The healthcare industry has complex and challenging industry standards. Centene Corporation and its subsidiaries strive to not only meet but exceed these standards to provide quality healthcare to each of its members. Centene is proud to be formally recognized for going above and beyond industry standards through certifications and accreditations by some of the nation’s top healthcare organizations.

CORE Certification

Centene standardizes the information given to healthcare providers. The Committee on Operating Rules for Information Exchange (CORE) is an initiative by a nonprofit alliance of health plans, networks and trade associations to simplify healthcare administration. With CORE certification, Centene joins others in standardizing the information sent to providers, so they receive consistent, uniform information from each insurer. CORE certification helps providers offer the best possible care consistently to each member, which in turn helps members maintain better health. It also improves interactions between health insurers and providers, reduces costs and administrative hassles, meets HIPAA requirements, and increases accuracy and speed in paying claims. Centene has received the CAQH CORE® health plan certification seal and is exchanging electronic administrative data in compliance with the CORE rules. For more information about CORE, please contact CAQH or call (202) 861-6380.

 

NCQA Health Wellness Promotion Seal

NCQA

The National Committee for Quality Assurance (NCQA) evaluates the quality of key processes and systems health plans provide their members. NCQA is a private, nonprofit organization working to improve healthcare quality through measurement, transparency and accountability. The accreditation process involves a team of NCQA-trained healthcare experts conducting an extensive review, which includes an on-site survey of each health plan being considered for accreditation, and annual reporting of performance measures. Centene’s subsidiaries strive for this level of quality in all aspects of the business.

NCQA Accredited - Disease Managament
NCQA Accredited - Health Plan
NCQA Accredited - LTSS
NCQA Accredited - Multicultural Health Care
NCQA Accredited - Population Health Program Seal, 3 years
NCQA Accredited - Provider Network
NCQA Accredited - Utilization Management

NCQA Accredited - Wellness and Health Promotion with Performance Reporting seal

The following subsidiaries currently hold one or more than one NCQA accreditation:

(For more information on NCQA accreditations, visit NCQA report cards.)

 
  • Absolute Total Care
  • Ambetter from Arizona Complete Health
  • Ambetter from Arkansas Health & Wellness
  • Ambetter of North Carolina Inc.
  • Ambetter of Tennessee
  • Buckeye Health Plan*
  • California Health & Wellness
  • Cenpatico Behavioral Health
  • Centene Corporation
  • Coordinated Care*
  • Envolve Dental
  • Envolve People Care
  • Envolve Pharmacy Solutions
  • Envolve Vision Benefits
  • Fidelis Care
  • Harmony Health Plan, Inc. (Arkansas)
  • Harmony Health Plan, Inc. (Illinois)
  • Harmony Health Plan, Inc. (Mississippi)
  • Harmony Health Plan, Inc. (South Carolina)
  • Harmony Health Plan, Inc. (Tennessee)
  • Health Net
  • Heritage Health/Nebraska Total Care
  • Home State Health
  • IlliniCare Health*
  • Iowa Total Care
  • Louisiana Healthcare Connections
  • Magnolia Health*
  • Maryland Physicians Care 
  • Meridian Health Plan of Illinois, Inc.
  • Meridian Health Plan of Michigan, Inc.
  • MHS*
  • MHS Health Wisconsin
  • NH Healthy Families*
  • Ohana Health Plan
  • PA Health & Wellness*
  • Peach State Health Plan*
  • QualChoice Health Insurance
  • Silversummit Healthplan*
  • Sunflower Health Plan*
  • Sunshine Health Plan**
  • Superior Health Plan*
  • WellCare Health Insurance of Arizona, Inc. (Louisiana)
  • WellCare Health Plans of New Jersey, Inc.
  • WellCare of California, Inc.
  • WellCare of Connecticut, Inc.
  • WellCare of Florida, Inc.
  • WellCare of Georgia, Inc.
  • WellCare of Kentucky, Inc.
  • WellCare of New York, Inc.
  • WellCare of South Carolina, Inc.
  • WellCare of Texas, Inc.
  • Western Sky Community Care
* includes Ambetter health plan 
** includes Ambetter and Allwell health plans

URAC

URAC, formerly known as the Utilization Review Accreditation Commission, is an accreditor of healthcare companies. An independent, nonprofit organization, URAC develops standards with the help of nationwide experts in healthcare, including providers, insurers, healthcare organizations and public interest groups. Many of Centene’s specialty companies are URAC certified.

