TX MEDICAID MARKET

Texas

Name: Texas Medicaid Managed Care RFP & Procurement Intelligence | Precapture
Creator: Precapture

STAR & CHIP award pending; dental RFP forecast

Solicitation forecast for Q1 SFY 2027

Last verified 37 days ago

Last verified 37 days ago · unknown because newest item is older than 21 days

Current procurement

PROCUREMENT

Verification tier 2

Texas identifies RFP HHS0017108 for its Q1 SFY 2027 Medicaid dental procurement

Publication date unknown

HHSC’s procurement forecast, labeled Last Updated October 9, 2026, identifies RFP HHS0017108 for statewide Medicaid and CHIP managed-care dental services and retains a Q1 SFY 2027 estimated posting date. HHSC’s managed-care timeline anticipates award in Q4 SFY 2027 and operations in Q4 SFY 2028. The original publication date is not established by these sources.

Precapture analysis

Dental is the clearest near-term Texas opening while STAR/CHIP and STAR Kids award schedules remain important watch points.

MARKET_MOVEMENT

Verification tier 2

FirstCare and RightCare Scott & White leave Texas Medicaid managed care

Publication date unknown

Texas HHS says FirstCare and RightCare Scott & White Health Plans left the Texas Medicaid managed-care program on August 31, 2026. A separate official provider notice says their STAR participation ended for Lubbock, MRSA West and MRSA Central, with affected members moving to Wellpoint or Superior and providers required to use the receiving plan's payer code for service dates beginning September 1. Texas also says affected CHIP members were automatically enrolled in Superior beginning September 1.

Precapture analysis

The completed exits concentrate affected STAR and CHIP enrollment among remaining plans and create measurable continuity, authorization, billing and provider-network execution risk in the impacted service areas.

Plans in market

Superior · STAR Health · incumbent · source · as of 2026-09-01
DentaQuest · Medicaid and CHIP Dental Services · incumbent · source · as of 2026-09-01
MCNA · Medicaid and CHIP Dental Services · incumbent · source · as of 2026-09-01
UnitedHealth Care Dental · Medicaid and CHIP Dental Services · incumbent · source · as of 2026-09-01

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 148

Parent	Plan	Programs	Latest CMS enrollment	Share	MCPAR operations
not reported	American Medical Response	not reported	114,045 (2020)	2.8% calculated	not reported
not reported	Scott & White Health Plan	not reported	45,077 (2024)	1.4% calculated	17 sanctions, 463 appeals resolved
not reported	Scott and White Health Plan	not reported	43,991 (2019)	1.5% calculated	not reported
not reported	Community First Health Plans, Inc.	not reported	7,693 (2023)	4.5% calculated	not reported
not reported	Community First Health Plans, Inc.	not reported	115,407 (2024)	3.6% calculated	33 sanctions, 1,415 appeals resolved

show all 148

Parent	Plan	Programs	Latest CMS enrollment	Share	MCPAR operations
not reported	Community First Health Plans, Inc.	not reported	6,167 (2024)	4.4% calculated	not reported
not reported	Community First Health Plans, Inc.	not reported	118,317 (2021)	3.6% calculated	not reported
not reported	Bienvivir Senior Health Services (El Paso)	not reported	924 (2017)	75.1% calculated	not reported
not reported	BlueCross BlueShield	not reported	7,772 (2017)	4.8% calculated	not reported
CVS/Aetna	Aetna	not reported	72,673 (2017)	2.4% calculated	not reported
CVS/Aetna	Aetna	not reported	5,124 (2017)	3.1% calculated	not reported
CVS/Aetna	Aetna Better Health of Texas Inc.	not reported	4,843 (2018)	3.0% calculated	not reported
CVS/Aetna	Aetna Better Health of Texas, Inc.	not reported	102,812 (2024)	3.3% calculated	32 sanctions, 833 appeals resolved
Centene	Superior Health Plan	not reported	719,578 (2017)	24.2% calculated	not reported
Centene	Superior Health Plan	not reported	22,280 (2024)	100.0% calculated	not reported
Centene	Superior Health Plan, Inc.	not reported	762,459 (2024)	24.1% calculated	34 sanctions, 28,118 appeals resolved
Centene	Superior HealthPlan	not reported	29,157 (2017)	17.9% calculated	not reported
Centene	Superior HealthPlan	not reported	35,185 (2020)	100.0% calculated	10 sanctions, 1,676 appeals resolved
Centene	Superior HealthPlan, Inc	not reported	142,545 (2020)	26.5% calculated	8 sanctions, 677 appeals resolved
Centene	Superior HealthPlan, Inc.	not reported	27,009 (2024)	19.2% calculated	not reported
not reported	Children’s Medical Center Health Plan	not reported	8,137 (2020)	5.0% calculated	not reported
not reported	Children's Medical Center	not reported	9,688 (2017)	5.9% calculated	not reported
not reported	Christus	not reported	5,158 (2017)	0.2% calculated	not reported
Cigna	HealthSpring Life & Health Insurance Co., Inc.	not reported	47,670 (2021)	8.8% calculated	not reported
Cigna	Cigna - HealthSpring	not reported	50,149 (2017)	9.5% calculated	not reported
not reported	Community First Health Plan	not reported	104,857 (2017)	3.5% calculated	not reported
not reported	Community First Health Plans	not reported	7,926 (2017)	4.9% calculated	not reported
Community Health Choice	Community Health Choice	not reported	246,893 (2017)	8.3% calculated	not reported
Cook Children's Health Plan	Cook Children's Health Plan	not reported	7,740 (2024)	5.5% calculated	42 sanctions, 826 appeals resolved
Cook Children's Health Plan	Cook Children's Health Plan	not reported	8,993 (2017)	5.5% calculated	not reported
Cook Children's Health Plan	Cook Children's Health Plan	not reported	106,031 (2024)	3.4% calculated	not reported
not reported	Parkland Community Health Plan, Inc.	not reported	156,752 (2024)	5.0% calculated	25 sanctions, 639 appeals resolved
not reported	Parkland Community Health Plan, inc.	not reported	169,443 (2021)	5.2% calculated	not reported
not reported	DentaQuest	not reported	1,669,722 (2017)	56.9% calculated	not reported
not reported	DentaQuest USA Insurance Company, Inc.	not reported	1,650,398 (2018)	57.3% calculated	not reported
not reported	DentaQuest USA Insurance Company, Inc.	not reported	1,495,527 (2024)	51.5% calculated	14 sanctions, 4,863 appeals resolved
Driscoll Children's Health Plan	Driscoll Children's Health Plan	not reported	185,224 (2024)	5.9% calculated	35 sanctions, 620 appeals resolved
Driscoll Children's Health Plan	Driscoll Children’s Health Plan	not reported	10,146 (2019)	6.4% calculated	not reported
Driscoll Children's Health Plan	Driscoll Children's Health Plan	not reported	152,300 (2017)	5.1% calculated	not reported
Driscoll Children's Health Plan	Driscoll Children's Health Plan	not reported	8,788 (2024)	6.3% calculated	not reported
Driscoll Children's Health Plan	Driscoll Children’s Health Plan	not reported	10,392 (2020)	6.3% calculated	not reported
not reported	El Paso Health Plans, Inc., dba El Paso Health	not reported	66,563 (2018)	2.2% calculated	not reported
not reported	El Paso Health Plans, Inc., dba El Paso Health	not reported	97,573 (2023)	2.1% calculated	not reported
not reported	El Paso Health Plans, Inc., dba El Paso Health	not reported	70,737 (2021)	2.2% calculated	not reported
not reported	El Paso Health Plans, Inc., dba El Paso Health	not reported	67,005 (2024)	2.1% calculated	19 sanctions, 619 appeals resolved
El Paso First	El Paso First	not reported	65,988 (2017)	2.2% calculated	not reported
Elevance	Amerigroup	not reported	133,826 (2017)	25.4% calculated	not reported
Elevance	Amerigroup	not reported	521,651 (2019)	18.2% calculated	not reported
Elevance	Amerigroup Insurance Company	not reported	26,304 (2019)	16.5% calculated	not reported
Elevance	Amerigroup Insurance Company	not reported	842,450 (2023)	18.4% calculated	not reported
Elevance	Amerigroup Texas, Inc.	not reported	561,529 (2017)	18.9% calculated	not reported
Elevance	Amerigroup Texas, Inc.	not reported	838,368 (2022)	18.5% calculated	33 sanctions, 1,036 appeals resolved
Elevance	Amerigroup Texas, Inc.	not reported	130,855 (2018)	24.8% calculated	not reported
Elevance	Amerigroup Texas, Inc.	not reported	129,864 (2019)	24.6% calculated	not reported
Elevance	Amerigroup Texas, Inc.	not reported	601,312 (2020)	18.4% calculated	not reported
Elevance	Amerigroup Texas, Inc.	not reported	133,602 (2022)	23.9% calculated	not reported
Elevance	Wellpoint	not reported	542,485 (2024)	17.2% calculated	21 sanctions, 388 appeals resolved
not reported	FirstCare	not reported	89,948 (2017)	3.0% calculated	12 sanctions, 413 appeals resolved
not reported	Community Health Choice Texas, Inc.	not reported	386,545 (2022)	8.6% calculated	not reported
not reported	Community Health Choice Texas, Inc.	not reported	281,867 (2021)	8.6% calculated	not reported
not reported	Community Health Choice Texas, Inc.	not reported	264,093 (2024)	8.4% calculated	13 sanctions, 1,700 appeals resolved
Health Care Service Corporation	Blue Cross and Blue Shield of Texas (BCBSTX)	not reported	7,911 (2019)	5.0% calculated	not reported
Health Care Service Corporation	BlueCross BlueShield	not reported	25,888 (2017)	0.9% calculated	not reported
Health Care Service Corporation	Health Care Service Corp	not reported	56,122 (2022)	1.2% calculated	not reported
Health Care Service Corporation	Health Care Service Corp. (dba Blue Cross Blue Shield)	not reported	37,868 (2021)	1.2% calculated	40 sanctions, 863 appeals resolved
Health Care Service Corporation	Health Care Service Corp., dba Blue Cross Blue Shield	not reported	38,827 (2024)	1.2% calculated	not reported
Health Care Service Corporation	Health Care Service Corporation (dba Blue Cross Blue Shield)	not reported	30,688 (2019)	1.1% calculated	not reported
Health Care Service Corporation	Health Care Service Corporation DBA Blue Cross and Blue Shield of Texas (BCBSTX)	not reported	7,918 (2018)	4.9% calculated	not reported
Health Care Service Corporation	Health Care Service Corporation DBA Blue Cross and Blue Shield of Texas (BCBSTX)	not reported	8,949 (2023)	5.3% calculated	not reported
Health Care Service Corporation	Health Care Service Corporation dba Blue Cross and Blue Shield of Texas (BCBSTX)	not reported	7,527 (2024)	5.4% calculated	not reported
not reported	LogistiCare	not reported	2,345,447 (2020)	57.6% calculated	not reported
not reported	Logisticare	not reported	1,569,645 (2017)	48.8% calculated	not reported
not reported	MCNA Dental	not reported	1,263,928 (2017)	43.1% calculated	not reported
not reported	MCNA Insurance Company	not reported	983,044 (2024)	33.8% calculated	8 sanctions, 359 appeals resolved
not reported	Medical Transportation Management	not reported	1,302,397 (2017)	40.5% calculated	not reported
not reported	Medical Transportation Management	not reported	1,378,620 (2020)	33.8% calculated	not reported
Molina	Molina Healthcare of Texas	not reported	87,652 (2017)	16.6% calculated	not reported
Molina	Molina Healthcare of Texas, Inc.	not reported	102,035 (2024)	3.2% calculated	33 sanctions, 11,486 appeals resolved
not reported	Cigna HealthSpring	not reported	48,744 (2019)	9.3% calculated	6 sanctions
Parkland Health	Parkland Community Health Plan	not reported	165,669 (2017)	5.6% calculated	not reported
not reported	Project Amistad	not reported	235,032 (2020)	5.8% calculated	not reported
not reported	Project Armistad	not reported	226,720 (2018)	5.9% calculated	not reported
not reported	SHA, LLC dba FirstCare Health Plans	not reported	80,115 (2024)	2.5% calculated	not reported
not reported	SHA, LLC, dba FirstCare Health Plans	not reported	76,104 (2019)	2.7% calculated	not reported
not reported	SHA. LLC, dba FirstCare Health Plans	not reported	84,226 (2018)	2.8% calculated	not reported
not reported	SHA. LLC, dba FirstCare Health Plans	not reported	114,477 (2022)	2.5% calculated	not reported
not reported	SHA.LLC, dba FirstCare Health Plans	not reported	80,985 (2021)	2.5% calculated	not reported
not reported	Sendero	not reported	13,241 (2017)	0.4% calculated	not reported
not reported	Seton Health Plan	not reported	18,016 (2017)	0.6% calculated	not reported
not reported	Seton Health Plan, Inc. dba Dell Children's Health Plan	not reported	43,087 (2022)	1.0% calculated	not reported
not reported	Seton Health Plan, Inc., dba Dell Children's Health Plan	not reported	28,239 (2024)	0.9% calculated	12 sanctions, 269 appeals resolved
not reported	Seton Health Plan, Inc., dba Dell Childrens Health Plan	not reported	27,973 (2020)	0.9% calculated	not reported
not reported	Silver Star Health Network (Lubbock)	not reported	183 (2017)	14.9% calculated	not reported
Texas Children's Health Plan	Texas Children's Health Plan, Inc.	not reported	390,716 (2024)	12.4% calculated	41 sanctions, 5,702 appeals resolved
Texas Children's Health Plan	Texas Children’s Health Plan, Inc.	not reported	28,817 (2020)	17.5% calculated	not reported
Texas Children's Health Plan	Texas Children's Health Plan	not reported	349,045 (2017)	11.8% calculated	not reported
not reported	The Basics at Jan Werner (Amarillo)	not reported	123 (2017)	10.0% calculated	not reported
not reported	UnitedHealthcare Insurance Company	not reported	425,989 (2024)	14.7% calculated	not reported
UnitedHealth	United Healthcare - Texas	not reported	115,686 (2017)	22.0% calculated	not reported
UnitedHealth	United Healthcare - Texas	not reported	30,364 (2017)	18.6% calculated	not reported
UnitedHealth	United Healthcare Community Plan	not reported	130,759 (2017)	4.4% calculated	40 sanctions, 7,720 appeals resolved
UnitedHealth	UnitedHealthcare Insurance Company dba UnitedHealthcare	not reported	28,786 (2023)	16.9% calculated	not reported
UnitedHealth	UnitedHealthcare Insurance Company dba UnitedHealthcare	not reported	23,086 (2024)	16.4% calculated	not reported
UnitedHealth	UnitedHealthcare Insurance Company dba UnitedHealthcare Community Plan	not reported	175,387 (2024)	5.5% calculated	not reported
UnitedHealth	UnitedHealthcare Insurance Company, dba United Healthcare	not reported	29,222 (2022)	17.2% calculated	not reported
UnitedHealth	UnitedHealthcare Insurance Company, dba United Healthcare Community Plan	not reported	153,852 (2023)	26.4% calculated	not reported
UnitedHealth	UnitedHealthcare Insurance Company, dba United Healthcare Community Plan	not reported	30,015 (2019)	18.9% calculated	not reported
UnitedHealth	UnitedHealthcare Insurance Company, dba UnitedHealthcare Community Plan	not reported	137,197 (2024)	26.5% calculated	4 sanctions, 88 appeals resolved
not reported	AMR	not reported	112,453 (2016)	2.9% calculated	not reported
not reported	Aetna	not reported	72,966 (2016)	2.4% calculated	not reported
not reported	Amerigroup	not reported	147,482 (2016)	26.1% calculated	not reported
not reported	Amerigroup Texas, Inc.	not reported	572,123 (2016)	19.2% calculated	not reported
not reported	AxisPoint Health	not reported	11,969 (2016)	100.0% calculated	not reported
not reported	Bienvivir Senior Health Services (El Paso)	not reported	915 (2016)	76.1% calculated	not reported
not reported	Bienvivir Senior Health Services (El Paso)	not reported	843 (2024)	74.2% calculated	not reported
not reported	Blue Cross Blue Shield	not reported	25,949 (2016)	0.9% calculated	not reported
not reported	Children's Medical Center	not reported	0 (2016)	not reported	not reported
not reported	Christus	not reported	5,474 (2016)	0.2% calculated	not reported
not reported	Cigna-HealthSpring	not reported	51,455 (2016)	9.1% calculated	not reported
not reported	Community First Health Plan	not reported	0 (2016)	not reported	not reported
not reported	Community Health Choice	not reported	247,101 (2016)	8.3% calculated	not reported
not reported	Cook Children's Health Plan	not reported	103,656 (2016)	3.5% calculated	not reported
not reported	DentaQuest	not reported	1,646,712 (2016)	56.1% calculated	not reported
not reported	Driscoll Children's Health Plan	not reported	151,862 (2016)	5.1% calculated	not reported
not reported	El Paso First	not reported	66,379 (2016)	2.2% calculated	not reported
not reported	FirstCare	not reported	92,723 (2016)	3.1% calculated	not reported
not reported	LeFleur	not reported	692,628 (2016)	17.7% calculated	not reported
not reported	Logisticare	not reported	1,583,956 (2016)	40.4% calculated	not reported
not reported	MCNA Dental	not reported	1,288,784 (2016)	43.9% calculated	not reported
not reported	MTM	not reported	1,298,355 (2016)	33.1% calculated	not reported
not reported	Molina	not reported	99,252 (2016)	17.6% calculated	not reported
not reported	Molina Healthcare of Texas	not reported	98,985 (2016)	3.3% calculated	not reported
not reported	Multiple Primary Care Providers	not reported	8,573 (2017)	100.0% calculated	not reported
not reported	Parkland HEALTH First	not reported	167,760 (2016)	5.6% calculated	not reported
not reported	Project Amistad	not reported	235,430 (2016)	6.0% calculated	not reported
not reported	Scott & White	not reported	45,480 (2016)	1.5% calculated	not reported
not reported	Sendero	not reported	13,563 (2016)	0.5% calculated	not reported
not reported	Seton	not reported	18,429 (2016)	0.6% calculated	not reported
not reported	Silver Star Health Network (Lubbock)	not reported	154 (2016)	12.8% calculated	not reported
not reported	Silver Star Health Network (Lubbock)	not reported	164 (2024)	14.4% calculated	not reported
not reported	Superior Health Plan	not reported	31,662 (2016)	100.0% calculated	not reported
not reported	Texas Children's Health Plan	not reported	0 (2016)	not reported	not reported
not reported	The Basic at Jan Werner (Amarillo)	not reported	129 (2024)	11.4% calculated	not reported
not reported	The Basics at Jan Werner (Amarillo)	not reported	134 (2016)	11.1% calculated	not reported
not reported	The Basics at Jan Werner (Amarillo)	not reported	127 (2020)	10.6% calculated	not reported
not reported	United Healthcare Texas	not reported	118,676 (2016)	21.0% calculated	not reported
not reported	ValueOptions	not reported	499,259 (2016)	100.0% calculated	not reported
not reported	Werner (Amarillo)	not reported	122 (2019)	10.4% 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.

