MD MEDICAID MARKET
Maryland
monitoring
No current verified market signal.
Last verified: unavailable
Last verified: unavailable · no state-specific item
No current verified signal
Precapture is monitoring this market. No state-specific public intelligence item is currently published.
Plans in this market
Parent, plan, and program come from the plan graph. Enrollment and share use the latest CMS reported count. Operations counts are CMS MCPAR. A dollar amount is not on this page.
Plans in this market 54
| Parent | Plan | Programs | Latest CMS enrollment | Share | MCPAR operations |
|---|---|---|---|---|---|
| CVS/Aetna | Aetna Better Health | not reported | 36,770 (2020) | 2.9% calculated | not reported |
| CVS/Aetna | Aetna Better Health of Maryland | not reported | 7,203 (2018) | 0.6% calculated | not reported |
| CVS/Aetna | Aetna Better Health of Maryland | not reported | 23,553 (2019) | 2.0% calculated | not reported |
| CVS/Aetna | Aetna Better Health of Maryland | not reported | 75,366 (2024) | 4.5% calculated | 4 sanctions, 338 appeals resolved |
| CareFirst | CareFirst BlueCross BlueShield Community Health Plan Maryland | not reported | 114,806 (2024) | 6.9% calculated | 5 sanctions, 851 appeals resolved |
show all 54
| Parent | Plan | Programs | Latest CMS enrollment | Share | MCPAR operations |
|---|---|---|---|---|---|
| CareFirst | CareFirst BCBS Community Health Plan Maryland | not reported | 80,162 (2021) | 5.3% calculated | not reported |
| Elevance | Amerigroup Community Care | not reported | 287,555 (2020) | 22.9% calculated | not reported |
| Elevance | Amerigroup Community Care | not reported | 276,054 (2018) | 23.6% calculated | not reported |
| Elevance | Amerigroup Community Care | not reported | 332,870 (2021) | 21.9% calculated | not reported |
| Elevance | Wellpoint Maryland | not reported | 350,641 (2024) | 21.0% calculated | 4 sanctions, 1,661 appeals resolved |
| not reported | Jai Medical Systems | not reported | 31,253 (2023) | 2.0% calculated | not reported |
| not reported | Jai Medical Systems | not reported | 32,340 (2024) | 1.9% calculated | 60 appeals resolved |
| not reported | Priority Partners | not reported | 300,037 (2019) | 25.2% calculated | not reported |
| not reported | Priority Partners | not reported | 297,179 (2018) | 25.4% calculated | not reported |
| not reported | Hopkins Elder Plus | not reported | 103 (2019) | 100.0% calculated | not reported |
| not reported | Hopkins Elder Plus | not reported | 120 (2020) | 100.0% calculated | not reported |
| not reported | Priority Partners | not reported | 310,628 (2020) | 24.7% calculated | not reported |
| not reported | Hopkins Elder Plus | not reported | 102 (2017) | 100.0% calculated | not reported |
| not reported | Hopkins Elder Plus | not reported | 105 (2018) | 100.0% calculated | not reported |
| not reported | Hopkins ElderPlus | not reported | 107 (2021) | 100.0% calculated | not reported |
| not reported | Hopkins ElderPlus | not reported | 105 (2024) | 100.0% calculated | not reported |
| not reported | Priority Partners | not reported | 359,186 (2021) | 23.6% calculated | not reported |
| not reported | Priority Partners | not reported | 384,354 (2024) | 23.1% calculated | 5 sanctions, 8,248 appeals resolved |
| Kaiser Permanente | Kaiser Permanente | not reported | 80,571 (2020) | 6.4% calculated | not reported |
| Kaiser Permanente | Kaiser Permanente | not reported | 116,958 (2022) | 7.8% calculated | not reported |
| Kaiser Permanente | Kaiser Permanente | not reported | 138,432 (2024) | 8.3% calculated | not reported |
