WA MEDICAID MARKET
Washington
monitoring
No current verified market signal.
Last verified: unavailable
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 40
| Parent | Plan | Programs | Latest CMS enrollment | Share | MCPAR operations |
|---|---|---|---|---|---|
| not reported | BHO | not reported | 1,814,599 (2017) | 100.0% calculated | not reported |
| not reported | BHO | not reported | 1,622,267 (2019) | 100.0% calculated | not reported |
| Centene | Coordinated Care of Washington | not reported | 23,474 (2024) | 16.8% calculated | 3 sanctions, 1,665 appeals resolved |
| not reported | Community Health Care Plan of WA | not reported | 4,813 (2018) | 30.7% calculated | not reported |
| not reported | Community Health Plan | not reported | 252,143 (2024) | 15.2% calculated | not reported |
show all 40
| Parent | Plan | Programs | Latest CMS enrollment | Share | MCPAR operations |
|---|---|---|---|---|---|
| not reported | Community Health Plan of WA | not reported | 3,500 (2019) | 22.2% calculated | not reported |
| Community Health Plan of Washington | Community Health Plan of Washington | not reported | 27,704 (2024) | 19.8% calculated | 3 sanctions, 5,076 appeals resolved |
| Elevance | Amerigroup | not reported | 27,579 (2024) | 19.7% calculated | 7 sanctions, 1,003 appeals resolved |
| Elevance | Amerigroup | not reported | 126,669 (2018) | 9.8% calculated | not reported |
| Molina | Molina | not reported | 601,412 (2017) | 43.1% calculated | not reported |
| Molina | Molina Health Care | not reported | 5,322 (2017) | 52.5% calculated | not reported |
| Molina | Molina Health Care | not reported | 32,295 (2018) | 38.4% calculated | not reported |
| Molina | Molina Health Care | not reported | 46,033 (2023) | 29.0% calculated | not reported |
| Molina | Molina Health Care of Washington | not reported | 569,871 (2018) | 43.9% calculated | not reported |
| Molina | Molina Health Care of Washington | not reported | 927,205 (2023) | 57.1% calculated | not reported |
| Molina | Molina Healthcare | not reported | 39,061 (2024) | 27.9% calculated | not reported |
| Molina | Molina Healthcare of Washington | not reported | 837,457 (2024) | 50.4% calculated | 4 sanctions, 4,568 appeals resolved |
| not reported | Providence Elder Place | not reported | 787 (2019) | 100.0% calculated | not reported |
| UnitedHealth | United Health Care | not reported | 241,754 (2022) | 14.6% calculated | not reported |
| UnitedHealth | United Health Care | not reported | 201,693 (2018) | 15.5% calculated | not reported |
| UnitedHealth | United Healthcare | not reported | 233,194 (2023) | 14.3% calculated | not reported |
| UnitedHealth | UnitedHealthcare | not reported | 22,234 (2024) | 15.9% calculated | 5 sanctions, 2,099 appeals resolved |
| not reported | Amerigroup | not reported | 137,298 (2016) | 10.2% calculated | not reported |
| not reported | Community Health Plan of WA | not reported | 18,069 (2016) | 17.4% calculated | not reported |
| not reported | Community Health Plan of Washington | not reported | 6,544 (2016) | 44.3% calculated | not reported |
| not reported | Coordinated Care of Washington | not reported | 11,701 (2016) | 14.1% calculated | not reported |
| not reported | Molina | not reported | 551,096 (2016) | 40.9% calculated | not reported |
| not reported | Molina Health Care | not reported | 85,724 (2016) | 82.6% calculated | not reported |
| not reported | Multiple Primary Care Providers | not reported | 9,082 (2016) | 100.0% calculated | not reported |
| not reported | Multiple Primary Care Providers | not reported | 1,846 (2024) | 100.0% calculated | not reported |
| not reported | Multiple Primary Care Providers | not reported | 5,186 (2018) | 100.0% calculated | not reported |
| not reported | Multiple Regional Support Networks | not reported | 1,820,084 (2016) | 100.0% calculated | not reported |
| not reported | Multiple Sites | not reported | 21,412 (2016) | 100.0% calculated | not reported |
| not reported | Multiple Sites | not reported | 7,137 (2024) | 100.0% calculated | not reported |
| not reported | Multiple Transportation Brokers | not reported | 1,820,084 (2016) | 100.0% calculated | not reported |
| not reported | Multiple Transportation Brokers | not reported | 2,008,655 (2021) | 100.0% calculated | not reported |
| not reported | PACE | not reported | 1,538 (2024) | 100.0% calculated | not reported |
| not reported | Providence Elder Place | not reported | 568 (2016) | 100.0% calculated | not reported |
| not reported | Providence Elder Place | not reported | 670 (2018) | 100.0% calculated | not reported |
| not reported | United Health Care | not reported | 203,278 (2016) | 15.1% 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.
