In crisis?
Due to COVID-19, HCA’s lobby is closed. Learn more about HCA's customer service options during the pandemic.
Apple Health (Medicaid) and managed care reports
On this page
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:
-
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):
- Select Apple Health Client Map.
- Select a month from the dropdown on the left.
How to see a 12-month summary
- On the dashboard select month dropdown, choose most recent 12 months.
- Select Apply.
- Use other available filters to refine data further.
How to see eligible children
In the Select a program dropdown:
- Select Apple Health for Kids.
- Select Apply.
- 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 enrollment by plan and county
- Summary of Apple Health managed care enrollment for the past 12 months by plan and county
- Summary of behavioral health managed care enrollment for the past 12 months by plan and county
Apple Health managed care quality reports
- January 2021 report (Measurement year 2020)
- January 2020 report (Measurement year 2019)
- January 2019 report (Measurement year 2018)
- January 2018 report (Measurement year 2017)
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