CMS MCPAR

Plan operations

Reporting years in these files: 2023, 2024, 2025. The comparison table is reporting year 2024. Retrieved 2026-11-02.

Sanction counts and appeal rates are shown here. Appeal rates are calculated from CMS reported counts. Enrollment share is the CMS percentage cell. Medical loss ratio and sanction amounts are not on this page. CMS MCPAR.

How we count

Snapshot sha256 74834826d8ecd7247160e98b039f64f3ef197544011fabc374efd593ffce0b7c.

National comparison, 2024

Alabama 8

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Alabama	Alabama Coordinated Health Network	Alabama Care Network Mid-State	unmatched	2	not reported	0%
Alabama	Alabama Coordinated Health Network	Alabama Care Network Southeast	unmatched	2	not reported	0%
Alabama	Alabama Coordinated Health Network	Gulf Coast Total Care	unmatched	2	not reported	0%
Alabama	Alabama Coordinated Health Network	My Care Alabama Central	unmatched	2	not reported	0%
Alabama	Alabama Coordinated Health Network	My Care Alabama East	unmatched	2	not reported	0%
Alabama	Alabama Coordinated Health Network	My Care Alabama Northwest	unmatched	2	not reported	0%
Alabama	Alabama Coordinated Health Network	North Alabama Community Care	unmatched	2	not reported	0%
Alabama	Integrated Care Network	Alabama Select Network (ASN)	unmatched	0	not reported	0%

Arizona 15

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Arizona	AHCCCS Complete Care (ACC)	ACC: AZ Complete Health	unmatched	1	30.8% calculated	19.1%
Arizona	AHCCCS Complete Care (ACC)	ACC: Banner University	unmatched	1	46.3% calculated	14.6%
Arizona	AHCCCS Complete Care (ACC)	ACC: Care 1st	unmatched	1	29.5% calculated	4%
Arizona	AHCCCS Complete Care (ACC)	ACC: Health Choice	unmatched	2	35.7% calculated	11.3%
Arizona	AHCCCS Complete Care (ACC)	ACC: Mercy Care	unmatched	2	37.3% calculated	19.8%
Arizona	AHCCCS Complete Care (ACC)	ACC: Molina	unmatched	1	40.9% calculated	2.3%
Arizona	AHCCCS Complete Care (ACC)	ACC: United Health Comm Plan	unmatched	1	42.0% calculated	22.2%
Arizona	Comprehensive Health Plan (CHP)	CHP: DCS/CHP	unmatched	2	16.2% calculated	0.5%
Arizona	Long Term Care (LTC)	LTC: Banner University	unmatched	0	26.1% calculated	0.4%
Arizona	Long Term Care (LTC)	LTC: DES/DDD	unmatched	5	31.8% calculated	2.3%
Arizona	Long Term Care (LTC)	LTC: Mercy Care	unmatched	1	34.1% calculated	0.5%
Arizona	Long Term Care (LTC)	LTC: United Health Comm Plan	unmatched	0	42.9% calculated	0.5%
Arizona	Regional Behavioral Health Authority (RBHA)	ACC-RBHA: AZ Complete Health	unmatched	1	31.2% calculated	0.6%
Arizona	Regional Behavioral Health Authority (RBHA)	ACC-RBHA: Care 1st	unmatched	1	30.0% calculated	0.3%
Arizona	Regional Behavioral Health Authority (RBHA)	ACC-RBHA: Mercy Care	unmatched	0	32.5% calculated	1.5%

Arkansas 6

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Arkansas	Arkansas Provider Led Shared Savings Entity (PASSE)	Arkansas Total Care	unmatched	0	not reported	1.7%
Arkansas	Arkansas Provider Led Shared Savings Entity (PASSE)	CareSource PASSE	unmatched	0	not reported	0.5%
Arkansas	Arkansas Provider Led Shared Savings Entity (PASSE)	Empower Healthcare Solutions	Beacon	0	not reported	2%
Arkansas	Arkansas Provider Led Shared Savings Entity (PASSE)	Summit Community Care	unmatched	1	not reported	1.8%
Arkansas	Healthy Smiles	Delta Dental Plan of Arkansas	unmatched	0	not reported	51.5%
Arkansas	Healthy Smiles	Managed Care of North America	unmatched	0	not reported	49.8%

California 121

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	Lassen	unmatched	3	not reported	not reported
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	Mariposa	unmatched	0	not reported	0.1%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	Merced	unmatched	2	not reported	1%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	San Francisco	unmatched	2	not reported	3.3%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	Siskiyou	unmatched	2	not reported	0.1%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	Alameda	unmatched	2	not reported	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	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	0.6%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	Fresno	unmatched	3	not reported	6%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	Humboldt	unmatched	2	not reported	1%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	Imperial	unmatched	1	not reported	0.9%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	Kern	unmatched	2	not reported	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	22.5%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	Marin	unmatched	1	not reported	0.6%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	Mendocino	unmatched	3	not reported	0.5%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	Modoc	unmatched	2	not reported	not reported
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	Monterey	unmatched	3	not reported	1.2%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	Napa	unmatched	2	not reported	0.2%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	Nevada	unmatched	2	not reported	0.6%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	Orange	unmatched	3	not reported	6.2%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	Placer	unmatched	3	not reported	1%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	Riverside	unmatched	3	not reported	5.5%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	Sacramento	unmatched	2	not reported	5%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	San Benito	unmatched	2	not reported	0.2%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	San Bernardino	unmatched	3	not reported	4%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	San Diego	unmatched	2	not reported	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	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	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	1%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	Santa Barbara	unmatched	1	not reported	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	3%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	Santa Cruz	unmatched	3	not reported	1.2%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	Shasta	unmatched	3	not reported	1.3%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	Solano	unmatched	3	not reported	1%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	Stanislaus	unmatched	2	not reported	2.2%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	Tulare	unmatched	4	not reported	2.1%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	Ventura	unmatched	1	not reported	2.5%
California	California Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)	Yolo	unmatched	2	not reported	0.4%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Alameda	unmatched	1	not reported	0.3%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Alpine	unmatched	1	not reported	0%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Amador	unmatched	0	not reported	0.1%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Butte	unmatched	1	not reported	1%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Calaveras	unmatched	3	not reported	0.2%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Colusa	unmatched	1	not reported	0.1%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Contra Costa	unmatched	2	not reported	2.9%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Del Norte	unmatched	2	not reported	0.1%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	El Dorado	unmatched	0	not reported	0.3%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Fresno	unmatched	1	not reported	4.1%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Glenn	unmatched	1	not reported	0.2%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Humboldt	unmatched	1	not reported	0.4%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Imperial	unmatched	0	not reported	1.4%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Inyo	unmatched	1	not reported	0%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Kern	unmatched	1	not reported	3.9%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Kings	unmatched	2	not reported	0.6%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Lake	unmatched	1	not reported	0.3%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Lassen	unmatched	2	not reported	0.1%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Los Angeles	unmatched	4	not reported	34.7%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Madera	unmatched	1	not reported	0.5%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Marin	unmatched	2	not reported	0.3%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Mariposa	unmatched	1	not reported	0.1%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Mendocino	unmatched	2	not reported	0.5%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Merced	unmatched	1	not reported	0.9%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Modoc	unmatched	0	not reported	0.1%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Mono	unmatched	1	not reported	0%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Monterey	unmatched	1	not reported	1.3%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Napa	unmatched	0	not reported	0.1%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Nevada	unmatched	2	not reported	0.3%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Orange	unmatched	2	not reported	4.1%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Placer-Sierra	unmatched	1	not reported	0.5%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Plumas	unmatched	1	not reported	0%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Riverside	unmatched	1	not reported	6.1%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Sacramento	unmatched	0	not reported	3.6%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	San Benito	unmatched	3	not reported	0.1%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	San Bernardino	unmatched	1	not reported	5.2%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	San Diego	unmatched	1	not reported	5.4%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	San Francisco	unmatched	2	not reported	2.4%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	San Joaquin	unmatched	3	not reported	1.2%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	San Luis Obispo	unmatched	1	not reported	0.8%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	San Mateo	unmatched	3	not reported	1.6%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Santa Barbara	unmatched	2	not reported	0.9%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Santa Clara	unmatched	1	not reported	4.4%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Santa Cruz	unmatched	2	not reported	0.5%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Shasta	unmatched	3	not reported	0.5%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Siskiyou	unmatched	1	not reported	0.2%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Solano	unmatched	2	not reported	0.8%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Sonoma	unmatched	3	not reported	0.5%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Stanislaus	unmatched	2	not reported	1%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Sutter-Yuba	unmatched	3	not reported	0.4%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Tehama	unmatched	1	not reported	0%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Trinity	unmatched	2	not reported	0.1%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Tulare	unmatched	2	not reported	2.2%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Tuolumne	unmatched	1	not reported	0.2%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Ventura	unmatched	2	not reported	2.2%
California	California Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)	Yolo	unmatched	1	not reported	0.3%
California	Dental Managed Care	Access Dental Plan, Inc.	unmatched	2	24.6% calculated	1.92%
California	Dental Managed Care	Health Net of California, Inc.	unmatched	1	28.5% calculated	2.79%
California	Dental Managed Care	LIBERTY Dental Plan of California, Inc.	unmatched	0	15.1% calculated	2.25%
California	Medi-Cal Managed Care program (MCMC)	Alameda Alliance for Health	unmatched	4	22.3% calculated	2.9%
California	Medi-Cal Managed Care program (MCMC)	Anthem Blue Cross Partnership Health Plan	unmatched	6	13.0% calculated	5.9%
California	Medi-Cal Managed Care program (MCMC)	Blue Shield of California Promise Health Plan	unmatched	3	32.6% calculated	1.4%
California	Medi-Cal Managed Care program (MCMC)	CalOptima Health	unmatched	3	16.6% calculated	6.4%
California	Medi-Cal Managed Care program (MCMC)	CalViva Health	unmatched	3	58.0% calculated	3.1%
California	Medi-Cal Managed Care program (MCMC)	CenCal Health	unmatched	2	50.0% calculated	1.7%
California	Medi-Cal Managed Care program (MCMC)	Central California Alliance for Health	unmatched	3	21.7% calculated	3.2%
California	Medi-Cal Managed Care program (MCMC)	Community Health Group Partnership Plan	unmatched	3	38.7% calculated	2.9%
California	Medi-Cal Managed Care program (MCMC)	Community Health Plan of Imperial Valley	CHP - Imperial	0	58.0% calculated	0.7%
California	Medi-Cal Managed Care program (MCMC)	Contra Costa Health Plan	unmatched	5	59.7% calculated	1.9%
California	Medi-Cal Managed Care program (MCMC)	Gold Coast Health Plan	unmatched	1	51.4% calculated	1.8%
California	Medi-Cal Managed Care program (MCMC)	Health Net Community Solutions, Inc.	Centene	3	38.8% calculated	11.4%
California	Medi-Cal Managed Care program (MCMC)	Health Plan of San Joaquin	unmatched	4	40.6% calculated	3%
California	Medi-Cal Managed Care program (MCMC)	Health Plan of San Mateo	unmatched	3	44.2% calculated	1%
California	Medi-Cal Managed Care program (MCMC)	Inland Empire Health Plan	unmatched	5	18.0% calculated	10.7%
California	Medi-Cal Managed Care program (MCMC)	Kaiser Foundation Health Plan, Inc.	unmatched	4	29.2% calculated	8%
California	Medi-Cal Managed Care program (MCMC)	Kern Family Health Care	Kern Health Systems	3	42.1% calculated	2.9%
California	Medi-Cal Managed Care program (MCMC)	L.A. Care Health Plan	L.A. Care	3	8.9% calculated	16.9%
California	Medi-Cal Managed Care program (MCMC)	Molina Healthcare of California	unmatched	5	24.6% calculated	4.2%
California	Medi-Cal Managed Care program (MCMC)	Partnership HealthPlan of California	unmatched	3	11.8% calculated	6.5%
California	Medi-Cal Managed Care program (MCMC)	Positive Health Care	unmatched	3	100.0% calculated	0%
California	Medi-Cal Managed Care program (MCMC)	SCAN Health Plan	unmatched	2	100.0% calculated	0.1%
California	Medi-Cal Managed Care program (MCMC)	San Francisco Health Plan	unmatched	3	35.6% calculated	1.3%
California	Medi-Cal Managed Care program (MCMC)	Santa Clara Family Health Plan	unmatched	3	25.2% calculated	2.1%