Apple Health (Comprehensive MCO)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Amerigroup | Amerigroup, Inc. | Elevance | Adams, Asotin, Benton, Chelan, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima | not reported | not reported | not reported | not reported | 2018: 126,669 |
| Community Health Plan of Washington | Community Health Plan of Washington | Community Health Plan of Washington | Adams, Asotin, Benton, Chelan, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima. | not reported | not reported | not reported | not reported | 2018: 226,519 |
| Coordinated Care of Washington | Coordinated Care of Washington | Centene | Adams, Asotin, Benton, Chelan, Columbia, Douglas, Franklin, Grant, Island, Jefferson, King, Kitsap, Kittitas, Lewis, Lincoln, Mason, Okanogan, Pacific, Pierce, San Juan, Skagit, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima. | not reported | not reported | not reported | not reported | 2018: 173,341 |
| Molina Health Care of Washington | Molina Healthcare | Molina | Adams, Asotin, Benton, Chelan, Clallam, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima | not reported | not reported | not reported | not reported | 2018: 569,871 |
| United Health Care | UnitedHealthcare | UnitedHealth | Adams, Asotin, Benton, Chelan, Clallam, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Lewis, Lincoln, Mason, Okanogan, Pacific, Pierce, Skagit, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima | not reported | not reported | not reported | not reported | 2018: 201,693 |
Apple Health (Program Includes, AHAC, CHIP, HOFC, BHSO & HO) (Comprehensive MCO)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Amerigroup | Amerigroup | Elevance | Adams, Asotin, Benton, Chelan, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima | not reported | not reported | not reported | not reported | 2019: 25,916 |
| Community Health Plan of Washington | Community Health Plan of Washington | Community Health Plan of Washington | Adams, Asotin, Benton, Clark, Columbia, Cowlitz, Ferry, Franklin, Garfield, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Pacific, Pend Oreille, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima | not reported | not reported | not reported | not reported | 2019: 36,561 |
| Coordinated Care of Washington | Coordinated Care of Washington | Centene | Asotin, Benton, Chelan, Columbia, Cowlitz, Douglas, Franklin, Garfield, Grant, Island, Jefferson, King, Kitsap, Kittitas, Lewis, Mason, Okanogan, Pacific, Pierce, San Juan, Skagit, Snohomish, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima | not reported | not reported | not reported | not reported | 2019: 37,609 |
| Molina Health Care of Washington | Molina Health Care of Washington | Molina | Adams, Asotin, Benton, Chelan, Clallam, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima | not reported | not reported | not reported | not reported | 2019: 91,528 |
| United Health Care | United Health Care | UnitedHealth | Cowlitz, Grays Harbor, Island, Jefferson, King, Kitsap, Lewis, Mason, Pacific, Pierce, San Juan, Skagit, Snohomish, Thurston, Wahkiakum, Whatcom | not reported | not reported | not reported | not reported | 2019: 24,665 |
Apple Health (Program includes, AHAC, CHIP, HOFC, & HO) (Comprehensive MCO)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Amerigroup | not reported | unmatched | Adams, Asotin, Benton, Chelan, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, WalllaWalla, Whatcom, Whitman, Yakima. | not reported | not reported | not reported | not reported | 2016: 137,298 |
| Community Health Plan of Washington | not reported | unmatched | Adams, Asotin, Benton, Chelan, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, WalllaWalla, Whatcom, Whitman, Yakima. | not reported | not reported | not reported | not reported | 2016: 262,844 |
| Coordinated Care of Washington | not reported | unmatched | Adams, Asotin, Benton, Chelan, Columbia, Douglas, Franklin, Grant, Island, Jefferson, King, Kitsap, Kittitas, Lewis, Lincoln, Mason, Pacific, Pierce, San Juan, Skagit, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, WalllaWalla, Whatcom, Whitman, Yakima. | not reported | not reported | not reported | not reported | 2016: 193,988 |
| Molina | not reported | unmatched | Adams, Asotin, Benton, Chelan, Clallam, Clark,Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, WalllaWalla, Whatcom, Whitman, Yakima. | not reported | not reported | not reported | not reported | 2016: 551,096 |
| United Health Care | not reported | unmatched | Adams, Asotin, Benton, Chelan, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Lewis, Lincoln, Mason, Okanogan, Pacific, Pierce, Skagit, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, WalllaWalla, Whatcom, Whitman, Yakima. | not reported | not reported | not reported | not reported | 2016: 203,278 |
Apple Health (Program includes, AHAC, CHIP,HOFC, HO) (Comprehensive MCO)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Amerigroup | Amerigroup | Elevance | Adams, Asotin, Benton, Chelan, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima. | not reported | not reported | not reported | not reported | 2017: 136,546 |
| Community Health Plan of Washington | Community Health Plan of Washington | Community Health Plan of Washington | Adams, Asotin, Benton, Chelan, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima. | not reported | not reported | not reported | not reported | 2017: 253,393 |
| Coordinated Care of Washington | Coordinated Care of Washington | Centene | Adams, Asotin, Benton, Chelan, Columbia, Douglas, Franklin, Grant, Island, Jefferson, King, Kitsap, Kittitas, Lewis, Lincoln, Mason, Okanogan, Pacific, Pierce, San Juan, Skagit, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima. | not reported | not reported | not reported | not reported | 2017: 193,164 |
