PrecaptureMedicaid Market Intelligence

LA MEDICAID MARKET

Louisiana

market exit and transition

Healthy Blue notices by October 1; plan selection October 15–November 16, 2026

Last verified 58 days ago

Last verified 58 days ago · unknown because newest item is older than 21 days

MARKET_MOVEMENT

Verification tier 2

Louisiana advances financing and continuity plan for Healthy Blue exit

Louisiana LDH says Healthy Blue's Medicaid managed-care contract will end December 31, 2026, affecting more than 290,000 members. Members may select Aetna Better Health, AmeriHealth Caritas Louisiana, Humana Healthy Horizons or Louisiana Healthcare Connections from October 15 through November 16; members who do not choose will be assigned before January 1, 2027. On September 17, LDH presented proposed 2027 contract extensions under which the four remaining plans would collectively receive a cited contract amount (amount for subscribers), subject to legislative approval. The state said plan performance may influence some automatic assignments and receiving plans must honor previously authorized services and prescriptions for the first 60 days of 2027.

Precapture analysis

The transition now has explicit financing, continuity and performance-based enrollment stakes. The four remaining plans gain membership opportunity but face near-term network-matching, authorization, pharmacy, member-service and auto-assignment execution exposure; stronger measured performance may also affect enrollment allocation.

MARKET_MOVEMENT

Verification tier 2

Louisiana closes UnitedHealthcare Medicaid contract and reassigns members

Louisiana closed UnitedHealthcare’s Medicaid contract on March 31, 2026 and reassigned nearly 280,000 members among remaining Healthy Louisiana plans.

Precapture analysis

The exit creates an immediate share and service-transition opportunity for remaining plans while placing continuity and member-transfer execution under scrutiny.

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 41
ParentPlanProgramsLatest CMS enrollmentShareMCPAR operations
Independence Blue CrossAmeriHealth Caritas of Louisiananot reported189,207 (2018)13.7% calculatednot reported
AmeriHealth CaritasAmeriHealth Caritasnot reported194,526 (2017)14.1% calculatednot reported
AmeriHealth CaritasAmeriHealth Caritasnot reported20,953 (2017)18.2% calculatednot reported
AmeriHealth CaritasAmeriHealth Caritas Louisiananot reported17,972 (2024)14.4% calculated33 sanctions, 1,232 appeals resolved
CVS/AetnaAetna Better Healthnot reported96,514 (2018)7.0% calculatednot reported
show all 41
ParentPlanProgramsLatest CMS enrollmentShareMCPAR operations
CVS/AetnaAetna Better Health of Louisiananot reported18,434 (2024)14.8% calculated22 sanctions, 759 appeals resolved
CenteneLouisiana Healthcare Connectionsnot reported459,458 (2017)33.4% calculatednot reported
CenteneLouisiana Healthcare Connectionsnot reported26,641 (2024)21.3% calculated56 sanctions, 4,067 appeals resolved
CenteneMagellannot reported2,447 (2017)100.0% calculatednot reported
CenteneMagellannot reported2,532 (2018)100.0% calculatednot reported
CenteneMagellannot reported2,367 (2020)100.0% calculatednot reported
CenteneMagellannot reported2,404 (2024)100.0% calculated2 sanctions, 193 appeals resolved
ElevanceAmerigroupnot reported219,488 (2017)15.9% calculatednot reported
ElevanceHealthy Bluenot reported233,262 (2018)16.8% calculatednot reported
ElevanceHealthy Bluenot reported319,351 (2021)19.8% calculatednot reported
ElevanceHealthy Bluenot reported22,147 (2024)17.7% calculated28 sanctions, 2,790 appeals resolved
HumanaHumana Healthy Horizonsnot reported11,265 (2024)9.0% calculated24 sanctions, 161 appeals resolved
not reportedMCNAnot reported1,489,131 (2017)100.0% calculatednot reported
not reportedMCNA of Louisiananot reported733,170 (2024)47.8% calculated15 sanctions, 202 appeals resolved
not reportedMCNA of Louisiananot reported1,503,192 (2018)100.0% calculatednot reported
not reportedPACE - Baton Rougenot reported146 (2024)33.5% calculatednot reported
not reportedPACE - Greater New Orleansnot reported167 (2024)38.3% calculatednot reported
not reportedPACE - Lafayettenot reported122 (2024)28.0% calculatednot reported
not reportedPACE - Trinity Health -Alexandrianot reported1 (2024)0.2% calculatednot reported
not reportedDentaQuestnot reported799,766 (2024)52.2% calculated25 sanctions, 926 appeals resolved
UnitedHealthUnitedHealthcare Community Plannot reported414,714 (2018)29.9% calculatednot reported
UnitedHealthUnitedHealthcare Community Plannot reported28,380 (2024)22.7% calculated56 sanctions, 2,970 appeals resolved
UnitedHealthUnitedHealthcare Community Plannot reported343,798 (2024)24.5% calculatednot reported
not reportedAetna Better Health Louisiananot reported78,315 (2016)6.2% calculatednot reported
not reportedAetna Better Health of Louisiananot reported22,332 (2016)19.5% calculatednot reported
not reportedAmeriHealth Caritas Louisiananot reported186,933 (2016)14.8% calculatednot reported
not reportedAmerigroup Louisiananot reported200,086 (2016)15.8% calculatednot reported
not reportedBaton Rougenot reported196 (2018)42.8% calculatednot reported
not reportedGreater New Orleansnot reported183 (2018)40.0% calculatednot reported
not reportedLafayettenot reported79 (2018)17.2% calculatednot reported
not reportedLouisiana Healthcare Connectionsnot reported24,027 (2016)21.0% calculatednot reported
not reportedMCNAnot reported1,316,034 (2016)100.0% calculatednot reported
not reportedPACE - Baton Rougenot reported185 (2016)45.0% calculatednot reported
not reportedPACE - Greater New Orleansnot reported171 (2016)41.6% calculatednot reported
not reportedPACE - Lafayettenot reported55 (2016)13.4% calculatednot reported
not reportedUnitedHealthcare Community Plannot reported370,011 (2016)29.3% 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

