VA MEDICAID MARKET
Virginia
monitoring
No current verified market signal.
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Last verified: unavailable · no state-specific item
No current verified signal
Precapture is monitoring this market. No state-specific public intelligence item is currently published.
Plans in this market
Parent, plan, and program come from the plan graph. Enrollment and share use the latest CMS reported count. Operations counts are CMS MCPAR. A dollar amount is not on this page.
Plans in this market 133
| Parent | Plan | Programs | Latest CMS enrollment | Share | MCPAR operations |
|---|---|---|---|---|---|
| AllCare Health | AllCare | not reported | 104 (2019) | 7.3% calculated | not reported |
| not reported | AllCare for Seniors | not reported | 100 (2020) | 9.5% calculated | not reported |
| not reported | All Care for Seniors | not reported | 102 (2024) | 4.9% calculated | not reported |
| not reported | AllCare PACE | not reported | 95 (2017) | 6.3% calculated | not reported |
| not reported | AllCare for Seniors | not reported | 114 (2021) | 7.1% calculated | not reported |
show all 133
| Parent | Plan | Programs | Latest CMS enrollment | Share | MCPAR operations |
|---|---|---|---|---|---|
| not reported | Mt. Rogers PACE | not reported | 53 (2024) | 2.6% calculated | not reported |
| CVS/Aetna | Aetna | not reported | 115,993 (2019) | 11.3% calculated | 714 appeals resolved |
| CVS/Aetna | Aetna Better Health | not reported | 149,035 (2020) | 13.1% calculated | not reported |
| CVS/Aetna | Aetna Better Health for Virginia | not reported | 30,591 (2018) | 14.4% calculated | not reported |
| CVS/Aetna | Aetna Better Health of Virginia | not reported | 67,365 (2024) | 16.4% calculated | 6 sanctions, 1,704 appeals resolved |
| CVS/Aetna | Aetna Better Health of Virginia | not reported | 205,216 (2022) | 13.7% calculated | not reported |
| Centene | Magellan | not reported | 57,726 (2019) | 5.6% calculated | not reported |
| Centene | Magellan Complete Care | not reported | 72,081 (2020) | 6.3% calculated | not reported |
| Centene | Magellan Complete Care of Virginia | not reported | 21,959 (2018) | 10.3% calculated | not reported |
| Centene | Magellan Health Plan | not reported | 24,624 (2019) | 10.1% calculated | not reported |
| not reported | Centra | not reported | 236 (2019) | 16.6% calculated | not reported |
| not reported | Centra PACE | not reported | 213 (2018) | 7.2% calculated | not reported |
| not reported | Centra PACE - Gretna | not reported | 60 (2021) | 3.7% calculated | not reported |
| not reported | Centra PACE - Lynchburg | not reported | 125 (2021) | 7.8% calculated | not reported |
| not reported | Centra PACE Farmville | not reported | 126 (2024) | 6.1% calculated | not reported |
| not reported | Centra PACE Gretna | not reported | 88 (2024) | 4.3% calculated | not reported |
| not reported | Centra PACE Lynchburg | not reported | 174 (2024) | 8.4% calculated | not reported |
| not reported | Centra Pace Farmville | not reported | 82 (2017) | 5.5% calculated | not reported |
| not reported | Centra Pace Gretna | not reported | 24 (2017) | 1.6% calculated | not reported |
| not reported | Centra Pace Lynchburg | not reported | 104 (2017) | 6.9% calculated | not reported |
| not reported | Centra PACE | not reported | 248 (2020) | 23.5% calculated | not reported |
| not reported | Centra PACE - Farmville | not reported | 91 (2021) | 5.7% calculated | not reported |
| not reported | Cherry Blossom PACE | not reported | 45 (2024) | 2.2% calculated | not reported |
| not reported | Coventry Health Plan | not reported | 35,658 (2018) | 5.4% calculated | not reported |
| not reported | Blue Ridge Pace | not reported | 131 (2017) | 8.8% calculated | not reported |
| Elevance | Aetna Better Health of Virginia | not reported | 204,479 (2024) | 14.6% calculated | not reported |
| Elevance | Anthem | not reported | 268,920 (2017) | 37.2% calculated | not reported |
| Elevance | Anthem | not reported | 321,896 (2019) | 31.3% calculated | 1 sanctions, 3,673 appeals resolved |
| Elevance | Anthem HealthKeepers | not reported | 60,313 (2018) | 28.4% calculated | not reported |
| Elevance | Anthem HealthKeepers Plus | not reported | 73,114 (2020) | 28.4% calculated | not reported |
| Elevance | Anthem Healthkeepers | not reported | 346,181 (2020) | 30.3% calculated | not reported |
| Elevance | Anthem Healthkeepers | not reported | 118,755 (2024) | 28.9% calculated | not reported |
| Elevance | Anthem Healthkeepers Plus | not reported | 430,793 (2021) | 30.5% calculated | not reported |
| Elevance | Anthem Healthkeepers Plus | not reported | 78,737 (2021) | 28.4% calculated | not reported |
| Elevance | Anthem Healthkeepers Plus | not reported | 448,552 (2022) | 30.0% calculated | not reported |
| Elevance | Anthem Healthkeepers Plus | not reported | 424,993 (2024) | 30.4% calculated | 13 sanctions, 7,708 appeals resolved |
| not reported | InnovAge Blue Ridge | not reported | 259 (2024) | 12.5% calculated | not reported |
| not reported | InnovAge PACE - Richmond | not reported | 262 (2022) | 15.9% calculated | not reported |
| not reported | InnovAge PACE Richmond | not reported | 351 (2024) | 17.0% calculated | not reported |
| not reported | InnovAge Roanoke Valley | not reported | 256 (2024) | 12.4% calculated | not reported |
| not reported | InnovAge Virginia PACE - Peninsula | not reported | 244 (2023) | 13.0% calculated | not reported |
| not reported | InnovAge Virginia PACE Charlottesville, LLC | not reported | 246 (2021) | 15.3% calculated | not reported |
| not reported | InnovAge Virginia PACE Peninsula | not reported | 225 (2021) | 14.0% calculated | not reported |
| not reported | InnovAge Virginia PACE Richmond | not reported | 247 (2021) | 15.4% calculated | not reported |
| not reported | InnovAge Virginia PACE Roanoke Valley, LLC | not reported | 205 (2021) | 12.7% calculated | not reported |
| not reported | InnovAge Virginia PACE/Peninsula | not reported | 261 (2024) | 12.6% calculated | not reported |
| not reported | Innovage | not reported | 134 (2018) | 4.6% calculated | not reported |
| not reported | Innovage PACE | not reported | 282 (2018) | 9.6% calculated | not reported |
| not reported | InnovAge Charlottesville | not reported | 171 (2019) | 12.1% calculated | not reported |
| not reported | InnovAge Roanoke | not reported | 152 (2019) | 10.7% calculated | not reported |
| not reported | InnovAge Virginia PACE Charlottesville, LLC | not reported | 211 (2020) | 20.0% calculated | not reported |
| not reported | InnovAge/Virginia PACE II | not reported | 422 (2019) | 29.8% calculated | not reported |
| not reported | InnovAge Virginia PACE Roanoke Valley, LLC | not reported | 177 (2020) | 16.7% calculated | not reported |
| not reported | Inova Cares for Seniors | not reported | 132 (2017) | 8.8% calculated | not reported |
| not reported | INOVA PACE | not reported | 1,465 (2018) | 49.8% calculated | not reported |
| not reported | Intotal Health | not reported | 52,799 (2018) | 8.0% calculated | not reported |
| Kaiser Permanente | Kaiser | not reported | 12,887 (2018) | 2.0% calculated | not reported |
| Kaiser Permanente | Kaiser Permanente | not reported | 11,179 (2017) | 1.5% calculated | not reported |
| not reported | MEOC (Mountain Empire) | not reported | 83 (2019) | 5.9% calculated | not reported |
| Molina | Molina Healthcare of Virginia | not reported | 98,126 (2024) | 7.0% calculated | not reported |
| Molina | Molina Healthcare of Virginia | not reported | 26,793 (2021) | 9.7% calculated | not reported |
| Molina | Molina Healthcare of Virginia, LLC | not reported | 38,298 (2024) | 9.3% calculated | 10 sanctions, 16,524 appeals resolved |
| not reported | Mountain Empire Older Citizens PACE (MEOC) | not reported | 98 (2017) | 6.5% calculated | not reported |
| not reported | Mountain Empire PACE | not reported | 99 (2024) | 4.8% calculated | not reported |
| not reported | Mountain Empire PACE | not reported | 86 (2020) | 8.1% calculated | not reported |
| not reported | Optima Health | not reported | 34,344 (2018) | 16.2% calculated | not reported |
| not reported | Riverside PACE | not reported | 406 (2018) | 13.8% calculated | not reported |
| not reported | Riverside PACE McTavish | not reported | 222 (2017) | 14.8% calculated | not reported |
| not reported | Riverside PACE Newport News | not reported | 242 (2017) | 16.2% calculated | not reported |
| Sentara | Optima | not reported | 211,043 (2019) | 20.5% calculated | 283 appeals resolved |
