CMM · Member Roster · 1440
Member Mgmt
Suite 5 · CMM · Aetna ZQK
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M23 · Suite 5 · CMM · Member Management

Member Management · CMM

284K members across 12 plans · plan IDs · enrollment periods · attribution · CMS reporting
Member Management · live
⊞
CMM
Member-centric data model for MA plans + Medicaid MCOs · plan IDs · enrollment periods · attribution · benefit windows
Total Members
284K
across 12 plans · 4 carriers
Active Enrollment
258K
Plan year 2026
Attribution Coverage
94%
PCP assigned
Days to AEP
158
Oct 15 · annual
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Member-mode active. CloudCare uses 'patient' vocabulary by default; CMM remaps the data model for MA plans and Medicaid MCOs that operate in 'member' terms — Member ID, MBI, Medicaid ID, plan year, enrollment period, attribution, benefits. Same record · different lens.
Patient view Member view

Plan rosters 12 plans · 4 carriers All plans →

Aetna · MA HMO
Aetna ZQK
68,422
Dual eligible · LIS · 2026
Humana · MA PPO
Humana Gold Plus
94,182
CSNP · ISNP · 2026
SCAN · MA HMO
SCAN Prime
42,108
Dual · CalMediConnect
Molina · MMP
Molina Dual Options
51,294
D-SNP · Medicaid MCO
+ 8 more
All other plans
28,194
commercial · ACO

Aetna ZQK · Member roster 68,422 members · plan year 2026 Export 837 / EDI →

Member
Member ID · MBI
Plan / Benefit
Eligibility
Attributed PCP
Risk · Stars
Actions
EM
Markham, Eleanor
F 74 · DOB 03/14/1951
A0149682-04
MBI 1EG4-TE5-MK72
Aetna MA HMO
Dual · LIS · QMB
Active
Through 12/31/26
Dr. Huang, D.
attributed 02/14/25
RAF 2.84
Stars: 8 gaps
PS
Schroeder, Patricia
F 66 · DOB 09/22/1959
A0151204-08
MBI 7QH8-PR9-SC03
Aetna MA HMO
Standard · 2026
Active
Through 12/31/26
Dr. Patel, S.
attributed 01/01/25
RAF 1.94
Stars: 6 gaps
MO
Olivieri, Maria
F 73 · DOB 11/02/1952
A0148291-12
MBI 4MV2-NR8-OL47
Aetna MA HMO
Dual · LIS
Active
Through 12/31/26
Dr. Huang, D.
attributed 02/14/25
RAF 2.21
Stars: 4 gaps
RT
Tanaka, Robert
M 70 · DOB 06/18/1955
A0147012-21
MBI 9KL3-CD2-TN14
Aetna MA HMO
Standard · 2026
Active
Through 12/31/26
Dr. Lee, J.
attributed 04/10/25
RAF 1.62
Stars: 5 gaps
DP
Pemberton, Donald
M 79 · DOB 05/02/1946
A0148821-03
MBI 3PE5-MM7-PB22
Aetna MA HMO
Dual · LIS · CSNP
Active
Re-eval in 23d
Dr. Huang, D.
attributed 02/14/25
RAF 3.42
Stars: 9 gaps
HG
Galvin, Henry
M 71 · DOB 12/04/1954
A0150183-19
MBI 8JT2-RQ4-GL18
Aetna MA HMO
Standard · 2026
Active
Through 12/31/26
Dr. Patel, S.
attributed 01/01/25
RAF 1.42
Stars: 1 gap
Show 68,416 more members →

Eligibility calendar · Aetna ZQK CMS-defined periods · 2026

15
Oct
Annual Enrollment Period (AEP) opens
Oct 15 – Dec 7 · 2026 plan year selection · highest renewal volume
AEP · 158d
07
Dec
AEP closes
Members locked into 2027 plan choice; passive renewals process Dec 8–14
AEP
01
Jan
Plan year 2027 begins · OEP opens
Open Enrollment Period · Jan 1 – Mar 31 · MA-to-MA switch only
OEP · 235d
31
Mar
OEP closes
SEP windows continue all year for qualifying life events (move, IEP, LIS change)
OEP
—
SEP
Special Enrollment Periods · ongoing
12 SEP windows currently open across the roster · move, IEP, LIS, dual
SEP · 12 open