MedicaidReimbursementMedium impact
Proposed Amendments to HealthChoice Regulations
Maryland Medicaid·MD·Managed Care Organizations
Effective date
Jul 1, 2006
We identified it
Jun 20, 2026
Summary
Maryland Medical Assistance Program (Medicaid) is implementing new capitation rates for Managed Care Organizations effective July 1, 2006. The rate increase totals $10.7 million for the first six months due to hospital trend changes and physician fee increases.
Action Required
By September 5, 2006: Maryland Medicaid providers should review the new PMPM capitation rate tables to understand reimbursement changes. Billing teams should update financial projections and verify MCO contracts reflect the new rates. Note: This is a 2006 policy that may be outdated - verify current rates with Maryland Medicaid.