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
- Health Equity Accreditation
HMOs can also pursue an accreditation DHS does not require—the Health Equity Accreditation Plus.
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 | Health Plan Accreditation | Health Equity Accreditation | Health Equity Accreditation Plus |
|---|---|---|---|---|
| Anthem Blue Cross and Blue Shield |
| Yes | Yes | Yes |
| Group Health Cooperative of Eau Claire | No individual or entity holds controlling interest. | Yes | Provisional | No |
| 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 | No |
| MercyCare Insurance Company | Mercy Health Corporation d/b/a Mercyhealth | Yes | Provisional | No |
| MHS Health Wisconsin |
| Yes | Yes | No |
| Molina Health Care | Molina Healthcare, Inc. | Yes | Yes | No |
| Network Health Plan | Froedtert Health, Ascension Wisconsin | Yes | Yes | No |
| Quartz |
| Yes | Yes | No |
| Security Health Plan of Wisconsin | Marshfield Health Clinic System | Yes | Yes | No |
| United Healthcare Community Plan (UHC) | XL Health Corporation | Yes | Yes | No |