PrecaptureMedicaid Market IntelligenceWI MEDICAID MARKET
implementation
New and expanding plan execution in regions 2 and 7
Last verified 259 days ago · unknown because newest item is older than 21 days
MARKET_MOVEMENT
Verification tier 2After a procurement protest was withdrawn, Wisconsin moved forward with Family Care and Partnership awards in regions 2 and 7. Anthem entered Family Care in both regions, while Inclusa, iCare and Molina/My Choice Wisconsin expanded in specified markets.
Precapture analysis
Competition has shifted from award to network, certification, member-choice and transition execution.
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.
| Parent | Plan | Programs | Latest CMS enrollment | Share | MCPAR operations |
|---|---|---|---|---|---|
| not reported | Quartz | not reported | 49,717 (2021) | 5.2% calculated | not reported |
| not reported | Community Care Health Plan | not reported | 693 (2024) | 20.0% calculated | not reported |
| not reported | Community Care, Inc. | not reported | 13,778 (2024) | 26.0% calculated | not reported |
| not reported | United Healthcare Community Plan | not reported | 212,105 (2021) | 22.0% calculated | not reported |
| Care Wisconsin | Care Wisconsin | not reported | 2,877 (2019) | 5.4% calculated | not reported |
| Parent | Plan | Programs | Latest CMS enrollment | Share | MCPAR operations |
|---|---|---|---|---|---|
| Care Wisconsin | Care Wisconsin (FC) | not reported | 8,318 (2019) | 16.7% calculated | not reported |
| not reported | Care Wisconsin (FC) | not reported | 6,974 (2017) | 15.2% calculated | not reported |
| not reported | Care Wisconsin Health Plan, Inc. – Care Wisconsin | not reported | 1,904 (2019) | 52.1% calculated | not reported |
| Centene | MHS Health Wisconsin | not reported | 52,272 (2021) | 5.4% calculated | not reported |
| Centene | MHS Health Wisconsin | not reported | 46,263 (2024) | 5.5% calculated | 221 appeals resolved |
| Centene | Managed Health Services Insurance Corp. | not reported | 7,007 (2022) | 11.3% calculated | not reported |
| Centene | Managed Health Services Insurance Corporation | not reported | 6,738 (2021) | 11.2% calculated | not reported |
| not reported | Children Come First | not reported | 85 (2021) | 100.0% calculated | not reported |
| not reported | Chorus Community Health Plans | not reported | 2,752 (2024) | 100.0% calculated | not reported |
| not reported | Children's Community Health Plan | not reported | 153,550 (2022) | 14.8% calculated | not reported |
| not reported | Chorus Community Health Plans | not reported | 120,491 (2024) | 14.4% calculated | 214 appeals resolved |
| Children's Community Health Plan | Children's Community Health Plan | not reported | 3,141 (2018) | 100.0% calculated | not reported |
| Children's Community Health Plan | Children’s Community Health Plan | not reported | 133,385 (2020) | 16.3% calculated | not reported |
| Children's Community Health Plan | Children's Hospital of Wisconsin is contracted | not reported | 3,118 (2017) | 100.0% calculated | not reported |
| Children's Community Health Plan | Children’s Hospital of Wisconsin | not reported | 2,805 (2022) | 100.0% calculated | not reported |
| not reported | Childrens Community Health plan | not reported | 146,676 (2021) | 15.2% calculated | not reported |
| not reported | Care Wisconsin | not reported | 2,795 (2018) | 5.2% calculated | not reported |
| not reported | Community Care, Inc. | not reported | 628 (2018) | 18.7% calculated | not reported |
| not reported | Community Care Health Plan | not reported | 688 (2020) | 18.6% calculated | not reported |
| not reported | Community Care Health Plan, Inc. – Community Care, Inc. | not reported | 649 (2019) | 17.8% calculated | not reported |
| Community Care | Community Care Inc. | not reported | 12,225 (2021) | 23.8% calculated | not reported |
| Community Care | Community Care, Inc. | not reported | 505 (2024) | 100.0% calculated | 4 sanctions, 223 appeals resolved |
| not reported | Community Care, Inc. (FC) | not reported | 10,267 (2017) | 22.3% calculated | not reported |
| not reported | Community Health Care Plan | not reported | 725 (2021) | 19.3% calculated | not reported |
| not reported | CommunityLink (became Inclusa in September 2017) | not reported | 14,969 (2018) | 30.8% calculated | not reported |
| not reported | Compcare | not reported | 20,442 (2017) | 2.9% calculated | not reported |
| not reported | Children Come First | not reported | 90 (2022) | 100.0% calculated | not reported |
| Dean Health Plan | Dean Health Plan | not reported | 39,999 (2020) | 4.9% calculated | 74 appeals resolved |
| Dean Health Plan | Dean Health Plan, Inc. | not reported | 46,360 (2021) | 4.8% calculated | not reported |
| Dean Health Plan | Dean Health Plan, Inc. | not reported | 40,211 (2024) | 4.8% calculated | not reported |
| Elevance | Anthem Blue Cross Blue Shield | not reported | 6,843 (2020) | 12.1% calculated | not reported |
| Elevance | Anthem Blue Cross Blue Shield | not reported | 83,826 (2018) | 12.0% calculated | not reported |
| Elevance | Anthem Blue Cross Blue Shield | not reported | 135,834 (2021) | 14.1% calculated | not reported |
| Elevance | Anthem Blue Cross Blue Shield | not reported | 149,184 (2022) | 14.3% calculated | not reported |
| Elevance | Anthem Blue Cross Blue Shield | not reported | 8,268 (2022) | 13.4% calculated | not reported |
| Elevance | Anthem Blue Cross Blue Shield | not reported | 121,160 (2024) | 14.4% calculated | 2 sanctions, 874 appeals resolved |
| not reported | Network Health Plan | not reported | 57,840 (2022) | 5.6% calculated | not reported |
| not reported | Network Health Plan | not reported | 42,946 (2024) | 5.1% calculated | 138 appeals resolved |
| not reported | Network Health Plan | not reported | 53,712 (2021) | 5.6% calculated | not reported |
| not reported | Group Health Cooperative Of Eau Claire | not reported | 48,285 (2018) | 6.9% calculated | not reported |
| not reported | Group Health Cooperative Of South Central WI | not reported | 5,449 (2018) | 0.8% calculated | not reported |
| Group Health Cooperative of Eau Claire | Group Health Cooperative Of Eau Claire | not reported | 3,257 (2019) | 6.1% calculated | not reported |
| Group Health Cooperative of Eau Claire | Group Health Cooperative of Eau Claire | not reported | 45,374 (2024) | 5.4% calculated | 539 appeals resolved |
| not reported | Group Health Cooperative Of South Central WI | not reported | 5,332 (2019) | 0.8% calculated | not reported |
| not reported | Group Health Cooperative of South Central | not reported | 6,346 (2020) | 0.8% calculated | not reported |
| not reported | Group Health Cooperative of South Central WI | not reported | 6,801 (2024) | 0.8% calculated | not reported |
| not reported | Group Health Cooperative of South Central Wisconsin | not reported | 7,606 (2021) | 0.8% calculated | 2 appeals resolved |
| not reported | Gundersen Health Plan | not reported | 16,375 (2017) | 2.3% calculated | not reported |
| not reported | Health Tradition Health Plan | not reported | 8,543 (2017) | 1.2% calculated | not reported |
| Humana | Inclusa, Inc. | not reported | 16,965 (2024) | 32.0% calculated | 2 sanctions, 357 appeals resolved |
| Humana | Independent Care (ICARE) Health Plan | not reported | 28,884 (2021) | 3.0% calculated | not reported |
| Humana | Independent Care (Icare) Health Plan | not reported | 31,945 (2022) | 3.1% calculated | not reported |
| Humana | Independent Care Health Plan | not reported | 26,340 (2024) | 3.1% calculated | 66 appeals resolved |
| Humana | Independent Care Health Plan - iCare | not reported | 1,496 (2024) | 43.1% calculated | 160 appeals resolved |
| Humana | Independent Care Health Plan – iCare | not reported | 1,422 (2022) | 38.3% calculated | not reported |
| not reported | Inclusa | not reported | 14,796 (2019) | 29.7% calculated | not reported |
| not reported | Inclusa Inc. | not reported | 15,502 (2021) | 30.2% calculated | not reported |
| not reported | Inclusa, Inc. | not reported | 15,311 (2020) | 30.0% calculated | not reported |
| not reported | Independent Care (iCare) | not reported | 10,301 (2020) | 18.3% calculated | not reported |
| not reported | Care Wisconsin Health Plan - Trilogy Health Ins | not reported | 1,878 (2020) | 50.7% calculated | not reported |
| not reported | Independent Care (iCare) | not reported | 1,139 (2020) | 30.7% calculated | not reported |
| not reported | Independent Care Health Plan – iCare | not reported | 1,102 (2019) | 30.2% calculated | not reported |
| not reported | Lakeland Care District | not reported | 6,085 (2019) | 12.2% calculated | not reported |
| not reported | Lakeland Care, Inc. | not reported | 7,727 (2020) | 15.1% calculated | not reported |
| not reported | Lakeland Care Inc. | not reported | 7,710 (2021) | 15.0% calculated | not reported |
| not reported | Lakeland Care, Inc. | not reported | 7,227 (2024) | 13.7% calculated | 1 sanctions, 127 appeals resolved |
| not reported | MHS of Wisconsin | not reported | 42,862 (2020) | 5.2% calculated | not reported |
| not reported | Managed Health Services | not reported | 6,397 (2020) | 11.3% calculated | not reported |
| not reported | Security Health Plan of Wisc | not reported | 75,638 (2022) | 7.3% calculated | not reported |
| not reported | Security Health Plan of Wisconsin | not reported | 63,323 (2024) | 7.5% calculated | 526 appeals resolved |
| Mercy Care | MercyCare Insurance Company | not reported | 12,338 (2018) | 1.8% calculated | not reported |
| not reported | MercyCare Health Plans | not reported | 12,625 (2024) | 1.5% calculated | not reported |
| not reported | MercyCare Insurance Company | not reported | 15,435 (2021) | 1.6% calculated | 10 appeals resolved |
| not reported | Mercycare Health Plans | not reported | 16,419 (2022) | 1.6% calculated | not reported |
| not reported | MercyCare Insurance Company | not reported | 13,303 (2020) | 1.6% calculated | not reported |
| not reported | WrapAround Milwaukee | not reported | 413 (2024) | 100.0% calculated | 1 sanctions |
| Molina | Molina Health Plan | not reported | 3,185 (2019) | 5.9% calculated | not reported |
| Molina | Molina Health Plan | not reported | 3,259 (2020) | 5.8% calculated | not reported |
| Molina | Molina HealthCare of Wisconsin, Inc. | not reported | 5,464 (2024) | 10.3% calculated | not reported |
| Molina | Molina Healthcare of Wisconsin | not reported | 67,287 (2021) | 7.0% calculated | not reported |
| Molina | Molina Healthcare of Wisconsin | not reported | 70,226 (2022) | 6.8% calculated | not reported |
| Molina | Molina Healthcare of Wisconsin, Inc. | not reported | 71,782 (2024) | 8.5% calculated | 185 appeals resolved |
| Molina | My Choice Wisconsin | not reported | 14,968 (2024) | 28.3% calculated | 1 sanctions, 508 appeals resolved |
| Molina | My Choice Wisconsin Health Plan, Inc. | not reported | 3,333 (2022) | 5.4% calculated | not reported |
| not reported | My Choice Family Care | not reported | 9,183 (2019) | 18.4% calculated | not reported |
| not reported | My Choice Family Care - Care Wisconsin | not reported | 16,312 (2020) | 31.9% calculated | not reported |
| not reported | My Choice Wisconsin | not reported | 23,353 (2022) | 2.2% calculated | not reported |
| not reported | My Choice Wisconsin Health Plan | not reported | 17,749 (2020) | 2.2% calculated | not reported |
| not reported | My Choice Wisconsin Health Plan, Inc. | not reported | 3,089 (2020) | 5.5% calculated | not reported |
| not reported | My Choice Wisconsin Health Plan Inc. | not reported | 21,665 (2021) | 2.3% calculated | not reported |
| Network Health | Network Health Plan | not reported | 4,194 (2020) | 7.4% calculated | not reported |
| not reported | Physicians Plus Health Plan | not reported | 9,331 (2018) | 1.3% calculated | not reported |
| not reported | Quartz | not reported | 42,167 (2020) | 5.2% calculated | not reported |
| not reported | Quartz | not reported | 42,166 (2024) | 5.0% calculated | 101 appeals resolved |
| Security Health Plan | Security Health Plan | not reported | 55,094 (2019) | 7.9% calculated | not reported |
| Security Health Plan | Security Health Plan of Wisconsin | not reported | 70,846 (2021) | 7.4% calculated | not reported |
| not reported | Trilogy Health Insurance | not reported | 12,493 (2019) | 1.8% calculated | not reported |
| UnitedHealth | United Healthcare Community Plan | not reported | 235,855 (2022) | 22.7% calculated | not reported |
| UnitedHealth | United Healthcare Community Plan | not reported | 20,545 (2022) | 33.2% calculated | not reported |
| UnitedHealth | UnitedHealthcare Community Plan | not reported | 18,955 (2020) | 33.6% calculated | not reported |
| UnitedHealth | UnitedHealthcare Community Plan | not reported | 144,955 (2018) | 20.7% calculated | not reported |
| UnitedHealth | UnitedHealthcare Community Plan | not reported | 200,145 (2024) | 23.8% calculated | 1,434 appeals resolved |
| not reported | Unity Health Plan | not reported | 15,906 (2017) | 2.2% calculated | not reported |
| not reported | Wrap Around Milwaukee | not reported | 1,088 (2020) | 100.0% calculated | not reported |
| not reported | WrapAround Milwaukee | not reported | 922 (2021) | 100.0% calculated | not reported |
| not reported | Independent Care (iCare) | not reported | 15,939 (2018) | 2.3% calculated | not reported |
| not reported | Anthem Blue Cross Blue Shield | not reported | 61,578 (2016) | 8.6% calculated | not reported |
| not reported | Care Wisconsin | not reported | 1,813 (2016) | 5.0% calculated | not reported |
| not reported | Care Wisconsin (FC) | not reported | 6,133 (2016) | 14.1% calculated | not reported |
| not reported | Care Wisconsin Health Plan, Inc. – Care Wisconsin | not reported | 1,491 (2016) | 49.8% calculated | not reported |
| not reported | Children Come First | not reported | 132 (2016) | 100.0% calculated | not reported |
| not reported | Children’s Community Health Plan | not reported | 131,799 (2016) | 18.5% calculated | not reported |
| not reported | Children’s Hospital of Wisconsin | not reported | 2,871 (2016) | 100.0% calculated | not reported |
| not reported | Community Care Connections of Wisconsin (FC) | not reported | 6,064 (2016) | 13.9% calculated | not reported |
| not reported | Community Care Health Plan, Inc. – Community Care, Inc. | not reported | 666 (2016) | 22.3% calculated | not reported |
| not reported | Community Care, Inc. | not reported | 619 (2016) | 100.0% calculated | not reported |
| not reported | Community Care, Inc. (FC) | not reported | 9,701 (2016) | 22.3% calculated | not reported |
| not reported | Compcare | not reported | 21,861 (2016) | 3.1% calculated | not reported |
| not reported | ContinuUs | not reported | 5,082 (2016) | 11.7% calculated | not reported |
| not reported | Dean Health Plan | not reported | 41,823 (2016) | 5.9% calculated | not reported |
| not reported | Group Health Cooperative Of Eau Claire | not reported | 1,897 (2016) | 5.2% calculated | not reported |
| not reported | Group Health Cooperative Of South Central WI | not reported | 5,921 (2016) | 0.8% calculated | not reported |
| not reported | Gundersen Health Plan | not reported | 17,082 (2016) | 2.4% calculated | not reported |
| not reported | Health Tradition Health Plan | not reported | 8,917 (2016) | 1.2% calculated | not reported |
| not reported | Independent Care (iCare) | not reported | 11,583 (2016) | 1.6% calculated | not reported |
| not reported | Independent Care Health Plan – iCare | not reported | 836 (2016) | 27.9% calculated | not reported |
| not reported | Lakeland Care District | not reported | 4,309 (2016) | 9.9% calculated | not reported |
| not reported | MHS of Wisconsin | not reported | 32,624 (2016) | 4.6% calculated | not reported |
| not reported | MercyCare Insurance Company | not reported | 14,444 (2016) | 2.0% calculated | not reported |
| not reported | Molina Health Plan | not reported | 2,059 (2016) | 5.7% calculated | not reported |
| not reported | My Choice Family Care | not reported | 8,461 (2016) | 19.4% calculated | not reported |
| not reported | Network Health Plan | not reported | 2,482 (2016) | 6.8% calculated | not reported |
| not reported | Physicians Plus Health Plan | not reported | 10,268 (2016) | 1.4% calculated | not reported |
| not reported | Security Health Plan | not reported | 56,480 (2016) | 7.9% calculated | not reported |
| not reported | Trilogy Health Insurance | not reported | 7,687 (2016) | 1.1% calculated | not reported |
| not reported | UnitedHealthcare Community Plan | not reported | 135,494 (2016) | 19.0% calculated | not reported |
| not reported | Unity Health Plan | not reported | 15,739 (2016) | 2.2% calculated | not reported |
| not reported | Western Wisconsin Cares | not reported | 3,828 (2016) | 8.8% calculated | not reported |
| not reported | WrapAround Milwaukee | not reported | 1,156 (2016) | 100.0% calculated | not reported |
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.
