PrecaptureMedicaid Market Intelligence

AZ MEDICAID MARKET

Arizona

evaluation

Oral presentations scheduled October 26–November 10, 2026 (past); contract award planned for January 2027

Last verified 50 days ago

Last verified 50 days ago · newest item is older than 21 days

Current procurement

PROCUREMENT

Verification tier 2

Arizona posts official list of ALTCS E/PD offers received

AHCCCS's official YH27-0001 bidders’ library posted a List of Offers Received, as verified September 26. Solicitation Amendment 3, dated September 9, had replaced Exhibit F2 for contract citations and past-performance submissions, incorporated a second round of answers, and required a signed amendment with each response. Proposals were due September 24, 2026 (past) at 3:00 p.m. Arizona time. The official schedule sets oral presentations for October 26 through November 10, with contract award planned for January 2027 and contract operations beginning October 1, 2027.

Precapture analysis

The posted offeror list confirms that the competition has moved into evaluation. The next scheduled checkpoints are oral presentations and the planned January award.

Plans in this market

Parent, plan, and program come from the plan graph. Enrollment and share use the latest CMS reported count. Operations counts are CMS MCPAR. A dollar amount is not on this page.

Plans in this market 67
ParentPlanProgramsLatest CMS enrollmentShareMCPAR operations
Banner HealthBanner University Family Carenot reported298,529 (2022)15.4% calculatednot reported
Banner HealthBanner University Family Care (MLTSS)not reported6,933 (2024)10.1% calculated4 sanctions, 2,012 appeals resolved
Banner HealthUniversity Family Carenot reported130,353 (2018)8.4% calculatednot reported
Banner HealthBanner University Family Carenot reported270,030 (2024)15.7% calculatednot reported
Blue Cross Blue Shield of ArizonaHealth Choice Arizonanot reported208,447 (2024)12.1% calculated3 sanctions, 878 appeals resolved
show all 67
ParentPlanProgramsLatest CMS enrollmentShareMCPAR operations
Blue Cross Blue Shield of ArizonaHealth Choice Arizona RBHA (SMI)not reported8,769 (2022)13.7% calculatednot reported
CenteneArizona Complete Health - Complete Care Plannot reported346,988 (2024)20.2% calculatednot reported
CenteneArizona Complete Health - Complete Care Plan RBHA (SMI)not reported15,548 (2024)26.7% calculatednot reported
CenteneArizona Complete Health- Complete Care Plannot reported386,508 (2022)19.9% calculatednot reported
CenteneArizona Complete Health- Complete Care Plan RBHA (SMI)not reported19,376 (2022)30.3% calculatednot reported
CenteneArizona Complete Health- Complete Care Plan RBHA (Serious Mental Illness [SMI])not reported16,582 (2023)27.1% calculatednot reported
CenteneArizona Complete Health- Complete Care Plan SMInot reported17,760 (2019)1.1% calculatednot reported
CenteneArizona Complete Health-Complete Care Plannot reported370,373 (2023)20.4% calculated2 sanctions, 3,102 appeals resolved
CenteneBridgeway Health Solution (MLTSS)not reported5,053 (2017)0.3% calculatednot reported
CenteneCare 1stnot reported173,390 (2019)11.0% calculatednot reported
CenteneCare 1stnot reported71,704 (2024)4.2% calculated2 sanctions, 273 appeals resolved
CenteneCare 1st Health Plan RBHA (SMI)not reported7,561 (2023)12.4% calculatednot reported
CenteneCare 1st Health Plan RBHA (SMI)not reported7,116 (2024)12.2% calculatednot reported
CenteneCare1st Health Plannot reported152,786 (2017)9.4% calculatednot reported
CenteneCare1st Health Plannot reported138,650 (2018)8.9% calculated1 sanctions, 242 appeals resolved
CenteneCenpatico Integrated Carenot reported13,375 (2018)0.9% calculatednot reported
CenteneHealth Net Accessnot reported57,662 (2018)3.7% calculatednot reported
CenteneMagellan Complete Carenot reported29,388 (2020)1.7% calculatednot reported
not reportedMercy Carenot reported359,266 (2024)20.9% calculatednot reported
not reportedMercy Care (MLTSS)not reported10,139 (2024)14.7% calculated5 sanctions, 4,473 appeals resolved
not reportedMercy Care Plannot reported360,202 (2018)23.1% calculatednot reported
not reportedMercy Care Plan (MLTSS)not reported12,429 (2018)0.8% calculatednot reported
not reportedMercy Care Plan - SMInot reported29,704 (2019)1.9% calculatednot reported
not reportedMercy Care RBHA (SMI)not reported35,498 (2024)61.0% calculatednot reported
not reportedHealth Choice Integrated Carenot reported5,722 (2018)0.4% calculatednot reported
not reportedHealth Choice Arizonanot reported243,069 (2018)15.6% calculatednot reported
Mercy CareMercy Maricopa Integrated Carenot reported21,681 (2018)1.4% calculatednot reported
Mercy CareMercy Maricopa Integrated Carenot reported21,046 (2017)1.3% calculatednot reported
MolinaMolina Complete Care of Arizonanot reported41,704 (2024)2.4% calculated1 sanctions, 195 appeals resolved
not reportedSteward Health Choice Arizonanot reported202,062 (2019)12.8% calculatednot reported
not reportedSteward Health Choice Arizona SMInot reported7,863 (2019)0.5% calculatednot reported
not reportedPhoenix Health Plannot reported0 (2017)0.0% calculatednot reported
UnitedHealthUnited Healthcarenot reported466,462 (2022)24.1% calculatednot reported
UnitedHealthUnited Healthcare (MLTSS)not reported8,440 (2022)13.1% calculatednot reported
UnitedHealthUnited Healthcare Plannot reported527,985 (2017)32.6% calculatednot reported
UnitedHealthUnited Healthcare Plannot reported516,445 (2018)33.1% calculatednot reported
UnitedHealthUnited Healthcare Plan (MLTSS)not reported10,588 (2017)0.7% calculatednot reported
UnitedHealthUnited Healthcare Plan (MLTSS)not reported8,709 (2018)0.6% calculatednot reported
UnitedHealthUnited Heathcare (MLTSS)not reported9,580 (2019)0.6% calculatednot reported
UnitedHealthUnitedHealthcarenot reported409,465 (2024)23.9% calculatednot reported
UnitedHealthUnitedHealthcare (MLTSS)not reported8,741 (2024)12.7% calculated1,682 appeals resolved
not reportedBridgeway Health Solution MLTSSnot reported5,301 (2016)0.3% calculatednot reported
not reportedCare 1st Health Plannot reported107,833 (2016)6.9% calculatednot reported
not reportedCenpatico Integrated Carenot reported12,956 (2016)0.8% calculatednot reported
not reportedCenpatico Integrated Carenot reported13,348 (2017)0.8% calculatednot reported
not reportedComprehensive Medical and Dental Programnot reported17,937 (2016)1.1% calculatednot reported
not reportedDCS/CHPnot reported8,557 (2024)0.5% calculatednot reported
not reportedDCS/CMDPnot reported13,525 (2020)0.8% calculatednot reported
not reportedDES/Division of Developmental Disabilities (MLTSS)not reported43,161 (2024)62.6% calculatednot reported
not reportedDivision of Developmental Disabilities MLTSSnot reported29,329 (2016)1.9% calculatednot reported
not reportedHealth Choice Arizonanot reported238,974 (2016)15.3% calculatednot reported
not reportedHealth Choice Integrated Carenot reported5,478 (2016)0.4% calculatednot reported
not reportedHealth Net Accessnot reported55,721 (2016)3.6% calculatednot reported
not reportedMaricopa Health Plannot reported81,287 (2016)5.2% calculatednot reported
not reportedMaricopa Health Plannot reported0 (2017)0.0% calculatednot reported
not reportedMercy Care Plannot reported348,193 (2016)22.3% calculatednot reported
not reportedMercy Care Plan MLTSSnot reported11,165 (2016)0.7% calculatednot reported
not reportedMercy Maricopa Integrated Carenot reported19,970 (2016)1.3% calculatednot reported
not reportedPhoenix Health Plannot reported52,126 (2016)3.3% calculatednot reported
not reportedUnited Healthcare Plannot reported431,082 (2016)27.6% calculatednot reported
not reportedUnited Healthcare Plan MLTSSnot reported10,014 (2016)0.6% calculatednot reported
not reportedUniversity Family Carenot reported133,606 (2016)8.6% calculatednot reported

