CMS REPORTED
Plan enrollment and market share
CMS reporting years in this file run from 2016 through 2024. Retrieved 2026-11-02. The latest reporting year is 2024, which is behind the retrieval date.
How we count
Each enrollment figure is CMS reported from Managed Care Enrollment by Program and Plan, reporting year 2024. The file URL is https://download.medicaid.gov/data/managed-care-enrollment-by-program-and-plan2024-table4.csv. Snapshot sha256 5de41a08f10bf3cb39135d63e224fec77283f502ab0907774263a03a45bf887c. Share and the change from the prior reporting year are calculated from those totals. They are not a CMS-published share. not reported means the file has no count. No dollar figures are shown.
7,804 rows. States and DC with at least one row: 49. No row in this file: Alaska, Connecticut. State cells that are not a state or territory name: none. Puerto Rico is included when CMS reports it and is not one of the 50 state pages. Unmatched raw parent strings: 19.
Parent footprint
States where the parent has a CMS row in reporting year 2024. Unmatched is the bucket for raw parent strings the alias table does not roll up.
Parent footprint 428
| Parent | States in the latest reporting year |
|---|---|
| Centene | AR, AZ, CA, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MI, MO, MS, NC, NE, NH, NJ, NV, NY, OH, OR, PA, SC, TX, WA, WI, WY |
| UnitedHealth | AZ, CO, DC, FL, HI, IN, KS, KY, LA, MA, MD, MI, MN, MO, MS, NC, NE, NJ, NM, NV, NY, OH, PA, RI, TN, TX, UT, VA, WA, WI |
| Elevance | AR, CA, CO, DC, FL, GA, IA, IN, KY, LA, MA, MD, MO, NJ, NV, NY, OH, PA, TN, TX, VA, WA, WI, WV |
| Molina | AZ, CA, FL, IA, ID, IL, KY, MI, MS, NE, NM, NV, NY, OH, SC, TX, UT, VA, WA, WI |
| CVS/Aetna | FL, IL, KY, LA, MD, MI, NJ, NY, OH, OK, TX, VA, WV |
show all 428
| Parent | States in the latest reporting year |
|---|---|
| unmatched | AR, AZ, IA, MA, MI, NC, RI, SD, TX, WA |
| Humana | FL, IN, KY, LA, OH, OK, PR, SC, WI |
| Modivcare | DE, GA, PA, UT, WV |
| AmeriHealth | DC, DE, FL, OH |
| CareSource | AR, GA, IN, OH |
| Kaiser Permanente | CA, HI, MD |
| Medical Transportation Management, Inc. | DC, FL, RI |
| AmeriHealth Caritas | NH, SC |
| Ascension | IN, KS |
| Boston Medical Center Health Plan, Inc. | MA, NH |
| Health Care Service Corporation | NM, TX |
| InnovAge | CA, VA |
| LIBERTY Dental Plan | CA, NV |
| Managed Care of North America, Inc. | FL, IA |
| MCNA Dental | AR, UT |
| MedStar Health | DC, MD |
| Trinity Health | AL, IN |
| 043-IIH, Inc. dba Bakersfield PACE - Kern | CA |
| 80% by United Methodist Retirement Communities (UMRC) and 20% by Region 2 Area Agency on Aging | MI |
| A & D Charitable Foundation | MI |
| A & D Home Health Care, Inc. | MI |
| AAFH - Alameda | CA |
| Access Dental | CA |
| Access Dental Plan | CA |
| Advanced Health | OR |
| Alabama Coordinated Health Network | AL |
| Albright LIFE H- 9068 | PA |
| Alexian Brothers Community Services | TN |
| Alignment | FL |
| AllCare Health Plan | OR |
| Alliance Behavioral Healthcare | NC |
| AlohaCare | HI |
| AltaMed Health Services Corporation | CA |
| AmeriHealth Caritas Health Plan | LA |
| AmeriHealth Caritas of North Carolina | NC |
| AmidaCare Special Needs | NY |
| An Independent Licensee of the Blue Cross and Blue Shield Association | HI |
| Appalachian Agency for Senior Citizens | VA |
| AR State | AR |
| Area Agency on Aging | MI |
| Area Agency on Aging of Southeast Arkansas | AR |
| Ascension Health | MI |
| Athena Healthcare Holdings, LLC | FL |
| Atlantic Health System | NJ |
| Avesis Incorporated | UT |
| Banner Health | AZ |
| Banner University Family Care | AZ |
| Baylor Scott & White Holdings | TX |
| Beacon | AR |
| Bear River Menal Health | UT |
| Bexar County Hospital District, dba University Health System | TX |
| Blue Cross and Blue Shield of North Carolina | NC |
| Blue Cross Blue Shield | MI |
| Blue Cross Blue Shield Association | TN |
| Blue Cross Blue Shield MN | MN |
| Blue Cross Blue Shield of Arizona | AZ |
| Blue Cross Blue Shield of Minnesota | MN |
| Blue Cross Blue Shield of North Dakota | ND |
| Blue Cross Complete of Michigan | MI |
| Blue Cross of Idaho | ID |
| Blue Shield - San Diego | CA |
| BlueCross and BlueShield of South Carolina | SC |
| Bluestem PACE, Inc. | KS |
| BoldAge | IN |
| BoldAge PACE, NJ | NJ |
| Boston Medical Health Plan | MA |
| Brandman Centers for Senior Care | CA |
| CalOptima | CA |
| CalOptima-Orange | CA |
| CalViva - Fresno | CA |
| CalViva - Kings | CA |
| CalViva Health -Madera | CA |
| Capital District Physician's Health Plan | NY |
| Capital Health | NJ |
| CareFirst | MD |
| CarePartners PACE | NC |
| Carolina SeniorCare | NC |
| Cascade Health Alliance | OR |
| Catholic Health Systems PACE | NY |
| Catholic Managed Long Term Care, Inc. | NY |
| CCAH - Mariposa | CA |
| CCAH - Merced | CA |
| CCAH - Monterey/Santa Cruz | CA |
| CCAH - San Benito | CA |
| CCHP - Contra Costa | CA |
| CCI | WI |
| CenCal - San Luis Obispo | CA |
| CenCal - Santa Barbara | CA |
| Center for Elders Independence | CA |
| CenterLight Healthcare, Inc. | NY |
| Centers Plan for Healthy Living | NY |
| Centra Health | VA |
| Central Arkansas Development | AR |
| Central Utah Counseling Center | UT |
| CH&W - Imperial | CA |
| Cherokee Elder Care (CEC) | OK |
| CHG - San Diego | CA |
| Children's Hospital and Health System, Inc. | WI |
| Children's Medical Services Network | FL |
| Children's Wisconsin | WI |
| Children’s National | DC |
| CHP - Imperial | CA |
| Cigna | FL |
| CMH Partnership of Southeast Michigan | MI |
| Colorado Access | CO |
| Colorado Community Health Alliance | CO |
| Columbia Pacific | OR |
| Commonwealth Care Alliance | MA |
| Community Behavioral Health | PA |
| Community Care Behavioral Health | PA |
| Community Care Cooperative, Inc. | MA |
| Community Care Plan | FL |
| Community Care, Inc. | WI |
| Community Eldercare of San Diego | CA |
| Community Health Plan | WA |
| Community Health Plan of Washington | WA |
| Community LIFE H-3917 | PA |
| Complete Senior Care | NY |
| Comprehensive Primary Care Plus (CPC+) | MT |
| Comprehensive Senior Care Corporation | MI |
| ConcertoCare of Northern Virginia | VA |
| ConcertoHealth PACE | CA |
| Cook Children's Health Care System | TX |
| Cook Children's Health System | TX |
| Cook County Health and Hospital Systems | IL |
| Dallas County Hospital District | TX |
| Davis Behavioral Health | UT |
| Dean Health System and SSM Health Care | WI |
| Delaware First Health | DE |
| Delta Dental | MI |
| Delta Dental of Arkansas | AR |
| Delta Dental of Iowa | IA |
| Delta Dental Plan of NH, Inc. | NH |
| DentaQuest | OK |
| DentaQuest of Florida, Inc. | FL |
| DentaQuest USA Insurance Company | TN |
| DentaQuest, LLC (owned by DentaQuest Group, Inc.) | TX |
| Denver Health Medicaid Plan | CO |
| Detroit Wayne Mental Health Authority | MI |
| Devoted Health, Inc. | FL |
| Dignity Health and Carondelet Health Network | AZ |
| Doctors Healthcare Plans, Inc. | FL |
| Driscoll | TX |
| Driscoll Children's Hospital | TX |
| Each partner has 20% ownership: Grand Rapids Dominicans, Holland Home, Metro Health, Pine Rest Christian Mental Health Services, and Reliance Community Care Partners | MI |
| Eastern Oregon CCO | OR |
| EBCI Tribal Option | NC |
| Edenbridge | DC |
| El Paso County Hospital District, dba University Medical Center of El Paso | TX |
| Elder Service Plan | MA |
| Elderhaus, Inc. | NC |
| ElderPlan | NY |
| ElderServe Health, Inc. | NY |
| Element Care, Inc. | MA |
| Empath LIFE, LLC | FL |
| Excellus | NY |
| Excellus Health Plan | NY |
| Fallon Community Health Plan, Inc. | MA |
| Fallon Health Plan | MA |
| Fallon Health Weinberg | NY |
| Family Health Centers of San Diego | CA |
| Florida Community Care | FL |
| Florida PACE | FL |
| Four Corners Community Behavioral Health | UT |
| Franciscan Alliance | IN |
| Froedtert ThedaCare Health | WI |
| Gateway Health Plan | PA |
| GCHP - Ventura | CA |
| Geisinger Health Plan | PA |
| Golden Valley Health Centers | CA |
| Government Health Plan de Salud Menonita | PR |
| Government Health Plan First Medical | PR |
| Government Health Plan MMM Multi Health | PR |
| Government Health Plan Triple S Salud | PR |
| Grand Traverse Pavilions is a partner but does not have ownership | MI |
| Group Health Cooperative of Eau Claire | WI |
| Group Health Cooperative of South Central WI | WI |
| Guidewell Mutual Holding Corporation | FL |
| Hamaspik Choice | NY |
| Hamaspik, Inc. | NY |
| Harris County Hospital District dba Harris Health System | TX |
| Health Alliance Plan | MI |
| Health Care Service Corporation, a Mutual Legal Reserve Company | TX |
| Health Choice Utah | UT |
| Health New England, Inc. | MA |
| Health Partners | MN |
| Health Partners Plan | PA |
| Health Plan of San Joaquin | CA |
| HealthCare Service Corporation | IL |
| HealthFirst | NY |
| Healthfirst Healthplan, Inc. | NY |
| HealthShare of Oregon | OR |
| Hennepin Health | MN |
| Henry Ford Health and Presbyterian | MI |
| Highmark | DE |
| Highmark Western & Northeastern NY | NY |
| HIP Combined | NY |
| HIP GNY | NY |
| Hope Select Care | FL |
| Horizon Blue Cross Blue Shield of New Jersey | NJ |
| Horizon Healthcare of New Jersey, Inc. | NJ |
| HPSM - San Mateo | CA |
| Humboldt Senior Resource Center | CA |
| Huron Valley is a separately incorporated partnership of United Methodist Retirement Communities (UMRC) | MI |
| iCircle Services of the Finger Lakes, Inc. | NY |
| Idaho Medicaid | ID |
| Immanuel Pathways | NE |
| Independent corporation with a board comprised with equal representation - Region IV AAA, Lakeland Healthcare, and Hospice at Home | MI |
| Independent Health Association | NY |
| Independent Health/Hudson Valley & WNY | NY |
| Independent Living for Seniors | NY |
| Independent Living Systems, LLC | FL |
| Inland Empire Health Plan | CA |
| InnovAge California | CA |
| InnovAge California PACE | CA |
| InnovAge Florida PACE II, LLC | FL |
| InnovAge Florida PACE, LLC | FL |
| Innovage LIFE H-9830 | PA |
| Innovative Integrated Health PACE | CA |
| Innovative Integrated Health, Inc. | CA |
| Inspira Health Network LIFE, Inc. | NJ |
| InterCommunity Health Network | OR |
| Itasca Medical | MN |
| Itasca Medical Care | MN |
| Jackson Care Connect | OR |