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Anthem Blue Cross Blue Shield | Anthem BCBS | Elevance | Counties: Brown, Calumet, Dane, Dodge, Door, Florence, Fond du Lac, Forest, Green Lake, Jefferson, Kenosha, Kewaunee, Langlade, Manitowoc, Marinette, Marquette, Menominee, Milwaukee, Oconto, Outagamie, Ozaukee, Polk, Portage, Racine, Rock, Shawano, Sheboygan, Taylor, Walworth, Washington, Waukesha, Waupaca, Waushara, Winnebago, Wood | not reported | not reported | not reported | not reported | 2016: 61,578; 2017: 66,434; 2018: 83,826 |
| Anthem Blue Cross Blue Shield | Anthem Blue Cross Blue Shield | Elevance | Adams, Ashland, Barron, Bayfield, Brown, Buffalo, Burnett, Calumet, Chippewa, Clark, Columbia, Crawford, Dane, Dodge, Door, Douglas, Dunn, Eau Claire, Florence, Fond du Lac, Forest, Grant, Green, Green Lake, Iowa, Iron, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, La Crosse, Lafayette, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Monroe, Oconto, Oneida, Outagamie, Ozaukee, Pepin, Pierce, Polk, Portage, Price, Racine, Richland, Rock, Rusk, Sauk, Sawyer, Shawano, Sheboygan, St. Croix, Taylor, Trempealeau, Vernon, Vilas, Walworth, Washburn, Washington, Waukesha, Waupaca, Waushara, Winnebago, and Wood Counties | not reported | not reported | not reported | not reported | 2019: 88,281 |
| Anthem Blue Cross Blue Shield | Elevance Health | Elevance | Statewide | CMS reported 121,160 (2024) | 14.4% | -29,484 (-19.6%) | -0.0 pts | 2020: 109,680; 2021: 135,834; 2022: 149,184; 2023: 150,644; 2024: 121,160 |
| Children's Community Health Plan | Children's Wisconsin | Children's Wisconsin | Brown, Calumet, Door, Fond du Lac, Green Lake, Jefferson, Kenosha, Kewaunee, Lincoln, Manitowoc, Marinette, Milwaukee, Oconto, Oneida, Outagamie, Ozuakee, Racine, Rock, Shawano, Sheboygan, Vilas, Washington, Waukesha, Waupaca, Waushara, and Winnebago Counties | not reported | not reported | not reported | not reported | 2022: 153,550 |
| Childrens Community Health plan | Chorus Community Health Plan | Chorus Community Health Plan | Brown, Calumet, Door, Fond du Lac, Green Lake, Jefferson, Kenosha, Kewaunee, Lincoln, Manitowoc, Marinette, Milwaukee, Oconto, Oneida, Outagamie, Ozuakee, Racine, Rock, Shawano, Sheboygan, Vilas, Washington, Waukesha, Waupaca, Waushara, and Winnebago counties | not reported | not reported | not reported | not reported | 2021: 146,676 |
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Children’s Community Health Plan | Children’s Community Health Plan | Children’s Community Health Plan | Brown, Calumet, Door, Fond du Lac, Forest, Green Lake, Jefferson, Kenosha, Kewaunee, Lincoln, Manitowoc, Marinette, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Racine, Rock, Shawano, Sheboygan, Vilas, Walworth, Washington, Waukesha, Waupaca, Waushara, and Winnebago Counties | not reported | not reported | not reported | not reported | 2019: 121,146 |
| Children’s Community Health Plan | Children’s Community Health Plan | Children’s Community Health Plan | Brown, Calumet, Door, Fond du Lac, Green Lake, Jefferson, Kenosha, Kewaunee, Lincoln, Manitowoc, Marinette, Milwaukee, Oconto, Oneida, Outagamie, Ozuakee, Racine, Rock, Shawano, Sheboygan, Vilas, Washington, Waukesha, Waupaca, Waushara, and Winnebago Counties | not reported | not reported | not reported | not reported | 2020: 133,385 |
| Children’s Community Health Plan | Children’s Community Health Plan | Children’s Community Health Plan | Counties: Brown, Calumet, Kenosha, Milwaukee, Outagamie, Ozaukee, Racine, Sheboygan, Walworth, Washington, Waukesha, Waupaca, Winnebago | not reported | not reported | not reported | not reported | 2016: 131,799; 2017: 128,962 |
| Children’s Community Health Plan | Children’s Community Health Plan | Children’s Community Health Plan | Counties: Brown, Calumet, Kenosha, Milwaukee, Outagamie, Ozaukee, Racine, Sheboygan, Walworth, Washington, Waukesha, Waupaca, Winnebago | not reported | not reported | not reported | not reported | 2018: 124,190 |
| Chorus Community Health Plans | Children's Wisconsin | Children's Wisconsin | Brown, Calumet, Door, Fond du Lac, Green Lake, Jefferson, Kenosha, Kewaunee, Lincoln, Manitowoc, Marinette, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Racine, Rock, Shawano, Sheboygan, Vilas, Washington, Waukesha, Waupaca, Waushara, and Winnebago Counties | CMS reported 120,491 (2024) | 14.4% | -28,454 (-19.1%) | +0.1 pts | 2023: 148,945; 2024: 120,491 |
| Compcare | Compcare | Compcare | Counties: Adams, Ashland, Barron, Bayfield, Burnett, Chippewa, Columbia, Crawford, Douglas, Dunn, Eau Claire, Grant, Green, Iowa, Jackson, Juneau, La Crosse, Lafayette, Lincoln, Marathon, Monroe, Pepin, Pierce, Price, Rusk, St. Croix, Sawyer, Trempealeau, Vernon, Washburn | not reported | not reported | not reported | not reported | 2016: 21,861; 2017: 20,442 |
| Dean Health Plan, Inc. | Dean Health Plan | Dean Health Plan | Columbia, Dane, Dodge, Iowa, Jefferson, Rock, and Sauk counties | not reported | not reported | not reported | not reported | 2021: 46,360 |
| Dean Health Plan, Inc. | Dean Health System and SSM Health Care | Dean Health System and SSM Health Care | Columbia, Dane, Dodge, Iowa, Jefferson, Rock, and Sauk Counties | CMS reported 40,211 (2024) | 4.8% | -9,677 (-19.4%) | +0.0 pts | 2022: 50,041; 2023: 49,888; 2024: 40,211 |
| Dean Health Plan | Dean Health Plan | Dean Health Plan | Columbia, Dane, Dodge, Iowa, Jefferson, Rock, and Sauk Counties | not reported | not reported | not reported | not reported | 2019: 36,280; 2020: 39,999 |
| Dean Health Plan | Dean Health Plan | Dean Health Plan | Counties: Columbia, Dane, Dodge, Grant, Iowa, Jefferson, Rock, Sauk | not reported | not reported | not reported | not reported | 2016: 41,823; 2017: 40,443; 2018: 37,656 |
| Group Health Cooperative Of Eau Claire | Group Health Cooperative Of Eau Claire | Group Health Cooperative of Eau Claire | Adams, Ashland, Barron, Bayfield, Buffalo, Burnett, Chippewa, Clark, Columbia, Crawford, Douglas, Dunn, Eau Claire, Forest, Grant, Green, Iowa, Iron, Jackson, Juneau, La Crosse, Lafayette, Langlade, Lincoln, Marathon, Monroe, Oneida, Pepin, Pierce, Polk, Price, Richland, Rusk, Sawyer, Shawano, St. Croix, Taylor, Trempealeau, Vernon, Vilas, Washburn, and Wood Counties | not reported | not reported | not reported | not reported | 2019: 44,906 |
| Group Health Cooperative Of Eau Claire | Group Health Cooperative | Group Health Cooperative | Counties: Adams, Ashland, Barron, Bayfield, Buffalo, Burnett, Chippewa, Clark, Columbia, Crawford, Douglas, Dunn, Eau Claire, Forest, Grant, Green, Iowa, Iron, Jackson, Juneau, La Crosse, Lafayette, Langlade, Lincoln, Marathon, Monroe, Oneida, Pepin, Pierce, Polk, Portage, Price, Rusk, St. Croix, Sawyer, Shawano, Taylor, Trempealeau, Vernon, Vilas, Washburn, Wood | not reported | not reported | not reported | not reported | 2016: 39,468; 2017: 39,614; 2018: 48,285 |
| Group Health Cooperative Of South Central WI | Group Health Cooperative Of South Central WI | Group Health Cooperative of South Central WI | Dane County | not reported | not reported | not reported | not reported | 2019: 5,332 |
| Group Health Cooperative Of South Central WI | Group Health Cooperative | Group Health Cooperative | County: Dane | not reported | not reported | not reported | not reported | 2016: 5,921; 2017: 5,342; 2018: 5,449 |
| Group Health Cooperative of Eau Claire | Group Health Cooperative of Eau Claire | Group Health Cooperative of Eau Claire | Adams, Ashland, Barron, Bayfield, Buffalo, Burnett, Chippewa, Clark, Crawford, Douglas, Dunn, Eau Claire, Forest, Grant, Green, Iowa, Iron, Jackson, Juneau, La Crosee, Lafayette, Langlade, Marathon, Monroe, Oneida, Pepin, Pierce, Polk, Portage, Price, Richland, Rusk, St. Criox, Sauk, Sawyer, Shawano, Taylor, Trempealeau, Vernon, Vilas, Washburn, and Wood Counties | not reported | not reported | not reported | not reported | 2020: 48,762 |
| Group Health Cooperative of Eau Claire | Group Health Cooperative of Eau Claire | Group Health Cooperative of Eau Claire | Adams, Ashland, Barron, Bayfield, Buffalo, Burnett, Chippewa, Clark, Crawford, Douglas, Dunn, Eau Claire, Forest, Grant, Green, Iowa, Iron, Jackson, Juneau, La Crosee, Lafayette, Langlade, Marathon, Monroe, Oneida, Pepin, Pierce, Polk, Portage, Price, Richland, Rusk, St. Criox, Sauk, Sawyer, Shawano, Taylor, Trempealeau, Vernon, Vilas, Washburn, and Wood counties | not reported | not reported | not reported | not reported | 2021: 53,889 |
| Group Health Cooperative of Eau Claire | Group Health Cooperative of Eau Claire | Group Health Cooperative of Eau Claire | Adams, Ashland, Barron, Bayfield, Buffalo, Burnett, Chippewa, Clark, Crawford, Douglas, Dunn, Eau Claire, Forest, Grant, Green, Iowa, Iron, Jackson, Juneau, La Crosse, Lafayette, Langlade, Marathon, Monroe, Oneida, Pepin, Pierce, Polk, Portage, Price, Richland, Rusk, St. Croix, Sauk, Sawyer, Shawano, Taylor, Trempealeau, Vernon, Vilas, Washburn, and Wood Counties | CMS reported 45,374 (2024) | 5.4% | -10,681 (-19.1%) | +0.0 pts | 2022: 56,668; 2023: 56,055; 2024: 45,374 |
| Group Health Cooperative of South Central WI | Group Health Cooperative of South Central WI | Group Health Cooperative of South Central WI | Dane County | CMS reported 6,801 (2024) | 0.8% | -1,462 (-17.7%) | +0.0 pts | 2023: 8,263; 2024: 6,801 |
| Group Health Cooperative of South Central WI | Group Health Cooperative of South Central WI | Group Health Cooperative of South Central WI | Dane | not reported | not reported | not reported | not reported | 2022: 7,990 |
| Group Health Cooperative of South Central Wisconsin | Group Health Cooperative of South Central Wisconsin | Group Health Cooperative of South Central Wisconsin | Dane county | not reported | not reported | not reported | not reported | 2021: 7,606 |
| Group Health Cooperative of South Central | Group Health Cooperative of South Central WI | Group Health Cooperative of South Central WI | Dane | not reported | not reported | not reported | not reported | 2020: 6,346 |
| Gundersen Health Plan | Gundersen Health Plan | Gundersen Health Plan | Counties: Buffalo, Crawford, Grant, Jackson, Juneau, La Crosse, Monroe, Richland, Sauk, Trempealeau, Vernon | not reported | not reported | not reported | not reported | 2016: 17,082; 2017: 16,375 |
| Health Tradition Health Plan | Health Tradition Health Plan | Health Tradition Health Plan | Counties: Buffalo, Crawford, Grant, La Crosse, Monroe, Trempealeau, Vernon | not reported | not reported | not reported | not reported | 2016: 8,917; 2017: 8,543 |
| Independent Care (ICARE) Health Plan | Humana | Humana | Adams, Brown, Calumet, Columbia, Crawford, Door, Fond du Lac, Grant, Green, Green Lake, Iowa, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, La Crosse, Manitowoc, Marinette, Milwaukee, Monroe, Oconto, Outagamie, Ozuakee, Racine, Richland, Sauk, Shawano, Sheboygan, Trempealeau, Vernon, Walworth, Washington, Waukesha, Waupaca, and Winnebago counties | not reported | not reported | not reported | not reported | 2021: 28,884 |
| Independent Care (Icare) Health Plan | Humana | Humana | Adams, Brown, Calumet, Columbia, Crawford, Door, Fond du Lac, Grant, Green, Green Lake, Iowa, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, La Crosse, Manitowoc, Marinette, Milwaukee, Monroe, Oconto, Outagamie, Ozuakee, Racine, Richland, Sauk, Shawano, Sheboygan, Trempealeau, Vernon, Walworth, Washington, Waukesha, Waupaca, and Winnebago Counties | not reported | not reported | not reported | not reported | 2022: 31,945 |