National market share

Children's Medicaid Dental Services (Dental only (PAHP))

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
DentaQuest USA Insurance Company, Inc.	DentaQuest, LLC (owned by DentaQuest Group, Inc.)	DentaQuest, LLC (owned by DentaQuest Group, Inc.)	Statewide	CMS reported 1,495,527 (2024)	51.5%	-579,835 (-27.9%)	-8.9 pts	2018: 1,650,398; 2019: 1,591,932; 2020: 1,793,687; 2021: 2,040,154; 2022: 2,178,244; 2023: 2,075,362; 2024: 1,495,527
DentaQuest	DentaQuest	DentaQuest	Statewide	not reported	not reported	not reported	not reported	2016: 1,646,712; 2017: 1,669,722
MCNA Dental	MCNA Dental	MCNA Dental	Statewide	not reported	not reported	not reported	not reported	2016: 1,288,784; 2017: 1,263,928
MCNA Insurance Company	Managed Care of North America (MCNA), Inc.	Managed Care of North America (MCNA), Inc.	Statewide	CMS reported 983,044 (2024)	33.8%	-379,915 (-27.9%)	-5.8 pts	2018: 1,229,546; 2019: 118,130; 2020: 1,321,656; 2021: 1,392,593; 2022: 1,441,059; 2023: 1,362,959; 2024: 983,044
UnitedHealthcare Insurance Company	UHIC Holdings, Inc.	UHIC Holdings, Inc.	Statewide	CMS reported 425,989 (2024)	14.7%	+425,989	+14.7 pts	2022: 403,868; 2023: 0; 2024: 425,989

Medical Transportation Program (Non-Emergency Medical Transportation)

Medical Transportation Program (Non-Emergency Medical Transportation) 16

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
AMR	not reported	unmatched	Brown, Callahan, Coke, Coleman, Comanche, Concho, Crockett, Dimmit, Eastland, Edwards, Fisher, Haskell, Irion, Jones, Kent, Kimble, Kinney, Knox, La Salle, Maverick, McCulloch, Menard, Mitchell, Nolam, Reagan, Real, Runnels, Schleicher, Scurry, Shackelford, Stephens, Sterling, Stonewall, Sutton, Taylor, Throckmorton, Tom Green, Uvalde, Val Verde, Zavala	not reported	not reported	not reported	not reported	2016: 112,453
American Medical Response	American Medical Response	American Medical Response	Brown, Callahan, Coke, Coleman, Comanche, Concho, Crockett, Dimmit, Eastland, Edwards, Fisher, Haskell, Irion, Jones, Kent, Kimble, Kinney, Knox, Maverick, Mcculloch, Menard, Mitchell, Nolan, Reagan, Real, Runnels, Schleicher, Scurry, Shackelford, Stephens, Sterling, Stonewall, Sutton, Taylor, Throckmorton, Tom Green, Uvalde, Val Verde, Zavala	not reported	not reported	not reported	not reported	2018: 108,502
American Medical Response	American Medical Response	American Medical Response	Brown, Callahan, Coke, Coleman, Comanche, Concho, Crockett, Dimmit, Eastland, Edwards, Fisher, Haskell, Irion, Jones, Kent, Kimble, Kinney, Knox, Maverick, Mcculloch, Menard, Mitchell, Nolan, Reagan, Real, Runnels, Schleicher, Scurry, Shackelford, Stephens, Sterling, Stonewall, Sutton, Taylor, Throckmorton, Tom Green, Uvalde, Val Verde, Zavala	not reported	not reported	not reported	not reported	2019: 105,182
American Medical Response	American Medical Response	American Medical Response	Brown, Callahan, Coke, Coleman, Comanche, Concho, Crockett, Dimmit, Eastland, Edwards, Fisher, Haskell, Irion, Jones, Kent, Kimble, Kinney, Knox, Maverick, Mcculloch, Menard, Mitchell, Nolan, Reagan, Real, Runnels, Schleicher, Scurry, Shackelford, Stephens, Sterling, Stonewall, Sutton, Taylor, Throckmorton, Tom Green, Uvalde, Val Verde, and Zavala	not reported	not reported	not reported	not reported	2020: 114,045
American Medical Response	American Medical Response	American Medical Response	Rown, Callahan, Coke, Coleman, Comanche, Concho, Crockett, Dimmit, Eastland, Edwards, Fisher, Haskell, Irion, Jones, Kent, Kimble, Kinney, Knox, La Salle, Maverick, Mcculloch, Menard, Mitchell, Nolan, Reagan, Real, Runnels, Schleicher, Scurry, Shackelford, Stephens, Sterling, Stonewall, Sutton, Taylor, Throckmorton, Tom Green, Uvalde, Val Verde, Zavala	not reported	not reported	not reported	not reported	2017: 111,055

