MedicaidCoverageMedium impact
Adoption of Amendments to HealthChoice Regulations
Maryland Medicaid·MD · Palliative Care, Infectious Disease·Managed Care Organizations
Effective date
Feb 18, 2002
We identified it
Jun 20, 2026
Summary
Maryland Medicaid managed care organizations must now pay out-of-network hospice providers, offer face-to-face meetings for HIV/AIDS enrollees during initial assessment, and follow new provider contract termination requirements affecting 50+ enrollees. Incarceration is now a reason for disenrollment from HealthChoice.
Action Required
Billing teams serving Maryland Medicaid managed care patients should verify hospice billing procedures allow out-of-network claims processing. Update patient intake procedures to document HIV/AIDS status and coordinate face-to-face assessment meetings when required. Review provider contract termination notification processes for compliance with new 50+ enrollee threshold requirements.