Colorado 10

State	Program	Plan	Parent	Appeal rate	Managed care enrollment share
Colorado	MCOs Accountable Care Collaborative	Denver Health Medicaid Choice (HMO)	unmatched	not reported	8.7%
Colorado	MCOs Accountable Care Collaborative	Rocky Mountain Health Plans PRIME (HMO)	unmatched	not reported	4.4%
Colorado	RAE Accountable Care Collaborative	Denver Health Behavioral Health (PIHP)	unmatched	not reported	8.7%
Colorado	RAE Accountable Care Collaborative	Region 1: Rocky Mountain Health Plans	unmatched	not reported	19.8%
Colorado	RAE Accountable Care Collaborative	Region 2: Northeast Health Partners	unmatched	not reported	8.7%
Colorado	RAE Accountable Care Collaborative	Region 3: Colorado Access	unmatched	not reported	29.6%
Colorado	RAE Accountable Care Collaborative	Region 4: Health Colorado Inc.	unmatched	not reported	12.2%
Colorado	RAE Accountable Care Collaborative	Region 5: Colorado Access	unmatched	not reported	12.9%
Colorado	RAE Accountable Care Collaborative	Region 6: Colorado Community Health Alliance	unmatched	not reported	15.6%
Colorado	RAE Accountable Care Collaborative	Region 7: Colorado Community Health Alliance	unmatched	not reported	17.8%

Delaware 3

State	Program	Plan	Parent	Appeal rate	Managed care enrollment share
Delaware	Diamond State Health Plan	AmeriHealth Caritas Delaware	unmatched	52.1% calculated	35.4%
Delaware	Diamond State Health Plan	Delaware First Health	Delaware First Health	40.5% calculated	15.2%
Delaware	Diamond State Health Plan	Highmark Health Options	unmatched	40.0% calculated	60.1%

District of Columbia 5

State	Program	Plan	Parent	Appeal rate	Managed care enrollment share
District of Columbia	Child and Adolescent Supplemental Security Income Program	Health Services for Children with Special Needs	unmatched	68.8% calculated	2.1%
District of Columbia	DC Healthy Families Program	AmeriHealth Caritas DC	unmatched	18.5% calculated	45%
District of Columbia	DC Healthy Families Program	Amerigroup DC	unmatched	20.8% calculated	23.7%
District of Columbia	DC Healthy Families Program	MedStar Family Choice	unmatched	42.7% calculated	23.6%
District of Columbia	District Dual Choice	UnitedHealthcare of the MidAtlantic, Inc.	unmatched	80.9% calculated	5.7%

Florida 21

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Florida	Healthy Start MomCare Network	Healthy Start MomCare Network	unmatched	2	not reported	100%
Florida	Statewide Medicaid Managed Care - Dental	DentaQuest of Florida	unmatched	0	not reported	36.9%
Florida	Statewide Medicaid Managed Care - Dental	Liberty Dental of Florida	unmatched	0	not reported	30%
Florida	Statewide Medicaid Managed Care - Dental	Managed Care of North America (MCNA)	unmatched	0	not reported	25.6%
Florida	Statewide Medicaid Managed Care - Long Term Care (LTC)	Aetna	unmatched	0	not reported	0.1%
Florida	Statewide Medicaid Managed Care - Long Term Care (LTC)	Florida Community Care	unmatched	0	not reported	0.5%
Florida	Statewide Medicaid Managed Care - Long Term Care (LTC)	Humana	unmatched	0	not reported	0.5%
Florida	Statewide Medicaid Managed Care - Long Term Care (LTC)	Molina Health Care of Florida	unmatched	0	not reported	0.1%
Florida	Statewide Medicaid Managed Care - Long Term Care (LTC)	Simply Health Care Plan	unmatched	0	not reported	0.3%
Florida	Statewide Medicaid Managed Care - Long Term Care (LTC)	Sunshine State Health Plan	unmatched	0	not reported	0.6%
Florida	Statewide Medicaid Managed Care - Long Term Care (LTC)	United Health Care Plan	unmatched	0	not reported	0.2%
Florida	Statewide Medicaid Managed Care - Managed Medical Assistance (MMA)	Aetna	unmatched	0	not reported	4.3%
Florida	Statewide Medicaid Managed Care - Managed Medical Assistance (MMA)	Amerihealth	unmatched	0	not reported	2.7%
Florida	Statewide Medicaid Managed Care - Managed Medical Assistance (MMA)	Children's Medical Services - Specialty Plan	unmatched	0	not reported	2.6%
Florida	Statewide Medicaid Managed Care - Managed Medical Assistance (MMA)	Community Care Plan	unmatched	0	not reported	1.2%
Florida	Statewide Medicaid Managed Care - Managed Medical Assistance (MMA)	Florida Community Care	unmatched	0	not reported	0.5%
Florida	Statewide Medicaid Managed Care - Managed Medical Assistance (MMA)	Humana	unmatched	0	not reported	16.7%
Florida	Statewide Medicaid Managed Care - Managed Medical Assistance (MMA)	Molina Health Care of Florida	unmatched	0	not reported	3.5%
Florida	Statewide Medicaid Managed Care - Managed Medical Assistance (MMA)	Simply Health Care Plan	unmatched	0	not reported	16.7%
Florida	Statewide Medicaid Managed Care - Managed Medical Assistance (MMA)	Sunshine State Health Plan	unmatched	0	not reported	37.5%
Florida	Statewide Medicaid Managed Care - Managed Medical Assistance (MMA)	United Health Care Plan	unmatched	0	not reported	8.3%

Georgia 10

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Georgia	Georgia Families 360	Amerigroup Community Care	unmatched	1	6.9% calculated	1.7%
Georgia	Georgia Families	Amerigroup Community Care	unmatched	12	21.7% calculated	24.1%
Georgia	Georgia Families	CareSource Georgia	CareSource	6	34.2% calculated	19.5%
Georgia	Georgia Families	Peach State Health Plan	unmatched	3	39.2% calculated	40.1%
Georgia	Georgia Pathways	Amerigroup Community Care	unmatched	1	28.6% calculated	0.04%
Georgia	Georgia Pathways	CareSource Georgia	CareSource	2	50.0% calculated	0.04%
Georgia	Georgia Pathways	Peach State Health Plan	unmatched	1	25.0% calculated	0.05%
Georgia	Planning for Healthy Babies	Amerigroup Community Care	unmatched	0	13.5% calculated	1.1%
Georgia	Planning for Healthy Babies	CareSource Georgia	CareSource	0	0.0% calculated	1%
Georgia	Planning for Healthy Babies	Peach State Health Plan	unmatched	0	9.1% calculated	1.5%

Hawaii 6

State	Program	Plan	Parent	Appeal rate	Managed care enrollment share
Hawaii	2023_Community Care Services (CCS) Program	WellCare Health Insurance of Arizona, Inc., dba 'Ohana Health Plan, Inc.	unmatched	not reported	100%
Hawaii	2024_QUEST Integration	AlohaCare	unmatched	not reported	17.6%
Hawaii	2024_QUEST Integration	HMSA	unmatched	not reported	49.8%
Hawaii	2024_QUEST Integration	Kaiser	unmatched	not reported	11.7%
Hawaii	2024_QUEST Integration	Ohana	unmatched	not reported	8.2%
Hawaii	2024_QUEST Integration	United	unmatched	not reported	12.7%

Idaho 6

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Idaho	Dental Smiles	Idaho Smiles	unmatched	0	not reported	98.54%
Idaho	Idaho Behavioral Health	United Behavioral Health	unmatched	0	not reported	90.8%
Idaho	Idaho Medicaid Plus (IMP)	Blue Cross of Idaho	Blue Cross of Idaho	1	0.0% calculated	2.3%
Idaho	Idaho Medicaid Plus (IMP)	Molina of Idaho	Molina	1	30.0% calculated	1.5%
Idaho	Medicare-Medicaid Coordinated Plan	Blue Cross of Idaho	Blue Cross of Idaho	1	66.4% calculated	2.3%
Idaho	Medicare-Medicaid Coordinated Plan	Molina of Idaho	Molina	1	81.6% calculated	1.5%

