CONTRACT_ID	ROLE	TITLE	PREFIX	LAST_NAME	FIRST_NAME	MI	PHONE	PHONE_EXT	ALT_PHONE	ALT_PHONE_EXT	FAX	EMAIL	STREET_ADDRESS	STREET_ADDRESS2	CITY	STATE_CODE	ZIP	LAST_UPDATED	CONTRACT_YEAR	CONTRACT_NAME	ORG_TYPE	MARKETING_NAME	CONTRACT_PLAN_TYPE	EMPLOYER	PARENT_ORGANIZATION_NAME	PARENT_ORGANIZATION_ID	PARTD_OFFERED	CONTRACT_STATUS	TOLLFREE_PHONE	TOLLFREE_EXT	ALT_TOLLFREE_PHONE	ALT_TOLLFREE_PHONE_EXT	NEW_PAYMENT_BILL_OPTION	DEMO_TYPE_FLAG	BILL_OPTION_CODE	REGION_RESPONSIBLE
90091	Chief Financial Officer	Director of Finance	Ms.	Amselle	Anna		1-202-521-2295				1-202-521-2291	aamselle@umwafunds.org	"2121 K Street,  NW"	Suite 350	Washington	DC	20037	8/8/2023	2026	UNITED MINE WORKERS OF AMERICA HLTH & RETIREMENT	HCPP - 1833 Cost	United Mine Workers of America Health & Retirement	HCPP - 1833 Cost		UMWA Health and Retirement Funds	306	No	Active					HCPP		1	Philadelphia
90091	CMS Casework Communication Contact	"Senior Program Manager, Quality/Compliance"	Ms	Blackburn	Kimberly		1-202-521-2293				1-202-530-4035	KBlackburn@UMWAFunds.org	160 Heartland Drive		Beckley	WV	25802	10/21/2016	2026	UNITED MINE WORKERS OF AMERICA HLTH & RETIREMENT	HCPP - 1833 Cost	United Mine Workers of America Health & Retirement	HCPP - 1833 Cost		UMWA Health and Retirement Funds	306	No	Active					HCPP		1	Philadelphia
90091	Customer Service Operations Contact	"Senior Mgr, Claims Admin & Beneficiary Relations"	Ms.	Bailey	Kelly		1-304-256-2633				1-304-256-2604	KBailey@umwafunds.org	UMWA Health & Retirement Funds	160 Heartland Drive	Beckley	WV	25802	5/5/2021	2026	UNITED MINE WORKERS OF AMERICA HLTH & RETIREMENT	HCPP - 1833 Cost	United Mine Workers of America Health & Retirement	HCPP - 1833 Cost		UMWA Health and Retirement Funds	306	No	Active					HCPP		1	Philadelphia
90091	Government Relations Contact	Sr Compliance Manager	Ms.	Ali	Kimberly	N	1-202-521-2229				1-202-728-4731	kali@umwafunds.org	"2121 K Street, NW"	Suite 350	Washington	DC	20037	8/7/2025	2026	UNITED MINE WORKERS OF AMERICA HLTH & RETIREMENT	HCPP - 1833 Cost	United Mine Workers of America Health & Retirement	HCPP - 1833 Cost		UMWA Health and Retirement Funds	306	No	Active					HCPP		1	Philadelphia
90091	Medicare Compliance Officer	Sr. Compliance Manager	Ms.	Ali	Kimberly	N	1-202-521-2229				1-202-728-4731	kali@umwafunds.org	"2121 K Street, NW"	Suite 350	Washington	DC	20037	8/7/2025	2026	UNITED MINE WORKERS OF AMERICA HLTH & RETIREMENT	HCPP - 1833 Cost	United Mine Workers of America Health & Retirement	HCPP - 1833 Cost		UMWA Health and Retirement Funds	306	No	Active					HCPP		1	Philadelphia
E3014	Automated TrOOP Balance Transfer Contact	Business Analyst		Zeiset	Sheril		1-717-391-7108				1-877-411-4921	szeiset@luminarehealth.com	1280 N. Plum Street		Lancaster	PA	17601	7/1/2024	2026	PSERS HOP PROGRAM	Employer/Union Only Direct Contract PDP	Pennsylvania Public School Employees Retirement Sy	Employer/Union Only Direct Contract PDP		Commonwealth of PA Pub Schools Retirement System	61	Yes	Active					Employer/Union Only Direct Contract PDP		5	Philadelphia
E3014	Best Available Evidence Contact	HOP Eligibility Supervisor		Dixon	Ivy		1-717-391-7158				1-877-411-4921	PSERShopeligiblityteam@luminarehealth.com	1280 N. Plum Street		Lancaster	PA	17601	11/22/2023	2026	PSERS HOP PROGRAM	Employer/Union Only Direct Contract PDP	Pennsylvania Public School Employees Retirement Sy	Employer/Union Only Direct Contract PDP		Commonwealth of PA Pub Schools Retirement System	61	Yes	Active					Employer/Union Only Direct Contract PDP		5	Philadelphia
E3014	Chief Financial Officer	Chief Financial Officer	Mr.	Lyman	Brian		1-717-720-4720					blyman@pa.gov	5 N 5th Street		Harrisburg	PA	17101-1905	3/5/2026	2026	PSERS HOP PROGRAM	Employer/Union Only Direct Contract PDP	Pennsylvania Public School Employees Retirement Sy	Employer/Union Only Direct Contract PDP		Commonwealth of PA Pub Schools Retirement System	61	Yes	Active					Employer/Union Only Direct Contract PDP		5	Philadelphia
E3014	CMS Casework Communication Contact	Senior Health Plan Services Consultant		Winters	Carmen		1-503-314-3388				1-847-378-2989	carmen_winters@ajg.com	2850 Golf Road		Rolling Meadows	IL	60008	10/30/2023	2026	PSERS HOP PROGRAM	Employer/Union Only Direct Contract PDP	Pennsylvania Public School Employees Retirement Sy	Employer/Union Only Direct Contract PDP		Commonwealth of PA Pub Schools Retirement System	61	Yes	Active					Employer/Union Only Direct Contract PDP		5	Philadelphia
E3014	Coordination of Benefits Contact	Business Analyst		Zeiset	Sheril		1-717-391-7108					szeiset@luminarehealth.com	1280 N. Plum Street		Lancaster	PA	17601	11/22/2023	2026	PSERS HOP PROGRAM	Employer/Union Only Direct Contract PDP	Pennsylvania Public School Employees Retirement Sy	Employer/Union Only Direct Contract PDP		Commonwealth of PA Pub Schools Retirement System	61	Yes	Active					Employer/Union Only Direct Contract PDP		5	Philadelphia
E3014	Customer Service Operations Contact	Business Analyst		Zeiset	Sheril		1-717-391-7108				1-877-411-4921	szeiset@luminarehealth.com	1280 N. Plum Street		Lancaster	PA	17601	7/1/2024	2026	PSERS HOP PROGRAM	Employer/Union Only Direct Contract PDP	Pennsylvania Public School Employees Retirement Sy	Employer/Union Only Direct Contract PDP		Commonwealth of PA Pub Schools Retirement System	61	Yes	Active					Employer/Union Only Direct Contract PDP		5	Philadelphia
E3014	Government Relations Contact	"Director, Health Insurance Office"	Mr.	Koshy	Mathew	M	1-717-798-2037				1-717-772-5372	mkoshy@pa.gov	5 N 5th Street		Harrisburg	PA	17101-1905	8/26/2025	2026	PSERS HOP PROGRAM	Employer/Union Only Direct Contract PDP	Pennsylvania Public School Employees Retirement Sy	Employer/Union Only Direct Contract PDP		Commonwealth of PA Pub Schools Retirement System	61	Yes	Active					Employer/Union Only Direct Contract PDP		5	Philadelphia
E3014	Hospice Contact	"Director, Part D/Pharmacy"		Miller	Greg		1-717-269-7202					gregory_miller@ajg.com	2850 Golf Road		Rolling Meadows	IL	60008	7/24/2025	2026	PSERS HOP PROGRAM	Employer/Union Only Direct Contract PDP	Pennsylvania Public School Employees Retirement Sy	Employer/Union Only Direct Contract PDP		Commonwealth of PA Pub Schools Retirement System	61	Yes	Active					Employer/Union Only Direct Contract PDP		5	Philadelphia
E3014	Medicare Compliance Officer	"Assistant Audit Executive, Benefits & Fin Rptg"	Mrs.	Lanius	Stephanie		1-717-720-4640				1-717-783-1741	slanius@pa.gov	5 N 5th Street		Harrisburg	PA	17101-1905	8/29/2025	2026	PSERS HOP PROGRAM	Employer/Union Only Direct Contract PDP	Pennsylvania Public School Employees Retirement Sy	Employer/Union Only Direct Contract PDP		Commonwealth of PA Pub Schools Retirement System	61	Yes	Active					Employer/Union Only Direct Contract PDP		5	Philadelphia
E3014	Part D Exceptions Contact	"Director, Part D/Pharmacy"		Miller	Greg							gregory_miller@ajg.com	2850 Golf Road		Rolling Meadows	IL	60008	7/24/2025	2026	PSERS HOP PROGRAM	Employer/Union Only Direct Contract PDP	Pennsylvania Public School Employees Retirement Sy	Employer/Union Only Direct Contract PDP		Commonwealth of PA Pub Schools Retirement System	61	Yes	Active	1-717-269-7202				Employer/Union Only Direct Contract PDP		5	Philadelphia
E3014	Pharmacy Network Management Contact	"Director, Pharmacy Networks"		Luby	Dwayne		1-949-252-6813				1-949-474-4268	dwayne.luby@optum.com	PO Box 9742		Minneapolis	MN	55440	3/12/2018	2026	PSERS HOP PROGRAM	Employer/Union Only Direct Contract PDP	Pennsylvania Public School Employees Retirement Sy	Employer/Union Only Direct Contract PDP		Commonwealth of PA Pub Schools Retirement System	61	Yes	Active					Employer/Union Only Direct Contract PDP		5	Philadelphia
E3014	Pharmacy Technical Help Desk Contact	Pharmacy Technical Help		Technical Help	Pharmacy						1-949-474-4268	michael.erbe@optum.com	3515 Harbor Blvd		Costa Mesa	CA	92626	3/12/2018	2026	PSERS HOP PROGRAM	Employer/Union Only Direct Contract PDP	Pennsylvania Public School Employees Retirement Sy	Employer/Union Only Direct Contract PDP		Commonwealth of PA Pub Schools Retirement System	61	Yes	Active	1-800-797-9791				Employer/Union Only Direct Contract PDP		5	Philadelphia
E3014	Plan to Plan Reconciliation Contact	Business Analyst		Zeiset	Sheril		1-717-391-7108				1-877-411-4921	szeiset@luminarehealth.com	1280 N. Plum Street		Lancaster	PA	17601	7/1/2024	2026	PSERS HOP PROGRAM	Employer/Union Only Direct Contract PDP	Pennsylvania Public School Employees Retirement Sy	Employer/Union Only Direct Contract PDP		Commonwealth of PA Pub Schools Retirement System	61	Yes	Active					Employer/Union Only Direct Contract PDP		5	Philadelphia
H0016	Automated TrOOP Balance Transfer Contact	"SVP Program Operations, Quality, and Compliance"	Mr	Kapolas	Peter	J	1-855-209-5451					pkapolas@heops.com	PO Box 2403		Brentwood	TN	37024	3/28/2023	2026	LIFE COORDINATED COMMONWEALTH PACE INC	National PACE	LIFE COORDINATED COMMONWEALTH PACE INC	National PACE		"LIFE COORDINATED COMMONWEALTH PACE, Inc"	825	Yes	Active					PACE - Nat		C	Atlanta
H0016	Best Available Evidence Contact	"SVP Program Operations, Quality, and Compliance"	Mr	Kapolas	Peter	J	1-855-209-5451					pkapolas@heops.com	PO Box 2403		Brentwood	TN	37024	3/28/2023	2026	LIFE COORDINATED COMMONWEALTH PACE INC	National PACE	LIFE COORDINATED COMMONWEALTH PACE INC	National PACE		"LIFE COORDINATED COMMONWEALTH PACE, Inc"	825	Yes	Active					PACE - Nat		C	Atlanta
H0016	Chief Financial Officer	CFO	Mr	Isaacs	William		1-855-209-5451					neveritt@heops.com	PO Box 2403		Brentwood	TN	37024	2/26/2024	2026	LIFE COORDINATED COMMONWEALTH PACE INC	National PACE	LIFE COORDINATED COMMONWEALTH PACE INC	National PACE		"LIFE COORDINATED COMMONWEALTH PACE, Inc"	825	Yes	Active					PACE - Nat		C	Atlanta
H0016	CMS Casework Communication Contact	"SVP Program Operations, Quality, and Compliance"	Mr	Kapolas	Peter	J	1-855-209-5451					pkapolas@heops.com	PO Box 2403		Brentwood	TN	37024	3/28/2023	2026	LIFE COORDINATED COMMONWEALTH PACE INC	National PACE	LIFE COORDINATED COMMONWEALTH PACE INC	National PACE		"LIFE COORDINATED COMMONWEALTH PACE, Inc"	825	Yes	Active					PACE - Nat		C	Atlanta
H0016	Coordination of Benefits Contact	"SVP Program Operations, Quality, and Compliance"	Mr	Kapolas	Peter	J	1-855-209-5451					pkapolas@heops.com	PO Box 2403		Brentwood	TN	37024	3/28/2023	2026	LIFE COORDINATED COMMONWEALTH PACE INC	National PACE	LIFE COORDINATED COMMONWEALTH PACE INC	National PACE		"LIFE COORDINATED COMMONWEALTH PACE, Inc"	825	Yes	Active					PACE - Nat		C	Atlanta
H0016	Customer Service Operations Contact	"SVP Program Operations, Quality, and Compliance"	Mr	Kapolas	Peter	J	1-855-209-5451					pkapolas@heops.com	PO Box 2403		Brentwood	TN	37024	3/28/2023	2026	LIFE COORDINATED COMMONWEALTH PACE INC	National PACE	LIFE COORDINATED COMMONWEALTH PACE INC	National PACE		"LIFE COORDINATED COMMONWEALTH PACE, Inc"	825	Yes	Active					PACE - Nat		C	Atlanta
H0016	Government Relations Contact	CEO	Ms	Everitt	Nancy	C	1-855-209-5451					neveritt@heops.com	PO Box 2403		Brentwood	TN	37024	3/28/2023	2026	LIFE COORDINATED COMMONWEALTH PACE INC	National PACE	LIFE COORDINATED COMMONWEALTH PACE INC	National PACE		"LIFE COORDINATED COMMONWEALTH PACE, Inc"	825	Yes	Active					PACE - Nat		C	Atlanta
H0016	Medicare Compliance Officer	"SVP Program Operations, Quality, and Compliance"	Mr	Kapolas	Peter	J	1-855-209-5451					pkapolas@heops.com	PO Box 2403		Brentwood	TN	37024	3/28/2023	2026	LIFE COORDINATED COMMONWEALTH PACE INC	National PACE	LIFE COORDINATED COMMONWEALTH PACE INC	National PACE		"LIFE COORDINATED COMMONWEALTH PACE, Inc"	825	Yes	Active					PACE - Nat		C	Atlanta
H0016	Part D Exceptions Contact	"SVP Program Operations, Quality, and Compliance"	Mr	Kapolas	Peter	J						pkapolas@heops.com	PO Box 2403		Brentwood	TN	37024	3/28/2023	2026	LIFE COORDINATED COMMONWEALTH PACE INC	National PACE	LIFE COORDINATED COMMONWEALTH PACE INC	National PACE		"LIFE COORDINATED COMMONWEALTH PACE, Inc"	825	Yes	Active	1-855-209-5451				PACE - Nat		C	Atlanta
H0016	Pharmacy Network Management Contact	"SVP Program Operations, Quality, and Compliance"	Mr	Kapolas	Peter	J	1-855-209-5451					pkapolas@heops.com	PO Box 2403		Brentwood	TN	37024	3/28/2023	2026	LIFE COORDINATED COMMONWEALTH PACE INC	National PACE	LIFE COORDINATED COMMONWEALTH PACE INC	National PACE		"LIFE COORDINATED COMMONWEALTH PACE, Inc"	825	Yes	Active					PACE - Nat		C	Atlanta
H0016	Pharmacy Technical Help Desk Contact	"SVP Program Operations, Quality, and Compliance"	Mr	Kapolas	Peter	J						pkapolas@heops.com	PO Box 2403		Brentwood	TN	37024	3/28/2023	2026	LIFE COORDINATED COMMONWEALTH PACE INC	National PACE	LIFE COORDINATED COMMONWEALTH PACE INC	National PACE		"LIFE COORDINATED COMMONWEALTH PACE, Inc"	825	Yes	Active	1-855-209-5451				PACE - Nat		C	Atlanta
H0016	Plan to Plan Reconciliation Contact	CEO	Ms	Everitt	Nancy	C	1-855-209-5451					neveritt@heops.com	PO Box 2403		Brentwood	TN	37024	3/29/2023	2026	LIFE COORDINATED COMMONWEALTH PACE INC	National PACE	LIFE COORDINATED COMMONWEALTH PACE INC	National PACE		"LIFE COORDINATED COMMONWEALTH PACE, Inc"	825	Yes	Active					PACE - Nat		C	Atlanta
H0020	Automated TrOOP Balance Transfer Contact	Vice President of Finance	Ms.	DiMaria	Anna		1-516-422-7891					adimaria@Kinshiphs.com	225 Crossways Park Drive		Woodbury	NY	11797	2/21/2026	2026	"KINSHIP PACE OF ILLINOIS, LLC"	National PACE	"Kinship PACE of Illinois, LLC"	National PACE				Yes	Pending					PACE - Nat		C	Chicago
H0020	Best Available Evidence Contact	CEO	Mrs	Garay	Lisa		1-201-675-5663					lgaray@kinshiphs.com	63 Karen Drive		Mahwah	NJ	07430	3/13/2026	2026	"KINSHIP PACE OF ILLINOIS, LLC"	National PACE	"Kinship PACE of Illinois, LLC"	National PACE				Yes	Pending					PACE - Nat		C	Chicago
H0020	Chief Financial Officer	Chief Financial Officer	Mr.	Leahy	Ryan		1-845-235-6531					RLeahy@Kinshiphs.com	225 Crossways Park Drive		Woodbury	NY	11797	4/13/2026	2026	"KINSHIP PACE OF ILLINOIS, LLC"	National PACE	"Kinship PACE of Illinois, LLC"	National PACE				Yes	Pending					PACE - Nat		C	Chicago
H0020	CMS Casework Communication Contact	SVP Clinical Services	Mr	Tavares	David		1-914-610-9706					DTavares@Kinshiphs.com	23 Old Orchard Ln		Stamford	CT	06903	2/21/2026	2026	"KINSHIP PACE OF ILLINOIS, LLC"	National PACE	"Kinship PACE of Illinois, LLC"	National PACE				Yes	Pending					PACE - Nat		C	Chicago
H0020	Coordination of Benefits Contact	CEO	Mrs	Garay	Lisa		1-201-675-5663					lgaray@kinshiphs.com	63 Karen Drive		Mahwah	NJ	07430	3/13/2026	2026	"KINSHIP PACE OF ILLINOIS, LLC"	National PACE	"Kinship PACE of Illinois, LLC"	National PACE				Yes	Pending					PACE - Nat		C	Chicago
H0020	Customer Service Operations Contact	CEO	Mrs	Garay	Lisa		1-201-675-5663					lgaray@kinshiphs.com	63 Karen Drive		Mahwah	NJ	07430	3/13/2026	2026	"KINSHIP PACE OF ILLINOIS, LLC"	National PACE	"Kinship PACE of Illinois, LLC"	National PACE				Yes	Pending					PACE - Nat		C	Chicago
H0020	Government Relations Contact	VP Compliance and Government Affairs	Ms.	Lopez	Kim		1-303-960-0733					KLOPEZ@kinshiphs.com	225 Crossways Park Drive		Woodbury	NY	11797	6/1/2026	2026	"KINSHIP PACE OF ILLINOIS, LLC"	National PACE	"Kinship PACE of Illinois, LLC"	National PACE				Yes	Pending					PACE - Nat		C	Chicago
H0020	Medicare Compliance Officer	VP Compliance and Government Affairs	Ms.	Lopez	Kim		1-303-960-0733					KLOPEZ@kinshiphs.com	225 Crossways Park Drive		Woodbury	NY	11797	6/1/2026	2026	"KINSHIP PACE OF ILLINOIS, LLC"	National PACE	"Kinship PACE of Illinois, LLC"	National PACE				Yes	Pending					PACE - Nat		C	Chicago
H0020	Part D Exceptions Contact	CEO	Mrs	Garay	Lisa							lgaray@kinshiphs.com	63 Karen Drive		Mahwah	NJ	07430	3/13/2026	2026	"KINSHIP PACE OF ILLINOIS, LLC"	National PACE	"Kinship PACE of Illinois, LLC"	National PACE				Yes	Pending	1-201-675-5663				PACE - Nat		C	Chicago
H0020	Pharmacy Network Management Contact	CEO	Mrs	Garay	Lisa		1-201-675-5663					lgaray@kinshiphs.com	63 Karen Drive		Mahwah	NJ	07430	3/13/2026	2026	"KINSHIP PACE OF ILLINOIS, LLC"	National PACE	"Kinship PACE of Illinois, LLC"	National PACE				Yes	Pending					PACE - Nat		C	Chicago
H0020	Pharmacy Technical Help Desk Contact	CEO	Mrs	Garay	Lisa							lgaray@kinshiphs.com	63 Karen Drive		Mahwah	NJ	07430	3/13/2026	2026	"KINSHIP PACE OF ILLINOIS, LLC"	National PACE	"Kinship PACE of Illinois, LLC"	National PACE				Yes	Pending	1-201-675-5663				PACE - Nat		C	Chicago
H0020	Plan to Plan Reconciliation Contact	CEO	Mrs	Garay	Lisa		1-201-675-5663					lgaray@kinshiphs.com	63 Karen Drive		Mahwah	NJ	07430	3/13/2026	2026	"KINSHIP PACE OF ILLINOIS, LLC"	National PACE	"Kinship PACE of Illinois, LLC"	National PACE				Yes	Pending					PACE - Nat		C	Chicago
H0028	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	12/18/2025	2026	"CHA HMO, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0028	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	7/2/2024	2026	"CHA HMO, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0028	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	12/18/2025	2026	"CHA HMO, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0028	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	12/18/2025	2026	"CHA HMO, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0028	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/24/2026	2026	"CHA HMO, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0028	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	12/18/2025	2026	"CHA HMO, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0028	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	12/18/2025	2026	"CHA HMO, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0028	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	12/18/2025	2026	"CHA HMO, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0028	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	12/18/2025	2026	"CHA HMO, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0028	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	12/18/2025	2026	"CHA HMO, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-859-321-9075				HMO - Health Maintenance Organization		C	Kansas City
H0028	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	12/18/2025	2026	"CHA HMO, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0028	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	12/18/2024	2026	"CHA HMO, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-800-865-8715				HMO - Health Maintenance Organization		C	Kansas City
H0028	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	7/17/2025	2026	"CHA HMO, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0029	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"	Mr.	Borowiecki	Jeff		1-314-349-3212					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	8/16/2023	2026	"COORDINATED CARE OF WASHINGTON, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0029	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	"COORDINATED CARE OF WASHINGTON, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0029	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	1/14/2025	2026	"COORDINATED CARE OF WASHINGTON, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0029	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"COORDINATED CARE OF WASHINGTON, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0029	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/28/2025	2026	"COORDINATED CARE OF WASHINGTON, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0029	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	7/29/2025	2026	"COORDINATED CARE OF WASHINGTON, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0029	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"COORDINATED CARE OF WASHINGTON, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0029	Hospice Contact	"Director, Pharmacy Operations"	Mr.	Borowiecki	Jeff		1-314-349-3212					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	8/16/2023	2026	"COORDINATED CARE OF WASHINGTON, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0029	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/18/2025	2026	"COORDINATED CARE OF WASHINGTON, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0029	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	9/3/2025	2026	"COORDINATED CARE OF WASHINGTON, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H0029	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	"COORDINATED CARE OF WASHINGTON, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0029	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	1/9/2025	2026	"COORDINATED CARE OF WASHINGTON, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0202				HMO - Health Maintenance Organization		C	Denver
H0029	Plan to Plan Reconciliation Contact	"Manager, Reporting and Analytics"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	8/16/2023	2026	"COORDINATED CARE OF WASHINGTON, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0034	Automated TrOOP Balance Transfer Contact	"Director, Product and Program Mgmt."	Ms.	Arinsburg	Valerie		1-480-624-9349					valerie.arinsberg@primetherapeutics.com	Prime Therapeutics	2900 Ames Crossing Road	Eagan	MN	55121	1/7/2025	2026	"HAMASPIK, INC."	Local CCP	"Hamaspik, Inc."	HMO/HMOPOS		"Hamaspik of Rockland County, Inc."	522	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0034	Best Available Evidence Contact	VP of Compliance and Regulatory Affairs	Mr.	Friedman	David		1-845-503-0901					dfriedman@hamaspikchoice.org	775 North Main Street		Spring Valley	NY	10977	3/4/2025	2026	"HAMASPIK, INC."	Local CCP	"Hamaspik, Inc."	HMO/HMOPOS		"Hamaspik of Rockland County, Inc."	522	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0034	Chief Financial Officer	Chief Finance Officer	Ms.	Back	Chaya		1-845-503-0807					cback@hamaspikchoice.org	775 North Main Street		Spring Valley	NY	10977	12/19/2024	2026	"HAMASPIK, INC."	Local CCP	"Hamaspik, Inc."	HMO/HMOPOS		"Hamaspik of Rockland County, Inc."	522	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0034	CMS Casework Communication Contact	"VP, Compliance and Regulatory Affairs"	Mr.	Friedman	David		1-845-503-0901					dfriedman@hamaspikchoice.org	775 North Main Street		Spring Valley	NY	10977	3/4/2025	2026	"HAMASPIK, INC."	Local CCP	"Hamaspik, Inc."	HMO/HMOPOS		"Hamaspik of Rockland County, Inc."	522	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0034	Coordination of Benefits Contact	"Comptroller, Medicare"	Ms.	Braish	Gitty		1-845-915-9400					Gbraish@hamaspikchoice.org	775 North Main Street		Spring Valley	NY	10977	12/19/2024	2026	"HAMASPIK, INC."	Local CCP	"Hamaspik, Inc."	HMO/HMOPOS		"Hamaspik of Rockland County, Inc."	522	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0034	Customer Service Operations Contact	Director of Member Services	Ms.	Slaney	Rayne		1-845-655-0175					rslaney@hamaspikchoice.org	775 North Main Street		Spring Valley	NY	10977	12/19/2024	2026	"HAMASPIK, INC."	Local CCP	"Hamaspik, Inc."	HMO/HMOPOS		"Hamaspik of Rockland County, Inc."	522	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0034	Government Relations Contact	"VP, Compliance and Regulatory Affairs"	Mr.	Friedman	David		1-845-503-0901					dfriedman@hamaspikchoice.org	775 North Main Street		Spring Valley	NY	10977	3/4/2025	2026	"HAMASPIK, INC."	Local CCP	"Hamaspik, Inc."	HMO/HMOPOS		"Hamaspik of Rockland County, Inc."	522	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0034	Hospice Contact	Chief Operating Officer	Mr.	Gorbacz	David		1-845-655-5180					dgorbacz@hamaspikchoice.org	775 North Main Street		Spring Valley	NY	10977	12/19/2024	2026	"HAMASPIK, INC."	Local CCP	"Hamaspik, Inc."	HMO/HMOPOS		"Hamaspik of Rockland County, Inc."	522	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0034	Medicare Compliance Officer	"VP, Compliance and Regulatory Affairs"	Mr.	Friedman	David		1-845-503-0901					dfriedman@hamaspikchoice.org	775 North Main Street		Spring Valley	NY	10977	3/4/2025	2026	"HAMASPIK, INC."	Local CCP	"Hamaspik, Inc."	HMO/HMOPOS		"Hamaspik of Rockland County, Inc."	522	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0034	Part D Exceptions Contact	"VP, Compliance and Regulatory Affairs"	Ms.	Friedman	David							dfriedman@hamaspikchoice.org	775 North Main Street		Spring Valley	NY	10977	3/4/2025	2026	"HAMASPIK, INC."	Local CCP	"Hamaspik, Inc."	HMO/HMOPOS		"Hamaspik of Rockland County, Inc."	522	Yes	Active	1-845-503-0901				HMO - Health Maintenance Organization		C	Atlanta
H0034	Pharmacy Network Management Contact	"VP, Compliance and Regulatory Affairs"	Mr.	Friedman	David		1-845-503-0901					dfriedman@hamaspikchoice.org	775 North Main Street		Spring Valley	NY	10977	3/4/2025	2026	"HAMASPIK, INC."	Local CCP	"Hamaspik, Inc."	HMO/HMOPOS		"Hamaspik of Rockland County, Inc."	522	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0034	Pharmacy Technical Help Desk Contact	"Manager, Clinical Pharmacy Operations"		Fields	Sean							sean.fields@primetherapeutics.com	Prime Rx Management	2900 Ames Crossing Road	Eagan	MN	55121	1/14/2026	2026	"HAMASPIK, INC."	Local CCP	"Hamaspik, Inc."	HMO/HMOPOS		"Hamaspik of Rockland County, Inc."	522	Yes	Active	1-800-424-4437				HMO - Health Maintenance Organization		C	Atlanta
H0034	Plan to Plan Reconciliation Contact	"Comptroller, Medicare"	Ms.	Braish	Gitty		1-845-915-9400	570				Gbraish@hamaspikchoice.org	775 North Main Street		Spring Valley	NY	10977	12/19/2024	2026	"HAMASPIK, INC."	Local CCP	"Hamaspik, Inc."	HMO/HMOPOS		"Hamaspik of Rockland County, Inc."	522	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0035	Automated TrOOP Balance Transfer Contact	Medicare Compliance Manager		Brown	Lauren		1-720-974-6031				1-303-996-1600	lbrown2@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	7/27/2023	2026	"INNOVAGE CALIFORNIA PACE-LOS ANGELES, LLC"	National PACE	InnovAge	National PACE		"Total Community Options, Inc."	230	Yes	Pending					PACE - Nat		C	San Francisco
H0035	Best Available Evidence Contact	Director of Finance	Ms.	Hewitt	Jessica		1-720-974-6767					jhewitt@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	5/19/2025	2026	"INNOVAGE CALIFORNIA PACE-LOS ANGELES, LLC"	National PACE	InnovAge	National PACE		"Total Community Options, Inc."	230	Yes	Pending					PACE - Nat		C	San Francisco
H0035	Chief Financial Officer	CFO	Mr.	Adams	Ben		1-917-842-3099				1-303-996-1600	badams@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	7/27/2023	2026	"INNOVAGE CALIFORNIA PACE-LOS ANGELES, LLC"	National PACE	InnovAge	National PACE		"Total Community Options, Inc."	230	Yes	Pending					PACE - Nat		C	San Francisco
H0035	CMS Casework Communication Contact	Director of Compliance		Martin	Jeremy		1-720-789-6016				1-303-996-1600	jmartin@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	5/19/2025	2026	"INNOVAGE CALIFORNIA PACE-LOS ANGELES, LLC"	National PACE	InnovAge	National PACE		"Total Community Options, Inc."	230	Yes	Pending					PACE - Nat		C	San Francisco
H0035	Coordination of Benefits Contact	Medicare Compliance Manager		Brown	Lauren		1-720-974-6031				1-303-996-1600	lbrown2@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE CALIFORNIA PACE-LOS ANGELES, LLC"	National PACE	InnovAge	National PACE		"Total Community Options, Inc."	230	Yes	Pending					PACE - Nat		C	San Francisco
H0035	Customer Service Operations Contact	Director of Compliance		Martin	Jeremy		1-720-789-6016				1-303-996-1600	jmartin@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	5/19/2025	2026	"INNOVAGE CALIFORNIA PACE-LOS ANGELES, LLC"	National PACE	InnovAge	National PACE		"Total Community Options, Inc."	230	Yes	Pending					PACE - Nat		C	San Francisco
H0035	Government Relations Contact	"SVP, External Affairs"		Nelson	Don		1-608-217-5110					dnelson3@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	12/5/2025	2026	"INNOVAGE CALIFORNIA PACE-LOS ANGELES, LLC"	National PACE	InnovAge	National PACE		"Total Community Options, Inc."	230	Yes	Pending					PACE - Nat		C	San Francisco
H0035	Medicare Compliance Officer	VP of Compliance	Ms.	Teter	Lezlie	A	1-720-682-9848				1-303-996-1600	lteter@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	4/24/2026	2026	"INNOVAGE CALIFORNIA PACE-LOS ANGELES, LLC"	National PACE	InnovAge	National PACE		"Total Community Options, Inc."	230	Yes	Pending					PACE - Nat		C	San Francisco
H0035	Part D Exceptions Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael						1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE CALIFORNIA PACE-LOS ANGELES, LLC"	National PACE	InnovAge	National PACE		"Total Community Options, Inc."	230	Yes	Pending	1-720-666-3817				PACE - Nat		C	San Francisco
H0035	Pharmacy Network Management Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael		1-720-666-3817				1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE CALIFORNIA PACE-LOS ANGELES, LLC"	National PACE	InnovAge	National PACE		"Total Community Options, Inc."	230	Yes	Pending					PACE - Nat		C	San Francisco
H0035	Pharmacy Technical Help Desk Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael						1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE CALIFORNIA PACE-LOS ANGELES, LLC"	National PACE	InnovAge	National PACE		"Total Community Options, Inc."	230	Yes	Pending	1-720-666-3817				PACE - Nat		C	San Francisco
H0035	Plan to Plan Reconciliation Contact	Financial and Compliance Analyst		Kizewski	Alex		1-720-789-6171				1-720-917-3390	AKizewski@innovage.com	8950 East Lowry Blvd		Denver	CO	80230	12/28/2023	2026	"INNOVAGE CALIFORNIA PACE-LOS ANGELES, LLC"	National PACE	InnovAge	National PACE		"Total Community Options, Inc."	230	Yes	Pending					PACE - Nat		C	San Francisco
H0062	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	"SUPERIOR HEALTHPLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0062	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	"SUPERIOR HEALTHPLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0062	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/25/2024	2026	"SUPERIOR HEALTHPLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0062	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"SUPERIOR HEALTHPLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0062	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/28/2025	2026	"SUPERIOR HEALTHPLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0062	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	9/18/2024	2026	"SUPERIOR HEALTHPLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0062	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"SUPERIOR HEALTHPLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0062	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	"SUPERIOR HEALTHPLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0062	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/18/2025	2026	"SUPERIOR HEALTHPLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0062	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/25/2024	2026	"SUPERIOR HEALTHPLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H0062	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	"SUPERIOR HEALTHPLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0062	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/15/2025	2026	"SUPERIOR HEALTHPLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-4258				HMO - Health Maintenance Organization		C	Denver
H0062	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	6/25/2024	2026	"SUPERIOR HEALTHPLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0074	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/12/2024	2026	"WELLCARE OF MISSISSIPPI, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0074	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"WELLCARE OF MISSISSIPPI, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0074	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	4/5/2024	2026	"WELLCARE OF MISSISSIPPI, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0074	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"WELLCARE OF MISSISSIPPI, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0074	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/28/2025	2026	"WELLCARE OF MISSISSIPPI, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0074	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/18/2024	2026	"WELLCARE OF MISSISSIPPI, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0074	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"WELLCARE OF MISSISSIPPI, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0074	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/12/2024	2026	"WELLCARE OF MISSISSIPPI, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0074	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/18/2025	2026	"WELLCARE OF MISSISSIPPI, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0074	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/12/2024	2026	"WELLCARE OF MISSISSIPPI, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active	1-813-206-7152				PPO - BBA		C	Denver
H0074	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	"WELLCARE OF MISSISSIPPI, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0074	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/17/2024	2026	"WELLCARE OF MISSISSIPPI, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active	1-833-750-0408				PPO - BBA		C	Denver
H0074	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	8/16/2023	2026	"WELLCARE OF MISSISSIPPI, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0104	Automated TrOOP Balance Transfer Contact	Pharmacy Operations Coordinator		Stevens	Andrew		1-205-220-2593					Wstevens@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	6/13/2022	2026	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Local CCP	Blue Cross and Blue Shield of Alabama	Local PPO		BlueCross BlueShield of Alabama	32	Yes	Active					PPO - BBA		C	New York
H0104	Best Available Evidence Contact	Sr. Business Analyst		Hurst	Terri		1-205-220-2695					Terri.Hurst@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	11/1/2023	2026	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Local CCP	Blue Cross and Blue Shield of Alabama	Local PPO		BlueCross BlueShield of Alabama	32	Yes	Active					PPO - BBA		C	New York
H0104	Chief Financial Officer	SVP & Chief Financial Officer	Mr.	Carden	Noel		1-205-220-7741					ncarden@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	4/18/2022	2026	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Local CCP	Blue Cross and Blue Shield of Alabama	Local PPO		BlueCross BlueShield of Alabama	32	Yes	Active					PPO - BBA		C	New York
H0104	CMS Casework Communication Contact	Senior Compliance Analyst		Stoudemire	Danielle		1-205-220-5678					danielle.stoudemire@bcbsal.org	450 Riverchase Parkway East	450 Riverchase Parkway	Birmingham	AL	35244	3/17/2026	2026	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Local CCP	Blue Cross and Blue Shield of Alabama	Local PPO		BlueCross BlueShield of Alabama	32	Yes	Active					PPO - BBA		C	New York
H0104	Coordination of Benefits Contact	Manager Claims Processing		Cole	Jason		1-205-220-2490					Jason.Cole@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	5/2/2023	2026	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Local CCP	Blue Cross and Blue Shield of Alabama	Local PPO		BlueCross BlueShield of Alabama	32	Yes	Active					PPO - BBA		C	New York
H0104	Customer Service Operations Contact	Dept Manager Customer Service		Pearson	Latreta		1-205-220-7905					llpearson@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	1/13/2021	2026	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Local CCP	Blue Cross and Blue Shield of Alabama	Local PPO		BlueCross BlueShield of Alabama	32	Yes	Active					PPO - BBA		C	New York
H0104	Government Relations Contact	Manager Product Management		Staton	Shelley		1-205-220-2329					Shelley.Staton@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	5/6/2025	2026	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Local CCP	Blue Cross and Blue Shield of Alabama	Local PPO		BlueCross BlueShield of Alabama	32	Yes	Active					PPO - BBA		C	New York
H0104	Hospice Contact	Pharmacy Operations Coordinator		Stevens	Andrew		1-205-220-2593					WStevens@BCBSAL.ORG	450 Riverchase Parkway East		Birmingham	AL	35244	4/16/2019	2026	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Local CCP	Blue Cross and Blue Shield of Alabama	Local PPO		BlueCross BlueShield of Alabama	32	Yes	Active					PPO - BBA		C	New York
H0104	Medicare Compliance Officer	Manager Corporate Compliance	Mr.	Gregg	Roger		1-205-220-7480					RGREGG@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	11/24/2009	2026	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Local CCP	Blue Cross and Blue Shield of Alabama	Local PPO		BlueCross BlueShield of Alabama	32	Yes	Active					PPO - BBA		C	New York
H0104	Part D Exceptions Contact	Regulatory Pharmacist Sr.		Emerson	Kimberly						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	2900 Ames Crossing Road		Mendota Heights	MN	55120	12/18/2024	2026	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Local CCP	Blue Cross and Blue Shield of Alabama	Local PPO		BlueCross BlueShield of Alabama	32	Yes	Active	1-800-693-6651				PPO - BBA		C	New York
H0104	Pharmacy Network Management Contact	Pharmacy Services Mgr		Matthews	Ginny		1-205-220-6558				1-205-403-4052	Ginny.Matthews@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	10/13/2020	2026	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Local CCP	Blue Cross and Blue Shield of Alabama	Local PPO		BlueCross BlueShield of Alabama	32	Yes	Active					PPO - BBA		C	New York
H0104	Pharmacy Technical Help Desk Contact	Pharmacy Services Mgr		Matthews	Ginny							Ginny.Matthews@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	10/13/2020	2026	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Local CCP	Blue Cross and Blue Shield of Alabama	Local PPO		BlueCross BlueShield of Alabama	32	Yes	Active	1-877-878-8668				PPO - BBA		C	New York
H0104	Plan to Plan Reconciliation Contact	In-charge Analyst Cash Mgmt		Prince	Jonathan		1-205-220-7723					jonathan.prince@bcbsal.org	450 Riverchase Parkway		Birmingham	AL	35244	3/18/2024	2026	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Local CCP	Blue Cross and Blue Shield of Alabama	Local PPO		BlueCross BlueShield of Alabama	32	Yes	Active					PPO - BBA		C	New York
H0105	Automated TrOOP Balance Transfer Contact	Executive Director	Mrs.	Kornegay	Allie		1-803-268-5315				1-803-268-5302	allie.kornegay@orangeburgshcpace.com	153 Founders Ct		Orangeburg	SC	29118	12/30/2024	2026	"Orangeburg Senior Helping Center, LLC"	National PACE	Orangeburg Senior Helping Center: A PACE Healthcare Program	National PACE		"Orangeburg Senior Helping Center, LLC"	796	Yes	Active					PACE - Nat		C	Atlanta
H0105	Best Available Evidence Contact	Executive Director	Mrs.	Kornegay	Allie		1-803-268-5315				1-803-268-5302	allie.kornegay@orangeburgshcpace.com	153 Founders Ct.		Orangeburg	SC	29118	12/30/2024	2026	"Orangeburg Senior Helping Center, LLC"	National PACE	Orangeburg Senior Helping Center: A PACE Healthcare Program	National PACE		"Orangeburg Senior Helping Center, LLC"	796	Yes	Active					PACE - Nat		C	Atlanta
H0105	Chief Financial Officer	CFO	Mr.	Fowler	Clay		1-770-500-2705				1-803-268-5302	clay.fowlerhealthcareenterprise@gmail.com	153 Founders Ct.		Orangeburg	SC	29118	4/8/2024	2026	"Orangeburg Senior Helping Center, LLC"	National PACE	Orangeburg Senior Helping Center: A PACE Healthcare Program	National PACE		"Orangeburg Senior Helping Center, LLC"	796	Yes	Active					PACE - Nat		C	Atlanta
H0105	CMS Casework Communication Contact	"RN, Quality Improvement Coordinator"	Ms.	Russell	Crystal		1-803-268-5303				1-803-268-5302	crystal.russell@orangeburgshcpace.com	153 Founders Court		Orangeburg	SC	29118	10/2/2023	2026	"Orangeburg Senior Helping Center, LLC"	National PACE	Orangeburg Senior Helping Center: A PACE Healthcare Program	National PACE		"Orangeburg Senior Helping Center, LLC"	796	Yes	Active					PACE - Nat		C	Atlanta
H0105	Coordination of Benefits Contact	Executive Director	Mrs.	Kornegay	Allie		1-803-268-5315				1-803-268-5302	allie.kornegay@orangeburgshcpace.com	153 Founders Ct.		Orangeburg	SC	29118	12/30/2024	2026	"Orangeburg Senior Helping Center, LLC"	National PACE	Orangeburg Senior Helping Center: A PACE Healthcare Program	National PACE		"Orangeburg Senior Helping Center, LLC"	796	Yes	Active					PACE - Nat		C	Atlanta
H0105	Customer Service Operations Contact	"RN, Quality Improvement Coordinator"	Ms.	Russell	Crystal		1-803-268-5303				1-803-268-5302	crystal.russell@orangeburgshcpace.com	153 Founders Court		Orangeburg	SC	29118	10/2/2023	2026	"Orangeburg Senior Helping Center, LLC"	National PACE	Orangeburg Senior Helping Center: A PACE Healthcare Program	National PACE		"Orangeburg Senior Helping Center, LLC"	796	Yes	Active					PACE - Nat		C	Atlanta
H0105	Government Relations Contact	PACE Program Director	Mrs.	Kornegay	Allie		1-803-268-5315				1-803-268-5302	allie.kornegay@orangeburgshcpace.com	153 Founders Court		Orangeburg	SC	29118	9/10/2023	2026	"Orangeburg Senior Helping Center, LLC"	National PACE	Orangeburg Senior Helping Center: A PACE Healthcare Program	National PACE		"Orangeburg Senior Helping Center, LLC"	796	Yes	Active					PACE - Nat		C	Atlanta
H0105	Medicare Compliance Officer	COO	Mrs.	Kornegay	Allie		1-803-268-5315				1-803-268-5302	allie.kornegay@orangeburgshcpace.com	153 Founders Ct.		Orangeburg	SC	29118	4/8/2024	2026	"Orangeburg Senior Helping Center, LLC"	National PACE	Orangeburg Senior Helping Center: A PACE Healthcare Program	National PACE		"Orangeburg Senior Helping Center, LLC"	796	Yes	Active					PACE - Nat		C	Atlanta
H0105	Part D Exceptions Contact	Program Director	Mrs.	Kornegay	Allie						1-803-268-5302	allie.kornegay@orangeburgshcpace.com	153 Founders Ct		Orangeburg	SC	29118	9/10/2023	2026	"Orangeburg Senior Helping Center, LLC"	National PACE	Orangeburg Senior Helping Center: A PACE Healthcare Program	National PACE		"Orangeburg Senior Helping Center, LLC"	796	Yes	Active	1-803-268-5315				PACE - Nat		C	Atlanta
H0105	Pharmacy Network Management Contact	Pharmacist/Owner  Grove Park Pharmacy	Mr	Thompson	Charles		1-803-536-0007					grovepark@earthlink.net	1324 Chestnut Street		Orangeburg	SC	29118	4/25/2016	2026	"Orangeburg Senior Helping Center, LLC"	National PACE	Orangeburg Senior Helping Center: A PACE Healthcare Program	National PACE		"Orangeburg Senior Helping Center, LLC"	796	Yes	Active					PACE - Nat		C	Atlanta
H0105	Pharmacy Technical Help Desk Contact	Pharmacist/Owner  Grove Park Pharmacy	Mr	Thompson	Charles						1-803-268-5302	grovepark@earthlink.net	1324 Chestnut Street		Orangeburg	SC	29118	12/18/2020	2026	"Orangeburg Senior Helping Center, LLC"	National PACE	Orangeburg Senior Helping Center: A PACE Healthcare Program	National PACE		"Orangeburg Senior Helping Center, LLC"	796	Yes	Active	1-877-505-3131				PACE - Nat		C	Atlanta
H0105	Plan to Plan Reconciliation Contact	COO		Kornegay	Allie		1-803-268-5315				1-803-268-5302	allie.kornegay@orangeburgshcpace.com	153 Founders Ct.		Orangeburg	SC	29118	4/8/2024	2026	"Orangeburg Senior Helping Center, LLC"	National PACE	Orangeburg Senior Helping Center: A PACE Healthcare Program	National PACE		"Orangeburg Senior Helping Center, LLC"	796	Yes	Active					PACE - Nat		C	Atlanta
H0107	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Management	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/14/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	Blue Cross and Blue Shield of Montana	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Denver
H0107	Best Available Evidence Contact	"Deputy General Manager, Digital Operations"	Mr.	Davis	Tom		1-570-344-9237	73545			1-000-000-0000	Thomas.Davis@cognizant.com	Cognizant	25 Lakeview Drive	Jessup	PA	18434	1/4/2022	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	Blue Cross and Blue Shield of Montana	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Denver
H0107	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	300 East Randolph St		Chicago	IL	60601	4/7/2026	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	Blue Cross and Blue Shield of Montana	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Denver
H0107	CMS Casework Communication Contact	Manager Medicare Operations & Oversight	Ms.	Morris	Tawanna		1-630-824-5090				1-000-000-0000	Tawanna_Morris@bcbsil.com	Health Care Service Corporation	300 E. Randolph Street	Chicago	IL	60601	8/6/2024	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	Blue Cross and Blue Shield of Montana	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Denver
H0107	Coordination of Benefits Contact	Mgr Project & Program Management	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	COBMedD@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/14/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	Blue Cross and Blue Shield of Montana	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Denver
H0107	Customer Service Operations Contact	VP of Customer Service	Mr.	Akovenko	Josh		1-615-695-8916				1-000-000-0000	josh_akovenko@hcsc.com	Health Care Service Corporation	500 Great Circle Rd	Nashville	IL	60601	12/4/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	Blue Cross and Blue Shield of Montana	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Denver
H0107	Government Relations Contact	Executive Director - Health Policy	Ms.	DuGoff	Eva		1-202-249-7208				1-000-000-0000	eva_dugoff@hcsc.net	Health Care Service Corporation	1001 Pennsylvania NW	Washington	DC	20004	9/30/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	Blue Cross and Blue Shield of Montana	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Denver
H0107	Hospice Contact	Govt Prog Clinical Ops Dvisional Vice President	Ms.	Thomas-Spaulding	Felicia	S	1-505-816-2717				1-000-000-0000	Felicia_Spaulding@bcbsnm.com	Blue Cross Blue Shield of New Mexico	4411 The 25 Way NE	Albuquerque	NM	87109	3/25/2019	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	Blue Cross and Blue Shield of Montana	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Denver
H0107	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	9/5/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	Blue Cross and Blue Shield of Montana	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Denver
H0107	Part D Exceptions Contact	Regulatory Pharmacist Sr	Mr.	Spears	Scott						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	9/22/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	Blue Cross and Blue Shield of Montana	Local PPO		Health Care Service Corporation	110	Yes	Active	1-800-693-6651				PPO - BBA		C	Denver
H0107	Pharmacy Network Management Contact	"VP, Network Management"	Ms.	Conlin	Marci		1-612-777-2837				1-877-823-6373	marci.conlin@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Road	Eagan	MN	55121	3/21/2023	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	Blue Cross and Blue Shield of Montana	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Denver
H0107	Pharmacy Technical Help Desk Contact	"Sr. Director, Member Services"	Mr.	Scott	Shane						1-000-000-0000	shane.scott@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	12/18/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	Blue Cross and Blue Shield of Montana	Local PPO		Health Care Service Corporation	110	Yes	Active	1-877-277-7898				PPO - BBA		C	Denver
H0107	Plan to Plan Reconciliation Contact	Accountant	Ms.	Bowen	Niaya		1-972-766-1324				1-972-766-4360	niaya_bowen@bcbstx.com	Health Care Service Corporation	"1001 East Lookout Drive,"	Richardson	TX	75082	9/30/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	Blue Cross and Blue Shield of Montana	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Denver
H0111	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"WELLCARE OF GEORGIA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0111	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"WELLCARE OF GEORGIA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0111	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/20/2024	2026	"WELLCARE OF GEORGIA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0111	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"WELLCARE OF GEORGIA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0111	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/28/2025	2026	"WELLCARE OF GEORGIA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0111	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/18/2024	2026	"WELLCARE OF GEORGIA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0111	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"WELLCARE OF GEORGIA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0111	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"WELLCARE OF GEORGIA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0111	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/18/2025	2026	"WELLCARE OF GEORGIA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0111	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/20/2024	2026	"WELLCARE OF GEORGIA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active	1-813-206-7152				PPO - BBA		C	Denver
H0111	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	"WELLCARE OF GEORGIA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0111	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/17/2024	2026	"WELLCARE OF GEORGIA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active	1-833-750-0408				PPO - BBA		C	Denver
H0111	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	6/20/2024	2026	"WELLCARE OF GEORGIA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0112	Automated TrOOP Balance Transfer Contact	Chief Financial Officer	Mr	Wolan	Randy	T	1-561-578-1173				1-561-689-8718	rwolan@morselife.org	4847 David S. Mack Dr		West Palm Beach	FL	33417	5/2/2023	2026	"MORSE LIFE HOME CARE, INC."	National PACE	Palm Beach PACE	National PACE		"Morse Life Home Care, Inc."	550	Yes	Active					PACE - Nat		C	Atlanta
H0112	Best Available Evidence Contact	Chief Financial Officer	Mr	Wolan	Randy	T	1-561-578-1173				1-561-689-8718	rwolan@MorseLife.org	4847 David S. Mack Dr		West Palm Beach	FL	33417	5/2/2023	2026	"MORSE LIFE HOME CARE, INC."	National PACE	Palm Beach PACE	National PACE		"Morse Life Home Care, Inc."	550	Yes	Active					PACE - Nat		C	Atlanta
H0112	Chief Financial Officer	Chief Financial Officer	Mr	Wolan	Randy	T	1-561-578-1173				1-561-683-4556	rwolan@MorseLife.org	4847David S. Mack  Dr.		West Palm Beach	FL	33417	5/2/2023	2026	"MORSE LIFE HOME CARE, INC."	National PACE	Palm Beach PACE	National PACE		"Morse Life Home Care, Inc."	550	Yes	Active					PACE - Nat		C	Atlanta
H0112	CMS Casework Communication Contact	Senior VP Home & Community Based Services	Ms.	Pouponneau-Nisbett	Paola		1-561-687-5745				1-561-683-4556	ppnisbett@MorseLife.org	4847 David S. Mack  Dr.		West Palm Beach	FL	33417	8/10/2023	2026	"MORSE LIFE HOME CARE, INC."	National PACE	Palm Beach PACE	National PACE		"Morse Life Home Care, Inc."	550	Yes	Active					PACE - Nat		C	Atlanta
H0112	Coordination of Benefits Contact	Chief Financial Officer	Mr	Wolan	Randy	T	1-561-578-1173				1-561-689-8718	rwolan@MorseLife.org	4847 David S. Mack  Dr		West Palm Beach	FL	33417	5/2/2023	2026	"MORSE LIFE HOME CARE, INC."	National PACE	Palm Beach PACE	National PACE		"Morse Life Home Care, Inc."	550	Yes	Active					PACE - Nat		C	Atlanta
H0112	Customer Service Operations Contact	Senior VP Home & Community Based Services	Ms.	Pouponneau-Nisbett	Paola		1-561-687-5745				1-561-683-4556	ppnisbett@MorseLife.org	4847 David S. Mack Dr		West Palm Beach	FL	33417	8/10/2023	2026	"MORSE LIFE HOME CARE, INC."	National PACE	Palm Beach PACE	National PACE		"Morse Life Home Care, Inc."	550	Yes	Active					PACE - Nat		C	Atlanta
H0112	Government Relations Contact	Senior VP Home & Community Based Services	Ms.	Pouponneau-Nisbett	Paola		1-561-687-5745				1-561-683-4556	ppnisbett@MorseLife.org	4847 David S. Mack Dr		West Palm Beach	FL	33417	8/10/2023	2026	"MORSE LIFE HOME CARE, INC."	National PACE	Palm Beach PACE	National PACE		"Morse Life Home Care, Inc."	550	Yes	Active					PACE - Nat		C	Atlanta
H0112	Medicare Compliance Officer	Senior VP Home & Community Based Services	Ms.	Pouponneau-Nisbett	Paola		1-561-687-5745				1-561-683-4556	ppnisbett@MorseLife.org	4847 David S. Mack Dr.		West Palm Beach	FL	33417	8/10/2023	2026	"MORSE LIFE HOME CARE, INC."	National PACE	Palm Beach PACE	National PACE		"Morse Life Home Care, Inc."	550	Yes	Active					PACE - Nat		C	Atlanta
H0112	Part D Exceptions Contact	Senior VP Home & Community Based Services	Ms.	Pouponneau-Nisbett	Paola						1-561-683-4556	ppnisbett@MorseLife.org	4847 David S. Mack Dr		West Palm Beach	FL	33417	8/10/2023	2026	"MORSE LIFE HOME CARE, INC."	National PACE	Palm Beach PACE	National PACE		"Morse Life Home Care, Inc."	550	Yes	Active	1-561-687-5745				PACE - Nat		C	Atlanta
H0112	Pharmacy Network Management Contact	Chief Financial Officer	Mr	Wolan	Randy	T	1-561-578-1173				1-561-689-8718	rwolan@MorseLife.org	4847 David S. Mack Dr		West Palm Beach	FL	33417	5/2/2023	2026	"MORSE LIFE HOME CARE, INC."	National PACE	Palm Beach PACE	National PACE		"Morse Life Home Care, Inc."	550	Yes	Active					PACE - Nat		C	Atlanta
H0112	Pharmacy Technical Help Desk Contact	Chief Financial Officer	Mr	Wolan	Randy	T					1-561-578-1173	rwolan@MorseLife.org	4847 David S. Mack Dr		West Palm Beach	FL	33417	5/2/2023	2026	"MORSE LIFE HOME CARE, INC."	National PACE	Palm Beach PACE	National PACE		"Morse Life Home Care, Inc."	550	Yes	Active	1-888-616-0707				PACE - Nat		C	Atlanta
H0112	Plan to Plan Reconciliation Contact	Chief Financial Officer	Mr	Wolan	Randy	T	1-561-578-1173				1-561-689-8718	rwolan@MorseLife.org	4847 David S. Mack Dr		West Palm Beach	FL	33417	5/2/2023	2026	"MORSE LIFE HOME CARE, INC."	National PACE	Palm Beach PACE	National PACE		"Morse Life Home Care, Inc."	550	Yes	Active					PACE - Nat		C	Atlanta
H0154	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Management"		Tressler	Damon		1-480-391-4702				1-480-314-6023	Damon.tressler@caremark.com	9501 E Shea Blvd.		Scottsdale	AZ	85260	1/10/2013	2026	"VIVA HEALTH, INC."	Local CCP	VIVA Medicare	HMO/HMOPOS		"Triton Health Systems, L.L.C."	237	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0154	Best Available Evidence Contact	Supervisor Medicare Enrollment	Ms.	Stevenson	Chelsea		1-205-558-3274				1-205-449-7628	ccstevenson@uabmc.edu	417 20th Street North	Suite 1100	Birmingham	AL	35203	9/15/2023	2026	"VIVA HEALTH, INC."	Local CCP	VIVA Medicare	HMO/HMOPOS		"Triton Health Systems, L.L.C."	237	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0154	Chief Financial Officer	CFO	Ms.	Watkins	Letitia		1-205-558-7480				1-205-939-1748	lwatkins@uabmc.edu	417 20th Street North	Suite 1100	Birmingham	AL	35203	7/1/2013	2026	"VIVA HEALTH, INC."	Local CCP	VIVA Medicare	HMO/HMOPOS		"Triton Health Systems, L.L.C."	237	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0154	CMS Casework Communication Contact	Manager - Appeals and Grievances	Ms.	McReynolds	Nia		1-205-558-7410				1-205-558-7414	niamcreynolds@uabmc.edu	417 20th Street North	Suite 1100	Birmingham	AL	35203	12/27/2023	2026	"VIVA HEALTH, INC."	Local CCP	VIVA Medicare	HMO/HMOPOS		"Triton Health Systems, L.L.C."	237	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0154	Coordination of Benefits Contact	Director of Claims	Ms.	Jones-Marshall	Beverly		1-205-558-7690				1-205-558-7546	bjmarshall@uabmc.edu	417 20th Street North	Suite 1100	Birmingham	AL	35203	7/31/2015	2026	"VIVA HEALTH, INC."	Local CCP	VIVA Medicare	HMO/HMOPOS		"Triton Health Systems, L.L.C."	237	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0154	Customer Service Operations Contact	Executive Director - Customer Service	Ms.	Mitchell	Dee		1-205-558-7452				1-205-558-7414	dmitchell@uabmc.edu	417 20th Street North	Suite 1100	Birmingham	AL	35203	12/27/2023	2026	"VIVA HEALTH, INC."	Local CCP	VIVA Medicare	HMO/HMOPOS		"Triton Health Systems, L.L.C."	237	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0154	Government Relations Contact	Chief  Administrative Officer	Ms.	Yates	Libba		1-205-558-7406				1-205-939-1748	lyates@uabmc.edu	417 20th Street North	Suite 1100	Birmingham	AL	35203	7/30/2015	2026	"VIVA HEALTH, INC."	Local CCP	VIVA Medicare	HMO/HMOPOS		"Triton Health Systems, L.L.C."	237	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0154	Hospice Contact	Pharmacy Operations Manager	Ms.	Lynch	Kaylee		1-205-558-3150				1-205-933-1232	kmlynch@uabmc.edu	417 20th Street North	Suite 1100	Birmingham	AL	35203	7/11/2025	2026	"VIVA HEALTH, INC."	Local CCP	VIVA Medicare	HMO/HMOPOS		"Triton Health Systems, L.L.C."	237	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0154	Medicare Compliance Officer	Compliance Officer	Mr.	Morgan	Darius		1-205-532-3705				1-205-449-7626	dariusmorgan@uabmc.edu	417 20th Street North	Suite 1100	Birmingham	AL	35205	6/17/2025	2026	"VIVA HEALTH, INC."	Local CCP	VIVA Medicare	HMO/HMOPOS		"Triton Health Systems, L.L.C."	237	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0154	Part D Exceptions Contact	Senior Clinical Pharmacist	Ms.	Hornikel	Mallory						1-205-933-1232	malloryanderson@uabmc.edu	417 20th Street North	Suite 1100	Birmingham	AL	35203	7/11/2025	2026	"VIVA HEALTH, INC."	Local CCP	VIVA Medicare	HMO/HMOPOS		"Triton Health Systems, L.L.C."	237	Yes	Active	1-205-558-3372				HMO - Health Maintenance Organization		C	Atlanta
H0154	Pharmacy Network Management Contact	"Director, Network Systems"		Tressler	Damon		1-480-391-4702				1-480-314-6324	Damon.tressler@caremark.com	"9501 E. Shea Blvd., MC080"		Scottsdale	AZ	85260	1/10/2013	2026	"VIVA HEALTH, INC."	Local CCP	VIVA Medicare	HMO/HMOPOS		"Triton Health Systems, L.L.C."	237	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0154	Pharmacy Technical Help Desk Contact	"Advisor/Project Manager, Medicare D"	Mr.	Horner	Bob						1-480-314-6077	doug.halbert@caremark.com	"9501 E Shea Blvd., MC 005"		Scottsdale	AZ	85260	2/19/2013	2026	"VIVA HEALTH, INC."	Local CCP	VIVA Medicare	HMO/HMOPOS		"Triton Health Systems, L.L.C."	237	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Atlanta
H0154	Plan to Plan Reconciliation Contact	Pharmacy Analyst Sr	Ms.	Holsombeck	Susan		1-205-558-7551				1-205-933-1232	sholsombeck@uabmc.edu	417 20th Street North	Suite 1100	Birmingham	AL	35203	12/27/2023	2026	"VIVA HEALTH, INC."	Local CCP	VIVA Medicare	HMO/HMOPOS		"Triton Health Systems, L.L.C."	237	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0169	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	1/9/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0169	Best Available Evidence Contact	"Manager, Enrollment & Eligibility"		Asselin	Krista		1-763-361-1104					krista_asselin@uhc.com	PO Box 9472		Minneapolis	MN	55440	11/14/2025	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0169	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/13/2025	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0169	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	5/15/2023	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0169	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	1/9/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0169	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	2/20/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0169	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	5/11/2023	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0169	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	1/9/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0169	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	5/11/2023	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0169	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	1/17/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H0169	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0169	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	11/17/2025	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H0169	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	5/11/2023	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0174	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"WELLCARE OF TEXAS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0174	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"WELLCARE OF TEXAS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0174	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/20/2024	2026	"WELLCARE OF TEXAS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0174	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"WELLCARE OF TEXAS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0174	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/28/2025	2026	"WELLCARE OF TEXAS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0174	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/18/2024	2026	"WELLCARE OF TEXAS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0174	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"WELLCARE OF TEXAS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0174	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"WELLCARE OF TEXAS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0174	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/29/2025	2026	"WELLCARE OF TEXAS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0174	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/20/2024	2026	"WELLCARE OF TEXAS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H0174	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	"WELLCARE OF TEXAS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0174	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/17/2024	2026	"WELLCARE OF TEXAS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0408				HMO - Health Maintenance Organization		C	Denver
H0174	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	6/20/2024	2026	"WELLCARE OF TEXAS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0216	Automated TrOOP Balance Transfer Contact	Health Plan Analyst	Mrs.	Battaglia	Trisha		1-402-829-6951				1-402-829-2998	tbattaglia@immanuel.com	"1044 North 115th Street, Suite 500"		Omaha	NE	68154	6/17/2024	2026	PACE IOWA	National PACE	Immanuel Pathways Iowa	National PACE		Immanuel	460	Yes	Active					PACE - Nat		C	San Francisco
H0216	Best Available Evidence Contact	Health Plan Analyst	Mrs.	Battaglia	Trisha		1-402-829-6951				1-402-829-2998	tbattaglia@immanuel.com	"1044 North 115th Street, Suite 500"		Omaha	NE	68154	6/17/2024	2026	PACE IOWA	National PACE	Immanuel Pathways Iowa	National PACE		Immanuel	460	Yes	Active					PACE - Nat		C	San Francisco
H0216	Chief Financial Officer	CFO	Mr	Bear	Scott		1-402-829-2922				1-402-829-2939	sbear@immanuel.com	"1044 North 115th Street, Suite 500"		Omaha	NE	68154	3/22/2018	2026	PACE IOWA	National PACE	Immanuel Pathways Iowa	National PACE		Immanuel	460	Yes	Active					PACE - Nat		C	San Francisco
H0216	CMS Casework Communication Contact	VP of PACE Operations	Mrs	Butterfield	April		1-402-829-2900				1-402-829-2998	abutterfield@immanuel.com	"1044 North 115th Street, Suite 500"		Omaha	NE	68154	7/6/2022	2026	PACE IOWA	National PACE	Immanuel Pathways Iowa	National PACE		Immanuel	460	Yes	Active					PACE - Nat		C	San Francisco
H0216	Coordination of Benefits Contact	Health Plan Analyst	Mrs.	Battaglia	Trisha		1-402-829-6951				1-402-829-2998	tbattaglia@immanuel.com	"1044 North 115th Street, Suite 500"		Omaha	NE	68154	6/17/2024	2026	PACE IOWA	National PACE	Immanuel Pathways Iowa	National PACE		Immanuel	460	Yes	Active					PACE - Nat		C	San Francisco
H0216	Customer Service Operations Contact	VP of PACE Operations	Mrs	Butterfield	April		1-402-829-2900				1-402-829-2998	abutterfield@immanuel.com	"1044 North 115th Street, Suite 500"		Omaha	NE	68154	7/6/2022	2026	PACE IOWA	National PACE	Immanuel Pathways Iowa	National PACE		Immanuel	460	Yes	Active					PACE - Nat		C	San Francisco
H0216	Government Relations Contact	Corporate Compliance Officer	Mr	Sigmon	John		1-402-829-2910					jsigmon@immanuel.com	"1044 North 115th Street, Suite 500"		Omaha	NE	68154	5/22/2026	2026	PACE IOWA	National PACE	Immanuel Pathways Iowa	National PACE		Immanuel	460	Yes	Active					PACE - Nat		C	San Francisco
H0216	Medicare Compliance Officer	Corp Compliance Officer	Ms	Durbin	Tracy		1-402-829-2968					tdurbin@immanuel.com	"1044 North 115th Street, Suite 500"		Omaha	NE	68154	9/21/2023	2026	PACE IOWA	National PACE	Immanuel Pathways Iowa	National PACE		Immanuel	460	Yes	Active					PACE - Nat		C	San Francisco
H0216	Part D Exceptions Contact	Health Plan Analyst	Mrs.	Battaglia	Trisha						1-402-829-2998	tbattaglia@immanuel.com	"1044 North 115th Street, Suite 500"		Omaha	NE	68154	6/17/2024	2026	PACE IOWA	National PACE	Immanuel Pathways Iowa	National PACE		Immanuel	460	Yes	Active	1-402-829-6951				PACE - Nat		C	San Francisco
H0216	Pharmacy Network Management Contact	VP of Clincial Operations	Mr	Fox	Devin		1-402-829-3278					DFox@immanuel.com	"1044 North 115th Street, Suite 500"		Omaha	NE	68154	2/20/2023	2026	PACE IOWA	National PACE	Immanuel Pathways Iowa	National PACE		Immanuel	460	Yes	Active					PACE - Nat		C	San Francisco
H0216	Pharmacy Technical Help Desk Contact	Health Plan Analyst	Mrs.	Battaglia	Trisha						1-402-829-2998	tbattaglia@immanuel.com	"1044 North 115th Street, Suite 500"		Omaha	NE	68154	6/17/2024	2026	PACE IOWA	National PACE	Immanuel Pathways Iowa	National PACE		Immanuel	460	Yes	Active	1-402-829-6951				PACE - Nat		C	San Francisco
H0216	Plan to Plan Reconciliation Contact	Health Plan Analyst	Mrs.	Battaglia	Trisha		1-402-829-6951				1-402-829-2998	tbattaglia@immanuel.com	"1044 North 115th Street, Suite 500"		Omaha	NE	68154	6/17/2024	2026	PACE IOWA	National PACE	Immanuel Pathways Iowa	National PACE		Immanuel	460	Yes	Active					PACE - Nat		C	San Francisco
H0235	Automated TrOOP Balance Transfer Contact	Chief Financial Officer	Mr	Shapiro	Aaron		1-260-745-1200	261				AShapiro@agingihs.org	2927 Lake Avenue		Ft. Wayne	IN	46805	5/27/2021	2026	"PACE OF NORTHEAST INDIANA, LLC"	National PACE	"PACE of Northeast Indiana, LLC"	National PACE		"Aging & In-Home Services of Northeast Indiana, Inc"	743	Yes	Active					PACE - Nat		C	New York
H0235	Best Available Evidence Contact		Mr	Shapiro	Aaron		1-260-745-1200	261				AShapiro@agingihs.org	2927 Lake Avenue		Ft. Wayne	IN	46805	5/27/2021	2026	"PACE OF NORTHEAST INDIANA, LLC"	National PACE	"PACE of Northeast Indiana, LLC"	National PACE		"Aging & In-Home Services of Northeast Indiana, Inc"	743	Yes	Active					PACE - Nat		C	New York
H0235	Chief Financial Officer		Mr	Shapiro	Aaron		1-260-745-1200	261				AShapiro@agingihs.org	2927 Lake Avenue		Ft. Wayne	IN	46805	12/20/2018	2026	"PACE OF NORTHEAST INDIANA, LLC"	National PACE	"PACE of Northeast Indiana, LLC"	National PACE		"Aging & In-Home Services of Northeast Indiana, Inc"	743	Yes	Active					PACE - Nat		C	New York
H0235	CMS Casework Communication Contact	VP of PACE Operations	Ms	Hougham	Katie		1-260-469-4148	643				katie.hougham@pacenein.org	2927 Lake Ave		Ft. Wayne	IN	46805	5/27/2021	2026	"PACE OF NORTHEAST INDIANA, LLC"	National PACE	"PACE of Northeast Indiana, LLC"	National PACE		"Aging & In-Home Services of Northeast Indiana, Inc"	743	Yes	Active					PACE - Nat		C	New York
H0235	Coordination of Benefits Contact	VP of PACE Operations	Ms	Hougham	Katie		1-260-469-4148	643				katie.hougham@pacenein.org	2927 Lake Ave		Ft. Wayne	IN	46805	5/27/2021	2026	"PACE OF NORTHEAST INDIANA, LLC"	National PACE	"PACE of Northeast Indiana, LLC"	National PACE		"Aging & In-Home Services of Northeast Indiana, Inc"	743	Yes	Active					PACE - Nat		C	New York
H0235	Customer Service Operations Contact	Chief Operating Officer		Widner	Maureen		1-260-745-1200	285				mwidner@agingihs.org	2927 Lake Avenue		Ft. Wayne	IN	46805	12/20/2018	2026	"PACE OF NORTHEAST INDIANA, LLC"	National PACE	"PACE of Northeast Indiana, LLC"	National PACE		"Aging & In-Home Services of Northeast Indiana, Inc"	743	Yes	Active					PACE - Nat		C	New York
H0235	Government Relations Contact	VP of PACE Operations	Ms	Hougham	Katie		1-260-469-4148	643				katie.hougham@pacenein.org	2927 Lake Ave		Ft. Wayne	IN	46805	5/27/2021	2026	"PACE OF NORTHEAST INDIANA, LLC"	National PACE	"PACE of Northeast Indiana, LLC"	National PACE		"Aging & In-Home Services of Northeast Indiana, Inc"	743	Yes	Active					PACE - Nat		C	New York
H0235	Medicare Compliance Officer	VP of PACE Operations	Mr	Hougham	Katie		1-260-469-4148	316				katie.hougham@pacenein.org	2927 Lake Ave		Fort Wayne	IN	46805	9/28/2021	2026	"PACE OF NORTHEAST INDIANA, LLC"	National PACE	"PACE of Northeast Indiana, LLC"	National PACE		"Aging & In-Home Services of Northeast Indiana, Inc"	743	Yes	Active					PACE - Nat		C	New York
H0235	Part D Exceptions Contact	VP of PACE Operations		Hougham	Katie							katie.hougham@pacenein.org	2927 Lake Avenue		Ft. Wayne	IN	46805	5/27/2021	2026	"PACE OF NORTHEAST INDIANA, LLC"	National PACE	"PACE of Northeast Indiana, LLC"	National PACE		"Aging & In-Home Services of Northeast Indiana, Inc"	743	Yes	Active	1-260-469-4148	643			PACE - Nat		C	New York
H0235	Pharmacy Network Management Contact	VP of PACE Operations	Ms	Hougham	Katie		1-260-469-4148	643				katie.hougham@pacenein.org	2927 Lake Ave		Ft. Wayne	IN	46805	5/27/2021	2026	"PACE OF NORTHEAST INDIANA, LLC"	National PACE	"PACE of Northeast Indiana, LLC"	National PACE		"Aging & In-Home Services of Northeast Indiana, Inc"	743	Yes	Active					PACE - Nat		C	New York
H0235	Pharmacy Technical Help Desk Contact	VP of PACE Operations		Hougham	Katie							katie.hougham@pacenein.org	2927 Lake Avenue		Ft. Wayne	IN	46805	5/27/2021	2026	"PACE OF NORTHEAST INDIANA, LLC"	National PACE	"PACE of Northeast Indiana, LLC"	National PACE		"Aging & In-Home Services of Northeast Indiana, Inc"	743	Yes	Active	1-260-469-4148	643			PACE - Nat		C	New York
H0235	Plan to Plan Reconciliation Contact		Mr	Shapiro	Aaron		1-260-745-1200	261				AShapiro@agingihs.org	2927 Lake Avenue		Ft. Wayne	IN	46805	5/27/2021	2026	"PACE OF NORTHEAST INDIANA, LLC"	National PACE	"PACE of Northeast Indiana, LLC"	National PACE		"Aging & In-Home Services of Northeast Indiana, Inc"	743	Yes	Active					PACE - Nat		C	New York
H0251	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0251	Best Available Evidence Contact	"Manager, Enrollment & Eligibility"		Asselin	Krista		1-763-361-1104					krista_asselin@uhc.com	PO Box 9472		Minneapolis	MN	55440	11/14/2025	2026	"UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0251	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/13/2025	2026	"UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0251	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0251	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0251	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0251	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0251	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0251	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0251	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H0251	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0251	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H0251	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0270	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	WELLCARE HEALTH INSURANCE COMPANY OF AMERICA	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0270	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	WELLCARE HEALTH INSURANCE COMPANY OF AMERICA	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0270	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/20/2024	2026	WELLCARE HEALTH INSURANCE COMPANY OF AMERICA	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0270	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	WELLCARE HEALTH INSURANCE COMPANY OF AMERICA	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0270	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/28/2025	2026	WELLCARE HEALTH INSURANCE COMPANY OF AMERICA	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0270	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/18/2024	2026	WELLCARE HEALTH INSURANCE COMPANY OF AMERICA	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0270	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	WELLCARE HEALTH INSURANCE COMPANY OF AMERICA	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0270	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	WELLCARE HEALTH INSURANCE COMPANY OF AMERICA	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0270	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/18/2025	2026	WELLCARE HEALTH INSURANCE COMPANY OF AMERICA	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0270	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/20/2024	2026	WELLCARE HEALTH INSURANCE COMPANY OF AMERICA	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active	1-813-206-7152				PPO - BBA		C	Denver
H0270	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	WELLCARE HEALTH INSURANCE COMPANY OF AMERICA	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0270	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/17/2024	2026	WELLCARE HEALTH INSURANCE COMPANY OF AMERICA	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active	1-833-750-0408				PPO - BBA		C	Denver
H0270	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	6/20/2024	2026	WELLCARE HEALTH INSURANCE COMPANY OF AMERICA	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H0292	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN OF OHIO, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0292	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN OF OHIO, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0292	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN OF OHIO, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0292	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	"HUMANA HEALTH PLAN OF OHIO, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0292	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN OF OHIO, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0292	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN OF OHIO, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0292	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN OF OHIO, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0292	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN OF OHIO, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0292	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN OF OHIO, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0292	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN OF OHIO, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-859-321-9075				HMO - Health Maintenance Organization		C	Kansas City
H0292	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN OF OHIO, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0292	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	"HUMANA HEALTH PLAN OF OHIO, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-800-865-8715				HMO - Health Maintenance Organization		C	Kansas City
H0292	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	"HUMANA HEALTH PLAN OF OHIO, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0294	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0294	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0294	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0294	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0294	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0294	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0294	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0294	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0294	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0294	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				PPO - BBA		C	Boston
H0294	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0294	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				PPO - BBA		C	Boston
H0294	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0302	Automated TrOOP Balance Transfer Contact	"Associate Director, Claims Business Process"		Cassata	Mercedes		1-714-317-2628					mercedes.cassata@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	5/28/2024	2026	"MEDISUN, INC."	Local CCP	Blue Cross Blue Shield of Arizona (AZ Blue)	HMO/HMOPOS		Blue Cross Blue Shield of Arizona	447	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0302	Best Available Evidence Contact	Mgr- Medicare Enrollment		Olivas Renteria	Juan		1-602-864-4395					Juan.OlivasRenteria@azblue.com	8220 N 23rd Ave		Phoenix	AZ	85021	3/5/2025	2026	"MEDISUN, INC."	Local CCP	Blue Cross Blue Shield of Arizona (AZ Blue)	HMO/HMOPOS		Blue Cross Blue Shield of Arizona	447	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0302	Chief Financial Officer	Chief Financial Officer	Mr.	Black	Cameron		1-602-336-7463					Cameron.Black@azblue.com	8220 N 23rd Ave		Phoenix	AZ	85021	6/25/2025	2026	"MEDISUN, INC."	Local CCP	Blue Cross Blue Shield of Arizona (AZ Blue)	HMO/HMOPOS		Blue Cross Blue Shield of Arizona	447	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0302	CMS Casework Communication Contact	"Staff Vice President, Corp & Medicare Compliance"		Moore	Veronica		1-602-336-7600					Veronica.Moore@azblue.com	8220 N 23rd Ave		Phoenix	AZ	85021	9/6/2023	2026	"MEDISUN, INC."	Local CCP	Blue Cross Blue Shield of Arizona (AZ Blue)	HMO/HMOPOS		Blue Cross Blue Shield of Arizona	447	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0302	Coordination of Benefits Contact	Mgr- Medicare Finance		Soliman	Bishoy		1-623-273-2042					bishoy.soliman@azblue.com	8220 N 23rd Ave		Phoenix	AZ	85021	7/23/2024	2026	"MEDISUN, INC."	Local CCP	Blue Cross Blue Shield of Arizona (AZ Blue)	HMO/HMOPOS		Blue Cross Blue Shield of Arizona	447	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0302	Customer Service Operations Contact	"Staff VP, MA Ops & FEP Progs"		Langum	Becca	S	1-602-916-6742					rebecca.langum@azblue.com	8220 N 23rd Ave		Phoenix	AZ	85021	9/6/2023	2026	"MEDISUN, INC."	Local CCP	Blue Cross Blue Shield of Arizona (AZ Blue)	HMO/HMOPOS		Blue Cross Blue Shield of Arizona	447	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0302	Government Relations Contact	"General Manager, Government Business Segment"		Fernandez	Frank		1-623-273-2116					frank.fernandez@azblue.com	8220 N 23rd Ave		Phoenix	AZ	85021	11/5/2024	2026	"MEDISUN, INC."	Local CCP	Blue Cross Blue Shield of Arizona (AZ Blue)	HMO/HMOPOS		Blue Cross Blue Shield of Arizona	447	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0302	Hospice Contact	"Dir-Clinical Pharmacy Prgm, Clinical Therapeutics"		Wahlgren	Chad		1-602-864-2271					chad.wahlgren@azblue.com	8220 N 23rd Ave		Phoenix	AZ	85021	3/5/2025	2026	"MEDISUN, INC."	Local CCP	Blue Cross Blue Shield of Arizona (AZ Blue)	HMO/HMOPOS		Blue Cross Blue Shield of Arizona	447	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0302	Medicare Compliance Officer	"Staff Vice President, Corp & Medicare Compliance"	Ms.	Moore	Veronica		1-602-336-7600				1-602-864-3152	veronica.moore@azblue.com	8220 N 23rd Ave.		Phoenix	AZ	85021	5/28/2024	2026	"MEDISUN, INC."	Local CCP	Blue Cross Blue Shield of Arizona (AZ Blue)	HMO/HMOPOS		Blue Cross Blue Shield of Arizona	447	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0302	Part D Exceptions Contact	"Dir-Clinical Pharmacy Prgm, Clinical Therapeutics"		Wahlgren	Chad							chad.wahlgren@azblue.com	8220 N 23rd Ave		Phoenix	AZ	85021	5/24/2024	2026	"MEDISUN, INC."	Local CCP	Blue Cross Blue Shield of Arizona (AZ Blue)	HMO/HMOPOS		Blue Cross Blue Shield of Arizona	447	Yes	Active	1-602-864-2271				HMO - Health Maintenance Organization		C	Chicago
H0302	Pharmacy Network Management Contact	"Manager, Retail Network Operations"		Perez	Felix		1-305-331-3044					Felix.perez@optum.com	OptumRx	11000 Optum Cir	Eden Prairie	MN	55344	3/8/2024	2026	"MEDISUN, INC."	Local CCP	Blue Cross Blue Shield of Arizona (AZ Blue)	HMO/HMOPOS		Blue Cross Blue Shield of Arizona	447	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0302	Pharmacy Technical Help Desk Contact	"Manager, Pharmacy Help Desk"		Villanueva	Juan							Juan.villanueva@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	12/16/2025	2026	"MEDISUN, INC."	Local CCP	Blue Cross Blue Shield of Arizona (AZ Blue)	HMO/HMOPOS		Blue Cross Blue Shield of Arizona	447	Yes	Active	1-844-883-8523				HMO - Health Maintenance Organization		C	Chicago
H0302	Plan to Plan Reconciliation Contact	Sr Mgr Financial Operations		Soliman	Bishoy		1-623-272-2042				1-602-864-5308	Bishoy.Soliman@azblue.com	PO Box 81049	MS C211	Phoenix	AZ	85069	4/16/2026	2026	"MEDISUN, INC."	Local CCP	Blue Cross Blue Shield of Arizona (AZ Blue)	HMO/HMOPOS		Blue Cross Blue Shield of Arizona	447	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0321	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"ARIZONA PHYSICIANS IPA, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0321	Best Available Evidence Contact	"Manager, Enrollment & Eligibility"		Asselin	Krista		1-763-361-1104					krista_asselin@uhc.com	PO Box 9472		Minneapolis	MN	55440	11/14/2025	2026	"ARIZONA PHYSICIANS IPA, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0321	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/13/2025	2026	"ARIZONA PHYSICIANS IPA, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0321	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"ARIZONA PHYSICIANS IPA, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0321	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"ARIZONA PHYSICIANS IPA, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0321	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"ARIZONA PHYSICIANS IPA, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0321	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"ARIZONA PHYSICIANS IPA, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0321	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"ARIZONA PHYSICIANS IPA, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0321	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"ARIZONA PHYSICIANS IPA, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0321	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"ARIZONA PHYSICIANS IPA, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H0321	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"ARIZONA PHYSICIANS IPA, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0321	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"ARIZONA PHYSICIANS IPA, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H0321	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"ARIZONA PHYSICIANS IPA, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0332	Automated TrOOP Balance Transfer Contact	"Sr Director, Healthplan Services"		Gandhi	Kirti		1-713-442-5519				1-713-442-5105	kirti.gandhi@kelsey-seybold.com	11511 Shadow Creek Parkway	3rd Floor	Pearland	TX	77584	6/13/2025	2026	"KS PLAN ADMINISTRATORS, LLC"	Local CCP	KelseyCare Advantage	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0332	Best Available Evidence Contact	Director of Appeals & Grievances and Enrollment	Mr.	Thomas	Don	G	1-818-209-3846				1-713-442-5450	donald.thomas@kelsey-seybold.com	11511 Shadow Creek Parkway		Pearland	TX	77587	2/20/2024	2026	"KS PLAN ADMINISTRATORS, LLC"	Local CCP	KelseyCare Advantage	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0332	Chief Financial Officer	Chief Financial Officer	Mr.	Loney	Matthew	A	1-612-616-7055				1-713-442-0799	matthew.loney@kelsey-seybold.com	11511 Shadow Creek Parkway		Pearland	TX	77584	1/29/2024	2026	"KS PLAN ADMINISTRATORS, LLC"	Local CCP	KelseyCare Advantage	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0332	CMS Casework Communication Contact	Director of Appeals & Grievances and Enrollment	Mr.	Thomas	Don	G	1-818-209-3846				1-713-442-5450	donald.thomas@kelsey-seybold.com	11511 Shadow Creek Parkway		Pearland	TX	77587	2/20/2024	2026	"KS PLAN ADMINISTRATORS, LLC"	Local CCP	KelseyCare Advantage	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0332	Coordination of Benefits Contact	Director of Appeals & Grievances and Enrollment	Mr.	Thomas	Donald		1-818-209-3846				1-713-442-5450	donald.thomas@kelsey-seybold.com	11511 Shadow Creek Parkway	2nd Floor	Pearland	TX	77584	8/21/2024	2026	"KS PLAN ADMINISTRATORS, LLC"	Local CCP	KelseyCare Advantage	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0332	Customer Service Operations Contact	"Director, Member Services"	Mr.	Delacruz	Rodolfo		1-210-392-1323				1-713-442-5450	rodolfo.delacruz@kelsey-seybold.com	11511 Shadow Creek Parkway		Pearland	TX	77587	8/21/2024	2026	"KS PLAN ADMINISTRATORS, LLC"	Local CCP	KelseyCare Advantage	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0332	Government Relations Contact	"Director, Medicare Compliance"	Mrs.	Garcia	Shelly	R	1-713-442-9502				1-713-442-5450	Shelly.Garcia@kelsey-seybold.com	11511 Shadow Creek Parkway		Pearland	TX	77584	2/21/2024	2026	"KS PLAN ADMINISTRATORS, LLC"	Local CCP	KelseyCare Advantage	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0332	Hospice Contact	VP of Health Plan Services/COO		Jonathan	Denise		1-713-442-5592					Denise.Jonathan@kelsey-seybold.com	11511 Shadow Creek Parkway		Pearland	TX	77584	2/28/2022	2026	"KS PLAN ADMINISTRATORS, LLC"	Local CCP	KelseyCare Advantage	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0332	Medicare Compliance Officer	"Director, Medicare Compliance"	Mrs.	Garcia	Shelly	R	1-713-442-9502				1-713-442-5450	Shelly.Garcia@kelsey-seybold.com	11511 Shadow Creek Parkway		Pearland	TX	77584	2/21/2024	2026	"KS PLAN ADMINISTRATORS, LLC"	Local CCP	KelseyCare Advantage	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0332	Part D Exceptions Contact	"Manager, Prior Auth/Appeals"		Le	Christina						1-877-239-4565	christina.le@optum.com	PO Box 2975		Mission	KS	66201	1/28/2025	2026	"KS PLAN ADMINISTRATORS, LLC"	Local CCP	KelseyCare Advantage	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-888-403-3398				HMO - Health Maintenance Organization		C	Boston
H0332	Pharmacy Network Management Contact	"Manager, Retail Network Operations"		Perez	Felix		1-305-331-3044					felix.perez@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	1/3/2025	2026	"KS PLAN ADMINISTRATORS, LLC"	Local CCP	KelseyCare Advantage	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0332	Pharmacy Technical Help Desk Contact	"Manager, Pharmacy Help Desk"		Villanueva	Juan							juan.villanueva@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	2/3/2025	2026	"KS PLAN ADMINISTRATORS, LLC"	Local CCP	KelseyCare Advantage	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-707-8194				HMO - Health Maintenance Organization		C	Boston
H0332	Plan to Plan Reconciliation Contact	"Director of Pharmacy, Health Plan Services"		Asadi	Angelica		1-713-442-5617				1-713-442-5105	angelica.asadi@kelsey-seybold.com	11511 Shadow Creek Parkway	3rd Floor	Pearland	TX	77584	6/13/2025	2026	"KS PLAN ADMINISTRATORS, LLC"	Local CCP	KelseyCare Advantage	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0335	Automated TrOOP Balance Transfer Contact	Health Plan Specialist	Ms.	Ilcken	Leslie		1-818-757-4458				1-818-774-5907	leslie.ilcken@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/26/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE - SOUTH BAY, LP"	National PACE	Brandman Centers for Senior Care - South Bay	National PACE		"Brandman Centers for Senior Care – South Bay, LP"	880	Yes	Pending					PACE - Nat		C	San Francisco
H0335	Best Available Evidence Contact	Health Plan Specialist	Ms.	Ilcken	Leslie		1-818-757-4458				1-818-774-5907	leslie.ilcken@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/26/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE - SOUTH BAY, LP"	National PACE	Brandman Centers for Senior Care - South Bay	National PACE		"Brandman Centers for Senior Care – South Bay, LP"	880	Yes	Pending					PACE - Nat		C	San Francisco
H0335	Chief Financial Officer	Chief Financial Officer	Ms	Ruditsky	Crystal		1-818-774-3336				1-818-774-3020	crystal.ruditsky@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/26/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE - SOUTH BAY, LP"	National PACE	Brandman Centers for Senior Care - South Bay	National PACE		"Brandman Centers for Senior Care – South Bay, LP"	880	Yes	Pending					PACE - Nat		C	San Francisco
H0335	CMS Casework Communication Contact	Vice President	Mrs.	Stratman	Kim		1-818-654-8643				1-818-774-5907	kim.stratman@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/26/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE - SOUTH BAY, LP"	National PACE	Brandman Centers for Senior Care - South Bay	National PACE		"Brandman Centers for Senior Care – South Bay, LP"	880	Yes	Pending					PACE - Nat		C	San Francisco
H0335	Coordination of Benefits Contact	Health Plan Specialist	Ms.	Ilcken	Leslie		1-818-757-4458				1-818-774-5907	leslie.ilcken@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/26/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE - SOUTH BAY, LP"	National PACE	Brandman Centers for Senior Care - South Bay	National PACE		"Brandman Centers for Senior Care – South Bay, LP"	880	Yes	Pending					PACE - Nat		C	San Francisco
H0335	Customer Service Operations Contact	Vice President	Mrs.	Stratman	Kim		1-818-654-8643				1-818-774-5907	kim.stratman@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/26/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE - SOUTH BAY, LP"	National PACE	Brandman Centers for Senior Care - South Bay	National PACE		"Brandman Centers for Senior Care – South Bay, LP"	880	Yes	Pending					PACE - Nat		C	San Francisco
H0335	Government Relations Contact	Vice President	Mrs.	Stratman	Kim		1-818-654-8643				1-818-774-5907	kim.stratman@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/26/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE - SOUTH BAY, LP"	National PACE	Brandman Centers for Senior Care - South Bay	National PACE		"Brandman Centers for Senior Care – South Bay, LP"	880	Yes	Pending					PACE - Nat		C	San Francisco
H0335	Medicare Compliance Officer	Compliance Officer	Mr.	Carlson	Timothy		1-818-774-3397				1-818-774-2424	timothy.carlson@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/26/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE - SOUTH BAY, LP"	National PACE	Brandman Centers for Senior Care - South Bay	National PACE		"Brandman Centers for Senior Care – South Bay, LP"	880	Yes	Pending					PACE - Nat		C	San Francisco
H0335	Part D Exceptions Contact	Health Plan Specialist	Ms.	Ilcken	Leslie						1-818-774-5907	leslie.ilcken@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/26/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE - SOUTH BAY, LP"	National PACE	Brandman Centers for Senior Care - South Bay	National PACE		"Brandman Centers for Senior Care – South Bay, LP"	880	Yes	Pending	1-818-757-4458				PACE - Nat		C	San Francisco
H0335	Pharmacy Network Management Contact	"Medical Director, Brandman Centers for Senior Care"	Dr.	Ott	Casey		1-818-757-4418				1-818-774-5907	casey.ott@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/26/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE - SOUTH BAY, LP"	National PACE	Brandman Centers for Senior Care - South Bay	National PACE		"Brandman Centers for Senior Care – South Bay, LP"	880	Yes	Pending					PACE - Nat		C	San Francisco
H0335	Pharmacy Technical Help Desk Contact	Pharmacist	Ms.	Aramyan	Ani						1-818-774-5900	ani.aramyan@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/26/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE - SOUTH BAY, LP"	National PACE	Brandman Centers for Senior Care - South Bay	National PACE		"Brandman Centers for Senior Care – South Bay, LP"	880	Yes	Pending	1-855-654-3023				PACE - Nat		C	San Francisco
H0335	Plan to Plan Reconciliation Contact	Health Plan Specialist	Ms.	Ilcken	Leslie		1-818-757-4458				1-818-774-5907	janice.boothe@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/26/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE - SOUTH BAY, LP"	National PACE	Brandman Centers for Senior Care - South Bay	National PACE		"Brandman Centers for Senior Care – South Bay, LP"	880	Yes	Pending					PACE - Nat		C	San Francisco
H0339	Automated TrOOP Balance Transfer Contact	CFO	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	6/19/2024	2026	"SENIOR LIFE BERGEN, INC."	National PACE	Senior LIFE Passaic	National PACE				Yes	Pending					PACE - Nat		C	Philadelphia
H0339	Best Available Evidence Contact	CFO	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	6/19/2024	2026	"SENIOR LIFE BERGEN, INC."	National PACE	Senior LIFE Passaic	National PACE				Yes	Pending					PACE - Nat		C	Philadelphia
H0339	Chief Financial Officer	CFO	Mr	Dodson	David		1-814-535-6000					ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	6/19/2024	2026	"SENIOR LIFE BERGEN, INC."	National PACE	Senior LIFE Passaic	National PACE				Yes	Pending					PACE - Nat		C	Philadelphia
H0339	CMS Casework Communication Contact	CEO	Mr	Irwin	Mark		1-814-535-6000					Mirwin@pace-cs.com	401 Broad Street		Johnstown	PA	15906	6/19/2024	2026	"SENIOR LIFE BERGEN, INC."	National PACE	Senior LIFE Passaic	National PACE				Yes	Pending					PACE - Nat		C	Philadelphia
H0339	Coordination of Benefits Contact	CFO	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	6/19/2024	2026	"SENIOR LIFE BERGEN, INC."	National PACE	Senior LIFE Passaic	National PACE				Yes	Pending					PACE - Nat		C	Philadelphia
H0339	Customer Service Operations Contact	CEO	Mr	Irwin	Mark		1-814-535-6000					Mirwin@pace-cs.com	401 Broad Street		Johnstown	PA	15906	6/19/2024	2026	"SENIOR LIFE BERGEN, INC."	National PACE	Senior LIFE Passaic	National PACE				Yes	Pending					PACE - Nat		C	Philadelphia
H0339	Government Relations Contact	CEO	Mr	Irwin	Mark		1-814-535-6000					Mirwin@pace-cs.com	401 Broad Street		Johnstown	PA	15906	6/19/2024	2026	"SENIOR LIFE BERGEN, INC."	National PACE	Senior LIFE Passaic	National PACE				Yes	Pending					PACE - Nat		C	Philadelphia
H0339	Medicare Compliance Officer	Executive Director	Mr	Voeghtly	Robert		1-814-535-6000					Rvoeghtly@seniorlifejohnstown.com	401 Broad Street		Johnstown	PA	15906	6/19/2024	2026	"SENIOR LIFE BERGEN, INC."	National PACE	Senior LIFE Passaic	National PACE				Yes	Pending					PACE - Nat		C	Philadelphia
H0339	Part D Exceptions Contact	CFO	Mr	Dodson	David							ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	6/19/2024	2026	"SENIOR LIFE BERGEN, INC."	National PACE	Senior LIFE Passaic	National PACE				Yes	Pending	1-814-535-6000				PACE - Nat		C	Philadelphia
H0339	Pharmacy Network Management Contact		Mr	Rowland	Bob		1-724-275-1203					Browland@granerx.com	464 Nixon Road		Cheswick	PA	15024	6/19/2024	2026	"SENIOR LIFE BERGEN, INC."	National PACE	Senior LIFE Passaic	National PACE				Yes	Pending					PACE - Nat		C	Philadelphia
H0339	Pharmacy Technical Help Desk Contact		Mr	Rowland	Bob							Browland@granerx.com	464 Nixon Road		Cheswick	PA	15024	6/19/2024	2026	"SENIOR LIFE BERGEN, INC."	National PACE	Senior LIFE Passaic	National PACE				Yes	Pending	1-724-275-1203				PACE - Nat		C	Philadelphia
H0339	Plan to Plan Reconciliation Contact	CFO	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	6/19/2024	2026	"SENIOR LIFE BERGEN, INC."	National PACE	Senior LIFE Passaic	National PACE				Yes	Pending					PACE - Nat		C	Philadelphia
H0342	Automated TrOOP Balance Transfer Contact	"Manager, Premium Billing, Membership Accounting &"		Burns	Kevin		1-781-612-3538	83156				Kevin.Burns@point32health.org	1 Wellness Way		Canton	MA	02021	5/28/2026	2026	"CAREPARTNERS OF CONNECTICUT, INC."	Local CCP	CarePartners of Connecticut	Local PPO		"Point32Health, Inc."	398	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H0342	Best Available Evidence Contact	"Director, Public Plans Enrollment & Revenue Rec"		Mahoney	Thomas		1-781-612-4897	3152780				thomas.mahoney@point32health.org	1 Wellness Way		Canton	MA	02021	5/28/2026	2026	"CAREPARTNERS OF CONNECTICUT, INC."	Local CCP	CarePartners of Connecticut	Local PPO		"Point32Health, Inc."	398	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H0342	Chief Financial Officer	Chief Financial Officer	Mr.	Marrone	Michael		1-781-612-6435					michael.marrone@point32health.org	1 Wellness Way		Canton	MA	02021	5/28/2026	2026	"CAREPARTNERS OF CONNECTICUT, INC."	Local CCP	CarePartners of Connecticut	Local PPO		"Point32Health, Inc."	398	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H0342	CMS Casework Communication Contact	"Sr. Program Manager, Appeals & Grievances"		Mello	Sheri		1-781-612-1000	84682				sheri.mello@point32health.org	1 Wellness Way		Canton	MA	02021	5/28/2026	2026	"CAREPARTNERS OF CONNECTICUT, INC."	Local CCP	CarePartners of Connecticut	Local PPO		"Point32Health, Inc."	398	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H0342	Coordination of Benefits Contact			COB Inquiries	Medicare		1-781-612-1000					Medicare_COB_Inquiries@point32health.org	1 Wellness Way		Canton	MA	02021	5/28/2026	2026	"CAREPARTNERS OF CONNECTICUT, INC."	Local CCP	CarePartners of Connecticut	Local PPO		"Point32Health, Inc."	398	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H0342	Customer Service Operations Contact	"Manager, Member Services"		Villatoro	Yesly		1-781-612-1000	54152				yesly.villatoro@point32health.org	1 Wellness Way		Canton	MA	02021	5/28/2026	2026	"CAREPARTNERS OF CONNECTICUT, INC."	Local CCP	CarePartners of Connecticut	Local PPO		"Point32Health, Inc."	398	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H0342	Government Relations Contact	Chief Government Affairs Officer		Lewis	Kristin		1-781-612-1000	83621				kristin.lewis@point32health.org	1 Wellness Way		Canton	MA	02021	5/28/2026	2026	"CAREPARTNERS OF CONNECTICUT, INC."	Local CCP	CarePartners of Connecticut	Local PPO		"Point32Health, Inc."	398	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H0342	Hospice Contact	"Manager, Pharmacy Operations & Programs"		Alves	Heather		1-508-965-9919					heather.alves@point32health.org	1 Wellness Way		Canton	MA	02021	5/28/2026	2026	"CAREPARTNERS OF CONNECTICUT, INC."	Local CCP	CarePartners of Connecticut	Local PPO		"Point32Health, Inc."	398	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H0342	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Geroski	Tami	A	1-570-814-2999					tami.geroski@point32health.org	1 Wellness Way		Canton	MA	02021	5/28/2026	2026	"CAREPARTNERS OF CONNECTICUT, INC."	Local CCP	CarePartners of Connecticut	Local PPO		"Point32Health, Inc."	398	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H0342	Part D Exceptions Contact	"Director, Pharmacy Utilization Management"		Chan	Bryan							bryan.chan@point32health.org	1 Wellness Way		Canton	MA	02021	5/28/2026	2026	"CAREPARTNERS OF CONNECTICUT, INC."	Local CCP	CarePartners of Connecticut	Local PPO		"Point32Health, Inc."	398	Yes	Withdrawn Contract	1-781-612-1000	82370			PPO - BBA		C	Boston
H0342	Pharmacy Network Management Contact	"Manager, Retail Network Operations"		Hagan	Kyle		1-303-989-5828					Kyle.Hagan@optum.com	7120 W Iowa Ave		Lakewood	CO	80232	5/28/2026	2026	"CAREPARTNERS OF CONNECTICUT, INC."	Local CCP	CarePartners of Connecticut	Local PPO		"Point32Health, Inc."	398	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H0342	Pharmacy Technical Help Desk Contact	Sr. Manager		Villaneuva	Juan							Juan.Villanueva@optum.com	3515 S Harbor Blvd.		Costa Mesa	CA	92626	5/28/2026	2026	"CAREPARTNERS OF CONNECTICUT, INC."	Local CCP	CarePartners of Connecticut	Local PPO		"Point32Health, Inc."	398	Yes	Withdrawn Contract	1-855-679-2639				PPO - BBA		C	Boston
H0342	Plan to Plan Reconciliation Contact	"Manager, Finance Operations Compliance"		Schumaker	Tyler		1-617-972-9400	87394				Tyler.Schumaker@point32health.org	1 Wellness Way		Canton	MA	02021	5/28/2026	2026	"CAREPARTNERS OF CONNECTICUT, INC."	Local CCP	CarePartners of Connecticut	Local PPO		"Point32Health, Inc."	398	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H0351	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	"HEALTH NET OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0351	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	"HEALTH NET OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0351	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/25/2024	2026	"HEALTH NET OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0351	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"HEALTH NET OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0351	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/28/2025	2026	"HEALTH NET OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0351	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	9/18/2024	2026	"HEALTH NET OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0351	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"HEALTH NET OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0351	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	"HEALTH NET OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0351	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/18/2025	2026	"HEALTH NET OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0351	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/25/2024	2026	"HEALTH NET OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H0351	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	"HEALTH NET OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0351	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	1/9/2025	2026	"HEALTH NET OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0202				HMO - Health Maintenance Organization		C	Denver
H0351	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	6/25/2024	2026	"HEALTH NET OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0354	Automated TrOOP Balance Transfer Contact	Operations Advisor	Ms.	Fertig	Nancy	J	1-860-902-4553					nancy_fertig@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	4/20/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0354	Best Available Evidence Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	4/20/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0354	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	Health Care Service Corporation	300 East Randolph St	Chicago	IL	60601	4/20/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0354	CMS Casework Communication Contact	Customer Service Manager	Ms.	McCarroll	Angie		1-615-235-0177					angie_mccarroll@hcsc.com	3700 O'Donnell Street		Baltimore	MD	21224	5/4/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0354	Coordination of Benefits Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	4/20/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0354	Customer Service Operations Contact	VP of Customer Service	Mr.	Akovenko	Josh		1-615-695-8916				1-000-000-0000	josh_akovenko@hcsc.com	Health Care Service Corporation	500 Great Circle Rd	Nashville	IL	60601	5/4/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0354	Government Relations Contact	Executive Director - Health Policy	Ms.	DuGoff	Eva		1-202-249-7208				1-000-000-0000	eva_dugoff@hcsc.net	Health Care Service Corporation	1001 Pennsylvania NW	Washington	DC	20004	5/4/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0354	Hospice Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	4/20/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0354	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	9/5/2025	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0354	Part D Exceptions Contact	Operations Senior Manager	Mr.	Erkens	Ron							ron_erkens@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/4/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-602-317-1992				HMO - Health Maintenance Organization		C	New York
H0354	Pharmacy Network Management Contact	Provider Contracting Sr Manager	Ms.	Bourdier	Maryanne		1-860-338-9867					maryanne_bourdier@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	4/20/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0354	Pharmacy Technical Help Desk Contact			Scripts	Express								Health Care Services Corporation	500 Great Circle Road	Nashville	TN	37228	5/4/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	New York
H0354	Plan to Plan Reconciliation Contact		Ms.	Thomas	Andrea	F	1-629-317-9367				1-615-291-7025	P2P@healthspring.com	P.O. Box 11407	Dept#8277	Birmingham	AL	35246	5/4/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0363	Automated TrOOP Balance Transfer Contact	"Operations Manager, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083					Relay.Health@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF COLORADO, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H0363	Best Available Evidence Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF COLORADO, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H0363	Chief Financial Officer		Mr.	Granow	Les		1-561-444-0709					les.granow@longevityhealthplan.com	Longevity Health Plan	11780 U.S. Highway 1 Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF COLORADO, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H0363	CMS Casework Communication Contact			Socoski	Beth		1-561-690-1134					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1 Suite N107		Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF COLORADO, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H0363	Coordination of Benefits Contact		Ms.	Crowl	Lacey		1-765-792-1412					Lacey.crowl@longevityhealthplan.com	11780 U.S. Highway 1 Suite N107		Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF COLORADO, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H0363	Customer Service Operations Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF COLORADO, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H0363	Government Relations Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF COLORADO, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H0363	Hospice Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF COLORADO, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H0363	Medicare Compliance Officer		Ms.	Socoski	Beth		1-412-260-1207					Beth.Socoski@longevityhealthplan.com	Longevity Health Plan	11780 U.S. Highway 1 Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF COLORADO, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H0363	Part D Exceptions Contact	"Assoc Director, Clinical Prior Authorization"	Mr.	LeClair	Christophe						1-888-235-8551	Christopher.LeClair@Navitus.com	1025 West Navitus Drive		Appleton	WI	54913	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF COLORADO, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active	1-800-204-0016				HMO - Health Maintenance Organization		C	Seattle
H0363	Pharmacy Network Management Contact	"VP, Provider Services"	Mr.	Nagy	Don		1-608-820-4403					Don.Nagy@navitus.com	361 Integrity Drive		Madison	WI	53717	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF COLORADO, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H0363	Pharmacy Technical Help Desk Contact	"Sr. Manager, Customer Care Accounts"	Ms.	Nett	Danielle						1-888-235-8551	Danielle.Nett@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF COLORADO, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Seattle
H0363	Plan to Plan Reconciliation Contact		Ms.	Ajayi	Bisi		1-561-632-8915					bisi.ajayi@longevityhealthplan.com	11780 U.S. Highway 1 Suite N107		Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF COLORADO, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H0390	Automated TrOOP Balance Transfer Contact	Accounting Manager	Ms.	Rendell	Chris		1-269-408-4378					crendell@mybrio.org	2900 Lakeview Avenue		St Joseph	MI	49085	4/15/2026	2026	"PACE OF SOUTHWEST MICHIGAN, INC."	National PACE	PACE of Southwest Michigan	National PACE		"PACE of Southwest Michigan, Inc."	507	Yes	Active					PACE - Nat		C	Atlanta
H0390	Best Available Evidence Contact	CEO	Mr.	Zdrodowski	Mike		1-269-408-4375				1-269-408-4340	mikezdrodowski@paceswmi.org	2900 Lakeview Avenue		Saint Joseph	MI	49085	5/27/2025	2026	"PACE OF SOUTHWEST MICHIGAN, INC."	National PACE	PACE of Southwest Michigan	National PACE		"PACE of Southwest Michigan, Inc."	507	Yes	Active					PACE - Nat		C	Atlanta
H0390	Chief Financial Officer	Accounting Manager	Ms.	Rendell	Chris		1-269-408-4360				1-269-408-4340	crendell@mybrio.org	2900 Lakeview Avenue		St Joseph	MI	49085	4/15/2026	2026	"PACE OF SOUTHWEST MICHIGAN, INC."	National PACE	PACE of Southwest Michigan	National PACE		"PACE of Southwest Michigan, Inc."	507	Yes	Active					PACE - Nat		C	Atlanta
H0390	CMS Casework Communication Contact	CEO	Mr.	Zdrodowski	Mike		1-269-408-4370				1-269-408-4340	mikezdrodowski@paceswmi.org	2900 Lakeview Avenue		St Joseph	MI	49085	3/15/2026	2026	"PACE OF SOUTHWEST MICHIGAN, INC."	National PACE	PACE of Southwest Michigan	National PACE		"PACE of Southwest Michigan, Inc."	507	Yes	Active					PACE - Nat		C	Atlanta
H0390	Coordination of Benefits Contact	Accounting Manager	Ms.	Rendell	Chris		1-269-408-4360				1-269-408-4340	crendell@mybrio.org	2900 Lakeview Avenue		St Joseph	MI	49085	4/15/2026	2026	"PACE OF SOUTHWEST MICHIGAN, INC."	National PACE	PACE of Southwest Michigan	National PACE		"PACE of Southwest Michigan, Inc."	507	Yes	Active					PACE - Nat		C	Atlanta
H0390	Customer Service Operations Contact	CEO		Zdrodowski	Mike		1-269-408-4375					mikezdrodowski@paceswmi.org	2900 Lakeview Avenue		Saint Joseph	MI	49085	3/15/2026	2026	"PACE OF SOUTHWEST MICHIGAN, INC."	National PACE	PACE of Southwest Michigan	National PACE		"PACE of Southwest Michigan, Inc."	507	Yes	Active					PACE - Nat		C	Atlanta
H0390	Government Relations Contact	CEO	Mr.	Zdrodowski	Mike		1-269-408-4375				1-269-408-4340	mikezdrodowski@paceswmi.org	2900 Lakeview Avenue		Saint Joseph	MI	49085	2/6/2025	2026	"PACE OF SOUTHWEST MICHIGAN, INC."	National PACE	PACE of Southwest Michigan	National PACE		"PACE of Southwest Michigan, Inc."	507	Yes	Active					PACE - Nat		C	Atlanta
H0390	Medicare Compliance Officer	Director of Program Integrity	Mrs	Lewis	Sandi		1-269-408-4370				1-269-408-4340	sandilewis@paceswmi.org	2900 Lakeview Avenue		St Joseph	MI	49085	5/27/2025	2026	"PACE OF SOUTHWEST MICHIGAN, INC."	National PACE	PACE of Southwest Michigan	National PACE		"PACE of Southwest Michigan, Inc."	507	Yes	Active					PACE - Nat		C	Atlanta
H0390	Part D Exceptions Contact	CEO	Mr.	Zdrodowski	Mike						1-269-408-4340	mikezdrodowski@paceswmi.org	2900 Lakeview Avenue		St Joseph	MI	49085	5/27/2025	2026	"PACE OF SOUTHWEST MICHIGAN, INC."	National PACE	PACE of Southwest Michigan	National PACE		"PACE of Southwest Michigan, Inc."	507	Yes	Active	1-269-408-4375				PACE - Nat		C	Atlanta
H0390	Pharmacy Network Management Contact	CEO	Mr.	Zdrodowski	Mike		1-269-408-4370				1-269-408-4340	mikezdrodowski@paceswmi.org	2900 Lakeview Avenue		St Joseph	MI	49085	5/27/2025	2026	"PACE OF SOUTHWEST MICHIGAN, INC."	National PACE	PACE of Southwest Michigan	National PACE		"PACE of Southwest Michigan, Inc."	507	Yes	Active					PACE - Nat		C	Atlanta
H0390	Pharmacy Technical Help Desk Contact	CEO	Mr.	Zdrodowski	Mike						1-269-408-4340	mikezdrodowski@paceswmi.org	2900 Lakeview Avenue		St Joseph	MI	49085	5/27/2025	2026	"PACE OF SOUTHWEST MICHIGAN, INC."	National PACE	PACE of Southwest Michigan	National PACE		"PACE of Southwest Michigan, Inc."	507	Yes	Active	1-269-408-4375				PACE - Nat		C	Atlanta
H0390	Plan to Plan Reconciliation Contact	Accounting Manager	Ms.	Rendell	Chris		1-269-408-4360				1-269-408-4340	crendell@mybrio.org	2900 Lakeview		Saint Joseph	MI	49085	4/15/2026	2026	"PACE OF SOUTHWEST MICHIGAN, INC."	National PACE	PACE of Southwest Michigan	National PACE		"PACE of Southwest Michigan, Inc."	507	Yes	Active					PACE - Nat		C	Atlanta
H0413	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF DELAWARE	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H0413	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF DELAWARE	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H0413	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF DELAWARE	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H0413	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF DELAWARE	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H0413	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF DELAWARE	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H0413	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF DELAWARE	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H0413	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF DELAWARE	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H0413	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF DELAWARE	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H0413	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF DELAWARE	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H0413	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF DELAWARE	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				PPO - BBA		C	Atlanta
H0413	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF DELAWARE	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H0413	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF DELAWARE	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				PPO - BBA		C	Atlanta
H0413	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF DELAWARE	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H0421	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0421	Best Available Evidence Contact	"Manager, Enrollment & Eligibility"		Asselin	Krista		1-763-361-1104					krista_asselin@uhc.com	PO Box 9472		Minneapolis	MN	55440	11/14/2025	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0421	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/13/2025	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0421	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0421	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0421	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0421	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0421	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0421	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0421	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				PPO - BBA		C	Boston
H0421	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0421	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				PPO - BBA		C	Boston
H0421	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0423	Automated TrOOP Balance Transfer Contact	Medicare Part D Operations Manager	Mr.	Oh	Benjamin		1-212-908-3131				1-212-908-8603	ohben@metroplus.org	50 Water Street	7th Floor	New York	NY	10004	4/28/2021	2026	"METROPLUS HEALTH PLAN, INC."	Local CCP	MetroPlus Health Plan	HMO/HMOPOS		New York City Health and Hospitals Corporation	430	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0423	Best Available Evidence Contact	"Sr. Manager, Medicare Operations"		Palmowski	Natalia		1-212-908-8534				1-212-908-8603	palmown@metroplus.org	50 Water Street	12th floor	New York	NY	10004	1/22/2024	2026	"METROPLUS HEALTH PLAN, INC."	Local CCP	MetroPlus Health Plan	HMO/HMOPOS		New York City Health and Hospitals Corporation	430	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0423	Chief Financial Officer	Chief Financial Officer	Ms.	Leverich	Lauren		1-212-908-8592					LEVERL@metroplus.org	50 Water Street	7th Floor	New York	NY	10004	1/22/2024	2026	"METROPLUS HEALTH PLAN, INC."	Local CCP	MetroPlus Health Plan	HMO/HMOPOS		New York City Health and Hospitals Corporation	430	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0423	CMS Casework Communication Contact	"VP, Service Operations"	Ms.	Bartley	Kenesha		1-212-908-3643				1-212-908-8701	bartleyk@metroplus.org	50 Water Street	7th Floor	New York	NY	10004	12/16/2024	2026	"METROPLUS HEALTH PLAN, INC."	Local CCP	MetroPlus Health Plan	HMO/HMOPOS		New York City Health and Hospitals Corporation	430	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0423	Coordination of Benefits Contact	Sr. Manager Medicare Operations	Mrs.	Palmowski	Natalia		1-212-908-8534					palmown@metroplus.org	50 Water Street	7th Floor	New York	NY	10004	12/16/2024	2026	"METROPLUS HEALTH PLAN, INC."	Local CCP	MetroPlus Health Plan	HMO/HMOPOS		New York City Health and Hospitals Corporation	430	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0423	Customer Service Operations Contact	Senior Director of Customer Services	Ms.	Woodard	Terri		1-212-908-5212				1-212-908-8705	WOODATE@metroplus.org	50 Water Street	7th Floor	New York	NY	10004	12/3/2025	2026	"METROPLUS HEALTH PLAN, INC."	Local CCP	MetroPlus Health Plan	HMO/HMOPOS		New York City Health and Hospitals Corporation	430	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0423	Government Relations Contact	Chief Compliance and Regulatory Officer		Solon	Raven	R	1-212-908-5205					solonr@metroplus.org	50 Water Street	7th Floor	New York	NY	10004	6/11/2026	2026	"METROPLUS HEALTH PLAN, INC."	Local CCP	MetroPlus Health Plan	HMO/HMOPOS		New York City Health and Hospitals Corporation	430	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0423	Hospice Contact	Senior Director of Pharmacy		Suchdeve	Swati		1-212-908-3765					suchds@metroplus.org	50 Water Street	7th Floor	New York	NY	10004	6/11/2026	2026	"METROPLUS HEALTH PLAN, INC."	Local CCP	MetroPlus Health Plan	HMO/HMOPOS		New York City Health and Hospitals Corporation	430	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0423	Medicare Compliance Officer	"VP, Compliance"	Ms.	Binns	Pamela		1-212-908-5149				1-212-908-3013	binnspa@metroplus.org	50 Water Street	12th floor	New York	NY	10004	4/15/2024	2026	"METROPLUS HEALTH PLAN, INC."	Local CCP	MetroPlus Health Plan	HMO/HMOPOS		New York City Health and Hospitals Corporation	430	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0423	Part D Exceptions Contact	Senior Director of Pharmacy	Ms.	Suchdeve	Swati							suchds@metroplus.org	50 Water Street	7th Floor	New York	NY	10004	6/11/2026	2026	"METROPLUS HEALTH PLAN, INC."	Local CCP	MetroPlus Health Plan	HMO/HMOPOS		New York City Health and Hospitals Corporation	430	Yes	Active	1-212-908-3765				HMO - Health Maintenance Organization		C	Atlanta
H0423	Pharmacy Network Management Contact	Senior Director of Pharmacy		Suchdeve	Swati		1-212-908-3765					suchds@metroplus.org	50 Water St	7th Floor	New York	NY	10004	6/11/2026	2026	"METROPLUS HEALTH PLAN, INC."	Local CCP	MetroPlus Health Plan	HMO/HMOPOS		New York City Health and Hospitals Corporation	430	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0423	Pharmacy Technical Help Desk Contact	Pharmacist	Mr.	Curtis	Kirk							kirk.curtis@cvshealth.com	42121 E. Cotton Center Blvd.		Phoenix	AZ	85040	12/5/2019	2026	"METROPLUS HEALTH PLAN, INC."	Local CCP	MetroPlus Health Plan	HMO/HMOPOS		New York City Health and Hospitals Corporation	430	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Atlanta
H0423	Plan to Plan Reconciliation Contact	Finance Analyst	Ms.	Goyal	Anandita		1-212-908-8807					goyalan@metroplus.org	50 Water Street	7th Floor	New York	NY	10004	8/31/2021	2026	"METROPLUS HEALTH PLAN, INC."	Local CCP	MetroPlus Health Plan	HMO/HMOPOS		New York City Health and Hospitals Corporation	430	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0424	Automated TrOOP Balance Transfer Contact	Medicare Compliance Manager		Brown	Lauren		1-720-974-6031				1-303-996-1600	lbrown2@myinnovage.com	8950 East Lowry Boulevard		Denver	CO	80230	7/28/2023	2026	"INNOVAGE FLORIDA PACE II, LLC"	National PACE	InnovAge Florida PACE - Orlando	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Atlanta
H0424	Best Available Evidence Contact	Director of Finance	Ms.	Hewitt	Jessica		1-720-974-6767					jhewitt@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	5/16/2025	2026	"INNOVAGE FLORIDA PACE II, LLC"	National PACE	InnovAge Florida PACE - Orlando	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Atlanta
H0424	Chief Financial Officer	CFO	Mr.	Adams	Ben		1-917-842-3099				1-303-996-1600	badams@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE FLORIDA PACE II, LLC"	National PACE	InnovAge Florida PACE - Orlando	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Atlanta
H0424	CMS Casework Communication Contact	Director of Compliance		Simpson-Thomas	Shakyra		1-804-819-9554				1-303-996-1600	ssimpson-thomas@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	3/3/2026	2026	"INNOVAGE FLORIDA PACE II, LLC"	National PACE	InnovAge Florida PACE - Orlando	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Atlanta
H0424	Coordination of Benefits Contact	Medicare Compliance Manager		Brown	Lauren		1-720-974-6031				1-303-996-1600	lbrown2@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE FLORIDA PACE II, LLC"	National PACE	InnovAge Florida PACE - Orlando	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Atlanta
H0424	Customer Service Operations Contact	Director of Compliance		Simpson-Thomas	Shakyra		1-804-819-9554				1-303-996-1600	ssimpson-thomas@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	3/3/2026	2026	"INNOVAGE FLORIDA PACE II, LLC"	National PACE	InnovAge Florida PACE - Orlando	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Atlanta
H0424	Government Relations Contact	"SVP, External Affairs"		Nelson	Don		1-608-217-5110					dnelson3@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	12/5/2025	2026	"INNOVAGE FLORIDA PACE II, LLC"	National PACE	InnovAge Florida PACE - Orlando	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Atlanta
H0424	Medicare Compliance Officer	VP of Compliance	Ms.	Teter	Lezlie	A	1-720-682-9848				1-303-996-1600	lteter@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	4/24/2026	2026	"INNOVAGE FLORIDA PACE II, LLC"	National PACE	InnovAge Florida PACE - Orlando	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Atlanta
H0424	Part D Exceptions Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael						1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE FLORIDA PACE II, LLC"	National PACE	InnovAge Florida PACE - Orlando	National PACE		"Total Community Options, Inc."	230	Yes	Active	1-720-666-3817				PACE - Nat		C	Atlanta
H0424	Pharmacy Network Management Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael		1-720-666-3817				1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE FLORIDA PACE II, LLC"	National PACE	InnovAge Florida PACE - Orlando	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Atlanta
H0424	Pharmacy Technical Help Desk Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael						1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE FLORIDA PACE II, LLC"	National PACE	InnovAge Florida PACE - Orlando	National PACE		"Total Community Options, Inc."	230	Yes	Active	1-720-666-3817				PACE - Nat		C	Atlanta
H0424	Plan to Plan Reconciliation Contact	Finance and Compliance Analyst		Kizewski	Alex		1-720-789-6171				1-720-917-3390	akizewski@innovage.com	8950 East Lowry Blvd		Denver	CO	80230	7/28/2023	2026	"INNOVAGE FLORIDA PACE II, LLC"	National PACE	InnovAge Florida PACE - Orlando	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Atlanta
H0432	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MIDLANDS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0432	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MIDLANDS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0432	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	"UNITEDHEALTHCARE OF THE MIDLANDS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0432	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MIDLANDS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0432	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MIDLANDS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0432	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MIDLANDS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0432	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MIDLANDS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0432	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MIDLANDS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0432	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MIDLANDS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0432	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MIDLANDS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H0432	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MIDLANDS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0432	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MIDLANDS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H0432	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MIDLANDS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0439	Automated TrOOP Balance Transfer Contact	Operations Advisor	Ms.	Fertig	Nancy	J	1-860-902-4553					nancy_fertig@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0439	Best Available Evidence Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0439	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	Health Care Service Corporation	300 East Randolph St	Chicago	IL	60601	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0439	CMS Casework Communication Contact	Customer Service Manager	Ms.	McCarroll	Angie		1-615-235-0177					angie_mccarroll@hcsc.com	3700 O'Donnell Street		Baltimore	MD	21224	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0439	Coordination of Benefits Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0439	Customer Service Operations Contact	VP of Customer Service	Mr.	Akovenko	Josh		1-615-695-8916				1-000-000-0000	josh_akovenko@hcsc.com	Health Care Service Corporation	500 Great Circle Rd	Nashville	IL	60601	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0439	Government Relations Contact	Executive Director - Health Policy	Ms.	DuGoff	Eva		1-202-249-7208				1-000-000-0000	eva_dugoff@hcsc.net	Health Care Service Corporation	1001 Pennsylvania NW	Washington	DC	20004	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0439	Hospice Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0439	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0439	Part D Exceptions Contact	Operations Senior Manager	Mr.	Erkens	Ron							ron_erkens@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-602-317-1992				HMO - Health Maintenance Organization		C	New York
H0439	Pharmacy Network Management Contact	Provider Contracting Sr Manager	Ms.	Bourdier	Maryanne		1-860-338-9867					maryanne_bourdier@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0439	Pharmacy Technical Help Desk Contact			Scripts	Express								Health Care Services Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	New York
H0439	Plan to Plan Reconciliation Contact		Ms.	Thomas	Andrea	F	1-629-317-9367				1-615-291-7025	P2P@healthspring.com	P.O. Box 11407	Dept#8277	Birmingham	AL	35246	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0440	Automated TrOOP Balance Transfer Contact	Director of Health Plan Operations	Mr.	Pettry	Jason		1-727-735-5716					jpettry@empathhealth.org	6774 102nd Ave.		Pinellas Park	FL	33782	9/29/2025	2026	"EMPATH LIFE, INC."	National PACE	Empath LIFE	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H0440	Best Available Evidence Contact	Program Director	Ms.	Spencer	Sandra		1-813-651-2851				1-813-441-8467	sspencer@empathhealth.org	5414 Beaumont Center Blvd Ste 210		Tampa	FL	33634	2/19/2026	2026	"EMPATH LIFE, INC."	National PACE	Empath LIFE	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H0440	Chief Financial Officer	Chief Financial Officer	Ms.	Bouhamid	Saida		1-727-523-3339				1-727-523-2122	sbouhamid@tidewell.org	6310 Capital Dr Suite 200		Lakewood Ranch	FL	34202	2/19/2026	2026	"EMPATH LIFE, INC."	National PACE	Empath LIFE	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H0440	CMS Casework Communication Contact	Program Director	Ms.	Spencer	Sandra		1-813-651-2851				1-813-441-8467	sspencer@empathhealth.org	5414 Beaumont Center Blvd Ste 210		Tampa	FL	33634	2/19/2026	2026	"EMPATH LIFE, INC."	National PACE	Empath LIFE	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H0440	Coordination of Benefits Contact	Director of Health Plan Operations	Mr.	Pettry	Jason		1-727-735-5716					jpettry@empathhealth.org	6774 102nd Ave North		Pinellas Park	FL	33782	9/29/2025	2026	"EMPATH LIFE, INC."	National PACE	Empath LIFE	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H0440	Customer Service Operations Contact	Program Director	Ms.	Spencer	Sandra		1-813-651-2851				1-813-441-8467	sspencer@empathhealth.org	5414 Beaumont Center Blvd Ste 210		Tampa	FL	33634	2/19/2026	2026	"EMPATH LIFE, INC."	National PACE	Empath LIFE	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H0440	Government Relations Contact	Program Director	Ms.	Spencer	Sandra		1-813-651-2851				1-813-441-8467	sspencer@empathhealth.org	5414 Beaumont Center Blvd Ste 210		Tampa	FL	33634	2/19/2026	2026	"EMPATH LIFE, INC."	National PACE	Empath LIFE	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H0440	Medicare Compliance Officer	VP of Compliance	Ms.	Mosby	Laura		1-727-523-2106				1-727-523-2122	LauraMosby@empathhealth.org	6310 Capital Dr Suite 200		Lakewood Ranch	FL	34208	2/19/2026	2026	"EMPATH LIFE, INC."	National PACE	Empath LIFE	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H0440	Part D Exceptions Contact	Director of Health Plan Operations	Mr.	Pettry	Jason							jpettry@empathhealth.org	6774 102nd Ave. No.		Pinellas Park	FL	33782	9/29/2025	2026	"EMPATH LIFE, INC."	National PACE	Empath LIFE	National PACE		"Empath Health, Inc."	635	Yes	Active	1-727-735-5716				PACE - Nat		C	Atlanta
H0440	Pharmacy Network Management Contact	Director of Health Plan Operations	Mr.	Pettry	Jason		1-727-735-5716					jpettry@empathhealth.org	6774 102nd Ave. No.		Pinellas Park	FL	33782	2/19/2026	2026	"EMPATH LIFE, INC."	National PACE	Empath LIFE	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H0440	Pharmacy Technical Help Desk Contact	Director of Health Plan Operations	Mr.	Pettry	Jason							jpettry@empathhealth.org	6774 102nd Ave. No.		Pinellas Park	FL	33782	2/19/2026	2026	"EMPATH LIFE, INC."	National PACE	Empath LIFE	National PACE		"Empath Health, Inc."	635	Yes	Active	1-727-735-5716				PACE - Nat		C	Atlanta
H0440	Plan to Plan Reconciliation Contact	Director of Health Plan Operations	Ms.	Pettry	Jason		1-727-735-5716					jpettry@empathhealth.org	6774 102nd Ave. No.		Pinellas Park	FL	33782	9/29/2025	2026	"EMPATH LIFE, INC."	National PACE	Empath LIFE	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H0473	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY OF KENTUCKY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H0473	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY OF KENTUCKY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H0473	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY OF KENTUCKY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H0473	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	HUMANA INSURANCE COMPANY OF KENTUCKY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H0473	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY OF KENTUCKY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H0473	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY OF KENTUCKY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H0473	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY OF KENTUCKY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H0473	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY OF KENTUCKY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H0473	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY OF KENTUCKY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H0473	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY OF KENTUCKY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active	1-859-321-9075				PPO - BBA		C	Kansas City
H0473	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY OF KENTUCKY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H0473	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	HUMANA INSURANCE COMPANY OF KENTUCKY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active	1-800-865-8715				PPO - BBA		C	Kansas City
H0473	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	HUMANA INSURANCE COMPANY OF KENTUCKY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H0477	Automated TrOOP Balance Transfer Contact			Blanter	Margarita		1-617-605-0727					rita.blanter@ihserv.org	P.O.Box 2006		Andover	MA	01810	5/28/2025	2026	"SERENITY CARE, INC."	National PACE	Serenity Care PACE	National PACE		"Serenity Care, Inc."	561	Yes	Active					PACE - Nat		C	New York
H0477	Best Available Evidence Contact			Blanter	Margarita		1-617-605-0727					rita.blanter@ihserv.org	P.O.Box 2006		Andover	MA	01810	5/24/2022	2026	"SERENITY CARE, INC."	National PACE	Serenity Care PACE	National PACE		"Serenity Care, Inc."	561	Yes	Active					PACE - Nat		C	New York
H0477	Chief Financial Officer	Administrator	Mrs	Blanter	Margarita		1-617-605-0727					rita.blanter@ihserv.org	P.O.Box 2006		Andover	MA	01810	5/24/2022	2026	"SERENITY CARE, INC."	National PACE	Serenity Care PACE	National PACE		"Serenity Care, Inc."	561	Yes	Active					PACE - Nat		C	New York
H0477	CMS Casework Communication Contact			Blanter	Margarita		1-617-605-0727					rita.blanter@ihserv.org	P.O.Box 2006		Andover	MA	01810	5/24/2022	2026	"SERENITY CARE, INC."	National PACE	Serenity Care PACE	National PACE		"Serenity Care, Inc."	561	Yes	Active					PACE - Nat		C	New York
H0477	Coordination of Benefits Contact			Blanter	Margarita		1-617-605-0727					rita.blanter@ihserv.org	P.O.Box 2006		Andover	MA	01810	5/24/2022	2026	"SERENITY CARE, INC."	National PACE	Serenity Care PACE	National PACE		"Serenity Care, Inc."	561	Yes	Active					PACE - Nat		C	New York
H0477	Customer Service Operations Contact			Blanter	Margarita		1-617-605-0727					rita.blanter@ihserv.org	P.O.Box 2006		Andover	MA	01810	5/24/2022	2026	"SERENITY CARE, INC."	National PACE	Serenity Care PACE	National PACE		"Serenity Care, Inc."	561	Yes	Active					PACE - Nat		C	New York
H0477	Government Relations Contact			Blanter	Margarita		1-617-605-0727					rita.blanter@ihserv.org	P.O.Box 2006		Andover	MA	01810	5/24/2022	2026	"SERENITY CARE, INC."	National PACE	Serenity Care PACE	National PACE		"Serenity Care, Inc."	561	Yes	Active					PACE - Nat		C	New York
H0477	Medicare Compliance Officer		Ms	Bessarabova	Daniella		1-413-374-2416					daniella.bessarabova@serenitypace.org	P.O.Box2006		Andover	MA	01810	4/24/2021	2026	"SERENITY CARE, INC."	National PACE	Serenity Care PACE	National PACE		"Serenity Care, Inc."	561	Yes	Active					PACE - Nat		C	New York
H0477	Part D Exceptions Contact		Ms	Norton	Margarita							Rita.Norton@SerenityPace.org	P.O.Box	2006	Andover	MA	01810	1/20/2026	2026	"SERENITY CARE, INC."	National PACE	Serenity Care PACE	National PACE		"Serenity Care, Inc."	561	Yes	Active	1-413-627-9772				PACE - Nat		C	New York
H0477	Pharmacy Network Management Contact			Norton	Rita		1-413-627-9772					Rita.Norton@SerenityPace.org	PO Box 2006		Andover	MA	01810	3/26/2026	2026	"SERENITY CARE, INC."	National PACE	Serenity Care PACE	National PACE		"Serenity Care, Inc."	561	Yes	Active					PACE - Nat		C	New York
H0477	Pharmacy Technical Help Desk Contact			Norton	Rita							Rita.Norton@SerenityPace.org	P.O.Box 2006		Andover	MA	01810	3/26/2026	2026	"SERENITY CARE, INC."	National PACE	Serenity Care PACE	National PACE		"Serenity Care, Inc."	561	Yes	Active	1-413-627-9772				PACE - Nat		C	New York
H0477	Plan to Plan Reconciliation Contact			Norton	Margaria		1-413-627-9772					Rita.Norton@SerenityPace.org	P.O.Box 2006		Andover	MA	01810	12/18/2025	2026	"SERENITY CARE, INC."	National PACE	Serenity Care PACE	National PACE		"Serenity Care, Inc."	561	Yes	Active					PACE - Nat		C	New York
H0504	Automated TrOOP Balance Transfer Contact	"Business Analyst, Consultant"		Escobedo	Karina		1-562-613-5532					karina.escobedo@blueshieldca.com	3021 Reynolds Ranch Pkwy		Lodi	CA	94607	12/17/2025	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0504	Best Available Evidence Contact	"Senior Manager, Installation & Billing"		White	Cheri		1-916-350-3262					cheri.white@blueshieldca.com	"4207 Town Center Blvd, Building B"		El Dorado Hills	CA	95762	10/29/2025	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0504	Chief Financial Officer	VP Actuarial & Financial Mgmt - Govt Markets	Mr.	Solomon	Aaron		1-310-744-2848					aaron.solomon@blueshieldca.com	6300 Canoga Avenue		Woodland Hills	CA	91367	5/15/2026	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0504	CMS Casework Communication Contact	"Senior Manager, Medicare Compliance"		Lester	Sheri		1-562-364-1860					sheri.lester@blueshieldca.com	6300 Canoga Avenue		Woodland Hills	CA	91367	3/21/2023	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0504	Coordination of Benefits Contact	"Senior Manager, Installation & Billing"		White	Cheri		1-916-350-3262					cheri.white@blueshieldca.com	"4207 Town Center Blvd, Building B"		El Dorado Hills	CA	95762	10/29/2025	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0504	Customer Service Operations Contact	Manager- Program and Project Management		Zuelke	Erica		1-562-613-5004					erica.zuehlke@blueshieldca.com	3021 Reynolds Ranch Pkwy		Lodi	CA	95240	11/14/2025	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0504	Government Relations Contact	"Director, Medicare Compliance"		Mata	Marcos		1-562-613-5249					marcos.mata@blueshieldca.com	6300 Canoga Ave.		Woodland Hills	CA	91367	12/18/2025	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0504	Hospice Contact	"Supervisor, Operations"		Hatley	Mongnissia		1-562-613-5416					Mongnissia.Hatley@blueshieldca.com	6300 Canoga Avenue		Woodland Hills	CA	91367	3/13/2026	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0504	Medicare Compliance Officer	"Senior Director, Medicare Compliance"	Mr.	Robinson	Richard		1-562-580-6482					medicarecomplofficer@blueshieldca.com	6300 Canoga Avenue		Woodland Hills	CA	91367	12/18/2025	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0504	Part D Exceptions Contact	"Director, Pharmacy Services"		March	Nancee							nancee.march@blueshieldca.com	601 12th Street		Oakland	CA	94607	12/18/2025	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active	1-916-659-1996				HMO - Health Maintenance Organization		C	Dallas
H0504	Pharmacy Network Management Contact	"Senior Manager, Program and Project Management"		Nelson	Kimberly		1-415-297-2196					kim.nelson@blueshieldca.com	4201 Town Center Blvd		El Dorado Hills	CA	95762	4/2/2026	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0504	Pharmacy Technical Help Desk Contact	"Senior Manager, Program and Project Management"		Nelson	Kimberly							kim.nelson@blueshieldca.com	4201 Town Center Blvd		El Dorado Hills	CA	94607	4/2/2026	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active	1-800-375-7924				HMO - Health Maintenance Organization		C	Dallas
H0504	Plan to Plan Reconciliation Contact	Supervisor Accounts Payable/Receivable		Perez	Cheryl		1-916-702-4442					BSCP2PRecon@blueshieldca.com	3021 Reynolds Ranch Parkway		Lodi	CA	95240	3/10/2026	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0523	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	AETNA HEALTH OF CALIFORNIA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0523	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	6/4/2026	2026	AETNA HEALTH OF CALIFORNIA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0523	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA HEALTH OF CALIFORNIA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0523	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	AETNA HEALTH OF CALIFORNIA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0523	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	AETNA HEALTH OF CALIFORNIA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0523	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/18/2025	2026	AETNA HEALTH OF CALIFORNIA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0523	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA HEALTH OF CALIFORNIA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0523	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	AETNA HEALTH OF CALIFORNIA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0523	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	AETNA HEALTH OF CALIFORNIA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0523	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	AETNA HEALTH OF CALIFORNIA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H0523	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA HEALTH OF CALIFORNIA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0523	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	AETNA HEALTH OF CALIFORNIA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H0523	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/10/2025	2026	AETNA HEALTH OF CALIFORNIA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0524	Automated TrOOP Balance Transfer Contact	"Project Manager III, Pharmacy Benefit Mgmt"		Perez	Elizabeth	R	1-562-367-0592					Elizabeth.R.Perez@kp.org	12254 Bellflower Blvd.		Downey	CA	90242	8/2/2018	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0524	Best Available Evidence Contact	"Senior Team Manager, Medicare Membership Admin."		Salcido	Adam		1-858-829-3521					CSC-SD-Hospice-BAE@kp.org	3840 Murphy Canyon Rd.		San Diego	CA	92123	4/24/2023	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0524	Chief Financial Officer	SVP & CFO National Medicare Finance	Mr.	Stewart	Mark		1-401-284-8679					mark.c1.stewart@kp.org	1 Kaiser Plaza	c/o Kaiser Foundation Health Plan	Oakland	CA	94612	12/16/2024	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0524	CMS Casework Communication Contact	Medicare Compliance Lead	Ms	Piper	Kimberly	C	1-206-473-9504				1-206-877-0645	Kimberly.C.Piper@kp.org	2715 Naches Ave. SW	P.O. Box 9010	Renton	WA	98057	9/8/2025	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0524	Coordination of Benefits Contact	Senior Director		Chung	Clarence		1-562-390-9293				1-562-658-3866	clarence.j.chung@kp.org	"12254 Bellflower Blvd - Suite 106, 1st Floor"		Downey	CA	90242	4/28/2022	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0524	Customer Service Operations Contact			Services	Member		1-800-443-0815					mscc@kp.org	One Kaiser Plaza		Oakland	CA	94612	10/3/2025	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0524	Government Relations Contact	"Senior Vice President, Government Relations"		Barrueta	Anthony	A	1-510-271-6835					Anthony.Barrueta@kp.org	One Kaiser Plaza		Oakland	CA	94612	3/28/2013	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0524	Hospice Contact	"Senior Team Manager, Medicare Membership Admin."		Salcido	Adam		1-858-829-3521					CSC-SD-Hospice-BAE@kp.org	3840 Murphy Canyon Rd.		San Diego	CA	92123	4/24/2023	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0524	Medicare Compliance Officer	Medicare Compliance Lead	Ms	Piper	Kimberly	C	1-206-473-9504				1-206-877-0645	Kimberly.C.Piper@kp.org	2715 Naches Ave. SW	P.O. Box 9010	Renton	WA	98057	6/1/2026	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0524	Part D Exceptions Contact	Supervisor Program Management		Ramos	Blanca							blanca.a.ramos@kp.org	12254 Bellflower Blvd		Downey	CA	90242	12/6/2024	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active	1-562-370-3382				HMO - Health Maintenance Organization		C	Dallas
H0524	Pharmacy Network Management Contact	"National Pharmacy Benefits, Project Manager II"		Munoz	Vanessa		1-562-447-7739					Vanessa.L.Munoz@kp.org	12254 Bellflower Blvd.		Downey	CA	90242	4/16/2019	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0524	Pharmacy Technical Help Desk Contact	Customer Care Center		OptumRx	PBM								755 Research Parkway Suite 160		Oklahoma City	OK	73104	11/2/2016	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active	1-877-645-1282				HMO - Health Maintenance Organization		C	Dallas
H0524	Plan to Plan Reconciliation Contact	"Interim Director, Medicare Accounting"		Wright	Mark	A	1-925-323-9443					mark.a.wright@kp.org	"1 Kaiser Plaza, 25th Floor"		Oakland	CA	94612	1/19/2023	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0542	Automated TrOOP Balance Transfer Contact	"Director, Data Operations - PACE"		Fajardo	Lucia		1-323-384-8394					lfajardo@altamed.org	2040 Camfield Ave		Los Angeles	CA	90040	2/16/2022	2026	ALTAMED HEALTH SERVICES CORPORATION	National PACE	AltaMed Health Services Corporation	National PACE		Altamed Health Services Corporation	11	Yes	Active					PACE - Nat		C	San Francisco
H0542	Best Available Evidence Contact	Senior VP and Chief Operating Officer - PACE	Mrs.	Garg	Joyita		1-323-558-7750					jogarg@altamed.org	2040 Camfield Ave		Los Angeles	CA	90040	8/29/2023	2026	ALTAMED HEALTH SERVICES CORPORATION	National PACE	AltaMed Health Services Corporation	National PACE		Altamed Health Services Corporation	11	Yes	Active					PACE - Nat		C	San Francisco
H0542	Chief Financial Officer	Vice President and Chief Financial Officer	Mr.	Esparza	Jose		1-323-889-7320					jesparza@altamed.org	2040 Camfield Ave		Los Angeles	CA	90040	3/2/2017	2026	ALTAMED HEALTH SERVICES CORPORATION	National PACE	AltaMed Health Services Corporation	National PACE		Altamed Health Services Corporation	11	Yes	Active					PACE - Nat		C	San Francisco
H0542	CMS Casework Communication Contact	"Director, Data Operations - PACE"		Fajardo	Lucia		1-323-384-8394					lfajardo@altamed.org	2040 Camfield Ave		Los Angeles	CA	90040	2/16/2022	2026	ALTAMED HEALTH SERVICES CORPORATION	National PACE	AltaMed Health Services Corporation	National PACE		Altamed Health Services Corporation	11	Yes	Active					PACE - Nat		C	San Francisco
H0542	Coordination of Benefits Contact	"SVP, Chief Medical Officer PACE"	Dr.	Casillas	Esiquio	G	1-866-466-9722					ECasillas@altamed.org	2040 Camfield Ave		Los Angeles	CA	90040	8/13/2021	2026	ALTAMED HEALTH SERVICES CORPORATION	National PACE	AltaMed Health Services Corporation	National PACE		Altamed Health Services Corporation	11	Yes	Active					PACE - Nat		C	San Francisco
H0542	Customer Service Operations Contact	Senior VP and Chief Operating Officer - PACE	Mrs.	Garg	Joyita		1-323-558-7750					jogarg@altamed.org	2040 Camfield Ave		Los Angeles	CA	90040	8/29/2023	2026	ALTAMED HEALTH SERVICES CORPORATION	National PACE	AltaMed Health Services Corporation	National PACE		Altamed Health Services Corporation	11	Yes	Active					PACE - Nat		C	San Francisco
H0542	Government Relations Contact	Senior VP and Chief Operating Officer - PACE	Mrs.	Garg	Joyita		1-323-558-7750					jogarg@altamed.org	2040 Camfield Ave		Los Angeles	CA	90040	8/29/2023	2026	ALTAMED HEALTH SERVICES CORPORATION	National PACE	AltaMed Health Services Corporation	National PACE		Altamed Health Services Corporation	11	Yes	Active					PACE - Nat		C	San Francisco
H0542	Medicare Compliance Officer	SVP and Chief Compliance Officer	Mr.	Jackson	Jerry		1-323-889-7383				1-323-889-7803	jejackson@altamed.org	2040 Camfield Ave		Los Angeles	CA	90040	10/4/2023	2026	ALTAMED HEALTH SERVICES CORPORATION	National PACE	AltaMed Health Services Corporation	National PACE		Altamed Health Services Corporation	11	Yes	Active					PACE - Nat		C	San Francisco
H0542	Part D Exceptions Contact	"Director, Data Operations - PACE"		Fajardo	Lucia							lfajardo@altamed.org	2040 Camfield Ave		Los Angeles	CA	90040	3/18/2024	2026	ALTAMED HEALTH SERVICES CORPORATION	National PACE	AltaMed Health Services Corporation	National PACE		Altamed Health Services Corporation	11	Yes	Active	1-323-384-8394				PACE - Nat		C	San Francisco
H0542	Pharmacy Network Management Contact	"VP, Pharmacy"		Lloyd	Genevieve		1-323-558-7666					glloyd@altamed.org	2040 Camfield Avenue		Los Angeles	CA	90040	10/4/2023	2026	ALTAMED HEALTH SERVICES CORPORATION	National PACE	AltaMed Health Services Corporation	National PACE		Altamed Health Services Corporation	11	Yes	Active					PACE - Nat		C	San Francisco
H0542	Pharmacy Technical Help Desk Contact	"Manager, Clinical Pharmacy - PACE"	Dr.	Bravo	Juan						1-213-217-5397	Jbravo@altamed.org	2040 Camfield Avenue		Los Angeles	CA	90040	2/22/2022	2026	ALTAMED HEALTH SERVICES CORPORATION	National PACE	AltaMed Health Services Corporation	National PACE		Altamed Health Services Corporation	11	Yes	Active	1-323-204-7202				PACE - Nat		C	San Francisco
H0542	Plan to Plan Reconciliation Contact	"Director, Budgets & Planning"	Mr.	Hamamoto	Jeffrey		1-323-889-7354				1-323-889-7398	jhamamoto@altamed.org	2040 Camfield Ave		Los Angeles	CA	90040	3/13/2019	2026	ALTAMED HEALTH SERVICES CORPORATION	National PACE	AltaMed Health Services Corporation	National PACE		Altamed Health Services Corporation	11	Yes	Active					PACE - Nat		C	San Francisco
H0543	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	UHC OF CALIFORNIA	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0543	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	UHC OF CALIFORNIA	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0543	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	UHC OF CALIFORNIA	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0543	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	UHC OF CALIFORNIA	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0543	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	UHC OF CALIFORNIA	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0543	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UHC OF CALIFORNIA	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0543	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	UHC OF CALIFORNIA	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0543	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	UHC OF CALIFORNIA	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0543	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	UHC OF CALIFORNIA	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0543	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UHC OF CALIFORNIA	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H0543	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UHC OF CALIFORNIA	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0543	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UHC OF CALIFORNIA	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H0543	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	UHC OF CALIFORNIA	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0544	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/21/2025	2026	BLUE CROSS OF CALIFORNIA	Local CCP	Anthem Blue Cross	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0544	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	BLUE CROSS OF CALIFORNIA	Local CCP	Anthem Blue Cross	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0544	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/27/2025	2026	BLUE CROSS OF CALIFORNIA	Local CCP	Anthem Blue Cross	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0544	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	BLUE CROSS OF CALIFORNIA	Local CCP	Anthem Blue Cross	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0544	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	4/28/2026	2026	BLUE CROSS OF CALIFORNIA	Local CCP	Anthem Blue Cross	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0544	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	BLUE CROSS OF CALIFORNIA	Local CCP	Anthem Blue Cross	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0544	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	BLUE CROSS OF CALIFORNIA	Local CCP	Anthem Blue Cross	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0544	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	BLUE CROSS OF CALIFORNIA	Local CCP	Anthem Blue Cross	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0544	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	BLUE CROSS OF CALIFORNIA	Local CCP	Anthem Blue Cross	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0544	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	BLUE CROSS OF CALIFORNIA	Local CCP	Anthem Blue Cross	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H0544	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/25/2023	2026	BLUE CROSS OF CALIFORNIA	Local CCP	Anthem Blue Cross	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0544	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	BLUE CROSS OF CALIFORNIA	Local CCP	Anthem Blue Cross	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H0544	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	4/21/2021	2026	BLUE CROSS OF CALIFORNIA	Local CCP	Anthem Blue Cross	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0562	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	"HEALTH NET OF CALIFORNIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0562	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	"HEALTH NET OF CALIFORNIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0562	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/25/2024	2026	"HEALTH NET OF CALIFORNIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0562	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"HEALTH NET OF CALIFORNIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0562	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/28/2025	2026	"HEALTH NET OF CALIFORNIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0562	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	9/18/2024	2026	"HEALTH NET OF CALIFORNIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0562	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"HEALTH NET OF CALIFORNIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0562	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	"HEALTH NET OF CALIFORNIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0562	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/18/2025	2026	"HEALTH NET OF CALIFORNIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0562	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/25/2024	2026	"HEALTH NET OF CALIFORNIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H0562	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	"HEALTH NET OF CALIFORNIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0562	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	1/9/2025	2026	"HEALTH NET OF CALIFORNIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0202				HMO - Health Maintenance Organization		C	Denver
H0562	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	6/25/2024	2026	"HEALTH NET OF CALIFORNIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0571	Automated TrOOP Balance Transfer Contact	Medicare Part D Project Manager		Manosca	Nova		1-858-790-5873					partdcat@medimpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	12/11/2017	2026	CHINESE COMMUNITY HEALTH PLAN	Local CCP	CCHP (Chinese Community Health Plan)	HMO/HMOPOS		Chinese Hospital Association	56	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0571	Best Available Evidence Contact	Compliance Director		Benedict	Catherine		1-628-228-3395					catherine.benedict@cchphealthplan.com	445 Grant Ave	Suite 700	San Francisco	CA	94108	10/29/2025	2026	CHINESE COMMUNITY HEALTH PLAN	Local CCP	CCHP (Chinese Community Health Plan)	HMO/HMOPOS		Chinese Hospital Association	56	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0571	Chief Financial Officer	CFO	Mr.	Choi	Ken		1-628-228-3251					ken.choi@cchphealthplan.com	445 Grant Avenue	Suite 700	San Francisco	CA	94108	12/1/2021	2026	CHINESE COMMUNITY HEALTH PLAN	Local CCP	CCHP (Chinese Community Health Plan)	HMO/HMOPOS		Chinese Hospital Association	56	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0571	CMS Casework Communication Contact	Compliance Director	Ms.	Benedict	Catherine		1-628-228-3395					catherine.benedict@cchphealthplan.com	445 Grant Avenue	Suite 700	San Francisco	CA	94108	10/29/2025	2026	CHINESE COMMUNITY HEALTH PLAN	Local CCP	CCHP (Chinese Community Health Plan)	HMO/HMOPOS		Chinese Hospital Association	56	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0571	Coordination of Benefits Contact	Eligbility and Enrollment Supervisor		Leung	Kenneth		1-628-228-3268					kenneth.leung@cchphealthplan.com	445 Grant Ave Suite 700		San Francisco	CA	94102	1/27/2018	2026	CHINESE COMMUNITY HEALTH PLAN	Local CCP	CCHP (Chinese Community Health Plan)	HMO/HMOPOS		Chinese Hospital Association	56	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0571	Customer Service Operations Contact	Member Services Manager	Ms.	Soder	Sonya		1-628-228-3306				1-415-397-2129	Sonya.Soder@CCHPHEALTHPLAN.COM	445 Grant Ave. Suite 700		San Francisco	CA	94108	3/18/2020	2026	CHINESE COMMUNITY HEALTH PLAN	Local CCP	CCHP (Chinese Community Health Plan)	HMO/HMOPOS		Chinese Hospital Association	56	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0571	Government Relations Contact	Compliance Director		Benedict	Catherine		1-628-228-3395					catherine.benedict@cchphealthplan.com	445 Grant Avenue	Suite 700	San Francisco	CA	94108	10/29/2025	2026	CHINESE COMMUNITY HEALTH PLAN	Local CCP	CCHP (Chinese Community Health Plan)	HMO/HMOPOS		Chinese Hospital Association	56	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0571	Hospice Contact	Chief Medical Officer	Dr.	Pretzlaff	Robert		1-628-228-3273					robertp@chasf.org	445 Grant Ave Suite 700		San Francisco	CA	94108	12/16/2025	2026	CHINESE COMMUNITY HEALTH PLAN	Local CCP	CCHP (Chinese Community Health Plan)	HMO/HMOPOS		Chinese Hospital Association	56	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0571	Medicare Compliance Officer	Compliance Officer/Director of Compliance	Ms.	Benedict	Catherine		1-628-228-3395					catherine.benedict@cchphealthplan.com	445 Grant Avenue	Suite 700	San Francisco	CA	94108	3/17/2025	2026	CHINESE COMMUNITY HEALTH PLAN	Local CCP	CCHP (Chinese Community Health Plan)	HMO/HMOPOS		Chinese Hospital Association	56	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0571	Part D Exceptions Contact	Dir PA Clinical Programs		McGurran	Shawn							shawn.mcgurran@medimpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	12/11/2017	2026	CHINESE COMMUNITY HEALTH PLAN	Local CCP	CCHP (Chinese Community Health Plan)	HMO/HMOPOS		Chinese Hospital Association	56	Yes	Active	1-858-790-6682				HMO - Health Maintenance Organization		C	Boston
H0571	Pharmacy Network Management Contact	"Manager, PNS & Claims Operations"		Burke	Sharon		1-858-790-7148					sharon.burke@medimpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	12/11/2017	2026	CHINESE COMMUNITY HEALTH PLAN	Local CCP	CCHP (Chinese Community Health Plan)	HMO/HMOPOS		Chinese Hospital Association	56	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0571	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"		Brewer	Kathy							customerservice@medimpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	1/2/2020	2026	CHINESE COMMUNITY HEALTH PLAN	Local CCP	CCHP (Chinese Community Health Plan)	HMO/HMOPOS		Chinese Hospital Association	56	Yes	Active	1-844-863-0357				HMO - Health Maintenance Organization		C	Boston
H0571	Plan to Plan Reconciliation Contact	CFO	Mr.	Choi	Ken		1-628-228-3251					Ken.Choi@cchphealthplan.com	"445 Grant Avenue, suite 700"	Suite 700	San Francisco	CA	94108	12/1/2021	2026	CHINESE COMMUNITY HEALTH PLAN	Local CCP	CCHP (Chinese Community Health Plan)	HMO/HMOPOS		Chinese Hospital Association	56	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0609	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0609	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0609	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0609	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0609	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0609	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0609	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0609	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0609	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0609	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H0609	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0609	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H0609	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0613	Automated TrOOP Balance Transfer Contact	Medicare Compliance Manager		Brown	Lauren		1-720-974-6031				1-303-996-1600	lbrown2@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	7/27/2023	2026	"TOTAL LONGTERM CARE, INC."	National PACE	InnovAge Colorado PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H0613	Best Available Evidence Contact	Director of Finance	Ms.	Hewitt	Jessica		1-720-974-6767					jhewitt@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	5/19/2025	2026	"TOTAL LONGTERM CARE, INC."	National PACE	InnovAge Colorado PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H0613	Chief Financial Officer	CFO	Mr.	Adams	Ben		1-917-842-3099				1-303-996-1600	badams@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"TOTAL LONGTERM CARE, INC."	National PACE	InnovAge Colorado PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H0613	CMS Casework Communication Contact	Director of Compliance		Griego	Stephen		1-720-814-8316				1-303-996-1600	sgriego@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	5/19/2025	2026	"TOTAL LONGTERM CARE, INC."	National PACE	InnovAge Colorado PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H0613	Coordination of Benefits Contact	Medicare Compliance Manager		Brown	Lauren		1-720-974-6031				1-303-996-1600	lbrown2@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"TOTAL LONGTERM CARE, INC."	National PACE	InnovAge Colorado PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H0613	Customer Service Operations Contact	Director of Compliance		Griego	Stephen		1-720-814-8316				1-303-996-1600	sgriego@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	5/19/2025	2026	"TOTAL LONGTERM CARE, INC."	National PACE	InnovAge Colorado PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H0613	Government Relations Contact	"SVP, External Affairs"		Nelson	Don		1-608-217-5110					dnelson3@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	12/5/2025	2026	"TOTAL LONGTERM CARE, INC."	National PACE	InnovAge Colorado PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H0613	Medicare Compliance Officer	VP of Compliance	Ms.	Teter	Lezlie	A	1-720-682-9848				1-303-996-1600	lteter@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	4/24/2026	2026	"TOTAL LONGTERM CARE, INC."	National PACE	InnovAge Colorado PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H0613	Part D Exceptions Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael						1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"TOTAL LONGTERM CARE, INC."	National PACE	InnovAge Colorado PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active	1-720-666-3817				PACE - Nat		C	Dallas
H0613	Pharmacy Network Management Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael		1-720-666-3817				1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"TOTAL LONGTERM CARE, INC."	National PACE	InnovAge Colorado PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H0613	Pharmacy Technical Help Desk Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael						1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"TOTAL LONGTERM CARE, INC."	National PACE	InnovAge Colorado PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active	1-720-666-3817				PACE - Nat		C	Dallas
H0613	Plan to Plan Reconciliation Contact	Financial and Compliance Analyst		Kizewski	Alex		1-720-789-6171				1-720-917-3390	AKizewski@innovage.com	8950 East Lowry Blvd		Denver	CO	80230	12/28/2023	2026	"TOTAL LONGTERM CARE, INC."	National PACE	InnovAge Colorado PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H0624	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0624	Best Available Evidence Contact	"Manager, Enrollment & Eligibility"		Asselin	Krista		1-763-361-1104					krista_asselin@uhc.com	PO Box 9472		Minneapolis	MN	55440	11/14/2025	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0624	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/13/2025	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0624	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0624	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0624	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0624	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0624	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0624	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0624	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H0624	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0624	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H0624	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0628	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	AETNA HEALTH OF OHIO INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0628	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	AETNA HEALTH OF OHIO INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0628	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA HEALTH OF OHIO INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0628	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	AETNA HEALTH OF OHIO INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0628	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	AETNA HEALTH OF OHIO INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0628	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	AETNA HEALTH OF OHIO INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0628	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA HEALTH OF OHIO INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0628	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	AETNA HEALTH OF OHIO INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0628	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	AETNA HEALTH OF OHIO INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0628	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	AETNA HEALTH OF OHIO INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H0628	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA HEALTH OF OHIO INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0628	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	AETNA HEALTH OF OHIO INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H0628	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA HEALTH OF OHIO INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H0629	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	4/22/2026	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0629	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/5/2025	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0629	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	1/16/2026	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0629	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	2/5/2025	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0629	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/12/2026	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0629	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	2/5/2025	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0629	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	2/5/2025	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0629	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/5/2025	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0629	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	2/5/2025	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0629	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	2/5/2025	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H0629	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	2/5/2025	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0629	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/5/2025	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H0629	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	2/5/2025	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0630	Automated TrOOP Balance Transfer Contact	"Project Manager III, Pharmacy Benefit Mgmt"		Perez	Elizabeth	R	1-562-367-0592					Elizabeth.R.Perez@kp.org	12254 Bellflower Blvd.		Downey	CA	90242	8/2/2018	2026	KAISER FOUNDATION HP OF CO	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0630	Best Available Evidence Contact	"Senior Team Manager, Medicare Membership Admin."		Salcido	Adam		1-858-829-3521					CSC-SD-Hospice-BAE@kp.org	3840 Murphy Canyon Rd.		San Diego	CA	92123	4/24/2023	2026	KAISER FOUNDATION HP OF CO	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0630	Chief Financial Officer	"SVP, CFO National Medicare Finance"	Mr.	Stewart	Mark		1-401-284-8679					Mark.C1.Stewart@kp.org	1 Kaiser Plaza	c/o Kaiser Foundation Health Plan	Oakland	CA	94612	12/16/2024	2026	KAISER FOUNDATION HP OF CO	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0630	CMS Casework Communication Contact	Medicare Compliance Lead	Ms.	Cooper	Lynn	M	1-720-527-9215					lynn.m.cooper@kp.org	10350 East Dakota Ave.		Denver	CO	80247	1/21/2022	2026	KAISER FOUNDATION HP OF CO	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0630	Coordination of Benefits Contact	Senior Director		Chung	Clarence		1-562-390-9293				1-562-658-3866	clarence.j.chung@kp.org	"12254 Bellflower Blvd - Suite 106, 1st Floor"		Downey	CA	90242	4/28/2022	2026	KAISER FOUNDATION HP OF CO	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0630	Customer Service Operations Contact	"Ex Director, Member Services Contact Centers, Denv"		Martin	Norman	K	1-303-912-4673					NK.Martin@kp.org	"7901 East Lowry Blvd, Ste 150 and 400"		Denver	CO	80230	1/21/2022	2026	KAISER FOUNDATION HP OF CO	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0630	Government Relations Contact	"Senior Vice President, Government Relations"		Barrueta	Anthony	A	1-510-271-6835					Anthony.Barrueta@kp.org	One Kaiser Plaza		Oakland	CA	94612	11/16/2017	2026	KAISER FOUNDATION HP OF CO	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0630	Hospice Contact	"Senior Team Manager, Medicare Membership Admin."		Salcido	Adam		1-858-829-3521					CSC-SD-Hospice-BAE@kp.org	3840 Murphy Canyon Rd.		San Diego	CA	92123	4/24/2023	2026	KAISER FOUNDATION HP OF CO	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0630	Medicare Compliance Officer	Medicare Compliance Lead	Ms.	Cooper	Lynn	M	1-720-527-9215					lynn.m.cooper@kp.org	10350 East Dakota Ave.		Denver	CO	80247	1/21/2022	2026	KAISER FOUNDATION HP OF CO	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0630	Part D Exceptions Contact	Supervisor Program Management		Ramos	Blanca							blanca.a.ramos@kp.org	12254 Bellflower Blvd		Downey	CA	90242	12/6/2024	2026	KAISER FOUNDATION HP OF CO	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active	1-562-370-3382				HMO - Health Maintenance Organization		C	Dallas
H0630	Pharmacy Network Management Contact	Chief Pharmacist		Reed	Leah		1-303-739-3623					leah.k.reed@kp.org	16601 E. Centretech Parkway		Aurora	CO	80011	12/4/2024	2026	KAISER FOUNDATION HP OF CO	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0630	Pharmacy Technical Help Desk Contact	Customer Care Center		OptumRx	PBM								755 Research Parkway Suite 160		Oklahoma City	OK	73104	11/2/2016	2026	KAISER FOUNDATION HP OF CO	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active	1-888-791-7255				HMO - Health Maintenance Organization		C	Dallas
H0630	Plan to Plan Reconciliation Contact	"Interim Director, Medicare Accounting"		Wright	Mark	A	1-925-323-9443					mark.a.wright@kp.org	"1 Kaiser Plaza, 25th Floor"		Oakland	CA	94612	1/20/2023	2026	KAISER FOUNDATION HP OF CO	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0672	Automated TrOOP Balance Transfer Contact	Operations Advisor	Ms.	Fertig	Nancy	J	1-860-902-4553					nancy_fertig@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING HEALTHCARE OF COLORADO, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0672	Best Available Evidence Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING HEALTHCARE OF COLORADO, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0672	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	Health Care Service Corporation	300 East Randolph St	Chicago	IL	60601	5/26/2026	2026	"HEALTHSPRING HEALTHCARE OF COLORADO, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0672	CMS Casework Communication Contact	Customer Service Manager	Ms.	McCarroll	Angie		1-615-235-0177					angie_mccarroll@hcsc.com	3700 O'Donnell Street		Baltimore	MD	21224	5/26/2026	2026	"HEALTHSPRING HEALTHCARE OF COLORADO, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0672	Coordination of Benefits Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING HEALTHCARE OF COLORADO, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0672	Customer Service Operations Contact	VP of Customer Service	Mr.	Akovenko	Josh		1-615-695-8916				1-000-000-0000	josh_akovenko@hcsc.com	Health Care Service Corporation	500 Great Circle Rd	Nashville	IL	60601	5/26/2026	2026	"HEALTHSPRING HEALTHCARE OF COLORADO, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0672	Government Relations Contact	Executive Director - Health Policy	Ms.	DuGoff	Eva		1-202-249-7208				1-000-000-0000	eva_dugoff@hcsc.net	Health Care Service Corporation	1001 Pennsylvania NW	Washington	DC	20004	5/26/2026	2026	"HEALTHSPRING HEALTHCARE OF COLORADO, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0672	Hospice Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING HEALTHCARE OF COLORADO, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0672	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	5/26/2026	2026	"HEALTHSPRING HEALTHCARE OF COLORADO, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0672	Part D Exceptions Contact	Operations Senior Manager	Mr.	Erkens	Ron							ron_erkens@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING HEALTHCARE OF COLORADO, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-602-317-1992				HMO - Health Maintenance Organization		C	New York
H0672	Pharmacy Network Management Contact	Provider Contracting Sr Manager	Ms.	Bourdier	Maryanne		1-860-338-9867					maryanne_bourdier@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING HEALTHCARE OF COLORADO, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0672	Pharmacy Technical Help Desk Contact			Scripts	Express								Health Care Services Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING HEALTHCARE OF COLORADO, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	New York
H0672	Plan to Plan Reconciliation Contact		Ms.	Thomas	Andrea	F	1-629-317-9367				1-615-291-7025	P2P@healthspring.com	P.O. Box 11407	Dept#8277	Birmingham	AL	35246	5/26/2026	2026	"HEALTHSPRING HEALTHCARE OF COLORADO, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H0710	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0710	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0710	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0710	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0710	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0710	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0710	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0710	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0710	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0710	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				PPO - BBA		C	Boston
H0710	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0710	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				PPO - BBA		C	Boston
H0710	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0712	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"WELLCARE OF CONNECTICUT, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0712	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"WELLCARE OF CONNECTICUT, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0712	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/20/2024	2026	"WELLCARE OF CONNECTICUT, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0712	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"WELLCARE OF CONNECTICUT, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0712	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/28/2025	2026	"WELLCARE OF CONNECTICUT, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0712	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/18/2024	2026	"WELLCARE OF CONNECTICUT, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0712	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"WELLCARE OF CONNECTICUT, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0712	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"WELLCARE OF CONNECTICUT, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0712	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/18/2025	2026	"WELLCARE OF CONNECTICUT, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0712	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/20/2024	2026	"WELLCARE OF CONNECTICUT, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H0712	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	"WELLCARE OF CONNECTICUT, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0712	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/17/2024	2026	"WELLCARE OF CONNECTICUT, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0408				HMO - Health Maintenance Organization		C	Denver
H0712	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	6/20/2024	2026	"WELLCARE OF CONNECTICUT, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0724	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	"BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0724	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	"BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0724	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/25/2024	2026	"BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0724	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0724	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/28/2025	2026	"BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0724	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	9/18/2024	2026	"BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0724	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0724	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	"BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0724	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/18/2025	2026	"BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0724	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/25/2024	2026	"BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H0724	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	"BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0724	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	1/9/2025	2026	"BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0202				HMO - Health Maintenance Organization		C	Denver
H0724	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	6/25/2024	2026	"BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0725	Automated TrOOP Balance Transfer Contact	VP of TPA Operations		Allen	Kim		1-501-690-2985					kallen@accesshealthservices.com	500 President Clinton Ave.	Suite Suite 200-A	Little Rock	AR	72201	6/14/2024	2026	"WELLQUEST RIVER VALLEY, LLC"	National PACE	WellQuest River Valley	National PACE		"WellQuest River Valley, LLC"	855	Yes	Active					PACE - Nat		C	New York
H0725	Best Available Evidence Contact	Member Service Manager		Campbell	Brittany		1-501-255-0873				1-866-705-3652	brittanyc@accesshealthservices.com	500 President Clinton Ave.	Suite Suite 200-A	Little Rock	AR	72201	7/22/2025	2026	"WELLQUEST RIVER VALLEY, LLC"	National PACE	WellQuest River Valley	National PACE		"WellQuest River Valley, LLC"	855	Yes	Active					PACE - Nat		C	New York
H0725	Chief Financial Officer	CFO of Ancillary Services	Mr.	Reaper	Joshua	D	1-501-358-4758					jreaper@accesshealthservices.com	500 President Clinton Ave.	Suite Suite 200-A	Little Rock	AR	72201	2/20/2025	2026	"WELLQUEST RIVER VALLEY, LLC"	National PACE	WellQuest River Valley	National PACE		"WellQuest River Valley, LLC"	855	Yes	Active					PACE - Nat		C	New York
H0725	CMS Casework Communication Contact	Medicare Compliance Officer		Morgan	Tara		1-501-944-2642				1-501-372-1932	tmorgan@superiorselectinc.com	500 President Clinton Ave.	Suite Suite 200-C	Little Rock	AR	72201	6/14/2024	2026	"WELLQUEST RIVER VALLEY, LLC"	National PACE	WellQuest River Valley	National PACE		"WellQuest River Valley, LLC"	855	Yes	Active					PACE - Nat		C	New York
H0725	Coordination of Benefits Contact	VP of TPA Operations		Allen	Kim		1-501-690-2985					kallen@accesshealthservices.com	500 President Clinton Ave.	Suite Suite 200-A	Little Rock	AR	72201	6/14/2024	2026	"WELLQUEST RIVER VALLEY, LLC"	National PACE	WellQuest River Valley	National PACE		"WellQuest River Valley, LLC"	855	Yes	Active					PACE - Nat		C	New York
H0725	Customer Service Operations Contact	Member Service Manager		Campbell	Brittany		1-501-255-0873				1-866-705-3652	brittanyc@accesshealthservices.com	500 President Clinton Ave.	Suite 200-A	Little Rock	AR	72201	7/22/2025	2026	"WELLQUEST RIVER VALLEY, LLC"	National PACE	WellQuest River Valley	National PACE		"WellQuest River Valley, LLC"	855	Yes	Active					PACE - Nat		C	New York
H0725	Government Relations Contact	Medicare Compliance Officer		Morgan	Tara		1-501-944-2642				1-501-372-1932	tmorgan@superiorselectinc.com	500 President Clinton Ave.	Suite Suite 200-A	Little Rock	AR	72201	6/14/2024	2026	"WELLQUEST RIVER VALLEY, LLC"	National PACE	WellQuest River Valley	National PACE		"WellQuest River Valley, LLC"	855	Yes	Active					PACE - Nat		C	New York
H0725	Medicare Compliance Officer	Medicare Compliance Officer	Mrs.	Morgan	Tara		1-501-944-2642				1-501-372-1932	tmorgan@superiorselectinc.com	500 President Clinton Ave.	Suite 600	Little Rock	AR	72201	6/14/2024	2026	"WELLQUEST RIVER VALLEY, LLC"	National PACE	WellQuest River Valley	National PACE		"WellQuest River Valley, LLC"	855	Yes	Active					PACE - Nat		C	New York
H0725	Part D Exceptions Contact	Clinical Pharmacist		Stephenson	Sarah							sstephenson@superiorselectinc.com	500 President Clinton Ave.	Suite Suite 200-A	Little Rock	AR	72201	6/14/2024	2026	"WELLQUEST RIVER VALLEY, LLC"	National PACE	WellQuest River Valley	National PACE		"WellQuest River Valley, LLC"	855	Yes	Active	1-501-621-1503				PACE - Nat		C	New York
H0725	Pharmacy Network Management Contact	Dir. Pharmacy Network Administration		Hunt	Brian		1-858-790-7092				1-330-405-8094	Brian.Hunt@MedImpact.com	7835 Freedom Avenue NW North	Suite 201	Canton	OH	44720	6/21/2024	2026	"WELLQUEST RIVER VALLEY, LLC"	National PACE	WellQuest River Valley	National PACE		"WellQuest River Valley, LLC"	855	Yes	Active					PACE - Nat		C	New York
H0725	Pharmacy Technical Help Desk Contact	Dir. Customer Contact Services		Brewer	Kathy							Customerservice@Medimpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	3/10/2026	2026	"WELLQUEST RIVER VALLEY, LLC"	National PACE	WellQuest River Valley	National PACE		"WellQuest River Valley, LLC"	855	Yes	Active	1-888-266-7477				PACE - Nat		C	New York
H0725	Plan to Plan Reconciliation Contact	CFO of Ancillary Services		Reaper	Joshua	D	1-501-358-4758					jreaper@accesshealthservices.com	500 President Clinton Ave.	Suite Suite 200-A	Little Rock	AR	72201	2/20/2025	2026	"WELLQUEST RIVER VALLEY, LLC"	National PACE	WellQuest River Valley	National PACE		"WellQuest River Valley, LLC"	855	Yes	Active					PACE - Nat		C	New York
H0738	Automated TrOOP Balance Transfer Contact	Director of Data and Tech Services		Cuchel	Eric		1-215-937-4161					ecuchel@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	5/22/2026	2026	"AmeriHealth Caritas VIP Next, Inc."	Local CCP	AmeriHealth Caritas VIP Care (HMO-D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0738	Best Available Evidence Contact	Medicare Enrollment Manager	Ms.	Mullins	Naketa		1-484-497-1171					nmullins@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	200 Stevens Drive	Philadelphia	PA	19113	5/22/2026	2026	"AmeriHealth Caritas VIP Next, Inc."	Local CCP	AmeriHealth Caritas VIP Care (HMO-D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0738	Chief Financial Officer	"EVP, CFO & Treasurer"	Mr.	Lopez	Juan		1-609-405-0539					Juan.Lopez@ibx.com	"1901 Market Street, 39th floor"		Philadelphia	PA	19103	5/22/2026	2026	"AmeriHealth Caritas VIP Next, Inc."	Local CCP	AmeriHealth Caritas VIP Care (HMO-D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0738	CMS Casework Communication Contact	Director Medicare Appeals and Grievances	Ms.	Lopez	Yismell		1-215-863-5677					yelopez@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	200 Stevens Drive	Philadelphia	PA	19113	5/22/2026	2026	"AmeriHealth Caritas VIP Next, Inc."	Local CCP	AmeriHealth Caritas VIP Care (HMO-D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0738	Coordination of Benefits Contact	"Manager,  Medicare Regulatory Performance"	Ms.	Williams	Kathy		1-843-830-0812					kwilliams@firstchoicevipcareplus.com	Amerihealth Caritas Family of Companies	"4390 Belle Oak Dr, Suite 400"	Charleston	SC	29405	5/22/2026	2026	"AmeriHealth Caritas VIP Next, Inc."	Local CCP	AmeriHealth Caritas VIP Care (HMO-D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0738	Customer Service Operations Contact	"Director, Medicare Customer Service"	Ms.	Veras	Helen		1-267-298-1794					hveras@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	200 Stevens Dr.	Philadelphia	PA	19113	5/22/2026	2026	"AmeriHealth Caritas VIP Next, Inc."	Local CCP	AmeriHealth Caritas VIP Care (HMO-D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0738	Government Relations Contact	"VP, Public Policy"	Mr.	Cozzo	Steven		1-215-937-8236					scozzo@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	3875 West Chester Pike	Newtown Square	PA	19073	5/22/2026	2026	"AmeriHealth Caritas VIP Next, Inc."	Local CCP	AmeriHealth Caritas VIP Care (HMO-D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0738	Hospice Contact	Dir Member Services	Ms.	Veras	Helen		1-833-852-4433					hveras@amerihealthcaritas.com	AmeriHealth Caritas	3875 West Chester Pike	Newtown Square	PA	19073	5/22/2026	2026	"AmeriHealth Caritas VIP Next, Inc."	Local CCP	AmeriHealth Caritas VIP Care (HMO-D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0738	Medicare Compliance Officer	Medicare Compliance Officer	Ms	Dupre	Colleen		1-203-506-8413					cdupre@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	3875 West Chester Pike	Newtown Square	PA	19073	5/22/2026	2026	"AmeriHealth Caritas VIP Next, Inc."	Local CCP	AmeriHealth Caritas VIP Care (HMO-D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0738	Part D Exceptions Contact	"Director, Pharmacy Utilization Management"		Bonko	Gerald						1-215-863-5100	gbonko@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	5/22/2026	2026	"AmeriHealth Caritas VIP Next, Inc."	Local CCP	AmeriHealth Caritas VIP Care (HMO-D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active	1-215-863-6483				HMO - Health Maintenance Organization		C	Chicago
H0738	Pharmacy Network Management Contact	Director Pharmacy Network Operations		Patel	Disha		1-215-863-5276					dpatel5@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	5/22/2026	2026	"AmeriHealth Caritas VIP Next, Inc."	Local CCP	AmeriHealth Caritas VIP Care (HMO-D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0738	Pharmacy Technical Help Desk Contact	"Manager, Call Center"		Vargas	Crystal							cvargas@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	5/22/2026	2026	"AmeriHealth Caritas VIP Next, Inc."	Local CCP	AmeriHealth Caritas VIP Care (HMO-D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active	1-800-555-5690				HMO - Health Maintenance Organization		C	Chicago
H0738	Plan to Plan Reconciliation Contact	Finance Manager	Ms	Zeleneva	Zhanna		1-312-543-9113					zzeleneva@amerihealthcaritas.com	Amerihealth Caritas Family of Companies	3875 West Chester Pike	Newton Square	PA	19073	5/22/2026	2026	"AmeriHealth Caritas VIP Next, Inc."	Local CCP	AmeriHealth Caritas VIP Care (HMO-D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0755	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0755	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0755	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0755	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0755	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0755	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0755	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0755	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0755	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0755	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H0755	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0755	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H0755	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0764	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0764	Best Available Evidence Contact	"Manager, Enrollment & Eligibility"		Asselin	Krista		1-763-361-1104					krista_asselin@uhc.com	PO Box 9472		Minneapolis	MN	55440	11/14/2025	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0764	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/13/2025	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0764	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0764	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0764	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0764	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0764	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0764	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0764	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				PPO - BBA		C	Boston
H0764	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0764	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				PPO - BBA		C	Boston
H0764	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H0777	Automated TrOOP Balance Transfer Contact	"Vice President, Business Operations"		Malvo	Donovan		1-857-282-3015					dmalvo@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/13/2025	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0777	Best Available Evidence Contact	"Director, Enrollment"		Merrill	Benjamin		1-857-282-2831					bmerrill2@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/13/2025	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0777	Chief Financial Officer	Chief Financial Officer	Ms	Silva	Lucy		1-857-282-6595					lsilva16@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/13/2025	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0777	CMS Casework Communication Contact	"Director, Appeals and Grievances"		Swasey	Andrea		1-800-433-5556	1005				aswasey@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/13/2025	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0777	Coordination of Benefits Contact	"Manager, Recoveries"		Ryan	Cathy		1-857-282-9131					cryan17@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/13/2025	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0777	Customer Service Operations Contact	"Director, Customer Services"		Armstrong	Carolyn		1-413-427-0087					carmstrong6@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/13/2025	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0777	Government Relations Contact	"Director, Government Affairs"		Sullivan	John		1-857-282-3376					jsullivan77@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/13/2025	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0777	Hospice Contact	"Director, Pharmacy"		Gallagher	Angela		1-857-282-2493					agallagher9@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/13/2025	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0777	Medicare Compliance Officer	Medicare Compliance Officer	Ms	Trembley	Shannon		1-207-939-4468					strembley1@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/13/2025	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0777	Part D Exceptions Contact	"Manager, Prior Authorization Appeals"		Le	Christina							christina.le@optum.com	PO Box 2975		Mission	KS	66201	2/13/2025	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active	1-714-825-3783				HMO - Health Maintenance Organization		C	Boston
H0777	Pharmacy Network Management Contact	"Manager, Retail Network Operations"		Perez	Felix		1-305-331-3044					felix.perez@optum.com	11000 Optum Circle		Eden Prarie	MN	55344	2/13/2025	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0777	Pharmacy Technical Help Desk Contact	"Director, Pharmacy"		Gallagher	Angela							agallagher9@mgb.org	399 Revolution Dr		Somerville	MA	02145	12/16/2025	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active	1-844-368-8732				HMO - Health Maintenance Organization		C	Boston
H0777	Plan to Plan Reconciliation Contact	Finance Director	Ms	Umashankar	Kamini		1-860-839-3151					kumashankar@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/13/2025	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H0783	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF TEXAS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Consolidation					HMO - Health Maintenance Organization		C	Kansas City
H0783	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF TEXAS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Consolidation					HMO - Health Maintenance Organization		C	Kansas City
H0783	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF TEXAS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Consolidation					HMO - Health Maintenance Organization		C	Kansas City
H0783	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	"HUMANA BENEFIT PLAN OF TEXAS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Consolidation					HMO - Health Maintenance Organization		C	Kansas City
H0783	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF TEXAS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Consolidation					HMO - Health Maintenance Organization		C	Kansas City
H0783	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF TEXAS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Consolidation					HMO - Health Maintenance Organization		C	Kansas City
H0783	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF TEXAS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Consolidation					HMO - Health Maintenance Organization		C	Kansas City
H0783	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF TEXAS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Consolidation					HMO - Health Maintenance Organization		C	Kansas City
H0783	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF TEXAS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Consolidation					HMO - Health Maintenance Organization		C	Kansas City
H0783	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF TEXAS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Consolidation	1-859-321-9075				HMO - Health Maintenance Organization		C	Kansas City
H0783	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF TEXAS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Consolidation					HMO - Health Maintenance Organization		C	Kansas City
H0783	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	"HUMANA BENEFIT PLAN OF TEXAS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Consolidation	1-800-865-8715				HMO - Health Maintenance Organization		C	Kansas City
H0783	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	"HUMANA BENEFIT PLAN OF TEXAS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Consolidation					HMO - Health Maintenance Organization		C	Kansas City
H0809	Automated TrOOP Balance Transfer Contact	Regional Finance Director	Ms	Fuhrmeister	Nicole		1-413-827-4231					Nicole.Fuhrmeister@trinity-health.org	200 Hillside Circle		West Springfield	MA	01089	11/24/2025	2026	"MERCY LIFE, INC."	National PACE	Mercy LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H0809	Best Available Evidence Contact	Regional Finance Director	Ms	Fuhrmeister	Nicole		1-413-827-4231					Nicole.Fuhrmeister@trinity-health.org	200 Hillside Circle		West Springfield	MA	01089	11/24/2025	2026	"MERCY LIFE, INC."	National PACE	Mercy LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H0809	Chief Financial Officer	Regional Finance Director	Ms	Fuhrmeister	Nicole		1-413-827-4231					Nicole.Fuhrmeister@trinity-health.org	200 Hillside Circle		West Springfield	MA	01089	11/24/2025	2026	"MERCY LIFE, INC."	National PACE	Mercy LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H0809	CMS Casework Communication Contact	Executive Director	Ms	Szymczyk	Dawn		1-413-827-4231				1-413-493-2024	Dawn.Szymczyk@trinity-health.org	200 Hillside Circle	Suite 1	West Springfield	MA	01089	11/24/2025	2026	"MERCY LIFE, INC."	National PACE	Mercy LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H0809	Coordination of Benefits Contact	Regional Finance Director	Ms	Fuhrmeister	Nicole		1-413-827-4231					Nicole.Fuhrmeister@trinity-health.org	200 Hillside Circle		West Springfield	MA	01089	11/24/2025	2026	"MERCY LIFE, INC."	National PACE	Mercy LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H0809	Customer Service Operations Contact	Executive Director	Ms	Szymczyk	Dawn		1-413-827-4231				1-413-493-2024	Dawn.Szymczyk@trinity-health.org	200 Hillside Circle	Suite 1	West Springfield	MA	01089	11/24/2025	2026	"MERCY LIFE, INC."	National PACE	Mercy LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H0809	Government Relations Contact	Executive Director	Ms	Szymczyk	Dawn		1-413-827-4231				1-413-493-2024	Dawn.Szymczyk@trinity-health.org	200 Hillside Circle	Suite 1	West Springfield	MA	01089	11/24/2025	2026	"MERCY LIFE, INC."	National PACE	Mercy LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H0809	Medicare Compliance Officer	National Director QI/Compliance	Ms	Watts	Christina		1-248-420-6065					wattscl@trinity-health.org	20555 Victor Parkway		Livonia	MI	48152	8/15/2023	2026	"MERCY LIFE, INC."	National PACE	Mercy LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H0809	Part D Exceptions Contact	Manager Part D Compliance	Mr	Garbarino	Joseph							Joseph.Garbarino@trinity-health.org	200 Hillside Circle	Suite 1	West Springfield	MA	01089	9/15/2023	2026	"MERCY LIFE, INC."	National PACE	Mercy LIFE	National PACE		Trinity Health Corporation	234	Yes	Active	1-215-339-4362				PACE - Nat		C	New York
H0809	Pharmacy Network Management Contact	Manager Part D Compliance	Mr	Garbarino	Joseph		1-215-339-4362				1-413-493-2024	joseph.garbarino@trinity-health.org	200 Hillside Circle	Suite 1	West Springfield	MA	01089	9/15/2023	2026	"MERCY LIFE, INC."	National PACE	Mercy LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H0809	Pharmacy Technical Help Desk Contact	Manager Part D Compliance	Mr	Garbarino	Joseph							Joseph.Garbarino@trinity-health.org	1930 South Broad Street		Philadelphia	PA	19145	9/15/2023	2026	"MERCY LIFE, INC."	National PACE	Mercy LIFE	National PACE		Trinity Health Corporation	234	Yes	Active	1-215-339-4362				PACE - Nat		C	New York
H0809	Plan to Plan Reconciliation Contact	"Regional, Director of Finance"	Ms	Fuhrmeister	Nicole		1-413-827-4231					Nicole.Fuhrmeister@trinity-health.org	200 Hillside Circle		West Springfield	MA	01089	11/24/2025	2026	"MERCY LIFE, INC."	National PACE	Mercy LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H0816	Automated TrOOP Balance Transfer Contact	Director of Pharmacy	Ms.	Schilling	Gretchen		1-605-312-2741					Gretchen.Schilling@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	1/30/2025	2026	"BESHP, INC."	Local CCP	MyAdvocate Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0816	Best Available Evidence Contact	Senior Director of Regulation and Risk	Ms.	Jansick	Aleesa		1-605-328-7182					Aleesa.Jansick@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	1/30/2025	2026	"BESHP, INC."	Local CCP	MyAdvocate Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0816	Chief Financial Officer	Chief Financial Officer	Mr.	Custis	Stephen		1-612-964-9158					Stephen.Custis@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	11/4/2025	2026	"BESHP, INC."	Local CCP	MyAdvocate Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0816	CMS Casework Communication Contact	Manager of Appeals and Grievances	Ms.	Bjorklund	Angela		1-605-312-2634					Angela.Bjorklund@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	1/30/2025	2026	"BESHP, INC."	Local CCP	MyAdvocate Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0816	Coordination of Benefits Contact	Director of Customer Service	Mr.	Ling	Ryan		1-605-312-7459					Ryan.Ling@sanfordhealth.org	4800 West 57th Street		Sioux Falls	SD	57108	1/30/2025	2026	"BESHP, INC."	Local CCP	MyAdvocate Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0816	Customer Service Operations Contact	Director of Customer Service	Mr.	Ling	Ryan		1-605-312-7459					Ryan.Ling@sanfordhealth.org	4800 West 57th Street		Sioux Falls	SD	57108	1/30/2025	2026	"BESHP, INC."	Local CCP	MyAdvocate Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0816	Government Relations Contact	Head of Government Affairs	Mr.	Wheeler	Dylan		1-605-328-7186					Dylan.Wheeler@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	1/30/2025	2026	"BESHP, INC."	Local CCP	MyAdvocate Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0816	Hospice Contact	Director of Care and Utilization Management	Ms.	Vandonslear	Barbara		1-605-328-6853					Barbara.Vandonslear@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	1/30/2025	2026	"BESHP, INC."	Local CCP	MyAdvocate Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0816	Medicare Compliance Officer	Compliance Officer	Mr.	Yeoman	Dallan		1-605-328-6806					Dallan.Yeoman@sanfordhealth.org	4800 West 57th Street		Sioux Falls	SD	57108	1/30/2025	2026	"BESHP, INC."	Local CCP	MyAdvocate Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0816	Part D Exceptions Contact	"Manager, Prior Authorization"	Ms.	Le	Christina						1-877-239-4565	rxsol_prior_auth_redirected_queue_DL@uhc.com	PO Box 2975		Mission	KS	66201	1/30/2025	2026	"BESHP, INC."	Local CCP	MyAdvocate Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active	1-888-403-3398				HMO - Health Maintenance Organization		C	Dallas
H0816	Pharmacy Network Management Contact	"Manager, Retail Network Operations"	Mr.	Perez	Felix		1-763-283-3503					Felix.Perez@optum.com	"1600 McConnor Parkway , IL 601736801"		Schaumburg	IL	60173-6801	1/30/2025	2026	"BESHP, INC."	Local CCP	MyAdvocate Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0816	Pharmacy Technical Help Desk Contact	Pharmacy Technical Help Desk	Sr.	Villanueva	Juan							juan.villanueva@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	12/23/2025	2026	"BESHP, INC."	Local CCP	MyAdvocate Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active	1-844-504-5955				HMO - Health Maintenance Organization		C	Dallas
H0816	Plan to Plan Reconciliation Contact	Director of Finance	Ms.	Harris	Debora		1-605-312-9344					Debora.Harris@sanfordhealth.org	4800 West 57th Street		Sioux Falls	SD	57108	1/30/2025	2026	"BESHP, INC."	Local CCP	MyAdvocate Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H0819	Automated TrOOP Balance Transfer Contact	Chief Financial Officer	Mr.	Dodson	David		1-814-535-6000	22102				Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/7/2026	2026	"SENIOR LIFE YORK, INC."	National PACE	Senior LIFE York	National PACE		"Senior LIFE York, Inc."	544	Yes	Active					PACE - Nat		C	Philadelphia
H0819	Best Available Evidence Contact	Chief Financial Officer	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"SENIOR LIFE YORK, INC."	National PACE	Senior LIFE York	National PACE		"Senior LIFE York, Inc."	544	Yes	Active					PACE - Nat		C	Philadelphia
H0819	Chief Financial Officer	Chief Financial Officer	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"SENIOR LIFE YORK, INC."	National PACE	Senior LIFE York	National PACE		"Senior LIFE York, Inc."	544	Yes	Active					PACE - Nat		C	Philadelphia
H0819	CMS Casework Communication Contact	Chief Executive Officer	Mr	Irwin	Mark		1-814-535-6000	22101			1-814-248-7902	Mirwin@pace-cs.com	401 Broad Street		Johnstown	PA	15906	2/23/2017	2026	"SENIOR LIFE YORK, INC."	National PACE	Senior LIFE York	National PACE		"Senior LIFE York, Inc."	544	Yes	Active					PACE - Nat		C	Philadelphia
H0819	Coordination of Benefits Contact	Chief Financial Officer	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"SENIOR LIFE YORK, INC."	National PACE	Senior LIFE York	National PACE		"Senior LIFE York, Inc."	544	Yes	Active					PACE - Nat		C	Philadelphia
H0819	Customer Service Operations Contact	Chief Executive Officer	Mr	Irwin	Mark		1-814-535-6000	22101			1-814-248-7902	Mirwin@pace-cs.com	401 Broad Street		Johnstown	PA	15906	2/23/2017	2026	"SENIOR LIFE YORK, INC."	National PACE	Senior LIFE York	National PACE		"Senior LIFE York, Inc."	544	Yes	Active					PACE - Nat		C	Philadelphia
H0819	Government Relations Contact	Chief Executive Officer	Mr	Irwin	Mark		1-814-535-6000	22101			1-814-248-7902	Mirwin@pace-cs.com	401 Broad Street		Johnstown	PA	15906	2/23/2017	2026	"SENIOR LIFE YORK, INC."	National PACE	Senior LIFE York	National PACE		"Senior LIFE York, Inc."	544	Yes	Active					PACE - Nat		C	Philadelphia
H0819	Medicare Compliance Officer	Executive Director	Ms	Mitrzyk	Susan		1-717-757-5433	20953				SMitrzyk@SeniorLifeYork.com	1500 Memory Lane Extended		York	PA	17402	4/21/2025	2026	"SENIOR LIFE YORK, INC."	National PACE	Senior LIFE York	National PACE		"Senior LIFE York, Inc."	544	Yes	Active					PACE - Nat		C	Philadelphia
H0819	Part D Exceptions Contact	Chief Financial Officer	Mr	Dodson	David						1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"SENIOR LIFE YORK, INC."	National PACE	Senior LIFE York	National PACE		"Senior LIFE York, Inc."	544	Yes	Active	1-814-535-6000	22102			PACE - Nat		C	Philadelphia
H0819	Pharmacy Network Management Contact			Rowland	Bob		1-724-275-1203	219				Browland@granerx.com	464 Nixon Road		Cheswick	PA	15024	10/3/2016	2026	"SENIOR LIFE YORK, INC."	National PACE	Senior LIFE York	National PACE		"Senior LIFE York, Inc."	544	Yes	Active					PACE - Nat		C	Philadelphia
H0819	Pharmacy Technical Help Desk Contact			Rowland	Bob							Browland@granerx.com	464 Nixon Road		Cheswick	PA	15024	10/3/2016	2026	"SENIOR LIFE YORK, INC."	National PACE	Senior LIFE York	National PACE		"Senior LIFE York, Inc."	544	Yes	Active	1-724-275-1203	219			PACE - Nat		C	Philadelphia
H0819	Plan to Plan Reconciliation Contact	Chief Financial Officer	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"SENIOR LIFE YORK, INC."	National PACE	Senior LIFE York	National PACE		"Senior LIFE York, Inc."	544	Yes	Active					PACE - Nat		C	Philadelphia
H0839	Automated TrOOP Balance Transfer Contact	AR Reimbursement Specialist		Cox	Terra		1-970-508-7737				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	4/16/2024	2026	"VOANS SENIOR COMMUNITY CARE OF NORTH CAROLINA, INC"	National PACE	Senior CommUnity Care of North Carolina	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H0839	Best Available Evidence Contact	AR Reimbursement Specialist		Cox	Terra		1-970-508-7737				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	4/16/2024	2026	"VOANS SENIOR COMMUNITY CARE OF NORTH CAROLINA, INC"	National PACE	Senior CommUnity Care of North Carolina	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H0839	Chief Financial Officer	"Regional Vice President, PACE Operations"	Mr	Nilsen	Eric		1-612-428-7858				1-952-941-0428	enilsen@voa.org	7485 Office Ridge Circle		Eden Prairie	MN	55344	4/16/2024	2026	"VOANS SENIOR COMMUNITY CARE OF NORTH CAROLINA, INC"	National PACE	Senior CommUnity Care of North Carolina	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H0839	CMS Casework Communication Contact	Quality Manager	Ms.	Porter	Amy		1-919-425-3020					aporter@voa.org	"5400 S. Miami Blvd., Ste 150"		Durham	NC	27703	8/8/2024	2026	"VOANS SENIOR COMMUNITY CARE OF NORTH CAROLINA, INC"	National PACE	Senior CommUnity Care of North Carolina	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H0839	Coordination of Benefits Contact	AR Reimbursement Specialist		Cox	Terra		1-970-964-3556				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	4/16/2024	2026	"VOANS SENIOR COMMUNITY CARE OF NORTH CAROLINA, INC"	National PACE	Senior CommUnity Care of North Carolina	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H0839	Customer Service Operations Contact	Executive Director		Venick	Jane		1-919-425-3022				1-919-425-3001	jvenick@voa.org	"5400 S. Miami Blvd. ,Ste 150"		Durham	NC	27703	10/23/2024	2026	"VOANS SENIOR COMMUNITY CARE OF NORTH CAROLINA, INC"	National PACE	Senior CommUnity Care of North Carolina	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H0839	Government Relations Contact	Executive Director		Venick	Jane		1-919-425-3022				1-919-425-3001	jvenick@voa.org	"5400 S. Miami Blvd. ,Ste 150"		Durham	NC	27703	10/23/2024	2026	"VOANS SENIOR COMMUNITY CARE OF NORTH CAROLINA, INC"	National PACE	Senior CommUnity Care of North Carolina	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H0839	Medicare Compliance Officer	Director of Quality	Ms	Peterson	Nora		1-970-964-3500				1-970-525-0166	npeterson@voa.org	2377 Robins Way		Montrose	CO	81401	4/16/2024	2026	"VOANS SENIOR COMMUNITY CARE OF NORTH CAROLINA, INC"	National PACE	Senior CommUnity Care of North Carolina	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H0839	Part D Exceptions Contact	Regulatory Compliance Coordinator		Whitney	Courtney						1-970-252-0166	cwhitney@voa.org	2377 Robins Way		Montrose	CO	81401	4/16/2024	2026	"VOANS SENIOR COMMUNITY CARE OF NORTH CAROLINA, INC"	National PACE	Senior CommUnity Care of North Carolina	National PACE		Volunteers of America National Services	367	Yes	Active	1-970-964-3500				PACE - Nat		C	Atlanta
H0839	Pharmacy Network Management Contact	Regulatory Compliance Coordinator		Whitney	Courtney		1-970-964-3500				1-970-252-0166	cwhitney@voa.org	2377 Robins Way		Montrose	CO	81401	4/16/2024	2026	"VOANS SENIOR COMMUNITY CARE OF NORTH CAROLINA, INC"	National PACE	Senior CommUnity Care of North Carolina	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H0839	Pharmacy Technical Help Desk Contact	Regulatory Compliance Coordinator		Whitney	Courtney						1-970-252-0166	cwhitney@voa.org	2377 Robins Way		Montrose	CO	81401	4/16/2024	2026	"VOANS SENIOR COMMUNITY CARE OF NORTH CAROLINA, INC"	National PACE	Senior CommUnity Care of North Carolina	National PACE		Volunteers of America National Services	367	Yes	Active	1-970-964-3500				PACE - Nat		C	Atlanta
H0839	Plan to Plan Reconciliation Contact	AR Reimbursement Specialist		Cox	Terra		1-970-508-7737				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	4/16/2024	2026	"VOANS SENIOR COMMUNITY CARE OF NORTH CAROLINA, INC"	National PACE	Senior CommUnity Care of North Carolina	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H0870	Automated TrOOP Balance Transfer Contact	Finance Representative		Lanza	Jared		1-540-313-9208					jlanza@blueridgehospice.org	2333 Valor Dr		Winchester	VA	22601	8/14/2024	2026	"BLUE RIDGE INDEPENDENCE AT HOME, INC."	National PACE	Blue Ridge Independence at Home	National PACE		"Blue Ridge Hospice, Inc."	849	Yes	Active					PACE - Nat		C	Philadelphia
H0870	Best Available Evidence Contact	Enrollment Coordinator		Butler	Amanda		1-540-313-9333					abutler@brih.org	2333 Valor Dr		Winchester	VA	22601	8/14/2024	2026	"BLUE RIDGE INDEPENDENCE AT HOME, INC."	National PACE	Blue Ridge Independence at Home	National PACE		"Blue Ridge Hospice, Inc."	849	Yes	Active					PACE - Nat		C	Philadelphia
H0870	Chief Financial Officer	CFO	Mr	Lanza	Jared		1-540-313-9200					jlanza@blueridgecare.org	160 Wincrest Drive		Winchester	VA	22602	2/3/2026	2026	"BLUE RIDGE INDEPENDENCE AT HOME, INC."	National PACE	Blue Ridge Independence at Home	National PACE		"Blue Ridge Hospice, Inc."	849	Yes	Active					PACE - Nat		C	Philadelphia
H0870	CMS Casework Communication Contact	Executive Director		Myers	SueAnn		1-540-313-9333					samyers@brih.org	2333 Valor Dr		Winchester	VA	22601	8/1/2024	2026	"BLUE RIDGE INDEPENDENCE AT HOME, INC."	National PACE	Blue Ridge Independence at Home	National PACE		"Blue Ridge Hospice, Inc."	849	Yes	Active					PACE - Nat		C	Philadelphia
H0870	Coordination of Benefits Contact	Finance Representative		Lanza	Jared		1-540-313-9208					jlanza@blueridgehospice.org	2333 Valor Dr		Winchester	VA	22601	8/14/2024	2026	"BLUE RIDGE INDEPENDENCE AT HOME, INC."	National PACE	Blue Ridge Independence at Home	National PACE		"Blue Ridge Hospice, Inc."	849	Yes	Active					PACE - Nat		C	Philadelphia
H0870	Customer Service Operations Contact	Executive Director		Myers	SueAnn		1-540-313-9333					samyers@brih.org	2333 Valor Dr		Winchester	VA	22601	8/1/2024	2026	"BLUE RIDGE INDEPENDENCE AT HOME, INC."	National PACE	Blue Ridge Independence at Home	National PACE		"Blue Ridge Hospice, Inc."	849	Yes	Active					PACE - Nat		C	Philadelphia
H0870	Government Relations Contact	Finance Representative		Lanza	Jared		1-540-313-9208					jlanza@blueridgehospice.org	2333 Valor Dr		Winchester	VA	22601	8/14/2024	2026	"BLUE RIDGE INDEPENDENCE AT HOME, INC."	National PACE	Blue Ridge Independence at Home	National PACE		"Blue Ridge Hospice, Inc."	849	Yes	Active					PACE - Nat		C	Philadelphia
H0870	Medicare Compliance Officer	Chief Compliance Officer	Ms	Dehaven	Angel		1-540-313-9333					adehaven@blueridgecare.org	2333 Valor Dr		Winchester	VA	22601	3/2/2026	2026	"BLUE RIDGE INDEPENDENCE AT HOME, INC."	National PACE	Blue Ridge Independence at Home	National PACE		"Blue Ridge Hospice, Inc."	849	Yes	Active					PACE - Nat		C	Philadelphia
H0870	Part D Exceptions Contact	Medical Director	Dr	Landrio	Julie							jlandrio@brih.org	2333 Valor Dr		Winchester	VA	22601	8/14/2024	2026	"BLUE RIDGE INDEPENDENCE AT HOME, INC."	National PACE	Blue Ridge Independence at Home	National PACE		"Blue Ridge Hospice, Inc."	849	Yes	Active	1-540-313-9333				PACE - Nat		C	Philadelphia
H0870	Pharmacy Network Management Contact	Executive Director		Myers	SueAnn		1-540-313-9333					samyers@brih.org	2333 Valor Dr		Winchester	VA	22601	8/14/2024	2026	"BLUE RIDGE INDEPENDENCE AT HOME, INC."	National PACE	Blue Ridge Independence at Home	National PACE		"Blue Ridge Hospice, Inc."	849	Yes	Active					PACE - Nat		C	Philadelphia
H0870	Pharmacy Technical Help Desk Contact	VP of Quality		DeHaven	Angel							adehaven@brih.org	2333 Valor Dr		Winchester	VA	22601	8/14/2024	2026	"BLUE RIDGE INDEPENDENCE AT HOME, INC."	National PACE	Blue Ridge Independence at Home	National PACE		"Blue Ridge Hospice, Inc."	849	Yes	Active	1-540-313-9333				PACE - Nat		C	Philadelphia
H0870	Plan to Plan Reconciliation Contact	Finance Representative		Lanza	Jared		1-540-313-9208					jlanza@blueridgehospice.org	2333 Valor Dr		Winchester	VA	22601	8/14/2024	2026	"BLUE RIDGE INDEPENDENCE AT HOME, INC."	National PACE	Blue Ridge Independence at Home	National PACE		"Blue Ridge Hospice, Inc."	849	Yes	Active					PACE - Nat		C	Philadelphia
H0885	Automated TrOOP Balance Transfer Contact	"Director, PBM Ops."	Ms.	Cain	Christina		1-612-777-6722				1-612-777-1330	EOBP2P@primetherapeutics.com	2900 Ames Crossing Rd		Eagan	MN	55121	5/27/2026	2026	HEALTHIER NEW JERSEY INSURANCE COMPANY	Local CCP	Braven Health	Local PPO		"Horizon Mutual Holdings, Inc"	126	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H0885	Best Available Evidence Contact	"Supervisor, Govt. Programs"		Achoe	Kisha		1-973-466-7328					Kisha_Achoe@horizonblue.com	3 Penn Plaza East		Newark	NJ	07105	5/27/2026	2026	HEALTHIER NEW JERSEY INSURANCE COMPANY	Local CCP	Braven Health	Local PPO		"Horizon Mutual Holdings, Inc"	126	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H0885	Chief Financial Officer	CFO	Mr.	Dalessio	James		1-609-537-2900					James_Dalessio@horizonblue.com	3 Penn Plaza East		Newark	NJ	07105	5/27/2026	2026	HEALTHIER NEW JERSEY INSURANCE COMPANY	Local CCP	Braven Health	Local PPO		"Horizon Mutual Holdings, Inc"	126	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H0885	CMS Casework Communication Contact	"Director, GP Operations"		Maramraju	Venkata		1-609-537-2113					venkata.maramraju@horizonblue.com	1700 American Boulevard		Pennington	NJ	08534	5/27/2026	2026	HEALTHIER NEW JERSEY INSURANCE COMPANY	Local CCP	Braven Health	Local PPO		"Horizon Mutual Holdings, Inc"	126	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H0885	Coordination of Benefits Contact	"Director, PBM Ops"	Ms.	Cain	Christina		1-612-777-6722				1-612-777-1330	COBMedD@primetherapeutics.com	2900 Ames Crossing Rd		Eagan	MN	55121	5/27/2026	2026	HEALTHIER NEW JERSEY INSURANCE COMPANY	Local CCP	Braven Health	Local PPO		"Horizon Mutual Holdings, Inc"	126	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H0885	Customer Service Operations Contact	"Director, Operations - GP"		Maramraju	Venkata		1-609-537-2113					venkata_maramraju@horizonblue.com	1700 American Blvd	HL-03	Pennington	NJ	08534	5/27/2026	2026	HEALTHIER NEW JERSEY INSURANCE COMPANY	Local CCP	Braven Health	Local PPO		"Horizon Mutual Holdings, Inc"	126	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H0885	Government Relations Contact	Chief Compliance Officer	Ms.	Keehn	Lisa		1-646-221-4210					lisa.keehn@bravenhealth.com	3 Penn Plaza		Newark	NJ	07105	5/27/2026	2026	HEALTHIER NEW JERSEY INSURANCE COMPANY	Local CCP	Braven Health	Local PPO		"Horizon Mutual Holdings, Inc"	126	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H0885	Hospice Contact	"Manager, Clinical Pharmacy"		Sun	Jane		1-973-466-5044					Jane_Sun@horizonblue.com	3 Penn Plaza East		Newark	NJ	07105	5/27/2026	2026	HEALTHIER NEW JERSEY INSURANCE COMPANY	Local CCP	Braven Health	Local PPO		"Horizon Mutual Holdings, Inc"	126	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H0885	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Keehn	Lisa		1-646-221-4210					lisa.keehn@bravenhealth.com	3 Penn Plaza		Newark	NJ	07105	5/27/2026	2026	HEALTHIER NEW JERSEY INSURANCE COMPANY	Local CCP	Braven Health	Local PPO		"Horizon Mutual Holdings, Inc"	126	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H0885	Part D Exceptions Contact	"Director, Reg/Audit Response"	Ms.	Davis	Megan						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	2900 Ames Crossing Rd		"Eagan,"	MN	55121	5/27/2026	2026	HEALTHIER NEW JERSEY INSURANCE COMPANY	Local CCP	Braven Health	Local PPO		"Horizon Mutual Holdings, Inc"	126	Yes	Withdrawn Contract	1-800-693-6651				PPO - BBA		C	Dallas
H0885	Pharmacy Network Management Contact	"AVP, Network Mgmt"	Ms	Conlin	Marci		1-612-777-2842					Marci.Conlin@primetherapeutics.com	2900 Ames Crossing Rd		Eagan	MN	55121	5/27/2026	2026	HEALTHIER NEW JERSEY INSURANCE COMPANY	Local CCP	Braven Health	Local PPO		"Horizon Mutual Holdings, Inc"	126	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H0885	Pharmacy Technical Help Desk Contact	"Director, Member Services"		Shultz	Bret							bret.schultz@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	5/27/2026	2026	HEALTHIER NEW JERSEY INSURANCE COMPANY	Local CCP	Braven Health	Local PPO		"Horizon Mutual Holdings, Inc"	126	Yes	Withdrawn Contract	1-855-457-0005				PPO - BBA		C	Dallas
H0885	Plan to Plan Reconciliation Contact	Pharmacy Business Admin		Cunningham	Theresa		1-973-466-7886				1-973-466-4665	theresa_cunningham@horizonblue.com	"3 Penn Plaza East, PP-12Q"		Newark	NJ	07105	5/27/2026	2026	HEALTHIER NEW JERSEY INSURANCE COMPANY	Local CCP	Braven Health	Local PPO		"Horizon Mutual Holdings, Inc"	126	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H0907	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	"WELLPOINT IOWA, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0907	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"WELLPOINT IOWA, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0907	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	"WELLPOINT IOWA, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0907	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	"WELLPOINT IOWA, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0907	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	"WELLPOINT IOWA, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0907	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	"WELLPOINT IOWA, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0907	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"WELLPOINT IOWA, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0907	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"WELLPOINT IOWA, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0907	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"WELLPOINT IOWA, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0907	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	"WELLPOINT IOWA, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H0907	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/31/2023	2026	"WELLPOINT IOWA, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0907	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	"WELLPOINT IOWA, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H0907	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/6/2021	2026	"WELLPOINT IOWA, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0908	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	"BUCKEYE COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0908	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	"BUCKEYE COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0908	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/25/2024	2026	"BUCKEYE COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0908	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"BUCKEYE COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0908	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/28/2025	2026	"BUCKEYE COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0908	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	9/18/2024	2026	"BUCKEYE COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0908	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"BUCKEYE COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0908	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	"BUCKEYE COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0908	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/18/2025	2026	"BUCKEYE COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0908	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/25/2024	2026	"BUCKEYE COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H0908	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	"BUCKEYE COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0908	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/11/2025	2026	"BUCKEYE COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-3760				HMO - Health Maintenance Organization		C	Denver
H0908	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	6/25/2024	2026	"BUCKEYE COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0913	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"WELLCARE HEALTH PLANS OF NEW JERSEY, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0913	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"WELLCARE HEALTH PLANS OF NEW JERSEY, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0913	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/20/2024	2026	"WELLCARE HEALTH PLANS OF NEW JERSEY, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0913	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"WELLCARE HEALTH PLANS OF NEW JERSEY, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0913	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/28/2025	2026	"WELLCARE HEALTH PLANS OF NEW JERSEY, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0913	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/18/2024	2026	"WELLCARE HEALTH PLANS OF NEW JERSEY, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0913	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"WELLCARE HEALTH PLANS OF NEW JERSEY, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0913	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"WELLCARE HEALTH PLANS OF NEW JERSEY, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0913	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/18/2025	2026	"WELLCARE HEALTH PLANS OF NEW JERSEY, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0913	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/20/2024	2026	"WELLCARE HEALTH PLANS OF NEW JERSEY, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H0913	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	"WELLCARE HEALTH PLANS OF NEW JERSEY, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0913	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/17/2024	2026	"WELLCARE HEALTH PLANS OF NEW JERSEY, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0408				HMO - Health Maintenance Organization		C	Denver
H0913	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	6/20/2024	2026	"WELLCARE HEALTH PLANS OF NEW JERSEY, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H0934	Automated TrOOP Balance Transfer Contact			North	Tom		1-714-878-4552					tom.north@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/23/2025	2026	"PACIFIC PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H0934	Best Available Evidence Contact			Cumpian	Terry		1-209-840-8404					terry.cumpian@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	5/28/2024	2026	"PACIFIC PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H0934	Chief Financial Officer		Ms.	George	Jennifer		1-626-379-3654					jennifer.george@welbehealth.com	440 N BARRANCA AVE #4053		Covina	CA	91723	6/30/2026	2026	"PACIFIC PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H0934	CMS Casework Communication Contact			Costigan	Bobbie		1-219-210-6392					Bobbie.Costigan@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	4/19/2023	2026	"PACIFIC PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H0934	Coordination of Benefits Contact			Holmes	Nicole		1-269-910-1107					nicole.holmes@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/23/2025	2026	"PACIFIC PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H0934	Customer Service Operations Contact			George	Jennifer		1-626-379-3654					jennifer.george@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	7/29/2025	2026	"PACIFIC PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H0934	Government Relations Contact			Lee	Elizabeth		1-714-470-6077					elizabeth.lee@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	3/5/2024	2026	"PACIFIC PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H0934	Medicare Compliance Officer		Ms.	Lee	Elizabeth		1-650-514-1390					elizabeth.lee@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	7/29/2025	2026	"PACIFIC PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H0934	Part D Exceptions Contact			Lincoln-Giang	Pam							pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	8/12/2025	2026	"PACIFIC PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active	1-650-294-8027				PACE - Nat		C	San Francisco
H0934	Pharmacy Network Management Contact			Lincoln-Giang	Pam		1-650-294-8027					pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	8/12/2025	2026	"PACIFIC PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H0934	Pharmacy Technical Help Desk Contact			Lincoln-Giang	Pam							pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	8/12/2025	2026	"PACIFIC PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active	1-650-294-8027				PACE - Nat		C	San Francisco
H0934	Plan to Plan Reconciliation Contact			Porras	Ashleigh		1-650-442-2660					p2p@welbehealth.com	440 N BARRANCA AVE #4053		COVINA	CA	91723	6/30/2026	2026	"PACIFIC PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H0963	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF MICHIGAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0963	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF MICHIGAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0963	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF MICHIGAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0963	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	"HUMANA MEDICAL PLAN OF MICHIGAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0963	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF MICHIGAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0963	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF MICHIGAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0963	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF MICHIGAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0963	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF MICHIGAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0963	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF MICHIGAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0963	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF MICHIGAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-859-321-9075				HMO - Health Maintenance Organization		C	Kansas City
H0963	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF MICHIGAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0963	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	"HUMANA MEDICAL PLAN OF MICHIGAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-800-865-8715				HMO - Health Maintenance Organization		C	Kansas City
H0963	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	"HUMANA MEDICAL PLAN OF MICHIGAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H0976	Automated TrOOP Balance Transfer Contact	Pharmacy Analyst		Banks	Marcia	D	1-562-308-1189	1189				mcurtis@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	2/6/2023	2026	SCAN HEALTH PLAN	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0976	Best Available Evidence Contact	"Director, Enrollment & Reconciliation"		Coronel	Vincent		1-562-637-1234				1-562-989-5243	vcoronel@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	2/6/2023	2026	SCAN HEALTH PLAN	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0976	Chief Financial Officer	Chief Financial Officer	Mr	Plumb	Michael		1-562-997-1589					MPlumb@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	2/6/2023	2026	SCAN HEALTH PLAN	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0976	CMS Casework Communication Contact	Sr. Director Medicare Compliance Officer		Cordova	Elizabeth		1-562-997-3131	3131			1-562-989-5120	ecordova@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	10/14/2025	2026	SCAN HEALTH PLAN	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0976	Coordination of Benefits Contact	Pharmacy Analyst		Banks	Marcia	D	1-562-308-1189	1189				mcurtis@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	2/6/2023	2026	SCAN HEALTH PLAN	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0976	Customer Service Operations Contact	"Director, (Customer) Member Services"	Ms.	McBeath	Kim		1-562-997-1805				1-562-989-5181	kmcbeath@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	2/6/2023	2026	SCAN HEALTH PLAN	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0976	Government Relations Contact	Dir Public and Govt Affairs		Guay	Tricia		1-202-617-0906					p.guay@scanhealthplan.com	"1455 Pennsylvania Avenue, NW"		Washington	DC	20004	6/17/2026	2026	SCAN HEALTH PLAN	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0976	Hospice Contact	Sr Dir Pharm & Formly Ops		Slavina	Yelena		1-562-308-2816					yslavina@scanhealthplan.com	3800 Kilroy Airport Way		Long Beach	CA	90806	8/7/2025	2026	SCAN HEALTH PLAN	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0976	Medicare Compliance Officer	Sr. Director Medicare Compliance Officer	Ms.	Cordova	Elizabeth		1-562-997-3131				1-562-989-5120	ecordova@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	10/14/2025	2026	SCAN HEALTH PLAN	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0976	Part D Exceptions Contact	Sr. Manager – Pharmacy Prior Authorization	Mr.	Herbert	Joshua							Joshua.Herbert@evernorth.com	One Express Way Mail Stop	S13NB	St. Louis	MO	63121	10/14/2025	2026	SCAN HEALTH PLAN	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active	1-513-292-0563	733326			HMO - Health Maintenance Organization		C	Chicago
H0976	Pharmacy Network Management Contact	"Network Acct Director, Retail Strategy"	Ms.	Kelly	Heather		1-314-692-1866				1-800-357-9578	hakelly@express-scripts.com	One Express Way		St Louis	MO	63121	2/6/2023	2026	SCAN HEALTH PLAN	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0976	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	13051 N. Telecom Pkwy	STE 150	Temple Terrace	FL	33637	2/6/2023	2026	SCAN HEALTH PLAN	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Chicago
H0976	Plan to Plan Reconciliation Contact	"Vice President, Controller"	Ms.	Havai	Virginia		1-562-989-8300				1-562-989-0101	P2PAdmin@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	2/6/2023	2026	SCAN HEALTH PLAN	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0978	Automated TrOOP Balance Transfer Contact	Pharmacy Analyst		Banks	Marcia	D	1-562-308-1189	1189			1-562-997-3196	mcurtis@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	1/26/2023	2026	"SCAN HEALTH PLAN NEVADA, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0978	Best Available Evidence Contact	"Director, Enrollment & Reconciliation"	Mr.	Coronel	Vincent		1-562-637-1234				1-562-989-5243	vcoronel@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	1/19/2021	2026	"SCAN HEALTH PLAN NEVADA, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0978	Chief Financial Officer	CFO	Mr.	Plumb	Michael		1-562-997-1589	1589				mplumb@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	4/11/2023	2026	"SCAN HEALTH PLAN NEVADA, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0978	CMS Casework Communication Contact	Sr. Director Medicare Compliance Officer		Cordova	Elizabeth		1-562-997-3131				1-562-989-5120	ecordova@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	10/14/2025	2026	"SCAN HEALTH PLAN NEVADA, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0978	Coordination of Benefits Contact	Pharmacy Analyst		Banks	Marcia	D	1-562-308-1189	1189			1-562-997-3196	mcurtis@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	1/26/2023	2026	"SCAN HEALTH PLAN NEVADA, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0978	Customer Service Operations Contact	"Director, (Customer) Member Services"	Ms.	McBeath	Kim		1-562-997-1805				1-562-989-5181	kmcbeath@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	1/19/2021	2026	"SCAN HEALTH PLAN NEVADA, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0978	Government Relations Contact	VP of Government Relations		Kazan	Matt		1-800-559-3500					m.kazan@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	6/25/2024	2026	"SCAN HEALTH PLAN NEVADA, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0978	Hospice Contact	Sr Dir Pharm & Formly Ops		Slavina	Yelena		1-562-308-2816					yslavina@scanhealthplan.com	3800 Kilroy Airport Way		Long Beach	CA	90806	8/7/2025	2026	"SCAN HEALTH PLAN NEVADA, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0978	Medicare Compliance Officer	Sr. Director Medicare Compliance Officer	Ms.	Cordova	Elizabeth		1-562-997-3131				1-562-989-5120	ecordova@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	10/14/2025	2026	"SCAN HEALTH PLAN NEVADA, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0978	Part D Exceptions Contact	Sr. Manager – Pharmacy Prior Authorization	Mr.	Herbert	Joshua							Joshua.Herbert@evernorth.com	One Express Way Mail Stop	S13NB	St. Louis	MO	63121	10/14/2025	2026	"SCAN HEALTH PLAN NEVADA, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active	1-513-292-0563	733326			HMO - Health Maintenance Organization		C	Chicago
H0978	Pharmacy Network Management Contact	"Network Acct Director, Retail Strategy"	Ms.	Kelly	Heather		1-314-692-1866				1-800-357-9578	hakelly@express-scripts.com	One Express Way		St Louis	MO	63121	1/23/2023	2026	"SCAN HEALTH PLAN NEVADA, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0978	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	13051 N. Telecom Pkwy	STE 150	Temple Terrace	FL	33637	12/1/2021	2026	"SCAN HEALTH PLAN NEVADA, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Chicago
