Number of End-Stage Renal Disease patients statewide: 15,730

This state offers Medigap insurance to dialysis patients under 65.

Medicare, a federal program, pays for dialysis for over 80% of dialysis treatments. However, many issues concerning dialysis patients are actually handled at the state level.Individual states have to provide certain basic services under Medicaid, but they also have flexibility in how they structure their plans and set their reimbursement rates. In addition, some states have the authority to determine the need and location for additional dialysis facilities (this is often referred to as certificate of need). Because dialysis patients’ care can be affected by state officials as well as federal officials, DPC members are becoming more active on state issues—ensuring the patients’ voice is heard locally as well as nationally.

Maryland Dialysis Patient Resources

ESRD Network

#5 Mid-Atlantic Renal Coalition
1527 Huguenot Road
Midlothian, VA  23113

State-Run Programs

Maryland Department of Health

  • Adult Programs: A Medicaid program that pays the medical bills of people who have low income and cannot afford medical care.
  • Programs for children: The Maryland Children’s Health Insurance Program (MCHIP) gives full health benefits for children up to age 19, and pregnant women of any age who meet the income guidelines.
  • Medication Programs: Senior Prescription Drug Assistance Program (SPDAP) provides financial assistance to moderate-income residents who are enrolled in an approved Medicare prescription drug plan.

Health Reform Status:

Exchange: Maryland will run its own state-based health insurance exchange.

Medicaid: The state will expand Medicaid eligibility.


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