Insurance Payers
National carrier

Centene

Who they are

Centene is the largest Medicaid managed-care organization in the country. It operates through state-branded plans, with Ambetter as its health-insurance-marketplace (ACA exchange) brand. Facilities may not realize their state plan is a Centene plan.

The behavioral health contracting entity

The honest core: behavioral health arrangements vary by state plan. Centene operates through state-branded plans, and provider portals, behavioral health administration, and processes vary by state plan — start from your state plan's provider page. Each state plan is its own contracting context.

Websites & portals

Scope

National, through state-branded Medicaid and marketplace plans.

Notable context

Medicaid managed-care contracting is a distinct world from commercial — different rate structures and processes (the same reason WellSense sits in its own category). With Centene, the added wrinkle is the state-brand structure: your plan may carry a state-specific name rather than “Centene.”

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