Coordinated System of Care (BHO only (PIHP and/or PAHP))

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
MagellanMagellan Health, Inc.CenteneStatewideCMS reported 2,404 (2024)100.0%-83 (-3.3%)0.0 pts2022: 2,165; 2023: 2,487; 2024: 2,404

Coordinated System of Care (Behavioral Health Organization (BHO) only (PIHP and/or PAHP))

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
MagellanMagellan Health, Inc.CenteneStatewidenot reportednot reportednot reportednot reported2017: 2,447; 2018: 2,532; 2019: 2,496; 2020: 2,367; 2021: 2,273

Dental (Dental only (PAHP))

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
MCNAnot reportedunmatchedStatewidenot reportednot reportednot reportednot reported2016: 1,316,034

Dental Benefit Management Program (Dental only (PAHP))

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
DentaQuestSunLife USSunLife USStatewidenot reportednot reportednot reportednot reported2021: 882,565
MCNA of LouisianaMCNAMCNAStatewidenot reportednot reportednot reportednot reported2018: 1,503,192; 2019: 1,499,473; 2020: 1,480,707; 2021: 876,323
MCNAMCNAMCNAStatewidenot reportednot reportednot reportednot reported2017: 1,489,131

Dental Benefit Management Program (Dental only PAHP)

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
DentaQuestSunLife USSunLife USStatewidenot reportednot reportednot reportednot reported2022: 932,623
MCNA of LouisianaMCNAMCNAStatewidenot reportednot reportednot reportednot reported2022: 905,818

Dental Benefit Program Management (Dental only (PAHP))

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
DentaQuestSunLife USSunLife USStatewideCMS reported 799,766 (2024)52.2%-165,243 (-17.1%)+0.9 pts2023: 965,009; 2024: 799,766
MCNA of LouisianaMCNAMCNAStatewideCMS reported 733,170 (2024)47.8%-185,345 (-20.2%)-0.9 pts2023: 918,515; 2024: 733,170

Healthy Louisiana (BHO only (PIHP and/or PAHP))

