MedicaidAdministrativeMedium impact
Emergency and Proposed Amendment to HealthChoice Regulations
Maryland Medicaid·MD·Managed Care Organizations
Effective date
Jul 1, 2005
We identified it
Jun 20, 2026
Summary
Maryland's Medicaid Managed Care Program is implementing emergency regulations effective July 1, 2005, establishing new MCO rates for July-December 2005, revising quality performance measures and incentive methodologies, establishing loss ratio calculation methods, and adjusting brand-name drug co-payments.
Action Required
Since this policy is from 2005 and has already taken effect, no current action is required. However, billing teams in Maryland should verify they are using current Medicaid managed care billing procedures and co-payment structures that may have originated from these regulations.