Health Information Technology   MSO  

State Designated Management Service Organizations 

A 2009 Maryland law requires the Maryland Health Care Commission (MHCC) to designate one or more Management Service Organizations (MSOs).  These organizations provide technical assistance to practices in electronic health record (EHR) adoption and use of health information technology (health IT).  State-Designated MSOs have met specific criteria around business operations and privacy and security.

When the law was enacted, EHR adoption among office-based physicians was less than 30 percent. At present, EHR adoption is nearly 71 percent.  MSOs continue to provide valuable resources to practices in adopting an EHR.  In addition, MSOs are well-positioned to help practices achieve optimal use of health IT. Practices—especially those not affiliated with a hospital, in rural or underserved areas, and small practices—may benefit from technical support and guidance to enhance care delivery in their practice. 

Care delivery enhancement requires practices to use data to drive decision making, improve quality measures, and strive to continuously improve business and organizational aspects of their practice.  MSOs provide resources, services, and support to practices in achieving care delivery objectives, including:  developing a quality improvement strategy; accessing quality reports; building relationships for care coordination; and providing organized, evidence-based care.  MSOs State-Designation provides assurance to practices that they are doing business with an organization that can help them maximize the use of technology to meet the goals and objectives of new care delivery models.

Organizations seeking voluntary State Designation must complete and submit the MSO State Designation Application.

List of State Designated MSOs

Expanding Telehealth Adoption in Ambulatory Practices Grant

The MHCC awarded a telehealth grant (up to $500,000) in 2020 for State-Designated MSOs to provide ambulatory practices with technical guidance to adopt telehealth.  The MSOs helped practices assess readiness, modify workflows, and select a telehealth solution.  They also provided training on telehealth reimbursement policies, including policy developments in response to the COVID-19 public health emergency.  A report highlighting grant accomplishments may be found here.

Informational Materials

Any organization seeking more information on becoming a State Designated MSO, please contact:  Melanie Cavaliere, 410-764-3282 or


Last Updated: 12/3/2021