Healthy Louisiana (BHO only (PIHP and/or PAHP)) 6
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Aetna Better Health of LouisianaAetnaCVS/AetnaStatewideCMS reported 18,434 (2024)14.8%-3,949 (-17.6%)-0.8 pts2023: 22,383; 2024: 18,434
AmeriHealth Caritas LouisianaAmeriHealth Caritas Health PlanAmeriHealth Caritas Health PlanStatewideCMS reported 17,972 (2024)14.4%-3,519 (-16.4%)-0.6 pts2022: 22,265; 2023: 21,491; 2024: 17,972
Healthy BlueElevance HealthElevanceStatewideCMS reported 22,147 (2024)17.7%-4,481 (-16.8%)-0.8 pts2022: 27,374; 2023: 26,628; 2024: 22,147
Humana Healthy HorizonsHumana, Inc.HumanaStatewideCMS reported 11,265 (2024)9.0%+3,484 (+44.8%)+3.6 pts2023: 7,781; 2024: 11,265
Louisiana Healthcare ConnectionsCentene CorporationCenteneStatewideCMS reported 26,641 (2024)21.3%-4,940 (-15.6%)-0.7 pts2022: 32,294; 2023: 31,581; 2024: 26,641
show all 6
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
UnitedHealthcare Community PlanUnitedHealth GroupUnitedHealthStatewideCMS reported 28,380 (2024)22.7%-5,336 (-15.8%)-0.7 pts2022: 34,008; 2023: 33,716; 2024: 28,380

Healthy Louisiana (BHO) (Behavioral Health Organization (BHO) only (PIHP and/or PAHP))

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Aetna Better Health of Louisiananot reportedunmatchedStatewidenot reportednot reportednot reportednot reported2016: 22,332
AmeriHealth Caritas Louisiananot reportedunmatchedStatewidenot reportednot reportednot reportednot reported2016: 21,107
Amerigroup Louisiananot reportedunmatchedStatewidenot reportednot reportednot reportednot reported2016: 21,485
Louisiana Healthcare Connectionsnot reportedunmatchedStatewidenot reportednot reportednot reportednot reported2016: 24,027
UnitedHealthcare Community Plannot reportedunmatchedStatewidenot reportednot reportednot reportednot reported2016: 25,327

Healthy Louisiana (Behavioral Health Organization (BHO) only (PIHP and/or PAHP))

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Aetna Better Health of LouisianaAetnaCVS/AetnaStatewidenot reportednot reportednot reportednot reported2019: 22,932; 2020: 23,089; 2021: 22,335; 2022: 22,365
AmeriHealth Caritas LouisianaAmeriHealth Caritas Health PlanAmeriHealth Caritas Health PlanStatewidenot reportednot reportednot reportednot reported2019: 22,890; 2020: 22,946; 2021: 22,307
Healthy BlueAnthemElevanceStatewidenot reportednot reportednot reportednot reported2019: 24,753; 2020: 26,199; 2021: 26,589
Louisiana Healthcare ConnectionsCentene CorporationCenteneStatewidenot reportednot reportednot reportednot reported2019: 29,407; 2020: 31,126; 2021: 31,566
UnitedHealthcare Community PlanUnitedHealth GroupUnitedHealthStatewidenot reportednot reportednot reportednot reported2019: 30,473; 2020: 32,851; 2021: 33,041

Healthy Louisiana (Comprehensive MCO)

Healthy Louisiana (Comprehensive MCO) 10
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Aetna Better Health of LouisianaAetnaCVS/AetnaStatewideCMS reported 131,535 (2024)9.4%-22,283 (-14.5%)+0.5 pts2019: 97,359; 2020: 111,641; 2021: 126,809; 2022: 135,223; 2023: 153,818; 2024: 131,535
Aetna Better HealthAetnaCVS/AetnaStatewidenot reportednot reportednot reportednot reported2017: 93,505; 2018: 96,514
AmeriHealth Caritas LouisianaAmeriHealth Caritas Health PlanAmeriHealth Caritas Health PlanStatewideCMS reported 153,970 (2024)11.0%-52,215 (-25.3%)-0.9 pts2019: 182,076; 2020: 191,000; 2021: 203,582; 2022: 209,431; 2023: 206,185; 2024: 153,970
AmeriHealth Caritas of LouisianaAmeriHealthAmeriHealthStatewidenot reportednot reportednot reportednot reported2018: 189,207
AmeriHealth CaritasAmerihealth CaritasAmeriHealth CaritasStatewidenot reportednot reportednot reportednot reported2017: 194,526
show all 10
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
AmerigroupAmerigroupElevanceStatewidenot reportednot reportednot reportednot reported2017: 219,488
Healthy BlueElevance HealthElevanceStatewideCMS reported 253,620 (2024)18.1%-69,903 (-21.6%)-0.6 pts2018: 233,262; 2019: 244,179; 2020: 278,324; 2021: 319,351; 2022: 341,348; 2023: 323,523; 2024: 253,620
Humana Healthy HorizonsHumana, Inc.HumanaStatewideCMS reported 119,887 (2024)8.5%-15,928 (-11.7%)+0.7 pts2023: 135,815; 2024: 119,887
Louisiana Healthcare ConnectionsCentene CorporationCenteneStatewideCMS reported 400,299 (2024)28.5%-84,211 (-17.4%)+0.5 pts2017: 459,458; 2018: 451,087; 2019: 429,403; 2020: 453,527; 2021: 496,625; 2022: 520,567; 2023: 484,510; 2024: 400,299
UnitedHealthcare Community PlanUnitedHealthcare GroupUnitedHealthStatewideCMS reported 343,798 (2024)24.5%-82,992 (-19.4%)-0.2 pts2017: 410,705; 2018: 414,714; 2019: 403,381; 2020: 433,888; 2021: 470,295; 2022: 487,473; 2023: 426,790; 2024: 343,798

