Maryland CHIP: Children's Health Insurance Program
Updated August 2026
Maryland's children's health coverage program is the Maryland Children's Health Program (MCHP). MCHP provides health coverage to uninsured children under age 19 in families whose income exceeds the Medicaid threshold but falls within CHIP income limits, with a premium-based tier (MCHP Premium) extending coverage up to about 322% of the Federal Poverty Level. MCHP is a CHIP Medicaid expansion program administered by the Maryland Department of Health through the HealthChoice managed care system.
322% FPL
MCHP income limit
MCHP
Program name
1-855-642-8572
Maryland Health Connection phone
Maryland's CHIP program covers children up to 322% FPL — among the highest limits in the country
Maryland's children's health coverage program is the Maryland Children's Health Program (MCHP). Combined with the MCHP Premium buy-in tier, it covers uninsured children in families with income up to about 322% FPL (roughly $106,260/year for a family of four, based on Maryland's official monthly income limit of $8,855 for a household of four effective February 1, 2026). This is one of the highest CHIP income limits nationally.
Maryland Children's Health Program (MCHP)
Maryland's income limit for children's coverage — up to roughly 322% FPL once MCHP Premium is included — is among the highest in the United States. For comparison, most states set their CHIP upper limit between 200% and 250% FPL. A family of four with income up to approximately $106,260/year (based on Maryland's official monthly limit of $8,855 for a household of four, effective February 1, 2026) may qualify for coverage — reaching many working families who earn too much for Medicaid but cannot afford private insurance.
Maryland's CHIP regulations (COMAR 10.09.11) set the base Maryland Children's Health Program (MCHP) income standard at 200% of the Federal Poverty Level. For children in families above that threshold, Maryland offers MCHP Premium — a buy-in program, extending up to about 322% FPL, where families pay monthly premiums for coverage through the HealthChoice system. MCHP Premium serves as a connector plan for families just above the base MCHP limit who are priced out of private insurance.
MCHP income eligibility
Source: Maryland Department of Health income limits page (health.maryland.gov/mmcp), effective February 1, 2026; COMAR 10.09.11 regulations; 2026 HHS Federal Poverty Guidelines. The 322% FPL figure is the combined MCHP + MCHP Premium ceiling calculated from Maryland's official monthly income limit table. FPL dollar amounts update annually. Verify current figures at marylandhealthconnection.gov.
| Program | Income Limit | Premium |
|---|---|---|
| Medicaid for children | 0–138% FPL | No premium |
| MCHP (CHIP-funded) | 138%–200% FPL | No premium |
| MCHP Premium | 200%–322% FPL | Monthly premium applies; contact MDH for rates |
Medicaid for children
- Income Limit
- 0–138% FPL
- Premium
- No premium
MCHP (CHIP-funded)
- Income Limit
- 138%–200% FPL
- Premium
- No premium
MCHP Premium
- Income Limit
- 200%–322% FPL
- Premium
- Monthly premium applies; contact MDH for rates
What MCHP covers for children
Children enrolled in MCHP receive comprehensive coverage through a HealthChoice MCO. Per the federal EPSDT mandate and Maryland's program design, covered services include:
- Well-child visits, EPSDT screenings, and immunizations
- Sick visits and specialist care
- Comprehensive dental through Maryland Healthy Smiles
- Vision — exams and glasses
- Mental health and behavioral health services
- Substance use disorder treatment
- Prescription drugs
- Hospital care — inpatient and outpatient
- Emergency services
- Physical, occupational, and speech therapy
- Durable medical equipment (DME)
How to enroll a child in MCHP
Apply for MCHP through Maryland Health Connection at marylandhealthconnection.gov or by calling 1-855-642-8572. Children can also be enrolled in person at local Department of Social Services offices or through a certified enrollment assister. Newborns born to MCHP-enrolled mothers are automatically enrolled at birth. Children losing employer-sponsored insurance qualify for a Special Enrollment Period — contact Maryland Health Connection within 60 days of losing coverage.
What CHIP is nationally
CHIP — the Children's Health Insurance Program — is a federal-state partnership that covers children in families whose income is too high for Medicaid but too low to afford private insurance. Congress created CHIP in 1997 under Title XXI of the Social Security Act. Like Medicaid, CHIP is jointly funded by the federal government and each state, and each state administers its own program.
CHIP serves children up to age 19 (some states cover to 21 for children in foster care). It is not available to adults — CHIP is specifically designed to address the coverage gap for children in working families. Nationally, CHIP covers approximately 7 million children, according to CMS data.
Maryland Medicaid
- Maryland Health Connection: marylandhealthconnection.gov
- Maryland Health Connection phone line: 1-855-642-8572
- Maryland Medicaid (MMCP): mmcp.health.maryland.gov
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