| Jai Medical Systems | MD |
| Johns Hopkins HealthCare | MD |
| Jordan Valley | MO |
| Kalos Health, Inc. | NY |
| Kansas Foundation for Medical Care | KS |
| Kern Health Systems | CA |
| Keystone Autism Services | PA |
| L.A. Care | CA |
| Lakeland Care, Inc. | WI |
| Lakeshore Regional Entity | MI |
| Leon Health Holdings, LLC | FL |
| Liberty Dental | OK |
| Liberty Dental Plan of Florida, Inc. | FL |
| LIFE NWPA H- 4999 | PA |
| Life PACE | OK |
| LIFE Pittsburgh H-3918 | PA |
| Life St. Joseph of the Pines, Inc. | NC |
| LIFE St. Mary H- 6551 | PA |
| Loretto Independent Living Services, Inc. | NY |
| Lutheran Senior Services | MO |
| Lutheran Social Ministries of NJ | NJ |
| Macomb County CMH Services | MI |
| Macomb-Oakland Regional Center Home Care, Inc. | MI |
| MaineCareNET | ME |
| Managed Care of North America (MCNA), Inc. | TX |
| Marshfield Clinic Health System | WI |
| Maryland Care, Inc. | MD |
| Mass General Brigham Health Plan, Inc. | MA |
| McGregor PACE | OH |
| McLaren Health Care | IN |
| McLaren Health Plan | MI |
| MCNA | LA |
| MCNA (Managed Care of North America, Inc.) | ID |
| Medica | MN |
| Medical Transportation Management (MTM) | NV |
| Medicare Platino - MCS Advantage | PR |
| Medicare Platino - MMM Healthcare | PR |
| Medicare Platino - Preferred Medicare Choice | PR |
| Medicare Platino - Triple S Advantage | PR |
| Mercy Health Corporation | WI |
| Mercy LIFE H- 3919 | PA |
| Mercy LIFE West Philadelphia H- 3908 | PA |
| Mercy Life, Inc. | MA |
| MetroPlus | NY |
| MetroPlusHealth Plan Special Needs | NY |
| MetroPlusHealth Plan, Inc. | NY |
| Michigan Masonic Home and Presbyterian | MI |
| Mid-State Health Network | MI |
| Midland Care | KS |
| Milestone Senior Services, Inc. | MI |
| Milford Wellness Village | DE |
| Milwaukee County Health and Human Services | WI |
| MMM of Florida, Inc. | FL |
| Modivcare Solutions, LLC | FL |
| Morselife | FL |
| Mount Sinai Eldercare, Inc. | FL |
| Mountain Empire Older Citizens, Inc. | VA |
| MTM (Medical Transportation Management) | ID |
| MTM Inc | MO |
| MVHP - Alpine | CA |
| MVHP - El Dorado | CA |
| MVP Health Plan | NY |
| Neighborhood Healthcare PACE | CA |
| Neighborhood PACE | MA |
| NEMT - Transportation Cabinet | KY |
| North Carolina Community Care | NC |
| North East Medical Services | CA |
| Northcare Network | MI |
| Northeastern Counseling Center | UT |
| Northern Lakes Community Mental Health | MI |
| Northern Michigan Regional Entity | MI |
| Northland PACE | ND |
| Oakland County CMH Authority | MI |
| Oklahoma Complete Health | OK |
| Oklahoma Health Care Authority | OK |
| On Lok Lifeways | CA |
| Oxford Health Plans (NJ), Inc. | NJ |
| PACE - Baton Rouge | LA |
| PACE - Greater New Orleans | LA |
| PACE - Lafayette | LA |
| PACE - Trinity Health -Alexandria | LA |
| PACE Marin | CA |
| PACE Merced | CA |
| PACE Napa | CA |
| Pace of Northeast Indiana | IN |
| PACE Organizations | RI |
| PACE Riverside | CA |
| PACE San Bernardino | CA |
| PACE Solano | CA |
| PACE Sonoma | CA |
| PacificSource Community Solutions - Central Oregon | OR |
| PacificSource Community Solutions - Columbia Gorge | OR |
| PacificSource Community Solutions - Lane (CCO) | OR |
| PacificSource Community Solutions - Marion Polk (CCO) | OR |
| Partners Behavioral Health Management | NC |
| Partners Health Plan, Inc. | NY |
| Partnership | CA |
| Partnership -Northeast | CA |
| Partnership -Northwest | CA |
| Partnership -Southeast | CA |
| Partnership -Southwest | CA |
| Passport | MT |
| Passport to Health | MT |
| PCMH | MT |
| PerformCare | PA |
| Piedmont Health Services, Inc. | NC |
| Point32Health | RI |
| Porter Hills, Senior Resources, and Trinity Health | MI |
| Presbyterian Healthcare Services | NM |
| Prime West | MN |
| Prime West Health | MN |
| Priority Health Choice | MI |
| Prisma Health System | SC |
| Prosper Services, LLC | CA |
| Providence | OR |
| Quartz Health Insurance Corporation | WI |
| Region 10 PIHP | MI |
| Reid Health | IN |
| Reliance Community Care Partners | MI |
| Rocky Mountain Health Care Services | CO |
| Saint Francis Healthcare | DE |
| Salt Lake County Division of Behavioral Health Services | UT |
| San Diego PACE | CA |
| San Francisco Health Plan | CA |
| Santa Clara Family Health Plan | CA |
| SCAN - Los Angeles | CA |
| SCAN - San Diego | CA |
| SCAN Riverside and San Bernardino | CA |
| Scott & White Health Plan | TX |
| Select Health, Inc. | UT |
| Senior Care Connections, Inc. | NY |
| Senior Community Care is a separately incorporated partnership of Volunteers of American, Ingham County Medical Care Facility, and United Methodist Retirement Communities (UMRC) | MI |
| Senior LIFE | PA |
| Senior Select Partners | AL |
| Senior Total Life Care, Inc. | NC |
| Senior Whole Health of New York, Inc. | NY |
| Sentara Health Plans | VA |
| Sentara Healthcare | VA |
| Serenity Care PACE Program | MA |
| Seton Insurance Services Corporation | TX |
| South Carolina Solutions | SC |
| South Country Health Alliance | MN |
| Southeast Trans, Inc. | AR |
| Southwest Behavioral Health Center | UT |
| Southwest Michigan Behavioral Health | MI |
| Staywell Senior Care | NC |
| Steward Medicaid Care Network, Inc. | MA |
| Suncoast | FL |
| SunLife US | LA |
| Sutter Health | CA |
| Swope Health | MO |
| Texas Children's | TX |
| The Health Plan of WV | WV |
| The Home Care Group | MI |
| The Information Center | MI |
| The Methodist Oaks | SC |
| The PACE Place | FL |
| The Providence Service Corp. | NJ |
| The Senior Alliance | MI |
| Three Rivers Corporation | MI |
| Total Community Care dba as InnovAge greater NM PACE | NM |
| Total Community Options, Inc. | CO |
| Total Senior Care | NY |
| Tri County Office on Aging | MI |
| Tribal Health Improvement Program | MT |
| Trillium Health Resources | NC |
| Trinity Health PACE | NJ |
| Trinity Health PACE of Pensacola, Inc. | FL |
| TRU Community Care | CO |
| Tufts Health Plan | MA |
| Tufts Health Public Plans, Inc. | MA |
| UCare | MN |
| UHIC Holdings, Inc. | TX |
| Ultimate Healthcare Holdings, LLC | FL |
| Umpqua Health Alliance | OR |
| Universal Health Services, Inc. | FL |
| University of Utah Health Plans | UT |
| UPMC | PA |
| Upper Peninsula Health Plan | MI |
| Valir PACE | OK |
| Vaya Health | NC |
| Verida | GA |
| Vermont Agency of Human Services | VT |
| VieCare Armstrong H- 6118 | PA |
| VieCare Beaver H- 7660 | PA |
| VieCare Butler H-3060 | PA |
| Village Senior Services Corp. | NY |
| Vista | PA |
| VNA HomeCare Options | NY |
| VNS Choice | NY |
| VNS Choice Special Needs | NY |
| VOANS Senior Community Care of North Carolina | NC |
| Volunteers of America (VOANS) PACE DBA Senior Community Care | CO |
| Wasatch Behavioral Health | UT |
| Weber Human Services | UT |
| WelbeHealth | CA |
| West Health | CA |
| Yamhill Community Care | OR |
Share shifts
Comprehensive programs are the rows whose CMS program name contains Comprehensive. Parent enrollment is the sum of CMS reported row totals for that parent, state, and program. The share uses every reported row in that state and program, including unmatched parents. A missing prior year stays not reported.
California 46
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| AAFH - Alameda | California | Single-Plan Model (Comprehensive MCO + MLTSS) | CMS reported 400,062 (2024) | 45.6% | not reported | not reported |
| Blue Shield - San Diego | California | Geographic Managed Care Model (Comprehensive MCO + MLTSS) | CMS reported 196,938 (2024) | 12.4% | 9.5% | +3.0 pts |
| CCAH - Mariposa | California | County Organized Health Systems Model (Comprehensive MCO + MLTSS) | CMS reported 5,620 (2024) | 0.2% | not reported | not reported |
| CCAH - Merced | California | County Organized Health Systems Model (Comprehensive MCO + MLTSS) | CMS reported 149,461 (2024) | 5.0% | 5.8% | -0.8 pts |
| CCAH - Monterey/Santa Cruz | California | County Organized Health Systems Model (Comprehensive MCO + MLTSS) | CMS reported 193,497 (2024) | 6.5% | 7.2% | -0.7 pts |
| CCAH - San Benito | California | County Organized Health Systems Model (Comprehensive MCO + MLTSS) | CMS reported 20,645 (2024) | 0.7% | not reported | not reported |
| CCHP - Contra Costa | California | Single-Plan Model (Comprehensive MCO + MLTSS) | CMS reported 258,365 (2024) | 29.4% | not reported | not reported |
| CH&W - Imperial | California | Regional Model (Comprehensive MCO) | CMS reported 296 (2024) | 0.7% | not reported | not reported |
| CHG - San Diego | California | Geographic Managed Care Model (Comprehensive MCO + MLTSS) | CMS reported 405,072 (2024) | 25.6% | 22.4% | +3.2 pts |
| CHP - Imperial | California | Single-Plan Model (Comprehensive MCO + MLTSS) | CMS reported 96,485 (2024) | 11.0% | not reported | not reported |
| CalOptima-Orange | California | County Organized Health Systems Model (Comprehensive MCO + MLTSS) | CMS reported 892,359 (2024) | 29.9% | 36.5% | -6.6 pts |
| CalViva - Fresno | California | Two-Plan Model (Comprehensive MCO + MLTSS) | CMS reported 350,145 (2024) | 4.0% | 3.9% | +0.1 pts |
| CalViva - Kings | California | Two-Plan Model (Comprehensive MCO + MLTSS) | CMS reported 38,406 (2024) | 0.4% | 0.4% | +0.0 pts |
| CalViva Health -Madera | California | Two-Plan Model (Comprehensive MCO + MLTSS) | CMS reported 49,272 (2024) | 0.6% | not reported | not reported |
| CenCal - San Luis Obispo | California | County Organized Health Systems Model (Comprehensive MCO + MLTSS) | CMS reported 67,129 (2024) | 2.2% | not reported | not reported |
| CenCal - Santa Barbara | California | County Organized Health Systems Model (Comprehensive MCO + MLTSS) | CMS reported 172,391 (2024) | 5.8% | 6.2% | -0.4 pts |
| Centene | California | Geographic Managed Care Model (Comprehensive MCO + MLTSS) | CMS reported 146,866 (2024) | 9.3% | 15.7% | -6.4 pts |
| Centene | California | Regional Model (Comprehensive MCO) | CMS reported 17,488 (2024) | 40.3% | not reported | not reported |
| Centene | California | Two-Plan Model (Comprehensive MCO + MLTSS) | CMS reported 1,418,614 (2024) | 16.1% | 15.8% | +0.3 pts |
| Elevance | California | Geographic Managed Care Model (Comprehensive MCO + MLTSS) | CMS reported 251,425 (2024) | 15.9% | 15.0% | +0.8 pts |
