Home State Health

What Home State Health does

Home State Health Plan Inc. is a Missouri-based managed care organization and wholly-owned subsidiary of Centene Corporation (NYSE: CNC), headquartered at 7711 Carondelet Ave., St. Louis. Founded in 2013, the company operates as a vertically integrated health plan serving four distinct Missouri populations: (1) MO HealthNet Managed Care — the company's core Medicaid line — covering low-income families, children, pregnant women, and individuals with disabilities; (2) Show Me Healthy Kids, a specialized managed care program for children in Missouri's foster care and kinship care system; (3) Ambetter from Home State Health, Health Insurance Marketplace plans underwritten by Celtic Insurance Company; and (4) Wellcare by Allwell Medicare Advantage plans, including dual-eligible coverage.

The company's product architecture is a platform-plus-modules structure, with core insurance products layered with value-added services including 24/7 telehealth, the My Health Pays rewards program (redeemable at Walmart, Hy-Vee, and Express Scripts), non-emergency medical transportation through MTM, the Start Smart for Your Baby maternal health program, behavioral health services with a provider certification reimbursement benefit ($1,000/provider/year for trauma certifications), and care management programs for chronic conditions. Member-facing digital infrastructure consists of a web portal and a mobile application (iOS/Android). Operational vendors include Express Scripts (PBM), AcariaHealth (specialty pharmacy), Sempre Health (adherence), Evolent (imaging/oncology prior authorization), Turning Point Healthcare (ENT/cardiac), and Centene Dental/Vision Services. Home State Health holds NCQA health plan accreditation and operates as a HIPAA Covered Entity.

The business model is subscription/recurring capitation revenue across four premium-based lines. Medicaid revenue flows from capitation payments from the State of Missouri's MO HealthNet program with no member premiums; Marketplace revenue comes from individual premiums (often subsidized) on the Ambetter product; Medicare Advantage revenue flows from CMS and member premiums. The company is sales-led, acquiring members through state Medicaid enrollment, Healthcare.gov Marketplace channels, broker/agent partnerships, and provider referrals. Community outreach — including a $750,000 Centene Foundation grant program in 2026 and a $225,000 grant to Three Steps Home for a St. Louis medical respite program — reflects deliberate investment in social determinants of health, positioning the company for Medicaid's shift toward value-based and SDOH-aligned care models.

Name

Home State Health

Legal name

Home State Health Plan Inc.

Website

https://homestatehealth.com

Company type

Private

Founded year

2013

Operating status

Operating

Headcount range

251–500 employees

Short description

Home State Health is a Missouri-based managed care organization and wholly-owned Centene Corporation subsidiary offering Medicaid (MO HealthNet), foster care (Show Me Healthy Kids), ACA Marketplace (Ambetter), and Medicare Advantage (Wellcare by Allwell) health plans to Missouri residents.

Ownership category

akta.pro rank

Product category

Managed Care Health Insurance

SIC

Hospital & Medical Service Plans (6324), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Children’s & Family Medicaid Managed Care Plans (HLAEAEAF)

Keywords

• Medicaid managed care
• Health insurance marketplace
• Medicare Advantage plans
• Foster care health coverage
• Missouri health plans

Headquarters

HQ city

St Louis

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Operations, Personnel, Marketing or Sales, Technology or R&D, Infrastructure, Others

Revenue model

1. Medicaid Managed Care Premiums: Home State Health receives capitation payments from the State of Missouri for providing managed care services to MO HealthNet (Medicaid) beneficiaries. The company manages healthcare delivery and bears financial risk for member care.
2. Health Insurance Marketplace Premiums: The company offers Ambetter health plans through the Missouri Health Insurance Marketplace, receiving premium payments from enrolled members with potential subsidies based on income.
3. Medicare Advantage Premiums: Home State Health offers Medicare Advantage plans (Wellcare by Allwell) receiving premium revenue from CMS and enrolled beneficiaries.
4. Show Me Healthy Kids Program: Specialized managed care program for children in Missouri's foster care system, receiving capitated payments from the state for this specialized population.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels8 records

Core offering

Home State Health is a Missouri-based managed care health insurance company offering MO HealthNet Managed Care (Medicaid), the Show Me Healthy Kids program for children in foster care, Ambetter Health Insurance Marketplace plans, and Medicare Advantage plans (Wellcare by Allwell). The company provides comprehensive healthcare benefits including medical, behavioral health, prescription drug, preventive, maternity, and transportation services to eligible Missouri residents through its provider network.