| Independent Care (iCare) | Independent Care (iCare) | Independent Care (iCare) | Adams, Brown, Calumet, Columbia, Crawford, Door, Fond du Lac, Grant, Green, Green Lake, Iowa, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, La Crosse, Manitowoc, Marinette, Milwaukee, Monroe, Oconto, Outagamie, Ozuakee, Racine, Richland, Sauk, Shawano, Sheboygan, Trempealeau, Vernon, Walworth, Washington, Waukesha, Waupaca, and Winnebago Counties | not reported | not reported | not reported | not reported | 2020: 22,635 |
| Independent Care (iCare) | Independent Care (iCare) | Independent Care (iCare) | Adams, Brown, Calumet, Crawford, Door, Fond du Lac, Grant, Green, Jackson, Juneau, Kenosha, Kewaunee, La Crosse, Manitowoc, Marathon, Marinette, Milwaukee, Monroe, Oconto, Outagamie, Ozaukee, Racine, Sauk, Shawano, Sheboygan, Trempealeau, Vernon, Walworth, Washington, Waukesha, Waupaca, and Winnebago Counties | not reported | not reported | not reported | not reported | 2019: 17,008 |
| Independent Care (iCare) | Independent Care (iCare) | Independent Care (iCare) | Counties: Adams, Brown, Door, Fond du Lac, Grant, Green, Jackson, Juneau, Kenosha, Kewaunee, La Crosse, Manitowoc, Marinette, Milwaukee, Monroe, Oconto, Outagamie, Ozaukee, Racine, Sheboygan, Trempealeau, Vernon, Walworth, Washington, Waukesha, Waupaca, Winnebago | not reported | not reported | not reported | not reported | 2016: 11,583; 2017: 13,494 |
| Independent Care (iCare) | iCare | iCare | Counties: Adams, Brown, Door, Fond du Lac, Grant, Green, Jackson, Juneau, Kenosha, Kewaunee, La Crosse, Manitowoc, Marinette, Milwaukee, Monroe, Oconto, Outagamie, Ozaukee, Racine, Sheboygan, Trempealeau, Vernon, Walworth, Washington, Waukesha, Waupaca, Winnebago | not reported | not reported | not reported | not reported | 2018: 15,939 |
| Independent Care Health Plan | Humana | Humana | Adams, Brown, Calumet, Columbia, Crawford, Door, Fond du Lac, Grant, Green, Green Lake, Iowa, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, La Crosse, Manitowoc, Marinette, Milwaukee, Monroe, Oconto, Outagamie, Ozaukee, Racine, Richland, Sauk, Shawano, Sheboygan, Trempealeau, Vernon, Walworth, Washington, Waukesha, Waupaca, and Winnebago Counties | CMS reported 26,340 (2024) | 3.1% | -6,503 (-19.8%) | -0.0 pts | 2023: 32,843; 2024: 26,340 |
| MHS Health Wisconsin | Centene Corporation | Centene | Statewide | CMS reported 46,263 (2024) | 5.5% | -13,450 (-22.5%) | -0.2 pts | 2021: 52,272; 2022: 58,114; 2023: 59,713; 2024: 46,263 |
| MHS of Wisconsin | MHS of Wisconsin | MHS of Wisconsin | Adams, Ashland, Barron, Bayfield, Brown, Buffalo, Burnett, Calumet, Chippewa, Clark, Columbia, Crawford, Dane, Dodge, Door, Douglas, Dunn, Eau Claire, Florence, Fond du Lac, Forest, Grant, Green, Green Lake, Iowa, Iron, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, La Crosse, Lafayette, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Monroe, Oconto, Oneida, Outagamie, Ozaukee, Pepin, Pierce, Polk, Portage, Price, Racine, Richland, Rock, Rusk, Sauk, Sawyer, Shawano, Sheboygan, St. Croix, Taylor, Trempealeau, Vernon, Vilas, Walworth, Washburn, Washington, Waukesha, Waupaca, Waushara, Winnebago, and Wood Counties | not reported | not reported | not reported | not reported | 2019: 34,064 |
| MHS of Wisconsin | MHS of Wisconsin | MHS of Wisconsin | Counties: Ashland, Adams, Barron, Bayfield, Brown, Buffalo, Calumet, Chippewa, Clark, Crawford, Dane, Dodge, Door, Douglas, Dunn, Eau Claire, Fond du Lac, Forest, Grant, Green, Green Lake, Iowa, Iron, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, La Crosse, Lafayette, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Monroe, Oconto, Oneida, Outagamie, Ozaukee, Pepin, Pierce, Polk, Portage, Price, Racine, Richland, Rock, Rusk, Sawyer, Shawano, Sheboygan, St. Croix, Sauk, Taylor, Trempealeau, Vernon, Vilas, Walworth, Washburn, Washington, Waukesha, Waupaca, Waushara, Winnebago, Wood | not reported | not reported | not reported | not reported | 2018: 32,468 |
| MHS of Wisconsin | MHS of Wisconsin | MHS of Wisconsin | Counties: Ashland, Bayfield, Brown, Calumet, Chippewa, Clark, Crawford, Dodge, Door, Douglas, Eau Claire, Fond du Lac, Forest, Green Lake, Iron, Jefferson, Kenosha, Kewaunee, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Polk, Portage, Price, Racine, Rock, Rusk, Sawyer, Shawano, Sheboygan, Taylor, Vilas, Walworth, Washburn, Waukesha, Waupaca, Waushara, Winnebago, Wood | not reported | not reported | not reported | not reported | 2016: 32,624; 2017: 30,921 |
| MHS of Wisconsin | MHS of Wisconsin | MHS of Wisconsin | Statewide | not reported | not reported | not reported | not reported | 2020: 42,862 |
| MercyCare Health Plans | Mercy Health Corporation | Mercy Health Corporation | Rock and Walworth Counties | CMS reported 12,625 (2024) | 1.5% | -3,562 (-22.0%) | -0.0 pts | 2023: 16,187; 2024: 12,625 |
| MercyCare Insurance Company | Mercy Care | Mercy Care | Counties: Dane, Green, Jefferson, Rock, Walworth | not reported | not reported | not reported | not reported | 2016: 14,444; 2017: 13,730; 2018: 12,338 |
| MercyCare Insurance Company | MercyCare Health Plans | MercyCare Health Plans | Rock and Walworth counties | not reported | not reported | not reported | not reported | 2021: 15,435 |
| MercyCare Insurance Company | MercyCare Insurance Company | MercyCare Insurance Company | Rock and Walworth Counties | not reported | not reported | not reported | not reported | 2019: 11,817; 2020: 13,303 |
| Mercycare Health Plans | Mercycare Health Plans | MercyCare Health Plans | Rock and Walworth Counties | not reported | not reported | not reported | not reported | 2022: 16,419 |
| Molina Health Plan | Molina Health Plan | Molina | Brown, Calumet, Dodge, Door, Florence, Fond du Lac, Forest, Green Lake, Jefferson, Kenosha, Kewaunee, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Taylor, Vilas, Walworth, Washington, Waukesha, Waupaca, Waushara, Winnebago, Wood, NHP, Adams, Ashland, Barron, Bayfield, Brown, Buffalo, Burnett, Calumet, Chippewa, Clark, Columbia, Crawford, Dane, Dodge, Door, Douglas, Dunn, Eau Claire, Florence, Fond du Lac, Forest, Grant, Green, Green Lake, Iowa, Iron, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, La Crosse, Lafayette, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Monroe, Oconto, Oneida, Outagamie, Ozaukee, Pepin, Pierce, Polk, Portage, Price, Racine, Richland, Rock, Rusk, Sauk, Sawyer, Shawano, Sheboygan, St. Croix, Taylor, Trempealeau, Vernon, Vilas, Walworth, Washburn, Washington, Waukesha, Waupaca, Waushara, Winnebago, and Wood Counties | not reported | not reported | not reported | not reported | 2019: 54,355 |
| Molina Health Plan | Molina Healthcare | Molina | Brown, Calumet, Dodge, Door, Florence, Fond du Lac, Forest, Green Lake, Jefferson, Kenosha, Kewaunee, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Vilas, Walworth, Washington, Waukesha, Waupaca, Waushara, and Winnebago Counties | not reported | not reported | not reported | not reported | 2020: 60,471 |
| Molina Health Plan | Molina Healthcare | Molina | Counties: Brown, Calumet, Clark, Dodge, Door, Florence, Fond du Lac, Forest, Green Lake, Jefferson, Kenosha, Kewaunee, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Taylor, Vilas, Walworth, Washington, Waukesha, Waupaca, Waushara, Winnebago, Wood | not reported | not reported | not reported | not reported | 2016: 68,201; 2017: 61,517; 2018: 56,565 |
| Molina Healthcare of Wisconsin, Inc. | Molina Healthcare, Inc. | Molina | Brown, Calumet, Dodge, Florence, Forest, Green Lake, Kenosha, Kewaunee, Manitowoc, Marinette, Marquette, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Vilas, Walworth, Washington, Waukesha, Waupaca, Waushara, and Winnebago Counties | CMS reported 71,782 (2024) | 8.5% | -19,988 (-21.8%) | -0.2 pts | 2023: 91,770; 2024: 71,782 |
| Molina Healthcare of Wisconsin | Molina Healthcare, Inc. | Molina | Brown, Calumet, Dodge, Door, Florence, Fond du Lac, Forest, Green Lake, Jefferson, Kenosha, Kewaunee, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Vilas, Walworth, Washington, Waukesha, Waupaca, Waushara, and Winnebago Counties | not reported | not reported | not reported | not reported | 2022: 70,226 |
| Molina Healthcare of Wisconsin | Molina Healthcare, Inc | Molina | Brown, Calumet, Dodge, Door, Florence, Fond du Lac, Forest, Green Lake, Jefferson, Kenosha, Kewaunee, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Vilas, Walworth, Washington, Waukesha, Waupaca, Waushara, and Winnebago counties | not reported | not reported | not reported | not reported | 2021: 67,287 |
| My Choice Wisconsin Health Plan Inc. | My Choice Wisconsin Health Plan Inc. | My Choice Wisconsin Health Plan Inc. | Brown, Calumet, Dodge, Florence, Forest, Green Lake, Kenosha, Kewaunee, Manitowoc, Marinette, Marquette, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Vilas, Walworth, Washington, Waukesha, Waupaca, Waushara, and Winnebago counties | not reported | not reported | not reported | not reported | 2021: 21,665 |
| My Choice Wisconsin Health Plan | My Choice Wisconsin, Inc. | My Choice Wisconsin | Brown, Calumet, Dodge, Florence, Forest, Green Lake, Kenosha, Kewaunee, Manitowoc, Marinette, Marquette, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Vilas, Walworth, Washingon, Waukesha, Waupaca, Waushara, and Winnebago Counties | not reported | not reported | not reported | not reported | 2020: 17,749 |
| My Choice Wisconsin | My Choice Wisconsin | My Choice Wisconsin | Brown, Calumet, Dodge, Florence, Forest, Green Lake, Kenosha, Kewaunee, Manitowoc, Marinette, Marquette, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Vilas, Walworth, Washington, Waukesha, Waupaca, Waushara, and Winnebago Counties | not reported | not reported | not reported | not reported | 2022: 23,353 |
| Network Health Plan | Froedtert ThedaCare Health | Froedtert ThedaCare Health | Statewide | CMS reported 42,946 (2024) | 5.1% | -14,872 (-25.7%) | -0.4 pts | 2020: 43,754; 2021: 53,712; 2022: 57,840; 2023: 57,818; 2024: 42,946 |
| Network Health Plan | Network Health Plan | Network Health Plan | Adams, Ashland, Barron, Bayfield, Brown, Buffalo, Burnett, Calumet, Chippewa, Clark, Columbia, Crawford, Dane, Dodge, Door, Douglas, Dunn, Eau Claire, Florence, Fond du Lac, Forest, Grant, Green, Green Lake, Iowa, Iron, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, La Crosse, Lafayette, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Monroe, Oconto, Oneida, Outagamie, Ozaukee, Pepin, Pierce, Polk, Portage, Price, Racine, Richland, Rock, Rusk, Sauk, Sawyer, Shawano, Sheboygan, St. Croix, Taylor, Trempealeau, Vernon, Vilas, Walworth, Washburn, Washington, Waukesha, Waupaca, Waushara, Winnebago, and Wood Counties | not reported | not reported | not reported | not reported | 2019: 35,068 |
| Network Health Plan | Network Health Plan | Network Health Plan | Counties: Ashland, Bayfield, Brown, Calumet, Chippewa, Clark, Crawford, Dodge, Door, Douglas, Eau Claire, Fond du Lac, Forest, Green Lake, Iron, Jefferson, Kenosha, Kewaunee, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Polk, Portage, Price, Racine, Rock, Rusk, Sawyer, Shawano, Sheboygan, Taylor, Vilas, Walworth, Washburn, Waukesha, Waupaca, Waushara, Winnebago, Wood | not reported | not reported | not reported | not reported | 2016: 33,350; 2017: 32,157 |
| Network Health Plan | Network Health Plan | Network Health Plan | Counties: Ashland, Bayfield, Brown, Calumet, Chippewa, Clark, Crawford, Dodge, Door, Douglas, Eau Claire, Fond du Lac, Forest, Green Lake, Iron, Jefferson, Kenosha, Kewaunee, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Polk, Portage, Price, Racine, Rock, Rusk, Sawyer, Shawano, Sheboygan, Taylor, Vilas, Walworth, Washburn, Waukesha, Waupaca, Waushara, Winnebago, Wood | not reported | not reported | not reported | not reported | 2018: 33,561 |