| Sentara | Sentara | not reported | 250 (2019) | 17.6% calculated | 6 sanctions, 773 appeals resolved |
| Sentara | Sentara Pace Churchland | not reported | 95 (2017) | 6.3% calculated | not reported |
| Sentara | Sentara Pace Norfolk | not reported | 161 (2017) | 10.8% calculated | not reported |
| Sentara | Optima Family Care | not reported | 228,828 (2020) | 20.0% calculated | not reported |
| Sentara | Optima Family Care | not reported | 166,574 (2017) | 23.1% calculated | not reported |
| Sentara | Optima Health | not reported | 47,994 (2022) | 16.2% calculated | not reported |
| Sentara | Sentara Health Plans | not reported | 120,400 (2024) | 29.3% calculated | not reported |
| Sentara | Sentara Health Plans (was Optima Health in 2022) | not reported | 139,963 (2023) | 31.1% calculated | 19 sanctions, 4,652 appeals resolved |
| Sentara | Sentara PACE - Churchland | not reported | 84 (2022) | 5.1% calculated | not reported |
| Sentara | Sentara PACE - Norfolk | not reported | 161 (2023) | 8.6% calculated | not reported |
| Sentara | Sentara PACE Churchland | not reported | 99 (2024) | 4.8% calculated | not reported |
| Sentara | Sentara PACE/ Norfolk | not reported | 153 (2024) | 7.4% calculated | not reported |
| Sentara | Virginia Premier | not reported | 50,169 (2022) | 16.9% calculated | 2,990 appeals resolved |
| Sentara | Optima Family Care | not reported | 291,509 (2022) | 19.5% calculated | not reported |
| Sentara | Optima Health Community Care | not reported | 45,440 (2021) | 16.4% calculated | 1 sanctions, 193 appeals resolved |
| Sentara | Sentara Health Plans | not reported | 503,667 (2024) | 36.0% calculated | not reported |
| Sentara | Sentara Health Plans (was Optima Health in 2022) | not reported | 602,643 (2023) | 38.2% calculated | not reported |
| Sentara | Sentara PACE | not reported | 250 (2018) | 8.5% calculated | not reported |
| Sentara | Sentara Senior Community Care - Norfolk | not reported | 131 (2021) | 8.1% calculated | not reported |
| Sentara | Sentara Senior Community Care - Portsmouth | not reported | 80 (2021) | 5.0% calculated | not reported |
| Sentara | Virginia Premier Elite Plus | not reported | 49,081 (2021) | 17.7% calculated | 3 sanctions, 1,242 appeals resolved |
| not reported | Virginia Premier Health Plan | not reported | 293,876 (2022) | 19.6% calculated | not reported |
| not reported | Virginia Premier Health Plan | not reported | 282,087 (2021) | 20.0% calculated | not reported |
| not reported | Sentara Senior Community Care | not reported | 235 (2020) | 22.2% calculated | not reported |
| UnitedHealth | InTotal | not reported | 55,718 (2017) | 7.7% calculated | not reported |
| UnitedHealth | United | not reported | 103,563 (2019) | 10.1% calculated | not reported |
| UnitedHealth | United Health Care | not reported | 23,506 (2018) | 11.1% calculated | not reported |
| UnitedHealth | United Healthcare | not reported | 39,431 (2022) | 13.3% calculated | 5 sanctions, 1,048 appeals resolved |
| UnitedHealth | United Healthcare of the Mid-Atlantic | not reported | 157,891 (2022) | 10.6% calculated | not reported |
| UnitedHealth | UnitedHealthcare | not reported | 65,465 (2024) | 16.0% calculated | 8 sanctions, 817 appeals resolved |
| UnitedHealth | UnitedHealthcare of the Mid-Atlantic | not reported | 168,493 (2024) | 12.0% calculated | not reported |
| not reported | Virginia Premier | not reported | 233,923 (2020) | 20.5% calculated | not reported |
| not reported | Virginia Premier Elite Plus | not reported | 48,619 (2020) | 18.9% calculated | not reported |
| not reported | Virginia Premier | not reported | 41,728 (2018) | 19.6% calculated | not reported |
| not reported | Virginia Premier | not reported | 219,843 (2019) | 21.3% calculated | not reported |
| not reported | Virginia Premier Health Plan | not reported | 158,008 (2018) | 23.9% calculated | not reported |
| not reported | Aetna Better Health of Virginia | not reported | 40,656 (2016) | 5.4% calculated | not reported |
| not reported | AllCare Pace | not reported | 98 (2016) | 6.8% calculated | not reported |
| not reported | Blue Ridge PACE | not reported | 102 (2016) | 7.1% calculated | not reported |
| not reported | Centra PACE - Gretna | not reported | 3 (2016) | 0.2% calculated | not reported |
| not reported | Centra PACE - Lynchburg | not reported | 105 (2016) | 7.3% calculated | not reported |
| not reported | Centra PACE- Farmville | not reported | 75 (2016) | 5.2% calculated | not reported |
| not reported | HEALTHKEEPERS INC (Anthem Healthkeepers Plus) | not reported | 285,580 (2016) | 37.6% calculated | not reported |
| not reported | INOVA Cares for Seniors PACE | not reported | 119 (2016) | 8.3% calculated | not reported |
| not reported | INTotal Health | not reported | 59,499 (2016) | 7.8% calculated | not reported |
| not reported | Kaiser Foundation Health Plan of the Mid-Atlantic States, INC (KFHPMA) | not reported | 10,219 (2016) | 1.3% calculated | not reported |
| not reported | Kissito PACE | not reported | 96 (2016) | 6.7% calculated | not reported |
| not reported | Kissito PACE - now InnovAge PACE Roanoke Valley, LLC | not reported | 111 (2017) | 7.4% calculated | not reported |
| not reported | Mountain Empire Older Citizen PACE (MEOC) | not reported | 99 (2016) | 6.9% calculated | not reported |
| not reported | Mountain Empire/All Care PACE | not reported | 193 (2018) | 6.6% calculated | not reported |
| not reported | Optima Family Care | not reported | 175,683 (2016) | 23.1% calculated | not reported |
| not reported | Optima Health Care | not reported | 149,500 (2018) | 22.7% calculated | not reported |
| not reported | Riverside PACE - Hampton | not reported | 143 (2016) | 9.9% calculated | not reported |
| not reported | Riverside PACE - MacTavish | not reported | 240 (2016) | 16.7% calculated | not reported |
| not reported | Riverside PACE - Newport News | not reported | 115 (2016) | 8.0% calculated | not reported |
| not reported | Sentara Life Care PACE - Churchland | not reported | 103 (2016) | 7.2% calculated | not reported |
| not reported | Sentara Life Care PACE - Virginia Beach | not reported | 142 (2016) | 9.9% calculated | not reported |
| not reported | Virginia Premier | not reported | 187,942 (2016) | 24.7% calculated | not reported |
CMS reported enrollment
CMS reporting years in this file run from 2016 through 2024. Retrieved 2026-11-01. The latest reporting year is 2024, which is behind the retrieval date. Enrollment figures are the CMS cell for that reporting year. Share is calculated from CMS reported total enrollment for that state, program, and year. Precapture does not combine rows. A year missing from a trend was not reported. A plan and region with more than one CMS row in a year has no trend and no year-over-year change. The dataset says a reported 0 may not truly represent 0 when a state suppressed a small count. CMS reported.
CCC Plus (Comprehensive MCO + MLTSS)
CCC Plus (Comprehensive MCO + MLTSS) 6
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Aetna Better Health for Virginia | Aetna | CVS/Aetna | Statewide | not reported | not reported | not reported | not reported | 2018: 30,591 |
| Anthem HealthKeepers | Anthem Insurance Companies, Inc. | Elevance | Statewide | not reported | not reported | not reported | not reported | 2018: 60,313 |
| Magellan Complete Care of Virginia | Magellan Health | Centene | Statewide | not reported | not reported | not reported | not reported | 2018: 21,959 |
| Optima Health | Optima Health | Optima Health | Statewide | not reported | not reported | not reported | not reported | 2018: 34,344 |
| United Health Care | UnitedHealthcare | UnitedHealth | Statewide | not reported | not reported | not reported | not reported | 2018: 23,506 |
show all 6
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Virginia Premier | Virginia Premier | Virginia Premier | Statewide | not reported | not reported | not reported | not reported | 2018: 41,728 |
Commonwealth Coordinated Care (CCC) Plus (Comprehensive MCO + MLTSS)
Commonwealth Coordinated Care (CCC) Plus (Comprehensive MCO + MLTSS) 6
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Aetna Better Health of Virginia | Aetna, Inc. | CVS/Aetna | Statewide | not reported | not reported | not reported | not reported | 2021: 42,764 |
| Anthem Healthkeepers Plus | Anthem Blue Cross and Blue Shield | Elevance | Statewide | not reported | not reported | not reported | not reported | 2021: 78,737 |
| Molina Healthcare of Virginia | Molina Healthcare | Molina | Statewide | not reported | not reported | not reported | not reported | 2021: 26,793 |
