CMS MCPAR
Plan operations
Reporting years in these files: 2023, 2024, 2025. The comparison table is reporting year 2024. Retrieved 2026-11-02. Snapshot sha256 74834826d8ecd7247160e98b039f64f3ef197544011fabc374efd593ffce0b7c.
Sanction counts, appeal rates, and medical loss ratio are shown here. Appeal rates are calculated from CMS reported counts. Medical loss ratio and enrollment share are the CMS percentage cells. Sanction amounts are not on this page. CMS MCPAR.
National comparison, 2024
| State | Program | Plan | Parent | Sanction count | Appeal rate | MLR | Managed care enrollment share |
|---|---|---|---|---|---|---|---|
| Alabama | Alabama Coordinated Health Network | Alabama Care Network Mid-State | unmatched | 2 | not reported | not reported | 0% |
| Alabama | Alabama Coordinated Health Network | Alabama Care Network Southeast | unmatched | 2 | not reported | not reported | 0% |
| Alabama | Alabama Coordinated Health Network | Gulf Coast Total Care | unmatched | 2 | not reported | not reported | 0% |
| Alabama | Alabama Coordinated Health Network | My Care Alabama Central | unmatched | 2 | not reported | not reported | 0% |
| Alabama | Alabama Coordinated Health Network | My Care Alabama East | unmatched | 2 | not reported | not reported | 0% |
| Alabama | Alabama Coordinated Health Network | My Care Alabama Northwest | unmatched | 2 | not reported | not reported | 0% |
| Alabama | Alabama Coordinated Health Network | North Alabama Community Care | unmatched | 2 | not reported | not reported | 0% |
| Alabama | Integrated Care Network | Alabama Select Network (ASN) | unmatched | 0 | not reported | not reported | 0% |
| Arizona | AHCCCS Complete Care (ACC) | ACC: AZ Complete Health | unmatched | 1 | 30.8% calculated | not reported | 19.1% |
| Arizona | AHCCCS Complete Care (ACC) | ACC: Banner University | unmatched | 1 | 46.3% calculated | 88.4% | 14.6% |
| Arizona | AHCCCS Complete Care (ACC) | ACC: Care 1st | unmatched | 1 | 29.5% calculated | not reported | 4% |
| Arizona | AHCCCS Complete Care (ACC) | ACC: Health Choice | unmatched | 2 | 35.7% calculated | 89.6% | 11.3% |
| Arizona | AHCCCS Complete Care (ACC) | ACC: Mercy Care | unmatched | 2 | 37.3% calculated | not reported | 19.8% |
| Arizona | AHCCCS Complete Care (ACC) | ACC: Molina | unmatched | 1 | 40.9% calculated | 89% | 2.3% |
| Arizona | AHCCCS Complete Care (ACC) | ACC: United Health Comm Plan | unmatched | 1 | 42.0% calculated | 91.8% | 22.2% |
| Arizona | Comprehensive Health Plan (CHP) | CHP: DCS/CHP | unmatched | 2 | 16.2% calculated | 93.6% | 0.5% |
| Arizona | Long Term Care (LTC) | LTC: Banner University | unmatched | 0 | 26.1% calculated | 93.1% | 0.4% |
| Arizona | Long Term Care (LTC) | LTC: DES/DDD | unmatched | 5 | 31.8% calculated | 91.9% | 2.3% |
| Arizona | Long Term Care (LTC) | LTC: Mercy Care | unmatched | 1 | 34.1% calculated | 94.9% | 0.5% |
| Arizona | Long Term Care (LTC) | LTC: United Health Comm Plan | unmatched | 0 | 42.9% calculated | 95.9% | 0.5% |
| Arizona | Regional Behavioral Health Authority (RBHA) | ACC-RBHA: AZ Complete Health | unmatched | 1 | 31.2% calculated | 90.9% | 0.6% |
| Arizona | Regional Behavioral Health Authority (RBHA) | ACC-RBHA: Care 1st | unmatched | 1 | 30.0% calculated | 93.4% | 0.3% |
| Arizona | Regional Behavioral Health Authority (RBHA) | ACC-RBHA: Mercy Care | unmatched | 0 | 32.5% calculated | 88.4% | 1.5% |
| Arkansas | Arkansas Provider Led Shared Savings Entity (PASSE) | Arkansas Total Care | unmatched | 0 | not reported | 95.2% | 1.7% |
| Arkansas | Arkansas Provider Led Shared Savings Entity (PASSE) | CareSource PASSE | unmatched | 0 | not reported | 94.8% | 0.5% |
| Arkansas | Arkansas Provider Led Shared Savings Entity (PASSE) | Empower Healthcare Solutions | Beacon | 0 | not reported | 93.3% | 2% |
| Arkansas | Arkansas Provider Led Shared Savings Entity (PASSE) | Summit Community Care | unmatched | 1 | not reported | 95.1% | 1.8% |
| Arkansas | Healthy Smiles | Delta Dental Plan of Arkansas | unmatched | 0 | not reported | 98% | 51.5% |
| Arkansas | Healthy Smiles | Managed Care of North America | unmatched | 0 | not reported | 107% | 49.8% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Lassen | unmatched | 3 | not reported | 0% | not reported |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Mariposa | unmatched | 0 | not reported | 0% | 0.1% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Merced | unmatched | 2 | not reported | 0% | 1% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | San Francisco | unmatched | 2 | not reported | 0% | 3.3% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Siskiyou | unmatched | 2 | not reported | 0% | 0.1% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Alameda | unmatched | 2 | not reported | 0% | 1.2% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Contra Costa | unmatched | 3 | not reported | 0% | 2.4% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | El Dorado | unmatched | 3 | not reported | 0% | 0.6% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Fresno | unmatched | 3 | not reported | 0% | 6% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Humboldt | unmatched | 2 | not reported | 0% | 1% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Imperial | unmatched | 1 | not reported | 0% | 0.9% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Kern | unmatched | 2 | not reported | 0% | 3.5% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Los Angeles | unmatched | 3 | not reported | 0% | 22.5% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Marin | unmatched | 1 | not reported | 0% | 0.6% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Mendocino | unmatched | 3 | not reported | 0% | 0.5% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Modoc | unmatched | 2 | not reported | 0% | not reported |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Monterey | unmatched | 3 | not reported | 0% | 1.2% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Napa | unmatched | 2 | not reported | 0% | 0.2% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Nevada | unmatched | 2 | not reported | 0% | 0.6% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Orange | unmatched | 3 | not reported | 0% | 6.2% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Placer | unmatched | 3 | not reported | 0% | 1% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Riverside | unmatched | 3 | not reported | 0% | 5.5% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Sacramento | unmatched | 2 | not reported | 0% | 5% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | San Benito | unmatched | 2 | not reported | 0% | 0.2% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | San Bernardino | unmatched | 3 | not reported | 0% | 4% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | San Diego | unmatched | 2 | not reported | 0% | 12.2% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | San Joaquin | unmatched | 4 | not reported | 0% | 1.8% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | San Luis Obispo | unmatched | 1 | not reported | 0% | 1.6% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | San Mateo | unmatched | 2 | not reported | 0% | 1% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Santa Barbara | unmatched | 1 | not reported | 0% | 2.2% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Santa Clara | unmatched | 1 | not reported | 0% | 3% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Santa Cruz | unmatched | 3 | not reported | 0% | 1.2% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Shasta | unmatched | 3 | not reported | 0% | 1.3% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Solano | unmatched | 3 | not reported | 0% | 1% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Stanislaus | unmatched | 2 | not reported | 0% | 2.2% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Tulare | unmatched | 4 | not reported | 0% | 2.1% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Ventura | unmatched | 1 | not reported | 0% | 2.5% |
| California | California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS) | Yolo | unmatched | 2 | not reported | 0% | 0.4% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Alameda | unmatched | 1 | not reported | 0% | 0.3% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Alpine | unmatched | 1 | not reported | 0% | 0% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Amador | unmatched | 0 | not reported | 0% | 0.1% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Butte | unmatched | 1 | not reported | 0% | 1% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Calaveras | unmatched | 3 | not reported | 0% | 0.2% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Colusa | unmatched | 1 | not reported | 0% | 0.1% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Contra Costa | unmatched | 2 | not reported | 0% | 2.9% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Del Norte | unmatched | 2 | not reported | 0% | 0.1% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | El Dorado | unmatched | 0 | not reported | 0% | 0.3% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Fresno | unmatched | 1 | not reported | 0% | 4.1% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Glenn | unmatched | 1 | not reported | 0% | 0.2% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Humboldt | unmatched | 1 | not reported | 0% | 0.4% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Imperial | unmatched | 0 | not reported | 0% | 1.4% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Inyo | unmatched | 1 | not reported | 0% | 0% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Kern | unmatched | 1 | not reported | 0% | 3.9% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Kings | unmatched | 2 | not reported | 0% | 0.6% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Lake | unmatched | 1 | not reported | 0% | 0.3% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Lassen | unmatched | 2 | not reported | 0% | 0.1% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Los Angeles | unmatched | 4 | not reported | 0% | 34.7% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Madera | unmatched | 1 | not reported | 0% | 0.5% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Marin | unmatched | 2 | not reported | 0% | 0.3% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Mariposa | unmatched | 1 | not reported | 0% | 0.1% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Mendocino | unmatched | 2 | not reported | 0% | 0.5% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Merced | unmatched | 1 | not reported | 0% | 0.9% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Modoc | unmatched | 0 | not reported | 0% | 0.1% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Mono | unmatched | 1 | not reported | 0% | 0% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Monterey | unmatched | 1 | not reported | 0% | 1.3% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Napa | unmatched | 0 | not reported | 0% | 0.1% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Nevada | unmatched | 2 | not reported | 0% | 0.3% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Orange | unmatched | 2 | not reported | 0% | 4.1% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Placer-Sierra | unmatched | 1 | not reported | 0% | 0.5% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Plumas | unmatched | 1 | not reported | 0% | 0% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Riverside | unmatched | 1 | not reported | 0% | 6.1% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Sacramento | unmatched | 0 | not reported | 0% | 3.6% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | San Benito | unmatched | 3 | not reported | 0% | 0.1% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | San Bernardino | unmatched | 1 | not reported | 0% | 5.2% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | San Diego | unmatched | 1 | not reported | 0% | 5.4% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | San Francisco | unmatched | 2 | not reported | 0% | 2.4% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | San Joaquin | unmatched | 3 | not reported | 0% | 1.2% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | San Luis Obispo | unmatched | 1 | not reported | 0% | 0.8% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | San Mateo | unmatched | 3 | not reported | 0% | 1.6% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Santa Barbara | unmatched | 2 | not reported | 0% | 0.9% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Santa Clara | unmatched | 1 | not reported | 0% | 4.4% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Santa Cruz | unmatched | 2 | not reported | 0% | 0.5% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Shasta | unmatched | 3 | not reported | 0% | 0.5% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Siskiyou | unmatched | 1 | not reported | 0% | 0.2% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Solano | unmatched | 2 | not reported | 0% | 0.8% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Sonoma | unmatched | 3 | not reported | 0% | 0.5% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Stanislaus | unmatched | 2 | not reported | 0% | 1% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Sutter-Yuba | unmatched | 3 | not reported | 0% | 0.4% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Tehama | unmatched | 1 | not reported | 0% | 0% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Trinity | unmatched | 2 | not reported | 0% | 0.1% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Tulare | unmatched | 2 | not reported | 0% | 2.2% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Tuolumne | unmatched | 1 | not reported | 0% | 0.2% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Ventura | unmatched | 2 | not reported | 0% | 2.2% |
