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

NCQA Accredited - Health Plan
NCQA Accredited - Population Health Program Seal, 3 years
NCQA Accredited - Utilization Management 3 years

NCQA Accredited - Credentialing Verifications Organization
NCQA Accredited - LTSS
NCQA Accredited - Multicultural Health Care

NCQA Accredited Markets

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

 

Arkansas

  • Ambetter from Arkansas Health & Wellness
  • QualChoice Health Insurance
  • Wellcare 

Arizona

  • Ambetter from Arizona Complete Health

California

  • California Health & Wellness 
  • Health Net 
  • Wellcare

Connecticut

  • Wellcare 

Florida

  • Ambetter from Sunshine Health
  • Sunshine Health
  • Ascension Complete (FL)

Georgia

  • Peach State Health Plan
  • Ambetter from Peach State Health Plan
  • Wellcare

Hawaii

  • Ohana Health Plan
  • Wellcare by Ohana Health Plan

Iowa

  • Iowa Total Care

Illinois

  • Meridian Illinois
  • Ambetter of Illinois
  • Wellcare 

Indiana

  • Managed Care Services (MHS)
  • Ambetter from MHS

Kansas

  • Sunflower Health Plan
  • Ambetter from Sunflower Health Plan

Kentucky

  • WellCare of Kentucky
  • Wellcare

Louisiana

  • Louisiana Healthcare Connections
  • WellCare Health Insurance of Arizona (Louisiana)

Massachusetts

  • Wellcare 

Michigan

  • Ambetter From Meridian (Michigan)
  • Meridian Health Plan of Michigan

Missouri

  • Ambetter from Home State Health
  • Home State Health

Mississippi 

  • Ambetter from Magnolia Health
  • Magnolia Health
  • Wellcare 

North Carolina

  • Ambetter of North Carolina

Nebraska

  • Nebraska Total Care

New Hampshire

  • NH Healthy Families
  • Ambetter from NH Healthy Families

New Jersey

  • WellCare of New Jersey
  • Wellcare

New Mexico

  • Western Sky Community Care

Nevada

  • Ambetter from SilverSummit Healthplan
  • SilverSummit Healthplan

New York

  • Wellcare 
  • Fidelis Care

Ohio

  • Ambetter from Buckeye Health Plan
  • Buckeye Health Plan

Oregon

  • Trillium Community Health Plan

Pennsylvania 

  • PA Health & Wellness
  • Ambetter from PA Health & Wellness

South Carolina 

  • Ambetter from Absolute Total Care
  • Absolute Total Care
  • Wellcare 

Tennessee

  • Ambetter of Tennessee
  • Wellcare 

Texas

  • Superior HealthPlan
  • Ambetter from Superior HealthPlan
  • Wellcare 

Washington

  • Ambetter from Coordinated Care
  • Coordinated Care

Wisconsin

  • MHS Health Wisconsin

NCQA Accredited Specialty Companies

 

  • Centene Corporation (Corporate Specialty)
  • Envolve Pharmacy Solutions
  • Cenpatico Behavioral Health
  • Envolve People Care
  • Envolve Vision Benefits
  • Envolve Dental

 

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