Healthy Louisiana (MCO) (Comprehensive MCO)

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Aetna Better Health Louisiananot reportedunmatchedStatewidenot reportednot reportednot reportednot reported2016: 78,315
AmeriHealth Caritas Louisiananot reportedunmatchedStatewidenot reportednot reportednot reportednot reported2016: 186,933
Amerigroup Louisiananot reportedunmatchedStatewidenot reportednot reportednot reportednot reported2016: 200,086
Louisiana Healthcare Connectionsnot reportedunmatchedStatewidenot reportednot reportednot reportednot reported2016: 427,806
UnitedHealthcare Community Plannot reportedunmatchedStatewidenot reportednot reportednot reportednot reported2016: 370,011

Healthy Louisiana BHO (Behavioral Health Organization (BHO) only (PIHP and/or PAHP))

Healthy Louisiana BHO (Behavioral Health Organization (BHO) only (PIHP and/or PAHP)) 7
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Aetna Better HealthAetnaCVS/AetnaStatewidenot reportednot reportednot reportednot reported2017: 21,665; 2018: 20,976
AmeriHealth Caritas of LouisianaAmeriHealthAmeriHealthStatewidenot reportednot reportednot reportednot reported2018: 20,601
AmeriHealth CaritasAmeriHealth CaritasAmeriHealth CaritasStatewidenot reportednot reportednot reportednot reported2017: 20,953
AmerigroupAmerigroupElevanceStatewidenot reportednot reportednot reportednot reported2017: 21,566
Healthy BlueAnthem Insurance Companies, Inc.ElevanceStatewidenot reportednot reportednot reportednot reported2018: 21,680
show all 7
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Louisiana Healthcare ConnectionsCentene CorporationCenteneStatewidenot reportednot reportednot reportednot reported2017: 24,960; 2018: 25,778
UnitedHealthcare Community PlanUnitedHealthcareUnitedHealthStatewidenot reportednot reportednot reportednot reported2017: 25,838; 2018: 26,540

PACE (PACE)

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
PACE - Baton RougePACE - Baton RougePACE - Baton Rouge70704, 70710, 70714,70719, 70720,70722, 70729, 70736, 70739, 70748, 70767, 70770, 70775, 70777, 70791, 70801, 70802, 70803, 70804, 70805, 70806, 70807, 70808, 70809, 70810, 70811, 70812, 70813, 70814, 70815, 70816, 70817, 70818, 70819, 70820, 70821, 70822, 70823, 70825, 70826, 70827, 70831, 70833, 70835, 70836, 70837, 70873, 70874, 70879, 70883, 70884, 70891, 70892, 70893, 70894, 70895, 70896, 70898CMS reported 146 (2024)33.5%not reportednot reported2024: 146
PACE - Baton RougePACE - Baton RougePACE - Baton Rouge70704, 70710, 70714,70719, 70720,70722, 70729, 70736, 70739, 70748, 70767, 70770, 70775, 70777, 70791, 70801, 70802, 70803, 70804, 70805, 70806, 70807, 70808, 70809, 70810, 70811, 70812, 70813, 70814, 70815, 70816, 70817, 70818, 70819, 70820, 70821, 70822, 70823, 70825, 70826, 70827, 70831, 70833, 70835, 70836, 70837, 70873, 70874, 70879,70883, 70884, 70891, 70892, 70893, 70894, 70895, 70896, 70898not reportednot reportednot reportednot reported2023: 150
PACE - Greater New OrleansPACE - Greater New OrleansPACE - Greater New Orleans70112, 70113, 70114, 70115, 70116, 70117, 70118, 70119, 70122, 70124, 70125, 70126, 70127, 70128, 70129, 70130, 70131, 70032, 70043, 70001, 70002, 70003, 70005, 70006, 70053, 70121CMS reported 167 (2024)38.3%+28 (+20.1%)+3.5 pts2023: 139; 2024: 167
PACE - LafayettePACE - LafayettePACE - Lafayette70501, 70503, 70506, 70507, 70508, 70517, 70518, 70520, 70529, 70578, 70583, 70584, 70592CMS reported 122 (2024)28.0%+12 (+10.9%)+0.4 pts2023: 110; 2024: 122
PACE - Trinity Health -AlexandriaPACE - Trinity Health -AlexandriaPACE - Trinity Health -AlexandriaAvoyelles Parish and Rapides ParishCMS reported 1 (2024)0.2%not reportednot reported2024: 1