| California | California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS) | Yolo | unmatched | 1 | not reported | 0% | 0.3% |
| California | Dental Managed Care | Access Dental Plan, Inc. | unmatched | 2 | 24.6% calculated | 68.12% | 1.92% |
| California | Dental Managed Care | Health Net of California, Inc. | unmatched | 1 | 28.5% calculated | 75.01% | 2.79% |
| California | Dental Managed Care | LIBERTY Dental Plan of California, Inc. | unmatched | 0 | 15.1% calculated | 86.83% | 2.25% |
| California | Medi-Cal Managed Care program (MCMC) | Alameda Alliance for Health | unmatched | 4 | 22.3% calculated | 90.16% | 2.9% |
| California | Medi-Cal Managed Care program (MCMC) | Anthem Blue Cross Partnership Health Plan | unmatched | 6 | 13.0% calculated | 83.2% | 5.9% |
| California | Medi-Cal Managed Care program (MCMC) | Blue Shield of California Promise Health Plan | unmatched | 3 | 32.6% calculated | 86.42% | 1.4% |
| California | Medi-Cal Managed Care program (MCMC) | CalOptima Health | unmatched | 3 | 16.6% calculated | 82.82% | 6.4% |
| California | Medi-Cal Managed Care program (MCMC) | CalViva Health | unmatched | 3 | 58.0% calculated | 93.35% | 3.1% |
| California | Medi-Cal Managed Care program (MCMC) | CenCal Health | unmatched | 2 | 50.0% calculated | 91.19% | 1.7% |
| California | Medi-Cal Managed Care program (MCMC) | Central California Alliance for Health | unmatched | 3 | 21.7% calculated | 85.3% | 3.2% |
| California | Medi-Cal Managed Care program (MCMC) | Community Health Group Partnership Plan | unmatched | 3 | 38.7% calculated | 82.07% | 2.9% |
| California | Medi-Cal Managed Care program (MCMC) | Community Health Plan of Imperial Valley | CHP - Imperial | 0 | 58.0% calculated | not reported | 0.7% |
| California | Medi-Cal Managed Care program (MCMC) | Contra Costa Health Plan | unmatched | 5 | 59.7% calculated | 86.55% | 1.9% |
| California | Medi-Cal Managed Care program (MCMC) | Gold Coast Health Plan | unmatched | 1 | 51.4% calculated | 79.05% | 1.8% |
| California | Medi-Cal Managed Care program (MCMC) | Health Net Community Solutions, Inc. | Centene | 3 | 38.8% calculated | 83.8% | 11.4% |
| California | Medi-Cal Managed Care program (MCMC) | Health Plan of San Joaquin | unmatched | 4 | 40.6% calculated | 84.07% | 3% |
| California | Medi-Cal Managed Care program (MCMC) | Health Plan of San Mateo | unmatched | 3 | 44.2% calculated | 77.23% | 1% |
| California | Medi-Cal Managed Care program (MCMC) | Inland Empire Health Plan | unmatched | 5 | 18.0% calculated | 88.11% | 10.7% |
| California | Medi-Cal Managed Care program (MCMC) | Kaiser Foundation Health Plan, Inc. | unmatched | 4 | 29.2% calculated | 105.35% | 8% |
| California | Medi-Cal Managed Care program (MCMC) | Kern Family Health Care | Kern Health Systems | 3 | 42.1% calculated | 85.39% | 2.9% |
| California | Medi-Cal Managed Care program (MCMC) | L.A. Care Health Plan | L.A. Care | 3 | 8.9% calculated | 90.8% | 16.9% |
| California | Medi-Cal Managed Care program (MCMC) | Molina Healthcare of California | unmatched | 5 | 24.6% calculated | 79.84% | 4.2% |
| California | Medi-Cal Managed Care program (MCMC) | Partnership HealthPlan of California | unmatched | 3 | 11.8% calculated | 86.4% | 6.5% |
| California | Medi-Cal Managed Care program (MCMC) | Positive Health Care | unmatched | 3 | 100.0% calculated | 78.69% | 0% |
| California | Medi-Cal Managed Care program (MCMC) | SCAN Health Plan | unmatched | 2 | 100.0% calculated | 88.08% | 0.1% |
| California | Medi-Cal Managed Care program (MCMC) | San Francisco Health Plan | unmatched | 3 | 35.6% calculated | 83.12% | 1.3% |
| California | Medi-Cal Managed Care program (MCMC) | Santa Clara Family Health Plan | unmatched | 3 | 25.2% calculated | 94.02% | 2.1% |
| Colorado | MCOs Accountable Care Collaborative | Denver Health Medicaid Choice (HMO) | unmatched | 0 | not reported | 81% | 8.7% |
| Colorado | MCOs Accountable Care Collaborative | Rocky Mountain Health Plans PRIME (HMO) | unmatched | 0 | not reported | 88% | 4.4% |
| Colorado | RAE Accountable Care Collaborative | Denver Health Behavioral Health (PIHP) | unmatched | 0 | not reported | 88% | 8.7% |
| Colorado | RAE Accountable Care Collaborative | Region 1: Rocky Mountain Health Plans | unmatched | 0 | not reported | 91% | 19.8% |
| Colorado | RAE Accountable Care Collaborative | Region 2: Northeast Health Partners | unmatched | 0 | not reported | 69% | 8.7% |
| Colorado | RAE Accountable Care Collaborative | Region 3: Colorado Access | unmatched | 0 | not reported | 88% | 29.6% |
| Colorado | RAE Accountable Care Collaborative | Region 4: Health Colorado Inc. | unmatched | 0 | not reported | 81% | 12.2% |
| Colorado | RAE Accountable Care Collaborative | Region 5: Colorado Access | unmatched | 0 | not reported | 87% | 12.9% |
| Colorado | RAE Accountable Care Collaborative | Region 6: Colorado Community Health Alliance | unmatched | 0 | not reported | 93% | 15.6% |
| Colorado | RAE Accountable Care Collaborative | Region 7: Colorado Community Health Alliance | unmatched | 0 | not reported | 93% | 17.8% |
| Delaware | Diamond State Health Plan | AmeriHealth Caritas Delaware | unmatched | 0 | 52.1% calculated | 90% | 35.4% |
| Delaware | Diamond State Health Plan | Delaware First Health | Delaware First Health | 0 | 40.5% calculated | 77% | 15.2% |
| Delaware | Diamond State Health Plan | Highmark Health Options | unmatched | 0 | 40.0% calculated | 89% | 60.1% |
| District of Columbia | Child and Adolescent Supplemental Security Income Program | Health Services for Children with Special Needs | unmatched | 0 | 68.8% calculated | 100.57% | 2.1% |
| District of Columbia | DC Healthy Families Program | AmeriHealth Caritas DC | unmatched | 0 | 18.5% calculated | 92.58% | 45% |
| District of Columbia | DC Healthy Families Program | Amerigroup DC | unmatched | 0 | 20.8% calculated | 87.72% | 23.7% |
| District of Columbia | DC Healthy Families Program | MedStar Family Choice | unmatched | 0 | 42.7% calculated | 93.08% | 23.6% |
| District of Columbia | District Dual Choice | UnitedHealthcare of the MidAtlantic, Inc. | unmatched | 0 | 80.9% calculated | 102% | 5.7% |
| Florida | Healthy Start MomCare Network | Healthy Start MomCare Network | unmatched | 2 | not reported | not reported | 100% |
| Florida | Statewide Medicaid Managed Care - Dental | DentaQuest of Florida | unmatched | 0 | not reported | 89% | 36.9% |
| Florida | Statewide Medicaid Managed Care - Dental | Liberty Dental of Florida | unmatched | 0 | not reported | 84% | 30% |
| Florida | Statewide Medicaid Managed Care - Dental | Managed Care of North America (MCNA) | unmatched | 0 | not reported | 85% | 25.6% |
| Florida | Statewide Medicaid Managed Care - Long Term Care (LTC) | Aetna | unmatched | 0 | not reported | 96% | 0.1% |
| Florida | Statewide Medicaid Managed Care - Long Term Care (LTC) | Florida Community Care | unmatched | 0 | not reported | 93% | 0.5% |
| Florida | Statewide Medicaid Managed Care - Long Term Care (LTC) | Humana | unmatched | 0 | not reported | 97% | 0.5% |
| Florida | Statewide Medicaid Managed Care - Long Term Care (LTC) | Molina Health Care of Florida | unmatched | 0 | not reported | 95% | 0.1% |
| Florida | Statewide Medicaid Managed Care - Long Term Care (LTC) | Simply Health Care Plan | unmatched | 0 | not reported | 106% | 0.3% |
| Florida | Statewide Medicaid Managed Care - Long Term Care (LTC) | Sunshine State Health Plan | unmatched | 0 | not reported | 100% | 0.6% |
| Florida | Statewide Medicaid Managed Care - Long Term Care (LTC) | United Health Care Plan | unmatched | 0 | not reported | 100% | 0.2% |
| Florida | Statewide Medicaid Managed Care - Managed Medical Assistance (MMA) | Aetna | unmatched | 0 | not reported | 82% | 4.3% |
| Florida | Statewide Medicaid Managed Care - Managed Medical Assistance (MMA) | Amerihealth | unmatched | 0 | not reported | 73% | 2.7% |
| Florida | Statewide Medicaid Managed Care - Managed Medical Assistance (MMA) | Children's Medical Services - Specialty Plan | unmatched | 0 | not reported | 93% | 2.6% |
| Florida | Statewide Medicaid Managed Care - Managed Medical Assistance (MMA) | Community Care Plan | unmatched | 0 | not reported | 84% | 1.2% |
| Florida | Statewide Medicaid Managed Care - Managed Medical Assistance (MMA) | Florida Community Care | unmatched | 0 | not reported | 89% | 0.5% |
| Florida | Statewide Medicaid Managed Care - Managed Medical Assistance (MMA) | Humana | unmatched | 0 | not reported | 84% | 16.7% |
| Florida | Statewide Medicaid Managed Care - Managed Medical Assistance (MMA) | Molina Health Care of Florida | unmatched | 0 | not reported | 83% | 3.5% |
| Florida | Statewide Medicaid Managed Care - Managed Medical Assistance (MMA) | Simply Health Care Plan | unmatched | 0 | not reported | 85% | 16.7% |
| Florida | Statewide Medicaid Managed Care - Managed Medical Assistance (MMA) | Sunshine State Health Plan | unmatched | 0 | not reported | 91% | 37.5% |
| Florida | Statewide Medicaid Managed Care - Managed Medical Assistance (MMA) | United Health Care Plan | unmatched | 0 | not reported | 80% | 8.3% |
| Georgia | Georgia Families 360 | Amerigroup Community Care | unmatched | 1 | 6.9% calculated | 96.7% | 1.7% |
| Georgia | Georgia Families | Amerigroup Community Care | unmatched | 12 | 21.7% calculated | 86.7% | 24.1% |
| Georgia | Georgia Families | CareSource Georgia | CareSource | 6 | 34.2% calculated | 88.5% | 19.5% |
| Georgia | Georgia Families | Peach State Health Plan | unmatched | 3 | 39.2% calculated | 85.7% | 40.1% |
| Georgia | Georgia Pathways | Amerigroup Community Care | unmatched | 1 | 28.6% calculated | not reported | 0.04% |
| Georgia | Georgia Pathways | CareSource Georgia | CareSource | 2 | 50.0% calculated | not reported | 0.04% |
| Georgia | Georgia Pathways | Peach State Health Plan | unmatched | 1 | 25.0% calculated | not reported | 0.05% |
| Georgia | Planning for Healthy Babies | Amerigroup Community Care | unmatched | 0 | 13.5% calculated | 31.4% | 1.1% |
| Georgia | Planning for Healthy Babies | CareSource Georgia | CareSource | 0 | 0.0% calculated | 71.2% | 1% |
| Georgia | Planning for Healthy Babies | Peach State Health Plan | unmatched | 0 | 9.1% calculated | 121.8% | 1.5% |
| Hawaii | 2023_Community Care Services (CCS) Program | WellCare Health Insurance of Arizona, Inc., dba 'Ohana Health Plan, Inc. | unmatched | 0 | not reported | 90% | 100% |
| Hawaii | 2024_QUEST Integration | AlohaCare | unmatched | 0 | not reported | 92% | 17.6% |
| Hawaii | 2024_QUEST Integration | HMSA | unmatched | 0 | not reported | 89% | 49.8% |
| Hawaii | 2024_QUEST Integration | Kaiser | unmatched | 0 | not reported | 94% | 11.7% |
| Hawaii | 2024_QUEST Integration | Ohana | unmatched | 0 | not reported | 88% | 8.2% |
| Hawaii | 2024_QUEST Integration | United | unmatched | 0 | not reported | 89% | 12.7% |
| Idaho | Dental Smiles | Idaho Smiles | unmatched | 0 | not reported | 105.9% | 98.54% |
| Idaho | Idaho Behavioral Health | United Behavioral Health | unmatched | 0 | not reported | 91.6% | 90.8% |
| Idaho | Idaho Medicaid Plus (IMP) | Blue Cross of Idaho | Blue Cross of Idaho | 1 | 0.0% calculated | 98% | 2.3% |
| Idaho | Idaho Medicaid Plus (IMP) | Molina of Idaho | Molina | 1 | 30.0% calculated | 92% | 1.5% |
| Idaho | Medicare-Medicaid Coordinated Plan | Blue Cross of Idaho | Blue Cross of Idaho | 1 | 66.4% calculated | 99% | 2.3% |
| Idaho | Medicare-Medicaid Coordinated Plan | Molina of Idaho | Molina | 1 | 81.6% calculated | 85.7% | 1.5% |
| Illinois | HealthChoice Illinois (HCI) 06/26/2025 | Aetna Better Health | unmatched | 5 | 14.2% calculated | 91% | 13.9% |
| Illinois | HealthChoice Illinois (HCI) 06/26/2025 | Blue Cross Community Health Plans | unmatched | 5 | 43.1% calculated | 95% | 27.2% |
| Illinois | HealthChoice Illinois (HCI) 06/26/2025 | CountyCare Health Plan | Cook County Health and Hospital Systems | 3 | 55.6% calculated | 97% | 16% |
| Illinois | HealthChoice Illinois (HCI) 06/26/2025 | Meridian Health | Centene | 3 | 45.2% calculated | 96% | 28.7% |
| Illinois | HealthChoice Illinois (HCI) 06/26/2025 | Molina HealthCare | unmatched | 3 | 41.0% calculated | 90% | 11.6% |
| Illinois | HealthChoice Illinois (HCI) 06/26/2025 | YouthCare | Centene | 2 | 61.4% calculated | 96% | 1.3% |
| Indiana | Healthy Indiana Plan | Anthem | unmatched | 4 | 23.4% calculated | 92% | 20.8% |
| Indiana | Healthy Indiana Plan | CareSource | unmatched | 4 | 21.5% calculated | 90% | 5.2% |
| Indiana | Healthy Indiana Plan | MDwise | unmatched | 4 | 39.8% calculated | 95% | 10% |
| Indiana | Healthy Indiana Plan | Managed Health Services | unmatched | 0 | 35.7% calculated | 92% | 8.6% |
| Indiana | Hoosier Care Connect | Anthem | unmatched | 6 | not reported | 94% | 3.5% |
| Indiana | Hoosier Care Connect | Managed Health Services | unmatched | 8 | not reported | 90% | 2% |
| Indiana | Hoosier Care Connect | United Healthcare | unmatched | 6 | not reported | 101% | 0.4% |
| Indiana | Hoosier Healthwise | Anthem | unmatched | 4 | 24.4% calculated | 90.5% | 18.6% |
| Indiana | Hoosier Healthwise | CareSource | unmatched | 4 | 24.8% calculated | 90.6% | 4.7% |
