MN MEDICAID MARKET
Minnesota
monitoring
No current verified market signal.
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Last verified: unavailable · no state-specific item
No current verified signal
Precapture is monitoring this market. No state-specific public intelligence item is currently published.
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 49
| Parent | Plan | Programs | Latest CMS enrollment | Share | MCPAR operations |
|---|---|---|---|---|---|
| not reported | Blue Plus | not reported | 3,737 (2020) | 20.8% calculated | not reported |
| not reported | Blue Plus | not reported | 4,401 (2024) | 20.6% calculated | not reported |
| Blue Cross and Blue Shield of Minnesota | Blue Plus | not reported | 9,632 (2024) | 21.4% calculated | 12 sanctions, 12,096 appeals resolved |
| Blue Cross and Blue Shield of Minnesota | Blue Plus | not reported | 3,167 (2019) | 19.0% calculated | not reported |
| Health Partners Plans | Health Partners | not reported | 5,182 (2018) | 9.6% calculated | not reported |
show all 49
| Parent | Plan | Programs | Latest CMS enrollment | Share | MCPAR operations |
|---|---|---|---|---|---|
| Health Partners Plans | Health Partners | not reported | 2,404 (2024) | 11.3% calculated | 2 sanctions, 2,259 appeals resolved |
| not reported | HealthPartners | not reported | 125,763 (2019) | 17.0% calculated | not reported |
| not reported | Health Partners | not reported | 4,214 (2020) | 10.2% calculated | not reported |
| not reported | Hennepin Health | not reported | 2,055 (2017) | 4.0% calculated | not reported |
| not reported | Hennepin Health | not reported | 22,454 (2024) | 2.6% calculated | 7 sanctions, 547 appeals resolved |
| not reported | Hennepin Health | not reported | 1,965 (2019) | 3.6% calculated | not reported |
| not reported | Itasca Medical | not reported | 6,701 (2024) | 0.8% calculated | not reported |
| not reported | Itasca Medical Care | not reported | 270 (2024) | 1.3% calculated | 66 appeals resolved |
| not reported | Itasca Medical care | not reported | 386 (2021) | 0.9% calculated | not reported |
| not reported | Itasca Medical care | not reported | 371 (2022) | 1.1% calculated | not reported |
| not reported | Itsaca Medical | not reported | 263 (2020) | 1.5% calculated | not reported |
| not reported | Itsaca Medical Care | not reported | 7,505 (2020) | 0.9% calculated | not reported |
| Medica | Medica | not reported | 4,168 (2024) | 19.5% calculated | 4 sanctions, 1,148 appeals resolved |
| not reported | Medica | not reported | 3,895 (2019) | 23.3% calculated | not reported |
| not reported | Prime West | not reported | 2,547 (2024) | 4.2% calculated | 3 sanctions, 1,646 appeals resolved |
| not reported | Prime West | not reported | 2,225 (2018) | 4.1% calculated | not reported |
| not reported | Prime West Health | not reported | 955 (2024) | 4.5% calculated | not reported |
| not reported | PrimeWest Health | not reported | 33,431 (2019) | 4.5% calculated | not reported |
| not reported | South Country | not reported | 20,569 (2020) | 2.5% calculated | not reported |
| not reported | South Country Alliance | not reported | 1,554 (2020) | 3.8% calculated | not reported |
| not reported | South Country Alliance | not reported | 869 (2021) | 4.2% calculated | not reported |
| not reported | South Country | not reported | 2,944 (2018) | 5.5% calculated | not reported |
| not reported | South Country Health | not reported | 910 (2017) | 5.6% calculated | not reported |
| not reported | South Country Health Alliance | not reported | 682 (2024) | 3.2% calculated | 1 sanctions, 271 appeals resolved |
| not reported | South Country Health Alliance | not reported | 1,032 (2022) | 5.4% calculated | not reported |
| not reported | U Care | not reported | 28,576 (2018) | 53.2% calculated | not reported |
| UCare | UCare | not reported | 8,455 (2024) | 39.6% calculated | 5 sanctions, 9,439 appeals resolved |
| UCare | Ucare | not reported | 263,843 (2020) | 32.0% calculated | not reported |
| UCare | Ucare | not reported | 221,183 (2019) | 29.9% calculated | not reported |
| UCare | Ucare | not reported | 5,377 (2019) | 32.2% calculated | not reported |
| UCare | UCare | not reported | 4,295 (2017) | 26.4% calculated | not reported |
| UnitedHealth | Medica | not reported | 24 (2023) | 0.1% calculated | not reported |
| UnitedHealth | United HealthCare | not reported | 31,506 (2022) | 4.5% calculated | not reported |
| UnitedHealth | UnitedHealthcare | not reported | 26 (2023) | 0.1% calculated | not reported |
| UnitedHealth | UnitedHealthcare of MN | not reported | 37 (2024) | 0.1% calculated | 8 sanctions, 846 appeals resolved |
| not reported | Blue Plus | not reported | 281,837 (2016) | 39.4% calculated | not reported |
| not reported | Health Partners | not reported | 77,317 (2016) | 10.8% calculated | not reported |
| not reported | Hennepin Health | not reported | 8,212 (2016) | 1.1% calculated | not reported |
| not reported | Itasca Medical Care | not reported | 195 (2016) | 1.4% calculated | not reported |
| not reported | Itasca Medical Center | not reported | 461 (2016) | 1.3% calculated | not reported |
| not reported | Medica | not reported | 3,505 (2016) | 24.7% calculated | not reported |
| not reported | PrimeWest Health | not reported | 2,169 (2016) | 4.5% calculated | not reported |
| not reported | South Country Health | not reported | 1,567 (2016) | 4.4% calculated | not reported |
| not reported | Ucare | not reported | 12,301 (2016) | 1.7% calculated | not 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.