Illinois 6

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Illinois	HealthChoice Illinois (HCI) 06/26/2025	Aetna Better Health	unmatched	5	14.2% calculated	13.9%
Illinois	HealthChoice Illinois (HCI) 06/26/2025	Blue Cross Community Health Plans	unmatched	5	43.1% calculated	27.2%
Illinois	HealthChoice Illinois (HCI) 06/26/2025	CountyCare Health Plan	Cook County Health and Hospital Systems	3	55.6% calculated	16%
Illinois	HealthChoice Illinois (HCI) 06/26/2025	Meridian Health	Centene	3	45.2% calculated	28.7%
Illinois	HealthChoice Illinois (HCI) 06/26/2025	Molina HealthCare	unmatched	3	41.0% calculated	11.6%
Illinois	HealthChoice Illinois (HCI) 06/26/2025	YouthCare	Centene	2	61.4% calculated	1.3%

Indiana 11

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Indiana	Healthy Indiana Plan	Anthem	unmatched	4	23.4% calculated	20.8%
Indiana	Healthy Indiana Plan	CareSource	unmatched	4	21.5% calculated	5.2%
Indiana	Healthy Indiana Plan	MDwise	unmatched	4	39.8% calculated	10%
Indiana	Healthy Indiana Plan	Managed Health Services	unmatched	0	35.7% calculated	8.6%
Indiana	Hoosier Care Connect	Anthem	unmatched	6	not reported	3.5%
Indiana	Hoosier Care Connect	Managed Health Services	unmatched	8	not reported	2%
Indiana	Hoosier Care Connect	United Healthcare	unmatched	6	not reported	0.4%
Indiana	Hoosier Healthwise	Anthem	unmatched	4	24.4% calculated	18.6%
Indiana	Hoosier Healthwise	CareSource	unmatched	4	24.8% calculated	4.7%
Indiana	Hoosier Healthwise	MDwise	unmatched	4	39.7% calculated	12.1%
Indiana	Hoosier Healthwise	Managed Health Services	unmatched	0	34.8% calculated	10.6%

Iowa 5

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Iowa	Dental Wellness Plan	Delta Dental of Iowa	unmatched	1	37.0% calculated	63.3%
Iowa	Dental Wellness Plan	Managed Care of North America, Inc.	unmatched	1	0.0% calculated	36.7%
Iowa	Iowa Health Link	Iowa Total Care, Inc.	unmatched	4	54.2% calculated	35.3%
Iowa	Iowa Health Link	Molina Healthcare of Iowa, Inc	unmatched	9	89.9% calculated	27.1%
Iowa	Iowa Health Link	Wellpoint Iowa, Inc. (formally Amerigroup Iowa, Inc.)	unmatched	13	not reported	37.6%

Kansas 3

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Kansas	KanCare	Aetna Better Health of Kansas	unmatched	1	23.3% calculated	35.5%
Kansas	KanCare	Sunflower Health Plan	unmatched	1	28.9% calculated	33.4%
Kansas	KanCare	UnitedHealthcare Community Plan of Kansas	UnitedHealth	1	25.2% calculated	31.1%

Kentucky 6

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Kentucky	Medicaid Managed Care Organization Contract	Aetna Better Health	unmatched	11	0.7% calculated	16.8%
Kentucky	Medicaid Managed Care Organization Contract	Anthem Blue Cross/Blue Shield	unmatched	8	2.8% calculated	12.1%
Kentucky	Medicaid Managed Care Organization Contract	Humana Healthy Horizons	unmatched	9	0.5% calculated	10.7%
Kentucky	Medicaid Managed Care Organization Contract	Passport by Molina	Molina	4	0.3% calculated	22.2%
Kentucky	Medicaid Managed Care Organization Contract	United Healthcare Community Plan	unmatched	0	1.2% calculated	6.2%
Kentucky	Medicaid Managed Care Organization Contract	WellCare of KY	unmatched	1	130.9% calculated	31.9%

Louisiana 9

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Louisiana	Coordinated System of Care	Magellan Complete Care of Louisiana	unmatched	0	not reported	0.2%
Louisiana	Dental Benefit Program Management	DentaQuest	SunLife US	13	19.1% calculated	52.2%
Louisiana	Dental Benefit Program Management	MCNA of Louisiana	unmatched	7	7.7% calculated	48%
Louisiana	Healthy Louisiana	Aetna Better Health of Louisiana	unmatched	5	30.7% calculated	9.8%
Louisiana	Healthy Louisiana	AmeriHealth Caritas Louisiana	unmatched	14	39.7% calculated	11.3%
Louisiana	Healthy Louisiana	Healthy Blue	unmatched	13	18.4% calculated	18.1%
Louisiana	Healthy Louisiana	Humana Healthy Horizons	Humana	17	30.8% calculated	8.6%
Louisiana	Healthy Louisiana	Louisiana Healthcare Connections	unmatched	29	45.4% calculated	27.8%
Louisiana	Healthy Louisiana	UnitedHealthcare Community Plan	unmatched	32	27.5% calculated	24.3%

Maryland 9

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Maryland	Maryland HealthChoice Program	Aetna Better Health of Maryland (ABH)	unmatched	2	40.5% calculated	4.3%
Maryland	Maryland HealthChoice Program	CareFirst BlueCross BlueShield Community Health Plan (CFCHP)	unmatched	3	65.9% calculated	6.7%
Maryland	Maryland HealthChoice Program	Jai Medical Systems, Inc. (JMS)	unmatched	0	78.3% calculated	2%
Maryland	Maryland HealthChoice Program	Kaiser Permanente of the Mid-Atlantic States, Inc. (KPMAS)	unmatched	1	52.2% calculated	7.9%
Maryland	Maryland HealthChoice Program	Maryland Physicians Care (MPC)	unmatched	3	40.1% calculated	6.9%
Maryland	Maryland HealthChoice Program	MedStar Family Choice, Inc. (MSFC)	unmatched	2	71.4% calculated	16.1%
Maryland	Maryland HealthChoice Program	Priority Partners (PPMCO)	unmatched	2	50.4% calculated	23.5%
Maryland	Maryland HealthChoice Program	United Healthcare Community Plan (UHC)	unmatched	2	52.6% calculated	11.2%
Maryland	Maryland HealthChoice Program	Wellpoint Maryland (WPM)	unmatched	3	47.4% calculated	21.4%

Massachusetts 29

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Massachusetts	Accountable Care Partnership Plan (ACPP)	Be Healthy Partnership Plan	unmatched	0	58.7% calculated	3.4%
Massachusetts	Accountable Care Partnership Plan (ACPP)	Berkshire Fallon Health Collaborative	Fallon Community Health Plan, Inc.	0	62.6% calculated	1.2%
Massachusetts	Accountable Care Partnership Plan (ACPP)	East Boston Neighborhood Health WellSense Alliance	Boston Medical Center Health Plan, Inc.	1	68.6% calculated	2.1%
Massachusetts	Accountable Care Partnership Plan (ACPP)	Fallon 365 Care	Fallon Community Health Plan, Inc.	1	65.4% calculated	2.5%
Massachusetts	Accountable Care Partnership Plan (ACPP)	Fallon Health-Atrius Health Care Collaborative	Fallon Community Health Plan, Inc.	0	68.4% calculated	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	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	2.5%
Massachusetts	Accountable Care Partnership Plan (ACPP)	Tufts Health Together with UMass Memorial Health	Tufts Health Public Plans, Inc.	0	49.0% calculated	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	4.6%
Massachusetts	Accountable Care Partnership Plan (ACPP)	WellSense Boston Children's ACO	Boston Medical Center Health Plan, Inc.	1	68.6% calculated	9.1%
Massachusetts	Accountable Care Partnership Plan (ACPP)	WellSense Care Alliance	Boston Medical Center Health Plan, Inc.	1	50.2% calculated	3.9%
Massachusetts	Accountable Care Partnership Plan (ACPP)	WellSense Community Alliance	Boston Medical Center Health Plan, Inc.	1	55.5% calculated	9.6%
Massachusetts	Accountable Care Partnership Plan (ACPP)	WellSense Mercy Alliance	Boston Medical Center Health Plan, Inc.	0	57.4% calculated	2.1%
Massachusetts	Accountable Care Partnership Plan (ACPP)	WellSense Signature Alliance	Boston Medical Center Health Plan, Inc.	2	60.4% calculated	1.7%
Massachusetts	Accountable Care Partnership Plan (ACPP)	WellSense Southcoast Alliance	Boston Medical Center Health Plan, Inc.	1	54.1% calculated	1.3%
Massachusetts	Behavioral Health Vendor (PIHP)	Massachusetts Behavioral Health Partnership (MBHP)	unmatched	0	61.9% calculated	27.6%
Massachusetts	Managed Care Organization (MCO)	Tufts Health Together	Tufts Health Public Plans, Inc.	0	52.9% calculated	2.3%
Massachusetts	Managed Care Organization (MCO)	WellSense Essential MCO	Boston Medical Center Health Plan, Inc.	1	47.5% calculated	1.6%
Massachusetts	One Care Medicare Medicaid Plan	Commonwealth Care Alliance One Care	unmatched	7	39.4% calculated	2.1%
Massachusetts	One Care Medicare Medicaid Plan	Tufts One Care	unmatched	1	48.4% calculated	0.5%
Massachusetts	One Care Medicare Medicaid Plan	UnitedHealthcare Connected for One Care	unmatched	3	68.8% calculated	0.3%
Massachusetts	Primary Care Accountable Care Organization (PCACO)	Community Care Cooperative	Community Care Health Plan (WI)	0	not reported	13.5%
Massachusetts	Primary Care Accountable Care Organization (PCACO)	Revere Health Choice	unmatched	0	not reported	7%
Massachusetts	Senior Care Options (SCO)	Commonwealth Care Alliance SCO	unmatched	9	36.5% calculated	1.2%
Massachusetts	Senior Care Options (SCO)	NaviCare SCO	unmatched	3	59.0% calculated	0.7%
Massachusetts	Senior Care Options (SCO)	Senior Whole Health SCO	unmatched	2	66.8% calculated	0.9%
Massachusetts	Senior Care Options (SCO)	Tufts Health Plan SCO	unmatched	0	42.9% calculated	0.9%
Massachusetts	Senior Care Options (SCO)	UnitedHealthCare SCO	unmatched	2	41.0% calculated	1.7%
Massachusetts	Senior Care Options (SCO)	Wellsense SCO	unmatched	2	64.9% calculated	0.2%

