Maryland medicaid delmarva foundation

• The quality of Maryland and District of Columbia medicaid ...

  Both Maryland and the District of Columbia contract with Delmarva Foundation, a peer review organization, to conduct external reviews of Medicaid managed care plans. For this study, Families USA examined the Fiscal Year 1997 reviews for Maryland Medicaid managed care

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• [PDF File]Review of Quality Improvement Organization in Maryland, A ...

  https://info.5y1.org/maryland-medicaid-delmarva-foundation_1_4c4bf9.html

  The Delmarva Foundation for Medical Care (DFMC) was the Maryland QIO for the period November 1, 2002, through October 31, 2005. For this 3-year period, known as the seventh scope of work (SOW), DFMC received $22.8 million in Federal reimbursement …

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• [PDF File]Maryland Focused Program Integrity Review Final Report

  https://info.5y1.org/maryland-medicaid-delmarva-foundation_1_9d9fd1.html

  Maryland maintains fraud, waste and abuse policies and procedures in a fraud manual detailing how the OIG should conduct their reviews and audits of providers. In addition, Maryland’s EQRO, the Delmarva Foundation, is contracted to conduct an annual systems performance review (SPR).

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• [PDF File]Site Visit Report

  https://info.5y1.org/maryland-medicaid-delmarva-foundation_1_c507f3.html

  enthusiastic reception. The Delmarva Foundation in Easton, MD, the QIO for Maryland and the District of Columbia, was chosen in part for its proximity, but also because its diverse portfolio and justly well-known quality improvement initiatives would provide much for federal visitors to …

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• [PDF File]Managed Care in Maryland - Medicaid

  https://info.5y1.org/maryland-medicaid-delmarva-foundation_1_39192c.html

  Like most other states, Maryland requires MCOs to report data on HEDIS, CAHPS and other quality measures. The state also reviews a sample of medical records to ensure that MCOs are compliant with other Medicaid performance standards, such as EPSDT standards. The state’s external quality review organization, Delmarva Foundation, creates

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• [PDF File]Medicaid Managed Care Organization

  https://info.5y1.org/maryland-medicaid-delmarva-foundation_1_382ba4.html

  Delmarva Foundation 2 Executive Summary Maryland’s Healthhoice Program (Healthhoice) is a statewide mandatory managed care program that provides health care to most Medicaid participants. Eligible Medicaid participants enroll in the Managed Care Organization (MCO) of their choice and select a primary care provider (PCP) to oversee their

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• [PDF File]STATE OF MARYLAND - Medicaid Home

  https://info.5y1.org/maryland-medicaid-delmarva-foundation_1_3d770a.html

  Maryland Medicaid Program . Revised 10/2011 . If you have questions, or need further information, please call the . Delmarva Foundation Provider Service Line (866) 571-3629 . or the Division of Long Term Care (410) 767-1736 . Toll Free 1-877-4MD-DHMH • TTY for Disabled - Maryland Relay Service 1-800-735-2258 . Web Site: www.dhmh.state.md.us

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