H0978	Plan to Plan Reconciliation Contact	"Vice President, Controller"	Ms.	Havai	Virginia		1-562-989-8300				1-562-989-0101	P2PAdmin@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	1/19/2021	2026	"SCAN HEALTH PLAN NEVADA, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0982	Automated TrOOP Balance Transfer Contact	VP of Pharmacy Ops		Romay	Alfred		1-786-427-4923					aromay@solishealthplans.com	9250 NW 36th Street	Suite 400	Miami	FL	33178	5/29/2025	2026	"SOLIS HEALTH PLANS, INC."	Local CCP	Solis Health Plans	HMO/HMOPOS		"Athena Healthcare Holdings, LLC"	662	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0982	Best Available Evidence Contact	Enrollment Manager		Lopez	Consuelo		1-786-486-7983					clopez@solishealthplans.com	9250 NW 36th Street	Suite 400	Miami	FL	33178	7/31/2025	2026	"SOLIS HEALTH PLANS, INC."	Local CCP	Solis Health Plans	HMO/HMOPOS		"Athena Healthcare Holdings, LLC"	662	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0982	Chief Financial Officer	Chief Financial Officer	Mr.	Lynch	Michael		1-954-647-4259					mlynch@solishealthplans.com	9250 NW 36th Street	Suite 400	Miami	FL	33178	2/22/2023	2026	"SOLIS HEALTH PLANS, INC."	Local CCP	Solis Health Plans	HMO/HMOPOS		"Athena Healthcare Holdings, LLC"	662	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0982	CMS Casework Communication Contact	Director of Compliance		Botana	Mario		1-305-510-0774					mbotana@solishealthplans.com	9250 NW 36th Street	Suite 400	Miami	FL	33178	1/28/2026	2026	"SOLIS HEALTH PLANS, INC."	Local CCP	Solis Health Plans	HMO/HMOPOS		"Athena Healthcare Holdings, LLC"	662	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0982	Coordination of Benefits Contact	Enrollment Manager		Lopez	Consuelo		1-786-486-7983					clopezs@solishealthplans.com	9250 NW 36th Street	# 400	Miami	FL	33178	11/3/2025	2026	"SOLIS HEALTH PLANS, INC."	Local CCP	Solis Health Plans	HMO/HMOPOS		"Athena Healthcare Holdings, LLC"	662	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0982	Customer Service Operations Contact	Director of Member Experience		Gomez	Daisy	M	1-305-785-7748					daisy.gomez@solishealthplans.com	9250 NW 36th Street	Suite 400	Miami	FL	33178	1/28/2026	2026	"SOLIS HEALTH PLANS, INC."	Local CCP	Solis Health Plans	HMO/HMOPOS		"Athena Healthcare Holdings, LLC"	662	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0982	Government Relations Contact	Director of Compliance		Botana	Mario		1-305-510-0774					mbotana@solishealthplans.com	9250 NW 36th Street	Suite 400	Miami	FL	33178	1/28/2026	2026	"SOLIS HEALTH PLANS, INC."	Local CCP	Solis Health Plans	HMO/HMOPOS		"Athena Healthcare Holdings, LLC"	662	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0982	Hospice Contact	Chief Medical Officer	Dr.	Hernandez	Francisco		1-786-286-3409					fhernandez@solishealthplans.com	9250 NW 36th Street	Suite 400	Miami	FL	33178	2/22/2023	2026	"SOLIS HEALTH PLANS, INC."	Local CCP	Solis Health Plans	HMO/HMOPOS		"Athena Healthcare Holdings, LLC"	662	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0982	Medicare Compliance Officer	Director of Compliance	Mr.	Botana	Mario		1-305-510-0774					mbotana@solishealthplans.com	9250 NW 36th Street	Suite 400	Miami	FL	33178	1/28/2026	2026	"SOLIS HEALTH PLANS, INC."	Local CCP	Solis Health Plans	HMO/HMOPOS		"Athena Healthcare Holdings, LLC"	662	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0982	Part D Exceptions Contact	Sr. Regulatory Pharmacist		Emerson	Kimberly							clinicalreviewmeddaudit@primetherapeutics.com	2900 Ames Crossing		Appleton	WI	54913	1/22/2025	2026	"SOLIS HEALTH PLANS, INC."	Local CCP	Solis Health Plans	HMO/HMOPOS		"Athena Healthcare Holdings, LLC"	662	Yes	Active	1-800-693-6651				HMO - Health Maintenance Organization		C	Chicago
H0982	Pharmacy Network Management Contact	Network CLient Services		Scoll	Adam		1-612-777-5354				1-920-221-4589	adam.scoll@primetherapeutics.com	2900 Ames Crossing		eagan	MN	55121	1/22/2025	2026	"SOLIS HEALTH PLANS, INC."	Local CCP	Solis Health Plans	HMO/HMOPOS		"Athena Healthcare Holdings, LLC"	662	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H0982	Pharmacy Technical Help Desk Contact	VP of Pharmacy Operations		Romay	Alfred							aromay@solishealthplans.com	9250 SW 36th Street	Suite 400	Doral	FL	33178	12/9/2025	2026	"SOLIS HEALTH PLANS, INC."	Local CCP	Solis Health Plans	HMO/HMOPOS		"Athena Healthcare Holdings, LLC"	662	Yes	Active	1-855-457-1209				HMO - Health Maintenance Organization		C	Chicago
H0982	Plan to Plan Reconciliation Contact	Chief Financial Officer	Mr.	Lynch	Michael		1-954-647-4259					mlynch@solishealthplans.com	9250 NW 36th Street	Suite 400	Miami	FL	33178	2/22/2023	2026	"SOLIS HEALTH PLANS, INC."	Local CCP	Solis Health Plans	HMO/HMOPOS		"Athena Healthcare Holdings, LLC"	662	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1019	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	12/18/2025	2026	"CAREPLUS HEALTH PLANS, INC."	Local CCP	"CarePlus Health Plans, Inc."	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1019	Best Available Evidence Contact	Director	Mrs.	Gay	Tiffany		1-813-695-2581				1-813-560-1398	tgay@careplus-hp.com	4030 Boy Scout Blvd	Suite #1000	Tampa	FL	33607	12/18/2024	2026	"CAREPLUS HEALTH PLANS, INC."	Local CCP	"CarePlus Health Plans, Inc."	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1019	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	12/18/2025	2026	"CAREPLUS HEALTH PLANS, INC."	Local CCP	"CarePlus Health Plans, Inc."	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1019	CMS Casework Communication Contact	Senior Compliance		Arteaga	Karla		1-502-580-7929				1-800-956-4288	karteaga1@humana.com	6101 Blue Lagoon Drive	Suite #195	Miami	FL	33126	7/2/2024	2026	"CAREPLUS HEALTH PLANS, INC."	Local CCP	"CarePlus Health Plans, Inc."	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1019	Coordination of Benefits Contact	"Associate Director, Pharmacy Claims"		Fessel	Christie		1-502-580-4329					cfessel@humana.com	101 E Main St.		Louisville	KY	40202	12/18/2025	2026	"CAREPLUS HEALTH PLANS, INC."	Local CCP	"CarePlus Health Plans, Inc."	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1019	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	12/18/2025	2026	"CAREPLUS HEALTH PLANS, INC."	Local CCP	"CarePlus Health Plans, Inc."	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1019	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	12/18/2025	2026	"CAREPLUS HEALTH PLANS, INC."	Local CCP	"CarePlus Health Plans, Inc."	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1019	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	500 West Main Street		Louisville	KY	40202	12/18/2024	2026	"CAREPLUS HEALTH PLANS, INC."	Local CCP	"CarePlus Health Plans, Inc."	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1019	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	12/18/2025	2026	"CAREPLUS HEALTH PLANS, INC."	Local CCP	"CarePlus Health Plans, Inc."	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1019	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	12/18/2025	2026	"CAREPLUS HEALTH PLANS, INC."	Local CCP	"CarePlus Health Plans, Inc."	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-859-321-9075				HMO - Health Maintenance Organization		C	Kansas City
H1019	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	12/18/2025	2026	"CAREPLUS HEALTH PLANS, INC."	Local CCP	"CarePlus Health Plans, Inc."	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1019	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	12/18/2024	2026	"CAREPLUS HEALTH PLANS, INC."	Local CCP	"CarePlus Health Plans, Inc."	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-800-865-8715				HMO - Health Maintenance Organization		C	Kansas City
H1019	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	12/18/2025	2026	"CAREPLUS HEALTH PLANS, INC."	Local CCP	"CarePlus Health Plans, Inc."	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1032	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"Sunshine State Health Plan, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1032	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"Sunshine State Health Plan, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1032	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/20/2024	2026	"Sunshine State Health Plan, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1032	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"Sunshine State Health Plan, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1032	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/28/2025	2026	"Sunshine State Health Plan, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1032	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/18/2024	2026	"Sunshine State Health Plan, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1032	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"Sunshine State Health Plan, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1032	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"Sunshine State Health Plan, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1032	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/18/2025	2026	"Sunshine State Health Plan, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1032	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/20/2024	2026	"Sunshine State Health Plan, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H1032	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	"Sunshine State Health Plan, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1032	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/17/2024	2026	"Sunshine State Health Plan, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0408				HMO - Health Maintenance Organization		C	Denver
H1032	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	6/20/2024	2026	"Sunshine State Health Plan, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1035	Automated TrOOP Balance Transfer Contact	"Manager, PBM operations"	Ms.	Hanson	Michelle		1-612-777-6755				1-612-777-6706	EOBP2P@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Road	Eagan	MN	55121	10/27/2020	2026	"FLORIDA BLUE MEDICARE, INC."	Local CCP	Florida Blue HMO	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1035	Best Available Evidence Contact	Sr. Dir. Medicare Ops & Int		Chick	Benjamin		1-904-905-1711					benjamin.chick@floridablue.com	4800 Deerwood Campus Pkwy	"DCC Building 300, 4th Floor"	Jacksonville	FL	32246	1/30/2024	2026	"FLORIDA BLUE MEDICARE, INC."	Local CCP	Florida Blue HMO	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1035	Chief Financial Officer	VP CFO Government Business	Mr.	Petruzzellis	Dave		1-904-233-8443					Dave.Petruzzellis@guidewell.com	4800 Deerwood Campus Parkway	DCC Bldg 100	Jacksonville	FL	32246	4/14/2026	2026	"FLORIDA BLUE MEDICARE, INC."	Local CCP	Florida Blue HMO	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1035	CMS Casework Communication Contact	Sr Manager Med Ops & Integrity		Irizarry	Haydee		1-321-233-0635					Haydee.Irizarry@bcbsfl.com	4800 Deerwood Campus Parkway	Bldg. 400 2nd Floor	Jacksonville	FL	32246	4/25/2023	2026	"FLORIDA BLUE MEDICARE, INC."	Local CCP	Florida Blue HMO	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1035	Coordination of Benefits Contact	Manager PBM Operations		Hanson	Michelle		1-612-777-6755				1-312-777-6706	COBMedD@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Road	Eagan	MN	55121	2/16/2021	2026	"FLORIDA BLUE MEDICARE, INC."	Local CCP	Florida Blue HMO	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1035	Customer Service Operations Contact	Sr. Dir. Medicare Ops & Int		Chick	Benjamin		1-904-905-1711					benjamin.chick@floridablue.com	4800 Deerwood Campus Pkwy	"DCC Building 300, 4th Floor"	Jacksonville	FL	32246	5/28/2026	2026	"FLORIDA BLUE MEDICARE, INC."	Local CCP	Florida Blue HMO	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1035	Government Relations Contact	Sr. Health Policy Consultant		Krizanovic	Aldiana		1-904-655-0188					Aldiana.Krizanovic@bcbsfl.com	4800 Deerwood Campus Parkway	DCC Building 100	Jacksonville	FL	32246	6/23/2026	2026	"FLORIDA BLUE MEDICARE, INC."	Local CCP	Florida Blue HMO	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1035	Hospice Contact	Sr. Manager Pharmacy		Adams	Tangela		1-904-905-0002					tangela.adams@floridablue.com	4800 Deerwood Campus Pkwy	"Building 100, 3rd Floor"	Jacksonville	FL	32246	9/30/2024	2026	"FLORIDA BLUE MEDICARE, INC."	Local CCP	Florida Blue HMO	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1035	Medicare Compliance Officer	Sr. Director Govt Programs & Products Compliance	Mrs.	Simpson	Hillary		1-904-445-8502					hillary.simpson@bcbsfl.com	4800 Deerwood Campus Parkway	"DCC Building 100, 7th Floor"	Jacksonville	FL	32246	6/13/2022	2026	"FLORIDA BLUE MEDICARE, INC."	Local CCP	Florida Blue HMO	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1035	Part D Exceptions Contact	Sr. Director Medicare Pharmacy Programs		Barger	Shawn							shawn.barger@bcbsfl.com	4800 Deerwood Campus Parkway		Jacksonville	FL	32246	1/5/2026	2026	"FLORIDA BLUE MEDICARE, INC."	Local CCP	Florida Blue HMO	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active	1-954-684-9240				HMO - Health Maintenance Organization		C	Dallas
H1035	Pharmacy Network Management Contact	Sr. Director Medicare Pharmacy Programs		Barger	Shawn		1-954-684-9240					shawn.barger@bcbsfl.com	4800 Deerwood Campus Parkway		Jacksonville	FL	32246	1/5/2026	2026	"FLORIDA BLUE MEDICARE, INC."	Local CCP	Florida Blue HMO	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1035	Pharmacy Technical Help Desk Contact			HelpDesk	Prime Part	D					1-888-245-2422	pharmacyops@primetherapeutics.com	"Prime Therapeutics, LLC"	1305 Corporate Center Drive	Eagan	MN	55121	12/18/2018	2026	"FLORIDA BLUE MEDICARE, INC."	Local CCP	Florida Blue HMO	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active	1-888-877-6420				HMO - Health Maintenance Organization		C	Dallas
H1035	Plan to Plan Reconciliation Contact	Accounting Specialist		Williams	Lynn		1-904-905-4568					lynn.williams@floridablue.com	4800 Deerwood Campus Parkway	"DCC Building 100, 3rd Floor"	Jacksonville	FL	32246	1/4/2019	2026	"FLORIDA BLUE MEDICARE, INC."	Local CCP	Florida Blue HMO	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1036	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1036	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1036	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1036	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	"HUMANA MEDICAL PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1036	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1036	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1036	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1036	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1036	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1036	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-859-321-9075				HMO - Health Maintenance Organization		C	Kansas City
H1036	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1036	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	"HUMANA MEDICAL PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-800-865-8715				HMO - Health Maintenance Organization		C	Kansas City
H1036	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	"HUMANA MEDICAL PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1043	Automated TrOOP Balance Transfer Contact	Sr. Claims Adjudicator	Ms	Johnson	Julie		1-305-762-3942				1-305-762-1431	JJohnson@miamijewishhealth.org	5200 NE 2nd Avenue		Miami	FL	33137	4/17/2024	2026	"FLORIDA PACE CENTERS, INC."	National PACE	"Florida Pace Centers, Inc."	National PACE		"Miami Jewish Health Systems, Inc."	654	Yes	Active					PACE - Nat		C	Atlanta
H1043	Best Available Evidence Contact	"EVP-PACE & President, Florida PACE Centers"	Mr.	Hess	Steve		1-305-795-8442				1-305-762-1431	SHess@miamijewishhealth.org	5200 NE 2nd Avenue		Miami	FL	33137	4/17/2024	2026	"FLORIDA PACE CENTERS, INC."	National PACE	"Florida Pace Centers, Inc."	National PACE		"Miami Jewish Health Systems, Inc."	654	Yes	Active					PACE - Nat		C	Atlanta
H1043	Chief Financial Officer	AVP of Finance	Mr.	Sanchez	Juan		1-305-514-8554					JSanchez@miamijewishhealth.org	5200 NE 2nd Avenue		Miami	FL	33137	4/17/2024	2026	"FLORIDA PACE CENTERS, INC."	National PACE	"Florida Pace Centers, Inc."	National PACE		"Miami Jewish Health Systems, Inc."	654	Yes	Active					PACE - Nat		C	Atlanta
H1043	CMS Casework Communication Contact	COO	Ms.	Lane	Maria		1-305-795-1890				1-305-795-1855	mlane@miamijewishhealth.org	5200 NE 2nd Avenue		Miami	FL	33137	10/16/2025	2026	"FLORIDA PACE CENTERS, INC."	National PACE	"Florida Pace Centers, Inc."	National PACE		"Miami Jewish Health Systems, Inc."	654	Yes	Active					PACE - Nat		C	Atlanta
H1043	Coordination of Benefits Contact	COO	Ms.	Lane	Maria		1-305-795-1890				1-305-762-1538	mlane@miamijewishhealth.org	5200 NE 2nd Avenue		Miami	FL	33137	10/16/2025	2026	"FLORIDA PACE CENTERS, INC."	National PACE	"Florida Pace Centers, Inc."	National PACE		"Miami Jewish Health Systems, Inc."	654	Yes	Active					PACE - Nat		C	Atlanta
H1043	Customer Service Operations Contact	"EVP-PACE & President, Florida PACE Centers"	Mr.	Hess	Steve		1-305-795-8442				1-305-762-1538	SHess@miamijewishhealth.org	5200 NE 2nd Avenue		Miami	FL	33137	4/17/2024	2026	"FLORIDA PACE CENTERS, INC."	National PACE	"Florida Pace Centers, Inc."	National PACE		"Miami Jewish Health Systems, Inc."	654	Yes	Active					PACE - Nat		C	Atlanta
H1043	Government Relations Contact	COO	Ms.	Lane	Maria		1-305-795-1890				1-305-762-1488	MLane@miamijewishhealth.org	5200 NE 2nd Avenue		Miami	FL	33137	10/16/2025	2026	"FLORIDA PACE CENTERS, INC."	National PACE	"Florida Pace Centers, Inc."	National PACE		"Miami Jewish Health Systems, Inc."	654	Yes	Active					PACE - Nat		C	Atlanta
H1043	Medicare Compliance Officer	COO	Ms.	Lane	Maria		1-305-795-1890				1-305-795-1855	Mlane@miamijewishhealth.org	5200 NE 2nd Avenue		Miami	FL	33137	10/16/2025	2026	"FLORIDA PACE CENTERS, INC."	National PACE	"Florida Pace Centers, Inc."	National PACE		"Miami Jewish Health Systems, Inc."	654	Yes	Active					PACE - Nat		C	Atlanta
H1043	Part D Exceptions Contact	COO	Ms.	Lane	Maria							Mlane@miamijewishhealth.org	5200 NE 2nd Avenue		Miami	FL	33137	10/16/2025	2026	"FLORIDA PACE CENTERS, INC."	National PACE	"Florida Pace Centers, Inc."	National PACE		"Miami Jewish Health Systems, Inc."	654	Yes	Active	1-305-795-1890				PACE - Nat		C	Atlanta
H1043	Pharmacy Network Management Contact	Associate Vice President PACE Medical Director	Dr.	Alzugaray	Edilia		1-305-795-1911					EAlzugaray@miamijewishhealth.org	5200 NE 2nd Avenue		Miami	FL	33137	4/17/2024	2026	"FLORIDA PACE CENTERS, INC."	National PACE	"Florida Pace Centers, Inc."	National PACE		"Miami Jewish Health Systems, Inc."	654	Yes	Active					PACE - Nat		C	Atlanta
H1043	Pharmacy Technical Help Desk Contact	Database Programer	Mr.	Larralde	Bernie							BLarralde@miamijewishhealth.org	5200 NE 2nd Avenue		Miami	FL	33137	4/17/2024	2026	"FLORIDA PACE CENTERS, INC."	National PACE	"Florida Pace Centers, Inc."	National PACE		"Miami Jewish Health Systems, Inc."	654	Yes	Active	1-305-762-1361				PACE - Nat		C	Atlanta
H1043	Plan to Plan Reconciliation Contact	Sr. Claims Adjudicator	Ms.	Johnson	Julie		1-305-762-3942				1-305-762-1431	JJohnson@miamijewishhealth.org	5200 NE 2nd Avenue		Miami	FL	33137	4/17/2024	2026	"FLORIDA PACE CENTERS, INC."	National PACE	"Florida Pace Centers, Inc."	National PACE		"Miami Jewish Health Systems, Inc."	654	Yes	Active					PACE - Nat		C	Atlanta
H1045	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"PREFERRED CARE PARTNERS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1045	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	"PREFERRED CARE PARTNERS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1045	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	"PREFERRED CARE PARTNERS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1045	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"PREFERRED CARE PARTNERS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1045	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"PREFERRED CARE PARTNERS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1045	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"PREFERRED CARE PARTNERS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1045	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"PREFERRED CARE PARTNERS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1045	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"PREFERRED CARE PARTNERS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1045	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"PREFERRED CARE PARTNERS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1045	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"PREFERRED CARE PARTNERS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H1045	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"PREFERRED CARE PARTNERS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1045	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"PREFERRED CARE PARTNERS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H1045	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"PREFERRED CARE PARTNERS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1099	Automated TrOOP Balance Transfer Contact	Lead Medicare Integrity Analyst		Gutierrez	Dalia		1-321-419-7769					dalia.gutierrez@hf.org	6450 US Highway 1		Rockledge	FL	32955	3/30/2026	2026	HEALTH FIRST HEALTH PLANS	Local CCP	"Health First Health Plans, Inc."	HMO/HMOPOS		"Health First Shared Services, Inc."	112	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1099	Best Available Evidence Contact	Lead Medicare Integrity Analyst		Gutierrez	Dalia		1-321-419-7769					dalia.gutierrez@hf.org	6450 US Highway 1		Rockledge	FL	32955	3/30/2026	2026	HEALTH FIRST HEALTH PLANS	Local CCP	"Health First Health Plans, Inc."	HMO/HMOPOS		"Health First Shared Services, Inc."	112	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1099	Chief Financial Officer	Chief Financial Officer	Mr.	Pulver	Joshua		1-315-289-5913					Joshua.Pulver@HF.org	6450 US Highway 1		Rockledge	FL	32955-5747	12/28/2022	2026	HEALTH FIRST HEALTH PLANS	Local CCP	"Health First Health Plans, Inc."	HMO/HMOPOS		"Health First Shared Services, Inc."	112	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1099	CMS Casework Communication Contact	"Director, Complaints, Grievances, and Appeals"		Holden	Michelle		1-321-434-8701					Michelle.Holden@hf.org	6450 US Highway 1		Rockledge	FL	32955	3/30/2026	2026	HEALTH FIRST HEALTH PLANS	Local CCP	"Health First Health Plans, Inc."	HMO/HMOPOS		"Health First Shared Services, Inc."	112	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1099	Coordination of Benefits Contact			Team	Pharmacy		1-800-716-7737					hfhppharmacy@hf.org	6450 US Highway 1		Rockledge	FL	32955	4/13/2022	2026	HEALTH FIRST HEALTH PLANS	Local CCP	"Health First Health Plans, Inc."	HMO/HMOPOS		"Health First Shared Services, Inc."	112	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1099	Customer Service Operations Contact	Director of Customer Service		Gerace	Brian		1-321-434-4478					Brian.Gerace@hf.org	6450 US Highway 1		Rockledge	FL	32955	3/30/2026	2026	HEALTH FIRST HEALTH PLANS	Local CCP	"Health First Health Plans, Inc."	HMO/HMOPOS		"Health First Shared Services, Inc."	112	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1099	Government Relations Contact	HFHP Integrity Officer	Ms.	Perritt	Maggie		1-321-434-5622					Maggie.Perritt@hf.org	6450 US Highway 1		Rockledge	FL	32955	3/30/2026	2026	HEALTH FIRST HEALTH PLANS	Local CCP	"Health First Health Plans, Inc."	HMO/HMOPOS		"Health First Shared Services, Inc."	112	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1099	Hospice Contact	HFHP Integrity Officer	Ms.	Perritt	Maggie		1-321-434-5622					Maggie.Perritt@hf.org	6450 US Highway 1		Rockledge	FL	32955	3/30/2026	2026	HEALTH FIRST HEALTH PLANS	Local CCP	"Health First Health Plans, Inc."	HMO/HMOPOS		"Health First Shared Services, Inc."	112	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1099	Medicare Compliance Officer	HFHP Integrity Officer	Ms.	Perritt	Maggie		1-321-434-5622					Maggie.Perritt@hf.org	6450 US Highway 1		Rockledge	FL	32955	3/30/2026	2026	HEALTH FIRST HEALTH PLANS	Local CCP	"Health First Health Plans, Inc."	HMO/HMOPOS		"Health First Shared Services, Inc."	112	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1099	Part D Exceptions Contact			Team	Pharmacy							hfhppharmacy@hf.org	6450 US Hwy #1		Rockledge	FL	32955	4/24/2020	2026	HEALTH FIRST HEALTH PLANS	Local CCP	"Health First Health Plans, Inc."	HMO/HMOPOS		"Health First Shared Services, Inc."	112	Yes	Active	1-800-716-7737				HMO - Health Maintenance Organization		C	Atlanta
H1099	Pharmacy Network Management Contact	Director of Pharmaceutical Services		Dickey	Jason		1-321-434-4650					Jason.Dickey@HF.org	6450 US Highway 1		Rockledge	FL	32955	12/1/2025	2026	HEALTH FIRST HEALTH PLANS	Local CCP	"Health First Health Plans, Inc."	HMO/HMOPOS		"Health First Shared Services, Inc."	112	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1099	Pharmacy Technical Help Desk Contact	Director of Pharmaceutical Services		Dickey	Jason							Jason.Dickey@hf.org	6450 US Highway 1		Rockledge	FL	32940	12/1/2025	2026	HEALTH FIRST HEALTH PLANS	Local CCP	"Health First Health Plans, Inc."	HMO/HMOPOS		"Health First Shared Services, Inc."	112	Yes	Active	1-800-716-7737				HMO - Health Maintenance Organization		C	Atlanta
H1099	Plan to Plan Reconciliation Contact	HFHP Integrity Officer	Ms.	Perritt	Maggie		1-321-434-5622					Maggie.Perritt@hf.org	6450 US Highway 1		Rockledge	FL	32955	3/30/2026	2026	HEALTH FIRST HEALTH PLANS	Local CCP	"Health First Health Plans, Inc."	HMO/HMOPOS		"Health First Shared Services, Inc."	112	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1109	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	AETNA HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1109	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	AETNA HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1109	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1109	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	AETNA HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1109	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	AETNA HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1109	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	AETNA HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1109	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1109	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	AETNA HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1109	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	AETNA HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1109	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	AETNA HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H1109	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1109	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	AETNA HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H1109	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1112	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"WELLCARE OF GEORGIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1112	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"WELLCARE OF GEORGIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1112	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/20/2024	2026	"WELLCARE OF GEORGIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1112	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"WELLCARE OF GEORGIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1112	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"WELLCARE OF GEORGIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1112	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/18/2024	2026	"WELLCARE OF GEORGIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1112	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"WELLCARE OF GEORGIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1112	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"WELLCARE OF GEORGIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1112	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/18/2025	2026	"WELLCARE OF GEORGIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1112	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/20/2024	2026	"WELLCARE OF GEORGIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H1112	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	"WELLCARE OF GEORGIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1112	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/17/2024	2026	"WELLCARE OF GEORGIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0408				HMO - Health Maintenance Organization		C	Denver
H1112	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	6/20/2024	2026	"WELLCARE OF GEORGIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1119	Automated TrOOP Balance Transfer Contact	Director of Quality and UM		Goncalves	Jessica		1-330-498-5258					Jessica.Goncalves@valorhealthplan.com	7171 Keck Park Circle NW		North Canton	OH	44720	6/9/2026	2026	"TSG GUARD, INC."	Local CCP	Valor Health Plan	HMO/HMOPOS		"The Schroer Group, Inc."	702	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1119	Best Available Evidence Contact	Member Service Manager		Campbell	Brittany		1-501-255-0873				1-866-705-3652	BrittanyC@accesshealthservices.com	500 President Clinton Ave	Suite 200-A	Little Rock	AR	72201	1/30/2024	2026	"TSG GUARD, INC."	Local CCP	Valor Health Plan	HMO/HMOPOS		"The Schroer Group, Inc."	702	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1119	Chief Financial Officer	Chief Financial Officer	Mr.	Film	George		1-330-498-8203					george.film@altercareonline.net	7171 Keck Park Circle NW		North Canton	OH	44720	3/23/2020	2026	"TSG GUARD, INC."	Local CCP	Valor Health Plan	HMO/HMOPOS		"The Schroer Group, Inc."	702	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1119	CMS Casework Communication Contact	Compliance Officer	Ms.	Ferrara	Donna		1-330-498-8220					donna.ferrara@valorhealthplan.com	7171 Keck Park Circle NW		North Canton	OH	44720	4/2/2020	2026	"TSG GUARD, INC."	Local CCP	Valor Health Plan	HMO/HMOPOS		"The Schroer Group, Inc."	702	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1119	Coordination of Benefits Contact	Director of Quality and UM		Goncalves	Jessica		1-330-498-5258					Jessica.Goncalves@valorhealthplan.com	7171 Keck Park Circle NW		North Canton	OH	44720	6/9/2026	2026	"TSG GUARD, INC."	Local CCP	Valor Health Plan	HMO/HMOPOS		"The Schroer Group, Inc."	702	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1119	Customer Service Operations Contact	Client Services Advocate		Markle	Mahlon		1-501-301-4738				1-866-705-3692	mmarkle@accesshealthservices.com	500 President Clinton Ave	Suite 200-A	Little Rock	AR	72201	6/9/2026	2026	"TSG GUARD, INC."	Local CCP	Valor Health Plan	HMO/HMOPOS		"The Schroer Group, Inc."	702	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1119	Government Relations Contact	Compliance Officer	Ms.	Ferrara	Donna		1-330-498-8220					donna.ferrara@valorhealthplan.com	7171 Keck Park Circle NW		North Canton	OH	44720	4/2/2020	2026	"TSG GUARD, INC."	Local CCP	Valor Health Plan	HMO/HMOPOS		"The Schroer Group, Inc."	702	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1119	Hospice Contact	Director of Quality and UM		Goncalves	Jessica		1-330-498-5258					Jessica.Goncalves@valorhealthplan.com	7171 Keck Park Circle NW		North Canton	OH	44720	6/9/2026	2026	"TSG GUARD, INC."	Local CCP	Valor Health Plan	HMO/HMOPOS		"The Schroer Group, Inc."	702	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1119	Medicare Compliance Officer	Compliance Officer	Ms.	Ferrara	Donna		1-234-215-1042					donna.ferrara@valorhealthplan.com	7171 Keck Park Circle NW		North Canton	OH	44720	4/13/2020	2026	"TSG GUARD, INC."	Local CCP	Valor Health Plan	HMO/HMOPOS		"The Schroer Group, Inc."	702	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1119	Part D Exceptions Contact	Director of Quality and UM		Goncalves	Jessica							Jessica.Goncalves@valorhealthplan.com	7171 Keck Park Circle NW		North Canton	OH	44720	6/9/2026	2026	"TSG GUARD, INC."	Local CCP	Valor Health Plan	HMO/HMOPOS		"The Schroer Group, Inc."	702	Yes	Active	1-330-498-5258				HMO - Health Maintenance Organization		C	Chicago
H1119	Pharmacy Network Management Contact	Director Pharmacy Network		Profio	Lauren		1-330-486-4864				1-330-405-8094	lprofio@elixirsolutions.com	7835 Freedom Avenue NW		N Canton	OH	44720	12/14/2022	2026	"TSG GUARD, INC."	Local CCP	Valor Health Plan	HMO/HMOPOS		"The Schroer Group, Inc."	702	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1119	Pharmacy Technical Help Desk Contact	Vice President Operations		Conn	Todd							tconn@elixirsolutions.com	7835 Freedom Avenue NW		N Canton	OH	44720	12/14/2022	2026	"TSG GUARD, INC."	Local CCP	Valor Health Plan	HMO/HMOPOS		"The Schroer Group, Inc."	702	Yes	Active	1-833-459-4423				HMO - Health Maintenance Organization		C	Chicago
H1119	Plan to Plan Reconciliation Contact	Financial Manager	Mr.	Haines	Nathan		1-330-498-5273					Nathan.Haines@TSGrinc.com	7171 Keck Park Circle NW		North Canton	OH	44720	7/26/2024	2026	"TSG GUARD, INC."	Local CCP	Valor Health Plan	HMO/HMOPOS		"The Schroer Group, Inc."	702	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1170	Automated TrOOP Balance Transfer Contact	"Project Manager III, Pharmacy Benefit Mgmt"		Perez	Elizabeth	R	1-562-367-0592					Elizabeth.R.Perez@kp.org	12254 Bellflower Blvd.		Downey	CA	90242	8/2/2018	2026	"KAISER FOUNDATION HP OF GA, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1170	Best Available Evidence Contact	"Senior Team Manager, Medicare Membership Admin."		Salcido	Adam		1-858-829-3521					CSC-SD-Hospice-BAE@kp.org	3840 Murphy Canyon Rd.		San Diego	CA	92123	4/24/2023	2026	"KAISER FOUNDATION HP OF GA, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1170	Chief Financial Officer	SVP & CFO National Medicare Finance	Mr.	Stewart	Mark		1-401-284-8679					Mark.C1.Stewart@kp.org	1 Kaiser Plaza	c/o Kaiser Foundation Health Plan	Oakland	CA	94612	12/16/2024	2026	"KAISER FOUNDATION HP OF GA, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1170	CMS Casework Communication Contact	Medicare Compliance Lead		Walden	Chandra		1-404-985-0135					chandra.walden@kp.org	3495 Piedmont Road NE	Nine Piedmont Center	Atlanta	GA	30305	11/13/2025	2026	"KAISER FOUNDATION HP OF GA, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1170	Coordination of Benefits Contact	Senior Director		Chung	Clarence		1-562-390-9293				1-562-658-3866	clarence.j.chung@kp.org	"12254 Bellflower Blvd - Suite 106, 1st Floor"		Downey	CA	90242	4/28/2022	2026	"KAISER FOUNDATION HP OF GA, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1170	Customer Service Operations Contact	Executive Director		Osborne	Susan	A	1-503-457-6663				1-404-949-5001	susan.a.osborne@kp.org	Nine Piedmont Center	"3495 Piedmont Road, NE"	Atlanta	GA	30305	10/17/2023	2026	"KAISER FOUNDATION HP OF GA, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1170	Government Relations Contact	"Manager, Government Relations"		Fauver	Amy	K	1-503-679-3577				1-404-364-4136	amy.k.fauver@kp.org	500 NE Multnomah Street		Portland	OR	97232	12/3/2024	2026	"KAISER FOUNDATION HP OF GA, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1170	Hospice Contact	"Senior Team Manager, Medicare Membership Admin."		Salcido	Adam		1-858-829-3521					CSC-SD-Hospice-BAE@kp.org	3840 Murphy Canyon Rd.		San Diego	CA	92123	4/24/2023	2026	"KAISER FOUNDATION HP OF GA, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1170	Medicare Compliance Officer	Medicare Compliance Lead	Ms.	Walden	Chandra		1-404-985-0135					chandra.walden@kp.org	3495 Piedmont Road	Nine Piedmont Center	Atlanta	GA	30305-1736	1/5/2026	2026	"KAISER FOUNDATION HP OF GA, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1170	Part D Exceptions Contact	Supervisor Program Management		Ramos	Blanca							blanca.a.ramos@kp.org	12254 Bellflower Blvd		Downey	CA	90242	12/6/2024	2026	"KAISER FOUNDATION HP OF GA, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active	1-562-370-3382				HMO - Health Maintenance Organization		C	Dallas
H1170	Pharmacy Network Management Contact	Pharmacy Benefits Manager		Gosnell	Nicole		1-404-364-7120					nicole.gosnell@kp.org	3495 Piedmont Road NE	Ten Piedmont Center	Atlanta	GA	30305	1/13/2012	2026	"KAISER FOUNDATION HP OF GA, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1170	Pharmacy Technical Help Desk Contact	Customer Care Center		OptumRx	PBM								755 Research Parkway Suite 160		Okalahoma City	OK	73104	11/2/2016	2026	"KAISER FOUNDATION HP OF GA, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active	1-888-277-3914				HMO - Health Maintenance Organization		C	Dallas
H1170	Plan to Plan Reconciliation Contact	"Interim Director, Medicare Accounting"		Wright	Mark	A	1-925-323-9443					mark.a.wright@kp.org	"1 Kaiser Plaza, 25th Floor"		Oakland	CA	94612	1/20/2023	2026	"KAISER FOUNDATION HP OF GA, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1181	Chief Financial Officer	Chief Financial Officer	Mr	Ollech	Brian		1-920-720-1886					bollech@networkhealth.com	1570 Midway Place	PO Box 120	Menasha	WI	54952	3/29/2024	2026	NETWORK HEALTH INSURANCE CORPORATION	MSA	Network Health Medicare Advantage Plans	MSA		"Network Health, Inc."	670	No	Active					MSA		C	Denver
H1181	CMS Casework Communication Contact	Regulatory Support Administrator II		Lee	Chia		1-920-628-7268					clee@networkhealth.com	1570 Midway Place		Menasha	WI	54952	1/2/2026	2026	NETWORK HEALTH INSURANCE CORPORATION	MSA	Network Health Medicare Advantage Plans	MSA		"Network Health, Inc."	670	No	Active					MSA		C	Denver
H1181	Customer Service Operations Contact	"Manager, Member Experience"		Schwandner	Stacy		1-920-720-1309				1-920-720-1908	sschwand@networkhealth.com	1570 Midway Place	P.O. Box 120	Menasha	WI	54952	1/2/2026	2026	NETWORK HEALTH INSURANCE CORPORATION	MSA	Network Health Medicare Advantage Plans	MSA		"Network Health, Inc."	670	No	Active					MSA		C	Denver
H1181	Government Relations Contact	Compliance Officer		Jurmu	Michael		1-920-720-1893					mjurmu@networkhealth.com	1570 Midway Place		Menasha	WI	54952	4/7/2025	2026	NETWORK HEALTH INSURANCE CORPORATION	MSA	Network Health Medicare Advantage Plans	MSA		"Network Health, Inc."	670	No	Active					MSA		C	Denver
H1181	Medicare Compliance Officer	Compliance Officer	Mr.	Jurmu	Michael		1-920-720-1893				1-920-720-1912	mjurmu@networkhealth.com	1570 Midway Place		Menasha	WI	54952	4/7/2025	2026	NETWORK HEALTH INSURANCE CORPORATION	MSA	Network Health Medicare Advantage Plans	MSA		"Network Health, Inc."	670	No	Active					MSA		C	Denver
H1188	Automated TrOOP Balance Transfer Contact	"VP, Controller"		Williams	Kelly		1-814-456-5433					kelly.williams@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"ONE SENIOR CARE OHIO, LLC"	National PACE	Buckeye PACE	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Chicago
H1188	Best Available Evidence Contact	"VP, Controller"		Williams	Kelly		1-814-456-5433					kelly.williams@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"ONE SENIOR CARE OHIO, LLC"	National PACE	Buckeye PACE	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Chicago
H1188	Chief Financial Officer	CFO	Mr.	Phillips	Jeff		1-814-456-5433					jeffrey.phillips@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	1/27/2025	2026	"ONE SENIOR CARE OHIO, LLC"	National PACE	Buckeye PACE	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Chicago
H1188	CMS Casework Communication Contact	Chief Compliance Officer	Mrs	Kennedy	Jennifer		1-814-456-5433					jennifer.kennedy@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	1/27/2025	2026	"ONE SENIOR CARE OHIO, LLC"	National PACE	Buckeye PACE	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Chicago
H1188	Coordination of Benefits Contact	"VP, Controller"		Williams	Kelly		1-814-456-5433					kelly.williams@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"ONE SENIOR CARE OHIO, LLC"	National PACE	Buckeye PACE	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Chicago
H1188	Customer Service Operations Contact	Chief Operating Officer		Worland	Craig	M	1-814-456-5433					craig.worland@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	1/27/2025	2026	"ONE SENIOR CARE OHIO, LLC"	National PACE	Buckeye PACE	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Chicago
H1188	Government Relations Contact	Chief Quality Officer		Lyons	Laura		1-814-456-5433					Laura.lyons@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	1/27/2025	2026	"ONE SENIOR CARE OHIO, LLC"	National PACE	Buckeye PACE	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Chicago
H1188	Medicare Compliance Officer	Chief Compliance Officer	Mrs.	Kennedy	Jennifer		1-814-456-5433					jennifer.kennedy@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	1/27/2025	2026	"ONE SENIOR CARE OHIO, LLC"	National PACE	Buckeye PACE	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Chicago
H1188	Part D Exceptions Contact	Medical Director	Dr.	Rummel	James							james.rummel@lifenwpa.org	100 State Street	Suite 200	Erie	PA	16507	1/27/2025	2026	"ONE SENIOR CARE OHIO, LLC"	National PACE	Buckeye PACE	National PACE		"One Senior Care, Inc."	553	Yes	Active	1-814-456-5433				PACE - Nat		C	Chicago
H1188	Pharmacy Network Management Contact	Director of Network & Special Projects		Feldmann	William		1-814-456-5433					wfeldmann@lifenwpa.org	100 State Street	Suite 200	Erie	PA	16507	1/27/2025	2026	"ONE SENIOR CARE OHIO, LLC"	National PACE	Buckeye PACE	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Chicago
H1188	Pharmacy Technical Help Desk Contact	"VP, Controller"		Williams	Kelly							kelly.williams@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"ONE SENIOR CARE OHIO, LLC"	National PACE	Buckeye PACE	National PACE		"One Senior Care, Inc."	553	Yes	Active	1-814-456-5433				PACE - Nat		C	Chicago
H1188	Plan to Plan Reconciliation Contact	"VP, Controller"		Williams	Kelly		1-814-456-5433					kelly.williams@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"ONE SENIOR CARE OHIO, LLC"	National PACE	Buckeye PACE	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Chicago
H1189	Automated TrOOP Balance Transfer Contact	Director of Finance		Orr	Raven		1-469-282-3217					raven.orr@christushealth.org	5101 N. O'Connor Blvd		Irving	TX	75039	5/29/2026	2026	CHRISTUS HEALTH PLAN	Local CCP	CHRISTUS Health Advantage	HMO/HMOPOS		CHRISTUS Health	576	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Seattle
H1189	Best Available Evidence Contact	Enrollment/COB Manager		Satchell	DeMaurea		1-469-282-3224					Demaurea.Satchell@christushealh.org	5101 N. O'Connor Blvd		Irving	TX	75039	5/29/2026	2026	CHRISTUS HEALTH PLAN	Local CCP	CHRISTUS Health Advantage	HMO/HMOPOS		CHRISTUS Health	576	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Seattle
H1189	Chief Financial Officer	"VP, CFO CHRISTUS Health Plan"	Mr.	Beiermann	Jim		1-805-368-0932					jim.beiermann@christushealth.org	5101 N. O'Connor Blvd		Irving	TX	75039	5/29/2026	2026	CHRISTUS HEALTH PLAN	Local CCP	CHRISTUS Health Advantage	HMO/HMOPOS		CHRISTUS Health	576	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Seattle
H1189	CMS Casework Communication Contact	"Director, Complaints & Appeals"		Hendon	Amanda		1-469-282-3039				1-866-416-2840	amanda.hendon@christushealth.org	5101 N. O'Connor Blvd		Irving	TX	75039	5/29/2026	2026	CHRISTUS HEALTH PLAN	Local CCP	CHRISTUS Health Advantage	HMO/HMOPOS		CHRISTUS Health	576	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Seattle
H1189	Coordination of Benefits Contact	Manager Enrollment		Satchell	DeMaurea		1-469-282-3200					demaurea.satchell@christushealth.org	5101 N. O'Connor Blvd		Irving	TX	75039	5/29/2026	2026	CHRISTUS HEALTH PLAN	Local CCP	CHRISTUS Health Advantage	HMO/HMOPOS		CHRISTUS Health	576	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Seattle
H1189	Customer Service Operations Contact	Director Health Plans	Ms.	Horn	Jeniffer		1-469-282-3252					jen.horn@christushealth.org	5101 N. O'Connor Blvd		Irving	TX	75039	5/29/2026	2026	CHRISTUS HEALTH PLAN	Local CCP	CHRISTUS Health Advantage	HMO/HMOPOS		CHRISTUS Health	576	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Seattle
H1189	Government Relations Contact	Chief Administrative Officer	Ms.	Hefton	Ronda		1-469-282-3330					ronda.hefton@christushealth.org	5101 N. O'Connor Blvd		Irving	TX	75039	5/29/2026	2026	CHRISTUS HEALTH PLAN	Local CCP	CHRISTUS Health Advantage	HMO/HMOPOS		CHRISTUS Health	576	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Seattle
H1189	Hospice Contact	Vice President Chief Medical Director	Dr	Cannon	Dean		1-469-282-3073					dean.cannon@christushealth.org	5101 N. O'Connor Blvd		Irving	TX	75039	5/29/2026	2026	CHRISTUS HEALTH PLAN	Local CCP	CHRISTUS Health Advantage	HMO/HMOPOS		CHRISTUS Health	576	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Seattle
H1189	Medicare Compliance Officer	"Director, Compliance"	Ms.	Smith	Gerri		1-225-955-7748					gerri.smith@christushealth.org	5101 N. O'Connor Blvd		Irving	TX	75039	5/29/2026	2026	CHRISTUS HEALTH PLAN	Local CCP	CHRISTUS Health Advantage	HMO/HMOPOS		CHRISTUS Health	576	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Seattle
H1189	Part D Exceptions Contact	Manager Pharmacy Benefits and Services		Nguyen	Tina							tina.nguyen2@christushealth.org	5101 N. O'Connor Blvd		Irving	TX	75039	5/29/2026	2026	CHRISTUS HEALTH PLAN	Local CCP	CHRISTUS Health Advantage	HMO/HMOPOS		CHRISTUS Health	576	Yes	Withdrawn Contract	1-817-706-3827				HMO - Health Maintenance Organization		C	Seattle
H1189	Pharmacy Network Management Contact	Manager Pharmacy Benefits and Services		Nguyen	Tina		1-817-706-3827					tina.nguyen2@christushealth.org	5101 N. O'Connor Blvd		Irving	TX	75039	5/29/2026	2026	CHRISTUS HEALTH PLAN	Local CCP	CHRISTUS Health Advantage	HMO/HMOPOS		CHRISTUS Health	576	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Seattle
H1189	Pharmacy Technical Help Desk Contact	Manager Pharmacy Benefits and Services		Nguyen	Tina							tina.nguyen2@christushealth.org	5101 N. O'Connor Blvd		Irving	TX	75039	5/29/2026	2026	CHRISTUS HEALTH PLAN	Local CCP	CHRISTUS Health Advantage	HMO/HMOPOS		CHRISTUS Health	576	Yes	Withdrawn Contract	1-866-693-4620				HMO - Health Maintenance Organization		C	Seattle
H1189	Plan to Plan Reconciliation Contact	CFO Christus Health Plan		Beiermann	JIm		1-805-368-0932					jim.beiermann@christushealth.org	5101 N. O'Connor Blvd		Irving	TX	75039	5/29/2026	2026	CHRISTUS HEALTH PLAN	Local CCP	CHRISTUS Health Advantage	HMO/HMOPOS		CHRISTUS Health	576	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Seattle
H1206	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	"COVENTRY HEALTH CARE OF ILLINOIS, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1206	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	"COVENTRY HEALTH CARE OF ILLINOIS, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1206	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	"COVENTRY HEALTH CARE OF ILLINOIS, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1206	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	1/4/2023	2026	"COVENTRY HEALTH CARE OF ILLINOIS, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1206	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	"COVENTRY HEALTH CARE OF ILLINOIS, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1206	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	"COVENTRY HEALTH CARE OF ILLINOIS, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1206	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	"COVENTRY HEALTH CARE OF ILLINOIS, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1206	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	"COVENTRY HEALTH CARE OF ILLINOIS, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1206	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	1/4/2023	2026	"COVENTRY HEALTH CARE OF ILLINOIS, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1206	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	"COVENTRY HEALTH CARE OF ILLINOIS, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H1206	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	"COVENTRY HEALTH CARE OF ILLINOIS, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1206	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	"COVENTRY HEALTH CARE OF ILLINOIS, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H1206	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	"COVENTRY HEALTH CARE OF ILLINOIS, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1212	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	4/22/2026	2026	"WELLPOINT WEST VIRGINIA , INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1212	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/5/2025	2026	"WELLPOINT WEST VIRGINIA , INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1212	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	1/16/2026	2026	"WELLPOINT WEST VIRGINIA , INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1212	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	2/5/2025	2026	"WELLPOINT WEST VIRGINIA , INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1212	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	"WELLPOINT WEST VIRGINIA , INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1212	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	2/5/2025	2026	"WELLPOINT WEST VIRGINIA , INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1212	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	2/5/2025	2026	"WELLPOINT WEST VIRGINIA , INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1212	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/5/2025	2026	"WELLPOINT WEST VIRGINIA , INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1212	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	2/5/2025	2026	"WELLPOINT WEST VIRGINIA , INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1212	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	2/5/2025	2026	"WELLPOINT WEST VIRGINIA , INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H1212	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	2/5/2025	2026	"WELLPOINT WEST VIRGINIA , INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1212	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/5/2025	2026	"WELLPOINT WEST VIRGINIA , INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H1212	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	2/5/2025	2026	"WELLPOINT WEST VIRGINIA , INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1215	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	"NEBRASKA TOTAL CARE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1215	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	"NEBRASKA TOTAL CARE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1215	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/25/2024	2026	"NEBRASKA TOTAL CARE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1215	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"NEBRASKA TOTAL CARE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1215	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"NEBRASKA TOTAL CARE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1215	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	9/18/2024	2026	"NEBRASKA TOTAL CARE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1215	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"NEBRASKA TOTAL CARE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1215	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	"NEBRASKA TOTAL CARE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1215	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/18/2025	2026	"NEBRASKA TOTAL CARE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1215	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/25/2024	2026	"NEBRASKA TOTAL CARE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H1215	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	"NEBRASKA TOTAL CARE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1215	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	1/9/2025	2026	"NEBRASKA TOTAL CARE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0202				HMO - Health Maintenance Organization		C	Denver
H1215	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	6/25/2024	2026	"NEBRASKA TOTAL CARE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1219	Automated TrOOP Balance Transfer Contact			North	Tom		1-714-878-4552					tom.north@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/23/2025	2026	"WELBEHEALTH SAN BERNARDINO PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1219	Best Available Evidence Contact			Cumpian	Terry		1-209-840-8404					terry.cumpian@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/23/2025	2026	"WELBEHEALTH SAN BERNARDINO PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1219	Chief Financial Officer		Mr.	Niehaus	Josh		1-270-222-0629					josh.niehaus@welbehealth.com	440 N BARRANCA AVE #4053		Covina	CA	91723	6/30/2026	2026	"WELBEHEALTH SAN BERNARDINO PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1219	CMS Casework Communication Contact			Costigan	Bobbie		1-219-210-6392					Bobbie.Costigan@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/23/2025	2026	"WELBEHEALTH SAN BERNARDINO PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1219	Coordination of Benefits Contact			Holmes	Nicole		1-269-910-1107					nicole.holmes@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/23/2025	2026	"WELBEHEALTH SAN BERNARDINO PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1219	Customer Service Operations Contact			Niehaus	Josh		1-270-222-0629					josh.niehaus@welbehealth.com	1819 N. Western Ave		San Bernardino	CA	92411	6/30/2026	2026	"WELBEHEALTH SAN BERNARDINO PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1219	Government Relations Contact			Lee	Elizabeth		1-650-514-1390					elizabeth.lee@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	1/29/2025	2026	"WELBEHEALTH SAN BERNARDINO PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1219	Medicare Compliance Officer		Ms.	Lee	Elizabeth		1-650-514-1390					elizabeth.lee@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	1/29/2025	2026	"WELBEHEALTH SAN BERNARDINO PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1219	Part D Exceptions Contact			Lincoln-Giang	Pam							pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	8/12/2025	2026	"WELBEHEALTH SAN BERNARDINO PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Active	1-650-294-8027				PACE - Nat		C	San Francisco
H1219	Pharmacy Network Management Contact			Lincoln-Giang	Pam		1-650-294-8027					pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	8/12/2025	2026	"WELBEHEALTH SAN BERNARDINO PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1219	Pharmacy Technical Help Desk Contact			Lincoln-Giang	Pam							pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	8/12/2025	2026	"WELBEHEALTH SAN BERNARDINO PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Active	1-650-294-8027				PACE - Nat		C	San Francisco
H1219	Plan to Plan Reconciliation Contact			Porras	Ashleigh		1-650-442-2660					p2p@welbehealth.com	440 N BARRANCA AVE #4053		COVINA	CA	91723	6/30/2026	2026	"WELBEHEALTH SAN BERNARDINO PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1224	Automated TrOOP Balance Transfer Contact	"Supervisor, Enrollment & Eligibility"	Ms.	Sherman	Mandy		1-920-221-4083				1-920-221-4583	Relay.Health@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	1/5/2022	2026	LOCAL INITIATIVE HEALTH AUTHORITY FOR LA COUNTY	Local CCP	L.A. Care Health Plan	HMO/HMOPOS		Local Initiative Health Authority for LA County	334	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1224	Best Available Evidence Contact	Chief Compliance Officer	Mr.	Gower	Todd		1-925-595-1021					LACareComplianceOfficer@lacare.org	1200 West 7th Street		Los Angeles	CA	90017	4/30/2024	2026	LOCAL INITIATIVE HEALTH AUTHORITY FOR LA COUNTY	Local CCP	L.A. Care Health Plan	HMO/HMOPOS		Local Initiative Health Authority for LA County	334	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1224	Chief Financial Officer	Chief Financial Officer	Mr.	Shah	Syed Afzal		1-213-694-1250	4526				AShah@lacare.org	1200 West 7th Street		Los Angeles	CA	90017	4/30/2024	2026	LOCAL INITIATIVE HEALTH AUTHORITY FOR LA COUNTY	Local CCP	L.A. Care Health Plan	HMO/HMOPOS		Local Initiative Health Authority for LA County	334	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1224	CMS Casework Communication Contact	"Supervisor, Appeals and Grievances"	Ms.	Rivera-Garcia	Margarita		1-213-856-0751					A&G_Intake@lacare.org	1200 West 7th Street		Los Angeles	CA	90017	6/2/2026	2026	LOCAL INITIATIVE HEALTH AUTHORITY FOR LA COUNTY	Local CCP	L.A. Care Health Plan	HMO/HMOPOS		Local Initiative Health Authority for LA County	334	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1224	Coordination of Benefits Contact	"Lead Product Solutions Manager, Medicare Product"	Mrs.	Rodriguez	Teresa		1-213-606-5552					trodriguez1@lacare.org	1200 West 7th Street		Los Angeles	CA	90017	6/2/2026	2026	LOCAL INITIATIVE HEALTH AUTHORITY FOR LA COUNTY	Local CCP	L.A. Care Health Plan	HMO/HMOPOS		Local Initiative Health Authority for LA County	334	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1224	Customer Service Operations Contact	"Director, Customer Solution Center"	Ms.	Bravo	Liliana		1-213-334-1475					lmoure@lacare.org	1200 West 7th Street		Los Angeles	CA	90017	5/2/2024	2026	LOCAL INITIATIVE HEALTH AUTHORITY FOR LA COUNTY	Local CCP	L.A. Care Health Plan	HMO/HMOPOS		Local Initiative Health Authority for LA County	334	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1224	Government Relations Contact	"Manager, Regulatory Affairs"	Ms.	Diep Ko	Kimberly		1-949-939-9201					lacarecomplianceofficer@lacare.org	1200 West 7th Street		Los Angeles	CA	90017	7/22/2024	2026	LOCAL INITIATIVE HEALTH AUTHORITY FOR LA COUNTY	Local CCP	L.A. Care Health Plan	HMO/HMOPOS		Local Initiative Health Authority for LA County	334	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1224	Hospice Contact	Manager Technical Operations	Ms.	Moussa	Nicole		1-213-248-8246					nmoussa@lacare.org	1200 West 7th Street		Los Angeles	CA	90017	5/2/2024	2026	LOCAL INITIATIVE HEALTH AUTHORITY FOR LA COUNTY	Local CCP	L.A. Care Health Plan	HMO/HMOPOS		Local Initiative Health Authority for LA County	334	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1224	Medicare Compliance Officer	Deputy Chief Compliance Officer	Mr.	Varela Miranda	Miguel		1-213-428-5500	5789				mvarelamiranda@lacare.org	1200 West 7th Street		Los Angeles	CA	90017	3/27/2026	2026	LOCAL INITIATIVE HEALTH AUTHORITY FOR LA COUNTY	Local CCP	L.A. Care Health Plan	HMO/HMOPOS		Local Initiative Health Authority for LA County	334	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1224	Part D Exceptions Contact	"Senior Manager, Clinical Prior Authorization"	Mr.	LeClair	Chris						1-920-221-4622	christopher.leclair@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	1/5/2022	2026	LOCAL INITIATIVE HEALTH AUTHORITY FOR LA COUNTY	Local CCP	L.A. Care Health Plan	HMO/HMOPOS		Local Initiative Health Authority for LA County	334	Yes	Active	1-920-221-4122				HMO - Health Maintenance Organization		C	Dallas
H1224	Pharmacy Network Management Contact	"VP, Provider Services"		Nagy	Don		1-608-820-4403					Don.Nagy@navitus.com	361 Integrity Drive		Madison	WI	53717	6/4/2026	2026	LOCAL INITIATIVE HEALTH AUTHORITY FOR LA COUNTY	Local CCP	L.A. Care Health Plan	HMO/HMOPOS		Local Initiative Health Authority for LA County	334	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1224	Pharmacy Technical Help Desk Contact	"Manager, Customer Care Accounts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	4/25/2024	2026	LOCAL INITIATIVE HEALTH AUTHORITY FOR LA COUNTY	Local CCP	L.A. Care Health Plan	HMO/HMOPOS		Local Initiative Health Authority for LA County	334	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Dallas
H1224	Plan to Plan Reconciliation Contact	Senior Director Medical Payment Systems	Ms.	Liu	Feven		1-213-200-2181					p2padmin@lacare.org	1200 West 7th Street		Los Angeles	CA	90017	1/13/2025	2026	LOCAL INITIATIVE HEALTH AUTHORITY FOR LA COUNTY	Local CCP	L.A. Care Health Plan	HMO/HMOPOS		Local Initiative Health Authority for LA County	334	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1225	Automated TrOOP Balance Transfer Contact	"Associate Vice President, Pharmacy"	Mr.	Fatodu	Hugh		1-410-424-4671					fatoduh@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	11/26/2025	2026	"HOPKINS HEALTH ADVANTAGE, INC."	Local CCP	Johns Hopkins Advantage MD	HMO/HMOPOS		Johns Hopkins Healthcare LLC	616	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1225	Best Available Evidence Contact	Director Medicare Operations	Mr.	Taddeo	Cory		1-410-424-4400	6740				CTaddeo@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	11/26/2025	2026	"HOPKINS HEALTH ADVANTAGE, INC."	Local CCP	Johns Hopkins Advantage MD	HMO/HMOPOS		Johns Hopkins Healthcare LLC	616	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1225	Chief Financial Officer	Chief Financial Officer	Mr.	Chojnowski	Daniel		1-207-807-2496					DChojnowski@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	8/3/2023	2026	"HOPKINS HEALTH ADVANTAGE, INC."	Local CCP	Johns Hopkins Advantage MD	HMO/HMOPOS		Johns Hopkins Healthcare LLC	616	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1225	CMS Casework Communication Contact	Exec Director of Compliance  & Regulatory Affairs	Ms.	Mohon	Melissa		1-443-857-0852					MMohon@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	12/22/2025	2026	"HOPKINS HEALTH ADVANTAGE, INC."	Local CCP	Johns Hopkins Advantage MD	HMO/HMOPOS		Johns Hopkins Healthcare LLC	616	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1225	Coordination of Benefits Contact	Sr. Director Medicare Plan Administration	Ms.	Riaz	Salma		1-863-634-1202					Sriaz@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	8/3/2023	2026	"HOPKINS HEALTH ADVANTAGE, INC."	Local CCP	Johns Hopkins Advantage MD	HMO/HMOPOS		Johns Hopkins Healthcare LLC	616	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1225	Customer Service Operations Contact	Director Medicare Operations	Mr.	Taddeo	Cory		1-410-424-4400	6740				CTaddeo@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	12/29/2025	2026	"HOPKINS HEALTH ADVANTAGE, INC."	Local CCP	Johns Hopkins Advantage MD	HMO/HMOPOS		Johns Hopkins Healthcare LLC	616	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1225	Government Relations Contact	Exec Director of Compliance  & Regulatory Affairs	Ms.	Mohon	Melissa		1-443-857-0852					MMohon@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	12/22/2025	2026	"HOPKINS HEALTH ADVANTAGE, INC."	Local CCP	Johns Hopkins Advantage MD	HMO/HMOPOS		Johns Hopkins Healthcare LLC	616	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1225	Hospice Contact	"Director, Pharmacy"	Ms.	Wexler	Mary Beth		1-410-762-5938					MBWexler@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	11/26/2025	2026	"HOPKINS HEALTH ADVANTAGE, INC."	Local CCP	Johns Hopkins Advantage MD	HMO/HMOPOS		Johns Hopkins Healthcare LLC	616	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1225	Medicare Compliance Officer	Exec Director of Compliance  & Regulatory Affairs	Ms.	Mohon	Melissa		1-443-857-0852					MMohon@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	12/22/2025	2026	"HOPKINS HEALTH ADVANTAGE, INC."	Local CCP	Johns Hopkins Advantage MD	HMO/HMOPOS		Johns Hopkins Healthcare LLC	616	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1225	Part D Exceptions Contact	"Director, Pharmacy"	Ms.	Wexler	Mary Beth							mbwexler@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	11/10/2025	2026	"HOPKINS HEALTH ADVANTAGE, INC."	Local CCP	Johns Hopkins Advantage MD	HMO/HMOPOS		Johns Hopkins Healthcare LLC	616	Yes	Active	1-800-261-2396				HMO - Health Maintenance Organization		C	Boston
H1225	Pharmacy Network Management Contact	"Associate Vice President, Pharmacy"	Mr.	Fatodu	Hugh		1-410-424-4671					fatoduh@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	11/26/2025	2026	"HOPKINS HEALTH ADVANTAGE, INC."	Local CCP	Johns Hopkins Advantage MD	HMO/HMOPOS		Johns Hopkins Healthcare LLC	616	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1225	Pharmacy Technical Help Desk Contact	"Director, Pharmacy"	Ms.	Wexler	Mary Beth							mbwexler@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	11/10/2025	2026	"HOPKINS HEALTH ADVANTAGE, INC."	Local CCP	Johns Hopkins Advantage MD	HMO/HMOPOS		Johns Hopkins Healthcare LLC	616	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Boston
H1225	Plan to Plan Reconciliation Contact	Director of  Finance	Ms.	Shariff	Sadia		1-609-571-5406					SShariff@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	12/18/2024	2026	"HOPKINS HEALTH ADVANTAGE, INC."	Local CCP	Johns Hopkins Advantage MD	HMO/HMOPOS		Johns Hopkins Healthcare LLC	616	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1228	Automated TrOOP Balance Transfer Contact	Health Plan Director		Villa	Angelica	J	1-209-724-6000	6001			1-209-724-6001	ajvilla@cvpace.org	2401 East Orangeburg Ave	Suite 330	Modesto	CA	95355	8/4/2025	2026	GOLDEN VALLEY HEALTH CENTERS	National PACE	Central Valley PACE	National PACE		Golden Valley Health Centers	742	Yes	Active					PACE - Nat		C	San Francisco
H1228	Best Available Evidence Contact	Medical Director	Dr	Dunitz	Neal		1-209-724-6000				1-209-724-6001	ndunitz@gvhc.org	2401 East Orangeburg Ave.	Suite 330	Modesto	CA	95355	1/5/2021	2026	GOLDEN VALLEY HEALTH CENTERS	National PACE	Central Valley PACE	National PACE		Golden Valley Health Centers	742	Yes	Active					PACE - Nat		C	San Francisco
H1228	Chief Financial Officer	CFO	Ms	Ramirez	Trisha		1-209-203-7862				1-209-383-0136	tramirez@gvhc.org	1910 Customer Care Way		Atwater	CA	95301	12/5/2025	2026	GOLDEN VALLEY HEALTH CENTERS	National PACE	Central Valley PACE	National PACE		Golden Valley Health Centers	742	Yes	Active					PACE - Nat		C	San Francisco
H1228	CMS Casework Communication Contact	Quality Manager RN	Ms.	Garcia	Rebecca		1-209-930-0930				1-209-724-6001	regarcia@cvpace.org	2401 East Orangeburg Ave	Suite 330	Modeso	CA	95355	2/24/2025	2026	GOLDEN VALLEY HEALTH CENTERS	National PACE	Central Valley PACE	National PACE		Golden Valley Health Centers	742	Yes	Active					PACE - Nat		C	San Francisco
H1228	Coordination of Benefits Contact	Health Plan Director		Villa	Angelica	J	1-209-724-6000	6001			1-209-724-6001	ajvilla@cvpace.org	2401 East Orangeburg Ave	Suite 330	Modesto	CA	95355	8/4/2025	2026	GOLDEN VALLEY HEALTH CENTERS	National PACE	Central Valley PACE	National PACE		Golden Valley Health Centers	742	Yes	Active					PACE - Nat		C	San Francisco
H1228	Customer Service Operations Contact	Health Plan Director		Villa	Angelica	J	1-209-724-6000	6001			1-209-724-6001	ajvilla@cvpace.org	2401 East Orangeburg Ave	Suite 330	Modesto	CA	95355	8/4/2025	2026	GOLDEN VALLEY HEALTH CENTERS	National PACE	Central Valley PACE	National PACE		Golden Valley Health Centers	742	Yes	Active					PACE - Nat		C	San Francisco
H1228	Government Relations Contact	Executive Director		Jelinek	Cherie		1-209-724-6000				1-209-724-6001	cjelinek@cvpace.org	2401 East Orangeburg Ave	Suite 330	Modesto	CA	95355	4/14/2025	2026	GOLDEN VALLEY HEALTH CENTERS	National PACE	Central Valley PACE	National PACE		Golden Valley Health Centers	742	Yes	Active					PACE - Nat		C	San Francisco
H1228	Medicare Compliance Officer	Compliance Officer	Mrs.	Morgan	Barbara		1-209-913-2697				1-209-724-6001	bmorgan@cvpace.org	2401 E Orangeburg Ave	Suite 330	Modesto	CA	95356	10/5/2023	2026	GOLDEN VALLEY HEALTH CENTERS	National PACE	Central Valley PACE	National PACE		Golden Valley Health Centers	742	Yes	Active					PACE - Nat		C	San Francisco
H1228	Part D Exceptions Contact	Health Plan Director		Villa	Angelica	J					1-209-724-6001	ajvilla@cvpace.org	2401 East Orangeburg Ave.	Suite 330	Modesto	CA	95355	8/4/2025	2026	GOLDEN VALLEY HEALTH CENTERS	National PACE	Central Valley PACE	National PACE		Golden Valley Health Centers	742	Yes	Active	1-855-461-7223	6001			PACE - Nat		C	San Francisco
H1228	Pharmacy Network Management Contact	Health Plan Director		Villa	Angelica	J	1-209-724-6000	6000			1-209-724-6001	ajvilla@cvpace.org	2401 East Orangeburg Ave	Suite 330	Modesto	CA	95355	8/4/2025	2026	GOLDEN VALLEY HEALTH CENTERS	National PACE	Central Valley PACE	National PACE		Golden Valley Health Centers	742	Yes	Active					PACE - Nat		C	San Francisco
H1228	Pharmacy Technical Help Desk Contact	Health Plan Director		Villa	Angelica	J					1-209-724-6001	ajvilla@cvpace.org	2401 East Orangeburg Ave	Suite 330	Modesto	CA	95355	8/4/2025	2026	GOLDEN VALLEY HEALTH CENTERS	National PACE	Central Valley PACE	National PACE		Golden Valley Health Centers	742	Yes	Active	1-855-461-7223	6001			PACE - Nat		C	San Francisco
H1228	Plan to Plan Reconciliation Contact	Health Plan Director		Villa	Angelica	J	1-209-724-6000	6001			1-209-724-6001	ajvilla@cvpace.org	2401 East Orangeburg Ave.	Suite 330	Modesto	CA	95355	8/4/2025	2026	GOLDEN VALLEY HEALTH CENTERS	National PACE	Central Valley PACE	National PACE		Golden Valley Health Centers	742	Yes	Active					PACE - Nat		C	San Francisco
H1230	Automated TrOOP Balance Transfer Contact	"Supv, Program Management • Rx Admin-Rx Benefit Man"		Perez	Elizabeth	R	1-562-367-0592					Elizabeth.R.Perez@kp.org	12254 Bellflower Blvd.		Downey	CA	90242	6/25/2026	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1230	Best Available Evidence Contact	"Senior Team Manager, Medicare Membership Admin."		Salcido	Adam		1-858-829-3521					CSC-SD-Hospice-BAE@kp.org	3840 Murphy Canyon Rd.		San Diego	CA	92123	4/24/2023	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1230	Chief Financial Officer	SVP & CFO National Medicare Finance	Mr.	Stewart	Mark		1-401-284-8679					Mark.C1.Stewart@kp.org	1 Kaiser Plaza	c/o Kaiser Foundation Health Plan	Oakland	CA	94612	12/16/2024	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1230	CMS Casework Communication Contact	Medicare Compliance Lead	Ms.	Piper	Kimberly		1-206-473-9504				1-206-877-0645	Kimberly.C.Piper@kp.org	2715 Naches Ave. SW	P.O. Box 9010	Renton	WA	98057	9/8/2025	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1230	Coordination of Benefits Contact	Senior Director		Chung	Clarence		1-562-390-9293				1-562-658-3866	clarence.j.chung@kp.org	"12254 Bellflower Blvd - Suite 106, 1st Floor"		Downey	CA	90242	4/28/2022	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1230	Customer Service Operations Contact			Services	Member		1-800-443-0815					mscc@kp.org	"1800 Harrison St., 23rd Floor"		Oakland	CA	94612	5/15/2024	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1230	Government Relations Contact	"Senior Vice President, Government Relations"	Mr.	Barrueta	Anthony	A	1-510-271-6835					Anthony.Barrueta@kp.org	One Kaiser Plaza		Oakland	CA	94612	10/7/2021	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1230	Hospice Contact	"Senior Team Manager, Medicare Membership Admin."		Salcido	Adam		1-858-829-3521					CSC-SD-Hospice-BAE@kp.org	3840 Murphy Canyon Rd.		San Diego	CA	92123	4/24/2023	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1230	Medicare Compliance Officer	Medicare Compliance Lead	Ms	Piper	Kimberly	C	1-206-473-9504				1-206-877-0645	Kimberly.C.Piper@kp.org	2715 Naches Ave. SW	P.O. Box 9010	Renton	WA	98057	6/1/2026	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1230	Part D Exceptions Contact	"Supervisor, Program Management"		Ramos	Blanca							blanca.a.ramos@kp.org	12254 Bellflower Blvd		Downey	CA	90242	6/26/2026	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active	1-562-370-3382				HMO - Health Maintenance Organization		C	Dallas
H1230	Pharmacy Network Management Contact	"Sr Manager, Program Mgmt"		Bonvie	Claudette		1-562-319-9392					claudette.r.bonvie@kp.org	12254 Bellflower Blvd.		Downey	CA	90242	6/26/2026	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1230	Pharmacy Technical Help Desk Contact	Customer Care Center		OptumRx	PBM								755 Research Parkway Suite 160		Oklahoma City	OK	73104	11/2/2016	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active	1-888-277-3917				HMO - Health Maintenance Organization		C	Dallas
H1230	Plan to Plan Reconciliation Contact	"Interim Director, Medicare Accounting"		Wright	Mark	A	1-925-323-9443					mark.a.wright@kp.org	"1 Kaiser Plaza, 25th Floor"		Oakland	CA	94612	1/20/2023	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1234	Automated TrOOP Balance Transfer Contact	Finance Director	Mrs.	Stevenson	Gail		1-609-599-5359				1-609-599-6203	gstevenson@capitalhealth.org	7500 K Johnson Blvd.		Bordentown	NJ	08505	6/25/2026	2026	CAPITAL HEALTH LIFE	National PACE	Capital Health LIFE	National PACE		"Capital Healthcare, INC."	809	Yes	Active					PACE - Nat		C	New York
H1234	Best Available Evidence Contact	Chief Compliance & Privacy Officer	Mrs	Capik McGuire	Laura		1-609-599-5478				1-609-599-6203	LMcGuire@capitalhealth.org	7500 K Johnson Blvd		Bordentown	NJ	08505	11/7/2024	2026	CAPITAL HEALTH LIFE	National PACE	Capital Health LIFE	National PACE		"Capital Healthcare, INC."	809	Yes	Active					PACE - Nat		C	New York
H1234	Chief Financial Officer	Finance Director	Mrs	Stevenson	Gail		1-609-599-5359					gstevenson@capitalhealth.org	7500 Kevin Johnson Blvd		Bordentown	NJ	08505	6/25/2026	2026	CAPITAL HEALTH LIFE	National PACE	Capital Health LIFE	National PACE		"Capital Healthcare, INC."	809	Yes	Active					PACE - Nat		C	New York
H1234	CMS Casework Communication Contact	Executive Director	Mrs	John-Williams	Mary		1-609-599-5477				1-609-599-6203	mjwilliams@capitalhealth.org	7500 K Johnson Blvd		Bordentown	NJ	08505	6/19/2025	2026	CAPITAL HEALTH LIFE	National PACE	Capital Health LIFE	National PACE		"Capital Healthcare, INC."	809	Yes	Active					PACE - Nat		C	New York
H1234	Coordination of Benefits Contact	Finance Director	Mrs	Stevenson	Gail		1-609-599-5359				1-609-599-6203	gstevenson@capitalhealth.org	7500 K Johnson Blvd		Bordentown	NJ	08505	6/25/2026	2026	CAPITAL HEALTH LIFE	National PACE	Capital Health LIFE	National PACE		"Capital Healthcare, INC."	809	Yes	Active					PACE - Nat		C	New York
H1234	Customer Service Operations Contact	Finance Director	Mr	Serra	Joseph		1-609-599-5359				1-609-599-6203	jserra@capitalhealth.org	7500 K Johnson Blvd		Bordentown	NJ	08505	4/17/2026	2026	CAPITAL HEALTH LIFE	National PACE	Capital Health LIFE	National PACE		"Capital Healthcare, INC."	809	Yes	Active					PACE - Nat		C	New York
H1234	Government Relations Contact	Chief Compliance & Privacy Officer	Ms.	Capik McGuire	Laura		1-609-599-5474				1-609-599-6203	LMcGuire@capitalhealth.org	7500 K Johnson Blvd		Bordentown	NJ	08505	11/7/2024	2026	CAPITAL HEALTH LIFE	National PACE	Capital Health LIFE	National PACE		"Capital Healthcare, INC."	809	Yes	Active					PACE - Nat		C	New York
H1234	Medicare Compliance Officer	Chief Compliance & Privacy Officer	Ms.	Capik McGuire	Laura		1-609-394-6783				1-609-394-6783	LMcGuire@capitalhealth.org	750 Brunswick Ave		Trenton	NJ	08638	3/1/2023	2026	CAPITAL HEALTH LIFE	National PACE	Capital Health LIFE	National PACE		"Capital Healthcare, INC."	809	Yes	Active					PACE - Nat		C	New York
H1234	Part D Exceptions Contact	Manager of Quality & Regulatory Affairs	Ms	Shrikhande	Vrushali							VShrikhande@capitalhealth.org	7500 Kevin Johnson Blvd		Bordentown	NJ	08505	8/20/2025	2026	CAPITAL HEALTH LIFE	National PACE	Capital Health LIFE	National PACE		"Capital Healthcare, INC."	809	Yes	Active	1-609-599-5433				PACE - Nat		C	New York
H1234	Pharmacy Network Management Contact	Finance Director	Mrs	Stevenson	Gail		1-609-599-5359				1-609-599-6203	gstevenson@capitalhealth.org	7500 K Johnson Blvd		Bordentown	NJ	08505	6/25/2026	2026	CAPITAL HEALTH LIFE	National PACE	Capital Health LIFE	National PACE		"Capital Healthcare, INC."	809	Yes	Active					PACE - Nat		C	New York
H1234	Pharmacy Technical Help Desk Contact	Finance Director	Mrs	Stevenson	Gail						1-609-599-6203	gstevenson@capitalhealth.org	7500 K Johnson Blvd		Bordentown	NJ	08505	6/25/2026	2026	CAPITAL HEALTH LIFE	National PACE	Capital Health LIFE	National PACE		"Capital Healthcare, INC."	809	Yes	Active	1-609-599-5359				PACE - Nat		C	New York
H1234	Plan to Plan Reconciliation Contact	Finance Director	Mrs	Stevenson	Gail		1-609-599-5359				1-609-599-6203	gstevenson@capitalhealth.org	7500 K Johnson Blvd		Bordentown	NJ	08505	6/25/2026	2026	CAPITAL HEALTH LIFE	National PACE	Capital Health LIFE	National PACE		"Capital Healthcare, INC."	809	Yes	Active					PACE - Nat		C	New York
H1239	Automated TrOOP Balance Transfer Contact	Medicare Compliance Manager		Brown	Lauren		1-720-974-6031				1-303-996-1600	lbrown2@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	9/14/2023	2026	"INNOVAGE VIRGINIA PACE-ROANOKE VALLEY, LLC"	National PACE	InnovAge Virginia PACE- Roanoke Valley	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H1239	Best Available Evidence Contact	Director of Finance	Ms.	Hewitt	Jessica		1-720-974-6767					jhewitt@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	5/19/2025	2026	"INNOVAGE VIRGINIA PACE-ROANOKE VALLEY, LLC"	National PACE	InnovAge Virginia PACE- Roanoke Valley	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H1239	Chief Financial Officer	CFO	Mr.	Adams	Ben		1-917-842-3099				1-303-996-1600	badams@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE VIRGINIA PACE-ROANOKE VALLEY, LLC"	National PACE	InnovAge Virginia PACE- Roanoke Valley	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H1239	CMS Casework Communication Contact	Director of Compliance		Simpson-Thomas	Shakyra		1-804-819-9554				1-303-996-1600	ssimpson-thomas@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	3/3/2026	2026	"INNOVAGE VIRGINIA PACE-ROANOKE VALLEY, LLC"	National PACE	InnovAge Virginia PACE- Roanoke Valley	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H1239	Coordination of Benefits Contact	Medicare Compliance Manager		Brown	Lauren		1-720-974-6031				1-303-996-1600	lbrown2@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE VIRGINIA PACE-ROANOKE VALLEY, LLC"	National PACE	InnovAge Virginia PACE- Roanoke Valley	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H1239	Customer Service Operations Contact	Director of Compliance		Simpson-Thomas	Shakyra		1-804-819-9554				1-303-996-1600	ssimpson-thomas@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	3/3/2026	2026	"INNOVAGE VIRGINIA PACE-ROANOKE VALLEY, LLC"	National PACE	InnovAge Virginia PACE- Roanoke Valley	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H1239	Government Relations Contact	"SVP, External Affairs"		Nelson	Don		1-608-217-5110					dnelson3@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	12/5/2025	2026	"INNOVAGE VIRGINIA PACE-ROANOKE VALLEY, LLC"	National PACE	InnovAge Virginia PACE- Roanoke Valley	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H1239	Medicare Compliance Officer	VP of Compliance	Ms.	Teter	Lezlie	A	1-720-682-9848				1-303-996-1600	lteter@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	4/24/2026	2026	"INNOVAGE VIRGINIA PACE-ROANOKE VALLEY, LLC"	National PACE	InnovAge Virginia PACE- Roanoke Valley	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H1239	Part D Exceptions Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael						1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE VIRGINIA PACE-ROANOKE VALLEY, LLC"	National PACE	InnovAge Virginia PACE- Roanoke Valley	National PACE		"Total Community Options, Inc."	230	Yes	Active	1-720-666-3817				PACE - Nat		C	Philadelphia
H1239	Pharmacy Network Management Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael		1-720-666-3817				1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE VIRGINIA PACE-ROANOKE VALLEY, LLC"	National PACE	InnovAge Virginia PACE- Roanoke Valley	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H1239	Pharmacy Technical Help Desk Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael						1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE VIRGINIA PACE-ROANOKE VALLEY, LLC"	National PACE	InnovAge Virginia PACE- Roanoke Valley	National PACE		"Total Community Options, Inc."	230	Yes	Active	1-720-666-3817				PACE - Nat		C	Philadelphia
H1239	Plan to Plan Reconciliation Contact	Finance and Compliance Analyst		Kizewski	Alex		1-720-789-6171				1-720-917-3390	akizewski@innovage.com	8950 East Lowry Blvd		Denver	CO	80230	7/28/2023	2026	"INNOVAGE VIRGINIA PACE-ROANOKE VALLEY, LLC"	National PACE	InnovAge Virginia PACE- Roanoke Valley	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H1248	Automated TrOOP Balance Transfer Contact	"SVP, Government Programs"	Mrs.	Hogan	Sabrina		1-225-295-2390					sabrina.hogan@bcbsla.com	5525 Reitz Ave		Baton Rouge	LA	70809	6/26/2026	2026	LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY	Local CCP	Blue Cross and Blue Shield of Louisiana	Local PPO		Louisiana Health Service & Indemnity Company	617	Yes	Active					PPO - BBA		C	Dallas
H1248	Best Available Evidence Contact	Medicare Advantage Compliance Officer	Mrs.	Rainer	Sally		1-225-298-7361					sally.rainer@lablue.com	5525 Reitz Avenue		Baton Rouge	LA	70809	10/14/2025	2026	LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY	Local CCP	Blue Cross and Blue Shield of Louisiana	Local PPO		Louisiana Health Service & Indemnity Company	617	Yes	Active					PPO - BBA		C	Dallas
H1248	Chief Financial Officer	"SVP, Government Programs"	Mrs.	Hogan	Sabrina		1-225-295-2390					sabrina.hogan@bcbsla.com	5525 Reitz Ave		Baton Rouge	LA	70809	6/26/2026	2026	LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY	Local CCP	Blue Cross and Blue Shield of Louisiana	Local PPO		Louisiana Health Service & Indemnity Company	617	Yes	Active					PPO - BBA		C	Dallas
H1248	CMS Casework Communication Contact	Medicare Advantage Compliance Officer	Mrs.	Rainer	Sally		1-225-298-7361					sally.rainer@lablue.com	5525 Reitz Ave		Baton Rouge	LA	70809	8/20/2025	2026	LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY	Local CCP	Blue Cross and Blue Shield of Louisiana	Local PPO		Louisiana Health Service & Indemnity Company	617	Yes	Active					PPO - BBA		C	Dallas
H1248	Coordination of Benefits Contact	Medicare Advantage Compliance Officer	Mrs.	Rainer	Sally		1-225-298-7361					sally.rainer@lablue.com	5525 Reitz Avenue		Baton Rouge	LA	70809	10/14/2025	2026	LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY	Local CCP	Blue Cross and Blue Shield of Louisiana	Local PPO		Louisiana Health Service & Indemnity Company	617	Yes	Active					PPO - BBA		C	Dallas
H1248	Customer Service Operations Contact	Director of Member Services	Mrs.	Trichel Jones	Amy		1-318-998-2870					amy.trichel@lablue.com	5525 Reitz Ave		Baton Rouge	LA	70809	12/18/2024	2026	LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY	Local CCP	Blue Cross and Blue Shield of Louisiana	Local PPO		Louisiana Health Service & Indemnity Company	617	Yes	Active					PPO - BBA		C	Dallas
H1248	Government Relations Contact	"Director, Medicare Advantage Compliance Officer"	Mr.	Harvey	Korey		1-225-297-2762					korey.harvey@lablue.com	5525 Reitz Avenue		Baton Rouge	LA	70809	12/18/2024	2026	LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY	Local CCP	Blue Cross and Blue Shield of Louisiana	Local PPO		Louisiana Health Service & Indemnity Company	617	Yes	Active					PPO - BBA		C	Dallas
H1248	Hospice Contact	Account Manager - Express Scripts	Ms.	Morgan	Stacy		1-480-281-8763					slmorgan@express-scripts.com	6625 West 78th Street		Bloomington	MN	55439	12/30/2020	2026	LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY	Local CCP	Blue Cross and Blue Shield of Louisiana	Local PPO		Louisiana Health Service & Indemnity Company	617	Yes	Active					PPO - BBA		C	Dallas
H1248	Medicare Compliance Officer	Medicare Advantage Compliance Officer	Mrs.	Rainer	Sally		1-225-298-7361					sally.rainer@lablue.com	5525 Reitz Avenue		Baton Rouge	LA	70809	8/20/2025	2026	LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY	Local CCP	Blue Cross and Blue Shield of Louisiana	Local PPO		Louisiana Health Service & Indemnity Company	617	Yes	Active					PPO - BBA		C	Dallas
H1248	Part D Exceptions Contact	Senior Pharmacy Manager		Herbert	Joshua							joshua.herbert@evernorth.com	One Espress Way Mail Stop S13NB		St. Louis	MO	63121	10/27/2025	2026	LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY	Local CCP	Blue Cross and Blue Shield of Louisiana	Local PPO		Louisiana Health Service & Indemnity Company	617	Yes	Active	1-513-292-0563				PPO - BBA		C	Dallas
H1248	Pharmacy Network Management Contact	"Network Account Dir, Retail Strategy & Contracting"	Ms.	Kelly	Heather		1-314-692-1866					Hakelly@express-scripts.com	One Express Way		St Louis	MO	63121	2/14/2018	2026	LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY	Local CCP	Blue Cross and Blue Shield of Louisiana	Local PPO		Louisiana Health Service & Indemnity Company	617	Yes	Active					PPO - BBA		C	Dallas
H1248	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Monroe	LaTasha							latasha_monroe@express-scripts.com	13051 N Telecom Parkway	Suite 150	Temple Terrace	FL	33637	12/18/2024	2026	LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY	Local CCP	Blue Cross and Blue Shield of Louisiana	Local PPO		Louisiana Health Service & Indemnity Company	617	Yes	Active	1-800-922-1557				PPO - BBA		C	Dallas
H1248	Plan to Plan Reconciliation Contact	"SVP, Government Programs"	Mrs.	Hogan	Sabrina		1-225-295-2390					sabrina.hogan@bcbsla.com	5525 Reitz Avenue		Baton Rouge	LA	70809	6/26/2026	2026	LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY	Local CCP	Blue Cross and Blue Shield of Louisiana	Local PPO		Louisiana Health Service & Indemnity Company	617	Yes	Active					PPO - BBA		C	Dallas
H1278	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1278	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1278	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1278	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1278	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1278	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1278	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1278	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1278	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1278	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				PPO - BBA		C	Boston
H1278	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1278	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				PPO - BBA		C	Boston
H1278	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1280	Automated TrOOP Balance Transfer Contact	VP Pharmacy		Vellutato	John		1-857-313-4678					john.vellutato@eternalHealth.com	31 Saint James Avenue	Suite # 950	Boston	MA	02116	4/23/2024	2026	"ETERNALHEALTH, INC."	Local CCP	eternalHealth	HMO/HMOPOS		"Eternal Health of Delaware, Inc."	769	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1280	Best Available Evidence Contact	VP Pharmacy		Vellutato	John		1-857-313-4678					john.vellutato@eternalHealth.com	31 Saint James Avenue	Suite # 950	Boston	MA	02116	4/23/2024	2026	"ETERNALHEALTH, INC."	Local CCP	eternalHealth	HMO/HMOPOS		"Eternal Health of Delaware, Inc."	769	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1280	Chief Financial Officer	Interim CFO (Controller)	Mr.	Tang	Tak		1-617-665-7430					tak.tang@eternalhealth.com	31 St. James Ave.	Suite 950	Boston	MA	02116	3/9/2026	2026	"ETERNALHEALTH, INC."	Local CCP	eternalHealth	HMO/HMOPOS		"Eternal Health of Delaware, Inc."	769	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1280	CMS Casework Communication Contact	VP Clinical Operations		Dougherty	Laurene		1-414-915-0613					laurene.dougherty@eternalhealth.com	31 Saint James Avenue	Suite # 950	Boston	MA	02116	5/16/2025	2026	"ETERNALHEALTH, INC."	Local CCP	eternalHealth	HMO/HMOPOS		"Eternal Health of Delaware, Inc."	769	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1280	Coordination of Benefits Contact	Chief Operating Officer		Price	John		1-215-880-6876					john.price@eternalhealth.com	31 St. James Ave.	Suite 950	Boston	MA	02116	6/10/2026	2026	"ETERNALHEALTH, INC."	Local CCP	eternalHealth	HMO/HMOPOS		"Eternal Health of Delaware, Inc."	769	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1280	Customer Service Operations Contact	Chief Operating Officer		Price	John		1-215-880-6876					john.price@eternalhealth.com	31 St. James Ave.	Suite 950	Boston	MA	02116	7/31/2023	2026	"ETERNALHEALTH, INC."	Local CCP	eternalHealth	HMO/HMOPOS		"Eternal Health of Delaware, Inc."	769	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1280	Government Relations Contact	Chief Compliance Officer		Ross	Cheyenne	L	1-623-910-3321					cheyenne.ross@eternalhealth.com	31 St. James Ave.	Suite 950	Boston	MA	02116	7/31/2023	2026	"ETERNALHEALTH, INC."	Local CCP	eternalHealth	HMO/HMOPOS		"Eternal Health of Delaware, Inc."	769	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1280	Hospice Contact	VP Clinical Operations		Dougherty	Laurene		1-813-601-5063					laurene.dougherty@eternalhealth.com	31 Saint James Avenue	Suite # 950	Boston	MA	02116	3/9/2026	2026	"ETERNALHEALTH, INC."	Local CCP	eternalHealth	HMO/HMOPOS		"Eternal Health of Delaware, Inc."	769	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1280	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Ross	Cheyenne	L	1-623-910-3321					cheyenne.ross@eternalhealth.com	31 St. James Ave.	Suite 950	Boston	MA	02116	7/31/2023	2026	"ETERNALHEALTH, INC."	Local CCP	eternalHealth	HMO/HMOPOS		"Eternal Health of Delaware, Inc."	769	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1280	Part D Exceptions Contact	Manager		Bricker	Bryce							bryce.m.bricker@optum.com	2441 Warrenville Road		Lisle	IL	60532	7/31/2023	2026	"ETERNALHEALTH, INC."	Local CCP	eternalHealth	HMO/HMOPOS		"Eternal Health of Delaware, Inc."	769	Yes	Active	1-612-632-6838				HMO - Health Maintenance Organization		C	Boston
H1280	Pharmacy Network Management Contact	Director		Ashby	JoLynn		1-763-732-6364					JAshby@optum.com	1600 McConnor Pkwy		Schaumburg	IL	60173	7/31/2023	2026	"ETERNALHEALTH, INC."	Local CCP	eternalHealth	HMO/HMOPOS		"Eternal Health of Delaware, Inc."	769	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1280	Pharmacy Technical Help Desk Contact			Villanueva	Juan							juan.villanueva@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	6/4/2024	2026	"ETERNALHEALTH, INC."	Local CCP	eternalHealth	HMO/HMOPOS		"Eternal Health of Delaware, Inc."	769	Yes	Active	1-855-312-2306				HMO - Health Maintenance Organization		C	Boston
H1280	Plan to Plan Reconciliation Contact	Interim CFO (Controller)		Tang	Tak		1-617-665-7430					tak.tang@eternalhealth.com	31 St. James Ave.	"Suite 950,"	Boston	MA	02116	3/9/2026	2026	"ETERNALHEALTH, INC."	Local CCP	eternalHealth	HMO/HMOPOS		"Eternal Health of Delaware, Inc."	769	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1285	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC."	Local CCP	UnitedHealthcare Community Plan	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1285	Best Available Evidence Contact	"Manager, Enrollment & Eligibility"		Asselin	Krista		1-763-361-1104					krista_asselin@uhc.com	PO Box 9472		Minneapolis	MN	55440	11/14/2025	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC."	Local CCP	UnitedHealthcare Community Plan	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1285	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/13/2025	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC."	Local CCP	UnitedHealthcare Community Plan	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1285	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC."	Local CCP	UnitedHealthcare Community Plan	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1285	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC."	Local CCP	UnitedHealthcare Community Plan	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1285	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC."	Local CCP	UnitedHealthcare Community Plan	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1285	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC."	Local CCP	UnitedHealthcare Community Plan	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1285	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC."	Local CCP	UnitedHealthcare Community Plan	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1285	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC."	Local CCP	UnitedHealthcare Community Plan	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1285	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC."	Local CCP	UnitedHealthcare Community Plan	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H1285	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC."	Local CCP	UnitedHealthcare Community Plan	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1285	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC."	Local CCP	UnitedHealthcare Community Plan	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H1285	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC."	Local CCP	UnitedHealthcare Community Plan	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1290	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	10/21/2025	2026	"DEVOTED HEALTH PLAN OF FLORIDA, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H1290	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	9/12/2024	2026	"DEVOTED HEALTH PLAN OF FLORIDA, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H1290	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	9/12/2024	2026	"DEVOTED HEALTH PLAN OF FLORIDA, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H1290	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	9/12/2024	2026	"DEVOTED HEALTH PLAN OF FLORIDA, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H1290	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	10/21/2025	2026	"DEVOTED HEALTH PLAN OF FLORIDA, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H1290	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	9/12/2024	2026	"DEVOTED HEALTH PLAN OF FLORIDA, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H1290	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	9/12/2024	2026	"DEVOTED HEALTH PLAN OF FLORIDA, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H1290	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	9/12/2024	2026	"DEVOTED HEALTH PLAN OF FLORIDA, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H1290	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	9/6/2023	2026	"DEVOTED HEALTH PLAN OF FLORIDA, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H1290	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	9/12/2024	2026	"DEVOTED HEALTH PLAN OF FLORIDA, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				HMO - Health Maintenance Organization		C	New York
H1290	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	9/12/2024	2026	"DEVOTED HEALTH PLAN OF FLORIDA, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H1290	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	10/21/2025	2026	"DEVOTED HEALTH PLAN OF FLORIDA, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H1290	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	10/21/2025	2026	"DEVOTED HEALTH PLAN OF FLORIDA, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H1302	Automated TrOOP Balance Transfer Contact	Quality Improvement Performance Specialist		Kober	Ashley		1-986-224-3495					ashley.kober@bcidaho.com	3000 E. Pine Ave.		Meridian	ID	83642	5/18/2026	2026	"BLUE CROSS OF IDAHO HEALTH SERVICE, INC."	Local CCP	Blue Cross of Idaho	Local PPO		"Gemstone Holdings, Inc."	29	Yes	Active					PPO - BBA		C	Boston
H1302	Best Available Evidence Contact	MA EBS Supervisor Service Operations		Sherman	Missy		1-986-224-3236					Missy.Sherman@bcidaho.com	3000 E. Pine Ave.		Meridian	ID	83642	5/18/2026	2026	"BLUE CROSS OF IDAHO HEALTH SERVICE, INC."	Local CCP	Blue Cross of Idaho	Local PPO		"Gemstone Holdings, Inc."	29	Yes	Active					PPO - BBA		C	Boston
H1302	Chief Financial Officer	Vice President and CFO	Mr.	Ward	David		1-986-224-3438					dave.ward@bcidaho.com	3000 E. Pine Ave.		Meridian	ID	83642	5/18/2026	2026	"BLUE CROSS OF IDAHO HEALTH SERVICE, INC."	Local CCP	Blue Cross of Idaho	Local PPO		"Gemstone Holdings, Inc."	29	Yes	Active					PPO - BBA		C	Boston
H1302	CMS Casework Communication Contact	"Manager, Grievances & Appeals"		Jones	Liz		1-986-224-3293					Liz.Jones@bcidaho.com	3000 E. Pine Ave.		Meridian	ID	83642	5/18/2026	2026	"BLUE CROSS OF IDAHO HEALTH SERVICE, INC."	Local CCP	Blue Cross of Idaho	Local PPO		"Gemstone Holdings, Inc."	29	Yes	Active					PPO - BBA		C	Boston
H1302	Coordination of Benefits Contact			Service	Customer		1-208-395-8200					macs@bcidaho.com	3000 E. Pine Ave.		Meridian	ID	83642	5/18/2026	2026	"BLUE CROSS OF IDAHO HEALTH SERVICE, INC."	Local CCP	Blue Cross of Idaho	Local PPO		"Gemstone Holdings, Inc."	29	Yes	Active					PPO - BBA		C	Boston
H1302	Customer Service Operations Contact	"Director, Customer Service"		Teater	Martin		1-986-224-4480					martin.teater@bcidaho.com	3000 E. Pine Ave.		Meridian	ID	83642	5/18/2026	2026	"BLUE CROSS OF IDAHO HEALTH SERVICE, INC."	Local CCP	Blue Cross of Idaho	Local PPO		"Gemstone Holdings, Inc."	29	Yes	Active					PPO - BBA		C	Boston
H1302	Government Relations Contact	"VP, Chief Compliance and Ethics Officer"		Thornock	Wade		1-986-224-6949					Wade.Thornock@bcidaho.com	3000 E. Pine Ave.		Meridian	ID	83642	5/18/2026	2026	"BLUE CROSS OF IDAHO HEALTH SERVICE, INC."	Local CCP	Blue Cross of Idaho	Local PPO		"Gemstone Holdings, Inc."	29	Yes	Active					PPO - BBA		C	Boston
H1302	Hospice Contact	VP Pharmacy		Olson	Steve		1-986-224-3308					steve.olson@bcidaho.com	3000 E. Pine Ave.		Meridian	ID	83642	5/18/2026	2026	"BLUE CROSS OF IDAHO HEALTH SERVICE, INC."	Local CCP	Blue Cross of Idaho	Local PPO		"Gemstone Holdings, Inc."	29	Yes	Active					PPO - BBA		C	Boston
H1302	Medicare Compliance Officer	"VP, Chief Compliance and Ethics Officer"	Mr.	Thornock	Wade		1-986-224-6949					Wade.Thornock@bcidaho.com	3000 E Pine Ave		Meridian	ID	83642	5/18/2026	2026	"BLUE CROSS OF IDAHO HEALTH SERVICE, INC."	Local CCP	Blue Cross of Idaho	Local PPO		"Gemstone Holdings, Inc."	29	Yes	Active					PPO - BBA		C	Boston
H1302	Part D Exceptions Contact	VP Pharmacy		Olson	Steve							steve.olson@bcidaho.com	3000 E Pine Ave Meridian		Meridian	ID	83642	5/18/2026	2026	"BLUE CROSS OF IDAHO HEALTH SERVICE, INC."	Local CCP	Blue Cross of Idaho	Local PPO		"Gemstone Holdings, Inc."	29	Yes	Active	1-986-224-3308				PPO - BBA		C	Boston
H1302	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	5/18/2026	2026	"BLUE CROSS OF IDAHO HEALTH SERVICE, INC."	Local CCP	Blue Cross of Idaho	Local PPO		"Gemstone Holdings, Inc."	29	Yes	Active					PPO - BBA		C	Boston
H1302	Pharmacy Technical Help Desk Contact	Program Manager		Wilson	Chad							chad.wilson@carelon.com	1960 Ivy Creek Blvd		Durham	NC	27707	5/18/2026	2026	"BLUE CROSS OF IDAHO HEALTH SERVICE, INC."	Local CCP	Blue Cross of Idaho	Local PPO		"Gemstone Holdings, Inc."	29	Yes	Active	1-833-377-4266				PPO - BBA		C	Boston
H1302	Plan to Plan Reconciliation Contact	Quality Improvement Performance Specialist		Kober	Ashley		1-986-224-3495					ashley.kober@bcidaho.com	3000 E. Pine Ave.		Meridian	ID	83642	5/18/2026	2026	"BLUE CROSS OF IDAHO HEALTH SERVICE, INC."	Local CCP	Blue Cross of Idaho	Local PPO		"Gemstone Holdings, Inc."	29	Yes	Active					PPO - BBA		C	Boston
H1304	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Mngmnt	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	3/18/2025	2026	"REGENCE BLUESHIELD OF IDAHO, INC."	Local CCP	Regence BlueShield of Idaho	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Kansas City
H1304	Best Available Evidence Contact	Membership Ambassador	Ms.	Wells	Trisha		1-800-543-8848	2751			1-888-335-2988	ORMEMMEDAmbassador@regence.com	PO Box 1827		Medford	OR	97501	5/7/2024	2026	"REGENCE BLUESHIELD OF IDAHO, INC."	Local CCP	Regence BlueShield of Idaho	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Kansas City
H1304	Chief Financial Officer	Cambia EVP & CFO	Mr.	Rains	Mike		1-317-690-0081					Mike.Rains@regence.com	1111 Lake Washington Blvd North STE 900		Renton	WA	98056	4/15/2026	2026	"REGENCE BLUESHIELD OF IDAHO, INC."	Local CCP	Regence BlueShield of Idaho	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Kansas City
H1304	CMS Casework Communication Contact	Ops Reporting & Perf Analyst	Ms.	Haselden	Brandy		1-800-543-8848	6370				brandy.haselden@regence.com	PO Box 1827		Medford	OR	97501	4/27/2026	2026	"REGENCE BLUESHIELD OF IDAHO, INC."	Local CCP	Regence BlueShield of Idaho	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Kansas City
H1304	Coordination of Benefits Contact	"Manager, Member Services"	Ms.	Christiansen	Stacy		1-541-618-1240					Stacy.Christiansen@regence.com	PO Box 1827		Medford	OR	97501	10/30/2024	2026	"REGENCE BLUESHIELD OF IDAHO, INC."	Local CCP	Regence BlueShield of Idaho	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Kansas City
H1304	Customer Service Operations Contact	Manager Member Services	Ms.	Ciuro	Catina		1-541-618-1268					Catina.Ciuro@regence.com	PO Box 1827		Medford	OR	97504	10/30/2024	2026	"REGENCE BLUESHIELD OF IDAHO, INC."	Local CCP	Regence BlueShield of Idaho	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Kansas City
H1304	Government Relations Contact	Director Government Programs Compliance Officer	Ms.	Hoey	Yen		1-503-721-4040					Yen.Hoey@cambiahealth.com	200 SW Market Street 11th Floor		Portland	OR	97201	1/15/2025	2026	"REGENCE BLUESHIELD OF IDAHO, INC."	Local CCP	Regence BlueShield of Idaho	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Kansas City
H1304	Hospice Contact	Pharmacy Ops Oversight Lead	Ms.	Manzer	Amy		1-503-225-5368					Amy.Manzer@regence.com	200 SW Market Street 11th Floor		Portland	OR	97201	12/22/2025	2026	"REGENCE BLUESHIELD OF IDAHO, INC."	Local CCP	Regence BlueShield of Idaho	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Kansas City
H1304	Medicare Compliance Officer	Director Government Programs Compliance Officer	Ms.	Hoey	Yen		1-503-721-4040					Yen.Hoey@cambiahealth.com	200 SW Market Street 11th Floor		Portland	OR	97201	1/15/2025	2026	"REGENCE BLUESHIELD OF IDAHO, INC."	Local CCP	Regence BlueShield of Idaho	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Kansas City
H1304	Part D Exceptions Contact	"Regulatory Pharmacist, Sr"	Mr.	Spears	Scott						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	10/3/2025	2026	"REGENCE BLUESHIELD OF IDAHO, INC."	Local CCP	Regence BlueShield of Idaho	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active	1-800-693-6651				PPO - BBA		C	Kansas City
H1304	Pharmacy Network Management Contact	"VP, Network Mangement"	Ms.	Conlin	Marci		1-612-777-2837				1-877-823-6373	marci.conlin@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	11/7/2023	2026	"REGENCE BLUESHIELD OF IDAHO, INC."	Local CCP	Regence BlueShield of Idaho	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Kansas City
H1304	Pharmacy Technical Help Desk Contact	"Sr Director, Member Services"	Mr.	Scott	Shane							shane.scott@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	12/19/2024	2026	"REGENCE BLUESHIELD OF IDAHO, INC."	Local CCP	Regence BlueShield of Idaho	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active	1-844-765-6826				PPO - BBA		C	Kansas City
H1304	Plan to Plan Reconciliation Contact	Pharmacy Operations Oversight Lead	Ms.	Manzer	Amy		1-503-225-5368					Amy.Manzer@regence.com	200 SW Market Street 11th Floor		Portland	OR	97201	12/22/2025	2026	"REGENCE BLUESHIELD OF IDAHO, INC."	Local CCP	Regence BlueShield of Idaho	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Kansas City
H1310	Automated TrOOP Balance Transfer Contact	CFO	Mr.	De Gyves	Jorge		1-269-888-6106					j.degyves@seniorcarepartnersmi.org	"200 W. Michigan, Suite 103"		Battle Creek	MI	49017	3/5/2025	2026	COMPREHENSIVE SENIOR CARE CORPORATION	National PACE	Senior Care Partners P.A.C.E.	National PACE		Comprehensive Senior Care Corporation	396	Yes	Active					PACE - Nat		C	Kansas City
H1310	Best Available Evidence Contact	Director of Program Integrity	Mrs.	Solis-Sherman	Adrienne		1-269-888-6109					a.solis-sherman@seniorcarepartnersmi.org	"200 W. Michigan, Suite 103"		Battle Creek	MI	49017	4/15/2026	2026	COMPREHENSIVE SENIOR CARE CORPORATION	National PACE	Senior Care Partners P.A.C.E.	National PACE		Comprehensive Senior Care Corporation	396	Yes	Active					PACE - Nat		C	Kansas City
H1310	Chief Financial Officer	CFO	Mr.	De Gyves	Jorge		1-269-888-6106					j.degyves@seniorcarepartnersmi.org	"200 W. Michigan, Suite 103"		Battle Creek	MI	49017	3/5/2025	2026	COMPREHENSIVE SENIOR CARE CORPORATION	National PACE	Senior Care Partners P.A.C.E.	National PACE		Comprehensive Senior Care Corporation	396	Yes	Active					PACE - Nat		C	Kansas City
H1310	CMS Casework Communication Contact	Director of Program Integrity	Mrs.	Solis-Sherman	Adrienne		1-269-888-6109					a.solis-sherman@seniorcarepartnersmi.org	"200 W. Michigan, Suite 103"		Battle Creek	MI	49017	4/15/2026	2026	COMPREHENSIVE SENIOR CARE CORPORATION	National PACE	Senior Care Partners P.A.C.E.	National PACE		Comprehensive Senior Care Corporation	396	Yes	Active					PACE - Nat		C	Kansas City
H1310	Coordination of Benefits Contact	CFO	Mr.	De Gyves	Jorge		1-269-888-6106					j.degyves@seniorcarepartnersmi.org	"200 W. Michigan, Suite 103"		Battle Creek	MI	49017	3/5/2025	2026	COMPREHENSIVE SENIOR CARE CORPORATION	National PACE	Senior Care Partners P.A.C.E.	National PACE		Comprehensive Senior Care Corporation	396	Yes	Active					PACE - Nat		C	Kansas City
H1310	Customer Service Operations Contact	Director of Program Integrity	Mrs.	Solis-Sherman	Adrienne		1-269-888-6109					a.solis-sherman@seniorcarepartnersmi.org	"200 W. Michigan, Suite 103"		Battle Creek	MI	49017	4/15/2026	2026	COMPREHENSIVE SENIOR CARE CORPORATION	National PACE	Senior Care Partners P.A.C.E.	National PACE		Comprehensive Senior Care Corporation	396	Yes	Active					PACE - Nat		C	Kansas City
H1310	Government Relations Contact	CEO	Mrs.	Harrison	Qiana		1-269-888-6143				1-269-488-3615	q.harrison@seniorcarepartnersmi.org	"200 W. Michigan Avenue, Suite 103"		Battle Creek	MI	49017	3/17/2025	2026	COMPREHENSIVE SENIOR CARE CORPORATION	National PACE	Senior Care Partners P.A.C.E.	National PACE		Comprehensive Senior Care Corporation	396	Yes	Active					PACE - Nat		C	Kansas City
H1310	Medicare Compliance Officer	Director of Program Integrity	Mrs.	Solis-Sherman	Adrienne		1-269-888-6109					a.solis-sherman@seniorcarepartnersmi.org	"200 W. Michigan, Suite 103"		Battle Creek	MI	49017	4/15/2026	2026	COMPREHENSIVE SENIOR CARE CORPORATION	National PACE	Senior Care Partners P.A.C.E.	National PACE		Comprehensive Senior Care Corporation	396	Yes	Active					PACE - Nat		C	Kansas City
H1310	Part D Exceptions Contact	CFO	Mr.	De Gyves	Jorge						1-269-888-6106	j.degyves@seniorcarepartnersmi.org	"200 W. Michigan Avenue, Suite 103"		Battle Creek	MI	49017	3/9/2025	2026	COMPREHENSIVE SENIOR CARE CORPORATION	National PACE	Senior Care Partners P.A.C.E.	National PACE		Comprehensive Senior Care Corporation	396	Yes	Active	1-269-888-6106				PACE - Nat		C	Kansas City
H1310	Pharmacy Network Management Contact	Lead Clinical Pharmacist	Ms.	Balazs	Gianna		1-269-888-6137					g.balazs@seniorcarepartnersmi.org	445 West Michigan Avenue		Kalamazoo	MI	49007	4/15/2026	2026	COMPREHENSIVE SENIOR CARE CORPORATION	National PACE	Senior Care Partners P.A.C.E.	National PACE		Comprehensive Senior Care Corporation	396	Yes	Active					PACE - Nat		C	Kansas City
H1310	Pharmacy Technical Help Desk Contact	Lead Clinical Pharmacist	Ms.	Balazs	Gianna							g.balazs@seniorcarepartnersmi.org	445 West Michigan Avenue		Kalamazoo	MI	49007	11/21/2019	2026	COMPREHENSIVE SENIOR CARE CORPORATION	National PACE	Senior Care Partners P.A.C.E.	National PACE		Comprehensive Senior Care Corporation	396	Yes	Active	1-800-488-5860				PACE - Nat		C	Kansas City
H1310	Plan to Plan Reconciliation Contact	Sr. Finance and Data Analyst	Ms.	Hluan	Susan		1-269-888-6862					s.hluan@seniorcarepartnersmi.org	"200 W. Michigan, Suite 103"		Battle Creek	MI	49017	4/15/2026	2026	COMPREHENSIVE SENIOR CARE CORPORATION	National PACE	Senior Care Partners P.A.C.E.	National PACE		Comprehensive Senior Care Corporation	396	Yes	Active					PACE - Nat		C	Kansas City
H1312	Automated TrOOP Balance Transfer Contact	Regional Director Finance	Ms	Fuhrmeister	Nicole		1-215-778-8707					nicole.fuhrmeister@trinity-health.org	4508 Chestnut Street		Philadelphia	PA	19139	8/4/2023	2026	TRINITY HEALTH PACE OF ALEXANDRIA	National PACE	Trinity Health PACE of Alexandria	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H1312	Best Available Evidence Contact	Regional Director Finance	Ms	Fuhrmeister	Nicole		1-215-778-8707					nicole.fuhrmeister@trinity-health.org	4508 Chestnut Street		Philadelphia	PA	19139	8/4/2023	2026	TRINITY HEALTH PACE OF ALEXANDRIA	National PACE	Trinity Health PACE of Alexandria	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H1312	Chief Financial Officer	Regional Director Finance	Ms	Fuhrmeister	Nicole		1-215-778-8707					nicole.fuhrmeister@trinity-health.org	4508 Chestnut Street		Philadelphia	PA	19139	8/4/2023	2026	TRINITY HEALTH PACE OF ALEXANDRIA	National PACE	Trinity Health PACE of Alexandria	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H1312	CMS Casework Communication Contact	Executive Director	Ms	Knowles	Brandi		1-504-559-2350					Brandi.Knowles@trinity-health.org	3403 Government Street		Alexandria	LA	71301	4/17/2025	2026	TRINITY HEALTH PACE OF ALEXANDRIA	National PACE	Trinity Health PACE of Alexandria	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H1312	Coordination of Benefits Contact	Regional Director Finance	Ms	Fuhrmeister	Nicole		1-215-778-8707				1-251-287-8478	nicole.fuhrmeister@trinity-health.org	2900 Springhill Ave		Mobile	AL	36607	8/4/2023	2026	TRINITY HEALTH PACE OF ALEXANDRIA	National PACE	Trinity Health PACE of Alexandria	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H1312	Customer Service Operations Contact	Executive Director	Ms.	Knowles	Brandi		1-504-559-2350					Brandi.Knowles@trinity-health.org	3403 Government Street		Alexandria	LA	71301	4/17/2025	2026	TRINITY HEALTH PACE OF ALEXANDRIA	National PACE	Trinity Health PACE of Alexandria	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H1312	Government Relations Contact	Executive Director	Ms.	Knowles	Brandi		1-504-559-2350					Brandi.Knowles@trinity-health.org	3403 Government Street		Alexandria	LA	71301	4/17/2025	2026	TRINITY HEALTH PACE OF ALEXANDRIA	National PACE	Trinity Health PACE of Alexandria	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H1312	Medicare Compliance Officer	National Director QI/Compliance	Ms	Watts	Christina		1-248-420-6065					wattscl@trinity-health.org	20555 Victor Parkway		Livonia	MI	48152	8/15/2023	2026	TRINITY HEALTH PACE OF ALEXANDRIA	National PACE	Trinity Health PACE of Alexandria	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H1312	Part D Exceptions Contact	Manager Part D Compliance	Mr.	Garbarino	Joseph							joseph.garbarino@trinity-health.org	1930 South Broad Street	Unit 3	Philadelphia	PA	19145	10/28/2024	2026	TRINITY HEALTH PACE OF ALEXANDRIA	National PACE	Trinity Health PACE of Alexandria	National PACE		Trinity Health Corporation	234	Yes	Active	1-215-339-4362				PACE - Nat		C	Philadelphia
H1312	Pharmacy Network Management Contact	Manager Part D Compliance	Mr	Garbarino	Joseph		1-215-339-4362					joseph.garbarino@trinity-health.org	1001 Baltimore Pike		Springfield	PA	19064	8/4/2023	2026	TRINITY HEALTH PACE OF ALEXANDRIA	National PACE	Trinity Health PACE of Alexandria	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H1312	Pharmacy Technical Help Desk Contact	Manager Part D Compliance	Mr	Garbarino	Joseph							Joseph.Garbarino@trinity-health.org	1930 South Broad St	Unit 3	Philadelphia	PA	19145	10/28/2024	2026	TRINITY HEALTH PACE OF ALEXANDRIA	National PACE	Trinity Health PACE of Alexandria	National PACE		Trinity Health Corporation	234	Yes	Active	1-215-339-4362				PACE - Nat		C	Philadelphia
H1312	Plan to Plan Reconciliation Contact	Regional Director Finance	Ms	Fuhrmeister	Nicole		1-215-778-8707				1-251-287-8478	nicole.fuhrmeister@trinity-health.org	2900 Springhill Ave		Mobile	AL	36607	8/4/2023	2026	TRINITY HEALTH PACE OF ALEXANDRIA	National PACE	Trinity Health PACE of Alexandria	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H1339	Automated TrOOP Balance Transfer Contact	"Associate Vice President, Pharmacy"	Mr.	Fatodu	Hugh		1-410-424-4671					fatoduh@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	11/26/2025	2026	"JOHNS HOPKINS HEALTH PLAN OF VIRGINIA, INC."	Local CCP	Johns Hopkins Advantage MD	HMO/HMOPOS		Johns Hopkins Healthcare LLC	616	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1339	Best Available Evidence Contact	Director Medicare Operations	Mr.	Taddeo	Cory		1-410-424-4400	6740				CTaddeo@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	11/26/2025	2026	"JOHNS HOPKINS HEALTH PLAN OF VIRGINIA, INC."	Local CCP	Johns Hopkins Advantage MD	HMO/HMOPOS		Johns Hopkins Healthcare LLC	616	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1339	Chief Financial Officer	Chief Financial Officer	Mr.	Chojnowski	Daniel		1-207-807-2496					dchojnowski@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	8/3/2023	2026	"JOHNS HOPKINS HEALTH PLAN OF VIRGINIA, INC."	Local CCP	Johns Hopkins Advantage MD	HMO/HMOPOS		Johns Hopkins Healthcare LLC	616	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1339	CMS Casework Communication Contact	Exec Director of Compliance  & Regulatory Affairs	Ms.	Mohon	Melissa		1-443-857-0852					MMohon@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	12/22/2025	2026	"JOHNS HOPKINS HEALTH PLAN OF VIRGINIA, INC."	Local CCP	Johns Hopkins Advantage MD	HMO/HMOPOS		Johns Hopkins Healthcare LLC	616	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1339	Coordination of Benefits Contact	Sr. Director Medicare Plan Administration	Ms.	Riaz	Salma		1-863-634-1202					sriaz@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	8/3/2023	2026	"JOHNS HOPKINS HEALTH PLAN OF VIRGINIA, INC."	Local CCP	Johns Hopkins Advantage MD	HMO/HMOPOS		Johns Hopkins Healthcare LLC	616	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1339	Customer Service Operations Contact	Director Medicare Operations	Mr.	Taddeo	Cory		1-410-424-4400	6740				CTaddeo@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	11/26/2025	2026	"JOHNS HOPKINS HEALTH PLAN OF VIRGINIA, INC."	Local CCP	Johns Hopkins Advantage MD	HMO/HMOPOS		Johns Hopkins Healthcare LLC	616	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1339	Government Relations Contact	Exec Director of Compliance  & Regulatory Affairs	Ms.	Mohon	Melissa		1-443-857-0852					MMohon@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	12/22/2025	2026	"JOHNS HOPKINS HEALTH PLAN OF VIRGINIA, INC."	Local CCP	Johns Hopkins Advantage MD	HMO/HMOPOS		Johns Hopkins Healthcare LLC	616	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1339	Hospice Contact	"Director, Pharmacy"	Ms.	Wexler	Mary Beth		1-410-762-5938					MBWexler@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	11/26/2025	2026	"JOHNS HOPKINS HEALTH PLAN OF VIRGINIA, INC."	Local CCP	Johns Hopkins Advantage MD	HMO/HMOPOS		Johns Hopkins Healthcare LLC	616	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1339	Medicare Compliance Officer	Exec Director of Compliance  & Regulatory Affairs	Ms.	Mohon	Melissa		1-443-857-0852					MMohon@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	12/22/2025	2026	"JOHNS HOPKINS HEALTH PLAN OF VIRGINIA, INC."	Local CCP	Johns Hopkins Advantage MD	HMO/HMOPOS		Johns Hopkins Healthcare LLC	616	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1339	Part D Exceptions Contact	"Director, Pharmacy"	Ms.	Wexler	Mary Beth							mbwexler@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	11/10/2025	2026	"JOHNS HOPKINS HEALTH PLAN OF VIRGINIA, INC."	Local CCP	Johns Hopkins Advantage MD	HMO/HMOPOS		Johns Hopkins Healthcare LLC	616	Yes	Active	1-800-261-2396				HMO - Health Maintenance Organization		C	Boston
H1339	Pharmacy Network Management Contact	"Associate Vice President, Pharmacy"	Mr.	Fatodu	Hugh		1-410-424-4671					fatoduh@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	11/26/2025	2026	"JOHNS HOPKINS HEALTH PLAN OF VIRGINIA, INC."	Local CCP	Johns Hopkins Advantage MD	HMO/HMOPOS		Johns Hopkins Healthcare LLC	616	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1339	Pharmacy Technical Help Desk Contact	"Director, Pharmacy"	Ms.	Wexler	Mary Beth							mbwexler@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	11/10/2025	2026	"JOHNS HOPKINS HEALTH PLAN OF VIRGINIA, INC."	Local CCP	Johns Hopkins Advantage MD	HMO/HMOPOS		Johns Hopkins Healthcare LLC	616	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Boston
H1339	Plan to Plan Reconciliation Contact	Director of Finance	Ms.	Shariff	Sadia		1-609-571-5406					SShariff@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	12/18/2024	2026	"JOHNS HOPKINS HEALTH PLAN OF VIRGINIA, INC."	Local CCP	Johns Hopkins Advantage MD	HMO/HMOPOS		Johns Hopkins Healthcare LLC	616	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1347	Automated TrOOP Balance Transfer Contact	Pharmacy Operations Coordinator		Stevens	Andrew		1-205-220-2593					Wstevens@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	4/21/2026	2026	"PATRIUS HEALTH, INC."	Local CCP	Patrius Health	Local PPO		BlueCross BlueShield of Alabama	32	Yes	Withdrawn Contract					PPO - BBA		C	New York
H1347	Best Available Evidence Contact	Sr. Business Analyst		Hurst	Terri		1-205-220-2695					Terri.Hurst@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	4/21/2026	2026	"PATRIUS HEALTH, INC."	Local CCP	Patrius Health	Local PPO		BlueCross BlueShield of Alabama	32	Yes	Withdrawn Contract					PPO - BBA		C	New York
H1347	Chief Financial Officer	SVP & Chief Financial Officer	Mr.	Carden	Noel		1-205-220-7741					ncarden@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	4/21/2026	2026	"PATRIUS HEALTH, INC."	Local CCP	Patrius Health	Local PPO		BlueCross BlueShield of Alabama	32	Yes	Withdrawn Contract					PPO - BBA		C	New York
H1347	CMS Casework Communication Contact	Senior Compliance Analyst		Stoudemire	Danielle		1-205-220-5678					danielle.stoudemire@bcbsal.org	450 Riverchase Parkway		Birmingham	AL	35244	4/21/2026	2026	"PATRIUS HEALTH, INC."	Local CCP	Patrius Health	Local PPO		BlueCross BlueShield of Alabama	32	Yes	Withdrawn Contract					PPO - BBA		C	New York
H1347	Coordination of Benefits Contact	Manager Claims Processing		Cole	Jason		1-205-220-2490					Jason.Cole@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	4/21/2026	2026	"PATRIUS HEALTH, INC."	Local CCP	Patrius Health	Local PPO		BlueCross BlueShield of Alabama	32	Yes	Withdrawn Contract					PPO - BBA		C	New York
H1347	Customer Service Operations Contact	Dept Manager Customer Service		Pearson	Latreta		1-205-220-7905					llpearson@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	4/21/2026	2026	"PATRIUS HEALTH, INC."	Local CCP	Patrius Health	Local PPO		BlueCross BlueShield of Alabama	32	Yes	Withdrawn Contract					PPO - BBA		C	New York
H1347	Government Relations Contact	Manager Product Management		Staton	Shelley		1-205-220-2329					Shelley.Staton@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	4/21/2026	2026	"PATRIUS HEALTH, INC."	Local CCP	Patrius Health	Local PPO		BlueCross BlueShield of Alabama	32	Yes	Withdrawn Contract					PPO - BBA		C	New York
H1347	Hospice Contact	Pharmacy Operations Coordinator		Stevens	Andrew		1-205-220-2593					WStevens@BCBSAL.ORG	450 Riverchase Parkway East		Birmingham	AL	35244	4/21/2026	2026	"PATRIUS HEALTH, INC."	Local CCP	Patrius Health	Local PPO		BlueCross BlueShield of Alabama	32	Yes	Withdrawn Contract					PPO - BBA		C	New York
H1347	Medicare Compliance Officer	Manager Corporate Compliance	Mr.	Gregg	Roger		1-205-220-7480					RGREGG@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	4/21/2026	2026	"PATRIUS HEALTH, INC."	Local CCP	Patrius Health	Local PPO		BlueCross BlueShield of Alabama	32	Yes	Withdrawn Contract					PPO - BBA		C	New York
H1347	Part D Exceptions Contact	Regulatory Pharmacist Sr.		Emerson	Kimberly						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	4/21/2026	2026	"PATRIUS HEALTH, INC."	Local CCP	Patrius Health	Local PPO		BlueCross BlueShield of Alabama	32	Yes	Withdrawn Contract	1-800-693-6651				PPO - BBA		C	New York
H1347	Pharmacy Network Management Contact	Pharmacy Services Mgr		Matthews	Ginny		1-205-220-6558				1-205-403-4052	Ginny.Matthews@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	4/21/2026	2026	"PATRIUS HEALTH, INC."	Local CCP	Patrius Health	Local PPO		BlueCross BlueShield of Alabama	32	Yes	Withdrawn Contract					PPO - BBA		C	New York
H1347	Pharmacy Technical Help Desk Contact	Pharmacy Services Mgr		Matthews	Ginny							Ginny.Matthews@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	4/21/2026	2026	"PATRIUS HEALTH, INC."	Local CCP	Patrius Health	Local PPO		BlueCross BlueShield of Alabama	32	Yes	Withdrawn Contract	1-844-450-1988				PPO - BBA		C	New York
H1347	Plan to Plan Reconciliation Contact	In-charge Analyst Cash Mgmt		Prince	Jonathan		1-205-220-7723					jonathan.prince@bcbsal.org	450 Riverchase Parkway		Birmingham	AL	35244	4/21/2026	2026	"PATRIUS HEALTH, INC."	Local CCP	Patrius Health	Local PPO		BlueCross BlueShield of Alabama	32	Yes	Withdrawn Contract					PPO - BBA		C	New York
H1350	Automated TrOOP Balance Transfer Contact	Quality Improvement Performance Specialist		Kober	Ashley		1-986-224-3495					ashley.kober@bcidaho.com	3000 E. Pine Ave.		Meridian	ID	83642	6/2/2023	2026	"BLUE CROSS OF IDAHO HEALTH SERVICE, INC."	Local CCP	Blue Cross of Idaho	HMO/HMOPOS		"Gemstone Holdings, Inc."	29	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1350	Best Available Evidence Contact	MA EBS Supervisor Service Operations		Sherman	Missy		1-986-224-3236					Missy.Sherman@bcidaho.com	3000 E. Pine Ave.		Meridian	ID	83642	6/2/2023	2026	"BLUE CROSS OF IDAHO HEALTH SERVICE, INC."	Local CCP	Blue Cross of Idaho	HMO/HMOPOS		"Gemstone Holdings, Inc."	29	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1350	Chief Financial Officer	Vice President and CFO	Mr.	Ward	David		1-986-224-3438					dave.ward@bcidaho.com	3000 E. Pine Ave.		Meridian	ID	83642	6/2/2023	2026	"BLUE CROSS OF IDAHO HEALTH SERVICE, INC."	Local CCP	Blue Cross of Idaho	HMO/HMOPOS		"Gemstone Holdings, Inc."	29	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1350	CMS Casework Communication Contact	"Manager, Grievances & Appeals"		Jones	Liz		1-986-224-3293					Liz.Jones@bcidaho.com	3000 E. Pine Ave.		Meridian	ID	83642	8/28/2025	2026	"BLUE CROSS OF IDAHO HEALTH SERVICE, INC."	Local CCP	Blue Cross of Idaho	HMO/HMOPOS		"Gemstone Holdings, Inc."	29	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1350	Coordination of Benefits Contact			Service	Customer		1-208-395-8200					macs@bcidaho.com	3000 E. Pine Ave.		Meridian	ID	83642	6/2/2023	2026	"BLUE CROSS OF IDAHO HEALTH SERVICE, INC."	Local CCP	Blue Cross of Idaho	HMO/HMOPOS		"Gemstone Holdings, Inc."	29	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1350	Customer Service Operations Contact	"Director, Customer Service"		Teater	Martin		1-986-224-4480					martin.teater@bcidaho.com	3000 E. Pine Ave.		Meridian	ID	83642	10/25/2024	2026	"BLUE CROSS OF IDAHO HEALTH SERVICE, INC."	Local CCP	Blue Cross of Idaho	HMO/HMOPOS		"Gemstone Holdings, Inc."	29	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1350	Government Relations Contact	"VP, Chief Compliance and Ethics Officer"		Thornock	Wade		1-986-224-6949					Wade.Thornock@bcidaho.com	3000 E. Pine Ave.		Meridian	ID	83642	5/18/2026	2026	"BLUE CROSS OF IDAHO HEALTH SERVICE, INC."	Local CCP	Blue Cross of Idaho	HMO/HMOPOS		"Gemstone Holdings, Inc."	29	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1350	Hospice Contact	VP Pharmacy		Olson	Steve		1-986-224-3308					steve.olson@bcidaho.com	3000 E. Pine Ave.		Meridian	ID	83642	2/6/2026	2026	"BLUE CROSS OF IDAHO HEALTH SERVICE, INC."	Local CCP	Blue Cross of Idaho	HMO/HMOPOS		"Gemstone Holdings, Inc."	29	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1350	Medicare Compliance Officer	"VP, Chief Compliance and Ethics Officer"	Mr.	Thornock	Wade		1-986-224-6949					Wade.Thornock@bcidaho.com	3000 E Pine Ave		Meridian	ID	83642	5/18/2026	2026	"BLUE CROSS OF IDAHO HEALTH SERVICE, INC."	Local CCP	Blue Cross of Idaho	HMO/HMOPOS		"Gemstone Holdings, Inc."	29	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1350	Part D Exceptions Contact	VP Pharmacy		Olson	Steve							steve.olson@bcidaho.com	3000 E Pine Ave Meridian		Meridian	ID	83642	6/9/2025	2026	"BLUE CROSS OF IDAHO HEALTH SERVICE, INC."	Local CCP	Blue Cross of Idaho	HMO/HMOPOS		"Gemstone Holdings, Inc."	29	Yes	Active	1-986-224-3308				HMO - Health Maintenance Organization		C	Boston
H1350	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	11/3/2023	2026	"BLUE CROSS OF IDAHO HEALTH SERVICE, INC."	Local CCP	Blue Cross of Idaho	HMO/HMOPOS		"Gemstone Holdings, Inc."	29	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1350	Pharmacy Technical Help Desk Contact	Program Manager		Wilson	Chad							chad.wilson@carelon.com	1960 Ivy Creek Blvd		Durham	NC	27707	12/15/2025	2026	"BLUE CROSS OF IDAHO HEALTH SERVICE, INC."	Local CCP	Blue Cross of Idaho	HMO/HMOPOS		"Gemstone Holdings, Inc."	29	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Boston
H1350	Plan to Plan Reconciliation Contact	Quality Improvement Performance Specialist		Kober	Ashley		1-986-224-3495					ashley.kober@bcidaho.com	3000 E. Pine Ave.		Meridian	ID	83642	6/2/2023	2026	"BLUE CROSS OF IDAHO HEALTH SERVICE, INC."	Local CCP	Blue Cross of Idaho	HMO/HMOPOS		"Gemstone Holdings, Inc."	29	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1357	Automated TrOOP Balance Transfer Contact	Business Office Team Lead	Mr.	Cornell	Jacob		1-336-746-3547				1-336-746-3565	jcornell@EveryAge.org	802 East Center Street		Lexington	NC	27292	2/23/2024	2026	CAROLINA SENIORCARE	National PACE	Carolina SeniorCare	National PACE		EveryAge	797	Yes	Active					PACE - Nat		C	Atlanta
H1357	Best Available Evidence Contact	Sr. Director of HCBS	Mr.	Chang	Thomas		1-336-746-3500				1-336-746-3565	tchang@EveryAge.org	802 East Center Street		Lexington	NC	27292	2/23/2024	2026	CAROLINA SENIORCARE	National PACE	Carolina SeniorCare	National PACE		EveryAge	797	Yes	Active					PACE - Nat		C	Atlanta
H1357	Chief Financial Officer	Chief Financial Officer	Ms.	Jones	Tammy		1-828-465-8007				1-828-465-8015	tjones@EveryAge.org	100 Leonard Ave		Newton	NC	28658	2/1/2023	2026	CAROLINA SENIORCARE	National PACE	Carolina SeniorCare	National PACE		EveryAge	797	Yes	Active					PACE - Nat		C	Atlanta
H1357	CMS Casework Communication Contact	Sr. Director of HCBS	Mr.	Chang	Thomas		1-336-746-3500				1-336-746-3565	tchang@EveryAge.org	802 East Center Street		Lexington	NC	27292	2/23/2024	2026	CAROLINA SENIORCARE	National PACE	Carolina SeniorCare	National PACE		EveryAge	797	Yes	Active					PACE - Nat		C	Atlanta
H1357	Coordination of Benefits Contact	Business Office Team Lead	Mr.	Cornell	Jacob		1-336-746-3547				1-336-746-3565	jcornell@EveryAge.org	802 East Center Street		Lexington	NC	27292	2/23/2024	2026	CAROLINA SENIORCARE	National PACE	Carolina SeniorCare	National PACE		EveryAge	797	Yes	Active					PACE - Nat		C	Atlanta
H1357	Customer Service Operations Contact	Business Office Team Lead	Mr.	Cornell	Jacob		1-336-746-3547				1-336-746-3565	jcornell@EveryAge.org	802 East Center Street		Lexington	NC	27292	3/19/2026	2026	CAROLINA SENIORCARE	National PACE	Carolina SeniorCare	National PACE		EveryAge	797	Yes	Active					PACE - Nat		C	Atlanta
H1357	Government Relations Contact	Sr. Director of HCBS	Mr.	Chang	Thomas		1-336-746-3500				1-336-746-3565	tchang@EveryAge.org	802 East Center Street		Lexington	NC	27292	2/23/2024	2026	CAROLINA SENIORCARE	National PACE	Carolina SeniorCare	National PACE		EveryAge	797	Yes	Active					PACE - Nat		C	Atlanta
H1357	Medicare Compliance Officer	Dir. Quality and Compliance	Mrs.	Forney	Harriet		1-910-767-0928				1-910-765-0188	hforney@everyage.org	1380 N. College Rd.	"Elderhaus, Inc."	Wilmington	NC	28405	8/8/2024	2026	CAROLINA SENIORCARE	National PACE	Carolina SeniorCare	National PACE		EveryAge	797	Yes	Active					PACE - Nat		C	Atlanta
H1357	Part D Exceptions Contact	Sr. Director of HCBS	Mr.	Chang	Thomas						1-336-746-3565	tchang@EveryAge.org	802 East Center Street		Lexington	NC	27292	2/23/2024	2026	CAROLINA SENIORCARE	National PACE	Carolina SeniorCare	National PACE		EveryAge	797	Yes	Active	1-833-223-4476				PACE - Nat		C	Atlanta
H1357	Pharmacy Network Management Contact	Business Office Team Lead	Mr.	Cornell	Jacob		1-336-746-3547				1-336-746-3565	jcornell@EveryAge.org	802 East Center Street		Lexington	NC	27292	2/23/2024	2026	CAROLINA SENIORCARE	National PACE	Carolina SeniorCare	National PACE		EveryAge	797	Yes	Active					PACE - Nat		C	Atlanta
H1357	Pharmacy Technical Help Desk Contact	Business Team Lead	Mr.	Cornell	Jacob						1-336-746-3565	jcornell@EveryAge.org	802 East Center Street		Lexington	NC	27292	2/23/2024	2026	CAROLINA SENIORCARE	National PACE	Carolina SeniorCare	National PACE		EveryAge	797	Yes	Active	1-336-746-3547				PACE - Nat		C	Atlanta
H1357	Plan to Plan Reconciliation Contact	Business Office Team Lead	Mr.	Cornell	Jacob		1-336-746-3547				1-336-746-3565	jcornell@EveryAge.org	802 East Center Street		Lexington	NC	27292	2/23/2024	2026	CAROLINA SENIORCARE	National PACE	Carolina SeniorCare	National PACE		EveryAge	797	Yes	Active					PACE - Nat		C	Atlanta
H1360	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1360	Best Available Evidence Contact	"Manager, Enrollment & Eligibility"		Asselin	Krista		1-763-361-1104					krista_asselin@uhc.com	PO Box 9472		Minneapolis	MN	55440	11/14/2025	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1360	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/13/2025	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1360	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1360	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1360	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1360	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1360	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1360	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1360	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H1360	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1360	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H1360	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1365	Automated TrOOP Balance Transfer Contact	"Manager, Pharmacy Operations"		Theriault	Anne		1-207-766-3144					anne.theriault@martinspoint.org	P.O. Box 9746	891 Washington Ave	Portland	ME	04101	5/22/2026	2026	"MARTIN'S POINT GENERATIONS ADVANTAGE, INC."	Local CCP	Martin's Point Generations Advantage	Local PPO		"Martin's Point Health Care, Inc."	287	Yes	Active					PPO - BBA		C	Boston
H1365	Best Available Evidence Contact	"Manager, Member Operations"		Whelan	James		1-207-274-2738					james.whelan@martinspoint.org	PO Box 9746	891 Washington Ave	Portland	ME	04104	5/22/2026	2026	"MARTIN'S POINT GENERATIONS ADVANTAGE, INC."	Local CCP	Martin's Point Generations Advantage	Local PPO		"Martin's Point Health Care, Inc."	287	Yes	Active					PPO - BBA		C	Boston
H1365	Chief Financial Officer	Chief Financial Officer	Ms	Jackson	Amanda		1-207-253-6115					amanda.jackson@martinspoint.org	331 Veranda Street	P. O.  Box 9746	Portland	ME	04104	5/22/2026	2026	"MARTIN'S POINT GENERATIONS ADVANTAGE, INC."	Local CCP	Martin's Point Generations Advantage	Local PPO		"Martin's Point Health Care, Inc."	287	Yes	Active					PPO - BBA		C	Boston
H1365	CMS Casework Communication Contact	Director Compliance & MCO		Loomis	Elizabeth		1-518-229-0535					elizabeth.loomis@martinspoint.org	P.O. Box 9746	331 Veranda Street	Portland	ME	04104	5/22/2026	2026	"MARTIN'S POINT GENERATIONS ADVANTAGE, INC."	Local CCP	Martin's Point Generations Advantage	Local PPO		"Martin's Point Health Care, Inc."	287	Yes	Active					PPO - BBA		C	Boston
H1365	Coordination of Benefits Contact	"Manager, Member Operations"		Whelan	James		1-207-274-2738					james.whelan@martinspoint.org	PO Box 9746	891 Washington Ave	Portland	ME	04104	5/22/2026	2026	"MARTIN'S POINT GENERATIONS ADVANTAGE, INC."	Local CCP	Martin's Point Generations Advantage	Local PPO		"Martin's Point Health Care, Inc."	287	Yes	Active					PPO - BBA		C	Boston
H1365	Customer Service Operations Contact	Director Compliance & MCO		Loomis	Elizabeth		1-518-229-0535					elizabeth.loomis@martinspoint.org	P.O. Box 9746	331 Veranda Street	Portland	ME	04101	5/22/2026	2026	"MARTIN'S POINT GENERATIONS ADVANTAGE, INC."	Local CCP	Martin's Point Generations Advantage	Local PPO		"Martin's Point Health Care, Inc."	287	Yes	Active					PPO - BBA		C	Boston
H1365	Government Relations Contact	Director Compliance & MCO	Ms	Loomis	Elizabeth		1-518-229-0535					elizabeth.loomis@martinspoint.org	P.O. Box 9746	331 Veranda Street Bldg 2	Portland	ME	04104	5/22/2026	2026	"MARTIN'S POINT GENERATIONS ADVANTAGE, INC."	Local CCP	Martin's Point Generations Advantage	Local PPO		"Martin's Point Health Care, Inc."	287	Yes	Active					PPO - BBA		C	Boston
H1365	Hospice Contact	"Manager, Pharmacy Operations"		Theriault	Anne		1-207-766-3144					anne.theriault@martinspoint.org	331 Veranda Street	PO Box 9746	Portland	ME	04104	5/22/2026	2026	"MARTIN'S POINT GENERATIONS ADVANTAGE, INC."	Local CCP	Martin's Point Generations Advantage	Local PPO		"Martin's Point Health Care, Inc."	287	Yes	Active					PPO - BBA		C	Boston
H1365	Medicare Compliance Officer	Director Compliance & MCO	Ms	Loomis	Elizabeth		1-518-229-0535					elizabeth.loomis@martinspoint.org	P.O. Box 9746	331 Veranda Street Bldg 2	Portland	ME	04104	5/22/2026	2026	"MARTIN'S POINT GENERATIONS ADVANTAGE, INC."	Local CCP	Martin's Point Generations Advantage	Local PPO		"Martin's Point Health Care, Inc."	287	Yes	Active					PPO - BBA		C	Boston
H1365	Part D Exceptions Contact	Appeals Representative		Representative	Appeals							appealsmedicare@caremark.com	CVS Caremark	9501 E. Shea Blvd MC 109	Scottsdale	AZ	85260	5/22/2026	2026	"MARTIN'S POINT GENERATIONS ADVANTAGE, INC."	Local CCP	Martin's Point Generations Advantage	Local PPO		"Martin's Point Health Care, Inc."	287	Yes	Active	1-868-884-9479				PPO - BBA		C	Boston
H1365	Pharmacy Network Management Contact	"Director, Network Operations"		Smith	Shawn		1-480-391-4844				1-480-314-6964	Shawn.Smith@caremark.com	CVS Caremark	9501 E. Shea Blvd. MC143	Scottsdale	AZ	85260	5/22/2026	2026	"MARTIN'S POINT GENERATIONS ADVANTAGE, INC."	Local CCP	Martin's Point Generations Advantage	Local PPO		"Martin's Point Health Care, Inc."	287	Yes	Active					PPO - BBA		C	Boston
H1365	Pharmacy Technical Help Desk Contact	"Manager, Vendor Management"		Palmieri	Mike							mike.palmieri@caremark.com	CVS Caremark	2401 Cherahala Blvd. MC650	Knoxville	TN	37932	5/22/2026	2026	"MARTIN'S POINT GENERATIONS ADVANTAGE, INC."	Local CCP	Martin's Point Generations Advantage	Local PPO		"Martin's Point Health Care, Inc."	287	Yes	Active	1-866-693-4620				PPO - BBA		C	Boston
H1365	Plan to Plan Reconciliation Contact	Accountant II		Ayub	Rehema		1-207-253-6991					rehema.ayub@martinspoint.org	P. O. Box 9746	891 Washington Ave	Portland	ME	04103	5/22/2026	2026	"MARTIN'S POINT GENERATIONS ADVANTAGE, INC."	Local CCP	Martin's Point Generations Advantage	Local PPO		"Martin's Point Health Care, Inc."	287	Yes	Active					PPO - BBA		C	Boston
H1372	Automated TrOOP Balance Transfer Contact	"Supervisor, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	relay.health@navitus.com	"Navitus Health Solutions, LLC"	1025 West Navitus Drive	Appleton	WI	54913	1/3/2025	2026	"MARQUIS ADVANTAGE, INC."	Local CCP	AgeRight Advantage	HMO/HMOPOS		"Marquis Companies I, Inc."	636	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H1372	Best Available Evidence Contact			Beringer	Stephanie		1-206-697-7797					stephanie.beringer@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/11/2026	2026	"MARQUIS ADVANTAGE, INC."	Local CCP	AgeRight Advantage	HMO/HMOPOS		"Marquis Companies I, Inc."	636	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H1372	Chief Financial Officer	CFO	Ms.	Martin	Rachel		1-775-544-8314					rachel.martin@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	10/19/2023	2026	"MARQUIS ADVANTAGE, INC."	Local CCP	AgeRight Advantage	HMO/HMOPOS		"Marquis Companies I, Inc."	636	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H1372	CMS Casework Communication Contact	Director - Grievance/Appeals & CTMs		Fernandez	Erik		1-786-239-8513					Erik.Fernandez@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	1/3/2025	2026	"MARQUIS ADVANTAGE, INC."	Local CCP	AgeRight Advantage	HMO/HMOPOS		"Marquis Companies I, Inc."	636	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H1372	Coordination of Benefits Contact			Beringer	Stephanie		1-206-697-7797					stephanie.beringer@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/11/2026	2026	"MARQUIS ADVANTAGE, INC."	Local CCP	AgeRight Advantage	HMO/HMOPOS		"Marquis Companies I, Inc."	636	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H1372	Customer Service Operations Contact			Estes	Courtney		1-877-310-6754	744				courtney.estes@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/3/2026	2026	"MARQUIS ADVANTAGE, INC."	Local CCP	AgeRight Advantage	HMO/HMOPOS		"Marquis Companies I, Inc."	636	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H1372	Government Relations Contact			Brown	Jonalyn		1-971-206-2069					jbrown@agerightcs.com	4560 SE International Way #100		Milwaukie	OR	97222	3/28/2023	2026	"MARQUIS ADVANTAGE, INC."	Local CCP	AgeRight Advantage	HMO/HMOPOS		"Marquis Companies I, Inc."	636	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H1372	Hospice Contact	Sr. Director Part D Operations	Mr.	Sone	Victor		1-347-683-5717					victor.sone@curanahealth.com	10900 Nuckols Rd	Suite 110	Glen Allen	VA	23060	1/3/2025	2026	"MARQUIS ADVANTAGE, INC."	Local CCP	AgeRight Advantage	HMO/HMOPOS		"Marquis Companies I, Inc."	636	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H1372	Medicare Compliance Officer		Ms.	Kleckner	Patty		1-503-701-0202					compliance@agerightadvantage.com	4560 SE International Way	#100	Milwaukie	OR	97222	4/25/2022	2026	"MARQUIS ADVANTAGE, INC."	Local CCP	AgeRight Advantage	HMO/HMOPOS		"Marquis Companies I, Inc."	636	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H1372	Part D Exceptions Contact			LeClair	Christophe						1-920-221-4676	christopher.leclair@Navitus.com	Navitus Health Solutions	1025 West Navitus Dr.	Appleton	WI	54913	1/3/2025	2026	"MARQUIS ADVANTAGE, INC."	Local CCP	AgeRight Advantage	HMO/HMOPOS		"Marquis Companies I, Inc."	636	Yes	Active	1-920-221-4176				HMO - Health Maintenance Organization		C	Seattle
H1372	Pharmacy Network Management Contact			Robinson	Jan		1-608-729-1688					jan.robinson@navitus.com	Navitus Health Solutions	1025 West Navitus Drive	Appleton	WI	54913	1/3/2025	2026	"MARQUIS ADVANTAGE, INC."	Local CCP	AgeRight Advantage	HMO/HMOPOS		"Marquis Companies I, Inc."	636	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H1372	Pharmacy Technical Help Desk Contact	"Manager, Customer Care Accounts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	"Navitus Health Solutions, LLC"	1025 W. Navitus Drive	Appleton	WI	54913	1/3/2025	2026	"MARQUIS ADVANTAGE, INC."	Local CCP	AgeRight Advantage	HMO/HMOPOS		"Marquis Companies I, Inc."	636	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Seattle
H1372	Plan to Plan Reconciliation Contact	CFO	Ms.	Martin	Rachel		1-775-544-8314					p2padministration@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	1/3/2025	2026	"MARQUIS ADVANTAGE, INC."	Local CCP	AgeRight Advantage	HMO/HMOPOS		"Marquis Companies I, Inc."	636	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H1395	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	5/19/2026	2026	"NEBRASKA TOTAL CARE, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H1395	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	5/19/2026	2026	"NEBRASKA TOTAL CARE, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H1395	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	5/19/2026	2026	"NEBRASKA TOTAL CARE, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H1395	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	5/19/2026	2026	"NEBRASKA TOTAL CARE, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H1395	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	5/19/2026	2026	"NEBRASKA TOTAL CARE, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H1395	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	5/19/2026	2026	"NEBRASKA TOTAL CARE, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H1395	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	5/19/2026	2026	"NEBRASKA TOTAL CARE, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H1395	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	5/19/2026	2026	"NEBRASKA TOTAL CARE, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H1395	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	5/19/2026	2026	"NEBRASKA TOTAL CARE, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H1395	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	5/19/2026	2026	"NEBRASKA TOTAL CARE, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract	1-813-206-7152				PPO - BBA		C	Denver
H1395	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	5/19/2026	2026	"NEBRASKA TOTAL CARE, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H1395	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	5/19/2026	2026	"NEBRASKA TOTAL CARE, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract	1-833-750-0202				PPO - BBA		C	Denver
H1395	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	5/19/2026	2026	"NEBRASKA TOTAL CARE, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H1396	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF SOUTH CAROLINA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1396	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF SOUTH CAROLINA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1396	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF SOUTH CAROLINA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1396	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	"HUMANA BENEFIT PLAN OF SOUTH CAROLINA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1396	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF SOUTH CAROLINA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1396	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF SOUTH CAROLINA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1396	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF SOUTH CAROLINA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1396	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF SOUTH CAROLINA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1396	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF SOUTH CAROLINA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1396	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF SOUTH CAROLINA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-859-321-9075				HMO - Health Maintenance Organization		C	Kansas City
H1396	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF SOUTH CAROLINA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1396	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	"HUMANA BENEFIT PLAN OF SOUTH CAROLINA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-800-865-8715				HMO - Health Maintenance Organization		C	Kansas City
H1396	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	"HUMANA BENEFIT PLAN OF SOUTH CAROLINA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1416	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"HARMONY HEALTH PLAN,  INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1416	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"HARMONY HEALTH PLAN,  INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1416	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/20/2024	2026	"HARMONY HEALTH PLAN,  INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1416	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"HARMONY HEALTH PLAN,  INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1416	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"HARMONY HEALTH PLAN,  INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1416	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/18/2024	2026	"HARMONY HEALTH PLAN,  INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1416	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"HARMONY HEALTH PLAN,  INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1416	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"HARMONY HEALTH PLAN,  INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1416	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/22/2025	2026	"HARMONY HEALTH PLAN,  INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1416	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/20/2024	2026	"HARMONY HEALTH PLAN,  INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H1416	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	"HARMONY HEALTH PLAN,  INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1416	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/17/2024	2026	"HARMONY HEALTH PLAN,  INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0408				HMO - Health Maintenance Organization		C	Denver
H1416	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	6/20/2024	2026	"HARMONY HEALTH PLAN,  INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1423	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	"WELLPOINT HEALTH PLANS, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1423	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	6/27/2024	2026	"WELLPOINT HEALTH PLANS, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1423	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	"WELLPOINT HEALTH PLANS, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1423	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	"WELLPOINT HEALTH PLANS, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1423	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	"WELLPOINT HEALTH PLANS, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1423	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	"WELLPOINT HEALTH PLANS, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1423	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"WELLPOINT HEALTH PLANS, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1423	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	6/27/2024	2026	"WELLPOINT HEALTH PLANS, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1423	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"WELLPOINT HEALTH PLANS, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1423	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	"WELLPOINT HEALTH PLANS, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H1423	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/31/2023	2026	"WELLPOINT HEALTH PLANS, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1423	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	"WELLPOINT HEALTH PLANS, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H1423	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/6/2021	2026	"WELLPOINT HEALTH PLANS, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1468	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1468	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1468	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1468	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1468	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1468	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1468	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1468	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1468	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1468	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-859-321-9075				HMO - Health Maintenance Organization		C	Kansas City
H1468	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1468	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-800-865-8715				HMO - Health Maintenance Organization		C	Kansas City
H1468	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1486	Automated TrOOP Balance Transfer Contact	Sr. Analyst		Diaz	Yamilca		1-401-651-3856					Yamilca.Diaz@cvshealth.com	1 CVS Dr.		Woonsocket	RI	02896	2/7/2025	2026	"COMMONWEALTH CARE ALLIANCE, INC."	Local CCP	"Commonwealth Care Alliance, Inc."	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1486	Best Available Evidence Contact	AVP Enrollment		Sarazen	Kristen		1-617-934-9307					Kristen.Sarazen@caresource.com	2 Avenue de Lafayette	5th Floor	Boston	MA	02111	6/16/2026	2026	"COMMONWEALTH CARE ALLIANCE, INC."	Local CCP	"Commonwealth Care Alliance, Inc."	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1486	Chief Financial Officer	Chief Financial Officer	Mr.	Smart	Lawrence		1-937-531-3335					Lawrence.Smart@caresource.com	PO Box 8738		Dayton	OH	45401	1/5/2026	2026	"COMMONWEALTH CARE ALLIANCE, INC."	Local CCP	"Commonwealth Care Alliance, Inc."	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1486	CMS Casework Communication Contact	"AVP, G&A"		Mayo	Faustino		1-857-327-3320				1-857-453-4517	Faustino.Mayo@CareSource.com	2 Avenue de Lafayette	5th Floor	Boston	MA	02111	6/2/2026	2026	"COMMONWEALTH CARE ALLIANCE, INC."	Local CCP	"Commonwealth Care Alliance, Inc."	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1486	Coordination of Benefits Contact	Sr Director Claims Ops		Sottilotta	Lori		1-617-426-0600	1194				Lori.Sottilotta@caresource.com	2 Avenue de Lafayette	5th Floor	Boston	MA	02111	6/16/2026	2026	"COMMONWEALTH CARE ALLIANCE, INC."	Local CCP	"Commonwealth Care Alliance, Inc."	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1486	Customer Service Operations Contact	Director Contact Center		Cuevas	Sabrina		1-617-426-0600	51004				Sabrina.Cuevas@caresource.com	2 Avenue de Lafayette	5th Floor	Boston	MA	02111	6/16/2026	2026	"COMMONWEALTH CARE ALLIANCE, INC."	Local CCP	"Commonwealth Care Alliance, Inc."	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1486	Government Relations Contact	Federal Policy Medicare Director		Waickman	Nicole		1-617-426-0600	51412				Nicole.Waickman@caresource.com	2 Avenue de Lafayette	5th Floor	Boston	MA	02111	6/16/2026	2026	"COMMONWEALTH CARE ALLIANCE, INC."	Local CCP	"Commonwealth Care Alliance, Inc."	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1486	Hospice Contact	AVP Enrollment		Sarazen	Kristen		1-617-934-9307					Kristen.Sarazen@caresource.com	2 Avenue de Lafayette	5th Floor	Boston	MA	02111	6/16/2026	2026	"COMMONWEALTH CARE ALLIANCE, INC."	Local CCP	"Commonwealth Care Alliance, Inc."	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1486	Medicare Compliance Officer	"AVP, Medicare Compliance Officer"	Ms.	Charron	Katherine		1-401-378-5409					katherine.charron@caresource.com	2 Avenue de Lafayette	5th Floor	Boston	MA	02111	4/3/2026	2026	"COMMONWEALTH CARE ALLIANCE, INC."	Local CCP	"Commonwealth Care Alliance, Inc."	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1486	Part D Exceptions Contact	Sr. Analyst		Diaz	Yamilca							Yamilca.Diaz@cvshealth.com	1 CVS Dr.		Woonsocket	RI	02895	2/7/2025	2026	"COMMONWEALTH CARE ALLIANCE, INC."	Local CCP	"Commonwealth Care Alliance, Inc."	HMO/HMOPOS		CareSource	321	Yes	Active	1-401-651-3856				HMO - Health Maintenance Organization		C	Boston
H1486	Pharmacy Network Management Contact	Director Network Operations		Smith	Shawn		1-480-391-4844					shawn.smith@cvshealth.com	9501 E. Shea Blvd.	MC 080	Scottsdale	AZ	85260	2/7/2025	2026	"COMMONWEALTH CARE ALLIANCE, INC."	Local CCP	"Commonwealth Care Alliance, Inc."	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1486	Pharmacy Technical Help Desk Contact	Sr. Analyst		Diaz	Yamilca							Yamilca.Diaz@cvshealth.com	1 CVS Dr.		Woonsocket	RI	02896	2/7/2025	2026	"COMMONWEALTH CARE ALLIANCE, INC."	Local CCP	"Commonwealth Care Alliance, Inc."	HMO/HMOPOS		CareSource	321	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Boston
H1486	Plan to Plan Reconciliation Contact	"Manager, Accounts Payable"		Reeves	Jennifer		1-617-426-0600	51632				Jennifer.Reeves@caresource.com	2 Avenue de Lafayette	5th Floor	Boston	MA	02111	6/16/2026	2026	"COMMONWEALTH CARE ALLIANCE, INC."	Local CCP	"Commonwealth Care Alliance, Inc."	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1500	Automated TrOOP Balance Transfer Contact	Regional Director Finance	Ms	Fuhrmeister	Nicole		1-215-778-8707					nicole.fuhrmeister@trinity-health.org	4508 Chestnut Street		Philadelphia	PA	19139	8/4/2023	2026	"LIFE ST. JOSEPH OF THE PINES, INC."	National PACE	LIFE St. Joseph of the Pines	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H1500	Best Available Evidence Contact	Regional Director Finance	Ms	Fuhrmeister	Nicole		1-215-778-8707					nicole.fuhrmeister@trinity-health.org	4508 Chestnut Street		Philadelphia	PA	19139	8/4/2023	2026	"LIFE ST. JOSEPH OF THE PINES, INC."	National PACE	LIFE St. Joseph of the Pines	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H1500	Chief Financial Officer	Regional Director Finance	Ms	Fuhrmeister	Nicole		1-215-778-8707					nicole.fuhrmeister@trinity-health.org	4508 Chestnut Street		Philadelphia	PA	19139	8/4/2023	2026	"LIFE ST. JOSEPH OF THE PINES, INC."	National PACE	LIFE St. Joseph of the Pines	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H1500	CMS Casework Communication Contact	Executive Director	Ms.	Olsen	Katie		1-910-429-7202				1-910-483-4930	Katie.Olsen@trinity-health.org	4900 Raeford Road		Fayetteville	NC	28304	6/1/2026	2026	"LIFE ST. JOSEPH OF THE PINES, INC."	National PACE	LIFE St. Joseph of the Pines	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H1500	Coordination of Benefits Contact	Regional Director Finance	Ms	Fuhrmeister	Nicole		1-215-778-8707					nicole.fuhrmeister@trinity-health.org	4508 Chestnut Street		Philadelphia	PA	19139	8/4/2023	2026	"LIFE ST. JOSEPH OF THE PINES, INC."	National PACE	LIFE St. Joseph of the Pines	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H1500	Customer Service Operations Contact	Executive Director	Ms.	Olsen	Katie		1-910-429-7202				1-910-483-4930	Katie.Olsen@trinity-health.org	4900 Raeford Road		Fayetteville	NC	28304	6/1/2026	2026	"LIFE ST. JOSEPH OF THE PINES, INC."	National PACE	LIFE St. Joseph of the Pines	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H1500	Government Relations Contact	Executive Director	Ms.	Olsen	Katie		1-910-429-7202				1-910-483-4930	Katie.Olsen@trinity-health.org	4900 Raeford Road		Fayetteville	NC	28304	6/1/2026	2026	"LIFE ST. JOSEPH OF THE PINES, INC."	National PACE	LIFE St. Joseph of the Pines	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H1500	Medicare Compliance Officer	National Director QI/Compliance	Ms	Watts	Christina		1-248-420-6065					wattscl@trinity-health.org	20555 Victor Parkway		Livonia	MI	48152	8/15/2023	2026	"LIFE ST. JOSEPH OF THE PINES, INC."	National PACE	LIFE St. Joseph of the Pines	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H1500	Part D Exceptions Contact	Manager Part D Compliance		Garbarino	Joseph							Joseph.Garbarino@mercyhealth.org	1930 Broad Street		Philadelphia	PA	19145	12/31/2020	2026	"LIFE ST. JOSEPH OF THE PINES, INC."	National PACE	LIFE St. Joseph of the Pines	National PACE		Trinity Health Corporation	234	Yes	Active	1-215-339-4362				PACE - Nat		C	Atlanta
H1500	Pharmacy Network Management Contact	Manager Part D Compliance	Mr	Garbarino	Joseph		1-215-339-4362					joseph.garbarino@trinity-health.org	1001 Baltimore Pike		Springfield	PA	19064	8/4/2023	2026	"LIFE ST. JOSEPH OF THE PINES, INC."	National PACE	LIFE St. Joseph of the Pines	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H1500	Pharmacy Technical Help Desk Contact	Manager Part D Compliance		Garbarino	Joseph							Joseph.Garbarino@trinity-health.org	1930 S. Broad St.	Suite 3	Philadelphia	PA	19145	8/4/2023	2026	"LIFE ST. JOSEPH OF THE PINES, INC."	National PACE	LIFE St. Joseph of the Pines	National PACE		Trinity Health Corporation	234	Yes	Active	1-215-339-4362				PACE - Nat		C	Atlanta
H1500	Plan to Plan Reconciliation Contact	Regional Director Finance	Ms	Fuhrmeister	Nicole		1-215-778-8707					nicole.fuhrmeister@trinity-health.org	4508 Chestnut Street		Philadelphia	PA	19139	8/4/2023	2026	"LIFE ST. JOSEPH OF THE PINES, INC."	National PACE	LIFE St. Joseph of the Pines	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H1518	Automated TrOOP Balance Transfer Contact	President & CEO	Ms.	Rudick	Ashley		1-716-819-5101				1-716-819-5099	arudick@chsbuffalo.org	55 Melroy Avenue	Ground Floor	Lackawanna	NY	14218	7/8/2025	2026	CATHOLIC HEALTH SYSTEM BUFFALO PACE	National PACE	Catholic Health LIFE	National PACE		"Catholic Health System, Inc."	403	Yes	Active					PACE - Nat		C	New York
H1518	Best Available Evidence Contact	President & CEO	Ms.	Rudick	Ashley		1-716-819-5101				1-716-819-5099	arudick@chsbuffalo.org	55 Melroy Avenue	Ground Floor	Lackawanna	NY	14218	7/8/2025	2026	CATHOLIC HEALTH SYSTEM BUFFALO PACE	National PACE	Catholic Health LIFE	National PACE		"Catholic Health System, Inc."	403	Yes	Active					PACE - Nat		C	New York
H1518	Chief Financial Officer	Vice President of Finance/Controller	Mr.	Edwards	Russell		1-716-923-2968					redwards@chsbuffalo.org	144 Genesee St.	4th Floor - Finance	Buffalo	NY	14203	8/9/2022	2026	CATHOLIC HEALTH SYSTEM BUFFALO PACE	National PACE	Catholic Health LIFE	National PACE		"Catholic Health System, Inc."	403	Yes	Active					PACE - Nat		C	New York
H1518	CMS Casework Communication Contact	President & CEO	Ms.	Rudick	Ashley		1-716-819-5101				1-716-819-5099	arudick@chsbuffalo.org	55 Melroy Avenue	Ground Floor	Lackawanna	NY	14218	7/8/2025	2026	CATHOLIC HEALTH SYSTEM BUFFALO PACE	National PACE	Catholic Health LIFE	National PACE		"Catholic Health System, Inc."	403	Yes	Active					PACE - Nat		C	New York
H1518	Coordination of Benefits Contact	President & CEO	Ms.	Rudick	Ashley		1-716-819-5101				1-716-819-5099	arudick@chsbuffalo.org	55 Melroy Avenue	Ground Floor	Lackawanna	NY	14218	7/8/2025	2026	CATHOLIC HEALTH SYSTEM BUFFALO PACE	National PACE	Catholic Health LIFE	National PACE		"Catholic Health System, Inc."	403	Yes	Active					PACE - Nat		C	New York
H1518	Customer Service Operations Contact	President & CEO	Ms.	Rudick	Ashley		1-716-819-5101				1-716-819-5099	arudick@chsbuffalo.org	55 Melroy Avenue	Ground Floor	Lackawanna	NY	14218	7/8/2025	2026	CATHOLIC HEALTH SYSTEM BUFFALO PACE	National PACE	Catholic Health LIFE	National PACE		"Catholic Health System, Inc."	403	Yes	Active					PACE - Nat		C	New York
H1518	Government Relations Contact	President & CEO	Ms.	Rudick	Ashley		1-716-819-5101				1-716-819-5099	arudick@chsbuffalo.org	55 Melroy Avenue	Ground Floor	Lackawanna	NY	14218	7/8/2025	2026	CATHOLIC HEALTH SYSTEM BUFFALO PACE	National PACE	Catholic Health LIFE	National PACE		"Catholic Health System, Inc."	403	Yes	Active					PACE - Nat		C	New York
H1518	Medicare Compliance Officer	Compliance & Privacy Officer	Mrs.	Whistler	Kimberly	E	1-716-821-4471					kwhistler@chsbuffalo.org	144 Genesee St	6th Floor	Buffalo	NY	14203	5/19/2022	2026	CATHOLIC HEALTH SYSTEM BUFFALO PACE	National PACE	Catholic Health LIFE	National PACE		"Catholic Health System, Inc."	403	Yes	Active					PACE - Nat		C	New York
H1518	Part D Exceptions Contact	President & CEO	Ms.	Rudick	Ashley						1-716-819-5101	arudick@chsbuffalo.org	55 Melroy Avenue	Ground Floor	Lackawanna	NY	14218	7/8/2025	2026	CATHOLIC HEALTH SYSTEM BUFFALO PACE	National PACE	Catholic Health LIFE	National PACE		"Catholic Health System, Inc."	403	Yes	Active	1-855-671-3341				PACE - Nat		C	New York
H1518	Pharmacy Network Management Contact	President & CEO	Ms.	Rudick	Ashley		1-716-819-5101				1-716-819-5099	arudick@chsbuffalo.org	55 Melroy Avenue	Ground Floor	Lackawanna	NY	14218	7/8/2025	2026	CATHOLIC HEALTH SYSTEM BUFFALO PACE	National PACE	Catholic Health LIFE	National PACE		"Catholic Health System, Inc."	403	Yes	Active					PACE - Nat		C	New York
H1518	Pharmacy Technical Help Desk Contact	President & CEO	Ms.	Rudick	Ashley						1-716-819-5099	arudick@chsbuffalo.org	55 Melroy Avenue	Ground Floor	Lackawanna	NY	14218	7/8/2025	2026	CATHOLIC HEALTH SYSTEM BUFFALO PACE	National PACE	Catholic Health LIFE	National PACE		"Catholic Health System, Inc."	403	Yes	Active	1-855-671-3341				PACE - Nat		C	New York
H1518	Plan to Plan Reconciliation Contact	President & CEO	Ms.	Rudick	Ashley		1-716-819-5101				1-716-819-5099	arudick@chsbuffalo.org	55 Melroy Avenue	Ground Floor	Lackawanna	NY	14218	7/8/2025	2026	CATHOLIC HEALTH SYSTEM BUFFALO PACE	National PACE	Catholic Health LIFE	National PACE		"Catholic Health System, Inc."	403	Yes	Active					PACE - Nat		C	New York
H1526	Automated TrOOP Balance Transfer Contact	Senior Director of Value Based Care		Abduljabbar	Fawaz		1-844-294-6535					fawaz.abduljabbar@goldkidney.com	"4600 E Washington St, #300"		Phoenix	AZ	85034	8/4/2025	2026	GOLD KIDNEY OF FLORIDA INC	Local CCP	Gold Kidney Health Plan	HMO/HMOPOS		Gold Kidney Health Plan	788	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1526	Best Available Evidence Contact	Senior Director of Value Based Care		Abduljabbar	Fawaz		1-844-294-6535					fawaz.abduljabbar@goldkidney.com	"4600 E Washington St, #300"		Phoenix	AZ	85034	8/4/2025	2026	GOLD KIDNEY OF FLORIDA INC	Local CCP	Gold Kidney Health Plan	HMO/HMOPOS		Gold Kidney Health Plan	788	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1526	Chief Financial Officer	CFO	"Mr,"	LeBrun	Derek		1-503-516-6738					derek.lebrun@goldkidney.com	"4600 E Washington St, #300"		Phoenix	AZ	85034	4/20/2026	2026	GOLD KIDNEY OF FLORIDA INC	Local CCP	Gold Kidney Health Plan	HMO/HMOPOS		Gold Kidney Health Plan	788	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1526	CMS Casework Communication Contact	Manager of Utilization & Care Management		Patel	Manishkuma		1-256-529-8836					manish.patel@goldkidney.com	"4600 E Washington St, #300"		Phoenix	AZ	85034	8/4/2025	2026	GOLD KIDNEY OF FLORIDA INC	Local CCP	Gold Kidney Health Plan	HMO/HMOPOS		Gold Kidney Health Plan	788	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1526	Coordination of Benefits Contact	Senior Business Analyst		Taylor	Jay		1-844-294-6535					jay.taylor@goldkidney.com	"4600 E Washington St, #300"		Phoenix	AZ	85034	8/4/2025	2026	GOLD KIDNEY OF FLORIDA INC	Local CCP	Gold Kidney Health Plan	HMO/HMOPOS		Gold Kidney Health Plan	788	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1526	Customer Service Operations Contact	Senior Business Analyst		Taylor	Jay		1-844-294-6535					jay.taylor@goldkidney.com	"4600 E Washington St, #300"		Phoenix	AZ	85034	8/4/2025	2026	GOLD KIDNEY OF FLORIDA INC	Local CCP	Gold Kidney Health Plan	HMO/HMOPOS		Gold Kidney Health Plan	788	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1526	Government Relations Contact	CEO	"Mr,"	Henriques	Dominic		1-844-294-6535					dominic.henriques@goldkidney.com	"4600 E Washington St, #300"		Phoenix	AZ	85034	8/4/2025	2026	GOLD KIDNEY OF FLORIDA INC	Local CCP	Gold Kidney Health Plan	HMO/HMOPOS		Gold Kidney Health Plan	788	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1526	Hospice Contact	Senior Director of Value Based Care		Abduljabbar	Fawaz		1-844-294-6535					fawaz.abduljabbar@goldkidney.com	"4600 E Washington St, #300"		Phoenix	AZ	85034	8/4/2025	2026	GOLD KIDNEY OF FLORIDA INC	Local CCP	Gold Kidney Health Plan	HMO/HMOPOS		Gold Kidney Health Plan	788	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1526	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Leon	Francisco		1-813-847-5561					francisco.leon@goldkidney.com	"4600 E Washington St, #300"		Phoenix	AZ	85034	1/13/2026	2026	GOLD KIDNEY OF FLORIDA INC	Local CCP	Gold Kidney Health Plan	HMO/HMOPOS		Gold Kidney Health Plan	788	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1526	Part D Exceptions Contact	Senior Director of Value Based Care		Abduljabbar	Fawaz							fawaz.abduljabbar@goldkidney.com	"4600 E Washington St, #300"		Phoenix	AZ	85034	8/4/2025	2026	GOLD KIDNEY OF FLORIDA INC	Local CCP	Gold Kidney Health Plan	HMO/HMOPOS		Gold Kidney Health Plan	788	Yes	Active	1-844-294-6535				HMO - Health Maintenance Organization		C	Boston
H1526	Pharmacy Network Management Contact	Senior Director of Value Based Care		Abduljabbar	Fawaz		1-844-294-6535					fawaz.abduljabbar@goldkidney.com	"4600 E Washington St, #300"		Phoenix	AZ	85034	8/4/2025	2026	GOLD KIDNEY OF FLORIDA INC	Local CCP	Gold Kidney Health Plan	HMO/HMOPOS		Gold Kidney Health Plan	788	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1526	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"		Brewer	Kathy							Customerservice@MedImpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	10/23/2025	2026	GOLD KIDNEY OF FLORIDA INC	Local CCP	Gold Kidney Health Plan	HMO/HMOPOS		Gold Kidney Health Plan	788	Yes	Active	1-888-672-7206				HMO - Health Maintenance Organization		C	Boston
H1526	Plan to Plan Reconciliation Contact	Senior Director of Value Based Care		Abduljabbar	Fawaz		1-844-294-6535					fawaz.abduljabbar@goldkidney.com	"4600 E Washington St, #300"		Phoenix	AZ	85034	8/4/2025	2026	GOLD KIDNEY OF FLORIDA INC	Local CCP	Gold Kidney Health Plan	HMO/HMOPOS		Gold Kidney Health Plan	788	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1533	Automated TrOOP Balance Transfer Contact	Executive Director	Mrs	Martin	Karen		1-336-628-4200				1-336-628-4235	karen.martin@amhealthsystems.com	809 Curry Dr.		Asheboro	NC	27205	10/4/2023	2026	"STAYWELL SENIOR CARE, INC."	National PACE	StayWell Senior Care	National PACE		"American Healthcare Systems, LLC"	605	Yes	Active					PACE - Nat		C	Atlanta
H1533	Best Available Evidence Contact	Executive Director	Mrs	Martin	Karen		1-336-628-4200				1-336-628-4235	karen.martin@amhealthsystems.com	809 Curry Dr.		Asheboro	NC	27205	10/4/2023	2026	"STAYWELL SENIOR CARE, INC."	National PACE	StayWell Senior Care	National PACE		"American Healthcare Systems, LLC"	605	Yes	Active					PACE - Nat		C	Atlanta
H1533	Chief Financial Officer	Executive Director	Mrs	Martin	Karen		1-336-628-4200				1-336-628-4235	karen.martin@amhealthsystems.com	809 Curry Dr.		Asheboro	NC	27205	10/4/2023	2026	"STAYWELL SENIOR CARE, INC."	National PACE	StayWell Senior Care	National PACE		"American Healthcare Systems, LLC"	605	Yes	Active					PACE - Nat		C	Atlanta
H1533	CMS Casework Communication Contact	Quality Assessment Performance Improvement Coor.	Mrs	Conrad	Janine		1-336-628-4215				1-336-628-4235	janine.conrad@amhealthsystems.com	809 Curry Dr.		Asheboro	NC	27205	10/4/2023	2026	"STAYWELL SENIOR CARE, INC."	National PACE	StayWell Senior Care	National PACE		"American Healthcare Systems, LLC"	605	Yes	Active					PACE - Nat		C	Atlanta
H1533	Coordination of Benefits Contact	Executive Director	Mrs	Martin	Karen		1-336-628-4200				1-336-628-4235	karen.martin@amhealthsystems.com	809 Curry Dr.		Asheboro	NC	27205	10/4/2023	2026	"STAYWELL SENIOR CARE, INC."	National PACE	StayWell Senior Care	National PACE		"American Healthcare Systems, LLC"	605	Yes	Active					PACE - Nat		C	Atlanta
H1533	Customer Service Operations Contact	Quality Assessment Performance Improvement Coor.	Mrs	Conrad	Janine		1-336-628-4200				1-336-628-4235	janine.conrad@amhealthsystems.com	809 Curry Dr.		Asheboro	NC	27205	10/4/2023	2026	"STAYWELL SENIOR CARE, INC."	National PACE	StayWell Senior Care	National PACE		"American Healthcare Systems, LLC"	605	Yes	Active					PACE - Nat		C	Atlanta
H1533	Government Relations Contact	Executive Director	Mrs	Martin	Karen		1-336-628-4200				1-336-628-4235	karen.martin@amhealthsystems.com	809 Curry Dr.		Asheboro	NC	27205	10/4/2023	2026	"STAYWELL SENIOR CARE, INC."	National PACE	StayWell Senior Care	National PACE		"American Healthcare Systems, LLC"	605	Yes	Active					PACE - Nat		C	Atlanta
H1533	Medicare Compliance Officer	Executive Director	Mrs	Martin	Karen		1-336-628-4200				1-336-628-4235	karen.martin@amhealthsystems.com	809 Curry Dr.		Asheboro	NC	27205	10/4/2023	2026	"STAYWELL SENIOR CARE, INC."	National PACE	StayWell Senior Care	National PACE		"American Healthcare Systems, LLC"	605	Yes	Active					PACE - Nat		C	Atlanta
H1533	Part D Exceptions Contact	Executive Director	Mrs	Martin	Karen						1-336-628-4235	karen.martin@amhealthsystems.com	809 Curry Dr.		Asheboro	NC	27205	10/4/2023	2026	"STAYWELL SENIOR CARE, INC."	National PACE	StayWell Senior Care	National PACE		"American Healthcare Systems, LLC"	605	Yes	Active	1-800-800-5555				PACE - Nat		C	Atlanta
H1533	Pharmacy Network Management Contact			Tanner	Robert		1-877-842-3210					rtanner@pharmastar.com	PO Box 3217		Eau Claire	WI	54702	11/21/2013	2026	"STAYWELL SENIOR CARE, INC."	National PACE	StayWell Senior Care	National PACE		"American Healthcare Systems, LLC"	605	Yes	Active					PACE - Nat		C	Atlanta
H1533	Pharmacy Technical Help Desk Contact			Tanner	Robert							rtanner@pharmastar.com	PO Box 3217		Eau Claire	WI	54702	11/21/2013	2026	"STAYWELL SENIOR CARE, INC."	National PACE	StayWell Senior Care	National PACE		"American Healthcare Systems, LLC"	605	Yes	Active	1-877-842-3210				PACE - Nat		C	Atlanta
H1533	Plan to Plan Reconciliation Contact	Executive Director	Mrs	Martin	Karen		1-336-628-4200				1-336-628-4235	karen.martin@amhealthsystems.com	809 Curry Dr.		Asheboro	NC	27205	10/4/2023	2026	"STAYWELL SENIOR CARE, INC."	National PACE	StayWell Senior Care	National PACE		"American Healthcare Systems, LLC"	605	Yes	Active					PACE - Nat		C	Atlanta
H1537	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1537	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1537	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1537	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1537	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1537	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1537	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1537	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1537	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1537	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				PPO - BBA		C	Boston
H1537	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1537	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				PPO - BBA		C	Boston
H1537	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1544	Automated TrOOP Balance Transfer Contact			North	Tom		1-714-878-4552					tom.north@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/23/2025	2026	"LA COAST PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1544	Best Available Evidence Contact			Cumpian	Terry		1-209-840-8404					terry.cumpian@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	5/24/2024	2026	"LA COAST PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1544	Chief Financial Officer		Ms.	Blue	Clara		1-310-200-0576					clara.blue@welbehealth.com	440 N BARRANCA AVE #4053		Covina	CA	91723	6/30/2026	2026	"LA COAST PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1544	CMS Casework Communication Contact			Costigan	Bobbie		1-219-210-6392					Bobbie.Costigan@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	7/30/2025	2026	"LA COAST PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1544	Coordination of Benefits Contact			Holmes	Nicole		1-269-910-1107					nicole.holmes@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/23/2025	2026	"LA COAST PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1544	Customer Service Operations Contact			Blue	Clara		1-310-200-0576					clara.blue@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/4/2026	2026	"LA COAST PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1544	Government Relations Contact			Lee	Elizabeth		1-714-470-6077					elizabeth.lee@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	3/5/2024	2026	"LA COAST PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1544	Medicare Compliance Officer		Ms.	Lee	Elizabeth		1-714-470-6077					elizabeth.lee@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	3/5/2024	2026	"LA COAST PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1544	Part D Exceptions Contact			Lincoln-Giang	Pam							pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	8/12/2025	2026	"LA COAST PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active	1-650-294-8027				PACE - Nat		C	San Francisco
H1544	Pharmacy Network Management Contact			Lincoln-Giang	Pam		1-650-294-8027					pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	8/12/2025	2026	"LA COAST PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1544	Pharmacy Technical Help Desk Contact			Lincoln-Giang	Pam							pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	8/12/2025	2026	"LA COAST PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active	1-650-294-8027				PACE - Nat		C	San Francisco
H1544	Plan to Plan Reconciliation Contact			Porras	Ashleigh		1-650-442-2660					p2p@welbehealth.com	440 N BARRANCA AVE #4053		COVINA	CA	91723	6/30/2026	2026	"LA COAST PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1587	Automated TrOOP Balance Transfer Contact	VP of TPA Operations		Allen	Kim		1-501-690-2985					pharmacysupport@accesshealthservices.com	500 President Clinton Ave	Suite 200-A	Little Rock	AR	72202	3/7/2024	2026	"ARKANSAS SUPERIOR SELECT, INC."	Local CCP	Arkansas Superior Select Health Plans	HMO/HMOPOS		"Select Founders, LLC"	541	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1587	Best Available Evidence Contact	Member Service Manager		Campbell	Brittany		1-501-255-0873				1-866-705-3652	brittanyc@accesshealthservices.com	500 President Clinton Ave	Suite 200-A	Little Rock	AR	72202	3/7/2024	2026	"ARKANSAS SUPERIOR SELECT, INC."	Local CCP	Arkansas Superior Select Health Plans	HMO/HMOPOS		"Select Founders, LLC"	541	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1587	Chief Financial Officer	CFO/Director of Finance	Mr.	Gable	Alan		1-501-697-4560				1-501-372-1932	agable@superiorselectinc.com	500 President Clinton Ave	Suite 200-C	Little Rock	AR	72202	3/7/2024	2026	"ARKANSAS SUPERIOR SELECT, INC."	Local CCP	Arkansas Superior Select Health Plans	HMO/HMOPOS		"Select Founders, LLC"	541	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1587	CMS Casework Communication Contact	Medicare Compliance Officer		Morgan	Tara		1-501-944-2642				1-501-372-1932	tmorgan@superiorselectinc.com	500 President Clinton Ave	Suite 200-C	Little Rock	AR	72202	3/7/2024	2026	"ARKANSAS SUPERIOR SELECT, INC."	Local CCP	Arkansas Superior Select Health Plans	HMO/HMOPOS		"Select Founders, LLC"	541	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1587	Coordination of Benefits Contact	VP of TPA Operations		Allen	Kim		1-501-690-2985					pharmacysupport@accesshealthservices.com	500 President Clinton Ave	Suite 200-A	Little Rock	AR	72202	3/7/2024	2026	"ARKANSAS SUPERIOR SELECT, INC."	Local CCP	Arkansas Superior Select Health Plans	HMO/HMOPOS		"Select Founders, LLC"	541	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1587	Customer Service Operations Contact	Member Service Manager		Campbell	Brittany		1-501-255-0873				1-866-705-3652	brittanyc@accesshealthservices.com	500 President Clinton Ave	Suite 200-A	Little Rock	AR	72202	3/7/2024	2026	"ARKANSAS SUPERIOR SELECT, INC."	Local CCP	Arkansas Superior Select Health Plans	HMO/HMOPOS		"Select Founders, LLC"	541	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1587	Government Relations Contact	Medicare Compliance Officer		Morgan	Tara		1-501-944-2642				1-501-372-1932	tmorgan@superiorselectinc.com	500 President Clinton Ave	Suite 200-C	Little Rock	AR	72201	12/28/2023	2026	"ARKANSAS SUPERIOR SELECT, INC."	Local CCP	Arkansas Superior Select Health Plans	HMO/HMOPOS		"Select Founders, LLC"	541	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1587	Hospice Contact	Director of Clinical and Quality Ops		Dolansky	Jessica		1-501-621-1479					jdolansky@superiorselectinc.com	500 President Clinton Ave	Suite 200-C	Little Rock	AR	72201	6/18/2026	2026	"ARKANSAS SUPERIOR SELECT, INC."	Local CCP	Arkansas Superior Select Health Plans	HMO/HMOPOS		"Select Founders, LLC"	541	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1587	Medicare Compliance Officer	Medicare Compliance Officer	Mrs.	Morgan	Tara		1-501-944-2642				1-501-372-1932	tmorgan@superiorselectinc.com	500 President Clinton Ave	Suite 200-C	Little Rock	AR	72201	12/28/2023	2026	"ARKANSAS SUPERIOR SELECT, INC."	Local CCP	Arkansas Superior Select Health Plans	HMO/HMOPOS		"Select Founders, LLC"	541	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1587	Part D Exceptions Contact	Clinical Pharmacist		Stephenson	Sarah							sstephenson@superiorselectinc.com	500 President Clinton Ave	Suite 200-C	Little Rock	AR	72202	3/7/2024	2026	"ARKANSAS SUPERIOR SELECT, INC."	Local CCP	Arkansas Superior Select Health Plans	HMO/HMOPOS		"Select Founders, LLC"	541	Yes	Active	1-501-621-1503				HMO - Health Maintenance Organization		C	Dallas
H1587	Pharmacy Network Management Contact	Director of Pharmacy Network Administration		Hunt	Brian		1-858-790-6229					Brian.hunt@medimpact.com	7835 Freedom Avenue NW North	Suite 201	Canton	OH	44720	1/9/2025	2026	"ARKANSAS SUPERIOR SELECT, INC."	Local CCP	Arkansas Superior Select Health Plans	HMO/HMOPOS		"Select Founders, LLC"	541	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1587	Pharmacy Technical Help Desk Contact	Vice President Operations		Conn	Todd							Todd.Conn@medimpact.com	7835 Freedom Avenue NW North	Suite 201	Canton	OH	44720	1/16/2025	2026	"ARKANSAS SUPERIOR SELECT, INC."	Local CCP	Arkansas Superior Select Health Plans	HMO/HMOPOS		"Select Founders, LLC"	541	Yes	Active	1-833-502-6756				HMO - Health Maintenance Organization		C	Dallas
H1587	Plan to Plan Reconciliation Contact	CFO/Director of Finance		Gable	Alan		1-501-697-4560				1-501-372-1932	agable@superiorselectinc.com	500 President Clinton Ave	Suite 200-C	Little Rock	AR	72201	12/28/2023	2026	"ARKANSAS SUPERIOR SELECT, INC."	Local CCP	Arkansas Superior Select Health Plans	HMO/HMOPOS		"Select Founders, LLC"	541	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1607	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	6/18/2026	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H1607	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	6/18/2026	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H1607	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	6/18/2026	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H1607	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	6/18/2026	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H1607	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	6/18/2026	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H1607	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	6/18/2026	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H1607	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	6/18/2026	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H1607	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	6/18/2026	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H1607	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	6/18/2026	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H1607	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	6/18/2026	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				PPO - BBA		C	Chicago
H1607	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	6/18/2026	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H1607	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	6/18/2026	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				PPO - BBA		C	Chicago
H1607	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	6/18/2026	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H1608	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H1608	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H1608	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H1608	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H1608	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H1608	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H1608	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H1608	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H1608	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H1608	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active	1-469-243-5213				PPO - BBA		C	Atlanta
H1608	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H1608	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active	1-800-238-6279				PPO - BBA		C	Atlanta
H1608	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H1609	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	AETNA HEALTH INC. (FL)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1609	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	AETNA HEALTH INC. (FL)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1609	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA HEALTH INC. (FL)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1609	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	AETNA HEALTH INC. (FL)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1609	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	AETNA HEALTH INC. (FL)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1609	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	AETNA HEALTH INC. (FL)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1609	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA HEALTH INC. (FL)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1609	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	AETNA HEALTH INC. (FL)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1609	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	AETNA HEALTH INC. (FL)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1609	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	AETNA HEALTH INC. (FL)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H1609	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA HEALTH INC. (FL)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1609	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	AETNA HEALTH INC. (FL)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H1609	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA HEALTH INC. (FL)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1610	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	"COVENTRY HEALTH CARE OF VIRGINIA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1610	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	"COVENTRY HEALTH CARE OF VIRGINIA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1610	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	"COVENTRY HEALTH CARE OF VIRGINIA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1610	CMS Casework Communication Contact	"Lead Director, Complaint and Appeals"	Ms.	Mougey	Melissa		1-740-819-1678					mougeym@aetna.com	109 Hunters Trl		Wheelersburg	OH	45694	4/14/2023	2026	"COVENTRY HEALTH CARE OF VIRGINIA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1610	Coordination of Benefits Contact	Director of Pharmacy		Stekol	Ilona		1-347-880-6082					StekolI@aetna.com	P.O. Box 30017		Pittsburg	PA	15222-0330	11/18/2025	2026	"COVENTRY HEALTH CARE OF VIRGINIA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1610	Customer Service Operations Contact	"Director, Service Operations"		Phillips	Tish		1-614-653-7335					PhillipsL1@aetna.com	7400 Campus Road		New Albany	OH	43054	11/18/2025	2026	"COVENTRY HEALTH CARE OF VIRGINIA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1610	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	"COVENTRY HEALTH CARE OF VIRGINIA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1610	Hospice Contact	"Lead Director, Service Operations"		Truitt	Michelle		1-717-671-6847					MLTruitt@aetna.com	151 Farmington Ave.		Hartford	CT	06156	10/24/2025	2026	"COVENTRY HEALTH CARE OF VIRGINIA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1610	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	"COVENTRY HEALTH CARE OF VIRGINIA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1610	Part D Exceptions Contact	"Director, Pharmacy"		Stekol	Ilona							StekolI@aetna.com	P.O. Box 30017		Pittsburgh	PA	15222-0330	11/18/2025	2026	"COVENTRY HEALTH CARE OF VIRGINIA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-347-880-6082				HMO - Health Maintenance Organization		C	Atlanta
H1610	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	"COVENTRY HEALTH CARE OF VIRGINIA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1610	Pharmacy Technical Help Desk Contact	"Director, Pharmacy"		Stekol	Ilona							StekolI@aetna.com	P.O. Box 30017		Pittsburgh	PA	15222-0330	11/18/2025	2026	"COVENTRY HEALTH CARE OF VIRGINIA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H1610	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	"COVENTRY HEALTH CARE OF VIRGINIA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1611	Automated TrOOP Balance Transfer Contact	"Vice President, Business Operations"		Malvo	Donovan		1-857-282-3015					dmalvo@mgb.org	399 Revolution Dr		Somerville	MA	02145	5/6/2026	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1611	Best Available Evidence Contact	"Director, Enrollment"		Merrill	Benjamin		1-857-282-2831					bmerrill2@mgb.org	399 Revolution Dr		Somerville	MA	02145	5/6/2026	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1611	Chief Financial Officer	Chief Financial Officer	Ms	Silva	Lucy		1-857-282-6595					lsilva16@mgb.org	399 Revolution Dr		Somerville	MA	02145	5/6/2026	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1611	CMS Casework Communication Contact	"Director, Appeals and Grievances"		Swasey	Andrea		1-800-433-5556	1005				aswasey@mgb.org	399 Revolution Dr		Somerville	MA	02145	5/6/2026	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1611	Coordination of Benefits Contact	"Manager, Recoveries"		Ryan	Cathy		1-857-282-9131					cryan17@mgb.org	399 Revolution Dr		Somerville	MA	02145	5/6/2026	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1611	Customer Service Operations Contact	"Director, Customer Services"		Armstrong	Carolyn		1-413-427-0087					carmstrong6@mgb.org	399 Revolution Dr		Somerville	MA	02145	5/6/2026	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1611	Government Relations Contact	"Director, Government Affairs"		Sullivan	John		1-857-282-3376					jsullivan77@mgb.org	399 Revolution Dr		Somerville	MA	02145	5/6/2026	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1611	Hospice Contact	"Director, Pharmacy"		Gallagher	Angela		1-857-282-2493					agallagher9@mgb.org	399 Revolution Dr		Somerville	MA	02145	5/6/2026	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1611	Medicare Compliance Officer	Medicare Compliance Officer	Ms	Trembley	Shannon		1-207-939-4468					strembley1@mgb.org	399 Revolution Dr		Somerville	MA	02145	5/6/2026	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1611	Part D Exceptions Contact	"Manager, Prior Authorization Appeals"		Le	Christina							christina.le@optum.com	PO Box 2975		Mission	KS	66201	5/6/2026	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active	1-714-825-3783				HMO - Health Maintenance Organization		C	Boston
H1611	Pharmacy Network Management Contact	"Manager, Retail Network Operations"		Perez	Felix		1-305-331-3044					felix.perez@optum.com	11000 Optum Circle		Eden Prarie	MN	55344	5/6/2026	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1611	Pharmacy Technical Help Desk Contact	"Director, Pharmacy"		Gallagher	Angela							agallagher9@mgb.org	399 Revolution Dr		Somerville	MA	02145	5/6/2026	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active	1-844-368-8732				HMO - Health Maintenance Organization		C	Boston
H1611	Plan to Plan Reconciliation Contact	Finance Director	Ms	Umashankar	Kamini		1-860-839-3151					kumashankar@mgb.org	399 Revolution Dr		Somerville	MA	02145	5/6/2026	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1619	Automated TrOOP Balance Transfer Contact	"Manager, Pharmacy Regulations & Implementations"		McCaffrey	Hammah		1-412-999-0675				1-215-967-4482	troop@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/3/2026	2026	PARTNERS INSURANCE COMPANY INC	Local CCP	Jefferson Health Plans	Local PPO		Thomas Jefferson University	523	Yes	Active					PPO - BBA		C	Chicago
H1619	Best Available Evidence Contact	"Manager, Enrollment Support"		Polkus	Megan		1-267-979-8799				1-215-967-9267	megan.polkus@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/1/2026	2026	PARTNERS INSURANCE COMPANY INC	Local CCP	Jefferson Health Plans	Local PPO		Thomas Jefferson University	523	Yes	Active					PPO - BBA		C	Chicago
H1619	Chief Financial Officer	Chief Financial Officer	Mr.	Czar	Gregory	J	1-215-287-3338					gregory.czar@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/10/2025	2026	PARTNERS INSURANCE COMPANY INC	Local CCP	Jefferson Health Plans	Local PPO		Thomas Jefferson University	523	Yes	Active					PPO - BBA		C	Chicago
H1619	CMS Casework Communication Contact	"Manager, Complaints, Grievances and Appeals"		Watkins	Leah		1-215-991-4023					leah.watkins@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/1/2026	2026	PARTNERS INSURANCE COMPANY INC	Local CCP	Jefferson Health Plans	Local PPO		Thomas Jefferson University	523	Yes	Active					PPO - BBA		C	Chicago
H1619	Coordination of Benefits Contact	Manager Pharmacy Benefit Design & Audit		Chan	Kay		1-215-991-4197				1-215-967-4482	suzanna.chan@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/4/2026	2026	PARTNERS INSURANCE COMPANY INC	Local CCP	Jefferson Health Plans	Local PPO		Thomas Jefferson University	523	Yes	Active					PPO - BBA		C	Chicago
H1619	Customer Service Operations Contact	Vice President of Customer Experience		Shultis	Jesse		1-203-613-7767					jesse.shultis@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/1/2026	2026	PARTNERS INSURANCE COMPANY INC	Local CCP	Jefferson Health Plans	Local PPO		Thomas Jefferson University	523	Yes	Active					PPO - BBA		C	Chicago
H1619	Government Relations Contact	AVP Policy and Regulatory Affairs		Bellito	Lisa		1-610-217-1468					lisa.bellito@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	5/29/2026	2026	PARTNERS INSURANCE COMPANY INC	Local CCP	Jefferson Health Plans	Local PPO		Thomas Jefferson University	523	Yes	Active					PPO - BBA		C	Chicago
H1619	Hospice Contact	"Mgr, Pharmacy Regulations & Implementations"		McCaffrey	Hannah		1-412-999-0675					pharmacymedicare@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/3/2026	2026	PARTNERS INSURANCE COMPANY INC	Local CCP	Jefferson Health Plans	Local PPO		Thomas Jefferson University	523	Yes	Active					PPO - BBA		C	Chicago
H1619	Medicare Compliance Officer	Associate Compliance Officer	Mrs.	Lloyd	Angela		1-267-972-0786					angela.lloyd@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	5/29/2026	2026	PARTNERS INSURANCE COMPANY INC	Local CCP	Jefferson Health Plans	Local PPO		Thomas Jefferson University	523	Yes	Active					PPO - BBA		C	Chicago
H1619	Part D Exceptions Contact	"Director, Pharmacy Services"		Dolores	Danielle						1-866-371-3239	Exceptions@hpplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	5/14/2025	2026	PARTNERS INSURANCE COMPANY INC	Local CCP	Jefferson Health Plans	Local PPO		Thomas Jefferson University	523	Yes	Active	1-215-991-4329				PPO - BBA		C	Chicago
H1619	Pharmacy Network Management Contact	"Director, Pharmacy Services"		Dolores	Danielle		1-856-577-5734				1-215-967-4482	Pharmacynetwork@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/3/2026	2026	PARTNERS INSURANCE COMPANY INC	Local CCP	Jefferson Health Plans	Local PPO		Thomas Jefferson University	523	Yes	Active					PPO - BBA		C	Chicago
H1619	Pharmacy Technical Help Desk Contact	"Director, Pharmacy Services"		Dolores	Danielle						1-215-967-9270	Formulary@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/3/2026	2026	PARTNERS INSURANCE COMPANY INC	Local CCP	Jefferson Health Plans	Local PPO		Thomas Jefferson University	523	Yes	Active	1-866-693-4620				PPO - BBA		C	Chicago
H1619	Plan to Plan Reconciliation Contact	Pharmacy Regulatory Business Coordinator		Rutledge-Glazov	Rose	A	1-215-965-7142				1-215-967-9263	P2P@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	5/14/2025	2026	PARTNERS INSURANCE COMPANY INC	Local CCP	Jefferson Health Plans	Local PPO		Thomas Jefferson University	523	Yes	Active					PPO - BBA		C	Chicago
H1622	Automated TrOOP Balance Transfer Contact	PACE Program Director		Bernet	Janet		1-415-391-9686	5934				janet.bernet@nems.org	728 Pacific Avenue	2nd Floor	San Francisco	CA	94133	2/3/2022	2026	NORTH EAST MEDICAL SERVICES	National PACE	North East Medical Services - Program of All-Inclusive Care for the Elderly (PACE)	National PACE		North East Medical Services	767	Yes	Active					PACE - Nat		C	San Francisco
H1622	Best Available Evidence Contact	PACE Program Director		Bernet	Janet		1-415-391-9686	5934				janet.bernet@nems.org	728 Pacific Avenue	2nd Floor	San Francisco	CA	94133	2/3/2022	2026	NORTH EAST MEDICAL SERVICES	National PACE	North East Medical Services - Program of All-Inclusive Care for the Elderly (PACE)	National PACE		North East Medical Services	767	Yes	Active					PACE - Nat		C	San Francisco
H1622	Chief Financial Officer	Chief Financial Officer	Mr.	Wong	Johnson		1-415-391-9686					Johnson.Wong@nems.org	2171 Junipero Serra	Suite 700	Daly City	CA	94014	12/21/2023	2026	NORTH EAST MEDICAL SERVICES	National PACE	North East Medical Services - Program of All-Inclusive Care for the Elderly (PACE)	National PACE		North East Medical Services	767	Yes	Active					PACE - Nat		C	San Francisco
H1622	CMS Casework Communication Contact	PACE Program Director		Bernet	Janet		1-415-391-9686	5934				janet.bernet@nems.org	728 Pacific Avenue	2nd Floor	San Francisco	CA	94133	2/3/2022	2026	NORTH EAST MEDICAL SERVICES	National PACE	North East Medical Services - Program of All-Inclusive Care for the Elderly (PACE)	National PACE		North East Medical Services	767	Yes	Active					PACE - Nat		C	San Francisco
H1622	Coordination of Benefits Contact	PACE Program Director		Bernet	Janet		1-415-391-9686	5934				janet.bernet@nems.org	728 Pacific Avenue	2nd Floor	San Francisco	CA	94133	2/3/2022	2026	NORTH EAST MEDICAL SERVICES	National PACE	North East Medical Services - Program of All-Inclusive Care for the Elderly (PACE)	National PACE		North East Medical Services	767	Yes	Active					PACE - Nat		C	San Francisco
H1622	Customer Service Operations Contact	PACE Program Director		Bernet	Janet		1-415-391-9686	5934				janet.bernet@nems.org	728 Pacific Avenue	2nd Floor	San Francisco	CA	94133	2/3/2022	2026	NORTH EAST MEDICAL SERVICES	National PACE	North East Medical Services - Program of All-Inclusive Care for the Elderly (PACE)	National PACE		North East Medical Services	767	Yes	Active					PACE - Nat		C	San Francisco
H1622	Government Relations Contact	Privacy and Compliance Officer		Lim	Rebecca		1-415-352-5105					Rebecca.Lim@nems.org	2171 Junipero Serra	Suite 300	Daly City	CA	94014	2/25/2021	2026	NORTH EAST MEDICAL SERVICES	National PACE	North East Medical Services - Program of All-Inclusive Care for the Elderly (PACE)	National PACE		North East Medical Services	767	Yes	Active					PACE - Nat		C	San Francisco
H1622	Medicare Compliance Officer	Privacy and Compliance Officer	Ms.	Lim	Rebecca		1-415-352-5105					Rebecca.Lim@nems.org	2171 Junipero Serra	Suite 700	Daly City	CA	94014	2/18/2021	2026	NORTH EAST MEDICAL SERVICES	National PACE	North East Medical Services - Program of All-Inclusive Care for the Elderly (PACE)	National PACE		North East Medical Services	767	Yes	Active					PACE - Nat		C	San Francisco
H1622	Part D Exceptions Contact	Pharmacist		Kwok	Calvin							calvin.kwok@nems.org	"1520 Stockton Street, #604"		San Francisco	CA	94133	2/24/2021	2026	NORTH EAST MEDICAL SERVICES	National PACE	North East Medical Services - Program of All-Inclusive Care for the Elderly (PACE)	National PACE		North East Medical Services	767	Yes	Active	1-415-352-5120				PACE - Nat		C	San Francisco
H1622	Pharmacy Network Management Contact	Director of Pharmacy		Chan	Beverley		1-415-352-5031					beverley.chan@nems.org	2171 Junipero Serra		Daly City	CA	94014	2/24/2021	2026	NORTH EAST MEDICAL SERVICES	National PACE	North East Medical Services - Program of All-Inclusive Care for the Elderly (PACE)	National PACE		North East Medical Services	767	Yes	Active					PACE - Nat		C	San Francisco
H1622	Pharmacy Technical Help Desk Contact	Director of Pharmacy		Chan	Beverley							Beverley.Chan@nems.org	728 Pacific Avenue		San Francisco	CA	94133	2/24/2021	2026	NORTH EAST MEDICAL SERVICES	National PACE	North East Medical Services - Program of All-Inclusive Care for the Elderly (PACE)	National PACE		North East Medical Services	767	Yes	Active	1-415-352-5031				PACE - Nat		C	San Francisco
H1622	Plan to Plan Reconciliation Contact	Accounting Manager		Yu	Lucy		1-415-391-9686	7772				lucy.yu@nems.org	2171 Junipero Serra Blvd	Suite 260	Daly City	CA	94014	2/22/2024	2026	NORTH EAST MEDICAL SERVICES	National PACE	North East Medical Services - Program of All-Inclusive Care for the Elderly (PACE)	National PACE		North East Medical Services	767	Yes	Active					PACE - Nat		C	San Francisco
H1644	Automated TrOOP Balance Transfer Contact	"Operations Manager, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083					Relay.Health@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF FLORIDA, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H1644	Best Available Evidence Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	12/22/2025	2026	"LONGEVITY HEALTH PLAN OF FLORIDA, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H1644	Chief Financial Officer		Mr.	Granow	Les		1-561-444-0709					les.granow@longevityhealthplan.com	Longevity Health Plan	11780 U.S. Highway 1 Suite N107	Palm Beach Gardens	FL	33408	12/22/2025	2026	"LONGEVITY HEALTH PLAN OF FLORIDA, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H1644	CMS Casework Communication Contact			Socoski	Beth		1-561-690-1134					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1 Suite N107		Palm Beach Gardens	FL	33408	12/22/2025	2026	"LONGEVITY HEALTH PLAN OF FLORIDA, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H1644	Coordination of Benefits Contact		Ms.	Crowl	Lacey		1-765-792-1412					Lacey.crowl@longevityhealthplan.com	11780 U.S. Highway 1 Suite N107		Palm Beach Gardens	FL	33408	12/22/2025	2026	"LONGEVITY HEALTH PLAN OF FLORIDA, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H1644	Customer Service Operations Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	12/22/2025	2026	"LONGEVITY HEALTH PLAN OF FLORIDA, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H1644	Government Relations Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	12/22/2025	2026	"LONGEVITY HEALTH PLAN OF FLORIDA, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H1644	Hospice Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	12/22/2025	2026	"LONGEVITY HEALTH PLAN OF FLORIDA, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H1644	Medicare Compliance Officer		Ms.	Socoski	Beth		1-412-260-1207					Beth.Socoski@longevityhealthplan.com	Longevity Health Plan	11780 U.S. Highway 1 Suite N107	Palm Beach Gardens	FL	33408	12/22/2025	2026	"LONGEVITY HEALTH PLAN OF FLORIDA, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H1644	Part D Exceptions Contact	"Assoc Director, Clinical Prior Authorization"	Mr.	LeClair	Christophe						1-888-235-8551	Christopher.LeClair@Navitus.com	1025 West Navitus Drive		Appleton	WI	54913	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF FLORIDA, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active	1-800-204-0016				HMO - Health Maintenance Organization		C	Seattle
H1644	Pharmacy Network Management Contact	"VP, Provider Services"	Mr.	Nagy	Don		1-608-820-4403					Don.Nagy@navitus.com	361 Integrity Drive		Madison	WI	53717	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF FLORIDA, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H1644	Pharmacy Technical Help Desk Contact	"Sr. Manager, Customer Care Accounts"	Ms.	Nett	Danielle						1-888-235-8551	Danielle.Nett@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF FLORIDA, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Seattle
H1644	Plan to Plan Reconciliation Contact		Ms.	Ajayi	Bisi		1-561-632-8915					bisi.ajayi@longevityhealthplan.com	11780 U.S. Highway 1 Suite N107		Palm Beach Gardens	FL	33408	12/22/2025	2026	"LONGEVITY HEALTH PLAN OF FLORIDA, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H1651	Chief Financial Officer	Director of Finance	Ms.	Robson	Lynee		1-563-584-4773					lrobson@mahealthcare.com	1500 Associates Drive		Dubuque	IA	52002	3/26/2024	2026	"MEDICAL ASSOCIATES HEALTH PLAN, INC."	1876 Cost	"Medical Associates Health Plan, Inc."	1876 Cost		"Medical Associates Clinic, P.C."	156	No	Active					Cost1		1	Atlanta
H1651	CMS Casework Communication Contact	Medicare Compliance Analyst		Digmann	Jodi	A	1-563-584-4836				1-563-556-5134	jdigmann@mahealthcare.com	"1605 Associates Drive, Suite 101"		Dubuque	IA	52002	3/26/2024	2026	"MEDICAL ASSOCIATES HEALTH PLAN, INC."	1876 Cost	"Medical Associates Health Plan, Inc."	1876 Cost		"Medical Associates Clinic, P.C."	156	No	Active					Cost1		1	Atlanta
H1651	Customer Service Operations Contact	Manager Member Services		Boge	Laura		1-569-556-8070	4857			1-569-556-5134	lboge@mahealthcare.com	"1605 Associates Drive, Suite 101"		Dubuque	IA	52002	3/11/2026	2026	"MEDICAL ASSOCIATES HEALTH PLAN, INC."	1876 Cost	"Medical Associates Health Plan, Inc."	1876 Cost		"Medical Associates Clinic, P.C."	156	No	Active					Cost1		1	Atlanta
H1651	Government Relations Contact	Medicare Compliance Analyst		Digmann	Jodi	A	1-563-584-4836				1-563-556-5134	jdigmann@mahealthcare.com	"1605 Associates Drive, Suite 101"		Dubuque	IA	52002	3/26/2024	2026	"MEDICAL ASSOCIATES HEALTH PLAN, INC."	1876 Cost	"Medical Associates Health Plan, Inc."	1876 Cost		"Medical Associates Clinic, P.C."	156	No	Active					Cost1		1	Atlanta
H1651	Medicare Compliance Officer	Manager of Regulatory Affairs and QI	Mr.	Walters	Richard		1-563-556-8070	4864			1-563-556-5134	rwalters@mahealthcare.com	"1605 Associates Drive, Suite 101"		Dubuque	IA	52002	10/8/2025	2026	"MEDICAL ASSOCIATES HEALTH PLAN, INC."	1876 Cost	"Medical Associates Health Plan, Inc."	1876 Cost		"Medical Associates Clinic, P.C."	156	No	Active					Cost1		1	Atlanta
H1659	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1659	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1659	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1659	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1659	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1659	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1659	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1659	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1659	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1659	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				PPO - BBA		C	Boston
H1659	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1659	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				PPO - BBA		C	Boston
H1659	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1664	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/5/2024	2026	"HOME STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1664	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	"HOME STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1664	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	7/5/2024	2026	"HOME STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1664	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"HOME STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1664	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"HOME STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1664	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	9/18/2024	2026	"HOME STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1664	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"HOME STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1664	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	7/5/2024	2026	"HOME STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1664	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/22/2025	2026	"HOME STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1664	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	7/5/2024	2026	"HOME STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H1664	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	"HOME STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1664	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	1/9/2025	2026	"HOME STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0202				HMO - Health Maintenance Organization		C	Denver
H1664	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	7/5/2024	2026	"HOME STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1666	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Management	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/14/2025	2026	HCSC INSURANCE SERVICES COMPANY	Local CCP	"Blue Cross and Blue Shield of NM, TX"	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Chicago
H1666	Best Available Evidence Contact	"Deputy General Manager, Digital Operations"	Mr.	Davis	Tom		1-570-344-9237	73545			1-000-000-0000	Thomas.Davis@cognizant.com	Cognizant	25 Lakeview Drive	Jessup	PA	18434	1/4/2022	2026	HCSC INSURANCE SERVICES COMPANY	Local CCP	"Blue Cross and Blue Shield of NM, TX"	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Chicago
H1666	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	300 East Randolph St		Chicago	IL	60601	1/15/2026	2026	HCSC INSURANCE SERVICES COMPANY	Local CCP	"Blue Cross and Blue Shield of NM, TX"	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Chicago
H1666	CMS Casework Communication Contact	Manager Medicare Operations & Oversight	Ms.	Morris	Tawanna		1-630-824-5090				1-000-000-0000	Tawanna_Morris@bcbsil.com	Health Care Service Corporation	300 E. Randolph Street	Chicago	IL	60601	8/6/2024	2026	HCSC INSURANCE SERVICES COMPANY	Local CCP	"Blue Cross and Blue Shield of NM, TX"	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Chicago
H1666	Coordination of Benefits Contact	Mgr Project & Program Management	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	COBMedD@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/14/2025	2026	HCSC INSURANCE SERVICES COMPANY	Local CCP	"Blue Cross and Blue Shield of NM, TX"	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Chicago
H1666	Customer Service Operations Contact	VP of Customer Service	Mr.	Akovenko	Josh		1-615-695-8916				1-000-000-0000	josh_akovenko@hcsc.com	Health Care Service Corporation	500 Great Circle Rd	Nashville	IL	60601	12/4/2025	2026	HCSC INSURANCE SERVICES COMPANY	Local CCP	"Blue Cross and Blue Shield of NM, TX"	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Chicago
H1666	Government Relations Contact	Executive Director - Health Policy	Ms.	DuGoff	Eva		1-202-249-7208				1-000-000-0000	eva_dugoff@hcsc.net	Health Care Service Corporation	1001 Pennsylvania NW	Washington	DC	20004	9/26/2025	2026	HCSC INSURANCE SERVICES COMPANY	Local CCP	"Blue Cross and Blue Shield of NM, TX"	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Chicago
H1666	Hospice Contact	Govt Prog Clinical Ops Dvisional Vice President	Ms.	Thomas-Spaulding	Felicia	S	1-505-816-2717				1-000-000-0000	Felicia_Spaulding@bcbsnm.com	Blue Cross Blue Shield of New Mexico	4411 The 25 Way NE	Albuquerque	NM	87109	2/27/2019	2026	HCSC INSURANCE SERVICES COMPANY	Local CCP	"Blue Cross and Blue Shield of NM, TX"	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Chicago
H1666	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	9/5/2025	2026	HCSC INSURANCE SERVICES COMPANY	Local CCP	"Blue Cross and Blue Shield of NM, TX"	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Chicago
H1666	Part D Exceptions Contact	Regulatory Pharmacist Sr	Mr.	Spears	Scott						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	9/22/2025	2026	HCSC INSURANCE SERVICES COMPANY	Local CCP	"Blue Cross and Blue Shield of NM, TX"	Local PPO		Health Care Service Corporation	110	Yes	Active	1-800-693-6651				PPO - BBA		C	Chicago
H1666	Pharmacy Network Management Contact	"VP, Network Management"	Ms.	Conlin	Marci		1-612-777-2837				1-877-823-6373	marci.conlin@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Road	Eagan	MN	55121	3/21/2023	2026	HCSC INSURANCE SERVICES COMPANY	Local CCP	"Blue Cross and Blue Shield of NM, TX"	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Chicago
H1666	Pharmacy Technical Help Desk Contact	"Sr. Director, Member Services"	Mr.	Scott	Shane						1-000-000-0000	shane.scott@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	12/18/2025	2026	HCSC INSURANCE SERVICES COMPANY	Local CCP	"Blue Cross and Blue Shield of NM, TX"	Local PPO		Health Care Service Corporation	110	Yes	Active	1-877-277-7898				PPO - BBA		C	Chicago
H1666	Plan to Plan Reconciliation Contact	Accountant	Ms.	Bowen	Niaya		1-972-766-1324				1-972-766-4360	niaya_bowen@bcbstx.com	Health Care Service Corporation	"1001 East Lookout Drive,"	Richardson	TX	75082	9/29/2025	2026	HCSC INSURANCE SERVICES COMPANY	Local CCP	"Blue Cross and Blue Shield of NM, TX"	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Chicago
H1671	Automated TrOOP Balance Transfer Contact	Chief Operating Officer		Hutchins	Julia		1-760-332-6447	154				jhutchins@chpiv.org	512 W Aten Rd		Imperial	CA	92251	4/18/2025	2026	IMPERIAL COUNTY LOCAL HEALTH AUTHORITY	Local CCP	Community Health Plan of Imperial Valley	HMO/HMOPOS		IMPERIAL COUNTY LOCAL HEALTH AUTHORITY	866	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1671	Best Available Evidence Contact	Chief Financial Officer		Wilson	David		1-760-332-6447	153				dwilson@chpiv.org	512 W Aten Rd		Imperial	CA	92251	4/17/2025	2026	IMPERIAL COUNTY LOCAL HEALTH AUTHORITY	Local CCP	Community Health Plan of Imperial Valley	HMO/HMOPOS		IMPERIAL COUNTY LOCAL HEALTH AUTHORITY	866	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1671	Chief Financial Officer	Chief Financial Officer	Mr.	Wilson	David		1-760-332-6447	153				dwilson@chpiv.org	512 W Aten Rd		Imperial	CA	92251	4/17/2025	2026	IMPERIAL COUNTY LOCAL HEALTH AUTHORITY	Local CCP	Community Health Plan of Imperial Valley	HMO/HMOPOS		IMPERIAL COUNTY LOCAL HEALTH AUTHORITY	866	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1671	CMS Casework Communication Contact	Interim Chief Compliance Officer		Mesa	Cynthia		1-760-332-6447	156				cmesa@chpiv.org	512 W Aten Rd		Imperial	CA	92251	6/24/2026	2026	IMPERIAL COUNTY LOCAL HEALTH AUTHORITY	Local CCP	Community Health Plan of Imperial Valley	HMO/HMOPOS		IMPERIAL COUNTY LOCAL HEALTH AUTHORITY	866	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1671	Coordination of Benefits Contact	Chief Operating Officer		Hutchins	Julia		1-760-332-6447	154				jhutchins@chpiv.org	512 W Aten Rd		Imperial	CA	92251	4/17/2025	2026	IMPERIAL COUNTY LOCAL HEALTH AUTHORITY	Local CCP	Community Health Plan of Imperial Valley	HMO/HMOPOS		IMPERIAL COUNTY LOCAL HEALTH AUTHORITY	866	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1671	Customer Service Operations Contact	Chief Operating Officer		Hutchins	Julia		1-760-332-6447	154				jhutchins@chpiv.org	512 W Aten Rd		Imperial	CA	92251	4/17/2025	2026	IMPERIAL COUNTY LOCAL HEALTH AUTHORITY	Local CCP	Community Health Plan of Imperial Valley	HMO/HMOPOS		IMPERIAL COUNTY LOCAL HEALTH AUTHORITY	866	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1671	Government Relations Contact	Interim Chief Compliance Officer		Mesa	Cynthia		1-760-332-6447	156				cmesa@chpiv.org	512 W Aten Rd		Imperial	CA	92251	6/24/2026	2026	IMPERIAL COUNTY LOCAL HEALTH AUTHORITY	Local CCP	Community Health Plan of Imperial Valley	HMO/HMOPOS		IMPERIAL COUNTY LOCAL HEALTH AUTHORITY	866	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1671	Hospice Contact	Interim Chief Compliance Officer		Mesa	Cynthia		1-760-332-6447	156				cmesa@chpiv.org	512 W Aten Rd		Imperial	CA	92251	6/24/2026	2026	IMPERIAL COUNTY LOCAL HEALTH AUTHORITY	Local CCP	Community Health Plan of Imperial Valley	HMO/HMOPOS		IMPERIAL COUNTY LOCAL HEALTH AUTHORITY	866	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1671	Medicare Compliance Officer	Interim Chief Compliance Officer	Ms.	Mesa	Cynthia		1-760-332-6447	156				cmesa@chpiv.org	512 W Aten Rd		Imperial	CA	92251	6/24/2026	2026	IMPERIAL COUNTY LOCAL HEALTH AUTHORITY	Local CCP	Community Health Plan of Imperial Valley	HMO/HMOPOS		IMPERIAL COUNTY LOCAL HEALTH AUTHORITY	866	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1671	Part D Exceptions Contact	Chief Medical Officer		Arakawa	Gordon							garakawa@chpiv.org	512 W Aten Rd		Imperial	CA	92251	4/18/2025	2026	IMPERIAL COUNTY LOCAL HEALTH AUTHORITY	Local CCP	Community Health Plan of Imperial Valley	HMO/HMOPOS		IMPERIAL COUNTY LOCAL HEALTH AUTHORITY	866	Yes	Active	1-888-484-1412				HMO - Health Maintenance Organization		C	Dallas
H1671	Pharmacy Network Management Contact	Chief Operating Officer		Hutchins	Julia		1-760-332-6447	154				jhutchins@chpiv.org	512 W Aten Rd		Imperial	CA	92251	4/17/2025	2026	IMPERIAL COUNTY LOCAL HEALTH AUTHORITY	Local CCP	Community Health Plan of Imperial Valley	HMO/HMOPOS		IMPERIAL COUNTY LOCAL HEALTH AUTHORITY	866	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1671	Pharmacy Technical Help Desk Contact	Chief Operating Officer		Hutchins	Julia							jhutchins@chpiv.org	512 W Aten Rd		Imperial	CA	92251	4/18/2025	2026	IMPERIAL COUNTY LOCAL HEALTH AUTHORITY	Local CCP	Community Health Plan of Imperial Valley	HMO/HMOPOS		IMPERIAL COUNTY LOCAL HEALTH AUTHORITY	866	Yes	Active	1-888-484-1412				HMO - Health Maintenance Organization		C	Dallas
H1671	Plan to Plan Reconciliation Contact	Chief Operating Officer		Hutchins	Julia		1-760-332-6447	154				jhutchins@chpiv.org	512 W Aten Rd		Imperial	CA	92251	4/18/2025	2026	IMPERIAL COUNTY LOCAL HEALTH AUTHORITY	Local CCP	Community Health Plan of Imperial Valley	HMO/HMOPOS		IMPERIAL COUNTY LOCAL HEALTH AUTHORITY	866	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1685	Automated TrOOP Balance Transfer Contact	CFO	Mr	Santi	Daniel		1-530-246-5779					dsanti@shastahealth.org	1035 Placer Street		Redding	CA	96002	12/16/2024	2026	SHASTA COMMUNITY HEALTH CENTER	National PACE	Shasta Community Health Center	National PACE		Shasta Community Health Center	863	Yes	Pending					PACE - Nat		C	San Francisco
H1685	Best Available Evidence Contact	Chief Strategy and Communications Officer	Mrs	Blanco	Theresa		1-530-246-5710					tblanco@shastahealth.org	1035 Placer Street		Redding	CA	96001	12/16/2024	2026	SHASTA COMMUNITY HEALTH CENTER	National PACE	Shasta Community Health Center	National PACE		Shasta Community Health Center	863	Yes	Pending					PACE - Nat		C	San Francisco
H1685	Chief Financial Officer	CFO	Mr	Santi	Daniel		1-530-246-5779					dsanti@shastahealth.org	2781 Churn Creek Road		Redding	CA	96002	12/16/2024	2026	SHASTA COMMUNITY HEALTH CENTER	National PACE	Shasta Community Health Center	National PACE		Shasta Community Health Center	863	Yes	Pending					PACE - Nat		C	San Francisco
H1685	CMS Casework Communication Contact	Chief Strategy and Communications Officer	Mrs	Blanco	Theresa		1-530-246-5710					tblanco@shastahealth.org	1035 Placer Street		Redding	CA	96001	12/16/2024	2026	SHASTA COMMUNITY HEALTH CENTER	National PACE	Shasta Community Health Center	National PACE		Shasta Community Health Center	863	Yes	Pending					PACE - Nat		C	San Francisco
H1685	Coordination of Benefits Contact	Chief Strategy and Communications Officer	Mrs	Blanco	Theresa		1-530-246-5710					tblanco@shastahealth.org	1035 Placer Street		Redding	CA	96001	12/16/2024	2026	SHASTA COMMUNITY HEALTH CENTER	National PACE	Shasta Community Health Center	National PACE		Shasta Community Health Center	863	Yes	Pending					PACE - Nat		C	San Francisco
H1685	Customer Service Operations Contact	Chief Strategy and Communications Officer	Mrs	Blanco	Theresa		1-530-246-5710					tblanco@shastahealth.org	1035 Placer Street		Redding	CA	96001	12/16/2024	2026	SHASTA COMMUNITY HEALTH CENTER	National PACE	Shasta Community Health Center	National PACE		Shasta Community Health Center	863	Yes	Pending					PACE - Nat		C	San Francisco
H1685	Government Relations Contact	Chief Strategy and Communications Officer	Mrs	Blanco	Theresa		1-530-246-5710					tblanco@shastahealth.org	1035 Placer Street		Redding	CA	96001	12/16/2024	2026	SHASTA COMMUNITY HEALTH CENTER	National PACE	Shasta Community Health Center	National PACE		Shasta Community Health Center	863	Yes	Pending					PACE - Nat		C	San Francisco
H1685	Medicare Compliance Officer	Chief Strategy and Communications Officer	Mrs	Blanco	Theresa		1-530-246-5710					tblanco@shastahealth.org	1035 Placer Street		Redding	CA	96001	12/16/2024	2026	SHASTA COMMUNITY HEALTH CENTER	National PACE	Shasta Community Health Center	National PACE		Shasta Community Health Center	863	Yes	Pending					PACE - Nat		C	San Francisco
H1685	Part D Exceptions Contact	Chief Strategy and Communications Officer	Mrs	Blanco	Theresa							tblanco@shastahealth.org	1035 Placer Street		Redding	CA	96001	12/16/2024	2026	SHASTA COMMUNITY HEALTH CENTER	National PACE	Shasta Community Health Center	National PACE		Shasta Community Health Center	863	Yes	Pending	1-530-246-5710				PACE - Nat		C	San Francisco
H1685	Pharmacy Network Management Contact	Chief Strategy and Communications Officer	Mrs	Blanco	Theresa		1-530-246-5710					tblanco@shastahealth.org	1035 Placer Street		Redding	CA	96001	12/16/2024	2026	SHASTA COMMUNITY HEALTH CENTER	National PACE	Shasta Community Health Center	National PACE		Shasta Community Health Center	863	Yes	Pending					PACE - Nat		C	San Francisco
H1685	Pharmacy Technical Help Desk Contact	Chief Strategy and Communications Officer	Mrs	Blanco	Theresa							tblanco@shastahealth.org	1035 Placer Street		Redding	CA	96001	12/16/2024	2026	SHASTA COMMUNITY HEALTH CENTER	National PACE	Shasta Community Health Center	National PACE		Shasta Community Health Center	863	Yes	Pending	1-530-246-5710				PACE - Nat		C	San Francisco
H1685	Plan to Plan Reconciliation Contact	CFO	Mr	Santi	Daniel		1-530-246-5779					dsanti@shastahealth.org	2781 Churn Creek Road		Redding	CA	96002	12/16/2024	2026	SHASTA COMMUNITY HEALTH CENTER	National PACE	Shasta Community Health Center	National PACE		Shasta Community Health Center	863	Yes	Pending					PACE - Nat		C	San Francisco
H1692	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	"COVENTRY HEALTH CARE OF WEST VIRGINIA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1692	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	"COVENTRY HEALTH CARE OF WEST VIRGINIA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1692	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	"COVENTRY HEALTH CARE OF WEST VIRGINIA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1692	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	"COVENTRY HEALTH CARE OF WEST VIRGINIA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1692	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	"COVENTRY HEALTH CARE OF WEST VIRGINIA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1692	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	"COVENTRY HEALTH CARE OF WEST VIRGINIA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1692	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	"COVENTRY HEALTH CARE OF WEST VIRGINIA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1692	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	"COVENTRY HEALTH CARE OF WEST VIRGINIA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1692	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	"COVENTRY HEALTH CARE OF WEST VIRGINIA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1692	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	"COVENTRY HEALTH CARE OF WEST VIRGINIA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H1692	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	"COVENTRY HEALTH CARE OF WEST VIRGINIA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1692	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	"COVENTRY HEALTH CARE OF WEST VIRGINIA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H1692	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	"COVENTRY HEALTH CARE OF WEST VIRGINIA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H1693	Automated TrOOP Balance Transfer Contact	"Manager, Finance - PACE"		Macaranas	Drew		1-619-876-4416					andrewma@fhcsd.org	823 Gateway Center Way		San Diego	CA	92102	2/11/2025	2026	"FAMILY HEALTH CENTERS OF SAN DIEGO, INC"	National PACE	Family Health-Center for Older Adults	National PACE		Family Health Centers of San Diego	717	Yes	Active					PACE - Nat		C	San Francisco
H1693	Best Available Evidence Contact	Business Development Director and Center Manager		Yousif	Omar		1-619-952-4089					omary@fhcsd.org	823 Gateway Center Way		San Diego	CA	92102	4/18/2025	2026	"FAMILY HEALTH CENTERS OF SAN DIEGO, INC"	National PACE	Family Health-Center for Older Adults	National PACE		Family Health Centers of San Diego	717	Yes	Active					PACE - Nat		C	San Francisco
H1693	Chief Financial Officer	Chief Financial Officer	Mr.	Roman	Ricardo		1-619-906-4603					ricardor@fhcsd.org	823 Gateway Ctr Way		San Diego	CA	92102	2/6/2018	2026	"FAMILY HEALTH CENTERS OF SAN DIEGO, INC"	National PACE	Family Health-Center for Older Adults	National PACE		Family Health Centers of San Diego	717	Yes	Active					PACE - Nat		C	San Francisco
H1693	CMS Casework Communication Contact	VP PACE & Older Adult Services		Adamian	Janet		1-619-515-2579					janeta@fhcsd.org	823 Gateway Center Way		San Diego	CA	92102	2/11/2025	2026	"FAMILY HEALTH CENTERS OF SAN DIEGO, INC"	National PACE	Family Health-Center for Older Adults	National PACE		Family Health Centers of San Diego	717	Yes	Active					PACE - Nat		C	San Francisco
H1693	Coordination of Benefits Contact	Business Development Director and Center Manager		Yousif	Omar		1-619-952-4089					omary@fhcsd.org	823 Gateway Center Way		San Diego	CA	92102	4/18/2025	2026	"FAMILY HEALTH CENTERS OF SAN DIEGO, INC"	National PACE	Family Health-Center for Older Adults	National PACE		Family Health Centers of San Diego	717	Yes	Active					PACE - Nat		C	San Francisco
H1693	Customer Service Operations Contact	VP PACE & Older Adult Services		Adamian	Janet		1-619-515-2579					janeta@fhcsd.org	823 Gateway Center Way		San Diego	CA	92102	2/11/2025	2026	"FAMILY HEALTH CENTERS OF SAN DIEGO, INC"	National PACE	Family Health-Center for Older Adults	National PACE		Family Health Centers of San Diego	717	Yes	Active					PACE - Nat		C	San Francisco
H1693	Government Relations Contact	VP PACE & Older Adult Services		Adamian	Janet		1-619-515-2579					janeta@fhcsd.org	823 Gateway Center Way		San Diego	CA	92102	2/11/2025	2026	"FAMILY HEALTH CENTERS OF SAN DIEGO, INC"	National PACE	Family Health-Center for Older Adults	National PACE		Family Health Centers of San Diego	717	Yes	Active					PACE - Nat		C	San Francisco
H1693	Medicare Compliance Officer	"Compliance Manager, PACE"	Ms.	Del Castillo	Larisa		1-760-826-7223					larisad@fhcsd.org	823 Gateway Ctr Way		San Diego	CA	92102	2/11/2025	2026	"FAMILY HEALTH CENTERS OF SAN DIEGO, INC"	National PACE	Family Health-Center for Older Adults	National PACE		Family Health Centers of San Diego	717	Yes	Active					PACE - Nat		C	San Francisco
H1693	Part D Exceptions Contact	"Manager, Finance - PACE"		Macaranas	Drew							andrewma@fhcsd.org	823 GATEWAY CENTER WAY		SAN DIEGO	CA	92102	2/11/2025	2026	"FAMILY HEALTH CENTERS OF SAN DIEGO, INC"	National PACE	Family Health-Center for Older Adults	National PACE		Family Health Centers of San Diego	717	Yes	Active	1-619-876-4416				PACE - Nat		C	San Francisco
H1693	Pharmacy Network Management Contact	Chief Financial Officer		Roman	Ricardo		1-619-906-4603					ricardor@fhcsd.org	823 Gateway Ctr Way		San Diego	CA	92102	2/11/2025	2026	"FAMILY HEALTH CENTERS OF SAN DIEGO, INC"	National PACE	Family Health-Center for Older Adults	National PACE		Family Health Centers of San Diego	717	Yes	Active					PACE - Nat		C	San Francisco
H1693	Pharmacy Technical Help Desk Contact	"Director, Pharmacy Services"		Allahwerdy	Fady							fadya@fhcsd.org	823 Gateway Center Way		San Diego	CA	92102	2/11/2025	2026	"FAMILY HEALTH CENTERS OF SAN DIEGO, INC"	National PACE	Family Health-Center for Older Adults	National PACE		Family Health Centers of San Diego	717	Yes	Active	1-619-315-6814				PACE - Nat		C	San Francisco
H1693	Plan to Plan Reconciliation Contact	"Manager, Finance - PACE"		Macaranas	Drew		1-619-876-4416					andrewma@fhcsd.org	823 Gateway Center Way		San Diego	CA	92102	2/11/2025	2026	"FAMILY HEALTH CENTERS OF SAN DIEGO, INC"	National PACE	Family Health-Center for Older Adults	National PACE		Family Health Centers of San Diego	717	Yes	Active					PACE - Nat		C	San Francisco
H1714	Automated TrOOP Balance Transfer Contact	Finance Director	Mr.	Webster	Ty		1-314-270-2497					ty.webster@ascension.org	4600 Edmundson Road		St. Louis	MO	63134	1/5/2026	2026	"VIA CHRISTI HEALTHCARE OUTREACH FOR ELDERS, INC."	National PACE	Ascension Living HOPE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H1714	Best Available Evidence Contact	Medical Director	Dr.	Mahdi	Khalida		1-316-858-1111	45128				khalida.mahdi@ascension.org	775 N. Edwards		Wichita	KS	67203	2/13/2025	2026	"VIA CHRISTI HEALTHCARE OUTREACH FOR ELDERS, INC."	National PACE	Ascension Living HOPE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H1714	Chief Financial Officer	Finance Director	Mr.	Webster	Ty		1-314-270-2497					ty.webster@ascension.org	4600 Edmundson Road		St. Louis	MO	63134	1/5/2026	2026	"VIA CHRISTI HEALTHCARE OUTREACH FOR ELDERS, INC."	National PACE	Ascension Living HOPE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H1714	CMS Casework Communication Contact	Director of Quality Improvement	Ms.	Eagles	Amber		1-316-946-5136				1-316-946-5105	amber.eagles@ascension.org	775 N. Edwards		Wichita	KS	67203	2/13/2025	2026	"VIA CHRISTI HEALTHCARE OUTREACH FOR ELDERS, INC."	National PACE	Ascension Living HOPE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H1714	Coordination of Benefits Contact	Accounting	Ms.	Sanders	Rebecca		1-316-946-5270					rebecca.sanders2@ascension.org	775 N. Edwards		Wichita	KS	67203	2/13/2025	2026	"VIA CHRISTI HEALTHCARE OUTREACH FOR ELDERS, INC."	National PACE	Ascension Living HOPE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H1714	Customer Service Operations Contact	Executive Director	Ms	Hodge	Alison		1-316-946-5264				1-316-946-5106	alison.hodge@ascension.org	775 N. Edwards		Wichita	KS	67203	2/13/2025	2026	"VIA CHRISTI HEALTHCARE OUTREACH FOR ELDERS, INC."	National PACE	Ascension Living HOPE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H1714	Government Relations Contact	Executive Director	Ms	Hodge	Alison		1-316-946-5264				1-316-946-5106	alison.hodge@ascension.org	775 N. Edwards		Wichita	KS	67203	2/13/2025	2026	"VIA CHRISTI HEALTHCARE OUTREACH FOR ELDERS, INC."	National PACE	Ascension Living HOPE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H1714	Medicare Compliance Officer	Director of Quality Improvement	Ms.	Eagles	Amber		1-316-207-2238					amber.eagles@ascension.org	775 N. Edwards		Wichita	KS	67203	2/13/2025	2026	"VIA CHRISTI HEALTHCARE OUTREACH FOR ELDERS, INC."	National PACE	Ascension Living HOPE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H1714	Part D Exceptions Contact	Finance Director	Mr.	Webster	Ty						1-423-622-6048	ty.webster@ascension.org	250 East 10th Street		Chattanooga	TN	37402	1/5/2026	2026	"VIA CHRISTI HEALTHCARE OUTREACH FOR ELDERS, INC."	National PACE	Ascension Living HOPE	National PACE		Ascension Health Alliance	708	Yes	Active	1-800-441-8883				PACE - Nat		C	Atlanta
H1714	Pharmacy Network Management Contact	Executive Director	Ms	Hodge	Alison		1-316-946-5264				1-316-946-5106	alison.hodge@ascension.org	775 N. Edwards		Wichita	KS	67203	2/13/2025	2026	"VIA CHRISTI HEALTHCARE OUTREACH FOR ELDERS, INC."	National PACE	Ascension Living HOPE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H1714	Pharmacy Technical Help Desk Contact	Executive Director	Ms	Hodge	Alison						1-316-946-5106	alison.hodge@ascension.org	775 N. Edwards		Wichita	KS	67203	2/13/2025	2026	"VIA CHRISTI HEALTHCARE OUTREACH FOR ELDERS, INC."	National PACE	Ascension Living HOPE	National PACE		Ascension Health Alliance	708	Yes	Active	1-316-946-5264				PACE - Nat		C	Atlanta
H1714	Plan to Plan Reconciliation Contact	Finance Director	Mr.	Webster	Ty		1-314-270-2497					ty.webster@ascension.org	4600 Edmundson		St. Louis	MO	63134	1/5/2026	2026	"VIA CHRISTI HEALTHCARE OUTREACH FOR ELDERS, INC."	National PACE	Ascension Living HOPE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H1722	Automated TrOOP Balance Transfer Contact	"Sr. Manager, Enrollment & Billing"	Mr.	Howell	Justin		1-646-767-5753					jhowell@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1722	Best Available Evidence Contact	"Sr. Manager, Enrollment & Billing"	Mr.	Howell	Justin		1-646-767-5753					jhowell@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1722	Chief Financial Officer	Chief Financial Officer	Ms.	Kang	Judy		1-718-484-5489					jkang@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1722	CMS Casework Communication Contact	"Director, Appeal & Grievance Operations"	Mr.	Craig	Jeffrey		1-646-767-5642					jcraig@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1722	Coordination of Benefits Contact	"Director, Payment Integrity Team"	Ms.	Hutchinson	Chris		1-917-698-2415					chutchinson@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1722	Customer Service Operations Contact	"AVP,  Member Services"	Mr.	Antony	Joemon		1-212-801-1519					jantony@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1722	Government Relations Contact	"VP, Regulatory Affairs"	Ms.	Logreira	Christine		1-646-313-8967					clogreira@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1722	Hospice Contact	"Manager, Clinical Pharmacy Benefits"	Ms.	Baja	Melodie		1-646-856-5983					mbaja@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1722	Medicare Compliance Officer	Chief Compliance Officer & Head of Internal Audit	Mr.	Hackendorn	John		1-212-453-4495					jhackendorn@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1722	Part D Exceptions Contact	"Manager, Clinical Pharmacy Benefits"	Ms.	Baja	Melodie							mbaja@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active	1-888-260-1010				HMO - Health Maintenance Organization		C	Chicago
H1722	Pharmacy Network Management Contact	"AVP, Pharmacy Benefits Operations"	Mr.	Suri	Tarun		1-646-354-1168					tsuri@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1722	Pharmacy Technical Help Desk Contact	AVP Customer Care	Mr.	Jackson	Scott							scott.jackson@cvshealth.com	CVS Health	"800 NW Chipman Rd, Ste 5830"	Lees Summit	MO	64063	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Chicago
H1722	Plan to Plan Reconciliation Contact	"Sr. Manager, Enrollment & Billing"	Mr.	Howell	Justin		1-646-767-5753					P2P@healthfirst.org	"100 Church Street, 18th Floor"	Attn:  Treasury Department	New York	NY	10007	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1742	Automated TrOOP Balance Transfer Contact	Finance Director	Mr	Webster	Ty		1-314-270-3497					ty.webster@ascension.org	4600 Edmundson Road		St. Louis	MO	63134	1/5/2026	2026	"ASCENSION LIVING ST. VINCENT PACE, INC."	National PACE	Ascension Living St. Vincent PACE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H1742	Best Available Evidence Contact	Medical Director	Dr.	Pitts	Gary		1-463-271-3726					gary.pitts1@ascension-external.org	5435 W Pike Plaza Rd		Indianapolis	IN	46254	10/1/2025	2026	"ASCENSION LIVING ST. VINCENT PACE, INC."	National PACE	Ascension Living St. Vincent PACE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H1742	Chief Financial Officer	Finance Director	Mr	Webster	Ty		1-314-270-3497					ty.webster@ascension.org	4600 Edmundson Road		St. Louis	MO	63134	1/5/2026	2026	"ASCENSION LIVING ST. VINCENT PACE, INC."	National PACE	Ascension Living St. Vincent PACE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H1742	CMS Casework Communication Contact	Director of Quality Management	Ms.	Sims-Hedges	Amy		1-463-271-3727					asimshed@ascension.org	5435 W Pike Plaza Rd		Indianapolis	IN	46254	3/11/2024	2026	"ASCENSION LIVING ST. VINCENT PACE, INC."	National PACE	Ascension Living St. Vincent PACE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H1742	Coordination of Benefits Contact	Accounting	Ms.	Kennedy	Susan		1-316-946-5270				1-316-946-5105	Susan.Kennedy@ascension.org	755 N. Edwards		Wichita	KS	67203	6/13/2023	2026	"ASCENSION LIVING ST. VINCENT PACE, INC."	National PACE	Ascension Living St. Vincent PACE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H1742	Customer Service Operations Contact	Executive Director	Ms.	Gresham	Susan		1-463-271-3725					susan.gresham@ascension.org	5435 W Pike Plaza Rd		Indianapolis	IN	46254	3/11/2024	2026	"ASCENSION LIVING ST. VINCENT PACE, INC."	National PACE	Ascension Living St. Vincent PACE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H1742	Government Relations Contact	Executive Director	Ms	Gresham	Susan		1-463-271-3725					susan.gresham@ascension.org	5435 W Pike Plaza Rd		Indianapolis	IN	46254	3/11/2024	2026	"ASCENSION LIVING ST. VINCENT PACE, INC."	National PACE	Ascension Living St. Vincent PACE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H1742	Medicare Compliance Officer	Director of Quality Management	Ms	Sims-Hedges	Amy		1-463-271-3727					asimshed@ascension.org	5435 W Pike Plaza Rd		Indianapolis	IN	46254	3/11/2024	2026	"ASCENSION LIVING ST. VINCENT PACE, INC."	National PACE	Ascension Living St. Vincent PACE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H1742	Part D Exceptions Contact	Director of Quality Management	Ms	Sims-Hedges	Amy							asimshed@ascension.org	5435 W Pike Plaza Rd		Indianapolis	IN	46254	3/11/2024	2026	"ASCENSION LIVING ST. VINCENT PACE, INC."	National PACE	Ascension Living St. Vincent PACE	National PACE		Ascension Health Alliance	708	Yes	Active	1-463-271-3727				PACE - Nat		C	Atlanta
H1742	Pharmacy Network Management Contact	Interim Site Director	Ms	Gresham	Susan		1-463-271-3725					susan.gresham@ascension.org	5435 W Pike Plaza Rd		Indianapolis	IN	46254	12/13/2023	2026	"ASCENSION LIVING ST. VINCENT PACE, INC."	National PACE	Ascension Living St. Vincent PACE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H1742	Pharmacy Technical Help Desk Contact	Executive Director	Ms	Gresham	Susan							susan.gresham@ascension.org	5435 W Pike Plaza Rd		Indianapolis	IN	46254	12/15/2025	2026	"ASCENSION LIVING ST. VINCENT PACE, INC."	National PACE	Ascension Living St. Vincent PACE	National PACE		Ascension Health Alliance	708	Yes	Active	1-833-949-3777				PACE - Nat		C	Atlanta
H1742	Plan to Plan Reconciliation Contact	Finance Director		Webster	Ty		1-314-270-2497					ty.webster@ascension.org	4600 Edmundson		St. Louis	MO	63134	1/5/2026	2026	"ASCENSION LIVING ST. VINCENT PACE, INC."	National PACE	Ascension Living St. Vincent PACE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H1780	Automated TrOOP Balance Transfer Contact			North	Tom		1-714-878-4552					tom.north@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/24/2025	2026	"WELBE HEALTH NYC PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H1780	Best Available Evidence Contact			Cumpian	Terry		1-209-840-8404					terry.cumpian@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	12/18/2024	2026	"WELBE HEALTH NYC PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H1780	Chief Financial Officer		Mr.	Zybak	Don		1-773-243-6444					don.zybak@welbehealth.com	440 N BARRANCA AVE #4053		COVINA	CA	91723	6/30/2026	2026	"WELBE HEALTH NYC PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H1780	CMS Casework Communication Contact			Costigan	Bobbie		1-219-210-6392					Bobbie.Costigan@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	7/30/2025	2026	"WELBE HEALTH NYC PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H1780	Coordination of Benefits Contact			Holmes	Nicole		1-269-910-1107					nicole.holmes@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/24/2025	2026	"WELBE HEALTH NYC PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H1780	Customer Service Operations Contact			Tung	Yin		1-646-221-8525					yin.tung@welbehealth.com	"5521 8th Ave, 2nd Floor"		Brooklyn	NY	11220	6/29/2023	2026	"WELBE HEALTH NYC PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H1780	Government Relations Contact			Lee	Elizabeth		1-650-514-1390					elizabeth.lee@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	5/10/2023	2026	"WELBE HEALTH NYC PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H1780	Medicare Compliance Officer		Ms.	Lee	Elizabeth		1-650-514-1390					elizabeth.lee@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	5/10/2023	2026	"WELBE HEALTH NYC PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H1780	Part D Exceptions Contact			Lincoln-Giang	Pam							pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	8/12/2025	2026	"WELBE HEALTH NYC PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Pending	1-650-294-8027				PACE - Nat		C	San Francisco