| Kaiser Permanente | Kaiser Permanente of the Mid-Atlantic States | not reported | 119,068 (2021) | 7.8% calculated | 2 sanctions, 101 appeals resolved |
| Kaiser Permanente | Kaiser Permanete | not reported | 63,724 (2018) | 5.4% calculated | not reported |
| not reported | Kaiser Permanente | not reported | 60,140 (2017) | 5.2% calculated | not reported |
| not reported | Maryland Physician's Care | not reported | 218,890 (2020) | 17.4% calculated | not reported |
| not reported | Maryland Physcians Care | not reported | 217,073 (2017) | 18.7% calculated | not reported |
| not reported | Maryland Physician's Care | not reported | 212,426 (2019) | 17.8% calculated | not reported |
| not reported | Maryland Physicians Care | not reported | 266,727 (2024) | 16.0% calculated | 5 sanctions, 4,014 appeals resolved |
| not reported | MedStar | not reported | 90,488 (2018) | 7.7% calculated | not reported |
| not reported | MedStar | not reported | 90,824 (2019) | 7.6% calculated | not reported |
| not reported | MedStar Family Choice | not reported | 115,530 (2024) | 6.9% calculated | 4 sanctions, 532 appeals resolved |
| not reported | MedStar Family Choice | not reported | 111,394 (2021) | 7.3% calculated | not reported |
| not reported | MedStar Family Choice | not reported | 94,307 (2020) | 7.5% calculated | not reported |
| UnitedHealth | United HealthCare | not reported | 149,565 (2018) | 12.8% calculated | not reported |
| UnitedHealth | United Healthcare Community Plan | not reported | 146,314 (2019) | 12.3% calculated | not reported |
| UnitedHealth | United Healthcare Community Plan | not reported | 150,667 (2020) | 12.0% calculated | not reported |
| UnitedHealth | UnitedHealthcare Community Plan | not reported | 187,674 (2024) | 11.3% calculated | 4 sanctions, 1,251 appeals resolved |
| UnitedHealth | UnitedHealthcare of the Mid-Atlantic | not reported | 175,402 (2021) | 11.5% calculated | not reported |
| not reported | University of Maryland Health Partners | not reported | 48,841 (2020) | 3.9% calculated | not reported |
| not reported | Amerigroup Community Care | not reported | 268,070 (2016) | 24.8% calculated | not reported |
| not reported | Hopkins Elder Plus | not reported | 100 (2016) | 100.0% calculated | not reported |
| not reported | Jai Medical Systems | not reported | 23,639 (2016) | 2.2% calculated | not reported |
| not reported | Jai Medical Systems | not reported | 30,031 (2022) | 2.0% calculated | not reported |
| not reported | Kaiser Permanente | not reported | 44,641 (2016) | 4.1% calculated | not reported |
| not reported | Maryland Physicians Care | not reported | 203,979 (2016) | 18.9% calculated | not reported |
| not reported | MedStar Family Choice | not reported | 76,036 (2016) | 7.0% calculated | not reported |
| not reported | Priority Partners | not reported | 263,824 (2016) | 24.4% calculated | not reported |
| not reported | Riverside Health of Maryland | not reported | 33,414 (2016) | 3.1% calculated | not reported |
| not reported | United HealthCare | not reported | 166,382 (2016) | 15.4% calculated | not reported |
CMS reported enrollment
CMS reporting years in this file run from 2016 through 2024. Retrieved 2026-11-01. The latest reporting year is 2024, which is behind the retrieval date. Enrollment figures are the CMS cell for that reporting year. Share is calculated from CMS reported total enrollment for that state, program, and year. Precapture does not combine rows. A year missing from a trend was not reported. A plan and region with more than one CMS row in a year has no trend and no year-over-year change. The dataset says a reported 0 may not truly represent 0 when a state suppressed a small count. CMS reported.
