Menu Close

Medicaid Redetermination


Ensure you are ready for it!

Medicaid checks your eligibility status every 12 months. This includes checking your income and assets to be sure you are still eligible.

To keep getting your Medicaid and DDA-operated Medicaid waiver services, you may be required to complete a renewal, also called a redetermination, to find out if you still qualify for Medicaid and the DDA-operated Medicaid waiver program you are enrolled in.

We strongly encourage you to take action right away if you get a renewal/redetermination notice. Responding quickly is the best way to ensure your health coverage or waiver services are not interrupted or stopped.

What You Need to Know:

  • People in DDA-operated Medicaid waiver programs have different types of Medicaid coverage.
  • Some types of Medicaid coverage groups require financial renewals or redeterminations.
  • Redetermination notices may come from:
  • Eligibility Determination Division, 
  • Your Local Department of Social Services, or
  • Maryland Health Benefit Exchange
  • It’s very important to respond to any requests from the State of Maryland, including the Eligibility Determination Division, your Local Department of Social Services, or the Maryland Health Benefits Exchange, before the due date, or you could lose your Medicaid waiver eligibility and services.
  • You may receive notices after receiving approval for Medicaid waiver services. Please be sure to respond to all notices and direct any specific questions to your assigned Coordinator of Community Services (CCS).

What To Do:

  • If you get a redetermination request – even if you have already got a letter telling you that you are eligible – tell your Coordinator of Community Services (CCS). They can help you through the process.
  • Make sure your contact information is up to date so you don’t miss important notices.
  • Log in to MyMDThink.
  • Contact your local Department of Social Services.
  1. By phone: 1-800-332-6347.
  2. In person: Click here to view a list of locations. 
  • Or ask your Coordinator of Community Services for help
  • Check your mail regularly.
  • You will get renewal/redetermination notices about 60 days before it is due.
  • Look for your renewal/redetermination packet and open it right away.
  • Check your email for reminders about renewal/redetermination and take appropriate steps immediately.
  • Complete, sign, and return all forms and documents right away.
  • Missing your deadline could mean losing your Medicaid and waiver coverage.
  • Need help?
  • Contact your Coordinator of Community Services or your Regional Office.

What happens if you miss the deadline? 

If you miss the renewal due date:

  • You have 4 months (or 120 days) from the due date to submit a signed renewal/redetermination packet.
  • During those 4 months, you will not be covered by Medicaid.
  • Your coverage will only reopen if you’re found eligible after review.
  • If you are not found eligible, you will need to re-apply for coverage by submitting a new waiver application.