| Physicians Plus Health Plan | Physicians Plus Health Plan | Physicians Plus Health Plan | County: Dane | not reported | not reported | not reported | not reported | 2016: 10,268; 2017: 9,751; 2018: 9,331 |
| Quartz | Aurora Health Care, Inc., Gundersen Lutheran Health System, Inc., Iowa Health System and University Health Care, Inc. | Aurora Health Care, Inc., Gundersen Lutheran Health System, Inc., Iowa Health System and University Health Care, Inc. | Buffalo, Columbia, Crawford, Dane, Dodge, Fond du Lac, Grant, Green, Jackson, Jefferson, Kenosha, La Crosse, Monroe, Rock, Sauk, Taylor, and Trempealeau counties | not reported | not reported | not reported | not reported | 2021: 49,717 |
| Quartz | Quartz Health Insurance Corporation | Quartz Health Insurance Corporation | Buffalo, Columbia, Crawford, Dane, Dodge, Fond du Lac, Grant, Green, Jackson, Jefferson, Kenosha, La Crosse, Monroe, Rock, Sauk, Taylor, and Trempealeau Counties | CMS reported 42,166 (2024) | 5.0% | -11,243 (-21.1%) | -0.1 pts | 2020: 42,167; 2022: 53,405; 2023: 53,409; 2024: 42,166 |
| Quartz | Quartz | Quartz | Buffalo, Columbia, Crawford, Dane, Fond du Lac, Grant, Green, Jackson, Jefferson, Juneau, La Crosse, Monroe, Rock, Sauk, Trempealeau, and Vernon Counties | not reported | not reported | not reported | not reported | 2019: 37,151 |
| Quartz | Quartz | Quartz | Counties: Buffalo, Columbia, Crawford, Dane, Dodge, Fond du Lac, Grant, Green, Jackson, Jefferson, Juneau, La Crosse, Monroe, Rock, Sauk, Trempealeau, Vernon | not reported | not reported | not reported | not reported | 2018: 29,839 |
| Security Health Plan of Wisc | Marshfield Clinic Health System | Marshfield Clinic Health System | Adams, Ashland, Barron, Bayfield, Buffalo, Burnette, Chippewa, Clark, Crawford, Dodge, Douglas, Dunn, Eau Claire, Forest, Green Lake, Iron, Jackson, Juneau, La Crosse, Langlade, Lincoln, Marathon, Marquette, Monroe, Oneida, Outagamie, Pepin, Pierce, Polk, Portage, Price, Rusk, Sawyer, Shawano, Taylor, Trempealeau, Vernon, Vilas, Washburn, Waupaca, Waushara, and Winnebago | not reported | not reported | not reported | not reported | 2022: 75,638 |
| Security Health Plan of Wisconsin | Marshfield Clinic Health System | Marshfield Clinic Health System | Adams, Ashland, Barron, Bayfield, Buffalo, Burnette, Chippewa, Clark, Crawford, Dodge, Douglas, Dunn, Eau Claire, Forest, Green Lake, Iron, Jackson, Juneau, La Crosse, Langlade, Lincoln, Marathon, Marquette, Monroe, Oneida, Outagamie, Pepin, Pierce, Polk, Portage, Price, Rusk, Sawyer, Shawano, Taylor, Trempealeau, Vernon, Vilas, Washburn, Waupaca, Waushara, and Winnebago Counties | CMS reported 63,323 (2024) | 7.5% | -14,130 (-18.2%) | +0.1 pts | 2023: 77,453; 2024: 63,323 |
| Security Health Plan of Wisconsin | Security Health Plan | Security Health Plan | Adams, Ashland, Barron, Bayfield, Buffalo, Burnette, Chippewa, Clark, Crawford, Dodge, Douglas, Dunn, Eau Claire, Forest, Green Lake, Iron, Jackson, Juneau, La Crosse, Langlade, Lincoln, Marathon, Marquette, Monroe, Oneida, Outagamie, Pepin, Pierce, Polk, Portage, Price, Rusk, Sawyer, Shawano, Taylor, Trempealeau, Vernon, Vilas, Washburn, Waupaca, Waushara, and Winnebago counties | not reported | not reported | not reported | not reported | 2021: 70,846 |
| Security Health Plan of Wisconsin | Security Health Plan | Security Health Plan | Adams, Ashland, Barron, Bayfield, Buffalo, Burnette, Chippewa, Clark, Crawford, Dodge, Douglas, Dunn, Eau Claire, Forest, Green Lake, Iron, Jackson, Juneau, La Crosse, Langlade, Lincoln, Marathon, Marquette, Monroe, Oneida, Outagamie, Pepin, Pierce, Polk, Portage, Price, Rusk, Sawyer, Shawano, Taylor, Trempealeau, Vernon, Vilas, Washburn, Waupaca, Waushara, and Winnebago | not reported | not reported | not reported | not reported | 2020: 61,622 |
| Security Health Plan | Security Health Plan | Security Health Plan | Adams, Ashland, Barron, Bayfield, Buffalo, Burnett, Chippewa, Clark, Crawford, Douglas, Dunn, Eau Claire, Forest, Green Lake, Iron, Jackson, Juneau, La Crosse, Langlade, Lincoln, Marathon, Marquette, Monroe, Oneida, Outagamie, Pepin, Pierce, Polk, Portage, Price, Rusk, Sawyer, Shawano, Taylor, Trempealeau, Vernon, Vilas, Washburn, Waupaca, Waushara, and Wood Counties | not reported | not reported | not reported | not reported | 2019: 55,094 |
| Security Health Plan | Security Health Plan | Security Health Plan | Counties: Adams, Ashland, Barron, Bayfield, Burnett, Chippewa, Clark, Douglas, Dunn, Eau Claire, Forest, Iron, Jackson, Juneau, Langlade, Lincoln, Marathon, Monroe, Oneida, Pepin, Portage, Price, Rusk, Sawyer, Shawano, Taylor, Trempealeau, Vilas, Washburn, Waupaca, Waushara, Wood | not reported | not reported | not reported | not reported | 2016: 56,480; 2017: 55,671; 2018: 55,728 |
| Trilogy Health Insurance | Trilogy Health Insurance | Trilogy Health Insurance | Brown, Calumet, Dodge, Florence, Forest, Green Lake, Kenosha, Kewaunee, Manitowoc, Marathon, Marinette, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Vilas, Walworth, Washington, Waukesha, Waupaca, Waushara, and Winnebago Counties | not reported | not reported | not reported | not reported | 2019: 12,493 |
| Trilogy Health Insurance | Trilogy Health Insurance | Trilogy Health Insurance | Counties: Brown, Dodge, Green Lake, Kenosha, Marinette, Milwaukee, Oconto, Outagamie, Ozaukee, Racine, Shawano, Sheboygan, Washington, Waukesha, Waupaca, Waushara, Winnebago | not reported | not reported | not reported | not reported | 2016: 7,687; 2017: 9,241; 2018: 10,793 |
| United Healthcare Community Plan | UnitedHealthcare, Inc, PacifiCare Health Systems | UnitedHealth | Statewide | not reported | not reported | not reported | not reported | 2021: 212,105; 2022: 235,855 |
| UnitedHealthcare Community Plan | UnitedHealth Group | UnitedHealth | Statewide | CMS reported 200,145 (2024) | 23.8% | -40,679 (-16.9%) | +0.8 pts | 2020: 174,787; 2023: 240,824; 2024: 200,145 |
| UnitedHealthcare Community Plan | UnitedHealthcare Community Plan | UnitedHealth | Adams, Ashland, Barron, Bayfield, Brown, Burnett, Calumet, Chippewa, Clark, Columbia, Crawford, Dane, Dodge, Door, Douglas, Eau Claire, Florence, Fond du Lac, Forest, Grant, Green, Green Lake, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, La Crosse, Lafayette, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Monroe, Oconto, Oneida, Outagamie, Ozaukee, Pierce, Polk, Portage, Price, Racine, Richland, Rock, Sauk, Sawyer, Shawano, Sheboygan, St. Croix, Taylor, Trempealeau, Vernon, Vilas, Walworth, Washburn, Washington, Waukesha, Waupaca, Waushara, Winnebago, and Wood Counties | not reported | not reported | not reported | not reported | 2019: 147,484 |
| UnitedHealthcare Community Plan | UnitedHealthcare Community Plan | UnitedHealth | Counties: Adams, Ashland, Barron, Bayfield, Brown, Burnett, Calumet, Chippewa, Columbia, Crawford, Dane, Dodge, Door, Douglas, Eau Claire, Florence, Fond du Lac, Forest, Green, Green Lake, Jefferson, Kenosha, Kewaunee, La Crosse, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Monroe, Oconto, Oneida, Outagamie, Ozaukee, Pierce, Polk, Portage, Price, Racine, Rock, St. Croix, Sauk, Sawyer, Shawano, Sheboygan, Taylor, Trempealeau, Vernon, Vilas, Walworth, Washburn, Washington, Waukesha, Waupaca, Waushara, Winnebago, Wood | not reported | not reported | not reported | not reported | 2016: 135,494; 2017: 140,089 |
| UnitedHealthcare Community Plan | UnitedHealthcare | UnitedHealth | Counties: Adams, Ashland, Barron, Bayfield, Brown, Burnett, Calumet, Chippewa, Columbia, Crawford, Dane, Dodge, Door, Douglas, Eau Claire, Florence, Fond du Lac, Forest, Green, Green Lake, Jefferson, Kenosha, Kewaunee, La Crosse, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Monroe, Oconto, Oneida, Outagamie, Ozaukee, Pierce, Polk, Portage, Price, Racine, Rock, St. Croix, Sauk, Sawyer, Shawano, Sheboygan, Taylor, Trempealeau, Vernon, Vilas, Walworth, Washburn, Washington, Waukesha, Waupaca, Waushara, Winnebago, Wood | not reported | not reported | not reported | not reported | 2018: 144,955 |
| Unity Health Plan | Unity Health Plan | Unity Health Plan | Counties: Columbia, Dane, Dodge, Fond du Lac, Green, Jefferson, Juneau, Rock, Sauk | not reported | not reported | not reported | not reported | 2016: 15,739; 2017: 15,906 |
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Chorus Community Health Plans | Children's Hospital and Health System, Inc. | Children's Hospital and Health System, Inc. | Kenosha, Milwaukee, Ozaukee, Racine, Washington, and Washington Counties | CMS reported 2,752 (2024) | 100.0% | -46 (-1.6%) | 0.0 pts | 2023: 2,798; 2024: 2,752 |
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Children's Community Health Plan | Children's Community Health Plan | Children’s Community Health Plan | Counties: Milwaukee, Kenosha, Racine, Washington, Ozaukee, Waukesha | not reported | not reported | not reported | not reported | 2018: 3,141 |
| Children's Hospital of Wisconsin is contracted | Children's Hospital of Wisconsin | Children’s Hospital of Wisconsin | Counties: Kenosha, Milwaukee, Ozaukee, Racine, Washington, Waukesha | not reported | not reported | not reported | not reported | 2017: 3,118 |
| Children’s Hospital of Wisconsin | Children’s Hospital of Wisconsin | Children’s Hospital of Wisconsin | Kenosha, Milwaukee, Ozaukee, Racine, Washington, and Washington Counties | not reported | not reported | not reported | not reported | 2020: 3,092; 2022: 2,805 |
| Children’s Hospital of Wisconsin | Children’s Hospital of Wisconsin | Children’s Hospital of Wisconsin | Kenosha, Milwaukee, Ozaukee, Racine, Washington, and Washington counties | not reported | not reported | not reported | not reported | 2021: 2,849 |
| Children’s Hospital of Wisconsin | Children’s Hospital of Wisconsin | Children’s Hospital of Wisconsin | Kenosha, Milwaukee, Ozaukee, Racine, Washington, and Waukesha Counties | not reported | not reported | not reported | not reported | 2019: 3,246 |
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Children’s Hospital of Wisconsin | not reported | unmatched | Counties: Kenosha, Milwaukee, Ozaukee, Racine, Washington, Waukesha | not reported | not reported | not reported | not reported | 2016: 2,871 |
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Children Come First | Children Come First | Children Come First | County: Dane | not reported | not reported | not reported | not reported | 2016: 132; 2017: 116; 2018: 122 |
| Children Come First | Children Come First | Children Come First | Dane and County | not reported | not reported | not reported | not reported | 2019: 123 |
| Children Come First | Children Come First | Children Come First | Dane county | not reported | not reported | not reported | not reported | 2021: 85 |
| Children Come First | Dane County Health and Human Services | Dane County Health and Human Services | Dane County | not reported | not reported | not reported | not reported | 2020: 113; 2022: 90 |
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Care Wisconsin (FC) | Care Wisconsin (FC) | Care Wisconsin (FC) | Counties: Brown, Buffalo, Chippewa, Clark, Columbia, Crawford, Dodge, Door, Dunn, Eau Claire, Grant, Green, Green Lake, Iowa, Jackson, Jefferson, Juneau, Kewaunee, La Crosse, Lafayette, Marinette, Marquette, Menominee, Monroe, Oconto, Ozaukee, Pepin, Pierce, Richland, St. Croix, Sauk, Shawano, Sheboygan, Taylor, Trempealeau, Vernon, Walworth, Washington, Waukesha, Waushara | not reported | not reported | not reported | not reported | 2017: 6,974 |