Product overview

Home State Health is a Missouri-based health insurance company and a subsidiary of Centene Corporation operating as a multi-product health plan. The core offering is MO HealthNet Managed Care (Medicaid), supplemented by Show Me Healthy Kids for children in foster care. The company also offers Ambetter Health Insurance Marketplace plans (underwritten by Celtic Insurance Company) and Medicare Advantage plans (Wellcare by Allwell brand). These insurance products are supported by value-added services including Telehealth (24/7 telemedicine), My Health Pays Rewards Program, Transportation Services, Behavioral Health Services with certification reimbursement, Start Smart for Your Baby pregnancy support, and Care Management Programs. Members access services through a Member Portal and mobile application. The product architecture functions as a platform-plus-modules structure where the core insurance products serve as the foundation, with integrated services and digital tools enhancing member experience.

Differentiator

Problem solved

Functional benefit

Brands

• Show Me Healthy Kids: A specialized managed care program for children in Missouri's foster care system, providing healthcare benefits and support services.
• Ambetter from Home State Health
• Wellcare by Allwell
• My Health Pays Rewards
• Start Smart for Your Baby

Products and services

• MO HealthNet Managed Care (Medicaid) Primary Medicaid managed care plan offering comprehensive health coverage to Missouri residents eligible for MO HealthNet, including families, children, pregnant women, and individuals with disabilities.
• Show Me Healthy Kids Specialized managed care program for children in Missouri's foster care and kinship care system, providing tailored health benefits and trauma-informed support services.
• Ambetter Health Insurance Marketplace Individual and family health insurance plans offered through the Affordable Care Act Marketplace in Missouri, with Essential Health Benefits, multiple plan tiers, and premium subsidies for eligible enrollees.
• Medicare Advantage (Wellcare by Allwell) Medicare Advantage plans providing coverage for Medicare-eligible Missouri residents, including those dually eligible for Medicaid and Medicare, with additional benefits beyond Original Medicare.

Quantifiable outcome

• Twenty grants of $10,000 to $100,000 awarded to Missouri organizations addressing social drivers of health
• +1 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration13 records

Partnerships

One partnership is on record.

• Three Steps HomecoreStrategic or Co-development Partner · 20 April 2026Three Steps Home is the recipient of a $225,000 grant from Home State Health and Centene Foundation to launch St. Louis' first dedicated short-term residential post-acute medical recuperative care program for individuals experiencing homelessness. The program at Peter & Paul Community Campus provides onsite clinical care, behavioral health referrals, recovery plans, and support services including meals, clothing, and housing assistance.

Scale indicators3 records

Recent moves5 records

Expansion highlights5 records

Direct peers

• CareSource: Non-profit Medicaid-focused MCO operating across multiple states. Highly comparable Medicaid-centric mission, member services orientation, and government-sponsored health plan portfolio.
• Molina Healthcare: Pure-play Medicaid managed care organization operating government-sponsored health plans across multiple states. Direct competitor in Missouri Medicaid and a closely comparable Medicaid-focused business model with similar capitation revenue structure.
• UnitedHealthcare Community Plan: UnitedHealth Group's Medicaid managed care arm, competing directly in Missouri MO HealthNet with comparable plan offerings, scale advantages, and integrated Medicare/Medicaid dual-eligible products.
• Aetna Better Health of Missouri: CVS Health's Medicaid MCO competing in Missouri. Shares the same Medicaid managed care contract competition and multi-product government-sponsored insurance model.
• Anthem Blue Cross and Blue Shield (Missouri): Operates a competing Medicaid MCO in Missouri alongside commercial and Medicare products. Shares the same Missouri state contract competition, multi-product structure, and Centene-style large-insurer scale.
• Sunshine Health (Centene subsidiary): Sister Centene subsidiary operating Florida Medicaid and Marketplace plans. Provides the closest internal benchmark for Home State Health's operating model, product mix, and shared Centene infrastructure.
• Buckeye Health Plan (Centene subsidiary): Sister Centene subsidiary operating Ohio Medicaid, Marketplace, and Medicare Advantage plans. Direct operational peer with identical Ambetter and Wellcare by Allwell brand structures.

Broad incumbents

• Elevance Health: Parent of Anthem, a major diversified health insurer competing in Missouri Medicaid, Marketplace, and Medicare Advantage. Larger and more diversified than Home State Health, but overlapping product portfolio and state contract competition.
• Humana: Large diversified health insurer with a Medicare Advantage focus and growing Medicaid presence. Overlaps with Home State Health in Wellcare-branded Medicare Advantage offerings and dual-eligible populations.

Regional players

• Blue Cross and Blue Shield of Kansas City: Regional Blues plan serving the Kansas City metropolitan area that overlaps with Home State Health's Missouri territory. Comparable in operating scale within the region but operates primarily in commercial and Medicare products.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UCUNqGWsBsPJUSL9Q_2fYuZQ
• Facebookfacebook.com/HomeStateHealth
• LinkedInlinkedin.com/company/home-state-health-plan-inc-
• Xx.com/homestatehealth

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Home State Health