Robert Besser
06 Mar 2025, 15:09 GMT+10
ANNAPOLIS, Maryland: Maryland's largest managed care organization for Medicaid recipients has had its accreditation suspended, prompting state officials to pause new enrollments and allow existing members to switch plans.
Priority Partners, which covers approximately 350,000 Medicaid enrollees—about 24% of Maryland's 1.5 million Medicaid recipients—was suspended due to concerns related to provider credentialing and quality reviews, according to the Maryland Department of Health.
The suspension does not impact existing coverage or access to care for current members, but the state will not allow new enrollments into Priority Partners starting March 17, said Ryan Moran, the state's Deputy Secretary of Health Care Financing and Medicaid Director.
"We will be following up with communication to those members," Moran told The Associated Press, adding that the state will also post information online to keep enrollees informed of their options.
Current members will have a 60-day window to switch to another managed care organization if they choose.
The National Committee for Quality Assurance (NCQA), an independent nonprofit that evaluates and reports on health plan performance, took action against Priority Partners MCO due to concerns about compliance with quality standards.
"NCQA has suspended Health Plan Accreditation for Priority Partners MCO until they implement corrective action and undergo a resurvey," the nonprofit said in a statement. "Details of the suspension cannot be disclosed."
According to the Maryland Department of Health, Priority Partners is the only Medicaid managed care organization in the country to have its accreditation suspended.
Moran emphasized that maintaining high-quality healthcare standards is a priority for the state.
"The sanctions on Priority Partners ensure that Marylanders across the state receive top-quality care," he said, adding that the suspension will remain in effect until the NCQA deems that corrective actions have been successfully implemented.
Priority Partners has not yet responded to requests for comment regarding the accreditation suspension.
Get a daily dose of Cambodian Times news through our daily email, its complimentary and keeps you fully up to date with world and business news as well.
Publish news of your business, community or sports group, personnel appointments, major event and more by submitting a news release to Cambodian Times.
More InformationANNAPOLIS, Maryland: Maryland's largest managed care organization for Medicaid recipients has had its accreditation suspended, prompting...
SEOUL, South Korea: A U.S. aircraft carrier reached South Korea over the weekend, shortly after North Korea test-fired cruise missiles...
WASHINGTON, D.C.: Firefly Aerospace has achieved a major milestone in private space exploration, successfully landing its Blue Ghost...
CAPE CANAVERAL, Florida: This week, a small NASA satellite was launched into space from Florida to find and map water on the moon....
TOKYO, Japan: The number of babies born in Japan fell to a record low of 720,988 in 2024 for a ninth consecutive year, the health ministry...
CAIRO, Egypt - UN Secretary-General Antonio Guterres has warned of the 'alarming situation' unfolding in the West Bank, and says the...
(Photo credit: John E. Sokolowski-Imagn Images) The Colorado Avalanche came into the season with championship aspirations and Alexandar...
(Photo credit: Jerome Miron-Imagn Images) The steamrolling Dallas Stars will try to complete a perfect four-game homestand when they...
(Photo credit: Wendell Cruz-Imagn Images) Alex Ovechkin scored his 885th career goal with 9:32 remaining in the third period and...
(Photo credit: Benny Sieu-Imagn Images) Damian Lillard scored 34 points and Giannis Antetokounmpo added 32 to lead the host Milwaukee...
(Photo credit: Reggie Hildred-Imagn Images) Kyshawn George had 23 points and seven rebounds, helping the Washington Wizards post...
(Photo credit: Wesley Hale-Imagn Images) Jaemyn Brakefield's tiebreaking putback with 7.5 seconds left capped a massive second-half...