| Care Wisconsin (FC) | Care Wisconsin, Inc. | Care Wisconsin | Adams, Brown, Buffalo, Chippewa, Clark, Columbia, Crawford, Dane, Dodge, Door, Dunn, Eau Claire, Grant, Green, Green Lake, Iowa, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, La Crosse, Lafayette, Marinette, Marquette, Menominee, Monroe, Oconto, Ozaukee, Pepin, Pierce, Richland, St. Croix, Sauk, Shawano, Sheboygan, Taylor, Trempealeau, Vernon, Walworth, Washington, Waukesha, and Waushara Counties | not reported | not reported | not reported | not reported | 2019: 8,318 |
| Care Wisconsin (FC) | not reported | unmatched | Counties: Brown, Buffalo, Chippewa, Clark, Columbia, Crawford, Dodge, Door, Dunn, Eau Claire, Grant, Green, Green Lake, Iowa, Jackson, Jefferson, Juneau, Kewaunee, La Crosse, Lafayette, Marinette, Marquette, Menominee, Monroe, Oconto, Ozaukee, Pepin, Pierce, Richland, St. Croix, Sauk, Shawano, Sheboygan, Trempealeau, Vernon, Walworth, Washington, Waukesha, Waushara | not reported | not reported | not reported | not reported | 2016: 6,133 |
| Care Wisconsin | Community Care Health Plan (WI) | Community Care Health Plan (WI) | Counties: Brown, Buffalo, Chippewa, Clark, Columbia, Crawford, Dodge, Door, Dunn, Eau Claire, Grant, Green, Green Lake, Iowa, Jackson, Jefferson, Juneau, Kewaunee, La Crosse, Lafayette, Marinette, Marquette, Menominee, Monroe, Oconto, Ozaukee, Pepin, Pierce, Richland, St. Croix, Sauk, Shawano, Sheboygan, Taylor, Trempealeau, Vernon, Walworth, Washington, Waukesha, Waushara | not reported | not reported | not reported | not reported | 2018: 8,481 |
| Community Care Connections of Wisconsin (FC) | not reported | unmatched | Counties: Ashland, Barron, Bayfield, Burnett, Douglass, Iron, Lincoln, Langlade, Marathon, Polk, Portage, Price, Rock, Rusk, Sawyer, Washburn, Wood | not reported | not reported | not reported | not reported | 2016: 6,064 |
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Community Care Inc. | Community Care Inc. | Community Care, Inc. | Adams, Brown, Calumet, Columbia, Dane, Dodge, Door, Florence, Fond du Lac, Forest, Green Lake, Jefferson, Kenosha, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Vilas, Walworth, Washington, Waukesha, Waupaca, Waushara, Winnebago, and Wood counties | not reported | not reported | not reported | not reported | 2021: 12,225 |
| Community Care, Inc. (FC) | Community Care, Inc. (FC) | Community Care, Inc. (FC) | Counties: Calumet, Fond du Lac, Kenosha, Milwaukee, Manitowoc, Outagamie, Ozaukee, Racine, Sheboygan, Walworth, Washington, Waukesha, Waupaca, Winnebago | not reported | not reported | not reported | not reported | 2016: 9,701; 2017: 10,267 |
| Community Care, Inc. | CCI | CCI | Adams, Brown, Calumet, Columbia, Dane, Dodge, Door, Florence, Fond du Lac, Forest, Green Lake, Jefferson, Kenosha, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Vilas, Walworth, Washington, Waukesha, Waupaca, Waushara, Winnebago, and Wood Counties | CMS reported 13,778 (2024) | 26.0% | -192 (-1.4%) | +0.0 pts | 2020: 11,725; 2023: 13,970; 2024: 13,778 |
| Community Care, Inc. | Community Care Health Plan (WI) | Community Care Health Plan (WI) | Counties: Calumet, Fond du Lac, Kenosha, Milwaukee, Manitowoc, Outagamie, Ozaukee, Racine, Sheboygan, Walworth, Washington, Waukesha, Waupaca, Winnebago | not reported | not reported | not reported | not reported | 2018: 10,888 |
| Community Care, Inc. | Community Care, Inc. | Community Care, Inc. | Calumet, Fond du Lac, Kenosha, Milwaukee, Manitowoc, Outagamie, Ozaukee, Racine, Sheboygan, Walworth, Washington, Waukesha, Waupaca, and Winnebago Counties | not reported | not reported | not reported | not reported | 2019: 11,397 |
| CommunityLink (became Inclusa in September 2017) | CommunityLink (became Inclusa in September 2017) | CommunityLink (became Inclusa in September 2017) | Counties: Ashland, Barron, Bayfield, Buffalo, Burnett, Chippewa, Clark, Columbia, Crawford, Dodge, Douglas, Dunn, Eau Claire, Florence, Forest, Grant, Green, Green Lake, Iowa, Iron, Jackson, Jefferson, Juneau, La Crosse, Lafayette, Langlade, Lincoln, Marathon, Marquette, Monroe, Oneida, Pepin, Pierce, Polk, Portage, Price, Richland, Rock, Rusk, Sauk, Sawyer, St. Croix, Trempealeau, Vernon, Vilas, Washington, Waukesha, Washburn, Waushara, Wood | not reported | not reported | not reported | not reported | 2017: 15,493; 2018: 14,969 |
| ContinuUs | not reported | unmatched | Counties: Chippewa, Dunn, Eau Claire, Pierce, St. Croix, Columbia, Dodge, Green Lake, Jefferson, Marquette, Washington, Waukesha, Waushara, Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk | not reported | not reported | not reported | not reported | 2016: 5,082 |
| Inclusa Inc. | Inclusa Inc. | Inclusa | Ashland, Adams, Barron, Bayfield, Brown, Buffalo, Burnett, Calumet, Chippewa, Clark, Columbia, Crawford, Dodge, Door, Douglas, Dunn, Eau Claire, Florence, Forest, Fond du Lac, Grant, Green, Green Lake, Iowa, Iron, Jackson, Jefferson, Juneau, Kewaunee, La Crosse, Lafayette, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Monroe, Oconto, Oneida, Outagamie, Ozaukee, Pepin, Pierce, Polk, Portage, Price, Richland, Rock, Rusk, St. Croix, Sauk, Sawyer, Shawano, Sheboygan, Taylor, Trempealeau, Vernon, Vilas, Walworth, Washburn, Washington, Waukesha, Waupaca, Waushara, Winnebago, and Wood counties | not reported | not reported | not reported | not reported | 2021: 15,502 |
| Inclusa, Inc. | Humana | Humana | Ashland, Adams, Barron, Bayfield, Brown, Buffalo, Burnett, Calumet, Chippewa, Clark, Columbia, Crawford, Dodge, Door, Douglas, Dunn, Eau Claire, Florence, Forest, Fond du Lac, Grant, Green, Green Lake, Iowa, Iron, Jackson, Jefferson, Juneau, Kewaunee, La Crosse, Lafayette, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Monroe, Oconto, Oneida, Outagamie, Ozaukee, Pepin, Pierce, Polk, Portage, Price, Richland, Rock, Rusk, St. Croix, Sauk, Sawyer, Shawano, Sheboygan, Taylor, Trempealeau, Vernon, Vilas, Walworth, Washburn, Washington, Waukesha, Waupaca, Waushara, Winnebago, and Wood Counties | CMS reported 16,965 (2024) | 32.0% | -208 (-1.2%) | +0.1 pts | 2020: 15,311; 2023: 17,173; 2024: 16,965 |
| Inclusa | Inclusa | Inclusa | Adams, Ashland, Barron, Bayfield, Buffalo, Burnett, Chippewa, Clark, Columbia, Crawford, Dodge, Douglas, Dunn, Eau Claire, Florence, Forest, Grant, Green, Green Lake, Iowa, Iron, Jackson, Jefferson, Juneau, La Crosse, Lafayette, Langlade, Lincoln, Marathon, Marquette, Monroe, Oneida, Pepin, Pierce, Polk, Portage, Price, Richland, Rock, Rusk, Sauk, Sawyer, St. Croix, Trempealeau, Vernon, Vilas, Washington, Waukesha, Washburn, Waushara, and Wood Counties | not reported | not reported | not reported | not reported | 2019: 14,796 |
| Lakeland Care District | Lakeland Care District | Lakeland Care District | Brown, Calumet, Door, Florence, Fond du Lac, Forest, Kewaunee, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Menominee, Oconto, Oneida, Outagamie, Portage, Shawano, Vilas, Waupaca, Winnebago, and Wood Counties | not reported | not reported | not reported | not reported | 2019: 6,085 |
| Lakeland Care District | Lakeland Care District | Lakeland Care District | Counties: Brown, Calumet, Door, Florence, Fond du Lac, Forest, Kewaunee, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Menominee, Oconto, Oneida, Outagamie, Portage, Shawano, Vilas, Waupaca, Winnebago, Wood | not reported | not reported | not reported | not reported | 2018: 5,581 |
| Lakeland Care District | not reported | unmatched | Counties: Brown, Calumet, Door, Fond du Lac, Kewaunee, Manitowoc, Marinette, Menominee, Oconto, Outagamie, Shawano, Waupaca, Winnebago | not reported | not reported | not reported | not reported | 2016: 4,309 |
| Lakeland Care Inc. | Lakeland Care Inc. | Lakeland Care, Inc. | Adams, Brown, Calumet, Columbia, Dodge, Door, Florence, Fond du Lac, Forest, Green Lake, Jefferson, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Oconto, Oneida, Outagamie, Portage, Shawano, Vilas, Waupaca, Waushara, Winnebago, and Wood counties | not reported | not reported | not reported | not reported | 2021: 7,710 |
| Lakeland Care, Inc. | Lakeland Care, Inc. | Lakeland Care, Inc. | Adams, Brown, Calumet, Columbia, Dodge, Door, Florence, Fond du Lac, Forest, Green Lake, Jefferson, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Oconto, Oneida, Outagamie, Portage, Shawano, Vilas, Waupaca, Waushara, Winnebago, and Wood Counties | CMS reported 7,227 (2024) | 13.7% | -97 (-1.3%) | +0.0 pts | 2020: 7,727; 2023: 7,324; 2024: 7,227 |
| Lakeland Care, Inc. | Lakeland Care, Inc. | Lakeland Care, Inc. | Counties: Brown, Calumet, Door, Florence, Fond du Lac, Forest, Kewaunee, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Menominee, Oconto, Oneida, Outagamie, Portage, Shawano, Vilas, Waupaca, Winnebago, Wood | not reported | not reported | not reported | not reported | 2017: 4,794 |
| My Choice Family Care - Care Wisconsin | My Choice Family Care | My Choice Family Care | Dane, Fond du Lac, Kenosha, Manitowoc, Milwaukee, Ozaukee, Racine, Sheboygan, Walworth, Washington, Waukesha, and Winnebago Counties | not reported | not reported | not reported | not reported | 2020: 16,312 |
| My Choice Family Care | My Choice Family Care | My Choice Family Care | Buffalo, Clark, Crawford, Dane, Grant, Greem, Iowa, Jackson, Juneau, Kenosha, LaCrosse, Lafayette, Milwaukee, Monroe, Ozaukee, Pepin, Racine, Richland, Rock, Sauk, Sheboygan, Trempealeau, Vernon, Walworth, Washington, and Waukesha Counties | not reported | not reported | not reported | not reported | 2019: 9,183 |
| My Choice Family Care | My Choice Family Care | My Choice Family Care | Counties: Kenosha, Milwaukee, Ozaukee, Racine, Rock, Sheboygan, Walworth, Washington, Waukesha | not reported | not reported | not reported | not reported | 2016: 8,461; 2017: 8,485; 2018: 8,649 |
| My Choice Wisconsin | Molina Healthcare, Inc. | Molina | Dane, Fond du Lac, Kenosha, Manitowoc, Milwaukee, Ozaukee, Racine, Sheboygan, Walworth, Washington, Waukesha, and Winnebago Counties | CMS reported 14,968 (2024) | 28.3% | -287 (-1.9%) | -0.1 pts | 2023: 15,255; 2024: 14,968 |
| My Choice Wisconsin | My Choice Wisconsin | My Choice Wisconsin | Dane, Fond du Lac, Kenosha, Manitowoc, Milwaukee, Ozaukee, Racine, Sheboygan, Walworth, Washington, Waukesha, and Winnebago counties | not reported | not reported | not reported | not reported | 2021: 15,873 |
| Western Wisconsin Cares | not reported | unmatched | Counties: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon | not reported | not reported | not reported | not reported | 2016: 3,828 |
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Community Care, Inc. | CCI | CCI | Adams, Brown, Calumet, Columbia, Dane, Dodge, Door, Florence, Fond du Lac, Forest, Green Lake, Jefferson, Kenosha, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Vilas, Walworth, Washington, Waukesha, Waupaca, Waushara, Winnebago, and Wood Counties | not reported | not reported | not reported | not reported | 2022: 13,108 |
| Inclusa, Inc. | Humana | Humana | Ashland, Adams, Barron, Bayfield, Brown, Buffalo, Burnett, Calumet, Chippewa, Clark, Columbia, Crawford, Dodge, Door, Douglas, Dunn, Eau Claire, Florence, Forest, Fond du Lac, Grant, Green, Green Lake, Iowa, Iron, Jackson, Jefferson, Juneau, Kewaunee, La Crosse, Lafayette, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Monroe, Oconto, Oneida, Outagamie, Ozaukee, Pepin, Pierce, Polk, Portage, Price, Richland, Rock, Rusk, St. Croix, Sauk, Sawyer, Shawano, Sheboygan, Taylor, Trempealeau, Vernon, Vilas, Walworth, Washburn, Washington, Waukesha, Waupaca, Waushara, Winnebago, and Wood Counties | not reported | not reported | not reported | not reported | 2022: 16,616 |