CMS reported enrollment

CMS reporting years in this file run from 2016 through 2024. Retrieved 2026-11-01. The latest reporting year is 2024, which is behind the retrieval date. Enrollment figures are the CMS cell for that reporting year. Share is calculated from CMS reported total enrollment for that state, program, and year. Precapture does not combine rows. A year missing from a trend was not reported. A plan and region with more than one CMS row in a year has no trend and no year-over-year change. The dataset says a reported 0 may not truly represent 0 when a state suppressed a small count. CMS reported.

National market share

Arizona Health Care Cost Containment System (BHO only (PIHP and/or PAHP))

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Arizona Complete Health - Complete Care Plan RBHA (SMI)Centene CorporationCenteneCochise, Graham, Greenlee, La Paz, Pima, Santa Cruz, and Yuma CountiesCMS reported 15,548 (2024)26.7%not reportednot reported2024: 15,548
Arizona Complete Health- Complete Care Plan RBHA (Serious Mental Illness [SMI])Centene CorporationCenteneCochise, Graham, Greenlee, La Paz, Pima, Santa Cruz, and Yuma Countiesnot reportednot reportednot reportednot reported2023: 16,582
Care 1st Health Plan RBHA (SMI)WellCare / Centene CorporationCenteneApache, Coconino, Mohave, Navajo, and Yavapai CountiesCMS reported 7,116 (2024)12.2%-445 (-5.9%)-0.1 pts2023: 7,561; 2024: 7,116
Mercy Care RBHA (SMI)Dignity Health and Carondelet Health NetworkDignity Health and Carondelet Health NetworkGila, Maricopa, and Pinal CountiesCMS reported 35,498 (2024)61.0%-1,487 (-4.0%)+0.5 pts2023: 36,985; 2024: 35,498

Arizona Health Care Cost Containment System (Comprehensive MCO + MLTSS)

