NCQA Accreditations
 

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 - Managed Behavioral Health Organization
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:

 

Alabama

  • Ambetter of Alabama

Arkansas

  • Ambetter from Arkansas Health & Wellness
  • QualChoice Health Insurance

Arizona

  • Arizona Complete Health
  • Ambetter from Arizona Complete Health
  • Care 1st Health Plan Arizona

California

  • California Health & Wellness 
  • Health Net 
  • Wellcare

Florida

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

Georgia

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

Hawaii

  • 'Ohana Health Plan
  • Wellcare by 'Ohana Health Plan

Iowa

  • Iowa Total Care

Illinois

  • MeridianHealth of Illinois
  • Ambetter of Illinois

Indiana

  • Managed Health Services (MHS)
  • Ambetter from MHS

Kansas

  • Sunflower Health Plan
  • Ambetter from Sunflower Health Plan

Kentucky

  • WellCare of Kentucky
  • Ambetter from WellCare of Kentucky

Louisiana

  • Louisiana Healthcare Connections
  • Ambetter from Louisiana Healthcare Connections 

Massachusetts

  • Wellcare 

Michigan

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

Missouri

  • Home State Health
  • Ambetter from Home State Health

Mississippi 

  • Magnolia Health
  • Ambetter from Magnolia Health

North Carolina

  • Ambetter of North Carolina
  • WellCare of North Carolina

Nebraska

  • Nebraska Total Care
  • Ambetter from Nebraska Total Care

New Hampshire

  • NH Healthy Families
  • Ambetter from NH Healthy Families

New Jersey

  • WellCare of New Jersey
  • Ambetter from WellCare of New Jersey

New Mexico

  • Western Sky Community Care
  • Ambetter from Western Sky Community Care

Nevada

  • SilverSummit Healthplan
  • Ambetter from SilverSummit Healthplan

New York

  • Fidelis Care

Ohio

  • Buckeye Health Plan
  • Ambetter from Buckeye Health Plan

Oklahoma

  • Ambetter of Oklahoma

Oregon

  • Trillium Community Health Plan

Pennsylvania 

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

South Carolina 

  • Absolute Total Care
  • Ambetter from Absolute Total Care

Tennessee

  • Ambetter of Tennessee

Texas

  • Superior HealthPlan
  • Ambetter from Superior HealthPlan

Washington

  • Coordinated Care
  • Ambetter from Coordinated Care

Wisconsin

  • MHS Health Wisconsin

 

NCQA Accredited Specialty Companies

 
  • Centene Corporation (Corporate Specialty)
  • Centene Pharmacy Services
  • Cenpatico Behavioral Health
  • Envolve Vision Benefits
  • Envolve Dental

 

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