MedicaidAdministrativeMedium impact
Self-Referral Services Available for HealthChoice Members
Maryland Medicaid·MD·Managed Care Organizations
We identified it
Jun 20, 2026
Summary
Maryland Medicaid HealthChoice members can now access certain services through self-referral without requiring a referral from their primary care provider. This expands direct access to specific healthcare services for Medicaid managed care members in Maryland.
Action Required
Immediately: Review the full policy transmittal PT 69-25 to identify which specific services now allow self-referral for HealthChoice members. Update front desk procedures to accept HealthChoice members for these services without requiring referrals. Train staff on new self-referral eligibility verification process.