Arizona Health Care Cost Containment System (Comprehensive MCO + MLTSS) 83
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Arizona Complete Health - Complete Care PlanCentene CorporationCenteneCochise, Gila, Graham, Greenlee, LaPaz, Maricopa, Pima, Pinal, Santa Cruz, and Yuma CountiesCMS reported 346,988 (2024)20.2%not reportednot reported2024: 346,988
Arizona Complete Health- Complete Care Plan RBHA (SMI)Centene CorporationCenteneCochise, Graham, Greenlee, LaPaz, Pima, Pinal, Santa Cruz, and Yuma countiesnot reportednot reportednot reportednot reported2020: 18,303
Arizona Complete Health- Complete Care Plan SMICentene CorporationCenteneCochise, Graham/Greenlee*, LaPaz, Pima, Pinal, Santa Cruz and Yuma Countiesnot reportednot reportednot reportednot reported2019: 17,760
Arizona Complete Health- Complete Care PlanCentene CorporationCenteneCochise, Gila, Graham, Greenlee, LaPaz, Maricopa, Pima, Pinal, Santa Cruz, and Yuma Countiesnot reportednot reportednot reportednot reported2022: 386,508
Arizona Complete Health-Complete Care PlanCentene CorporationCenteneCochise, Gila, Graham, Greenlee, La Paz, Maricopa, Pima, Pinal, Santa Cruz, and Yuma Countiesnot reportednot reportednot reportednot reported2023: 370,373
show all 83
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Arizona Complete Health-Complete Care PlanCentene CorporationCenteneCochise, Gila, Graham, Greenlee, LaPaz, Maricopa, Pima, Pinal, Santa Cruz, and Yuma countiesnot reportednot reportednot reportednot reported2020: 208,617; 2021: 247,472
Arizona Complete Health-Complete Care PlanCentene CorporationCenteneCochise, Gila, Graham/Greenlee*, LaPaz, Maricopa, Pima, Pinal, Santa Cruz and Yuma Countiesnot reportednot reportednot reportednot reported2019: 191,839
Banner University Family Care (MLTSS)Banner HealthBanner HealthCochise, Gila, Graham, Greenlee, La Paz, Maricopa, Pima, Pinal, Santa Cruz, and Yuma Countiesnot reportednot reportednot reportednot reported2018: 6,172
Banner University Family Care (MLTSS)Banner HealthBanner HealthCochise, Gila, Graham, Greenlee, La Paz, Maricopa, Pima, Pinal, Santa Cruz, and Yuma countiesnot reportednot reportednot reportednot reported2020: 6,649
Banner University Family Care (MLTSS)Banner HealthBanner HealthCochise, Gila, Graham/Greenlee*, La Paz, Maricopa, Pima, Pinal, Santa Cruz and Yuma Countiesnot reportednot reportednot reportednot reported2019: 6,583
Banner University Family CareBanner HealthBanner HealthCochise, Gila, Graham, Greenlee, LaPaz, Maricopa, Pima, Pinal, Santa Cruz, and Yuma countiesnot reportednot reportednot reportednot reported2020: 241,166; 2021: 272,069
Banner University Family CareBanner HealthBanner HealthCochise, Gila, Graham/Greenlee*, LaPaz, Maricopa, Pima, Pinal, Santa Cruz and Yuma Countiesnot reportednot reportednot reportednot reported2019: 193,430
Banner University Family CareBanner University Family CareBanner University Family CareCochise, Gila, Graham, Greenlee, La Paz, Maricopa, Pima, Pinal, Santa Cruz, and Yuma Countiesnot reportednot reportednot reportednot reported2023: 283,219
Banner University Family CareBanner University Family CareBanner University Family CareCochise, Gila, Graham, Greenlee, LaPaz, Maricopa, Pima, Pinal, Santa Cruz, and Yuma CountiesCMS reported 270,030 (2024)15.7%not reportednot reported2022: 298,529; 2024: 270,030
Bridgeway Health Solution (MLTSS)Centene CorporationCenteneCochise, Gila, Graham, Greenlee, Maricopa & Pinal Countiesnot reportednot reportednot reportednot reported2017: 5,053
Bridgeway Health Solution MLTSSnot reportedunmatchedCochise, Gila, Graham, Greenlee, Maricopa, Pinalnot reportednot reportednot reportednot reported2016: 5,301
Care 1st Health Plannot reportedunmatchedMaricopa, Pimanot reportednot reportednot reportednot reported2016: 107,833
Care 1stWellCare/Centene CorporationCenteneApache, Coconino, Gila, Maricopa, Mohave, Navajo, Pima, Pinal, and Yavapai Countiesnot reportednot reportednot reportednot reported2022: 84,239
Care 1stWellCare/Centene CorporationCenteneApache, Coconino, Gila, Maricopa, Mohave, Navajo, Pinal, and Yavapai countiesnot reportednot reportednot reportednot reported2020: 176,940; 2021: 190,577
Care 1stWellCare/Centene CorporationCenteneApache, Coconino, Mohave, Navajo, and Yavapai CountiesCMS reported 71,704 (2024)4.2%-5,466 (-7.1%)-0.1 pts2023: 77,170; 2024: 71,704
Care 1stWellCareCenteneApache, Coconino, Gila, Maricopa, Mohave, Navajo, Pinal and Yavapai Countiesnot reportednot reportednot reportednot reported2019: 173,390
Care1st Health PlanWellCare Health PlanCenteneMaricopa & Pima Countynot reportednot reportednot reportednot reported2017: 152,786
Care1st Health PlanWellCareCenteneMaricopa and Pima Countiesnot reportednot reportednot reportednot reported2018: 138,650
Cenpatico Integrated CareCentene Corporation/Banner University Family CareunmatchedCochise, Graham, Greenlee, LaPaz, Pima, Pinal, S Cruz, & Yuma Countiesnot reportednot reportednot reportednot reported2017: 13,348
Cenpatico Integrated CareCentene CorporationCenteneCochise, Graham, Greenlee, La Paz, Pima, Pinal, Santa Cruz, and Yuma Countiesnot reportednot reportednot reportednot reported2018: 13,375