PACE (Program of All-inclusive Care for the Elderly (PACE))

PACE (Program of All-inclusive Care for the Elderly (PACE)) 8
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Baton RougePACEunmatched70704, 70710, 70714,70719, 70720,70722, 70729, 70736, 70739, 70748, 70767, 70770, 70775, 70777, 70791, 70801, 70802, 70803, 70804, 70805, 70806, 70807, 70808, 70809, 70810, 70811, 70812, 70813, 70814, 70815, 70816, 70817, 70818, 70819, 70820, 70821, 70822, 70823, 70825, 70826, 70827, 70831, 70833, 70835, 70836, 70837, 70873, 70874, 70879, 70883, 70884, 70891, 70892, 70893, 70894, 70895, 70896, 70898not reportednot reportednot reportednot reported2018: 196
Greater New OrleansPACEunmatched70112, 70113, 70114, 70115, 70116, 70117, 70118, 70119, 70122, 70124, 70125, 70126, 70127, 70128, 70129, 70130, 70131, 70032, 70043, 70001, 70002, 70003, 70005, 70006, 70053, 70121not reportednot reportednot reportednot reported2018: 183
LafayettePACEunmatched70501, 70503, 70506, 70507, 70508, 70517, 70518, 70520, 70529, 70578, 70583, 70584, 70592not reportednot reportednot reportednot reported2018: 79
PACE - Baton RougePACE - Baton RougePACE - Baton Rouge70704, 70710, 70714, 70719, 70720, 70722, 70729, 70736, 70739, 70748, 70767, 70770, 70775, 70777, 70791, 70801, 70802, 70803, 70804, 70805, 70806, 70807, 70808, 70809, 70810, 70811, 70812, 70813, 70814, 70815, 70816, 70817, 70818, 70819, 70820, 70821, 70822, 70823, 70825, 70826, 70827, 70831, 70833, 70835, 70836, 70837, 70873, 70874, 70879, 70883, 70884, 70891, 70892, 70893, 70894, 70895, 70896, 70898not reportednot reportednot reportednot reported2020: 189
PACE - Baton RougePACE - Baton RougePACE - Baton Rouge70704, 70710, 70714, 70719, 70720,70722, 70729, 70736, 70739, 70748, 70767, 70770, 70775, 70777, 70791, 70801, 70802, 70803, 70804, 70805, 70806, 70807, 70808, 70809, 70810, 70811, 70812, 70813, 70814, 70815, 70816, 70817, 70818, 70819, 70820, 70821, 70822, 70823, 70825, 70826, 70827, 70831, 70833, 70835, 70836, 70837, 70873, 70874, 70879, 70883, 70884, 70891, 70892, 70893, 70894, 70895, 70896, 70898not reportednot reportednot reportednot reported2019: 192
show all 8
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
PACE - Baton RougePACE - Baton RougePACE - Baton Rouge70704, 70710, 70714,70719, 70720,70722, 70729, 70736, 70739, 70748, 70767, 70770, 70775, 70777, 70791, 70801, 70802, 70803, 70804, 70805, 70806, 70807, 70808, 70809, 70810, 70811, 70812, 70813, 70814, 70815, 70816, 70817, 70818, 70819, 70820, 70821, 70822, 70823, 70825, 70826, 70827, 70831, 70833, 70835, 70836, 70837, 70873, 70874, 70879,70883, 70884, 70891, 70892, 70893, 70894, 70895, 70896, 70898not reportednot reportednot reportednot reported2016: 185; 2017: 195; 2021: 183
PACE - Greater New OrleansPACE - Greater New OrleansPACE - Greater New Orleans70112, 70113, 70114, 70115, 70116, 70117, 70118, 70119, 70122, 70124, 70125, 70126, 70127, 70128, 70129, 70130, 70131, 70032, 70043, 70001, 70002, 70003, 70005, 70006, 70053, 70121not reportednot reportednot reportednot reported2016: 171; 2017: 164; 2019: 191; 2020: 169; 2021: 147
PACE - LafayettePACE - LafayettePACE - Lafayette70501, 70503, 70506, 70507, 70508, 70517, 70518, 70520, 70529, 70578, 70583, 70584, 70592not reportednot reportednot reportednot reported2016: 55; 2017: 84; 2019: 93; 2020: 107; 2021: 91

