State Medical Marijuana Fees & Waivers Explained
Every state we serve handles patient fees differently. Pick your state below to see exactly what's required to keep your medical cannabis card active and what waivers are available.
⚠️ Heads up: Your Green Bridge doctor certification fee is always separate from anything your state charges. State waivers and discounts (where they exist) only apply to the state's own fee — not to our certification.
Pennsylvania
PA Annual State Fee & Waiver
⚠️ The state fee due date is not the same as your card's expiration date. Complete the state fee or waiver by the due date in your state account — even if your card doesn't expire until later.
Part 1
Doctor Certification
Provided by: Green Bridge Society
- Our medical service: doctor call and PA certification.
- This certification triggers the state to mail your new card.
- Our fee is separate — state waivers do not apply to our service.
Part 2
PA Annual Fee / Waiver
Managed by: PA Department of Health
- $50 annual fee — or approved MMAP waiver — keeps your card active at PA dispensaries.
- Waiver available through MMAP for patients on Medicaid, SNAP, WIC, PACE/PACENET, or CHIP.
- Due each year by the "Annual Fee Due Date" shown in your account.
- Even if you expect a waiver, you still go through the "Make Payment" steps.
✅ PA Quick Checklist
Complete your renewal with Green Bridge Society (doctor certification).
Log in to your PA patient account and go to "Make Payment".
Complete the annual state fee or MMAP waiver by the due date shown.
West Virginia
WV State Application Fee
⚠️ WV charges a $50 state application fee in addition to our certification. A financial-hardship waiver may be available through the OMC.
Part 1
Doctor Certification
Provided by: Green Bridge Society
- Doctor call and certification submitted to the WV Office of Medical Cannabis (OMC).
- We help walk you through the OMC portal application.
- Our fee is separate — state hardship waivers do not apply to our service.
Part 2
WV State Application Fee
Managed by: WV Office of Medical Cannabis
- $50 application fee paid through the OMC patient portal.
- Hardship waiver may reduce the fee — documentation required by the state.
- Cards are valid for 1 year; renewals require the fee again.
✅ WV Quick Checklist
Complete your certification with Green Bridge Society.
Create or log into your WV OMC patient account.
Pay the $50 fee (or apply for hardship waiver) and submit your application.
Ohio
OH Patient Registry Fee
⚠️ Ohio charges a $50 patient registration fee through the Division of Cannabis Control. Veterans and indigent patients may qualify for a reduced fee.
Part 1
Doctor Certification
Provided by: Green Bridge Society
- Telehealth visit with an Ohio-licensed Certified Physician (CTR).
- The doctor enters your recommendation in the state system — this triggers your registry invitation.
- Our fee is separate from any state fee or veteran/indigent discount.
Part 2
OH Patient Registration Fee
Managed by: Ohio Division of Cannabis Control
- $50 patient registry fee paid online after you receive your invitation email.
- Reduced fee available for veterans and indigent patients with documentation.
- Annual renewal — the fee is due each year along with your renewal certification.
✅ OH Quick Checklist
Complete your Green Bridge certification with our Ohio CTR.
Watch for the patient registry invitation email from the state.
Complete registration and pay the $50 fee (or reduced fee with documentation).
Michigan
MI Registry Application Fee
⚠️ Michigan charges a $40 application fee for the Medical Marihuana Registry. The patient mails the application packet to the state after the doctor signs the physician certification form.
Part 1
Doctor Certification
Provided by: Green Bridge Society
- Telehealth call with a Michigan-licensed physician.
- You receive a signed Physician Certification Form to include with your registry application.
- Our fee is separate from the state registry fee.
Part 2
MI Registry Fee
Managed by: Michigan Cannabis Regulatory Agency (CRA)
- $40 application fee paid by check or money order to the State of Michigan-MMMP.
- Card is valid for 2 years — longer than most states.
- Renewal requires the same $40 fee plus a current physician certification.
✅ MI Quick Checklist
Complete your Green Bridge certification — we send you the signed Physician Form.
Complete the MMMP registry application packet.
Mail the packet with your $40 fee — the state mails your card.
Maryland
MD Patient Registration Fee
⚠️ Maryland charges a $25 patient registration fee through the Maryland Cannabis Administration. Patients register before the certifying provider issues the certification.
Part 1
Doctor Certification
Provided by: Green Bridge Society
- Telehealth visit with a Maryland-registered certifying provider.
- Certification is entered into the MCA system after you complete patient registration.
- Our fee is separate from the state's $25 registration fee.
Part 2
MD Registration Fee
Managed by: Maryland Cannabis Administration
- $25 patient registration fee paid through Maryland OneStop.
- Patient registers before certification — the order matters in MD.
- Patient ID is valid for 3 years; certification renews annually.
✅ MD Quick Checklist
Register through Maryland OneStop and pay the $25 fee.
