Maryland Medicaid Eligibility


The state-funded assistance program for uninsured Maryland residents is available to certain low-income families, children, and other individuals who qualify. Medicaid, or Medical Assistance offers health insurance for no cost to those who are eligible. Divided into several programs for different groups, Maryland Medical Assistance covers young and old, parents and pregnant women, and those with medical or financial needs. Full Medicaid acts as a comprehensive health insurance plan for many individuals who cannot afford to receive additional coverage.

In addition to full Medicaid, those who have a low enough income and require long-term care are covered by the program. Medicare beneficiaries may also receive help from Medicaid if their income meets a certain level where the program will pay for a portion of their costs.

In order to qualify for Medicaid, you must be a resident of Maryland, and a U.S. citizen or qualified immigrant, though emergency care is available to non-qualified aliens. Adults without children who are not disabled cannot receive Maryland Medical Assistance, regardless of how low their income may be. Earnings are also considered, as each group must have an income that is less than or equal to a designated percentage of the Federal Poverty Level. Listed here are the income requirements for each eligible group in Maryland.

Group                                       Income (percent of FPL)

Infant                                                    185%

Child age 1-5                                        133%

Child age 6-19                                      100%

Parent (unemployed)                            116%

Parent (employed)                                116%

Pregnant Women                                  185%

Single Aged/Blind/Disabled                   75%

*$2,500 asset limit

Aged/Blind/Disabled Couple                  83%

*$3,000 asset limit

 

Other Eligible Groups

  • Families with income from Temporary Assistance for Needy Families (TANF)
  • Supplemental Security Income (SSI) recipients
  • Disabled individuals who no longer qualify for SSI benefits
  • Qualified Medicare Beneficiaries (QMB): Medicare members with income below the FPL. Medicaid covers your Medicare monthly premium, deductibles, and coinsurance if you meet the income guidelines.
  • Specified Low-Income Medicare Beneficiaries (SLMB): Medicare members whose income is under 120 percent of FPL can get their monthly premiums paid by Medicaid.
  • Medically Needy: Coverage for adults and children whose health care bills are so high that they qualify for Medicaid when medical costs are deducted from their total income.

 

Maryland Medical Assistance Income Guidelines Chart

 

 

Resources

Maryland Department of Health and Mental Hygiene: Medical Assistance

Contact Recipient Relations: (410) 767-5800

Apply for Medical Assistance: Local Department of Social Services