Md. Code Regs. 10.11.03.05

Current through Register Vol. 52, No. 1, January 10, 2025

Section 10.11.03.05 - General Eligibility Criteria

A. To be eligible for the CMS Program's services, an applicant shall:

(1) Submit a completed, signed, and dated CMS Program application;

(2) Provide documentation of:

(a) State residency, as this program is not meant to cover those whose sole purpose in coming to Maryland is to obtain medical care or coverage; and

(b) Being younger than 22 years old;

(3) Provide a form of identification for the applicant and the applicant's parents or guardians if the applicant is less than 18 years old;

(4) Have income that does not exceed:

(a) 200 percent of the federal poverty level; or

(b) 250 percent of the federal poverty level, if the applicant is eligible for a medical deduction under Regulation .07D of this chapter; and

(5) Have an eligible medical condition as set forth in Regulation .06 of this chapter.

B.The age eligibility referred to in §A(2)(b) of this regulation may be extended 3 years beyond the 22nd birthday if the CMP:

(1) Confirms that current treatment of the condition should be continued in order to prevent a significant disruption in the provision of necessary services; and

(2) Documents that the applicant is without third-party insurance or entitlement coverage.

Md. Code Regs. 10.11.03.05

Regulations .05 amended as an emergency provision effective January 1, 1987 (14:2 Md. R. 125); adopted permanently effective March 31, 1987 (14:6 Md. R. 715)
Regulations .05 repealed effective November 28, 1988 (15:24 Md. R. 2769)
Regulations .05 adopted effective November 28, 1988 (15:24 Md. R. 2769)
Regulations .05 amended and recodified from Regulation .06 effective 42:7 Md. R. 568, eff.4/13/2015