- Maryland’s Medical Assistance Priority Partners
- What is Medical Assistance in Maryland?
- Who is Eligible for Medical Assistance in Maryland?
- How to Apply for Medical Assistance in Maryland
- What are the Benefits of Medical Assistance in Maryland?
- How to Use Medical Assistance in Maryland
- What are the Limitations of Medical Assistance in Maryland?
- How to Renew Medical Assistance in Maryland
- What Happens if You Lose Medical Assistance in Maryland?
- Additional Resources for Medical Assistance in Maryland
If you live in Maryland and are enrolled in Medical Assistance, you may be able to get your health care through one of the state’s Priority Partners.
Priority Partners is a managed care organization that contracts with the state to provide health care services to Medical Assistance recipients. Priority Partners members have access to a network of doctors and other health care providers.
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Maryland’s Medical Assistance Priority Partners
Medical Assistance, also known as Medicaid, is a state and federal program that helps pay for medical care for eligible Maryland residents. The Maryland Department of Health is responsible for the administration of the Medical Assistance program in Maryland.
There are two Medicaid programs in Maryland: the Regular Medicaid Program and the Maryland Medical Assistance Priority Partners (MMAPP) Program.
The MMAPP Program is a managed care program for Medicaid beneficiaries who have serious mental illness, substance abuse disorders, or both.Beneficiaries in the MMAPP Program receive services from a limited network of providers who have agreed to provide coordinated care and meet quality standards set by the state.
What is Medical Assistance in Maryland?
Medical Assistance in Maryland is a program that provides health care coverage to low-income adults, families with children, pregnant women, people who are aged or have a disability, and children up to age 19. If you qualify for Medical Assistance, you will be able to receive health care services at no cost or for a very low copayment. Medical Assistance is also sometimes referred to as Medicaid.
Who is Eligible for Medical Assistance in Maryland?
Anyone who is a resident of Maryland and meets the financial and non-financial eligibility criteria set forth by the state is eligible for Medical Assistance. Residents who are not U.S. citizens may also be eligible if they meet certain criteria.
How to Apply for Medical Assistance in Maryland
If you are a Maryland resident and you need help paying for medical care, you may be eligible for medical assistance through the state’s Department of Health and Mental Hygiene (DHMH). The Medical Assistance program is also known as “Medicaid” in some states.
In order to be eligible for Medical Assistance in Maryland, you must meet certain financial and non-financial criteria. Financial criteria include things like your income, your assets, and whether you are a parent or caretaker relative. Non-financial criteria include things like your citizenship status, your age, and whether you are pregnant or have a disability.
If you think you might be eligible for Medical Assistance, the first step is to fill out an application. You can do this online, by mail, or in person at your local DHMH office. You will need to provide some basic information about yourself and your finances.
Once your application is received, it will be reviewed to see if you meet the eligibility criteria. If you do, you will be enrolled in the program and will be able to start using Medical Assistance benefits right away. If you don’t meet the criteria, you may still be able to get coverage through Maryland’s health insurance Program (MHIP).
What are the Benefits of Medical Assistance in Maryland?
Medical assistance in Maryland provides benefits to low-income residents who cannot afford to pay for their own medical care. The program helps pay for doctor visits, hospital stays, prescription medications, and other necessary medical care. It also helps families with children by covering some of the costs of childcare. In addition, medical assistance in Maryland can help seniors and people with disabilities live independently by covering the costs of Home Health Care and personal care services.
How to Use Medical Assistance in Maryland
Medical assistance in Maryland, also known as Medicaid, is a state and federal program that provides health care coverage for eligible low-income individuals and families. Medicaid pays for a wide range of medical services, including doctor visits, hospital stays, prescription drugs, mental health services, and more.
To be eligible for Medicaid in Maryland, you must meet certain income and resource criteria. In general, you must have an annual income that is at or below 138% of the federal poverty level (FPL) and meet one of the following categories:
-Have a disability or be blind
-Be 65 years of age or older
-Be a parent or caretaker relative of a child under 21 years of age
-Be under 21 years of age
If you are not sure if you are eligible for Medicaid in Maryland, you can use the state’s online eligibility tool to find out. Once you have determined that you are eligible, you can apply for Medicaid online or in person at your local Department of Social Services office.
What are the Limitations of Medical Assistance in Maryland?
Medical Assistance in Maryland is a state and federally funded program that provides health care coverage to eligible low-income residents. The program is also known as Medicaid. While Medicaid does cover a wide range of necessary medical services, there are some limitations to what the program will pay for.
Some of the limitations of Medical Assistance in Maryland include:
-Coverage for dental services is limited to extractions, cleanings, and fillings
-There is no coverage for routine eye exams or eyeglasses
-There is no coverage for cosmetic surgery
-There is no coverage for hearing aids or hearing exams
In addition, while Medicaid will cover some prescription drugs, it will not cover all prescription drugs. Some drugs that are not covered by Medicaid include:
-Drugs used for weight loss or gain
-Erectile dysfunction drugs
How to Renew Medical Assistance in Maryland
If you have medical assistance through the Maryland Medical Assistance Program, you will need to renew your coverage every year. Here is what you need to do to renew your coverage:
1. Gather your documents. You will need to provide proof of your income, assets, and any changes that have occurred since you last applied for medical assistance.
2. Complete the renewal application. You can get the renewal application online or from your local health department
3. Submit the renewal application. Once you have completed the application, you can submit it online or mail it to your local health department
What Happens if You Lose Medical Assistance in Maryland?
If you lose Medical Assistance in Maryland, you may be able to re-apply for coverage if you meet certain criteria. The priority for re-enrollment is determined by the following:
1. Pregnant women
2. Infants and children under the age of 21
3. Adults aged 21-64 who are disabled or have a chronic illness
4. Adults aged 65 or older
Additional Resources for Medical Assistance in Maryland
In addition to the hospitals and health systems listed below, the Maryland Medical Assistance Program also works with a number of other organizations to provide care for eligible recipients. These include:
-Free and Charitable Clinics: There are a number of free and charitable clinics throughout the state that provide care to low-income and uninsured individuals. To find a clinic near you, please visit the Maryland Free Clinic Association website.
-Community Health Centers: There are several community health centers located throughout Maryland that provide care to low-income and uninsured individuals. To find a center near you, please visit the Maryland Community Health Resources Commission website.
-Local Health Departments: Local health departments also offer a variety of services to low-income and uninsured Marylanders. To find contact information for your local health department please visit the Maryland Department of Health and Mental Hygiene website.