| Elevance | California | Regional Model (Comprehensive MCO) | CMS reported 25,625 (2024) | 59.0% | 51.0% | +8.1 pts |
| Elevance | California | Two-Plan Model (Comprehensive MCO + MLTSS) | CMS reported 648,358 (2024) | 7.4% | 6.3% | +1.1 pts |
| GCHP - Ventura | California | County Organized Health Systems Model (Comprehensive MCO + MLTSS) | CMS reported 247,849 (2024) | 8.3% | 9.6% | -1.3 pts |
| HPSM - San Mateo | California | County Organized Health Systems Model (Comprehensive MCO + MLTSS) | CMS reported 145,223 (2024) | 4.9% | 5.8% | -0.9 pts |
| Health Plan of San Joaquin | California | Two-Plan Model (Comprehensive MCO + MLTSS) | CMS reported 412,074 (2024) | 4.7% | not reported | not reported |
| Inland Empire Health Plan | California | Two-Plan Model (Comprehensive MCO + MLTSS) | CMS reported 1,492,702 (2024) | 17.0% | not reported | not reported |
| Kaiser Permanente | California | County Organized Health Systems Model (Comprehensive MCO + MLTSS) | CMS reported 191,829 (2024) | 6.4% | not reported | not reported |
| Kaiser Permanente | California | Geographic Managed Care Model (Comprehensive MCO + MLTSS) | CMS reported 207,930 (2024) | 13.1% | 12.7% | +0.4 pts |
| Kaiser Permanente | California | Single-Plan Model (Comprehensive MCO + MLTSS) | CMS reported 122,773 (2024) | 14.0% | not reported | not reported |
| Kaiser Permanente | California | Two-Plan Model (Comprehensive MCO + MLTSS) | CMS reported 892,408 (2024) | 10.1% | not reported | not reported |
| Kern Health Systems | California | Two-Plan Model (Comprehensive MCO + MLTSS) | CMS reported 402,077 (2024) | 4.6% | not reported | not reported |
| L.A. Care | California | Two-Plan Model (Comprehensive MCO + MLTSS) | CMS reported 2,359,500 (2024) | 26.8% | not reported | not reported |
| MVHP - Alpine | California | Two-Plan Model (Comprehensive MCO + MLTSS) | CMS reported 36 (2024) | 0.0% | not reported | not reported |
| MVHP - El Dorado | California | Two-Plan Model (Comprehensive MCO + MLTSS) | CMS reported 8,478 (2024) | 0.1% | not reported | not reported |
| Molina | California | Geographic Managed Care Model (Comprehensive MCO + MLTSS) | CMS reported 373,997 (2024) | 23.6% | 20.4% | +3.3 pts |
| Molina | California | Two-Plan Model (Comprehensive MCO + MLTSS) | CMS reported 255,532 (2024) | 2.9% | 2.5% | +0.4 pts |
| Partnership | California | County Organized Health Systems Model (Comprehensive MCO + MLTSS) | CMS reported 311,925 (2024) | 10.4% | not reported | not reported |
| Partnership -Northeast | California | County Organized Health Systems Model (Comprehensive MCO + MLTSS) | CMS reported 103,734 (2024) | 3.5% | 4.3% | -0.8 pts |
| Partnership -Northwest | California | County Organized Health Systems Model (Comprehensive MCO + MLTSS) | CMS reported 70,870 (2024) | 2.4% | 2.8% | -0.5 pts |
| Partnership -Southeast | California | County Organized Health Systems Model (Comprehensive MCO + MLTSS) | CMS reported 181,366 (2024) | 6.1% | 9.1% | -3.0 pts |
| Partnership -Southwest | California | County Organized Health Systems Model (Comprehensive MCO + MLTSS) | CMS reported 232,181 (2024) | 7.8% | 10.0% | -2.3 pts |
| SCAN - Los Angeles | California | Senior Care Action Network (Comprehensive MCO + MLTSS) | CMS reported 12,111 (2024) | 63.0% | not reported | not reported |
| SCAN - San Diego | California | Senior Care Action Network (Comprehensive MCO + MLTSS) | CMS reported 1,361 (2024) | 7.1% | not reported | not reported |
| SCAN Riverside and San Bernardino | California | Senior Care Action Network (Comprehensive MCO + MLTSS) | CMS reported 5,767 (2024) | 30.0% | not reported | not reported |
| San Francisco Health Plan | California | Two-Plan Model (Comprehensive MCO + MLTSS) | CMS reported 176,670 (2024) | 2.0% | not reported | not reported |
| Santa Clara Family Health Plan | California | Two-Plan Model (Comprehensive MCO + MLTSS) | CMS reported 292,148 (2024) | 3.3% | not reported | not reported |
Oregon 15
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| Advanced Health | Oregon | OHP - Oregon Health Plan (Comprehensive MCO + MLTSS) | CMS reported 29,736 (2024) | 2.3% | 2.2% | +0.0 pts |
| AllCare Health Plan | Oregon | OHP - Oregon Health Plan (Comprehensive MCO + MLTSS) | CMS reported 67,814 (2024) | 5.2% | 5.1% | +0.1 pts |
| Cascade Health Alliance | Oregon | OHP - Oregon Health Plan (Comprehensive MCO + MLTSS) | CMS reported 27,279 (2024) | 2.1% | 2.1% | +0.0 pts |
| Centene | Oregon | OHP - Oregon Health Plan (Comprehensive MCO + MLTSS) | CMS reported 85,643 (2024) | 6.5% | 6.1% | +0.4 pts |
| Columbia Pacific | Oregon | OHP - Oregon Health Plan (Comprehensive MCO + MLTSS) | CMS reported 37,190 (2024) | 2.8% | 2.9% | -0.0 pts |
| Eastern Oregon CCO | Oregon | OHP - Oregon Health Plan (Comprehensive MCO + MLTSS) | CMS reported 74,566 (2024) | 5.7% | 5.6% | +0.1 pts |
| HealthShare of Oregon | Oregon | OHP - Oregon Health Plan (Comprehensive MCO + MLTSS) | CMS reported 433,927 (2024) | 33.1% | 33.7% | -0.6 pts |
| InterCommunity Health Network | Oregon | OHP - Oregon Health Plan (Comprehensive MCO + MLTSS) | CMS reported 83,620 (2024) | 6.4% | 6.4% | -0.0 pts |
| Jackson Care Connect | Oregon | OHP - Oregon Health Plan (Comprehensive MCO + MLTSS) | CMS reported 64,541 (2024) | 4.9% | 4.9% | +0.0 pts |
| PacificSource Community Solutions - Central Oregon | Oregon | OHP - Oregon Health Plan (Comprehensive MCO + MLTSS) | CMS reported 75,250 (2024) | 5.7% | 5.8% | -0.1 pts |
| PacificSource Community Solutions - Columbia Gorge | Oregon | OHP - Oregon Health Plan (Comprehensive MCO + MLTSS) | CMS reported 17,245 (2024) | 1.3% | 1.3% | -0.0 pts |
| PacificSource Community Solutions - Lane (CCO) | Oregon | OHP - Oregon Health Plan (Comprehensive MCO + MLTSS) | CMS reported 93,578 (2024) | 7.1% | 7.2% | -0.0 pts |
| PacificSource Community Solutions - Marion Polk (CCO) | Oregon | OHP - Oregon Health Plan (Comprehensive MCO + MLTSS) | CMS reported 143,135 (2024) | 10.9% | 10.9% | +0.0 pts |
| Umpqua Health Alliance | Oregon | OHP - Oregon Health Plan (Comprehensive MCO + MLTSS) | CMS reported 40,562 (2024) | 3.1% | 3.0% | +0.1 pts |
| Yamhill Community Care | Oregon | OHP - Oregon Health Plan (Comprehensive MCO + MLTSS) | CMS reported 34,914 (2024) | 2.7% | 2.7% | -0.1 pts |
North Carolina 8
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| Alliance Behavioral Healthcare | North Carolina | BH I/DD Tailored Plan (Comprehensive MCO + MLTSS) | CMS reported 58,355 (2024) | 26.5% | not reported | not reported |
| AmeriHealth Caritas of North Carolina | North Carolina | Standard Plan (Comprehensive MCO + MLTSS) | CMS reported 387,174 (2024) | 17.6% | 17.8% | -0.2 pts |
| Blue Cross and Blue Shield of North Carolina | North Carolina | Standard Plan (Comprehensive MCO + MLTSS) | CMS reported 592,325 (2024) | 27.0% | 27.1% | -0.2 pts |
| Centene | North Carolina | Standard Plan (Comprehensive MCO + MLTSS) | CMS reported 756,065 (2024) | 34.4% | 34.4% | -0.0 pts |
| Partners Behavioral Health Management | North Carolina | BH I/DD Tailored Plan (Comprehensive MCO + MLTSS) | CMS reported 44,442 (2024) | 20.2% | not reported | not reported |
| Trillium Health Resources | North Carolina | BH I/DD Tailored Plan (Comprehensive MCO + MLTSS) | CMS reported 77,746 (2024) | 35.3% | not reported | not reported |
| UnitedHealth | North Carolina | Standard Plan (Comprehensive MCO + MLTSS) | CMS reported 461,957 (2024) | 21.0% | 20.7% | +0.4 pts |
| Vaya Health | North Carolina | BH I/DD Tailored Plan (Comprehensive MCO + MLTSS) | CMS reported 39,867 (2024) | 18.1% | not reported | not reported |
Hawaii 5
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| AlohaCare | Hawaii | Med-QUEST (Comprehensive MCO + MLTSS) | CMS reported 75,936 (2024) | 17.6% | 17.9% | -0.3 pts |
| An Independent Licensee of the Blue Cross and Blue Shield Association | Hawaii | Med-QUEST (Comprehensive MCO + MLTSS) | CMS reported 214,870 (2024) | 49.7% | 49.1% | +0.6 pts |
| Centene | Hawaii | Med-QUEST (Comprehensive MCO + MLTSS) | CMS reported 35,916 (2024) | 8.3% | 8.5% | -0.2 pts |
| Kaiser Permanente | Hawaii | Med-QUEST (Comprehensive MCO + MLTSS) | CMS reported 50,757 (2024) | 11.7% | 11.4% | +0.3 pts |
| UnitedHealth | Hawaii | Med-QUEST (Comprehensive MCO + MLTSS) | CMS reported 54,646 (2024) | 12.6% | 13.1% | -0.5 pts |
District of Columbia 5
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| AmeriHealth | District of Columbia | Medicaid Managed Care Program (Comprehensive MCO) | CMS reported 106,839 (2024) | 48.5% | 48.3% | +0.2 pts |
| Children’s National | District of Columbia | Child and Adolescent Supplemental Security Income Program (Comprehensive MCO) | CMS reported 4,895 (2024) | 100.0% | 100.0% | 0.0 pts |
| Elevance | District of Columbia | Medicaid Managed Care Program (Comprehensive MCO) | CMS reported 56,651 (2024) | 25.7% | 25.8% | -0.1 pts |
| MedStar Health | District of Columbia | Medicaid Managed Care Program (Comprehensive MCO) | CMS reported 56,860 (2024) | 25.8% | 25.9% | -0.1 pts |
| UnitedHealth | District of Columbia | District Dual Choice (Comprehensive MCO + MLTSS) | CMS reported 12,914 (2024) | 100.0% | 100.0% | 0.0 pts |
Delaware 3
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| AmeriHealth | Delaware | Diamond State Health Plan & Diamond State Health Plan Plus (Comprehensive MCO + MLTSS) | CMS reported 70,089 (2024) | 32.0% | 33.7% | -1.7 pts |
| Delaware First Health | Delaware | Diamond State Health Plan & Diamond State Health Plan Plus (Comprehensive MCO + MLTSS) | CMS reported 29,825 (2024) | 13.6% | 11.9% | +1.7 pts |
| Highmark | Delaware | Diamond State Health Plan & Diamond State Health Plan Plus (Comprehensive MCO + MLTSS) | CMS reported 119,253 (2024) | 54.4% | 54.4% | +0.0 pts |
Florida 13
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| AmeriHealth | Florida | Statewide Medical Managed Care - MMA Only (Comprehensive MCO) | CMS reported 86,473 (2024) | 24.8% | 25.2% | -0.4 pts |
| CVS/Aetna | Florida | Statewide Medicaid Managed Care - MMA + LTSS (Comprehensive MCO + MLTSS) | CMS reported 139,257 (2024) | 5.2% | 5.3% | -0.1 pts |
| Centene | Florida | Statewide Medicaid Managed Care - MMA + LTSS (Comprehensive MCO + MLTSS) | CMS reported 1,089,262 (2024) | 40.3% | 40.1% | +0.2 pts |
