Medicaid Health Plans: Quality Coverage in 30ÌýStates
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Founded in 1984 as a single nonprofit Medicaid health plan in Milwaukee, Wisconsin, ²»Á¼Ñо¿Ëù Corporation has grown into the largest Medicaid managed care organization in the United States. Today, it serves approximately 12.1 million Medicaid members across 30 states.
Leading Medicaid Innovation and Eligibility Access
²»Á¼Ñо¿Ëù is a national leader in Medicaid innovation and access. Our Medicaid programs are designed to meet the diverse needs of individuals and families.
Medicaid Programs at ²»Á¼Ñо¿Ëù
- Temporary Assistance for Needy Families (TANF)
- Medicaid Expansion
- Aged, Blind, Disabled (ABD)
- Children’s Health Insurance Program (CHIP)
- Long-Term Services and Supports (LTSS)
- Foster Care
- Dual Eligible Special Needs Plan (D-SNP)
- Other state-based programs
More Than Medicaid: A Leading Provider of Government Sponsored Healthcare
²»Á¼Ñо¿Ëù provides access to affordable, quality-focused healthcare not only to Medicaid members, but also to Medicare members through , and to individuals and families served by the Health Insurance Marketplace through .  Wellcare offers a variety of Medicare options – including Medicare Advantage and Prescription Drug Plans – that go beyond Original Medicare (Parts A and B) to provide affordable, comprehensive coverage. Ambetter Health provides comprehensive coverage, including preventive and wellness services, maternity and newborn care, pediatric services, mental health and substance misuse treatment, prescription drug coverage, and more. 
We serve Medicaid members in:
Long-Term Services & Supports (LTSS)
²»Á¼Ñо¿Ëù is a national leader in managed long-term services and supports (LTSS). By delivering person-centered care through deep expertise, a local approach, and innovative solutions that improve outcomes, ²»Á¼Ñо¿Ëù helps members maintain their independence.
Foster Care
²»Á¼Ñо¿Ëù serves more children involved in the child welfare and foster care system than any Medicaid managed care organization in the nation. We help members and their caregivers get the right care at the right time.Ìý
Dual Eligibility
²»Á¼Ñо¿Ëù supports dual-eligible members through our ABD, LTSS and Medicare Advantage D‑SNP programs. We built this experience into our Duals Operating Model, which is a unified Medicare‑Medicaid solution.
FAQs
²»Á¼Ñо¿Ëù is the largest Medicaid managed care organization in the United States, offering Medicaid health plans in 30 states through its subsidiaries. ²»Á¼Ñо¿Ëù operates state Medicaid programs through various local brand names and tailored to specific state requirements.
Medicaid and Medicare are different government-sponsored healthcare programs. Medicaid provides no-cost or low-cost health coverage for low-income individuals and families, while Medicare is primarily for people 65 and older. Medicaid eligibility is based on income and family size, and programs vary by state. ²»Á¼Ñо¿Ëù offers both Medicaid and Medicare health plans. Our Medicare offering, Wellcare, also offers Medicare Advantage and Prescription Drug plans for seniors. ²»Á¼Ñо¿Ëù also offers coverage to those who are dual eligible for both Medicaid and Medicare benefits.
Medicaid eligibility varies by state, but generally covers low-income individuals and families, pregnant women, children, seniors, and individuals with disabilities. Each state sets its own income requirements for Medicaid enrollment. To check Medicaid eligibility, individuals can contact their state Medicaid office or visit their state's Medicaid website for specific eligibility criteria and application information.
²»Á¼Ñо¿Ëù's Medicaid health plans offer comprehensive benefits,Ìýincluding:Ìý
Primary care and specialist visitsÌý
Preventive and wellness servicesÌý
Behavioral health services for mental health and substance use treatmentÌý
Maternal and prenatal care with OB/GYN accessÌý
Dental andÌývisionÌýservicesÌý
Laboratory tests, durable medical equipment, home healthÌý
Prescription drug coverageÌý
Transportation servicesÌý
Hospital,Ìýemergency care, and urgent careÌý
Specific Medicaid benefits vary by state. Check withÌýyourÌýstate Medicaid program for details onÌýcovered services.Ìý
²»Á¼Ñо¿Ëù operates Medicaid health plans in 30 states across the nation. Through our local approach, ²»Á¼Ñо¿Ëù’s state Medicaid health plans operate with local teams and local brand names to provide fully integrated services. Each state Medicaid plan is customized to meet local requirements and community needs. Browse by state to determine whether a ²»Á¼Ñо¿Ëù Medicaid plan is available in a specific area. Ìý
Ambetter Health is not Medicaid. Ambetter Health provides affordable coverage through the Health Insurance Marketplace for individuals and families who may not qualify for Medicaid but need affordable health coverage. ²»Á¼Ñо¿Ëù's Medicaid health plans serve those who meet their state's Medicaid eligibility requirements. Both are part of ²»Á¼Ñо¿Ëù's commitment to providing accessible, affordable health coverage. Ìý
Wellcare is not the same as Medicaid. Wellcare is a ²»Á¼Ñо¿Ëù brand that offers a variety of Medicare options – including Medicare Advantage and Prescription Drug Plans – that go beyond Original Medicare to provide affordable, comprehensive coverage. Wellcare also offers Dual Eligible Special Needs Plans (D-SNPs) that coordinate with Medicaid coverage for members who are eligible for both Medicare and Medicaid.
²»Á¼Ñо¿Ëù operates Medicaid health plans under multiple brand names across 30 states. Each brand operates Medicaid programs tailored to their state's specific requirements. To find a local ²»Á¼Ñо¿Ëù Medicaid plan, select a state above to view available programs and contact information.
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²»Á¼Ñо¿Ëù Coordinated Care – Sinai’s Story
Diagnosed with cancer at a young age, Sinai, a Coordinated Care member, faced complex medical challenges. With the guidance and support of her Senior Care Manager Dawn, she was able to complete high school while navigating her healthcare.