Michigan 47

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Michigan	MI Choice Waiver	A & D Home Health Care	unmatched	1	not reported	0%
Michigan	MI Choice Waiver	Area Agency On Aging 1B	unmatched	1	not reported	0%
Michigan	MI Choice Waiver	Area Agency on Aging of Northwest Michigan	unmatched	1	not reported	0%
Michigan	MI Choice Waiver	Area Agency on Aging of Western Michigan	unmatched	1	not reported	0%
Michigan	MI Choice Waiver	Detroit Area Agency on Aging	unmatched	1	not reported	0.1%
Michigan	MI Choice Waiver	MORC Home Care	unmatched	1	not reported	0%
Michigan	MI Choice Waiver	Northeast Michigan Community Service - Region 9	unmatched	1	not reported	0%
Michigan	MI Choice Waiver	Northern Healthcare Management	unmatched	0	not reported	0%
Michigan	MI Choice Waiver	Region 2 Area Agency on Aging	unmatched	1	not reported	0%
Michigan	MI Choice Waiver	Region 3B	unmatched	1	not reported	0%
Michigan	MI Choice Waiver	Region IV Area Agency on Aging	unmatched	1	not reported	0%
Michigan	MI Choice Waiver	Region VII Area Agency on Aging	unmatched	1	not reported	0%
Michigan	MI Choice Waiver	Reliance Community Care Partners	unmatched	1	not reported	0%
Michigan	MI Choice Waiver	Senior Resources	unmatched	1	not reported	0%
Michigan	MI Choice Waiver	Senior Services	unmatched	1	not reported	0%
Michigan	MI Choice Waiver	The Information Center	The Information Center	1	not reported	0%
Michigan	MI Choice Waiver	The senior Alliance	unmatched	1	not reported	0%
Michigan	MI Choice Waiver	Tri-County Office on Aging	unmatched	1	not reported	0%
Michigan	MI Choice Waiver	UPCAP Care Management, Inc	unmatched	1	not reported	0%
Michigan	MI Choice Waiver	Valley Area Agency on Aging	unmatched	1	not reported	0%
Michigan	MI Health Link Financial Alignment Demonstration	Aetna Better Health of Michigan, Inc.	unmatched	4	61.1% calculated	0.32%
Michigan	MI Health Link Financial Alignment Demonstration	AmeriHealth Caritas VIP Care Plus	unmatched	4	25.5% calculated	0.11%
Michigan	MI Health Link Financial Alignment Demonstration	HAP Empowered Health Plan, Inc.	unmatched	3	48.9% calculated	0.15%
Michigan	MI Health Link Financial Alignment Demonstration	MeridianComplete Health Plan	unmatched	4	97.0% calculated	0.23%
Michigan	MI Health Link Financial Alignment Demonstration	Molina Healthcare, Inc.	unmatched	3	69.7% calculated	0.38%
Michigan	MI Health Link Financial Alignment Demonstration	Upper Peninsula Heath Plan	unmatched	3	33.3% calculated	0.17%
Michigan	Michigan Comprehensive Health Care Program	Aetna Better Health of Michigan	unmatched	0	39.6% calculated	1.6%
Michigan	Michigan Comprehensive Health Care Program	Blue Cross Complete of Michigan	unmatched	0	45.7% calculated	11.7%
Michigan	Michigan Comprehensive Health Care Program	HAP CareSource	Health Alliance Plan	3	19.0% calculated	1.3%
Michigan	Michigan Comprehensive Health Care Program	McLaren Health Plan	unmatched	3	73.9% calculated	8.8%
Michigan	Michigan Comprehensive Health Care Program	Meridian Health Plan of Michigan	unmatched	3	71.8% calculated	16.6%
Michigan	Michigan Comprehensive Health Care Program	Molina Healthcare of Michigan	unmatched	1	40.3% calculated	13%
Michigan	Michigan Comprehensive Health Care Program	Priority Health Choice	unmatched	2	22.2% calculated	8.7%
Michigan	Michigan Comprehensive Health Care Program	UnitedHealthcare Community Plan	unmatched	0	77.0% calculated	10.3%
Michigan	Michigan Comprehensive Health Care Program	Upper Peninsula Health Plan	unmatched	1	63.3% calculated	1.7%
Michigan	Michigan Healthy Kids Dental	Blue Cross Blue Shield of Michigan	unmatched	1	9.8% calculated	12.5%
Michigan	Michigan Healthy Kids Dental	Delta Dental Plan of Michigan	unmatched	0	23.5% calculated	25.8%
Michigan	Pre-Paid Inpatient Health Plans	Reg 1 NorthCare	unmatched	1	not reported	2.5%
Michigan	Pre-Paid Inpatient Health Plans	Reg 2 Northern MI Regional Entity	unmatched	0	not reported	4.6%
Michigan	Pre-Paid Inpatient Health Plans	Reg 3 Lakeshore Regional Entity	unmatched	1	not reported	10.6%
Michigan	Pre-Paid Inpatient Health Plans	Reg 4 South West Michigan Behavioral Health	unmatched	0	not reported	8.1%
Michigan	Pre-Paid Inpatient Health Plans	Reg 5 Mid-State Health Network	unmatched	1	not reported	15.4%
Michigan	Pre-Paid Inpatient Health Plans	Reg 6 CMH Partnership of Southeast MI	unmatched	1	not reported	4.9%
Michigan	Pre-Paid Inpatient Health Plans	Reg 7 Detroit Wayne Integrated Health Network	unmatched	1	not reported	25.9%
Michigan	Pre-Paid Inpatient Health Plans	Reg 8 Oakland Community Health Network	unmatched	1	not reported	7.3%
Michigan	Pre-Paid Inpatient Health Plans	Reg 9 Macomb County CMH Services	unmatched	0	not reported	8.3%
Michigan	Pre-Paid Inpatient Health Plans	Region 10 PIHP	unmatched	1	not reported	7.7%

Minnesota 24

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Minnesota	Family and Children's MCPAR	Blue Plus	unmatched	2	54.3% calculated	25.2%
Minnesota	Family and Children's MCPAR	Health Partners	unmatched	0	27.9% calculated	12.8%
Minnesota	Family and Children's MCPAR	Hennepin Health	unmatched	1	64.1% calculated	2%
Minnesota	Family and Children's MCPAR	Itasca Medical Care	unmatched	0	56.5% calculated	0.6%
Minnesota	Family and Children's MCPAR	Medica	unmatched	1	56.9% calculated	1%
Minnesota	Family and Children's MCPAR	Prime West	unmatched	0	56.2% calculated	3.8%
Minnesota	Family and Children's MCPAR	South Country Health Alliance	unmatched	0	78.6% calculated	1.7%
Minnesota	Family and Children's MCPAR	UCare	unmatched	0	59.8% calculated	28.8%
Minnesota	Family and Children's MCPAR	United Health Care	unmatched	1	58.5% calculated	2.6%
Minnesota	SNBC MCPAR	Health Partners	unmatched	0	31.5% calculated	0%
Minnesota	SNBC MCPAR	Hennepin Health	unmatched	2	74.4% calculated	0.6%
Minnesota	SNBC MCPAR	Medica	unmatched	1	60.4% calculated	0.2%
Minnesota	SNBC MCPAR	Prime West	unmatched	0	74.7% calculated	0%
Minnesota	SNBC MCPAR	South Country Health Alliance	unmatched	0	81.2% calculated	1.1%
Minnesota	SNBC MCPAR	UCare	unmatched	0	67.4% calculated	0.2%
Minnesota	SNBC MCPAR	United Health Care	unmatched	1	66.7% calculated	0.2%
Minnesota	Seniors MCPAR	Blue Plus	unmatched	2	53.3% calculated	1.3%
Minnesota	Seniors MCPAR	Heatlh Partners	unmatched	0	50.8% calculated	0.7%
Minnesota	Seniors MCPAR	Itasca Medical Care	unmatched	0	12.5% calculated	0.1%
Minnesota	Seniors MCPAR	Medica	unmatched	1	58.9% calculated	1.3%
Minnesota	Seniors MCPAR	Prime West	unmatched	0	56.5% calculated	0.3%
Minnesota	Seniors MCPAR	South Country Health Alliance	unmatched	0	50.0% calculated	0.2%
Minnesota	Seniors MCPAR	UCare	unmatched	0	45.4% calculated	2.3%
Minnesota	Seniors MCPAR	United Health Care	unmatched	1	not reported	0%

Mississippi 3

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Mississippi	Mississippi Coordinated Access Network (MSCAN)	Magnolia Health Plan	unmatched	3	49.4% calculated	95.3%
Mississippi	Mississippi Coordinated Access Network (MSCAN)	Molina Healthcare of MS	unmatched	2	35.5% calculated	22.3%
Mississippi	Mississippi Coordinated Access Network (MSCAN)	UnitedHealthcare Community Plan of MS	unmatched	3	48.8% calculated	38.2%

Missouri 4

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Missouri	MO HealthNet Managed Care Program	Healthy Blue	Elevance	23	not reported	35%
Missouri	MO HealthNet Managed Care Program	Home State Health Plan	unmatched	31	not reported	30.8%
Missouri	MO HealthNet Managed Care Program	Show Me Healthy Kids	Centene	17	not reported	4.6%
Missouri	MO HealthNet Managed Care Program	UnitedHealthcare	UnitedHealth	28	not reported	29.6%

Montana 5

State	Program	Plan	Parent	Appeal rate	Managed care enrollment share
Montana	Comprehensive Primary Care Plus	CPC+ Primary Care Case Management	unmatched	not reported	27.7%
Montana	Passport to Health	Passport to Health Primary Care Case Management	unmatched	not reported	53.9%
Montana	Patient Centered Medical Home (PCMH)	PCMH Primary Care Case Management	unmatched	not reported	18.4%
Montana	Team Care	Team Care Primary Care Case Management	unmatched	not reported	0%
Montana	Tribal Health Improvement Program	Tribal Health Improvement Program	Tribal Health Improvement Program	not reported	10.6%

