MedicaidAdministrativeMedium impact
Upcoming Medicaid Changes - What Providers Should Know
CareFirst BlueCross BlueShield·MD·Provider News
Effective date
Jan 1, 2027
We identified it
Sep 1, 2026
Summary
CareFirst BlueCross BlueShield is notifying providers of upcoming Medicaid changes effective January 1, 2027, requiring Maryland Medicaid members to meet new federal work and renewal requirements to maintain coverage. Providers should begin educating patients now using CareFirst-provided toolkit materials to help members avoid coverage gaps and stay informed of changes.
Action Required
By December 31, 2026: Providers and front desk staff should download educational materials from the Maryland Department of Health provider toolkit and post flyers/posters in waiting rooms, check-in, and check-out areas. Include information in patient portals and appointment reminders directing Maryland Medicaid members to MarylandHealthConnection.gov/Checkin for official updates. This outreach is critical to help members understand new work and renewal requirements and avoid coverage gaps effective January 1, 2027. Billing team should be prepared for potential changes in member eligibility verification processes beginning January 1, 2027.