Cenpatico Integrated Carenot reportedunmatchedCochise, Graham, Greenlee, La Paz, Pima, Pinal, Santa Cruz, Yumanot reportednot reportednot reportednot reported2016: 12,956
Comprehensive Medical and Dental Programnot reportedunmatchedStatewidenot reportednot reportednot reportednot reported2016: 17,937
DCS/CHPGovernment Agency/Non-Profit EntityunmatchedStatewideCMS reported 8,557 (2024)0.5%-1,495 (-14.9%)-0.1 pts2021: 13,741; 2022: 12,914; 2023: 10,052; 2024: 8,557
DCS/CMDPGovernment Agency/Non-Profit EntityunmatchedStatewidenot reportednot reportednot reportednot reported2017: 15,800; 2018: 13,870; 2019: 13,155; 2020: 13,525
DES/Division of Developmental Disabilities (MLTSS)Government Agency/Non-Profit EntityunmatchedStatewidenot reportednot reportednot reportednot reported2017: 30,724; 2018: 32,254; 2019: 33,980; 2020: 35,697
Division of Developmental Disabilities MLTSSnot reportedunmatchedStatewidenot reportednot reportednot reportednot reported2016: 29,329
Health Choice Arizona RBHA (SMI)Blue Cross Blue Shield of ArizonaBlue Cross Blue Shield of ArizonaApache, Coconino, Gila, Mohave, Navajo, and Yavapai countiesnot reportednot reportednot reportednot reported2020: 8,156
Health Choice ArizonaBlue Cross Blue Shield of ArizonaBlue Cross Blue Shield of ArizonaApache, Coconino, Gila, Maricopa, Mohave, Navajo, Pinal, and Yavapai CountiesCMS reported 208,447 (2024)12.1%-14,422 (-6.5%)-0.1 pts2022: 236,038; 2023: 222,869; 2024: 208,447
Health Choice ArizonaBlue Cross Blue Shield of ArizonaBlue Cross Blue Shield of ArizonaApache, Coconino, Gila, Maricopa, Mohave, Navajo, Pinal, and Yavapai countiesnot reportednot reportednot reportednot reported2020: 199,646; 2021: 220,346
Health Choice ArizonaIASIS Healthcare LLC/StewardIASIS Healthcare LLC/StewardApache, Coconino, Gila, Maricopa, Mohave, Navajo, Pima & Pinal Countiesnot reportednot reportednot reportednot reported2017: 254,258
Health Choice ArizonaIASIS Healthcare LLC/StewardIASIS Healthcare LLC/StewardApache, Coconino, Gila, Maricopa, Mohave, Navajo, Pima, and Pinal Countiesnot reportednot reportednot reportednot reported2018: 243,069
Health Choice Arizonanot reportedunmatchedApache, Coconino, Gila, Maricopa, Mohave, Navajo, Pima, Pinalnot reportednot reportednot reportednot reported2016: 238,974
Health Choice Integrated CareHealth Choice Arizona/NARBHAHealth Choice Arizona/NARBHAApache, Coconino, Gila, Mohave, Navajo, & Yavapai Countiesnot reportednot reportednot reportednot reported2017: 5,670
Health Choice Integrated CareHealth Choice Arizona/NARBHAHealth Choice Arizona/NARBHAApache, Coconino, Gila, Mohave, Navajo, and Yavapai Countiesnot reportednot reportednot reportednot reported2018: 5,722
Health Choice Integrated Carenot reportedunmatchedApache, Coconino, Gila, Mohave, Navajo, Yavapainot reportednot reportednot reportednot reported2016: 5,478
Health Net AccessCentene CorporationCenteneMaricopa Countynot reportednot reportednot reportednot reported2017: 59,822; 2018: 57,662
Health Net Accessnot reportedunmatchedMaricopanot reportednot reportednot reportednot reported2016: 55,721
Magellan Complete CareMagellan Health Services of ArizonaCenteneGila, Maricopa and Pinal Countiesnot reportednot reportednot reportednot reported2019: 11,922
Magellan Complete CareMagellan Health Services of ArizonaCenteneGila, Maricopa, and Pinal countiesnot reportednot reportednot reportednot reported2020: 29,388
Maricopa Health PlanGovernment Agency/Non-Profit EntityunmatchedMaricopa Countynot reportednot reportednot reportednot reported2017: 0
Maricopa Health Plannot reportedunmatchedMaricopanot reportednot reportednot reportednot reported2016: 81,287
Mercy Care (MLTSS)Dignity Health and Carondelet Health NetworkDignity Health and Carondelet Health NetworkGila, Maricopa, Pima and Pinal Countiesnot reportednot reportednot reportednot reported2019: 12,640
Mercy Care (MLTSS)Dignity Health and Carondelet Health NetworkDignity Health and Carondelet Health NetworkGila, Maricopa, Pima, and Pinal countiesnot reportednot reportednot reportednot reported2020: 12,318
Mercy Care Plan (MLTSS)Dignity Health and Carondelet Health NetworkDignity Health and Carondelet Health NetworkGila, Maricopa, Pima, and Pinal Countiesnot reportednot reportednot reportednot reported2018: 12,429
Mercy Care Plan (MLTSS)Dignity Health and Carondelet Health NetworkDignity Health and Carondelet Health NetworkMaricopa & Pima Countiesnot reportednot reportednot reportednot reported2017: 11,045
Mercy Care Plan - SMIDignity Health and Carondelet Health NetworkDignity Health and Carondelet Health NetworkMaricopa Countynot reportednot reportednot reportednot reported2019: 29,704
Mercy Care Plan MLTSSnot reportedunmatchedMaricopa, Pimanot reportednot reportednot reportednot reported2016: 11,165
Mercy Care PlanDignity Health and Carondelet Health NetworkDignity Health and Carondelet Health NetworkMaricopa & Pima Countiesnot reportednot reportednot reportednot reported2017: 373,819
Mercy Care PlanDignity Health and Carondelet Health NetworkDignity Health and Carondelet Health NetworkMaricopa and Pima Countiesnot reportednot reportednot reportednot reported2018: 360,202
Mercy Care Plannot reportedunmatchedMaricopa, Pimanot reportednot reportednot reportednot reported2016: 348,193