Nevada 5

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Nevada	Nevada Dental Benefits Administrator (DBA) Program	Liberty Dental Plan	unmatched	1	14.7% calculated	103.1%
Nevada	Nevada Medicaid Managed Care Program	Anthem Blue Cross and Blue Shield Healthcare	unmatched	1	24.7% calculated	34.3%
Nevada	Nevada Medicaid Managed Care Program	Molina Healthcare of Nevada	Molina	1	47.8% calculated	16.7%
Nevada	Nevada Medicaid Managed Care Program	SilverSummit Health Plan	Centene	1	42.7% calculated	18.3%
Nevada	Nevada Medicaid Managed Care Program	United Healthcare Health Plan of NV	unmatched	1	50.0% calculated	35.3%

New Hampshire 4

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
New Hampshire	New Hampshire Medicaid Care Management Dental Services	Delta Dental Plan of NH, Inc	unmatched	1	not reported	100%
New Hampshire	New Hampshire Medicaid Care Management Program	AmeriHealth Caritas New Hampshire	unmatched	1	not reported	20.3%
New Hampshire	New Hampshire Medicaid Care Management Program	NH Healthy Families	unmatched	1	not reported	38.8%
New Hampshire	New Hampshire Medicaid Care Management Program	WellSense Health Plan	Boston Medical Center Health Plan, Inc.	1	not reported	40.9%

New Jersey 10

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
New Jersey	New Jersey FamilyCare Core Medicaid Acute Care 12/27/2024	Aetna Better Health of New Jersey	unmatched	6	25.1% calculated	6.2%
New Jersey	New Jersey FamilyCare Core Medicaid Acute Care 12/27/2024	Fidelis Care	unmatched	5	48.9% calculated	4.4%
New Jersey	New Jersey FamilyCare Core Medicaid Acute Care 12/27/2024	Horizon NJ Health	unmatched	6	21.9% calculated	55.7%
New Jersey	New Jersey FamilyCare Core Medicaid Acute Care 12/27/2024	UnitedHealthcare Community Plan	unmatched	4	27.2% calculated	19.1%
New Jersey	New Jersey FamilyCare Core Medicaid Acute Care 12/27/2024	Wellpoint	unmatched	5	23.2% calculated	11.4%
New Jersey	New Jersey FamilyCare MLTSS 12/27/2024	Aetna Better Health of New Jersey	unmatched	6	19.0% calculated	0.3%
New Jersey	New Jersey FamilyCare MLTSS 12/27/2024	Fidelis Care	unmatched	5	48.1% calculated	0.7%
New Jersey	New Jersey FamilyCare MLTSS 12/27/2024	Horizon NJ Health	unmatched	6	13.1% calculated	1.1%
New Jersey	New Jersey FamilyCare MLTSS 12/27/2024	UnitedHealthcare Community Plan	unmatched	4	14.6% calculated	0.7%
New Jersey	New Jersey FamilyCare MLTSS 12/27/2024	Wellpoint	unmatched	5	21.5% calculated	0.5%

New Mexico 7

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
New Mexico	Centennial Care 2.0	Blue Cross Blue Shield	unmatched	1	54.2% calculated	36.4%
New Mexico	Centennial Care 2.0	Presbyterian Health Plan	unmatched	1	27.0% calculated	51.9%
New Mexico	Centennial Care 2.0	Western Sky Community Care	unmatched	2	45.2% calculated	11.8%
New Mexico	Turquoise Care	Blue Cross Blue Shield	unmatched	1	not reported	37.5%
New Mexico	Turquoise Care	Molina Healthcare	Molina	0	not reported	5.8%
New Mexico	Turquoise Care	Presbyterian Health Plan	unmatched	2	not reported	51.1%
New Mexico	Turquoise Care	UnitedHealthcare	unmatched	0	not reported	5.6%

New York 62

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
New York	2023-24 Fully Integrated Dual Advantage for IDD ( FIDA-IDD)	Partners Health Plan Inc.	unmatched	0	not reported	0.031%
New York	2023-24 HIV Special Needs Plan ( HIVSNP)	AmidaCare Inc.,	unmatched	2	not reported	0.15%
New York	2023-24 HIV Special Needs Plan ( HIVSNP)	Metro Plus Health Care Inc.,	unmatched	3	not reported	0.08%
New York	2023-24 HIV Special Needs Plan ( HIVSNP)	VNS Choice	unmatched	0	not reported	0.06%
New York	2023-24 Health and Recovery Program (HARP)	Anthem	unmatched	4	not reported	0.1%
New York	2023-24 Health and Recovery Program (HARP)	Capital District Physicians' Health Plan, Inc	unmatched	2	not reported	0.1%
New York	2023-24 Health and Recovery Program (HARP)	Excellus Health Plan, Inc	unmatched	3	not reported	0.2%
New York	2023-24 Health and Recovery Program (HARP)	Health Insurance Plan of Greater New York	unmatched	4	not reported	0.1%
New York	2023-24 Health and Recovery Program (HARP)	Healthfirst PHSP, Inc.	unmatched	2	not reported	0.6%
New York	2023-24 Health and Recovery Program (HARP)	Highmark Western & Northeastern New York Inc.	unmatched	3	not reported	0%
New York	2023-24 Health and Recovery Program (HARP)	Independent Health Association, Inc.	unmatched	2	not reported	0%
New York	2023-24 Health and Recovery Program (HARP)	MVP Health Plan, Inc.	unmatched	1	not reported	0.1%
New York	2023-24 Health and Recovery Program (HARP)	MetroPlus Health Plan, Inc	unmatched	3	not reported	0.2%
New York	2023-24 Health and Recovery Program (HARP)	Molina Healthcare of New York, Inc.	unmatched	3	not reported	0.1%
New York	2023-24 Health and Recovery Program (HARP)	New York Quality Health Care Corporation (Fidelis)	unmatched	4	not reported	0.8%
New York	2023-24 Health and Recovery Program (HARP)	UnitedHealthcare of New York, Inc.	unmatched	3	not reported	0%
New York	2023-24 Mainstream Managed Care (MMC)	Anthem HP, LLC	unmatched	4	not reported	6.4%
New York	2023-24 Mainstream Managed Care (MMC)	Capital District Physicians' Health Plan, Inc.	unmatched	2	not reported	1.6%
New York	2023-24 Mainstream Managed Care (MMC)	Excellus Health Plan, Inc.	unmatched	3	not reported	3.5%
New York	2023-24 Mainstream Managed Care (MMC)	Health Insurance Plan of Greater New York	unmatched	4	not reported	2.6%
New York	2023-24 Mainstream Managed Care (MMC)	HealthFirst PHSP, Inc.	unmatched	3	not reported	20.1%
New York	2023-24 Mainstream Managed Care (MMC)	Highmark Western and Northeastern New York Inc.	unmatched	3	not reported	0.9%
New York	2023-24 Mainstream Managed Care (MMC)	Independent Health Association, Inc.	unmatched	3	not reported	1.1%
New York	2023-24 Mainstream Managed Care (MMC)	MVP Health Plan, Inc.	unmatched	1	not reported	3.5%
New York	2023-24 Mainstream Managed Care (MMC)	MetroPlus Health Plan, Inc.	unmatched	3	not reported	8.1%
New York	2023-24 Mainstream Managed Care (MMC)	Molina Healthcare of New York, Inc.	unmatched	3	not reported	4.6%
New York	2023-24 Mainstream Managed Care (MMC)	NY Quality Healthcare Corporation ( dba Fidelis)	unmatched	4	not reported	27.5%
New York	2023-24 Mainstream Managed Care (MMC)	United Healthcare of New York, Inc.	unmatched	3	not reported	0.2%
New York	2023-24 Medicaid Advantage Plus (MAP)	Anthem HP, LLC	unmatched	1	not reported	0.002%
New York	2023-24 Medicaid Advantage Plus (MAP)	Centers Plan for Healthy Living, LLC	unmatched	0	not reported	0.038%
New York	2023-24 Medicaid Advantage Plus (MAP)	Elderplan, Inc.	unmatched	0	not reported	0.069%
New York	2023-24 Medicaid Advantage Plus (MAP)	Elderserve Health, Inc., dba RiverSpring at Home	unmatched	0	not reported	0.004%
New York	2023-24 Medicaid Advantage Plus (MAP)	Hamaspik Inc.	unmatched	1	not reported	0.015%
New York	2023-24 Medicaid Advantage Plus (MAP)	HealthFirst Health Plan Inc. (Senior Health Partners)	unmatched	0	not reported	0.51%
New York	2023-24 Medicaid Advantage Plus (MAP)	MetroPlus Health Plan Inc.	unmatched	1	not reported	0.003%
New York	2023-24 Medicaid Advantage Plus (MAP)	NY Quality Healthcare Corp (Centene)	unmatched	0	not reported	0.019%
New York	2023-24 Medicaid Advantage Plus (MAP)	Senior Whole Health of NY Inc.	unmatched	0	not reported	0.005%
New York	2023-24 Medicaid Advantage Plus (MAP)	VNS Choice	unmatched	1	not reported	0.076%
New York	2023-24 Medicaid Advantage Plus (MAP)	Village Senior Services Corp (VillageCare Max)	unmatched	2	not reported	0.051%
New York	2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP)	Aetna Better Health, Inc.	unmatched	1	not reported	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	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	0.01%
New York	2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP)	Centers Plan for Healthy Living LLC	unmatched	1	not reported	0.9%
New York	2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP)	Elder Plan, Inc. (dba Homefirst)	unmatched	3	not reported	0.4%
New York	2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP)	Elderserve Health (dba RiverSpring)	unmatched	1	not reported	0.3%
New York	2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP)	ErieNiagara MLTCP Inc (dba Kalos)	unmatched	2	not reported	0.02%
New York	2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP)	EverCare Choice Inc (dba Elant)	unmatched	3	not reported	0.01%
New York	2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP)	Extended MLTC, LLC (7/31/23)	unmatched	1	not reported	0.1%
New York	2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP)	Fallon Health Weinberg, Inc. (12/31/23)	unmatched	2	not reported	0.003%
New York	2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP)	Hamaspik Choice Inc.	unmatched	2	not reported	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	0.2%
New York	2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP)	Icircle Services of the Finger Lakes	unmatched	1	not reported	0.1%
New York	2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP)	MetroPlus Health Plan Inc.	unmatched	2	not reported	0.03%
New York	2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP)	Montefiore HMO LLC (12/31/23)	unmatched	1	not reported	0.02%
New York	2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP)	NY Quality Healthcare Corp. (dba Fidelis Care)	unmatched	2	not reported	0.3%
New York	2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP)	Niagara Adv Health Plan LLC (dba Elderwood)	unmatched	2	not reported	0.02%
New York	2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP)	Prime Health Choice LLC	unmatched	4	not reported	0.01%
New York	2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP)	Senior Network Health LLC	unmatched	1	not reported	0.01%
New York	2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP)	Senior Whole Health of NY	unmatched	1	not reported	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	0.1%
New York	2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP)	VNS Health MLTC	unmatched	1	not reported	0.4%
New York	2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP)	Village Sr Services Corp (dba VillageCare Max)	unmatched	2	not reported	0.4%

