Maryland's largest provider for Medicaid enrollees loses accreditation
Source: Associated Press
Maryland’s largest provider for Medicaid enrollees loses accreditation
By BRIAN WITTE
Updated 3:06 PM EST, February 28, 2025
ANNAPOLIS, Md. (AP) — Maryland’s largest managed care organization for Medicaid enrollees has had its accreditation suspended due to concerns with credentialing and quality reviews for its providers, a state health department official said Friday.
A managed care organization is a health care company or plan that aims to control health care costs by supervising the delivery of care through a network of contracted providers.
Priority Partners has about 350,000 enrollees in Medicaid, or about 24% of Maryland’s roughly 1.5 million enrollees in the government-funded health insurance program for low-income people, according to the health department.
The suspension does not affect coverage benefits or access to care for current members in the plan, but the state is suspending any new enrollment into Priority Partners as of March 17, said Ryan Moran, deputy secretary of health care financing and Medicaid director for the state health department.
-snip-
Read more: https://apnews.com/article/medicaid-managed-care-suspension-maryland-5b2a72d42126d9be75993bdb63e039d7