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An entity that provides medical care and coordinates health services for Medicaid enrollees through a contract with the Maryland Department of Health.

Managed Care Organization (MCO)

The entity described is a managed care organization. In Maryland Medicaid, the Department of Health contracts with MCOs to deliver medical care and to coordinate all health services for enrollees, handling everything from primary care to referrals and care management under a single contract. This arrangement fits the description of providing care while coordinating services for Medicaid beneficiaries through the state’s contract. An HMO is a related type of managed care, but the specific Maryland setup is described in terms of MCOs; an IPA is typically a physician-group contracting model that doesn’t operate under the state Medicaid contract in the same way; and a Primary Care Network isn’t the standard term used in this context.

Primary Care Network

Health Maintenance Organization

Independent Practice Association

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