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    Maryland's Alternative Benefit Plan

    This site serves to provide information and updates regarding Maryland's Alternative Benefit Plan, which includes covered services for Maryland's Medicaid expansion population in alignment with Maryland's State Plan.

    Public Notice – Legal Notice

    Opportunity for public comment: August 24, 2018 - September 24, 2018

    Pursuant to 42 CFR §440.305(d) and 42 CFR §440.386, notice is hereby given that the Secretary of the Maryland Department of Health (the Department) intends to seek approval from the Centers for Medicare and Medicaid Services (CMS) of a State Plan Amendment to amend the Alternative Benefit Plan (ABP) authorized under section 1937 of the Social Security Act for individuals 19 to 64 years who are eligible for Medicaid pursuant to §1902(a)(10)(A)(i)(VIII) of the Social Security Act, the adult expansion population.
    The Maryland Medicaid State Plan has expanded to include audiology services to Maryland Medicaid participants. Full details, including the covered services, limitations and pre-authorization requirements are available here. The Department previously consulted on the proposal to expand the State Plan. This Public Notice is to consult on the Department’s intention to amend the ABP to include these services, to bring it into alignment with the Maryland Medicaid State Plan.
    The proposed amendment complies with the America Recovery and Reinvestment Act of 2009. Additionally, the ABP will continue to include the full range of Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program benefits for individuals under the age of 21 years. Please refer to the Maryland Healthy Kids Program at https://health.maryland.gov/mmcp/epsdt/Pages/Home.aspx for more details on the EPSDT benefits available. Additional information regarding Medicaid-covered services that are available in the ABP can be found in the Code of Maryland Regulations at: http://www.dsd.state.md.us/comar/SubtitleSearch.aspx?search=10.09.23.
    The State’s 30-day public comment period will be open from August 24, 2018 through September 24, 2018. Comments regarding the Department’s proposed State Plan Amendment to amend the ABP for individuals aged 19 to 64 years who are eligible for Medicaid pursuant to §1902(a)(10)(A)(i)(VIII) of the Social Security Act may be sent to the Maryland Department of Health, Planning Administration, 201 West Preston Street, Room 224, Baltimore, MD 21202 or emailed to tricia.roddy@maryland.gov. Correspondence should be directed to Tricia Roddy, Director of Planning.