| Indiana | Hoosier Healthwise | MDwise | unmatched | 4 | 39.7% calculated | 94.5% | 12.1% |
| Indiana | Hoosier Healthwise | Managed Health Services | unmatched | 0 | 34.8% calculated | 89% | 10.6% |
| Iowa | Dental Wellness Plan | Delta Dental of Iowa | unmatched | 1 | 37.0% calculated | 86.2% | 63.3% |
| Iowa | Dental Wellness Plan | Managed Care of North America, Inc. | unmatched | 1 | 0.0% calculated | 85.1% | 36.7% |
| Iowa | Iowa Health Link | Iowa Total Care, Inc. | unmatched | 4 | 54.2% calculated | 91.7% | 35.3% |
| Iowa | Iowa Health Link | Molina Healthcare of Iowa, Inc | unmatched | 9 | 89.9% calculated | 0% | 27.1% |
| Iowa | Iowa Health Link | Wellpoint Iowa, Inc. (formally Amerigroup Iowa, Inc.) | unmatched | 13 | not reported | 92% | 37.6% |
| Kansas | KanCare | Aetna Better Health of Kansas | unmatched | 1 | 23.3% calculated | 94.5% | 35.5% |
| Kansas | KanCare | Sunflower Health Plan | unmatched | 1 | 28.9% calculated | 94.5% | 33.4% |
| Kansas | KanCare | UnitedHealthcare Community Plan of Kansas | UnitedHealth | 1 | 25.2% calculated | 92.4% | 31.1% |
| Kentucky | Medicaid Managed Care Organization Contract | Aetna Better Health | unmatched | 11 | 0.7% calculated | 90% | 16.8% |
| Kentucky | Medicaid Managed Care Organization Contract | Anthem Blue Cross/Blue Shield | unmatched | 8 | 2.8% calculated | 90% | 12.1% |
| Kentucky | Medicaid Managed Care Organization Contract | Humana Healthy Horizons | unmatched | 9 | 0.5% calculated | 90% | 10.7% |
| Kentucky | Medicaid Managed Care Organization Contract | Passport by Molina | Molina | 4 | 0.3% calculated | 90% | 22.2% |
| Kentucky | Medicaid Managed Care Organization Contract | United Healthcare Community Plan | unmatched | 0 | 1.2% calculated | 90% | 6.2% |
| Kentucky | Medicaid Managed Care Organization Contract | WellCare of KY | unmatched | 1 | 130.9% calculated | 90% | 31.9% |
| Louisiana | Coordinated System of Care | Magellan Complete Care of Louisiana | unmatched | 0 | not reported | 78.2% | 0.2% |
| Louisiana | Dental Benefit Program Management | DentaQuest | SunLife US | 13 | 19.1% calculated | 104.3% | 52.2% |
| Louisiana | Dental Benefit Program Management | MCNA of Louisiana | unmatched | 7 | 7.7% calculated | 112.05% | 48% |
| Louisiana | Healthy Louisiana | Aetna Better Health of Louisiana | unmatched | 5 | 30.7% calculated | 93.8% | 9.8% |
| Louisiana | Healthy Louisiana | AmeriHealth Caritas Louisiana | unmatched | 14 | 39.7% calculated | 94.8% | 11.3% |
| Louisiana | Healthy Louisiana | Healthy Blue | unmatched | 13 | 18.4% calculated | 99.4% | 18.1% |
| Louisiana | Healthy Louisiana | Humana Healthy Horizons | Humana | 17 | 30.8% calculated | 96.1% | 8.6% |
| Louisiana | Healthy Louisiana | Louisiana Healthcare Connections | unmatched | 29 | 45.4% calculated | 97.3% | 27.8% |
| Louisiana | Healthy Louisiana | UnitedHealthcare Community Plan | unmatched | 32 | 27.5% calculated | 97.9% | 24.3% |
| Maryland | Maryland HealthChoice Program | Aetna Better Health of Maryland (ABH) | unmatched | 2 | 40.5% calculated | 73.4% | 4.3% |
| Maryland | Maryland HealthChoice Program | CareFirst BlueCross BlueShield Community Health Plan (CFCHP) | unmatched | 3 | 65.9% calculated | 88.3% | 6.7% |
| Maryland | Maryland HealthChoice Program | Jai Medical Systems, Inc. (JMS) | unmatched | 0 | 78.3% calculated | 90.9% | 2% |
| Maryland | Maryland HealthChoice Program | Kaiser Permanente of the Mid-Atlantic States, Inc. (KPMAS) | unmatched | 1 | 52.2% calculated | 73.7% | 7.9% |
| Maryland | Maryland HealthChoice Program | Maryland Physicians Care (MPC) | unmatched | 3 | 40.1% calculated | 89.3% | 6.9% |
| Maryland | Maryland HealthChoice Program | MedStar Family Choice, Inc. (MSFC) | unmatched | 2 | 71.4% calculated | 93.4% | 16.1% |
| Maryland | Maryland HealthChoice Program | Priority Partners (PPMCO) | unmatched | 2 | 50.4% calculated | 88.4% | 23.5% |
| Maryland | Maryland HealthChoice Program | United Healthcare Community Plan (UHC) | unmatched | 2 | 52.6% calculated | 86.5% | 11.2% |
| Maryland | Maryland HealthChoice Program | Wellpoint Maryland (WPM) | unmatched | 3 | 47.4% calculated | 82.8% | 21.4% |
| Massachusetts | Accountable Care Partnership Plan (ACPP) | Be Healthy Partnership Plan | unmatched | 0 | 58.7% calculated | 93% | 3.4% |
| Massachusetts | Accountable Care Partnership Plan (ACPP) | Berkshire Fallon Health Collaborative | Fallon Community Health Plan, Inc. | 0 | 62.6% calculated | 100% | 1.2% |
| Massachusetts | Accountable Care Partnership Plan (ACPP) | East Boston Neighborhood Health WellSense Alliance | Boston Medical Center Health Plan, Inc. | 1 | 68.6% calculated | 92% | 2.1% |
| Massachusetts | Accountable Care Partnership Plan (ACPP) | Fallon 365 Care | Fallon Community Health Plan, Inc. | 1 | 65.4% calculated | 91% | 2.5% |
| Massachusetts | Accountable Care Partnership Plan (ACPP) | Fallon Health-Atrius Health Care Collaborative | Fallon Community Health Plan, Inc. | 0 | 68.4% calculated | 91% | 2.8% |
| Massachusetts | Accountable Care Partnership Plan (ACPP) | Mass General Brigham Health Plan with Mass General Brigham ACO | Mass General Brigham Health Plan, Inc. | 0 | 45.5% calculated | 93% | 10.2% |
| Massachusetts | Accountable Care Partnership Plan (ACPP) | Tufts Health Together with Cambridge Health Alliance (CHA) | Tufts Health Public Plans, Inc. | 0 | 51.4% calculated | 93% | 2.5% |
| Massachusetts | Accountable Care Partnership Plan (ACPP) | Tufts Health Together with UMass Memorial Health | Tufts Health Public Plans, Inc. | 0 | 49.0% calculated | 94% | 3.2% |
| Massachusetts | Accountable Care Partnership Plan (ACPP) | WellSense Beth Israel Lahey Health (BILH) Performance Network ACO | Boston Medical Center Health Plan, Inc. | 1 | 50.0% calculated | 92% | 4.6% |
| Massachusetts | Accountable Care Partnership Plan (ACPP) | WellSense Boston Children's ACO | Boston Medical Center Health Plan, Inc. | 1 | 68.6% calculated | 94% | 9.1% |
| Massachusetts | Accountable Care Partnership Plan (ACPP) | WellSense Care Alliance | Boston Medical Center Health Plan, Inc. | 1 | 50.2% calculated | 93% | 3.9% |
| Massachusetts | Accountable Care Partnership Plan (ACPP) | WellSense Community Alliance | Boston Medical Center Health Plan, Inc. | 1 | 55.5% calculated | 93% | 9.6% |
| Massachusetts | Accountable Care Partnership Plan (ACPP) | WellSense Mercy Alliance | Boston Medical Center Health Plan, Inc. | 0 | 57.4% calculated | 92% | 2.1% |
| Massachusetts | Accountable Care Partnership Plan (ACPP) | WellSense Signature Alliance | Boston Medical Center Health Plan, Inc. | 2 | 60.4% calculated | 92% | 1.7% |
| Massachusetts | Accountable Care Partnership Plan (ACPP) | WellSense Southcoast Alliance | Boston Medical Center Health Plan, Inc. | 1 | 54.1% calculated | 96% | 1.3% |
| Massachusetts | Behavioral Health Vendor (PIHP) | Massachusetts Behavioral Health Partnership (MBHP) | unmatched | 0 | 61.9% calculated | 95% | 27.6% |
| Massachusetts | Managed Care Organization (MCO) | Tufts Health Together | Tufts Health Public Plans, Inc. | 0 | 52.9% calculated | 100% | 2.3% |
| Massachusetts | Managed Care Organization (MCO) | WellSense Essential MCO | Boston Medical Center Health Plan, Inc. | 1 | 47.5% calculated | 89% | 1.6% |
| Massachusetts | One Care Medicare Medicaid Plan | Commonwealth Care Alliance One Care | unmatched | 7 | 39.4% calculated | 0% | 2.1% |
| Massachusetts | One Care Medicare Medicaid Plan | Tufts One Care | unmatched | 1 | 48.4% calculated | 0% | 0.5% |
| Massachusetts | One Care Medicare Medicaid Plan | UnitedHealthcare Connected for One Care | unmatched | 3 | 68.8% calculated | 0% | 0.3% |
| Massachusetts | Primary Care Accountable Care Organization (PCACO) | Community Care Cooperative | Community Care Health Plan (WI) | 0 | not reported | not reported | 13.5% |
| Massachusetts | Primary Care Accountable Care Organization (PCACO) | Revere Health Choice | unmatched | 0 | not reported | not reported | 7% |
| Massachusetts | Senior Care Options (SCO) | Commonwealth Care Alliance SCO | unmatched | 9 | 36.5% calculated | 98% | 1.2% |
| Massachusetts | Senior Care Options (SCO) | NaviCare SCO | unmatched | 3 | 59.0% calculated | 99% | 0.7% |
| Massachusetts | Senior Care Options (SCO) | Senior Whole Health SCO | unmatched | 2 | 66.8% calculated | 94% | 0.9% |
| Massachusetts | Senior Care Options (SCO) | Tufts Health Plan SCO | unmatched | 0 | 42.9% calculated | 98% | 0.9% |
| Massachusetts | Senior Care Options (SCO) | UnitedHealthCare SCO | unmatched | 2 | 41.0% calculated | 98% | 1.7% |
| Massachusetts | Senior Care Options (SCO) | Wellsense SCO | unmatched | 2 | 64.9% calculated | 98% | 0.2% |
| Michigan | MI Choice Waiver | A & D Home Health Care | unmatched | 1 | not reported | 94% | 0% |
| Michigan | MI Choice Waiver | Area Agency On Aging 1B | unmatched | 1 | not reported | 111% | 0% |
| Michigan | MI Choice Waiver | Area Agency on Aging of Northwest Michigan | unmatched | 1 | not reported | 104% | 0% |
| Michigan | MI Choice Waiver | Area Agency on Aging of Western Michigan | unmatched | 1 | not reported | 109% | 0% |
| Michigan | MI Choice Waiver | Detroit Area Agency on Aging | unmatched | 1 | not reported | 91% | 0.1% |
| Michigan | MI Choice Waiver | MORC Home Care | unmatched | 1 | not reported | 99% | 0% |
| Michigan | MI Choice Waiver | Northeast Michigan Community Service - Region 9 | unmatched | 1 | not reported | 96% | 0% |
| Michigan | MI Choice Waiver | Northern Healthcare Management | unmatched | 0 | not reported | 98% | 0% |
| Michigan | MI Choice Waiver | Region 2 Area Agency on Aging | unmatched | 1 | not reported | 100% | 0% |
| Michigan | MI Choice Waiver | Region 3B | unmatched | 1 | not reported | 105% | 0% |
| Michigan | MI Choice Waiver | Region IV Area Agency on Aging | unmatched | 1 | not reported | 109% | 0% |
| Michigan | MI Choice Waiver | Region VII Area Agency on Aging | unmatched | 1 | not reported | 89% | 0% |
| Michigan | MI Choice Waiver | Reliance Community Care Partners | unmatched | 1 | not reported | 95% | 0% |
| Michigan | MI Choice Waiver | Senior Resources | unmatched | 1 | not reported | 104% | 0% |
| Michigan | MI Choice Waiver | Senior Services | unmatched | 1 | not reported | 99% | 0% |
| Michigan | MI Choice Waiver | The Information Center | The Information Center | 1 | not reported | 95% | 0% |
| Michigan | MI Choice Waiver | The senior Alliance | unmatched | 1 | not reported | 101% | 0% |
| Michigan | MI Choice Waiver | Tri-County Office on Aging | unmatched | 1 | not reported | 117% | 0% |
| Michigan | MI Choice Waiver | UPCAP Care Management, Inc | unmatched | 1 | not reported | 89% | 0% |
| Michigan | MI Choice Waiver | Valley Area Agency on Aging | unmatched | 1 | not reported | 98% | 0% |
| Michigan | MI Health Link Financial Alignment Demonstration | Aetna Better Health of Michigan, Inc. | unmatched | 4 | 61.1% calculated | 98% | 0.32% |
| Michigan | MI Health Link Financial Alignment Demonstration | AmeriHealth Caritas VIP Care Plus | unmatched | 4 | 25.5% calculated | 100% | 0.11% |
| Michigan | MI Health Link Financial Alignment Demonstration | HAP Empowered Health Plan, Inc. | unmatched | 3 | 48.9% calculated | 85% | 0.15% |
| Michigan | MI Health Link Financial Alignment Demonstration | MeridianComplete Health Plan | unmatched | 4 | 97.0% calculated | 85% | 0.23% |
| Michigan | MI Health Link Financial Alignment Demonstration | Molina Healthcare, Inc. | unmatched | 3 | 69.7% calculated | 84% | 0.38% |
| Michigan | MI Health Link Financial Alignment Demonstration | Upper Peninsula Heath Plan | unmatched | 3 | 33.3% calculated | 93% | 0.17% |
| Michigan | Michigan Comprehensive Health Care Program | Aetna Better Health of Michigan | unmatched | 0 | 39.6% calculated | 89.5% | 1.6% |
| Michigan | Michigan Comprehensive Health Care Program | Blue Cross Complete of Michigan | unmatched | 0 | 45.7% calculated | 92.1% | 11.7% |
| Michigan | Michigan Comprehensive Health Care Program | HAP CareSource | Health Alliance Plan | 3 | 19.0% calculated | 85.7% | 1.3% |
| Michigan | Michigan Comprehensive Health Care Program | McLaren Health Plan | unmatched | 3 | 73.9% calculated | 94.9% | 8.8% |
| Michigan | Michigan Comprehensive Health Care Program | Meridian Health Plan of Michigan | unmatched | 3 | 71.8% calculated | 93.4% | 16.6% |
| Michigan | Michigan Comprehensive Health Care Program | Molina Healthcare of Michigan | unmatched | 1 | 40.3% calculated | 87.3% | 13% |
| Michigan | Michigan Comprehensive Health Care Program | Priority Health Choice | unmatched | 2 | 22.2% calculated | 90.3% | 8.7% |
| Michigan | Michigan Comprehensive Health Care Program | UnitedHealthcare Community Plan | unmatched | 0 | 77.0% calculated | 89.8% | 10.3% |
| Michigan | Michigan Comprehensive Health Care Program | Upper Peninsula Health Plan | unmatched | 1 | 63.3% calculated | 87.5% | 1.7% |
| Michigan | Michigan Healthy Kids Dental | Blue Cross Blue Shield of Michigan | unmatched | 1 | 9.8% calculated | 84.6% | 12.5% |
| Michigan | Michigan Healthy Kids Dental | Delta Dental Plan of Michigan | unmatched | 0 | 23.5% calculated | 90.1% | 25.8% |
| Michigan | Pre-Paid Inpatient Health Plans | Reg 1 NorthCare | unmatched | 1 | not reported | 101.6% | 2.5% |
| Michigan | Pre-Paid Inpatient Health Plans | Reg 2 Northern MI Regional Entity | unmatched | 0 | not reported | 99.3% | 4.6% |
| Michigan | Pre-Paid Inpatient Health Plans | Reg 3 Lakeshore Regional Entity | unmatched | 1 | not reported | 93% | 10.6% |
