MedicaidReimbursementMedium impact
Amendments to HealthChoice and Primary Adult Care Regulations
Maryland Medicaid·MD·Managed Care Organizations
Effective date
Nov 19, 2007
We identified it
Jun 20, 2026
Summary
Maryland's HealthChoice and Primary Adult Care Medicaid managed care programs implemented new capitation rates for July 2007, applied a 1% rate reduction for cost containment, and removed the live birth requirement from Supplemental Newborn/Delivery payments. These changes affect reimbursement rates and payment criteria for Maryland Medicaid MCO providers.
Action Required
No immediate action required for current billing operations as this is a 2007 policy affecting Maryland Medicaid MCO capitation rates and newborn delivery payment criteria. Billing teams should note this is historical documentation that may be referenced for understanding Maryland Medicaid MCO payment structures.