MedicaidAdministrativeMedium impact
Pharmacy Copay Requirements for HealthChoice Managed Care Organizations, Effective April 1, 2022
Maryland Medicaid·MD·Provider Transmittal
Effective date
Apr 1, 2022
We identified it
Jun 20, 2026
Summary
Maryland Medicaid HealthChoice managed care organizations are implementing new pharmacy copay requirements effective April 1, 2022. This policy establishes copayment obligations for prescription medications under Maryland's Medicaid managed care program.
Action Required
By April 1, 2022: Billing team must review and understand new pharmacy copay requirements for Maryland HealthChoice Medicaid managed care patients. Update patient collection procedures to reflect new copayment structures for prescription medications. Inform front desk staff to collect appropriate copays from Maryland Medicaid managed care members.