MedicaidAdministrativeMedium impact
Hospital Presumptive Eligibility Program Implementation
Maryland Medicaid·MD · Emergency Medicine, General Surgery, Internal Medicine +1 more·Provider Transmittal
We identified it
Jun 20, 2026
Summary
Maryland is implementing a Hospital Presumptive Eligibility Program that allows hospitals to make temporary Medicaid eligibility determinations for uninsured patients. This enables immediate coverage for emergency and inpatient services while full Medicaid applications are processed.
Action Required
Hospitals should coordinate with their registration and financial counseling staff to understand the new presumptive eligibility process. Ensure billing systems can handle temporary Medicaid coverage periods and establish workflows for patients who receive presumptive eligibility determinations.