Sec. 10.11.03.05. General Eligibility Criteria  


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  • 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.