Health Plan Report Card

The Health Plan Report Card lets members compare contracted health plans by line of business. This is to let you know, on average:

  • The quality of care members enrolled in each health plan receive,
  • How satisfied members are with their enrolled health plan, and
  • How well the member’s enrolled health plan met their expectations.

ACUTE Care Plans

Avg. Speed to Answer Calls: The average time it took for Customer Service to answer a call in Seconds (Standard: 45 seconds or less)

Abandonment Rate: The average rate of calls dropped in a 24 hour period. (Standard: 5% or less)
Health Plan Avg. Speed to Answer Calls
Jan
Feb
Mar
 Abandonment Rate
Jan
Feb
Mar
Care 1st
61
19
30
5.0%
2.5%
2.7%
Health Choice Arizona (HCA)
36.5
35.7
77.6
1.5%
1.3%
8.4%
Health Net Access (HNA)
132
25
31
14.3%
2.0%
2.6%
Mercy Care Plan (MCP)
37
40
32
2.0%
2.3%
1.8%
UnitedHealthcare Community Plan (UHCCP)
19
7
12
1.2%
0.4%
1.0%
University Family Care (UFC)
94
59.6
35
11.1%
7.8%
3.8%
PA Timeliness - Standard: Percentage of Prior Authorizations completed within the 14 day standard timeframe

PA Timeliness - Expedited: Percentage of Prior Authorizations completed within the 3 day expedited timeframe
Health Plan PA Timeliness - Standard
Jan
Feb
Mar
 PA Timeliness - Expedited
Jan
Feb
Mar
Care 1st
100%
100%
100%
100%
100%
100%
Health Choice Arizona (HCA)
100%
100%
100%
100%
98%
99%
Health Net Access (HNA)
96%
99%
100%
93%
97%
95%
Mercy Care Plan (MCP)
99%
99%
99%
99%
97%
97%
UnitedHealthcare Community Plan (UHCCP)
98%
99%
99%
96%
98%
98%
University Family Care (UFC)
100%
100%
100%
100%
100%
100%
*Last Updated 07/23/2018
These measures provide an overall understanding of how satisfied members are with their health plan including how well the health plan met their expectations.
Health Plan Rating of Health Plan Rating of All Health Care Rating of Personal Doctor Rating of Specialist Seen Most Often
Care 1st 4 Star Rating 5 Star Rating 4 Star Rating 5 Star Rating
Health Choice Arizona (HCA) 3 Star Rating 5 Star Rating 5 Star Rating 1 Star Rating
Health Net Access (HNA) 3 Star Rating 5 Star Rating 5 Star Rating 2 Star Rating
Mercy Care Plan (MCP) 5 Star Rating 5 Star Rating 5 Star Rating 2 Star Rating
UnitedHealthcare Community Plan (UHCCP) 5 Star Rating 5 Star Rating 5 Star Rating 3 Star Rating
University Family Care (UFC) 3 Star Rating 5 Star Rating 5 Star Rating 4 Star Rating
Health Plan Getting Needed Care Getting Care Quickly How Well Doctors Communicate Customer Service Coordination of Care
Care 1st 4 Star Rating 2 Star Rating 2 Star Rating 5 Star Rating 1 Star Rating
Health Choice Arizona (HCA) 1 Star Rating 2 Star Rating 4 Star Rating 1 Star Rating 2 Star Rating
Health Net Access (HNA) 2 Star Rating 2 Star Rating 3 Star Rating 4 Star Rating 1 Star Rating
Mercy Care Plan (MCP) 2 Star Rating 2 Star Rating 3 Star Rating 2 Star Rating 1 Star Rating
UnitedHealthcare Community Plan (UHCCP) 5 Star Rating 3 Star Rating 4 Star Rating 3 Star Rating 5 Star Rating
University Family Care (UFC) 2 Star Rating 2 Star Rating 3 Star Rating 4 Star Rating 1 Star Rating
*Last Updated 07/23/2018
These measures provide an overall understanding of how satisfied members are with their health plan including how well the health plan met their expectations.
Health Plan Rating of Health Plan Rating of All Health Care Rating of Personal Doctor Rating of Specialist Seen Most Often
Care 1st 2 Star Rating 2 Star Rating 3 Star Rating 3 Star Rating
Health Choice Arizona (HCA) 1 Star Rating 1 Star Rating 2 Star Rating 2 Star Rating
Health Net Access (HNA) 2 Star Rating 3 Star Rating 2 Star Rating 3 Star Rating
Mercy Care Plan (MCP) 5 Star Rating 5 Star Rating 5 Star Rating 3 Star Rating
UnitedHealthcare Community Plan (UHCCP) 5 Star Rating 5 Star Rating 4 Star Rating 5 Star Rating
University Family Care (UFC) 4 Star Rating 5 Star Rating 5 Star Rating 5 Star Rating
Health Plan Getting Needed Care Getting Care Quickly How Well Doctors Communicate Customer Service Coordination of Care
Care 1st 1 Star Rating 3 Star Rating 4 Star Rating 4 Star Rating 1 Star Rating
Health Choice Arizona (HCA) 1 Star Rating 1 Star Rating 2 Star Rating 2 Star Rating 1 Star Rating
Health Net Access (HNA) 2 Star Rating 2 Star Rating 4 Star Rating 3 Star Rating 1 Star Rating
Mercy Care Plan (MCP) 4 Star Rating 4 Star Rating 4 Star Rating 2 Star Rating 1 Star Rating
UnitedHealthcare Community Plan (UHCCP) 4 Star Rating 2 Star Rating 4 Star Rating 3 Star Rating 1 Star Rating
University Family Care (UFC) 5 Star Rating 4 Star Rating 5 Star Rating 4 Star Rating 3 Star Rating
*Last Updated 07/23/2018
The following AHCCCS Health Plan(s) have been accredited through an independent organization:
Health Plan Accredited Accredited Entity/Program Expiration
Care 1st No N/A N/A
Health Choice Arizona (HCA) Yes URAC - Health Plan Accreditation Program June 1, 2019
Health Net Access (HNA) No N/A N/A
Mercy Care Plan (MCP) No N/A N/A
UnitedHealthcare Community Plan (UHCCP) No N/A N/A
University Family Care (UFC) No N/A N/A