North Carolina 13

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
North Carolina	Community Care of North Carolina	North Carolina Community Care	unmatched	0	not reported	14.6%
North Carolina	PIHP	Alliance	unmatched	1	not reported	5.2%
North Carolina	PIHP	Eastpointe	unmatched	0	not reported	2%
North Carolina	PIHP	Partners	unmatched	1	not reported	4%
North Carolina	PIHP	Sandhills	unmatched	1	not reported	2.9%
North Carolina	PIHP	Trillium	unmatched	0	not reported	5%
North Carolina	PIHP	Vaya	unmatched	1	not reported	4.1%
North Carolina	Standard Plan	Amerihealth Caritas	unmatched	5	not reported	13.9%
North Carolina	Standard Plan	Blue Cross and Blue Shield	unmatched	5	not reported	21.1%
North Carolina	Standard Plan	Carolina Complete Health	Centene	5	not reported	9.9%
North Carolina	Standard Plan	UnitedHealthcare	UnitedHealth	5	not reported	16.3%
North Carolina	Standard Plan	WellCare	unmatched	4	not reported	17.1%
North Carolina	Tribal Option	EBCI Tribal Option	EBCI Tribal Option	0	not reported	0.2%

North Dakota 1

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
North Dakota	Medicaid Expansion June 2025 Submission	Blue Cross Blue Shield North Dakota	unmatched	1	36.9% calculated	100%

Ohio 14

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Ohio	MyCare Ohio 12/27/2024	Aetna Better Health of Ohio	unmatched	2	53.5% calculated	20%
Ohio	MyCare Ohio 12/27/2024	Buckeye Health Plan	unmatched	4	34.6% calculated	18.2%
Ohio	MyCare Ohio 12/27/2024	CareSource Ohio, Inc.	unmatched	3	50.1% calculated	22.7%
Ohio	MyCare Ohio 12/27/2024	Molina Healthcare of Ohio	unmatched	4	42.4% calculated	19.4%
Ohio	MyCare Ohio 12/27/2024	UnitedHealthcare Community Plan of Ohio	unmatched	9	59.7% calculated	19.7%
Ohio	Ohio Medicaid Managed Care	AmeriHealth Caritas of Ohio	unmatched	9	27.4% calculated	4.1%
Ohio	Ohio Medicaid Managed Care	Anthem Blue Cross and Blue Shield	unmatched	10	69.1% calculated	8.4%
Ohio	Ohio Medicaid Managed Care	Buckeye Health Plan	unmatched	5	34.1% calculated	14.2%
Ohio	Ohio Medicaid Managed Care	CareSource Ohio, Inc.	unmatched	7	20.8% calculated	47.3%
Ohio	Ohio Medicaid Managed Care	Humana Healthy Horizons	unmatched	7	37.0% calculated	4.4%
Ohio	Ohio Medicaid Managed Care	Molina Healthcare of Ohio	unmatched	6	54.6% calculated	10.3%
Ohio	Ohio Medicaid Managed Care	UnitedHealthcare Community Plan of Ohio	unmatched	11	27.5% calculated	11.2%
Ohio	Ohio Single Pharmacy Benefit Manager	Gainwell Technologies	unmatched	2	60.4% calculated	100%
Ohio	OhioRISE	Aetna Better Health of Ohio, Inc.	unmatched	0	31.7% calculated	1.1%

Oregon 16

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Oregon	Oregon Health Plan 2024 Coordinated Care Organizations	Advanced Health	Advanced Health	0	30.3% calculated	2.1%
Oregon	Oregon Health Plan 2024 Coordinated Care Organizations	AllCare CCO	unmatched	0	37.2% calculated	4.9%
Oregon	Oregon Health Plan 2024 Coordinated Care Organizations	Cascade Health Alliance	unmatched	0	52.5% calculated	2%
Oregon	Oregon Health Plan 2024 Coordinated Care Organizations	Columbia Pacific CCO	unmatched	0	48.2% calculated	2.8%
Oregon	Oregon Health Plan 2024 Coordinated Care Organizations	Eastern Oregon CCO	unmatched	1	45.7% calculated	5.8%
Oregon	Oregon Health Plan 2024 Coordinated Care Organizations	Health Share of Oregon	unmatched	0	41.4% calculated	33.6%
Oregon	Oregon Health Plan 2024 Coordinated Care Organizations	InterCommunity Health Network CCO	unmatched	1	44.3% calculated	6.2%
Oregon	Oregon Health Plan 2024 Coordinated Care Organizations	Jackson Care Connect	unmatched	0	45.7% calculated	4.9%
Oregon	Oregon Health Plan 2024 Coordinated Care Organizations	Pacific Source - Central Oregon Region	unmatched	1	24.3% calculated	5.7%
Oregon	Oregon Health Plan 2024 Coordinated Care Organizations	Pacific Source - Columbia Gorge Region	unmatched	1	24.7% calculated	1.4%
Oregon	Oregon Health Plan 2024 Coordinated Care Organizations	Pacific Source - Lane	unmatched	1	29.1% calculated	6.9%
Oregon	Oregon Health Plan 2024 Coordinated Care Organizations	Pacific Source - Marion/Polk	unmatched	1	24.3% calculated	11.4%
Oregon	Oregon Health Plan 2024 Coordinated Care Organizations	Trillium Community Health Plan - Southwest	unmatched	1	67.4% calculated	2.6%
Oregon	Oregon Health Plan 2024 Coordinated Care Organizations	Trillium Community Health Plan - Tri-County	Centene	1	65.1% calculated	4.3%
Oregon	Oregon Health Plan 2024 Coordinated Care Organizations	Umpqua Health Alliance	unmatched	0	43.6% calculated	2.9%
Oregon	Oregon Health Plan 2024 Coordinated Care Organizations	Yamhill Community Care	unmatched	0	52.1% calculated	2.7%

