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The Maryland Healthy Smiles Dental Program is a Medicaid program that covers dental services you or your child needs to stay healthy.

The following pages trace the current structure of the Medicaid-financed programs administered by the Department of Health and Mental Hygiene and highlights the program’s impact. The document begins by providing an overview of the Medicaid program, including the various program eligibility requirements and benefits. Subsequent pages delve further into Maryland Medicaid’s delivery system, including details on the HealthChoice managed care program, as well as the program design for long term services and supports, behavioral health services, and the budget. Finally, the report concludes by looking forward to consider program innovations such as telehealth and the management of individuals that are dually eligible for Medicaid and Medicare.

A report pursuant to SB620/HB 946, which passed during the 2004 legislative session of the Assembly, addressing the DHMH's efforts to promote home- and community-based services and to help nursing facility residents transition to the community.

Frequently Asked Questions regarding the change to an agency-only model for the Community First Choice and Medical Assistance Personal Care programs.

The 2014 Joint Chairmen's Report required the DHMH to submit a report to the budget committees detailing its use of Section 11-101(n)(2)(iii) of the State Finance and Procurement Article, specifically the contract details, including number, purpose, and value of contracts awarded under this provision since fiscal year 2000.

HealthChoice (Maryland's Managed Health Care Program) brochure regarding different managed health care organizations (MCOs) available in Maryland (English and Spanish version).

The Medicaid Home and Community-Based Services waiver program is authorized in Section 1915(c) of the Social Security Act, and permits a State to furnish an array of home and community-based services that assist Medicaid beneficiaries to live in the community and avoid institutionalization.

Chapter 464, Acts of 2014 (Budget Reconciliation and Financing Act) requires the DHMH and the Health Services Cost Review Commission in consultation with the Maryland Hospital Association to calculate the general fund savings resulting from the implementation of Maryland's All-Payer Model Contract. The attached document reports the general fund savings amount and describes the methodology used to calculate the savings.

The DHMH's report on the implementation of certain fiscal 2013 cost containment proposals for the Maryland Medical Assistance Program.

FAQs about Forensic Medical Examinations in sexual assault cases

Maryland Medicaid and the Maryland Children’s Health Program (MCHP) provide health care services to low-income individuals. Between them, the two programs cover over 950,000 individuals, approximately 80 percent of whom receive services through HealthChoice, a capitated managed care program. Beginning in January 2014, the Medicaid expansion that is included in the Affordable Care Act (ACA) is expected to add approximately 175,000 individuals to Medicaid, and these individuals will receive coverage from the Medicaid managed care organizations (MCOs).1 The newly created Health Care Exchange will provide coverage for an estimated 187,000 more adults in the subsidized individual market between 133 and 400 percent of the federal poverty level (FPL).2 Occasionally, certain parents will be covered in the Exchange at the same time their children will be insured by Medicaid or MCHP.

Fact Sheet/FAQs about Medicaid and the Maryland Children's Health Program