| Michigan | Pre-Paid Inpatient Health Plans | Reg 4 South West Michigan Behavioral Health | unmatched | 0 | not reported | 90% | 8.1% |
| Michigan | Pre-Paid Inpatient Health Plans | Reg 5 Mid-State Health Network | unmatched | 1 | not reported | 96.3% | 15.4% |
| Michigan | Pre-Paid Inpatient Health Plans | Reg 6 CMH Partnership of Southeast MI | unmatched | 1 | not reported | 95.4% | 4.9% |
| Michigan | Pre-Paid Inpatient Health Plans | Reg 7 Detroit Wayne Integrated Health Network | unmatched | 1 | not reported | 97.6% | 25.9% |
| Michigan | Pre-Paid Inpatient Health Plans | Reg 8 Oakland Community Health Network | unmatched | 1 | not reported | 99% | 7.3% |
| Michigan | Pre-Paid Inpatient Health Plans | Reg 9 Macomb County CMH Services | unmatched | 0 | not reported | 85.9% | 8.3% |
| Michigan | Pre-Paid Inpatient Health Plans | Region 10 PIHP | unmatched | 1 | not reported | 89.5% | 7.7% |
| Minnesota | Family and Children's MCPAR | Blue Plus | unmatched | 2 | 54.3% calculated | 88% | 25.2% |
| Minnesota | Family and Children's MCPAR | Health Partners | unmatched | 0 | 27.9% calculated | 85% | 12.8% |
| Minnesota | Family and Children's MCPAR | Hennepin Health | unmatched | 1 | 64.1% calculated | 86% | 2% |
| Minnesota | Family and Children's MCPAR | Itasca Medical Care | unmatched | 0 | 56.5% calculated | 92% | 0.6% |
| Minnesota | Family and Children's MCPAR | Medica | unmatched | 1 | 56.9% calculated | 83% | 1% |
| Minnesota | Family and Children's MCPAR | Prime West | unmatched | 0 | 56.2% calculated | 91% | 3.8% |
| Minnesota | Family and Children's MCPAR | South Country Health Alliance | unmatched | 0 | 78.6% calculated | 86% | 1.7% |
| Minnesota | Family and Children's MCPAR | UCare | unmatched | 0 | 59.8% calculated | 94% | 28.8% |
| Minnesota | Family and Children's MCPAR | United Health Care | unmatched | 1 | 58.5% calculated | 84% | 2.6% |
| Minnesota | SNBC MCPAR | Health Partners | unmatched | 0 | 31.5% calculated | 101.5% | 0% |
| Minnesota | SNBC MCPAR | Hennepin Health | unmatched | 2 | 74.4% calculated | 93.9% | 0.6% |
| Minnesota | SNBC MCPAR | Medica | unmatched | 1 | 60.4% calculated | 94.4% | 0.2% |
| Minnesota | SNBC MCPAR | Prime West | unmatched | 0 | 74.7% calculated | 100.6% | 0% |
| Minnesota | SNBC MCPAR | South Country Health Alliance | unmatched | 0 | 81.2% calculated | 95.9% | 1.1% |
| Minnesota | SNBC MCPAR | UCare | unmatched | 0 | 67.4% calculated | 94.4% | 0.2% |
| Minnesota | SNBC MCPAR | United Health Care | unmatched | 1 | 66.7% calculated | not reported | 0.2% |
| Minnesota | Seniors MCPAR | Blue Plus | unmatched | 2 | 53.3% calculated | 89.7% | 1.3% |
| Minnesota | Seniors MCPAR | Heatlh Partners | unmatched | 0 | 50.8% calculated | 81.2% | 0.7% |
| Minnesota | Seniors MCPAR | Itasca Medical Care | unmatched | 0 | 12.5% calculated | 88.7% | 0.1% |
| Minnesota | Seniors MCPAR | Medica | unmatched | 1 | 58.9% calculated | 91.2% | 1.3% |
| Minnesota | Seniors MCPAR | Prime West | unmatched | 0 | 56.5% calculated | 86.6% | 0.3% |
| Minnesota | Seniors MCPAR | South Country Health Alliance | unmatched | 0 | 50.0% calculated | 80.3% | 0.2% |
| Minnesota | Seniors MCPAR | UCare | unmatched | 0 | 45.4% calculated | 96.7% | 2.3% |
| Minnesota | Seniors MCPAR | United Health Care | unmatched | 1 | not reported | 0% | 0% |
| Mississippi | Mississippi Coordinated Access Network (MSCAN) | Magnolia Health Plan | unmatched | 3 | 49.4% calculated | 95.3% | 95.3% |
| Mississippi | Mississippi Coordinated Access Network (MSCAN) | Molina Healthcare of MS | unmatched | 2 | 35.5% calculated | 93.9% | 22.3% |
| Mississippi | Mississippi Coordinated Access Network (MSCAN) | UnitedHealthcare Community Plan of MS | unmatched | 3 | 48.8% calculated | 94.8% | 38.2% |
| Missouri | MO HealthNet Managed Care Program | Healthy Blue | Elevance | 23 | not reported | 88.4% | 35% |
| Missouri | MO HealthNet Managed Care Program | Home State Health Plan | unmatched | 31 | not reported | 83.9% | 30.8% |
| Missouri | MO HealthNet Managed Care Program | Show Me Healthy Kids | Centene | 17 | not reported | not reported | 4.6% |
| Missouri | MO HealthNet Managed Care Program | UnitedHealthcare | UnitedHealth | 28 | not reported | 87.6% | 29.6% |
| Montana | Comprehensive Primary Care Plus | CPC+ Primary Care Case Management | unmatched | 0 | not reported | not reported | 27.7% |
| Montana | Passport to Health | Passport to Health Primary Care Case Management | unmatched | 0 | not reported | not reported | 53.9% |
| Montana | Patient Centered Medical Home (PCMH) | PCMH Primary Care Case Management | unmatched | 0 | not reported | not reported | 18.4% |
| Montana | Team Care | Team Care Primary Care Case Management | unmatched | 0 | not reported | not reported | 0% |
| Montana | Tribal Health Improvement Program | Tribal Health Improvement Program | Tribal Health Improvement Program | 0 | not reported | not reported | 10.6% |
| Nevada | Nevada Dental Benefits Administrator (DBA) Program | Liberty Dental Plan | unmatched | 1 | 14.7% calculated | 86% | 103.1% |
| Nevada | Nevada Medicaid Managed Care Program | Anthem Blue Cross and Blue Shield Healthcare | unmatched | 1 | 24.7% calculated | 88% | 34.3% |
| Nevada | Nevada Medicaid Managed Care Program | Molina Healthcare of Nevada | Molina | 1 | 47.8% calculated | 85% | 16.7% |
| Nevada | Nevada Medicaid Managed Care Program | SilverSummit Health Plan | Centene | 1 | 42.7% calculated | 87% | 18.3% |
| Nevada | Nevada Medicaid Managed Care Program | United Healthcare Health Plan of NV | unmatched | 1 | 50.0% calculated | 87% | 35.3% |
| New Hampshire | New Hampshire Medicaid Care Management Dental Services | Delta Dental Plan of NH, Inc | unmatched | 1 | not reported | 85% | 100% |
| New Hampshire | New Hampshire Medicaid Care Management Program | AmeriHealth Caritas New Hampshire | unmatched | 1 | not reported | 90.8% | 20.3% |
| New Hampshire | New Hampshire Medicaid Care Management Program | NH Healthy Families | unmatched | 1 | not reported | 89.6% | 38.8% |
| New Hampshire | New Hampshire Medicaid Care Management Program | WellSense Health Plan | Boston Medical Center Health Plan, Inc. | 1 | not reported | 94.5% | 40.9% |
| New Jersey | New Jersey FamilyCare Core Medicaid Acute Care 12/27/2024 | Aetna Better Health of New Jersey | unmatched | 6 | 25.1% calculated | 87.2% | 6.2% |
| New Jersey | New Jersey FamilyCare Core Medicaid Acute Care 12/27/2024 | Fidelis Care | unmatched | 5 | 48.9% calculated | 94.9% | 4.4% |
| New Jersey | New Jersey FamilyCare Core Medicaid Acute Care 12/27/2024 | Horizon NJ Health | unmatched | 6 | 21.9% calculated | 88.5% | 55.7% |
| New Jersey | New Jersey FamilyCare Core Medicaid Acute Care 12/27/2024 | UnitedHealthcare Community Plan | unmatched | 4 | 27.2% calculated | 89.3% | 19.1% |
| New Jersey | New Jersey FamilyCare Core Medicaid Acute Care 12/27/2024 | Wellpoint | unmatched | 5 | 23.2% calculated | 86.1% | 11.4% |
| New Jersey | New Jersey FamilyCare MLTSS 12/27/2024 | Aetna Better Health of New Jersey | unmatched | 6 | 19.0% calculated | 92.3% | 0.3% |
| New Jersey | New Jersey FamilyCare MLTSS 12/27/2024 | Fidelis Care | unmatched | 5 | 48.1% calculated | 89.7% | 0.7% |
| New Jersey | New Jersey FamilyCare MLTSS 12/27/2024 | Horizon NJ Health | unmatched | 6 | 13.1% calculated | 95.8% | 1.1% |
| New Jersey | New Jersey FamilyCare MLTSS 12/27/2024 | UnitedHealthcare Community Plan | unmatched | 4 | 14.6% calculated | 88.7% | 0.7% |
| New Jersey | New Jersey FamilyCare MLTSS 12/27/2024 | Wellpoint | unmatched | 5 | 21.5% calculated | 90.7% | 0.5% |
| New Mexico | Centennial Care 2.0 | Blue Cross Blue Shield | unmatched | 1 | 54.2% calculated | 89.2% | 36.4% |
| New Mexico | Centennial Care 2.0 | Presbyterian Health Plan | unmatched | 1 | 27.0% calculated | 92% | 51.9% |
| New Mexico | Centennial Care 2.0 | Western Sky Community Care | unmatched | 2 | 45.2% calculated | 93.2% | 11.8% |
| New Mexico | Turquoise Care | Blue Cross Blue Shield | unmatched | 1 | not reported | 89.2% | 37.5% |
| New Mexico | Turquoise Care | Molina Healthcare | Molina | 0 | not reported | not reported | 5.8% |
| New Mexico | Turquoise Care | Presbyterian Health Plan | unmatched | 2 | not reported | 92% | 51.1% |
| New Mexico | Turquoise Care | UnitedHealthcare | unmatched | 0 | not reported | not reported | 5.6% |
| New York | 2023-24 Fully Integrated Dual Advantage for IDD ( FIDA-IDD) | Partners Health Plan Inc. | unmatched | 0 | not reported | 104.1% | 0.031% |
| New York | 2023-24 HIV Special Needs Plan ( HIVSNP) | AmidaCare Inc., | unmatched | 2 | not reported | 92% | 0.15% |
| New York | 2023-24 HIV Special Needs Plan ( HIVSNP) | Metro Plus Health Care Inc., | unmatched | 3 | not reported | 95% | 0.08% |
| New York | 2023-24 HIV Special Needs Plan ( HIVSNP) | VNS Choice | unmatched | 0 | not reported | 96% | 0.06% |
| New York | 2023-24 Health and Recovery Program (HARP) | Anthem | unmatched | 4 | not reported | 92% | 0.1% |
| New York | 2023-24 Health and Recovery Program (HARP) | Capital District Physicians' Health Plan, Inc | unmatched | 2 | not reported | 95% | 0.1% |
| New York | 2023-24 Health and Recovery Program (HARP) | Excellus Health Plan, Inc | unmatched | 3 | not reported | 90.5% | 0.2% |
| New York | 2023-24 Health and Recovery Program (HARP) | Health Insurance Plan of Greater New York | unmatched | 4 | not reported | 89% | 0.1% |
| New York | 2023-24 Health and Recovery Program (HARP) | Healthfirst PHSP, Inc. | unmatched | 2 | not reported | 93% | 0.6% |
| New York | 2023-24 Health and Recovery Program (HARP) | Highmark Western & Northeastern New York Inc. | unmatched | 3 | not reported | 92% | 0% |
| New York | 2023-24 Health and Recovery Program (HARP) | Independent Health Association, Inc. | unmatched | 2 | not reported | 101% | 0% |
| New York | 2023-24 Health and Recovery Program (HARP) | MVP Health Plan, Inc. | unmatched | 1 | not reported | 101% | 0.1% |
| New York | 2023-24 Health and Recovery Program (HARP) | MetroPlus Health Plan, Inc | unmatched | 3 | not reported | 93% | 0.2% |
| New York | 2023-24 Health and Recovery Program (HARP) | Molina Healthcare of New York, Inc. | unmatched | 3 | not reported | 90% | 0.1% |
| New York | 2023-24 Health and Recovery Program (HARP) | New York Quality Health Care Corporation (Fidelis) | unmatched | 4 | not reported | 93% | 0.8% |
| New York | 2023-24 Health and Recovery Program (HARP) | UnitedHealthcare of New York, Inc. | unmatched | 3 | not reported | 91% | 0% |
| New York | 2023-24 Mainstream Managed Care (MMC) | Anthem HP, LLC | unmatched | 4 | not reported | 92% | 6.4% |
| New York | 2023-24 Mainstream Managed Care (MMC) | Capital District Physicians' Health Plan, Inc. | unmatched | 2 | not reported | 96% | 1.6% |
| New York | 2023-24 Mainstream Managed Care (MMC) | Excellus Health Plan, Inc. | unmatched | 3 | not reported | 91% | 3.5% |
| New York | 2023-24 Mainstream Managed Care (MMC) | Health Insurance Plan of Greater New York | unmatched | 4 | not reported | 87% | 2.6% |
| New York | 2023-24 Mainstream Managed Care (MMC) | HealthFirst PHSP, Inc. | unmatched | 3 | not reported | 94% | 20.1% |
| New York | 2023-24 Mainstream Managed Care (MMC) | Highmark Western and Northeastern New York Inc. | unmatched | 3 | not reported | 94% | 0.9% |
| New York | 2023-24 Mainstream Managed Care (MMC) | Independent Health Association, Inc. | unmatched | 3 | not reported | 94% | 1.1% |
| New York | 2023-24 Mainstream Managed Care (MMC) | MVP Health Plan, Inc. | unmatched | 1 | not reported | 94% | 3.5% |
| New York | 2023-24 Mainstream Managed Care (MMC) | MetroPlus Health Plan, Inc. | unmatched | 3 | not reported | 90% | 8.1% |
| New York | 2023-24 Mainstream Managed Care (MMC) | Molina Healthcare of New York, Inc. | unmatched | 3 | not reported | 86% | 4.6% |
| New York | 2023-24 Mainstream Managed Care (MMC) | NY Quality Healthcare Corporation ( dba Fidelis) | unmatched | 4 | not reported | 89% | 27.5% |
| New York | 2023-24 Mainstream Managed Care (MMC) | United Healthcare of New York, Inc. | unmatched | 3 | not reported | 89% | 0.2% |
| New York | 2023-24 Medicaid Advantage Plus (MAP) | Anthem HP, LLC | unmatched | 1 | not reported | 120% | 0.002% |
| New York | 2023-24 Medicaid Advantage Plus (MAP) | Centers Plan for Healthy Living, LLC | unmatched | 0 | not reported | 90.26% | 0.038% |
| New York | 2023-24 Medicaid Advantage Plus (MAP) | Elderplan, Inc. | unmatched | 0 | not reported | 87% | 0.069% |
| New York | 2023-24 Medicaid Advantage Plus (MAP) | Elderserve Health, Inc., dba RiverSpring at Home | unmatched | 0 | not reported | 112% | 0.004% |
| New York | 2023-24 Medicaid Advantage Plus (MAP) | Hamaspik Inc. | unmatched | 1 | not reported | 90.48% | 0.015% |
| New York | 2023-24 Medicaid Advantage Plus (MAP) | HealthFirst Health Plan Inc. (Senior Health Partners) | unmatched | 0 | not reported | 92% | 0.51% |
| New York | 2023-24 Medicaid Advantage Plus (MAP) | MetroPlus Health Plan Inc. | unmatched | 1 | not reported | 90% | 0.003% |
| New York | 2023-24 Medicaid Advantage Plus (MAP) | NY Quality Healthcare Corp (Centene) | unmatched | 0 | not reported | 100.37% | 0.019% |
| New York | 2023-24 Medicaid Advantage Plus (MAP) | Senior Whole Health of NY Inc. | unmatched | 0 | not reported | 91.64% | 0.005% |
| New York | 2023-24 Medicaid Advantage Plus (MAP) | VNS Choice | unmatched | 1 | not reported | 90% | 0.076% |
| New York | 2023-24 Medicaid Advantage Plus (MAP) | Village Senior Services Corp (VillageCare Max) | unmatched | 2 | not reported | 94.61% | 0.051% |
