HealthChoice Eligibility

What is HealthChoice?
HealthChoice is Maryland’s statewide mandatory managed care program. This program provides health care to most of the state’s Medicaid recipients.

Who is eligible for HealthChoice?
About 75% of all Medicaid eligible recipients qualify for HealthChoice.

Who is NOT eligible for HealthChoice?
Medicaid-eligible recipients with certain circumstances or conditions (such as recipients receiving Medicare, those who are 65 years or older and those eligible for “Spend down”)  are not eligible to be enrolled into a MCO.

Learn more about HealthChoice.