Plan parent company and operation status are constantly changing due to procurements and mergers. Plan name and parent company reflect information gathered during calendar year 2020 and 2021. Performance reflects services rendered in calendar year 2018 (the latest data available at the time the research was conducted). Only plans operational during 2018 measurement year shown.
-Centene acquired WellCare in 2020. Metrics reflect performance prior to the merger.
-Arizona underwent a reprocurement and began implementing new contracts which merged physical and behavioral health care in October 2018. These rates reflect the plan performance before the new contract cycle, when they were responsible for only physical health services.
-In Arizona, Molina acquired Magellan in 2021. Rates reflect performance prior to acquisition.
-Measures from Georgia come from both the External Quality Review annual report and the accompanying validation report.
-Illinois underwent reprocurement in 2018. These metrics reflect performance prior to reprocurement. The state no longer contracts with NextLevel.
-In Kansas, all metrics reported come from an annual report to CMS, as opposed to the EQRO Annual Technical Report.
-In Mississippi, Molina is not included in the EQRO report. Measurements come from a report posted on the plan website and have not been validated by an EQRO.
-Missouri Care was a WellCare subsidiary during the measurement year.
-Tennessee reports quality metrics based on both plan and region, as opposed to just plan.