show all 16

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
LeFleur	not reported	unmatched	Aransas, Armstrong, Bailey, Bee, Briscoe, Brooks, Cameron, Carson, Castro, Childress, Cochran, Collingsworth, Crosby, Dallam, eaf Smith, Dickens, Donley, Duval, Floyd, Garza, Gray, Hale, Hall, Hansford, Hartley, emphill, Hidalg, Hockley, Hutchinson, Jim Hogg, Jim Wells, Kenedy, King, Kleberg, Lamb, Lipscomb, Live Oak, Lubbock, Lynn, McMullen, oor, Motley, Neuces, Ochiltree, ldham, Parmer, Potter, Randall, Refugio, Roberts, San Patricio, Sherman, Starr, Swisher, Terry, Webb, Wheeler, Willacy, Yoakum, Zapata	not reported	not reported	not reported	not reported	2016: 692,628
LogistiCare	LogistiCare	LogistiCare	Aransas, Armstrong, Atascosa, Bailey, Bandera, Bastrop, Bee, Bell, Bexar, Blanco, Bosque, Brazos, Brisco, Brooks, Burleson, Burnet, Caldwell, Cameron, Carson, Castro, Childress, Collingsworth, Cochran, Comal, Coryell, Crosby, Dallas, Dallam, Deaf Smith, Denton, Dickens, Donley, Duval, Ellis, Erath, Falls, Fayette, Floyd, Freestone, Frio, Garza, Gray, Gillespie, Grimes, Guadalupe, Hall, Hale, Hamilton, Hansford, Hartley, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Hunt, Hutchinson, Jim Hogg, Jim Wells, Johnson, Karnes, Kaufman, Kendall, Kenedy, Kerr, King, Kleberg, Lamb, Lampasas, Lee, Leon, Lipscomb, Limestone, Live Oak, Llano, Lubbock, Lynn, Madison, Mason, Mclennan, McMullen, Medina, Milam, Mills, Moore, Motley, Navarro, Nueces, Ochiltree, Oldham, Palo Pinto, Parker, Parmer, Potter, Randall, Refugio, Roberts, Robertson, Rockwall, San Patricio, San Saba, Sherman, Somervell, Starr, Swisher, Tarrant, Terry, Travis, Washington, Webb, Wheeler, Willacy, Williamson, Wilson, Yoakum, Zapata	not reported	not reported	not reported	not reported	2018: 2,224,612; 2019: 2,166,099
LogistiCare	LogistiCare	LogistiCare	Aransas, Armstrong, Atascosa, Bailey, Bandera, Bastrop, Bee, Bell, Bexar, Blanco, Bosque, Brazos, Brisco, Brooks, Burleson, Burnet, Caldwell, Cameron, Carson, Castro, Childress, Collingsworth, Cochran, Comal, Coryell, Crosby, Dallas, Dallam, Deaf Smith, Denton, Dickens, Donley, Duval, Ellis, Erath, Falls, Fayette, Floyd, Freestone, Frio, Garza, Gray, Gillespie, Grimes, Guadalupe, Hall, Hale, Hamilton, Hansford, Hartley, Hays, Hemphill, Hidalgo, Hill, Hockley, Hood, Hunt, Hutchinson, Jim Hogg, Jim Wells, Johnson, Karnes, Kaufman, Kendall, Kenedy, Kerr, King, Kleberg, Lamb, Lampasas, Lee, Leon, Lipscomb, Limestone, Live Oak, Llano, Lubbock, Lynn, Madison, Mason, Mclennan, McMullen, Medina, Milam, Mills, Moore, Motley, Navarro, Nueces, Ochiltree, Oldham, Palo Pinto, Parker, Parmer, Potter, Randall, Refugio, Roberts, Robertson, Rockwall, San Patricio, San Saba, Sherman, Somervell, Starr, Swisher, Tarrant, Terry, Travis, Washington, Webb, Wheeler, Willacy, Williamson, Wilson, Yoakum, and Zapata	not reported	not reported	not reported	not reported	2020: 2,345,447
Logisticare	Logisticare	LogistiCare	Bascosa, Bandera, Bastrop, Bell, Bexar, Blanco, Bosque, Brazos, Burleson, Burnet, Caldwell, Comal, Coryell, Dallas, Denton, Ellis, Erath, Falls, Fayette, Freestone, Frio, Gillespie, Grimes, Guadalupe, Hamilton, Hays, Hill, Hood, Hunt, Johnson, Karnes, Kaufman, Kendall, Kerr, Lampasas, Lee, Leon, Limestone, Llano, Madison, Mason, Mclennan, Medina, Milam, Mills, Navarro, Palo Pinto, Parker, Robertson, Rockwall, San Saba, Somervell, Tarrant, Travis, Washington, Williamson, Wilson	not reported	not reported	not reported	not reported	2017: 1,569,645
Logisticare	not reported	unmatched	Atascosa, Bandera, Bastrop, Bell, Bexar, Blanco, Bosque, Brazos, Burleson, Burnet, Caldwell, Comal, Coryell, Dallas, Denton, Ellis, Erath, Falls, Fayette, Freestone, Frio, Gillespie, Grimes, Guadalupe, Hamilton, Hays, Hill, Hood, Hunt, Johnson, Karnes, Kaufman, Kendall, Kerr, Lampasas, Lee, Leon, Limestone, Llano, Madison Mason, Mclennan, Medina, Milam, Mills Navarro, Palo Pinto, Parker, Robertson, Rockwall, San Saba, Somervell, Tarrant, Travis Washington, Williamson, Wilson	not reported	not reported	not reported	not reported	2016: 1,583,956
MTM	not reported	unmatched	Anderson, Angelina, Austin, Bowie, Brazoria, Calhoun, Camp, Cass, Chambers, Cherokee, Colorado, De Witt, Delta, Fort Bend, Franklin, Galveston, oliad, onzales, Gregg, Hardin, Harris, Harrison, Henderson, Hopkins, Houston, Jackson, Jasper, Jefferson, Lamar, Lavaca, Liberty, Marion, Matagorda, Montgomery, Morris, Nacogdoches, Newton, Orange, Panola, Polk, Rains, Red River, Rusk, Sabine, San Augustine, San Jacinto, Shelby, Smith, Titus, Trinity, Tyler, Upshur, Van Zandt, Victoria, Walker, Waller, Wharton, Wood	not reported	not reported	not reported	not reported	2016: 1,298,355
Medical Transportation Management	Medical Transportation Management, Inc.	Medical Transportation Management, Inc.	Anderson, Angelina, Austin, Bowie, Brazoria, Calhoun, Camp, Cass, Chambers, Cherokee, Colorado, De Witt, Delta, Fort Bend, Franklin, Galveston, Goliad, Gonzales, Gregg, Hardin, Harris, Harrison, Henderson, Hopkins, Houston, Jackson, Jasper, Jefferson, Lamar, Lavaca, Liberty, Marion, Matagorda, Montgomery, Morris, Nacogdoches, Newton, Orange, Panola, Polk, Rains, Red River, Rusk, Sabine, San Augustine, San Jacinto, Shelby, Smith, Titus, Trinity, Tyler, Upshur, Van Zandt, Victoria, Walker, Waller, Wharton, Wood	not reported	not reported	not reported	not reported	2017: 1,302,397; 2018: 1,284,738; 2019: 1,252,522
Medical Transportation Management	Medical Transportation Management, Inc.	Medical Transportation Management, Inc.	Anderson, Angelina, Austin, Bowie, Brazoria, Calhoun, Camp, Cass, Chambers, Cherokee, Colorado, De Witt, Delta, Fort Bend, Franklin, Galveston, Goliad, Gonzales, Gregg, Hardin, Harris, Harrison, Henderson, Hopkins, Houston, Jackson, Jasper, Jefferson, Lamar, Lavaca, Liberty, Marion, Matagorda, Montgomery, Morris, Nacogdoches, Newton, Orange, Panola, Polk, Rains, Red River, Rusk, Sabine, San Augustine, San Jacinto, Shelby, Smith, Titus, Trinity, Tyler, Upshur, Van Zandt, Victoria, Walker, Waller, Wharton, and Wood	not reported	not reported	not reported	not reported	2020: 1,378,620
Project Amistad	Project Amistad	Project Amistad	Andrews, Borden, Brewster, Crane, Culberson, Dawson, Ector, El Paso, Gaines, Glasscock, Howard, Hudspeth, Jeff Davis, Loving, Martin, Midland, Pecos, Presidio, Reeves, Terrell, Upton, Ward, Winkler	not reported	not reported	not reported	not reported	2016: 235,430; 2019: 216,909
Project Amistad	Project Amistad	Project Amistad	Andrews, Borden, Brewster, Crane, Culberson, Dawson, Ector, El Paso, Gaines, Glasscock, Howard, Hudspeth, Jeff Davis, Loving, Martin, Midland, Pecos, Presidio, Reeves, Terrell, Upton, Ward, and Winkler	not reported	not reported	not reported	not reported	2020: 235,032
Project Armistad	Project Armistad	Project Armistad	Andrews, Borden, Brewster, Crane, Culberson, Dawson, Ector, El Paso, Gaines, Glasscock, Howard, Hudspeth, Jeff Davis, Loving, Martin, Midland, Pecos, Presidio, Reeves, Terrell, Upton, Ward, Winkler	not reported	not reported	not reported	not reported	2017: 231,772; 2018: 226,720

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

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
ValueOptions	not reported	unmatched	Collin County, Dallas County, Ellis County, Hunt County, Kaufman County, Navarro County, Rockwall County	not reported	not reported	not reported	not reported	2016: 499,259

PACE (PACE)

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Bienvivir Senior Health Services (El Paso)	PACE	unmatched	79901, 79902, 79903,79904, 79905, 79907, 79915, 79924, 79925, 79927, 79930, 79935, 79936	CMS reported 843 (2024)	74.2%	not reported	not reported	2024: 843
Silver Star Health Network (Lubbock)	PACE	unmatched	79250, 79311, 79313, 79343, 79329, 79350, 79358, 79363, 79364, 79366, 79382, 79401, 79402, 79403, 79404, 79405, 79406, 79407, 79408, 79409, 79410, 79411, 79412, 79413, 79414, 79415, 79416, 79423, 79424, 79430, 79452, 79453, 79457, 79464, 79489, 79490, 79491, 79493, 79499	CMS reported 164 (2024)	14.4%	-4 (-2.4%)	-40.6 pts	2023: 168; 2024: 164
The Basic at Jan Werner (Amarillo)	PACE	unmatched	79015, 79101, 79102, 79103, 79104, 79105, 79106, 79107, 79108, 79109, 79110, 79111, 79118, 79119, 79121, 79124	CMS reported 129 (2024)	11.4%	-8 (-5.8%)	-33.6 pts	2023: 137; 2024: 129

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

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Bienvivir Senior Health Services (El Paso)	PACE	unmatched	79901, 79902, 79903, 79904, 79905, 79907, 79915, 79924, 79925, 79927, 79930, 79935, 79936	not reported	not reported	not reported	not reported	2023: 835

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

PACE (Program of All-inclusive Care for the Elderly (PACE)) 7

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Bienvivir Senior Health Services (El Paso)	PACE	unmatched	79901, 79902, 79903, 79904, 79905, 79907, 79915, 79924, 79925, 79930, 79935, 79936	not reported	not reported	not reported	not reported	2016: 915; 2017: 924; 2018: 920; 2019: 888; 2020: 897
Bienvivir Senior Health Services (El Paso)	PACE	unmatched	79901, 79902, 79903,79904, 79905, 79907, 79915, 79924, 79925, 79927, 79930, 79935, 79936	not reported	not reported	not reported	not reported	2021: 806
Silver Star Health Network (Lubbock)	PACE	unmatched	79401, 79402, 79403, 79404, 79405, 79406, 79407, 79408, 79409, 79410, 79411, 79412, 79413, 79414, 79415, 79416, 79423, 79424, 79430, 79452, 79453, 79454, 79464, 79490, 79491, 79493, 79499	not reported	not reported	not reported	not reported	2016: 154; 2017: 183; 2018: 168; 2019: 167; 2020: 171; 2021: 166
The Basic at Jan Werner (Amarillo)	PACE	unmatched	79015, 79101, 79102, 79103, 79104, 79105, 79106, 79107, 79108, 79109, 79110, 79111, 79118, 79119, 79121, 79124	not reported	not reported	not reported	not reported	2021: 112
The Basics at Jan Werner (Amarillo)	PACE	unmatched	9015, 79101, 79102, 79103, 79104, 79106, 79107, 79108, 79109, 79110, 79111, 79118, 79119, 79121, 79124	not reported	not reported	not reported	not reported	2017: 123; 2020: 127

show all 7

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
The Basics at Jan Werner (Amarillo)	not reported	unmatched	79015, 79101, 79102, 79103, 79104, 79106, 79107, 79108, 79109, 79110, 79111, 79118, 79119, 79121, 79124	not reported	not reported	not reported	not reported	2016: 134
Werner (Amarillo)	PACE	unmatched	9015, 79101, 79102, 79103, 79104, 79106, 79107, 79108, 79109, 79110, 79111, 79118, 79119, 79121, 79124	not reported	not reported	not reported	not reported	2018: 127; 2019: 122

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

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Bienvivir Senior Health Services (El Paso)	PACE	unmatched	79901, 79902, 79903,79904, 79905, 79907, 79915, 79924, 79925, 79927, 79930, 79935, 79936	not reported	not reported	not reported	not reported	2022: 807
Silver Star Health Network (Lubbock)	PACE	unmatched	79250, 79311, 79313, 79343, 79329, 79350, 79358, 79363, 79364, 79366, 79382, 79401, 79402, 79403, 79404, 79405, 79406, 79407, 79408, 79409, 79410, 79411, 79412, 79413, 79414, 79415, 79416, 79423, 79424, 79430, 79452, 79453, 79457, 79464, 79489, 79490, 79491, 79493, 79499	not reported	not reported	not reported	not reported	2022: 166
The Basic at Jan Werner (Amarillo)	PACE	unmatched	79015, 79101, 79102, 79103, 79104, 79105, 79106, 79107, 79108, 79109, 79110, 79111, 79118, 79119, 79121, 79124	not reported	not reported	not reported	not reported	2022: 124

STAR (Comprehensive MCO)

STAR (Comprehensive MCO) 65

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Aetna Better Health of Texas, Inc.	Aetna	CVS/Aetna	Bexar SDA and Tarrant SDA	not reported	not reported	not reported	not reported	2020: 80,580; 2021: 80,580; 2022: 131,901
Aetna Better Health of Texas, Inc.	Aetna	CVS/Aetna	Bexar SDA, Tarrant SDA	not reported	not reported	not reported	not reported	2018: 74,678; 2019: 70,239
Aetna Better Health of Texas, Inc.	Aetna	CVS/Aetna	Bexar Service Delivery Area (SDA) and Tarrant SDA	CMS reported 102,812 (2024)	3.3%	-39,900 (-28.0%)	+0.1 pts	2023: 142,712; 2024: 102,812
Aetna	Aetna, Inc.	CVS/Aetna	Bexar SDA, Tarrant SDA	not reported	not reported	not reported	not reported	2016: 72,966; 2017: 72,673
Amerigroup Insurance Company	Amerigroup Corporation (owned by ATH Holding Company, LLC)	Elevance	Bexar SDA, Dallas SDA, Harris SDA, Jefferson SDA, Lubbock SDA, Medical Rural Service Area (MRSA) Central, MRSA Northeast, MRSA West, and Tarrant SDA	not reported	not reported	not reported	not reported	2023: 842,450