| Optima Health Community Care | Sentara Healthcare | Sentara Healthcare | Statewide | not reported | not reported | not reported | not reported | 2021: 45,440 |
| United Healthcare | United Healthcare | UnitedHealth | Statewide | not reported | not reported | not reported | not reported | 2021: 34,325 |
show all 6
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Virginia Premier Elite Plus | Sentara Healthcare | Sentara Healthcare | Statewide | not reported | not reported | not reported | not reported | 2021: 49,081 |
Commonwealth Coordinated Care Plus (CCC Plus) (Comprehensive MCO + MLTSS)
Commonwealth Coordinated Care Plus (CCC Plus) (Comprehensive MCO + MLTSS) 6
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Aetna Better Health of Virginia | Aetna | CVS/Aetna | Statewide | not reported | not reported | not reported | not reported | 2022: 45,603 |
| Anthem Healthkeepers | Elevance | Elevance | Statewide | not reported | not reported | not reported | not reported | 2022: 84,167 |
| Molina Healthcare of Virginia, LLC | Molina Healthcare | Molina | Statewide | not reported | not reported | not reported | not reported | 2022: 28,762 |
| Optima Health | Sentara Health Plans | Sentara Health Plans | Statewide | not reported | not reported | not reported | not reported | 2022: 47,994 |
| United Healthcare | United Healthcare | UnitedHealth | Statewide | not reported | not reported | not reported | not reported | 2022: 39,431 |
show all 6
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Virginia Premier | Sentara Health Plans | Sentara Health Plans | Statewide | not reported | not reported | not reported | not reported | 2022: 50,169 |
Commonwealth Coordinated Care Plus (Comprehensive MCO + MLTSS)
Commonwealth Coordinated Care Plus (Comprehensive MCO + MLTSS) 17
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Aetna Better Health of Virginia | Aetna | CVS/Aetna | Statewide | CMS reported 67,365 (2024) | 16.4% | -3,785 (-5.3%) | +0.6 pts | 2020: 38,800; 2023: 71,150; 2024: 67,365 |
| Aetna | Aetna | CVS/Aetna | Statewide | not reported | not reported | not reported | not reported | 2019: 36,883 |
| Anthem HealthKeepers Plus | Anthem | Elevance | Statewide | not reported | not reported | not reported | not reported | 2020: 73,114 |
| Anthem Healthkeepers | Elevance | Elevance | Statewide | CMS reported 118,755 (2024) | 28.9% | -10,733 (-8.3%) | +0.2 pts | 2023: 129,488; 2024: 118,755 |
| Anthem | Anthem Insurance Companies, Inc. | Elevance | Statewide | not reported | not reported | not reported | not reported | 2019: 67,940 |
show all 17
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Magellan Complete Care | Magellan Health | Centene | Statewide | not reported | not reported | not reported | not reported | 2020: 24,935 |
| Magellan Health Plan | Magellan Health | Centene | Statewide | not reported | not reported | not reported | not reported | 2019: 24,624 |
| Molina Healthcare of Virginia, LLC | Molina Healthcare | Molina | Statewide | CMS reported 38,298 (2024) | 9.3% | -4,708 (-10.9%) | -0.2 pts | 2023: 43,006; 2024: 38,298 |
| Optima Health Community Care | Sentara Healthcare | Sentara Healthcare | Statewide | not reported | not reported | not reported | not reported | 2020: 42,391 |
| Optima | Sentara | Sentara | Statewide | not reported | not reported | not reported | not reported | 2019: 39,550 |
| Sentara Health Plans (was Optima Health in 2022) | Sentara Health Plans | Sentara Health Plans | Statewide | not reported | not reported | not reported | not reported | 2023: 139,963 |
| Sentara Health Plans | Sentara Health Plans | Sentara Health Plans | Statewide | CMS reported 120,400 (2024) | 29.3% | not reported | not reported | 2024: 120,400 |
| United Healthcare | United Healthcare | UnitedHealth | Statewide | not reported | not reported | not reported | not reported | 2020: 29,712 |
| United | UnitedHealthcare | UnitedHealth | Statewide | not reported | not reported | not reported | not reported | 2019: 28,333 |
| UnitedHealthcare | UnitedHealthcare | UnitedHealth | Statewide | CMS reported 65,465 (2024) | 16.0% | -1,375 (-2.1%) | +1.1 pts | 2023: 66,840; 2024: 65,465 |
| Virginia Premier Elite Plus | VCU Health System | VCU Health System | Statewide | not reported | not reported | not reported | not reported | 2020: 48,619 |
| Virginia Premier | Virginia Premier Health Plan | Virginia Premier Health Plan | Statewide | not reported | not reported | not reported | not reported | 2019: 47,116 |
DMAS PACE (Program of All-inclusive Care for the Elderly (PACE))
DMAS PACE (Program of All-inclusive Care for the Elderly (PACE)) 14
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| AllCare | AllCare | AllCare | Southwest region | not reported | not reported | not reported | not reported | 2019: 104 |
| Centra PACE | Centra | Centra | 23002 23004 23027 23040 23083 23123 23824 23894 23901 23909 23921 23922 23923 23930 23934 23936 23937 23939 23941 23942 23943 23947 23952 23954 23955 23958 23959 23960 23963 23966 23974 23976 2459924501 24502 24503 24504 24521 24522 24523 24536 24538 24550 24551 24553 24554 24556 24570 24572 24574 24588 2459324054 24055 24069 24078 24082 24089 24102 24104 24112 24137 24139 24146 24148 24161 24165 24168 24517 24527 24528 24530 24531 24540 24541 24549 24557 24563 24565 24566 24569 24571 24586 24594 24133 24176 24543 24576 | not reported | not reported | not reported | not reported | 2018: 213 |
| Centra | Centra | Centra | Central and Charlottesville/Western regions | not reported | not reported | not reported | not reported | 2019: 236 |
| INOVA PACE | Inova Health System | Inova Health System | 22034 22035 22036 22037 22038 22039 22040 22041 22042 22043 22044 22046 22047 22060 22066 22067 22079 22081 22082 22092 22093 22095 22096 22101 22102 22103 22106 22107 22108 22109 22116 22118 22119 22120 22121 22122 22124 22125 22134 22135 22150 22151 22152 22153 22156 22158 22159 22160 22161 22172 22180 22181 22182 22183 22184 22185 22191 22192 22193 22194 22195 22199 22201 22202 22203 22204 22205 22206 22207 22209 22210 22211 22212 22213 22214 22215 22216 22217 22218 22219 22222 22223 22225 22226 22227 22229 22230 22234 22240 22241 22242 22243 22244 22245 22246 22301 | not reported | not reported | not reported | not reported | 2018: 1,465 |
| InnovAge Charlottesville | InnovAge Charlottesville | InnovAge Charlottesville | Charlottesville/western region | not reported | not reported | not reported | not reported | 2019: 171 |
show all 14
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| InnovAge Roanoke | InnovAge Roanoke | InnovAge Roanoke | Roanoke/Alleghany region | not reported | not reported | not reported | not reported | 2019: 152 |
| InnovAge/Virginia PACE II | InnovAge Virginia PACE II | InnovAge Virginia PACE II | Central and Tidewater regions | not reported | not reported | not reported | not reported | 2019: 422 |
| Innovage PACE | Innovage | InnovAge | 24011 24012 24013 24014 24015 24016 24017 24018 24019 24020 24059 24060 24064 24065 24066 24067 24070 24073 24077 24079 24083 24087 24090 24092 24095 24101 24121 24122 24138 24149 24151 24153 24162 24174 24175 24176 24179 24184 | not reported | not reported | not reported | not reported | 2018: 282 |
| Innovage | Innovage | InnovAge | 23112 23113 23114 23120 23124 23129 23139 23140 23141 23146 23173 23181 23221 23224 23225 23226 23227 23228 23231 23232 23234 23235 23236 23237 23238 23240 23241 23249 23260 23261 23269 23273 23274 23276 23278 23279 23282 23284 23285 23286 23289 23290 23291 23293 23295 22546 23005 23009 23011 23015 23030 23039 23047 23058 23059 23060 23069 23075 23086 23089 23102 23103 23106 23111 23116 23150 23162 23192 23218 23219 23220 23222 23223 23229 23230 23233 23242 23250 23255 23288 23801 23803 23804 23805 23806 23830 23831 23832 23833 23834 23836 23838 23840 23841 23842 23850 23860 23875 23882 23885 23601 23605 23607 23651 23661 23662 23663 23664 23665 23666 23669 23602 23603 23604 23606 23608 23692 23693 23696 | not reported | not reported | not reported | not reported | 2018: 134 |
| MEOC (Mountain Empire) | MEOC (Mountain Empire) | MEOC (Mountain Empire) | Southwest region | not reported | not reported | not reported | not reported | 2019: 83 |
| Mountain Empire/All Care PACE | PACE | unmatched | 24215 24216 24218 24219 24221 24230 24243 24244 24245 24246 24248 24250 24251 24258 24263 24265 24271 24273 24277 24279 24281 24282 24283 24290 24293 | not reported | not reported | not reported | not reported | 2018: 193 |
