Apple Health (Medicaid) and managed care reports
On this page
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.
Performance areas | Amerigroup Washington | Coordinated Care of Washington | Community Health Plan of Washington | Molina Healthcare of Washington | UnitedHealthcare 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 |
View the 2022 Apple Health Plan Report Card for more information.
- Past Apple Health plan report cards
Value-Based Payment (VBP) Quality Report Card
This report card shows how Apple Health plans preformed in year 2022 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 2022 Value-Based Payment 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 | 83.3% | 71.4% | 71.4% | 91.7% | 83.3% |
Foster care
Apple Health Integrated Foster Care VBP measure | Coordinated Care of Washington |
---|---|
Total percent achieved | 66.7% |
- Past value-based payment report cards
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.
NCQA Accreditation | Amerigroup Washington | Community Health Plan of Washington | Coordinated Care of Washington | Molina Healthcare of Washington | UnitedHealthcare Community Plan |
---|---|---|---|---|---|
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 | Electronic Clinical Data Health Equity Accreditation Multicultural Health Care |
Electronic Clinical Data Multicultural Health Care | N/A | Electronic Clinical Data Multicultural Health Care | Electronic Clinical Data Health Equity Accreditation |
Apple Health managed care quality reports
- Managed Care Quality Strategy
- EQR annual reports (technical report)
-
- January 2023 report (Measurement year 2021)
- January 2022 report (Measurement year 2020)
- January 2021 report (Measurement year 2019)
- External Quality Review (EQR) comparative and regional reports
-
- 2022 with Appendix A: Methodology
- Appendix C: Measure tables (includes NCQA benchmarking)
- Appendix D: Regional comparison results
- Appendix E: Measure comparison by race/ethnicity, three-year trend
- 2021 with Appendix A and E
- 2020 with Appendix A
- 2022 with Appendix A: Methodology
- 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
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 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:
-
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.
-