MSC+ (Comprehensive MCO + MLTSS)
MSC+ (Comprehensive MCO + MLTSS) 6
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Health Partners | Health Partners | Health Partners | Statewide | not reported | not reported | not reported | not reported | 2022: 2,889 |
| Itasca Medical Care | Itasca Medical Care | Itasca Medical Care | Itasca County | not reported | not reported | not reported | not reported | 2022: 338 |
| Medica | Medica | Medica | Statewide | not reported | not reported | not reported | not reported | 2022: 4,870 |
| Prime West Health | Prime West Health | Prime West Health | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse Counties | not reported | not reported | not reported | not reported | 2022: 1,238 |
| South Country Health Alliance | South country Health Alliance | South Country Health Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca Counties | not reported | not reported | not reported | not reported | 2022: 1,032 |
show all 6
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| UCare | UCare | UCare | Statewide | not reported | not reported | not reported | not reported | 2022: 8,690 |
MSHO (Comprehensive MCO + MLTSS)
MSHO (Comprehensive MCO + MLTSS) 6
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Health Partners | Health Partners | Health Partners | Statewide | not reported | not reported | not reported | not reported | 2022: 5,327 |
| Itasca Medical care | Itasca Medical care | Itasca Medical Care | Itasca County | not reported | not reported | not reported | not reported | 2022: 371 |
| Medica | Medica | Medica | Statewide | not reported | not reported | not reported | not reported | 2022: 9,993 |
| Prime West Health | Prime West Health | Prime West Health | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse Counties | not reported | not reported | not reported | not reported | 2022: 1,872 |
| South Country Health Alliance | South Country Health Alliance | South Country Health Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca Counties | not reported | not reported | not reported | not reported | 2022: 1,467 |
show all 6
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| UCare | UCare | UCare | Statewide | not reported | not reported | not reported | not reported | 2022: 15,673 |
Minnesota Senior Care Plus (Comprehensive MCO + MLTSS)
Minnesota Senior Care Plus (Comprehensive MCO + MLTSS) 7
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Blue Plus | Blue Cross Blue Shield MN | Blue Cross Blue Shield MN | Statewide | CMS reported 4,401 (2024) | 20.6% | -1,905 (-30.2%) | -1.4 pts | 2023: 6,306; 2024: 4,401 |
| Health Partners | Health Partners | Health Partners | Statewide | CMS reported 2,404 (2024) | 11.3% | -1,400 (-36.8%) | -2.0 pts | 2023: 3,804; 2024: 2,404 |
| Itasca Medical Care | Itasca Medical Care | Itasca Medical Care | Itasca County | CMS reported 270 (2024) | 1.3% | -128 (-32.2%) | -0.1 pts | 2023: 398; 2024: 270 |
| Medica | Medica | Medica | Statewide | CMS reported 4,168 (2024) | 19.5% | not reported | not reported | not reported |
| Prime West Health | Prime West Health | Prime West Health | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse Counties | CMS reported 955 (2024) | 4.5% | -490 (-33.9%) | -0.6 pts | 2023: 1,445; 2024: 955 |
show all 7
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| South Country Health Alliance | South Country Health Alliance | South Country Health Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca Counties | CMS reported 682 (2024) | 3.2% | -282 (-29.3%) | -0.2 pts | 2023: 964; 2024: 682 |
| UCare | UCare | UCare | Statewide | CMS reported 8,455 (2024) | 39.6% | -2,080 (-19.7%) | +2.8 pts | 2023: 10,535; 2024: 8,455 |
Minnesota Senior Care Plus (MSC+) (Comprehensive MCO + MLTSS)
Minnesota Senior Care Plus (MSC+) (Comprehensive MCO + MLTSS) 27
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Blue Plus | Blue Cross Blue Shield MN | Blue Cross Blue Shield MN | Statewide | not reported | not reported | not reported | not reported | 2017: 3,954; 2018: 3,454; 2019: 3,167; 2020: 3,737; 2021: 4,535; 2022: 5,133 |
| Blue Plus | not reported | unmatched | statewide | not reported | not reported | not reported | not reported | 2016: 3,638 |
| Health Partners | Health Partners | Health Partners | Statewide | not reported | not reported | not reported | not reported | 2018: 2,271; 2020: 1,938; 2021: 2,156 |
| Health Partners | not reported | unmatched | statewide | not reported | not reported | not reported | not reported | 2016: 1,764 |
| HealthPartners | HealthPartners, Inc. | HealthPartners, Inc. | Statewide | not reported | not reported | not reported | not reported | 2017: 2,081; 2019: 2,262 |
show all 27
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Itasca Medical Care | Itasca Medical Care | Itasca Medical Care | Itasca County | not reported | not reported | not reported | not reported | 2016: 195; 2017: 213; 2018: 218 |
| Itasca Medical Care | Itasca Medical Care | Itasca Medical Care | Itasca county | not reported | not reported | not reported | not reported | 2021: 307 |
| Itasca Medical Care | Itasca Medical Care | Itasca Medical Care | Itsca County | not reported | not reported | not reported | not reported | 2019: 223 |
| Itsaca Medical | Itsaca Medical | Itsaca Medical | Itsaca County | not reported | not reported | not reported | not reported | 2020: 263 |
| Medica | Medica | Medica | Statewide | not reported | not reported | not reported | not reported | 2017: 3,998; 2018: 3,967; 2019: 3,895; 2020: 4,148; 2021: 4,386 |
