Maryland Medicaid Program Overview
Enrollment, funding, and managed care facts for Maryland Medicaid.
Get Maryland's Medicaid Fee Schedule →Enrollment
Maryland Medicaid covered approximately 1.37-1.40M people. KFF's state indicator gives 1,373,772 (May 2026); healthinsurance.org (citing state/CMS data) gives 1,404,754 (October 2025). Close but not identical -- different snapshot months during the ongoing post-unwinding enrollment decline, not a contradiction. Reported as a range rather than a single false-precision number. Maryland's own Department of Health fact sheet separately cites 1,522,680 enrollees as of March 2025 -- an even earlier, higher figure consistent with the same downward trend; not merged into the range because it's a third source rather than a replacement for either KFF or healthinsurance.org's figures (see single_source_candidates for the full citation).
Funding & federal match
Maryland has adopted ACA Medicaid expansion.
For FFY2026 (Oct 1, 2025 - Sep 30, 2026), Maryland's Federal Medical Assistance Percentage (FMAP) is 50%.
Waivers
Maryland operates Medicaid managed care under the Maryland HealthChoice Demonstration, a Section 1115 demonstration waiver. Maryland's statewide mandatory Medicaid managed care program, first approved by CMS in October 1996 and implemented June 1997. Renewed multiple times since (2005, 2007, 2010, 2013, 2016, 2021); current 5-year term effective January 1, 2022, with Maryland seeking a further extension for January 1, 2027 - December 31, 2031.
Frequently Asked Questions
Get Maryland's Free Medicaid Fee Schedule
Request actual Maryland Medicaid reimbursement rates by billing code — free, delivered as a CSV.
Sources
- KFF State Health Facts - Total Monthly Medicaid & CHIP Enrollment
- healthinsurance.org - Medicaid eligibility and enrollment in Maryland
- KFF State Health Facts - Federal Medical Assistance Percentage (FMAP) for Medicaid and Multiplier
- Congressional Research Service - Medicaid's Federal Medical Assistance Percentage (FMAP), R43847 (updated April 2, 2025, citing Federal Register FY2026 notice)
- KFF - Status of State Medicaid Expansion Decisions
- Maryland Department of Health - §1115 HealthChoice Demonstration
- Medicaid.gov - Maryland HealthChoice Demonstration Section 1115 Annual Report
Data last verified 2026-09-17. Also see our free Medicaid Fee Schedule tool.