Comprehensive Medical
and Dental Program (CMDP)

Avg. Speed to Answer Calls: The average time it took for Customer Service to answer a call in Seconds (Standard: 45 seconds or less)

Abandonment Rate: The average rate of calls dropped in a 24 hour period. (Standard: 5% or less)
Health Plan Avg. Speed to Answer Calls
Jan
Feb
Mar
 Abandonment Rate
Jan
Feb
Mar
Comprehensive Medical and Dental
Program (CMDP)
26
24
38
2.0%
2.4%
1.7%
PA Timeliness - Standard: Percentage of Prior Authorizations completed within the 14 day standard timeframe

PA Timeliness - Expedited: Percentage of Prior Authorizations completed within the 3 day expedited timeframe
Health Plan PA Timeliness - Standard
Jan
Feb
Mar
 PA Timeliness - Expedited
Jan
Feb
Mar
Comprehensive Medical and Dental Program (CMDP)
100%
100%
100%
100%
100%
100%
*Last Updated 07/23/2018
These measures provide an overall understanding of how satisfied members are with their health plan including how well the health plan met their expectations.
Health Plan Rating of Health Plan Rating of All Health Care Rating of Personal Doctor Rating of Specialist Seen Most Often
Comprehensive Medical and Dental Program (CMDP) 1 Star Rating 5 Star Rating 5 Star Rating 2 Star Rating
Health Plan Getting Needed Care Getting Care Quickly How Well Doctors Communicate Customer Service Coordination of Care
Comprehensive Medical and Dental Program (CMDP) 4 Star Rating 4 Star Rating 5 Star Rating 3 Star Rating 2 Star Rating
*Last Updated 07/23/2018
The following AHCCCS Health Plan(s) have been accredited through an independent organization:
Health Plan Accredited Accredited Entity/Program Expiration
Comprehensive Medical and Dental Program (CMDP) No N/A N/A

Arizona Long Term Care Service Elderly/Physically Disabled (ALTCS E/PD)