| Molina | Molina | Molina | Adams, Asotin, Benton, Chelan, Clallam, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima. | not reported | not reported | not reported | not reported | 2017: 601,412 |
| United Health Care | United Health Care | UnitedHealth | Adams, Asotin, Benton, Chelan, Clallam, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Lewis, Lincoln, Mason, Okanogan, Pacific, Pierce, Skagit, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima. | not reported | not reported | not reported | not reported | 2017: 210,195 |
Apple Health/Healthy Options Health Home Program (Comprehensive MCO)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Multiple Sites | Multiple Sites | unmatched | Adams, Asotin, Benton, Chelan, Clallam, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Snohomish, Skagit, Skamania, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima. | not reported | not reported | not reported | not reported | 2017: 20,832 |
| Multiple Sites | Multiple Sites | unmatched | Adams, Asotin, Benton, Chelan, Clallam, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Snohomish, Skagit, Skamania, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima | not reported | not reported | not reported | not reported | 2018: 22,412 |
| Multiple Sites | not reported | unmatched | Adams, Asotin, Benton, Chelan, Clallam, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Spokane, Stevens, Thurston, Wahkiakum, WalllaWalla, Whatcom, Whitman, Yakima. | not reported | not reported | not reported | not reported | 2016: 21,412 |
Apple Health/Healthy Options Health Home Program (Other Prepaid Health Plan (PHP) (limited benefits))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Multiple Sites | Multiple Sites | unmatched | Adams, Asotin, Benton, Chelan, Clallam, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima | not reported | not reported | not reported | not reported | 2019: 14,298 |
| Multiple Sites | Multiple Sites | unmatched | Adams, Asotin, Benton, Chelan, Clallam, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, and Yakima counties | not reported | not reported | not reported | not reported | 2020: 12,761; 2021: 12,950 |
Apple Health/Healthy Options Health Homes Program (Comprehensive MCO)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Multiple Sites | Multiple Sites | unmatched | Adams, Asotin, Benton, Chelan, Clallam, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima | CMS reported 7,137 (2024) | 100.0% | -2,361 (-24.9%) | 0.0 pts | 2023: 9,498; 2024: 7,137 |
| Multiple Sites | Multiple Sites | unmatched | Adams, Asotin, Benton, Chelan, Clallam, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, and Yakima | not reported | not reported | not reported | not reported | 2022: 11,852 |
BHSO (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 |
|---|---|---|---|---|---|---|---|---|
| Community Health Plan of Washington | Community Health Plan of Washington | Community Health Plan of Washington | Statewide | not reported | not reported | not reported | not reported | 2022: 33,318 |
| Coordinated Care of Washington | Coordinated Care of Washington | Centene | Statewide | not reported | not reported | not reported | not reported | 2022: 27,815 |
| Molina Health Care | Molina Health Care | Molina | Statewide | not reported | not reported | not reported | not reported | 2022: 54,201 |
| United Health Care | United Health Care | UnitedHealth | Regions: North Sound, King, Pierce, Southwest, Salish, Thurston-Mason, Great Rivers | not reported | not reported | not reported | not reported | 2022: 29,545 |
Behavioral Health Services Only (BHO only (PIHP and/or PAHP))
Behavioral Health Services Only (BHO only (PIHP and/or PAHP)) 6
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Amerigroup | Amerigroup | Elevance | Statewide | CMS reported 27,579 (2024) | 19.7% | -4,271 (-13.4%) | -0.4 pts | 2023: 31,850; 2024: 27,579 |
| Community Health Plan of Washington | Community Health Plan of Washington | Community Health Plan of Washington | Statewide | CMS reported 27,704 (2024) | 19.8% | -2,207 (-7.4%) | +0.9 pts | 2023: 29,911; 2024: 27,704 |
| Coordinated Care of Washington | Coordinated Care of Washington | Centene | Statewide | CMS reported 23,474 (2024) | 16.8% | -1,565 (-6.3%) | +1.0 pts | 2023: 25,039; 2024: 23,474 |
| Molina Health Care | Molina Health Care | Molina | Statewide | not reported | not reported | not reported | not reported | 2023: 46,033 |
| Molina Healthcare | Molina Healthcare | Molina | Statewide | CMS reported 39,061 (2024) | 27.9% | not reported | not reported | 2024: 39,061 |
show all 6
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| UnitedHealthcare | UnitedHealthcare | UnitedHealth | Regions: North Sound, King, Pierce, Southwest, Salish, Thurston-Mason, Great Rivers | CMS reported 22,234 (2024) | 15.9% | -3,403 (-13.3%) | -0.3 pts | 2023: 25,637; 2024: 22,234 |
Behavioral Health Services Only (BHSO) (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 |
|---|---|---|---|---|---|---|---|---|
| Amerigroup | Amerigroup | Elevance | Statewide | not reported | not reported | not reported | not reported | 2022: 38,101 |
Behavioral Health Services Only (BHSO) (Behavioral Health Organization (BHO) only (PIHP and/or PAHP))
Behavioral Health Services Only (BHSO) (Behavioral Health Organization (BHO) only (PIHP and/or PAHP)) 23
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Amerigroup | Amerigroup, Inc. | Elevance | Grant, Chelan, Douglas | not reported | not reported | not reported | not reported | 2018: 1,398 |