The following subsidiaries currently hold URAC accreditation:

  • AcariaHealth
  • Cenpatico Integrated Care
  • Envolve Dental
  • Envolve PeopleCare
  • Envolve Pharmacy Solutions
  • Health Net Federal Services
  • Managed Health Network (MHN)
URAQ Health Utilization Management Seal
Health Utilization Management
Expires 11/01/2022
URAC Health Call Center Accredited Seal
Health Call Center
Expires 04/01/2021
URAC Pharmacy Benefit Management Accredited Seal
Pharmacy Benefit Management
Expires 03/01/2023
URAC Specialty Pharmacy Accredited Seal
Specialty Pharmacy
Expires 12/01/2022

 

 

Our programs have garnered national recognition for innovation, comprehensiveness and improved outcomes

MHPA Best Practice Award

  • My Route to Health Sickle Cell Program

Decision Plus Platinum Awards

  • OpiEnd -  Care Coordination Specialty Programs for Managed Care Payer Based Programs for Publicly Funded Plans
  • Home State Health: ED Super Utilizer Outreach:  Care Coordination - Emergency Room Department
  • enturion Healing, Empowerment, Resources (HER) Parenting Journal - Women’s / Children’s Case Management
  • Envolve - Vision Services to Hurricane Harvey Evacuees; Patient Engagement and Education
  • Buckeye Health Plan - Compassionate Connections - Home Health / Hospice / Palliative Care

Hermes Creative Award

  • Gold - HER (Healing Empowerment, Resources), My Family Journal (Health Literacy Series)
  • Gold - Hip Code 411 Drugs and You (Health Literacy Series)
  • Honorable Mention - Parenting, Heart Mind and Hand (Health Literacy Series)
  • Platinum - The Adventures of Boingg and Sprockette - Darbgy Boingg Learns that Every Face Has a Special Smile (Health Literacy Series)

National Health Information Award for our Measured Dose

  • Education Book that is part of OpiEnd

Centers for Medicare & Medicaid Services (CMS) Health Equity Award

  • CMS recognized Centene's Provider Access Initiative (PAI) in 2019. The award recognizes organizations that close gaps in healthcare quality and access.

Centene was listed as one of the Best Places to Work by the Human Rights Campaign Foundation after earning a perfect score of 100 percent on their Corporate Equality Index (CEI). The CEI is a national benchmarking tool on corporate policies and practices pertinent to lesbian, gay, bisexual, transgender and queer (LGBTQ) employees.

Centene has been recognized by the Disability Equality Index, sponsored by the United States Business Leadership Network (USBLN) and the American Association of People with Disabilities.

Centene Chairman and CEO Michael F. Neidorff was one of the first national CEOs to sign the CEO Action for Diversity & Inclusion Pledge.

Centene was included in Bloomberg's Gender-Equality Index (GEI), which lists companies recognized as global leaders in advancing women in the workplace.

Centene joins the 2020 DiversityInc list of Top 50 Companies for diversity, equity and inclusion based on an assessment of key areas of diversity and management, including talent pipeline, talent development, leadership accountability and supplier diversity.

Centene has been awarded the Employer Support of the Guard and Reserve (ESGR) Patriotic Employee Award for fostering a corporate culture that values military members and their families.

Centene has been selected one of FORTUNE World's Most Admired Companies® for the second consecutive year, including ranking No. 2 in the Insurance and Managed Care industry category. Senior executives, directors, and analysts rated enterprises within their own industries and evaluated them on nine criteria, from investment value and quality of management and products to social responsibly and ability to attract talent.

Centene Ranks No. 42 in FORTUNE 500® List
Centene ranked No. 42 on the 2020 FORTUNE 500® list of largest U.S. corporations by revenue, up from No. 51 in 2019. Since first entering the list in 2010, Centene has climbed 444 spots.

Centene Ranks No. 168 in FORTUNE Global 500® List
Centene ranks No. 168 on the 2019 FORTUNE Global 500® list of the world’s largest corporations by revenue. Since first entering the list in 2016, Centene has risen 302 spots.

Centene Ranks No. 7 on FORTUNE® 2019 Change the World List
Centene ranked No. 7 on the FORTUNE® 2019 Change the World list. Companies are recognized for, and competitively ranked on, innovative strategies that positively impact the world.

Centene Ranks No. 285 on 2020 Forbes Global 2000 List
Centene ranked No. 285 on the 2020 Forbes Global 2000: World's Largest Public Companies list. Established in 2003, the list ranks the top 2,000 public companies in the world based on four metrics: sales, profit, assets and market value.

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From FORTUNE, ©2019, ©2020 FORTUNE Media IP Limited. All rights reserved. Used under license. FORTUNE and FORTUNE World’s Most Admired Companies and Change the World are registered trademarks of FORTUNE Media IP Limited and are used under license. FORTUNE is not affiliated with, and does not endorse the products or services of, Centene Corporation.