show all 65

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Amerigroup Texas, Inc.	Amerigroup, Inc.	Elevance	Bexar SDA, Dallas SDA, Harris SDA, Jefferson SDA, Lubbock SDA, MRSA Central, MRSA Northeast, MRSA West, and Tarrant SDA	not reported	not reported	not reported	not reported	2021: 601,312
Amerigroup Texas, Inc.	Amerigroup, Inc.	Elevance	Bexar SDA, Dallas SDA, Harris SDA, Jefferson SDA, Lubbock SDA, MRSA Central, MRSA Northeast, MRSA West, Tarrant SDA	not reported	not reported	not reported	not reported	2016: 572,123; 2017: 561,529; 2018: 539,812
Amerigroup Texas, Inc.	Amerigroup, Inc.	Elevance	Bexar SDA, Dallas SDA, Harris SDA, Jefferson SDA, Lubbock SDA, MRSA Central, MRSA Northeast, MRSA West, and Tarrant SDA	not reported	not reported	not reported	not reported	2020: 601,312; 2022: 838,368
Amerigroup	Amerigroup Corporation	Elevance	Bexar SDA, Dallas SDA, Harris SDA, Jefferson SDA, Lubbock SDA, MRSA Central, MRSA Northeast	not reported	not reported	not reported	not reported	2019: 521,651
Blue Cross Blue Shield	not reported	unmatched	Travis SDA	not reported	not reported	not reported	not reported	2016: 25,949
BlueCross BlueShield	Health Care Service Corp.	Health Care Service Corporation	Travis SDA	not reported	not reported	not reported	not reported	2017: 25,888
Christus	Christus	Christus	Nueces SDA	not reported	not reported	not reported	not reported	2016: 5,474; 2017: 5,158
Community First Health Plan	Community First Health Plan	Community First Health Plan	Bexar SDA	not reported	not reported	not reported	not reported	2016: 106,096; 2017: 104,857
Community First Health Plans, Inc.	Bexar County Hospital District, dba University Health System	Bexar County Hospital District, dba University Health System	Harris SDA, Jefferson SDA	not reported	not reported	not reported	not reported	2018: 245,466
Community First Health Plans, Inc.	Bexar County Hospital District. dba University Health System	Bexar County Hospital District, dba University Health System	Bexar SDA	CMS reported 115,407 (2024)	3.6%	-52,523 (-31.3%)	-0.0 pts	2018: 108,453; 2019: 106,802; 2020: 118,317; 2021: 118,317; 2022: 166,878; 2023: 167,930; 2024: 115,407
Community Health Choice Texas, Inc.	Harris County Hospital District dba Harris Health System	Harris County Hospital District dba Harris Health System	Harris SDA and Jefferson SDA	CMS reported 264,093 (2024)	8.4%	-125,006 (-32.1%)	-0.1 pts	2020: 281,867; 2021: 281,867; 2022: 386,545; 2023: 389,099; 2024: 264,093
Community Health Choice Texas, Inc.	Harris County Hospital District, dba Harris Health System	Harris County Hospital District dba Harris Health System	Harris SDA, Jefferson SDA	not reported	not reported	not reported	not reported	2019: 239,497
Community Health Choice	Community Health Choice	Community Health Choice	Harris SDA, Jefferson SDA	not reported	not reported	not reported	not reported	2016: 247,101; 2017: 246,893
Cook Children's Health Plan	Cook Children's Health System	Cook Children's Health System	Tarrant SDA	CMS reported 106,031 (2024)	3.4%	-53,577 (-33.6%)	-0.1 pts	2016: 103,656; 2017: 104,588; 2018: 107,151; 2019: 102,832; 2020: 117,446; 2021: 117,446; 2022: 161,751; 2023: 159,608; 2024: 106,031
Driscoll Children's Health Plan	Driscoll	Driscoll	Hidalgo SDA and Nueces SDA	CMS reported 185,224 (2024)	5.9%	-64,620 (-25.9%)	+0.4 pts	2020: 180,280; 2021: 180,280; 2022: 242,182; 2023: 249,844; 2024: 185,224
Driscoll Children's Health Plan	Driscoll	Driscoll	Hidalgo SDA, Nueces SDA	not reported	not reported	not reported	not reported	2016: 151,862; 2017: 152,300; 2018: 157,744; 2019: 156,323
El Paso Health Plans, Inc., dba El Paso Health	El Paso County Hospital District - DBA University Medical Center of El Paso	El Paso County Hospital District, dba University Medical Center of El Paso	Bexar SDA, El Paso SDA	not reported	not reported	not reported	not reported	2018: 66,563
El Paso First	El Paso First	El Paso First	El Paso SDA	not reported	not reported	not reported	not reported	2016: 66,379; 2017: 65,988
El Paso Health Plans, Inc., dba El Paso Health	El Paso County Hospital District - dba University Medical Center of El Paso	El Paso County Hospital District, dba University Medical Center of El Paso	Bexar SDA and El Paso SDA	CMS reported 67,005 (2024)	2.1%	-30,568 (-31.3%)	-0.0 pts	2020: 70,737; 2021: 70,737; 2022: 96,219; 2023: 97,573; 2024: 67,005
El Paso Health Plans, Inc., dba El Paso Health	El Paso County Hospital District, dba University Medical Center of El Paso	El Paso County Hospital District, dba University Medical Center of El Paso	Bexar SDA, El Paso SDA	not reported	not reported	not reported	not reported	2019: 64,675
FirstCare	FirstCare	FirstCare	Lubbock SDA, MRSA West	not reported	not reported	not reported	not reported	2016: 92,723; 2017: 89,948
Health Care Service Corp. (dba Blue Cross Blue Shield)	Health Care Service Corporation	Health Care Service Corporation	Travis SDA	not reported	not reported	not reported	not reported	2018: 31,971; 2020: 37,868; 2021: 37,868
Health Care Service Corp., dba Blue Cross Blue Shield	Health Care Service Corporation	Health Care Service Corporation	Travis SDA	CMS reported 38,827 (2024)	1.2%	-18,928 (-32.8%)	-0.0 pts	2023: 57,755; 2024: 38,827
Health Care Service Corp	Health Care Service Corporation	Health Care Service Corporation	Travis SDA	not reported	not reported	not reported	not reported	2022: 56,122
Health Care Service Corporation (dba Blue Cross Blue Shield)	Health Care Service Corporation	Health Care Service Corporation	Travis SDA	not reported	not reported	not reported	not reported	2019: 30,688
Molina Healthcare of Texas, Inc.	Molina Healthcare	Molina	Dallas SDA, El Paso SDA, Harris SDA, Hidalgo SDA, Jefferson SDA	not reported	not reported	not reported	not reported	2018: 95,739; 2019: 90,829
Molina Healthcare of Texas, Inc.	Molina Healthcare	Molina	Dallas SDA, El Paso SDA, Harris SDA, Hidalgo SDA, and Jefferson SDA	CMS reported 102,035 (2024)	3.2%	-34,450 (-25.2%)	+0.2 pts	2020: 99,902; 2021: 99,902; 2022: 132,952; 2023: 136,485; 2024: 102,035
Molina Healthcare of Texas	Molina Healthcare of Texas	Molina	Dallas SDA, El Paso SDA, Harris SDA, Hidalgo SDA, Jefferson SDA	not reported	not reported	not reported	not reported	2016: 98,985; 2017: 97,827
Parkland Community Health Plan, Inc.	Dallas County Hospital District	Dallas County Hospital District	Dallas SDA	CMS reported 156,752 (2024)	5.0%	-72,771 (-31.7%)	-0.1 pts	2018: 165,083; 2019: 152,735; 2020: 169,443; 2022: 231,236; 2023: 229,523; 2024: 156,752
Parkland Community Health Plan, inc.	Dallas County Hospital District	Dallas County Hospital District	Dallas SDA	not reported	not reported	not reported	not reported	2021: 169,443
Parkland Community Health Plan	Parkland HEALTH First	Parkland HEALTH First	Dallas SDA	not reported	not reported	not reported	not reported	2017: 165,669
Parkland HEALTH First	not reported	unmatched	Dallas SDA	not reported	not reported	not reported	not reported	2016: 167,760
SHA, LLC dba FirstCare Health Plans	Scott & White Health Plan	Scott & White Health Plan	Lubbock SDA and MRSA West	not reported	not reported	not reported	not reported	2023: 118,955
SHA, LLC dba FirstCare Health Plans	Scott & White Health Plan	Scott & White Health Plan	Lubbock SDA and Medical Rural Service Area (MRSA) West	CMS reported 80,115 (2024)	2.5%	not reported	not reported	2024: 80,115
SHA, LLC, dba FirstCare Health Plans	Scott and White Health Plan	Scott & White Health Plan	Lubbock SDA, MRSA West	not reported	not reported	not reported	not reported	2019: 76,104
SHA. LLC, dba FirstCare Health Plans	Scott & White Health Plan	Scott & White Health Plan	Lubbock SDA and MRSA West	not reported	not reported	not reported	not reported	2020: 80,985; 2022: 114,477
SHA. LLC, dba FirstCare Health Plans	Scott and White Health Plan	Scott & White Health Plan	Lubbock SDA, MRSA West	not reported	not reported	not reported	not reported	2018: 84,226
SHA.LLC, dba FirstCare Health Plans	Scott & White Health Plan	Scott & White Health Plan	Lubbock SDA and MRSA West	not reported	not reported	not reported	not reported	2021: 80,985
Scott & White Health Plan	Baylor Scott & White Holdings	Baylor Scott & White Holdings	MRSA Central	CMS reported 45,077 (2024)	1.4%	-21,720 (-32.5%)	-0.0 pts	2017: 45,447; 2018: 45,067; 2020: 47,533; 2021: 47,533; 2022: 65,372; 2023: 66,797; 2024: 45,077
Scott & White	not reported	unmatched	MRSA Central	not reported	not reported	not reported	not reported	2016: 45,480
Scott and White Health Plan	Baylor Scott and White Holdings	Baylor Scott & White Holdings	MRSA Central	not reported	not reported	not reported	not reported	2019: 43,991
Sendero	Sendero	Sendero	Travis SDA	not reported	not reported	not reported	not reported	2016: 13,563; 2017: 13,241
Seton Health Plan, Inc. dba Dell Children's Health Plan	Seton Insurance Services Corporation	Seton Insurance Services Corporation	Travis SDA	not reported	not reported	not reported	not reported	2021: 27,973; 2022: 43,087
Seton Health Plan, Inc., dba Dell Children's Health Plan	Seton Insurance Services Corporation	Seton Insurance Services Corporation	Travis SDA	CMS reported 28,239 (2024)	0.9%	-15,355 (-35.2%)	-0.1 pts	2019: 22,841; 2023: 43,594; 2024: 28,239
Seton Health Plan, Inc., dba Dell Childrens Health Plan	Seton Insurance Services Corporation	Seton Insurance Services Corporation	Travis SDA	not reported	not reported	not reported	not reported	2018: 23,122; 2020: 27,973
Seton Health Plan	Seton Health Plan	Seton Health Plan	Travis SDA	not reported	not reported	not reported	not reported	2017: 18,016
Seton	not reported	unmatched	Travis SDA	not reported	not reported	not reported	not reported	2016: 18,429
Superior Health Plan, Inc.	Centene Corporation	Centene	Bexar SDA, El Paso SDA, Hidalgo SDA, Lubbock SDA, MRSA Central, MRSA Northeast, MRSA West, Nueces SDA, Travis SDA	not reported	not reported	not reported	not reported	2018: 737,410; 2019: 706,022
Superior Health Plan, Inc.	Centene Corporation	Centene	Bexar SDA, El Paso SDA, Hidalgo SDA, Lubbock SDA, MRSA Central, MRSA Northeast, MRSA West, Nueces SDA, and Travis SDA	CMS reported 762,459 (2024)	24.1%	-322,453 (-29.7%)	+0.4 pts	2020: 803,370; 2021: 803,370; 2022: 1,073,125; 2023: 1,084,912; 2024: 762,459
Superior Health Plan	Superior Health Plan	Centene	Bexar SDA, El Paso SDA, Hidalgo SDA, Lubbock SDA, MRSA Central, MRSA Northeast, MRSA West, Nueces SDA, Travis SDA	not reported	not reported	not reported	not reported	2016: 718,296; 2017: 719,578
Texas Children's Health Plan, Inc.	Texas Children's	Texas Children's	Harris SDA and Jefferson SDA	CMS reported 390,716 (2024)	12.4%	-151,471 (-27.9%)	+0.5 pts	2020: 389,812; 2021: 389,812; 2022: 538,357; 2023: 542,187; 2024: 390,716
Texas Children's Health Plan, Inc.	Texas Children's	Texas Children's	Harris SDA, Jefferson SDA	not reported	not reported	not reported	not reported	2018: 348,467; 2019: 334,749
Texas Children's Health Plan	Texas Children's Health Plan	Texas Children's Health Plan	Harris SDA, Jefferson SDA	not reported	not reported	not reported	not reported	2016: 349,127; 2017: 349,045
United Healthcare Community Plan	United Healthcare Texas	UnitedHealth	Harris SDA, Hidalgo SDA, Jefferson SDA	not reported	not reported	not reported	not reported	2017: 130,759
United Healthcare Texas	not reported	unmatched	Harris SDA, Hidalgo SDA, Jefferson SDA	not reported	not reported	not reported	not reported	2016: 129,250
UnitedHealthcare Insurance Company dba UnitedHealthcare Community Plan	UnitedHealthcare	UnitedHealth	Harris SDA, Hidalgo SDA, Jefferson SDA, and Nueces SDA	CMS reported 175,387 (2024)	5.5%	-77,793 (-30.7%)	+0.0 pts	2023: 253,180; 2024: 175,387
UnitedHealthcare Insurance Company, dba United Healthcare Community Plan	UnitedHealthcare	UnitedHealth	Harris SDA, Hidalgo SDA, Jefferson SDA, Nueces SDA	not reported	not reported	not reported	not reported	2019: 138,885
UnitedHealthcare Insurance Company, dba United Healthcare Community Plan	UnitedHealthcare	UnitedHealth	Harris SDA, Hidalgo SDA, Jefferson SDA, and Nueces SDA	not reported	not reported	not reported	not reported	2020: 161,972; 2021: 161,972; 2022: 241,897
UnitedHealthcare Insurance Company, dba United Healthcare Community Plan	UnitedHealthcare	UnitedHealth	Harris SDA, Hidalgo SDA, Jefferson SDA	not reported	not reported	not reported	not reported	2018: 139,036
Wellpoint	Elevance Health, Inc., LLC	Elevance	Bexar SDA, Dallas SDA, Harris SDA, Jefferson SDA, Lubbock SDA, MRSA Central, MRSA Northeast, MRSA West, and Tarrant SDA	CMS reported 542,485 (2024)	17.2%	not reported	not reported	2024: 542,485

STAR HEALTH (Comprehensive MCO + MLTSS)

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Superior Health Plan	Centene Corporation	Centene	Statewide	CMS reported 22,280 (2024)	100.0%	-25,341 (-53.2%)	0.0 pts	2021: 44,902; 2022: 45,729; 2023: 47,621; 2024: 22,280
Superior HealthPlan	Centene Corporation	Centene	Statewide	not reported	not reported	not reported	not reported	2020: 35,185

STAR Health (Comprehensive MCO + MLTSS)

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Superior HealthPlan	Centene Corporation	Centene	Statewide	not reported	not reported	not reported	not reported	2019: 32,707

STAR Health (Comprehensive MCO)

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Superior Health Plan	Superior Health Plan	Centene	Statewide	not reported	not reported	not reported	not reported	2016: 31,662; 2017: 32,735
Superior HealthPlan	Centene Corporation	Centene	Statewide	not reported	not reported	not reported	not reported	2018: 34,117

STAR KIDS (Comprehensive MCO + MLTSS)

