Maryland Medicaid annually audits each of the nine HealthChoice managed care organizations (MCOs). The audit evaluates the services and care that the MCOs provide members. The audit accesses each MCO to ensure they meet the standards for:
Maryland Medicaid uses the audit findings to make improvements and create best practices.
You can find the results in the annual quality assurance reports. See Public Information Act Requests for prior year reports up to 2013.
Learn More About the HealthChoice MCO Auditors
- Qlarant : Qlarant is a designated, independent External Quality Review Organization (EQRO) helping state agencies meet federal regulations for assessing Managed Care Organizations (MCOs).
- MetaStar : As an independent, nonprofit quality improvement organization with 50 years of experience, MetaStar is dedicated to effecting positive change in health and health care to achieve optimal health for all.
- Center for the Study of Services : Since 1998, CSS has worked with commercial, Medicaid, Medicare, and Qualified Health Plans as an approved CAHPS survey.