| Amerigroup | Amerigroup | Elevance | Adams, Asotin, Benton, Chelan, Clallam, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, and Yakima counties | not reported | not reported | not reported | not reported | 2020: 33,728 |
| Amerigroup | Amerigroup | Elevance | Adams, Asotin, Benton, Chelan, Clark, Columbia, Douglas, Ferry, Franklin, Garfield, Grant, Island, King, Kittitas, Klickitat, Lincoln, Okanogan, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Walla Walla, Whatcom, Whitman, Yakima | not reported | not reported | not reported | not reported | 2019: 25,873 |
| Amerigroup | Amerigroup | Elevance | Statewide | not reported | not reported | not reported | not reported | 2021: 36,434 |
| Community Health Care Plan of WA | Community Health Care Plan of Washington | Community Health Care Plan of Washington | Chelan, Clark, Douglas, Grant, Skamania | not reported | not reported | not reported | not reported | 2018: 4,813 |
show all 23
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Community Health Plan of Washington | Community Health Plan of Washington | Community Health Plan of Washington | Adams, Asotin, Benton, Clark, Columbia, Ferry, Franklin, Garfield, Island, King, Kittitas, Klickitat, Lincoln, Pend Oreille, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Walla Walla, Whatcom, Whitman, Yakima | not reported | not reported | not reported | not reported | 2019: 24,382 |
| Community Health Plan of Washington | Community Health Plan of Washington | Community Health Plan of Washington | Adams, Asotin, Benton, Clark, Columbia, Ferry, Franklin, Garfield, Island, King, Kittitas, Klickitat, Lincoln, Pend Oreille, San Juan, Skagit, Snohomish, Skamania, Spokane, Stevens, Walla Walla, Whatcom, Whitman, and Yakima counties | not reported | not reported | not reported | not reported | 2020: 24,870 |
| Community Health Plan of Washington | Community Health Plan of Washington | Community Health Plan of Washington | Clark and Skamania | not reported | not reported | not reported | not reported | 2017: 4,809 |
| Community Health Plan of Washington | Community Health Plan of Washington | Community Health Plan of Washington | Statewide | not reported | not reported | not reported | not reported | 2021: 29,353 |
| Community Health Plan of Washington | not reported | unmatched | Clark and Skamania Counties | not reported | not reported | not reported | not reported | 2016: 6,544 |
| Coordinated Care of Washington | Coordinated Care of Washington | Centene | Asotin, Benton, Chelan, Columbia, Douglas, Franklin, Garfield, Grant, Island, King, Kittitas, Okanogan, Pierce, San Juan, Skagit, Snohomish, Thurston, Walla Walla, Whatcom, Whitman, Yakima | not reported | not reported | not reported | not reported | 2019: 21,436 |
| Coordinated Care of Washington | Coordinated Care of Washington | Centene | Asotin, Benton, Chelan, Columbia, Douglas, Franklin, Garfield, Grant, Island, King, Kittitas, Okanogan, Pierce, San Juan, Skagit, Snohomish, Walla Walla, Whatcom, Whitman, and Yakima counties | not reported | not reported | not reported | not reported | 2020: 21,861 |
| Coordinated Care of Washington | Coordinated Care of Washington | Centene | Grant, Chelan, Douglas | not reported | not reported | not reported | not reported | 2018: 2,381 |
| Coordinated Care of Washington | Coordinated Care of Washington | Centene | Statewide | not reported | not reported | not reported | not reported | 2021: 24,545 |
| Molina Health Care of Washington | Molina Health Care of Washington | Molina | Adams, Asotin, Benton, Chelan, Clark, Columbia, Douglas, Ferry, Franklin, Garfield, Grant, Island, King, Kittitas, Klickitat, Lincoln, Okanogan, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Walla Walla, Whatcom, Whitman, Yakima | not reported | not reported | not reported | not reported | 2019: 32,002 |
| Molina Health Care | Molina Health Care | Molina | Adams, Asotin, Benton, Chelan, Clallam, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, and Yakima counties | not reported | not reported | not reported | not reported | 2020: 42,456 |
| Molina Health Care | Molina Health Care | Molina | Statewide | not reported | not reported | not reported | not reported | 2021: 48,817 |
| Molina Health Care | Molina Healthcare | Molina | Chelan, Clark, Douglas, Grant, Skamania | not reported | not reported | not reported | not reported | 2018: 7,081 |
| Molina Health Care | Molina | Molina | Clark and Skamania | not reported | not reported | not reported | not reported | 2017: 5,322 |
| Molina Health Care | not reported | unmatched | Clark and Skamania Counties | not reported | not reported | not reported | not reported | 2016: 8,234 |
| United Health Care | United Health Care | UnitedHealth | Clallam, Cowlitz, Grays Pacific, Harbor, Island, Jefferson, Juan, King, Kitsap, Lewis, Mason, Pierce, San Skagit, Snohomish, Thurston, Wahkiakum, and Whatcom counties | not reported | not reported | not reported | not reported | 2020: 24,591 |
| United Health Care | United Health Care | UnitedHealth | Island, King, Pierce, San Juan, Skagit, Snohomish, Thurston, Whatcom | not reported | not reported | not reported | not reported | 2019: 16,724 |
| United Health Care | United Health Care | UnitedHealth | Statewide | not reported | not reported | not reported | not reported | 2021: 27,316 |
FIMC (Comprehensive MCO)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Community Health Plan | Community Health Plan | Community Health Plan | North Sound, Greater Columbia, King, Spokane, and Southwest | not reported | not reported | not reported | not reported | 2022: 245,168 |