| Lakeland Care, Inc. | Lakeland Care, Inc. | Lakeland Care, Inc. | Adams, Brown, Calumet, Columbia, Dodge, Door, Florence, Fond du Lac, Forest, Green Lake, Jefferson, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Oconto, Oneida, Outagamie, Portage, Shawano, Vilas, Waupaca, Waushara, Winnebago, and Wood Counties | not reported | not reported | not reported | not reported | 2022: 7,466 |
| My Choice Wisconsin | Molina Healthcare, Inc. | Molina | Dane, Fond du Lac, Kenosha, Manitowoc, Milwaukee, Ozaukee, Racine, Sheboygan, Walworth, Washington, Waukesha, and Winnebago Counties | not reported | not reported | not reported | not reported | 2022: 15,472 |
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Care Wisconsin Health Plan - Trilogy Health Ins | Independent Care Health Plan – iCare | Independent Care Health Plan – iCare | Columbia, Dane, Dodge, Jefferson, Ozaukee, Sauk, Washington, and Waukesha Counties | not reported | not reported | not reported | not reported | 2020: 1,878 |
| Care Wisconsin Health Plan, Inc. – Care Wisconsin | Care Wisconsin Health Plan, Inc. – Care Wisconsin | Care Wisconsin Health Plan, Inc. – Care Wisconsin | Columbia, Dane, Dodge, Jefferson, Ozaukee, Sauk, Washington, and Waukesha Counties | not reported | not reported | not reported | not reported | 2019: 1,904 |
| Community Care Health Plan, Inc. – Community Care, Inc. | Community Care Health Plan, Inc. – Community Care, Inc. | Community Care Health Plan, Inc. – Community Care, Inc. | Calumet, Kenosha, Milwaukee, Outagamie, Ozaukee, Racine, Washington, Waukesha, and Waupaca Counties | not reported | not reported | not reported | not reported | 2019: 649 |
| Community Care Health Plan | Community Care Health Plan, Inc. – Community Care, Inc. | Community Care Health Plan, Inc. – Community Care, Inc. | Calumet, Kenosha, Milwaukee, Outagamie, Ozaukee, Racine, Washington, Waukesha, and Waupaca Counties | not reported | not reported | not reported | not reported | 2020: 688 |
| Independent Care (iCare) | Independent Care Health Plan – iCare | Independent Care Health Plan – iCare | Dane, Kenosha, Rachine, and Sauk Counties | not reported | not reported | not reported | not reported | 2020: 1,139 |
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Independent Care Health Plan – iCare | Independent Care Health Plan – iCare | Independent Care Health Plan – iCare | Dane, Kenosha, Milwaukee, Racine, and Sauk Counties | not reported | not reported | not reported | not reported | 2019: 1,102 |
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Care Wisconsin | Community Care Health Plan (WI) | Community Care Health Plan (WI) | Counties: Columbia, Dane, Dodge, Jefferson, Ozaukee, Sauk, Waukesha | not reported | not reported | not reported | not reported | 2018: 1,807 |
| Community Care, Inc. | Community Care Health Plan (WI) | Community Care Health Plan (WI) | Counties: Calumet, Kenosha, Milwaukee, Outagamie, Ozaukee, Racine, Washington, Waukesha, Waupaca | not reported | not reported | not reported | not reported | 2018: 628 |
| Independent Care (iCare) | iCare | iCare | Counties: Dane, Kenosha, Milwaukee, Racine | not reported | not reported | not reported | not reported | 2018: 932 |
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Community Care, Inc. | not reported | unmatched | Counties: Waukesha and Milwaukee | not reported | not reported | not reported | not reported | 2016: 619 |
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Community Care, Inc. | Community Care, Inc. | Community Care, Inc. | Milwaukee and Waukesha Counties | not reported | not reported | not reported | not reported | 2022: 514 |
| Community Care, Inc. | Community Care, Inc. | Community Care, Inc. | Milwaukee, Waukesha, Kenosha, and Racine Counties | CMS reported 505 (2024) | 100.0% | -14 (-2.7%) | 0.0 pts | 2023: 519; 2024: 505 |
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Community Care, Inc. | Community Care Health Plan (WI) | Community Care Health Plan (WI) | Counties: Milwaukee and Waukesha | not reported | not reported | not reported | not reported | 2017: 574; 2018: 573 |
| Community Care, Inc. | Community Care, Inc. | Community Care, Inc. | Milwaukee and Waukesha Counties | not reported | not reported | not reported | not reported | 2020: 547 |
| Community Care, Inc. | Community Care, Inc. | Community Care, Inc. | Milwaukee and Waukesha counties | not reported | not reported | not reported | not reported | 2021: 513 |
| Community Care, Inc. | Community Care, Inc. | Community Care, Inc. | Milwaukee, Racine and Waukesha Counties | not reported | not reported | not reported | not reported | 2019: 554 |
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Anthem Blue Cross Blue Shield | Anthem BCBS | Elevance | Counties: Brown, Calumet, Dane, Dodge, Door, Florence, Fond du Lac, Forest, Green Lake, Jefferson, Kenosha, Kewaunee, Langlade, Manitowoc, Marinette, Marquette, Menominee, Milwaukee, Oconto, Outagamie, Ozaukee, Polk, Portage, Racine, Rock, Shawano, Sheboygan, Taylor, Walworth, Washington, Waukesha, Waupaca, Waushara, Winnebago, Wood | not reported | not reported | not reported | not reported | 2016: 727; 2017: 1,463; 2018: 5,631 |
| Anthem Blue Cross Blue Shield | Anthem Blue Cross Blue Shield | Elevance | Adams, Ashland, Barron, Bayfield, Brown, Buffalo, Burnett, Calumet, Chippewa, Clark, Columbia, Crawford, Dane, Dodge, Door, Douglas, Dunn, Eau Claire, Florence, Fond du Lac, Forest, Grant, Green, Green Lake, Iowa, Iron, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, La Crosse, Lafayette, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Monroe, Oconto, Oneida, Outagamie, Ozaukee, Pepin, Pierce, Polk, Portage, Price, Racine, Richland, Rock, Rusk, Sauk, Sawyer, Shawano, Sheboygan, St. Croix, Taylor, Trempealeau, Vernon, Vilas, Walworth, Washburn, Washington, Waukesha, Waupaca, Waushara, Winnebago, and Wood Counties | not reported | not reported | not reported | not reported | 2019: 6,019 |
| Anthem Blue Cross Blue Shield | Elevance Health | Elevance | Statewide | CMS reported 7,086 (2024) | 13.4% | -979 (-12.1%) | +0.2 pts | 2020: 6,843; 2021: 7,749; 2022: 8,268; 2023: 8,065; 2024: 7,086 |
| Care Wisconsin | Care Wisconsin | Care Wisconsin | Adams, Brown, Calumet, Clark, Columbia, Crawford, Dane, Dodge, Door, Fond du Lac, Grant, Green, Green Lake, Iowa, Jackson, Jefferson, Juneau, Kewaunee, La Crosse, Lafayette, Manitowoc, Marquette, Monroe, Oconto, Outagamie, Ozaukee, Richland, Rock, Sauk, Shawano, Sheboygan, Trempealeau, Vernon, Walworth, Washington, Waukesha, Waupaca, Waushara, and Winnebago Counties | not reported | not reported | not reported | not reported | 2019: 2,877 |
| Care Wisconsin | Community Care Health Plan (WI) | Community Care Health Plan (WI) | Counties: Adams, Calumet, Clark, Columbia, Crawford, Dane, Dodge, Fond du Lac, Grant, Green, Green Lake, Iowa, Jackson, Jefferson, Juneau, La Crosse, Lafayette, Marquette, Monroe, Outagamie, Ozaukee, Richland, Rock, Trempealeau, Vernon, Waukesha, Waupaca, Waushara, Winnebago | not reported | not reported | not reported | not reported | 2016: 1,813; 2017: 1,802; 2018: 2,795 |
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Compcare | Compcare | Compcare | Counties: Ashland, Chippewa, Douglas, Eau Claire, Grant, Green, Iowa, Juneau, Lafayette, Lincoln, Marathon, Price, Richland, Vernon, Washburn | not reported | not reported | not reported | not reported | 2016: 383; 2017: 364 |
| Group Health Cooperative Of Eau Claire | Group Health Cooperative Of Eau Claire | Group Health Cooperative of Eau Claire | Adams, Ashland, Barron, Bayfield, Buffalo, Burnett, Chippewa, Clark, Columbia, Crawford, Douglas, Dunn, Eau Claire, Forest, Grant, Green, Iowa, Iron, Jackson, Juneau, La Crosse, Lafayette, Langlade, Lincoln, Marathon, Monroe, Oneida, Pepin, Pierce, Polk, Price, Richland, Rusk, Sawyer, Shawano, St. Croix, Taylor, Trempealeau, Vernon, Vilas, Washburn, and Wood Counties | not reported | not reported | not reported | not reported | 2019: 3,257 |
| Group Health Cooperative Of Eau Claire | Group Health Cooperative | Group Health Cooperative | Counties: Ashland, Buffalo, Chippewa, Columbia, Crawford, Douglas, Eau Claire, Forest, Grant, Green, Iowa, Iron, Jackson, Juneau, La Crosse, Lafayette, Langlade, Lincoln, Marathon, Oneida, Pepin, Polk, Portage, Price, Richland, Shawano, Trempealeau, Vernon, Vilas, Washburn, Wood | not reported | not reported | not reported | not reported | 2016: 1,897; 2017: 1,872; 2018: 3,314 |
| Group Health Cooperative of Eau Claire | Group Health Cooperative of Eau Claire | Group Health Cooperative of Eau Claire | Adams, Ashland, Barron, Bayfield, Buffalo, Burnett, Chippewa, Clark, Crawford, Douglas, Dunn, Eau Claire, Forest, Grant, Green, Iowa, Iron, Jackson, Juneau, La Crosee, Lafayette, Langlade, Marathon, Monroe, Oneida, Pepin, Pierce, Polk, Portage, Price, Richland, Rusk, St. Criox, Sauk, Sawyer, Shawano, Taylor, Trempealeau, Vernon, Vilas, Washburn, and Wood Counties | not reported | not reported | not reported | not reported | 2020: 3,347 |
| Group Health Cooperative of Eau Claire | Group Health Cooperative of Eau Claire | Group Health Cooperative of Eau Claire | Adams, Ashland, Barron, Bayfield, Buffalo, Burnett, Chippewa, Clark, Crawford, Douglas, Dunn, Eau Claire, Forest, Grant, Green, Iowa, Iron, Jackson, Juneau, La Crosee, Lafayette, Langlade, Marathon, Monroe, Oneida, Pepin, Pierce, Polk, Portage, Price, Richland, Rusk, St. Criox, Sauk, Sawyer, Shawano, Taylor, Trempealeau, Vernon, Vilas, Washburn, and Wood counties | not reported | not reported | not reported | not reported | 2021: 3,497 |
| Group Health Cooperative of Eau Claire | Group Health Cooperative of Eau Claire | Group Health Cooperative of Eau Claire | Adams, Ashland, Barron, Bayfield, Buffalo, Burnett, Chippewa, Clark, Crawford, Douglas, Dunn, Eau Claire, Forest, Grant, Green, Iowa, Iron, Jackson, Juneau, La Crosse, Lafayette, Langlade, Marathon, Monroe, Oneida, Pepin, Pierce, Polk, Portage, Price, Richland, Rusk, St. Croix, Sauk, Sawyer, Shawano, Taylor, Trempealeau, Vernon, Vilas, Washburn, and Wood Counties | CMS reported 2,894 (2024) | 5.5% | -471 (-14.0%) | -0.0 pts | 2022: 3,443; 2023: 3,365; 2024: 2,894 |
| Independent Care (ICARE) Health Plan | Humana | Humana | Adams, Brown, Calumet, Columbia, Crawford, Dane, Dodge, Door, Fond du Lac, Grant, Green, Green Lake, Iowa, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, La Crosse, Manitowoc, Marinette, Milwaukee, Monroe, Oconto, Outagamie, Ozuakee, Racine, Richland, Rock, Sauk, Shawano, Sheboygan, Trempealeau, Vernon, Walworth, Washington, Waukesha, Waupaca, and Winnebago counties | not reported | not reported | not reported | not reported | 2021: 10,651 |
| Independent Care (Icare) Health Plan | Humana | Humana | Adams, Brown, Calumet, Columbia, Crawford, Dane, Dodge, Door, Fond du Lac, Grant, Green, Green Lake, Iowa, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, La Crosse, Manitowoc, Marinette, Milwaukee, Monroe, Oconto, Outagamie, Ozuakee, Racine, Richland, Rock, Sauk, Shawano, Sheboygan, Trempealeau, Vernon, Walworth, Washington, Waukesha, Waupaca, and Winnebago Counties | not reported | not reported | not reported | not reported | 2022: 10,894 |
| Independent Care (iCare) | Independent Care (iCare) | Independent Care (iCare) | Adams, Brown, Calumet, Columbia, Crawford, Dane, Dodge, Door, Fond du Lac, Grant, Green, Green Lake, Iowa, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, La Crosse, Manitowoc, Marinette, Milwaukee, Monroe, Oconto, Outagamie, Ozuakee, Racine, Richland, Rock, Sauk, Shawano, Sheboygan, Trempealeau, Vernon, Walworth, Washington, Waukesha, Waupaca, and Winnebago Counties | not reported | not reported | not reported | not reported | 2020: 10,301 |