| Centene | Florida | Statewide Medical Managed Care - MMA Only (Comprehensive MCO) | CMS reported 108,190 (2024) | 31.1% | 33.6% | -2.5 pts |
| Children's Medical Services Network | Florida | Statewide Medical Managed Care - MMA Only (Comprehensive MCO) | CMS reported 87,727 (2024) | 25.2% | not reported | not reported |
| Community Care Plan | Florida | Statewide Medical Managed Care - MMA Only (Comprehensive MCO) | CMS reported 40,057 (2024) | 11.5% | 12.2% | -0.7 pts |
| Elevance | Florida | Statewide Medicaid Managed Care - MMA + LTSS (Comprehensive MCO + MLTSS) | CMS reported 541,525 (2024) | 20.0% | 20.1% | -0.1 pts |
| Elevance | Florida | Statewide Medical Managed Care - MMA Only (Comprehensive MCO) | CMS reported 8,551 (2024) | 2.5% | 2.7% | -0.2 pts |
| Florida Community Care | Florida | Statewide Medicaid Managed Care - MMA + LTSS (Comprehensive MCO + MLTSS) | CMS reported 16,839 (2024) | 0.6% | 0.5% | +0.2 pts |
| Humana | Florida | Statewide Medicaid Managed Care - MMA + LTSS (Comprehensive MCO + MLTSS) | CMS reported 547,549 (2024) | 20.3% | 20.3% | +0.0 pts |
| Molina | Florida | Statewide Medicaid Managed Care - MMA + LTSS (Comprehensive MCO + MLTSS) | CMS reported 96,302 (2024) | 3.6% | 3.7% | -0.1 pts |
| Molina | Florida | Statewide Medical Managed Care - MMA Only (Comprehensive MCO) | CMS reported 17,164 (2024) | 4.9% | 5.6% | -0.7 pts |
| UnitedHealth | Florida | Statewide Medicaid Managed Care - MMA + LTSS (Comprehensive MCO + MLTSS) | CMS reported 271,904 (2024) | 10.1% | 10.2% | -0.1 pts |
Ohio 12
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| AmeriHealth | Ohio | Ohio Medicaid Managed Care Program (Comprehensive MCO) | CMS reported 142,802 (2024) | 5.4% | 2.7% | +2.7 pts |
| CVS/Aetna | Ohio | MyCare Ohio Opt-Out Program (Comprehensive MCO + MLTSS) | CMS reported 16,261 (2024) | 19.1% | 18.6% | +0.5 pts |
| CareSource | Ohio | MyCare Ohio Opt-Out Program (Comprehensive MCO + MLTSS) | CMS reported 17,858 (2024) | 21.0% | 20.0% | +1.0 pts |
| CareSource | Ohio | Ohio Medicaid Managed Care Program (Comprehensive MCO) | CMS reported 1,191,420 (2024) | 45.2% | 47.4% | -2.2 pts |
| Centene | Ohio | MyCare Ohio Opt-Out Program (Comprehensive MCO + MLTSS) | CMS reported 14,897 (2024) | 17.5% | 19.0% | -1.5 pts |
| Centene | Ohio | Ohio Medicaid Managed Care Program (Comprehensive MCO) | CMS reported 364,914 (2024) | 13.9% | 14.9% | -1.1 pts |
| Elevance | Ohio | Ohio Medicaid Managed Care Program (Comprehensive MCO) | CMS reported 209,166 (2024) | 7.9% | 8.4% | -0.5 pts |
| Humana | Ohio | Ohio Medicaid Managed Care Program (Comprehensive MCO) | CMS reported 155,380 (2024) | 5.9% | 2.9% | +3.0 pts |
| Molina | Ohio | MyCare Ohio Opt-Out Program (Comprehensive MCO + MLTSS) | CMS reported 15,569 (2024) | 18.3% | 18.1% | +0.2 pts |
| Molina | Ohio | Ohio Medicaid Managed Care Program (Comprehensive MCO) | CMS reported 272,830 (2024) | 10.4% | 11.4% | -1.0 pts |
| UnitedHealth | Ohio | MyCare Ohio Opt-Out Program (Comprehensive MCO + MLTSS) | CMS reported 20,442 (2024) | 24.0% | 24.3% | -0.2 pts |
| UnitedHealth | Ohio | Ohio Medicaid Managed Care Program (Comprehensive MCO) | CMS reported 297,276 (2024) | 11.3% | 12.3% | -1.0 pts |
New Hampshire 3
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| AmeriHealth Caritas | New Hampshire | New Hampshire Medicaid Care Management (Comprehensive MCO) | CMS reported 39,545 (2024) | 21.8% | 20.8% | +0.9 pts |
| Boston Medical Center Health Plan, Inc. | New Hampshire | New Hampshire Medicaid Care Management (Comprehensive MCO) | CMS reported 72,612 (2024) | 40.0% | 41.7% | -1.7 pts |
| Centene | New Hampshire | New Hampshire Medicaid Care Management (Comprehensive MCO) | CMS reported 69,519 (2024) | 38.3% | 37.5% | +0.8 pts |
South Carolina 5
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| AmeriHealth Caritas | South Carolina | South Carolina Managed Care Organizations (Comprehensive MCO) | CMS reported 323,781 (2024) | 39.8% | 39.9% | -0.0 pts |
| BlueCross and BlueShield of South Carolina | South Carolina | South Carolina Managed Care Organizations (Comprehensive MCO) | CMS reported 150,728 (2024) | 18.5% | 18.4% | +0.1 pts |
| Centene | South Carolina | South Carolina Managed Care Organizations (Comprehensive MCO) | CMS reported 167,573 (2024) | 20.6% | 22.0% | -1.3 pts |
| Humana | South Carolina | South Carolina Managed Care Organizations (Comprehensive MCO) | CMS reported 29,918 (2024) | 3.7% | 2.3% | +1.3 pts |
| Molina | South Carolina | South Carolina Managed Care Organizations (Comprehensive MCO) | CMS reported 140,589 (2024) | 17.3% | 17.4% | -0.1 pts |
Louisiana 6
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| AmeriHealth Caritas Health Plan | Louisiana | Healthy Louisiana (Comprehensive MCO) | CMS reported 153,970 (2024) | 11.0% | 11.9% | -0.9 pts |
| CVS/Aetna | Louisiana | Healthy Louisiana (Comprehensive MCO) | CMS reported 131,535 (2024) | 9.4% | 8.9% | +0.5 pts |
| Centene | Louisiana | Healthy Louisiana (Comprehensive MCO) | CMS reported 400,299 (2024) | 28.5% | 28.0% | +0.5 pts |
| Elevance | Louisiana | Healthy Louisiana (Comprehensive MCO) | CMS reported 253,620 (2024) | 18.1% | 18.7% | -0.6 pts |
| Humana | Louisiana | Healthy Louisiana (Comprehensive MCO) | CMS reported 119,887 (2024) | 8.5% | 7.8% | +0.7 pts |
| UnitedHealth | Louisiana | Healthy Louisiana (Comprehensive MCO) | CMS reported 343,798 (2024) | 24.5% | 24.7% | -0.2 pts |
New York 40
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| AmidaCare Special Needs | New York | Medicaid Managed Care (Comprehensive MCO) | CMS reported 8,870 (2024) | 0.2% | not reported | not reported |
| Capital District Physician's Health Plan | New York | Health and Recovery Plans (Comprehensive MCO) | CMS reported 4,196 (2024) | 2.7% | 3.0% | -0.3 pts |
| Capital District Physician's Health Plan | New York | Medicaid Managed Care (Comprehensive MCO) | CMS reported 84,360 (2024) | 1.9% | 2.1% | -0.2 pts |
| Centene | New York | Health and Recovery Plans (Comprehensive MCO) | CMS reported 52,195 (2024) | 33.9% | 34.4% | -0.4 pts |
| Centene | New York | Medicaid Advantage Plus (Comprehensive MCO + MLTSS) | CMS reported 1,602 (2024) | 3.2% | 2.6% | +0.6 pts |
| Centene | New York | Medicaid Managed Care (Comprehensive MCO) | CMS reported 1,478,363 (2024) | 32.5% | 32.6% | -0.1 pts |
| Centers Plan for Healthy Living | New York | Medicaid Advantage Plus (Comprehensive MCO + MLTSS) | CMS reported 1,870 (2024) | 3.8% | 4.0% | -0.2 pts |
| ElderPlan | New York | Medicaid Advantage Plus (Comprehensive MCO + MLTSS) | CMS reported 4,421 (2024) | 8.9% | 8.5% | +0.4 pts |
| ElderServe Health, Inc. | New York | Medicaid Advantage Plus (Comprehensive MCO + MLTSS) | CMS reported 334 (2024) | 0.7% | 0.5% | +0.2 pts |
| Elevance | New York | Health and Recovery Plans (Comprehensive MCO) | CMS reported 7,791 (2024) | 5.1% | 4.9% | +0.2 pts |
| Elevance | New York | Medicaid Advantage Plus (Comprehensive MCO + MLTSS) | CMS reported 202 (2024) | 0.4% | 0.4% | +0.0 pts |
| Elevance | New York | Medicaid Managed Care (Comprehensive MCO) | CMS reported 348,241 (2024) | 7.7% | 7.4% | +0.3 pts |
| Excellus | New York | Medicaid Managed Care (Comprehensive MCO) | CMS reported 187,909 (2024) | 4.1% | 4.3% | -0.2 pts |
| Excellus Health Plan | New York | Health and Recovery Plans (Comprehensive MCO) | CMS reported 10,717 (2024) | 7.0% | 7.3% | -0.4 pts |
| HIP Combined | New York | Medicaid Managed Care (Comprehensive MCO) | CMS reported 139,834 (2024) | 3.1% | 3.1% | +0.0 pts |
| HIP GNY | New York | Health and Recovery Plans (Comprehensive MCO) | CMS reported 5,159 (2024) | 3.4% | 3.4% | -0.1 pts |
| Hamaspik, Inc. | New York | Medicaid Advantage Plus (Comprehensive MCO + MLTSS) | CMS reported 963 (2024) | 1.9% | 2.1% | -0.2 pts |
| HealthFirst | New York | Health and Recovery Plans (Comprehensive MCO) | CMS reported 32,296 (2024) | 21.0% | 19.9% | +1.1 pts |
| HealthFirst | New York | Medicaid Managed Care (Comprehensive MCO) | CMS reported 1,101,769 (2024) | 24.2% | 23.0% | +1.2 pts |
| Healthfirst Healthplan, Inc. | New York | Medicaid Advantage Plus (Comprehensive MCO + MLTSS) | CMS reported 31,693 (2024) | 63.9% | 65.0% | -1.0 pts |
| Highmark Western & Northeastern NY | New York | Health and Recovery Plans (Comprehensive MCO) | CMS reported 906 (2024) | 0.6% | not reported | not reported |
| Highmark Western & Northeastern NY | New York | Medicaid Managed Care (Comprehensive MCO) | CMS reported 47,240 (2024) | 1.0% | 1.1% | -0.0 pts |
| Independent Health Association | New York | Health and Recovery Plans (Comprehensive MCO) | CMS reported 2,685 (2024) | 1.7% | 1.8% | -0.0 pts |
| Independent Health/Hudson Valley & WNY | New York | Medicaid Managed Care (Comprehensive MCO) | CMS reported 60,375 (2024) | 1.3% | 1.3% | +0.0 pts |
| MVP Health Plan | New York | Health and Recovery Plans (Comprehensive MCO) | CMS reported 7,049 (2024) | 4.6% | 4.8% | -0.3 pts |
| MVP Health Plan | New York | Medicaid Managed Care (Comprehensive MCO) | CMS reported 165,862 (2024) | 3.6% | 3.9% | -0.2 pts |
| MetroPlus | New York | Health and Recovery Plans (Comprehensive MCO) | CMS reported 12,652 (2024) | 8.2% | 8.1% | +0.1 pts |
| MetroPlusHealth Plan Special Needs | New York | Medicaid Managed Care (Comprehensive MCO) | CMS reported 4,378 (2024) | 0.1% | 0.1% | +0.0 pts |
| MetroPlusHealth Plan, Inc. | New York | Medicaid Advantage Plus (Comprehensive MCO + MLTSS) | CMS reported 196 (2024) | 0.4% | 0.3% | +0.1 pts |
| MetroPlusHealth Plan, Inc. | New York | Medicaid Managed Care (Comprehensive MCO) | CMS reported 407,507 (2024) | 9.0% | 8.9% | +0.0 pts |
| Molina | New York | Health and Recovery Plans (Comprehensive MCO) | CMS reported 8,871 (2024) | 5.8% | 6.0% | -0.2 pts |
| Molina | New York | Medicaid Managed Care (Comprehensive MCO) | CMS reported 240,068 (2024) | 5.3% | 5.6% | -0.3 pts |
| Partners Health Plan, Inc. | New York | FIDA-IDD (Comprehensive MCO + MLTSS) | CMS reported 1,666 (2024) | 100.0% | 100.0% | 0.0 pts |
| Senior Whole Health of New York, Inc. | New York | Medicaid Advantage Plus (Comprehensive MCO + MLTSS) | CMS reported 290 (2024) | 0.6% | 0.4% | +0.1 pts |
| UnitedHealth | New York | Health and Recovery Plans (Comprehensive MCO) | CMS reported 9,362 (2024) | 6.1% | 6.5% | -0.4 pts |