| Coordinated Care of Washington | Coordinated Care of Washington | Centene | North Sound, North Central, King, Pierce, and Greater Columbia | not reported | not reported | not reported | not reported | 2022: 208,848 |
| Molina Health Care of Washington | Molina Health Care of Washington | Molina | North Sound, Greater Columbia, King, Pierce, Spokane, North Central, Southwest, Salish, Great Rivers, and Thurston-Mason | not reported | not reported | not reported | not reported | 2022: 962,253 |
| United Health Care | United Health Care | UnitedHealth | King, Pierce, North Sound, Salish, Thurston-Mason, and Great Rivers | not reported | not reported | not reported | not reported | 2022: 241,754 |
Fully Integrated Managed Car (Comprehensive MCO)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Coordinated Care of Washington | Coordinated Care of Washington | Centene | North Sound, North Central, King, Pierce, Greater Columbia | not reported | not reported | not reported | not reported | 2023: 206,596 |
Fully Integrated Managed Care (Comprehensive MCO)
Fully Integrated Managed Care (Comprehensive MCO) 7
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Amerigroup | Amerigroup | Elevance | North Sound, Greater Columbia, King, Pierce, Spokane, North Central, Southwest, Salish, Thurston-Mason, Great Rivers | CMS reported 166,570 (2024) | 10.0% | -41,674 (-20.0%) | -2.8 pts | 2023: 208,244; 2024: 166,570 |
| Community Health Plan | Community Health Plan | Community Health Plan | North Sound, Greater Columbia, King, Spokane, Southwest | CMS reported 252,143 (2024) | 15.2% | -4,264 (-1.7%) | -0.6 pts | 2023: 256,407; 2024: 252,143 |
| Coordinated Care of Washington | Coordinated Care of Washington | Centene | North Sound, North Central, King, Pierce, Greater Columbia | CMS reported 196,657 (2024) | 11.8% | not reported | not reported | 2024: 196,657 |
| Molina Health Care of Washington | Molina Health Care of Washington | Molina | North Sound, Greater Columbia, King, Pierce, Spokane, North Central, Southwest, Salish, Great Rivers, Thurston-Mason | not reported | not reported | not reported | not reported | 2023: 927,205 |
| Molina Healthcare of Washington | Molina Healthcare of Washington | Molina | North Sound, Greater Columbia, King, Pierce, Spokane, North Central, Southwest, Salish, Great Rivers, Thurston-Mason | CMS reported 837,457 (2024) | 50.4% | not reported | not reported | 2024: 837,457 |
show all 7
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| United Healthcare | UnitedHealthcare | UnitedHealth | King, Pierce, North Sound, Salish, Thurston-Mason, Great Rivers | not reported | not reported | not reported | not reported | 2023: 233,194 |
| UnitedHealthcare | UnitedHealthcare | UnitedHealth | King, Pierce, North Sound, Salish, Thurston-Mason, Great Rivers | CMS reported 208,078 (2024) | 12.5% | not reported | not reported | 2024: 208,078 |
Fully Integrated Managed Care (FIMC) (Comprehensive MCO)
Fully Integrated Managed Care (FIMC) (Comprehensive MCO) 19
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Amerigroup | Amerigroup, Inc. | Elevance | Grant, Chelan, Douglas | not reported | not reported | not reported | not reported | 2018: 3,831 |
| Amerigroup | Amerigroup | Elevance | Adams, Asotin, Benton, Chelan, Clallam, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, and Yakima counties | not reported | not reported | not reported | not reported | 2020: 195,743; 2021: 212,459 |
| Amerigroup | Amerigroup | Elevance | North Sound, Greater Columbia, King, Pierce, Spokane, North Central, Southwest, Salish, Thurston Mason, and Great Rivers | not reported | not reported | not reported | not reported | 2022: 223,558 |
| Amerigroup | Amerigroup | Elevance | North Sound, Greater Columbia, King, Pierce, Spokane, North Central, Southwest | not reported | not reported | not reported | not reported | 2019: 139,097 |
| Community Health Plan of WA | not reported | unmatched | Clark and Skamania Counties | not reported | not reported | not reported | not reported | 2016: 18,069 |
show all 19
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Community Health Plan of Washington | Community Health Plan of Washington | Community Health Plan of Washington | Chelan, Clark, Douglas, Grant, Skamania | not reported | not reported | not reported | not reported | 2018: 16,576 |
| Community Health Plan of Washington | Community Health Plan of Washington | Community Health Plan of Washington | Clark and Skamania Counties | not reported | not reported | not reported | not reported | 2017: 18,340 |
| Community Health Plan of Washington | Community Health Plan of Washington | Community Health Plan of Washington | North Sound, Greater Columbia, King, Spokane, Southwest | not reported | not reported | not reported | not reported | 2019: 199,123 |
| Community Health Plan | Community Health Plan | Community Health Plan | Adams, Asotin, Benton, Clark, Columbia, Ferry, Franklin, Garfield, Island, King, Kittitas, Klickitat, Lincoln, Pend Oreille, San Juan, Skagit, Snohomish, Skamania, Spokane, Stevens, Walla Walla, Whatcom, Whitman, and Yakima counties | not reported | not reported | not reported | not reported | 2020: 203,845; 2021: 223,061 |
| Coordinated Care of Washington | Coordinated Care of Washington | Centene | Asotin, Benton, Chelan, Columbia, Douglas, Franklin, Garfield, Grant, Island, King, Kittitas, Okanogan, Pierce, San Juan, Skagit, Snohomish, Walla Walla, Whatcom, Whitman, and Yakima counties | not reported | not reported | not reported | not reported | 2020: 172,296; 2021: 189,779 |
| Coordinated Care of Washington | Coordinated Care of Washington | Centene | Grant, Chelan, Douglas | not reported | not reported | not reported | not reported | 2018: 14,165 |