| New York | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | Aetna Better Health, Inc. | unmatched | 1 | not reported | 92.15% | 0.1% |
| New York | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | Anthem HP, LLC (dba Empire BCBS HealthPlus MLTC) | unmatched | 2 | not reported | 94.99% | 1% |
| New York | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | Catholic Managed Long Term Care, Inc. (dba Archcare Community Life) (12/31/23) | unmatched | 1 | not reported | 94.62% | 0.01% |
| New York | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | Centers Plan for Healthy Living LLC | unmatched | 1 | not reported | 98.67% | 0.9% |
| New York | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | Elder Plan, Inc. (dba Homefirst) | unmatched | 3 | not reported | 92.51% | 0.4% |
| New York | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | Elderserve Health (dba RiverSpring) | unmatched | 1 | not reported | 102.77% | 0.3% |
| New York | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | ErieNiagara MLTCP Inc (dba Kalos) | unmatched | 2 | not reported | 79.42% | 0.02% |
| New York | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | EverCare Choice Inc (dba Elant) | unmatched | 3 | not reported | 94.9% | 0.01% |
| New York | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | Extended MLTC, LLC (7/31/23) | unmatched | 1 | not reported | 108.36% | 0.1% |
| New York | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | Fallon Health Weinberg, Inc. (12/31/23) | unmatched | 2 | not reported | 76.1% | 0.003% |
| New York | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | Hamaspik Choice Inc. | unmatched | 2 | not reported | 83.72% | 0.1% |
| New York | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | HealthFirst Health Plan Inc. (dba Senior Health Partners) | unmatched | 2 | not reported | 97.43% | 0.2% |
| New York | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | Icircle Services of the Finger Lakes | unmatched | 1 | not reported | 96.45% | 0.1% |
| New York | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | MetroPlus Health Plan Inc. | unmatched | 2 | not reported | 84.36% | 0.03% |
| New York | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | Montefiore HMO LLC (12/31/23) | unmatched | 1 | not reported | 103.45% | 0.02% |
| New York | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | NY Quality Healthcare Corp. (dba Fidelis Care) | unmatched | 2 | not reported | 92.49% | 0.3% |
| New York | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | Niagara Adv Health Plan LLC (dba Elderwood) | unmatched | 2 | not reported | 79.42% | 0.02% |
| New York | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | Prime Health Choice LLC | unmatched | 4 | not reported | 93.23% | 0.01% |
| New York | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | Senior Network Health LLC | unmatched | 1 | not reported | 88.62% | 0.01% |
| New York | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | Senior Whole Health of NY | unmatched | 1 | not reported | 97.37% | 0.5% |
| New York | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | VNA Homecare Options LLC ( dba Nascentia Health Options) | unmatched | 2 | not reported | 88.07% | 0.1% |
| New York | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | VNS Health MLTC | unmatched | 1 | not reported | 93.3% | 0.4% |
| New York | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | Village Sr Services Corp (dba VillageCare Max) | unmatched | 2 | not reported | 91.5% | 0.4% |
| North Carolina | Community Care of North Carolina | North Carolina Community Care | unmatched | 0 | not reported | not reported | 14.6% |
| North Carolina | PIHP | Alliance | unmatched | 1 | not reported | 88% | 5.2% |
| North Carolina | PIHP | Eastpointe | unmatched | 0 | not reported | 95% | 2% |
| North Carolina | PIHP | Partners | unmatched | 1 | not reported | 98% | 4% |
| North Carolina | PIHP | Sandhills | unmatched | 1 | not reported | 102% | 2.9% |
| North Carolina | PIHP | Trillium | unmatched | 0 | not reported | 100% | 5% |
| North Carolina | PIHP | Vaya | unmatched | 1 | not reported | 91% | 4.1% |
| North Carolina | Standard Plan | Amerihealth Caritas | unmatched | 5 | not reported | 92.8% | 13.9% |
| North Carolina | Standard Plan | Blue Cross and Blue Shield | unmatched | 5 | not reported | 94.37% | 21.1% |
| North Carolina | Standard Plan | Carolina Complete Health | Centene | 5 | not reported | 92.3% | 9.9% |
| North Carolina | Standard Plan | UnitedHealthcare | UnitedHealth | 5 | not reported | 93.5% | 16.3% |
| North Carolina | Standard Plan | WellCare | unmatched | 4 | not reported | 91.6% | 17.1% |
| North Carolina | Tribal Option | EBCI Tribal Option | EBCI Tribal Option | 0 | not reported | not reported | 0.2% |
| North Dakota | Medicaid Expansion June 2025 Submission | Blue Cross Blue Shield North Dakota | unmatched | 1 | 36.9% calculated | 91.8% | 100% |
| Ohio | MyCare Ohio 12/27/2024 | Aetna Better Health of Ohio | unmatched | 2 | 53.5% calculated | 92% | 20% |
| Ohio | MyCare Ohio 12/27/2024 | Buckeye Health Plan | unmatched | 4 | 34.6% calculated | 86% | 18.2% |
| Ohio | MyCare Ohio 12/27/2024 | CareSource Ohio, Inc. | unmatched | 3 | 50.1% calculated | 87% | 22.7% |
| Ohio | MyCare Ohio 12/27/2024 | Molina Healthcare of Ohio | unmatched | 4 | 42.4% calculated | 84% | 19.4% |
| Ohio | MyCare Ohio 12/27/2024 | UnitedHealthcare Community Plan of Ohio | unmatched | 9 | 59.7% calculated | 87% | 19.7% |
| Ohio | Ohio Medicaid Managed Care | AmeriHealth Caritas of Ohio | unmatched | 9 | 27.4% calculated | 93% | 4.1% |
| Ohio | Ohio Medicaid Managed Care | Anthem Blue Cross and Blue Shield | unmatched | 10 | 69.1% calculated | 84% | 8.4% |
| Ohio | Ohio Medicaid Managed Care | Buckeye Health Plan | unmatched | 5 | 34.1% calculated | 91% | 14.2% |
| Ohio | Ohio Medicaid Managed Care | CareSource Ohio, Inc. | unmatched | 7 | 20.8% calculated | 80% | 47.3% |
| Ohio | Ohio Medicaid Managed Care | Humana Healthy Horizons | unmatched | 7 | 37.0% calculated | 94% | 4.4% |
| Ohio | Ohio Medicaid Managed Care | Molina Healthcare of Ohio | unmatched | 6 | 54.6% calculated | 90% | 10.3% |
| Ohio | Ohio Medicaid Managed Care | UnitedHealthcare Community Plan of Ohio | unmatched | 11 | 27.5% calculated | 88% | 11.2% |
| Ohio | Ohio Single Pharmacy Benefit Manager | Gainwell Technologies | unmatched | 2 | 60.4% calculated | not reported | 100% |
| Ohio | OhioRISE | Aetna Better Health of Ohio, Inc. | unmatched | 0 | 31.7% calculated | 102% | 1.1% |
| Oregon | Oregon Health Plan 2024 Coordinated Care Organizations | Advanced Health | Advanced Health | 0 | 30.3% calculated | 96.15% | 2.1% |
| Oregon | Oregon Health Plan 2024 Coordinated Care Organizations | AllCare CCO | unmatched | 0 | 37.2% calculated | 99.92% | 4.9% |
| Oregon | Oregon Health Plan 2024 Coordinated Care Organizations | Cascade Health Alliance | unmatched | 0 | 52.5% calculated | 92.84% | 2% |
| Oregon | Oregon Health Plan 2024 Coordinated Care Organizations | Columbia Pacific CCO | unmatched | 0 | 48.2% calculated | 96.79% | 2.8% |
| Oregon | Oregon Health Plan 2024 Coordinated Care Organizations | Eastern Oregon CCO | unmatched | 1 | 45.7% calculated | 95.74% | 5.8% |
| Oregon | Oregon Health Plan 2024 Coordinated Care Organizations | Health Share of Oregon | unmatched | 0 | 41.4% calculated | 96.64% | 33.6% |
| Oregon | Oregon Health Plan 2024 Coordinated Care Organizations | InterCommunity Health Network CCO | unmatched | 1 | 44.3% calculated | 99.7% | 6.2% |
| Oregon | Oregon Health Plan 2024 Coordinated Care Organizations | Jackson Care Connect | unmatched | 0 | 45.7% calculated | 95.29% | 4.9% |
| Oregon | Oregon Health Plan 2024 Coordinated Care Organizations | Pacific Source - Central Oregon Region | unmatched | 1 | 24.3% calculated | 93.71% | 5.7% |
| Oregon | Oregon Health Plan 2024 Coordinated Care Organizations | Pacific Source - Columbia Gorge Region | unmatched | 1 | 24.7% calculated | 96.49% | 1.4% |
| Oregon | Oregon Health Plan 2024 Coordinated Care Organizations | Pacific Source - Lane | unmatched | 1 | 29.1% calculated | 91.9% | 6.9% |
| Oregon | Oregon Health Plan 2024 Coordinated Care Organizations | Pacific Source - Marion/Polk | unmatched | 1 | 24.3% calculated | 90.74% | 11.4% |
| Oregon | Oregon Health Plan 2024 Coordinated Care Organizations | Trillium Community Health Plan - Southwest | unmatched | 1 | 67.4% calculated | 92.45% | 2.6% |
| Oregon | Oregon Health Plan 2024 Coordinated Care Organizations | Trillium Community Health Plan - Tri-County | Centene | 1 | 65.1% calculated | 80.89% | 4.3% |
| Oregon | Oregon Health Plan 2024 Coordinated Care Organizations | Umpqua Health Alliance | unmatched | 0 | 43.6% calculated | 91.3% | 2.9% |
| Oregon | Oregon Health Plan 2024 Coordinated Care Organizations | Yamhill Community Care | unmatched | 0 | 52.1% calculated | 95.76% | 2.7% |
| Pennsylvania | Adult Community Autism Program (ACAP) | Keystone Autism Services (KAS) | unmatched | 4 | not reported | 0% | 0% |
| Pennsylvania | Office of Long Term Living - Community HealthChoices_2025 | Pennsylvania Health & Wellness | Centene | 1 | not reported | 93.9% | 2.91% |
| Pennsylvania | Office of Long Term Living - Community HealthChoices_2025 | UPMC Community HealthChoices | UPMC | 8 | not reported | 94.5% | 4.81% |
| Pennsylvania | Office of Long Term Living - Community HealthChoices_2025 | Vista Healthcare DBA Keystone First and Vista Healthcare DBA AmeriHealth Caritas Pennsylvania | unmatched | 6 | not reported | 97.6% | 6.16% |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | AmeriHealth Caritas Pennsylvania LC | unmatched | 0 | not reported | not reported | 7% |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | AmeriHealth Caritas Pennsylvania NE | unmatched | 0 | not reported | not reported | 4% |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | AmeriHealth Caritas Pennsylvania NW | unmatched | 0 | not reported | not reported | 0.86% |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | AmeriHealth Caritas Pennsylvania SW | unmatched | 0 | not reported | not reported | 0.59% |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | AmeriHealth Caritas Pennsylvania | unmatched | 0 | not reported | not reported | not reported |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | Geisinger Health Plan LC | unmatched | 0 | not reported | not reported | 0.88% |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | Geisinger Health Plan NE | unmatched | 0 | not reported | not reported | 7% |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | Geisinger Health Plan NW | unmatched | 0 | not reported | not reported | 0.25% |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | Geisinger Health Plan SE | unmatched | 0 | not reported | not reported | 0.55% |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | Geisinger Health Plan SW | unmatched | 0 | not reported | not reported | 0.42% |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | Geisinger Health Plan | unmatched | 8 | not reported | 94.5% | not reported |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | Health Partners Plans LC | unmatched | 0 | not reported | not reported | 0.92% |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | Health Partners Plans NE | unmatched | 0 | not reported | not reported | 0.43% |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | Health Partners Plans NW | unmatched | 0 | not reported | not reported | 0.27% |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | Health Partners Plans SE | unmatched | 0 | not reported | not reported | 9% |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | Health Partners Plans SW | unmatched | 0 | not reported | not reported | 0.47% |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | Health Partners Plans | unmatched | 3 | not reported | 87.1% | not reported |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | Highmark Wholecare LC | unmatched | 0 | not reported | not reported | 6% |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | Highmark Wholecare SW | unmatched | 0 | not reported | not reported | 4% |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | Highmark Wholecare | unmatched | 2 | not reported | 93.4% | not reported |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | Keystone First SE | unmatched | 0 | not reported | not reported | 16% |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | UPMC for You LC | unmatched | 0 | not reported | not reported | 4% |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | UPMC for You NE | unmatched | 0 | not reported | not reported | 0.7% |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | UPMC for You NW | unmatched | 0 | not reported | not reported | 4% |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | UPMC for You SE | unmatched | 0 | not reported | not reported | 0.81% |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | UPMC for You SW | unmatched | 0 | not reported | not reported | 11% |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | UPMC for You | unmatched | 3 | not reported | 94.4% | not reported |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | United Healthcare SE | unmatched | 0 | not reported | not reported | 4% |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | United Healthcare | unmatched | 1 | not reported | 88.9% | not reported |