| Independent Care (iCare) | Independent Care (iCare) | Independent Care (iCare) | Adams, Brown, Calumet, Crawford, Dane, Dodge, Door, Fond du Lac, Grant, Green, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, La Crosse, Manitowoc, Marathon, Marinette, Milwaukee, Monroe, Oconto, Outagamie, Ozaukee, Racine, Rock, Sauk, Shawano, Sheboygan, Trempealeau, Vernon, Walworth, Washington, Waukesha, Waupaca,and Winnebago Counties | not reported | not reported | not reported | not reported | 2019: 10,071 |
| Independent Care (iCare) | iCare | iCare | Counties: Adams, Brown, Dane, Dodge, Door, Fond Du Lac, Grant, Green, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, La Crosse, Manitowoc, Marinette, Milwaukee, Monroe, Oconto, Outagamie, Ozaukee, Racine, Rock, Sheboygan, Trempealeau, Vernon, Walworth, Washington, Waukesha, Waupaca, Winnebago | not reported | not reported | not reported | not reported | 2016: 8,239; 2017: 7,967; 2018: 10,293 |
| Independent Care Health Plan | Humana | Humana | Adams, Brown, Calumet, Columbia, Crawford, Dane, Dodge, Door, Fond du Lac, Grant, Green, Green Lake, Iowa, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, La Crosse, Manitowoc, Marinette, Milwaukee, Monroe, Oconto, Outagamie, Ozaukee, Racine, Richland, Rock, Sauk, Shawano, Sheboygan, Trempealeau, Vernon, Walworth, Washington, Waukesha, Waupaca, and Winnebago Counties | CMS reported 8,877 (2024) | 16.8% | -1,687 (-16.0%) | -0.5 pts | 2023: 10,564; 2024: 8,877 |
| MHS Health Wisconsin | Centene Corporation | Centene | Statewide | CMS reported 6,074 (2024) | 11.5% | -945 (-13.5%) | +0.0 pts | 2023: 7,019; 2024: 6,074 |
| MHS of Wisconsin | MHS of Wisconsin | MHS of Wisconsin | Adams, Ashland, Barron, Bayfield, Brown, Buffalo, Burnett, Calumet, Chippewa, Clark, Columbia, Crawford, Dane, Dodge, Door, Douglas, Dunn, Eau Claire, Florence, Fond du Lac, Forest, Grant, Green, Green Lake, Iowa, Iron, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, La Crosse, Lafayette, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Monroe, Oconto, Oneida, Outagamie, Ozaukee, Pepin, Pierce, Polk, Portage, Price, Racine, Richland, Rock, Rusk, Sauk, Sawyer, Shawano, Sheboygan, St. Croix, Taylor, Trempealeau, Vernon, Vilas, Walworth, Washburn, Washington, Waukesha, Waupaca, Waushara, Winnebago, and Wood Counties | not reported | not reported | not reported | not reported | 2019: 5,997 |
| MHS of Wisconsin | MHS of Wisconsin | MHS of Wisconsin | Counties: Ashland, Bayfield, Brown, Calumet, Chippewa, Clark, Dodge, Door, Douglas, Eau Claire, Fond du Lac, Forest, Green Lake, Iron, Jefferson, Kenosha, Kewaunee, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Polk, Portage, Price, Racine, Rock, Rusk, Sawyer, Shawano, Sheboygan, Taylor, Vilas, Walworth, Washburn, Waukesha, Waupaca, Waushara, Winnebago, Wood | not reported | not reported | not reported | not reported | 2016: 4,436; 2017: 4,066; 2018: 6,180 |
| Managed Health Services Insurance Corp. | Centene Corporation | Centene | Statewide | not reported | not reported | not reported | not reported | 2022: 7,007 |
| Managed Health Services Insurance Corporation | Managed Health Services Insurance Corporation | Centene | Statewide | not reported | not reported | not reported | not reported | 2021: 6,738 |
| Managed Health Services | MHS of Wisconsin | MHS of Wisconsin | Statewide | not reported | not reported | not reported | not reported | 2020: 6,397 |
| Molina Health Plan | Molina Health Plan | Molina | Brown, Calumet, Dodge, Door, Florence, Fond du Lac, Forest, Green Lake, Jefferson, Kenosha, Kewaunee, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Taylor, Vilas, Walworth, Washington, Waukesha, Waupaca, Waushara, Winnebago, and Wood Counties | not reported | not reported | not reported | not reported | 2019: 3,185 |
| Molina Health Plan | Molina Healthcare | Molina | Brown, Calumet, Dodge, Door, Florence, Fond du Lac, Forest, Green Lake, Jefferson, Kenosha, Kewaunee, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Vilas, Walworth, Washington, Waukesha, Waupaca, Waushara, and Winnebago Counties | not reported | not reported | not reported | not reported | 2020: 3,259 |
| Molina Health Plan | Molina Healthcare | Molina | Counties: Brown, Calumet, Clark, Dodge, Door, Florence, Fond du Lac, Forest, Green Lake, Jefferson, Kenosha, Kewaunee, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Taylor, Vilas, Walworth, Washington, Waukesha, Waupaca, Waushara, Winnebago, Wood | not reported | not reported | not reported | not reported | 2016: 2,059; 2017: 2,042; 2018: 3,188 |
| Molina HealthCare of Wisconsin, Inc. | Molina Healthcare, Inc. | Molina | Adams, Brown, Calumet, Clark, Columbia, Crawford, Dane, Dodge, Door, Fond du Lac, Grant, Green, Green Lake, Iowa, Jackson, Jefferson, Juneau, Kewaunee, La Crosse, Lafayette, Manitowoc, Marquette, Monroe, Oconto, Outagamie, Ozaukee, Richland, Rock, Sauk, Shawano, Sheboygan, Trempealeau, Vernon, Walworth, Waukesha, Waupaca, Waushara, and Winnebago Counties | CMS reported 5,464 (2024) | 10.3% | not reported | not reported | 2024: 5,464 |
| Molina Healthcare of Wisconsin, Inc. | Molina Healthcare, Inc. | Molina | Adams, Brown, Calumet, Clark, Columbia, Crawford, Dane, Dodge, Door, Fond du Lac, Grant, Green, Green Lake, Iowa, Jackson, Jefferson, Juneau, Kewaunee, La Crosse, Lafayette, Manitowoc, Marquette, Monroe, Oconto, Outagamie, Ozaukee, Richland, Rock, Sauk, Shawano, Sheboygan, Trempealeau, Vernon, Walworth, Waukesha, Waupaca, Waushara, and Winnebago Counties | not reported | not reported | not reported | not reported | 2023: 6,589 |
| Molina Healthcare of Wisconsin | Molina Healthcare, Inc. | Molina | Brown, Calumet, Dodge, Door, Florence, Fond du Lac, Forest, Green Lake, Jefferson, Kenosha, Kewaunee, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Vilas, Walworth, Washington, Waukesha, Waupaca, Waushara, and Winnebago Counties | not reported | not reported | not reported | not reported | 2022: 3,449 |
| Molina Healthcare of Wisconsin | Molina Healthcare, Inc | Molina | Brown, Calumet, Dodge, Door, Florence, Fond du Lac, Forest, Green Lake, Jefferson, Kenosha, Kewaunee, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Vilas, Walworth, Washington, Waukesha, Waupaca, Waushara, and Winnebago counties | not reported | not reported | not reported | not reported | 2021: 3,409 |
| My Choice Wisconsin Health Plan Inc. | My Choice Wisconsin Health Plan Inc. | My Choice Wisconsin Health Plan Inc. | Adams, Brown, Calumet, Clark, Columbia, Crawford, Dane, Dodge, Door, Fond du Lac, Grant, Green, Green Lake, Iowa, Jackson, Jefferson, Juneau, Kewaunee, La Crosse, Lafayette, Manitowoc, Marquette, Monroe, Oconto, Outagamie, Ozaukee, Richland, Rock, Sauk, Shawano, Sheboygan, Trempealeau, Vernon, Walworth, Waukesha, Waupaca, Waushara, and Winnebago counties | not reported | not reported | not reported | not reported | 2021: 3,415 |
| My Choice Wisconsin Health Plan, Inc. | Molina Healthcare, Inc. | Molina | Adams, Brown, Calumet, Clark, Columbia, Crawford, Dane, Dodge, Door, Fond du Lac, Grant, Green, Green Lake, Iowa, Jackson, Jefferson, Juneau, Kewaunee, La Crosse, Lafayette, Manitowoc, Marquette, Monroe, Oconto, Outagamie, Ozaukee, Richland, Rock, Sauk, Shawano, Sheboygan, Trempealeau, Vernon, Walworth, Waukesha, Waupaca, Waushara, and Winnebago Counties | not reported | not reported | not reported | not reported | 2020: 3,089; 2022: 3,333 |
| Network Health Plan | Froedtert ThedaCare Health | Froedtert ThedaCare Health | Statewide | CMS reported 3,897 (2024) | 7.4% | -788 (-16.8%) | -0.3 pts | 2020: 4,194; 2021: 4,588; 2022: 4,649; 2023: 4,685; 2024: 3,897 |
| Network Health Plan | Network Health Plan | Network Health Plan | Adams, Ashland, Barron, Bayfield, Brown, Buffalo, Burnett, Calumet, Chippewa, Clark, Columbia, Crawford, Dane, Dodge, Door, Douglas, Dunn, Eau Claire, Florence, Fond du Lac, Forest, Grant, Green, Green Lake, Iowa, Iron, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, La Crosse, Lafayette, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Monroe, Oconto, Oneida, Outagamie, Ozaukee, Pepin, Pierce, Polk, Portage, Price, Racine, Richland, Rock, Rusk, Sauk, Sawyer, Shawano, Sheboygan, St. Croix, Taylor, Trempealeau, Vernon, Vilas, Walworth, Washburn, Washington, Waukesha, Waupaca, Waushara, Winnebago, and Wood Counties | not reported | not reported | not reported | not reported | 2019: 3,847 |
| Network Health Plan | Network Health Plan | Network Health Plan | Counties: Ashland, Bayfield, Brown, Calumet, Chippewa, Clark, Dodge, Door, Douglas, Eau Claire, Fond du Lac, Forest, Green Lake, Iron, Jefferson, Kenosha, Kewaunee, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Polk, Portage, Price, Racine, Rock, Rusk, Sawyer, Shawano, Sheboygan, Taylor, Vilas, Walworth, Washburn, Waukesha, Waupaca, Waushara, Winnebago, Wood | not reported | not reported | not reported | not reported | 2016: 2,482; 2017: 2,347 |
| Network Health Plan | Network Health Plan | Network Health Plan | Counties: Ashland, Bayfield, Brown, Calumet, Chippewa, Clark, Dodge, Door, Douglas, Eau Claire, Fond du Lac, Forest, Green Lake, Iron, Jefferson, Kenosha, Kewaunee, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Polk, Portage, Price, Racine, Rock, Rusk, Sawyer, Shawano, Sheboygan, Taylor, Vilas, Walworth, Washburn, Waukesha, Waupaca, Waushara, Winnebago, Wood | not reported | not reported | not reported | not reported | 2018: 3,837 |
| Quartz | Quartz Health Insurance Corporation | Quartz Health Insurance Corporation | Dane, La Crosse, and Milwaukee Counties | CMS reported 394 (2024) | 0.7% | +263 (+200.8%) | +0.5 pts | 2023: 131; 2024: 394 |
| Security Health Plan of Wisc | Marshfield Clinic Health System | Marshfield Clinic Health System | Barron, Rusk, Price, Neida, Chippewa, Taylor, Lincoln, Eau Claire, Clark, Marathon, Wood, and Portage Counties | not reported | not reported | not reported | not reported | 2022: 208 |
| Security Health Plan of Wisconsin | Marshfield Clinic Health System | Marshfield Clinic Health System | Barron, Rusk, Price, Neida, Chippewa, Taylor, Lincoln, Eau Claire, Clark, Marathon, Wood, Portage | not reported | not reported | not reported | not reported | 2023: 464 |
| Security Health Plan of Wisconsin | Marshfield Clinic Health System | Marshfield Clinic Health System | Barron, Rusk, Price, Neida, Chippewa, Taylor, Lincoln, Eau Claire, Clark, Marathon, Wood, and Portage Counties | CMS reported 622 (2024) | 1.2% | not reported | not reported | 2024: 622 |
| Trilogy Health Insurance | Trilogy Health Insurance | Trilogy Health Insurance | Counties: Brown, Dodge, Green Lake, Kenosha, Marinette, Menominee, Milwaukee, Oconto, Outagamie, Ozaukee, Racine, Sheboygan, Taylor, Washington, Waukesha, Waupaca, Winnebago, Wood | not reported | not reported | not reported | not reported | 2016: 275; 2017: 300 |
| United Healthcare Community Plan | UnitedHealthcare, Inc., PacifiCare Health Systems | UnitedHealth | Statewide | not reported | not reported | not reported | not reported | 2021: 19,873; 2022: 20,545 |
| UnitedHealthcare Community Plan | UnitedHealth Group | UnitedHealth | Statewide | CMS reported 17,628 (2024) | 33.3% | -2,692 (-13.2%) | +0.1 pts | 2020: 18,955; 2023: 20,320; 2024: 17,628 |
| UnitedHealthcare Community Plan | UnitedHealthcare Community Plan | UnitedHealth | Adams, Ashland, Barron, Bayfield, Brown, Burnett, Calumet, Chippewa, Clark, Columbia, Crawford, Dane, Dodge, Door, Douglas, Eau Claire, Florence, Fond du Lac, Forest, Grant, Green, Green Lake, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, La Crosse, Lafayette, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Monroe, Oconto, Oneida, Outagamie, Ozaukee, Pierce, Polk, Portage, Price, Racine, Richland, Rock, Sauk, Sawyer, Shawano, Sheboygan, St. Croix, Taylor, Trempealeau, Vernon, Vilas, Walworth, Washburn, Washington, Waukesha, Waupaca, Waushara, Winnebago, and Wood Counties | not reported | not reported | not reported | not reported | 2019: 18,505 |