PA Timeliness - Standard: Percentage of Prior Authorizations completed within the 14 day standard timeframe

PA Timeliness - Expedited: Percentage of Prior Authorizations completed within the 3 day expedited timeframe
Health Plan PA Timeliness - Standard
Jan
Feb
Mar
 PA Timeliness - Expedited
Jan
Feb
Mar
United Health Care LTC (UHC-UFC)
100%
100%
100%
100%
100%
100%
Mercy Care Plan (MCP-LTC)
100%
100%
100%
97%
97%
95%
University Family Care LTC (UFC-LTC)
100%
100%
100%
100%
99%
100%
*Last Updated 07/23/2018
The following AHCCCS Health Plan(s) have been accredited through an independent organization:
Health Plan Accredited Accredited Entity/Program Expiration
Banner University Family Care (B-UFC) No N/A N/A
Mercy Care Plan (MCP-LTC) No N/A N/A
UnitedHealthcare Community Plan (UHCCP-LTC) No N/A N/A

Division of Developmental Disabilities (DDD)

PA Timeliness - Standard: Percentage of Prior Authorizations completed within the 14 day standard timeframe

PA Timeliness - Expedited: Percentage of Prior Authorizations completed within the 3 day expedited timeframe
Health Plan PA Timeliness - Standard
Jan
Feb
Mar
 PA Timeliness - Expedited
Jan
Feb
Mar
Division of Developmental Disabilities (DDD)
98%
98%
98%
100%
100%
97%
*Last Updated 07/23/2018
The following AHCCCS Health Plan(s) have been accredited through an independent organization:
Health Plan Accredited Accredited Entity/Program Expiration
Division of Developmental Disabilities (DDD) No N/A N/A

Regional Behavioral Health Authority (RBHA)

Avg. Speed to Answer Calls: The average time it took for Customer Service to answer a call in Seconds (Standard: 45 seconds or less)

Abandonment Rate: The average rate of calls dropped in a 24 hour period. (Standard: 5% or less)
Health Plan Avg. Speed to Answer Calls
Jan
Feb
Mar
 Abandonment Rate
Jan
Feb
Mar
Cenpatico Integrated Care (CIC)
28
23
13
3.3%
3.3%
1.9%
Health Choice Integrated Care (HCIC)
9.5
8.7
15.5
0.1%
0.3%
0.4%
Mercy Maricopa Integrated Care (MMIC)
26
35
28
2.1%
3.0%
2.3%
PA Timeliness - Standard: Percentage of Prior Authorizations completed within the 14 day standard timeframe

PA Timeliness - Expedited: Percentage of Prior Authorizations completed within the 3 day expedited timeframe
Health Plan PA Timeliness - Standard
Jan
Feb
Mar
 PA Timeliness - Expedited
Jan
Feb
Mar
Cenpatico Integrated Care (CIC)
99%
99%
98%
99%
97%
99%
Health Choice Integrated Care (HCIC)
100%
100%
100%
97%
99%
99%
Mercy Maricopa Integrated Care (MMIC)
98%
96%
97%
99%
95%
99%
*Last Updated 07/23/2018
These measures provide an overall understanding of how satisfied members are with their health plan including how well the health plan met their expectations.
Health Plan Rating of Health Plan Rating of All Health Care Rating of Personal Doctor Rating of Specialist Seen Most Often
Mercy Maricopa Integrated Care (MMIC) 1 Star Rating 1 Star Rating 1 Star Rating 1 Star Rating
Health Plan Getting Needed Care Getting Care Quickly How Well Doctors Communicate Customer Service Coordination of Care
Mercy Maricopa Integrated Care (MMIC) 2 Star Rating 1 Star Rating 1 Star Rating 1 Star Rating 1 Star Rating
*Last Updated 07/23/2018
The following AHCCCS Health Plan(s) have been accredited through an independent organization:
Health Plan Accredited Accredited Entity/Program Expiration
Cenpatico Integrated Care (CIC) Yes URAC - Health Utilization Management August 1, 2019
Health Choice Integrated Care (HCIC) No N/A N/A
Mercy Maricopa Integrated Care (MMIC) No N/A N/A