Mercy Care RBHA (SMI)Dignity Health and Carondelet Health NetworkDignity Health and Carondelet Health NetworkMaricopa countynot reportednot reportednot reportednot reported2020: 31,906
Mercy CareDignity Health and Carondelet Health NetworkDignity Health and Carondelet Health NetworkGila, Maricopa and Pinal Countiesnot reportednot reportednot reportednot reported2019: 318,184
Mercy CareDignity Health and Carondelet Health NetworkDignity Health and Carondelet Health NetworkGila, Maricopa and Pinal countiesnot reportednot reportednot reportednot reported2020: 338,467
Mercy CareDignity Health and Carondelet Health NetworkDignity Health and Carondelet Health NetworkGila, Maricopa, and Pinal CountiesCMS reported 359,266 (2024)20.9%-16,531 (-4.4%)+0.3 pts2022: 405,778; 2023: 375,797; 2024: 359,266
Mercy CareDignity Health and Carondelet Health NetworkDignity Health and Carondelet Health NetworkGila, Maricopa, and Pinal countiesnot reportednot reportednot reportednot reported2021: 375,184
Mercy Maricopa Integrated CareMercy CareMercy CareMaricopa Countynot reportednot reportednot reportednot reported2017: 21,046; 2018: 21,681
Mercy Maricopa Integrated Carenot reportedunmatchedMaricopanot reportednot reportednot reportednot reported2016: 19,970
Molina Complete Care of ArizonaMolina Complete Care of ArizonaMolinaGila, Maricopa, and Pinal CountiesCMS reported 41,704 (2024)2.4%-3,327 (-7.4%)-0.0 pts2022: 48,250; 2023: 45,031; 2024: 41,704
Molina Complete Care of ArizonaMolina Complete Care of ArizonaMolinaGila, Maricopa, and Pinal countiesnot reportednot reportednot reportednot reported2021: 44,455
Phoenix Health PlanTenet Healthcare CorporationTenet HealthcareMaricopa Countynot reportednot reportednot reportednot reported2017: 0
Phoenix Health Plannot reportedunmatchedMaricopanot reportednot reportednot reportednot reported2016: 52,126
Steward Health Choice Arizona SMISteward Healthcare System, LLCSteward Healthcare System, LLCApache, Coconino, Gila, Mohave, Navajo and Yavapai Countiesnot reportednot reportednot reportednot reported2019: 7,863
Steward Health Choice ArizonaSteward Healthcare System, LLCSteward Healthcare System, LLCApache, Coconino, Gila, Maricopa, Mohave, Navajo, Pinal, and Yavapai Countiesnot reportednot reportednot reportednot reported2019: 202,062
United Healthcare (MLTSS)United HealthcareUnitedHealthApache, Coconino, Gila, Maricopa, Mohave, Navajo, Pinal, and Yavapai countiesnot reportednot reportednot reportednot reported2020: 9,514
United Healthcare Plan (MLTSS)United HealthcareUnitedHealthApache, Coconino, LaPaz, Maricopa, Mohave, Navajo, Pima, S Cruz, Yavapai & Yuma Countiesnot reportednot reportednot reportednot reported2017: 10,588
United Healthcare Plan (MLTSS)UnitedHealthcareUnitedHealthApache, Coconino, Gila, Maricopa, Mohave, Navajo, Pinal, and Yavapai Countiesnot reportednot reportednot reportednot reported2018: 8,709
United Healthcare Plan MLTSSnot reportedunmatchedApache, Coconino, La Paz, Maricopa, Mohave, Navajo, Pima, Santa Cruz, Yavapai, Yumanot reportednot reportednot reportednot reported2016: 10,014
United Healthcare PlanUnited HealthcareUnitedHealthApache, Cochise, Coconino, Graham, Greenlee, LaPaz, Maricopa, Mohave, Navajo, Pima, S Cruz, Yavapai & Yuma Countiesnot reportednot reportednot reportednot reported2017: 527,985
United Healthcare PlanUnitedHealthcareUnitedHealthApache, Cochise, Coconino, Graham, Greenlee, La Paz, Maricopa, Mohave, Navajo, Pima, Santa Cruz, Yavapai, and Yuma Countiesnot reportednot reportednot reportednot reported2018: 516,445
United Healthcare Plannot reportedunmatchedApache, Cochise, Coconino, Graham, Greenlee, La Paz, Maricopa, Mohave, Navajo, Pima, Santa Cruz, Yavapai, Yumanot reportednot reportednot reportednot reported2016: 431,082
United HealthcareUnited HealthcareUnitedHealthGila, Maricopa, Pima and Pinal Countiesnot reportednot reportednot reportednot reported2019: 358,536
United HealthcareUnited HealthcareUnitedHealthGila, Maricopa, Pima, and Pinal Countiesnot reportednot reportednot reportednot reported2022: 466,462
United HealthcareUnited HealthcareUnitedHealthGila, Maricopa, Pima, and Pinal countiesnot reportednot reportednot reportednot reported2020: 381,000; 2021: 431,614
United Heathcare (MLTSS)United HealthcareUnitedHealthApache, Coconino, Gila, Maricopa, Mohave, Navajo, Pinal, Yavapai Countiesnot reportednot reportednot reportednot reported2019: 9,580
UnitedHealthcareUnitedHealthcareUnitedHealthGila, Maricopa, Pima, and Pinal CountiesCMS reported 409,465 (2024)23.9%-25,137 (-5.8%)-0.0 pts2023: 434,602; 2024: 409,465
University Family CareBanner HealthBanner HealthCochise, Gila, Graham, Greenlee, La Paz, Pima, Pinal, Santa Cruz, Yavapai, and Yuma Countiesnot reportednot reportednot reportednot reported2018: 130,353
University Family CareBanner HealthBanner HealthCochise, Gila, Graham, Greenlee, LaPaz, Pima, Pinal, S Cruz, Yavapai & Yuma Countiesnot reportednot reportednot reportednot reported2017: 135,614
University Family Carenot reportedunmatchedCochise, Gila, Graham, Greenlee, La Paz, Pima, Pinal, Santa Cruz, Yavapai, Yumanot reportednot reportednot reportednot reported2016: 133,606