HealthChoice (Comprehensive MCO)
HealthChoice (Comprehensive MCO) 50
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Aetna Better Health of Maryland | CVS Health | CVS/Aetna | Allegany, Anne Arundel, Baltimore City, Baltimore County, Calvert, Caroline, Carroll, Cecil, Charles, Dorchester, Frederick, Garrett, Harford, Howard, Kent, Montgomery, Prince George’s, Queen Anne’s, Somerset, St. Mary’s, Talbot, Washington, Wicomico, and Worcester counties | not reported | not reported | not reported | not reported | 2021: 57,942 |
| Aetna Better Health of Maryland | CVS Health | CVS/Aetna | Statewide | CMS reported 75,366 (2024) | 4.5% | +10,369 (+16.0%) | +0.5 pts | 2018: 7,203; 2019: 23,553; 2022: 56,043; 2023: 64,997; 2024: 75,366 |
| Aetna Better Health | Aetna | CVS/Aetna | Statewide | not reported | not reported | not reported | not reported | 2020: 36,770 |
| Amerigroup Community Care | Anthem | Elevance | Statewide except for Kent, Queen Anne's and Talbot counties | not reported | not reported | not reported | not reported | 2017: 280,384 |
| Amerigroup Community Care | Anthem | Elevance | Statewide | not reported | not reported | not reported | not reported | 2018: 276,054; 2019: 276,514; 2020: 287,555 |
show all 50
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Amerigroup Community Care | Elevance Health | Elevance | Allegany, Anne Arundel, Baltimore City, Baltimore County, Calvert, Caroline, Carroll, Cecil, Charles, Dorchester, Frederick, Garrett, Harford, Howard, Kent, Montgomery, Prince George’s, Queen Anne’s, Somerset, St. Mary’s, Talbot, Washington, Wicomico, and Worcester counties | not reported | not reported | not reported | not reported | 2021: 332,870 |
| Amerigroup Community Care | not reported | unmatched | Statewide except Kent, Queen Anne's and Talbot counties. | not reported | not reported | not reported | not reported | 2016: 268,070 |
| CareFirst BCBS Community Health Plan Maryland | CareFirst Community Partners, Inc. | CareFirst Community Partners, Inc. | Anne Arundel, Baltimore City, Baltimore County, Calvert, Caroline, Carroll, Cecil, Charles, Dorchester, Frederick, Harford, Howard, Kent, Montgomery, Prince George’s, Queen Anne’s, Somerset, St. Mary’s, Talbot, Washington, Wicomico, and Worcester counties | not reported | not reported | not reported | not reported | 2021: 80,162 |
| CareFirst BlueCross BlueShield Community Health Plan Maryland | CareFirst | CareFirst | Statewide | CMS reported 114,806 (2024) | 6.9% | +18,116 (+18.7%) | +0.8 pts | 2022: 79,227; 2023: 96,690; 2024: 114,806 |
| Jai Medical Systems | Jai Medical Systems | Jai Medical Systems | Anne Arundel, Baltimore City, Baltimore County, Harford, and Howard counties | not reported | not reported | not reported | not reported | 2021: 30,636 |
| Jai Medical Systems | Jai Medical Systems | Jai Medical Systems | Baltimore City, Anne Arundel and Baltimore Counties | not reported | not reported | not reported | not reported | 2018: 25,998 |
| Jai Medical Systems | Jai Medical Systems | Jai Medical Systems | Baltimore City, Anne Arundel and Baltimore counties | not reported | not reported | not reported | not reported | 2017: 25,726 |
| Jai Medical Systems | Jai Medical Systems | Jai Medical Systems | Baltimore City, Anne Arundel, Baltimore, Carroll, Harford, Howard, and Prince George's Counties | CMS reported 32,340 (2024) | 1.9% | +1,087 (+3.5%) | -0.0 pts | 2022: 30,031; 2023: 31,253; 2024: 32,340 |
| Jai Medical Systems | Jai Medical Systems | Jai Medical Systems | Baltimore City, Balitmore County, Anne Arundel County | not reported | not reported | not reported | not reported | 2019: 26,989 |
| Jai Medical Systems | Jai Medical Systems | Jai Medical Systems | Baltimore City, Baltimore Carroll, Harford, and Howard counties | not reported | not reported | not reported | not reported | 2020: 27,938 |