STAR KIDS (Comprehensive MCO + MLTSS) 10

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Aetna Better Health of Texas, Inc.	Aetna	CVS/Aetna	Tarrant SDA	not reported	not reported	not reported	not reported	2020: 4,843
Amerigroup Insurance Company	Amerigroup Corporation (owned by ATH Holding Company, LLC)	Elevance	Dallas SDA, El Paso SDA, Harris SDA, MRSA West, and Lubbock SDA	not reported	not reported	not reported	not reported	2020: 27,042
Children’s Medical Center Health Plan	Children's Health System of Texas	Children's Health System of Texas	Dallas SDA	not reported	not reported	not reported	not reported	2020: 8,137
Community First Health Plans, Inc.	Bexar County Hospital District, dba University Health System	Bexar County Hospital District, dba University Health System	Bexar SDA	not reported	not reported	not reported	not reported	2020: 7,676
Cook Children's Health Plan	Cook Children's Health Care System	Cook Children's Health Care System	Tarrant SDA	not reported	not reported	not reported	not reported	2020: 9,810

show all 10

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Driscoll Children’s Health Plan	Driscoll Children's Hospital	Driscoll Children's Hospital	Hidalgo SDA and Nueces SDA	not reported	not reported	not reported	not reported	2020: 10,392
Health Care Service Corporation DBA Blue Cross and Blue Shield of Texas (BCBSTX)	Health Care Service Corporation, a Mutual Legal Reserve Company	Health Care Service Corporation, a Mutual Legal Reserve Company	MRSA Central SDA and Travis SDA	not reported	not reported	not reported	not reported	2020: 8,297
Superior HealthPlan, Inc.	Centene Corporation	Centene	Bexar SDA, El Paso SDA, Hidalgo SDA, Lubbock SDA, MRSA West SDA, Travis SDA, and Nueces SDA	not reported	not reported	not reported	not reported	2020: 29,467
Texas Children’s Health Plan, Inc.	Texas Children's	Texas Children's	Harris SDA, Jefferson SDA, and MRSA Northeast SDA	not reported	not reported	not reported	not reported	2020: 28,817
UnitedHealthcare Insurance Company, dba United Healthcare	United Healthcare	UnitedHealth	Harris SDA, Hidalgo SDA, Jefferson SDA, MRSA Central SDA, MRSA Northeast SDA, and Nueces SDA	not reported	not reported	not reported	not reported	2020: 29,749

STAR Kids (Comprehensive MCO + MLTSS)

STAR Kids (Comprehensive MCO + MLTSS) 33

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Aetna Better Health of Texas Inc.	Aetna	CVS/Aetna	Tarrant SDA	not reported	not reported	not reported	not reported	2018: 4,843
Aetna Better Health of Texas, Inc.	Aetna	CVS/Aetna	Tarrant SDA and Dallas SDA	CMS reported 10,847 (2024)	7.7%	-2,308 (-17.5%)	-0.0 pts	2023: 13,155; 2024: 10,847
Aetna Better Health of Texas, Inc.	Aetna	CVS/Aetna	Tarrant SDA	not reported	not reported	not reported	not reported	2019: 4,654; 2021: 12,580; 2022: 12,915
Aetna	Aetna	CVS/Aetna	Tarrant SDA	not reported	not reported	not reported	not reported	2017: 5,124
Amerigroup Insurance Company	Amerigroup Corporation (owned by ATH Holding Company, LLC)	Elevance	Dallas SDA, El Paso SDA, Harris SDA, MRSA West, and Lubbock SDA	not reported	not reported	not reported	not reported	2021: 28,805; 2022: 28,712; 2023: 28,309

show all 33

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Amerigroup Insurance Company	Amerigroup, Inc.	Elevance	Dallas SDA, El Paso SDA, Harris SDA, MRSA West, Lubbock SDA	not reported	not reported	not reported	not reported	2018: 27,072; 2019: 26,304
Amerigroup	Amerigroup Texas, Inc	Elevance	Dallas SDA, El Paso SDA, Harris SDA, MRSA West, Lubbock SDA	not reported	not reported	not reported	not reported	2017: 27,735
Blue Cross and Blue Shield of Texas (BCBSTX)	Health Care Service Corporation	Health Care Service Corporation	MRSA Central SDA, Travis SDA	not reported	not reported	not reported	not reported	2019: 7,911
BlueCross BlueShield	BlueCross BlueShield	BlueCross BlueShield	MRSA Central SDA, Travis SDA	not reported	not reported	not reported	not reported	2017: 7,772
Children's Medical Center	Children's Medical Center	Children's Medical Center	Dallas SDA	not reported	not reported	not reported	not reported	2017: 9,688
Children’s Medical Center Health Plan	Children's Health System of Texas	Children's Health System of Texas	Dallas SDA	not reported	not reported	not reported	not reported	2018: 9,236; 2019: 8,524
Community First Health Plans, Inc.	Bexar County Hospital District dba University Health System	Bexar County Hospital District, dba University Health System	Bexar SDA	CMS reported 6,167 (2024)	4.4%	-1,526 (-19.8%)	-0.1 pts	2018: 7,899; 2019: 7,577; 2021: 7,790; 2022: 7,817; 2023: 7,693; 2024: 6,167
Community First Health Plans	Community First Health Plans	Community First Health Plans	Bexar SDA	not reported	not reported	not reported	not reported	2017: 7,926
Cook Children's Health Plan	Cook Children's Health Care System	Cook Children's Health Care System	Tarrant SDA	CMS reported 7,740 (2024)	5.5%	-1,882 (-19.6%)	-0.1 pts	2018: 9,493; 2019: 9,304; 2021: 9,829; 2022: 9,796; 2023: 9,622; 2024: 7,740
Cook Children's Health Plan	Cook Children's Health Plan	Cook Children's Health Plan	Hidalgo SDA, Nueces SDA	not reported	not reported	not reported	not reported	2017: 8,993
Driscoll Children's Health Plan	Driscoll Children's Hospital	Driscoll Children's Hospital	Hidalgo SDA and Nueces SDA	CMS reported 8,788 (2024)	6.3%	-2,053 (-18.9%)	-0.1 pts	2021: 10,540; 2022: 10,723; 2023: 10,841; 2024: 8,788
Driscoll Children's Health Plan	Driscoll	Driscoll	Hidalgo SDA, Nueces SDA	not reported	not reported	not reported	not reported	2017: 10,611
Driscoll Children’s Health Plan	Driscoll	Driscoll	Hidalgo SDA, Nueces SDA	not reported	not reported	not reported	not reported	2018: 10,441; 2019: 10,146
Health Care Service Corporation DBA Blue Cross and Blue Shield of Texas (BCBSTX)	Health Care Service Corporation, a Mutual Legal Reserve Company	Health Care Service Corporation, a Mutual Legal Reserve Company	MRSA Central SDA and Travis SDA	not reported	not reported	not reported	not reported	2021: 8,717; 2022: 8,880; 2023: 8,949
Health Care Service Corporation DBA Blue Cross and Blue Shield of Texas (BCBSTX)	Health Care Service Corporation	Health Care Service Corporation	MRSA Central SDA, Travis SDA	not reported	not reported	not reported	not reported	2018: 7,918
Health Care Service Corporation dba Blue Cross and Blue Shield of Texas (BCBSTX)	Health Care Service Corporation, a Mutual Legal Reserve Company	Health Care Service Corporation, a Mutual Legal Reserve Company	MRSA Central SDA and Travis SDA	CMS reported 7,527 (2024)	5.4%	not reported	not reported	2024: 7,527
Superior HealthPlan, Inc.	Centene Corporation	Centene	Bexar SDA, El Paso SDA, Hidalgo SDA, Lubbock SDA, MRSA West SDA, Travis SDA, Nueces SDA	not reported	not reported	not reported	not reported	2018: 28,668; 2019: 27,837
Superior HealthPlan, Inc.	Centene Corporation	Centene	Bexar SDA, El Paso SDA, Hidalgo SDA, Lubbock SDA, MRSA West SDA, Travis SDA, and Nueces SDA	CMS reported 27,009 (2024)	19.2%	-4,993 (-15.6%)	+0.4 pts	2021: 30,495; 2022: 31,332; 2023: 32,002; 2024: 27,009
Superior HealthPlan	Superior HealthPlan	Centene	Bexar SDA, El Paso SDA, Hidalgo SDA, Lubbock SDA, MRSA West SDA, Travis SDA, Nueces SDA	not reported	not reported	not reported	not reported	2017: 29,157
Texas Children's Health Plan, Inc.	Texas Children's	Texas Children's	Harris SDA, Jefferson SDA, and MRSA Northeast SDA	CMS reported 26,502 (2024)	18.9%	-4,280 (-13.9%)	+0.8 pts	2021: 29,976; 2022: 30,490; 2023: 30,782; 2024: 26,502
Texas Children's Health Plan	Texas Children's Health Plan	Texas Children's Health Plan	Harris SDA, Jefferson SDA, MRSA Northeast SDA	not reported	not reported	not reported	not reported	2017: 25,577
Texas Children’s Health Plan, Inc.	Texas Children's	Texas Children's	Harris SDA, Jefferson SDA, MRSA Northeast SDA	not reported	not reported	not reported	not reported	2018: 26,184; 2019: 26,736
United Healthcare - Texas	United Healthcare	UnitedHealth	Harris SDA, Hidalgo SDA, Jefferson SDA, MRSA Central SDA, MRSA Northeast SDA	not reported	not reported	not reported	not reported	2017: 30,364
UnitedHealthcare Insurance Company dba UnitedHealthcare	UnitedHealthcare	UnitedHealth	Harris SDA, Hidalgo SDA, Jefferson SDA, MRSA Central SDA, and MRSA Northeast SDA	CMS reported 23,086 (2024)	16.4%	-5,700 (-19.8%)	-0.5 pts	2023: 28,786; 2024: 23,086
UnitedHealthcare Insurance Company, dba United Healthcare Community Plan	United Healthcare	UnitedHealth	Harris SDA, Hidalgo SDA, Jefferson SDA, MRSA Central SDA, MRSA Northeast SDA, Nueces SDA	not reported	not reported	not reported	not reported	2019: 30,015
UnitedHealthcare Insurance Company, dba United Healthcare Community Plan	UnitedHealthcare	UnitedHealth	Harris SDA, Hidalgo SDA, Jefferson SDA, MRSA Central SDA, MRSA Northeast SDA	not reported	not reported	not reported	not reported	2018: 30,595
UnitedHealthcare Insurance Company, dba United Healthcare	United Healthcare	UnitedHealth	Harris SDA, Hidalgo SDA, Jefferson SDA, MRSA Central SDA, MRSA Northeast SDA, and Nueces SDA	not reported	not reported	not reported	not reported	2021: 29,462; 2022: 29,222
Wellpoint	Elevance Health, Inc., LLC	Elevance	Dallas SDA, El Paso SDA, Harris SDA, MRSA West, and Lubbock SDA	CMS reported 22,714 (2024)	16.2%	not reported	not reported	2024: 22,714

STAR Kids (Comprehensive MCO)

STAR Kids (Comprehensive MCO) 10

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Aetna	not reported	unmatched	Tarrant SDA	not reported	not reported	not reported	not reported	2016: 0
Amerigroup Texas, Inc.	not reported	unmatched	Dallas SDA, El Paso SDA, Harris SDA, MRSA West, Lubbock SDA	not reported	not reported	not reported	not reported	2016: 0
Blue Cross Blue Shield	not reported	unmatched	MRSA Central SDA, Travis SDA	not reported	not reported	not reported	not reported	2016: 0
Children's Medical Center	not reported	unmatched	Dallas SDA	not reported	not reported	not reported	not reported	2016: 0
Community First Health Plan	not reported	unmatched	Bexar SDA	not reported	not reported	not reported	not reported	2016: 0

show all 10

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Cook Children's Health Plan	not reported	unmatched	Tarrant SDA	not reported	not reported	not reported	not reported	2016: 0
Driscoll Children's Health Plan	not reported	unmatched	Hidalgo SDA, Nueces SDA	not reported	not reported	not reported	not reported	2016: 0
Superior Health Plan	not reported	unmatched	Bexar SDA, El Paso SDA, Hidalgo SDA, Lubbock SDA, MRSA West SDA, Travis SDA, Nueces SDA	not reported	not reported	not reported	not reported	2016: 0
Texas Children's Health Plan	not reported	unmatched	Harris SDA, Jefferson SDA, MRSA Northeast SDA	not reported	not reported	not reported	not reported	2016: 0
United Healthcare Texas	not reported	unmatched	Harris SDA, Hidalgo SDA, Jefferson SDA, MRSA Central SDA, MRSA Northeast SDA	not reported	not reported	not reported	not reported	2016: 0

STAR+PLUS (Comprehensive MCO + MLTSS)