| Medica | not reported | unmatched | statewide | not reported | not reported | not reported | not reported | 2016: 3,505 |
| Prime West Health | Prime West Health | Prime West Health | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse county | not reported | not reported | not reported | not reported | 2021: 1,108 |
| Prime West | Prime West Health | Prime West Health | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse Counties | not reported | not reported | not reported | not reported | 2018: 836 |
| Prime West | Prime West | Prime West | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse County | not reported | not reported | not reported | not reported | 2020: 971 |
| PrimeWest Health | PrimeWest Health | PrimeWest Health | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse Counties | not reported | not reported | not reported | not reported | 2019: 874 |
| PrimeWest Health | PrimeWest Health | PrimeWest Health | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse County | not reported | not reported | not reported | not reported | 2017: 824 |
| PrimeWest Health | not reported | unmatched | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse counties | not reported | not reported | not reported | not reported | 2016: 734 |
| South Country Alliance | South country Alliance | South Country Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca county | not reported | not reported | not reported | not reported | 2021: 869 |
| South Country Health Alliance | South Country Health Alliance | South Country Health Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca Counties | not reported | not reported | not reported | not reported | 2019: 886 |
| South Country Health Alliance | South Country Health Alliance | South Country Health Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca County | not reported | not reported | not reported | not reported | 2020: 740 |
| South Country Health | South Country Health Alliance | South Country Health Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca County | not reported | not reported | not reported | not reported | 2017: 910 |
| South Country Health | not reported | unmatched | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca counties | not reported | not reported | not reported | not reported | 2016: 832 |
| South Country | South Country Health Alliance | South Country Health Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca Counties | not reported | not reported | not reported | not reported | 2018: 832 |
| U Care | U Care of Minnesota | U Care of Minnesota | Statewide | not reported | not reported | not reported | not reported | 2018: 4,713 |
| UCare | UCare | UCare | Statewide | not reported | not reported | not reported | not reported | 2017: 4,295; 2021: 7,417 |
| Ucare | Ucare | UCare | Statewide | not reported | not reported | not reported | not reported | 2019: 5,377; 2020: 6,182 |
| Ucare | not reported | unmatched | statewide | not reported | not reported | not reported | not reported | 2016: 3,518 |
Minnesota Senior Health Option (Comprehensive MCO + MLTSS)
Minnesota Senior Health Option (Comprehensive MCO + MLTSS) 9
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Blue Plus | Blue Cross Blue Shield of Minnesota | Blue Cross Blue Shield of Minnesota | Statewide | CMS reported 9,632 (2024) | 21.4% | -314 (-3.2%) | +0.0 pts | 2023: 9,946; 2024: 9,632 |
| Health Partners | Health Partners | Health Partners | Statewide | CMS reported 5,453 (2024) | 12.1% | -281 (-4.9%) | -0.2 pts | 2023: 5,734; 2024: 5,453 |
| Itasca Medical Care | Itasca Medical Care | Itasca Medical Care | Itasca County | CMS reported 323 (2024) | 0.7% | -44 (-12.0%) | -0.1 pts | 2023: 367; 2024: 323 |
| Medica | Medica | Medica | Statewide | CMS reported 9,970 (2024) | 22.1% | -68 (-0.7%) | +0.6 pts | 2023: 10,038; 2024: 9,970 |
| Prime West Health | Prime West Health | Prime West Health | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse Counties | CMS reported 1,940 (2024) | 4.3% | -38 (-1.9%) | +0.1 pts | 2023: 1,978; 2024: 1,940 |
show all 9
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| South Country Health Alliance | South Country Health Alliance | South Country Health Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca Counties | CMS reported 1,171 (2024) | 2.6% | -156 (-11.8%) | -0.3 pts | 2023: 1,327; 2024: 1,171 |
| UCare | UCare | UCare | Statewide | CMS reported 16,557 (2024) | 36.7% | -611 (-3.6%) | -0.1 pts | 2023: 17,168; 2024: 16,557 |
| UnitedHealthcare of MN | UnitedHealthcare of MN | UnitedHealth | Statewide | CMS reported 37 (2024) | 0.1% | not reported | not reported | 2024: 37 |
| UnitedHealthcare | UnitedHealth Group of MN | UnitedHealth | Statewide | not reported | not reported | not reported | not reported | 2023: 26 |
Minnesota Senior Health Option (MSHO) (Comprehensive MCO + MLTSS)
Minnesota Senior Health Option (MSHO) (Comprehensive MCO + MLTSS) 27
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Blue Plus | Blue Cross Blue Shield of Minnesota | Blue Cross Blue Shield of Minnesota | Statewide | not reported | not reported | not reported | not reported | 2017: 7,859; 2018: 8,607; 2019: 8,668; 2020: 8,512; 2021: 8,349; 2022: 8,816 |
| Blue Plus | not reported | unmatched | statewide | not reported | not reported | not reported | not reported | 2016: 7,789 |
| Health Partners | Health Partners | Health Partners | Statewide | not reported | not reported | not reported | not reported | 2018: 3,114; 2020: 4,214; 2021: 4,827 |