Program of All-Inclusive Care for the Elderly (PACE)

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
PACE - Baton RougePACE - Baton RougePACE - Baton Rouge70704, 70710, 70714, 70719, 70720, 70722, 70729, 70736, 70739, 70748, 70767, 70770, 70775, 70777, 70791, 70801, 70802, 70803, 70804, 70805, 70806, 70807, 70808, 70809, 70810, 70811, 70812, 70813, 70814, 70815, 70816, 70817, 70818, 70819, 70820, 70821, 70822, 70823, 70825, 70826, 70827, 70831, 70833, 70835, 70836, 70837, 70873, 0874,70879, 70883, 70884, 70891, 70892, 70893, 70894, 70895, 70896, 70898not reportednot reportednot reportednot reported2022: 164
PACE - Greater New OrleansPACE - Greater New OrleansPACE - Greater New Orleans70112, 70113, 70114, 70115, 70116, 70117, 70118, 70119, 70122, 70124, 70125, 70126, 70127, 70128, 70129, 70130, 70131, 70032, 70043, 70001, 70002, 70003, 70005, 70006, 70053, 70121not reportednot reportednot reportednot reported2022: 147
PACE - LafayettePACE - LafayettePACE - Lafayette70501, 70503, 70506, 70507, 70508, 70517, 70518, 70520, 70529, 70578, 70583, 70584, 70592not reportednot reportednot reportednot reported2022: 99

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) 9
PlanParentProgramAppeals resolvedIn favor of enrolleeAppeal rateGrievances resolvedMedicaid enrollment shareManaged care enrollment share
Magellan Complete Care of LouisianaCenteneCoordinated System of Care92not reportednot reported140.1%0.2%
DentaQuestSunLife USDental Benefit Program Management3516719.1% calculated10147.8%52.2%
MCNA of LouisianaMCNADental Benefit Program Management11797.7% calculated4243.9%48%
Aetna Better Health of LouisianaCVS/AetnaHealthy Louisiana37511530.7% calculated4269%9.8%
AmeriHealth Caritas LouisianaAmeriHealth Caritas Health PlanHealthy Louisiana45918239.7% calculated27310.3%11.3%
show all 9
PlanParentProgramAppeals resolvedIn favor of enrolleeAppeal rateGrievances resolvedMedicaid enrollment shareManaged care enrollment share
Healthy BlueElevanceHealthy Louisiana1,21122318.4% calculated92716.6%18.1%
Humana Healthy HorizonsHumanaHealthy Louisiana1203730.8% calculated3197.8%8.6%
Louisiana Healthcare ConnectionsCenteneHealthy Louisiana1,69877145.4% calculated1,52025.4%27.8%
UnitedHealthcare Community PlanUnitedHealthHealthy Louisiana1,30736027.5% calculated1,72522.3%24.3%

Sanctions (2024)

