Once approved for Maryland Medical Assistance (MEDICAID), you will receive a red and white medical assistance card in the mail within 14 days of enrolling. Do not throw away this card. Even if you haven’t received your card yet, you can still get medical services. Your doctor or pharmacist can verify coverage by calling the Eligibility Verification System (EVS).
When your application is completed and verified, you will receive an enrollment packet in the mail to choose a managed care organization (MCO / Insurance Company) to provide your care coverage.
The MCOs that you can choose in Frederick County are:
Ask your doctors which MCOs they accept or search the Frederick County Provider list to find doctors who accept your MCO. (link)
You can also compare available MCOs by clicking on Health Choice Comparison Chart. (link)
You can enroll in a MCO any of these ways
When enrolled in Maryland Medicaid you will receive covered health services to include: doctor visits, prescriptions, vision, addiction treatment, mental health services, hospital care, and urgent care services, and more. Dental care is covered for children and Pregnant Women through Healthy Smiles. Some MCOs offer limited adult dental care.
For help on benefits and service and other assistance please call Administrative Care Coordination/Ombudsman Program (ACC) at Frederick County Health Department: 301-600-3124.
It is important to notify Maryland Health Connection with any changes in your address, household size, or income to assure you receive proper notifications and coverage. To update your application, contact MCHP at Frederick County Health Department 301-600-3124.
At Frederick Medicaid, you can:
Community Education Services:
The local Frederick County Health Department Ombudsman is an advocate for your health care needs. If you are having trouble getting health care services from your MCO or your doctor please call: HealthChoice Help Line @ 1-800-284-4510 and they will send our Ombudsman a request to follow- up with you to ensure that your health care problems were resolved.
The Maryland Healthy Smiles Dental Program (MHSDP) provides dental care to eligible Medicaid members. Medicaid covers a wide range of dental services.There are no premiums, deductibles, or copays for covered services. There is no maximum benefit amount each year. MHSDP members should never pay for covered services out of pocket.
Eligibility Everyone with full Medicaid coverage is eligible for the MHSDP. If you have a red and white Medicaid card, you have full Medicaid coverage.
Covered Benefits and Services
Other Covered Services for Children Under 21 Years Old
Other Covered Services for Adults
Services Not Covered The MHSDP does not cover:
Are you having a baby? You may get free health care if you are not a U.S. citizen. Medicaid may be able to help. Medicaid pays for health care for people who cannot afford it. Medicaid is the same as Medical Assistance. Sign up for Medicaid as soon as you know you are pregnant. Get the care you and your baby need right away. And you may keep Medicaid up to four months after your baby is born.
Who can get Medicaid?
To be eligible, you must:
The best way to know if you can get Medicaid is to apply.
What healthcare can I get?
Medicaid will pay for:
Unpaid medical bills before Medicaid
Medicaid may help pay for health care you had in the three months before you applied. To learn more, go to your local Health Department. Start date is available but will not extend prior to the start of the pregnancy.
Benefits Package
The benefits package detailed above is identical to that available to other pregnant Medicaid members.
Timing
Coverage is available from the start of pregnancy through four months postpartum. All postpartum follow-ups must be completed within the four-month time frame.
The Maryland Department of Health has expanded coverage for gender-affirming care in the Maryland Medicaid program, effective January 1. The Trans Health Equity Act requires Medicaid to cover additional gender-affirming care, ensuring equitable health care access for individuals who are transgender and gender diverse. To be eligible for benefits, individuals must be enrolled in Maryland Medicaid and should speak with a health care provider to determine what services meet their health needs. New covered services include:
Any Questions, please contact our ACCU team at 301-600-3124.