| Pennsylvania | Office of Medical Assistance Programs - Physical HealthChoices_2025 | Vista Healthcare DBA Keystone First and Vista Healthcare DBA AmeriHealth Caritas Pennsylvania | unmatched | 8 | not reported | 90.1% | not reported |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | Allegheny HealthChoices, Inc. | unmatched | 0 | not reported | 88.7% | not reported |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | BHARP (Behavioral Health Alliance of Rural Pennsylvania) | unmatched | 0 | not reported | 90.6% | not reported |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | BHSSBC (Behavioral Health Services Somerset and Bedford Counties) | unmatched | 0 | not reported | 86.1% | not reported |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | Beaver County HealthChoices | unmatched | 0 | not reported | 82.5% | not reported |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | Berks County | unmatched | 0 | not reported | 85.8% | not reported |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | Blair Co - Central PA Behavioral Health Collaborative | unmatched | 0 | not reported | 92.8% | not reported |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | Bucks County | unmatched | 0 | not reported | 82.2% | not reported |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | Cambria County | unmatched | 0 | not reported | 83.9% | not reported |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | Capital Area Behavioral Health Collaborative | PerformCare | 0 | not reported | 73.9% | not reported |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | Carbon/Monroe/Pike Joinder Board | unmatched | 0 | not reported | 95.4% | not reported |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | Carelon Health of PA (Carelon) | unmatched | 3 | 69.8% calculated | not reported | 11% |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | Chester County | unmatched | 0 | not reported | 85.6% | not reported |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | City of Philadelphia | unmatched | 0 | not reported | 87.8% | not reported |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | Community Behavioral Health (CBH) | unmatched | 7 | 76.1% calculated | not reported | 24% |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | Community Care Behavioral Health Organization (CCBH) | unmatched | 12 | 41.3% calculated | not reported | 46% |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | County of Delaware | unmatched | 2 | not reported | 89.3% | not reported |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | Erie County | unmatched | 0 | not reported | 92.4% | not reported |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | Fayette County Behavioral Health Administration | unmatched | 0 | not reported | 88.7% | not reported |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | Lehigh County | unmatched | 0 | not reported | 90.5% | not reported |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | Lycoming/Clinton Joinder | unmatched | 0 | not reported | 89.4% | not reported |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | Magellan Behavioral Health (MBH) | unmatched | 9 | 79.9% calculated | not reported | 14% |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | Montgomery County | unmatched | 0 | not reported | 79.8% | not reported |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | NBHCC (Northeast Behavioral Health Care Consortium) | unmatched | 0 | not reported | 93.9% | not reported |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | Northampton County | unmatched | 0 | not reported | 91.9% | not reported |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | Northwest Behavioral Health Partnership Inc | unmatched | 0 | not reported | 89.6% | not reported |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | PerformCare | unmatched | 1 | 100.0% calculated | not reported | 10% |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | Southwest Behavioral Health Management | unmatched | 0 | not reported | 82% | not reported |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | Tuscarora Managed Care Alliance | PerformCare | 0 | not reported | 81% | not reported |
| Pennsylvania | The Office of Mental Health and Substance Abuse Services_2025 | York/Adams HealthChoices Joinder Governing Board | Community Care Behavioral Health | 0 | not reported | 87.4% | not reported |
| Rhode Island | Medicaid Managed Care Program (Rhode Island) - 2024 | Neighborhood Health Plan of Rhode Island | unmatched | 0 | 36.7% calculated | 91% | 63.8% |
| Rhode Island | Medicaid Managed Care Program (Rhode Island) - 2024 | Tufts Health Public Plan | unmatched | 1 | 48.4% calculated | 88% | 5.8% |
| Rhode Island | Medicaid Managed Care Program (Rhode Island) - 2024 | UnitedHealthcare of New England | unmatched | 0 | 33.3% calculated | 91% | 30.3% |
| Rhode Island | RIte Smiles Program (Rhode Island) - 2024 | UnitedHealthcare Insurance Company (UHIC) | unmatched | 0 | 26.2% calculated | 90% | 100% |
| South Carolina | Medicaid Managed Care | Absolute Total Care | unmatched | 2 | 43.7% calculated | 87.2% | 21.5% |
| South Carolina | Medicaid Managed Care | First Choice by Select Health of South Carolina | unmatched | 0 | 50.8% calculated | 90.7% | 39.9% |
| South Carolina | Medicaid Managed Care | Healthy Blue Blue Choice HealthPlan of SC | unmatched | 0 | 35.1% calculated | 88.5% | 18.4% |
| South Carolina | Medicaid Managed Care | Humana | unmatched | 0 | 40.0% calculated | 96.1% | 2.9% |
| South Carolina | Medicaid Managed Care | Molina | unmatched | 0 | 45.1% calculated | 85.3% | 17.3% |
| Tennessee | TennCare | BlueCare Tennessee (BCT) | unmatched | 11 | 46.3% calculated | 94.3% | 37.7% |
| Tennessee | TennCare | TennCare Select (TCS) | unmatched | 6 | 28.3% calculated | not reported | 2.5% |
| Tennessee | TennCare | UnitedHealthcare Community Plan (UHCCP) | unmatched | 11 | 19.3% calculated | 94.7% | 29.9% |
| Tennessee | TennCare | Wellpoint Tennessee (WPT) | unmatched | 13 | 41.0% calculated | 97.4% | 29.9% |
| Texas | Children's Medicaid Dental Services 2024 | DentaQuest USA Insurance Company, Inc. | unmatched | 7 | 27.7% calculated | 91% | 39% |
| Texas | Children's Medicaid Dental Services 2024 | MCNA Insurance Company | Managed Care of North America (MCNA), Inc. | 3 | 33.9% calculated | 85% | 25.7% |
| Texas | Children's Medicaid Dental Services 2024 | UnitedHealthcare Insurance Company, Inc. | unmatched | 1 | 25.0% calculated | 87% | 12.1% |
| Texas | Medicare-Medicaid Dual Demonstration 2024 | Molina Healthcare of Texas, Inc. | Molina | 3 | 13.6% calculated | 89% | 0.2% |
| Texas | Medicare-Medicaid Dual Demonstration 2024 | Superior HealthPlan, Inc | Centene | 5 | 81.2% calculated | 99% | 0.1% |
| Texas | Medicare-Medicaid Dual Demonstration 2024 | United Healthcare Community Plan | UnitedHealth | 1 | 87.3% calculated | 96% | 0.1% |
| Texas | Medicare-Medicaid Dual Demonstration 2024 | Wellpoint Texas Inc (Formerly Amerigroup Texas, Inc.) | unmatched | 0 | 53.6% calculated | 97% | 0.1% |
| Texas | STAR 2024 | Aetna Better Health of Texas, Inc. | CVS/Aetna | 10 | 35.0% calculated | 90% | 2.7% |
| Texas | STAR 2024 | Community First Health Plans, Inc. | unmatched | 9 | 32.0% calculated | 89% | 3% |
| Texas | STAR 2024 | Community Health Choice Texas, Inc. | unmatched | 9 | 28.0% calculated | 89% | 6.8% |
| Texas | STAR 2024 | Cook Children's Health Plan | unmatched | 10 | 61.3% calculated | 91% | 2.7% |
| Texas | STAR 2024 | Driscoll Children's Health Plan | unmatched | 8 | 27.5% calculated | 89% | 4.8% |
| Texas | STAR 2024 | El Paso First Health Plans, Inc. | unmatched | 8 | 63.1% calculated | 89% | 1.7% |
| Texas | STAR 2024 | Health Care Service Corp. (dba Blue Cross Blue Shield) | Health Care Service Corporation | 6 | 46.6% calculated | 90% | 1% |
| Texas | STAR 2024 | Molina Healthcare of Texas, Inc. | Molina | 1 | 47.8% calculated | 90% | 2.7% |
| Texas | STAR 2024 | Parkland Community Health Plan, Inc. | unmatched | 10 | 49.8% calculated | 89% | 4% |
| Texas | STAR 2024 | SHA. LLC, dba FIRSTCARE | unmatched | 2 | 61.6% calculated | 89% | 2.1% |
| Texas | STAR 2024 | Scott & White Health Plan | Baylor Scott & White Holdings | 7 | 50.0% calculated | 87% | 1.2% |
| Texas | STAR 2024 | Seton Health Plan, Inc., dba Dell Children's Health Plan | Seton Insurance Services Corporation | 7 | 34.2% calculated | 87% | 0.7% |
| Texas | STAR 2024 | Superior Health Plan, Inc. | Centene | 3 | 46.2% calculated | 91% | 19.7% |
| Texas | STAR 2024 | Texas Children's Health Plan, Inc. | Texas Children's | 7 | 59.8% calculated | 91% | 10.1% |
| Texas | STAR 2024 | United Healthcare Community Plan | UnitedHealth | 2 | 33.0% calculated | 91% | 4.5% |
| Texas | STAR 2024 | Wellpoint Ins. Co. (Formerly Amerigroup Texas, Inc.) | unmatched | 7 | 41.9% calculated | 91% | 13.9% |
| Texas | STAR Health 2024 | Superior HealthPlan | unmatched | 4 | 41.6% calculated | 91% | 0.6% |
| Texas | STAR Kids 2024 | Aetna Better Health of Texas, Inc. | CVS/Aetna | 11 | 64.6% calculated | 90% | 0.3% |
| Texas | STAR Kids 2024 | Community First Health Plans, Inc. | unmatched | 7 | 21.0% calculated | 89% | 0.2% |
| Texas | STAR Kids 2024 | Cook Children's Health Plan | unmatched | 9 | 51.3% calculated | 91% | 0.2% |
| Texas | STAR Kids 2024 | Driscoll Children's Health Plan | unmatched | 8 | 22.9% calculated | 89% | 0.2% |
| Texas | STAR Kids 2024 | Health Care Service Corp. (dba Blue Cross Blue Shield) | Health Care Service Corporation | 11 | 41.8% calculated | 90% | 0.2% |
| Texas | STAR Kids 2024 | Superior Health Plan, Inc. | Centene | 6 | 55.4% calculated | 91% | 0.7% |
| Texas | STAR Kids 2024 | Texas Children's Health Plan, Inc. | Texas Children's | 5 | 53.2% calculated | 89% | 0.7% |
| Texas | STAR Kids 2024 | United Healthcare Community Plan | UnitedHealth | 3 | 22.2% calculated | 91% | 0.6% |
| Texas | STAR Kids 2024 | Wellpoint Insurance Company (Formerly Amerigroup Texas, Inc) | unmatched | 7 | 54.8% calculated | 91% | 0.6% |
| Texas | STAR+PLUS 2024 | Molina Healthcare of Texas Insurance Co | unmatched | 1 | 55.6% calculated | 90% | 3.4% |
| Texas | STAR+PLUS 2024 | Superior Health Plan, Inc. | Centene | 5 | 32.4% calculated | 91% | 3.6% |
| Texas | STAR+PLUS 2024 | United Healthcare Community Plan | UnitedHealth | 5 | 35.1% calculated | 91% | 3.6% |
| Texas | STAR+PLUS 2024 | Wellpoint Texas Inc (Formerly Amerigroup Texas, Inc) | unmatched | 7 | 48.1% calculated | 91% | 3.1% |
| Utah | Utah Medicaid Dental | MCNA Medicaid Dental | unmatched | 0 | 35.9% calculated | 80% | 17.8% |
| Utah | Utah Medicaid Dental | Premier Access Medicaid Dental | unmatched | 0 | 31.3% calculated | 82% | 36.9% |
| Utah | Utah Medicaid HOME | Healthy Outcomes Medical Excellence (HOME) | unmatched | 0 | 111.1% calculated | 72.9% | 0.5% |
| Utah | Utah Medicaid Integrated Care (UMIC) | Integrated Care Health Choice Utah | unmatched | 0 | 35.0% calculated | 85% | 3.1% |
| Utah | Utah Medicaid Integrated Care (UMIC) | Integrated Care Healthy U | unmatched | 0 | 29.8% calculated | 85% | 4.4% |
| Utah | Utah Medicaid Integrated Care (UMIC) | Integrated Care Molina Healthcare | unmatched | 0 | 65.2% calculated | 68.6% | 3.9% |
| Utah | Utah Medicaid Integrated Care (UMIC) | Integrated Care SelectHealth Community Care | unmatched | 0 | 49.8% calculated | 85% | 7.5% |
| Utah | Utah Medicaid Prepaid Mental Health Plan (PMHP) | Bear River Mental Health Services | unmatched | 0 | not reported | 91.6% | 6.6% |
| Utah | Utah Medicaid Prepaid Mental Health Plan (PMHP) | Central Utah Counseling Center | Central Utah Counseling Center | 0 | not reported | 79.6% | 3.7% |
| Utah | Utah Medicaid Prepaid Mental Health Plan (PMHP) | Davis Behavioral Health Services | unmatched | 0 | 33.3% calculated | 90.3% | 7.2% |
| Utah | Utah Medicaid Prepaid Mental Health Plan (PMHP) | Four Corners Community Behavioral Health | unmatched | 0 | not reported | 89.8% | 2.2% |
| Utah | Utah Medicaid Prepaid Mental Health Plan (PMHP) | Healthy U Behavioral Health | University of Utah Health Plans | 0 | 75.0% calculated | 77.8% | 0.5% |
| Utah | Utah Medicaid Prepaid Mental Health Plan (PMHP) | Northeastern Counseling Center | Northeastern Counseling Center | 0 | 100.0% calculated | 79.4% | 4.7% |
| Utah | Utah Medicaid Prepaid Mental Health Plan (PMHP) | Salt Lake County Behavioral Health Services | unmatched | 0 | 19.4% calculated | 80.2% | 31.2% |
| Utah | Utah Medicaid Prepaid Mental Health Plan (PMHP) | Southwest Behavioral Health Center | Southwest Behavioral Health Center | 0 | not reported | 83.6% | 8.2% |
| Utah | Utah Medicaid Prepaid Mental Health Plan (PMHP) | United Behavioral Health, Inc. | unmatched | 0 | 0.0% calculated | 84.7% | 2.9% |
| Utah | Utah Medicaid Prepaid Mental Health Plan (PMHP) | Wasatch Behavioral Health Special Service District | unmatched | 0 | 20.8% calculated | 85.4% | 9.2% |
| Utah | Utah Medicaid Prepaid Mental Health Plan (PMHP) | Weber Human Services | Weber Human Services | 0 | 27.3% calculated | 76.3% | 15.3% |
| Utah | Utah Medicaid-ACO | Health Choice Utah | unmatched | 0 | 96.8% calculated | 87% | 8% |
| Utah | Utah Medicaid-ACO | Healthy U | unmatched | 0 | 94.8% calculated | 85.7% | 16.9% |
| Utah | Utah Medicaid-ACO | Molina Healthcare | unmatched | 0 | 98.7% calculated | 84.1% | 18% |
| Utah | Utah Medicaid-ACO | SelectHealth Community Care | unmatched | 0 | 97.6% calculated | 88.9% | 30.7% |
| Vermont | Vermont Medicaid Program 06/29/2025 | Vermont Medicaid Plan | unmatched | 0 | 6.9% calculated | 88% | 100% |
| Vermont | Vermont Medicaid Program | Vermont Medicaid Plan | unmatched | 1 | not reported | 88% | 100% |