| Riverside PACE | Riverside Health System | Riverside Health System | 23112 23113 23114 23120 23124 23129 23139 23140 23141 23146 23173 23181 23221 23224 23225 23226 23227 23228 23231 23232 23234 23235 23236 23237 23238 23240 23241 23249 23260 23261 23269 23273 23274 23276 23278 23279 23282 23284 23285 23286 23289 23290 23291 23293 23295 22546 23005 23009 23011 23015 23030 23039 23047 23058 23059 23060 23069 23075 23086 23089 23102 23103 23106 23111 23116 23150 23162 23192 23218 23219 23220 23222 23223 23229 23230 23233 23242 23250 23255 23288 23801 23803 23804 23805 23806 23830 23831 23832 23833 23834 23836 23838 23840 23841 23842 23850 23860 23875 23882 23885 23601 23605 23607 23651 23661 23662 23663 23664 23665 23666 23669 23602 23603 23604 23606 23608 23692 23693 23696 | not reported | not reported | not reported | not reported | 2018: 406 |
| Sentara PACE | Sentara Healthcare | Sentara Healthcare | 23320 23321 23322 23323 23324 23325 23432 23433 23434 23435 23436 23437 23438 23701 23702 23703 23704 23707 23709 23314 23315 23430 23487 23846 23851 23883 23898 23451 23452 23453 23454 23455 23456 23457 23459 23460 23461 23462 23463 23464 23502 23503 23504 23505 23507 23508 23509 23510 23511 23513 23517 23518 23521 23523 23529 | not reported | not reported | not reported | not reported | 2018: 250 |
| Sentara | Sentara | Sentara | Tidewater region | not reported | not reported | not reported | not reported | 2019: 250 |
Medallion 3.0 (Comprehensive MCO)
Medallion 3.0 (Comprehensive MCO) 17
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Aetna Better Health of Virginia | Aetna | CVS/Aetna | State Defined Regions of Central Virginia, Halifax, Lower Southwest, and Far Southwest | not reported | not reported | not reported | not reported | 2017: 39,690 |
| Aetna Better Health of Virginia | not reported | unmatched | 72 cities/counties Statewide Regions: Tidewater, Central VA, Lynchburg, Roanoke/Alleghany, and Far Southwestern Regions | not reported | not reported | not reported | not reported | 2016: 40,656 |
| Anthem | Anthem Insurance Companies, Inc. | Elevance | Statewide | not reported | not reported | not reported | not reported | 2017: 268,920; 2018: 251,115 |
| Coventry Health Plan | Coventry Health Plan | Coventry Health Plan | Statewide | not reported | not reported | not reported | not reported | 2018: 35,658 |
| HEALTHKEEPERS INC (Anthem Healthkeepers Plus) | not reported | unmatched | State Wide Plan: 133 cities/counties State Defined Regions: Tidewater, Central VA, Halifax, Winchester, Northern VA, Charlottesville, Roanoke/Alleghany, Far Southwest,and Culpeper Regions | not reported | not reported | not reported | not reported | 2016: 285,580 |
show all 17
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| INTotal Health | not reported | unmatched | 57 cities/counties State defined regions: Northern VA, Roanoke/Alleghany, and Far Southwestern VA Regions | not reported | not reported | not reported | not reported | 2016: 59,499 |
| InTotal | UnitedHealthCare | UnitedHealth | State Defined Regions of Northern Virginia, Far Southwest, and Lower Southwest | not reported | not reported | not reported | not reported | 2017: 55,718 |
| Intotal Health | Inova Health System | Inova Health System | Statewide | not reported | not reported | not reported | not reported | 2018: 52,799 |
| Kaiser Foundation Health Plan of the Mid-Atlantic States, INC (KFHPMA) | not reported | unmatched | 9 cities/counties State-Defined Regions: Northern Virginia | not reported | not reported | not reported | not reported | 2016: 10,219 |
| Kaiser Permanente | Kaiser Permanente | Kaiser Permanente | State Defined Regions of Northern Virginia | not reported | not reported | not reported | not reported | 2017: 11,179 |
| Kaiser | Kaiser | Kaiser Permanente | Statewide | not reported | not reported | not reported | not reported | 2018: 12,887 |
| Optima Family Care | Sentara Health Care | Sentara Health Care | Statewide | not reported | not reported | not reported | not reported | 2017: 166,574 |
| Optima Family Care | not reported | unmatched | 113 cities/counties State-Defined Regions: Tidewater, Central VA, Charlottesville, Halifax, Winchester, Lynchburg and Far Southwestern VA Regions | not reported | not reported | not reported | not reported | 2016: 175,683 |
| Optima Health Care | PACE | unmatched | Statewide | not reported | not reported | not reported | not reported | 2018: 149,500 |
| Virginia Premier Health Plan | Virginia Premier Health Plan | Virginia Premier Health Plan | Statewide | not reported | not reported | not reported | not reported | 2018: 158,008 |
| Virginia Premier | VCU Health System | VCU Health System | Statewide | not reported | not reported | not reported | not reported | 2017: 180,318 |
| Virginia Premier | not reported | unmatched | 108 cities/counties State-Defined Regions:Tidewater, Central VA, Charlottesville, Roanoke, Winchester, Lynchburg and Far Southwestern VA Regions | not reported | not reported | not reported | not reported | 2016: 187,942 |
Medallion 4.0 (Comprehensive MCO)
Medallion 4.0 (Comprehensive MCO) 19
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Aetna Better Health of Virginia | Anthem Insurance Companies, Inc. | Elevance | Statewide | CMS reported 204,479 (2024) | 14.6% | -16,532 (-7.5%) | +0.6 pts | 2021: 186,924; 2022: 205,216; 2023: 221,011; 2024: 204,479 |
| Aetna Better Health | Aetna | CVS/Aetna | Statewide | not reported | not reported | not reported | not reported | 2020: 149,035 |
| Aetna | Aetna | CVS/Aetna | Statewide | not reported | not reported | not reported | not reported | 2019: 115,993 |
| Anthem Healthkeepers Plus | Elevance | Elevance | Statewide | CMS reported 424,993 (2024) | 30.4% | -49,191 (-10.4%) | +0.3 pts | 2021: 430,793; 2022: 448,552; 2023: 474,184; 2024: 424,993 |
| Anthem Healthkeepers | Anthem | Elevance | Statewide | not reported | not reported | not reported | not reported | 2020: 346,181 |
show all 19
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Anthem | Anthem Insurance Companies, Inc. | Elevance | Statewide | not reported | not reported | not reported | not reported | 2019: 321,896 |
| Magellan Complete Care | Magellan Health | Centene | Statewide | not reported | not reported | not reported | not reported | 2020: 72,081 |
| Magellan | Magellan Health | Centene | Statewide | not reported | not reported | not reported | not reported | 2019: 57,726 |
| Molina Healthcare of Virginia | Molina Healthcare, Inc. | Molina | Statewide | CMS reported 98,126 (2024) | 7.0% | -6,837 (-6.5%) | +0.4 pts | 2021: 91,678; 2022: 99,229; 2023: 104,963; 2024: 98,126 |
| Optima Family Care | Sentara Healthcare | Sentara Healthcare | Statewide | not reported | not reported | not reported | not reported | 2020: 228,828; 2021: 277,979; 2022: 291,509 |
| Optima | Sentara | Sentara | Statewide | not reported | not reported | not reported | not reported | 2019: 211,043 |
| Sentara Health Plans (was Optima Health in 2022) | Sentara Healthcare | Sentara Healthcare | Statewide | not reported | not reported | not reported | not reported | 2023: 602,643 |
| Sentara Health Plans | Sentara Healthcare | Sentara Healthcare | Statewide | CMS reported 503,667 (2024) | 36.0% | not reported | not reported | 2024: 503,667 |
| United Healthcare of the Mid-Atlantic | United Healthcare | UnitedHealth | Statewide | not reported | not reported | not reported | not reported | 2021: 143,947; 2022: 157,891 |
| United Healthcare | United Healthcare | UnitedHealth | Statewide | not reported | not reported | not reported | not reported | 2020: 111,339 |
| United | UnitedHealthcare | UnitedHealth | Statewide | not reported | not reported | not reported | not reported | 2019: 103,563 |
| UnitedHealthcare of the Mid-Atlantic | UnitedHealthcare | UnitedHealth | Statewide | CMS reported 168,493 (2024) | 12.0% | -7,282 (-4.1%) | +0.9 pts | 2023: 175,775; 2024: 168,493 |
| Virginia Premier Health Plan | Sentara Healthcare and VCU Health System | Sentara Healthcare and VCU Health System | Statewide | not reported | not reported | not reported | not reported | 2021: 282,087; 2022: 293,876 |
| Virginia Premier | VCU Health System | VCU Health System | Statewide | not reported | not reported | not reported | not reported | 2019: 219,843; 2020: 233,923 |
PACE (PACE)
PACE (PACE) 17
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| All Care for Seniors | Appalachian Agency for Senior Citizens | Appalachian Agency for Senior Citizens | 24217, 24220, 24224, 24225, 24226, 24228, 24237, 24239, 24256, 24260, 24266, 24269, 24272, 24280, 24377, 24601, 24602, 24603, 24604, 24605, 24606, 24607, 24608, 24609, 24612, 24613, 24614, 24619, 24620, 24622, 24624, 24627, 24628, 24630, 24631, 24634, 24635, 24637, 24639, 24640, 24641, 24646, 24647, 24649, 24651, 24656, 24657, 24658 | CMS reported 102 (2024) | 4.9% | +1 (+1.0%) | -0.4 pts | 2023: 101; 2024: 102 |
