Maryland Department of Health releases RFP to review HealthChoice Managed Care program

Health Management Associates reported this week that the Maryland Department of Health (MDH) released on May 18, 2021, a request of proposals (RFP) for a Medicaid External Quality Review Organization (EQRO) to review the state’s HealthChoice Managed Care program.

 

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Proposals are due July 16, with the contract running for five years with no extension options. The EQRO will provide recommendations on goals and objectives to improve care quality, timeliness, and access.

Participating HealthChoice MCOs

  • Aetna Better Health
  • Amerigroup Community Care
  • CareFirst BlueCross Blue Shield Community Health Plan Maryland
  • Jai Medical Systems
  • Kaiser Permanente
  • Maryland Physicians Care
  • MedStar Family Choice
  • Priority Partners
  • UnitedHealthcare

MCOs are tasked with providing or arranging for a wide array of health care services. The services and the MCOs responsibilities are described in the HealthChoice MCO Provider Agreement.