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.
AHCCCS Complete Care (ACC)
Child Results - 2021
| Health Plan | Rating of Health Plan | Rating of All Health Care | Rating of Personal Doctor | Rating of Specialist Seen Most Often |
|---|---|---|---|---|
| Arizona Complete Health - Complete Care Plan |  |
 |
 |
 + |
| Banner-University Family Care | |
 |
|
+ |
| Care 1st Health Plan | |
|
|
+ |
| Health Choice Arizona | |
|
|
+ |
| Magellan Complete Care | |
|
|
+ |
| Mercy Care | |
|
|
+ |
| United Healthcare Community Plan | |
|
|
+ |
| Health Plan | Getting Needed Care | Getting Care Quickly | How Well Doctors Communicate | Customer Service | Coordination of Care |
|---|---|---|---|---|---|
| Arizona Complete Health - Complete Care Plan | + |
+ |
|
+ |
+ |
| Banner-University Family Care | + |
+ |
|
+ |
+ |
| Care 1st Health Plan | |
|
|
+ |
+ |
| Health Choice Arizona | + |
+ |
|
+ |
+ |
| Magellan Complete Care | + |
+ |
+ |
+ |
+ |
| Mercy Care | + |
+ |
|
+ |
+ |
| United Healthcare Community Plan | + |
+ |
|
+ |
+ |
- Star rating based on comparison with the National Committee for Quality Assurance’s (NCQA) 2020 Quality Compass® Benchmark and Compare Quality Data as 2021 data was not available at the time the 2021 CAHPS Survey Report was drafted.
- Caution should be exercised when evaluating the results as the number of completed surveys may have been impacted by COVID-19, as well as members’ perceptions of and experiences with the health care system.
Adult Results - 2021
| Health Plan | Rating of Health Plan | Rating of All Health Care | Rating of Personal Doctor | Rating of Specialist Seen Most Often |
|---|---|---|---|---|
| Arizona Complete Health - Complete Care Plan | |
|
|
|
| Banner-University Family Care | |
|
|
|
| Care 1st Health Plan | |
|
|
|
| Health Choice Arizona | |
|
|
|
| Magellan Complete Care | |
|
|
|
| Mercy Care | |
|
|
|
| United Healthcare Community Plan | |
|
|
|
| Health Plan | Getting Needed Care | Getting Care Quickly | How Well Doctors Communicate | Customer Service | Coordination of Care |
|---|---|---|---|---|---|
| Arizona Complete Health - Complete Care Plan | |
|
|
|
|
| Banner-University Family Care | |
|
|
|
|
| Care 1st Health Plan | |
|
|
|
|
| Health Choice Arizona | |
|
|
+ |
+ |
| Magellan Complete Care | |
+ |
|
+ |
+ |
| Mercy Care | |
|
|
+ |
+ |
| United Healthcare Community Plan | |
|
|
|
|
- Star rating based on comparison with the National Committee for Quality Assurance’s (NCQA) 2020 Quality Compass® Benchmark and Compare Quality Data as 2021 data was not available at the time the 2021 CAHPS Survey Report was drafted.
- Caution should be exercised when evaluating the results as the number of completed surveys may have been impacted by COVID-19, as well as members’ perceptions of and experiences with the health care system.
2022 KidsCare CAHPS Survey
AHCCCS requires MCOs to achieve Medicaid Health Plan Accreditation from the NCQA. MCOs are also required to obtain NCQA Health Equity Accreditation by October 1, 2025, and may obtain additional NCQA program accreditation, at its own discretion*. MCO accreditation information (including the accreditation status and programs, as applicable) can be accessed through NCQA using the following link: Arizona Medicaid NCQA Health Plan Accreditation
*MCO accreditation requirements may vary by line of business
**Arizona Physicians IPA, Inc. is also known as UnitedHealthcare Community Plan
CYE 2024*
*No Health Plans were exempted from External Quality Review for CYE 2024
CYE 2023*
*No Health Plans were exempted from External Quality Review for CYE 2023
CYE 2022*
*No Health Plans were exempted from External Quality Review for CYE 2022
CYE 2021
*No Health Plans were exempted from External Quality Review for CYE 2021
CYE 2020
*No Health Plans were exempted from External Quality Review for CYE 2020
CYE 2019
*No Health Plans were exempted from External Quality Review for CYE 2019
Department of Child Safety (DCS) Comprehensive Health Plan (CHP)1
Member Satisfaction Survey (CAHPS Survey) Child Results – 2021
| Health Plan | Rating of Health Plan | Rating of All Health Care | Rating of Personal Doctor | Rating of Specialist Seen Most Often |
|---|---|---|---|---|
| DCS CHP | |
|
|
|
| Health Plan | Getting Needed Care | Getting Care Quickly | How Well Doctors Communicate | Customer Service | Coordination of Care |
|---|---|---|---|---|---|
| DCS CHP | |
|
|
+ |
|
- Based on the timing of the survey, results could be reflective of services received both prior to and after the April 1, 2021, transition of CMDP to Mercy Care DCS CHP.
- Survey results include responses received from foster mothers, foster fathers, and kinship placements; this represents a change from previous CAHPS surveys.
- Star rating based on comparison with the National Committee for Quality Assurance’s (NCQA) 2020 Quality Compass® Benchmark and Compare Quality Data as 2021 data was not available at the time the 2021 CAHPS Survey Report was drafted.
- Caution should be exercised when evaluating the results as the number of completed surveys may have been impacted by COVID-19, as well as members’ perceptions of and experiences with the health care system.
