HMO/HMOPOS · observed 2026 → 2026 · 75 months of CPSC history · 50 active CY 2026 plans.
| Plan | Category | Premium | MOOP | ★ | Counties | Enrollment |
|---|---|---|---|---|---|---|
| Simply Extra Platinum (HMO) H5471/113 | MA-PD | $0 | $2,450 | 4.5 | 1 | 3,776 |
| Simply Integrated Platinum (HMO D-SNP) H5471/134 · Dual-Eligible | SNP | $5 | $500 | 4.5 | 1 | 2,746 |
| Simply Complete Platinum (HMO D-SNP) H5471/115 · Dual-Eligible | SNP | $5 | $500 | 4.5 | 1 | 2,434 |
| Simply Level Platinum (HMO C-SNP) H5471/116 · Chronic or Disabling Condition | SNP | $0 | $2,450 | 4.5 | 1 | 1,985 |
| Simply More (HMO) H5471/065 | MA-PD | $0 | $3,850 | 4.5 | 1 | 1,887 |
| Simply Integrated (HMO D-SNP) H5471/127 · Dual-Eligible | SNP | $0 | $500 | 4.5 | 1 | 1,835 |
| Simply Extra Platinum (HMO) H5471/123 | MA-PD | $0 | $3,200 | 4.5 | 2 | 1,781 |
| Simply Complete Platinum (HMO D-SNP) H5471/118 · Dual-Eligible | SNP | $5 | $500 | 4.5 | 6 | 1,675 |
| Simply More (HMO) H5471/074 | MA-PD | $0 | $3,450 | 4.5 | 3 | 1,409 |
| Simply More Platinum (HMO) H5471/114 | MA-PD | $0 | $3,400 | 4.5 | 1 | 1,238 |
| Simply Complete (HMO D-SNP) H5471/064 · Dual-Eligible | SNP | $0 | $500 | 4.5 | 1 | 1,194 |
| Simply More (HMO) H5471/078 | MA-PD | $0 | $3,450 | 4.5 | 4 | 1,053 |
| Simply Integrated Platinum (HMO D-SNP) H5471/135 · Dual-Eligible | SNP | $0 | $500 | 4.5 | 6 | 908 |
| Simply Extra Platinum (HMO) H5471/117 | MA-PD | $0 | $3,200 | 4.5 | 5 | 853 |
| Simply More (HMO) H5471/071 | MA-PD | $0 | $3,450 | 4.5 | 1 | 822 |
| Simply Level (HMO C-SNP) H5471/070 · Chronic or Disabling Condition | SNP | $0 | $3,450 | 4.5 | 1 | 757 |
| Simply Complete Platinum (HMO D-SNP) H5471/121 · Dual-Eligible | SNP | $5 | $500 | 4.5 | 4 | 728 |
| Simply Level Platinum (HMO C-SNP) H5471/119 · Chronic or Disabling Condition | SNP | $0 | $2,450 | 4.5 | 5 | 677 |
| Simply Extra Platinum (HMO) H5471/120 | MA-PD | $0 | $3,200 | 4.5 | 3 | 654 |
| Simply Level (HMO C-SNP) H5471/069 · Chronic or Disabling Condition | SNP | $0 | $3,450 | 4.5 | 1 | 647 |
| Simply More (HMO) H5471/077 | MA-PD | $0 | $3,450 | 4.5 | 1 | 553 |
| Simply More Platinum (HMO) H5471/124 | MA-PD | $0 | $3,850 | 4.5 | 2 | 538 |
| Simply Level Platinum (HMO C-SNP) H5471/126 · Chronic or Disabling Condition | SNP | $0 | $3,450 | 4.5 | 2 | 506 |
| Simply Complete (HMO D-SNP) H5471/066 · Dual-Eligible | SNP | $0 | $500 | 4.5 | 1 | 461 |
| Simply Level Platinum (HMO C-SNP) H5471/122 · Chronic or Disabling Condition | SNP | $0 | $3,200 | 4.5 | 3 | 446 |
| ID | Measure | ★ |
|---|---|---|
| C01 | Breast Cancer Screening | 4.0 |
| C02 | Colorectal Cancer Screening | 4.0 |
| C03 | Annual Flu Vaccine | 1.0 |
| C04 | Improving or Maintaining Physical Health | — |
| C05 | Improving or Maintaining Mental Health | — |
| C06 | Monitoring Physical Activity | 5.0 |
| C07 | Special Needs Plan (SNP) Care Management | 5.0 |
| 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 | 4.0 |
| C11 | Diabetes Care – Eye Exam | 4.0 |
| C12 | Diabetes Care – Blood Sugar Controlled | 4.0 |
| C13 | Kidney Health Evaluation for Patients with Diabetes | 5.0 |
| C14 | Controlling High Blood Pressure | 5.0 |
| C15 | Reducing the Risk of Falling | 5.0 |
| C16 | Improving Bladder Control | 5.0 |
| C17 | Medication Reconciliation Post-Discharge | 3.0 |
| C18 | Plan All-Cause Readmissions | 2.0 |
| C19 | Statin Therapy for Patients with Cardiovascular Disease | 4.0 |
| C20 | Transitions of Care | 1.0 |
| C21 | Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions | 4.0 |
| C22 | Getting Needed Care | 5.0 |
| C23 | Getting Appointments and Care Quickly | 5.0 |
| C24 | Customer Service | 4.0 |
| C25 | Rating of Health Care Quality | 5.0 |
| C26 | Rating of Health Plan | 5.0 |
| C27 | Care Coordination | 5.0 |
| C28 | Complaints about the Health Plan | 4.0 |
| C29 | Members Choosing to Leave the Plan | 2.0 |
| C30 | Health Plan Quality Improvement | 5.0 |
| C31 | Plan Makes Timely Decisions about Appeals | 4.0 |
| C32 | Reviewing Appeals Decisions | 5.0 |
| 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 | 5.0 |
| 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 | 4.0 |
| D09 | Medication Adherence for Hypertension (RAS antagonists) | 4.0 |
| D10 | Medication Adherence for Cholesterol (Statins) | 3.0 |
| D11 | MTM Program Completion Rate for CMR | 5.0 |
| D12 | Statin Use in Persons with Diabetes (SUPD) | 5.0 |
No incoming transitions for this contract.