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On an annual basis, the Maryland Department of Health evaluates Managed Care Organization quality. Jai Medical Systems’ performance distinguishes the company not only in Maryland but ranks the company among the best in the nation. In fact, Jai Medical Systems is the Highest Rated Medicaid Health Plan in Maryland and one of the Top-Rated Medicaid health plans in the nation with a rating of 4.5 out of 5 in NCQA’s Medicaid Health Insurance Plan Ratings 2022-2023*.
For more information on Jai Medical Systems’ quality initiatives, please check out our Quality Reports.
HEDIS Criteria
Access to HEDIS Criteria is available for our participating providers. Please contact our Quality Assurance Department if you require assistance in accessing our HEDIS Criteria.
*National Committee for Quality Assurance (NCQA) is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations and recognizes clinicians in key clinical areas. NCQA’s HEDIS® is the most widely used performance measurement tool in health care. NCQA’s Web site (www.ncqa.org) contains information to help consumers, employers and others make more informed health care choices.
Provider Incentive Program
In an effort to support our network providers and their continued efforts with our quality metrics, we are pleased to share the launch of the Jai Medical Systems’ Provider Incentive Program (PIP). Our PIP program is designed to reward our network providers with assisting us in meeting our quality goals and objectives by providing immediate financial rewards when appropriate CPT II codes are submitted with medical claims, as appropriate. Please check back as we will be updating this page with additional HEDIS measures that will be a part of the PIP program. Please see below for more information regarding the current HEDIS measures under the PIP program:
Quality Reports
We strive to ensure our members have access to quality care.
To review our Managed Care Organization Quality Reports, check out the links below.
Consumer Report Card 2024
Member Satisfaction Survey Results 2023
Executive Summary of Annual Report 2023
Quality Assurance Program 2024
Jai Medical Systems ranked #1 for Quality
Jai Medical Systems Managed Care Organization, Inc. Receives Highest National Rating for Fourth Year in a Row