2021 DCS CHP CAHPS Survey – Child
AHCCCS requires MCOs to achieve Medicaid Health Plan Accreditation from the NCQA. MCOs are also required to obtain NCQA Health Equity Accreditation by October 1, 2025, and may obtain additional NCQA program accreditation, at its own discretion*. MCO accreditation information (including the accreditation status and programs, as applicable) can be accessed through NCQA using the following link: Arizona Medicaid NCQA Health Plan Accreditation
*MCO accreditation requirements may vary by line of business
**Arizona Physicians IPA, Inc. is also known as UnitedHealthcare Community Plan
CYE 2024*
*No Health Plans were exempted from External Quality Review for CYE 2024
CYE 2023*
*No Health Plans were exempted from External Quality Review for CYE 2023
CYE 2022*
*No Health Plans were exempted from External Quality Review for CYE 2022
CYE 2021
*No Health Plans were exempted from External Quality Review for CYE 2021
CYE 2020
*No Health Plans were exempted from External Quality Review for CYE 2020
CYE 2019
*No Health Plans were exempted from External Quality Review for CYE 2019
Division of Developmental Disabilities
AHCCCS requires MCOs to achieve Medicaid Health Plan Accreditation from the NCQA. MCOs are also required to obtain NCQA Health Equity Accreditation by October 1, 2025, and may obtain additional NCQA program accreditation, at its own discretion*. MCO accreditation information (including the accreditation status and programs, as applicable) can be accessed through NCQA using the following link: Arizona Medicaid NCQA Health Plan Accreditation
*MCO accreditation requirements may vary by line of business
**Arizona Physicians IPA, Inc. is also known as UnitedHealthcare Community Plan
CYE 2024*
*No Health Plans were exempted from External Quality Review for CYE 2024
CYE 2023*
*No Health Plans were exempted from External Quality Review for CYE 2023
CYE 2022*
*No Health Plans were exempted from External Quality Review for CYE 2022
CYE 2021
*No Health Plans were exempted from External Quality Review for CYE 2021
CYE 2020
*No Health Plans were exempted from External Quality Review for CYE 2020
CYE 2019
*No Health Plans were exempted from External Quality Review for CYE 2019
Arizona Long Term Care System Elderly and Physical Disabilities (ALTCS EPD)
AHCCCS requires MCOs to achieve Medicaid Health Plan Accreditation from the NCQA. MCOs are also required to obtain NCQA Health Equity Accreditation by October 1, 2025, and may obtain additional NCQA program accreditation, at its own discretion*. MCO accreditation information (including the accreditation status and programs, as applicable) can be accessed through NCQA using the following link: Arizona Medicaid NCQA Health Plan Accreditation
*MCO accreditation requirements may vary by line of business
**Arizona Physicians IPA, Inc. is also known as UnitedHealthcare Community Plan
CYE 2024*
*No Health Plans were exempted from External Quality Review for CYE 2024
CYE 2023*
*No Health Plans were exempted from External Quality Review for CYE 2023
CYE 2022*
*No Health Plans were exempted from External Quality Review for CYE 2022
CYE 2021
*No Health Plans were exempted from External Quality Review for CYE 2021
CYE 2020
*No Health Plans were exempted from External Quality Review for CYE 2020
CYE 2019
*No Health Plans were exempted from External Quality Review for CYE 2019
AHCCCS Complete Care-Regional Behavioral Health Agreements (ACC-RBHA)
Effective October 1, 2022, the acronym ‘RBHA’ changed from Regional Behavioral Health Authority to Regional Behavioral Health Agreement. Services are provided by AHCCCS Complete Care Contractors with Regional Behavioral Health Agreements (ACC-RBHAs)
Member Satisfaction Survey (CAHPS Survey) Adult Results - 2021
| Health Plan | Rating of Health Plan | Rating of All Health Care | Rating of Personal Doctor | Rating of Specialist Seen Most Often |
|---|---|---|---|---|
| Arizona Complete Health - Complete Care Plan | |
|
|
|
| Mercy Care | |
|
|
|
| Health Plan | Getting Needed Care | Getting Care Quickly | How Well Doctors Communicate | Customer Service | Coordination of Care |
|---|---|---|---|---|---|
| Arizona Complete Health - Complete Care Plan | |
|
|
|
|
| Mercy Care | |
|
|
|
|
- Caution should be exercised when evaluating the results as the comparative population is primarily an acute Medicaid population.
- Caution should be exercised when evaluating the results as the number of completed surveys may have been impacted by COVID-19, as well as members’ perceptions of and experiences with the health care system.
2021 RBHA CAHPS Survey - Adult
AHCCCS requires MCOs to achieve Medicaid Health Plan Accreditation from the NCQA. MCOs are also required to obtain NCQA Health Equity Accreditation by October 1, 2025, and may obtain additional NCQA program accreditation, at its own discretion*. MCO accreditation information (including the accreditation status and programs, as applicable) can be accessed through NCQA using the following link: Arizona Medicaid NCQA Health Plan Accreditation
*MCO accreditation requirements may vary by line of business
**Arizona Physicians IPA, Inc. is also known as UnitedHealthcare Community Plan
CYE 2024*
*No Health Plans were exempted from External Quality Review for CYE 2024
CYE 2023*
*No Health Plans were exempted from External Quality Review for CYE 2023
CYE 2022*
*No Health Plans were exempted from External Quality Review for CYE 2022
CYE 2021
*No Health Plans were exempted from External Quality Review for CYE 2021
CYE 2020
*No Health Plans were exempted from External Quality Review for CYE 2020
CYE 2019
*No Health Plans were exempted from External Quality Review for CYE 2019