| Centra PACE Farmville | Centra Health | Centra Health | 23002, 23004, 23027, 23040, 23083, 23123, 23824, 23894, 23901, 23909, 23921, 23922, 23923, 23930, 23934, 23936, 23937, 23939, 23941, 23942, 23943, 23947, 23952, 23954, 23955, 23958, 23959, 23960, 23963, 23966, 23974, 23976, 24599 | CMS reported 126 (2024) | 6.1% | +21 (+20.0%) | +0.5 pts | 2023: 105; 2024: 126 |
| Centra PACE Gretna | Centra Health | Centra Health | 24054, 24055, 24069, 24078, 24082, 24089, 24102, 24104, 24112, 24137, 24139, 24146, 24148, 24161, 24165, 24168, 24517, 24527, 24528, 24530, 24531, 24540, 24541, 24549, 24557, 24563, 24565, 24566, 24569, 24571, 24586, 24594, 24133, 24176, 24543, 24576 | CMS reported 88 (2024) | 4.3% | 0 (0.0%) | -0.4 pts | 2023: 88; 2024: 88 |
| Centra PACE Lynchburg | Centra Health | Centra Health | 24501, 24502, 24503, 24504, 24521, 24522, 24523, 24536, 24538, 24550, 24551, 24553, 24554, 24556, 24570, 24572, 24574, 24588, 24593 | CMS reported 174 (2024) | 8.4% | +20 (+13.0%) | +0.2 pts | 2023: 154; 2024: 174 |
| Cherry Blossom PACE | ConcertoCare of Northern Virginia | ConcertoCare of Northern Virginia | 22003, 22015, 22027, 22030, 22031, 22032, 22041, 22042, 22043, 22044, 22046, 22079, 22101, 22102, 22124, 22150, 22151, 22152, 22153, 22180, 22181, 22182, 22201, 22202, 22203, 22204, 22205, 22206, 22207, 22209, 22211, 22213, 22301, 22302, 22303, 22304, 22305, 22310, 22311, 22312, 22314, 22315 | CMS reported 45 (2024) | 2.2% | +23 (+104.5%) | +1.0 pts | 2023: 22; 2024: 45 |
show all 17
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| InnovAge Blue Ridge | InnovAge | InnovAge | 22901, 22902, 22903, 22904, 22911, 22920, 22922, 22923, 22931, 22932, 22935, 22936, 22937, 22938, 22940, 22942, 22943, 22946, 22947, 22949, 22958, 22959, 22963, 22964, 22967, 22968, 22969, 22971, 22973, 22974, 22976, 23022, 23024, 23055, 23065, 23084, 23093, 23117, 24464, 24562, 24590 | CMS reported 259 (2024) | 12.5% | +26 (+11.2%) | +0.1 pts | 2023: 233; 2024: 259 |
| InnovAge PACE Richmond | InnovAge | InnovAge | 22546, 23005, 23009, 23011, 23015, 23030, 23039, 23047, 23058, 23059, 23060, 23069, 23075, 23086, 23089, 23102, 23103, 23106, 23111, 23116, 23150, 23162, 23192, 23218, 23219, 23220, 23222, 23223, 23229, 23230, 23233, 23242, 23250, 23255, 23288, 23801, 23803, 23804, 23805, 23806, 23830, 23831, 23832, 23833, 23834, 23836 23838, 23840, 23841, 23842, 23850, 23860, 23875, 23882, 23885, 23112, 23113, 23114 23120, 23124, 23129, 23139, 23140, 23141, 23146, 23173, 23181, 23221, 23224, 23225, 23226, 23227, 23228, 23231, 23232, 23234, 23235, 23236 23237, 23238, 23240, 23241, 23249 23260, 23261, 23269, 23273, 23274, 23276, 23278, 23279, 23282, 23284, 23285, 23286, 23289, 23290, 23291, 23293, 23295 | CMS reported 351 (2024) | 17.0% | not reported | not reported | 2024: 351 |
| InnovAge PACE Richmond | InnovAge | InnovAge | 22546, 23005, 23009, 23011, 23015, 23030, 23039, 23047, 23058, 23059, 23060, 23069, 23075, 23086, 23089, 23102, 23103, 23106, 23111, 23116, 23150, 23162, 23192, 23218, 23219, 23220, 23222, 23223, 23229, 23230, 23233, 23242, 23250, 23255, 23288, 23801, 23803, 23804, 23805, 23806, 23830, 23831, 23832, 23833, 23834, 23836, 23838, 23840, 23841, 23842, 23850, 23860, 23875, 23882, 23885, 23112, 23113, 23114, 23120, 23124, 23129, 23139, 23140, 23141, 23146, 23173, 23181, 23221, 23224, 23225, 23226, 23227, 23228, 23231, 23232, 23234, 23235, 23236, 23237, 23238, 23240, 23241, 23249, 23260, 23261, 23269, 23273, 23274, 23276, 23278, 23279, 23282, 23284, 23285, 23286, 23289, 23290, 23291, 23293, 23295 | not reported | not reported | not reported | not reported | 2023: 308 |
| InnovAge Roanoke Valley | InnovAge | InnovAge | 24011, 24012, 24013, 24014, 24015, 24016, 24017, 24018, 24019, 24020, 24059, 24060, 24064, 24065, 24066, 24067, 24070, 24073, 24077, 24079, 24083, 24087, 24090, 24092, 24095, 24101, 24121, 24122, 24138, 24149, 24151, 24153, 24162, 24174, 24175, 24176, 24179, 24184 | CMS reported 256 (2024) | 12.4% | +1 (+0.4%) | -1.2 pts | 2023: 255; 2024: 256 |
| InnovAge Virginia PACE - Peninsula | InnovAge | InnovAge | 23602, 23603, 23604, 23606, 23608, 23692, 23693, 23696, 23601, 23605, 23607, 23651, 23661, 23662, 23663, 23664, 23665, 23666, 23669 | not reported | not reported | not reported | not reported | 2023: 244 |
| InnovAge Virginia PACE/Peninsula | InnovAge | InnovAge | 23602, 23603, 23604, 23606, 23608, 23692, 23693, 23696, 23601, 23605, 23607, 23651, 23661, 23662, 23663, 23664, 23665, 23666, 23669 | CMS reported 261 (2024) | 12.6% | not reported | not reported | 2024: 261 |
| Mountain Empire PACE | Mountain Empire Older Citizens, Inc. | Mountain Empire Older Citizens, Inc. | 24215, 24216, 24218, 24219, 24221, 24230, 24243, 24244, 24245, 24246, 24248, 24250, 24251, 24258, 24263, 24265, 24271, 24273, 24277, 24279, 24281, 24282, 24283, 24290, 24293 | CMS reported 99 (2024) | 4.8% | +7 (+7.6%) | -0.1 pts | 2023: 92; 2024: 99 |
| Mt. Rogers PACE | Appalachian Agency for Senior Citizens | Appalachian Agency for Senior Citizens | Serves the counties of Bland, Smyth, Wythe and Washington and the city of Bristol | CMS reported 53 (2024) | 2.6% | +20 (+60.6%) | +0.8 pts | 2023: 33; 2024: 53 |
| Sentara PACE - Norfolk | Sentara Health Plans | Sentara Health Plans | 23451, 23452, 23453, 23454, 23455, 23456, 23457, 23459, 23460, 23461, 23462, 23463, 23464, 23502, 23503, 23504, 23505, 23507, 23508, 23509, 23510, 23511, 23513, 23517, 23518, 23521, 23523, 23529 | not reported | not reported | not reported | not reported | 2023: 161 |
| Sentara PACE Churchland | Sentara Health Plans | Sentara Health Plans | 23320, 23321, 23322, 23323, 23324, 23325, 23432, 23433, 23434, 23435, 23436, 23437, 23438, 23701, 23702, 23703, 23704, 23707, 23709, 23314, 23315, 23430, 23487, 23846, 23851, 23883, 23898 | not reported | not reported | not reported | not reported | 2023: 85 |
| Sentara PACE Churchland | Sentara Health Plans | Sentara Health Plans | 23320, 23321, 23322, 23323, 23324, 23325, 23432, 23433, 23434, 23435, 23436, 23437, 23438, 23701, 23702, 23703, 23704, 23707, 23709, 23314, 23315, ?23430, 23487, 23846, 23851, 23883, 23898 | CMS reported 99 (2024) | 4.8% | not reported | not reported | 2024: 99 |
| Sentara PACE/ Norfolk | Sentara Health Plans | Sentara Health Plans | 23451, 23452, 23453, 23454, 23455, 23456, 23457, 23459, 23460, 23461, 23462, 23463, 23464, 23502, 23503, 23504, 23505, 23507, 23508, 23509, 23510, 23511, 23513, 23517, 23518, 23521, 23523, 23529 | CMS reported 153 (2024) | 7.4% | not reported | not reported | 2024: 153 |
PACE (Program of All-inclusive Care for the Elderly (PACE))
PACE (Program of All-inclusive Care for the Elderly (PACE)) 42
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| AllCare PACE | Appalachian Agency for Senior Citizens | Appalachian Agency for Senior Citizens | 24217, 24220, 24224, 24225, 24226, 24228, 24237, 24239, 24256, 24260, 24266, 24269, 24272, 24280, 24377, 24601, 24602, 24603, 24604, 24605, 24606, 24607, 24608, 24609, 24612, 24613, 24614, 24619, 24620, 24622, 24624, 24627, 24628, 24630, 24631, 24634, 24635, 24637, 24639, 24640, 24641, 24646, 24647, 24649, 24651, 24656, 24657, 24658 | not reported | not reported | not reported | not reported | 2017: 95 |
| AllCare Pace | not reported | unmatched | 24217, 24220, 24224, 24225, 24226, 24228, 24237, 24239, 24256, 24260, 24266, 24269, 24272, 24280, 24377, 24601, 24602, 24603, 24604, 24605, 24606, 24607, 24608, 24609, 24612, 24613, 24614, 24619, 24620, 24622, 24624, 24627, 24628, 24630, 24631, 24634, 24635, 24637, 24639, 24640, 24641, 24646, 24647, 24649, 24651, 24656, 24657, 24658 | not reported | not reported | not reported | not reported | 2016: 98 |
| AllCare for Seniors | AllCare for Seniors | AllCare for Seniors | Buchanan, Dickerson, Russell and Tazewell Counties | not reported | not reported | not reported | not reported | 2020: 100 |
| AllCare for Seniors | Appalachian Agency for Senior Citizens | Appalachian Agency for Senior Citizens | Buchanan county, Dickenson county, Russell county, and Tazewell county | not reported | not reported | not reported | not reported | 2021: 114 |
| Blue Ridge PACE | not reported | unmatched | 22723, 22901, 22902, 22903, 22904, 22911, 22920, 22922, 22923, 22931, 22932, 22935, 22936, 22937, 22938, 22940, 22942, 22943, 22946, 22947, 22949, 22958, 22959, 22963, 22964, 22967, 22968, 22969, 22971, 22974, 22976 ,23022, 23024, 23055, 23065 ,23084, 23093, 23117, 24464, 24471, 24562, 24590 | not reported | not reported | not reported | not reported | 2016: 102 |
