Episode Quality Improvement Program

​The Episode Quality Improvement Program (EQIP) is a voluntary program that will engage non-hospital Medicare providers and suppliers in care transformation and value-based payment through an episode-based approach. EQIP will hold participants accountable for achieving cost and quality targets for one or more Clinical Episodes (“EQIP Tracks”), each of which will incorporate a specified alternative payment arrangement.  The first Performance Year (“PY”) of EQIP will cover a range of initial Clinical Episodes in the specialty areas of emergency department, cardiology, gastrointestinal (“GI”), and orthopedics.

CMMI recently notified the State that, due to COVID-19, EQIP will not be operational by January 1, 2021. The new targeted start date is July 1, 2021 (subject to further delay). Future materials will reflect a revised timeline.

​Request for Information (RFI) Released

As a component of EQIP development, the State is releasing this Request for Information (“RFI”) to Maryland stakeholders who may provide insight into the design and structure of the Program. This is not an official document or Program announcement from CMS and, as such, details included are subject to change. Feedback is due to the HSCRC on May 22, 2020 (UPDATED 4/16/2020)​.

 ​​Program Overview and Materials