| UnitedHealth | New York | Medicaid Advantage Plus (Comprehensive MCO + MLTSS) | CMS reported 0 (2024) | 0.0% | not reported | not reported |
| UnitedHealth | New York | Medicaid Managed Care (Comprehensive MCO) | CMS reported 268,061 (2024) | 5.9% | 6.4% | -0.5 pts |
| VNS Choice | New York | Medicaid Advantage Plus (Comprehensive MCO + MLTSS) | CMS reported 4,700 (2024) | 9.5% | 9.3% | +0.2 pts |
| VNS Choice Special Needs | New York | Medicaid Managed Care (Comprehensive MCO) | CMS reported 3,483 (2024) | 0.1% | 0.1% | +0.0 pts |
| Village Senior Services Corp. | New York | Medicaid Advantage Plus (Comprehensive MCO + MLTSS) | CMS reported 3,294 (2024) | 6.6% | 6.5% | +0.1 pts |
Arizona 7
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| Banner University Family Care | Arizona | Arizona Health Care Cost Containment System (Comprehensive MCO + MLTSS) | CMS reported 270,030 (2024) | 15.7% | 15.6% | +0.2 pts |
| Blue Cross Blue Shield of Arizona | Arizona | Arizona Health Care Cost Containment System (Comprehensive MCO + MLTSS) | CMS reported 208,447 (2024) | 12.1% | 12.3% | -0.1 pts |
| Centene | Arizona | Arizona Health Care Cost Containment System (Comprehensive MCO + MLTSS) | CMS reported 418,692 (2024) | 24.4% | 24.6% | -0.2 pts |
| Dignity Health and Carondelet Health Network | Arizona | Arizona Health Care Cost Containment System (Comprehensive MCO + MLTSS) | CMS reported 359,266 (2024) | 20.9% | 20.7% | +0.3 pts |
| Molina | Arizona | Arizona Health Care Cost Containment System (Comprehensive MCO + MLTSS) | CMS reported 41,704 (2024) | 2.4% | 2.5% | -0.0 pts |
| UnitedHealth | Arizona | Arizona Health Care Cost Containment System (Comprehensive MCO + MLTSS) | CMS reported 409,465 (2024) | 23.9% | 23.9% | -0.0 pts |
| unmatched | Arizona | Arizona Health Care Cost Containment System (Comprehensive MCO + MLTSS) | CMS reported 8,557 (2024) | 0.5% | 0.6% | -0.1 pts |
Texas 30
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| Baylor Scott & White Holdings | Texas | STAR (Comprehensive MCO) | CMS reported 45,077 (2024) | 1.4% | 1.5% | -0.0 pts |
| Bexar County Hospital District, dba University Health System | Texas | STAR (Comprehensive MCO) | CMS reported 115,407 (2024) | 3.6% | 3.7% | -0.0 pts |
| Bexar County Hospital District, dba University Health System | Texas | STAR Kids (Comprehensive MCO + MLTSS) | CMS reported 6,167 (2024) | 4.4% | 4.5% | -0.1 pts |
| CVS/Aetna | Texas | STAR (Comprehensive MCO) | CMS reported 102,812 (2024) | 3.3% | 3.1% | +0.1 pts |
| CVS/Aetna | Texas | STAR Kids (Comprehensive MCO + MLTSS) | CMS reported 10,847 (2024) | 7.7% | 7.7% | -0.0 pts |
| Centene | Texas | STAR (Comprehensive MCO) | CMS reported 762,459 (2024) | 24.1% | 23.7% | +0.4 pts |
| Centene | Texas | STAR HEALTH (Comprehensive MCO + MLTSS) | CMS reported 22,280 (2024) | 100.0% | 100.0% | 0.0 pts |
| Centene | Texas | STAR Kids (Comprehensive MCO + MLTSS) | CMS reported 27,009 (2024) | 19.2% | 18.8% | +0.4 pts |
| Centene | Texas | STAR+PLUS (Comprehensive MCO + MLTSS) | CMS reported 138,751 (2024) | 26.8% | 26.9% | -0.0 pts |
| Cook Children's Health Care System | Texas | STAR Kids (Comprehensive MCO + MLTSS) | CMS reported 7,740 (2024) | 5.5% | 5.7% | -0.1 pts |
| Cook Children's Health System | Texas | STAR (Comprehensive MCO) | CMS reported 106,031 (2024) | 3.4% | 3.5% | -0.1 pts |
| Dallas County Hospital District | Texas | STAR (Comprehensive MCO) | CMS reported 156,752 (2024) | 5.0% | 5.0% | -0.1 pts |
| Driscoll | Texas | STAR (Comprehensive MCO) | CMS reported 185,224 (2024) | 5.9% | 5.5% | +0.4 pts |
| Driscoll Children's Hospital | Texas | STAR Kids (Comprehensive MCO + MLTSS) | CMS reported 8,788 (2024) | 6.3% | 6.4% | -0.1 pts |
| El Paso County Hospital District, dba University Medical Center of El Paso | Texas | STAR (Comprehensive MCO) | CMS reported 67,005 (2024) | 2.1% | 2.1% | -0.0 pts |
| Elevance | Texas | STAR (Comprehensive MCO) | CMS reported 542,485 (2024) | 17.2% | 18.4% | -1.2 pts |
| Elevance | Texas | STAR Kids (Comprehensive MCO + MLTSS) | CMS reported 22,714 (2024) | 16.2% | 16.6% | -0.5 pts |
| Elevance | Texas | STAR+PLUS (Comprehensive MCO + MLTSS) | CMS reported 119,685 (2024) | 23.1% | 23.8% | -0.6 pts |
| Harris County Hospital District dba Harris Health System | Texas | STAR (Comprehensive MCO) | CMS reported 264,093 (2024) | 8.4% | 8.5% | -0.1 pts |
| Health Care Service Corporation | Texas | STAR (Comprehensive MCO) | CMS reported 38,827 (2024) | 1.2% | 1.3% | -0.0 pts |
| Health Care Service Corporation, a Mutual Legal Reserve Company | Texas | STAR Kids (Comprehensive MCO + MLTSS) | CMS reported 7,527 (2024) | 5.4% | 5.3% | +0.1 pts |
| Molina | Texas | STAR (Comprehensive MCO) | CMS reported 102,035 (2024) | 3.2% | 3.0% | +0.2 pts |
| Molina | Texas | STAR+PLUS (Comprehensive MCO + MLTSS) | CMS reported 121,797 (2024) | 23.5% | 23.0% | +0.6 pts |
| Scott & White Health Plan | Texas | STAR (Comprehensive MCO) | CMS reported 80,115 (2024) | 2.5% | 2.6% | -0.1 pts |
| Seton Insurance Services Corporation | Texas | STAR (Comprehensive MCO) | CMS reported 28,239 (2024) | 0.9% | 1.0% | -0.1 pts |
| Texas Children's | Texas | STAR (Comprehensive MCO) | CMS reported 390,716 (2024) | 12.4% | 11.8% | +0.5 pts |
| Texas Children's | Texas | STAR Kids (Comprehensive MCO + MLTSS) | CMS reported 26,502 (2024) | 18.9% | 18.1% | +0.8 pts |
| UnitedHealth | Texas | STAR (Comprehensive MCO) | CMS reported 175,387 (2024) | 5.5% | 5.5% | +0.0 pts |
| UnitedHealth | Texas | STAR Kids (Comprehensive MCO + MLTSS) | CMS reported 23,086 (2024) | 16.4% | 16.9% | -0.5 pts |
| UnitedHealth | Texas | STAR+PLUS (Comprehensive MCO + MLTSS) | CMS reported 137,197 (2024) | 26.5% | 26.4% | +0.1 pts |
Arkansas 4
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| Beacon | Arkansas | PASSE (Comprehensive MCO + MLTSS) | CMS reported 15,895 (2024) | 33.2% | 34.0% | -0.8 pts |
| CareSource | Arkansas | PASSE (Comprehensive MCO + MLTSS) | CMS reported 3,923 (2024) | 8.2% | 5.9% | +2.3 pts |
| Centene | Arkansas | PASSE (Comprehensive MCO + MLTSS) | CMS reported 13,394 (2024) | 28.0% | 28.5% | -0.5 pts |
| Elevance | Arkansas | PASSE (Comprehensive MCO + MLTSS) | CMS reported 14,657 (2024) | 30.6% | 31.6% | -1.0 pts |
Tennessee 4
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield Association | Tennessee | TennCare III (Comprehensive MCO + MLTSS) | CMS reported 577,577 (2024) | 13.9% | 13.8% | +0.1 pts |
| DentaQuest USA Insurance Company | Tennessee | TennCare III (Comprehensive MCO + MLTSS) | CMS reported 1,433,797 (2024) | 34.6% | 34.4% | +0.2 pts |
| Elevance | Tennessee | TennCare III (Comprehensive MCO + MLTSS) | CMS reported 429,231 (2024) | 10.4% | 10.4% | -0.0 pts |
| UnitedHealth | Tennessee | TennCare III (Comprehensive MCO + MLTSS) | CMS reported 1,704,610 (2024) | 41.1% | 41.4% | -0.3 pts |
Minnesota 31
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield MN | Minnesota | Minnesota Senior Care Plus (Comprehensive MCO + MLTSS) | CMS reported 4,401 (2024) | 20.6% | 22.0% | -1.4 pts |
| Blue Cross Blue Shield MN | Minnesota | Prepaid Medical Assistance Plan Plus (Comprehensive MCO + MLTSS) | CMS reported 279,847 (2024) | 31.9% | 32.2% | -0.2 pts |
| Blue Cross Blue Shield of Minnesota | Minnesota | Minnesota Senior Health Option (Comprehensive MCO + MLTSS) | CMS reported 9,632 (2024) | 21.4% | 21.4% | +0.0 pts |
| Health Partners | Minnesota | Minnesota Senior Care Plus (Comprehensive MCO + MLTSS) | CMS reported 2,404 (2024) | 11.3% | 13.3% | -2.0 pts |
| Health Partners | Minnesota | Minnesota Senior Health Option (Comprehensive MCO + MLTSS) | CMS reported 5,453 (2024) | 12.1% | 12.3% | -0.2 pts |
| Health Partners | Minnesota | Prepaid Medical Assistance Plan Plus (Comprehensive MCO + MLTSS) | CMS reported 145,634 (2024) | 16.6% | 16.5% | +0.1 pts |
| Health Partners | Minnesota | Special Needs Basic Care (Comprehensive MCO + MLTSS) | CMS reported 6,665 (2024) | 10.9% | 10.6% | +0.3 pts |
| Hennepin Health | Minnesota | Prepaid Medical Assistance Plan Plus (Comprehensive MCO + MLTSS) | CMS reported 22,454 (2024) | 2.6% | 3.1% | -0.5 pts |
| Hennepin Health | Minnesota | Special Needs Basic Care (Comprehensive MCO + MLTSS) | CMS reported 1,939 (2024) | 3.2% | 3.2% | -0.0 pts |
| Itasca Medical | Minnesota | Prepaid Medical Assistance Plan Plus (Comprehensive MCO + MLTSS) | CMS reported 6,701 (2024) | 0.8% | 0.9% | -0.1 pts |
| Itasca Medical Care | Minnesota | Minnesota Senior Care Plus (Comprehensive MCO + MLTSS) | CMS reported 270 (2024) | 1.3% | 1.4% | -0.1 pts |
| Itasca Medical Care | Minnesota | Minnesota Senior Health Option (Comprehensive MCO + MLTSS) | CMS reported 323 (2024) | 0.7% | 0.8% | -0.1 pts |
| Medica | Minnesota | Minnesota Senior Care Plus (Comprehensive MCO + MLTSS) | CMS reported 4,168 (2024) | 19.5% | 18.0% | +1.6 pts |
| Medica | Minnesota | Minnesota Senior Health Option (Comprehensive MCO + MLTSS) | CMS reported 9,970 (2024) | 22.1% | 21.5% | +0.6 pts |
| Medica | Minnesota | Prepaid Medical Assistance Plan Plus (Comprehensive MCO + MLTSS) | CMS reported 10,024 (2024) | 1.1% | 0.7% | +0.4 pts |
| Medica | Minnesota | Special Needs Basic Care (Comprehensive MCO + MLTSS) | CMS reported 11,577 (2024) | 19.0% | 18.9% | +0.1 pts |
| Prime West | Minnesota | Special Needs Basic Care (Comprehensive MCO + MLTSS) | CMS reported 2,547 (2024) | 4.2% | 4.0% | +0.1 pts |
| Prime West Health | Minnesota | Minnesota Senior Care Plus (Comprehensive MCO + MLTSS) | CMS reported 955 (2024) | 4.5% | 5.0% | -0.6 pts |
| Prime West Health | Minnesota | Minnesota Senior Health Option (Comprehensive MCO + MLTSS) | CMS reported 1,940 (2024) | 4.3% | 4.2% | +0.1 pts |
| Prime West Health | Minnesota | Prepaid Medical Assistance Plan Plus (Comprehensive MCO + MLTSS) | CMS reported 42,406 (2024) | 4.8% | 4.9% | -0.1 pts |
| South Country Health Alliance | Minnesota | Minnesota Senior Care Plus (Comprehensive MCO + MLTSS) | CMS reported 682 (2024) | 3.2% | 3.4% | -0.2 pts |
| South Country Health Alliance | Minnesota | Minnesota Senior Health Option (Comprehensive MCO + MLTSS) | CMS reported 1,171 (2024) | 2.6% | 2.8% | -0.3 pts |
| South Country Health Alliance | Minnesota | Prepaid Medical Assistance Plan Plus (Comprehensive MCO + MLTSS) | CMS reported 19,870 (2024) | 2.3% | 2.4% | -0.1 pts |