show all 42
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Blue Ridge Pace | Dual consortium with Riverside Health and Jefferson Area Board of Aging | Dual consortium with Riverside Health and Jefferson Area Board of Aging | 22723, 22901, 22902, 22903, 22904, 22911, 22920, 22922, 22923, 22931, 22932, 22935, 22936, 22937, 22938, 22940, 22942, 22943, 22946, 22947, 22949, 22958, 22959, 22963, 22964, 22967, 22968, 22969, 22971, 22974, 22976 ,23022, 23024, 23055, 23065 ,23084, 23093, 23117, 24464, 24471, 24562, 24590 | not reported | not reported | not reported | not reported | 2017: 131 |
| Centra PACE - Farmville | Central Health | Central Health | Amelia county, Appomattox county, Buckingham county, Charlotte county, Cumberland county, Lunenburg county, Nottoway county, and Prince Edward county | not reported | not reported | not reported | not reported | 2021: 91 |
| Centra PACE - Gretna | Centra Health | Centra Health | Campbell county, Danville city, Franklin county, Henry county, Martinsville city, Patrick county, and Pittsylvania county | not reported | not reported | not reported | not reported | 2021: 60 |
| Centra PACE - Gretna | not reported | unmatched | 24054, 24055, 24069, 24078, 24082, 24089, 24102, 24104, 24112, 24137, 24139, 24146, 24148, 24161, 24165, 24168, 24517, 24527, 24528, 24530, 24531, 24540, 24541, 24549, 24557, 24563, 24565, 24566, 24569, 24571, 24586, 24594, 24133, 24176, 24543, 24576 | not reported | not reported | not reported | not reported | 2016: 3 |
| Centra PACE - Lynchburg | Centra Health | Centra Health | Amherst county, Appomattox county, Bedford county, Campbell county, and Lynchburg city | not reported | not reported | not reported | not reported | 2021: 125 |
| Centra PACE - Lynchburg | not reported | unmatched | 24501, 24502, 24503, 24504, 24521, 24522, 24536, 24538, 24550, 24551, 24554, 24556, 24572, 24574, 24588, 24593 | not reported | not reported | not reported | not reported | 2016: 105 |
| Centra PACE- Farmville | not reported | unmatched | 23002, 23004, 23027, 23040, 23083, 23123, 23824, 23894, 23901, 23909, 23921, 23922, 23923, 23930, 23934, 23936, 23937, 23939, 23941, 23942, 23943, 23947, 23952, 23954, 23955, 23958, 23959, 23960, 23963, 23966, 23974, 23976, 24599 | not reported | not reported | not reported | not reported | 2016: 75 |
| Centra PACE | Centra PACE | Centra PACE | 23002, 24501, 24054, 23004, 24502, 24055, 23027, 24503, 24069, 23040, 24504, 24078, 23083, 24521, 24082, 23123, 24522, 24089, 23824, 24523, 24102, 23894, 24536, 24104, 23901, 24538, 24112, 23909, 24550, 24137, 23921, 24551, 24139, 23922, 24553, 24146, 23923, 24554, 24148, 23930, 24556, 24161, 23934, 24570, 24165, 23936, 24572, 24168, 23937, 24574, 24517, 23939, 24588, 24527, 23941, 24593, 24528, 23942, 24530, 23943, 24531, 23947, 24540, 23952, 24541, 23954, 24549, 23955, 24557, 23958, 24563, 23959, 24565, 23960, 24566, 23963, 24569, 23966, 24571, 23974, 24586, 23976, 24594, 24599, 24133, 24176, 24543, 24576 | not reported | not reported | not reported | not reported | 2020: 248 |
| Centra Pace Farmville | Centra Health | Centra Health | 23002, 23004, 23027, 23040, 23083, 23123, 23824, 23894, 23901, 23909, 23921, 23922, 23923, 23930, 23934, 23936, 23937, 23939, 23941, 23942, 23943, 23947, 23952, 23954, 23955, 23958, 23959, 23960, 23963, 23966, 23974, 23976, 24599 | not reported | not reported | not reported | not reported | 2017: 82 |
| Centra Pace Gretna | Centra Health | Centra Health | 24054, 24055, 24069, 24078, 24082, 24089, 24102, 24104, 24112, 24137, 24139, 24146, 24148, 24161, 24165, 24168, 24517, 24527, 24528, 24530, 24531, 24540, 24541, 24549, 24557, 24563, 24565, 24566, 24569, 24571, 24586, 24594, 24133, 24176, 24543, 24576 | not reported | not reported | not reported | not reported | 2017: 24 |
| Centra Pace Lynchburg | Centra Health | Centra Health | 24501, 24502, 24503, 24504, 24521, 24522, 24536, 24538, 24550, 24551, 24554, 24556, 24572, 24574, 24588, 24593 | not reported | not reported | not reported | not reported | 2017: 104 |
| INOVA Cares for Seniors PACE | not reported | unmatched | 20041, 20120, 20121, 20124, 20151, 20170, 20171, 20190, 20191, 20192, 20194, 22003, 22015, 22027, 22030, 22031, 22032, 22033, 22039, 22041, 22042, 22043, 22044, 22046, 22060, 22066, 22067, 22079, 22101 ,22102, 22124, 22125, 22150, 22151, 22152, 22153, 22180, 22181, 22182, 22303, 22306, 22307, 22308, 22309, 22310, 22312, 22315, 22201, 22202, 22203, 22204, 22205, 22206, 22207, 22209, 22211, 22213, 22301, 22302, 22304, 22305, 22311, 22314, 20109, 20110 ,20111, 20112, 20136, 20137, 20143, 20155, 20169, 20181, 22025, 22026, 22134, 22172, 22191, 22192, 22193 | not reported | not reported | not reported | not reported | 2016: 119 |
| InnovAge Virginia PACE Charlottesville, LLC | InnovAge Virginia PACE Charlottesville, LLC | InnovAge Virginia PACE Charlottesville, LLC | 22901, 22902, 22903, 22904, 22911, 22920, 22922, 22923, 22931, 22932, 22935, 22936, 22937, 22938, 22940, 22942, 22943, 22946, 22947, 22949, 22958, 22959, 22963, 22964, 22967, 22968, 22969, 22971, 22973, 22974, 22976, 23022, 23024, 23055, 23065, 23084, 23093, 23117, 24464, 24562, 24590 | not reported | not reported | not reported | not reported | 2020: 211 |
| InnovAge Virginia PACE Charlottesville, LLC | InnovAge | InnovAge | Albemarle county, Charlottesville city, Fluvanna county, Greene county, Louisa county, and Nelson county | not reported | not reported | not reported | not reported | 2021: 246 |
| InnovAge Virginia PACE Peninsula | InnovAge | InnovAge | Hampton city, Newport News city, Poquoson city, and York county | not reported | not reported | not reported | not reported | 2021: 225 |
| InnovAge Virginia PACE Richmond | InnovAge | InnovAge | Caroline county, Charles City county, Chesterfield county, Colonial Heights city, Dinwiddie county, Emporia city, Goochland county, Hanover county, Henrico county, King William county, New Kent county, Petersburg city, Powhatan county, Prince George county, Richmond city, and Sussex county | not reported | not reported | not reported | not reported | 2021: 247 |
| InnovAge Virginia PACE Roanoke Valley, LLC | InnovAge Virginia PACE Roanoke Valley, LLC | InnovAge Virginia PACE Roanoke Valley, LLC | 24011, 24012, 24013, 24014, 24015, 24016, 24017, 24018, 24019, 24020, 24059, 24060, 24064, 24065, 24066, 24067, 24070, 24073, 24077, 24079, 24083, 24087, 24090, 24092, 24095, 24101, 24121, 24122, 24138, 24149, 24151, 24153, 24162, 24174, 24175, 24176, 24179, 24184 | not reported | not reported | not reported | not reported | 2020: 177 |
| InnovAge Virginia PACE Roanoke Valley, LLC | InnovAge | InnovAge | Bedford county, Botetourt county, Campbell county, Covington city, Craig county, Floyd county, Franklin county, Lexington city, Montgomery county, Roanoke county, Roanoke city, Rockbridge county, and Salem city | not reported | not reported | not reported | not reported | 2021: 205 |
| Inova Cares for Seniors | Inova Health | Inova Health | 20041, 20120, 20121, 20124, 20151, 20170, 20171, 20190, 20191, 20192, 20194, 22003, 22015, 22027, 22030, 22031, 22032, 22033, 22039, 22041, 22042, 22043, 22044, 22046, 22060, 22066, 22067, 22079, 22101 ,22102, 22124, 22125, 22150, 22151, 22152, 22153, 22180, 22181, 22182, 22303, 22306, 22307, 22308, 22309, 22310, 22312, 22315, 22201, 22202, 22203, 22204, 22205, 22206, 22207, 22209, 22211, 22213, 22301, 22302, 22304, 22305, 22311, 22314, 20109, 20110 ,20111, 20112, 20136, 20137, 20143, 20155, 20169, 20181, 22025, 22026, 22134, 22172, 22191, 22192, 22193 | not reported | not reported | not reported | not reported | 2017: 132 |
| Kissito PACE - now InnovAge PACE Roanoke Valley, LLC | not reported | unmatched | 24011, 24012, 24013, 24014, 24015, 24016, 24017, 24018, 24019, 24020, 24059, 24060, 24064, 24065, 24066, 24067, 24070, 24073, 24077, 24079, 24083, 24087, 24090, 24095, 24101, 24121, 24122, 24138, 24149, 24153, 24162, 24174, 24175, 24179, 24184, 24092, 24151, 24176 | not reported | not reported | not reported | not reported | 2017: 111 |
| Kissito PACE | not reported | unmatched | 24011, 24012, 24013, 24014, 24015, 24016, 24017, 24018, 24019, 24020, 24059, 24060, 24064, 24065, 24066, 24067, 24070, 24073, 24077, 24079, 24083, 24087, 24090, 24095, 24101, 24121, 24122, 24138, 24149, 24153, 24162, 24174, 24175, 24179, 24184, 24092, 24151, 24176 | not reported | not reported | not reported | not reported | 2016: 96 |
| Mountain Empire Older Citizen PACE (MEOC) | not reported | unmatched | 24215, 24216, 24218, 24219, 24221, 24230, 24243, 24244, 24245, 24246, 24248, 24250, 24251, 24258, 24263, 24265, 24271, 24273, 24277, 24279, 24281, 24282, 24283, 24290, 24293 | not reported | not reported | not reported | not reported | 2016: 99 |
