Quality and Performance Reporting Requirements (QPRR)


In accordance with the Code of Maryland Regulations COMAR 10.25.08, all carriers are required to participate in the Health Benefit Plan Quality and Performance Evaluation System if they meet the following criteria:

1) Hold a certificate of authority in the State of Maryland from the Maryland Insurance Administration

2) Have a premium volume in Maryland for each category of health benefit plan that exceeds $1,000,000

3) Have 65 percent or fewer of its Maryland enrollees covered through the Medicaid and Medicare Programs (as reported in an annual statement submitted by a carrier to the MHCC that includes premium volume and enrollment percentages for the calendar year preceding the reporting period

The 2017 Data Reporting Requirements are available here.