STAR+PLUS (Comprehensive MCO + MLTSS) 24

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Amerigroup Insurance Company	Amerigroup Corporation (owned by ATH Holding Company, LLC)	Elevance	Bexar SDA, El Paso SDA, Harris SDA, Jefferson SDA, Lubbock SDA, MRSA West, Tarrant SDA, and Travis SDA	not reported	not reported	not reported	not reported	2023: 138,488
Amerigroup Texas, Inc.	Amerigroup Corporation (owned by ATH Holding Company, LLC)	Elevance	Bexar SDA, El Paso SDA, Harris SDA, Jefferson SDA, Lubbock SDA, MRSA West, Tarrant SDA, and Travis SDA	not reported	not reported	not reported	not reported	2020: 130,350; 2021: 130,849; 2022: 133,602
Amerigroup Texas, Inc.	Amerigroup Corporation	Elevance	Bexar SDA, El Paso SDA, Harris SDA, Jefferson SDA, Lubbock SDA, MRSA West, Tarrant SDA, Travis SDA	not reported	not reported	not reported	not reported	2018: 130,855; 2019: 129,864
Amerigroup	Amerigroup Texas, Inc	Elevance	Bexar SDA, El Paso SDA, Harris SDA, Jefferson SDA, Lubbock SDA, MRSA West, Tarrant SDA, Travis SDA	not reported	not reported	not reported	not reported	2016: 147,482; 2017: 133,826
Cigna - HealthSpring	Cigna - HealthSpring	Cigna - HealthSpring	Hidalgo SDA, MRSA Northeast, Tarrant SDA	not reported	not reported	not reported	not reported	2017: 50,149

show all 24

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Cigna HealthSpring	NewQuest, LLC	NewQuest, LLC	Hidalgo SDA, MRSA Northeast, Tarrant SDA	not reported	not reported	not reported	not reported	2019: 48,744
Cigna-HealthSpring	not reported	unmatched	Hidalgo SDA, MRSA Northeast, Tarrant SDA	not reported	not reported	not reported	not reported	2016: 51,455
HealthSpring Life & Health Insurance Co., Inc.	Cigna	Cigna	Hidalgo SDA, MRSA Northeast, Tarrant SDA	not reported	not reported	not reported	not reported	2018: 49,601
HealthSpring Life & Health Insurance Co., Inc.	Cigna	Cigna	Hidalgo SDA, MRSA Northeast, and Tarrant SDA	not reported	not reported	not reported	not reported	2020: 48,490; 2021: 47,670
Molina Healthcare of Texas, Inc.	Molina Healthcare	Molina	Bexar SDA, Dallas SDA, El Paso SDA, Harris SDA, Hidalgo SDA, Jefferson SDA	not reported	not reported	not reported	not reported	2018: 87,321; 2019: 85,920
Molina Healthcare of Texas, Inc.	Molina Healthcare	Molina	Bexar SDA, Dallas SDA, El Paso SDA, Harris SDA, Hidalgo SDA, and Jefferson SDA	CMS reported 121,797 (2024)	23.5%	-12,004 (-9.0%)	+0.6 pts	2020: 86,359; 2021: 85,597; 2022: 131,441; 2023: 133,801; 2024: 121,797
Molina Healthcare of Texas	Molina Healthcare of Texas	Molina	Bexar SDA, Dallas SDA, El Paso SDA, Harris SDA, Hidalgo SDA, Jefferson SDA	not reported	not reported	not reported	not reported	2017: 87,652
Molina	not reported	unmatched	Bexar SDA, Dallas SDA, El Paso SDA, Harris SDA, Hidalgo SDA, Jefferson SDA	not reported	not reported	not reported	not reported	2016: 99,252
Superior Health Plan	Superior Health Plan	Centene	Bexar SDA, Dallas SDA, Hidalgo SDA, Lubbock SDA, Nueces SDA, MRSA Central, MRSA West	not reported	not reported	not reported	not reported	2016: 147,655; 2017: 139,417
Superior HealthPlan, Inc.	Centene Corporation	Centene	Bexar SDA, Dallas SDA, Hidalgo SDA, Lubbock SDA, Nueces SDA, MRSA Central, MRSA West	not reported	not reported	not reported	not reported	2019: 138,967
Superior HealthPlan, Inc.	Centene Corporation	Centene	Bexar SDA, Dallas SDA, Hidalgo SDA, Lubbock SDA, Nueces SDA, MRSA Central, and MRSA West	CMS reported 138,751 (2024)	26.8%	-17,733 (-11.3%)	-0.0 pts	2021: 142,637; 2022: 149,109; 2023: 156,484; 2024: 138,751
Superior HealthPlan, Inc	Centene Corporation	Centene	Bexar SDA, Dallas SDA, Hidalgo SDA, Lubbock SDA, Nueces SDA, MRSA Central, MRSA West	not reported	not reported	not reported	not reported	2018: 139,490
Superior HealthPlan, Inc	Centene Corporation	Centene	Bexar SDA, Dallas SDA, Hidalgo SDA, Lubbock SDA, Nueces SDA, MRSA Central, and MRSA West	not reported	not reported	not reported	not reported	2020: 142,545
United Healthcare - Texas	United Healthcare - Texas	UnitedHealth	Harris SDA, Jefferson SDA, Nueces SDA, Travis SDA, MRSA Central, MRSA Northeast	not reported	not reported	not reported	not reported	2017: 115,686
United Healthcare Texas	not reported	unmatched	Harris SDA, Jefferson SDA, Nueces SDA, Travis SDA, MRSA Central, MRSA Northeast	not reported	not reported	not reported	not reported	2016: 118,676
UnitedHealthcare Insurance Company, dba United Healthcare Community Plan	UnitedHealthcare	UnitedHealth	Harris SDA, Jefferson SDA, Nueces SDA, Travis SDA, MRSA Central, MRSA Northeast	not reported	not reported	not reported	not reported	2018: 120,490; 2019: 123,383
UnitedHealthcare Insurance Company, dba United Healthcare Community Plan	UnitedHealthcare	UnitedHealth	Harris SDA, Jefferson SDA, Nueces SDA, Travis SDA, MRSA Central, and MRSA Northeast	not reported	not reported	not reported	not reported	2020: 129,640; 2021: 133,992; 2022: 144,026; 2023: 153,852
UnitedHealthcare Insurance Company, dba UnitedHealthcare Community Plan	UnitedHealthcare	UnitedHealth	Harris SDA, Jefferson SDA, Nueces SDA, Travis SDA, MRSA Central, and MRSA Northeast	CMS reported 137,197 (2024)	26.5%	not reported	not reported	2024: 137,197
Wellpoint	Elevance Health, Inc., LLC	Elevance	Bexar SDA, El Paso SDA, Harris SDA, Jefferson SDA, Lubbock SDA, MRSA West, Tarrant SDA, and Travis SDA	CMS reported 119,685 (2024)	23.1%	not reported	not reported	2024: 119,685

Texas Medicaid Wellness Program (Primary Care Case Management (PCCM))

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
AxisPoint Health	not reported	unmatched	Statewide	not reported	not reported	not reported	not reported	2016: 11,969
Multiple Primary Care Providers	Multiple Primary Care Providers	unmatched	Statewide	not reported	not reported	not reported	not reported	2017: 8,573

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) 37

Plan	Parent	Program	Appeals resolved	In favor of enrollee	Appeal rate	Grievances resolved	Medicaid enrollment share	Managed care enrollment share
DentaQuest USA Insurance Company, Inc.	DentaQuest, LLC (owned by DentaQuest Group, Inc.)	Children's Medicaid Dental Services 2024	2,341	648	27.7% calculated	563	38.4%	39%
MCNA Insurance Company	Managed Care of North America (MCNA), Inc.	Children's Medicaid Dental Services 2024	124	42	33.9% calculated	137	25.3%	25.7%
UnitedHealthcare Insurance Company, Inc.	UnitedHealth	Children's Medicaid Dental Services 2024	88	22	25.0% calculated	61	11.9%	12.1%
Molina Healthcare of Texas, Inc.	Molina	Medicare-Medicaid Dual Demonstration 2024	22	3	13.6% calculated	7	0.2%	0.2%
Superior HealthPlan, Inc	Centene	Medicare-Medicaid Dual Demonstration 2024	272	221	81.2% calculated	995	0.1%	0.1%

show all 37

Plan	Parent	Program	Appeals resolved	In favor of enrollee	Appeal rate	Grievances resolved	Medicaid enrollment share	Managed care enrollment share
United Healthcare Community Plan	UnitedHealth	Medicare-Medicaid Dual Demonstration 2024	71	62	87.3% calculated	46	0.1%	0.1%
Wellpoint Texas Inc (Formerly Amerigroup Texas, Inc.)	Elevance	Medicare-Medicaid Dual Demonstration 2024	168	90	53.6% calculated	251	0.1%	0.1%
Aetna Better Health of Texas, Inc.	CVS/Aetna	STAR 2024	203	71	35.0% calculated	455	2.6%	2.7%
Community First Health Plans, Inc.	Bexar County Hospital District, dba University Health System	STAR 2024	331	106	32.0% calculated	295	2.9%	3%
Community Health Choice Texas, Inc.	Harris County Hospital District dba Harris Health System	STAR 2024	590	165	28.0% calculated	1,073	6.7%	6.8%
Cook Children's Health Plan	Cook Children's Health Care System	STAR 2024	238	146	61.3% calculated	458	2.7%	2.7%
Driscoll Children's Health Plan	Driscoll	STAR 2024	131	36	27.5% calculated	1,068	4.7%	4.8%
El Paso First Health Plans, Inc.	El Paso County Hospital District, dba University Medical Center of El Paso	STAR 2024	236	149	63.1% calculated	66	1.7%	1.7%
Health Care Service Corp. (dba Blue Cross Blue Shield)	Health Care Service Corporation	STAR 2024	133	62	46.6% calculated	535	1%	1%
Molina Healthcare of Texas, Inc.	Molina	STAR 2024	716	342	47.8% calculated	414	2.6%	2.7%
Parkland Community Health Plan, Inc.	Dallas County Hospital District	STAR 2024	418	208	49.8% calculated	494	4%	4%
SHA. LLC, dba FIRSTCARE	FirstCare	STAR 2024	198	122	61.6% calculated	205	2%	2.1%
Scott & White Health Plan	Baylor Scott & White Holdings	STAR 2024	204	102	50.0% calculated	160	1.1%	1.2%
Seton Health Plan, Inc., dba Dell Children's Health Plan	Seton Insurance Services Corporation	STAR 2024	149	51	34.2% calculated	156	0.7%	0.7%
Superior Health Plan, Inc.	Centene	STAR 2024	5,261	2,429	46.2% calculated	1,635	19.4%	19.7%
Texas Children's Health Plan, Inc.	Texas Children's	STAR 2024	1,531	915	59.8% calculated	1,458	10%	10.1%
United Healthcare Community Plan	UnitedHealth	STAR 2024	551	182	33.0% calculated	633	4.4%	4.5%
Wellpoint Ins. Co. (Formerly Amerigroup Texas, Inc.)	Elevance	STAR 2024	74	31	41.9% calculated	2,246	13.7%	13.9%
Superior HealthPlan	Centene	STAR Health 2024	801	333	41.6% calculated	252	0.5%	0.6%
Aetna Better Health of Texas, Inc.	CVS/Aetna	STAR Kids 2024	175	113	64.6% calculated	67	0.3%	0.3%
Community First Health Plans, Inc.	Bexar County Hospital District, dba University Health System	STAR Kids 2024	371	78	21.0% calculated	65	0.2%	0.2%
Cook Children's Health Plan	Cook Children's Health Care System	STAR Kids 2024	226	116	51.3% calculated	184	0.2%	0.2%
Driscoll Children's Health Plan	Driscoll	STAR Kids 2024	223	51	22.9% calculated	294	0.2%	0.2%
Health Care Service Corp. (dba Blue Cross Blue Shield)	Health Care Service Corporation	STAR Kids 2024	165	69	41.8% calculated	223	0.2%	0.2%
Superior Health Plan, Inc.	Centene	STAR Kids 2024	1,809	1,002	55.4% calculated	572	0.7%	0.7%
Texas Children's Health Plan, Inc.	Texas Children's	STAR Kids 2024	1,535	817	53.2% calculated	942	0.7%	0.7%
United Healthcare Community Plan	UnitedHealth	STAR Kids 2024	839	186	22.2% calculated	296	0.6%	0.6%
Wellpoint Insurance Company (Formerly Amerigroup Texas, Inc)	Elevance	STAR Kids 2024	42	23	54.8% calculated	204	0.6%	0.6%
Molina Healthcare of Texas Insurance Co	Molina	STAR+PLUS 2024	3,694	2,053	55.6% calculated	3,440	3.3%	3.4%
Superior Health Plan, Inc.	Centene	STAR+PLUS 2024	7,325	2,373	32.4% calculated	5,419	3.6%	3.6%
United Healthcare Community Plan	UnitedHealth	STAR+PLUS 2024	2,614	917	35.1% calculated	4,301	3.5%	3.6%
Wellpoint Texas Inc (Formerly Amerigroup Texas, Inc)	Elevance	STAR+PLUS 2024	104	50	48.1% calculated	3,227	3%	3.1%

Sanctions (2024)