| South Country Health Alliance | Minnesota | Special Needs Basic Care (Comprehensive MCO + MLTSS) | CMS reported 1,884 (2024) | 3.1% | 3.2% | -0.1 pts |
| UCare | Minnesota | Minnesota Senior Care Plus (Comprehensive MCO + MLTSS) | CMS reported 8,455 (2024) | 39.6% | 36.8% | +2.8 pts |
| UCare | Minnesota | Minnesota Senior Health Option (Comprehensive MCO + MLTSS) | CMS reported 16,557 (2024) | 36.7% | 36.9% | -0.1 pts |
| UCare | Minnesota | Prepaid Medical Assistance Plan Plus (Comprehensive MCO + MLTSS) | CMS reported 321,214 (2024) | 36.7% | 36.0% | +0.6 pts |
| UCare | Minnesota | Special Needs Basic Care (Comprehensive MCO + MLTSS) | CMS reported 36,007 (2024) | 59.1% | 59.6% | -0.4 pts |
| UnitedHealth | Minnesota | Minnesota Senior Health Option (Comprehensive MCO + MLTSS) | CMS reported 37 (2024) | 0.1% | 0.1% | +0.0 pts |
| UnitedHealth | Minnesota | Prepaid Medical Assistance Plan Plus (Comprehensive MCO + MLTSS) | CMS reported 28,186 (2024) | 3.2% | 3.2% | -0.0 pts |
| UnitedHealth | Minnesota | Special Needs Basic Care (Comprehensive MCO + MLTSS) | CMS reported 266 (2024) | 0.4% | 0.4% | +0.0 pts |
North Dakota 1
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield of North Dakota | North Dakota | ND Medicaid Expansion (Comprehensive MCO) | CMS reported 24,356 (2024) | 100.0% | 100.0% | 0.0 pts |
Michigan 18
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| Blue Cross Complete of Michigan | Michigan | Comprehensive Health Care Program (Comprehensive MCO) | CMS reported 284,873 (2024) | 15.8% | 15.6% | +0.2 pts |
| Blue Cross Complete of Michigan | Michigan | Healthy Michigan Plan (Comprehensive MCO) | CMS reported 105,053 (2024) | 18.8% | 18.7% | +0.1 pts |
| CVS/Aetna | Michigan | Comprehensive Health Care Program (Comprehensive MCO) | CMS reported 39,319 (2024) | 2.2% | 2.2% | -0.1 pts |
| CVS/Aetna | Michigan | Healthy Michigan Plan (Comprehensive MCO) | CMS reported 13,450 (2024) | 2.4% | 2.5% | -0.1 pts |
| Centene | Michigan | Comprehensive Health Care Program (Comprehensive MCO) | CMS reported 399,467 (2024) | 22.1% | 23.8% | -1.6 pts |
| Centene | Michigan | Healthy Michigan Plan (Comprehensive MCO) | CMS reported 113,006 (2024) | 20.2% | 21.9% | -1.7 pts |
| Health Alliance Plan | Michigan | Comprehensive Health Care Program (Comprehensive MCO) | CMS reported 32,941 (2024) | 1.8% | 1.7% | +0.1 pts |
| Health Alliance Plan | Michigan | Healthy Michigan Plan (Comprehensive MCO) | CMS reported 14,839 (2024) | 2.7% | 2.5% | +0.2 pts |
| McLaren Health Plan | Michigan | Comprehensive Health Care Program (Comprehensive MCO) | CMS reported 215,608 (2024) | 12.0% | 11.7% | +0.2 pts |
| McLaren Health Plan | Michigan | Healthy Michigan Plan (Comprehensive MCO) | CMS reported 71,841 (2024) | 12.9% | 12.6% | +0.2 pts |
| Molina | Michigan | Comprehensive Health Care Program (Comprehensive MCO) | CMS reported 319,945 (2024) | 17.7% | 17.5% | +0.3 pts |
| Molina | Michigan | Healthy Michigan Plan (Comprehensive MCO) | CMS reported 87,284 (2024) | 15.6% | 15.2% | +0.4 pts |
| Priority Health Choice | Michigan | Comprehensive Health Care Program (Comprehensive MCO) | CMS reported 214,759 (2024) | 11.9% | 11.6% | +0.4 pts |
| Priority Health Choice | Michigan | Healthy Michigan Plan (Comprehensive MCO) | CMS reported 64,356 (2024) | 11.5% | 11.2% | +0.3 pts |
| UnitedHealth | Michigan | Comprehensive Health Care Program (Comprehensive MCO) | CMS reported 255,067 (2024) | 14.1% | 13.7% | +0.5 pts |
| UnitedHealth | Michigan | Healthy Michigan Plan (Comprehensive MCO) | CMS reported 74,376 (2024) | 13.3% | 12.7% | +0.7 pts |
| Upper Peninsula Health Plan | Michigan | Comprehensive Health Care Program (Comprehensive MCO) | CMS reported 41,496 (2024) | 2.3% | 2.3% | -0.0 pts |
| Upper Peninsula Health Plan | Michigan | Healthy Michigan Plan (Comprehensive MCO) | CMS reported 14,509 (2024) | 2.6% | 2.6% | -0.0 pts |
Idaho 4
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| Blue Cross of Idaho | Idaho | Idaho Medicaid Plus (Comprehensive MCO + MLTSS) | CMS reported 4,633 (2024) | 55.2% | 56.3% | -1.1 pts |
| Blue Cross of Idaho | Idaho | Medicare/Medicaid Coordinated Plan (Comprehensive MCO + MLTSS) | CMS reported 7,681 (2024) | 59.7% | 60.4% | -0.7 pts |
| Molina | Idaho | Idaho Medicaid Plus (Comprehensive MCO + MLTSS) | CMS reported 3,760 (2024) | 44.8% | 43.7% | +1.1 pts |
| Molina | Idaho | Medicare/Medicaid Coordinated Plan (Comprehensive MCO + MLTSS) | CMS reported 5,182 (2024) | 40.3% | 39.6% | +0.7 pts |
Massachusetts 13
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| Boston Medical Center Health Plan, Inc. | Massachusetts | Accountable Care Partnership Plans (Comprehensive MCO) | CMS reported 438,074 (2024) | 56.4% | 57.3% | -0.9 pts |
| Boston Medical Center Health Plan, Inc. | Massachusetts | Managed Care Organization (Comprehensive MCO) | CMS reported 20,712 (2024) | 41.1% | 47.0% | -5.8 pts |
| Boston Medical Health Plan | Massachusetts | Senior Care Options (Comprehensive MCO + MLTSS) | CMS reported 2,214 (2024) | 2.9% | 3.0% | -0.1 pts |
| Centene | Massachusetts | Senior Care Options (Comprehensive MCO + MLTSS) | CMS reported 12,464 (2024) | 16.1% | 16.6% | -0.5 pts |
| Commonwealth Care Alliance | Massachusetts | Senior Care Options (Comprehensive MCO + MLTSS) | CMS reported 16,523 (2024) | 21.4% | 20.2% | +1.2 pts |
| Fallon Community Health Plan, Inc. | Massachusetts | Accountable Care Partnership Plans (Comprehensive MCO) | CMS reported 83,892 (2024) | 10.8% | 11.0% | -0.2 pts |
| Fallon Health Plan | Massachusetts | Senior Care Options (Comprehensive MCO + MLTSS) | CMS reported 10,041 (2024) | 13.0% | 13.4% | -0.4 pts |
| Health New England, Inc. | Massachusetts | Accountable Care Partnership Plans (Comprehensive MCO) | CMS reported 45,272 (2024) | 5.8% | 5.6% | +0.2 pts |
| Mass General Brigham Health Plan, Inc. | Massachusetts | Accountable Care Partnership Plans (Comprehensive MCO) | CMS reported 132,115 (2024) | 17.0% | 16.7% | +0.3 pts |
| Tufts Health Plan | Massachusetts | Senior Care Options (Comprehensive MCO + MLTSS) | CMS reported 12,509 (2024) | 16.2% | 14.9% | +1.3 pts |
| Tufts Health Public Plans, Inc. | Massachusetts | Accountable Care Partnership Plans (Comprehensive MCO) | CMS reported 76,769 (2024) | 9.9% | 9.3% | +0.5 pts |
| Tufts Health Public Plans, Inc. | Massachusetts | Managed Care Organization (Comprehensive MCO) | CMS reported 29,621 (2024) | 58.9% | 53.0% | +5.8 pts |
| UnitedHealth | Massachusetts | Senior Care Options (Comprehensive MCO + MLTSS) | CMS reported 23,589 (2024) | 30.5% | 32.0% | -1.5 pts |
Wisconsin 25
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| CCI | Wisconsin | Wisconsin Partnership Program (Comprehensive MCO + MLTSS) | CMS reported 693 (2024) | 20.0% | 20.5% | -0.6 pts |
| Centene | Wisconsin | BadgerCare Plus (Comprehensive MCO) | CMS reported 46,263 (2024) | 5.5% | 5.7% | -0.2 pts |
| Centene | Wisconsin | SSI Managed Care (Comprehensive MCO) | CMS reported 6,074 (2024) | 11.5% | 11.5% | +0.0 pts |
| Children's Wisconsin | Wisconsin | BadgerCare Plus (Comprehensive MCO) | CMS reported 120,491 (2024) | 14.4% | 14.3% | +0.1 pts |
| Dean Health System and SSM Health Care | Wisconsin | BadgerCare Plus (Comprehensive MCO) | CMS reported 40,211 (2024) | 4.8% | 4.8% | +0.0 pts |
| Elevance | Wisconsin | BadgerCare Plus (Comprehensive MCO) | CMS reported 121,160 (2024) | 14.4% | 14.4% | -0.0 pts |
| Elevance | Wisconsin | SSI Managed Care (Comprehensive MCO) | CMS reported 7,086 (2024) | 13.4% | 13.2% | +0.2 pts |
| Froedtert ThedaCare Health | Wisconsin | BadgerCare Plus (Comprehensive MCO) | CMS reported 42,946 (2024) | 5.1% | 5.5% | -0.4 pts |
| Froedtert ThedaCare Health | Wisconsin | SSI Managed Care (Comprehensive MCO) | CMS reported 3,897 (2024) | 7.4% | 7.7% | -0.3 pts |
| Group Health Cooperative of Eau Claire | Wisconsin | BadgerCare Plus (Comprehensive MCO) | CMS reported 45,374 (2024) | 5.4% | 5.4% | +0.0 pts |
| Group Health Cooperative of Eau Claire | Wisconsin | SSI Managed Care (Comprehensive MCO) | CMS reported 2,894 (2024) | 5.5% | 5.5% | -0.0 pts |
| Group Health Cooperative of South Central WI | Wisconsin | BadgerCare Plus (Comprehensive MCO) | CMS reported 6,801 (2024) | 0.8% | 0.8% | +0.0 pts |
| Humana | Wisconsin | BadgerCare Plus (Comprehensive MCO) | CMS reported 26,340 (2024) | 3.1% | 3.1% | -0.0 pts |
| Humana | Wisconsin | SSI Managed Care (Comprehensive MCO) | CMS reported 8,877 (2024) | 16.8% | 17.3% | -0.5 pts |
| Humana | Wisconsin | Wisconsin Partnership Program (Comprehensive MCO + MLTSS) | CMS reported 1,496 (2024) | 43.1% | 41.9% | +1.2 pts |
| Marshfield Clinic Health System | Wisconsin | BadgerCare Plus (Comprehensive MCO) | CMS reported 63,323 (2024) | 7.5% | 7.4% | +0.1 pts |
| Marshfield Clinic Health System | Wisconsin | SSI Managed Care (Comprehensive MCO) | CMS reported 622 (2024) | 1.2% | 0.8% | +0.4 pts |
| Mercy Health Corporation | Wisconsin | BadgerCare Plus (Comprehensive MCO) | CMS reported 12,625 (2024) | 1.5% | 1.6% | -0.0 pts |
| Molina | Wisconsin | BadgerCare Plus (Comprehensive MCO) | CMS reported 71,782 (2024) | 8.5% | 8.8% | -0.2 pts |
| Molina | Wisconsin | SSI Managed Care (Comprehensive MCO) | CMS reported 5,464 (2024) | 10.3% | 10.8% | -0.4 pts |
| Molina | Wisconsin | Wisconsin Partnership Program (Comprehensive MCO + MLTSS) | CMS reported 1,282 (2024) | 36.9% | 37.5% | -0.6 pts |
| Quartz Health Insurance Corporation | Wisconsin | BadgerCare Plus (Comprehensive MCO) | CMS reported 42,166 (2024) | 5.0% | 5.1% | -0.1 pts |
| Quartz Health Insurance Corporation | Wisconsin | SSI Managed Care (Comprehensive MCO) | CMS reported 394 (2024) | 0.7% | 0.2% | +0.5 pts |
| UnitedHealth | Wisconsin | BadgerCare Plus (Comprehensive MCO) | CMS reported 200,145 (2024) | 23.8% | 23.1% | +0.8 pts |
| UnitedHealth | Wisconsin | SSI Managed Care (Comprehensive MCO) | CMS reported 17,628 (2024) | 33.3% | 33.2% | +0.1 pts |
Illinois 10
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| CVS/Aetna | Illinois | HealthChoice Illinois (Comprehensive MCO + MLTSS) | CMS reported 349,775 (2024) | 13.8% | 14.5% | -0.7 pts |
