Elderly, Blind, or Disabled Medicaid and SSI Medicaid HMO Information
Information about ownership and accreditation for Elderly, Blind, or Disabled Medicaid and SSI Medicaid HMOs (health maintenance organizations) is in the table below.
About ownership
The table below lists all individuals or corporations with an ownership or controlling interest in each HMO.
About accreditation
Accreditation means the HMOs meet certain requirements related to health care quality. The Wisconsin Department of Health Services requires all HMOs to have two accreditations from the National Committee for Quality Assurance (NCQA):
- Health Plan Accreditation
- Either Health Equity Accreditation, Health Equity Accreditation Plus, or Multicultural Health Care Distinction
NCQA is a private, non-profit organization dedicated to improving health care quality. NCQA’s website contains information to help consumers, employers, and others make more informed health care choices. To find out more about Health Plan Accreditation, visit Health Plan Accreditation – NCQA.
| HMO | Ownership or controlling interest | NCQA Health Plan Accreditation (as of December 31, 2023) | NCQA Health Equity Accreditation, Health Equity Accreditation Plus, or Multicultural Health Care Distinction (as of December 31, 2023) |
|---|---|---|---|
| Anthem Blue Cross and Blue Shield |
| Yes | Yes (Health Equity Accreditation and Health Equity Accreditation Plus) |
| Group Health Cooperative of Eau Claire | No individual or entity holds controlling interest. | Yes | Yes (Multicultural Health Care Distinction) |
| Independent Care Health Plan (iCare) | Independent Care Health Plan is wholly owned by CareNetwork, Inc. CareNetwork, Inc. is wholly owned by Humana Inc., which is the ultimate controlling person of the insurance holding company system. Officers and Directors of Independent Care Health Plan have an indirect controlling interest in the disclosing entity. | Yes | Yes (Health Equity Accreditation) |
| MHS Health Wisconsin |
| Yes | Yes (Health Equity Accreditation) |
| Molina Health Care | Molina Healthcare, Inc. | Yes | Yes (Health Equity Accreditation) |
| My Choice Wisconsin (MCW) | Molina Healthcare, Inc. My Choice Wisconsin was acquired by Molina on September 1, 2023. Beginning July 1, 2024, members of the MCW HMO will be identified as Molina members. Learn how the purchase affects members of My Choice Wisconsin. | See Molina | See Molina |
| Network Health Plan | Froedtert Health, Ascension Wisconsin | Yes | Yes (Health Equity Accreditation) |
| Quartz |
| Yes | Yes (Health Equity Accreditation) |
| Security Health Plan of Wisconsin | Marshfield Health Clinic System | Provisional | Yes (Health Equity Accreditation) |
| United Healthcare Community Plan (UHC) | XL Health Corporation | Yes | Yes (Health Equity Accreditation) |