| Jai Medical Systems | not reported | unmatched | Balitmore City, Anne Arundel and Baltimore counties | not reported | not reported | not reported | not reported | 2016: 23,639 |
| Kaiser Permanente of the Mid-Atlantic States | Kaiser Permanente | Kaiser Permanente | Anne Arundel, Baltimore City, Baltimore County, Calvert, Charles, Harford, Howard, Montgomery, Prince George’s, and St. Mary’s counties | not reported | not reported | not reported | not reported | 2021: 119,068 |
| Kaiser Permanente | Kaiser Foundation Health Plan of the Mid-Atlantic, Inc. | Kaiser Permanente | Baltimore City, Anne Arundel, Baltimore County, Calvert, Charles, Harford, Howard, Montgomery, and Prince George's Counties | CMS reported 138,432 (2024) | 8.3% | +9,061 (+7.0%) | +0.2 pts | 2022: 116,958; 2023: 129,371; 2024: 138,432 |
| Kaiser Permanente | Kaiser Permanente of the Mid Atlantic States | Kaiser Permanente | Anne Arundel, Baltimore, Calvert, Charles, Harford, Howard, Montgomery and Prince George's Counties | not reported | not reported | not reported | not reported | 2019: 66,616 |
| Kaiser Permanente | Kaiser Permanente of the Mid Atlantic States | Kaiser Permanente | Baltimore City, Anne Arundel, Baltimore, Calvert, Charles, Harford, Howard, Montgomery, and Prince George's counties | not reported | not reported | not reported | not reported | 2020: 80,571 |
| Kaiser Permanente | Kaser Permante of the Mid Atlantic States | Kaser Permante of the Mid Atlantic States | Baltimore City, Anne Arundel, Baltimore, Calvert, Charles, Harford, Howard and Montgomery counties | not reported | not reported | not reported | not reported | 2017: 60,140 |
| Kaiser Permanente | not reported | unmatched | Baltimore City, Anne Arunde, Baltimore, Calvert, Charles, Harford, Howard, Montgomery, Prince George's and St. Mary's Counties. | not reported | not reported | not reported | not reported | 2016: 44,641 |
| Kaiser Permanete | Kaiser Permanete of the Mid Atlantic States | Kaiser Permanente | Anne Arundel, Baltimore, Calver, Charles, Harford, Howard, Montgomery, and Prince George's Counties | not reported | not reported | not reported | not reported | 2018: 63,724 |
| Maryland Physcians Care | Maryland Care Inc | Maryland Care, Inc. | Statewide except for Somerset, Wicomico and Worcester counties | not reported | not reported | not reported | not reported | 2017: 217,073 |
| Maryland Physician's Care | MPC | MPC | Statewide | not reported | not reported | not reported | not reported | 2018: 213,677; 2019: 212,426; 2020: 218,890 |
| Maryland Physicians Care | Maryland Care, Inc. | Maryland Care, Inc. | Allegany, Anne Arundel, Baltimore City, Baltimore County, Calvert, Caroline, Carroll, Cecil, Charles, Dorchester, Frederick, Garrett, Harford, Howard, Kent, Montgomery, Prince George’s, Queen Anne’s, Somerset, St. Mary’s, Talbot, Washington, Wicomico, and Worcester counties | not reported | not reported | not reported | not reported | 2021: 253,832 |
| Maryland Physicians Care | Maryland Care, Inc. | Maryland Care, Inc. | Statewide | CMS reported 266,727 (2024) | 16.0% | +3,878 (+1.5%) | -0.4 pts | 2016: 203,979; 2022: 249,779; 2023: 262,849; 2024: 266,727 |
| MedStar Family Choice | MedStar Health System | MedStar Health System | Baltimore City, Anne Arundel, Baltimore, Calvert, Charles, Harford, Montgomery, Prince George's, and St. Mary's counties | not reported | not reported | not reported | not reported | 2020: 94,307 |
| MedStar Family Choice | MedStar Health, Inc. | MedStar Health | Anne Arundel, Baltimore City, Baltimore County, Calvert, Charles, Harford, Montgomery, Prince George’s, and St Mary's counties | not reported | not reported | not reported | not reported | 2021: 111,394 |
