MedicaidAdministrativeMedium impact
Reinstatement of the HealthChoice Social Determinants of Health Workgroup
Maryland Medicaid·MD·Managed Care Organizations
Effective date
Jan 1, 2027
We identified it
Sep 11, 2026
Summary
Maryland Medicaid is reinstating the HealthChoice Social Determinants of Health Workgroup to develop a standardized, non-proprietary HRSN (Health-Related Social Needs) screening questionnaire to replace current proprietary instruments. This transition aims to reduce administrative burden, improve cost efficiency, and ensure consistent data collection across all HealthChoice MCOs. The new screening tool is targeted for implementation on January 1, 2027.
Action Required
Before January 1, 2027: Billing and operations teams must prepare for transition to the new non-proprietary HRSN screening questionnaire. MCOs will receive formal invitations and meeting schedules in the coming weeks to participate in the SDoH Workgroup collaborative development process. Billing staff should monitor communications from mdh.hcsurveys@maryland.gov for updates on the new screening tool specifications, integration requirements, and any associated billing or documentation changes. Update EMR/billing systems and staff workflows as directed once the final questionnaire is released. Failure to implement the new screening tool by the January 1, 2027 deadline may impact compliance with NCQA standards and HealthChoice program requirements.