAgeIncome LimitAsset Limit
Children0-18 years old138% of the federal poverty level$2,000
Pregnant WomenAll ages138% of the federal poverty level$2,000
Parents19-64 years old138% of the federal poverty level$2,000
Disabled Adults18 years old and olderSSI income limit$2,000
Seniors65 years old and olderSSI income limit$2,000

Required Documents for Medicaid Application in Maryland

To apply for Medicaid in Maryland, you will need to provide certain documents to prove your eligibility. These documents may include:

  • Proof of identity, such as a driver’s license, state ID card, or birth certificate.
  • Proof of citizenship or lawful presence in the United States, such as a Social Security card, passport, or permanent resident card.
  • Proof of income, such as pay stubs, bank statements, or tax returns.
  • Proof of assets, such as bank statements, investment account statements, or property deeds.
  • Proof of medical expenses, such as bills from doctors, hospitals, or pharmacies.
  • Proof of disability or long-term care needs, if applicable.
  • Information about your household composition, such as the names and ages of your dependents.

You can submit your Medicaid application and supporting documents online, by mail, or in person at a local Medicaid office. The application process can take several weeks, so it is important to submit your documents as soon as possible.

Income Limits for Medicaid Eligibility in Maryland
Household SizeIncome Limit
1$18,754
2$25,164
3$31,574
4$37,984
5$44,394
6$50,804
7$57,214
8$63,624

Note: The income limits shown in the table are for 2023. The limits may change in future years.

Medicaid Benefits and Coverage in Maryland

Medicaid is a government-funded health insurance program that provides coverage for low-income individuals and families. In Maryland, Medicaid is administered by the Maryland Department of Health. Medicaid in Maryland covers a wide range of health services, including:

  • Doctor visits
  • Hospital stays
  • Prescription drugs
  • Mental health services
  • Substance abuse treatment
  • Long-term care
  • Dental services
  • Vision care
  • Family planning services
  • Pregnancy and childbirth

Medicaid also provides coverage for a number of preventive health services, such as:

  • Well-child checkups
  • Immunizations
  • Cancer screenings
  • Diabetes screenings
  • High blood pressure screenings

Medicaid in Maryland is available to a variety of people, including:

  • Children under the age of 19
  • Pregnant women
  • Parents and caretakers of children under the age of 19
  • Individuals with disabilities
  • Seniors over the age of 65
Eligibility GroupIncome Limit
Children under 19138% of the federal poverty level (aspe.hhs.gov)
Pregnant women138% of the federal poverty level
Parents and caretakers of children under 19138% of the federal poverty level
Individuals with disabilitiesSSI recipient or 138% of the federal poverty level
Seniors over the age of 65SSI recipient or 138% of the federal poverty level

To apply for Medicaid in Maryland, you can:

  • Apply online at the Maryland Department of Health website (marylandhealthconnection.gov)
  • Call the Maryland Department of Health at 1-800-492-5231
  • Visit your local Department of Social Services office

That’s it for our journey into the world of applying for Medicaid in Maryland. Pheww, that was a lot, I know. But hey, you’ve taken the first step towards securing the healthcare support you deserve. And remember, if you have any more questions or encounter any hiccups along the way, don’t be a stranger! Feel free to come back and visit us again. We’re always here to lend a helping hand. Take care, stay healthy, and keep smiling!