H1780	Pharmacy Network Management Contact			Lincoln-Giang	Pam		1-650-294-8027					pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	8/12/2025	2026	"WELBE HEALTH NYC PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H1780	Pharmacy Technical Help Desk Contact			Lincoln-Giang	Pam							pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	8/12/2025	2026	"WELBE HEALTH NYC PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Pending	1-650-294-8027				PACE - Nat		C	San Francisco
H1780	Plan to Plan Reconciliation Contact			Porras	Ashleigh		1-650-442-2660					p2p@welbehealth.com	440 N BARRANCA AVE #4053		COVINA	CA	91723	6/30/2026	2026	"WELBE HEALTH NYC PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H1787	Automated TrOOP Balance Transfer Contact	Director of Pharmacy	Ms.	Schilling	Gretchen		1-605-312-2741					Gretchen.Schilling@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	SANFORD HEALTH PLAN	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1787	Best Available Evidence Contact	Senior Director of Regulation and Risk	Ms.	Jansick	Aleesa		1-605-328-7182					Aleesa.Jansick@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	SANFORD HEALTH PLAN	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1787	Chief Financial Officer	Chief Financial Officer	Mr.	Custis	Stephen		1-612-964-9158					Stephen.Custis@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	11/4/2025	2026	SANFORD HEALTH PLAN	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1787	CMS Casework Communication Contact	Manager of Appeals and Grievances	Ms.	Bjorklund	Angela		1-605-312-2634					Angela.Bjorklund@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	SANFORD HEALTH PLAN	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1787	Coordination of Benefits Contact	Director of Customer Service	Mr.	Ling	Ryan		1-605-312-7459					Ryan.Ling@sanfordhealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	SANFORD HEALTH PLAN	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1787	Customer Service Operations Contact	Director of Customer Service	Mr.	Ling	Ryan		1-605-312-7459					Ryan.Ling@sanfordhealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	SANFORD HEALTH PLAN	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1787	Government Relations Contact	Head of Government Affairs	Mr.	Wheeler	Dylan		1-605-328-7186					Dylan.Wheeler@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	SANFORD HEALTH PLAN	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1787	Hospice Contact	Director of Care and Utilization Management	Ms.	Vandonslear	Barbara		1-605-328-6853					Barbara.Vandonslear@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	SANFORD HEALTH PLAN	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1787	Medicare Compliance Officer	Compliance Officer	Mr.	Yeoman	Dallan		1-605-328-6806					Dallan.Yeoman@sanfordhealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	SANFORD HEALTH PLAN	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1787	Part D Exceptions Contact	"Manager, Prior Authorization"	Ms.	Le	Christina						1-877-239-4565	rxsol_prior_auth_redirected_queue_DL@uhc.com	PO Box 2975		Mission	KS	66201	8/28/2024	2026	SANFORD HEALTH PLAN	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active	1-888-403-3398				HMO - Health Maintenance Organization		C	Dallas
H1787	Pharmacy Network Management Contact	"Manager, Retail Network Operations"	Mr.	Perez	Felix		1-763-283-3503					Felix.Perez@optum.com	"1600 McConnor Parkway , IL 601736801"		Schaumburg	IL	60173-6801	8/28/2024	2026	SANFORD HEALTH PLAN	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1787	Pharmacy Technical Help Desk Contact	Pharmacy Technical Help Desk	Sr.	Villanueva	Juan							juan.villanueva@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	12/29/2025	2026	SANFORD HEALTH PLAN	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active	1-855-800-8872				HMO - Health Maintenance Organization		C	Dallas
H1787	Plan to Plan Reconciliation Contact	Director of Finance	Ms.	Harris	Debora		1-605-312-9344					Debora.Harris@sanfordhealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	SANFORD HEALTH PLAN	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1799	Automated TrOOP Balance Transfer Contact	"AVP, Pharmacy"		Vu	John		1-801-252-5706					an.vu@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	1/29/2025	2026	"MOLINA HEALTHCARE OF KENTUCKY, INC."	Local CCP	Passport Advantage	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H1799	Best Available Evidence Contact	"Director, Medicare Programs"		Wolf	Mackenzie		1-502-213-8986					Mackenzie.Wolf@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	1/14/2022	2026	"MOLINA HEALTHCARE OF KENTUCKY, INC."	Local CCP	Passport Advantage	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H1799	Chief Financial Officer	"MHI - VP, Operating Finance"	Mr.	Parthasarathy	Vijay		1-630-381-8563					vijay.parthasarathy@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	1/24/2024	2026	"MOLINA HEALTHCARE OF KENTUCKY, INC."	Local CCP	Passport Advantage	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H1799	CMS Casework Communication Contact	"Dir, Medicare A&G"		Bennett	Kimberly		1-248-854-9474					Kimberly.Bennett@molinahealthcare.com	24121 Rosewood Street		Oak Park	MI	48237	2/20/2024	2026	"MOLINA HEALTHCARE OF KENTUCKY, INC."	Local CCP	Passport Advantage	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H1799	Coordination of Benefits Contact	"Director, Payment Integrity"		Hartberger	Jake		1-484-269-1480					Jake.Hartberger@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	9/27/2021	2026	"MOLINA HEALTHCARE OF KENTUCKY, INC."	Local CCP	Passport Advantage	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H1799	Customer Service Operations Contact	"Vice President, Call Center"		Faroughi	Cheryl		1-614-547-6829					cheryl.faroughi@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	9/25/2024	2026	"MOLINA HEALTHCARE OF KENTUCKY, INC."	Local CCP	Passport Advantage	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H1799	Government Relations Contact	"MHI- Vice President, Compliance"		Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@Molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	12/21/2022	2026	"MOLINA HEALTHCARE OF KENTUCKY, INC."	Local CCP	Passport Advantage	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H1799	Hospice Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	10/24/2024	2026	"MOLINA HEALTHCARE OF KENTUCKY, INC."	Local CCP	Passport Advantage	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H1799	Medicare Compliance Officer	"MHI- Vice President, Compliance"	Mr.	Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	12/21/2022	2026	"MOLINA HEALTHCARE OF KENTUCKY, INC."	Local CCP	Passport Advantage	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H1799	Part D Exceptions Contact	"AVP, Medicare Pharmacy Services"		Vu	John							An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	10/24/2024	2026	"MOLINA HEALTHCARE OF KENTUCKY, INC."	Local CCP	Passport Advantage	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-801-252-5706				HMO - Health Maintenance Organization		C	New York
H1799	Pharmacy Network Management Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	10/24/2024	2026	"MOLINA HEALTHCARE OF KENTUCKY, INC."	Local CCP	Passport Advantage	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H1799	Pharmacy Technical Help Desk Contact	"Director, Client Operations"		Help Desk	Pharmacy						1-480-314-6077	dayoubj@cvshealth.com	445 Great Circle Road		Nashville	TN	37228	12/12/2022	2026	"MOLINA HEALTHCARE OF KENTUCKY, INC."	Local CCP	Passport Advantage	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H1799	Plan to Plan Reconciliation Contact	"Director, Finance"		Cook	Keith		1-562-542-2024					P2P.molina@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	11/21/2023	2026	"MOLINA HEALTHCARE OF KENTUCKY, INC."	Local CCP	Passport Advantage	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H1822	Automated TrOOP Balance Transfer Contact	Pharmacy Analyst		Banks	Marcia	D	1-562-308-1189	1189			1-562-997-3196	mcurtis@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	1/26/2023	2026	"SCAN DESERT HEALTH PLAN, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1822	Best Available Evidence Contact	"Director, Enrollment & Reconciliation"	Mr.	Coronel	Vincent		1-562-637-1234				1-562-989-5243	vcoronel@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	1/19/2021	2026	"SCAN DESERT HEALTH PLAN, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1822	Chief Financial Officer	CFO	Mr.	Plumb	Michael		1-562-997-1589	1589				mplumb@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	4/11/2023	2026	"SCAN DESERT HEALTH PLAN, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1822	CMS Casework Communication Contact	Sr. Director Medicare Compliance Officer		Cordova	Elizabeth		1-562-997-3131				1-562-989-5120	ecordova@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	10/14/2025	2026	"SCAN DESERT HEALTH PLAN, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1822	Coordination of Benefits Contact	Pharmacy Analyst		Banks	Marcia	D	1-562-308-1189	1189			1-562-997-3196	mcurtis@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	1/26/2023	2026	"SCAN DESERT HEALTH PLAN, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1822	Customer Service Operations Contact	"Director, (Customer) Member Services"	Ms.	McBeath	Kim		1-562-997-1805				1-562-989-5181	kmcbeath@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	1/19/2021	2026	"SCAN DESERT HEALTH PLAN, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1822	Government Relations Contact	VP of Government Relations		Kazan	Matt		1-800-559-3500				1-562-989-9439	m.kazan@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	6/25/2024	2026	"SCAN DESERT HEALTH PLAN, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1822	Hospice Contact	Sr Dir Pharm & Formly Ops		Slavina	Yelena		1-562-308-2816					yslavina@scanhealthplan.com	3800 Kilroy Airport Way		Long Beach	CA	90806	8/7/2025	2026	"SCAN DESERT HEALTH PLAN, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1822	Medicare Compliance Officer	Sr. Director Medicare Compliance Officer	Ms.	Cordova	Elizabeth		1-562-997-3131				1-562-989-5120	ecordova@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	10/14/2025	2026	"SCAN DESERT HEALTH PLAN, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1822	Part D Exceptions Contact	Sr. Manager – Pharmacy Prior Authorization	Mr.	Herbert	Joshua							Joshua.Herbert@evernorth.com	One Express Way Mail Stop	S13NB	St. Louis	MO	63121	10/14/2025	2026	"SCAN DESERT HEALTH PLAN, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active	1-513-292-0563	733326			HMO - Health Maintenance Organization		C	Chicago
H1822	Pharmacy Network Management Contact	"Network Acct Director, Retail Strategy"	Ms.	Kelly	Heather		1-314-692-1866				1-800-357-9578	hakelly@express-scripts.com	One Express Way		St Louis	MO	63121	1/23/2023	2026	"SCAN DESERT HEALTH PLAN, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1822	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	13051 N. Telecom Pkwy	STE 150	Temple Terrace''	FL	33637	12/1/2021	2026	"SCAN DESERT HEALTH PLAN, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Chicago
H1822	Plan to Plan Reconciliation Contact	"Vice President, Controller"	Ms.	Havai	Virginia		1-562-989-8300				1-562-989-0101	P2PAdmin@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	1/19/2021	2026	"SCAN DESERT HEALTH PLAN, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1846	Automated TrOOP Balance Transfer Contact	Part D Analyst		Houk	Kim		1-614-546-3183				1-614-546-3131	kulrich@Medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	MOUNT CARMEL HEALTH INSURANCE COMPANY	Local CCP	MediGold	Local PPO		Trinity Health Corporation	234	Yes	Active					PPO - BBA		C	Chicago
H1846	Best Available Evidence Contact	"Manager, Enrollment & Reconciliation"		Buddell	Natasha		1-614-546-3222				1-614-546-3148	nbuddell@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	MOUNT CARMEL HEALTH INSURANCE COMPANY	Local CCP	MediGold	Local PPO		Trinity Health Corporation	234	Yes	Active					PPO - BBA		C	Chicago
H1846	Chief Financial Officer	Chief Financial Officer	Mr	Vis	David		1-614-546-3211				1-614-546-3131	david.vis@medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	MOUNT CARMEL HEALTH INSURANCE COMPANY	Local CCP	MediGold	Local PPO		Trinity Health Corporation	234	Yes	Active					PPO - BBA		C	Chicago
H1846	CMS Casework Communication Contact	Compliance Specialist	Mr.	Jordan	David	A	1-614-706-8474				1-614-234-8372	djordan@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	MOUNT CARMEL HEALTH INSURANCE COMPANY	Local CCP	MediGold	Local PPO		Trinity Health Corporation	234	Yes	Active					PPO - BBA		C	Chicago
H1846	Coordination of Benefits Contact	Pharmacy Data Analyst		Houk	Kim		1-614-546-3183				1-614-546-3132	kulrich@Medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	MOUNT CARMEL HEALTH INSURANCE COMPANY	Local CCP	MediGold	Local PPO		Trinity Health Corporation	234	Yes	Active					PPO - BBA		C	Chicago
H1846	Customer Service Operations Contact	"Senior Director, Member and Provider Services"		Schlabach	Marilyn		1-614-546-3180				1-614-546-3132	mschlabach@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	MOUNT CARMEL HEALTH INSURANCE COMPANY	Local CCP	MediGold	Local PPO		Trinity Health Corporation	234	Yes	Active					PPO - BBA		C	Chicago
H1846	Government Relations Contact	CEO	Mr	Randolph	John	C	1-614-546-3152				1-614-546-3131	jack.randolph@MediGold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	MOUNT CARMEL HEALTH INSURANCE COMPANY	Local CCP	MediGold	Local PPO		Trinity Health Corporation	234	Yes	Active					PPO - BBA		C	Chicago
H1846	Hospice Contact	Senior Pharmacy Data Analyst		Houk	Kim		1-614-546-3183				1-614-546-3132	kulrich@Medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	MOUNT CARMEL HEALTH INSURANCE COMPANY	Local CCP	MediGold	Local PPO		Trinity Health Corporation	234	Yes	Active					PPO - BBA		C	Chicago
H1846	Medicare Compliance Officer	Chief Compliance Officer	Ms	Suffern	Patricia		1-412-478-0244					patricia.suffern@medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	MOUNT CARMEL HEALTH INSURANCE COMPANY	Local CCP	MediGold	Local PPO		Trinity Health Corporation	234	Yes	Active					PPO - BBA		C	Chicago
H1846	Part D Exceptions Contact	"Director, Pharmacy"	Ms.	McGhee	Anna							anna.mcghee@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	1/21/2024	2026	MOUNT CARMEL HEALTH INSURANCE COMPANY	Local CCP	MediGold	Local PPO		Trinity Health Corporation	234	Yes	Active	1-800-240-3851				PPO - BBA		C	Chicago
H1846	Pharmacy Network Management Contact	"Director, Pharmacy"	Ms.	McGhee	Anna		1-216-534-5375					anna.mcghee@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	1/21/2024	2026	MOUNT CARMEL HEALTH INSURANCE COMPANY	Local CCP	MediGold	Local PPO		Trinity Health Corporation	234	Yes	Active					PPO - BBA		C	Chicago
H1846	Pharmacy Technical Help Desk Contact	"Director, Pharmacy"	Ms.	McGhee	Anna							anna.mcghee@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	1/21/2024	2026	MOUNT CARMEL HEALTH INSURANCE COMPANY	Local CCP	MediGold	Local PPO		Trinity Health Corporation	234	Yes	Active	1-866-693-4620				PPO - BBA		C	Chicago
H1846	Plan to Plan Reconciliation Contact	Pharmacy Data Analyst		Houk	Kim		1-614-546-3183				1-614-546-3132	kulrich@Medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	MOUNT CARMEL HEALTH INSURANCE COMPANY	Local CCP	MediGold	Local PPO		Trinity Health Corporation	234	Yes	Active					PPO - BBA		C	Chicago
H1862	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"WELLCARE OF IOWA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1862	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"WELLCARE OF IOWA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1862	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/20/2024	2026	"WELLCARE OF IOWA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1862	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"WELLCARE OF IOWA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1862	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"WELLCARE OF IOWA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1862	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/18/2024	2026	"WELLCARE OF IOWA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1862	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"WELLCARE OF IOWA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1862	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"WELLCARE OF IOWA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1862	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/22/2025	2026	"WELLCARE OF IOWA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1862	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/20/2024	2026	"WELLCARE OF IOWA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H1862	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	"WELLCARE OF IOWA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1862	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/11/2025	2026	"WELLCARE OF IOWA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-4170				HMO - Health Maintenance Organization		C	Denver
H1862	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	6/20/2024	2026	"WELLCARE OF IOWA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H1889	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1889	Best Available Evidence Contact	"Manager, Enrollment & Eligibility"		Asselin	Krista		1-763-361-1104					krista_asselin@uhc.com	PO Box 9472		Minneapolis	MN	55440	11/14/2025	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1889	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/13/2025	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1889	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1889	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1889	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1889	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1889	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1889	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1889	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				PPO - BBA		C	Boston
H1889	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1889	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				PPO - BBA		C	Boston
H1889	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H1894	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	"WELLPOINT WASHINGTON, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Consolidation					HMO - Health Maintenance Organization		C	Chicago
H1894	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"WELLPOINT WASHINGTON, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Consolidation					HMO - Health Maintenance Organization		C	Chicago
H1894	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	"WELLPOINT WASHINGTON, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Consolidation					HMO - Health Maintenance Organization		C	Chicago
H1894	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	"WELLPOINT WASHINGTON, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Consolidation					HMO - Health Maintenance Organization		C	Chicago
H1894	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	"WELLPOINT WASHINGTON, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Consolidation					HMO - Health Maintenance Organization		C	Chicago
H1894	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	"WELLPOINT WASHINGTON, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Consolidation					HMO - Health Maintenance Organization		C	Chicago
H1894	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"WELLPOINT WASHINGTON, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Consolidation					HMO - Health Maintenance Organization		C	Chicago
H1894	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"WELLPOINT WASHINGTON, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Consolidation					HMO - Health Maintenance Organization		C	Chicago
H1894	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"WELLPOINT WASHINGTON, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Consolidation					HMO - Health Maintenance Organization		C	Chicago
H1894	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	"WELLPOINT WASHINGTON, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Consolidation	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H1894	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/31/2023	2026	"WELLPOINT WASHINGTON, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Consolidation					HMO - Health Maintenance Organization		C	Chicago
H1894	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	"WELLPOINT WASHINGTON, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Consolidation	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H1894	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/6/2021	2026	"WELLPOINT WASHINGTON, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Consolidation					HMO - Health Maintenance Organization		C	Chicago
H1904	Automated TrOOP Balance Transfer Contact	Director of Finance	Ms.	Bush	Endia		1-504-941-6075					Ebush@ccano.org	4201 N RAMPART ST		NEW ORLEANS	LA	70117	4/23/2026	2026	PACE GREATER NEW ORLEANS	National PACE	Pace Greater New Orleans	National PACE		Catholic Charities Archdiocese of New Orleans	471	Yes	Active					PACE - Nat		C	Philadelphia
H1904	Best Available Evidence Contact	Executive Director		Plaisance	Wayne		1-504-227-3411					Wplaisance@ccano.org	4201 N RAMPART ST		NEW ORLEANS	LA	70117	5/15/2026	2026	PACE GREATER NEW ORLEANS	National PACE	Pace Greater New Orleans	National PACE		Catholic Charities Archdiocese of New Orleans	471	Yes	Active					PACE - Nat		C	Philadelphia
H1904	Chief Financial Officer	Director of Fiinance	Ms.	Bush	Endia		1-504-941-6075					Ebush@ccano.org	4201 N Rampart St		New Orleans	LA	70117	4/23/2026	2026	PACE GREATER NEW ORLEANS	National PACE	Pace Greater New Orleans	National PACE		Catholic Charities Archdiocese of New Orleans	471	Yes	Active					PACE - Nat		C	Philadelphia
H1904	CMS Casework Communication Contact	Executive Director	Mr.	Plaisance	Wayne		1-504-227-3411					Wplaisance@ccano.org	4201 N Rampart St		New Orleans	LA	70117	5/15/2026	2026	PACE GREATER NEW ORLEANS	National PACE	Pace Greater New Orleans	National PACE		Catholic Charities Archdiocese of New Orleans	471	Yes	Active					PACE - Nat		C	Philadelphia
H1904	Coordination of Benefits Contact	Executive Director	Mr.	Plaisance	Wayne		1-504-227-3411					Wplaisance@ccano.org	4201 N Rampart St		New Orleans	LA	70117	5/15/2026	2026	PACE GREATER NEW ORLEANS	National PACE	Pace Greater New Orleans	National PACE		Catholic Charities Archdiocese of New Orleans	471	Yes	Active					PACE - Nat		C	Philadelphia
H1904	Customer Service Operations Contact	Executive Director	Mr.	Plaisance	Wayne		1-504-227-3411					Wplaisance@ccano.org	4201 N Rampart St		New Orleans	LA	70117	5/15/2026	2026	PACE GREATER NEW ORLEANS	National PACE	Pace Greater New Orleans	National PACE		Catholic Charities Archdiocese of New Orleans	471	Yes	Active					PACE - Nat		C	Philadelphia
H1904	Government Relations Contact	Executive Director	Mr.	Plaisance	Wayne		1-504-227-3411					Wplaisance@ccano.org	4201 N Rampart St		New Orleans	LA	70117	5/15/2026	2026	PACE GREATER NEW ORLEANS	National PACE	Pace Greater New Orleans	National PACE		Catholic Charities Archdiocese of New Orleans	471	Yes	Active					PACE - Nat		C	Philadelphia
H1904	Medicare Compliance Officer	Director of Quality and Compliance	Ms.	Julian	Christi		1-504-941-6054					CJulian@ccano.org	4201 N Rampart St		New Orleans	LA	70117	4/3/2024	2026	PACE GREATER NEW ORLEANS	National PACE	Pace Greater New Orleans	National PACE		Catholic Charities Archdiocese of New Orleans	471	Yes	Active					PACE - Nat		C	Philadelphia
H1904	Part D Exceptions Contact	Director of Finance	Ms.	Bush	Endia						1-504-941-6075	Ebush@ccano.org	4201 N RAMPART ST		NEW ORLEANS	LA	70117	4/23/2026	2026	PACE GREATER NEW ORLEANS	National PACE	Pace Greater New Orleans	National PACE		Catholic Charities Archdiocese of New Orleans	471	Yes	Active	1-866-743-8778				PACE - Nat		C	Philadelphia
H1904	Pharmacy Network Management Contact	Executive Director	Mr.	Plaisance	Wayne		1-504-227-3411					Wplaisance@ccano.org	4201 N Rampart St		New Orleans	LA	70117	5/15/2026	2026	PACE GREATER NEW ORLEANS	National PACE	Pace Greater New Orleans	National PACE		Catholic Charities Archdiocese of New Orleans	471	Yes	Active					PACE - Nat		C	Philadelphia
H1904	Pharmacy Technical Help Desk Contact	Executive Director	Mr	Plaisance	Wayne						1-504-941-6082	Kwootan@ccano.org	4201 N RAMPART ST		NEW ORLEANS	LA	70117	5/15/2026	2026	PACE GREATER NEW ORLEANS	National PACE	Pace Greater New Orleans	National PACE		Catholic Charities Archdiocese of New Orleans	471	Yes	Active	1-866-743-8778				PACE - Nat		C	Philadelphia
H1904	Plan to Plan Reconciliation Contact	Director of Finance	Ms.	Bush	Endia		1-504-941-6075					Ebush@ccano.org	4201 N RAMPART ST		NEW ORLEANS	LA	70117	4/23/2026	2026	PACE GREATER NEW ORLEANS	National PACE	Pace Greater New Orleans	National PACE		Catholic Charities Archdiocese of New Orleans	471	Yes	Active					PACE - Nat		C	Philadelphia
H1914	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H1914	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H1914	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/20/2024	2026	"WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H1914	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H1914	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H1914	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/18/2024	2026	"WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H1914	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H1914	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H1914	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/22/2025	2026	"WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H1914	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/20/2024	2026	"WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active	1-813-206-7152				PPO - BBA		C	Denver
H1914	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	"WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H1914	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/17/2024	2026	"WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active	1-833-750-0408				PPO - BBA		C	Denver
H1914	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	6/20/2024	2026	"WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H1917	Automated TrOOP Balance Transfer Contact			North	Tom		1-714-878-4552					tom.north@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/23/2025	2026	"WELBEHEALTH INLAND EMPIRE PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1917	Best Available Evidence Contact			Cumpian	Terry		1-209-840-8404					terry.cumpian@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/23/2025	2026	"WELBEHEALTH INLAND EMPIRE PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1917	Chief Financial Officer		Mr.	Niehaus	Josh		1-270-222-0629					josh.niehaus@welbehealth.com	440 N BARRANCA AVE #4053		Covina	CA	91723	6/30/2026	2026	"WELBEHEALTH INLAND EMPIRE PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1917	CMS Casework Communication Contact			Costigan	Bobbie		1-219-210-6392					Bobbie.Costigan@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	7/30/2025	2026	"WELBEHEALTH INLAND EMPIRE PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1917	Coordination of Benefits Contact			Holmes	Nicole		1-269-910-1107					nicole.holmes@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/23/2025	2026	"WELBEHEALTH INLAND EMPIRE PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1917	Customer Service Operations Contact			Niehaus	Josh		1-270-222-0629					josh.niehaus@welbehealth.com	2799 GATEWAY DR		RIVERSIDE	CA	92507	1/29/2025	2026	"WELBEHEALTH INLAND EMPIRE PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1917	Government Relations Contact			Lee	Elizabeth		1-650-514-1390					elizabeth.lee@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	2/13/2023	2026	"WELBEHEALTH INLAND EMPIRE PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1917	Medicare Compliance Officer		Ms.	Lee	Elizabeth		1-650-514-1390					elizabeth.lee@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	2/13/2023	2026	"WELBEHEALTH INLAND EMPIRE PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1917	Part D Exceptions Contact			Lincoln-Giang	Pam							pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	8/12/2025	2026	"WELBEHEALTH INLAND EMPIRE PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Active	1-650-294-8027				PACE - Nat		C	San Francisco
H1917	Pharmacy Network Management Contact			Lincoln-Giang	Pam		1-650-294-8027					pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	9/17/2025	2026	"WELBEHEALTH INLAND EMPIRE PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1917	Pharmacy Technical Help Desk Contact			Lincoln-Giang	Pam							pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	8/12/2025	2026	"WELBEHEALTH INLAND EMPIRE PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Active	1-650-294-8027				PACE - Nat		C	San Francisco
H1917	Plan to Plan Reconciliation Contact			Porras	Ashleigh		1-650-442-2660					p2p@welbehealth.com	440 N BARRANCA AVE #4053		COVINA	CA	91723	6/30/2026	2026	"WELBEHEALTH INLAND EMPIRE PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H1947	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	"COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC."	Local CCP	Healthy Blue	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1947	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC."	Local CCP	Healthy Blue	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1947	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	"COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC."	Local CCP	Healthy Blue	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1947	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	"COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC."	Local CCP	Healthy Blue	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1947	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	"COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC."	Local CCP	Healthy Blue	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1947	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	"COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC."	Local CCP	Healthy Blue	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1947	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC."	Local CCP	Healthy Blue	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1947	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC."	Local CCP	Healthy Blue	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1947	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC."	Local CCP	Healthy Blue	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1947	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	"COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC."	Local CCP	Healthy Blue	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H1947	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/31/2023	2026	"COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC."	Local CCP	Healthy Blue	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1947	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	"COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC."	Local CCP	Healthy Blue	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H1947	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/6/2021	2026	"COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC."	Local CCP	Healthy Blue	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H1951	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1951	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1951	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1951	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	"HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1951	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1951	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1951	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1951	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1951	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1951	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-859-321-9075				HMO - Health Maintenance Organization		C	Kansas City
H1951	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1951	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	"HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-800-865-8715				HMO - Health Maintenance Organization		C	Kansas City
H1951	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	"HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1961	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"PEOPLES HEALTH, INC."	Local CCP	Peoples Health	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1961	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	"PEOPLES HEALTH, INC."	Local CCP	Peoples Health	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1961	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	"PEOPLES HEALTH, INC."	Local CCP	Peoples Health	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1961	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	11/4/2025	2026	"PEOPLES HEALTH, INC."	Local CCP	Peoples Health	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1961	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"PEOPLES HEALTH, INC."	Local CCP	Peoples Health	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1961	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"PEOPLES HEALTH, INC."	Local CCP	Peoples Health	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1961	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"PEOPLES HEALTH, INC."	Local CCP	Peoples Health	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1961	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"PEOPLES HEALTH, INC."	Local CCP	Peoples Health	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1961	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"PEOPLES HEALTH, INC."	Local CCP	Peoples Health	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1961	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"PEOPLES HEALTH, INC."	Local CCP	Peoples Health	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H1961	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"PEOPLES HEALTH, INC."	Local CCP	Peoples Health	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1961	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"PEOPLES HEALTH, INC."	Local CCP	Peoples Health	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H1961	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"PEOPLES HEALTH, INC."	Local CCP	Peoples Health	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1969	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Mngmnt	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	3/18/2025	2026	"REGENCE BLUESHIELD OF IDAHO, INC."	Local CCP	Regence BlueShield of Idaho	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1969	Best Available Evidence Contact	Membership Ambassador	Ms.	Wells	Trisha		1-800-543-8848	2751			1-888-335-2988	ORMEMMEDAmbassador@regence.com	PO Box 1827		Medford	OR	97501	3/18/2025	2026	"REGENCE BLUESHIELD OF IDAHO, INC."	Local CCP	Regence BlueShield of Idaho	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1969	Chief Financial Officer	Cambia EVP & CFO	Mr.	Rains	Mike		1-317-690-0081					Mike.Rains@regence.com	1111 Lake Washington Blvd North STE 900		Renton	WA	98056	4/15/2026	2026	"REGENCE BLUESHIELD OF IDAHO, INC."	Local CCP	Regence BlueShield of Idaho	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1969	CMS Casework Communication Contact	Ops Reporting & Perf Analyst	Ms.	Haselden	Brandy		1-800-543-8848	6370				brandy.haselden@regence.com	PO Box 1827		Medford	OR	97501	4/27/2026	2026	"REGENCE BLUESHIELD OF IDAHO, INC."	Local CCP	Regence BlueShield of Idaho	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1969	Coordination of Benefits Contact	"Manager, Member Services"	Ms.	Christiansen	Stacy		1-541-618-1240					Stacy.Christiansen@regence.com	PO Box 1827		Medford	OR	97501	3/18/2025	2026	"REGENCE BLUESHIELD OF IDAHO, INC."	Local CCP	Regence BlueShield of Idaho	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1969	Customer Service Operations Contact	Manager Member Services	Ms.	Ciuro	Catina		1-541-618-1268					Catina.Ciuro@regence.com	PO Box 1827		Medford	OR	97504	3/18/2025	2026	"REGENCE BLUESHIELD OF IDAHO, INC."	Local CCP	Regence BlueShield of Idaho	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1969	Government Relations Contact	Director Government Programs Compliance Officer	Ms.	Hoey	Yen		1-503-721-4040					Yen.Hoey@cambiahealth.com	200 SW Market Street 11th Floor		Portland	OR	97201	3/18/2025	2026	"REGENCE BLUESHIELD OF IDAHO, INC."	Local CCP	Regence BlueShield of Idaho	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1969	Hospice Contact	Pharmacy Ops Oversight Lead	Ms.	Manzer	Amy		1-503-225-5368					Amy.Manzer@regence.com	200 SW Market Street 11th Floor		Portland	OR	97201	12/22/2025	2026	"REGENCE BLUESHIELD OF IDAHO, INC."	Local CCP	Regence BlueShield of Idaho	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1969	Medicare Compliance Officer	Director Government Programs Compliance Officer	Ms.	Hoey	Yen		1-503-721-4040					Yen.Hoey@cambiahealth.com	200 SW Market Street 11th Floor		Portland	OR	97201	3/18/2025	2026	"REGENCE BLUESHIELD OF IDAHO, INC."	Local CCP	Regence BlueShield of Idaho	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1969	Part D Exceptions Contact	"Regulatory Pharmacist, Sr"	Mr.	Spears	Scott						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	10/3/2025	2026	"REGENCE BLUESHIELD OF IDAHO, INC."	Local CCP	Regence BlueShield of Idaho	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active	1-800-693-6651				HMO - Health Maintenance Organization		C	Kansas City
H1969	Pharmacy Network Management Contact	"VP, Network Mangement"	Ms.	Conlin	Marci		1-612-777-2837				1-877-823-6373	marci.conlin@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	3/18/2025	2026	"REGENCE BLUESHIELD OF IDAHO, INC."	Local CCP	Regence BlueShield of Idaho	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1969	Pharmacy Technical Help Desk Contact	"Sr Director, Member Services"	Mr.	Scott	Shane							shane.scott@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/18/2025	2026	"REGENCE BLUESHIELD OF IDAHO, INC."	Local CCP	Regence BlueShield of Idaho	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active	1-844-765-6826				HMO - Health Maintenance Organization		C	Kansas City
H1969	Plan to Plan Reconciliation Contact	Pharmacy Operations Oversight Lead	Ms.	Manzer	Amy		1-503-225-5368					Amy.Manzer@regence.com	200 SW Market Street 11th Floor		Portland	OR	97201	12/22/2025	2026	"REGENCE BLUESHIELD OF IDAHO, INC."	Local CCP	Regence BlueShield of Idaho	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1980	Automated TrOOP Balance Transfer Contact	PACE Financial Specialist	Mr	Garrison	Kevin	D	1-859-296-6872					kgarrison@bgcarenav.org	1733 Harrodsburg Rd		Lexington	KY	40504	1/9/2026	2026	"HOSPICE OF THE BLUEGRASS, INC"	National PACE	Bluegrass PACE Care	National PACE		"Hospice of the Bluegrass, Inc."	794	Yes	Active					PACE - Nat		C	Atlanta
H1980	Best Available Evidence Contact	BCN PACE Quality Compliance Coordinator	Ms.	Walker	Brionne		1-859-447-6144					bwalker@bgcarenav.org	1733 Harrodsburg Rd.		Lexington	KY	40504	1/9/2026	2026	"HOSPICE OF THE BLUEGRASS, INC"	National PACE	Bluegrass PACE Care	National PACE		"Hospice of the Bluegrass, Inc."	794	Yes	Active					PACE - Nat		C	Atlanta
H1980	Chief Financial Officer	CFO/VP of Finance	Ms.	Hodge	Holly		1-859-276-5344					hhodge@everenthealth.org	1733 Harrodsburg Road		Lexington	KY	40504	11/25/2025	2026	"HOSPICE OF THE BLUEGRASS, INC"	National PACE	Bluegrass PACE Care	National PACE		"Hospice of the Bluegrass, Inc."	794	Yes	Active					PACE - Nat		C	Atlanta
H1980	CMS Casework Communication Contact	VP of PACE	Mr	Ammermann	Craig		1-800-264-0521					cammermann@everenthealth.org	1733 Harrodsburg Rd		Lexington	KY	40504	1/9/2026	2026	"HOSPICE OF THE BLUEGRASS, INC"	National PACE	Bluegrass PACE Care	National PACE		"Hospice of the Bluegrass, Inc."	794	Yes	Active					PACE - Nat		C	Atlanta
H1980	Coordination of Benefits Contact	PACE Financial Specialist	Mr	Garrison	Kevin		1-859-296-6872					kgarrison@bgcarenav.org	1733 Harrodsburg Rd		Lexington	KY	40504	1/9/2026	2026	"HOSPICE OF THE BLUEGRASS, INC"	National PACE	Bluegrass PACE Care	National PACE		"Hospice of the Bluegrass, Inc."	794	Yes	Active					PACE - Nat		C	Atlanta
H1980	Customer Service Operations Contact	PACE Center Director		Perry	Melissa		1-859-276-5344					mperry@bgcarenav.org	1733 Harrodsburg Rd		Lexington	KY	40504	7/2/2024	2026	"HOSPICE OF THE BLUEGRASS, INC"	National PACE	Bluegrass PACE Care	National PACE		"Hospice of the Bluegrass, Inc."	794	Yes	Active					PACE - Nat		C	Atlanta
H1980	Government Relations Contact	VP of PACE	Mr	Ammermann	Craig		1-800-264-0521					cammermann@everenthealth.org	1733 Harrodsburg Rd.		Lexington	KY	40504	1/9/2026	2026	"HOSPICE OF THE BLUEGRASS, INC"	National PACE	Bluegrass PACE Care	National PACE		"Hospice of the Bluegrass, Inc."	794	Yes	Active					PACE - Nat		C	Atlanta
H1980	Medicare Compliance Officer	VP of Compliance & Privacy Officer	Ms.	McGinty	Loretta		1-502-719-4194					lmcginty@everenthealth.org	1733 Harrodsburg Rd		Lexington	KY	40504	9/9/2025	2026	"HOSPICE OF THE BLUEGRASS, INC"	National PACE	Bluegrass PACE Care	National PACE		"Hospice of the Bluegrass, Inc."	794	Yes	Active					PACE - Nat		C	Atlanta
H1980	Part D Exceptions Contact	PACE Financial Specialist	Mr	Garrison	Kevin							kgarrison@bgcarenav.org	1733 Harrodsburg Rd		Lexington	KY	40504	1/9/2026	2026	"HOSPICE OF THE BLUEGRASS, INC"	National PACE	Bluegrass PACE Care	National PACE		"Hospice of the Bluegrass, Inc."	794	Yes	Active	1-859-296-6827				PACE - Nat		C	Atlanta
H1980	Pharmacy Network Management Contact	PACE Financial Specialist	Mr	Garrison	Kevin		1-859-296-6872					kgarrison@bgcarenav.org	1733 Harrodsburg Rd		Lexington	KY	40504	1/9/2026	2026	"HOSPICE OF THE BLUEGRASS, INC"	National PACE	Bluegrass PACE Care	National PACE		"Hospice of the Bluegrass, Inc."	794	Yes	Active					PACE - Nat		C	Atlanta
H1980	Pharmacy Technical Help Desk Contact	PACE Financial Specialist	Mr	Garrison	Kevin							kgarrison@bgcarenav.org	1733 Harrodsburg Rd		Lexington	KY	40504	1/9/2026	2026	"HOSPICE OF THE BLUEGRASS, INC"	National PACE	Bluegrass PACE Care	National PACE		"Hospice of the Bluegrass, Inc."	794	Yes	Active	1-859-296-6827				PACE - Nat		C	Atlanta
H1980	Plan to Plan Reconciliation Contact	PACE Financial Specialist	Mr	Garrison	Kevin	D	1-859-296-6872					kgarrison@bgcarenav.org	1733 Harrodsburg Rd		Lexington	KY	40504	1/9/2026	2026	"HOSPICE OF THE BLUEGRASS, INC"	National PACE	Bluegrass PACE Care	National PACE		"Hospice of the Bluegrass, Inc."	794	Yes	Active					PACE - Nat		C	Atlanta
H1993	Automated TrOOP Balance Transfer Contact	Medicare Part D Project Manager		Zlotkus	Steve		1-858-790-6250					PartDCAT@MedImpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	2/7/2025	2026	"ASTIVA HEALTH, INC."	Local CCP	Astiva Health	HMO/HMOPOS		Astiva Health Holdings Incorporated	828	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1993	Best Available Evidence Contact			Department	Enrollment		1-866-688-9021					enrollment@astivahealth.com	765 The City Drive South	Suite 200	Orange	CA	92868	10/2/2023	2026	"ASTIVA HEALTH, INC."	Local CCP	Astiva Health	HMO/HMOPOS		Astiva Health Holdings Incorporated	828	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1993	Chief Financial Officer	Chief Financial Officer	Mr.	Nelson	Tyler		1-858-229-3755				1-949-393-8879	tyler.nelson@astivahealth.com	765 The City Drive South	Suite 200	Orange	CA	92868	12/12/2025	2026	"ASTIVA HEALTH, INC."	Local CCP	Astiva Health	HMO/HMOPOS		Astiva Health Holdings Incorporated	828	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1993	CMS Casework Communication Contact	Compliance Officer	Mr.	Song	Paul		1-866-688-9021				1-949-393-8879	paul.song@astivahealth.com	765 The City Drive South	Suite 200	Orange	CA	92868	10/1/2024	2026	"ASTIVA HEALTH, INC."	Local CCP	Astiva Health	HMO/HMOPOS		Astiva Health Holdings Incorporated	828	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1993	Coordination of Benefits Contact	General Counsel/Compliance Officer	Mr.	Song	Paul	J	1-626-260-7366				1-949-393-8879	cmscasework@astivahealth.com	765 The City Drive South	Suite 200	Orange	CA	92868	10/2/2023	2026	"ASTIVA HEALTH, INC."	Local CCP	Astiva Health	HMO/HMOPOS		Astiva Health Holdings Incorporated	828	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1993	Customer Service Operations Contact	"Manager, Member Services"	Ms.	Truong	Thuy		1-866-688-9021					thuy.truong@astivahealth.com	765 The City Drive South	Suite 200	Orange	CA	92868	10/1/2024	2026	"ASTIVA HEALTH, INC."	Local CCP	Astiva Health	HMO/HMOPOS		Astiva Health Holdings Incorporated	828	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1993	Government Relations Contact	General Counsel	Mr.	Song	Paul	J	1-626-260-7366					cmscasework@astivahealth.com	765 The City Drive South	Suite 200	Orange	CA	92868	10/2/2023	2026	"ASTIVA HEALTH, INC."	Local CCP	Astiva Health	HMO/HMOPOS		Astiva Health Holdings Incorporated	828	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1993	Hospice Contact	Pharmacy		Department	Pharmacy		1-866-688-9021				1-949-393-8879	Astiva.pharmacy@astivahealth.com	765 The City Drive South	Suite 200	Orange	CA	92868	2/3/2025	2026	"ASTIVA HEALTH, INC."	Local CCP	Astiva Health	HMO/HMOPOS		Astiva Health Holdings Incorporated	828	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1993	Medicare Compliance Officer	Compliance Officer	Mr.	Song	Paul		1-866-688-9021					paul.song@astivahealth.com	765 The City Drive South	Suite 200	Orange	CA	92868	10/1/2024	2026	"ASTIVA HEALTH, INC."	Local CCP	Astiva Health	HMO/HMOPOS		Astiva Health Holdings Incorporated	828	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1993	Part D Exceptions Contact	Dir PA & UM Programs		Emoto	Julianne							Julianne.emoto@MedImpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	2/7/2025	2026	"ASTIVA HEALTH, INC."	Local CCP	Astiva Health	HMO/HMOPOS		Astiva Health Holdings Incorporated	828	Yes	Active	1-858-790-5846				HMO - Health Maintenance Organization		C	Boston
H1993	Pharmacy Network Management Contact	Director Configuration Services		Moe	Kathleen		1-858-790-7437					kathlene.moe@medimpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	2/7/2025	2026	"ASTIVA HEALTH, INC."	Local CCP	Astiva Health	HMO/HMOPOS		Astiva Health Holdings Incorporated	828	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1993	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"		Brewer	Kathy							Customerservice@Medimpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	11/26/2025	2026	"ASTIVA HEALTH, INC."	Local CCP	Astiva Health	HMO/HMOPOS		Astiva Health Holdings Incorporated	828	Yes	Active	1-833-697-6561				HMO - Health Maintenance Organization		C	Boston
H1993	Plan to Plan Reconciliation Contact	Health Plan Controller	Mr.	Nguyen	Peter	Q	1-714-417-5133					peterQ.Nguyen@astivahealth.com	765 The City Drive	Suite 200	Orange	CA	92868	1/6/2026	2026	"ASTIVA HEALTH, INC."	Local CCP	Astiva Health	HMO/HMOPOS		Astiva Health Holdings Incorporated	828	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H1994	Automated TrOOP Balance Transfer Contact		Mr.	Williams	Steven		1-801-442-7801					steven.l.williams@selecthealth.org	5381 S Green St		Murray	UT	84123	9/11/2012	2026	"SELECTHEALTH, INC."	Local CCP	Select Health	HMO/HMOPOS		"Intermountain Health Care, Inc."	480	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1994	Best Available Evidence Contact	Enrollment Manager	Ms.	Edwards	Shaylee		1-801-442-9842					shaylee.baird@selecthealth.org	5381 S Green St		Murray	UT	84123	2/4/2026	2026	"SELECTHEALTH, INC."	Local CCP	Select Health	HMO/HMOPOS		"Intermountain Health Care, Inc."	480	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1994	Chief Financial Officer	Chief Financial Officer	Mr.	Walters	Jeremy		1-801-442-7994					jeremy.walters@selecthealth.org	5381 S. Green Street		Murray	UT	84123	3/30/2026	2026	"SELECTHEALTH, INC."	Local CCP	Select Health	HMO/HMOPOS		"Intermountain Health Care, Inc."	480	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1994	CMS Casework Communication Contact	Appeals and Grievances Director	Ms.	Johnson	Emily		1-801-442-7650					emily.johnson@selecthealth.org	5381 S Green St		Murray	UT	84123	1/23/2020	2026	"SELECTHEALTH, INC."	Local CCP	Select Health	HMO/HMOPOS		"Intermountain Health Care, Inc."	480	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1994	Coordination of Benefits Contact	ORBT Supervisor	Ms.	Aagard	Amanda		1-801-442-7006					Rxcob@imail.org	5381 S Green St		Murray	UT	84123	4/29/2022	2026	"SELECTHEALTH, INC."	Local CCP	Select Health	HMO/HMOPOS		"Intermountain Health Care, Inc."	480	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1994	Customer Service Operations Contact	Operations Manager	Mr.	Richins	JJ		1-801-442-8173					jj.richins@selecthealth.org	5381 S Green St		Murray	UT	84123	5/10/2016	2026	"SELECTHEALTH, INC."	Local CCP	Select Health	HMO/HMOPOS		"Intermountain Health Care, Inc."	480	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1994	Government Relations Contact	General Counsel	Mr.	Nielsen	Bryan		1-801-442-7259					bryan.nielsen@selecthealth.org	5381 S Green St		Murray	UT	84123	6/7/2024	2026	"SELECTHEALTH, INC."	Local CCP	Select Health	HMO/HMOPOS		"Intermountain Health Care, Inc."	480	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1994	Hospice Contact	Pharmacy Government Programs Director	Mr.	Eaton	Mike		1-801-442-7797					mike.eaton@selecthealth.org	5381 S Green St		Murray	UT	84123	1/23/2020	2026	"SELECTHEALTH, INC."	Local CCP	Select Health	HMO/HMOPOS		"Intermountain Health Care, Inc."	480	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1994	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Schmidt	Clifton		1-801-442-7249					clifton.schmidt@selecthealth.org	5381 S Green St		Murray	UT	84123	6/29/2026	2026	"SELECTHEALTH, INC."	Local CCP	Select Health	HMO/HMOPOS		"Intermountain Health Care, Inc."	480	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1994	Part D Exceptions Contact	Pharmacy Government Programs Director	Mr.	Eaton	Mike							mike.eaton@selecthealth.org	5381 S Green St		Murray	UT	84123	1/23/2020	2026	"SELECTHEALTH, INC."	Local CCP	Select Health	HMO/HMOPOS		"Intermountain Health Care, Inc."	480	Yes	Active	1-855-442-9900				HMO - Health Maintenance Organization		C	Dallas
H1994	Pharmacy Network Management Contact	Pharmacy Government Programs Director	Mr.	Eaton	Mike		1-801-442-7797					mike.eaton@selecthealth.org	5381 S Green St		Murray	UT	84123	1/23/2020	2026	"SELECTHEALTH, INC."	Local CCP	Select Health	HMO/HMOPOS		"Intermountain Health Care, Inc."	480	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1994	Pharmacy Technical Help Desk Contact	Pharmacy Operations Supervisor	Ms.	Turner	Tiffany							tiffany.turner@selecthealth.org	5381 S Green St		Murray	UT	84123	2/20/2024	2026	"SELECTHEALTH, INC."	Local CCP	Select Health	HMO/HMOPOS		"Intermountain Health Care, Inc."	480	Yes	Active	1-855-442-9900				HMO - Health Maintenance Organization		C	Dallas
H1994	Plan to Plan Reconciliation Contact	Accounting Supervisor	Mr.	Applegarth	John		1-801-442-7980					john.applegarth@selecthealth.org	5381 S Green St		Murray	UT	84123	11/20/2012	2026	"SELECTHEALTH, INC."	Local CCP	Select Health	HMO/HMOPOS		"Intermountain Health Care, Inc."	480	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H1997	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Mngmnt	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	3/18/2025	2026	REGENCE BLUESHIELD	Local CCP	Regence BlueShield	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1997	Best Available Evidence Contact	Membership Ambassador	Ms.	Wells	Trisha		1-800-543-8848	2751			1-888-335-2988	ORMEMMEDAmbassador@regence.com	PO Box 1827		Medford	OR	97501	3/18/2025	2026	REGENCE BLUESHIELD	Local CCP	Regence BlueShield	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1997	Chief Financial Officer	Cambia EVP & CFO	Mr.	Rains	Mike		1-317-690-0081					Mike.Rains@regence.com	1111 Lake Washington Blvd North STE 900		Renton	WA	98056	4/15/2026	2026	REGENCE BLUESHIELD	Local CCP	Regence BlueShield	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1997	CMS Casework Communication Contact	Ops Reporting & Perf Analyst	Ms.	Haselden	Brandy		1-800-543-8848	6370				brandy.haselden@regence.com	PO Box 1827		Medford	OR	97501	4/27/2026	2026	REGENCE BLUESHIELD	Local CCP	Regence BlueShield	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1997	Coordination of Benefits Contact	"Manager, Member Services"	Ms.	Christiansen	Stacy		1-541-618-1240					Stacy.Christiansen@regence.com	PO Box 1827		Medford	OR	97501	3/18/2025	2026	REGENCE BLUESHIELD	Local CCP	Regence BlueShield	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1997	Customer Service Operations Contact	Manager Member Services	Ms.	Ciuro	Catina		1-541-618-1268					Catina.Ciuro@regence.com	PO Box 1827		Medford	OR	97504	3/18/2025	2026	REGENCE BLUESHIELD	Local CCP	Regence BlueShield	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1997	Government Relations Contact	Director Government Programs Compliance Officer	Ms.	Hoey	Yen		1-503-721-4040					Yen.Hoey@cambiahealth.com	200 SW Market Street 11th Floor		Portland	OR	97201	3/18/2025	2026	REGENCE BLUESHIELD	Local CCP	Regence BlueShield	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1997	Hospice Contact	Pharmacy Ops Oversight Lead	Ms.	Manzer	Amy		1-503-225-5368					Amy.Manzer@regence.com	200 SW Market Street 11th Floor		Portland	OR	97201	12/22/2025	2026	REGENCE BLUESHIELD	Local CCP	Regence BlueShield	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1997	Medicare Compliance Officer	Director Government Programs Compliance Officer	Ms.	Hoey	Yen		1-503-721-4040					Yen.Hoey@cambiahealth.com	200 SW Market Street 11th Floor		Portland	OR	97201	3/18/2025	2026	REGENCE BLUESHIELD	Local CCP	Regence BlueShield	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1997	Part D Exceptions Contact	"Regulatory Pharmacist, Sr"	Mr.	Spears	Scott						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	10/3/2025	2026	REGENCE BLUESHIELD	Local CCP	Regence BlueShield	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active	1-800-693-6651				HMO - Health Maintenance Organization		C	Kansas City
H1997	Pharmacy Network Management Contact	"VP, Network Mangement"	Ms.	Conlin	Marci		1-612-777-2837				1-877-823-6373	marci.conlin@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	3/18/2025	2026	REGENCE BLUESHIELD	Local CCP	Regence BlueShield	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H1997	Pharmacy Technical Help Desk Contact	"Sr Director, Member Services"	Mr.	Scott	Shane							shane.scott@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/18/2025	2026	REGENCE BLUESHIELD	Local CCP	Regence BlueShield	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active	1-844-765-6826				HMO - Health Maintenance Organization		C	Kansas City
H1997	Plan to Plan Reconciliation Contact	Pharmacy Operations Oversight Lead	Ms.	Manzer	Amy		1-503-225-5368					Amy.Manzer@regence.com	200 SW Market Street 11th Floor		Portland	OR	97201	12/22/2025	2026	REGENCE BLUESHIELD	Local CCP	Regence BlueShield	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2001	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC."	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2001	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	"SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC."	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2001	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	"SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC."	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2001	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC."	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2001	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC."	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2001	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC."	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2001	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC."	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2001	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC."	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2001	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC."	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2001	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC."	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				PPO - BBA		C	Boston
H2001	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC."	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2001	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC."	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				PPO - BBA		C	Boston
H2001	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC."	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2029	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA INSURANCE OF PUERTO RICO, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Withdrawn Contract					PPO - BBA		C	Kansas City
H2029	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA INSURANCE OF PUERTO RICO, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Withdrawn Contract					PPO - BBA		C	Kansas City
H2029	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA INSURANCE OF PUERTO RICO, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Withdrawn Contract					PPO - BBA		C	Kansas City
H2029	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	"HUMANA INSURANCE OF PUERTO RICO, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Withdrawn Contract					PPO - BBA		C	Kansas City
H2029	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	"HUMANA INSURANCE OF PUERTO RICO, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Withdrawn Contract					PPO - BBA		C	Kansas City
H2029	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA INSURANCE OF PUERTO RICO, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Withdrawn Contract					PPO - BBA		C	Kansas City
H2029	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA INSURANCE OF PUERTO RICO, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Withdrawn Contract					PPO - BBA		C	Kansas City
H2029	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA INSURANCE OF PUERTO RICO, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Withdrawn Contract					PPO - BBA		C	Kansas City
H2029	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA INSURANCE OF PUERTO RICO, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Withdrawn Contract					PPO - BBA		C	Kansas City
H2029	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA INSURANCE OF PUERTO RICO, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Withdrawn Contract	1-859-321-9075				PPO - BBA		C	Kansas City
H2029	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA INSURANCE OF PUERTO RICO, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Withdrawn Contract					PPO - BBA		C	Kansas City
H2029	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	"HUMANA INSURANCE OF PUERTO RICO, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Withdrawn Contract	1-800-865-8715				PPO - BBA		C	Kansas City
H2029	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	"HUMANA INSURANCE OF PUERTO RICO, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Withdrawn Contract					PPO - BBA		C	Kansas City
H2032	Automated TrOOP Balance Transfer Contact	Chief Financial Officer		Bush	Stephen	P	1-254-298-3568				1-254-298-3005	Stephen.Bush@BSWHealth.org	1206 West Campus Drive		Temple	TX	76502	7/1/2025	2026	Baylor Scott & White Insurance Company	Local CCP	Baylor Scott & White Health Plan	Local PPO		Baylor Scott & White Health	588	Yes	Active					PPO - BBA		C	Denver
H2032	Best Available Evidence Contact	"Director, HP Enrollment"		Ulrich	Deanna		1-254-298-3340					Deanna.Ulrich@BSWHealth.org	1206 West Campus Drive		Temple	TX	76502	7/1/2025	2026	Baylor Scott & White Insurance Company	Local CCP	Baylor Scott & White Health Plan	Local PPO		Baylor Scott & White Health	588	Yes	Active					PPO - BBA		C	Denver
H2032	Chief Financial Officer	Chief Financial Officer	Mr.	Bush	Stephen	P	1-254-298-3568					Stephen.Bush@BSWHealth.org	1206 West Campus Drive		Temple	TX	76502	7/1/2025	2026	Baylor Scott & White Insurance Company	Local CCP	Baylor Scott & White Health Plan	Local PPO		Baylor Scott & White Health	588	Yes	Active					PPO - BBA		C	Denver
H2032	CMS Casework Communication Contact	"Manager, Health Plan Compliance"		Ponce	Vilaida		1-254-298-3238					Vilaida.Ponce@BSWHealth.org	1206 West Campus Drive		Temple	TX	76502	7/1/2025	2026	Baylor Scott & White Insurance Company	Local CCP	Baylor Scott & White Health Plan	Local PPO		Baylor Scott & White Health	588	Yes	Active					PPO - BBA		C	Denver
H2032	Coordination of Benefits Contact	"Director, Enrollment Operations"		Ulrich	Deanna		1-254-298-3340					Deanna.Ulrich@BSWHealth.org	1206 West Campus Drive		Temple	TX	76502	7/1/2025	2026	Baylor Scott & White Insurance Company	Local CCP	Baylor Scott & White Health Plan	Local PPO		Baylor Scott & White Health	588	Yes	Active					PPO - BBA		C	Denver
H2032	Customer Service Operations Contact	"Director, Customer Advocacy"		Perkins	Michelle		1-254-298-3393					Michelle.Perkins@BSWHealth.org	1206 West Campus Drive		Temple	TX	76502	7/1/2025	2026	Baylor Scott & White Insurance Company	Local CCP	Baylor Scott & White Health Plan	Local PPO		Baylor Scott & White Health	588	Yes	Active					PPO - BBA		C	Denver
H2032	Government Relations Contact	"Manager, Health Plan Compliance"		Ponce	Vilaida		1-254-298-3238					Vilaida.Ponce@BSWHealth.org	1206 West Campus Drive		Temple	TX	76502	9/29/2025	2026	Baylor Scott & White Insurance Company	Local CCP	Baylor Scott & White Health Plan	Local PPO		Baylor Scott & White Health	588	Yes	Active					PPO - BBA		C	Denver
H2032	Hospice Contact	"Director, Pharmacy Operations"		Luebbert	Charlotte		1-254-298-6151					Charlotte.Luebbert@BSWHealth.org	1206 West Campus Drive		Temple	TX	76502	7/1/2025	2026	Baylor Scott & White Insurance Company	Local CCP	Baylor Scott & White Health Plan	Local PPO		Baylor Scott & White Health	588	Yes	Active					PPO - BBA		C	Denver
H2032	Medicare Compliance Officer	"VP, Compliance"	Ms	Wilson	Hollie		1-217-621-4156					Hollie.Wilson@BSWHealth.org	301 N Washington Avenue		Dallas	TX	75201	12/29/2025	2026	Baylor Scott & White Insurance Company	Local CCP	Baylor Scott & White Health Plan	Local PPO		Baylor Scott & White Health	588	Yes	Active					PPO - BBA		C	Denver
H2032	Part D Exceptions Contact	"Manager, Managed Care Pharmacy"		Thomas	Megan							Megan.Cunningham@BSWHealth.org	1206 West Campus Drive		Temple	TX	76502	7/1/2025	2026	Baylor Scott & White Insurance Company	Local CCP	Baylor Scott & White Health Plan	Local PPO		Baylor Scott & White Health	588	Yes	Active	1-254-298-6108				PPO - BBA		C	Denver
H2032	Pharmacy Network Management Contact	"Director, Pharmacy Operations"		Luebbert	Charlotte		1-254-298-6151					Charlotte.Luebbert@BSWHealth.org	1206 West Campus Drive		Temple	TX	76502	7/1/2025	2026	Baylor Scott & White Insurance Company	Local CCP	Baylor Scott & White Health Plan	Local PPO		Baylor Scott & White Health	588	Yes	Active					PPO - BBA		C	Denver
H2032	Pharmacy Technical Help Desk Contact			Rx	Capital							giajernigan@cap-rx.com	228 Park Avenue South	Suite 87234	New York	NY	10003	12/11/2025	2026	Baylor Scott & White Insurance Company	Local CCP	Baylor Scott & White Health Plan	Local PPO		Baylor Scott & White Health	588	Yes	Active	1-844-230-9357				PPO - BBA		C	Denver
H2032	Plan to Plan Reconciliation Contact	Chief Financial Officer		Bush	Stephen	P	1-254-298-3568				1-254-298-3005	Stephen.Bush@BSWHealth.org	1206 West Campus Drive		Temple	TX	76502	7/1/2025	2026	Baylor Scott & White Insurance Company	Local CCP	Baylor Scott & White Health Plan	Local PPO		Baylor Scott & White Health	588	Yes	Active					PPO - BBA		C	Denver
H2034	Automated TrOOP Balance Transfer Contact	Director of Operations	Mrs.	Slowiak	Andrea		1-715-852-2983					aslowiak@pharmastar.com	2427 Hillcrest Parkway		Altoona	WI	54720	2/19/2021	2026	"COMMUNITY CARE HEALTH PLAN, INC."	Local CCP	Community Care	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2034	Best Available Evidence Contact	Accounting Specialist - Medicare	Ms.	Instefjord	Lori		1-262-207-9374					lori.instefjord@communitycareinc.org	205 Bishops Way		Brookfield	WI	53005	10/25/2016	2026	"COMMUNITY CARE HEALTH PLAN, INC."	Local CCP	Community Care	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2034	Chief Financial Officer	Chief Financial Officer	Mr.	Newmeister	Troy		1-414-231-4000					troy.newmeister@communitycareinc.org	205 Bishops Way		Brookfield	WI	53005	6/25/2025	2026	"COMMUNITY CARE HEALTH PLAN, INC."	Local CCP	Community Care	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2034	CMS Casework Communication Contact	Chief Compliance & Quality Officer	Mr.	Garlie	Michael		1-262-207-9307					michael.garlie@communitycareinc.org	205 Bishops Way		Brookfield	WI	53005	8/14/2020	2026	"COMMUNITY CARE HEALTH PLAN, INC."	Local CCP	Community Care	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2034	Coordination of Benefits Contact	Claims Manager	Mr	Hau	Jeremy		1-262-953-8627					jeremy.hau@communitycareinc.org	1801 Dolphin Drive		Waukesha	WI	53186	11/30/2023	2026	"COMMUNITY CARE HEALTH PLAN, INC."	Local CCP	Community Care	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2034	Customer Service Operations Contact	CCHP Program Officer	Ms.	Carter	Kelly		1-262-207-9323					kelly.carter@communitycareinc.org	205 Bishops Way		Brookfield	WI	53005	11/13/2020	2026	"COMMUNITY CARE HEALTH PLAN, INC."	Local CCP	Community Care	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2034	Government Relations Contact	Chief Executive Officer	Mr	Munson	Kenneth		1-262-207-9339					kenneth.munson@communitycareinc.org	205 Bishops Way		Brookfield	WI	53005	3/23/2015	2026	"COMMUNITY CARE HEALTH PLAN, INC."	Local CCP	Community Care	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2034	Hospice Contact	Nurse Practicioner	Mrs.	Peterson-Watts	Christine		1-414-902-2491					megan.farley-snieg@communitycareinc.org	3220 W. Vliet street		Milwaukee	WI	53208	5/29/2026	2026	"COMMUNITY CARE HEALTH PLAN, INC."	Local CCP	Community Care	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2034	Medicare Compliance Officer	Chief Compliance and Quality Officer	Mr.	Garlie	Michael		1-262-207-9307					michael.garlie@communitycareinc.org	205 Bishops Way		Brookfield	WI	53005	3/10/2020	2026	"COMMUNITY CARE HEALTH PLAN, INC."	Local CCP	Community Care	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2034	Part D Exceptions Contact	Pharmacy Manager	Mr.	Hamdan	Mohammad							mohammad.hamdan@communitycareinc.org	1555 S Layton Blvd		Milwaukee	WI	53215	2/9/2026	2026	"COMMUNITY CARE HEALTH PLAN, INC."	Local CCP	Community Care	HMO/HMOPOS		CareSource	321	Yes	Active	1-866-992-6600	22475			HMO - Health Maintenance Organization		C	Chicago
H2034	Pharmacy Network Management Contact	Pharmacy Manager	Mr.	Hamdan	Mohammad		1-414-902-2475					mohammad.hamdan@communitycareinc.org	1555 S Layton Blvd		Milwaukee	WI	53215	2/9/2026	2026	"COMMUNITY CARE HEALTH PLAN, INC."	Local CCP	Community Care	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2034	Pharmacy Technical Help Desk Contact			Service	Customer								2503 N. Hillcrest Pkwy		Altoona	WI	54720	3/16/2007	2026	"COMMUNITY CARE HEALTH PLAN, INC."	Local CCP	Community Care	HMO/HMOPOS		CareSource	321	Yes	Active	1-888-298-7770				HMO - Health Maintenance Organization		C	Chicago
H2034	Plan to Plan Reconciliation Contact	Accounting Specialist - Medicare	Ms	Instefjord	Lori		1-262-207-9374					lori.instefjord@communitycareinc.org	205 Bishops Way		Brookfield	WI	53005	10/25/2016	2026	"COMMUNITY CARE HEALTH PLAN, INC."	Local CCP	Community Care	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2035	Automated TrOOP Balance Transfer Contact	Business Systems Analyst		Murray	Karla		1-267-298-5899					kdmurray@performrx.com	200 Stevens Drive		Philadelphia	PA	19113	6/4/2025	2026	ALAMEDA ALLIANCE FOR HEALTH	Local CCP	Alameda Alliance for Health	HMO/HMOPOS		Alameda Alliance for Health	314	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2035	Best Available Evidence Contact	"Executive Director, Medicare Programs"		Meyers	Tome		1-510-541-5493					tmeyers@alamedaalliance.org	1240 S. Loop Rd		Alameda	CA	94502	6/3/2025	2026	ALAMEDA ALLIANCE FOR HEALTH	Local CCP	Alameda Alliance for Health	HMO/HMOPOS		Alameda Alliance for Health	314	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2035	Chief Financial Officer	CFO	Mr.	Riojas	Gil		1-510-373-5696					griojas@alamedaalliance.org	1240 S. Loop Rd		Alameda	CA	94502	9/2/2025	2026	ALAMEDA ALLIANCE FOR HEALTH	Local CCP	Alameda Alliance for Health	HMO/HMOPOS		Alameda Alliance for Health	314	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2035	CMS Casework Communication Contact	"Senior Director, Health Care Services"		Lam	Allison		1-510-995-1010					alam@alamedaalliance.org	1240 S. Loop Rd		Alameda	CA	94502	6/5/2025	2026	ALAMEDA ALLIANCE FOR HEALTH	Local CCP	Alameda Alliance for Health	HMO/HMOPOS		Alameda Alliance for Health	314	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2035	Coordination of Benefits Contact	"Executive Director, Operations"		Lewis	Tami		1-510-747-6181					tlewis@alamedaalliance.org	1240 S. Loop Rd		Alameda	CA	94502	1/30/2025	2026	ALAMEDA ALLIANCE FOR HEALTH	Local CCP	Alameda Alliance for Health	HMO/HMOPOS		Alameda Alliance for Health	314	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2035	Customer Service Operations Contact	"Sr. Director, Member Service"		DeGrano	Gia		1-510-747-6139					gdegrano@alamedaalliance.org	1240 S. Loop Rd		Alameda	CA	94502	6/5/2025	2026	ALAMEDA ALLIANCE FOR HEALTH	Local CCP	Alameda Alliance for Health	HMO/HMOPOS		Alameda Alliance for Health	314	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2035	Government Relations Contact	"Senior Manager, Public Affairs and Media Relations"		Rivera	Karina		1-510-373-5730					krivera@alamedaalliance.org	1240 S. Loop Rd		Alameda	CA	94502	1/30/2025	2026	ALAMEDA ALLIANCE FOR HEALTH	Local CCP	Alameda Alliance for Health	HMO/HMOPOS		Alameda Alliance for Health	314	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2035	Hospice Contact	Senior Director of Pharmacy Services		Lim	Luke		1-510-995-4781					lulim@alamedaalliance.org	1240 S. Loop Rd		Alameda	CA	94502	6/5/2025	2026	ALAMEDA ALLIANCE FOR HEALTH	Local CCP	Alameda Alliance for Health	HMO/HMOPOS		Alameda Alliance for Health	314	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2035	Medicare Compliance Officer	Interim CCO/CPO	Mr.	Smythe	Stephen	A	1-510-373-5721					ssmythe@alamedaalliance.org	1240 S. Loop Rd		Alameda	CA	94502	5/7/2026	2026	ALAMEDA ALLIANCE FOR HEALTH	Local CCP	Alameda Alliance for Health	HMO/HMOPOS		Alameda Alliance for Health	314	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2035	Part D Exceptions Contact	Director of Pharmacy Utilization Management		Bonko	Gerald						1-215-863-5100	gbonko@performrx.com	200 Stevens Drive		Philadelphia	PA	19113	6/4/2025	2026	ALAMEDA ALLIANCE FOR HEALTH	Local CCP	Alameda Alliance for Health	HMO/HMOPOS		Alameda Alliance for Health	314	Yes	Active	1-215-863-6483				HMO - Health Maintenance Organization		C	Dallas
H2035	Pharmacy Network Management Contact	Director of Pharmacy Network Operations		Patel	Disha		1-215-863-5276					dpatel5@performrx.com	200 Stevens Drive		Philadelphia	PA	19113	1/14/2026	2026	ALAMEDA ALLIANCE FOR HEALTH	Local CCP	Alameda Alliance for Health	HMO/HMOPOS		Alameda Alliance for Health	314	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2035	Pharmacy Technical Help Desk Contact			Technical Help Desk	Pharmacy							cvargas@performrx.com	200 Stevens Drive		Philadelphia	PA	19113	1/14/2026	2026	ALAMEDA ALLIANCE FOR HEALTH	Local CCP	Alameda Alliance for Health	HMO/HMOPOS		Alameda Alliance for Health	314	Yes	Active	1-833-793-3767				HMO - Health Maintenance Organization		C	Dallas
H2035	Plan to Plan Reconciliation Contact	Controller		Dutt	Pritika		1-510-995-1050					pdutt@alamedaalliance.org	1240 S. Loop Rd		Alameda	CA	94502	3/6/2026	2026	ALAMEDA ALLIANCE FOR HEALTH	Local CCP	Alameda Alliance for Health	HMO/HMOPOS		Alameda Alliance for Health	314	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2041	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF MISSOURI INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2041	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF MISSOURI INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2041	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF MISSOURI INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2041	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF MISSOURI INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2041	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF MISSOURI INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2041	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF MISSOURI INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2041	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF MISSOURI INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2041	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF MISSOURI INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2041	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF MISSOURI INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2041	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF MISSOURI INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				HMO - Health Maintenance Organization		C	Boston
H2041	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF MISSOURI INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2041	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF MISSOURI INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Boston
H2041	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF MISSOURI INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2056	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	AETNA BETTER HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2056	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	AETNA BETTER HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2056	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA BETTER HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2056	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	AETNA BETTER HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2056	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	AETNA BETTER HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2056	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	AETNA BETTER HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2056	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA BETTER HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2056	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	AETNA BETTER HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2056	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	AETNA BETTER HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2056	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	AETNA BETTER HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H2056	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA BETTER HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2056	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	AETNA BETTER HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H2056	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA BETTER HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2064	Automated TrOOP Balance Transfer Contact	"Associate Vice President, LIFE Geisinger"	Ms.	Kubasti	Teena		1-570-373-2107				1-570-808-4781	tmkubasti@geisinger.edu	100 North Academy Avenue	MC 38-61	Danville	PA	17822	1/19/2026	2026	GEISINGER COMMUNITY HEALTH SERVICES	National PACE	LIFE Geisinger	National PACE		"Risant Health, Inc."	96	Yes	Active					PACE - Nat		C	Philadelphia
H2064	Best Available Evidence Contact	Coordinator Quality & Reporting - LIFE Geisinger	Ms.	Palmer	Deborah	A	1-570-214-9806				1-570-214-9791	dapalmer@geisinger.edu	100 North Academy Avenue	MC 60-65	Danville	PA	17822	1/19/2026	2026	GEISINGER COMMUNITY HEALTH SERVICES	National PACE	LIFE Geisinger	National PACE		"Risant Health, Inc."	96	Yes	Active					PACE - Nat		C	Philadelphia
H2064	Chief Financial Officer	"Director, Financial Reporting"	Ms.	Pusti	Jessica	A	1-570-582-5447				1-570-214-9791	jmpusti1@geisinger.edu	100 North Academy Avenue	MC 30-69	Danville	PA	17822	1/19/2026	2026	GEISINGER COMMUNITY HEALTH SERVICES	National PACE	LIFE Geisinger	National PACE		"Risant Health, Inc."	96	Yes	Active					PACE - Nat		C	Philadelphia
H2064	CMS Casework Communication Contact	"Director, Quality and Regulatory Operations"	Ms.	Coolbaugh	Brenna		1-570-885-0074				1-570-808-4781	bcoolbaugh1@geisinger.edu	100 North Academy Avenue	MC 38-61	Danville	PA	17822	1/19/2026	2026	GEISINGER COMMUNITY HEALTH SERVICES	National PACE	LIFE Geisinger	National PACE		"Risant Health, Inc."	96	Yes	Active					PACE - Nat		C	Philadelphia
H2064	Coordination of Benefits Contact	"Associate Vice President, LIFE Geisinger"	Ms.	Kubasti	Teena	A	1-570-373-2107				1-570-808-4781	tmkubasti@geisinger.edu	100 North Academy Avenue	MC 38-61	Danville	PA	17822	1/19/2026	2026	GEISINGER COMMUNITY HEALTH SERVICES	National PACE	LIFE Geisinger	National PACE		"Risant Health, Inc."	96	Yes	Active					PACE - Nat		C	Philadelphia
H2064	Customer Service Operations Contact	Coordinator Quality & Reporting - LIFE Geisinger	Ms.	Palmer	Deborah	A	1-570-214-9806				1-570-214-9791	dapalmer@geisinger.edu	100 North Academy Avenue	MC 60-65	Danville	PA	17822	1/19/2026	2026	GEISINGER COMMUNITY HEALTH SERVICES	National PACE	LIFE Geisinger	National PACE		"Risant Health, Inc."	96	Yes	Active					PACE - Nat		C	Philadelphia
H2064	Government Relations Contact	"Associate Vice President, LIFE Geisinger"	Ms.	Kubasti	Teena		1-570-373-2107				1-570-808-4781	tmkubasti@geisinger.edu	100 North Academy Avenue	MC 38-61	Danville	PA	17822	1/19/2026	2026	GEISINGER COMMUNITY HEALTH SERVICES	National PACE	LIFE Geisinger	National PACE		"Risant Health, Inc."	96	Yes	Active					PACE - Nat		C	Philadelphia
H2064	Medicare Compliance Officer	Director Of Quality & Regulatory Operations	Ms.	Coolbaugh	Brenna		1-570-885-0074				1-570-808-4781	bcoolbaugh1@geisinger.edu	100 North Academy Avenue	MC 38-61	Danville	PA	17822	1/19/2026	2026	GEISINGER COMMUNITY HEALTH SERVICES	National PACE	LIFE Geisinger	National PACE		"Risant Health, Inc."	96	Yes	Active					PACE - Nat		C	Philadelphia
H2064	Part D Exceptions Contact	"Associate Vice President, LIFE Geisinger"	Ms.	Kubasti	Teena	A					1-570-808-4781	tmkubasti@geisinger.edu	100 North Academy Avenue	MC 38-61	Danville	PA	17822	1/19/2026	2026	GEISINGER COMMUNITY HEALTH SERVICES	National PACE	LIFE Geisinger	National PACE		"Risant Health, Inc."	96	Yes	Active	1-800-395-8759				PACE - Nat		C	Philadelphia
H2064	Pharmacy Network Management Contact	"Associate Vice President, LIFE Geisinger"	Ms.	Kubasti	Teena		1-570-373-2107				1-570-808-4781	tmkubasti@geisinger.edu	100 North Academy Avenue	MC 38-61	Danville	PA	17822	1/19/2026	2026	GEISINGER COMMUNITY HEALTH SERVICES	National PACE	LIFE Geisinger	National PACE		"Risant Health, Inc."	96	Yes	Active					PACE - Nat		C	Philadelphia
H2064	Pharmacy Technical Help Desk Contact	"Associate Vice President, LIFE Geisinger"	Ms.	Kubasti	Teena	A					1-570-808-4781	tmkubasti@geisinger.edu	100 North Academy Avenue	MC 38-61	Danville	PA	17822	1/19/2026	2026	GEISINGER COMMUNITY HEALTH SERVICES	National PACE	LIFE Geisinger	National PACE		"Risant Health, Inc."	96	Yes	Active	1-800-395-8759				PACE - Nat		C	Philadelphia
H2064	Plan to Plan Reconciliation Contact	Accountant Intermediate	Ms.	Manning	Emily		1-570-271-5555					ekmanning1@geisinger.edu	100 North Academy Avenue		Danville	PA	17822	7/31/2024	2026	GEISINGER COMMUNITY HEALTH SERVICES	National PACE	LIFE Geisinger	National PACE		"Risant Health, Inc."	96	Yes	Active					PACE - Nat		C	Philadelphia
H2085	Automated TrOOP Balance Transfer Contact			Wachsmuth	Rosalie		1-503-215-3681					rosalie.wachsmuth@providence.org	"4400 NE Halsey, Bldg. 1, Suite 200"		Portland	OR	97213	12/20/2021	2026	COLLABRIA CARE	National PACE	Providence PACE	National PACE		St. Joseph Home Care Network	800	Yes	Active					PACE - Nat		C	San Francisco
H2085	Best Available Evidence Contact			Wachsmuth	Rosalie		1-503-215-3681					rosalie.wachsmuth@providence.org	"4400 NE Halsey, Bldg. 1, Suite 200"		Portland	OR	97213	12/20/2021	2026	COLLABRIA CARE	National PACE	Providence PACE	National PACE		St. Joseph Home Care Network	800	Yes	Active					PACE - Nat		C	San Francisco
H2085	Chief Financial Officer		Ms	Barr	Natalie		1-503-215-3859					natalie.barr@providence.org	"4400 NE Halsey, Building 1, Suite 200"		Portland	OR	97213	12/20/2021	2026	COLLABRIA CARE	National PACE	Providence PACE	National PACE		St. Joseph Home Care Network	800	Yes	Active					PACE - Nat		C	San Francisco
H2085	CMS Casework Communication Contact	Health Plan Operations Manager		Wachsmuth	Rosalie		1-503-215-3681					rosalie.wachsmuth@providence.org	"4400 NE Halsey, Building 1, Suite 200"		Portland	OR	97213	12/20/2021	2026	COLLABRIA CARE	National PACE	Providence PACE	National PACE		St. Joseph Home Care Network	800	Yes	Active					PACE - Nat		C	San Francisco
H2085	Coordination of Benefits Contact	PACE Health Plan Data Analyst		Voytenko	Karen		1-503-215-6556				1-503-215-0685	karen.voytenko@providence.org	"1801 Lind Ave SW, Suite W217"		Renton	WA	98057	1/9/2026	2026	COLLABRIA CARE	National PACE	Providence PACE	National PACE		St. Joseph Home Care Network	800	Yes	Active					PACE - Nat		C	San Francisco
H2085	Customer Service Operations Contact			Chinn	Velaa		1-206-320-5325					Velaa.Chinn@providence.org	"1801 Lind Ave SW, Suite W217"		Renton	WA	98057	12/5/2024	2026	COLLABRIA CARE	National PACE	Providence PACE	National PACE		St. Joseph Home Care Network	800	Yes	Active					PACE - Nat		C	San Francisco
H2085	Government Relations Contact		Ms.	Noordijk	Cindy		1-503-215-4124					cynthia.noordijk@providence.org	"4400 NE Halsey, Bldg. 1, Suite 200"		Portland	OR	97213	1/12/2022	2026	COLLABRIA CARE	National PACE	Providence PACE	National PACE		St. Joseph Home Care Network	800	Yes	Active					PACE - Nat		C	San Francisco
H2085	Medicare Compliance Officer		Ms.	Noordijk	Cindy		1-503-215-4124					cynthia.noordijk@providence.org	"4400 NE Halsey, Bldg. 1, Suite 200"		Portland	OR	97213	12/21/2021	2026	COLLABRIA CARE	National PACE	Providence PACE	National PACE		St. Joseph Home Care Network	800	Yes	Active					PACE - Nat		C	San Francisco
H2085	Part D Exceptions Contact			Voytenko	Karen							karen.voytenko@providence.org	"4400 NE Halsey, Bldg. 1, Suite 200"		Portland	OR	97213	1/9/2026	2026	COLLABRIA CARE	National PACE	Providence PACE	National PACE		St. Joseph Home Care Network	800	Yes	Active	1-800-855-2880				PACE - Nat		C	San Francisco
H2085	Pharmacy Network Management Contact			Schultz	Elizabeth		1-425-525-6908					Elizabeth.Schultz@providence.org	"1801 Lind Ave SW, Suite W217"		Renton	WA	98057	12/5/2024	2026	COLLABRIA CARE	National PACE	Providence PACE	National PACE		St. Joseph Home Care Network	800	Yes	Active					PACE - Nat		C	San Francisco
H2085	Pharmacy Technical Help Desk Contact			Schultz	Elizabeth							Elizabeth.Schultz@providence.org	"1801 Lind Ave SW, Suite W217"		Re	WA	98057	12/5/2024	2026	COLLABRIA CARE	National PACE	Providence PACE	National PACE		St. Joseph Home Care Network	800	Yes	Active	1-425-525-6908				PACE - Nat		C	San Francisco
H2085	Plan to Plan Reconciliation Contact			Wachsmuth	Rosalie		1-503-215-3681					rosalie.wachsmuth@providence.org	"4400 NE Halsey, Bldg. 1, Suite 200"		Portland	OR	97213	12/20/2021	2026	COLLABRIA CARE	National PACE	Providence PACE	National PACE		St. Joseph Home Care Network	800	Yes	Active					PACE - Nat		C	San Francisco
H2100	Automated TrOOP Balance Transfer Contact			Siler	Sarah		1-844-664-2248					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	1/24/2025	2026	"HABITAT HEALTH SAN LEANDRO, LLC"	National PACE	Habitat Health San Leandro	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Pending					PACE - Nat		C	San Francisco
H2100	Best Available Evidence Contact			Siler	Sarah		1-844-664-2248					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	1/24/2025	2026	"HABITAT HEALTH SAN LEANDRO, LLC"	National PACE	Habitat Health San Leandro	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Pending					PACE - Nat		C	San Francisco
H2100	Chief Financial Officer		Mr.	Fuentes	Robert		1-844-664-2248					rfuentes@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	1/24/2025	2026	"HABITAT HEALTH SAN LEANDRO, LLC"	National PACE	Habitat Health San Leandro	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Pending					PACE - Nat		C	San Francisco
H2100	CMS Casework Communication Contact			Siler	Sarah		1-844-664-2248					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	1/24/2025	2026	"HABITAT HEALTH SAN LEANDRO, LLC"	National PACE	Habitat Health San Leandro	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Pending					PACE - Nat		C	San Francisco
H2100	Coordination of Benefits Contact			Siler	Sarah		1-844-664-2248					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	1/24/2025	2026	"HABITAT HEALTH SAN LEANDRO, LLC"	National PACE	Habitat Health San Leandro	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Pending					PACE - Nat		C	San Francisco
H2100	Customer Service Operations Contact			Waschevski	Susan		1-844-664-2248					swaschevski@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	1/24/2025	2026	"HABITAT HEALTH SAN LEANDRO, LLC"	National PACE	Habitat Health San Leandro	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Pending					PACE - Nat		C	San Francisco
H2100	Government Relations Contact			Dey	Anna		1-844-664-2248					adey@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	1/24/2025	2026	"HABITAT HEALTH SAN LEANDRO, LLC"	National PACE	Habitat Health San Leandro	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Pending					PACE - Nat		C	San Francisco
H2100	Medicare Compliance Officer		Mrs.	Dey	Anna		1-844-664-2248					adey@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	1/24/2025	2026	"HABITAT HEALTH SAN LEANDRO, LLC"	National PACE	Habitat Health San Leandro	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Pending					PACE - Nat		C	San Francisco
H2100	Part D Exceptions Contact		Mrs.	Siler	Sarah							ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	1/24/2025	2026	"HABITAT HEALTH SAN LEANDRO, LLC"	National PACE	Habitat Health San Leandro	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Pending	1-844-664-2248				PACE - Nat		C	San Francisco
H2100	Pharmacy Network Management Contact			Siler	Sarah		1-844-664-2248					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	1/24/2025	2026	"HABITAT HEALTH SAN LEANDRO, LLC"	National PACE	Habitat Health San Leandro	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Pending					PACE - Nat		C	San Francisco
H2100	Pharmacy Technical Help Desk Contact		Mrs.	Siler	Sarah							ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	1/24/2025	2026	"HABITAT HEALTH SAN LEANDRO, LLC"	National PACE	Habitat Health San Leandro	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Pending	1-844-664-2248				PACE - Nat		C	San Francisco
H2100	Plan to Plan Reconciliation Contact			Siler	Sarah		1-844-664-2248					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	1/24/2025	2026	"HABITAT HEALTH SAN LEANDRO, LLC"	National PACE	Habitat Health San Leandro	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Pending					PACE - Nat		C	San Francisco
H2108	Automated TrOOP Balance Transfer Contact	Operations Advisor	Ms.	Fertig	Nancy	J	1-860-902-4553					nancy_fertig@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH MID-ATLANTIC, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2108	Best Available Evidence Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH MID-ATLANTIC, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2108	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	Health Care Service Corporation	300 East Randolph St	Chicago	IL	60601	5/26/2026	2026	"BRAVO HEALTH MID-ATLANTIC, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2108	CMS Casework Communication Contact	Customer Service Manager	Ms.	McCarroll	Angie		1-615-235-0177					angie_mccarroll@hcsc.com	3700 O'Donnell Street		Baltimore	MD	21224	5/26/2026	2026	"BRAVO HEALTH MID-ATLANTIC, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2108	Coordination of Benefits Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH MID-ATLANTIC, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2108	Customer Service Operations Contact	VP of Customer Service	Mr.	Akovenko	Josh		1-615-695-8916				1-000-000-0000	josh_akovenko@hcsc.com	Health Care Service Corporation	500 Great Circle Rd	Nashville	IL	60601	5/26/2026	2026	"BRAVO HEALTH MID-ATLANTIC, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2108	Government Relations Contact	Executive Director - Health Policy	Ms.	DuGoff	Eva		1-202-249-7208				1-000-000-0000	eva_dugoff@hcsc.net	Health Care Service Corporation	1001 Pennsylvania NW	Washington	DC	20004	5/26/2026	2026	"BRAVO HEALTH MID-ATLANTIC, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2108	Hospice Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH MID-ATLANTIC, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2108	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	5/26/2026	2026	"BRAVO HEALTH MID-ATLANTIC, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2108	Part D Exceptions Contact	Operations Senior Manager	Mr.	Erkens	Ron							ron_erkens@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH MID-ATLANTIC, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-602-317-1992				HMO - Health Maintenance Organization		C	New York
H2108	Pharmacy Network Management Contact	Provider Contracting Sr Manager	Ms.	Bourdier	Maryanne		1-860-338-9867					maryanne_bourdier@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH MID-ATLANTIC, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2108	Pharmacy Technical Help Desk Contact			Scripts	Express								Health Care Services Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH MID-ATLANTIC, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	New York
H2108	Plan to Plan Reconciliation Contact		Ms.	Thomas	Andrea	F	1-629-317-9367				1-615-291-7025	P2P@healthspring.com	P.O. Box 11407	Dept#8277	Birmingham	AL	35246	5/26/2026	2026	"BRAVO HEALTH MID-ATLANTIC, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2109	Automated TrOOP Balance Transfer Contact	Director	Ms.	Hampton	Tonoah		1-410-550-7044				1-410-550-7045	thampto4@jh.edu	"4940 Eastern Avenue,"	"Mason F Lord Bldg., East Tower, First Floor"	Baltimore	MD	21224	3/3/2023	2026	THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION	National PACE	Hopkins ElderPlus	National PACE		The Johns Hopkins Health System Corporation	137	Yes	Active					PACE - Nat		C	Philadelphia
H2109	Best Available Evidence Contact	Director	Ms.	Hampton	Tonoah		1-410-550-7044				1-410-550-7045	thampto4@jh.edu	"4940 Eastern Avenue,"	"Mason F Lord Bldg., East Tower, First Floor"	Baltimore	MD	21224	3/3/2023	2026	THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION	National PACE	Hopkins ElderPlus	National PACE		The Johns Hopkins Health System Corporation	137	Yes	Active					PACE - Nat		C	Philadelphia
H2109	Chief Financial Officer	Chief Financial Officer	Ms.	Williams	Katina		1-410-502-5388				1-410-955-0732	kwill249@jhmi.edu	"600 N. Wolfe Street, Billings Administration, Suite 414"		Baltimore	MD	21287	9/3/2025	2026	THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION	National PACE	Hopkins ElderPlus	National PACE		The Johns Hopkins Health System Corporation	137	Yes	Active					PACE - Nat		C	Philadelphia
H2109	CMS Casework Communication Contact	Director	Mrs.	Hampton	Tonoah		1-410-550-7124				1-410-550-7045	thampto4@jh.edu	4940 Eastern Ave		Baltimore	MD	21224	8/11/2023	2026	THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION	National PACE	Hopkins ElderPlus	National PACE		The Johns Hopkins Health System Corporation	137	Yes	Active					PACE - Nat		C	Philadelphia
H2109	Coordination of Benefits Contact	Director	Mrs.	Hampton	Tonoah		1-410-550-7124				1-410-550-7045	thampto4@jh.edu	4940 Eastern Ave		Baltimore	MD	21224	8/11/2023	2026	THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION	National PACE	Hopkins ElderPlus	National PACE		The Johns Hopkins Health System Corporation	137	Yes	Active					PACE - Nat		C	Philadelphia
H2109	Customer Service Operations Contact	Director	Mrs.	Hampton	Tonoah		1-410-550-7124				1-410-550-7045	thampto4@jh.edu	4940 Eastern Ave		Baltimore	MD	21224	8/11/2023	2026	THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION	National PACE	Hopkins ElderPlus	National PACE		The Johns Hopkins Health System Corporation	137	Yes	Active					PACE - Nat		C	Philadelphia
H2109	Government Relations Contact	Director	Mrs.	Hampton	Tonoah		1-410-550-7124				1-410-550-7045	thampto4@jh.edu	4940 Eastern Ave		Baltimore	MD	21224	8/11/2023	2026	THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION	National PACE	Hopkins ElderPlus	National PACE		The Johns Hopkins Health System Corporation	137	Yes	Active					PACE - Nat		C	Philadelphia
H2109	Medicare Compliance Officer	"Director, Hopkins ElderPlus"	Mrs.	Hampton	Tonoah	H	1-410-550-7044				1-410-550-7045	thampto4@jh.edu	"4940 Eastern Avenue,"	"Mason F Lord Bldg., East Tower, First Floor"	Baltimore	MD	21224	8/11/2023	2026	THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION	National PACE	Hopkins ElderPlus	National PACE		The Johns Hopkins Health System Corporation	137	Yes	Active					PACE - Nat		C	Philadelphia
H2109	Part D Exceptions Contact	Director	Mrs.	Hampton	Tonoah						1-410-550-7045	thampto4@jh.edu	4940 Eastern Ave		Baltimore	MD	21224	8/11/2023	2026	THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION	National PACE	Hopkins ElderPlus	National PACE		The Johns Hopkins Health System Corporation	137	Yes	Active	1-410-550-7124				PACE - Nat		C	Philadelphia
H2109	Pharmacy Network Management Contact	Director	Mrs.	Hampton	Tonoah		1-410-550-7124				1-410-550-7045	thampto4@jh.edu	4940 Eastern Ave		Baltimore	MD	21224	8/11/2023	2026	THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION	National PACE	Hopkins ElderPlus	National PACE		The Johns Hopkins Health System Corporation	137	Yes	Active					PACE - Nat		C	Philadelphia
H2109	Pharmacy Technical Help Desk Contact	Director	Mrs.	Hampton	Tonoah						1-410-550-7045	thampto4@jh.edu	4940 Eastern Ave		Baltimore	MD	21224	8/11/2023	2026	THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION	National PACE	Hopkins ElderPlus	National PACE		The Johns Hopkins Health System Corporation	137	Yes	Active	1-410-550-7124				PACE - Nat		C	Philadelphia
H2109	Plan to Plan Reconciliation Contact	Director	Mrs.	Hampton	Tonoah		1-410-550-7124				1-410-550-7045	thampto4@jh.edu	4940 Eastern Ave		Baltimore	MD	21224	8/11/2023	2026	THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION	National PACE	Hopkins ElderPlus	National PACE		The Johns Hopkins Health System Corporation	137	Yes	Active					PACE - Nat		C	Philadelphia
H2117	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	5/19/2026	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H2117	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	5/19/2026	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H2117	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	5/19/2026	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H2117	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	5/19/2026	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H2117	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	5/19/2026	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H2117	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	5/19/2026	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H2117	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	5/19/2026	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H2117	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	5/19/2026	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H2117	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	5/19/2026	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H2117	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	5/19/2026	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract	1-813-206-7152				PPO - BBA		C	Denver
H2117	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	5/19/2026	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H2117	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	5/19/2026	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract	1-833-750-0408				PPO - BBA		C	Denver
H2117	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	5/19/2026	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H2126	Automated TrOOP Balance Transfer Contact	Chief Financial Officer	Ms.	Sears	Michelle		1-401-427-8164					msears@nhpri.org	910 Douglas Pike		Smithfield	RI	02917	1/31/2025	2026	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	Local CCP	Neighborhood Health Plan of Rhode Island	HMO/HMOPOS		NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	530	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2126	Best Available Evidence Contact	Director of Business Services	Ms.	Sullivan	Kari		1-401-459-6612					ksullivan2@nhpri.org	910 Douglas Pike		Smithfield	RI	02917	1/31/2025	2026	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	Local CCP	Neighborhood Health Plan of Rhode Island	HMO/HMOPOS		NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	530	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2126	Chief Financial Officer	Chief Financial Officer	Ms.	Sears	Michelle		1-401-427-8164					msears@nhpri.org	910 Douglas Pike		Smithfield	RI	02917	1/31/2025	2026	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	Local CCP	Neighborhood Health Plan of Rhode Island	HMO/HMOPOS		NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	530	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2126	CMS Casework Communication Contact	Director of Quality & Grievance and Appeals	Ms.	Elias	Cesarina		1-401-459-6087					celias@nhpri.org	910 Douglas Pike		Smithfield	RI	02917	1/31/2025	2026	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	Local CCP	Neighborhood Health Plan of Rhode Island	HMO/HMOPOS		NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	530	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2126	Coordination of Benefits Contact	Chief Operating Officer	Ms.	Carlson	Karen		1-401-459-6633					kcarlson@nhpri.org	910 Douglas Pike		Smithfield	RI	02917	1/31/2025	2026	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	Local CCP	Neighborhood Health Plan of Rhode Island	HMO/HMOPOS		NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	530	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2126	Customer Service Operations Contact	Manager of Member Services	Mr.	Barnett	Ronald		1-401-459-6110					rbarnett@nhpri.org	910 Douglas Pike		Smithfield	RI	02917	1/31/2025	2026	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	Local CCP	Neighborhood Health Plan of Rhode Island	HMO/HMOPOS		NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	530	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2126	Government Relations Contact	Chief Growth Officer	Mr.	Burnett	David		1-401-459-6161					dburnett@nhpri.org	910 Douglas Pike		Smithfield	RI	02917	1/31/2025	2026	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	Local CCP	Neighborhood Health Plan of Rhode Island	HMO/HMOPOS		NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	530	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2126	Hospice Contact	Vice President of Pharmacy	Mr.	Lorson	Mark		1-401-459-6640					mlorson@nhpri.org	910 Douglas Pike		Smithfield	RI	02917	1/31/2025	2026	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	Local CCP	Neighborhood Health Plan of Rhode Island	HMO/HMOPOS		NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	530	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2126	Medicare Compliance Officer	Compliance & Privacy Officer	Ms.	Switzer	Kristen		1-401-459-6162					kswitzer@nhpri.org	910 Douglas Pike		Smithfield	RI	02917	1/31/2025	2026	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	Local CCP	Neighborhood Health Plan of Rhode Island	HMO/HMOPOS		NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	530	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2126	Part D Exceptions Contact	Vice President of Pharmacy	Mr.	Lorson	Mark							mlorson@nhpri.org	910 Douglas Pike		Smithfield	RI	02917	1/31/2025	2026	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	Local CCP	Neighborhood Health Plan of Rhode Island	HMO/HMOPOS		NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	530	Yes	Active	1-401-459-6640				HMO - Health Maintenance Organization		C	Boston
H2126	Pharmacy Network Management Contact	Vice President of Pharmacy	Mr.	Lorson	Mark		1-401-459-6640					mlorson@nhpri.org	910 Douglas Pike		Smithfield	RI	02917	1/31/2025	2026	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	Local CCP	Neighborhood Health Plan of Rhode Island	HMO/HMOPOS		NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	530	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2126	Pharmacy Technical Help Desk Contact	AVP Customer Care	Mr.	Jackson	Scott							scott.jackson@cvshealth.com	CVS Caremark Pharmacy Help Desk	445 Great Circle Blvd.	Nashville	TN	37228	1/31/2025	2026	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	Local CCP	Neighborhood Health Plan of Rhode Island	HMO/HMOPOS		NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	530	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Boston
H2126	Plan to Plan Reconciliation Contact	Senior Manager of Financial Analysis	Mr.	Milton	Bryan		1-401-427-6726					bmilton@nhpri.org	910 Douglas Pike		Smithfield	RI	02917	1/31/2025	2026	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	Local CCP	Neighborhood Health Plan of Rhode Island	HMO/HMOPOS		NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	530	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2162	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"WELLCARE OF NEW HAMPSHIRE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2162	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"WELLCARE OF NEW HAMPSHIRE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2162	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/20/2024	2026	"WELLCARE OF NEW HAMPSHIRE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2162	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"WELLCARE OF NEW HAMPSHIRE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2162	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"WELLCARE OF NEW HAMPSHIRE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2162	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/18/2024	2026	"WELLCARE OF NEW HAMPSHIRE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2162	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"WELLCARE OF NEW HAMPSHIRE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2162	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"WELLCARE OF NEW HAMPSHIRE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2162	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/22/2025	2026	"WELLCARE OF NEW HAMPSHIRE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2162	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/20/2024	2026	"WELLCARE OF NEW HAMPSHIRE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H2162	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	"WELLCARE OF NEW HAMPSHIRE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2162	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/17/2024	2026	"WELLCARE OF NEW HAMPSHIRE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0408				HMO - Health Maintenance Organization		C	Denver
H2162	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	6/20/2024	2026	"WELLCARE OF NEW HAMPSHIRE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2168	Automated TrOOP Balance Transfer Contact		Mr.	Esp	Bryan		1-858-790-6445					PartDCAT@MedImpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	2/3/2016	2026	VILLAGE SENIOR SERVICES CORPORATION	Local CCP	VillageCareMAX	HMO/HMOPOS		"Village Care of New York, Inc."	547	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2168	Best Available Evidence Contact	"VP, Member Experience and Support Services"		Fernandez	Vanessa		1-212-337-5678					VanessaF@villagecare.org	"120 Broadway, Suite 2840"		New York	NY	10271	4/28/2026	2026	VILLAGE SENIOR SERVICES CORPORATION	Local CCP	VillageCareMAX	HMO/HMOPOS		"Village Care of New York, Inc."	547	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2168	Chief Financial Officer	Chief Financial Officer	Ms.	Tirado	Debra		1-212-337-5710					DebraT@villagecare.org	120 Broadway	Suite 2840	New York	NY	10271	12/28/2022	2026	VILLAGE SENIOR SERVICES CORPORATION	Local CCP	VillageCareMAX	HMO/HMOPOS		"Village Care of New York, Inc."	547	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2168	CMS Casework Communication Contact	Director of Regulatory Affairs	Mr.	David	Mateo		1-347-803-6555					MateoD@villagecare.org	"120 Broadway, Suite 2840"		New York	NY	10271	4/28/2026	2026	VILLAGE SENIOR SERVICES CORPORATION	Local CCP	VillageCareMAX	HMO/HMOPOS		"Village Care of New York, Inc."	547	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2168	Coordination of Benefits Contact	Director of Regulatory Affairs	Mr.	David	Mateo		1-347-803-6555					MateoD@villagecare.org	"120 Broadway, Suite 2840"		New York	NY	10271	4/28/2026	2026	VILLAGE SENIOR SERVICES CORPORATION	Local CCP	VillageCareMAX	HMO/HMOPOS		"Village Care of New York, Inc."	547	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2168	Customer Service Operations Contact	VP of Member Experience	Ms.	Fernandez	Vanessa		1-212-337-5678					vanessaf@villagecare.org	120 Broadway Suite 2840		New York	NY	10271	4/28/2026	2026	VILLAGE SENIOR SERVICES CORPORATION	Local CCP	VillageCareMAX	HMO/HMOPOS		"Village Care of New York, Inc."	547	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2168	Government Relations Contact	Director of Regulatory Affairs	Mr.	David	Mateo		1-347-803-6555					MateoD@villagecare.org	"120 Broadway, Suite 2840"		New York	NY	10271	4/28/2026	2026	VILLAGE SENIOR SERVICES CORPORATION	Local CCP	VillageCareMAX	HMO/HMOPOS		"Village Care of New York, Inc."	547	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2168	Hospice Contact	Pharmacy Specialist		Eng-Liu	Eileen		1-212-337-5600	5964				EileenE@villagecare.org	"120 Broadway, Suite 2840"		New York	NY	10271	4/28/2026	2026	VILLAGE SENIOR SERVICES CORPORATION	Local CCP	VillageCareMAX	HMO/HMOPOS		"Village Care of New York, Inc."	547	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2168	Medicare Compliance Officer	Director of Regulatory Affairs	Mr.	David	Mateo		1-347-803-6555					MateoD@villagecare.org	"120 Broadway, Suite 2840"		New York	NY	10271	4/28/2026	2026	VILLAGE SENIOR SERVICES CORPORATION	Local CCP	VillageCareMAX	HMO/HMOPOS		"Village Care of New York, Inc."	547	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2168	Part D Exceptions Contact	Director of Regulatory Affairs	Mr.	David	Mateo							MateoD@villagecare.org	120 Broadway	2840	New York	NY	10271	1/29/2026	2026	VILLAGE SENIOR SERVICES CORPORATION	Local CCP	VillageCareMAX	HMO/HMOPOS		"Village Care of New York, Inc."	547	Yes	Active	1-347-803-6555				HMO - Health Maintenance Organization		C	New York
H2168	Pharmacy Network Management Contact			Maldonado	Cheryl		1-858-790-6397					cheryl.maldonado@medimpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	2/3/2016	2026	VILLAGE SENIOR SERVICES CORPORATION	Local CCP	VillageCareMAX	HMO/HMOPOS		"Village Care of New York, Inc."	547	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2168	Pharmacy Technical Help Desk Contact			Battle	Dorry							customerservice@medimpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	2/3/2016	2026	VILLAGE SENIOR SERVICES CORPORATION	Local CCP	VillageCareMAX	HMO/HMOPOS		"Village Care of New York, Inc."	547	Yes	Active	1-888-807-6806				HMO - Health Maintenance Organization		C	New York
H2168	Plan to Plan Reconciliation Contact	Chief Financial Officer	Ms.	Tirado	Debra		1-212-337-5710					DebraT@villagecare.org	120 Broadway	Suite 2840	New York	NY	10271	6/2/2025	2026	VILLAGE SENIOR SERVICES CORPORATION	Local CCP	VillageCareMAX	HMO/HMOPOS		"Village Care of New York, Inc."	547	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2172	Automated TrOOP Balance Transfer Contact	"Project Manager III, Pharmacy Benefit Mgmt"		Perez	Elizabeth	R	1-562-367-0592					Elizabeth.R.Perez@kp.org	12254 Bellflower Blvd.		Downey	CA	90242	8/2/2018	2026	KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2172	Best Available Evidence Contact	"Senior Team Manager, Medicare Membership Admin."		Salcido	Adam		1-858-829-3521					CSC-SD-Hospice-BAE@kp.org	3840 Murphy Canyon Rd.		San Diego	CA	92123	4/24/2023	2026	KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2172	Chief Financial Officer	SVP & CFO National Medicare Finance	Mr.	Stewart	Mark		1-401-284-8679					Mark.C1.Stewart@kp.org	1 Kaiser Plaza	c/o Kaiser Foundation Health Plan	Oakland	CA	94612	12/16/2024	2026	KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2172	CMS Casework Communication Contact	Medicare Compliance Lead		Walden	Chandra		1-971-404-7562					chandra.walden@kp.org	4000 Garden City Drive		Hyattsville	MD	20785	11/13/2025	2026	KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2172	Coordination of Benefits Contact	Senior Director		Chung	Clarence		1-562-390-9293				1-562-658-3866	clarence.j.chung@kp.org	"12254 Bellflower Blvd - Suite 106, 1st Floor"		Downey	CA	90242	4/28/2022	2026	KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2172	Customer Service Operations Contact	Executive Director		Osborne	Susan	A	1-503-457-6663				1-404-949-5001	susan.a.osborne@kp.org	Nine Piedmont Center	"3495 Piedmont Road, NE"	Atlanta	GA	30305	12/12/2023	2026	KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2172	Government Relations Contact	"Senior Vice President, Government Relations"		Barrueta	Anthony	A	1-510-271-6835					Anthony.Barrueta@kp.org	One Kaiser Plaza		Oakland	CA	94612	1/12/2017	2026	KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2172	Hospice Contact	"Senior Team Manager, Medicare Membership Admin."		Salcido	Adam		1-858-829-3521					CSC-SD-Hospice-BAE@kp.org	3840 Murphy Canyon Rd.		San Diego	CA	92123	4/24/2023	2026	KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2172	Medicare Compliance Officer	Medicare Compliance Lead	Ms.	Walden	Chandra		1-404-985-0135					chandra.walden@kp.org	3495 Piedmont Road	Nine Piedmont Center	Atlanta	GA	30305-1736	11/13/2025	2026	KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2172	Part D Exceptions Contact	Supervisor Program Management		Ramos	Blanca							blanca.a.ramos@kp.org	12254 Bellflower Blvd		Downey	CA	90242	12/6/2024	2026	KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active	1-562-370-3382				HMO - Health Maintenance Organization		C	Dallas
H2172	Pharmacy Network Management Contact	Pharmacy Benefits Manager		Zebert	Jordan		1-703-927-3513				1-703-466-4802	jordan.m.zebert@kp.org	22370 Davis Drive	Suite 190	Sterling	VA	20164	12/2/2024	2026	KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2172	Pharmacy Technical Help Desk Contact	Customer Care Center		OptumRx	PBM								755 Research Parkway Suite 160		Oklahoma City	OK	73104	1/12/2017	2026	KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active	1-888-791-7229				HMO - Health Maintenance Organization		C	Dallas
H2172	Plan to Plan Reconciliation Contact	"Interim Director, Medicare Accounting"		Wright	Mark	A	1-925-323-9443					mark.a.wright@kp.org	"1 Kaiser Plaza, 25th Floor"		Oakland	CA	94612	1/20/2023	2026	KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2174	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	"TRILLIUM COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2174	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	"TRILLIUM COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2174	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/25/2024	2026	"TRILLIUM COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2174	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"TRILLIUM COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2174	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"TRILLIUM COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2174	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	9/18/2024	2026	"TRILLIUM COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2174	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"TRILLIUM COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2174	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	"TRILLIUM COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2174	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/22/2025	2026	"TRILLIUM COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2174	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/25/2024	2026	"TRILLIUM COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H2174	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	"TRILLIUM COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2174	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/12/2025	2026	"TRILLIUM COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0202				HMO - Health Maintenance Organization		C	Denver
H2174	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	6/25/2024	2026	"TRILLIUM COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2185	Automated TrOOP Balance Transfer Contact	"Supervisor, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	relay.health@navitus.com	"Navitus Health Solutions, LLC"	1025 West Navitus Drive	Appleton	WI	54913	10/8/2024	2026	"LIFEWORKS ADVANTAGE, LLC"	Local CCP	Lifeworks Advantage	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2185	Best Available Evidence Contact	Enrollment Manager	Ms	Beringer	Stephanie		1-206-697-7797					stephanie.beringer@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/25/2025	2026	"LIFEWORKS ADVANTAGE, LLC"	Local CCP	Lifeworks Advantage	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2185	Chief Financial Officer	CFO/VP of Finance	Ms.	Martin	Rachel		1-775-544-8314					Rachel.Martin@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	10/8/2024	2026	"LIFEWORKS ADVANTAGE, LLC"	Local CCP	Lifeworks Advantage	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2185	CMS Casework Communication Contact	Director - Grievance/Appeals & CTMs		Fernandez	Erik		1-786-239-8513					Erik.Fernandez@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	10/8/2024	2026	"LIFEWORKS ADVANTAGE, LLC"	Local CCP	Lifeworks Advantage	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2185	Coordination of Benefits Contact	Enrollment Manager	Ms	Beringer	Stephanie		1-206-697-7797					stephanie.beringer@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/25/2025	2026	"LIFEWORKS ADVANTAGE, LLC"	Local CCP	Lifeworks Advantage	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2185	Customer Service Operations Contact			Estes	Courtney		1-877-310-6754	744				courtney.estes@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/3/2026	2026	"LIFEWORKS ADVANTAGE, LLC"	Local CCP	Lifeworks Advantage	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2185	Government Relations Contact	Medicare Compliance Officer	Ms.	Kotun	Gillian		1-615-481-1897					gillian.kotun@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	5/14/2026	2026	"LIFEWORKS ADVANTAGE, LLC"	Local CCP	Lifeworks Advantage	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2185	Hospice Contact	Sr. Director Part D Operations	Mr.	Sone	Victor		1-347-683-5717					victor.sone@curanahealth.com	10900 Nuckols Rd	Suite 110	Glen Allen	VA	23060	10/8/2024	2026	"LIFEWORKS ADVANTAGE, LLC"	Local CCP	Lifeworks Advantage	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2185	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Kotun	Gillian		1-615-481-1897					gillian.kotun@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	10/8/2024	2026	"LIFEWORKS ADVANTAGE, LLC"	Local CCP	Lifeworks Advantage	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2185	Part D Exceptions Contact			LeClair	Christophe						1-920-221-4676	christopher.leclair@Navitus.com	Navitus Health Solutions	361 Integrity Dr	Madison	WI	53717	10/8/2024	2026	"LIFEWORKS ADVANTAGE, LLC"	Local CCP	Lifeworks Advantage	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active	1-920-221-4176				HMO - Health Maintenance Organization		C	Chicago
H2185	Pharmacy Network Management Contact	VP Network Management		Santos	Christina		1-608-820-4408					christina.santos@navitus.com	361 Integrity Drive		Madison	WI	53717	6/6/2025	2026	"LIFEWORKS ADVANTAGE, LLC"	Local CCP	Lifeworks Advantage	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2185	Pharmacy Technical Help Desk Contact	"Manager, Customer Care Accounts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	"Navitus Health Solutions, LLC"	1025 W. Navitus Drive	Appleton	WI	54913	10/8/2024	2026	"LIFEWORKS ADVANTAGE, LLC"	Local CCP	Lifeworks Advantage	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Chicago
H2185	Plan to Plan Reconciliation Contact	CFO/VP of Finance	Ms.	Martin	Rachel		1-775-544-8314					p2padministration@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	10/8/2024	2026	"LIFEWORKS ADVANTAGE, LLC"	Local CCP	Lifeworks Advantage	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2218	Automated TrOOP Balance Transfer Contact	Part D Compliance Program Manager	Ms	Adam	Vivian		1-617-533-2430				1-617-533-2401	viadam@hhsi.us	1135 Morton Street		Mattapan	MA	02126	11/6/2025	2026	"HARBOR HEALTH SERVICES, INC."	National PACE	"Elder Service Plan of Harbor Health Services, Inc"	National PACE		"Harbor Health Services, Inc."	104	Yes	Active					PACE - Nat		C	New York
H2218	Best Available Evidence Contact	Director of ESP Finance		O'Sullivan	Maureen		1-617-533-2426				1-617-533-2401	mosullivan@hhsi.us	1135 Morton Street		Mattapan	MA	02126	3/7/2023	2026	"HARBOR HEALTH SERVICES, INC."	National PACE	"Elder Service Plan of Harbor Health Services, Inc"	National PACE		"Harbor Health Services, Inc."	104	Yes	Active					PACE - Nat		C	New York
H2218	Chief Financial Officer	CFO	Mr.	Murphy	Todd		1-617-533-2300	2333				tmurphy@hhsi.us	1135 Morton Street		Mattapan	MA	02126	12/5/2017	2026	"HARBOR HEALTH SERVICES, INC."	National PACE	"Elder Service Plan of Harbor Health Services, Inc"	National PACE		"Harbor Health Services, Inc."	104	Yes	Active					PACE - Nat		C	New York
H2218	CMS Casework Communication Contact	Executive Director	Ms.	Reynard	Gretchen		1-617-533-2424	2424			1-617-533-2401	greynard@hhsi.us	1135 Morton Street		Mattapan	MA	02126	3/19/2020	2026	"HARBOR HEALTH SERVICES, INC."	National PACE	"Elder Service Plan of Harbor Health Services, Inc"	National PACE		"Harbor Health Services, Inc."	104	Yes	Active					PACE - Nat		C	New York
H2218	Coordination of Benefits Contact	Part D Compliance Program Manager	Ms.	Adam	Vivian		1-617-533-2430				1-617-533-2401	viadam@hhsi.us	1135 Morton Street		Mattapan	MA	02126	11/6/2025	2026	"HARBOR HEALTH SERVICES, INC."	National PACE	"Elder Service Plan of Harbor Health Services, Inc"	National PACE		"Harbor Health Services, Inc."	104	Yes	Active					PACE - Nat		C	New York
H2218	Customer Service Operations Contact	Director of Quality & Compliance		Azar	Pamela		1-774-470-6740				1-617-533-2401	paazar@hhsi.us	1135 Morton Street		Mattapan	MA	02126	3/7/2023	2026	"HARBOR HEALTH SERVICES, INC."	National PACE	"Elder Service Plan of Harbor Health Services, Inc"	National PACE		"Harbor Health Services, Inc."	104	Yes	Active					PACE - Nat		C	New York
H2218	Government Relations Contact	Executive Director	Ms.	Reynard	Gretchen		1-617-533-2424	2424			1-617-533-2401	greynard@hhsi.us	1135 Morton Street		Mattapan	MA	02126	3/19/2020	2026	"HARBOR HEALTH SERVICES, INC."	National PACE	"Elder Service Plan of Harbor Health Services, Inc"	National PACE		"Harbor Health Services, Inc."	104	Yes	Active					PACE - Nat		C	New York
H2218	Medicare Compliance Officer	Director of Quality and Compliance	Ms.	Azar	Pamela		1-774-470-6700	6740			1-617-533-2484	paazar@hhsi.us	1135 Morton Street		Mattapan	MA	02126	9/30/2020	2026	"HARBOR HEALTH SERVICES, INC."	National PACE	"Elder Service Plan of Harbor Health Services, Inc"	National PACE		"Harbor Health Services, Inc."	104	Yes	Active					PACE - Nat		C	New York
H2218	Part D Exceptions Contact	Part D Compliance Program Manager		Adam	Vivian						1-617-533-2401	viadam@hhsi.us	1135 Morton Street		Mattapan	MA	02126	11/6/2025	2026	"HARBOR HEALTH SERVICES, INC."	National PACE	"Elder Service Plan of Harbor Health Services, Inc"	National PACE		"Harbor Health Services, Inc."	104	Yes	Active	1-617-533-2430				PACE - Nat		C	New York
H2218	Pharmacy Network Management Contact	Medical Director	Ms.	"Kopits, MD"	Ilona		1-774-470-6740	2424			1-617-533-2401	ikopits@hhsi.us	1135 Morton Street		Mattapan	MA	02126	3/19/2025	2026	"HARBOR HEALTH SERVICES, INC."	National PACE	"Elder Service Plan of Harbor Health Services, Inc"	National PACE		"Harbor Health Services, Inc."	104	Yes	Active					PACE - Nat		C	New York
H2218	Pharmacy Technical Help Desk Contact	Pharmacist		Akerman	Kyle						1-617-533-2401	kakerman@hhsi.us	1135 Morton Street		Mattapan	MA	02126	3/12/2026	2026	"HARBOR HEALTH SERVICES, INC."	National PACE	"Elder Service Plan of Harbor Health Services, Inc"	National PACE		"Harbor Health Services, Inc."	104	Yes	Active	1-617-533-2400				PACE - Nat		C	New York
H2218	Plan to Plan Reconciliation Contact	Director of Finance		O'Sullivan	Maureen		1-617-533-2400				1-617-533-2401	mosullivan@hhsi.us	1135 Morton Street		Mattapan	MA	02126	2/22/2022	2026	"HARBOR HEALTH SERVICES, INC."	National PACE	"Elder Service Plan of Harbor Health Services, Inc"	National PACE		"Harbor Health Services, Inc."	104	Yes	Active					PACE - Nat		C	New York
H2219	Automated TrOOP Balance Transfer Contact	Enrollment and Billing Operations Manager	Ms.	Farrar	Christina		1-800-333-2535	79089				Christina.Farrar@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	9/30/2024	2026	FALLON COMMUNITY HEALTH PLAN	National PACE	Fallon Health	National PACE		"Fallon Community Health Plan, Inc."	88	Yes	Active					PACE - Nat		C	New York
H2219	Best Available Evidence Contact	Enrollment and Billing Operations Manager	Ms.	Farrar	Christina		1-800-333-2535	79089				Christina.Farrar@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	9/30/2024	2026	FALLON COMMUNITY HEALTH PLAN	National PACE	Fallon Health	National PACE		"Fallon Community Health Plan, Inc."	88	Yes	Active					PACE - Nat		C	New York
H2219	Chief Financial Officer	SVP & Chief Financial Officer	Mr.	Consolmagno	Anthony		1-508-368-9473					Anthony.Consolmagno@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	2/25/2026	2026	FALLON COMMUNITY HEALTH PLAN	National PACE	Fallon Health	National PACE		"Fallon Community Health Plan, Inc."	88	Yes	Active					PACE - Nat		C	New York
H2219	CMS Casework Communication Contact	Customer Service Team Lead	Ms.	Ulfves	Heather		1-508-799-2100	79275				Heather.Ulfves@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	9/30/2024	2026	FALLON COMMUNITY HEALTH PLAN	National PACE	Fallon Health	National PACE		"Fallon Community Health Plan, Inc."	88	Yes	Active					PACE - Nat		C	New York
H2219	Coordination of Benefits Contact	"Director, Claims Admin & Compliance, Pymt Integ"	Ms.	Peterson	Stephanie		1-508-368-9654					stephanie.peterson@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	2/10/2026	2026	FALLON COMMUNITY HEALTH PLAN	National PACE	Fallon Health	National PACE		"Fallon Community Health Plan, Inc."	88	Yes	Active					PACE - Nat		C	New York
H2219	Customer Service Operations Contact	"Director, Customer Service"	Mr.	Fregeau	Andrew		1-508-368-9958					Andrew.Fregeau@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	1/10/2025	2026	FALLON COMMUNITY HEALTH PLAN	National PACE	Fallon Health	National PACE		"Fallon Community Health Plan, Inc."	88	Yes	Active					PACE - Nat		C	New York
H2219	Government Relations Contact	SrDirector MDCR Programs & MDCR Compliance Officer	Ms.	Lashbrook	Lisa		1-508-368-9539					Lisa.Lashbrook@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	9/30/2024	2026	FALLON COMMUNITY HEALTH PLAN	National PACE	Fallon Health	National PACE		"Fallon Community Health Plan, Inc."	88	Yes	Active					PACE - Nat		C	New York
H2219	Medicare Compliance Officer	SrDirector MDCR Programs & MDCR Compliance Officer	Ms.	Lashbrook	Lisa		1-508-368-9539					Lisa.Lashbrook@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	9/30/2024	2026	FALLON COMMUNITY HEALTH PLAN	National PACE	Fallon Health	National PACE		"Fallon Community Health Plan, Inc."	88	Yes	Active					PACE - Nat		C	New York
H2219	Part D Exceptions Contact	"Director, Pharmacy Operations & Clinical Programs"	Mr.	Sartini	David							David.Sartini@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	2/10/2026	2026	FALLON COMMUNITY HEALTH PLAN	National PACE	Fallon Health	National PACE		"Fallon Community Health Plan, Inc."	88	Yes	Active	1-508-368-9790				PACE - Nat		C	New York
H2219	Pharmacy Network Management Contact	"Director, Pharmacy Operations & Clinical Programs"	Mr.	Sartini	David		1-508-368-9790					David.Sartini@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	2/10/2026	2026	FALLON COMMUNITY HEALTH PLAN	National PACE	Fallon Health	National PACE		"Fallon Community Health Plan, Inc."	88	Yes	Active					PACE - Nat		C	New York
H2219	Pharmacy Technical Help Desk Contact			Help Desk	OptumRx								1600 McConnor Parkway		Schaumburg	IL	60173	12/29/2021	2026	FALLON COMMUNITY HEALTH PLAN	National PACE	Fallon Health	National PACE		"Fallon Community Health Plan, Inc."	88	Yes	Active	1-844-368-8734				PACE - Nat		C	New York
H2219	Plan to Plan Reconciliation Contact	"Director, Medical Accounting"	Mr.	Beaulieu	Michael		1-508-368-9020					Michael.Beaulieu@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	9/30/2024	2026	FALLON COMMUNITY HEALTH PLAN	National PACE	Fallon Health	National PACE		"Fallon Community Health Plan, Inc."	88	Yes	Active					PACE - Nat		C	New York
H2220	Automated TrOOP Balance Transfer Contact	Insurance Coordinator		Wong	Kwok		1-617-288-0970				1-617-474-0757	kwwong@uphams.org	1140 Dorchester Ave		Dorchester	MA	02125	5/30/2023	2026	"UPHAMS CORNER HEALTH COMMITTEE, INC."	National PACE	Upham's PACE	National PACE		"Uphams Corner Health Committee, Inc."	250	Yes	Active					PACE - Nat		C	New York
H2220	Best Available Evidence Contact	Chief PACE Program Officer		Roach	Nancy	J	1-617-288-0970	8803			1-617-474-0757	nroach@uphams.org	1140 Dorchester Ave		Dorchester	MA	02125	2/17/2022	2026	"UPHAMS CORNER HEALTH COMMITTEE, INC."	National PACE	Upham's PACE	National PACE		"Uphams Corner Health Committee, Inc."	250	Yes	Active					PACE - Nat		C	New York
H2220	Chief Financial Officer	CFO	Mr.	Cherry	Kevin		1-617-287-8000	8711				Kecherry@uphams.org	500 Columbia Road		Dorchester	MA	02125	5/19/2021	2026	"UPHAMS CORNER HEALTH COMMITTEE, INC."	National PACE	Upham's PACE	National PACE		"Uphams Corner Health Committee, Inc."	250	Yes	Active					PACE - Nat		C	New York
H2220	CMS Casework Communication Contact	Chief PACE Program Officer		Roach	Nancy	J	1-617-288-0970	8803			1-617-474-0757	nroach@uphams.org	1140 Dorchester Ave		Dorchester	MA	02125	2/17/2022	2026	"UPHAMS CORNER HEALTH COMMITTEE, INC."	National PACE	Upham's PACE	National PACE		"Uphams Corner Health Committee, Inc."	250	Yes	Active					PACE - Nat		C	New York
H2220	Coordination of Benefits Contact	Chief PACE Program Officer		Roach	Nancy	J	1-617-288-0970	8803			1-617-474-0757	nroach@uphams.org	1140 Dorchester Ave		Dorchester	MA	02125	2/17/2022	2026	"UPHAMS CORNER HEALTH COMMITTEE, INC."	National PACE	Upham's PACE	National PACE		"Uphams Corner Health Committee, Inc."	250	Yes	Active					PACE - Nat		C	New York
H2220	Customer Service Operations Contact	Chief PACE Program Officer		Roach	Nancy	J	1-617-288-0970	8803			1-617-474-0757	nroach@uphams.org	1140 Dorchester Ave		Dorchester	MA	02125	2/24/2022	2026	"UPHAMS CORNER HEALTH COMMITTEE, INC."	National PACE	Upham's PACE	National PACE		"Uphams Corner Health Committee, Inc."	250	Yes	Active					PACE - Nat		C	New York
H2220	Government Relations Contact	CEO	Mr.	Trivedi	Jagdeep		1-617-740-8131				1-617-282-8625	jtrivedi@uphams.org	415 Columbia Road		Dorchester	MA	02125	12/9/2015	2026	"UPHAMS CORNER HEALTH COMMITTEE, INC."	National PACE	Upham's PACE	National PACE		"Uphams Corner Health Committee, Inc."	250	Yes	Active					PACE - Nat		C	New York
H2220	Medicare Compliance Officer	Compliance Officer	Mrs.	Mitza	Kerry		1-617-287-8000	8030			1-617-282-8625	kmitza@uphams.org	415 Columbia Road		Dorchester	MA	02125	9/12/2016	2026	"UPHAMS CORNER HEALTH COMMITTEE, INC."	National PACE	Upham's PACE	National PACE		"Uphams Corner Health Committee, Inc."	250	Yes	Active					PACE - Nat		C	New York
H2220	Part D Exceptions Contact	Chief PACE Program Officer		Roach	Nancy						1-617-474-0757	nroach@uphams.org	1140 Dorchester Ave		Dorchester	MA	02125	8/9/2022	2026	"UPHAMS CORNER HEALTH COMMITTEE, INC."	National PACE	Upham's PACE	National PACE		"Uphams Corner Health Committee, Inc."	250	Yes	Active	1-617-288-0970				PACE - Nat		C	New York
H2220	Pharmacy Network Management Contact	Medical Director	MD	Phillips	Sarah		1-617-288-0970	8843			1-617-442-2589	SPhillips@uphams.org	1140 Dorchester Ave.		Dorchester	MA	02125	3/5/2026	2026	"UPHAMS CORNER HEALTH COMMITTEE, INC."	National PACE	Upham's PACE	National PACE		"Uphams Corner Health Committee, Inc."	250	Yes	Active					PACE - Nat		C	New York
H2220	Pharmacy Technical Help Desk Contact	Chief PACE Program Officer		Roach	Nancy						1-617-474-0757	nroach@uphams.org	1140 Dorchester Ave		Dorchester	MA	02125	2/24/2022	2026	"UPHAMS CORNER HEALTH COMMITTEE, INC."	National PACE	Upham's PACE	National PACE		"Uphams Corner Health Committee, Inc."	250	Yes	Active	1-617-288-0970				PACE - Nat		C	New York
H2220	Plan to Plan Reconciliation Contact	Insurance Coordinator		Wong	Kwok		1-617-288-0970				1-617-474-0757	kwwong@uphams.org	1140 Dorchester Ave		Dorchester	MA	02125	5/30/2023	2026	"UPHAMS CORNER HEALTH COMMITTEE, INC."	National PACE	Upham's PACE	National PACE		"Uphams Corner Health Committee, Inc."	250	Yes	Active					PACE - Nat		C	New York
H2221	Automated TrOOP Balance Transfer Contact	"Director, Health Plan Operations"		Tylander	Kathryn		1-617-575-5850				1-617-499-8360	ktylander@challiance.org	163 Gore Street		Cambridge	MA	02141	9/24/2025	2026	CAMBRIDGE PUBLIC HEALTH COMMISSION	National PACE	CHA PACE	National PACE		Cambridge Health Alliance	40	Yes	Active					PACE - Nat		C	New York
H2221	Best Available Evidence Contact	Dir. of Quality/Patient Safety		Fillas	Hannah		1-617-575-5850				1-617-499-8360	hfillas@challiance.org	163 Gore Street		Cambridge	MA	02141	11/5/2025	2026	CAMBRIDGE PUBLIC HEALTH COMMISSION	National PACE	CHA PACE	National PACE		Cambridge Health Alliance	40	Yes	Active					PACE - Nat		C	New York
H2221	Chief Financial Officer	"Director, Health Plan Operations"	M	Tylander	Kathryn		1-617-575-5850				1-617-665-3110	ktylander@challiance.org	163 Gore Street		Cambridge	MA	02141	9/24/2025	2026	CAMBRIDGE PUBLIC HEALTH COMMISSION	National PACE	CHA PACE	National PACE		Cambridge Health Alliance	40	Yes	Active					PACE - Nat		C	New York
H2221	CMS Casework Communication Contact	Operations Director	M	Donnelly	Sue		1-617-575-5850					sdonnelly@challiance.org	163 Gore St		Cambridge	MA	02141	8/25/2020	2026	CAMBRIDGE PUBLIC HEALTH COMMISSION	National PACE	CHA PACE	National PACE		Cambridge Health Alliance	40	Yes	Active					PACE - Nat		C	New York
H2221	Coordination of Benefits Contact	"Director, Health Plan Operations"	M	Tylander	Kathryn		1-617-575-5850				1-617-665-3110	ktylander@challiance.org	163 Gore Street		Cambridge	MA	02141	9/24/2025	2026	CAMBRIDGE PUBLIC HEALTH COMMISSION	National PACE	CHA PACE	National PACE		Cambridge Health Alliance	40	Yes	Active					PACE - Nat		C	New York
H2221	Customer Service Operations Contact	Operations Director	M	Donnelly	Sue		1-617-575-5850					sdonnelly@challiance.org	163 Gore St		Cambridge	MA	02141	8/25/2020	2026	CAMBRIDGE PUBLIC HEALTH COMMISSION	National PACE	CHA PACE	National PACE		Cambridge Health Alliance	40	Yes	Active					PACE - Nat		C	New York
H2221	Government Relations Contact	Executive Director	Mr	Geyerhahn	Jed		1-617-575-5850					jgeyerhahn@challiance.org	163 Gore Street		Cambridge	MA	02141	4/27/2017	2026	CAMBRIDGE PUBLIC HEALTH COMMISSION	National PACE	CHA PACE	National PACE		Cambridge Health Alliance	40	Yes	Active					PACE - Nat		C	New York
H2221	Medicare Compliance Officer	"Director, Health Plan Operations"	M	Tylander	Kathryn		1-617-575-5850				1-617-665-3110	ktylander@challiance.org	163 Gore Street		Cambridge	MA	02141	9/24/2025	2026	CAMBRIDGE PUBLIC HEALTH COMMISSION	National PACE	CHA PACE	National PACE		Cambridge Health Alliance	40	Yes	Active					PACE - Nat		C	New York
H2221	Part D Exceptions Contact	"Director, Health Plan Operations"		Tylander	Kathryn							ktylander@challiance.org	163 Gore St		Cambridge	MA	02141	9/24/2025	2026	CAMBRIDGE PUBLIC HEALTH COMMISSION	National PACE	CHA PACE	National PACE		Cambridge Health Alliance	40	Yes	Active	1-617-575-5850				PACE - Nat		C	New York
H2221	Pharmacy Network Management Contact	"Director, Health Plan Operations"		Tylander	Kathryn		1-617-575-5850				1-617-499-8360	ktylander@challiance.org	163 Gore Street		Cambridge	MA	02141	9/24/2025	2026	CAMBRIDGE PUBLIC HEALTH COMMISSION	National PACE	CHA PACE	National PACE		Cambridge Health Alliance	40	Yes	Active					PACE - Nat		C	New York
H2221	Pharmacy Technical Help Desk Contact	Pharmacist		Emma	D'Alleva							edalleva@challiance.org	163 Gore St		Cambridge	MA	02141	11/6/2020	2026	CAMBRIDGE PUBLIC HEALTH COMMISSION	National PACE	CHA PACE	National PACE		Cambridge Health Alliance	40	Yes	Active	1-617-575-5850				PACE - Nat		C	New York
H2221	Plan to Plan Reconciliation Contact	"Director, Health Plan Operations"		Tylander	Kathryn		1-617-575-5850				1-617-499-8360	ktylander@challiance.org	163 Gore Street		Cambridge	MA	02141	9/24/2025	2026	CAMBRIDGE PUBLIC HEALTH COMMISSION	National PACE	CHA PACE	National PACE		Cambridge Health Alliance	40	Yes	Active					PACE - Nat		C	New York
H2222	Automated TrOOP Balance Transfer Contact	Pharmacy Operations/Part D Program Manager		Dennison	Martha		1-781-934-2396				1-781-268-5070	mdennison@elementcare.org	235 Woodland North	2nd Floor	Lynn	MA	01904	2/18/2026	2026	"ELEMENT CARE, INC."	National PACE	"Element Care, Inc"	National PACE		"Element Care, Inc."	83	Yes	Active					PACE - Nat		C	New York
H2222	Best Available Evidence Contact	Director of Health Plan Operations		Febles	Jacklyn		1-781-715-6645					jacklynf@elementcare.org	235 Woodland North	2nd Floor	Lynn	MA	01904	9/9/2025	2026	"ELEMENT CARE, INC."	National PACE	"Element Care, Inc"	National PACE		"Element Care, Inc."	83	Yes	Active					PACE - Nat		C	New York
H2222	Chief Financial Officer	CFO	Mr.	Zamansky	Andrew		1-781-715-2394				1-781-715-6699	AndrewZ@Elementcare.org	235 Woodland North	2nd Floor	Lynn	MA	01904	12/16/2025	2026	"ELEMENT CARE, INC."	National PACE	"Element Care, Inc"	National PACE		"Element Care, Inc."	83	Yes	Active					PACE - Nat		C	New York
H2222	CMS Casework Communication Contact	CFO		Zamansky	Andrew		1-781-715-2394				1-781-715-6699	AndrewZ@Elementcare.org	235 Woodland North	2nd Floor	Lynn	MA	01904	3/2/2026	2026	"ELEMENT CARE, INC."	National PACE	"Element Care, Inc"	National PACE		"Element Care, Inc."	83	Yes	Active					PACE - Nat		C	New York
H2222	Coordination of Benefits Contact	CFO		Zamansky	Andrew		1-781-715-2394				1-781-715-6699	AndrewZ@Elementcare.org	235 Woodland North	2nd Floor	Lynn	MA	01904	3/2/2026	2026	"ELEMENT CARE, INC."	National PACE	"Element Care, Inc"	National PACE		"Element Care, Inc."	83	Yes	Active					PACE - Nat		C	New York
H2222	Customer Service Operations Contact	"Project Manager, Participant Services"		Recinos Guzman	Carla		1-781-715-6612				1-781-715-6699	crecinos@elementcare.org	235 Woodland North	2nd Floor	Lynn	MA	01904	11/6/2023	2026	"ELEMENT CARE, INC."	National PACE	"Element Care, Inc"	National PACE		"Element Care, Inc."	83	Yes	Active					PACE - Nat		C	New York
H2222	Government Relations Contact	Chief Government Relations Officer		Dugan	Mary		1-781-715-6617					mdugan@elementcare.org	235 Woodland North	2nd Floor	Lynn	MA	01904	2/18/2026	2026	"ELEMENT CARE, INC."	National PACE	"Element Care, Inc"	National PACE		"Element Care, Inc."	83	Yes	Active					PACE - Nat		C	New York
H2222	Medicare Compliance Officer	Director Compliance	Ms.	Schneid	Jennifer		1-630-200-9658				1-781-715-6699	jschneid@elementcare.org	235 Woodland North	2nd Floor	Lynn	MA	01904	3/2/2026	2026	"ELEMENT CARE, INC."	National PACE	"Element Care, Inc"	National PACE		"Element Care, Inc."	83	Yes	Active					PACE - Nat		C	New York
H2222	Part D Exceptions Contact	CFO		Zamansky	Andrew						1-781-715-6699	AndrewZ@Elementcare.org	235 Woodland North	2nd Floor	Lynn	MA	01904	12/16/2025	2026	"ELEMENT CARE, INC."	National PACE	"Element Care, Inc"	National PACE		"Element Care, Inc."	83	Yes	Active	1-781-715-2394				PACE - Nat		C	New York
H2222	Pharmacy Network Management Contact	Pharmacy Operations/Part D Program Manager		Dennison	Martha		1-781-934-2936				1-781-268-5070	mdennison@elementcare.org	235 Woodland North	2nd Floor	Lynn	MA	01904	2/18/2026	2026	"ELEMENT CARE, INC."	National PACE	"Element Care, Inc"	National PACE		"Element Care, Inc."	83	Yes	Active					PACE - Nat		C	New York
H2222	Pharmacy Technical Help Desk Contact	Pharmacy Operations/Part D Program Manager		Dennison	Martha						1-781-268-5070	mdennison@elementcare.org	235 Woodland North	2nd Floor	Lynn	MA	01904	2/18/2026	2026	"ELEMENT CARE, INC."	National PACE	"Element Care, Inc"	National PACE		"Element Care, Inc."	83	Yes	Active	1-781-934-2936				PACE - Nat		C	New York
H2222	Plan to Plan Reconciliation Contact	CFO		Zamansky	Andrew		1-781-715-2394				1-781-715-6699	AndrewZ@Elementcare.org	235 Woodland North	2nd Floor	Lynn	MA	01904	12/16/2025	2026	"ELEMENT CARE, INC."	National PACE	"Element Care, Inc"	National PACE		"Element Care, Inc."	83	Yes	Active					PACE - Nat		C	New York
H2223	Automated TrOOP Balance Transfer Contact	Health Plan Analyst		Moustafa	Saphia		1-617-568-6124					Moustasa@NeighborHealth.com	10 Gove Street		East Boston	MA	02128	12/5/2024	2026	NEIGHBORHEALTH CORPORATION	National PACE	Neighborhood PACE	National PACE		NEIGHBORHEALTH CORPORATION	861	Yes	Active					PACE - Nat		C	New York
H2223	Best Available Evidence Contact	Medical Director	Dr.	Pedulla	James		1-617-569-6800				1-617-568-7259	pedullaj@NeighborHealth.com	10 Gove Street		East Boston	MA	02128	6/25/2024	2026	NEIGHBORHEALTH CORPORATION	National PACE	Neighborhood PACE	National PACE		NEIGHBORHEALTH CORPORATION	861	Yes	Active					PACE - Nat		C	New York
H2223	Chief Financial Officer	CFO	Mr.	Hazard	James		1-617-569-5800					hazardj@NeighborHealth.com	10 Gove St		East Boston	MA	02128	6/25/2024	2026	NEIGHBORHEALTH CORPORATION	National PACE	Neighborhood PACE	National PACE		NEIGHBORHEALTH CORPORATION	861	Yes	Active					PACE - Nat		C	New York
H2223	CMS Casework Communication Contact	VP & Chief Administrative Officer		DeAraujo	Ernani		1-617-568-4567					dearauje@neighborhealth.com	10 Gove St		East Boston	MA	02128	4/17/2025	2026	NEIGHBORHEALTH CORPORATION	National PACE	Neighborhood PACE	National PACE		NEIGHBORHEALTH CORPORATION	861	Yes	Active					PACE - Nat		C	New York
H2223	Coordination of Benefits Contact	Health Plan Analyst		Moustafa	Saphia		1-617-568-6127					Moustasa@NeighborHealth.com	10 Gove Street		East Boston	MA	02128	6/25/2024	2026	NEIGHBORHEALTH CORPORATION	National PACE	Neighborhood PACE	National PACE		NEIGHBORHEALTH CORPORATION	861	Yes	Active					PACE - Nat		C	New York
H2223	Customer Service Operations Contact	VP & Chief Administrative Officer		DeAraujo	Ernani		1-617-568-4714					dearauje@neighborhealth.com	10 Gove St		East Boston	MA	02128	4/17/2025	2026	NEIGHBORHEALTH CORPORATION	National PACE	Neighborhood PACE	National PACE		NEIGHBORHEALTH CORPORATION	861	Yes	Active					PACE - Nat		C	New York
H2223	Government Relations Contact	VP & Chief Administrative Officer		DeAraujo	Ernani		1-617-568-4714					dearauje@neighborhealth.com	10 Gove St		East Boston	MA	02128	4/17/2025	2026	NEIGHBORHEALTH CORPORATION	National PACE	Neighborhood PACE	National PACE		NEIGHBORHEALTH CORPORATION	861	Yes	Active					PACE - Nat		C	New York
H2223	Medicare Compliance Officer	"Deputy General Counsel, AVP"	Mrs.	McGee	Amanda		1-617-568-5800					mcgeea@NeighborHealth.com	10 Gove St		East Boston	MA	02128	6/25/2024	2026	NEIGHBORHEALTH CORPORATION	National PACE	Neighborhood PACE	National PACE		NEIGHBORHEALTH CORPORATION	861	Yes	Active					PACE - Nat		C	New York
H2223	Part D Exceptions Contact	Medical Director	Dr.	Pedulla	James							pedullaj@NeighborHealth.com	10 Gove St		East Boston	MA	02128	6/25/2024	2026	NEIGHBORHEALTH CORPORATION	National PACE	Neighborhood PACE	National PACE		NEIGHBORHEALTH CORPORATION	861	Yes	Active	1-617-568-4570				PACE - Nat		C	New York
H2223	Pharmacy Network Management Contact	Clinical Pharmacist		Casey	Ashley		1-617-569-5800					caseya@NeighborHealth.com	10 Gove Street		East Boston	MA	02128	10/30/2025	2026	NEIGHBORHEALTH CORPORATION	National PACE	Neighborhood PACE	National PACE		NEIGHBORHEALTH CORPORATION	861	Yes	Active					PACE - Nat		C	New York
H2223	Pharmacy Technical Help Desk Contact	Clinical Pharmacist		Casey	Ashley							caseya@NeighborHealth.com	10 Gove St		East Boston	MA	02128	10/30/2025	2026	NEIGHBORHEALTH CORPORATION	National PACE	Neighborhood PACE	National PACE		NEIGHBORHEALTH CORPORATION	861	Yes	Active	1-800-439-0183				PACE - Nat		C	New York
H2223	Plan to Plan Reconciliation Contact	Health Plan Analyst		Moustafa	Saphia		1-617-568-6124					Moustasa@NeighborHealth.com	10 Gove Street		East Boston	MA	02128	7/14/2025	2026	NEIGHBORHEALTH CORPORATION	National PACE	Neighborhood PACE	National PACE		NEIGHBORHEALTH CORPORATION	861	Yes	Active					PACE - Nat		C	New York
H2224	Automated TrOOP Balance Transfer Contact	"AVP, Pharmacy"		Vu	John		1-801-252-5706					an.vu@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	1/29/2025	2026	"SENIOR WHOLE HEALTH, LLC"	Local CCP	Molina Healthcare of Massachusetts	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2224	Best Available Evidence Contact	"Director, Medicare PEnrollment"		LeJeune	Ryan		1-562-549-4527					ryan.lejeune@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	1/31/2025	2026	"SENIOR WHOLE HEALTH, LLC"	Local CCP	Molina Healthcare of Massachusetts	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2224	Chief Financial Officer	"MHI - VP, Operating Finance"	Mr.	Parthasarathy	Vijay		1-630-381-8563					vijay.parthasarathy@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	10/24/2024	2026	"SENIOR WHOLE HEALTH, LLC"	Local CCP	Molina Healthcare of Massachusetts	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2224	CMS Casework Communication Contact	"Dir, Medicare A&G"		Bennett	Kimberly		1-248-854-9474					Kimberly.Bennett@molinahealthcare.com	24121 Rosewood Street		Oak Park	MI	48237	10/24/2024	2026	"SENIOR WHOLE HEALTH, LLC"	Local CCP	Molina Healthcare of Massachusetts	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2224	Coordination of Benefits Contact	"Director, Payment Integrity"		Hartberger	Jake		1-484-269-1480					Jake.Hartberger@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	10/24/2024	2026	"SENIOR WHOLE HEALTH, LLC"	Local CCP	Molina Healthcare of Massachusetts	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2224	Customer Service Operations Contact	"Vice President, Call Center"		Faroughi	Cheryl		1-614-547-6829					cheryl.faroughi@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	10/24/2024	2026	"SENIOR WHOLE HEALTH, LLC"	Local CCP	Molina Healthcare of Massachusetts	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2224	Government Relations Contact	"MHI- Vice President, Compliance"		Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@Molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	10/24/2024	2026	"SENIOR WHOLE HEALTH, LLC"	Local CCP	Molina Healthcare of Massachusetts	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2224	Hospice Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	10/24/2024	2026	"SENIOR WHOLE HEALTH, LLC"	Local CCP	Molina Healthcare of Massachusetts	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2224	Medicare Compliance Officer	"MHI- Vice President, Compliance"	Mr.	Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	10/24/2024	2026	"SENIOR WHOLE HEALTH, LLC"	Local CCP	Molina Healthcare of Massachusetts	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2224	Part D Exceptions Contact	"AVP, Medicare Pharmacy Services"		Vu	John							An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	10/24/2024	2026	"SENIOR WHOLE HEALTH, LLC"	Local CCP	Molina Healthcare of Massachusetts	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-801-252-5706				HMO - Health Maintenance Organization		C	New York
H2224	Pharmacy Network Management Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	10/24/2024	2026	"SENIOR WHOLE HEALTH, LLC"	Local CCP	Molina Healthcare of Massachusetts	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2224	Pharmacy Technical Help Desk Contact	"Director, Client Operations"		Help Desk	Pharmacy						1-480-314-6077	dayoubj@cvshealth.com	445 Great Circle Road		Nashville	TN	37228	10/24/2024	2026	"SENIOR WHOLE HEALTH, LLC"	Local CCP	Molina Healthcare of Massachusetts	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H2224	Plan to Plan Reconciliation Contact	"Director, Finance"		Cook	Keith		1-562-542-2024					P2P.molina@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	10/24/2024	2026	"SENIOR WHOLE HEALTH, LLC"	Local CCP	Molina Healthcare of Massachusetts	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2225	Automated TrOOP Balance Transfer Contact	Sr. Analyst Account Management		Diaz	Yamilca		1-401-651-3856					Yamilca.Diaz@cvshealth.com	1 CVS Dr.		Woonsocket	RI	02895	1/2/2025	2026	"COMMONWEALTH CARE ALLIANCE, INC."	Local CCP	Commonwealth Care Alliance Massachusetts	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2225	Best Available Evidence Contact	AVP Enrollment		Sarazen	Kristen		1-617-934-9307					Kristen.Sarazen@caresource.com	2 Avenue de Lafayette	5th Floor	Boston	MA	02111	6/16/2026	2026	"COMMONWEALTH CARE ALLIANCE, INC."	Local CCP	Commonwealth Care Alliance Massachusetts	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2225	Chief Financial Officer	Chief Financial Officer	Mr.	Smart	Lawrence		1-937-531-3335					Lawrence.Smart@caresource.com	PO Box 8738		Dayton	OH	45401	1/5/2026	2026	"COMMONWEALTH CARE ALLIANCE, INC."	Local CCP	Commonwealth Care Alliance Massachusetts	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2225	CMS Casework Communication Contact	AVP Grievances & Appeals		Mayo	Faustino		1-937-701-3522					Faustino.Mayo@caresource.com	140 North Jefferson St		Dayton	OH	45402	3/27/2026	2026	"COMMONWEALTH CARE ALLIANCE, INC."	Local CCP	Commonwealth Care Alliance Massachusetts	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2225	Coordination of Benefits Contact	Sr Director Claims Ops		Sottilotta	Lori		1-617-426-0600	1194				Lori.Sottilotta@caresource.com	2 Avenue de Lafayette	5th Floor	Boston	MA	02111	6/16/2026	2026	"COMMONWEALTH CARE ALLIANCE, INC."	Local CCP	Commonwealth Care Alliance Massachusetts	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2225	Customer Service Operations Contact	Director Contact Center		Cuevas	Sabrina		1-617-426-0600	51004				Sabrina.Cuevas@caresource.com	2 Avenue de Lafayette	5th Floor	Boston	MA	02111	6/16/2026	2026	"COMMONWEALTH CARE ALLIANCE, INC."	Local CCP	Commonwealth Care Alliance Massachusetts	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2225	Government Relations Contact	Federal Policy Medicare Director		Waickman	Nicole		1-617-426-0600	51412				Nicole.Waickman@caresource.com	2 Avenue de Lafayette	5th Floor	Boston	MA	02111	6/16/2026	2026	"COMMONWEALTH CARE ALLIANCE, INC."	Local CCP	Commonwealth Care Alliance Massachusetts	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2225	Hospice Contact	AVP Enrollment		Sarazen	Kristen		1-617-934-9307					Kristen.Sarazen@caresource.com	2 Avenue de Lafayette	5th Floor	Boston	MA	02111	6/16/2026	2026	"COMMONWEALTH CARE ALLIANCE, INC."	Local CCP	Commonwealth Care Alliance Massachusetts	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2225	Medicare Compliance Officer	"VP, Medicare Compliance Officer"	Ms.	Charron	Katherine		1-401-378-5409					katherine.charron@caresource.com	2 Avenue de Lafayette	5th Floor	Boston	MA	02111	4/3/2026	2026	"COMMONWEALTH CARE ALLIANCE, INC."	Local CCP	Commonwealth Care Alliance Massachusetts	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2225	Part D Exceptions Contact	Sr. Analyst Account Management		Diaz	Yamilca							Yamilca.Diaz@cvshealth.com	1 CVS Dr.		Woonsocket	RI	02895	1/2/2025	2026	"COMMONWEALTH CARE ALLIANCE, INC."	Local CCP	Commonwealth Care Alliance Massachusetts	HMO/HMOPOS		CareSource	321	Yes	Active	1-401-651-3856				HMO - Health Maintenance Organization		C	Boston
H2225	Pharmacy Network Management Contact	Director Network Operations		Smith	Shawn		1-480-391-4844					shawn.smith@cvshealth.com	9501 E. Shea Blvd.		Scottsdale	AZ	85260	1/2/2025	2026	"COMMONWEALTH CARE ALLIANCE, INC."	Local CCP	Commonwealth Care Alliance Massachusetts	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2225	Pharmacy Technical Help Desk Contact	Account Manager		Diaz	Yamilca						1-833-251-9739	Yamilca.Diaz@cvshealth.com	1 CVS Dr.		Woonsocket	RI	02895	1/2/2025	2026	"COMMONWEALTH CARE ALLIANCE, INC."	Local CCP	Commonwealth Care Alliance Massachusetts	HMO/HMOPOS		CareSource	321	Yes	Active	1-866-270-3877				HMO - Health Maintenance Organization		C	Boston
H2225	Plan to Plan Reconciliation Contact	"Manager, Accounts Payable"		Reeves	Jennifer		1-617-426-0600	51632				Jennifer.Reeves@caresource.com	2 Avenue de Lafayette	5th Floor	Boston	MA	02111	6/16/2026	2026	"COMMONWEALTH CARE ALLIANCE, INC."	Local CCP	Commonwealth Care Alliance Massachusetts	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2226	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UnitedHealthcare of New England, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2226	Best Available Evidence Contact	"Manager, Enrollment & Eligibility"		Asselin	Krista		1-763-361-1104					krista_asselin@uhc.com	PO Box 9472		Minneapolis	MN	55440	11/14/2025	2026	"UnitedHealthcare of New England, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2226	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/13/2025	2026	"UnitedHealthcare of New England, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2226	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"UnitedHealthcare of New England, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2226	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UnitedHealthcare of New England, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2226	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UnitedHealthcare of New England, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2226	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UnitedHealthcare of New England, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2226	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UnitedHealthcare of New England, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2226	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UnitedHealthcare of New England, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2226	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UnitedHealthcare of New England, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H2226	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UnitedHealthcare of New England, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2226	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UnitedHealthcare of New England, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H2226	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"UnitedHealthcare of New England, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2230	Automated TrOOP Balance Transfer Contact	Reporting Sr. Analyst		Kovalski	Robin		1-617-246-8586				1-617-246-8506	Robin.Kovalski@bcbsma.com	25 Technology Place	Mail Stop 03-04	Hingham	MA	02043-4359	8/4/2021	2026	"BCBS  OF MASSACHUSETTS HMO BLUE, INC."	Local CCP	Blue Cross Blue Shield of Massachusetts	Local PPO		"Blue Cross and Blue Shield of Massachusetts, Inc."	27	Yes	Active					PPO - BBA		C	Boston
H2230	Best Available Evidence Contact	Enrollment Supervisor		Peterson	Colin		1-617-246-9729				1-617-246-8506	colin.peterson@bcbsma.com	25 Technology Place	Mail Stop 03-04	Hingham	MA	02043-4359	8/25/2025	2026	"BCBS  OF MASSACHUSETTS HMO BLUE, INC."	Local CCP	Blue Cross Blue Shield of Massachusetts	Local PPO		"Blue Cross and Blue Shield of Massachusetts, Inc."	27	Yes	Active					PPO - BBA		C	Boston
H2230	Chief Financial Officer	Chief Financial Officer	Ms.	Kam	Ruby		1-617-246-3000					Ruby.Kam@bcbsma.com	101 Huntington Ave	Suite 1300	Boston	MA	02199-7611	10/2/2025	2026	"BCBS  OF MASSACHUSETTS HMO BLUE, INC."	Local CCP	Blue Cross Blue Shield of Massachusetts	Local PPO		"Blue Cross and Blue Shield of Massachusetts, Inc."	27	Yes	Active					PPO - BBA		C	Boston
H2230	CMS Casework Communication Contact	"Manager, Appeals and Grievance"		Ronaghan	Danielle		1-617-246-4663				1-617-246-8506	MedicareAdvantageRXAppeals@bcbsma.com	25 Technology Place	Mailstop 03-04	Hingham	MA	02043-4359	5/20/2024	2026	"BCBS  OF MASSACHUSETTS HMO BLUE, INC."	Local CCP	Blue Cross Blue Shield of Massachusetts	Local PPO		"Blue Cross and Blue Shield of Massachusetts, Inc."	27	Yes	Active					PPO - BBA		C	Boston
H2230	Coordination of Benefits Contact	Specialist II Business Ops		Seesholtz	Janet		1-617-246-9587					Janet.Seesholtz@bcbsma.com	25 Technology Place		Hingham	MA	02043	10/2/2025	2026	"BCBS  OF MASSACHUSETTS HMO BLUE, INC."	Local CCP	Blue Cross Blue Shield of Massachusetts	Local PPO		"Blue Cross and Blue Shield of Massachusetts, Inc."	27	Yes	Active					PPO - BBA		C	Boston
H2230	Customer Service Operations Contact	"Director, Member Service"		Hanstein	deMarigny		1-617-246-8941					deMarigny.Hanstein@bcbsma.com	25 Technology Place		HInghan	MA	02043	10/2/2025	2026	"BCBS  OF MASSACHUSETTS HMO BLUE, INC."	Local CCP	Blue Cross Blue Shield of Massachusetts	Local PPO		"Blue Cross and Blue Shield of Massachusetts, Inc."	27	Yes	Active					PPO - BBA		C	Boston
H2230	Government Relations Contact	"Senior Director, Government and Regulatory Affairs"	Ms.	Wilkinson	Erika		1-617-246-7987					Erika.Wilkinson@bcbsma.com	101 Huntington Ave	Suite 1300	Boston	MA	02199-7611	10/2/2025	2026	"BCBS  OF MASSACHUSETTS HMO BLUE, INC."	Local CCP	Blue Cross Blue Shield of Massachusetts	Local PPO		"Blue Cross and Blue Shield of Massachusetts, Inc."	27	Yes	Active					PPO - BBA		C	Boston
H2230	Hospice Contact	"Manager, Clinical Pharmacy"		Wong	Timothy		1-617-246-6927					Timothy.Wong@bcbsma.com	25 Technology Place		Hingham	MA	02043	5/17/2024	2026	"BCBS  OF MASSACHUSETTS HMO BLUE, INC."	Local CCP	Blue Cross Blue Shield of Massachusetts	Local PPO		"Blue Cross and Blue Shield of Massachusetts, Inc."	27	Yes	Active					PPO - BBA		C	Boston
H2230	Medicare Compliance Officer	"Director, Medicare Compliance"	Ms.	Sullivan	Christina		1-781-603-8012					MAPDCompliance@bcbsma.com	25 Technology Place	Mail stop 03/03	Hingham	MA	02043-4359	4/28/2022	2026	"BCBS  OF MASSACHUSETTS HMO BLUE, INC."	Local CCP	Blue Cross Blue Shield of Massachusetts	Local PPO		"Blue Cross and Blue Shield of Massachusetts, Inc."	27	Yes	Active					PPO - BBA		C	Boston
H2230	Part D Exceptions Contact	"Director, Pharmacy Operations"		Nelhuebel	Melinda						1-866-463-7700	Melinda.Nelhuebel@bcbsma.com	25 Technology Place		Hingham	MA	02043	5/29/2018	2026	"BCBS  OF MASSACHUSETTS HMO BLUE, INC."	Local CCP	Blue Cross Blue Shield of Massachusetts	Local PPO		"Blue Cross and Blue Shield of Massachusetts, Inc."	27	Yes	Active	1-800-366-7778				PPO - BBA		C	Boston
H2230	Pharmacy Network Management Contact	"Lead Director, Network Management"		Smith	Shawn		1-928-968-3645					Shawn.Smith@CVSHealth.com	9501 E Shea Blvd		Scottsdale	AZ	85260	2/25/2026	2026	"BCBS  OF MASSACHUSETTS HMO BLUE, INC."	Local CCP	Blue Cross Blue Shield of Massachusetts	Local PPO		"Blue Cross and Blue Shield of Massachusetts, Inc."	27	Yes	Active					PPO - BBA		C	Boston
H2230	Pharmacy Technical Help Desk Contact	"Sr, Manager , Client Operations"		Wry	Jonathan							Jonathan.Wry@CVSHealth.com	CVS Health 800 NW Chipman RD	Ste 5830	Lees Summit	MO	64063	6/1/2026	2026	"BCBS  OF MASSACHUSETTS HMO BLUE, INC."	Local CCP	Blue Cross Blue Shield of Massachusetts	Local PPO		"Blue Cross and Blue Shield of Massachusetts, Inc."	27	Yes	Active	1-866-693-4620				PPO - BBA		C	Boston
H2230	Plan to Plan Reconciliation Contact	"Director, Corporate Accounting and Reporting"		Thurber	Steven		1-617-246-6523				1-617-246-7806	Steven.Thurber@bcbsma.com	101 Huntington Ave	Suite 1300	Boston	MA	02199-7611	10/2/2025	2026	"BCBS  OF MASSACHUSETTS HMO BLUE, INC."	Local CCP	Blue Cross Blue Shield of Massachusetts	Local PPO		"Blue Cross and Blue Shield of Massachusetts, Inc."	27	Yes	Active					PPO - BBA		C	Boston
H2235	Automated TrOOP Balance Transfer Contact	Chief Operating Officer	Mr	Hayle	Orlando	S	1-727-315-6871					Orlando.Hayle@BAYCARE.ORG	300 Park Place Blvd.	Suite 170	Clearwater	FL	33759	1/22/2026	2026	"BAYCARE SELECT HEALTH PLANS, INC."	Local CCP	BayCare Health Plans	HMO/HMOPOS		"BayCare Health System, Inc."	688	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2235	Best Available Evidence Contact	Chief Operating Officer	Mr	Hayle	Orlando	S	1-727-315-6871					Orlando.Hayle@BAYCARE.ORG	300 Park Place Blvd.	Suite 170	Clearwater	FL	33759	1/22/2026	2026	"BAYCARE SELECT HEALTH PLANS, INC."	Local CCP	BayCare Health Plans	HMO/HMOPOS		"BayCare Health System, Inc."	688	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2235	Chief Financial Officer	Chief Financial Officer	Mr	Tremonti	Carl		1-813-586-8443					carl.tremonti@baycare.org	300 Park Place Blvd.	Suite 170	Clearwater	FL	33759	1/22/2026	2026	"BAYCARE SELECT HEALTH PLANS, INC."	Local CCP	BayCare Health Plans	HMO/HMOPOS		"BayCare Health System, Inc."	688	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2235	CMS Casework Communication Contact	Chief Compliance Officer	Ms.	Tofani	Joanna		1-727-519-1974					Joanna.Tofani@baycare.org	300 Park Place Blvd.	Suite 170	Clearwater	FL	33759	2/25/2020	2026	"BAYCARE SELECT HEALTH PLANS, INC."	Local CCP	BayCare Health Plans	HMO/HMOPOS		"BayCare Health System, Inc."	688	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2235	Coordination of Benefits Contact	Pharmacist		McDowell	John		1-757-647-5020					john.mcdowell@baycare.org	300 Park Place Blvd	Suite170	Clearwater	FL	33759	1/15/2025	2026	"BAYCARE SELECT HEALTH PLANS, INC."	Local CCP	BayCare Health Plans	HMO/HMOPOS		"BayCare Health System, Inc."	688	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2235	Customer Service Operations Contact	Chief Operating Officer	Mr	Hayle	Orlando	S	1-727-315-6871					Orlando.Hayle@BAYCARE.ORG	300 Park Place Blvd.	Suite 170	Clearwater	FL	33759	1/22/2026	2026	"BAYCARE SELECT HEALTH PLANS, INC."	Local CCP	BayCare Health Plans	HMO/HMOPOS		"BayCare Health System, Inc."	688	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2235	Government Relations Contact	Chief Compliance Officer	Ms.	Tofani	Joanna		1-727-519-1974					Joanna.Tofani@baycare.org	300 Park Place Blvd.	Suite 170	Clearwater	FL	33759	2/25/2020	2026	"BAYCARE SELECT HEALTH PLANS, INC."	Local CCP	BayCare Health Plans	HMO/HMOPOS		"BayCare Health System, Inc."	688	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2235	Hospice Contact	Pharmacist		McDowell	John		1-757-647-5020					john.mcdowell@baycare.org	300 Park Place Blvd	Suite170	Clearwater	FL	33759	1/15/2025	2026	"BAYCARE SELECT HEALTH PLANS, INC."	Local CCP	BayCare Health Plans	HMO/HMOPOS		"BayCare Health System, Inc."	688	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2235	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Tofani	Joanna		1-727-519-1974					Joanna.Tofani@baycare.org	300 Park Place Blvd.	Suite 170	Clearwater	FL	33759	2/25/2020	2026	"BAYCARE SELECT HEALTH PLANS, INC."	Local CCP	BayCare Health Plans	HMO/HMOPOS		"BayCare Health System, Inc."	688	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2235	Part D Exceptions Contact	Dir PA Clinical Programs	Mr.	McGurran	Shawn							Shawn.McGurran@MedImpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	2/5/2018	2026	"BAYCARE SELECT HEALTH PLANS, INC."	Local CCP	BayCare Health Plans	HMO/HMOPOS		"BayCare Health System, Inc."	688	Yes	Active	1-858-790-6682				HMO - Health Maintenance Organization		C	Atlanta
H2235	Pharmacy Network Management Contact	"Manager, PNS & Claims Operations"	Ms.	Burke	Sharon		1-858-790-7148					Sharon.Burke@MedImpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	2/5/2018	2026	"BAYCARE SELECT HEALTH PLANS, INC."	Local CCP	BayCare Health Plans	HMO/HMOPOS		"BayCare Health System, Inc."	688	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2235	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"	Ms.	Brewer	Kathy							Customerservice@MedImpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	11/20/2020	2026	"BAYCARE SELECT HEALTH PLANS, INC."	Local CCP	BayCare Health Plans	HMO/HMOPOS		"BayCare Health System, Inc."	688	Yes	Active	1-888-741-5002				HMO - Health Maintenance Organization		C	Atlanta
H2235	Plan to Plan Reconciliation Contact	"Director, Finance"		Blas	Melissa		1-727-519-1972					melissa.blas@baycare.org	300 Park Place Blvd.	Suite 170	Clearwater	FL	33759	3/28/2024	2026	"BAYCARE SELECT HEALTH PLANS, INC."	Local CCP	BayCare Health Plans	HMO/HMOPOS		"BayCare Health System, Inc."	688	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2237	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	INDEPENDENT CARE HEALTH PLAN	Local CCP	iCare	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2237	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	INDEPENDENT CARE HEALTH PLAN	Local CCP	iCare	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2237	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	INDEPENDENT CARE HEALTH PLAN	Local CCP	iCare	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2237	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	INDEPENDENT CARE HEALTH PLAN	Local CCP	iCare	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2237	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	INDEPENDENT CARE HEALTH PLAN	Local CCP	iCare	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2237	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	INDEPENDENT CARE HEALTH PLAN	Local CCP	iCare	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2237	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	INDEPENDENT CARE HEALTH PLAN	Local CCP	iCare	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2237	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	INDEPENDENT CARE HEALTH PLAN	Local CCP	iCare	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2237	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	INDEPENDENT CARE HEALTH PLAN	Local CCP	iCare	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2237	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	INDEPENDENT CARE HEALTH PLAN	Local CCP	iCare	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-859-321-9075				HMO - Health Maintenance Organization		C	Kansas City
H2237	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	INDEPENDENT CARE HEALTH PLAN	Local CCP	iCare	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2237	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	INDEPENDENT CARE HEALTH PLAN	Local CCP	iCare	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-800-865-8715				HMO - Health Maintenance Organization		C	Kansas City
H2237	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	INDEPENDENT CARE HEALTH PLAN	Local CCP	iCare	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2247	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2247	Best Available Evidence Contact	"Manager, Enrollment & Eligibility"		Asselin	Krista		1-763-361-1104					krista_asselin@uhc.com	PO Box 9472		Minneapolis	MN	55440	11/14/2025	2026	"UNITEDHEALTHCARE COMMUNITY PLAN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2247	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/13/2025	2026	"UNITEDHEALTHCARE COMMUNITY PLAN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2247	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2247	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2247	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2247	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2247	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2247	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2247	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H2247	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2247	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H2247	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2256	Automated TrOOP Balance Transfer Contact	"Manager, Premium Billing, Membership Accounting &"		Burns	Kevin		1-781-612-3538					Kevin.Burns@point32health.org	1 Wellness Way		Canton	MA	02021	1/15/2026	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2256	Best Available Evidence Contact	"Director, Public Plans Enrollment & Revenue Rec"		Mahoney	Thomas		1-781-612-4897	3152780				thomas.mahoney@point32health.org	1 Wellness Way		Canton	MA	02021	4/3/2025	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2256	Chief Financial Officer	Chief Financial Officer	Mr.	Marrone	Michael		1-781-612-6435					michael.marrone@point32health.org	1 Wellness Way		Canton	MA	02021	1/7/2026	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2256	CMS Casework Communication Contact	"Sr. Program Manager, Appeals & Grievances"		Mello	Sheri		1-781-612-1000	84682				sheri.mello@point32health.org	1 Wellness Way		Canton	MA	02021	4/3/2025	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2256	Coordination of Benefits Contact			COB Inquiries	Medicare		1-781-612-1000					Medicare_COB_Inquiries@point32health.org	1 Wellness Way		Canton	MA	02021	4/3/2025	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2256	Customer Service Operations Contact	"Manager, Member Services"		Villatoro	Yesly		1-781-612-1000	54152				yesly.villatoro@point32health.org	1 Wellness Way		Canton	MA	02021	4/3/2025	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2256	Government Relations Contact	Chief Government Affairs Officer		Lewis	Kristin		1-781-612-1000	83621				kristin.lewis@point32health.org	1 Wellness Way		Canton	MA	02021	4/3/2025	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2256	Hospice Contact	"Senior Manager, Pharmacy Operations & Programs"		Alves	Heather		1-508-965-9919					heather.alves@point32health.org	1 Wellness Way		Canton	MA	02021	12/19/2025	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2256	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Geroski	Tami	A	1-570-814-2999					tami.geroski@point32health.org	1 Wellness Way		Canton	MA	02021	1/12/2026	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2256	Part D Exceptions Contact	"Director, Pharmacy Utilization Management"		Chan	Bryan							bryan.chan@point32health.org	1 Wellness Way		Canton	MA	02021	4/3/2025	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active	1-781-612-1000	82370			HMO - Health Maintenance Organization		C	Boston
H2256	Pharmacy Network Management Contact	"Manager, Retail Network Operations"		Perez	Felix		1-305-331-3044					Felix.perez@optum.com	11000 Optum Cirle		Eden Prairie	MN	55344	1/22/2026	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2256	Pharmacy Technical Help Desk Contact	Sr. Manager		Villaneuva	Juan							Juan.Villanueva@optum.com	3515 S Harbor Blvd.		Costa Mesa	CA	92626	4/3/2025	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active	1-855-679-2639				HMO - Health Maintenance Organization		C	Boston
H2256	Plan to Plan Reconciliation Contact	"Manager, Finance Operations Compliance"		Schumaker	Tyler		1-617-972-9400	87394				Tyler.Schumaker@point32health.org	1 Wellness Way		Canton	MA	02021	4/3/2025	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2261	Automated TrOOP Balance Transfer Contact	Reporting Sr. Analyst		Kovalski	Robin		1-617-246-8586				1-617-246-8506	Robin.Kovalski@bcbsma.com	25 Technology Place	Mail Stop 03-04	Hingham	MA	02043-4359	3/25/2026	2026	"BCBS  OF MASSACHUSETTS HMO BLUE, INC."	Local CCP	Blue Cross Blue Shield of Massachusetts	HMO/HMOPOS		"Blue Cross and Blue Shield of Massachusetts, Inc."	27	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2261	Best Available Evidence Contact	Enrollment Supervisor		Peterson	Colin		1-617-246-9729				1-617-246-8506	colin.peterson@bcbsma.com	25 Technology Place	Mail Stop 03-04	Hingham	MA	02043-4359	8/25/2025	2026	"BCBS  OF MASSACHUSETTS HMO BLUE, INC."	Local CCP	Blue Cross Blue Shield of Massachusetts	HMO/HMOPOS		"Blue Cross and Blue Shield of Massachusetts, Inc."	27	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2261	Chief Financial Officer	Chief Financial Officer	Ms.	Kam	Ruby		1-617-246-3600					Ruby.Kam@bcbsma.com	101 Huntington Ave	Suite 1300	Boston	MA	02199-7611	10/2/2025	2026	"BCBS  OF MASSACHUSETTS HMO BLUE, INC."	Local CCP	Blue Cross Blue Shield of Massachusetts	HMO/HMOPOS		"Blue Cross and Blue Shield of Massachusetts, Inc."	27	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2261	CMS Casework Communication Contact	"Manager, Appeals and Grievance"		Ronaghan	Danielle		1-617-246-4663				1-617-246-8506	MedicareAdvantageRXAppeals@bcbsma.com	25 Technology Place	Mailstop 03-04	Hingham	MA	02043-4359	5/17/2024	2026	"BCBS  OF MASSACHUSETTS HMO BLUE, INC."	Local CCP	Blue Cross Blue Shield of Massachusetts	HMO/HMOPOS		"Blue Cross and Blue Shield of Massachusetts, Inc."	27	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2261	Coordination of Benefits Contact	Specialist II Business Ops		Seesholtz	Janet		1-617-246-9587					Janet.Seesholtz@bcbsma.com	25 Technology Place		Hingham	MA	02043	10/2/2025	2026	"BCBS  OF MASSACHUSETTS HMO BLUE, INC."	Local CCP	Blue Cross Blue Shield of Massachusetts	HMO/HMOPOS		"Blue Cross and Blue Shield of Massachusetts, Inc."	27	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2261	Customer Service Operations Contact	"Director, Member Service"		Hanstein	deMarigny		1-617-246-8941					deMarigny.Hanstein@bcbsma.com	P. O. Box 55007		Boston	MA	02205-5007	5/17/2024	2026	"BCBS  OF MASSACHUSETTS HMO BLUE, INC."	Local CCP	Blue Cross Blue Shield of Massachusetts	HMO/HMOPOS		"Blue Cross and Blue Shield of Massachusetts, Inc."	27	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2261	Government Relations Contact	"Senior Director, Government and Regulatory Affairs"	Ms.	Wilkinson	Erika		1-617-246-7987					Erika.Wilkinson@bcbsma.com	101 Huntington Ave	Suite 1300	Boston	MA	02199-7611	10/2/2025	2026	"BCBS  OF MASSACHUSETTS HMO BLUE, INC."	Local CCP	Blue Cross Blue Shield of Massachusetts	HMO/HMOPOS		"Blue Cross and Blue Shield of Massachusetts, Inc."	27	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2261	Hospice Contact	"Manager, Clinical Pharmacy"		Wong	Timothy		1-617-246-6927					Timothy.Wong@bcbsma.com	25 Technology Place		Hingham	MA	02043	5/17/2024	2026	"BCBS  OF MASSACHUSETTS HMO BLUE, INC."	Local CCP	Blue Cross Blue Shield of Massachusetts	HMO/HMOPOS		"Blue Cross and Blue Shield of Massachusetts, Inc."	27	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2261	Medicare Compliance Officer	"Director, Medicare Compliance"	Ms.	Sullivan	Christina		1-781-603-8012					MAPDCompliance@bcbsma.com	25 Technology Place	Mail stop 03/04	Hingham	MA	02043-4359	4/28/2022	2026	"BCBS  OF MASSACHUSETTS HMO BLUE, INC."	Local CCP	Blue Cross Blue Shield of Massachusetts	HMO/HMOPOS		"Blue Cross and Blue Shield of Massachusetts, Inc."	27	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2261	Part D Exceptions Contact	"Director, Pharmacy Operations"		Nelhuebel	Melinda						1-866-463-7700	Melinda.Nelhuebel@bcbsma.com	25 Technology Place		Hingham	MA	02043	5/29/2018	2026	"BCBS  OF MASSACHUSETTS HMO BLUE, INC."	Local CCP	Blue Cross Blue Shield of Massachusetts	HMO/HMOPOS		"Blue Cross and Blue Shield of Massachusetts, Inc."	27	Yes	Active	1-800-366-7778				HMO - Health Maintenance Organization		C	Boston
H2261	Pharmacy Network Management Contact	"Lead Director, Network Management"		Smith	Shawn		1-480-391-4844					Shawn.Smith@CVSHealth.com	9501 E Shea Blvd		Scottsdale	AZ	85260	2/26/2026	2026	"BCBS  OF MASSACHUSETTS HMO BLUE, INC."	Local CCP	Blue Cross Blue Shield of Massachusetts	HMO/HMOPOS		"Blue Cross and Blue Shield of Massachusetts, Inc."	27	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2261	Pharmacy Technical Help Desk Contact	"Sr. Manager, Client Operations"		Wry	Jonathan							Jonathan.Wry@CVSHealth.com	CVS Health 800 NW Chipman RD	Ste 5830	Lees Summit	MO	64063	6/2/2026	2026	"BCBS  OF MASSACHUSETTS HMO BLUE, INC."	Local CCP	Blue Cross Blue Shield of Massachusetts	HMO/HMOPOS		"Blue Cross and Blue Shield of Massachusetts, Inc."	27	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Boston
H2261	Plan to Plan Reconciliation Contact	"Director, Corporate Accounting and Reporting"		Thurber	Steven		1-617-246-6523				1-617-246-7806	Steven.Thurber@bcbsma.com	101 Huntington Ave	Suite 1300	Boston	MA	02199-7611	10/2/2025	2026	"BCBS  OF MASSACHUSETTS HMO BLUE, INC."	Local CCP	Blue Cross Blue Shield of Massachusetts	HMO/HMOPOS		"Blue Cross and Blue Shield of Massachusetts, Inc."	27	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2272	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2272	Best Available Evidence Contact	"Manager, Enrollment & Eligibility"		Asselin	Krista		1-763-361-1104					krista_asselin@uhc.com	PO Box 9472		Minneapolis	MN	55440	11/14/2025	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2272	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/13/2025	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2272	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2272	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2272	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2272	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2272	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2272	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2272	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H2272	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2272	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H2272	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2292	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2292	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2292	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2292	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2292	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2292	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2292	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2292	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2292	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2292	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				PPO - BBA		C	Boston
H2292	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2292	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				PPO - BBA		C	Boston
H2292	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2293	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	SILVERSCRIPT INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H2293	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	SILVERSCRIPT INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H2293	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	SILVERSCRIPT INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H2293	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	SILVERSCRIPT INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H2293	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	SILVERSCRIPT INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H2293	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	SILVERSCRIPT INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H2293	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	SILVERSCRIPT INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H2293	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	SILVERSCRIPT INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H2293	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	1/11/2022	2026	SILVERSCRIPT INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H2293	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	SILVERSCRIPT INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active	1-469-243-5213				PPO - BBA		C	Atlanta
H2293	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	SILVERSCRIPT INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H2293	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	SILVERSCRIPT INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active	1-800-238-6279				PPO - BBA		C	Atlanta
H2293	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	SILVERSCRIPT INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H2318	Automated TrOOP Balance Transfer Contact	Director of Finance	Mrs.	Dresselhouse	Amy		1-248-556-9168				1-248-556-9150	amy.dresselhouse@pacesemi.org	21700 Northwestern Highway		Southfield	MI	48075	2/18/2022	2026	PACE SOUTHEAST MICHIGAN	National PACE	PACE Southeast Michigan	National PACE		Henry Ford Health System	122	Yes	Active					PACE - Nat		C	Atlanta
H2318	Best Available Evidence Contact	President & CEO	Mr.	Young	Brandon		1-248-556-9124				1-248-556-9150	Brandon.young@pacesemi.org	21700 Northwestern Highway		Southfield	MI	48075	5/19/2026	2026	PACE SOUTHEAST MICHIGAN	National PACE	PACE Southeast Michigan	National PACE		Henry Ford Health System	122	Yes	Active					PACE - Nat		C	Atlanta
H2318	Chief Financial Officer	Chief Financial Officer	Mr.	Burmeister	Jeff		1-248-556-9132				1-248-556-9150	jeff.burmeister@pacesemi.org	21700 Northwester Highway		Southfield	MI	48075	5/9/2022	2026	PACE SOUTHEAST MICHIGAN	National PACE	PACE Southeast Michigan	National PACE		Henry Ford Health System	122	Yes	Active					PACE - Nat		C	Atlanta
H2318	CMS Casework Communication Contact	Medicare Compliance Lead	Ms.	Bodley	Parmalle		1-313-900-1542				1-248-556-9150	Parmalle.Bodley@pacesemi.org	21700 Northwestern Highway	Suite 900	Southfield	MI	48075	4/2/2026	2026	PACE SOUTHEAST MICHIGAN	National PACE	PACE Southeast Michigan	National PACE		Henry Ford Health System	122	Yes	Active					PACE - Nat		C	Atlanta
H2318	Coordination of Benefits Contact	Director of Finance	Mrs.	Dresselhouse	Amy		1-248-556-9168				1-248-556-9150	Amy.Dresselhouse@pacesemi.org	21700 Northwestern Highway		Southfield	MI	48075	2/18/2022	2026	PACE SOUTHEAST MICHIGAN	National PACE	PACE Southeast Michigan	National PACE		Henry Ford Health System	122	Yes	Active					PACE - Nat		C	Atlanta
H2318	Customer Service Operations Contact	Senior Director of Operations	Ms.	White	Sandra		1-313-495-6855				1-248-556-9150	Sandra.White@pacesemi.org	21700 Northwestern Highway		Southfield	MI	48075	1/27/2026	2026	PACE SOUTHEAST MICHIGAN	National PACE	PACE Southeast Michigan	National PACE		Henry Ford Health System	122	Yes	Active					PACE - Nat		C	Atlanta
H2318	Government Relations Contact	President & CEO	Mr.	Young	Brandon		1-248-556-9124				1-248-556-9150	Brandon.young@pacesemi.org	21700 Northwestern Highway		Southfield	MI	48075	5/19/2026	2026	PACE SOUTHEAST MICHIGAN	National PACE	PACE Southeast Michigan	National PACE		Henry Ford Health System	122	Yes	Active					PACE - Nat		C	Atlanta
H2318	Medicare Compliance Officer	Medicare Compliance Officer	Mrs.	Manso	Cynthia		1-313-900-1542				1-248-556-9150	Cynthia.manso@pacesemi.org	21700 Northwestern Highway	Suite 900	Southfield	MI	48075	4/2/2026	2026	PACE SOUTHEAST MICHIGAN	National PACE	PACE Southeast Michigan	National PACE		Henry Ford Health System	122	Yes	Active					PACE - Nat		C	Atlanta
H2318	Part D Exceptions Contact	Director of Pharmacy	Mrs.	Rood	Janis							Janis.rood@pacesemi.org	21700 Northwestern Highway		Southfield	MI	48075	2/18/2022	2026	PACE SOUTHEAST MICHIGAN	National PACE	PACE Southeast Michigan	National PACE		Henry Ford Health System	122	Yes	Active	1-855-445-4554				PACE - Nat		C	Atlanta
H2318	Pharmacy Network Management Contact	Director of Pharmacy	Ms.	Rood	Janis		1-248-223-7320					Janis.Rood@pacesemi.org	21700 Northwestern Highway		Southfield	MI	48075	2/19/2022	2026	PACE SOUTHEAST MICHIGAN	National PACE	PACE Southeast Michigan	National PACE		Henry Ford Health System	122	Yes	Active					PACE - Nat		C	Atlanta
H2318	Pharmacy Technical Help Desk Contact	Director of Pharmacy	Ms.	Rood	Janis						1-248-556-9150	Janis.Rood@pacesemi.org	21700 Northwestern Highway	Suite 900	Southfield	MI	48075	1/27/2026	2026	PACE SOUTHEAST MICHIGAN	National PACE	PACE Southeast Michigan	National PACE		Henry Ford Health System	122	Yes	Active	1-855-445-4554				PACE - Nat		C	Atlanta
H2318	Plan to Plan Reconciliation Contact	Director of Finance	Mrs.	Dresselhouse	Amy		1-248-556-9168				1-248-556-9150	Amy.Dresselhouse@pacesemi.org	21700 Northwestern Highway		Southfield	MI	48075	2/19/2022	2026	PACE SOUTHEAST MICHIGAN	National PACE	PACE Southeast Michigan	National PACE		Henry Ford Health System	122	Yes	Active					PACE - Nat		C	Atlanta
H2320	Automated TrOOP Balance Transfer Contact	Enrollment Coordinator		Rice	Lori		1-616-464-8667					PH-MedicareTrOOPContact@PriorityHealth.com	1231 East Beltline Ave NE	MS 1175	Grand Rapids	MI	49525	3/21/2018	2026	PRIORITY HEALTH	Local CCP	Priority Health Medicare	HMO/HMOPOS		Corewell Health	190	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H2320	Best Available Evidence Contact	"Manager, Medicare Enrollment"		Thomas	Sabrina		1-616-464-8578					phcompliance@priorityhealth.com	1231 East Beltline Ave NE		Grand Rapids	MI	49525	11/6/2024	2026	PRIORITY HEALTH	Local CCP	Priority Health Medicare	HMO/HMOPOS		Corewell Health	190	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H2320	Chief Financial Officer	"Senior Vice President, Finance"	Mrs.	McIntyre	Celeste		1-616-774-5142					phcompliance@priorityhealth.com	1231 East Beltline Ave NE		Grand Rapids	MI	49525	11/20/2025	2026	PRIORITY HEALTH	Local CCP	Priority Health Medicare	HMO/HMOPOS		Corewell Health	190	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H2320	CMS Casework Communication Contact	Manager for Business Monitoring - G & A		LaBelle	Julie		1-917-841-7869					Radha.LaBelle@priorityhealth.com	1231 East Beltline Ave NE		Grand Rapids	MI	49525	12/14/2022	2026	PRIORITY HEALTH	Local CCP	Priority Health Medicare	HMO/HMOPOS		Corewell Health	190	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H2320	Coordination of Benefits Contact	Claims Manager		Ball	Jill		1-616-464-8044					phcompliance@priorityhealth.com	1239 East Beltline Ave NE	MS2205	Grand Rapids	MI	49525	11/6/2024	2026	PRIORITY HEALTH	Local CCP	Priority Health Medicare	HMO/HMOPOS		Corewell Health	190	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H2320	Customer Service Operations Contact	"Customer Care Center Manager, Medicare"		Storment	Joe		1-503-330-9550					phcompliance@priorityhealth.com	1231 East Beltline Ave NE		Grand Rapids	MI	49525	11/6/2024	2026	PRIORITY HEALTH	Local CCP	Priority Health Medicare	HMO/HMOPOS		Corewell Health	190	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H2320	Government Relations Contact	Medicare Compliance Officer Director	Mrs.	DeHaan	Heather		1-616-464-3510					phcompliance@priorityhealth.com	1239 East Beltline Ave NE	MS 3230	Grand Rapids	MI	49525	11/7/2024	2026	PRIORITY HEALTH	Local CCP	Priority Health Medicare	HMO/HMOPOS		Corewell Health	190	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H2320	Hospice Contact	Medicare Compliance Officer Director	Mrs.	DeHaan	Heather		1-616-464-3510					phcompliance@priorityhealth.com	1239 East Beltline Ave NE	MS 3230	Grand Rapids	MI	49525	11/7/2024	2026	PRIORITY HEALTH	Local CCP	Priority Health Medicare	HMO/HMOPOS		Corewell Health	190	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H2320	Medicare Compliance Officer	Medicare Compliance Officer Director	Mrs	DeHaan	Heather		1-616-464-3510					heather.dehaan@priorityhealth.com	1239 East Beltline Ave NE	MS 3230	Grand Rapids	MI	49525	11/7/2024	2026	PRIORITY HEALTH	Local CCP	Priority Health Medicare	HMO/HMOPOS		Corewell Health	190	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H2320	Part D Exceptions Contact			Help Desk	Pharmacy							part.d.ops@priorityhealth.com	1231 East Beltline Ave NE		Grand Rapids	MI	49525	2/4/2018	2026	PRIORITY HEALTH	Local CCP	Priority Health Medicare	HMO/HMOPOS		Corewell Health	190	Yes	Active	1-800-466-6642				HMO - Health Maintenance Organization		C	Seattle
H2320	Pharmacy Network Management Contact	Director Pharmacy Operations		Chaffee	Jacob		1-616-575-6149					jacob.chaffee@priorityhealth.com	1231 E. Beltline Ave Ne		Grand Rapids	MI	49525	12/6/2022	2026	PRIORITY HEALTH	Local CCP	Priority Health Medicare	HMO/HMOPOS		Corewell Health	190	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H2320	Pharmacy Technical Help Desk Contact			Help Desk	Pharmacy							part.d.ops@priorityhealth.com	1231 East Beltline Ave NE		Grand Rapids	MI	49525	2/4/2018	2026	PRIORITY HEALTH	Local CCP	Priority Health Medicare	HMO/HMOPOS		Corewell Health	190	Yes	Active	1-800-466-6642				HMO - Health Maintenance Organization		C	Seattle
H2320	Plan to Plan Reconciliation Contact	Business Systems Analyst		Robinson	Aminah		1-616-575-3716				1-616-975-8845	aminah.robinson@priorityhealth.com	1231 East Beltline Ave NE	MS 1190	Grand Rapids	MI	49525	9/11/2024	2026	PRIORITY HEALTH	Local CCP	Priority Health Medicare	HMO/HMOPOS		Corewell Health	190	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H2322	Automated TrOOP Balance Transfer Contact	Mgr- Pharmacy Benefits		Peterson	Jennifer		1-248-776-4123					jpeterso@hap.org	1414 E Maple Rd		Troy	MI	48083	2/18/2026	2026	ALLIANCE HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Health Alliance Plan by Henry Ford Health	Local PPO		Henry Ford Health System	122	Yes	Active					PPO - BBA		C	Chicago
H2322	Best Available Evidence Contact	"Manager, Membership & Billing"		Mullins	Rhonda		1-248-443-7532					rmullins@hap.org	1414 E. Maple Rd		Troy	MI	48083	3/3/2025	2026	ALLIANCE HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Health Alliance Plan by Henry Ford Health	Local PPO		Henry Ford Health System	122	Yes	Active					PPO - BBA		C	Chicago
H2322	Chief Financial Officer	"SVP, Chief Financial Officer"	Mr.	Hausenfluck	Merrill		1-248-776-3530					mhausen1@hap.org	1414 E Maple Rd		Troy	MI	48083	3/3/2025	2026	ALLIANCE HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Health Alliance Plan by Henry Ford Health	Local PPO		Henry Ford Health System	122	Yes	Active					PPO - BBA		C	Chicago
H2322	CMS Casework Communication Contact	Appeals & Grievances Analyst	Ms.	Abazid	Wassan		1-313-664-8495				1-313-664-5845	wabazid@hap.org	1414 E. Maple Rd		Troy	MI	48083	3/3/2025	2026	ALLIANCE HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Health Alliance Plan by Henry Ford Health	Local PPO		Henry Ford Health System	122	Yes	Active					PPO - BBA		C	Chicago
H2322	Coordination of Benefits Contact	VP- Claim Services		Palermo	Charles		1-248-443-8830					cpalermo@hap.org	1414 E. Maple Rd		Troy	MI	48083	3/3/2025	2026	ALLIANCE HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Health Alliance Plan by Henry Ford Health	Local PPO		Henry Ford Health System	122	Yes	Active					PPO - BBA		C	Chicago
H2322	Customer Service Operations Contact	Director	Ms	Pope	Venus		1-313-664-8933				1-313-664-8433	vpope@hap.org	1414 E. Maple Rd		Troy	MI	48083	3/3/2025	2026	ALLIANCE HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Health Alliance Plan by Henry Ford Health	Local PPO		Henry Ford Health System	122	Yes	Active					PPO - BBA		C	Chicago
H2322	Government Relations Contact	"Director, Government Programs Compliance"	Ms	Randle	Johnathan		1-512-350-7810					jrandle4@hap.org	1414 E Maple Rd		Troy	MI	48083	3/3/2025	2026	ALLIANCE HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Health Alliance Plan by Henry Ford Health	Local PPO		Henry Ford Health System	122	Yes	Active					PPO - BBA		C	Chicago
H2322	Hospice Contact	Mgr- Pharmacy Benefits		Peterson	Jennifer		1-248-776-4123				1-313-664-5965	jpeterso@hap.org	1414 E Maple Rd		Troy	MI	48083	2/18/2026	2026	ALLIANCE HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Health Alliance Plan by Henry Ford Health	Local PPO		Henry Ford Health System	122	Yes	Active					PPO - BBA		C	Chicago
H2322	Medicare Compliance Officer	Chief Compliance Officer	Ms	Otuyelu	Nike		1-124-877-6409					notuyel1@HAP.ORG	1414 E Maple		Troy	MI	48083	6/23/2026	2026	ALLIANCE HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Health Alliance Plan by Henry Ford Health	Local PPO		Henry Ford Health System	122	Yes	Active					PPO - BBA		C	Chicago
H2322	Part D Exceptions Contact	Mgr- Pharmacy Benefits (Pharm)		Yaldo	Traci							tyaldo@hap.org	1414 E. Maple Rd		Troy	MI	48083	2/18/2026	2026	ALLIANCE HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Health Alliance Plan by Henry Ford Health	Local PPO		Henry Ford Health System	122	Yes	Active	1-248-506-2310				PPO - BBA		C	Chicago
H2322	Pharmacy Network Management Contact	"Network Account Director, Retail Strategy & Contra"		Kelly	Heather		1-314-692-1866					hakelly@express-scripts.com	One Express Way		St. Louis	MO	63121	12/31/2018	2026	ALLIANCE HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Health Alliance Plan by Henry Ford Health	Local PPO		Henry Ford Health System	122	Yes	Active					PPO - BBA		C	Chicago
H2322	Pharmacy Technical Help Desk Contact	Director Customer Service		Monroe	LaTasha							latasha_monroe@express-scripts.com	13051 N. Telecom Parkway	Suite 150	Temple Terrace	FL	33637	12/14/2022	2026	ALLIANCE HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Health Alliance Plan by Henry Ford Health	Local PPO		Henry Ford Health System	122	Yes	Active	1-800-922-1557				PPO - BBA		C	Chicago
H2322	Plan to Plan Reconciliation Contact	Finance Manager	Ms.	Tran	Anh	K	1-206-453-3049					atran7@hap.org	1414 E MAPLE RD		TROY	MI	48083	9/14/2023	2026	ALLIANCE HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Health Alliance Plan by Henry Ford Health	Local PPO		Henry Ford Health System	122	Yes	Active					PPO - BBA		C	Chicago
H2354	Automated TrOOP Balance Transfer Contact	Mgr- Pharmacy Benefits		Peterson	Jennifer		1-248-776-4123					jpeterso@hap.org	1414 E Maple Rd		Troy	MI	48083	2/18/2026	2026	HEALTH ALLIANCE PLAN OF MICHIGAN	Local CCP	Health Alliance Plan by Henry Ford Health	HMO/HMOPOS		Henry Ford Health System	122	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2354	Best Available Evidence Contact	"Manager, Membership & Billing"		Mullins	Rhonda		1-248-443-7532					rmullins@hap.org	1414 E Maple Rd		Troy	MI	48083	3/3/2025	2026	HEALTH ALLIANCE PLAN OF MICHIGAN	Local CCP	Health Alliance Plan by Henry Ford Health	HMO/HMOPOS		Henry Ford Health System	122	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2354	Chief Financial Officer	"SVP, Chief Financial Officer"	Mr.	Hausenfluck	Merrill		1-248-776-3530					mhausen1@hap.org	1414 E Maple Rd		Troy	MI	48083	3/3/2025	2026	HEALTH ALLIANCE PLAN OF MICHIGAN	Local CCP	Health Alliance Plan by Henry Ford Health	HMO/HMOPOS		Henry Ford Health System	122	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2354	CMS Casework Communication Contact	Appeals & Grievances Analyst	Ms.	Abazid	Wassan		1-313-664-8495				1-313-664-5845	wabazid@hap.org	1414 E Maple Rd		Troy	MI	48083	3/3/2025	2026	HEALTH ALLIANCE PLAN OF MICHIGAN	Local CCP	Health Alliance Plan by Henry Ford Health	HMO/HMOPOS		Henry Ford Health System	122	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2354	Coordination of Benefits Contact	VP- Claim Services		Palermo	Charles		1-248-443-8830					cpalermo@hap.org	1414 E Maple Rd		Troy	MI	48083	3/3/2025	2026	HEALTH ALLIANCE PLAN OF MICHIGAN	Local CCP	Health Alliance Plan by Henry Ford Health	HMO/HMOPOS		Henry Ford Health System	122	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2354	Customer Service Operations Contact	Director	Ms	Pope	Venus		1-313-664-8933				1-313-664-8433	vpope@hap.org	1414 E Maple Rd		Troy	MI	48083	3/10/2025	2026	HEALTH ALLIANCE PLAN OF MICHIGAN	Local CCP	Health Alliance Plan by Henry Ford Health	HMO/HMOPOS		Henry Ford Health System	122	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2354	Government Relations Contact	"Director, Government Programs Compliance"	Ms	Randle	Johnathan		1-512-350-7810					jrandle4@hap.org	1414 E Maple Rd		Troy	MI	48083	3/10/2025	2026	HEALTH ALLIANCE PLAN OF MICHIGAN	Local CCP	Health Alliance Plan by Henry Ford Health	HMO/HMOPOS		Henry Ford Health System	122	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2354	Hospice Contact	Mgr- Pharmacy Benefits		Peterson	Jennifer		1-248-776-4123					jpeterso@hap.org	1414 E Maple Rd		Troy	MI	48083	2/18/2026	2026	HEALTH ALLIANCE PLAN OF MICHIGAN	Local CCP	Health Alliance Plan by Henry Ford Health	HMO/HMOPOS		Henry Ford Health System	122	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2354	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Otuyelu	Nike		1-124-877-6409					notuyel1@HAP.ORG	1414 E Maple		Troy	MI	48303	6/23/2026	2026	HEALTH ALLIANCE PLAN OF MICHIGAN	Local CCP	Health Alliance Plan by Henry Ford Health	HMO/HMOPOS		Henry Ford Health System	122	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2354	Part D Exceptions Contact	Mgr- Pharmacy Benefits (Pharm)		Yaldo	Traci							tyaldo@hap.org	1414 E Maple rd		Troy	MI	48083	2/18/2026	2026	HEALTH ALLIANCE PLAN OF MICHIGAN	Local CCP	Health Alliance Plan by Henry Ford Health	HMO/HMOPOS		Henry Ford Health System	122	Yes	Active	1-248-506-2310				HMO - Health Maintenance Organization		C	Chicago
H2354	Pharmacy Network Management Contact	"Network Account Director, Retail Strategy & Contra"		Kelly	Heather		1-314-692-1866					hakelly@express-scripts.com	One Express Way		St. Louis	MO	63121	12/31/2018	2026	HEALTH ALLIANCE PLAN OF MICHIGAN	Local CCP	Health Alliance Plan by Henry Ford Health	HMO/HMOPOS		Henry Ford Health System	122	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2354	Pharmacy Technical Help Desk Contact	Director Customer Service		Monroe	LaTasha							latasha_monroe@express-scripts.com	13051 N. Telecom Parkway	Suite 150	Temple Terrace	FL	33637	12/14/2022	2026	HEALTH ALLIANCE PLAN OF MICHIGAN	Local CCP	Health Alliance Plan by Henry Ford Health	HMO/HMOPOS		Henry Ford Health System	122	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Chicago
H2354	Plan to Plan Reconciliation Contact	Financial Analyst	Ms.	NASSER	ZEINAT		1-248-776-4040					ZNASSER@hap.org	1414 E MAPLE RD		TROY	MI	48083	9/14/2023	2026	HEALTH ALLIANCE PLAN OF MICHIGAN	Local CCP	Health Alliance Plan by Henry Ford Health	HMO/HMOPOS		Henry Ford Health System	122	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2368	Automated TrOOP Balance Transfer Contact	Medicare Compliance Manager		Brown	Lauren		1-720-974-6031				1-303-996-1600	lbrown2@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	7/27/2023	2026	"INNOVAGE CALIFORNIA PACE-SACRAMENTO, LLC"	National PACE	InnovAge California PACE - Sacramento	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H2368	Best Available Evidence Contact	Director of Finance	Ms.	Hewitt	Jessica		1-720-974-6767					jhewitt@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	5/19/2025	2026	"INNOVAGE CALIFORNIA PACE-SACRAMENTO, LLC"	National PACE	InnovAge California PACE - Sacramento	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H2368	Chief Financial Officer	CFO	Mr.	Adams	Ben		1-917-842-3099				1-303-996-1600	badams@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE CALIFORNIA PACE-SACRAMENTO, LLC"	National PACE	InnovAge California PACE - Sacramento	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H2368	CMS Casework Communication Contact	Director of Compliance		Martin	Jeremy		1-720-789-6016				1-303-996-1600	jmartin@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	5/19/2025	2026	"INNOVAGE CALIFORNIA PACE-SACRAMENTO, LLC"	National PACE	InnovAge California PACE - Sacramento	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H2368	Coordination of Benefits Contact	Medicare Compliance Manager		Brown	Lauren		1-720-974-6031				1-303-996-1600	lbrown2@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE CALIFORNIA PACE-SACRAMENTO, LLC"	National PACE	InnovAge California PACE - Sacramento	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H2368	Customer Service Operations Contact	Director of Compliance		Martin	Jeremy		1-720-789-6016				1-303-996-1600	jmartin@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	5/19/2025	2026	"INNOVAGE CALIFORNIA PACE-SACRAMENTO, LLC"	National PACE	InnovAge California PACE - Sacramento	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H2368	Government Relations Contact	"SVP, External Affairs"		Nelson	Don		1-608-217-5110					dnelson3@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	12/5/2025	2026	"INNOVAGE CALIFORNIA PACE-SACRAMENTO, LLC"	National PACE	InnovAge California PACE - Sacramento	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H2368	Medicare Compliance Officer	VP of Compliance	Ms.	Teter	Lezlie	A	1-720-682-9848				1-303-996-1600	lteter@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	4/24/2026	2026	"INNOVAGE CALIFORNIA PACE-SACRAMENTO, LLC"	National PACE	InnovAge California PACE - Sacramento	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H2368	Part D Exceptions Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael						1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE CALIFORNIA PACE-SACRAMENTO, LLC"	National PACE	InnovAge California PACE - Sacramento	National PACE		"Total Community Options, Inc."	230	Yes	Active	1-720-666-3817				PACE - Nat		C	Philadelphia
H2368	Pharmacy Network Management Contact	SVP of Clinical Strategic Partnerships	Mr.	Cinque	Michael		1-720-666-3817				1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	7/27/2023	2026	"INNOVAGE CALIFORNIA PACE-SACRAMENTO, LLC"	National PACE	InnovAge California PACE - Sacramento	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H2368	Pharmacy Technical Help Desk Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael						1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE CALIFORNIA PACE-SACRAMENTO, LLC"	National PACE	InnovAge California PACE - Sacramento	National PACE		"Total Community Options, Inc."	230	Yes	Active	1-720-666-3817				PACE - Nat		C	Philadelphia
H2368	Plan to Plan Reconciliation Contact	Financial and Compliance Analyst		Kizewski	Alex		1-720-789-6171				1-720-917-3390	AKizewski@innovage.com	8950 East Lowry Blvd		Denver	CO	80230	12/28/2023	2026	"INNOVAGE CALIFORNIA PACE-SACRAMENTO, LLC"	National PACE	InnovAge California PACE - Sacramento	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H2378	Automated TrOOP Balance Transfer Contact	AR Reimbursement Specialist		Cox	Terra		1-970-508-7737				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	12/5/2024	2026	SENIOR COMMUNITY CARE OF FLORIDA	National PACE	VOANS Senior CommUnity Care of Florida	National PACE		Volunteers of America National Services	367	Yes	Pending					PACE - Nat		C	Atlanta
H2378	Best Available Evidence Contact	AR Reimbursement Specialist		Cox	Terra		1-970-508-7737				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	12/5/2024	2026	SENIOR COMMUNITY CARE OF FLORIDA	National PACE	VOANS Senior CommUnity Care of Florida	National PACE		Volunteers of America National Services	367	Yes	Pending					PACE - Nat		C	Atlanta
H2378	Chief Financial Officer	"Regional Vice President, PACE Operations"	Mr	Nilsen	Eric		1-612-428-7858				1-952-941-0428	enilsen@voa.org	7485 Office Ridge Circle		Eden Prairie	MN	55344	12/5/2024	2026	SENIOR COMMUNITY CARE OF FLORIDA	National PACE	VOANS Senior CommUnity Care of Florida	National PACE		Volunteers of America National Services	367	Yes	Pending					PACE - Nat		C	Atlanta
H2378	CMS Casework Communication Contact	Regional Quality Manager	Ms.	Volansky	Larisa		1-443-527-0248					lvolansky@voa.org	751 Sydney Dr		Tallahassee	FL	32317	6/1/2026	2026	SENIOR COMMUNITY CARE OF FLORIDA	National PACE	VOANS Senior CommUnity Care of Florida	National PACE		Volunteers of America National Services	367	Yes	Pending					PACE - Nat		C	Atlanta
H2378	Coordination of Benefits Contact	AR Reimbursement Specialist		Cox	Terra		1-970-964-3556				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	12/5/2024	2026	SENIOR COMMUNITY CARE OF FLORIDA	National PACE	VOANS Senior CommUnity Care of Florida	National PACE		Volunteers of America National Services	367	Yes	Pending					PACE - Nat		C	Atlanta
H2378	Customer Service Operations Contact	Executive Director	Ms	De Leon	Alexi		1-850-807-1901				1-952-941-0428	adeleon@voa.org	751 Sydney Dr		Tallahassee	FL	32317	6/1/2026	2026	SENIOR COMMUNITY CARE OF FLORIDA	National PACE	VOANS Senior CommUnity Care of Florida	National PACE		Volunteers of America National Services	367	Yes	Pending					PACE - Nat		C	Atlanta
H2378	Government Relations Contact	Executive Director	Ms	De Leon	Alexi		1-850-807-1901				1-952-941-0428	adeleon@voa.org	751 Sydney Dr		Tallahassee	FL	32317	6/1/2026	2026	SENIOR COMMUNITY CARE OF FLORIDA	National PACE	VOANS Senior CommUnity Care of Florida	National PACE		Volunteers of America National Services	367	Yes	Pending					PACE - Nat		C	Atlanta
H2378	Medicare Compliance Officer	Director of Quality	Ms	Peterson	Nora		1-970-964-3500				1-970-525-0166	npeterson@voa.org	2377 Robins Way		Montrose	CO	81401	12/5/2024	2026	SENIOR COMMUNITY CARE OF FLORIDA	National PACE	VOANS Senior CommUnity Care of Florida	National PACE		Volunteers of America National Services	367	Yes	Pending					PACE - Nat		C	Atlanta
H2378	Part D Exceptions Contact	Regulatory Compliance Coordinator		Whitney	Courtney						1-970-252-0166	cwhitney@voa.org	2377 Robins Way		Montrose	CO	81401	12/5/2024	2026	SENIOR COMMUNITY CARE OF FLORIDA	National PACE	VOANS Senior CommUnity Care of Florida	National PACE		Volunteers of America National Services	367	Yes	Pending	1-970-964-3500				PACE - Nat		C	Atlanta
H2378	Pharmacy Network Management Contact	Regulatory Compliance Coordinator		Whitney	Courtney		1-970-964-3500				1-970-252-0166	cwhitney@voa.org	2377 Robins Way		Montrose	CO	81401	12/5/2024	2026	SENIOR COMMUNITY CARE OF FLORIDA	National PACE	VOANS Senior CommUnity Care of Florida	National PACE		Volunteers of America National Services	367	Yes	Pending					PACE - Nat		C	Atlanta
H2378	Pharmacy Technical Help Desk Contact	Regulatory Compliance Coordinator		Whitney	Courtney						1-970-252-0166	cwhitney@voa.org	2377 Robins Way		Montrose	CO	81401	12/5/2024	2026	SENIOR COMMUNITY CARE OF FLORIDA	National PACE	VOANS Senior CommUnity Care of Florida	National PACE		Volunteers of America National Services	367	Yes	Pending	1-970-964-3500				PACE - Nat		C	Atlanta
H2378	Plan to Plan Reconciliation Contact	AR Reimbursement Specialist		Cox	Terra		1-970-508-7737				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	12/5/2024	2026	SENIOR COMMUNITY CARE OF FLORIDA	National PACE	VOANS Senior CommUnity Care of Florida	National PACE		Volunteers of America National Services	367	Yes	Pending					PACE - Nat		C	Atlanta
H2384	Automated TrOOP Balance Transfer Contact			North	Tom		1-714-878-4552					tom.north@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/23/2025	2026	"SEQUOIA PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H2384	Best Available Evidence Contact			Cumpian	Terry		1-209-840-8404					terry.cumpian@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	5/29/2024	2026	"SEQUOIA PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H2384	Chief Financial Officer		Ms.	Butler	Nicole		1-559-259-8592					nicole.butler@welbehealth.com	440 N BARRANCA AVE #4053		Covina	CA	91723	6/30/2026	2026	"SEQUOIA PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H2384	CMS Casework Communication Contact			Costigan	Bobbie		1-219-210-6392					Bobbie.Costigan@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	7/30/2025	2026	"SEQUOIA PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H2384	Coordination of Benefits Contact			Butler	Nicole		1-559-259-8592					nicole.butler@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/23/2025	2026	"SEQUOIA PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H2384	Customer Service Operations Contact		Ms.	Butler	Nicole		1-559-259-8592					nicole.butler@welbehealth.com	1649 Van Ness Avenue		Fresno	CA	93721	5/29/2024	2026	"SEQUOIA PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H2384	Government Relations Contact			Lee	Elizabeth		1-714-470-6077					elizabeth.lee@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	3/5/2024	2026	"SEQUOIA PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H2384	Medicare Compliance Officer		Ms.	Lee	Elizabeth		1-714-470-6077					elizabeth.lee@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	3/5/2024	2026	"SEQUOIA PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H2384	Part D Exceptions Contact			Lincoln-Giang	Pam							pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	8/12/2025	2026	"SEQUOIA PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active	1-650-294-8027				PACE - Nat		C	San Francisco
H2384	Pharmacy Network Management Contact			Lincoln-Giang	Pam		1-650-294-8027					pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	8/12/2025	2026	"SEQUOIA PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H2384	Pharmacy Technical Help Desk Contact			Lincoln-Giang	Pam							pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	8/12/2025	2026	"SEQUOIA PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active	1-650-294-8027				PACE - Nat		C	San Francisco
H2384	Plan to Plan Reconciliation Contact			Porras	Ashleigh		1-650-442-2660					p2p@welbehealth.com	440 N BARRANCA AVE #4053		COVINA	CA	91723	6/30/2026	2026	"SEQUOIA PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H2385	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2385	Best Available Evidence Contact	"Manager, Enrollment & Eligibility"		Asselin	Krista		1-763-361-1104					krista_asselin@uhc.com	PO Box 9472		Minneapolis	MN	55440	11/14/2025	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2385	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/13/2025	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2385	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2385	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2385	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2385	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2385	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2385	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2385	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				PPO - BBA		C	Boston
H2385	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2385	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				PPO - BBA		C	Boston
H2385	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2386	Automated TrOOP Balance Transfer Contact	Program Director		Collins	Dana		1-276-964-4915	7152			1-276-963-0130	dcollins@aasc.org	P.O.B. 765		Cedar Bluff	VA	24609	4/14/2010	2026	"APPALACHIAN AGENCY FOR SENIOR CITIZENS, INC."	National PACE	"Appalachian Agency for Senior Citizens, Inc,"	National PACE		"Appalachian Agency for Senior Citizens, Inc."	365	Yes	Active					PACE - Nat		C	Philadelphia
H2386	Best Available Evidence Contact	Program Director		Collins	Dana		1-276-964-4915	7152			1-276-963-0130	dcollins@aasc.org	P.O.B. 765		Cedar Bluff	VA	24609	4/14/2010	2026	"APPALACHIAN AGENCY FOR SENIOR CITIZENS, INC."	National PACE	"Appalachian Agency for Senior Citizens, Inc,"	National PACE		"Appalachian Agency for Senior Citizens, Inc."	365	Yes	Active					PACE - Nat		C	Philadelphia
H2386	Chief Financial Officer	Chief Financial Officer	Ms.	Counts	Carolyn		1-276-964-4915	7103			1-276-963-0130	ccounts@aasc.org	P.O.B. 765		Cedar Bluff	VA	24609	10/12/2022	2026	"APPALACHIAN AGENCY FOR SENIOR CITIZENS, INC."	National PACE	"Appalachian Agency for Senior Citizens, Inc,"	National PACE		"Appalachian Agency for Senior Citizens, Inc."	365	Yes	Active					PACE - Nat		C	Philadelphia
H2386	CMS Casework Communication Contact	Program Director		Collins	Dana		1-276-964-4915	7152			1-276-963-0130	dcollins@aasc.org	P.O.B. 765		Cedar Bluff	VA	24609	4/14/2010	2026	"APPALACHIAN AGENCY FOR SENIOR CITIZENS, INC."	National PACE	"Appalachian Agency for Senior Citizens, Inc,"	National PACE		"Appalachian Agency for Senior Citizens, Inc."	365	Yes	Active					PACE - Nat		C	Philadelphia
H2386	Coordination of Benefits Contact	Program Director		Collins	Dana		1-276-964-4915	7152			1-276-963-0130	dcollins@aasc.org	P.O.B. 765		Cedar Bluff	VA	24609	4/14/2010	2026	"APPALACHIAN AGENCY FOR SENIOR CITIZENS, INC."	National PACE	"Appalachian Agency for Senior Citizens, Inc,"	National PACE		"Appalachian Agency for Senior Citizens, Inc."	365	Yes	Active					PACE - Nat		C	Philadelphia
H2386	Customer Service Operations Contact	Program Director	Ms.	Collins	Dana		1-276-964-4915	7152			1-276-963-0130	dcollins@aasc.org	P.O.B. 765		Cedar Bluff	VA	24609	4/14/2010	2026	"APPALACHIAN AGENCY FOR SENIOR CITIZENS, INC."	National PACE	"Appalachian Agency for Senior Citizens, Inc,"	National PACE		"Appalachian Agency for Senior Citizens, Inc."	365	Yes	Active					PACE - Nat		C	Philadelphia
H2386	Government Relations Contact	Program Director		Collins	Dana		1-276-964-4915	7152			1-276-963-0130	dcollins@aasc.org	P.O.B. 765		Cedar Bluff	VA	24609	4/14/2010	2026	"APPALACHIAN AGENCY FOR SENIOR CITIZENS, INC."	National PACE	"Appalachian Agency for Senior Citizens, Inc,"	National PACE		"Appalachian Agency for Senior Citizens, Inc."	365	Yes	Active					PACE - Nat		C	Philadelphia
H2386	Medicare Compliance Officer	Program Director	Ms.	Collins	Dana		1-276-964-4915	7152			1-276-963-0130	dcollins@aasc.org	P.O.B. 765		Cedar Bluff	VA	24609	4/14/2010	2026	"APPALACHIAN AGENCY FOR SENIOR CITIZENS, INC."	National PACE	"Appalachian Agency for Senior Citizens, Inc,"	National PACE		"Appalachian Agency for Senior Citizens, Inc."	365	Yes	Active					PACE - Nat		C	Philadelphia
H2386	Part D Exceptions Contact	Program Director		Collins	Dana						1-276-963-0130	dcollins@aasc.org	P.O.B. 765		Cedar Bluff	VA	24609	4/14/2010	2026	"APPALACHIAN AGENCY FOR SENIOR CITIZENS, INC."	National PACE	"Appalachian Agency for Senior Citizens, Inc,"	National PACE		"Appalachian Agency for Senior Citizens, Inc."	365	Yes	Active	1-800-656-2272	7152			PACE - Nat		C	Philadelphia
H2386	Pharmacy Network Management Contact	Program Director		Collins	Dana		1-276-964-4915	7152			1-276-963-0130	dcollins@aasc.org	P.O.B. 765		Cedar Bluff	VA	24609	4/14/2010	2026	"APPALACHIAN AGENCY FOR SENIOR CITIZENS, INC."	National PACE	"Appalachian Agency for Senior Citizens, Inc,"	National PACE		"Appalachian Agency for Senior Citizens, Inc."	365	Yes	Active					PACE - Nat		C	Philadelphia
H2386	Pharmacy Technical Help Desk Contact	Clinical Pharmacist		Hackney	Jacqueline						1-276-964-7157	jhackney@aasc.org	P.O.B. 765		Cedar Bluff	VA	24609	4/29/2013	2026	"APPALACHIAN AGENCY FOR SENIOR CITIZENS, INC."	National PACE	"Appalachian Agency for Senior Citizens, Inc,"	National PACE		"Appalachian Agency for Senior Citizens, Inc."	365	Yes	Active	1-866-828-7723				PACE - Nat		C	Philadelphia
H2386	Plan to Plan Reconciliation Contact	Program Director		Collins	Dana		1-276-964-4915	7152			1-276-963-0130	dcollins@aasc.org	P.O.B. 765		Cedar Bluff	VA	24609	4/14/2010	2026	"APPALACHIAN AGENCY FOR SENIOR CITIZENS, INC."	National PACE	"Appalachian Agency for Senior Citizens, Inc,"	National PACE		"Appalachian Agency for Senior Citizens, Inc."	365	Yes	Active					PACE - Nat		C	Philadelphia
H2392	Automated TrOOP Balance Transfer Contact	"Operations Mgr, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	Relay.Health@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	"KANSAS SUPERIOR SELECT, INC."	Local CCP	Kansas Health Advantage	HMO/HMOPOS		Kansas Superior Select	680	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2392	Best Available Evidence Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"KANSAS SUPERIOR SELECT, INC."	Local CCP	Kansas Health Advantage	HMO/HMOPOS		Kansas Superior Select	680	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2392	Chief Financial Officer	Chief Financial Officer	Mr.	Bogle	Jeffrey	A	1-615-751-8134				1-844-280-5360	MACFO@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"KANSAS SUPERIOR SELECT, INC."	Local CCP	Kansas Health Advantage	HMO/HMOPOS		Kansas Superior Select	680	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2392	CMS Casework Communication Contact	Compliance Officer		Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"KANSAS SUPERIOR SELECT, INC."	Local CCP	Kansas Health Advantage	HMO/HMOPOS		Kansas Superior Select	680	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2392	Coordination of Benefits Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"KANSAS SUPERIOR SELECT, INC."	Local CCP	Kansas Health Advantage	HMO/HMOPOS		Kansas Superior Select	680	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2392	Customer Service Operations Contact	"VP, Administration"		Brandt	Toni		1-615-476-0748				1-844-280-5360	tbrandt@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"KANSAS SUPERIOR SELECT, INC."	Local CCP	Kansas Health Advantage	HMO/HMOPOS		Kansas Superior Select	680	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2392	Government Relations Contact	Compliance Officer		Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"KANSAS SUPERIOR SELECT, INC."	Local CCP	Kansas Health Advantage	HMO/HMOPOS		Kansas Superior Select	680	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2392	Hospice Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"KANSAS SUPERIOR SELECT, INC."	Local CCP	Kansas Health Advantage	HMO/HMOPOS		Kansas Superior Select	680	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2392	Medicare Compliance Officer	Compliance Officer	Ms.	Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"KANSAS SUPERIOR SELECT, INC."	Local CCP	Kansas Health Advantage	HMO/HMOPOS		Kansas Superior Select	680	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2392	Part D Exceptions Contact	"Assoc Dir, Clinical Prior Authorization"		LeClair	Christophe						1-920-221-4176	Christopher.LeClair@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	"KANSAS SUPERIOR SELECT, INC."	Local CCP	Kansas Health Advantage	HMO/HMOPOS		Kansas Superior Select	680	Yes	Active	1-844-228-7934				HMO - Health Maintenance Organization		C	Kansas City
H2392	Pharmacy Network Management Contact	"VP, Provider Services"		Nagy	Don		1-608-820-4403					Don.Nagy@navitus.com	361 Integrity Drive		Madison	WI	53717	6/22/2026	2026	"KANSAS SUPERIOR SELECT, INC."	Local CCP	Kansas Health Advantage	HMO/HMOPOS		Kansas Superior Select	680	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2392	Pharmacy Technical Help Desk Contact	"Sr. Mgr, Customer Care Accts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	"KANSAS SUPERIOR SELECT, INC."	Local CCP	Kansas Health Advantage	HMO/HMOPOS		Kansas Superior Select	680	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Kansas City
H2392	Plan to Plan Reconciliation Contact	"Director,  Finance"		Tilley	Stephanie		1-931-242-0499				1-844-280-5360	stilley@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"KANSAS SUPERIOR SELECT, INC."	Local CCP	Kansas Health Advantage	HMO/HMOPOS		Kansas Superior Select	680	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2397	Automated TrOOP Balance Transfer Contact	President and Program Director	Mrs	Spokane	Linda		1-518-886-7223					lspokane@pacehh.org	38 Larose Street		Glens Falls	NY	12801	11/29/2023	2026	"PACE AT HUDSON HEADWATERS, INC."	National PACE	"PACE at Hudson Headwaters, Inc."	National PACE		"PACE AT HUDSON HEADWATERS, INC."	816	Yes	Active					PACE - Nat		C	New York
H2397	Best Available Evidence Contact	President and Program Director	Mrs	Spokane	Linda		1-518-886-7223					lspokane@pacehh.org	38 Larose Street		Glens Falls	NY	12801	11/29/2023	2026	"PACE AT HUDSON HEADWATERS, INC."	National PACE	"PACE at Hudson Headwaters, Inc."	National PACE		"PACE AT HUDSON HEADWATERS, INC."	816	Yes	Active					PACE - Nat		C	New York
H2397	Chief Financial Officer	VP of Finance & Contracts	Mrs	Boxley	Michele		1-518-886-7223					mboxley@pacehh.org	38 Larose Street		Glens Falls	NY	12801	11/29/2023	2026	"PACE AT HUDSON HEADWATERS, INC."	National PACE	"PACE at Hudson Headwaters, Inc."	National PACE		"PACE AT HUDSON HEADWATERS, INC."	816	Yes	Active					PACE - Nat		C	New York
H2397	CMS Casework Communication Contact	Director of Operations & Team Services	Mrs	Mija	Sarah		1-518-886-7223					smija@pacehh.org	38 Larose Street		Glens Falls	NY	12801	11/29/2023	2026	"PACE AT HUDSON HEADWATERS, INC."	National PACE	"PACE at Hudson Headwaters, Inc."	National PACE		"PACE AT HUDSON HEADWATERS, INC."	816	Yes	Active					PACE - Nat		C	New York
H2397	Coordination of Benefits Contact	VP of Finance & Contracts	Mrs	Boxley	Michele		1-518-886-7223					mboxley@pacehh.org	38 Larose Street		Glens Falls	NY	12801	11/29/2023	2026	"PACE AT HUDSON HEADWATERS, INC."	National PACE	"PACE at Hudson Headwaters, Inc."	National PACE		"PACE AT HUDSON HEADWATERS, INC."	816	Yes	Active					PACE - Nat		C	New York
H2397	Customer Service Operations Contact	Director of Operations & Team Services	Mrs	Mija	Sarah		1-518-886-7223					smija@pacehh.org	38 Larose Street		Glens Falls	NY	12801	11/29/2023	2026	"PACE AT HUDSON HEADWATERS, INC."	National PACE	"PACE at Hudson Headwaters, Inc."	National PACE		"PACE AT HUDSON HEADWATERS, INC."	816	Yes	Active					PACE - Nat		C	New York
H2397	Government Relations Contact	President and Program Director	Mrs	Spokane	Linda		1-518-886-7223					lspokane@pacehh.org	38 Larose Street		Glens Falls	NY	12801	11/29/2023	2026	"PACE AT HUDSON HEADWATERS, INC."	National PACE	"PACE at Hudson Headwaters, Inc."	National PACE		"PACE AT HUDSON HEADWATERS, INC."	816	Yes	Active					PACE - Nat		C	New York
H2397	Medicare Compliance Officer	Director of Quality & Compliance	Mrs	Ozores	Charly		1-518-886-7223					cozores@pacehh.org	38 Larose Street		Glens Falls	NY	12801	11/29/2023	2026	"PACE AT HUDSON HEADWATERS, INC."	National PACE	"PACE at Hudson Headwaters, Inc."	National PACE		"PACE AT HUDSON HEADWATERS, INC."	816	Yes	Active					PACE - Nat		C	New York
H2397	Part D Exceptions Contact			Spokane	Linda							lspokane@pacehh.org	38 Larose Street		Glens Falls	NY	12801	11/29/2023	2026	"PACE AT HUDSON HEADWATERS, INC."	National PACE	"PACE at Hudson Headwaters, Inc."	National PACE		"PACE AT HUDSON HEADWATERS, INC."	816	Yes	Active	1-518-886-7223				PACE - Nat		C	New York
H2397	Pharmacy Network Management Contact	President and Program Director	Mrs	Spokane	Linda		1-518-886-7223					lspokane@pacehh.org	38 Larose Street		Glens Falls	NY	12801	11/29/2023	2026	"PACE AT HUDSON HEADWATERS, INC."	National PACE	"PACE at Hudson Headwaters, Inc."	National PACE		"PACE AT HUDSON HEADWATERS, INC."	816	Yes	Active					PACE - Nat		C	New York
H2397	Pharmacy Technical Help Desk Contact			Spokane	Linda							lspokane@pacehh.org	38 Larose Street		Glens Falls	NY	12801	11/29/2023	2026	"PACE AT HUDSON HEADWATERS, INC."	National PACE	"PACE at Hudson Headwaters, Inc."	National PACE		"PACE AT HUDSON HEADWATERS, INC."	816	Yes	Active	1-518-886-7223				PACE - Nat		C	New York
H2397	Plan to Plan Reconciliation Contact	President and Program Director	Mrs	Spokane	Linda		1-518-886-7223					lspokane@pacehh.org	38 Larose Street		Glens Falls	NY	12801	11/29/2023	2026	"PACE AT HUDSON HEADWATERS, INC."	National PACE	"PACE at Hudson Headwaters, Inc."	National PACE		"PACE AT HUDSON HEADWATERS, INC."	816	Yes	Active					PACE - Nat		C	New York
H2400	Automated TrOOP Balance Transfer Contact			Perez	Mary		1-224-334-2046					mary.perez@medimpact.com	MedImpact	10181 Scripps Gateway Ct	San Diego	CA	92131	1/21/2025	2026	"SIGNATURE ADVANTAGE, LLC"	Local CCP	Abilis Health (HMO SNP)	HMO/HMOPOS		"BrightSpring Health Services, Inc."	879	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H2400	Best Available Evidence Contact	Director of Operations		Jackson	Samantha		1-636-614-1344					samantha.jackson@pillarrx.com	1061 Peruque Crossing Court		O'Fallon	MO	63366	8/27/2019	2026	"SIGNATURE ADVANTAGE, LLC"	Local CCP	Abilis Health (HMO SNP)	HMO/HMOPOS		"BrightSpring Health Services, Inc."	879	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H2400	Chief Financial Officer	CFO	Mr.	Aschenbeck	James		1-502-340-1535					james.aschenbeck@signatureadvantageplan.com	805 N Whittington Parkway		Louisville	KY	40222	12/13/2024	2026	"SIGNATURE ADVANTAGE, LLC"	Local CCP	Abilis Health (HMO SNP)	HMO/HMOPOS		"BrightSpring Health Services, Inc."	879	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H2400	CMS Casework Communication Contact	Chief Compliance Officer	Ms.	Ingram	Kristie		1-502-410-6859					kristie.ingram@signatureadvantageplan.com	805 N Whittington Parkway		Louisville	KY	40222	7/11/2024	2026	"SIGNATURE ADVANTAGE, LLC"	Local CCP	Abilis Health (HMO SNP)	HMO/HMOPOS		"BrightSpring Health Services, Inc."	879	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H2400	Coordination of Benefits Contact	CEO		Kennedy	Heather		1-423-240-2709					Heather.Kennedy@signatureadvantageplan.com	805 N Whittington Parkway		Louisville	KY	40222	6/3/2024	2026	"SIGNATURE ADVANTAGE, LLC"	Local CCP	Abilis Health (HMO SNP)	HMO/HMOPOS		"BrightSpring Health Services, Inc."	879	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H2400	Customer Service Operations Contact	CEO		Kennedy	Heather		1-423-240-2709					Heather.Kennedy@signatureadvantageplan.com	805 N Whittington Parkway		Louisville	KY	40222	6/3/2024	2026	"SIGNATURE ADVANTAGE, LLC"	Local CCP	Abilis Health (HMO SNP)	HMO/HMOPOS		"BrightSpring Health Services, Inc."	879	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H2400	Government Relations Contact	Chief Compliance Officer	Ms.	Ingram	Kristie		1-502-410-6859					kristie.ingram@signatureadvantageplan.com	805 N Whittington Parkway		Louisville	KY	40222	7/11/2024	2026	"SIGNATURE ADVANTAGE, LLC"	Local CCP	Abilis Health (HMO SNP)	HMO/HMOPOS		"BrightSpring Health Services, Inc."	879	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H2400	Hospice Contact	"VP, Clinical Services"		Green	Faith		1-502-709-0893					faith.green@signatureadvantageplan.com	805 N Whittington Parkway		Louisville	KY	40222	7/11/2024	2026	"SIGNATURE ADVANTAGE, LLC"	Local CCP	Abilis Health (HMO SNP)	HMO/HMOPOS		"BrightSpring Health Services, Inc."	879	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H2400	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Ingram	Kristie		1-502-410-6859					kristie.ingram@signatureadvantageplan.com	805 N Whittington Parkway		Louisville	KY	40222	7/11/2024	2026	"SIGNATURE ADVANTAGE, LLC"	Local CCP	Abilis Health (HMO SNP)	HMO/HMOPOS		"BrightSpring Health Services, Inc."	879	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H2400	Part D Exceptions Contact	"Pharmacy Supervisor, Coverage Determinations"		Larkins	Casey							clarkins@elixirsolutions.com	7835 Freedom Avenue NW		North Canton	OH	44720	2/23/2024	2026	"SIGNATURE ADVANTAGE, LLC"	Local CCP	Abilis Health (HMO SNP)	HMO/HMOPOS		"BrightSpring Health Services, Inc."	879	Yes	Active	1-330-285-9685				HMO - Health Maintenance Organization		C	Philadelphia
H2400	Pharmacy Network Management Contact	Director Pharmacy Network Administration		Hunt	Brian		1-858-790-7092					Brian.hunt@medimpact.com	MedImpact	10181 Scripps Gateway Ct	San Diego	CA	92131	1/21/2025	2026	"SIGNATURE ADVANTAGE, LLC"	Local CCP	Abilis Health (HMO SNP)	HMO/HMOPOS		"BrightSpring Health Services, Inc."	879	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H2400	Pharmacy Technical Help Desk Contact	Vice President Operations		Conn	Todd							Todd.Conn@medimpact.com	MedImpact	10181 Scripps Gateway Ct	San Diego	CA	92131	5/13/2025	2026	"SIGNATURE ADVANTAGE, LLC"	Local CCP	Abilis Health (HMO SNP)	HMO/HMOPOS		"BrightSpring Health Services, Inc."	879	Yes	Active	1-833-803-4397				HMO - Health Maintenance Organization		C	Philadelphia
H2400	Plan to Plan Reconciliation Contact	CFO		Aschenbeck	James		1-502-381-3442					james.aschenbeck@signatureadvantageplan.com	805 N Whittington Parkway		Louisville	KY	40222	7/11/2024	2026	"SIGNATURE ADVANTAGE, LLC"	Local CCP	Abilis Health (HMO SNP)	HMO/HMOPOS		"BrightSpring Health Services, Inc."	879	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H2406	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2406	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2406	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2406	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2406	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2406	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2406	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2406	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2406	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2406	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				PPO - BBA		C	Boston
H2406	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2406	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				PPO - BBA		C	Boston
H2406	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H2416	Automated TrOOP Balance Transfer Contact	Director of Care & Population Health Management	Ms.	Ehlert	Ann		1-320-759-4154				1-320-762-5945	ann.ehlert@primewest.org	PrimeWest Health	3905 Dakota St	Alexandria	MN	56308	5/26/2026	2026	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	Local CCP	PrimeWest Health	HMO/HMOPOS		PrimeWest Rural MN Health Care Access Initiative	189	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2416	Best Available Evidence Contact	Director of Member & Provider Services	Ms.	Jirik	Becky		1-320-335-5219				1-320-335-5223	becky.jirik@primewest.org	PrimeWest Health	3905 Dakota St	Alexandria	MN	56308	5/20/2026	2026	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	Local CCP	PrimeWest Health	HMO/HMOPOS		PrimeWest Rural MN Health Care Access Initiative	189	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2416	Chief Financial Officer	Chief Financial Officer	Mr.	Tava	Alex		1-651-389-4570				1-651-228-9893	alex.tava@wakely.com	Wakely Consulting	"444 Cedar Street, Suite 500,"	St. Paul	MN	55101	4/15/2026	2026	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	Local CCP	PrimeWest Health	HMO/HMOPOS		PrimeWest Rural MN Health Care Access Initiative	189	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2416	CMS Casework Communication Contact	Chief Operating Officer	Ms.	Krafthefer	Bethany		1-320-335-5392				1-320-762-8750	bethany.krafthefer@primewest.org	PrimeWest Health	3905 Dakota St	Alexandria	MN	56308	12/7/2022	2026	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	Local CCP	PrimeWest Health	HMO/HMOPOS		PrimeWest Rural MN Health Care Access Initiative	189	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2416	Coordination of Benefits Contact	Director of Member & Provider Services	Ms.	Jirik	Becky		1-320-335-5219				1-320-335-5223	MedicareCOB@primewest.org	PrimeWest Health	3905 Dakota St	Alexandria	MN	56309	5/20/2026	2026	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	Local CCP	PrimeWest Health	HMO/HMOPOS		PrimeWest Rural MN Health Care Access Initiative	189	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2416	Customer Service Operations Contact	Director of Member & Provider Services	Mrs.	Jirik	Becky		1-320-335-5219				1-320-335-5223	Becky.Jirik@primewest.org	PrimeWest Health	3905 Dakota St	Alexandria	MN	56308	5/20/2026	2026	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	Local CCP	PrimeWest Health	HMO/HMOPOS		PrimeWest Rural MN Health Care Access Initiative	189	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2416	Government Relations Contact	Chief Executive Officer	Mr.	Magnuson	Matt		1-320-335-5243				1-320-762-8750	matt.magnuson@primewest.org	PrimeWest Health	3905 Dakota St	Alexandria	MN	56308	5/20/2026	2026	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	Local CCP	PrimeWest Health	HMO/HMOPOS		PrimeWest Rural MN Health Care Access Initiative	189	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2416	Hospice Contact	Director of Care & Population Health Management	Ms.	Ehlert	Ann		1-320-759-4154				1-320-762-5945	ann.ehlert@primewest.org	PrimeWest Health	3905 Dakota St	Alexandria	MN	56308	5/26/2026	2026	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	Local CCP	PrimeWest Health	HMO/HMOPOS		PrimeWest Rural MN Health Care Access Initiative	189	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2416	Medicare Compliance Officer	Corporate Compliance/HIPAA Privacy Officer	Ms.	Adams	Sandra		1-320-335-5399				1-320-762-5937	sandra.adams@primewest.org	PrimeWest Health	3905 Dakota St	Alexandria	MN	56308	10/11/2022	2026	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	Local CCP	PrimeWest Health	HMO/HMOPOS		PrimeWest Rural MN Health Care Access Initiative	189	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2416	Part D Exceptions Contact	Director of Care & Population Health Management	Ms.	Ehlert	Ann						1-320-762-5945	ann.ehlert@primewest.org	PrimeWest Health	3905 Dakota St	Alexandria	MN	56308	5/26/2026	2026	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	Local CCP	PrimeWest Health	HMO/HMOPOS		PrimeWest Rural MN Health Care Access Initiative	189	Yes	Active	1-320-759-4154				HMO - Health Maintenance Organization		C	Chicago
H2416	Pharmacy Network Management Contact	Dir Pharmacy Network Administration	Mr.	Hunt	Brian		1-858-790-7092					Brian.Hunt@MedImpact.com	MedImpact HealthCare Systems Inc.	10181 Scripps Gateway Court	San Diego	CA	92131	12/13/2022	2026	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	Local CCP	PrimeWest Health	HMO/HMOPOS		PrimeWest Rural MN Health Care Access Initiative	189	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2416	Pharmacy Technical Help Desk Contact	Director Customer Contact Services	Ms.	Brewer	Kathy							customerservice@medimpact.com	"MedImpact HealthCare Systems, Inc."	10181 Scripps Gateway Court	San Diego	CA	92131	6/17/2022	2026	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	Local CCP	PrimeWest Health	HMO/HMOPOS		PrimeWest Rural MN Health Care Access Initiative	189	Yes	Active	1-877-391-9294				HMO - Health Maintenance Organization		C	Chicago
H2416	Plan to Plan Reconciliation Contact	Chief Financial Officer	Mr.	Tava	Alex		1-651-389-4570				1-651-228-9893	alex.tava@wakely.com	PrimeWest Health	3905 Dakota St	Alexandria	MN	56308	4/15/2026	2026	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	Local CCP	PrimeWest Health	HMO/HMOPOS		PrimeWest Rural MN Health Care Access Initiative	189	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2417	Automated TrOOP Balance Transfer Contact	Data/Project Coordinator		Scherf	Savanna		1-218-327-6157				1-218-327-5545	imcareenrollment@co.itasca.mn.us	1219 SE 2nd Avenue		Grand Rapids	MN	55744	10/21/2025	2026	ITASCA MEDICAL CARE	Local CCP	Itasca Medical Care/IMCare Classic	HMO/HMOPOS		Itasca County	136	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2417	Best Available Evidence Contact	Data/Project Coordinator		Anderson	Terasa		1-218-327-5505				1-218-327-5545	imcareenrollment@co.itasca.mn.us	1219 SE 2nd Ave.		Grand Rapids	MN	55744	2/18/2025	2026	ITASCA MEDICAL CARE	Local CCP	Itasca Medical Care/IMCare Classic	HMO/HMOPOS		Itasca County	136	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2417	Chief Financial Officer	CFO	Mr.	Alstad	Matthew		1-218-327-5517				1-218-327-5545	matthew.alstad@co.itasca.mn.us	1219 SE 2nd Ave		Grand Rapids	MN	55744	11/19/2019	2026	ITASCA MEDICAL CARE	Local CCP	Itasca Medical Care/IMCare Classic	HMO/HMOPOS		Itasca County	136	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2417	CMS Casework Communication Contact	Contract Compliance Officer		Grover	Laura		1-218-327-6769				1-218-327-5545	laura.grover@co.itasca.mn.us	1219 SE 2nd Ave		Grand Rapids	MN	55744	4/20/2017	2026	ITASCA MEDICAL CARE	Local CCP	Itasca Medical Care/IMCare Classic	HMO/HMOPOS		Itasca County	136	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2417	Coordination of Benefits Contact	Data/Project Coordinator		Anderson	Terasa		1-218-327-5505				1-218-327-5545	imcareenrollment@co.itasca.mn.us	1219 SE 2nd Ave.		Grand Rapids	MN	55744	1/10/2025	2026	ITASCA MEDICAL CARE	Local CCP	Itasca Medical Care/IMCare Classic	HMO/HMOPOS		Itasca County	136	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2417	Customer Service Operations Contact	Contract Compliance Officer		Grover	Laura		1-218-327-6769				1-218-327-5545	laura.grover@co.itasca.mn.us	1219 SE 2nd Ave		Grand Rapids	MN	55744	4/20/2017	2026	ITASCA MEDICAL CARE	Local CCP	Itasca Medical Care/IMCare Classic	HMO/HMOPOS		Itasca County	136	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2417	Government Relations Contact	Contract Compliance Officer		Grover	Laura		1-218-327-6769				1-218-327-5545	laura.grover@co.itasca.mn.us	1219 SE 2nd Ave		Grand Rapids	MN	55744	4/20/2017	2026	ITASCA MEDICAL CARE	Local CCP	Itasca Medical Care/IMCare Classic	HMO/HMOPOS		Itasca County	136	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2417	Hospice Contact	Data/Project Coordinator		Anderson	Terasa		1-218-327-5505				1-218-327-5545	imcareenrollment@co.itasca.mn.us	1219 SE 2nd Ave.		Grand Rapids	MN	55744	11/5/2025	2026	ITASCA MEDICAL CARE	Local CCP	Itasca Medical Care/IMCare Classic	HMO/HMOPOS		Itasca County	136	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2417	Medicare Compliance Officer	Contract Compliance Officer	Ms.	Grover	Laura		1-218-327-6769				1-218-327-5545	laura.grover@co.itasca.mn.us	1219 SE 2nd Ave		Grand Rapids	MN	55744	4/20/2017	2026	ITASCA MEDICAL CARE	Local CCP	Itasca Medical Care/IMCare Classic	HMO/HMOPOS		Itasca County	136	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2417	Part D Exceptions Contact	Utilization Management Director		Rosik	Peggy						1-218-327-5545	peggy.rosik@co.itasca.mn.us	1219 SE 2nd Ave		Grand Rapids	MN	55744	11/15/2021	2026	ITASCA MEDICAL CARE	Local CCP	Itasca Medical Care/IMCare Classic	HMO/HMOPOS		Itasca County	136	Yes	Active	1-800-843-9536	2199			HMO - Health Maintenance Organization		C	Chicago
