Medicaid Health Plans: Quality Coverage in 30 States

 

Founded in 1984 as a single nonprofit Medicaid health plan in Milwaukee, Wisconsin, Centene Corporation has grown into the largest Medicaid managed care organization in the United States. Today, it serves approximately 12.7 million members across 30 states.

Leading Medicaid Innovation and Eligibility Access

Centene is a national leader in Medicaid innovation and access. Our Medicaid programs are designed to meet the diverse needs of individuals and families.

Medicaid Programs at Centene

  • Temporary Assistance for Needy Families (TANF)
  • Medicaid Expansion
  • Aged, Blind, Disabled (ABD)
  • Children’s Health Insurance Program (CHIP)
  • Long-Term Services and Supports (LTSS)
  • Foster Care
  • Dual Eligible Special Needs Plan (D-SNP)
  • Other state-based programs

More Than Medicaid: A Leading Provider of Government Sponsored Healthcare

Centene provides access to affordable, high-quality services not only to Medicaid members, but also to Medicare members through Wellcare, and to individuals and families served by the Health Insurance Marketplace through Ambetter Health.  Wellcare offers a variety of Medicare options – including Medicare Advantage and Prescription Drug Plans – that go beyond Original Medicare (Parts A and B) to provide affordable, comprehensive coverage. Ambetter Health provides comprehensive coverage, including preventive and wellness services, maternity and newborn care, pediatric services, mental health and substance misuse treatment, prescription drug coverage, and more. 

We serve Medicaid members in:

FAQs

Centene is the largest Medicaid managed care organization in the United States, offering Medicaid health plans in 30 states through its subsidiaries. Centene operates state Medicaid programs through various local brand names and tailored to specific state requirements.

Medicaid and Medicare are different government-sponsored healthcare programs. Medicaid provides no-cost or low-cost health coverage for low-income individuals and families, while Medicare is primarily for people 65 and older. Medicaid eligibility is based on income and family size, and programs vary by state. Centene offers both Medicaid and Medicare health plans. Our Medicare offering, Wellcare, also offers Medicare Advantage and Prescription Drug plans for seniors. Centene also offers coverage to those who are dual eligible for both Medicaid and Medicare benefits.

Medicaid eligibility varies by state, but generally covers low-income individuals and families, pregnant women, children, seniors, and individuals with disabilities. Each state sets its own income requirements for Medicaid enrollment. To check Medicaid eligibility, individuals can contact their state Medicaid office or visit their state's Medicaid website for specific eligibility criteria and application information.

Centene's Medicaid health plans offer comprehensive benefits, including: 

  • Primary care and specialist visits 

  • Preventive and wellness services 

  • Behavioral health services for mental health and substance use treatment 

  • Maternal and prenatal care with OB/GYN access 

  • Dental and vision services 

  • Laboratory tests, durable medical equipment, home health 

  • Prescription drug coverage 

  • Transportation services 

  • Hospital, emergency care, and urgent care 

Specific Medicaid benefits vary by state. Check with your state Medicaid program for details on covered services. 

Centene operates Medicaid health plans in 30 states across the nation. Through our local approach, Centene’s state Medicaid health plans operate with local teams and local brand names to provide fully integrated services. Each state Medicaid plan is customized to meet local requirements and community needs. Browse by state to determine whether a Centene Medicaid plan is available in a specific area.  

Ambetter Health is not Medicaid. Ambetter Health provides affordable coverage through the Health Insurance Marketplace for individuals and families who may not qualify for Medicaid but need affordable health coverage. Centene's Medicaid health plans serve those who meet their state's Medicaid eligibility requirements. Both are part of Centene's commitment to providing accessible, affordable health coverage.  

Wellcare is not the same as Medicaid. Wellcare is a Centene brand that offers a variety of Medicare options – including Medicare Advantage and Prescription Drug Plans – that go beyond Original Medicare to provide affordable, comprehensive coverage. Wellcare also offers Dual Eligible Special Needs Plans (D-SNPs) that coordinate with Medicaid coverage for members who are eligible for both Medicare and Medicaid.

Centene operates Medicaid health plans under multiple brand names across 30 states. Each brand operates Medicaid programs tailored to their state's specific requirements. To find a local Centene Medicaid plan, select a state above to view available programs and contact information.

 

Long-Term Services & Supports


 

Sinai's Story

Diagnosed with cancer at a young age, Sinai, a Coordinated Care member, faced complex medical challenges. With the guidance and support of her Senior Care Manager Dawn, she was able to complete high school while navigating her healthcare.