| Health Partners | not reported | unmatched | statewide | not reported | not reported | not reported | not reported | 2016: 3,101 |
| HealthPartners | HealthPartners, Inc. | HealthPartners, Inc. | Statewide | not reported | not reported | not reported | not reported | 2017: 3,077; 2019: 3,408 |
show all 27
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Itasca Medical Care | Itasca Medical Care | Itasca Medical Care | Itasca County | not reported | not reported | not reported | not reported | 2017: 466; 2018: 453; 2019: 435 |
| Itasca Medical Center | not reported | unmatched | Itasca County | not reported | not reported | not reported | not reported | 2016: 461 |
| Itasca Medical care | Itasca Medical Care | Itasca Medical Care | Itasca county | not reported | not reported | not reported | not reported | 2021: 386 |
| Itsaca Medical Care | Itsaca Medical Care | Itsaca Medical Care | Itsaca County | not reported | not reported | not reported | not reported | 2020: 408 |
| Medica | Medica | Medica | Statewide | not reported | not reported | not reported | not reported | 2017: 11,005; 2018: 10,746; 2019: 10,575; 2020: 10,883; 2021: 10,474 |
| Medica | not reported | unmatched | statewide | not reported | not reported | not reported | not reported | 2016: 10,549 |
| Prime West Health | Prime West Health | Prime West Health | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse County | not reported | not reported | not reported | not reported | 2020: 1,914 |
| Prime West Health | Prime West Health | Prime West Health | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse county | not reported | not reported | not reported | not reported | 2021: 1,821 |
| Prime West | Prime West Health | Prime West Health | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse Counties | not reported | not reported | not reported | not reported | 2018: 1,920 |
| PrimeWest Health | PrimeWest Health | PrimeWest Health | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse Counties | not reported | not reported | not reported | not reported | 2019: 1,943 |
| PrimeWest Health | PrimeWest Health | PrimeWest Health | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse County | not reported | not reported | not reported | not reported | 2017: 1,941 |
| PrimeWest Health | not reported | unmatched | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse counties | not reported | not reported | not reported | not reported | 2016: 1,900 |
| South Country Alliance | South Country Alliance | South Country Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca County | not reported | not reported | not reported | not reported | 2020: 1,554 |
| South Country Health Alliance | South Country Health Alliance | South Country Health Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca Counties | not reported | not reported | not reported | not reported | 2019: 1,818 |
| South Country Health Alliance | South Country Health Alliance | South Country Health Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca county | not reported | not reported | not reported | not reported | 2021: 1,467 |
| South Country Health | South Country Health Alliance | South Country Health Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca County | not reported | not reported | not reported | not reported | 2017: 1,719 |
| South Country Health | not reported | unmatched | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca counties | not reported | not reported | not reported | not reported | 2016: 1,567 |
| South Country | South Country Health Alliance | South Country Health Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca Counties | not reported | not reported | not reported | not reported | 2018: 1,828 |
| U Care | U Care of Minnesota | U Care of Minnesota | Statewide | not reported | not reported | not reported | not reported | 2018: 12,140 |
| UCare | UCare | UCare | Statewide | not reported | not reported | not reported | not reported | 2017: 11,586; 2021: 14,214 |
| Ucare | Ucare | UCare | Statewide | not reported | not reported | not reported | not reported | 2019: 12,762; 2020: 13,780 |
| Ucare | not reported | unmatched | statewide | not reported | not reported | not reported | not reported | 2016: 10,649 |
PMAP+ (Comprehensive MCO + MLTSS)
PMAP+ (Comprehensive MCO + MLTSS) 8
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Health Partners | Health Partners | Health Partners | Statewide | not reported | not reported | not reported | not reported | 2022: 183,495 |
| Hennepin Health | Hennepin Health | Hennepin Health | Hennepin | not reported | not reported | not reported | not reported | 2022: 32,021 |
| Itasca Medical | Itasca Medical | Itasca Medical | Itasca County | not reported | not reported | not reported | not reported | 2022: 8,949 |
| Medica | Medica | Medica | Statewide | not reported | not reported | not reported | not reported | 2022: 1,751 |
| Prime West Health | Prime West Health | Prime West Health | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse Counties | not reported | not reported | not reported | not reported | 2022: 43,105 |
show all 8
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| South Country Health Alliance | South Country Health Alliance | South Country Health Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca Counties | not reported | not reported | not reported | not reported | 2022: 24,988 |