| MedStar Family Choice | MedStar Health | MedStar Health | Baltimore City, Anne Arundel, Baltimore Charles Harford, Montgomery, Prince George's and St. Mary's counties. | not reported | not reported | not reported | not reported | 2017: 86,345 |
| MedStar Family Choice | MedStar Health | MedStar Health | Baltimore City, Anne Arundel, Baltimore, Calvert, Charles, Harford, Montgomery, Prince George's, and St. Mary's Counties | CMS reported 115,530 (2024) | 6.9% | +1,230 (+1.1%) | -0.2 pts | 2022: 109,291; 2023: 114,300; 2024: 115,530 |
| MedStar Family Choice | not reported | unmatched | Baltimore City, Anne Arundel, Baltimore, Charles, Harford, Montgomery, Prince George's and St. Mary's counties | not reported | not reported | not reported | not reported | 2016: 76,036 |
| MedStar | MedStar Health | MedStar Health | Baltimore City, Anne Arundel, Baltimore, Carroll, Cecil, Charles, Harford, Howard, Montgomery, Prince George's and St. Mary's Counties | not reported | not reported | not reported | not reported | 2019: 90,824 |
| MedStar | MedStar | MedStar | Baltimore City, Anne Arundel, Baltimore, Charles, Harford, Montgomery, Prince George's, and St. Mary's Counties | not reported | not reported | not reported | not reported | 2018: 90,488 |
| Priority Partners | Johns Hopkins HealthCare, Inc. | Johns Hopkins HealthCare | Allegany, Anne Arundel, Baltimore City, Baltimore County, Calvert, Caroline Carroll, Cecil, Charles, Dorchester, Frederick, Garrett, Harford, Howard, Kent, Montgomery, Prince George’s, Queen Anne’s, Somerset, St. Mary’s, Talbot, Washington, Wicomico, and Worcester counties | not reported | not reported | not reported | not reported | 2021: 359,186 |
| Priority Partners | Johns Hopkins HealthCare | Johns Hopkins HealthCare | Statewide | CMS reported 384,354 (2024) | 23.1% | +11,957 (+3.2%) | -0.2 pts | 2016: 263,824; 2017: 291,830; 2018: 297,179; 2019: 300,037; 2020: 310,628; 2022: 353,665; 2023: 372,397; 2024: 384,354 |
| Riverside Health of Maryland | not reported | unmatched | Baltimore City, Anne Arundel, Baltimore, Calvert, Caroline, Carroll, Cecil, Charles, Dorchester, Frederick, Harford, Howard, Kent, M | not reported | not reported | not reported | not reported | 2016: 33,414 |
| United HealthCare | UnitedHealthcare | UnitedHealth | Baltimore City, Anne Arundel, Baltimore, Carroll, Cecil, Charles, Harford, Howard, Montgomery, Prince George's, and St. Mary's Counties | not reported | not reported | not reported | not reported | 2018: 149,565 |
| United HealthCare | not reported | unmatched | Baltimore City, Anne Arundel, Baltimore, Charles, Harford, Howard, Montgomery, Prince George's and St. Mary's counties | not reported | not reported | not reported | not reported | 2016: 166,382 |
| United Healthcare Community Plan | UHC | UnitedHealth | Baltimore City, Anne Arundel, Baltimore, Calvert, Charles, Frederick, Harford, Howard, Montgomery, Prince George's, St. Mary's, and Washington counties | not reported | not reported | not reported | not reported | 2020: 150,667 |
| United Healthcare Community Plan | United Healthcare | UnitedHealth | Baltimore City, Anne Arundel, Baltimore, Carroll, Cecil, Charles, Harford, Howard, Montgomery, Prince George's and St. Mary's counties | not reported | not reported | not reported | not reported | 2017: 158,969 |
| United Healthcare Community Plan | United Healthcare | UnitedHealth | Baltimore City, Baltimore, Carroll, Cecil, Charles, Harford, Howard, Montgomery, Prince George's and St. Mary's Counties | not reported | not reported | not reported | not reported | 2019: 146,314 |
