MedicaidCoverageMedium impact
MCHP Premium - The Maryland Children's Health Program (MCHP) Expansion
Maryland Medicaid·MD · Pediatrics, Family Medicine, General Practice·General Provider
Effective date
Jul 1, 2001
We identified it
Jun 20, 2026
Summary
Maryland expanded MCHP coverage to children under 19 with family income between 200-300% of Federal Poverty Level. Children with employer-sponsored insurance will receive secondary coverage through Fidelity Insurance Company for co-pays, deductibles, and co-insurance, requiring dual claims submission.
Action Required
Immediately: Billing team must verify MCHP Premium eligibility through EVS system for pediatric patients. For children with employer-sponsored insurance, submit primary claims to employer plan first, then submit secondary claims to Fidelity Insurance Company (P.O. Box 923, Customer Service 410-785-1880) for co-pays, deductibles, and co-insurance. For pharmacy claims, contact First Health Services Corporation at 1-800-884-3238. Update billing workflows to handle dual claim submission process.