The Maryland Health Benefit Exchange (MHBE) welcomes the input of stakeholders on a variety of issues. Occasionally, we’ll ask for Public Comment on specific issues, so please check this page often for information about public comment periods. MHBE 2016 Proposed Plan Certification Standards
Network Adequacy and Essential Community Providers Workgroup Report – Pursuant to the 2015 Qualified Health Plan Certification standards, over the past several months the MHBE’s Network Adequacy and Essential Community Providers Workgroup has worked to develop and assess various policy options related to provider network standards. The Workgroup now welcomes comments on its draft report. This MHBE’s Standing Advisory Committee will use the information within this report to provide input to the MHBE Board of Trustees on policy options for the 2017 benefit year. Please use the comment form to provide your comments. Comments can be submitted to HealthReform@hilltop.umbc.edu, and are due no later than 5:00 pm on Friday, September 4, 2015. We thank you for your input.
Network Adequacy and Essential Community Providers Workgroup Report
Network Adequacy and Essential Community Providers Workgroup Comment Form
Request for Information for the Connector Entity Program – The Maryland Health Benefit Exchange invites stakeholders and other interested parties to respond to a Request for Information (RFI) for the FY17 Connector Entity Program. The purpose of this RFI is to gain input from stakeholders on the future of the Connector program. The RFI is formatted as an online survey. It contains a range of questions, and also provides text fields in which respondents can provide narrative detail. The deadline to respond to this RFI is Sept. 8, 2015 at 5 p.m. Thank you for your interest.
Qualified Health Plan Certification – MHBE staff has proposed qualified health plan certification standards for 2016 and requests public comment on these recommendations prior to their consideration by the MHBE’s Board of Trustees. We are also seeking comments on whether the MHBE Board should include as a voluntary standard for 2016 that issuers provide a quality improvement strategy as part of the certification process.
Quality Improvement Strategy – To obtain QHP certification, each issuer must implement a QIS, which is a payment structure that provides increased reimbursement or other incentives to improve health outcomes, reduce hospital readmissions, improve patient safety and reduce medical errors, implement wellness and health promotion activities, and reduce health and health care disparities. A QHP issuer participating in the MHBE for at least two years will be required to implement and report information regarding a QIS. QHP Issuers must also submit data annually for activities that are conducted in relation to implementation of its QIS.