| UCare | UCare | UCare | Statewide | not reported | not reported | not reported | not reported | 2022: 371,736 |
| United HealthCare | United HealthCare MN | UnitedHealth | Statewide | not reported | not reported | not reported | not reported | 2022: 31,506 |
Preferred Integrated Network (PIN) (Comprehensive MCO + MLTSS)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Medica | not reported | unmatched | Dakota County | not reported | not reported | not reported | not reported | 2016: 371 |
Prepaid Medical Asistance Plan Plus (PMAP+) (Comprehensive MCO + MLTSS)
Prepaid Medical Asistance Plan Plus (PMAP+) (Comprehensive MCO + MLTSS) 7
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Blue Plus | Blue Cross Blue Shield of Minnesota | Blue Cross Blue Shield of Minnesota | Statewide | not reported | not reported | not reported | not reported | 2020: 330,603 |
| Health Partners | Health Partners | Health Partners | Statewide | not reported | not reported | not reported | not reported | 2020: 140,710 |
| Hennepin Health | Hennepin Health | Hennepin Health | Hennepin County | not reported | not reported | not reported | not reported | 2020: 24,681 |
| Itsaca Medical Care | Itsaca Medical Care | Itsaca Medical Care | Itasca County | not reported | not reported | not reported | not reported | 2020: 7,505 |
| Prime West Health | Prime West Health | Prime West Health | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse County | not reported | not reported | not reported | not reported | 2020: 36,223 |
show all 7
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| South Country | South Country Alliance | South Country Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca County | not reported | not reported | not reported | not reported | 2020: 20,569 |
| Ucare | Ucare | UCare | Statewide | not reported | not reported | not reported | not reported | 2020: 263,843 |
Prepaid Medical Assistance Plan Plus (Comprehensive MCO + MLTSS)
Prepaid Medical Assistance Plan Plus (Comprehensive MCO + MLTSS) 11
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Blue Plus | Blue Cross Blue Shield MN | Blue Cross Blue Shield MN | Statewide | CMS reported 279,847 (2024) | 31.9% | -68,561 (-19.7%) | -0.2 pts | 2023: 348,408; 2024: 279,847 |
| Health Partners | Health Partners | Health Partners | Statewide | CMS reported 145,634 (2024) | 16.6% | -33,527 (-18.7%) | +0.1 pts | 2023: 179,161; 2024: 145,634 |
| Hennepin Health | Hennepin Health | Hennepin Health | Hennepin County | CMS reported 22,454 (2024) | 2.6% | -10,865 (-32.6%) | -0.5 pts | 2023: 33,319; 2024: 22,454 |
| Itasca Medical | Itasca Medical | Itasca Medical | Itasca County | CMS reported 6,701 (2024) | 0.8% | -2,686 (-28.6%) | -0.1 pts | 2023: 9,387; 2024: 6,701 |
| Medica | Medica | Medica | Statewide | CMS reported 10,024 (2024) | 1.1% | +2,019 (+25.2%) | +0.4 pts | 2023: 8,005; 2024: 10,024 |
show all 11
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Prime West Health | Prime West Health | Prime West Health | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse Counties | CMS reported 42,406 (2024) | 4.8% | -10,966 (-20.5%) | -0.1 pts | 2023: 53,372; 2024: 42,406 |
| South Country Health Alliance | South Country Health Alliance | South Country Health Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca Counties | CMS reported 19,870 (2024) | 2.3% | -6,286 (-24.0%) | -0.1 pts | 2023: 26,156; 2024: 19,870 |
| UCare | UCare | UCare | Statewide | CMS reported 321,214 (2024) | 36.7% | -68,946 (-17.7%) | +0.6 pts | 2023: 390,160; 2024: 321,214 |
| UnitedHealthcare of MN | UnitedHealthcare of MN | UnitedHealth | Statewide | CMS reported 16 (2024) | 0.0% | not reported | not reported | not reported |
| UnitedHealthcare of MN | UnitedHealthcare of MN | UnitedHealth | Statewide | CMS reported 28,170 (2024) | 3.2% | not reported | not reported | not reported |
| UnitedHealthcare | UnitedHealth Group of MN | UnitedHealth | Statewide | not reported | not reported | not reported | not reported | 2023: 34,881 |
Prepaid Medical Assistance Plan Plus (PMAP+) (Comprehensive MCO + MLTSS)
Prepaid Medical Assistance Plan Plus (PMAP+) (Comprehensive MCO + MLTSS) 24
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Blue Plus | Blue Cross Blue Shield MN | Blue Cross Blue Shield MN | Statewide | not reported | not reported | not reported | not reported | 2017: 328,643; 2018: 325,097; 2019: 300,695; 2021: 377,608; 2022: 351,143 |
| Blue Plus | not reported | unmatched | statewide | not reported | not reported | not reported | not reported | 2016: 281,837 |
| Health Partners | Health Partners | Health Partners | Statewide | not reported | not reported | not reported | not reported | 2018: 135,270; 2021: 176,951 |
| Health Partners | not reported | unmatched | statewide | not reported | not reported | not reported | not reported | 2016: 77,317 |
| HealthPartners | HealthPartners, Inc. | HealthPartners, Inc. | Statewide | not reported | not reported | not reported | not reported | 2017: 124,847; 2019: 125,763 |
show all 24
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Hennepin Health | Hennepin Health | Hennepin Health | Hennepin County | not reported | not reported | not reported | not reported | 2016: 8,212; 2017: 27,666; 2018: 23,811; 2019: 20,775 |
| Hennepin Health | Hennepin Health | Hennepin Health | Hennepin | not reported | not reported | not reported | not reported | 2021: 30,106 |
| Itasca Medical Care | Itasca Medical Care | Itasca Medical Care | Itasca County | not reported | not reported | not reported | not reported | 2016: 6,998; 2017: 7,342; 2018: 7,282; 2019: 6,713 |