Sanctions (2024) 130
PlanParentTopicDateCorrective action planRemediation status
DentaQuestSunLife USPerformance improvement2024-10-22NoRemediation in progress
DentaQuestSunLife USPerformance improvement2024-10-17NoRemediation in progress
DentaQuestSunLife USPerformance improvement2024-12-27NoRemediation in progress
DentaQuestSunLife USPerformance improvement2024-05-09NoRemediation in progress
DentaQuestSunLife USPerformance improvement2024-12-03NoRemediation in progress
show all 130
PlanParentTopicDateCorrective action planRemediation status
DentaQuestSunLife USPerformance improvement2024-01-12NoRemediation in progress
DentaQuestSunLife USPerformance improvement2024-05-22NoRemediation in progress
DentaQuestSunLife USPerformance improvement2024-06-14NoRemediation in progress
DentaQuestSunLife USReporting2024-09-05NoRemediation in progress
DentaQuestSunLife USReporting2024-10-01NoYes, remediated
DentaQuestSunLife USReporting2024-10-30NoRemediation in progress
DentaQuestSunLife USPerformance improvement2024-05-15NoRemediation in progress
DentaQuestSunLife USPerformance improvement2024-06-25NoRemediation in progress
MCNA of LouisianaMCNAPerformance improvement2024-09-08NoRemediation in progress
MCNA of LouisianaMCNAPerformance improvement2024-10-22NoRemediation in progress
MCNA of LouisianaMCNAPerformance improvement2024-05-15NoRemediation in progress
MCNA of LouisianaMCNAPerformance improvement2024-06-25NoRemediation in progress
MCNA of LouisianaMCNAPerformance improvement2024-10-17NoRemediation in progress
MCNA of LouisianaMCNAPerformance improvement2024-12-27NoRemediation in progress
MCNA of LouisianaMCNAPerformance improvement2024-01-12NoYes, remediated
Aetna Better Health of LouisianaCVS/AetnaPerformance improvement2024-02-15NoRemediation in progress
Aetna Better Health of LouisianaCVS/AetnaReporting2024-01-12YesYes, remediated
Aetna Better Health of LouisianaCVS/AetnaPerformance improvement2024-02-29NoRemediation in progress
Aetna Better Health of LouisianaCVS/AetnaPerformance improvement2024-10-24NoRemediation in progress
Aetna Better Health of LouisianaCVS/AetnaPerformance improvement2024-06-13NoYes, remediated
AmeriHealth Caritas LouisianaAmeriHealth Caritas Health PlanPerformance improvement2024-07-12NoRemediation in progress
AmeriHealth Caritas LouisianaAmeriHealth Caritas Health PlanPerformance improvement2024-09-23NoRemediation in progress
AmeriHealth Caritas LouisianaAmeriHealth Caritas Health PlanPerformance improvement2024-08-14NoRemediation in progress
AmeriHealth Caritas LouisianaAmeriHealth Caritas Health PlanPerformance improvement2024-09-18NoRemediation in progress
AmeriHealth Caritas LouisianaAmeriHealth Caritas Health PlanPerformance improvement2024-09-18NoRemediation in progress
AmeriHealth Caritas LouisianaAmeriHealth Caritas Health PlanPerformance improvement2024-01-12NoYes, remediated
AmeriHealth Caritas LouisianaAmeriHealth Caritas Health PlanPerformance improvement2024-07-12NoRemediation in progress
AmeriHealth Caritas LouisianaAmeriHealth Caritas Health PlanPerformance improvement2024-07-18NoRemediation in progress
AmeriHealth Caritas LouisianaAmeriHealth Caritas Health PlanPerformance improvement2024-09-19NoRemediation in progress
AmeriHealth Caritas LouisianaAmeriHealth Caritas Health PlanReporting2024-09-25NoRemediation in progress
AmeriHealth Caritas LouisianaAmeriHealth Caritas Health PlanPerformance improvement2024-02-15NoYes, remediated
AmeriHealth Caritas LouisianaAmeriHealth Caritas Health PlanPerformance improvement2024-02-08NoRemediation in progress
AmeriHealth Caritas LouisianaAmeriHealth Caritas Health PlanPerformance improvement2024-09-23NoRemediation in progress
AmeriHealth Caritas LouisianaAmeriHealth Caritas Health PlanPerformance improvement2024-01-12NoYes, remediated
Healthy BlueElevancePerformance improvement2024-02-15NoRemediation in progress
Healthy BlueElevancePerformance improvement2024-01-12NoYes, remediated
Healthy BlueElevancePerformance improvement2024-01-25NoRemediation in progress
Healthy BlueElevancePerformance improvement2024-02-15NoRemediation in progress
Healthy BlueElevancePerformance improvement2024-02-21NoRemediation in progress
Healthy BlueElevancePerformance improvement2024-02-29NoRemediation in progress
Healthy BlueElevanceReporting2024-04-02NoRemediation in progress
Healthy BlueElevanceReporting2024-09-09NoRemediation in progress
Healthy BlueElevanceReporting2024-05-08NoRemediation in progress
Healthy BlueElevanceReporting2024-11-15NoRemediation in progress
Healthy BlueElevancePerformance improvement2025-07-18NoRemediation in progress
Healthy BlueElevanceReporting2024-07-29NoRemediation in progress
Healthy BlueElevancePerformance improvement2024-09-19NoRemediation in progress
Humana Healthy HorizonsHumanaPerformance improvement2024-02-15NoRemediation in progress
Humana Healthy HorizonsHumanaPerformance improvement2024-02-21NoRemediation in progress
Humana Healthy HorizonsHumanaPerformance improvement2024-03-04NoRemediation in progress
Humana Healthy HorizonsHumanaPerformance improvement2024-05-22NoRemediation in progress
Humana Healthy HorizonsHumanaPerformance improvement2024-08-08NoRemediation in progress
Humana Healthy HorizonsHumanaPerformance improvement2024-11-26NoRemediation in progress
Humana Healthy HorizonsHumanaPerformance improvement2024-12-27NoRemediation in progress
Humana Healthy HorizonsHumanaPerformance improvement2024-02-01NoRemediation in progress
Humana Healthy HorizonsHumanaPerformance improvement2024-01-22NoRemediation in progress
Humana Healthy HorizonsHumanaPerformance improvement2024-02-29NoRemediation in progress
Humana Healthy HorizonsHumanaPerformance improvement2024-10-24NoRemediation in progress
Humana Healthy HorizonsHumanaReporting2024-05-20NoRemediation in progress
Humana Healthy HorizonsHumanaReporting2024-07-17NoYes, remediated
Humana Healthy HorizonsHumanaReporting2024-09-27NoRemediation in progress
