Medical Assistance

Please note that applications for Medical Assistance programs can be filed at your local health department, local department of social services, Dr.’s office and hospital Social Work Departments.

Maryland Children’s Health Insurance Program (MCHP) uses Federal and State funds to ensure that all Maryland’s children have medical insurance. The program provides full health benefits for children under the age of 19, and pregnant women of any age who meet the income guidelines. MCHP provides care through a variety of Managed Care Organizations (MCOs) for:

  • Children under age 19, who are not eligible for Medicaid
  • Pregnant women of any age
  • Whose countable income is at or below 200% of the federal poverty level (or up to 300% of the federal poverty level with a premium)
  • Children of employed parents whose employer does not offer family health insurance (NOTE: Even if you have health insurance, it’s best to apply and let the case manager assigned to your application determine your eligibility)

 

To apply, complete an application and provide the requested information. You may apply online at https://www.marylandhealthconnection.gov/ or apply by telephone by calling the Maryland Health Benefits Exchange Consolidated Service Center. The toll free number is (855) 642-8572 or TTY (855) 642-8573. You may also apply at your local health department or local department of social services.

You will need:

  1. General information about family members ( names, birth dates and social security numbers)
  2. Proof of income
  3. If pregnant, expected date of delivery signed by your doctor or nurse.

Medicaid, also called Medical Assistance (MA) pays the medical bills of needy and low-income individuals. It is administered by the State and pays medical bills with Federal and State funds.

You may apply online at myDHR (https://mydhrbenefits.dhr.state.md.us) or in person at one of DHS’s 24 local departments of social services.

Medicare Buy-In Program
Medicare Buy-In Program also known as QMB (Qualified Medicare Beneficiary) and SLMB (Specified Low-Income Medicare Beneficiary) is designed to protect low-income Medicare beneficiaries from the costs of Medicare coverage, including out-of-pocket cost sharing expenses (deductibles and co–payments).

QMB (Qualified Medicare Beneficiary) Program serves individuals with modest assets (up to $9.090 per individual or $13,630 per couple) with combined incomes that do not go over 100 percent of the federal poverty level. The State Medicaid program pays their Medicare Part B premiums and cost-sharing amounts.

SLMB (Specified Low-Income Medicare Beneficiary) Program pays only the Part B premium for those with incomes between 100 and 120 percent of poverty with assets up to $9.090 per individual or $13,630 per couple.

Long Term Care Medical Assistance
Long Term Care Medical Assistance (LTC), is designed to cover the cost of nursing home care for low income individuals who meet eligibility requirements, including a look back at resources in the five years prior to application. Applications for LTC may be filed online at https://mydhrbenefits.dhr.state.md.us/ or mailed to your local health department or local department of social services. Office of Long Term Care 746 Frederick Road Catonsville, Maryland 21228 covers applications from Baltimore City, Baltimore County, Anne Arundel County, and Prince George’s County.

Forms:

Download the Specified Low-Income Medicare Beneficiary (SLMB) Application form.

Download the Long Term Care/Waiver Medical Assistance (LTC) Application form.

Download the Long Term Care (LTC) Redetermination Application form.

Download the FIA/2023-MONTHLY INCOME AND ASSET GUIDELINES