Pennsylvania 63

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Pennsylvania	Adult Community Autism Program (ACAP)	Keystone Autism Services (KAS)	unmatched	4	not reported	0%
Pennsylvania	Office of Long Term Living - Community HealthChoices_2025	Pennsylvania Health & Wellness	Centene	1	not reported	2.91%
Pennsylvania	Office of Long Term Living - Community HealthChoices_2025	UPMC Community HealthChoices	UPMC	8	not reported	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	6.16%
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	AmeriHealth Caritas Pennsylvania LC	unmatched	0	not reported	7%
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	AmeriHealth Caritas Pennsylvania NE	unmatched	0	not reported	4%
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	AmeriHealth Caritas Pennsylvania NW	unmatched	0	not reported	0.86%
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	AmeriHealth Caritas Pennsylvania SW	unmatched	0	not reported	0.59%
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	AmeriHealth Caritas Pennsylvania	unmatched	0	not reported	not reported
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	Geisinger Health Plan LC	unmatched	0	not reported	0.88%
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	Geisinger Health Plan NE	unmatched	0	not reported	7%
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	Geisinger Health Plan NW	unmatched	0	not reported	0.25%
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	Geisinger Health Plan SE	unmatched	0	not reported	0.55%
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	Geisinger Health Plan SW	unmatched	0	not reported	0.42%
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	Geisinger Health Plan	unmatched	8	not reported	not reported
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	Health Partners Plans LC	unmatched	0	not reported	0.92%
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	Health Partners Plans NE	unmatched	0	not reported	0.43%
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	Health Partners Plans NW	unmatched	0	not reported	0.27%
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	Health Partners Plans SE	unmatched	0	not reported	9%
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	Health Partners Plans SW	unmatched	0	not reported	0.47%
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	Health Partners Plans	unmatched	3	not reported	not reported
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	Highmark Wholecare LC	unmatched	0	not reported	6%
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	Highmark Wholecare SW	unmatched	0	not reported	4%
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	Highmark Wholecare	unmatched	2	not reported	not reported
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	Keystone First SE	unmatched	0	not reported	16%
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	UPMC for You LC	unmatched	0	not reported	4%
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	UPMC for You NE	unmatched	0	not reported	0.7%
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	UPMC for You NW	unmatched	0	not reported	4%
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	UPMC for You SE	unmatched	0	not reported	0.81%
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	UPMC for You SW	unmatched	0	not reported	11%
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	UPMC for You	unmatched	3	not reported	not reported
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	United Healthcare SE	unmatched	0	not reported	4%
Pennsylvania	Office of Medical Assistance Programs - Physical HealthChoices_2025	United Healthcare	unmatched	1	not reported	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	not reported
Pennsylvania	The Office of Mental Health and Substance Abuse Services_2025	Allegheny HealthChoices, Inc.	unmatched	0	not reported	not reported
Pennsylvania	The Office of Mental Health and Substance Abuse Services_2025	BHARP (Behavioral Health Alliance of Rural Pennsylvania)	unmatched	0	not reported	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	not reported
Pennsylvania	The Office of Mental Health and Substance Abuse Services_2025	Beaver County HealthChoices	unmatched	0	not reported	not reported
Pennsylvania	The Office of Mental Health and Substance Abuse Services_2025	Berks County	unmatched	0	not reported	not reported
Pennsylvania	The Office of Mental Health and Substance Abuse Services_2025	Blair Co - Central PA Behavioral Health Collaborative	unmatched	0	not reported	not reported
Pennsylvania	The Office of Mental Health and Substance Abuse Services_2025	Bucks County	unmatched	0	not reported	not reported
Pennsylvania	The Office of Mental Health and Substance Abuse Services_2025	Cambria County	unmatched	0	not reported	not reported
Pennsylvania	The Office of Mental Health and Substance Abuse Services_2025	Capital Area Behavioral Health Collaborative	PerformCare	0	not reported	not reported
Pennsylvania	The Office of Mental Health and Substance Abuse Services_2025	Carbon/Monroe/Pike Joinder Board	unmatched	0	not reported	not reported
Pennsylvania	The Office of Mental Health and Substance Abuse Services_2025	Carelon Health of PA (Carelon)	unmatched	3	69.8% calculated	11%
Pennsylvania	The Office of Mental Health and Substance Abuse Services_2025	Chester County	unmatched	0	not reported	not reported
Pennsylvania	The Office of Mental Health and Substance Abuse Services_2025	City of Philadelphia	unmatched	0	not reported	not reported
Pennsylvania	The Office of Mental Health and Substance Abuse Services_2025	Community Behavioral Health (CBH)	unmatched	7	76.1% calculated	24%
Pennsylvania	The Office of Mental Health and Substance Abuse Services_2025	Community Care Behavioral Health Organization (CCBH)	unmatched	12	41.3% calculated	46%
Pennsylvania	The Office of Mental Health and Substance Abuse Services_2025	County of Delaware	unmatched	2	not reported	not reported
Pennsylvania	The Office of Mental Health and Substance Abuse Services_2025	Erie County	unmatched	0	not reported	not reported
Pennsylvania	The Office of Mental Health and Substance Abuse Services_2025	Fayette County Behavioral Health Administration	unmatched	0	not reported	not reported
Pennsylvania	The Office of Mental Health and Substance Abuse Services_2025	Lehigh County	unmatched	0	not reported	not reported
Pennsylvania	The Office of Mental Health and Substance Abuse Services_2025	Lycoming/Clinton Joinder	unmatched	0	not reported	not reported
Pennsylvania	The Office of Mental Health and Substance Abuse Services_2025	Magellan Behavioral Health (MBH)	unmatched	9	79.9% calculated	14%
Pennsylvania	The Office of Mental Health and Substance Abuse Services_2025	Montgomery County	unmatched	0	not reported	not reported
Pennsylvania	The Office of Mental Health and Substance Abuse Services_2025	NBHCC (Northeast Behavioral Health Care Consortium)	unmatched	0	not reported	not reported
Pennsylvania	The Office of Mental Health and Substance Abuse Services_2025	Northampton County	unmatched	0	not reported	not reported
Pennsylvania	The Office of Mental Health and Substance Abuse Services_2025	Northwest Behavioral Health Partnership Inc	unmatched	0	not reported	not reported
Pennsylvania	The Office of Mental Health and Substance Abuse Services_2025	PerformCare	unmatched	1	100.0% calculated	10%
Pennsylvania	The Office of Mental Health and Substance Abuse Services_2025	Southwest Behavioral Health Management	unmatched	0	not reported	not reported
Pennsylvania	The Office of Mental Health and Substance Abuse Services_2025	Tuscarora Managed Care Alliance	PerformCare	0	not reported	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	not reported

Rhode Island 4

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Rhode Island	Medicaid Managed Care Program (Rhode Island) - 2024	Neighborhood Health Plan of Rhode Island	unmatched	0	36.7% calculated	63.8%
Rhode Island	Medicaid Managed Care Program (Rhode Island) - 2024	Tufts Health Public Plan	unmatched	1	48.4% calculated	5.8%
Rhode Island	Medicaid Managed Care Program (Rhode Island) - 2024	UnitedHealthcare of New England	unmatched	0	33.3% calculated	30.3%
Rhode Island	RIte Smiles Program (Rhode Island) - 2024	UnitedHealthcare Insurance Company (UHIC)	unmatched	0	26.2% calculated	100%

South Carolina 5

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
South Carolina	Medicaid Managed Care	Absolute Total Care	unmatched	2	43.7% calculated	21.5%
South Carolina	Medicaid Managed Care	First Choice by Select Health of South Carolina	unmatched	0	50.8% calculated	39.9%
South Carolina	Medicaid Managed Care	Healthy Blue Blue Choice HealthPlan of SC	unmatched	0	35.1% calculated	18.4%
South Carolina	Medicaid Managed Care	Humana	unmatched	0	40.0% calculated	2.9%
South Carolina	Medicaid Managed Care	Molina	unmatched	0	45.1% calculated	17.3%

Tennessee 4

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Tennessee	TennCare	BlueCare Tennessee (BCT)	unmatched	11	46.3% calculated	37.7%
Tennessee	TennCare	TennCare Select (TCS)	unmatched	6	28.3% calculated	2.5%
Tennessee	TennCare	UnitedHealthcare Community Plan (UHCCP)	unmatched	11	19.3% calculated	29.9%
Tennessee	TennCare	Wellpoint Tennessee (WPT)	unmatched	13	41.0% calculated	29.9%

Texas 37

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Texas	Children's Medicaid Dental Services 2024	DentaQuest USA Insurance Company, Inc.	unmatched	7	27.7% calculated	39%
Texas	Children's Medicaid Dental Services 2024	MCNA Insurance Company	Managed Care of North America (MCNA), Inc.	3	33.9% calculated	25.7%
Texas	Children's Medicaid Dental Services 2024	UnitedHealthcare Insurance Company, Inc.	unmatched	1	25.0% calculated	12.1%
Texas	Medicare-Medicaid Dual Demonstration 2024	Molina Healthcare of Texas, Inc.	Molina	3	13.6% calculated	0.2%
Texas	Medicare-Medicaid Dual Demonstration 2024	Superior HealthPlan, Inc	Centene	5	81.2% calculated	0.1%
Texas	Medicare-Medicaid Dual Demonstration 2024	United Healthcare Community Plan	UnitedHealth	1	87.3% calculated	0.1%
Texas	Medicare-Medicaid Dual Demonstration 2024	Wellpoint Texas Inc (Formerly Amerigroup Texas, Inc.)	unmatched	0	53.6% calculated	0.1%
Texas	STAR 2024	Aetna Better Health of Texas, Inc.	CVS/Aetna	10	35.0% calculated	2.7%
Texas	STAR 2024	Community First Health Plans, Inc.	unmatched	9	32.0% calculated	3%
Texas	STAR 2024	Community Health Choice Texas, Inc.	unmatched	9	28.0% calculated	6.8%
Texas	STAR 2024	Cook Children's Health Plan	unmatched	10	61.3% calculated	2.7%
Texas	STAR 2024	Driscoll Children's Health Plan	unmatched	8	27.5% calculated	4.8%
Texas	STAR 2024	El Paso First Health Plans, Inc.	unmatched	8	63.1% calculated	1.7%
Texas	STAR 2024	Health Care Service Corp. (dba Blue Cross Blue Shield)	Health Care Service Corporation	6	46.6% calculated	1%
Texas	STAR 2024	Molina Healthcare of Texas, Inc.	Molina	1	47.8% calculated	2.7%
Texas	STAR 2024	Parkland Community Health Plan, Inc.	unmatched	10	49.8% calculated	4%
Texas	STAR 2024	SHA. LLC, dba FIRSTCARE	unmatched	2	61.6% calculated	2.1%
Texas	STAR 2024	Scott & White Health Plan	Baylor Scott & White Holdings	7	50.0% calculated	1.2%
Texas	STAR 2024	Seton Health Plan, Inc., dba Dell Children's Health Plan	Seton Insurance Services Corporation	7	34.2% calculated	0.7%
Texas	STAR 2024	Superior Health Plan, Inc.	Centene	3	46.2% calculated	19.7%
Texas	STAR 2024	Texas Children's Health Plan, Inc.	Texas Children's	7	59.8% calculated	10.1%
Texas	STAR 2024	United Healthcare Community Plan	UnitedHealth	2	33.0% calculated	4.5%
Texas	STAR 2024	Wellpoint Ins. Co. (Formerly Amerigroup Texas, Inc.)	unmatched	7	41.9% calculated	13.9%
Texas	STAR Health 2024	Superior HealthPlan	unmatched	4	41.6% calculated	0.6%
Texas	STAR Kids 2024	Aetna Better Health of Texas, Inc.	CVS/Aetna	11	64.6% calculated	0.3%
Texas	STAR Kids 2024	Community First Health Plans, Inc.	unmatched	7	21.0% calculated	0.2%
Texas	STAR Kids 2024	Cook Children's Health Plan	unmatched	9	51.3% calculated	0.2%
Texas	STAR Kids 2024	Driscoll Children's Health Plan	unmatched	8	22.9% calculated	0.2%
Texas	STAR Kids 2024	Health Care Service Corp. (dba Blue Cross Blue Shield)	Health Care Service Corporation	11	41.8% calculated	0.2%
Texas	STAR Kids 2024	Superior Health Plan, Inc.	Centene	6	55.4% calculated	0.7%
Texas	STAR Kids 2024	Texas Children's Health Plan, Inc.	Texas Children's	5	53.2% calculated	0.7%
Texas	STAR Kids 2024	United Healthcare Community Plan	UnitedHealth	3	22.2% calculated	0.6%
Texas	STAR Kids 2024	Wellpoint Insurance Company (Formerly Amerigroup Texas, Inc)	unmatched	7	54.8% calculated	0.6%
Texas	STAR+PLUS 2024	Molina Healthcare of Texas Insurance Co	unmatched	1	55.6% calculated	3.4%
Texas	STAR+PLUS 2024	Superior Health Plan, Inc.	Centene	5	32.4% calculated	3.6%
Texas	STAR+PLUS 2024	United Healthcare Community Plan	UnitedHealth	5	35.1% calculated	3.6%
Texas	STAR+PLUS 2024	Wellpoint Texas Inc (Formerly Amerigroup Texas, Inc)	unmatched	7	48.1% calculated	3.1%

