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.

How to use the dashboard

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:

Managed care report cards

Apple Health Plan Report Card

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. 

View the Apple Health Plan Report Card for more information.

Table showing Apple Health Plan Report Card information. Star ratings are out of three stars.
Performance areas Amerigroup Washington Coordinated Care of Washington Community Health Plan of Washington Molina Healthcare of Washington UnintedHealthcare Community Plan
Getting care One star Two stars One star Two stars One star
Keeping kids healthy One star Two stars Two stars Two stars One star
Keeping women and mothers healthy One star One star Two stars Two stars Two stars
Preventing and managing illness One star One star One star Two stars Two stars
Ensuring appropriate care One star Two stars Two stars One star Two stars
Satisfaction of care provided to children One star Three stars Two stars Two stars Two stars
Satisfaction with plan for children Two stars Two stars Two stars Two stars Two stars

Value-based payment report card

This report card shows how Apple Health plans preformed in year 2021 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 2021 Value-Based Payment (VBP) Quality Report Card.

Managed care

Value-based payment measure Amerigroup Washington Coordinated Care of Washington Community Health Plan of Washington Molina Healthcare of Washington UnitedHealthcare Community Plan
Total percent achieved 60% 83% 83% 58% 75%

Foster care

Apple Health Integrated Foster Care VBP measure Coordinated Care of Washington
Total percent achieved 66.7%

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.

Chart displaying NCQA accrediation for the five Apple Health plans (text version below)

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. 

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

Apple Health managed care quality reports

Managed Care Quality Strategy 
EQR annual reports (technical report)
External Quality Review (EQR) comparative and regional reports
Consumer Assessment of Healthcare Providers and Systems (CAHPS) reports

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

Parity analysis