| Coordinated Care of Washington | Coordinated Care of Washington | Centene | North Sound, North Central, King, Pierce, Greater Columbia | not reported | not reported | not reported | not reported | 2019: 142,624 |
| Molina Health Care of Washington | Molina Health Care of Washington | Molina | Adams, Asotin, Benton, Chelan, Clallam, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, and Yakima counties | not reported | not reported | not reported | not reported | 2020: 836,673; 2021: 920,107 |
| Molina Health Care | Molina Health Care | Molina | North Sound, Greater Columbia, King, Pierce, Spokane, North Central, Southwest | not reported | not reported | not reported | not reported | 2019: 657,627 |
| Molina Health Care | Molina Healthcare | Molina | Chelan, Clark, Douglas, Grant, Skamania | not reported | not reported | not reported | not reported | 2018: 134,248 |
| Molina Health Care | Molina | Molina | Clark and Skamania Counties | not reported | not reported | not reported | not reported | 2016: 85,724; 2017: 89,731 |
| United Health Care | United Health Care | UnitedHealth | Clallam, Cowlitz, Grays Harbor, Island, Jefferson, King, Kitsap, Lewis, Mason, Pacific, Pierce, San Juan, Skagit, Snohomish, Thurston, Wahkiakum, and Whatcom counties | not reported | not reported | not reported | not reported | 2021: 226,270 |
| United Health Care | United Health Care | UnitedHealth | Clallam, Cowlitz, Grays Pacific, Harbor, Island, Jefferson, Juan, King, Kitsap, Lewis, Mason, Pierce, San Skagit, Snohomish, Thurston, Wahkiakum, and Whatcom counties | not reported | not reported | not reported | not reported | 2020: 199,139 |
| United Health Care | United Health Care | UnitedHealth | King, Pierce, North Sound | not reported | not reported | not reported | not reported | 2019: 141,966 |
Healthy Options - Blind Disabled (Comprehensive MCO)
Healthy Options - Blind Disabled (Comprehensive MCO) 20
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Amerigroup | Amerigroup, Inc. | Elevance | Adams, Asotin, Benton, Chelan, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima | not reported | not reported | not reported | not reported | 2018: 10,146 |
| Amerigroup | Amerigroup | Elevance | Adams, Asotin, Benton, Chelan, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima | not reported | not reported | not reported | not reported | 2019: 2,271 |
| Amerigroup | Amerigroup | Elevance | Adams, Asotin, Benton, Chelan, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima. | not reported | not reported | not reported | not reported | 2017: 10,479 |
| Amerigroup | not reported | unmatched | Adams, Asotin, Benton, Chelan, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, WalllaWalla, Whatcom, Whitman, Yakima. | not reported | not reported | not reported | not reported | 2016: 9,703 |
| Community Health Plan of WA | Community Health Plan of WA | Community Health Plan of WA | Adams, Asotin, Benton, Chelan, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima | not reported | not reported | not reported | not reported | 2019: 3,500 |
show all 20
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Community Health Plan of WA | Community Health Plan of WA | Community Health Plan of WA | Adams, Asotin, Benton, Chelan, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima | not reported | not reported | not reported | not reported | 2018: 16,372 |
| Community Health Plan of Washington | Community Health Plan of Washington | Community Health Plan of Washington | Adams, Asotin, Benton, Chelan, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima. | not reported | not reported | not reported | not reported | 2017: 17,414 |
| Community Health Plan of Washington | not reported | unmatched | Adams, Asotin, Benton, Chelan, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, WalllaWalla, Whatcom, Whitman, Yakima. | not reported | not reported | not reported | not reported | 2016: 17,317 |
| Coordinated Care of Washington | Coordinated Care of Washington | Centene | Adams, Asotin, Benton, Chelan, Columbia, Douglas, Franklin, Grant, Island, Jefferson, King, Kitsap, Kittitas, Lewis, Lincoln, Mason, Okanogan, Pacific, Pierce, San Juan, Skagit, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima. | not reported | not reported | not reported | not reported | 2017: 12,205 |
| Coordinated Care of Washington | Coordinated Care of Washington | Centene | Adams, Asotin, Benton, Chelan, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima | not reported | not reported | not reported | not reported | 2019: 1,373 |
| Coordinated Care of Washington | Coordinated Care of Washington | Centene | Adams, Asotin, Benton, Chelan, Columbia, Douglas, Franklin, Grant, Island, Jefferson, King, Kitsap, Kittitas, Lewis, Lincoln, Mason, Okanogan, Pacific, Pierce, San Juan, Skagit, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima | not reported | not reported | not reported | not reported | 2018: 11,465 |
| Coordinated Care of Washington | not reported | unmatched | Adams, Asotin, Benton, Chelan, Columbia, Douglas, Franklin, Grant, Island, Jefferson, King, Kitsap, Kittitas, Lewis, Lincoln, Mason, Pacific, Pierce, San Juan, Skagit, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, WalllaWalla, Whatcom, Whitman, Yakima. | not reported | not reported | not reported | not reported | 2016: 11,701 |
| Molina Health Care of Washington | Molina Health Care of Washington | Molina | Adams, Asotin, Benton, Chelan, Clallam, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima | not reported | not reported | not reported | not reported | 2019: 6,402 |