Arizona Health Care Cost Containment System (MLTSS only (PIHP and/or PAHP))

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Banner University Family Care (MLTSS)Banner HealthBanner HealthCochise, Gila, Graham, Greenlee, La Paz, Maricopa, Pima, Pinal, Santa Cruz, and Yuma CountiesCMS reported 6,933 (2024)10.1%+100 (+1.5%)-0.3 pts2023: 6,833; 2024: 6,933
DES/Division of Developmental Disabilities (MLTSS)Government Agency/Non-Profit EntityunmatchedStatewideCMS reported 43,161 (2024)62.6%+2,778 (+6.9%)+1.7 pts2023: 40,383; 2024: 43,161
Mercy Care (MLTSS)Dignity Health and Carondelet Health NetworkDignity Health and Carondelet Health NetworkGila, Maricopa, Pima, and Pinal CountiesCMS reported 10,139 (2024)14.7%-387 (-3.7%)-1.2 pts2023: 10,526; 2024: 10,139
UnitedHealthcare (MLTSS)UnitedHealthcareUnitedHealthApache, Coconino, Gila, Maricopa, Mohave, Navajo, Pinal, and Yavapai CountiesCMS reported 8,741 (2024)12.7%+179 (+2.1%)-0.2 pts2023: 8,562; 2024: 8,741

