MedicaidCoverageMedium impact
Post-Public Health Emergency and COVID-19 Guidance
Maryland Medicaid·MD·General Provider
Effective date
Nov 1, 2024
We identified it
Jun 20, 2026
Summary
Maryland Medicaid updates post-COVID policies effective November 1, 2024, adding $1.00 copayments for over-the-counter COVID-19 tests and treatments, while continuing coverage for vaccines without cost sharing. Key changes include reinstatement of EID program premiums, elimination of MCHP Premium payments for children, and clarification of telehealth 'four walls' requirements for certain clinic types.
Action Required
By November 1, 2024: Billing team must update system to collect $1.00 copayments for over-the-counter COVID-19 tests and treatments for Maryland Medicaid patients. Update patient financial counseling scripts to inform patients of new copayment requirements. Verify clinic type in billing system - if practice is PT 35, PT 38, PT 33, or PT MC clinic types, ensure telehealth claims comply with 'four walls' requirements (practitioner or patient must be physically onsite at clinic).