| Virginia | Cardinal Care | Aetna Better Health of Virginia | unmatched | 4 | not reported | 89% | 15.8% |
| Virginia | Cardinal Care | Anthem Healthkeepers Plus | unmatched | 6 | not reported | 91% | 32.8% |
| Virginia | Cardinal Care | Molina Healthcare | unmatched | 5 | not reported | 91% | 7.9% |
| Virginia | Cardinal Care | Sentara Community Plan | unmatched | 14 | not reported | 90% | 32.3% |
| Virginia | Cardinal Care | United Healthcare Community PLan | unmatched | 8 | not reported | 90% | 13.1% |
| Washington | IFC MCPAR 2024 | Coordinated Care of Washington (CCW) | unmatched | 0 | 59.0% calculated | 100.41% | 1.2% |
| Washington | IMC MCPAR 2024 | Community Health Plan of Washington (CHPW) | unmatched | 3 | 75.5% calculated | 96.95% | 14.5% |
| Washington | IMC MCPAR 2024 | Coordinated Care of Washington (CCW) | unmatched | 1 | 38.6% calculated | 94.11% | 10.3% |
| Washington | IMC MCPAR 2024 | Molina Healthcare of Washington, Incorporated (MHW) | unmatched | 3 | 56.8% calculated | 93.09% | 49% |
| Washington | IMC MCPAR 2024 | UnitedHealthcare Community Plan (UHC) | unmatched | 4 | 50.0% calculated | 99.03% | 12.1% |
| Washington | IMC MCPAR 2024 | Wellpoint Washington, Incorporated (WLP) | unmatched | 2 | 50.6% calculated | 95.73% | 9.9% |
| West Virginia | Mountain Health Promise | Aetna Better Health of West Virginia | CVS/Aetna | 0 | not reported | 83.9% | 5.7% |
| West Virginia | Mountain Health Trust | Aetna Better Health of West Virginia | CVS/Aetna | 2 | not reported | 86% | 29.4% |
| West Virginia | Mountain Health Trust | The Health Plan of West Virginia, Inc. | unmatched | 0 | 35.7% calculated | 88.5% | 22.3% |
| West Virginia | Mountain Health Trust | Wellpoint West Virginia, Inc. | unmatched | 0 | 21.5% calculated | 87.3% | 33.5% |
| Wisconsin | BadgerCare Plus | Anthem Blue Cross and Blue Shield | unmatched | 1 | 17.6% calculated | 86.1% | 12.8% |
| Wisconsin | BadgerCare Plus | Chorus Community Health Plans (CCHP) | unmatched | 0 | 1.5% calculated | 86.5% | 12.6% |
| Wisconsin | BadgerCare Plus | Dean Health Plan | unmatched | 0 | 10.0% calculated | 85.6% | 4.2% |
| Wisconsin | BadgerCare Plus | Group Health Cooperative of Eau Claire | unmatched | 0 | 14.9% calculated | 84.1% | 4.8% |
| Wisconsin | BadgerCare Plus | Group Health Cooperative of South Central Wisconsin | Group Health Cooperative of South Central Wisconsin | 0 | 0.0% calculated | 83.9% | 0.7% |
| Wisconsin | BadgerCare Plus | Independent Care Health Plan (iCare) | unmatched | 0 | 31.6% calculated | 86.2% | 2.8% |
| Wisconsin | BadgerCare Plus | MHS Health Wisconsin | unmatched | 0 | 5.9% calculated | 87.5% | 4.9% |
| Wisconsin | BadgerCare Plus | MercyCare Insurance Company | unmatched | 0 | 0.0% calculated | 87% | 1.3% |
| Wisconsin | BadgerCare Plus | My Choice Wisconsin (MCW)/Molina | unmatched | 0 | 32.6% calculated | 88.1% | 7.6% |
| Wisconsin | BadgerCare Plus | Network Health Plan | unmatched | 0 | 0.0% calculated | 86.1% | 4.6% |
| Wisconsin | BadgerCare Plus | Quartz | unmatched | 0 | 33.3% calculated | 86.3% | 4.5% |
| Wisconsin | BadgerCare Plus | Security Health Plan of Wisconsin | unmatched | 0 | 68.8% calculated | 88% | 6.6% |
| Wisconsin | BadgerCare Plus | United Health Care Community Plan (UHC) | unmatched | 0 | 56.3% calculated | 86.4% | 21.1% |
| Wisconsin | Family Care Partnership | Community Care, Inc (CCI) | unmatched | 1 | 0.0% calculated | 103.6% | 0.1% |
| Wisconsin | Family Care Partnership | Independent Health Plan (iCare) | unmatched | 0 | 23.4% calculated | 97.3% | 0.2% |
| Wisconsin | Family Care Partnership | My Choice Wisconsin (MCW) | unmatched | 0 | 4.8% calculated | 107.05% | 0.1% |
| Wisconsin | Family Care | Community Care, Inc. (CCI) | unmatched | 2 | 8.9% calculated | 98.7% | 1.4% |
| Wisconsin | Family Care | Community Care, Inc. (CCI) | unmatched | 2 | not reported | 95% | 1.3% |
| Wisconsin | Family Care | Inclusa, Inc. | unmatched | 2 | 8.3% calculated | 100.2% | 1.8% |
| Wisconsin | Family Care | Inclusa, Inc. | unmatched | 2 | not reported | 98% | 1.6% |
| Wisconsin | Family Care | Lakeland Care, Inc. | unmatched | 1 | 10.1% calculated | 102.3% | 0.8% |
| Wisconsin | Family Care | Lakeland Care, Inc. | unmatched | 1 | not reported | 96% | 0.7% |
| Wisconsin | Family Care | My Choice Wisconsin, Inc. (MCW) | unmatched | 1 | 5.5% calculated | 100.65% | 1.6% |
| Wisconsin | Family Care | My Choice Wisconsin, Inc. (MCW) | unmatched | 1 | not reported | 95% | 1.4% |
| Wisconsin | Foster Care Medical Home | Care4Kids (C4K) | unmatched | 1 | not reported | not reported | 0.3% |
| Wisconsin | Medicaid SSI HMO | Anthem Blue Cross and Blue Shield | unmatched | 1 | 34.2% calculated | 86% | 0.7% |
| Wisconsin | Medicaid SSI HMO | Group Health Cooperative of Eau Claire | unmatched | 0 | 9.4% calculated | 84% | 0.3% |
| Wisconsin | Medicaid SSI HMO | Independent Care Health Plan (iCare) | unmatched | 0 | 9.3% calculated | 86% | 0.9% |
| Wisconsin | Medicaid SSI HMO | MHS Health Wisconsin | unmatched | 0 | 6.1% calculated | 87.5% | 0.6% |
| Wisconsin | Medicaid SSI HMO | My Choice Wisconsin (MCW)/Molina | unmatched | 0 | 41.7% calculated | 87.6% | 0.6% |
| Wisconsin | Medicaid SSI HMO | Network Health Plan | unmatched | 0 | 0.0% calculated | 86.1% | 0.4% |
| Wisconsin | Medicaid SSI HMO | Quartz | unmatched | 0 | 33.3% calculated | 86.3% | 0% |
| Wisconsin | Medicaid SSI HMO | Security Health Plan of Wisconsin | unmatched | 0 | 81.8% calculated | 88% | 0.1% |
| Wisconsin | Medicaid SSI HMO | United Healthcare Community Plan (UHC) | unmatched | 0 | 38.0% calculated | 86.4% | 1.8% |
| Wisconsin | Milwaukee County PIHP | Wraparound Milwaukee | unmatched | 1 | not reported | 80.4% | 0% |
| Wyoming | Wyoming Care Management Entity Program | Magellan Healthcare, Inc. | unmatched | 0 | not reported | 0% | 100% |
Unmatched plans
These MCPAR plan names did not match exactly one plan already in the enrollment register for that state. They are not assigned a parent.
- ?? First Medical Health Plan
- ?? Humana
- ?? MCS Advantage
- ?? MMM Healthcare
- ?? MMM Multi Health
- ?? MMM Multi-Health
- ?? Plan de Salud Menonita
- ?? Triple S Advantage
- ?? Triple S Salud
- ?? Triple-S Advantage
- AL Alabama Care Network Mid-State
- AL Alabama Care Network Southeast
- AL Alabama Select Network (ASN)
- AL Gulf Coast Total Care
- AL My Care Alabama Central
- AL My Care Alabama East
- AL My Care Alabama Northwest
- AL North Alabama Community Care
- AR Arkansas Total Care
- AR CareSource PASSE
- AR Delta Dental Plan of Arkansas
- AR Managed Care of North America
- AR Summit Community Care
- AZ ACC-RBHA: AZ Complete Health
- AZ ACC-RBHA: Care 1st
- AZ ACC-RBHA: Mercy Care
- AZ ACC: APIPA dba UnitedHealthcare Community Plan
- AZ ACC: AZ Complete Health
- AZ ACC: Banner University
- AZ ACC: Banner University Family Care
- AZ ACC: Care 1st
- AZ ACC: Care1st Health Plan Arizona, Inc.
- AZ ACC: HNA dba AZ Complete Health Complete Care Plan
- AZ ACC: Health Choice
- AZ ACC: Health Choice Arizona, Inc.
- AZ ACC: Mercy Care
- AZ ACC: Molina
- AZ ACC: Molina Healthcare of AZ, Inc.
- AZ ACC: United Health Comm Plan
- AZ CHP: DCS/CHP
- AZ LTC: APIPA dba UnitedHealthcare Community Plan
- AZ LTC: Banner University
- AZ LTC: Banner University Family Care
- AZ LTC: DES/DDD
- AZ LTC: Mercy Care
- AZ LTC: United Health Comm Plan
- AZ RBHA: Care 1st
- AZ RBHA: HNA dba AZ Complete Health Complete Care Plan
- AZ RBHA: Mercy Care
- CA AIDS Healthcare Foundation
- CA Access Dental Plan, Inc.
- CA Aetna Better Health of California
- CA Alameda
- CA Alameda Alliance for Health
- CA Alpine
- CA Amador
- CA Anthem Blue Cross
- CA Anthem Blue Cross Partnership Health Plan
- CA Blue Shield of California Promise
- CA Blue Shield of California Promise Health Plan
- CA Butte
- CA CalOptima Health
- CA CalViva Health
- CA Calaveras
- CA California Health and Wellness Plan
- CA CenCal Health
- CA Central California Alliance for Health
- CA Colusa
- CA Community Health Group
- CA Community Health Group Partnership Plan
- CA Contra Costa
- CA Contra Costa Health Plan
- CA Del Norte
- CA El Dorado
- CA Fresno
- CA Glenn
- CA Health Net Community Solutions
- CA Health Net of California, Inc.
- CA Health Plan of San Joaquin
- CA Health Plan of San Mateo
- CA Humboldt
- CA Imperial
- CA Inland Empire Health Plan
- CA Inyo
- CA Kaiser Foundation Health Plan, Inc.
- CA Kaiser Permanente
- CA Kern
- CA Kings
- CA LIBERTY Dental Plan of California, Inc.
- CA Lake
- CA Lassen
- CA Los Angeles
- CA Madera
- CA Marin
- CA Mariposa
- CA Mendocino
- CA Merced
- CA Merced
- CA Modoc
- CA Molina Healthcare of California
- CA Mono
- CA Monterey
- CA Napa
- CA Nevada
- CA Orange
- CA Partnership Health Plan of California
- CA Partnership HealthPlan of California
- CA Placer
- CA Placer-Sierra
- CA Plumas
- CA Positive Health Care
- CA Riverside
- CA SCAN Health Plan
- CA Sacramento
- CA San Benito
- CA San Bernardino
- CA San Diego
- CA San Francisco
- CA San Francisco Health Plan
- CA San Francisco
- CA San Joaquin
- CA San Luis Obispo
- CA San Mateo
- CA Santa Barbara
- CA Santa Clara
- CA Santa Clara Family Health Plan
- CA Santa Cruz
- CA Shasta
- CA Siskiyou
- CA Solano
- CA Sonoma
- CA Stanislaus
- CA Sutter-Yuba
- CA Tehama
- CA Trinity
- CA Tulare
- CA Tuolumne
- CA Ventura
- CA Yolo
- CA Alameda
- CA Contra Costa
- CA El Dorado
- CA Fresno
- CA Humboldt
- CA Imperial
- CA Kern
- CA Los Angeles
- CA Marin
- CA Mendocino
- CA Modoc
- CA Monterey
- CA Napa
- CA Nevada
- CA Orange
- CA Placer
- CA Riverside
- CA Sacramento
- CA San Benito
- CA San Bernardino
- CA San Diego
- CA San Joaquin
- CA San Luis Obispo
- CA San Mateo
- CA Santa Barbara
- CA Santa Clara
- CA Santa Cruz
- CA Shasta
- CA Solano
- CA Stanislaus
- CA Tulare
- CA Ventura
- CA Yolo
- CO Denver Health Behavioral Health (PIHP)
- CO Denver Health Medicaid Choice (HMO)
- CO Region 1: Rocky Mountain Health Plans
- CO Region 2: Northeast Health Partners
- CO Region 3: Colorado Access
- CO Region 4: Health Colorado Inc.
- CO Region 5: Colorado Access
- CO Region 6: Colorado Community Health Alliance
- CO Region 7: Colorado Community Health Alliance
- CO Rocky Mountain Health Plans PRIME (HMO)
- DC AmeriHealth Caritas DC
- DC Amerigroup DC
- DC Health Services for Children with Special Needs
- DC MedStar Family Choice
- DC UnitedHealthcare of the MidAtlantic, Inc.
- DE AmeriHealth Caritas Delaware
- FL Aetna
- FL AmeriHealth
- FL Amerihealth
- FL Children's Medical Services - Specialty Plan
- FL Community Care Plan
- FL DentaQuest of Florida
- FL Florida Community Care
- FL Florida Community Care Plan
- FL Healthy Start MomCare Network
- FL Humana
- FL Liberty Dental of Florida
- FL Managed Care of North America (MCNA)
- FL Managed Care of North Florida
- FL Molina Health Care of Florida
- FL Simply Health Care Plan
- FL Sunshine State Health Plan
- FL United Health Care Plan
- GA Amerigroup Community Care
- GA Peach State Health Plan
- HI AlohaCare
- HI HMSA
- HI Hawaii Medical Service Association (HMSA)
- HI Kaiser
- HI Kaiser Permanente
- HI Ohana
- HI Ohana Health Plan
- HI United
- HI UnitedHealthcare Community Plan
- HI WellCare Health Insurance of Arizona, Inc, dba ‘Ohana Health Plan, Inc.
- HI WellCare Health Insurance of Arizona, Inc., dba 'Ohana Health Plan, Inc.
- IA Amerigroup Iowa, Inc.
- IA Delta Dental of Iowa
- IA Iowa Total Care, Inc.
- IA MCNA
- IA Managed Care of North America, Inc.
- IA Molina Healthcare of Iowa, Inc
- IA Wellpoint Iowa, Inc. (formally Amerigroup Iowa, Inc.)
- ID Blue Cross of Idaho - Idaho Medicaid Plus
- ID Blue Cross of Idaho - Medicare-Medicaid Coordinated Plan
- ID Dental Smiles
- ID Idaho Smiles
- ID Molina of Idaho - Idaho Medicaid Plus
- ID Molina of Idaho - Medicare-Medicaid Coordinated Plan
- ID United Behavioral Health
- IL Aetna Better Health
- IL Blue Cross Community Health Plans
- IL Molina HealthCare
- IN Anthem
- IN Anthem Blue Cross Blue Shield
- IN CareSource
- IN MDwise
- IN Managed Health Services
- IN United Healthcare
- KS Aetna Better Health of Kansas
- KS Sunflower Health Plan
- KY Aetna Better Health
- KY Anthem Blue Cross/Blue Shield
- KY Humana Healthy Horizons
- KY United Healthcare Community Plan
- KY WellCare of KY
- LA Aetna Better Health of Louisiana
- LA AmeriHealth Caritas Louisiana
- LA Healthy Blue
- LA Louisiana Healthcare Connections
- LA MCNA of Louisiana
- LA Magellan Complete Care of Louisiana
- LA UnitedHealthcare Community Plan
- MA Be Healthy Partnership
- MA Be Healthy Partnership Plan
- MA Commonwealth Care Alliance One Care
- MA Commonwealth Care Alliance SCO
- MA Community Care Cooperative (C3)
- MA Massachusetts Behavioral Health Partnership
- MA Massachusetts Behavioral Health Partnership (MBHP)
- MA NaviCare SCO
- MA Revere Health Choice
- MA Senior Whole Health SCO
- MA Steward Health Choice
- MA Tufts Health Plan SCO
- MA Tufts Health Plan Unify
- MA Tufts One Care
- MA United Healthcare Connected for One Care
- MA UnitedHealthCare SCO
- MA UnitedHealthcare Connected for One Care
- MA Wellsense SCO
- MD Aetna Better Health of Maryland (ABH)
- MD CareFirst BlueCross BlueShield Community Health Plan (CFCHP)
- MD Jai Medical Systems, Inc. (JMS)
- MD Kaiser Permanente of the Mid-Atlantic States, Inc. (KPMAS)
- MD Maryland Physicians Care (MPC)
- MD MedStar Family Choice, Inc. (MSFC)
- MD Priority Partners (PPMCO)
- MD United Healthcare Community Plan (UHC)
- MD Wellpoint Maryland (WPM)
- MI A & D Home Health Care
- MI Aetna Better Health of Michigan
- MI Aetna Better Health of Michigan, Inc.