| Itasca Medical | Itasca Medical | Itasca Medical | Itasca county | not reported | not reported | not reported | not reported | 2021: 8,373 |
| Medica | not reported | unmatched | statewide | not reported | not reported | not reported | not reported | 2016: 270,369 |
| Prime West Health | Prime West Health | Prime West Health | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse County | not reported | not reported | not reported | not reported | 2021: 40,917 |
| Prime West | Prime West Health | Prime West Health | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse Counties | not reported | not reported | not reported | not reported | 2018: 34,842 |
| PrimeWest Health | PrimeWest Health | PrimeWest Health | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse Counties | not reported | not reported | not reported | not reported | 2019: 33,431 |
| PrimeWest Health | PrimeWest Health | PrimeWest Health | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse County | not reported | not reported | not reported | not reported | 2017: 33,635 |
| PrimeWest Health | not reported | unmatched | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse counties | not reported | not reported | not reported | not reported | 2016: 31,572 |
| South Country Health Alliance | South Country Health Alliance | South Country Health Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca Counties | not reported | not reported | not reported | not reported | 2019: 30,410 |
| South Country Health Alliance | South Country Health Alliance | South Country Health Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca county | not reported | not reported | not reported | not reported | 2021: 23,351 |
| South Country Health | South Country Health Alliance | South Country Health Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca County | not reported | not reported | not reported | not reported | 2017: 32,400 |
| South Country Health | not reported | unmatched | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca counties | not reported | not reported | not reported | not reported | 2016: 27,261 |
| South Country | South Country Health Alliance | South Country Health Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca Counties | not reported | not reported | not reported | not reported | 2018: 32,964 |
| U Care | U Care of Minnesota | U Care of Minnesota | Statewide | not reported | not reported | not reported | not reported | 2018: 224,055 |
| UCare | UCare | UCare | Statewide | not reported | not reported | not reported | not reported | 2017: 186,201; 2021: 305,133 |
| Ucare | UCare Minnesota | UCare Minnesota | Statewide | not reported | not reported | not reported | not reported | 2019: 221,183 |
| Ucare | not reported | unmatched | statewide | not reported | not reported | not reported | not reported | 2016: 12,301 |
SNBC (Comprehensive MCO + MLTSS)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Hennepin Health | Hennepin Health | Hennepin Health | Hennepin County | not reported | not reported | not reported | not reported | 2022: 2,150 |
| Medica | Medica | Medica | Statewide | not reported | not reported | not reported | not reported | 2022: 11,684 |
| Prime West | Prime West | Prime West | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse Counties | not reported | not reported | not reported | not reported | 2022: 2,546 |
| South Country Health Alliance | South Country Health Alliance | South Country Health Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca Counties | not reported | not reported | not reported | not reported | 2022: 2,492 |
| UCare | UCare | UCare | Statewide | not reported | not reported | not reported | not reported | 2022: 36,512 |
Special Needs Basic Care (Comprehensive MCO + MLTSS)
Special Needs Basic Care (Comprehensive MCO + MLTSS) 9
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Health Partners | Health Partners | Health Partners | Statewide | CMS reported 6,665 (2024) | 10.9% | -546 (-7.6%) | +0.3 pts | 2023: 7,211; 2024: 6,665 |
| Hennepin Health | Hennepin Health | Hennepin Health | Hennepin County | CMS reported 1,939 (2024) | 3.2% | -244 (-11.2%) | -0.0 pts | 2023: 2,183; 2024: 1,939 |
| Medica | Medica | Medica | Statewide | CMS reported 11,577 (2024) | 19.0% | -1,297 (-10.1%) | +0.1 pts | 2023: 12,874; 2024: 11,577 |
| Prime West | Prime West | Prime West | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse Counties | not reported | not reported | not reported | not reported | 2023: 2,750 |
| Prime West | Prime West | Prime West | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse County | CMS reported 2,547 (2024) | 4.2% | not reported | not reported | 2024: 2,547 |
show all 9
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| South Country Health Alliance | South Country Health Alliance | South Country Health Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca Counties | CMS reported 1,884 (2024) | 3.1% | -277 (-12.8%) | -0.1 pts | 2023: 2,161; 2024: 1,884 |
| UCare | UCare | UCare | Statewide | CMS reported 36,007 (2024) | 59.1% | -4,472 (-11.0%) | -0.4 pts | 2023: 40,479; 2024: 36,007 |
| UnitedHealthcare of MN | UnitedHealthcare of MN | UnitedHealth | Statewide | CMS reported 266 (2024) | 0.4% | not reported | not reported | 2024: 266 |
| UnitedHealthcare | UnitedHealth Group of MN | UnitedHealth | Statewide | not reported | not reported | not reported | not reported | 2023: 294 |
