Maryland Medicaid Coverage in 2025: Work Rules, Exemptions & Renewal Help

I'm on Medicaid - Stay Covered in Maryland

🩺 I'm on Medicaid

Everything you need to stay covered under Maryland's new requirements. Quick answers, clear steps, no confusion.

Your Renewal Timeline

⏰ Important Timeline

You must renew every 12 months. You'll get a 60-day notice by mail or online—respond within 60 days or lose coverage.

Legal Requirement H.R. 1, Section 71107(b)(1) & (2)

"Each State shall redetermine eligibility... not less frequently than once every 12 months."

When You'll Hear From the State of Maryland

Maryland sends renewal notices 60 days before your coverage expires. Watch for mail or check your Maryland Health Connection account regularly.

60-Day Notice Rule H.R. 1, Section 71107(b)(2)(A)

"The State shall provide notice not later than 60 days before the scheduled redetermination."

Auto-Renewal (The Easy Way)

If Maryland can verify your eligibility electronically, you might qualify for auto-renewal—no paperwork needed. You'll still get a notice confirming this happened.

Automatic Verification H.R. 1, Section 71107(c)(2)

"States shall use data matching to verify ongoing eligibility without requiring action from the individual."

✅ Pro Tip

Keep your contact information updated to ensure you receive renewal notices. Missing mail = lost coverage.

How to Renew Your Coverage

Three Easy Ways to Renew

1

Online (Fastest)

Maryland Health Connection (most people) or marylandbenefits.gov (if you're 65+, blind, or disabled)

2

By Phone

Call 1-855-642-8572 (TTY: 711) or 1-800-332-6347 if you're 65+ or disabled

3

In Person

Visit your local Department of Social Services or Health Department office

What You'll Need

  • Income proof: Last 30 days of pay stubs, tax forms, Social Security statements, pension records
  • Personal info: Social Security numbers, birth dates for everyone in your household
  • Immigration documents (if applicable)
  • Photo ID (for in-person renewals)
  • Updated contact info: Current address, phone, email
Documentation Requirements H.R. 1, Sections 71107(c) and (e)

"States must collect proof of income, identity, citizenship/immigration status, and household composition."

New Work Requirements

🚨 New Rule Alert

Starting January 1, 2027, some adults may need to work, volunteer, or meet other requirements, at least 80 hours per month, to keep Medicaid coverage. Federal and state agencies will provide guidance in 2026. Exceptions will apply.

Work Requirement Law H.R. 1, Section 71119

"States shall require community engagement for certain Medicaid expansion adults."

Who Needs to Work?

This mainly affects healthy adults ages 19-64 without children who qualify for expanded Medicaid.

Who's Exempt? (You DON'T Need to Work)

  • Parents or caregivers of children under 14
  • Pregnant women and new mothers
  • People with disabilities or chronic health conditions
  • Students
  • People 65 and older
  • Anyone already working or volunteering 80+ hours monthly
Exemption Categories H.R. 1, Section 71119(b)

"Exempts individuals over 65, pregnant/postpartum women, caregivers of children under 14, individuals with disabilities, and full-time students."

What Counts as "Work"?

  • Regular employment
  • Community service
  • Job training programs
  • Education programs
  • Caregiving for disabled family members
Qualifying Activities H.R. 1, Section 71119(d)(1)

"Work activities include: employment; self-employment; job training; educational programs; and unpaid caregiving."

🚨 What Happens If You Don't Comply

You'll get a 30-day warning, then lose coverage. You may also become ineligible for other health insurance help.

Special Programs for Working Adults

Employed Individuals with Disabilities (EID)

If you have a disability and work, this program might help you keep Medicaid even if you earn too much for regular Medicaid. No minimum work hours required, but you must have taxable employment.

EID Program Authority H.R. 1, Section 71120(c)(2) and Social Security Act Section 1902(a)(10)(A)(ii)(XV)

"Maintains coverage for working individuals with disabilities whose income exceeds standard thresholds."

📞 Get Help Understanding EID

Call Maryland Access Point at 1-844-627-5465 for guidance on long-term services and special programs.

You can also dial 211 for additional health and human services information.

Visit online: 211 Maryland | Maryland Access Point

Get Help Now

General Medicaid

TTY: 711
Mon-Fri 8am-5pm

65+ or Disabled

Department of Social Services

Long-term Services

Maryland Access Point

Stay Covered Checklist

Watch Your Mail

Check for renewal notices 60 days before your anniversary

Update Contact Info

Keep address, phone, and email current

Track Work Hours

Document your 80+ hours monthly (if required)

Respond Quickly

Submit renewals within 60 days

Keep Records

Save all income docs and correspondence

If You Lose Coverage

Don't Panic - Act Fast

If your coverage lapses, you'll need to reapply with the same documentation as a new application.

Work Requirement Issues?

If you lost coverage due to work requirements, contact your local Department of Social Services immediately to discuss appeals or exemptions.

⏰ Time Matters

The sooner you act, the better your chances of getting coverage restored quickly.

🚨 Need Immediate Help?

If you're facing a medical emergency or urgent health situation, don't wait for Medicaid issues to be resolved.