Maryland State Office of Rural Health​


Open Solicitation: Maryland Total Cost of Care Model: Initial and Potentially Replicable Impacts on Rural Maryland

SORH is seeking a Contractor to provide services related to the evaluation of the impact of the Maryland Total Cost of Care alternative payment model in Maryland's rural areas.  This project will review the impact of the Total Cost of Care on rural populations in particular, highlighting Maryland's successes and outlining key factors in Maryland's implementation that could be helpful to other rural areas looking to focus on value‐based care and similar quality and care improvement goals.

Please CLICK HERE to access the solicitation in eMaryland Marketplace (eMMA).  The solicitation number is: BPM026289 and is posted with a closing date of November 5, 2021.  

The next Maryland Statewide Telehealth Interest Group meet will take place:
Statewide Telehealth Interest Group
Friday, January 7, 2022 · 12:00 – 1:00pm
Or dial: ‪(219) 281-4547; PIN: ‪792 344 536#



The State of Maryland recognizes 18 out of the 24 counties/ jurisdictions as rural. Maryland’s rural counties include; Allegany, Calvert, Caroline, Carroll, Cecil, Charles, Dorchester, Frederick, Garrett, Harford, Kent, Queen Anne’s, Somerset, St. Mary’s, Talbot, Washington, Wicomico, and Worcester. 25% of Maryland's residents live in rural Maryland. Maryland's rural communities face unique health care concerns that include lack of health care providers and difficulty accessing those providers due to transportation and technology barriers. Rural hospitals and health care providers, which frequently are the economic backbone of the communities they serve, deserve special consideration so that they can continue to provide high-quality services and meet the needs of rural residents. 

MDH's State Office of Rural Health (SORH) and MDH's Healthcare Workforce Programs address the rural health care needs in Maryland through local and federal partnership to develop policy and programs. The State Office of Rural Health (SORH) is federally funded by the Health Resources and Services Administration’s Office of Rural Health Policy (ORHP) to provide technical assistance to rural entities throughout Maryland; coordinate rural health resources and activities in the State; encourage recruitment and retention in the State; collect and disseminate information; and participate in local, state, and federal partnerships. Maryland SORH’s mission is to improve the quality of health care for all rural Marylanders by developing strong partnerships; building local resources; promoting relevant state and national rural health policies; and supporting efforts to recruit and retain health care providers in rural area. 

With a collaboration between Maryland Rural Health Association (MRHA), the Maryland Department of Health (MDH), the Rural Maryland Council (RMC), and the Robert Wood Johnson Foundation (RWJF) the 2018 Maryland Rural Health Plan was created. The health plan is a collaborative document that synthesizes data from multiple sources, such as county health plans, the State Health Improvement Process (SHIP), and feedback from citizens in rural counties, among others. The 2018 Maryland Rural Health Plan highlighted six areas of need including: access to care, sustainable funding mechanisms for health care services, care coordination, chronic disease prevention and management, health literacy and health insurance literacy, and, outreach and education. Read the full plan here. Visit the Maryland Rural Health Plan's new interactive website here​.

image.png​To view the HHS Rural Action Plan click here​.

What does this program do?



Where can I learn more?


Sara Seitz

Maryland Department of Health

201 W. Preston Street

Baltimore, MD 21201

Phone: 410-767- 4467​ 

Last updated: 2021 September 16