H2417	Pharmacy Network Management Contact	Director Network Systems and Standard		Tressler	Damon		1-480-391-4702					damon.tressler@caremark.com	9501 E Shea Blvd.		Scottsdale	AZ	85260	12/15/2006	2026	ITASCA MEDICAL CARE	Local CCP	Itasca Medical Care/IMCare Classic	HMO/HMOPOS		Itasca County	136	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2417	Pharmacy Technical Help Desk Contact	IMCARE MEMBER SERVICES		SERVICES	MEMBER						1-218-327-5545		1219 SE 2ND AVENUE		GRAND RAPIDS	MN	55744	2/28/2019	2026	ITASCA MEDICAL CARE	Local CCP	Itasca Medical Care/IMCare Classic	HMO/HMOPOS		Itasca County	136	Yes	Active	1-800-843-9536				HMO - Health Maintenance Organization		C	Chicago
H2417	Plan to Plan Reconciliation Contact	Data/Project Coordinator		Anderson	Terasa		1-218-327-5505				1-218-327-5545	imcareenrollment@co.itasca.mn.us	1219 SE 2nd Ave.		Grand Rapids	MN	55744	1/10/2025	2026	ITASCA MEDICAL CARE	Local CCP	Itasca Medical Care/IMCare Classic	HMO/HMOPOS		Itasca County	136	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2419	Automated TrOOP Balance Transfer Contact	Business Systems Analyst		Murray	Karla		1-267-298-5899					kdmurray@performrx.com	PerformRx	200 Steven Dr.	Philadelphia	PA	19113	6/18/2025	2026	SOUTH COUNTRY HEALTH ALLIANCE	Local CCP	South Country Health Alliance	HMO/HMOPOS		South Country Health Alliance	212	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2419	Best Available Evidence Contact	Director of Operations		Lewer	Cheryl		1-507-431-6377				1-507-444-7774	clewer@mnscha.org	South Country Health Alliance	6380 West Frontage Road	Medford	MN	55049	10/22/2021	2026	SOUTH COUNTRY HEALTH ALLIANCE	Local CCP	South Country Health Alliance	HMO/HMOPOS		South Country Health Alliance	212	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2419	Chief Financial Officer	Chief Financial Officer	Mr	Schufman	Scott		1-507-431-6599				1-507-444-7774	sschufman@mnscha.org	South Country Health Alliance	6380 West Frontage Road	Medford	MN	55049	10/22/2021	2026	SOUTH COUNTRY HEALTH ALLIANCE	Local CCP	South Country Health Alliance	HMO/HMOPOS		South Country Health Alliance	212	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2419	CMS Casework Communication Contact	Grievance and Appeals Manager		Miller	Suzette		1-507-431-6373				1-507-444-7774	sumiller@mnscha.org	South Country Health Alliance	6380 West Frontage Road	Medford	MN	55049	10/22/2021	2026	SOUTH COUNTRY HEALTH ALLIANCE	Local CCP	South Country Health Alliance	HMO/HMOPOS		South Country Health Alliance	212	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2419	Coordination of Benefits Contact	Director of Operations		Lewer	Cheryl		1-507-431-6377				1-507-444-7774	clewer@mnscha.org	South Country Health Alliance	6380 West Frontage Road	Medford	MN	55049	10/25/2021	2026	SOUTH COUNTRY HEALTH ALLIANCE	Local CCP	South Country Health Alliance	HMO/HMOPOS		South Country Health Alliance	212	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2419	Customer Service Operations Contact	Director of Operations		Lewer	Cheryl		1-507-431-6377				1-507-444-7774	clewer@mnscha.org	South Country Health Alliance	6380 West Frontage Road	Medford	MN	55049	10/25/2021	2026	SOUTH COUNTRY HEALTH ALLIANCE	Local CCP	South Country Health Alliance	HMO/HMOPOS		South Country Health Alliance	212	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2419	Government Relations Contact	Compliance and Government Relations Manager		Krenz	Kayla		1-507-431-6938				1-507-444-7774	kkrenz@mnscha.org	South Country Health Alliance	6380 West Frontage Road	Medford	MN	55049	10/22/2021	2026	SOUTH COUNTRY HEALTH ALLIANCE	Local CCP	South Country Health Alliance	HMO/HMOPOS		South Country Health Alliance	212	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2419	Hospice Contact	Director of Health Services		Worrall	Kim		1-507-431-6397				1-507-444-7774	kworrall@mnscha.org	South Country Health Alliance	6380 West Frontage Road	Medford	MN	55049	10/25/2021	2026	SOUTH COUNTRY HEALTH ALLIANCE	Local CCP	South Country Health Alliance	HMO/HMOPOS		South Country Health Alliance	212	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2419	Medicare Compliance Officer	Compliance Officer	Mr	Marks	Jeff		1-507-431-6068				1-507-444-7774	jmarks@mnscha.org	South Country Health Alliance	6380 West Frontage Road	Medford	MN	55049	10/22/2021	2026	SOUTH COUNTRY HEALTH ALLIANCE	Local CCP	South Country Health Alliance	HMO/HMOPOS		South Country Health Alliance	212	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2419	Part D Exceptions Contact	Director of Pharmacy Utilization Mgmt		Bonko	Gerald						1-215-863-5100	gbonko@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	7/30/2024	2026	SOUTH COUNTRY HEALTH ALLIANCE	Local CCP	South Country Health Alliance	HMO/HMOPOS		South Country Health Alliance	212	Yes	Active	1-215-863-6483				HMO - Health Maintenance Organization		C	Chicago
H2419	Pharmacy Network Management Contact	Vice President Network Strategy		Sullivan	Tim		1-630-330-3638					tim.sullivan@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	7/30/2024	2026	SOUTH COUNTRY HEALTH ALLIANCE	Local CCP	South Country Health Alliance	HMO/HMOPOS		South Country Health Alliance	212	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2419	Pharmacy Technical Help Desk Contact	Call Center		Vargas	Crystal							cvargas@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	1/6/2026	2026	SOUTH COUNTRY HEALTH ALLIANCE	Local CCP	South Country Health Alliance	HMO/HMOPOS		South Country Health Alliance	212	Yes	Active	1-866-935-6681				HMO - Health Maintenance Organization		C	Chicago
H2419	Plan to Plan Reconciliation Contact	Chief Financial Officer		Schufman	Scott		1-507-431-6599				1-507-444-7774	sschufman@mnscha.org	South Country Health Alliance	6380 West Frontage Road	Medford	MN	55049	5/4/2026	2026	SOUTH COUNTRY HEALTH ALLIANCE	Local CCP	South Country Health Alliance	HMO/HMOPOS		South Country Health Alliance	212	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2422	Automated TrOOP Balance Transfer Contact	"Manager, Pharmacy Configuration and PBM Services"		Heinen	Keeley		1-952-883-5279					keeley.m.heinen@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS:  21111B	Minneapolis	MN	55440-1309	1/27/2026	2026	"HEALTHPARTNERS, INC."	Local CCP	HealthPartners	HMO/HMOPOS		"HealthPartners, Inc."	117	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2422	Best Available Evidence Contact	Sr. Manager Membership Accounting		Marty	Amanda	E	1-952-967-7685					amanda.e.marty@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS: 21103R	Minneapolis	MN	55440-1309	1/9/2025	2026	"HEALTHPARTNERS, INC."	Local CCP	HealthPartners	HMO/HMOPOS		"HealthPartners, Inc."	117	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2422	Chief Financial Officer	SVP & Chief Financial Officer	Ms.	Johnson	Kathleen	A	1-952-883-6531					kathy.a.johnson1@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS:  21110T	Minneapolis	MN	55440-1309	3/29/2023	2026	"HEALTHPARTNERS, INC."	Local CCP	HealthPartners	HMO/HMOPOS		"HealthPartners, Inc."	117	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2422	CMS Casework Communication Contact	"Manager, Member Rights and Benefits"		Kruse	Morgan	L	1-952-967-7679					Morgan.L.Kruse@HealthPartners.Com	P.O. Box 21662		Eagan	MN	55121	1/27/2026	2026	"HEALTHPARTNERS, INC."	Local CCP	HealthPartners	HMO/HMOPOS		"HealthPartners, Inc."	117	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2422	Coordination of Benefits Contact	"Manager, Claims Production"		Prine	Chantelle	M	1-952-967-7335					RVSCCOBTECHS@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"		Minneapolis	MN	55440-1309	4/20/2022	2026	"HEALTHPARTNERS, INC."	Local CCP	HealthPartners	HMO/HMOPOS		"HealthPartners, Inc."	117	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2422	Customer Service Operations Contact	Director Member Services		Renneke	Alison		1-952-967-7668					alison.m.renneke@healthpartners.com	"8170 33rd Avenue South, PO Box 9463"	MS:  21103R	Minneapolis	MN	55440-9463	1/29/2020	2026	"HEALTHPARTNERS, INC."	Local CCP	HealthPartners	HMO/HMOPOS		"HealthPartners, Inc."	117	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2422	Government Relations Contact	VP Government Programs		Clelland	Jennifer	J	1-952-967-5119					jennifer.j.clelland@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS: 21103C	Minneapolis	MN	55440-1309	8/27/2021	2026	"HEALTHPARTNERS, INC."	Local CCP	HealthPartners	HMO/HMOPOS		"HealthPartners, Inc."	117	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2422	Hospice Contact	Sr Pharmacy UM Comp and Ops Analyst		Riggs	Ben	H	1-651-323-0244					benjamin.h.riggs@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS: 21111B	Minneapolis	MN	55440-1309	12/12/2023	2026	"HEALTHPARTNERS, INC."	Local CCP	HealthPartners	HMO/HMOPOS		"HealthPartners, Inc."	117	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2422	Medicare Compliance Officer	"Director, Integrity and Compliance"	Ms.	Moscetti	Stephanie	M	1-952-883-7330				1-952-883-5522	stephanie.m.moscetti@healthpartners.com	8170 33rd Avenue South		Bloomington	MN	55425	11/17/2023	2026	"HEALTHPARTNERS, INC."	Local CCP	HealthPartners	HMO/HMOPOS		"HealthPartners, Inc."	117	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2422	Part D Exceptions Contact	"Supervisor, Clinical Review"		Whelan	Hillary	A					1-888-883-5434	hillary.a.whelan@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS:  21111B	Minneapolis	MN	55440-1309	1/27/2026	2026	"HEALTHPARTNERS, INC."	Local CCP	HealthPartners	HMO/HMOPOS		"HealthPartners, Inc."	117	Yes	Active	1-800-492-7259				HMO - Health Maintenance Organization		C	Chicago
H2422	Pharmacy Network Management Contact	"Manager, Pharmacy Configuration and PBM Services"		Heinen	Keeley		1-952-883-5279					keeley.m.heinen@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS:  21111B	Minneapolis	MN	55440-1309	1/27/2026	2026	"HEALTHPARTNERS, INC."	Local CCP	HealthPartners	HMO/HMOPOS		"HealthPartners, Inc."	117	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2422	Pharmacy Technical Help Desk Contact	Mgr Pharmacy Clinical Svcs & UM  Pharm Clin Srv		Whelan	Hillary	A					1-888-883-5434	Hillary.A.Whelan@HealthPartners.com	"8170 33rd Avenue South, PO Box 1309"	MS:  21111B	Minneapolis	MN	55440-1309	1/27/2026	2026	"HEALTHPARTNERS, INC."	Local CCP	HealthPartners	HMO/HMOPOS		"HealthPartners, Inc."	117	Yes	Active	1-800-492-7259				HMO - Health Maintenance Organization		C	Chicago
H2422	Plan to Plan Reconciliation Contact	Senior Accountant		Lee	Sheng		1-715-571-5521					sheng.x.lee@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS: 21109A	Minneapolis	MN	55440-1309	3/4/2025	2026	"HEALTHPARTNERS, INC."	Local CCP	HealthPartners	HMO/HMOPOS		"HealthPartners, Inc."	117	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2425	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Management		Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	4/17/2025	2026	HMO Minnesota	Local CCP	Blue Plus	HMO/HMOPOS		"Aware Integrated, Inc."	642	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2425	Best Available Evidence Contact	"Manager, Business Services"		Daniels	Cassandra		1-651-662-3468					Cassandra.Daniels@bluecrossmn.com	3400 Yankee Dr		Eagan	MN	55121	2/2/2022	2026	HMO Minnesota	Local CCP	Blue Plus	HMO/HMOPOS		"Aware Integrated, Inc."	642	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2425	Chief Financial Officer	"Senior Vice President, Chief Financial Officer"	Mr.	Uribe	John		1-651-662-9501					John.Uribe@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	8/21/2023	2026	HMO Minnesota	Local CCP	Blue Plus	HMO/HMOPOS		"Aware Integrated, Inc."	642	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2425	CMS Casework Communication Contact	Manager Appeals & Grievances		Bazzarre	Tom		1-651-662-9643					Tom.bazzarre@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	7/14/2023	2026	HMO Minnesota	Local CCP	Blue Plus	HMO/HMOPOS		"Aware Integrated, Inc."	642	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2425	Coordination of Benefits Contact	"Pharmacy Operations Analyst, Principal"		Corley	Courtney		1-651-662-4607					Courtney.corley@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	4/27/2026	2026	HMO Minnesota	Local CCP	Blue Plus	HMO/HMOPOS		"Aware Integrated, Inc."	642	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2425	Customer Service Operations Contact	"Director, Customer Service"		Golmen	Scott		1-651-662-8827					Scott.golmen@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	3/5/2026	2026	HMO Minnesota	Local CCP	Blue Plus	HMO/HMOPOS		"Aware Integrated, Inc."	642	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2425	Government Relations Contact	VP Public Affairs		Nelson	Lin		1-651-662-7123					lin.nelson@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	4/17/2025	2026	HMO Minnesota	Local CCP	Blue Plus	HMO/HMOPOS		"Aware Integrated, Inc."	642	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2425	Hospice Contact	Operations Business Analyst		Dick	Beth		1-651-662-9644					beth.dick@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	3/11/2019	2026	HMO Minnesota	Local CCP	Blue Plus	HMO/HMOPOS		"Aware Integrated, Inc."	642	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2425	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Tracy	Tracy		1-651-662-9094					mco@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	6/16/2026	2026	HMO Minnesota	Local CCP	Blue Plus	HMO/HMOPOS		"Aware Integrated, Inc."	642	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2425	Part D Exceptions Contact	Director Pharmacy Operations		Ibrahim	Sonya						1-800-693-6703	Sonya.ibahim@bluecrossmn.com	3400 Yankee Drive	2900 Ames Crossing Road	Eagan	MN	55121	6/1/2026	2026	HMO Minnesota	Local CCP	Blue Plus	HMO/HMOPOS		"Aware Integrated, Inc."	642	Yes	Active	1-800-693-6651				HMO - Health Maintenance Organization		C	Chicago
H2425	Pharmacy Network Management Contact	"Pharmacy Operations Analyst, Principal"		Carlson	Melissa		1-651-662-7791					Melissa.carlson@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	4/27/2026	2026	HMO Minnesota	Local CCP	Blue Plus	HMO/HMOPOS		"Aware Integrated, Inc."	642	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2425	Pharmacy Technical Help Desk Contact	"Pharmacy Operations Analyst, Principal"		Corley	Courtney							Courtney.corley@bluecrossmn.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Rd	Eagan	MN	55121	6/1/2026	2026	HMO Minnesota	Local CCP	Blue Plus	HMO/HMOPOS		"Aware Integrated, Inc."	642	Yes	Active	1-800-648-2778				HMO - Health Maintenance Organization		C	Chicago
H2425	Plan to Plan Reconciliation Contact	Financial Analyst Pr		Harrelson	Michael		1-651-662-8490				1-651-662-2200	Michael.Harrelson@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	4/17/2025	2026	HMO Minnesota	Local CCP	Blue Plus	HMO/HMOPOS		"Aware Integrated, Inc."	642	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2441	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H2441	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/7/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H2441	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H2441	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	2/7/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H2441	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H2441	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	2/7/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H2441	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H2441	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/7/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H2441	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H2441	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				PPO - BBA		C	Chicago
H2441	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	2/7/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H2441	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	12/23/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				PPO - BBA		C	Chicago
H2441	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	2/7/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H2445	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2445	Best Available Evidence Contact	"Manager, Enrollment & Eligibility"		Asselin	Krista		1-763-361-1104					krista_asselin@uhc.com	PO Box 9472		Minneapolis	MN	55440	11/14/2025	2026	"UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2445	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/13/2025	2026	"UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2445	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2445	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2445	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2445	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2445	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2445	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2445	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H2445	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2445	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H2445	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2450	Automated TrOOP Balance Transfer Contact			Bean	Danielle		1-952-992-2864					danielle.bean@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	2/17/2021	2026	MEDICA INSURANCE COMPANY	1876 Cost	Medica	1876 Cost		Medica Holding Company	439	Yes	Active					Cost1		1	Kansas City
H2450	Best Available Evidence Contact			Bock	Kelly		1-952-992-8379					kelly.bock@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	11/10/2022	2026	MEDICA INSURANCE COMPANY	1876 Cost	Medica	1876 Cost		Medica Holding Company	439	Yes	Active					Cost1		1	Kansas City
H2450	Chief Financial Officer	CFO	Ms	Dusil	Krista		1-952-992-3908					CFO@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	7/1/2025	2026	MEDICA INSURANCE COMPANY	1876 Cost	Medica	1876 Cost		Medica Holding Company	439	Yes	Active					Cost1		1	Kansas City
H2450	CMS Casework Communication Contact			Blum	Adam		1-608-830-5954					adam.blum@deancare.com	1277 Deming Way		Madison	WI	53717	10/30/2024	2026	MEDICA INSURANCE COMPANY	1876 Cost	Medica	1876 Cost		Medica Holding Company	439	Yes	Active					Cost1		1	Kansas City
H2450	Coordination of Benefits Contact			Vilendrer	Krista		1-952-992-3252					krista.vilendrer@medica.com	301 Carlson Parkway		Minnetonka	MN	55305	4/22/2022	2026	MEDICA INSURANCE COMPANY	1876 Cost	Medica	1876 Cost		Medica Holding Company	439	Yes	Active					Cost1		1	Kansas City
H2450	Customer Service Operations Contact			Bock	Kelly		1-952-992-8379					kelly.bock@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	11/10/2022	2026	MEDICA INSURANCE COMPANY	1876 Cost	Medica	1876 Cost		Medica Holding Company	439	Yes	Active					Cost1		1	Kansas City
H2450	Government Relations Contact	"VP & GM, Medicare"		Orr	Britta		1-952-992-3111					Britta.Orr@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	6/12/2025	2026	MEDICA INSURANCE COMPANY	1876 Cost	Medica	1876 Cost		Medica Holding Company	439	Yes	Active					Cost1		1	Kansas City
H2450	Hospice Contact			Bourdages	Kathy		1-952-992-3653				1-952-992-3636	PharmacySrvcGovtProg@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	1/31/2018	2026	MEDICA INSURANCE COMPANY	1876 Cost	Medica	1876 Cost		Medica Holding Company	439	Yes	Active					Cost1		1	Kansas City
H2450	Medicare Compliance Officer	VP Risk and Compliance	Ms	Bengtson	Kelly		1-952-992-3948					complianceofficer@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	2/24/2026	2026	MEDICA INSURANCE COMPANY	1876 Cost	Medica	1876 Cost		Medica Holding Company	439	Yes	Active					Cost1		1	Kansas City
H2450	Part D Exceptions Contact			Rodine	Bridget							bridget.rodine@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	12/28/2016	2026	MEDICA INSURANCE COMPANY	1876 Cost	Medica	1876 Cost		Medica Holding Company	439	Yes	Active	1-952-992-2353				Cost1		1	Kansas City
H2450	Pharmacy Network Management Contact	Director Clinical Pharmacy		Wilhelm	Sue		1-608-827-7576					Sue.Wilhelm@deancare.com	1277 Deming Way		Madison	WI	53717	12/9/2024	2026	MEDICA INSURANCE COMPANY	1876 Cost	Medica	1876 Cost		Medica Holding Company	439	Yes	Active					Cost1		1	Kansas City
H2450	Pharmacy Technical Help Desk Contact	"Sr. Director, Customer Service"		Sahs	Dale							dale.sahs@expressscripts.com	One Express Way		St. Louis	MO	63121	1/20/2026	2026	MEDICA INSURANCE COMPANY	1876 Cost	Medica	1876 Cost		Medica Holding Company	439	Yes	Active	1-800-922-1557				Cost1		1	Kansas City
H2450	Plan to Plan Reconciliation Contact			Ricaurte	Angela		1-952-992-3748					Angela.Ricaurte@medica.com	401 Carlson Parkway CP330		Minnetonka	MN	55305	5/16/2023	2026	MEDICA INSURANCE COMPANY	1876 Cost	Medica	1876 Cost		Medica Holding Company	439	Yes	Active					Cost1		1	Kansas City
H2458	Automated TrOOP Balance Transfer Contact			Bean	Danielle		1-952-992-2864					danielle.bean@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	2/17/2021	2026	MEDICA HEALTH PLANS	Local CCP	Medica	HMO/HMOPOS		Medica Holding Company	439	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2458	Best Available Evidence Contact			Bock	Kelly		1-952-992-8379					kelly.bock@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	11/10/2022	2026	MEDICA HEALTH PLANS	Local CCP	Medica	HMO/HMOPOS		Medica Holding Company	439	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2458	Chief Financial Officer	CFO	Ms	Dusil	Krista		1-952-992-3908					CFO@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	7/1/2025	2026	MEDICA HEALTH PLANS	Local CCP	Medica	HMO/HMOPOS		Medica Holding Company	439	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2458	CMS Casework Communication Contact			Blum	Adam		1-608-830-5954					adam.blum@deancare.com	1277 Deming Way		Madison	WI	53717	10/30/2024	2026	MEDICA HEALTH PLANS	Local CCP	Medica	HMO/HMOPOS		Medica Holding Company	439	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2458	Coordination of Benefits Contact			Vilendrer	Krista		1-952-992-3252					krista.vilendrer@medica.com	301 Carlson Parkway		Minnetonka	MN	55305	4/22/2022	2026	MEDICA HEALTH PLANS	Local CCP	Medica	HMO/HMOPOS		Medica Holding Company	439	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2458	Customer Service Operations Contact			Bock	Kelly		1-952-992-8379					kelly.bock@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	11/10/2022	2026	MEDICA HEALTH PLANS	Local CCP	Medica	HMO/HMOPOS		Medica Holding Company	439	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2458	Government Relations Contact	"VP & GM, Medicare"		Orr	Britta		1-952-992-3111					Britta.Orr@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	6/12/2025	2026	MEDICA HEALTH PLANS	Local CCP	Medica	HMO/HMOPOS		Medica Holding Company	439	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2458	Hospice Contact			Bourdages	Kathy		1-952-992-3653					PharmacySrvcGovtProg@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	6/28/2018	2026	MEDICA HEALTH PLANS	Local CCP	Medica	HMO/HMOPOS		Medica Holding Company	439	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2458	Medicare Compliance Officer	VP Risk and Compliance	Ms	Bengtson	Kelly		1-952-992-3948					complianceofficer@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	2/24/2026	2026	MEDICA HEALTH PLANS	Local CCP	Medica	HMO/HMOPOS		Medica Holding Company	439	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2458	Part D Exceptions Contact			Rodine	Bridget							bridget.rodine@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	12/28/2016	2026	MEDICA HEALTH PLANS	Local CCP	Medica	HMO/HMOPOS		Medica Holding Company	439	Yes	Active	1-952-992-2353				HMO - Health Maintenance Organization		C	Dallas
H2458	Pharmacy Network Management Contact	Director Clinical Pharmacy		Wilhelm	Sue		1-608-827-7576					Sue.Wilhelm@deancare.com	1277 Deming Way		Madison	WI	53717	12/9/2024	2026	MEDICA HEALTH PLANS	Local CCP	Medica	HMO/HMOPOS		Medica Holding Company	439	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2458	Pharmacy Technical Help Desk Contact	"Sr. Director, Customer Service"		Sahs	Dale							dale.sahs@expressscripts.com	One Express Way		St. Louis	MO	63121	1/20/2026	2026	MEDICA HEALTH PLANS	Local CCP	Medica	HMO/HMOPOS		Medica Holding Company	439	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Dallas
H2458	Plan to Plan Reconciliation Contact			Ricaurte	Angela		1-952-992-3748					Angela.Ricaurte@medica.com	401 Carlson Parkway CP330		Minnetonka	MN	55305	5/16/2023	2026	MEDICA HEALTH PLANS	Local CCP	Medica	HMO/HMOPOS		Medica Holding Company	439	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2461	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Management		Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	4/22/2025	2026	"BCBSM, Inc."	1876 Cost	Blue Cross and Blue Shield of Minnesota	1876 Cost		"Aware Integrated, Inc."	642	Yes	Active					Cost1		1	Chicago
H2461	Best Available Evidence Contact	"Manager, Business Services"		Daniels	Cassandra		1-651-662-3468					Cassandra.Daniels@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	1/27/2025	2026	"BCBSM, Inc."	1876 Cost	Blue Cross and Blue Shield of Minnesota	1876 Cost		"Aware Integrated, Inc."	642	Yes	Active					Cost1		1	Chicago
H2461	Chief Financial Officer	"Senior Vice President, Chief Financial Officer"	Mr.	Uribe	John		1-651-662-9501					John.Uribe@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	1/27/2025	2026	"BCBSM, Inc."	1876 Cost	Blue Cross and Blue Shield of Minnesota	1876 Cost		"Aware Integrated, Inc."	642	Yes	Active					Cost1		1	Chicago
H2461	CMS Casework Communication Contact	Manager Appeals & Grievances		Bazzarre	Tom		1-651-662-9643					Tom.bazzarre@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	7/14/2023	2026	"BCBSM, Inc."	1876 Cost	Blue Cross and Blue Shield of Minnesota	1876 Cost		"Aware Integrated, Inc."	642	Yes	Active					Cost1		1	Chicago
H2461	Coordination of Benefits Contact	Business Services  Mgr		Daniels	Cassandra		1-651-662-3468					government.program.service.request@bcbsmn.com	3400 Yankee Drive		Eagan	MN	55121	1/31/2025	2026	"BCBSM, Inc."	1876 Cost	Blue Cross and Blue Shield of Minnesota	1876 Cost		"Aware Integrated, Inc."	642	Yes	Active					Cost1		1	Chicago
H2461	Customer Service Operations Contact	"Director, Customer Service"		Golmen	Scott		1-651-662-8827					scott.golmen@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	3/5/2026	2026	"BCBSM, Inc."	1876 Cost	Blue Cross and Blue Shield of Minnesota	1876 Cost		"Aware Integrated, Inc."	642	Yes	Active					Cost1		1	Chicago
H2461	Government Relations Contact	Chief Lobbyist		Nelson	Lin		1-651-662-7123					lin.nelson@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	1/27/2025	2026	"BCBSM, Inc."	1876 Cost	Blue Cross and Blue Shield of Minnesota	1876 Cost		"Aware Integrated, Inc."	642	Yes	Active					Cost1		1	Chicago
H2461	Hospice Contact	Operations Business Analyst		Dick	Beth		1-651-662-9644					beth.dick@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	3/19/2019	2026	"BCBSM, Inc."	1876 Cost	Blue Cross and Blue Shield of Minnesota	1876 Cost		"Aware Integrated, Inc."	642	Yes	Active					Cost1		1	Chicago
H2461	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Tracy	Tracy		1-651-662-9094					mco@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	6/16/2026	2026	"BCBSM, Inc."	1876 Cost	Blue Cross and Blue Shield of Minnesota	1876 Cost		"Aware Integrated, Inc."	642	Yes	Active					Cost1		1	Chicago
H2461	Part D Exceptions Contact	"Director, Pharmacy Operations"		ibrahim	Sonya						1-800-693-6703	sonja.ibrahim@bluecrossmn.com	3400 Yankee Drive	2900 Ames Crossing Road	Eagan	MN	55121	6/1/2026	2026	"BCBSM, Inc."	1876 Cost	Blue Cross and Blue Shield of Minnesota	1876 Cost		"Aware Integrated, Inc."	642	Yes	Active	1-800-693-6651				Cost1		1	Chicago
H2461	Pharmacy Network Management Contact	"Pharmacy Operations Analyst, Principle"		Carlson	Melissa		1-651-662-7791					Melissa.carlson@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	4/27/2026	2026	"BCBSM, Inc."	1876 Cost	Blue Cross and Blue Shield of Minnesota	1876 Cost		"Aware Integrated, Inc."	642	Yes	Active					Cost1		1	Chicago
H2461	Pharmacy Technical Help Desk Contact	"Pharmacy Operation Analyst, Principle"		Corley	Courtney							courtney.corley@bluecrossmn.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Rd	Eagan	MN	55121	6/1/2026	2026	"BCBSM, Inc."	1876 Cost	Blue Cross and Blue Shield of Minnesota	1876 Cost		"Aware Integrated, Inc."	642	Yes	Active	1-800-648-2778				Cost1		1	Chicago
H2461	Plan to Plan Reconciliation Contact	"Manager, Financial Reporting"		Harrelson	Michael		1-651-662-8490				1-651-662-2200	Michael.Harrelson@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	1/27/2025	2026	"BCBSM, Inc."	1876 Cost	Blue Cross and Blue Shield of Minnesota	1876 Cost		"Aware Integrated, Inc."	642	Yes	Active					Cost1		1	Chicago
H2462	Automated TrOOP Balance Transfer Contact	"Manager, Pharmacy Configuration and PBM Services"		Heinen	Keeley		1-952-883-5279					keeley.m.heinen@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS:  21111B	Minneapolis	MN	55440-1309	1/27/2026	2026	"HEALTHPARTNERS, INC."	1876 Cost	HealthPartners	1876 Cost		"HealthPartners, Inc."	117	Yes	Active					Cost1		1	Chicago
H2462	Best Available Evidence Contact	Sr. Manager Membership Accounting		Marty	Amanda	E	1-952-967-7685					amanda.e.marty@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS: 21103R	Minneapolis	MN	55440-1309	1/9/2025	2026	"HEALTHPARTNERS, INC."	1876 Cost	HealthPartners	1876 Cost		"HealthPartners, Inc."	117	Yes	Active					Cost1		1	Chicago
H2462	Chief Financial Officer	SVP & Chief Financial Officer	Ms.	Johnson	Kathleen	A	1-952-883-6531					kathy.a.johnson1@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS:  21110T	Minneapolis	MN	55440-1309	3/29/2023	2026	"HEALTHPARTNERS, INC."	1876 Cost	HealthPartners	1876 Cost		"HealthPartners, Inc."	117	Yes	Active					Cost1		1	Chicago
H2462	CMS Casework Communication Contact	Manager Member Rights and Benefits		Kruse	Morgan	L	1-952-967-7679					Morgan.L.Kruse@HealthPartners.Com	P.O. Box 21662		Eagan	MN	55121	1/27/2026	2026	"HEALTHPARTNERS, INC."	1876 Cost	HealthPartners	1876 Cost		"HealthPartners, Inc."	117	Yes	Active					Cost1		1	Chicago
H2462	Coordination of Benefits Contact	"Manager, Claims Production"		Prine	Chantelle	M	1-952-967-7335					RVSCCOBTECHS@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"		Minneapolis	MN	55440-1309	4/20/2022	2026	"HEALTHPARTNERS, INC."	1876 Cost	HealthPartners	1876 Cost		"HealthPartners, Inc."	117	Yes	Active					Cost1		1	Chicago
H2462	Customer Service Operations Contact	Director Member Services		Renneke	Alison		1-952-967-7668					alison.m.renneke@healthpartners.com	"8170 33rd Avenue South, PO Box 9463"	MS:  21103R	Minneapolis	MN	55440-9463	1/29/2020	2026	"HEALTHPARTNERS, INC."	1876 Cost	HealthPartners	1876 Cost		"HealthPartners, Inc."	117	Yes	Active					Cost1		1	Chicago
H2462	Government Relations Contact	VP Government Programs		Clelland	Jennifer	J	1-952-967-5119					jennifer.j.clelland@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS: 21103C	Minneapolis	MN	55440-1309	8/30/2021	2026	"HEALTHPARTNERS, INC."	1876 Cost	HealthPartners	1876 Cost		"HealthPartners, Inc."	117	Yes	Active					Cost1		1	Chicago
H2462	Hospice Contact	Sr Pharmacy UM Comp and Ops Analyst		Riggs	Ben	H	1-651-323-0244					benjamin.h.riggs@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS: 21111B	Minneapolis	MN	55440-1309	12/12/2023	2026	"HEALTHPARTNERS, INC."	1876 Cost	HealthPartners	1876 Cost		"HealthPartners, Inc."	117	Yes	Active					Cost1		1	Chicago
H2462	Medicare Compliance Officer	"Director, Integrity and Compliance"	Ms.	Moscetti	Stephanie	M	1-952-883-7330				1-952-883-5522	stephanie.m.moscetti@healthpartners.com	8170 33rd Avenue South		Bloomington	MN	55425	11/17/2023	2026	"HEALTHPARTNERS, INC."	1876 Cost	HealthPartners	1876 Cost		"HealthPartners, Inc."	117	Yes	Active					Cost1		1	Chicago
H2462	Part D Exceptions Contact	Mgr Pharmacy Clinical Svcs & UM		Whelan	Hillary	A					1-888-883-5434	hillary.a.whelan@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS:  21111B	Minneapolis	MN	55440-1309	1/27/2026	2026	"HEALTHPARTNERS, INC."	1876 Cost	HealthPartners	1876 Cost		"HealthPartners, Inc."	117	Yes	Active	1-800-492-7259				Cost1		1	Chicago
H2462	Pharmacy Network Management Contact	"Manager, Pharmacy Configuration and PBM Services"		Heinen	Keeley		1-952-883-5279					keeley.m.heinen@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS:  21111B	Minneapolis	MN	55440-1309	1/27/2026	2026	"HEALTHPARTNERS, INC."	1876 Cost	HealthPartners	1876 Cost		"HealthPartners, Inc."	117	Yes	Active					Cost1		1	Chicago
H2462	Pharmacy Technical Help Desk Contact	Mgr Pharmacy Clinical Svcs & UM  Pharm Clin Srv		Whelan	Hillary	A					1-888-883-5434	Hillary.A.Whelan@HealthPartners.com	"8170 33rd Avenue South, PO Box 1309"	MS:  21111B	Minneapolis	MN	55440-1309	1/27/2026	2026	"HEALTHPARTNERS, INC."	1876 Cost	HealthPartners	1876 Cost		"HealthPartners, Inc."	117	Yes	Active	1-800-492-7259				Cost1		1	Chicago
H2462	Plan to Plan Reconciliation Contact	Senior Accountant		Lee	Sheng		1-715-571-5521					sheng.x.lee@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS: 21109A	Minneapolis	MN	55440-1309	3/4/2025	2026	"HEALTHPARTNERS, INC."	1876 Cost	HealthPartners	1876 Cost		"HealthPartners, Inc."	117	Yes	Active					Cost1		1	Chicago
H2463	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN OF TEXAS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2463	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN OF TEXAS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2463	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN OF TEXAS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2463	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	"HUMANA HEALTH PLAN OF TEXAS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2463	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN OF TEXAS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2463	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN OF TEXAS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2463	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN OF TEXAS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2463	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN OF TEXAS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2463	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN OF TEXAS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2463	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN OF TEXAS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-859-321-9075				HMO - Health Maintenance Organization		C	Kansas City
H2463	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN OF TEXAS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2463	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	"HUMANA HEALTH PLAN OF TEXAS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-800-865-8715				HMO - Health Maintenance Organization		C	Kansas City
H2463	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	"HUMANA HEALTH PLAN OF TEXAS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2478	Automated TrOOP Balance Transfer Contact	"AVP, Pharmacy"		Vu	John		1-801-252-5706					an.vu@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	MOLINA HEALTHCARE OF NEVADA INC	Local CCP	Molina Healthcare of Nevada	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H2478	Best Available Evidence Contact	"Director, Medicare PEnrollment"		LeJeune	Ryan		1-562-549-4527					ryan.lejeune@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	MOLINA HEALTHCARE OF NEVADA INC	Local CCP	Molina Healthcare of Nevada	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H2478	Chief Financial Officer	"MHI - VP, Operating Finance"	Mr.	Parthasarathy	Vijay		1-630-381-8563					vijay.parthasarathy@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	MOLINA HEALTHCARE OF NEVADA INC	Local CCP	Molina Healthcare of Nevada	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H2478	CMS Casework Communication Contact	"Dir, Medicare A&G"		Bennett	Kimberly		1-248-854-9474					Kimberly.Bennett@molinahealthcare.com	24121 Rosewood Street		Oak Park	MI	48237	5/20/2026	2026	MOLINA HEALTHCARE OF NEVADA INC	Local CCP	Molina Healthcare of Nevada	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H2478	Coordination of Benefits Contact	"Director, Payment Integrity"		Hartberger	Jake		1-484-269-1480					Jake.Hartberger@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	MOLINA HEALTHCARE OF NEVADA INC	Local CCP	Molina Healthcare of Nevada	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H2478	Customer Service Operations Contact	"Vice President, Call Center"		Faroughi	Cheryl		1-614-547-6829					cheryl.faroughi@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	MOLINA HEALTHCARE OF NEVADA INC	Local CCP	Molina Healthcare of Nevada	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H2478	Government Relations Contact	"MHI- Vice President, Compliance"		Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@Molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	MOLINA HEALTHCARE OF NEVADA INC	Local CCP	Molina Healthcare of Nevada	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H2478	Hospice Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/20/2026	2026	MOLINA HEALTHCARE OF NEVADA INC	Local CCP	Molina Healthcare of Nevada	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H2478	Medicare Compliance Officer	"MHI- Vice President, Compliance"	Mr.	Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	MOLINA HEALTHCARE OF NEVADA INC	Local CCP	Molina Healthcare of Nevada	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H2478	Part D Exceptions Contact	"AVP, Medicare Pharmacy Services"		Vu	John							An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/20/2026	2026	MOLINA HEALTHCARE OF NEVADA INC	Local CCP	Molina Healthcare of Nevada	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract	1-801-252-5706				HMO - Health Maintenance Organization		C	New York
H2478	Pharmacy Network Management Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/20/2026	2026	MOLINA HEALTHCARE OF NEVADA INC	Local CCP	Molina Healthcare of Nevada	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H2478	Pharmacy Technical Help Desk Contact	"Director, Client Operations"		Help Desk	Pharmacy						1-480-314-6077	dayoubj@cvshealth.com	445 Great Circle Road		Nashville	TN	37228	5/20/2026	2026	MOLINA HEALTHCARE OF NEVADA INC	Local CCP	Molina Healthcare of Nevada	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H2478	Plan to Plan Reconciliation Contact	"Director, Finance"		Cook	Keith		1-562-542-2024					P2P.molina@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	MOLINA HEALTHCARE OF NEVADA INC	Local CCP	Molina Healthcare of Nevada	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H2486	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF UTAH, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2486	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF UTAH, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2486	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF UTAH, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2486	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	"HUMANA MEDICAL PLAN OF UTAH, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2486	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF UTAH, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2486	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF UTAH, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2486	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF UTAH, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2486	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF UTAH, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2486	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF UTAH, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2486	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF UTAH, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-859-321-9075				HMO - Health Maintenance Organization		C	Kansas City
H2486	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF UTAH, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2486	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	"HUMANA MEDICAL PLAN OF UTAH, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-800-865-8715				HMO - Health Maintenance Organization		C	Kansas City
H2486	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	"HUMANA MEDICAL PLAN OF UTAH, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2491	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"WELLCARE HEALTH INSURANCE OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2491	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"WELLCARE HEALTH INSURANCE OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2491	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/20/2024	2026	"WELLCARE HEALTH INSURANCE OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2491	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"WELLCARE HEALTH INSURANCE OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2491	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"WELLCARE HEALTH INSURANCE OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2491	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/18/2024	2026	"WELLCARE HEALTH INSURANCE OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2491	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"WELLCARE HEALTH INSURANCE OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2491	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"WELLCARE HEALTH INSURANCE OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2491	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/22/2025	2026	"WELLCARE HEALTH INSURANCE OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2491	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/20/2024	2026	"WELLCARE HEALTH INSURANCE OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H2491	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	"WELLCARE HEALTH INSURANCE OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2491	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/17/2024	2026	"WELLCARE HEALTH INSURANCE OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0408				HMO - Health Maintenance Organization		C	Denver
H2491	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	6/20/2024	2026	"WELLCARE HEALTH INSURANCE OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2509	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF FLORIDA, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2509	Best Available Evidence Contact	"Manager, Enrollment & Eligibility"		Asselin	Krista		1-763-361-1104					krista_asselin@uhc.com	PO Box 9472		Minneapolis	MN	55440	11/14/2025	2026	"UNITEDHEALTHCARE OF FLORIDA, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2509	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/13/2025	2026	"UNITEDHEALTHCARE OF FLORIDA, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2509	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"UNITEDHEALTHCARE OF FLORIDA, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2509	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF FLORIDA, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2509	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF FLORIDA, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2509	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF FLORIDA, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2509	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF FLORIDA, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2509	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF FLORIDA, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2509	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF FLORIDA, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H2509	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF FLORIDA, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2509	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF FLORIDA, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H2509	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"UNITEDHEALTHCARE OF FLORIDA, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2526	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF OHIO INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H2526	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF OHIO INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H2526	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF OHIO INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H2526	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF OHIO INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H2526	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF OHIO INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H2526	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF OHIO INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H2526	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF OHIO INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H2526	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF OHIO INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H2526	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF OHIO INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H2526	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF OHIO INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				PPO - BBA		C	New York
H2526	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF OHIO INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H2526	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF OHIO INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				PPO - BBA		C	New York
H2526	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF OHIO INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H2541	Automated TrOOP Balance Transfer Contact	Operations Manager	Ms	Mourgos	Diane		1-707-615-4437				1-707-615-6955	dmourgos@agewell.org	5789 State Farm Dr Ste 110		Rohnert Park	CA	94928	3/9/2025	2026	AGEWELL PACE	National PACE	AgeWell PACE	National PACE		AgeWell PACE	810	Yes	Active					PACE - Nat		C	San Francisco
H2541	Best Available Evidence Contact	Executive Director	Ms.	Stambaugh	Kathryn		1-707-615-4437				1-707-615-6955	kstambaugh@agewell.org	5789 State Farm Dr Ste 110		Rohnert Park	CA	94928	4/22/2025	2026	AGEWELL PACE	National PACE	AgeWell PACE	National PACE		AgeWell PACE	810	Yes	Active					PACE - Nat		C	San Francisco
H2541	Chief Financial Officer	Finance Director	Ms	Mok	Jane		1-707-615-4437					jmok@agewell.org	5789 State Farm Dr Suite 110		Rohnert Park	CA	94928	9/14/2023	2026	AGEWELL PACE	National PACE	AgeWell PACE	National PACE		AgeWell PACE	810	Yes	Active					PACE - Nat		C	San Francisco
H2541	CMS Casework Communication Contact	Executive Director	Ms	Stambaugh	Kathryn		1-707-615-4437				1-707-615-6955	kstambaugh@agewell.org	5789 State Farm Dr. Suite 110		Rohnert Park	CA	94928	4/22/2025	2026	AGEWELL PACE	National PACE	AgeWell PACE	National PACE		AgeWell PACE	810	Yes	Active					PACE - Nat		C	San Francisco
H2541	Coordination of Benefits Contact	Executive Director	Ms	Stambaugh	Kathryn		1-707-615-4437				1-707-615-6955	kstambaugh@agewell.org	5789 State Farm Dr. Suite 110		Rohnert Park	CA	94928	4/22/2025	2026	AGEWELL PACE	National PACE	AgeWell PACE	National PACE		AgeWell PACE	810	Yes	Active					PACE - Nat		C	San Francisco
H2541	Customer Service Operations Contact	Executive Director	Ms	Stambaugh	Kathryn		1-707-615-4437				1-707-615-6955	kstambaugh@agewell.org	5789 State Farm Dr. Suite 110		Rohnert Park	CA	94928	4/22/2025	2026	AGEWELL PACE	National PACE	AgeWell PACE	National PACE		AgeWell PACE	810	Yes	Active					PACE - Nat		C	San Francisco
H2541	Government Relations Contact	Executive Director	Ms	Stambaugh	Kathryn		1-707-615-4437				1-707-615-6955	kstambaugh@agewell.org	5789 State Farm Dr. Suite 110		Rohnert Park	CA	94928	4/22/2025	2026	AGEWELL PACE	National PACE	AgeWell PACE	National PACE		AgeWell PACE	810	Yes	Active					PACE - Nat		C	San Francisco
H2541	Medicare Compliance Officer	Executive Director	Ms	Stambaugh	Kathryn		1-707-615-4437					kstambaugh@agewell.org	5789 State Farm Dr Suite 110		Rohnert Park	CA	94928	4/22/2025	2026	AGEWELL PACE	National PACE	AgeWell PACE	National PACE		AgeWell PACE	810	Yes	Active					PACE - Nat		C	San Francisco
H2541	Part D Exceptions Contact	Medical Director	Ms	Yurkiewicz	Shara							syurkiewicz@agewell.org	5789 State Farm Dr Suite 110		Rohnert Park	CA	94928	7/9/2024	2026	AGEWELL PACE	National PACE	AgeWell PACE	National PACE		AgeWell PACE	810	Yes	Active	1-707-615-4437				PACE - Nat		C	San Francisco
H2541	Pharmacy Network Management Contact	Medical Director	Ms	Yurkiewicz	Shara		1-707-615-4437					syurkiewicz@agewell.org	5789 State Farm Dr Suite 110		Rohnert Park	CA	94928	7/9/2024	2026	AGEWELL PACE	National PACE	AgeWell PACE	National PACE		AgeWell PACE	810	Yes	Active					PACE - Nat		C	San Francisco
H2541	Pharmacy Technical Help Desk Contact	Operations Manager	Ms	Mourgos	Diane							dmourgos@agewell.org	5789 State Farm Dr Suite 110		Rohnert Park	CA	94928	3/9/2025	2026	AGEWELL PACE	National PACE	AgeWell PACE	National PACE		AgeWell PACE	810	Yes	Active	1-707-615-4437				PACE - Nat		C	San Francisco
H2541	Plan to Plan Reconciliation Contact	Operations Manager	Ms	Mourgos	Diane		1-707-615-4437					dmourgos@agewell.org	5789 State Farm Dr Suite 110		Rohnert Park	CA	94928	3/9/2025	2026	AGEWELL PACE	National PACE	AgeWell PACE	National PACE		AgeWell PACE	810	Yes	Active					PACE - Nat		C	San Francisco
H2563	Automated TrOOP Balance Transfer Contact	"Manager, Pharmacy Benefits"		Strickland	Brandi		1-757-252-8193				1-757-962-5575	RxBenefits@sentara.com	1300 Sentara Park		Virginia Beach	VA	23464	2/10/2025	2026	SENTARA HEALTH PLANS	Local CCP	Sentara Medicare	HMO/HMOPOS		Sentara Health Care (SHC)	345	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2563	Best Available Evidence Contact	"Manager, Government Programs Enrollment"		Sharma	Star		1-804-301-8196					sdsharma@sentara.com	1300 Sentara Park		Virginia Beach	VA	23464	2/9/2026	2026	SENTARA HEALTH PLANS	Local CCP	Sentara Medicare	HMO/HMOPOS		Sentara Health Care (SHC)	345	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2563	Chief Financial Officer	SVP & CFO	Ms.	Campbell	Sharilyn		1-206-898-0702					sxcamp11@sentara.com	1300 Sentara Park		Virginia Beach	VA	23464	2/10/2025	2026	SENTARA HEALTH PLANS	Local CCP	Sentara Medicare	HMO/HMOPOS		Sentara Health Care (SHC)	345	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2563	CMS Casework Communication Contact	Director Medicare Compliance		Lojko	Catherine		1-407-280-3730					cmlojko@sentara.com	1300 Sentara Park		Virginia Beach	VA	23464	1/21/2026	2026	SENTARA HEALTH PLANS	Local CCP	Sentara Medicare	HMO/HMOPOS		Sentara Health Care (SHC)	345	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2563	Coordination of Benefits Contact	Director Medicare Compliance		Lojko	Catherine		1-407-280-3730					cmlojko@sentara.com	1300 Sentara Park		Virginia Beach	VA	23464	2/9/2026	2026	SENTARA HEALTH PLANS	Local CCP	Sentara Medicare	HMO/HMOPOS		Sentara Health Care (SHC)	345	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2563	Customer Service Operations Contact	"Sr. Director, Customer Services"		Bain	Shenna		1-813-334-8871				1-757-552-7116	sxlucasb@sentara.com	10800 Nuckols Road		Glen Allen	VA	23060	2/11/2025	2026	SENTARA HEALTH PLANS	Local CCP	Sentara Medicare	HMO/HMOPOS		Sentara Health Care (SHC)	345	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2563	Government Relations Contact	Director Government Programs - Medicare		Hoffman	Daniel		1-570-492-0915				1-757-552-7396	dehoffma@sentara.com	1300 Sentara Park		Virginia Beach	VA	23464	2/10/2025	2026	SENTARA HEALTH PLANS	Local CCP	Sentara Medicare	HMO/HMOPOS		Sentara Health Care (SHC)	345	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2563	Hospice Contact	Director Pharmacy Ops & Compliance		May	Crystal		1-866-603-7514				1-757-962-5575	ccmay2@sentara.com	10800 Nuckols		Glen Allen	VA	23060	2/10/2025	2026	SENTARA HEALTH PLANS	Local CCP	Sentara Medicare	HMO/HMOPOS		Sentara Health Care (SHC)	345	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2563	Medicare Compliance Officer	"Director, Medicare Compliance"	Ms.	Lojko	Catherine		1-407-280-3730					cmlojko@sentara.com	1300 Sentara Park		Virginia Beach	VA	23464	1/21/2026	2026	SENTARA HEALTH PLANS	Local CCP	Sentara Medicare	HMO/HMOPOS		Sentara Health Care (SHC)	345	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2563	Part D Exceptions Contact	Clinical Pharmacist		Rasnick	Dorothy						1-757-962-5576	dxrasnic@sentara.com	1300 Sentara Park		Virginia Beach	VA	23464	2/10/2025	2026	SENTARA HEALTH PLANS	Local CCP	Sentara Medicare	HMO/HMOPOS		Sentara Health Care (SHC)	345	Yes	Active	1-757-983-4243				HMO - Health Maintenance Organization		C	Dallas
H2563	Pharmacy Network Management Contact	"VP, Pharmacy"		Daw	Jessica		1-757-252-8181				1-757-962-5575	jrdaw@sentara.com	1300 Sentara Park		Virginia Beach	VA	23464	2/10/2025	2026	SENTARA HEALTH PLANS	Local CCP	Sentara Medicare	HMO/HMOPOS		Sentara Health Care (SHC)	345	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2563	Pharmacy Technical Help Desk Contact	Sr. Director Customer Service		Sahs	Dale							dale.sahs@express-scripts.com	One Express Way Mail Stop: S13NB		St. Louis	MO	63121	2/9/2026	2026	SENTARA HEALTH PLANS	Local CCP	Sentara Medicare	HMO/HMOPOS		Sentara Health Care (SHC)	345	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Dallas
H2563	Plan to Plan Reconciliation Contact	Director Accounting Operations	Mr	Entienne	Emmanuel		1-757-216-9625				1-757-252-8039	ERETIENN@SENTARA.COM	1300 Sentara Park		Virginia Beach	VA	23464	4/1/2026	2026	SENTARA HEALTH PLANS	Local CCP	Sentara Medicare	HMO/HMOPOS		Sentara Health Care (SHC)	345	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2564	Automated TrOOP Balance Transfer Contact	Director of Data and Tech Services		Cuchel	Eric		1-215-937-4161					ecuchel@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH CARITAS LOUISIANA, INC."	Local CCP	AmeriHealth Caritas VIP Care (HMO-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2564	Best Available Evidence Contact	Medicare Enrollment Manager	Ms.	Mullins	Naketa		1-484-497-1171					nmullins@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH CARITAS LOUISIANA, INC."	Local CCP	AmeriHealth Caritas VIP Care (HMO-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2564	Chief Financial Officer	"EVP, CFO & Treasurer"	Mr.	Lopez	Juan		1-609-405-0539					Juan.Lopez@ibx.com	"1901 Market Street, 39th floor"		Philadelphia	PA	19103	3/17/2026	2026	"AMERIHEALTH CARITAS LOUISIANA, INC."	Local CCP	AmeriHealth Caritas VIP Care (HMO-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2564	CMS Casework Communication Contact	Director Medicare Appeals and Grievances	Ms.	Lopez	Yismell		1-215-863-5677					yelopez@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH CARITAS LOUISIANA, INC."	Local CCP	AmeriHealth Caritas VIP Care (HMO-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2564	Coordination of Benefits Contact	"Manager,  Medicare Regulatory Performance"	Ms.	Williams	Kathy		1-843-830-0812					kwilliams@firstchoicevipcareplus.com	Amerihealth Caritas Family of Companies	"4390 Belle Oak Dr, Suite 400"	Charleston	SC	29405	3/17/2026	2026	"AMERIHEALTH CARITAS LOUISIANA, INC."	Local CCP	AmeriHealth Caritas VIP Care (HMO-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2564	Customer Service Operations Contact	"Director, Medicare Customer Service"	Ms.	Veras	Helen		1-267-298-1794					hveras@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	200 Stevens Dr.	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH CARITAS LOUISIANA, INC."	Local CCP	AmeriHealth Caritas VIP Care (HMO-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2564	Government Relations Contact	"VP, Public Policy"	Mr.	Cozzo	Steven		1-215-937-8236					scozzo@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	3875 West Chester Pike	Newtown Square	PA	19073	3/17/2026	2026	"AMERIHEALTH CARITAS LOUISIANA, INC."	Local CCP	AmeriHealth Caritas VIP Care (HMO-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2564	Hospice Contact	Dir Member Services	Ms.	Veras	Helen		1-833-852-4433					hveras@amerihealthcaritas.com	AmeriHealth Caritas	3875 West Chester Pike	Newtown Square	PA	19073	3/17/2026	2026	"AMERIHEALTH CARITAS LOUISIANA, INC."	Local CCP	AmeriHealth Caritas VIP Care (HMO-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2564	Medicare Compliance Officer	Medicare Compliance Officer	Ms	Dupre	Colleen		1-203-506-8413					cdupre@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	3875 West Chester Pike	Newtown Square	PA	19073	3/17/2026	2026	"AMERIHEALTH CARITAS LOUISIANA, INC."	Local CCP	AmeriHealth Caritas VIP Care (HMO-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2564	Part D Exceptions Contact	"Director, Pharmacy Utilization Management"		Bonko	Gerald						1-215-863-5100	gbonko@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH CARITAS LOUISIANA, INC."	Local CCP	AmeriHealth Caritas VIP Care (HMO-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active	1-215-863-6483				HMO - Health Maintenance Organization		C	Chicago
H2564	Pharmacy Network Management Contact	Director Pharmacy Network Operations		Patel	Disha		1-215-863-5276					dpatel5@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH CARITAS LOUISIANA, INC."	Local CCP	AmeriHealth Caritas VIP Care (HMO-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2564	Pharmacy Technical Help Desk Contact	"Manager, Call Center"		Vargas	Crystal							cvargas@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH CARITAS LOUISIANA, INC."	Local CCP	AmeriHealth Caritas VIP Care (HMO-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active	1-800-555-5690				HMO - Health Maintenance Organization		C	Chicago
H2564	Plan to Plan Reconciliation Contact	Finance Manager	Ms	Zeleneva	Zhanna		1-312-543-9113					zzeleneva@amerihealthcaritas.com	Amerihealth Caritas Family of Companies	3875 West Chester Pike	Newton Square	PA	19073	3/17/2026	2026	"AMERIHEALTH CARITAS LOUISIANA, INC."	Local CCP	AmeriHealth Caritas VIP Care (HMO-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2593	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	"WELLPOINT TEXAS, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2593	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"WELLPOINT TEXAS, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2593	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	"WELLPOINT TEXAS, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2593	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	"WELLPOINT TEXAS, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2593	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	"WELLPOINT TEXAS, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2593	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	"WELLPOINT TEXAS, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2593	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"WELLPOINT TEXAS, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2593	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"WELLPOINT TEXAS, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2593	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"WELLPOINT TEXAS, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2593	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	"WELLPOINT TEXAS, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H2593	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/31/2023	2026	"WELLPOINT TEXAS, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2593	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	"WELLPOINT TEXAS, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H2593	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/6/2021	2026	"WELLPOINT TEXAS, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2610	Automated TrOOP Balance Transfer Contact	"Director, Fulfillment"	Mr.	Kunkel	Shawn		1-618-401-5356					enrollment@lumeris.com	13900 Riverport Drive		Maryland Heights	MO	63043	1/27/2026	2026	"ESSENCE HEALTHCARE, INC."	Local CCP	Essence Healthcare	HMO/HMOPOS		Lumeris Group Holdings Corporation	86	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2610	Best Available Evidence Contact	"Director, Fulfillment"	Mr.	Kunkel	Shawn		1-618-401-5356					enrollment@lumeris.com	13900 Riverport Drive		Maryland Heights	MO	63131	1/27/2026	2026	"ESSENCE HEALTHCARE, INC."	Local CCP	Essence Healthcare	HMO/HMOPOS		Lumeris Group Holdings Corporation	86	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2610	Chief Financial Officer	Chief Financial Officer	Ms.	Venable	Erin		1-314-324-3689					evenable@lumeris.com	13900 Riverport Drive		Maryland Heights	MO	63043	5/14/2025	2026	"ESSENCE HEALTHCARE, INC."	Local CCP	Essence Healthcare	HMO/HMOPOS		Lumeris Group Holdings Corporation	86	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2610	CMS Casework Communication Contact	"VP Compliance, Medicare Compliance Officer"	Mr.	Whitbeck	Britton		1-314-209-3989					jwhitbeck@lumeris.com	13900 Riverport Drive		Maryland Heights	MO	63043	1/27/2026	2026	"ESSENCE HEALTHCARE, INC."	Local CCP	Essence Healthcare	HMO/HMOPOS		Lumeris Group Holdings Corporation	86	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2610	Coordination of Benefits Contact			Inquiries	COB		1-866-597-9560					COBInquiry@lumeris.com	P O BOX 5907		TROY	MI	48007	12/6/2022	2026	"ESSENCE HEALTHCARE, INC."	Local CCP	Essence Healthcare	HMO/HMOPOS		Lumeris Group Holdings Corporation	86	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2610	Customer Service Operations Contact	"Vice President, Health Plan Operations"	Ms.	Meyerhoffer	Linda		1-636-541-6110					rmeyerhoffer@lumeris.com	13900 Riverport Drive		Maryland Heights	MO	63043	1/27/2026	2026	"ESSENCE HEALTHCARE, INC."	Local CCP	Essence Healthcare	HMO/HMOPOS		Lumeris Group Holdings Corporation	86	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2610	Government Relations Contact	Chief Legal Officer	Ms.	Halterman	Gail		1-314-482-9176					ghalterman@lumeris.com	13900 Riverport Drive		Maryland Heights	MO	63043	1/27/2026	2026	"ESSENCE HEALTHCARE, INC."	Local CCP	Essence Healthcare	HMO/HMOPOS		Lumeris Group Holdings Corporation	86	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2610	Hospice Contact	"Director, Pharmacy Operations"	Ms.	Summerfield	Kelly		1-314-770-3788					ksummerfield@lumeris.com	13900 Riverport Drive		Maryland Heights	MO	63043	1/27/2026	2026	"ESSENCE HEALTHCARE, INC."	Local CCP	Essence Healthcare	HMO/HMOPOS		Lumeris Group Holdings Corporation	86	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2610	Medicare Compliance Officer	"VP Compliance, Medicare Compliance Officer"	Mr.	Whitbeck	Britton		1-314-209-3989					jwhitbeck@lumeris.com	13900 Riverport Drive		Maryland Heights	MO	63043	11/17/2023	2026	"ESSENCE HEALTHCARE, INC."	Local CCP	Essence Healthcare	HMO/HMOPOS		Lumeris Group Holdings Corporation	86	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2610	Part D Exceptions Contact	Sr. Manager Pharmacy Prior Authorization	Mr.	Herbert	Joshua							Adam.Hollowell@evernorth.com	One Express Way	Mail Stop S13NB	St Louis	MO	63121	1/27/2026	2026	"ESSENCE HEALTHCARE, INC."	Local CCP	Essence Healthcare	HMO/HMOPOS		Lumeris Group Holdings Corporation	86	Yes	Active	1-513-292-0563				HMO - Health Maintenance Organization		C	Dallas
H2610	Pharmacy Network Management Contact	"Director, Pharmacy Operations"	Ms.	Summerfield	Kelly		1-314-770-3788					ksummerfield@lumeris.com	13900 Riverport Drive		Maryland Heights	MO	63043	8/14/2025	2026	"ESSENCE HEALTHCARE, INC."	Local CCP	Essence Healthcare	HMO/HMOPOS		Lumeris Group Holdings Corporation	86	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2610	Pharmacy Technical Help Desk Contact	"Sr. Director, Customer Service"	Mr.	Sahs	Dale							dale.sahs@express-scripts.com	One Express Way	Mail Stop S13NB	St. Louis	MO	63121	1/27/2026	2026	"ESSENCE HEALTHCARE, INC."	Local CCP	Essence Healthcare	HMO/HMOPOS		Lumeris Group Holdings Corporation	86	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Dallas
H2610	Plan to Plan Reconciliation Contact	"Director, Health Plan Finance"	Ms.	Meyer	Jenell		1-314-770-3733					jameyer@lumeris.com	13900 Riverport Drive		Maryland Heights	MO	63043	9/9/2025	2026	"ESSENCE HEALTHCARE, INC."	Local CCP	Essence Healthcare	HMO/HMOPOS		Lumeris Group Holdings Corporation	86	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2624	Automated TrOOP Balance Transfer Contact	"Manager, Business Systems & Data"		rao	Chanukya		1-508-804-6892					chanukya.rao@nirvanahealth.com	136 Turnpike Road		Southborough	MA	01772	12/12/2022	2026	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	Local CCP	HealthTeam Advantage	HMO/HMOPOS		"Risant Health, Inc."	96	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2624	Best Available Evidence Contact	Business Analyst		Bhupatiraju	Adarsh		1-508-804-7430					Adarsh.Bhupatiraju@nirvanahealth.com	136 Turnpike Road		Southborough	MA	01772	1/11/2023	2026	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	Local CCP	HealthTeam Advantage	HMO/HMOPOS		"Risant Health, Inc."	96	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2624	Chief Financial Officer	Chief Financial Officer	Ms.	Donoghue	Trish		1-336-790-4386					tdonoghue@htanc.com	300 East Wendover Avenue	Suite 121	Greensboro	NC	27401	6/2/2023	2026	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	Local CCP	HealthTeam Advantage	HMO/HMOPOS		"Risant Health, Inc."	96	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2624	CMS Casework Communication Contact	Director of Operations		Leppin	Amy		1-336-660-0562					aleppin@htanc.com	300 East Wendover Avenue	Suite 121	Greensboro	NC	27401	6/2/2023	2026	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	Local CCP	HealthTeam Advantage	HMO/HMOPOS		"Risant Health, Inc."	96	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2624	Coordination of Benefits Contact	"Manager, Business Systems & Data"		Rao	Chanukya		1-508-804-6892					chanukya.rao@nirvanahealth.com	136 Turnpike Road		Southborough	MA	01772	1/11/2023	2026	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	Local CCP	HealthTeam Advantage	HMO/HMOPOS		"Risant Health, Inc."	96	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2624	Customer Service Operations Contact	Director of Operations	Ms.	Cotten	Ashley		1-888-965-1965					acotten@htanc.com	300 East Wendover Avenue	Suite 121	Greensboro	NC	27401	10/16/2025	2026	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	Local CCP	HealthTeam Advantage	HMO/HMOPOS		"Risant Health, Inc."	96	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2624	Government Relations Contact	President & CEO		Hodges	Brendan		1-336-790-4392					bhodges@htanc.com	300 East Wendover Avenue	Suite 121	Greensboro	NC	27401	6/2/2023	2026	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	Local CCP	HealthTeam Advantage	HMO/HMOPOS		"Risant Health, Inc."	96	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2624	Hospice Contact	Chief Operations Officer	Dr.	Homer	Deanna		1-336-790-4385					dhomer@htanc.com	300 East Wendover Avenue	Suite 121	Greensboro	NC	27401	1/28/2024	2026	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	Local CCP	HealthTeam Advantage	HMO/HMOPOS		"Risant Health, Inc."	96	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2624	Medicare Compliance Officer	Compliance Officer	Ms	Moore	Teresa		1-814-504-2687					teresa.moore@conehealth.com	300 East Wendover Avenue	Suite 121	Greensboro	NC	27401	8/5/2025	2026	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	Local CCP	HealthTeam Advantage	HMO/HMOPOS		"Risant Health, Inc."	96	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2624	Part D Exceptions Contact	Clinical Advisor		Morgan	Madeline						1-508-282-7171	madeline.morgan@nirvanahealth.com	136 Turnpike Road		Southborough	MA	01772	6/10/2025	2026	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	Local CCP	HealthTeam Advantage	HMO/HMOPOS		"Risant Health, Inc."	96	Yes	Active	1-800-237-1992				HMO - Health Maintenance Organization		C	Dallas
H2624	Pharmacy Network Management Contact	Chief Administrative Officer		Wickremeratne	Aruna		1-508-804-6923				1-330-405-8094	aruna.w@nirvanahealth.com	136 Turnpike Road		Southborough	MA	01772	12/12/2022	2026	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	Local CCP	HealthTeam Advantage	HMO/HMOPOS		"Risant Health, Inc."	96	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2624	Pharmacy Technical Help Desk Contact	Consumer Services Operations Manager		Carrera	Heylen						1-508-310-6372	heylen.carrera@nirvanahealth.com	600 North Westshore Boulevard	suite 900	Tampa	FL	33607	6/10/2025	2026	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	Local CCP	HealthTeam Advantage	HMO/HMOPOS		"Risant Health, Inc."	96	Yes	Active	1-800-459-0984				HMO - Health Maintenance Organization		C	Dallas
H2624	Plan to Plan Reconciliation Contact	Chief Financial Officer	Ms.	Donoghue	Trish		1-336-790-4386					tdonoghue@htanc.com	300 East Wendover Avenue	Suite 121	Greensboro	NC	27401	6/2/2023	2026	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	Local CCP	HealthTeam Advantage	HMO/HMOPOS		"Risant Health, Inc."	96	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2628	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2628	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/5/2025	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2628	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2628	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	2/5/2025	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2628	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2628	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	2/5/2025	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2628	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	2/5/2025	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2628	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/5/2025	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2628	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	2/5/2025	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2628	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	2/5/2025	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H2628	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	2/5/2025	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2628	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/5/2025	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H2628	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	2/5/2025	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2630	Automated TrOOP Balance Transfer Contact	"Associate Vice President, Member Experience"	Ms.	Mathews	Carolyn		1-657-452-6204					carolynm@verdahealthcare.com	7755 Center Avenue	Suite 1200	Huntington Beach	CA	92647	2/10/2025	2026	"VERDA HEALTH PLAN OF ARIZONA, INC."	Local CCP	Verda Health Plan of Arizona	HMO/HMOPOS		"Verda Healthcare, Inc."	806	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2630	Best Available Evidence Contact	"Associate Vice President, Member Experience"	Ms.	Mathews	Carolyn		1-657-452-6204					carolynm@verdahealthcare.com	7755 Center Avenue	Suite 1200	Huntington Beach	CA	92647	2/10/2025	2026	"VERDA HEALTH PLAN OF ARIZONA, INC."	Local CCP	Verda Health Plan of Arizona	HMO/HMOPOS		"Verda Healthcare, Inc."	806	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2630	Chief Financial Officer	Vice President of Finance	Mr.	Rout	Pranab		1-714-462-2389					pranabr@verdahealthcare.com	7755 Center Avenue	Suite 1200	Huntington Beach	CA	92647	6/9/2025	2026	"VERDA HEALTH PLAN OF ARIZONA, INC."	Local CCP	Verda Health Plan of Arizona	HMO/HMOPOS		"Verda Healthcare, Inc."	806	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2630	CMS Casework Communication Contact	Chief Risk Officer	Mr.	Brown	Tariq	S	1-269-929-5172					tariqb@verdahealthcare.com	7755 Center Avenue	Suite 1200	Huntington Beach	CA	92647	2/10/2025	2026	"VERDA HEALTH PLAN OF ARIZONA, INC."	Local CCP	Verda Health Plan of Arizona	HMO/HMOPOS		"Verda Healthcare, Inc."	806	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2630	Coordination of Benefits Contact	"Associate Vice President, Member Experience"	Ms.	Mathews	Carolyn		1-657-452-6204					carolynm@verdahealthcare.com	7755 Center Avenue	Suite 1200	Huntington Beach	CA	92647	2/10/2025	2026	"VERDA HEALTH PLAN OF ARIZONA, INC."	Local CCP	Verda Health Plan of Arizona	HMO/HMOPOS		"Verda Healthcare, Inc."	806	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2630	Customer Service Operations Contact	"Associate Vice President, Member Experience"	Ms.	Mathews	Carolyn		1-657-452-6204					carolynm@verdahealthcare.com	7755 Center Avenue	Suite 1200	Huntington Beach	CA	92647	2/10/2025	2026	"VERDA HEALTH PLAN OF ARIZONA, INC."	Local CCP	Verda Health Plan of Arizona	HMO/HMOPOS		"Verda Healthcare, Inc."	806	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2630	Government Relations Contact	Chief Risk Officer	Mr.	Brown	Tariq	S	1-269-929-5172					tariqb@verdahealthcare.com	7755 Center Avenue	Suite 1200	Huntington Beach	CA	92647	2/10/2025	2026	"VERDA HEALTH PLAN OF ARIZONA, INC."	Local CCP	Verda Health Plan of Arizona	HMO/HMOPOS		"Verda Healthcare, Inc."	806	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2630	Hospice Contact	Chief Medical Officer	Mr.	Tong	Tri		1-949-381-1481					trit@verdahealthcare.com	7755 Center Avenue	Suite 1200	Huntington Beach	CA	92647	2/11/2025	2026	"VERDA HEALTH PLAN OF ARIZONA, INC."	Local CCP	Verda Health Plan of Arizona	HMO/HMOPOS		"Verda Healthcare, Inc."	806	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2630	Medicare Compliance Officer	Chief Risk Officer	Mr.	Brown	Tariq		1-269-929-5172					tariqb@verdahealthcare.com	7755 Center Avenue	Suite 1200	Huntington Beach	CA	92647	2/11/2025	2026	"VERDA HEALTH PLAN OF ARIZONA, INC."	Local CCP	Verda Health Plan of Arizona	HMO/HMOPOS		"Verda Healthcare, Inc."	806	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2630	Part D Exceptions Contact	Chief Medical Officer	Mr.	Tong	Tri							trit@verdahealthcare.com	7755 Center Avenue	Suite 1200	Huntington Beach	CA	92647	2/11/2025	2026	"VERDA HEALTH PLAN OF ARIZONA, INC."	Local CCP	Verda Health Plan of Arizona	HMO/HMOPOS		"Verda Healthcare, Inc."	806	Yes	Active	1-888-256-5123				HMO - Health Maintenance Organization		C	Atlanta
H2630	Pharmacy Network Management Contact	"Director, Pharmacy Network Adminstration"	Mr.	Hunt	Brian		1-858-790-7092					brian.hunt@medimpact.com	10181 Scripps Gateway Court		San Diego	CA	92131	2/11/2025	2026	"VERDA HEALTH PLAN OF ARIZONA, INC."	Local CCP	Verda Health Plan of Arizona	HMO/HMOPOS		"Verda Healthcare, Inc."	806	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2630	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"	Ms.	Brewer	Kathy							CustomerService@MedImpact.com	10181 Scripps Gateway Court		San Diego	CA	92131	2/11/2025	2026	"VERDA HEALTH PLAN OF ARIZONA, INC."	Local CCP	Verda Health Plan of Arizona	HMO/HMOPOS		"Verda Healthcare, Inc."	806	Yes	Active	1-866-705-4182				HMO - Health Maintenance Organization		C	Atlanta
H2630	Plan to Plan Reconciliation Contact	Chief Information Officer	Mr.	Carren	Marc		1-657-452-6231					marcc@verdahealthcare.com	7755 Center Avenue	Suite 1200	Huntington Beach	CA	92647	2/11/2025	2026	"VERDA HEALTH PLAN OF ARIZONA, INC."	Local CCP	Verda Health Plan of Arizona	HMO/HMOPOS		"Verda Healthcare, Inc."	806	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2663	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	"COVENTRY HEALTH CARE OF MISSOURI, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2663	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	"COVENTRY HEALTH CARE OF MISSOURI, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2663	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	"COVENTRY HEALTH CARE OF MISSOURI, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2663	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	"COVENTRY HEALTH CARE OF MISSOURI, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2663	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	"COVENTRY HEALTH CARE OF MISSOURI, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2663	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	"COVENTRY HEALTH CARE OF MISSOURI, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2663	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	"COVENTRY HEALTH CARE OF MISSOURI, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2663	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	"COVENTRY HEALTH CARE OF MISSOURI, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2663	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	"COVENTRY HEALTH CARE OF MISSOURI, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2663	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	"COVENTRY HEALTH CARE OF MISSOURI, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H2663	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	"COVENTRY HEALTH CARE OF MISSOURI, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2663	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	"COVENTRY HEALTH CARE OF MISSOURI, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H2663	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	"COVENTRY HEALTH CARE OF MISSOURI, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H2686	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H2686	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H2686	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H2686	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H2686	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H2686	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H2686	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H2686	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H2686	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H2686	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				PPO - BBA		C	New York
H2686	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H2686	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				PPO - BBA		C	New York
H2686	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H2687	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	5/27/2026	2026	"WELLPOINT SOUTH CAROLINA, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H2687	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	5/27/2026	2026	"WELLPOINT SOUTH CAROLINA, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H2687	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	5/27/2026	2026	"WELLPOINT SOUTH CAROLINA, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H2687	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/27/2026	2026	"WELLPOINT SOUTH CAROLINA, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H2687	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/27/2026	2026	"WELLPOINT SOUTH CAROLINA, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H2687	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/27/2026	2026	"WELLPOINT SOUTH CAROLINA, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H2687	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	5/27/2026	2026	"WELLPOINT SOUTH CAROLINA, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H2687	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	5/27/2026	2026	"WELLPOINT SOUTH CAROLINA, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H2687	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	5/27/2026	2026	"WELLPOINT SOUTH CAROLINA, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H2687	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	5/27/2026	2026	"WELLPOINT SOUTH CAROLINA, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Withdrawn Contract	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H2687	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	5/27/2026	2026	"WELLPOINT SOUTH CAROLINA, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H2687	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	5/27/2026	2026	"WELLPOINT SOUTH CAROLINA, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Withdrawn Contract	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H2687	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/27/2026	2026	"WELLPOINT SOUTH CAROLINA, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H2694	Automated TrOOP Balance Transfer Contact	VP Pharmacy		Vellutato	John		1-857-313-4678					john.vellutato@eternalHealth.com	31 Saint James Avenue	Suite # 950	Boston	MA	02116	4/23/2024	2026	"ETERNALHEALTH, INC."	Local CCP	eternalHealth	Local PPO		"Eternal Health of Delaware, Inc."	769	Yes	Active					PPO - BBA		C	Boston
H2694	Best Available Evidence Contact	VP Pharmacy		Vellutato	John		1-857-313-4678					john.vellutato@eternalHealth.com	31 Saint James Avenue	Suite # 950	Boston	MA	02116	4/23/2024	2026	"ETERNALHEALTH, INC."	Local CCP	eternalHealth	Local PPO		"Eternal Health of Delaware, Inc."	769	Yes	Active					PPO - BBA		C	Boston
H2694	Chief Financial Officer	Interim CFO (Controller)	Mr.	Tang	Tak		1-617-665-7430					tak.tang@eternalhealth.com	31 St. James Ave.	Suite 950	Boston	MA	02116	3/9/2026	2026	"ETERNALHEALTH, INC."	Local CCP	eternalHealth	Local PPO		"Eternal Health of Delaware, Inc."	769	Yes	Active					PPO - BBA		C	Boston
H2694	CMS Casework Communication Contact	VP Clinical Operations		Dougherty	Laurene		1-813-601-5063					laurene.dougherty@eternalhealth.com	31 Saint James Avenue	Suite # 950	Boston	MA	02116	5/19/2025	2026	"ETERNALHEALTH, INC."	Local CCP	eternalHealth	Local PPO		"Eternal Health of Delaware, Inc."	769	Yes	Active					PPO - BBA		C	Boston
H2694	Coordination of Benefits Contact	Chief Operaiting Officer		Price	John		1-215-880-6876					john.price@eternalhealth.com	31 St. James Ave.	Suite 950	Boston	MA	02116	6/10/2026	2026	"ETERNALHEALTH, INC."	Local CCP	eternalHealth	Local PPO		"Eternal Health of Delaware, Inc."	769	Yes	Active					PPO - BBA		C	Boston
H2694	Customer Service Operations Contact	Chief Operating Officer		Price	John		1-215-880-6876					john.price@eternalhealth.com	31 St. James Ave.	Suite 950	Boston	MA	02116	6/7/2023	2026	"ETERNALHEALTH, INC."	Local CCP	eternalHealth	Local PPO		"Eternal Health of Delaware, Inc."	769	Yes	Active					PPO - BBA		C	Boston
H2694	Government Relations Contact	Chief Compliance Officer		Ross	Cheyenne	L	1-623-910-3321					cheyenne.ross@eternalhealth.com	31 St. James Ave.	Suite 950	Boston	MA	02116	6/7/2023	2026	"ETERNALHEALTH, INC."	Local CCP	eternalHealth	Local PPO		"Eternal Health of Delaware, Inc."	769	Yes	Active					PPO - BBA		C	Boston
H2694	Hospice Contact	VP Clinical Operations		Dougherty	Laurene		1-813-601-5063					laurene.dougherty@eternalhealth.com	31 Saint James Avenue	Suite # 950	Boston	MA	02116	5/19/2025	2026	"ETERNALHEALTH, INC."	Local CCP	eternalHealth	Local PPO		"Eternal Health of Delaware, Inc."	769	Yes	Active					PPO - BBA		C	Boston
H2694	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Ross	Cheyenne	L	1-623-910-3321					cheyenne.ross@eternalhealth.com	31 St. James Ave.	Suite 950	Boston	MA	02116	6/7/2023	2026	"ETERNALHEALTH, INC."	Local CCP	eternalHealth	Local PPO		"Eternal Health of Delaware, Inc."	769	Yes	Active					PPO - BBA		C	Boston
H2694	Part D Exceptions Contact	Manager		Bricker	Bryce							bryce.m.bricker@optum.com	2441 Warrenville Road		Lisle	IL	60532	6/7/2023	2026	"ETERNALHEALTH, INC."	Local CCP	eternalHealth	Local PPO		"Eternal Health of Delaware, Inc."	769	Yes	Active	1-612-632-6838				PPO - BBA		C	Boston
H2694	Pharmacy Network Management Contact	Director		Ashby	JoLynn		1-763-732-6364					JAshby@optum.com	1600 McConnor Pkwy		Schaumburg	IL	60173	6/7/2023	2026	"ETERNALHEALTH, INC."	Local CCP	eternalHealth	Local PPO		"Eternal Health of Delaware, Inc."	769	Yes	Active					PPO - BBA		C	Boston
H2694	Pharmacy Technical Help Desk Contact			Villanueva	Juan							juan.villanueva@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	6/4/2024	2026	"ETERNALHEALTH, INC."	Local CCP	eternalHealth	Local PPO		"Eternal Health of Delaware, Inc."	769	Yes	Active	1-855-312-2306				PPO - BBA		C	Boston
H2694	Plan to Plan Reconciliation Contact	Chief Operating Officer		Price	John		1-215-880-6876					john.price@eternalhealth.com	31 St. James Ave.	"Suite 950,"	Boston	MA	02116	6/10/2026	2026	"ETERNALHEALTH, INC."	Local CCP	eternalHealth	Local PPO		"Eternal Health of Delaware, Inc."	769	Yes	Active					PPO - BBA		C	Boston
H2697	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF OHIO, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2697	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF OHIO, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2697	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF OHIO, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2697	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF OHIO, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2697	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF OHIO, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2697	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF OHIO, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2697	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF OHIO, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2697	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF OHIO, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2697	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF OHIO, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2697	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF OHIO, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				HMO - Health Maintenance Organization		C	New York
H2697	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF OHIO, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2697	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF OHIO, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H2697	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF OHIO, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2704	Automated TrOOP Balance Transfer Contact	"Supv, Program Management • Rx Admin-Rx Benefit Man"		Perez	Elizabeth	R	1-562-367-0592					Elizabeth.R.Perez@kp.org	12254 Bellflower Blvd.		Downey	CA	90242	6/25/2026	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2704	Best Available Evidence Contact	"Senior Team Manager, Medicare Membership Admin."		Salcido	Adam		1-858-829-3521					CSC-SD-Hospice-BAE@kp.org	3840 Murphy Canyon Rd.		San Diego	CA	92123	1/16/2025	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2704	Chief Financial Officer	SVP & CFO National Medicare Finance	Mr.	Stewart	Mark		1-401-284-8679					Mark.C1.Stewart@kp.org	1 Kaiser Plaza	c/o Kaiser Foundation Health Plan	Oakland	CA	94612	1/16/2025	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2704	CMS Casework Communication Contact	Medicare Compliance Lead	Ms.	Piper	Kimberly		1-206-473-9504				1-206-877-0645	Kimberly.C.Piper@kp.org	2715 Naches Ave. SW	P.O. Box 9010	Renton	WA	98057	1/16/2025	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2704	Coordination of Benefits Contact	Senior Director		Chung	Clarence		1-562-390-9293				1-562-658-3866	clarence.j.chung@kp.org	"12254 Bellflower Blvd - Suite 106, 1st Floor"		Downey	CA	90242	1/16/2025	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2704	Customer Service Operations Contact			Services	Member		1-800-443-0815					mscc@kp.org	"1800 Harrison St., 23rd Floor"		Oakland	CA	94612	1/16/2025	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2704	Government Relations Contact	"Senior Vice President, Government Relations"	Mr.	Barrueta	Anthony	A	1-510-271-6835					Anthony.Barrueta@kp.org	One Kaiser Plaza		Oakland	CA	94612	1/16/2025	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2704	Hospice Contact	"Senior Team Manager, Medicare Membership Admin."		Salcido	Adam		1-858-829-3521					CSC-SD-Hospice-BAE@kp.org	3840 Murphy Canyon Rd.		San Diego	CA	92123	1/16/2025	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2704	Medicare Compliance Officer	Medicare Compliance Lead	Ms	Piper	Kimberly	C	1-206-473-9504				1-206-877-0645	Kimberly.C.Piper@kp.org	2715 Naches Ave. SW	P.O. Box 9010	Renton	WA	98057	6/1/2026	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2704	Part D Exceptions Contact	"Supervisor, Program Management"		Ramos	Blanca	A						blanca.a.ramos@kp.org	12254 Bellflower Blvd		Downey	CA	90242	6/26/2026	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active	1-562-370-3382				HMO - Health Maintenance Organization		C	Dallas
H2704	Pharmacy Network Management Contact	"Sr Manager, Program Mgmt"		Bonvie	Claudette		1-562-319-9392					claudette.r.bonvie@kp.org	12254 Bellflower Blvd.		Downey	CA	90242	6/26/2026	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2704	Pharmacy Technical Help Desk Contact	Customer Care Center		OptumRx	PBM								755 Research Parkway Suite 160		Oklahoma City	OK	73104	1/16/2025	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active	1-888-277-3917				HMO - Health Maintenance Organization		C	Dallas
H2704	Plan to Plan Reconciliation Contact	"Interim Director, Medicare Accounting"		Wright	Mark	A	1-925-323-9443					mark.a.wright@kp.org	"1 Kaiser Plaza, 25th Floor"		Oakland	CA	94612	1/16/2025	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2715	Automated TrOOP Balance Transfer Contact	"AVP, Pharmacy"		Vu	John		1-801-252-5706					an.vu@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	MOLINA HEALTHCARE OF ILLINOIS INC	Local CCP	Molina Healthcare of Illinois	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H2715	Best Available Evidence Contact	"Director, Medicare PEnrollment"		LeJeune	Ryan		1-562-549-4527					ryan.lejeune@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	MOLINA HEALTHCARE OF ILLINOIS INC	Local CCP	Molina Healthcare of Illinois	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H2715	Chief Financial Officer	"MHI - VP, Operating Finance"	Mr.	Parthasarathy	Vijay		1-630-381-8563					vijay.parthasarathy@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	MOLINA HEALTHCARE OF ILLINOIS INC	Local CCP	Molina Healthcare of Illinois	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H2715	CMS Casework Communication Contact	"Dir, Medicare A&G"		Bennett	Kimberly		1-248-854-9474					Kimberly.Bennett@molinahealthcare.com	24121 Rosewood Street		Oak Park	MI	48237	5/20/2026	2026	MOLINA HEALTHCARE OF ILLINOIS INC	Local CCP	Molina Healthcare of Illinois	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H2715	Coordination of Benefits Contact	"Director, Payment Integrity"		Hartberger	Jake		1-484-269-1480					Jake.Hartberger@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	MOLINA HEALTHCARE OF ILLINOIS INC	Local CCP	Molina Healthcare of Illinois	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H2715	Customer Service Operations Contact	"Vice President, Call Center"		Faroughi	Cheryl		1-614-547-6829					cheryl.faroughi@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	MOLINA HEALTHCARE OF ILLINOIS INC	Local CCP	Molina Healthcare of Illinois	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H2715	Government Relations Contact	"MHI- Vice President, Compliance"		Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@Molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	MOLINA HEALTHCARE OF ILLINOIS INC	Local CCP	Molina Healthcare of Illinois	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H2715	Hospice Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/20/2026	2026	MOLINA HEALTHCARE OF ILLINOIS INC	Local CCP	Molina Healthcare of Illinois	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H2715	Medicare Compliance Officer	"MHI- Vice President, Compliance"	Mr.	Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	MOLINA HEALTHCARE OF ILLINOIS INC	Local CCP	Molina Healthcare of Illinois	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H2715	Part D Exceptions Contact	"AVP, Medicare Pharmacy Services"		Vu	John							An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/20/2026	2026	MOLINA HEALTHCARE OF ILLINOIS INC	Local CCP	Molina Healthcare of Illinois	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract	1-801-252-5706				HMO - Health Maintenance Organization		C	New York
H2715	Pharmacy Network Management Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/20/2026	2026	MOLINA HEALTHCARE OF ILLINOIS INC	Local CCP	Molina Healthcare of Illinois	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H2715	Pharmacy Technical Help Desk Contact	"Director, Client Operations"		Help Desk	Pharmacy						1-480-314-6077	dayoubj@cvshealth.com	445 Great Circle Road		Nashville	TN	37228	5/20/2026	2026	MOLINA HEALTHCARE OF ILLINOIS INC	Local CCP	Molina Healthcare of Illinois	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H2715	Plan to Plan Reconciliation Contact	"Director, Finance"		Cook	Keith		1-562-542-2024					P2P.molina@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	MOLINA HEALTHCARE OF ILLINOIS INC	Local CCP	Molina Healthcare of Illinois	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H2737	Automated TrOOP Balance Transfer Contact	Pharmacy Operations Lead Analyst Medicare	Ms.	Bacaj	Blerina		1-413-233-3423				1-413-233-3423	bbacaj@hne.com	One Monarch Place	Suitr 1500	Springfield	MA	01144	2/20/2026	2026	"HEALTH NEW ENGLAND, INC."	Local CCP	Health New England Medicare Advantage Plans	Local PPO		"Baystate Health, Inc."	381	Yes	Active					PPO - BBA		C	Boston
H2737	Best Available Evidence Contact	Director of Medicare Program Development		Powers	Shannon		1-413-233-3055				1-413-233-3055	spowers@hne.com	One Monarch Place		Springfield	MA	01144	9/6/2024	2026	"HEALTH NEW ENGLAND, INC."	Local CCP	Health New England Medicare Advantage Plans	Local PPO		"Baystate Health, Inc."	381	Yes	Active					PPO - BBA		C	Boston
H2737	Chief Financial Officer	Chief Financial Officer	Mr.	Rio	Jason		1-413-233-3340					jrio@hne.com	"Health New England, Inc."	"One Monarch Place, Suite 1500"	Springfield	MA	01144	5/7/2026	2026	"HEALTH NEW ENGLAND, INC."	Local CCP	Health New England Medicare Advantage Plans	Local PPO		"Baystate Health, Inc."	381	Yes	Active					PPO - BBA		C	Boston
H2737	CMS Casework Communication Contact	Complaints & Appeals Manager	Mr.	Farrell	James		1-413-233-3231				1-413-233-3231	jfarrell@hne.com	"Health New England, Inc."	"One Monarch Place, Suite 1500"	Springfield	MA	01144	4/28/2023	2026	"HEALTH NEW ENGLAND, INC."	Local CCP	Health New England Medicare Advantage Plans	Local PPO		"Baystate Health, Inc."	381	Yes	Active					PPO - BBA		C	Boston
H2737	Coordination of Benefits Contact	Recovery and Reinsurance Manager	Ms.	Carter	Ronda		1-413-233-3353				1-413-233-3353	rcarter@hne.com	"Health New England, Inc."	"One Monarch Place, Suite 1500"	Springfield	MA	01144	4/28/2023	2026	"HEALTH NEW ENGLAND, INC."	Local CCP	Health New England Medicare Advantage Plans	Local PPO		"Baystate Health, Inc."	381	Yes	Active					PPO - BBA		C	Boston
H2737	Customer Service Operations Contact	Member Services Supervisor	Ms.	Rivera	Aracelis		1-413-233-3209				1-413-233-3301	arivera@hne.com	"Health New England, Inc."	"One Monarch Place, Suite 1500"	Springfield	MA	01144	11/14/2023	2026	"HEALTH NEW ENGLAND, INC."	Local CCP	Health New England Medicare Advantage Plans	Local PPO		"Baystate Health, Inc."	381	Yes	Active					PPO - BBA		C	Boston
H2737	Government Relations Contact	Director of Medicare Program Development	Ms.	Powers	Shannon		1-413-233-3055				1-413-233-3055	spowers@hne.com	"Health New England, Inc."	"One Monarch Place, Suite 1500"	Springfield	MA	01144	9/6/2024	2026	"HEALTH NEW ENGLAND, INC."	Local CCP	Health New England Medicare Advantage Plans	Local PPO		"Baystate Health, Inc."	381	Yes	Active					PPO - BBA		C	Boston
H2737	Hospice Contact	Pharmacy Services Specialist	Ms.	Bacaj	Blerina		1-413-233-3423				1-413-233-3423	bbacaj@hne.com	One Monarch Place	Suitr 1500	Springfield	MA	01144	4/28/2023	2026	"HEALTH NEW ENGLAND, INC."	Local CCP	Health New England Medicare Advantage Plans	Local PPO		"Baystate Health, Inc."	381	Yes	Active					PPO - BBA		C	Boston
H2737	Medicare Compliance Officer	Director of Compliance	Ms	Tulloch	Charmalee		1-413-233-3566				1-413-233-3566	ctulloch@hne.com	"Health New England, Inc."	"One Monarch Place, Suite 1500"	Springfield	MA	01144	4/28/2023	2026	"HEALTH NEW ENGLAND, INC."	Local CCP	Health New England Medicare Advantage Plans	Local PPO		"Baystate Health, Inc."	381	Yes	Active					PPO - BBA		C	Boston
H2737	Part D Exceptions Contact	"Manager, Prior Authorization"		Mourad	Hala							hala.mourad@optum.com	2441 Warrenville Rd	Suite 400	Lisle	IL	60532	4/28/2023	2026	"HEALTH NEW ENGLAND, INC."	Local CCP	Health New England Medicare Advantage Plans	Local PPO		"Baystate Health, Inc."	381	Yes	Active	1-630-328-5837				PPO - BBA		C	Boston
H2737	Pharmacy Network Management Contact	Sr. Business Consultant		Pham	Katie		1-817-846-9722					katie.pham@optum.com	1600 McConnor Parkway		Schaumburg	IL	60173	6/3/2026	2026	"HEALTH NEW ENGLAND, INC."	Local CCP	Health New England Medicare Advantage Plans	Local PPO		"Baystate Health, Inc."	381	Yes	Active					PPO - BBA		C	Boston
H2737	Pharmacy Technical Help Desk Contact	"Sr. Manager, Pharmacy Help Desk"		Villanueva	Juan							juan.villanueva@optum.com	11000 Optum Cir City		Eden Prairie	MN	55344	12/18/2023	2026	"HEALTH NEW ENGLAND, INC."	Local CCP	Health New England Medicare Advantage Plans	Local PPO		"Baystate Health, Inc."	381	Yes	Active	1-800-393-0395				PPO - BBA		C	Boston
H2737	Plan to Plan Reconciliation Contact	Director of Accounting	Mr.	Grobe	Michael		1-413-233-3413				1-413-233-3371	mgrobe@hne.com	"Health New England, Inc."	"One Monarch Place, Suite 1500"	Springfield	MA	01144	6/3/2026	2026	"HEALTH NEW ENGLAND, INC."	Local CCP	Health New England Medicare Advantage Plans	Local PPO		"Baystate Health, Inc."	381	Yes	Active					PPO - BBA		C	Boston
H2752	Automated TrOOP Balance Transfer Contact	Operations Advisor	Ms.	Fertig	Nancy	J	1-860-902-4553					nancy_fertig@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2752	Best Available Evidence Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2752	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	Health Care Service Corporation	300 East Randolph St	Chicago	IL	60601	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2752	CMS Casework Communication Contact	Customer Service Manager	Ms.	McCarroll	Angie		1-615-235-0177					angie_mccarroll@hcsc.com	3700 O'Donnell Street		Baltimore	MD	21224	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2752	Coordination of Benefits Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2752	Customer Service Operations Contact	VP of Customer Service	Mr.	Akovenko	Josh		1-615-695-8916				1-000-000-0000	josh_akovenko@hcsc.com	Health Care Service Corporation	500 Great Circle Rd	Nashville	IL	60601	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2752	Government Relations Contact	Executive Director - Health Policy	Ms.	DuGoff	Eva		1-202-249-7208				1-000-000-0000	eva_dugoff@hcsc.net	Health Care Service Corporation	1001 Pennsylvania NW	Washington	DC	20004	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2752	Hospice Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2752	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2752	Part D Exceptions Contact	Operations Senior Manager	Mr.	Erkens	Ron							ron_erkens@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-602-317-1992				HMO - Health Maintenance Organization		C	New York
H2752	Pharmacy Network Management Contact	Provider Contracting Sr Manager	Ms.	Bourdier	Maryanne		1-860-338-9867					maryanne_bourdier@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2752	Pharmacy Technical Help Desk Contact			Scripts	Express								Health Care Services Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	New York
H2752	Plan to Plan Reconciliation Contact		Ms.	Thomas	Andrea	F	1-629-317-9367				1-615-291-7025	P2P@healthspring.com	P.O. Box 11407	Dept#8277	Birmingham	AL	35246	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2775	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H2775	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H2775	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/20/2024	2026	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H2775	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H2775	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H2775	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/18/2024	2026	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H2775	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H2775	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H2775	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/22/2025	2026	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H2775	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/20/2024	2026	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active	1-813-206-7152				PPO - BBA		C	Denver
H2775	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H2775	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/17/2024	2026	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active	1-833-750-0408				PPO - BBA		C	Denver
H2775	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	6/20/2024	2026	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H2802	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MIDLANDS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2802	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MIDLANDS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2802	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	"UNITEDHEALTHCARE OF THE MIDLANDS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2802	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MIDLANDS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2802	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MIDLANDS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2802	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MIDLANDS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2802	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MIDLANDS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2802	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MIDLANDS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2802	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MIDLANDS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2802	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MIDLANDS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H2802	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MIDLANDS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2802	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MIDLANDS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H2802	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MIDLANDS, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H2815	Automated TrOOP Balance Transfer Contact	AR Reimbursement Specialist		Cox	Terra		1-970-508-7737				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	3/22/2024	2026	"VOANS SENIOR COMMUNITY CARE OF COLORADO, INC"	National PACE	Senior CommUnity Care of Colorado	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	New York
H2815	Best Available Evidence Contact	AR Reimbursement Specialist		Cox	Terra		1-970-508-7737				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	3/22/2024	2026	"VOANS SENIOR COMMUNITY CARE OF COLORADO, INC"	National PACE	Senior CommUnity Care of Colorado	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	New York
H2815	Chief Financial Officer	"Regional Vice President, PACE Operations"	Mr	Nilsen	Eric		1-612-428-7858				1-952-941-0428	enilsen@voa.org	7485 Office Ridge Circle		Eden Prairie	MN	55344	3/22/2024	2026	"VOANS SENIOR COMMUNITY CARE OF COLORADO, INC"	National PACE	Senior CommUnity Care of Colorado	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	New York
H2815	CMS Casework Communication Contact	Quality and Compliance Manager		English	Debra		1-970-964-3500				1-970-252-0166	darterburn02@voa.org	2377 Robins Way		Montrose	CO	81401	3/22/2024	2026	"VOANS SENIOR COMMUNITY CARE OF COLORADO, INC"	National PACE	Senior CommUnity Care of Colorado	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	New York
H2815	Coordination of Benefits Contact	AR Reimbursement Specialist		Cox	Terra		1-970-964-3556				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	3/22/2024	2026	"VOANS SENIOR COMMUNITY CARE OF COLORADO, INC"	National PACE	Senior CommUnity Care of Colorado	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	New York
H2815	Customer Service Operations Contact	Executive Director		Helmick	Cara		1-970-964-3500				1-970-252-0166	chelmick@voa.org	2377 Robins Way		Montrose	CO	81401	3/22/2024	2026	"VOANS SENIOR COMMUNITY CARE OF COLORADO, INC"	National PACE	Senior CommUnity Care of Colorado	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	New York
H2815	Government Relations Contact	Executive Director		Helmick	Cara		1-970-964-3500				1-970-252-0166	chelmick@voa.org	2377 Robins Way		Montrose	CO	81401	3/22/2024	2026	"VOANS SENIOR COMMUNITY CARE OF COLORADO, INC"	National PACE	Senior CommUnity Care of Colorado	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	New York
H2815	Medicare Compliance Officer	Director of Quality	Ms	Peterson	Nora		1-970-964-3500				1-970-525-0166	npeterson@voa.org	2377 Robins Way		Montrose	CO	81401	3/22/2024	2026	"VOANS SENIOR COMMUNITY CARE OF COLORADO, INC"	National PACE	Senior CommUnity Care of Colorado	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	New York
H2815	Part D Exceptions Contact	Regulatory Compliance Coordinator		Whitney	Courtney						1-970-252-0166	cwhitney@voa.org	2377 Robins Way		Montrose	CO	81401	3/22/2024	2026	"VOANS SENIOR COMMUNITY CARE OF COLORADO, INC"	National PACE	Senior CommUnity Care of Colorado	National PACE		Volunteers of America National Services	367	Yes	Active	1-970-964-3500				PACE - Nat		C	New York
H2815	Pharmacy Network Management Contact	Regulatory Compliance Coordinator		Whitney	Courtney		1-970-964-3500				1-970-252-0166	cwhitney@voa.org	2377 Robins Way		Montrose	CO	81401	3/22/2024	2026	"VOANS SENIOR COMMUNITY CARE OF COLORADO, INC"	National PACE	Senior CommUnity Care of Colorado	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	New York
H2815	Pharmacy Technical Help Desk Contact	Regulatory Compliance Coordinator		Whitney	Courtney						1-970-252-0166	cwhitney@voa.org	2377 Robins Way		Montrose	CO	81401	3/22/2024	2026	"VOANS SENIOR COMMUNITY CARE OF COLORADO, INC"	National PACE	Senior CommUnity Care of Colorado	National PACE		Volunteers of America National Services	367	Yes	Active	1-970-964-3500				PACE - Nat		C	New York
H2815	Plan to Plan Reconciliation Contact	AR Reimbursement Specialist		Cox	Terra		1-970-508-7737				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	3/22/2024	2026	"VOANS SENIOR COMMUNITY CARE OF COLORADO, INC"	National PACE	Senior CommUnity Care of Colorado	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	New York
H2816	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	PFFS	Wellcare	PFFS		Centene Corporation	351	Yes	Active					PFFS - Private Fee for Service		C	Denver
H2816	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	PFFS	Wellcare	PFFS		Centene Corporation	351	Yes	Active					PFFS - Private Fee for Service		C	Denver
H2816	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/20/2024	2026	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	PFFS	Wellcare	PFFS		Centene Corporation	351	Yes	Active					PFFS - Private Fee for Service		C	Denver
H2816	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	PFFS	Wellcare	PFFS		Centene Corporation	351	Yes	Active					PFFS - Private Fee for Service		C	Denver
H2816	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	PFFS	Wellcare	PFFS		Centene Corporation	351	Yes	Active					PFFS - Private Fee for Service		C	Denver
H2816	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/18/2024	2026	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	PFFS	Wellcare	PFFS		Centene Corporation	351	Yes	Active					PFFS - Private Fee for Service		C	Denver
H2816	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	PFFS	Wellcare	PFFS		Centene Corporation	351	Yes	Active					PFFS - Private Fee for Service		C	Denver
H2816	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	PFFS	Wellcare	PFFS		Centene Corporation	351	Yes	Active					PFFS - Private Fee for Service		C	Denver
H2816	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/22/2025	2026	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	PFFS	Wellcare	PFFS		Centene Corporation	351	Yes	Active					PFFS - Private Fee for Service		C	Denver
H2816	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/20/2024	2026	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	PFFS	Wellcare	PFFS		Centene Corporation	351	Yes	Active	1-813-206-7152				PFFS - Private Fee for Service		C	Denver
H2816	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	PFFS	Wellcare	PFFS		Centene Corporation	351	Yes	Active					PFFS - Private Fee for Service		C	Denver
H2816	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/17/2024	2026	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	PFFS	Wellcare	PFFS		Centene Corporation	351	Yes	Active	1-833-750-0408				PFFS - Private Fee for Service		C	Denver
H2816	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	6/20/2024	2026	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	PFFS	Wellcare	PFFS		Centene Corporation	351	Yes	Active					PFFS - Private Fee for Service		C	Denver
H2819	Automated TrOOP Balance Transfer Contact	"Business Analyst, Consultant"		Escobedo	Karina		1-562-613-5532					karina.escobedo@blueshieldca.com	3021 Reynolds Ranch Pkwy		Lodi	CA	95240	12/22/2025	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2819	Best Available Evidence Contact	"Senior Manager, Installation & Billing"		White	Cheri		1-916-350-3262					cheri.white@blueshieldca.com	"4207 Town Center Blvd, Building B"		El Dorado Hills	CA	95762	11/4/2025	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2819	Chief Financial Officer	VP Actuarial & Financial Mgmt - Govt Markets	Mr.	Solomon	Aaron		1-310-744-2848					aaron.solomon@blueshieldca.com	6300 Canoga Avenue		Woodland Hills	CA	91367	5/15/2026	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2819	CMS Casework Communication Contact	"Senior Manager, Medicare Compliance"		Lester	Sheri		1-562-364-1860					sheri.lester@blueshieldca.com	6300 Canoga Avenue		Woodland Hills	CA	91367	3/22/2023	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2819	Coordination of Benefits Contact	"Senior Manager, Installation & Billing"		White	Cheri		1-916-350-3262					cheri.white@blueshieldca.com	"4207 Town Center Blvd, Building B"		El Dorado Hills	CA	95762	11/4/2025	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2819	Customer Service Operations Contact	"Manager, Program and Project Management"		Zuehlke	Erica		1-562-613-5004					erica.zuehlke@blueshieldca.com	3021 Reynolds Ranch Pkwy		Lodi	CA	95240	12/22/2025	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2819	Government Relations Contact	"Director, Medicare Compliance"		Mata	Marcos		1-562-613-5249					marcos.mata@blueshieldca.com	6300 Canoga Ave.		Woodland Hills	CA	91367	12/22/2025	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2819	Hospice Contact	"Supervisor, Operations"		Hatley	Mongnissia		1-562-613-5416					Mongnissia.Hatley@blueshieldca.com	6300 Canoga Avenue		Woodland Hills	CA	91367	3/13/2026	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2819	Medicare Compliance Officer	"Senior Director, Medicare Compliance"	Mr.	Robinson	Richard		1-562-580-6482					medicarecomplofficer@blueshieldca.com	6300 Canoga Avenue		Woodland Hills	CA	91367	12/22/2025	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2819	Part D Exceptions Contact	"Director, Pharmacy Services"		March	Nancee							nancee.march@blueshieldca.com	601 12th Street		Oakland	CA	94607	12/22/2025	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active	1-800-776-4466				HMO - Health Maintenance Organization		C	Dallas
H2819	Pharmacy Network Management Contact	"Senior Manager, Program and Project Management"		Nelson	Kimberly		1-415-297-2196					kim.nelson@blueshieldca.com	4201 Town Center Blvd		El Dorado Hills	CA	95762	4/2/2026	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2819	Pharmacy Technical Help Desk Contact	"Senior Manager, Program and Project Management"		Nelson	Kimberly							kim.nelson@blueshieldca.com	4201 Town Center Blvd		El Dorado Hills	CA	94607	4/2/2026	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active	1-800-375-7924				HMO - Health Maintenance Organization		C	Dallas
H2819	Plan to Plan Reconciliation Contact	Supervisor Accounts Payable/Receivable		Perez	Cheryl		1-916-702-4442					BSCP2PRecon@blueshieldca.com	3021 Reynolds Ranch Parkway		Lodi	CA	95240	3/10/2026	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2835	Automated TrOOP Balance Transfer Contact	PACE Director of Finance	Ms	Dukes	Jaclyn		1-734-879-0325					jdukes@hvpace.org	2282 Springport Road		Jackson	MI	49202	12/9/2020	2026	"THE CASCADE PACE, INC."	National PACE	Thome PACE	National PACE		"United Methodist Retirement Communities, Inc."	630	Yes	Active					PACE - Nat		C	Chicago
H2835	Best Available Evidence Contact	Executive Director	Ms	Abbey-Hardesty	Robyn		1-517-768-9791					rabbey-hardesty@thomepace.org	2282 Springport Road		Jackson	MI	49202	1/24/2024	2026	"THE CASCADE PACE, INC."	National PACE	Thome PACE	National PACE		"United Methodist Retirement Communities, Inc."	630	Yes	Active					PACE - Nat		C	Chicago
H2835	Chief Financial Officer	PACE Director of Finance	Ms	Dukes	Jaclyn		1-734-879-0325					jdukes@hvpace.org	2282 Springport Road		Jackson	MI	49202	10/1/2024	2026	"THE CASCADE PACE, INC."	National PACE	Thome PACE	National PACE		"United Methodist Retirement Communities, Inc."	630	Yes	Active					PACE - Nat		C	Chicago
H2835	CMS Casework Communication Contact	Director of Quality	Ms	Gibbs	Sandy		1-517-768-9791					sgibbs@thomepace.org	2282 Springport Road		Jackson	MI	49202	3/7/2016	2026	"THE CASCADE PACE, INC."	National PACE	Thome PACE	National PACE		"United Methodist Retirement Communities, Inc."	630	Yes	Active					PACE - Nat		C	Chicago
H2835	Coordination of Benefits Contact	PACE Director of Finance	Ms	Dukes	Jaclyn		1-734-879-0325					jdukes@hvpace.org	2282 Springport Road		Jackson	MI	49202	12/9/2020	2026	"THE CASCADE PACE, INC."	National PACE	Thome PACE	National PACE		"United Methodist Retirement Communities, Inc."	630	Yes	Active					PACE - Nat		C	Chicago
H2835	Customer Service Operations Contact	Quality Manager	Ms	Gibbs	Sandy		1-517-768-9791					sgibbs@thomepace.org	2282 Springport Road		Jackson	MI	49202	12/12/2016	2026	"THE CASCADE PACE, INC."	National PACE	Thome PACE	National PACE		"United Methodist Retirement Communities, Inc."	630	Yes	Active					PACE - Nat		C	Chicago
H2835	Government Relations Contact	Executive Director	Ms	Abbey-Hardesty	Robyn		1-517-768-9791					rabbey-hardesty@thomepace.org	2282 Springport Road		Jackson	MI	49202	1/24/2024	2026	"THE CASCADE PACE, INC."	National PACE	Thome PACE	National PACE		"United Methodist Retirement Communities, Inc."	630	Yes	Active					PACE - Nat		C	Chicago
H2835	Medicare Compliance Officer	Director of Quality	Ms	Gibbs	Sandy		1-517-768-9791					sgibbs@thomepace.org	2282 Springport Road		Jackson	MI	49202	3/7/2016	2026	"THE CASCADE PACE, INC."	National PACE	Thome PACE	National PACE		"United Methodist Retirement Communities, Inc."	630	Yes	Active					PACE - Nat		C	Chicago
H2835	Part D Exceptions Contact	Medical Director	Dr.	Foust	Michael	A						mfoust@thomepace.org	2282 Springport Road		Jackson	MI	49202	2/17/2022	2026	"THE CASCADE PACE, INC."	National PACE	Thome PACE	National PACE		"United Methodist Retirement Communities, Inc."	630	Yes	Active	1-844-855-7223				PACE - Nat		C	Chicago
H2835	Pharmacy Network Management Contact	Executive Director	Ms	Abbey-Hardesty	Robyn		1-517-768-9791					rabbey-hardesty@thomepace.org	2282 Springport Road		Jackson	MI	49202	1/24/2024	2026	"THE CASCADE PACE, INC."	National PACE	Thome PACE	National PACE		"United Methodist Retirement Communities, Inc."	630	Yes	Active					PACE - Nat		C	Chicago
H2835	Pharmacy Technical Help Desk Contact	Pharmacist		Hill Jones	MIranda							mhilljones@thomepace.org	Thome PACE	2282 Springport Road	Jackson	MI	49202	11/8/2023	2026	"THE CASCADE PACE, INC."	National PACE	Thome PACE	National PACE		"United Methodist Retirement Communities, Inc."	630	Yes	Active	1-844-855-7223				PACE - Nat		C	Chicago
H2835	Plan to Plan Reconciliation Contact	PACE Director of Finance	Ms	Dukes	Jaclyn		1-734-879-0325					jdukes@hvpace.org	2282 Springport Road		Jackson	MI	49202	12/9/2020	2026	"THE CASCADE PACE, INC."	National PACE	Thome PACE	National PACE		"United Methodist Retirement Communities, Inc."	630	Yes	Active					PACE - Nat		C	Chicago
H2836	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	"ANTHEM HEALTH PLANS, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H2836	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"ANTHEM HEALTH PLANS, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H2836	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	"ANTHEM HEALTH PLANS, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H2836	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	"ANTHEM HEALTH PLANS, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H2836	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	"ANTHEM HEALTH PLANS, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H2836	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	"ANTHEM HEALTH PLANS, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H2836	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"ANTHEM HEALTH PLANS, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H2836	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"ANTHEM HEALTH PLANS, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H2836	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"ANTHEM HEALTH PLANS, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H2836	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	"ANTHEM HEALTH PLANS, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				PPO - BBA		C	Chicago
H2836	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/31/2023	2026	"ANTHEM HEALTH PLANS, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H2836	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	"ANTHEM HEALTH PLANS, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				PPO - BBA		C	Chicago
H2836	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/6/2021	2026	"ANTHEM HEALTH PLANS, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H2845	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF OKLAHOMA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H2845	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF OKLAHOMA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H2845	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF OKLAHOMA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H2845	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF OKLAHOMA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H2845	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF OKLAHOMA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H2845	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF OKLAHOMA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H2845	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF OKLAHOMA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H2845	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF OKLAHOMA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H2845	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF OKLAHOMA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H2845	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF OKLAHOMA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				PPO - BBA		C	Atlanta
H2845	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF OKLAHOMA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H2845	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF OKLAHOMA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				PPO - BBA		C	Atlanta
H2845	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF OKLAHOMA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H2853	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	CENTENE VENTURE COMPANY TENNESSEE	Local CCP	Ascension Complete	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2853	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	CENTENE VENTURE COMPANY TENNESSEE	Local CCP	Ascension Complete	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2853	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/25/2024	2026	CENTENE VENTURE COMPANY TENNESSEE	Local CCP	Ascension Complete	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2853	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	CENTENE VENTURE COMPANY TENNESSEE	Local CCP	Ascension Complete	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2853	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	CENTENE VENTURE COMPANY TENNESSEE	Local CCP	Ascension Complete	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2853	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	9/18/2024	2026	CENTENE VENTURE COMPANY TENNESSEE	Local CCP	Ascension Complete	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2853	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	CENTENE VENTURE COMPANY TENNESSEE	Local CCP	Ascension Complete	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2853	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	CENTENE VENTURE COMPANY TENNESSEE	Local CCP	Ascension Complete	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2853	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/22/2025	2026	CENTENE VENTURE COMPANY TENNESSEE	Local CCP	Ascension Complete	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2853	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/25/2024	2026	CENTENE VENTURE COMPANY TENNESSEE	Local CCP	Ascension Complete	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H2853	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	CENTENE VENTURE COMPANY TENNESSEE	Local CCP	Ascension Complete	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2853	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	1/9/2025	2026	CENTENE VENTURE COMPANY TENNESSEE	Local CCP	Ascension Complete	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0202				HMO - Health Maintenance Organization		C	Denver
H2853	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	6/25/2024	2026	CENTENE VENTURE COMPANY TENNESSEE	Local CCP	Ascension Complete	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2875	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2875	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2875	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2875	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2875	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2875	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2875	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2875	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2875	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2875	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-859-321-9075				HMO - Health Maintenance Organization		C	Kansas City
H2875	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2875	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-800-865-8715				HMO - Health Maintenance Organization		C	Kansas City
H2875	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2882	Automated TrOOP Balance Transfer Contact	Business Office Manager	Ms	LaVigne	Ashley		1-989-953-5828					alavigne@pacecmi.org	1750 East Bellows Street		Mt Pleasant	MI	48858	8/20/2020	2026	"PACE CENTRAL MICHIGAN, INC."	National PACE	PACE Central Michigan	National PACE		"PACE Central Michigan, Inc."	711	Yes	Active					PACE - Nat		C	Atlanta
H2882	Best Available Evidence Contact	Quality Manager	Ms	Reeves	Brenda		1-989-953-5810					bkreeves@pacecmi.org	1750 East Bellows Street		Mt Pleasant	MI	48858	11/3/2020	2026	"PACE CENTRAL MICHIGAN, INC."	National PACE	PACE Central Michigan	National PACE		"PACE Central Michigan, Inc."	711	Yes	Active					PACE - Nat		C	Atlanta
H2882	Chief Financial Officer	Chief Financial Officer	Mr	Hanson	Scott		1-989-466-3824					sthanson@masonicpathways.com	1200 Wright Ave		Alma	MI	48858	9/30/2025	2026	"PACE CENTRAL MICHIGAN, INC."	National PACE	PACE Central Michigan	National PACE		"PACE Central Michigan, Inc."	711	Yes	Active					PACE - Nat		C	Atlanta
H2882	CMS Casework Communication Contact	Quality Manager	Ms	Reeves	Brenda		1-989-953-5810				1-989-953-5801	bkreeves@pacecmi.org	1750 East Bellows Street		Mt Pleasant	MI	48858	8/16/2021	2026	"PACE CENTRAL MICHIGAN, INC."	National PACE	PACE Central Michigan	National PACE		"PACE Central Michigan, Inc."	711	Yes	Active					PACE - Nat		C	Atlanta
H2882	Coordination of Benefits Contact	Community Liasion		Blamer	Krista		1-989-953-5813				1-989-953-5801	kkblamer@pacecmi.org	1750 East Bellows Street		Mt Pleasant	MI	48858	4/16/2024	2026	"PACE CENTRAL MICHIGAN, INC."	National PACE	PACE Central Michigan	National PACE		"PACE Central Michigan, Inc."	711	Yes	Active					PACE - Nat		C	Atlanta
H2882	Customer Service Operations Contact	Executive Director	Ms	Minns	Lisa		1-989-953-5800					lmminns@pacecmi.org	1750 East Bellows Street		Mt Pleasant	MI	48858	4/16/2024	2026	"PACE CENTRAL MICHIGAN, INC."	National PACE	PACE Central Michigan	National PACE		"PACE Central Michigan, Inc."	711	Yes	Active					PACE - Nat		C	Atlanta
H2882	Government Relations Contact	Executive Director	Ms	Minns	Lisa		1-989-953-5800				1-989-953-5801	lmminns@pacecmi.org	1750 East Bellows Street		Mt Pleasant	MI	48858	4/16/2024	2026	"PACE CENTRAL MICHIGAN, INC."	National PACE	PACE Central Michigan	National PACE		"PACE Central Michigan, Inc."	711	Yes	Active					PACE - Nat		C	Atlanta
H2882	Medicare Compliance Officer	Quality Manager	Ms	Reeves	Brenda		1-989-953-5810				1-989-953-5802	bkreeves@pacecmi.org	1750 East Bellows Street		Mt Pleasant	MI	48858	1/12/2021	2026	"PACE CENTRAL MICHIGAN, INC."	National PACE	PACE Central Michigan	National PACE		"PACE Central Michigan, Inc."	711	Yes	Active					PACE - Nat		C	Atlanta
H2882	Part D Exceptions Contact	Business Office Manager	Ms	LaVigne	Ashley							alavigne@pacecmi.org	1750 E Bellows		Mt. Pleasant	MI	48858	8/20/2020	2026	"PACE CENTRAL MICHIGAN, INC."	National PACE	PACE Central Michigan	National PACE		"PACE Central Michigan, Inc."	711	Yes	Active	1-989-953-5828				PACE - Nat		C	Atlanta
H2882	Pharmacy Network Management Contact	Executive Director	Ms	Minns	Lisa		1-989-953-5800					lmminns@pacecmi.org	1750 East Bellows Street		Mt Pleasant	MI	48858	4/16/2024	2026	"PACE CENTRAL MICHIGAN, INC."	National PACE	PACE Central Michigan	National PACE		"PACE Central Michigan, Inc."	711	Yes	Active					PACE - Nat		C	Atlanta
H2882	Pharmacy Technical Help Desk Contact	Pharmacist	Mr	Le	Viet							viet@kltcpharmacy.com	1750 East Bellows Street		Mt Pleasant	MI	48858	12/23/2020	2026	"PACE CENTRAL MICHIGAN, INC."	National PACE	PACE Central Michigan	National PACE		"PACE Central Michigan, Inc."	711	Yes	Active	1-269-598-4000				PACE - Nat		C	Atlanta
H2882	Plan to Plan Reconciliation Contact	Business Office Manager	Mr	LaVigne	Ashley		1-989-953-5828					alavigne@pacecmi.org	1750 East Bellows Street		Mt Pleasant	MI	48858	8/20/2020	2026	"PACE CENTRAL MICHIGAN, INC."	National PACE	PACE Central Michigan	National PACE		"PACE Central Michigan, Inc."	711	Yes	Active					PACE - Nat		C	Atlanta
H2915	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	"PENNSYLVANIA HEALTH & WELLNESS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2915	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	"PENNSYLVANIA HEALTH & WELLNESS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2915	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/25/2024	2026	"PENNSYLVANIA HEALTH & WELLNESS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2915	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"PENNSYLVANIA HEALTH & WELLNESS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2915	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"PENNSYLVANIA HEALTH & WELLNESS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2915	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	9/18/2024	2026	"PENNSYLVANIA HEALTH & WELLNESS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2915	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"PENNSYLVANIA HEALTH & WELLNESS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2915	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	"PENNSYLVANIA HEALTH & WELLNESS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2915	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/22/2025	2026	"PENNSYLVANIA HEALTH & WELLNESS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2915	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/25/2024	2026	"PENNSYLVANIA HEALTH & WELLNESS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H2915	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	"PENNSYLVANIA HEALTH & WELLNESS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2915	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	1/9/2025	2026	"PENNSYLVANIA HEALTH & WELLNESS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0202				HMO - Health Maintenance Organization		C	Denver
H2915	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	6/25/2024	2026	"PENNSYLVANIA HEALTH & WELLNESS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H2918	Automated TrOOP Balance Transfer Contact	Executive Director	Mrs	Rees	Karen		1-904-868-7251					karen.rees@jordanvalley.org	440 E. Tampa Street		Springfield	MO	65806	5/27/2026	2026	"Advocates for a Healthy Community, Inc. dba Jordan"	National PACE	Jordan Valley Senior Care	National PACE		"Advocates for a Healthy Community, Inc."	838	Yes	Active					PACE - Nat		C	Kansas City
H2918	Best Available Evidence Contact	Executive Assistant	Mrs	Bohning	Susan		1-417-851-1551					sbohning@jordanvalley.org	440 E. Tampa Street		Springfield	MO	65806	6/29/2023	2026	"Advocates for a Healthy Community, Inc. dba Jordan"	National PACE	Jordan Valley Senior Care	National PACE		"Advocates for a Healthy Community, Inc."	838	Yes	Active					PACE - Nat		C	Kansas City
H2918	Chief Financial Officer	Exec VP Administration	Mrs	Howe	Yadira		1-417-851-1551					yadira.howe@jordanvalley.org	440 E. Tampa Street		Springfield	MO	65806	6/29/2023	2026	"Advocates for a Healthy Community, Inc. dba Jordan"	National PACE	Jordan Valley Senior Care	National PACE		"Advocates for a Healthy Community, Inc."	838	Yes	Active					PACE - Nat		C	Kansas City
H2918	CMS Casework Communication Contact	Exec VP Medical Services	Mr	Stinson	Matt		1-417-851-1551					mstinson@jordanvalley.org	440 E. Tampa Street		Springfield	MO	65806	6/29/2023	2026	"Advocates for a Healthy Community, Inc. dba Jordan"	National PACE	Jordan Valley Senior Care	National PACE		"Advocates for a Healthy Community, Inc."	838	Yes	Active					PACE - Nat		C	Kansas City
H2918	Coordination of Benefits Contact	Executive Director		Rees	Karen		1-904-868-7251					karen.rees@jordanvalley.org	440 E. Tampa Street		Springfield	MO	65806	5/27/2026	2026	"Advocates for a Healthy Community, Inc. dba Jordan"	National PACE	Jordan Valley Senior Care	National PACE		"Advocates for a Healthy Community, Inc."	838	Yes	Active					PACE - Nat		C	Kansas City
H2918	Customer Service Operations Contact	Executive Assistant	Mrs	Bohning	Susan		1-417-851-1551					sbohning@jordanvalley.org	440 E. Tampa Street		Springfield	MO	65806	6/29/2023	2026	"Advocates for a Healthy Community, Inc. dba Jordan"	National PACE	Jordan Valley Senior Care	National PACE		"Advocates for a Healthy Community, Inc."	838	Yes	Active					PACE - Nat		C	Kansas City
H2918	Government Relations Contact	VP of Operations	Mr	Kruger	Ryan		1-417-851-1551					ryan.kruger@jordanvalley.org	440 E. Tampa Street		Springfield	MO	65806	11/12/2024	2026	"Advocates for a Healthy Community, Inc. dba Jordan"	National PACE	Jordan Valley Senior Care	National PACE		"Advocates for a Healthy Community, Inc."	838	Yes	Active					PACE - Nat		C	Kansas City
H2918	Medicare Compliance Officer	Director Strategic Development	Mrs	March-Hopkins	Stephanie		1-417-851-1551					stephanie.marchhopkins@jordanvalley.org	440 E. Tampa Street		Springfield	MO	65806	7/11/2024	2026	"Advocates for a Healthy Community, Inc. dba Jordan"	National PACE	Jordan Valley Senior Care	National PACE		"Advocates for a Healthy Community, Inc."	838	Yes	Active					PACE - Nat		C	Kansas City
H2918	Part D Exceptions Contact	VP of Operations		Kruger	Ryan							ryan.kruger@jordanvalley.org	440 E. Tampa Street		Soringfield	MO	65804	7/11/2024	2026	"Advocates for a Healthy Community, Inc. dba Jordan"	National PACE	Jordan Valley Senior Care	National PACE		"Advocates for a Healthy Community, Inc."	838	Yes	Active	1-417-522-6862				PACE - Nat		C	Kansas City
H2918	Pharmacy Network Management Contact	VP of Operations	mr	Kruger	Ryan		1-417-851-1551					ryan.kruger@jordanvalley.org	440 E Tampa St		Springfield	MO	65806	8/5/2025	2026	"Advocates for a Healthy Community, Inc. dba Jordan"	National PACE	Jordan Valley Senior Care	National PACE		"Advocates for a Healthy Community, Inc."	838	Yes	Active					PACE - Nat		C	Kansas City
H2918	Pharmacy Technical Help Desk Contact	VP of Operations	Mr	Kruger	Ryan							ryan.kruger@jordanvalley.org	440 E Tampa St		Springfield	MO	65806	9/2/2025	2026	"Advocates for a Healthy Community, Inc. dba Jordan"	National PACE	Jordan Valley Senior Care	National PACE		"Advocates for a Healthy Community, Inc."	838	Yes	Active	1-417-851-1551				PACE - Nat		C	Kansas City
H2918	Plan to Plan Reconciliation Contact	COO	Mr.	Kruger	Ryan		1-417-522-6862					ryan.kruger@jordanvalley.org	440 E. Tampa Street		Springfield	MO	65806	1/30/2024	2026	"Advocates for a Healthy Community, Inc. dba Jordan"	National PACE	Jordan Valley Senior Care	National PACE		"Advocates for a Healthy Community, Inc."	838	Yes	Active					PACE - Nat		C	Kansas City
H2923	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF OREGON INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2923	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF OREGON INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2923	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF OREGON INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2923	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF OREGON INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2923	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF OREGON INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2923	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF OREGON INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2923	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF OREGON INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2923	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF OREGON INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2923	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF OREGON INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2923	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF OREGON INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				HMO - Health Maintenance Organization		C	New York
H2923	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF OREGON INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2923	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF OREGON INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H2923	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF OREGON INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H2926	Automated TrOOP Balance Transfer Contact	Director of Care & Population Health Management	Ms.	Ehlert	Ann		1-320-759-4154				1-320-762-5945	ann.ehlert@primewest.org	PrimeWest Health	3905 Dakota St	Alexandria	MN	56308	5/26/2026	2026	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	Local CCP	PrimeWest Health	HMO/HMOPOS		PrimeWest Rural MN Health Care Access Initiative	189	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2926	Best Available Evidence Contact	Director of Member & Provider Services	Ms.	Jirik	Becky		1-320-335-5219				1-320-335-5223	becky.jirik@primewest.org	PrimeWest Health	3905 Dakota St	Alexandria	MN	56308	5/26/2026	2026	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	Local CCP	PrimeWest Health	HMO/HMOPOS		PrimeWest Rural MN Health Care Access Initiative	189	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2926	Chief Financial Officer	Chief Financial Officer	Mr.	Tava	Alex		1-651-389-4570				1-651-228-9893	alex.tava@wakely.com	Wakely Consulting	"444 Cedar Street, Suite 500,"	St. Paul	MN	55101	5/26/2026	2026	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	Local CCP	PrimeWest Health	HMO/HMOPOS		PrimeWest Rural MN Health Care Access Initiative	189	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2926	CMS Casework Communication Contact	Chief Operating Officer	Ms.	Krafthefer	Bethany		1-320-335-5392				1-320-762-8750	bethany.krafthefer@primewest.org	PrimeWest Health	3905 Dakota St	Alexandria	MN	56308	5/26/2026	2026	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	Local CCP	PrimeWest Health	HMO/HMOPOS		PrimeWest Rural MN Health Care Access Initiative	189	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2926	Coordination of Benefits Contact	Director of Member & Provider Services	Ms.	Jirik	Becky		1-320-335-5219				1-320-335-5223	MedicareCOB@primewest.org	PrimeWest Health	3905 Dakota St	Alexandria	MN	56309	5/26/2026	2026	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	Local CCP	PrimeWest Health	HMO/HMOPOS		PrimeWest Rural MN Health Care Access Initiative	189	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2926	Customer Service Operations Contact	Director of Member & Provider Services	Mrs.	Jirik	Becky		1-320-335-5219				1-320-335-5223	Becky.Jirik@primewest.org	PrimeWest Health	3905 Dakota St	Alexandria	MN	56308	5/26/2026	2026	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	Local CCP	PrimeWest Health	HMO/HMOPOS		PrimeWest Rural MN Health Care Access Initiative	189	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2926	Government Relations Contact	Chief Executive Officer	Mr.	Magnuson	Matt		1-320-335-5243				1-320-762-8750	matt.magnuson@primewest.org	PrimeWest Health	3905 Dakota St	Alexandria	MN	56308	5/26/2026	2026	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	Local CCP	PrimeWest Health	HMO/HMOPOS		PrimeWest Rural MN Health Care Access Initiative	189	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2926	Hospice Contact	Director of Care & Population Health Management	Ms.	Ehlert	Ann		1-320-759-4154				1-320-762-5945	ann.ehlert@primewest.org	PrimeWest Health	3905 Dakota St	Alexandria	MN	56308	5/26/2026	2026	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	Local CCP	PrimeWest Health	HMO/HMOPOS		PrimeWest Rural MN Health Care Access Initiative	189	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2926	Medicare Compliance Officer	Corporate Compliance/HIPAA Privacy Officer	Ms.	Adams	Sandra		1-320-335-5399				1-320-762-5937	sandra.adams@primewest.org	PrimeWest Health	3905 Dakota St	Alexandria	MN	56308	5/26/2026	2026	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	Local CCP	PrimeWest Health	HMO/HMOPOS		PrimeWest Rural MN Health Care Access Initiative	189	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2926	Part D Exceptions Contact	Director of Care & Population Health Management	Ms.	Ehlert	Ann						1-320-762-5945	ann.ehlert@primewest.org	PrimeWest Health	3905 Dakota St	Alexandria	MN	56308	5/26/2026	2026	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	Local CCP	PrimeWest Health	HMO/HMOPOS		PrimeWest Rural MN Health Care Access Initiative	189	Yes	Active	1-320-759-4154				HMO - Health Maintenance Organization		C	Chicago
H2926	Pharmacy Network Management Contact	Dir Pharmacy Network Administration	Mr.	Hunt	Brian		1-858-790-7092					Brian.Hunt@MedImpact.com	MedImpact HealthCare Systems Inc.	10181 Scripps Gateway Court	San Diego	CA	92131	5/26/2026	2026	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	Local CCP	PrimeWest Health	HMO/HMOPOS		PrimeWest Rural MN Health Care Access Initiative	189	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2926	Pharmacy Technical Help Desk Contact	Director Customer Contact Services	Ms.	Brewer	Kathy							customerservice@medimpact.com	"MedImpact HealthCare Systems, Inc."	10181 Scripps Gateway Court	San Diego	CA	92131	5/26/2026	2026	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	Local CCP	PrimeWest Health	HMO/HMOPOS		PrimeWest Rural MN Health Care Access Initiative	189	Yes	Active	1-877-391-9294				HMO - Health Maintenance Organization		C	Chicago
H2926	Plan to Plan Reconciliation Contact	Chief Financial Officer	Mr.	Tava	Alex		1-651-389-4570				1-651-228-9893	alex.tava@wakely.com	PrimeWest Health	3905 Dakota St	Alexandria	MN	56308	5/26/2026	2026	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	Local CCP	PrimeWest Health	HMO/HMOPOS		PrimeWest Rural MN Health Care Access Initiative	189	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2936	Automated TrOOP Balance Transfer Contact	Accounting Manager	Ms.	Murar	Ann		1-616-378-6469				1-616-949-7886	amurar@mybrio.org	560 Seminole Rd.		Muskegon	MI	49444	3/6/2024	2026	LIFECIRCLES	National PACE	LIFECIRCLES	National PACE		LifeCircles	373	Yes	Active					PACE - Nat		C	Atlanta
H2936	Best Available Evidence Contact	Executive Director	Ms.	Gras	Heidi		1-616-582-3111				1-231-332-8600	hgras@lifecircles-pace.org	560 Seminole Rd.		Muskegon	MI	49444	12/28/2021	2026	LIFECIRCLES	National PACE	LIFECIRCLES	National PACE		LifeCircles	373	Yes	Active					PACE - Nat		C	Atlanta
H2936	Chief Financial Officer	Accounting Manager	Ms.	Murar	Ann		1-616-378-6469				1-616-949-7886	amurar@mybrio.org	560 Seminole Rd.		Muskegon	MI	49444	3/6/2024	2026	LIFECIRCLES	National PACE	LIFECIRCLES	National PACE		LifeCircles	373	Yes	Active					PACE - Nat		C	Atlanta
H2936	CMS Casework Communication Contact	Executive Director	Ms.	Gras	Heidi		1-616-582-3111				1-231-733-8683	hgras@lifecircles-pace.org	560 Seminole Rd		Muskegon	MI	49444	12/28/2021	2026	LIFECIRCLES	National PACE	LIFECIRCLES	National PACE		LifeCircles	373	Yes	Active					PACE - Nat		C	Atlanta
H2936	Coordination of Benefits Contact	Eligibility and Benefits Specialist	Ms.	Griswold	Jamie		1-231-733-8686	8227			1-231-332-8600	jgriwswold@lifecircles-pace.org	560 Seminole Rd		Muskegon	MI	49444	3/11/2025	2026	LIFECIRCLES	National PACE	LIFECIRCLES	National PACE		LifeCircles	373	Yes	Active					PACE - Nat		C	Atlanta
H2936	Customer Service Operations Contact	Executive Director	Ms.	Gras	Heidi		1-616-582-3111				1-231-332-8600	hgras@lifecircles-pace.org	560 Seminole Rd.		Muskegon	MI	49444	12/28/2021	2026	LIFECIRCLES	National PACE	LIFECIRCLES	National PACE		LifeCircles	373	Yes	Active					PACE - Nat		C	Atlanta
H2936	Government Relations Contact	Executive Director	Ms.	Gras	Heidi		1-616-582-3111				1-231-332-8600	hgras@lifecircles-pace.org	560 Seminole Rd.		Muskegon	MI	49444	12/28/2021	2026	LIFECIRCLES	National PACE	LIFECIRCLES	National PACE		LifeCircles	373	Yes	Active					PACE - Nat		C	Atlanta
H2936	Medicare Compliance Officer	Program Integrity Manager	Mr.	McPherson	Phil		1-231-769-0539				1-231-332-8600	pmcpherson@lifecircles-pace.org	560 Seminole Road		Muskegon	MI	49444	3/6/2024	2026	LIFECIRCLES	National PACE	LIFECIRCLES	National PACE		LifeCircles	373	Yes	Active					PACE - Nat		C	Atlanta
H2936	Part D Exceptions Contact	Accounting Manager	Ms.	Murar	Ann						1-616-949-7886	amurar@mybrio.org	560 Seminole Rd		Muskegon	MI	49444	3/6/2024	2026	LIFECIRCLES	National PACE	LIFECIRCLES	National PACE		LifeCircles	373	Yes	Active	1-616-378-6469				PACE - Nat		C	Atlanta
H2936	Pharmacy Network Management Contact			Gras	Heidi		1-616-582-3111				1-616-582-3149	hgras@lifecircles-pace.org	12330 James Street		Holland	MI	49424	1/8/2021	2026	LIFECIRCLES	National PACE	LIFECIRCLES	National PACE		LifeCircles	373	Yes	Active					PACE - Nat		C	Atlanta
H2936	Pharmacy Technical Help Desk Contact			Gras	Heidi						1-616-582-3149	hgras@lifecircles-pace.org	12330 James Street		Holland	MI	49424	1/8/2021	2026	LIFECIRCLES	National PACE	LIFECIRCLES	National PACE		LifeCircles	373	Yes	Active	1-616-582-3111				PACE - Nat		C	Atlanta
H2936	Plan to Plan Reconciliation Contact	Accounting Manager	Ms.	Murar	Ann		1-616-378-6469				1-616-949-7886	amurar@mybrio.org	560 Seminole Rd.		Muskegon	MI	49444	3/6/2024	2026	LIFECIRCLES	National PACE	LIFECIRCLES	National PACE		LifeCircles	373	Yes	Active					PACE - Nat		C	Atlanta
H2937	Automated TrOOP Balance Transfer Contact	Chief Financial Officer	Mr.	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/7/2026	2026	"SENIOR LIFE GREENSBURG, INC."	National PACE	Senior LIFE Greensburg	National PACE		"Senior LIFE Greensburg, Inc."	543	Yes	Active					PACE - Nat		C	Philadelphia
H2937	Best Available Evidence Contact	Chief Financial Officer	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"SENIOR LIFE GREENSBURG, INC."	National PACE	Senior LIFE Greensburg	National PACE		"Senior LIFE Greensburg, Inc."	543	Yes	Active					PACE - Nat		C	Philadelphia
H2937	Chief Financial Officer	Chief Financial Officer	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"SENIOR LIFE GREENSBURG, INC."	National PACE	Senior LIFE Greensburg	National PACE		"Senior LIFE Greensburg, Inc."	543	Yes	Active					PACE - Nat		C	Philadelphia
H2937	CMS Casework Communication Contact	Chief Executive Officer	Mr	Irwin	Mark		1-814-535-6000	22101			1-814-248-7902	Mirwin@pace-cs.com	401 Broad Street		Johnstown	PA	15906	2/23/2017	2026	"SENIOR LIFE GREENSBURG, INC."	National PACE	Senior LIFE Greensburg	National PACE		"Senior LIFE Greensburg, Inc."	543	Yes	Active					PACE - Nat		C	Philadelphia
H2937	Coordination of Benefits Contact	Chief Financial Officer	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"SENIOR LIFE GREENSBURG, INC."	National PACE	Senior LIFE Greensburg	National PACE		"Senior LIFE Greensburg, Inc."	543	Yes	Active					PACE - Nat		C	Philadelphia
H2937	Customer Service Operations Contact	Chief Executive Officer	Mr	Irwin	Mark		1-814-535-6000	22101			1-814-248-7902	Mirwin@pace-cs.com	401 Broad Street		Johnstown	PA	15906	2/23/2017	2026	"SENIOR LIFE GREENSBURG, INC."	National PACE	Senior LIFE Greensburg	National PACE		"Senior LIFE Greensburg, Inc."	543	Yes	Active					PACE - Nat		C	Philadelphia
H2937	Government Relations Contact	Chief Executive Officer	Mr	Irwin	Mark		1-814-535-6000	22101			1-814-248-7902	Mirwin@pace-cs.com	401 Broad Street		Johnstown	PA	15906	2/23/2017	2026	"SENIOR LIFE GREENSBURG, INC."	National PACE	Senior LIFE Greensburg	National PACE		"Senior LIFE Greensburg, Inc."	543	Yes	Active					PACE - Nat		C	Philadelphia
H2937	Medicare Compliance Officer	Executive Director	Ms	Noon	Jodi		1-724-838-8300	28060				Jnoon@seniorlifegreensburg.com	123 Triangle Drive		Greensburg	PA	15601	4/21/2025	2026	"SENIOR LIFE GREENSBURG, INC."	National PACE	Senior LIFE Greensburg	National PACE		"Senior LIFE Greensburg, Inc."	543	Yes	Active					PACE - Nat		C	Philadelphia
H2937	Part D Exceptions Contact	Chief Financial Officer	Mr	Dodson	David						1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"SENIOR LIFE GREENSBURG, INC."	National PACE	Senior LIFE Greensburg	National PACE		"Senior LIFE Greensburg, Inc."	543	Yes	Active	1-814-535-6000	22102			PACE - Nat		C	Philadelphia
H2937	Pharmacy Network Management Contact		Mr	Rowland	Bob		1-724-275-1203	219				Browland@granerx.com	464 Nixon Road		Cheswick	PA	15024	1/7/2026	2026	"SENIOR LIFE GREENSBURG, INC."	National PACE	Senior LIFE Greensburg	National PACE		"Senior LIFE Greensburg, Inc."	543	Yes	Active					PACE - Nat		C	Philadelphia
H2937	Pharmacy Technical Help Desk Contact		Mr.	Rowland	Bob							Browland@granerx.com	464 Nixon Road		Cheswick	PA	15024	1/7/2026	2026	"SENIOR LIFE GREENSBURG, INC."	National PACE	Senior LIFE Greensburg	National PACE		"Senior LIFE Greensburg, Inc."	543	Yes	Active	1-724-275-1203	219			PACE - Nat		C	Philadelphia
H2937	Plan to Plan Reconciliation Contact	Chief Financial Officer	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"SENIOR LIFE GREENSBURG, INC."	National PACE	Senior LIFE Greensburg	National PACE		"Senior LIFE Greensburg, Inc."	543	Yes	Active					PACE - Nat		C	Philadelphia
H2941	Automated TrOOP Balance Transfer Contact	Finance Director	Mrs.	Carr	Rachel		1-804-916-0286				1-757-390-4375	rxcarr1@sentara.com	1300 Sentara Park		Virginia Beach	VA	23464	5/29/2024	2026	"SENTARA LIFE CARE CORPORATION, INC"	National PACE	Sentara PACE	National PACE		Sentara Health Care (SHC)	345	Yes	Active					PACE - Nat		C	Philadelphia
H2941	Best Available Evidence Contact	Senior Director		Barnes	Kelley	D	1-757-392-2657					kdbarnes@sentara.com	5900 East Virginia Beach Blvd	Ste 260	Norfolk	VA	23502	4/23/2026	2026	"SENTARA LIFE CARE CORPORATION, INC"	National PACE	Sentara PACE	National PACE		Sentara Health Care (SHC)	345	Yes	Active					PACE - Nat		C	Philadelphia
H2941	Chief Financial Officer	Finance Director	Mrs.	Carr	Rachel		1-804-916-0286				1-757-390-4375	rxcarr1@sentara.com	1300 Sentara Park		Virginia Beach	VA	23464	5/29/2024	2026	"SENTARA LIFE CARE CORPORATION, INC"	National PACE	Sentara PACE	National PACE		Sentara Health Care (SHC)	345	Yes	Active					PACE - Nat		C	Philadelphia
H2941	CMS Casework Communication Contact	Regional Director	Mrs.	Barnes	Kelley		1-757-392-2650					kdbarnes@sentara.com	5788 Churchland Blvd.		Portsmouth	VA	23703	6/5/2026	2026	"SENTARA LIFE CARE CORPORATION, INC"	National PACE	Sentara PACE	National PACE		Sentara Health Care (SHC)	345	Yes	Active					PACE - Nat		C	Philadelphia
H2941	Coordination of Benefits Contact	Business Office Specialist	Mrs.	Earl	Adrian		1-757-392-2650				1-757-966-5471	atpace@sentara.com	5788 Churchland Blvd		Portsmouth	VA	23703	4/9/2025	2026	"SENTARA LIFE CARE CORPORATION, INC"	National PACE	Sentara PACE	National PACE		Sentara Health Care (SHC)	345	Yes	Active					PACE - Nat		C	Philadelphia
H2941	Customer Service Operations Contact	Regional Director	Mrs.	Barnes	Kelley		1-757-392-2650					kdbarnes@sentara.com	5788 Churchland Blvd.		Portsmouth	VA	23703	6/5/2026	2026	"SENTARA LIFE CARE CORPORATION, INC"	National PACE	Sentara PACE	National PACE		Sentara Health Care (SHC)	345	Yes	Active					PACE - Nat		C	Philadelphia
H2941	Government Relations Contact	Regional Director	Mrs.	Barnes	Kelley		1-757-392-2650					kdbarnes@sentara.com	5788 Churchland Blvd.		Portsmouth	VA	23703	6/5/2026	2026	"SENTARA LIFE CARE CORPORATION, INC"	National PACE	Sentara PACE	National PACE		Sentara Health Care (SHC)	345	Yes	Active					PACE - Nat		C	Philadelphia
H2941	Medicare Compliance Officer	Regional Director	Mrs.	Barnes	Kelley		1-757-392-2650					kdbarnes@sentara.com	5788 Churchland Blvd.		Portsmouth	VA	23703	3/13/2026	2026	"SENTARA LIFE CARE CORPORATION, INC"	National PACE	Sentara PACE	National PACE		Sentara Health Care (SHC)	345	Yes	Active					PACE - Nat		C	Philadelphia
H2941	Part D Exceptions Contact	Finance Director	Mrs.	Carr	Rachel						1-757-390-4375	rxcarr1@sentara.com	1300 Sentara Park		Virginia Beach	VA	23464	5/29/2024	2026	"SENTARA LIFE CARE CORPORATION, INC"	National PACE	Sentara PACE	National PACE		Sentara Health Care (SHC)	345	Yes	Active	1-804-916-0286				PACE - Nat		C	Philadelphia
H2941	Pharmacy Network Management Contact	Finance Director	Mrs.	Carr	Rachel		1-804-916-0286				1-757-390-4375	rxcarr1@sentara.com	1300 Sentara Park		Virginia Beach	VA	23464	5/29/2024	2026	"SENTARA LIFE CARE CORPORATION, INC"	National PACE	Sentara PACE	National PACE		Sentara Health Care (SHC)	345	Yes	Active					PACE - Nat		C	Philadelphia
H2941	Pharmacy Technical Help Desk Contact	"Manager, Pharmacy"		Lee	Doug						1-757-388-4018	dhlee@sentara.com	600 Gresham Drive		Norfolk	VA	23507	5/26/2021	2026	"SENTARA LIFE CARE CORPORATION, INC"	National PACE	Sentara PACE	National PACE		Sentara Health Care (SHC)	345	Yes	Active	1-757-388-0347				PACE - Nat		C	Philadelphia
H2941	Plan to Plan Reconciliation Contact	Finance Director	Mrs.	Carr	Rachel		1-804-916-0286				1-757-390-4375	rxcarr1@sentara.com	1300 Sentara Park		Virginia Beach	VA	23464	5/29/2024	2026	"SENTARA LIFE CARE CORPORATION, INC"	National PACE	Sentara PACE	National PACE		Sentara Health Care (SHC)	345	Yes	Active					PACE - Nat		C	Philadelphia
H2942	Automated TrOOP Balance Transfer Contact	VP of Health Services		O'Connell	Daniel		1-417-269-2966				1-417-269-2919	doconnell@coxhealthplans.com	PO Box 5750		Springfield	MO	65801	1/20/2023	2026	COX HEALTH SYSTEMS HMO INC	Local CCP	Cox HealthPlans	HMO/HMOPOS		CoxHealth	793	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2942	Best Available Evidence Contact	Director of Govt Programs		Hammond	Kaitlyn		1-417-269-2728				1-417-269-2919	khammond@coxhealthplans.com	PO Box 5750		Springfield	MO	65801	1/20/2022	2026	COX HEALTH SYSTEMS HMO INC	Local CCP	Cox HealthPlans	HMO/HMOPOS		CoxHealth	793	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2942	Chief Financial Officer	CFO	Ms.	Henderson	Jennifer		1-417-269-2885					jhenderson@coxhealthplans.com	PO Box 5750		Sprinfield	MO	65801	10/5/2023	2026	COX HEALTH SYSTEMS HMO INC	Local CCP	Cox HealthPlans	HMO/HMOPOS		CoxHealth	793	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2942	CMS Casework Communication Contact	Grievance and Subrogation Coordinator		Mathis	Earlisha		1-417-269-2905				1-417-269-2949	emathis@coxhealthplans.com	PO Box 5750		Springfield	MO	65801	12/15/2022	2026	COX HEALTH SYSTEMS HMO INC	Local CCP	Cox HealthPlans	HMO/HMOPOS		CoxHealth	793	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2942	Coordination of Benefits Contact	Director of Member and Provider Services		Hopkins	Sandy		1-417-269-2920				1-417-269-2949	shopkins@coxhealthplans.com	PO Box 5750		Springfield	MO	65801	1/20/2023	2026	COX HEALTH SYSTEMS HMO INC	Local CCP	Cox HealthPlans	HMO/HMOPOS		CoxHealth	793	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2942	Customer Service Operations Contact	Director of Member and Provider Services		Hopkins	Sandy		1-417-269-2920					shopkins@coxhealthplans.com	PO Box 5750		Springfield	MO	65801	1/20/2023	2026	COX HEALTH SYSTEMS HMO INC	Local CCP	Cox HealthPlans	HMO/HMOPOS		CoxHealth	793	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2942	Government Relations Contact	Director of Govt Programs		Hammond	Kaitlyn		1-417-269-2728				1-417-269-2919	khammond@coxhealthplans.com	PO Box 5750		Springfield	MO	65801	1/20/2022	2026	COX HEALTH SYSTEMS HMO INC	Local CCP	Cox HealthPlans	HMO/HMOPOS		CoxHealth	793	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2942	Hospice Contact	VP of Health Services		O'Connell	Daniel		1-417-269-2966					doconnell@coxhealthplans.com	PO Box 5750		Springfield	MO	65801	1/20/2022	2026	COX HEALTH SYSTEMS HMO INC	Local CCP	Cox HealthPlans	HMO/HMOPOS		CoxHealth	793	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2942	Medicare Compliance Officer	Director of Govt Programs	Mrs.	Hammond	Kaitlyn		1-417-269-2827					khammond@coxhealthplans.com	PO Box 5750		Springfield	MO	65801	1/20/2022	2026	COX HEALTH SYSTEMS HMO INC	Local CCP	Cox HealthPlans	HMO/HMOPOS		CoxHealth	793	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2942	Part D Exceptions Contact	Director Clinical Operations		Collins	Andrea							andrea.collins@medimpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	12/17/2024	2026	COX HEALTH SYSTEMS HMO INC	Local CCP	Cox HealthPlans	HMO/HMOPOS		CoxHealth	793	Yes	Active	1-330-410-3565				HMO - Health Maintenance Organization		C	Kansas City
H2942	Pharmacy Network Management Contact	Director Pharmacy Network Administration		Hunt	Brian		1-858-790-7092					Brian.hunt@medimpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	12/17/2024	2026	COX HEALTH SYSTEMS HMO INC	Local CCP	Cox HealthPlans	HMO/HMOPOS		CoxHealth	793	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2942	Pharmacy Technical Help Desk Contact	VP Operations		Conn	Todd							Todd.Conn@Medimpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	12/9/2024	2026	COX HEALTH SYSTEMS HMO INC	Local CCP	Cox HealthPlans	HMO/HMOPOS		CoxHealth	793	Yes	Active	1-855-476-5985				HMO - Health Maintenance Organization		C	Kansas City
H2942	Plan to Plan Reconciliation Contact	Risk Adjustment Manager	Ms.	Thompson	Jo Anne		1-417-269-4969					jthompson@coxhealthplans.com	PO Box 5750		Springfield	MO	65801	6/12/2023	2026	COX HEALTH SYSTEMS HMO INC	Local CCP	Cox HealthPlans	HMO/HMOPOS		CoxHealth	793	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H2960	Automated TrOOP Balance Transfer Contact	Manager		Diaz	Mario		1-714-317-2628					mario.diaz@optum.com	Optum Rx	1600 McConnor Parkway	Schaumburg	IL	60173	2/13/2025	2026	"HOMETOWN HEALTH PLAN, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2960	Best Available Evidence Contact	Manager of Revenue_Enrollment Servics	Ms	Foote	Tammi		1-775-982-3186					Tammi.Foote@hometownhealth.com	10315 Professional Circle		Reno	NV	89521	11/30/2022	2026	"HOMETOWN HEALTH PLAN, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2960	Chief Financial Officer	Chief Financial Officer - Me	Mr.	Stewart	Mark	C	1-401-284-8679					mark.c1.stewart@kp.org	One Kaiser Plaza		Oakland	CA	94612	2/26/2026	2026	"HOMETOWN HEALTH PLAN, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2960	CMS Casework Communication Contact	Manager of Appeals and Grievance	Ms	Eastman	Devany		1-775-982-3115					Devany.Eastman@hometownhealth.com	10315 Professional Circle		Reno	NV	89521	7/2/2025	2026	"HOMETOWN HEALTH PLAN, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2960	Coordination of Benefits Contact	Manager of Claims	Ms	Meister	Pam		1-775-982-6933					pam.meister@hometownhealth.com	10315 Professional Circle		Reno	NV	89521	12/6/2024	2026	"HOMETOWN HEALTH PLAN, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2960	Customer Service Operations Contact	Manager of Customer Engagement		McKeon	Kelly		1-775-982-5212					kelly.mckeon@renown.org	10315 Professional Circle		Reno	NV	89502	10/27/2023	2026	"HOMETOWN HEALTH PLAN, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2960	Government Relations Contact	Senior Director of Government Programs	Mr	Bawden	CJ		1-775-982-3218				1-775-982-3743	CJ.bawden@hometownhealth.com	10315 Professional Circle		Reno	NV	89521	11/30/2022	2026	"HOMETOWN HEALTH PLAN, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2960	Hospice Contact	Director of Pharmacy	Ms	Gouchenour	Christie		1-775-982-3085					christie.gouchenour@hometownhealth.com	10315 Professional Circle		Reno	NV	89521	11/30/2022	2026	"HOMETOWN HEALTH PLAN, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2960	Medicare Compliance Officer	Compliance Manager	Ms	Linzey	Lenee		1-775-982-3025					Lenee.Linzey@hometownhealth.com	10315 Professional Circle		Reno	NV	89521	9/24/2025	2026	"HOMETOWN HEALTH PLAN, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2960	Part D Exceptions Contact	"Manager, Prior Authorization Appeals"	Ms	Le	Christina						1-877-239-4565	christina.le@optum.com	PO Box 2975		Mission	KS	66201	2/26/2024	2026	"HOMETOWN HEALTH PLAN, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active	1-714-825-3783				HMO - Health Maintenance Organization		C	Dallas
H2960	Pharmacy Network Management Contact	"Manager, Retail Network Operations"		Perez	Felix		1-303-331-3044					Felix.perez@optum.com	OptumRx	11000 Optum Cir	Eden Prairie	MN	55344	2/22/2024	2026	"HOMETOWN HEALTH PLAN, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2960	Pharmacy Technical Help Desk Contact	Sr.		Villanueva	Juan							juan.villanueva@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	12/13/2023	2026	"HOMETOWN HEALTH PLAN, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active	1-844-368-3139				HMO - Health Maintenance Organization		C	Dallas
H2960	Plan to Plan Reconciliation Contact	Senior Financial Analyst	Mr	Wingfield	Joseph		1-775-982-3190					Joseph.Wingfield@hometownhealth.com	10315 Professional Circle		Reno	NV	89521	11/30/2022	2026	"HOMETOWN HEALTH PLAN, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H2962	Automated TrOOP Balance Transfer Contact	Chief Operating Officer	Mrs.	Debi	Darilu		1-352-515-5912				1-352-835-7169	ddebi@ulthp.com	1244 Mariner Blvd		Spring Hill	FL	34609	12/30/2024	2026	"ULTIMATE HEALTH PLANS, INC."	Local CCP	Ultimate Health Plans	HMO/HMOPOS		"Ultimate Healthcare Holdings, LLC"	489	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2962	Best Available Evidence Contact	COO	Mrs.	Debi	Darilu		1-352-515-5912				1-352-835-7169	ddebi@ulthp.com	1244 Mariner Blvd.		Spring Hill	FL	34609	6/13/2024	2026	"ULTIMATE HEALTH PLANS, INC."	Local CCP	Ultimate Health Plans	HMO/HMOPOS		"Ultimate Healthcare Holdings, LLC"	489	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2962	Chief Financial Officer	"Vice President, Finance"	Mr.	Uhlig	Joshua		1-412-478-6689				1-352-835-7169	juhlig@ulthp.com	1244 Mariner Blvd		Spring Hill	FL	34609	9/24/2025	2026	"ULTIMATE HEALTH PLANS, INC."	Local CCP	Ultimate Health Plans	HMO/HMOPOS		"Ultimate Healthcare Holdings, LLC"	489	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2962	CMS Casework Communication Contact	Chief Compliance Officer	Mrs.	Patel	Nirali		1-727-686-2938					npatel@ulthp.com	1244 Mariner Blvd.		Spring Hill	FL	34609	3/8/2023	2026	"ULTIMATE HEALTH PLANS, INC."	Local CCP	Ultimate Health Plans	HMO/HMOPOS		"Ultimate Healthcare Holdings, LLC"	489	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2962	Coordination of Benefits Contact	COO	Mrs.	Debi	Darilu		1-352-515-5912				1-352-835-7169	ddebi@ulthp.com	1244 Mariner Blvd.		Spring Hill	FL	34609	6/13/2024	2026	"ULTIMATE HEALTH PLANS, INC."	Local CCP	Ultimate Health Plans	HMO/HMOPOS		"Ultimate Healthcare Holdings, LLC"	489	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2962	Customer Service Operations Contact	COO	Mrs.	Debi	Darilu		1-352-515-5912				1-352-835-7169	ddebi@ulthp.com	1244 Mariner Blvd.		Spring Hill	FL	34609	6/13/2024	2026	"ULTIMATE HEALTH PLANS, INC."	Local CCP	Ultimate Health Plans	HMO/HMOPOS		"Ultimate Healthcare Holdings, LLC"	489	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2962	Government Relations Contact	Chief Compliance Officer	Mrs.	Patel	Nirali		1-727-686-2938					npatel@ulthp.com	1244 Mariner Blvd.		Spring Hill	FL	34609	3/8/2023	2026	"ULTIMATE HEALTH PLANS, INC."	Local CCP	Ultimate Health Plans	HMO/HMOPOS		"Ultimate Healthcare Holdings, LLC"	489	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2962	Hospice Contact	Chief Medical Officer	Dr.	Shah	Pragnesh		1-352-515-5954				1-352-835-7169	pshah@ulthp.com	1244 Mariner Blvd.		Spring Hill	FL	34609	9/24/2025	2026	"ULTIMATE HEALTH PLANS, INC."	Local CCP	Ultimate Health Plans	HMO/HMOPOS		"Ultimate Healthcare Holdings, LLC"	489	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2962	Medicare Compliance Officer	Chief Compliance Officer	Mrs.	Patel	Nirali		1-727-686-2938					npatel@ulthp.com	1244 Mariner Blvd.		Spring Hill	FL	34609	3/8/2023	2026	"ULTIMATE HEALTH PLANS, INC."	Local CCP	Ultimate Health Plans	HMO/HMOPOS		"Ultimate Healthcare Holdings, LLC"	489	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2962	Part D Exceptions Contact	"Manager, Prior Authorization"		Bricker	Bryce							bryce.m.bricker@optum.com	9040 S. Rita Rd		Tucson	AZ	85747	1/11/2021	2026	"ULTIMATE HEALTH PLANS, INC."	Local CCP	Ultimate Health Plans	HMO/HMOPOS		"Ultimate Healthcare Holdings, LLC"	489	Yes	Active	1-612-632-6838				HMO - Health Maintenance Organization		C	Chicago
H2962	Pharmacy Network Management Contact	"Manager, Retail Network Operations"	Mr.	Hagan	Kyle		1-303-989-5828					Kyle.Hagan@optum.com	7120 W Iowa Ave		Lakewood	CO	80232	1/5/2021	2026	"ULTIMATE HEALTH PLANS, INC."	Local CCP	Ultimate Health Plans	HMO/HMOPOS		"Ultimate Healthcare Holdings, LLC"	489	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2962	Pharmacy Technical Help Desk Contact	"Sr. Manager, Pharmacy Help Desk"		Villanueva	Juan							juan.villanueva@optum.com	1000 Optum Circle		Eden Prairie	MN	55344	12/7/2023	2026	"ULTIMATE HEALTH PLANS, INC."	Local CCP	Ultimate Health Plans	HMO/HMOPOS		"Ultimate Healthcare Holdings, LLC"	489	Yes	Active	1-800-311-7517				HMO - Health Maintenance Organization		C	Chicago
H2962	Plan to Plan Reconciliation Contact	"Vice President, Finance"	Mr.	Uhlig	Joshua		1-412-478-6689				1-352-835-7169	juhlig@ulthp.com	1244 Mariner Blvd		Spring Hill	FL	34609	9/24/2025	2026	"ULTIMATE HEALTH PLANS, INC."	Local CCP	Ultimate Health Plans	HMO/HMOPOS		"Ultimate Healthcare Holdings, LLC"	489	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H2992	Automated TrOOP Balance Transfer Contact	Chief Financial Officer	Mr.	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/7/2026	2026	"SENIORLIFE WASHINGTON, INC."	National PACE	Senior LIFE Washington / Uniontown / Greene	National PACE		"SeniorLife Washington, Inc."	409	Yes	Active					PACE - Nat		C	Philadelphia
H2992	Best Available Evidence Contact	Chief Financial Officer	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"SENIORLIFE WASHINGTON, INC."	National PACE	Senior LIFE Washington / Uniontown / Greene	National PACE		"SeniorLife Washington, Inc."	409	Yes	Active					PACE - Nat		C	Philadelphia
H2992	Chief Financial Officer	Chief Financial Officer	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"SENIORLIFE WASHINGTON, INC."	National PACE	Senior LIFE Washington / Uniontown / Greene	National PACE		"SeniorLife Washington, Inc."	409	Yes	Active					PACE - Nat		C	Philadelphia
H2992	CMS Casework Communication Contact	Cheif Executive Officer	Mr	Irwin	Mark		1-814-535-6000	22101			1-814-248-7902	Mirwin@pace-cs.com	401 Broad Street		Johnstown	PA	15906	2/23/2017	2026	"SENIORLIFE WASHINGTON, INC."	National PACE	Senior LIFE Washington / Uniontown / Greene	National PACE		"SeniorLife Washington, Inc."	409	Yes	Active					PACE - Nat		C	Philadelphia
H2992	Coordination of Benefits Contact	Chief Financial Officer	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"SENIORLIFE WASHINGTON, INC."	National PACE	Senior LIFE Washington / Uniontown / Greene	National PACE		"SeniorLife Washington, Inc."	409	Yes	Active					PACE - Nat		C	Philadelphia
H2992	Customer Service Operations Contact	Cheif Executive Officer	Mr	Irwin	Mark		1-814-535-6000	22101			1-814-248-7902	Mirwin@pace-cs.com	401 Broad Street		Johnstown	PA	15906	2/23/2017	2026	"SENIORLIFE WASHINGTON, INC."	National PACE	Senior LIFE Washington / Uniontown / Greene	National PACE		"SeniorLife Washington, Inc."	409	Yes	Active					PACE - Nat		C	Philadelphia
H2992	Government Relations Contact	Cheif Executive Officer	Mr	Irwin	Mark		1-814-535-6000	22101			1-814-248-7902	Mirwin@pace-cs.com	401 Broad Street		Johnstown	PA	15906	2/23/2017	2026	"SENIORLIFE WASHINGTON, INC."	National PACE	Senior LIFE Washington / Uniontown / Greene	National PACE		"SeniorLife Washington, Inc."	409	Yes	Active					PACE - Nat		C	Philadelphia
H2992	Medicare Compliance Officer	Executive Director	Ms	Detwiler	Megan		1-724-222-5433	21318				SLWDirectors@seniorlifewashington.com	2114 North Franklin Drive		Washington	PA	15301	8/26/2024	2026	"SENIORLIFE WASHINGTON, INC."	National PACE	Senior LIFE Washington / Uniontown / Greene	National PACE		"SeniorLife Washington, Inc."	409	Yes	Active					PACE - Nat		C	Philadelphia
H2992	Part D Exceptions Contact	Chief Financial Officer	Mr	Dodson	David						1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"SENIORLIFE WASHINGTON, INC."	National PACE	Senior LIFE Washington / Uniontown / Greene	National PACE		"SeniorLife Washington, Inc."	409	Yes	Active	1-814-535-6000	22102			PACE - Nat		C	Philadelphia
H2992	Pharmacy Network Management Contact		Mr	Rowland	Bob		1-724-275-1203	219				Browland@granerx.com	464 Nixon Road		Cheswick	PA	15024	1/7/2026	2026	"SENIORLIFE WASHINGTON, INC."	National PACE	Senior LIFE Washington / Uniontown / Greene	National PACE		"SeniorLife Washington, Inc."	409	Yes	Active					PACE - Nat		C	Philadelphia
H2992	Pharmacy Technical Help Desk Contact		Mr.	Rowland	Bob							Browland@granerx.com	464 Nixon Road		Cheswick	PA	15024	1/7/2026	2026	"SENIORLIFE WASHINGTON, INC."	National PACE	Senior LIFE Washington / Uniontown / Greene	National PACE		"SeniorLife Washington, Inc."	409	Yes	Active	1-724-275-1203	219			PACE - Nat		C	Philadelphia
H2992	Plan to Plan Reconciliation Contact	Chief Financial Officer	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"SENIORLIFE WASHINGTON, INC."	National PACE	Senior LIFE Washington / Uniontown / Greene	National PACE		"SeniorLife Washington, Inc."	409	Yes	Active					PACE - Nat		C	Philadelphia
H3038	Automated TrOOP Balance Transfer Contact	"AVP, Pharmacy"		Vu	John		1-801-252-5706					an.vu@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	MOLINA HEALTHCARE OF CALIFORNIA	Local CCP	Molina Healthcare of California	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3038	Best Available Evidence Contact	"Director, Medicare Enrollment"		LeJeune	Ryan		1-562-549-4527					ryan.lejeune@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	6/4/2025	2026	MOLINA HEALTHCARE OF CALIFORNIA	Local CCP	Molina Healthcare of California	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3038	Chief Financial Officer	"MHI - VP, Operating Finance"	Mr.	Parthasarathy	Vijay		1-630-381-8563					vijay.parthasarathy@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	MOLINA HEALTHCARE OF CALIFORNIA	Local CCP	Molina Healthcare of California	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3038	CMS Casework Communication Contact	"Dir, Medicare A&G"		Bennett	Kimberly		1-248-854-9474					Kimberly.Bennett@molinahealthcare.com	24121 Rosewood Street		Oak Park	MI	48237	5/21/2025	2026	MOLINA HEALTHCARE OF CALIFORNIA	Local CCP	Molina Healthcare of California	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3038	Coordination of Benefits Contact	"Director, Payment Integrity"		Hartberger	Jake		1-484-269-1480					Jake.Hartberger@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	MOLINA HEALTHCARE OF CALIFORNIA	Local CCP	Molina Healthcare of California	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3038	Customer Service Operations Contact	"Vice President, Call Center"		Faroughi	Cheryl		1-614-547-6829					cheryl.faroughi@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	MOLINA HEALTHCARE OF CALIFORNIA	Local CCP	Molina Healthcare of California	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3038	Government Relations Contact	"MHI- Vice President, Compliance"		Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@Molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	MOLINA HEALTHCARE OF CALIFORNIA	Local CCP	Molina Healthcare of California	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3038	Hospice Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	MOLINA HEALTHCARE OF CALIFORNIA	Local CCP	Molina Healthcare of California	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3038	Medicare Compliance Officer	"MHI- Vice President, Compliance"	Mr.	Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	MOLINA HEALTHCARE OF CALIFORNIA	Local CCP	Molina Healthcare of California	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3038	Part D Exceptions Contact	"AVP, Medicare Pharmacy Services"		Vu	John							An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	MOLINA HEALTHCARE OF CALIFORNIA	Local CCP	Molina Healthcare of California	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-801-252-5706				HMO - Health Maintenance Organization		C	New York
H3038	Pharmacy Network Management Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	MOLINA HEALTHCARE OF CALIFORNIA	Local CCP	Molina Healthcare of California	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3038	Pharmacy Technical Help Desk Contact	"Director, Client Operations"		Help Desk	Pharmacy						1-480-314-6077	dayoubj@cvshealth.com	445 Great Circle Road		Nashville	TN	37228	5/21/2025	2026	MOLINA HEALTHCARE OF CALIFORNIA	Local CCP	Molina Healthcare of California	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H3038	Plan to Plan Reconciliation Contact	"Director, Finance"		Cook	Keith		1-562-542-2024					P2P.molina@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	MOLINA HEALTHCARE OF CALIFORNIA	Local CCP	Molina Healthcare of California	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3041	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3041	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3041	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3041	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3041	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3041	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3041	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3041	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3041	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3041	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				HMO - Health Maintenance Organization		C	New York
H3041	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3041	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H3041	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3048	Automated TrOOP Balance Transfer Contact	"Operations Manager, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	relay.health@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	2/12/2024	2026	SECUR INC	Local CCP	SECUR Health Plan	HMO/HMOPOS		Chapters CareNu Inc	829	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3048	Best Available Evidence Contact			Gonzales	Courtney		1-813-357-5341					gonzalec@securhealthplan.com	12470 Telecom Drive	Suite 301	Temple Terrace	FL	33637	5/11/2026	2026	SECUR INC	Local CCP	SECUR Health Plan	HMO/HMOPOS		Chapters CareNu Inc	829	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3048	Chief Financial Officer	Chief  Financial Officer	Ms	Wang	Xiao	A	1-813-619-5752					wangx@carenu.com	12470 Telecom Drive	Ste. 301	Temple Terrace	FL	33637	4/1/2026	2026	SECUR INC	Local CCP	SECUR Health Plan	HMO/HMOPOS		Chapters CareNu Inc	829	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3048	CMS Casework Communication Contact	Manager of G&A		Novak	Sarah		1-727-674-3480					novaks@carenu.com	12470 Telecome Drive	Suite 301	Temple Terrace	FL	33637	5/29/2026	2026	SECUR INC	Local CCP	SECUR Health Plan	HMO/HMOPOS		Chapters CareNu Inc	829	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3048	Coordination of Benefits Contact			Nieves	Pauline		1-813-871-8493					nievesp@securhealthplan.com	12470 Telecom Drive	Suite 301	Temple Terrace	FL	33637	5/11/2026	2026	SECUR INC	Local CCP	SECUR Health Plan	HMO/HMOPOS		Chapters CareNu Inc	829	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3048	Customer Service Operations Contact	VP of Growth and Member Experience		Kaczmarek	Maya		1-260-580-6025					kaczmarm@carenu.com	12470 Telecom Drive		Temple Terrace	FL	33637	4/1/2026	2026	SECUR INC	Local CCP	SECUR Health Plan	HMO/HMOPOS		Chapters CareNu Inc	829	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3048	Government Relations Contact	Chief Financial Officer	Ms	Wang	xiao	A	1-813-619-5752					wangx@securhealthplan.com	12470 Telecom Drive	Suite 301	Temple Terrace	FL	33637	5/22/2026	2026	SECUR INC	Local CCP	SECUR Health Plan	HMO/HMOPOS		Chapters CareNu Inc	829	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3048	Hospice Contact	"Director, Health Services"		Gonzales	Courtney		1-813-357-5330	1716405				gonzalec@carenu.com	4200 West Cypress Street	Suite 690	Tampa	FL	33607	1/27/2025	2026	SECUR INC	Local CCP	SECUR Health Plan	HMO/HMOPOS		Chapters CareNu Inc	829	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3048	Medicare Compliance Officer	Compliance Officer	Ms	Zolman	Valerie	A	1-352-742-6890					vzolman@chaptershealth.org	12470 Telecom Drive	Suite 301	Temple Terrace	FL	33637	6/12/2026	2026	SECUR INC	Local CCP	SECUR Health Plan	HMO/HMOPOS		Chapters CareNu Inc	829	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3048	Part D Exceptions Contact	"Sr. Manager, Clinical Prior Authorization"		LeClair	Christophe						1-920-221-4676	christopher.leclair@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	2/12/2024	2026	SECUR INC	Local CCP	SECUR Health Plan	HMO/HMOPOS		Chapters CareNu Inc	829	Yes	Active	1-920-222-1417				HMO - Health Maintenance Organization		C	New York
H3048	Pharmacy Network Management Contact	"VP, Network Management"		Santos	Christina		1-608-820-4408					christina.santos@navitus.com	361 Integrity Drive		Madison	WI	53717	2/12/2024	2026	SECUR INC	Local CCP	SECUR Health Plan	HMO/HMOPOS		Chapters CareNu Inc	829	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3048	Pharmacy Technical Help Desk Contact	"Manager, Customer Care Accounts"		Nett	Danielle						1-866-595-1975	danielle.nett@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	10/2/2025	2026	SECUR INC	Local CCP	SECUR Health Plan	HMO/HMOPOS		Chapters CareNu Inc	829	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	New York
H3048	Plan to Plan Reconciliation Contact	Chief Financial Officer		Wang	Xiao	A	1-813-619-5752					wangx@carenu.com	12470 Telecom Drive	Ste. 301	Temple Terrace	FL	33637	4/1/2026	2026	SECUR INC	Local CCP	SECUR Health Plan	HMO/HMOPOS		Chapters CareNu Inc	829	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3060	Automated TrOOP Balance Transfer Contact	Director Financial Management	Mr.	Hamm	David	A	1-724-776-1100					dave.hamm@lutheranseniorlife.org	191 Scharberry Lane		Mars	PA	16046	5/14/2024	2026	"VIECARE BUTLER, LLC"	National PACE	LIFE Butler County	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H3060	Best Available Evidence Contact	Director of Financial Management	Mr.	Hamm	David		1-724-742-2226					dave.hamm@lutheranseniorlife.org	Lutheran SeniorLife	191 Scharberry Lane	Mars	PA	16046	3/10/2020	2026	"VIECARE BUTLER, LLC"	National PACE	LIFE Butler County	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H3060	Chief Financial Officer	CFO	Mr.	Carraway	Jeffrey		1-724-776-1100					jeffrey.carraway@lutheranseniorlife.org	191 Scharberry Lane		Mars	PA	16046	2/2/2018	2026	"VIECARE BUTLER, LLC"	National PACE	LIFE Butler County	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H3060	CMS Casework Communication Contact	Executive Director	Ms	Kisow	Leslie		1-724-776-1100					leslie.kisow@lutheranseniorlife.org	740 Blackburn Road		Sewickley	PA	15143	11/22/2021	2026	"VIECARE BUTLER, LLC"	National PACE	LIFE Butler County	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H3060	Coordination of Benefits Contact	Director of Financial Management	Mr.	Hamm	David		1-724-742-2226					dave.hamm@lutheranseniorlife.org	Lutheran SeniorLife	191 Scharberry Lane	Mars	PA	16046	3/10/2020	2026	"VIECARE BUTLER, LLC"	National PACE	LIFE Butler County	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H3060	Customer Service Operations Contact	Executive Director	Ms	Kisow	Leslie		1-724-776-1100					leslie.kisow@lutheranseniorlife.org	740 Blackburn Road		Sewickley	PA	15143	11/22/2021	2026	"VIECARE BUTLER, LLC"	National PACE	LIFE Butler County	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H3060	Government Relations Contact	Executive Director	Ms	Kisow	Leslie		1-724-776-1100					leslie.kisow@lutheranseniorlife.org	740 Blackburn Road		Sewickley	PA	15143	11/22/2021	2026	"VIECARE BUTLER, LLC"	National PACE	LIFE Butler County	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H3060	Medicare Compliance Officer	Director of Financial Management	Mr.	Hamm	David		1-724-742-2226					dave.hamm@lutheranseniorlife.org	Lutheran SeniorLife	191 Scharberry Lane	Mars	PA	16046	3/10/2020	2026	"VIECARE BUTLER, LLC"	National PACE	LIFE Butler County	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H3060	Part D Exceptions Contact	Director of Financial Management	Mr.	Hamm	David							dave.hamm@lutheranseniorlife.org	Lutheran SeniorLife	191 Scharberry Lane	Mars	PA	16046	3/10/2020	2026	"VIECARE BUTLER, LLC"	National PACE	LIFE Butler County	National PACE		Lutheran SeniorLife	352	Yes	Active	1-724-742-2226				PACE - Nat		C	Philadelphia
H3060	Pharmacy Network Management Contact	Executive Director	Ms	Kisow	Leslie		1-724-776-1100					leslie.kisow@lutheranseniorlife.org	740 Blackburn Road		Sewickley	PA	15143	11/22/2021	2026	"VIECARE BUTLER, LLC"	National PACE	LIFE Butler County	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H3060	Pharmacy Technical Help Desk Contact	Medical Director	Dr.	Hanna	Abeer							abeer.hanna@lutheranseniorlife.org	231 Diamond St		Butler	PA	16001	4/21/2017	2026	"VIECARE BUTLER, LLC"	National PACE	LIFE Butler County	National PACE		Lutheran SeniorLife	352	Yes	Active	1-724-287-5433				PACE - Nat		C	Philadelphia
H3060	Plan to Plan Reconciliation Contact	Director of Financial Management	Mr.	Hamm	David		1-724-742-2226					dave.hamm@lutheranseniorlife.org	Lutheran SeniorLife	191 Scharberry Lane	Mars	PA	16046	3/10/2020	2026	"VIECARE BUTLER, LLC"	National PACE	LIFE Butler County	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H3069	Automated TrOOP Balance Transfer Contact	CFO		Fernandez	Alexander		1-954-473-7483					amfernandez@browardhealth.org	1800 NW 49th Street		Fort Lauderdale	FL	33309	12/27/2021	2026	NORTH BROWARD HOSPITAL DISTRICT	National PACE	Broward Health	National PACE				Yes	Pending					PACE - Nat		C	Atlanta
H3069	Best Available Evidence Contact	CFO		Fernandez	Alexander		1-954-473-7483					amfernandez@browardhealth.org	1800 NW 49th Street		Fort Lauderdale	FL	33309	12/27/2021	2026	NORTH BROWARD HOSPITAL DISTRICT	National PACE	Broward Health	National PACE				Yes	Pending					PACE - Nat		C	Atlanta
H3069	Chief Financial Officer	CFO	Mr.	Fernandez	Alexander		1-954-473-7483					amfernandez@browardhealth.org	1800 NW 49th Street		Fort Lauderdale	FL	33309	12/27/2021	2026	NORTH BROWARD HOSPITAL DISTRICT	National PACE	Broward Health	National PACE				Yes	Pending					PACE - Nat		C	Atlanta
H3069	CMS Casework Communication Contact			Fernandez	Alexander		1-954-473-7483					amfernandez@browardhealth.org	1800 NW 49th Street		Fort Lauderdale	FL	33309	12/27/2021	2026	NORTH BROWARD HOSPITAL DISTRICT	National PACE	Broward Health	National PACE				Yes	Pending					PACE - Nat		C	Atlanta
H3069	Coordination of Benefits Contact			Fernandez	Alexander		1-954-473-7483					amfernandez@browardhealth.org	1800 NW 49th Street		Fort Lauderdale	FL	33309	12/27/2021	2026	NORTH BROWARD HOSPITAL DISTRICT	National PACE	Broward Health	National PACE				Yes	Pending					PACE - Nat		C	Atlanta
H3069	Customer Service Operations Contact			Fernandez	Alexander		1-954-473-7483					amfernandez@browardhealth.org	1800 NW 49th Street		Fort Lauderdale	FL	33309	12/27/2021	2026	NORTH BROWARD HOSPITAL DISTRICT	National PACE	Broward Health	National PACE				Yes	Pending					PACE - Nat		C	Atlanta
H3069	Government Relations Contact			Fernandez	Alexander		1-954-473-7483					amfernandez@browardhealth.org	1800 NW 49th Street		Fort Lauderdale	FL	33309	12/27/2021	2026	NORTH BROWARD HOSPITAL DISTRICT	National PACE	Broward Health	National PACE				Yes	Pending					PACE - Nat		C	Atlanta
H3069	Medicare Compliance Officer	CFO	Mr.	Fernandez	Alexander		1-954-473-7483					amfernandez@browardhealth.org	1800 NW 49th Street		Fort Lauderdale	FL	33309	12/27/2021	2026	NORTH BROWARD HOSPITAL DISTRICT	National PACE	Broward Health	National PACE				Yes	Pending					PACE - Nat		C	Atlanta
H3069	Part D Exceptions Contact			Fernandez	Alexander							amfernandez@browardhealth.org	1800 NW 49th Street		Fort Lauderdale	FL	33309	12/27/2021	2026	NORTH BROWARD HOSPITAL DISTRICT	National PACE	Broward Health	National PACE				Yes	Pending	1-954-473-7483				PACE - Nat		C	Atlanta
H3069	Pharmacy Network Management Contact			Lacknauth	Dave		1-954-473-7078					dlacknauth@browardhealth.org	1800 NW 49th Street		Fort Lauderdale	FL	33309	12/27/2021	2026	NORTH BROWARD HOSPITAL DISTRICT	National PACE	Broward Health	National PACE				Yes	Pending					PACE - Nat		C	Atlanta
H3069	Pharmacy Technical Help Desk Contact			Lacknauth	Dave							dlacknauth@browardhealth.org	1800 NW 49th Street		Fort Lauderdale	FL	33309	12/27/2021	2026	NORTH BROWARD HOSPITAL DISTRICT	National PACE	Broward Health	National PACE				Yes	Pending	1-954-473-7078				PACE - Nat		C	Atlanta
H3069	Plan to Plan Reconciliation Contact	CFO		Fernandez	Alexander		1-954-473-7483					amfernandez@browardhealth.org	1800 NW 49th Street		Fort Lauderdale	FL	33309	12/27/2021	2026	NORTH BROWARD HOSPITAL DISTRICT	National PACE	Broward Health	National PACE				Yes	Pending					PACE - Nat		C	Atlanta
H3071	Automated TrOOP Balance Transfer Contact	"Vice President, Pharmacy"	Mr.	Lopez	Eduardo		1-754-208-5867					Elopez@clearspringhealthcare.com	3601 SW 160th Avenue	Suite 450	Miramar	FL	33027	4/30/2026	2026	"CLEAR SPRING HEALTH COMMUNITY CARE, INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H3071	Best Available Evidence Contact	"Director, Compliance"	Ms.	Wilcox-Lange	Tracie		1-847-696-8503					tracie.lange@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH COMMUNITY CARE, INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H3071	Chief Financial Officer	Chief Financial Officer	Mr.	Moss	Adam		1-317-457-1252					Adam.Moss@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	6/30/2026	2026	"CLEAR SPRING HEALTH COMMUNITY CARE, INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H3071	CMS Casework Communication Contact	"Director, Compliance"	Ms.	Wilcox-Lange	Tracie		1-847-696-8503					tracie.lange@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH COMMUNITY CARE, INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H3071	Coordination of Benefits Contact	"Director, Compliance"	Ms.	Wilcox-Lange	Tracie		1-847-696-8503					tracie.lange@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH COMMUNITY CARE, INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H3071	Customer Service Operations Contact	"Vice President, Compliance"	Ms.	Cornish	Sameria		1-843-276-1153					sameria.cornish@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH COMMUNITY CARE, INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H3071	Government Relations Contact	Chief Executive Officer	Mr.	Parker	Jim		1-317-931-9666					Jim.Parker@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH COMMUNITY CARE, INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H3071	Hospice Contact	"Director, Compliance"	Ms.	Wilcox-Lange	Tracie		1-847-696-8503					tracie.lange@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH COMMUNITY CARE, INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H3071	Medicare Compliance Officer	"Vice President, Compliance"	Ms.	Cornish	Sameria		1-843-276-1153					sameria.cornish@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH COMMUNITY CARE, INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H3071	Part D Exceptions Contact			Le	Christina							christina.le@optum.com	PO Box 2975		Mission	KS	66201	4/30/2026	2026	"CLEAR SPRING HEALTH COMMUNITY CARE, INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated	1-888-403-3398				HMO - Health Maintenance Organization		C	Chicago
H3071	Pharmacy Network Management Contact			Perez	Felix		1-305-331-3044				1-305-331-3044	Felix.perez@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	4/30/2026	2026	"CLEAR SPRING HEALTH COMMUNITY CARE, INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H3071	Pharmacy Technical Help Desk Contact	"Manager, Pharmacy Help Desk"		Villanueva	Juan							juan.villanueva@optum.com	P.O. Box 2975		Mission	KS	66201	4/30/2026	2026	"CLEAR SPRING HEALTH COMMUNITY CARE, INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated	1-800-461-1308				HMO - Health Maintenance Organization		C	Chicago
H3071	Plan to Plan Reconciliation Contact	Senior Accountant	Ms.	Wrenn	Alisa		1-224-985-5588				1-312-429-0194	Alisa.Wrenn@Clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH COMMUNITY CARE, INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H3080	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF ALABAMA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3080	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF ALABAMA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3080	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF ALABAMA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3080	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF ALABAMA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3080	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF ALABAMA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3080	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF ALABAMA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3080	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF ALABAMA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3080	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF ALABAMA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3080	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF ALABAMA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3080	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF ALABAMA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				HMO - Health Maintenance Organization		C	New York
H3080	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF ALABAMA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3080	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF ALABAMA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H3080	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF ALABAMA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3084	Automated TrOOP Balance Transfer Contact	Chief Operations Officer		East	Jade		1-206-462-7116					jadee@ichs.com	PO Box 3007		Seattle	WA	98114	2/16/2026	2026	INTERNATIONAL COMMUNITY HEALTH SERVICES	National PACE	International Community Health Services	National PACE		International Community Health Services	718	Yes	Active					PACE - Nat		C	San Francisco
H3084	Best Available Evidence Contact	Chief Operations Officer		East	Jade		1-206-462-7116					jadee@ichs.com	PO Box 3007		Seattle	WA	98114	2/16/2026	2026	INTERNATIONAL COMMUNITY HEALTH SERVICES	National PACE	International Community Health Services	National PACE		International Community Health Services	718	Yes	Active					PACE - Nat		C	San Francisco
H3084	Chief Financial Officer	Chief Financial Officer	Mr.	Shahbazian	Hermes		1-206-788-3618					2hermes@ichs.com	720 8th Ave South		Seattle	WA	98104	12/6/2024	2026	INTERNATIONAL COMMUNITY HEALTH SERVICES	National PACE	International Community Health Services	National PACE		International Community Health Services	718	Yes	Active					PACE - Nat		C	San Francisco
H3084	CMS Casework Communication Contact	Pace and Senior Services Director		Castillo	Kenneth		1-206-462-7189					kennethc@ichs.com	PO Box 3007		Seattle	WA	98114	6/16/2025	2026	INTERNATIONAL COMMUNITY HEALTH SERVICES	National PACE	International Community Health Services	National PACE		International Community Health Services	718	Yes	Active					PACE - Nat		C	San Francisco
H3084	Coordination of Benefits Contact	Pace and Senior Services Director		Castillo	Kenneth		1-206-462-7189					kennethc@ichs.com	PO Box 3007		Seattle	WA	98114	6/16/2025	2026	INTERNATIONAL COMMUNITY HEALTH SERVICES	National PACE	International Community Health Services	National PACE		International Community Health Services	718	Yes	Active					PACE - Nat		C	San Francisco
H3084	Customer Service Operations Contact	Pace and Senior Services Director		Castillo	Kenneth		1-206-200-1890					kennethc@ichs.com	PO Box 3007		Seattle	WA	98114	6/16/2025	2026	INTERNATIONAL COMMUNITY HEALTH SERVICES	National PACE	International Community Health Services	National PACE		International Community Health Services	718	Yes	Active					PACE - Nat		C	San Francisco
H3084	Government Relations Contact	Chief Executive Officer		Nomura	Kelli		1-206-788-3659					knomura@ichs.com	720 8th Ave South		Seattle	WA	98104	4/3/2024	2026	INTERNATIONAL COMMUNITY HEALTH SERVICES	National PACE	International Community Health Services	National PACE		International Community Health Services	718	Yes	Active					PACE - Nat		C	San Francisco
H3084	Medicare Compliance Officer	HAWP Compliance Officer	Ms.	Bansil	Ninya		1-206-788-3722					ninyab@ichs.com	PO Box 3007		Seattle	WA	98114	3/22/2024	2026	INTERNATIONAL COMMUNITY HEALTH SERVICES	National PACE	International Community Health Services	National PACE		International Community Health Services	718	Yes	Active					PACE - Nat		C	San Francisco
H3084	Part D Exceptions Contact	Chief Operations Officer		East	Jade							jadee@ichs.com	PO Box 3007		Seattle	WA	98114	2/16/2026	2026	INTERNATIONAL COMMUNITY HEALTH SERVICES	National PACE	International Community Health Services	National PACE		International Community Health Services	718	Yes	Active	1-206-462-7116				PACE - Nat		C	San Francisco
H3084	Pharmacy Network Management Contact	Pace and Senior Services Director		Castillo	Kenneth		1-206-788-3545					kennethc@ichs.com	PO Box 3007		Seattle	WA	98114	2/16/2026	2026	INTERNATIONAL COMMUNITY HEALTH SERVICES	National PACE	International Community Health Services	National PACE		International Community Health Services	718	Yes	Active					PACE - Nat		C	San Francisco
H3084	Pharmacy Technical Help Desk Contact	Pharmacy Director		Lee	Juhui							juhuil@ichs.com	PO Box 3007		Seattle	WA	98114	12/6/2024	2026	INTERNATIONAL COMMUNITY HEALTH SERVICES	National PACE	International Community Health Services	National PACE		International Community Health Services	718	Yes	Active	1-206-788-3756				PACE - Nat		C	San Francisco
H3084	Plan to Plan Reconciliation Contact	Chief Financial Officer		Shahbazian	Hermes		1-206-788-3618					2hermes@ichs.com	720 8th Ave South		Seattle	WA	98104	12/19/2017	2026	INTERNATIONAL COMMUNITY HEALTH SERVICES	National PACE	International Community Health Services	National PACE		International Community Health Services	718	Yes	Active					PACE - Nat		C	San Francisco
H3093	Automated TrOOP Balance Transfer Contact	"AVP, Pharmacy"		Vu	John		1-801-252-5706					an.vu@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF ILLINOIS, INC."	Local CCP	Molina Healthcare of Illinois	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3093	Best Available Evidence Contact	"Director, Medicare PEnrollment"		LeJeune	Ryan		1-562-549-4527					ryan.lejeune@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF ILLINOIS, INC."	Local CCP	Molina Healthcare of Illinois	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3093	Chief Financial Officer	"MHI - VP, Operating Finance"	Mr.	Parthasarathy	Vijay		1-630-381-8563					vijay.parthasarathy@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF ILLINOIS, INC."	Local CCP	Molina Healthcare of Illinois	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3093	CMS Casework Communication Contact	"Dir, Medicare A&G"		Bennett	Kimberly		1-248-854-9474					Kimberly.Bennett@molinahealthcare.com	24121 Rosewood Street		Oak Park	MI	48237	5/21/2025	2026	"MOLINA HEALTHCARE OF ILLINOIS, INC."	Local CCP	Molina Healthcare of Illinois	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3093	Coordination of Benefits Contact	"Director, Payment Integrity"		Hartberger	Jake		1-484-269-1480					Jake.Hartberger@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF ILLINOIS, INC."	Local CCP	Molina Healthcare of Illinois	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3093	Customer Service Operations Contact	"Vice President, Call Center"		Faroughi	Cheryl		1-614-547-6829					cheryl.faroughi@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF ILLINOIS, INC."	Local CCP	Molina Healthcare of Illinois	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3093	Government Relations Contact	"MHI- Vice President, Compliance"		Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@Molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF ILLINOIS, INC."	Local CCP	Molina Healthcare of Illinois	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3093	Hospice Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"MOLINA HEALTHCARE OF ILLINOIS, INC."	Local CCP	Molina Healthcare of Illinois	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3093	Medicare Compliance Officer	"MHI- Vice President, Compliance"	Mr.	Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF ILLINOIS, INC."	Local CCP	Molina Healthcare of Illinois	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3093	Part D Exceptions Contact	"AVP, Medicare Pharmacy Services"		Vu	John							An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"MOLINA HEALTHCARE OF ILLINOIS, INC."	Local CCP	Molina Healthcare of Illinois	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-801-252-5706				HMO - Health Maintenance Organization		C	Atlanta
H3093	Pharmacy Network Management Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"MOLINA HEALTHCARE OF ILLINOIS, INC."	Local CCP	Molina Healthcare of Illinois	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3093	Pharmacy Technical Help Desk Contact	"Director, Client Operations"		Help Desk	Pharmacy						1-480-314-6077	dayoubj@cvshealth.com	445 Great Circle Road		Nashville	TN	37228	5/21/2025	2026	"MOLINA HEALTHCARE OF ILLINOIS, INC."	Local CCP	Molina Healthcare of Illinois	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Atlanta
H3093	Plan to Plan Reconciliation Contact	"Director, Finance"		Cook	Keith		1-562-542-2024					P2P.molina@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF ILLINOIS, INC."	Local CCP	Molina Healthcare of Illinois	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3113	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"OXFORD HEALTH PLANS (NJ), INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3113	Best Available Evidence Contact	"Manager, Enrollment & Eligibility"		Asselin	Krista		1-763-361-1104					krista_asselin@uhc.com	PO Box 9472		Minneapolis	MN	55440	11/14/2025	2026	"OXFORD HEALTH PLANS (NJ), INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3113	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/13/2025	2026	"OXFORD HEALTH PLANS (NJ), INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3113	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"OXFORD HEALTH PLANS (NJ), INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3113	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"OXFORD HEALTH PLANS (NJ), INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3113	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"OXFORD HEALTH PLANS (NJ), INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3113	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"OXFORD HEALTH PLANS (NJ), INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3113	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"OXFORD HEALTH PLANS (NJ), INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3113	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"OXFORD HEALTH PLANS (NJ), INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3113	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"OXFORD HEALTH PLANS (NJ), INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H3113	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"OXFORD HEALTH PLANS (NJ), INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3113	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"OXFORD HEALTH PLANS (NJ), INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H3113	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"OXFORD HEALTH PLANS (NJ), INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3124	Automated TrOOP Balance Transfer Contact	"Manager, Pharmacy Regulations & Implementations"		McCaffrey	Hammah		1-412-999-0675				1-215-967-4482	troop@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/3/2026	2026	PARTNERS INSURANCE COMPANY OF NEW JERSEY INC	Local CCP	Jefferson Health Plans	Local PPO		Thomas Jefferson University	523	Yes	Active					PPO - BBA		C	Chicago
H3124	Best Available Evidence Contact	"Manager, Enrollment Support"		Polkus	Megan		1-267-979-8799				1-215-967-9267	megan.polkus@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/1/2026	2026	PARTNERS INSURANCE COMPANY OF NEW JERSEY INC	Local CCP	Jefferson Health Plans	Local PPO		Thomas Jefferson University	523	Yes	Active					PPO - BBA		C	Chicago
H3124	Chief Financial Officer	Chief Financial Officer	Mr.	Czar	Gregory	J	1-215-287-3338					gregory.czar@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/10/2025	2026	PARTNERS INSURANCE COMPANY OF NEW JERSEY INC	Local CCP	Jefferson Health Plans	Local PPO		Thomas Jefferson University	523	Yes	Active					PPO - BBA		C	Chicago
H3124	CMS Casework Communication Contact	"Manager, Complaints, Grievances and Appeals"		Watkins	Leah		1-215-991-4023					leah.watkins@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/1/2026	2026	PARTNERS INSURANCE COMPANY OF NEW JERSEY INC	Local CCP	Jefferson Health Plans	Local PPO		Thomas Jefferson University	523	Yes	Active					PPO - BBA		C	Chicago
H3124	Coordination of Benefits Contact	Manager Pharmacy Benefit Design & Audit		Chan	Kay		1-215-991-4197				1-215-967-4482	suzanna.chan@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/4/2026	2026	PARTNERS INSURANCE COMPANY OF NEW JERSEY INC	Local CCP	Jefferson Health Plans	Local PPO		Thomas Jefferson University	523	Yes	Active					PPO - BBA		C	Chicago
H3124	Customer Service Operations Contact	Vice President of Customer Experience		Shultis	Jesse		1-203-613-7767					jesse.shultis@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/1/2026	2026	PARTNERS INSURANCE COMPANY OF NEW JERSEY INC	Local CCP	Jefferson Health Plans	Local PPO		Thomas Jefferson University	523	Yes	Active					PPO - BBA		C	Chicago
H3124	Government Relations Contact	AVP Policy and Regulatory Affairs		Bellito	Lisa		1-610-217-1468					lisa.bellito@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	5/29/2026	2026	PARTNERS INSURANCE COMPANY OF NEW JERSEY INC	Local CCP	Jefferson Health Plans	Local PPO		Thomas Jefferson University	523	Yes	Active					PPO - BBA		C	Chicago
H3124	Hospice Contact	"Mgr, Pharmacy Regulations & Implementations"		McCaffrey	Hannah		1-412-999-0675					pharmacymedicare@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/3/2026	2026	PARTNERS INSURANCE COMPANY OF NEW JERSEY INC	Local CCP	Jefferson Health Plans	Local PPO		Thomas Jefferson University	523	Yes	Active					PPO - BBA		C	Chicago
H3124	Medicare Compliance Officer	Associate Compliance Officer	Mrs.	Lloyd	Angela		1-267-972-0786					angela.lloyd@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	5/29/2026	2026	PARTNERS INSURANCE COMPANY OF NEW JERSEY INC	Local CCP	Jefferson Health Plans	Local PPO		Thomas Jefferson University	523	Yes	Active					PPO - BBA		C	Chicago
H3124	Part D Exceptions Contact	"Director, Pharmacy Services"		Dolores	Danielle						1-866-371-3239	Exceptions@hpplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	5/14/2025	2026	PARTNERS INSURANCE COMPANY OF NEW JERSEY INC	Local CCP	Jefferson Health Plans	Local PPO		Thomas Jefferson University	523	Yes	Active	1-215-991-4329				PPO - BBA		C	Chicago
H3124	Pharmacy Network Management Contact	"Director, Pharmacy Services"		Dolores	Danielle		1-856-577-5734				1-215-967-4482	Pharmacynetwork@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/3/2026	2026	PARTNERS INSURANCE COMPANY OF NEW JERSEY INC	Local CCP	Jefferson Health Plans	Local PPO		Thomas Jefferson University	523	Yes	Active					PPO - BBA		C	Chicago
H3124	Pharmacy Technical Help Desk Contact	"Director, Pharmacy Services"		Dolores	Danielle						1-215-967-9270	Formulary@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/3/2026	2026	PARTNERS INSURANCE COMPANY OF NEW JERSEY INC	Local CCP	Jefferson Health Plans	Local PPO		Thomas Jefferson University	523	Yes	Active	1-866-693-4620				PPO - BBA		C	Chicago
H3124	Plan to Plan Reconciliation Contact	Pharmacy Regulatory Business Coordinator		Rutledge-Glazov	Rose	A	1-215-965-7142				1-215-967-9263	P2P@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	5/14/2025	2026	PARTNERS INSURANCE COMPANY OF NEW JERSEY INC	Local CCP	Jefferson Health Plans	Local PPO		Thomas Jefferson University	523	Yes	Active					PPO - BBA		C	Chicago
H3127	Automated TrOOP Balance Transfer Contact	"Sr. Account Executive, Health Plans"		Benz	Monica		1-425-457-6944					MBenz@express-scripts.com	One Express Way		St. Louis	MO	63121	1/31/2025	2026	"UPPER PENINSULA HEALTH PLAN, LLC"	Local CCP	Upper Peninsula Health Plan (UPHP) MI Coordinated Health	HMO/HMOPOS		"DLP Marquette Health Plan, LLC"	877	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3127	Best Available Evidence Contact	Chief Operating Officer	Ms.	BIcigo	Melanie		1-906-225-7749					mlbicigo@uphp.com	853 W. Washington Street		Marquette	MI	49855	8/1/2025	2026	"UPPER PENINSULA HEALTH PLAN, LLC"	Local CCP	Upper Peninsula Health Plan (UPHP) MI Coordinated Health	HMO/HMOPOS		"DLP Marquette Health Plan, LLC"	877	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3127	Chief Financial Officer	Chief Financial Officer	Ms.	Lesher	Jennifer		1-906-225-7491					jlesher@uphp.com	853 W. Washington Street		Marquette	MI	49855	12/4/2025	2026	"UPPER PENINSULA HEALTH PLAN, LLC"	Local CCP	Upper Peninsula Health Plan (UPHP) MI Coordinated Health	HMO/HMOPOS		"DLP Marquette Health Plan, LLC"	877	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3127	CMS Casework Communication Contact	Chief Operating Officer	Ms.	BIcigo	Melanie		1-906-225-7749					mlbicigo@uphp.com	853 W. Washington Street		Marquette	MI	49855	8/1/2025	2026	"UPPER PENINSULA HEALTH PLAN, LLC"	Local CCP	Upper Peninsula Health Plan (UPHP) MI Coordinated Health	HMO/HMOPOS		"DLP Marquette Health Plan, LLC"	877	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3127	Coordination of Benefits Contact	Director of Claims Administration	Ms.	LaCosse	Leslie		1-906-225-7503					llacosse@uphp.com	853 W. Washington Street		Marquette	MI	49855	1/23/2025	2026	"UPPER PENINSULA HEALTH PLAN, LLC"	Local CCP	Upper Peninsula Health Plan (UPHP) MI Coordinated Health	HMO/HMOPOS		"DLP Marquette Health Plan, LLC"	877	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3127	Customer Service Operations Contact	Chief Operating Officer	Ms.	Bicigo	Melanie		1-906-225-7749					mlbicigo@uphp.com	853 W. Washington Street		Marquette	MI	49855	1/23/2025	2026	"UPPER PENINSULA HEALTH PLAN, LLC"	Local CCP	Upper Peninsula Health Plan (UPHP) MI Coordinated Health	HMO/HMOPOS		"DLP Marquette Health Plan, LLC"	877	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3127	Government Relations Contact	Chief Operating Officer	Ms.	Bicigo	Melanie		1-906-225-7749					mlbicigo@uphp.com	853 W. Washington Street		Marquette	MI	49855	1/23/2025	2026	"UPPER PENINSULA HEALTH PLAN, LLC"	Local CCP	Upper Peninsula Health Plan (UPHP) MI Coordinated Health	HMO/HMOPOS		"DLP Marquette Health Plan, LLC"	877	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3127	Hospice Contact	Pharmacy Director		Wales	Abby		1-906-225-7953				1-906-225-8792	awales@uphp.com	853 W Washington St		Marquette	MI	49855	1/23/2025	2026	"UPPER PENINSULA HEALTH PLAN, LLC"	Local CCP	Upper Peninsula Health Plan (UPHP) MI Coordinated Health	HMO/HMOPOS		"DLP Marquette Health Plan, LLC"	877	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3127	Medicare Compliance Officer	Compliance & Risk Management Officer	Ms.	Sandstrom	Nicole		1-906-225-7784				1-906-225-8684	nsandstrom@uphp.com	853 W. Washington Street		Marquette	MI	49855	1/23/2025	2026	"UPPER PENINSULA HEALTH PLAN, LLC"	Local CCP	Upper Peninsula Health Plan (UPHP) MI Coordinated Health	HMO/HMOPOS		"DLP Marquette Health Plan, LLC"	877	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3127	Part D Exceptions Contact	Pharmacy Director		Wales	Abby						1-906-225-4516	awales@uphp.com	853 W. Washington Street		Marquette	MI	49855	1/23/2025	2026	"UPPER PENINSULA HEALTH PLAN, LLC"	Local CCP	Upper Peninsula Health Plan (UPHP) MI Coordinated Health	HMO/HMOPOS		"DLP Marquette Health Plan, LLC"	877	Yes	Active	1-877-349-9324				HMO - Health Maintenance Organization		C	Chicago
H3127	Pharmacy Network Management Contact	Pharmacy Director		Wales	Abby		1-906-225-7953				1-906-225-8792	awales@uphp.com	853 W Washington St		Marquette	MI	49855	1/23/2025	2026	"UPPER PENINSULA HEALTH PLAN, LLC"	Local CCP	Upper Peninsula Health Plan (UPHP) MI Coordinated Health	HMO/HMOPOS		"DLP Marquette Health Plan, LLC"	877	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3127	Pharmacy Technical Help Desk Contact	"Sr. Director, Customer Service"		Sahs	Dale							dale.sahs@express-scripts.com	One Express Way		St. Louis	MO	63121	1/9/2026	2026	"UPPER PENINSULA HEALTH PLAN, LLC"	Local CCP	Upper Peninsula Health Plan (UPHP) MI Coordinated Health	HMO/HMOPOS		"DLP Marquette Health Plan, LLC"	877	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Chicago
H3127	Plan to Plan Reconciliation Contact	Chief Financial Officer	Ms.	Lesher	Jennifer		1-906-225-7491					jlesher@uphp.com	853 W. Washington Street		Marquette	MI	49855	12/4/2025	2026	"UPPER PENINSULA HEALTH PLAN, LLC"	Local CCP	Upper Peninsula Health Plan (UPHP) MI Coordinated Health	HMO/HMOPOS		"DLP Marquette Health Plan, LLC"	877	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3138	Automated TrOOP Balance Transfer Contact	"Project Manager III, Pharmacy Benefit Mgmt"		Perez	Elizabeth	R	1-562-367-0592					Elizabeth.R.Perez@kp.org	12254 Bellflower Blvd.		Downey	CA	90242	5/9/2026	2026	KAISER PERMANENTE INSURANCE COMPANY	Local CCP	Kaiser Permanente	Local PPO		"Kaiser Foundation Health Plan, Inc."	138	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H3138	Best Available Evidence Contact	"Senior Team Manager, Medicare Membership Admin."		Salcido	Adam		1-858-829-3521					CSC-SD-Hospice-BAE@kp.org	3840 Murphy Canyon Rd.		San Diego	CA	92123	5/9/2026	2026	KAISER PERMANENTE INSURANCE COMPANY	Local CCP	Kaiser Permanente	Local PPO		"Kaiser Foundation Health Plan, Inc."	138	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H3138	Chief Financial Officer	SVP & CFO National Medicare Finance	Mr.	Stewart	Mark		1-401-284-8679					Mark.C1.Stewart@kp.org	1 Kaiser Plaza	c/o Kaiser Foundation Health Plan	Oakland	CA	94612	5/9/2026	2026	KAISER PERMANENTE INSURANCE COMPANY	Local CCP	Kaiser Permanente	Local PPO		"Kaiser Foundation Health Plan, Inc."	138	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H3138	CMS Casework Communication Contact	Medicare Compliance Lead	Ms.	Cooper	Lynn	M	1-720-527-9215					lynn.m.cooper@kp.org	10350 East Dakota Ave.		Denver	CO	80247	5/9/2026	2026	KAISER PERMANENTE INSURANCE COMPANY	Local CCP	Kaiser Permanente	Local PPO		"Kaiser Foundation Health Plan, Inc."	138	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H3138	Coordination of Benefits Contact	Senior Director		Chung	Clarence		1-562-390-9293				1-562-658-3866	clarence.j.chung@kp.org	"12254 Bellflower Blvd - Suite 106, 1st Floor"		Downey	CA	90242	5/9/2026	2026	KAISER PERMANENTE INSURANCE COMPANY	Local CCP	Kaiser Permanente	Local PPO		"Kaiser Foundation Health Plan, Inc."	138	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H3138	Customer Service Operations Contact	"Ex Director, Member Services Contact Centers, Denv"		Martin	Norman	K	1-303-912-4673					NK.Martin@kp.org	"7901 East Lowry Blvd, Ste 150 and 400"		Denver	CO	80230	5/9/2026	2026	KAISER PERMANENTE INSURANCE COMPANY	Local CCP	Kaiser Permanente	Local PPO		"Kaiser Foundation Health Plan, Inc."	138	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H3138	Government Relations Contact	"Senior Vice President, Government Relations"		Barrueta	Anthony	A	1-510-271-6835					Anthony.Barrueta@kp.org	One Kaiser Plaza		Oakland	CA	94612	5/9/2026	2026	KAISER PERMANENTE INSURANCE COMPANY	Local CCP	Kaiser Permanente	Local PPO		"Kaiser Foundation Health Plan, Inc."	138	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H3138	Hospice Contact	"Senior Team Manager, Medicare Membership Admin."		Salcido	Adam		1-858-829-3521					CSC-SD-Hospice-BAE@kp.org	3840 Murphy Canyon Rd.		San Diego	CA	92123	5/9/2026	2026	KAISER PERMANENTE INSURANCE COMPANY	Local CCP	Kaiser Permanente	Local PPO		"Kaiser Foundation Health Plan, Inc."	138	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H3138	Medicare Compliance Officer	Medicare Compliance Lead	Ms.	Cooper	Lynn	M	1-720-527-9215					lynn.m.cooper@kp.org	10350 East Dakota Ave.		Denver	CO	80247	5/9/2026	2026	KAISER PERMANENTE INSURANCE COMPANY	Local CCP	Kaiser Permanente	Local PPO		"Kaiser Foundation Health Plan, Inc."	138	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H3138	Part D Exceptions Contact	Supervisor Program Management		Ramos	Blanca							blanca.a.ramos@kp.org	12254 Bellflower Blvd		Downey	CA	90242	5/9/2026	2026	KAISER PERMANENTE INSURANCE COMPANY	Local CCP	Kaiser Permanente	Local PPO		"Kaiser Foundation Health Plan, Inc."	138	Yes	Withdrawn Contract	1-562-370-3382				PPO - BBA		C	Dallas
H3138	Pharmacy Network Management Contact	Chief Pharmacist		Reed	Leah		1-303-739-3623					leah.k.reed@kp.org	16601 E. Centretech Parkway		Aurora	CO	80011	5/9/2026	2026	KAISER PERMANENTE INSURANCE COMPANY	Local CCP	Kaiser Permanente	Local PPO		"Kaiser Foundation Health Plan, Inc."	138	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H3138	Pharmacy Technical Help Desk Contact	Customer Care Center		OptumRx	PBM								755 Research Parkway Suite 160		Oklahoma City	OK	73104	5/9/2026	2026	KAISER PERMANENTE INSURANCE COMPANY	Local CCP	Kaiser Permanente	Local PPO		"Kaiser Foundation Health Plan, Inc."	138	Yes	Withdrawn Contract	1-888-791-7255				PPO - BBA		C	Dallas
H3138	Plan to Plan Reconciliation Contact	"Interim Director, Medicare Accounting"		Wright	Mark	A	1-925-323-9443					mark.a.wright@kp.org	"1 Kaiser Plaza, 25th Floor"		Oakland	CA	94612	5/9/2026	2026	KAISER PERMANENTE INSURANCE COMPANY	Local CCP	Kaiser Permanente	Local PPO		"Kaiser Foundation Health Plan, Inc."	138	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H3146	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	AETNA BETTER HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3146	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	AETNA BETTER HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3146	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA BETTER HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3146	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	AETNA BETTER HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3146	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	AETNA BETTER HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3146	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	AETNA BETTER HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3146	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA BETTER HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3146	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	AETNA BETTER HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3146	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	AETNA BETTER HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3146	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	AETNA BETTER HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H3146	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA BETTER HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3146	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	AETNA BETTER HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H3146	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA BETTER HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3152	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	AETNA HEALTH INC. (NJ)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3152	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	AETNA HEALTH INC. (NJ)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3152	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA HEALTH INC. (NJ)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3152	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	AETNA HEALTH INC. (NJ)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3152	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	AETNA HEALTH INC. (NJ)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3152	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	AETNA HEALTH INC. (NJ)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3152	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	6/4/2026	2026	AETNA HEALTH INC. (NJ)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3152	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	AETNA HEALTH INC. (NJ)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3152	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	AETNA HEALTH INC. (NJ)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3152	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	AETNA HEALTH INC. (NJ)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H3152	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA HEALTH INC. (NJ)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3152	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	AETNA HEALTH INC. (NJ)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H3152	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA HEALTH INC. (NJ)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3170	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Management	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	3/30/2026	2026	"SAPPHIRE EDGE, INC."	Local CCP	Blue Cross and Blue Shield of Nebraska	HMO/HMOPOS		Blue Cross Blue Shield of Nebraska	647	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3170	Best Available Evidence Contact	Manager Medicare Advantage Accounts Rec & Enrollme	Ms.	Vlietstra	Josh		1-402-982-6064					Josh.Vlietstra@nebraskablue.com	1919 Aksarben Dr		Omaha	NE	68108	3/30/2026	2026	"SAPPHIRE EDGE, INC."	Local CCP	Blue Cross and Blue Shield of Nebraska	HMO/HMOPOS		Blue Cross Blue Shield of Nebraska	647	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3170	Chief Financial Officer	EVP Chief Financial Officer	Mr	Werner	Chad		1-402-616-2860					chad.werner@nebraskablue.com	1919 Aksarben Dr		Omaha	NE	68180	3/30/2026	2026	"SAPPHIRE EDGE, INC."	Local CCP	Blue Cross and Blue Shield of Nebraska	HMO/HMOPOS		Blue Cross Blue Shield of Nebraska	647	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3170	CMS Casework Communication Contact	MCO	Ms.	Vaughn	Shannon		1-402-982-7846					shannon.vaughn@nebraskablue.com	1919 Aksarben Drive		nebraska	NE	68106	3/30/2026	2026	"SAPPHIRE EDGE, INC."	Local CCP	Blue Cross and Blue Shield of Nebraska	HMO/HMOPOS		Blue Cross Blue Shield of Nebraska	647	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3170	Coordination of Benefits Contact	Mgr Project & Program Management	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	COBMedD@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	3/30/2026	2026	"SAPPHIRE EDGE, INC."	Local CCP	Blue Cross and Blue Shield of Nebraska	HMO/HMOPOS		Blue Cross Blue Shield of Nebraska	647	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3170	Customer Service Operations Contact	Manager Customer Service		Graeve	Sheryl		1-402-982-7036					Sheryl.Graeve@nebraskablue.com	1919 Aksarben Dr		Omaha	NE	68180	3/30/2026	2026	"SAPPHIRE EDGE, INC."	Local CCP	Blue Cross and Blue Shield of Nebraska	HMO/HMOPOS		Blue Cross Blue Shield of Nebraska	647	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3170	Government Relations Contact	MA Compliance Officer	Ms.	Vaughn	Shannon		1-402-982-7846					shannon.vaughn@nebraskablue.com	1919 Aksarben Dr		Omaha	NE	68180	3/30/2026	2026	"SAPPHIRE EDGE, INC."	Local CCP	Blue Cross and Blue Shield of Nebraska	HMO/HMOPOS		Blue Cross Blue Shield of Nebraska	647	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3170	Hospice Contact	Director of Pharmacy	Mr.	Huether	Jeff		1-402-982-6655					jeff.huether@nebraskablue.com	1919 Aksarben Drive		Omaha	NE	68180	3/30/2026	2026	"SAPPHIRE EDGE, INC."	Local CCP	Blue Cross and Blue Shield of Nebraska	HMO/HMOPOS		Blue Cross Blue Shield of Nebraska	647	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3170	Medicare Compliance Officer	MA Compliance Officer	Ms.	Vaughn	Shannon		1-402-982-7846					shannon.vaughn@nebraskablue.com	1919 Aksarben Dr		Omaha	NE	68180	3/30/2026	2026	"SAPPHIRE EDGE, INC."	Local CCP	Blue Cross and Blue Shield of Nebraska	HMO/HMOPOS		Blue Cross Blue Shield of Nebraska	647	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3170	Part D Exceptions Contact	Regulatory Pharmacist		Spears	Scott						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	3/30/2026	2026	"SAPPHIRE EDGE, INC."	Local CCP	Blue Cross and Blue Shield of Nebraska	HMO/HMOPOS		Blue Cross Blue Shield of Nebraska	647	Yes	Active	1-800-693-6651				HMO - Health Maintenance Organization		C	Chicago
H3170	Pharmacy Network Management Contact	"AVP, Network Management"	Ms.	Conlin	Marci		1-612-777-2837				1-877-823-6373	MConlin@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	3/30/2026	2026	"SAPPHIRE EDGE, INC."	Local CCP	Blue Cross and Blue Shield of Nebraska	HMO/HMOPOS		Blue Cross Blue Shield of Nebraska	647	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3170	Pharmacy Technical Help Desk Contact	"Sr Director, Member Services"		Scott	Shane							shane.scott@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	3/30/2026	2026	"SAPPHIRE EDGE, INC."	Local CCP	Blue Cross and Blue Shield of Nebraska	HMO/HMOPOS		Blue Cross Blue Shield of Nebraska	647	Yes	Active	1-855-457-1351				HMO - Health Maintenance Organization		C	Chicago
H3170	Plan to Plan Reconciliation Contact	Sr Accountant Medicare Advantage	Ms.	Richter	Sarah		1-402-982-8790					Sarah.Richter@nebraskablue.com	1919 Aksarben Dr		Omaha	NE	68180	3/30/2026	2026	"SAPPHIRE EDGE, INC."	Local CCP	Blue Cross and Blue Shield of Nebraska	HMO/HMOPOS		Blue Cross Blue Shield of Nebraska	647	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3186	Automated TrOOP Balance Transfer Contact	Director of Pharmacy	Ms.	Schilling	Gretchen		1-605-312-2741					Gretchen.Schilling@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	SANFORD HEALTH PLAN OF MINNESOTA	Local CCP	Align powered by Sanford Health Plan	Local PPO		Sanford Health	740	Yes	Active					PPO - BBA		C	Dallas
H3186	Best Available Evidence Contact	Senior Director of Regulation and Risk	Ms.	Jansick	Aleesa		1-605-328-7182					Aleesa.Jansick@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	SANFORD HEALTH PLAN OF MINNESOTA	Local CCP	Align powered by Sanford Health Plan	Local PPO		Sanford Health	740	Yes	Active					PPO - BBA		C	Dallas
H3186	Chief Financial Officer	Chief Financial Officer	Mr.	Custis	Stephen		1-612-964-9158					Stephen.Custis@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	11/4/2025	2026	SANFORD HEALTH PLAN OF MINNESOTA	Local CCP	Align powered by Sanford Health Plan	Local PPO		Sanford Health	740	Yes	Active					PPO - BBA		C	Dallas
H3186	CMS Casework Communication Contact	Manager of Appeals and Grievances	Ms.	Bjorklund	Angela		1-605-312-2634					Angela.Bjorklund@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	SANFORD HEALTH PLAN OF MINNESOTA	Local CCP	Align powered by Sanford Health Plan	Local PPO		Sanford Health	740	Yes	Active					PPO - BBA		C	Dallas
H3186	Coordination of Benefits Contact	Director of Customer Service	Mr.	Ling	Ryan		1-605-312-7459					Ryan.Ling@sanfordhealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	SANFORD HEALTH PLAN OF MINNESOTA	Local CCP	Align powered by Sanford Health Plan	Local PPO		Sanford Health	740	Yes	Active					PPO - BBA		C	Dallas
H3186	Customer Service Operations Contact	Director of Customer Service	Mr.	Ling	Ryan		1-605-312-7459					Ryan.Ling@sanfordhealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	SANFORD HEALTH PLAN OF MINNESOTA	Local CCP	Align powered by Sanford Health Plan	Local PPO		Sanford Health	740	Yes	Active					PPO - BBA		C	Dallas
H3186	Government Relations Contact	Head of Government Affairs	Mr.	Wheeler	Dylan		1-605-328-7186					Dylan.Wheeler@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	SANFORD HEALTH PLAN OF MINNESOTA	Local CCP	Align powered by Sanford Health Plan	Local PPO		Sanford Health	740	Yes	Active					PPO - BBA		C	Dallas
H3186	Hospice Contact	Director of Care and Utilization Management	Ms.	Vandonslear	Barbara		1-605-328-6853					Barbara.Vandonslear@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	SANFORD HEALTH PLAN OF MINNESOTA	Local CCP	Align powered by Sanford Health Plan	Local PPO		Sanford Health	740	Yes	Active					PPO - BBA		C	Dallas
H3186	Medicare Compliance Officer	Compliance Officer	Mr.	Yeoman	Dallan		1-605-328-6806					Dallan.Yeoman@sanfordhealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	SANFORD HEALTH PLAN OF MINNESOTA	Local CCP	Align powered by Sanford Health Plan	Local PPO		Sanford Health	740	Yes	Active					PPO - BBA		C	Dallas
H3186	Part D Exceptions Contact	"Manager, Prior Authorization"	Ms.	Le	Christina						1-877-239-4565	rxsol_prior_auth_redirected_queue_DL@uhc.com	PO Box 2975		Mission	KS	66201	8/28/2024	2026	SANFORD HEALTH PLAN OF MINNESOTA	Local CCP	Align powered by Sanford Health Plan	Local PPO		Sanford Health	740	Yes	Active	1-888-403-3398				PPO - BBA		C	Dallas
H3186	Pharmacy Network Management Contact	"Manager, Retail Network Operations"	Mr.	Perez	Felix		1-763-283-3503					Felix.Perez@optum.com	"1600 McConnor Parkway , IL 601736801"		Schaumburg	IL	60173-6801	8/28/2024	2026	SANFORD HEALTH PLAN OF MINNESOTA	Local CCP	Align powered by Sanford Health Plan	Local PPO		Sanford Health	740	Yes	Active					PPO - BBA		C	Dallas
H3186	Pharmacy Technical Help Desk Contact	Pharmacy Technical Help Desk	Sr.	Villanueva	Juan							juan.villanueva@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	8/28/2024	2026	SANFORD HEALTH PLAN OF MINNESOTA	Local CCP	Align powered by Sanford Health Plan	Local PPO		Sanford Health	740	Yes	Active	1-844-642-9090				PPO - BBA		C	Dallas
H3186	Plan to Plan Reconciliation Contact	Director of Finance	Ms.	Harris	Debora		1-605-312-9344					Debora.Harris@sanfordhealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	SANFORD HEALTH PLAN OF MINNESOTA	Local CCP	Align powered by Sanford Health Plan	Local PPO		Sanford Health	740	Yes	Active					PPO - BBA		C	Dallas
H3192	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	AETNA HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3192	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	AETNA HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3192	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3192	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	AETNA HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3192	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	AETNA HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3192	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	AETNA HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3192	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	6/4/2026	2026	AETNA HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3192	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	AETNA HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3192	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	AETNA HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3192	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	AETNA HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H3192	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3192	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	AETNA HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H3192	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3204	Automated TrOOP Balance Transfer Contact	"Eprescribe Program Manager, Pharmacy Services"	Mr	Van Klaveren	Kasey		1-505-923-5530					kvanklave@phs.org	9521 San Mateo Blvd NE		Albuquerque	NM	87113	4/11/2023	2026	PRESBYTERIAN HEALTH PLAN	Local CCP	Presbyterian Health Plan	HMO/HMOPOS		Presbyterian Healthcare Services	188	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3204	Best Available Evidence Contact	"Vice President, Chief Financial Officer"	Mr	Spalding	David		1-505-923-5719				1-505-923-8244	dspalding@phs.org	9521 San Mateo Blvd NE		Albuquerque	NM	87113	12/12/2024	2026	PRESBYTERIAN HEALTH PLAN	Local CCP	Presbyterian Health Plan	HMO/HMOPOS		Presbyterian Healthcare Services	188	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3204	Chief Financial Officer	"Vice President, Chief Financial Officer"	Mr	Spalding	David		1-505-923-5719				1-505-923-8244	dspalding@phs.org	9521 San Mateo Blvd NE		Albuquerque	NM	87113	12/12/2024	2026	PRESBYTERIAN HEALTH PLAN	Local CCP	Presbyterian Health Plan	HMO/HMOPOS		Presbyterian Healthcare Services	188	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3204	CMS Casework Communication Contact	"Vice President, Medicare Programs"	Mr	Ayerza	Gabriel		1-206-661-8676					gayerza@phs.org	9521 San Mateo Blvd NE		Albuquerque	NM	87113	7/12/2023	2026	PRESBYTERIAN HEALTH PLAN	Local CCP	Presbyterian Health Plan	HMO/HMOPOS		Presbyterian Healthcare Services	188	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3204	Coordination of Benefits Contact	"Eprescribe Program Manager, Pharmacy Services"	Mr	Van Klaveren	Kasey		1-505-923-5530					kvanklave@phs.org	9521 San Mateo Blvd NE		Albuquerque	NM	87113	4/11/2023	2026	PRESBYTERIAN HEALTH PLAN	Local CCP	Presbyterian Health Plan	HMO/HMOPOS		Presbyterian Healthcare Services	188	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3204	Customer Service Operations Contact	"Vice President, PCSC"	Ms	Garcia	Kelly		1-505-923-8580				1-505-923-5124	kgarcia3@phs.org	9521 San Mateo Blvd NE		Albuquerque	NM	87113	6/29/2022	2026	PRESBYTERIAN HEALTH PLAN	Local CCP	Presbyterian Health Plan	HMO/HMOPOS		Presbyterian Healthcare Services	188	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3204	Government Relations Contact	"Vice President, Medicare Programs"	Mr	Ayerza	Gabriel		1-206-661-8676					gayerza@phs.org	9521 San Mateo Blvd NE		Albuquerque	NM	87113	7/12/2023	2026	PRESBYTERIAN HEALTH PLAN	Local CCP	Presbyterian Health Plan	HMO/HMOPOS		Presbyterian Healthcare Services	188	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3204	Hospice Contact	"Eprescribe Program Manager, Pharmacy Services"	Mr	Van Klaveren	Kasey		1-505-923-5530					kvanklave@phs.org	9521 San Mateo Blvd NE		Albuquerque	NM	87113	4/11/2023	2026	PRESBYTERIAN HEALTH PLAN	Local CCP	Presbyterian Health Plan	HMO/HMOPOS		Presbyterian Healthcare Services	188	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3204	Medicare Compliance Officer	Compliance Officer	Ms	Quintana Clyde	Alejandra		1-505-923-7496				1-505-923-8159	aquintana30@phs.org	9521 San Mateo Blvd NE		Albuquerque	NM	87113	11/9/2021	2026	PRESBYTERIAN HEALTH PLAN	Local CCP	Presbyterian Health Plan	HMO/HMOPOS		Presbyterian Healthcare Services	188	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3204	Part D Exceptions Contact	"Executive Director, Pharmacy Services"	Mr	Roland	Frank							froland2@phs.org	9521 San Mateo Blvd NE		Albuquerque	NM	87113	3/17/2025	2026	PRESBYTERIAN HEALTH PLAN	Local CCP	Presbyterian Health Plan	HMO/HMOPOS		Presbyterian Healthcare Services	188	Yes	Active	1-505-923-5530				HMO - Health Maintenance Organization		C	Dallas
H3204	Pharmacy Network Management Contact	"Eprescribe Program Manager, Pharmacy Services"	Mr	Van Klaveren	Kasey		1-505-923-5530					kvanklave@phs.org	9521 San Mateo Blvd NE		Albuquerque	NM	87113	4/11/2023	2026	PRESBYTERIAN HEALTH PLAN	Local CCP	Presbyterian Health Plan	HMO/HMOPOS		Presbyterian Healthcare Services	188	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3204	Pharmacy Technical Help Desk Contact	"Executive Director, Pharmacy Services"	Mr	Roland	Frank							froland2@phs.org	9521 San Mateo Blvd NE		Albuquerque	NM	87113	3/17/2025	2026	PRESBYTERIAN HEALTH PLAN	Local CCP	Presbyterian Health Plan	HMO/HMOPOS		Presbyterian Healthcare Services	188	Yes	Active	1-866-528-5829				HMO - Health Maintenance Organization		C	Dallas
H3204	Plan to Plan Reconciliation Contact	"Data Reporting Specialist, Risk Adjustment"	Ms	Pham	Sindy		1-505-923-6012				1-505-923-8244	rpham@phs.org	9521 San Mateo Blvd NE		Albuquerque	NM	87113	6/13/2019	2026	PRESBYTERIAN HEALTH PLAN	Local CCP	Presbyterian Health Plan	HMO/HMOPOS		Presbyterian Healthcare Services	188	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3219	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	ALLINA HEALTH AND AETNA INSURANCE COMPANY	Local CCP	Allina Health Aetna Medicare	Local PPO		Allina Health and Aetna Insurance Holding Company	687	Yes	Active					PPO - BBA		C	Atlanta
H3219	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	ALLINA HEALTH AND AETNA INSURANCE COMPANY	Local CCP	Allina Health Aetna Medicare	Local PPO		Allina Health and Aetna Insurance Holding Company	687	Yes	Active					PPO - BBA		C	Atlanta
H3219	Chief Financial Officer	Chief Financial Officer	Mr.	Jacobsen	Jeffrey		1-651-350-7639					JacobsenJ1@AllinaHealthAetna.com	1550 Utica Ave. S	Suite 250	St. Louis Park	MN	55416	12/18/2018	2026	ALLINA HEALTH AND AETNA INSURANCE COMPANY	Local CCP	Allina Health Aetna Medicare	Local PPO		Allina Health and Aetna Insurance Holding Company	687	Yes	Active					PPO - BBA		C	Atlanta
H3219	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	ALLINA HEALTH AND AETNA INSURANCE COMPANY	Local CCP	Allina Health Aetna Medicare	Local PPO		Allina Health and Aetna Insurance Holding Company	687	Yes	Active					PPO - BBA		C	Atlanta
H3219	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	ALLINA HEALTH AND AETNA INSURANCE COMPANY	Local CCP	Allina Health Aetna Medicare	Local PPO		Allina Health and Aetna Insurance Holding Company	687	Yes	Active					PPO - BBA		C	Atlanta
H3219	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	ALLINA HEALTH AND AETNA INSURANCE COMPANY	Local CCP	Allina Health Aetna Medicare	Local PPO		Allina Health and Aetna Insurance Holding Company	687	Yes	Active					PPO - BBA		C	Atlanta
H3219	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	ALLINA HEALTH AND AETNA INSURANCE COMPANY	Local CCP	Allina Health Aetna Medicare	Local PPO		Allina Health and Aetna Insurance Holding Company	687	Yes	Active					PPO - BBA		C	Atlanta
H3219	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	ALLINA HEALTH AND AETNA INSURANCE COMPANY	Local CCP	Allina Health Aetna Medicare	Local PPO		Allina Health and Aetna Insurance Holding Company	687	Yes	Active					PPO - BBA		C	Atlanta
H3219	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	ALLINA HEALTH AND AETNA INSURANCE COMPANY	Local CCP	Allina Health Aetna Medicare	Local PPO		Allina Health and Aetna Insurance Holding Company	687	Yes	Active					PPO - BBA		C	Atlanta
H3219	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	ALLINA HEALTH AND AETNA INSURANCE COMPANY	Local CCP	Allina Health Aetna Medicare	Local PPO		Allina Health and Aetna Insurance Holding Company	687	Yes	Active	1-469-243-5213				PPO - BBA		C	Atlanta
H3219	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	ALLINA HEALTH AND AETNA INSURANCE COMPANY	Local CCP	Allina Health Aetna Medicare	Local PPO		Allina Health and Aetna Insurance Holding Company	687	Yes	Active					PPO - BBA		C	Atlanta
H3219	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	ALLINA HEALTH AND AETNA INSURANCE COMPANY	Local CCP	Allina Health Aetna Medicare	Local PPO		Allina Health and Aetna Insurance Holding Company	687	Yes	Active	1-800-238-6279				PPO - BBA		C	Atlanta
H3219	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	ALLINA HEALTH AND AETNA INSURANCE COMPANY	Local CCP	Allina Health Aetna Medicare	Local PPO		Allina Health and Aetna Insurance Holding Company	687	Yes	Active					PPO - BBA		C	Atlanta
