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§1115 HealthChoice Demonstration

Proposed 2027-2031 Demonstration Period

Background

The Centers for Medicare & Medicaid Services (CMS) has authorized the Maryland Department of Health's (the d​epartment) existing §1115 demonstration, known as the HealthChoice demonstration, through December 31, 2026. The HealthChoice demonstration authorizes Maryland’s managed care program, known as HealthChoice, as well as other innovative programs. For more information, including speical terms and conditions, visit the CMS HealthChoice demonstration page​​.​

§1115 Demonstration Extension Application (2025)

The department submitted an application to extend its §1115 demonstration for a five-year period, from January 1, 2027, through December 31, 2031. Under the extension application, the department seeks authorization to continue existing  pilots and programs. It also seeks a technical amendment to the Increased Community Services (ICS) program eligibility requirements, which will expedite potential enrollment.

The department accepted public comments from stakeholders during the 30-day public comment period between  June 30 ​to July 30, 2025.