MHS Health Wisconsin Earns Prestigious 4.5-Star NCQA Rating, Ranking Among Top 14 Medicaid Plans Nationwide

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MHS Health Wisconsin (NYSE:CNC) earned a 4.5-Star NCQA rating and ranks among the top 14 Medicaid plans nationwide in NCQA's 2025 Health Plan Ratings. It is the only Medicaid HMO in Wisconsin with this distinction and the highest rating received by a Wisconsin Medicaid HMO in more than five years. The NCQA score reflects assessed areas including clinical quality, member experience, and health outcomes. MHS Health highlighted its focus on prevention, chronic condition management, culturally responsive services, community partnerships, and four decades of serving Wisconsin families.

Insights

Health plan quality analyst

MHS Health Wisconsin earned a 4.5‑Star NCQA rating and ranks among the top 14 Medicaid plans nationally, a clear positive for plan quality and reputation.

MHS Health Wisconsin achieved a 4.5‑Star NCQA rating and placed in the top 14 Medicaid plans in the 2025 Health Plan Ratings. Being the only Medicaid HMO in Wisconsin with this distinction and the highest state rating in over five years directly signals strong performance on clinical quality, member experience, and outcomes—the exact dimensions NCQA measures.

The rating depends on sustained performance across measured domains and on continuing provider and community partnerships. Any decline in member experience scores, clinical metrics, or reporting completeness could reduce future ratings and weaken this advantage. Operational capacity to scale care coordination and maintain access also matters for payor contracts and member retention.

Watch NCQA metrics and year‑over‑year changes in member experience and clinical quality, plus contract or network developments over the next 12–18 months. The 2025 rating is a tangible credential that can influence plan comparisons, contract negotiations, and enrollment decisions in the near term.

WEST ALLIS, Wis., Oct. 6, 2025 /PRNewswire/ -- MHS Health Wisconsin ("MHS Health"), one of Wisconsin's leading health maintenance organizations (HMOs) and a company of Centene Corporation (NYSE: CNC), achieved a 4.5-Star rating from the National Committee for Quality Assurance (NCQA) and ranks among the top 14 Medicaid health plans nationwide. MHS Health is the only Medicaid HMO in Wisconsin to receive this distinction and the highest rating ever received by a Wisconsin Medicaid HMO for more than five years.

For more than four decades, MHS Health has been a trusted partner in care for Wisconsin families, offering affordable, culturally responsive services that prioritize prevention, chronic condition management, and innovative care solutions. The NCQA's rigorous evaluation process measures clinical quality, member experience, and health outcomes—areas where MHS Health continues to lead.

"Our team is deeply rooted in the communities we serve," said Titus J. Muzi, Jr., President and CEO, MHS Health Wisconsin. "Every day, our employees show up with purpose and compassion, driven by a shared mission to make Wisconsin stronger and healthier. This recognition is a reflection of their dedication."

Recognized as the benchmark for health plan excellence, the NCQA Health Plan Ratings offer consumers clear insights into plan quality while holding organizations accountable for delivering superior care nationwide.

"Our success is built on the strength of our people," adds Muzi. "From care coordinators to customer service representatives, every person on our team plays a vital role in helping our members live healthier lives. That impact is amplified through our strong partnerships with healthcare providers and community organizations who share our commitment to improving health outcomes. We are proud of our legacy in transforming healthcare and the health of Wisconsin."

This prestigious ranking in NCQA's 2025 Health Plan Ratings reflects MHS Health's unwavering commitment to delivering high-quality, accessible healthcare to communities across Wisconsin.

About MHS Health Wisconsin

MHS Health Wisconsin, founded in 1984 in Milwaukee, Wisconsin, is an NCQA-accredited health maintenance organization (HMO) that provides coverage for Wisconsin beneficiaries in BadgerCare Plus, Medicaid SSI, and Medicare Advantage D-SNP through Wellcare By Allwell. The health plan is a wholly owned subsidiary of Centene Corporation and serves more than 100,000 members across Wisconsin.

About Centene Corporation 

Centene Corporation , a Fortune 500 company, is a leading healthcare enterprise that is committed to helping people live healthier lives. The Company takes a local approach – with local brands and local teams – to provide fully integrated, high-quality and cost-effective services to government-sponsored and commercial healthcare programs, focusing on under-insured and uninsured individuals. Centene offers affordable and high-quality products to more than 1 in 15 individuals across the nation, including Medicaid and Medicare members (including Medicare Prescription Drug Plans) as well as individuals and families served by the Health Insurance Marketplace.

Centene uses its investor relations website to publish important information about the Company, including information that may be deemed material to investors. Financial and other information about Centene is routinely posted and is accessible on Centene's investor relations website, http://investors.centene.com/. 

 

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SOURCE MHS Health Wisconsin

FAQ

What does the 4.5-Star NCQA rating mean for MHS Health Wisconsin (CNC)?

The 4.5-Star NCQA rating indicates strong performance across clinical quality, member experience, and health outcomes in NCQA's 2025 Health Plan Ratings.

How does MHS Health Wisconsin rank nationally after the NCQA 4.5-Star rating?

MHS Health Wisconsin ranks among the top 14 Medicaid plans nationwide in NCQA's 2025 Health Plan Ratings.

Is MHS Health the only Medicaid HMO in Wisconsin with this NCQA rating?

Yes. MHS Health is the only Medicaid HMO in Wisconsin to receive a 4.5-Star NCQA rating in 2025.

When was the last time a Wisconsin Medicaid HMO received this rating level?

This is the highest rating received by a Wisconsin Medicaid HMO in more than five years.

Which areas did NCQA evaluate to award the 4.5-Star rating to MHS Health Wisconsin (CNC)?

NCQA evaluated clinical quality, member experience, and health outcomes as part of its rigorous assessment.

How might the NCQA 4.5-Star rating affect MHS Health Wisconsin members and partners?

The rating signals recognized plan quality, which may support member confidence and strengthen partnerships with providers and community organizations.