Receive your MCA patient ID number.
Complete your Green Bridge certification — we link it to your MCA ID.
Virginia
No State Fee Required
Just our certification — no separate state fee.
Virginia eliminated the patient registry requirement. Your written certification from Green Bridge is what you take to the dispensary — that's it. No state portal, no waiver paperwork, no annual fee.
✓ What you receive: A signed written certification valid for 1 year.
✓ What you do at the dispensary: Show your certification and a valid VA ID.
✓ Renewal: Schedule a new visit with us before your year is up.
Oklahoma
OMMA Patient License Fee
⚠️ Oklahoma charges a $100 patient license fee ($20 reduced fee for Medicaid/Medicare/100% disabled veterans) through OMMA. The patient submits the application after the doctor signs the recommendation form.
Part 1
Doctor Recommendation
Provided by: Green Bridge Society
- Telehealth visit with an OMMA-registered Oklahoma physician.
- You receive a signed Adult Patient Recommendation Form to upload to OMMA.
- Our fee is separate from any OMMA license fee or reduced-fee category.
Part 2
OMMA License Fee
Managed by: Oklahoma Medical Marijuana Authority
- $100 standard fee paid through the OMMA online portal.
- $20 reduced fee for Medicaid/SoonerCare, Medicare, and 100% disabled veterans (with documentation).
- Card is valid for 2 years; renewal requires the same fee plus a current recommendation.
✅ OK Quick Checklist
Complete your Green Bridge visit and receive your signed Recommendation Form.
Create an OMMA online account and start your patient application.
Upload your form, pay the $100 (or $20 reduced) fee, and submit.
New York
No State Fee Required
Just our certification — no separate state fee.
New York doesn't charge patients a state fee. When your Green Bridge practitioner certifies you, you're automatically registered in the NYSDOH Medical Cannabis Program — no separate application, no payment portal.
✓ Auto-registration: The certification triggers your patient registration with NYSDOH.
✓ Certification: Valid for 1 year; the registry card is valid for up to 2 years.
✓ Renewal: Schedule a new visit with us before your certification expires.
Louisiana
No State Fee Required
Just our recommendation — no state portal at all.
Louisiana works differently. There's no state-issued patient card and no patient fee. Your Green Bridge doctor sends the recommendation directly to the marijuana pharmacy of your choice — you walk in with a valid LA ID and pick up your medicine.
✓ No state portal: The recommendation goes straight to the pharmacy.
✓ No card needed: Your driver's license or LA ID is your patient ID.
✓ Renewal: Annual visit with us — we re-send the recommendation to your pharmacy.
Maine
No State Fee Required
Just our certification — no required state fee.
Maine doesn't require patients to pay a state fee or get a state card to access medical cannabis. Your Green Bridge certification is what dispensaries (called caregivers and storefronts) need to see.
✓ Optional state card: Maine offers a voluntary registry ID through the Office of Cannabis Policy — not required.
✓ Certification: Valid for 1 year.
✓ Renewal: Schedule a new visit with us each year.
Common Questions (All States)
Do state waivers or reduced fees cover the doctor fee?
No. Waivers and reduced-fee programs only apply to the state's own fee. Our doctor certification is a separate professional service and is the same price for every patient.
Why is my state fee due when my card isn't expiring yet?
Some states (especially Pennsylvania) treat the annual state fee and the printed card expiration as two separate clocks. Always go by the due date in your state account, not the date on the physical card.
I see "No state fee" for my state — what about my Green Bridge fee?
Our certification fee always applies. "No state fee" means the state government doesn't charge you anything additional — you only pay us for the doctor visit.
Which states offer fee waivers or reduced patient fees?
Pennsylvania: Full MMAP waiver for patients on Medicaid, SNAP, WIC, PACE/PACENET, or CHIP.
Ohio: Reduced patient registry fee for veterans and indigent patients with documentation.
Oklahoma: $20 reduced license fee (down from $100) for Medicaid/SoonerCare, Medicare, and 100% disabled veterans.
West Virginia: Financial-hardship waiver may reduce the $50 application fee — documentation required.
Virginia, New York, Louisiana, and Maine don't charge a patient fee, so no waiver is needed. Michigan and Maryland do not currently offer broad waiver programs.
Does HSA or FSA cover my state fee or Green Bridge fee?
It depends on your plan administrator. Many HSA/FSA cards work for medical cannabis certification visits, but state fees are typically not covered. Insurance does not cover any portion of medical cannabis certifications or products in any state we serve.
If I'm getting a fee waiver, do I still have to complete the state portal steps?
Yes. Even if you qualify for a waiver or $0 fee, you still need to go through the state's payment process — that's how the state confirms your waiver eligibility and activates your card. Skipping the step means your card stays inactive even after our certification is complete.
Need help with your state's process?
Our team walks patients through every state portal we serve. Reach out anytime.