Who Is Eligible For Medicaid In Maryland?

In Maryland, Medicaid provides health coverage for certain low-income individuals and families. Eligibility is determined by factors such as income, assets, and family size, and is based on the federal poverty level (FPL). Specific eligibility criteria can vary depending on the type of Medicaid program in which an individual or family is enrolled. Generally, eligibility is expanded to certain groups such as pregnant women, children, parents and caretaker relatives, and individuals with disabilities, with certain income thresholds.

Additionally certain citizens and legal permanent residents with income level less than 138% of the federal poverty level, who meet the other eligibility criteria, and those that would be eligible for the Medicaid expansion based on the Affordable Care Act are eligible for Medicaid.

Who Is Eligible For Medicaid In Maryland?

Who Is Eligible For Medicaid In Maryland?

Medicaid is a crucial part of the healthcare system in Maryland. It’s a program that provides health insurance to people who might not otherwise have it. Not everyone is eligible for Medicaid, though. In this blog post, we’ll explore who is eligible for Medicaid in Maryland and what steps are necessary to enroll in the program. With this knowledge, you can be sure that you or your loved ones get the healthcare coverage they need without any confusion over eligibility requirements.

What is Medicaid?

In order to be eligible for Medicaid in Maryland, an individual must meet certain income and asset requirements. Medicaid is a needs-based program, meaning that only those with limited financial resources are eligible for coverage.

To be eligible for Medicaid in Maryland, an individual’s monthly income cannot exceed $2,313 (for 2021). For a family of two, the maximum monthly income limit is $3,176; for a family of three, it is $4,040; and so on. In addition to meeting the income requirements, an individual must also have less than $2,000 in countable assets. This includes savings accounts, investments, real estate (other than the applicant’s primary residence), and personal property.

Some individuals who do not meet the above criteria may still be eligible for Medicaid coverage if they qualify for a “medically needy” status. This status is available to those whose medical expenses are so high that their incomes fall below the Medicaid eligibility limits. In order to qualify for medically needy status, an individual’s medical expenses must equal at least one-third of their monthly income.

What are the eligibility requirements for Medicaid in Maryland?

To be eligible for Medicaid in Maryland, an individual must be a U.S. citizen or legal resident, have a Social Security number, and meet certain income and resource guidelines.

Income guidelines vary depending on family size, but are generally at or below 138% of the federal poverty level. Resource guidelines limit the value of countable assets such as bank accounts, real estate, and personal property. Certain resources are exempt from the countable asset limit, including the applicant’s primary residence and vehicle.

Applicants who are aged, blind, or have a disability may also qualify for Medicaid through the Supplemental Security Income (SSI) program. To be eligible for SSI, applicants must have limited income and resources and meet specific disability criteria.

How to apply for Medicaid in Maryland

If you are a Maryland resident and meet certain income and resource requirements, you may be eligible for Medicaid. To apply for Medicaid, you can:

-Visit your local Department of Social Services office
-Apply online at https://www.marylandhealthconnection.gov/
-Call the Maryland Health Connection customer service center at 1-855-642-8572 (toll free) to have an application mailed to you

What are the benefits of Medicaid in Maryland?

There are many benefits to Medicaid in Maryland. Some of these include free or low-cost health care, prescription drug coverage, mental health services, and more. Medicaid additionally covers long-time period care, which includes nursing domestic care. This can be a great help for those who are unable to care for themselves.


Medicaid eligibility in Maryland is determined on a case-by-case basis depending on an individual’s income, age, disability status and other factors. It’s important to familiarize yourself with the program guidelines to determine if you or your family members are eligible for Medicaid coverage. If you need assistance navigating the application process or have questions about Medicaid coverage in Maryland, contact your local health department or social services agency for more information.


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