In its current format, the Meath Intermediate Championship begins with a group stage.

The top three teams in both groups proceed to the knockout phase that culminates with the final match at Páirc Tailteann.

The winner of the Kildare Intermediate Championship qualifies for the subsequent Leinster Club JHC.

[2] A review of Meath's hurling structures resulted in county committee delegates approving major changes to the championship format in February 2024.

Five different format proposals were put before delegates with one winning unanimous favour and no support for the remaining four.