| UnitedHealthcare Community Plan | UnitedHealthcare of the Mid-Atlantic | UnitedHealth | Baltimore City, Anne Arundel, Baltimore, Calvert, Caroline, Carroll, Cecil, Charles, Dorchester, Frederick, Harford, Howard, Kent, Montgomery, Prince George's, Queen Anne's, Somerset, St. Mary's, Talbot, Washington, Wicomico, and Worcester Counties | CMS reported 187,674 (2024) | 11.3% | +5,315 (+2.9%) | -0.1 pts | 2023: 182,359; 2024: 187,674 |
| UnitedHealthcare Community Plan | UnitedHealthcare of the Mid-Atlantic | UnitedHealth | Baltimore City, Anne Arundel, Baltimore, Calvert, Caroline, Carroll, Cecil, Charles, Dorchester, Frederick, Harford, Howard, Kent, Montgomery, Prince George's, Queen Anne's, Somerset, St.Mary's, Talbot, Washington, Wicomico, and Worcester Counties | not reported | not reported | not reported | not reported | 2022: 172,275 |
| UnitedHealthcare of the Mid-Atlantic | UnitedHealth Group | UnitedHealth | Allegany, Anne Arundel, Baltimore City, Baltimore County, Calvert, Caroline, Carroll, Cecil, Charles, Dorchester, Frederick, Garrett, Harford, Howard, Kent, Montgomery, Prince George’s, Queen Anne’s, Somerset, St. Mary’s, Talbot, Washington, Wicomico, and Worcester counties | not reported | not reported | not reported | not reported | 2021: 175,402 |
| University of Maryland Health Partners | University of Maryland Medical Systems | University of Maryland Medical Systems | Baltimore City, Anne Arundel, Baltimore, Calvert, Caroline, Carroll, Cecil, Charles, Dorchester, Frederick, Harford, Howard, Montgomery, Prince George's, Queen Anne's St. Mary's, Somerset, Wicomico and Worcester Counties | not reported | not reported | not reported | not reported | 2019: 47,183 |
| University of Maryland Health Partners | University of Maryland Medical Systems | University of Maryland Medical Systems | Baltimore City, Anne Arundel, Baltimore, Calvert, Caroline, Carroll, Cecil, Charles, Dorchester, Frederick, Harford, Howard, Montgomery, Prince George's, Queen Anne's, St. Mary's, Somerset, Wicomico, and Worcester counties | not reported | not reported | not reported | not reported | 2020: 48,841 |
| University of Maryland Health Partners | University of Maryland Medical Systems | University of Maryland Medical Systems | Statewide except for Allegany, Garrett and Washington Counties | not reported | not reported | not reported | not reported | 2018: 45,715 |
| University of Maryland Health Partners | University of Maryland Medical Systems | University of Maryland Medical Systems | Statewide except for Allegany, Garrett and Washington counties | not reported | not reported | not reported | not reported | 2017: 40,746 |
| Wellpoint Maryland | Elevance Health | Elevance | Statewide | CMS reported 350,641 (2024) | 21.0% | +7,157 (+2.1%) | -0.5 pts | 2022: 328,872; 2023: 343,484; 2024: 350,641 |
Hopkins Elder Plus (Program of All-inclusive Care for the Elderly (PACE))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Hopkins Elder Plus | Johns Hopkins Health System | John's Hopkins Health System | 21052, 21202, 21205, 21206, 21212, 21214, 21217, 21218, 21219, 21220, 21221, 21222, 21224, 21227, 21231, 21237 | not reported | not reported | not reported | not reported | 2019: 103; 2020: 120 |
| Hopkins Elder Plus | Johns Hopkins | Johns Hopkins | 21052, 21202, 21205, 21206, 21213, 21214, 21217, 21218, 21219, 21220, 21221, 21222, 21224, 21227, 21231, 21237 | not reported | not reported | not reported | not reported | 2017: 102; 2018: 105 |
PACE (PACE)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Hopkins ElderPlus | Johns Hopkins HealthCare | Johns Hopkins HealthCare | 21202, 21205, 21206, 21213, 21214, 21217, 21218, 21219, 21220, 21221, 21222, 21224, 21227, 21227, 21231, 21237, 21052 | not reported | not reported | not reported | not reported | 2023: 115 |
