MD INS Medicaid Reentry Coverage

Published on: Oct 6, 2026

On Oct. 2, MD INS issued final action on Medicaid services for justice-involved individuals.

  • MD INS issued a notice of final action on Code of Maryland Regulations Title 10 - Maryland Department of Health (MD INS 10.09.24.05-5 and MD INS 10.09.24.02
  • Also, a new chapter MD INS 10.09.67.01-.11, and amend sections MD INS 10.67.01.01, MD INS 10.67.03.10, MD INS 10.67.04.04, MD INS 10.67.04.13).
  • Amendments
  • Expand Medicaid coverage to include justice-involved (JI) case management services as well as medication-assisted treatment (MAT) pre-release from public institutions.
  • Changes would take effect Oct. 23, 2025, under Consolidated Appropriations Act 2023 pending CMS approval, Dec. 16, 2025, per HealthChoice 1115 Reentry Demonstration.
  • The program anticipates an impact of $794,361.22 in increased expenditures for FY 2026 consisting of $397,180.61 special funds and $397,180.61 federal funds.
  • Additionally, the FY2026 economic impact includes an increase in revenue for the Department of Public Safety and Correctional Services (DPSCS) of $347,098.44.
  • This is for reimbursement for JI case management and dispensing of MAT medications.
  • Also, anticipates an economic benefit of $447,262.71 in FY26 for community-based behavioral health providers as reimbursement for the provision of associated services.
  • Effectiveness
  • The amendments take effect on Oct. 12, 2026.
Regulators
MD INS
Entity Types
Ins
Reference
MD SR Vol. 53 Is. 20, RF 26-085-F, 10/2/2026; MD SR Vol. 53 Is. 13, RF 26-085-P, 6/26/2026; Citation: *MD INS* 10.09.24.05-5, 10.09.24.02, 10.67.01.01, 10.67.03.10, 10.67.04.04, 10.67.04.13;
Functions
Claims/Accelerated Benefits; Compliance; Legal; Product Administration
Countries
United States of America
Category
State
N/A
Products
Insurance; Insurance-Health; Medicaid
Rule Type
Final
Regions
Am
Rule Date
Oct 2, 2026
Effective Date
Oct 12, 2026
Rule ID
315077
Linked to
N/A
Reg. Last Update
Oct 2, 2026
Report Section
US Insurance