Sanctions (2024) 215

Plan	Parent	Topic	Date	Corrective action plan	Remediation status
DentaQuest USA Insurance Company, Inc.	DentaQuest, LLC (owned by DentaQuest Group, Inc.)	Performance improvement	2022-03-01	No	No, no remediation
DentaQuest USA Insurance Company, Inc.	DentaQuest, LLC (owned by DentaQuest Group, Inc.)	Performance improvement	2022-03-01	No	No, no remediation
DentaQuest USA Insurance Company, Inc.	DentaQuest, LLC (owned by DentaQuest Group, Inc.)	Reporting	2024-07-05	Yes	Yes, remediated
DentaQuest USA Insurance Company, Inc.	DentaQuest, LLC (owned by DentaQuest Group, Inc.)	Mental Health and Substance Use Disorder Parity compliance	2023-02-16	No	Yes, remediated
DentaQuest USA Insurance Company, Inc.	DentaQuest, LLC (owned by DentaQuest Group, Inc.)	Performance improvement	2023-08-16	Yes	Yes, remediated

show all 215

Plan	Parent	Topic	Date	Corrective action plan	Remediation status
DentaQuest USA Insurance Company, Inc.	DentaQuest, LLC (owned by DentaQuest Group, Inc.)	Performance improvement	2022-03-01	No	No, no remediation
DentaQuest USA Insurance Company, Inc.	DentaQuest, LLC (owned by DentaQuest Group, Inc.)	Performance improvement	2022-03-01	No	No, no remediation
MCNA Insurance Company	Managed Care of North America (MCNA), Inc.	Reporting	2023-02-16	No	Yes, remediated
MCNA Insurance Company	Managed Care of North America (MCNA), Inc.	Performance improvement	2022-03-01	No	No, no remediation
MCNA Insurance Company	Managed Care of North America (MCNA), Inc.	Performance improvement	2022-03-01	No	No, no remediation
UnitedHealthcare Insurance Company, Inc.	UnitedHealth	Performance improvement	2022-03-01	No	No, no remediation
Molina Healthcare of Texas, Inc.	Molina	Performance improvement	2024-01-29	No	Yes, remediated
Molina Healthcare of Texas, Inc.	Molina	Performance improvement	2024-07-30	No	No, no remediation
Molina Healthcare of Texas, Inc.	Molina	Performance improvement	2024-07-31	No	No, no remediation
Superior HealthPlan, Inc	Centene	Reporting	2024-04-03	No	No, no remediation
Superior HealthPlan, Inc	Centene	Performance improvement	2024-02-20	Yes	Yes, remediated
Superior HealthPlan, Inc	Centene	Performance improvement	2024-07-25	Yes	No, no remediation
Superior HealthPlan, Inc	Centene	Performance improvement	2024-02-13	No	Yes, remediated
Superior HealthPlan, Inc	Centene	Reporting	2023-12-01	No	Yes, remediated
United Healthcare Community Plan	UnitedHealth	Reporting	2024-03-28	No	No, no remediation
Aetna Better Health of Texas, Inc.	CVS/Aetna	Reporting	2024-03-20	No	Yes, remediated
Aetna Better Health of Texas, Inc.	CVS/Aetna	Performance improvement	2022-03-01	No	No, no remediation
Aetna Better Health of Texas, Inc.	CVS/Aetna	Performance improvement	2022-03-01	No	No, no remediation
Aetna Better Health of Texas, Inc.	CVS/Aetna	Performance improvement	2022-03-01	No	No, no remediation
Aetna Better Health of Texas, Inc.	CVS/Aetna	Reporting	2024-04-03	No	No, no remediation
Aetna Better Health of Texas, Inc.	CVS/Aetna	Performance improvement	2024-01-02	No	Yes, remediated
Aetna Better Health of Texas, Inc.	CVS/Aetna	Performance improvement	2024-03-25	No	No, no remediation
Aetna Better Health of Texas, Inc.	CVS/Aetna	Performance improvement	2022-03-01	No	No, no remediation
Aetna Better Health of Texas, Inc.	CVS/Aetna	Performance improvement	2022-03-01	No	No, no remediation
Aetna Better Health of Texas, Inc.	CVS/Aetna	Performance improvement	2022-03-01	No	No, no remediation
Community First Health Plans, Inc.	Bexar County Hospital District, dba University Health System	Performance improvement	2022-03-01	Yes	No, no remediation
Community First Health Plans, Inc.	Bexar County Hospital District, dba University Health System	Performance improvement	2022-03-01	No	No, no remediation
Community First Health Plans, Inc.	Bexar County Hospital District, dba University Health System	Reporting	2024-01-11	Yes	Yes, remediated
Community First Health Plans, Inc.	Bexar County Hospital District, dba University Health System	Reporting	2024-04-03	No	No, no remediation
Community First Health Plans, Inc.	Bexar County Hospital District, dba University Health System	Performance improvement (N/A)	2024-01-04	No	Yes, remediated
Community First Health Plans, Inc.	Bexar County Hospital District, dba University Health System	Reporting	2023-10-03	No	Yes, remediated
Community First Health Plans, Inc.	Bexar County Hospital District, dba University Health System	Performance improvement (N/A)	2022-03-01	Yes	No, no remediation
Community First Health Plans, Inc.	Bexar County Hospital District, dba University Health System	Performance improvement	2022-03-01	Yes	No, no remediation
Community First Health Plans, Inc.	Bexar County Hospital District, dba University Health System	Performance improvement	2022-03-01	No	No, no remediation
Community Health Choice Texas, Inc.	Harris County Hospital District dba Harris Health System	Performance improvement	2022-03-01	No	No, no remediation
Community Health Choice Texas, Inc.	Harris County Hospital District dba Harris Health System	Performance improvement	2024-03-01	No	No, no remediation
Community Health Choice Texas, Inc.	Harris County Hospital District dba Harris Health System	Performance improvement	2024-03-28	No	No, no remediation
Community Health Choice Texas, Inc.	Harris County Hospital District dba Harris Health System	Reporting	2024-04-03	No	Yes, remediated
Community Health Choice Texas, Inc.	Harris County Hospital District dba Harris Health System	Reporting	2024-02-20	Yes	Yes, remediated
Community Health Choice Texas, Inc.	Harris County Hospital District dba Harris Health System	Performance improvement	2024-01-04	No	No, no remediation
Community Health Choice Texas, Inc.	Harris County Hospital District dba Harris Health System	Reporting	2023-09-15	Yes	Yes, remediated
Community Health Choice Texas, Inc.	Harris County Hospital District dba Harris Health System	Performance improvement	2022-03-01	No	No, no remediation
Community Health Choice Texas, Inc.	Harris County Hospital District dba Harris Health System	Performance improvement	2022-03-01	No	No, no remediation
Cook Children's Health Plan	Cook Children's Health Care System	Performance improvement	2022-03-01	No	No, no remediation
Cook Children's Health Plan	Cook Children's Health Care System	Performance improvement	2022-03-01	No	No, no remediation
Cook Children's Health Plan	Cook Children's Health Care System	Performance improvement	2022-03-01	Yes	No, no remediation
Cook Children's Health Plan	Cook Children's Health Care System	Performance improvement	2024-04-01	No	No, no remediation
Cook Children's Health Plan	Cook Children's Health Care System	Performance improvement	2024-01-03	No	No, no remediation
Cook Children's Health Plan	Cook Children's Health Care System	Reporting	2024-04-03	No	No, no remediation
Cook Children's Health Plan	Cook Children's Health Care System	Reporting	2023-08-21	Yes	Yes, remediated
Cook Children's Health Plan	Cook Children's Health Care System	Performance improvement	2022-03-01	Yes	No, no remediation
Cook Children's Health Plan	Cook Children's Health Care System	Performance improvement	2022-03-01	No	No, no remediation
Cook Children's Health Plan	Cook Children's Health Care System	Performance improvement	2022-03-01	No	No, no remediation
Driscoll Children's Health Plan	Driscoll	Performance improvement	2022-03-01	No	No, no remediation
Driscoll Children's Health Plan	Driscoll	Performance improvement	2022-03-01	No	No, no remediation
Driscoll Children's Health Plan	Driscoll	Reporting	2023-10-03	No	Yes, remediated
Driscoll Children's Health Plan	Driscoll	Performance improvement	2023-08-29	No	No, no remediation
Driscoll Children's Health Plan	Driscoll	Performance improvement	2023-12-22	No	No, no remediation
Driscoll Children's Health Plan	Driscoll	Performance improvement	2023-08-15	No	No, no remediation
Driscoll Children's Health Plan	Driscoll	Performance improvement	2022-03-01	No	No, no remediation
Driscoll Children's Health Plan	Driscoll	Performance improvement	2022-03-01	No	No, no remediation
El Paso First Health Plans, Inc.	El Paso County Hospital District, dba University Medical Center of El Paso	Performance improvement	2022-03-01	No	No, no remediation
El Paso First Health Plans, Inc.	El Paso County Hospital District, dba University Medical Center of El Paso	Performance improvement	2022-03-01	No	No, no remediation
El Paso First Health Plans, Inc.	El Paso County Hospital District, dba University Medical Center of El Paso	Timely access	2022-03-01	No	No, no remediation
El Paso First Health Plans, Inc.	El Paso County Hospital District, dba University Medical Center of El Paso	Reporting	2024-03-28	No	No, no remediation
El Paso First Health Plans, Inc.	El Paso County Hospital District, dba University Medical Center of El Paso	Performance improvement	2022-03-01	No	No, no remediation
El Paso First Health Plans, Inc.	El Paso County Hospital District, dba University Medical Center of El Paso	Performance improvement	2022-03-01	No	No, no remediation
El Paso First Health Plans, Inc.	El Paso County Hospital District, dba University Medical Center of El Paso	Performance improvement	2022-03-01	No	No, no remediation
El Paso First Health Plans, Inc.	El Paso County Hospital District, dba University Medical Center of El Paso	Performance improvement	2022-03-01	No	No, no remediation
Health Care Service Corp. (dba Blue Cross Blue Shield)	Health Care Service Corporation	Performance improvement	2022-03-01	No	No, no remediation
Health Care Service Corp. (dba Blue Cross Blue Shield)	Health Care Service Corporation	Reporting	2023-11-30	Yes	Yes, remediated
Health Care Service Corp. (dba Blue Cross Blue Shield)	Health Care Service Corporation	Reporting (N/A)	2024-04-03	No	No, no remediation
Health Care Service Corp. (dba Blue Cross Blue Shield)	Health Care Service Corporation	Performance improvement	2024-03-28	No	Yes, remediated
Health Care Service Corp. (dba Blue Cross Blue Shield)	Health Care Service Corporation	Performance improvement	2022-03-01	Yes	No, no remediation
Health Care Service Corp. (dba Blue Cross Blue Shield)	Health Care Service Corporation	Performance improvement	2022-03-01	No	No, no remediation
Molina Healthcare of Texas, Inc.	Molina	Performance improvement	2022-03-01	No	No, no remediation
Parkland Community Health Plan, Inc.	Dallas County Hospital District	Performance improvement	2024-04-01	No	No, no remediation
Parkland Community Health Plan, Inc.	Dallas County Hospital District	Performance improvement	2024-04-01	No	No, no remediation
Parkland Community Health Plan, Inc.	Dallas County Hospital District	Performance improvement	2023-10-02	Yes	Yes, remediated
Parkland Community Health Plan, Inc.	Dallas County Hospital District	Reporting	2024-04-02	No	No, no remediation
Parkland Community Health Plan, Inc.	Dallas County Hospital District	Performance improvement	2024-01-02	No	No, no remediation
Parkland Community Health Plan, Inc.	Dallas County Hospital District	Performance improvement	2022-03-01	No	No, no remediation
Parkland Community Health Plan, Inc.	Dallas County Hospital District	Performance improvement	2023-08-03	No	No, no remediation
Parkland Community Health Plan, Inc.	Dallas County Hospital District	Performance improvement	2022-03-01	No	No, no remediation
Parkland Community Health Plan, Inc.	Dallas County Hospital District	Performance improvement	2022-03-01	No	No, no remediation
Parkland Community Health Plan, Inc.	Dallas County Hospital District	Performance improvement	2022-03-01	No	No, no remediation
SHA. LLC, dba FIRSTCARE	FirstCare	Performance improvement	2022-03-01	No	No, no remediation
SHA. LLC, dba FIRSTCARE	FirstCare	Performance improvement	2022-03-01	No	No, no remediation
Scott & White Health Plan	Baylor Scott & White Holdings	Reporting	2024-03-28	No	No, no remediation
Scott & White Health Plan	Baylor Scott & White Holdings	Performance improvement	2024-01-03	No	Yes, remediated
Scott & White Health Plan	Baylor Scott & White Holdings	Performance improvement	2024-03-22	No	No, no remediation
Scott & White Health Plan	Baylor Scott & White Holdings	Performance improvement	2024-04-03	Yes	No, no remediation
Scott & White Health Plan	Baylor Scott & White Holdings	Performance improvement	2022-03-01	No	No, no remediation
Scott & White Health Plan	Baylor Scott & White Holdings	Performance improvement	2022-03-01	No	No, no remediation
Scott & White Health Plan	Baylor Scott & White Holdings	Performance improvement	2022-03-01	Yes	No, no remediation
Seton Health Plan, Inc., dba Dell Children's Health Plan	Seton Insurance Services Corporation	Performance improvement	2022-03-01	No	No, no remediation
Seton Health Plan, Inc., dba Dell Children's Health Plan	Seton Insurance Services Corporation	Performance improvement	2022-03-01	No	No, no remediation
Seton Health Plan, Inc., dba Dell Children's Health Plan	Seton Insurance Services Corporation	Performance improvement	2023-10-26	Yes	Yes, remediated
Seton Health Plan, Inc., dba Dell Children's Health Plan	Seton Insurance Services Corporation	Performance improvement	2024-07-30	Yes	Yes, remediated
Seton Health Plan, Inc., dba Dell Children's Health Plan	Seton Insurance Services Corporation	Reporting	2024-03-28	No	No, no remediation
Seton Health Plan, Inc., dba Dell Children's Health Plan	Seton Insurance Services Corporation	Performance improvement	2022-03-01	Yes	No, no remediation
Seton Health Plan, Inc., dba Dell Children's Health Plan	Seton Insurance Services Corporation	Performance improvement	2022-03-01	No	No, no remediation
Superior Health Plan, Inc.	Centene	Reporting	2024-04-03	No	No, no remediation
Superior Health Plan, Inc.	Centene	Performance improvement	2022-03-01	Yes	No, no remediation
Superior Health Plan, Inc.	Centene	Performance improvement	2022-03-01	Yes	No, no remediation
Texas Children's Health Plan, Inc.	Texas Children's	Performance improvement	2022-03-01	Yes	No, no remediation
Texas Children's Health Plan, Inc.	Texas Children's	Reporting	2023-08-21	Yes	Yes, remediated
Texas Children's Health Plan, Inc.	Texas Children's	Reporting	2024-03-28	No	Yes, remediated
Texas Children's Health Plan, Inc.	Texas Children's	Performance improvement	2024-03-07	No	No, no remediation
Texas Children's Health Plan, Inc.	Texas Children's	Performance improvement	2023-09-05	No	No, no remediation
Texas Children's Health Plan, Inc.	Texas Children's	Performance improvement	2022-03-01	No	No, no remediation
Texas Children's Health Plan, Inc.	Texas Children's	Performance improvement	2022-03-01	Yes	No, no remediation
United Healthcare Community Plan	UnitedHealth	Performance improvement	2022-03-01	Yes	No, no remediation
United Healthcare Community Plan	UnitedHealth	Performance improvement	2022-03-01	No	No, no remediation
Wellpoint Ins. Co. (Formerly Amerigroup Texas, Inc.)	Elevance	Performance improvement	2022-03-01	Yes	No, no remediation
Wellpoint Ins. Co. (Formerly Amerigroup Texas, Inc.)	Elevance	Performance improvement	2022-03-01	No	No, no remediation
Wellpoint Ins. Co. (Formerly Amerigroup Texas, Inc.)	Elevance	Performance improvement	2022-03-01	No	No, no remediation
Wellpoint Ins. Co. (Formerly Amerigroup Texas, Inc.)	Elevance	Performance improvement	2022-03-01	No	No, no remediation
Wellpoint Ins. Co. (Formerly Amerigroup Texas, Inc.)	Elevance	Reporting	2024-03-28	No	Yes, remediated
Wellpoint Ins. Co. (Formerly Amerigroup Texas, Inc.)	Elevance	Performance improvement	2023-12-29	No	No, no remediation
Wellpoint Ins. Co. (Formerly Amerigroup Texas, Inc.)	Elevance	Performance improvement	2024-03-22	No	Yes, remediated
Superior HealthPlan	Centene	Performance improvement	2024-04-02	No	No, no remediation
Superior HealthPlan	Centene	Reporting	2024-04-03	No	No, no remediation
Superior HealthPlan	Centene	Performance improvement	2024-02-12	Yes	Yes, remediated
Superior HealthPlan	Centene	Performance improvement	2024-02-12	Yes	Yes, remediated
Aetna Better Health of Texas, Inc.	CVS/Aetna	Performance improvement	2022-03-01	No	Remediation in progress
Aetna Better Health of Texas, Inc.	CVS/Aetna	Performance improvement	2024-04-02	Yes	Yes, remediated
Aetna Better Health of Texas, Inc.	CVS/Aetna	Reporting	2024-03-20	No	Yes, remediated
Aetna Better Health of Texas, Inc.	CVS/Aetna	Reporting	2024-04-03	No	No, no remediation
Aetna Better Health of Texas, Inc.	CVS/Aetna	Performance improvement	2024-01-02	No	Yes, remediated
Aetna Better Health of Texas, Inc.	CVS/Aetna	Timely access	2024-02-12	No	No, no remediation
Aetna Better Health of Texas, Inc.	CVS/Aetna	Performance improvement	2022-03-01	No	No, no remediation
Aetna Better Health of Texas, Inc.	CVS/Aetna	Performance improvement	2024-03-25	No	No, no remediation
Aetna Better Health of Texas, Inc.	CVS/Aetna	Performance improvement	2022-03-01	No	No, no remediation
Aetna Better Health of Texas, Inc.	CVS/Aetna	Performance improvement	2022-03-01	No	No, no remediation
Aetna Better Health of Texas, Inc.	CVS/Aetna	Performance improvement	2022-03-01	No	No, no remediation
Community First Health Plans, Inc.	Bexar County Hospital District, dba University Health System	Performance improvement	2022-03-01	No	No, no remediation
Community First Health Plans, Inc.	Bexar County Hospital District, dba University Health System	Performance improvement	2024-02-13	No	No, no remediation
Community First Health Plans, Inc.	Bexar County Hospital District, dba University Health System	Reporting	2024-04-03	No	No, no remediation
Community First Health Plans, Inc.	Bexar County Hospital District, dba University Health System	Performance improvement	2024-01-04	No	Yes, remediated
Community First Health Plans, Inc.	Bexar County Hospital District, dba University Health System	Performance improvement	2024-05-24	Yes	No, no remediation
Community First Health Plans, Inc.	Bexar County Hospital District, dba University Health System	Reporting	2023-10-03	No	Yes, remediated
Community First Health Plans, Inc.	Bexar County Hospital District, dba University Health System	Performance improvement	2022-03-01	Yes	No, no remediation
Cook Children's Health Plan	Cook Children's Health Care System	Performance improvement	2022-03-01	No	No, no remediation
Cook Children's Health Plan	Cook Children's Health Care System	Performance improvement	2022-03-01	Yes	No, no remediation
Cook Children's Health Plan	Cook Children's Health Care System	Performance improvement	2022-03-01	No	No, no remediation
Cook Children's Health Plan	Cook Children's Health Care System	Reporting	2024-04-03	No	No, no remediation
Cook Children's Health Plan	Cook Children's Health Care System	Performance improvement	2024-01-03	No	No, no remediation
Cook Children's Health Plan	Cook Children's Health Care System	Performance improvement	2024-04-01	No	No, no remediation
Cook Children's Health Plan	Cook Children's Health Care System	Performance improvement	2022-03-01	Yes	No, no remediation
Cook Children's Health Plan	Cook Children's Health Care System	Performance improvement	2022-03-01	No	No, no remediation
Cook Children's Health Plan	Cook Children's Health Care System	Performance improvement	2022-03-01	No	No, no remediation
Driscoll Children's Health Plan	Driscoll	Performance improvement	2022-03-01	No	No, no remediation
Driscoll Children's Health Plan	Driscoll	Performance improvement	2023-10-03	No	Yes, remediated
Driscoll Children's Health Plan	Driscoll	Performance improvement	2023-08-29	No	No, no remediation
Driscoll Children's Health Plan	Driscoll	Performance improvement	2023-12-22	No	No, no remediation
Driscoll Children's Health Plan	Driscoll	Performance improvement	2024-02-09	No	No, no remediation
Driscoll Children's Health Plan	Driscoll	Performance improvement	2023-08-15	No	No, no remediation
Driscoll Children's Health Plan	Driscoll	Performance improvement	2022-03-01	No	No, no remediation
Driscoll Children's Health Plan	Driscoll	Performance improvement	2022-03-01	No	No, no remediation
Health Care Service Corp. (dba Blue Cross Blue Shield)	Health Care Service Corporation	Reporting	2024-04-03	No	No, no remediation
Health Care Service Corp. (dba Blue Cross Blue Shield)	Health Care Service Corporation	Reporting	2024-02-12	No	No, no remediation
Health Care Service Corp. (dba Blue Cross Blue Shield)	Health Care Service Corporation	Performance improvement	2024-03-28	No	Yes, remediated
Health Care Service Corp. (dba Blue Cross Blue Shield)	Health Care Service Corporation	Performance improvement (N/A)	2022-03-01	Yes	No, no remediation
Health Care Service Corp. (dba Blue Cross Blue Shield)	Health Care Service Corporation	Performance improvement	2022-03-01	Yes	No, no remediation
Health Care Service Corp. (dba Blue Cross Blue Shield)	Health Care Service Corporation	Performance improvement	2022-03-01	No	No, no remediation
Health Care Service Corp. (dba Blue Cross Blue Shield)	Health Care Service Corporation	Performance improvement	2022-03-01	No	No, no remediation
Health Care Service Corp. (dba Blue Cross Blue Shield)	Health Care Service Corporation	Performance improvement	2022-03-01	No	No, no remediation
Health Care Service Corp. (dba Blue Cross Blue Shield)	Health Care Service Corporation	Performance improvement	2022-03-01	No	No, no remediation
Health Care Service Corp. (dba Blue Cross Blue Shield)	Health Care Service Corporation	Performance improvement (N/A)	2022-03-01	No	No, no remediation
Health Care Service Corp. (dba Blue Cross Blue Shield)	Health Care Service Corporation	Performance improvement	2022-03-01	No	No, no remediation
Superior Health Plan, Inc.	Centene	Performance improvement	2024-02-13	No	No, no remediation
Superior Health Plan, Inc.	Centene	Performance improvement	2023-10-23	Yes	Yes, remediated
Superior Health Plan, Inc.	Centene	Performance improvement	2024-02-02	Yes	Yes, remediated
Superior Health Plan, Inc.	Centene	Performance improvement	2022-03-01	Yes	No, no remediation
Superior Health Plan, Inc.	Centene	Performance improvement	2022-03-01	Yes	No, no remediation
Superior Health Plan, Inc.	Centene	Reporting	2024-04-03	No	No, no remediation
Texas Children's Health Plan, Inc.	Texas Children's	Performance improvement	2024-03-22	No	No, no remediation
Texas Children's Health Plan, Inc.	Texas Children's	Performance improvement	2023-09-05	No	No, no remediation
Texas Children's Health Plan, Inc.	Texas Children's	Performance improvement	2022-03-01	No	No, no remediation
Texas Children's Health Plan, Inc.	Texas Children's	Performance improvement	2022-03-01	Yes	No, no remediation
Texas Children's Health Plan, Inc.	Texas Children's	Performance improvement	2022-03-01	No	No, no remediation
United Healthcare Community Plan	UnitedHealth	Reporting	2024-03-28	No	No, no remediation
United Healthcare Community Plan	UnitedHealth	Reporting	2024-02-09	No	No, no remediation
United Healthcare Community Plan	UnitedHealth	Performance improvement	2022-03-01	Yes	No, no remediation
Wellpoint Insurance Company (Formerly Amerigroup Texas, Inc)	Elevance	Reporting	2023-12-14	Yes	Yes, remediated
Wellpoint Insurance Company (Formerly Amerigroup Texas, Inc)	Elevance	Performance improvement	2023-12-29	No	No, no remediation
Wellpoint Insurance Company (Formerly Amerigroup Texas, Inc)	Elevance	Reporting	2024-02-09	No	No, no remediation
Wellpoint Insurance Company (Formerly Amerigroup Texas, Inc)	Elevance	Performance improvement	2024-03-22	No	Yes, remediated
Wellpoint Insurance Company (Formerly Amerigroup Texas, Inc)	Elevance	Reporting	2024-03-28	No	Yes, remediated
Wellpoint Insurance Company (Formerly Amerigroup Texas, Inc)	Elevance	Performance improvement	2022-03-01	Yes	No, no remediation
Wellpoint Insurance Company (Formerly Amerigroup Texas, Inc)	Elevance	Performance improvement	2022-03-01	No	No, no remediation
Molina Healthcare of Texas Insurance Co	Molina	Reporting	2024-04-03	No	Yes, remediated
Superior Health Plan, Inc.	Centene	Performance improvement	2022-03-01	Yes	No, no remediation
Superior Health Plan, Inc.	Centene	Performance improvement	2022-03-01	Yes	No, no remediation
Superior Health Plan, Inc.	Centene	Reporting	2024-04-03	No	No, no remediation
Superior Health Plan, Inc.	Centene	Performance improvement	2023-10-12	Yes	Yes, remediated
Superior Health Plan, Inc.	Centene	Performance improvement	2023-08-17	Yes	Yes, remediated
United Healthcare Community Plan	UnitedHealth	Performance improvement	2022-03-01	Yes	No, no remediation
United Healthcare Community Plan	UnitedHealth	Performance improvement	2022-03-01	No	No, no remediation
United Healthcare Community Plan	UnitedHealth	Performance improvement	2022-03-01	No	No, no remediation
United Healthcare Community Plan	UnitedHealth	Reporting	2024-03-28	No	No, no remediation
United Healthcare Community Plan	UnitedHealth	Reporting	2023-11-29	Yes	No, no remediation
Wellpoint Texas Inc (Formerly Amerigroup Texas, Inc)	Elevance	Performance improvement	2022-03-01	Yes	No, no remediation
Wellpoint Texas Inc (Formerly Amerigroup Texas, Inc)	Elevance	Performance improvement	2022-03-01	No	No, no remediation
Wellpoint Texas Inc (Formerly Amerigroup Texas, Inc)	Elevance	Performance improvement	2022-03-01	No	No, no remediation
Wellpoint Texas Inc (Formerly Amerigroup Texas, Inc)	Elevance	Performance improvement	2022-03-01	No	No, no remediation
Wellpoint Texas Inc (Formerly Amerigroup Texas, Inc)	Elevance	Reporting	2024-03-28	No	Yes, remediated
Wellpoint Texas Inc (Formerly Amerigroup Texas, Inc)	Elevance	Timely access	2023-08-18	No	Yes, remediated
Wellpoint Texas Inc (Formerly Amerigroup Texas, Inc)	Elevance	Performance improvement	2024-03-22	No	Yes, remediated

