HMO/HMOPOS · observed 2026 → 2026 · 75 months of CPSC history · 14 active CY 2026 plans.
| Plan | Category | Premium | MOOP | ★ | Counties | Enrollment |
|---|---|---|---|---|---|---|
| Wellcare Dual Liberty (HMO D-SNP) H5294/010 · Dual-Eligible | SNP | $5 | $9,250 | 3.5 | 56 | 5,478 |
| Wellcare Simple (HMO) H5294/011 | MA-PD | $0 | $3,450 | 3.5 | 18 | 3,266 |
| Wellcare Dual Access (HMO D-SNP) H5294/015 · Dual-Eligible | SNP | $5 | $9,250 | 3.5 | 98 | 2,576 |
| Wellcare Simple (HMO) H5294/018 | MA-PD | $0 | $4,500 | 3.5 | 29 | 1,322 |
| Wellcare Dual Liberty Sync (HMO D-SNP) H5294/021 · Dual-Eligible | SNP | $5 | $9,250 | 3.5 | 9 | 995 |
| Wellcare Assist (HMO) H5294/016 | MA-PD | $5 | $3,900 | 3.5 | 30 | 738 |
| Wellcare Giveback (HMO) H5294/019 | MA-PD | $0 | $8,200 | 3.5 | 23 | 584 |
| Wellcare Assist (HMO) H5294/013 | MA-PD | $5 | $3,700 | 3.5 | 19 | 516 |
| Wellcare Dual Liberty Sync (HMO D-SNP) H5294/023 · Dual-Eligible | SNP | $5 | $9,250 | 3.5 | 15 | 245 |
| Wellcare Patriot Simple (HMO) H5294/014 | MA | — | $3,400 | 3.5 | 84 | 219 |
| Wellcare Simple (HMO) H5294/017 | MA-PD | $0 | $3,900 | 3.5 | 7 | 152 |
| Wellcare Dual Liberty Sync (HMO D-SNP) H5294/022 · Dual-Eligible | SNP | $5 | $9,250 | 3.5 | 13 | 132 |
| Wellcare Dual Liberty Sync (HMO D-SNP) H5294/025 · Dual-Eligible | SNP | $5 | $9,250 | 3.5 | 30 | 40 |
| Wellcare Dual Liberty Sync (HMO D-SNP) H5294/024 · Dual-Eligible | SNP | $5 | $9,250 | 3.5 | 16 | 24 |
| ID | Measure | ★ |
|---|---|---|
| C01 | Breast Cancer Screening | 2.0 |
| C02 | Colorectal Cancer Screening | 3.0 |
| C03 | Annual Flu Vaccine | 3.0 |
| C04 | Improving or Maintaining Physical Health | — |
| C05 | Improving or Maintaining Mental Health | — |
| C06 | Monitoring Physical Activity | 3.0 |
| C07 | Special Needs Plan (SNP) Care Management | 4.0 |
| C08 | Care for Older Adults – Medication Review | 4.0 |
| C09 | Care for Older Adults – Pain Assessment | 4.0 |
| C10 | Osteoporosis Management in Women who had a Fracture | 2.0 |
| C11 | Diabetes Care – Eye Exam | 2.0 |
| C12 | Diabetes Care – Blood Sugar Controlled | 2.0 |
| C13 | Kidney Health Evaluation for Patients with Diabetes | 3.0 |
| C14 | Controlling High Blood Pressure | 2.0 |
| C15 | Reducing the Risk of Falling | 4.0 |
| C16 | Improving Bladder Control | 4.0 |
| C17 | Medication Reconciliation Post-Discharge | 4.0 |
| C18 | Plan All-Cause Readmissions | 2.0 |
| C19 | Statin Therapy for Patients with Cardiovascular Disease | 3.0 |
| C20 | Transitions of Care | 2.0 |
| C21 | Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions | 2.0 |
| C22 | Getting Needed Care | 3.0 |
| C23 | Getting Appointments and Care Quickly | 4.0 |
| C24 | Customer Service | 5.0 |
| C25 | Rating of Health Care Quality | 4.0 |
| C26 | Rating of Health Plan | 4.0 |
| C27 | Care Coordination | 5.0 |
| C28 | Complaints about the Health Plan | 3.0 |
| C29 | Members Choosing to Leave the Plan | 3.0 |
| C30 | Health Plan Quality Improvement | 4.0 |
| C31 | Plan Makes Timely Decisions about Appeals | 5.0 |
| C32 | Reviewing Appeals Decisions | 4.0 |
| C33 | Call Center – Foreign Language Interpreter and TTY Availability | 5.0 |
| D01 | Call Center – Foreign Language Interpreter and TTY Availability | 5.0 |
| D02 | Complaints about the Drug Plan | 3.0 |
| D03 | Members Choosing to Leave the Plan | 3.0 |
| D04 | Drug Plan Quality Improvement | 3.0 |
| D05 | Rating of Drug Plan | 3.0 |
| D06 | Getting Needed Prescription Drugs | — |
| D07 | MPF Price Accuracy | 5.0 |
| D08 | Medication Adherence for Diabetes Medications | 2.0 |
| D09 | Medication Adherence for Hypertension (RAS antagonists) | 2.0 |
| D10 | Medication Adherence for Cholesterol (Statins) | 2.0 |
| D11 | MTM Program Completion Rate for CMR | 5.0 |
| D12 | Statin Use in Persons with Diabetes (SUPD) | 3.0 |
No incoming transitions for this contract.