| Molina Health Care | Molina Healthcare | Molina | Adams, Asotin, Benton, Chelan, Clallam, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima | not reported | not reported | not reported | not reported | 2018: 32,295 |
| Molina Health Care | Molina | Molina | Adams, Asotin, Benton, Chelan, Clallam, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima. | not reported | not reported | not reported | not reported | 2017: 33,755 |
| Molina | not reported | unmatched | Adams, Asotin, Benton, Chelan, Clallam, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, WalllaWalla, Whatcom, Whitman, Yakima. | not reported | not reported | not reported | not reported | 2016: 31,004 |
| United Health Care | United Health Care | UnitedHealth | Adams, Asotin, Benton, Chelan, Clallam, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Lewis, Lincoln, Mason, Okanogan, Pacific, Pierce, Skagit, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima. | not reported | not reported | not reported | not reported | 2017: 14,327 |
| United Health Care | United Health Care | UnitedHealth | Adams, Asotin, Benton, Chelan, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima | not reported | not reported | not reported | not reported | 2019: 2,210 |
| United Health Care | UnitedHealthcare | UnitedHealth | Adams, Asotin, Benton, Chelan, Clallam, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Lewis, Lincoln, Mason, Okanogan, Pacific, Pierce, Skagit, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima | not reported | not reported | not reported | not reported | 2018: 13,890 |
| United Health Care | not reported | unmatched | Adams, Asotin, Benton, Chelan, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Lewis, Lincoln, Mason, Okanogan, Pacific, Pierce, Skagit, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, WalllaWalla, Whatcom, Whitman, Yakima. | not reported | not reported | not reported | not reported | 2016: 13,419 |
NEMT (Non-Emergency Medical Transportation)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Multiple Transportation Brokers | Multiple Transportation Brokers | unmatched | Statewide all counties. | not reported | not reported | not reported | not reported | 2017: 1,824,730 |
| Multiple Transportation Brokers | Multiple Transportation Brokers | unmatched | Statewide | not reported | not reported | not reported | not reported | 2018: 1,781,048; 2019: 1,742,684; 2020: 1,830,122; 2021: 2,008,655 |
NEMT Program (Non-Emergency Medical Transportation)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Multiple Transportation Brokers | not reported | unmatched | Statewide (all 39 counties) | not reported | not reported | not reported | not reported | 2016: 1,820,084 |
PACE (MLTSS) (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 |
|---|---|---|---|---|---|---|---|---|
| Providence Elder Place | not reported | unmatched | King County | not reported | not reported | not reported | not reported | 2016: 568 |
PACE (PACE)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| PACE | PACE | unmatched | Statewide | CMS reported 1,538 (2024) | 100.0% | +148 (+10.6%) | 0.0 pts | 2023: 1,390; 2024: 1,538 |
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 |
|---|---|---|---|---|---|---|---|---|
| PACE | PACE | unmatched | Statewide | not reported | not reported | not reported | not reported | 2020: 965; 2021: 1,110 |
| Providence Elder Place | Providence Elder Place | Providence Elder Place | King County | not reported | not reported | not reported | not reported | 2017: 609 |
| Providence Elder Place | Providence Elder Place | Providence Elder Place | Statewide | not reported | not reported | not reported | not reported | 2018: 670; 2019: 787 |
PCCM (PCCM Entity)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Multiple Primary Care Providers | Multiple Primary Care Providers | unmatched | PCCMs are located in the following counties: Clallam, Grays Harbor, King, Snohomish, Whatcom, Okanogan, Ferry, Stevens, Lincoln, Spokane, Benton and Yakima | not reported | not reported | not reported | not reported | 2023: 2,357 |
| Multiple Primary Care Providers | Multiple Primary Care Providers | unmatched | PCCMs are located in the following counties: Clallam, Grays Harbor, King, Snohomish, Whatcom, Okanogan, Ferry, Stevens, Lincoln, Spokane, Benton, and Yakima | CMS reported 1,846 (2024) | 100.0% | not reported | not reported | 2024: 1,846 |
PCCM (Primary Care Case Management (PCCM))
PCCM (Primary Care Case Management (PCCM)) 6
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Multiple Primary Care Providers | Multiple Primary Care Provider (PCCM) | unmatched | Clallam, Grays Harbor, King, Snohomish, Whatcom, Okanogan, Ferry, Stevens, Lincoln, Spokane, Benton and Yakima | not reported | not reported | not reported | not reported | 2018: 5,186 |
| Multiple Primary Care Providers | Multiple Primary Care Providers | unmatched | Benton, Clallam, Ferry, Grays Harbor, King Snohomish, Lincoln, Okanogan, Spokane, Stevens, Whatcom, and Yakima counties | not reported | not reported | not reported | not reported | 2020: 3,311 |
| Multiple Primary Care Providers | Multiple Primary Care Providers | unmatched | Clallam, Grays Harbor, King, Snohomish, Whatcom, Okanogan, Ferry, Stevens, Lincoln, Spokane, Benton and Yakima. | not reported | not reported | not reported | not reported | 2017: 6,729 |
| Multiple Primary Care Providers | Multiple Primary Care Providers | unmatched | Clallam, Grays Harbor, King, Snohomish, Whatcom, Okanogan, Ferry, Stevens, Lincoln, Spokane, Benton, Yakima | not reported | not reported | not reported | not reported | 2019: 4,079 |