- MI AmeriHealth Caritas VIP Care Plus
- MI Area Agency On Aging 1B
- MI Area Agency on Aging of Northwest Michigan
- MI Area Agency on Aging of Western Michigan
- MI Blue Cross Blue Shield of Michigan
- MI Blue Cross Complete of Michigan
- MI Delta Dental Plan of Michigan
- MI Delta Dental of Michigan
- MI Detroit Area Agency on Aging
- MI Detroit Area on Aging
- MI HAP Empowered Health Plan, Inc.
- MI MORC Home Care
- MI McLaren Health Plan
- MI Meridian Health Plan of Michigan
- MI MeridianComplete Health Plan
- MI Molina Healthcare of Michigan
- MI Molina Healthcare, Inc.
- MI Northeast Michigan Community Service - Region 9
- MI Northern Healthcare Management
- MI Priority Health Choice
- MI Reg 1 NorthCare
- MI Reg 2 Northern MI Regional Entity
- MI Reg 3 Lakeshore Regional Entity
- MI Reg 4 South West Michigan Behavioral Health
- MI Reg 5 Mid-State Health Network
- MI Reg 6 CMH Partnership of Southeast MI
- MI Reg 7 Detroit Wayne Integrated Health Network
- MI Reg 8 Oakland Community Health Network
- MI Reg 9 Macomb County CMH Services
- MI Region 10 PIHP
- MI Region 2 Area Agency on Aging
- MI Region 3B
- MI Region IV Area Agency on Aging
- MI Region VII Area Agency on Aging
- MI Reliance Community Care Partners
- MI Senior Resources
- MI Senior Services
- MI The Senior Alliance
- MI The senior Alliance
- MI UPCAP Care Management, Inc
- MI UPCAP Care Management, Inc.
- MI UnitedHealthcare Community Plan
- MI Upper Peninsula Health Plan
- MI Upper Peninsula Heath Plan
- MI Valley Area Agency on Aging
- MN Blue Plus
- MN Health Partners
- MN Heatlh Partners
- MN Hennepin Health
- MN Itasca Medica Care
- MN Itasca Medical Care
- MN Medica
- MN Prime West
- MN South Country Health Alliance
- MN UCare
- MN United Health Care
- MO Home State Health Plan
- MS Magnolia Health Plan
- MS Molina Healthcare of MS
- MS UnitedHealthcare Community Plan of MS
- MT CPC+ Primary Care Case Management
- MT PCMH Primary Care Case Management
- MT Passport to Health Primary Care Case Management
- MT Team Care Primary Care Case Management
- NC Alliance
- NC Alliance Health
- NC Amerihealth Caritas
- NC Blue Cross and Blue Shield
- NC Eastpointe
- NC North Carolina Community Care
- NC Partners
- NC Partners Health Management
- NC Sandhills
- NC Sandhills Center
- NC Trillium
- NC Trillium Health Resources
- NC Vaya
- NC Vaya Health
- NC WellCare
- ND Blue Cross Blue Shield North Dakota
- NE HealthyBlue Nebraska
- NE Managed Care of North America (MCNA)
- NE Nebraska Total Care
- NE UnitedHealthcare Community Plan
- NH AmeriHealth Caritas New Hampshire
- NH Delta Dental Plan of NH, Inc
- NH NH Healthy Families
- NJ Aetna Better Health of New Jersey
- NJ Fidelis Care
- NJ Horizon NJ Health
- NJ UnitedHealthcare Community Plan
- NJ WellCare (Fidelis Care)
- NJ Wellpoint
- NM Blue Cross Blue Shield
- NM Presbyterian Health Plan
- NM UnitedHealthcare
- NM Western Sky Community Care
- NV Anthem Blue Cross and Blue Shield
- NV Anthem Blue Cross and Blue Shield Healthcare
- NV Liberty Dental Plan
- NV SilverSummit Healthplan
- NV United Healthcare Health Plan of NV
- NY Aetna Better Health, Inc.
- NY AmidaCare Inc.,
- NY Anthem
- NY Anthem HP, LLC
- NY Anthem HP, LLC (dba Empire BCBS HealthPlus MLTC)
- NY Capital District Physicians' Health Plan, Inc
- NY Capital District Physicians' Health Plan, Inc.
- NY Catholic Managed Long Term Care, Inc. (dba Archcare Community Life) (12/31/23)
- NY Centers Plan for Healthy Living LLC
- NY Centers Plan for Healthy Living, LLC
- NY Elder Plan, Inc. (dba Homefirst)
- NY Elderplan, Inc.
- NY Elderserve Health (dba RiverSpring)
- NY Elderserve Health, Inc., dba RiverSpring at Home
- NY ErieNiagara MLTCP Inc (dba Kalos)
- NY EverCare Choice Inc (dba Elant)
- NY Excellus Health Plan, Inc
- NY Excellus Health Plan, Inc.
- NY Extended MLTC, LLC (7/31/23)
- NY Fallon Health Weinberg, Inc. (12/31/23)
- NY Hamaspik Choice Inc.
- NY Hamaspik Inc.
- NY Health Insurance Plan of Greater New York
- NY HealthFirst Health Plan Inc. (Senior Health Partners)
- NY HealthFirst Health Plan Inc. (dba Senior Health Partners)
- NY HealthFirst PHSP, Inc.
- NY Healthfirst PHSP, Inc.
- NY Highmark Western & Northeastern New York Inc.
- NY Highmark Western and Northeastern New York Inc.
- NY Icircle Services of the Finger Lakes
- NY Independent Health Association, Inc.
- NY MVP Health Plan, Inc.
- NY Metro Plus Health Care Inc.,
- NY MetroPlus Health Plan Inc.
- NY MetroPlus Health Plan, Inc
- NY MetroPlus Health Plan, Inc.
- NY Molina Healthcare of New York, Inc.
- NY Montefiore HMO LLC (12/31/23)
- NY NY Quality Healthcare Corp (Centene)
- NY NY Quality Healthcare Corp. (dba Fidelis Care)
- NY NY Quality Healthcare Corporation ( dba Fidelis)
- NY New York Quality Health Care Corporation (Fidelis)
- NY Niagara Adv Health Plan LLC (dba Elderwood)
- NY Partners Health Plan Inc.
- NY Prime Health Choice LLC
- NY Senior Network Health LLC
- NY Senior Whole Health of NY
- NY Senior Whole Health of NY Inc.
- NY Senior Whole Health of New York, Inc.
- NY United Healthcare of New York, Inc.
- NY UnitedHealthcare of New York, Inc.
- NY VNA Homecare Options LLC ( dba Nascentia Health Options)
- NY VNS Choice
- NY VNS Health MLTC
- NY Village Senior Services Corp (VillageCare Max)
- NY Village Sr Services Corp (dba VillageCare Max)
- OH Aetna Better Health of Ohio
- OH Aetna Better Health of Ohio, Inc.
- OH AmeriHealth Caritas of Ohio
- OH Anthem Blue Cross and Blue Shield
- OH Buckeye Health Plan
- OH CareSource Ohio, Inc.
- OH Gainwell Technologies
- OH Humana Healthy Horizons
- OH Paramount Advantage
- OH UnitedHealthcare Community Plan of Ohio
- OR AllCare CCO
- OR Cascade Health Alliance
- OR Columbia Pacific CCO
- OR Eastern Oregon CCO
- OR Health Share of Oregon
- OR InterCommunity Health Network CCO
- OR Jackson Care Connect
- OR Pacific Source - Central Oregon Region
- OR Pacific Source - Columbia Gorge Region
- OR Pacific Source - Lane
- OR Pacific Source - Marion/Polk
- OR Trillium Community Health Plan - Southwest
- OR Umpqua Health Alliance
- OR Yamhill Community Care
- PA Allegheny HealthChoices, Inc.
- PA AmeriHealth Caritas Pennsylvania
- PA AmeriHealth Caritas Pennsylvania LC
- PA AmeriHealth Caritas Pennsylvania NE
- PA AmeriHealth Caritas Pennsylvania NW
- PA AmeriHealth Caritas Pennsylvania SW
- PA BHARP (Behavioral Health Alliance of Rural Pennsylvania)
- PA BHSSBC (Behavioral Health Services Somerset and Bedford Counties)
- PA Beaver County HealthChoices
- PA Berks County
- PA Blair Co - Central PA Behavioral Health Collaborative
- PA Bucks County
- PA Cambria County
- PA Carbon/Monroe/Pike Joinder Board
- PA Carelon Health of PA (Carelon)
- PA Chester County
- PA City of Philadelphia
- PA Community Behavioral Health (CBH)
- PA Community Care Behavioral Health Organization (CCBH)
- PA County of Delaware
- PA Erie County
- PA Fayette County Behavioral Health Administration
- PA Geisinger Health Plan
- PA Geisinger Health Plan LC
- PA Geisinger Health Plan NE
- PA Geisinger Health Plan NW
- PA Geisinger Health Plan SE
- PA Geisinger Health Plan SW
- PA Greene County
- PA Health Partners Plans
- PA Health Partners Plans LC
- PA Health Partners Plans NE
- PA Health Partners Plans NW
- PA Health Partners Plans SE
- PA Health Partners Plans SW
- PA Highmark Wholecare
- PA Highmark Wholecare LC
- PA Highmark Wholecare SW
- PA Keystone Autism Services (KAS)
- PA Keystone First SE
- PA Lehigh County
- PA Lycoming/Clinton Joinder
- PA Magellan Behavioral Health (MBH)
- PA Montgomery County
- PA NBHCC (Northeast Behavioral Health Care Consortium)
- PA Northampton County
- PA Northwest Behavioral Health Partnership Inc
- PA Pennsylvania Health & Wellness LC
- PA Pennsylvania Health & Wellness NE
- PA Pennsylvania Health & Wellness NW
- PA Pennsylvania Health & Wellness SE
- PA Pennsylvania Health & Wellness SW
- PA PerformCare
- PA Southwest Behavioral Health Management
- PA UPMC Community HealthChoices LC
- PA UPMC Community HealthChoices NE
- PA UPMC Community HealthChoices NW
- PA UPMC Community HealthChoices SE
- PA UPMC Community HealthChoices SW
- PA UPMC for You
- PA UPMC for You LC
- PA UPMC for You NE
- PA UPMC for You NW
- PA UPMC for You SE
- PA UPMC for You SW
- PA United Healthcare
- PA United Healthcare SE
- PA Vista Healthcare DBA Keystone First and Vista Healthcare DBA AmeriHealth Caritas Pennsylvania
- RI Neighborhood Health Plan of Rhode Island
- RI Tufts Health Public Plan
- RI UnitedHealthcare Insurance Company (UHIC)
- RI UnitedHealthcare of New England
- SC Absolute Total Care
- SC First Choice by Select Health of South Carolina
- SC Healthy Blue Blue Choice HealthPlan of SC
- SC Humana
- SC Humana Health Plan
- SC Molina
- TN BlueCare
- TN BlueCare Tennessee (BCT)
- TN TennCare Select
- TN TennCare Select (TCS)
- TN UnitedHealthcare Community Plan (UHCCP)
- TN Wellpoint Tennessee (WPT)
- TX Amerigroup Texas, Inc
- TX Amerigroup Texas, Inc.
- TX Cigna
- TX Community First Health Plans, Inc.
- TX Community Health Choice Texas, Inc.
- TX Cook Children's Health Plan
- TX DentaQuest USA Insurance Company, Inc.
- TX Driscoll Children's Health Plan
- TX El Paso First Health Plans, Inc.
- TX Molina Healthcare of Texas Insurance Co
- TX Parkland Community Health Plan, Inc.
- TX SHA. LLC, dba FIRSTCARE
- TX Superior HealthPlan
- TX UnitedHealthcare Insurance Company, Inc.
- TX Wellpoint Ins. Co. (Formerly Amerigroup Texas, Inc.)
- TX Wellpoint Insurance Company (Formerly Amerigroup Texas, Inc)
- TX Wellpoint Texas Inc (Formerly Amerigroup Texas, Inc)
- TX Wellpoint Texas Inc (Formerly Amerigroup Texas, Inc.)
- UT Bear River Mental Health Services
- UT Davis Behavioral Health Services
- UT Four Corners Community Behavioral Health
- UT Health Choice Utah
- UT Healthy Outcomes Medical Excellence (HOME)
- UT Healthy U
- UT Integrated Care Health Choice Utah
- UT Integrated Care Healthy U
- UT Integrated Care Molina Healthcare
- UT Integrated Care SelectHealth Community Care
- UT MCNA Medicaid Dental
- UT Molina Healthcare
- UT Premier Access Medicaid Dental
- UT Salt Lake County Behavioral Health Services
- UT SelectHealth Community Care
- UT United Behavioral Health, Inc.
- UT Wasatch Behavioral Health Special Service District
- VA Aetna Better Health of Virginia
- VA Anthem
- VA Anthem Healthkeepers Plus
- VA Molina
- VA Molina Complete Care
- VA Molina Healthcare
- VA Molina Healthcare of VA
- VA Sentara Community Plan
- VA Sentara Health Community Plan
- VA United Healthcare Community PLan
- VA UnitedHealthcare Community Plan
- VA Virginia Premier
- VA Virginia Premier Elite Plus
- VT Vermont Medicaid Plan
- WA Amerigroup (AMG)
- WA Community Health Plan of Washington (CHPW)
- WA Coordinated Care of Washington (CCW)
- WA Molina Healthcare of Washington, Inc. (MHW)
- WA Molina Healthcare of Washington, Incorporated (MHW)
- WA UnitedHealthcare Community Plan (UHC)
- WA Wellpoint Washington, Incorporated (WLP)
- WI Anthem Blue Cross and Blue Shield
- WI Care4Kids (C4K)
- WI Children Come First
- WI Chorus Community Health Plans (CCHP)
- WI Community Care, Inc (CCI)
- WI Community Care, Inc. (CCI)
- WI Dean Health Plan
- WI Group Health Cooperative of Eau Claire
- WI Inclusa, Inc.
- WI Independent Care Health Plan (iCare)
- WI Independent Health Plan (iCare)
- WI Lakeland Care, Inc.
- WI MHS Health Wisconsin
- WI MercyCare Insurance Company
- WI Molina Health Care of Wisconsin, Inc.
- WI Molina HealthCare of Wisconsin, Inc.
- WI My Choice Wisconsin (MCW)
- WI My Choice Wisconsin (MCW)/Molina
- WI My Choice Wisconsin, Inc. (MCW)
- WI Network Health Plan
- WI Quartz
- WI Security Health Plan of Wisconsin
- WI United Health Care Community Plan (UHC)
- WI United Healthcare Community Plan (UHC)
- WI Wraparound Milwaukee
- WV The Health Plan of West Virginia, Inc.
- WV UniCare Health Plan of West Virginia, Inc.
- WV Wellpoint West Virginia, Inc.
- WY Magellan Healthcare, Inc
- WY Magellan Healthcare, Inc.