HMO Accreditation Information

Below is a list of HMOs in Michigan that are accredited by an accreditation organization. The accreditation information is current as of 01/21/21.

For additional information about the accrediting organization, its accreditation processes, and current accreditation status of an HMO, visit the organization's website. Michigan HMOs not listed are not accredited.

Lines of Business
Some HMOs may be listed more than once as they have different lines of business.

  • Commercial: private health care plans not paid for by the government.
  • Marketplace: as part of the Affordable Care Act, the federal government set up Health Insurance Marketplaces (also called Exchanges) where individuals and small groups can shop for health care coverage and compare plans offered by private health care companies.
  • Medicaid: a joint federal and state program that helps eligible low-income individuals or families pay for health care costs.
  • Medicare: a federal program that provides health insurance for individuals aged 65 or higher and those with certain disabilities.
National Committee for Quality Assurance (NCQA)
HMO Line of Business NCQA Accreditation Level Expiration Date
Aetna Better Health of Michigan Medicaid Accredited 09/11/2021
Blue Care Network of Michigan Commercial Accredited 05/23/23
Blue Care Network of Michigan Marketplace Accredited 09/12/2020
Blue Care Network of Michigan Medicare Accredited 05/23/23
Blue Cross Complete of Michigan Medicaid Accredited - Under Corrective Action 02/23/21
HAP Midwest Health Plan Medicaid Commendable 07/02/2022
Health Alliance Plan of Michigan Commercial Commendable 07/02/2022
Health Alliance Plan of Michigan Medicare Commendable 07/02/2022
McLaren Health Plan Medicaid Commendable 07/16/2021
McLaren Health Plan Community Commercial Accredited 07/16/2021
McLaren Health Plan Community Marketplace Accredited 07/16/2021
Meridian Health Plan of Michigan, Inc. Marketplace Accredited 09/27/2022
Meridian Health Plan of Michigan, Inc. Medicaid Commendable 09/27/2022
Molina Healthcare of Michigan Marketplace Accredited 04/11/23
Molina Healthcare of Michigan Medicaid Accredited - Under Corrective Action 04/11/23
Paramount Care Medicare Commendable 04/17/2021
Priority Health Commercial Accredited 09/26/23
Priority Health Marketplace Accredited 09/26/23
Priority Health Medicare Accredited 09/26/23
Priority Health Choice Medicaid Accredited 09/26/23
Total Health Care, Inc. Medicaid Commendable 08/27/2022
Total Health Care USA Commercial Accredited 08/27/2022
Total Health Care USA, Inc. HMO Marketplace Accredited 08/27/2022
Total Health Care USA, Inc. HMO/POS Marketplace Accredited 08/27/2022
United Healthcare Community Plan Medicaid Commendable 10/11/2022
Upper Peninsula Health Plan Medicaid Commendable 02/27/2021

Utilization Review Accreditation Commission (URAC)
HMO Line of Business URAC Accreditation Level Expiration Date
Physicians Health Plan Commercial Full Accreditation 07/01/2021
Physicians Health Plan Marketplace Full Accreditation 07/01/2021