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Medicare contract · plan years 2026 and 2027CMS landscape and crosswalk

Provider Partners Health Plan of Texas, Inc. (H4054)

H4054Contract

A company of Rifkin Managed Care Holding, LLC, sold as Provider Partners Health Plans

1 plan in 2027 (1 in 2026) · 2,557 members in September 2026

Offers plans in 2027

2026 rating: 5 of 5

Provider Partners Health Plan of Texas, Inc. is the Rifkin Managed Care Holding, LLC company that holds Medicare contract H4054, sold as Provider Partners Health Plans. In 2027 it offers 1 plan (1 in 2026); every one of its 2026 plans continues in 2027. 2,557 people were in its plans in September 2026.

What plans does H4054 offer for 2027?

Its one plan
PlanTypeMonthly premiumOut-of-pocket limitAreaFor 2027
Provider Partners Texas Advantage PlanH4054-001HMO I-SNP$6.30$9,85086 countiesrenews in fewer counties

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026).

How did CMS rate it for 2026?

The overall rating is 5 of 5 (health plan 4.5 of 5, drug plan 4 of 5). Of its 24 rated measures, the lowest and the highest:

Lowest-rated measuresStars
Call Center – Foreign Language Interpreter and TTY Availability1
MTM Program Completion Rate for CMR1
Call Center – Foreign Language Interpreter and TTY Availability2
Statin Use in Persons with Diabetes (SUPD)2
Highest-rated measuresStars
Medication Adherence for Hypertension (RAS antagonists)5
Getting Needed Prescription Drugs5
Rating of Drug Plan5
Drug Plan Quality Improvement5

Source: CMS Part C and D Star Ratings data tables, 2026 (October 2025).

What else should you check?