Partial federal government shutdown
HCA does not anticipate any immediate impacts to our services or disruption to provider payments at this time. We will continue to monitor the situation and share updates if anything changes.
HCA does not anticipate any immediate impacts to our services or disruption to provider payments at this time. We will continue to monitor the situation and share updates if anything changes.
Apple Health (Medicaid) contracts with five organizations who serve both as Managed Care Organizations (MCO) and Prepaid Inpatient Health Plans (PIHP):
This report card shows how Washington Apple Health managed care plans compare to each other in key performance areas. The report card can be used as a guide to select a health plan for Apple Health coverage.
Performance areas | Coordinated Care | Community Health Plan of Washington | Molina Healthcare of Washington | UnitedHealthcare Community Plan | Wellpoint Washington |
---|---|---|---|---|---|
Getting care | ★★☆ | ★★☆ | ★★☆ | ★★☆ | ★☆☆ |
Keeping kids healthy | ★★☆ | ★★☆ | ★☆☆ | ★☆☆ | ★☆☆ |
Keeping women and mothers healthy | ★★★ | ★★☆ | ★★☆ | ★☆☆ | ★☆☆ |
Preventing and managing illness | ★☆☆ | ★★☆ | ★★☆ | ★☆☆ | ★☆☆ |
Ensuring appropriate care | ★★★ | ★★★ | ★☆☆ | ★☆☆ | ★☆☆ |
Satisfaction of care provided | ★★☆ | ★★☆ | ★★☆ | ★★☆ | ★★☆ |
Satisfaction with plan | ★★☆ | ★★☆ | ★★☆ | ★★☆ | ★★☆ |
View the 2025 Apple Health Plan Report Card for more information.
This report card shows how Apple Health plans preformed in year 2024 and identifies where plans have met the criteria for the return of withhold dollars for the quality performance measure part of the value-based purchasing strategy.
View the 2024 Value-Based Payment Quality Report Card.
Value-based payment measure | Coordinated Care | Community Health Plan of Washington | Molina Healthcare of Washington | UnitedHealthcare Community Plan | Wellpoint Washington |
---|---|---|---|---|---|
Total percent achieved | 83.3% | 100% | 83.3% | 66.7% | 66.7% |
Apple Health Integrated Foster Care VBP measure | Coordinated Care |
---|---|
Total percent achieved | 75% |
Washington State Apple Health managed care organizations (MCOs) are required to have and maintain NCQA accreditation. Below is each plan and their NCQA accreditation status.
Additional report information is available using the NCQA Health Plan Report Card search.
NCQA Accreditation | Community Health Plan of Washington | Coordinated Care | Molina Healthcare of Washington | UnitedHealthcare Community Plan | Wellpoint Washington |
---|---|---|---|---|---|
Rating | Three and a half stars | Three and a half stars | Three and a half stars | Three and a half stars | Three and a half stars |
Accreditation Type | Health Plan | Health Plan | Health Plan | Health Plan | Health Plan |
Plan Type | Medicaid HMO | Medicaid HMO | Medicaid HMO | Medicaid HMO | Medicaid HMO |
Status | Accredited | Accredited | Accredited | Accredited | Accredited |
Distinction | Health Equity Accreditation | Health Equity Accreditation | Health Equity Accreditation | Health Equity Accreditation | Health Equity Accreditation Health Equity Accreditation Plus |
HCA uses surveys and other data collection to help measure Apple Health clients' experience with their health plans.
Most Apple Health clients are enrolled in a managed care plan. The following reports are for the Apple Health managed care population:
The client dashboard is an interactive tool that helps answer questions about Apple Health eligibility.
The following instructions demonstrate several ways to use the dashboard.
Option 1: From the dropdowns on the left:
Select the month.
Select a program. (All) is the default.
Select a county or leave the selection as default.
The dashboard will automatically refresh with the choices you select. Be sure to click Apply at the bottom of each dropdown to complete the selection.
Option 2:From the tabs at the top of the screen (above the HCA logo):
In the Select a program dropdown:
This report covers the demonstration period from March 2020 through July 2023. Centers for Medicare and Medicaid Services (CMS) determined that the Final Report, submitted on May 19, 2025, is in alignment with the CMS-approved Evaluation Design, and therefore, approves the state’s Final Report.