Covered services include:
For people under age 21, Medical Assistance also covers:
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The monthly premium is $0, $25, $40 or $55. People who sign up for EID almost always save much more than they pay for premiums.
Your first premium payment may be higher if you did not return documents to EDD in a timely manner and/or delayed the processing of your application in some way. This is because you must pay the premiums for each month since your application was received, and Medical Assistance will usually charge you for one or two months of premiums in advance as well. Your Medical Assistance will begin the first day of the month your application was received. If you cooperated with EDD or were not asked to provide any additional documents or information, you will not be required to pay premiums for the month(s) you did not know you were eligible. You will have to start making regular premium payments once you receive a notice letting you know you are approved for Medical Assistance.
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If your EID application is approved, your Medical Assistance will take effect on the first day of the month your application was received by the EligibilityDetermination Division (EDD).
You may be able to get these medical expenses covered by Medical Assistance once you have been approved. Providers have the option to bill Medical Assistance for services in this case, but are not required to do so. You should ask your medical providers as soon as you apply for EID if they will bill Medical Assistance for services once you are approved.
See Where do I start my job search?, How do I get the job I want?, What options do I have for employment?, What options do I have for a career? and Work at Home Opportunities on the Maryland Department of Disabilities' website.
There is no minimum amount, so your earnings may be small. But the goal of EID is to encourage you to earn as much as you can. That’s why the income limit for EID is so high.
EID can last until your 65th birthday if you:
After you have enrolled in EID, you need to reapply (“redetermination”) every six months. The Eligibility Determination Division (EDD) will mail you a packet of information about two months before your redetermination is due. This includes an application and a list of documents you need to send copies of along with your application.Be sure to return the application and other documents at least a week before the deadline to avoid losing benefits.EDD will decide if you are still eligible. If so, they will determine how much your premium will be. They will notify you by mail within 30 days of receiving your application.
Yes. You can complete, print and mail the shortened application (see also the EID Application Instructions for completing the application). If you save the electronic application on a computer, you can simply update and print it every six months.
Yes. You will have to get a disability review:
At a disability review, your recent medical records will be reviewed to determine whether you have “medically improved” (your disability has gotten better). If you medically improve, you will not longer be eligible for EID.
Yes. Medical Assistance can supplement your other insurance. See Detail about private insurance.
If you already have Medical Assistance, you cannot be approved for EID. But if you lose eligibility for the type of Medical Assistance you have, then you may be able to use EID to keep Medical Assistance. EID may be a good option if your income or your resources (assets) go over the limit for the other type of Medical Assistance you have.
Qualified Medicare Beneficiary (QMB) is a benefit for people who have Medicare and very low incomes and assets (resources). QMB covers your Medicare premiums, deductibles and co-insurance. This can save you from $1,000 - $12,000 per year. EID provides Medical Assistance, which is a better benefit than QMB. You can earn much more money if you get EID than if you get QMB. EID also lets you save more money than QMB does.
Specified Low-Income Medicare Beneficiary (SLMB) is a benefit for people who have Medicare and very low incomes and assets (resources). SLMB covers your Medicare Part B premiums and greatly reduces your costs for Medicare prescription drug plans (Part D). This can save you at least $1,000 per year. EID provides Medical Assistance, which is a better benefit than SLMB. You can earn much more money if you get EID than if you get SLMB. EID also lets you save more money than SLMB does.
If you get SLMB, but you are eligible for EID, you can enroll in Medical Assistance to replace SLMB.
Medical Assistance Spend Down
Medical Assistance Spend Down: If your income is too high to get Medical Assistance, you may be able to “spend down” to qualify. Spending down means you have to pay for medical expenses out of your own pocket – usually thousands of dollars worth – every six months to get Medical Assistance. EID lets you get Medical Assistance a better way. You don’t have to pay thousands of dollars, just a fairly small monthly premium ($0, $25, $40 OR $55). You can earn much more and save more.
If you get Medical Assistance through EID, you no longer need to “spend down”.
Yes. EID gives you “fee for service” Medical Assistance. You don’t enroll in a MCO. You can see any provider who accepts fee for service Medical Assistance. You do not have to get permission from a MCO.
The Eligibility Determination Division (EDD), a branch of Maryland’s Medical Assistance program in the Maryland Department of Health . EDD can be reached at 410-767-7090.
If you get Social Security Disability checks, or you got Social Security Disability or SSI checks in the last few years, it usually takes 30 days to get a decision in the mail once your application has been returned. If you have never received disability checks from Social Security, it takes up to 90 days to get a decision by mail.
If the EID worker needs more information to process your application, she or he will send you a letter.
To check on the status of your application once you have mailed it in, you can call the Medical Assistance Eligibility Unit at 410-767-7090.
You may need to pay a monthly premium (fee). After you pay your premium, you will then receive a white and red Medical Assistance card by mail. You will not get Medical Assistance until you pay the premium.
Coverage begins the first day of the month that the Eligibility Determination Division (EDD) receives your application, even if you weren’t approved until a later month. That means Medical Assistance may, in some cases, be able to cover medical expenses you have already received, as long as you got them no earlier than the starting date on your Medical Assistance card.
You can appeal the denial. Legal Assistance may be available from Disability Rights Maryland.
Yes, you can for the following Waivers:
If your income or resources exceed the usual limits for the Medicaid Waiver programs, you may be able to enroll in EID if you are eligible, and keep your Waiver services.
201 W. Preston Street, Baltimore, MD 21201-2399
(410) 767-6500 or 1-877-463-3464