HMO/HMOPOS · observed 2026 → 2026 · 75 months of CPSC history · 15 active CY 2026 plans.
| Plan | Category | Premium | MOOP | ★ | Counties | Enrollment |
|---|---|---|---|---|---|---|
| UHC Dual Complete GA-D2 (HMO-POS D-SNP) H5322/050 · Dual-Eligible | SNP | $0 | $9,250 | 3.5 | 157 | 41,729 |
| UHC Dual Complete GA-S3 (HMO-POS D-SNP) H5322/049 · Dual-Eligible | SNP | $11 | $9,250 | 3.5 | 157 | 30,615 |
| UHC Dual Complete TX-D007 (HMO-POS D-SNP) H5322/025 · Dual-Eligible | SNP | $0 | $9,250 | 3.5 | 136 | 29,601 |
| UHC Dual Complete OK-S002 (HMO-POS D-SNP) H5322/031 · Dual-Eligible | SNP | $17 | $9,250 | 3.5 | 72 | 26,889 |
| AARP Medicare Advantage from UHC GA-5 (HMO-POS) H5322/047 | MA-PD | $1 | $6,700 | 3.5 | 157 | 20,912 |
| UHC Dual Complete OH-D002 (HMO-POS D-SNP) H5322/028 · Dual-Eligible | SNP | $31 | $9,250 | 3.5 | 75 | 17,352 |
| AARP Medicare Advantage from UHC SC-0005 (HMO-POS) H5322/040 | MA-PD | $0 | $6,700 | 3.5 | 46 | 15,213 |
| AARP Medicare Advantage from UHC SC-0006 (HMO-POS) H5322/044 | MA-PD | $45 | $6,700 | 3.5 | 46 | 11,159 |
| UHC Dual Complete TX-S5 (HMO-POS D-SNP) H5322/046 · Dual-Eligible | SNP | $0 | $9,250 | 3.5 | 61 | 6,782 |
| UHC Dual Complete OK-V001 (HMO-POS D-SNP) H5322/033 · Dual-Eligible | SNP | $4 | $5,900 | 3.5 | 72 | 5,659 |
| AARP Medicare Advantage Patriot No Rx SC-MA01 (HMO-POS) H5322/043 | MA | — | $6,700 | 3.5 | 46 | 4,050 |
| UHC Dual Complete TX-V010 (HMO-POS D-SNP) H5322/038 · Dual-Eligible | SNP | $0 | $4,200 | 3.5 | 136 | 2,994 |
| UHC Dual Complete OH-V002 (HMO-POS D-SNP) H5322/034 · Dual-Eligible | SNP | $31 | $5,800 | 3.5 | 75 | 1,464 |
| UHC Dual Complete KS-S002 (HMO-POS D-SNP) H5322/029 · Dual-Eligible | SNP | $52 | $9,250 | 3.5 | 68 | 1,196 |
| UHC Dual Complete TX-V005 (HMO-POS D-SNP) H5322/026 · Dual-Eligible | SNP | $0 | $4,200 | 3.5 | 3 | 442 |
| ID | Measure | ★ |
|---|---|---|
| C01 | Breast Cancer Screening | 2.0 |
| C02 | Colorectal Cancer Screening | 4.0 |
| C03 | Annual Flu Vaccine | 2.0 |
| C04 | Improving or Maintaining Physical Health | 3.0 |
| C05 | Improving or Maintaining Mental Health | 3.0 |
| 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 | 5.0 |
| C10 | Osteoporosis Management in Women who had a Fracture | 2.0 |
| C11 | Diabetes Care – Eye Exam | 4.0 |
| C12 | Diabetes Care – Blood Sugar Controlled | 4.0 |
| C13 | Kidney Health Evaluation for Patients with Diabetes | 3.0 |
| C14 | Controlling High Blood Pressure | 4.0 |
| C15 | Reducing the Risk of Falling | 4.0 |
| C16 | Improving Bladder Control | 3.0 |
| C17 | Medication Reconciliation Post-Discharge | 3.0 |
| C18 | Plan All-Cause Readmissions | 2.0 |
| C19 | Statin Therapy for Patients with Cardiovascular Disease | 3.0 |
| C20 | Transitions of Care | 3.0 |
| C21 | Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions | 2.0 |
| C22 | Getting Needed Care | 5.0 |
| C23 | Getting Appointments and Care Quickly | 4.0 |
| C24 | Customer Service | 4.0 |
| C25 | Rating of Health Care Quality | 4.0 |
| C26 | Rating of Health Plan | 5.0 |
| C27 | Care Coordination | 3.0 |
| C28 | Complaints about the Health Plan | 4.0 |
| C29 | Members Choosing to Leave the Plan | 2.0 |
| C30 | Health Plan Quality Improvement | 4.0 |
| C31 | Plan Makes Timely Decisions about Appeals | 4.0 |
| 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 | 4.0 |
| D03 | Members Choosing to Leave the Plan | 2.0 |
| D04 | Drug Plan Quality Improvement | 4.0 |
| D05 | Rating of Drug Plan | 5.0 |
| D06 | Getting Needed Prescription Drugs | 4.0 |
| D07 | MPF Price Accuracy | 5.0 |
| D08 | Medication Adherence for Diabetes Medications | 3.0 |
| D09 | Medication Adherence for Hypertension (RAS antagonists) | 2.0 |
| D10 | Medication Adherence for Cholesterol (Statins) | 2.0 |
| D11 | MTM Program Completion Rate for CMR | 4.0 |
| D12 | Statin Use in Persons with Diabetes (SUPD) | 3.0 |
No incoming transitions for this contract.