Priority Partners Managed Care Organization Private Healthcare System Houston Healthcare Purchasing Org SMHPPO, Inc. - National

Health Plan Overview

Insurance Company	Priority Partners Managed Care Organization Private Healthcare System Houston Healthcare Purchasing Org SMHPPO, Inc.
Website	ppmaryland.org
Number of Hospitals in Network	0
Number of Plans Offered	4

Network Hospital Locations

Available Plans

HMO

1 plan

OTHER

3 plans

Plan Details

Plan Name	Plan Type
Priority Partners Managed Care Organization	HMO
Private Healthcare System	OTHER
Houston Healthcare Purchasing Org	OTHER
SMHPPO, Inc.	OTHER

Recent News

2025-03-05

The Maryland Department of Health published an FAQ on March 5, 2025, addressing the suspension of Priority Partners' health plan accreditation by the NCQA due to quality-related concerns. The FAQ clarifies that Priority Partners remains a Maryland Medicaid health plan and will continue serving existing members, but new enrollment is suspended from March 17, 2025. Members have a limited time to change health plans if they wish.

2025-02-28

Following the suspension of Priority Partners' accreditation by the NCQA on February 19, 2025, the Maryland Department of Health issued sanctions on February 28, 2025. These sanctions include suspending new enrollment into Priority Partners as of March 17, 2025. Current members retain their coverage and benefits but are being notified of the option to switch to another managed care organization between March 17, 2025, and May 16, 2025.

2025-02-18

Priority Partners Managed Care Organization announced on February 18, 2025, that the National Committee for Quality Assurance (NCQA) suspended its health plan accreditation. The organization stated that it is working to restore the accreditation as soon as possible and reassured current members that there are no changes to their benefits, coverage, doctors, or ability to fill prescriptions.

State Leadership

No leadership information available for Priority Partners Managed Care Organization Private Healthcare System Houston Healthcare Purchasing Org SMHPPO, Inc. in National.

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