Special Needs Basic Care (SNBC) (Comprehensive MCO + MLTSS)
Special Needs Basic Care (SNBC) (Comprehensive MCO + MLTSS) 24
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Health Partners | Health Partners | Health Partners | Statewide | not reported | not reported | not reported | not reported | 2018: 5,182; 2020: 7,322; 2021: 8,321; 2022: 8,321 |
| Health Partners | not reported | unmatched | statewide | not reported | not reported | not reported | not reported | 2016: 3,235 |
| HealthPartners | HealthPartners, Inc. | HealthPartners, Inc. | Statewide | not reported | not reported | not reported | not reported | 2017: 4,031; 2019: 5,958 |
| Hennepin Health | Hennepin Health Systems | Hennepin Health Systems | Hennepin County | not reported | not reported | not reported | not reported | 2017: 2,055; 2018: 2,001; 2019: 1,965 |
| Hennepin Health | Hennepin Health | Hennepin Health | Hennepin county | not reported | not reported | not reported | not reported | 2021: 2,150 |
show all 24
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Hennepin Health | Hennepin Health | Hennepin Health | Hennepin | not reported | not reported | not reported | not reported | 2020: 2,138 |
| Medica | Medica | Medica | Statewide | not reported | not reported | not reported | not reported | 2017: 14,046; 2018: 12,789; 2019: 11,778; 2020: 12,104; 2021: 12,024 |
| Medica | not reported | unmatched | statewide | not reported | not reported | not reported | not reported | 2016: 13,953 |
| Prime West Health | Prime West Health | Prime West Health | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse County | not reported | not reported | not reported | not reported | 2020: 2,425 |
| Prime West | Prime West Health | Prime West Health | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse Counties | not reported | not reported | not reported | not reported | 2018: 2,225 |
| Prime West | Prime West | Prime West | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse county | not reported | not reported | not reported | not reported | 2021: 2,524 |
| PrimeWest Health | PrimeWest Health | PrimeWest Health | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse Counties | not reported | not reported | not reported | not reported | 2019: 2,251 |
| PrimeWest Health | PrimeWest Health | PrimeWest Health | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse County | not reported | not reported | not reported | not reported | 2017: 2,097 |
| PrimeWest Health | not reported | unmatched | Beltrami, Bigstone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, and Traverse counties | not reported | not reported | not reported | not reported | 2016: 2,169 |
| South Country Health Alliance | South Country Health Alliance | South Country Health Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca Counties | not reported | not reported | not reported | not reported | 2019: 2,959 |
| South Country Health Alliance | South Country Health Alliance | South Country Health Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca County | not reported | not reported | not reported | not reported | 2020: 2,255 |
| South Country Health Alliance | South Country Health Alliance | South Country Health Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca county | not reported | not reported | not reported | not reported | 2021: 2,379 |
| South Country Health | South Country Health Alliance | South Country Health Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca County | not reported | not reported | not reported | not reported | 2017: 2,784 |
| South Country Health | not reported | unmatched | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena and Waseca counties | not reported | not reported | not reported | not reported | 2016: 2,800 |
| South Country | South Country Health Alliance | South Country Health Alliance | Brown, Dodge, Freeborn, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, and Waseca Counties | not reported | not reported | not reported | not reported | 2018: 2,944 |
| U Care | U Care of Minnesota | U Care of Minnesota | Statewide | not reported | not reported | not reported | not reported | 2018: 28,576 |
| UCare | UCare | UCare | Statewide | not reported | not reported | not reported | not reported | 2017: 26,440; 2020: 32,196; 2021: 34,562 |
| Ucare | UCare Minnesota | UCare Minnesota | Statewide | not reported | not reported | not reported | not reported | 2019: 29,333 |
| Ucare | not reported | unmatched | statewide | not reported | not reported | not reported | not reported | 2016: 26,350 |
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) 24
| Plan | Parent | Program | Appeals resolved | In favor of enrollee | Appeal rate | Grievances resolved | Medicaid enrollment share | Managed care enrollment share |
|---|---|---|---|---|---|---|---|---|
| Blue Plus | Blue Cross Blue Shield of Minnesota | Family and Children's MCPAR | 4,992 | 2,709 | 54.3% calculated | 8,050 | 20.9% | 25.2% |
| Health Partners | Health Partners | Family and Children's MCPAR | 912 | 254 | 27.9% calculated | 2,749 | 10.7% | 12.8% |
| Hennepin Health | Hennepin Health | Family and Children's MCPAR | 220 | 141 | 64.1% calculated | 107 | 1.7% | 2% |
| Itasca Medical Care | Itasca Medical Care | Family and Children's MCPAR | 23 | 13 | 56.5% calculated | 41 | 0.5% | 0.6% |
| Medica | Medica | Family and Children's MCPAR | 144 | 82 | 56.9% calculated | 286 | 0.8% | 1% |
show all 24
| Plan | Parent | Program | Appeals resolved | In favor of enrollee | Appeal rate | Grievances resolved | Medicaid enrollment share | Managed care enrollment share |
