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Apple Health (Medicaid) and managed care reports

Apple Health client eligibility dashboard

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.

How to see people by county

Option 1: From the dropdowns on the left:

  1. Select the month.

  2. Select a program. (All) is the default.

  3. 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):

  1. Select Apple Health Client Map.
  2. Select a month from the dropdown on the left.

How to see a 12-month summary

  1. On the dashboard select month dropdown, choose most recent 12 months.
  2. Select Apply.
  3. Use other available filters to refine data further.

How to see eligible children

In the Select a program dropdown:

  1. Select Apple Health for Kids.
  2. Select Apply.
  3. Use other available filters to refine data further.

Managed care plan enrollment

Most Apple Health clients are enrolled in a managed care plan. The following reports are for the Apple Health managed care population:

Apple Health managed care quality reports

Performance measure comparative analysis reports

Using Healthcare Effectiveness Data and Information Set (HEDIS).

Regional analysis reports

HCA uses surveys and other data collection to help measure Apple Health clients' experience with their health plans.

    National Committee for Quality Assurance (NCQA) accreditation

    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.

    AMERIGROUP Washington, Inc.

    Accreditation type: Health Plan Accreditation
    Organization type: Medicaid
    Product: HMO
    Status: Accredited, Multicultural Health Care
    NCQA rating: Three stars

    Community Health Plan of Washington

    Accreditation type: Health Plan Accreditation
    Organization type: Medicaid
    Product: HMO
    Status: Accredited
    NCQA rating: Four stars

    Coordinated Care of Washington, Inc.

    Accreditation type: Health Plan Accreditation
    Organization type: Medicaid
    Product: HMO
    Status: Accredited, Multicultural Health Care
    NCQA rating: Three and a half stars

    Molina Healthcare of Washington, Inc.

    Accreditation type: Health Plan Accreditation
    Organization type: Medicaid
    Product: HMO
    Status: Accredited, Multicultural Health Care
    NCQA rating: Four stars

    UnitedHealthcare of Washington, Inc.
    d/b/a UnitedHealthcare Community Plan, Inc (WA)

    Accreditation type: Health Plan Accreditation
    Organization type: Medicaid
    Product: HMO
    Status: Accredited
    NCQA rating: Three and a half stars