| Hopkins ElderPlus | Johns Hopkins HealthCare | Johns Hopkins HealthCare | 21202, 21205, 21206, 21213, 21214, 21217, 21218, 21219, 21220, 21221, 21222, 21224, 21227, 21231, 21237, 21052 | CMS reported 105 (2024) | 100.0% | not reported | not reported | 2024: 105 |
PACE (Program of All-inclusive Care for the Elderly (PACE))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Hopkins ElderPlus | Johns Hopkins HealthCare, Inc. | Johns Hopkins HealthCare | Zip codes: 21202, 21205, 21206, 21213, 21214, 21217, 21218, 21219, 21220, 21221, 21222, 21224, 21227, 21231, 21237, and 21052 | not reported | not reported | not reported | not reported | 2021: 107 |
Program of All-Inclusive Care for the Elderly (PACE)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Hopkins ElderPlus | Johns Hopkins HealthCare | Johns Hopkins HealthCare | 21202, 21205, 21206, 21213, 21214, 21217, 21218, 21219, 21220, 21221, 21222, 21224, 21227, 21231, 21237, 21052 | not reported | not reported | not reported | not reported | 2022: 109 |
Program of All-Inclusive Care for the Elderly (PACE) (Program of All-inclusive Care for the Elderly (PACE))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Hopkins Elder Plus | not reported | unmatched | 21052, 21202, 21205, 21206, 21213, 21214, 21217, 21218, 21219, 21220, 21221, 21222, 21224, 21227, 21231, 21237 | not reported | not reported | not reported | not reported | 2016: 100 |
Plan operations (CMS MCPAR)
Counts, rates, dates, and status are the CMS MCPAR cells for that plan, program, and reporting year. The appeal rate is calculated from CMS reported appeals resolved in favor of the enrollee divided by CMS reported appeals resolved. It is not a CMS-published rate. A plan links when the name matches one enrollment plan in that same state and program. Unmatched is shown and is not guessed. A sanction amount is not on this page. Retrieved 2026-11-02. CMS MCPAR.
National plan operations · Federal compliance deadlines
Appeals, grievances, and enrollment share (2024)
Appeals, grievances, and enrollment share (2024) 9
| Plan | Parent | Program | Appeals resolved | In favor of enrollee | Appeal rate | Grievances resolved | Medicaid enrollment share | Managed care enrollment share |
|---|---|---|---|---|---|---|---|---|
| Aetna Better Health of Maryland (ABH) | CVS/Aetna | Maryland HealthChoice Program | 163 | 66 | 40.5% calculated | 325 | 3.7% | 4.3% |
| CareFirst BlueCross BlueShield Community Health Plan (CFCHP) | CareFirst | Maryland HealthChoice Program | 457 | 301 | 65.9% calculated | 81 | 5.8% | 6.7% |
| Jai Medical Systems, Inc. (JMS) | Jai Medical Systems | Maryland HealthChoice Program | 23 | 18 | 78.3% calculated | 167 | 1.7% | 2% |
| Kaiser Permanente of the Mid-Atlantic States, Inc. (KPMAS) | Kaiser Permanente | Maryland HealthChoice Program | 46 | 24 | 52.2% calculated | 2,014 | 6.9% | 7.9% |
| Maryland Physicians Care (MPC) | Maryland Care, Inc. | Maryland HealthChoice Program | 2,177 | 872 | 40.1% calculated | 731 | 6% | 6.9% |
show all 9
| Plan | Parent | Program | Appeals resolved | In favor of enrollee | Appeal rate | Grievances resolved | Medicaid enrollment share | Managed care enrollment share |
|---|---|---|---|---|---|---|---|---|
| MedStar Family Choice, Inc. (MSFC) | MedStar Health | Maryland HealthChoice Program | 336 | 240 | 71.4% calculated | 2,352 | 14% | 16.1% |
| Priority Partners (PPMCO) | Johns Hopkins HealthCare | Maryland HealthChoice Program | 3,972 | 2,000 | 50.4% calculated | 322 | 20.4% | 23.5% |
| United Healthcare Community Plan (UHC) | UnitedHealth | Maryland HealthChoice Program | 681 | 358 | 52.6% calculated | 219 | 9.8% | 11.2% |
| Wellpoint Maryland (WPM) | Elevance | Maryland HealthChoice Program | 897 | 425 | 47.4% calculated | 1,125 | 18.6% | 21.4% |
Sanctions (2024)
Sanctions (2024) 18