Utah 22

State	Program	Plan	Parent	Appeal rate	Managed care enrollment share
Utah	Utah Medicaid Dental	MCNA Medicaid Dental	unmatched	35.9% calculated	17.8%
Utah	Utah Medicaid Dental	Premier Access Medicaid Dental	unmatched	31.3% calculated	36.9%
Utah	Utah Medicaid HOME	Healthy Outcomes Medical Excellence (HOME)	unmatched	111.1% calculated	0.5%
Utah	Utah Medicaid Integrated Care (UMIC)	Integrated Care Health Choice Utah	unmatched	35.0% calculated	3.1%
Utah	Utah Medicaid Integrated Care (UMIC)	Integrated Care Healthy U	unmatched	29.8% calculated	4.4%
Utah	Utah Medicaid Integrated Care (UMIC)	Integrated Care Molina Healthcare	unmatched	65.2% calculated	3.9%
Utah	Utah Medicaid Integrated Care (UMIC)	Integrated Care SelectHealth Community Care	unmatched	49.8% calculated	7.5%
Utah	Utah Medicaid Prepaid Mental Health Plan (PMHP)	Bear River Mental Health Services	unmatched	not reported	6.6%
Utah	Utah Medicaid Prepaid Mental Health Plan (PMHP)	Central Utah Counseling Center	Central Utah Counseling Center	not reported	3.7%
Utah	Utah Medicaid Prepaid Mental Health Plan (PMHP)	Davis Behavioral Health Services	unmatched	33.3% calculated	7.2%
Utah	Utah Medicaid Prepaid Mental Health Plan (PMHP)	Four Corners Community Behavioral Health	unmatched	not reported	2.2%
Utah	Utah Medicaid Prepaid Mental Health Plan (PMHP)	Healthy U Behavioral Health	University of Utah Health Plans	75.0% calculated	0.5%
Utah	Utah Medicaid Prepaid Mental Health Plan (PMHP)	Northeastern Counseling Center	Northeastern Counseling Center	100.0% calculated	4.7%
Utah	Utah Medicaid Prepaid Mental Health Plan (PMHP)	Salt Lake County Behavioral Health Services	unmatched	19.4% calculated	31.2%
Utah	Utah Medicaid Prepaid Mental Health Plan (PMHP)	Southwest Behavioral Health Center	Southwest Behavioral Health Center	not reported	8.2%
Utah	Utah Medicaid Prepaid Mental Health Plan (PMHP)	United Behavioral Health, Inc.	unmatched	0.0% calculated	2.9%
Utah	Utah Medicaid Prepaid Mental Health Plan (PMHP)	Wasatch Behavioral Health Special Service District	unmatched	20.8% calculated	9.2%
Utah	Utah Medicaid Prepaid Mental Health Plan (PMHP)	Weber Human Services	Weber Human Services	27.3% calculated	15.3%
Utah	Utah Medicaid-ACO	Health Choice Utah	unmatched	96.8% calculated	8%
Utah	Utah Medicaid-ACO	Healthy U	unmatched	94.8% calculated	16.9%
Utah	Utah Medicaid-ACO	Molina Healthcare	unmatched	98.7% calculated	18%
Utah	Utah Medicaid-ACO	SelectHealth Community Care	unmatched	97.6% calculated	30.7%

Vermont 2

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Vermont	Vermont Medicaid Program 06/29/2025	Vermont Medicaid Plan	unmatched	0	6.9% calculated	100%
Vermont	Vermont Medicaid Program	Vermont Medicaid Plan	unmatched	1	not reported	100%

Virginia 5

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Virginia	Cardinal Care	Aetna Better Health of Virginia	unmatched	4	not reported	15.8%
Virginia	Cardinal Care	Anthem Healthkeepers Plus	unmatched	6	not reported	32.8%
Virginia	Cardinal Care	Molina Healthcare	unmatched	5	not reported	7.9%
Virginia	Cardinal Care	Sentara Community Plan	unmatched	14	not reported	32.3%
Virginia	Cardinal Care	United Healthcare Community PLan	unmatched	8	not reported	13.1%

Washington 6

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Washington	IFC MCPAR 2024	Coordinated Care of Washington (CCW)	unmatched	0	59.0% calculated	1.2%
Washington	IMC MCPAR 2024	Community Health Plan of Washington (CHPW)	unmatched	3	75.5% calculated	14.5%
Washington	IMC MCPAR 2024	Coordinated Care of Washington (CCW)	unmatched	1	38.6% calculated	10.3%
Washington	IMC MCPAR 2024	Molina Healthcare of Washington, Incorporated (MHW)	unmatched	3	56.8% calculated	49%
Washington	IMC MCPAR 2024	UnitedHealthcare Community Plan (UHC)	unmatched	4	50.0% calculated	12.1%
Washington	IMC MCPAR 2024	Wellpoint Washington, Incorporated (WLP)	unmatched	2	50.6% calculated	9.9%

West Virginia 4

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
West Virginia	Mountain Health Promise	Aetna Better Health of West Virginia	CVS/Aetna	0	not reported	5.7%
West Virginia	Mountain Health Trust	Aetna Better Health of West Virginia	CVS/Aetna	2	not reported	29.4%
West Virginia	Mountain Health Trust	The Health Plan of West Virginia, Inc.	unmatched	0	35.7% calculated	22.3%
West Virginia	Mountain Health Trust	Wellpoint West Virginia, Inc.	unmatched	0	21.5% calculated	33.5%

Wisconsin 35

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Wisconsin	BadgerCare Plus	Anthem Blue Cross and Blue Shield	unmatched	1	17.6% calculated	12.8%
Wisconsin	BadgerCare Plus	Chorus Community Health Plans (CCHP)	unmatched	0	1.5% calculated	12.6%
Wisconsin	BadgerCare Plus	Dean Health Plan	unmatched	0	10.0% calculated	4.2%
Wisconsin	BadgerCare Plus	Group Health Cooperative of Eau Claire	unmatched	0	14.9% calculated	4.8%
Wisconsin	BadgerCare Plus	Group Health Cooperative of South Central Wisconsin	Group Health Cooperative of South Central Wisconsin	0	0.0% calculated	0.7%
Wisconsin	BadgerCare Plus	Independent Care Health Plan (iCare)	unmatched	0	31.6% calculated	2.8%
Wisconsin	BadgerCare Plus	MHS Health Wisconsin	unmatched	0	5.9% calculated	4.9%
Wisconsin	BadgerCare Plus	MercyCare Insurance Company	unmatched	0	0.0% calculated	1.3%
Wisconsin	BadgerCare Plus	My Choice Wisconsin (MCW)/Molina	unmatched	0	32.6% calculated	7.6%
Wisconsin	BadgerCare Plus	Network Health Plan	unmatched	0	0.0% calculated	4.6%
Wisconsin	BadgerCare Plus	Quartz	unmatched	0	33.3% calculated	4.5%
Wisconsin	BadgerCare Plus	Security Health Plan of Wisconsin	unmatched	0	68.8% calculated	6.6%
Wisconsin	BadgerCare Plus	United Health Care Community Plan (UHC)	unmatched	0	56.3% calculated	21.1%
Wisconsin	Family Care Partnership	Community Care, Inc (CCI)	unmatched	1	0.0% calculated	0.1%
Wisconsin	Family Care Partnership	Independent Health Plan (iCare)	unmatched	0	23.4% calculated	0.2%
Wisconsin	Family Care Partnership	My Choice Wisconsin (MCW)	unmatched	0	4.8% calculated	0.1%
Wisconsin	Family Care	Community Care, Inc. (CCI)	unmatched	2	8.9% calculated	1.4%
Wisconsin	Family Care	Community Care, Inc. (CCI)	unmatched	2	not reported	1.3%
Wisconsin	Family Care	Inclusa, Inc.	unmatched	2	8.3% calculated	1.8%
Wisconsin	Family Care	Inclusa, Inc.	unmatched	2	not reported	1.6%
Wisconsin	Family Care	Lakeland Care, Inc.	unmatched	1	10.1% calculated	0.8%
Wisconsin	Family Care	Lakeland Care, Inc.	unmatched	1	not reported	0.7%
Wisconsin	Family Care	My Choice Wisconsin, Inc. (MCW)	unmatched	1	5.5% calculated	1.6%
Wisconsin	Family Care	My Choice Wisconsin, Inc. (MCW)	unmatched	1	not reported	1.4%
Wisconsin	Foster Care Medical Home	Care4Kids (C4K)	unmatched	1	not reported	0.3%
Wisconsin	Medicaid SSI HMO	Anthem Blue Cross and Blue Shield	unmatched	1	34.2% calculated	0.7%
Wisconsin	Medicaid SSI HMO	Group Health Cooperative of Eau Claire	unmatched	0	9.4% calculated	0.3%
Wisconsin	Medicaid SSI HMO	Independent Care Health Plan (iCare)	unmatched	0	9.3% calculated	0.9%
Wisconsin	Medicaid SSI HMO	MHS Health Wisconsin	unmatched	0	6.1% calculated	0.6%
Wisconsin	Medicaid SSI HMO	My Choice Wisconsin (MCW)/Molina	unmatched	0	41.7% calculated	0.6%
Wisconsin	Medicaid SSI HMO	Network Health Plan	unmatched	0	0.0% calculated	0.4%
Wisconsin	Medicaid SSI HMO	Quartz	unmatched	0	33.3% calculated	0%
Wisconsin	Medicaid SSI HMO	Security Health Plan of Wisconsin	unmatched	0	81.8% calculated	0.1%
Wisconsin	Medicaid SSI HMO	United Healthcare Community Plan (UHC)	unmatched	0	38.0% calculated	1.8%
Wisconsin	Milwaukee County PIHP	Wraparound Milwaukee	unmatched	1	not reported	0%

Wyoming 1

State	Program	Plan	Parent	Sanction count	Appeal rate	Managed care enrollment share
Wyoming	Wyoming Care Management Entity Program	Magellan Healthcare, Inc.	unmatched	0	not reported	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.

Unmatched plans 637

?? First Medical Health Plan
?? Humana
?? MCS Advantage
?? MMM Healthcare
?? MMM Multi Health

show all 637

?? 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.