Award history

STAR+PLUS STAR+PLUS: awarded. The state fiscal year 2024 fourth-quarter 1115 monitoring report says that on January 27, 2023 HHSC issued a notice of award for STAR+PLUS, with operations starting September 1, 2024. The named respondents are United Healthcare Community Plan of Texas, LLC.; Molina Healthcare of Texas, Inc.; Superior HealthPlan, Inc.; Amerigroup Insurance Company; Community First Health Plans, Inc.; El Paso Health; and Community Health Choice Texas, Inc. The report does not print a solicitation number or evaluation scores in that section.
STAR and CHIP HHS0011152: protested. The same 1115 report says that on March 7, 2024 HHSC issued a notice of intent to award RFP HHS0011152 for STAR and CHIP managed care services, and that the anticipated start of operations is TBD. The HHSC procurement opportunities page posts protest packets, including one for AmeriHealth Caritas Texas, and says the anticipated notice of award is TBD. Evaluation scores are not in the report. Protest grounds and decisions were not in the retrieved pages.
STAR Health STAR Health: awarded. The HHSC procurement opportunities page issues a notice of award to Superior HealthPlan, Inc. for STAR Health and says operations start September 1, 2023. The page does not print a solicitation number or an evaluation score.
STAR Kids: not published by state.
Medicaid and CHIP Dental: not published by state.

Retrieved 2026-11-03. Sources and scores

Early procurement signals

calendar HHS0017108: suggested. Q1 State Fiscal Year (SFY) 2027. The HHS procurement forecast lists Medicaid and CHIP Dental Services, solicitation HHS0017108, in Q1 State Fiscal Year (SFY) 2027. That is a forecast window, not a calendar day and not an issued RFP. This catalog does not establish an original publication date. Texas. No plan is named on the record. A solicitation or early procurement signal is on the record. No next date is on the record.

Coverage: not_collected. Source receipts: 1 unchanged at 2026-11-15T10:15:09+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 2026-11-15T11:15:58+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.