| CVS/Aetna | Illinois | HealthChoice Illinois - Managed Long Term Services and Supports (Comprehensive MCO + MLTSS) | CMS reported 12,915 (2024) | 21.7% | 21.4% | +0.4 pts |
| Centene | Illinois | HealthChoice Illinois (Comprehensive MCO + MLTSS) | CMS reported 770,176 (2024) | 30.5% | 31.8% | -1.3 pts |
| Centene | Illinois | HealthChoice Illinois - Managed Long Term Services and Supports (Comprehensive MCO + MLTSS) | CMS reported 12,051 (2024) | 20.3% | 21.4% | -1.2 pts |
| Cook County Health and Hospital Systems | Illinois | HealthChoice Illinois (Comprehensive MCO + MLTSS) | CMS reported 415,301 (2024) | 16.4% | 15.3% | +1.2 pts |
| Cook County Health and Hospital Systems | Illinois | HealthChoice Illinois - Managed Long Term Services and Supports (Comprehensive MCO + MLTSS) | CMS reported 9,446 (2024) | 15.9% | 15.3% | +0.6 pts |
| HealthCare Service Corporation | Illinois | HealthChoice Illinois (Comprehensive MCO + MLTSS) | CMS reported 693,300 (2024) | 27.5% | 26.4% | +1.1 pts |
| HealthCare Service Corporation | Illinois | HealthChoice Illinois - Managed Long Term Services and Supports (Comprehensive MCO + MLTSS) | CMS reported 19,233 (2024) | 32.3% | 32.3% | +0.0 pts |
| Molina | Illinois | HealthChoice Illinois (Comprehensive MCO + MLTSS) | CMS reported 296,965 (2024) | 11.8% | 12.1% | -0.3 pts |
| Molina | Illinois | HealthChoice Illinois - Managed Long Term Services and Supports (Comprehensive MCO + MLTSS) | CMS reported 5,808 (2024) | 9.8% | 9.6% | +0.2 pts |
Kentucky 6
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| CVS/Aetna | Kentucky | Kentucky Managed Care Organization Program (Comprehensive MCO) | CMS reported 222,208 (2024) | 17.0% | 16.4% | +0.7 pts |
| Centene | Kentucky | Kentucky Managed Care Organization Program (Comprehensive MCO) | CMS reported 419,036 (2024) | 32.1% | 32.1% | +0.1 pts |
| Elevance | Kentucky | Kentucky Managed Care Organization Program (Comprehensive MCO) | CMS reported 157,364 (2024) | 12.1% | 12.0% | +0.0 pts |
| Humana | Kentucky | Kentucky Managed Care Organization Program (Comprehensive MCO) | CMS reported 142,985 (2024) | 11.0% | 11.1% | -0.1 pts |
| Molina | Kentucky | Kentucky Managed Care Organization Program (Comprehensive MCO) | CMS reported 280,749 (2024) | 21.5% | 22.0% | -0.4 pts |
| UnitedHealth | Kentucky | Kentucky Managed Care Organization Program (Comprehensive MCO) | CMS reported 81,613 (2024) | 6.3% | 6.4% | -0.2 pts |
Maryland 9
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| CVS/Aetna | Maryland | HealthChoice (Comprehensive MCO) | CMS reported 75,366 (2024) | 4.5% | 4.1% | +0.5 pts |
| CareFirst | Maryland | HealthChoice (Comprehensive MCO) | CMS reported 114,806 (2024) | 6.9% | 6.1% | +0.8 pts |
| Elevance | Maryland | HealthChoice (Comprehensive MCO) | CMS reported 350,641 (2024) | 21.0% | 21.5% | -0.5 pts |
| Jai Medical Systems | Maryland | HealthChoice (Comprehensive MCO) | CMS reported 32,340 (2024) | 1.9% | not reported | not reported |
| Johns Hopkins HealthCare | Maryland | HealthChoice (Comprehensive MCO) | CMS reported 384,354 (2024) | 23.1% | 23.3% | -0.2 pts |
| Kaiser Permanente | Maryland | HealthChoice (Comprehensive MCO) | CMS reported 138,432 (2024) | 8.3% | 8.1% | +0.2 pts |
| Maryland Care, Inc. | Maryland | HealthChoice (Comprehensive MCO) | CMS reported 266,727 (2024) | 16.0% | 16.5% | -0.4 pts |
| MedStar Health | Maryland | HealthChoice (Comprehensive MCO) | CMS reported 115,530 (2024) | 6.9% | 7.2% | -0.2 pts |
| UnitedHealth | Maryland | HealthChoice (Comprehensive MCO) | CMS reported 187,674 (2024) | 11.3% | 11.4% | -0.1 pts |
New Jersey 10
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| CVS/Aetna | New Jersey | FIDE SNP (Comprehensive MCO + MLTSS) | CMS reported 6,752 (2024) | 8.0% | 4.8% | +3.3 pts |
| CVS/Aetna | New Jersey | New Jersey Family Care (Comprehensive MCO + MLTSS) | CMS reported 93,872 (2024) | 6.4% | 6.7% | -0.3 pts |
| Centene | New Jersey | FIDE SNP (Comprehensive MCO + MLTSS) | CMS reported 6,525 (2024) | 7.8% | 8.1% | -0.4 pts |
| Centene | New Jersey | New Jersey Family Care (Comprehensive MCO + MLTSS) | CMS reported 74,456 (2024) | 5.1% | 5.2% | -0.2 pts |
| Elevance | New Jersey | FIDE SNP (Comprehensive MCO + MLTSS) | CMS reported 12,376 (2024) | 14.7% | 17.3% | -2.6 pts |
| Elevance | New Jersey | New Jersey Family Care (Comprehensive MCO + MLTSS) | CMS reported 167,805 (2024) | 11.4% | 11.7% | -0.3 pts |
| Horizon Blue Cross Blue Shield of New Jersey | New Jersey | New Jersey Family Care (Comprehensive MCO + MLTSS) | CMS reported 860,036 (2024) | 58.5% | 58.1% | +0.4 pts |
| Horizon Healthcare of New Jersey, Inc. | New Jersey | FIDE SNP (Comprehensive MCO + MLTSS) | CMS reported 19,596 (2024) | 23.3% | 22.2% | +1.1 pts |
| Oxford Health Plans (NJ), Inc. | New Jersey | FIDE SNP (Comprehensive MCO + MLTSS) | CMS reported 38,743 (2024) | 46.1% | 47.6% | -1.5 pts |
| UnitedHealth | New Jersey | New Jersey Family Care (Comprehensive MCO + MLTSS) | CMS reported 275,064 (2024) | 18.7% | 18.3% | +0.4 pts |
Oklahoma 3
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| CVS/Aetna | Oklahoma | SoonerSelect Health Plan (Comprehensive MCO) | CMS reported 186,183 (2024) | 32.8% | not reported | not reported |
| Humana | Oklahoma | SoonerSelect Health Plan (Comprehensive MCO) | CMS reported 190,134 (2024) | 33.5% | not reported | not reported |
| Oklahoma Complete Health | Oklahoma | SoonerSelect Health Plan (Comprehensive MCO) | CMS reported 191,381 (2024) | 33.7% | not reported | not reported |
Virginia 9
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| CVS/Aetna | Virginia | Commonwealth Coordinated Care Plus (Comprehensive MCO + MLTSS) | CMS reported 67,365 (2024) | 16.4% | 15.8% | +0.6 pts |
| Elevance | Virginia | Commonwealth Coordinated Care Plus (Comprehensive MCO + MLTSS) | CMS reported 118,755 (2024) | 28.9% | 28.7% | +0.2 pts |
| Elevance | Virginia | Medallion 4.0 (Comprehensive MCO) | CMS reported 629,472 (2024) | 45.0% | 44.0% | +0.9 pts |
| Molina | Virginia | Commonwealth Coordinated Care Plus (Comprehensive MCO + MLTSS) | CMS reported 38,298 (2024) | 9.3% | 9.5% | -0.2 pts |
| Molina | Virginia | Medallion 4.0 (Comprehensive MCO) | CMS reported 98,126 (2024) | 7.0% | 6.6% | +0.4 pts |
| Sentara Health Plans | Virginia | Commonwealth Coordinated Care Plus (Comprehensive MCO + MLTSS) | CMS reported 120,400 (2024) | 29.3% | 31.1% | -1.7 pts |
| Sentara Healthcare | Virginia | Medallion 4.0 (Comprehensive MCO) | CMS reported 503,667 (2024) | 36.0% | 38.2% | -2.2 pts |
| UnitedHealth | Virginia | Commonwealth Coordinated Care Plus (Comprehensive MCO + MLTSS) | CMS reported 65,465 (2024) | 16.0% | 14.8% | +1.1 pts |
| UnitedHealth | Virginia | Medallion 4.0 (Comprehensive MCO) | CMS reported 168,493 (2024) | 12.0% | 11.1% | +0.9 pts |
West Virginia 4
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| CVS/Aetna | West Virginia | Mountain Health Promise (Comprehensive MCO) | CMS reported 28,068 (2024) | 100.0% | 100.0% | 0.0 pts |
| CVS/Aetna | West Virginia | Mountain Health Trust (Comprehensive MCO) | CMS reported 136,477 (2024) | 36.0% | 35.7% | +0.3 pts |
| Elevance | West Virginia | Mountain Health Trust (Comprehensive MCO) | CMS reported 145,177 (2024) | 38.3% | 38.7% | -0.4 pts |
| The Health Plan of WV | West Virginia | Mountain Health Trust (Comprehensive MCO) | CMS reported 97,594 (2024) | 25.7% | 25.7% | +0.1 pts |
Georgia 7
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| CareSource | Georgia | Georgia Families (Comprehensive MCO) | CMS reported 376,721 (2024) | 24.2% | 22.7% | +1.5 pts |
| CareSource | Georgia | Georgia Pathways to Coverage (Comprehensive MCO) | CMS reported 1,414 (2024) | 31.8% | not reported | not reported |
| Centene | Georgia | Georgia Families (Comprehensive MCO) | CMS reported 728,318 (2024) | 46.7% | 48.8% | -2.1 pts |
| Centene | Georgia | Georgia Pathways to Coverage (Comprehensive MCO) | CMS reported 1,644 (2024) | 37.0% | not reported | not reported |
| Elevance | Georgia | Georgia Families (Comprehensive MCO) | CMS reported 454,023 (2024) | 29.1% | 28.5% | +0.6 pts |
| Elevance | Georgia | Georgia Families 360 (Comprehensive MCO) | CMS reported 30,592 (2024) | 100.0% | 100.0% | 0.0 pts |
| Elevance | Georgia | Georgia Pathways to Coverage (Comprehensive MCO) | CMS reported 1,383 (2024) | 31.1% | not reported | not reported |
Indiana 14
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| CareSource | Indiana | Healthy Indiana Plan (Comprehensive MCO) | CMS reported 81,678 (2024) | 11.7% | 11.0% | +0.7 pts |
| CareSource | Indiana | Hoosier Healthwise (Comprehensive MCO) | CMS reported 73,087 (2024) | 10.2% | 9.8% | +0.4 pts |
| Centene | Indiana | Healthy Indiana Plan (Comprehensive MCO) | CMS reported 134,445 (2024) | 19.3% | 18.8% | +0.5 pts |
| Centene | Indiana | Hoosier Care Connect (Comprehensive MCO) | CMS reported 27,749 (2024) | 35.5% | 34.2% | +1.3 pts |
| Centene | Indiana | Hoosier Healthwise (Comprehensive MCO) | CMS reported 164,805 (2024) | 23.0% | 23.0% | +0.1 pts |
| Elevance | Indiana | Healthy Indiana Plan (Comprehensive MCO) | CMS reported 325,158 (2024) | 46.6% | 47.8% | -1.3 pts |
| Elevance | Indiana | Hoosier Care Connect (Comprehensive MCO) | CMS reported 44,829 (2024) | 57.4% | 59.8% | -2.4 pts |
| Elevance | Indiana | Hoosier Healthwise (Comprehensive MCO) | CMS reported 290,491 (2024) | 40.6% | 40.1% | +0.5 pts |
| Elevance | Indiana | PathWays for Aging (Comprehensive MCO + MLTSS) | CMS reported 44,428 (2024) | 38.1% | not reported | not reported |
| Humana | Indiana | PathWays for Aging (Comprehensive MCO + MLTSS) | CMS reported 35,443 (2024) | 30.4% | not reported | not reported |
| McLaren Health Care | Indiana | Healthy Indiana Plan (Comprehensive MCO) | CMS reported 157,073 (2024) | 22.5% | 22.4% | +0.1 pts |
| McLaren Health Care | Indiana | Hoosier Healthwise (Comprehensive MCO) | CMS reported 187,461 (2024) | 26.2% | 27.1% | -0.9 pts |
| UnitedHealth | Indiana | Hoosier Care Connect (Comprehensive MCO) | CMS reported 5,584 (2024) | 7.1% | 6.0% | +1.1 pts |
| UnitedHealth | Indiana | PathWays for Aging (Comprehensive MCO + MLTSS) | CMS reported 36,762 (2024) | 31.5% | not reported | not reported |
Iowa 3