| Mountain Empire Older Citizens PACE (MEOC) | Mountain Empire Older Citizens | Mountain Empire Older Citizens, Inc. | 24215, 24216, 24218, 24219, 24221, 24230, 24243, 24244, 24245, 24246, 24248, 24250, 24251, 24258, 24263, 24265, 24271, 24273, 24277, 24279, 24281, 24282, 24283, 24290, 24293 | not reported | not reported | not reported | not reported | 2017: 98 |
| Mountain Empire PACE | Mountain Empire Older Citizens, Inc. | Mountain Empire Older Citizens, Inc. | Lee county, Norton city, Scott county, and Wise county | not reported | not reported | not reported | not reported | 2021: 84 |
| Mountain Empire PACE | Mountain Empire PACE | Mountain Empire PACE | Lee, Scott, Wise Counties and the city of Norton | not reported | not reported | not reported | not reported | 2020: 86 |
| Riverside PACE - Hampton | not reported | unmatched | 23601, 23605, 23607, 23651, 23661, 23662, 23663, 23664, 23665, 23666, 23669 | not reported | not reported | not reported | not reported | 2016: 143 |
| Riverside PACE - MacTavish | not reported | unmatched | 23112, 23113, 23114, 23120, 23124, 23129, 23139, 23140, 23141, 23146, 23173, 23181, 23221, 23224, 23225, 23226, 23227, 23228, 23231, 23232, 23234, 23235, 23236, 23237, 23238, 23240, 23241, 23249, 23260, 23261, 23269, 23273, 23274, 23276, 23278, 23279, 23282, 23284, 23285, 23286, 23289, 23290, 23291,23293, 23295, 22546, 23005, 23009, 23011, 23015, 23030, 23039, 23047, 23058, 23059, 23060, 23069, 23075, 23086, 23089, 23102, 23103, 23106, 23111, 23116, 23150, 23162, 23192, 23218, 23219, 23220, 23222, 23223, 23229, 23230, 23233, 23242, 23250, 23255, 23288, 23801, 23803, 23804, 23805, 23806,23830, 23831, 23832, 23833, 23834, 23836, 23838, 23840, 23841, 23842, 23850 ,23860, 23875, 23882, 23885 | not reported | not reported | not reported | not reported | 2016: 240 |
| Riverside PACE - Newport News | not reported | unmatched | 23602, 23603, 23604, 23606, 23608, 23692, 23693, 23696 | not reported | not reported | not reported | not reported | 2016: 115 |
| Riverside PACE McTavish | Riverside Health Systems | Riverside Health Systems | 23112, 23113, 23114, 23120, 23124, 23129, 23139, 23140, 23141, 23146, 23173, 23181, 23221, 23224, 23225, 23226, 23227, 23228, 23231, 23232, 23234, 23235, 23236, 23237, 23238, 23240, 23241, 23249, 23260, 23261, 23269, 23273, 23274, 23276, 23278, 23279, 23282, 23284, 23285, 23286, 23289, 23290, 23291,23293, 23295, 22546, 23005, 23009, 23011, 23015, 23030, 23039, 23047, 23058, 23059, 23060, 23069, 23075, 23086, 23089, 23102, 23103, 23106, 23111, 23116, 23150, 23162, 23192, 23218, 23219, 23220, 23222, 23223, 23229, 23230, 23233, 23242, 23250, 23255, 23288, 23801, 23803, 23804, 23805, 23806,23830, 23831, 23832, 23833, 23834, 23836, 23838, 23840, 23841, 23842, 23850 ,23860, 23875, 23882, 23885 | not reported | not reported | not reported | not reported | 2017: 222 |
| Riverside PACE Newport News | Riverside Health Systems | Riverside Health Systems | 23601, 23602, 23603, 23604, 23605, 23606, 23607 23608, 23651, 23662, 23663, 23665, 23666, 23669, 23692 23693, 23696 | not reported | not reported | not reported | not reported | 2017: 242 |
| Sentara Life Care PACE - Churchland | not reported | unmatched | 23320, 23321, 23322, 23323, 23324, 23325, 23432, 23433,23434, 23435, 23436, 23437, 23438, 23451, 23452, 23453, 23454, 23455, 23456 | not reported | not reported | not reported | not reported | 2016: 103 |
| Sentara Life Care PACE - Virginia Beach | not reported | unmatched | 23457, 23459, 23460, 23461, 23462, 23463, 23464, 23502, 23503, 23504, 23505, 23507, 23508, 23509, 23510, 23511, 23513, 23517, 23518, 23521, 23523, 23529, 23701, 23702, 23703, 23704, 23707, 23709 | not reported | not reported | not reported | not reported | 2016: 142 |
| Sentara Pace Churchland | Sentara | Sentara | 23320, 23321, 23322, 23323, 23324, 23325, 23432, 23433,23434, 23435, 23436, 23437, 23438, 23451, 23452, 23453, 23454, 23455, 23456 | not reported | not reported | not reported | not reported | 2017: 95 |
| Sentara Pace Norfolk | Sentara | Sentara | 23457, 23459, 23460, 23461, 23462, 23463, 23464, 23502, 23503, 23504, 23505, 23507, 23508, 23509, 23510, 23511, 23513, 23517, 23518, 23521, 23523, 23529, 23701, 23702, 23703, 23704, 23707, 23709 | not reported | not reported | not reported | not reported | 2017: 161 |
| Sentara Senior Community Care - Norfolk | Sentara Healthcare | Sentara Healthcare | Chesapeake city, Norfolk city, Suffolk city, and Virginia Beach city | not reported | not reported | not reported | not reported | 2021: 131 |
| Sentara Senior Community Care - Portsmouth | Sentara Healthcare | Sentara Healthcare | Chesapeake city, Portsmouth city, and Suffolk city | not reported | not reported | not reported | not reported | 2021: 80 |
| Sentara Senior Community Care | Sentara Senior Community Care | Sentara Senior Community Care | 23320, 23451, 23321, 23452, 23322, 23453, 23323, 23454, 23324, 23455, 23325, 23456, 23432, 23457, 23433, 23459, 23434, 23460, 23435, 23461, 23436, 23462, 23437, 23463, 23438, 23464, 23701, 23502, 23702, 23503, 23703, 23504, 23704, 23505, 23707, 23507, 23709, 23508, 23314, 23509, 23315, 23510, 23430, 23511, 23487, 23513, 23846, 23517, 23851, 23518, 23883, 23521, 23898, 23523, 23529 | not reported | not reported | not reported | not reported | 2020: 235 |
Program of All-Inclusive Care for the Elderly (PACE)
Program of All-Inclusive Care for the Elderly (PACE) 12
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| All Care for Seniors | Appalachian Agency for Senior Citizens | Appalachian Agency for Senior Citizens | 24217, 24220, 24224, 24225, 24226, 24228, 24237, 24239, 24256, 24260, 24266, 24269, 24272, 24280, 24377, 24601, 24602, 24603, 24604, 24605, 24606, 24607, 24608, 24609, 24612, 24613, 24614, 24619, 24620, 24622, 24624, 24627, 24628, 24630, 24631, 24634, 24635, 24637, 24639, 24640, 24641, 24646, 24647, 24649, 24651, 24656, 24657, 24658 | not reported | not reported | not reported | not reported | 2022: 97 |
| Centra PACE Farmville | Centra Health | Centra Health | 23002, 23004, 23027, 23040, 23083, 23123, 23824, 23894, 23901, 23909, 23921, 23922, 23923, 23930, 23934, 23936, 23937, 23939, 23941, 23942, 23943, 23947, 23952, 23954, 23955, 23958, 23959, 23960, 23963, 23966, 23974, 23976, 24599 | not reported | not reported | not reported | not reported | 2022: 86 |
| Centra PACE Gretna | Centra Health | Centra Health | 24054, 24055, 24069, 24078, 24082, 24089, 24102, 24104, 24112, 24137, 24139, 24146, 24148, 24161, 24165, 24168, 24517, 24527, 24528, 24530, 24531, 24540, 24541, 24549, 24557, 24563, 24565, 24566, 24569, 24571, 24586, 24594, 24133, 24176, 24543, 24576 | not reported | not reported | not reported | not reported | 2022: 68 |
| Centra PACE Lynchburg | Centra Health | Centra Health | 24501, 24502, 24503, 24504, 24521, 24522, 24523, 24536, 24538, 24550, 24551, 24553, 24554, 24556, 24570, 24572, 24574, 24588, 24593 | not reported | not reported | not reported | not reported | 2022: 134 |
| Cherry Blossom PACE | ConcertoCare of Northern Virginia | ConcertoCare of Northern Virginia | 22003, 22015, 22027, 22030, 22031, 22032, 22041, 22042, 22043, 22044, 22046, 22079, 22101, 22102, 22124, 22150, 22151, 22152, 22153, 22180, 22181, 22182, 22201, 22202, 22203, 22204, 22205, 22206, 22207, 22209, 22211, 22213, 22301, 22302, 22303, 22304, 22305, 22310, 22311, 22312, 22314, 22315 | not reported | not reported | not reported | not reported | 2022: 12 |
show all 12
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| InnovAge Blue Ridge | InnovAge | InnovAge | 22901, 22902, 22903, 22904, 22911, 22920, 22922, 22923, 22931, 22932, 22935, 22936, 22937, 22938, 22940, 22942, 22943, 22946, 22947, 22949, 22958, 22959, 22963, 22964, 22967, 22968, 22969, 22971, 22973, 22974, 22976, 23022, 23024, 23055, 23065, 23084, 23093, 23117, 24464, 24562, 24590 | not reported | not reported | not reported | not reported | 2022: 233 |
| InnovAge PACE - Richmond | InnovAge | InnovAge | 22546, 23005, 23009, 23011, 23015, 23030, 23039, 23047, 23058, 23059, 23060, 23069, 23075, 23086, 23089, 23102, 23103, 23106, 23111, 23116, 23150, 23162, 23192, 23218,23219, 23220, 23222, 23223, 23229, 23230, 23233, 23242, 23250, 23255, 23288, 23801, 23803, 23804, 23805, 23806, 23830, 23831, 23832, 23833, 23834, 23836, 23838, 23840, 23841, 23842, 23850, 23860, 23875, 23882, 23885, 23112, 23113, 23114, 23120, 23124, 23129, 23139, 23140, 23141, 23146, 23173, 23181, 23221, 23224, 23225, 23226, 23227, 23228, 23231, 23232, 23234, 23235, 23236, 23237, 23238, 23240, 23241, 23249, 23260, 23261, 23269, 23273, 23274, 23276, 23278, 23279, 23282, 23284, 23285, 23286, 23289, 23290, 23291, 23293, 23295 | not reported | not reported | not reported | not reported | 2022: 262 |
