Managed Care Contracts

Anatomic Pathology Services
Advanced Health System (MS State Employees)
Aetna Better Health – KS, KY, LA, MO, IL, VA
Aetna Health Plans (All Products)
Alliance Coal Health Plan
Alliant Health
Ambetter – all states
America’s Choice Health Network
Amerigroup Community Care – GA, TN
AmeriHealth Caritas NC, OH
Amerivantage
Anthem – MDIN MCO HIP & HHW, WC
Anthem – MDKY MCO
Anthem/BCBSVA HealthKeepers HMO
Arkansas Total Care
Ascension Health (US Health and Life, Medicare Advantage Complete, MissionPoint)
Baptist Health Plan f/k/a Bluegrass Family Health
Baptist Health Services Group (BHSG)
Beech Street
Blue Advantage Medicare AL, AR, IN, KY, MO, NC, OH, TN, VA
BlueCare & TennCare Select – TennCare
BlueCross BlueShield AL
BlueCross BlueShield AR
BlueCross BlueShield GA
BlueCross BlueShield IL
BlueCross BlueShield IN
BlueCross BlueShield KY
BlueCross BlueShield MO
BlueCross BlueShield NC through SandHills IPA (Employee State Health, HMO, PPO)
BlueCross BlueShield TN – Networks P, S, L, E, BlueCard
BlueCross BlueShield VA
BlueCross BlueShield WV
BlueCross Community Health Plans – IL
Breast & Cervical Cancer Program – AL, AR, IL, IN, KY, TN
CareSource AR – Medicare/Medicaid/Marketplace
CareSource IN- Medicaid/Marketplace/Medicare
CareSource GA- Medicare (Macon GA Drs.only)
CareSource KY – Medicare/Marketplace
CareSource OH – Medicare/Medicaid/Marketplace
Carolina Complete Health – NC- Medicaid
Center Care
CHA Health
ChoiceCare PPO
CIGNA HealthCare (All States, All Products, including Connect)
Cigna-Medicare Advantage (formerly HealthSpring)
Clover Health Medicare (Macon GA Drs. only)
Community Health Choice
Cook Children’s Health Plan – TX
Coresource/CoreStar (PHCS affiliate)
Corvel/CorCare
Coventry Healthcare – all states
Crescent PPO
Cumberland Healthcare (CHI) – KY
Department of Mental Health & Substance Abuse Services – TN
Devoted Health Medicare Advantage
DirectCare America
Empower Health Plan AR – Medicaid/Medicare
EverCare (MCGA product)
Evolution Healthcare Systems
Farm Bureau Medicare Advantage
First Choice MS
First Community Health Plan
First Health/Coventry National
Freedom Health – WV
Friday Health Plans – GA, NC, OK, TX
Gateway Health Alliance
GEHA – United HealthCare/Coventry GA
Great West (Cigna)
Health Alliance Medical Plans
Health Choice of AL PPO
Health Choices/Medical Associates Health Plan/Live360
Health One Alliance
Health Partners
HPO, Ltd. (Health Payors Organization)
HealthChoice Medicaid- OK
Hawaii Mainland Administrators
HealthLink
HealthScope Benefits (CNA Health Partners)
HealthTeam Advantage Medicare (HTA)
Healthy Blue Medicaid- LA, MO, NC
HFN, Inc. PPO
HOPE Trust Health Options
Humana Health Plans (All products)
Humana Medicaid MCO (IL, LA, KY)
Humana Medicare Advantage
IBG- Industry Buying Group
Illinicare Health (Ambetter Marketplace)
IMS PPO TX (Independent Medical Solutions)
Kaiser PPO, HMO (GA Drs only)
Lutheran Preferred
Magnolia Health Plan – Ambetter MSCAN/MS Chips
Mail Handlers Benefit Plan
MCCP Network (Medical Cost Containment Professionals)
MDsave
MDWISE – MDIN MCO HIP & HHW
Medicaid – AL, AR, GA, IL, IN, KS, KY, LA, MI, MO, MS, NC, OH, OK, SC,
TN, TX, VA, WV
MedCost IPA – NC
Medical Mutual of Ohio, PPO only (Aetna)
Medicare – AR, AL, GA, IL, IN, KY, MO, MS, NC, TN, TX, VA, WV
Memorial Health Services/Premier PPO
Mercy Health/Anthem Alliance EPO-tier 1
Meritage Medical Network (Marin IPA)
MHS – MDIN MCO HIP & HHW
Mississippi Public Entity
Missouri Care – Medicaid MCO/Healthy Blue Missouri
Mohawk – EHN Molina Healthcare
Molina Healthcare of IL – Medicaid/Medicare/Marketplace
Molina Healthcare of MS – MSCAN/CHIPS/Medicare/Marketplace
Molina Healthcare of OH – Medicaid/Medicare/Marketplace
Molina Healthcare of TX – Medicaid/Medicare/Marketplace
Monroe County Health Department – KY
MultiPlan
Municipal Health Benefit Plan
NaphCare WV
National Preferred Provider Network (NPPN)
North Alabama Managed Care, Inc (NAMCI)/Alabama Premier
Network/CompOne
NorthSide Health Network
NovaNet
Ohio Health Choice
Ohio PPO Connect
Optima Family Care – VA Medicaid
Optima Health
Oscar GA, TN
Passport Health Plan by Molina – Medicaid KY
Peach State Health Plan – GA Medicaid
PEIA – WV
PHP of Northern Indiana
PHS IPA – Dalton, GA
Physician’s Health Plan – IN
Piedmont WellStar – GA
PPO Next
Preferred Health Plan, Inc. (KY area)
Preferred Medical Claim Solutions
Preferred Provider Network (Product of CCN KY)
Prime Health Services
Private Healthcare Systems (PHCS)
Pronet thru Signature Network
Provider Select (formerly Provider Strategies)
QualChoice Health Plan
Railroad Medicare
Ryan White Foundation (OH, TN)
Sagamore Health Network
Secure Health Plans – GA
Select Health Network
Signature Care PPO/Parkview
Smart Health/Mission Point Health Partners
SoloCare – GA
SouthCare PPO GA
Southern Health VA
Southwestern Health Resources
ACO – TX (UHC Medicare Advantage, ACO- Next Gen, GPDC)
Sterling Option I (Medicare+Choice)
Stratose
SummaCare
Superior Health Plan – TX
Superior Select Medicare Advantage- AR
Synergy Health Network
The Health Plan of West Virginia – (Commercial, Medicare, Medicaid)
only services performed in West Virginia
The Initial Group
Three Rivers Preferred
Three Rivers Provider Network
TriCare – Humana Military/WPS/Champus
TriWest Veteran’s Choice Program (VAPCCC & VAPC3)
Trustcare (Jennie Stuart Hospital employees WKHS)
Unison Advantage
United Mine Workers of America
UnitedHealthcare of DC, GA, IN, KY, MD, MO, TN, VA
United Healthcare Community Plan-TN
UnitedHealthcare MS Chips
UnitedHealthcare of the River Valley
USA Managed Care Network
VHAN – Vanderbilt Health Alliance Network
VIVA Health
Veterans Choice – TN
Virginia Health Network
Welborn Health Plan
Wellcare KY – Medicaid
Wellcare GA – Medicaid/Medicare
Wellcare NC- Medicaid/Medicare
Wellcare TN – Medicare
Wellpath
West Virginia Family Health – Medicaid