Women can apply by mail or fax. To request an application call toll free at 1-855-692-4993. Women can also fill out and print a copy of the application.
English ApplicationSpanish Application
To learn more, call 1-855-692-4993.
Please note, the Maryland Medical Assistance Family Planning Program does not cover enough services to be a health insurance plan. If you are enrolled in the Family Planning Program, you may have to pay a fine if you do not enroll in another health insurance plan.
Visit www.MarylandHealthConnection.gov or call 1-855-642-8572 to find out what plan is right for you. You may qualify for full Medicaid benefits or get help paying for a health insurance plan.
201 W. Preston Street, Baltimore, MD 21201-2399
(410) 767-6500 or 1-877-463-3464