MD 90 is a two-lane expressway that provides one of the main access routes to Ocean City, especially the northern part of the resort town, and thus sees heavy seasonal traffic.

MD 90 comes to a bridge over the Snow Hill Line of the Maryland and Delaware Railroad before reaching a partial cloverleaf interchange with US 113 (Worcester Highway).

[1][2] MD 90 serves as an access route to the northern part of Ocean City and sees heavy traffic in the summer months.

[21] In 2009, Mayor Rick Meehan of Ocean City pushed for dualization of the MD 90 bridge, stating that it "is the quicker way in and out of town, especially if you look at all the development that has taken place along the Route 50 corridor."

[23] On August 21, 2021, Governor Larry Hogan announced the state would advance plans to improve MD 90 that include widening the entire length of the road to a four-lane dual highway.

[24][25] On June 13, 2022, Governor Hogan announced that $15 million in funding will be dedicated to expand MD 90 as part of the "Reach the Beach" plan.