| UnitedHealthcare Community Plan | UnitedHealthcare | UnitedHealth | Counties: Adams, Ashland, Barron, Bayfield, Brown, Burnett, Calumet, Chippewa, Columbia, Crawford, Dane, Dodge, Door, Douglas, Eau Claire, Florence, Fond du Lac, Forest, Green, Green Lake, Jefferson, Kenosha, Kewaunee, La Crosse, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Monroe, Oconto, Oneida, Outagamie, Ozaukee, Pierce, Polk, Portage, Price, Racine, Rock, St. Croix, Sauk, Sawyer, Shawano, Sheboygan, Taylor, Trempealeau, Vernon, Vilas, Walworth, Washburn, Washington, Waukesha, Waupaca, Waushara, Winnebago, Wood | not reported | not reported | not reported | not reported | 2016: 13,960; 2017: 14,187; 2018: 18,914 |
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Care Wisconsin Health Plan, Inc. – Care Wisconsin | Care Wisconsin Health Plan, Inc. – Care Wisconsin | Care Wisconsin Health Plan, Inc. – Care Wisconsin | Counties: Columbia, Dane, Dodge, Jefferson, Ozaukee, Sauk, Waukesha | not reported | not reported | not reported | not reported | 2016: 1,491; 2017: 1,537 |
| Community Care Health Plan, Inc. – Community Care, Inc. | Community Care Health Plan, Inc. – Community Care, Inc. | Community Care Health Plan, Inc. – Community Care, Inc. | Counties: Calumet, Kenosha, Milwaukee, Outagamie, Ozaukee, Racine, Washington, Waukesha, Waupaca | not reported | not reported | not reported | not reported | 2016: 666; 2017: 653 |
| Community Care Health Plan | CCI | CCI | Calumet, Kenosha, Milwaukee. Outagamie, Ozaukee, Racine, Washington, Waukesha, and Waupaca Counties | CMS reported 693 (2024) | 20.0% | -71 (-9.3%) | -0.6 pts | 2022: 757; 2023: 764; 2024: 693 |
| Community Health Care Plan | Community Health Care Plan | Community Health Care Plan | Calumet, Kenosha, Milwaukee, Outagamie, Ozaukee, Racine, Washington, Waukesha, and Waupaca counties | not reported | not reported | not reported | not reported | 2021: 725 |
| Independent Care (ICARE) Health Plan | Humana | Humana | Dane, Kenosha, Rachine, and Sauk counties | not reported | not reported | not reported | not reported | 2021: 1,320 |
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Independent Care Health Plan - iCare | Humana, Inc. | Humana | Brown, Columbia, Dane, Dodge, Fon du Lac, Jefferson, Manitowoc, Ozaukee, Sauk, Washington, Waukesha, and Winnebago Counties | CMS reported 1,496 (2024) | 43.1% | -65 (-4.2%) | +1.2 pts | 2023: 1,561; 2024: 1,496 |
| Independent Care Health Plan – iCare | Humana, Inc. | Humana | Brown, Columbia, Dane, Dodge, Fon du Lac, Jefferson, Manitowoc, Ozaukee, Sauk, Washington, Waukesha, and Winnebago Counties. | not reported | not reported | not reported | not reported | 2022: 1,422 |
| Independent Care Health Plan – iCare | Independent Care Health Plan – iCare | Independent Care Health Plan – iCare | Counties: Dane, Kenosha, Milwaukee, Racine | not reported | not reported | not reported | not reported | 2016: 836; 2017: 858 |
| My Choice Wisconsin Health Plan Inc. | My Choice Wisconsin Health Plan Inc. | My Choice Wisconsin Health Plan Inc. | Columbia, Dane, Dodge, Jefferson, Ozaukee, Sauk, Washington, and Waukesha counties | not reported | not reported | not reported | not reported | 2021: 1,715 |
| My Choice Wisconsin Health Plan, Inc. | Molina Healthcare, Inc. | Molina | Columbia, Dane, Dodge, Jefferson, Ozaukee, Sauk, Washington, and Waukesha Counties | not reported | not reported | not reported | not reported | 2022: 1,531 |
| My Choice Wisconsin | Molina Healthcare, Inc. | Molina | Columbia, Dane, Dodge, Jefferson, Ozaukee, Sauk, Washington, and Waukesha Counties | CMS reported 1,282 (2024) | 36.9% | -115 (-8.2%) | -0.6 pts | 2023: 1,397; 2024: 1,282 |
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Wrap Around Milwaukee | Wrap Around Milwaukee | Wrap Around Milwaukee | Milwaukee County | not reported | not reported | not reported | not reported | 2019: 1,067 |
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| WrapAround Milwaukee | Milwaukee County Health and Human Services | Milwaukee County Health and Human Services | Milwaukee County | not reported | not reported | not reported | not reported | 2023: 681 |
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Wrap Around Milwaukee | Wrap Around Milwaukee | Wrap Around Milwaukee | Milwaukee County | not reported | not reported | not reported | not reported | 2020: 1,088 |
| WrapAround Milwaukee | Milwaukee County Health and Human Services | Milwaukee County Health and Human Services | Milwaukee County | CMS reported 413 (2024) | 100.0% | not reported | not reported | 2022: 789; 2024: 413 |
| WrapAround Milwaukee | WrapAround Milwaukee | WrapAround Milwaukee | County: Milwaukee | not reported | not reported | not reported | not reported | 2016: 1,156; 2017: 1,129; 2018: 1,074 |
| WrapAround Milwaukee | WrapAround Milwaukee | WrapAround Milwaukee | Milwaukee county | not reported | not reported | not reported | not reported | 2021: 922 |
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
| Plan | Parent | Program | Appeals resolved | In favor of enrollee | Appeal rate | Grievances resolved | Medicaid enrollment share | Managed care enrollment share |
|---|---|---|---|---|---|---|---|---|
| Community Care, Inc. (CCI) | Community Care, Inc. | Family Care | 73 | not reported | not reported | 51 | 1% | 1.3% |
| Inclusa, Inc. | Humana | Family Care | 20 | not reported | not reported | 37 | 1.2% | 1.6% |
| Lakeland Care, Inc. | Lakeland Care, Inc. | Family Care | 8 | not reported | not reported | 17 | 0.5% | 0.7% |
| My Choice Wisconsin, Inc. (MCW) | Molina | Family Care | 47 | not reported | not reported | 32 | 1% | 1.4% |
| Anthem Blue Cross and Blue Shield | Elevance | BadgerCare Plus | 375 | 66 | 17.6% calculated | 329 | 9.2% | 12.8% |
| Plan | Parent | Program | Appeals resolved | In favor of enrollee | Appeal rate | Grievances resolved | Medicaid enrollment share | Managed care enrollment share |
|---|---|---|---|---|---|---|---|---|
| Chorus Community Health Plans (CCHP) | Children's Wisconsin | BadgerCare Plus | 132 | 2 | 1.5% calculated | 11 | 9% | 12.6% |
| Dean Health Plan | Dean Health Plan | BadgerCare Plus | 30 | 3 | 10.0% calculated | 25 | 3% | 4.2% |
| Group Health Cooperative of Eau Claire | Group Health Cooperative of Eau Claire | BadgerCare Plus | 221 | 33 | 14.9% calculated | 3 | 3.4% | 4.8% |
| Group Health Cooperative of South Central Wisconsin | Group Health Cooperative of South Central Wisconsin | BadgerCare Plus | 1 | 0 | 0.0% calculated | 22 | 0.5% | 0.7% |
| Independent Care Health Plan (iCare) | Humana | BadgerCare Plus | 38 | 12 | 31.6% calculated | 27 | 2% | 2.8% |
| MHS Health Wisconsin | Centene | BadgerCare Plus | 68 | 4 | 5.9% calculated | 260 | 3.5% | 4.9% |
| MercyCare Insurance Company | MercyCare Health Plans | BadgerCare Plus | 6 | 0 | 0.0% calculated | 16 | 1% | 1.3% |
| My Choice Wisconsin (MCW)/Molina | Molina | BadgerCare Plus | 141 | 46 | 32.6% calculated | 973 | 5.4% | 7.6% |
| Network Health Plan | Froedtert ThedaCare Health | BadgerCare Plus | 36 | 0 | 0.0% calculated | 270 | 3.3% | 4.6% |
| Quartz | Quartz Health Insurance Corporation | BadgerCare Plus | 54 | 18 | 33.3% calculated | 61 | 3.2% | 4.5% |
| Security Health Plan of Wisconsin | Marshfield Clinic Health System | BadgerCare Plus | 231 | 159 | 68.8% calculated | 31 | 4.8% | 6.6% |
| United Health Care Community Plan (UHC) | UnitedHealth | BadgerCare Plus | 446 | 251 | 56.3% calculated | 254 | 15.1% | 21.1% |
| Community Care, Inc. (CCI) | Community Care, Inc. | Family Care | 124 | 11 | 8.9% calculated | 111 | 1% | 1.4% |
| Inclusa, Inc. | Humana | Family Care | 337 | 28 | 8.3% calculated | 61 | 1.3% | 1.8% |
| Lakeland Care, Inc. | Lakeland Care, Inc. | Family Care | 119 | 12 | 10.1% calculated | 64 | 0.5% | 0.8% |
| My Choice Wisconsin, Inc. (MCW) | Molina | Family Care | 165 | 9 | 5.5% calculated | 52 | 1.1% | 1.6% |
| Community Care, Inc (CCI) | Community Care, Inc. | Family Care Partnership | 17 | 0 | 0.0% calculated | 8 | 0.1% | 0.1% |
| Independent Health Plan (iCare) | Humana | Family Care Partnership | 47 | 11 | 23.4% calculated | 10 | 0.1% | 0.2% |
| My Choice Wisconsin (MCW) | Molina | Family Care Partnership | 84 | 4 | 4.8% calculated | 7 | 0.1% | 0.1% |
| Care4Kids (C4K) | unmatched | Foster Care Medical Home | 0 | 0 | not reported | 0 | 0.2% | 0.3% |
| Anthem Blue Cross and Blue Shield | Elevance | Medicaid SSI HMO | 76 | 26 | 34.2% calculated | 90 | 0.5% | 0.7% |
| Group Health Cooperative of Eau Claire | Group Health Cooperative of Eau Claire | Medicaid SSI HMO | 53 | 5 | 9.4% calculated | 2 | 0.2% | 0.3% |
| Independent Care Health Plan (iCare) | Humana | Medicaid SSI HMO | 43 | 4 | 9.3% calculated | 27 | 0.7% | 0.9% |
| MHS Health Wisconsin | Centene | Medicaid SSI HMO | 33 | 2 | 6.1% calculated | 100 | 0.5% | 0.6% |
| My Choice Wisconsin (MCW)/Molina | Molina | Medicaid SSI HMO | 36 | 15 | 41.7% calculated | 211 | 0.4% | 0.6% |
| Network Health Plan | Froedtert ThedaCare Health | Medicaid SSI HMO | 14 | 0 | 0.0% calculated | 61 | 0.3% | 0.4% |
| Quartz | Quartz Health Insurance Corporation | Medicaid SSI HMO | 6 | 2 | 33.3% calculated | 9 | 0% | 0% |
| Security Health Plan of Wisconsin | Marshfield Clinic Health System | Medicaid SSI HMO | 11 | 9 | 81.8% calculated | 5 | 0% | 0.1% |
| United Healthcare Community Plan (UHC) | UnitedHealth | Medicaid SSI HMO | 171 | 65 | 38.0% calculated | 76 | 1.3% | 1.8% |
| Wraparound Milwaukee | Milwaukee County Health and Human Services | Milwaukee County PIHP | 0 | 0 | not reported | 0 | 0% | 0% |
| Plan | Parent | Topic | Date | Corrective action plan | Remediation status |
|---|---|---|---|---|---|
| Community Care, Inc. (CCI) | Community Care, Inc. | Performance improvement (N/A) | 2023-12-14 | No | Remediation in progress |
| Inclusa, Inc. | Humana | Performance improvement (N/A) | 2023-03-24 | Yes | Remediation in progress |
| Anthem Blue Cross and Blue Shield | Elevance | Performance improvement | 2024-08-19 | Yes | Remediation in progress |
| Community Care, Inc. (CCI) | Community Care, Inc. | Performance improvement | 2023-12-14 | No | Remediation in progress |
| Inclusa, Inc. | Humana | Performance improvement | 2023-03-24 | Yes | Yes, remediated |
| Plan | Parent | Topic | Date | Corrective action plan | Remediation status |
|---|---|---|---|---|---|
| Lakeland Care, Inc. | Lakeland Care, Inc. | Reporting | 2024-12-11 | No | Remediation in progress |
| My Choice Wisconsin, Inc. (MCW) | Molina | Reporting | 2024-10-18 | Yes | Remediation in progress |
| Community Care, Inc (CCI) | Community Care, Inc. | Performance improvement | 2023-12-14 | Yes | Remediation in progress |
| Care4Kids (C4K) | unmatched | Other, specify (N/A) | 1900-01-01 | No | No, no remediation |
| Anthem Blue Cross and Blue Shield | Elevance | Performance improvement | 2024-08-19 | Yes | Remediation in progress |
| Wraparound Milwaukee | Milwaukee County Health and Human Services | Other, specify (None) | 1900-01-01 | No | No, no remediation |
Retrieved 2026-11-03. Sources and scores
Coverage: not_collected. Source receipts: 1 changed at 2026-11-15T10:15:50+00:00. Sources and dates
No official Medicaid managed-care contract amendment has been retrieved for this state. This is not a finding that no amendment exists. Contract amendments
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
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.
Cited federal Medicaid managed care deadlines, with the Federal Register citation, the effective date, the compliance date, and the plan obligation.