Humana Healthy HorizonsHumanaPerformance improvement2024-12-27NoRemediation in progress
Humana Healthy HorizonsHumanaPerformance improvement2024-12-27NoRemediation in progress
Humana Healthy HorizonsHumanaPerformance improvement2024-12-30NoRemediation in progress
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-01-03NoRemediation in progress
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-01-26NoRemediation in progress
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-01-26NoRemediation in progress
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-01-29NoRemediation in progress
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-02-06NoRemediation in progress
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-02-08NoRemediation in progress
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-02-16NoRemediation in progress
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-02-21NoRemediation in progress
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-03-18NoRemediation in progress
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-03-22NoRemediation in progress
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-05-01NoRemediation in progress
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-07-02NoRemediation in progress
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-08-08NoRemediation in progress
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-09-23NoRemediation in progress
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-10-18NoRemediation in progress
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-10-30NoRemediation in progress
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-12-09NoRemediation in progress
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-02-01NoRemediation in progress
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-02-15NoRemediation in progress
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-07-15NoRemediation in progress
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-09-26NoRemediation in progress
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-02-15NoYes, remediated
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-01-12NoYes, remediated
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-03-05NoRemediation in progress
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-07-18NoRemediation in progress
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-05-22NoRemediation in progress
Louisiana Healthcare ConnectionsCenteneReporting2024-09-27NoRemediation in progress
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-10-10NoRemediation in progress
Louisiana Healthcare ConnectionsCentenePerformance improvement2024-10-25NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-01-12NoYes, remediated
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-02-28NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthReporting2024-05-16NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthReporting2024-09-27NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-07-18NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-09-19NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-11-15NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-12-27NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-01-03NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-10-17NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-10-25NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-03-22NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-07-15NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-07-18NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-10-28NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-01-26NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-01-30NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-02-19NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-03-20NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-03-27NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-04-25NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-05-01NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-05-23NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-07-17NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-07-24NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-08-19NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-09-20NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-10-28NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-12-27NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-12-30NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-02-15NoRemediation in progress
UnitedHealthcare Community PlanUnitedHealthPerformance improvement2024-02-01NoRemediation in progress

Award history

  • Healthy Louisiana MCO LA-2019-MCO-WITHDRAWN: cancelled. Healthy Louisiana MCO (LA-2019-MCO-WITHDRAWN). Status recorded from the retrieved documents: cancelled. Named awardees in confirmed excerpts: AmeriHealth Caritas Louisiana, Healthy Blue, Humana Health Benefit Plan of Louisiana, UnitedHealthcare Community Plan.
  • Healthy Louisiana MCO LA-2022-MCO: awarded. Healthy Louisiana MCO (LA-2022-MCO). Status recorded from the retrieved documents: awarded. Named awardees in confirmed excerpts: Aetna Better Health of Louisiana, AmeriHealth Caritas Louisiana, Healthy Blue, Humana, Louisiana Healthcare Connections, UnitedHealthcare Community Plan Louisiana. Notice date 2022-06-09.

Retrieved 2026-11-03. Sources and scores

Early procurement signals

No official early-procurement document has been retrieved for this state. This is not a finding that no signal exists. Early signals

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

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): 1

Source receipts: 1 unchanged at 2026-11-15T11:15:55+00:00.

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.