| Multiple Primary Care Providers | Multiple Primary Care Providers | unmatched | Clallam, Grays Harbor, King, Snohomish, Whatcom, Okanogan, Ferry, Stevens, Lincoln, Spokane, Benton, and Yakima counties | not reported | not reported | not reported | not reported | 2021: 3,054 |
show all 6
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Multiple Primary Care Providers | not reported | unmatched | PCCM'S are located in the following counties: Clallam, Grays Harbor, King, Snohomish, Whatcom, Okanogan, Ferry, Stevens, Lincoln, Spokane, Benton and Yakima. | not reported | not reported | not reported | not reported | 2016: 9,082 |
PCCM (Primary Care Case Management Entity (PCCM Entity))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Multiple Primary Care Providers | Multiple Primary Care Providers | unmatched | Clallam, Grays Harbor, King, Snohomish, Whatcom, Okanogan, Ferry, Stevens, Lincoln, Spokane, Benton, and Yakima | not reported | not reported | not reported | not reported | 2022: 2,776 |
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 |
|---|---|---|---|---|---|---|---|---|
| PACE | PACE | unmatched | Statewide | not reported | not reported | not reported | not reported | 2022: 1,190 |
Washington State Integrated Community Mental Health Program (ICMH) (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 |
|---|---|---|---|---|---|---|---|---|
| BHO | Behavorial Health Organizations of WA | Behavorial Health Organizations of WA | Statewide | not reported | not reported | not reported | not reported | 2017: 1,814,599; 2018: 1,765,375; 2019: 1,622,267 |
| Multiple Regional Support Networks | not reported | unmatched | Statewide (all 39 counties) | not reported | not reported | not reported | not reported | 2016: 1,820,084 |
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) 6
| Plan | Parent | Program | Appeals resolved | In favor of enrollee | Appeal rate | Grievances resolved | Medicaid enrollment share | Managed care enrollment share |
|---|---|---|---|---|---|---|---|---|
| Coordinated Care of Washington (CCW) | Centene | IFC MCPAR 2024 | 78 | 46 | 59.0% calculated | 194 | 1% | 1.2% |
| Community Health Plan of Washington (CHPW) | Community Health Plan of Washington | IMC MCPAR 2024 | 2,924 | 2,208 | 75.5% calculated | 1,758 | 12.5% | 14.5% |
| Coordinated Care of Washington (CCW) | Centene | IMC MCPAR 2024 | 997 | 385 | 38.6% calculated | 1,261 | 8.8% | 10.3% |
| Molina Healthcare of Washington, Incorporated (MHW) | Molina | IMC MCPAR 2024 | 2,541 | 1,444 | 56.8% calculated | 24,039 | 42.1% | 49% |
| UnitedHealthcare Community Plan (UHC) | UnitedHealth | IMC MCPAR 2024 | 1,147 | 573 | 50.0% calculated | 1,037 | 10.4% | 12.1% |
show all 6
| Plan | Parent | Program | Appeals resolved | In favor of enrollee | Appeal rate | Grievances resolved | Medicaid enrollment share | Managed care enrollment share |
|---|---|---|---|---|---|---|---|---|
| Wellpoint Washington, Incorporated (WLP) | Elevance | IMC MCPAR 2024 | 496 | 251 | 50.6% calculated | 910 | 8.5% | 9.9% |
Sanctions (2024)
Sanctions (2024) 13
| Plan | Parent | Topic | Date | Corrective action plan | Remediation status |
|---|---|---|---|---|---|
| Community Health Plan of Washington (CHPW) | Community Health Plan of Washington | Other, specify (Overpayment of Delivery Case Rate (DCR) Service Based Enhancements SBE) | 2024-08-01 | Yes | Remediation in progress |
| Community Health Plan of Washington (CHPW) | Community Health Plan of Washington | Reporting | 2024-09-12 | No | Yes, remediated |
| Community Health Plan of Washington (CHPW) | Community Health Plan of Washington | Other, specify (Encounter Data Validation Audit) | 2024-08-15 | Yes | Yes, remediated |
| Coordinated Care of Washington (CCW) | Centene | Other, specify (Encounter Data Validation Audit) | 2024-10-17 | Yes | Yes, remediated |
| Molina Healthcare of Washington, Incorporated (MHW) | Molina | Reporting | 2024-09-12 | No | Yes, remediated |
show all 13
| Plan | Parent | Topic | Date | Corrective action plan | Remediation status |
|---|---|---|---|---|---|
| Molina Healthcare of Washington, Incorporated (MHW) | Molina | Other, specify (Overpayment of Delivery Case Rate (DCR) Service Based Enhancements SBE) | 2024-06-20 | Yes | Yes, remediated |
| Molina Healthcare of Washington, Incorporated (MHW) | Molina | Other, specify (Encounter Data Validation Audit) | 2024-10-15 | Yes | Yes, remediated |
| UnitedHealthcare Community Plan (UHC) | UnitedHealth | False information | 2023-08-08 | No | Yes, remediated |
| UnitedHealthcare Community Plan (UHC) | UnitedHealth | Other, specify (Overpayment of Delivery Case Rate (DCR) Service Based Enhancements SBE) | 2024-09-10 | Yes | Yes, remediated |
| UnitedHealthcare Community Plan (UHC) | UnitedHealth | Other, specify (Encounter Data Validation Audit) | 2024-10-28 | Yes | Yes, remediated |
| UnitedHealthcare Community Plan (UHC) | UnitedHealth | Reporting | 2024-09-12 | No | Yes, remediated |
| Wellpoint Washington, Incorporated (WLP) | Elevance | Reporting | 2024-09-12 | No | Yes, remediated |
| Wellpoint Washington, Incorporated (WLP) | Elevance | Other, specify (Encounter Data Validation Audit) | 2024-10-01 | Yes | Yes, remediated |
Award history
- Apple Health Integrated Managed Care (IMC) 2019/2020 regions RFP 2567: awarded. Apple Health Integrated Managed Care (IMC) 2019/2020 regions (RFP 2567). Status recorded from the retrieved documents: awarded. Named awardees in confirmed excerpts: Amerigroup, Community Health Plan of Washington, Coordinated Care, Molina, UnitedHealthcare. Award date 2018-05-24.
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): 2
Source receipts: 2 unchanged at 2026-11-15T11:16:01+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.