MD EQRO MapDelmarva Foundation has served as the contracted EQRO for the Maryland Department of Health and Mental Hygiene (DHMH) since 1997. DHMH is responsible for evaluating the quality of care (QOC) provided to approximately 709,205 Maryland Medical Assistance recipients enrolled in HealthChoice Managed Care Organizations (MCOs).  As the EQRO, Delmarva Foundation works collaboratively with DHMH to assess each of the seven MCOs in Maryland for the timeliness, accessibility, and quality of services provided to the HealthChoice enrollees by completing the following services annually:

  • Compliance reviews
  • Performance improvement project validation
  • EPSDT medical record reviews
  • Encounter data validation
  • Value-based purchasing
  • A consumer report card
  • Independent physician/case reviews