| Plan | Parent | Topic | Date | Corrective action plan | Remediation status |
|---|---|---|---|---|---|
| Aetna Better Health of Maryland (ABH) | CVS/Aetna | Reporting | 2024-12-31 | Yes | Remediation in progress |
| Aetna Better Health of Maryland (ABH) | CVS/Aetna | Reporting | 2024-12-31 | No | Remediation in progress |
| CareFirst BlueCross BlueShield Community Health Plan (CFCHP) | CareFirst | Reporting | 2024-12-31 | Yes | Remediation in progress |
| CareFirst BlueCross BlueShield Community Health Plan (CFCHP) | CareFirst | Reporting | 2024-12-31 | Yes | Remediation in progress |
| CareFirst BlueCross BlueShield Community Health Plan (CFCHP) | CareFirst | Reporting | 2024-12-31 | No | Remediation in progress |
show all 18
| Plan | Parent | Topic | Date | Corrective action plan | Remediation status |
|---|---|---|---|---|---|
| Kaiser Permanente of the Mid-Atlantic States, Inc. (KPMAS) | Kaiser Permanente | Reporting | 2024-12-31 | Yes | Remediation in progress |
| Maryland Physicians Care (MPC) | Maryland Care, Inc. | Reporting | 2025-03-07 | Yes | Remediation in progress |
| Maryland Physicians Care (MPC) | Maryland Care, Inc. | Reporting | 2025-03-07 | Yes | Remediation in progress |
| Maryland Physicians Care (MPC) | Maryland Care, Inc. | Reporting | 2025-03-07 | No | Remediation in progress |
| MedStar Family Choice, Inc. (MSFC) | MedStar Health | Reporting | 2024-12-31 | Yes | Remediation in progress |
| MedStar Family Choice, Inc. (MSFC) | MedStar Health | Reporting | 2024-12-31 | No | Remediation in progress |
| Priority Partners (PPMCO) | Johns Hopkins HealthCare | Reporting | 2024-12-31 | Yes | Remediation in progress |
| Priority Partners (PPMCO) | Johns Hopkins HealthCare | Reporting | 2024-12-31 | Yes | Remediation in progress |
| United Healthcare Community Plan (UHC) | UnitedHealth | Reporting | 2024-12-31 | Yes | Remediation in progress |
| United Healthcare Community Plan (UHC) | UnitedHealth | Reporting | 2024-12-31 | No | Remediation in progress |
| Wellpoint Maryland (WPM) | Elevance | Reporting | 2024-12-31 | No | Remediation in progress |
| Wellpoint Maryland (WPM) | Elevance | Reporting | 2024-12-31 | Yes | Remediation in progress |
| Wellpoint Maryland (WPM) | Elevance | Reporting | 2024-12-31 | No | Remediation in progress |
Award history
- Medicaid managed care: no competitive MCO procurement.
Retrieved 2026-11-03. Sources and scores
Early procurement signals
No official early-procurement document has been retrieved for this state. This is not a finding that no signal exists. Early signals
Contract amendments
No official Medicaid managed-care contract amendment has been retrieved for this state. This is not a finding that no amendment exists. Contract amendments
Medicaid policy
Indiana rows are official policy instruments. Other states show only Federal Register notices of hearings on SPA disapprovals, which are a narrow slice and not waiver or SPA coverage.
Federal Register notices of hearings on SPA disapprovals are read from the Federal Register JSON API. That covers no approved SPAs, waivers, or section 1115 demonstrations.
Coverage not_collected.
No official Medicaid managed-care policy instrument has been retrieved for this state. This is not a finding that no waiver, state plan amendment, or rule exists. Medicaid policy
Federal Register SPA disapproval hearing notices (2015 or later): 0
Plan financials
No official Medicaid plan financial filing has been retrieved for this state. This is not a finding that no filing exists, and it is not a zero. Plan financials. Coverage: not_collected.
Federal compliance deadlines
Cited federal Medicaid managed care deadlines, with the Federal Register citation, the effective date, the compliance date, and the plan obligation.