H3239	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	"AETNA BETTER HEALTH, INC. (LA)"	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3239	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	"AETNA BETTER HEALTH, INC. (LA)"	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3239	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	"AETNA BETTER HEALTH, INC. (LA)"	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3239	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	"AETNA BETTER HEALTH, INC. (LA)"	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3239	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	"AETNA BETTER HEALTH, INC. (LA)"	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3239	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	"AETNA BETTER HEALTH, INC. (LA)"	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3239	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	"AETNA BETTER HEALTH, INC. (LA)"	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3239	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	"AETNA BETTER HEALTH, INC. (LA)"	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3239	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	"AETNA BETTER HEALTH, INC. (LA)"	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3239	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	"AETNA BETTER HEALTH, INC. (LA)"	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H3239	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	"AETNA BETTER HEALTH, INC. (LA)"	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3239	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	"AETNA BETTER HEALTH, INC. (LA)"	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H3239	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	"AETNA BETTER HEALTH, INC. (LA)"	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3240	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	"WELLPOINT NEW JERSEY, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3240	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"WELLPOINT NEW JERSEY, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3240	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	"WELLPOINT NEW JERSEY, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3240	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	"WELLPOINT NEW JERSEY, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3240	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	"WELLPOINT NEW JERSEY, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3240	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	"WELLPOINT NEW JERSEY, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3240	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"WELLPOINT NEW JERSEY, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3240	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"WELLPOINT NEW JERSEY, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3240	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"WELLPOINT NEW JERSEY, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3240	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	"WELLPOINT NEW JERSEY, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H3240	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	2/29/2024	2026	"WELLPOINT NEW JERSEY, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3240	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	"WELLPOINT NEW JERSEY, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H3240	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/6/2021	2026	"WELLPOINT NEW JERSEY, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3251	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Management	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/14/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	Blue Cross and Blue Shield of New Mexico	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Consolidation					HMO - Health Maintenance Organization		C	Denver
H3251	Best Available Evidence Contact	"Deputy General Manager, Digital Operations"	Mr.	Davis	Tom		1-570-344-9237	73545			1-000-000-0000	Thomas.Davis@cognizant.com	Cognizant	25 Lakeview Drive	Jessup	PA	18434	1/4/2022	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	Blue Cross and Blue Shield of New Mexico	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Consolidation					HMO - Health Maintenance Organization		C	Denver
H3251	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	Health Care Services Corporation	300 East Randolph St	Chicago	IL	60601	4/7/2026	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	Blue Cross and Blue Shield of New Mexico	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Consolidation					HMO - Health Maintenance Organization		C	Denver
H3251	CMS Casework Communication Contact	Manager Medicare Operations & Oversight	Ms.	Morris	Tawanna		1-630-824-5090				1-000-000-0000	Tawanna_Morris@bcbsil.com	Health Care Service Corporation	300 E. Randolph Street	Chicago	IL	60601	8/6/2024	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	Blue Cross and Blue Shield of New Mexico	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Consolidation					HMO - Health Maintenance Organization		C	Denver
H3251	Coordination of Benefits Contact	Mgr Project & Program Managemen	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	COBMedD@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/14/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	Blue Cross and Blue Shield of New Mexico	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Consolidation					HMO - Health Maintenance Organization		C	Denver
H3251	Customer Service Operations Contact	VP of Customer Service	Mr.	Akovenko	Josh		1-615-695-8916				1-000-000-0000	josh_akovenko@hcsc.com	Health Care Service Corporation	500 Great Circle Rd	Nashville	IL	60601	12/4/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	Blue Cross and Blue Shield of New Mexico	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Consolidation					HMO - Health Maintenance Organization		C	Denver
H3251	Government Relations Contact	Executive Director - Health Policy	Ms.	DuGoff	Eva		1-202-249-7208				1-000-000-0000	eva_dugoff@hcsc.net	Health Care Service Corporation	1001 Pennsylvania NW	Washington	DC	20004	9/30/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	Blue Cross and Blue Shield of New Mexico	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Consolidation					HMO - Health Maintenance Organization		C	Denver
H3251	Hospice Contact	Govt Prog Clinical Ops Dvisional Vice President	Ms.	Thomas-Spaulding	Felicia	S	1-505-816-2717				1-000-000-0000	Felicia_Spaulding@bcbsnm.com	Blue Cross Blue Shield of New Mexico	4411 The 25 Way NE	Albuquerque	NM	87109	2/27/2019	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	Blue Cross and Blue Shield of New Mexico	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Consolidation					HMO - Health Maintenance Organization		C	Denver
H3251	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	9/5/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	Blue Cross and Blue Shield of New Mexico	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Consolidation					HMO - Health Maintenance Organization		C	Denver
H3251	Part D Exceptions Contact	Regulatory Pharmacist Sr	Mr.	Spears	Scott						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	9/22/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	Blue Cross and Blue Shield of New Mexico	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Consolidation	1-800-693-6651				HMO - Health Maintenance Organization		C	Denver
H3251	Pharmacy Network Management Contact	"VP, Network Management"	Ms.	Conlin	Marci		1-612-777-2837				1-877-823-6373	marci.conlin@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Road	Eagan	MN	55121	3/21/2023	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	Blue Cross and Blue Shield of New Mexico	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Consolidation					HMO - Health Maintenance Organization		C	Denver
H3251	Pharmacy Technical Help Desk Contact	"Sr. Director, Member Services"	Mr.	Scott	Shane						1-000-000-0000	shane.scott@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	12/18/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	Blue Cross and Blue Shield of New Mexico	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Consolidation	1-877-277-7898				HMO - Health Maintenance Organization		C	Denver
H3251	Plan to Plan Reconciliation Contact	Accountant	Ms.	Bowen	Niaya		1-972-766-1324				1-972-766-4360	niaya_bowen@bcbstx.com	Health Care Service Corporation	"1001 East Lookout Drive,"	Richardson	TX	75082	9/30/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	Blue Cross and Blue Shield of New Mexico	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Consolidation					HMO - Health Maintenance Organization		C	Denver
H3256	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H3256	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H3256	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H3256	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H3256	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H3256	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H3256	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H3256	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H3256	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H3256	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				PPO - BBA		C	Boston
H3256	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H3256	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				PPO - BBA		C	Boston
H3256	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H3259	Automated TrOOP Balance Transfer Contact	Advisor Business CVS		Davis	Brittany		1-480-606-4613					FIRSupport@CVSHealth.com	9501 E. Shea Blvd		Scottsdale	AZ	85260	12/21/2021	2026	VOLUNTEER STATE HEALTH PLAN	Local CCP	BlueCare Plus Tennessee	HMO/HMOPOS		BlueCross BlueShield of Tennessee	34	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3259	Best Available Evidence Contact	Manager Operations		Hardy	Sequita		1-423-991-1375					Sequita_Hardy@bcbst.com	1 Cameron Hill Circle		Chattanooga	TN	37402	4/24/2025	2026	VOLUNTEER STATE HEALTH PLAN	Local CCP	BlueCare Plus Tennessee	HMO/HMOPOS		BlueCross BlueShield of Tennessee	34	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3259	Chief Financial Officer	VP BlueCare Tn Finance & CEO	Mr.	Gaither	Keith		1-423-637-0185					Keith_Gaither@bcbst.com	1 Cameron Hill Circle		Chattanooga	TN	37402	1/30/2025	2026	VOLUNTEER STATE HEALTH PLAN	Local CCP	BlueCare Plus Tennessee	HMO/HMOPOS		BlueCross BlueShield of Tennessee	34	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3259	CMS Casework Communication Contact	Clinical Management		Pugh	Donna		1-423-535-6563					Donna_Pugh@bcbst.com	1 Cameron Hill Circle		Chattanooga	TN	37402	12/9/2022	2026	VOLUNTEER STATE HEALTH PLAN	Local CCP	BlueCare Plus Tennessee	HMO/HMOPOS		BlueCross BlueShield of Tennessee	34	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3259	Coordination of Benefits Contact	Manger Revenue Reconciliation		Camp	Jan		1-423-535-3639					jan_camp@bcbst.com	1 Cameron Hill Circle		Chattanooga	TN	37402	4/20/2022	2026	VOLUNTEER STATE HEALTH PLAN	Local CCP	BlueCare Plus Tennessee	HMO/HMOPOS		BlueCross BlueShield of Tennessee	34	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3259	Customer Service Operations Contact	Director Service Operations		Scissom	Melissa		1-423-535-8356				1-423-591-9109	Melissa_Scissom@bcbst.com	1 Cameron Hill Circle		Chattanooga	TN	37402	5/2/2022	2026	VOLUNTEER STATE HEALTH PLAN	Local CCP	BlueCare Plus Tennessee	HMO/HMOPOS		BlueCross BlueShield of Tennessee	34	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3259	Government Relations Contact	Medicare Compliance Officer		Womble	Charriet		1-615-347-9580					charriet_womble@bcbst.com	1 Cameron Hill Circle		Chattanooga	TN	37402	10/31/2022	2026	VOLUNTEER STATE HEALTH PLAN	Local CCP	BlueCare Plus Tennessee	HMO/HMOPOS		BlueCross BlueShield of Tennessee	34	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3259	Hospice Contact	Director Service Operations		Scissom	Melissa		1-423-535-8356				1-423-591-9109	Melissa_Scissom@bcbst.com	1 Cameron Hill Circle		Chattanooga	TN	37402	5/2/2022	2026	VOLUNTEER STATE HEALTH PLAN	Local CCP	BlueCare Plus Tennessee	HMO/HMOPOS		BlueCross BlueShield of Tennessee	34	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3259	Medicare Compliance Officer	Medicare Compliance Officer	Mrs.	Womble	Charriet		1-615-347-9580					charriet_womble@bcbst.com	1 Cameron Hill Circle		Chattanooga	TN	37402	10/31/2022	2026	VOLUNTEER STATE HEALTH PLAN	Local CCP	BlueCare Plus Tennessee	HMO/HMOPOS		BlueCross BlueShield of Tennessee	34	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3259	Part D Exceptions Contact	VP of Pharmacy		Tate	Natalie							Natalie_Tate@bcbst.com	1 Cameron Hill Circle		Chattanooga	TN	37402	12/9/2025	2026	VOLUNTEER STATE HEALTH PLAN	Local CCP	BlueCare Plus Tennessee	HMO/HMOPOS		BlueCross BlueShield of Tennessee	34	Yes	Active	1-800-831-2583				HMO - Health Maintenance Organization		C	Chicago
H3259	Pharmacy Network Management Contact	Advisor Network Products CVS		Lowe	David		1-480-744-9231				1-877-387-5800	David.Lowe2@CVSHealth.com	9501 E. Shea Blvd		Scottsdale	AZ	85260	12/20/2021	2026	VOLUNTEER STATE HEALTH PLAN	Local CCP	BlueCare Plus Tennessee	HMO/HMOPOS		BlueCross BlueShield of Tennessee	34	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3259	Pharmacy Technical Help Desk Contact	Vendor Management		Rodriguez	Alex							Alex.rodriguez@CVSHealth.com	2401 Cherahala  Blvd		Knoxville	TN	37932	2/16/2024	2026	VOLUNTEER STATE HEALTH PLAN	Local CCP	BlueCare Plus Tennessee	HMO/HMOPOS		BlueCross BlueShield of Tennessee	34	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Chicago
H3259	Plan to Plan Reconciliation Contact	Business Analyst Associate		Stinnett	James		1-423-535-1624					P2PAdministration_GM@bcbst.com	Attn: P2P Coordinator	1 Cameron Hill Circle Suite 0050	Chattanooga	TN	37402-0050	2/7/2018	2026	VOLUNTEER STATE HEALTH PLAN	Local CCP	BlueCare Plus Tennessee	HMO/HMOPOS		BlueCross BlueShield of Tennessee	34	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3260	Automated TrOOP Balance Transfer Contact			Pollock	Kiera		1-323-860-5827					kpollock@lalgbtcenter.org	1125 N. McCadden Place		Los Angeles	CA	90038	6/28/2024	2026	LOS ANGELES LGBT CENTER	National PACE	Los Angeles LGBT Center	National PACE		Los Angeles LGBT Center	852	Yes	Pending					PACE - Nat		C	San Francisco
H3260	Best Available Evidence Contact			Pollock	Kiera		1-323-860-5827					kpollock@lalgbtcenter.org	1125 N. McCadden Place		Los Angeles	CA	90038	6/28/2024	2026	LOS ANGELES LGBT CENTER	National PACE	Los Angeles LGBT Center	National PACE		Los Angeles LGBT Center	852	Yes	Pending					PACE - Nat		C	San Francisco
H3260	Chief Financial Officer		Ms	Goldman	Robyn		1-323-993-8948					rgoldman@lalgbtcenter.org	1118 N. McCadden Place		Los Angeles	CA	90038	6/28/2024	2026	LOS ANGELES LGBT CENTER	National PACE	Los Angeles LGBT Center	National PACE		Los Angeles LGBT Center	852	Yes	Pending					PACE - Nat		C	San Francisco
H3260	CMS Casework Communication Contact			Pollock	Kiera		1-323-860-5827					kpollock@lalgbtcenter.org	1125 N. McCadden Place		Los Angeles	CA	90038	6/28/2024	2026	LOS ANGELES LGBT CENTER	National PACE	Los Angeles LGBT Center	National PACE		Los Angeles LGBT Center	852	Yes	Pending					PACE - Nat		C	San Francisco
H3260	Coordination of Benefits Contact			Pollock	Kiera		1-323-860-5827					kpollock@lalgbtcenter.org	1125 N. McCadden Place		Los Angeles	CA	90038	6/28/2024	2026	LOS ANGELES LGBT CENTER	National PACE	Los Angeles LGBT Center	National PACE		Los Angeles LGBT Center	852	Yes	Pending					PACE - Nat		C	San Francisco
H3260	Customer Service Operations Contact			Pollock	Kiera		1-323-860-5827					kpollock@lalgbtcenter.org	1125 N. McCadden Place		Los Angeles	CA	90038	6/28/2024	2026	LOS ANGELES LGBT CENTER	National PACE	Los Angeles LGBT Center	National PACE		Los Angeles LGBT Center	852	Yes	Pending					PACE - Nat		C	San Francisco
H3260	Government Relations Contact			Pollock	Kiera		1-323-860-5827					kpollock@lalgbtcenter.org	1125 N. McCadden Place		Los Angeles	CA	90038	6/28/2024	2026	LOS ANGELES LGBT CENTER	National PACE	Los Angeles LGBT Center	National PACE		Los Angeles LGBT Center	852	Yes	Pending					PACE - Nat		C	San Francisco
H3260	Medicare Compliance Officer		Ms	Pollock	Kiera		1-323-860-5827					kpollock@lalgbtcenter.org	1118 N. McCadden Place		Los Angeles	CA	90038	6/28/2024	2026	LOS ANGELES LGBT CENTER	National PACE	Los Angeles LGBT Center	National PACE		Los Angeles LGBT Center	852	Yes	Pending					PACE - Nat		C	San Francisco
H3260	Part D Exceptions Contact			Pollock	Kiera							kpollock@lalgbtcenter.org	1118 N. McCadden Place		Los Angeles	CA	90038	6/28/2024	2026	LOS ANGELES LGBT CENTER	National PACE	Los Angeles LGBT Center	National PACE		Los Angeles LGBT Center	852	Yes	Pending	1-323-860-5827				PACE - Nat		C	San Francisco
H3260	Pharmacy Network Management Contact			Thibeau	Nicole		1-323-860-5827					nthibeau@lalgbtcenter.org	1118 N. McCadden Place		Los Angeles	CA	90038	6/28/2024	2026	LOS ANGELES LGBT CENTER	National PACE	Los Angeles LGBT Center	National PACE		Los Angeles LGBT Center	852	Yes	Pending					PACE - Nat		C	San Francisco
H3260	Pharmacy Technical Help Desk Contact			Thibeau	Nicole							nthibeau@lalgbtcenter.org	1118 N. McCadden Place		Los Angeles	CA	90038	6/28/2024	2026	LOS ANGELES LGBT CENTER	National PACE	Los Angeles LGBT Center	National PACE		Los Angeles LGBT Center	852	Yes	Pending	1-323-993-7484				PACE - Nat		C	San Francisco
H3260	Plan to Plan Reconciliation Contact			Pollock	Kiera		1-323-860-5827					kpollock@lalgbtcenter.org	1118 N. McCadden Place		Los Angeles	CA	90038	6/28/2024	2026	LOS ANGELES LGBT CENTER	National PACE	Los Angeles LGBT Center	National PACE		Los Angeles LGBT Center	852	Yes	Pending					PACE - Nat		C	San Francisco
H3274	Automated TrOOP Balance Transfer Contact	"Supervisor, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	relay.health@navitus.com	"Navitus Health Solutions, LLC"	1025 West Navitus Drive	Appleton	WI	54913	10/8/2024	2026	ALIGN SENIOR CARE CALIFORNIA INC.	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3274	Best Available Evidence Contact	Enrollment Manager	Ms	Beringer	Stephanie		1-206-697-7797					stephanie.beringer@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/25/2025	2026	ALIGN SENIOR CARE CALIFORNIA INC.	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3274	Chief Financial Officer	CFO/VP of Finance	Ms.	Martin	Rachel		1-775-544-8314					Rachel.Martin@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	10/8/2024	2026	ALIGN SENIOR CARE CALIFORNIA INC.	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3274	CMS Casework Communication Contact	Director - Grievance/Appeals & CTMs		Fernandez	Erik		1-786-239-8513					Erik.Fernandez@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	10/8/2024	2026	ALIGN SENIOR CARE CALIFORNIA INC.	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3274	Coordination of Benefits Contact	Enrollment Manager	Ms	Beringer	Stephanie		1-206-697-7797					stephanie.beringer@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/25/2025	2026	ALIGN SENIOR CARE CALIFORNIA INC.	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3274	Customer Service Operations Contact			Estes	Courtney		1-877-310-6754	744				courtney.estes@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/3/2026	2026	ALIGN SENIOR CARE CALIFORNIA INC.	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3274	Government Relations Contact	Medicare Compliance Officer	Ms.	Kotun	Gillian		1-615-481-1897					gillian.kotun@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	5/14/2026	2026	ALIGN SENIOR CARE CALIFORNIA INC.	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3274	Hospice Contact	Sr. Director Part D Operations	Mr.	Sone	Victor		1-347-683-5717					victor.sone@curanahealth.com	10900 Nuckols Rd	Suite 110	Glen Allen	VA	23060	10/8/2024	2026	ALIGN SENIOR CARE CALIFORNIA INC.	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3274	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Kotun	Gillian		1-615-481-1897					gillian.kotun@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	10/8/2024	2026	ALIGN SENIOR CARE CALIFORNIA INC.	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3274	Part D Exceptions Contact			LeClair	Christophe						1-920-221-4676	christopher.leclair@Navitus.com	Navitus Health Solutions	361 Integrity Dr	Madison	WI	53717	10/8/2024	2026	ALIGN SENIOR CARE CALIFORNIA INC.	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active	1-920-221-4176				HMO - Health Maintenance Organization		C	Chicago
H3274	Pharmacy Network Management Contact	VP Network Management		Santos	Christina		1-608-820-4408					christina.santos@navitus.com	361 Integrity Drive		Madison	WI	53717	6/6/2025	2026	ALIGN SENIOR CARE CALIFORNIA INC.	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3274	Pharmacy Technical Help Desk Contact	"Manager, Customer Care Accounts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	"Navitus Health Solutions, LLC"	1025 W. Navitus Drive	Appleton	WI	54913	10/8/2024	2026	ALIGN SENIOR CARE CALIFORNIA INC.	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Chicago
H3274	Plan to Plan Reconciliation Contact	CFO/VP of Finance	Ms.	Martin	Rachel		1-775-544-8314					p2padministration@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	10/8/2024	2026	ALIGN SENIOR CARE CALIFORNIA INC.	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3276	Automated TrOOP Balance Transfer Contact	"AVP, Pharmacy"		Vu	John		1-801-252-5706					an.vu@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	"CONNECTICARE INSURANCE COMPANY, INC."	Local CCP	ConnectiCare	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H3276	Best Available Evidence Contact	"Director, Medicare PEnrollment"		LeJeune	Ryan		1-562-549-4527					ryan.lejeune@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	"CONNECTICARE INSURANCE COMPANY, INC."	Local CCP	ConnectiCare	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H3276	Chief Financial Officer	"MHI - VP, Operating Finance"	Mr.	Parthasarathy	Vijay		1-630-381-8563					vijay.parthasarathy@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	"CONNECTICARE INSURANCE COMPANY, INC."	Local CCP	ConnectiCare	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H3276	CMS Casework Communication Contact	"Dir, Medicare A&G"		Bennett	Kimberly		1-248-854-9474					Kimberly.Bennett@molinahealthcare.com	24121 Rosewood Street		Oak Park	MI	48237	5/20/2026	2026	"CONNECTICARE INSURANCE COMPANY, INC."	Local CCP	ConnectiCare	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H3276	Coordination of Benefits Contact	"Director, Payment Integrity"		Hartberger	Jake		1-484-269-1480					Jake.Hartberger@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	"CONNECTICARE INSURANCE COMPANY, INC."	Local CCP	ConnectiCare	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H3276	Customer Service Operations Contact	"Vice President, Call Center"		Faroughi	Cheryl		1-614-547-6829					cheryl.faroughi@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	"CONNECTICARE INSURANCE COMPANY, INC."	Local CCP	ConnectiCare	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H3276	Government Relations Contact	"MHI- Vice President, Compliance"		Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@Molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	"CONNECTICARE INSURANCE COMPANY, INC."	Local CCP	ConnectiCare	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H3276	Hospice Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/20/2026	2026	"CONNECTICARE INSURANCE COMPANY, INC."	Local CCP	ConnectiCare	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H3276	Medicare Compliance Officer	"MHI- Vice President, Compliance"	Mr.	Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	"CONNECTICARE INSURANCE COMPANY, INC."	Local CCP	ConnectiCare	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H3276	Part D Exceptions Contact	"AVP, Medicare Pharmacy Services"		Vu	John							An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/20/2026	2026	"CONNECTICARE INSURANCE COMPANY, INC."	Local CCP	ConnectiCare	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract	1-801-252-5706				HMO - Health Maintenance Organization		C	New York
H3276	Pharmacy Network Management Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/20/2026	2026	"CONNECTICARE INSURANCE COMPANY, INC."	Local CCP	ConnectiCare	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H3276	Pharmacy Technical Help Desk Contact	"Director, Client Operations"		Help Desk	Pharmacy						1-480-314-6077	dayoubj@cvshealth.com	445 Great Circle Road		Nashville	TN	37228	5/20/2026	2026	"CONNECTICARE INSURANCE COMPANY, INC."	Local CCP	ConnectiCare	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H3276	Plan to Plan Reconciliation Contact	"Director, Finance"		Cook	Keith		1-562-542-2024					P2P.molina@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	"CONNECTICARE INSURANCE COMPANY, INC."	Local CCP	ConnectiCare	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H3284	Automated TrOOP Balance Transfer Contact	Executive Director		Stengel	Laura		1-253-459-7270				1-253-472-6833	laura.stengel@multicare.org	6442 S. Yakima Ave.		Tacoma	WA	98408	9/21/2023	2026	"PNW PACE PARTNERS, LLC"	National PACE	Pacific Northwest PACE Partners	National PACE		MultiCare Health Systems	780	Yes	Active					PACE - Nat		C	Seattle
H3284	Best Available Evidence Contact	CFO		Schramm	Steve		1-253-403-7614				1-253-472-6833	steve.schramm@multicare.org	6442 S Yakima Avenue		Tacoma	WA	98408	7/28/2022	2026	"PNW PACE PARTNERS, LLC"	National PACE	Pacific Northwest PACE Partners	National PACE		MultiCare Health Systems	780	Yes	Active					PACE - Nat		C	Seattle
H3284	Chief Financial Officer	CFO	Mr	Schramm	Steve		1-253-403-7614				1-253-472-6833	steve.schramm@multicare.org	6442 S Yakima Ave		Tacoma	WA	98408	7/28/2022	2026	"PNW PACE PARTNERS, LLC"	National PACE	Pacific Northwest PACE Partners	National PACE		MultiCare Health Systems	780	Yes	Active					PACE - Nat		C	Seattle
H3284	CMS Casework Communication Contact	Compliance Officer		Clay	Chelsea		1-605-464-4821				1-253-472-6833	Chelsea.Clay@multicare.org	6442 S Yakima Ave		Tacoma	WA	98408	3/18/2022	2026	"PNW PACE PARTNERS, LLC"	National PACE	Pacific Northwest PACE Partners	National PACE		MultiCare Health Systems	780	Yes	Active					PACE - Nat		C	Seattle
H3284	Coordination of Benefits Contact	CFO		Schramm	Steve		1-253-403-7614				1-253-472-6833	steve.schramm@multicare.org	6442 S Yakima Avenue		Tacoma	WA	98408	1/12/2023	2026	"PNW PACE PARTNERS, LLC"	National PACE	Pacific Northwest PACE Partners	National PACE		MultiCare Health Systems	780	Yes	Active					PACE - Nat		C	Seattle
H3284	Customer Service Operations Contact	Executive Director		Stengel	Laura		1-253-459-7270				1-253-472-6833	Laura.Stengel@multicare.org	6442 S Yakima Ave		Tacoma	WA	98408	9/21/2023	2026	"PNW PACE PARTNERS, LLC"	National PACE	Pacific Northwest PACE Partners	National PACE		MultiCare Health Systems	780	Yes	Active					PACE - Nat		C	Seattle
H3284	Government Relations Contact	Executive Director		Stengel	Laura		1-253-459-7270				1-253-472-6833	Laura.Stengel@multicare.org	6442 S Yakima Ave		Tacoma	WA	98408	9/21/2023	2026	"PNW PACE PARTNERS, LLC"	National PACE	Pacific Northwest PACE Partners	National PACE		MultiCare Health Systems	780	Yes	Active					PACE - Nat		C	Seattle
H3284	Medicare Compliance Officer	Compliance Officer	Ms	Arrington	Savanna		1-360-706-3321				1-253-472-6833	Savanna.Arrington@multicare.org	6442 S Yakima Ave		Tacoma	WA	98408	5/22/2026	2026	"PNW PACE PARTNERS, LLC"	National PACE	Pacific Northwest PACE Partners	National PACE		MultiCare Health Systems	780	Yes	Active					PACE - Nat		C	Seattle
H3284	Part D Exceptions Contact	Compliance Officer		Clay	Chelsea							Chelsea.Clay@multicare.org	6442 S Yakima St		Tacoma	WA	98408	3/18/2022	2026	"PNW PACE PARTNERS, LLC"	National PACE	Pacific Northwest PACE Partners	National PACE		MultiCare Health Systems	780	Yes	Active	1-866-264-6121				PACE - Nat		C	Seattle
H3284	Pharmacy Network Management Contact	Compliance Officer		Clay	Chelsea		1-605-464-4821				1-253-473-3117	Chelsea.Clay@multicare.org	6442 S Yakima Ave		Tacoma	WA	98408	3/18/2022	2026	"PNW PACE PARTNERS, LLC"	National PACE	Pacific Northwest PACE Partners	National PACE		MultiCare Health Systems	780	Yes	Active					PACE - Nat		C	Seattle
H3284	Pharmacy Technical Help Desk Contact	Compliance Officer		Clay	Chelsea							Chelsea.Clay@multicare.org	6442 S Yakima St		Tacoma	WA	98408	4/24/2023	2026	"PNW PACE PARTNERS, LLC"	National PACE	Pacific Northwest PACE Partners	National PACE		MultiCare Health Systems	780	Yes	Active	1-605-464-4821				PACE - Nat		C	Seattle
H3284	Plan to Plan Reconciliation Contact	Executive Director		Stengel	Laura		1-253-459-7271				1-253-472-6833	laura.stengel@multicare.org	6442 S. Yakima Ave.		Tacoma	WA	98408	11/12/2024	2026	"PNW PACE PARTNERS, LLC"	National PACE	Pacific Northwest PACE Partners	National PACE		MultiCare Health Systems	780	Yes	Active					PACE - Nat		C	Seattle
H3288	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	AETNA HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H3288	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	AETNA HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H3288	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H3288	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	AETNA HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H3288	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	AETNA HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H3288	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	AETNA HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H3288	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H3288	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	AETNA HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H3288	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	AETNA HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H3288	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	AETNA HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active	1-469-243-5213				PPO - BBA		C	Atlanta
H3288	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H3288	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	AETNA HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active	1-800-238-6279				PPO - BBA		C	Atlanta
H3288	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA HEALTH AND LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H3291	Automated TrOOP Balance Transfer Contact	"Supervisor, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	relay.health@navitus.com	"Navitus Health Solutions, LLC"	1025 West Navitus Drive	Appleton	WI	54913	1/3/2025	2026	"PRUITTHEALTH PREMIER, INC."	Local CCP	PruittHealth Premier	HMO/HMOPOS		"UNICO Services, Inc."	622	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3291	Best Available Evidence Contact			Beringer	Stephanie		1-206-697-7797				1-800-375-6496	stephanie.beringer@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/10/2026	2026	"PRUITTHEALTH PREMIER, INC."	Local CCP	PruittHealth Premier	HMO/HMOPOS		"UNICO Services, Inc."	622	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3291	Chief Financial Officer	CFO	Mr	Small	Phil		1-770-279-6200					PhSmall@pruitthealth.com	1626 Jeurgens Ct		Norcross	GA	30093	5/5/2021	2026	"PRUITTHEALTH PREMIER, INC."	Local CCP	PruittHealth Premier	HMO/HMOPOS		"UNICO Services, Inc."	622	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3291	CMS Casework Communication Contact	Director - Grievance/Appeals & CTMs		Fernandez	Erik		1-786-239-8513					Erik.Fernandez@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	1/3/2025	2026	"PRUITTHEALTH PREMIER, INC."	Local CCP	PruittHealth Premier	HMO/HMOPOS		"UNICO Services, Inc."	622	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3291	Coordination of Benefits Contact			Beringer	Stephanie		1-206-697-7797				1-800-375-6496	stephanie.beringer@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/10/2026	2026	"PRUITTHEALTH PREMIER, INC."	Local CCP	PruittHealth Premier	HMO/HMOPOS		"UNICO Services, Inc."	622	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3291	Customer Service Operations Contact			Estes	Courtney		1-877-310-6754	744				courtney.estes@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/3/2026	2026	"PRUITTHEALTH PREMIER, INC."	Local CCP	PruittHealth Premier	HMO/HMOPOS		"UNICO Services, Inc."	622	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3291	Government Relations Contact			Landahl	Darryl		1-832-384-5949					darryl.landahl@curanahealth.com	10900 Nuckols Rd	Suite 110	Glen Allen	VA	23060	9/28/2022	2026	"PRUITTHEALTH PREMIER, INC."	Local CCP	PruittHealth Premier	HMO/HMOPOS		"UNICO Services, Inc."	622	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3291	Hospice Contact	Sr. Director Part D Operations	Mr.	Sone	Victor		1-347-683-5717					victor.sone@curanahealth.com	10900 Nuckols Rd	Suite 110	Glen Allen	VA	23060	1/3/2025	2026	"PRUITTHEALTH PREMIER, INC."	Local CCP	PruittHealth Premier	HMO/HMOPOS		"UNICO Services, Inc."	622	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3291	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Christopher	Laura	K	1-404-694-4897					Kelly.Christopher@pruitthealth.com	1626 Jeurgens Court		Norcross	GA	30093	6/9/2022	2026	"PRUITTHEALTH PREMIER, INC."	Local CCP	PruittHealth Premier	HMO/HMOPOS		"UNICO Services, Inc."	622	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3291	Part D Exceptions Contact			LeClair	Christophe						1-920-221-4676	christopher.leclair@Navitus.com	Navitus Health Solutions	1025 West Navitus Dr.	Appleton	WI	54913	1/3/2025	2026	"PRUITTHEALTH PREMIER, INC."	Local CCP	PruittHealth Premier	HMO/HMOPOS		"UNICO Services, Inc."	622	Yes	Active	1-920-221-4176				HMO - Health Maintenance Organization		C	Chicago
H3291	Pharmacy Network Management Contact	"VP, Network Mgmt"		Santos	Christina		1-608-820-4408					christina.santos@navitus.com	Navitus Health Solutions	361 Integrity Drive	Madison	WI	53717	9/30/2025	2026	"PRUITTHEALTH PREMIER, INC."	Local CCP	PruittHealth Premier	HMO/HMOPOS		"UNICO Services, Inc."	622	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3291	Pharmacy Technical Help Desk Contact	"Manager, Customer Care Accounts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	"Navitus Health Solutions, LLC"	1025 W. Navitus Drive	Appleton	WI	54913	1/3/2025	2026	"PRUITTHEALTH PREMIER, INC."	Local CCP	PruittHealth Premier	HMO/HMOPOS		"UNICO Services, Inc."	622	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Chicago
H3291	Plan to Plan Reconciliation Contact	CFO	Ms.	Martin	Rachel		1-775-544-8314					p2padministration@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	1/3/2025	2026	"PRUITTHEALTH PREMIER, INC."	Local CCP	PruittHealth Premier	HMO/HMOPOS		"UNICO Services, Inc."	622	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3305	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Management"		Colin	Wendy		1-585-885-2435					wcolin@mvphealthcare.com	20 South Clinton Avenue		Rochester	NY	14604	10/17/2023	2026	"MVP HEALTH PLAN, INC."	Local CCP	MVP HEALTH CARE	HMO/HMOPOS		"MVP Health Care, Inc."	197	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3305	Best Available Evidence Contact	"Leader, Medicare Enrollment Operations"		Moxley	Radija		1-585-885-2361				1-585-327-2227	RMoxley@mvphealthcare.com	20 South Clinton Avenue		Rochester	NY	14604	10/17/2023	2026	"MVP HEALTH PLAN, INC."	Local CCP	MVP HEALTH CARE	HMO/HMOPOS		"MVP Health Care, Inc."	197	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3305	Chief Financial Officer	Chief Financial Officer	Ms.	Austen	Karla		1-518-388-2357					kausten@mvphealthcare.com	625 State Street		Schenectady	NY	12305	6/26/2014	2026	"MVP HEALTH PLAN, INC."	Local CCP	MVP HEALTH CARE	HMO/HMOPOS		"MVP Health Care, Inc."	197	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3305	CMS Casework Communication Contact	"Leader, Medicare Appeals"		Allen	Amy		1-585-258-8096				1-585-327-5724	aallen@mvphealthcare.com	20 South Clinton Avenue		Rochester	NY	14604	10/17/2023	2026	"MVP HEALTH PLAN, INC."	Local CCP	MVP HEALTH CARE	HMO/HMOPOS		"MVP Health Care, Inc."	197	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3305	Coordination of Benefits Contact	"Director, Pharmacy Management"		Colin	Wendy		1-585-885-2435					wcolin@mvphealthcare.com	20 South Clinton Avenue		Rochester	NY	14604	10/17/2023	2026	"MVP HEALTH PLAN, INC."	Local CCP	MVP HEALTH CARE	HMO/HMOPOS		"MVP Health Care, Inc."	197	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3305	Customer Service Operations Contact	"Sr. Leader, Customer Care & Support Services"		Greenberg	Melissa		1-518-991-3731					mgreenberg@mvphealthcare.com	625 State Street		Schenectady	NY	12305	8/23/2022	2026	"MVP HEALTH PLAN, INC."	Local CCP	MVP HEALTH CARE	HMO/HMOPOS		"MVP Health Care, Inc."	197	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3305	Government Relations Contact	"VP, Government Affairs"		Estey	Jordan		1-518-991-3923				1-518-836-3202	jestey@mvphealthcare.com	625 State Street		Schenectady	NY	12305	6/18/2026	2026	"MVP HEALTH PLAN, INC."	Local CCP	MVP HEALTH CARE	HMO/HMOPOS		"MVP Health Care, Inc."	197	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3305	Hospice Contact	"Director, Pharmacy Management"		Colin	Wendy		1-585-885-2435					WColin@mvphealthcare.com	20 South Clinton Avenue		Rochester	NY	14604	10/17/2023	2026	"MVP HEALTH PLAN, INC."	Local CCP	MVP HEALTH CARE	HMO/HMOPOS		"MVP Health Care, Inc."	197	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3305	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Borges	Linda		1-518-991-3803				1-518-836-3202	mco@mvphealthcare.com	625 State Street		Schenectady	NY	12305	3/29/2023	2026	"MVP HEALTH PLAN, INC."	Local CCP	MVP HEALTH CARE	HMO/HMOPOS		"MVP Health Care, Inc."	197	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3305	Part D Exceptions Contact	"Director, Pharmacy Management"		Colin	Wendy							wcolin@mvphealthcare.com	20 South Clinton Avenue		Rochester	NY	14604	10/17/2023	2026	"MVP HEALTH PLAN, INC."	Local CCP	MVP HEALTH CARE	HMO/HMOPOS		"MVP Health Care, Inc."	197	Yes	Active	1-585-885-2435				HMO - Health Maintenance Organization		C	Boston
H3305	Pharmacy Network Management Contact	Director Network Operations		Smith	Shawn		1-480-391-4844					shawn.smith@cvshealth.com	9501 E. Shea Blvd. MC 080		Scottsdale	AZ	85260	7/18/2018	2026	"MVP HEALTH PLAN, INC."	Local CCP	MVP HEALTH CARE	HMO/HMOPOS		"MVP Health Care, Inc."	197	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3305	Pharmacy Technical Help Desk Contact	"Director, Client Operations"		Leeper	Shonda							Shonda.Leeper@CVSHealth.com	445 Great Circle Rd		Nashville	TN	37228	12/3/2021	2026	"MVP HEALTH PLAN, INC."	Local CCP	MVP HEALTH CARE	HMO/HMOPOS		"MVP Health Care, Inc."	197	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Boston
H3305	Plan to Plan Reconciliation Contact	"Leader, State & Federal Plan Billing"		Marcus	Yael		1-914-429-8496					ymarcus@mvphealthcare.com	625 State Street		Schenectady	NY	12305	10/4/2022	2026	"MVP HEALTH PLAN, INC."	Local CCP	MVP HEALTH CARE	HMO/HMOPOS		"MVP Health Care, Inc."	197	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3312	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	AETNA HEALTH INC. (NY)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3312	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	AETNA HEALTH INC. (NY)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3312	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA HEALTH INC. (NY)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3312	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	AETNA HEALTH INC. (NY)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3312	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	AETNA HEALTH INC. (NY)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3312	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	AETNA HEALTH INC. (NY)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3312	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA HEALTH INC. (NY)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3312	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	AETNA HEALTH INC. (NY)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3312	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	AETNA HEALTH INC. (NY)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3312	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	AETNA HEALTH INC. (NY)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H3312	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA HEALTH INC. (NY)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3312	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	AETNA HEALTH INC. (NY)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H3312	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA HEALTH INC. (NY)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3321	Automated TrOOP Balance Transfer Contact	Director of Quality Management		Barrington	Michele		1-315-413-4595				1-315-703-3599	mbarrington@lorettosystem.org	109 Lawrence Road East		North Syracuse	NY	13212	8/29/2022	2026	"LORETTO INDEPENDENT LIVING SERVICES, INC."	National PACE	Independent Living Srvcs Of Central Ny	National PACE		Loretto Management Corporation	837	Yes	Active					PACE - Nat		C	New York
H3321	Best Available Evidence Contact	Director of Quality Management		Barrington	Michele		1-315-413-4595				1-315-703-3599	mbarrington@lorettosystem.org	109 Lawrence Road East		North Syracuse	NY	13212	8/29/2022	2026	"LORETTO INDEPENDENT LIVING SERVICES, INC."	National PACE	Independent Living Srvcs Of Central Ny	National PACE		Loretto Management Corporation	837	Yes	Active					PACE - Nat		C	New York
H3321	Chief Financial Officer	Corporate Controller	Mr.	Murray	John	G	1-315-413-3206					jmurray@lorettosystem.org	700 E. Brighton Ave		Syracuse	NY	13205	9/26/2017	2026	"LORETTO INDEPENDENT LIVING SERVICES, INC."	National PACE	Independent Living Srvcs Of Central Ny	National PACE		Loretto Management Corporation	837	Yes	Active					PACE - Nat		C	New York
H3321	CMS Casework Communication Contact	Executive Director		Button	Stephanie		1-315-452-5800				1-315-459-7113	sbutton@lorettosystem.org	109 Lawrence Rd East		North Syracuse	NY	13212	8/16/2017	2026	"LORETTO INDEPENDENT LIVING SERVICES, INC."	National PACE	Independent Living Srvcs Of Central Ny	National PACE		Loretto Management Corporation	837	Yes	Active					PACE - Nat		C	New York
H3321	Coordination of Benefits Contact	Compliance Officer/Med Rec Dir		Nutting	Barbara		1-315-413-3126				1-315-469-4737	bnutting@lorettosystem.org	109 Lawrence Road East		North Syracuse	NY	13212	4/7/2022	2026	"LORETTO INDEPENDENT LIVING SERVICES, INC."	National PACE	Independent Living Srvcs Of Central Ny	National PACE		Loretto Management Corporation	837	Yes	Active					PACE - Nat		C	New York
H3321	Customer Service Operations Contact	Marketing Director	Mrs.	Natoli	Tammy		1-315-413-4579				1-315-459-7113	tnatoli@lorettosystem.org	109 Lawrence Road East		North Syracuse	NY	13212	5/3/2022	2026	"LORETTO INDEPENDENT LIVING SERVICES, INC."	National PACE	Independent Living Srvcs Of Central Ny	National PACE		Loretto Management Corporation	837	Yes	Active					PACE - Nat		C	New York
H3321	Government Relations Contact	Executive Director	Mrs.	Button	Stephanie		1-315-413-3437				1-315-703-3599	sbutton@lorettosystem.org	109 Lawrence Road East		North Syracuse	NY	13212	8/29/2022	2026	"LORETTO INDEPENDENT LIVING SERVICES, INC."	National PACE	Independent Living Srvcs Of Central Ny	National PACE		Loretto Management Corporation	837	Yes	Active					PACE - Nat		C	New York
H3321	Medicare Compliance Officer	Compliance Officer/ Med Rec Dir	Ms	Nutting	Barbara		1-315-413-3126				1-315-469-4737	bnutting@lorettosystem.org	100 Malta Lane		North Syracuse	NY	13212	2/24/2022	2026	"LORETTO INDEPENDENT LIVING SERVICES, INC."	National PACE	Independent Living Srvcs Of Central Ny	National PACE		Loretto Management Corporation	837	Yes	Active					PACE - Nat		C	New York
H3321	Part D Exceptions Contact	Director of Quality Management		Barrington	Michele							mbarrington@lorettosystem.org	109 Lawrence Road East		North Syracuse	NY	13212	8/29/2022	2026	"LORETTO INDEPENDENT LIVING SERVICES, INC."	National PACE	Independent Living Srvcs Of Central Ny	National PACE		Loretto Management Corporation	837	Yes	Active	1-888-728-7223				PACE - Nat		C	New York
H3321	Pharmacy Network Management Contact	Director of Quality Management	Ms.	Barrington	Michele		1-315-413-4595					mbarrington@lorettosystem.org	100 Malta Lane		North Syracuse	NY	13212	8/29/2022	2026	"LORETTO INDEPENDENT LIVING SERVICES, INC."	National PACE	Independent Living Srvcs Of Central Ny	National PACE		Loretto Management Corporation	837	Yes	Active					PACE - Nat		C	New York
H3321	Pharmacy Technical Help Desk Contact	Medical Director		Heisig	David							dheisig@lorettosystem.org	109 Lawrence Road		North Syracuse	NY	13212	2/24/2022	2026	"LORETTO INDEPENDENT LIVING SERVICES, INC."	National PACE	Independent Living Srvcs Of Central Ny	National PACE		Loretto Management Corporation	837	Yes	Active	1-888-728-7223				PACE - Nat		C	New York
H3321	Plan to Plan Reconciliation Contact	Director of Quality Management	Ms.	Barrington	Michele		1-315-413-4595				1-315-703-3599	mbarrington@lorettosystem.org	109 Lawrence Road East		North Syracuse	NY	13212	8/29/2022	2026	"LORETTO INDEPENDENT LIVING SERVICES, INC."	National PACE	Independent Living Srvcs Of Central Ny	National PACE		Loretto Management Corporation	837	Yes	Active					PACE - Nat		C	New York
H3322	Automated TrOOP Balance Transfer Contact	Finance Supervisor	Ms.	Wittman	Michele		1-518-270-1734				1-518-274-1829	Michele.Wittman@sphp.com	1938 Curry Road		Schenectady	NY	12303	1/3/2021	2026	"SENIOR CARE CONNECTION, INC."	National PACE	Eddy SeniorCare	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H3322	Best Available Evidence Contact	Finance Supervisor	Ms.	Wittman	Michele		1-518-270-1734				1-518-274-1829	Michele.Wittman@sphp.com	1938 Curry Road		Schenectady	NY	12303	1/3/2021	2026	"SENIOR CARE CONNECTION, INC."	National PACE	Eddy SeniorCare	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H3322	Chief Financial Officer	Finance Manager	Mrs.	Kaufmann	Lisa		1-518-279-5672				1-518-274-1829	lisa.kaufmann@sphp.com	Eddy SeniorCare	"433 River Street, 3rd Floor"	Troy	NY	12180	10/29/2024	2026	"SENIOR CARE CONNECTION, INC."	National PACE	Eddy SeniorCare	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H3322	CMS Casework Communication Contact	Executive Director	Mr.	Flaherty	Michael		1-518-382-3290				1-518-382-3398	Michael.Flaherty@sphp.com	1938 Curry Road		Schenectady	NY	12303	5/21/2025	2026	"SENIOR CARE CONNECTION, INC."	National PACE	Eddy SeniorCare	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H3322	Coordination of Benefits Contact	Finance Supervisor	Ms.	Wittman	Michele		1-518-270-1734				1-518-274-1829	Michele.Wittman@sphp.com	1938 Curry Road		Schenectady	NY	12303	1/14/2025	2026	"SENIOR CARE CONNECTION, INC."	National PACE	Eddy SeniorCare	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H3322	Customer Service Operations Contact	Executive Director	Mr.	Flaherty	Michael		1-518-382-3290				1-518-382-3398	Michael.Flaherty@sphp.com	1938 Curry Road		Schenectady	NY	12303	5/21/2025	2026	"SENIOR CARE CONNECTION, INC."	National PACE	Eddy SeniorCare	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H3322	Government Relations Contact	Executive Director	Ms.	Mazzacco	Michelle		1-518-669-2694				1-518-382-3398	Michelle.Mazzacco@sphp.com	1938 Curry Road		Schenectady	NY	12303	9/20/2020	2026	"SENIOR CARE CONNECTION, INC."	National PACE	Eddy SeniorCare	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H3322	Medicare Compliance Officer	Compliance Liaison	Mr.	Flaherty	Michael		1-518-382-3290					Michael.Flaherty@sphp.com	1938 Curry Road		Schenectady	NY	12303	5/26/2026	2026	"SENIOR CARE CONNECTION, INC."	National PACE	Eddy SeniorCare	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H3322	Part D Exceptions Contact	Finance Supervisor	Ms.	Wittman	Michele						1-518-274-1829	Michele.Wittman@sphp.com	1938 Curry Road		Schenectady	NY	12303	1/3/2021	2026	"SENIOR CARE CONNECTION, INC."	National PACE	Eddy SeniorCare	National PACE		Trinity Health Corporation	234	Yes	Active	1-855-376-7888				PACE - Nat		C	New York
H3322	Pharmacy Network Management Contact	Executive Director		Flaherty	Michael		1-518-382-3290				1-518-382-3398	Michael.Flaherty@sphp.com	1938 Curry Road		Schenectady	NY	12303	1/30/2026	2026	"SENIOR CARE CONNECTION, INC."	National PACE	Eddy SeniorCare	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H3322	Pharmacy Technical Help Desk Contact	Executive Director	Mr.	Flaherty	Michael						1-518-382-3398	Michael.Flaherty@sphp.com	1938 Curry Road		Schenectady	NY	12303	12/24/2025	2026	"SENIOR CARE CONNECTION, INC."	National PACE	Eddy SeniorCare	National PACE		Trinity Health Corporation	234	Yes	Active	1-855-376-7888				PACE - Nat		C	New York
H3322	Plan to Plan Reconciliation Contact	Finance Supervisor	Ms.	Wittman	Michele		1-518-270-1734				1-518-274-1829	Michele.Wittman@sphp.com	1938 Curry Road		Schenectady	NY	12303	1/3/2021	2026	"SENIOR CARE CONNECTION, INC."	National PACE	Eddy SeniorCare	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H3329	Automated TrOOP Balance Transfer Contact	Medicare Part D Project Manager		Rivera-Aquino	Denisse		1-858-291-5269					partdcat@medimpact.com	136-65 37th Ave.		Flushing	NY	11354	1/3/2023	2026	"CENTERLIGHT HEALTHCARE, INC."	National PACE	CenterLight Healthcare PACE	National PACE		"CenterLight Health System, Inc."	65	Yes	Active					PACE - Nat		C	New York
H3329	Best Available Evidence Contact	CFO	Ms.	Tirtasaputra	Leny		1-347-501-2901					ltirtasaputra@centerlight.org	136-65 37th Ave		Flushing	NY	11354	5/11/2022	2026	"CENTERLIGHT HEALTHCARE, INC."	National PACE	CenterLight Healthcare PACE	National PACE		"CenterLight Health System, Inc."	65	Yes	Active					PACE - Nat		C	New York
H3329	Chief Financial Officer	CFO	Ms..	Tirtasaputra	Leny		1-347-501-2901					ltirtasaputra@centerlight.org	136-65 37th Ave		Flushing	NY	11354	5/11/2022	2026	"CENTERLIGHT HEALTHCARE, INC."	National PACE	CenterLight Healthcare PACE	National PACE		"CenterLight Health System, Inc."	65	Yes	Active					PACE - Nat		C	New York
H3329	CMS Casework Communication Contact	SVP of Quality	Ms.	St Fleur	Gilda		1-347-387-7782					gstfleur@centerlight.org	136-65 37th Ave		Flushing	NY	11354	8/21/2025	2026	"CENTERLIGHT HEALTHCARE, INC."	National PACE	CenterLight Healthcare PACE	National PACE		"CenterLight Health System, Inc."	65	Yes	Active					PACE - Nat		C	New York
H3329	Coordination of Benefits Contact	Chief Executive Officer	Mrs.	Buonocore-Rut	Tara		1-646-483-1796					tbrut@centerlight.org	136-65 37th Ave		Flushing	NY	11354	5/11/2022	2026	"CENTERLIGHT HEALTHCARE, INC."	National PACE	CenterLight Healthcare PACE	National PACE		"CenterLight Health System, Inc."	65	Yes	Active					PACE - Nat		C	New York
H3329	Customer Service Operations Contact	VP of Operations	Ms.	Tabakovic	Emina		1-347-920-6110				1-617-223-6932	etabakovic@centerlight.org	136-65 37th Ave		Flushing	NY	11354	5/11/2022	2026	"CENTERLIGHT HEALTHCARE, INC."	National PACE	CenterLight Healthcare PACE	National PACE		"CenterLight Health System, Inc."	65	Yes	Active					PACE - Nat		C	New York
H3329	Government Relations Contact	Director Of Compliance	Mr.	Fairweather	Adrian		1-929-505-1346					afairweather@centerlight.org	136-65 37th Avenue		Flushing	NY	11354	5/11/2022	2026	"CENTERLIGHT HEALTHCARE, INC."	National PACE	CenterLight Healthcare PACE	National PACE		"CenterLight Health System, Inc."	65	Yes	Active					PACE - Nat		C	New York
H3329	Medicare Compliance Officer	Chief Compliance Officer	Ms	Nelson Jones	Alicia		1-347-443-0157					anjones@centerlight.org	136-65 37th Ave		Flushing	NY	11354	5/11/2022	2026	"CENTERLIGHT HEALTHCARE, INC."	National PACE	CenterLight Healthcare PACE	National PACE		"CenterLight Health System, Inc."	65	Yes	Active					PACE - Nat		C	New York
H3329	Part D Exceptions Contact	Director of PA & UM Programs	Ms.	Emoto	Julianne							julianne.emoto@medimpact.com	136-65 37th Ave.		Flushing	NY	11354	1/3/2023	2026	"CENTERLIGHT HEALTHCARE, INC."	National PACE	CenterLight Healthcare PACE	National PACE		"CenterLight Health System, Inc."	65	Yes	Active	1-858-790-5846				PACE - Nat		C	New York
H3329	Pharmacy Network Management Contact	Pharmacy Director	Ms.	Jing	Shu		1-917-697-7979					sjing@centerlight.org	136-65 37th Ave		Flushing	NY	11354	5/11/2022	2026	"CENTERLIGHT HEALTHCARE, INC."	National PACE	CenterLight Healthcare PACE	National PACE		"CenterLight Health System, Inc."	65	Yes	Active					PACE - Nat		C	New York
H3329	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"		Brewer	Kathy							customerservice@medimpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	1/24/2023	2026	"CENTERLIGHT HEALTHCARE, INC."	National PACE	CenterLight Healthcare PACE	National PACE		"CenterLight Health System, Inc."	65	Yes	Active	1-844-336-2681				PACE - Nat		C	New York
H3329	Plan to Plan Reconciliation Contact	Sr. Accountant		Barsamyan	Anahit		1-201-655-5825					abarsamyan@centerlight.org	136-65 37th Ave		Flushing	NY	11354	5/11/2022	2026	"CENTERLIGHT HEALTHCARE, INC."	National PACE	CenterLight Healthcare PACE	National PACE		"CenterLight Health System, Inc."	65	Yes	Active					PACE - Nat		C	New York
H3330	Automated TrOOP Balance Transfer Contact	"Dir., Enrollment & Billing"		Ewen	Jillian		1-860-674-5780					JEwen@emblemhealth.com	55 Water St		New York	NY	10041	6/25/2021	2026	HEALTH INSURANCE PLAN OF GREATER NEW YORK	Local CCP	EmblemHealth	HMO/HMOPOS		"EmblemHealth, Inc."	361	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3330	Best Available Evidence Contact	"Dir., Enrollment & Billing"		Ewen	Jillian		1-860-674-5780					jewen@emblemhealth.com	55 Water Street		New York	NY	10041	5/24/2023	2026	HEALTH INSURANCE PLAN OF GREATER NEW YORK	Local CCP	EmblemHealth	HMO/HMOPOS		"EmblemHealth, Inc."	361	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3330	Chief Financial Officer	Chief Financial Officer	Ms.	Tamborino	Heather		1-646-447-6174					htamborino@emblemhealth.com	55 Water Street		New York	NY	10041	7/2/2020	2026	HEALTH INSURANCE PLAN OF GREATER NEW YORK	Local CCP	EmblemHealth	HMO/HMOPOS		"EmblemHealth, Inc."	361	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3330	CMS Casework Communication Contact	"Dir., G & A and Pharmacy Ops."		Marie	Jacqueline	A	1-646-447-7215				1-212-510-8130	jmarie@emblemhealth.com	55 Water Street		New York	NY	10041	7/22/2022	2026	HEALTH INSURANCE PLAN OF GREATER NEW YORK	Local CCP	EmblemHealth	HMO/HMOPOS		"EmblemHealth, Inc."	361	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3330	Coordination of Benefits Contact	"AVP, Provider Claim Resolution"		Maxwell	Christine		1-860-674-5751					cmaxwell@connecticare.com	175 Scott Swamp Road		Farmington	CT	06032	12/16/2024	2026	HEALTH INSURANCE PLAN OF GREATER NEW YORK	Local CCP	EmblemHealth	HMO/HMOPOS		"EmblemHealth, Inc."	361	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3330	Customer Service Operations Contact	VP Customer Service		Tirado	Nicole		1-518-446-6981					ntirado@emblemhealth.com	80 Wolf Road		Albany	NY	12205	2/10/2025	2026	HEALTH INSURANCE PLAN OF GREATER NEW YORK	Local CCP	EmblemHealth	HMO/HMOPOS		"EmblemHealth, Inc."	361	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3330	Government Relations Contact	"Dir., Govt. Program Regulatory/MCO"		Genovese-Scullin	Anthony		1-646-447-7110					agenovese@emblemhealth.com	55 Water Street		New York	NY	10041	12/3/2025	2026	HEALTH INSURANCE PLAN OF GREATER NEW YORK	Local CCP	EmblemHealth	HMO/HMOPOS		"EmblemHealth, Inc."	361	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3330	Hospice Contact	Pharm. Govt. Programs Manager		Der Weer	J'Nisha		1-786-918-6890					jderweer@emblemhealth.com	55 Water Street		New York	NY	10041	12/22/2023	2026	HEALTH INSURANCE PLAN OF GREATER NEW YORK	Local CCP	EmblemHealth	HMO/HMOPOS		"EmblemHealth, Inc."	361	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3330	Medicare Compliance Officer	"Dir., Govt. Program Regulatory/MCO"	Mr.	Genovese-Scullin	Anthony		1-646-447-7110					agenovese@emblemhealth.com	55 Water Street		New York	NY	10041	12/3/2025	2026	HEALTH INSURANCE PLAN OF GREATER NEW YORK	Local CCP	EmblemHealth	HMO/HMOPOS		"EmblemHealth, Inc."	361	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3330	Part D Exceptions Contact	Pharmacy Client Ops Director		Der Weer	J'Nisha							jderweer@emblemhealth.com	55 Water street		New York	NY	10041	10/10/2025	2026	HEALTH INSURANCE PLAN OF GREATER NEW YORK	Local CCP	EmblemHealth	HMO/HMOPOS		"EmblemHealth, Inc."	361	Yes	Active	1-646-447-7198				HMO - Health Maintenance Organization		C	New York
H3330	Pharmacy Network Management Contact	Pharm. Govt. Programs Manager		Der Weer	J'Nisha		1-786-918-6890					jderweer@emblemhealth.com	55 Water Street		New York	NY	10041	10/10/2025	2026	HEALTH INSURANCE PLAN OF GREATER NEW YORK	Local CCP	EmblemHealth	HMO/HMOPOS		"EmblemHealth, Inc."	361	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3330	Pharmacy Technical Help Desk Contact	Dir Service Delivery		Sebastian	Marissa							marissa.sebastian@primetherapeutics.com	2900 Ames Crossing Road	#200	Eagan	MN	55121	1/8/2026	2026	HEALTH INSURANCE PLAN OF GREATER NEW YORK	Local CCP	EmblemHealth	HMO/HMOPOS		"EmblemHealth, Inc."	361	Yes	Active	1-866-799-7781				HMO - Health Maintenance Organization		C	New York
H3330	Plan to Plan Reconciliation Contact	Accounts Payable Manager		Siozios	Jacqueline		1-646-447-3017					jsiozios@emblemhealth.com	55 Water Street		New York	NY	10041	8/16/2022	2026	HEALTH INSURANCE PLAN OF GREATER NEW YORK	Local CCP	EmblemHealth	HMO/HMOPOS		"EmblemHealth, Inc."	361	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3331	Automated TrOOP Balance Transfer Contact	Pharmacy Administrative Coordinator	Ms.	Murray	Sarah		1-585-922-0080					Sarah.Murray@rochesterregional.org	330 Monroe Ave.		Rochester	NY	14607	6/4/2026	2026	"INDEPENDENT LIVING FOR SENIORS, INC."	National PACE	ElderONE an Affiliate of Rochester Regional Health	National PACE		Rochester Regional Health	132	Yes	Active					PACE - Nat		C	New York
H3331	Best Available Evidence Contact	Vice President	Mr.	Vinnik	Denis		1-585-671-4300					Denis.Vinnik@rochesterregional.org	330 Monroe Ave.		Rochester	NY	14607	6/4/2026	2026	"INDEPENDENT LIVING FOR SENIORS, INC."	National PACE	ElderONE an Affiliate of Rochester Regional Health	National PACE		Rochester Regional Health	132	Yes	Active					PACE - Nat		C	New York
H3331	Chief Financial Officer	"CFO, Extended Acute Care Services"	Mr.	Caprino	Albert		1-585-922-1796					Albert.Caprino@rochesterregional.org	100 Kings Highway		Rochester	NY	14617	12/22/2022	2026	"INDEPENDENT LIVING FOR SENIORS, INC."	National PACE	ElderONE an Affiliate of Rochester Regional Health	National PACE		Rochester Regional Health	132	Yes	Active					PACE - Nat		C	New York
H3331	CMS Casework Communication Contact	Regulatory Compliance Specialist		Moore	Gia		1-585-922-9913					Gia.Moore@rochesterregional.org	330 Monroe Ave.		Rochester	NY	14607	6/4/2026	2026	"INDEPENDENT LIVING FOR SENIORS, INC."	National PACE	ElderONE an Affiliate of Rochester Regional Health	National PACE		Rochester Regional Health	132	Yes	Active					PACE - Nat		C	New York
H3331	Coordination of Benefits Contact	Pharmacy Administrative Coordinator	Ms.	Murray	Sarah		1-585-922-0080					Sarah.Murray@rochesterregional.org	330 Monroe Ave.		Rochester	NY	14607	6/4/2026	2026	"INDEPENDENT LIVING FOR SENIORS, INC."	National PACE	ElderONE an Affiliate of Rochester Regional Health	National PACE		Rochester Regional Health	132	Yes	Active					PACE - Nat		C	New York
H3331	Customer Service Operations Contact	Regulatory Compliance Specialist		Moore	Gia		1-585-922-9913					Gia.Moore@rochesterregional.org	330 Monroe Ave.		Rochester	NY	14607	6/4/2026	2026	"INDEPENDENT LIVING FOR SENIORS, INC."	National PACE	ElderONE an Affiliate of Rochester Regional Health	National PACE		Rochester Regional Health	132	Yes	Active					PACE - Nat		C	New York
H3331	Government Relations Contact	Regulatory Compliance Specialist		Moore	Gia		1-585-922-9913					Gia.Moore@rochesterregional.org	330 Monroe Ave.		Rochester	NY	14607	6/4/2026	2026	"INDEPENDENT LIVING FOR SENIORS, INC."	National PACE	ElderONE an Affiliate of Rochester Regional Health	National PACE		Rochester Regional Health	132	Yes	Active					PACE - Nat		C	New York
H3331	Medicare Compliance Officer	"Manager, Corporate Compliance"	Ms	Marciano	Sheila		1-585-922-4749					Sheila.marciano@rochesterregional.org	100 Kings Highway		Rochester	NY	14617	2/15/2024	2026	"INDEPENDENT LIVING FOR SENIORS, INC."	National PACE	ElderONE an Affiliate of Rochester Regional Health	National PACE		Rochester Regional Health	132	Yes	Active					PACE - Nat		C	New York
H3331	Part D Exceptions Contact	Medical Director	Dr.	Ryan	Stephen						1-585-922-2855	stephen.ryan@rochesterregional.org	330 Monroe Ave.		Rochester	NY	14607	6/4/2026	2026	"INDEPENDENT LIVING FOR SENIORS, INC."	National PACE	ElderONE an Affiliate of Rochester Regional Health	National PACE		Rochester Regional Health	132	Yes	Active	1-855-457-4636				PACE - Nat		C	New York
H3331	Pharmacy Network Management Contact	Provider Network Coordinator	Mr.	Mastrella	Frank		1-585-922-2828					Frank.Mastrella@rochesterregional.org	330 Monroe Ave.		Rochester	NY	14607	6/4/2026	2026	"INDEPENDENT LIVING FOR SENIORS, INC."	National PACE	ElderONE an Affiliate of Rochester Regional Health	National PACE		Rochester Regional Health	132	Yes	Active					PACE - Nat		C	New York
H3331	Pharmacy Technical Help Desk Contact	Administrative Pharmacy Coordinator	Ms.	Murray	Sarah							Sarah.Murray@rochesterregional.org	330 Monroe Ave.		Rochester	NY	14607	6/4/2026	2026	"INDEPENDENT LIVING FOR SENIORS, INC."	National PACE	ElderONE an Affiliate of Rochester Regional Health	National PACE		Rochester Regional Health	132	Yes	Active	1-585-922-0080				PACE - Nat		C	New York
H3331	Plan to Plan Reconciliation Contact	Pharmacy Administrative Coordinator	Ms.	Murray	Sarah		1-585-922-0080					Sarah.Murray@rochesterregional.org	330 Monroe Ave.		Rochester	NY	14607	6/4/2026	2026	"INDEPENDENT LIVING FOR SENIORS, INC."	National PACE	ElderONE an Affiliate of Rochester Regional Health	National PACE		Rochester Regional Health	132	Yes	Active					PACE - Nat		C	New York
H3335	Automated TrOOP Balance Transfer Contact	"Supervisor, Medicare Operations"		Matecki	Lisa		1-716-614-5722					Lisa.Matecki@excellus.com	205 Park Club Lane		Williamsville	NY	14221	1/22/2024	2026	"EXCELLUS HEALTH PLAN, INC."	Local CCP	"Excellus Health Plan, Inc"	Local PPO		"Lifetime Healthcare, Inc."	87	Yes	Active					PPO - BBA		C	Chicago
H3335	Best Available Evidence Contact	Supervisor Medicare Operations		Piershalski	Dana		1-716-857-4435				1-716-857-6160	medicare.reconciliation.unit@excellus.com	205 Park Club Lane		Buffalo	NY	14221	1/18/2022	2026	"EXCELLUS HEALTH PLAN, INC."	Local CCP	"Excellus Health Plan, Inc"	Local PPO		"Lifetime Healthcare, Inc."	87	Yes	Active					PPO - BBA		C	Chicago
H3335	Chief Financial Officer	Executive Vice President & Chief Financial Officer	Mr.	Gorecki	Christophe	M	1-480-993-5254					Christopher.Gorecki@excellus.com	165 Court Street		Rochester	NY	14647	1/18/2022	2026	"EXCELLUS HEALTH PLAN, INC."	Local CCP	"Excellus Health Plan, Inc"	Local PPO		"Lifetime Healthcare, Inc."	87	Yes	Active					PPO - BBA		C	Chicago
H3335	CMS Casework Communication Contact	Medicare Compliance Program Administrator		Gomez	Rafael		1-716-857-6226					Advocacy.Department@excellus.com	205 Park Club Lane		Buffalo	NY	14221	4/7/2025	2026	"EXCELLUS HEALTH PLAN, INC."	Local CCP	"Excellus Health Plan, Inc"	Local PPO		"Lifetime Healthcare, Inc."	87	Yes	Active					PPO - BBA		C	Chicago
H3335	Coordination of Benefits Contact	"Manager, Analysis and Recovery"		May	Mary		1-315-792-8873					Mary.May@excellus.com	301 Woods Park Drive	Suite 201	Clinton	NY	13323	5/22/2024	2026	"EXCELLUS HEALTH PLAN, INC."	Local CCP	"Excellus Health Plan, Inc"	Local PPO		"Lifetime Healthcare, Inc."	87	Yes	Active					PPO - BBA		C	Chicago
H3335	Customer Service Operations Contact	"Vice President, Customer Care"		Levi	Alexander		1-585-399-6683					Alexander.Levi@excellus.com	165 Court Street		Rochester	NY	14647	1/22/2024	2026	"EXCELLUS HEALTH PLAN, INC."	Local CCP	"Excellus Health Plan, Inc"	Local PPO		"Lifetime Healthcare, Inc."	87	Yes	Active					PPO - BBA		C	Chicago
H3335	Government Relations Contact	Chief Compliance Officer	Mrs.	Dibble	Laura		1-585-339-7745					Laura.Dibble@excellus.com	165 Court St.		Rochester	NY	14647	1/15/2026	2026	"EXCELLUS HEALTH PLAN, INC."	Local CCP	"Excellus Health Plan, Inc"	Local PPO		"Lifetime Healthcare, Inc."	87	Yes	Active					PPO - BBA		C	Chicago
H3335	Hospice Contact	"Director, Pharmacy Utilization Management"		Khan	Joe		1-716-843-7881					Joe.Khan@univerahealthcare.com	205 Park Club Lane		Buffalo	NY	14221	1/22/2024	2026	"EXCELLUS HEALTH PLAN, INC."	Local CCP	"Excellus Health Plan, Inc"	Local PPO		"Lifetime Healthcare, Inc."	87	Yes	Active					PPO - BBA		C	Chicago
H3335	Medicare Compliance Officer	Chief Compliance Officer	Mrs.	Dibble	Laura		1-585-339-7745					Laura.Dibble@excellus.com	165 Court St.		Rochester	NY	14647	1/15/2026	2026	"EXCELLUS HEALTH PLAN, INC."	Local CCP	"Excellus Health Plan, Inc"	Local PPO		"Lifetime Healthcare, Inc."	87	Yes	Active					PPO - BBA		C	Chicago
H3335	Part D Exceptions Contact	"Director, Pharmacy Utiization Management"		Khan	Joe							Joe.Khan@univerahealthcare.com	205 Park Club Lane		Buffalo	NY	14221	1/22/2024	2026	"EXCELLUS HEALTH PLAN, INC."	Local CCP	"Excellus Health Plan, Inc"	Local PPO		"Lifetime Healthcare, Inc."	87	Yes	Active	1-716-843-7881				PPO - BBA		C	Chicago
H3335	Pharmacy Network Management Contact	Pharmacy Operations Support		Brown	Burt		1-585-327-7530				1-585-339-6640	Burt.Brown@excellus.com	165 Court Street		Rochester	NY	14647	1/18/2022	2026	"EXCELLUS HEALTH PLAN, INC."	Local CCP	"Excellus Health Plan, Inc"	Local PPO		"Lifetime Healthcare, Inc."	87	Yes	Active					PPO - BBA		C	Chicago
H3335	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	13051 N. Telecom Pkway	Ste 150	Temple Terrace	FL	33637	11/19/2021	2026	"EXCELLUS HEALTH PLAN, INC."	Local CCP	"Excellus Health Plan, Inc"	Local PPO		"Lifetime Healthcare, Inc."	87	Yes	Active	1-800-922-1557				PPO - BBA		C	Chicago
H3335	Plan to Plan Reconciliation Contact	"Manager, Finance Operations"		Simmons	Jennifer		1-585-649-2768					Jennifer.Simmons@excellus.com	165 Court Street		Rochester	NY	14647	1/22/2024	2026	"EXCELLUS HEALTH PLAN, INC."	Local CCP	"Excellus Health Plan, Inc"	Local PPO		"Lifetime Healthcare, Inc."	87	Yes	Active					PPO - BBA		C	Chicago
H3344	Automated TrOOP Balance Transfer Contact	Vice President - Pharmacy		Verrall	Kelly		1-716-635-4885					Kelly.Verrall@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	1/31/2025	2026	INDEPENDENT HEALTH BENEFITS CORPORATION	Local CCP	Independent Health	Local PPO		"Independent Health Association, Inc."	131	Yes	Active					PPO - BBA		C	Dallas
H3344	Best Available Evidence Contact	Manager - Enrollment Operations		Sell	Melanie		1-716-250-7321				1-716-250-7162	melanie.sell@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	11/9/2017	2026	INDEPENDENT HEALTH BENEFITS CORPORATION	Local CCP	Independent Health	Local PPO		"Independent Health Association, Inc."	131	Yes	Active					PPO - BBA		C	Dallas
H3344	Chief Financial Officer	Executive Vice President - Chief Financial Officer	Mr.	Gross	Jared		1-716-635-3516					Jared.Gross@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	3/11/2024	2026	INDEPENDENT HEALTH BENEFITS CORPORATION	Local CCP	Independent Health	Local PPO		"Independent Health Association, Inc."	131	Yes	Active					PPO - BBA		C	Dallas
H3344	CMS Casework Communication Contact	Manager Enrollment Operations		Sell	Melanie		1-716-250-7321				1-716-250-7162	melanie.sell@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	11/9/2017	2026	INDEPENDENT HEALTH BENEFITS CORPORATION	Local CCP	Independent Health	Local PPO		"Independent Health Association, Inc."	131	Yes	Active					PPO - BBA		C	Dallas
H3344	Coordination of Benefits Contact	Manager - Corporate Recoveries		Abou-Said	Kelly		1-716-635-3758					Kelly.Abou-Said@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	4/7/2022	2026	INDEPENDENT HEALTH BENEFITS CORPORATION	Local CCP	Independent Health	Local PPO		"Independent Health Association, Inc."	131	Yes	Active					PPO - BBA		C	Dallas
H3344	Customer Service Operations Contact	Manager - Servicing		Plotner	Jenna		1-716-250-4424					Jenna.Plotner@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	12/22/2021	2026	INDEPENDENT HEALTH BENEFITS CORPORATION	Local CCP	Independent Health	Local PPO		"Independent Health Association, Inc."	131	Yes	Active					PPO - BBA		C	Dallas
H3344	Government Relations Contact	SVP Government Programs		Tracy	Robert		1-716-635-4904					Robert.Tracy@independenthealth.com	511 Farber Lakes Drive		Williamsville	NY	14221	2/27/2018	2026	INDEPENDENT HEALTH BENEFITS CORPORATION	Local CCP	Independent Health	Local PPO		"Independent Health Association, Inc."	131	Yes	Active					PPO - BBA		C	Dallas
H3344	Hospice Contact	Vice President - Pharmacy		Verrall	Kelly		1-716-635-4885					Kelly.Verrall@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	1/31/2025	2026	INDEPENDENT HEALTH BENEFITS CORPORATION	Local CCP	Independent Health	Local PPO		"Independent Health Association, Inc."	131	Yes	Active					PPO - BBA		C	Dallas
H3344	Medicare Compliance Officer	Chief Compliance Officer	Mrs.	Britton	Nicole		1-716-635-4874					Nicole.Britton@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	2/20/2018	2026	INDEPENDENT HEALTH BENEFITS CORPORATION	Local CCP	Independent Health	Local PPO		"Independent Health Association, Inc."	131	Yes	Active					PPO - BBA		C	Dallas
H3344	Part D Exceptions Contact	Vice President - Pharmacy		Verrall	Kelly						1-716-631-0149	Kelly.Verrall@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	1/31/2025	2026	INDEPENDENT HEALTH BENEFITS CORPORATION	Local CCP	Independent Health	Local PPO		"Independent Health Association, Inc."	131	Yes	Active	1-800-247-1466	5311			PPO - BBA		C	Dallas
H3344	Pharmacy Network Management Contact	Vice President - Pharmacy		Verrall	Kelly		1-716-635-4885					Kelly.Verrall@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	1/31/2025	2026	INDEPENDENT HEALTH BENEFITS CORPORATION	Local CCP	Independent Health	Local PPO		"Independent Health Association, Inc."	131	Yes	Active					PPO - BBA		C	Dallas
H3344	Pharmacy Technical Help Desk Contact	"Manager, Provider and Member Services"		Dandridge	Tinika							script@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	12/2/2025	2026	INDEPENDENT HEALTH BENEFITS CORPORATION	Local CCP	Independent Health	Local PPO		"Independent Health Association, Inc."	131	Yes	Active	1-800-993-9898				PPO - BBA		C	Dallas
H3344	Plan to Plan Reconciliation Contact	Pharmacy Systems Gov. Programs Manager		Miszuk	Jane		1-716-635-7857					Jane.Miszuk@pbdrx.com	511 Farber Lakes Drive		Buffalo	NY	14221	4/11/2019	2026	INDEPENDENT HEALTH BENEFITS CORPORATION	Local CCP	Independent Health	Local PPO		"Independent Health Association, Inc."	131	Yes	Active					PPO - BBA		C	Dallas
H3347	Automated TrOOP Balance Transfer Contact	Director Pharmacy Services		Sahani	Ankit		1-718-921-8841					asahani@mjhs.org	55 Water Street	46th Floor	New York	NY	10041	2/3/2026	2026	"ELDERPLAN, INC."	Local CCP	Elderplan	HMO/HMOPOS		"Elderplan, Inc."	395	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3347	Best Available Evidence Contact	Director of Member Operations		Lewis	Alison		1-718-630-2608				1-718-630-1709	alewis@mjhs.org	55 Water Street	46th Floor	New York	NY	10041	1/9/2024	2026	"ELDERPLAN, INC."	Local CCP	Elderplan	HMO/HMOPOS		"Elderplan, Inc."	395	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3347	Chief Financial Officer	Chief Financial Officer	Mr.	Koschitzki	David		1-718-491-7208					dkoschit@mjhs.org	55 Water Street	46th Floor	New York	NY	10041	10/4/2023	2026	"ELDERPLAN, INC."	Local CCP	Elderplan	HMO/HMOPOS		"Elderplan, Inc."	395	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3347	CMS Casework Communication Contact	SVP of Compliance & Privacy		Weatherly	Candice		1-718-759-4260					cweather@mjhs.org	55 Water Street	46th Floor	New York	NY	10041	2/2/2026	2026	"ELDERPLAN, INC."	Local CCP	Elderplan	HMO/HMOPOS		"Elderplan, Inc."	395	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3347	Coordination of Benefits Contact	Director of Member Operations		Lewis	Alison		1-718-630-2608				1-718-630-1709	alewis@mjhs.org	55 Water Street	46th Floor	New York	NY	10041	1/9/2024	2026	"ELDERPLAN, INC."	Local CCP	Elderplan	HMO/HMOPOS		"Elderplan, Inc."	395	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3347	Customer Service Operations Contact	Senior Director of Member Services		Alston	Doretha		1-718-921-7830					DALSTON@MJHS.ORG	55 Water Street	46th Floor	New York	NY	10041	2/3/2026	2026	"ELDERPLAN, INC."	Local CCP	Elderplan	HMO/HMOPOS		"Elderplan, Inc."	395	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3347	Government Relations Contact	SVP of Compliance & Privacy		Weatherly	Candice		1-718-759-4260					cweather@mjhs.org	55 Water Street	46th Floor	New York	NY	10041	2/2/2026	2026	"ELDERPLAN, INC."	Local CCP	Elderplan	HMO/HMOPOS		"Elderplan, Inc."	395	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3347	Hospice Contact	"SVP, Pharmacy"		Ference	Eunice		1-718-630-2691					eference@mjhs.org	55 Water Street	46th Floor	New York	NY	10041	2/3/2026	2026	"ELDERPLAN, INC."	Local CCP	Elderplan	HMO/HMOPOS		"Elderplan, Inc."	395	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3347	Medicare Compliance Officer	SVP of Compliance & Privacy	Ms.	Weatherly	Candice		1-718-759-4260					cweather@mjhs.org	55 Water Street	46th Floor	New York	NY	10041	2/2/2026	2026	"ELDERPLAN, INC."	Local CCP	Elderplan	HMO/HMOPOS		"Elderplan, Inc."	395	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3347	Part D Exceptions Contact	"SVP, Pharmacy"		Ference	Eunice							eference@mjhs.org	55 Water Street	46th Floor	New York	NY	10041	2/3/2026	2026	"ELDERPLAN, INC."	Local CCP	Elderplan	HMO/HMOPOS		"Elderplan, Inc."	395	Yes	Active	1-718-630-2691				HMO - Health Maintenance Organization		C	New York
H3347	Pharmacy Network Management Contact	"SVP, Pharmacy"		Ference	Eunice		1-718-630-2691					eference@mjhs.org	55 Water Street	46th Floor	New York	NY	10041	2/3/2026	2026	"ELDERPLAN, INC."	Local CCP	Elderplan	HMO/HMOPOS		"Elderplan, Inc."	395	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3347	Pharmacy Technical Help Desk Contact	AVP Customer Care		Jackson	Scott							scott.jackson@cvshealth.com	CVS Caremark	1 CVS Drive	Woonsocket	RI	02895	12/20/2024	2026	"ELDERPLAN, INC."	Local CCP	Elderplan	HMO/HMOPOS		"Elderplan, Inc."	395	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H3347	Plan to Plan Reconciliation Contact	AVP of Risk Adjustment		Mohanakrishnan	Meera		1-929-355-6494					mmohanak@mjhs.org	55 Water Street	46th Floor	New York	NY	10041	1/21/2025	2026	"ELDERPLAN, INC."	Local CCP	Elderplan	HMO/HMOPOS		"Elderplan, Inc."	395	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3351	Automated TrOOP Balance Transfer Contact	"Supervisor, Medicare Operations"		Matecki	Lisa		1-716-614-5722					Lisa.Matecki@excellus.com	205 Park Club Lane		Williamsville	NY	14221	1/22/2024	2026	"EXCELLUS HEALTH PLAN, INC."	Local CCP	"Excellus Health Plan, Inc"	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3351	Best Available Evidence Contact	Supervisor Medicare Operations		Piershalski	Dana		1-716-857-4435				1-716-857-6160	medicare.reconciliation.unit@excellus.com	205 Park Club Lane		Buffalo	NY	14221	1/22/2024	2026	"EXCELLUS HEALTH PLAN, INC."	Local CCP	"Excellus Health Plan, Inc"	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3351	Chief Financial Officer	Executive Vice President & Chief Financial Officer	Mr.	Gorecki	Christophe	M	1-480-993-5254					Christopher.Gorecki@excellus.com	165 Court Street		Rochester	NY	14647	1/22/2024	2026	"EXCELLUS HEALTH PLAN, INC."	Local CCP	"Excellus Health Plan, Inc"	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3351	CMS Casework Communication Contact	Medicare Compliance Program Administrator		Gomez	Rafael		1-716-857-6226					Advocacy.Department@excellus.com	205 Park Club Lane		Buffalo	NY	14221	4/7/2025	2026	"EXCELLUS HEALTH PLAN, INC."	Local CCP	"Excellus Health Plan, Inc"	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3351	Coordination of Benefits Contact	"Manager, Analysis and Recovery"		May	Mary		1-315-792-8873					Mary.May@excellus.com	301 Woods Park Drive	Suite 201	Clinton	NY	13323	5/22/2024	2026	"EXCELLUS HEALTH PLAN, INC."	Local CCP	"Excellus Health Plan, Inc"	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3351	Customer Service Operations Contact	"Vice President, Customer Care"		Levi	Alexander		1-585-399-6683					Alexander.Levi@excellus.com	165 Court Street		Rochester	NY	14647	1/22/2024	2026	"EXCELLUS HEALTH PLAN, INC."	Local CCP	"Excellus Health Plan, Inc"	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3351	Government Relations Contact	Chief Compliance Officer	Mrs.	Dibble	Laura		1-585-339-7745					Laura.Dibble@excellus.com	165 Court St.		Rochester	NY	14647	1/15/2026	2026	"EXCELLUS HEALTH PLAN, INC."	Local CCP	"Excellus Health Plan, Inc"	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3351	Hospice Contact	"Director, Pharmacy Utilization Management"		Khan	Joe		1-716-843-7881					Joe.Khan@univerahealthcare.com	205 Park Club Lane		Buffalo	NY	14221	1/22/2024	2026	"EXCELLUS HEALTH PLAN, INC."	Local CCP	"Excellus Health Plan, Inc"	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3351	Medicare Compliance Officer	Chief Compliance Officer	Mrs.	Dibble	Laura		1-585-339-7745					Laura.Dibble@excellus.com	165 Court St.		Rochester	NY	14647	1/15/2026	2026	"EXCELLUS HEALTH PLAN, INC."	Local CCP	"Excellus Health Plan, Inc"	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3351	Part D Exceptions Contact	"Director, Pharmacy Utiization Management"		Khan	Joe							Joe.Khan@univerahealthcare.com	205 Park Club Lane		Buffalo	NY	14221	1/22/2024	2026	"EXCELLUS HEALTH PLAN, INC."	Local CCP	"Excellus Health Plan, Inc"	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active	1-716-843-7881				HMO - Health Maintenance Organization		C	Chicago
H3351	Pharmacy Network Management Contact	Pharmacy Operations Support		Brown	Burt		1-585-327-7530				1-585-339-6640	Burt.Brown@excellus.com	165 Court Street		Rochester	NY	14647	1/22/2024	2026	"EXCELLUS HEALTH PLAN, INC."	Local CCP	"Excellus Health Plan, Inc"	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3351	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	13051 N. Telecom Pkway	Ste 150	Temple Terrace	FL	33637	1/22/2024	2026	"EXCELLUS HEALTH PLAN, INC."	Local CCP	"Excellus Health Plan, Inc"	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Chicago
H3351	Plan to Plan Reconciliation Contact	"Manager, Finance Operations"		Simmons	Jennifer		1-585-649-2768					Jennifer.Simmons@excellus.com	165 Court Street		Rochester	NY	14647	1/22/2024	2026	"EXCELLUS HEALTH PLAN, INC."	Local CCP	"Excellus Health Plan, Inc"	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3359	Automated TrOOP Balance Transfer Contact	"Sr. Manager, Enrollment & Billing"	Mr.	Howell	Justin		1-646-767-5753					jhowell@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	4/22/2024	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3359	Best Available Evidence Contact	"Sr. Manager, Enrollment & Billing"	Mr.	Howell	Justin		1-646-767-5753					jhowell@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	4/22/2024	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3359	Chief Financial Officer	Chief Financial Officer	Ms.	Kang	Judy		1-718-484-5489					jkang@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	3/5/2025	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3359	CMS Casework Communication Contact	"Director, Appeal & Grievance Operations"	Mr.	Craig	Jeffrey		1-646-767-5642					jcraig@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/1/2025	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3359	Coordination of Benefits Contact	"Director, Payment Integrity Team"	Ms.	Hutchinson	Chris		1-917-698-2415					chutchinson@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	4/22/2024	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3359	Customer Service Operations Contact	"AVP,  Member Services"	Mr.	Antony	Joemon		1-212-801-1519					jantony@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3359	Government Relations Contact	"VP, Regulatory Affairs"	Ms.	Logreira	Christine		1-646-313-8967					clogreira@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	4/22/2024	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3359	Hospice Contact	"Manager, Clinical Pharmacy Benefits"	Ms.	Baja	Melodie		1-646-856-5983					mbaja@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3359	Medicare Compliance Officer	Chief Compliance Officer & Head of Internal Audit	Mr.	Hackendorn	John		1-212-453-4495					jhackendorn@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	4/22/2024	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3359	Part D Exceptions Contact	"Manager, Clinical Pharmacy Benefits"	Ms.	Baja	Melodie							mbaja@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active	1-888-260-1010				HMO - Health Maintenance Organization		C	Chicago
H3359	Pharmacy Network Management Contact	"AVP, Pharmacy Benefits Operations"	Mr.	Suri	Tarun		1-646-354-1168					tsuri@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	10/14/2024	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3359	Pharmacy Technical Help Desk Contact	AVP Customer Care	Mr.	Jackson	Scott							scott.jackson@cvshealth.com	CVS Health	"800 NW Chipman Rd, Ste 5830"	Lees Summit	MO	64063	12/20/2024	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Chicago
H3359	Plan to Plan Reconciliation Contact	"Sr. Manager, Enrollment & Billing"	Mr.	Howell	Justin		1-646-767-5753					P2P@healthfirst.org	"100 Church Street, 18th Floor"	Attn:  Treasury Department	New York	NY	10007	4/29/2025	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3362	Automated TrOOP Balance Transfer Contact	Vice President - Pharmacy		Verrall	Kelly		1-716-635-4885					Kelly.Verrall@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	1/31/2025	2026	"INDEPENDENT HEALTH ASSOCIATION, INC."	Local CCP	Independent Health	HMO/HMOPOS		"Independent Health Association, Inc."	131	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3362	Best Available Evidence Contact	Manager - Enrollment Operations		Sell	Melanie		1-716-250-7321				1-716-250-7162	melanie.sell@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	11/9/2017	2026	"INDEPENDENT HEALTH ASSOCIATION, INC."	Local CCP	Independent Health	HMO/HMOPOS		"Independent Health Association, Inc."	131	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3362	Chief Financial Officer	Executive Vice President - Chief Financial Officer	Mr.	Gross	Jared		1-716-635-3516					Jared.Gross@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	3/11/2024	2026	"INDEPENDENT HEALTH ASSOCIATION, INC."	Local CCP	Independent Health	HMO/HMOPOS		"Independent Health Association, Inc."	131	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3362	CMS Casework Communication Contact	Manager Enrollment Operations		Sell	Melanie		1-716-250-7321				1-716-250-7162	melanie.sell@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	11/9/2017	2026	"INDEPENDENT HEALTH ASSOCIATION, INC."	Local CCP	Independent Health	HMO/HMOPOS		"Independent Health Association, Inc."	131	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3362	Coordination of Benefits Contact	Manager - Corporate Recoveries		Abou-Said	Kelly		1-716-635-3758					Kelly.Abou-Said@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	4/7/2022	2026	"INDEPENDENT HEALTH ASSOCIATION, INC."	Local CCP	Independent Health	HMO/HMOPOS		"Independent Health Association, Inc."	131	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3362	Customer Service Operations Contact	Manager - Servicing		Plotner	Jenna		1-716-250-4424					Jenna.Plotner@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	12/22/2021	2026	"INDEPENDENT HEALTH ASSOCIATION, INC."	Local CCP	Independent Health	HMO/HMOPOS		"Independent Health Association, Inc."	131	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3362	Government Relations Contact	SVP Government Programs		Tracy	Robert		1-716-635-4904					Robert.Tracy@independenthealth.com	511 Farber Lakes Drive		Williamsville	NY	14221	2/27/2018	2026	"INDEPENDENT HEALTH ASSOCIATION, INC."	Local CCP	Independent Health	HMO/HMOPOS		"Independent Health Association, Inc."	131	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3362	Hospice Contact	Vice President - Pharmacy		Verrall	Kelly		1-716-635-4885					Kelly.Verrall@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	1/31/2025	2026	"INDEPENDENT HEALTH ASSOCIATION, INC."	Local CCP	Independent Health	HMO/HMOPOS		"Independent Health Association, Inc."	131	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3362	Medicare Compliance Officer	Chief Compliance Officer	Mrs.	Britton	Nicole		1-716-635-4874					Nicole.Britton@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	2/20/2018	2026	"INDEPENDENT HEALTH ASSOCIATION, INC."	Local CCP	Independent Health	HMO/HMOPOS		"Independent Health Association, Inc."	131	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3362	Part D Exceptions Contact	Vice President - Pharmacy		Verrall	Kelly						1-716-631-0149	Kelly.Verrall@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	1/31/2025	2026	"INDEPENDENT HEALTH ASSOCIATION, INC."	Local CCP	Independent Health	HMO/HMOPOS		"Independent Health Association, Inc."	131	Yes	Active	1-800-247-1466	5311			HMO - Health Maintenance Organization		C	Dallas
H3362	Pharmacy Network Management Contact	Vice President - Pharmacy		Verrall	Kelly		1-716-635-4885					Kelly.Verrall@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	1/31/2025	2026	"INDEPENDENT HEALTH ASSOCIATION, INC."	Local CCP	Independent Health	HMO/HMOPOS		"Independent Health Association, Inc."	131	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3362	Pharmacy Technical Help Desk Contact	"Manager, Provider and Member Services"		Dandridge	Tinika							script@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	12/2/2025	2026	"INDEPENDENT HEALTH ASSOCIATION, INC."	Local CCP	Independent Health	HMO/HMOPOS		"Independent Health Association, Inc."	131	Yes	Active	1-800-993-9898				HMO - Health Maintenance Organization		C	Dallas
H3362	Plan to Plan Reconciliation Contact	Pharmacy Systems Gov. Programs Manager		Miszuk	Jane		1-716-635-7857					Jane.Miszuk@pbdrx.com	511 Farber Lakes Drive		Buffalo	NY	14221	4/11/2019	2026	"INDEPENDENT HEALTH ASSOCIATION, INC."	Local CCP	Independent Health	HMO/HMOPOS		"Independent Health Association, Inc."	131	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3379	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW YORK, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3379	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW YORK, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3379	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	"UNITEDHEALTHCARE OF NEW YORK, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3379	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW YORK, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3379	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW YORK, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3379	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW YORK, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3379	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW YORK, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3379	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW YORK, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3379	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW YORK, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3379	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW YORK, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H3379	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW YORK, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3379	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW YORK, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H3379	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW YORK, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3384	Automated TrOOP Balance Transfer Contact	"Manager, Pharmacy Government Operations"	Ms.	Lynn Schill	Jodie		1-570-578-3579					Jodie.LynnSchill@highmark.com	120 Fifth Avenue		Pittsburgh	PA	15222	8/16/2023	2026	Highmark Western and Northeastern New York Inc.	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3384	Best Available Evidence Contact	"Manager, Government Business Enrollment"	Mr.	Stanhoff	David		1-412-544-5689					LISBAE@highmark.com	120 Fifth Avenue		Pittsburgh	PA	15222	3/20/2024	2026	Highmark Western and Northeastern New York Inc.	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3384	Chief Financial Officer	CFO Highmark Health Plan	Ms.	Musler	Kate		1-412-544-8653					katherine.musler@highmark.com	120 5th Avenue		Pittsburgh	PA	15222	2/25/2025	2026	Highmark Western and Northeastern New York Inc.	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3384	CMS Casework Communication Contact	"Manager, Appeals and Grievances"	Ms.	Walsh	Lynne	M	1-412-544-4579				1-717-635-4209	Lynne.Walsh@highmark.com	120 Fifth Avenue	Suite P5501	Pittsburgh	PA	15222	9/25/2023	2026	Highmark Western and Northeastern New York Inc.	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3384	Coordination of Benefits Contact	Sr. Process Analyst	Ms.	Cassidy	Christina		1-412-544-4417					Christina.Cassidy@highmark.com	120 Fifth Avenue	PAP P5111	Pittsburgh	PA	15222	6/3/2022	2026	Highmark Western and Northeastern New York Inc.	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3384	Customer Service Operations Contact	"Director, Member & Provider Services"		Scarnati	Chris		1-814-871-6712					Chris.Scarnati@highmark.com	120 Fifth Avenue		Pittsburgh	PA	15222	3/20/2024	2026	Highmark Western and Northeastern New York Inc.	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3384	Government Relations Contact	Medicare Compliance Officer	Mr.	Boettler	Thomas		1-412-544-7031					Thomas.Boettler@highmark.com	120 5th Avenue	Suite 1833	Pittsburgh	PA	15222	7/29/2024	2026	Highmark Western and Northeastern New York Inc.	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3384	Hospice Contact	Intake Coordinator		Welker	Jessica		1-717-888-3043					DrugHelp_Authorizations@highmark.com	120 5th Avenue Place		Pittsburgh	PA	15222	11/8/2022	2026	Highmark Western and Northeastern New York Inc.	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3384	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Boettler	Thomas		1-412-544-7031					Thomas.Boettler@highmark.com	120 5th Avenue	Suite 1833	Pittsburgh	PA	15222	7/28/2021	2026	Highmark Western and Northeastern New York Inc.	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3384	Part D Exceptions Contact			Affairs	Pharmacy							drughelp@highmark.com	120 Fifth Avenue	Suite SPECARE	Pittsburgh	PA	15222	8/4/2023	2026	Highmark Western and Northeastern New York Inc.	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active	1-800-600-2227				HMO - Health Maintenance Organization		C	Boston
H3384	Pharmacy Network Management Contact	"Network Account Director, Retail Strategy&Contract"		Kelly	Heather		1-314-692-1866				1-877-387-5800	hakelly@express-scripts.com	One Express Way		St. Louis	MO	63121	11/30/2016	2026	Highmark Western and Northeastern New York Inc.	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3384	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	13051 N. Telecom PKWY STE 150		Temple Terrace	FL	33637	12/17/2021	2026	Highmark Western and Northeastern New York Inc.	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Boston
H3384	Plan to Plan Reconciliation Contact	"Manager, Operational Accounting"		Stehr	Brett		1-717-302-2748					P2Precon@highmark.com	"Highmark, Inc. Attn: Cashier"	PO Box 898820	Camp Hill	PA	17089	6/28/2023	2026	Highmark Western and Northeastern New York Inc.	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3387	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW YORK, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3387	Best Available Evidence Contact	"Manager, Enrollment & Eligibility"		Asselin	Krista		1-763-361-1104					krista_asselin@uhc.com	PO Box 9472		Minneapolis	MN	55440	11/14/2025	2026	"UNITEDHEALTHCARE OF NEW YORK, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3387	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/13/2025	2026	"UNITEDHEALTHCARE OF NEW YORK, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3387	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW YORK, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3387	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW YORK, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3387	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW YORK, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3387	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW YORK, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3387	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW YORK, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3387	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW YORK, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3387	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW YORK, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H3387	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW YORK, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3387	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW YORK, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H3387	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW YORK, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3388	Automated TrOOP Balance Transfer Contact	Director Enrollment and Billing		Knickerbocker	Kaitlin		1-518-641-5168				1-518-641-4605	kaitlin.knickerbocker@cdphp.com	6 Wellness Way		Latham	NY	12110	5/2/2025	2026	"CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC."	Local CCP	CDPHP Medicare Advantage	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3388	Best Available Evidence Contact	"Manager, Enrollment & Billing"		Salzer	Cheryl		1-518-641-4170					cheryl.salzer@cdphp.com	6 Wellness Way		Latham	NY	12110	4/17/2024	2026	"CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC."	Local CCP	CDPHP Medicare Advantage	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3388	Chief Financial Officer	EVP/Finance/CFO	Mr	Kahlon	Sikander		1-518-641-4050					paul.kahlon@cdphp.com	6 Wellness Way		Latham	NY	12110	8/25/2024	2026	"CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC."	Local CCP	CDPHP Medicare Advantage	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3388	CMS Casework Communication Contact	Medicare Compliance Coordinator	Mrs	Noonan	Michelle		1-518-641-5282				1-518-641-4605	michelle.noonan@cdphp.com	6 Wellness Way		Latham	NY	12110	3/12/2025	2026	"CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC."	Local CCP	CDPHP Medicare Advantage	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3388	Coordination of Benefits Contact	Medicare Reimbursement Coordinator		Moye	Nancy		1-518-641-5274				1-518-641-4605	Medicare_Compliance_Inquiries@cdphp.com	6 Wellness Way		Latham	NY	12110	4/17/2024	2026	"CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC."	Local CCP	CDPHP Medicare Advantage	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3388	Customer Service Operations Contact	"Director, Member Services"		Spinner	Carmen		1-518-641-3741				1-518-641-3507	carmen.spinner@cdphp.com	6 Wellness Way		Latham	NY	12110	4/17/2024	2026	"CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC."	Local CCP	CDPHP Medicare Advantage	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3388	Government Relations Contact	Medicare Compliance Officer		Dibble	Laura		1-585-339-7745					Laura.Dibble@excellus.com	6 Wellness Way		Latham	NY	12110	10/1/2025	2026	"CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC."	Local CCP	CDPHP Medicare Advantage	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3388	Hospice Contact	Director Enrollment and Billing		Knickerbocker	Kaitlin		1-518-641-5168					kaitlin.knickerbocker@cdphp.com	6 Wellness Way		Latham	NY	12110	5/2/2025	2026	"CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC."	Local CCP	CDPHP Medicare Advantage	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3388	Medicare Compliance Officer	Compliance Program Administrator	Mrs	Noonan	Michelle		1-518-641-5282				1-518-641-4605	michelle.noonan@cdphp.com	6 Wellness Way		Latham	NY	12110	3/31/2025	2026	"CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC."	Local CCP	CDPHP Medicare Advantage	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3388	Part D Exceptions Contact	Pharmacy Enterprise Medicare Advisor Lead		Sgambati	John						1-518-641-3208	John.Sgambati@cdphp.com	6 Wellness Way		Latham	NY	12110	1/5/2026	2026	"CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC."	Local CCP	CDPHP Medicare Advantage	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active	1-518-641-3313				HMO - Health Maintenance Organization		C	Chicago
H3388	Pharmacy Network Management Contact	Pharmacy Enterprise Medicare Advisor Lead		Sgambati	John		1-518-641-3313				1-518-641-3508	John.Sgambati@cdphp.com	6 Wellness Way		Latham	NY	12110	1/5/2026	2026	"CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC."	Local CCP	CDPHP Medicare Advantage	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3388	Pharmacy Technical Help Desk Contact	"Director, Customer Care"		Ellerhorst	Lisa							lellerhorst@cap-rx.com	228 Park Avenue South	Suite 87234	New York	NY	10003	12/28/2022	2026	"CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC."	Local CCP	CDPHP Medicare Advantage	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active	1-833-599-1018				HMO - Health Maintenance Organization		C	Chicago
H3388	Plan to Plan Reconciliation Contact	VP Financial Analytics and Risk Adjustment		Burby	Casidhe		1-518-641-4074				1-518-641-4102	P2PADMIN@cdphp.com	Attn Risk Management - P2P	6 Wellness Way	Latham	NY	12110	2/11/2025	2026	"CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC."	Local CCP	CDPHP Medicare Advantage	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3404	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Mgmt		Chesling	Beth		1-612-777-4823					EOBP2P@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Road	Eagan	MN	55121	4/10/2026	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	Local PPO		CuraCor Solutions Corp.	884	Yes	Active					PPO - BBA		C	Atlanta
H3404	Best Available Evidence Contact	"Director, Member Enrollment & Operations"		Clayton	Beth		1-919-765-2438					Beth.Clayton@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	P.O. Box 2291	Durham	NC	27702	5/19/2022	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	Local PPO		CuraCor Solutions Corp.	884	Yes	Active					PPO - BBA		C	Atlanta
H3404	Chief Financial Officer	"SVP, Chief Financial Officer and Treasurer"	Mr.	Perry	Mitchell	W	1-919-765-3923					mitch.perry@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	PO Box 2291	Durham	NC	27702	3/21/2018	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	Local PPO		CuraCor Solutions Corp.	884	Yes	Active					PPO - BBA		C	Atlanta
H3404	CMS Casework Communication Contact	"Sr Manager, Contact Center"		Rambert	Alex		1-919-765-7299					Caseworker@bcbsnc.com	4613 University Drive		Durham	NC	27707	3/13/2026	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	Local PPO		CuraCor Solutions Corp.	884	Yes	Active					PPO - BBA		C	Atlanta
H3404	Coordination of Benefits Contact	"Manager, Operations"		Pridgen	David		1-336-201-4141					David. Pridgen@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	PO Box 2291	Durham	NC	27702	4/11/2024	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	Local PPO		CuraCor Solutions Corp.	884	Yes	Active					PPO - BBA		C	Atlanta
H3404	Customer Service Operations Contact	"Sr. Manager, Contact Center"		Woods	Renita		1-919-765-7057					Renita.Woods@bcbsnc.com	4613 University Drive		Durham	NC	27707	3/26/2025	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	Local PPO		CuraCor Solutions Corp.	884	Yes	Active					PPO - BBA		C	Atlanta
H3404	Government Relations Contact	"Director, CIG Compliance"		Washington-McNeill	Deborah		1-336-692-3556				1-336-659-2969	deborah.washington-mcneill@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	P.O. Box 2291	Durham	NC	27702	12/10/2024	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	Local PPO		CuraCor Solutions Corp.	884	Yes	Active					PPO - BBA		C	Atlanta
H3404	Hospice Contact	Sr. Pharmacy Operations Analyst		Edwards	Chrissie		1-919-765-3536					chrissie.edwards@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	P.O. Box 2291	Durham	NC	27702	8/19/2025	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	Local PPO		CuraCor Solutions Corp.	884	Yes	Active					PPO - BBA		C	Atlanta
H3404	Medicare Compliance Officer	"Director, Corporate Compliance"	Mrs.	Haith	Elenor		1-984-212-5897					elenor.haith@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	PO Box 2291	Durham	NC	27702	6/9/2023	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	Local PPO		CuraCor Solutions Corp.	884	Yes	Active					PPO - BBA		C	Atlanta
H3404	Part D Exceptions Contact	"Director, UM Operations and Compliance"		Lee	Jessica							PartDExceptions@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	4613 University Drive	Durham	NC	27707	4/17/2026	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	Local PPO		CuraCor Solutions Corp.	884	Yes	Active	1-888-296-9790				PPO - BBA		C	Atlanta
H3404	Pharmacy Network Management Contact	"AVP, Corporate Pharmacy"		Rooker	Todd		1-602-418-1702					Todd.Rooker@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	PO Box 2291	Durham	NC	27702	8/27/2025	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	Local PPO		CuraCor Solutions Corp.	884	Yes	Active					PPO - BBA		C	Atlanta
H3404	Pharmacy Technical Help Desk Contact	"Sr Director, Member Services"		Scott	Shane							shane.scott@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Road	Eagan	MN	55121	4/10/2026	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	Local PPO		CuraCor Solutions Corp.	884	Yes	Active	1-877-277-7893				PPO - BBA		C	Atlanta
H3404	Plan to Plan Reconciliation Contact	Sr Accountant		Taylor	Krystal		1-984-960-3607					krystal.taylor@bcbsnc.com	ATTN:  Sheila Adams or Yvonne Stancil (Medicare P2P)	PO Box 30060 Mailstop 700-1AP	Durham	NC	27702	2/28/2024	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	Local PPO		CuraCor Solutions Corp.	884	Yes	Active					PPO - BBA		C	Atlanta
H3407	Automated TrOOP Balance Transfer Contact	"Manager, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	Relay.Health@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	10/14/2024	2026	"EL PASO FIRST HEALTH PLANS, INC."	Local CCP	El Paso Health Medicare Advantage	HMO/HMOPOS		El Paso County Hospital District	736	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3407	Best Available Evidence Contact	Director of Member Services		Ontiveros	Nellie		1-915-298-7198	1112				mespinoza@elpasohealth.com	1145 Westmoreland		El Paso	TX	79925	11/14/2023	2026	"EL PASO FIRST HEALTH PLANS, INC."	Local CCP	El Paso Health Medicare Advantage	HMO/HMOPOS		El Paso County Hospital District	736	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3407	Chief Financial Officer	Chief Financial Officer	Mr.	Gonzalez	Gustavo		1-915-298-7198	1117				ggonzalez@elpasohealth.com	1145 Westmoreland		El Paso	TX	79925	1/23/2020	2026	"EL PASO FIRST HEALTH PLANS, INC."	Local CCP	El Paso Health Medicare Advantage	HMO/HMOPOS		El Paso County Hospital District	736	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3407	CMS Casework Communication Contact	Director of Compliance		Berrios	Vanessa		1-915-298-7198	1040				vberrios@elpasohealth.com	1145 Westmoreland		El Paso	TX	79925	8/6/2024	2026	"EL PASO FIRST HEALTH PLANS, INC."	Local CCP	El Paso Health Medicare Advantage	HMO/HMOPOS		El Paso County Hospital District	736	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3407	Coordination of Benefits Contact	Chief Finanical Officer		Gonzalez	Gustavo		1-915-298-7198	1117				ggonzalez@elpasohealth.com	1145 Westmoreland		El Paso	TX	79925	9/26/2022	2026	"EL PASO FIRST HEALTH PLANS, INC."	Local CCP	El Paso Health Medicare Advantage	HMO/HMOPOS		El Paso County Hospital District	736	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3407	Customer Service Operations Contact	Director of Member Services		Ontiveros	Nellie		1-915-298-7198	1112				mespinoza@elpasohealth.com	1145 Westmoreland		El Paso	TX	79925	11/14/2023	2026	"EL PASO FIRST HEALTH PLANS, INC."	Local CCP	El Paso Health Medicare Advantage	HMO/HMOPOS		El Paso County Hospital District	736	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3407	Government Relations Contact	Director of Compliance		Berrios	Vanessa		1-915-298-7198	1040				vberrios@elpasohealth.com	1145 Westmoreland		El Paso	TX	79925	8/6/2024	2026	"EL PASO FIRST HEALTH PLANS, INC."	Local CCP	El Paso Health Medicare Advantage	HMO/HMOPOS		El Paso County Hospital District	736	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3407	Hospice Contact	Director of Health Services		Navedo-Sanchez	Vianka		1-915-298-7198	1135				VSanchez@elpasohealth.com	1145 Westmoreland		El Paso	TX	79925	7/19/2023	2026	"EL PASO FIRST HEALTH PLANS, INC."	Local CCP	El Paso Health Medicare Advantage	HMO/HMOPOS		El Paso County Hospital District	736	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3407	Medicare Compliance Officer	Director of Compliance	Ms.	Berrios	Vanessa		1-915-298-7198	1040				vberrios@elpasohealth.com	1145 Westmoreland		El Paso	TX	79925	8/6/2024	2026	"EL PASO FIRST HEALTH PLANS, INC."	Local CCP	El Paso Health Medicare Advantage	HMO/HMOPOS		El Paso County Hospital District	736	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3407	Part D Exceptions Contact	"Assoc Director, Clinical Prior Authorization"		LeClair	Christophe						1-920-221-4676	Christopher.LeClair@Navitus.com	1025 West Navitus Drive		Appleton	WI	54913	4/2/2024	2026	"EL PASO FIRST HEALTH PLANS, INC."	Local CCP	El Paso Health Medicare Advantage	HMO/HMOPOS		El Paso County Hospital District	736	Yes	Active	1-920-221-4176				HMO - Health Maintenance Organization		C	Dallas
H3407	Pharmacy Network Management Contact	VP Network Management Contact		Santos	Christina		1-608-820-4408					Christina.Santos@navitus.com	361 Integrity Drive		Madison	WI	53717	4/2/2024	2026	"EL PASO FIRST HEALTH PLANS, INC."	Local CCP	El Paso Health Medicare Advantage	HMO/HMOPOS		El Paso County Hospital District	736	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3407	Pharmacy Technical Help Desk Contact	"Sr. Manager, Customer Care Accounts"		Nett	Danielle						1-920-221-4724	Danielle.nett@navitus.com	1025 West Navitus		Appleton	WI	54913	10/14/2024	2026	"EL PASO FIRST HEALTH PLANS, INC."	Local CCP	El Paso Health Medicare Advantage	HMO/HMOPOS		El Paso County Hospital District	736	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Dallas
H3407	Plan to Plan Reconciliation Contact	Director of Pharmacy		Palacios	Angel		1-915-298-7198	1085				apalacios@elpasohealth.com	1145 Westmoreland		El Paso	TX	79925	4/22/2024	2026	"EL PASO FIRST HEALTH PLANS, INC."	Local CCP	El Paso Health Medicare Advantage	HMO/HMOPOS		El Paso County Hospital District	736	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3418	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H3418	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H3418	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H3418	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H3418	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H3418	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H3418	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H3418	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H3418	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H3418	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				PPO - BBA		C	Boston
H3418	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H3418	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				PPO - BBA		C	Boston
H3418	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H3419	Automated TrOOP Balance Transfer Contact	"Supervisor, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	relay.health@navitus.com	"Navitus Health Solutions, LLC"	1025 West Navitus Drive	Appleton	WI	54913	1/3/2025	2026	"PERENNIAL ADVANTAGE OF COLORADO, INC."	Local CCP	Perennial Advantage	HMO/HMOPOS		"Perennial Consortium, LLC"	759	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3419	Best Available Evidence Contact			Beringer	Stephanie		1-206-697-7797					stephanie.beringer@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/11/2026	2026	"PERENNIAL ADVANTAGE OF COLORADO, INC."	Local CCP	Perennial Advantage	HMO/HMOPOS		"Perennial Consortium, LLC"	759	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3419	Chief Financial Officer	CFO	Ms.	Martin	Rachel		1-775-544-8314					Rachel.Martin@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	12/5/2023	2026	"PERENNIAL ADVANTAGE OF COLORADO, INC."	Local CCP	Perennial Advantage	HMO/HMOPOS		"Perennial Consortium, LLC"	759	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3419	CMS Casework Communication Contact	Director - Grievance/Appeals & CTMs		Fernandez	Erik		1-786-239-8513					Erik.Fernandez@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	1/3/2025	2026	"PERENNIAL ADVANTAGE OF COLORADO, INC."	Local CCP	Perennial Advantage	HMO/HMOPOS		"Perennial Consortium, LLC"	759	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3419	Coordination of Benefits Contact			Beringer	Stephanie		1-206-697-7797				1-800-375-6496	stephanie.beringer@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/10/2026	2026	"PERENNIAL ADVANTAGE OF COLORADO, INC."	Local CCP	Perennial Advantage	HMO/HMOPOS		"Perennial Consortium, LLC"	759	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3419	Customer Service Operations Contact			Estes	Courtney		1-877-310-6754	744				courtney.estes@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/11/2026	2026	"PERENNIAL ADVANTAGE OF COLORADO, INC."	Local CCP	Perennial Advantage	HMO/HMOPOS		"Perennial Consortium, LLC"	759	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3419	Government Relations Contact			Landahl	Darryl		1-832-384-5949					darryl.landahl@curanahealth.com	10900 Nuckols Rd	Suite 110	Glen Allen	VA	23060	1/3/2025	2026	"PERENNIAL ADVANTAGE OF COLORADO, INC."	Local CCP	Perennial Advantage	HMO/HMOPOS		"Perennial Consortium, LLC"	759	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3419	Hospice Contact	Sr. Director Part D Operations	Mr.	Sone	Victor		1-347-683-5717					victor.sone@curanahealth.com	10900 Nuckols Rd	Suite 110	Glen Allen	VA	23060	1/3/2025	2026	"PERENNIAL ADVANTAGE OF COLORADO, INC."	Local CCP	Perennial Advantage	HMO/HMOPOS		"Perennial Consortium, LLC"	759	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3419	Medicare Compliance Officer	Compliance Officer	Mr.	Chrisman	Allen		1-513-216-4256					allen.chrisman@perennialadvantage.com	9200 Worthington Road	Suite 300	Westerville	OH	43082	3/24/2023	2026	"PERENNIAL ADVANTAGE OF COLORADO, INC."	Local CCP	Perennial Advantage	HMO/HMOPOS		"Perennial Consortium, LLC"	759	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3419	Part D Exceptions Contact			LeClair	Christophe						1-920-221-4676	christopher.leclair@Navitus.com	Navitus Health Solutions	1025 West Navitus Dr.	Appleton	WI	54913	1/3/2025	2026	"PERENNIAL ADVANTAGE OF COLORADO, INC."	Local CCP	Perennial Advantage	HMO/HMOPOS		"Perennial Consortium, LLC"	759	Yes	Active	1-920-221-4176				HMO - Health Maintenance Organization		C	Chicago
H3419	Pharmacy Network Management Contact			Robinson	Jan		1-608-729-1688					jan.robinson@navitus.com	Navitus Health Solutions	1025 West Navitus Drive	Appleton	WI	54913	1/3/2025	2026	"PERENNIAL ADVANTAGE OF COLORADO, INC."	Local CCP	Perennial Advantage	HMO/HMOPOS		"Perennial Consortium, LLC"	759	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3419	Pharmacy Technical Help Desk Contact	"Manager, Customer Care Accounts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	"Navitus Health Solutions, LLC"	1025 W. Navitus Drive	Appleton	WI	54913	1/3/2025	2026	"PERENNIAL ADVANTAGE OF COLORADO, INC."	Local CCP	Perennial Advantage	HMO/HMOPOS		"Perennial Consortium, LLC"	759	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Chicago
H3419	Plan to Plan Reconciliation Contact	CFO	Ms.	Martin	Rachel		1-775-544-8314					p2padministration@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	1/3/2025	2026	"PERENNIAL ADVANTAGE OF COLORADO, INC."	Local CCP	Perennial Advantage	HMO/HMOPOS		"Perennial Consortium, LLC"	759	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3430	Automated TrOOP Balance Transfer Contact	Director of Health Plan Operations	Mr.	Pettry	Jason		1-727-735-5716					jpettry@empathhealth.org	6774 102nd Ave.		Pinellas Park	FL	33782	9/29/2025	2026	"SUNCOAST PACE, INC."	National PACE	"Suncoast PACE, Inc."	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H3430	Best Available Evidence Contact	Program Director	Ms.	Schulte	Komal		1-813-651-2851				1-813-441-8467	komalschulte@empathhealth.org	6774 102nd Ave. No.		Pinellas Park	FL	33782	2/1/2026	2026	"SUNCOAST PACE, INC."	National PACE	"Suncoast PACE, Inc."	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H3430	Chief Financial Officer	Chief Financial Officer	Ms.	Bouhamid	Saida		1-941-552-7599				1-727-523-2122	saidabouhamid@empathhealth.org	6310 Capital Dr Suite 200		Lakewood Ranch	FL	34202	2/1/2026	2026	"SUNCOAST PACE, INC."	National PACE	"Suncoast PACE, Inc."	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H3430	CMS Casework Communication Contact	Program Director	Ms.	Schulte	Komal		1-813-651-2851				1-813-441-8467	komalschulte@empathhealth.org	6774 102nd Ave. No.		Pinellas Park	FL	33782	2/1/2026	2026	"SUNCOAST PACE, INC."	National PACE	"Suncoast PACE, Inc."	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H3430	Coordination of Benefits Contact	Director of Health Plan Operations	Mr.	Pettry	Jason		1-727-735-5716					jpettry@empathhealth.org	6774 102nd Ave North		Pinellas Park	FL	33782	9/29/2025	2026	"SUNCOAST PACE, INC."	National PACE	"Suncoast PACE, Inc."	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H3430	Customer Service Operations Contact	Program Director	Ms.	Schulte	Komal		1-813-651-2851				1-813-441-8467	komalschulte@empathhealth.org	6774 102nd Ave. No.		Pinellas Park	FL	33782	2/1/2026	2026	"SUNCOAST PACE, INC."	National PACE	"Suncoast PACE, Inc."	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H3430	Government Relations Contact	Program Director	Ms.	Schulte	Komal		1-813-651-2851				1-813-441-8467	komalschulte@empathhealth.org	6774 102nd Ave. No.		Pinellas Park	FL	33782	2/1/2026	2026	"SUNCOAST PACE, INC."	National PACE	"Suncoast PACE, Inc."	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H3430	Medicare Compliance Officer	"Vice President, Compliance"	Ms	Mosby	Laura		1-727-523-2106				1-727-523-2122	lauramosby@empathhealth.org	6310 Capital Dr Suite 200		Lakewood Ranch	FL	34202	2/1/2026	2026	"SUNCOAST PACE, INC."	National PACE	"Suncoast PACE, Inc."	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H3430	Part D Exceptions Contact	Director of Health Plan Operations	Mr.	Pettry	Jason							jpettry@empathhealth.org	6774 102nd Ave. No.		Pinellas Park	FL	33782	9/29/2025	2026	"SUNCOAST PACE, INC."	National PACE	"Suncoast PACE, Inc."	National PACE		"Empath Health, Inc."	635	Yes	Active	1-727-735-5716				PACE - Nat		C	Atlanta
H3430	Pharmacy Network Management Contact	Director of Health Plan Operations		Pettry	Jason		1-727-735-5716					jpettry@empathhealth.org	6774 102nd Ave. No.		Pinellas Park	FL	33782	2/1/2026	2026	"SUNCOAST PACE, INC."	National PACE	"Suncoast PACE, Inc."	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H3430	Pharmacy Technical Help Desk Contact	Director of Health Plan Operations	Ms.	Pettry	Jason							jpettry@empathhealth.org	6774 102nd Ave. No.		Pinellas Park	FL	33782	2/1/2026	2026	"SUNCOAST PACE, INC."	National PACE	"Suncoast PACE, Inc."	National PACE		"Empath Health, Inc."	635	Yes	Active	1-727-735-5716				PACE - Nat		C	Atlanta
H3430	Plan to Plan Reconciliation Contact	Director of Health Plan Operations	Ms.	Pettry	Jason		1-727-735-5716					jpettry@empathhealth.org	6774 102nd Ave. No.		Pinellas Park	FL	33782	9/29/2025	2026	"SUNCOAST PACE, INC."	National PACE	"Suncoast PACE, Inc."	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H3443	Automated TrOOP Balance Transfer Contact	PBM - Manager Project and Program Management		Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF ARIZONA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3443	Best Available Evidence Contact	"Director, Membership & Eligibility"		Starks	Heather		1-661-433-0187				1-562-207-4623	HStarks@ahcusa.com	1100 W. Town and Country Road #300		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF ARIZONA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3443	Chief Financial Officer	Chief Financial Officer	Mr.	Head	James	M	1-657-218-7612					Jhead@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF ARIZONA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3443	CMS Casework Communication Contact	CEO		Maroney	Dawn		1-844-310-2247				1-844-320-2247	DMaroney@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF ARIZONA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3443	Coordination of Benefits Contact	"Director, Membership & Eligibility"		Starks	Heather		1-661-433-0187					HStarks@ahcusa.com	1100 W. Town and Country Rd #1600		Orange	CA	92868	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF ARIZONA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3443	Customer Service Operations Contact	"VP, Member Experience"		Shaffer	Troy		1-714-208-2446					TShaffer@ahcusa.com	1100  W. Town and Country Road #300		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF ARIZONA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3443	Government Relations Contact	"SVP, Chief Compliance Officer"		Lynch	Cindy		1-657-383-5394					clynch@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF ARIZONA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3443	Hospice Contact	"SVP, Market Management"	Dr.	Kim	John		1-657-218-7640					jkim@ahcusa.com	1100 W Town and Country	Suite 1600	Orange	CA	92868	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF ARIZONA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3443	Medicare Compliance Officer	"SVP, Chief Compliance Officer"	Ms.	Lynch	Cindy	B	1-657-383-5394					clynch@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF ARIZONA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3443	Part D Exceptions Contact	PBM - Regulatory Pharmacist Sr.		Emerson	Kimberly						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF ARIZONA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active	1-800-693-6651				HMO - Health Maintenance Organization		C	Chicago
H3443	Pharmacy Network Management Contact	"PBM - VP, Network Management"		Conlin	Marci		1-612-777-2842				1-877-823-6373	marci.conlin@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55122	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF ARIZONA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3443	Pharmacy Technical Help Desk Contact	"PBM - Sr. Director, Member Services"		Scott	Shane							shane.scott@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF ARIZONA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active	1-844-227-7615				HMO - Health Maintenance Organization		C	Chicago
H3443	Plan to Plan Reconciliation Contact	"Manager, Financial Operations"		De La Torre	Angelo		1-657-218-7422				1-562-207-4266	adelatorre@ahcusa.com	1100 W. Town and Country Road #300		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF ARIZONA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3447	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	"HEALTHKEEPERS, INC."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3447	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"HEALTHKEEPERS, INC."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3447	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	"HEALTHKEEPERS, INC."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3447	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	"HEALTHKEEPERS, INC."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3447	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	"HEALTHKEEPERS, INC."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3447	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	"HEALTHKEEPERS, INC."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3447	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"HEALTHKEEPERS, INC."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3447	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"HEALTHKEEPERS, INC."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3447	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"HEALTHKEEPERS, INC."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3447	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	"HEALTHKEEPERS, INC."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H3447	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/31/2023	2026	"HEALTHKEEPERS, INC."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3447	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	"HEALTHKEEPERS, INC."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H3447	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/6/2021	2026	"HEALTHKEEPERS, INC."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3448	Automated TrOOP Balance Transfer Contact	Health Plan Specialist	Ms.	Ilcken	Leslie		1-818-757-4458				1-818-774-5907	leslie.ilcken@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/26/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE - COACHELLA VALLEY, LLC"	National PACE	Brandman Centers for Senior Care - Coachella Valley	National PACE		"LAJHealth - Coachella Valley, LLC"	881	Yes	Pending					PACE - Nat		C	San Francisco
H3448	Best Available Evidence Contact	Health Plan Specialist	Ms.	Ilcken	Leslie		1-818-757-4458				1-818-774-5907	leslie.ilcken@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/26/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE - COACHELLA VALLEY, LLC"	National PACE	Brandman Centers for Senior Care - Coachella Valley	National PACE		"LAJHealth - Coachella Valley, LLC"	881	Yes	Pending					PACE - Nat		C	San Francisco
H3448	Chief Financial Officer	Chief Financial Officer	Ms	Ruditsky	Crystal		1-818-774-3336				1-818-774-3020	crystal.ruditsky@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/26/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE - COACHELLA VALLEY, LLC"	National PACE	Brandman Centers for Senior Care - Coachella Valley	National PACE		"LAJHealth - Coachella Valley, LLC"	881	Yes	Pending					PACE - Nat		C	San Francisco
H3448	CMS Casework Communication Contact	Vice President	Mrs.	Stratman	Kim		1-818-654-8643				1-818-774-5907	kim.stratman@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/26/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE - COACHELLA VALLEY, LLC"	National PACE	Brandman Centers for Senior Care - Coachella Valley	National PACE		"LAJHealth - Coachella Valley, LLC"	881	Yes	Pending					PACE - Nat		C	San Francisco
H3448	Coordination of Benefits Contact	Health Plan Specialist	Ms.	Ilcken	Leslie		1-818-757-4458				1-818-774-5907	leslie.ilcken@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/26/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE - COACHELLA VALLEY, LLC"	National PACE	Brandman Centers for Senior Care - Coachella Valley	National PACE		"LAJHealth - Coachella Valley, LLC"	881	Yes	Pending					PACE - Nat		C	San Francisco
H3448	Customer Service Operations Contact	Vice President	Mrs.	Stratman	Kim		1-818-654-8643				1-818-774-5907	kim.stratman@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/26/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE - COACHELLA VALLEY, LLC"	National PACE	Brandman Centers for Senior Care - Coachella Valley	National PACE		"LAJHealth - Coachella Valley, LLC"	881	Yes	Pending					PACE - Nat		C	San Francisco
H3448	Government Relations Contact	Vice President	Mrs.	Stratman	Kim		1-818-654-8643				1-818-774-5907	kim.stratman@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/26/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE - COACHELLA VALLEY, LLC"	National PACE	Brandman Centers for Senior Care - Coachella Valley	National PACE		"LAJHealth - Coachella Valley, LLC"	881	Yes	Pending					PACE - Nat		C	San Francisco
H3448	Medicare Compliance Officer	Compliance Officer	Mr.	Carlson	Timothy		1-818-774-3397				1-818-774-2424	timothy.carlson@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/26/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE - COACHELLA VALLEY, LLC"	National PACE	Brandman Centers for Senior Care - Coachella Valley	National PACE		"LAJHealth - Coachella Valley, LLC"	881	Yes	Pending					PACE - Nat		C	San Francisco
H3448	Part D Exceptions Contact	Health Plan Specialist	Ms.	Ilcken	Leslie						1-818-774-5907	leslie.ilcken@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/26/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE - COACHELLA VALLEY, LLC"	National PACE	Brandman Centers for Senior Care - Coachella Valley	National PACE		"LAJHealth - Coachella Valley, LLC"	881	Yes	Pending	1-818-757-4458				PACE - Nat		C	San Francisco
H3448	Pharmacy Network Management Contact	"Medical Director, Brandman Centers for Senior Care"	Dr.	Ott	Casey		1-818-757-4418				1-818-774-5907	casey.ott@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/26/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE - COACHELLA VALLEY, LLC"	National PACE	Brandman Centers for Senior Care - Coachella Valley	National PACE		"LAJHealth - Coachella Valley, LLC"	881	Yes	Pending					PACE - Nat		C	San Francisco
H3448	Pharmacy Technical Help Desk Contact	Pharmacist	Ms.	Aramyan	Ani						1-818-774-5900	ani.aramyan@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/26/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE - COACHELLA VALLEY, LLC"	National PACE	Brandman Centers for Senior Care - Coachella Valley	National PACE		"LAJHealth - Coachella Valley, LLC"	881	Yes	Pending	1-855-654-3023				PACE - Nat		C	San Francisco
H3448	Plan to Plan Reconciliation Contact	Health Plan Specialist	Ms.	Ilcken	Leslie		1-818-757-4458				1-818-774-5907	janice.boothe@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/26/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE - COACHELLA VALLEY, LLC"	National PACE	Brandman Centers for Senior Care - Coachella Valley	National PACE		"LAJHealth - Coachella Valley, LLC"	881	Yes	Pending					PACE - Nat		C	San Francisco
H3449	Automated TrOOP Balance Transfer Contact	"Manager, PBM Operations"		Hanson	Michelle		1-612-777-6706					eobp2p@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Road	Eagan	MN	55121	10/16/2020	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3449	Best Available Evidence Contact	"Director, Member Enrollment & Operations"		Clayton	Beth		1-919-765-2438					Beth.Clayton@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	P.O. Box 2291	Durham	NC	27702	5/19/2022	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3449	Chief Financial Officer	"SVP, Chief Financial Officer and Treasurer"	Mr.	Perry	Mitchell	W	1-919-765-3923					mitch.perry@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	PO Box 2291	Durham	NC	27702	3/21/2018	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3449	CMS Casework Communication Contact	"Manager, Contact Center"		Rambert	Alex		1-919-765-7299					Caseworker@bcbsnc.com	4613 University Drive		Durham	NC	27707	5/21/2025	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3449	Coordination of Benefits Contact	"Team Lead, Operations"		Pridgen	David		1-336-201-4141					David. Pridgen@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	PO Box 2291	Durham	NC	27702	5/26/2023	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3449	Customer Service Operations Contact	"Sr. Manager, Contact Center"		Woods	Renita		1-919-765-7057					Renita.Woods@bcbsnc.com	4613 University Drive		Durham	NC	27707	3/26/2025	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3449	Government Relations Contact	"Director, CIG Compliance"		Washington-McNeill	Deborah		1-336-692-3556				1-336-659-2969	deborah.washington-mcneill@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	P.O. Box 2291	Durham	NC	27702	12/26/2025	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3449	Hospice Contact	Sr. Pharmacy Operations Analyst		Edwards	Chrissie		1-919-765-3536					chrissie.edwards@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	P.O. Box 2291	Durham	NC	27702	8/27/2025	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3449	Medicare Compliance Officer	"Director, Corporate Compliance"	Mrs.	Haith	Elenor		1-984-212-5897					elenor.haith@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	PO Box 2291	Durham	NC	27702	6/9/2023	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3449	Part D Exceptions Contact	"Director, UM Operations and Compliance"		Lee	Jessica							PartDExceptions@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	4613 University Drive	Durham	NC	27707	4/17/2026	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Active	1-888-296-9790				HMO - Health Maintenance Organization		C	Atlanta
H3449	Pharmacy Network Management Contact	"AVP, Corporate Pharmacy"		Rooker	Todd		1-602-418-1702					Todd.Rooker@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	PO Box 2291	Durham	NC	27702	8/27/2025	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3449	Pharmacy Technical Help Desk Contact			Helpdesk	Pharmacy							bret.schultz@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Road	Eagan	MN	55121	12/14/2022	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Active	1-877-277-7893				HMO - Health Maintenance Organization		C	Atlanta
H3449	Plan to Plan Reconciliation Contact	Sr Accountant		Taylor	Krystal		1-984-960-3607					krystal.taylor@bcbsnc.com	ATTN:  Sheila Adams or Yvonne Stancil (Medicare P2P)	PO Box 30060 Mailstop 700-1AP	Durham	NC	27702	2/28/2024	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3467	Automated TrOOP Balance Transfer Contact	"Supervisor, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	relay.health@navitus.com	"Navitus Health Solutions, LLC"	1025 West Navitus Drive	Appleton	WI	54913	1/3/2025	2026	"PROCARE ADVANTAGE, LLC"	Local CCP	ProCare Advantage	HMO/HMOPOS		First Sacramento Capital Funding LLC	735	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3467	Best Available Evidence Contact			Beringer	Stephanie		1-206-697-7797				1-833-610-2390	stephanie.beringer@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/10/2026	2026	"PROCARE ADVANTAGE, LLC"	Local CCP	ProCare Advantage	HMO/HMOPOS		First Sacramento Capital Funding LLC	735	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3467	Chief Financial Officer	"Chief Financial Officer, ProCare Advantage"	Mr.	Hladky	Sean		1-212-758-4311	117				shladky@lbbelon.com	430 Park Avenue	7th Floor	New York	NY	10022	2/2/2022	2026	"PROCARE ADVANTAGE, LLC"	Local CCP	ProCare Advantage	HMO/HMOPOS		First Sacramento Capital Funding LLC	735	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3467	CMS Casework Communication Contact	Director - Grievance/Appeals & CTMs		Fernandez	Erik		1-786-239-8513					Erik.Fernandez@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	1/3/2025	2026	"PROCARE ADVANTAGE, LLC"	Local CCP	ProCare Advantage	HMO/HMOPOS		First Sacramento Capital Funding LLC	735	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3467	Coordination of Benefits Contact			Beringer	Stephanie		1-206-697-7797				1-833-610-2390	stephanie.beringer@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/10/2026	2026	"PROCARE ADVANTAGE, LLC"	Local CCP	ProCare Advantage	HMO/HMOPOS		First Sacramento Capital Funding LLC	735	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3467	Customer Service Operations Contact			Estes	Courtney		1-877-310-6754	744				courtney.estes@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/3/2026	2026	"PROCARE ADVANTAGE, LLC"	Local CCP	ProCare Advantage	HMO/HMOPOS		First Sacramento Capital Funding LLC	735	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3467	Government Relations Contact	CFO		Hladky	Sean		1-214-954-4114					shladky@lbbelon.com	2537 Golden Bear Drive		Carollton	TX	75006	3/21/2024	2026	"PROCARE ADVANTAGE, LLC"	Local CCP	ProCare Advantage	HMO/HMOPOS		First Sacramento Capital Funding LLC	735	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3467	Hospice Contact	COO	Mr.	Guzman	Armando		1-214-954-4114					aguzman@procareadvantageplan.com	2537 Golden Bear Drive		Carollton	TX	75006	3/21/2024	2026	"PROCARE ADVANTAGE, LLC"	Local CCP	ProCare Advantage	HMO/HMOPOS		First Sacramento Capital Funding LLC	735	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3467	Medicare Compliance Officer	"Medicare Compliance Officer, ProCare Advantage"	Mr	Youngblood	Roy		1-214-954-4114	114				Roy.Youngblood@cantexcc.com	2537 Golden Bear Drive		Carollton	TX	75006	6/4/2026	2026	"PROCARE ADVANTAGE, LLC"	Local CCP	ProCare Advantage	HMO/HMOPOS		First Sacramento Capital Funding LLC	735	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3467	Part D Exceptions Contact			LeClair	Christophe						1-920-221-4676	christopher.leclair@Navitus.com	Navitus Health Solutions	1025 West Navitus Dr.	Appleton	WI	54913	1/3/2025	2026	"PROCARE ADVANTAGE, LLC"	Local CCP	ProCare Advantage	HMO/HMOPOS		First Sacramento Capital Funding LLC	735	Yes	Active	1-920-221-4176				HMO - Health Maintenance Organization		C	Dallas
H3467	Pharmacy Network Management Contact			Robinson	Jan		1-608-729-1688					jan.robinson@navitus.com	Navitus Health Solutions	1025 West Navitus Drive	Appleton	WI	54913	1/3/2025	2026	"PROCARE ADVANTAGE, LLC"	Local CCP	ProCare Advantage	HMO/HMOPOS		First Sacramento Capital Funding LLC	735	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3467	Pharmacy Technical Help Desk Contact	"Manager, Customer Care Accounts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	"Navitus Health Solutions, LLC"	1025 W. Navitus Drive	Appleton	WI	54913	1/3/2025	2026	"PROCARE ADVANTAGE, LLC"	Local CCP	ProCare Advantage	HMO/HMOPOS		First Sacramento Capital Funding LLC	735	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Dallas
H3467	Plan to Plan Reconciliation Contact	CFO	Ms.	Martin	Rachel		1-775-544-8314					p2padministration@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	1/3/2025	2026	"PROCARE ADVANTAGE, LLC"	Local CCP	ProCare Advantage	HMO/HMOPOS		First Sacramento Capital Funding LLC	735	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3473	Automated TrOOP Balance Transfer Contact	Medicare Compliance Manager		Brown	Lauren		1-720-974-6031				1-303-996-1600	lbrown2@myinnovage.com	8950 East Lowry Boulevard		Denver	CO	80230	7/28/2023	2026	"INNOVAGE VIRGINIA PACE-CHARLOTTESVILLE, LLC"	National PACE	InnovAge Virginia PACE - Blue Ridge	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H3473	Best Available Evidence Contact	Director of Finance	Ms.	Hewitt	Jessica		1-720-974-6767					jhewitt@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	5/19/2025	2026	"INNOVAGE VIRGINIA PACE-CHARLOTTESVILLE, LLC"	National PACE	InnovAge Virginia PACE - Blue Ridge	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H3473	Chief Financial Officer	CFO	Mr.	Adams	Ben		1-917-842-3099				1-303-996-1600	badams@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE VIRGINIA PACE-CHARLOTTESVILLE, LLC"	National PACE	InnovAge Virginia PACE - Blue Ridge	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H3473	CMS Casework Communication Contact	Director of Compliance		Simpson-Thomas	Shakyra		1-804-819-9554				1-303-996-1600	ssimpson-thomas@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	3/3/2026	2026	"INNOVAGE VIRGINIA PACE-CHARLOTTESVILLE, LLC"	National PACE	InnovAge Virginia PACE - Blue Ridge	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H3473	Coordination of Benefits Contact	Medicare Compliance Manager		Brown	Lauren		1-720-974-6031				1-303-996-1600	lbrown2@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE VIRGINIA PACE-CHARLOTTESVILLE, LLC"	National PACE	InnovAge Virginia PACE - Blue Ridge	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H3473	Customer Service Operations Contact	Director of Compliance		Simpson-Thomas	Shakyra		1-804-819-9554				1-303-996-1600	ssimpson-thomas@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	3/3/2026	2026	"INNOVAGE VIRGINIA PACE-CHARLOTTESVILLE, LLC"	National PACE	InnovAge Virginia PACE - Blue Ridge	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H3473	Government Relations Contact	"SVP, External Affairs"		Nelson	Don		1-608-217-5110					dnelson3@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	12/5/2025	2026	"INNOVAGE VIRGINIA PACE-CHARLOTTESVILLE, LLC"	National PACE	InnovAge Virginia PACE - Blue Ridge	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H3473	Medicare Compliance Officer	VP of Compliance	Ms.	Teter	Lezlie	A	1-720-682-9848				1-303-996-1600	lteter@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	4/24/2026	2026	"INNOVAGE VIRGINIA PACE-CHARLOTTESVILLE, LLC"	National PACE	InnovAge Virginia PACE - Blue Ridge	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H3473	Part D Exceptions Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael						1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE VIRGINIA PACE-CHARLOTTESVILLE, LLC"	National PACE	InnovAge Virginia PACE - Blue Ridge	National PACE		"Total Community Options, Inc."	230	Yes	Active	1-720-666-3817				PACE - Nat		C	Philadelphia
H3473	Pharmacy Network Management Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael		1-720-666-3817				1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE VIRGINIA PACE-CHARLOTTESVILLE, LLC"	National PACE	InnovAge Virginia PACE - Blue Ridge	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H3473	Pharmacy Technical Help Desk Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael						1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE VIRGINIA PACE-CHARLOTTESVILLE, LLC"	National PACE	InnovAge Virginia PACE - Blue Ridge	National PACE		"Total Community Options, Inc."	230	Yes	Active	1-720-666-3817				PACE - Nat		C	Philadelphia
H3473	Plan to Plan Reconciliation Contact	Finance and Compliance Analyst		Kizewski	Alex		1-720-789-6171				1-720-917-3390	akizewski@innovage.com	8950 East Lowry Blvd		Denver	CO	80230	7/28/2023	2026	"INNOVAGE VIRGINIA PACE-CHARLOTTESVILLE, LLC"	National PACE	InnovAge Virginia PACE - Blue Ridge	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H3493	Automated TrOOP Balance Transfer Contact	Regional Finance Director	Mr.	Schmotzer	David		1-215-339-4533					David.Schmotzer@Trinity-Health.org	Mercy LIFE	"1930 South Broad Street, Unit 3"	Philadelphia	PA	19145	8/2/2023	2026	"LIFE AT LOURDES, INC."	National PACE	Trinity Health LIFE New Jersey	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H3493	Best Available Evidence Contact	Regional Finance Director	Mr.	Schmotzer	David		1-215-339-4533					David.Schmotzer@Trinity-Health.org	Mercy LIFE	"1930 South Broad Street, Unit 3"	Philadelphia	PA	19145	8/2/2023	2026	"LIFE AT LOURDES, INC."	National PACE	Trinity Health LIFE New Jersey	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H3493	Chief Financial Officer	Regional Finance Director	Mr.	Schmotzer	David		1-215-339-4533					David.Schmotzer@Trinity-Health.org	Mercy LIFE	"1930 South Broad Street, Unit 3"	Philadelphia	PA	19145	7/27/2023	2026	"LIFE AT LOURDES, INC."	National PACE	Trinity Health LIFE New Jersey	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H3493	CMS Casework Communication Contact	Executive Director	Sr.	Sullivan	Margaret		1-856-675-3663				1-856-675-3659	Marge.Sullivan@trinity-health.org	2475 McClellan Avenue	Building C	Pennsauken	NJ	08109	8/2/2023	2026	"LIFE AT LOURDES, INC."	National PACE	Trinity Health LIFE New Jersey	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H3493	Coordination of Benefits Contact	Regional Finance Director	Mr.	Schmotzer	David		1-215-339-4533					David.Schmotzer@Trinity-Health.org	Mercy LIFE	"1930 South Broad Street, Unit 3"	Philadelphia	PA	19145	8/2/2023	2026	"LIFE AT LOURDES, INC."	National PACE	Trinity Health LIFE New Jersey	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H3493	Customer Service Operations Contact	Executive Director	Sr.	Sullivan	Margaret		1-856-675-3353				1-856-675-3659	Marge.Sullivan@trinity-health.org	2475 McClellan Avenue	Building C	Pennsauken	NJ	08109	8/11/2025	2026	"LIFE AT LOURDES, INC."	National PACE	Trinity Health LIFE New Jersey	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H3493	Government Relations Contact	Executive Director	Sr	Sullivan	Margaret		1-856-675-3663				1-856-675-3659	Marge.Sullivan@trinity-health.org	2475 McClellan Avenue	Building C	Pennsauken	NJ	08109	2/20/2023	2026	"LIFE AT LOURDES, INC."	National PACE	Trinity Health LIFE New Jersey	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H3493	Medicare Compliance Officer	National Director QI/Compliance	Ms	Watts	Christina		1-248-420-6065					wattscl@trinity-health.org	20555 Victor Parkway		Livonia	MI	48152	8/15/2023	2026	"LIFE AT LOURDES, INC."	National PACE	Trinity Health LIFE New Jersey	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H3493	Part D Exceptions Contact	Manager Part D Compliance	Mr	Garbarino	Joseph							Joseph.Garbarino@trinity-health.org	1930 South Broad Street		Philadelphia	PA	19145	9/15/2023	2026	"LIFE AT LOURDES, INC."	National PACE	Trinity Health LIFE New Jersey	National PACE		Trinity Health Corporation	234	Yes	Active	1-215-339-4362				PACE - Nat		C	New York
H3493	Pharmacy Network Management Contact	Manager Part D Compliance	Mr.	Garbarino	Joseph		1-215-339-4362					joseph.garbarino@trinity-health.org	2500 Northgate Road		Trevose	PA	19053	8/11/2025	2026	"LIFE AT LOURDES, INC."	National PACE	Trinity Health LIFE New Jersey	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H3493	Pharmacy Technical Help Desk Contact	Manager Part D Compliance	Mr.	Garbarino	Joseph							joseph.garbarino@trinity-health.org	2500 Northgate Road		Trevose	PA	19053	8/11/2025	2026	"LIFE AT LOURDES, INC."	National PACE	Trinity Health LIFE New Jersey	National PACE		Trinity Health Corporation	234	Yes	Active	1-215-339-4362				PACE - Nat		C	New York
H3493	Plan to Plan Reconciliation Contact	Director of Finance	Mr.	Schmotzer	David	P	1-215-339-4533					David.Schmotzer@Trinity-Health.org	"1930 South Broad Street, Unit 3"		Philadelphia	PA	19145	8/2/2023	2026	"LIFE AT LOURDES, INC."	National PACE	Trinity Health LIFE New Jersey	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	New York
H3499	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	COORDINATED CARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H3499	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	COORDINATED CARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H3499	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/25/2024	2026	COORDINATED CARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H3499	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	COORDINATED CARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H3499	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	COORDINATED CARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H3499	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	9/18/2024	2026	COORDINATED CARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H3499	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	COORDINATED CARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H3499	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	COORDINATED CARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H3499	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/22/2025	2026	COORDINATED CARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H3499	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/25/2024	2026	COORDINATED CARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H3499	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	COORDINATED CARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H3499	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	1/9/2025	2026	COORDINATED CARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0202				HMO - Health Maintenance Organization		C	Denver
H3499	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	6/25/2024	2026	COORDINATED CARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H3517	Automated TrOOP Balance Transfer Contact	Senior Financial Analyst	Mr.	Van Reusen	David		1-707-443-9747	1231				dvanreusen@humsenior.org	1910 California Street		Eureka	CA	95501	9/9/2024	2026	"HUMBOLDT SENIOR RESOURCE CENTER, INC."	National PACE	Redwood Coast PACE	National PACE		"Humboldt Senior Resource Center, Inc."	602	Yes	Active					PACE - Nat		C	San Francisco
H3517	Best Available Evidence Contact	"Director, Redwood Coast PACE"	Ms.	LaHaie	Barbara		1-707-443-9747	3221				blahaie@humsenior.org	1910 California Street		Eureka	CA	95501	3/28/2016	2026	"HUMBOLDT SENIOR RESOURCE CENTER, INC."	National PACE	Redwood Coast PACE	National PACE		"Humboldt Senior Resource Center, Inc."	602	Yes	Active					PACE - Nat		C	San Francisco
H3517	Chief Financial Officer	Director of Finance	Ms	Alvarado	Nicole		1-707-443-9747	1214			1-707-443-3498	nalvarado@humsenior.org	1910 California St		Eureka	CA	95501	5/31/2024	2026	"HUMBOLDT SENIOR RESOURCE CENTER, INC."	National PACE	Redwood Coast PACE	National PACE		"Humboldt Senior Resource Center, Inc."	602	Yes	Active					PACE - Nat		C	San Francisco
H3517	CMS Casework Communication Contact	"Director, Redwood Coast PACE"	Ms.	LaHaie	Barbara		1-707-443-9747	3221				blahaie@humsenior.org	1910 California Street		Eureka	CA	95501	3/28/2016	2026	"HUMBOLDT SENIOR RESOURCE CENTER, INC."	National PACE	Redwood Coast PACE	National PACE		"Humboldt Senior Resource Center, Inc."	602	Yes	Active					PACE - Nat		C	San Francisco
H3517	Coordination of Benefits Contact	"Director, Redwood Coast PACE"	Ms.	LaHaie	Barbara		1-707-443-9747	3221				blahaie@humsenior.org	1910 California Street		Eureka	CA	95501	3/28/2016	2026	"HUMBOLDT SENIOR RESOURCE CENTER, INC."	National PACE	Redwood Coast PACE	National PACE		"Humboldt Senior Resource Center, Inc."	602	Yes	Active					PACE - Nat		C	San Francisco
H3517	Customer Service Operations Contact	"Director, Redwood Coast PACE"	Ms.	LaHaie	Barbara		1-707-443-9747	3221				blahaie@humsenior.org	1910 California Street		Eureka	CA	95501	3/28/2016	2026	"HUMBOLDT SENIOR RESOURCE CENTER, INC."	National PACE	Redwood Coast PACE	National PACE		"Humboldt Senior Resource Center, Inc."	602	Yes	Active					PACE - Nat		C	San Francisco
H3517	Government Relations Contact	"Director, Redwood Coast PACE"	Ms.	LaHaie	Barbara		1-707-443-9747	3221			1-707-269-1332	blahaie@humsenior.org	1910 California Street		Eureka	CA	95501	3/28/2016	2026	"HUMBOLDT SENIOR RESOURCE CENTER, INC."	National PACE	Redwood Coast PACE	National PACE		"Humboldt Senior Resource Center, Inc."	602	Yes	Active					PACE - Nat		C	San Francisco
H3517	Medicare Compliance Officer	Quality Assurance Manager	Ms.	Kimbell-Auth	Tristin		1-707-443-9747					tkimbell-auth@humsenior.org	1910 California Street		Eureka	CA	95501	3/28/2025	2026	"HUMBOLDT SENIOR RESOURCE CENTER, INC."	National PACE	Redwood Coast PACE	National PACE		"Humboldt Senior Resource Center, Inc."	602	Yes	Active					PACE - Nat		C	San Francisco
H3517	Part D Exceptions Contact	Quality Assurance Manager		Kimbell-Auth	Tristin							tkimbell-auth@humsenior.org	1910 California St		Eureka	CA	95501	3/28/2025	2026	"HUMBOLDT SENIOR RESOURCE CENTER, INC."	National PACE	Redwood Coast PACE	National PACE		"Humboldt Senior Resource Center, Inc."	602	Yes	Active	1-707-443-9747				PACE - Nat		C	San Francisco
H3517	Pharmacy Network Management Contact	Senior Financial Analyst	Mr.	Van Reusen	David		1-707-443-9747	1231				dvanreusen@humsenior.org	1910 California Street		Eureka	CA	95501	12/30/2024	2026	"HUMBOLDT SENIOR RESOURCE CENTER, INC."	National PACE	Redwood Coast PACE	National PACE		"Humboldt Senior Resource Center, Inc."	602	Yes	Active					PACE - Nat		C	San Francisco
H3517	Pharmacy Technical Help Desk Contact	Quality Assurance Manager		Kimbell-Auth	Tristin							tkimbell-auth@humsenior.org	1910 California St		Eureka	CA	95501	3/28/2025	2026	"HUMBOLDT SENIOR RESOURCE CENTER, INC."	National PACE	Redwood Coast PACE	National PACE		"Humboldt Senior Resource Center, Inc."	602	Yes	Active	1-707-443-9747				PACE - Nat		C	San Francisco
H3517	Plan to Plan Reconciliation Contact	Director of Finance	Ms.	Alvarado	Nicole		1-707-443-9747	1214			1-707-443-3498	nalvarado@humsenior.org	1910 California Street		Eureka	CA	95501	9/9/2024	2026	"HUMBOLDT SENIOR RESOURCE CENTER, INC."	National PACE	Redwood Coast PACE	National PACE		"Humboldt Senior Resource Center, Inc."	602	Yes	Active					PACE - Nat		C	San Francisco
H3522	Automated TrOOP Balance Transfer Contact	Director		Fanning	Shannon		1-765-935-8958					shannon.fanning@reidhealth.org	2300 National Road West		Richmond	IN	47374	11/30/2023	2026	"REID HOSPITAL & HEALTH CARE SERVICES, INC."	National PACE	Reid Health PACE Center	National PACE		"Reid Hospital & Health Care Services, Inc."	745	Yes	Active					PACE - Nat		C	New York
H3522	Best Available Evidence Contact	"Vice President, Ambulatory Care & Service Lines"		Kester	Billie		1-765-983-8542					billie.kester@reidhealth.org	"1100 Reid Parkway, Administration"		Richmond	IN	47374	3/4/2025	2026	"REID HOSPITAL & HEALTH CARE SERVICES, INC."	National PACE	Reid Health PACE Center	National PACE		"Reid Hospital & Health Care Services, Inc."	745	Yes	Active					PACE - Nat		C	New York
H3522	Chief Financial Officer	Chief Financial Officer	CFO	Wells	Ben		1-765-983-3225					ben.wells@reidhealth.org	"1100 Reid Parkway, Administration"		Richmond	IN	47374	1/16/2025	2026	"REID HOSPITAL & HEALTH CARE SERVICES, INC."	National PACE	Reid Health PACE Center	National PACE		"Reid Hospital & Health Care Services, Inc."	745	Yes	Active					PACE - Nat		C	New York
H3522	CMS Casework Communication Contact	Director		Fanning	Shannon		1-765-935-8959					Shannon.fanning@reidhealth.org	2300 National Road West		Richmond	IN	47374	4/15/2024	2026	"REID HOSPITAL & HEALTH CARE SERVICES, INC."	National PACE	Reid Health PACE Center	National PACE		"Reid Hospital & Health Care Services, Inc."	745	Yes	Active					PACE - Nat		C	New York
H3522	Coordination of Benefits Contact	Director		Fanning	Shannon		1-765-935-8958	17906				Shannon.Fanning@reidhealth.org	2300 National Road West		Richmond	IN	47374	12/14/2023	2026	"REID HOSPITAL & HEALTH CARE SERVICES, INC."	National PACE	Reid Health PACE Center	National PACE		"Reid Hospital & Health Care Services, Inc."	745	Yes	Active					PACE - Nat		C	New York
H3522	Customer Service Operations Contact	Director		Fanning	Shannon		1-765-935-8958					Shannon.Fanning@reidhealth.org	2300 National Road West		Richmond	IN	47374	12/14/2023	2026	"REID HOSPITAL & HEALTH CARE SERVICES, INC."	National PACE	Reid Health PACE Center	National PACE		"Reid Hospital & Health Care Services, Inc."	745	Yes	Active					PACE - Nat		C	New York
H3522	Government Relations Contact	"Vice President, Ambulatory Care & Service Lines"		Kester	Billie		1-765-983-8542					billie.kester@reidhealth.org	"1100 Reid Parkway, Administration"		Richmond	IN	47374	3/4/2025	2026	"REID HOSPITAL & HEALTH CARE SERVICES, INC."	National PACE	Reid Health PACE Center	National PACE		"Reid Hospital & Health Care Services, Inc."	745	Yes	Active					PACE - Nat		C	New York
H3522	Medicare Compliance Officer	Director of Audit Services	CCO	Bierman	Randall		1-765-983-3418					randall.bierman@reidhealth.org	"1100 Reid Parkway, Administration"		Richmond	IN	47374	3/9/2020	2026	"REID HOSPITAL & HEALTH CARE SERVICES, INC."	National PACE	Reid Health PACE Center	National PACE		"Reid Hospital & Health Care Services, Inc."	745	Yes	Active					PACE - Nat		C	New York
H3522	Part D Exceptions Contact	Director		Fanning	Shannon							shannon.fanning@reidhealth.org	2300 National Road West		Richmond	IN	47374	12/14/2023	2026	"REID HOSPITAL & HEALTH CARE SERVICES, INC."	National PACE	Reid Health PACE Center	National PACE		"Reid Hospital & Health Care Services, Inc."	745	Yes	Active	1-765-935-8958				PACE - Nat		C	New York
H3522	Pharmacy Network Management Contact	Director		Fanning	Shannon		1-765-935-8958					shannon.fanning@reidhealth.org	2300 National Road West		Richmond	IN	47374	12/18/2023	2026	"REID HOSPITAL & HEALTH CARE SERVICES, INC."	National PACE	Reid Health PACE Center	National PACE		"Reid Hospital & Health Care Services, Inc."	745	Yes	Active					PACE - Nat		C	New York
H3522	Pharmacy Technical Help Desk Contact	Director		Fanning	Shannon							shannon.fanning@reidhealth.org	2300 National Road West		Richmond	IN	47374	12/18/2023	2026	"REID HOSPITAL & HEALTH CARE SERVICES, INC."	National PACE	Reid Health PACE Center	National PACE		"Reid Hospital & Health Care Services, Inc."	745	Yes	Active	1-765-935-8958	3314			PACE - Nat		C	New York
H3522	Plan to Plan Reconciliation Contact	Director		Fanning	Shannon		1-765-935-8958					shannon.fanning@reidhealth.org	2300 National Road West		Richmond	IN	47374	12/18/2023	2026	"REID HOSPITAL & HEALTH CARE SERVICES, INC."	National PACE	Reid Health PACE Center	National PACE		"Reid Hospital & Health Care Services, Inc."	745	Yes	Active					PACE - Nat		C	New York
H3528	Automated TrOOP Balance Transfer Contact	"AVP, Pharmacy"		Vu	John		1-801-252-5706					an.vu@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	"CONNECTICARE, INC."	Local CCP	ConnectiCare	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H3528	Best Available Evidence Contact	"Director, Medicare PEnrollment"		LeJeune	Ryan		1-562-549-4527					ryan.lejeune@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	"CONNECTICARE, INC."	Local CCP	ConnectiCare	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H3528	Chief Financial Officer	"MHI - VP, Operating Finance"	Mr.	Parthasarathy	Vijay		1-630-381-8563					vijay.parthasarathy@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	"CONNECTICARE, INC."	Local CCP	ConnectiCare	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H3528	CMS Casework Communication Contact	"Dir, Medicare A&G"		Bennett	Kimberly		1-248-854-9474					Kimberly.Bennett@molinahealthcare.com	24121 Rosewood Street		Oak Park	MI	48237	5/20/2026	2026	"CONNECTICARE, INC."	Local CCP	ConnectiCare	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H3528	Coordination of Benefits Contact	"Director, Payment Integrity"		Hartberger	Jake		1-484-269-1480					Jake.Hartberger@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	"CONNECTICARE, INC."	Local CCP	ConnectiCare	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H3528	Customer Service Operations Contact	"Vice President, Call Center"		Faroughi	Cheryl		1-614-547-6829					cheryl.faroughi@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	"CONNECTICARE, INC."	Local CCP	ConnectiCare	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H3528	Government Relations Contact	"MHI- Vice President, Compliance"		Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@Molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	"CONNECTICARE, INC."	Local CCP	ConnectiCare	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H3528	Hospice Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/20/2026	2026	"CONNECTICARE, INC."	Local CCP	ConnectiCare	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H3528	Medicare Compliance Officer	"MHI- Vice President, Compliance"	Mr.	Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	"CONNECTICARE, INC."	Local CCP	ConnectiCare	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H3528	Part D Exceptions Contact	"AVP, Medicare Pharmacy Services"		Vu	John							An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/20/2026	2026	"CONNECTICARE, INC."	Local CCP	ConnectiCare	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract	1-801-252-5706				HMO - Health Maintenance Organization		C	New York
H3528	Pharmacy Network Management Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/20/2026	2026	"CONNECTICARE, INC."	Local CCP	ConnectiCare	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H3528	Pharmacy Technical Help Desk Contact	"Director, Client Operations"		Help Desk	Pharmacy						1-480-314-6077	dayoubj@cvshealth.com	445 Great Circle Road		Nashville	TN	37228	5/20/2026	2026	"CONNECTICARE, INC."	Local CCP	ConnectiCare	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H3528	Plan to Plan Reconciliation Contact	"Director, Finance"		Cook	Keith		1-562-542-2024					P2P.molina@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	"CONNECTICARE, INC."	Local CCP	ConnectiCare	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H3533	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH COMPANY OF NEW YORK, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H3533	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH COMPANY OF NEW YORK, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H3533	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH COMPANY OF NEW YORK, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H3533	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	"HUMANA HEALTH COMPANY OF NEW YORK, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H3533	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH COMPANY OF NEW YORK, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H3533	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH COMPANY OF NEW YORK, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H3533	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH COMPANY OF NEW YORK, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H3533	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH COMPANY OF NEW YORK, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H3533	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH COMPANY OF NEW YORK, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H3533	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH COMPANY OF NEW YORK, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-859-321-9075				HMO - Health Maintenance Organization		C	Kansas City
H3533	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH COMPANY OF NEW YORK, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H3533	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	"HUMANA HEALTH COMPANY OF NEW YORK, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-800-865-8715				HMO - Health Maintenance Organization		C	Kansas City
H3533	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	"HUMANA HEALTH COMPANY OF NEW YORK, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H3536	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	"MATTHEW THORNTON HEALTH PLAN, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3536	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"MATTHEW THORNTON HEALTH PLAN, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3536	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	"MATTHEW THORNTON HEALTH PLAN, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3536	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	"MATTHEW THORNTON HEALTH PLAN, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3536	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	"MATTHEW THORNTON HEALTH PLAN, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3536	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	"MATTHEW THORNTON HEALTH PLAN, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3536	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"MATTHEW THORNTON HEALTH PLAN, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3536	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"MATTHEW THORNTON HEALTH PLAN, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3536	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"MATTHEW THORNTON HEALTH PLAN, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3536	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	"MATTHEW THORNTON HEALTH PLAN, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H3536	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/31/2023	2026	"MATTHEW THORNTON HEALTH PLAN, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3536	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	"MATTHEW THORNTON HEALTH PLAN, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H3536	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/7/2021	2026	"MATTHEW THORNTON HEALTH PLAN, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3551	Automated TrOOP Balance Transfer Contact	VP Pharmacy		Vellutato	John		1-857-313-4678					john.vellutato@eternalHealth.com	31 Saint James Avenue	Suite # 950	Boston	MA	02116	4/23/2024	2026	ETERNALHEALTH OF ARIZONA INC	Local CCP	eternalHealth	HMO/HMOPOS		"Eternal Health of Delaware, Inc."	769	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3551	Best Available Evidence Contact	VP Pharmacy		Vellutato	John		1-857-313-4678					john.vellutato@eternalHealth.com	31 Saint James Avenue	Suite # 950	Boston	MA	02116	4/23/2024	2026	ETERNALHEALTH OF ARIZONA INC	Local CCP	eternalHealth	HMO/HMOPOS		"Eternal Health of Delaware, Inc."	769	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3551	Chief Financial Officer	Interim CFO (Controller)	Mr.	Tang	Tak		1-617-665-7430					tak.tang@eternalhealth.com	31 St. James Ave.	Suite 950	Boston	MA	02116	3/9/2026	2026	ETERNALHEALTH OF ARIZONA INC	Local CCP	eternalHealth	HMO/HMOPOS		"Eternal Health of Delaware, Inc."	769	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3551	CMS Casework Communication Contact	VP Clinical Operations		Dougherty	Laurene		1-813-601-5063					laurene.dougherty@eternalhealth.com	31 Saint James Avenue	Suite # 950	Boston	MA	02116	5/19/2025	2026	ETERNALHEALTH OF ARIZONA INC	Local CCP	eternalHealth	HMO/HMOPOS		"Eternal Health of Delaware, Inc."	769	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3551	Coordination of Benefits Contact	COO		Price	John		1-215-880-6876					john.price@eternalhealth.com	31 St. James Ave.	Suite 950	Boston	MA	02116	12/21/2023	2026	ETERNALHEALTH OF ARIZONA INC	Local CCP	eternalHealth	HMO/HMOPOS		"Eternal Health of Delaware, Inc."	769	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3551	Customer Service Operations Contact	Chief Operating Officer		Price	John		1-215-880-6876					john.price@eternalhealth.com	31 St. James Ave.	Suite 950	Boston	MA	02116	7/31/2023	2026	ETERNALHEALTH OF ARIZONA INC	Local CCP	eternalHealth	HMO/HMOPOS		"Eternal Health of Delaware, Inc."	769	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3551	Government Relations Contact	Chief Compliance Officer		Ross	Cheyenne	L	1-623-910-3321					cheyenne.ross@eternalhealth.com	31 St. James Ave.	Suite 950	Boston	MA	02116	7/31/2023	2026	ETERNALHEALTH OF ARIZONA INC	Local CCP	eternalHealth	HMO/HMOPOS		"Eternal Health of Delaware, Inc."	769	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3551	Hospice Contact	VP Clinical Operations		Dougherty	Laurene		1-813-601-5063					laurene.dougherty@eternalhealth.com	31 Saint James Avenue	Suite # 950	Boston	MA	02116	5/19/2025	2026	ETERNALHEALTH OF ARIZONA INC	Local CCP	eternalHealth	HMO/HMOPOS		"Eternal Health of Delaware, Inc."	769	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3551	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Ross	Cheyenne	L	1-623-910-3321					cheyenne.ross@eternalhealth.com	31 St. James Ave.	Suite 950	Boston	MA	02116	7/31/2023	2026	ETERNALHEALTH OF ARIZONA INC	Local CCP	eternalHealth	HMO/HMOPOS		"Eternal Health of Delaware, Inc."	769	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3551	Part D Exceptions Contact	Manager		Bricker	Bryce							bryce.m.bricker@optum.com	2441 Warrenville Road		Lisle	IL	60532	7/31/2023	2026	ETERNALHEALTH OF ARIZONA INC	Local CCP	eternalHealth	HMO/HMOPOS		"Eternal Health of Delaware, Inc."	769	Yes	Active	1-612-632-6838				HMO - Health Maintenance Organization		C	Boston
H3551	Pharmacy Network Management Contact	Director		Ashby	JoLynn		1-763-732-6364					JAshby@optum.com	1600 McConnor Pkwy		Schaumburg	IL	60173	7/31/2023	2026	ETERNALHEALTH OF ARIZONA INC	Local CCP	eternalHealth	HMO/HMOPOS		"Eternal Health of Delaware, Inc."	769	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3551	Pharmacy Technical Help Desk Contact			Villanueva	Juan							juan.villanueva@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	6/4/2024	2026	ETERNALHEALTH OF ARIZONA INC	Local CCP	eternalHealth	HMO/HMOPOS		"Eternal Health of Delaware, Inc."	769	Yes	Active	1-855-312-2306				HMO - Health Maintenance Organization		C	Boston
H3551	Plan to Plan Reconciliation Contact	COO		Price	John		1-215-880-6876					john.price@eternalhealth.com	31 St. James Ave.	"Suite 950,"	Boston	MA	02116	12/21/2023	2026	ETERNALHEALTH OF ARIZONA INC	Local CCP	eternalHealth	HMO/HMOPOS		"Eternal Health of Delaware, Inc."	769	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3557	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Management		Bhesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	3/12/2025	2026	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	Local CCP	Blue Cross & Blue Shield of Rhode Island	Local PPO		Blue Cross & Blue Shield of Rhode Island	24	Yes	Active					PPO - BBA		C	Boston
H3557	Best Available Evidence Contact	Mng Dir Operations - Medicare Segment		Wisniewski	Ivona		1-401-459-1721				1-401-459-5089	Ivona.Wisniewski@bcbsri.org	500 Exchange Street		Providence	RI	02903	8/8/2024	2026	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	Local CCP	Blue Cross & Blue Shield of Rhode Island	Local PPO		Blue Cross & Blue Shield of Rhode Island	24	Yes	Active					PPO - BBA		C	Boston
H3557	Chief Financial Officer	"Interim CFO, VP Strategic Financial Management"	Ms.	Soucy	Stacia		1-401-459-5304					stacia.soucy@bcbsri.org	500 Exchange Street		Providence	RI	02903	12/3/2025	2026	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	Local CCP	Blue Cross & Blue Shield of Rhode Island	Local PPO		Blue Cross & Blue Shield of Rhode Island	24	Yes	Active					PPO - BBA		C	Boston
H3557	CMS Casework Communication Contact	Team Leader		Johnson	Shannon		1-401-459-2252				1-401-459-5668	shannon.johnson@bcbsri.org	500 Exchange St.		Providence	RI	02903	5/27/2025	2026	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	Local CCP	Blue Cross & Blue Shield of Rhode Island	Local PPO		Blue Cross & Blue Shield of Rhode Island	24	Yes	Active					PPO - BBA		C	Boston
H3557	Coordination of Benefits Contact	Mgr Project & Program Management		Bhesling	Beth		1-612-777-4823				1-612-777-6706	COBMedD@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	3/12/2025	2026	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	Local CCP	Blue Cross & Blue Shield of Rhode Island	Local PPO		Blue Cross & Blue Shield of Rhode Island	24	Yes	Active					PPO - BBA		C	Boston
H3557	Customer Service Operations Contact	Mng Dir Operations - Medicare Segment		Wisniewski	Ivona		1-401-459-1721				1-401-459-5089	Ivona.Wisniewski@bcbsri.org	500 Exchange Street		Providence	RI	02903	8/8/2024	2026	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	Local CCP	Blue Cross & Blue Shield of Rhode Island	Local PPO		Blue Cross & Blue Shield of Rhode Island	24	Yes	Active					PPO - BBA		C	Boston
H3557	Government Relations Contact	SVP Government Programs		Pitney	Christina		1-401-459-1103					christina.pitney@bcbsri.org	500 Exchange Street		Providence	RI	02903	8/8/2024	2026	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	Local CCP	Blue Cross & Blue Shield of Rhode Island	Local PPO		Blue Cross & Blue Shield of Rhode Island	24	Yes	Active					PPO - BBA		C	Boston
H3557	Hospice Contact	"Lead, Outsourced Medicare Operations"		Storti	Jane		1-401-837-8818					jane.storti@bcbsri.org	500 Exchange St.		Providence	RI	02903	8/8/2024	2026	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	Local CCP	Blue Cross & Blue Shield of Rhode Island	Local PPO		Blue Cross & Blue Shield of Rhode Island	24	Yes	Active					PPO - BBA		C	Boston
H3557	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Alfano	Robert		1-651-245-3798				1-401-459-1598	mco@bcbsri.org	500 Exchange Street		Providence	RI	02903	5/5/2026	2026	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	Local CCP	Blue Cross & Blue Shield of Rhode Island	Local PPO		Blue Cross & Blue Shield of Rhode Island	24	Yes	Active					PPO - BBA		C	Boston
H3557	Part D Exceptions Contact	Regulatory Pharmacist Sr.		Emerson	Kimberly						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/12/2025	2026	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	Local CCP	Blue Cross & Blue Shield of Rhode Island	Local PPO		Blue Cross & Blue Shield of Rhode Island	24	Yes	Active	1-800-693-6651				PPO - BBA		C	Boston
H3557	Pharmacy Network Management Contact	"VP, Network Management"		Conlin	Marci		1-612-777-2842				1-877-823-6373	Marci.Conlin@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Rd	Eagan	MN	55121	8/8/2024	2026	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	Local CCP	Blue Cross & Blue Shield of Rhode Island	Local PPO		Blue Cross & Blue Shield of Rhode Island	24	Yes	Active					PPO - BBA		C	Boston
H3557	Pharmacy Technical Help Desk Contact	"Sr Director, Member Services"		Scott	Shane							shane.scott@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/12/2025	2026	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	Local CCP	Blue Cross & Blue Shield of Rhode Island	Local PPO		Blue Cross & Blue Shield of Rhode Island	24	Yes	Active	1-855-457-1207				PPO - BBA		C	Boston
H3557	Plan to Plan Reconciliation Contact	Sr. Health Data Analyst		Simas	Heather		1-401-459-5286				1-401-459-1198	heather.simas@bcbsri.org	PO Box 1057		Providence	RI	02901	8/8/2024	2026	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	Local CCP	Blue Cross & Blue Shield of Rhode Island	Local PPO		Blue Cross & Blue Shield of Rhode Island	24	Yes	Active					PPO - BBA		C	Boston
H3561	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	"HEALTH NET COMMUNITY SOLUTIONS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H3561	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	"HEALTH NET COMMUNITY SOLUTIONS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H3561	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/25/2024	2026	"HEALTH NET COMMUNITY SOLUTIONS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H3561	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"HEALTH NET COMMUNITY SOLUTIONS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H3561	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"HEALTH NET COMMUNITY SOLUTIONS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H3561	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	9/18/2024	2026	"HEALTH NET COMMUNITY SOLUTIONS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H3561	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"HEALTH NET COMMUNITY SOLUTIONS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H3561	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	"HEALTH NET COMMUNITY SOLUTIONS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H3561	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/22/2025	2026	"HEALTH NET COMMUNITY SOLUTIONS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H3561	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/25/2024	2026	"HEALTH NET COMMUNITY SOLUTIONS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H3561	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	"HEALTH NET COMMUNITY SOLUTIONS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H3561	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	1/9/2025	2026	"HEALTH NET COMMUNITY SOLUTIONS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0202				HMO - Health Maintenance Organization		C	Denver
H3561	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	6/25/2024	2026	"HEALTH NET COMMUNITY SOLUTIONS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H3563	Automated TrOOP Balance Transfer Contact	QI and Compliance Director	Ms.	Kannan	Kannamma		1-760-280-2232					kkannan@westpace.org	1706 Descanso Ave		San Marcos	CA	92078	10/1/2019	2026	"GARY AND MARY WEST SENIOR SERVICES, INC."	National PACE	Gary and Mary West PACE	National PACE		"Gary and Mary West Senior Services, Inc."	714	Yes	Active					PACE - Nat		C	San Francisco
H3563	Best Available Evidence Contact	Executive Director		Smith	Renata		1-760-280-2230					rsmith@westpace.org	1706 Descanso Ave.		San Marcos	CA	92078	2/21/2025	2026	"GARY AND MARY WEST SENIOR SERVICES, INC."	National PACE	Gary and Mary West PACE	National PACE		"Gary and Mary West Senior Services, Inc."	714	Yes	Active					PACE - Nat		C	San Francisco
H3563	Chief Financial Officer	Business and Finance Director and CFO	Mr.	Meyer	Patricia		1-760-518-8274					pmeyer@westpace.org	1706 DESCANSO AVE		San Marcos	CA	92078	1/3/2025	2026	"GARY AND MARY WEST SENIOR SERVICES, INC."	National PACE	Gary and Mary West PACE	National PACE		"Gary and Mary West Senior Services, Inc."	714	Yes	Active					PACE - Nat		C	San Francisco
H3563	CMS Casework Communication Contact	Executive Director		Smith	RENATA		1-760-280-2230					rsmith@westpace.org	1706 Descanso Ave.		San Marcos	CA	92078	4/12/2022	2026	"GARY AND MARY WEST SENIOR SERVICES, INC."	National PACE	Gary and Mary West PACE	National PACE		"Gary and Mary West Senior Services, Inc."	714	Yes	Active					PACE - Nat		C	San Francisco
H3563	Coordination of Benefits Contact	QI and Compliance Director	Mrs.	Kannan	Kannamma		1-760-280-2230					kkannan@westpace.org	1706 DESCANSO AVE		San Marcos	CA	92078	3/15/2023	2026	"GARY AND MARY WEST SENIOR SERVICES, INC."	National PACE	Gary and Mary West PACE	National PACE		"Gary and Mary West Senior Services, Inc."	714	Yes	Active					PACE - Nat		C	San Francisco
H3563	Customer Service Operations Contact	Executive Director		Smith	Renata		1-760-280-2230					rsmith@westpace.org	1706 Descanso Ave.		San Marcos	CA	92078	2/21/2025	2026	"GARY AND MARY WEST SENIOR SERVICES, INC."	National PACE	Gary and Mary West PACE	National PACE		"Gary and Mary West Senior Services, Inc."	714	Yes	Active					PACE - Nat		C	San Francisco
H3563	Government Relations Contact	Executive Director		Smith	RENATA		1-760-280-2230					rsmith@westpace.org	1706 Descanso Ave.		San Marcos	CA	92078	4/12/2022	2026	"GARY AND MARY WEST SENIOR SERVICES, INC."	National PACE	Gary and Mary West PACE	National PACE		"Gary and Mary West Senior Services, Inc."	714	Yes	Active					PACE - Nat		C	San Francisco
H3563	Medicare Compliance Officer	QI and Compliance Director	Mrs.	Kannan	Kannamma		1-760-280-2232					kkannan@westpace.org	1706 Descanso Ave		San Marcos	CA	92078	10/1/2019	2026	"GARY AND MARY WEST SENIOR SERVICES, INC."	National PACE	Gary and Mary West PACE	National PACE		"Gary and Mary West Senior Services, Inc."	714	Yes	Active					PACE - Nat		C	San Francisco
H3563	Part D Exceptions Contact	Interim Medical Director	Dr.	Palencia	Don							dpalencia@westpace.org	1706 DESCANSO AVE		San Marcos	CA	92078	5/23/2025	2026	"GARY AND MARY WEST SENIOR SERVICES, INC."	National PACE	Gary and Mary West PACE	National PACE		"Gary and Mary West Senior Services, Inc."	714	Yes	Active	1-800-920-7098				PACE - Nat		C	San Francisco
H3563	Pharmacy Network Management Contact	Interim Medical Director	Dr.	Palencia	Don		1-760-280-2230					dpalencia@westpace.org	Descanso Ave		San Marcos	CA	92078	5/23/2025	2026	"GARY AND MARY WEST SENIOR SERVICES, INC."	National PACE	Gary and Mary West PACE	National PACE		"Gary and Mary West Senior Services, Inc."	714	Yes	Active					PACE - Nat		C	San Francisco
H3563	Pharmacy Technical Help Desk Contact	Interim Medical director	Dr.	Palencia	Don							dpalencia@westpace.org	Descanso Ave		San Marcos	CA	92078	5/23/2025	2026	"GARY AND MARY WEST SENIOR SERVICES, INC."	National PACE	Gary and Mary West PACE	National PACE		"Gary and Mary West Senior Services, Inc."	714	Yes	Active	1-800-920-7098				PACE - Nat		C	San Francisco
H3563	Plan to Plan Reconciliation Contact	Business and Finance Director		Meyer	Patricia		1-760-518-8274					pameyer@westpace.org	1706 Descanso Ave.		San Marcos	CA	92078	1/3/2025	2026	"GARY AND MARY WEST SENIOR SERVICES, INC."	National PACE	Gary and Mary West PACE	National PACE		"Gary and Mary West Senior Services, Inc."	714	Yes	Active					PACE - Nat		C	San Francisco
H3595	Automated TrOOP Balance Transfer Contact	Director of Pharmacy		Dunlop	Deven		1-530-434-7140					ddunlop@amplahealth.org	935 Market Street		Yuba City	CA	95991	9/18/2025	2026	AMPLA HEALTH	National PACE	Ampla Health PACE	National PACE		Ampla Health	889	Yes	Pending					PACE - Nat		C	San Francisco
H3595	Best Available Evidence Contact	Director of Communications		Valdez	Rocio		1-530-751-3761					rvaldez@amplahealth.org	935 Market Street		Yuba City	CA	95991	9/18/2025	2026	AMPLA HEALTH	National PACE	Ampla Health PACE	National PACE		Ampla Health	889	Yes	Pending					PACE - Nat		C	San Francisco
H3595	Chief Financial Officer	Chief Senior Care Officer	Ms.	Walker	Kathy		1-530-751-3736					kwalker@amplahealth.org	935 Market Street		Yuba City	CA	95991	9/18/2025	2026	AMPLA HEALTH	National PACE	Ampla Health PACE	National PACE		Ampla Health	889	Yes	Pending					PACE - Nat		C	San Francisco
H3595	CMS Casework Communication Contact	Director of Patient Support Services		Manriquez	Catharin		1-530-749-4137					cmanriquez@amplahealth.org	935 Market Street		Yuba City	CA	95991	9/18/2025	2026	AMPLA HEALTH	National PACE	Ampla Health PACE	National PACE		Ampla Health	889	Yes	Pending					PACE - Nat		C	San Francisco
H3595	Coordination of Benefits Contact	Chief Senior Care Officer		Walker	Kathy		1-530-751-3736					kwalker@amplahealth.org	935 Market Street		Yuba City	CA	95991	9/18/2025	2026	AMPLA HEALTH	National PACE	Ampla Health PACE	National PACE		Ampla Health	889	Yes	Pending					PACE - Nat		C	San Francisco
H3595	Customer Service Operations Contact	Director of Communications		Valdez	Rocio		1-530-751-3761					rvaldez@amplahealth.org	935 Market Street		Yuba City	CA	95991	9/18/2025	2026	AMPLA HEALTH	National PACE	Ampla Health PACE	National PACE		Ampla Health	889	Yes	Pending					PACE - Nat		C	San Francisco
H3595	Government Relations Contact	Chief Senior Care Officer		Walker	Kathy		1-530-751-3736					kwalker@amplahealth.org	935 Market Street		Yuba City	CA	95991	9/18/2025	2026	AMPLA HEALTH	National PACE	Ampla Health PACE	National PACE		Ampla Health	889	Yes	Pending					PACE - Nat		C	San Francisco
H3595	Medicare Compliance Officer	Corporate Compliance Officer	Mr.	Jhikka	Harjit		1-530-674-4261					hjhikka@amplahealth.org	935 Market Street		Yuba City	CA	95991	9/18/2025	2026	AMPLA HEALTH	National PACE	Ampla Health PACE	National PACE		Ampla Health	889	Yes	Pending					PACE - Nat		C	San Francisco
H3595	Part D Exceptions Contact	Director of Pharmacy		Dunlop	Deven							ddunlop@amplahealth.org	935 Market Street		Yuba City	CA	95991	9/18/2025	2026	AMPLA HEALTH	National PACE	Ampla Health PACE	National PACE		Ampla Health	889	Yes	Pending	1-866-358-9791				PACE - Nat		C	San Francisco
H3595	Pharmacy Network Management Contact	Director of Pharmacy		Dunlop	Deven		1-530-434-7140					ddunlop@amplahealth.org	935 Market Street		Yuba City	CA	95991	9/18/2025	2026	AMPLA HEALTH	National PACE	Ampla Health PACE	National PACE		Ampla Health	889	Yes	Pending					PACE - Nat		C	San Francisco
H3595	Pharmacy Technical Help Desk Contact	Director of Pharmacy		Dunlop	Deven							ddunlop@amplahealth.org	935 Market Street		Yuba City	CA	95991	9/18/2025	2026	AMPLA HEALTH	National PACE	Ampla Health PACE	National PACE		Ampla Health	889	Yes	Pending	1-866-358-9791				PACE - Nat		C	San Francisco
H3595	Plan to Plan Reconciliation Contact	Chief Senior Care Officer		Walker	Kathy		1-530-751-3736					kwalker@amplahealth.org	935 Market Street		Yuba City	CA	95991	9/18/2025	2026	AMPLA HEALTH	National PACE	Ampla Health PACE	National PACE		Ampla Health	889	Yes	Pending					PACE - Nat		C	San Francisco
H3597	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	AETNA HEALTH INC. (ME)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3597	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	AETNA HEALTH INC. (ME)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3597	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA HEALTH INC. (ME)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3597	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	AETNA HEALTH INC. (ME)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3597	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	AETNA HEALTH INC. (ME)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3597	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	AETNA HEALTH INC. (ME)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3597	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA HEALTH INC. (ME)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3597	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	AETNA HEALTH INC. (ME)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3597	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	AETNA HEALTH INC. (ME)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3597	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	AETNA HEALTH INC. (ME)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H3597	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA HEALTH INC. (ME)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3597	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	AETNA HEALTH INC. (ME)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H3597	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA HEALTH INC. (ME)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3613	Automated TrOOP Balance Transfer Contact	Director of Health Plan Management	Ms.	Harden	Lesley		1-216-273-0881					lesley.harden@mcgregorctr.org	14900 Private Dr		Cleveland	OH	44112	3/11/2025	2026	MCGREGOR PACE	National PACE	McGregor PACE	National PACE		McGregor at Overlook	450	Yes	Active					PACE - Nat		C	Chicago
H3613	Best Available Evidence Contact	Director of Health Plan Management	Ms.	Harden	Lesley		1-216-273-0881					lesley.harden@mcgregorctr.org	14900 Private Dr		Cleveland	OH	44112	3/11/2025	2026	MCGREGOR PACE	National PACE	McGregor PACE	National PACE		McGregor at Overlook	450	Yes	Active					PACE - Nat		C	Chicago
H3613	Chief Financial Officer	CFO	Ms.	Hayes	Jennifer	L	1-216-851-8200	2010				jennifer.hayes@mcgregoramasa.org	14900 Private Drive		Cleveland	OH	44112	8/9/2022	2026	MCGREGOR PACE	National PACE	McGregor PACE	National PACE		McGregor at Overlook	450	Yes	Active					PACE - Nat		C	Chicago
H3613	CMS Casework Communication Contact	CSO	Ms.	DiCesare	Svetlana		1-216-791-3580					lana.dicesare@mcgregorctr.org	26310 Emery Road		Warrensville Heights	OH	44128	12/4/2024	2026	MCGREGOR PACE	National PACE	McGregor PACE	National PACE		McGregor at Overlook	450	Yes	Active					PACE - Nat		C	Chicago
H3613	Coordination of Benefits Contact	Director of Health Plan Management	Ms.	Harden	Lesley		1-216-273-0881					lesley.harden@mcgregorctr.org	14900 Private Drive		Cleveland	OH	44112	3/11/2025	2026	MCGREGOR PACE	National PACE	McGregor PACE	National PACE		McGregor at Overlook	450	Yes	Active					PACE - Nat		C	Chicago
H3613	Customer Service Operations Contact	Clinical Services Officer	Ms.	DiCesare	Lana		1-216-791-3580					lana.dicesare@mcgregorctr.org	26310 Emery Road		Warrensville Heights	OH	44128	9/24/2025	2026	MCGREGOR PACE	National PACE	McGregor PACE	National PACE		McGregor at Overlook	450	Yes	Active					PACE - Nat		C	Chicago
H3613	Government Relations Contact	CEO	Ms.	Conn	Ann		1-216-851-8200	2050				ann.conn@mcgregoramasa.org	14900 Private Drive		Cleveland	OH	44112	2/18/2022	2026	MCGREGOR PACE	National PACE	McGregor PACE	National PACE		McGregor at Overlook	450	Yes	Active					PACE - Nat		C	Chicago
H3613	Medicare Compliance Officer	Compliance Officer	Ms.	Bentley	Leah		1-216-268-8402					Leah.Bentley@mcgregoramasa.org	26310 Emery Rd		Cleveland	OH	44128	1/10/2023	2026	MCGREGOR PACE	National PACE	McGregor PACE	National PACE		McGregor at Overlook	450	Yes	Active					PACE - Nat		C	Chicago
H3613	Part D Exceptions Contact	Director of Health Plan Management	Ms.	Harden	Lesley							lesley.harden@mcgregorctr.org	14900 Private Drive		Cleveland	OH	44112	3/11/2025	2026	MCGREGOR PACE	National PACE	McGregor PACE	National PACE		McGregor at Overlook	450	Yes	Active	1-216-273-0881				PACE - Nat		C	Chicago
H3613	Pharmacy Network Management Contact	Medical Director		Balina	Cynthia		1-216-205-4000					cynthia.balina@mcgregorctr.org	7570 Northcliff Ave		Brooklyn	OH	44144	2/23/2024	2026	MCGREGOR PACE	National PACE	McGregor PACE	National PACE		McGregor at Overlook	450	Yes	Active					PACE - Nat		C	Chicago
H3613	Pharmacy Technical Help Desk Contact	CSO	Ms.	Dicesare	Svetlana							lana.dicesare@mcgregorctr.org	26310 Emery Road		Warrensville Heights	OH	44128	2/18/2022	2026	MCGREGOR PACE	National PACE	McGregor PACE	National PACE		McGregor at Overlook	450	Yes	Active	1-216-791-3580				PACE - Nat		C	Chicago
H3613	Plan to Plan Reconciliation Contact	CCO	Ms.	Harden	Lesley		1-216-273-0881					lesley.harden@mcgregorctr.org	14900 Private Drive		Cleveland	OH	44112	6/3/2025	2026	MCGREGOR PACE	National PACE	McGregor PACE	National PACE		McGregor at Overlook	450	Yes	Active					PACE - Nat		C	Chicago
H3653	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy - Medicare and Information"		Goff	Katie		1-216-687-7344					Katie.Goff@medmutual.com	100 American Road		Cleveland	OH	44144	6/30/2025	2026	"PARAMOUNT CARE, INC."	Local CCP	Paramount Elite Medicare Plans	HMO/HMOPOS		MEDICAL MUTUAL OF OHIO	289	Yes	Consolidation					HMO - Health Maintenance Organization		C	Chicago
H3653	Best Available Evidence Contact	Medicare Operations Analyst II		Crowley	Lauren		1-216-687-6585					BAEdocs@medmutual.com	100 American Road		Cleveland	OH	44144	6/30/2025	2026	"PARAMOUNT CARE, INC."	Local CCP	Paramount Elite Medicare Plans	HMO/HMOPOS		MEDICAL MUTUAL OF OHIO	289	Yes	Consolidation					HMO - Health Maintenance Organization		C	Chicago
H3653	Chief Financial Officer	"VP, Chief Financial Officer"	Mr.	McNutt	Jim		1-216-687-7006					james.mcnutt@medmutual.com	100 American Road		Cleveland	OH	44144	6/30/2025	2026	"PARAMOUNT CARE, INC."	Local CCP	Paramount Elite Medicare Plans	HMO/HMOPOS		MEDICAL MUTUAL OF OHIO	289	Yes	Consolidation					HMO - Health Maintenance Organization		C	Chicago
H3653	CMS Casework Communication Contact	"Director, Customer Care"		Glaspie	Anissa		1-216-687-7059					anissa.glaspie@medmutual.com	100 American Road		Cleveland	OH	44144	6/30/2025	2026	"PARAMOUNT CARE, INC."	Local CCP	Paramount Elite Medicare Plans	HMO/HMOPOS		MEDICAL MUTUAL OF OHIO	289	Yes	Consolidation					HMO - Health Maintenance Organization		C	Chicago
H3653	Coordination of Benefits Contact	"Manager, COB and Workers Comp"		Njaim	Stephanie		1-419-473-7733					Stephanie.Njaim@medmutual.com	100 American Road		Cleveland	OH	44144	6/30/2025	2026	"PARAMOUNT CARE, INC."	Local CCP	Paramount Elite Medicare Plans	HMO/HMOPOS		MEDICAL MUTUAL OF OHIO	289	Yes	Consolidation					HMO - Health Maintenance Organization		C	Chicago
H3653	Customer Service Operations Contact	"Director, Customer Care"		Glaspie	Anissa		1-216-687-7059					Anissa.Glaspie@medmutual.com	100 American Road		Cleveland	OH	44144	6/30/2025	2026	"PARAMOUNT CARE, INC."	Local CCP	Paramount Elite Medicare Plans	HMO/HMOPOS		MEDICAL MUTUAL OF OHIO	289	Yes	Consolidation					HMO - Health Maintenance Organization		C	Chicago
H3653	Government Relations Contact	Medicare Compliance Officer		Beadle	Nicole		1-937-681-2032					nicole.beadle@medmutual.com	100 American Road		Cleveland	OH	44144	8/20/2025	2026	"PARAMOUNT CARE, INC."	Local CCP	Paramount Elite Medicare Plans	HMO/HMOPOS		MEDICAL MUTUAL OF OHIO	289	Yes	Consolidation					HMO - Health Maintenance Organization		C	Chicago
H3653	Hospice Contact	"Director, Pharmacy - Medicare and Information"		Goff	Katie		1-216-687-7344					Katie.Goff@medmutual.com	100 American Road		Cleveland	OH	44144	6/30/2025	2026	"PARAMOUNT CARE, INC."	Local CCP	Paramount Elite Medicare Plans	HMO/HMOPOS		MEDICAL MUTUAL OF OHIO	289	Yes	Consolidation					HMO - Health Maintenance Organization		C	Chicago
H3653	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Beadle	Nicole		1-216-687-7830					nicole.beadle@medmutual.com	100 American Road		Cleveland	OH	44144	8/20/2025	2026	"PARAMOUNT CARE, INC."	Local CCP	Paramount Elite Medicare Plans	HMO/HMOPOS		MEDICAL MUTUAL OF OHIO	289	Yes	Consolidation					HMO - Health Maintenance Organization		C	Chicago
H3653	Part D Exceptions Contact	"Dir, Pharmacy - Medicare and Information"		Goff	Katie							katie.goff@medmutual.com	100 American Road		Cleveland	OH	44144	6/30/2025	2026	"PARAMOUNT CARE, INC."	Local CCP	Paramount Elite Medicare Plans	HMO/HMOPOS		MEDICAL MUTUAL OF OHIO	289	Yes	Consolidation	1-216-687-7344				HMO - Health Maintenance Organization		C	Chicago
H3653	Pharmacy Network Management Contact	"Dir, Pharmacy - Medicare and Information"		Goff	Katie		1-216-687-7344					lisa.trost@medmutual.com	100 American Road		Cleveland	OH	44144	6/30/2025	2026	"PARAMOUNT CARE, INC."	Local CCP	Paramount Elite Medicare Plans	HMO/HMOPOS		MEDICAL MUTUAL OF OHIO	289	Yes	Consolidation					HMO - Health Maintenance Organization		C	Chicago
H3653	Pharmacy Technical Help Desk Contact	"Manager, Vendor Management"		Rodriguez	Alex							alex.rodriguez@cvs.health	2401 Cherahala Blvd		Knoxville	TN	37932	6/30/2025	2026	"PARAMOUNT CARE, INC."	Local CCP	Paramount Elite Medicare Plans	HMO/HMOPOS		MEDICAL MUTUAL OF OHIO	289	Yes	Consolidation	1-866-693-4620				HMO - Health Maintenance Organization		C	Chicago
H3653	Plan to Plan Reconciliation Contact	PAR - Financial Analyst III		Short	Nicole		1-419-349-8621					Nicole.Short@medmutual.com	100 American Road		Cleveland	OH	44144	11/3/2025	2026	"PARAMOUNT CARE, INC."	Local CCP	Paramount Elite Medicare Plans	HMO/HMOPOS		MEDICAL MUTUAL OF OHIO	289	Yes	Consolidation					HMO - Health Maintenance Organization		C	Chicago
H3655	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3655	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3655	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3655	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3655	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3655	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3655	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3655	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3655	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3655	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H3655	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/31/2023	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3655	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H3655	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/7/2021	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3660	Automated TrOOP Balance Transfer Contact	Program Manager II	Ms	Cuevas	Lauren		1-858-790-7031				1-858-790-6052	PartDCAT@MedImpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	3/12/2024	2026	SUMMACARE INC.	Local CCP	SummaCare Medicare Advantage Plans	HMO/HMOPOS		General Catalyst Group Management Holdings LP	896	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3660	Best Available Evidence Contact	"Manager, Eligibility"		Elrod	Hayley		1-330-996-8401				1-330-996-8953	enrollmentrecon@summacare.com	1200 East Market Street	Ste 400	Akron	OH	44305	12/2/2025	2026	SUMMACARE INC.	Local CCP	SummaCare Medicare Advantage Plans	HMO/HMOPOS		General Catalyst Group Management Holdings LP	896	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3660	Chief Financial Officer	CFO	Mr.	Fehlner	Alan		1-330-996-8565				1-330-996-8454	fehlnera@summacare.com	1200 East Market Stree	Ste 400	Akron	OH	44305	8/3/2020	2026	SUMMACARE INC.	Local CCP	SummaCare Medicare Advantage Plans	HMO/HMOPOS		General Catalyst Group Management Holdings LP	896	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3660	CMS Casework Communication Contact	Compliance Coordinator		Donnenwirth	Terry		1-330-996-5605				1-330-996-8726	donnenwirtht@summacare.com	1200 East Market Street	Ste 400	Akron	OH	44305	2/2/2022	2026	SUMMACARE INC.	Local CCP	SummaCare Medicare Advantage Plans	HMO/HMOPOS		General Catalyst Group Management Holdings LP	896	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3660	Coordination of Benefits Contact	"Manager, Eligibility"		Elrod	Hayley		1-330-996-8401				1-330-996-8953	enrollmentrecon@summacare.com	"1200 East Market Street, Ste 400"	P.O. Box 3620	Akron	OH	44305	12/2/2025	2026	SUMMACARE INC.	Local CCP	SummaCare Medicare Advantage Plans	HMO/HMOPOS		General Catalyst Group Management Holdings LP	896	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3660	Customer Service Operations Contact	"Vice President, Operations"		Rusk	Melissa		1-800-996-8411	62326			1-330-996-8454	ruskm@summacare.com	1200 East Market Street	Suite 400	Akron	OH	44305	4/24/2026	2026	SUMMACARE INC.	Local CCP	SummaCare Medicare Advantage Plans	HMO/HMOPOS		General Catalyst Group Management Holdings LP	896	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3660	Government Relations Contact	"Manager, Compliance-Plan Operations"	Ms	Jones	Tracy	L	1-440-915-2569				1-330-996-8726	jonestl@summacare.com	1200 East Market Street	Ste 400	Akron	OH	44305	4/24/2026	2026	SUMMACARE INC.	Local CCP	SummaCare Medicare Advantage Plans	HMO/HMOPOS		General Catalyst Group Management Holdings LP	896	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3660	Hospice Contact	Chief Medical Officer	Dr.	Voll	Matt		1-330-996-8270					vollma@summacare.com	1200 East Market Street	Ste 400	Akron	OH	44305	5/29/2026	2026	SUMMACARE INC.	Local CCP	SummaCare Medicare Advantage Plans	HMO/HMOPOS		General Catalyst Group Management Holdings LP	896	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3660	Medicare Compliance Officer	"Manager, Compliance-Plan Operations"	Ms	Jones	Tracy	L	1-440-915-2569				1-330-996-8726	jonestl@summacare.com	1200 East Market Street	Ste 400	Akron	OH	44305	4/24/2026	2026	SUMMACARE INC.	Local CCP	SummaCare Medicare Advantage Plans	HMO/HMOPOS		General Catalyst Group Management Holdings LP	896	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3660	Part D Exceptions Contact	"Director, PA Services"		Grondin	Don						1-858-790-6529	Don.grondin@medimpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	3/12/2024	2026	SUMMACARE INC.	Local CCP	SummaCare Medicare Advantage Plans	HMO/HMOPOS		General Catalyst Group Management Holdings LP	896	Yes	Active	1-858-790-6536				HMO - Health Maintenance Organization		C	Chicago
H3660	Pharmacy Network Management Contact	"Supervisor, Pharmacy Network Support"		Burke	Sharon		1-858-790-7148				1-858-790-6011	Sharon.Burke@MedImpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	12/6/2013	2026	SUMMACARE INC.	Local CCP	SummaCare Medicare Advantage Plans	HMO/HMOPOS		General Catalyst Group Management Holdings LP	896	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3660	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"		Brewer	Kathy							customerservice@medimpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	10/23/2025	2026	SUMMACARE INC.	Local CCP	SummaCare Medicare Advantage Plans	HMO/HMOPOS		General Catalyst Group Management Holdings LP	896	Yes	Active	1-877-391-1109				HMO - Health Maintenance Organization		C	Chicago
H3660	Plan to Plan Reconciliation Contact	Financial Accounting Analyst		Coyne	Eric		1-330-996-8298					coynee@summacare.com	1200 East Market Street	Suite 400	Akron	OH	44305	7/12/2023	2026	SUMMACARE INC.	Local CCP	SummaCare Medicare Advantage Plans	HMO/HMOPOS		General Catalyst Group Management Holdings LP	896	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3664	Automated TrOOP Balance Transfer Contact	Medicare Part D Supervisor		Schrock	Ranada		1-330-363-3132					rschrock@aultcare.com	Morrow House	2600 Sixth Street SW	Canton	OH	44710	7/1/2022	2026	AULTCARE HEALTH INSURING CORPORATION	Local CCP	PrimeTime Health Plan	HMO/HMOPOS		Aultman Health Foundation	446	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3664	Best Available Evidence Contact	Enrollment Coordinator		Palmer	Laura		1-330-363-4149					lpalmer@aultcare.com	Morrow House	2600 Sixth Street SW	Canton	OH	44710	9/24/2020	2026	AULTCARE HEALTH INSURING CORPORATION	Local CCP	PrimeTime Health Plan	HMO/HMOPOS		Aultman Health Foundation	446	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3664	Chief Financial Officer	"Vice President, CFO"	Mrs	Rapp	Melissa		1-330-363-4880				1-330-438-2911	melissa.rapp@aultman.com	Morrow House	2600 Sixth Street SW	Canton	OH	44710	10/31/2024	2026	AULTCARE HEALTH INSURING CORPORATION	Local CCP	PrimeTime Health Plan	HMO/HMOPOS		Aultman Health Foundation	446	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3664	CMS Casework Communication Contact	Compliance Officer		Lab	Kari		1-330-933-7662				1-330-363-3066	klab@aultcare.com	Morrow House	2600 Sixth Street SW	Canton	OH	44710	5/24/2023	2026	AULTCARE HEALTH INSURING CORPORATION	Local CCP	PrimeTime Health Plan	HMO/HMOPOS		Aultman Health Foundation	446	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3664	Coordination of Benefits Contact	Medicare Part D Supervisor		Schrock	Ranada		1-330-363-3132				1-330-580-6764	rschrock@aultcare.com	Morrow House	2600 Sixth Street SW	Canton	OH	44710	7/1/2022	2026	AULTCARE HEALTH INSURING CORPORATION	Local CCP	PrimeTime Health Plan	HMO/HMOPOS		Aultman Health Foundation	446	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3664	Customer Service Operations Contact	Customer Service Supervisor		Bowling-Shaffer	Lisa		1-330-363-2206				1-330-363-7714	lbowling-shaffer@aultcare.com	Morrow House	2600 Sixth Street SW	Canton	OH	44710	9/24/2020	2026	AULTCARE HEALTH INSURING CORPORATION	Local CCP	PrimeTime Health Plan	HMO/HMOPOS		Aultman Health Foundation	446	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3664	Government Relations Contact	Compliance Officer		Lab	Kari		1-330-363-3199				1-330-363-3066	klab@aultcare.com	Morrow House	2600 Sixth Street SW	Canton	OH	44710	9/24/2020	2026	AULTCARE HEALTH INSURING CORPORATION	Local CCP	PrimeTime Health Plan	HMO/HMOPOS		Aultman Health Foundation	446	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3664	Hospice Contact	Medicare Part D Supervisor		Schrock	Ranada		1-330-363-3132				1-330-580-6764	rschrock@aultcare.com	Morrow House	2600 Sixth Street SW	Canton	OH	44710	7/1/2022	2026	AULTCARE HEALTH INSURING CORPORATION	Local CCP	PrimeTime Health Plan	HMO/HMOPOS		Aultman Health Foundation	446	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3664	Medicare Compliance Officer	Compliance Officer	Mrs	Lab	Kari		1-330-933-7662				1-330-363-3066	klab@aultcare.com	Morrow House	2600 Sixth Street SW	Canton	OH	44710	5/24/2023	2026	AULTCARE HEALTH INSURING CORPORATION	Local CCP	PrimeTime Health Plan	HMO/HMOPOS		Aultman Health Foundation	446	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3664	Part D Exceptions Contact	Medicare Part D Supervisor		Schrock	Ranada							rschrock@aultcare.com	Morrow House	2600 Sixth Street SW	Canton	OH	44710	7/1/2022	2026	AULTCARE HEALTH INSURING CORPORATION	Local CCP	PrimeTime Health Plan	HMO/HMOPOS		Aultman Health Foundation	446	Yes	Active	1-800-577-5084	2248			HMO - Health Maintenance Organization		C	Chicago
H3664	Pharmacy Network Management Contact	Compliance Officer		Lab	Kari		1-330-933-7662				1-330-363-3066	klab@aultcare.com	Morrow House	2600 Sixth Street SW	Canton	OH	44710	5/24/2023	2026	AULTCARE HEALTH INSURING CORPORATION	Local CCP	PrimeTime Health Plan	HMO/HMOPOS		Aultman Health Foundation	446	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3664	Pharmacy Technical Help Desk Contact	Medicare Part D Supervisor		Schrock	Ranada							rschrock@aultcare.com	Morrow House	2600 Sixth Street SW	Canton	OH	44710	7/1/2022	2026	AULTCARE HEALTH INSURING CORPORATION	Local CCP	PrimeTime Health Plan	HMO/HMOPOS		Aultman Health Foundation	446	Yes	Active	1-866-868-2373				HMO - Health Maintenance Organization		C	Chicago
H3664	Plan to Plan Reconciliation Contact	Reconciliation Analyst		David	Darrin		1-330-705-7988					ddavid@aultcare.com	Morrow House	2600 Sixth Street SW	Canton	OH	44710	9/24/2020	2026	AULTCARE HEALTH INSURING CORPORATION	Local CCP	PrimeTime Health Plan	HMO/HMOPOS		Aultman Health Foundation	446	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3668	Automated TrOOP Balance Transfer Contact	Part D Analyst		Houk	Kim		1-614-546-3183				1-614-546-3131	kulrich@Medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	"MOUNT CARMEL HEALTH PLAN, INC."	Local CCP	MediGold	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3668	Best Available Evidence Contact	"Manager, Enrollment & Reconciliation"		Buddell	Natasha		1-614-546-3222				1-614-546-3148	nbuddell@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	"MOUNT CARMEL HEALTH PLAN, INC."	Local CCP	MediGold	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3668	Chief Financial Officer	Chief Financial Officer	Mr	Vis	David		1-614-546-3211				1-614-546-3131	david.vis@medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	"MOUNT CARMEL HEALTH PLAN, INC."	Local CCP	MediGold	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3668	CMS Casework Communication Contact	Compliance Specialist	Mr.	Jordan	David	A	1-614-706-8474				1-614-234-8372	djordan@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	"MOUNT CARMEL HEALTH PLAN, INC."	Local CCP	MediGold	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3668	Coordination of Benefits Contact	Pharmacy Data Analyst		Houk	Kim		1-614-546-3183				1-614-546-3132	kulrich@Medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	"MOUNT CARMEL HEALTH PLAN, INC."	Local CCP	MediGold	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3668	Customer Service Operations Contact	"Senior Director, Member and Provider Services"		Schlabach	Marilyn		1-614-546-3180				1-614-546-3132	mschlabach@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	"MOUNT CARMEL HEALTH PLAN, INC."	Local CCP	MediGold	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3668	Government Relations Contact	CEO	Mr	Randolph	John	C	1-614-546-3152				1-614-546-3131	jack.randolph@MediGold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	"MOUNT CARMEL HEALTH PLAN, INC."	Local CCP	MediGold	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3668	Hospice Contact	Senior Pharmacy Data Analyst		Houk	Kim		1-614-546-3183				1-614-546-3132	kulrich@Medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	"MOUNT CARMEL HEALTH PLAN, INC."	Local CCP	MediGold	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3668	Medicare Compliance Officer	Chief Compliance Officer	Ms	Suffern	Patricia		1-412-478-0244					patricia.suffern@medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	"MOUNT CARMEL HEALTH PLAN, INC."	Local CCP	MediGold	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3668	Part D Exceptions Contact	"Director, Pharmacy"	Ms.	McGhee	Anna							anna.mcghee@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	1/21/2024	2026	"MOUNT CARMEL HEALTH PLAN, INC."	Local CCP	MediGold	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active	1-800-240-3851				HMO - Health Maintenance Organization		C	Chicago
H3668	Pharmacy Network Management Contact	"Director, Pharmacy"	Ms.	McGhee	Anna		1-216-534-5375					anna.mcghee@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	1/21/2024	2026	"MOUNT CARMEL HEALTH PLAN, INC."	Local CCP	MediGold	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3668	Pharmacy Technical Help Desk Contact	"Director, Pharmacy"	Ms.	McGhee	Anna							anna.mcghee@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	1/21/2024	2026	"MOUNT CARMEL HEALTH PLAN, INC."	Local CCP	MediGold	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Chicago
H3668	Plan to Plan Reconciliation Contact	Pharmacy Data Analyst		Houk	Kim		1-614-546-3183				1-614-546-3132	kulrich@Medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	"MOUNT CARMEL HEALTH PLAN, INC."	Local CCP	MediGold	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3672	Automated TrOOP Balance Transfer Contact	Senior Clinical Pharmacist		Kovalski	Amy		1-740-232-4320				1-304-885-7592	akovalski@healthplan.org	The Health Plan	1110 Main Street	Wheeling	WV	26003	12/17/2024	2026	"THE HEALTH PLAN OF WEST VIRGINIA, INC."	Local CCP	The Health Plan	HMO/HMOPOS		"The Health Plan of West Virginia, Inc."	354	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3672	Best Available Evidence Contact	Manager Medicare Enrollment		Bliss	Tonya		1-740-699-6990				1-740-699-6164	tbliss@healthplan.org	The Health Plan	1110 Main Street	Wheeling	WV	26003	10/19/2023	2026	"THE HEALTH PLAN OF WEST VIRGINIA, INC."	Local CCP	The Health Plan	HMO/HMOPOS		"The Health Plan of West Virginia, Inc."	354	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3672	Chief Financial Officer	Chief Financial Officer	Mr	Ralston	Ryan		1-740-699-6236				1-740-699-6161	rralston@healthplan.org	The Health Plan	1110 Main Street	Wheeling	WV	26003	3/13/2019	2026	"THE HEALTH PLAN OF WEST VIRGINIA, INC."	Local CCP	The Health Plan	HMO/HMOPOS		"The Health Plan of West Virginia, Inc."	354	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3672	CMS Casework Communication Contact	Director Medicare Operations		Staffileno	Penny		1-740-695-7597				1-740-699-6163	pstaffileno@healthplan.org	The Health Plan	1110 Main Street	Wheeling	WV	26003	7/25/2024	2026	"THE HEALTH PLAN OF WEST VIRGINIA, INC."	Local CCP	The Health Plan	HMO/HMOPOS		"The Health Plan of West Virginia, Inc."	354	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3672	Coordination of Benefits Contact	Manager COB		Fetty	Jackie		1-740-695-7699				1-740-699-6163	jfetty@healthplan.org	The Health Plan	1110 Main Street	Wheeling	WV	26003	11/6/2019	2026	"THE HEALTH PLAN OF WEST VIRGINIA, INC."	Local CCP	The Health Plan	HMO/HMOPOS		"The Health Plan of West Virginia, Inc."	354	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3672	Customer Service Operations Contact	Director Medicare Operations		Staffileno	Penny		1-740-695-7597				1-740-699-6163	pstaffileno@healthplan.org	The Health Plan	1110 Main Street	Wheeling	WV	26003	7/25/2024	2026	"THE HEALTH PLAN OF WEST VIRGINIA, INC."	Local CCP	The Health Plan	HMO/HMOPOS		"The Health Plan of West Virginia, Inc."	354	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3672	Government Relations Contact	Director of Compliance	Ms	Swift	Jennifer		1-740-695-7660					jswift@healthplan.org	The Health Plan	1110 Main Street	Wheeling	WV	26003	1/5/2026	2026	"THE HEALTH PLAN OF WEST VIRGINIA, INC."	Local CCP	The Health Plan	HMO/HMOPOS		"The Health Plan of West Virginia, Inc."	354	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3672	Hospice Contact	Senior Clinical Pharmacist		Kovalski	Amy		1-740-232-4320				1-304-885-7592	akovalski@healthplan.org	The Health Plan	1110 Main Street	Wheeling	WV	26003	12/17/2024	2026	"THE HEALTH PLAN OF WEST VIRGINIA, INC."	Local CCP	The Health Plan	HMO/HMOPOS		"The Health Plan of West Virginia, Inc."	354	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3672	Medicare Compliance Officer	Director of Compliance	Ms	Swift	Jennifer		1-740-695-7660					jswift@healthplan.org	The Health Plan	1110 Main Street	Wheeling	WV	26003	1/5/2026	2026	"THE HEALTH PLAN OF WEST VIRGINIA, INC."	Local CCP	The Health Plan	HMO/HMOPOS		"The Health Plan of West Virginia, Inc."	354	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3672	Part D Exceptions Contact	Senior Clinical Pharmacist		Kovalski	Amy						1-304-885-7592	akovalski@healthplan.org	The Health Plan	1110 Main Street	Wheeling	WV	26003	12/17/2024	2026	"THE HEALTH PLAN OF WEST VIRGINIA, INC."	Local CCP	The Health Plan	HMO/HMOPOS		"The Health Plan of West Virginia, Inc."	354	Yes	Active	1-800-624-6961	6627			HMO - Health Maintenance Organization		C	Chicago
H3672	Pharmacy Network Management Contact	"Network Account Dir, Retail Strategy & Contracting"		Kelly	Heather		1-314-692-1866				1-800-357-9578	Heather.Kelly2@evernorth.com	Express Scripts	One Express Way	St. Louis	MO	63121	1/7/2026	2026	"THE HEALTH PLAN OF WEST VIRGINIA, INC."	Local CCP	The Health Plan	HMO/HMOPOS		"The Health Plan of West Virginia, Inc."	354	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3672	Pharmacy Technical Help Desk Contact	"Sr. Director, Customer Service"		Sahs	Dale							dale.sahs@express-scripts.com	One Express Way Mail Stop S13NB		St. Louis	MO	63121	1/7/2026	2026	"THE HEALTH PLAN OF WEST VIRGINIA, INC."	Local CCP	The Health Plan	HMO/HMOPOS		"The Health Plan of West Virginia, Inc."	354	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Chicago
H3672	Plan to Plan Reconciliation Contact	Controller		Marsh	Jane		1-740-699-6121				1-740-699-6161	jmarsh@healthplan.org	The Health Plan	1110 Main Street	Wheeling	WV	26003	10/30/2018	2026	"THE HEALTH PLAN OF WEST VIRGINIA, INC."	Local CCP	The Health Plan	HMO/HMOPOS		"The Health Plan of West Virginia, Inc."	354	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3706	Automated TrOOP Balance Transfer Contact	"Director, Member Enrollment & Fulfillment"		Rhodes	Trent	R	1-787-758-2500	5434				trent.rhodes@globalhealth.com	210 Park Avenue	Suite 2900	Oklahoma City	OK	73102	6/12/2025	2026	"GLOBALHEALTH, INC."	Local CCP	GlobalHealth	HMO/HMOPOS		"MHH Healthcare, L.P."	669	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3706	Best Available Evidence Contact	"Director, Enrollment and Fulfillment"		Rhodes	Trent		1-405-280-5871					trent.rhodes@globalhealth.com	210 Park Avenue	Suite 2900	Oklahoma City	OK	73102-5621	2/16/2024	2026	"GLOBALHEALTH, INC."	Local CCP	GlobalHealth	HMO/HMOPOS		"MHH Healthcare, L.P."	669	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3706	Chief Financial Officer	Chief Financial Officer	Mr.	Aponte	Jose		1-787-758-2500	5022				joseap@medicalcardsystem.com	210 Park Ave	Suite 2900	Oklahoma City	OK	73102	7/7/2023	2026	"GLOBALHEALTH, INC."	Local CCP	GlobalHealth	HMO/HMOPOS		"MHH Healthcare, L.P."	669	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3706	CMS Casework Communication Contact	SVP & Medicare Compliance Officer		Pastrana	Isis	C	1-787-478-3428					isis.pastrana@medicalcardsystem.com	210 Park Avenue	Suite 2900	Oklahoma City	OK	73102-5621	12/26/2025	2026	"GLOBALHEALTH, INC."	Local CCP	GlobalHealth	HMO/HMOPOS		"MHH Healthcare, L.P."	669	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3706	Coordination of Benefits Contact	"Director, Enrollment and Fulfillment"		Rhodes	Trent		1-405-280-5871					trent.rhodes@globalhealth.com	210 Park Avenue	Suite 2900	Oklahoma City	OK	73102-5621	2/16/2024	2026	"GLOBALHEALTH, INC."	Local CCP	GlobalHealth	HMO/HMOPOS		"MHH Healthcare, L.P."	669	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3706	Customer Service Operations Contact	"Director, Customer Care"		Thomas	Daniel		1-405-526-1126					Daniel.Thomas@globalhealth.com	210 Park Avenue	Suite 2900	Oklahoma City	OK	73102-5621	7/7/2023	2026	"GLOBALHEALTH, INC."	Local CCP	GlobalHealth	HMO/HMOPOS		"MHH Healthcare, L.P."	669	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3706	Government Relations Contact	SVP & Medicare Compliance Officer		Pastrana	Isis	C	1-787-478-3428					isis.pastrana@medicalcardsystem.com	210 Park Avenue	Suite 2900	Oklahoma City	OK	73102-5621	12/26/2025	2026	"GLOBALHEALTH, INC."	Local CCP	GlobalHealth	HMO/HMOPOS		"MHH Healthcare, L.P."	669	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3706	Hospice Contact	"VP, Health Services"		Stouffer	Kelly		1-405-280-5608					kelly.stouffer@globalhealth.com	210 Park Avenue	Suite 2900	Oklahoma City	OK	73102	7/7/2023	2026	"GLOBALHEALTH, INC."	Local CCP	GlobalHealth	HMO/HMOPOS		"MHH Healthcare, L.P."	669	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3706	Medicare Compliance Officer	SVP & Medicare Compliance Officer	Ms	Pastrana	Isis	C	1-787-478-3428					isis.pastrana@medicalcardsystem.com	210 Park Avenue	Suite 2900	Oklahoma City	OK	73102-5621	12/26/2025	2026	"GLOBALHEALTH, INC."	Local CCP	GlobalHealth	HMO/HMOPOS		"MHH Healthcare, L.P."	669	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3706	Part D Exceptions Contact	Pharmacy Utilization Management & Specialty Progra		Ramos Marrero	Gladiany							gramosm@medicalcardsystem.com	210 Park Avenue	Suite 2900	Oklahoma City	OK	73102	8/29/2024	2026	"GLOBALHEALTH, INC."	Local CCP	GlobalHealth	HMO/HMOPOS		"MHH Healthcare, L.P."	669	Yes	Active	1-866-494-3927				HMO - Health Maintenance Organization		C	Dallas
H3706	Pharmacy Network Management Contact	Pharmacy Regulations & Audit Monitoring Director		Izquierdo Hernandez	Delmarie		1-787-758-2500	5719				dizquierdo@medicalcardsystem.com	210 Park Avenue	Suite 2900	Oklahoma City	OK	73102	8/29/2024	2026	"GLOBALHEALTH, INC."	Local CCP	GlobalHealth	HMO/HMOPOS		"MHH Healthcare, L.P."	669	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3706	Pharmacy Technical Help Desk Contact	Pharmacy Regulations & Audit Monitoring Director		Izquierdo Hernandez	Delmarie							dizquierdo@medicalcardsystem.com	210 Park Avenue	Suite 2900	Oklahoma City	OK	73102	8/29/2024	2026	"GLOBALHEALTH, INC."	Local CCP	GlobalHealth	HMO/HMOPOS		"MHH Healthcare, L.P."	669	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Dallas
H3706	Plan to Plan Reconciliation Contact	"VP, Finance"		Harris	Tayla		1-405-280-5724					tayla.harris@globalhealth.com	210 Park Avenue	Suite 2900	Oklahoma City	OK	73102-5621	7/5/2023	2026	"GLOBALHEALTH, INC."	Local CCP	GlobalHealth	HMO/HMOPOS		"MHH Healthcare, L.P."	669	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3708	Automated TrOOP Balance Transfer Contact	"Operations Mgr, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	Relay.Health@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	"OKLAHOMA SUPERIOR SELECT, INC."	Local CCP	American Health Advantage of Oklahoma	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3708	Best Available Evidence Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"OKLAHOMA SUPERIOR SELECT, INC."	Local CCP	American Health Advantage of Oklahoma	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3708	Chief Financial Officer	Chief Financial Officer	Mr.	Bogle	Jeffrey	A	1-615-751-8134				1-844-280-5360	MACFO@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"OKLAHOMA SUPERIOR SELECT, INC."	Local CCP	American Health Advantage of Oklahoma	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3708	CMS Casework Communication Contact	Compliance Officer		Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"OKLAHOMA SUPERIOR SELECT, INC."	Local CCP	American Health Advantage of Oklahoma	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3708	Coordination of Benefits Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"OKLAHOMA SUPERIOR SELECT, INC."	Local CCP	American Health Advantage of Oklahoma	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3708	Customer Service Operations Contact	"VP, Administration"		Brandt	Toni		1-615-476-0748				1-844-280-5360	tbrandt@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"OKLAHOMA SUPERIOR SELECT, INC."	Local CCP	American Health Advantage of Oklahoma	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3708	Government Relations Contact	Compliance Officer		Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"OKLAHOMA SUPERIOR SELECT, INC."	Local CCP	American Health Advantage of Oklahoma	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3708	Hospice Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"OKLAHOMA SUPERIOR SELECT, INC."	Local CCP	American Health Advantage of Oklahoma	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3708	Medicare Compliance Officer	Compliance Officer	Ms.	Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"OKLAHOMA SUPERIOR SELECT, INC."	Local CCP	American Health Advantage of Oklahoma	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3708	Part D Exceptions Contact	"Assoc Dir, Clinical Prior Authorization"		LeClair	Christophe						1-920-221-4176	Christopher.LeClair@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	"OKLAHOMA SUPERIOR SELECT, INC."	Local CCP	American Health Advantage of Oklahoma	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active	1-844-228-7934				HMO - Health Maintenance Organization		C	Dallas
H3708	Pharmacy Network Management Contact	"VP, Provider Services"		Nagy	Don		1-608-820-4403					Don.Nagy@navitus.com	361 Integrity Drive		Madison	WI	53717	6/22/2026	2026	"OKLAHOMA SUPERIOR SELECT, INC."	Local CCP	American Health Advantage of Oklahoma	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3708	Pharmacy Technical Help Desk Contact	"Sr. Mgr, Customer Care Accts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	"OKLAHOMA SUPERIOR SELECT, INC."	Local CCP	American Health Advantage of Oklahoma	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Dallas
H3708	Plan to Plan Reconciliation Contact	"Director,  Finance"		Tilley	Stephanie		1-931-242-0499				1-844-280-5360	stilley@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"OKLAHOMA SUPERIOR SELECT, INC."	Local CCP	American Health Advantage of Oklahoma	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3727	Automated TrOOP Balance Transfer Contact	Operations Mgr		Sherman	Mandy		1-920-221-4083				1-920-221-4583	relay.health@navitus.com	1025 W. Navitus Dr		Appleton	WI	54913	6/4/2026	2026	OH CHS SNP INC.	Local CCP	Communicare Advantage	HMO/HMOPOS		"SNP Holdings, LLC"	758	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3727	Best Available Evidence Contact	Director of Medicare Compliance		McBratney	Kimberly		1-785-224-6063					kmcbratney@communicare-advantage.com	10123 Alliance Road	Suite 240	Blue Ash	OH	45242	8/19/2025	2026	OH CHS SNP INC.	Local CCP	Communicare Advantage	HMO/HMOPOS		"SNP Holdings, LLC"	758	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3727	Chief Financial Officer	CFO	Mr.	Heimgartner	Jeremy		1-513-469-8545				1-513-605-6845	jheimgartner@communicare-advantage.com	10123 Alliance Road	Suite 240	Blue Ash	OH	45242	2/3/2025	2026	OH CHS SNP INC.	Local CCP	Communicare Advantage	HMO/HMOPOS		"SNP Holdings, LLC"	758	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3727	CMS Casework Communication Contact	VP Healthcare & Quality Operations		Parente	Robin		1-513-802-6452					Robin.Parente@communicare-advantage.com	10123 Alliance Road	Suite 240	Blue Ash	OH	45242	8/19/2025	2026	OH CHS SNP INC.	Local CCP	Communicare Advantage	HMO/HMOPOS		"SNP Holdings, LLC"	758	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3727	Coordination of Benefits Contact	CFO		Heimgartner	Jeremy		1-513-469-8545				1-513-605-6845	jheimgartner@communicare-advantage.com	10123 Alliance Road	Suite 240	Blue Ash	OH	45242	8/19/2025	2026	OH CHS SNP INC.	Local CCP	Communicare Advantage	HMO/HMOPOS		"SNP Holdings, LLC"	758	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3727	Customer Service Operations Contact	Vice President of Operations		Muldowney	Jessica		1-513-835-8228				1-513-605-6845	jmuldowney@communicare-advantage.com	10123 Alliance Road	Suite 240	Blue Ash	OH	45242	2/3/2025	2026	OH CHS SNP INC.	Local CCP	Communicare Advantage	HMO/HMOPOS		"SNP Holdings, LLC"	758	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3727	Government Relations Contact	FDR Oversight Manager		Risher	Laura		1-513-814-0651					laura.risher@communicare-advantage.com	10123 Alliance Road	Suite 240	Blue Ash	OH	45242	8/19/2025	2026	OH CHS SNP INC.	Local CCP	Communicare Advantage	HMO/HMOPOS		"SNP Holdings, LLC"	758	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3727	Hospice Contact	CMO	Dr.	Riedinger	Jennifer		1-443-223-0109					jriedinger@communicare-advantage.com	10123 Alliance Road	Suite 240	Blue Ash	OH	45242	3/9/2026	2026	OH CHS SNP INC.	Local CCP	Communicare Advantage	HMO/HMOPOS		"SNP Holdings, LLC"	758	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3727	Medicare Compliance Officer	Chief Compliance Officer	Mr.	Ehrman	James		1-513-917-0302					James.Ehrman@communicare-advantage.com	10123 Alliance Road	Suite 240	Blue Ash	OH	45242	2/3/2025	2026	OH CHS SNP INC.	Local CCP	Communicare Advantage	HMO/HMOPOS		"SNP Holdings, LLC"	758	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3727	Part D Exceptions Contact	Associate Director Clinical Prior Auth		LeClair	Christophe						1-920-221-4676	Christopher.LeClair@navitus.com	1025 W. Navitus Dr		Appleton	WI	54913	6/3/2026	2026	OH CHS SNP INC.	Local CCP	Communicare Advantage	HMO/HMOPOS		"SNP Holdings, LLC"	758	Yes	Active	1-920-221-4176				HMO - Health Maintenance Organization		C	Chicago
H3727	Pharmacy Network Management Contact	"VP, Provider Services"		Nagy	Don		1-608-820-4403					don.nagy@navitus.com	361 Integrity Drive		Madison	WI	53717	6/3/2026	2026	OH CHS SNP INC.	Local CCP	Communicare Advantage	HMO/HMOPOS		"SNP Holdings, LLC"	758	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3727	Pharmacy Technical Help Desk Contact	MedImpact VP Operations		Conn	Todd							todd.conn@medimpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	8/19/2025	2026	OH CHS SNP INC.	Local CCP	Communicare Advantage	HMO/HMOPOS		"SNP Holdings, LLC"	758	Yes	Active	1-833-697-8516				HMO - Health Maintenance Organization		C	Chicago
H3727	Plan to Plan Reconciliation Contact	CFO		Heimgartner	Jeremy		1-513-469-8545				1-513-605-6845	jheimgartner@communicare-advantage.com	10123 Alliance Road	Suite 240	Blue Ash	OH	45242	8/19/2025	2026	OH CHS SNP INC.	Local CCP	Communicare Advantage	HMO/HMOPOS		"SNP Holdings, LLC"	758	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3740	Automated TrOOP Balance Transfer Contact	Finance Manager	Mr.	Morillo	Tony		1-703-593-4000					tony.morillo@pacewb.org	3201-A Tioga Parkway		Baltimore	MD	21215	4/23/2025	2026	WEST BALTIMORE PACE COMMUNITY COALITION	National PACE	PACE of West Baltimore	National PACE		West Baltimore PACE Community Coalition LLC	887	Yes	Active					PACE - Nat		C	Philadelphia
H3740	Best Available Evidence Contact	Finance Manager	Mr.	Morillo	Tony		1-703-593-4000					tony.morillo@pacewb.org	3201-A Tioga Parkway		Baltimore	MD	21215	4/23/2025	2026	WEST BALTIMORE PACE COMMUNITY COALITION	National PACE	PACE of West Baltimore	National PACE		West Baltimore PACE Community Coalition LLC	887	Yes	Active					PACE - Nat		C	Philadelphia
H3740	Chief Financial Officer	Finance Manager	Mr	Morillo	Tony		1-703-593-4000					tony.morillo@pacewb.org	3201-A Tioga Parkway		Baltimore	MD	21215	4/23/2025	2026	WEST BALTIMORE PACE COMMUNITY COALITION	National PACE	PACE of West Baltimore	National PACE		West Baltimore PACE Community Coalition LLC	887	Yes	Active					PACE - Nat		C	Philadelphia
H3740	CMS Casework Communication Contact	Compliance and Quality Director	Ms.	Flanagan	Ruth	E	1-757-509-4141					elizabeth.flanagan@pacewb.org	3201-A Tioga Parkway		Baltimore	MD	21215	4/23/2025	2026	WEST BALTIMORE PACE COMMUNITY COALITION	National PACE	PACE of West Baltimore	National PACE		West Baltimore PACE Community Coalition LLC	887	Yes	Active					PACE - Nat		C	Philadelphia
H3740	Coordination of Benefits Contact	Finance Manager	Mr.	Morillo	Tony		1-443-961-0796					tony.morillo@pacewb.org	3201-A Tioga Parkway		Baltimore	MD	21215	1/7/2026	2026	WEST BALTIMORE PACE COMMUNITY COALITION	National PACE	PACE of West Baltimore	National PACE		West Baltimore PACE Community Coalition LLC	887	Yes	Active					PACE - Nat		C	Philadelphia
H3740	Customer Service Operations Contact	Executive Director	Ms.	Boswell	Silvia		1-443-961-0796					silvia.boswell@pacewb.org	3201A Tioga Parkway		Baltimore	MD	21215	11/28/2025	2026	WEST BALTIMORE PACE COMMUNITY COALITION	National PACE	PACE of West Baltimore	National PACE		West Baltimore PACE Community Coalition LLC	887	Yes	Active					PACE - Nat		C	Philadelphia
H3740	Government Relations Contact	Executive Director	Ms.	Boswell	Silvia		1-443-961-0796					silvia.boswell@pacewb.org	3201A Tioga Parkway		Baltimore	MD	21215	12/16/2025	2026	WEST BALTIMORE PACE COMMUNITY COALITION	National PACE	PACE of West Baltimore	National PACE		West Baltimore PACE Community Coalition LLC	887	Yes	Active					PACE - Nat		C	Philadelphia
H3740	Medicare Compliance Officer	Compliance and Quality Director	Ms.	Flanagan	Ruth		1-757-509-4141					elizabeth.flanagan@pacewb.org	3201-A Tioga Parkway		Baltimore	MD	21215	1/7/2026	2026	WEST BALTIMORE PACE COMMUNITY COALITION	National PACE	PACE of West Baltimore	National PACE		West Baltimore PACE Community Coalition LLC	887	Yes	Active					PACE - Nat		C	Philadelphia
H3740	Part D Exceptions Contact	Finance Manager	Mr.	Morillo	Tony							tony.morillo@pacewb.org	3201-A Tioga Parkway		Baltimore	MD	21215	4/23/2025	2026	WEST BALTIMORE PACE COMMUNITY COALITION	National PACE	PACE of West Baltimore	National PACE		West Baltimore PACE Community Coalition LLC	887	Yes	Active	1-703-593-4000				PACE - Nat		C	Philadelphia
H3740	Pharmacy Network Management Contact	Finance Manager	Mr.	Morillo	Tony		1-703-593-4000					tony.morillo@pacewb.org	3201-A Tioga Parkway		Baltimore	MD	21215	4/23/2025	2026	WEST BALTIMORE PACE COMMUNITY COALITION	National PACE	PACE of West Baltimore	National PACE		West Baltimore PACE Community Coalition LLC	887	Yes	Active					PACE - Nat		C	Philadelphia
H3740	Pharmacy Technical Help Desk Contact	Finance Manager	Mr.	Morillo	Tony							tony.morillo@pacewb.org	3201-A Tioga Parkway		Baltimore	MD	21215	4/23/2025	2026	WEST BALTIMORE PACE COMMUNITY COALITION	National PACE	PACE of West Baltimore	National PACE		West Baltimore PACE Community Coalition LLC	887	Yes	Active	1-000-000-0000				PACE - Nat		C	Philadelphia
H3740	Plan to Plan Reconciliation Contact	Finance Manager	Mr.	Morillo	Tony		1-703-593-4000					tony.morillo@pacewb.org	3201-A Tioga Parkway		Baltimore	MD	21215	4/23/2025	2026	WEST BALTIMORE PACE COMMUNITY COALITION	National PACE	PACE of West Baltimore	National PACE		West Baltimore PACE Community Coalition LLC	887	Yes	Active					PACE - Nat		C	Philadelphia
H3748	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	"AETNA BETTER HEALTH OF WASHINGTON, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3748	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	"AETNA BETTER HEALTH OF WASHINGTON, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3748	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	"AETNA BETTER HEALTH OF WASHINGTON, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3748	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	"AETNA BETTER HEALTH OF WASHINGTON, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3748	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	"AETNA BETTER HEALTH OF WASHINGTON, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3748	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	"AETNA BETTER HEALTH OF WASHINGTON, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3748	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	"AETNA BETTER HEALTH OF WASHINGTON, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3748	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	"AETNA BETTER HEALTH OF WASHINGTON, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3748	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	"AETNA BETTER HEALTH OF WASHINGTON, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3748	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	"AETNA BETTER HEALTH OF WASHINGTON, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H3748	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	"AETNA BETTER HEALTH OF WASHINGTON, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3748	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	"AETNA BETTER HEALTH OF WASHINGTON, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H3748	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	"AETNA BETTER HEALTH OF WASHINGTON, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3755	Automated TrOOP Balance Transfer Contact	"Operations, Manager,Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	Relay.Health@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	12/11/2025	2026	"COMMUNITYCARE GOVERNMENT PROGRAMS, INC."	Local CCP	CommunityCare Senior Health Plan (HMO)	HMO/HMOPOS		St Francis Health System & St John Health System	621	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3755	Best Available Evidence Contact	Medicare Projects Specialist		East	Shawn		1-918-594-5295	6903				seast@ccok.com	Williams Center Tower II	"Two West Second Street, Suite 100"	Tulsa	OK	74103	8/28/2024	2026	"COMMUNITYCARE GOVERNMENT PROGRAMS, INC."	Local CCP	CommunityCare Senior Health Plan (HMO)	HMO/HMOPOS		St Francis Health System & St John Health System	621	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3755	Chief Financial Officer	Chief Financial Officer (CFO)	Mr.	Ziemann	Ryan		1-918-594-5291					rziemann@ccok.com	Williams Center Tower II	"Two West Second Street, Suite 100"	Tulsa	OK	74103	7/10/2025	2026	"COMMUNITYCARE GOVERNMENT PROGRAMS, INC."	Local CCP	CommunityCare Senior Health Plan (HMO)	HMO/HMOPOS		St Francis Health System & St John Health System	621	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3755	CMS Casework Communication Contact	Manager Customer Service		Tiemann	DeeDee		1-918-594-5295	6816			1-918-879-4377	dtiemann@ccok.com	Williams Center Tower II	"Two West Second Street, Suite 100"	Tulsa	OK	74103	3/12/2026	2026	"COMMUNITYCARE GOVERNMENT PROGRAMS, INC."	Local CCP	CommunityCare Senior Health Plan (HMO)	HMO/HMOPOS		St Francis Health System & St John Health System	621	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3755	Coordination of Benefits Contact	"Supervisor, Claims"		Higgins	Susan		1-918-594-5295	6401				coordinationofbenefits@ccok.com	Williams Center Tower II	"Two West Second Street, Suite 100"	Tulsa	OK	74103	8/27/2024	2026	"COMMUNITYCARE GOVERNMENT PROGRAMS, INC."	Local CCP	CommunityCare Senior Health Plan (HMO)	HMO/HMOPOS		St Francis Health System & St John Health System	621	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3755	Customer Service Operations Contact	"Director, Customer Service"	Ms.	Bass	Kimberly		1-918-594-5295	6494				kbass@ccok.com	Williams Center Tower II	"Two West Second Street, Suite 100"	Tulsa	OK	74103	4/9/2025	2026	"COMMUNITYCARE GOVERNMENT PROGRAMS, INC."	Local CCP	CommunityCare Senior Health Plan (HMO)	HMO/HMOPOS		St Francis Health System & St John Health System	621	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3755	Government Relations Contact	Compliance and Risk Officer	Ms.	Blades	Rebecca		1-918-594-5295	6281				rblades@ccok.com	Williams Center Tower II	"Two West Second Street, Suite 100"	Tulsa	OK	74103	10/15/2024	2026	"COMMUNITYCARE GOVERNMENT PROGRAMS, INC."	Local CCP	CommunityCare Senior Health Plan (HMO)	HMO/HMOPOS		St Francis Health System & St John Health System	621	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3755	Hospice Contact	Manager Customer Service		Tiemann	DeeDee		1-918-594-5295	6816			1-918-879-4377	dtiemann@ccok.com	Williams Center Tower II	"Two West Second Street, Suite 100"	Tulsa	OK	74103	3/12/2026	2026	"COMMUNITYCARE GOVERNMENT PROGRAMS, INC."	Local CCP	CommunityCare Senior Health Plan (HMO)	HMO/HMOPOS		St Francis Health System & St John Health System	621	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3755	Medicare Compliance Officer	Compliance and Risk Officer	Ms.	Blades	Rebecca		1-918-594-5295	6281				rblades@ccok.com	Williams Center Tower II	"Two West Second Street, Suite 100"	Tulsa	OK	74103	10/15/2024	2026	"COMMUNITYCARE GOVERNMENT PROGRAMS, INC."	Local CCP	CommunityCare Senior Health Plan (HMO)	HMO/HMOPOS		St Francis Health System & St John Health System	621	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3755	Part D Exceptions Contact	"Assoc. Director, Clinical PA"	Mr.	LeClair	Christophe						1-920-221-4676	Christopher.LeClair@Navitus.com	1025 West Navitus Drive		Appleton	WI	54913	12/11/2025	2026	"COMMUNITYCARE GOVERNMENT PROGRAMS, INC."	Local CCP	CommunityCare Senior Health Plan (HMO)	HMO/HMOPOS		St Francis Health System & St John Health System	621	Yes	Active	1-920-221-4676				HMO - Health Maintenance Organization		C	Dallas
H3755	Pharmacy Network Management Contact	Sr. Manager & Pharmacy Benefits Administrator		Perez	Charles		1-918-594-5295	6479				cperez@ccok.com	Williams Center Tower II	"Two West Second Street, Suite 100"	Tulsa	OK	74103	4/1/2025	2026	"COMMUNITYCARE GOVERNMENT PROGRAMS, INC."	Local CCP	CommunityCare Senior Health Plan (HMO)	HMO/HMOPOS		St Francis Health System & St John Health System	621	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3755	Pharmacy Technical Help Desk Contact	"Sr Manager, Customer Accounts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	12/11/2025	2026	"COMMUNITYCARE GOVERNMENT PROGRAMS, INC."	Local CCP	CommunityCare Senior Health Plan (HMO)	HMO/HMOPOS		St Francis Health System & St John Health System	621	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Dallas
H3755	Plan to Plan Reconciliation Contact	Senior Financial Analyst		Mack	Lynda		1-918-594-5295	6320				lmack@ccok.com	Williams Center Tower II	"Two West Second Street, Suite 100"	Tulsa	OK	74103	8/27/2024	2026	"COMMUNITYCARE GOVERNMENT PROGRAMS, INC."	Local CCP	CommunityCare Senior Health Plan (HMO)	HMO/HMOPOS		St Francis Health System & St John Health System	621	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3761	Automated TrOOP Balance Transfer Contact	CFO	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	12/26/2025	2026	"SENIOR LIFE SOMERSET, INC"	National PACE	Senior LIFE Somerset	National PACE		"Senior Life Somerset, Inc."	842	Yes	Pending					PACE - Nat		C	New York
H3761	Best Available Evidence Contact	CFO	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	12/26/2025	2026	"SENIOR LIFE SOMERSET, INC"	National PACE	Senior LIFE Somerset	National PACE		"Senior Life Somerset, Inc."	842	Yes	Pending					PACE - Nat		C	New York
H3761	Chief Financial Officer	CFO	Mr	Dodson	David		1-814-535-6000					ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	12/26/2025	2026	"SENIOR LIFE SOMERSET, INC"	National PACE	Senior LIFE Somerset	National PACE		"Senior Life Somerset, Inc."	842	Yes	Pending					PACE - Nat		C	New York
H3761	CMS Casework Communication Contact	CEO	Mr	Irwin	Mark		1-814-535-6000					Mirwin@pace-cs.com	401 Broad Street		Johnstown	PA	15906	12/26/2025	2026	"SENIOR LIFE SOMERSET, INC"	National PACE	Senior LIFE Somerset	National PACE		"Senior Life Somerset, Inc."	842	Yes	Pending					PACE - Nat		C	New York
H3761	Coordination of Benefits Contact	CFO	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	12/26/2025	2026	"SENIOR LIFE SOMERSET, INC"	National PACE	Senior LIFE Somerset	National PACE		"Senior Life Somerset, Inc."	842	Yes	Pending					PACE - Nat		C	New York
H3761	Customer Service Operations Contact	CEO	Mr	Irwin	Mark		1-814-535-6000					Mirwin@pace-cs.com	401 Broad Street		Johnstown	PA	15906	12/26/2025	2026	"SENIOR LIFE SOMERSET, INC"	National PACE	Senior LIFE Somerset	National PACE		"Senior Life Somerset, Inc."	842	Yes	Pending					PACE - Nat		C	New York
H3761	Government Relations Contact	CEO	Mr	Irwin	Mark		1-814-535-6000					Mirwin@pace-cs.com	401 Broad Street		Johnstown	PA	15906	12/26/2025	2026	"SENIOR LIFE SOMERSET, INC"	National PACE	Senior LIFE Somerset	National PACE		"Senior Life Somerset, Inc."	842	Yes	Pending					PACE - Nat		C	New York
H3761	Medicare Compliance Officer	Executive Director	Mr	Voeghtly	Robert		1-814-535-6000					Rvoeghtly@seniorlifejohnstown.com	401 Broad Street		Johnstown	PA	15906	12/26/2025	2026	"SENIOR LIFE SOMERSET, INC"	National PACE	Senior LIFE Somerset	National PACE		"Senior Life Somerset, Inc."	842	Yes	Pending					PACE - Nat		C	New York
H3761	Part D Exceptions Contact	CFO	Mr	Dodson	David							ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	12/26/2025	2026	"SENIOR LIFE SOMERSET, INC"	National PACE	Senior LIFE Somerset	National PACE		"Senior Life Somerset, Inc."	842	Yes	Pending	1-814-535-6000				PACE - Nat		C	New York