| InnovAge Roanoke Valley | InnovAge | InnovAge | 24011, 24012, 24013, 24014, 24015, 24016, 24017, 24018, 24019, 24020, 24059, 24060, 24064, 24065, 24066, 24067, 24070, 24073, 24077, 24079, 24083, 24087, 24090, 24092, 24095, 24101, 24121, 24122, 24138, 24149, 24151, 24153, 24162, 24174, 24175, 24176, 24179, 24184 | not reported | not reported | not reported | not reported | 2022: 220 |
| InnovAge Virginia PACE - Peninsula | InnovAge | InnovAge | 23602, 23603, 23604, 23606, 23608, 23692, 23693, 23696, 23601, 23605, 23607, 23651, 23661, 23662, 23663, 23664, 23665, 23666, 23669 | not reported | not reported | not reported | not reported | 2022: 225 |
| Mountain Empire PACE | Mountain Empire Older Citizens, Inc. | Mountain Empire Older Citizens, Inc. | 24215, 24216, 24218, 24219, 24221, 24230, 24243, 24244, 24245, 24246, 24248, 24250, 24251, 24258, 24263, 24265, 24271, 24273, 24277, 24279, 24281, 24282, 24283, 24290, 24293 | not reported | not reported | not reported | not reported | 2022: 85 |
| Sentara PACE - Churchland | Sentara Health Plans | Sentara Health Plans | 23320, 23321, 23322, 23323, 23324, 23325, 23432, 23433, 23434, 23435, 23436, 23437, 23438, 23701, 23702, 23703, 23704, 23707, 23709, 23314, 23315, 23430, 23487, 23846, 23851, 23883, 23898 | not reported | not reported | not reported | not reported | 2022: 84 |
| Sentara PACE - Norfolk | Sentara Health Plans | Sentara Health Plans | 23451, 23452, 23453, 23454, 23455, 23456, 23457, 23459, 23460, 23461, 23462, 23463, 23464, 23502, 23503, 23504, 23505, 23507, 23508, 23509, 23510, 23511, 23513, 23517,23518, 23521, 23523, 23529 | not reported | not reported | not reported | not reported | 2022: 140 |
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)
| Plan | Parent | Program | Appeals resolved | In favor of enrollee | Appeal rate | Grievances resolved | Medicaid enrollment share | Managed care enrollment share |
|---|---|---|---|---|---|---|---|---|
| Aetna Better Health of Virginia | CVS/Aetna | Cardinal Care | 1,113 | not reported | not reported | 2,932 | 14.1% | 15.8% |
| Anthem Healthkeepers Plus | Elevance | Cardinal Care | 4,616 | not reported | not reported | 3,370 | 29.4% | 32.8% |
| Molina Healthcare | Molina | Cardinal Care | 910 | not reported | not reported | 2,813 | 7.1% | 7.9% |
| Sentara Community Plan | Sentara Health Plans | Cardinal Care | 4,230 | not reported | not reported | 724 | 28.9% | 32.3% |
| United Healthcare Community PLan | UnitedHealth | Cardinal Care | 740 | not reported | not reported | 841 | 11.8% | 13.1% |
Sanctions (2024)
Sanctions (2024) 37
| Plan | Parent | Topic | Date | Corrective action plan | Remediation status |
|---|---|---|---|---|---|
| Aetna Better Health of Virginia | CVS/Aetna | Timely access | 2024-06-06 | No | Yes, remediated |
| Aetna Better Health of Virginia | CVS/Aetna | Reporting | 2024-05-03 | No | Yes, remediated |
| Aetna Better Health of Virginia | CVS/Aetna | Reporting | 2024-03-15 | No | Yes, remediated |
| Aetna Better Health of Virginia | CVS/Aetna | Timely access | 2024-03-11 | No | Yes, remediated |
| Anthem Healthkeepers Plus | Elevance | Timely access | 2024-06-07 | No | Yes, remediated |
show all 37
| Plan | Parent | Topic | Date | Corrective action plan | Remediation status |
|---|---|---|---|---|---|
| Anthem Healthkeepers Plus | Elevance | Other, specify (Screenings) | 2024-06-12 | No | Yes, remediated |
| Anthem Healthkeepers Plus | Elevance | False information | 2024-05-03 | No | Yes, remediated |
| Anthem Healthkeepers Plus | Elevance | Other, specify (PHI breach) | 2024-05-03 | No | Yes, remediated |
| Anthem Healthkeepers Plus | Elevance | Reporting | 2024-05-03 | No | Yes, remediated |
| Anthem Healthkeepers Plus | Elevance | Financial issues | 2024-02-23 | No | Yes, remediated |
| Molina Healthcare | Molina | Timely access | 2024-06-07 | No | Yes, remediated |
| Molina Healthcare | Molina | Financial issues | 2024-04-08 | No | Yes, remediated |
| Molina Healthcare | Molina | Financial issues | 2024-02-23 | No | Yes, remediated |
| Molina Healthcare | Molina | Financial issues | 2024-06-07 | Yes | Yes, remediated |
| Molina Healthcare | Molina | Timely access (N/A) | 2024-06-07 | No | Yes, remediated |
| Sentara Community Plan | Sentara Health Plans | Timely access | 2024-02-01 | No | Yes, remediated |
| Sentara Community Plan | Sentara Health Plans | Reporting | 2024-02-22 | No | Yes, remediated |
| Sentara Community Plan | Sentara Health Plans | Reporting | 2024-02-29 | No | Yes, remediated |
| Sentara Community Plan | Sentara Health Plans | Other, specify (subcontract approval) | 2024-03-04 | No | Yes, remediated |
| Sentara Community Plan | Sentara Health Plans | Timely access | 2024-04-08 | No | Yes, remediated |
| Sentara Community Plan | Sentara Health Plans | Timely access | 2024-04-01 | No | Yes, remediated |
| Sentara Community Plan | Sentara Health Plans | Other, specify (PHI Breach) | 2024-04-01 | No | Yes, remediated |
| Sentara Community Plan | Sentara Health Plans | Timely access | 2024-05-01 | No | Yes, remediated |
| Sentara Community Plan | Sentara Health Plans | Reporting | 2024-05-01 | No | Yes, remediated |
| Sentara Community Plan | Sentara Health Plans | Reporting | 2024-05-01 | No | Yes, remediated |
| Sentara Community Plan | Sentara Health Plans | Reporting | 2024-05-13 | No | Yes, remediated |
| Sentara Community Plan | Sentara Health Plans | Reporting | 2024-06-21 | No | Yes, remediated |
| Sentara Community Plan | Sentara Health Plans | Timely access | 2024-06-01 | No | Yes, remediated |
| Sentara Community Plan | Sentara Health Plans | Other, specify (Screenings) | 2024-06-14 | No | Yes, remediated |
| United Healthcare Community PLan | UnitedHealth | Reporting | 2023-10-31 | No | Yes, remediated |
| United Healthcare Community PLan | UnitedHealth | Reporting | 2024-03-11 | No | Yes, remediated |
| United Healthcare Community PLan | UnitedHealth | Financial issues | 2024-04-01 | No | Yes, remediated |
| United Healthcare Community PLan | UnitedHealth | Financial issues | 2024-04-01 | No | Yes, remediated |
| United Healthcare Community PLan | UnitedHealth | Reporting | 2024-05-01 | No | Yes, remediated |
| United Healthcare Community PLan | UnitedHealth | Timely access | 2024-06-01 | No | Yes, remediated |
| United Healthcare Community PLan | UnitedHealth | Timely access | 2024-03-11 | No | Yes, remediated |
| United Healthcare Community PLan | UnitedHealth | Other, specify (Screenings) | 2024-06-13 | No | Yes, remediated |
Award history
- Cardinal Care Managed Care (CCMC) incl. Foster Care Specialty Plan RFP 13330: upheld. Cardinal Care Managed Care (CCMC) incl. Foster Care Specialty Plan (RFP 13330). Status recorded from the retrieved documents: upheld. Named awardees in confirmed excerpts: Aetna Better Health of Virginia, Anthem HealthKeepers, Humana Healthy Horizons of Virginia, Sentara Health Plans, UnitedHealthcare Community Plan. Notice date 2024-04-01. Contract start 2025-07-01.
Retrieved 2026-11-03. Sources and scores
Early procurement signals
No official early-procurement document has been retrieved for this state. This is not a finding that no signal exists. Early signals
Contract amendments
No official Medicaid managed-care contract amendment has been retrieved for this state. This is not a finding that no amendment exists. Contract amendments
Medicaid policy
Indiana rows are official policy instruments. Other states show only Federal Register notices of hearings on SPA disapprovals, which are a narrow slice and not waiver or SPA coverage.
Federal Register notices of hearings on SPA disapprovals are read from the Federal Register JSON API. That covers no approved SPAs, waivers, or section 1115 demonstrations.
Coverage not_collected.
No official Medicaid managed-care policy instrument has been retrieved for this state. This is not a finding that no waiver, state plan amendment, or rule exists. Medicaid policy
Federal Register SPA disapproval hearing notices (2015 or later): 0
Plan financials
No official Medicaid plan financial filing has been retrieved for this state. This is not a finding that no filing exists, and it is not a zero. Plan financials. Coverage: not_collected.
Federal compliance deadlines
Cited federal Medicaid managed care deadlines, with the Federal Register citation, the effective date, the compliance date, and the plan obligation.