Arizona Health Care Cost Containment System (MLTSS only- PIHP and/or PAHP)

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Banner University Family Care (MLTSS)Banner HealthBanner HealthCochise, Gila, Graham, Greenlee, La Paz, Maricopa, Pima, Pinal, Santa Cruz, and Yuma Countiesnot reportednot reportednot reportednot reported2022: 6,666
DES/Division of Developmental Disabilities (MLTSS)Government Agency/Non-Profit EntityunmatchedStatewidenot reportednot reportednot reportednot reported2022: 38,382
Mercy Care (MLTSS)Dignity Health and Carondelet Health NetworkDignity Health and Carondelet Health NetworkGila, Maricopa, Pima, and Pinal Countiesnot reportednot reportednot reportednot reported2022: 10,823
United Healthcare (MLTSS)United HealthcareUnitedHealthApache, Coconino, Gila, Maricopa, Mohave, Navajo, Pinal, and Yavapai Countiesnot reportednot reportednot reportednot reported2022: 8,440

Arizona Health Care Cost Containment System (MLTSS) (MLTSS only (PIHP and/or PAHP))

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Banner University Family Care (MLTSS)Banner HealthBanner HealthCochise, Gila, Graham, Greenlee, La Paz, Maricopa, Pima, Pinal, Santa Cruz, and Yuma countiesnot reportednot reportednot reportednot reported2021: 6,313
DES/Division of Developmental Disabilities (MLTSS)Government Agency/Non-Profit EntityunmatchedStatewidenot reportednot reportednot reportednot reported2021: 36,904
Mercy Care (MLTSS)Dignity Health and Carondelet Health NetworkDignity Health and Carondelet Health NetworkGila, Maricopa, Pima, and Pinal countiesnot reportednot reportednot reportednot reported2021: 11,126
United Healthcare (MLTSS)United HealthcareUnitedHealthApache, Coconino, Gila, Maricopa, Mohave, Navajo, Pinal, and Yavapai countiesnot reportednot reportednot reportednot reported2021: 8,595

Arizona Health Care Cost Containment System (SMI) (Behavioral Health Organization (BHO) only (PIHP and/or PAHP))

Arizona Health Care Cost Containment System (SMI) (Behavioral Health Organization (BHO) only (PIHP and/or PAHP)) 6
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Arizona Complete Health- Complete Care Plan RBHA (SMI)Centene CorporationCenteneCochise, Graham, Greenlee, LaPaz, Pima, Pinal, Santa Cruz, and Yuma Countiesnot reportednot reportednot reportednot reported2022: 19,376
Arizona Complete Health- Complete Care Plan RBHA (SMI)Centene CorporationCenteneCochise, Graham, Greenlee, LaPaz, Pima, Pinal, Santa Cruz, and Yuma countiesnot reportednot reportednot reportednot reported2021: 18,925
Health Choice Arizona RBHA (SMI)Blue Cross Blue Shield of ArizonaBlue Cross Blue Shield of ArizonaApache, Coconino, Gila, Mohave, Navajo, Pinal, and Yavapai Countiesnot reportednot reportednot reportednot reported2022: 8,769
Health Choice Arizona RBHA (SMI)Blue Cross Blue Shield of ArizonaBlue Cross Blue Shield of ArizonaApache, Coconino, Gila, Mohave, Navajo, and Yavapai countiesnot reportednot reportednot reportednot reported2021: 8,476
Mercy Care RBHA (SMI)Dignity Health and Carondelet Health NetworkDignity Health and Carondelet Health NetworkMaricopa Countynot reportednot reportednot reportednot reported2022: 35,721
show all 6
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Mercy Care RBHA (SMI)Dignity Health and Carondelet Health NetworkDignity Health and Carondelet Health NetworkMaricopa countynot reportednot reportednot reportednot reported2021: 34,493

Plan operations (CMS MCPAR)

Counts, rates, dates, and status are the CMS MCPAR cells for that plan, program, and reporting year. The appeal rate is calculated from CMS reported appeals resolved in favor of the enrollee divided by CMS reported appeals resolved. It is not a CMS-published rate. A plan links when the name matches one enrollment plan in that same state and program. Unmatched is shown and is not guessed. A sanction amount is not on this page. Retrieved 2026-11-02. CMS MCPAR.

National plan operations · Federal compliance deadlines

Appeals, grievances, and enrollment share (2024)

Appeals, grievances, and enrollment share (2024) 15
PlanParentProgramAppeals resolvedIn favor of enrolleeAppeal rateGrievances resolvedMedicaid enrollment shareManaged care enrollment share
ACC: AZ Complete HealthCenteneAHCCCS Complete Care (ACC)1,35441730.8% calculated1,22616.7%19.1%
ACC: Banner UniversityBanner HealthAHCCCS Complete Care (ACC)1,04248246.3% calculated1,45912.8%14.6%
ACC: Care 1stCenteneAHCCCS Complete Care (ACC)2005929.5% calculated3673.5%4%
ACC: Health ChoiceBlue Cross Blue Shield of ArizonaAHCCCS Complete Care (ACC)50217935.7% calculated1,2879.9%11.3%
ACC: Mercy CareDignity Health and Carondelet Health NetworkAHCCCS Complete Care (ACC)1,78266537.3% calculated1,82217.3%19.8%
show all 15
PlanParentProgramAppeals resolvedIn favor of enrolleeAppeal rateGrievances resolvedMedicaid enrollment shareManaged care enrollment share
ACC: MolinaMolinaAHCCCS Complete Care (ACC)1154740.9% calculated2,9812%2.3%
ACC: United Health Comm PlanunmatchedAHCCCS Complete Care (ACC)2,14890242.0% calculated2,14819.5%22.2%
CHP: DCS/CHPunmatchedComprehensive Health Plan (CHP)741216.2% calculated380.4%0.5%
LTC: Banner UniversityBanner HealthLong Term Care (LTC)1383626.1% calculated5590.3%0.4%
LTC: DES/DDDunmatchedLong Term Care (LTC)58518631.8% calculated1,5272%2.3%
LTC: Mercy CareDignity Health and Carondelet Health NetworkLong Term Care (LTC)1735934.1% calculated7990.5%0.5%
LTC: United Health Comm PlanunmatchedLong Term Care (LTC)773342.9% calculated1,3140.4%0.5%
ACC-RBHA: AZ Complete HealthCenteneRegional Behavioral Health Authority (RBHA)1253931.2% calculated4430.6%0.6%
ACC-RBHA: Care 1stCenteneRegional Behavioral Health Authority (RBHA)501530.0% calculated2840.2%0.3%
ACC-RBHA: Mercy CareDignity Health and Carondelet Health NetworkRegional Behavioral Health Authority (RBHA)42513832.5% calculated2,5891.3%1.5%