H3761	Pharmacy Network Management Contact		Mr	Rowland	Bob		1-724-275-1203					Browland@granerx.com	464 Nixon Road		Cheswick	PA	15024	12/26/2025	2026	"SENIOR LIFE SOMERSET, INC"	National PACE	Senior LIFE Somerset	National PACE		"Senior Life Somerset, Inc."	842	Yes	Pending					PACE - Nat		C	New York
H3761	Pharmacy Technical Help Desk Contact		Mr	Rowland	Bob							Browland@granerx.com	464 Nixon Road		Cheswick	PA	15024	12/26/2025	2026	"SENIOR LIFE SOMERSET, INC"	National PACE	Senior LIFE Somerset	National PACE		"Senior Life Somerset, Inc."	842	Yes	Pending	1-724-275-1203				PACE - Nat		C	New York
H3761	Plan to Plan Reconciliation Contact	CFO	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	12/26/2025	2026	"SENIOR LIFE SOMERSET, INC"	National PACE	Senior LIFE Somerset	National PACE		"Senior Life Somerset, Inc."	842	Yes	Pending					PACE - Nat		C	New York
H3777	Automated TrOOP Balance Transfer Contact			Therapeutics	Prime		1-612-777-6747					eobp2@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	3/3/2020	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Experience Health	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Consolidation					HMO - Health Maintenance Organization		C	Atlanta
H3777	Best Available Evidence Contact	"Director, Member Enrollment & Operations"		Clayton	Beth		1-919-765-2438					Beth.Clayton@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	P.O. Box 2291	Durham	NC	27702	5/30/2023	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Experience Health	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Consolidation					HMO - Health Maintenance Organization		C	Atlanta
H3777	Chief Financial Officer	"SVP, Chief Financial Officer"	Mr	Perry	Mitchell		1-919-765-3923					mitch.perry@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	PO Box 2291	Durham	NC	27702	7/6/2023	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Experience Health	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Consolidation					HMO - Health Maintenance Organization		C	Atlanta
H3777	CMS Casework Communication Contact	"Manager, Contact Center"		Rambert	Alex		1-919-765-7299					Caseworker@bcbsnc.com	4613 University Drive		Durham	NC	27707	5/21/2025	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Experience Health	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Consolidation					HMO - Health Maintenance Organization		C	Atlanta
H3777	Coordination of Benefits Contact	"Team Lead, Operations"		Pridgen	David		1-336-201-4141					David. Pridgen@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	PO Box 2291	Durham	NC	27702	5/30/2023	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Experience Health	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Consolidation					HMO - Health Maintenance Organization		C	Atlanta
H3777	Customer Service Operations Contact	"Sr. Manager, Contact Center"		Woods	Renita		1-919-765-7057					Renita.Woods@bcbsnc.com	4613 University Drive		Durham	NC	27707	3/26/2025	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Experience Health	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Consolidation					HMO - Health Maintenance Organization		C	Atlanta
H3777	Government Relations Contact	"Director, CIG Compliance"		Washington-McNeill	Deborah		1-336-692-3556				1-336-659-2969	deborah.washington-mcneill@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	P.O. Box 2291	Durham	NC	27702	12/26/2025	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Experience Health	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Consolidation					HMO - Health Maintenance Organization		C	Atlanta
H3777	Hospice Contact	Sr. Pharmacy Operations Analyst		Edwards	Chrissie		1-919-765-3536					chrissie.edwards@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	P.O. Box 2291	Durham	NC	27702	8/27/2025	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Experience Health	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Consolidation					HMO - Health Maintenance Organization		C	Atlanta
H3777	Medicare Compliance Officer	"VP, Medicare Compliance & Chief Compliance Officer"	Mrs.	Haith	Elenor		1-984-212-5897					Elenor.Haith@bcbsnc.com	PO Box 2291		Durham	NC	27702	6/15/2023	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Experience Health	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Consolidation					HMO - Health Maintenance Organization		C	Atlanta
H3777	Part D Exceptions Contact	"Director, UM Operations and Compliance"		Lee	Jessica							PartDExceptions@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	4613 University Drive	Durham	NC	27707	4/17/2026	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Experience Health	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Consolidation	1-888-296-9790				HMO - Health Maintenance Organization		C	Atlanta
H3777	Pharmacy Network Management Contact	"AVP, Corporate Pharmacy"		Rooker	Todd		1-602-418-1702					Todd.Rooker@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	PO Box 2291	Durham	NC	27702	8/27/2025	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Experience Health	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Consolidation					HMO - Health Maintenance Organization		C	Atlanta
H3777	Pharmacy Technical Help Desk Contact			Helpdesk	Pharmacy							PharmacyOps@primetherapeutics.com	"Prime Therapeutics, LLC"	1305 Corporate Center Drive	Eagan	MN	55121	1/28/2019	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Experience Health	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Consolidation	1-877-277-7893				HMO - Health Maintenance Organization		C	Atlanta
H3777	Plan to Plan Reconciliation Contact	Sr Accountant		Taylor	Krystal		1-984-960-3607					krystal.taylor@bcbsnc.com	ATTN:  Sheila Adams or Yvonne Stancil (Medicare P2P)	P.O. Box 30060 Mailstop 700-1AP	Durham	NC	27702	2/28/2024	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Experience Health	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Consolidation					HMO - Health Maintenance Organization		C	Atlanta
H3794	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3794	Best Available Evidence Contact	"Manager, Enrollment & Eligibility"		Asselin	Krista		1-763-361-1104					krista_asselin@uhc.com	PO Box 9472		Minneapolis	MN	55440	11/14/2025	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3794	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/13/2025	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3794	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3794	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3794	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3794	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3794	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3794	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3794	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H3794	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3794	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H3794	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3800	Automated TrOOP Balance Transfer Contact	VP of Pharmacy	Dr	Ford	James	E	1-443-275-9801					jford@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3800	Best Available Evidence Contact	VP of Plan Management	Ms	Radice	Sue		1-410-991-3213				1-844-462-3091	sradice@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3800	Chief Financial Officer	CFO	Mr	Persinger	Keith		1-410-456-3946					kpersinger@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3800	CMS Casework Communication Contact	Chief Compliance Officer	Mr	Nunez	Kenneth		1-813-230-1048					knunez@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	1/28/2026	2026	PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3800	Coordination of Benefits Contact	VP of Finance	Ms	McIntyre	Mary Beth		1-410-967-2097					mmcintyre@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3800	Customer Service Operations Contact	VP of Operations	Mr	Brain	Jay		1-240-367-2626					JBrain@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3800	Government Relations Contact	President & CEO	Mr	Grindrod	Rick		1-410-913-7653					rgrindrod@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3800	Hospice Contact	Director of Operations	Ms	Winton	Linde		1-817-374-3812					lwinton@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3800	Medicare Compliance Officer	Chief Compliance Officer	Mr	Nunez	Kenneth		1-813-230-1048					knunez@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	2/18/2026	2026	PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3800	Part D Exceptions Contact	"Manager, Prior Authorization Appeals"		Le	Christina						1-877-239-4565	christina.le@optum.com	PO Box 2975		Mission	KS	66201	12/19/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active	1-888-403-3398				HMO - Health Maintenance Organization		C	Dallas
H3800	Pharmacy Network Management Contact	"Manager, Retail Network Operations"		Perez	Felix		1-305-331-3044					Felix.perez@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	12/19/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3800	Pharmacy Technical Help Desk Contact	"Manager, Pharmacy Help Desk"	Mr	Villanueva	Juan							juan.villanueva@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	5/18/2026	2026	PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active	1-855-205-4428				HMO - Health Maintenance Organization		C	Dallas
H3800	Plan to Plan Reconciliation Contact	VP of Finance	Ms	McIntyre	Mary Beth		1-410-967-2097					mmcintyre@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3805	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3805	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3805	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3805	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3805	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3805	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3805	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3805	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3805	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3805	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H3805	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3805	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H3805	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3809	Automated TrOOP Balance Transfer Contact			Wachsmuth	Rosalie		1-503-215-3681					rosalie.wachsmuth@providence.org	"4400 NE Halsey, Bldg 1, Suite 200"		Portland	OR	97213	3/20/2019	2026	PROVIDENCE HEALTH & SERVICES - OREGON	National PACE	Providence PACE - Oregon	National PACE		Providence Health & Services	192	Yes	Active					PACE - Nat		C	Seattle
H3809	Best Available Evidence Contact			Wachsmuth	Rosalie		1-503-215-3681					rosalie.wachsmuth@providence.org	"4400 NE Halsey, Bldg 1, Suite 200"		Portland	OR	97213	5/22/2019	2026	PROVIDENCE HEALTH & SERVICES - OREGON	National PACE	Providence PACE - Oregon	National PACE		Providence Health & Services	192	Yes	Active					PACE - Nat		C	Seattle
H3809	Chief Financial Officer	Health Plan & Finance Director	Ms.	Barr	Natalie		1-503-215-3859				1-503-215-0685	natalie.barr@providence.org	"4400 NE Halsey, Bldg 1, Suite 200"		Portland	OR	97213	3/20/2019	2026	PROVIDENCE HEALTH & SERVICES - OREGON	National PACE	Providence PACE - Oregon	National PACE		Providence Health & Services	192	Yes	Active					PACE - Nat		C	Seattle
H3809	CMS Casework Communication Contact	Health Plan Operations Manager		Wachsmuth	Rosalie		1-503-215-3681				1-503-215-0685	rosalie.wachsmuth@providence.org	"4400 NE Halsey, Bldg 1, Suite 200"		Portland	OR	97213	3/20/2019	2026	PROVIDENCE HEALTH & SERVICES - OREGON	National PACE	Providence PACE - Oregon	National PACE		Providence Health & Services	192	Yes	Active					PACE - Nat		C	Seattle
H3809	Coordination of Benefits Contact	Health Plan Operations Manager		Wachsmuth	Rosalie		1-503-215-3681				1-503-215-0685	rosalie.wachsmuth@providence.org	"4400 NE Halsey, Bldg 1, Suite 200"		Portland	OR	97213	3/20/2019	2026	PROVIDENCE HEALTH & SERVICES - OREGON	National PACE	Providence PACE - Oregon	National PACE		Providence Health & Services	192	Yes	Active					PACE - Nat		C	Seattle
H3809	Customer Service Operations Contact	Health Plan Operations Manager		Wachsmuth	Rosalie		1-503-215-3681				1-503-215-0685	rosalie.wachsmuth@providence.org	"4400 NE Halsey, Bldg 1, Suite 200"		Portland	OR	97213	3/20/2019	2026	PROVIDENCE HEALTH & SERVICES - OREGON	National PACE	Providence PACE - Oregon	National PACE		Providence Health & Services	192	Yes	Active					PACE - Nat		C	Seattle
H3809	Government Relations Contact			Noordijk	Cindy		1-503-215-4124				1-503-215-0685	cynthia.noordijk@providence.org	"4400 NE Halsey, Bldg 1, Suite 200"		Portland	OR	97213	2/24/2022	2026	PROVIDENCE HEALTH & SERVICES - OREGON	National PACE	Providence PACE - Oregon	National PACE		Providence Health & Services	192	Yes	Active					PACE - Nat		C	Seattle
H3809	Medicare Compliance Officer	Compliance Officer	Ms.	Noordijk	Cindy		1-503-215-4124				1-503-215-0685	cynthia.noordijk@providence.org	"4400 NE Halsey, Bldg 1, Suite 200"		Portland	OR	97213	3/20/2019	2026	PROVIDENCE HEALTH & SERVICES - OREGON	National PACE	Providence PACE - Oregon	National PACE		Providence Health & Services	192	Yes	Active					PACE - Nat		C	Seattle
H3809	Part D Exceptions Contact			Voytenko	Karen							karen.voytenko@providence.org	"4400 NE Halsey, Bldg 1, Suite 200"		Portland	OR	97213	1/9/2026	2026	PROVIDENCE HEALTH & SERVICES - OREGON	National PACE	Providence PACE - Oregon	National PACE		Providence Health & Services	192	Yes	Active	1-503-215-6556				PACE - Nat		C	Seattle
H3809	Pharmacy Network Management Contact			Schultz	Elizabeth		1-425-525-6908					Elizabeth.Schultz@providence.org	"1801 Lind Ave SW, Suite W217"		Renton	WA	98057	11/13/2024	2026	PROVIDENCE HEALTH & SERVICES - OREGON	National PACE	Providence PACE - Oregon	National PACE		Providence Health & Services	192	Yes	Active					PACE - Nat		C	Seattle
H3809	Pharmacy Technical Help Desk Contact			Service	Customer							Rosalie.Wachsmuth@providence.org	"1801 Lind Ave SW, Suite W217"		Renton	WA	98057	11/13/2024	2026	PROVIDENCE HEALTH & SERVICES - OREGON	National PACE	Providence PACE - Oregon	National PACE		Providence Health & Services	192	Yes	Active	1-888-445-5518				PACE - Nat		C	Seattle
H3809	Plan to Plan Reconciliation Contact	Health Plan Operations Manager		Wachsmuth	Rosalie		1-503-215-3681				1-503-215-0685	rosalie.wachsmuth@providence.org	"4400 NE Halsey, Bldg 1, Suite 200"		Portland	OR	97213	3/20/2019	2026	PROVIDENCE HEALTH & SERVICES - OREGON	National PACE	Providence PACE - Oregon	National PACE		Providence Health & Services	192	Yes	Active					PACE - Nat		C	Seattle
H3810	Automated TrOOP Balance Transfer Contact	"VP, Benefit Management & Pharmacy Services"	Ms.	Burns	Amy		1-541-471-4106	8202				amy.burns@allcarehealth.com	1701 NE 7th Street		Grants Pass	OR	97526	10/5/2021	2026	"ALLCARE HEALTH PLAN, INC."	Local CCP	AllCare Advantage	HMO/HMOPOS		"AllCare Health, Inc."	660	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3810	Best Available Evidence Contact	"VP, Benefit Management & Pharmacy Services"	Ms.	Burns	Amy		1-971-222-6045					amy.burns@allcarehealth.com	1701 NE 7th Street		Grants Pass	OR	97526	10/5/2021	2026	"ALLCARE HEALTH PLAN, INC."	Local CCP	AllCare Advantage	HMO/HMOPOS		"AllCare Health, Inc."	660	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3810	Chief Financial Officer	VP Controller	Ms.	Crow	Jennifer	N	1-541-471-4106				1-541-471-1524	jennifer.crow@allcarehealth.com	1701 NE 7th Street		Grants Pass	OR	97526	10/31/2024	2026	"ALLCARE HEALTH PLAN, INC."	Local CCP	AllCare Advantage	HMO/HMOPOS		"AllCare Health, Inc."	660	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3810	CMS Casework Communication Contact	Chief Compliance Officer	Mrs.	Matola	Laura		1-541-471-4106				1-541-471-3789	laura.matola@allcarehealth.com	1701 NE 7th Street		Grants Pass	OR	97526	3/6/2026	2026	"ALLCARE HEALTH PLAN, INC."	Local CCP	AllCare Advantage	HMO/HMOPOS		"AllCare Health, Inc."	660	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3810	Coordination of Benefits Contact	Enrollment Director	Ms.	Anders	Sheila		1-541-471-4106	5111			1-541-956-1674	sheila.anders@allcarehealth.com	1701 NE 7th Street		Grants Pass	OR	97526	6/8/2023	2026	"ALLCARE HEALTH PLAN, INC."	Local CCP	AllCare Advantage	HMO/HMOPOS		"AllCare Health, Inc."	660	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3810	Customer Service Operations Contact	Customer Care Supervisor	Ms.	Torres	Madison		1-541-471-4106				1-541-471-1524	madison.torres@allcarehealth.com	1701 NE 7th Street		Grants Pass	OR	97526	6/21/2024	2026	"ALLCARE HEALTH PLAN, INC."	Local CCP	AllCare Advantage	HMO/HMOPOS		"AllCare Health, Inc."	660	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3810	Government Relations Contact	CEO	Mr.	Janasik	Max		1-541-471-4106	8463			1-541-471-1524	max.janasik@allcarehealth.com	1701 NE 7th Street		Grants Pass	OR	97526	2/5/2024	2026	"ALLCARE HEALTH PLAN, INC."	Local CCP	AllCare Advantage	HMO/HMOPOS		"AllCare Health, Inc."	660	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3810	Hospice Contact	"VP, Benefit Management & Pharmacy Services"	Ms.	Burns	Amy		1-541-471-4106					amy.burns@allcarehealth.com	1701 NE 7th Street		Grants Pass	OR	97526	10/5/2021	2026	"ALLCARE HEALTH PLAN, INC."	Local CCP	AllCare Advantage	HMO/HMOPOS		"AllCare Health, Inc."	660	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3810	Medicare Compliance Officer	Chief Compliance Officer	Mrs.	Matola	Laura		1-541-471-4106	8115			1-541-471-1524	laura.matola@allcarehealth.com	1701 NE 7th Street		Grants Pass	OR	97526	3/6/2026	2026	"ALLCARE HEALTH PLAN, INC."	Local CCP	AllCare Advantage	HMO/HMOPOS		"AllCare Health, Inc."	660	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3810	Part D Exceptions Contact	"VP, Benefit Management & Pharmacy Services"	Ms.	Burns	Amy							amy.burns@allcarehealth.com	1701 NE 7th Street		Grants Pass	OR	97526	10/5/2021	2026	"ALLCARE HEALTH PLAN, INC."	Local CCP	AllCare Advantage	HMO/HMOPOS		"AllCare Health, Inc."	660	Yes	Active	1-888-460-0185				HMO - Health Maintenance Organization		C	Dallas
H3810	Pharmacy Network Management Contact	"VP, Benefit Management & Pharmacy Services"	Ms.	Burns	Amy		1-541-471-4106	8202				amy.burns@allcarehealth.com	1701 NE 7th Street		Grants Pass	OR	97526	10/5/2021	2026	"ALLCARE HEALTH PLAN, INC."	Local CCP	AllCare Advantage	HMO/HMOPOS		"AllCare Health, Inc."	660	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3810	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"	Ms.	Brewer	Kathy							Customerservice@MedImpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	10/23/2025	2026	"ALLCARE HEALTH PLAN, INC."	Local CCP	AllCare Advantage	HMO/HMOPOS		"AllCare Health, Inc."	660	Yes	Active	1-888-460-0185				HMO - Health Maintenance Organization		C	Dallas
H3810	Plan to Plan Reconciliation Contact	VP Controller	Ms.	Crow	Jennifer	N	1-541-471-4106				1-541-471-1524	jennifer.crow@allcarehealth.com	1701 NE 7th Street		Grants Pass	OR	97526	10/31/2024	2026	"ALLCARE HEALTH PLAN, INC."	Local CCP	AllCare Advantage	HMO/HMOPOS		"AllCare Health, Inc."	660	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3811	Automated TrOOP Balance Transfer Contact	Director of Pharmacy Services		Albeke	Sheila	J	1-541-768-5207					halbeke@samhealth.org	2300 NW Walnut Blvd		Corvallis	OR	97330	2/17/2026	2026	"SAMARITAN HEALTH PLANS, INC."	Local CCP	Samaritan Advantage Health Plans	HMO/HMOPOS		"Samaritan Health Services, Inc."	201	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3811	Best Available Evidence Contact	AVP Financial Ops		Began	Trent		1-541-768-7993					tbegan@samhealth.org	2300 NW Walnut Blvd		Corvallis	OR	97330	1/7/2025	2026	"SAMARITAN HEALTH PLANS, INC."	Local CCP	Samaritan Advantage Health Plans	HMO/HMOPOS		"Samaritan Health Services, Inc."	201	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3811	Chief Financial Officer	AVP of Finance	Mr.	Began	Trent		1-541-768-7993				1-541-768-4294	tbegan@samhealth.org	2300 NW Walnut Blvd		Corvallis	OR	97330	1/7/2025	2026	"SAMARITAN HEALTH PLANS, INC."	Local CCP	Samaritan Advantage Health Plans	HMO/HMOPOS		"Samaritan Health Services, Inc."	201	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3811	CMS Casework Communication Contact	Director		Lambert	Amanda		1-251-586-2486					shpoappealsteam@samhealth.org	2300 nw walnut blvd		corvallis	OR	97330	3/10/2026	2026	"SAMARITAN HEALTH PLANS, INC."	Local CCP	Samaritan Advantage Health Plans	HMO/HMOPOS		"Samaritan Health Services, Inc."	201	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3811	Coordination of Benefits Contact	Compliance Officer		Daly	Anne		1-202-809-5285					shpocompliance@samhealth.org	2300 NW Walnut Blvd		Corvallis	OR	97330	2/18/2025	2026	"SAMARITAN HEALTH PLANS, INC."	Local CCP	Samaritan Advantage Health Plans	HMO/HMOPOS		"Samaritan Health Services, Inc."	201	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3811	Customer Service Operations Contact	Manager of Customer Service		Taylor	Philip		1-541-768-6757				1-541-768-4294	ptaylor@samhealth.org	2300 NW Walnut Blvd		Corvallis	OR	97330	9/16/2024	2026	"SAMARITAN HEALTH PLANS, INC."	Local CCP	Samaritan Advantage Health Plans	HMO/HMOPOS		"Samaritan Health Services, Inc."	201	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3811	Government Relations Contact	Government Relations Director		Easton	Andi		1-503-559-1059				1-541-768-4294	aeaston@samhealth.org	2300 NW Walnut Blvd		Corvallis	OR	97330	9/16/2024	2026	"SAMARITAN HEALTH PLANS, INC."	Local CCP	Samaritan Advantage Health Plans	HMO/HMOPOS		"Samaritan Health Services, Inc."	201	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3811	Hospice Contact	Pharmacy Director		Albeke	Sheila	J	1-541-550-9566					halbeke@samhealth.org	2300 NW Walnut Blvd		Corvallis	OR	97330	2/17/2026	2026	"SAMARITAN HEALTH PLANS, INC."	Local CCP	Samaritan Advantage Health Plans	HMO/HMOPOS		"Samaritan Health Services, Inc."	201	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3811	Medicare Compliance Officer	VP-Chief Compliance Officer	Mrs.	Daly	Anne		1-202-809-5285					adaly@samhealth.org	2300 NW Walnut Blvd		Corvallis	OR	97330	1/7/2025	2026	"SAMARITAN HEALTH PLANS, INC."	Local CCP	Samaritan Advantage Health Plans	HMO/HMOPOS		"Samaritan Health Services, Inc."	201	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3811	Part D Exceptions Contact	Director of Pharmacy Services		Albeke	Sheila	J						halbeke@samhealth.org	2300 NW Walnut Blvd	2300 NW Walnut Blvd	Corvallis	OR	97330	2/17/2026	2026	"SAMARITAN HEALTH PLANS, INC."	Local CCP	Samaritan Advantage Health Plans	HMO/HMOPOS		"Samaritan Health Services, Inc."	201	Yes	Active	1-541-768-5207				HMO - Health Maintenance Organization		C	Chicago
H3811	Pharmacy Network Management Contact	Director of Pharmacy Services		Albeke	Sheila		1-541-550-9566					halbeke@samhealth.org	2300 NW Walnut Blvd		Corvallis	OR	97330	2/23/2026	2026	"SAMARITAN HEALTH PLANS, INC."	Local CCP	Samaritan Advantage Health Plans	HMO/HMOPOS		"Samaritan Health Services, Inc."	201	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3811	Pharmacy Technical Help Desk Contact	Manager-SHP Pharmacy Ops		Stradling	Jonathan							jstradling@samhealth.org	2300 NW Walnut Blvd		Corvallis	OR	97330	2/17/2026	2026	"SAMARITAN HEALTH PLANS, INC."	Local CCP	Samaritan Advantage Health Plans	HMO/HMOPOS		"Samaritan Health Services, Inc."	201	Yes	Active	1-888-435-2396				HMO - Health Maintenance Organization		C	Chicago
H3811	Plan to Plan Reconciliation Contact	Manager Risk & Revenue		Champlin	Glen		1-541-768-7895				1-541-768-4294	gchamplin@samhealth.org	2300 NW Walnut Blvd		Corvallis	OR	97330	3/9/2026	2026	"SAMARITAN HEALTH PLANS, INC."	Local CCP	Samaritan Advantage Health Plans	HMO/HMOPOS		"Samaritan Health Services, Inc."	201	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3814	Automated TrOOP Balance Transfer Contact	Medicare Part D Project Manager		Esp	Bryan		1-858-790-6445					PartDCAT@MedImpact.com	"550 Hawthorne Ave SE #140, Salem, OR 97301"		Salem	OR	97301	10/29/2025	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	HMO/HMOPOS		ATRIO Health Plans	5	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3814	Best Available Evidence Contact	Enrollment Manager		Vredenburg	Cristi		1-541-492-5119					Cristi.vredenburg@atriohp.com	550 Hawthorne Ave SE #140		Salem	OR	97301	10/2/2025	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	HMO/HMOPOS		ATRIO Health Plans	5	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3814	Chief Financial Officer	CFO	Mr.	Kirkpatrick	James		1-503-428-5602					james.kirkpatrick@atriohp.com	"550 Hawthorne Ave SE #140, Salem"		Salem	OR	97301	10/29/2025	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	HMO/HMOPOS		ATRIO Health Plans	5	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3814	CMS Casework Communication Contact	Enrollment Manager		Vredenburg	Cristi		1-541-492-5119					Cristi.vredenburg@atriohp.com	"550 Hawthorne Ave SE #140, Salem"		Salem	OR	97301	10/29/2025	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	HMO/HMOPOS		ATRIO Health Plans	5	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3814	Coordination of Benefits Contact	President & CEO	Mrs.	Callahan	Jennifer		1-971-599-2441					jennifer.callahan@atriohp.com	"550 Hawthorne Ave SE #140, Salem"		Salem	OR	97301	10/29/2025	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	HMO/HMOPOS		ATRIO Health Plans	5	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3814	Customer Service Operations Contact	President & CEO	Mrs.	Callahan	Jennifer		1-971-599-2441					jennifer.callahan@atriohp.com	"550 Hawthorne Ave SE #140, Salem"		Salem	OR	97301	10/29/2025	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	HMO/HMOPOS		ATRIO Health Plans	5	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3814	Government Relations Contact	Chief Compliance Officer		Allotta	Tony		1-530-396-7149					tony.allotta@atriohp.com	"550 Hawthorne Ave SE #140, Salem"		Salem	OR	97301	3/24/2026	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	HMO/HMOPOS		ATRIO Health Plans	5	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3814	Hospice Contact	Chief Medical Officer	Dr.	Revai	Krystal		1-541-239-2067					krystal.revai@atriohp.com	"550 Hawthorne Ave SE #140, Salem"		Salem	OR	97301	3/24/2026	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	HMO/HMOPOS		ATRIO Health Plans	5	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3814	Medicare Compliance Officer	Chief Compliance Officer	Mr	Allotta	Tony		1-530-396-7149					tony.allotta@atriohp.com	"550 Hawthorne Ave SE #140, Salem"		Salem	OR	97301	3/24/2026	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	HMO/HMOPOS		ATRIO Health Plans	5	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3814	Part D Exceptions Contact	Director of Appeals and Grievances		Vaughn	Sara						1-541-672-8670	sara.vaughn@atriohp.com	"550 Hawthorne Ave SE #140, Salem"		Salem	OR	97301	10/29/2025	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	HMO/HMOPOS		ATRIO Health Plans	5	Yes	Active	1-877-672-8620	3			HMO - Health Maintenance Organization		C	Dallas
H3814	Pharmacy Network Management Contact	"Supervisor, Pharmacy Network Support"		Burke	Sharon		1-858-790-7148					Sharon.Burke@MedImpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	3/13/2019	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	HMO/HMOPOS		ATRIO Health Plans	5	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3814	Pharmacy Technical Help Desk Contact	"Director, Contact Center Services"		Brewer	Kathy							Customerservice@Medimpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	11/8/2018	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	HMO/HMOPOS		ATRIO Health Plans	5	Yes	Active	1-800-681-9571				HMO - Health Maintenance Organization		C	Dallas
H3814	Plan to Plan Reconciliation Contact	Chief Financial Officer	Mr.	Kirkpatrick	James		1-503-428-5602					james.kirkpatrick@atriohp.com	"550 Hawthorne Ave SE #140, Salem"		Salem	OR	97301	10/29/2025	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	HMO/HMOPOS		ATRIO Health Plans	5	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3815	Automated TrOOP Balance Transfer Contact	PBM - Manager Project and Program Management		Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	2/5/2026	2026	ALIGNMENT HEALTH PLAN	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3815	Best Available Evidence Contact	"Director, Membership & Eligibility"		Starks	Heather		1-661-433-0187				1-562-207-4623	HStarks@ahcusa.com	1100 W. Town and Country Road #300		Orange	CA	92868-4600	6/19/2025	2026	ALIGNMENT HEALTH PLAN	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3815	Chief Financial Officer	Chief Financial Officer	Mr.	Head	James	M	1-657-218-7612					Jhead@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	6/19/2025	2026	ALIGNMENT HEALTH PLAN	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3815	CMS Casework Communication Contact	CEO		Maroney	Dawn		1-844-310-2247				1-844-320-2247	DMaroney@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	6/19/2025	2026	ALIGNMENT HEALTH PLAN	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3815	Coordination of Benefits Contact	"Director, Membership & Eligibility"		Starks	Heather		1-661-433-0187					HStarks@ahcusa.com	1100 W. Town and Country Rd #1600		Orange	CA	92868	6/19/2025	2026	ALIGNMENT HEALTH PLAN	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3815	Customer Service Operations Contact	"VP, Member Experience"		Shaffer	Troy		1-714-208-2446					TShaffer@ahcusa.com	1100  W. Town and Country Road #300		Orange	CA	92868-4600	2/6/2026	2026	ALIGNMENT HEALTH PLAN	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3815	Government Relations Contact	"SVP, Chief Compliance Officer"		Lynch	Cindy		1-657-383-5394					clynch@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	6/19/2025	2026	ALIGNMENT HEALTH PLAN	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3815	Hospice Contact	"SVP, Market Management"	Dr.	Kim	John		1-657-218-7640					jkim@ahcusa.com	1100 W Town and Country	Suite 1600	Orange	CA	92868	2/5/2026	2026	ALIGNMENT HEALTH PLAN	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3815	Medicare Compliance Officer	"SVP, Chief Compliance Officer"	Ms.	Lynch	Cindy	B	1-657-383-5394					clynch@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	6/19/2025	2026	ALIGNMENT HEALTH PLAN	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3815	Part D Exceptions Contact	PBM - Regulatory Pharmacist Sr.		Emerson	Kimberly						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	2/5/2026	2026	ALIGNMENT HEALTH PLAN	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active	1-800-693-6651				HMO - Health Maintenance Organization		C	Chicago
H3815	Pharmacy Network Management Contact	"PBM - VP, Network Management"		Conlin	Marci		1-612-777-2842				1-877-823-6373	marci.conlin@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55122	6/19/2025	2026	ALIGNMENT HEALTH PLAN	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3815	Pharmacy Technical Help Desk Contact	"PBM - Sr. Director, Member Services"		Scott	Shane							shane.scott@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	2/5/2026	2026	ALIGNMENT HEALTH PLAN	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active	1-844-227-7615				HMO - Health Maintenance Organization		C	Chicago
H3815	Plan to Plan Reconciliation Contact	"Manager, Financial Operations"		De La Torre	Angelo		1-657-218-7422				1-562-207-4266	adelatorre@ahcusa.com	1100 W. Town and Country Road #300		Orange	CA	92868-4600	6/19/2025	2026	ALIGNMENT HEALTH PLAN	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3817	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Mngmnt	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	3/18/2025	2026	REGENCE BLUECROSS BLUESHIELD OF OREGON	Local CCP	Regence BlueCross BlueShield of Oregon	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H3817	Best Available Evidence Contact	Membership Ambassador	Ms.	Wells	Trisha		1-800-543-8848	2751			1-888-335-2988	ORMEMMEDAmbassador@regence.com	PO Box 1827		Medford	OR	97501	3/18/2025	2026	REGENCE BLUECROSS BLUESHIELD OF OREGON	Local CCP	Regence BlueCross BlueShield of Oregon	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H3817	Chief Financial Officer	Cambia EVP & CFO	Mr.	Rains	Mike		1-317-690-0081					Mike.Rains@regence.com	1111 Lake Washington Blvd North STE 900		Renton	WA	98056	4/15/2026	2026	REGENCE BLUECROSS BLUESHIELD OF OREGON	Local CCP	Regence BlueCross BlueShield of Oregon	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H3817	CMS Casework Communication Contact	Ops Reporting & Perf Analyst	Ms.	Haselden	Brandy		1-800-543-8848	6370				brandy.haselden@regence.com	PO Box 1827		Medford	OR	97501	4/27/2026	2026	REGENCE BLUECROSS BLUESHIELD OF OREGON	Local CCP	Regence BlueCross BlueShield of Oregon	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H3817	Coordination of Benefits Contact	"Manager, Member Services"	Ms.	Christiansen	Stacy		1-541-618-1240					Stacy.Christiansen@regence.com	PO Box 1827		Medford	OR	97501	3/18/2025	2026	REGENCE BLUECROSS BLUESHIELD OF OREGON	Local CCP	Regence BlueCross BlueShield of Oregon	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H3817	Customer Service Operations Contact	Manager Member Services	Ms.	Ciuro	Catina		1-541-618-1268					Catina.Ciuro@regence.com	PO Box 1827		Medford	OR	97504	3/18/2025	2026	REGENCE BLUECROSS BLUESHIELD OF OREGON	Local CCP	Regence BlueCross BlueShield of Oregon	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H3817	Government Relations Contact	Director Government Programs Compliance Officer	Ms.	Hoey	Yen		1-503-721-4040					Yen.Hoey@cambiahealth.com	200 SW Market Street 11th Floor		Portland	OR	97201	3/18/2025	2026	REGENCE BLUECROSS BLUESHIELD OF OREGON	Local CCP	Regence BlueCross BlueShield of Oregon	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H3817	Hospice Contact	Pharmacy Ops Oversight Lead	Ms.	Manzer	Amy		1-503-225-5368					Amy.Manzer@regence.com	200 SW Market Street 11th Floor		Portland	OR	97201	12/22/2025	2026	REGENCE BLUECROSS BLUESHIELD OF OREGON	Local CCP	Regence BlueCross BlueShield of Oregon	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H3817	Medicare Compliance Officer	Director Government Programs Compliance Officer	Ms.	Hoey	Yen		1-503-721-4040					Yen.Hoey@cambiahealth.com	200 SW Market Street 11th Floor		Portland	OR	97201	3/18/2025	2026	REGENCE BLUECROSS BLUESHIELD OF OREGON	Local CCP	Regence BlueCross BlueShield of Oregon	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H3817	Part D Exceptions Contact	"Regulatory Pharmacist, Sr"	Mr.	Spears	Scott						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	10/3/2025	2026	REGENCE BLUECROSS BLUESHIELD OF OREGON	Local CCP	Regence BlueCross BlueShield of Oregon	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active	1-800-693-6651				PPO - BBA		C	Dallas
H3817	Pharmacy Network Management Contact	"VP, Network Mangement"	Ms.	Conlin	Marci		1-612-777-2837				1-877-823-6373	marci.conlin@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	3/18/2025	2026	REGENCE BLUECROSS BLUESHIELD OF OREGON	Local CCP	Regence BlueCross BlueShield of Oregon	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H3817	Pharmacy Technical Help Desk Contact	"Sr Director, Member Services"	Mr.	Scott	Shane							shane.scott@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/18/2025	2026	REGENCE BLUECROSS BLUESHIELD OF OREGON	Local CCP	Regence BlueCross BlueShield of Oregon	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active	1-844-765-6826				PPO - BBA		C	Dallas
H3817	Plan to Plan Reconciliation Contact	Pharmacy Operations Oversight Lead	Ms.	Manzer	Amy		1-503-225-5368					Amy.Manzer@regence.com	200 SW Market Street 11th Floor		Portland	OR	97201	12/22/2025	2026	REGENCE BLUECROSS BLUESHIELD OF OREGON	Local CCP	Regence BlueCross BlueShield of Oregon	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H3821	Automated TrOOP Balance Transfer Contact	CEO	Mrs	Liou	Julia		1-510-735-3131					jliou@ahschc.org	101 8th Street	Suite 100	Oakland	CA	94607	3/14/2024	2026	ASIAN HEALTH SERVICES	National PACE	"Asian Health Services, Inc. dba SpringLight Health"	National PACE		Asian Health Services	839	Yes	Pending					PACE - Nat		C	San Francisco
H3821	Best Available Evidence Contact	CEO	Mrs	Liou	Julia		1-510-735-3131					jliou@ahschc.org	101 8th Street	Suite 100	Oakland	CA	94607	3/14/2024	2026	ASIAN HEALTH SERVICES	National PACE	"Asian Health Services, Inc. dba SpringLight Health"	National PACE		Asian Health Services	839	Yes	Pending					PACE - Nat		C	San Francisco
H3821	Chief Financial Officer	CFO	Mr	Chen	James	Z	1-510-735-3131					JamesChen@ahschc.org	101 8th Street	Suite 100	Oakland	CA	94607	3/14/2024	2026	ASIAN HEALTH SERVICES	National PACE	"Asian Health Services, Inc. dba SpringLight Health"	National PACE		Asian Health Services	839	Yes	Pending					PACE - Nat		C	San Francisco
H3821	CMS Casework Communication Contact	CEO	Mrs	Liou	Julia		1-510-735-3131					jliou@ahschc.org	101 8th Street	Suite 100	Oakland	CA	94607	3/14/2024	2026	ASIAN HEALTH SERVICES	National PACE	"Asian Health Services, Inc. dba SpringLight Health"	National PACE		Asian Health Services	839	Yes	Pending					PACE - Nat		C	San Francisco
H3821	Coordination of Benefits Contact	Human Resources Manager	Mr	Martinez	John		1-510-735-3158					JMartinez@ahschc.org	101 8th Street	Suite 100	Oakland	CA	94607	3/14/2024	2026	ASIAN HEALTH SERVICES	National PACE	"Asian Health Services, Inc. dba SpringLight Health"	National PACE		Asian Health Services	839	Yes	Pending					PACE - Nat		C	San Francisco
H3821	Customer Service Operations Contact	Director of Clinic Operations	Mrs	Chang-Fong	Mariana		1-510-735-3322					mchang@ahschc.org	101 8th Street	Suite 100	Oakland	CA	94607	3/14/2024	2026	ASIAN HEALTH SERVICES	National PACE	"Asian Health Services, Inc. dba SpringLight Health"	National PACE		Asian Health Services	839	Yes	Pending					PACE - Nat		C	San Francisco
H3821	Government Relations Contact	CEO	Mrs	Liou	Julia		1-510-735-3131					jliou@ahschc.org	101 8th Street	Suite 100	Oakland	CA	94607	3/14/2024	2026	ASIAN HEALTH SERVICES	National PACE	"Asian Health Services, Inc. dba SpringLight Health"	National PACE		Asian Health Services	839	Yes	Pending					PACE - Nat		C	San Francisco
H3821	Medicare Compliance Officer	Compliance & Administrative Operations Manager	Mrs	Matsuoka	Karen		1-510-735-3115					KMatsuoka@ahschc.org	101 8th Street	Suite 100	Oakland	CA	94607	3/14/2024	2026	ASIAN HEALTH SERVICES	National PACE	"Asian Health Services, Inc. dba SpringLight Health"	National PACE		Asian Health Services	839	Yes	Pending					PACE - Nat		C	San Francisco
H3821	Part D Exceptions Contact	CEO	Mrs	Liou	Julia							jliou@ahschc.org	101 8th Street	Suite 100	Oakland	CA	94607	3/14/2024	2026	ASIAN HEALTH SERVICES	National PACE	"Asian Health Services, Inc. dba SpringLight Health"	National PACE		Asian Health Services	839	Yes	Pending	1-510-735-3131				PACE - Nat		C	San Francisco
H3821	Pharmacy Network Management Contact	CEO	Mrs	Liou	Julia		1-510-735-3131					jliou@ahschc.org	101 8th Street	Suite 100	Oakland	CA	94607	3/14/2024	2026	ASIAN HEALTH SERVICES	National PACE	"Asian Health Services, Inc. dba SpringLight Health"	National PACE		Asian Health Services	839	Yes	Pending					PACE - Nat		C	San Francisco
H3821	Pharmacy Technical Help Desk Contact	CEO	Mrs	Liou	Julia							jliou@ahschc.org	101 8th Street	Suite 100	Oakland	CA	94607	3/14/2024	2026	ASIAN HEALTH SERVICES	National PACE	"Asian Health Services, Inc. dba SpringLight Health"	National PACE		Asian Health Services	839	Yes	Pending	1-510-735-3131				PACE - Nat		C	San Francisco
H3821	Plan to Plan Reconciliation Contact	CEO	Mrs	Liou	Julia		1-510-735-3131					jliou@ahschc.org	101 8th Street	Suite 100	Oakland	CA	94607	3/14/2024	2026	ASIAN HEALTH SERVICES	National PACE	"Asian Health Services, Inc. dba SpringLight Health"	National PACE		Asian Health Services	839	Yes	Pending					PACE - Nat		C	San Francisco
H3822	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Management	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/14/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	"Blue Cross and Blue Shield of IL, NM"	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3822	Best Available Evidence Contact	"Deputy General Manager, Digital Operations"	Mr.	Davis	Tom		1-570-344-9237	73545			1-000-000-0000	Thomas.Davis@cognizant.com	Cognizant	25 Lakeview Drive	Jessup	PA	18434	1/4/2022	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	"Blue Cross and Blue Shield of IL, NM"	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3822	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	300 East Randolph St		Chicago	IL	60601	4/7/2026	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	"Blue Cross and Blue Shield of IL, NM"	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3822	CMS Casework Communication Contact	Manager Medicare Operations & Oversight	Ms.	Morris	Tawanna		1-630-824-5090				1-000-000-0000	Tawanna_Morris@bcbsil.com	Health Care Service Corporation	300 E. Randolph Street	Chicago	IL	60601	8/6/2024	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	"Blue Cross and Blue Shield of IL, NM"	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3822	Coordination of Benefits Contact	Mgr Project & Program Management	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	COBMedD@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/14/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	"Blue Cross and Blue Shield of IL, NM"	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3822	Customer Service Operations Contact	VP of Customer Service	Mr.	Akovenko	Josh		1-615-695-8916				1-000-000-0000	josh_akovenko@hcsc.com	Health Care Service Corporation	500 Great Circle Rd	Nashville	IL	60601	12/4/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	"Blue Cross and Blue Shield of IL, NM"	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3822	Government Relations Contact	Executive Director - Health Policy	Ms.	DuGoff	Eva		1-202-249-7208				1-000-000-0000	eva_dugoff@hcsc.net	Health Care Service Corporation	1001 Pennsylvania NW	Washington	DC	20004	9/26/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	"Blue Cross and Blue Shield of IL, NM"	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3822	Hospice Contact	Govt Prog Clinical Ops Dvisional Vice President	Ms.	Thomas-Spaulding	Felicia	S	1-505-816-2717				1-000-000-0000	Felicia_Spaulding@bcbsnm.com	Blue Cross Blue Shield of New Mexico	4411 The 25 Way NE	Albuquerque	NM	87109	2/27/2019	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	"Blue Cross and Blue Shield of IL, NM"	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3822	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	9/5/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	"Blue Cross and Blue Shield of IL, NM"	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3822	Part D Exceptions Contact	Regulatory Pharmacist Sr	Mr	Spears	Scott						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	9/22/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	"Blue Cross and Blue Shield of IL, NM"	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-800-693-6651				HMO - Health Maintenance Organization		C	Chicago
H3822	Pharmacy Network Management Contact	"VP, Network Management"	Ms.	Conlin	Marci		1-612-777-2837				1-877-823-6373	marci.conlin@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Road	Eagan	MN	55121	3/21/2023	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	"Blue Cross and Blue Shield of IL, NM"	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3822	Pharmacy Technical Help Desk Contact	"Sr. Director, Member Services"	Mr.	Scott	Shane						1-000-000-0000	shane.scott@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	12/18/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	"Blue Cross and Blue Shield of IL, NM"	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-877-277-7898				HMO - Health Maintenance Organization		C	Chicago
H3822	Plan to Plan Reconciliation Contact	Accountant	Ms.	Bowen	Niaya		1-972-766-1324				1-972-766-4360	niaya_bowen@bcbstx.com	Health Care Service Corporation	"1001 East Lookout Drive, 2A Finance"	Richardson	TX	75082	9/29/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	"Blue Cross and Blue Shield of IL, NM"	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3828	Automated TrOOP Balance Transfer Contact	Part D Analyst		Houk	Kim		1-614-546-3183				1-614-546-3131	kulrich@Medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	5/29/2026	2026	"MOUNT CARMEL HEALTH PLAN OF IDAHO, INC."	Local CCP	Saint Alphonsus Health Plan	Local PPO		Trinity Health Corporation	234	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H3828	Best Available Evidence Contact	"Manager, Enrollment & Reconciliation"		Buddell	Natasha		1-614-546-3222				1-614-546-3148	nbuddell@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	5/29/2026	2026	"MOUNT CARMEL HEALTH PLAN OF IDAHO, INC."	Local CCP	Saint Alphonsus Health Plan	Local PPO		Trinity Health Corporation	234	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H3828	Chief Financial Officer	Chief Financial Officer	Mr	Vis	David		1-614-546-3211				1-614-546-3131	david.vis@medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	5/29/2026	2026	"MOUNT CARMEL HEALTH PLAN OF IDAHO, INC."	Local CCP	Saint Alphonsus Health Plan	Local PPO		Trinity Health Corporation	234	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H3828	CMS Casework Communication Contact	Compliance Specialist	Mr.	Jordan	David	A	1-614-706-8474				1-614-234-8372	djordan@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	5/29/2026	2026	"MOUNT CARMEL HEALTH PLAN OF IDAHO, INC."	Local CCP	Saint Alphonsus Health Plan	Local PPO		Trinity Health Corporation	234	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H3828	Coordination of Benefits Contact	Pharmacy Data Analyst		Houk	Kim		1-614-546-3183				1-614-546-3132	kulrich@Medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	5/29/2026	2026	"MOUNT CARMEL HEALTH PLAN OF IDAHO, INC."	Local CCP	Saint Alphonsus Health Plan	Local PPO		Trinity Health Corporation	234	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H3828	Customer Service Operations Contact	"Senior Director, Member and Provider Services"		Schlabach	Marilyn		1-614-546-3180				1-614-546-3132	mschlabach@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	5/29/2026	2026	"MOUNT CARMEL HEALTH PLAN OF IDAHO, INC."	Local CCP	Saint Alphonsus Health Plan	Local PPO		Trinity Health Corporation	234	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H3828	Government Relations Contact	CEO	Mr	Randolph	John	C	1-614-546-3152				1-614-546-3131	jack.randolph@MediGold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	5/29/2026	2026	"MOUNT CARMEL HEALTH PLAN OF IDAHO, INC."	Local CCP	Saint Alphonsus Health Plan	Local PPO		Trinity Health Corporation	234	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H3828	Hospice Contact	Senior Pharmacy Data Analyst		Houk	Kim		1-614-546-3183				1-614-546-3132	kulrich@Medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	5/29/2026	2026	"MOUNT CARMEL HEALTH PLAN OF IDAHO, INC."	Local CCP	Saint Alphonsus Health Plan	Local PPO		Trinity Health Corporation	234	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H3828	Medicare Compliance Officer	Chief Compliance Officer	Ms	Suffern	Patricia		1-412-478-0244					patricia.suffern@medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	5/29/2026	2026	"MOUNT CARMEL HEALTH PLAN OF IDAHO, INC."	Local CCP	Saint Alphonsus Health Plan	Local PPO		Trinity Health Corporation	234	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H3828	Part D Exceptions Contact	"Director, Pharmacy"	Ms.	McGhee	Anna							anna.mcghee@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	5/29/2026	2026	"MOUNT CARMEL HEALTH PLAN OF IDAHO, INC."	Local CCP	Saint Alphonsus Health Plan	Local PPO		Trinity Health Corporation	234	Yes	Withdrawn Contract	1-800-240-3851				PPO - BBA		C	Chicago
H3828	Pharmacy Network Management Contact	"Director, Pharmacy"	Ms.	McGhee	Anna		1-216-534-5375					anna.mcghee@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	5/29/2026	2026	"MOUNT CARMEL HEALTH PLAN OF IDAHO, INC."	Local CCP	Saint Alphonsus Health Plan	Local PPO		Trinity Health Corporation	234	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H3828	Pharmacy Technical Help Desk Contact	"Director, Pharmacy"	Ms.	McGhee	Anna							anna.mcghee@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	5/29/2026	2026	"MOUNT CARMEL HEALTH PLAN OF IDAHO, INC."	Local CCP	Saint Alphonsus Health Plan	Local PPO		Trinity Health Corporation	234	Yes	Withdrawn Contract	1-866-693-4620				PPO - BBA		C	Chicago
H3828	Plan to Plan Reconciliation Contact	Pharmacy Data Analyst		Houk	Kim		1-614-546-3183				1-614-546-3132	kulrich@Medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	5/29/2026	2026	"MOUNT CARMEL HEALTH PLAN OF IDAHO, INC."	Local CCP	Saint Alphonsus Health Plan	Local PPO		Trinity Health Corporation	234	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H3832	Automated TrOOP Balance Transfer Contact	Senior Business Analyst		Kalino	Karen		1-808-948-6262				1-808-948-6585	karen_apiki_kalino@hmsa.com	P.O. Box 860	8 - MP	Honolulu	HI	96808	11/27/2020	2026	HAWAII MEDICAL SERVICE ASSOCIATION	Local CCP	HMSA Akamai Advantage	Local PPO		Hawaii Medical Service Association	107	Yes	Active					PPO - BBA		C	Boston
H3832	Best Available Evidence Contact	"Enrollment Specialist, IO Liaison"		Jose	Angelica		1-808-948-5705				1-808-948-6285	Angelica_Jose@hmsa.com	P.O. Box 860	7 - MS	Honolulu	HI	96808	2/13/2025	2026	HAWAII MEDICAL SERVICE ASSOCIATION	Local CCP	HMSA Akamai Advantage	Local PPO		Hawaii Medical Service Association	107	Yes	Active					PPO - BBA		C	Boston
H3832	Chief Financial Officer	President and COO	Ms.	Smith	Jenny		1-808-948-6621				1-808-948-5999	Jenny_smith@hmsa.com	P.O. Box 860	11 - EXEC	Honolulu	HI	96808	5/19/2026	2026	HAWAII MEDICAL SERVICE ASSOCIATION	Local CCP	HMSA Akamai Advantage	Local PPO		Hawaii Medical Service Association	107	Yes	Active					PPO - BBA		C	Boston
H3832	CMS Casework Communication Contact	Medicare Grievance & Appeal Coordinator		Hartenstein	Renee		1-808-948-5347				1-808-952-7546	Renee_Hartenstein@hmsa.com	P.O. Box 860	KB-MAA	Honolulu	HI	96808	12/29/2021	2026	HAWAII MEDICAL SERVICE ASSOCIATION	Local CCP	HMSA Akamai Advantage	Local PPO		Hawaii Medical Service Association	107	Yes	Active					PPO - BBA		C	Boston
H3832	Coordination of Benefits Contact	"Manager, Internal Operations Liaison, Claims"		Makio	Lani		1-808-948-6215					lani_makio@hmsa.com	P.O. Box 860	7 - CA	Honolulu	HI	96808	5/19/2026	2026	HAWAII MEDICAL SERVICE ASSOCIATION	Local CCP	HMSA Akamai Advantage	Local PPO		Hawaii Medical Service Association	107	Yes	Active					PPO - BBA		C	Boston
H3832	Customer Service Operations Contact	"Senior Manager, Customer Relations"		Forsyth	Clarice		1-808-948-5224				1-808-948-5567	Customer-service@hmsa.com	P.O. Box 860	7 CR	Honolulu	HI	96808	11/6/2025	2026	HAWAII MEDICAL SERVICE ASSOCIATION	Local CCP	HMSA Akamai Advantage	Local PPO		Hawaii Medical Service Association	107	Yes	Active					PPO - BBA		C	Boston
H3832	Government Relations Contact	"SVP, Government"		Diesman	Jennifer		1-808-561-6397				1-808-948-6860	jennifer_diesman@hmsa.com	P.O. Box 860	11 EXEC	Honolulu	HI	96808	11/16/2023	2026	HAWAII MEDICAL SERVICE ASSOCIATION	Local CCP	HMSA Akamai Advantage	Local PPO		Hawaii Medical Service Association	107	Yes	Active					PPO - BBA		C	Boston
H3832	Hospice Contact	Business Analyst - Medicare Part D		Kanda	Jordan		1-808-952-7749				1-808-948-5611	jordan_kanda@hmsa.com	P.O. Box 860	10 - KB-PM	Honolulu	HI	96808	12/3/2024	2026	HAWAII MEDICAL SERVICE ASSOCIATION	Local CCP	HMSA Akamai Advantage	Local PPO		Hawaii Medical Service Association	107	Yes	Active					PPO - BBA		C	Boston
H3832	Medicare Compliance Officer	"AVP, Regulatory Compliance and SIU"	Ms.	Aronson	Virginya		1-808-952-8548				1-808-948-6585	virginya_aronson@hmsa.com	P.O. Box 860	10-CE	Honolulu	HI	96808	6/8/2026	2026	HAWAII MEDICAL SERVICE ASSOCIATION	Local CCP	HMSA Akamai Advantage	Local PPO		Hawaii Medical Service Association	107	Yes	Active					PPO - BBA		C	Boston
H3832	Part D Exceptions Contact	"Clinical Pharmacist, Government Programs"		Iwaishi	Brandon							brandon_Iwaishi@hmsa.com	1601 Kapiolani Blvd.	10-KB-PM	Honolulu	HI	96814	11/12/2025	2026	HAWAII MEDICAL SERVICE ASSOCIATION	Local CCP	HMSA Akamai Advantage	Local PPO		Hawaii Medical Service Association	107	Yes	Active	1-800-948-5618				PPO - BBA		C	Boston
H3832	Pharmacy Network Management Contact	Director		Smith	Shawn		1-480-391-4844					shawn.smith@cvshealth.com	"9501 E. Shea Blvd., MC080"	CVS Caremark	Scottsdale	AZ	85260	12/20/2019	2026	HAWAII MEDICAL SERVICE ASSOCIATION	Local CCP	HMSA Akamai Advantage	Local PPO		Hawaii Medical Service Association	107	Yes	Active					PPO - BBA		C	Boston
H3832	Pharmacy Technical Help Desk Contact	Sr. Manager		Stauffer	Grace							grace.stauffer@cvshealth.com	9501 E. Shea Blvd		Scottsdale	AZ	85260	12/6/2024	2026	HAWAII MEDICAL SERVICE ASSOCIATION	Local CCP	HMSA Akamai Advantage	Local PPO		Hawaii Medical Service Association	107	Yes	Active	1-866-693-4620				PPO - BBA		C	Boston
H3832	Plan to Plan Reconciliation Contact	Fin Svcs-FA Management		Randall	Ryan		1-513-484-0399					ryan_randall@hmsa.com	PO BOX 860	6 FA	Honolulu	HI	96808	5/19/2026	2026	HAWAII MEDICAL SERVICE ASSOCIATION	Local CCP	HMSA Akamai Advantage	Local PPO		Hawaii Medical Service Association	107	Yes	Active					PPO - BBA		C	Boston
H3864	Automated TrOOP Balance Transfer Contact	"Senior Vice President, Health Plan Operations"		Ghaly	Khaled		1-208-563-2338					Khaled.Ghaly@pacificsource.com	408 E Parkcenter Boulevard	Suite 100	Boise	ID	83706	7/2/2025	2026	PACIFICSOURCE COMMUNITY HEALTH PLANS	Local CCP	PacificSource Medicare	HMO/HMOPOS		PacificSource	429	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H3864	Best Available Evidence Contact	"Senior Vice President, Health Plan Operations"		Ghaly	Khaled		1-208-563-2338					Khaled.Ghaly@pacificsource.com	408 E Parkcenter Boulevard	Suite 100	Boise	ID	83706	7/2/2025	2026	PACIFICSOURCE COMMUNITY HEALTH PLANS	Local CCP	PacificSource Medicare	HMO/HMOPOS		PacificSource	429	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H3864	Chief Financial Officer	Senior Vice President and Chief Financial Officer	Mr	Fellner	Brian		1-208-563-2342					Brian.Fellner@pacificsource.com	408 E Parkcenter Boulevard	Suite 100	Boise	ID	83706	10/28/2025	2026	PACIFICSOURCE COMMUNITY HEALTH PLANS	Local CCP	PacificSource Medicare	HMO/HMOPOS		PacificSource	429	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H3864	CMS Casework Communication Contact	Team Leader Appeals and Grievances		Downey	Reanna		1-541-706-5031					Reanna.Downey@pacificsource.com	PO Box 7469		Bend	OR	97708	7/20/2022	2026	PACIFICSOURCE COMMUNITY HEALTH PLANS	Local CCP	PacificSource Medicare	HMO/HMOPOS		PacificSource	429	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H3864	Coordination of Benefits Contact	Claims Manager COB-TPL		Keeler	Dena		1-541-225-3765					Dena.Keeler@pacificsource.com	555 International Way		Springfield	OR	97477	4/14/2022	2026	PACIFICSOURCE COMMUNITY HEALTH PLANS	Local CCP	PacificSource Medicare	HMO/HMOPOS		PacificSource	429	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H3864	Customer Service Operations Contact	"Senior Vice President, Health Plan Operations"		Ghaly	Khaled		1-208-563-2338					Khaled.Ghaly@pacificsource.com	408 E Parkcenter Boulevard	Suite 100	Boise	ID	83706	7/2/2025	2026	PACIFICSOURCE COMMUNITY HEALTH PLANS	Local CCP	PacificSource Medicare	HMO/HMOPOS		PacificSource	429	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H3864	Government Relations Contact	Corporate Compliance Officer	Mr	Cass	Dave		1-503-802-5327				1-541-385-3008	Dave.Cass@pacificsource.com	1500 SW 1st Ave	Suite 200	Portland	OR	97201	10/30/2025	2026	PACIFICSOURCE COMMUNITY HEALTH PLANS	Local CCP	PacificSource Medicare	HMO/HMOPOS		PacificSource	429	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H3864	Hospice Contact	"Manager of Pharmacy Administration, Govt"		Riffle	Connie		1-541-330-7309				1-800-366-4873	Connie.Riffle@pacificsource.com	PO Box 7469		Bend	OR	97708	2/24/2023	2026	PACIFICSOURCE COMMUNITY HEALTH PLANS	Local CCP	PacificSource Medicare	HMO/HMOPOS		PacificSource	429	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H3864	Medicare Compliance Officer	Interim Corporate Compliance Officer	Mr	Cass	Dave		1-503-802-5327					Dave.Cass@pacificsource.com	1500 SW First Ave	Suite 200	Portland	OR	97201	11/20/2025	2026	PACIFICSOURCE COMMUNITY HEALTH PLANS	Local CCP	PacificSource Medicare	HMO/HMOPOS		PacificSource	429	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H3864	Part D Exceptions Contact	Pharmacy Services Leadership Team		Services	Pharmacy							RxLeadership@pacificsource.com	PO Box 7469		Bend	OR	97708	10/17/2018	2026	PACIFICSOURCE COMMUNITY HEALTH PLANS	Local CCP	PacificSource Medicare	HMO/HMOPOS		PacificSource	429	Yes	Active	1-541-330-4999				HMO - Health Maintenance Organization		C	Seattle
H3864	Pharmacy Network Management Contact	"SR. Manager, PBM Financial Operations"		Okrie	Courtney		1-480-318-1864					Courtney.Okrie@CVSHealth.com	"9501 E. Shea Blvd, MC080"		Scottsdale	AZ	85620	1/6/2022	2026	PACIFICSOURCE COMMUNITY HEALTH PLANS	Local CCP	PacificSource Medicare	HMO/HMOPOS		PacificSource	429	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H3864	Pharmacy Technical Help Desk Contact	Government Programs Pharmacy Services		Services	Pharmacy							pharmacy@pacificsource.com	PO Box 7469		Bend	OR	97708	2/24/2023	2026	PACIFICSOURCE COMMUNITY HEALTH PLANS	Local CCP	PacificSource Medicare	HMO/HMOPOS		PacificSource	429	Yes	Active	1-888-437-7728				HMO - Health Maintenance Organization		C	Seattle
H3864	Plan to Plan Reconciliation Contact	Enrollment and Billing Representative		Yeakey	Paula		1-541-706-5172					P2Padmin@pacificsource.com	PO Box 7469		Bend	OR	97708	10/17/2018	2026	PACIFICSOURCE COMMUNITY HEALTH PLANS	Local CCP	PacificSource Medicare	HMO/HMOPOS		PacificSource	429	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H3868	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3868	Best Available Evidence Contact	"Manager, Enrollment & Eligibility"		Asselin	Krista		1-763-361-1104					krista_asselin@uhc.com	PO Box 9472		Minneapolis	MN	55440	11/14/2025	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3868	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/13/2025	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3868	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3868	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3868	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3868	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3868	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3868	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3868	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H3868	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3868	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H3868	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3890	Automated TrOOP Balance Transfer Contact	"Associate Vice President, Pharmacy"	Mr.	Fatodu	Hugh		1-410-424-4671					fatoduh@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	11/26/2025	2026	"HOPKINS HEALTH ADVANTAGE, INC."	Local CCP	Johns Hopkins Advantage MD	Local PPO		Johns Hopkins Healthcare LLC	616	Yes	Active					PPO - BBA		C	Boston
H3890	Best Available Evidence Contact	Director Medicare Operations	Mr.	Taddeo	Cory		1-410-424-4400	6740				CTaddeo@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	11/26/2025	2026	"HOPKINS HEALTH ADVANTAGE, INC."	Local CCP	Johns Hopkins Advantage MD	Local PPO		Johns Hopkins Healthcare LLC	616	Yes	Active					PPO - BBA		C	Boston
H3890	Chief Financial Officer	Chief Financial Officer	Mr.	Chojnowski	Daniel		1-207-807-2496					DChojnowski@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	8/3/2023	2026	"HOPKINS HEALTH ADVANTAGE, INC."	Local CCP	Johns Hopkins Advantage MD	Local PPO		Johns Hopkins Healthcare LLC	616	Yes	Active					PPO - BBA		C	Boston
H3890	CMS Casework Communication Contact	Exec Director of Compliance  & Regulatory Affairs	Ms.	Mohon	Melissa		1-443-857-0852					MMohon@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	12/22/2025	2026	"HOPKINS HEALTH ADVANTAGE, INC."	Local CCP	Johns Hopkins Advantage MD	Local PPO		Johns Hopkins Healthcare LLC	616	Yes	Active					PPO - BBA		C	Boston
H3890	Coordination of Benefits Contact	Sr. Director Medicare Plan Administration	Ms.	Riaz	Salma		1-863-634-1202					Sriaz@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	8/3/2023	2026	"HOPKINS HEALTH ADVANTAGE, INC."	Local CCP	Johns Hopkins Advantage MD	Local PPO		Johns Hopkins Healthcare LLC	616	Yes	Active					PPO - BBA		C	Boston
H3890	Customer Service Operations Contact	Director Medicare Operations	Mr.	Taddeo	Cory		1-410-424-4400	6740				CTaddeo@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	11/26/2025	2026	"HOPKINS HEALTH ADVANTAGE, INC."	Local CCP	Johns Hopkins Advantage MD	Local PPO		Johns Hopkins Healthcare LLC	616	Yes	Active					PPO - BBA		C	Boston
H3890	Government Relations Contact	Exec Director of Compliance  & Regulatory Affairs	Ms.	Mohon	Melissa		1-443-857-0852					MMohon@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	12/22/2025	2026	"HOPKINS HEALTH ADVANTAGE, INC."	Local CCP	Johns Hopkins Advantage MD	Local PPO		Johns Hopkins Healthcare LLC	616	Yes	Active					PPO - BBA		C	Boston
H3890	Hospice Contact	"Director, Pharmacy"	Ms.	Wexler	Mary Beth		1-410-762-5938					MBWexler@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	11/26/2025	2026	"HOPKINS HEALTH ADVANTAGE, INC."	Local CCP	Johns Hopkins Advantage MD	Local PPO		Johns Hopkins Healthcare LLC	616	Yes	Active					PPO - BBA		C	Boston
H3890	Medicare Compliance Officer	Exec Director of Compliance  & Regulatory Affairs	Ms.	Mohon	Melissa		1-443-857-0852					MMohon@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	12/22/2025	2026	"HOPKINS HEALTH ADVANTAGE, INC."	Local CCP	Johns Hopkins Advantage MD	Local PPO		Johns Hopkins Healthcare LLC	616	Yes	Active					PPO - BBA		C	Boston
H3890	Part D Exceptions Contact	"Director, Pharmacy"	Ms.	Wexler	Mary Beth							mbwexler@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	11/10/2025	2026	"HOPKINS HEALTH ADVANTAGE, INC."	Local CCP	Johns Hopkins Advantage MD	Local PPO		Johns Hopkins Healthcare LLC	616	Yes	Active	1-800-261-2396				PPO - BBA		C	Boston
H3890	Pharmacy Network Management Contact	"Associate Vice President, Pharmacy"	Mr.	Fatodu	Hugh		1-410-424-4671					fatoduh@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	11/26/2025	2026	"HOPKINS HEALTH ADVANTAGE, INC."	Local CCP	Johns Hopkins Advantage MD	Local PPO		Johns Hopkins Healthcare LLC	616	Yes	Active					PPO - BBA		C	Boston
H3890	Pharmacy Technical Help Desk Contact	"Director, Pharmacy"	Ms.	Wexler	Mary Beth							mbwexler@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	11/10/2025	2026	"HOPKINS HEALTH ADVANTAGE, INC."	Local CCP	Johns Hopkins Advantage MD	Local PPO		Johns Hopkins Healthcare LLC	616	Yes	Active	1-866-693-4620				PPO - BBA		C	Boston
H3890	Plan to Plan Reconciliation Contact	Director of Finance	Ms.	Shariff	Sadia		1-609-571-5406					SShariff@jhhp.org	7231 Parkway Drive	Suite 100	Hanover	MD	21076	12/18/2024	2026	"HOPKINS HEALTH ADVANTAGE, INC."	Local CCP	Johns Hopkins Advantage MD	Local PPO		Johns Hopkins Healthcare LLC	616	Yes	Active					PPO - BBA		C	Boston
H3907	Automated TrOOP Balance Transfer Contact	"AVP, Medicare Operations Support"		Cain	John		1-412-454-5539					cainjo@upmc.edu	"USX Tower, 9th Floor"	600 Grant Street	Pittsburgh	PA	15219	1/13/2026	2026	"UPMC HEALTH PLAN, INC."	Local CCP	UPMC for Life	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3907	Best Available Evidence Contact	Customer Service		Health Plan	UPMC		1-877-539-3080					upmchp@upmc.edu	"USX Tower, 23rd Floor"	600 Grant Street	Pittsburgh	PA	15219	3/23/2012	2026	"UPMC HEALTH PLAN, INC."	Local CCP	UPMC for Life	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3907	Chief Financial Officer	Chief Financial Officer	Ms.	Farrell	Lisa		1-412-454-5559					farrelllm@upmc.edu	"USX Tower, 55th Floor"	600 Grant Street	Pittsburgh	PA	15219	1/13/2026	2026	"UPMC HEALTH PLAN, INC."	Local CCP	UPMC for Life	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3907	CMS Casework Communication Contact	"Sr. Manager, Medicare Compliance"	Ms.	McGough	Amber		1-412-901-1352					russellal@upmc.edu	"USX Tower, 14th Floor"	600 Grant Street	Pittsburgh	PA	15219	1/13/2026	2026	"UPMC HEALTH PLAN, INC."	Local CCP	UPMC for Life	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3907	Coordination of Benefits Contact	Program Director		Turner	Shannon		1-412-454-7360					turners3@upmc.edu	"USX Tower, 5th Floor"	600 Grant Street	Pittsburgh	PA	15219	1/13/2026	2026	"UPMC HEALTH PLAN, INC."	Local CCP	UPMC for Life	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3907	Customer Service Operations Contact	Customer Service		Health Plan	UPMC		1-877-539-3080					upmchp@upmc.edu	"USX Tower, 23rd Floor"	600 Grant Street	Pittsburgh	PA	15219	1/18/2012	2026	"UPMC HEALTH PLAN, INC."	Local CCP	UPMC for Life	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3907	Government Relations Contact	Medicare Compliance Officer	Mrs.	Vybiral	Erin		1-412-454-5247				1-412-454-2110	mccomplianceofficer@upmc.edu	"USX Tower, 14th Floor"	600 Grant Street	Pittsburgh	PA	15219	12/15/2021	2026	"UPMC HEALTH PLAN, INC."	Local CCP	UPMC for Life	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3907	Hospice Contact	Pharmacy Coordinator	Ms.	Keilback	Nicole		1-412-454-8589					lindemuthnl@upmc.edu	"USX Tower, 12th Floor"	600 Grant Street	Pittsburgh	PA	15219	1/13/2026	2026	"UPMC HEALTH PLAN, INC."	Local CCP	UPMC for Life	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3907	Medicare Compliance Officer	Medicare Compliance Officer	Mrs.	Vybiral	Erin		1-412-454-5247				1-412-454-2110	mccomplianceofficer@upmc.edu	"USX Tower, 14th Floor"	600 Grant Street	Pittsburgh	PA	15219	12/15/2021	2026	"UPMC HEALTH PLAN, INC."	Local CCP	UPMC for Life	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3907	Part D Exceptions Contact			Services	Pharmacy							upmchp@upmc.edu	"USX Tower, 12th Floor"	600 Grant Street	Pittsburgh	PA	15219	8/29/2012	2026	"UPMC HEALTH PLAN, INC."	Local CCP	UPMC for Life	HMO/HMOPOS		UPMC Health System	249	Yes	Active	1-800-396-4139				HMO - Health Maintenance Organization		C	Dallas
H3907	Pharmacy Network Management Contact	Network Account Director		Kelly	Heather		1-314-692-1866				1-877-387-5800	hakelly@express-scripts.com	One Express Way		St. Louis	MO	63121	10/31/2016	2026	"UPMC HEALTH PLAN, INC."	Local CCP	UPMC for Life	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3907	Pharmacy Technical Help Desk Contact	"DIrector, Customer Service"		Warren	Mark							MWarren@express-scripts.com	6625 West 78th Street		Bloomington	MN	55439	7/29/2021	2026	"UPMC HEALTH PLAN, INC."	Local CCP	UPMC for Life	HMO/HMOPOS		UPMC Health System	249	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Dallas
H3907	Plan to Plan Reconciliation Contact	Business Analyst		Michalski	Jeff		1-412-454-5715				1-412-454-2110	medicarereporting@upmc.edu	"US Steel Tower, 600 Grant Street, 9th Floor"	c/o UPMC Health Plan Attn: Aunika Hall P2P - 09-257	Pittsburgh	PA	15219	8/11/2025	2026	"UPMC HEALTH PLAN, INC."	Local CCP	UPMC for Life	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3908	Automated TrOOP Balance Transfer Contact	"Regional Director, Finance"	Mr.	Schmotzer	David		1-267-787-8150					DAVID.SCHMOTZER@trinity-health.org	4508 Chestnut St.		Philadelphia	PA	19139	11/24/2025	2026	"TRINITY HEALTH LIFE PENNSYLVANIA, INC."	National PACE	Mercy LIFE - West Philadelphia	National PACE		Trinity Health Corporation	234	Yes	Consolidation					PACE - Nat		C	Philadelphia
H3908	Best Available Evidence Contact	"Regional Director, Finance"	Mr.	Schmotzer	David		1-267-787-8150					DAVID.SCHMOTZER@trinity-health.org	4508 Chestnut St.		Philadelphia	PA	19139	11/24/2025	2026	"TRINITY HEALTH LIFE PENNSYLVANIA, INC."	National PACE	Mercy LIFE - West Philadelphia	National PACE		Trinity Health Corporation	234	Yes	Consolidation					PACE - Nat		C	Philadelphia
H3908	Chief Financial Officer	"Regional Director, Finance"	Mr	Schmotzer	David		1-267-787-8150					DAVID.SCHMOTZER@trinity-health.org	4508 Chestnut St		Philadelphia	PA	19139	11/24/2025	2026	"TRINITY HEALTH LIFE PENNSYLVANIA, INC."	National PACE	Mercy LIFE - West Philadelphia	National PACE		Trinity Health Corporation	234	Yes	Consolidation					PACE - Nat		C	Philadelphia
H3908	CMS Casework Communication Contact	Executive Director	Ms	Ortiz	Lesly		1-267-787-8150					LOrtiz@trinity-health.org	4508 Chestnut Street		Philadelphia	PA	19139	9/9/2025	2026	"TRINITY HEALTH LIFE PENNSYLVANIA, INC."	National PACE	Mercy LIFE - West Philadelphia	National PACE		Trinity Health Corporation	234	Yes	Consolidation					PACE - Nat		C	Philadelphia
H3908	Coordination of Benefits Contact	"Regional Director, Finance"	Mr.	Schmotzer	David		1-267-787-8150					DAVID.SCHMOTZER@trinity-health.org	4508 Chestnut St.		Philadelphia	PA	19139	11/24/2025	2026	"TRINITY HEALTH LIFE PENNSYLVANIA, INC."	National PACE	Mercy LIFE - West Philadelphia	National PACE		Trinity Health Corporation	234	Yes	Consolidation					PACE - Nat		C	Philadelphia
H3908	Customer Service Operations Contact	Executive Director	Ms	Ortiz	Lesly		1-267-787-8150					LOrtiz@trinity-health.org	4508 Chestnut Street		Philadelphia	PA	19139	9/9/2025	2026	"TRINITY HEALTH LIFE PENNSYLVANIA, INC."	National PACE	Mercy LIFE - West Philadelphia	National PACE		Trinity Health Corporation	234	Yes	Consolidation					PACE - Nat		C	Philadelphia
H3908	Government Relations Contact	Executive Director	Ms	Ortiz	Lesly		1-267-787-8150					LOrtiz@trinity-health.org	4508 Chestnut Street		Philadelphia	PA	19139	9/9/2025	2026	"TRINITY HEALTH LIFE PENNSYLVANIA, INC."	National PACE	Mercy LIFE - West Philadelphia	National PACE		Trinity Health Corporation	234	Yes	Consolidation					PACE - Nat		C	Philadelphia
H3908	Medicare Compliance Officer	National Director QI/Compliance	Ms	Watts	Christina		1-248-420-6065					wattscl@trinity-health.org	20555 Victor Parkway		Livonia	MI	48152	8/15/2023	2026	"TRINITY HEALTH LIFE PENNSYLVANIA, INC."	National PACE	Mercy LIFE - West Philadelphia	National PACE		Trinity Health Corporation	234	Yes	Consolidation					PACE - Nat		C	Philadelphia
H3908	Part D Exceptions Contact	Manager Part D Compliance		Garbarino	Joseph							Joseph.Garbarino@trinity-health.org	1930 South Broad Street		Philadelphia	PA	19145	9/15/2023	2026	"TRINITY HEALTH LIFE PENNSYLVANIA, INC."	National PACE	Mercy LIFE - West Philadelphia	National PACE		Trinity Health Corporation	234	Yes	Consolidation	1-215-339-4362				PACE - Nat		C	Philadelphia
H3908	Pharmacy Network Management Contact	Manager Part D Compliance	Mr	Garbarino	Joseph		1-215-339-4362					joseph.garbarino@trinity-health.org	1001 Baltimore Pike		Springfield	PA	19064	8/3/2023	2026	"TRINITY HEALTH LIFE PENNSYLVANIA, INC."	National PACE	Mercy LIFE - West Philadelphia	National PACE		Trinity Health Corporation	234	Yes	Consolidation					PACE - Nat		C	Philadelphia
H3908	Pharmacy Technical Help Desk Contact	Manager Part D Compliance		Garbarino	Joseph							Joseph.Garbarino@trinity-health.org	1930 S. Broad St.	Suite 3	Philadelphia	PA	19145	8/3/2023	2026	"TRINITY HEALTH LIFE PENNSYLVANIA, INC."	National PACE	Mercy LIFE - West Philadelphia	National PACE		Trinity Health Corporation	234	Yes	Consolidation	1-215-339-4362				PACE - Nat		C	Philadelphia
H3908	Plan to Plan Reconciliation Contact	"Regional Director, Finance"	Mr.	Schmotzer	David		1-267-787-8150					DAVID.SCHMOTZER@trinity-health.org	4508 Chestnut St.		Philadelphia	PA	19139	11/24/2025	2026	"TRINITY HEALTH LIFE PENNSYLVANIA, INC."	National PACE	Mercy LIFE - West Philadelphia	National PACE		Trinity Health Corporation	234	Yes	Consolidation					PACE - Nat		C	Philadelphia
H3909	Automated TrOOP Balance Transfer Contact	Lead Business Systems Support Admin		Jimenez	Barbara		1-267-675-1825					barbara.jimenez@ibx.com	1901 Market Street	16th Floor	Philadelphia	PA	19103	2/27/2023	2026	QCC INSURANCE COMPANY	Local CCP	Independence Blue Cross	Local PPO		"Independence Health Group, Inc."	609	Yes	Active					PPO - BBA		C	Chicago
H3909	Best Available Evidence Contact	Lead Business Sys Support Admin		Jimenez	Barbara		1-267-675-1825					barbara.jimenez@ibx.com	"1901 Market Street, 16th Floor"		Philadelphia	PA	19103	5/8/2026	2026	QCC INSURANCE COMPANY	Local CCP	Independence Blue Cross	Local PPO		"Independence Health Group, Inc."	609	Yes	Active					PPO - BBA		C	Chicago
H3909	Chief Financial Officer	"EVP, CFO, & Treasurer"	Mr.	Lopez	Juan		1-215-241-4614	24614				Juan.Lopez@ibx.com	1901 Market Street	45th Floor	Philadelphia	PA	19103	6/22/2022	2026	QCC INSURANCE COMPANY	Local CCP	Independence Blue Cross	Local PPO		"Independence Health Group, Inc."	609	Yes	Active					PPO - BBA		C	Chicago
H3909	CMS Casework Communication Contact	"Manager, Process Svcs Performance & Admin"		Davis	Isabel		1-267-675-1635					isabel.davis@ibx.com	1900 Market Street	4th Floor	Philadelphia	PA	19103	11/12/2025	2026	QCC INSURANCE COMPANY	Local CCP	Independence Blue Cross	Local PPO		"Independence Health Group, Inc."	609	Yes	Active					PPO - BBA		C	Chicago
H3909	Coordination of Benefits Contact	Mgr Claims Optns		Rutledge	Maureen		1-215-793-3141					maureen.rutledge@ibx.com	1901 Market Street	17th Floor	Philadelphia	PA	19103	3/5/2026	2026	QCC INSURANCE COMPANY	Local CCP	Independence Blue Cross	Local PPO		"Independence Health Group, Inc."	609	Yes	Active					PPO - BBA		C	Chicago
H3909	Customer Service Operations Contact	"Director, Contact Center"		Koper	Stan		1-215-640-7445					stan.koperjr@ibx.com	1900 Market Street	5th Floor	Philadelphia	PA	19103	2/4/2026	2026	QCC INSURANCE COMPANY	Local CCP	Independence Blue Cross	Local PPO		"Independence Health Group, Inc."	609	Yes	Active					PPO - BBA		C	Chicago
H3909	Government Relations Contact	Director of Regulatory Performance Management		Wyka	Tara		1-215-241-3648					Tara.Wyka@ibx.com	1901 Market Street	22nd Floor	Philadelphia	PA	19103	6/25/2019	2026	QCC INSURANCE COMPANY	Local CCP	Independence Blue Cross	Local PPO		"Independence Health Group, Inc."	609	Yes	Active					PPO - BBA		C	Chicago
H3909	Hospice Contact	Pharmacy Service Process & Governance Director		Erdman	Kathy		1-215-241-2654					kathy.erdman@ibx.com	1901 Market Street	29th Floor	Philadelphia	PA	19103	6/29/2023	2026	QCC INSURANCE COMPANY	Local CCP	Independence Blue Cross	Local PPO		"Independence Health Group, Inc."	609	Yes	Active					PPO - BBA		C	Chicago
H3909	Medicare Compliance Officer	"Director, Corporate Compliance, Medicare and Comme"	Mr.	Goldberg	Mitchell		1-215-241-9516				1-215-567-4542	Mitchell.Goldberg@ibx.com	1901 Market Street	42nd Floor	Philadelphia	PA	19103	2/13/2025	2026	QCC INSURANCE COMPANY	Local CCP	Independence Blue Cross	Local PPO		"Independence Health Group, Inc."	609	Yes	Active					PPO - BBA		C	Chicago
H3909	Part D Exceptions Contact	Pharmacy Services Process & Governance Director		Erdman	Kathy						1-215-241-3526	Kathy.Erdman@ibx.com	1901 Market Street	29th Floor	Philadelphia	PA	19103	4/16/2021	2026	QCC INSURANCE COMPANY	Local CCP	Independence Blue Cross	Local PPO		"Independence Health Group, Inc."	609	Yes	Active	1-888-678-7015				PPO - BBA		C	Chicago
H3909	Pharmacy Network Management Contact	Pharmacy Services Process & Governance Director		Erdman	Kathy		1-215-241-2654				1-215-241-3526	Kathy.Erdman@ibx.com	1901 Market Street	29th Floor	Philadelphia	PA	19103	4/30/2021	2026	QCC INSURANCE COMPANY	Local CCP	Independence Blue Cross	Local PPO		"Independence Health Group, Inc."	609	Yes	Active					PPO - BBA		C	Chicago
H3909	Pharmacy Technical Help Desk Contact	Pharmacy Services Process & Governance Director		Erdman	Kathy						1-215-241-3526	Kathy.Erdman@ibx.com	1901 Market Street	29th Floor	Philadelphia	PA	19103	2/19/2026	2026	QCC INSURANCE COMPANY	Local CCP	Independence Blue Cross	Local PPO		"Independence Health Group, Inc."	609	Yes	Active	1-855-241-3614				PPO - BBA		C	Chicago
H3909	Plan to Plan Reconciliation Contact	Lead GM Data Audit & Sub Analyst		Wyher	Geoffrey		1-215-640-7265				1-215-241-2408	Geoffrey.Wyher@ibx.com	1901 Market Street	37th Floor	Philadelphia	PA	19103	2/18/2022	2026	QCC INSURANCE COMPANY	Local CCP	Independence Blue Cross	Local PPO		"Independence Health Group, Inc."	609	Yes	Active					PPO - BBA		C	Chicago
H3916	Automated TrOOP Balance Transfer Contact	"Manager, Pharmacy Government Operations"	Ms.	Lynn Schill	Jodie		1-570-578-3579					Jodie.LynnSchill@highmark.com	120 Fifth Avenue		Pittsburgh	PA	15222	8/16/2023	2026	HIGHMARK SENIOR HEALTH COMPANY	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H3916	Best Available Evidence Contact	"Manager, Government Business Enrollment"	Mr.	Stanhoff	David		1-412-544-5689					LISBAE@highmark.com	120 Fifth Avenue		Pittsburgh	PA	15222	8/1/2023	2026	HIGHMARK SENIOR HEALTH COMPANY	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H3916	Chief Financial Officer	CFO Highmark Health Plan	Ms.	Musler	Kate		1-412-544-8653					katherine.musler@highmark.com	120 5th Avenue		Pittsburgh	PA	15222	2/25/2025	2026	HIGHMARK SENIOR HEALTH COMPANY	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H3916	CMS Casework Communication Contact	"Manager, Appeals and Grievances"	Ms.	Walsh	Lynne	M	1-412-544-4579				1-717-635-4209	Lynne.Walsh@highmark.com	120 Fifth Avenue	Suite P5501	Pittsburgh	PA	15222	1/6/2020	2026	HIGHMARK SENIOR HEALTH COMPANY	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H3916	Coordination of Benefits Contact	Sr. Process Analyst	Ms.	Cassidy	Christina		1-412-544-4417					Christina.Cassidy@highmark.com	120 Fifth Avenue	PAP P5111	Pittsburgh	PA	15222	12/26/2019	2026	HIGHMARK SENIOR HEALTH COMPANY	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H3916	Customer Service Operations Contact	"Director, Member & Provider Services"		Scarnati	Chris		1-814-871-6712					Chris.Scarnati@highmark.com	120 Fifth Avenue		Pittsburgh	PA	15222	4/30/2020	2026	HIGHMARK SENIOR HEALTH COMPANY	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H3916	Government Relations Contact	Medicare Compliance Officer	Mr.	Boettler	Thomas		1-412-544-7031					Thomas.Boettler@highmark.com	120 5th Avenue	Suite 1833	Pittsburgh	PA	15222	7/29/2024	2026	HIGHMARK SENIOR HEALTH COMPANY	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H3916	Hospice Contact	Intake Coordinator		Welker	Jessica		1-717-888-3043					DrugHelp_Authorizations@highmark.com	120 5th Avenue Place		Pittsburgh	PA	15222	10/25/2019	2026	HIGHMARK SENIOR HEALTH COMPANY	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H3916	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Boettler	Thomas		1-412-544-7031					Thomas.Boettler@highmark.com	120 5th Avenue	Suite 1833	Pittsburgh	PA	15222	11/10/2017	2026	HIGHMARK SENIOR HEALTH COMPANY	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H3916	Part D Exceptions Contact			Affairs	Pharmacy							drughelp@highmark.com	120 Fifth Avenue	Suite SPECARE	Pittsburgh	PA	15222	8/4/2023	2026	HIGHMARK SENIOR HEALTH COMPANY	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Local PPO		Highmark Health	123	Yes	Active	1-800-600-2227				PPO - BBA		C	Boston
H3916	Pharmacy Network Management Contact	"Network Account Director, Retail Strat & Contract"	Ms.	Kelly	Heather		1-314-692-1866				1-877-387-5800	hakelly@express-scripts.com	One Express Way		St. Louis	MO	63121	1/12/2018	2026	HIGHMARK SENIOR HEALTH COMPANY	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H3916	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	13051 N. Telecom PKWY STE 150		Temple Terrace	FL	33637	11/8/2022	2026	HIGHMARK SENIOR HEALTH COMPANY	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Local PPO		Highmark Health	123	Yes	Active	1-800-922-1557				PPO - BBA		C	Boston
H3916	Plan to Plan Reconciliation Contact	"Manager, Operational Accounting"	Mr.	Stehr	Brett	J	1-717-302-2748					P2Precon@highmark.com	Highmark Inc. Attn: Cashier	PO Box 898820	Camp Hill	PA	17089-0407	6/28/2023	2026	HIGHMARK SENIOR HEALTH COMPANY	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H3917	Automated TrOOP Balance Transfer Contact			PATNAIK	PADDY		1-952-983-4787					ESITroopTransfer@express-scripts.com	"PITTSBURGH CARE PARTNERSHIP, INC"	2400 ARDMORE BOULEVARD	PITTSBURGH	PA	15221	2/5/2009	2026	"PITTSBURGH CARE PARTNERSHIP, INC."	National PACE	Community LIFE	National PACE		UPMC Health System	249	Yes	Active					PACE - Nat		C	Philadelphia
H3917	Best Available Evidence Contact	CHIEF FINANCIAL OFFICER	MR	BRADLEY	RYANN	P	1-412-235-8425				1-412-235-1344	bradleyr6@upmc.edu	SUITE # 700	2400 ARDMORE BOULEVARD	PITTSBURGH	PA	15221	9/12/2025	2026	"PITTSBURGH CARE PARTNERSHIP, INC."	National PACE	Community LIFE	National PACE		UPMC Health System	249	Yes	Active					PACE - Nat		C	Philadelphia
H3917	Chief Financial Officer	CHIEF FINANCIAL OFFICER	MR	BRADLEY	RYANN	P	1-412-235-8425				1-412-235-1344	bradleyr6@upmc.edu	SUITE # 700	2400 ARDMORE BOULEVARD	PITTSBURGH	PA	15221	9/15/2025	2026	"PITTSBURGH CARE PARTNERSHIP, INC."	National PACE	Community LIFE	National PACE		UPMC Health System	249	Yes	Active					PACE - Nat		C	Philadelphia
H3917	CMS Casework Communication Contact	CHIEF FINANCIAL OFFICER	MR	BRADLEY	RYANN	P	1-412-235-8425				1-412-235-1344	bradleyr6@upmc.edu	SUITE # 700	2400 ARDMORE BOULEVARD	PITTSBURGH	PA	15221	9/12/2025	2026	"PITTSBURGH CARE PARTNERSHIP, INC."	National PACE	Community LIFE	National PACE		UPMC Health System	249	Yes	Active					PACE - Nat		C	Philadelphia
H3917	Coordination of Benefits Contact	CHIEF FINANCIAL OFFICER	MR	BRADLEY	RYANN	P	1-412-235-8425				1-412-235-1344	bradleyr6@upmc.edu	SUITE # 700	2400 ARDMORE BOULEVARD	PITTSBURGH	PA	15221	9/12/2025	2026	"PITTSBURGH CARE PARTNERSHIP, INC."	National PACE	Community LIFE	National PACE		UPMC Health System	249	Yes	Active					PACE - Nat		C	Philadelphia
H3917	Customer Service Operations Contact	DIRECTOR OF COMPLIANCE AND RISK MANAGEMENT	MRS	STERN	PATRICIA		1-412-436-1344				1-412-235-1348	sternpa@upmc.edu	SUITE # 700	2400 ARDMORE BOULEVARD	PITTSBURGH	PA	15221	2/13/2013	2026	"PITTSBURGH CARE PARTNERSHIP, INC."	National PACE	Community LIFE	National PACE		UPMC Health System	249	Yes	Active					PACE - Nat		C	Philadelphia
H3917	Government Relations Contact	PRESIDENT	MS	HASHTROUDI	FATEMEH		1-412-436-1341				1-412-235-1341	hashtroudif@upmc.edu	SUITE # 700	2400 ARDMORE BOULEVARD	PITTSBURGH	PA	15221	7/21/2022	2026	"PITTSBURGH CARE PARTNERSHIP, INC."	National PACE	Community LIFE	National PACE		UPMC Health System	249	Yes	Active					PACE - Nat		C	Philadelphia
H3917	Medicare Compliance Officer	DIRECTOR OF COMPLIANCE AND RISK MANAGEMENT	MRS	STERN	PATRICIA		1-412-436-1344				1-412-235-1348	sternpa@upmc.edu	SUITE # 700	2400 ARDMORE BOULEVARD	PITTSBURGH	PA	15221	2/13/2013	2026	"PITTSBURGH CARE PARTNERSHIP, INC."	National PACE	Community LIFE	National PACE		UPMC Health System	249	Yes	Active					PACE - Nat		C	Philadelphia
H3917	Part D Exceptions Contact	DIRECTOR OF COMPLIANCE AND RISK MANAGEMENT	MRS	STERN	PATRICIA						1-412-235-1348	sternpa@upmc.edu	SUITE # 700	2400 ARDMORE BOULEVARD	PITTSBURGH	PA	15221	10/24/2025	2026	"PITTSBURGH CARE PARTNERSHIP, INC."	National PACE	Community LIFE	National PACE		UPMC Health System	249	Yes	Active	1-866-419-1693				PACE - Nat		C	Philadelphia
H3917	Pharmacy Network Management Contact	PRESIDENT	MS	HASHTROUDI	FATEMEH		1-412-436-1341				1-412-235-1341	hashtroudif@upmc.edu	SUITE # 700	2400 ARDMORE BOULEVARD	PITTSBURGH	PA	15221	7/21/2022	2026	"PITTSBURGH CARE PARTNERSHIP, INC."	National PACE	Community LIFE	National PACE		UPMC Health System	249	Yes	Active					PACE - Nat		C	Philadelphia
H3917	Pharmacy Technical Help Desk Contact	Chief Financial Officer		Bradley	Ryann	P					1-412-235-1341	bradleyr6@upmc.edu	SUITE # 700	2400 ARDMORE BOULEVARD	PITTSBURGH	PA	15221	10/24/2025	2026	"PITTSBURGH CARE PARTNERSHIP, INC."	National PACE	Community LIFE	National PACE		UPMC Health System	249	Yes	Active	1-412-436-1333				PACE - Nat		C	Philadelphia
H3917	Plan to Plan Reconciliation Contact	HEALTH PLAN MANAGER		FRANKS	AARON		1-412-436-1321				1-412-235-1344	franksad@upmc.edu	SUITE # 700	2400 ARDMORE BOULEVARD	PITTSBURGH	PA	15221	1/9/2023	2026	"PITTSBURGH CARE PARTNERSHIP, INC."	National PACE	Community LIFE	National PACE		UPMC Health System	249	Yes	Active					PACE - Nat		C	Philadelphia
H3918	Automated TrOOP Balance Transfer Contact	CFO	Ms.	Schmitt	Laura	B	1-412-388-8042				1-412-388-8055	lschmitt@lifepittsburgh.org	875 Greentree Road	"One Parkway Center, Suite 200"	Pittsburgh	PA	15220	1/5/2021	2026	LIVING INDEPENDENCE FOR THE ELDERLY PITTSBURGH INC	National PACE	LIFE Pittsburgh	National PACE		Living Independence for the Elderly Pittsburgh Inc	142	Yes	Active					PACE - Nat		C	Philadelphia
H3918	Best Available Evidence Contact	CFO	Ms.	Schmitt	Laura	B	1-412-388-8042				1-412-388-8055	lschmitt@lifepittsburgh.org	875 Greentree Road	"One Parkway Center, Suite 200"	Pittsburgh	PA	15220	1/5/2021	2026	LIVING INDEPENDENCE FOR THE ELDERLY PITTSBURGH INC	National PACE	LIFE Pittsburgh	National PACE		Living Independence for the Elderly Pittsburgh Inc	142	Yes	Active					PACE - Nat		C	Philadelphia
H3918	Chief Financial Officer	CFO	Ms.	Schmitt	Laura	B	1-412-388-8042				1-412-388-8055	lschmitt@lifepittsburgh.org	875 Greentree Road	"One Parkway Center, Suite 200"	Pittsburgh	PA	15220	1/5/2021	2026	LIVING INDEPENDENCE FOR THE ELDERLY PITTSBURGH INC	National PACE	LIFE Pittsburgh	National PACE		Living Independence for the Elderly Pittsburgh Inc	142	Yes	Active					PACE - Nat		C	Philadelphia
H3918	CMS Casework Communication Contact	CFO	Ms.	Schmitt	Laura	B	1-412-388-8042				1-412-388-8055	lschmitt@lifepittsburgh.org	875 Greentree Road	"One Parkway Center, Suite 200"	Pittsburgh	PA	15220	1/5/2021	2026	LIVING INDEPENDENCE FOR THE ELDERLY PITTSBURGH INC	National PACE	LIFE Pittsburgh	National PACE		Living Independence for the Elderly Pittsburgh Inc	142	Yes	Active					PACE - Nat		C	Philadelphia
H3918	Coordination of Benefits Contact	CFO	Ms.	Schmitt	Laura	B	1-412-388-8042				1-412-388-8055	lschmitt@lifepittsburgh.org	875 Greentree Road	"One Parkway Center, Suite 200"	Pittsburgh	PA	15220	1/5/2021	2026	LIVING INDEPENDENCE FOR THE ELDERLY PITTSBURGH INC	National PACE	LIFE Pittsburgh	National PACE		Living Independence for the Elderly Pittsburgh Inc	142	Yes	Active					PACE - Nat		C	Philadelphia
H3918	Customer Service Operations Contact	Interim CEO	Mr	Krchmar	Aaron		1-412-388-8042				1-412-388-8055	Akrchmar@lifepittsburgh.org	875 Greentree Road	"One Parkway Center, Suite 200"	Pittsburgh	PA	15220	7/17/2024	2026	LIVING INDEPENDENCE FOR THE ELDERLY PITTSBURGH INC	National PACE	LIFE Pittsburgh	National PACE		Living Independence for the Elderly Pittsburgh Inc	142	Yes	Active					PACE - Nat		C	Philadelphia
H3918	Government Relations Contact	Interim CEO	Mr	Krchmar	Aaron		1-412-388-8042				1-412-388-8055	Akrchmar@lifepittsburgh.org	875 Greentree Road	"One Parkway Center, Suite 200"	Pittsburgh	PA	15220	7/17/2024	2026	LIVING INDEPENDENCE FOR THE ELDERLY PITTSBURGH INC	National PACE	LIFE Pittsburgh	National PACE		Living Independence for the Elderly Pittsburgh Inc	142	Yes	Active					PACE - Nat		C	Philadelphia
H3918	Medicare Compliance Officer	CFO	Ms.	Dickman	Johanna		1-412-388-8042				1-412-388-8055	JDickman@lifepittsburgh.org	875 Greentree Road	"One Parkway Center, Suite 200"	Pittsburgh	PA	15220	9/24/2025	2026	LIVING INDEPENDENCE FOR THE ELDERLY PITTSBURGH INC	National PACE	LIFE Pittsburgh	National PACE		Living Independence for the Elderly Pittsburgh Inc	142	Yes	Active					PACE - Nat		C	Philadelphia
H3918	Part D Exceptions Contact	CFO	Ms.	Schmitt	Laura	B					1-412-388-8055	lschmitt@lifepittsburgh.org	875 Greentree Road	"One Parkway Center, Suite 200"	Pittsburgh	PA	15220	1/5/2021	2026	LIVING INDEPENDENCE FOR THE ELDERLY PITTSBURGH INC	National PACE	LIFE Pittsburgh	National PACE		Living Independence for the Elderly Pittsburgh Inc	142	Yes	Active	1-412-388-8042				PACE - Nat		C	Philadelphia
H3918	Pharmacy Network Management Contact	Interim CEO	Mr.	Krchmar	Aaron		1-412-388-8042				1-412-388-8055	Akrchmar@lifepittsburgh.org	875 Greentree Road	"One Parkway Center, Suite 200"	Pittsburgh	PA	15220	7/17/2024	2026	LIVING INDEPENDENCE FOR THE ELDERLY PITTSBURGH INC	National PACE	LIFE Pittsburgh	National PACE		Living Independence for the Elderly Pittsburgh Inc	142	Yes	Active					PACE - Nat		C	Philadelphia
H3918	Pharmacy Technical Help Desk Contact	Medical Director		Dua	Divya						1-412-388-8055	DDua@lifepittsburgh.org	875 Greentree Road	"One Parkway Center, Suite 200"	Pittsburgh	PA	15220	8/12/2025	2026	LIVING INDEPENDENCE FOR THE ELDERLY PITTSBURGH INC	National PACE	LIFE Pittsburgh	National PACE		Living Independence for the Elderly Pittsburgh Inc	142	Yes	Active	1-412-388-8055				PACE - Nat		C	Philadelphia
H3918	Plan to Plan Reconciliation Contact	CFO	Ms.	Schmitt	Laura	B	1-412-388-8042				1-412-388-8055	lschmitt@lifepittsburgh.org	875 Greentree Road	"One Parkway Center, Suite 200"	Pittsburgh	PA	15220	1/5/2021	2026	LIVING INDEPENDENCE FOR THE ELDERLY PITTSBURGH INC	National PACE	LIFE Pittsburgh	National PACE		Living Independence for the Elderly Pittsburgh Inc	142	Yes	Active					PACE - Nat		C	Philadelphia
H3919	Automated TrOOP Balance Transfer Contact	Regional Finance Director	Mr	Schmotzer	David		1-215-339-4533				1-215-339-5650	David.Schmotzer@Trinity-Health.org	1930 S. Broad St.	Suite 3	Philadelphia	PA	19145	8/13/2021	2026	Mercy LIFE	National PACE	Mercy LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H3919	Best Available Evidence Contact	Regional Finance Director	Mr	Schmotzer	David		1-215-339-4533				1-215-339-5650	David.Schmotzer@Trinity-Health.org	1930 S. Broad St.	Suite 3	Philadelphia	PA	19145	8/13/2021	2026	Mercy LIFE	National PACE	Mercy LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H3919	Chief Financial Officer	Regional Finance Director	Mr.	Schmotzer	David		1-215-339-4533					David.Schmotzer@Trinity-Health.org	Mercy LIFE	"1930 South Broad Street, Unit 3"	Philadelphia	PA	19145	8/13/2021	2026	Mercy LIFE	National PACE	Mercy LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H3919	CMS Casework Communication Contact	Regional VP Operations	Ms	Januszeski	Suzanne		1-856-904-4632					suzanne.januszeski@trinity-health.org	Mercy LIFE	1001 Baltimore Pike	Springfield	PA	19064	8/2/2023	2026	Mercy LIFE	National PACE	Mercy LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H3919	Coordination of Benefits Contact	Regional Finance Director	Mr	Schmotzer	David		1-215-339-4533				1-215-339-5650	David.Schmotzer@Trinity-Health.org	1930 S. Broad St.	Suite 3	Philadelphia	PA	19145	8/13/2021	2026	Mercy LIFE	National PACE	Mercy LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H3919	Customer Service Operations Contact	Regional VP Operations	Ms	Januszeski	Suzanne		1-856-904-4632					suzanne.januszeski@trinity-health.org	Mercy LIFE	1001 Baltimore Pike	Springfield	PA	19064	7/25/2022	2026	Mercy LIFE	National PACE	Mercy LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H3919	Government Relations Contact	Regional VP Operations	Ms	Januszeski	Suzanne		1-856-904-4632					suzanne.januszeski@trinity-health.org	Mercy LIFE	1001 Baltimore Pike	Springfield	PA	19064	8/2/2023	2026	Mercy LIFE	National PACE	Mercy LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H3919	Medicare Compliance Officer	National Director QI/Compliance	Ms	Watts	Christina		1-248-420-6065					wattscl@trinity-health.org	20555 Victor Parkway		Livonia	MI	48152	8/15/2023	2026	Mercy LIFE	National PACE	Mercy LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H3919	Part D Exceptions Contact	Manager Part D Compliance		Garbarino	Joseph							Joseph.Garbarino@trinity-health.org	1930 S. Broad Street		Philadelphia	PA	19145	8/13/2021	2026	Mercy LIFE	National PACE	Mercy LIFE	National PACE		Trinity Health Corporation	234	Yes	Active	1-215-339-4362				PACE - Nat		C	Philadelphia
H3919	Pharmacy Network Management Contact	Manager Part D Compliance	Mr	Garbarino	Joseph		1-215-339-4362					joseph.garbarino@trinity-health.org	1001 Baltimore Pike		Springfield	PA	19064	9/3/2021	2026	Mercy LIFE	National PACE	Mercy LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H3919	Pharmacy Technical Help Desk Contact	Manager Part D Compliance		Garbarino	Joseph							Joseph.Garbarino@trinity-health.org	1930 S. Broad St.	Suite 3	Philadelphia	PA	19145	8/2/2023	2026	Mercy LIFE	National PACE	Mercy LIFE	National PACE		Trinity Health Corporation	234	Yes	Active	1-215-339-4362				PACE - Nat		C	Philadelphia
H3919	Plan to Plan Reconciliation Contact	Manager Part D Compliance	Mr	Garbarino	Joseph		1-215-339-4362				1-215-339-5650	Joseph.Garbarino@trinity-health.org	1930 S. Broad St.	Suite 3	Philadelphia	PA	19145	9/3/2021	2026	Mercy LIFE	National PACE	Mercy LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H3923	Automated TrOOP Balance Transfer Contact	Manager Pharmacy Benefits Operations	Ms.	Cook	Tammy		1-717-703-8749				1-717-346-6836	Tammy.Cook@capbluecross.com	2500 Elmerton Avenue		Harrisburg	PA	17177	12/14/2020	2026	CAPITAL ADVANTAGE INSURANCE COMPANY	Local CCP	Capital Blue Cross	Local PPO		CAPITAL BLUE CROSS	41	Yes	Active					PPO - BBA		C	Chicago
H3923	Best Available Evidence Contact	Sr. Director Government Operations	Mr.	Koch	Jonathan		1-717-829-2114				1-717-651-8873	jonathan.koch@capbluecross.com	2500 Elmerton Ave		Harrisburg	PA	17177	5/11/2026	2026	CAPITAL ADVANTAGE INSURANCE COMPANY	Local CCP	Capital Blue Cross	Local PPO		CAPITAL BLUE CROSS	41	Yes	Active					PPO - BBA		C	Chicago
H3923	Chief Financial Officer	Chief Financial Officer	Mr.	Woodard	Ralph		1-717-541-7181					ralph.woodard@capbluecross.com	2500 Elmerton Avenue		Harrisburg	PA	17177	9/24/2021	2026	CAPITAL ADVANTAGE INSURANCE COMPANY	Local CCP	Capital Blue Cross	Local PPO		CAPITAL BLUE CROSS	41	Yes	Active					PPO - BBA		C	Chicago
H3923	CMS Casework Communication Contact		Ms.	Drawbaugh	Cindy		1-717-541-6257					cindy.drawbaugh@capbluecross.com	2500 Elmerton Avenue		Harrisburg	PA	17177	1/16/2022	2026	CAPITAL ADVANTAGE INSURANCE COMPANY	Local CCP	Capital Blue Cross	Local PPO		CAPITAL BLUE CROSS	41	Yes	Active					PPO - BBA		C	Chicago
H3923	Coordination of Benefits Contact	Manager Pharmacy Benefits Operations	Ms.	Cook	Tammy		1-717-703-8749				1-717-346-6836	Tammy.Cook@capbluecross.com	2500 Elmerton Avenue		Harrisburg	PA	17177	12/14/2020	2026	CAPITAL ADVANTAGE INSURANCE COMPANY	Local CCP	Capital Blue Cross	Local PPO		CAPITAL BLUE CROSS	41	Yes	Active					PPO - BBA		C	Chicago
H3923	Customer Service Operations Contact	Sr Director Government Operations	Mr.	Koch	Jonathan		1-717-829-2114				1-717-651-8873	jonathan.koch@capbluecross.com	2500 Elmerton Avenue		Harrisburg	PA	17177	5/11/2026	2026	CAPITAL ADVANTAGE INSURANCE COMPANY	Local CCP	Capital Blue Cross	Local PPO		CAPITAL BLUE CROSS	41	Yes	Active					PPO - BBA		C	Chicago
H3923	Government Relations Contact	Sr. VP & General Counsel	Mr.	Hopkins	Joel		1-717-541-6358				1-717-651-4445	Joel.Hopkins@capbluecross.com	2500 Elmerton Avenue		Harrisburg	PA	17177	7/19/2021	2026	CAPITAL ADVANTAGE INSURANCE COMPANY	Local CCP	Capital Blue Cross	Local PPO		CAPITAL BLUE CROSS	41	Yes	Active					PPO - BBA		C	Chicago
H3923	Hospice Contact	"Director, Medicare Pharmacy"	Ms.	Watts	Christa		1-717-541-7405				1-717-651-8146	Christa.Watts@capbluecross.com	2500 Elmerton Avenue		Harrisburg	PA	17177	5/15/2025	2026	CAPITAL ADVANTAGE INSURANCE COMPANY	Local CCP	Capital Blue Cross	Local PPO		CAPITAL BLUE CROSS	41	Yes	Active					PPO - BBA		C	Chicago
H3923	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Leedock	Melissa		1-717-541-6934					Melissa.Leedock@capbluecross.com	2500 Elmerton Avenue		Harrisburg	PA	17177	12/2/2024	2026	CAPITAL ADVANTAGE INSURANCE COMPANY	Local CCP	Capital Blue Cross	Local PPO		CAPITAL BLUE CROSS	41	Yes	Active					PPO - BBA		C	Chicago
H3923	Part D Exceptions Contact	"Director, Medicare Pharmacy"	Ms.	Watts	Christa							christa.watts@capbluecross.com	2500 Elmerton Ave		Harrisburg	PA	17177	5/15/2025	2026	CAPITAL ADVANTAGE INSURANCE COMPANY	Local CCP	Capital Blue Cross	Local PPO		CAPITAL BLUE CROSS	41	Yes	Active	1-866-987-4213				PPO - BBA		C	Chicago
H3923	Pharmacy Network Management Contact	Manager Pharmacy Benefits Operations	Ms.	Cook	Tammy		1-717-703-8749				1-717-346-6836	Tammy.Cook@capbluecross.com	2500 Elmerton Avenue		Harrisburg	PA	17177	12/14/2020	2026	CAPITAL ADVANTAGE INSURANCE COMPANY	Local CCP	Capital Blue Cross	Local PPO		CAPITAL BLUE CROSS	41	Yes	Active					PPO - BBA		C	Chicago
H3923	Pharmacy Technical Help Desk Contact	"Sr. Director, Member Services"	Mr.	Scott	Shane							shane.scott@primetherapeutics.com	Prime Therapeutics LLC 2655 Eagan Woods Drive		Eagan	MN	55122	12/16/2024	2026	CAPITAL ADVANTAGE INSURANCE COMPANY	Local CCP	Capital Blue Cross	Local PPO		CAPITAL BLUE CROSS	41	Yes	Active	1-888-878-0151				PPO - BBA		C	Chicago
H3923	Plan to Plan Reconciliation Contact	Accountant II	Ms.	Balseiro	Julia		1-717-541-7458					FinanceP2P-CASH@CapBlueCross.com	2500 Elmerton Avenue	Mail Drop 3237	Harrisburg	PA	17177	5/7/2024	2026	CAPITAL ADVANTAGE INSURANCE COMPANY	Local CCP	Capital Blue Cross	Local PPO		CAPITAL BLUE CROSS	41	Yes	Active					PPO - BBA		C	Chicago
H3924	Automated TrOOP Balance Transfer Contact	"Manager, Government Programs"	Mr.	Merkel	Patrick		1-570-214-4692				1-570-214-1367	eobp2p@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822	10/31/2019	2026	GEISINGER INDEMNITY INSURANCE COMPANY	Local CCP	Geisinger Gold	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H3924	Best Available Evidence Contact	"Director, Health Plan Operations - Enrollment"	Ms.	Felix	Noelle	C	1-570-214-9270					ncfelix@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822-2580	4/29/2024	2026	GEISINGER INDEMNITY INSURANCE COMPANY	Local CCP	Geisinger Gold	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H3924	Chief Financial Officer	"Chief Financial Officer, Geisinger Health Plan"	Mr.	Mccullough	Mark		1-570-214-3200					mmccullough2@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822-3220	4/29/2025	2026	GEISINGER INDEMNITY INSURANCE COMPANY	Local CCP	Geisinger Gold	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H3924	CMS Casework Communication Contact	Senior Appeals Coordinator		Fracalossi	Kathleen		1-570-214-4533					kmfracalossi@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822-2580	12/21/2023	2026	GEISINGER INDEMNITY INSURANCE COMPANY	Local CCP	Geisinger Gold	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H3924	Coordination of Benefits Contact	"Supervisor, Health Plan COB"	Ms.	Corrall	Theresa		1-570-214-5414					COB@geisinger.edu	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822-3251	3/19/2025	2026	GEISINGER INDEMNITY INSURANCE COMPANY	Local CCP	Geisinger Gold	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H3924	Customer Service Operations Contact	"Director, Health Plan Operations, Customer Care"	Mr.	Sanders	John	R	1-570-214-8046					jrsanders@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822-2580	10/31/2019	2026	GEISINGER INDEMNITY INSURANCE COMPANY	Local CCP	Geisinger Gold	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H3924	Government Relations Contact	"Director, Federal Government Programs"	Mr.	Malett	Terry	L	1-570-214-2193					tlmalett@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822-3220	6/24/2022	2026	GEISINGER INDEMNITY INSURANCE COMPANY	Local CCP	Geisinger Gold	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H3924	Hospice Contact	"Claims and Benefits Auditor, GHP Pharmacy"	Ms.	Seabrook	Naiki	A	1-570-214-7851				1-570-300-2122	naseabrook@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822-3245	10/20/2023	2026	GEISINGER INDEMNITY INSURANCE COMPANY	Local CCP	Geisinger Gold	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H3924	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Marine	Deborah		1-248-756-3771					dlmarine@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822-3220	6/12/2025	2026	GEISINGER INDEMNITY INSURANCE COMPANY	Local CCP	Geisinger Gold	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H3924	Part D Exceptions Contact	"Director, Pharmacy Services"	Dr.	Miller	Jamie	L					1-570-214-6768	jlmiller12@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822-3245	10/20/2023	2026	GEISINGER INDEMNITY INSURANCE COMPANY	Local CCP	Geisinger Gold	Local PPO		"Risant Health, Inc."	96	Yes	Active	1-800-988-4861				PPO - BBA		C	Dallas
H3924	Pharmacy Network Management Contact	"VP, Network Management, Navitas"	Ms.	Santos	Christina		1-608-820-4408					Christina.Santos@navitus.com	Navitus	361 Integrity Drive	Madison	WI	53717	1/2/2024	2026	GEISINGER INDEMNITY INSURANCE COMPANY	Local CCP	Geisinger Gold	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H3924	Pharmacy Technical Help Desk Contact	"Sr. Manager, Customer Care Accounts"	Ms	Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	Navitus	1025 West Navitus Drive	Appleton	WI	54913	12/19/2025	2026	GEISINGER INDEMNITY INSURANCE COMPANY	Local CCP	Geisinger Gold	Local PPO		"Risant Health, Inc."	96	Yes	Active	1-844-384-2431	4224			PPO - BBA		C	Dallas
H3924	Plan to Plan Reconciliation Contact	"Manager, Government Programs"	Mr.	Merkel	Patrick		1-570-214-4692				1-570-214-1367	eobp2p@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822	10/31/2019	2026	GEISINGER INDEMNITY INSURANCE COMPANY	Local CCP	Geisinger Gold	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H3925	Automated TrOOP Balance Transfer Contact	Chief Financial Officer	Mr.	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/7/2026	2026	"PENNSYLVANIA PACE, INC."	National PACE	Senior LIFE Johnstown	National PACE		"Pennsylvania PACE, Inc."	181	Yes	Active					PACE - Nat		C	Philadelphia
H3925	Best Available Evidence Contact	Chief Financial Officer	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"PENNSYLVANIA PACE, INC."	National PACE	Senior LIFE Johnstown	National PACE		"Pennsylvania PACE, Inc."	181	Yes	Active					PACE - Nat		C	Philadelphia
H3925	Chief Financial Officer	Chief Financial Officer	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"PENNSYLVANIA PACE, INC."	National PACE	Senior LIFE Johnstown	National PACE		"Pennsylvania PACE, Inc."	181	Yes	Active					PACE - Nat		C	Philadelphia
H3925	CMS Casework Communication Contact	Chief Executive Officer	Mr	Irwin	Mark		1-814-535-6000	22101			1-814-248-7902	Mirwin@pace-cs.com	401 Broad Street		Johnstown	PA	15906	2/23/2017	2026	"PENNSYLVANIA PACE, INC."	National PACE	Senior LIFE Johnstown	National PACE		"Pennsylvania PACE, Inc."	181	Yes	Active					PACE - Nat		C	Philadelphia
H3925	Coordination of Benefits Contact	Chief Financial Officer	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"PENNSYLVANIA PACE, INC."	National PACE	Senior LIFE Johnstown	National PACE		"Pennsylvania PACE, Inc."	181	Yes	Active					PACE - Nat		C	Philadelphia
H3925	Customer Service Operations Contact	Chief Executive Officer	Mr	Irwin	Mark		1-814-535-6000	22101			1-814-248-7902	Mirwin@pace-cs.com	401 Broad Street		Johnstown	PA	15906	2/23/2017	2026	"PENNSYLVANIA PACE, INC."	National PACE	Senior LIFE Johnstown	National PACE		"Pennsylvania PACE, Inc."	181	Yes	Active					PACE - Nat		C	Philadelphia
H3925	Government Relations Contact	Chief Executive Officer	Mr	Irwin	Mark		1-814-535-6000	22101			1-814-248-7902	Mirwin@pace-cs.com	401 Broad Street		Johnstown	PA	15906	2/23/2017	2026	"PENNSYLVANIA PACE, INC."	National PACE	Senior LIFE Johnstown	National PACE		"Pennsylvania PACE, Inc."	181	Yes	Active					PACE - Nat		C	Philadelphia
H3925	Medicare Compliance Officer	Executive Director	Ms	Stephens	Alyssa		1-814-535-6000	22110			1-814-248-7902	AStephens@seniorlifejohnstown.com	401 Broad Street		Johnstown	PA	15906	1/7/2026	2026	"PENNSYLVANIA PACE, INC."	National PACE	Senior LIFE Johnstown	National PACE		"Pennsylvania PACE, Inc."	181	Yes	Active					PACE - Nat		C	Philadelphia
H3925	Part D Exceptions Contact	Chief Financial Officer	Mr	Dodson	David						1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"PENNSYLVANIA PACE, INC."	National PACE	Senior LIFE Johnstown	National PACE		"Pennsylvania PACE, Inc."	181	Yes	Active	1-814-535-6000	22102			PACE - Nat		C	Philadelphia
H3925	Pharmacy Network Management Contact		Mr.	Rowland	Bob		1-724-275-1203	219				Browland@granerx.com	464 Nixon Road		Cheswick	PA	15024	1/7/2026	2026	"PENNSYLVANIA PACE, INC."	National PACE	Senior LIFE Johnstown	National PACE		"Pennsylvania PACE, Inc."	181	Yes	Active					PACE - Nat		C	Philadelphia
H3925	Pharmacy Technical Help Desk Contact		Mr.	Rowland	Bob						1-814-248-7902	Browland@granerx.com	464 Nixon Road		Cheswick	PA	15024	1/7/2026	2026	"PENNSYLVANIA PACE, INC."	National PACE	Senior LIFE Johnstown	National PACE		"Pennsylvania PACE, Inc."	181	Yes	Active	1-724-275-1203	219			PACE - Nat		C	Philadelphia
H3925	Plan to Plan Reconciliation Contact	Chief Financial Officer	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"PENNSYLVANIA PACE, INC."	National PACE	Senior LIFE Johnstown	National PACE		"Pennsylvania PACE, Inc."	181	Yes	Active					PACE - Nat		C	Philadelphia
H3928	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	AETNA HEALTH INC. (LA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3928	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	AETNA HEALTH INC. (LA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3928	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA HEALTH INC. (LA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3928	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	AETNA HEALTH INC. (LA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3928	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	AETNA HEALTH INC. (LA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3928	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	AETNA HEALTH INC. (LA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3928	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA HEALTH INC. (LA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3928	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	AETNA HEALTH INC. (LA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3928	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	AETNA HEALTH INC. (LA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3928	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	AETNA HEALTH INC. (LA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H3928	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA HEALTH INC. (LA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3928	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	AETNA HEALTH INC. (LA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H3928	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA HEALTH INC. (LA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3931	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3931	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3931	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3931	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3931	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3931	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3931	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3931	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/12/2024	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3931	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3931	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H3931	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3931	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H3931	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3933	Automated TrOOP Balance Transfer Contact			Krantz	Amy		1-309-655-2850					Amy.M.Krantz@osfhealthcare.org	124 SW Adams Street		Peoria	IL	61602	3/10/2023	2026	OSF HEALTHCARE SYSTEM	National PACE	OSF Healthcare PACE	National PACE		OSF Healthcare System	823	Yes	Active					PACE - Nat		C	New York
H3933	Best Available Evidence Contact			Pritzker	Nathan		1-309-655-2850					nathan.j.pritzker@osfhealthcare.org	124 SW Adams Street		Peoria	IL	61602	3/10/2023	2026	OSF HEALTHCARE SYSTEM	National PACE	OSF Healthcare PACE	National PACE		OSF Healthcare System	823	Yes	Active					PACE - Nat		C	New York
H3933	Chief Financial Officer		Ms.	Largent	Kirsten		1-309-655-2850					Kirsten.M.Largent@osfhealthcare.org	124 SW Adams Street		Peoria	IL	61602	11/8/2024	2026	OSF HEALTHCARE SYSTEM	National PACE	OSF Healthcare PACE	National PACE		OSF Healthcare System	823	Yes	Active					PACE - Nat		C	New York
H3933	CMS Casework Communication Contact			Tonozzi	Clinton		1-309-655-2850					Clinton.J.Tonozzi@osfhealthcare.org	124 SW Adams Street		Peoria	IL	61602	3/10/2023	2026	OSF HEALTHCARE SYSTEM	National PACE	OSF Healthcare PACE	National PACE		OSF Healthcare System	823	Yes	Active					PACE - Nat		C	New York
H3933	Coordination of Benefits Contact			Pritzker	Nathan		1-309-655-2850					nathan.j.pritzker@osfhealthcare.org	124 SW Adams Street		Peoria	IL	61602	3/10/2023	2026	OSF HEALTHCARE SYSTEM	National PACE	OSF Healthcare PACE	National PACE		OSF Healthcare System	823	Yes	Active					PACE - Nat		C	New York
H3933	Customer Service Operations Contact			Pritzker	Nathan		1-309-655-2850					nathan.j.pritzker@osfhealthcare.org	124 SW Adams Street		Peoria	IL	61602	3/10/2023	2026	OSF HEALTHCARE SYSTEM	National PACE	OSF Healthcare PACE	National PACE		OSF Healthcare System	823	Yes	Active					PACE - Nat		C	New York
H3933	Government Relations Contact			Pritzker	Nathan		1-309-655-2850					nathan.j.pritzker@osfhealthcare.org	124 SW Adams Street		Peoria	IL	61602	3/14/2023	2026	OSF HEALTHCARE SYSTEM	National PACE	OSF Healthcare PACE	National PACE		OSF Healthcare System	823	Yes	Active					PACE - Nat		C	New York
H3933	Medicare Compliance Officer		Mr.	Tonozzi	Clinton		1-309-655-2850					Clinton.J.Tonozzi@osfhealthcare.org	124 SW Adams Street		Peoria	IL	61602	3/14/2023	2026	OSF HEALTHCARE SYSTEM	National PACE	OSF Healthcare PACE	National PACE		OSF Healthcare System	823	Yes	Active					PACE - Nat		C	New York
H3933	Part D Exceptions Contact			Scheid	Jason							Jason.M.Scheid@osfhealthcare.org	124 SW Adams Street		Peoria	IL	61602	6/8/2024	2026	OSF HEALTHCARE SYSTEM	National PACE	OSF Healthcare PACE	National PACE		OSF Healthcare System	823	Yes	Active	1-309-655-2850				PACE - Nat		C	New York
H3933	Pharmacy Network Management Contact			Scheid	Jason		1-309-655-2850					Jason.M.Scheid@osfhealthcare.org	124 SW Adams Street		Peoria	IL	61602	6/8/2024	2026	OSF HEALTHCARE SYSTEM	National PACE	OSF Healthcare PACE	National PACE		OSF Healthcare System	823	Yes	Active					PACE - Nat		C	New York
H3933	Pharmacy Technical Help Desk Contact			Pritzker	Nathan								124 SW Adams Street		Peoria	IL	61602	3/14/2023	2026	OSF HEALTHCARE SYSTEM	National PACE	OSF Healthcare PACE	National PACE		OSF Healthcare System	823	Yes	Active	1-309-655-2850				PACE - Nat		C	New York
H3933	Plan to Plan Reconciliation Contact			Kurth	Aaron		1-309-655-2850					Aaron.T.Kurth@osfhealthcare.org	124 SW Adams Street		Peoria	IL	61602	6/8/2024	2026	OSF HEALTHCARE SYSTEM	National PACE	OSF Healthcare PACE	National PACE		OSF Healthcare System	823	Yes	Active					PACE - Nat		C	New York
H3942	Automated TrOOP Balance Transfer Contact	Business Office Team Lead		Cornell	Jacob		1-336-746-3547					jcornell@everyage.org	802 E Center St		Lexington	NC	27292	9/19/2025	2026	ELDERHAUS INC.	National PACE	Elderhaus PACE	National PACE		EveryAge	797	Yes	Active					PACE - Nat		C	Atlanta
H3942	Best Available Evidence Contact	Sr. Director of HCBS	Mr.	Chang	Thomas	T	1-336-746-3500				1-336-746-3565	tchang@everyage.org	802 E. Center St.		Lexington	NC	27292	2/16/2026	2026	ELDERHAUS INC.	National PACE	Elderhaus PACE	National PACE		EveryAge	797	Yes	Active					PACE - Nat		C	Atlanta
H3942	Chief Financial Officer	CFO	Ms.	Jones	Tammy		1-828-465-8007				1-910-343-8836	tjones@EveryAge.org	100 Leonard Ave		Newton	NC	28658	2/1/2023	2026	ELDERHAUS INC.	National PACE	Elderhaus PACE	National PACE		EveryAge	797	Yes	Active					PACE - Nat		C	Atlanta
H3942	CMS Casework Communication Contact	Executive Director	Ms	Finch	Ruth		1-910-767-0932				1-910-765-0188	rfinch@everyage.org	1380 N. College Rd.		Wilmington	NC	28405	2/16/2026	2026	ELDERHAUS INC.	National PACE	Elderhaus PACE	National PACE		EveryAge	797	Yes	Active					PACE - Nat		C	Atlanta
H3942	Coordination of Benefits Contact	Business Office Team Lead		Cornell	Jacob		1-336-746-3547					jcornell@everyage.org	802 E Center St		Lexington	NC	27295	9/19/2025	2026	ELDERHAUS INC.	National PACE	Elderhaus PACE	National PACE		EveryAge	797	Yes	Active					PACE - Nat		C	Atlanta
H3942	Customer Service Operations Contact	Business Office Team Lead		Cornell	Jacob		1-336-746-3547					jcornell@everyage.org	802 E Center St		Lexington	NC	27292	2/16/2026	2026	ELDERHAUS INC.	National PACE	Elderhaus PACE	National PACE		EveryAge	797	Yes	Active					PACE - Nat		C	Atlanta
H3942	Government Relations Contact	Executive Director		Finch	Ruth		1-910-767-0932				1-910-765-0188	rfinch@everyage.org	1380 N. College Rd.		Wilmington	NC	28405	2/16/2026	2026	ELDERHAUS INC.	National PACE	Elderhaus PACE	National PACE		EveryAge	797	Yes	Active					PACE - Nat		C	Atlanta
H3942	Medicare Compliance Officer	Dir. Quality and Compliance	Mrs.	Forney	Harriet		1-910-767-0928				1-910-765-0188	hforney@everyage.org	1380 N. College Rd.		Wilmington	NC	28405	2/16/2026	2026	ELDERHAUS INC.	National PACE	Elderhaus PACE	National PACE		EveryAge	797	Yes	Active					PACE - Nat		C	Atlanta
H3942	Part D Exceptions Contact	Business Office Team Lead		Cornell	Jacob							jcornell@everyage.org	802 E Center St		Lexington	NC	27292	9/19/2025	2026	ELDERHAUS INC.	National PACE	Elderhaus PACE	National PACE		EveryAge	797	Yes	Active	1-336-746-3547				PACE - Nat		C	Atlanta
H3942	Pharmacy Network Management Contact	Business Office Team Lead		Cornell	Jacob		1-336-746-3547					jcornell@everyage.org	802 E Center St		Lexington	NC	27292	9/19/2025	2026	ELDERHAUS INC.	National PACE	Elderhaus PACE	National PACE		EveryAge	797	Yes	Active					PACE - Nat		C	Atlanta
H3942	Pharmacy Technical Help Desk Contact	Business Office Team Lead		Cornell	Jacob							jcornell@everyage.org	802 E Center St		Lexington	NC	27292	9/19/2025	2026	ELDERHAUS INC.	National PACE	Elderhaus PACE	National PACE		EveryAge	797	Yes	Active	1-336-746-3547				PACE - Nat		C	Atlanta
H3942	Plan to Plan Reconciliation Contact	Business Analyst	Ms.	Chastain	Kelly		1-910-767-0930				1-910-765-0188	kchastain@everyage.org	1380 N. College Rd.		Wilmington	NC	28405	2/16/2026	2026	ELDERHAUS INC.	National PACE	Elderhaus PACE	National PACE		EveryAge	797	Yes	Active					PACE - Nat		C	Atlanta
H3949	Automated TrOOP Balance Transfer Contact	Operations Advisor	Ms.	Fertig	Nancy	J	1-860-902-4553					nancy_fertig@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3949	Best Available Evidence Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3949	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	Health Care Service Corporation	300 East Randolph St	Chicago	IL	60601	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3949	CMS Casework Communication Contact	Customer Service Manager	Ms.	McCarroll	Angie		1-615-235-0177					angie_mccarroll@hcsc.com	3700 O'Donnell Street		Baltimore	MD	21224	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3949	Coordination of Benefits Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3949	Customer Service Operations Contact	VP of Customer Service	Mr.	Akovenko	Josh		1-615-695-8916				1-000-000-0000	josh_akovenko@hcsc.com	Health Care Service Corporation	500 Great Circle Rd	Nashville	IL	60601	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3949	Government Relations Contact	Executive Director - Health Policy	Ms.	DuGoff	Eva		1-202-249-7208				1-000-000-0000	eva_dugoff@hcsc.net	Health Care Service Corporation	1001 Pennsylvania NW	Washington	DC	20004	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3949	Hospice Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3949	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3949	Part D Exceptions Contact	Operations Senior Manager	Mr.	Erkens	Ron							ron_erkens@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-602-317-1992				HMO - Health Maintenance Organization		C	New York
H3949	Pharmacy Network Management Contact	Provider Contracting Sr Manager	Ms.	Bourdier	Maryanne		1-860-338-9867					maryanne_bourdier@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3949	Pharmacy Technical Help Desk Contact			Scripts	Express								Health Care Services Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	New York
H3949	Plan to Plan Reconciliation Contact		Ms.	Thomas	Andrea	F	1-629-317-9367				1-615-291-7025	P2P@healthspring.com	P.O. Box 11407	Dept#8277	Birmingham	AL	35246	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H3952	Automated TrOOP Balance Transfer Contact	Lead Business Systems Support Admin		Jimenez	Barbara		1-267-675-1825				1-215-241-3526	barbara.jimenez@ibx.com	1901 Market Street	16th Floor	Philadelphia	PA	19103	12/20/2024	2026	"KEYSTONE HEALTH PLAN EAST, INC."	Local CCP	Independence Blue Cross	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3952	Best Available Evidence Contact	Lead Business Sys Support Admin		Jimenez	Barbara		1-267-675-1825					barbara.jimenez@ibx.com	"1901 Market Street, 16th Floor"		Philadelphia	PA	19103	5/8/2026	2026	"KEYSTONE HEALTH PLAN EAST, INC."	Local CCP	Independence Blue Cross	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3952	Chief Financial Officer	"EVP, CFO, & Treasurer"	Mr.	Lopez	Juan		1-215-241-4614	24614				Juan.Lopez@ibx.com	1901 Market Street	45th Floor	Philadelphia	PA	19103	6/15/2022	2026	"KEYSTONE HEALTH PLAN EAST, INC."	Local CCP	Independence Blue Cross	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3952	CMS Casework Communication Contact	"Manager, Process Svcs Performance & Admin"		Davis	Isabel		1-267-675-1635					isabel.davis@ibx.com	1900 Market Street	4th Floor	Philadelphia	PA	19103	11/12/2025	2026	"KEYSTONE HEALTH PLAN EAST, INC."	Local CCP	Independence Blue Cross	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3952	Coordination of Benefits Contact	Mgr Claims Optns		Rutledge	Maureen		1-215-793-3141					maureen.rutledge@ibx.com	1901 Market Street	17th Floor	Philadelphia	PA	19103	3/5/2026	2026	"KEYSTONE HEALTH PLAN EAST, INC."	Local CCP	Independence Blue Cross	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3952	Customer Service Operations Contact	"Director, Contact Center"		Koper	Stan		1-215-640-7445					stan.koperjr@ibx.com	1900 Market Street	5th Floor	Philadelphia	PA	19103	2/4/2026	2026	"KEYSTONE HEALTH PLAN EAST, INC."	Local CCP	Independence Blue Cross	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3952	Government Relations Contact	Director of Regulatory Performance Management		Wyka	Tara		1-215-241-3648					Tara.Wyka@ibx.com	1901 Market Street	22nd Floor	Philadelphia	PA	19103	6/25/2019	2026	"KEYSTONE HEALTH PLAN EAST, INC."	Local CCP	Independence Blue Cross	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3952	Hospice Contact	Pharmacy Services Process & Governance Director		Erdman	Kathy		1-215-241-2654					kathy.erdman@ibx.com	1901 Market Street	29th Floor	Philadelphia	PA	19103	6/29/2023	2026	"KEYSTONE HEALTH PLAN EAST, INC."	Local CCP	Independence Blue Cross	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3952	Medicare Compliance Officer	"Director, Corporate Compliance, Medicare and Comme"	Mr.	Goldberg	Mitchell		1-215-241-9516				1-215-567-4542	mitchell.goldberg@ibx.com	1901 Market Street	42nd Floor	Philadelphia	PA	19103	2/13/2025	2026	"KEYSTONE HEALTH PLAN EAST, INC."	Local CCP	Independence Blue Cross	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3952	Part D Exceptions Contact	Pharmacy Services Process & Governance Director		Erdman	Kathy						1-215-241-2654	Kathy.Erdman@ibx.com	1901 Market Street	29th Floor	Philadelphia	PA	19103	4/16/2021	2026	"KEYSTONE HEALTH PLAN EAST, INC."	Local CCP	Independence Blue Cross	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active	1-888-678-7015				HMO - Health Maintenance Organization		C	Chicago
H3952	Pharmacy Network Management Contact	Pharmacy Service Process & Governance Director		Erdman	Kathy		1-215-241-2654				1-215-241-3526	kathy.erdman@ibx.com	1901 Market Street	29th Floor	Philadelphia	PA	19103	1/3/2024	2026	"KEYSTONE HEALTH PLAN EAST, INC."	Local CCP	Independence Blue Cross	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3952	Pharmacy Technical Help Desk Contact	Pharmacy Service Process & Governance Director		Erdman	Kathy						1-215-241-3526	kathy.erdman@ibx.com	1901 Market Street		Philadelphia	PA	19103	12/19/2024	2026	"KEYSTONE HEALTH PLAN EAST, INC."	Local CCP	Independence Blue Cross	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active	1-888-678-7015				HMO - Health Maintenance Organization		C	Chicago
H3952	Plan to Plan Reconciliation Contact	Lead GM Data Audit & Sub Analyst		Wyher	Geoffrey		1-215-640-7265				1-215-241-2408	geoffrey.wyher@ibx.com	1901 Market Street	37th Floor	Philadelphia	PA	19103	2/18/2022	2026	"KEYSTONE HEALTH PLAN EAST, INC."	Local CCP	Independence Blue Cross	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3954	Automated TrOOP Balance Transfer Contact	"Manager, Government Programs"	Mr.	Merkel	Patrick		1-570-214-4692				1-570-214-1367	eobp2p@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822	10/31/2019	2026	GEISINGER HEALTH PLAN	Local CCP	Geisinger Gold	HMO/HMOPOS		"Risant Health, Inc."	96	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3954	Best Available Evidence Contact	"Director, Health Plan Operations - Enrollment"	Ms.	Felix	Noelle	C	1-570-214-9270					ncfelix@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822-2580	4/29/2024	2026	GEISINGER HEALTH PLAN	Local CCP	Geisinger Gold	HMO/HMOPOS		"Risant Health, Inc."	96	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3954	Chief Financial Officer	"Chief Financial Officer, Geisinger Health Plan"	Mr.	Mccullough	Mark		1-570-214-3200					mmccullough2@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822-3220	4/29/2025	2026	GEISINGER HEALTH PLAN	Local CCP	Geisinger Gold	HMO/HMOPOS		"Risant Health, Inc."	96	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3954	CMS Casework Communication Contact	Senior Appeals Coordinator		Fracalossi	Kathleen		1-570-214-4533					kmfracalossi@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822-2580	12/21/2023	2026	GEISINGER HEALTH PLAN	Local CCP	Geisinger Gold	HMO/HMOPOS		"Risant Health, Inc."	96	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3954	Coordination of Benefits Contact	"Supervisor, Health Plan COB"	Ms.	Corrall	Theresa		1-570-214-5414					COB@geisinger.edu	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822-3251	3/19/2025	2026	GEISINGER HEALTH PLAN	Local CCP	Geisinger Gold	HMO/HMOPOS		"Risant Health, Inc."	96	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3954	Customer Service Operations Contact	"Director, Health Plan Operations, Customer Care"	Mr.	Sanders	John	R	1-570-214-8046					jrsanders@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822-2580	11/1/2019	2026	GEISINGER HEALTH PLAN	Local CCP	Geisinger Gold	HMO/HMOPOS		"Risant Health, Inc."	96	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3954	Government Relations Contact	"Director, Federal Government Programs"	Mr.	Malett	Terry	L	1-570-214-2193					tlmalett@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822-3220	6/24/2022	2026	GEISINGER HEALTH PLAN	Local CCP	Geisinger Gold	HMO/HMOPOS		"Risant Health, Inc."	96	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3954	Hospice Contact	"Claims and Benefits Auditor, GHP Pharmacy"	Ms.	Seabrook	Naiki	A	1-570-214-7851				1-570-300-2122	naseabrook@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822-3245	11/1/2019	2026	GEISINGER HEALTH PLAN	Local CCP	Geisinger Gold	HMO/HMOPOS		"Risant Health, Inc."	96	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3954	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Marine	Deborah		1-248-756-3771					dlmarine@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822-3220	6/12/2025	2026	GEISINGER HEALTH PLAN	Local CCP	Geisinger Gold	HMO/HMOPOS		"Risant Health, Inc."	96	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3954	Part D Exceptions Contact	"Director, Pharmacy Services"	Dr.	Miller	Jamie						1-570-214-6768	jlmiller12@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822-3245	12/22/2017	2026	GEISINGER HEALTH PLAN	Local CCP	Geisinger Gold	HMO/HMOPOS		"Risant Health, Inc."	96	Yes	Active	1-800-988-4861				HMO - Health Maintenance Organization		C	Dallas
H3954	Pharmacy Network Management Contact	"VP, Network Management, Navitas"	Ms.	Santos	Christina		1-608-820-4408					Christina.Santos@navitus.com	Navitus	361 Integrity Drive	Madison	WI	53717	1/2/2024	2026	GEISINGER HEALTH PLAN	Local CCP	Geisinger Gold	HMO/HMOPOS		"Risant Health, Inc."	96	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3954	Pharmacy Technical Help Desk Contact	"Sr. Manager, Customer Care Accounts"	Ms	Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	Navitus	1025 West Navitus Drive	Appleton	WI	54913	12/19/2025	2026	GEISINGER HEALTH PLAN	Local CCP	Geisinger Gold	HMO/HMOPOS		"Risant Health, Inc."	96	Yes	Active	1-844-384-2431	4224			HMO - Health Maintenance Organization		C	Dallas
H3954	Plan to Plan Reconciliation Contact	"Manager, Government Programs"	Mr.	Merkel	Patrick		1-570-214-4692				1-570-214-1367	eobp2p@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822	10/31/2019	2026	GEISINGER HEALTH PLAN	Local CCP	Geisinger Gold	HMO/HMOPOS		"Risant Health, Inc."	96	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H3957	Automated TrOOP Balance Transfer Contact	"Manager, Pharmacy Government Operations"	Ms.	Lynn Schill	Jodie		1-570-578-3579					Jodie.LynnSchill@highmark.com	120 Fifth Avenue		Pittsburgh	PA	15222	8/16/2023	2026	HIGHMARK CHOICE COMPANY	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3957	Best Available Evidence Contact	"Manager, Government Business Enrollment"	Mr.	Stanhoff	David		1-412-544-5689					LISBAE@highmark.com	120 Fifth Avenue		Pittsburgh	PA	15222	8/1/2023	2026	HIGHMARK CHOICE COMPANY	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3957	Chief Financial Officer	CFO Highmark Health Plan	Ms.	Musler	Kate		1-412-544-8653					katherine.musler@highmark.com	120 5th Avenue		Pittsburgh	PA	15222	2/25/2025	2026	HIGHMARK CHOICE COMPANY	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3957	CMS Casework Communication Contact	"Manager, Appeals and Grievances"	Ms.	Walsh	Lynne	M	1-412-544-4579				1-717-635-4209	Lynne.Walsh@highmark.com	120 Fifth Avenue	Suite P5501	Pittsburgh	PA	15222	1/6/2020	2026	HIGHMARK CHOICE COMPANY	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3957	Coordination of Benefits Contact	Sr. Process Analyst	Ms.	Cassidy	Christina		1-412-544-4417					Christina.Cassidy@highmark.com	120 Fifth Avenue	PAP P5111	Pittsburgh	PA	15222	12/26/2019	2026	HIGHMARK CHOICE COMPANY	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3957	Customer Service Operations Contact	"Director, Member & Provider Services"		Scarnati	Chris		1-814-871-6712					Chris.Scarnati@highmark.com	120 Fifth Avenue		Pittsburgh	PA	15222	7/9/2020	2026	HIGHMARK CHOICE COMPANY	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3957	Government Relations Contact	Medicare Compliance Officer	Mr.	Boettler	Thomas		1-412-544-7031					Thomas.Boettler@highmark.com	120 5th Avenue	Suite 1833	Pittsburgh	PA	15222	7/29/2024	2026	HIGHMARK CHOICE COMPANY	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3957	Hospice Contact	Intake Coordinator		Welker	Jessica		1-717-888-3043					DrugHelp_Authorizations@highmark.com	120 5th Avenue Place		Pittsburgh	PA	15222	10/25/2019	2026	HIGHMARK CHOICE COMPANY	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3957	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Boettler	Thomas		1-412-544-7031					Thomas.Boettler@highmark.com	120 5th Avenue	Suite 1833	Pittsburgh	PA	15222	12/5/2017	2026	HIGHMARK CHOICE COMPANY	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3957	Part D Exceptions Contact			Affairs	Pharmacy							drughelp@highmark.com	120 Fifth Avenue	Suite SPECARE	Pittsburgh	PA	15222	8/4/2023	2026	HIGHMARK CHOICE COMPANY	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active	1-800-600-2227				HMO - Health Maintenance Organization		C	Boston
H3957	Pharmacy Network Management Contact	"Network Account Director, Retail Strat & Contract"	Ms.	Kelly	Heather		1-314-692-1866				1-877-387-5800	hakelly@express-scripts.com	One Express Way		St. Louis	MO	63121	1/12/2018	2026	HIGHMARK CHOICE COMPANY	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3957	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	13051 N. Telecom PKWY STE 150		Temple Terrace	FL	33637	11/8/2022	2026	HIGHMARK CHOICE COMPANY	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Boston
H3957	Plan to Plan Reconciliation Contact	"Manager, Operational Accounting"	Mr.	Stehr	Brett	J	1-717-302-2748					P2Precon@highmark.com	Highmark Inc. Attn: Cashier	PO Box 898820	Camp Hill	PA	17089-0407	6/28/2023	2026	HIGHMARK CHOICE COMPANY	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H3959	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3959	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	6/4/2026	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3959	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3959	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3959	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3959	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	5/27/2026	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3959	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3959	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3959	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3959	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H3959	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3959	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H3959	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H3962	Automated TrOOP Balance Transfer Contact	Manager Pharmacy Benefits Operations	Ms.	Cook	Tammy		1-717-703-8749				1-717-346-6836	Tammy.Cook@capbluecross.com	2500 Elmerton Avenue		Harrisburg	PA	17177	3/7/2023	2026	"KEYSTONE HEALTH PLAN CENTRAL, INC."	Local CCP	Capital Blue Cross	HMO/HMOPOS		CAPITAL BLUE CROSS	41	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3962	Best Available Evidence Contact	Sr. Director Government Operations	Mr.	Koch	Jonathan		1-717-829-2114				1-717-651-8873	jonathan.koch@capbluecross.com	2500 Elmerton Ave		Harrisburg	PA	17177	5/11/2026	2026	"KEYSTONE HEALTH PLAN CENTRAL, INC."	Local CCP	Capital Blue Cross	HMO/HMOPOS		CAPITAL BLUE CROSS	41	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3962	Chief Financial Officer	Chief Financial Officer	Mr.	Woodard	Ralph		1-717-541-7181					ralph.woodard@capbluecross.com	2500 Elmerton Avenue		Harrisburg	PA	17177	3/7/2023	2026	"KEYSTONE HEALTH PLAN CENTRAL, INC."	Local CCP	Capital Blue Cross	HMO/HMOPOS		CAPITAL BLUE CROSS	41	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3962	CMS Casework Communication Contact		Ms.	Drawbaugh	Cindy		1-717-541-6257					cindy.drawbaugh@capbluecross.com	2500 Elmerton Avenue		Harrisburg	PA	17177	3/7/2023	2026	"KEYSTONE HEALTH PLAN CENTRAL, INC."	Local CCP	Capital Blue Cross	HMO/HMOPOS		CAPITAL BLUE CROSS	41	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3962	Coordination of Benefits Contact	Manager Pharmacy Benefits Operations	Ms.	Cook	Tammy		1-717-703-8749				1-717-346-6836	Tammy.Cook@capbluecross.com	2500 Elmerton Avenue		Harrisburg	PA	17177	3/7/2023	2026	"KEYSTONE HEALTH PLAN CENTRAL, INC."	Local CCP	Capital Blue Cross	HMO/HMOPOS		CAPITAL BLUE CROSS	41	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3962	Customer Service Operations Contact	Sr. Director Government Operations	Mr.	Koch	Jonathan		1-717-829-2114				1-717-651-8873	jonathan.koch@capbluecross.com	2500 Elmerton Avenue		Harrisburg	PA	17177	5/11/2026	2026	"KEYSTONE HEALTH PLAN CENTRAL, INC."	Local CCP	Capital Blue Cross	HMO/HMOPOS		CAPITAL BLUE CROSS	41	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3962	Government Relations Contact	Sr. VP & General Counsel	Mr.	Hopkins	Joel		1-717-541-6358				1-717-651-4445	Joel.Hopkins@capbluecross.com	2500 Elmerton Avenue		Harrisburg	PA	17177	3/7/2023	2026	"KEYSTONE HEALTH PLAN CENTRAL, INC."	Local CCP	Capital Blue Cross	HMO/HMOPOS		CAPITAL BLUE CROSS	41	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3962	Hospice Contact	"Director, Medicare Pharmacy"	Ms.	Watts	Christa		1-717-541-7405				1-717-651-8146	christa.watts@capbluecross.com	2500 Elmerton Avenue		Harrisburg	PA	17177	5/15/2025	2026	"KEYSTONE HEALTH PLAN CENTRAL, INC."	Local CCP	Capital Blue Cross	HMO/HMOPOS		CAPITAL BLUE CROSS	41	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3962	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Leedock	Melissa		1-717-541-6934					Melissa.Leedock@capbluecross.com	2500 Elmerton Avenue		Harrisburg	PA	17177	12/2/2024	2026	"KEYSTONE HEALTH PLAN CENTRAL, INC."	Local CCP	Capital Blue Cross	HMO/HMOPOS		CAPITAL BLUE CROSS	41	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3962	Part D Exceptions Contact	"Director, Medicare Pharmacy"	Ms.	Watts	Christa							christa.watts@capbluecross.com	2500 Elmerton Ave		Harrisburg	PA	17177	5/15/2025	2026	"KEYSTONE HEALTH PLAN CENTRAL, INC."	Local CCP	Capital Blue Cross	HMO/HMOPOS		CAPITAL BLUE CROSS	41	Yes	Active	1-866-987-4213				HMO - Health Maintenance Organization		C	Chicago
H3962	Pharmacy Network Management Contact	Manager Pharmacy Benefits Operations	Ms.	Cook	Tammy		1-717-703-8749				1-717-346-6836	Tammy.Cook@capbluecross.com	2500 Elmerton Avenue		Harrisburg	PA	17177	3/7/2023	2026	"KEYSTONE HEALTH PLAN CENTRAL, INC."	Local CCP	Capital Blue Cross	HMO/HMOPOS		CAPITAL BLUE CROSS	41	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3962	Pharmacy Technical Help Desk Contact	"Sr. Director, Member Services"	Mr.	Scott	Shane							shane.scott@primetherapeutics.com	Prime Therapeutics LLC 2655 Eagan Woods Drive		Eagan	MN	55122	12/16/2024	2026	"KEYSTONE HEALTH PLAN CENTRAL, INC."	Local CCP	Capital Blue Cross	HMO/HMOPOS		CAPITAL BLUE CROSS	41	Yes	Active	1-888-878-0151				HMO - Health Maintenance Organization		C	Chicago
H3962	Plan to Plan Reconciliation Contact	Accountant I	Ms.	Balseiro	Julia		1-717-541-7458					FinanceP2P-CASH@CapBlueCross.com	2500 Elmerton Avenue	Mail Drop 3237	Harrisburg	PA	17177	5/7/2024	2026	"KEYSTONE HEALTH PLAN CENTRAL, INC."	Local CCP	Capital Blue Cross	HMO/HMOPOS		CAPITAL BLUE CROSS	41	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H3975	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC"	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H3975	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC"	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H3975	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/20/2024	2026	"WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC"	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H3975	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC"	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H3975	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC"	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H3975	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/18/2024	2026	"WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC"	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H3975	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC"	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H3975	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC"	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H3975	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/22/2025	2026	"WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC"	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H3975	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/20/2024	2026	"WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC"	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active	1-813-206-7152				PPO - BBA		C	Denver
H3975	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/19/2025	2026	"WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC"	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H3975	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/17/2024	2026	"WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC"	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active	1-833-750-0408				PPO - BBA		C	Denver
H3975	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	6/20/2024	2026	"WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC"	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H3979	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Management	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/14/2025	2026	"GHS HEALTH MAINTENANCE ORGANIZATION, INC."	Local CCP	Blue Cross and Blue Shield of Oklahoma	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Consolidation					HMO - Health Maintenance Organization		C	Dallas
H3979	Best Available Evidence Contact	"Deputy General Manager, Digital Operations"	Mr.	Davis	Tom		1-570-344-9237	73545			1-000-000-0000	Thomas.Davis@cognizant.com	Cognizant	25 Lakeview Drive	Jessup	PA	18434	1/4/2022	2026	"GHS HEALTH MAINTENANCE ORGANIZATION, INC."	Local CCP	Blue Cross and Blue Shield of Oklahoma	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Consolidation					HMO - Health Maintenance Organization		C	Dallas
H3979	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	300 East Randolph St		Chicago	IL	60601	4/7/2026	2026	"GHS HEALTH MAINTENANCE ORGANIZATION, INC."	Local CCP	Blue Cross and Blue Shield of Oklahoma	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Consolidation					HMO - Health Maintenance Organization		C	Dallas
H3979	CMS Casework Communication Contact	Manager Medicare Operations & Oversight	Ms.	Morris	Tawanna		1-630-824-5090				1-000-000-0000	Tawanna_Morris@bcbsil.com	Health Care Service Corporation	300 E. Randolph Street	Chicago	IL	60601	8/6/2024	2026	"GHS HEALTH MAINTENANCE ORGANIZATION, INC."	Local CCP	Blue Cross and Blue Shield of Oklahoma	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Consolidation					HMO - Health Maintenance Organization		C	Dallas
H3979	Coordination of Benefits Contact	Mgr Project & Program Management	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	COBMedD@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/14/2025	2026	"GHS HEALTH MAINTENANCE ORGANIZATION, INC."	Local CCP	Blue Cross and Blue Shield of Oklahoma	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Consolidation					HMO - Health Maintenance Organization		C	Dallas
H3979	Customer Service Operations Contact	VP of Customer Service	Mr.	Akovenko	Josh		1-615-695-8916				1-000-000-0000	josh_akovenko@hcsc.com	Health Care Service Corporation	500 Great Circle Rd	Nashville	IL	60601	12/4/2025	2026	"GHS HEALTH MAINTENANCE ORGANIZATION, INC."	Local CCP	Blue Cross and Blue Shield of Oklahoma	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Consolidation					HMO - Health Maintenance Organization		C	Dallas
H3979	Government Relations Contact	Executive Director - Health Policy	Ms.	DuGoff	Eva		1-202-249-7208				1-000-000-0000	eva_dugoff@hcsc.net	Health Care Service Corporation	1001 Pennsylvania NW	Washington	DC	20004	9/30/2025	2026	"GHS HEALTH MAINTENANCE ORGANIZATION, INC."	Local CCP	Blue Cross and Blue Shield of Oklahoma	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Consolidation					HMO - Health Maintenance Organization		C	Dallas
H3979	Hospice Contact	Govt Prog Clinical Ops Dvisional Vice President	Ms.	Thomas-Spaulding	Felicia	S	1-505-816-2717				1-000-000-0000	Felicia_Spaulding@bcbsnm.com	Blue Cross Blue Shield of New Mexico	4411 The 25 Way NE	Albuquerque	NM	87109	2/27/2019	2026	"GHS HEALTH MAINTENANCE ORGANIZATION, INC."	Local CCP	Blue Cross and Blue Shield of Oklahoma	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Consolidation					HMO - Health Maintenance Organization		C	Dallas
H3979	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	9/5/2025	2026	"GHS HEALTH MAINTENANCE ORGANIZATION, INC."	Local CCP	Blue Cross and Blue Shield of Oklahoma	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Consolidation					HMO - Health Maintenance Organization		C	Dallas
H3979	Part D Exceptions Contact	Regulatory Pharmacist Sr	Mr.	Spears	Scott						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	9/22/2025	2026	"GHS HEALTH MAINTENANCE ORGANIZATION, INC."	Local CCP	Blue Cross and Blue Shield of Oklahoma	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Consolidation	1-800-693-6651				HMO - Health Maintenance Organization		C	Dallas
H3979	Pharmacy Network Management Contact	"VP, Network Management"	Ms.	Conlin	Marci		1-612-777-2837				1-877-823-6373	marci.conlin@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Road	Eagan	MN	55121	3/22/2023	2026	"GHS HEALTH MAINTENANCE ORGANIZATION, INC."	Local CCP	Blue Cross and Blue Shield of Oklahoma	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Consolidation					HMO - Health Maintenance Organization		C	Dallas
H3979	Pharmacy Technical Help Desk Contact	"Sr. Director, Member Services"	Mr.	Scott	Shane						1-000-000-0000	shane.scott@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	12/18/2025	2026	"GHS HEALTH MAINTENANCE ORGANIZATION, INC."	Local CCP	Blue Cross and Blue Shield of Oklahoma	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Consolidation	1-877-277-7898				HMO - Health Maintenance Organization		C	Dallas
H3979	Plan to Plan Reconciliation Contact	Accountant	Ms.	Bowen	Niaya		1-972-766-1324				1-972-766-4360	niaya_bowen@bcbstx.com	Health Care Service Corporation	"1001 East Lookout Drive,"	Richardson	TX	75082	9/30/2025	2026	"GHS HEALTH MAINTENANCE ORGANIZATION, INC."	Local CCP	Blue Cross and Blue Shield of Oklahoma	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Consolidation					HMO - Health Maintenance Organization		C	Dallas
H3991	Automated TrOOP Balance Transfer Contact	Director - RCM		Bridges	Vincent		1-405-464-2031					vincent.bridges@valir.com	721 N.W. 6th Street		Oklahoma City	OK	73102	2/18/2026	2026	"CONCERTOHEALTH OF NORTHERN VIRGINIA, LLC"	National PACE	Cherry Blossom PACE	National PACE		"Valir PACE Virginia, LLC"	886	Yes	Active					PACE - Nat		C	Philadelphia
H3991	Best Available Evidence Contact	Director - RCM		Bridges	Vincent		1-405-724-4325					vincent.bridges@valir.com	721 N.W. 6th Street		Oklahoma City	OK	73102	2/18/2026	2026	"CONCERTOHEALTH OF NORTHERN VIRGINIA, LLC"	National PACE	Cherry Blossom PACE	National PACE		"Valir PACE Virginia, LLC"	886	Yes	Active					PACE - Nat		C	Philadelphia
H3991	Chief Financial Officer	Controller	Mr.	Cross	Nathan		1-405-609-3688					nathan.cross@valir.com	721 NW 6th St		Oklahoma City	OK	73102	2/18/2026	2026	"CONCERTOHEALTH OF NORTHERN VIRGINIA, LLC"	National PACE	Cherry Blossom PACE	National PACE		"Valir PACE Virginia, LLC"	886	Yes	Active					PACE - Nat		C	Philadelphia
H3991	CMS Casework Communication Contact	Director of Compliance	Mrs.	Santilli	Lisa		1-856-371-0276					lisa.santilli@valir.com	610 Otter Branch Dr	Suite 200	Magnolia	NJ	08049	12/4/2025	2026	"CONCERTOHEALTH OF NORTHERN VIRGINIA, LLC"	National PACE	Cherry Blossom PACE	National PACE		"Valir PACE Virginia, LLC"	886	Yes	Active					PACE - Nat		C	Philadelphia
H3991	Coordination of Benefits Contact	Director - RCM		Bridges	Vincent		1-405-464-2031					vincent.bridges@valir.com	721 NW 6th Street		Oklahoma City	OK	73102	2/18/2026	2026	"CONCERTOHEALTH OF NORTHERN VIRGINIA, LLC"	National PACE	Cherry Blossom PACE	National PACE		"Valir PACE Virginia, LLC"	886	Yes	Active					PACE - Nat		C	Philadelphia
H3991	Customer Service Operations Contact	Director - RCM		Bridges	Vincent		1-405-464-2031					vincent.bridges@valir.com	721 NW 6th Street		Oklahoma City	OK	73102	2/18/2026	2026	"CONCERTOHEALTH OF NORTHERN VIRGINIA, LLC"	National PACE	Cherry Blossom PACE	National PACE		"Valir PACE Virginia, LLC"	886	Yes	Active					PACE - Nat		C	Philadelphia
H3991	Government Relations Contact	Quality Director	Mr.	Dan	Jennifer		1-405-609-3688					jennifer.dan@valir.com	721 NW 6th Street		Oklahoma City	OK	73102	12/4/2025	2026	"CONCERTOHEALTH OF NORTHERN VIRGINIA, LLC"	National PACE	Cherry Blossom PACE	National PACE		"Valir PACE Virginia, LLC"	886	Yes	Active					PACE - Nat		C	Philadelphia
H3991	Medicare Compliance Officer	Director of Compliance	Mrs.	Santilli	Lisa		1-856-371-0276					lisa.santilli@valir.com	610 Otter Branch Dr		Magnolia	NJ	08049	12/4/2025	2026	"CONCERTOHEALTH OF NORTHERN VIRGINIA, LLC"	National PACE	Cherry Blossom PACE	National PACE		"Valir PACE Virginia, LLC"	886	Yes	Active					PACE - Nat		C	Philadelphia
H3991	Part D Exceptions Contact	Medical Director	Dr.	Arzomand	Humaira							humaira.arzomand@cherryblossompace.com	1901 Beauregard Street	Ste 110	Alexandria	VA	22311	12/4/2025	2026	"CONCERTOHEALTH OF NORTHERN VIRGINIA, LLC"	National PACE	Cherry Blossom PACE	National PACE		"Valir PACE Virginia, LLC"	886	Yes	Active	1-571-789-0770				PACE - Nat		C	Philadelphia
H3991	Pharmacy Network Management Contact	Director - RCM		Bridges	Vincent		1-405-464-2031					vincent.bridges@valir.com	721 N.W. 6th Street		Oklahoma City	OK	73102	2/18/2026	2026	"CONCERTOHEALTH OF NORTHERN VIRGINIA, LLC"	National PACE	Cherry Blossom PACE	National PACE		"Valir PACE Virginia, LLC"	886	Yes	Active					PACE - Nat		C	Philadelphia
H3991	Pharmacy Technical Help Desk Contact	Medical Director	Dr.	Arzomand	Humaira							humaira.arzomand@cherryblossompace.com	1901 Beauregard Street	Suite 110	Alexandria	VA	22311	12/4/2025	2026	"CONCERTOHEALTH OF NORTHERN VIRGINIA, LLC"	National PACE	Cherry Blossom PACE	National PACE		"Valir PACE Virginia, LLC"	886	Yes	Active	1-571-789-0729				PACE - Nat		C	Philadelphia
H3991	Plan to Plan Reconciliation Contact	Controller		Cross	Nathan		1-405-609-3688					nathan.cross@valir.com	721 N.W. 6th Street		Oklahoma City	OK	73102	2/18/2026	2026	"CONCERTOHEALTH OF NORTHERN VIRGINIA, LLC"	National PACE	Cherry Blossom PACE	National PACE		"Valir PACE Virginia, LLC"	886	Yes	Active					PACE - Nat		C	Philadelphia
H4003	Automated TrOOP Balance Transfer Contact	Director Pharmacy Operations	Mr	Mercado Toro	Jose		1-787-925-7029	58679			1-833-740-4081	jose.mercado-toro@mso-pr.com	"350 Avenida Chardon, Torre Chardon, Suite 500"		San Juan	PR	00918	2/3/2025	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4003	Best Available Evidence Contact	Director Service Operations	Ms.	Suarez	Yamile		1-787-406-9767				1-787-999-2199	Yamile.Suarez@mmmhc.com	350 Avenida Chardon	"Torre Chardon, Suite 500"	San Juan	PR	00918-2137	5/1/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4003	Chief Financial Officer	President	Mr.	Gonzalez Cuadrado	Agustin		1-787-608-9270				1-787-300-4886	agustin.gonzalez-cuadrado@mmmhc.com	350 Avenida Chardon	"Torre Chardon, Suite 500"	San Juan	PR	00918	5/1/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4003	CMS Casework Communication Contact	Director II Compliance	Ms	Hiraldo	Marieva		1-787-223-1672				1-787-625-3356	marieva.hiraldo@mmmhc.com	350 Avenida Chardon	"Torre Chardon, Suite 500"	San Juan	PR	00918	7/10/2024	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4003	Coordination of Benefits Contact	Director Pharmacy Operations	Mr	Mercado Toro	Jose		1-787-925-7029	58679			1-833-740-4081	jose.mercado-toro@mso-pr.com	"350 Avenida Chardon, Torre Chardon, Suite 500"		San Juan	PR	00918	2/3/2025	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4003	Customer Service Operations Contact	Staff VP Operations Mgmt	Ms.	Iglesias	Morayma		1-787-600-2047					morayma.iglesias-sustache@mmmhc.com	350 Avenida Chardon	"Torre Chardon, Suite 500"	San Juan	PR	00936	5/1/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4003	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4003	Hospice Contact	Director Pharmacy UM	Mrs	Albors	Gabriela		1-787-249-4544	58670			1-833-740-4081	Gabriela.Albors-Rivera@mso-pr.com	PO BOX 71114		San Juan	PR	00936-8014	2/3/2025	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4003	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4003	Part D Exceptions Contact	Director Pharmacy UM	Mrs	Albors	Gabriela						1-833-740-4081	gabriela.albors-rivera@mso-pr.com	PO BOX 71114		San Juan	PR	00936-8014	2/3/2025	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-866-333-5470	58670			HMO - Health Maintenance Organization		C	Chicago
H4003	Pharmacy Network Management Contact	AVP Network Strategy	Mr	Baker	David		1-816-783-3834					david.baker@abarcahealth.com	Abarca Health LLC	1606 Ave. Ponce de Leon	San Juan	PR	00909-4830	1/4/2024	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4003	Pharmacy Technical Help Desk Contact	Dir Pharmacy Operations	Mrs	Albors	Gabriela						1-833-740-4081	gabriela.albors-rivera@mso-pr.com	PO BOX 71114		San Juan	PR	00936-8014	1/23/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-855-201-9936				HMO - Health Maintenance Organization		C	Chicago
H4003	Plan to Plan Reconciliation Contact	Mgr Fin Acctg/Rptg/Analysis	Mr.	Serrano Figueroa	Juan		1-787-398-7704					Juan.Serrano@mmmhc.com	PO Box 71114		San Juan	PR	00936	7/10/2024	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4004	Automated TrOOP Balance Transfer Contact	Director Pharmacy Operations	Mr	Mercado Toro	Jose		1-787-925-7029	58679			1-833-740-4081	jose.mercado-toro@mso-pr.com	"350 Avenida Chardon, Torre Chardon, Suite 500"		San Juan	PR	00918	1/23/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4004	Best Available Evidence Contact	Director Service Operations	Ms.	Suarez	Yamile		1-787-406-9767				1-787-999-2199	Yamile.Suarez@mmmhc.com	350 Avenida Chardon	"Torre Chardon, Suite 500"	San Juan	PR	00918-2137	5/1/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4004	Chief Financial Officer	President	Mr.	Gonzalez Cuadrado	Agustin		1-787-608-9270				1-787-300-4886	agustin.gonzalez-cuadrado@mmmhc.com	350 Avenida Chardon	"Torre Chardon, Suite 500"	San Juan	PR	00918	5/1/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4004	CMS Casework Communication Contact	Director II Compliance	Ms	Hiraldo	Marieva		1-787-223-1672				1-787-625-3356	marieva.hiraldo@mmmhc.com	350 Avenida Chardon	"Torre Chardon, Suite 500"	San Juan	PR	00918	1/23/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4004	Coordination of Benefits Contact	Director Pharmacy Operations	Mr	Mercado Toro	Jose		1-787-925-7029	58679			1-833-740-4081	jose.mercado-toro@mso-pr.com	"350 Avenida Chardon, Torre Chardon, Suite 500"		San Juan	PR	00918	1/23/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4004	Customer Service Operations Contact	Staff VP Operations Mgmt	Ms.	Iglesias	Morayma		1-787-600-2047					morayma.iglesias-sustache@mmmhc.com	350 Avenida Chardon	"Torre Chardon, Suite 500"	San Juan	PR	00936	5/1/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4004	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	1/23/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4004	Hospice Contact	Director Pharmacy UM	Mrs	Albors	Gabriela		1-787-249-4544	58670			1-833-740-4081	Gabriela.Albors-Rivera@mso-pr.com	PO BOX 71114		San Juan	PR	00936-8014	1/23/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4004	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	1/23/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4004	Part D Exceptions Contact	Director Pharmacy UM	Mrs	Albors	Gabriela						1-833-740-4081	gabriela.albors-rivera@mso-pr.com	PO BOX 71114		San Juan	PR	00936-8014	1/23/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-866-333-5470	58670			HMO - Health Maintenance Organization		C	Chicago
H4004	Pharmacy Network Management Contact	AVP Network Strategy	Mr	Baker	David		1-816-783-3834					david.baker@abarcahealth.com	Abarca Health LLC	1606 Ave. Ponce de Leon	San Juan	PR	00909-4830	1/23/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4004	Pharmacy Technical Help Desk Contact	Dir Pharmacy Operations	Mrs	Albors	Gabriela						1-833-740-4081	gabriela.albors-rivera@mso-pr.com	PO BOX 71114		San Juan	PR	00936-8014	1/23/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-855-201-9936				HMO - Health Maintenance Organization		C	Chicago
H4004	Plan to Plan Reconciliation Contact	Mgr Fin Acctg/Rptg/Analysis	Mr.	Serrano Figueroa	Juan		1-787-398-7704					Juan.Serrano@mmmhc.com	PO Box 71114		San Juan	PR	00936	1/23/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4005	Automated TrOOP Balance Transfer Contact	MA Revenue Management Director	Mr	Rosich	Luis		1-787-749-4949	8321176			1-787-993-3257	lrosich@ssspr.com	PO Box 11320		San Juan	PR	00922	4/10/2024	2026	"TRIPLE S ADVANTAGE, INC."	Local CCP	Triple-S Advantage	Local PPO		Guidewell Mutual Holding Corporation	594	Yes	Active					PPO - BBA		C	Dallas
H4005	Best Available Evidence Contact	MA Enrollment & Reconciliation Director		Toste	Maria		1-787-749-4949	8322541			1-787-522-4307	mtoste@ssspr.com	PO Box 11320		San Juan	PR	00922	4/10/2024	2026	"TRIPLE S ADVANTAGE, INC."	Local CCP	Triple-S Advantage	Local PPO		Guidewell Mutual Holding Corporation	594	Yes	Active					PPO - BBA		C	Dallas
H4005	Chief Financial Officer	Chief Financial Officer	Mr.	Petruzzellis	Dave		1-787-749-4949	8322430				dave.petruzzellis@guidewell.com	P.O. Box 363628		San Juan	PR	00936-3628	5/27/2026	2026	"TRIPLE S ADVANTAGE, INC."	Local CCP	Triple-S Advantage	Local PPO		Guidewell Mutual Holding Corporation	594	Yes	Active					PPO - BBA		C	Dallas
H4005	CMS Casework Communication Contact	Appeals and Grievances Manager	Mrs	Martinez	Aixa		1-787-749-4949	8322307			1-787-993-3261	aixam@ssspr.com	PO Box 11320		San Juan	PR	00922	4/8/2024	2026	"TRIPLE S ADVANTAGE, INC."	Local CCP	Triple-S Advantage	Local PPO		Guidewell Mutual Holding Corporation	594	Yes	Active					PPO - BBA		C	Dallas
H4005	Coordination of Benefits Contact	MA Enrollment & Reconcilliation Director	Mrs.	Toste	Maria		1-787-749-4949	8322541			1-787-522-4307	mtoste@ssspr.com	PO Box 11320		San Juan	PR	00922	4/10/2024	2026	"TRIPLE S ADVANTAGE, INC."	Local CCP	Triple-S Advantage	Local PPO		Guidewell Mutual Holding Corporation	594	Yes	Active					PPO - BBA		C	Dallas
H4005	Customer Service Operations Contact	Customer Service Manager	Mr.	Jaxon	Harold		1-787-664-9288				1-787-620-0931	harold.jaxon@ssspr.com	PO Box 363628		San Juan	PR	00922	12/21/2022	2026	"TRIPLE S ADVANTAGE, INC."	Local CCP	Triple-S Advantage	Local PPO		Guidewell Mutual Holding Corporation	594	Yes	Active					PPO - BBA		C	Dallas
H4005	Government Relations Contact	Compliance Officer & VP • Compliance & Privacy Off	Ms	Cardenas	Jenny		1-787-749-4949	8322438			1-787-993-3260	jennycar@ssspr.com	PO Box 11320		San Juan	PR	00922	4/10/2024	2026	"TRIPLE S ADVANTAGE, INC."	Local CCP	Triple-S Advantage	Local PPO		Guidewell Mutual Holding Corporation	594	Yes	Active					PPO - BBA		C	Dallas
H4005	Hospice Contact	Health Management Programs Director	Mrs.	Lliteras	Jeannifer		1-787-749-4949	8322691				jeanieffer@ssspr.com	PO Box 11320		San Juan	PR	00922	10/14/2024	2026	"TRIPLE S ADVANTAGE, INC."	Local CCP	Triple-S Advantage	Local PPO		Guidewell Mutual Holding Corporation	594	Yes	Active					PPO - BBA		C	Dallas
H4005	Medicare Compliance Officer	Compliance Officer & VP • Compliance & Privacy Off	Mrs	Cardenas	Jenny	D	1-787-749-4949	8322438			1-787-993-3260	jennycar@ssspr.com	PO Box 11320		San Juan	PR	00922-9905	4/10/2024	2026	"TRIPLE S ADVANTAGE, INC."	Local CCP	Triple-S Advantage	Local PPO		Guidewell Mutual Holding Corporation	594	Yes	Active					PPO - BBA		C	Dallas
H4005	Part D Exceptions Contact	harmacy Regulatory & Compliance Manager	Mrs	Cordero	Cindy	N					1-787-522-4004	cindy.cordero@ssspr.com	PO Box 11320		San Juan	PR	00922	4/18/2024	2026	"TRIPLE S ADVANTAGE, INC."	Local CCP	Triple-S Advantage	Local PPO		Guidewell Mutual Holding Corporation	594	Yes	Active	1-787-749-4949	8321797			PPO - BBA		C	Dallas
H4005	Pharmacy Network Management Contact	AVP Network Strategy and Programs		Baker	David		1-816-783-3834					David.Baker@abarcahealth.com	650 Avenida Muñoz Rivera	Suite 701	San Juan	PR	00918	1/19/2026	2026	"TRIPLE S ADVANTAGE, INC."	Local CCP	Triple-S Advantage	Local PPO		Guidewell Mutual Holding Corporation	594	Yes	Active					PPO - BBA		C	Dallas
H4005	Pharmacy Technical Help Desk Contact	Senior Director Service Operations	Mr	Hogg	Jo						1-787-777-1372	jo.hogg@abarcahealth.com	1606 Avenida Ponce De Leon		San Juan	PR	00909	1/19/2026	2026	"TRIPLE S ADVANTAGE, INC."	Local CCP	Triple-S Advantage	Local PPO		Guidewell Mutual Holding Corporation	594	Yes	Active	1-855-922-2722				PPO - BBA		C	Dallas
H4005	Plan to Plan Reconciliation Contact	MA Revenue Management Director	Ms	Rosich	Luis		1-787-749-4949	8321176			1-787-993-3257	lrosich@ssspr.com	PO Box 11320		San Juan	PR	00922	4/10/2024	2026	"TRIPLE S ADVANTAGE, INC."	Local CCP	Triple-S Advantage	Local PPO		Guidewell Mutual Holding Corporation	594	Yes	Active					PPO - BBA		C	Dallas
H4026	Automated TrOOP Balance Transfer Contact	Pharmacy Analyst		Banks	Marcia	D	1-562-308-1189	1189			1-562-997-3196	mcurtis@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	1/14/2025	2026	SCAN HEALTH PLAN (WA)	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4026	Best Available Evidence Contact	"Director, Enrollment & Reconciliation"	Mr.	Coronel	Vincent		1-562-637-1234				1-562-989-5243	vcoronel@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	1/14/2025	2026	SCAN HEALTH PLAN (WA)	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4026	Chief Financial Officer	CFO	Mr.	Plumb	Michael		1-562-997-1589	1589				mplumb@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	1/14/2025	2026	SCAN HEALTH PLAN (WA)	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4026	CMS Casework Communication Contact	Sr. Dir Medicare Compliance Officer		Cordova	Elizabeth		1-562-997-3131				1-562-989-5120	ecordova@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	10/14/2025	2026	SCAN HEALTH PLAN (WA)	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4026	Coordination of Benefits Contact	Pharmacy Analyst		Banks	Marcia	D	1-562-308-1189	1189			1-562-997-3196	mcurtis@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	1/14/2025	2026	SCAN HEALTH PLAN (WA)	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4026	Customer Service Operations Contact	"Director, (Customer) Member Services"	Ms.	McBeath	Kim		1-562-997-1805				1-562-989-5181	kmcbeath@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	1/14/2025	2026	SCAN HEALTH PLAN (WA)	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4026	Government Relations Contact	VP of Government Relations		Kazan	Matt		1-800-559-3500				1-562-989-9439	m.kazan@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	1/14/2025	2026	SCAN HEALTH PLAN (WA)	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4026	Hospice Contact	Sr Dir Pharm & Formly Ops		Slavina	Yelena		1-562-308-2816					yslavina@scanhealthplan.com	3800 Kilroy Airport Way		Long Beach	CA	90806	8/7/2025	2026	SCAN HEALTH PLAN (WA)	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4026	Medicare Compliance Officer	Sr. Dir Medicare Compliance Officer	Ms.	Cordova	Elizabeth		1-562-997-3131				1-562-989-5120	ecordova@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	10/14/2025	2026	SCAN HEALTH PLAN (WA)	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4026	Part D Exceptions Contact	Sr. Manager – Pharmacy Prior Authorization	Mr.	Herbert	Joshua							Joshua.Herbert@evernorth.com	One Express Way Mail Stop	S13NB	St. Louis	MO	63121	10/14/2025	2026	SCAN HEALTH PLAN (WA)	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active	1-513-292-0563	733326			HMO - Health Maintenance Organization		C	Chicago
H4026	Pharmacy Network Management Contact	"Network Acct Director, Retail Strategy"	Ms.	Kelly	Heather		1-314-692-1866				1-800-357-9578	hakelly@express-scripts.com	One Express Way		St Louis	MO	63121	1/14/2025	2026	SCAN HEALTH PLAN (WA)	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4026	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	13051 N. Telecom Pkwy	STE 150	Temple Terrace''	FL	33637	1/14/2025	2026	SCAN HEALTH PLAN (WA)	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Chicago
H4026	Plan to Plan Reconciliation Contact	"Vice President, Controller"	Ms.	Havai	Virginia		1-562-989-8300				1-562-989-0101	P2PAdmin@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	1/14/2025	2026	SCAN HEALTH PLAN (WA)	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4032	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF THE ROCKIES, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4032	Best Available Evidence Contact	"Manager, Enrollment & Eligibility"		Asselin	Krista		1-763-361-1104					krista_asselin@uhc.com	PO Box 9472		Minneapolis	MN	55440	11/14/2025	2026	"UNITEDHEALTHCARE OF THE ROCKIES, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4032	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/13/2025	2026	"UNITEDHEALTHCARE OF THE ROCKIES, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4032	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"UNITEDHEALTHCARE OF THE ROCKIES, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4032	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF THE ROCKIES, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4032	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF THE ROCKIES, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4032	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF THE ROCKIES, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4032	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF THE ROCKIES, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4032	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF THE ROCKIES, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4032	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF THE ROCKIES, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H4032	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF THE ROCKIES, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4032	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF THE ROCKIES, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H4032	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"UNITEDHEALTHCARE OF THE ROCKIES, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4036	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H4036	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H4036	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H4036	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H4036	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H4036	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H4036	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H4036	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H4036	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H4036	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				PPO - BBA		C	Chicago
H4036	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/31/2023	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H4036	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				PPO - BBA		C	Chicago
H4036	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/7/2021	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H4045	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy"	Dr.	Yang	Anna		1-408-874-1839					ayang@scfhp.com	6201 San Ignacio Ave		San Jose	CA	95119	10/2/2023	2026	SANTA CLARA COUNTY HEALTH AUTHORITY	Local CCP	Santa Clara Family Health Plan	HMO/HMOPOS		SANTA CLARA COUNTY HEALTH AUTHORITY	303	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4045	Best Available Evidence Contact	"Manager, Medicare Oureach"	Mr.	Ly	Thien		1-408-874-1941					tly@scfhp.com	6201 San Ignacio Ave		San Jose	CA	95119	2/9/2022	2026	SANTA CLARA COUNTY HEALTH AUTHORITY	Local CCP	Santa Clara Family Health Plan	HMO/HMOPOS		SANTA CLARA COUNTY HEALTH AUTHORITY	303	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4045	Chief Financial Officer	Chief Financial Officer	Mr.	Jarecki	Neal		1-408-874-1892					NJarecki@scfhp.com	6201 San Ignacio Ave		San Jose	CA	95119	2/9/2022	2026	SANTA CLARA COUNTY HEALTH AUTHORITY	Local CCP	Santa Clara Family Health Plan	HMO/HMOPOS		SANTA CLARA COUNTY HEALTH AUTHORITY	303	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4045	CMS Casework Communication Contact	"Director, Operations"		Oliveira	Mauro		1-408-857-2532					moliveira@scfhp.com	6201 San Ignacio Ave		San Jose	CA	95119	3/6/2024	2026	SANTA CLARA COUNTY HEALTH AUTHORITY	Local CCP	Santa Clara Family Health Plan	HMO/HMOPOS		SANTA CLARA COUNTY HEALTH AUTHORITY	303	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4045	Coordination of Benefits Contact			email	COB		1-408-874-1866					COB@scfhp.com	6201 San Ignacio Ave		San Jose	CA	95119	4/20/2022	2026	SANTA CLARA COUNTY HEALTH AUTHORITY	Local CCP	Santa Clara Family Health Plan	HMO/HMOPOS		SANTA CLARA COUNTY HEALTH AUTHORITY	303	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4045	Customer Service Operations Contact	"Director, Customer Services"	Ms.	Nguyen	Tanya		1-408-874-1851					tnguyen@scfhp.com	6201 San Ignacio Ave		San Jose	CA	95119	2/9/2022	2026	SANTA CLARA COUNTY HEALTH AUTHORITY	Local CCP	Santa Clara Family Health Plan	HMO/HMOPOS		SANTA CLARA COUNTY HEALTH AUTHORITY	303	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4045	Government Relations Contact	"VP, Government Relations and Compliance"	Mr.	Haskell	Tyler		1-408-874-1749					thaskell@scfhp.com	6201 San Ignacio Ave		San Jose	CA	95119	1/17/2024	2026	SANTA CLARA COUNTY HEALTH AUTHORITY	Local CCP	Santa Clara Family Health Plan	HMO/HMOPOS		SANTA CLARA COUNTY HEALTH AUTHORITY	303	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4045	Hospice Contact	Chief Medical Officer	Dr.	Paul	Ria		1-408-874-1832					rpaul@scfhp.com	6201 San Ignacio Ave		San Jose	CA	95119	1/29/2024	2026	SANTA CLARA COUNTY HEALTH AUTHORITY	Local CCP	Santa Clara Family Health Plan	HMO/HMOPOS		SANTA CLARA COUNTY HEALTH AUTHORITY	303	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4045	Medicare Compliance Officer	Compliance Officer	Mr.	Quan	Daniel		1-408-532-3349					dquan@scfhp.com	6201 San Ignacio Ave		San Jose	CA	95119	5/22/2026	2026	SANTA CLARA COUNTY HEALTH AUTHORITY	Local CCP	Santa Clara Family Health Plan	HMO/HMOPOS		SANTA CLARA COUNTY HEALTH AUTHORITY	303	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4045	Part D Exceptions Contact	"Director, Pharmacy"	Dr.	Yang	Anna							ayang@scfhp.com	6201 San Ignacio Ave		San Jose	CA	95119	10/2/2023	2026	SANTA CLARA COUNTY HEALTH AUTHORITY	Local CCP	Santa Clara Family Health Plan	HMO/HMOPOS		SANTA CLARA COUNTY HEALTH AUTHORITY	303	Yes	Active	1-408-874-1839				HMO - Health Maintenance Organization		C	Boston
H4045	Pharmacy Network Management Contact	"Director, Pharmacy"	Dr.	Yang	Anna		1-408-874-1839					ayang@scfhp.com	6201 San Ignacio Ave		San Jose	CA	95119	10/2/2023	2026	SANTA CLARA COUNTY HEALTH AUTHORITY	Local CCP	Santa Clara Family Health Plan	HMO/HMOPOS		SANTA CLARA COUNTY HEALTH AUTHORITY	303	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4045	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"	Ms.	Brewer	Kathy							customerservice@MedImpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	2/9/2022	2026	SANTA CLARA COUNTY HEALTH AUTHORITY	Local CCP	Santa Clara Family Health Plan	HMO/HMOPOS		SANTA CLARA COUNTY HEALTH AUTHORITY	303	Yes	Active	1-888-807-8666				HMO - Health Maintenance Organization		C	Boston
H4045	Plan to Plan Reconciliation Contact	Controller		Silva	Lynne		1-408-402-1747					lynnes@scfhp.com	6201 San Ignacio Ave		San Jose	CA	95119	8/7/2025	2026	SANTA CLARA COUNTY HEALTH AUTHORITY	Local CCP	Santa Clara Family Health Plan	HMO/HMOPOS		SANTA CLARA COUNTY HEALTH AUTHORITY	303	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4053	Automated TrOOP Balance Transfer Contact	Director		Burnette	Ali		1-803-434-4421				1-803-434-3773	alison.burnette2@prismahealth.org	1308 Laurel Street		Columbia	SC	29201	1/16/2025	2026	PRISMA HEALTH-UPSTATE	National PACE	Prisma Health SeniorCare PACE-Upstate	National PACE		Prisma Health	739	Yes	Active					PACE - Nat		C	Atlanta
H4053	Best Available Evidence Contact	Director		Burnette	Alison		1-803-434-4421				1-803-434-3773	alison.burnette2@prismahealth.org	1308 Laurel Street	2nd Floor	Columbia	SC	29201	7/8/2024	2026	PRISMA HEALTH-UPSTATE	National PACE	Prisma Health SeniorCare PACE-Upstate	National PACE		Prisma Health	739	Yes	Active					PACE - Nat		C	Atlanta
H4053	Chief Financial Officer	Director	Mrs.	Burnette	Ali		1-803-434-4421				1-803-434-3773	alison.burnette2@prismahealth.org	1308 Laurel Street		Columbia	SC	29201	1/16/2025	2026	PRISMA HEALTH-UPSTATE	National PACE	Prisma Health SeniorCare PACE-Upstate	National PACE		Prisma Health	739	Yes	Active					PACE - Nat		C	Atlanta
H4053	CMS Casework Communication Contact	Director		Burnette	Alison		1-803-434-4421				1-803-434-3773	alison.burnette2@prismahealth.org	1308 Laurel Street	2nd Floor	Columbia	SC	29201	7/8/2024	2026	PRISMA HEALTH-UPSTATE	National PACE	Prisma Health SeniorCare PACE-Upstate	National PACE		Prisma Health	739	Yes	Active					PACE - Nat		C	Atlanta
H4053	Coordination of Benefits Contact	Director		Burnette	Ali		1-803-434-4421				1-803-434-3773	alison.burnette2@prismahealth.org	1308 Laurel Street		Columbia	SC	29201	1/16/2025	2026	PRISMA HEALTH-UPSTATE	National PACE	Prisma Health SeniorCare PACE-Upstate	National PACE		Prisma Health	739	Yes	Active					PACE - Nat		C	Atlanta
H4053	Customer Service Operations Contact	Director		Burnette	Alison		1-803-434-4421				1-803-434-3773	alison.burnette2@prismahealth.org	1308 Laurel Street	2nd Floor	Columbia	SC	29201	7/8/2024	2026	PRISMA HEALTH-UPSTATE	National PACE	Prisma Health SeniorCare PACE-Upstate	National PACE		Prisma Health	739	Yes	Active					PACE - Nat		C	Atlanta
H4053	Government Relations Contact	Director		Burnette	Alison		1-803-434-4421				1-803-434-3773	alison.burnette2@prismahealth.org	1308 Laurel Street	2nd Floor	Columbia	SC	29201	7/8/2024	2026	PRISMA HEALTH-UPSTATE	National PACE	Prisma Health SeniorCare PACE-Upstate	National PACE		Prisma Health	739	Yes	Active					PACE - Nat		C	Atlanta
H4053	Medicare Compliance Officer	Corporate Compliance Officer	Mr.	Pietras	Scott		1-864-797-7712					scott.pietras@prismahealth.org	300 E. McBee Ave	Suite 302	Greenville	SC	29601	7/8/2024	2026	PRISMA HEALTH-UPSTATE	National PACE	Prisma Health SeniorCare PACE-Upstate	National PACE		Prisma Health	739	Yes	Active					PACE - Nat		C	Atlanta
H4053	Part D Exceptions Contact	"Director, Pharmacy Services"		Propst	Jordan							jordan.propst@prismahealth.org	1301 Taylor Street		Columbia	SC	29201	4/16/2026	2026	PRISMA HEALTH-UPSTATE	National PACE	Prisma Health SeniorCare PACE-Upstate	National PACE		Prisma Health	739	Yes	Active	1-864-490-7827				PACE - Nat		C	Atlanta
H4053	Pharmacy Network Management Contact	"Director, Pharmacy Services"		Propst	Jordan		1-864-490-7827				1-864-455-8247	jordan.propst@prismahealth.org	1301 Taylor Street		Columbia	SC	29201	4/16/2026	2026	PRISMA HEALTH-UPSTATE	National PACE	Prisma Health SeniorCare PACE-Upstate	National PACE		Prisma Health	739	Yes	Active					PACE - Nat		C	Atlanta
H4053	Pharmacy Technical Help Desk Contact	"Director, Pharmacy Services"		Propst	Jordan							jordan.propst@prismahealth.org	1301 Taylor Street		Columbia	SC	29201	4/16/2026	2026	PRISMA HEALTH-UPSTATE	National PACE	Prisma Health SeniorCare PACE-Upstate	National PACE		Prisma Health	739	Yes	Active	1-864-490-7827				PACE - Nat		C	Atlanta
H4053	Plan to Plan Reconciliation Contact	Director		Burnette	Ali		1-803-434-4421				1-803-434-3773	alison.burnette2@prismahealth.org	1308 Laurel Street		Columbia	SC	29201	1/16/2025	2026	PRISMA HEALTH-UPSTATE	National PACE	Prisma Health SeniorCare PACE-Upstate	National PACE		Prisma Health	739	Yes	Active					PACE - Nat		C	Atlanta
H4054	Automated TrOOP Balance Transfer Contact	VP of Pharmacy	Dr	Ford	James	E	1-443-275-9801					jford@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4054	Best Available Evidence Contact	VP of Plan Management	Ms	Radice	Sue		1-410-991-3213				1-844-462-3091	sradice@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4054	Chief Financial Officer	CFO	Mr	Persinger	Keith		1-410-456-3946					kpersinger@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4054	CMS Casework Communication Contact	Chief Compliance Officer	Mr	Nunez	Kenneth		1-813-230-1048					knunez@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4054	Coordination of Benefits Contact	VP of Finance	Ms	McIntyre	Mary Beth		1-410-967-2097					mmcintyre@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4054	Customer Service Operations Contact	VP of Operations	Mr	Brain	Jay		1-240-367-2626					JBrain@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4054	Government Relations Contact	President & CEO	Mr	Grindrod	Rick		1-410-913-7653					rgrindrod@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4054	Hospice Contact	Director of Operations	Ms	Winton	Linde		1-817-374-3812					lwinton@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4054	Medicare Compliance Officer	Chief Compliance Officer	Mr	Nunez	Kenneth		1-813-230-1048					knunez@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	2/18/2026	2026	"PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4054	Part D Exceptions Contact	"Manager, Prior Authorization Appeals"		Le	Christina						1-877-239-4565	christina.le@optum.com	PO Box 2975		Mission	KS	66201	12/19/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active	1-888-403-3398				HMO - Health Maintenance Organization		C	Dallas
H4054	Pharmacy Network Management Contact	"Manager, Retail Network Operations"		Perez	Felix		1-305-331-3044					Felix.perez@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	12/19/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4054	Pharmacy Technical Help Desk Contact	"Manager, Pharmacy Help Desk"	Mr	Villanueva	Juan							juan.villanueva@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	5/18/2026	2026	"PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active	1-855-205-4428				HMO - Health Maintenance Organization		C	Dallas
H4054	Plan to Plan Reconciliation Contact	VP of Finance	Ms	McIntyre	Mary Beth		1-410-967-2097					mmcintyre@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4057	Automated TrOOP Balance Transfer Contact	Director of Pharmacy		Wearda	Bruce		1-661-664-5100					brucew@khs-net.com	2900 Buck Owens Blvd.		Bakersfield	CA	93308	2/7/2025	2026	KERN HEALTH SYSTEMS	Local CCP	Kern Family Health Care Medicare (D-SNP)	HMO/HMOPOS		Kern Health Systems (KHS)	876	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4057	Best Available Evidence Contact	Senior Director of Member Services		Scott	Nate		1-661-617-2503					nate.scott@khs-net.com	2900 Buck Owens Blvd.		Bakersfield	CA	93308	2/7/2025	2026	KERN HEALTH SYSTEMS	Local CCP	Kern Family Health Care Medicare (D-SNP)	HMO/HMOPOS		Kern Health Systems (KHS)	876	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4057	Chief Financial Officer	Chief Financial Officer	Mr.	Robert	Robert		1-661-664-5007					robert.landis@khs-net.com	2900 Buck Owens Blvd.		Bakersfield	CA	93308	2/7/2025	2026	KERN HEALTH SYSTEMS	Local CCP	Kern Family Health Care Medicare (D-SNP)	HMO/HMOPOS		Kern Health Systems (KHS)	876	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4057	CMS Casework Communication Contact	Director of Compliance & Regulatory Affairs		MacAdam	Jane		1-661-664-5016					jane.macadam@khs-net.com	2900 Buck Owens Blvd.		Bakersfield	CA	93308	2/7/2025	2026	KERN HEALTH SYSTEMS	Local CCP	Kern Family Health Care Medicare (D-SNP)	HMO/HMOPOS		Kern Health Systems (KHS)	876	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4057	Coordination of Benefits Contact	Director of Pharmacy		Wearda	Bruce		1-661-664-5100					brucew@khs-net.com	2900 Buck Owens Blvd.		Bakersfield	CA	93308	2/7/2025	2026	KERN HEALTH SYSTEMS	Local CCP	Kern Family Health Care Medicare (D-SNP)	HMO/HMOPOS		Kern Health Systems (KHS)	876	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4057	Customer Service Operations Contact	Senior Director of Member Services		Scott	Nate		1-661-617-2503					nate.scott@khs-net.com	2900 Buck Owens Blvd.		Bakersfield	CA	93308	2/7/2025	2026	KERN HEALTH SYSTEMS	Local CCP	Kern Family Health Care Medicare (D-SNP)	HMO/HMOPOS		Kern Health Systems (KHS)	876	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4057	Government Relations Contact	Senior Director of Project Management and Governme		McGuire	Jeremy		1-661-664-5018					jeremy.mcguire@khs-net.com	2900 Buck Owens Blvd.		Bakersfield	CA	93308	2/7/2025	2026	KERN HEALTH SYSTEMS	Local CCP	Kern Family Health Care Medicare (D-SNP)	HMO/HMOPOS		Kern Health Systems (KHS)	876	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4057	Hospice Contact	Director of Pharmacy		Wearda	Bruce		1-661-664-5100					brucew@khs-net.com	2900 Buck Owens Blvd.		Bakersfield	CA	93308	2/8/2025	2026	KERN HEALTH SYSTEMS	Local CCP	Kern Family Health Care Medicare (D-SNP)	HMO/HMOPOS		Kern Health Systems (KHS)	876	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4057	Medicare Compliance Officer	Chief Compliance and Fraud Prevention Officer	Mrs.	Murr	Deborah		1-661-664-5141					deborah.murr@khs-net.com	2900 Buck Owens Blvd.		Bakersfield	CA	93308	2/7/2025	2026	KERN HEALTH SYSTEMS	Local CCP	Kern Family Health Care Medicare (D-SNP)	HMO/HMOPOS		Kern Health Systems (KHS)	876	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4057	Part D Exceptions Contact	Director of Pharmacy		Wearda	Bruce							brucew@khs-net.com	2900 Buck Owens Blvd.		Bakersfield	CA	93308	2/8/2025	2026	KERN HEALTH SYSTEMS	Local CCP	Kern Family Health Care Medicare (D-SNP)	HMO/HMOPOS		Kern Health Systems (KHS)	876	Yes	Active	1-661-664-5100				HMO - Health Maintenance Organization		C	Dallas
H4057	Pharmacy Network Management Contact	Deputy Dir of Provider Network		Winfrey	James		1-661-664-5161					james.winfrey@khs-net.com	2900 Buck Owens Blvd.		Bakersfield	CA	93308	2/7/2025	2026	KERN HEALTH SYSTEMS	Local CCP	Kern Family Health Care Medicare (D-SNP)	HMO/HMOPOS		Kern Health Systems (KHS)	876	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4057	Pharmacy Technical Help Desk Contact			Pharmacy Help Desk	MedImpact								10181 Scripps Gateway Ct		San Diego	CA	92131	12/5/2025	2026	KERN HEALTH SYSTEMS	Local CCP	Kern Family Health Care Medicare (D-SNP)	HMO/HMOPOS		Kern Health Systems (KHS)	876	Yes	Active	1-833-546-0101				HMO - Health Maintenance Organization		C	Dallas
H4057	Plan to Plan Reconciliation Contact	Director of Pharmacy		Wearda	Bruce		1-661-664-5100					brucew@khs-net.com	2900 Buck Owens Blvd.		Bakersfield	CA	93308	2/8/2025	2026	KERN HEALTH SYSTEMS	Local CCP	Kern Family Health Care Medicare (D-SNP)	HMO/HMOPOS		Kern Health Systems (KHS)	876	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4073	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4073	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4073	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/20/2024	2026	"WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4073	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4073	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4073	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/18/2024	2026	"WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4073	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4073	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4073	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	"WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4073	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/20/2024	2026	"WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H4073	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	"WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4073	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/17/2024	2026	"WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0408				HMO - Health Maintenance Organization		C	Denver
H4073	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	6/20/2024	2026	"WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4074	Automated TrOOP Balance Transfer Contact	Regional Director Finance	Ms	Fuhrmeister	Nicole		1-215-778-8707					nicole.fuhrmeister@trinity-health.org	4508 Chestnut Street		Philadelphia	PA	19139	8/4/2023	2026	MERCY LIFE OF ALABAMA	National PACE	Mercy LIFE of Alabama	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H4074	Best Available Evidence Contact	Regional Director Finance	Ms	Fuhrmeister	Nicole		1-215-778-8707					nicole.fuhrmeister@trinity-health.org	4508 Chestnut Street		Philadelphia	PA	19139	8/4/2023	2026	MERCY LIFE OF ALABAMA	National PACE	Mercy LIFE of Alabama	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H4074	Chief Financial Officer	Regional Director Finance	Ms	Fuhrmeister	Nicole		1-215-778-8707					nicole.fuhrmeister@trinity-health.org	4508 Chestnut Street		Philadelphia	PA	19139	7/27/2023	2026	MERCY LIFE OF ALABAMA	National PACE	Mercy LIFE of Alabama	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H4074	CMS Casework Communication Contact	Executive Director	Ms	Overton	Kathryn		1-251-287-8420				1-251-287-8478	kathryn.overton@mercylifeal.com	2900 Springhill Ave		Mobile	AL	36607	8/24/2022	2026	MERCY LIFE OF ALABAMA	National PACE	Mercy LIFE of Alabama	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H4074	Coordination of Benefits Contact	Regional Director Finance	Ms	Fuhrmeister	Nicole		1-215-778-8707				1-251-287-8478	nicole.fuhrmeister@trinity-health.org	2900 Springhill Ave		Mobile	AL	36607	8/4/2023	2026	MERCY LIFE OF ALABAMA	National PACE	Mercy LIFE of Alabama	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H4074	Customer Service Operations Contact	Executive Director	Ms	Overton	Kathryn		1-251-287-8420				1-251-287-8478	kathryn.overton@mercylifeal.com	2900 Springhill Ave		Mobile	AL	36607	8/24/2022	2026	MERCY LIFE OF ALABAMA	National PACE	Mercy LIFE of Alabama	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H4074	Government Relations Contact	Executive Director	Ms	Overton	Kathryn		1-251-287-8420				1-251-287-8478	kathryn.overton@mercylifeal.com	2900 Springhill Ave		Mobile	AL	36607	10/3/2022	2026	MERCY LIFE OF ALABAMA	National PACE	Mercy LIFE of Alabama	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H4074	Medicare Compliance Officer	National Director QI/Compliance	Ms	Watts	Christina		1-248-420-6065					wattscl@trinity-health.org	20555 Victor Parkway		Livonia	MI	48152	8/15/2023	2026	MERCY LIFE OF ALABAMA	National PACE	Mercy LIFE of Alabama	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H4074	Part D Exceptions Contact	Manager Part D Compliance	Mr	Garbarino	Joseph							Joseph.Garbarino@trinity-health.org	1930 South Broad St	Unit 3	Philadelphia	PA	19145	9/15/2023	2026	MERCY LIFE OF ALABAMA	National PACE	Mercy LIFE of Alabama	National PACE		Trinity Health Corporation	234	Yes	Active	1-215-339-4362				PACE - Nat		C	Atlanta
H4074	Pharmacy Network Management Contact	Manager Part D Compliance	Mr	Garbarino	Joseph		1-215-339-4362					joseph.garbarino@trinity-health.org	1001 Baltimore Pike		Springfield	PA	19064	8/4/2023	2026	MERCY LIFE OF ALABAMA	National PACE	Mercy LIFE of Alabama	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H4074	Pharmacy Technical Help Desk Contact	Manager Part D Compliance	Mr	Garbarino	Joseph							Joseph.Garbarino@trinity-health.org	1930 South Broad St	Unit 3	Philadelphia	PA	19145	9/15/2023	2026	MERCY LIFE OF ALABAMA	National PACE	Mercy LIFE of Alabama	National PACE		Trinity Health Corporation	234	Yes	Active	1-215-339-4362				PACE - Nat		C	Atlanta
H4074	Plan to Plan Reconciliation Contact	Regional Director Finance	Ms	Fuhrmeister	Nicole		1-215-778-8707				1-251-287-8478	nicole.fuhrmeister@trinity-health.org	2900 Springhill Ave		Mobile	AL	36607	8/4/2023	2026	MERCY LIFE OF ALABAMA	National PACE	Mercy LIFE of Alabama	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H4091	Automated TrOOP Balance Transfer Contact	"Supervisor, Enrollment & Eligibility"	Ms.	Sherman	Mandy		1-920-221-4083				1-920-221-4583	relay.health@navitus.com	"Navitus Health Solutions, LLC"	1025 West Navitus Drive	Appleton	WI	54913	6/12/2023	2026	"SIMPRA ADVANTAGE, INC."	Local CCP	Simpra Advantage	Local PPO		"Associated Care Ventures, Inc."	674	Yes	Active					PPO - BBA		C	New York
H4091	Best Available Evidence Contact	COO	Ms.	Brenier	Holly		1-205-757-9107					Holly.Brenier@acvcorp.com	3008 7th Avenue South		Birmingham	AL	35233	6/12/2023	2026	"SIMPRA ADVANTAGE, INC."	Local CCP	Simpra Advantage	Local PPO		"Associated Care Ventures, Inc."	674	Yes	Active					PPO - BBA		C	New York
H4091	Chief Financial Officer	CFO	Ms.	Brenier	Holly		1-205-757-9107					Holly.Brenier@acvcorp.com	3008 Seventh Avenue South		Birmingham	AL	35233	6/12/2023	2026	"SIMPRA ADVANTAGE, INC."	Local CCP	Simpra Advantage	Local PPO		"Associated Care Ventures, Inc."	674	Yes	Active					PPO - BBA		C	New York
H4091	CMS Casework Communication Contact	Medicare Compliance Officer	Ms.	Mize	Tracy		1-205-914-0842					tracy.mize@acvcorp.com	3008 7th Avenue South		Birmingham	AL	35233	3/5/2026	2026	"SIMPRA ADVANTAGE, INC."	Local CCP	Simpra Advantage	Local PPO		"Associated Care Ventures, Inc."	674	Yes	Active					PPO - BBA		C	New York
H4091	Coordination of Benefits Contact	CFO/COO	Ms.	Brenier	Holly		1-205-757-9107					Holly.Brenier@acvcorp.com	3008 7th Avenue South		Birmingham	AL	35233	6/12/2023	2026	"SIMPRA ADVANTAGE, INC."	Local CCP	Simpra Advantage	Local PPO		"Associated Care Ventures, Inc."	674	Yes	Active					PPO - BBA		C	New York
H4091	Customer Service Operations Contact	CFO/COO	Ms.	Brenier	Holly		1-205-757-9107					Holly.Brenier@acvcorp.com	3008 7th Avenue South		Birmingham	AL	35233	6/12/2023	2026	"SIMPRA ADVANTAGE, INC."	Local CCP	Simpra Advantage	Local PPO		"Associated Care Ventures, Inc."	674	Yes	Active					PPO - BBA		C	New York
H4091	Government Relations Contact	Medicare Compliance Officer	Ms.	Mize	Tracy		1-205-914-0842					tracy.mize@acvcorp.com	3008 7th Avenue South		Birmingham	AL	35233	3/5/2026	2026	"SIMPRA ADVANTAGE, INC."	Local CCP	Simpra Advantage	Local PPO		"Associated Care Ventures, Inc."	674	Yes	Active					PPO - BBA		C	New York
H4091	Hospice Contact	"VP, Operations"	Ms.	Gaines	Ann		1-205-659-0919					Ann.Gaines@acvcorp.com	3008 7th Avenue South		Birmingham	AL	35233	3/25/2025	2026	"SIMPRA ADVANTAGE, INC."	Local CCP	Simpra Advantage	Local PPO		"Associated Care Ventures, Inc."	674	Yes	Active					PPO - BBA		C	New York
H4091	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Mize	Tracy		1-205-914-0842					tracy.mize@acvcorp.com	3008 Seventh Avenue South	Suite 110	Birmingham	AL	35233	3/5/2026	2026	"SIMPRA ADVANTAGE, INC."	Local CCP	Simpra Advantage	Local PPO		"Associated Care Ventures, Inc."	674	Yes	Active					PPO - BBA		C	New York
H4091	Part D Exceptions Contact	"Sr. Manager, Clinical Prior Authorization"	Mr.	LeClair	Christophe						1-920-221-4676	Christopher.LeClair@Navitus.com	Navitus Health Solutions	1025 West Navitus Drive	Appleton	WI	54913	6/12/2023	2026	"SIMPRA ADVANTAGE, INC."	Local CCP	Simpra Advantage	Local PPO		"Associated Care Ventures, Inc."	674	Yes	Active	1-920-221-4176				PPO - BBA		C	New York
H4091	Pharmacy Network Management Contact	"VP, Network Management"	Ms.	Santos	Christina		1-608-820-4408					Christina.Santos@navitus.com	361 Integrity Drive		Madison	WI	53717	4/3/2024	2026	"SIMPRA ADVANTAGE, INC."	Local CCP	Simpra Advantage	Local PPO		"Associated Care Ventures, Inc."	674	Yes	Active					PPO - BBA		C	New York
H4091	Pharmacy Technical Help Desk Contact	"Sr. Manager, Customer Care Accounts"	Ms.	Nett	Danielle						1-920-221-4724	Danielle.Nett@navitus.com	"Navitus Health Solutions, LLC"	1025 W. Navitus Drive	Appleton	WI	54913	6/12/2023	2026	"SIMPRA ADVANTAGE, INC."	Local CCP	Simpra Advantage	Local PPO		"Associated Care Ventures, Inc."	674	Yes	Active	1-866-270-3877	4224			PPO - BBA		C	New York
H4091	Plan to Plan Reconciliation Contact	CFO/COO	Ms.	Brenier	Holly		1-205-757-9107					Holly.Brenier@acvcorp.com	3008 7th Avenue South		Birmingham	AL	35233	6/12/2023	2026	"SIMPRA ADVANTAGE, INC."	Local CCP	Simpra Advantage	Local PPO		"Associated Care Ventures, Inc."	674	Yes	Active					PPO - BBA		C	New York
H4093	Automated TrOOP Balance Transfer Contact	VP of Pharmacy	Dr	Ford	James	E	1-443-275-9801					jford@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC"	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4093	Best Available Evidence Contact	VP of Plan Management	Ms	Radice	Sue		1-410-991-3213				1-844-462-3091	sradice@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC"	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4093	Chief Financial Officer	CFO	Mr	Persinger	Keith		1-410-456-3946					kpersinger@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC"	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4093	CMS Casework Communication Contact	Chief Compliance Officer	Mr	Nunez	Kenneth		1-813-230-1048					knunez@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC"	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4093	Coordination of Benefits Contact	VP of Finance	Ms	McIntyre	Mary Beth		1-410-967-2097					mmcintyre@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC"	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4093	Customer Service Operations Contact	VP of Operations	Mr	Brain	Jay		1-240-367-2626					JBrain@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC"	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4093	Government Relations Contact	President & CEO	Mr	Grindrod	Rick		1-410-913-7653					rgrindrod@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC"	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4093	Hospice Contact	Director of Operations	Ms	Winton	Linde		1-817-374-3812					lwinton@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC"	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4093	Medicare Compliance Officer	Chief Compliance Officer	Mr	Nunez	Kenneth		1-813-230-1048					knunez@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	2/18/2026	2026	"PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC"	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4093	Part D Exceptions Contact	"Manager, Prior Authorization Appeals"		Le	Christina						1-877-239-4565	christina.le@optum.com	PO Box 2975		Mission	KS	66201	12/19/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC"	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active	1-888-403-3398				HMO - Health Maintenance Organization		C	Dallas
H4093	Pharmacy Network Management Contact	"Manager, Retail Network Operations"		Perez	Felix		1-305-331-3044					Felix.perez@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	12/19/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC"	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4093	Pharmacy Technical Help Desk Contact	"Manager, Pharmacy Help Desk"	Mr	Villanueva	Juan							juan.villanueva@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	5/18/2026	2026	"PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC"	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active	1-855-205-4428				HMO - Health Maintenance Organization		C	Dallas
H4093	Plan to Plan Reconciliation Contact	VP of Finance	Ms	McIntyre	Mary Beth		1-410-967-2097					mmcintyre@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC"	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4105	Automated TrOOP Balance Transfer Contact	Medical Management Associate		Ogungbenle	Folashade		1-401-654-4098				1-401-654-4660	fogungbenle@pace-ri.org	10 Tripps Lane		Riverside	RI	02915	2/3/2026	2026	PACE ORGANIZATION OF RHODE ISLAND	National PACE	PACE Organization Of Rhode Island	National PACE		PACE Organization of Rhode Island	177	Yes	Active					PACE - Nat		C	New York
H4105	Best Available Evidence Contact	CEO		Kwiatkowski	Joan	L	1-401-654-4564				1-401-654-4660	jkwiatkowski@pace-ri.org	10 Tripps Lane		Riverside	RI	02915	11/8/2021	2026	PACE ORGANIZATION OF RHODE ISLAND	National PACE	PACE Organization Of Rhode Island	National PACE		PACE Organization of Rhode Island	177	Yes	Active					PACE - Nat		C	New York
H4105	Chief Financial Officer	CFO	Mrs.	Bernier	Corissa		1-401-654-4074				1-401-654-4660	cbernier@pace-ri.org	10 Tripps Ln		Riverside	RI	02915	11/8/2024	2026	PACE ORGANIZATION OF RHODE ISLAND	National PACE	PACE Organization Of Rhode Island	National PACE		PACE Organization of Rhode Island	177	Yes	Active					PACE - Nat		C	New York
H4105	CMS Casework Communication Contact	Chief of Organizational Performance		Boucher	Liz		1-401-654-5255				1-401-654-4660	lboucher@pace-ri.org	10 Tripps Lane		Riverside	RI	02915	2/3/2026	2026	PACE ORGANIZATION OF RHODE ISLAND	National PACE	PACE Organization Of Rhode Island	National PACE		PACE Organization of Rhode Island	177	Yes	Active					PACE - Nat		C	New York
H4105	Coordination of Benefits Contact	Staff Accountant		Mukasa	Kevin		1-401-654-5140				1-401-654-4660	kmukasa@pace-ri.org	10 Tripps Lane		Riverside	RI	02915	8/29/2024	2026	PACE ORGANIZATION OF RHODE ISLAND	National PACE	PACE Organization Of Rhode Island	National PACE		PACE Organization of Rhode Island	177	Yes	Active					PACE - Nat		C	New York
H4105	Customer Service Operations Contact	Chief of Growth		Girard	Maryellen		1-401-654-4072				1-401-654-4660	mgirard@pace-ri.org	10 Tripps Lane		Riverside	RI	02915	8/29/2024	2026	PACE ORGANIZATION OF RHODE ISLAND	National PACE	PACE Organization Of Rhode Island	National PACE		PACE Organization of Rhode Island	177	Yes	Active					PACE - Nat		C	New York
H4105	Government Relations Contact	CEO		Kwiatkowski	Joan	L	1-401-654-4564				1-401-654-4660	jkwiatkowski@pace-ri.org	10 Tripps Lane		Riverside	RI	02915	2/3/2026	2026	PACE ORGANIZATION OF RHODE ISLAND	National PACE	PACE Organization Of Rhode Island	National PACE		PACE Organization of Rhode Island	177	Yes	Active					PACE - Nat		C	New York
H4105	Medicare Compliance Officer	Chief of Organizational Performance	Mrs.	Boucher	Liz		1-401-654-5255				1-401-654-4660	lboucher@pace-ri.org	10 Tripps Lane		Riverside	RI	02915	11/8/2021	2026	PACE ORGANIZATION OF RHODE ISLAND	National PACE	PACE Organization Of Rhode Island	National PACE		PACE Organization of Rhode Island	177	Yes	Active					PACE - Nat		C	New York
H4105	Part D Exceptions Contact	Medical Management Associate		Ogungbenle	Folashade						1-401-654-4660	fogungbenle@pace-ri.org	10 Tripps Lane		Riverside	RI	02915	2/3/2026	2026	PACE ORGANIZATION OF RHODE ISLAND	National PACE	PACE Organization Of Rhode Island	National PACE		PACE Organization of Rhode Island	177	Yes	Active	1-401-654-4098				PACE - Nat		C	New York
H4105	Pharmacy Network Management Contact	Contract Manager		Whitehead	Judy		1-401-654-4789					jwhitehead@pace-ri.org	10 Tripps Lane		Riverside	RI	02915	8/29/2024	2026	PACE ORGANIZATION OF RHODE ISLAND	National PACE	PACE Organization Of Rhode Island	National PACE		PACE Organization of Rhode Island	177	Yes	Active					PACE - Nat		C	New York
H4105	Pharmacy Technical Help Desk Contact	Pharmacist		Dyer	Curtis	L					1-401-654-4660	cdyer@pace-ri.org	10 Tripps Lane		Riverside	RI	02915	1/25/2022	2026	PACE ORGANIZATION OF RHODE ISLAND	National PACE	PACE Organization Of Rhode Island	National PACE		PACE Organization of Rhode Island	177	Yes	Active	1-401-654-5254				PACE - Nat		C	New York
H4105	Plan to Plan Reconciliation Contact	Medical Management Associate		Ogungbenle	Folashade		1-401-654-4098				1-401-654-4660	fogungbenle@pace-ri.org	10 Tripps Lane		Riverside	RI	02915	2/3/2026	2026	PACE ORGANIZATION OF RHODE ISLAND	National PACE	PACE Organization Of Rhode Island	National PACE		PACE Organization of Rhode Island	177	Yes	Active					PACE - Nat		C	New York
H4118	Automated TrOOP Balance Transfer Contact	Director of Finance	Mrs	Dukes	Jaclyn		1-734-572-5777	224				jdukes@hvpace.org	2940 Ellsworth		Ypsilanti	MI	48197	5/2/2016	2026	THE WASHTENAW PACE	National PACE	Huron Valley PACE	National PACE		Utd Methodist Retirement Communities of SE MI	558	Yes	Active					PACE - Nat		C	Atlanta
H4118	Best Available Evidence Contact	Executive Director		Suntheimer	Mimi		1-734-572-5777					msuntheimer@hvpace.org	2940 Ellsworth		Ypsilanti	MI	48197	9/24/2025	2026	THE WASHTENAW PACE	National PACE	Huron Valley PACE	National PACE		Utd Methodist Retirement Communities of SE MI	558	Yes	Active					PACE - Nat		C	Atlanta
H4118	Chief Financial Officer	Director of Finance	Mrs	Dukes	Jaclyn		1-734-572-5777	224				jdukes@hvpace.org	2940 Ellsworth		Ypsilanti	MI	48197	5/2/2016	2026	THE WASHTENAW PACE	National PACE	Huron Valley PACE	National PACE		Utd Methodist Retirement Communities of SE MI	558	Yes	Active					PACE - Nat		C	Atlanta
H4118	CMS Casework Communication Contact	Executive Director	Mrs	Suntheimer	Mimi		1-734-572-5777					msuntheimer@hvpace.org	2940 Ellsworth		Ypsilanti	MI	48197	9/24/2025	2026	THE WASHTENAW PACE	National PACE	Huron Valley PACE	National PACE		Utd Methodist Retirement Communities of SE MI	558	Yes	Active					PACE - Nat		C	Atlanta
H4118	Coordination of Benefits Contact	Director of Finance	Mrs	Dukes	Jaclyn		1-734-572-5777	224				jdukes@hvpace.org	2940 Ellsworth		Ypsilanti	MI	48197	5/2/2016	2026	THE WASHTENAW PACE	National PACE	Huron Valley PACE	National PACE		Utd Methodist Retirement Communities of SE MI	558	Yes	Active					PACE - Nat		C	Atlanta
H4118	Customer Service Operations Contact	Quality Director	Mrs	Gearhart	Felicia		1-734-879-0324					fgearhart@hvpace.org	2940 Ellsworth Rd		Ypsilanti	MI	48197	11/5/2018	2026	THE WASHTENAW PACE	National PACE	Huron Valley PACE	National PACE		Utd Methodist Retirement Communities of SE MI	558	Yes	Active					PACE - Nat		C	Atlanta
H4118	Government Relations Contact	Executive Director	MRS	Suntheimer	Mimi		1-734-572-5777					msuntheimer@hvpace.org	2940 Ellsworth		Ypsilanti	MI	48197	9/24/2025	2026	THE WASHTENAW PACE	National PACE	Huron Valley PACE	National PACE		Utd Methodist Retirement Communities of SE MI	558	Yes	Active					PACE - Nat		C	Atlanta
H4118	Medicare Compliance Officer	Quality Director	Mrs	Gearhart	Felicia		1-734-879-0324					fgearhart@hvpace.org	2940 Ellsworth Rd		Ypsilanti	MI	48197	2/11/2019	2026	THE WASHTENAW PACE	National PACE	Huron Valley PACE	National PACE		Utd Methodist Retirement Communities of SE MI	558	Yes	Active					PACE - Nat		C	Atlanta
H4118	Part D Exceptions Contact	Director of Finance	Mrs	Dukes	Jaclyn							jdukes@hvpace.org	2940 Ellsworth		Ypsilanti	MI	48197	6/27/2018	2026	THE WASHTENAW PACE	National PACE	Huron Valley PACE	National PACE		Utd Methodist Retirement Communities of SE MI	558	Yes	Active	1-855-483-7223				PACE - Nat		C	Atlanta
H4118	Pharmacy Network Management Contact	Director of Finance	Mrs	Dukes	Jaclyn		1-734-572-5777	224				jdukes@hvpace.org	2940 Ellsworth		Ypsilanti	MI	48197	5/2/2016	2026	THE WASHTENAW PACE	National PACE	Huron Valley PACE	National PACE		Utd Methodist Retirement Communities of SE MI	558	Yes	Active					PACE - Nat		C	Atlanta
H4118	Pharmacy Technical Help Desk Contact	Quality Director	Mrs	Gearhart	Felicia							fgearhart@hvpace.org	2940 Ellsworth Rd		Ypsilanti	MI	48197	11/5/2018	2026	THE WASHTENAW PACE	National PACE	Huron Valley PACE	National PACE		Utd Methodist Retirement Communities of SE MI	558	Yes	Active	1-855-483-7223				PACE - Nat		C	Atlanta
H4118	Plan to Plan Reconciliation Contact	Director of Finance	Mrs	Dukes	Jaclyn		1-734-572-5777	224				jdukes@hvpace.org	2940 Ellsworth		Ypsilanti	MI	48197	5/2/2016	2026	THE WASHTENAW PACE	National PACE	Huron Valley PACE	National PACE		Utd Methodist Retirement Communities of SE MI	558	Yes	Active					PACE - Nat		C	Atlanta
H4140	Automated TrOOP Balance Transfer Contact	Medicare Part D Program Manager		Rivera Aquino	Denisse		1-858-291-5269					partDCAT@medimpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	12/7/2022	2026	"DOCTORS HEALTHCARE PLANS, INC."	Local CCP	"Doctors HealthCare Plans, Inc."	HMO/HMOPOS		"DOCTORS HEALTHCARE PLANS, INC."	691	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4140	Best Available Evidence Contact	Director of Enrollment		Hernandez	Gloria		1-786-578-0959				1-786-578-0964	ghernandez@doctorshcp.com	2020 Ponce De Leon Blvd	PH 1	Coral Gables	FL	33134	2/22/2021	2026	"DOCTORS HEALTHCARE PLANS, INC."	Local CCP	"Doctors HealthCare Plans, Inc."	HMO/HMOPOS		"DOCTORS HEALTHCARE PLANS, INC."	691	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4140	Chief Financial Officer	CFO	Ms.	Garrote Torra	Ivonne		1-786-578-0954				1-786-578-0282	i.gtor03@doctorshcp.com	2020 Ponce De Leon Blvd	PH 1	Coral Gables	FL	33134	10/7/2021	2026	"DOCTORS HEALTHCARE PLANS, INC."	Local CCP	"Doctors HealthCare Plans, Inc."	HMO/HMOPOS		"DOCTORS HEALTHCARE PLANS, INC."	691	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4140	CMS Casework Communication Contact	"Manager, G&A"		Gonzalez	Esther		1-786-980-3998					e.gonz23@doctorshcp.com	2020 Ponce De Leon Blvd	PH 1	Coral Gables	FL	33134	12/2/2025	2026	"DOCTORS HEALTHCARE PLANS, INC."	Local CCP	"Doctors HealthCare Plans, Inc."	HMO/HMOPOS		"DOCTORS HEALTHCARE PLANS, INC."	691	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4140	Coordination of Benefits Contact	CFO		Garrote- Torra	Ivonne		1-786-578-0954				1-786-578-0289	i.gtor03@doctorshcp.com	2020 Ponce De Leon Bvd	PH 1	Coral Gables	FL	33134	7/22/2022	2026	"DOCTORS HEALTHCARE PLANS, INC."	Local CCP	"Doctors HealthCare Plans, Inc."	HMO/HMOPOS		"DOCTORS HEALTHCARE PLANS, INC."	691	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4140	Customer Service Operations Contact	Director Member Services		Curbelo	Jenny		1-786-578-0956				1-786-578-0283	jcurbelo@doctorshcp.com	2020 Ponce De Leon Blvd	PH 1	Coral Gables	FL	33134	2/22/2021	2026	"DOCTORS HEALTHCARE PLANS, INC."	Local CCP	"Doctors HealthCare Plans, Inc."	HMO/HMOPOS		"DOCTORS HEALTHCARE PLANS, INC."	691	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4140	Government Relations Contact	Compliance Officer		Campuzano	Mayra		1-786-584-8349					mcampuzano@doctorshcp.com	2020 Ponce De Leon Blvd	PH 1	Coral Gables	FL	33134	8/15/2019	2026	"DOCTORS HEALTHCARE PLANS, INC."	Local CCP	"Doctors HealthCare Plans, Inc."	HMO/HMOPOS		"DOCTORS HEALTHCARE PLANS, INC."	691	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4140	Hospice Contact	"Director, Medical Management"		Segrera	Cristina		1-786-578-0958					csegrera@doctorshcp.com	2020 Ponce De Leon Blvd	PH 1	Coral Gables	FL	33134	3/26/2024	2026	"DOCTORS HEALTHCARE PLANS, INC."	Local CCP	"Doctors HealthCare Plans, Inc."	HMO/HMOPOS		"DOCTORS HEALTHCARE PLANS, INC."	691	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4140	Medicare Compliance Officer	"VP, Compliance Officer"	Ms.	Campuzano	Mayra		1-786-584-8349					mcampuzano@doctorshcp.com	2020 Ponce De Leon Blvd	PH 1	Coral Gables	FL	33134	2/22/2021	2026	"DOCTORS HEALTHCARE PLANS, INC."	Local CCP	"Doctors HealthCare Plans, Inc."	HMO/HMOPOS		"DOCTORS HEALTHCARE PLANS, INC."	691	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4140	Part D Exceptions Contact	"Director, Pharmacy"		Silveira	Silvia							ssilveira@doctorshcp.com	2020 Ponce De Leon Blvd	PH 1	Coral Gables	FL	33134	3/26/2024	2026	"DOCTORS HEALTHCARE PLANS, INC."	Local CCP	"Doctors HealthCare Plans, Inc."	HMO/HMOPOS		"DOCTORS HEALTHCARE PLANS, INC."	691	Yes	Active	1-786-866-3471				HMO - Health Maintenance Organization		C	Atlanta
H4140	Pharmacy Network Management Contact	"Director, Pharmacy Network Administration"		Hunt	Brian		1-858-790-7092					brian.hunt@medimpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	12/7/2022	2026	"DOCTORS HEALTHCARE PLANS, INC."	Local CCP	"Doctors HealthCare Plans, Inc."	HMO/HMOPOS		"DOCTORS HEALTHCARE PLANS, INC."	691	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4140	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"		Brewer	Kathy							customerservice@medimpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	12/7/2022	2026	"DOCTORS HEALTHCARE PLANS, INC."	Local CCP	"Doctors HealthCare Plans, Inc."	HMO/HMOPOS		"DOCTORS HEALTHCARE PLANS, INC."	691	Yes	Active	1-800-910-4730				HMO - Health Maintenance Organization		C	Atlanta
H4140	Plan to Plan Reconciliation Contact	CFO		Garrote Torra	Ivonne		1-786-578-0954					i.gtor03@doctorshcp.com	2020 Ponce De Leon Blvd	PH1	Coral Gables	FL	33134	10/7/2021	2026	"DOCTORS HEALTHCARE PLANS, INC."	Local CCP	"Doctors HealthCare Plans, Inc."	HMO/HMOPOS		"DOCTORS HEALTHCARE PLANS, INC."	691	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4141	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4141	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4141	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4141	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	"HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4141	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	"HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4141	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4141	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4141	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4141	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4141	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-859-321-9075				HMO - Health Maintenance Organization		C	Kansas City
H4141	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4141	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	"HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-800-865-8715				HMO - Health Maintenance Organization		C	Kansas City
H4141	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	"HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4142	Automated TrOOP Balance Transfer Contact	Chief Financial Officer	Ms.	Echols	Ashley		1-918-453-5554	7057			1-918-207-0141	ashley-echols@cherokee.org	1387 W 4th Street		Tahlequah	OK	74464	2/26/2024	2026	CHEROKEE NATION COMPREHENSIVE CARE AGENCY	National PACE	Cherokee Elder Care	National PACE		Cherokee Nation Comprehensive Care Agency	358	Yes	Active					PACE - Nat		C	Dallas
H4142	Best Available Evidence Contact	QI/Compliance Manager	Ms.	Walls	Kendra		1-918-822-0312				1-918-207-0141	kendra-walls@cherokee.org	1387 W 4th St.		Tahlequah	OK	74464	8/18/2025	2026	CHEROKEE NATION COMPREHENSIVE CARE AGENCY	National PACE	Cherokee Elder Care	National PACE		Cherokee Nation Comprehensive Care Agency	358	Yes	Active					PACE - Nat		C	Dallas
H4142	Chief Financial Officer	Chief Financial Officer	Ms.	Echols	Ashley		1-918-453-5554	7057			1-918-207-0141	ashley-echols@cherokee.org	1387 W 4th Street		Tahlequah	OK	74464	2/26/2024	2026	CHEROKEE NATION COMPREHENSIVE CARE AGENCY	National PACE	Cherokee Elder Care	National PACE		Cherokee Nation Comprehensive Care Agency	358	Yes	Active					PACE - Nat		C	Dallas
H4142	CMS Casework Communication Contact	QI/Compliance Manager	Ms.	Walls	Kendra		1-918-822-0312				1-918-207-0141	kendra-walls@cherokee.org	1387 W 4th St.		Tahlequah	OK	74464	8/18/2025	2026	CHEROKEE NATION COMPREHENSIVE CARE AGENCY	National PACE	Cherokee Elder Care	National PACE		Cherokee Nation Comprehensive Care Agency	358	Yes	Active					PACE - Nat		C	Dallas
H4142	Coordination of Benefits Contact	Chief Financial Officer	Ms.	Echols	Ashley		1-918-453-5554	7057			1-918-207-0141	ashley-echols@cherokee.org	1387 W 4th Street		Tahlequah	OK	74464	2/26/2024	2026	CHEROKEE NATION COMPREHENSIVE CARE AGENCY	National PACE	Cherokee Elder Care	National PACE		Cherokee Nation Comprehensive Care Agency	358	Yes	Active					PACE - Nat		C	Dallas
H4142	Customer Service Operations Contact	QI/Compliance Manager	Ms.	Walls	Kendra		1-918-822-0312				1-918-207-0141	kendra-walls@cherokee.org	1387 W 4th St.		Tahlequah	OK	74464	8/18/2025	2026	CHEROKEE NATION COMPREHENSIVE CARE AGENCY	National PACE	Cherokee Elder Care	National PACE		Cherokee Nation Comprehensive Care Agency	358	Yes	Active					PACE - Nat		C	Dallas
H4142	Government Relations Contact	Executive Program Director	Mrs	Duncan	Keeli		1-918-453-5554	7057			1-918-207-0141	keeli-duncan@cherokee.org	1387 W 4th St.		Tahlequah	OK	74464	4/7/2025	2026	CHEROKEE NATION COMPREHENSIVE CARE AGENCY	National PACE	Cherokee Elder Care	National PACE		Cherokee Nation Comprehensive Care Agency	358	Yes	Active					PACE - Nat		C	Dallas
H4142	Medicare Compliance Officer	QI/Compliance Manager	Ms.	Walls	Kendra		1-918-822-0312				1-918-207-0141	kendra-walls@cherokee.org	1387 W 4th St.		Tahlequah	OK	74464	8/18/2025	2026	CHEROKEE NATION COMPREHENSIVE CARE AGENCY	National PACE	Cherokee Elder Care	National PACE		Cherokee Nation Comprehensive Care Agency	358	Yes	Active					PACE - Nat		C	Dallas
H4142	Part D Exceptions Contact	Medical Director	Dr.	Gahn	David	R					1-918-207-0141	david-gahn@cherokee.org	1387 W 4th St.		Tahlequah	OK	74464	5/6/2026	2026	CHEROKEE NATION COMPREHENSIVE CARE AGENCY	National PACE	Cherokee Elder Care	National PACE		Cherokee Nation Comprehensive Care Agency	358	Yes	Active	1-800-256-0671	6171			PACE - Nat		C	Dallas
H4142	Pharmacy Network Management Contact	Chief Financial Officer	Ms.	Echols	Ashley		1-918-453-5554	7057			1-918-207-0141	ashley-echols@cherokee.org	1387 W 4th Street		Tahlequah	OK	74464	2/26/2024	2026	CHEROKEE NATION COMPREHENSIVE CARE AGENCY	National PACE	Cherokee Elder Care	National PACE		Cherokee Nation Comprehensive Care Agency	358	Yes	Active					PACE - Nat		C	Dallas
H4142	Pharmacy Technical Help Desk Contact	Director of Technology Operations		Kaiser	Chris								Boomerxsolutions	5415 S. 125th E. Avenue Suite 205	Tulsa	OK	74146	1/27/2025	2026	CHEROKEE NATION COMPREHENSIVE CARE AGENCY	National PACE	Cherokee Elder Care	National PACE		Cherokee Nation Comprehensive Care Agency	358	Yes	Active	1-866-237-8217				PACE - Nat		C	Dallas
H4142	Plan to Plan Reconciliation Contact	Chief Financial Officer	Ms.	Echols	Ashley		1-918-453-5554	7057			1-918-207-0141	ashley-echols@cherokee.org	1387 W 4th Street		Tahlequah	OK	74464	2/26/2024	2026	CHEROKEE NATION COMPREHENSIVE CARE AGENCY	National PACE	Cherokee Elder Care	National PACE		Cherokee Nation Comprehensive Care Agency	358	Yes	Active					PACE - Nat		C	Dallas
H4152	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Management		Bhesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	3/12/2025	2026	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	Local CCP	Blue Cross & Blue Shield of Rhode Island	HMO/HMOPOS		Blue Cross & Blue Shield of Rhode Island	24	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4152	Best Available Evidence Contact	Mng Dir Operations - Medicare Segment		Wisniewski	Ivona		1-401-459-1721				1-401-459-5089	Ivona.Wisniewski@bcbsri.org	500 Exchange Street		Providence	RI	02903	8/8/2024	2026	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	Local CCP	Blue Cross & Blue Shield of Rhode Island	HMO/HMOPOS		Blue Cross & Blue Shield of Rhode Island	24	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4152	Chief Financial Officer	"CFO, SVP Strategic Financial Management"	Ms.	Soucy	Stacia		1-401-459-5304					stacia.soucy@bcbsri.org	500 Exchange Street		Providence	RI	02903	5/5/2026	2026	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	Local CCP	Blue Cross & Blue Shield of Rhode Island	HMO/HMOPOS		Blue Cross & Blue Shield of Rhode Island	24	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4152	CMS Casework Communication Contact	Team Leader		Johnson	Shannon		1-401-459-2252				1-401-459-5668	shannon.johnson@bcbsri.org	500 Exchange St.		Providence	RI	02903	5/27/2025	2026	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	Local CCP	Blue Cross & Blue Shield of Rhode Island	HMO/HMOPOS		Blue Cross & Blue Shield of Rhode Island	24	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4152	Coordination of Benefits Contact	Mgr Project & Program Management		Bhesling	Beth		1-612-777-4823				1-612-777-6706	COBMedD@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	3/12/2025	2026	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	Local CCP	Blue Cross & Blue Shield of Rhode Island	HMO/HMOPOS		Blue Cross & Blue Shield of Rhode Island	24	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4152	Customer Service Operations Contact	Mng Dir Operations - Medicare Segment		Wisniewski	Ivona		1-401-459-1721				1-401-459-5089	Ivona.Wisniewski@bcbsri.org	500 Exchange Street		Providence	RI	02903	8/8/2024	2026	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	Local CCP	Blue Cross & Blue Shield of Rhode Island	HMO/HMOPOS		Blue Cross & Blue Shield of Rhode Island	24	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4152	Government Relations Contact	SVP Government Programs		Pitney	Christina		1-401-459-1103					christina.pitney@bcbsri.org	500 Exchange Street		Providence	RI	02903	8/8/2024	2026	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	Local CCP	Blue Cross & Blue Shield of Rhode Island	HMO/HMOPOS		Blue Cross & Blue Shield of Rhode Island	24	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4152	Hospice Contact	"Lead, Outsourced Medicare Operations"		Storti	Jane		1-401-837-8818					jane.storti@bcbsri.org	500 Exchange St.		Providence	RI	02903	8/8/2024	2026	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	Local CCP	Blue Cross & Blue Shield of Rhode Island	HMO/HMOPOS		Blue Cross & Blue Shield of Rhode Island	24	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4152	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Alfano	Robert		1-651-245-3798				1-401-459-1598	mco@bcbsri.org	500 Exchange Street		Providence	RI	02903	5/5/2026	2026	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	Local CCP	Blue Cross & Blue Shield of Rhode Island	HMO/HMOPOS		Blue Cross & Blue Shield of Rhode Island	24	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4152	Part D Exceptions Contact	Regulatory Pharmacist Sr.		Emerson	Kimberly						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/12/2025	2026	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	Local CCP	Blue Cross & Blue Shield of Rhode Island	HMO/HMOPOS		Blue Cross & Blue Shield of Rhode Island	24	Yes	Active	1-800-693-6651				HMO - Health Maintenance Organization		C	Boston
H4152	Pharmacy Network Management Contact	"VP, Network Management"		Conlin	Marci		1-612-777-2842				1-877-823-6373	Marci.Conlin@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Rd	Eagan	MN	55121	8/8/2024	2026	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	Local CCP	Blue Cross & Blue Shield of Rhode Island	HMO/HMOPOS		Blue Cross & Blue Shield of Rhode Island	24	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4152	Pharmacy Technical Help Desk Contact	"Sr. Director, Member Services"		Scott	Shane							shane.scott@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/12/2025	2026	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	Local CCP	Blue Cross & Blue Shield of Rhode Island	HMO/HMOPOS		Blue Cross & Blue Shield of Rhode Island	24	Yes	Active	1-855-457-1207				HMO - Health Maintenance Organization		C	Boston
H4152	Plan to Plan Reconciliation Contact	Sr. Health Data Analyst		Simas	Heather		1-401-459-5286				1-401-459-1198	heather.simas@bcbsri.org	PO Box 1057		Providence	RI	02901	8/8/2024	2026	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	Local CCP	Blue Cross & Blue Shield of Rhode Island	HMO/HMOPOS		Blue Cross & Blue Shield of Rhode Island	24	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4158	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	2/7/2025	2026	"BUCKEYE COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4158	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	"BUCKEYE COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4158	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	2/7/2025	2026	"BUCKEYE COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4158	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"BUCKEYE COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4158	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"BUCKEYE COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4158	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	2/7/2025	2026	"BUCKEYE COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4158	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"BUCKEYE COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4158	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	2/7/2025	2026	"BUCKEYE COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4158	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	"BUCKEYE COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4158	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	2/7/2025	2026	"BUCKEYE COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Dallas
H4158	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	"BUCKEYE COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4158	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	9/29/2025	2026	"BUCKEYE COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-4433				HMO - Health Maintenance Organization		C	Dallas
H4158	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	2/7/2025	2026	"BUCKEYE COMMUNITY HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4161	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	"BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC."	Local CCP	Anthem Blue Cross Partnership Plan	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4161	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC."	Local CCP	Anthem Blue Cross Partnership Plan	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4161	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	"BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC."	Local CCP	Anthem Blue Cross Partnership Plan	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4161	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	"BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC."	Local CCP	Anthem Blue Cross Partnership Plan	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4161	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	"BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC."	Local CCP	Anthem Blue Cross Partnership Plan	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4161	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	"BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC."	Local CCP	Anthem Blue Cross Partnership Plan	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4161	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC."	Local CCP	Anthem Blue Cross Partnership Plan	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4161	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC."	Local CCP	Anthem Blue Cross Partnership Plan	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4161	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC."	Local CCP	Anthem Blue Cross Partnership Plan	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4161	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	"BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC."	Local CCP	Anthem Blue Cross Partnership Plan	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H4161	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/31/2023	2026	"BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC."	Local CCP	Anthem Blue Cross Partnership Plan	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4161	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	"BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC."	Local CCP	Anthem Blue Cross Partnership Plan	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H4161	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	1/10/2022	2026	"BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC."	Local CCP	Anthem Blue Cross Partnership Plan	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4172	Automated TrOOP Balance Transfer Contact	"Supervisor, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	relay.health@navitus.com	"Navitus Health Solutions, LLC"	1025 West Navitus Drive	Appleton	WI	54913	12/31/2019	2026	"NHC ADVANTAGE, LLC"	Local CCP	NHC Advantage	HMO/HMOPOS		"Missouri Healthcare Advisors, LLC"	638	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4172	Best Available Evidence Contact			Beringer	Stephanie		1-206-697-7797					stephanie.beringer@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/11/2026	2026	"NHC ADVANTAGE, LLC"	Local CCP	NHC Advantage	HMO/HMOPOS		"Missouri Healthcare Advisors, LLC"	638	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4172	Chief Financial Officer	CFO	Ms.	Martin	Rachel		1-775-544-8314					rachel.martin@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	10/18/2023	2026	"NHC ADVANTAGE, LLC"	Local CCP	NHC Advantage	HMO/HMOPOS		"Missouri Healthcare Advisors, LLC"	638	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4172	CMS Casework Communication Contact	Director - Grievance/Appeals & CTMs		Fernandez	Erik		1-786-239-8513					Erik.Fernandez@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	1/3/2025	2026	"NHC ADVANTAGE, LLC"	Local CCP	NHC Advantage	HMO/HMOPOS		"Missouri Healthcare Advisors, LLC"	638	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4172	Coordination of Benefits Contact			Beringer	Stephanie		1-206-697-7797				1-833-610-2390	stephanie.beringer@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/10/2026	2026	"NHC ADVANTAGE, LLC"	Local CCP	NHC Advantage	HMO/HMOPOS		"Missouri Healthcare Advisors, LLC"	638	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4172	Customer Service Operations Contact			Estes	Courtney		1-877-310-6754	744				courtney.estes@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/3/2026	2026	"NHC ADVANTAGE, LLC"	Local CCP	NHC Advantage	HMO/HMOPOS		"Missouri Healthcare Advisors, LLC"	638	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4172	Government Relations Contact			Landahl	Darryl		1-832-384-5949					darryl.landahl@curanahealth.com	10900 Nuckols Rd	Suite 110	Glen Allen	VA	23060	9/28/2022	2026	"NHC ADVANTAGE, LLC"	Local CCP	NHC Advantage	HMO/HMOPOS		"Missouri Healthcare Advisors, LLC"	638	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4172	Hospice Contact	Sr. Director Part D Operations	Mr.	Sone	Victor		1-347-683-5717					victor.sone@curanahealth.com	10900 Nuckols Rd	Suite 110	Glen Allen	VA	23060	1/3/2025	2026	"NHC ADVANTAGE, LLC"	Local CCP	NHC Advantage	HMO/HMOPOS		"Missouri Healthcare Advisors, LLC"	638	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4172	Medicare Compliance Officer	Compliance Officer	Ms.	Locke	Kitty		1-615-890-2020	1661				compliance@nhcadvantageplan.com	100 East Vine Street		Murfreesboro	TN	37130	5/27/2026	2026	"NHC ADVANTAGE, LLC"	Local CCP	NHC Advantage	HMO/HMOPOS		"Missouri Healthcare Advisors, LLC"	638	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4172	Part D Exceptions Contact			LeClair	Christophe						1-920-221-4676	christopher.leclair@Navitus.com	Navitus Health Solutions	1025 West Navitus Dr.	Appleton	WI	54913	4/9/2024	2026	"NHC ADVANTAGE, LLC"	Local CCP	NHC Advantage	HMO/HMOPOS		"Missouri Healthcare Advisors, LLC"	638	Yes	Active	1-920-221-4176				HMO - Health Maintenance Organization		C	Chicago
H4172	Pharmacy Network Management Contact			Robinson	Jan		1-608-729-1688					jan.robinson@navitus.com	Navitus Health Solutions	1025 West Navitus Drive	Appleton	WI	54913	1/3/2025	2026	"NHC ADVANTAGE, LLC"	Local CCP	NHC Advantage	HMO/HMOPOS		"Missouri Healthcare Advisors, LLC"	638	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4172	Pharmacy Technical Help Desk Contact	"Manager, Customer Care Accounts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	"Navitus Health Solutions, LLC"	1025 W. Navitus Drive	Appleton	WI	54913	12/31/2019	2026	"NHC ADVANTAGE, LLC"	Local CCP	NHC Advantage	HMO/HMOPOS		"Missouri Healthcare Advisors, LLC"	638	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Chicago
H4172	Plan to Plan Reconciliation Contact	CFO	Ms.	Martin	Rachel		1-775-544-8314					p2padministration@allyalign.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	1/19/2024	2026	"NHC ADVANTAGE, LLC"	Local CCP	NHC Advantage	HMO/HMOPOS		"Missouri Healthcare Advisors, LLC"	638	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4185	Automated TrOOP Balance Transfer Contact	PACE Finance Director		Grant	Christa		1-442-257-2082					christa.grant@nhcare.org	215 S. Hickory St.		Escondido	CA	92025	9/25/2024	2026	NEIGHBORHOOD HEALTHCARE	National PACE	Neighborhood Healthcare PACE	National PACE		Neighborhood HealthCare	777	Yes	Active					PACE - Nat		C	San Francisco
H4185	Best Available Evidence Contact	"Sr. Mgr Ops, Growth & Business Development"		Moravec	Amy		1-442-277-4276					Amy.Moravec@nhcare.org	215 S. Hickory St.		Escondido	CA	92025	2/6/2026	2026	NEIGHBORHOOD HEALTHCARE	National PACE	Neighborhood Healthcare PACE	National PACE		Neighborhood HealthCare	777	Yes	Active					PACE - Nat		C	San Francisco
H4185	Chief Financial Officer	Chief Financial Officer	Ms	Daigle	Lisa		1-442-286-8196					lisad@nhcare.org	215 S. Hickory St.		Escondido	CA	92025	9/25/2024	2026	NEIGHBORHOOD HEALTHCARE	National PACE	Neighborhood Healthcare PACE	National PACE		Neighborhood HealthCare	777	Yes	Active					PACE - Nat		C	San Francisco
H4185	CMS Casework Communication Contact	PACE Program Director		Forbito	Astrid		1-951-530-3341					astrid.forbito@nhcare.org	4371 Latham Street		Riverside	CA	92501	9/25/2024	2026	NEIGHBORHOOD HEALTHCARE	National PACE	Neighborhood Healthcare PACE	National PACE		Neighborhood HealthCare	777	Yes	Active					PACE - Nat		C	San Francisco
H4185	Coordination of Benefits Contact	PACE Finance Director		Grant	Christa		1-442-257-2082					christa.grant@nhcare.org	215 S. Hickory St.		Escondido	CA	92025	9/25/2024	2026	NEIGHBORHOOD HEALTHCARE	National PACE	Neighborhood Healthcare PACE	National PACE		Neighborhood HealthCare	777	Yes	Active					PACE - Nat		C	San Francisco
H4185	Customer Service Operations Contact	PACE Program Director		Forbito	Astrid		1-951-530-3341					astrid.forbito@nhcare.org	4371 Latham Street		Riverside	CA	92501	9/25/2024	2026	NEIGHBORHOOD HEALTHCARE	National PACE	Neighborhood Healthcare PACE	National PACE		Neighborhood HealthCare	777	Yes	Active					PACE - Nat		C	San Francisco
H4185	Government Relations Contact	PACE Compliance Officer		Thacker	Cherry		1-844-642-7223					cherry.thacker@nhcare.org	4371 Latham Street		Riverside	CA	92501	9/25/2024	2026	NEIGHBORHOOD HEALTHCARE	National PACE	Neighborhood Healthcare PACE	National PACE		Neighborhood HealthCare	777	Yes	Active					PACE - Nat		C	San Francisco
H4185	Medicare Compliance Officer	PACE Compliance Officer	Ms	Thacker	Cherry		1-844-642-7223					cherry.thacker@nhcare.org	4371 Latham Street		Riverside	CA	92501	9/25/2024	2026	NEIGHBORHOOD HEALTHCARE	National PACE	Neighborhood Healthcare PACE	National PACE		Neighborhood HealthCare	777	Yes	Active					PACE - Nat		C	San Francisco
H4185	Part D Exceptions Contact	Director of Pharmacy Services		Maynard	Brittany							brittany.maynard@nhcare.org	215 S. Hickory St.		Escondido	CA	92025	2/10/2026	2026	NEIGHBORHOOD HEALTHCARE	National PACE	Neighborhood Healthcare PACE	National PACE		Neighborhood HealthCare	777	Yes	Active	1-442-286-8535				PACE - Nat		C	San Francisco
H4185	Pharmacy Network Management Contact	PACE Medical Director	Dr.	Altafi	Rashid		1-844-642-7223					Rashid.Altafi@nhcare.org	215 S. Hickory St.		Escondido	CA	92025	2/10/2026	2026	NEIGHBORHOOD HEALTHCARE	National PACE	Neighborhood Healthcare PACE	National PACE		Neighborhood HealthCare	777	Yes	Active					PACE - Nat		C	San Francisco
H4185	Pharmacy Technical Help Desk Contact	Director of Pharmacy Services		Maynard	Brittany							brittany.maynard@nhcare.org	215 S. Hickory St.		Escondido	CA	92025	2/10/2026	2026	NEIGHBORHOOD HEALTHCARE	National PACE	Neighborhood Healthcare PACE	National PACE		Neighborhood HealthCare	777	Yes	Active	1-833-867-4642				PACE - Nat		C	San Francisco
H4185	Plan to Plan Reconciliation Contact	PACE Finance Director		Grant	Christa		1-442-257-2082					christa.grant@nhcare.org	215 S. Hickory St.		Escondido	CA	92025	9/25/2024	2026	NEIGHBORHOOD HEALTHCARE	National PACE	Neighborhood Healthcare PACE	National PACE		Neighborhood HealthCare	777	Yes	Active					PACE - Nat		C	San Francisco
H4193	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Innovation"	Ms.	Loricco	Nichol		1-937-818-7479					rxcompliancerequest@caresource.com	140 N Jefferson St		Dayton	OH	45402	2/11/2025	2026	HAP CARESOURCE	Local CCP	HAP CareSource MI Coordinated Health	HMO/HMOPOS		Henry Ford Health System	122	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4193	Best Available Evidence Contact	"Team Lead, Enrollment Operations"	Ms.	Davidson	Amber		1-937-609-0157	3437				amber.davidson@caresource.com	230 N. Main St		Dayton	OH	45402	2/11/2025	2026	HAP CARESOURCE	Local CCP	HAP CareSource MI Coordinated Health	HMO/HMOPOS		Henry Ford Health System	122	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4193	Chief Financial Officer	"SVP, Chief Financial Officer"	Mr.	Hausenfluck	Merrill		1-248-776-3530					mhausen1@hap.org	2850 W. Grand Blvd.		Detroit	MI	48202	2/11/2025	2026	HAP CARESOURCE	Local CCP	HAP CareSource MI Coordinated Health	HMO/HMOPOS		Henry Ford Health System	122	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4193	CMS Casework Communication Contact	"Manager, Grievance & Appeal"	Ms.	Diaz	Marissa		1-937-224-3300	2604			1-937-425-0833	Marissa.Diaz@caresource.com	P.O. Box 1947		Dayton	OH	45401	2/11/2025	2026	HAP CARESOURCE	Local CCP	HAP CareSource MI Coordinated Health	HMO/HMOPOS		Henry Ford Health System	122	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4193	Coordination of Benefits Contact	"Senior Manager, Enrollment Operations"	Mr.	Spivey	Michael		1-937-531-3682					COBInquiry@caresource.com	230 N. Main St		Dayton	OH	45402	2/11/2025	2026	HAP CARESOURCE	Local CCP	HAP CareSource MI Coordinated Health	HMO/HMOPOS		Henry Ford Health System	122	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4193	Customer Service Operations Contact	"Director, Customer Care"	Mr.	McDade	Sean		1-937-531-3565					sean.mcdade@caresource.com	P.O. Box 8738		Dayton	OH	45401	2/11/2025	2026	HAP CARESOURCE	Local CCP	HAP CareSource MI Coordinated Health	HMO/HMOPOS		Henry Ford Health System	122	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4193	Government Relations Contact	"Sr. Manager, Compliance"	Ms.	Nettles	Kylie		1-937-531-3338					margaux.frazee@caresource.com	230 North Main Street		Dayton	OH	45402	2/12/2025	2026	HAP CARESOURCE	Local CCP	HAP CareSource MI Coordinated Health	HMO/HMOPOS		Henry Ford Health System	122	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4193	Hospice Contact	"Team Lead, Enrollment Operations"	Ms.	Davidson	Amber		1-937-609-0157	3437				amber.davidson@caresource.com	230 N. Main St		Dayton	OH	45402	2/11/2025	2026	HAP CARESOURCE	Local CCP	HAP CareSource MI Coordinated Health	HMO/HMOPOS		Henry Ford Health System	122	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4193	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Otuyelu	Nike		1-124-877-6409					notuyel1@HAP.ORG	1414 E Maple		Troy	MI	48303	6/23/2026	2026	HAP CARESOURCE	Local CCP	HAP CareSource MI Coordinated Health	HMO/HMOPOS		Henry Ford Health System	122	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4193	Part D Exceptions Contact	"Director, Pharmacy Operations"	Mr.	Rattan	Sangeet							rxcompliancerequest@caresource.com	140 North Jefferson St.		Dayton	OH	45402	2/11/2025	2026	HAP CARESOURCE	Local CCP	HAP CareSource MI Coordinated Health	HMO/HMOPOS		Henry Ford Health System	122	Yes	Active	1-937-591-1634				HMO - Health Maintenance Organization		C	Chicago
H4193	Pharmacy Network Management Contact	"Director, Pharmacy Innovation"	Ms.	Loricco	Nichol		1-937-818-7479					rxcompliancerequest@caresource.com	140 N Jefferson St		Dayton	OH	45402	2/11/2025	2026	HAP CARESOURCE	Local CCP	HAP CareSource MI Coordinated Health	HMO/HMOPOS		Henry Ford Health System	122	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4193	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	13051 N. Telecom PKWY STE 150		Temple Terrace	FL	33637	2/11/2025	2026	HAP CARESOURCE	Local CCP	HAP CareSource MI Coordinated Health	HMO/HMOPOS		Henry Ford Health System	122	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Chicago
H4193	Plan to Plan Reconciliation Contact	"Director, Health Plan Accounting"	Ms.	Dobrovolschi	Natalia		1-313-806-9071					CareSourceP2P@CareSource.com	230 N. Main Street		Dayton	OH	45402	2/11/2025	2026	HAP CARESOURCE	Local CCP	HAP CareSource MI Coordinated Health	HMO/HMOPOS		Henry Ford Health System	122	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4203	Automated TrOOP Balance Transfer Contact	Director		Burnette	Ali		1-803-434-4421				1-803-434-3773	alison.burnette2@prismahealth.org	1308 Laurel Street		Columbia	SC	29201	1/17/2025	2026	PRISMA HEALTH-MIDLANDS	National PACE	Prisma Health SeniorCare PACE-Midlands	National PACE		Prisma Health	739	Yes	Active					PACE - Nat		C	Atlanta
H4203	Best Available Evidence Contact	Director		Burnette	Alison		1-803-434-4421				1-803-434-3773	alison.burnette2@prismahealth.org	1308 Laurel Street	2nd Floor	Columbia	SC	29201	7/8/2024	2026	PRISMA HEALTH-MIDLANDS	National PACE	Prisma Health SeniorCare PACE-Midlands	National PACE		Prisma Health	739	Yes	Active					PACE - Nat		C	Atlanta
H4203	Chief Financial Officer	Director	Mrs.	Burnette	Ali		1-803-434-4421				1-803-434-3773	alison.burnette2@prismahealth.org	1308 Laurel Street		Columbia	SC	29201	1/17/2025	2026	PRISMA HEALTH-MIDLANDS	National PACE	Prisma Health SeniorCare PACE-Midlands	National PACE		Prisma Health	739	Yes	Active					PACE - Nat		C	Atlanta
H4203	CMS Casework Communication Contact	Director		Burnette	Alison		1-803-434-4421				1-803-434-3773	alison.burnette2@prismahealth.org	1308 Laurel Street	2nd Floor	Columbia	SC	29201	7/8/2024	2026	PRISMA HEALTH-MIDLANDS	National PACE	Prisma Health SeniorCare PACE-Midlands	National PACE		Prisma Health	739	Yes	Active					PACE - Nat		C	Atlanta
H4203	Coordination of Benefits Contact	Director		Burnette	Ali		1-803-434-4421				1-803-434-3773	alison.burnette2@prismahealth.org	1308 Laurel Street		Columbia	SC	29201	1/17/2025	2026	PRISMA HEALTH-MIDLANDS	National PACE	Prisma Health SeniorCare PACE-Midlands	National PACE		Prisma Health	739	Yes	Active					PACE - Nat		C	Atlanta
H4203	Customer Service Operations Contact	Director		Burnette	Alison		1-803-434-4421				1-803-434-3773	alison.burnette2@prismahealth.org	1308 Laurel Street	2nd Floor	Columbia	SC	29201	7/8/2024	2026	PRISMA HEALTH-MIDLANDS	National PACE	Prisma Health SeniorCare PACE-Midlands	National PACE		Prisma Health	739	Yes	Active					PACE - Nat		C	Atlanta
H4203	Government Relations Contact	Director		Burnette	Alison		1-803-434-4421				1-803-434-3773	alison.burnette2@prismahealth.org	1308 Laurel Street	2nd Floor	Columbia	SC	29201	7/8/2024	2026	PRISMA HEALTH-MIDLANDS	National PACE	Prisma Health SeniorCare PACE-Midlands	National PACE		Prisma Health	739	Yes	Active					PACE - Nat		C	Atlanta
H4203	Medicare Compliance Officer	Corporate Compliance Officer	Mr.	Pietras	Scott		1-864-797-7712					scott.pietras@prismahealth.org	300 E. McBee Ave	Suite 302	Greenville	SC	29601	7/8/2024	2026	PRISMA HEALTH-MIDLANDS	National PACE	Prisma Health SeniorCare PACE-Midlands	National PACE		Prisma Health	739	Yes	Active					PACE - Nat		C	Atlanta
H4203	Part D Exceptions Contact	"Director, Pharmacy Services"		Propst	Jordan							jordan.propst@prismahealth.org	1301 Taylor Street		Columbia	SC	29201	4/16/2026	2026	PRISMA HEALTH-MIDLANDS	National PACE	Prisma Health SeniorCare PACE-Midlands	National PACE		Prisma Health	739	Yes	Active	1-864-490-7827				PACE - Nat		C	Atlanta
H4203	Pharmacy Network Management Contact	"Director, Pharmacy Services"		Propst	Jordan		1-864-490-7827				1-864-455-8247	jordan.propst@prismahealth.org	1301 Taylor Street		Columbia	SC	29201	4/16/2026	2026	PRISMA HEALTH-MIDLANDS	National PACE	Prisma Health SeniorCare PACE-Midlands	National PACE		Prisma Health	739	Yes	Active					PACE - Nat		C	Atlanta
H4203	Pharmacy Technical Help Desk Contact	"Director, Pharmacy Services"		Propst	Jordan							jordan.propst@prismahealth.org	1301 Taylor Street		Columbia	SC	29201	4/16/2026	2026	PRISMA HEALTH-MIDLANDS	National PACE	Prisma Health SeniorCare PACE-Midlands	National PACE		Prisma Health	739	Yes	Active	1-864-490-7827				PACE - Nat		C	Atlanta
