MedicaidAdministrativeMedium impact
Updated Pharmacy Copayment Requirements for HealthChoice Maanged Care Organizations, Effective May 1, 2024
Maryland Medicaid·MD·Provider Transmittal
Effective date
May 1, 2024
We identified it
Jun 20, 2026
Summary
Maryland Medicaid updated pharmacy copayment requirements for HealthChoice Managed Care Organizations effective May 1, 2024. This affects how copayments are collected and processed for prescription medications under Maryland's Medicaid managed care plans.
Action Required
Effective May 1, 2024: Billing and front desk staff must update pharmacy copayment collection procedures for Maryland HealthChoice Medicaid managed care patients. Review the full Provider Transmittal PT 65-24 for specific copayment amounts and collection requirements. Update billing system settings and train staff on new copayment rules to ensure compliance.