|---|---|---|---|---|---|---|---|---|
| Prime West | Prime West | Family and Children's MCPAR | 704 | 396 | 56.2% calculated | 61 | 3.2% | 3.8% |
| South Country Health Alliance | South Country Health Alliance | Family and Children's MCPAR | 117 | 92 | 78.6% calculated | 45 | 1.5% | 1.7% |
| UCare | UCare | Family and Children's MCPAR | 3,166 | 1,892 | 59.8% calculated | 1,123 | 23.9% | 28.8% |
| United Health Care | UnitedHealth | Family and Children's MCPAR | 388 | 227 | 58.5% calculated | 1,055 | 2.1% | 2.6% |
| Health Partners | Health Partners | SNBC MCPAR | 89 | 28 | 31.5% calculated | 517 | 0% | 0% |
| Hennepin Health | Hennepin Health | SNBC MCPAR | 43 | 32 | 74.4% calculated | 49 | 0.5% | 0.6% |
| Medica | Medica | SNBC MCPAR | 303 | 183 | 60.4% calculated | 1,686 | 0.1% | 0.2% |
| Prime West | Prime West | SNBC MCPAR | 83 | 62 | 74.7% calculated | 53 | 0% | 0% |
| South Country Health Alliance | South Country Health Alliance | SNBC MCPAR | 16 | 13 | 81.2% calculated | 39 | 0.9% | 1.1% |
| UCare | UCare | SNBC MCPAR | 899 | 606 | 67.4% calculated | 909 | 0.2% | 0.2% |
| United Health Care | UnitedHealth | SNBC MCPAR | 3 | 2 | 66.7% calculated | 24 | 0.1% | 0.2% |
| Blue Plus | Blue Cross Blue Shield of Minnesota | Seniors MCPAR | 90 | 48 | 53.3% calculated | 2,618 | 1.1% | 1.3% |
| Heatlh Partners | Health Partners | Seniors MCPAR | 126 | 64 | 50.8% calculated | 512 | 0.6% | 0.7% |
| Itasca Medical Care | Itasca Medical Care | Seniors MCPAR | 8 | 1 | 12.5% calculated | 32 | 0% | 0.1% |
| Medica | Medica | Seniors MCPAR | 190 | 112 | 58.9% calculated | 2,362 | 1.1% | 1.3% |
| Prime West | Prime West | Seniors MCPAR | 23 | 13 | 56.5% calculated | 40 | 0.2% | 0.3% |
| South Country Health Alliance | South Country Health Alliance | Seniors MCPAR | 4 | 2 | 50.0% calculated | 20 | 0.1% | 0.2% |
| UCare | UCare | Seniors MCPAR | 524 | 238 | 45.4% calculated | 611 | 1.9% | 2.3% |
| United Health Care | UnitedHealth | Seniors MCPAR | 0 | 0 | not reported | 8 | 0% | 0% |
Sanctions (2024)
Sanctions (2024) 13
| Plan | Parent | Topic | Date | Corrective action plan | Remediation status |
|---|---|---|---|---|---|
| Blue Plus | Blue Cross Blue Shield of Minnesota | Other, specify (Timely payments) | 2024-02-06 | Yes | Yes, remediated |
| Blue Plus | Blue Cross Blue Shield of Minnesota | Performance improvement | 2024-05-22 | Yes | Yes, remediated |
| Hennepin Health | Hennepin Health | Other, specify (Data privacy breach) | 2024-10-07 | No | Yes, remediated |
| Medica | Medica | Other, specify (CCBHC claims payments) | 2024-02-06 | No | Yes, remediated |
| United Health Care | UnitedHealth | Other, specify (Failure to pay NEMT claims timely) | 2025-02-05 | No | Remediation in progress |
show all 13
| Plan | Parent | Topic | Date | Corrective action plan | Remediation status |
|---|---|---|---|---|---|
| Hennepin Health | Hennepin Health | Other, specify (copayment to Member) | 2024-02-27 | No | Yes, remediated |
| Hennepin Health | Hennepin Health | Other, specify (Data privacy breach) | 2024-10-07 | No | Yes, remediated |
| Medica | Medica | Other, specify (CCBHC Claims Payments) | 2024-02-06 | No | Yes, remediated |
| United Health Care | UnitedHealth | Other, specify (Failure to pay NEMT claims temely) | 2025-02-05 | No | No, no remediation |
| Blue Plus | Blue Cross Blue Shield of Minnesota | Other, specify (Timely payments) | 2024-02-06 | Yes | Yes, remediated |
| Blue Plus | Blue Cross Blue Shield of Minnesota | Performance improvement | 2024-05-22 | Yes | Yes, remediated |
| Medica | Medica | Other, specify (CCBHC Claims Payments) | 2024-02-06 | No | Yes, remediated |
| United Health Care | UnitedHealth | Other, specify (Failure to pay NEMT claims temely) | 2025-02-05 | No | No, no remediation |
Award history
- MN Seniors (MSHO/MSC+), SNBC, and Greater MN Families & Children (PMAP/MinnesotaCare) 2023 procurement 2023 Seniors RFP; 2023 SNBC RFP; 2023 Greater Minnesota Families and Children RFP: upheld. MN Seniors (MSHO/MSC+), SNBC, and Greater MN Families & Children (PMAP/MinnesotaCare) 2023 procurement (2023 Seniors RFP; 2023 SNBC RFP; 2023 Greater Minnesota Families and Children RFP). Status recorded from the retrieved documents: upheld. Named awardees in confirmed excerpts: Blue Plus, HealthPartners, Medica, UCare, PrimeWest Health, Itasca Medical Care, UnitedHealthcare.
Retrieved 2026-11-03. Sources and scores
Early procurement signals
- rfp Minnesota published the 2026 Integrated Health Partnerships RFP: posted. 2027-01-01. The Minnesota Department of Human Services Managed Care Contracting and Rates Division published a Request for Proposals on June 2, 2026 for providers serving Medical Assistance and MinnesotaCare enrollees through the Integrated Health Partnerships program. Proposals must be submitted by 11:59 p.m. Central Time on August 26, 2026. The document says any resulting contract term is anticipated to run from January 1, 2027 until December 31, 2030. That term is anticipated. It is not a certain award. Minnesota. No plan is named on the record. A solicitation or early procurement signal is on the record. Proposals were due Aug 26, 2026 (past); anticipated start Jan 1, 2027.
Coverage: not_collected. Source receipts: 1 unchanged at 2026-11-15T10:15:40+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
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 2026-11-15T11:15:56+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.