H4203	Plan to Plan Reconciliation Contact	Director of Operations		Burnette	Ali		1-803-434-4421				1-803-434-3773	alison.burnette2@prismahealth.org	1308 Laurel Street		Columbia	SC	29201	1/17/2025	2026	PRISMA HEALTH-MIDLANDS	National PACE	Prisma Health SeniorCare PACE-Midlands	National PACE		Prisma Health	739	Yes	Active					PACE - Nat		C	Atlanta
H4213	Automated TrOOP Balance Transfer Contact	"Manager, MedD Financial Operations"		Davis	Brittany		1-480-536-4772					Brittany.Davis@CVSHealth.com	9501 E Shea Blvd MC 121		Scottsdale	AZ	85260	7/18/2024	2026	USABLE MUTUAL INSURANCE COMPANY	PFFS	Arkansas Blue Medicare	PFFS		USAble Mutual Insurance Company	421	Yes	Active					PFFS - Private Fee for Service		C	New York
H4213	Best Available Evidence Contact	"Manager, Medicare Operations"		Sherer	Michael		1-501-378-3641					mcsherer@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	10/18/2024	2026	USABLE MUTUAL INSURANCE COMPANY	PFFS	Arkansas Blue Medicare	PFFS		USAble Mutual Insurance Company	421	Yes	Active					PFFS - Private Fee for Service		C	New York
H4213	Chief Financial Officer	CFO	Mr.	Winter	Scott		1-501-399-3951					sbwinter@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	6/12/2023	2026	USABLE MUTUAL INSURANCE COMPANY	PFFS	Arkansas Blue Medicare	PFFS		USAble Mutual Insurance Company	421	Yes	Active					PFFS - Private Fee for Service		C	New York
H4213	CMS Casework Communication Contact	"Manager, Medicare Operations"		Sherer	Michael		1-501-378-3641					mcsherer@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	10/18/2024	2026	USABLE MUTUAL INSURANCE COMPANY	PFFS	Arkansas Blue Medicare	PFFS		USAble Mutual Insurance Company	421	Yes	Active					PFFS - Private Fee for Service		C	New York
H4213	Coordination of Benefits Contact	"Manager, MedD Financial Operations"		Davis	Brittany		1-480-536-4772					Brittany.Davis@CVSHealth.com	9501 E Shea Blvd MC 121		Scottsdale	AZ	85260	7/18/2024	2026	USABLE MUTUAL INSURANCE COMPANY	PFFS	Arkansas Blue Medicare	PFFS		USAble Mutual Insurance Company	421	Yes	Active					PFFS - Private Fee for Service		C	New York
H4213	Customer Service Operations Contact	"Manager, Medicare Operations"		Sherer	Michael		1-501-378-3641					mcsherer@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	10/18/2024	2026	USABLE MUTUAL INSURANCE COMPANY	PFFS	Arkansas Blue Medicare	PFFS		USAble Mutual Insurance Company	421	Yes	Active					PFFS - Private Fee for Service		C	New York
H4213	Government Relations Contact	Director Medicare Compliance	Mr.	Kirsch	Nick		1-501-340-9589					nkirsch@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	4/8/2026	2026	USABLE MUTUAL INSURANCE COMPANY	PFFS	Arkansas Blue Medicare	PFFS		USAble Mutual Insurance Company	421	Yes	Active					PFFS - Private Fee for Service		C	New York
H4213	Hospice Contact	"Supervisor, Medicare Member Services"		Taylor	Alicia		1-501-378-3743					aataylor@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	6/12/2023	2026	USABLE MUTUAL INSURANCE COMPANY	PFFS	Arkansas Blue Medicare	PFFS		USAble Mutual Insurance Company	421	Yes	Active					PFFS - Private Fee for Service		C	New York
H4213	Medicare Compliance Officer	Director Medicare Compliance	Mr.	Kirsch	Nick		1-501-340-9589					nkirsch@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	2/6/2026	2026	USABLE MUTUAL INSURANCE COMPANY	PFFS	Arkansas Blue Medicare	PFFS		USAble Mutual Insurance Company	421	Yes	Active					PFFS - Private Fee for Service		C	New York
H4213	Part D Exceptions Contact	Account Manager		Ellinger	David							David.Ellinger@CVSHealth.com	9501 E Shea Blvd MC 121		Scottsdale	AZ	85260	5/21/2025	2026	USABLE MUTUAL INSURANCE COMPANY	PFFS	Arkansas Blue Medicare	PFFS		USAble Mutual Insurance Company	421	Yes	Active	1-480-240-8415				PFFS - Private Fee for Service		C	New York
H4213	Pharmacy Network Management Contact	Account Manager		Ellinger	David		1-480-240-8415					David.Ellinger@CVSHealth.com	9501 E Shea Blvd MC 121		Scottsdale	AZ	85260	5/21/2025	2026	USABLE MUTUAL INSURANCE COMPANY	PFFS	Arkansas Blue Medicare	PFFS		USAble Mutual Insurance Company	421	Yes	Active					PFFS - Private Fee for Service		C	New York
H4213	Pharmacy Technical Help Desk Contact			Customer Service	CVS								9501 E Shea Blvd MC 121		Scottsdale	AZ	85260	10/10/2024	2026	USABLE MUTUAL INSURANCE COMPANY	PFFS	Arkansas Blue Medicare	PFFS		USAble Mutual Insurance Company	421	Yes	Active	1-844-280-5833				PFFS - Private Fee for Service		C	New York
H4213	Plan to Plan Reconciliation Contact	Financial Analyst		Holt	Susan		1-501-294-2491				1-501-378-3258	sbholt@arkbluecross.com	P O Box 8084		Little Rock	AR	72203	9/5/2024	2026	USABLE MUTUAL INSURANCE COMPANY	PFFS	Arkansas Blue Medicare	PFFS		USAble Mutual Insurance Company	421	Yes	Active					PFFS - Private Fee for Service		C	New York
H4217	Automated TrOOP Balance Transfer Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/2/2026	2026	"HILLSBOROUGH PACE, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H4217	Best Available Evidence Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/2/2026	2026	"HILLSBOROUGH PACE, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H4217	Chief Financial Officer	Chief Financial Officer	Mr	Schlesinger	David		1-855-801-2653					dschlesinger@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	5/20/2026	2026	"HILLSBOROUGH PACE, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H4217	CMS Casework Communication Contact	Director of Compliance	Ms	Cooper	Wanda		1-855-801-2653					WCooper@boldagepace.com	1075 Stephenson Avenue Suite B		Oceanport	NJ	07757	5/20/2026	2026	"HILLSBOROUGH PACE, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H4217	Coordination of Benefits Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/21/2026	2026	"HILLSBOROUGH PACE, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H4217	Customer Service Operations Contact	Director of Compliance		Cooper	Wanda		1-855-801-2653					WCooper@boldagepace.com	9912 Little Road		New Port Richey	FL	34654	5/20/2026	2026	"HILLSBOROUGH PACE, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H4217	Government Relations Contact	Chief Administrative Officer	Mr	Czermak	Michael		1-855-801-2653					michaelc@boldagepace.com	1897 Lakewood Road	Unit 109	Toms River	NJ	08753	5/11/2026	2026	"HILLSBOROUGH PACE, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H4217	Medicare Compliance Officer	Director of Compliance	Ms	Cooper	Wanda		1-855-801-2653					WCooper@boldagepace.com	1075 Stephenson Avenue	Suite B	Oceanport	NJ	07757	5/20/2026	2026	"HILLSBOROUGH PACE, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H4217	Part D Exceptions Contact	Financial Specialist		Partlow	Jennie							jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/2/2026	2026	"HILLSBOROUGH PACE, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending	1-732-806-3224				PACE - Nat		C	New York
H4217	Pharmacy Network Management Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/2/2026	2026	"HILLSBOROUGH PACE, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H4217	Pharmacy Technical Help Desk Contact	Financial Specialist	Ms	Partlow	Jennie							jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/2/2026	2026	"HILLSBOROUGH PACE, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending	1-732-806-3224				PACE - Nat		C	New York
H4217	Plan to Plan Reconciliation Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/2/2026	2026	"HILLSBOROUGH PACE, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H4227	Automated TrOOP Balance Transfer Contact	Director of Data and Tech Services		Cuchel	Eric		1-215-937-4161					ecuchel@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"VISTA HEALTH PLAN, INC."	Local CCP	VISTA Health Plan Inc.	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4227	Best Available Evidence Contact	Medicare Enrollment Manager	Ms.	Mullins	Naketa		1-484-497-1171					nmullins@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	200 Stevens Drive	Philadelphia	PA	19113	3/16/2026	2026	"VISTA HEALTH PLAN, INC."	Local CCP	VISTA Health Plan Inc.	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4227	Chief Financial Officer	"EVP, CFO & Treasurer"	Mr.	Lopez	Juan		1-609-405-0539					Juan.Lopez@ibx.com	"1901 Market Street, 39th floor"		Philadelphia	PA	19103	3/16/2026	2026	"VISTA HEALTH PLAN, INC."	Local CCP	VISTA Health Plan Inc.	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4227	CMS Casework Communication Contact	Director Medicare Appeals and Grievances	Ms.	Lopez	Yismell		1-215-863-5677					yelopez@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	200 Stevens Drive	Philadelphia	PA	19113	3/16/2026	2026	"VISTA HEALTH PLAN, INC."	Local CCP	VISTA Health Plan Inc.	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4227	Coordination of Benefits Contact	"Manager,  Medicare Regulatory Performance"	Ms.	Williams	Kathy		1-843-830-0812					kwilliams@firstchoicevipcareplus.com	Amerihealth Caritas Family of Companies	"4390 Belle Oak Dr, Suite 400"	Charleston	SC	29405	3/16/2026	2026	"VISTA HEALTH PLAN, INC."	Local CCP	VISTA Health Plan Inc.	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4227	Customer Service Operations Contact	"Director, Medicare Customer Service"	Ms.	Veras	Helen		1-267-298-1794					hveras@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	200 Stevens Dr.	Philadelphia	PA	19113	3/16/2026	2026	"VISTA HEALTH PLAN, INC."	Local CCP	VISTA Health Plan Inc.	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4227	Government Relations Contact	"VP, Public Policy"	Mr.	Cozzo	Steven		1-215-937-8236					scozzo@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	3875 West Chester Pike	Newtown Square	PA	19073	3/16/2026	2026	"VISTA HEALTH PLAN, INC."	Local CCP	VISTA Health Plan Inc.	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4227	Hospice Contact	Dir Member Services	Ms.	Veras	Helen		1-833-852-4433					hveras@amerihealthcaritas.com	AmeriHealth Caritas	3875 West Chester Pike	Newtown Square	PA	19073	3/16/2026	2026	"VISTA HEALTH PLAN, INC."	Local CCP	VISTA Health Plan Inc.	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4227	Medicare Compliance Officer	Medicare Compliance Officer	Ms	Dupre	Colleen		1-203-506-8413					cdupre@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	3875 West Chester Pike	Newtown Square	PA	19073	3/16/2026	2026	"VISTA HEALTH PLAN, INC."	Local CCP	VISTA Health Plan Inc.	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4227	Part D Exceptions Contact	"Director, Pharmacy Utilization Management"		Bonko	Gerald						1-215-863-5100	gbonko@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"VISTA HEALTH PLAN, INC."	Local CCP	VISTA Health Plan Inc.	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active	1-215-863-6483				HMO - Health Maintenance Organization		C	Chicago
H4227	Pharmacy Network Management Contact	Director Pharmacy Network Operations		Patel	Disha		1-215-863-5276					dpatel5@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"VISTA HEALTH PLAN, INC."	Local CCP	VISTA Health Plan Inc.	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4227	Pharmacy Technical Help Desk Contact	"Manager, Call Center"		Vargas	Crystal							cvargas@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"VISTA HEALTH PLAN, INC."	Local CCP	VISTA Health Plan Inc.	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active	1-800-555-5690				HMO - Health Maintenance Organization		C	Chicago
H4227	Plan to Plan Reconciliation Contact	Finance Manager	Ms	Zeleneva	Zhanna		1-312-543-9113					zzeleneva@amerihealthcaritas.com	Amerihealth Caritas Family of Companies	3875 West Chester Pike	Newton Square	PA	19073	3/16/2026	2026	"VISTA HEALTH PLAN, INC."	Local CCP	VISTA Health Plan Inc.	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4232	Automated TrOOP Balance Transfer Contact	"Operations Mgr, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	Relay.Health@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	"AMERICAN HEALTH PLAN OF UT, INC."	Local CCP	American Health Advantage of Utah	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4232	Best Available Evidence Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF UT, INC."	Local CCP	American Health Advantage of Utah	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4232	Chief Financial Officer	Chief Financial Officer	Mr.	Bogle	Jeffrey	A	1-615-751-8134				1-844-280-5360	MACFO@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF UT, INC."	Local CCP	American Health Advantage of Utah	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4232	CMS Casework Communication Contact	Compliance Officer		Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF UT, INC."	Local CCP	American Health Advantage of Utah	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4232	Coordination of Benefits Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF UT, INC."	Local CCP	American Health Advantage of Utah	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4232	Customer Service Operations Contact	"VP, Administration"		Brandt	Toni		1-615-476-0748				1-844-280-5360	tbrandt@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF UT, INC."	Local CCP	American Health Advantage of Utah	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4232	Government Relations Contact	Compliance Officer		Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF UT, INC."	Local CCP	American Health Advantage of Utah	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4232	Hospice Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF UT, INC."	Local CCP	American Health Advantage of Utah	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4232	Medicare Compliance Officer	Compliance Officer	Ms.	Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF UT, INC."	Local CCP	American Health Advantage of Utah	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4232	Part D Exceptions Contact	"Assoc Dir, Clinical Prior Authorization"		LeClair	Christophe						1-920-221-4176	Christopher.LeClair@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	"AMERICAN HEALTH PLAN OF UT, INC."	Local CCP	American Health Advantage of Utah	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active	1-844-228-7934				HMO - Health Maintenance Organization		C	Dallas
H4232	Pharmacy Network Management Contact	"VP, Provider Services"		Nagy	Don		1-608-820-4403					Don.Nagy@navitus.com	361 Integrity Drive		Madison	WI	53717	6/22/2026	2026	"AMERICAN HEALTH PLAN OF UT, INC."	Local CCP	American Health Advantage of Utah	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4232	Pharmacy Technical Help Desk Contact	"Sr. Mgr, Customer Care Accts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	"AMERICAN HEALTH PLAN OF UT, INC."	Local CCP	American Health Advantage of Utah	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Dallas
H4232	Plan to Plan Reconciliation Contact	"Director,  Finance"		Tilley	Stephanie		1-931-242-0499				1-844-280-5360	stilley@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF UT, INC."	Local CCP	American Health Advantage of Utah	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4235	Automated TrOOP Balance Transfer Contact	Director of Finance and Administration	CFO	Witt	Anne		1-704-874-0604				1-704-834-1998	awitt@seniorTLC.org	1875 Remount Rd.		Gastonia	NC	28054	4/11/2025	2026	"SENIOR TOTAL LIFE CARE, INC."	National PACE	Senior Total Life Care	National PACE		"CaroMont Health, Inc."	556	Yes	Active					PACE - Nat		C	Atlanta
H4235	Best Available Evidence Contact	Executive Director		Kenzig	Cathy		1-704-874-0603					ckenzig@seniorTLC.org	1875 Remount Rd.		Gastonia	NC	28054	4/11/2025	2026	"SENIOR TOTAL LIFE CARE, INC."	National PACE	Senior Total Life Care	National PACE		"CaroMont Health, Inc."	556	Yes	Active					PACE - Nat		C	Atlanta
H4235	Chief Financial Officer	CFO	CFO	Nickerson	Kirby		1-704-754-8228					knickerson@LSCarolinas.net	1416 S. Martin Luther King Blvd		Salisbury	NC	28145	4/11/2025	2026	"SENIOR TOTAL LIFE CARE, INC."	National PACE	Senior Total Life Care	National PACE		"CaroMont Health, Inc."	556	Yes	Active					PACE - Nat		C	Atlanta
H4235	CMS Casework Communication Contact	Executive Director		Kenzig	Cathy		1-704-874-0603					ckenzig@seniorTLC.org	1875 Remount Rd.		Gastonia	NC	28054	4/11/2025	2026	"SENIOR TOTAL LIFE CARE, INC."	National PACE	Senior Total Life Care	National PACE		"CaroMont Health, Inc."	556	Yes	Active					PACE - Nat		C	Atlanta
H4235	Coordination of Benefits Contact	Finance Director		Witt	Anne		1-704-874-0604					awitt@seniorTLC.org	1875 Remount Rd.		Gastonia	NC	28054	4/11/2025	2026	"SENIOR TOTAL LIFE CARE, INC."	National PACE	Senior Total Life Care	National PACE		"CaroMont Health, Inc."	556	Yes	Active					PACE - Nat		C	Atlanta
H4235	Customer Service Operations Contact	Executive Director		Kenzig	Cathy		1-704-874-0603					ckenzig@seniorTLC.org	1875 Remount Rd.		Gastonia	NC	28054	4/11/2025	2026	"SENIOR TOTAL LIFE CARE, INC."	National PACE	Senior Total Life Care	National PACE		"CaroMont Health, Inc."	556	Yes	Active					PACE - Nat		C	Atlanta
H4235	Government Relations Contact	Executive Director		Kenzig	Cathy		1-704-874-0603					ckenzig@seniorTLC.org	1875 Remount Rd.		Gastonia	NC	28054	4/11/2025	2026	"SENIOR TOTAL LIFE CARE, INC."	National PACE	Senior Total Life Care	National PACE		"CaroMont Health, Inc."	556	Yes	Active					PACE - Nat		C	Atlanta
H4235	Medicare Compliance Officer	Compliance & Quality Director	CIO	Alexander	Lydia		1-704-874-0639					lyalexander@seniortlc.org	1875 Remount Road		Gastonia	NC	28054	4/11/2025	2026	"SENIOR TOTAL LIFE CARE, INC."	National PACE	Senior Total Life Care	National PACE		"CaroMont Health, Inc."	556	Yes	Active					PACE - Nat		C	Atlanta
H4235	Part D Exceptions Contact	Executive Director		Kenzig	Cathy							ckenzig@seniorTLC.org	1875 Remount Rd.		Gastonia	NC	28054	4/11/2025	2026	"SENIOR TOTAL LIFE CARE, INC."	National PACE	Senior Total Life Care	National PACE		"CaroMont Health, Inc."	556	Yes	Active	1-855-327-7852				PACE - Nat		C	Atlanta
H4235	Pharmacy Network Management Contact	Executive Director		Kenzig	Cathy		1-704-874-0603					ckenzig@seniorTLC.org	1875 Remount Rd.		Gastonia	NC	28054	4/11/2025	2026	"SENIOR TOTAL LIFE CARE, INC."	National PACE	Senior Total Life Care	National PACE		"CaroMont Health, Inc."	556	Yes	Active					PACE - Nat		C	Atlanta
H4235	Pharmacy Technical Help Desk Contact	Executive Director		Kenzig	Cathy							ckenzig@seniorTLC.org	1875 Remount Rd.		Gastonia	NC	28054	4/11/2025	2026	"SENIOR TOTAL LIFE CARE, INC."	National PACE	Senior Total Life Care	National PACE		"CaroMont Health, Inc."	556	Yes	Active	1-888-298-7770				PACE - Nat		C	Atlanta
H4235	Plan to Plan Reconciliation Contact	Executive Director		Kenzig	Cathy		1-704-874-0603					ckenzig@seniorTLC.org	1875 Remount Rd.		Gastonia	NC	28054	4/11/2025	2026	"SENIOR TOTAL LIFE CARE, INC."	National PACE	Senior Total Life Care	National PACE		"CaroMont Health, Inc."	556	Yes	Active					PACE - Nat		C	Atlanta
H4239	Automated TrOOP Balance Transfer Contact	Chief PACE and Senior Services Officer	Mrs	Carr	Terrilyn	N	1-805-598-8588					terrilyn.carr@chccc.org	2050 S. Blosser Rd		Santa Maria	CA	93458	7/24/2025	2026	"COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC."	National PACE	Central Coast PACE	National PACE		Community Health Centers of the Central Coast	882	Yes	Pending					PACE - Nat		C	San Francisco
H4239	Best Available Evidence Contact	Chief PACE and Senior Services Officer	Mrs	Carr	Terrilyn	N	1-805-598-8588					terrilyn.carr@chccc.org	2050 S. Blosser Rd		Santa Maria	CA	93458	7/24/2025	2026	"COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC."	National PACE	Central Coast PACE	National PACE		Community Health Centers of the Central Coast	882	Yes	Pending					PACE - Nat		C	San Francisco
H4239	Chief Financial Officer	Chief PACE and Senior Services Officer	Mrs	Carr	Terrilyn	N	1-805-598-8588					terrilyn.carr@chccc.org	2050 S. Blosser Rd		Santa Maria	CA	93458	7/24/2025	2026	"COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC."	National PACE	Central Coast PACE	National PACE		Community Health Centers of the Central Coast	882	Yes	Pending					PACE - Nat		C	San Francisco
H4239	CMS Casework Communication Contact	Chief PACE and Senior Services Officer	Mrs	Carr	Terrilyn	N	1-805-598-8588					terrilyn.carr@chccc.org	2050 S. Blosser Rd		Santa Maria	CA	93458	7/24/2025	2026	"COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC."	National PACE	Central Coast PACE	National PACE		Community Health Centers of the Central Coast	882	Yes	Pending					PACE - Nat		C	San Francisco
H4239	Coordination of Benefits Contact	Chief PACE and Senior Services Officer	Mrs	Carr	Terrilyn	N	1-805-598-8588					terrilyn.carr@chccc.org	2050 S. Blosser Rd		Santa Maria	CA	93458	7/24/2025	2026	"COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC."	National PACE	Central Coast PACE	National PACE		Community Health Centers of the Central Coast	882	Yes	Pending					PACE - Nat		C	San Francisco
H4239	Customer Service Operations Contact	Chief PACE and Senior Services Officer	Mrs	Carr	Terrilyn	N	1-805-598-8588					terrilyn.carr@chccc.org	2050 S. Blosser Rd		Santa Maria	CA	93458	7/24/2025	2026	"COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC."	National PACE	Central Coast PACE	National PACE		Community Health Centers of the Central Coast	882	Yes	Pending					PACE - Nat		C	San Francisco
H4239	Government Relations Contact	Chief PACE and Senior Services Officer	Mrs	Carr	Terrilyn	N	1-805-598-8588					terrilyn.carr@chccc.org	2050 S. Blosser Rd		Santa Maria	CA	93458	7/24/2025	2026	"COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC."	National PACE	Central Coast PACE	National PACE		Community Health Centers of the Central Coast	882	Yes	Pending					PACE - Nat		C	San Francisco
H4239	Medicare Compliance Officer	Chief PACE and Senior Services Officer	Mrs	Carr	Terrilyn	N	1-805-598-8588					terrilyn.carr@chccc.org	2050 S. Blosser Rd		Santa Maria	CA	93458	7/24/2025	2026	"COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC."	National PACE	Central Coast PACE	National PACE		Community Health Centers of the Central Coast	882	Yes	Pending					PACE - Nat		C	San Francisco
H4239	Part D Exceptions Contact	Chief PACE and Senior Services Officer	Mrs	Carr	Terrilyn	N						ayip@chccc.org	150 Tejas PL		Santa Maria	CA	93458	7/24/2025	2026	"COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC."	National PACE	Central Coast PACE	National PACE		Community Health Centers of the Central Coast	882	Yes	Pending	1-803-598-8588				PACE - Nat		C	San Francisco
H4239	Pharmacy Network Management Contact	Chief PACE and Senior Services Officer	Mrs	Carr	Terrilyn	N	1-805-598-8588					terrilyn.carr@chccc.org	2050 S. Blosser Rd		Santa Maria	CA	93458	7/24/2025	2026	"COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC."	National PACE	Central Coast PACE	National PACE		Community Health Centers of the Central Coast	882	Yes	Pending					PACE - Nat		C	San Francisco
H4239	Pharmacy Technical Help Desk Contact	Chief PACE and Senior Services Officer	Mrs	Carr	Terrilyn	N						ayip@chccc.org	150 Tejas PL		Santa Maria	CA	93458	7/24/2025	2026	"COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC."	National PACE	Central Coast PACE	National PACE		Community Health Centers of the Central Coast	882	Yes	Pending	1-803-598-8588				PACE - Nat		C	San Francisco
H4239	Plan to Plan Reconciliation Contact	Chief PACE and Senior Services Officer	Mrs	Carr	Terrilyn	N	1-805-598-8588					terrilyn.carr@chccc.org	2050 S. Blosser Rd		Santa Maria	CA	93458	7/24/2025	2026	"COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC."	National PACE	Central Coast PACE	National PACE		Community Health Centers of the Central Coast	882	Yes	Pending					PACE - Nat		C	San Francisco
H4253	Automated TrOOP Balance Transfer Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/2/2026	2026	"ACUTECARE PACE LUCAS, LLC"	National PACE	"Acutecare PACE Lucas, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H4253	Best Available Evidence Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-608-1975					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/2/2026	2026	"ACUTECARE PACE LUCAS, LLC"	National PACE	"Acutecare PACE Lucas, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H4253	Chief Financial Officer	Chief Financial Officer	Mr	Schlesinger	David		1-855-801-2653					dschlesinger@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	5/20/2026	2026	"ACUTECARE PACE LUCAS, LLC"	National PACE	"Acutecare PACE Lucas, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H4253	CMS Casework Communication Contact	Director of Compliance		Cooper	Wanda		1-855-801-2653					wcooper@boldagepace.com	1075 Stephenson Avenue Suite B		Oceanport	NJ	07757	5/20/2026	2026	"ACUTECARE PACE LUCAS, LLC"	National PACE	"Acutecare PACE Lucas, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H4253	Coordination of Benefits Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/21/2026	2026	"ACUTECARE PACE LUCAS, LLC"	National PACE	"Acutecare PACE Lucas, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H4253	Customer Service Operations Contact	Executive Director	Ms	Sprockett	Stephen		1-614-400-4360					ssprockett@boldagepace.com	2121 Garden Lake Parkway		Toledo	OH	43614	4/2/2026	2026	"ACUTECARE PACE LUCAS, LLC"	National PACE	"Acutecare PACE Lucas, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H4253	Government Relations Contact	Chief Administrative Officer	Mr	Czermak	Michael		1-855-801-2653					michaelc@boldagepace.com	1897 Lakewood Road	Unit 109	Toms River	NJ	08753	5/11/2026	2026	"ACUTECARE PACE LUCAS, LLC"	National PACE	"Acutecare PACE Lucas, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H4253	Medicare Compliance Officer	Director of Compliance	Ms	Cooper	Wanda		1-855-801-2653					wcooper@boldagepace.com	1075 Stephenson Avenue	Suite B	Oceanport	NJ	07757	5/20/2026	2026	"ACUTECARE PACE LUCAS, LLC"	National PACE	"Acutecare PACE Lucas, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H4253	Part D Exceptions Contact	Financial Specialist	Ms	Partlow	Jennie							jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/3/2026	2026	"ACUTECARE PACE LUCAS, LLC"	National PACE	"Acutecare PACE Lucas, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending	1-732-806-3224				PACE - Nat		C	New York
H4253	Pharmacy Network Management Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/2/2026	2026	"ACUTECARE PACE LUCAS, LLC"	National PACE	"Acutecare PACE Lucas, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H4253	Pharmacy Technical Help Desk Contact	Financial Specialist	Ms	Partlow	Jennie							jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/2/2026	2026	"ACUTECARE PACE LUCAS, LLC"	National PACE	"Acutecare PACE Lucas, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending	1-732-806-3224				PACE - Nat		C	New York
H4253	Plan to Plan Reconciliation Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/2/2026	2026	"ACUTECARE PACE LUCAS, LLC"	National PACE	"Acutecare PACE Lucas, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H4256	Automated TrOOP Balance Transfer Contact	FinanceDirector	Mr.	Jacobs	John		1-231-252-3816				1-231-252-3750	jjacobs@pacenorth.org	2325 N Garfield RD		Traverse City	MI	49686	3/15/2021	2026	"PACE NORTH, INC."	National PACE	PACE North	National PACE		PACE North	721	Yes	Active					PACE - Nat		C	Kansas City
H4256	Best Available Evidence Contact	Executive Director	Ms	Farkas	Nicole		1-231-252-3814				1-231-252-3750	nfarkas@pacenorth.org	"2325 Garfield Road, N."		Traverse City	MI	49686	2/23/2024	2026	"PACE NORTH, INC."	National PACE	PACE North	National PACE		PACE North	721	Yes	Active					PACE - Nat		C	Kansas City
H4256	Chief Financial Officer	Financial Director	Mr	Jacobs	John		1-231-252-3816				1-231-252-3750	jjacobs@pacenorth.org	2325 N Garfield RD		Traverse City	MI	49686	5/21/2019	2026	"PACE NORTH, INC."	National PACE	PACE North	National PACE		PACE North	721	Yes	Active					PACE - Nat		C	Kansas City
H4256	CMS Casework Communication Contact	Quality Director		Reardon	Michelle		1-231-252-2767				1-231-252-3750	mreardon@pacenorth.org	2325 N Garfield RD		Traverse City	MI	49686	6/4/2026	2026	"PACE NORTH, INC."	National PACE	PACE North	National PACE		PACE North	721	Yes	Active					PACE - Nat		C	Kansas City
H4256	Coordination of Benefits Contact	Finance Director	Mr	Jacobs	John		1-231-252-3816				1-231-252-3750	jjacobs@pacenorth.org	2325 N Garfield RD		Traverse City	MI	49686	5/21/2019	2026	"PACE NORTH, INC."	National PACE	PACE North	National PACE		PACE North	721	Yes	Active					PACE - Nat		C	Kansas City
H4256	Customer Service Operations Contact	Executive Director	Ms	Farkas	Nicole		1-231-252-3814				1-231-252-3750	nfarkas@pacenorth.org	"2325 Garfield Road, N."		Traverse City	MI	49686	2/23/2024	2026	"PACE NORTH, INC."	National PACE	PACE North	National PACE		PACE North	721	Yes	Active					PACE - Nat		C	Kansas City
H4256	Government Relations Contact	Executive Director	Ms	Farkas	Nicole		1-231-252-3814				1-231-252-3750	nfarkas@pacenorth.org	"2325 Garfield Road, N."		Traverse City	MI	49686	12/20/2022	2026	"PACE NORTH, INC."	National PACE	PACE North	National PACE		PACE North	721	Yes	Active					PACE - Nat		C	Kansas City
H4256	Medicare Compliance Officer	Quality Assurance Director	Ms.	Reardon	Michelle		1-231-252-3819				1-231-252-3750	mreardon@pacenorth.org	2325 N Garfield RD		Traverse City	MI	49686	2/23/2024	2026	"PACE NORTH, INC."	National PACE	PACE North	National PACE		PACE North	721	Yes	Active					PACE - Nat		C	Kansas City
H4256	Part D Exceptions Contact	Finance Director	Mr	Jacobs	John						1-231-252-3750	jjacobs@pacenorth.org	2325 N Garfield RD		Traverse City	MI	49686	5/21/2019	2026	"PACE NORTH, INC."	National PACE	PACE North	National PACE		PACE North	721	Yes	Active	1-231-252-3816				PACE - Nat		C	Kansas City
H4256	Pharmacy Network Management Contact	Finance Director	Mr	Jacobs	John		1-231-252-3816				1-231-252-3750	jjacobs@pacenorth.org	"2325 Garfield Road, N."		Traverse City	MI	49686	2/23/2024	2026	"PACE NORTH, INC."	National PACE	PACE North	National PACE		PACE North	721	Yes	Active					PACE - Nat		C	Kansas City
H4256	Pharmacy Technical Help Desk Contact	Executive Director	Ms	Jacobs	John						1-231-252-3750	jjacobs@pacenorth.org	2325 N Garfield Rd		Traverse City	MI	49686	2/23/2024	2026	"PACE NORTH, INC."	National PACE	PACE North	National PACE		PACE North	721	Yes	Active	1-231-252-3816				PACE - Nat		C	Kansas City
H4256	Plan to Plan Reconciliation Contact	Finance Director	Mr	Jacobs	John		1-231-252-3816				1-231-252-3750	jjacobs@pacenorth.org	2325 N Garfield RD		Traverse City	MI	49686	5/21/2019	2026	"PACE NORTH, INC."	National PACE	PACE North	National PACE		PACE North	721	Yes	Active					PACE - Nat		C	Kansas City
H4279	Automated TrOOP Balance Transfer Contact	"AVP, Medicare Operations Support"		Cain	John		1-412-454-5539					cainjo@upmc.edu	"USX Tower, 9th Floor"	600 Grant Street	Pittsburgh	PA	15219	1/13/2026	2026	"UPMC FOR YOU, INC"	Local CCP	UPMC for Life Complete Care	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4279	Best Available Evidence Contact	Customer Service		Health Plan	UPMC		1-800-606-8648					upmchp@upmc.edu	"USX Tower, 23rd Floor"	600 Grant Street	Pittsburgh	PA	15219	3/17/2023	2026	"UPMC FOR YOU, INC"	Local CCP	UPMC for Life Complete Care	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4279	Chief Financial Officer	Chief Financial Officer	Ms.	Farrell	Lisa		1-412-454-5559				1-412-454-2110	farrelllm@upmc.edu	"USX Tower, 55th Floor"	600 Grant Street	Pittsburgh	PA	15219	1/13/2026	2026	"UPMC FOR YOU, INC"	Local CCP	UPMC for Life Complete Care	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4279	CMS Casework Communication Contact	"Sr. Manager, Medicare Compliance"	Ms.	McGough	Amber		1-412-901-1352					russellal@upmc.edu	"USX Tower, 14th Floor"	600 Grant Street	Pittsburgh	PA	15219	1/13/2026	2026	"UPMC FOR YOU, INC"	Local CCP	UPMC for Life Complete Care	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4279	Coordination of Benefits Contact	Program Director		Turner	Shannon		1-412-454-7360					turners3@upmc.edu	"USX Tower, 5th Floor"	600 Grant Street	Pittsburgh	PA	15219	1/13/2026	2026	"UPMC FOR YOU, INC"	Local CCP	UPMC for Life Complete Care	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4279	Customer Service Operations Contact	Customer Service		Health Plan	UPMC		1-800-606-8648					upmchp@upmc.edu	"USX Tower, 23rd Floor"	600 Grant Street	Pittsburgh	PA	15219	3/17/2023	2026	"UPMC FOR YOU, INC"	Local CCP	UPMC for Life Complete Care	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4279	Government Relations Contact	Medicare Compliance Officer	Mrs.	Vybiral	Erin		1-412-454-5247				1-412-454-2110	mccomplianceofficer@upmc.edu	"USX Tower, 14th Floor"	600 Grant Street	Pittsburgh	PA	15219	12/15/2021	2026	"UPMC FOR YOU, INC"	Local CCP	UPMC for Life Complete Care	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4279	Hospice Contact	Pharmacy Coordinator	Ms.	Keilback	Nicole		1-412-454-8589					lindemuthnl@upmc.edu	"USX Tower, 12th Floor"	600 Grant Street	Pittsburgh	PA	15219	1/13/2026	2026	"UPMC FOR YOU, INC"	Local CCP	UPMC for Life Complete Care	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4279	Medicare Compliance Officer	Medicare Compliance Officer	Mrs.	Vybiral	Erin		1-412-454-5247				1-412-454-2110	mccomplianceofficer@upmc.edu	"USX Tower, 14th Floor"	600 Grant Street	Pittsburgh	PA	15219	12/15/2021	2026	"UPMC FOR YOU, INC"	Local CCP	UPMC for Life Complete Care	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4279	Part D Exceptions Contact			Services	Pharmacy							upmchp@upmc.edu	"USX Tower, 12th Floor"	600 Grant Street	Pittsburgh	PA	15219	8/29/2012	2026	"UPMC FOR YOU, INC"	Local CCP	UPMC for Life Complete Care	HMO/HMOPOS		UPMC Health System	249	Yes	Active	1-800-396-4139				HMO - Health Maintenance Organization		C	Dallas
H4279	Pharmacy Network Management Contact	Network Account Director		Kelly	Heather		1-314-692-1866				1-877-387-5800	hakelly@express-scripts.com	One Express Way		St. Louis	MO	63121	10/31/2016	2026	"UPMC FOR YOU, INC"	Local CCP	UPMC for Life Complete Care	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4279	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Warren	Mark							MWarren@express-scripts.com	6625 West 78th Street		Bloomington	MN	55439	1/13/2026	2026	"UPMC FOR YOU, INC"	Local CCP	UPMC for Life Complete Care	HMO/HMOPOS		UPMC Health System	249	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Dallas
H4279	Plan to Plan Reconciliation Contact	Business Analyst		Michalski	Jeff		1-412-454-5715				1-412-454-2110	medicarereporting@upmc.edu	"US Steel Tower, 600 Grant Street, 9th Floor"	c/o UPMC Health Plan Attn: Aunika Hall P2P - 09-257	Pittsburgh	PA	15219	3/17/2025	2026	"UPMC FOR YOU, INC"	Local CCP	UPMC for Life Complete Care	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4286	Automated TrOOP Balance Transfer Contact	CEO		Hernandez	Henry		1-305-631-5855					henry.hernandez@leonhealth.com	8600 NW 41 St		Miami	FL	33166	7/29/2024	2026	"LEON HEALTH, INC."	Local CCP	"Leon Health, Inc."	HMO/HMOPOS		"LMC Family Holdings, LLC"	771	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4286	Best Available Evidence Contact	CEO		Hernandez	Henry		1-305-631-5855				1-305-718-2860	henry.hernandez@leonhealth.com	"8600 NW 41 St,"		Miami	FL	33166	7/29/2024	2026	"LEON HEALTH, INC."	Local CCP	"Leon Health, Inc."	HMO/HMOPOS		"LMC Family Holdings, LLC"	771	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4286	Chief Financial Officer	SVP & CFO	Ms.	Pardo	Ann Mary		1-305-631-5064					annmary.pardo@leonmedicalcenters.com	8600 NW 41 St		Miami	FL	33166	1/26/2022	2026	"LEON HEALTH, INC."	Local CCP	"Leon Health, Inc."	HMO/HMOPOS		"LMC Family Holdings, LLC"	771	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4286	CMS Casework Communication Contact	Chief Compliance Officer	Ms.	Yzquierdo	Milagros		1-305-631-5855					milagros.yzquierdo@leonhealth.com	8600 NW 41 St		Miami	FL	33166	6/16/2021	2026	"LEON HEALTH, INC."	Local CCP	"Leon Health, Inc."	HMO/HMOPOS		"LMC Family Holdings, LLC"	771	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4286	Coordination of Benefits Contact	CEO		Hernandez	Henry		1-305-631-5855					henry.hernandez@leonhealth.com	"8600 NW 41 St,"		Miami	FL	33166	7/29/2024	2026	"LEON HEALTH, INC."	Local CCP	"Leon Health, Inc."	HMO/HMOPOS		"LMC Family Holdings, LLC"	771	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4286	Customer Service Operations Contact	CEO		Hernandez	Henry		1-305-631-5855					henry.hernandez@leonhealth.com	"8600 NW 41 St,"		Miami	FL	33166	7/29/2024	2026	"LEON HEALTH, INC."	Local CCP	"Leon Health, Inc."	HMO/HMOPOS		"LMC Family Holdings, LLC"	771	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4286	Government Relations Contact	CEO	Mr.	Hernandez	Henry		1-305-631-5855					henry.hernandez@leonhealth.com	8600 NW 41 St		Miami	FL	33166	1/15/2025	2026	"LEON HEALTH, INC."	Local CCP	"Leon Health, Inc."	HMO/HMOPOS		"LMC Family Holdings, LLC"	771	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4286	Hospice Contact	SVP & CMO		Mas	Rafael		1-305-642-5366					rafael.mas@leonmedicalcenters.com	8600 NW 41 St		Miami	FL	33166	2/5/2021	2026	"LEON HEALTH, INC."	Local CCP	"Leon Health, Inc."	HMO/HMOPOS		"LMC Family Holdings, LLC"	771	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4286	Medicare Compliance Officer	Chief Compliance Officer	Mr.	Yzquierdo	Milagros		1-305-496-3156					milagros.yzquierdo@leonhealth.com	8600 NW 41 Street		Miami	FL	33166	4/20/2023	2026	"LEON HEALTH, INC."	Local CCP	"Leon Health, Inc."	HMO/HMOPOS		"LMC Family Holdings, LLC"	771	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4286	Part D Exceptions Contact	CEO		Hernandez	Henry						1-305-646-3226	henry.hernandez@leonhealth.com	8600 NW 41 St		Miami	FL	33166	7/29/2024	2026	"LEON HEALTH, INC."	Local CCP	"Leon Health, Inc."	HMO/HMOPOS		"LMC Family Holdings, LLC"	771	Yes	Active	1-833-376-5366				HMO - Health Maintenance Organization		C	Atlanta
H4286	Pharmacy Network Management Contact	CEO		Hernandez	Henry		1-305-631-5855					henry.hernandez@leonhealth.com	8600 NW 41 St		Miami	FL	33166	7/29/2024	2026	"LEON HEALTH, INC."	Local CCP	"Leon Health, Inc."	HMO/HMOPOS		"LMC Family Holdings, LLC"	771	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4286	Pharmacy Technical Help Desk Contact	Customer Contact Services		Brewer	Kathy							Customerservice@MedImpact.com	10181 Scripps Gateway CT		San Diego	CA	92131	11/15/2023	2026	"LEON HEALTH, INC."	Local CCP	"Leon Health, Inc."	HMO/HMOPOS		"LMC Family Holdings, LLC"	771	Yes	Active	1-800-681-7504				HMO - Health Maintenance Organization		C	Atlanta
H4286	Plan to Plan Reconciliation Contact	CEO		Hernandez	Henry		1-305-631-5855					henry.hernandez@leonhealth.com	8600 NW 41 St		Miami	FL	33166	7/29/2024	2026	"LEON HEALTH, INC."	Local CCP	"Leon Health, Inc."	HMO/HMOPOS		"LMC Family Holdings, LLC"	771	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4305	Automated TrOOP Balance Transfer Contact	Finance and Part D Specialist		Tibbs	Amanda		1-870-207-7502				1-870-207-0571	amoon@sbrmc.org	505 E Matthews	505 E Matthews Avenue	Jonesboro	AR	72401	2/23/2024	2026	TOTAL LIFE HEALTHCARE	National PACE	Total Life Healthcare	National PACE		St. Bernard's Healthcare	353	Yes	Active					PACE - Nat		C	New York
H4305	Best Available Evidence Contact	Executive Director		Whitehead	Chad		1-870-207-7505				1-870-207-0527	crwhitehead@sbrmc.org	505 E Matthews		Jonesboro	AR	72401	5/21/2025	2026	TOTAL LIFE HEALTHCARE	National PACE	Total Life Healthcare	National PACE		St. Bernard's Healthcare	353	Yes	Active					PACE - Nat		C	New York
H4305	Chief Financial Officer	Accountant	Mrs.	Domino	DeAnna	J	1-870-207-7526				1-870-207-0571	ddomino@sbrmc.org	505 E Matthews	505 E Matthews Avenue	Jonesboro	AR	72401	5/21/2025	2026	TOTAL LIFE HEALTHCARE	National PACE	Total Life Healthcare	National PACE		St. Bernard's Healthcare	353	Yes	Active					PACE - Nat		C	New York
H4305	CMS Casework Communication Contact	Program Integrity Manager		Rowe	Shellei		1-870-207-7485				1-870-207-0550	srowe@sbrmc.org	505 E Matthews	505 E Matthews Avenue	Jonesboro	AR	72401	5/22/2023	2026	TOTAL LIFE HEALTHCARE	National PACE	Total Life Healthcare	National PACE		St. Bernard's Healthcare	353	Yes	Active					PACE - Nat		C	New York
H4305	Coordination of Benefits Contact	Finance and Part D Specialist		Tibbs	Amanda		1-870-207-7502				1-870-207-0571	amoon@sbrmc.org	505 E Matthews	505 E Matthews Avenue	Jonesboro	AR	72401	2/23/2024	2026	TOTAL LIFE HEALTHCARE	National PACE	Total Life Healthcare	National PACE		St. Bernard's Healthcare	353	Yes	Active					PACE - Nat		C	New York
H4305	Customer Service Operations Contact	Center Manager		Hayes	Tina		1-870-207-7503				1-870-207-0527	trhayes@sbrmc.org	505 E Matthews	505 E Matthews Avenue	Jonesboro	AR	72401	6/13/2023	2026	TOTAL LIFE HEALTHCARE	National PACE	Total Life Healthcare	National PACE		St. Bernard's Healthcare	353	Yes	Active					PACE - Nat		C	New York
H4305	Government Relations Contact	Executive Director		Whitehead	Chad		1-870-207-7505				1-870-207-0527	crwhitehead@sbrmc.org	505 E Matthews	505 E Matthews Avenue	Jonesboro	AR	72401	5/21/2025	2026	TOTAL LIFE HEALTHCARE	National PACE	Total Life Healthcare	National PACE		St. Bernard's Healthcare	353	Yes	Active					PACE - Nat		C	New York
H4305	Medicare Compliance Officer	Program Integrity Manager	Mrs.	Rowe	Shellei		1-870-207-7485				1-870-207-0550	srowe@sbrmc.org	505 E Matthews	505 E Matthews Avenue	Jonesboro	AR	72401	2/23/2024	2026	TOTAL LIFE HEALTHCARE	National PACE	Total Life Healthcare	National PACE		St. Bernard's Healthcare	353	Yes	Active					PACE - Nat		C	New York
H4305	Part D Exceptions Contact	Finance and Part D Specialist		Tibbs	Amanda						1-870-207-0571	amoon@sbrmc.org	505 E Matthews	505 E Matthews Avenue	Jonesboro	AR	72401	2/23/2024	2026	TOTAL LIFE HEALTHCARE	National PACE	Total Life Healthcare	National PACE		St. Bernard's Healthcare	353	Yes	Active	1-855-207-7502				PACE - Nat		C	New York
H4305	Pharmacy Network Management Contact	Center Manager		Hayes	Tina		1-870-207-7503				1-870-207-0571	trhayes@sbrmc.org	505 E Matthews	505 E Matthews Avenue	Jonesboro	AR	72401	7/28/2022	2026	TOTAL LIFE HEALTHCARE	National PACE	Total Life Healthcare	National PACE		St. Bernard's Healthcare	353	Yes	Active					PACE - Nat		C	New York
H4305	Pharmacy Technical Help Desk Contact	Finance and Part D Specialist		Tibbs	Amanda						1-870-207-0502	amoon@sbrmc.org	505 E Matthews	505 E Matthews Avenue	Jonesboro	AR	72401	2/23/2024	2026	TOTAL LIFE HEALTHCARE	National PACE	Total Life Healthcare	National PACE		St. Bernard's Healthcare	353	Yes	Active	1-855-207-7526				PACE - Nat		C	New York
H4305	Plan to Plan Reconciliation Contact	Accountant		Domino	DeAnna		1-870-207-7526				1-870-207-0527	ddomino@sbrmc.org	505 E Matthews	505 E Matthews Avenue	Jonesboro	AR	72401	5/16/2025	2026	TOTAL LIFE HEALTHCARE	National PACE	Total Life Healthcare	National PACE		St. Bernard's Healthcare	353	Yes	Active					PACE - Nat		C	New York
H4326	Automated TrOOP Balance Transfer Contact	Finance Specialist	Ms.	Martin	Ambra		1-828-468-3013				1-828-994-4298	amartin@seniortlc.org	1915 Fairgrove Church Rd. SE		Newton	NC	28658	11/25/2025	2026	"PACE @ HOME, INC."	National PACE	Senior TLC	National PACE		PACE @ Home	459	Yes	Active					PACE - Nat		C	Atlanta
H4326	Best Available Evidence Contact	Executive Program Director	Mrs.	Jones	Emily		1-828-468-3980				1-828-464-2845	ejones@seniortlc.org	1915 Fairgrove Church Rd. SE		Newton	NC	28658	11/25/2025	2026	"PACE @ HOME, INC."	National PACE	Senior TLC	National PACE		PACE @ Home	459	Yes	Active					PACE - Nat		C	Atlanta
H4326	Chief Financial Officer	Finance Specialist	Mrs.	Martin	Ambra		1-828-468-3013				1-828-994-4298	amartin@seniortlc.org	1915 Fairgrove Church Rd. SE		Newton	NC	28658	7/11/2025	2026	"PACE @ HOME, INC."	National PACE	Senior TLC	National PACE		PACE @ Home	459	Yes	Active					PACE - Nat		C	Atlanta
H4326	CMS Casework Communication Contact	Executive Program Director	Mrs.	Jones	Emily		1-828-468-3980				1-828-464-2845	ejones@seniortlc.org	1915 Fairgrove Church Rd. SE		Newton	NC	28658	11/25/2025	2026	"PACE @ HOME, INC."	National PACE	Senior TLC	National PACE		PACE @ Home	459	Yes	Active					PACE - Nat		C	Atlanta
H4326	Coordination of Benefits Contact	Finance Specialist	Ms.	Martin	Ambra		1-828-468-3013				1-828-994-4298	amartin@seniortlc.org	1915 Fairgrove Church Rd. SE		Newton	NC	28658	7/11/2025	2026	"PACE @ HOME, INC."	National PACE	Senior TLC	National PACE		PACE @ Home	459	Yes	Active					PACE - Nat		C	Atlanta
H4326	Customer Service Operations Contact	Executive Program Director	Mrs.	Jones	Emily		1-828-468-3980				1-828-464-2845	ejones@seniortlc.org	1915 Fairgrove Church Rd. SE		Newton	NC	28658	10/13/2025	2026	"PACE @ HOME, INC."	National PACE	Senior TLC	National PACE		PACE @ Home	459	Yes	Active					PACE - Nat		C	Atlanta
H4326	Government Relations Contact	Executive Program Director	Mrs.	Jones	Emily		1-828-468-3980				1-828-464-2845	ejones@seniortlc.org	1915 Fairgrove Church Rd. SE		Newton	NC	28658	11/25/2025	2026	"PACE @ HOME, INC."	National PACE	Senior TLC	National PACE		PACE @ Home	459	Yes	Active					PACE - Nat		C	Atlanta
H4326	Medicare Compliance Officer	Director of Quality & Corporate Compliance	Mrs.	Alexander	Lydia		1-704-874-0600				1-704-865-4385	lyalexander@seniorTLC.org	1875 Remount Rd		Gastonia	NC	28054	2/10/2025	2026	"PACE @ HOME, INC."	National PACE	Senior TLC	National PACE		PACE @ Home	459	Yes	Active					PACE - Nat		C	Atlanta
H4326	Part D Exceptions Contact	Program Director	Mrs.	Jones	Emily						1-828-464-2845	ejones@pace-at-home.org	1915 Fairgrove Church Rd. SE		Newton	NC	28658	10/13/2025	2026	"PACE @ HOME, INC."	National PACE	Senior TLC	National PACE		PACE @ Home	459	Yes	Active	1-828-468-3980				PACE - Nat		C	Atlanta
H4326	Pharmacy Network Management Contact		Ms.	Slowiak	Andrea		1-715-852-2983					aslowiak@pharmastarpbm.com	2503 N. Hillcrest Pkwy		Altoona	WI	54720	3/7/2016	2026	"PACE @ HOME, INC."	National PACE	Senior TLC	National PACE		PACE @ Home	459	Yes	Active					PACE - Nat		C	Atlanta
H4326	Pharmacy Technical Help Desk Contact		Ms.	Brasberger	Lindsey							LBrasberger@carekinesis.com	228 Strawbridge Drive		Moorestown	NJ	08057	3/4/2019	2026	"PACE @ HOME, INC."	National PACE	Senior TLC	National PACE		PACE @ Home	459	Yes	Active	1-609-670-1034				PACE - Nat		C	Atlanta
H4326	Plan to Plan Reconciliation Contact	Finance Specialist	Ms.	Martin	Ambra		1-828-468-3013				1-828-464-2845	amartin@seniortlc.org	1915 Fairgrove Church Rd. SE		Newton	NC	28658	7/21/2025	2026	"PACE @ HOME, INC."	National PACE	Senior TLC	National PACE		PACE @ Home	459	Yes	Active					PACE - Nat		C	Atlanta
H4329	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4329	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4329	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4329	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4329	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4329	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4329	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4329	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4329	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4329	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-859-321-9075				HMO - Health Maintenance Organization		C	Kansas City
H4329	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4329	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-800-865-8715				HMO - Health Maintenance Organization		C	Kansas City
H4329	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4346	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	"HMO COLORADO, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4346	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"HMO COLORADO, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4346	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	"HMO COLORADO, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4346	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	"HMO COLORADO, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4346	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	"HMO COLORADO, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4346	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	"HMO COLORADO, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4346	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"HMO COLORADO, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4346	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"HMO COLORADO, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4346	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"HMO COLORADO, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4346	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	"HMO COLORADO, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H4346	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/31/2023	2026	"HMO COLORADO, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4346	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	"HMO COLORADO, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H4346	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/7/2021	2026	"HMO COLORADO, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4348	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF KANSAS	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H4348	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF KANSAS	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H4348	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF KANSAS	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H4348	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF KANSAS	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H4348	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF KANSAS	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H4348	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF KANSAS	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H4348	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF KANSAS	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H4348	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF KANSAS	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H4348	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF KANSAS	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H4348	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF KANSAS	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				PPO - BBA		C	Atlanta
H4348	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF KANSAS	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H4348	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF KANSAS	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				PPO - BBA		C	Atlanta
H4348	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF KANSAS	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H4371	Automated TrOOP Balance Transfer Contact	"AVP, Pharmacy"		Vu	John		1-801-252-5706					an.vu@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"SENIOR WHOLE HEALTH, LLC"	Local CCP	Molina Healthcare of Massachusetts	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4371	Best Available Evidence Contact	"Director, Medicare PEnrollment"		LeJeune	Ryan		1-562-549-4527					ryan.lejeune@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"SENIOR WHOLE HEALTH, LLC"	Local CCP	Molina Healthcare of Massachusetts	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4371	Chief Financial Officer	"MHI - VP, Operating Finance"	Mr.	Parthasarathy	Vijay		1-630-381-8563					vijay.parthasarathy@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"SENIOR WHOLE HEALTH, LLC"	Local CCP	Molina Healthcare of Massachusetts	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4371	CMS Casework Communication Contact	"Dir, Medicare A&G"		Bennett	Kimberly		1-248-854-9474					Kimberly.Bennett@molinahealthcare.com	24121 Rosewood Street		Oak Park	MI	48237	5/21/2025	2026	"SENIOR WHOLE HEALTH, LLC"	Local CCP	Molina Healthcare of Massachusetts	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4371	Coordination of Benefits Contact	"Director, Payment Integrity"		Hartberger	Jake		1-484-269-1480					Jake.Hartberger@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"SENIOR WHOLE HEALTH, LLC"	Local CCP	Molina Healthcare of Massachusetts	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4371	Customer Service Operations Contact	"Vice President, Call Center"		Faroughi	Cheryl		1-614-547-6829					cheryl.faroughi@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"SENIOR WHOLE HEALTH, LLC"	Local CCP	Molina Healthcare of Massachusetts	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4371	Government Relations Contact	"MHI- Vice President, Compliance"		Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@Molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"SENIOR WHOLE HEALTH, LLC"	Local CCP	Molina Healthcare of Massachusetts	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4371	Hospice Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"SENIOR WHOLE HEALTH, LLC"	Local CCP	Molina Healthcare of Massachusetts	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4371	Medicare Compliance Officer	"MHI- Vice President, Compliance"	Mr.	Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"SENIOR WHOLE HEALTH, LLC"	Local CCP	Molina Healthcare of Massachusetts	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4371	Part D Exceptions Contact	"AVP, Medicare Pharmacy Services"		Vu	John							An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"SENIOR WHOLE HEALTH, LLC"	Local CCP	Molina Healthcare of Massachusetts	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-801-252-5706				HMO - Health Maintenance Organization		C	Atlanta
H4371	Pharmacy Network Management Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"SENIOR WHOLE HEALTH, LLC"	Local CCP	Molina Healthcare of Massachusetts	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4371	Pharmacy Technical Help Desk Contact	"Director, Client Operations"		Help Desk	Pharmacy						1-480-314-6077	dayoubj@cvshealth.com	445 Great Circle Road		Nashville	TN	37228	5/21/2025	2026	"SENIOR WHOLE HEALTH, LLC"	Local CCP	Molina Healthcare of Massachusetts	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Atlanta
H4371	Plan to Plan Reconciliation Contact	"Director, Finance"		Cook	Keith		1-562-542-2024					P2P.molina@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"SENIOR WHOLE HEALTH, LLC"	Local CCP	Molina Healthcare of Massachusetts	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4393	Automated TrOOP Balance Transfer Contact	AVP Clinical Services - Pharmacy		Krupar	Roman		1-917-484-5060					rkrupar@archcare.org	"205 Lexington Avenue, 8th Floor"		New York	NY	10016	2/10/2026	2026	"CATHOLIC MANAGED LONG TERM CARE, INC."	National PACE	ArchCare Senior Life	National PACE		Catholic Health Care System	317	Yes	Active					PACE - Nat		C	New York
H4393	Best Available Evidence Contact	"SVP, Managed Care"		Dunbar	Derek		1-646-633-4738					ddunbar@archcare.org	"205 Lexington Avenue, 3rd Floor"		New York	NY	10016	2/10/2026	2026	"CATHOLIC MANAGED LONG TERM CARE, INC."	National PACE	ArchCare Senior Life	National PACE		Catholic Health Care System	317	Yes	Active					PACE - Nat		C	New York
H4393	Chief Financial Officer	EVP/Chief Financial Officer	Ms.	Covone	Annmarie		1-646-633-4702					acovone@archcare.org	205 Lexington Avenue	2nd Floor	New York	NY	10016	2/10/2026	2026	"CATHOLIC MANAGED LONG TERM CARE, INC."	National PACE	ArchCare Senior Life	National PACE		Catholic Health Care System	317	Yes	Active					PACE - Nat		C	New York
H4393	CMS Casework Communication Contact	"SVP, Managed Care"		Dunbar	Derek		1-646-633-4738					ddunbar@archcare.org	"205 Lexington Avenue, 3rd Floor"		New York	NY	10016	2/10/2026	2026	"CATHOLIC MANAGED LONG TERM CARE, INC."	National PACE	ArchCare Senior Life	National PACE		Catholic Health Care System	317	Yes	Active					PACE - Nat		C	New York
H4393	Coordination of Benefits Contact	Director of Intake and Enrollment		Kim-Smith	Jin		1-646-889-5328					jksmith@archcare.org	115 East Stevens Avenue		Valhalla	NY	10595	2/12/2026	2026	"CATHOLIC MANAGED LONG TERM CARE, INC."	National PACE	ArchCare Senior Life	National PACE		Catholic Health Care System	317	Yes	Active					PACE - Nat		C	New York
H4393	Customer Service Operations Contact			Customer Service	ArchCare		1-866-263-9083					providerrelations@archcare.org	"205 Lexington Avenue, 3rd Floor"		New York	NY	10016	2/10/2026	2026	"CATHOLIC MANAGED LONG TERM CARE, INC."	National PACE	ArchCare Senior Life	National PACE		Catholic Health Care System	317	Yes	Active					PACE - Nat		C	New York
H4393	Government Relations Contact	"SVP, Managed Care"		Dunbar	Derek		1-646-633-4738					ddunbar@archcare.org	"205 Lexington Avenue, 3rd Floor"		New York	NY	10016	2/10/2026	2026	"CATHOLIC MANAGED LONG TERM CARE, INC."	National PACE	ArchCare Senior Life	National PACE		Catholic Health Care System	317	Yes	Active					PACE - Nat		C	New York
H4393	Medicare Compliance Officer	"VP, Business Operations and Regulatory Oversight"	Ms.	Johnston	Stacey		1-332-227-7901					sjohnston@archcare.org	"205 Lexington Avenue, 3rd Floor"		New York	NY	10016	3/5/2026	2026	"CATHOLIC MANAGED LONG TERM CARE, INC."	National PACE	ArchCare Senior Life	National PACE		Catholic Health Care System	317	Yes	Active					PACE - Nat		C	New York
H4393	Part D Exceptions Contact	AVP Clinical Services-Pharmacy		Krupar	Roman							rkrupar@archcare.org	205 Lexington Avenue		New York	NY	10016	2/10/2026	2026	"CATHOLIC MANAGED LONG TERM CARE, INC."	National PACE	ArchCare Senior Life	National PACE		Catholic Health Care System	317	Yes	Active	1-971-484-5060				PACE - Nat		C	New York
H4393	Pharmacy Network Management Contact	"Director, Network Systems & Standards"		Tressler	Damon		1-480-391-4702				1-480-314-6023	damon.tressler@caremark.com	"CVS Caremark Part D Services, LCC."	"9501 E Shea Blvd., MC080"	Scottsdale	AZ	85260	1/19/2016	2026	"CATHOLIC MANAGED LONG TERM CARE, INC."	National PACE	ArchCare Senior Life	National PACE		Catholic Health Care System	317	Yes	Active					PACE - Nat		C	New York
H4393	Pharmacy Technical Help Desk Contact	"Manager, Vendor Management"		Palmieri	Mike						1-866-693-4620	Mike.Palmieri@caremark.com	"CVS Caremark Part D Services, LCC."	"2401 Cherahala Blvd., MC650"	Knoxville	TN	37932	11/23/2021	2026	"CATHOLIC MANAGED LONG TERM CARE, INC."	National PACE	ArchCare Senior Life	National PACE		Catholic Health Care System	317	Yes	Active	1-866-693-4620				PACE - Nat		C	New York
H4393	Plan to Plan Reconciliation Contact	EVP/Chief Financial Officer	Ms.	Covone	Annmarie		1-646-633-4702					acovone@archcare.org	205 Lexington Ave.	2nd Floor	New York	NY	10016	2/10/2026	2026	"CATHOLIC MANAGED LONG TERM CARE, INC."	National PACE	ArchCare Senior Life	National PACE		Catholic Health Care System	317	Yes	Active					PACE - Nat		C	New York
H4402	Automated TrOOP Balance Transfer Contact	Finance Director	Mr.	Webster	Ty		1-314-270-2497					ty.webster@ascension.org	4600 Edmundson Road		St. Louis	MO	63134	9/29/2025	2026	ALEXIAN BROTHERS COMMUNITY SERVICES	National PACE	Ascension Living Alexian PACE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H4402	Best Available Evidence Contact	Medical Director	Dr.	Birch	Lorna		1-423-698-0802	1080188			1-423-622-6048	lbirch@ascension.org	425 Cumberland Street	Suite 110	Chattanooga	TN	37404	9/4/2020	2026	ALEXIAN BROTHERS COMMUNITY SERVICES	National PACE	Ascension Living Alexian PACE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H4402	Chief Financial Officer	Manager: Accounting and Reporting	Mr.	Webster	Ty		1-314-270-2497					ty.webster@ascension.org	4600 Edmundson Road		St. Louis	MO	63134	9/22/2023	2026	ALEXIAN BROTHERS COMMUNITY SERVICES	National PACE	Ascension Living Alexian PACE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H4402	CMS Casework Communication Contact	Compliance director	Ms	Chesnutt	Jacquelyn		1-423-495-9119				1-423-622-6048	jacquelyn.chesnutt@ascension.org	425 Cumberland Street	Suite 110	Chattanooga	TN	37404	9/29/2025	2026	ALEXIAN BROTHERS COMMUNITY SERVICES	National PACE	Ascension Living Alexian PACE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H4402	Coordination of Benefits Contact	Finance Director	Mr.	Webster	Ty		1-314-270-2497				1-316-946-5106	ty.webster@ascension.org	4600 Edmundson		St. Louis	MO	63134	9/29/2025	2026	ALEXIAN BROTHERS COMMUNITY SERVICES	National PACE	Ascension Living Alexian PACE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H4402	Customer Service Operations Contact	Site Director	Ms	Busby	Elouise		1-423-495-9104				1-423-495-9145	elouise.busby@ascension.org	425 Cumberland Street	Suite 110	Chattanooga	TN	37404	9/29/2025	2026	ALEXIAN BROTHERS COMMUNITY SERVICES	National PACE	Ascension Living Alexian PACE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H4402	Government Relations Contact	QI Director	Ms	Chesnutt	Jacquelyn		1-423-495-9119				1-423-622-6048	jacquelyn.chesnutt@ascesnion.org	425 Cumberland Street	Suite 110	Chattanooga	TN	37404	9/29/2025	2026	ALEXIAN BROTHERS COMMUNITY SERVICES	National PACE	Ascension Living Alexian PACE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H4402	Medicare Compliance Officer	Compliance Director	Ms	Chesnutt	Jacquelyn		1-423-495-9119				1-423-622-6048	jacquelyn.chesnutt@ascension.org	425 Cumberland Street	Suite 110	Chattanooga	TN	37404	2/12/2026	2026	ALEXIAN BROTHERS COMMUNITY SERVICES	National PACE	Ascension Living Alexian PACE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H4402	Part D Exceptions Contact	Finance Director	Mr.	Webster	Ty						1-423-622-6048	ty.webster@ascension.org	250 East 10th Street		Chattanooga	TN	37402	9/29/2025	2026	ALEXIAN BROTHERS COMMUNITY SERVICES	National PACE	Ascension Living Alexian PACE	National PACE		Ascension Health Alliance	708	Yes	Active	1-800-441-8883				PACE - Nat		C	Atlanta
H4402	Pharmacy Network Management Contact	Medical Director	Dr.	Birch	Lorna		1-423-698-0802	1080188			1-423-622-6048	lbirch@ascension.org	425 Cumberland Street	Suite 110	Chattanoga	TN	37404	9/4/2020	2026	ALEXIAN BROTHERS COMMUNITY SERVICES	National PACE	Ascension Living Alexian PACE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H4402	Pharmacy Technical Help Desk Contact	Director of Pharmacy		McDonough	Leah						1-423-495-9213	lmcdonough@ascension.org	425 Cumberland Street	Suite 110	Chattanooga	TN	37404	2/12/2026	2026	ALEXIAN BROTHERS COMMUNITY SERVICES	National PACE	Ascension Living Alexian PACE	National PACE		Ascension Health Alliance	708	Yes	Active	1-423-495-9203				PACE - Nat		C	Atlanta
H4402	Plan to Plan Reconciliation Contact	Finance Director	Mr.	Webster	Ty		1-314-270-2497					ty.webster@ascension.org	4600 Edmundson		St. Louis	MO	63134	9/29/2025	2026	ALEXIAN BROTHERS COMMUNITY SERVICES	National PACE	Ascension Living Alexian PACE	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H4407	Automated TrOOP Balance Transfer Contact	Operations Advisor	Ms.	Fertig	Nancy	J	1-860-902-4553					nancy_fertig@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4407	Best Available Evidence Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4407	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	Health Care Service Corporation	300 East Randolph St	Chicago	IL	60601	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4407	CMS Casework Communication Contact	Customer Service Manager	Ms.	McCarroll	Angie		1-615-235-0177					angie_mccarroll@hcsc.com	3700 O'Donnell Street		Baltimore	MD	21224	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4407	Coordination of Benefits Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4407	Customer Service Operations Contact	VP of Customer Service	Mr.	Akovenko	Josh		1-615-695-8916				1-000-000-0000	josh_akovenko@hcsc.com	Health Care Service Corporation	500 Great Circle Rd	Nashville	IL	60601	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4407	Government Relations Contact	Executive Director - Health Policy	Ms.	DuGoff	Eva		1-202-249-7208				1-000-000-0000	eva_dugoff@hcsc.net	Health Care Service Corporation	1001 Pennsylvania NW	Washington	DC	20004	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4407	Hospice Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4407	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4407	Part D Exceptions Contact	Operations Senior Manager	Mr.	Erkens	Ron							ron_erkens@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-602-317-1992				HMO - Health Maintenance Organization		C	New York
H4407	Pharmacy Network Management Contact	Provider Contracting Sr Manager	Ms.	Bourdier	Maryanne		1-860-338-9867					maryanne_bourdier@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4407	Pharmacy Technical Help Desk Contact			Scripts	Express								Health Care Services Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	New York
H4407	Plan to Plan Reconciliation Contact		Ms.	Thomas	Andrea	F	1-629-317-9367				1-615-291-7025	P2P@healthspring.com	P.O. Box 11407	Dept#8277	Birmingham	AL	35246	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4439	Automated TrOOP Balance Transfer Contact	VP of Pharmacy	Dr	Ford	James	E	1-443-275-9801					jford@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4439	Best Available Evidence Contact	VP of Plan Management	Ms	Radice	Sue		1-410-991-3213				1-844-462-3091	sradice@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4439	Chief Financial Officer	CFO	Mr	Persinger	Keith		1-410-456-3946					kpersinger@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4439	CMS Casework Communication Contact	Chief Compliance Officer	Mr	Nunez	Kenneth		1-813-230-1048					knunez@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4439	Coordination of Benefits Contact	VP of Finance	Ms	McIntyre	Mary Beth		1-410-967-2097					mmcintyre@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4439	Customer Service Operations Contact	VP of Operations	Mr	Brain	Jay		1-240-367-2626					JBrain@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4439	Government Relations Contact	President & CEO	Mr	Grindrod	Rick		1-410-913-7653					rgrindrod@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4439	Hospice Contact	Director of Operations	Ms	Winton	Linde		1-817-374-3812					lwinton@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4439	Medicare Compliance Officer	Chief Compliance Officer	Mr	Nunez	Kenneth		1-813-230-1048					knunez@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	2/18/2026	2026	PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4439	Part D Exceptions Contact	"Manager, Prior Authorization Appeals"		Le	Christina						1-877-239-4565	christina.le@optum.com	PO Box 2975		Mission	KS	66201	12/19/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active	1-888-403-3398				HMO - Health Maintenance Organization		C	Dallas
H4439	Pharmacy Network Management Contact	"Manager, Retail Network Operations"		Perez	Felix		1-305-331-3044					Felix.perez@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	12/19/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4439	Pharmacy Technical Help Desk Contact	"Manager, Pharmacy Help Desk"	Mr	Villanueva	Juan							juan.villanueva@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	5/18/2026	2026	PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active	1-855-205-4428				HMO - Health Maintenance Organization		C	Dallas
H4439	Plan to Plan Reconciliation Contact	VP of Finance	Ms	McIntyre	Mary Beth		1-410-967-2097					mmcintyre@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4444	Automated TrOOP Balance Transfer Contact	VP of Pharmacy	Dr	Ford	James	E	1-443-275-9801					jford@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF INDIANA	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4444	Best Available Evidence Contact	VP of Plan Management	Ms	Radice	Sue		1-410-991-3213				1-844-462-3091	sradice@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF INDIANA	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4444	Chief Financial Officer	CFO	Mr	Persinger	Keith		1-410-456-3946					kpersinger@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF INDIANA	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4444	CMS Casework Communication Contact	Chief Compliance Officer	Mr	Nunez	Kenneth		1-813-230-1048					knunez@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF INDIANA	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4444	Coordination of Benefits Contact	VP of Finance	Ms	McIntyre	Mary Beth		1-410-967-2097					mmcintyre@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF INDIANA	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4444	Customer Service Operations Contact	VP of Operations	Mr	Brain	Jay		1-240-367-2626					JBrain@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF INDIANA	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4444	Government Relations Contact	President & CEO	Mr	Grindrod	Rick		1-410-913-7653					rgrindrod@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF INDIANA	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4444	Hospice Contact	Director of Operations	Ms	Winton	Linde		1-817-374-3812					lwinton@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF INDIANA	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4444	Medicare Compliance Officer	Chief Compliance Officer	Mr	Nunez	Kenneth		1-813-230-1048					knunez@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	2/18/2026	2026	PROVIDER PARTNERS HEALTH PLAN OF INDIANA	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4444	Part D Exceptions Contact	"Manager, Prior Authorization Appeals"		Le	Christina						1-877-239-4565	christina.le@optum.com	PO Box 2975		Mission	KS	66201	12/19/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF INDIANA	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active	1-888-403-3398				HMO - Health Maintenance Organization		C	Dallas
H4444	Pharmacy Network Management Contact	"Manager, Retail Network Operations"		Perez	Felix		1-305-331-3044					Felix.perez@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	12/19/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF INDIANA	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4444	Pharmacy Technical Help Desk Contact	"Manager, Pharmacy Help Desk"		Villanueva	Juan							juan.villanueva@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	5/18/2026	2026	PROVIDER PARTNERS HEALTH PLAN OF INDIANA	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active	1-855-205-4428				HMO - Health Maintenance Organization		C	Dallas
H4444	Plan to Plan Reconciliation Contact	VP of Finance	Ms	McIntyre	Mary Beth		1-410-967-2097					mmcintyre@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	PROVIDER PARTNERS HEALTH PLAN OF INDIANA	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4445	Automated TrOOP Balance Transfer Contact			Siler	Sarah		1-855-659-2670					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	9/8/2025	2026	"TUNGSTEN HEALTH SOUTH LOS ANGELES, LLC"	National PACE	Habitat Health South Los Angeles	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Active					PACE - Nat		C	San Francisco
H4445	Best Available Evidence Contact			Siler	Sarah		1-855-659-2670					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	9/8/2025	2026	"TUNGSTEN HEALTH SOUTH LOS ANGELES, LLC"	National PACE	Habitat Health South Los Angeles	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Active					PACE - Nat		C	San Francisco
H4445	Chief Financial Officer		Mr.	Fuentes	Robert		1-844-664-2248					rfuentes@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	9/8/2025	2026	"TUNGSTEN HEALTH SOUTH LOS ANGELES, LLC"	National PACE	Habitat Health South Los Angeles	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Active					PACE - Nat		C	San Francisco
H4445	CMS Casework Communication Contact			Siler	Sarah		1-855-659-2670					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	9/8/2025	2026	"TUNGSTEN HEALTH SOUTH LOS ANGELES, LLC"	National PACE	Habitat Health South Los Angeles	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Active					PACE - Nat		C	San Francisco
H4445	Coordination of Benefits Contact			Siler	Sarah		1-855-659-2670					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	9/8/2025	2026	"TUNGSTEN HEALTH SOUTH LOS ANGELES, LLC"	National PACE	Habitat Health South Los Angeles	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Active					PACE - Nat		C	San Francisco
H4445	Customer Service Operations Contact			Guel-Valenzuela	Sophia		1-310-627-5500					sguel-valenzuela@habitathealth.com	1005 East Rosecrans Avenue		Compton	CA	90221	9/8/2025	2026	"TUNGSTEN HEALTH SOUTH LOS ANGELES, LLC"	National PACE	Habitat Health South Los Angeles	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Active					PACE - Nat		C	San Francisco
H4445	Government Relations Contact			Dey	Anna		1-844-664-2248					adey@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	9/8/2025	2026	"TUNGSTEN HEALTH SOUTH LOS ANGELES, LLC"	National PACE	Habitat Health South Los Angeles	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Active					PACE - Nat		C	San Francisco
H4445	Medicare Compliance Officer		Mrs.	Dey	Anna		1-844-664-2248					adey@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	9/8/2025	2026	"TUNGSTEN HEALTH SOUTH LOS ANGELES, LLC"	National PACE	Habitat Health South Los Angeles	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Active					PACE - Nat		C	San Francisco
H4445	Part D Exceptions Contact		Mrs.	Siler	Sarah							ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	9/8/2025	2026	"TUNGSTEN HEALTH SOUTH LOS ANGELES, LLC"	National PACE	Habitat Health South Los Angeles	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Active	1-855-659-2670				PACE - Nat		C	San Francisco
H4445	Pharmacy Network Management Contact			Siler	Sarah		1-855-659-2670					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	9/8/2025	2026	"TUNGSTEN HEALTH SOUTH LOS ANGELES, LLC"	National PACE	Habitat Health South Los Angeles	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Active					PACE - Nat		C	San Francisco
H4445	Pharmacy Technical Help Desk Contact		Mrs.	Siler	Sarah							ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	9/8/2025	2026	"TUNGSTEN HEALTH SOUTH LOS ANGELES, LLC"	National PACE	Habitat Health South Los Angeles	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Active	1-855-659-2670				PACE - Nat		C	San Francisco
H4445	Plan to Plan Reconciliation Contact			Siler	Sarah		1-855-659-2670					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	9/8/2025	2026	"TUNGSTEN HEALTH SOUTH LOS ANGELES, LLC"	National PACE	Habitat Health South Los Angeles	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Active					PACE - Nat		C	San Francisco
H4461	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	CARITEN HEALTH PLAN INC.	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4461	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	CARITEN HEALTH PLAN INC.	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4461	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	CARITEN HEALTH PLAN INC.	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4461	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	CARITEN HEALTH PLAN INC.	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4461	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	CARITEN HEALTH PLAN INC.	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4461	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	CARITEN HEALTH PLAN INC.	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4461	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	CARITEN HEALTH PLAN INC.	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4461	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	CARITEN HEALTH PLAN INC.	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4461	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	CARITEN HEALTH PLAN INC.	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4461	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	CARITEN HEALTH PLAN INC.	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-859-321-9075				HMO - Health Maintenance Organization		C	Kansas City
H4461	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	CARITEN HEALTH PLAN INC.	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4461	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	CARITEN HEALTH PLAN INC.	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-800-865-8715				HMO - Health Maintenance Organization		C	Kansas City
H4461	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	CARITEN HEALTH PLAN INC.	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4471	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	"BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC."	Local CCP	Anthem Blue Cross	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4471	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC."	Local CCP	Anthem Blue Cross	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4471	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	"BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC."	Local CCP	Anthem Blue Cross	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4471	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	1/8/2026	2026	"BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC."	Local CCP	Anthem Blue Cross	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4471	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	"BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC."	Local CCP	Anthem Blue Cross	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4471	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	"BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC."	Local CCP	Anthem Blue Cross	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4471	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC."	Local CCP	Anthem Blue Cross	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4471	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC."	Local CCP	Anthem Blue Cross	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4471	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC."	Local CCP	Anthem Blue Cross	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4471	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	"BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC."	Local CCP	Anthem Blue Cross	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H4471	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/31/2023	2026	"BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC."	Local CCP	Anthem Blue Cross	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4471	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	"BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC."	Local CCP	Anthem Blue Cross	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H4471	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	2/6/2023	2026	"BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC."	Local CCP	Anthem Blue Cross	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4473	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH INSURANCE COMPANY OF UTAH, INC."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H4473	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH INSURANCE COMPANY OF UTAH, INC."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H4473	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH INSURANCE COMPANY OF UTAH, INC."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H4473	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH INSURANCE COMPANY OF UTAH, INC."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H4473	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH INSURANCE COMPANY OF UTAH, INC."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H4473	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH INSURANCE COMPANY OF UTAH, INC."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H4473	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH INSURANCE COMPANY OF UTAH, INC."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H4473	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH INSURANCE COMPANY OF UTAH, INC."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H4473	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH INSURANCE COMPANY OF UTAH, INC."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H4473	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH INSURANCE COMPANY OF UTAH, INC."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				PPO - BBA		C	Atlanta
H4473	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH INSURANCE COMPANY OF UTAH, INC."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H4473	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH INSURANCE COMPANY OF UTAH, INC."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				PPO - BBA		C	Atlanta
H4473	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH INSURANCE COMPANY OF UTAH, INC."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H4490	Automated TrOOP Balance Transfer Contact	"Operations Mgr, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	Relay.Health@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/12/2026	2026	"AMERICAN HEALTH PLAN OF MISSOURI, INC."	Local CCP	American Health Advantage of Missouri	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4490	Best Available Evidence Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/11/2026	2026	"AMERICAN HEALTH PLAN OF MISSOURI, INC."	Local CCP	American Health Advantage of Missouri	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4490	Chief Financial Officer	Chief Financial Officer	Mr.	Bogle	Jeffrey	A	1-615-751-8134				1-844-280-5360	MACFO@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/12/2026	2026	"AMERICAN HEALTH PLAN OF MISSOURI, INC."	Local CCP	American Health Advantage of Missouri	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4490	CMS Casework Communication Contact	Compliance Officer		Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/12/2026	2026	"AMERICAN HEALTH PLAN OF MISSOURI, INC."	Local CCP	American Health Advantage of Missouri	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4490	Coordination of Benefits Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/11/2026	2026	"AMERICAN HEALTH PLAN OF MISSOURI, INC."	Local CCP	American Health Advantage of Missouri	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4490	Customer Service Operations Contact	"VP, Administration"		Brandt	Toni		1-615-476-0748				1-844-280-5360	tbrandt@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/12/2026	2026	"AMERICAN HEALTH PLAN OF MISSOURI, INC."	Local CCP	American Health Advantage of Missouri	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4490	Government Relations Contact	Compliance Officer		Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/12/2026	2026	"AMERICAN HEALTH PLAN OF MISSOURI, INC."	Local CCP	American Health Advantage of Missouri	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4490	Hospice Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/11/2026	2026	"AMERICAN HEALTH PLAN OF MISSOURI, INC."	Local CCP	American Health Advantage of Missouri	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4490	Medicare Compliance Officer	Compliance Officer	Ms.	Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/12/2026	2026	"AMERICAN HEALTH PLAN OF MISSOURI, INC."	Local CCP	American Health Advantage of Missouri	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4490	Part D Exceptions Contact	"Assoc Dir, Clinical Prior Authorization"		LeClair	Christophe						1-920-221-4176	Christopher.LeClair@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	12/30/2025	2026	"AMERICAN HEALTH PLAN OF MISSOURI, INC."	Local CCP	American Health Advantage of Missouri	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active	1-844-228-7934				HMO - Health Maintenance Organization		C	Dallas
H4490	Pharmacy Network Management Contact	"VP, Provider Services"		Nagy	Don		1-608-820-4403					Don.Nagy@navitus.com	361 Integrity Drive		Madison	WI	53717	5/20/2026	2026	"AMERICAN HEALTH PLAN OF MISSOURI, INC."	Local CCP	American Health Advantage of Missouri	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4490	Pharmacy Technical Help Desk Contact	"Sr. Mgr, Customer Care Accts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	12/30/2025	2026	"AMERICAN HEALTH PLAN OF MISSOURI, INC."	Local CCP	American Health Advantage of Missouri	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Dallas
H4490	Plan to Plan Reconciliation Contact	"Director,  Finance"		Tilley	Stephanie		1-931-242-0499				1-844-280-5360	stilley@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/12/2026	2026	"AMERICAN HEALTH PLAN OF MISSOURI, INC."	Local CCP	American Health Advantage of Missouri	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4497	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy - Medicare and Information"		Goff	Katie		1-216-687-7344					Katie.Goff@medmutual.com	100 American Road		Cleveland	OH	44144	6/30/2025	2026	MEDICAL MUTUAL OF OHIO	Local CCP	Medical Mutual of Ohio	Local PPO		MEDICAL MUTUAL OF OHIO	289	Yes	Active					PPO - BBA		C	Chicago
H4497	Best Available Evidence Contact	Medicare Operations Analyst II		Crowley	Lauren		1-216-687-6585					BAEdocs@medmutual.com	100 American Road		Cleveland	OH	44144	4/3/2023	2026	MEDICAL MUTUAL OF OHIO	Local CCP	Medical Mutual of Ohio	Local PPO		MEDICAL MUTUAL OF OHIO	289	Yes	Active					PPO - BBA		C	Chicago
H4497	Chief Financial Officer	"VP, Chief Financial Officer"	Mr.	McNutt	Jim		1-216-687-7006					james.mcnutt@medmutual.com	100 American Road		Cleveland	OH	44144	1/24/2025	2026	MEDICAL MUTUAL OF OHIO	Local CCP	Medical Mutual of Ohio	Local PPO		MEDICAL MUTUAL OF OHIO	289	Yes	Active					PPO - BBA		C	Chicago
H4497	CMS Casework Communication Contact	"Director, Customer Care"		Glaspie	Anissa		1-216-687-7059					anissa.glaspie@medmutual.com	100 American Road		Cleveland	OH	44144	4/3/2023	2026	MEDICAL MUTUAL OF OHIO	Local CCP	Medical Mutual of Ohio	Local PPO		MEDICAL MUTUAL OF OHIO	289	Yes	Active					PPO - BBA		C	Chicago
H4497	Coordination of Benefits Contact	"Manager, COB and Workers Comp"		Njaim	Stephanie		1-419-473-7733					Stephanie.Njaim@medmutual.com	100 American Road		Cleveland	OH	44144	9/15/2023	2026	MEDICAL MUTUAL OF OHIO	Local CCP	Medical Mutual of Ohio	Local PPO		MEDICAL MUTUAL OF OHIO	289	Yes	Active					PPO - BBA		C	Chicago
H4497	Customer Service Operations Contact	"Director, Customer Care"		Glaspie	Anissa		1-216-687-7059					Anissa.Glaspie@medmutual.com	100 American Road		Cleveland	OH	44144	5/12/2023	2026	MEDICAL MUTUAL OF OHIO	Local CCP	Medical Mutual of Ohio	Local PPO		MEDICAL MUTUAL OF OHIO	289	Yes	Active					PPO - BBA		C	Chicago
H4497	Government Relations Contact	Medicare Compliance Officer		Beadle	Nicole		1-937-681-2032					nicole.beadle@medmutual.com	100 American Road		Cleveland	OH	44144	8/20/2025	2026	MEDICAL MUTUAL OF OHIO	Local CCP	Medical Mutual of Ohio	Local PPO		MEDICAL MUTUAL OF OHIO	289	Yes	Active					PPO - BBA		C	Chicago
H4497	Hospice Contact	"Director, Pharmacy - Medicare and Information"		Goff	Katie		1-216-687-7344					Katie.Goff@medmutual.com	100 American Road		Cleveland	OH	44144	6/30/2025	2026	MEDICAL MUTUAL OF OHIO	Local CCP	Medical Mutual of Ohio	Local PPO		MEDICAL MUTUAL OF OHIO	289	Yes	Active					PPO - BBA		C	Chicago
H4497	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Beadle	Nicole		1-937-681-2032					nicole.beadle@medmutual.com	100 American Road		Cleveland	OH	44144	8/20/2025	2026	MEDICAL MUTUAL OF OHIO	Local CCP	Medical Mutual of Ohio	Local PPO		MEDICAL MUTUAL OF OHIO	289	Yes	Active					PPO - BBA		C	Chicago
H4497	Part D Exceptions Contact	Sr. Pharmacy Manager		Schumm	Brian							Brian_Schumm@express-scripts.com	5151 Blazer Pkwy		Dublin	OH	43017	12/14/2016	2026	MEDICAL MUTUAL OF OHIO	Local CCP	Medical Mutual of Ohio	Local PPO		MEDICAL MUTUAL OF OHIO	289	Yes	Active	1-614-336-3326				PPO - BBA		C	Chicago
H4497	Pharmacy Network Management Contact			Kelly	Heather		1-314-692-1866					hakelly@express-scripts.com	One Express Way		St. Louis	MO	63121	2/2/2015	2026	MEDICAL MUTUAL OF OHIO	Local CCP	Medical Mutual of Ohio	Local PPO		MEDICAL MUTUAL OF OHIO	289	Yes	Active					PPO - BBA		C	Chicago
H4497	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	4700 North Hanley		St. Louis	MO	63134	12/23/2021	2026	MEDICAL MUTUAL OF OHIO	Local CCP	Medical Mutual of Ohio	Local PPO		MEDICAL MUTUAL OF OHIO	289	Yes	Active	1-800-922-1557				PPO - BBA		C	Chicago
H4497	Plan to Plan Reconciliation Contact	"Manager, Financial Reporting and Data Analytics"		Stepic	Michelle		1-216-687-7151					Michelle.Stepic@medmutual.com	100 American Road	MZ: 02-3B-5320	Cleveland	OH	44144	10/2/2023	2026	MEDICAL MUTUAL OF OHIO	Local CCP	Medical Mutual of Ohio	Local PPO		MEDICAL MUTUAL OF OHIO	289	Yes	Active					PPO - BBA		C	Chicago
H4499	Automated TrOOP Balance Transfer Contact	"Manager, Pharmacy Benefits"		Strickland	Brandi		1-757-252-8193				1-757-962-5575	RxBenefits@sentara.com	1300 Sentara Park		Virginia Beach	VA	23464	2/9/2026	2026	SENTARA HEALTH PLANS	Local CCP	Sentara Medicare	HMO/HMOPOS		Sentara Health Care (SHC)	345	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4499	Best Available Evidence Contact	"Manager, Government Programs Enrollment"		Sharma	Star		1-804-301-8196					sdsharma@sentara.com	1300 Sentara Park		Virginia Beach	VA	23464	2/9/2026	2026	SENTARA HEALTH PLANS	Local CCP	Sentara Medicare	HMO/HMOPOS		Sentara Health Care (SHC)	345	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4499	Chief Financial Officer	SVP & CFO	Ms.	Campbell	Sharilyn		1-206-898-0702					sxcamp11@sentara.com	1300 Sentara Park		Virginia Beach	VA	23464	2/9/2026	2026	SENTARA HEALTH PLANS	Local CCP	Sentara Medicare	HMO/HMOPOS		Sentara Health Care (SHC)	345	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4499	CMS Casework Communication Contact	Director Medicare Compliance		Lojko	Catherine		1-407-280-3730					cmlojko@sentara.com	1300 Sentara Park		Virginia Beach	VA	23464	2/9/2026	2026	SENTARA HEALTH PLANS	Local CCP	Sentara Medicare	HMO/HMOPOS		Sentara Health Care (SHC)	345	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4499	Coordination of Benefits Contact	Director Medicare Compliance		Lojko	Catherine		1-407-280-3730					cmlojko@sentara.com	1300 Sentara Park		Virginia Beach	VA	23464	2/9/2026	2026	SENTARA HEALTH PLANS	Local CCP	Sentara Medicare	HMO/HMOPOS		Sentara Health Care (SHC)	345	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4499	Customer Service Operations Contact	"Sr. Director, Customer Services"		Bain	Shenna		1-813-334-8871				1-757-552-7116	sxlucasb@sentara.com	10800 Nuckols Road		Glen Allen	VA	23060	2/9/2026	2026	SENTARA HEALTH PLANS	Local CCP	Sentara Medicare	HMO/HMOPOS		Sentara Health Care (SHC)	345	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4499	Government Relations Contact	Director Government Programs - Medicare		Hoffman	Daniel		1-570-492-0915				1-757-552-7396	dehoffma@sentara.com	1300 Sentara Park		Virginia Beach	VA	23464	2/9/2026	2026	SENTARA HEALTH PLANS	Local CCP	Sentara Medicare	HMO/HMOPOS		Sentara Health Care (SHC)	345	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4499	Hospice Contact	Director Pharmacy Ops & Compliance		May	Crystal		1-866-603-7514				1-757-962-5575	ccmay2@sentara.com	10800 Nuckols		Glen Allen	VA	23060	2/9/2026	2026	SENTARA HEALTH PLANS	Local CCP	Sentara Medicare	HMO/HMOPOS		Sentara Health Care (SHC)	345	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4499	Medicare Compliance Officer	"Director, Medicare Compliance"	Ms.	Lojko	Catherine		1-407-280-3730					cmlojko@sentara.com	1300 Sentara Park		Virginia Beach	VA	23464	2/9/2026	2026	SENTARA HEALTH PLANS	Local CCP	Sentara Medicare	HMO/HMOPOS		Sentara Health Care (SHC)	345	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4499	Part D Exceptions Contact	Clinical Pharmacist		Rasnick	Dorothy						1-757-962-5576	dxrasnic@sentara.com	1300 Sentara Park		Virginia Beach	VA	23464	2/9/2026	2026	SENTARA HEALTH PLANS	Local CCP	Sentara Medicare	HMO/HMOPOS		Sentara Health Care (SHC)	345	Yes	Active	1-757-983-4243				HMO - Health Maintenance Organization		C	Dallas
H4499	Pharmacy Network Management Contact	"VP, Pharmacy"		Daw	Jessica		1-757-252-8181				1-757-962-5575	jrdaw@sentara.com	1300 Sentara Park		Virginia Beach	VA	23464	2/9/2026	2026	SENTARA HEALTH PLANS	Local CCP	Sentara Medicare	HMO/HMOPOS		Sentara Health Care (SHC)	345	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4499	Pharmacy Technical Help Desk Contact	Sr. Director Customer Service		Sahs	Dale							dale.sahs@express-scripts.com	One Express Way Mail Stop: S13NB		St. Louis	MO	63121	2/9/2026	2026	SENTARA HEALTH PLANS	Local CCP	Sentara Medicare	HMO/HMOPOS		Sentara Health Care (SHC)	345	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Dallas
H4499	Plan to Plan Reconciliation Contact	Director Accounting Operations	Mr	Entienne	Emmanuel		1-757-216-9625				1-757-252-8039	ERETIENN@SENTARA.COM	1300 Sentara Park		Virginia Beach	VA	23464	4/1/2026	2026	SENTARA HEALTH PLANS	Local CCP	Sentara Medicare	HMO/HMOPOS		Sentara Health Care (SHC)	345	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4506	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"SELECTCARE OF TEXAS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4506	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"SELECTCARE OF TEXAS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4506	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/20/2024	2026	"SELECTCARE OF TEXAS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4506	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"SELECTCARE OF TEXAS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4506	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"SELECTCARE OF TEXAS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4506	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/18/2024	2026	"SELECTCARE OF TEXAS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4506	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"SELECTCARE OF TEXAS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4506	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"SELECTCARE OF TEXAS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4506	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	"SELECTCARE OF TEXAS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4506	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/20/2024	2026	"SELECTCARE OF TEXAS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H4506	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	"SELECTCARE OF TEXAS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4506	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/17/2024	2026	"SELECTCARE OF TEXAS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0408				HMO - Health Maintenance Organization		C	Denver
H4506	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	6/20/2024	2026	"SELECTCARE OF TEXAS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4513	Automated TrOOP Balance Transfer Contact	Operations Advisor	Ms.	Fertig	Nancy	J	1-860-902-4553					nancy_fertig@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4513	Best Available Evidence Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4513	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	Health Care Service Corporation	300 East Randolph St	Chicago	IL	60601	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4513	CMS Casework Communication Contact	Customer Service Manager	Ms.	McCarroll	Angie		1-615-235-0177					angie_mccarroll@hcsc.com	3700 O'Donnell Street		Baltimore	MD	21224	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4513	Coordination of Benefits Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4513	Customer Service Operations Contact	VP of Customer Service	Mr.	Akovenko	Josh		1-615-695-8916				1-000-000-0000	josh_akovenko@hcsc.com	Health Care Service Corporation	500 Great Circle Rd	Nashville	IL	60601	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4513	Government Relations Contact	Executive Director - Health Policy	Ms.	DuGoff	Eva		1-202-249-7208				1-000-000-0000	eva_dugoff@hcsc.net	Health Care Service Corporation	1001 Pennsylvania NW	Washington	DC	20004	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4513	Hospice Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4513	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4513	Part D Exceptions Contact	Operations Senior Manager	Mr.	Erkens	Ron							ron_erkens@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-602-317-1992				HMO - Health Maintenance Organization		C	New York
H4513	Pharmacy Network Management Contact	Provider Contracting Sr Manager	Ms.	Bourdier	Maryanne		1-860-338-9867					maryanne_bourdier@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4513	Pharmacy Technical Help Desk Contact			Scripts	Express								Health Care Services Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	New York
H4513	Plan to Plan Reconciliation Contact		Ms.	Thomas	Andrea	F	1-629-317-9367				1-615-291-7025	P2P@healthspring.com	P.O. Box 11407	Dept#8277	Birmingham	AL	35246	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4514	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4514	Best Available Evidence Contact	"Manager, Enrollment & Eligibility"		Asselin	Krista		1-763-361-1104					krista_asselin@uhc.com	PO Box 9472		Minneapolis	MN	55440	11/14/2025	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4514	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/13/2025	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4514	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4514	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4514	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4514	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4514	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4514	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4514	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H4514	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4514	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H4514	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4517	Automated TrOOP Balance Transfer Contact	Director of Finance		Houck	Jamie		1-806-374-5516					jamieh@janwerneradultdaycare.org	3108 S Fillmore		Amarillo	TX	79110-1026	3/20/2020	2026	AMARILLO MULTISVC CTR FR THE AGING INC	National PACE	The Basics at Jan Werner	National PACE		Amarillo Multisvc Ctr Fr the Aging Inc	12	Yes	Active					PACE - Nat		C	Atlanta
H4517	Best Available Evidence Contact	Director of Finance		Houck	Jamie		1-806-374-5516					jamieh@janwerneradultdaycare.org	3108 S Fillmore		Amarillo	TX	79110-1026	3/20/2020	2026	AMARILLO MULTISVC CTR FR THE AGING INC	National PACE	The Basics at Jan Werner	National PACE		Amarillo Multisvc Ctr Fr the Aging Inc	12	Yes	Active					PACE - Nat		C	Atlanta
H4517	Chief Financial Officer	Director of Finance	Mrs	Houck	Jamie		1-806-374-5516				1-806-373-9446	jamieh@janwerneradultdaycare.org	3108 S Fillmore		Amarillo	TX	79110	11/5/2020	2026	AMARILLO MULTISVC CTR FR THE AGING INC	National PACE	The Basics at Jan Werner	National PACE		Amarillo Multisvc Ctr Fr the Aging Inc	12	Yes	Active					PACE - Nat		C	Atlanta
H4517	CMS Casework Communication Contact	Director of Finance		Houck	Jamie		1-806-374-5516					jamieh@janwerneradultdaycare.org	3108 S Fillmore		Amarillo	TX	79110-1026	3/20/2020	2026	AMARILLO MULTISVC CTR FR THE AGING INC	National PACE	The Basics at Jan Werner	National PACE		Amarillo Multisvc Ctr Fr the Aging Inc	12	Yes	Active					PACE - Nat		C	Atlanta
H4517	Coordination of Benefits Contact	Director of Finance		Houck	Jamie		1-806-374-5516					jamieh@janwerneradultdaycare.org	3108 S Fillmore		Amarillo	TX	79110-1026	3/20/2020	2026	AMARILLO MULTISVC CTR FR THE AGING INC	National PACE	The Basics at Jan Werner	National PACE		Amarillo Multisvc Ctr Fr the Aging Inc	12	Yes	Active					PACE - Nat		C	Atlanta
H4517	Customer Service Operations Contact	Executive Director	Mrs	Hurt	Kristen	R	1-806-374-5516				1-806-373-9446	krissy@janwerneradultdaycare.org	3108 S Fillmore		Amarillo	TX	79110	9/8/2020	2026	AMARILLO MULTISVC CTR FR THE AGING INC	National PACE	The Basics at Jan Werner	National PACE		Amarillo Multisvc Ctr Fr the Aging Inc	12	Yes	Active					PACE - Nat		C	Atlanta
H4517	Government Relations Contact	Executive Director	Mrs	Hurt	Kristen	R	1-806-374-5516				1-806-373-9446	krissy@janwerneradultdaycare.org	3108 S Fillmore		Amarillo	TX	79110	9/8/2020	2026	AMARILLO MULTISVC CTR FR THE AGING INC	National PACE	The Basics at Jan Werner	National PACE		Amarillo Multisvc Ctr Fr the Aging Inc	12	Yes	Active					PACE - Nat		C	Atlanta
H4517	Medicare Compliance Officer	Compliance Coordinator	Ms	Gross	Stephanie		1-806-374-5516				1-806-373-9446	stephanie@janwerneradultdaycare.org	3108 S Fillmore		Amarillo	TX	79110-1026	7/22/2021	2026	AMARILLO MULTISVC CTR FR THE AGING INC	National PACE	The Basics at Jan Werner	National PACE		Amarillo Multisvc Ctr Fr the Aging Inc	12	Yes	Active					PACE - Nat		C	Atlanta
H4517	Part D Exceptions Contact	Finance Director	Ms	Houck	Jamie						1-806-373-9446	jamieh@janwerneradultdaycare.org	3108 S Fillmore		Amarillo	TX	79110	3/20/2020	2026	AMARILLO MULTISVC CTR FR THE AGING INC	National PACE	The Basics at Jan Werner	National PACE		Amarillo Multisvc Ctr Fr the Aging Inc	12	Yes	Active	1-888-374-8400				PACE - Nat		C	Atlanta
H4517	Pharmacy Network Management Contact	Executive Director	Mrs	Hurt	Kristen	R	1-806-374-5516				1-806-373-9446	krissy@janwerneradultdaycare.org	3108 S Fillmore		Amarillo	TX	79110	9/8/2020	2026	AMARILLO MULTISVC CTR FR THE AGING INC	National PACE	The Basics at Jan Werner	National PACE		Amarillo Multisvc Ctr Fr the Aging Inc	12	Yes	Active					PACE - Nat		C	Atlanta
H4517	Pharmacy Technical Help Desk Contact	Director of Finance	Ms	Houck	Jamie						1-806-373-9446	jamieh@janwerneradultdaycare.org	3108 S Fillmore		Amarillo	TX	79110	3/20/2020	2026	AMARILLO MULTISVC CTR FR THE AGING INC	National PACE	The Basics at Jan Werner	National PACE		Amarillo Multisvc Ctr Fr the Aging Inc	12	Yes	Active	1-888-299-6401				PACE - Nat		C	Atlanta
H4517	Plan to Plan Reconciliation Contact	Director of Finance		Houck	Jamie		1-806-374-5516					jamieh@janwerneradultdaycare.org	3108 S Fillmore		Amarillo	TX	79110-1026	3/20/2020	2026	AMARILLO MULTISVC CTR FR THE AGING INC	National PACE	The Basics at Jan Werner	National PACE		Amarillo Multisvc Ctr Fr the Aging Inc	12	Yes	Active					PACE - Nat		C	Atlanta
H4518	Automated TrOOP Balance Transfer Contact	Accounts Payable Manager		Garcia	Irene		1-915-562-3444	2370				irene.garcia@bienvivir.org	2300 McKinley		El Paso	TX	79930	4/23/2025	2026	BIENVIVIR SENIOR HEALTH SERVICES	National PACE	Bienvivir Senior Health Services	National PACE		Bienvivir Senior Health Services	23	Yes	Active					PACE - Nat		C	Atlanta
H4518	Best Available Evidence Contact	Accounts Payable Manager		Garcia	Irene		1-915-562-3444	2370				irene.garcia@bienvivir.org	2300 McKinley		El Paso	TX	79930	4/23/2025	2026	BIENVIVIR SENIOR HEALTH SERVICES	National PACE	Bienvivir Senior Health Services	National PACE		Bienvivir Senior Health Services	23	Yes	Active					PACE - Nat		C	Atlanta
H4518	Chief Financial Officer	VP of Finance	Mr	Ortiz	Luis		1-915-562-3444	2101				luis.ortiz@bienvivir.org	2300 Mckinley		El Paso	TX	79930	8/13/2021	2026	BIENVIVIR SENIOR HEALTH SERVICES	National PACE	Bienvivir Senior Health Services	National PACE		Bienvivir Senior Health Services	23	Yes	Active					PACE - Nat		C	Atlanta
H4518	CMS Casework Communication Contact	QI Manager	Ms.	Alvarado	Karla	L	1-915-562-3444	1603				karla.alvarado@bienvivir.org	2300 McKinley		El Paso	TX	79930	7/15/2022	2026	BIENVIVIR SENIOR HEALTH SERVICES	National PACE	Bienvivir Senior Health Services	National PACE		Bienvivir Senior Health Services	23	Yes	Active					PACE - Nat		C	Atlanta
H4518	Coordination of Benefits Contact	Accounts Payable Manager		Garcia	Irene		1-915-562-3444	2370				irene.garcia@bienvivir.org	2300 McKinley		El Paso	TX	79930	4/23/2025	2026	BIENVIVIR SENIOR HEALTH SERVICES	National PACE	Bienvivir Senior Health Services	National PACE		Bienvivir Senior Health Services	23	Yes	Active					PACE - Nat		C	Atlanta
H4518	Customer Service Operations Contact	VP of Center Operations	MR	Baca	James		1-915-562-3444	2240				jbaca@bienvivir.org	2300 McKinley		El Paso	TX	79930	10/30/2012	2026	BIENVIVIR SENIOR HEALTH SERVICES	National PACE	Bienvivir Senior Health Services	National PACE		Bienvivir Senior Health Services	23	Yes	Active					PACE - Nat		C	Atlanta
H4518	Government Relations Contact	VP of Finance	Mr	Ortiz	Luis		1-915-562-3444	2101				luis.ortiz@bienvivir.org	2300 Mckinley		El Paso	TX	79930	4/23/2025	2026	BIENVIVIR SENIOR HEALTH SERVICES	National PACE	Bienvivir Senior Health Services	National PACE		Bienvivir Senior Health Services	23	Yes	Active					PACE - Nat		C	Atlanta
H4518	Medicare Compliance Officer	Compliance Officer	Mr	Barrera	Antonio		1-915-562-3444	1703				antonio.barrera@bienvivir.org	2300 McKinley		El Paso	TX	79930	2/23/2021	2026	BIENVIVIR SENIOR HEALTH SERVICES	National PACE	Bienvivir Senior Health Services	National PACE		Bienvivir Senior Health Services	23	Yes	Active					PACE - Nat		C	Atlanta
H4518	Part D Exceptions Contact	Director of Pharmacy		Orona	Robert							rorona@bienvivir.org	2300 McKinley		El Paso	TX	79930	10/30/2012	2026	BIENVIVIR SENIOR HEALTH SERVICES	National PACE	Bienvivir Senior Health Services	National PACE		Bienvivir Senior Health Services	23	Yes	Active	1-915-562-3444	1801			PACE - Nat		C	Atlanta
H4518	Pharmacy Network Management Contact	Director of Pharmacy		Orona	Robert		1-915-562-3444	1801				rorona@bienvivir.org	2300 McKinley		El Paso	TX	79930	4/24/2012	2026	BIENVIVIR SENIOR HEALTH SERVICES	National PACE	Bienvivir Senior Health Services	National PACE		Bienvivir Senior Health Services	23	Yes	Active					PACE - Nat		C	Atlanta
H4518	Pharmacy Technical Help Desk Contact	Director of Pharmacy		Orona	Robert							rorona@bienvivir.org	2300 McKinley		El Paso	TX	79930	4/24/2012	2026	BIENVIVIR SENIOR HEALTH SERVICES	National PACE	Bienvivir Senior Health Services	National PACE		Bienvivir Senior Health Services	23	Yes	Active	1-915-562-3444	1801			PACE - Nat		C	Atlanta
H4518	Plan to Plan Reconciliation Contact	VP of Finance	Mr	Ortiz	Luis		1-915-562-3444	2101				luis.ortiz@bienvivir.org	2300 Mckinley		El Paso	TX	79930	4/23/2025	2026	BIENVIVIR SENIOR HEALTH SERVICES	National PACE	Bienvivir Senior Health Services	National PACE		Bienvivir Senior Health Services	23	Yes	Active					PACE - Nat		C	Atlanta
H4523	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	AETNA HEALTH INC. (TX)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4523	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	AETNA HEALTH INC. (TX)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4523	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA HEALTH INC. (TX)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4523	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	AETNA HEALTH INC. (TX)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4523	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	AETNA HEALTH INC. (TX)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4523	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	AETNA HEALTH INC. (TX)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4523	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA HEALTH INC. (TX)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4523	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	AETNA HEALTH INC. (TX)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4523	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	AETNA HEALTH INC. (TX)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4523	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	AETNA HEALTH INC. (TX)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H4523	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA HEALTH INC. (TX)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4523	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	AETNA HEALTH INC. (TX)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H4523	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA HEALTH INC. (TX)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4527	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"PHYSICIANS HEALTH CHOICE OF TEXAS, LLC"	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4527	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	"PHYSICIANS HEALTH CHOICE OF TEXAS, LLC"	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4527	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	"PHYSICIANS HEALTH CHOICE OF TEXAS, LLC"	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4527	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"PHYSICIANS HEALTH CHOICE OF TEXAS, LLC"	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4527	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"PHYSICIANS HEALTH CHOICE OF TEXAS, LLC"	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4527	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"PHYSICIANS HEALTH CHOICE OF TEXAS, LLC"	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4527	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"PHYSICIANS HEALTH CHOICE OF TEXAS, LLC"	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4527	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"PHYSICIANS HEALTH CHOICE OF TEXAS, LLC"	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4527	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"PHYSICIANS HEALTH CHOICE OF TEXAS, LLC"	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4527	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"PHYSICIANS HEALTH CHOICE OF TEXAS, LLC"	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H4527	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"PHYSICIANS HEALTH CHOICE OF TEXAS, LLC"	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4527	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"PHYSICIANS HEALTH CHOICE OF TEXAS, LLC"	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H4527	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"PHYSICIANS HEALTH CHOICE OF TEXAS, LLC"	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4537	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H4537	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H4537	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/20/2024	2026	"WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H4537	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H4537	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H4537	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/18/2024	2026	"WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H4537	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H4537	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/20/2024	2026	"WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H4537	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	"WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H4537	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/20/2024	2026	"WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active	1-813-206-7152				PPO - BBA		C	Denver
H4537	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	"WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H4537	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/12/2025	2026	"WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active	1-833-750-0202				PPO - BBA		C	Denver
H4537	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	6/20/2024	2026	"WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H4538	Automated TrOOP Balance Transfer Contact		Ms	Lan	Alice		1-626-263-1263					cms-troop-balance-transfer@seenhealth.org	548 Market St	PMB 76247	San Francisco	CA	94104	10/1/2024	2026	"SEEN HEALTH SAN GABRIEL VALLEY, LLC"	National PACE	"Seen Health San Gabriel Valley, LLC"	National PACE		"Seen Health San Gabriel Valley, LLC"	857	Yes	Active					PACE - Nat		C	San Francisco
H4538	Best Available Evidence Contact		Ms.	Sandoval	Patricia		1-626-263-1263					cms-best-available-evidence@seenhealth.org	548 Market St	PMB 76247	San Francisco	CA	94104	10/1/2024	2026	"SEEN HEALTH SAN GABRIEL VALLEY, LLC"	National PACE	"Seen Health San Gabriel Valley, LLC"	National PACE		"Seen Health San Gabriel Valley, LLC"	857	Yes	Active					PACE - Nat		C	San Francisco
H4538	Chief Financial Officer		Mr.	Su	Xing		1-626-263-1263					cms-cfo@seenhealth.org	548 Market St	PMB 76247	San Francisco	CA	94104	10/1/2024	2026	"SEEN HEALTH SAN GABRIEL VALLEY, LLC"	National PACE	"Seen Health San Gabriel Valley, LLC"	National PACE		"Seen Health San Gabriel Valley, LLC"	857	Yes	Active					PACE - Nat		C	San Francisco
H4538	CMS Casework Communication Contact		Ms	Lan	Alice		1-626-263-1263					cms-casework-communication@seenhealth.org	548 Market St	PMB 76247	San Francisco	CA	94104	10/1/2024	2026	"SEEN HEALTH SAN GABRIEL VALLEY, LLC"	National PACE	"Seen Health San Gabriel Valley, LLC"	National PACE		"Seen Health San Gabriel Valley, LLC"	857	Yes	Active					PACE - Nat		C	San Francisco
H4538	Coordination of Benefits Contact		Ms.	Sandoval	Patricia		1-626-263-1263					cms-coordination-of-benefits@seenhealth.org	548 Market St	PMB 76247	San Francisco	CA	94104	10/1/2024	2026	"SEEN HEALTH SAN GABRIEL VALLEY, LLC"	National PACE	"Seen Health San Gabriel Valley, LLC"	National PACE		"Seen Health San Gabriel Valley, LLC"	857	Yes	Active					PACE - Nat		C	San Francisco
H4538	Customer Service Operations Contact		Ms.	Sandoval	Patricia		1-626-263-1263					cms-customer-service-operations@seenhealth.org	548 Market St	PMB 76247	San Francisco	CA	94104	10/1/2024	2026	"SEEN HEALTH SAN GABRIEL VALLEY, LLC"	National PACE	"Seen Health San Gabriel Valley, LLC"	National PACE		"Seen Health San Gabriel Valley, LLC"	857	Yes	Active					PACE - Nat		C	San Francisco
H4538	Government Relations Contact		Ms	Lan	Alice		1-626-263-1263					cms-government-relations@seenhealth.org	548 Market St	PMB 76247	San Francisco	CA	94104	10/1/2024	2026	"SEEN HEALTH SAN GABRIEL VALLEY, LLC"	National PACE	"Seen Health San Gabriel Valley, LLC"	National PACE		"Seen Health San Gabriel Valley, LLC"	857	Yes	Active					PACE - Nat		C	San Francisco
H4538	Medicare Compliance Officer		Ms	Sandoval	Patricia		1-626-263-1263					patricia.sandoval@seensgv.com	548 Market St	PMB 76247	San Francisco	CA	94104	1/21/2025	2026	"SEEN HEALTH SAN GABRIEL VALLEY, LLC"	National PACE	"Seen Health San Gabriel Valley, LLC"	National PACE		"Seen Health San Gabriel Valley, LLC"	857	Yes	Active					PACE - Nat		C	San Francisco
H4538	Part D Exceptions Contact		Ms	Lan	Alice		1-626-263-1263					cms-part-d-exceptions@seenhealth.org	548 Market St	PMB 76247	San Francisco	CA	94104	10/1/2024	2026	"SEEN HEALTH SAN GABRIEL VALLEY, LLC"	National PACE	"Seen Health San Gabriel Valley, LLC"	National PACE		"Seen Health San Gabriel Valley, LLC"	857	Yes	Active	1-626-263-1263				PACE - Nat		C	San Francisco
H4538	Pharmacy Network Management Contact		Ms	Lan	Alice		1-626-263-1263					cms-pharmacy-network-management@seenhealth.org	548 Market St	PMB 76247	San Francisco	CA	94104	10/1/2024	2026	"SEEN HEALTH SAN GABRIEL VALLEY, LLC"	National PACE	"Seen Health San Gabriel Valley, LLC"	National PACE		"Seen Health San Gabriel Valley, LLC"	857	Yes	Active					PACE - Nat		C	San Francisco
H4538	Pharmacy Technical Help Desk Contact		Ms	Lan	Alice		1-626-263-1263					cms-pharmacy-technical-help-desk@seenhealth.org	548 Market St	PMB 76247	San Francisco	CA	94104	10/1/2024	2026	"SEEN HEALTH SAN GABRIEL VALLEY, LLC"	National PACE	"Seen Health San Gabriel Valley, LLC"	National PACE		"Seen Health San Gabriel Valley, LLC"	857	Yes	Active	1-626-263-1263				PACE - Nat		C	San Francisco
H4538	Plan to Plan Reconciliation Contact		Ms	Lan	Alice		1-626-263-1263					cms-plan-to-plan-reconciliation@seenhealth.org	548 Market St	PMB 76247	San Francisco	CA	94104	10/1/2024	2026	"SEEN HEALTH SAN GABRIEL VALLEY, LLC"	National PACE	"Seen Health San Gabriel Valley, LLC"	National PACE		"Seen Health San Gabriel Valley, LLC"	857	Yes	Active					PACE - Nat		C	San Francisco
H4544	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"PEOPLES HEALTH, INC."	Local CCP	Peoples Health	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H4544	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	"PEOPLES HEALTH, INC."	Local CCP	Peoples Health	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H4544	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	"PEOPLES HEALTH, INC."	Local CCP	Peoples Health	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H4544	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	11/4/2025	2026	"PEOPLES HEALTH, INC."	Local CCP	Peoples Health	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H4544	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"PEOPLES HEALTH, INC."	Local CCP	Peoples Health	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H4544	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"PEOPLES HEALTH, INC."	Local CCP	Peoples Health	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H4544	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"PEOPLES HEALTH, INC."	Local CCP	Peoples Health	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H4544	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"PEOPLES HEALTH, INC."	Local CCP	Peoples Health	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H4544	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"PEOPLES HEALTH, INC."	Local CCP	Peoples Health	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H4544	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"PEOPLES HEALTH, INC."	Local CCP	Peoples Health	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				PPO - BBA		C	Boston
H4544	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"PEOPLES HEALTH, INC."	Local CCP	Peoples Health	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H4544	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"PEOPLES HEALTH, INC."	Local CCP	Peoples Health	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				PPO - BBA		C	Boston
H4544	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"PEOPLES HEALTH, INC."	Local CCP	Peoples Health	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H4545	Automated TrOOP Balance Transfer Contact	Operation Support Manager	Mrs	Lee	Erin		1-323-929-9043				1-213-757-2083	elee@k-day.com	303 S Union Avenue		Los Angeles	CA	90057	4/1/2026	2026	"K-DAY, INC."	National PACE	K-Day PACE	National PACE		K-DAY INC	851	Yes	Active					PACE - Nat		C	San Francisco
H4545	Best Available Evidence Contact	Center Director	Mrs	Balachandran	Sushetra		1-213-757-2080				1-213-757-2083	sbalachandran@k-day.com	303 S Union Avenue		Los Angeles	CA	90057	2/20/2026	2026	"K-DAY, INC."	National PACE	K-Day PACE	National PACE		K-DAY INC	851	Yes	Active					PACE - Nat		C	San Francisco
H4545	Chief Financial Officer	Finance Director	Mr.	Joshi	Soham		1-973-979-2374				1-213-757-2083	sjoshi@k-day.com	303 S Union Avenue		Los Angeles	CA	90057	2/20/2026	2026	"K-DAY, INC."	National PACE	K-Day PACE	National PACE		K-DAY INC	851	Yes	Active					PACE - Nat		C	San Francisco
H4545	CMS Casework Communication Contact	Quality Improvement Manager	Mrs	Lee	Lauren		1-323-828-9665				1-213-757-2083	llee@k-day.com	303 S Union Avenue		Los Angeles	CA	90057	2/20/2026	2026	"K-DAY, INC."	National PACE	K-Day PACE	National PACE		K-DAY INC	851	Yes	Active					PACE - Nat		C	San Francisco
H4545	Coordination of Benefits Contact	Operation Support Manager	Mr.	Lee	Erin		1-323-929-9043				1-213-757-2083	elee@k-day.com	303 S Union Avenue		Los Angeles	CA	90057	2/20/2026	2026	"K-DAY, INC."	National PACE	K-Day PACE	National PACE		K-DAY INC	851	Yes	Active					PACE - Nat		C	San Francisco
H4545	Customer Service Operations Contact	Center Director	Mrs	Balachandran	Sushetra		1-213-757-2080				1-213-757-2083	sbalachandran@k-day.com	303 S Union Avenue		Los Angeles	CA	90057	2/20/2026	2026	"K-DAY, INC."	National PACE	K-Day PACE	National PACE		K-DAY INC	851	Yes	Active					PACE - Nat		C	San Francisco
H4545	Government Relations Contact	CEO	Mr.	Hahn	Ray		1-310-435-1351				1-213-757-2083	rhahn@k-day.com	303 S Union Avenue		Los Angeles	CA	90057	2/24/2025	2026	"K-DAY, INC."	National PACE	K-Day PACE	National PACE		K-DAY INC	851	Yes	Active					PACE - Nat		C	San Francisco
H4545	Medicare Compliance Officer	Operation Support Manager	Mrs	Lee	Erin		1-323-929-9043				1-213-757-2083	elee@k-day.com	303 S Union Avenue		Los Angeles	CA	90057	2/20/2026	2026	"K-DAY, INC."	National PACE	K-Day PACE	National PACE		K-DAY INC	851	Yes	Active					PACE - Nat		C	San Francisco
H4545	Part D Exceptions Contact	Chief Medical Officer	Mr.	Rheem	Justin						1-213-757-2083	jrheem@k-day.com	303 S Union Avenue		Los Angeles	CA	90057	2/24/2025	2026	"K-DAY, INC."	National PACE	K-Day PACE	National PACE		K-DAY INC	851	Yes	Active	1-818-326-7166				PACE - Nat		C	San Francisco
H4545	Pharmacy Network Management Contact	Chief Medical Officer	Mr.	Rheem	Justin		1-818-326-7166				1-213-757-2083	jrheem@k-day.com	303 S Union Avenue		Los Angeles	CA	90057	2/24/2025	2026	"K-DAY, INC."	National PACE	K-Day PACE	National PACE		K-DAY INC	851	Yes	Active					PACE - Nat		C	San Francisco
H4545	Pharmacy Technical Help Desk Contact	Chief Medical Officer		Rheem	Justin						1-213-757-2083	jrheem@k-day.com	303 S Union Avenue		Los Angeles	CA	90057	2/24/2025	2026	"K-DAY, INC."	National PACE	K-Day PACE	National PACE		K-DAY INC	851	Yes	Active	1-818-326-7166				PACE - Nat		C	San Francisco
H4545	Plan to Plan Reconciliation Contact	Finance Director	Mr.	Joshi	Soham		1-973-979-2374				1-213-757-2083	sjoshi@k-day.com	303 S Union Avenue		Los Angeles	CA	90057	2/20/2026	2026	"K-DAY, INC."	National PACE	K-Day PACE	National PACE		K-DAY INC	851	Yes	Active					PACE - Nat		C	San Francisco
H4556	Chief Financial Officer	CFO	Mrs.	Ross	Tracy		1-254-773-1330	307			1-254-774-8029	tracyr@carehealthplan.com	P.O. Box 6130		Temple	TX	76503-6130	1/30/2019	2026	CONSOLIDATED ASSOC OF RAILROAD EMPLOYEES HC	HCPP - 1833 Cost	Consolidated Assoc Of Railroad Employees Hc	HCPP - 1833 Cost		Consolidated Assoc of Railroad Employees HC	67	No	Active					HCPP		1	Dallas
H4556	CMS Casework Communication Contact	Medicare Coordinator	Mrs.	Cumby	Shelly		1-254-773-1330	306			1-254-774-7652	shellyc@carehealthplan.com	P.O. Box 6130		Temple	TX	76503-6130	10/9/2023	2026	CONSOLIDATED ASSOC OF RAILROAD EMPLOYEES HC	HCPP - 1833 Cost	Consolidated Assoc Of Railroad Employees Hc	HCPP - 1833 Cost		Consolidated Assoc of Railroad Employees HC	67	No	Active					HCPP		1	Dallas
H4556	Customer Service Operations Contact	Medicare Coordinator	Ms.	Cumby	Shelly		1-254-773-1330	306			1-254-774-7652	shellyc@carehealthplan.com	P.O. Box 6130		Temple	TX	76503-6130	10/9/2023	2026	CONSOLIDATED ASSOC OF RAILROAD EMPLOYEES HC	HCPP - 1833 Cost	Consolidated Assoc Of Railroad Employees Hc	HCPP - 1833 Cost		Consolidated Assoc of Railroad Employees HC	67	No	Active					HCPP		1	Dallas
H4556	Government Relations Contact	Medicare Coordinator	Ms.	Cumby	Shelly		1-254-773-1330	306			1-254-774-7652	shellyc@carehealthplan.com	P.O. Box 6130		Temple	TX	76503-6130	10/9/2023	2026	CONSOLIDATED ASSOC OF RAILROAD EMPLOYEES HC	HCPP - 1833 Cost	Consolidated Assoc Of Railroad Employees Hc	HCPP - 1833 Cost		Consolidated Assoc of Railroad Employees HC	67	No	Active					HCPP		1	Dallas
H4556	Medicare Compliance Officer	Medicare Coordinator	Ms.	Cumby	Shelly		1-254-773-1330	306			1-254-774-7652	shellyc@carehealthplan.com	P.O. Box 6130		Temple	TX	76503-6130	10/9/2023	2026	CONSOLIDATED ASSOC OF RAILROAD EMPLOYEES HC	HCPP - 1833 Cost	Consolidated Assoc Of Railroad Employees Hc	HCPP - 1833 Cost		Consolidated Assoc of Railroad Employees HC	67	No	Active					HCPP		1	Dallas
H4604	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF THE ROCKIES, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4604	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	"UNITEDHEALTHCARE OF THE ROCKIES, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4604	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	"UNITEDHEALTHCARE OF THE ROCKIES, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4604	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"UNITEDHEALTHCARE OF THE ROCKIES, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4604	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF THE ROCKIES, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4604	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF THE ROCKIES, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4604	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF THE ROCKIES, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4604	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF THE ROCKIES, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4604	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF THE ROCKIES, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4604	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF THE ROCKIES, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H4604	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF THE ROCKIES, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4604	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF THE ROCKIES, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H4604	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"UNITEDHEALTHCARE OF THE ROCKIES, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4605	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Mngmnt	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	3/18/2025	2026	REGENCE BLUECROSS BLUESHIELD OF UTAH	Local CCP	Regence BlueCross BlueShield of Utah	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H4605	Best Available Evidence Contact	Membership Ambassador	Ms.	Wells	Trisha		1-800-543-8848	2751			1-888-335-2988	ORMEMMEDAmbassador@regence.com	PO Box 1827		Medford	OR	97501	3/18/2025	2026	REGENCE BLUECROSS BLUESHIELD OF UTAH	Local CCP	Regence BlueCross BlueShield of Utah	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H4605	Chief Financial Officer	Cambia EVP & CFO	Mr.	Rains	Mike		1-317-690-0081					Mike.Rains@regence.com	1111 Lake Washington Blvd North STE 900		Renton	WA	98056	4/15/2026	2026	REGENCE BLUECROSS BLUESHIELD OF UTAH	Local CCP	Regence BlueCross BlueShield of Utah	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H4605	CMS Casework Communication Contact	Ops Reporting & Perf Analyst	Ms.	Haselden	Brandy		1-800-543-8848	6370				brandy.haselden@regence.com	PO Box 1827		Medford	OR	97501	4/27/2026	2026	REGENCE BLUECROSS BLUESHIELD OF UTAH	Local CCP	Regence BlueCross BlueShield of Utah	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H4605	Coordination of Benefits Contact	"Manager, Member Services"	Ms.	Christiansen	Stacy		1-541-618-1240					Stacy.Christiansen@regence.com	PO Box 1827		Medford	OR	97501	3/18/2025	2026	REGENCE BLUECROSS BLUESHIELD OF UTAH	Local CCP	Regence BlueCross BlueShield of Utah	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H4605	Customer Service Operations Contact	Manager Member Services	Ms.	Ciuro	Catina		1-541-618-1268					Catina.Ciuro@regence.com	PO Box 1827		Medford	OR	97504	3/18/2025	2026	REGENCE BLUECROSS BLUESHIELD OF UTAH	Local CCP	Regence BlueCross BlueShield of Utah	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H4605	Government Relations Contact	Director Government Programs Compliance Officer	Ms.	Hoey	Yen		1-503-721-4040					Yen.Hoey@cambiahealth.com	200 SW Market Street 11th Floor		Portland	OR	97201	3/18/2025	2026	REGENCE BLUECROSS BLUESHIELD OF UTAH	Local CCP	Regence BlueCross BlueShield of Utah	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H4605	Hospice Contact	Pharmacy Ops Oversight Lead	Ms.	Manzer	Amy		1-503-225-5368					Amy.Manzer@regence.com	200 SW Market Street 11th Floor		Portland	OR	97201	12/22/2025	2026	REGENCE BLUECROSS BLUESHIELD OF UTAH	Local CCP	Regence BlueCross BlueShield of Utah	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H4605	Medicare Compliance Officer	Director Government Programs Compliance Officer	Ms.	Hoey	Yen		1-503-721-4040					Yen.Hoey@cambiahealth.com	200 SW Market Street 11th Floor		Portland	OR	97201	3/18/2025	2026	REGENCE BLUECROSS BLUESHIELD OF UTAH	Local CCP	Regence BlueCross BlueShield of Utah	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H4605	Part D Exceptions Contact	"Regulatory Pharmacist, Sr"	Mr.	Spears	Scott						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	10/3/2025	2026	REGENCE BLUECROSS BLUESHIELD OF UTAH	Local CCP	Regence BlueCross BlueShield of Utah	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active	1-800-693-6651				PPO - BBA		C	Dallas
H4605	Pharmacy Network Management Contact	"VP, Network Mangement"	Ms.	Conlin	Marci		1-612-777-2837				1-877-823-6373	marci.conlin@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	3/18/2025	2026	REGENCE BLUECROSS BLUESHIELD OF UTAH	Local CCP	Regence BlueCross BlueShield of Utah	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H4605	Pharmacy Technical Help Desk Contact	"Sr Director, Member Services"	Mr.	Scott	Shane							shane.scott@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/18/2025	2026	REGENCE BLUECROSS BLUESHIELD OF UTAH	Local CCP	Regence BlueCross BlueShield of Utah	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active	1-844-765-6826				PPO - BBA		C	Dallas
H4605	Plan to Plan Reconciliation Contact	Pharmacy Operations Oversight Lead	Ms.	Manzer	Amy		1-503-225-5368					Amy.Manzer@regence.com	200 SW Market Street 11th Floor		Portland	OR	97201	12/22/2025	2026	REGENCE BLUECROSS BLUESHIELD OF UTAH	Local CCP	Regence BlueCross BlueShield of Utah	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H4610	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4610	Best Available Evidence Contact	"Manager, Enrollment & Eligibility"		Asselin	Krista		1-763-361-1104					krista_asselin@uhc.com	PO Box 9472		Minneapolis	MN	55440	11/14/2025	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4610	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/13/2025	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4610	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4610	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4610	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4610	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4610	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4610	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4610	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H4610	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4610	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H4610	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"UNITEDHEALTHCARE OF NEW ENGLAND, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4623	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA REGIONAL HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4623	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA REGIONAL HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4623	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA REGIONAL HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4623	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	"HUMANA REGIONAL HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4623	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	"HUMANA REGIONAL HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4623	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA REGIONAL HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4623	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA REGIONAL HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4623	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA REGIONAL HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4623	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA REGIONAL HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4623	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA REGIONAL HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-859-321-9075				HMO - Health Maintenance Organization		C	Kansas City
H4623	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA REGIONAL HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4623	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	"HUMANA REGIONAL HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-800-865-8715				HMO - Health Maintenance Organization		C	Kansas City
H4623	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	"HUMANA REGIONAL HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4624	Automated TrOOP Balance Transfer Contact	Chief Medical Officer		Fessenden	Michael		1-312-300-3495					michael.fessenden@myzinghealth.com	225 W. Washington Street	Suite 450	Chicago	IL	60624	2/20/2025	2026	"ZING HEALTH OF MICHIGAN, INC."	Local CCP	Zing Health	HMO/HMOPOS		"Zing Health Consolidator, Inc"	730	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4624	Best Available Evidence Contact	COO	Mr.	Collins	Garfield		1-312-319-5468					garfield.collins@myzinghealth.com	225 West Washington Street	Suite 450	Chicago	IL	60606	1/23/2025	2026	"ZING HEALTH OF MICHIGAN, INC."	Local CCP	Zing Health	HMO/HMOPOS		"Zing Health Consolidator, Inc"	730	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4624	Chief Financial Officer	Interim CFO	Ms.	Hoenstine	Jennifer		1-312-724-9092	157				jennifer.hoenstine@myzinghealth.com	225 West Washington Street	Suite 450	Chicago	IL	60606	10/30/2025	2026	"ZING HEALTH OF MICHIGAN, INC."	Local CCP	Zing Health	HMO/HMOPOS		"Zing Health Consolidator, Inc"	730	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4624	CMS Casework Communication Contact	V.P. Medicare Compliance		Gordon	Reneatha		1-312-809-7947					reneatha.gordon@myzinghealth.com	225 W. Washington Street	Suite 450	Chicago	IL	60606	1/13/2026	2026	"ZING HEALTH OF MICHIGAN, INC."	Local CCP	Zing Health	HMO/HMOPOS		"Zing Health Consolidator, Inc"	730	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4624	Coordination of Benefits Contact	COO	Mr.	Collins	Garfield		1-312-319-5468					garfield.collins@myzinghealth.com	225 West Washington Street	Suite 450	Chicago	IL	60606	1/23/2025	2026	"ZING HEALTH OF MICHIGAN, INC."	Local CCP	Zing Health	HMO/HMOPOS		"Zing Health Consolidator, Inc"	730	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4624	Customer Service Operations Contact	COO	Mr.	Collins	Garfield		1-312-319-5468	101				garfield.collins@myzinghealth.com	225 West Washington Street	Suite 450	Chicago	IL	60606	1/23/2025	2026	"ZING HEALTH OF MICHIGAN, INC."	Local CCP	Zing Health	HMO/HMOPOS		"Zing Health Consolidator, Inc"	730	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4624	Government Relations Contact	General Counsel and Chief Compliance Officer	Mr.	Matuszak	Russell		1-312-832-6676					russell.matuszak@myzinghealth.com	225 West Washington Street	Suite 450	Chicago	IL	60606	1/23/2025	2026	"ZING HEALTH OF MICHIGAN, INC."	Local CCP	Zing Health	HMO/HMOPOS		"Zing Health Consolidator, Inc"	730	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4624	Hospice Contact	V.P. Clinical Operations		Wohkittel	Karen		1-312-858-5770					karen.wohkittel@myzinghealth.com	225 West Washington Street	Suite 450	Chicago	IL	60606	1/23/2025	2026	"ZING HEALTH OF MICHIGAN, INC."	Local CCP	Zing Health	HMO/HMOPOS		"Zing Health Consolidator, Inc"	730	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4624	Medicare Compliance Officer	Chief Compliance Officer	Mr.	Matuszak	Russell		1-312-832-6676	292				russell.matuszak@myzinghealth.com	225 West Washington Street	Suite 450	Chicago	IL	60606	1/23/2025	2026	"ZING HEALTH OF MICHIGAN, INC."	Local CCP	Zing Health	HMO/HMOPOS		"Zing Health Consolidator, Inc"	730	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4624	Part D Exceptions Contact	Chief Medical Officer		Fessenden	Michael							michael.fessenden@myzinghealth.com	225 West Washington Street	Suite 450	Chicago	IL	60606	2/20/2025	2026	"ZING HEALTH OF MICHIGAN, INC."	Local CCP	Zing Health	HMO/HMOPOS		"Zing Health Consolidator, Inc"	730	Yes	Active	1-312-300-3495				HMO - Health Maintenance Organization		C	Chicago
H4624	Pharmacy Network Management Contact	Chief Medical Officer		Fessenden	Michael		1-312-300-3495					michael.fessenden@myzinghealth.com	225 West Washington Street	Suite 450	Chicago	IL	60624	2/20/2025	2026	"ZING HEALTH OF MICHIGAN, INC."	Local CCP	Zing Health	HMO/HMOPOS		"Zing Health Consolidator, Inc"	730	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4624	Pharmacy Technical Help Desk Contact	Chief Medical Officer		Fessenden	Michael							michael.fessenden@myzinghealth.com	225 West Washington Street	Suite 450	Chicago	IL	60624	2/20/2025	2026	"ZING HEALTH OF MICHIGAN, INC."	Local CCP	Zing Health	HMO/HMOPOS		"Zing Health Consolidator, Inc"	730	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Chicago
H4624	Plan to Plan Reconciliation Contact	Controller	Ms.	Jackson	Amy		1-312-883-3465					amy.jackson@myzinghealth.com	"225 W. Washington Street, Suite 450"	Suite 450	Chicago	IL	60606	1/23/2025	2026	"ZING HEALTH OF MICHIGAN, INC."	Local CCP	Zing Health	HMO/HMOPOS		"Zing Health Consolidator, Inc"	730	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4626	Automated TrOOP Balance Transfer Contact	"Director, Accounting"	Mr.	Menchaca	Rafael		1-213-379-6438					HPMS@myplacehealth.com	121 S Mountain View Ave		Los Angeles	CA	90057	11/20/2023	2026	myPlace Greater LA PACE Inc.	National PACE	myPlace PACE	National PACE		SCAN Group	768	Yes	Active					PACE - Nat		C	San Francisco
H4626	Best Available Evidence Contact	"Director, Accounting"	Mr.	Menchaca	Rafael		1-213-379-6438					HPMS@myplacehealth.com	121 S Mountain View Ave		Los Angeles	CA	90057	11/20/2023	2026	myPlace Greater LA PACE Inc.	National PACE	myPlace PACE	National PACE		SCAN Group	768	Yes	Active					PACE - Nat		C	San Francisco
H4626	Chief Financial Officer	CEO	Mr.	Arumugam	Senthu		1-650-887-4370					hpms@myplacehealth.com	121 S Mountain View Ave		Los Angeles	CA	90057	3/5/2026	2026	myPlace Greater LA PACE Inc.	National PACE	myPlace PACE	National PACE		SCAN Group	768	Yes	Active					PACE - Nat		C	San Francisco
H4626	CMS Casework Communication Contact	Sr. Director Health Plan Operations	Ms.	Da Rosa	Cassandra		1-213-729-9851					HPMS@myplacehealth.com	121 S Mountain View Ave		Los Angeles	CA	90057	5/8/2024	2026	myPlace Greater LA PACE Inc.	National PACE	myPlace PACE	National PACE		SCAN Group	768	Yes	Active					PACE - Nat		C	San Francisco
H4626	Coordination of Benefits Contact	Sr. Director Health Plan Operations	Ms.	Da Rosa	Cassandra		1-213-729-9851					HPMS@myplacehealth.com	121 S Mountain View Ave		Los Angeles	CA	90057	5/8/2024	2026	myPlace Greater LA PACE Inc.	National PACE	myPlace PACE	National PACE		SCAN Group	768	Yes	Active					PACE - Nat		C	San Francisco
H4626	Customer Service Operations Contact	Sr. Director Health Plan Operations	Ms.	Da Rosa	Cassandra		1-213-729-9851					HPMS@myplacehealth.com	121 S Mountain View Ave		Los Angeles	CA	90057	5/8/2024	2026	myPlace Greater LA PACE Inc.	National PACE	myPlace PACE	National PACE		SCAN Group	768	Yes	Active					PACE - Nat		C	San Francisco
H4626	Government Relations Contact	Chief Executive Officer	Mr.	Arumugam	Senthu		1-650-887-4370					HPMS@myplacehealth.com	121 S Mountain View Ave		Los Angeles	CA	90057	3/5/2026	2026	myPlace Greater LA PACE Inc.	National PACE	myPlace PACE	National PACE		SCAN Group	768	Yes	Active					PACE - Nat		C	San Francisco
H4626	Medicare Compliance Officer	National Director of Quality and Compliance Progra	Dr.	Flake	Crissy	L	1-213-800-8886					hpms@myplacehealth.com	121 S Mountain View Ave		Los Angeles	CA	90057	5/10/2024	2026	myPlace Greater LA PACE Inc.	National PACE	myPlace PACE	National PACE		SCAN Group	768	Yes	Active					PACE - Nat		C	San Francisco
H4626	Part D Exceptions Contact	Sr. Director Health Plan Operations	Ms.	Da Rosa	Cassandra							HPMS@myplacehealth.com	121 S Mountain View Ave		Los Angeles	CA	90057	5/8/2024	2026	myPlace Greater LA PACE Inc.	National PACE	myPlace PACE	National PACE		SCAN Group	768	Yes	Active	1-213-729-9851				PACE - Nat		C	San Francisco
H4626	Pharmacy Network Management Contact	Sr. Director Health Plan Operations	Ms.	Da Rosa	Cassandra		1-213-729-9851					HPMS@myplacehealth.com	121 S Mountain View Ave		Los Angeles	CA	90057	5/8/2024	2026	myPlace Greater LA PACE Inc.	National PACE	myPlace PACE	National PACE		SCAN Group	768	Yes	Active					PACE - Nat		C	San Francisco
H4626	Pharmacy Technical Help Desk Contact	VP & Head of Product	Mrs.	Gobalan	Anupama							HPMS@myplacehealth.com	121 S Mountain View Ave		Los Angeles	CA	90057	11/20/2023	2026	myPlace Greater LA PACE Inc.	National PACE	myPlace PACE	National PACE		SCAN Group	768	Yes	Active	1-714-858-4942				PACE - Nat		C	San Francisco
H4626	Plan to Plan Reconciliation Contact	Sr. Director Health Plan Operations	Ms.	Da Rosa	Cassandra		1-213-729-9851					HPMS@myplacehealth.com	121 S Mountain View Ave		Los Angeles	CA	90057	5/8/2024	2026	myPlace Greater LA PACE Inc.	National PACE	myPlace PACE	National PACE		SCAN Group	768	Yes	Active					PACE - Nat		C	San Francisco
H4647	Automated TrOOP Balance Transfer Contact	"Supervisor, Medicare Operations"		Distel	Chris		1-858-790-6376					PartDCAT@Medimpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	3/21/2024	2026	"NEW CENTURY HEALTH PLAN, INC."	Local CCP	UCLA Health Medicare Advantage Plan	HMO/HMOPOS		The Regents of the University of California	831	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4647	Best Available Evidence Contact	"Asst. Dir, Billing and Enrollment"		Casillas Vasquez	Zaira		1-310-301-5140					zcasillasvasquez@mednet.ucla.edu	5757 West Century Blvd	Suite 200	Los Angeles	CA	90045	7/11/2024	2026	"NEW CENTURY HEALTH PLAN, INC."	Local CCP	UCLA Health Medicare Advantage Plan	HMO/HMOPOS		The Regents of the University of California	831	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4647	Chief Financial Officer	CEO/CFO	Mr.	Arrington	Jonathon		1-310-869-1394					JArrington@mednet.ucla.edu	5757 West Century Blvd	Suite 200	Los Angeles	CA	90045	7/11/2024	2026	"NEW CENTURY HEALTH PLAN, INC."	Local CCP	UCLA Health Medicare Advantage Plan	HMO/HMOPOS		The Regents of the University of California	831	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4647	CMS Casework Communication Contact	CMO		Ang	Eddy	Z	1-310-592-7012				1-424-234-7897	ezang@mednet.ucla.edu	5757 West Century Blvd	Suite 200	Los Angeles	CA	90045	1/6/2025	2026	"NEW CENTURY HEALTH PLAN, INC."	Local CCP	UCLA Health Medicare Advantage Plan	HMO/HMOPOS		The Regents of the University of California	831	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4647	Coordination of Benefits Contact	COO		Davis	Alicia		1-310-923-4472					AliciaDavis@mednet.ucla.edu	5757 West Century Blvd	Suite 200	Los Angeles	CA	90045	7/11/2024	2026	"NEW CENTURY HEALTH PLAN, INC."	Local CCP	UCLA Health Medicare Advantage Plan	HMO/HMOPOS		The Regents of the University of California	831	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4647	Customer Service Operations Contact	"Contact Center Mgr, MA Operations"		Thorpe	William	M	1-310-302-4378					wthorpe@mednet.ucla.edu	5757 West Century Blvd	Suite 200	Los Angeles	CA	90045	7/11/2024	2026	"NEW CENTURY HEALTH PLAN, INC."	Local CCP	UCLA Health Medicare Advantage Plan	HMO/HMOPOS		The Regents of the University of California	831	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4647	Government Relations Contact	Compliance Officer		Cleveland	Pamela		1-216-536-7985					PCleveland@mednet.ucla.edu	5757 West Century Blvd	Suite 200	Los Angeles	CA	90045	7/11/2024	2026	"NEW CENTURY HEALTH PLAN, INC."	Local CCP	UCLA Health Medicare Advantage Plan	HMO/HMOPOS		The Regents of the University of California	831	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4647	Hospice Contact	"Asst. Dir, Billing and Enrollment"		Casillas Vasquez	Zaira		1-310-301-5140					zcasillasvasquez@mednet.ucla.edu	5757 West Century Blvd	Suite 200	Los Angeles	CA	90045	7/11/2024	2026	"NEW CENTURY HEALTH PLAN, INC."	Local CCP	UCLA Health Medicare Advantage Plan	HMO/HMOPOS		The Regents of the University of California	831	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4647	Medicare Compliance Officer	Compliance Officer	Ms.	Cleveland	Pamela		1-216-536-7985					pcleveland@mednet.ucla.edu	5757 West Century Blvd	Suite 200	Los Angeles	CA	90045	7/11/2024	2026	"NEW CENTURY HEALTH PLAN, INC."	Local CCP	UCLA Health Medicare Advantage Plan	HMO/HMOPOS		The Regents of the University of California	831	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4647	Part D Exceptions Contact	"Director, PA & UM Programs"		Emoto	Julianne							Julianne.Emoto@MedImpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	3/21/2024	2026	"NEW CENTURY HEALTH PLAN, INC."	Local CCP	UCLA Health Medicare Advantage Plan	HMO/HMOPOS		The Regents of the University of California	831	Yes	Active	1-858-790-5846				HMO - Health Maintenance Organization		C	Dallas
H4647	Pharmacy Network Management Contact	"Director, Pharmacy Network Administration"		Hunt	Brian		1-858-790-7092					brian.hunt@medimpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	3/21/2024	2026	"NEW CENTURY HEALTH PLAN, INC."	Local CCP	UCLA Health Medicare Advantage Plan	HMO/HMOPOS		The Regents of the University of California	831	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4647	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"		Brewer	Kathy							Customerservice@MedImpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	10/21/2024	2026	"NEW CENTURY HEALTH PLAN, INC."	Local CCP	UCLA Health Medicare Advantage Plan	HMO/HMOPOS		The Regents of the University of California	831	Yes	Active	1-800-926-3841				HMO - Health Maintenance Organization		C	Dallas
H4647	Plan to Plan Reconciliation Contact	"Dir of Pharmacy, Medicare Advantage"		Nguyen	Andy		1-424-467-7411					AndyANguyen@mednet.ucla.edu	5757 West Century Blvd	Suite 200	Los Angeles	CA	90045	4/3/2025	2026	"NEW CENTURY HEALTH PLAN, INC."	Local CCP	UCLA Health Medicare Advantage Plan	HMO/HMOPOS		The Regents of the University of California	831	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H4661	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"	Mr.	Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	5/6/2024	2026	CELTIC INSURANCE COMPANY	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4661	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	CELTIC INSURANCE COMPANY	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4661	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	5/6/2024	2026	CELTIC INSURANCE COMPANY	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4661	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	CELTIC INSURANCE COMPANY	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4661	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	CELTIC INSURANCE COMPANY	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4661	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/18/2024	2026	CELTIC INSURANCE COMPANY	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4661	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	CELTIC INSURANCE COMPANY	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4661	Hospice Contact	"Director, Pharmacy Operations"	Mr.	Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	5/6/2024	2026	CELTIC INSURANCE COMPANY	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4661	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	CELTIC INSURANCE COMPANY	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4661	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	9/3/2025	2026	CELTIC INSURANCE COMPANY	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H4661	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	CELTIC INSURANCE COMPANY	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4661	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/11/2025	2026	CELTIC INSURANCE COMPANY	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-4230				HMO - Health Maintenance Organization		C	Denver
H4661	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	5/6/2024	2026	CELTIC INSURANCE COMPANY	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4676	Automated TrOOP Balance Transfer Contact	Director of Pharmacy		Elmes	Samuel		1-910-460-0553					samuel@troymedicare.com	P.O. Box 1378		Westborough	MA	01581	2/21/2026	2026	"TROY HEALTH, INC."	Local CCP	Troy Medicare	HMO/HMOPOS		"Troy Holdings, Inc."	734	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4676	Best Available Evidence Contact	"Director, Pharmacy"		Elmes	Samuel		1-910-460-0553					samuel@troymedicare.com	P.O. Box 1378		Westborough	MA	01581	2/21/2026	2026	"TROY HEALTH, INC."	Local CCP	Troy Medicare	HMO/HMOPOS		"Troy Holdings, Inc."	734	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4676	Chief Financial Officer	Chief Financial Officer	Ms.	Browning	Emily		1-352-777-6934					emily@troymedicare.com	P.O. Box 1378		Westborough	MA	01581	9/24/2025	2026	"TROY HEALTH, INC."	Local CCP	Troy Medicare	HMO/HMOPOS		"Troy Holdings, Inc."	734	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4676	CMS Casework Communication Contact	Chief Compliance Officer		Scott	Sally		1-502-645-3161					sally@troymedicare.com	P.O. Box 1378		Westborough	MA	01581	2/21/2026	2026	"TROY HEALTH, INC."	Local CCP	Troy Medicare	HMO/HMOPOS		"Troy Holdings, Inc."	734	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4676	Coordination of Benefits Contact	"Director, Pharmacy"		Elmes	Samuel		1-910-460-0553					samuel@troymedicare.com	P.O. Box 1378		Westborough	MA	01581	2/21/2026	2026	"TROY HEALTH, INC."	Local CCP	Troy Medicare	HMO/HMOPOS		"Troy Holdings, Inc."	734	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4676	Customer Service Operations Contact	Chief Operating Officer		Za	Christina		1-910-370-1115	222				christina.za@troymedicare.com	P.O. Box 1378		Westborough	MA	01581	2/21/2026	2026	"TROY HEALTH, INC."	Local CCP	Troy Medicare	HMO/HMOPOS		"Troy Holdings, Inc."	734	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4676	Government Relations Contact			Harrison	Scott		1-703-697-0339					srharrison@srhlaw.us	"1200 G St., NW"	Suite 800	Washington	DC	20005	2/10/2019	2026	"TROY HEALTH, INC."	Local CCP	Troy Medicare	HMO/HMOPOS		"Troy Holdings, Inc."	734	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4676	Hospice Contact	"Director, Pharmacy"		Elmes	Samuel		1-910-460-0553					samuel@troymedicare.com	P.O. Box 1378		Westborough	MA	01581	2/21/2026	2026	"TROY HEALTH, INC."	Local CCP	Troy Medicare	HMO/HMOPOS		"Troy Holdings, Inc."	734	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4676	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Scott	Sally		1-502-645-3161					sally@troymedicare.com	P.O. Box 1378		Westborough	MA	01581	9/29/2025	2026	"TROY HEALTH, INC."	Local CCP	Troy Medicare	HMO/HMOPOS		"Troy Holdings, Inc."	734	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4676	Part D Exceptions Contact	Director of Pharmacy		Elmes	Samuel							samuel@troymedicare.com	P.O. Box 1378		Westborough	MA	01581	2/21/2026	2026	"TROY HEALTH, INC."	Local CCP	Troy Medicare	HMO/HMOPOS		"Troy Holdings, Inc."	734	Yes	Active	1-910-460-0553				HMO - Health Maintenance Organization		C	Atlanta
H4676	Pharmacy Network Management Contact	Director of Pharmacy		Elmes	Samuel		1-910-460-0553					samuel@troymedicare.com	P.O. Box 1378		Westborough	MA	01581	2/21/2026	2026	"TROY HEALTH, INC."	Local CCP	Troy Medicare	HMO/HMOPOS		"Troy Holdings, Inc."	734	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4676	Pharmacy Technical Help Desk Contact			Pharmacy Services	PerformRx								200 Stevens Dr.		Philadelphia	PA	19113	6/2/2022	2026	"TROY HEALTH, INC."	Local CCP	Troy Medicare	HMO/HMOPOS		"Troy Holdings, Inc."	734	Yes	Active	1-866-560-6052				HMO - Health Maintenance Organization		C	Atlanta
H4676	Plan to Plan Reconciliation Contact	Chief Financial Officer		Browning	Emily		1-352-777-6934					emily@troymedicare.com	PO Box 748997		Atlanta	GA	30384	10/22/2024	2026	"TROY HEALTH, INC."	Local CCP	Troy Medicare	HMO/HMOPOS		"Troy Holdings, Inc."	734	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4682	Automated TrOOP Balance Transfer Contact	Medicare Compliance Manager		Brown	Lauren		1-720-974-6031				1-303-996-1600	lbrown2@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	12/8/2023	2026	"CONCERTOCARE PACE OF BAKERSFIELD, LLC"	National PACE	InnovAge California PACE - Bakersfield	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H4682	Best Available Evidence Contact	Director of Finance	Ms.	Hewitt	Jessica		1-720-974-6767					jhewitt@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	5/19/2025	2026	"CONCERTOCARE PACE OF BAKERSFIELD, LLC"	National PACE	InnovAge California PACE - Bakersfield	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H4682	Chief Financial Officer	CFO	Mr.	Adams	Ben		1-917-842-3099				1-303-996-1600	badams@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/19/2025	2026	"CONCERTOCARE PACE OF BAKERSFIELD, LLC"	National PACE	InnovAge California PACE - Bakersfield	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H4682	CMS Casework Communication Contact	Director of Compliance		Martin	Jeremy		1-720-789-6016				1-303-996-1600	jmartin@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	5/19/2025	2026	"CONCERTOCARE PACE OF BAKERSFIELD, LLC"	National PACE	InnovAge California PACE - Bakersfield	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H4682	Coordination of Benefits Contact	Medicare Compliance Manager	Ms.	Brown	Lauren		1-720-974-6031				1-303-996-1600	lbrown2@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	12/8/2023	2026	"CONCERTOCARE PACE OF BAKERSFIELD, LLC"	National PACE	InnovAge California PACE - Bakersfield	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H4682	Customer Service Operations Contact	Director of Compliance		Martin	Jeremy		1-720-789-6016				1-303-996-1600	jmartin@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	5/19/2025	2026	"CONCERTOCARE PACE OF BAKERSFIELD, LLC"	National PACE	InnovAge California PACE - Bakersfield	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H4682	Government Relations Contact	"SVP, External Affairs"		Nelson	Don		1-608-217-5110					dnelson3@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	12/5/2025	2026	"CONCERTOCARE PACE OF BAKERSFIELD, LLC"	National PACE	InnovAge California PACE - Bakersfield	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H4682	Medicare Compliance Officer	VP of Compliance	Ms.	Teter	Lezlie	A	1-720-682-9848				1-303-996-1600	lteter@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	4/24/2026	2026	"CONCERTOCARE PACE OF BAKERSFIELD, LLC"	National PACE	InnovAge California PACE - Bakersfield	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H4682	Part D Exceptions Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael						1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/19/2025	2026	"CONCERTOCARE PACE OF BAKERSFIELD, LLC"	National PACE	InnovAge California PACE - Bakersfield	National PACE				Yes	Pending	1-720-666-3817				PACE - Nat		C	San Francisco
H4682	Pharmacy Network Management Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael		1-720-666-3817				1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/19/2025	2026	"CONCERTOCARE PACE OF BAKERSFIELD, LLC"	National PACE	InnovAge California PACE - Bakersfield	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H4682	Pharmacy Technical Help Desk Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael						1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/19/2025	2026	"CONCERTOCARE PACE OF BAKERSFIELD, LLC"	National PACE	InnovAge California PACE - Bakersfield	National PACE				Yes	Pending	1-720-666-3817				PACE - Nat		C	San Francisco
H4682	Plan to Plan Reconciliation Contact	Financial and Compliance Analyst		Kizewski	Alex		1-720-789-6171				1-720-917-3390	AKizewsk@innovage.com	8950 East Lowry Blvd		Denver	CO	80230	12/8/2023	2026	"CONCERTOCARE PACE OF BAKERSFIELD, LLC"	National PACE	InnovAge California PACE - Bakersfield	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H4694	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	"HEALTHKEEPERS, INC."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4694	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/7/2024	2026	"HEALTHKEEPERS, INC."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4694	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	"HEALTHKEEPERS, INC."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4694	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	2/7/2024	2026	"HEALTHKEEPERS, INC."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4694	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	"HEALTHKEEPERS, INC."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4694	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	2/7/2024	2026	"HEALTHKEEPERS, INC."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4694	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"HEALTHKEEPERS, INC."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4694	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/7/2024	2026	"HEALTHKEEPERS, INC."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4694	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"HEALTHKEEPERS, INC."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4694	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	"HEALTHKEEPERS, INC."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H4694	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	2/7/2024	2026	"HEALTHKEEPERS, INC."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4694	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	12/23/2024	2026	"HEALTHKEEPERS, INC."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H4694	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	2/7/2024	2026	"HEALTHKEEPERS, INC."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4704	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	5/26/2026	2026	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	Local CCP	Anthem Blue Cross Life and Health Insurance Company	Local PPO		"Elevance Health, Inc."	1	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H4704	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	5/26/2026	2026	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	Local CCP	Anthem Blue Cross Life and Health Insurance Company	Local PPO		"Elevance Health, Inc."	1	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H4704	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	5/26/2026	2026	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	Local CCP	Anthem Blue Cross Life and Health Insurance Company	Local PPO		"Elevance Health, Inc."	1	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H4704	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/26/2026	2026	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	Local CCP	Anthem Blue Cross Life and Health Insurance Company	Local PPO		"Elevance Health, Inc."	1	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H4704	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/26/2026	2026	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	Local CCP	Anthem Blue Cross Life and Health Insurance Company	Local PPO		"Elevance Health, Inc."	1	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H4704	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/26/2026	2026	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	Local CCP	Anthem Blue Cross Life and Health Insurance Company	Local PPO		"Elevance Health, Inc."	1	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H4704	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	5/26/2026	2026	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	Local CCP	Anthem Blue Cross Life and Health Insurance Company	Local PPO		"Elevance Health, Inc."	1	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H4704	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	5/26/2026	2026	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	Local CCP	Anthem Blue Cross Life and Health Insurance Company	Local PPO		"Elevance Health, Inc."	1	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H4704	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	5/26/2026	2026	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	Local CCP	Anthem Blue Cross Life and Health Insurance Company	Local PPO		"Elevance Health, Inc."	1	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H4704	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	5/26/2026	2026	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	Local CCP	Anthem Blue Cross Life and Health Insurance Company	Local PPO		"Elevance Health, Inc."	1	Yes	Withdrawn Contract	1-513-316-7654				PPO - BBA		C	Chicago
H4704	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	5/26/2026	2026	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	Local CCP	Anthem Blue Cross Life and Health Insurance Company	Local PPO		"Elevance Health, Inc."	1	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H4704	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	5/26/2026	2026	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	Local CCP	Anthem Blue Cross Life and Health Insurance Company	Local PPO		"Elevance Health, Inc."	1	Yes	Withdrawn Contract	1-833-377-4266				PPO - BBA		C	Chicago
H4704	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/26/2026	2026	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	Local CCP	Anthem Blue Cross Life and Health Insurance Company	Local PPO		"Elevance Health, Inc."	1	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H4711	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	"COVENTRY HEALTH CARE OF NEBRASKA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4711	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	"COVENTRY HEALTH CARE OF NEBRASKA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4711	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	"COVENTRY HEALTH CARE OF NEBRASKA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4711	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	"COVENTRY HEALTH CARE OF NEBRASKA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4711	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	"COVENTRY HEALTH CARE OF NEBRASKA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4711	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	"COVENTRY HEALTH CARE OF NEBRASKA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4711	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	"COVENTRY HEALTH CARE OF NEBRASKA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4711	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	"COVENTRY HEALTH CARE OF NEBRASKA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4711	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	"COVENTRY HEALTH CARE OF NEBRASKA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4711	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	"COVENTRY HEALTH CARE OF NEBRASKA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H4711	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	"COVENTRY HEALTH CARE OF NEBRASKA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4711	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	"COVENTRY HEALTH CARE OF NEBRASKA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H4711	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	"COVENTRY HEALTH CARE OF NEBRASKA, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4714	Automated TrOOP Balance Transfer Contact	Director of Finance and Administration	CFO	Witt	Anne		1-704-874-0604				1-704-834-1998	awitt@seniorTLC.org	1875 Remount Rd.		Gastonia	NC	28054	4/11/2025	2026	"PACE OF THE SOUTHERN PIEDMONT, INC."	National PACE	PACE of the Southern Piedmont	National PACE		"PACE of the Southern Piedmont, Inc."	509	Yes	Active					PACE - Nat		C	Atlanta
H4714	Best Available Evidence Contact	Executive Director		Kenzig	Cathy		1-704-874-0603					ckenzig@seniorTLC.org	1875 Remount Rd.		Gastonia	NC	28054	4/11/2025	2026	"PACE OF THE SOUTHERN PIEDMONT, INC."	National PACE	PACE of the Southern Piedmont	National PACE		"PACE of the Southern Piedmont, Inc."	509	Yes	Active					PACE - Nat		C	Atlanta
H4714	Chief Financial Officer	CFO	CFO	Nickerson	Kirby		1-704-754-8228					knickerson@LSCarolinas.net	1416 S. Martin Luther King Blvd		Salisbury	NC	28145	4/11/2025	2026	"PACE OF THE SOUTHERN PIEDMONT, INC."	National PACE	PACE of the Southern Piedmont	National PACE		"PACE of the Southern Piedmont, Inc."	509	Yes	Active					PACE - Nat		C	Atlanta
H4714	CMS Casework Communication Contact	Executive Director		Kenzig	Cathy		1-704-874-0603					ckenzig@seniorTLC.org	1875 Remount Rd.		Gastonia	NC	28054	4/11/2025	2026	"PACE OF THE SOUTHERN PIEDMONT, INC."	National PACE	PACE of the Southern Piedmont	National PACE		"PACE of the Southern Piedmont, Inc."	509	Yes	Active					PACE - Nat		C	Atlanta
H4714	Coordination of Benefits Contact	Finance Director		Witt	Anne		1-704-874-0604					awitt@seniorTLC.org	1875 Remount Rd.		Gastonia	NC	28054	4/11/2025	2026	"PACE OF THE SOUTHERN PIEDMONT, INC."	National PACE	PACE of the Southern Piedmont	National PACE		"PACE of the Southern Piedmont, Inc."	509	Yes	Active					PACE - Nat		C	Atlanta
H4714	Customer Service Operations Contact	Executive Director		Kenzig	Cathy		1-704-874-0603					ckenzig@seniorTLC.org	1875 Remount Rd.		Gastonia	NC	28054	4/11/2025	2026	"PACE OF THE SOUTHERN PIEDMONT, INC."	National PACE	PACE of the Southern Piedmont	National PACE		"PACE of the Southern Piedmont, Inc."	509	Yes	Active					PACE - Nat		C	Atlanta
H4714	Government Relations Contact	Executive Director		Kenzig	Cathy		1-704-874-0603					ckenzig@seniorTLC.org	1875 Remount Rd.		Gastonia	NC	28054	4/11/2025	2026	"PACE OF THE SOUTHERN PIEDMONT, INC."	National PACE	PACE of the Southern Piedmont	National PACE		"PACE of the Southern Piedmont, Inc."	509	Yes	Active					PACE - Nat		C	Atlanta
H4714	Medicare Compliance Officer	Compliance & Quality Director	CIO	Alexander	Lydia		1-704-874-0639					lyalexander@seniortlc.org	1875 Remount Road		Gastonia	NC	28054	4/11/2025	2026	"PACE OF THE SOUTHERN PIEDMONT, INC."	National PACE	PACE of the Southern Piedmont	National PACE		"PACE of the Southern Piedmont, Inc."	509	Yes	Active					PACE - Nat		C	Atlanta
H4714	Part D Exceptions Contact	Executive Director		Kenzig	Cathy							ckenzig@seniorTLC.org	1875 Remount Rd.		Gastonia	NC	28054	4/11/2025	2026	"PACE OF THE SOUTHERN PIEDMONT, INC."	National PACE	PACE of the Southern Piedmont	National PACE		"PACE of the Southern Piedmont, Inc."	509	Yes	Active	1-855-327-7852				PACE - Nat		C	Atlanta
H4714	Pharmacy Network Management Contact	Executive Director		Kenzig	Cathy		1-704-874-0603					ckenzig@seniorTLC.org	1875 Remount Rd.		Gastonia	NC	28054	4/11/2025	2026	"PACE OF THE SOUTHERN PIEDMONT, INC."	National PACE	PACE of the Southern Piedmont	National PACE		"PACE of the Southern Piedmont, Inc."	509	Yes	Active					PACE - Nat		C	Atlanta
H4714	Pharmacy Technical Help Desk Contact	Executive Director		Kenzig	Cathy							ckenzig@seniorTLC.org	1875 Remount Rd.		Gastonia	NC	28054	4/11/2025	2026	"PACE OF THE SOUTHERN PIEDMONT, INC."	National PACE	PACE of the Southern Piedmont	National PACE		"PACE of the Southern Piedmont, Inc."	509	Yes	Active	1-888-298-7770				PACE - Nat		C	Atlanta
H4714	Plan to Plan Reconciliation Contact	Executive Director		Kenzig	Cathy		1-704-874-0603					ckenzig@seniorTLC.org	1875 Remount Rd.		Gastonia	NC	28054	4/11/2025	2026	"PACE OF THE SOUTHERN PIEDMONT, INC."	National PACE	PACE of the Southern Piedmont	National PACE		"PACE of the Southern Piedmont, Inc."	509	Yes	Active					PACE - Nat		C	Atlanta
H4723	Automated TrOOP Balance Transfer Contact	"SVP Program Operations, Quality, and Compliance"	Mr	Kapolas	Peter	J	1-855-209-5451					pkapolas@heops.com	PO Box 2403		Brentwood	TN	37024	6/27/2024	2026	"LIFE COORDINATED  COMMONWEALTH PACE II, INC."	National PACE	LIFE COORDINATED COMMONWEALTH PACE II INC	National PACE		"LIFE COORDINATED Commonwealth PACE II, Inc"	844	Yes	Pending					PACE - Nat		C	Atlanta
H4723	Best Available Evidence Contact	"SVP Program Operations, Quality, and Compliance"	Mr	Kapolas	Peter	J	1-855-209-5451					pkapolas@heops.com	PO Box 2403		Brentwood	TN	37024	6/27/2024	2026	"LIFE COORDINATED  COMMONWEALTH PACE II, INC."	National PACE	LIFE COORDINATED COMMONWEALTH PACE II INC	National PACE		"LIFE COORDINATED Commonwealth PACE II, Inc"	844	Yes	Pending					PACE - Nat		C	Atlanta
H4723	Chief Financial Officer	CFO	Mr	Isaacs	William		1-855-209-5451					neveritt@heops.com	PO Box 2403		Brentwood	TN	37024	6/27/2024	2026	"LIFE COORDINATED  COMMONWEALTH PACE II, INC."	National PACE	LIFE COORDINATED COMMONWEALTH PACE II INC	National PACE		"LIFE COORDINATED Commonwealth PACE II, Inc"	844	Yes	Pending					PACE - Nat		C	Atlanta
H4723	CMS Casework Communication Contact	"SVP Program Operations, Quality, and Compliance"	Mr	Kapolas	Peter	J	1-855-209-5451					pkapolas@heops.com	PO Box 2403		Brentwood	TN	37024	6/27/2024	2026	"LIFE COORDINATED  COMMONWEALTH PACE II, INC."	National PACE	LIFE COORDINATED COMMONWEALTH PACE II INC	National PACE		"LIFE COORDINATED Commonwealth PACE II, Inc"	844	Yes	Pending					PACE - Nat		C	Atlanta
H4723	Coordination of Benefits Contact	"SVP Program Operations, Quality, and Compliance"	Mr	Kapolas	Peter	J	1-855-209-5451					pkapolas@heops.com	PO Box 2403		Brentwood	TN	37024	6/27/2024	2026	"LIFE COORDINATED  COMMONWEALTH PACE II, INC."	National PACE	LIFE COORDINATED COMMONWEALTH PACE II INC	National PACE		"LIFE COORDINATED Commonwealth PACE II, Inc"	844	Yes	Pending					PACE - Nat		C	Atlanta
H4723	Customer Service Operations Contact	"SVP Program Operations, Quality, and Compliance"	Mr	Kapolas	Peter	J	1-855-209-5451					pkapolas@heops.com	PO Box 2403		Brentwood	TN	37024	6/27/2024	2026	"LIFE COORDINATED  COMMONWEALTH PACE II, INC."	National PACE	LIFE COORDINATED COMMONWEALTH PACE II INC	National PACE		"LIFE COORDINATED Commonwealth PACE II, Inc"	844	Yes	Pending					PACE - Nat		C	Atlanta
H4723	Government Relations Contact	CEO	Ms	Everitt	Nancy	C	1-855-209-5451					neveritt@heops.com	PO Box 2403		Brentwood	TN	37024	6/27/2024	2026	"LIFE COORDINATED  COMMONWEALTH PACE II, INC."	National PACE	LIFE COORDINATED COMMONWEALTH PACE II INC	National PACE		"LIFE COORDINATED Commonwealth PACE II, Inc"	844	Yes	Pending					PACE - Nat		C	Atlanta
H4723	Medicare Compliance Officer	"SVP Program Operations, Quality, and Compliance"	Mr	Kapolas	Peter	J	1-855-209-5451					pkapolas@heops.com	PO Box 2403		Brentwood	TN	37024	6/27/2024	2026	"LIFE COORDINATED  COMMONWEALTH PACE II, INC."	National PACE	LIFE COORDINATED COMMONWEALTH PACE II INC	National PACE		"LIFE COORDINATED Commonwealth PACE II, Inc"	844	Yes	Pending					PACE - Nat		C	Atlanta
H4723	Part D Exceptions Contact	"SVP Program Operations, Quality, and Compliance"	Mr	Kapolas	Peter	J						pkapolas@heops.com	PO Box 2403		Brentwood	TN	37024	6/27/2024	2026	"LIFE COORDINATED  COMMONWEALTH PACE II, INC."	National PACE	LIFE COORDINATED COMMONWEALTH PACE II INC	National PACE		"LIFE COORDINATED Commonwealth PACE II, Inc"	844	Yes	Pending	1-855-209-5451				PACE - Nat		C	Atlanta
H4723	Pharmacy Network Management Contact	"SVP Program Operations, Quality, and Compliance"	Mr	Kapolas	Peter	J	1-855-209-5451					pkapolas@heops.com	PO Box 2403		Brentwood	TN	37024	6/27/2024	2026	"LIFE COORDINATED  COMMONWEALTH PACE II, INC."	National PACE	LIFE COORDINATED COMMONWEALTH PACE II INC	National PACE		"LIFE COORDINATED Commonwealth PACE II, Inc"	844	Yes	Pending					PACE - Nat		C	Atlanta
H4723	Pharmacy Technical Help Desk Contact	"SVP Program Operations, Quality, and Compliance"	Mr	Kapolas	Peter	J						pkapolas@heops.com	PO Box 2403		Brentwood	TN	37024	6/27/2024	2026	"LIFE COORDINATED  COMMONWEALTH PACE II, INC."	National PACE	LIFE COORDINATED COMMONWEALTH PACE II INC	National PACE		"LIFE COORDINATED Commonwealth PACE II, Inc"	844	Yes	Pending	1-855-209-5451				PACE - Nat		C	Atlanta
H4723	Plan to Plan Reconciliation Contact	CEO	Ms	Everitt	Nancy	C	1-855-209-5451					neveritt@heops.com	PO Box 2403		Brentwood	TN	37024	6/27/2024	2026	"LIFE COORDINATED  COMMONWEALTH PACE II, INC."	National PACE	LIFE COORDINATED COMMONWEALTH PACE II INC	National PACE		"LIFE COORDINATED Commonwealth PACE II, Inc"	844	Yes	Pending					PACE - Nat		C	Atlanta
H4733	Automated TrOOP Balance Transfer Contact	Medicare Part D Project Manager		Rivera-Aquino	Denisse		1-858-790-5873					PartDCAT@MedImpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	10/5/2023	2026	COMMUNITY HEALTH GROUP	Local CCP	Community Health Group	HMO/HMOPOS		Community Health Group	320	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4733	Best Available Evidence Contact	Enrollment Manager		Fernandez	Judith		1-619-498-6418				1-619-426-9437	jferna@chgsd.com	2420 Fenton Street Suite 100		Chula Vista	CA	91914	1/3/2022	2026	COMMUNITY HEALTH GROUP	Local CCP	Community Health Group	HMO/HMOPOS		Community Health Group	320	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4733	Chief Financial Officer	Chief Financial Officer	Mr.	Carroll	Scott		1-619-498-6591				1-619-425-7803	scarro@chgsd.com	2420 Fenton Street Suite 100		Chula Vista	CA	91914	1/3/2022	2026	COMMUNITY HEALTH GROUP	Local CCP	Community Health Group	HMO/HMOPOS		Community Health Group	320	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4733	CMS Casework Communication Contact	Chief Compliance and Health Equity Officer		Arndt	Heidi		1-619-498-6406					harndt@chgsd.com	2420 Fenton Street Suite 100		Chula Vista	CA	91914	1/15/2026	2026	COMMUNITY HEALTH GROUP	Local CCP	Community Health Group	HMO/HMOPOS		Community Health Group	320	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4733	Coordination of Benefits Contact	Pharmacy Manager		Nicks	Ronald		1-619-240-8859					rnicks@chgsd.com	2420 Fenton Street Suite 100		Chula Vista	CA	91914	1/16/2026	2026	COMMUNITY HEALTH GROUP	Local CCP	Community Health Group	HMO/HMOPOS		Community Health Group	320	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4733	Customer Service Operations Contact	Chief Operating Officer		Farook	Yousaf		1-619-498-6540					yfaroo@chgsd.com	2420 Fenton Street Suite 100		Chula Vista	CA	91914	1/16/2026	2026	COMMUNITY HEALTH GROUP	Local CCP	Community Health Group	HMO/HMOPOS		Community Health Group	320	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4733	Government Relations Contact	Chief Compliance and Health Equity Officer		Arndt	Heidi		1-619-498-6406					harndt@chgsd.com	2420 Fenton Street Suite 100		Chula Vista	CA	91914	1/16/2026	2026	COMMUNITY HEALTH GROUP	Local CCP	Community Health Group	HMO/HMOPOS		Community Health Group	320	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4733	Hospice Contact	Pharmacy Manager		Nicks	Ronald		1-619-240-8859					rnicks@chgsd.com	2420 Fenton Street		Chula Vista	CA	91914	1/16/2026	2026	COMMUNITY HEALTH GROUP	Local CCP	Community Health Group	HMO/HMOPOS		Community Health Group	320	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4733	Medicare Compliance Officer	Chief Compliance and Health Equity Officer	Ms.	Arndt	Heidi		1-619-932-9155					harndt@chgsd.com	2420 Fenton Street	Suite 100	Chula Vista	CA	91914	1/15/2026	2026	COMMUNITY HEALTH GROUP	Local CCP	Community Health Group	HMO/HMOPOS		Community Health Group	320	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4733	Part D Exceptions Contact	Pharmacy Manager		Nicks	Ronald							rnicks@chgsd.com	2420 Fenton Street Suite 100		Chula Vista	CA	91914	1/15/2026	2026	COMMUNITY HEALTH GROUP	Local CCP	Community Health Group	HMO/HMOPOS		Community Health Group	320	Yes	Active	1-619-240-8859				HMO - Health Maintenance Organization		C	New York
H4733	Pharmacy Network Management Contact	Pharmacy Manager		Nicks	Ronald		1-619-240-8859					rnicks@chgsd.com	2420 Fenton Street Suite 100		Chula Vista	CA	91914	12/4/2025	2026	COMMUNITY HEALTH GROUP	Local CCP	Community Health Group	HMO/HMOPOS		Community Health Group	320	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4733	Pharmacy Technical Help Desk Contact	"VP, Customer Contact Services"		Battle	Dorry						1-858-790-6075	Customerservice@Medimpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	1/3/2022	2026	COMMUNITY HEALTH GROUP	Local CCP	Community Health Group	HMO/HMOPOS		Community Health Group	320	Yes	Active	1-888-648-6758				HMO - Health Maintenance Organization		C	New York
H4733	Plan to Plan Reconciliation Contact	Pharmacy Manager		Nicks	Ronald		1-619-240-8859					rnicks@chgsd.com	2420 Fenton Street Suite 100		Chula Vista	CA	91914	1/15/2026	2026	COMMUNITY HEALTH GROUP	Local CCP	Community Health Group	HMO/HMOPOS		Community Health Group	320	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4739	Automated TrOOP Balance Transfer Contact	Director of Data and Tech Services		Cuchel	Eric		1-215-937-4161					ecuchel@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"SELECT HEALTH OF SOUTH CAROLINA, INC."	Local CCP	First Choice VIP Care (HMO D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4739	Best Available Evidence Contact	Medicare Enrollment Manager	Ms.	Mullins	Naketa		1-484-497-1171					nmullins@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"SELECT HEALTH OF SOUTH CAROLINA, INC."	Local CCP	First Choice VIP Care (HMO D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4739	Chief Financial Officer	"EVP, CFO & Treasurer"	Mr.	Lopez	Juan		1-609-405-0539					Juan.Lopez@ibx.com	"1901 Market Street, 39th floor"		Philadelphia	PA	19103	3/17/2026	2026	"SELECT HEALTH OF SOUTH CAROLINA, INC."	Local CCP	First Choice VIP Care (HMO D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4739	CMS Casework Communication Contact	Director Medicare Appeals and Grievances	Ms.	Lopez	Yismell		1-215-863-5677					yelopez@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"SELECT HEALTH OF SOUTH CAROLINA, INC."	Local CCP	First Choice VIP Care (HMO D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4739	Coordination of Benefits Contact	"Manager,  Medicare Regulatory Performance"	Ms.	Williams	Kathy		1-843-830-0812					kwilliams@firstchoicevipcareplus.com	Amerihealth Caritas Family of Companies	"4390 Belle Oak Dr, Suite 400"	Charleston	SC	29405	3/17/2026	2026	"SELECT HEALTH OF SOUTH CAROLINA, INC."	Local CCP	First Choice VIP Care (HMO D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4739	Customer Service Operations Contact	"Director, Medicare Customer Service"	Ms.	Veras	Helen		1-267-298-1794					hveras@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	200 Stevens Dr.	Philadelphia	PA	19113	3/17/2026	2026	"SELECT HEALTH OF SOUTH CAROLINA, INC."	Local CCP	First Choice VIP Care (HMO D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4739	Government Relations Contact	"VP, Public Policy"	Mr.	Cozzo	Steven		1-215-937-8236					scozzo@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	3875 West Chester Pike	Newtown Square	PA	19073	3/17/2026	2026	"SELECT HEALTH OF SOUTH CAROLINA, INC."	Local CCP	First Choice VIP Care (HMO D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4739	Hospice Contact	Dir Member Services	Ms.	Veras	Helen		1-833-852-4433					hveras@amerihealthcaritas.com	AmeriHealth Caritas	3875 West Chester Pike	Newtown Square	PA	19073	3/17/2026	2026	"SELECT HEALTH OF SOUTH CAROLINA, INC."	Local CCP	First Choice VIP Care (HMO D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4739	Medicare Compliance Officer	Medicare Compliance Officer	Ms	Dupre	Colleen		1-203-506-8413					cdupre@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	3875 West Chester Pike	Newtown Square	PA	19073	3/17/2026	2026	"SELECT HEALTH OF SOUTH CAROLINA, INC."	Local CCP	First Choice VIP Care (HMO D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4739	Part D Exceptions Contact	"Director, Pharmacy Utilization Management"		Bonko	Gerald						1-215-863-5100	gbonko@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"SELECT HEALTH OF SOUTH CAROLINA, INC."	Local CCP	First Choice VIP Care (HMO D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active	1-215-863-6483				HMO - Health Maintenance Organization		C	Chicago
H4739	Pharmacy Network Management Contact	Director Pharmacy Network Operations		Patel	Disha		1-215-863-5276					dpatel5@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"SELECT HEALTH OF SOUTH CAROLINA, INC."	Local CCP	First Choice VIP Care (HMO D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4739	Pharmacy Technical Help Desk Contact	"Manager, Call Center"		Vargas	Crystal							cvargas@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"SELECT HEALTH OF SOUTH CAROLINA, INC."	Local CCP	First Choice VIP Care (HMO D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active	1-800-555-5690				HMO - Health Maintenance Organization		C	Chicago
H4739	Plan to Plan Reconciliation Contact	Finance Manager	Ms	Zeleneva	Zhanna		1-312-543-9113					zzeleneva@amerihealthcaritas.com	Amerihealth Caritas Family of Companies	3875 West Chester Pike	Newton Square	PA	19073	3/17/2026	2026	"SELECT HEALTH OF SOUTH CAROLINA, INC."	Local CCP	First Choice VIP Care (HMO D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H4754	Automated TrOOP Balance Transfer Contact	"Senior Vice President, Health Plan Operations"		Ghaly	Khaled		1-208-563-2338					Khaled.Ghaly@pacificsource.com	408 E Parkcenter Boulevard	Suite 100	Boise	ID	83706	5/27/2026	2026	PACIFICSOURCE COMMUNITY HEALTH PLANS	Local CCP	PacificSource Medicare	Local PPO		PacificSource	429	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H4754	Best Available Evidence Contact	"Senior Vice President, Health Plan Operations"		Ghaly	Khaled		1-208-563-2338					Khaled.Ghaly@pacificsource.com	408 E Parkcenter Boulevard	Suite 100	Boise	ID	83706	5/27/2026	2026	PACIFICSOURCE COMMUNITY HEALTH PLANS	Local CCP	PacificSource Medicare	Local PPO		PacificSource	429	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H4754	Chief Financial Officer	Senior Vice President and Chief Financial Officer	Mr	Fellner	Brian		1-208-563-2342					Brian.Fellner@pacificsource.com	408 E Parkcenter Boulevard	Suite 100	Boise	ID	83706	5/27/2026	2026	PACIFICSOURCE COMMUNITY HEALTH PLANS	Local CCP	PacificSource Medicare	Local PPO		PacificSource	429	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H4754	CMS Casework Communication Contact	Team Leader Appeals and Grievances		Downey	Reanna		1-541-706-5031					Reanna.Downey@pacificsource.com	PO Box 7469		Bend	OR	97708	5/27/2026	2026	PACIFICSOURCE COMMUNITY HEALTH PLANS	Local CCP	PacificSource Medicare	Local PPO		PacificSource	429	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H4754	Coordination of Benefits Contact	Claims Manager COB-TPL		Keeler	Dena		1-541-225-3765					Dena.Keeler@pacificsource.com	555 International Way		Springfield	OR	97477	5/27/2026	2026	PACIFICSOURCE COMMUNITY HEALTH PLANS	Local CCP	PacificSource Medicare	Local PPO		PacificSource	429	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H4754	Customer Service Operations Contact	"Senior Vice President, Health Plan Operations"		Ghaly	Khaled		1-208-563-2338				1-541-385-3008	Khaled.Ghaly@pacificsource.com	408 E Parkcenter Boulevard	Suite 100	Boise	ID	83706	5/27/2026	2026	PACIFICSOURCE COMMUNITY HEALTH PLANS	Local CCP	PacificSource Medicare	Local PPO		PacificSource	429	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H4754	Government Relations Contact	Corporate Compliance Officer	Mr	Cass	Dave		1-503-802-5327				1-541-385-3008	Dave.Cass@pacificsource.com	1500 SW 1st Ave	Suite 200	Portland	OR	97201	5/27/2026	2026	PACIFICSOURCE COMMUNITY HEALTH PLANS	Local CCP	PacificSource Medicare	Local PPO		PacificSource	429	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H4754	Hospice Contact	"Manager of Pharmacy Administration, Govt"		Riffle	Connie		1-541-330-4999				1-800-366-4873	Connie.Riffle@pacificsource.com	PO Box 7469		Bend	OR	97708	5/27/2026	2026	PACIFICSOURCE COMMUNITY HEALTH PLANS	Local CCP	PacificSource Medicare	Local PPO		PacificSource	429	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H4754	Medicare Compliance Officer	Interim Corporate Compliance Officer	Mr	Cass	Dave		1-503-802-5327					Dave.Cass@pacificsource.com	1500 SW First Ave	Suite 200	Portland	OR	97201	5/27/2026	2026	PACIFICSOURCE COMMUNITY HEALTH PLANS	Local CCP	PacificSource Medicare	Local PPO		PacificSource	429	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H4754	Part D Exceptions Contact	Pharmacy Services Leadership Team		Services	Pharmacy							RxLeadership@pacificsource.com	PO Box 7469		Bend	OR	97708	5/27/2026	2026	PACIFICSOURCE COMMUNITY HEALTH PLANS	Local CCP	PacificSource Medicare	Local PPO		PacificSource	429	Yes	Withdrawn Contract	1-541-330-4999				PPO - BBA		C	Dallas
H4754	Pharmacy Network Management Contact	"SR. Manager, PBM Financial Operations"		Okrie	Courtney		1-480-318-1864					Courtney.Okrie@CVSHealth.com	"9501 E. Shea Blvd, MC080"		Scottsdale	AZ	85620	5/27/2026	2026	PACIFICSOURCE COMMUNITY HEALTH PLANS	Local CCP	PacificSource Medicare	Local PPO		PacificSource	429	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H4754	Pharmacy Technical Help Desk Contact	Government Programs Pharmacy Services		Services	Pharmacy							pharmacy@pacificsource.com	PO Box 7469		Bend	OR	97708	5/27/2026	2026	PACIFICSOURCE COMMUNITY HEALTH PLANS	Local CCP	PacificSource Medicare	Local PPO		PacificSource	429	Yes	Withdrawn Contract	1-888-437-7728				PPO - BBA		C	Dallas
H4754	Plan to Plan Reconciliation Contact	Enrollment and Billing Representative		Yeakey	Paula		1-541-706-5172					P2Padmin@pacificsource.com	PO Box 7469		Bend	OR	97708	5/27/2026	2026	PACIFICSOURCE COMMUNITY HEALTH PLANS	Local CCP	PacificSource Medicare	Local PPO		PacificSource	429	Yes	Withdrawn Contract					PPO - BBA		C	Dallas
H4805	Automated TrOOP Balance Transfer Contact			North	Tom		1-714-878-4552					tom.north@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	5/27/2026	2026	"WELBEHEALTH OREGON PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H4805	Best Available Evidence Contact			Cumpian	Terry		1-209-840-8404					terry.cumpian@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	5/27/2026	2026	"WELBEHEALTH OREGON PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H4805	Chief Financial Officer		Mr.	Darragh	Jeff		1-630-220-1698					jeff.darragh@welbehealth.com	440 N BARRANCA AVE #4053		COVINA	CA	91723	6/30/2026	2026	"WELBEHEALTH OREGON PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H4805	CMS Casework Communication Contact	Compliance Director		Costigan	Bobbie		1-219-210-6392					Bobbie.Costigan@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/6/2025	2026	"WELBEHEALTH OREGON PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H4805	Coordination of Benefits Contact			Holmes	Nicole		1-269-910-1107					nicole.holmes@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	5/27/2026	2026	"WELBEHEALTH OREGON PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H4805	Customer Service Operations Contact			Darragh	Jeff		1-630-220-1698					jeff.darragh@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/12/2025	2026	"WELBEHEALTH OREGON PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H4805	Government Relations Contact			Lee	Elizabeth		1-650-514-1390					elizabeth.lee@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/6/2025	2026	"WELBEHEALTH OREGON PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H4805	Medicare Compliance Officer		Ms.	Lee	Elizabeth		1-650-514-1390					elizabeth.lee@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/6/2025	2026	"WELBEHEALTH OREGON PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H4805	Part D Exceptions Contact		Ms.	Lincoln-Giang	Pam							pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/6/2025	2026	"WELBEHEALTH OREGON PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Pending	1-714-392-5198				PACE - Nat		C	San Francisco
H4805	Pharmacy Network Management Contact			Lincoln-Giang	Pam		1-650-294-8027					pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	5/27/2026	2026	"WELBEHEALTH OREGON PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H4805	Pharmacy Technical Help Desk Contact			Lincoln-Giang	Pam							pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	5/27/2026	2026	"WELBEHEALTH OREGON PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Pending	1-650-294-8027				PACE - Nat		C	San Francisco
H4805	Plan to Plan Reconciliation Contact			Porras	Ashleigh		1-650-442-2660					ashleigh.porras@welbehealth.com	440 N BARRANCA AVE #4053		COVINA	CA	91723	6/30/2026	2026	"WELBEHEALTH OREGON PACE, LLC"	National PACE	WELBEHEALTH	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H4808	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H4808	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H4808	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H4808	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H4808	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H4808	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H4808	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H4808	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H4808	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H4808	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				PPO - BBA		C	New York
H4808	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H4808	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				PPO - BBA		C	New York
H4808	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H4830	Automated TrOOP Balance Transfer Contact			Williams	Gregory		1-800-492-4227					williamsg@unitedhealthcenter.org	3875 West Beechwood Ave		Fresno	CA	93711	6/27/2024	2026	UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY	National PACE	UHC PACE	National PACE		United Health Centers of the San Joaquin Valley	853	Yes	Pending					PACE - Nat		C	San Francisco
H4830	Best Available Evidence Contact			Williams	Gregory		1-800-492-4227					williamsg@unitedhealthcenter.org	3875 West Beechwood Ave		Fresno	CA	93711	6/27/2024	2026	UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY	National PACE	UHC PACE	National PACE		United Health Centers of the San Joaquin Valley	853	Yes	Pending					PACE - Nat		C	San Francisco
H4830	Chief Financial Officer		Mr.	Maldonado	Jesus		1-800-492-4227					maldonadoj@unitedhealthcenters.org	3875 West Beechwood Ave		Fresno	CA	93711	6/27/2024	2026	UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY	National PACE	UHC PACE	National PACE		United Health Centers of the San Joaquin Valley	853	Yes	Pending					PACE - Nat		C	San Francisco
H4830	CMS Casework Communication Contact	CEO	Mr.	Preas	Justin		1-800-492-4227					preasj@unitedhealthcenters.org	3875 West Beechwood Ave		Fresno	CA	93711	6/27/2024	2026	UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY	National PACE	UHC PACE	National PACE		United Health Centers of the San Joaquin Valley	853	Yes	Pending					PACE - Nat		C	San Francisco
H4830	Coordination of Benefits Contact			Williams	Gregory		1-800-492-4227					williamsg@unitedhealthcenter.org	3875 West Beechwood Ave		Fresno	CA	93711	6/27/2024	2026	UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY	National PACE	UHC PACE	National PACE		United Health Centers of the San Joaquin Valley	853	Yes	Pending					PACE - Nat		C	San Francisco
H4830	Customer Service Operations Contact			Williams	Gregory		1-800-492-4227					williamsg@unitedhealthcenter.org	3875 West Beechwood Ave		Fresno	CA	93711	6/27/2024	2026	UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY	National PACE	UHC PACE	National PACE		United Health Centers of the San Joaquin Valley	853	Yes	Pending					PACE - Nat		C	San Francisco
H4830	Government Relations Contact	CEO	Mr.	Preas	Justin		1-800-492-4227					preasj@unitedhealthcenters.org	3875 West Beechwood Ave		Fresno	CA	93711	6/27/2024	2026	UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY	National PACE	UHC PACE	National PACE		United Health Centers of the San Joaquin Valley	853	Yes	Pending					PACE - Nat		C	San Francisco
H4830	Medicare Compliance Officer	CFO	Mr.	Maldonado	Jesus		1-800-492-4227					maldonadoj@unitedhealthcenters.org	3875 West Beechwood Ave		Fresno	CA	93711	6/27/2024	2026	UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY	National PACE	UHC PACE	National PACE		United Health Centers of the San Joaquin Valley	853	Yes	Pending					PACE - Nat		C	San Francisco
H4830	Part D Exceptions Contact			Williams	Gregory							preasj@unitedhealthcenters.org	3875 West Beechwood Ave		Fresno	CA	93711	6/27/2024	2026	UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY	National PACE	UHC PACE	National PACE		United Health Centers of the San Joaquin Valley	853	Yes	Pending	1-800-492-4227				PACE - Nat		C	San Francisco
H4830	Pharmacy Network Management Contact			Williams	Gregory		1-800-492-4227					williamsg@unitedhealthcenter.org	3875 West Beechwood Ave		Fresno	CA	93711	6/27/2024	2026	UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY	National PACE	UHC PACE	National PACE		United Health Centers of the San Joaquin Valley	853	Yes	Pending					PACE - Nat		C	San Francisco
H4830	Pharmacy Technical Help Desk Contact			Williams	Gregory								3875 West Beechwood Ave		Fresno	CA	93711	6/27/2024	2026	UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY	National PACE	UHC PACE	National PACE		United Health Centers of the San Joaquin Valley	853	Yes	Pending	1-800-492-4227				PACE - Nat		C	San Francisco
H4830	Plan to Plan Reconciliation Contact	CFO	Mr.	Maldonado	Jesus		1-800-492-4227					maldonadoj@unitedhealthcenters.org	3875 West Beechwood Ave		Fresno	CA	93711	6/27/2024	2026	UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY	National PACE	UHC PACE	National PACE		United Health Centers of the San Joaquin Valley	853	Yes	Pending					PACE - Nat		C	San Francisco
H4835	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	AETNA BETTER HEALTH OF OKLAHOMA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4835	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	AETNA BETTER HEALTH OF OKLAHOMA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4835	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA BETTER HEALTH OF OKLAHOMA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4835	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	AETNA BETTER HEALTH OF OKLAHOMA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4835	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	AETNA BETTER HEALTH OF OKLAHOMA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4835	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	AETNA BETTER HEALTH OF OKLAHOMA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4835	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA BETTER HEALTH OF OKLAHOMA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4835	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	AETNA BETTER HEALTH OF OKLAHOMA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4835	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	AETNA BETTER HEALTH OF OKLAHOMA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4835	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	AETNA BETTER HEALTH OF OKLAHOMA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H4835	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA BETTER HEALTH OF OKLAHOMA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4835	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	AETNA BETTER HEALTH OF OKLAHOMA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H4835	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA BETTER HEALTH OF OKLAHOMA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4847	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/18/2024	2026	"WELLCARE OF SOUTH CAROLINA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4847	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"WELLCARE OF SOUTH CAROLINA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4847	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/18/2024	2026	"WELLCARE OF SOUTH CAROLINA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4847	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"WELLCARE OF SOUTH CAROLINA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4847	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"WELLCARE OF SOUTH CAROLINA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4847	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/18/2024	2026	"WELLCARE OF SOUTH CAROLINA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4847	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"WELLCARE OF SOUTH CAROLINA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4847	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/18/2024	2026	"WELLCARE OF SOUTH CAROLINA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4847	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	"WELLCARE OF SOUTH CAROLINA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4847	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/18/2024	2026	"WELLCARE OF SOUTH CAROLINA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H4847	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	"WELLCARE OF SOUTH CAROLINA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4847	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/17/2024	2026	"WELLCARE OF SOUTH CAROLINA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0408				HMO - Health Maintenance Organization		C	Denver
H4847	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	6/18/2024	2026	"WELLCARE OF SOUTH CAROLINA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H4868	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/18/2024	2026	NEW YORK QUALITY HEALTHCARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Consolidation					HMO - Health Maintenance Organization		C	Denver
H4868	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	NEW YORK QUALITY HEALTHCARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Consolidation					HMO - Health Maintenance Organization		C	Denver
H4868	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/18/2024	2026	NEW YORK QUALITY HEALTHCARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Consolidation					HMO - Health Maintenance Organization		C	Denver
H4868	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	NEW YORK QUALITY HEALTHCARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Consolidation					HMO - Health Maintenance Organization		C	Denver
H4868	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	NEW YORK QUALITY HEALTHCARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Consolidation					HMO - Health Maintenance Organization		C	Denver
H4868	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/18/2024	2026	NEW YORK QUALITY HEALTHCARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Consolidation					HMO - Health Maintenance Organization		C	Denver
H4868	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	NEW YORK QUALITY HEALTHCARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Consolidation					HMO - Health Maintenance Organization		C	Denver
H4868	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/18/2024	2026	NEW YORK QUALITY HEALTHCARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Consolidation					HMO - Health Maintenance Organization		C	Denver
H4868	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	NEW YORK QUALITY HEALTHCARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Consolidation					HMO - Health Maintenance Organization		C	Denver
H4868	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/18/2024	2026	NEW YORK QUALITY HEALTHCARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Consolidation	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H4868	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	NEW YORK QUALITY HEALTHCARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Consolidation					HMO - Health Maintenance Organization		C	Denver
H4868	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/17/2024	2026	NEW YORK QUALITY HEALTHCARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Consolidation	1-833-750-0408				HMO - Health Maintenance Organization		C	Denver
H4868	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	6/18/2024	2026	NEW YORK QUALITY HEALTHCARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Consolidation					HMO - Health Maintenance Organization		C	Denver
H4869	Automated TrOOP Balance Transfer Contact	Senior Director of Value Based Care		Abduljabbar	Fawaz		1-844-294-6535					fawaz.abduljabbar@goldkidney.com	"4600 E Washington St, #300"		Phoenix	AZ	85034	4/6/2026	2026	GOLD KIDNEY OF ARIZONA	Local CCP	Gold Kidney Health Plan	HMO/HMOPOS		Gold Kidney Health Plan	788	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4869	Best Available Evidence Contact	Senior Director of Value Based Care		Abduljabbar	Fawaz		1-844-294-6535					fawaz.abduljabbar@goldkidney.com	"4600 E Washington St, #300"		Phoenix	AZ	85034	4/6/2026	2026	GOLD KIDNEY OF ARIZONA	Local CCP	Gold Kidney Health Plan	HMO/HMOPOS		Gold Kidney Health Plan	788	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4869	Chief Financial Officer	CFO	"Mr,"	LeBrun	Derek		1-503-516-6738					derek.lebrun@goldkidney.com	"4600 E Washington St, #300"	Suite 300	Phoenix	AZ	85034	4/20/2026	2026	GOLD KIDNEY OF ARIZONA	Local CCP	Gold Kidney Health Plan	HMO/HMOPOS		Gold Kidney Health Plan	788	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4869	CMS Casework Communication Contact	Manager of Utilization & Care Management		Patel	Manishkuma		1-256-529-8836					manish.patel@goldkidney.com	"4600 E Washington St, #300"		Phoenix	AZ	85034	4/6/2026	2026	GOLD KIDNEY OF ARIZONA	Local CCP	Gold Kidney Health Plan	HMO/HMOPOS		Gold Kidney Health Plan	788	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4869	Coordination of Benefits Contact	Senior Business Analyst		Taylor	Jay		1-844-294-6535					jay.taylor@goldkidney.com	"4600 E Washington St, #300"		Phoenix	AZ	85034	4/6/2026	2026	GOLD KIDNEY OF ARIZONA	Local CCP	Gold Kidney Health Plan	HMO/HMOPOS		Gold Kidney Health Plan	788	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4869	Customer Service Operations Contact	Senior Business Analyst		Taylor	Jay		1-844-294-6535					jay.taylor@goldkidney.com	"4600 E Washington St, #300"		Phoenix	AZ	85034	4/6/2026	2026	GOLD KIDNEY OF ARIZONA	Local CCP	Gold Kidney Health Plan	HMO/HMOPOS		Gold Kidney Health Plan	788	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4869	Government Relations Contact	CEO	"Mr,"	Henriques	Dominic		1-844-294-6535					dominic.henriques@goldkidney.com	"4600 E Washington St, #300"		Phoenix	AZ	85034	4/6/2026	2026	GOLD KIDNEY OF ARIZONA	Local CCP	Gold Kidney Health Plan	HMO/HMOPOS		Gold Kidney Health Plan	788	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4869	Hospice Contact	Senior Director of Value Based Care		Abduljabbar	Fawaz		1-844-294-6535					fawaz.abduljabbar@goldkidney.com	"4600 E Washington St, #300"		Phoenix	AZ	85034	4/6/2026	2026	GOLD KIDNEY OF ARIZONA	Local CCP	Gold Kidney Health Plan	HMO/HMOPOS		Gold Kidney Health Plan	788	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4869	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Leon	Francisco		1-813-847-5561					francisco.leon@goldkidney.com	"4600 E Washington St, #300"		Phoenix	AZ	85034	4/6/2026	2026	GOLD KIDNEY OF ARIZONA	Local CCP	Gold Kidney Health Plan	HMO/HMOPOS		Gold Kidney Health Plan	788	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4869	Part D Exceptions Contact	Senior Director of Value Based Care		Abduljabbar	Fawaz							fawaz.abduljabbar@goldkidney.com	"4600 E Washington St, #300"		Phoenix	AZ	85034	4/6/2026	2026	GOLD KIDNEY OF ARIZONA	Local CCP	Gold Kidney Health Plan	HMO/HMOPOS		Gold Kidney Health Plan	788	Yes	Active	1-844-294-6535				HMO - Health Maintenance Organization		C	Boston
H4869	Pharmacy Network Management Contact	Senior Director of Value Based Care		Abduljabbar	Fawaz		1-844-294-6535					fawaz.abduljabbar@goldkidney.com	"4600 E Washington St, #300"		Phoenix	AZ	85034	4/6/2026	2026	GOLD KIDNEY OF ARIZONA	Local CCP	Gold Kidney Health Plan	HMO/HMOPOS		Gold Kidney Health Plan	788	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4869	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"		Brewer	Kathy							Customerservice@MedImpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	4/6/2026	2026	GOLD KIDNEY OF ARIZONA	Local CCP	Gold Kidney Health Plan	HMO/HMOPOS		Gold Kidney Health Plan	788	Yes	Active	1-888-672-7206				HMO - Health Maintenance Organization		C	Boston
H4869	Plan to Plan Reconciliation Contact	Senior Director of Value Based Care		Abduljabbar	Fawaz		1-844-294-6535					fawaz.abduljabbar@goldkidney.com	"4600 E Washington St, #300"		Phoenix	AZ	85034	4/6/2026	2026	GOLD KIDNEY OF ARIZONA	Local CCP	Gold Kidney Health Plan	HMO/HMOPOS		Gold Kidney Health Plan	788	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H4875	Automated TrOOP Balance Transfer Contact	Enrollment Coordinator		Rice	Lori		1-616-464-8667					PH-MedicareTrOOPContact@PriorityHealth.com	1231 East Beltline Ave NE	MS 1175	Grand Rapids	MI	49525	6/2/2023	2026	PRIORITY HEALTH	Local CCP	Priority Health Medicare	Local PPO		Corewell Health	190	Yes	Active					PPO - BBA		C	Seattle
H4875	Best Available Evidence Contact	"Manager, Medicare Enrollment"		Thomas	Sabrina		1-616-464-8578					phcompliance@priorityhealth.com	1231 East Beltline Ave NE		Grand Rapids	MI	49525	11/7/2024	2026	PRIORITY HEALTH	Local CCP	Priority Health Medicare	Local PPO		Corewell Health	190	Yes	Active					PPO - BBA		C	Seattle
H4875	Chief Financial Officer	"Senior Vice President, Finance"	Mrs.	McIntyre	Celeste		1-616-774-5142					phcompliance@priorityhealth.com	1231 East Beltline Ave NE		Grand Rapids	MI	49525	11/20/2025	2026	PRIORITY HEALTH	Local CCP	Priority Health Medicare	Local PPO		Corewell Health	190	Yes	Active					PPO - BBA		C	Seattle
H4875	CMS Casework Communication Contact	Manager for Business Monitoring - G & A		LaBelle	Julie		1-917-841-7869					Radha.LaBelle@priorityhealth.com	1231 East Beltline Ave NE		Grand Rapids	MI	49525	6/2/2023	2026	PRIORITY HEALTH	Local CCP	Priority Health Medicare	Local PPO		Corewell Health	190	Yes	Active					PPO - BBA		C	Seattle
H4875	Coordination of Benefits Contact	Claims Manager		Ball	Jill		1-888-389-6648					phcompliance@priorityhealth.com	1239 East Beltline Ave NE	MS2205	Grand Rapids	MI	49525	11/7/2024	2026	PRIORITY HEALTH	Local CCP	Priority Health Medicare	Local PPO		Corewell Health	190	Yes	Active					PPO - BBA		C	Seattle
H4875	Customer Service Operations Contact	"Customer Care Center Manager, Medicare"		Storment	Joe		1-503-330-9550					phcompliance@priorityhealth.com	1231 East Beltline Ave NE		Grand Rapids	MI	49525	11/7/2024	2026	PRIORITY HEALTH	Local CCP	Priority Health Medicare	Local PPO		Corewell Health	190	Yes	Active					PPO - BBA		C	Seattle
H4875	Government Relations Contact	Medicare Compliance Officer Director	Mrs.	DeHaan	Heather		1-616-464-3510					phcompliance@priorityhealth.com	1239 East Beltline Ave NE	MS 3230	Grand Rapids	MI	49525	11/7/2024	2026	PRIORITY HEALTH	Local CCP	Priority Health Medicare	Local PPO		Corewell Health	190	Yes	Active					PPO - BBA		C	Seattle
H4875	Hospice Contact	Medicare Compliance Officer Director	Mrs.	DeHaan	Heather		1-616-464-3510					phcompliance@priorityhealth.com	1239 East Beltline Ave NE	MS 3230	Grand Rapids	MI	49525	11/7/2024	2026	PRIORITY HEALTH	Local CCP	Priority Health Medicare	Local PPO		Corewell Health	190	Yes	Active					PPO - BBA		C	Seattle
H4875	Medicare Compliance Officer	Medicare Compliance Officer Director	Mrs	DeHaan	Heather		1-616-464-3510					heather.dehaan@priorityhealth.com	1239 East Beltline Ave NE	MS 3230	Grand Rapids	MI	49525	11/7/2024	2026	PRIORITY HEALTH	Local CCP	Priority Health Medicare	Local PPO		Corewell Health	190	Yes	Active					PPO - BBA		C	Seattle
H4875	Part D Exceptions Contact			Help Desk	Pharmacy							part.d.ops@priorityhealth.com	1231 East Beltline Ave NE		Grand Rapids	MI	49525	6/2/2023	2026	PRIORITY HEALTH	Local CCP	Priority Health Medicare	Local PPO		Corewell Health	190	Yes	Active	1-800-466-6642				PPO - BBA		C	Seattle
H4875	Pharmacy Network Management Contact	Director Pharmacy Operations		Chaffee	Jacob		1-616-575-6149					jacob.chaffee@priorityhealth.com	1231 E. Beltline Ave Ne		Grand Rapids	MI	49525	6/2/2023	2026	PRIORITY HEALTH	Local CCP	Priority Health Medicare	Local PPO		Corewell Health	190	Yes	Active					PPO - BBA		C	Seattle
H4875	Pharmacy Technical Help Desk Contact			Help Desk	Pharmacy							part.d.ops@priorityhealth.com	1231 East Beltline Ave NE		Grand Rapids	MI	49525	6/2/2023	2026	PRIORITY HEALTH	Local CCP	Priority Health Medicare	Local PPO		Corewell Health	190	Yes	Active	1-800-466-6642				PPO - BBA		C	Seattle
H4875	Plan to Plan Reconciliation Contact	Business Systems Analyst		Robinson	Aminah		1-616-862-9827					aminah.robinson@priorityhealth.com	1231 East Beltline Ave NE		Grand Rapids	MI	49525	7/1/2024	2026	PRIORITY HEALTH	Local CCP	Priority Health Medicare	Local PPO		Corewell Health	190	Yes	Active					PPO - BBA		C	Seattle
H4882	Automated TrOOP Balance Transfer Contact	"Manager, Pharmacy Configuration and PBM Services"		Heinen	Keeley		1-952-883-5279					keeley.m.heinen@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS:  21111B	Minneapolis	MN	55440-1309	1/27/2026	2026	"HEALTHPARTNERS, INC."	Local CCP	HealthPartners	Local PPO		"HealthPartners, Inc."	117	Yes	Active					PPO - BBA		C	Chicago
H4882	Best Available Evidence Contact	Sr. Manager Membership Accounting		Marty	Amanda	E	1-952-967-7685					amanda.e.marty@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS: 21103R	Minneapolis	MN	55440-1309	1/9/2025	2026	"HEALTHPARTNERS, INC."	Local CCP	HealthPartners	Local PPO		"HealthPartners, Inc."	117	Yes	Active					PPO - BBA		C	Chicago
H4882	Chief Financial Officer	SVP & Chief Financial Officer	Ms.	Johnson	Kathleen	A	1-952-883-6531					kathy.a.johnson1@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS:  21110T	Minneapolis	MN	55440-1309	3/29/2023	2026	"HEALTHPARTNERS, INC."	Local CCP	HealthPartners	Local PPO		"HealthPartners, Inc."	117	Yes	Active					PPO - BBA		C	Chicago
H4882	CMS Casework Communication Contact	Manager Member Rights and Benefits		Kruse	Morgan	L	1-952-967-7679					Morgan.L.Kruse@HealthPartners.Com	P.O. Box 21662		Eagan	MN	55121	1/27/2026	2026	"HEALTHPARTNERS, INC."	Local CCP	HealthPartners	Local PPO		"HealthPartners, Inc."	117	Yes	Active					PPO - BBA		C	Chicago
H4882	Coordination of Benefits Contact	"Manager, Claims Production"		Prine	Chantelle	M	1-952-967-7335					RVSCCOBTECHS@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"		Minneapolis	MN	55440-1309	4/20/2022	2026	"HEALTHPARTNERS, INC."	Local CCP	HealthPartners	Local PPO		"HealthPartners, Inc."	117	Yes	Active					PPO - BBA		C	Chicago
H4882	Customer Service Operations Contact	Director Member Services		Renneke	Alison		1-952-967-7668					alison.m.renneke@healthpartners.com	"8170 33rd Avenue South, PO Box 9463"	MS:  21103R	Minneapolis	MN	55440-9463	1/29/2020	2026	"HEALTHPARTNERS, INC."	Local CCP	HealthPartners	Local PPO		"HealthPartners, Inc."	117	Yes	Active					PPO - BBA		C	Chicago
H4882	Government Relations Contact	VP Government Programs		Clelland	Jennifer	J	1-952-967-5119					jennifer.j.clelland@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS: 21103C	Minneapolis	MN	55440-1309	8/30/2021	2026	"HEALTHPARTNERS, INC."	Local CCP	HealthPartners	Local PPO		"HealthPartners, Inc."	117	Yes	Active					PPO - BBA		C	Chicago
H4882	Hospice Contact	Sr Pharmacy UM Comp and Ops Analyst		Riggs	Ben	H	1-651-323-0244					benjamin.h.riggs@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS: 21111B	Minneapolis	MN	55440-1309	12/12/2023	2026	"HEALTHPARTNERS, INC."	Local CCP	HealthPartners	Local PPO		"HealthPartners, Inc."	117	Yes	Active					PPO - BBA		C	Chicago
H4882	Medicare Compliance Officer	"Director, Integrity and Compliance"	Ms.	Moscetti	Stephanie	M	1-952-883-7330				1-952-883-5522	stephanie.m.moscetti@healthpartners.com	8170 33rd Avenue South		Bloomington	MN	55425	11/17/2023	2026	"HEALTHPARTNERS, INC."	Local CCP	HealthPartners	Local PPO		"HealthPartners, Inc."	117	Yes	Active					PPO - BBA		C	Chicago
H4882	Part D Exceptions Contact	Mgr Pharmacy Clinical Svcs & UM Pharm Clin Srv		Whelan	Hillary	A					1-888-883-5434	hillary.a.whelan@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS:  21111B	Minneapolis	MN	55440-1309	12/17/2024	2026	"HEALTHPARTNERS, INC."	Local CCP	HealthPartners	Local PPO		"HealthPartners, Inc."	117	Yes	Active	1-800-492-7259				PPO - BBA		C	Chicago
H4882	Pharmacy Network Management Contact	"Manager, Pharmacy Configuration and PBM Services"		Heinen	Keeley		1-952-883-5279					keeley.m.heinen@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS:  21111B	Minneapolis	MN	55440-1309	1/27/2026	2026	"HEALTHPARTNERS, INC."	Local CCP	HealthPartners	Local PPO		"HealthPartners, Inc."	117	Yes	Active					PPO - BBA		C	Chicago
H4882	Pharmacy Technical Help Desk Contact	Mgr Pharmacy Clinical Svcs & UM Pharm Clin Srv		Whelan	Hillary	A					1-888-883-5434	Hillary.A.Whelan@HealthPartners.com	"8170 33rd Avenue South, PO Box 1309"	MS:  21111B	Minneapolis	MN	55440-1309	1/27/2026	2026	"HEALTHPARTNERS, INC."	Local CCP	HealthPartners	Local PPO		"HealthPartners, Inc."	117	Yes	Active	1-800-492-7259				PPO - BBA		C	Chicago
H4882	Plan to Plan Reconciliation Contact	Senior Accountant		Lee	Sheng		1-715-571-5521					sheng.x.lee@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS: 21109A	Minneapolis	MN	55440-1309	3/4/2025	2026	"HEALTHPARTNERS, INC."	Local CCP	HealthPartners	Local PPO		"HealthPartners, Inc."	117	Yes	Active					PPO - BBA		C	Chicago
H4906	Chief Financial Officer	Administrator	Ms	Hoke	Michelle	M	1-540-862-5728				1-540-862-4958	michellehoke@coeha.com	427 E Ridgeway Street		Clifton Forge	VA	24422	11/7/2022	2026	C AND O EMPLOYEES' HOSPITAL ASSOCIATION	HCPP - 1833 Cost	C and O Employees' Hospital Association	HCPP - 1833 Cost		C & O Employees' Hospital Association	37	No	Active					HCPP		1	Philadelphia
H4906	CMS Casework Communication Contact	Benefits Manager	Mrs	Via	Brandi		1-540-862-5728				1-540-862-4958	brandivia@coeha.com	427 E Ridgeway Street		Clifton Forge	VA	24422	11/7/2022	2026	C AND O EMPLOYEES' HOSPITAL ASSOCIATION	HCPP - 1833 Cost	C and O Employees' Hospital Association	HCPP - 1833 Cost		C & O Employees' Hospital Association	37	No	Active					HCPP		1	Philadelphia
H4906	Customer Service Operations Contact	Medicare Dues Clerk		Nicely	Rodney		1-800-679-9135				1-540-862-4958	Rodney@coeha.com	427 E Ridgeway Street		Clifton Forge	VA	24422	11/7/2022	2026	C AND O EMPLOYEES' HOSPITAL ASSOCIATION	HCPP - 1833 Cost	C and O Employees' Hospital Association	HCPP - 1833 Cost		C & O Employees' Hospital Association	37	No	Active					HCPP		1	Philadelphia
H4906	Government Relations Contact	Benefits Manager	Mrs	Via	Brandi		1-540-862-5728				1-540-862-4958	brandivia@coeha.com	427 E Ridgeway Street		Clifton Forge	VA	24422	11/7/2022	2026	C AND O EMPLOYEES' HOSPITAL ASSOCIATION	HCPP - 1833 Cost	C and O Employees' Hospital Association	HCPP - 1833 Cost		C & O Employees' Hospital Association	37	No	Active					HCPP		1	Philadelphia
H4906	Medicare Compliance Officer	Benefits Manager	Mrs	Via	Brandi		1-540-862-5728				1-540-862-4958	brandivia@coeha.com	427 E Ridgeway Street		Clifton Forge	VA	24422	11/7/2022	2026	C AND O EMPLOYEES' HOSPITAL ASSOCIATION	HCPP - 1833 Cost	C and O Employees' Hospital Association	HCPP - 1833 Cost		C & O Employees' Hospital Association	37	No	Active					HCPP		1	Philadelphia
H4909	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H4909	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H4909	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H4909	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H4909	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H4909	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H4909	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H4909	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H4909	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H4909	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				PPO - BBA		C	Chicago
H4909	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/31/2023	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H4909	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				PPO - BBA		C	Chicago
H4909	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/7/2021	2026	"ANTHEM INSURANCE COMPANIES, INC."	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H4919	Automated TrOOP Balance Transfer Contact	Medicare Compliance Manager		Brown	Lauren		1-720-974-6031				1-303-996-1600	lbrown2@myinnovage.com	8950 East Lowry Boulevard		Denver	CO	80230	1/28/2021	2026	"INNOVAGE FLORIDA PACE, LLC"	National PACE	InnovAge Florida  PACE - Tampa	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Atlanta
H4919	Best Available Evidence Contact	Director of Finance	Ms.	Hewitt	Jessica		1-720-974-6767					jhewitt@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	5/19/2025	2026	"INNOVAGE FLORIDA PACE, LLC"	National PACE	InnovAge Florida  PACE - Tampa	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Atlanta
H4919	Chief Financial Officer	CFO	Mr.	Adams	Ben		1-917-842-3099				1-303-996-1600	badams@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE FLORIDA PACE, LLC"	National PACE	InnovAge Florida  PACE - Tampa	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Atlanta
H4919	CMS Casework Communication Contact	Director of Compliance		Simpson-Thomas	Shakyra		1-804-819-9554				1-303-996-1600	ssimpson-thomas@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	3/3/2026	2026	"INNOVAGE FLORIDA PACE, LLC"	National PACE	InnovAge Florida  PACE - Tampa	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Atlanta
H4919	Coordination of Benefits Contact	Medicare Compliance Manager		Brown	Lauren		1-720-974-6031				1-303-996-1600	lbrown2@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE FLORIDA PACE, LLC"	National PACE	InnovAge Florida  PACE - Tampa	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Atlanta
H4919	Customer Service Operations Contact	Director of Compliance		Simpson-Thomas	Shakyra		1-804-819-9554				1-303-996-1600	ssimpson-thomas@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	3/3/2026	2026	"INNOVAGE FLORIDA PACE, LLC"	National PACE	InnovAge Florida  PACE - Tampa	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Atlanta
H4919	Government Relations Contact	"SVP, External Affairs"		Nelson	Don		1-608-217-5110					dnelson3@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/24/2026	2026	"INNOVAGE FLORIDA PACE, LLC"	National PACE	InnovAge Florida  PACE - Tampa	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Atlanta
H4919	Medicare Compliance Officer	VP of Compliance	Ms.	Teter	Lezlie	A	1-720-682-9848				1-303-996-1600	lteter@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	4/24/2026	2026	"INNOVAGE FLORIDA PACE, LLC"	National PACE	InnovAge Florida  PACE - Tampa	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Atlanta
H4919	Part D Exceptions Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael						1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE FLORIDA PACE, LLC"	National PACE	InnovAge Florida  PACE - Tampa	National PACE		"Total Community Options, Inc."	230	Yes	Active	1-720-666-3817				PACE - Nat		C	Atlanta
H4919	Pharmacy Network Management Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael		1-720-666-3817				1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE FLORIDA PACE, LLC"	National PACE	InnovAge Florida  PACE - Tampa	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Atlanta
H4919	Pharmacy Technical Help Desk Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael						1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE FLORIDA PACE, LLC"	National PACE	InnovAge Florida  PACE - Tampa	National PACE		"Total Community Options, Inc."	230	Yes	Active	1-720-666-3817				PACE - Nat		C	Atlanta
H4919	Plan to Plan Reconciliation Contact	Finance and Compliance Analyst		Kizewski	Alex		1-720-789-6171				1-720-917-3390	akizewski@innovage.com	8950 East Lowry Blvd		Denver	CO	80230	7/26/2023	2026	"INNOVAGE FLORIDA PACE, LLC"	National PACE	InnovAge Florida  PACE - Tampa	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Atlanta
H4931	Automated TrOOP Balance Transfer Contact	Chief Financial Officer		Brady	Michael		1-480-861-3410					Michael.Brady@bannerhealth.com	2901 N Central Ave Ste. 160		Phoenix	AZ	85012	12/26/2024	2026	BANNER - UNIVERSITY CARE ADVANTAGE	Local CCP	Banner Medicare Advantage	HMO/HMOPOS		Banner Health	389	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4931	Best Available Evidence Contact	"Director, Grievance and Appeals"		Clayton	Natasha		1-520-667-3777				1-520-874-3462	natasha.clayton@bannerhealth.com	"5255 E Williams Circle, Ste 2050"		Tucson	AZ	85711	9/19/2024	2026	BANNER - UNIVERSITY CARE ADVANTAGE	Local CCP	Banner Medicare Advantage	HMO/HMOPOS		Banner Health	389	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4931	Chief Financial Officer	Chief Financial Officer	Mr	Brady	Michael		1-480-861-3410					Michael.Brady@bannerhealth.com	2901 N Central Ave Ste. 160		Phoenix	AZ	85012	12/26/2024	2026	BANNER - UNIVERSITY CARE ADVANTAGE	Local CCP	Banner Medicare Advantage	HMO/HMOPOS		Banner Health	389	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4931	CMS Casework Communication Contact	"Director, Grievance and Appeals"		Clayton	Natasha		1-602-747-8416				1-602-334-4683	Natasha.Clayton@bannerhealth.com	"5255 E Williams Circle, Ste 2050"		Tucson	AZ	85711	12/26/2024	2026	BANNER - UNIVERSITY CARE ADVANTAGE	Local CCP	Banner Medicare Advantage	HMO/HMOPOS		Banner Health	389	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4931	Coordination of Benefits Contact	"Supervisor, Senior Business Analyst"		Greenway	Olga		1-864-934-1365					olga.greenway@BannerHealth.com	525 W Brown Rd		Mesa	AZ	85201	11/22/2023	2026	BANNER - UNIVERSITY CARE ADVANTAGE	Local CCP	Banner Medicare Advantage	HMO/HMOPOS		Banner Health	389	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4931	Customer Service Operations Contact	Customer Care Director		Carrillo	Veronica		1-520-874-5349				1-520-874-7083	Veronica.Carrillo@bannerhealth.com	"5255 E Williams Circle, Ste 2050"		Tucson	AZ	85711	12/26/2024	2026	BANNER - UNIVERSITY CARE ADVANTAGE	Local CCP	Banner Medicare Advantage	HMO/HMOPOS		Banner Health	389	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4931	Government Relations Contact	"Senior Director, Government Programs"		Steward	Linda		1-520-874-2553					linda.steward@bannerhealth.com	"5255 E Williams Circle, Ste 2050"		Tucson	AZ	85711	11/26/2024	2026	BANNER - UNIVERSITY CARE ADVANTAGE	Local CCP	Banner Medicare Advantage	HMO/HMOPOS		Banner Health	389	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4931	Hospice Contact	"Director, Managed Pharmacy Solutions"		Ramsey	Michael		1-480-650-8341					Michael.Ramsey@bannerhealth.com	"2901 N. Central Ave., Ste 160"		Phoenix	AZ	85012	12/26/2024	2026	BANNER - UNIVERSITY CARE ADVANTAGE	Local CCP	Banner Medicare Advantage	HMO/HMOPOS		Banner Health	389	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4931	Medicare Compliance Officer	"Area Program Director, Medicare Compliance Officer"	Ms.	Rood	Audrey		1-602-747-1103					audrey.rood@bannerhealth.com	"2901 N. Central Ave., Ste 160"		Phoenix	AZ	85012	2/23/2026	2026	BANNER - UNIVERSITY CARE ADVANTAGE	Local CCP	Banner Medicare Advantage	HMO/HMOPOS		Banner Health	389	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4931	Part D Exceptions Contact	Express Scripts Sr. Manager Pharmacy Prio Auth		Herbert	Joshua							Joshua.Herbert@evernorth.com	One Express Way Mail Stop: S13NB		St. Louis	MO	63121	10/14/2025	2026	BANNER - UNIVERSITY CARE ADVANTAGE	Local CCP	Banner Medicare Advantage	HMO/HMOPOS		Banner Health	389	Yes	Active	1-513-292-0563				HMO - Health Maintenance Organization		C	New York
H4931	Pharmacy Network Management Contact	Express Scripts Network Accountant Director		Kelly	Heather		1-314-692-1866				1-800-357-9578	Heather.Kelly2@evernorth.com	Express Scripts	One Express Way	St. Louis	MO	63121	1/7/2026	2026	BANNER - UNIVERSITY CARE ADVANTAGE	Local CCP	Banner Medicare Advantage	HMO/HMOPOS		Banner Health	389	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4931	Pharmacy Technical Help Desk Contact	"Senior Director, Customer Service"		Sahs	Dale							dale.sahs@express-scripts.com	One Express Way Mail Stop: S13NB		St. Louis	MO	63121	11/4/2025	2026	BANNER - UNIVERSITY CARE ADVANTAGE	Local CCP	Banner Medicare Advantage	HMO/HMOPOS		Banner Health	389	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	New York
H4931	Plan to Plan Reconciliation Contact			Cuaron	Anthony		1-833-318-4146					p2p@bannerhealth.com	"5255 E William Circle, Ste 2050"	Ste 2050	Tucson	AZ	85711	5/18/2026	2026	BANNER - UNIVERSITY CARE ADVANTAGE	Local CCP	Banner Medicare Advantage	HMO/HMOPOS		Banner Health	389	Yes	Active					HMO - Health Maintenance Organization		C	New York
H4937	Automated TrOOP Balance Transfer Contact	"Business Analyst, Consultant"		Escobedo	Karina		1-562-613-5532					karina.escobedo@blueshieldca.com	3021 Reynolds Ranch Pkwy		Lodi	CA	95240	1/5/2026	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	Local PPO		California Physicians' Service	30	Yes	Active					PPO - BBA		C	Dallas
H4937	Best Available Evidence Contact	"Senior Manager, Installation & Billing"		White	Cheri		1-916-350-3262					cheri.white@blueshieldca.com	"4207 Town Center Blvd, Building B"		El Dorado Hills	CA	95762	1/5/2026	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	Local PPO		California Physicians' Service	30	Yes	Active					PPO - BBA		C	Dallas
H4937	Chief Financial Officer	VP Actuarial & Financial Mgmt - Govt Markets	Mr.	Solomon	Aaron		1-310-744-2848					aaron.solomon@blueshieldca.com	6300 Canoga Avenue		Woodland Hills	CA	91367	5/15/2026	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	Local PPO		California Physicians' Service	30	Yes	Active					PPO - BBA		C	Dallas
H4937	CMS Casework Communication Contact	"Senior Manager, Medicare Compliance"		Lester	Sheri		1-562-364-1860					sheri.lester@blueshieldca.com	6300 Canoga Avenue		Woodland Hills	CA	91367	3/22/2023	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	Local PPO		California Physicians' Service	30	Yes	Active					PPO - BBA		C	Dallas
H4937	Coordination of Benefits Contact	"Senior Manager, Installation & Billing"		White	Cheri		1-916-350-3262					cheri.white@blueshieldca.com	"4207 Town Center Blvd, Building B"		El Dorado Hills	CA	95762	1/5/2026	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	Local PPO		California Physicians' Service	30	Yes	Active					PPO - BBA		C	Dallas
H4937	Customer Service Operations Contact	Manager- Program and Project Management		Zuehlke	Erica		1-562-613-5004					erica.zuehlke@blueshieldca.com	3021 Reynolds Ranch Pkwy		Lodi	CA	95240	1/5/2026	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	Local PPO		California Physicians' Service	30	Yes	Active					PPO - BBA		C	Dallas
H4937	Government Relations Contact	"Director, Medicare Compliance"		Mata	Marcos		1-562-613-5249					marcos.mata@blueshieldca.com	6300 Canoga Avenue		Woodland Hills	CA	91367	1/5/2026	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	Local PPO		California Physicians' Service	30	Yes	Active					PPO - BBA		C	Dallas
H4937	Hospice Contact	"Supervisor, Operations"		Hatley	Mongnissia		1-562-613-5416					Mongnissia.Hatley@blueshieldca.com	6300 Canoga Avenue		Woodland Hills	CA	91367	3/13/2026	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	Local PPO		California Physicians' Service	30	Yes	Active					PPO - BBA		C	Dallas
H4937	Medicare Compliance Officer	"Senior Director, Medicare Compliance"	Mr.	Robinson	Richard		1-562-580-6482					medicarecomplofficer@blueshieldca.com	6300 Canoga Avenue		Woodland Hills	CA	91367	1/6/2026	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	Local PPO		California Physicians' Service	30	Yes	Active					PPO - BBA		C	Dallas
H4937	Part D Exceptions Contact	"Director, Pharmacy Services"		March	Nancee							nancee.march@blueshieldca.com	3300 Zinfandel Drive		Rancho Cordova	CA	95670	1/6/2026	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	Local PPO		California Physicians' Service	30	Yes	Active	1-800-776-4466				PPO - BBA		C	Dallas
H4937	Pharmacy Network Management Contact	"Senior Manager, Program and Project Management"		Nelson	Kimberly		1-415-297-2196					kim.nelson@blueshieldca.com	4201 Town Center Blvd		El Dorado Hills	CA	95762	4/2/2026	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	Local PPO		California Physicians' Service	30	Yes	Active					PPO - BBA		C	Dallas
H4937	Pharmacy Technical Help Desk Contact	"Senior Manager, Program and Project Management"		Nelson	Kimberly							kim.nelson@blueshieldca.com	4201 Town Center Blvd		Oakland	CA	94607	4/2/2026	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	Local PPO		California Physicians' Service	30	Yes	Active	1-800-375-7924				PPO - BBA		C	Dallas
H4937	Plan to Plan Reconciliation Contact	Supervisor Accounts Payable/Receivable		Perez	Cheryl		1-916-702-4442					BSCP2PRecon@blueshieldca.com	3021 Reynolds Ranch Parkway		Lodi	CA	95240	2/22/2024	2026	CALIFORNIA PHYSICIANS' SERVICE	Local CCP	Blue Shield of California	Local PPO		California Physicians' Service	30	Yes	Active					PPO - BBA		C	Dallas
H4939	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"ARCADIAN HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4939	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"ARCADIAN HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4939	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"ARCADIAN HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4939	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	"ARCADIAN HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4939	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	"ARCADIAN HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4939	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"ARCADIAN HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4939	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"ARCADIAN HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4939	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"ARCADIAN HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4939	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"ARCADIAN HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4939	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"ARCADIAN HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-859-321-9075				HMO - Health Maintenance Organization		C	Kansas City
H4939	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"ARCADIAN HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4939	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	"ARCADIAN HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-800-865-8715				HMO - Health Maintenance Organization		C	Kansas City
H4939	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	"ARCADIAN HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H4961	Automated TrOOP Balance Transfer Contact	PBM - Manager Project and Program Management		Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	5/24/2026	2026	ALIGNMENT HEALTH PLAN	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H4961	Best Available Evidence Contact	"Director, Membership & Eligibility"		Starks	Heather		1-661-433-0187				1-562-207-4623	HStarks@ahcusa.com	1100 W. Town and Country Road #300		Orange	CA	92868-4600	5/24/2026	2026	ALIGNMENT HEALTH PLAN	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H4961	Chief Financial Officer	Chief Financial Officer	Mr.	Head	James	M	1-657-218-7612					Jhead@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	ALIGNMENT HEALTH PLAN	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H4961	CMS Casework Communication Contact	CEO		Maroney	Dawn		1-844-310-2247				1-844-320-2247	DMaroney@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	ALIGNMENT HEALTH PLAN	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H4961	Coordination of Benefits Contact	"Director, Membership & Eligibility"		Starks	Heather		1-661-433-0187					HStarks@ahcusa.com	1100 W. Town and Country Rd #1600		Orange	CA	92868	5/24/2026	2026	ALIGNMENT HEALTH PLAN	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H4961	Customer Service Operations Contact	"VP, Member Experience"		Shaffer	Troy		1-714-208-2446					TShaffer@ahcusa.com	1100  W. Town and Country Road #300		Orange	CA	92868-4600	5/24/2026	2026	ALIGNMENT HEALTH PLAN	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H4961	Government Relations Contact	"SVP, Chief Compliance Officer"		Lynch	Cindy		1-657-383-5394					clynch@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	ALIGNMENT HEALTH PLAN	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H4961	Hospice Contact	"SVP, Market Management"	Dr.	Kim	John		1-657-218-7640					jkim@ahcusa.com	1100 W Town and Country	Suite 1600	Orange	CA	92868	5/24/2026	2026	ALIGNMENT HEALTH PLAN	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H4961	Medicare Compliance Officer	"SVP, Chief Compliance Officer"	Ms.	Lynch	Cindy	B	1-657-383-5394					clynch@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	ALIGNMENT HEALTH PLAN	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H4961	Part D Exceptions Contact	PBM - Regulatory Pharmacist Sr.		Emerson	Kimberly						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	5/24/2026	2026	ALIGNMENT HEALTH PLAN	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active	1-800-693-6651				PPO - BBA		C	Chicago
H4961	Pharmacy Network Management Contact	"PBM - VP, Network Management"		Conlin	Marci		1-612-777-2842				1-877-823-6373	marci.conlin@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55122	5/24/2026	2026	ALIGNMENT HEALTH PLAN	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H4961	Pharmacy Technical Help Desk Contact	"PBM - Sr. Director, Member Services"		Scott	Shane							shane.scott@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	5/24/2026	2026	ALIGNMENT HEALTH PLAN	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active	1-844-227-7615				PPO - BBA		C	Chicago
H4961	Plan to Plan Reconciliation Contact	"Manager, Financial Operations"		De La Torre	Angelo		1-657-218-7422				1-562-207-4266	adelatorre@ahcusa.com	1100 W. Town and Country Road #300		Orange	CA	92868-4600	5/24/2026	2026	ALIGNMENT HEALTH PLAN	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H4982	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	AETNA BETTER HEALTH OF CALIFORNIA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4982	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	AETNA BETTER HEALTH OF CALIFORNIA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4982	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	9/25/2025	2026	AETNA BETTER HEALTH OF CALIFORNIA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4982	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	AETNA BETTER HEALTH OF CALIFORNIA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4982	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	AETNA BETTER HEALTH OF CALIFORNIA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4982	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	AETNA BETTER HEALTH OF CALIFORNIA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4982	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA BETTER HEALTH OF CALIFORNIA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4982	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	AETNA BETTER HEALTH OF CALIFORNIA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4982	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	AETNA BETTER HEALTH OF CALIFORNIA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4982	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	AETNA BETTER HEALTH OF CALIFORNIA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H4982	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA BETTER HEALTH OF CALIFORNIA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4982	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	AETNA BETTER HEALTH OF CALIFORNIA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H4982	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA BETTER HEALTH OF CALIFORNIA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H4999	Automated TrOOP Balance Transfer Contact	"VP, Controller"		Williams	Kelly		1-814-456-5433					kelly.williams@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"LIFE Northwestern Pennsylvania, LLC"	National PACE	LIFE Northwestern Pennsylvania	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Philadelphia
