Episode Quality Improvement Program (EQIP)

Enrollment for PY5 is Now Closed!

EQIP Enrollment will open in July 2026 for PY6 (CY2027)

EQIP is a voluntary Advanced Alternative Payment Model (AAPM) for practitioners serving Maryland Medicare beneficiaries, using an episode based, value-based payment approach.

A Pre Enrollment Form is required for organizations that are new to CRISP or that plan to create a new entity for PY6. Organizations may also request a CRISP generated episode volume report showing 2019 baseline claim counts per NPI..

Email the completed template to eqip@crisphealth.org with the subject line: PY6 EQIP – NPI Episode Volume Report Request (Legal Name of Practice/Entity).

The Episode Quality Improvement Program (EQIP) is a voluntary program that will provide incentive payments to physicians who improve the quality of care and reduce the cost of care that they provide to Maryland Medicare patients. EQIP tests an approach that ties healthcare payments to the quality and cost of services provided under a clinical ‘episode’ for a set period. This includes relevant set of services delivered to a related to a medical condition, procedure or health care event during a defined time period. To identify and group these episodes, EQIP utilizes the Patient-Centered Episodes of Care System (PACES).

Source and Additional Information: HSCRC and Medchi

EQIP Enrollment Timeline

EQIP Policy Resources and Documentation

EQIP Introduction Policy Guide – PY5 – this document will cover the overarching goals of the program, the program structure and key policy components critical for participation

EQIP Specifications and Methodology PY5 – this document is a comprehensive reference on the methodology and implementation of the program

EQIP PY5 Episode PlaybookThis is a catalog of all PY5 episodes inclusive of episode definitions, episode lengths, and trigger codes.

EQIP Eligible Episodes PY5 Slide Deck – This is a listing of all of the available episodes you could participate in for Performance Year 5.

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