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Blueprint
States/Maryland
Medicare Advantage Network Adequacy · MD

Building a Medicare Advantage network in Maryland? Blueprint knows Maryland’s rules.

Blueprint is pre-configured with Maryland’s 24 counties, CMS MA time-distance thresholds, and HSD specialty categories. Your adequacy score runs on day one.

Maryland at a Glance

24

Counties tracked

22

MA plans competing

October 1 – March 31

Filing window

The Maryland Adequacy Challenge

Why building in Maryland requires local expertise.

Maryland is a Dense DC-Baltimore corridor with rural western and shore gaps state. MA plan sponsors operating here must satisfy CMS time-distance standards across all 24 counties — a task that demands accurate county classifications and pre-loaded specialty categories. Getting it wrong means adequacy gap notices and potential filing rejections.

Western Maryland (Garrett County) and Eastern Shore rural counties have persistent specialist shortages — behavioral health and oncology routinely require access exceptions despite small geographic footprint

Key Specialties to Monitor in MD

Primary CareCardiologyOncologyBehavioral Health

How Blueprint Handles It

How Blueprint handles Maryland MA builds.

All 24 counties pre-loaded

No setup needed for the county map. Every Maryland county is pre-loaded with the correct urban, suburban, and rural classifications Blueprint uses for adequacy scoring.

CMS MA rules for Maryland

Time-distance thresholds, urban/suburban/rural county classifications, and HSD specialty requirements are all loaded. No manual configuration required.

Rural gap detection built in

Blueprint automatically flags counties that need waiver or good-faith effort documentation — so your team knows where to focus before the filing window closes.

Quick Reference

Key adequacy considerations for Maryland.

County classificationDense DC-Baltimore corridor with rural western and shore gaps
Top specialty gapsPrimary Care, Cardiology, Oncology, Behavioral Health
Rural strategyWestern Maryland (Garrett County) and Eastern Shore rural counties have persistent specialist shortages — behavioral health and oncology routinely require access exceptions despite small geographic footprint
Filing windowOctober 1 – March 31
Top counties:MontgomeryPrince George'sBaltimoreAnne ArundelHowardFrederickBaltimore City

Customer Story

“Teams building MA networks in Marylanduse Blueprint to catch adequacy gaps at Week 4 — not Week 14.”

Ready to build in Maryland?

Your Maryland MA network build starts on day one.

All 24 Maryland counties, CMS MA rules, and rural gap detection are pre-loaded. Schedule a demo and your adequacy score runs before the call ends.