Sanctions (2024)

Sanctions (2024) 19
PlanParentTopicDateCorrective action planRemediation status
ACC: AZ Complete HealthCenteneOther, specify (Results of secret shopper calls validating provider network.)2024-02-23YesYes, remediated
ACC: Banner UniversityBanner HealthOther, specify (Results of secret shopper calls validating provider network.)2024-02-23YesYes, remediated
ACC: Care 1stCenteneOther, specify (Results of secret shopper calls validating provider network.)2024-02-23YesYes, remediated
ACC: Health ChoiceBlue Cross Blue Shield of ArizonaOther, specify (Results of secret shopper calls validating provider network)2024-02-23YesYes, remediated
ACC: Health ChoiceBlue Cross Blue Shield of ArizonaOther, specify (Failed to maintain compliance with Accreditation requirements)2024-09-20YesRemediation in progress
show all 19
PlanParentTopicDateCorrective action planRemediation status
ACC: Mercy CareDignity Health and Carondelet Health NetworkOther, specify (Results of secret shopper calls validating provider network.)2024-02-23YesYes, remediated
ACC: Mercy CareDignity Health and Carondelet Health NetworkReporting2024-02-06YesNo, no remediation
ACC: MolinaMolinaOther, specify (Results of secret shopper calls validating provider network.)2024-02-23YesYes, remediated
ACC: United Health Comm PlanunmatchedOther, specify (Results of secret shopper calls validating provider network.)2024-02-23NoYes, remediated
CHP: DCS/CHPunmatchedOther, specify (Results of secret shopper calls validating provider network.)2024-02-23YesYes, remediated
CHP: DCS/CHPunmatchedReporting2023-11-27YesRemediation in progress
LTC: DES/DDDunmatchedOther, specify (Results of secret shopper calls validating provider network.)2024-01-23YesYes, remediated
LTC: DES/DDDunmatchedReporting2023-10-20YesRemediation in progress
LTC: DES/DDDunmatchedOther, specify (Non compliance with Recredentialing requirements.)2023-12-21YesRemediation in progress
LTC: DES/DDDunmatchedReporting2024-02-06YesNo, no remediation
LTC: DES/DDDunmatchedReporting2024-09-11YesRemediation in progress
LTC: Mercy CareDignity Health and Carondelet Health NetworkReporting2024-02-06YesNo, no remediation
ACC-RBHA: AZ Complete HealthCenteneOther, specify (Concerns around services for Permanent Supportive Housing (PSH) and Assertive Community Treatment (ACT).)2024-07-17YesRemediation in progress
ACC-RBHA: Care 1stCenteneOther, specify (Concerns around services for Permanent Supportive Housing (PSH) and Assertive Community Treatment (ACT).)2024-07-17YesRemediation in progress

Award history

  • ALTCS E/PD YH24-0001: upheld. AHCCCS published RFP YH24-0001 on August 1, 2023 and on December 1, 2023 gave notice of two statewide ALTCS E/PD awards. The procurement officer denied the protests on February 2, 2024.

Retrieved 2026-11-03. Sources and scores

Early procurement signals

  • legislation SB 1713 Senate engrossed bill text: suggested. 2027-10-01. Senate engrossed SB 1713 says the administration shall not issue requests for proposals for managed care contractors and says contracting under that article begins October 1, 2027. This catalog does not contain a chapter excerpt showing those sections were enacted. The bill text suggests a contracting change. It is not an issued solicitation and it is not a certain procurement. It is not a budget act. Arizona. No plan is named on the record. A solicitation or early procurement signal is on the record. No next date is on the record.

Coverage: not_collected. Source receipts: 1 unchanged at 2026-11-15T10:15:14+00:00. Sources and dates

Contract amendments

No official Medicaid managed-care contract amendment has been retrieved for this state. This is not a finding that no amendment exists. Contract amendments

Source receipts: 2 changed at 2026-11-15T10:57:23+00:00.

Medicaid policy

Indiana rows are official policy instruments. Other states show only Federal Register notices of hearings on SPA disapprovals, which are a narrow slice and not waiver or SPA coverage.

Federal Register notices of hearings on SPA disapprovals are read from the Federal Register JSON API. That covers no approved SPAs, waivers, or section 1115 demonstrations.

Coverage not_collected.

No official Medicaid managed-care policy instrument has been retrieved for this state. This is not a finding that no waiver, state plan amendment, or rule exists. Medicaid policy

Federal Register SPA disapproval hearing notices (2015 or later): 0

Plan financials

No official Medicaid plan financial filing has been retrieved for this state. This is not a finding that no filing exists, and it is not a zero. Plan financials. Coverage: not_collected.

Federal compliance deadlines

Cited federal Medicaid managed care deadlines, with the Federal Register citation, the effective date, the compliance date, and the plan obligation.

Subscriber analysis

Subscriber analysis is available to signed-in readers. This public page keeps the evidence and leaves out the interpretation.