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| Centene | Iowa | IA Health Link (Comprehensive MCO + MLTSS) | CMS reported 203,393 (2024) | 33.7% | 35.5% | -1.8 pts |
| Elevance | Iowa | IA Health Link (Comprehensive MCO + MLTSS) | CMS reported 222,782 (2024) | 36.9% | 36.7% | +0.2 pts |
| Molina | Iowa | IA Health Link (Comprehensive MCO + MLTSS) | CMS reported 177,800 (2024) | 29.4% | 27.8% | +1.6 pts |
Kansas 3
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| Centene | Kansas | KanCare (Comprehensive MCO + MLTSS) | CMS reported 118,053 (2024) | 32.9% | 33.6% | -0.7 pts |
| Kansas Foundation for Medical Care | Kansas | KanCare (Comprehensive MCO + MLTSS) | CMS reported 112,495 (2024) | 31.4% | 30.4% | +1.0 pts |
| UnitedHealth | Kansas | KanCare (Comprehensive MCO + MLTSS) | CMS reported 127,984 (2024) | 35.7% | 36.0% | -0.3 pts |
Missouri 3
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| Centene | Missouri | MO HealthNet Managed Care/1915b (Comprehensive MCO) | CMS reported 362,159 (2024) | 35.4% | 35.3% | +0.2 pts |
| Elevance | Missouri | MO HealthNet Managed Care/1915b (Comprehensive MCO) | CMS reported 357,698 (2024) | 35.0% | 35.2% | -0.2 pts |
| UnitedHealth | Missouri | MO HealthNet Managed Care/1915b (Comprehensive MCO) | CMS reported 302,089 (2024) | 29.6% | 29.5% | +0.0 pts |
Mississippi 3
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| Centene | Mississippi | MississippiCAN (Comprehensive MCO) | CMS reported 193,826 (2024) | 40.5% | 39.7% | +0.8 pts |
| Molina | Mississippi | MississippiCAN (Comprehensive MCO) | CMS reported 98,805 (2024) | 20.6% | 21.5% | -0.9 pts |
| UnitedHealth | Mississippi | MississippiCAN (Comprehensive MCO) | CMS reported 186,115 (2024) | 38.9% | 38.7% | +0.1 pts |
Nebraska 3
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| Centene | Nebraska | Heritage Health (Comprehensive MCO) | CMS reported 118,214 (2024) | 33.8% | 33.4% | +0.4 pts |
| Molina | Nebraska | Heritage Health (Comprehensive MCO) | CMS reported 116,309 (2024) | 33.2% | not reported | not reported |
| UnitedHealth | Nebraska | Heritage Health (Comprehensive MCO) | CMS reported 115,714 (2024) | 33.0% | 33.3% | -0.3 pts |
Nevada 4
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| Centene | Nevada | Mandatory Health Maintenance Program (Comprehensive MCO) | CMS reported 106,497 (2024) | 17.4% | 18.9% | -1.5 pts |
| Elevance | Nevada | Mandatory Health Maintenance Program (Comprehensive MCO) | CMS reported 200,552 (2024) | 32.7% | 31.1% | +1.6 pts |
| Molina | Nevada | Mandatory Health Maintenance Program (Comprehensive MCO) | CMS reported 96,375 (2024) | 15.7% | 16.7% | -1.0 pts |
| UnitedHealth | Nevada | Mandatory Health Maintenance Program (Comprehensive MCO) | CMS reported 209,874 (2024) | 34.2% | 33.3% | +0.9 pts |
Pennsylvania 9
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| Centene | Pennsylvania | Community HealthChoices (Comprehensive MCO + MLTSS) | CMS reported 78,600 (2024) | 20.8% | 21.4% | -0.6 pts |
| Gateway Health Plan | Pennsylvania | Physical Health HealthChoices (Comprehensive MCO) | CMS reported 121,751 (2024) | 5.2% | not reported | not reported |
| Geisinger Health Plan | Pennsylvania | Physical Health HealthChoices (Comprehensive MCO) | CMS reported 428,376 (2024) | 18.1% | 18.3% | -0.2 pts |
| Health Partners Plan | Pennsylvania | Physical Health HealthChoices (Comprehensive MCO) | CMS reported 310,182 (2024) | 13.1% | 12.6% | +0.6 pts |
| UPMC | Pennsylvania | Community HealthChoices (Comprehensive MCO + MLTSS) | CMS reported 130,300 (2024) | 34.5% | 34.4% | +0.1 pts |
| UPMC | Pennsylvania | Physical Health HealthChoices (Comprehensive MCO) | CMS reported 583,460 (2024) | 24.7% | 24.3% | +0.4 pts |
| UnitedHealth | Pennsylvania | Physical Health HealthChoices (Comprehensive MCO) | CMS reported 95,611 (2024) | 4.0% | 4.3% | -0.3 pts |
| Vista | Pennsylvania | Community HealthChoices (Comprehensive MCO + MLTSS) | CMS reported 168,958 (2024) | 44.7% | 44.2% | +0.5 pts |
| Vista | Pennsylvania | Physical Health HealthChoices (Comprehensive MCO) | CMS reported 821,606 (2024) | 34.8% | 35.3% | -0.5 pts |
Washington 6
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| Centene | Washington | Fully Integrated Managed Care (Comprehensive MCO) | CMS reported 196,657 (2024) | 11.8% | not reported | not reported |
| Community Health Plan | Washington | Fully Integrated Managed Care (Comprehensive MCO) | CMS reported 252,143 (2024) | 15.2% | 15.8% | -0.6 pts |
| Elevance | Washington | Fully Integrated Managed Care (Comprehensive MCO) | CMS reported 166,570 (2024) | 10.0% | 12.8% | -2.8 pts |
| Molina | Washington | Fully Integrated Managed Care (Comprehensive MCO) | CMS reported 837,457 (2024) | 50.4% | 57.1% | -6.6 pts |
| UnitedHealth | Washington | Fully Integrated Managed Care (Comprehensive MCO) | CMS reported 208,078 (2024) | 12.5% | 14.3% | -1.8 pts |
| unmatched | Washington | Apple Health/Healthy Options Health Homes Program (Comprehensive MCO) | CMS reported 7,137 (2024) | 100.0% | 100.0% | 0.0 pts |
Montana 1
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| Comprehensive Primary Care Plus (CPC+) | Montana | Comprehensive Primary Care Plus (PCCM) | CMS reported 48,062 (2024) | 100.0% | 100.0% | 0.0 pts |
Puerto Rico 9
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| Government Health Plan First Medical | Puerto Rico | Comprehensive MCO (Comprehensive MCO) | CMS reported 277,629 (2024) | 25.0% | 25.4% | -0.3 pts |
| Government Health Plan MMM Multi Health | Puerto Rico | Comprehensive MCO (Comprehensive MCO) | CMS reported 282,920 (2024) | 25.5% | 25.3% | +0.2 pts |
| Government Health Plan Triple S Salud | Puerto Rico | Comprehensive MCO (Comprehensive MCO) | CMS reported 399,402 (2024) | 36.0% | 36.0% | +0.0 pts |
| Government Health Plan de Salud Menonita | Puerto Rico | Comprehensive MCO (Comprehensive MCO) | CMS reported 149,671 (2024) | 13.5% | 13.4% | +0.1 pts |
| Humana | Puerto Rico | Comprehensive MCO - Medicare Platino (Comprehensive MCO) | CMS reported 18,160 (2024) | 6.2% | 4.9% | +1.4 pts |
| Medicare Platino - MCS Advantage | Puerto Rico | Comprehensive MCO - Medicare Platino (Comprehensive MCO) | CMS reported 136,537 (2024) | 46.9% | 34.4% | +12.5 pts |
| Medicare Platino - MMM Healthcare | Puerto Rico | Comprehensive MCO - Medicare Platino (Comprehensive MCO) | CMS reported 56,386 (2024) | 19.4% | 28.7% | -9.3 pts |
| Medicare Platino - Preferred Medicare Choice | Puerto Rico | Comprehensive MCO - Medicare Platino (Comprehensive MCO) | CMS reported 41,689 (2024) | 14.3% | 17.5% | -3.2 pts |
| Medicare Platino - Triple S Advantage | Puerto Rico | Comprehensive MCO - Medicare Platino (Comprehensive MCO) | CMS reported 38,539 (2024) | 13.2% | 14.5% | -1.3 pts |
New Mexico 4
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| Health Care Service Corporation | New Mexico | Turquoise Care (Comprehensive MCO + MLTSS) | CMS reported 274,706 (2024) | 37.4% | not reported | not reported |
| Molina | New Mexico | Turquoise Care (Comprehensive MCO + MLTSS) | CMS reported 42,304 (2024) | 5.8% | not reported | not reported |
| Presbyterian Healthcare Services | New Mexico | Turquoise Care (Comprehensive MCO + MLTSS) | CMS reported 376,377 (2024) | 51.2% | not reported | not reported |
| UnitedHealth | New Mexico | Turquoise Care (Comprehensive MCO + MLTSS) | CMS reported 41,784 (2024) | 5.7% | not reported | not reported |
Utah 9
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| Health Choice Utah | Utah | Choice of Health Care Delivery (Comprehensive MCO) | CMS reported 23,980 (2024) | 11.4% | 10.4% | +1.0 pts |
| Health Choice Utah | Utah | Utah Medicaid Integrated Care (Comprehensive MCO) | CMS reported 8,538 (2024) | 17.4% | 15.5% | +1.9 pts |
| Molina | Utah | Choice of Health Care Delivery (Comprehensive MCO) | CMS reported 50,740 (2024) | 24.2% | 24.7% | -0.5 pts |
| Molina | Utah | Utah Medicaid Integrated Care (Comprehensive MCO) | CMS reported 10,470 (2024) | 21.3% | 40.7% | -19.4 pts |
| Select Health, Inc. | Utah | Choice of Health Care Delivery (Comprehensive MCO) | CMS reported 85,837 (2024) | 40.9% | 42.5% | -1.6 pts |
| Select Health, Inc. | Utah | Utah Medicaid Integrated Care (Comprehensive MCO) | CMS reported 18,621 (2024) | 37.9% | 20.5% | +17.4 pts |
| University of Utah Health Plans | Utah | Choice of Health Care Delivery (Comprehensive MCO) | CMS reported 49,168 (2024) | 23.4% | 22.4% | +1.1 pts |
| University of Utah Health Plans | Utah | UNI HOME (Comprehensive MCO) | CMS reported 1,449 (2024) | 100.0% | 100.0% | 0.0 pts |
| University of Utah Health Plans | Utah | Utah Medicaid Integrated Care (Comprehensive MCO) | CMS reported 11,455 (2024) | 23.3% | 23.3% | +0.1 pts |
Rhode Island 3
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| Point32Health | Rhode Island | Rite Care, Rhody Health Partners, and Medicaid Expansion (Comprehensive MCO) | CMS reported 15,755 (2024) | 5.9% | 6.5% | -0.6 pts |
| UnitedHealth | Rhode Island | Rite Care, Rhody Health Partners, and Medicaid Expansion (Comprehensive MCO) | CMS reported 81,964 (2024) | 30.7% | 32.3% | -1.6 pts |
| unmatched | Rhode Island | Rite Care, Rhody Health Partners, and Medicaid Expansion (Comprehensive MCO) | CMS reported 169,483 (2024) | 63.4% | 61.3% | +2.2 pts |
Vermont 1
| Parent | State | Program | 2024 enrollment | 2024 share | 2023 share | Share change, calculated |
|---|---|---|---|---|---|---|
| Vermont Agency of Human Services | Vermont | Global Commitment to Health Demonstration (Comprehensive MCO + MLTSS) | CMS reported 165,372 (2024) | 100.0% | 100.0% | 0.0 pts |
Unmatched parents
19 raw CMS parent strings are unmatched. They are listed here and are not assigned to a company.
Unmatched parents 19
- (blank)
- Area Agencies on Aging
- Blue Cross of Idaho Health Service, Inc and Molina Healthcare of Idaho
- Centene Corporation/Banner University Family Care
- Colorado Access Kaiser Permanente
show all 19
- Government Agency/Non-Profit Entity
- Multiple Primary Care Clinicians (PCCM)
- Multiple Primary Care Provider (PCCM)
- Multiple Primary Care Providers
- Multiple Primary Care Providers (PCCM)
- Multiple Providers
- Multiple Sites
- Multiple Transportation Brokers
- Multiple primary care providers
- N/A
- PACE
- Trillium Health
- United Health Plans
- –