H4999	Best Available Evidence Contact	"VP, Controller"		Williams	Kelly		1-814-456-5433					kelly.williams@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"LIFE Northwestern Pennsylvania, LLC"	National PACE	LIFE Northwestern Pennsylvania	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Philadelphia
H4999	Chief Financial Officer	CFO	Mr.	Phillips	Jeff		1-814-456-5433					jeffrey.phillips@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"LIFE Northwestern Pennsylvania, LLC"	National PACE	LIFE Northwestern Pennsylvania	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Philadelphia
H4999	CMS Casework Communication Contact	Chief Compliance Officer	Mrs	Kennedy	Jennifer		1-814-456-5433					jennifer.kennedy@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"LIFE Northwestern Pennsylvania, LLC"	National PACE	LIFE Northwestern Pennsylvania	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Philadelphia
H4999	Coordination of Benefits Contact	"VP, Controller"		Williams	Kelly		1-814-456-5433					kelly.williams@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"LIFE Northwestern Pennsylvania, LLC"	National PACE	LIFE Northwestern Pennsylvania	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Philadelphia
H4999	Customer Service Operations Contact	Chief Operating Officer		Worland	Craig	M	1-814-456-5433					craig.worland@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"LIFE Northwestern Pennsylvania, LLC"	National PACE	LIFE Northwestern Pennsylvania	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Philadelphia
H4999	Government Relations Contact	Chief Quality Officer		Lyons	Laura		1-814-456-5433					Laura.lyons@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"LIFE Northwestern Pennsylvania, LLC"	National PACE	LIFE Northwestern Pennsylvania	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Philadelphia
H4999	Medicare Compliance Officer	Chief Compliance Officer	Mrs.	Kennedy	Jennifer		1-814-456-5433					jennifer.kennedy@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"LIFE Northwestern Pennsylvania, LLC"	National PACE	LIFE Northwestern Pennsylvania	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Philadelphia
H4999	Part D Exceptions Contact	Medical Director	Dr.	Rummel	James							james.rummel@lifenwpa.org	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"LIFE Northwestern Pennsylvania, LLC"	National PACE	LIFE Northwestern Pennsylvania	National PACE		"One Senior Care, Inc."	553	Yes	Active	1-814-456-5433				PACE - Nat		C	Philadelphia
H4999	Pharmacy Network Management Contact	Director of Network & Special Projects		Feldmann	William		1-814-456-5433					wfeldmann@lifenwpa.org	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"LIFE Northwestern Pennsylvania, LLC"	National PACE	LIFE Northwestern Pennsylvania	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Philadelphia
H4999	Pharmacy Technical Help Desk Contact	"VP, Controller"		Williams	Kelly							kelly.williams@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"LIFE Northwestern Pennsylvania, LLC"	National PACE	LIFE Northwestern Pennsylvania	National PACE		"One Senior Care, Inc."	553	Yes	Active	1-814-456-5433				PACE - Nat		C	Philadelphia
H4999	Plan to Plan Reconciliation Contact	"VP, Controller"		Williams	Kelly		1-814-456-5433					kelly.williams@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"LIFE Northwestern Pennsylvania, LLC"	National PACE	LIFE Northwestern Pennsylvania	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Philadelphia
H5007	Automated TrOOP Balance Transfer Contact	PACE Health Plan Data Analyst		Gabor	Aleks		1-503-215-5033				1-503-215-0685	aleksandr.gabor@providence.org	"1801 Lind Ave SW, Suite W217"		Renton	WA	98057	1/9/2026	2026	PROVIDENCE HEALTH & SERVICES – WASHINGTON	National PACE	Providence PACE - Washington	National PACE		Providence Health & Services	192	Yes	Active					PACE - Nat		C	Seattle
H5007	Best Available Evidence Contact			Wachsmuth	Rosalie		1-503-215-3681					rosalie.wachsmuth@providence.org	"4400 NE Halsey, Bldg 1, Suite 200"		Portland	OR	97213	2/25/2022	2026	PROVIDENCE HEALTH & SERVICES – WASHINGTON	National PACE	Providence PACE - Washington	National PACE		Providence Health & Services	192	Yes	Active					PACE - Nat		C	Seattle
H5007	Chief Financial Officer		Ms	Barr	Natalie		1-503-215-3859					natalie.barr@providence.org	"4400 NE Halsey, Building 1, Suite 200"		Portland	OR	97213	1/27/2021	2026	PROVIDENCE HEALTH & SERVICES – WASHINGTON	National PACE	Providence PACE - Washington	National PACE		Providence Health & Services	192	Yes	Active					PACE - Nat		C	Seattle
H5007	CMS Casework Communication Contact	Health Plan Operations Manager		Wachsmuth	Rosalie		1-503-215-3681					rosalie.wachsmuth@providence.org	"4400 NE Halsey, Building 1, Suite 200"		Portland	OR	97213	1/28/2021	2026	PROVIDENCE HEALTH & SERVICES – WASHINGTON	National PACE	Providence PACE - Washington	National PACE		Providence Health & Services	192	Yes	Active					PACE - Nat		C	Seattle
H5007	Coordination of Benefits Contact	PACE Health Plan Operatiosn Manager		Wachsmuth	Rosalie		1-503-215-3681				1-503-215-0685	rosalie.wachsmuth@providence.org	"1801 Lind Ave SW, Suite W217"		Renton	WA	98057	1/9/2026	2026	PROVIDENCE HEALTH & SERVICES – WASHINGTON	National PACE	Providence PACE - Washington	National PACE		Providence Health & Services	192	Yes	Active					PACE - Nat		C	Seattle
H5007	Customer Service Operations Contact	Health Plan Operations Manager		Chinn	Velaa		1-206-320-5325				1-503-215-0685	velaa.chinn@providence.org	"1801 Lind Ave SW, Suite W217"		Renton	WA	98057	1/9/2026	2026	PROVIDENCE HEALTH & SERVICES – WASHINGTON	National PACE	Providence PACE - Washington	National PACE		Providence Health & Services	192	Yes	Active					PACE - Nat		C	Seattle
H5007	Government Relations Contact			Noordijk	Cindy		1-503-215-4124					cynthia.noordijk@providence.org	"4400 NE Halsey, Building 1, Suite 200"		Portland	OR	97213	2/25/2022	2026	PROVIDENCE HEALTH & SERVICES – WASHINGTON	National PACE	Providence PACE - Washington	National PACE		Providence Health & Services	192	Yes	Active					PACE - Nat		C	Seattle
H5007	Medicare Compliance Officer	"Manager, Quality, Compliance & Education"	Ms.	Vemuri	Susan		1-206-760-6414				1-206-760-6339	Susan.Vemuri@providence.org	"1801 Lind Ave SW, Suite W217"		Renton	WA	98057	11/13/2024	2026	PROVIDENCE HEALTH & SERVICES – WASHINGTON	National PACE	Providence PACE - Washington	National PACE		Providence Health & Services	192	Yes	Active					PACE - Nat		C	Seattle
H5007	Part D Exceptions Contact			Wachsmuth	Rosalie						1-503-215-0685	rosalie.wachsmuth@providence.org	"1801 Lind Ave SW, Suite W217"		Renton	WA	98057	1/9/2026	2026	PROVIDENCE HEALTH & SERVICES – WASHINGTON	National PACE	Providence PACE - Washington	National PACE		Providence Health & Services	192	Yes	Active	1-844-901-0094				PACE - Nat		C	Seattle
H5007	Pharmacy Network Management Contact			Schultz	Elizabeth		1-425-525-6908					Elizabeth.Schultz@providence.org	"1801 Lind Ave SW, Suite W217"		Re	WA	98057	11/13/2024	2026	PROVIDENCE HEALTH & SERVICES – WASHINGTON	National PACE	Providence PACE - Washington	National PACE		Providence Health & Services	192	Yes	Active					PACE - Nat		C	Seattle
H5007	Pharmacy Technical Help Desk Contact			Service	Customer							Rosalie.Wachsmuth@providence.org	"1801 Lind Ave SW, Suite W217"		Renton	WA	98057	11/13/2024	2026	PROVIDENCE HEALTH & SERVICES – WASHINGTON	National PACE	Providence PACE - Washington	National PACE		Providence Health & Services	192	Yes	Active	1-888-445-5518				PACE - Nat		C	Seattle
H5007	Plan to Plan Reconciliation Contact			Wachsmuth	Rosalie		1-503-215-3681				1-503-215-0685	rosalie.wachsmuth@providence.org	"1801 Lind Ave SW, Suite W217"		Renton	WA	98057	1/9/2026	2026	PROVIDENCE HEALTH & SERVICES – WASHINGTON	National PACE	Providence PACE - Washington	National PACE		Providence Health & Services	192	Yes	Active					PACE - Nat		C	Seattle
H5008	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5008	Best Available Evidence Contact	"Manager, Enrollment & Eligibility"		Asselin	Krista		1-763-361-1104					krista_asselin@uhc.com	PO Box 9472		Minneapolis	MN	55440	11/14/2025	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5008	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/13/2025	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5008	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5008	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5008	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5008	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5008	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5008	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5008	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H5008	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5008	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H5008	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5009	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Mngmnt	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	3/18/2025	2026	REGENCE BLUESHIELD	Local CCP	Regence BlueShield	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H5009	Best Available Evidence Contact	Membership Ambassador	Ms.	Wells	Trisha		1-800-543-8848	2751			1-888-335-2988	ORMEMMEDAmbassador@regence.com	PO Box 1827		Medford	OR	97501	3/18/2025	2026	REGENCE BLUESHIELD	Local CCP	Regence BlueShield	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H5009	Chief Financial Officer	Cambia EVP & CFO	Mr.	Rains	Mike		1-317-690-0081					Mike.Rains@regence.com	1111 Lake Washington Blvd North STE 900		Renton	WA	98056	4/15/2026	2026	REGENCE BLUESHIELD	Local CCP	Regence BlueShield	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H5009	CMS Casework Communication Contact	Ops Reporting & Perf Analyst	Ms.	Haselden	Brandy		1-800-543-8848	6370				brandy.haselden@regence.com	PO Box 1827		Medford	OR	97501	4/27/2026	2026	REGENCE BLUESHIELD	Local CCP	Regence BlueShield	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H5009	Coordination of Benefits Contact	"Manager, Member Services"	Ms.	Christiansen	Stacy		1-541-618-1240					Stacy.Christiansen@regence.com	PO Box 1827		Medford	OR	97501	3/18/2025	2026	REGENCE BLUESHIELD	Local CCP	Regence BlueShield	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H5009	Customer Service Operations Contact	Manager Member Services	Ms.	Ciuro	Catina		1-541-618-1268					Catina.Ciuro@regence.com	PO Box 1827		Medford	OR	97504	3/18/2025	2026	REGENCE BLUESHIELD	Local CCP	Regence BlueShield	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H5009	Government Relations Contact	Director Government Programs Compliance Officer	Ms.	Hoey	Yen		1-503-721-4040					Yen.Hoey@cambiahealth.com	200 SW Market Street 11th Floor		Portland	OR	97201	3/18/2025	2026	REGENCE BLUESHIELD	Local CCP	Regence BlueShield	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H5009	Hospice Contact	Pharmacy Ops Oversight Lead	Ms.	Manzer	Amy		1-503-225-5368					Amy.Manzer@regence.com	200 SW Market Street 11th Floor		Portland	OR	97201	12/22/2025	2026	REGENCE BLUESHIELD	Local CCP	Regence BlueShield	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H5009	Medicare Compliance Officer	Director Government Programs Compliance Officer	Ms.	Hoey	Yen		1-503-721-4040					Yen.Hoey@cambiahealth.com	200 SW Market Street 11th Floor		Portland	OR	97201	3/18/2025	2026	REGENCE BLUESHIELD	Local CCP	Regence BlueShield	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H5009	Part D Exceptions Contact	"Regulatory Pharmacist, Sr"	Mr.	Spears	Scott						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	10/3/2025	2026	REGENCE BLUESHIELD	Local CCP	Regence BlueShield	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active	1-800-693-6651				PPO - BBA		C	Dallas
H5009	Pharmacy Network Management Contact	"VP, Network Mangement"	Ms.	Conlin	Marci		1-612-777-2837				1-877-823-6373	marci.conlin@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	3/18/2025	2026	REGENCE BLUESHIELD	Local CCP	Regence BlueShield	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H5009	Pharmacy Technical Help Desk Contact	"Sr Director, Member Services"	Mr.	Scott	Shane							shane.scott@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/18/2025	2026	REGENCE BLUESHIELD	Local CCP	Regence BlueShield	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active	1-844-765-6826				PPO - BBA		C	Dallas
H5009	Plan to Plan Reconciliation Contact	Pharmacy Operations Oversight Lead	Ms.	Manzer	Amy		1-503-225-5368					Amy.Manzer@regence.com	200 SW Market Street 11th Floor		Portland	OR	97201	12/22/2025	2026	REGENCE BLUESHIELD	Local CCP	Regence BlueShield	Local PPO		"Cambia Health Solutions, Inc."	227	Yes	Active					PPO - BBA		C	Dallas
H5015	Automated TrOOP Balance Transfer Contact	Pharmacy Director		Luu	Cindy		1-361-484-9214					cluu@txihp.com	1908 N. Laurent	Suite 250	Victoria	TX	77901	12/5/2022	2026	"TEXAS INDEPENDENCE HEALTH PLAN, INC."	Local CCP	Texas Independence Health Plan	HMO/HMOPOS		Regency ISNP Holdings LLC	741	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5015	Best Available Evidence Contact	Enrollment & Billing Manager		Muegge	Shmonica		1-361-827-6546					smuegge@txihp.com	1908 N. Laurent	Suite 250	Victoria	TX	77901	7/21/2023	2026	"TEXAS INDEPENDENCE HEALTH PLAN, INC."	Local CCP	Texas Independence Health Plan	HMO/HMOPOS		Regency ISNP Holdings LLC	741	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5015	Chief Financial Officer	VP Finance	Mr.	Rodriguez	Jessie		1-361-894-0886				1-361-582-6810	jrodriguez@regencyhealthcare.com	1908 N. Laurent	Suite 250	Victoria	TX	77901	2/20/2023	2026	"TEXAS INDEPENDENCE HEALTH PLAN, INC."	Local CCP	Texas Independence Health Plan	HMO/HMOPOS		Regency ISNP Holdings LLC	741	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5015	CMS Casework Communication Contact	Member Services/A&G Manager		Clay	Lori		1-361-827-6215					lclay2@txihp.com	1908 N. Laurent	Suite 250	Victoria	TX	77901	12/5/2022	2026	"TEXAS INDEPENDENCE HEALTH PLAN, INC."	Local CCP	Texas Independence Health Plan	HMO/HMOPOS		Regency ISNP Holdings LLC	741	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5015	Coordination of Benefits Contact	Financial Analyst		Fritz	Holly		1-361-576-0694					hfritz@regencyhealthcare.com	1908 N. Laurent	Suite 250	Victoria	TX	77901	1/12/2026	2026	"TEXAS INDEPENDENCE HEALTH PLAN, INC."	Local CCP	Texas Independence Health Plan	HMO/HMOPOS		Regency ISNP Holdings LLC	741	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5015	Customer Service Operations Contact	VP of Operations		Spencer	Caroline		1-361-827-8970				1-361-333-1587	cspencer@txihp.com	1908 N. Laurent	Suite 250	Victoria	TX	77901	12/5/2022	2026	"TEXAS INDEPENDENCE HEALTH PLAN, INC."	Local CCP	Texas Independence Health Plan	HMO/HMOPOS		Regency ISNP Holdings LLC	741	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5015	Government Relations Contact	President & CEO	Mr.	Dekowski	Devan		1-361-649-1371					dedekowski@txihp.com	1908 N. Laurent	Suite 250	Victoria	TX	77901	12/29/2022	2026	"TEXAS INDEPENDENCE HEALTH PLAN, INC."	Local CCP	Texas Independence Health Plan	HMO/HMOPOS		Regency ISNP Holdings LLC	741	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5015	Hospice Contact	Member Services/A&G Manager		Clay	Lori		1-361-827-6215					lclay2@txihp.com	1908 N. Laurent	Suite 250	Victoria	TX	77901	12/29/2022	2026	"TEXAS INDEPENDENCE HEALTH PLAN, INC."	Local CCP	Texas Independence Health Plan	HMO/HMOPOS		Regency ISNP Holdings LLC	741	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5015	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Gifford	Tammy		1-361-676-8119					tgifford@txihp.com	1908 N. Laurent	Suite 250	Victoria	TX	77901	5/26/2026	2026	"TEXAS INDEPENDENCE HEALTH PLAN, INC."	Local CCP	Texas Independence Health Plan	HMO/HMOPOS		Regency ISNP Holdings LLC	741	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5015	Part D Exceptions Contact	Director Clinical Operations		Collins	Andrea							andrea.collins@medimpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	6/6/2025	2026	"TEXAS INDEPENDENCE HEALTH PLAN, INC."	Local CCP	Texas Independence Health Plan	HMO/HMOPOS		Regency ISNP Holdings LLC	741	Yes	Active	1-866-213-1594				HMO - Health Maintenance Organization		C	Dallas
H5015	Pharmacy Network Management Contact	Director of Pharmacy Network Administration		Hunt	Brian		1-858-790-7092				1-866-524-2629	Brian.hunt@medimpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	2/18/2025	2026	"TEXAS INDEPENDENCE HEALTH PLAN, INC."	Local CCP	Texas Independence Health Plan	HMO/HMOPOS		Regency ISNP Holdings LLC	741	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5015	Pharmacy Technical Help Desk Contact	Vice President of Operations	Mr	Conn	Todd							Todd.Conn@medimpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	5/30/2025	2026	"TEXAS INDEPENDENCE HEALTH PLAN, INC."	Local CCP	Texas Independence Health Plan	HMO/HMOPOS		Regency ISNP Holdings LLC	741	Yes	Active	1-866-213-1594				HMO - Health Maintenance Organization		C	Dallas
H5015	Plan to Plan Reconciliation Contact	Financial Analyst		Fritz	Holly		1-361-576-0694					hfritz@regencyhealthcare.com	1908 N. Laurent	Suite 250	Victoria	TX	77901	1/12/2026	2026	"TEXAS INDEPENDENCE HEALTH PLAN, INC."	Local CCP	Texas Independence Health Plan	HMO/HMOPOS		Regency ISNP Holdings LLC	741	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5037	Automated TrOOP Balance Transfer Contact	Center Manager	Ms	Collinsworth	Tara		1-276-523-0599	310			1-276-523-6483	tara.collinsworth@meoc.org	P. O. Box 888		Big Stone Gap	VA	24219	3/1/2022	2026	"MOUNTAIN EMPIRE OLDER CITIZENS, INC."	National PACE	Mountain Empire PACE	National PACE		"Mountain Empire Older Citizens, Inc"	362	Yes	Active					PACE - Nat		C	Philadelphia
H5037	Best Available Evidence Contact	PACE Director and COO	Ms	Greer	Ruth		1-276-523-0599	310			1-276-523-6483	rgreer@meoc.org	P. O. Box 888		Big Stone Gap	VA	24219	5/26/2022	2026	"MOUNTAIN EMPIRE OLDER CITIZENS, INC."	National PACE	Mountain Empire PACE	National PACE		"Mountain Empire Older Citizens, Inc"	362	Yes	Active					PACE - Nat		C	Philadelphia
H5037	Chief Financial Officer	CFO	Ms.	Sprinkle	Stephanie		1-423-306-8354				1-276-523-4208	ssprinkle@meoc.org	P. O. Box 888		Big Stone Gap	VA	24219	12/21/2021	2026	"MOUNTAIN EMPIRE OLDER CITIZENS, INC."	National PACE	Mountain Empire PACE	National PACE		"Mountain Empire Older Citizens, Inc"	362	Yes	Active					PACE - Nat		C	Philadelphia
H5037	CMS Casework Communication Contact	PACE Director and COO	Ms	Greer	Ruth		1-276-523-0599	310			1-276-523-6483	rgreer@meoc.org	P. O. Box 888		Big Stone Gap	VA	24219	5/26/2022	2026	"MOUNTAIN EMPIRE OLDER CITIZENS, INC."	National PACE	Mountain Empire PACE	National PACE		"Mountain Empire Older Citizens, Inc"	362	Yes	Active					PACE - Nat		C	Philadelphia
H5037	Coordination of Benefits Contact	Administrative Specialist	Ms.	Turner	Bethany		1-276-523-0599	306			1-276-523-6483	bethany.turner@meoc.org	P. O. Box 888		Big Stone Gap	VA	24219	11/26/2018	2026	"MOUNTAIN EMPIRE OLDER CITIZENS, INC."	National PACE	Mountain Empire PACE	National PACE		"Mountain Empire Older Citizens, Inc"	362	Yes	Active					PACE - Nat		C	Philadelphia
H5037	Customer Service Operations Contact	PACE Director and COO	Ms	Greer	Ruth		1-276-523-0599	310			1-276-523-6483	rgreer@meoc.org	P. O. Box 888		Big Stone Gap	VA	24219	5/26/2022	2026	"MOUNTAIN EMPIRE OLDER CITIZENS, INC."	National PACE	Mountain Empire PACE	National PACE		"Mountain Empire Older Citizens, Inc"	362	Yes	Active					PACE - Nat		C	Philadelphia
H5037	Government Relations Contact	PACE Director and COO	Ms	Greer	Ruth		1-276-523-0599	310			1-276-523-6483	rgreer@meoc.org	P. O. Box 888		Big Stone Gap	VA	24219	5/26/2022	2026	"MOUNTAIN EMPIRE OLDER CITIZENS, INC."	National PACE	Mountain Empire PACE	National PACE		"Mountain Empire Older Citizens, Inc"	362	Yes	Active					PACE - Nat		C	Philadelphia
H5037	Medicare Compliance Officer	PACE Director and COO	Ms	Greer	Ruth		1-276-523-0599	310			1-276-523-6483	rgreer@meoc.org	P. O. Box 888		Big Stone Gap	VA	24219	5/26/2022	2026	"MOUNTAIN EMPIRE OLDER CITIZENS, INC."	National PACE	Mountain Empire PACE	National PACE		"Mountain Empire Older Citizens, Inc"	362	Yes	Active					PACE - Nat		C	Philadelphia
H5037	Part D Exceptions Contact	PACE Director and COO	Ms	Greer	Ruth						1-276-523-6483	rgreer@meoc.org	P. O. Box 888		Big Stone Gap	VA	24219	5/26/2022	2026	"MOUNTAIN EMPIRE OLDER CITIZENS, INC."	National PACE	Mountain Empire PACE	National PACE		"Mountain Empire Older Citizens, Inc"	362	Yes	Active	1-866-793-7223				PACE - Nat		C	Philadelphia
H5037	Pharmacy Network Management Contact	PACE Director and COO	Ms	Greer	Ruth		1-276-523-0599	310			1-276-523-6483	rgreer@meoc.org	P. O. Box 888		Big Stone Gap	VA	24219	5/26/2022	2026	"MOUNTAIN EMPIRE OLDER CITIZENS, INC."	National PACE	Mountain Empire PACE	National PACE		"Mountain Empire Older Citizens, Inc"	362	Yes	Active					PACE - Nat		C	Philadelphia
H5037	Pharmacy Technical Help Desk Contact	Director of Information Technology	Mr.	Aguirre	Walter						1-276-523-4208	waguirre@meoc.org	P. O. Box 888		Big Stone Gap	VA	24219	3/4/2021	2026	"MOUNTAIN EMPIRE OLDER CITIZENS, INC."	National PACE	Mountain Empire PACE	National PACE		"Mountain Empire Older Citizens, Inc"	362	Yes	Active	1-866-793-7223	479			PACE - Nat		C	Philadelphia
H5037	Plan to Plan Reconciliation Contact	CFO	Ms.	Sprinkle	Stephanie		1-276-523-4202				1-276-523-4208	ssprinkle@meoc.org	P. O. Box 888		Big Stone Gap	VA	24219	9/30/2014	2026	"MOUNTAIN EMPIRE OLDER CITIZENS, INC."	National PACE	Mountain Empire PACE	National PACE		"Mountain Empire Older Citizens, Inc"	362	Yes	Active					PACE - Nat		C	Philadelphia
H5042	Automated TrOOP Balance Transfer Contact	Pharmacy Compliance Coordinator		Bedell	Luke		1-518-641-4664				1-518-641-4605	luke.bedell@cdphp.com	6 Wellness Way		Latham	NY	12110	3/3/2025	2026	"CDPHP UNIVERSAL BENEFITS, INC."	Local CCP	CDPHP Medicare Advantage	Local PPO		"Lifetime Healthcare, Inc."	87	Yes	Active					PPO - BBA		C	Chicago
H5042	Best Available Evidence Contact	"Manager, Enrollment & Billing"		Salzer	Cheryl		1-518-641-4170					cheryl.salzer@cdphp.com	6 Wellness Way		Latham	NY	12110	3/3/2025	2026	"CDPHP UNIVERSAL BENEFITS, INC."	Local CCP	CDPHP Medicare Advantage	Local PPO		"Lifetime Healthcare, Inc."	87	Yes	Active					PPO - BBA		C	Chicago
H5042	Chief Financial Officer	EVP/Finance/CFO	Mr	Kahlon	Sikander		1-518-641-4050					paul.kahlon@cdphp.com	6 Wellness Way		Latham	NY	12110	3/3/2025	2026	"CDPHP UNIVERSAL BENEFITS, INC."	Local CCP	CDPHP Medicare Advantage	Local PPO		"Lifetime Healthcare, Inc."	87	Yes	Active					PPO - BBA		C	Chicago
H5042	CMS Casework Communication Contact	Medicare Compliance Coordinator	Mrs	Noonan	Michelle		1-518-641-5282				1-518-641-4605	michelle.noonan@cdphp.com	6 Wellness Way		Latham	NY	12110	3/12/2025	2026	"CDPHP UNIVERSAL BENEFITS, INC."	Local CCP	CDPHP Medicare Advantage	Local PPO		"Lifetime Healthcare, Inc."	87	Yes	Active					PPO - BBA		C	Chicago
H5042	Coordination of Benefits Contact	Medicare Reimbursement Coordinator		Moye	Nancy		1-518-641-5274				1-518-641-4605	Medicare_Compliance_Inquiries@cdphp.com	6 Wellness Way		Latham	NY	12110	3/3/2025	2026	"CDPHP UNIVERSAL BENEFITS, INC."	Local CCP	CDPHP Medicare Advantage	Local PPO		"Lifetime Healthcare, Inc."	87	Yes	Active					PPO - BBA		C	Chicago
H5042	Customer Service Operations Contact	"Director, Member Services"		Spinner	Carmen		1-518-641-3741				1-518-641-3507	carmen.spinner@cdphp.com	6 Wellness Way		Latham	NY	12110	3/3/2025	2026	"CDPHP UNIVERSAL BENEFITS, INC."	Local CCP	CDPHP Medicare Advantage	Local PPO		"Lifetime Healthcare, Inc."	87	Yes	Active					PPO - BBA		C	Chicago
H5042	Government Relations Contact			Dibble	Laura		1-585-339-7745				1-518-641-5506	Laura.Dibble@excellus.com	6 Wellness Way		Latham	NY	12110	1/5/2026	2026	"CDPHP UNIVERSAL BENEFITS, INC."	Local CCP	CDPHP Medicare Advantage	Local PPO		"Lifetime Healthcare, Inc."	87	Yes	Active					PPO - BBA		C	Chicago
H5042	Hospice Contact	Pharmacy Compliance Coordinator		Bedell	Luke		1-518-641-4664					luke.bedell@cdphp.com	6 Wellness Way		Latham	NY	12110	3/3/2025	2026	"CDPHP UNIVERSAL BENEFITS, INC."	Local CCP	CDPHP Medicare Advantage	Local PPO		"Lifetime Healthcare, Inc."	87	Yes	Active					PPO - BBA		C	Chicago
H5042	Medicare Compliance Officer	Compliance Program Administrator	Mrs	Noonan	Michelle		1-518-641-5282				1-518-641-4605	michelle.noonan@cdphp.com	6 Wellness Way		Latham	NY	12110	3/31/2025	2026	"CDPHP UNIVERSAL BENEFITS, INC."	Local CCP	CDPHP Medicare Advantage	Local PPO		"Lifetime Healthcare, Inc."	87	Yes	Active					PPO - BBA		C	Chicago
H5042	Part D Exceptions Contact	Pharmacy Enterprise Medicare Advisor Lead		Sgambati	John						1-518-641-3208	John.Sgambati@cdphp.com	6 Wellness Way		Latham	NY	12110	1/5/2026	2026	"CDPHP UNIVERSAL BENEFITS, INC."	Local CCP	CDPHP Medicare Advantage	Local PPO		"Lifetime Healthcare, Inc."	87	Yes	Active	1-518-641-3313				PPO - BBA		C	Chicago
H5042	Pharmacy Network Management Contact	Pharmacy Enterprise Medicare Advisor Lead		Sgambati	John		1-518-641-3313				1-518-641-3508	John.Sgambati@cdphp.com	6 Wellness Way		Latham	NY	12110	1/5/2026	2026	"CDPHP UNIVERSAL BENEFITS, INC."	Local CCP	CDPHP Medicare Advantage	Local PPO		"Lifetime Healthcare, Inc."	87	Yes	Active					PPO - BBA		C	Chicago
H5042	Pharmacy Technical Help Desk Contact	"Director, Customer Care"		Ellerhorst	Lisa							lellerhorst@cap-rx.com	228 Park Avenue South	Suite 87234	New York	NY	10003	3/3/2025	2026	"CDPHP UNIVERSAL BENEFITS, INC."	Local CCP	CDPHP Medicare Advantage	Local PPO		"Lifetime Healthcare, Inc."	87	Yes	Active	1-833-599-1018				PPO - BBA		C	Chicago
H5042	Plan to Plan Reconciliation Contact	VP Financial Analytics and Risk Adjustment		Burby	Casidhe		1-518-641-4074				1-518-641-4102	P2PADMIN@cdphp.com	Attn Risk Management - P2P	6 Wellness Way	Latham	NY	12110	3/3/2025	2026	"CDPHP UNIVERSAL BENEFITS, INC."	Local CCP	CDPHP Medicare Advantage	Local PPO		"Lifetime Healthcare, Inc."	87	Yes	Active					PPO - BBA		C	Chicago
H5050	Automated TrOOP Balance Transfer Contact	"Project Manager III, Pharmacy Benefit Mgmt"		Perez	Elizabeth	R	1-562-367-0592					Elizabeth.R.Perez@kp.org	12254 Bellflower Blvd.		Downey	CA	90242	8/2/2018	2026	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5050	Best Available Evidence Contact	Medicare Marketing & Enrollment Specialist	Mr.	Anderson	John		1-206-630-4260				1-206-877-0655	john.l.anderson@kp.org	"PO Box 9813, Bldg RCB, Mail Stop RCB-C1W-04"	"1300 SW 27th St,  Bldg RCB, Mail Stop RCB-C1W-04"	Renton	WA	98057-9055	8/6/2018	2026	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5050	Chief Financial Officer	SVP & CFO National Medicare Finance	Mr.	Stewart	Mark		1-401-284-8679					Mark.C1.Stewart@kp.org	1 Kaiser Plaza	c/o Kaiser Foundation Health Plan	Oakland	CA	94612	12/16/2024	2026	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5050	CMS Casework Communication Contact	Medicare Compliance Lead	Ms.	Cooper	Lynn	M	1-720-527-9215					lynn.m.cooper@kp.org	10350 East Dakota Ave.		Denver	CO	80247	4/6/2022	2026	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5050	Coordination of Benefits Contact	Senior Director		Chung	Clarence		1-562-390-9293				1-562-658-3866	clarence.j.chung@kp.org	"12254 Bellflower Blvd - Suite 106, 1st Floor"		Downey	CA	90242	4/28/2022	2026	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5050	Customer Service Operations Contact	Operations Manager		Millspaugh	Jessica		1-509-241-7155					Jessica.L.Millspaugh@kp.org	5615 West Sunset Highway		Spokane	WA	99224	11/21/2025	2026	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5050	Government Relations Contact	"Senior Vice President, Government Relations"	Mr.	Barrueta	Anthony	A	1-510-271-6835					Anthony.Barrueta@kp.org	One Kaiser Plaza		Oakland	CA	94612	10/7/2021	2026	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5050	Hospice Contact	Membership Administration Technical Support	Mr.	Wells	John		1-206-630-2740					John.M.Wells@kp.org	"PO Box 9010, Bldg RCR, Mail Stop RCR-A1E-07"	"2715 Naches Ave. SW, Bldg RCR, Mail Stop RCR-A1E-07"	Renton	WA	98057-9010	8/6/2018	2026	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5050	Medicare Compliance Officer	Medicare Compliance Lead	Ms.	Cooper	Lynn	M	1-720-527-9215					lynn.m.cooper@kp.org	10350 East Dakota Ave.		Denver	CO	80247	4/6/2022	2026	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5050	Part D Exceptions Contact	"Manager, Pharmacy Ancillary Services"	Ms.	Maktabi	Noushin						1-206-901-4410	Noushin.Maktabi@kp.org	"PO Box 9009, Bldg RCA, Mail Stop RCA-B2N-02"	"2921 Naches Ave. SW, Bldg RCA, Mail Stop RCA-B2N-02"	Renton	WA	98057-9009	8/6/2018	2026	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active	1-800-729-1174				HMO - Health Maintenance Organization		C	Dallas
H5050	Pharmacy Network Management Contact	"Manager, Pharmacy Medicare Programs"	Mr.	Conway	Collin		1-206-630-1088				1-206-901-4410	Collin.S.Conway@kp.org	"PO Box 9009, Bldg RCA,  Mail Stop RCA-B2N-02"	"2921 Naches Ave. SW,  Bldg RCA,  Mail Stop RCA-B2N-02"	Renton	WA	98057-9009	12/1/2020	2026	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5050	Pharmacy Technical Help Desk Contact	"Manager, Pharmacy Ancillary Services"	Ms.	Maktabi	Noushin						1-206-901-4410	Noushin.Maktabi@kp.org	"PO Box 9009, Bldg RCA, Mail Stop RCA-B2N-02"	"2921 Naches Ave. SW, Bldg RCA, Mail Stop RCA-B2N-02"	Renton	WA	98057-9009	8/6/2018	2026	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active	1-800-729-1174				HMO - Health Maintenance Organization		C	Dallas
H5050	Plan to Plan Reconciliation Contact	"Interim Director, Medicare Accounting"		Wright	Mark	A	1-925-323-9443					mark.a.wright@kp.org	"1 Kaiser Plaza, 25th Floor"		Oakland	CA	94612	1/20/2023	2026	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5080	Automated TrOOP Balance Transfer Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/27/2026	2026	"BOLDAGE PACE INDIANA, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H5080	Best Available Evidence Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/30/2026	2026	"BOLDAGE PACE INDIANA, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H5080	Chief Financial Officer	Chief Financial Officer	Mr	Schlesinger	David		1-855-801-2653					dschlesinger@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	5/20/2026	2026	"BOLDAGE PACE INDIANA, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H5080	CMS Casework Communication Contact	Director of Compliance	Ms	Cooper	Wanda		1-855-801-2653					wcoooper@boldagepace.com	1075 Stephenson Avenue Suite B		Oceanport	NJ	07757	5/20/2026	2026	"BOLDAGE PACE INDIANA, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H5080	Coordination of Benefits Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/20/2026	2026	"BOLDAGE PACE INDIANA, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H5080	Customer Service Operations Contact	Executive Director		Matusiak	Matthew		1-812-990-5800					mmatusiak@boldagepace.com	700 E Walnut St		Evansville	IN	47713	3/30/2026	2026	"BOLDAGE PACE INDIANA, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H5080	Government Relations Contact	Chief Administrative Officer	Mr	Czermak	Michael		1-855-801-2653					michaelc@boldagepace.com	1897 Lakewood Road	Unit 109	Toms River	NJ	08753	5/11/2026	2026	"BOLDAGE PACE INDIANA, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H5080	Medicare Compliance Officer	Director of Compliance	Ms	Cooper	Wanda		1-855-801-2653					wcooper@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	5/20/2026	2026	"BOLDAGE PACE INDIANA, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H5080	Part D Exceptions Contact	Financial Specialist		Partlow	Jennie							jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/28/2026	2026	"BOLDAGE PACE INDIANA, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active	1-954-839-5000				PACE - Nat		C	New York
H5080	Pharmacy Network Management Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/27/2026	2026	"BOLDAGE PACE INDIANA, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H5080	Pharmacy Technical Help Desk Contact	Financial Specialist	Ms	Partlow	Jennie							jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/27/2026	2026	"BOLDAGE PACE INDIANA, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active	1-855-801-2653				PACE - Nat		C	New York
H5080	Plan to Plan Reconciliation Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/27/2026	2026	"BOLDAGE PACE INDIANA, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H5085	Automated TrOOP Balance Transfer Contact	CFO		Smith	Michael		1-231-652-4618					msmith@visitingnurse.com	231 W. Pine Lake Drive		Newaygo	MI	49337	4/7/2025	2026	"COMMUNITY PACE AT HOME, INC"	National PACE	"Community PACE at Home, Inc,"	National PACE		"Community PACE at Home, Inc"	659	Yes	Active					PACE - Nat		C	Atlanta
H5085	Best Available Evidence Contact	Quality  Director		Carter	Miranda		1-800-689-6675				1-231-689-5038	mcarter@communitypace.com	231 West Pine Lake Drive		Newaygo	MI	49337	5/13/2024	2026	"COMMUNITY PACE AT HOME, INC"	National PACE	"Community PACE at Home, Inc,"	National PACE		"Community PACE at Home, Inc"	659	Yes	Active					PACE - Nat		C	Atlanta
H5085	Chief Financial Officer	Financial Officer	Mr.	Smith	Michael		1-866-427-8578				1-231-733-0035	msmith@visitingnurse.com	1909 Ruddiman Drive		North Muskegon	MI	49445	9/7/2023	2026	"COMMUNITY PACE AT HOME, INC"	National PACE	"Community PACE at Home, Inc,"	National PACE		"Community PACE at Home, Inc"	659	Yes	Active					PACE - Nat		C	Atlanta
H5085	CMS Casework Communication Contact	Executive Director	Ms	Runions	Christine		1-800-689-6675				1-231-689-5038	crunions@communitypace.com	231 W. Pine Lake Drive		Newaygo	MI	49337	4/7/2025	2026	"COMMUNITY PACE AT HOME, INC"	National PACE	"Community PACE at Home, Inc,"	National PACE		"Community PACE at Home, Inc"	659	Yes	Active					PACE - Nat		C	Atlanta
H5085	Coordination of Benefits Contact	Executive Director	Ms.	Runions	Christine		1-231-652-4618				1-231-652-4620	crunions@communitypace.com	231 W. Pine Lake Drive		Newaygo	MI	49337	4/7/2025	2026	"COMMUNITY PACE AT HOME, INC"	National PACE	"Community PACE at Home, Inc,"	National PACE		"Community PACE at Home, Inc"	659	Yes	Active					PACE - Nat		C	Atlanta
H5085	Customer Service Operations Contact	Executive Director	Ms	Runions	Christine		1-231-652-4618					crunions@communitypace.com	231 W. Pine Lake Drive		Newaygo	MI	49337	6/20/2025	2026	"COMMUNITY PACE AT HOME, INC"	National PACE	"Community PACE at Home, Inc,"	National PACE		"Community PACE at Home, Inc"	659	Yes	Active					PACE - Nat		C	Atlanta
H5085	Government Relations Contact	Executive Director		Runions	Christine		1-231-652-4618					crunions@communitypace.com	231 W. Pine Lake Drive		Newaygo	MI	49337	4/7/2025	2026	"COMMUNITY PACE AT HOME, INC"	National PACE	"Community PACE at Home, Inc,"	National PACE		"Community PACE at Home, Inc"	659	Yes	Active					PACE - Nat		C	Atlanta
H5085	Medicare Compliance Officer		Ms.	Carter	Miranda		1-231-652-4618				1-231-652-4620	mcarter@communitypace.com	231 W. Pine Lake Drive		Newaygo	MI	49337	4/7/2025	2026	"COMMUNITY PACE AT HOME, INC"	National PACE	"Community PACE at Home, Inc,"	National PACE		"Community PACE at Home, Inc"	659	Yes	Active					PACE - Nat		C	Atlanta
H5085	Part D Exceptions Contact	Executive Director		Runions	Christine						1-231-652-4620	crunions@communitypace.com	231 W. Pine Lake Drive		Newaygo	MI	49337	4/7/2025	2026	"COMMUNITY PACE AT HOME, INC"	National PACE	"Community PACE at Home, Inc,"	National PACE		"Community PACE at Home, Inc"	659	Yes	Active	1-231-652-4618				PACE - Nat		C	Atlanta
H5085	Pharmacy Network Management Contact	Executive Director		Runions	Christine		1-231-652-4618					crunions@communitypace.com	231 W. Pine Lake Drive		Newaygo	MI	49337	4/7/2025	2026	"COMMUNITY PACE AT HOME, INC"	National PACE	"Community PACE at Home, Inc,"	National PACE		"Community PACE at Home, Inc"	659	Yes	Active					PACE - Nat		C	Atlanta
H5085	Pharmacy Technical Help Desk Contact	Executive Director	Ms.	Runions	Christine						1-231-652-4620	crunions@communitypace.com	231 W. Pine Lake Drive		Newaygo	MI	49337	4/7/2025	2026	"COMMUNITY PACE AT HOME, INC"	National PACE	"Community PACE at Home, Inc,"	National PACE		"Community PACE at Home, Inc"	659	Yes	Active	1-231-652-4618				PACE - Nat		C	Atlanta
H5085	Plan to Plan Reconciliation Contact	Executive Director		Runions	Christine		1-231-652-4618				1-231-652-4620	crunions@communitypace.com	231 West Pine Lake Drive		Newaygo	MI	49337	4/7/2025	2026	"COMMUNITY PACE AT HOME, INC"	National PACE	"Community PACE at Home, Inc,"	National PACE		"Community PACE at Home, Inc"	659	Yes	Active					PACE - Nat		C	Atlanta
H5087	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/18/2024	2026	"WELLCARE OF CALIFORNIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5087	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"WELLCARE OF CALIFORNIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5087	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/18/2024	2026	"WELLCARE OF CALIFORNIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5087	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"WELLCARE OF CALIFORNIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5087	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"WELLCARE OF CALIFORNIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5087	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/18/2024	2026	"WELLCARE OF CALIFORNIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5087	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"WELLCARE OF CALIFORNIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5087	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/18/2024	2026	"WELLCARE OF CALIFORNIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5087	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	"WELLCARE OF CALIFORNIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5087	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/18/2024	2026	"WELLCARE OF CALIFORNIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H5087	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	"WELLCARE OF CALIFORNIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5087	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/18/2024	2026	"WELLCARE OF CALIFORNIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0408				HMO - Health Maintenance Organization		C	Denver
H5087	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	6/18/2024	2026	"WELLCARE OF CALIFORNIA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5106	Automated TrOOP Balance Transfer Contact	"Manager, Pharmacy Government Operations"	Ms.	Lynn Schill	Jodie		1-570-578-3579					Jodie.LynnSchill@highmark.com	120 Fifth Avenue		Pittsburgh	PA	15222	8/16/2023	2026	HIGHMARK SENIOR SOLUTIONS COMPANY	Local CCP	Highmark Blue Cross Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H5106	Best Available Evidence Contact	"Manager, Government Business Enrollment"	Mr.	Stanhoff	David		1-412-544-5689					LISBAE@highmark.com	120 Fifth Avenue		Pittsburgh	PA	15222	8/1/2023	2026	HIGHMARK SENIOR SOLUTIONS COMPANY	Local CCP	Highmark Blue Cross Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H5106	Chief Financial Officer	CFO Highmark Health Plan	Ms.	Musler	Kate		1-412-544-8653					katherine.musler@highmark.com	120 5th Avenue		Pittsburgh	PA	15222	2/25/2025	2026	HIGHMARK SENIOR SOLUTIONS COMPANY	Local CCP	Highmark Blue Cross Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H5106	CMS Casework Communication Contact	"Manager, Appeals and Grievances"	Ms.	Walsh	Lynne	M	1-412-544-4579				1-717-635-4209	Lynne.Walsh@highmark.com	120 Fifth Avenue	Suite P5501	Pittsburgh	PA	15222	12/20/2022	2026	HIGHMARK SENIOR SOLUTIONS COMPANY	Local CCP	Highmark Blue Cross Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H5106	Coordination of Benefits Contact	Sr. Process Analyst	Ms.	Cassidy	Christina		1-412-544-4417					Christina.Cassidy@highmark.com	120 Fifth Avenue	PAP P5111	Pittsburgh	PA	15222	12/20/2022	2026	HIGHMARK SENIOR SOLUTIONS COMPANY	Local CCP	Highmark Blue Cross Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H5106	Customer Service Operations Contact	"Director, Customer Experience"		Scarnati	Chris		1-814-871-6712					Chris.Scarnati@highmark.com	120 Fifth Avenue		Pittsburgh	PA	15222	1/4/2024	2026	HIGHMARK SENIOR SOLUTIONS COMPANY	Local CCP	Highmark Blue Cross Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H5106	Government Relations Contact	Medicare Compliance Officer	Mr.	Boettler	Thomas		1-412-544-7031					Thomas.Boettler@highmark.com	120 5th Avenue	Suite 1833	Pittsburgh	PA	15222	7/29/2024	2026	HIGHMARK SENIOR SOLUTIONS COMPANY	Local CCP	Highmark Blue Cross Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H5106	Hospice Contact	Intake Coordinator		Welker	Jessica		1-717-888-3043					DrugHelp_Authorizations@highmark.com	120 5th Avenue Place		Pittsburgh	PA	15222	12/20/2022	2026	HIGHMARK SENIOR SOLUTIONS COMPANY	Local CCP	Highmark Blue Cross Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H5106	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Boettler	Thomas		1-412-544-7031					Thomas.Boettler@highmark.com	120 5th Avenue	Suite 1833	Pittsburgh	PA	15222	12/20/2022	2026	HIGHMARK SENIOR SOLUTIONS COMPANY	Local CCP	Highmark Blue Cross Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H5106	Part D Exceptions Contact			Affairs	Pharmacy							drughelp@highmark.com	120 Fifth Avenue	Suite SPECARE	Pittsburgh	PA	15222	8/4/2023	2026	HIGHMARK SENIOR SOLUTIONS COMPANY	Local CCP	Highmark Blue Cross Blue Shield	Local PPO		Highmark Health	123	Yes	Active	1-800-600-2227				PPO - BBA		C	Boston
H5106	Pharmacy Network Management Contact	"Network Account Director, Retail Strat & Contract"	Ms.	Kelly	Heather		1-314-692-1866				1-877-387-5800	hakelly@express-scripts.com	One Express Way		St. Louis	MO	63121	12/20/2022	2026	HIGHMARK SENIOR SOLUTIONS COMPANY	Local CCP	Highmark Blue Cross Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H5106	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	13051 N. Telecom PKWY STE 150		Temple Terrace	FL	33637	12/20/2022	2026	HIGHMARK SENIOR SOLUTIONS COMPANY	Local CCP	Highmark Blue Cross Blue Shield	Local PPO		Highmark Health	123	Yes	Active	1-800-922-1557				PPO - BBA		C	Boston
H5106	Plan to Plan Reconciliation Contact	"Manager, Operational Accounting"	Mr.	Stehr	Brett	J	1-717-302-2748					P2Precon@highmark.com	Highmark Inc. Attn: Cashier	PO Box 898820	Camp Hill	PA	17089-0407	6/28/2023	2026	HIGHMARK SENIOR SOLUTIONS COMPANY	Local CCP	Highmark Blue Cross Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H5117	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	"LOUISIANA HEALTHCARE CONNECTIONS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5117	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	"LOUISIANA HEALTHCARE CONNECTIONS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5117	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/25/2024	2026	"LOUISIANA HEALTHCARE CONNECTIONS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5117	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"LOUISIANA HEALTHCARE CONNECTIONS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5117	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"LOUISIANA HEALTHCARE CONNECTIONS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5117	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	9/18/2024	2026	"LOUISIANA HEALTHCARE CONNECTIONS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5117	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"LOUISIANA HEALTHCARE CONNECTIONS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5117	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	"LOUISIANA HEALTHCARE CONNECTIONS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5117	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	"LOUISIANA HEALTHCARE CONNECTIONS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5117	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/25/2024	2026	"LOUISIANA HEALTHCARE CONNECTIONS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H5117	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	"LOUISIANA HEALTHCARE CONNECTIONS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5117	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	1/9/2025	2026	"LOUISIANA HEALTHCARE CONNECTIONS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0202				HMO - Health Maintenance Organization		C	Denver
H5117	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	6/25/2024	2026	"LOUISIANA HEALTHCARE CONNECTIONS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5119	Automated TrOOP Balance Transfer Contact	Chief Financial Officer		Buchanan	Brian	A	1-415-690-6377					brian.buchanan@cchealth.org	50 Douglas Dr	Suite 310	Martinez	CA	94553	2/7/2025	2026	CONTRA COSTA COUNTY MEDICAL SERVICE DBA CONTRA COSTA HEALTH PLAN	Local CCP	Contra Costa Health Care Plus (HMO D-SNP)	HMO/HMOPOS		Contra Costa Health Services	68	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5119	Best Available Evidence Contact	Chief Financial Officer		Buchanan	Brian		1-415-690-6377					brian.buchanan@cchealth.org	50 Douglas Dr	Suite 310	Martinez	CA	94553	2/7/2025	2026	CONTRA COSTA COUNTY MEDICAL SERVICE DBA CONTRA COSTA HEALTH PLAN	Local CCP	Contra Costa Health Care Plus (HMO D-SNP)	HMO/HMOPOS		Contra Costa Health Services	68	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5119	Chief Financial Officer	Chief Financial Officer	Mr.	Buchanan	Brian		1-415-690-6377					brian.buchanan@cchealth.org	50 Douglas Dr	Suite 310	Martinez	CA	94553	2/7/2025	2026	CONTRA COSTA COUNTY MEDICAL SERVICE DBA CONTRA COSTA HEALTH PLAN	Local CCP	Contra Costa Health Care Plus (HMO D-SNP)	HMO/HMOPOS		Contra Costa Health Services	68	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5119	CMS Casework Communication Contact	Director of Case Management		Avecilla	Leizl		1-925-313-6887	81				leizl.avecilla@cchealth.org	595 Center Ave	Suite 200	Martinez	CA	94553	2/10/2025	2026	CONTRA COSTA COUNTY MEDICAL SERVICE DBA CONTRA COSTA HEALTH PLAN	Local CCP	Contra Costa Health Care Plus (HMO D-SNP)	HMO/HMOPOS		Contra Costa Health Services	68	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5119	Coordination of Benefits Contact	"Director of Member Services, Marketing"		Engelbert	Brandon		1-925-608-7828					brandon.engelbert@cchealth.org	595 Center Ave	Suite 200	Martinez	CA	94553	12/15/2025	2026	CONTRA COSTA COUNTY MEDICAL SERVICE DBA CONTRA COSTA HEALTH PLAN	Local CCP	Contra Costa Health Care Plus (HMO D-SNP)	HMO/HMOPOS		Contra Costa Health Services	68	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5119	Customer Service Operations Contact	Member Services Manager		Teutle	Belkys		1-844-729-8412					belkys.teutle@cchealth.org	595 Center Ave	Suite 200	Martinez	CA	94553	11/6/2025	2026	CONTRA COSTA COUNTY MEDICAL SERVICE DBA CONTRA COSTA HEALTH PLAN	Local CCP	Contra Costa Health Care Plus (HMO D-SNP)	HMO/HMOPOS		Contra Costa Health Services	68	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5119	Government Relations Contact	Chief Compliance Officer		Cooper	Sunny		1-925-608-9468					cchpcompliance@cchealth.org	595 Center Ave	Suite 200	Martinez	CA	94553	5/27/2026	2026	CONTRA COSTA COUNTY MEDICAL SERVICE DBA CONTRA COSTA HEALTH PLAN	Local CCP	Contra Costa Health Care Plus (HMO D-SNP)	HMO/HMOPOS		Contra Costa Health Services	68	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5119	Hospice Contact	Medical Director	Dr.	Levin	Sara		1-925-608-5102					sara.levin@cchealth.org	595 Center Ave	Suite 200	Martinez	CA	94553	2/10/2025	2026	CONTRA COSTA COUNTY MEDICAL SERVICE DBA CONTRA COSTA HEALTH PLAN	Local CCP	Contra Costa Health Care Plus (HMO D-SNP)	HMO/HMOPOS		Contra Costa Health Services	68	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5119	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Cooper	Sunny		1-925-608-9468					sunny.cooper@cchealth.org	595 Center Ave	Suite 200	Martinez	CA	94553	5/27/2026	2026	CONTRA COSTA COUNTY MEDICAL SERVICE DBA CONTRA COSTA HEALTH PLAN	Local CCP	Contra Costa Health Care Plus (HMO D-SNP)	HMO/HMOPOS		Contra Costa Health Services	68	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5119	Part D Exceptions Contact	PerformRx - Director of Pharmacy Utlization Manage		Bonko	Gerald							gbonko@performrx.com	200 Stevens Drive		Philadelphia	PA	19113	12/15/2025	2026	CONTRA COSTA COUNTY MEDICAL SERVICE DBA CONTRA COSTA HEALTH PLAN	Local CCP	Contra Costa Health Care Plus (HMO D-SNP)	HMO/HMOPOS		Contra Costa Health Services	68	Yes	Active	1-855-287-9128				HMO - Health Maintenance Organization		C	Chicago
H5119	Pharmacy Network Management Contact	PerformRx Vice President Network Strategy		Sullivan	Tim		1-630-330-3638					tim.sullivan@performrx.com	200 Stevens Drive		Philadelphia	PA	19113	2/10/2025	2026	CONTRA COSTA COUNTY MEDICAL SERVICE DBA CONTRA COSTA HEALTH PLAN	Local CCP	Contra Costa Health Care Plus (HMO D-SNP)	HMO/HMOPOS		Contra Costa Health Services	68	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5119	Pharmacy Technical Help Desk Contact	PerformRx Vice President Network Strategy		Sullivan	Tim							tim.sullivan@performrx.com	200 Stevens Drive		Philadelphia	PA	19113	12/15/2025	2026	CONTRA COSTA COUNTY MEDICAL SERVICE DBA CONTRA COSTA HEALTH PLAN	Local CCP	Contra Costa Health Care Plus (HMO D-SNP)	HMO/HMOPOS		Contra Costa Health Services	68	Yes	Active	1-855-287-9128				HMO - Health Maintenance Organization		C	Chicago
H5119	Plan to Plan Reconciliation Contact	Director of Pharmacy		Cardinalli	Joseph		1-925-608-7897					Joseph.Cardinalli@cchealth.org	595 Center Ave	Suite 200	Martinez	CA	94553	5/27/2026	2026	CONTRA COSTA COUNTY MEDICAL SERVICE DBA CONTRA COSTA HEALTH PLAN	Local CCP	Contra Costa Health Care Plus (HMO D-SNP)	HMO/HMOPOS		Contra Costa Health Services	68	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5124	Automated TrOOP Balance Transfer Contact	Financial Operations Manager	Mr.	Johnson	Andy	R	1-317-340-3150					Andy.Johnson@franciscanalliance.org	"1040 Sierra Drive, Suite 600"		Greenwood	IN	46143	9/17/2024	2026	"FRANCISCAN ACO, INC."	National PACE	Franciscan  Senior Health & Wellness	National PACE		"Franciscan Alliance, Inc."	563	Yes	Active					PACE - Nat		C	New York
H5124	Best Available Evidence Contact	Director PACE Business Operations	Mr.	Meade	Evan		1-317-749-9228					Evan.Meade@franciscanalliance.org	"1040 Sierra Drive, Suite 600"		Greenwood	IN	46143	2/12/2026	2026	"FRANCISCAN ACO, INC."	National PACE	Franciscan  Senior Health & Wellness	National PACE		"Franciscan Alliance, Inc."	563	Yes	Active					PACE - Nat		C	New York
H5124	Chief Financial Officer	Financial Operations Manager	Mr.	Johnson	Andy	R	1-317-340-3150					Andy.Johnson@franciscanalliance.org	"1040 Sierra Drive, Suite 600"		Greenwood	IN	46143	1/20/2026	2026	"FRANCISCAN ACO, INC."	National PACE	Franciscan  Senior Health & Wellness	National PACE		"Franciscan Alliance, Inc."	563	Yes	Active					PACE - Nat		C	New York
H5124	CMS Casework Communication Contact	PACE Administrative Director	Mrs.	Nack	Brooke		1-219-227-5226					Brooke.Nack@franciscanalliance.org	"2150 Gettler Street, Suite 305"		Dyer	IN	46311	5/13/2026	2026	"FRANCISCAN ACO, INC."	National PACE	Franciscan  Senior Health & Wellness	National PACE		"Franciscan Alliance, Inc."	563	Yes	Active					PACE - Nat		C	New York
H5124	Coordination of Benefits Contact	Manager PACE Claims	Mr.	Rentmeester	Kurt		1-317-528-6239					Kurt.Rentmeester@franciscanalliance.org	"1040 Sierra Drive, Suite 600"		Greenwood	IN	46143	2/12/2026	2026	"FRANCISCAN ACO, INC."	National PACE	Franciscan  Senior Health & Wellness	National PACE		"Franciscan Alliance, Inc."	563	Yes	Active					PACE - Nat		C	New York
H5124	Customer Service Operations Contact	Director PACE Center Operations	Mr.	Vyas	Nisarg		1-708-595-4497					Nisarg.Vyas@franciscanalliance.org	"2150 Gettler Street, Suite 305"		Dyer	IN	46311	2/12/2026	2026	"FRANCISCAN ACO, INC."	National PACE	Franciscan  Senior Health & Wellness	National PACE		"Franciscan Alliance, Inc."	563	Yes	Active					PACE - Nat		C	New York
H5124	Government Relations Contact	PACE Administrative Director	Mrs.	Nack	Brooke		1-219-227-5226					Brooke.Nack@franciscanalliance.org	"2150 Gettler Street, Suite 305"		Dyer	IN	46311	5/13/2026	2026	"FRANCISCAN ACO, INC."	National PACE	Franciscan  Senior Health & Wellness	National PACE		"Franciscan Alliance, Inc."	563	Yes	Active					PACE - Nat		C	New York
H5124	Medicare Compliance Officer	Compliance Officer	Ms	Heim	Joy		1-317-782-8009					Joy.Heim@franciscanalliance.org	421 N. Emerson Ave.		Greenwood	IN	46143	11/13/2024	2026	"FRANCISCAN ACO, INC."	National PACE	Franciscan  Senior Health & Wellness	National PACE		"Franciscan Alliance, Inc."	563	Yes	Active					PACE - Nat		C	New York
H5124	Part D Exceptions Contact	Director PACE Business Operations	Mr.	Meade	Evan							Evan.Meade@franciscanalliance.org	"1040 Sierra Drive, Suite 600"		Greenwood	IN	46143	2/12/2026	2026	"FRANCISCAN ACO, INC."	National PACE	Franciscan  Senior Health & Wellness	National PACE		"Franciscan Alliance, Inc."	563	Yes	Active	1-317-749-9228				PACE - Nat		C	New York
H5124	Pharmacy Network Management Contact	Director PACE Business Operations	Mr.	Meade	Evan		1-317-749-9228					Evan.Meade@franciscanalliance.org	"1040 Sierra Drive, Suite 600"		Greenwood	IN	46143	2/12/2026	2026	"FRANCISCAN ACO, INC."	National PACE	Franciscan  Senior Health & Wellness	National PACE		"Franciscan Alliance, Inc."	563	Yes	Active					PACE - Nat		C	New York
H5124	Pharmacy Technical Help Desk Contact	Director PACE Business Operations	Mr.	Meade	Evan							Evan.Meade@franciscanalliance.org	"1040 Sierra Drive, Suite 600"		Greenwood	IN	46143	2/12/2026	2026	"FRANCISCAN ACO, INC."	National PACE	Franciscan  Senior Health & Wellness	National PACE		"Franciscan Alliance, Inc."	563	Yes	Active	1-317-749-9228				PACE - Nat		C	New York
H5124	Plan to Plan Reconciliation Contact	Financial Operations Manager	Mr.	Johnson	Andy	R	1-317-340-3150					Andy.Johnson@franciscanalliance.org	"1040 Sierra Drive, Suite 600"		Greenwood	IN	46143	9/17/2024	2026	"FRANCISCAN ACO, INC."	National PACE	Franciscan  Senior Health & Wellness	National PACE		"Franciscan Alliance, Inc."	563	Yes	Active					PACE - Nat		C	New York
H5141	Automated TrOOP Balance Transfer Contact	CFO	Mr.	Thornton	Clay		1-859-221-9670				1-201-255-4173	clay.thornton@cloverhealth.com	P.O.Box 21164		Eagan	MN	55121	3/12/2025	2026	CLOVER INSURANCE COMPANY	Local CCP	Clover Health	Local PPO		"Clover Health Holdings, Inc."	491	Yes	Active					PPO - BBA		C	New York
H5141	Best Available Evidence Contact	Enrollment Dir	Ms	Newman	Jennifer		1-754-245-6377					jennifer.newman@cloverhealth.com	P.O. Box 21164		Eagan	MN	55121	3/12/2025	2026	CLOVER INSURANCE COMPANY	Local CCP	Clover Health	Local PPO		"Clover Health Holdings, Inc."	491	Yes	Active					PPO - BBA		C	New York
H5141	Chief Financial Officer	CFO	Mr.	Thornton	Clay		1-859-221-9670				1-201-255-4173	clay.thornton@cloverhealth.com	P.O. Box 21164		Eagan	MN	55121	3/12/2025	2026	CLOVER INSURANCE COMPANY	Local CCP	Clover Health	Local PPO		"Clover Health Holdings, Inc."	491	Yes	Active					PPO - BBA		C	New York
H5141	CMS Casework Communication Contact	Compliance Director	Mr.	Davis	Robert		1-201-320-0506					robert.davis@cloverhealth.com	P.O. Box 21164		Eagan	MN	55121	3/12/2025	2026	CLOVER INSURANCE COMPANY	Local CCP	Clover Health	Local PPO		"Clover Health Holdings, Inc."	491	Yes	Active					PPO - BBA		C	New York
H5141	Coordination of Benefits Contact	Enrollment Director	Ms.	Newman	Jennifer		1-754-245-6377					jennifer.newman@cloverhealth.com	P.O. Box 21164		Eagan	MN	55121	3/12/2025	2026	CLOVER INSURANCE COMPANY	Local CCP	Clover Health	Local PPO		"Clover Health Holdings, Inc."	491	Yes	Active					PPO - BBA		C	New York
H5141	Customer Service Operations Contact	COO	Mr.	Brand	Joseph		1-201-432-2133				1-201-255-4173	joe.brand@cloverhealth.com	P.O. Box 21164		Eagan	MN	55121	3/12/2025	2026	CLOVER INSURANCE COMPANY	Local CCP	Clover Health	Local PPO		"Clover Health Holdings, Inc."	491	Yes	Active					PPO - BBA		C	New York
H5141	Government Relations Contact	Chief Compliance Officer	Ms.	Clapper	Wendy		1-551-225-2014				1-201-255-4173	wendy.clapper@cloverhealth.com	P.O. Box 21164		Eagan	MN	55121	1/27/2026	2026	CLOVER INSURANCE COMPANY	Local CCP	Clover Health	Local PPO		"Clover Health Holdings, Inc."	491	Yes	Active					PPO - BBA		C	New York
H5141	Hospice Contact	COO	Mr.	Brand	Joseph		1-201-432-2133				1-201-858-7355	joe.brand@cloverhealth.com	P.O. Box 21164		Eagan	MN	55121	3/12/2025	2026	CLOVER INSURANCE COMPANY	Local CCP	Clover Health	Local PPO		"Clover Health Holdings, Inc."	491	Yes	Active					PPO - BBA		C	New York
H5141	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Clapper	Wendy		1-551-225-2014				1-201-255-4173	wendy.clapper@cloverhealth.com	P.O. Box 21164		Eagan	MN	55121	1/27/2026	2026	CLOVER INSURANCE COMPANY	Local CCP	Clover Health	Local PPO		"Clover Health Holdings, Inc."	491	Yes	Active					PPO - BBA		C	New York
H5141	Part D Exceptions Contact	VP of Pharmacy	Mr	Pica	Michael						1-201-255-4173	mike.pica@cloverhealth.com	P.O. Box 21164		Eagan	MN	55121	3/12/2025	2026	CLOVER INSURANCE COMPANY	Local CCP	Clover Health	Local PPO		"Clover Health Holdings, Inc."	491	Yes	Active	1-201-432-2133				PPO - BBA		C	New York
H5141	Pharmacy Network Management Contact	SV Pharmacy	Mr	Pica	Michael		1-201-432-2133				1-480-314-6023	mike.pica@Cloverhealth.com	P.O. Box 21164		Eagan	MN	55121	3/12/2025	2026	CLOVER INSURANCE COMPANY	Local CCP	Clover Health	Local PPO		"Clover Health Holdings, Inc."	491	Yes	Active					PPO - BBA		C	New York
H5141	Pharmacy Technical Help Desk Contact	VP of Pharmacy	Mr	Pica	Michael							mike.pica@cloverhealth.com	P.O. Box 21164		Eagan	MN	55121	3/12/2025	2026	CLOVER INSURANCE COMPANY	Local CCP	Clover Health	Local PPO		"Clover Health Holdings, Inc."	491	Yes	Active	1-866-693-4620				PPO - BBA		C	New York
H5141	Plan to Plan Reconciliation Contact	Accounting Manager	Mr.	Bhatt	Mital		1-551-358-4582					mital.bhatt@cloverhealth.com	c/o PNC Bank	PO Box 825694	Philadelphia	PA	19182	8/6/2025	2026	CLOVER INSURANCE COMPANY	Local CCP	Clover Health	Local PPO		"Clover Health Holdings, Inc."	491	Yes	Active					PPO - BBA		C	New York
H5163	Automated TrOOP Balance Transfer Contact	"Associate Vice President, Member Experience"	Ms.	Mathews	Carolyn		1-657-452-6204					carolynm@verdahealthcare.com	7755 Center Avenue	Suite 1200	Huntington Beach	CA	92647	2/10/2025	2026	VERDA HEALTH PLAN OF TEXAS INC	Local CCP	Verda Health Plan of Texas	HMO/HMOPOS		"Verda Healthcare, Inc."	806	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5163	Best Available Evidence Contact	"Associate Vice President, Member Experience"	Ms.	Mathews	Carolyn		1-657-452-6204					carolynm@verdahealthcare.com	7755 Center Avenue	Suite 1200	Huntington Beach	CA	92647	2/10/2025	2026	VERDA HEALTH PLAN OF TEXAS INC	Local CCP	Verda Health Plan of Texas	HMO/HMOPOS		"Verda Healthcare, Inc."	806	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5163	Chief Financial Officer	VP Finance & Controller	Mr.	Rout	Pranab		1-562-732-4431					pranabr@verdahealthcare.com	7755 Center Avenue	Suite 1200	Huntington Beach	CA	92647	4/21/2025	2026	VERDA HEALTH PLAN OF TEXAS INC	Local CCP	Verda Health Plan of Texas	HMO/HMOPOS		"Verda Healthcare, Inc."	806	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5163	CMS Casework Communication Contact	Chief Risk Officer	Mr.	Brown	Tariq	S	1-269-929-5172					tariqb@verdahealthcare.com	7755 Center Avenue	Suite 1200	Huntington Beach	CA	92647	11/18/2024	2026	VERDA HEALTH PLAN OF TEXAS INC	Local CCP	Verda Health Plan of Texas	HMO/HMOPOS		"Verda Healthcare, Inc."	806	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5163	Coordination of Benefits Contact	"Associate Vice President, Member Experience"	Ms.	Mathews	Carolyn		1-657-452-6204					carolynm@verdahealthcare.com	7755 Center Avenue	Suite 1200	Huntington Beach	CA	92647	2/10/2025	2026	VERDA HEALTH PLAN OF TEXAS INC	Local CCP	Verda Health Plan of Texas	HMO/HMOPOS		"Verda Healthcare, Inc."	806	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5163	Customer Service Operations Contact	"Associate Vice President, Member Experience"	Ms.	Mathews	Carolyn		1-657-452-6204					carolynm@verdahealthcare.com	7755 Center Avenue	Suite 1200	Huntington Beach	CA	92647	2/10/2025	2026	VERDA HEALTH PLAN OF TEXAS INC	Local CCP	Verda Health Plan of Texas	HMO/HMOPOS		"Verda Healthcare, Inc."	806	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5163	Government Relations Contact	Chief Risk Officer	Mr.	Brown	Tariq	S	1-269-929-5172					tariqb@verdahealthcare.com	7755 Center Avenue	Suite 1200	Huntington Beach	CA	92647	11/18/2024	2026	VERDA HEALTH PLAN OF TEXAS INC	Local CCP	Verda Health Plan of Texas	HMO/HMOPOS		"Verda Healthcare, Inc."	806	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5163	Hospice Contact	Chief Medical Officer	Dr.	Tong	Tri		1-949-381-1481					trit@verdahealthcare.com	7755 Center Avenue	Suite 1200	Huntington Beach	CA	92647	2/10/2025	2026	VERDA HEALTH PLAN OF TEXAS INC	Local CCP	Verda Health Plan of Texas	HMO/HMOPOS		"Verda Healthcare, Inc."	806	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5163	Medicare Compliance Officer	Chief Risk Officer	Mr.	Brown	Tariq	S	1-269-929-5172					tariqb@verdahealthcare.com	7755 Center Avenue	Suite 1200	Huntington Beach	CA	92647	11/18/2024	2026	VERDA HEALTH PLAN OF TEXAS INC	Local CCP	Verda Health Plan of Texas	HMO/HMOPOS		"Verda Healthcare, Inc."	806	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5163	Part D Exceptions Contact	Chief Medical Officer	Dr.	Tong	Tri							trit@verdahealthcare.com	7755 Center Avenue	Suite 1200	Huntington Beach	CA	92647	2/10/2025	2026	VERDA HEALTH PLAN OF TEXAS INC	Local CCP	Verda Health Plan of Texas	HMO/HMOPOS		"Verda Healthcare, Inc."	806	Yes	Active	1-888-256-5123				HMO - Health Maintenance Organization		C	Atlanta
H5163	Pharmacy Network Management Contact	"Director, Pharmacy Network Administration"	Mr.	Hunt	Brian		1-858-790-7092					brian.hunt@medimpact.com	10181 Scripps Gateway Court		San Diego	CA	92131	2/10/2025	2026	VERDA HEALTH PLAN OF TEXAS INC	Local CCP	Verda Health Plan of Texas	HMO/HMOPOS		"Verda Healthcare, Inc."	806	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5163	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"	Ms.	Brewer	Kathy							CustomerService@MedImpact.com	10181 Scripps Gateway Court		San Diego	CA	92131	8/23/2023	2026	VERDA HEALTH PLAN OF TEXAS INC	Local CCP	Verda Health Plan of Texas	HMO/HMOPOS		"Verda Healthcare, Inc."	806	Yes	Active	1-866-705-4182				HMO - Health Maintenance Organization		C	Atlanta
H5163	Plan to Plan Reconciliation Contact	VP Finance & Controller	Mr.	Rout	Pranab		1-562-732-4431					pranabr@verdahealthcare.com	7755 Center Avenue	Suite 1200	Huntington Beach	CA	92647	5/6/2025	2026	VERDA HEALTH PLAN OF TEXAS INC	Local CCP	Verda Health Plan of Texas	HMO/HMOPOS		"Verda Healthcare, Inc."	806	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5167	Automated TrOOP Balance Transfer Contact	HIM Manager	Ms.	Mojica Rosado	Mar		1-719-314-2327	154			1-719-214-0149	mmojicarosado@rmhcare.org	8595 Explorer Dr		Colorado Springs	CO	80920	5/4/2026	2026	ROCKY MOUNTAIN HEALTH CARE SERVICES	National PACE	Rocky Mountain PACE	National PACE		Bethesda Foundation	897	Yes	Active					PACE - Nat		C	Dallas
H5167	Best Available Evidence Contact	Senior VP Growth & Retention	Ms.	Kerr	Melissa		1-719-466-8777	624			1-719-314-0149	mkerr@rmhcare.org	8595 Explorer Dr		Colorado Springs	CO	80920	4/17/2026	2026	ROCKY MOUNTAIN HEALTH CARE SERVICES	National PACE	Rocky Mountain PACE	National PACE		Bethesda Foundation	897	Yes	Active					PACE - Nat		C	Dallas
H5167	Chief Financial Officer	Chief Financial Officer	Mr.	Masar	Paul		1-719-466-8777	643			1-719-314-0149	pmasar@rmhcare.org	8595 Explorer Dr		Colorado Springs	CO	80920	4/7/2025	2026	ROCKY MOUNTAIN HEALTH CARE SERVICES	National PACE	Rocky Mountain PACE	National PACE		Bethesda Foundation	897	Yes	Active					PACE - Nat		C	Dallas
H5167	CMS Casework Communication Contact	Vice President of Quality & Compliance	Ms.	Kellam	Davida		1-719-466-8777	125				dkellam@rmhcare.org	8595 Explorer Dr		Colorado Springs	CO	80920	6/2/2026	2026	ROCKY MOUNTAIN HEALTH CARE SERVICES	National PACE	Rocky Mountain PACE	National PACE		Bethesda Foundation	897	Yes	Active					PACE - Nat		C	Dallas
H5167	Coordination of Benefits Contact	Chief Financial Officer	Mr.	Masar	Paul		1-719-466-8777	643			1-719-314-0149	pmasar@rmhcare.org	8595 Explorer Dr		Colorado Springs	CO	80920	4/17/2023	2026	ROCKY MOUNTAIN HEALTH CARE SERVICES	National PACE	Rocky Mountain PACE	National PACE		Bethesda Foundation	897	Yes	Active					PACE - Nat		C	Dallas
H5167	Customer Service Operations Contact	Vice President of Quality & Compliance	Ms.	Kellam	Davida		1-719-466-8777	125			1-719-314-0149	dkellam@rmhcare.org	8595 Explorer Drive		Colorado Springs	CO	80920	6/2/2026	2026	ROCKY MOUNTAIN HEALTH CARE SERVICES	National PACE	Rocky Mountain PACE	National PACE		Bethesda Foundation	897	Yes	Active					PACE - Nat		C	Dallas
H5167	Government Relations Contact	Vice President of External Relations	Ms.	McDonough	Andi		1-719-466-8777	335				amcdonough@rmhcare.org	8595 Explorer Dr		Colorado Springs	CO	80920	12/8/2025	2026	ROCKY MOUNTAIN HEALTH CARE SERVICES	National PACE	Rocky Mountain PACE	National PACE		Bethesda Foundation	897	Yes	Active					PACE - Nat		C	Dallas
H5167	Medicare Compliance Officer	Vice President of Quality & Compliance	Ms.	Kellam	Davida		1-719-466-8777	125				dkellam@rmhcare.org	8595 Explorer Dr		Colorado Springs	CO	80920	3/23/2026	2026	ROCKY MOUNTAIN HEALTH CARE SERVICES	National PACE	Rocky Mountain PACE	National PACE		Bethesda Foundation	897	Yes	Active					PACE - Nat		C	Dallas
H5167	Part D Exceptions Contact	Chief Nursing Officer	Ms.	VanMaldeghem	Santiana						1-719-314-0149	svanmaldeghem@rmhcare.org	8595 Explorer Dr		Colorado Springs	CO	80920	12/8/2025	2026	ROCKY MOUNTAIN HEALTH CARE SERVICES	National PACE	Rocky Mountain PACE	National PACE		Bethesda Foundation	897	Yes	Active	1-719-466-8777	538			PACE - Nat		C	Dallas
H5167	Pharmacy Network Management Contact	Chief Nursing Officer	Ms.	VanMaldeghem	Santiana		1-719-466-8777				1-719-473-0628	svanmaldeghem@rmhcare.org	"2502 E. Pikes Peak Ave., Suite 100"		Colorado Springs	CO	80909	4/7/2025	2026	ROCKY MOUNTAIN HEALTH CARE SERVICES	National PACE	Rocky Mountain PACE	National PACE		Bethesda Foundation	897	Yes	Active					PACE - Nat		C	Dallas
H5167	Pharmacy Technical Help Desk Contact	Pharmacist	Ms.	Kennedy	Erin						1-719-473-0628	ekennedy@rmhcare.org	8595 Explorer Drive		Colorado Springs	CO	80920	12/8/2025	2026	ROCKY MOUNTAIN HEALTH CARE SERVICES	National PACE	Rocky Mountain PACE	National PACE		Bethesda Foundation	897	Yes	Active	1-719-466-8777				PACE - Nat		C	Dallas
H5167	Plan to Plan Reconciliation Contact	Chief Financial Officer	Mr.	Masar	Paul		1-719-466-8777	643			1-719-314-0149	pmasar@rmhcare.org	8595 Explorer Dr		Colorado Springs	CO	80920	4/17/2023	2026	ROCKY MOUNTAIN HEALTH CARE SERVICES	National PACE	Rocky Mountain PACE	National PACE		Bethesda Foundation	897	Yes	Active					PACE - Nat		C	Dallas
H5178	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5178	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5178	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5178	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	"HUMANA HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5178	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5178	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5178	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5178	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5178	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5178	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-859-321-9075				HMO - Health Maintenance Organization		C	Kansas City
H5178	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5178	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	"HUMANA HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-800-865-8715				HMO - Health Maintenance Organization		C	Kansas City
H5178	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	"HUMANA HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5190	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	"SUNSHINE STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5190	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	"SUNSHINE STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5190	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/25/2024	2026	"SUNSHINE STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5190	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"SUNSHINE STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5190	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"SUNSHINE STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5190	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	9/18/2024	2026	"SUNSHINE STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5190	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"SUNSHINE STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5190	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	"SUNSHINE STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5190	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	"SUNSHINE STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5190	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/25/2024	2026	"SUNSHINE STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H5190	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	"SUNSHINE STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5190	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	1/9/2025	2026	"SUNSHINE STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0202				HMO - Health Maintenance Organization		C	Denver
H5190	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	6/25/2024	2026	"SUNSHINE STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5209	Automated TrOOP Balance Transfer Contact	"AVP, Pharmacy"		Vu	John		1-801-252-5706					an.vu@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"Molina Healthcare of Wisconsin, Inc."	Local CCP	Molina Healthcare of Wisconsin	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5209	Best Available Evidence Contact	"Director, Medicare Enrollment"		LeJeune	Ryan		1-562-549-4527					ryan.lejeune@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	1/7/2026	2026	"Molina Healthcare of Wisconsin, Inc."	Local CCP	Molina Healthcare of Wisconsin	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5209	Chief Financial Officer	"MHI - VP, Operating Finance"	Mr.	Parthasarathy	Vijay		1-630-381-8563					vijay.parthasarathy@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"Molina Healthcare of Wisconsin, Inc."	Local CCP	Molina Healthcare of Wisconsin	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5209	CMS Casework Communication Contact	"Dir, Medicare A&G"		Bennett	Kimberly		1-248-854-9474					Kimberly.Bennett@molinahealthcare.com	24121 Rosewood Street		Oak Park	MI	48237	5/21/2025	2026	"Molina Healthcare of Wisconsin, Inc."	Local CCP	Molina Healthcare of Wisconsin	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5209	Coordination of Benefits Contact	"Director, Payment Integrity"		Hartberger	Jake		1-484-269-1480					Jake.Hartberger@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"Molina Healthcare of Wisconsin, Inc."	Local CCP	Molina Healthcare of Wisconsin	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5209	Customer Service Operations Contact	"Vice President, Call Center"		Faroughi	Cheryl		1-614-547-6829					cheryl.faroughi@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"Molina Healthcare of Wisconsin, Inc."	Local CCP	Molina Healthcare of Wisconsin	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5209	Government Relations Contact	"MHI- Vice President, Compliance"		Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@Molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"Molina Healthcare of Wisconsin, Inc."	Local CCP	Molina Healthcare of Wisconsin	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5209	Hospice Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"Molina Healthcare of Wisconsin, Inc."	Local CCP	Molina Healthcare of Wisconsin	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5209	Medicare Compliance Officer	"MHI- Vice President, Compliance"	Mr.	Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"Molina Healthcare of Wisconsin, Inc."	Local CCP	Molina Healthcare of Wisconsin	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5209	Part D Exceptions Contact	"AVP, Medicare Pharmacy Services"		Vu	John							An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"Molina Healthcare of Wisconsin, Inc."	Local CCP	Molina Healthcare of Wisconsin	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-801-252-5706				HMO - Health Maintenance Organization		C	New York
H5209	Pharmacy Network Management Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"Molina Healthcare of Wisconsin, Inc."	Local CCP	Molina Healthcare of Wisconsin	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5209	Pharmacy Technical Help Desk Contact	"Director, Client Operations"		Help Desk	Pharmacy						1-480-314-6077	dayoubj@cvshealth.com	445 Great Circle Road		Nashville	TN	37228	5/21/2025	2026	"Molina Healthcare of Wisconsin, Inc."	Local CCP	Molina Healthcare of Wisconsin	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H5209	Plan to Plan Reconciliation Contact	"Director, Finance"		Cook	Keith		1-562-542-2024					P2P.molina@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"Molina Healthcare of Wisconsin, Inc."	Local CCP	Molina Healthcare of Wisconsin	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5211	Automated TrOOP Balance Transfer Contact	Medicare Part D Coordinator		Hollatz	Lori		1-715-221-9814				1-715-221-9719	hollatz.lori@securityhealth.org	1515 Saint Joseph Avenue		Marshfield	WI	54449	9/6/2019	2026	"SECURITY HEALTH PLAN OF WISCONSIN, INC."	Local CCP	"Security Health Plan of Wisconsin, Inc."	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5211	Best Available Evidence Contact	Enrollment Services Team Lead		Ronning	Amy		1-715-221-9590				1-715-221-9500	ronning.amy@securityhealth.org	1515 Saint Joseph  Avenue		Marshfield	WI	54449	5/17/2021	2026	"SECURITY HEALTH PLAN OF WISCONSIN, INC."	Local CCP	"Security Health Plan of Wisconsin, Inc."	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5211	Chief Financial Officer	Chief Financial Officer	Mr.	Custis	Stephen		1-612-964-9158					Stephen.Custis@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	11/4/2025	2026	"SECURITY HEALTH PLAN OF WISCONSIN, INC."	Local CCP	"Security Health Plan of Wisconsin, Inc."	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5211	CMS Casework Communication Contact	Director of Compliance and Privacy		Wilson	Kelly		1-715-221-9960				1-715-221-9500	wilson.kelly@securityhealth.org	1515 Saint Joseph Ave.		Marshfield	WI	54449	11/8/2022	2026	"SECURITY HEALTH PLAN OF WISCONSIN, INC."	Local CCP	"Security Health Plan of Wisconsin, Inc."	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5211	Coordination of Benefits Contact	Part D COB Specialist		Hollatz	Lori		1-715-221-9814				1-715-221-9500	hollatz.lori@securityhealth.org	1515 Saint Joseph Avenue		Marshfield	WI	54449	7/20/2021	2026	"SECURITY HEALTH PLAN OF WISCONSIN, INC."	Local CCP	"Security Health Plan of Wisconsin, Inc."	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5211	Customer Service Operations Contact	Director of Customer Service Contact Center		Nagel	Jessica		1-877-998-0998				1-715-221-9500	Jessica.Nagel@SanfordHealth.org	1515  Saint Joseph Avenue		Marshfield	WI	54449	5/26/2026	2026	"SECURITY HEALTH PLAN OF WISCONSIN, INC."	Local CCP	"Security Health Plan of Wisconsin, Inc."	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5211	Government Relations Contact	Head of Government Affairs	Mr.	Wheeler	Dylan		1-605-328-7186					Dylan.Wheeler@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	7/30/2025	2026	"SECURITY HEALTH PLAN OF WISCONSIN, INC."	Local CCP	"Security Health Plan of Wisconsin, Inc."	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5211	Hospice Contact	Interim PharmQuality Assurance-Auditing Specialist		Hollatz	Lori		1-715-221-9814				1-715-221-9500	hollatz.lori@securityhealth.org	1515 Saint Joseph Avenue		Marshfield	WI	54440	1/14/2022	2026	"SECURITY HEALTH PLAN OF WISCONSIN, INC."	Local CCP	"Security Health Plan of Wisconsin, Inc."	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5211	Medicare Compliance Officer	Compliance Officer	Mr.	Yeoman	Dallan		1-605-328-6806					Dallan.Yeoman@sanfordhealth.org	4800 West 57th Street		Sioux Falls	SD	57108	7/30/2025	2026	"SECURITY HEALTH PLAN OF WISCONSIN, INC."	Local CCP	"Security Health Plan of Wisconsin, Inc."	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5211	Part D Exceptions Contact	Program Coordinator - Government Products		Hollatz	Lori						1-715-221-9719	hollatz.lori@securityhealth.org	1515 Saint Joseph Ave.		Marshfield	WI	54449	6/6/2025	2026	"SECURITY HEALTH PLAN OF WISCONSIN, INC."	Local CCP	"Security Health Plan of Wisconsin, Inc."	HMO/HMOPOS		Sanford Health	740	Yes	Active	1-877-873-5611				HMO - Health Maintenance Organization		C	Dallas
H5211	Pharmacy Network Management Contact	Program Coordinator - Government Products		Hollatz	Lori		1-715-221-9814				1-715-221-9719	hollatz.lori@securityhealth.org	1515 Saint Joseph Avenue	PO Box 8000	Marshfield	WI	54449	7/8/2025	2026	"SECURITY HEALTH PLAN OF WISCONSIN, INC."	Local CCP	"Security Health Plan of Wisconsin, Inc."	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5211	Pharmacy Technical Help Desk Contact	Pharmacy Technical Help Desk	Sr.	Villanueva	Juan							juan.villanueva@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	12/23/2025	2026	"SECURITY HEALTH PLAN OF WISCONSIN, INC."	Local CCP	"Security Health Plan of Wisconsin, Inc."	HMO/HMOPOS		Sanford Health	740	Yes	Active	1-855-218-8498				HMO - Health Maintenance Organization		C	Dallas
H5211	Plan to Plan Reconciliation Contact	Director of Finance and Accounting		Bell	Lacey		1-715-221-9160				1-715-221-9500	bell.lacey@securityhealth.org	1515 Saint Joseph Avenue		Marshfield	WI	54449	2/23/2023	2026	"SECURITY HEALTH PLAN OF WISCONSIN, INC."	Local CCP	"Security Health Plan of Wisconsin, Inc."	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5212	Automated TrOOP Balance Transfer Contact			N/A (PACE)	N/A (PACE)		1-414-902-6044					michael.garlie@communitycareinc.org	N/A		Milwaukee	WI	53215	8/20/2008	2026	"COMMUNITY CARE, INC."	National PACE	Community Care	National PACE		CareSource	321	Yes	Active					PACE - Nat		C	San Francisco
H5212	Best Available Evidence Contact	Accounting Specialist - Medicare	Ms.	Instefjord	Lori		1-262-207-9374					lori.instefjord@communitycareinc.org	205 Bishops Way		Brookfield	WI	53005	10/25/2016	2026	"COMMUNITY CARE, INC."	National PACE	Community Care	National PACE		CareSource	321	Yes	Active					PACE - Nat		C	San Francisco
H5212	Chief Financial Officer	Chief Financial Officer	Mr.	Newmeister	Troy		1-414-231-4000					troy.newmeister@communitycareinc.org	205 Bishops Way		Brookfield	WI	53005	6/25/2025	2026	"COMMUNITY CARE, INC."	National PACE	Community Care	National PACE		CareSource	321	Yes	Active					PACE - Nat		C	San Francisco
H5212	CMS Casework Communication Contact	Chief Compliance & Quality Officer		Garlie	Michael		1-262-207-9307					michael.garlie@communitycareinc.org	205 Bishops Way		Brookfield	WI	53005	8/17/2020	2026	"COMMUNITY CARE, INC."	National PACE	Community Care	National PACE		CareSource	321	Yes	Active					PACE - Nat		C	San Francisco
H5212	Coordination of Benefits Contact	Claims Manager	Mr	Hau	Jeremy		1-262-953-8627					jeremy.hau@communitycareinc.org	1801 Dolphin Drive		Waukesha	WI	53186	11/30/2023	2026	"COMMUNITY CARE, INC."	National PACE	Community Care	National PACE		CareSource	321	Yes	Active					PACE - Nat		C	San Francisco
H5212	Customer Service Operations Contact	Program Officer	Ms.	Carter	Kelly		1-262-207-9323					kelly.carter@communitycareinc.org	205 Bishops Way		Brookfield	WI	53005	6/22/2021	2026	"COMMUNITY CARE, INC."	National PACE	Community Care	National PACE		CareSource	321	Yes	Active					PACE - Nat		C	San Francisco
H5212	Government Relations Contact	Chief Executive Officer		Munson	Kenneth		1-262-207-9339					kenneth.munson@communitycareinc.org	205 Bishops Way		Brookkfield	WI	53005	3/23/2015	2026	"COMMUNITY CARE, INC."	National PACE	Community Care	National PACE		CareSource	321	Yes	Active					PACE - Nat		C	San Francisco
H5212	Medicare Compliance Officer	Chief Compliance and Quality Officer	Mr	Garlie	Michael		1-262-207-9307					michael.garlie@communitycareinc.org	205 Bishops Way		Brookfield	WI	53005	8/17/2020	2026	"COMMUNITY CARE, INC."	National PACE	Community Care	National PACE		CareSource	321	Yes	Active					PACE - Nat		C	San Francisco
H5212	Part D Exceptions Contact	Pharmacy Manager	Mr.	Hamdan	Mohammad							mohammad.hamdan@communitycareinc.org	1555 S Layton Blvd		Milwaukee	WI	53215	2/9/2026	2026	"COMMUNITY CARE, INC."	National PACE	Community Care	National PACE		CareSource	321	Yes	Active	1-866-992-6600	22475			PACE - Nat		C	San Francisco
H5212	Pharmacy Network Management Contact	Pharmacy Manager	Mr.	Hamdan	Mohammad		1-414-902-2475					mohammad.hamdan@communitycareinc.org	1555 S Layton Blvd		Milwaukee	WI	53215	2/9/2026	2026	"COMMUNITY CARE, INC."	National PACE	Community Care	National PACE		CareSource	321	Yes	Active					PACE - Nat		C	San Francisco
H5212	Pharmacy Technical Help Desk Contact			Service	Customer								2503 N. Hillcrest Parkway		Altoona	WI	54720-2569	3/8/2006	2026	"COMMUNITY CARE, INC."	National PACE	Community Care	National PACE		CareSource	321	Yes	Active	1-888-298-7770				PACE - Nat		C	San Francisco
H5212	Plan to Plan Reconciliation Contact	Accounting Specialist - Medicare	Ms	Instefjord	Lori		1-262-207-9374					lori.instefjord@communitycareinc.org	205 Bishops Way		Brookfield	WI	53005	10/25/2016	2026	"COMMUNITY CARE, INC."	National PACE	Community Care	National PACE		CareSource	321	Yes	Active					PACE - Nat		C	San Francisco
H5213	Automated TrOOP Balance Transfer Contact	Medicare Compliance Manager		Brown	Lauren		1-720-974-6031				1-303-996-1600	lbrown2@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	7/26/2023	2026	"TOTAL COMMUNITY CARE, L.L.C."	National PACE	InnovAge New Mexico PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H5213	Best Available Evidence Contact	Director of Finance	Ms.	Hewitt	Jessica		1-720-974-6767					jhewitt@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	5/19/2025	2026	"TOTAL COMMUNITY CARE, L.L.C."	National PACE	InnovAge New Mexico PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H5213	Chief Financial Officer	CFO	Mr.	Adams	Ben		1-917-842-3099				1-303-996-1600	badams@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"TOTAL COMMUNITY CARE, L.L.C."	National PACE	InnovAge New Mexico PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H5213	CMS Casework Communication Contact	Director of Compliance		Martin	Jeremy		1-720-879-6016				1-303-996-1600	jmartin@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	5/19/2025	2026	"TOTAL COMMUNITY CARE, L.L.C."	National PACE	InnovAge New Mexico PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H5213	Coordination of Benefits Contact	Medicare Compliance Manager		Brown	Lauren		1-720-974-6031				1-303-996-1600	lbrown2@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"TOTAL COMMUNITY CARE, L.L.C."	National PACE	InnovAge New Mexico PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H5213	Customer Service Operations Contact	Director of Compliance		Martin	Jeremy		1-720-879-6016				1-303-996-1600	jmartin@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	5/19/2025	2026	"TOTAL COMMUNITY CARE, L.L.C."	National PACE	InnovAge New Mexico PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H5213	Government Relations Contact	"SVP, External Affairs"		Nelson	Don		1-608-217-5110					dnelson3@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	12/5/2025	2026	"TOTAL COMMUNITY CARE, L.L.C."	National PACE	InnovAge New Mexico PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H5213	Medicare Compliance Officer	VP of Compliance	Ms.	Teter	Lezlie	A	1-720-682-9848				1-303-996-1600	lteter@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	4/24/2026	2026	"TOTAL COMMUNITY CARE, L.L.C."	National PACE	InnovAge New Mexico PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H5213	Part D Exceptions Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael						1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"TOTAL COMMUNITY CARE, L.L.C."	National PACE	InnovAge New Mexico PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active	1-720-666-3817				PACE - Nat		C	Dallas
H5213	Pharmacy Network Management Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael		1-720-666-3817				1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"TOTAL COMMUNITY CARE, L.L.C."	National PACE	InnovAge New Mexico PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H5213	Pharmacy Technical Help Desk Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael						1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"TOTAL COMMUNITY CARE, L.L.C."	National PACE	InnovAge New Mexico PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active	1-720-666-3817				PACE - Nat		C	Dallas
H5213	Plan to Plan Reconciliation Contact	Financial and Compliance Analyst		Kizewski	Alex		1-720-789-6171				1-720-917-3390	AKizewski@innovage.com	8950 East Lowry Blvd		Denver	CO	80230	12/28/2023	2026	"TOTAL COMMUNITY CARE, L.L.C."	National PACE	InnovAge New Mexico PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H5215	Automated TrOOP Balance Transfer Contact	Pharmacy Benefits Program Manager		Kempfer	Amanda		1-920-720-1607					pharmacybenefits@networkhealth.com	1570 Midway Place	PO Box 120	Menasha	WI	54952	6/8/2026	2026	NETWORK HEALTH INSURANCE CORPORATION	Local CCP	Network Health Medicare Advantage Plans	Local PPO		"Network Health, Inc."	670	Yes	Active					PPO - BBA		C	Boston
H5215	Best Available Evidence Contact	"Manager, Enrollment & Business Analysis Integratio"		Crocker	Brian		1-920-720-1640					bcrocker@networkhealth.com	1570 Midway Place		Menasha	WI	54952	6/26/2024	2026	NETWORK HEALTH INSURANCE CORPORATION	Local CCP	Network Health Medicare Advantage Plans	Local PPO		"Network Health, Inc."	670	Yes	Active					PPO - BBA		C	Boston
H5215	Chief Financial Officer	Chief Financial Officer	Mr	Ollech	Brian		1-920-720-1886					bollech@networkhealth.com	1570 Midway Place	PO Box 120	Menasha	WI	54952	3/25/2024	2026	NETWORK HEALTH INSURANCE CORPORATION	Local CCP	Network Health Medicare Advantage Plans	Local PPO		"Network Health, Inc."	670	Yes	Active					PPO - BBA		C	Boston
H5215	CMS Casework Communication Contact	Regulatory Support Administrator II		Lee	Chia		1-920-628-7268					clee@networkhealth.com	1570 Midway Place		Menasha	WI	54952	1/2/2026	2026	NETWORK HEALTH INSURANCE CORPORATION	Local CCP	Network Health Medicare Advantage Plans	Local PPO		"Network Health, Inc."	670	Yes	Active					PPO - BBA		C	Boston
H5215	Coordination of Benefits Contact	"Director, Pharmacy Benefits"		Wheaton	Andy		1-920-720-1612				1-920-720-1906	pharmacybenefits@networkhealth.com	1570 Midway Place		Menasha	WI	54952	4/1/2024	2026	NETWORK HEALTH INSURANCE CORPORATION	Local CCP	Network Health Medicare Advantage Plans	Local PPO		"Network Health, Inc."	670	Yes	Active					PPO - BBA		C	Boston
H5215	Customer Service Operations Contact	"Manager, Member Experience"		Schwandner	Stacy		1-920-720-1309				1-920-720-1908	sschwand@networkhealth.com	1570 Midway Place	P.O. Box 120	Menasha	WI	54952	1/2/2026	2026	NETWORK HEALTH INSURANCE CORPORATION	Local CCP	Network Health Medicare Advantage Plans	Local PPO		"Network Health, Inc."	670	Yes	Active					PPO - BBA		C	Boston
H5215	Government Relations Contact	Compliance Officer		Jurmu	Michael		1-920-720-1893					mjurmu@networkhealth.com	1570 Midway Place		Menasha	WI	54952	4/7/2025	2026	NETWORK HEALTH INSURANCE CORPORATION	Local CCP	Network Health Medicare Advantage Plans	Local PPO		"Network Health, Inc."	670	Yes	Active					PPO - BBA		C	Boston
H5215	Hospice Contact	Pharmacy Benefits Program Manager		Kempfer	Amanda		1-920-720-1607					pharmacybenefits@networkhealth.com	1570 Midway Place		Menasha	WI	54952	4/13/2023	2026	NETWORK HEALTH INSURANCE CORPORATION	Local CCP	Network Health Medicare Advantage Plans	Local PPO		"Network Health, Inc."	670	Yes	Active					PPO - BBA		C	Boston
H5215	Medicare Compliance Officer	Compliance Officer	Mr.	Jurmu	Michael		1-920-720-1893				1-920-720-1912	mjurmu@networkhealth.com	1570 Midway Place		Menasha	WI	54952	4/7/2025	2026	NETWORK HEALTH INSURANCE CORPORATION	Local CCP	Network Health Medicare Advantage Plans	Local PPO		"Network Health, Inc."	670	Yes	Active					PPO - BBA		C	Boston
H5215	Part D Exceptions Contact	Sr. Manager - Pharmacy Prior Authorization		Herbert	Joshua							Joshua.Herbert@evernorth.com	One Express Way Mail Stop: S13NB		St. Louis	MO	63121	10/27/2025	2026	NETWORK HEALTH INSURANCE CORPORATION	Local CCP	Network Health Medicare Advantage Plans	Local PPO		"Network Health, Inc."	670	Yes	Active	1-513-292-0563				PPO - BBA		C	Boston
H5215	Pharmacy Network Management Contact			Kelly	Heather		1-314-692-1866				1-800-357-9578	hakelly@express-scripts.com	One Express Way		St Louis	MO	63121	1/19/2023	2026	NETWORK HEALTH INSURANCE CORPORATION	Local CCP	Network Health Medicare Advantage Plans	Local PPO		"Network Health, Inc."	670	Yes	Active					PPO - BBA		C	Boston
H5215	Pharmacy Technical Help Desk Contact	Director - Customer Service		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	13051 N. Telecom Pkwy STE 150		Temple Terrace	FL	33637	12/17/2021	2026	NETWORK HEALTH INSURANCE CORPORATION	Local CCP	Network Health Medicare Advantage Plans	Local PPO		"Network Health, Inc."	670	Yes	Active	1-800-922-1557				PPO - BBA		C	Boston
H5215	Plan to Plan Reconciliation Contact	"Vice President, Finance"		Leigh	Dennis		1-920-720-1837					FinanceReporting@networkhealth.com	1570 Midway  Place		Menasha	WI	54952	3/25/2024	2026	NETWORK HEALTH INSURANCE CORPORATION	Local CCP	Network Health Medicare Advantage Plans	Local PPO		"Network Health, Inc."	670	Yes	Active					PPO - BBA		C	Boston
H5216	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5216	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5216	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5216	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	HUMANA INSURANCE COMPANY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5216	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5216	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5216	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5216	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5216	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5216	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active	1-859-321-9075				PPO - BBA		C	Kansas City
H5216	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5216	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	HUMANA INSURANCE COMPANY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active	1-800-865-8715				PPO - BBA		C	Kansas City
H5216	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	HUMANA INSURANCE COMPANY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5232	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy - Medicare and Information"		Goff	Katie		1-216-687-7344					Katie.Goff@medmutual.com	100 American Road		Cleveland	OH	44144	6/30/2025	2026	PARAMOUNT INSURANCE COMPANY	Local CCP	Paramount Elite Medicare Plans	Local PPO		MEDICAL MUTUAL OF OHIO	289	Yes	Consolidation					PPO - BBA		C	Chicago
H5232	Best Available Evidence Contact	Medicare Operations Analyst II		Crowley	Lauren		1-216-687-6585					BAEdocs@medmutual.com	100 American Road		Cleveland	OH	44144	6/30/2025	2026	PARAMOUNT INSURANCE COMPANY	Local CCP	Paramount Elite Medicare Plans	Local PPO		MEDICAL MUTUAL OF OHIO	289	Yes	Consolidation					PPO - BBA		C	Chicago
H5232	Chief Financial Officer	"VP, Chief Financial Officer"	Mr.	McNutt	Jim		1-216-687-7006					james.mcnutt@medmutual.com	100 American Road		Cleveland	OH	44144	6/30/2025	2026	PARAMOUNT INSURANCE COMPANY	Local CCP	Paramount Elite Medicare Plans	Local PPO		MEDICAL MUTUAL OF OHIO	289	Yes	Consolidation					PPO - BBA		C	Chicago
H5232	CMS Casework Communication Contact	"Director, Customer Care"		Glaspie	Anissa		1-216-687-7059					anissa.glaspie@medmutual.com	100 American Road		Cleveland	OH	44144	6/30/2025	2026	PARAMOUNT INSURANCE COMPANY	Local CCP	Paramount Elite Medicare Plans	Local PPO		MEDICAL MUTUAL OF OHIO	289	Yes	Consolidation					PPO - BBA		C	Chicago
H5232	Coordination of Benefits Contact	"Manager, COB and Workers Comp"		Njaim	Stephanie		1-419-473-7733					Stephanie.Njaim@medmutual.com	100 American Road		Cleveland	OH	44144	6/30/2025	2026	PARAMOUNT INSURANCE COMPANY	Local CCP	Paramount Elite Medicare Plans	Local PPO		MEDICAL MUTUAL OF OHIO	289	Yes	Consolidation					PPO - BBA		C	Chicago
H5232	Customer Service Operations Contact	"Director, Customer Care"		Glaspie	Anissa		1-216-687-7059					Anissa.Glaspie@medmutual.com	100 American Road		Cleveland	OH	44144	6/30/2025	2026	PARAMOUNT INSURANCE COMPANY	Local CCP	Paramount Elite Medicare Plans	Local PPO		MEDICAL MUTUAL OF OHIO	289	Yes	Consolidation					PPO - BBA		C	Chicago
H5232	Government Relations Contact	Medicare Compliance Officer		Beadle	Nicole		1-937-681-2032					nicole.beadle@medmutual.com	100 American Road		Cleveland	OH	44144	8/20/2025	2026	PARAMOUNT INSURANCE COMPANY	Local CCP	Paramount Elite Medicare Plans	Local PPO		MEDICAL MUTUAL OF OHIO	289	Yes	Consolidation					PPO - BBA		C	Chicago
H5232	Hospice Contact	"Director, Pharmacy - Medicare and Information"		Goff	Katie		1-216-687-7344					Katie.Goff@medmutual.com	100 American Road		Cleveland	OH	44144	6/30/2025	2026	PARAMOUNT INSURANCE COMPANY	Local CCP	Paramount Elite Medicare Plans	Local PPO		MEDICAL MUTUAL OF OHIO	289	Yes	Consolidation					PPO - BBA		C	Chicago
H5232	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Beadle	Nicole		1-216-687-7830					nicole.beadle@medmutual.com	100 American Road		Cleveland	OH	44144	8/20/2025	2026	PARAMOUNT INSURANCE COMPANY	Local CCP	Paramount Elite Medicare Plans	Local PPO		MEDICAL MUTUAL OF OHIO	289	Yes	Consolidation					PPO - BBA		C	Chicago
H5232	Part D Exceptions Contact	"Dir, Pharmacy - Medicare and Information"		Goff	Katie							katie.goff@medmutual.com	100 American Road		Cleveland	OH	44144	6/30/2025	2026	PARAMOUNT INSURANCE COMPANY	Local CCP	Paramount Elite Medicare Plans	Local PPO		MEDICAL MUTUAL OF OHIO	289	Yes	Consolidation	1-216-687-7344				PPO - BBA		C	Chicago
H5232	Pharmacy Network Management Contact	"Dir, Pharmacy - Medicare and Information"		Goff	Katie		1-216-687-7344					lisa.trost@medmutual.com	100 American Road		Cleveland	OH	44144	6/30/2025	2026	PARAMOUNT INSURANCE COMPANY	Local CCP	Paramount Elite Medicare Plans	Local PPO		MEDICAL MUTUAL OF OHIO	289	Yes	Consolidation					PPO - BBA		C	Chicago
H5232	Pharmacy Technical Help Desk Contact	"Manager, Vendor Management"		Rodriguez	Alex							alex.rodriguez@cvs.health	2401 Cherahala Blvd		Knoxville	TN	37932	6/30/2025	2026	PARAMOUNT INSURANCE COMPANY	Local CCP	Paramount Elite Medicare Plans	Local PPO		MEDICAL MUTUAL OF OHIO	289	Yes	Consolidation	1-866-693-4620				PPO - BBA		C	Chicago
H5232	Plan to Plan Reconciliation Contact	PAR - Financial Analyst III		Short	Nicole		1-419-349-8621					Nicole.Short@medmutual.com	100 American Road		Cleveland	OH	44144	11/3/2025	2026	PARAMOUNT INSURANCE COMPANY	Local CCP	Paramount Elite Medicare Plans	Local PPO		MEDICAL MUTUAL OF OHIO	289	Yes	Consolidation					PPO - BBA		C	Chicago
H5244	Automated TrOOP Balance Transfer Contact	Pharmacy Analyst		Banks	Marcia	D	1-562-308-1189	1189			1-562-997-3196	mcurtis@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	2/6/2023	2026	SCAN HEALTH PLAN (NM)	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5244	Best Available Evidence Contact	"Director, Enrollment & Reconciliation"	Mr.	Coronel	Vincent		1-562-637-1234				1-562-989-5243	vcoronel@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	2/6/2023	2026	SCAN HEALTH PLAN (NM)	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5244	Chief Financial Officer	Chief Financial Officer	Mr.	Plumb	Michael		1-562-997-1589				1-562-308-3707	mplumb@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	4/10/2023	2026	SCAN HEALTH PLAN (NM)	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5244	CMS Casework Communication Contact	Sr. Dir Medicare Compliance Officer		Cordova	Elizabeth		1-562-997-3131				1-562-989-5120	ecordova@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	10/14/2025	2026	SCAN HEALTH PLAN (NM)	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5244	Coordination of Benefits Contact	Pharmacy Analyst		Banks	Marcia	D	1-562-308-1189	1189			1-562-997-3196	mcurtis@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	2/6/2023	2026	SCAN HEALTH PLAN (NM)	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5244	Customer Service Operations Contact	"Director, (Customer) Member Services"	Ms.	McBeath	Kim		1-562-997-1805				1-562-989-5181	kmcbeath@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	2/6/2023	2026	SCAN HEALTH PLAN (NM)	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5244	Government Relations Contact	VP of Government Relations		Kazan	Matt		1-800-559-3500				1-562-989-9439	m.kazan@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	6/25/2024	2026	SCAN HEALTH PLAN (NM)	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5244	Hospice Contact	Sr Dir Pharm & Formly Ops		Slavina	Yelena		1-562-308-2816					yslavina@scanhealthplan.com	3800 Kilroy Airport Way		Long Beach	CA	90806	8/7/2025	2026	SCAN HEALTH PLAN (NM)	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5244	Medicare Compliance Officer	Sr. Dir Medicare Compliance Officer	Ms.	Cordova	Elizabeth		1-562-997-3131				1-562-989-5120	ecordova@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	10/14/2025	2026	SCAN HEALTH PLAN (NM)	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5244	Part D Exceptions Contact	Sr. Manager – Pharmacy Prior Authorization	Mr.	Herbert	Joshua							Joshua.Herbert@evernorth.com	One Express Way Mail Stop	S13NB	St. Louis	MO	63121	10/14/2025	2026	SCAN HEALTH PLAN (NM)	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active	1-513-292-0563	733326			HMO - Health Maintenance Organization		C	Chicago
H5244	Pharmacy Network Management Contact	"Network Acct Director, Retail Strategy"	Ms.	Kelly	Heather		1-314-692-1866				1-800-357-9578	hakelly@express-scripts.com	One Express Way		St Louis	MO	63121	2/6/2023	2026	SCAN HEALTH PLAN (NM)	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5244	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	13051 N. Telecom Pkwy	STE 150	Temple Terrace''	FL	33637	2/6/2023	2026	SCAN HEALTH PLAN (NM)	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Chicago
H5244	Plan to Plan Reconciliation Contact	"Vice President, Controller"	Ms.	Havai	Virginia		1-562-989-8300				1-562-989-0101	P2PAdmin@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	2/6/2023	2026	SCAN HEALTH PLAN (NM)	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5253	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5253	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5253	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5253	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5253	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5253	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5253	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5253	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5253	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5253	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H5253	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5253	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H5253	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5256	Chief Financial Officer	Director of Finance	Ms.	Robson	Lynee		1-563-584-4773					lrobson@mahealthcare.com	1500 Associates Drive		Dubuque	IA	52002	10/8/2025	2026	MEDICAL ASSOCIATES CLINIC HEALTH PLAN	1876 Cost	Medical Associates Clinic Health Plan of Wisconsin	1876 Cost		"Medical Associates Clinic, P.C."	156	No	Active					Cost1		1	Atlanta
H5256	CMS Casework Communication Contact	Medicare Compliance Analyst		Digmann	Jodi	A	1-563-584-4836				1-563-556-5134	jdigmann@mahealthcare.com	"1605 Associates Drive, Suite 101"		Dubuque	IA	52002	10/8/2025	2026	MEDICAL ASSOCIATES CLINIC HEALTH PLAN	1876 Cost	Medical Associates Clinic Health Plan of Wisconsin	1876 Cost		"Medical Associates Clinic, P.C."	156	No	Active					Cost1		1	Atlanta
H5256	Customer Service Operations Contact	Manager Member Services		Boge	Laura		1-569-556-8070	4857			1-569-556-5134	lboge@mahealthcare.com	"1605 Associates Drive, Suite 101"		Dubuque	IA	52002	3/11/2026	2026	MEDICAL ASSOCIATES CLINIC HEALTH PLAN	1876 Cost	Medical Associates Clinic Health Plan of Wisconsin	1876 Cost		"Medical Associates Clinic, P.C."	156	No	Active					Cost1		1	Atlanta
H5256	Government Relations Contact	Medicare Compliance Analyst		Digmann	Jodi	A	1-563-584-4836				1-563-556-5134	jdigmann@mahealthcare.com	"1605 Associates Drive, Suite 101"		Dubuque	IA	52002	10/8/2025	2026	MEDICAL ASSOCIATES CLINIC HEALTH PLAN	1876 Cost	Medical Associates Clinic Health Plan of Wisconsin	1876 Cost		"Medical Associates Clinic, P.C."	156	No	Active					Cost1		1	Atlanta
H5256	Medicare Compliance Officer	Manager of Regulatory Affairs and QI	Mr.	Walters	Richard		1-563-556-8070	4864			1-563-556-5134	rwalters@mahealthcare.com	"1605 Associates Drive, Suite 101"		Dubuque	IA	52002	10/8/2025	2026	MEDICAL ASSOCIATES CLINIC HEALTH PLAN	1876 Cost	Medical Associates Clinic Health Plan of Wisconsin	1876 Cost		"Medical Associates Clinic, P.C."	156	No	Active					Cost1		1	Atlanta
H5262	Automated TrOOP Balance Transfer Contact	Pharmacy Manager		Suhr	Anessa		1-608-881-8616				1-608-881-8307	anessa.suhr@quartzbenefits.com	2650 Novation Pkwy		Fitchburg	WI	53713	8/6/2025	2026	QUARTZ HEALTH PLAN CORPORATION	Local CCP	Quartz Medicare Advantage (HMO)	HMO/HMOPOS		University of Wisconsin Hospitals and Clincs Autho	677	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5262	Best Available Evidence Contact	"Director, Enrollment, Billing & Collections"		Jones	Jenny		1-608-471-4695					jenny.jones@quartzbenefits.com	2650 Novation Pkwy		Fitchburg	WI	53713	8/6/2025	2026	QUARTZ HEALTH PLAN CORPORATION	Local CCP	Quartz Medicare Advantage (HMO)	HMO/HMOPOS		University of Wisconsin Hospitals and Clincs Autho	677	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5262	Chief Financial Officer	"Senior Vice President, CFO, Treasurer"	Mr.	Butcher	Jeff		1-608-471-4771					jeffrey.butcher@quartzbenefits.com	2650 Novation Pkwy		Fitchburg	WI	53713	8/6/2025	2026	QUARTZ HEALTH PLAN CORPORATION	Local CCP	Quartz Medicare Advantage (HMO)	HMO/HMOPOS		University of Wisconsin Hospitals and Clincs Autho	677	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5262	CMS Casework Communication Contact	Senior Compliance Analyst		Stanton	Jessica		1-608-881-8157					jessica.stanton@quartzbenefits.com	2650 Novation Pkwy		Fitchburg	WI	53713	8/6/2025	2026	QUARTZ HEALTH PLAN CORPORATION	Local CCP	Quartz Medicare Advantage (HMO)	HMO/HMOPOS		University of Wisconsin Hospitals and Clincs Autho	677	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5262	Coordination of Benefits Contact	"Director, Enrollment, Billing & Collections"		Jones	Jenny		1-608-471-4695					jenny.jones@quartzbenefits.com	2650 Novation Pkwy		Fitchburg	WI	53713	8/6/2025	2026	QUARTZ HEALTH PLAN CORPORATION	Local CCP	Quartz Medicare Advantage (HMO)	HMO/HMOPOS		University of Wisconsin Hospitals and Clincs Autho	677	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5262	Customer Service Operations Contact	Senior Director of Customer Success		Greubel	Lori		1-608-644-1433					lori.greubel@quartzbenefits.com	2650 Novation Pkwy		Fitchburg	WI	53713	8/6/2025	2026	QUARTZ HEALTH PLAN CORPORATION	Local CCP	Quartz Medicare Advantage (HMO)	HMO/HMOPOS		University of Wisconsin Hospitals and Clincs Autho	677	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5262	Government Relations Contact	Chief Compliance Officer	Mrs.	Skifton	Kelly		1-608-881-8151					kelly.skifton@quartzbenefits.com	2650 Novation Pkwy		Fitchburg	WI	53713	8/6/2025	2026	QUARTZ HEALTH PLAN CORPORATION	Local CCP	Quartz Medicare Advantage (HMO)	HMO/HMOPOS		University of Wisconsin Hospitals and Clincs Autho	677	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5262	Hospice Contact	Pharmacy Manager		Suhr	Anessa		1-608-881-8616				1-608-881-8307	anessa.suhr@quartzbenefits.com	2650 Novation Pkwy		Fitchburg	WI	53713	8/6/2025	2026	QUARTZ HEALTH PLAN CORPORATION	Local CCP	Quartz Medicare Advantage (HMO)	HMO/HMOPOS		University of Wisconsin Hospitals and Clincs Autho	677	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5262	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Skifton	Kelly	N	1-608-881-8151					kelly.skifton@quartzbenefits.com	2650 Novation Pkwy		Fitchburg	WI	53713	8/6/2025	2026	QUARTZ HEALTH PLAN CORPORATION	Local CCP	Quartz Medicare Advantage (HMO)	HMO/HMOPOS		University of Wisconsin Hospitals and Clincs Autho	677	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5262	Part D Exceptions Contact	Pharmacy Manager		Suhr	Anessa						1-608-881-8307	anessa.suhr@quartzbenefits.com	2650 Novation Pkwy		Fitchburg	WI	53713	8/6/2025	2026	QUARTZ HEALTH PLAN CORPORATION	Local CCP	Quartz Medicare Advantage (HMO)	HMO/HMOPOS		University of Wisconsin Hospitals and Clincs Autho	677	Yes	Active	1-800-394-5566				HMO - Health Maintenance Organization		C	Chicago
H5262	Pharmacy Network Management Contact	Pharmacy Manager		Suhr	Anessa		1-608-881-8616				1-608-881-8307	anessa.suhr@quartzbenefits.com	2650 Novation Pkwy		Fitchburg	WI	53713	8/6/2025	2026	QUARTZ HEALTH PLAN CORPORATION	Local CCP	Quartz Medicare Advantage (HMO)	HMO/HMOPOS		University of Wisconsin Hospitals and Clincs Autho	677	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5262	Pharmacy Technical Help Desk Contact	"OptumRx Senior Manager, PhD"		Villanueva	Juan							juan.villanueva@optum.com	11000 Optum Circle		Eden Prairie	MN	55344	8/6/2025	2026	QUARTZ HEALTH PLAN CORPORATION	Local CCP	Quartz Medicare Advantage (HMO)	HMO/HMOPOS		University of Wisconsin Hospitals and Clincs Autho	677	Yes	Active	1-800-506-4614				HMO - Health Maintenance Organization		C	Chicago
H5262	Plan to Plan Reconciliation Contact	Lead Financial Analyst		Cheung	Sheila		1-608-881-8082					sheila.cheung@quartzbenefits.com	2650 Novation Pkwy		Fitchburg	WI	53713	8/6/2025	2026	QUARTZ HEALTH PLAN CORPORATION	Local CCP	Quartz Medicare Advantage (HMO)	HMO/HMOPOS		University of Wisconsin Hospitals and Clincs Autho	677	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5264	Chief Financial Officer	CFO	Ms	Dusil	Krista		1-952-992-3908					CFO@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	7/1/2025	2026	"DEAN HEALTH PLAN, INC."	1876 Cost	"Dean Health Plan, Inc."	1876 Cost		Medica Holding Company	439	No	Active					Cost1		1	Dallas
H5264	CMS Casework Communication Contact	"Manager, Consumer Advisor"		Blum	Adam		1-608-827-4420					Adam.Blum@deancare.com	1277 Deming Way		Madison	WI	53717	10/23/2023	2026	"DEAN HEALTH PLAN, INC."	1876 Cost	"Dean Health Plan, Inc."	1876 Cost		Medica Holding Company	439	No	Active					Cost1		1	Dallas
H5264	Customer Service Operations Contact	Manager Customer Service		Riske	Christina		1-800-279-1302					Christina.Riske@deancare.com	1277 Deming Way		Madison	WI	53717	8/23/2023	2026	"DEAN HEALTH PLAN, INC."	1876 Cost	"Dean Health Plan, Inc."	1876 Cost		Medica Holding Company	439	No	Active					Cost1		1	Dallas
H5264	Government Relations Contact	"VP & GM, Medicare"		Orr	Britta		1-952-992-3111					Britta.Orr@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	6/12/2025	2026	"DEAN HEALTH PLAN, INC."	1876 Cost	"Dean Health Plan, Inc."	1876 Cost		Medica Holding Company	439	No	Active					Cost1		1	Dallas
H5264	Medicare Compliance Officer	VP Risk and Compliance	Ms	Bengtson	Kelly		1-952-992-3948					complianceofficer@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	2/24/2026	2026	"DEAN HEALTH PLAN, INC."	1876 Cost	"Dean Health Plan, Inc."	1876 Cost		Medica Holding Company	439	No	Active					Cost1		1	Dallas
H5272	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	2/7/2025	2026	"ABSOLUTE TOTAL CARE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5272	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	"ABSOLUTE TOTAL CARE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5272	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	2/7/2025	2026	"ABSOLUTE TOTAL CARE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5272	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"ABSOLUTE TOTAL CARE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5272	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"ABSOLUTE TOTAL CARE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5272	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	2/7/2025	2026	"ABSOLUTE TOTAL CARE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5272	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"ABSOLUTE TOTAL CARE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5272	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	2/7/2025	2026	"ABSOLUTE TOTAL CARE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5272	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	"ABSOLUTE TOTAL CARE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5272	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	2/7/2025	2026	"ABSOLUTE TOTAL CARE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Dallas
H5272	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	"ABSOLUTE TOTAL CARE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5272	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/11/2025	2026	"ABSOLUTE TOTAL CARE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-4244				HMO - Health Maintenance Organization		C	Dallas
H5272	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	2/7/2025	2026	"ABSOLUTE TOTAL CARE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5273	Automated TrOOP Balance Transfer Contact	"Manager, Premium Billing, Membership Accounting &"		Burns	Kevin		1-781-612-3538					Kevin.Burns@point32health.org	1 Wellness Way		Canton	MA	02021	5/28/2026	2026	"CAREPARTNERS OF CONNECTICUT, INC."	Local CCP	CarePartners of Connecticut	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H5273	Best Available Evidence Contact	"Director, Public Plans Enrollment & Revenue Rec"		Mahoney	Thomas		1-781-612-4897	3152780				thomas.mahoney@point32health.org	1 Wellness Way		Canton	MA	02021	5/28/2026	2026	"CAREPARTNERS OF CONNECTICUT, INC."	Local CCP	CarePartners of Connecticut	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H5273	Chief Financial Officer	Chief Financial Officer	Mr.	Marrone	Michael		1-781-612-6435					michael.marrone@point32health.org	1 Wellness Way		Canton	MA	02021	5/28/2026	2026	"CAREPARTNERS OF CONNECTICUT, INC."	Local CCP	CarePartners of Connecticut	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H5273	CMS Casework Communication Contact	"Sr. Program Manager, Appeals & Grievances"		Mello	Sheri		1-781-612-1000	84682				sheri.mello@point32health.org	1 Wellness Way		Canton	MA	02021	5/28/2026	2026	"CAREPARTNERS OF CONNECTICUT, INC."	Local CCP	CarePartners of Connecticut	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H5273	Coordination of Benefits Contact			COB Inquiries	Medicare		1-781-612-1000					Medicare_COB_Inquiries@point32health.org	1 Wellness Way		Canton	MA	02021	5/28/2026	2026	"CAREPARTNERS OF CONNECTICUT, INC."	Local CCP	CarePartners of Connecticut	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H5273	Customer Service Operations Contact	"Manager, Member Services"		Villatoro	Yesly		1-781-612-1000	54152				yesly.villatoro@point32health.org	1 Wellness Way		Canton	MA	02021	5/28/2026	2026	"CAREPARTNERS OF CONNECTICUT, INC."	Local CCP	CarePartners of Connecticut	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H5273	Government Relations Contact	Chief Government Affairs Officer		Lewis	Kristin		1-781-612-1000	83621				kristin.lewis@point32health.org	1 Wellness Way		Canton	MA	02021	5/28/2026	2026	"CAREPARTNERS OF CONNECTICUT, INC."	Local CCP	CarePartners of Connecticut	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H5273	Hospice Contact	"Senior Manager, Pharmacy Operations & Programs"		Alves	Heather		1-508-965-9919					Heather.Alves@point32health.org	1 Wellness Way		Canton	MA	02021	5/28/2026	2026	"CAREPARTNERS OF CONNECTICUT, INC."	Local CCP	CarePartners of Connecticut	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H5273	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Geroski	Tami	A	1-570-814-2999					tami.geroski@point32health.org	1 Wellness Way		Canton	MA	02021	5/28/2026	2026	"CAREPARTNERS OF CONNECTICUT, INC."	Local CCP	CarePartners of Connecticut	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H5273	Part D Exceptions Contact	"Director, Pharmacy Utilization Management"		Chan	Bryan							bryan.chan@point32health.org	1 Wellness Way		Canton	MA	02021	5/28/2026	2026	"CAREPARTNERS OF CONNECTICUT, INC."	Local CCP	CarePartners of Connecticut	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Withdrawn Contract	1-781-612-1000	82370			HMO - Health Maintenance Organization		C	Boston
H5273	Pharmacy Network Management Contact	"Manager, Retail Network Operations"		Perez	Felix		1-305-331-3044					Felix.perez@optum.com	11000 Optum Circle		Eden Prairie	MN	55344	5/28/2026	2026	"CAREPARTNERS OF CONNECTICUT, INC."	Local CCP	CarePartners of Connecticut	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H5273	Pharmacy Technical Help Desk Contact	Sr. Manager		Villaneuva	Juan							Juan.Villanueva@optum.com	3515 S Harbor Blvd.		Costa Mesa	CA	92626	5/28/2026	2026	"CAREPARTNERS OF CONNECTICUT, INC."	Local CCP	CarePartners of Connecticut	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Withdrawn Contract	1-855-679-2639				HMO - Health Maintenance Organization		C	Boston
H5273	Plan to Plan Reconciliation Contact	"Manager, Finance Operations Compliance"		Schumaker	Tyler		1-617-972-9400	87394				Tyler.Schumaker@point32health.org	1 Wellness Way		Canton	MA	02021	5/28/2026	2026	"CAREPARTNERS OF CONNECTICUT, INC."	Local CCP	CarePartners of Connecticut	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H5292	Automated TrOOP Balance Transfer Contact	VP of IT		Ramaglia	Damon		1-347-842-3584					damon.ramaglia@elderservehealth.org	80 West 225th Street		Bronx	NY	10463	8/31/2022	2026	"ELDERSERVE HEALTH, INC."	National PACE	RiverSpring Health Plans	National PACE		RiverSpring Living Holding Corp.	524	Yes	Pending					PACE - Nat		C	New York
H5292	Best Available Evidence Contact	VP of Operational Support		Rosen	Richard		1-347-842-3684					richard.rosen@elderservehealth.org	80 West 225th Street		Bronx	NY	10463	8/31/2022	2026	"ELDERSERVE HEALTH, INC."	National PACE	RiverSpring Health Plans	National PACE		RiverSpring Living Holding Corp.	524	Yes	Pending					PACE - Nat		C	New York
H5292	Chief Financial Officer	SVP of Finance	Mr.	Cavaliere	Andrew		1-347-842-3505					andy.cavaliere@elderservehealth.org	80 West 225th Street		Bronx	NY	10463	8/31/2022	2026	"ELDERSERVE HEALTH, INC."	National PACE	RiverSpring Health Plans	National PACE		RiverSpring Living Holding Corp.	524	Yes	Pending					PACE - Nat		C	New York
H5292	CMS Casework Communication Contact	Executive Vice President	Ms.	Aldrich	Susan		1-914-960-4407					susan.aldrich@elderservehealth.org	80 West 225th Street		Bronx	NY	10463	8/31/2022	2026	"ELDERSERVE HEALTH, INC."	National PACE	RiverSpring Health Plans	National PACE		RiverSpring Living Holding Corp.	524	Yes	Pending					PACE - Nat		C	New York
H5292	Coordination of Benefits Contact	SVP of Finance	Mr.	Cavaliere	Andrew		1-347-842-3505					andy.cavaliere@elderservehealth.org	80 West 225th Street		Bronx	NY	10463	8/31/2022	2026	"ELDERSERVE HEALTH, INC."	National PACE	RiverSpring Health Plans	National PACE		RiverSpring Living Holding Corp.	524	Yes	Pending					PACE - Nat		C	New York
H5292	Customer Service Operations Contact	VP of Member Services		Hron	Patty		1-347-842-3541					patty.hron@elderservehealth.org	80 West 225th Street		Bronx	NY	10463	8/31/2022	2026	"ELDERSERVE HEALTH, INC."	National PACE	RiverSpring Health Plans	National PACE		RiverSpring Living Holding Corp.	524	Yes	Pending					PACE - Nat		C	New York
H5292	Government Relations Contact	Executive Vice President	Ms.	Aldrich	Susan		1-914-960-4407					susan.aldrich@elderservehealth.org	80 West 225th Street		Bronx	NY	10463	8/31/2022	2026	"ELDERSERVE HEALTH, INC."	National PACE	RiverSpring Health Plans	National PACE		RiverSpring Living Holding Corp.	524	Yes	Pending					PACE - Nat		C	New York
H5292	Medicare Compliance Officer	"SVP, Regulatory Affairs"	Ms.	Ling	Jenny		1-347-842-3528					jenny.ling@elderservehealth.org	80 West 225th Street		Bronx	NY	10463	8/31/2022	2026	"ELDERSERVE HEALTH, INC."	National PACE	RiverSpring Health Plans	National PACE		RiverSpring Living Holding Corp.	524	Yes	Pending					PACE - Nat		C	New York
H5292	Part D Exceptions Contact	Director of Medicare		Williams	Sadirah							Sadirah.Williams@elderservehealth.org	80 West 225th Street		Bronx	NY	10463	8/31/2022	2026	"ELDERSERVE HEALTH, INC."	National PACE	RiverSpring Health Plans	National PACE		RiverSpring Living Holding Corp.	524	Yes	Pending	1-201-832-0060				PACE - Nat		C	New York
H5292	Pharmacy Network Management Contact	Director of Medicare		Williams	Sadirah		1-201-832-0060					Sadirah.Williams@elderservehealth.org	80 West 225th Street		Bronx	NY	10463	8/31/2022	2026	"ELDERSERVE HEALTH, INC."	National PACE	RiverSpring Health Plans	National PACE		RiverSpring Living Holding Corp.	524	Yes	Pending					PACE - Nat		C	New York
H5292	Pharmacy Technical Help Desk Contact	Director of Medicare		Williams	Sadirah							Sadirah.Williams@elderservehealth.org	80 West 225th Street		Bronx	NY	10463	8/31/2022	2026	"ELDERSERVE HEALTH, INC."	National PACE	RiverSpring Health Plans	National PACE		RiverSpring Living Holding Corp.	524	Yes	Pending	1-201-832-0060				PACE - Nat		C	New York
H5292	Plan to Plan Reconciliation Contact	AVP of Finance		Lugo	Michelle		1-347-842-3557					michelle.lugo@elderservehealth.org	80 West 225th Street		Bronx	NY	10463	8/31/2022	2026	"ELDERSERVE HEALTH, INC."	National PACE	RiverSpring Health Plans	National PACE		RiverSpring Living Holding Corp.	524	Yes	Pending					PACE - Nat		C	New York
H5294	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	"SUPERIOR HEALTHPLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5294	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	"SUPERIOR HEALTHPLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5294	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/25/2024	2026	"SUPERIOR HEALTHPLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5294	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"SUPERIOR HEALTHPLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5294	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"SUPERIOR HEALTHPLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5294	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	9/18/2024	2026	"SUPERIOR HEALTHPLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5294	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"SUPERIOR HEALTHPLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5294	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	"SUPERIOR HEALTHPLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5294	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	"SUPERIOR HEALTHPLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5294	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/25/2024	2026	"SUPERIOR HEALTHPLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H5294	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	"SUPERIOR HEALTHPLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5294	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/11/2025	2026	"SUPERIOR HEALTHPLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-4258				HMO - Health Maintenance Organization		C	Denver
H5294	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	6/25/2024	2026	"SUPERIOR HEALTHPLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5296	Automated TrOOP Balance Transfer Contact	PBM - Manager Project and Program Management		Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5296	Best Available Evidence Contact	"Director, Membership & Eligibility"		Starks	Heather		1-661-433-0187				1-562-207-4623	HStarks@ahcusa.com	1100 W. Town and Country Road #300		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5296	Chief Financial Officer	Chief Financial Officer	Mr.	Head	James	M	1-657-218-7612					Jhead@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5296	CMS Casework Communication Contact	CEO		Maroney	Dawn		1-844-310-2247				1-844-320-2247	DMaroney@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5296	Coordination of Benefits Contact	"Director, Membership & Eligibility"		Starks	Heather		1-661-433-0187					HStarks@ahcusa.com	1100 W. Town and Country Rd #1600		Orange	CA	92868	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5296	Customer Service Operations Contact	"VP, Member Experience"		Shaffer	Troy		1-714-208-2446					TShaffer@ahcusa.com	1100  W. Town and Country Road #300		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5296	Government Relations Contact	"SVP, Chief Compliance Officer"		Lynch	Cindy		1-657-383-5394					clynch@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5296	Hospice Contact	"SVP, Market Management"	Dr.	Kim	John		1-657-218-7640					jkim@ahcusa.com	1100 W Town and Country	Suite 1600	Orange	CA	92868	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5296	Medicare Compliance Officer	"SVP, Chief Compliance Officer"	Ms.	Lynch	Cindy	B	1-657-383-5394					clynch@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5296	Part D Exceptions Contact	PBM - Regulatory Pharmacist Sr.		Emerson	Kimberly						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active	1-800-693-6651				HMO - Health Maintenance Organization		C	Chicago
H5296	Pharmacy Network Management Contact	"PBM - VP, Network Management"		Conlin	Marci		1-612-777-2842				1-877-823-6373	marci.conlin@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55122	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5296	Pharmacy Technical Help Desk Contact	"PBM - Sr. Director, Member Services"		Scott	Shane							shane.scott@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active	1-844-227-7615				HMO - Health Maintenance Organization		C	Chicago
H5296	Plan to Plan Reconciliation Contact	"Manager, Financial Operations"		De La Torre	Angelo		1-657-218-7422				1-562-207-4266	adelatorre@ahcusa.com	1100 W. Town and Country Road #300		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5299	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF NORTH CAROLINA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5299	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF NORTH CAROLINA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5299	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF NORTH CAROLINA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5299	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF NORTH CAROLINA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5299	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF NORTH CAROLINA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5299	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF NORTH CAROLINA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5299	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF NORTH CAROLINA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5299	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF NORTH CAROLINA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5299	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF NORTH CAROLINA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5299	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF NORTH CAROLINA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				HMO - Health Maintenance Organization		C	New York
H5299	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF NORTH CAROLINA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5299	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF NORTH CAROLINA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H5299	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF NORTH CAROLINA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5302	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	AETNA HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5302	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	AETNA HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5302	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5302	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	AETNA HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5302	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	AETNA HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5302	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	AETNA HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5302	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5302	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	AETNA HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5302	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	AETNA HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5302	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	AETNA HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H5302	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5302	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	AETNA HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H5302	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA HEALTH INC. (GA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5314	Automated TrOOP Balance Transfer Contact			Burns	Kevin		1-781-612-3538					Kevin.Burns@point32health.org	1 Wellness Way		Canton	MA	02021	1/15/2026	2026	"TUFTS HEALTH PUBLIC PLANS, INC."	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5314	Best Available Evidence Contact			Hummel	Matthew		1-781-612-6887					matthew.hummel@point32health.org	1 Wellness Way		Canton	MA	02021	1/5/2026	2026	"TUFTS HEALTH PUBLIC PLANS, INC."	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5314	Chief Financial Officer	Chief Financial Officer	Mr.	Marrone	Michael		1-781-612-6435					michael.marrone@point32health.org	1 Wellness Way		Canton	MA	02021	1/7/2026	2026	"TUFTS HEALTH PUBLIC PLANS, INC."	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5314	CMS Casework Communication Contact	"Sr. Program Manager, Appeals & Grievances"		Mello	Sheri		1-781-612-1000	84682				sheri.mello@point32health.org	1 Wellness Way		Canton	MA	02021	4/3/2025	2026	"TUFTS HEALTH PUBLIC PLANS, INC."	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5314	Coordination of Benefits Contact			COB Inquiries	Medicare		1-781-612-1000					Medicare_COB_Inquiries@point32health.org	1 Wellness Way		Canton	MA	02021	4/3/2025	2026	"TUFTS HEALTH PUBLIC PLANS, INC."	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5314	Customer Service Operations Contact	"Manager, Member Services"		Allen	Anthony		1-781-612-1000	82203				Anthony.Allen@point32health.org	1 Wellness Way		Canton	MA	02021	2/10/2025	2026	"TUFTS HEALTH PUBLIC PLANS, INC."	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5314	Government Relations Contact	Chief Government Affairs Officer		Lewis	Kristin		1-781-612-1000	83621				kristin.lewis@point32health.org	1 Wellness Way		Canton	MA	02021	4/3/2025	2026	"TUFTS HEALTH PUBLIC PLANS, INC."	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5314	Hospice Contact	"Senior Manager , Pharmacy"		Alves	Heather		1-508-965-9919					Heather.Alves@point32health.org	1 Wellness Way		Canton	MA	02021	12/19/2025	2026	"TUFTS HEALTH PUBLIC PLANS, INC."	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5314	Medicare Compliance Officer	Government Programs Compliance Officer	Ms.	Geroski	Tami	A	1-570-814-2999					tami.geroski@point32health.org	1 Wellness Way		Canton	MA	02021	1/5/2026	2026	"TUFTS HEALTH PUBLIC PLANS, INC."	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5314	Part D Exceptions Contact	"Director, Pharmacy Utilization Management"		Chan	Bryan							bryan.chan@point32health.org	1 Wellness Way		Canton	MA	02021	4/3/2025	2026	"TUFTS HEALTH PUBLIC PLANS, INC."	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active	1-781-612-1000	82370			HMO - Health Maintenance Organization		C	Boston
H5314	Pharmacy Network Management Contact	"Manager, Retail Network Operations"		Perez	Felix		1-305-331-3044					Felix.perez@optum.com	11000 Optum Circle		Eden Prairie	MN	55344	1/22/2026	2026	"TUFTS HEALTH PUBLIC PLANS, INC."	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5314	Pharmacy Technical Help Desk Contact	Sr. Manager		Villaneuva	Juan							Juan.Villanueva@optum.com	3515 S Harbor Blvd.		Costa Mesa	CA	92626	4/3/2025	2026	"TUFTS HEALTH PUBLIC PLANS, INC."	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active	1-855-679-2639				HMO - Health Maintenance Organization		C	Boston
H5314	Plan to Plan Reconciliation Contact	"Manager, Finance Operations Compliance"		Schumaker	Tyler		1-617-972-9400	87394				Tyler.Schumaker@point32health.org	1 Wellness Way		Canton	MA	02021	4/3/2025	2026	"TUFTS HEALTH PUBLIC PLANS, INC."	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5322	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5322	Best Available Evidence Contact	"Manager, Enrollment & Eligibility"		Asselin	Krista		1-763-361-1104					krista_asselin@uhc.com	PO Box 9472		Minneapolis	MN	55440	11/14/2025	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5322	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/13/2025	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5322	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5322	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5322	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5322	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5322	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5322	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5322	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H5322	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5322	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H5322	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5325	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	"COVENTRY HEALTH CARE OF KANSAS, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5325	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	"COVENTRY HEALTH CARE OF KANSAS, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5325	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	"COVENTRY HEALTH CARE OF KANSAS, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5325	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	"COVENTRY HEALTH CARE OF KANSAS, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5325	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	"COVENTRY HEALTH CARE OF KANSAS, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5325	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	"COVENTRY HEALTH CARE OF KANSAS, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5325	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	"COVENTRY HEALTH CARE OF KANSAS, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5325	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	"COVENTRY HEALTH CARE OF KANSAS, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5325	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	"COVENTRY HEALTH CARE OF KANSAS, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5325	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	"COVENTRY HEALTH CARE OF KANSAS, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H5325	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	"COVENTRY HEALTH CARE OF KANSAS, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5325	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	"COVENTRY HEALTH CARE OF KANSAS, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H5325	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	"COVENTRY HEALTH CARE OF KANSAS, INC."	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5361	Automated TrOOP Balance Transfer Contact	Lead Business Systems Support Admin		Jimenez	Barbara		1-267-675-1825					barbara.jimenez@ibx.com	1901 Market Street	16th Floor	Philadelphia	PA	19103	2/27/2023	2026	AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY	Local CCP	AmeriHealth	Local PPO		"Independence Health Group, Inc."	609	Yes	Active					PPO - BBA		C	Chicago
H5361	Best Available Evidence Contact	Lead Business Sys Support Admin		Jimenez	Barbara		1-267-675-1825					barbara.jimenez@ibx.com	"1901 Market Street, 16th Floor"		Philadelphia	PA	19103	5/8/2026	2026	AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY	Local CCP	AmeriHealth	Local PPO		"Independence Health Group, Inc."	609	Yes	Active					PPO - BBA		C	Chicago
H5361	Chief Financial Officer	"EVP, CFO, & Treasurer"	Mr.	Lopez	Juan		1-215-241-4614					juan.lopez@ibx.com	1901 Market Street	45th Floor	Philadelphia	PA	19103	3/21/2023	2026	AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY	Local CCP	AmeriHealth	Local PPO		"Independence Health Group, Inc."	609	Yes	Active					PPO - BBA		C	Chicago
H5361	CMS Casework Communication Contact	"Manager, Process Svcs Performance & Admin"		Davis	Isabel		1-267-675-1635					isabel.davis@ibx.com	1900 Market Street	4th Floor	Philadelphia	PA	19103	11/12/2025	2026	AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY	Local CCP	AmeriHealth	Local PPO		"Independence Health Group, Inc."	609	Yes	Active					PPO - BBA		C	Chicago
H5361	Coordination of Benefits Contact	Mgr Claims Optns		Rutledge	Maureen		1-215-793-3141					maureen.rutledge@ibx.com	1901 Market Street	17th Floor	Philadelphia	PA	19103	3/5/2026	2026	AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY	Local CCP	AmeriHealth	Local PPO		"Independence Health Group, Inc."	609	Yes	Active					PPO - BBA		C	Chicago
H5361	Customer Service Operations Contact	"Director, Contact Center"		Koper	Stan		1-215-640-7445					stan.koperjr@ibx.com	1900 Market Street	5th Floor	Philadelphia	PA	19103	2/4/2026	2026	AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY	Local CCP	AmeriHealth	Local PPO		"Independence Health Group, Inc."	609	Yes	Active					PPO - BBA		C	Chicago
H5361	Government Relations Contact	Director of Regulatory Performance Management		Wyka	Tara		1-215-241-3648					tara.wyka@ibx.com	1901 Market Street	22nd Floor	Philadelphia	PA	19103	1/23/2023	2026	AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY	Local CCP	AmeriHealth	Local PPO		"Independence Health Group, Inc."	609	Yes	Active					PPO - BBA		C	Chicago
H5361	Hospice Contact	Pharmacy Service Process & Governance Director		Erdman	Kathy		1-215-241-2654					kathy.erdman@ibx.com	1901 Market Street	29th Floor	Philadelphia	PA	19103	6/29/2023	2026	AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY	Local CCP	AmeriHealth	Local PPO		"Independence Health Group, Inc."	609	Yes	Active					PPO - BBA		C	Chicago
H5361	Medicare Compliance Officer	"Director, Corporate Compliance, Medicare and Comme"	Mr.	Goldberg	Mitchell		1-215-241-9516				1-215-567-4542	mitchell.goldberg@ibx.com	1901 Market Street		Philadelphia	PA	19013	2/13/2025	2026	AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY	Local CCP	AmeriHealth	Local PPO		"Independence Health Group, Inc."	609	Yes	Active					PPO - BBA		C	Chicago
H5361	Part D Exceptions Contact	Pharmacy Service Process & Governance Director		Erdman	Kathy						1-215-241-2654	kathy.erdman@ibx.com	1901 Market Street	29th Floor	Phildelphia	PA	19103	1/24/2023	2026	AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY	Local CCP	AmeriHealth	Local PPO		"Independence Health Group, Inc."	609	Yes	Active	1-888-678-7015				PPO - BBA		C	Chicago
H5361	Pharmacy Network Management Contact	Pharmacy Service Process & Governance Director		Erdman	Kathy		1-215-241-2654				1-215-241-3526	kathy.erdman@ibx.com	1901 Market Street	29th Floor	Philadelphia	PA	19103	1/24/2023	2026	AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY	Local CCP	AmeriHealth	Local PPO		"Independence Health Group, Inc."	609	Yes	Active					PPO - BBA		C	Chicago
H5361	Pharmacy Technical Help Desk Contact	Pharmacy Service Process & Governance Director		Erdman	Kathy						1-215-241-3526	kathy.erdman@ibx.com	1901 Market Street	29th Floor	Phildelphia	PA	19103	2/19/2026	2026	AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY	Local CCP	AmeriHealth	Local PPO		"Independence Health Group, Inc."	609	Yes	Active	1-855-257-7575				PPO - BBA		C	Chicago
H5361	Plan to Plan Reconciliation Contact	Lead GM Data Audit & Sub Analyst		Wyher	Geoffrey		1-215-640-7265				1-215-241-2408	geoffrey.wyher@ibx.com	1901 Market Street	37th Floor	Philadelphia	PA	19103	1/24/2023	2026	AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY	Local CCP	AmeriHealth	Local PPO		"Independence Health Group, Inc."	609	Yes	Active					PPO - BBA		C	Chicago
H5374	Automated TrOOP Balance Transfer Contact	"Operations Manager, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083					Relay.Health@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H5374	Best Available Evidence Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H5374	Chief Financial Officer		Mr.	Granow	Les		1-561-444-0709					les.granow@longevityhealthplan.com	Longevity Health Plan	11780 U.S. Highway 1 Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H5374	CMS Casework Communication Contact			Socoski	Beth		1-561-690-1134					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1 Suite N107		Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H5374	Coordination of Benefits Contact		Ms.	Crowl	Lacey		1-765-792-1412					Lacey.crowl@longevityhealthplan.com	11780 U.S. Highway 1 Suite N107		Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H5374	Customer Service Operations Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H5374	Government Relations Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H5374	Hospice Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H5374	Medicare Compliance Officer		Ms.	Socoski	Beth		1-412-260-1207					Beth.Socoski@longevityhealthplan.com	Longevity Health Plan	11780 U.S. Highway 1 Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H5374	Part D Exceptions Contact	"Assoc Director, Clinical Prior Authorization"	Mr.	LeClair	Christophe						1-888-235-8551	Christopher.LeClair@Navitus.com	1025 West Navitus Drive		Appleton	WI	54913	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active	1-800-204-0016				HMO - Health Maintenance Organization		C	Seattle
H5374	Pharmacy Network Management Contact	"VP, Provider Services"	Mr.	Nagy	Don		1-608-820-4403					Don.Nagy@navitus.com	361 Integrity Drive		Madison	WI	53717	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H5374	Pharmacy Technical Help Desk Contact	"Sr. Manager, Customer Care Accounts"	Ms.	Nett	Danielle						1-888-235-8551	Danielle.Nett@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Seattle
H5374	Plan to Plan Reconciliation Contact		Ms.	Ajayi	Bisi		1-561-632-8915					bisi.ajayi@longevityhealthplan.com	11780 U.S. Highway 1 Suite N107		Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H5377	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5377	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5377	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5377	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	"HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5377	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5377	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5377	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5377	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5377	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5377	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-859-321-9075				HMO - Health Maintenance Organization		C	Kansas City
H5377	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5377	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	"HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-800-865-8715				HMO - Health Maintenance Organization		C	Kansas City
H5377	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	"HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5380	Automated TrOOP Balance Transfer Contact	Pharmacy Director		Nguyen	Emily		1-760-631-5000	1270				enguyen@vcc.org	1000 Vale Terrace Dr.		Vista	CA	92084	2/29/2024	2026	VISTA COMMUNITY CLINIC	National PACE	Vista Community Clinic PACE	National PACE		Vista Community Clinic	840	Yes	Active					PACE - Nat		C	San Francisco
H5380	Best Available Evidence Contact	Chief Innovation Officer		Brazee	Cynthia	L	1-760-631-5000	1008				Cynthia.L.Brazee@vcc.org	465 La Tortuga Dr.		Vista	CA	92081	2/29/2024	2026	VISTA COMMUNITY CLINIC	National PACE	Vista Community Clinic PACE	National PACE		Vista Community Clinic	840	Yes	Active					PACE - Nat		C	San Francisco
H5380	Chief Financial Officer	Chief Financial Officer	Ms.	Lambert	Michele	L	1-760-631-5000	6106				mlambert@vcc.org	465 La Tortuga Dr.		Vista	CA	92081	2/29/2024	2026	VISTA COMMUNITY CLINIC	National PACE	Vista Community Clinic PACE	National PACE		Vista Community Clinic	840	Yes	Active					PACE - Nat		C	San Francisco
H5380	CMS Casework Communication Contact	Chief Innovation Officer		Brazee	Cynthia	L	1-760-631-5000	1008				Cynthia.L.Brazee@vcc.org	465 La Tortuga Dr.		Vista	CA	92081	2/29/2024	2026	VISTA COMMUNITY CLINIC	National PACE	Vista Community Clinic PACE	National PACE		Vista Community Clinic	840	Yes	Active					PACE - Nat		C	San Francisco
H5380	Coordination of Benefits Contact	Revenue Cycle Director		Wingrove	Mary Ann	L	1-760-631-5000	6103				maryann.wingrove@vcc.org	465 La Tortuga Dr.		Vista	CA	92081	2/29/2024	2026	VISTA COMMUNITY CLINIC	National PACE	Vista Community Clinic PACE	National PACE		Vista Community Clinic	840	Yes	Active					PACE - Nat		C	San Francisco
H5380	Customer Service Operations Contact	Chief Development Officer		Heightman	Betsy	L	1-760-631-5000	1139				Betsy@vcc.org	465 La Tortuga Dr.		Vista	CA	92081	2/29/2024	2026	VISTA COMMUNITY CLINIC	National PACE	Vista Community Clinic PACE	National PACE		Vista Community Clinic	840	Yes	Active					PACE - Nat		C	San Francisco
H5380	Government Relations Contact	Chief Development Officer		Heightman	Betsy	L	1-760-631-5000	1140				Betsy@vcc.org	465 La Tortuga Dr.		Vista	CA	92081	2/29/2024	2026	VISTA COMMUNITY CLINIC	National PACE	Vista Community Clinic PACE	National PACE		Vista Community Clinic	840	Yes	Active					PACE - Nat		C	San Francisco
H5380	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Lujan	Dorothy	L	1-760-631-5000	1133				dl@vcc.org	465 La Tortuga Dr.		Vista	CA	92081	2/29/2024	2026	VISTA COMMUNITY CLINIC	National PACE	Vista Community Clinic PACE	National PACE		Vista Community Clinic	840	Yes	Active					PACE - Nat		C	San Francisco
H5380	Part D Exceptions Contact	Pharmacy Director		Nguyen	Emily							enguyen@vcc.org	1000 Vale Terrace Dr.		Vista	CA	92084	2/29/2024	2026	VISTA COMMUNITY CLINIC	National PACE	Vista Community Clinic PACE	National PACE		Vista Community Clinic	840	Yes	Active	1-760-631-5000	1270			PACE - Nat		C	San Francisco
H5380	Pharmacy Network Management Contact	Pharmacy Director		Nguyen	Emily		1-760-631-5000	1270				enguyen@vcc.org	1000 Vale Terrace Dr.		Vista	CA	92084	2/29/2024	2026	VISTA COMMUNITY CLINIC	National PACE	Vista Community Clinic PACE	National PACE		Vista Community Clinic	840	Yes	Active					PACE - Nat		C	San Francisco
H5380	Pharmacy Technical Help Desk Contact	Pharmacy Director		Nguyen	Emily							enguyen@vcc.org	1000 Vale Terrace Dr.		Vista	CA	92084	2/29/2024	2026	VISTA COMMUNITY CLINIC	National PACE	Vista Community Clinic PACE	National PACE		Vista Community Clinic	840	Yes	Active	1-760-631-5000	1270			PACE - Nat		C	San Francisco
H5380	Plan to Plan Reconciliation Contact	Chief Financial Officer		Lambert	Michele	L	1-760-631-5000	6106				mlambert@vcc.org	465 La Tortuga Dr.		Vista	CA	92081	2/29/2024	2026	VISTA COMMUNITY CLINIC	National PACE	Vista Community Clinic PACE	National PACE		Vista Community Clinic	840	Yes	Active					PACE - Nat		C	San Francisco
H5384	Automated TrOOP Balance Transfer Contact	Vice President of Finance	Ms.	DiMaria	Anna		1-516-422-7891					adimaria@Kinshiphs.com	225 Crossways Park Drive		Woodbury	NY	11797	6/1/2026	2026	"KINSHIP PACE OF SOUTH FLORIDA, LLC"	National PACE	"Kinship PACE of South Florida, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Pending					PACE - Nat		C	Atlanta
H5384	Best Available Evidence Contact	CEO	Mrs	Garay	Lisa		1-201-675-5663					lgaray@kinshiphs.com	63 Karen Drive		Mahwah	NJ	07430	6/1/2026	2026	"KINSHIP PACE OF SOUTH FLORIDA, LLC"	National PACE	"Kinship PACE of South Florida, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Pending					PACE - Nat		C	Atlanta
H5384	Chief Financial Officer	Chief Financial Officer	Mr.	Leahy	Ryan		1-845-235-6531					RLeahy@Kinshiphs.com	225 Crossways Park Drive		Woodbury	NY	11797	6/1/2026	2026	"KINSHIP PACE OF SOUTH FLORIDA, LLC"	National PACE	"Kinship PACE of South Florida, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Pending					PACE - Nat		C	Atlanta
H5384	CMS Casework Communication Contact	SVP Clinical Services	Mr	Tavares	David		1-914-610-9706					DTavares@Kinshiphs.com	23 Old Orchard Ln		Stamford	CT	06903	6/1/2026	2026	"KINSHIP PACE OF SOUTH FLORIDA, LLC"	National PACE	"Kinship PACE of South Florida, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Pending					PACE - Nat		C	Atlanta
H5384	Coordination of Benefits Contact	Regional Program Director	Ms.	Hogenkamp	Christine		1-561-961-9869					chogenkamp@kinshiphs.com	2555 Davie Rd		Davie	FL	33317	6/1/2026	2026	"KINSHIP PACE OF SOUTH FLORIDA, LLC"	National PACE	"Kinship PACE of South Florida, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Pending					PACE - Nat		C	Atlanta
H5384	Customer Service Operations Contact	Regional Program Director	Ms.	Hogenkamp	Christine		1-561-961-9869					chogenkamp@kinshiphs.com	2555 Davie Rd		Davie	FL	33317	6/1/2026	2026	"KINSHIP PACE OF SOUTH FLORIDA, LLC"	National PACE	"Kinship PACE of South Florida, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Pending					PACE - Nat		C	Atlanta
H5384	Government Relations Contact	VP Compliance and Government Affairs	Ms.	Lopez	Kim		1-303-960-0733					KLOPEZ@kinshiphs.com	225 Crossways Park Drive		Woodbury	NY	11797	6/1/2026	2026	"KINSHIP PACE OF SOUTH FLORIDA, LLC"	National PACE	"Kinship PACE of South Florida, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Pending					PACE - Nat		C	Atlanta
H5384	Medicare Compliance Officer	VP Compliance and Government Affairs	Ms.	Lopez	Kim		1-303-960-0733					KLOPEZ@kinshiphs.com	225 Crossways Park Drive		Woodbury	NY	11797	6/1/2026	2026	"KINSHIP PACE OF SOUTH FLORIDA, LLC"	National PACE	"Kinship PACE of South Florida, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Pending					PACE - Nat		C	Atlanta
H5384	Part D Exceptions Contact	Regional Program Director	Ms.	Hogenkamp	Christine							chogenkamp@kinshiphs.com	2555 Davie Rd		Davie	FL	33317	6/1/2026	2026	"KINSHIP PACE OF SOUTH FLORIDA, LLC"	National PACE	"Kinship PACE of South Florida, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Pending	1-561-961-9869				PACE - Nat		C	Atlanta
H5384	Pharmacy Network Management Contact	Regional Program Director	Ms.	Hogenkamp	Christine		1-561-961-9869					chogenkamp@kinshiphs.com	2555 Davie Rd		Davie	FL	33317	6/1/2026	2026	"KINSHIP PACE OF SOUTH FLORIDA, LLC"	National PACE	"Kinship PACE of South Florida, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Pending					PACE - Nat		C	Atlanta
H5384	Pharmacy Technical Help Desk Contact	CEO	Mrs	Garay	Lisa							lgaray@kinshiphs.com	63 Karen Drive		Mahwah	NJ	07430	6/1/2026	2026	"KINSHIP PACE OF SOUTH FLORIDA, LLC"	National PACE	"Kinship PACE of South Florida, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Pending	1-201-675-5663				PACE - Nat		C	Atlanta
H5384	Plan to Plan Reconciliation Contact	Regional Program Director	Ms.	Hogenkamp	Christine		1-561-961-9869					chogenkamp@kinshiphs.com	2555 Davie Rd		Davie	FL	33317	6/1/2026	2026	"KINSHIP PACE OF SOUTH FLORIDA, LLC"	National PACE	"Kinship PACE of South Florida, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Pending					PACE - Nat		C	Atlanta
H5386	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Benefits"	Mr.	Contreras	Zachary		1-858-499-5358					zachary.contreras@sharp.com	8520 Tech Way	Suite 200	San Diego	CA	92123	5/27/2021	2026	SHARP HEALTH PLAN	Local CCP	Sharp Health Plan	HMO/HMOPOS		Sharp Healthcare	444	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5386	Best Available Evidence Contact	EDI Management Supervisor		Guglielmetti	Brett		1-858-499-8108					Brett.Guglielmetti@sharp.com	8520 Tech Way	Suite 201	San Diego	CA	92123-1450	10/6/2016	2026	SHARP HEALTH PLAN	Local CCP	Sharp Health Plan	HMO/HMOPOS		Sharp Healthcare	444	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5386	Chief Financial Officer	Vice President and Chief Financial Officer	Ms.	Lee	Summer		1-858-499-8203					summer.lee@sharp.com	8520 Tech Way	Suite 201	San Diego	CA	92123-1450	10/25/2024	2026	SHARP HEALTH PLAN	Local CCP	Sharp Health Plan	HMO/HMOPOS		Sharp Healthcare	444	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5386	CMS Casework Communication Contact	"Director, Ops & Performance Improvement"		Smith	Jason		1-858-499-8077					JASON.SMITH@SHARP.COM	8520 Tech Way	Suite 201	San Diego	CA	92123-1450	4/2/2024	2026	SHARP HEALTH PLAN	Local CCP	Sharp Health Plan	HMO/HMOPOS		Sharp Healthcare	444	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5386	Coordination of Benefits Contact	"Director, Pharmacy Benefits"	Mr.	Contreras	Zachary		1-858-499-5358					zachary.contreras@sharp.com	8520 Tech Way	Suite 200	San Diego	CA	92123	5/27/2021	2026	SHARP HEALTH PLAN	Local CCP	Sharp Health Plan	HMO/HMOPOS		Sharp Healthcare	444	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5386	Customer Service Operations Contact	"Manager, Customer Care"		Meredith	Olivia		1-858-499-8019					olivia.meredith@sharp.com	8520 Tech Way	Suite 201	San Diego	CA	92123-1450	12/19/2019	2026	SHARP HEALTH PLAN	Local CCP	Sharp Health Plan	HMO/HMOPOS		Sharp Healthcare	444	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5386	Government Relations Contact	Dir Compliance/Reg Affairs		Mooney	Ryan		1-858-499-8237					ryan.mooney@sharp.com	8520 Tech Way	Suite 201	San Diego	CA	92123-1450	7/8/2022	2026	SHARP HEALTH PLAN	Local CCP	Sharp Health Plan	HMO/HMOPOS		Sharp Healthcare	444	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5386	Hospice Contact	Lead Data Quality - EDI Management		Shah	Dipali		1-858-499-8005					dipali.shah@sharp.com	8520 Tech Way	Suite 200	San Diego	CA	92123	2/21/2025	2026	SHARP HEALTH PLAN	Local CCP	Sharp Health Plan	HMO/HMOPOS		Sharp Healthcare	444	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5386	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Mooney	Ryan		1-858-499-8327					ryan.mooney@sharp.com	8520 Tech Way	Suite 201	San Diego	CA	92123-1450	10/9/2025	2026	SHARP HEALTH PLAN	Local CCP	Sharp Health Plan	HMO/HMOPOS		Sharp Healthcare	444	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5386	Part D Exceptions Contact	"Director, Pharmacy Benefits"	Mr.	Contreras	Zachary							zachary.contreras@sharp.com	8520 Tech Way	Suite 200	San Diego	CA	92123	6/24/2020	2026	SHARP HEALTH PLAN	Local CCP	Sharp Health Plan	HMO/HMOPOS		Sharp Healthcare	444	Yes	Active	1-855-562-8853				HMO - Health Maintenance Organization		C	Boston
H5386	Pharmacy Network Management Contact	"Director, Pharmacy Benefits"	Mr.	Contreras	Zachary		1-858-499-5358					zachary.contreras@sharp.com	8520 Tech Way	Suite 200	San Diego	CA	92123	5/27/2021	2026	SHARP HEALTH PLAN	Local CCP	Sharp Health Plan	HMO/HMOPOS		Sharp Healthcare	444	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5386	Pharmacy Technical Help Desk Contact	"Director, Pharmacy Benefits"	Mr.	Contreras	Zachary							zachary.contreras@sharp.com	8520 Tech Way	Suite 200	San Diego	CA	92123	6/24/2020	2026	SHARP HEALTH PLAN	Local CCP	Sharp Health Plan	HMO/HMOPOS		Sharp Healthcare	444	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Boston
H5386	Plan to Plan Reconciliation Contact	Vice President and Chief Financial Officer		Lee	Summer		1-858-499-8203					summer.lee@sharp.com	8520 Tech Way	Suite 201	San Diego	CA	92123-1450	10/25/2024	2026	SHARP HEALTH PLAN	Local CCP	Sharp Health Plan	HMO/HMOPOS		Sharp Healthcare	444	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5387	Automated TrOOP Balance Transfer Contact	Finance Director	Mrs	Gonzales	Ann		1-626-457-6900					agonzales@necc.net	2550 W. Main Street		Alhambra	CA	91801	8/26/2024	2026	NORTHEAST COMMUNITY CLINIC	National PACE	Northeast Community Clinic	National PACE		NORTH EAST COMMUNITY CLINIC	859	Yes	Pending					PACE - Nat		C	San Francisco
H5387	Best Available Evidence Contact	Executive Director	Mr	Lau	Christophe		1-626-457-6900					clau@necc.net	2550 W. Main Street		Alhambra	CA	91801	8/26/2024	2026	NORTHEAST COMMUNITY CLINIC	National PACE	Northeast Community Clinic	National PACE		NORTH EAST COMMUNITY CLINIC	859	Yes	Pending					PACE - Nat		C	San Francisco
H5387	Chief Financial Officer	Finance Director	Mrs	Gonzales	Ann		1-626-457-6900					agonzales@necc.net	2550 W. Main Street		Alhambra	CA	91801	8/26/2024	2026	NORTHEAST COMMUNITY CLINIC	National PACE	Northeast Community Clinic	National PACE		NORTH EAST COMMUNITY CLINIC	859	Yes	Pending					PACE - Nat		C	San Francisco
H5387	CMS Casework Communication Contact	Executive Director	Mr	Carrillo	Bernard		1-626-457-6900					bcarrillo@necc.net	2550 W. Main Street		Alhambra	CA	91801	8/26/2024	2026	NORTHEAST COMMUNITY CLINIC	National PACE	Northeast Community Clinic	National PACE		NORTH EAST COMMUNITY CLINIC	859	Yes	Pending					PACE - Nat		C	San Francisco
H5387	Coordination of Benefits Contact	Executive Director	Mr	Carrillo	Bernard		1-626-457-6900					bcarrillo@necc.net	2550 W. Main Street		Alhambra	CA	91801	8/26/2024	2026	NORTHEAST COMMUNITY CLINIC	National PACE	Northeast Community Clinic	National PACE		NORTH EAST COMMUNITY CLINIC	859	Yes	Pending					PACE - Nat		C	San Francisco
H5387	Customer Service Operations Contact	Executive Director	Mr	Carrillo	Bernard		1-626-457-6900					bcarrillo@necc.net	2550 W. Main Street		Alhambra	CA	91801	8/26/2024	2026	NORTHEAST COMMUNITY CLINIC	National PACE	Northeast Community Clinic	National PACE		NORTH EAST COMMUNITY CLINIC	859	Yes	Pending					PACE - Nat		C	San Francisco
H5387	Government Relations Contact	Executive Director	Mr	Lau	Christophe		1-626-457-6900					clau@necc.net	2550 W. Main Street		Alhambra	CA	91801	8/26/2024	2026	NORTHEAST COMMUNITY CLINIC	National PACE	Northeast Community Clinic	National PACE		NORTH EAST COMMUNITY CLINIC	859	Yes	Pending					PACE - Nat		C	San Francisco
H5387	Medicare Compliance Officer	Compliance Officer	Mrs	Devera	Gennie		1-626-457-6900					gdevera@necc.net	2550 W. Main Street		Alhambra	CA	91801	8/26/2024	2026	NORTHEAST COMMUNITY CLINIC	National PACE	Northeast Community Clinic	National PACE		NORTH EAST COMMUNITY CLINIC	859	Yes	Pending					PACE - Nat		C	San Francisco
H5387	Part D Exceptions Contact	Finance Director	Mrs	Gonzales	Ann							agonzales@necc.net	2550 W. Main Street		Alhambra	CA	91801	8/26/2024	2026	NORTHEAST COMMUNITY CLINIC	National PACE	Northeast Community Clinic	National PACE		NORTH EAST COMMUNITY CLINIC	859	Yes	Pending	1-626-457-6900				PACE - Nat		C	San Francisco
H5387	Pharmacy Network Management Contact	Executive Director	Mr	Carrillo	Bernard		1-626-457-6900					bcarrillo@necc.net	2550 W. Main Street		Alhambra	CA	91801	8/26/2024	2026	NORTHEAST COMMUNITY CLINIC	National PACE	Northeast Community Clinic	National PACE		NORTH EAST COMMUNITY CLINIC	859	Yes	Pending					PACE - Nat		C	San Francisco
H5387	Pharmacy Technical Help Desk Contact	Executive Director	Mr	Carrillo	Bernard							bcarrillo@necc.net	2550 W. Main Street		Alhambra	CA	91801	8/26/2024	2026	NORTHEAST COMMUNITY CLINIC	National PACE	Northeast Community Clinic	National PACE		NORTH EAST COMMUNITY CLINIC	859	Yes	Pending	1-626-457-6900				PACE - Nat		C	San Francisco
H5387	Plan to Plan Reconciliation Contact	Executive Director	Mr	Carrillo	Bernard		1-626-457-6900					bcarrillo@necc.net	2550 W. Main Street		Alhambra	CA	91801	8/26/2024	2026	NORTHEAST COMMUNITY CLINIC	National PACE	Northeast Community Clinic	National PACE		NORTH EAST COMMUNITY CLINIC	859	Yes	Pending					PACE - Nat		C	San Francisco
H5397	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF HAWAII, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5397	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF HAWAII, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5397	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF HAWAII, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5397	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF HAWAII, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5397	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF HAWAII, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5397	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF HAWAII, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5397	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF HAWAII, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5397	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF HAWAII, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5397	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF HAWAII, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5397	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF HAWAII, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				HMO - Health Maintenance Organization		C	Atlanta
H5397	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF HAWAII, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5397	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF HAWAII, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Atlanta
H5397	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF HAWAII, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5403	Automated TrOOP Balance Transfer Contact	Health Plan Manager		Li	Jiewen		1-415-292-8692				1-415-292-8745	jiewenl@onlok.org	1333 Bush Street		San Francisco	CA	94109	12/16/2019	2026	ON LOK SENIOR HEALTH SERVICES	National PACE	On Lok PACE	National PACE		"On Lok, Inc."	176	Yes	Active					PACE - Nat		C	San Francisco
H5403	Best Available Evidence Contact	Senior Software Architect		Lin	Alan		1-628-208-8442				1-415-292-8745	alan@onlok.org	1333 Bush Street		San Francisco	CA	94109	4/23/2018	2026	ON LOK SENIOR HEALTH SERVICES	National PACE	On Lok PACE	National PACE		"On Lok, Inc."	176	Yes	Active					PACE - Nat		C	San Francisco
H5403	Chief Financial Officer	Chief Financial Officer	Mr.	Jenkins	Robert		1-628-208-8469				1-415-292-8745	rjenkins@onlok.org	1333 Bush Street		San Francisco	CA	94109	10/16/2024	2026	ON LOK SENIOR HEALTH SERVICES	National PACE	On Lok PACE	National PACE		"On Lok, Inc."	176	Yes	Active					PACE - Nat		C	San Francisco
H5403	CMS Casework Communication Contact	Health Plan Manager		Li	Jiewen		1-415-292-8692				1-415-292-8745	jiewenl@onlok.org	1333 Bush Street		San Francisco	CA	94109	12/16/2019	2026	ON LOK SENIOR HEALTH SERVICES	National PACE	On Lok PACE	National PACE		"On Lok, Inc."	176	Yes	Active					PACE - Nat		C	San Francisco
H5403	Coordination of Benefits Contact	Senior Director of Health Plan Services		Pitkin	Tammie		1-669-271-3777				1-415-292-8745	tpitkin@onlok.org	1333 Bush Street		San Francisco	CA	94109	11/4/2024	2026	ON LOK SENIOR HEALTH SERVICES	National PACE	On Lok PACE	National PACE		"On Lok, Inc."	176	Yes	Active					PACE - Nat		C	San Francisco
H5403	Customer Service Operations Contact	Senior Director of Health Plan Services		Pitkin	Tammie		1-669-271-3777				1-415-292-8745	tpitkin@onlok.org	1333 Bush Street		San Francisco	CA	94109	11/4/2024	2026	ON LOK SENIOR HEALTH SERVICES	National PACE	On Lok PACE	National PACE		"On Lok, Inc."	176	Yes	Active					PACE - Nat		C	San Francisco
H5403	Government Relations Contact	Director of Government Affairs		Kelly	Katherine		1-628-208-8405				1-415-292-8745	kkelly@onlok.org	1333 Bush Street		San Francisco	CA	94109	11/4/2024	2026	ON LOK SENIOR HEALTH SERVICES	National PACE	On Lok PACE	National PACE		"On Lok, Inc."	176	Yes	Active					PACE - Nat		C	San Francisco
H5403	Medicare Compliance Officer	Interim Compliance Officer	Mr.	Tantameng	Peerapong		1-628-208-8451				1-415-292-8745	ptantameng@onlok.org	1333 Bush Street		San Francisco	CA	94109	2/26/2026	2026	ON LOK SENIOR HEALTH SERVICES	National PACE	On Lok PACE	National PACE		"On Lok, Inc."	176	Yes	Active					PACE - Nat		C	San Francisco
H5403	Part D Exceptions Contact	Chief Medical Officer	Dr.	Lui	Benjamin						1-415-292-8745	blui@onlok.org	1333 Bush Street		San Francisco	CA	94109	6/3/2022	2026	ON LOK SENIOR HEALTH SERVICES	National PACE	On Lok PACE	National PACE		"On Lok, Inc."	176	Yes	Active	1-888-996-6565				PACE - Nat		C	San Francisco
H5403	Pharmacy Network Management Contact	Chief Medical Officer	Dr.	Lui	Benjamin		1-415-292-2882				1-415-292-8745	blui@onlok.org	1333 Bush Street		San Francisco	CA	94109	6/3/2022	2026	ON LOK SENIOR HEALTH SERVICES	National PACE	On Lok PACE	National PACE		"On Lok, Inc."	176	Yes	Active					PACE - Nat		C	San Francisco
H5403	Pharmacy Technical Help Desk Contact	Chief Medical Officer	Dr.	Lui	Benjamin						1-415-292-8745	blui@onlok.org	1333 Bush Street		San Francisco	CA	94109	6/3/2022	2026	ON LOK SENIOR HEALTH SERVICES	National PACE	On Lok PACE	National PACE		"On Lok, Inc."	176	Yes	Active	1-888-996-6565				PACE - Nat		C	San Francisco
H5403	Plan to Plan Reconciliation Contact	Director of Regulatory Affairs and Compliance		Chau	Jonathan		1-415-292-8852				1-415-292-8745	jchau@onlok.org	1333 Bush Street		San Francisco	CA	94109	1/9/2017	2026	ON LOK SENIOR HEALTH SERVICES	National PACE	On Lok PACE	National PACE		"On Lok, Inc."	176	Yes	Active					PACE - Nat		C	San Francisco
H5405	Automated TrOOP Balance Transfer Contact	General Counsel	Mr.	Williamson	Brian	J	1-510-387-0222					bwilliamson@cei.elders.org	510 17th Street 3rd Floor		Oakland	CA	94612	6/23/2025	2026	CENTER FOR ELDERS INDEPENDENCE	National PACE	Center For Elders' Independence	National PACE		Center For Elders Independence	53	Yes	Active					PACE - Nat		C	San Francisco
H5405	Best Available Evidence Contact	CMO	Dr.	Mittelberger	James		1-510-433-1150	7117			1-510-452-8836	JMittelberger@cei.elders.org	"510-17th St., Suite 400"		Oakland	CA	94612	3/3/2021	2026	CENTER FOR ELDERS INDEPENDENCE	National PACE	Center For Elders' Independence	National PACE		Center For Elders Independence	53	Yes	Active					PACE - Nat		C	San Francisco
H5405	Chief Financial Officer	CFO	Ms.	Holden	Laura		1-510-318-4714				1-510-844-0189	LHolden@cei.elders.org	510 17th Street 3rd Floor		Oakland	CA	94612	5/1/2025	2026	CENTER FOR ELDERS INDEPENDENCE	National PACE	Center For Elders' Independence	National PACE		Center For Elders Independence	53	Yes	Active					PACE - Nat		C	San Francisco
H5405	CMS Casework Communication Contact	COO	Ms.	Lozzano	Maria		1-510-433-1150				1-510-452-8836	mlozzano@cei.elders.org	"510-17th St., Suite 400"		Oakland	CA	94612	2/23/2026	2026	CENTER FOR ELDERS INDEPENDENCE	National PACE	Center For Elders' Independence	National PACE		Center For Elders Independence	53	Yes	Active					PACE - Nat		C	San Francisco
H5405	Coordination of Benefits Contact	Director of Enrollment and Member Services	Ms.	Yi	Chi	J	1-510-452-8825					CYi@cei.elders.org	510 17th Street 3rd Floor		Oakland	CA	94612	2/23/2026	2026	CENTER FOR ELDERS INDEPENDENCE	National PACE	Center For Elders' Independence	National PACE		Center For Elders Independence	53	Yes	Active					PACE - Nat		C	San Francisco
H5405	Customer Service Operations Contact	COO	Ms.	Lozzano	Maria		1-510-433-1150					mlozzano@cei.elders.org	"510-17th St., Suite 400"		Oakland	CA	94612	2/23/2026	2026	CENTER FOR ELDERS INDEPENDENCE	National PACE	Center For Elders' Independence	National PACE		Center For Elders Independence	53	Yes	Active					PACE - Nat		C	San Francisco
H5405	Government Relations Contact	"Director, Government & Community Affairs"	Mr.	Uwahemu	Uche		1-510-452-8838					UUwahemu@cei.elders.org	"510-17th St., Suite 400"		Oakland	CA	94612	9/29/2025	2026	CENTER FOR ELDERS INDEPENDENCE	National PACE	Center For Elders' Independence	National PACE		Center For Elders Independence	53	Yes	Active					PACE - Nat		C	San Francisco
H5405	Medicare Compliance Officer	General Counsel	Mr.	Williamson	Brian	J	1-502-202-6330					bwilliamson@cei.elders.org	"510 17th St., Suite 400"		Oakland	CA	94612	6/23/2025	2026	CENTER FOR ELDERS INDEPENDENCE	National PACE	Center For Elders' Independence	National PACE		Center For Elders Independence	53	Yes	Active					PACE - Nat		C	San Francisco
H5405	Part D Exceptions Contact	Financial Analyst	Mr.	Moon	Geoff						1-510-844-0189	gmoon@cei.elders.org	510 17th Street 3rd Floor		Oakland	CA	94612	7/10/2012	2026	CENTER FOR ELDERS INDEPENDENCE	National PACE	Center For Elders' Independence	National PACE		Center For Elders Independence	53	Yes	Active	1-510-433-1160	7158			PACE - Nat		C	San Francisco
H5405	Pharmacy Network Management Contact	Financial Analyst	Mr.	Moon	Geoff		1-510-433-1160	7158			1-510-844-0189	gmoon@cei.elders.org	510 17th Street 3rd Floor		Oakland	CA	94612	5/16/2012	2026	CENTER FOR ELDERS INDEPENDENCE	National PACE	Center For Elders' Independence	National PACE		Center For Elders Independence	53	Yes	Active					PACE - Nat		C	San Francisco
H5405	Pharmacy Technical Help Desk Contact	Financial Analyst	Mr.	Moon	Geoff						1-510-844-0189	gmoon@cei.elders.org	510 17th Street 3rd Floor		Oakland	CA	94612	5/16/2012	2026	CENTER FOR ELDERS INDEPENDENCE	National PACE	Center For Elders' Independence	National PACE		Center For Elders Independence	53	Yes	Active	1-510-433-1160	7158			PACE - Nat		C	San Francisco
H5405	Plan to Plan Reconciliation Contact	CFO	Ms.	Holden	Laura		1-510-318-7140				1-510-844-0189	LHolden@cei.elders.org	510 17th Street 3rd Floor		Oakland	CA	94612	5/1/2025	2026	CENTER FOR ELDERS INDEPENDENCE	National PACE	Center For Elders' Independence	National PACE		Center For Elders Independence	53	Yes	Active					PACE - Nat		C	San Francisco
H5406	Automated TrOOP Balance Transfer Contact	Finance Manager	Mr.	Salas	Rafael		1-916-491-3415				1-916-491-6408	salasr@sutterhealth.org	444 North 3rd Street	Suite 150	Sacramento	CA	95811	4/22/2022	2026	SUTTER VALLEY HOSPITALS	National PACE	Sutter SeniorCare PACE	National PACE		Sutter Valley Hospitals	222	Yes	Active					PACE - Nat		C	San Francisco
H5406	Best Available Evidence Contact	Executive Director	Mr	Damalio	Ruggerio		1-833-560-7223				1-916-491-3408	ruggerio.damalio@sutterhealth.org	444 North 3rd Street	Suite 150	Sacramento	CA	95811	2/18/2026	2026	SUTTER VALLEY HOSPITALS	National PACE	Sutter SeniorCare PACE	National PACE		Sutter Valley Hospitals	222	Yes	Active					PACE - Nat		C	San Francisco
H5406	Chief Financial Officer	Finance Manager	Mr.	Salas	Rafael		1-916-491-3415				1-916-491-6408	salasr@sutterhealth.org	444 North 3rd Street	Suite 150	Sacramento	CA	95811	4/28/2022	2026	SUTTER VALLEY HOSPITALS	National PACE	Sutter SeniorCare PACE	National PACE		Sutter Valley Hospitals	222	Yes	Active					PACE - Nat		C	San Francisco
H5406	CMS Casework Communication Contact	Executive Director	Mr	Damalio	Ruggerio		1-833-560-7223				1-916-491-3408	ruggerio.damalio@sutterhealth.org	444 North 3rd Street	Suite 150	Sacramento	CA	95811	2/18/2026	2026	SUTTER VALLEY HOSPITALS	National PACE	Sutter SeniorCare PACE	National PACE		Sutter Valley Hospitals	222	Yes	Active					PACE - Nat		C	San Francisco
H5406	Coordination of Benefits Contact	Finance Manager	Mr.	Salas	Rafael		1-916-491-3415					salasr@sutterhealth.org	444 N 3rd Street	Suite 150	Sacramento	CA	95811	4/28/2022	2026	SUTTER VALLEY HOSPITALS	National PACE	Sutter SeniorCare PACE	National PACE		Sutter Valley Hospitals	222	Yes	Active					PACE - Nat		C	San Francisco
H5406	Customer Service Operations Contact	Executive Director	Mr	Damalio	Ruggerio		1-833-560-7223				1-916-491-3408	ruggerio.damalio@sutterhealth.org	444 North 3rd Street	Suite 150	Sacramento	CA	95811	2/18/2026	2026	SUTTER VALLEY HOSPITALS	National PACE	Sutter SeniorCare PACE	National PACE		Sutter Valley Hospitals	222	Yes	Active					PACE - Nat		C	San Francisco
H5406	Government Relations Contact	Executve Director	Mr	Damalio	Ruggerio		1-833-560-7223				1-916-491-3408	ruggerio.damalio@sutterhealth.org	444 North 3rd Street	Suite 150	Sacramento	CA	95811	3/27/2026	2026	SUTTER VALLEY HOSPITALS	National PACE	Sutter SeniorCare PACE	National PACE		Sutter Valley Hospitals	222	Yes	Active					PACE - Nat		C	San Francisco
H5406	Medicare Compliance Officer	Compliance Officer	Ms.	Arata	Aimee	C	1-916-300-0588					aimee.arata@sutterhealth.org	220 River Plaza Drive		Sacramento	CA	95833	4/2/2026	2026	SUTTER VALLEY HOSPITALS	National PACE	Sutter SeniorCare PACE	National PACE		Sutter Valley Hospitals	222	Yes	Active					PACE - Nat		C	San Francisco
H5406	Part D Exceptions Contact	Finance Manager	Mr.	Salas	Rafael						1-916-491-6408	salasr@sutterhealth.org	444 North 3rd Street	Suite 150	Sacramento	CA	95811	4/28/2022	2026	SUTTER VALLEY HOSPITALS	National PACE	Sutter SeniorCare PACE	National PACE		Sutter Valley Hospitals	222	Yes	Active	1-833-560-7223				PACE - Nat		C	San Francisco
H5406	Pharmacy Network Management Contact	Finance Manager	Mr.	Salas	Rafael		1-916-491-3415					salasr@sutterhealth.org	444 N 3rd Street	Suite 150	Sacramento	CA	95811	4/28/2022	2026	SUTTER VALLEY HOSPITALS	National PACE	Sutter SeniorCare PACE	National PACE		Sutter Valley Hospitals	222	Yes	Active					PACE - Nat		C	San Francisco
H5406	Pharmacy Technical Help Desk Contact	Project & Technical Services Coordinator	Ms.	Burgess	Jewel						1-916-491-3484	burgesjr@sutterhealth.org	444 North 3rd Street	Ste 150	Sacramento	CA	95811	5/18/2021	2026	SUTTER VALLEY HOSPITALS	National PACE	Sutter SeniorCare PACE	National PACE		Sutter Valley Hospitals	222	Yes	Active	1-833-560-7223				PACE - Nat		C	San Francisco
H5406	Plan to Plan Reconciliation Contact	Finance Manager	Mr.	Salas	Rafael		1-916-491-3415					salasr@sutterhealth.org	444 N 3rd Street	Suite 150	Sacramento	CA	95811	4/28/2022	2026	SUTTER VALLEY HOSPITALS	National PACE	Sutter SeniorCare PACE	National PACE		Sutter Valley Hospitals	222	Yes	Active					PACE - Nat		C	San Francisco
H5410	Automated TrOOP Balance Transfer Contact	Operations Advisor	Ms.	Fertig	Nancy	J	1-860-902-4553					nancy_fertig@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING OF FLORIDA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5410	Best Available Evidence Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING OF FLORIDA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5410	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	Health Care Service Corporation	300 East Randolph St	Chicago	IL	60601	5/26/2026	2026	"HEALTHSPRING OF FLORIDA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5410	CMS Casework Communication Contact	Customer Service Manager	Ms.	McCarroll	Angie		1-615-235-0177					angie_mccarroll@hcsc.com	3700 O'Donnell Street		Baltimore	MD	21224	5/26/2026	2026	"HEALTHSPRING OF FLORIDA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5410	Coordination of Benefits Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING OF FLORIDA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5410	Customer Service Operations Contact	VP of Customer Service	Mr.	Akovenko	Josh		1-615-695-8916				1-000-000-0000	josh_akovenko@hcsc.com	Health Care Service Corporation	500 Great Circle Rd	Nashville	IL	60601	5/26/2026	2026	"HEALTHSPRING OF FLORIDA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5410	Government Relations Contact	Executive Director - Health Policy	Ms.	DuGoff	Eva		1-202-249-7208				1-000-000-0000	eva_dugoff@hcsc.net	Health Care Service Corporation	1001 Pennsylvania NW	Washington	DC	20004	5/26/2026	2026	"HEALTHSPRING OF FLORIDA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5410	Hospice Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING OF FLORIDA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5410	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	5/26/2026	2026	"HEALTHSPRING OF FLORIDA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5410	Part D Exceptions Contact	Operations Senior Manager	Mr.	Erkens	Ron							ron_erkens@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING OF FLORIDA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-602-317-1992				HMO - Health Maintenance Organization		C	New York
H5410	Pharmacy Network Management Contact	Provider Contracting Sr Manager	Ms.	Bourdier	Maryanne		1-860-338-9867					maryanne_bourdier@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING OF FLORIDA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5410	Pharmacy Technical Help Desk Contact			Scripts	Express								Health Care Services Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING OF FLORIDA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	New York
H5410	Plan to Plan Reconciliation Contact		Ms.	Thomas	Andrea	F	1-629-317-9367				1-615-291-7025	P2P@healthspring.com	P.O. Box 11407	Dept#8277	Birmingham	AL	35246	5/26/2026	2026	"HEALTHSPRING OF FLORIDA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5420	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"Preferred Care Network, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5420	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	"Preferred Care Network, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5420	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	"Preferred Care Network, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5420	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"Preferred Care Network, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5420	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"Preferred Care Network, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5420	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"Preferred Care Network, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5420	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"Preferred Care Network, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5420	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"Preferred Care Network, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5420	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"Preferred Care Network, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5420	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"Preferred Care Network, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H5420	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"Preferred Care Network, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5420	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"Preferred Care Network, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H5420	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"Preferred Care Network, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5422	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5422	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/12/2025	2026	BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5422	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5422	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	2/12/2025	2026	BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5422	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5422	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	2/12/2025	2026	BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5422	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	2/12/2025	2026	BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5422	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/12/2025	2026	BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5422	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	2/12/2025	2026	BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5422	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	2/12/2025	2026	BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H5422	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	2/12/2025	2026	BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5422	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/12/2025	2026	BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H5422	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	2/12/2025	2026	BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5425	Automated TrOOP Balance Transfer Contact	Pharmacy Analyst		Banks	Marcia	D	1-562-308-1189	1189				mcurtis@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	1/26/2023	2026	SCAN HEALTH PLAN	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5425	Best Available Evidence Contact	"Director, Enrollment & Reconciliation"		Coronel	Vincent		1-562-637-1234				1-562-989-5243	vcoronel@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	8/28/2019	2026	SCAN HEALTH PLAN	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5425	Chief Financial Officer	Chief Financial Officer	Mr	Plumb	Michael		1-562-997-1589					MPlumb@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	11/2/2020	2026	SCAN HEALTH PLAN	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5425	CMS Casework Communication Contact	Sr. Director Medicare Compliance Officer		Cordova	Elizabeth		1-562-997-3131	3131			1-562-989-5120	ECordova@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	10/14/2025	2026	SCAN HEALTH PLAN	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5425	Coordination of Benefits Contact	Pharmacy Analyst		Banks	Marcia	D	1-562-308-1189	1189				mcurtis@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	1/26/2023	2026	SCAN HEALTH PLAN	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5425	Customer Service Operations Contact	"Director, (Customer) Member Services"	Ms.	McBeath	Kim		1-562-997-1805				1-562-989-5181	kmcbeath@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	5/27/2014	2026	SCAN HEALTH PLAN	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5425	Government Relations Contact	Dir Public and Govt Affairs		Guay	Tricia		1-202-617-0906					p.guay@scanhealthplan.com	"1455 Pennsylvania Avenue, NW"		Washington	DC	20004	6/17/2026	2026	SCAN HEALTH PLAN	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5425	Hospice Contact	Sr Dir Pharm & Formly Ops		Slavina	Yelena		1-562-308-2816					yslavina@scanhealthplan.com	3800 Kilroy Airport Way		Long Beach	CA	90806	8/7/2025	2026	SCAN HEALTH PLAN	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5425	Medicare Compliance Officer	Sr. Director Medicare Compliance Officer	Ms.	Cordova	Elizabeth		1-562-997-3131	3131			1-562-989-5120	ecordova@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	10/14/2025	2026	SCAN HEALTH PLAN	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5425	Part D Exceptions Contact	Sr. Manager - Pharmacy Prior Authorization		Herbert	Joshua							Joshua.Herbert@evernorth.com	One Express Way Mail Stop	S13NB	St. Louis	MO	63121	10/14/2025	2026	SCAN HEALTH PLAN	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active	1-513-292-0563				HMO - Health Maintenance Organization		C	Chicago
H5425	Pharmacy Network Management Contact	"Network Acct Director, Retail Strategy"	Ms.	Kelly	Heather		1-314-692-1866				1-800-357-9578	hakelly@express-scripts.com	One Express Way		St Louis	MO	63121	1/23/2023	2026	SCAN HEALTH PLAN	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5425	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	13051 N. Telecom Pkwy	STE 150	Temple Terrace	FL	33637	12/1/2021	2026	SCAN HEALTH PLAN	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Chicago
H5425	Plan to Plan Reconciliation Contact	"Vice President, Controller"	Ms.	Havai	Virginia		1-562-989-8300				1-562-989-0101	P2PAdmin@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	4/9/2019	2026	SCAN HEALTH PLAN	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5427	Automated TrOOP Balance Transfer Contact	Manager Pharmacy Clinical Ops		Marrocco	Brianna		1-813-506-6000	1621753			1-813-490-5338	bmarrocco@freedomh.com	5411 SkyCenter Drive		Tampa	FL	33607	1/8/2026	2026	"FREEDOM HEALTH, INC."	Local CCP	"Freedom Health, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5427	Best Available Evidence Contact	Director Program Management		Salvietti	Kerensa		1-203-598-4738					Kerensa.Salvietti@elevancehealth.com	108 Leigus Road		Wallingford	CT	06492	8/20/2025	2026	"FREEDOM HEALTH, INC."	Local CCP	"Freedom Health, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5427	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	1/26/2026	2026	"FREEDOM HEALTH, INC."	Local CCP	"Freedom Health, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5427	CMS Casework Communication Contact	Dir II GBD G&A		Rolle	Celeste		1-813-506-6000	11469			1-813-506-6151	crolle@freedomh.com	5411 Sky Center Dr		Tampa	FL	33607	7/5/2024	2026	"FREEDOM HEALTH, INC."	Local CCP	"Freedom Health, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5427	Coordination of Benefits Contact	"Manager II, Financial Ops Dept"	Ms.	Fonseca	Idany		1-305-448-8100	262			1-305-444-9148	idany.fonseca@healthsun.com	9250 West Flager Street	Suite 600	Miami	FL	33174	7/10/2024	2026	"FREEDOM HEALTH, INC."	Local CCP	"Freedom Health, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5427	Customer Service Operations Contact	Director of Member Services		Doroteo	Carlos		1-800-401-2740					CMSMemberServices@freedomh.com	5411 SkyCenter Drive		Tampa	FL	33607	1/8/2026	2026	"FREEDOM HEALTH, INC."	Local CCP	"Freedom Health, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5427	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"FREEDOM HEALTH, INC."	Local CCP	"Freedom Health, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5427	Hospice Contact	Manager Pharmacy Clinical Ops		Marrocco	Brianna		1-813-506-6000	1621753			1-813-490-5338	bmarrocco@freedomh.com	5411 SkyCenter Drive		Tampa	FL	33607	1/8/2026	2026	"FREEDOM HEALTH, INC."	Local CCP	"Freedom Health, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5427	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"FREEDOM HEALTH, INC."	Local CCP	"Freedom Health, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5427	Part D Exceptions Contact	Dir II GBD G&A		Rolle	Celeste						1-813-506-6152	crolle@freedomh.com	5411 SkyCenter Drive		Tampa	FL	33607	7/5/2024	2026	"FREEDOM HEALTH, INC."	Local CCP	"Freedom Health, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-813-506-6000	11469			HMO - Health Maintenance Organization		C	Chicago
H5427	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Road		Mason	OH	45040	7/5/2024	2026	"FREEDOM HEALTH, INC."	Local CCP	"Freedom Health, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5427	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Road		Mason	OH	45040	7/5/2024	2026	"FREEDOM HEALTH, INC."	Local CCP	"Freedom Health, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H5427	Plan to Plan Reconciliation Contact	P2P Contact		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd	Ste 100 Mailstop CA9304-R04H	Woodland Hills	CA	91367	6/14/2021	2026	"FREEDOM HEALTH, INC."	Local CCP	"Freedom Health, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5431	Automated TrOOP Balance Transfer Contact	Data Analyst	Mr.	Roberts	Jerryon		1-305-234-9292	250				Jerryon_Roberts@healthsun.com	9250 West Flager Street		Miami	FL	33174	7/5/2024	2026	"HEALTHSUN HEALTH PLANS, INC."	Local CCP	"HealthSun Health Plans, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5431	Best Available Evidence Contact	"Manager I, Membership"		Holmes	Yaunna		1-305-448-8100				1-305-460-3907	yaunna.holmes@healthsun.com	11430 NW 20th Street		Miami	FL	33172	7/5/2024	2026	"HEALTHSUN HEALTH PLANS, INC."	Local CCP	"HealthSun Health Plans, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5431	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	1/26/2026	2026	"HEALTHSUN HEALTH PLANS, INC."	Local CCP	"HealthSun Health Plans, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5431	CMS Casework Communication Contact	"Manager I, Grievance & Appeal"		Figueroa	Diana		1-305-804-5087				1-305-444-9148	g&a-extcomp@healthsun.com	11430 NW 20th St	Suite 300	Miami	FL	33172	1/21/2026	2026	"HEALTHSUN HEALTH PLANS, INC."	Local CCP	"HealthSun Health Plans, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5431	Coordination of Benefits Contact	"Manager II, Financial Ops Dept"	Ms.	Fonseca	Idany		1-305-448-8100	262			1-305-444-9148	idany.fonseca@healthsun.com	9250 West Flager Street	Suite 600	Miami	FL	33174	7/5/2024	2026	"HEALTHSUN HEALTH PLANS, INC."	Local CCP	"HealthSun Health Plans, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5431	Customer Service Operations Contact	Member Services Manager	Ms.	Gallardo	Viviana		1-305-448-8100	559			1-305-444-9148	memberservicesleaders@healthsun.com	9250 West Flager Street	Suite 600	Miami	FL	33174	7/5/2024	2026	"HEALTHSUN HEALTH PLANS, INC."	Local CCP	"HealthSun Health Plans, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5431	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"HEALTHSUN HEALTH PLANS, INC."	Local CCP	"HealthSun Health Plans, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5431	Hospice Contact	Director Clinical Programs		Martinez	Massiel		1-305-448-8100	353				cms_partd@healthsun.com	11430 NW 20th Street	Suite 300	Miami	FL	33172	5/21/2024	2026	"HEALTHSUN HEALTH PLANS, INC."	Local CCP	"HealthSun Health Plans, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5431	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"HEALTHSUN HEALTH PLANS, INC."	Local CCP	"HealthSun Health Plans, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5431	Part D Exceptions Contact	"Manager I, Grievance & Appeal"	Ms.	Figueroa	Diana							g&a-extcomp@healthsun.com	9250 W. Flager Street	Suite 600	Miami	FL	33174	8/26/2025	2026	"HEALTHSUN HEALTH PLANS, INC."	Local CCP	"HealthSun Health Plans, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-877-336-2069				HMO - Health Maintenance Organization		C	Chicago
H5431	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Road		Mason	OH	45040	12/15/2023	2026	"HEALTHSUN HEALTH PLANS, INC."	Local CCP	"HealthSun Health Plans, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5431	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Road		Mason	OH	45040	12/15/2023	2026	"HEALTHSUN HEALTH PLANS, INC."	Local CCP	"HealthSun Health Plans, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H5431	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	6/14/2021	2026	"HEALTHSUN HEALTH PLANS, INC."	Local CCP	"HealthSun Health Plans, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5433	Automated TrOOP Balance Transfer Contact	Medicare Part D Project Manager		Zlotkus	Steve		1-858-790-6250				1-858-790-6052	PartDCAT@MedImpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	2/13/2019	2026	ORANGE COUNTY HEALTH AUTHORITY	Local CCP	CalOptima Health OneCare	HMO/HMOPOS		Orange County Health Authority	39	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5433	Best Available Evidence Contact	"Director, Regulatory Affairs & Compliance Medicare"		Phillips	Annie		1-657-236-9044					medicarecomplianceofficer@caloptima.org	505 City Parkway West		Orange	CA	92868	12/12/2024	2026	ORANGE COUNTY HEALTH AUTHORITY	Local CCP	CalOptima Health OneCare	HMO/HMOPOS		Orange County Health Authority	39	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5433	Chief Financial Officer	Chief Financial Officer	Ms.	Huang	Nancy		1-657-235-6935					nhuang@caloptima.org	505 City Parkway West		Orange	CA	92868	12/10/2019	2026	ORANGE COUNTY HEALTH AUTHORITY	Local CCP	CalOptima Health OneCare	HMO/HMOPOS		Orange County Health Authority	39	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5433	CMS Casework Communication Contact	"Manager, Pharmacy Management"		Nguyen	Kendrix		1-714-246-8646				1-714-954-2313	kendrixnguyen@caloptima.org	CalOptima	505 City Parkway West	Orange	CA	92868	1/13/2025	2026	ORANGE COUNTY HEALTH AUTHORITY	Local CCP	CalOptima Health OneCare	HMO/HMOPOS		Orange County Health Authority	39	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5433	Coordination of Benefits Contact			Cardenas	Albert		1-714-246-8878					COBinquiries@caloptima.org	505 City Parkway West		Orange	CA	92868	4/21/2022	2026	ORANGE COUNTY HEALTH AUTHORITY	Local CCP	CalOptima Health OneCare	HMO/HMOPOS		Orange County Health Authority	39	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5433	Customer Service Operations Contact	"Executive Director, Operations"		Khamseh	Ladan		1-714-246-8866					lkhamseh@caloptima.org	505 City Parkway West		Orange	CA	92868	4/25/2024	2026	ORANGE COUNTY HEALTH AUTHORITY	Local CCP	CalOptima Health OneCare	HMO/HMOPOS		Orange County Health Authority	39	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5433	Government Relations Contact	Manager		Gomez	Gisela		1-714-246-8757					ggomez@caloptima.org	505 City Parkway West		Orange	CA	92868	2/13/2019	2026	ORANGE COUNTY HEALTH AUTHORITY	Local CCP	CalOptima Health OneCare	HMO/HMOPOS		Orange County Health Authority	39	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5433	Hospice Contact	"Sr. Director, Pharmacy Management"	Dr.	Park	Julie		1-657-831-6229					julie.park@caloptima.org	505 City Parkway West		Orange	CA	92868	4/30/2026	2026	ORANGE COUNTY HEALTH AUTHORITY	Local CCP	CalOptima Health OneCare	HMO/HMOPOS		Orange County Health Authority	39	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5433	Medicare Compliance Officer	"Director of Regulatory Affairs and Compliance, Med"	Ms.	Phillips	Annie		1-657-236-9044					medicarecomplianceofficer@caloptima.org	505 City Parkway West		Orange	CA	92868	12/12/2024	2026	ORANGE COUNTY HEALTH AUTHORITY	Local CCP	CalOptima Health OneCare	HMO/HMOPOS		Orange County Health Authority	39	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5433	Part D Exceptions Contact	"Manager, Pharmacy Management"		Nguyen	Kendrix						1-714-954-2313	Kendrixnguyen@caloptima.org	CalOptima	505 City Parkway West	Orange	CA	92868	1/13/2025	2026	ORANGE COUNTY HEALTH AUTHORITY	Local CCP	CalOptima Health OneCare	HMO/HMOPOS		Orange County Health Authority	39	Yes	Active	1-714-246-8646				HMO - Health Maintenance Organization		C	Kansas City
H5433	Pharmacy Network Management Contact	"Manager, PNS & Claims Operations"		Burke	Sharon		1-858-790-7148					Sharon.Burke@MedImpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	12/28/2015	2026	ORANGE COUNTY HEALTH AUTHORITY	Local CCP	CalOptima Health OneCare	HMO/HMOPOS		Orange County Health Authority	39	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5433	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"		Brewer	Kathy							customerservice@medimpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	12/24/2019	2026	ORANGE COUNTY HEALTH AUTHORITY	Local CCP	CalOptima Health OneCare	HMO/HMOPOS		Orange County Health Authority	39	Yes	Active	1-800-819-5532				HMO - Health Maintenance Organization		C	Kansas City
H5433	Plan to Plan Reconciliation Contact	Controller		Kaing	Jason		1-657-900-1373					p2p@caloptima.org	505 City Parkway West		Orange	CA	92868	1/25/2024	2026	ORANGE COUNTY HEALTH AUTHORITY	Local CCP	CalOptima Health OneCare	HMO/HMOPOS		Orange County Health Authority	39	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5434	Automated TrOOP Balance Transfer Contact	"Manager, PBM operations"	Ms.	Hanson	Michelle		1-612-777-6755				1-612-777-6706	EOBP2P@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Road	Eagan	MN	55121	10/27/2020	2026	"BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC."	Local CCP	Florida Blue	Local PPO		Guidewell Mutual Holding Corporation	594	Yes	Active					PPO - BBA		C	Dallas
H5434	Best Available Evidence Contact	Sr. Dir. Medicare Ops & Int		Chick	Benjamin		1-904-905-1711					benjamin.chick@floridablue.com	4800 Deerwood Campus Pkwy	"DCC Building 300, 4th Floor"	Jacksonville	FL	32246	1/30/2024	2026	"BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC."	Local CCP	Florida Blue	Local PPO		Guidewell Mutual Holding Corporation	594	Yes	Active					PPO - BBA		C	Dallas
H5434	Chief Financial Officer	VP CFO Government Business	Mr.	Petruzzellis	Dave		1-904-233-8443					Dave.Petruzzellis@guidewell.com	4800 Deerwood Campus Parkway	DCC Bldg 100	Jacksonville	FL	32246	4/14/2026	2026	"BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC."	Local CCP	Florida Blue	Local PPO		Guidewell Mutual Holding Corporation	594	Yes	Active					PPO - BBA		C	Dallas
H5434	CMS Casework Communication Contact	Sr Manager Med Ops & Integrity		Irizarry	Haydee		1-321-233-0635					Haydee.Irizarry@bcbsfl.com	4800 Deerwood Campus Parkway	Bldg. 400 2nd Floor	Jacksonville	FL	32246	4/25/2023	2026	"BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC."	Local CCP	Florida Blue	Local PPO		Guidewell Mutual Holding Corporation	594	Yes	Active					PPO - BBA		C	Dallas
H5434	Coordination of Benefits Contact	Manager PBM Operations		Hanson	Michelle		1-612-777-6755				1-312-777-6706	COBMedD@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Road	Eagan	MN	55121	2/16/2021	2026	"BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC."	Local CCP	Florida Blue	Local PPO		Guidewell Mutual Holding Corporation	594	Yes	Active					PPO - BBA		C	Dallas
H5434	Customer Service Operations Contact	Sr. Dir. Medicare Ops & Int		Chick	Benjamin		1-904-905-1711					benjamin.chick@floridablue.com	4800 Deerwood Campus Pkwy	"DCC Building 300, 4th Floor"	Jacksonville	FL	32246	5/28/2026	2026	"BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC."	Local CCP	Florida Blue	Local PPO		Guidewell Mutual Holding Corporation	594	Yes	Active					PPO - BBA		C	Dallas
H5434	Government Relations Contact	Sr. Health Policy Consultant		Krizanovic	Aldiana		1-904-655-0188					Aldiana.Krizanovic@bcbsfl.com	4800 Deerwood Campus Parkway	DCC Building 100	Jacksonville	FL	32246	6/23/2026	2026	"BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC."	Local CCP	Florida Blue	Local PPO		Guidewell Mutual Holding Corporation	594	Yes	Active					PPO - BBA		C	Dallas
H5434	Hospice Contact	Sr. Manager Pharmacy		Adams	Tangela		1-904-905-0002					tangela.adams@floridablue.com	4800 Deerwood Campus Pkwy	"Building 100, 3rd Floor"	Jacksonville	FL	32246	9/30/2024	2026	"BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC."	Local CCP	Florida Blue	Local PPO		Guidewell Mutual Holding Corporation	594	Yes	Active					PPO - BBA		C	Dallas
H5434	Medicare Compliance Officer	Sr. Director Govt Programs & Products Compliance	Mrs.	Simpson	Hillary		1-904-445-8502					hillary.simpson@bcbsfl.com	4800 Deerwood Campus Parkway	"DCC Building 100, 7th Floor"	Jacksonville	FL	32246	6/13/2022	2026	"BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC."	Local CCP	Florida Blue	Local PPO		Guidewell Mutual Holding Corporation	594	Yes	Active					PPO - BBA		C	Dallas
H5434	Part D Exceptions Contact	Sr. Director Medicare Pharmacy Programs		Barger	Shawn							shawn.barger@bcbsfl.com	4800 Deerwood Campus Parkway		Jacksonville	FL	32246	1/5/2026	2026	"BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC."	Local CCP	Florida Blue	Local PPO		Guidewell Mutual Holding Corporation	594	Yes	Active	1-954-684-9240				PPO - BBA		C	Dallas
H5434	Pharmacy Network Management Contact	Sr. Director Medicare Pharmacy Programs		Barger	Shawn		1-954-684-9240					shawn.barger@bcbsfl.com	4800 Deerwood Campus Parkway		Jacksonville	FL	32246	1/5/2026	2026	"BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC."	Local CCP	Florida Blue	Local PPO		Guidewell Mutual Holding Corporation	594	Yes	Active					PPO - BBA		C	Dallas
H5434	Pharmacy Technical Help Desk Contact	"Director, Member Services"		Pretlow	Jennifer							jennifer.pretlow@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Road	Eagan	MN	55121	7/19/2021	2026	"BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC."	Local CCP	Florida Blue	Local PPO		Guidewell Mutual Holding Corporation	594	Yes	Active	1-888-877-6420				PPO - BBA		C	Dallas
H5434	Plan to Plan Reconciliation Contact	Accounting Specialist		Williams	Lynn		1-904-905-4568					lynn.williams@floridablue.com	4800 Deerwood Campus Parkway	"DCC Building 100, 3rd Floor"	Jacksonville	FL	32246	1/4/2019	2026	"BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC."	Local CCP	Florida Blue	Local PPO		Guidewell Mutual Holding Corporation	594	Yes	Active					PPO - BBA		C	Dallas
H5435	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	PFFS	UnitedHealthcare	PFFS		"UnitedHealth Group, Inc."	239	Yes	Active					PFFS - Private Fee for Service		C	Boston
H5435	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	PFFS	UnitedHealthcare	PFFS		"UnitedHealth Group, Inc."	239	Yes	Active					PFFS - Private Fee for Service		C	Boston
H5435	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	PFFS	UnitedHealthcare	PFFS		"UnitedHealth Group, Inc."	239	Yes	Active					PFFS - Private Fee for Service		C	Boston
H5435	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	PFFS	UnitedHealthcare	PFFS		"UnitedHealth Group, Inc."	239	Yes	Active					PFFS - Private Fee for Service		C	Boston
H5435	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	PFFS	UnitedHealthcare	PFFS		"UnitedHealth Group, Inc."	239	Yes	Active					PFFS - Private Fee for Service		C	Boston
H5435	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	PFFS	UnitedHealthcare	PFFS		"UnitedHealth Group, Inc."	239	Yes	Active					PFFS - Private Fee for Service		C	Boston
H5435	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	PFFS	UnitedHealthcare	PFFS		"UnitedHealth Group, Inc."	239	Yes	Active					PFFS - Private Fee for Service		C	Boston
H5435	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	PFFS	UnitedHealthcare	PFFS		"UnitedHealth Group, Inc."	239	Yes	Active					PFFS - Private Fee for Service		C	Boston
H5435	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	PFFS	UnitedHealthcare	PFFS		"UnitedHealth Group, Inc."	239	Yes	Active					PFFS - Private Fee for Service		C	Boston
H5435	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	PFFS	UnitedHealthcare	PFFS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				PFFS - Private Fee for Service		C	Boston
H5435	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	PFFS	UnitedHealthcare	PFFS		"UnitedHealth Group, Inc."	239	Yes	Active					PFFS - Private Fee for Service		C	Boston
H5435	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	PFFS	UnitedHealthcare	PFFS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				PFFS - Private Fee for Service		C	Boston
H5435	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	PFFS	UnitedHealthcare	PFFS		"UnitedHealth Group, Inc."	239	Yes	Active					PFFS - Private Fee for Service		C	Boston
H5439	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	HEALTH NET LIFE INSURANCE COMPANY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H5439	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	HEALTH NET LIFE INSURANCE COMPANY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H5439	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/25/2024	2026	HEALTH NET LIFE INSURANCE COMPANY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H5439	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	HEALTH NET LIFE INSURANCE COMPANY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H5439	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	HEALTH NET LIFE INSURANCE COMPANY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H5439	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	9/18/2024	2026	HEALTH NET LIFE INSURANCE COMPANY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H5439	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	HEALTH NET LIFE INSURANCE COMPANY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H5439	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/25/2024	2026	HEALTH NET LIFE INSURANCE COMPANY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H5439	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	HEALTH NET LIFE INSURANCE COMPANY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H5439	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/25/2024	2026	HEALTH NET LIFE INSURANCE COMPANY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active	1-813-206-7152				PPO - BBA		C	Denver
H5439	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	HEALTH NET LIFE INSURANCE COMPANY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H5439	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	1/9/2025	2026	HEALTH NET LIFE INSURANCE COMPANY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active	1-833-750-0202				PPO - BBA		C	Denver
H5439	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	6/25/2024	2026	HEALTH NET LIFE INSURANCE COMPANY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H5447	Automated TrOOP Balance Transfer Contact	Operations Mgr. Enrollment & Elig.		Sherman	Mandy		1-920-221-4083				1-920-221-4583	Relay.Health@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	5/2/2025	2026	"COMMUNITY FIRST HEALTH PLANS, INC."	Local CCP	Community First	HMO/HMOPOS		Bexar County Hospital District	751	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5447	Best Available Evidence Contact	"Controller, Financial Accounting"		Romero	Lorena		1-210-358-6181					lromero@cfhp.com	12238 Silicon Dr.	STE 100	San Antonio	TX	78249	7/23/2025	2026	"COMMUNITY FIRST HEALTH PLANS, INC."	Local CCP	Community First	HMO/HMOPOS		Bexar County Hospital District	751	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5447	Chief Financial Officer	Chief Financial Officer	Mr.	Isaac	Daverick		1-210-358-6013					DIsaac@cfhp.com	12238 Silicon Drive	STE 100	SAN ANTONIO	TX	78249	5/3/2021	2026	"COMMUNITY FIRST HEALTH PLANS, INC."	Local CCP	Community First	HMO/HMOPOS		Bexar County Hospital District	751	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5447	CMS Casework Communication Contact	"Director, Government Programs"		Gamboa	Brandie		1-210-358-6491					dl_governmentprograms@cfhp.com	12238 Silicon Dr	STE 100	San Antonio	TX	78249	3/19/2025	2026	"COMMUNITY FIRST HEALTH PLANS, INC."	Local CCP	Community First	HMO/HMOPOS		Bexar County Hospital District	751	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5447	Coordination of Benefits Contact	"Director, Government Programs"		Gamboa	Brandie		1-210-358-6491					dl_governmentprograms@cfhp.com	12238 Silicon Dr	STE 100	San Antonio	TX	78249	3/19/2025	2026	"COMMUNITY FIRST HEALTH PLANS, INC."	Local CCP	Community First	HMO/HMOPOS		Bexar County Hospital District	751	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5447	Customer Service Operations Contact	"Executive Director, Member Services"		Gonzalez	Mary Helen		1-210-358-6062					MGonzalez@cfhp.com	12238 Silicon Dr	STE 100	San Antonio	TX	78249	1/30/2020	2026	"COMMUNITY FIRST HEALTH PLANS, INC."	Local CCP	Community First	HMO/HMOPOS		Bexar County Hospital District	751	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5447	Government Relations Contact	"Director, Government Programs"		Gamboa	Brandie		1-210-358-6491					bgamboa@cfhp.com	12238 Silicon Dr	STE 100	San Antonio	TX	78249	4/16/2024	2026	"COMMUNITY FIRST HEALTH PLANS, INC."	Local CCP	Community First	HMO/HMOPOS		Bexar County Hospital District	751	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5447	Hospice Contact	"VP, PHM"		Chapa	Maria	E	1-210-358-6488					mchapa@cfhp.com	12238 Silicon Dr	STE 100	San Antonio	TX	78249	3/19/2025	2026	"COMMUNITY FIRST HEALTH PLANS, INC."	Local CCP	Community First	HMO/HMOPOS		Bexar County Hospital District	751	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5447	Medicare Compliance Officer	Interim Executive Director of Compliance	Ms.	Morris	Stephanie		1-210-510-2611					smorris@cfhp.com	12238 Silicon Drive	STE 100	San Antonio	TX	78249	11/24/2025	2026	"COMMUNITY FIRST HEALTH PLANS, INC."	Local CCP	Community First	HMO/HMOPOS		Bexar County Hospital District	751	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5447	Part D Exceptions Contact	"Assoc. Director, Clinical Prior Authorization"		LeClair	Christophe						1-920-221-4676	Christopher.LeClair@Navitus.com	1025 West Navitus Drive		Appleton	WI	54913	5/2/2025	2026	"COMMUNITY FIRST HEALTH PLANS, INC."	Local CCP	Community First	HMO/HMOPOS		Bexar County Hospital District	751	Yes	Active	1-920-221-4176				HMO - Health Maintenance Organization		C	Dallas
H5447	Pharmacy Network Management Contact	"VP, Provider Services"		Nagy	Don		1-608-820-4403					Don.Nagy@Navitus.com	361 Integrity Drive		Madison	WI	53717	6/16/2026	2026	"COMMUNITY FIRST HEALTH PLANS, INC."	Local CCP	Community First	HMO/HMOPOS		Bexar County Hospital District	751	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5447	Pharmacy Technical Help Desk Contact	"Sr. Manager, Customer Care Acounts"		Nett	Danielle						1-920-221-4724	Danielle.Nett@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	4/7/2022	2026	"COMMUNITY FIRST HEALTH PLANS, INC."	Local CCP	Community First	HMO/HMOPOS		Bexar County Hospital District	751	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Dallas
H5447	Plan to Plan Reconciliation Contact	"Controller, Financial Accounting"		Romero	Lorena		1-210-358-6181					lromero@cfhp.com	12238 Silicon Dr	STE 100	San Antonio	TX	78249	7/23/2025	2026	"COMMUNITY FIRST HEALTH PLANS, INC."	Local CCP	Community First	HMO/HMOPOS		Bexar County Hospital District	751	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5453	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H5453	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H5453	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H5453	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H5453	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H5453	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H5453	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H5453	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H5453	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H5453	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				PPO - BBA		C	Boston
H5453	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H5453	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				PPO - BBA		C	Boston
H5453	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H5454	Automated TrOOP Balance Transfer Contact	"Vice President, Pharmacy"	Mr.	Lopez	Eduardo		1-754-208-5867					Elopez@clearspringhealthcare.com	3601 SW 160th Avenue	Suite 450	Miramar	FL	33027	4/30/2026	2026	"CLEAR SPRING HEALTH OF ILLINOIS, INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H5454	Best Available Evidence Contact	"Director, Compliance"	Ms.	Wilcox-Lange	Tracie		1-847-696-8503					tracie.lange@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH OF ILLINOIS, INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H5454	Chief Financial Officer	Chief Financial Officer	Mr.	Moss	Adam		1-317-457-1252					Adam.Moss@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	6/30/2026	2026	"CLEAR SPRING HEALTH OF ILLINOIS, INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H5454	CMS Casework Communication Contact	"Director, Compliance"	Ms.	Wilcox-Lange	Tracie		1-847-696-8503					tracie.lange@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH OF ILLINOIS, INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H5454	Coordination of Benefits Contact	"Director, Compliance"	Ms.	Wilcox-Lange	Tracie		1-847-696-8503					tracie.lange@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH OF ILLINOIS, INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H5454	Customer Service Operations Contact	"Vice President, Compliance"	Ms.	Cornish	Sameria		1-843-276-1153					sameria.cornish@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH OF ILLINOIS, INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H5454	Government Relations Contact	Chief Executive Officer	Mr.	Parker	Jim		1-317-931-9666					Jim.Parker@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH OF ILLINOIS, INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H5454	Hospice Contact	"Director, Compliance"	Ms.	Wilcox-Lange	Tracie		1-847-696-8503					tracie.lange@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH OF ILLINOIS, INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H5454	Medicare Compliance Officer	"Vice President, Compliance"	Ms.	Cornish	Sameria		1-843-276-1153					sameria.cornish@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH OF ILLINOIS, INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H5454	Part D Exceptions Contact			Le	Christina							christina.le@optum.com	PO Box 2975		Mission	KS	66201	4/30/2026	2026	"CLEAR SPRING HEALTH OF ILLINOIS, INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated	1-888-403-3398				HMO - Health Maintenance Organization		C	Chicago
H5454	Pharmacy Network Management Contact			Perez	Felix		1-305-331-3044				1-305-331-3044	Felix.perez@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	4/30/2026	2026	"CLEAR SPRING HEALTH OF ILLINOIS, INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H5454	Pharmacy Technical Help Desk Contact	"Manager, Pharmacy Help Desk"		Villanueva	Juan							juan.villanueva@optum.com	P.O. Box 2975		Mission	KS	66201	4/30/2026	2026	"CLEAR SPRING HEALTH OF ILLINOIS, INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated	1-800-461-1308				HMO - Health Maintenance Organization		C	Chicago
H5454	Plan to Plan Reconciliation Contact	Senior Accountant	Ms.	Wrenn	Alisa		1-224-985-5588				1-312-429-0194	Alisa.Wrenn@Clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH OF ILLINOIS, INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H5471	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	"SIMPLY HEALTHCARE PLANS, INC."	Local CCP	"Simply Healthcare Plans, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5471	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"SIMPLY HEALTHCARE PLANS, INC."	Local CCP	"Simply Healthcare Plans, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5471	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	"SIMPLY HEALTHCARE PLANS, INC."	Local CCP	"Simply Healthcare Plans, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5471	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	"SIMPLY HEALTHCARE PLANS, INC."	Local CCP	"Simply Healthcare Plans, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5471	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	"SIMPLY HEALTHCARE PLANS, INC."	Local CCP	"Simply Healthcare Plans, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5471	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	"SIMPLY HEALTHCARE PLANS, INC."	Local CCP	"Simply Healthcare Plans, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5471	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"SIMPLY HEALTHCARE PLANS, INC."	Local CCP	"Simply Healthcare Plans, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5471	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"SIMPLY HEALTHCARE PLANS, INC."	Local CCP	"Simply Healthcare Plans, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5471	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"SIMPLY HEALTHCARE PLANS, INC."	Local CCP	"Simply Healthcare Plans, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5471	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	"SIMPLY HEALTHCARE PLANS, INC."	Local CCP	"Simply Healthcare Plans, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H5471	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/31/2023	2026	"SIMPLY HEALTHCARE PLANS, INC."	Local CCP	"Simply Healthcare Plans, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5471	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	"SIMPLY HEALTHCARE PLANS, INC."	Local CCP	"Simply Healthcare Plans, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H5471	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/7/2021	2026	"SIMPLY HEALTHCARE PLANS, INC."	Local CCP	"Simply Healthcare Plans, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5472	Automated TrOOP Balance Transfer Contact	PBM - Manager Project and Program Management		Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	5/24/2026	2026	ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5472	Best Available Evidence Contact	"Director, Membership & Eligibility"		Starks	Heather		1-661-433-0187				1-562-207-4623	HStarks@ahcusa.com	1100 W. Town and Country Road #300		Orange	CA	92868-4600	5/24/2026	2026	ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5472	Chief Financial Officer	Chief Financial Officer	Mr.	Head	James	M	1-657-218-7612					Jhead@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5472	CMS Casework Communication Contact	CEO		Maroney	Dawn		1-844-310-2247				1-844-320-2247	DMaroney@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5472	Coordination of Benefits Contact	"Director, Membership & Eligibility"		Starks	Heather		1-661-433-0187					HStarks@ahcusa.com	1100 W. Town and Country Rd #1600		Orange	CA	92868	5/24/2026	2026	ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5472	Customer Service Operations Contact	"VP, Member Experience"		Shaffer	Troy		1-714-208-2446					TShaffer@ahcusa.com	1100  W. Town and Country Road #300		Orange	CA	92868-4600	5/24/2026	2026	ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5472	Government Relations Contact	"SVP, Chief Compliance Officer"		Lynch	Cindy		1-657-383-5394					clynch@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5472	Hospice Contact	"SVP, Market Management"	Dr.	Kim	John		1-657-218-7640					jkim@ahcusa.com	1100 W Town and Country	Suite 1600	Orange	CA	92868	5/24/2026	2026	ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5472	Medicare Compliance Officer	"SVP, Chief Compliance Officer"	Ms.	Lynch	Cindy	B	1-657-383-5394					clynch@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5472	Part D Exceptions Contact	PBM - Regulatory Pharmacist Sr.		Emerson	Kimberly						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	5/24/2026	2026	ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active	1-800-693-6651				HMO - Health Maintenance Organization		C	Chicago
H5472	Pharmacy Network Management Contact	"PBM - VP, Network Management"		Conlin	Marci		1-612-777-2842				1-877-823-6373	marci.conlin@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55122	5/24/2026	2026	ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5472	Pharmacy Technical Help Desk Contact	"PBM - Sr. Director, Member Services"		Scott	Shane							shane.scott@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	5/24/2026	2026	ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active	1-844-227-7615				HMO - Health Maintenance Organization		C	Chicago
H5472	Plan to Plan Reconciliation Contact	"Manager, Financial Operations"		De La Torre	Angelo		1-657-218-7422				1-562-207-4266	adelatorre@ahcusa.com	1100 W. Town and Country Road #300		Orange	CA	92868-4600	5/24/2026	2026	ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5475	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/18/2024	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5475	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5475	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/18/2024	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5475	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5475	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5475	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/18/2024	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5475	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5475	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/18/2024	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5475	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5475	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/18/2024	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H5475	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5475	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/18/2024	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0408				HMO - Health Maintenance Organization		C	Denver
H5475	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	6/18/2024	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5493	Automated TrOOP Balance Transfer Contact	Regional Finance Director		Fuhrmeister	Nicole		1-302-660-3352					Nicole.Fuhrmeister@trinity-health.org	1072 Justison St		Wilmington	DE	19801	11/24/2025	2026	"LIFE AT ST. FRANCIS HEALTHCARE, INC."	National PACE	Saint Francis LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H5493	Best Available Evidence Contact	Executive Director	Ms	Gonzalez	Michele		1-302-660-3352				1-302-575-8236	Michele.Gonzalez@trinity-health.org	1072 Justison Street		Wilmington	DE	19801	11/27/2023	2026	"LIFE AT ST. FRANCIS HEALTHCARE, INC."	National PACE	Saint Francis LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H5493	Chief Financial Officer	Regional Finance Director	Ms	Fuhrmeister	Nicole		1-302-660-3352					Nicole.Fuhrmeister@trinity-health.org	1072 Justison St		Wilmington	DE	19801	11/24/2025	2026	"LIFE AT ST. FRANCIS HEALTHCARE, INC."	National PACE	Saint Francis LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H5493	CMS Casework Communication Contact	Executive Director	Ms	Gonzalez	Michele		1-302-660-3352				1-302-575-8236	Michele.Gonzalez@trinity-health.org	1072 Justison Street		Wilmington	DE	19801	11/27/2023	2026	"LIFE AT ST. FRANCIS HEALTHCARE, INC."	National PACE	Saint Francis LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H5493	Coordination of Benefits Contact	Regional Finance Director	Ms.	Fuhrmeister	Nicole		1-302-660-3352					Nicole.Fuhrmeister@trinity-health.org	1072 Justison St		Wilmington	DE	19801	11/24/2025	2026	"LIFE AT ST. FRANCIS HEALTHCARE, INC."	National PACE	Saint Francis LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H5493	Customer Service Operations Contact	"Interim Director, Quality and Compliance"		Younts	Danielle		1-302-660-3359				1-302-575-8236	Danielle.Pennington@trinity-health.org	1072 Justison Street		Wilmington	DE	19801	5/8/2026	2026	"LIFE AT ST. FRANCIS HEALTHCARE, INC."	National PACE	Saint Francis LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H5493	Government Relations Contact	Executive Director	Ms	Gonzalez	Michele		1-302-660-3352				1-302-575-8236	Michele.Gonzalez@trinity-health.org	1072 Justison Street		Wilmington	DE	19801	11/27/2023	2026	"LIFE AT ST. FRANCIS HEALTHCARE, INC."	National PACE	Saint Francis LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H5493	Medicare Compliance Officer	National Director QI/Compliance	Ms	Watts	Christina		1-248-420-6065					wattscl@trinity-health.org	20555 Victor Parkway		Livonia	MI	48152	8/15/2023	2026	"LIFE AT ST. FRANCIS HEALTHCARE, INC."	National PACE	Saint Francis LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H5493	Part D Exceptions Contact	Manager Part D Compliance	Mr	Garbarino	Joseph							Joseph.Garbarino@trinity-health.org	1930 South Broad Street	Unit 3	Philadelphia	PA	19145	8/13/2021	2026	"LIFE AT ST. FRANCIS HEALTHCARE, INC."	National PACE	Saint Francis LIFE	National PACE		Trinity Health Corporation	234	Yes	Active	1-215-339-4362				PACE - Nat		C	Philadelphia
H5493	Pharmacy Network Management Contact	Manager Part D Compliance	Mr	Garbarino	Joseph		1-215-339-4362					joseph.garbarino@trinity-health.org	1930 South Broad Street		Philadelphia	PA	19145	4/2/2024	2026	"LIFE AT ST. FRANCIS HEALTHCARE, INC."	National PACE	Saint Francis LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H5493	Pharmacy Technical Help Desk Contact	Manager Part D Compliance	Mr	Garbarino	Joseph							Joseph.Garbarino@trinity-health.org	1930 South Broad St	Unit 3	Phildelphia	PA	19145	8/2/2023	2026	"LIFE AT ST. FRANCIS HEALTHCARE, INC."	National PACE	Saint Francis LIFE	National PACE		Trinity Health Corporation	234	Yes	Active	1-215-339-4362				PACE - Nat		C	Philadelphia
H5493	Plan to Plan Reconciliation Contact	"Regional Director, Finance"	Ms	Fuhrmeister	Nicole		1-302-660-3352					Nicole.Fuhrmeister@trinity-health.org	1072 Justison St		Wilmington	DE	19801	11/24/2025	2026	"LIFE AT ST. FRANCIS HEALTHCARE, INC."	National PACE	Saint Francis LIFE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H5496	Automated TrOOP Balance Transfer Contact	"Senior Manager, Pharmacy Services"		Cho	Evelyn		1-626-727-0465					evelyn.cho@imperialhealthholdings.com	1100 East Green Street		Pasadena	CA	91106	1/1/2024	2026	"IMPERIAL HEALTH PLAN OF CALIFORNIA, INC."	Local CCP	"Imperial Health Plan of California, Inc."	HMO/HMOPOS		Imperial Health Plan of California	667	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5496	Best Available Evidence Contact	Membership Manger Sr.		Flores	Alicia		1-626-838-5100	416				Alicia.Munoz@imperialhealthplan.com	1100 East Green Street		Pasadena	CA	91106	11/6/2025	2026	"IMPERIAL HEALTH PLAN OF CALIFORNIA, INC."	Local CCP	"Imperial Health Plan of California, Inc."	HMO/HMOPOS		Imperial Health Plan of California	667	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5496	Chief Financial Officer	Chief Financial Officer	Mrs	Bindra	Meeta		1-626-838-5100	5155				Meeta.Bindra@imperialhealthholdings.com	1100 East Green Street		Pasadena	CA	91106	11/6/2025	2026	"IMPERIAL HEALTH PLAN OF CALIFORNIA, INC."	Local CCP	"Imperial Health Plan of California, Inc."	HMO/HMOPOS		Imperial Health Plan of California	667	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5496	CMS Casework Communication Contact	Compliance Officer	Ms	Ruiz	Erica		1-562-239-5675					eruiz@imperialhealthplan.com	1100 East Green Street		Pasadena	CA	91106	10/25/2021	2026	"IMPERIAL HEALTH PLAN OF CALIFORNIA, INC."	Local CCP	"Imperial Health Plan of California, Inc."	HMO/HMOPOS		Imperial Health Plan of California	667	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5496	Coordination of Benefits Contact	Membership Manger Sr.		Flores	Alicia		1-626-838-5100	416				Alicia.Munoz@imperialhealthplan.com	1100 East Green Street		Pasadena	CA	91106	11/6/2025	2026	"IMPERIAL HEALTH PLAN OF CALIFORNIA, INC."	Local CCP	"Imperial Health Plan of California, Inc."	HMO/HMOPOS		Imperial Health Plan of California	667	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5496	Customer Service Operations Contact	Membership Manger Sr.		Flores	Alicia		1-626-838-5100	416				Alicia.Munoz@imperialhealthplan.com	1100 East Green Street		Pasadena	CA	91106	11/6/2025	2026	"IMPERIAL HEALTH PLAN OF CALIFORNIA, INC."	Local CCP	"Imperial Health Plan of California, Inc."	HMO/HMOPOS		Imperial Health Plan of California	667	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5496	Government Relations Contact	Compliance Officer	Ms	Ruiz	Erica		1-562-239-5675					eruiz@imperialhealthplan.com	1100 East Green Street		Pasadena	CA	91106	10/25/2021	2026	"IMPERIAL HEALTH PLAN OF CALIFORNIA, INC."	Local CCP	"Imperial Health Plan of California, Inc."	HMO/HMOPOS		Imperial Health Plan of California	667	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5496	Hospice Contact	CEO	Dr	Bindra	Pavel		1-626-838-5110				1-626-283-4175	pbindra@imperialhealthholdings.com	1100 East Green Street		Pasadena	CA	91106	11/6/2025	2026	"IMPERIAL HEALTH PLAN OF CALIFORNIA, INC."	Local CCP	"Imperial Health Plan of California, Inc."	HMO/HMOPOS		Imperial Health Plan of California	667	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5496	Medicare Compliance Officer	Compliance Officer	Ms	Ruiz	Erica		1-562-239-5675					eruiz@imperialhealthplan.com	1100 East Green Street		Pasadena	CA	91106	10/25/2021	2026	"IMPERIAL HEALTH PLAN OF CALIFORNIA, INC."	Local CCP	"Imperial Health Plan of California, Inc."	HMO/HMOPOS		Imperial Health Plan of California	667	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5496	Part D Exceptions Contact	"Senior Manager, Pharmacy Services"		Cho	Evelyn							evelyn.cho@imperialhealthholdings.com	1100 East Green Street		Pasadena	CA	91106	1/1/2024	2026	"IMPERIAL HEALTH PLAN OF CALIFORNIA, INC."	Local CCP	"Imperial Health Plan of California, Inc."	HMO/HMOPOS		Imperial Health Plan of California	667	Yes	Active	1-833-667-3497				HMO - Health Maintenance Organization		C	Boston
H5496	Pharmacy Network Management Contact	"Senior Manager, Pharmacy Services"	Dr	Cho	Evelyn		1-626-727-0465				1-626-521-6028	evelyn.cho@imperialhealthholdings.com	1100 East Green Street		Pasadena	CA	91106	11/6/2025	2026	"IMPERIAL HEALTH PLAN OF CALIFORNIA, INC."	Local CCP	"Imperial Health Plan of California, Inc."	HMO/HMOPOS		Imperial Health Plan of California	667	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5496	Pharmacy Technical Help Desk Contact	Dir. Customer Contact Services		Brewer	Kathy							Customerservice@Medimpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	1/1/2024	2026	"IMPERIAL HEALTH PLAN OF CALIFORNIA, INC."	Local CCP	"Imperial Health Plan of California, Inc."	HMO/HMOPOS		Imperial Health Plan of California	667	Yes	Active	1-877-403-6035				HMO - Health Maintenance Organization		C	Boston
H5496	Plan to Plan Reconciliation Contact	Controller	Mrs	Bindra	Meeta		1-626-838-5100	5155			1-626-521-6028	meeta.bindra@imperialhealthholdings.com	1100 East Green Street		Pasadena	CA	91106	11/6/2025	2026	"IMPERIAL HEALTH PLAN OF CALIFORNIA, INC."	Local CCP	"Imperial Health Plan of California, Inc."	HMO/HMOPOS		Imperial Health Plan of California	667	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5521	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	AETNA LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H5521	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	AETNA LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H5521	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H5521	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	AETNA LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H5521	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	AETNA LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H5521	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	AETNA LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H5521	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H5521	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	AETNA LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H5521	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	AETNA LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H5521	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	AETNA LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active	1-469-243-5213				PPO - BBA		C	Atlanta
H5521	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H5521	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	AETNA LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active	1-800-238-6279				PPO - BBA		C	Atlanta
H5521	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H5522	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	AETNA LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H5522	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	AETNA LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H5522	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H5522	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	AETNA LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H5522	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	AETNA LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H5522	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	AETNA LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H5522	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H5522	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	AETNA LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H5522	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	AETNA LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H5522	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	AETNA LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active	1-469-243-5213				PPO - BBA		C	Atlanta
H5522	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H5522	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	AETNA LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active	1-800-238-6279				PPO - BBA		C	Atlanta
H5522	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA LIFE INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H5525	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5525	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5525	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5525	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5525	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5525	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5525	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5525	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5525	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5525	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active	1-859-321-9075				PPO - BBA		C	Kansas City
H5525	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5525	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active	1-800-865-8715				PPO - BBA		C	Kansas City
H5525	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	"HUMANA BENEFIT PLAN OF ILLINOIS, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5526	Automated TrOOP Balance Transfer Contact	"Manager, Pharmacy Government Operations"	Ms.	Lynn Schill	Jodie		1-570-578-3579					Jodie.LynnSchill@highmark.com	120 Fifth Avenue		Pittsburgh	PA	15222	8/16/2023	2026	Highmark Western and Northeastern New York Inc.	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H5526	Best Available Evidence Contact	"Manager, Government Business Enrollment"	Mr.	Stanhoff	David		1-412-544-5689					LISBAE@highmark.com	120 Fifth Avenue		Pittsburgh	PA	15222	3/20/2024	2026	Highmark Western and Northeastern New York Inc.	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H5526	Chief Financial Officer	CFO Highmark Health Plan	Ms.	Musler	Kate		1-412-544-8653					katherine.musler@highmark.com	120 5th Avenue		Pittsburgh	PA	15222	2/25/2025	2026	Highmark Western and Northeastern New York Inc.	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H5526	CMS Casework Communication Contact	"Manager, Appeals and Grievances"	Ms.	Walsh	Lynne	M	1-412-544-4579				1-717-635-4209	Lynne.Walsh@highmark.com	120 Fifth Avenue	Suite P5501	Pittsburgh	PA	15222	12/22/2023	2026	Highmark Western and Northeastern New York Inc.	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H5526	Coordination of Benefits Contact	Sr. Process Analyst	Ms.	Cassidy	Christina		1-412-544-4417					Christina.Cassidy@highmark.com	120 Fifth Avenue	PAP P5111	Pittsburgh	PA	15222	6/3/2022	2026	Highmark Western and Northeastern New York Inc.	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H5526	Customer Service Operations Contact	"Director, Member & Provider Services"		Scarnati	Chris		1-814-871-6712					Chris.Scarnati@highmark.com	120 Fifth Avenue		Pittsburgh	PA	15222	3/20/2024	2026	Highmark Western and Northeastern New York Inc.	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H5526	Government Relations Contact	Medicare Compliance Officer	Mr.	Boettler	Thomas		1-412-544-7031					Thomas.Boettler@highmark.com	120 5th Avenue	Suite 1833	Pittsburgh	PA	15222	7/29/2024	2026	Highmark Western and Northeastern New York Inc.	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H5526	Hospice Contact	Intake Coordinator		Welker	Jessica		1-717-888-3043					DrugHelp_Authorizations@highmark.com	120 5th Avenue Place		Pittsburgh	PA	15222	11/8/2022	2026	Highmark Western and Northeastern New York Inc.	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H5526	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Boettler	Thomas		1-412-544-7031					Thomas.Boettler@highmark.com	120 5th Avenue	Suite 1833	Pittsburgh	PA	15222	7/28/2021	2026	Highmark Western and Northeastern New York Inc.	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H5526	Part D Exceptions Contact			Affairs	Pharmacy							drughelp@highmark.com	120 Fifth Avenue	Suite SPECARE	Pittsburgh	PA	15222	8/4/2023	2026	Highmark Western and Northeastern New York Inc.	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Local PPO		Highmark Health	123	Yes	Active	1-800-600-2227				PPO - BBA		C	Boston
H5526	Pharmacy Network Management Contact	"Network Account Director, Retail Strategy&Contract"		Kelly	Heather		1-314-692-1866				1-877-387-5800	hakelly@express-scripts.com	One Express Way		St. Louis	MO	63121	11/30/2016	2026	Highmark Western and Northeastern New York Inc.	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H5526	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	13051 N. Telecom PKWY STE 150		Temple Terrace	FL	33637	12/17/2021	2026	Highmark Western and Northeastern New York Inc.	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Local PPO		Highmark Health	123	Yes	Active	1-800-922-1557				PPO - BBA		C	Boston
H5526	Plan to Plan Reconciliation Contact	"Manager, Operational Accounting"		Stehr	Brett		1-717-302-2748					P2Precon@highmark.com	"Highmark, Inc Attn: Cashier"	PO Box 898820	Camp Hill	PA	17089	6/28/2023	2026	Highmark Western and Northeastern New York Inc.	Local CCP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H5528	Automated TrOOP Balance Transfer Contact	"Dir., Enrollment & Billing"		Ewen	Jillian		1-860-674-5780					JEwen@emblemhealth.com	55 Water St		New York	NY	10041	3/5/2026	2026	"EMBLEMHEALTH PLAN, INC."	Local CCP	EmblemHealth	Local PPO		"EmblemHealth, Inc."	361	Yes	Active					PPO - BBA		C	New York
H5528	Best Available Evidence Contact	"Dir., Enrollment & Billing"		Ewen	Jillian		1-860-674-5780					jewen@emblemhealth.com	55 Water Street		New York	NY	10041	3/5/2026	2026	"EMBLEMHEALTH PLAN, INC."	Local CCP	EmblemHealth	Local PPO		"EmblemHealth, Inc."	361	Yes	Active					PPO - BBA		C	New York
H5528	Chief Financial Officer	Chief Financial Officer	Ms.	Tamborino	Heather		1-646-447-6174					htamborino@emblemhealth.com	55 Water Street		New York	NY	10041	3/5/2026	2026	"EMBLEMHEALTH PLAN, INC."	Local CCP	EmblemHealth	Local PPO		"EmblemHealth, Inc."	361	Yes	Active					PPO - BBA		C	New York
H5528	CMS Casework Communication Contact	"Dir., G & A and Pharmacy Ops."		Marie	Jacqueline	A	1-646-447-7215				1-212-510-8130	jmarie@emblemhealth.com	55 Water Street		New York	NY	10041	3/5/2026	2026	"EMBLEMHEALTH PLAN, INC."	Local CCP	EmblemHealth	Local PPO		"EmblemHealth, Inc."	361	Yes	Active					PPO - BBA		C	New York
H5528	Coordination of Benefits Contact	"AVP, Provider Claim Resolution"		Maxwell	Christine		1-860-674-5751					cmaxwell@connecticare.com	175 Scott Swamp Road		Farmington	CT	06032	3/5/2026	2026	"EMBLEMHEALTH PLAN, INC."	Local CCP	EmblemHealth	Local PPO		"EmblemHealth, Inc."	361	Yes	Active					PPO - BBA		C	New York
H5528	Customer Service Operations Contact	VP Customer Service		Tirado	Nicole		1-518-446-6981					ntirado@emblemhealth.com	80 Wolf Road		Albany	NY	12205	3/5/2026	2026	"EMBLEMHEALTH PLAN, INC."	Local CCP	EmblemHealth	Local PPO		"EmblemHealth, Inc."	361	Yes	Active					PPO - BBA		C	New York
H5528	Government Relations Contact	"Dir., Govt. Program Regulatory/MCO"		Genovese-Scullin	Anthony		1-646-447-7110					agenovese@emblemhealth.com	55 Water Street		New York	NY	10041	3/5/2026	2026	"EMBLEMHEALTH PLAN, INC."	Local CCP	EmblemHealth	Local PPO		"EmblemHealth, Inc."	361	Yes	Active					PPO - BBA		C	New York
H5528	Hospice Contact	Pharm. Govt. Programs Manager		Der Weer	J'Nisha		1-786-918-6890					jderweer@emblemhealth.com	55 Water Street		New York	NY	10041	3/5/2026	2026	"EMBLEMHEALTH PLAN, INC."	Local CCP	EmblemHealth	Local PPO		"EmblemHealth, Inc."	361	Yes	Active					PPO - BBA		C	New York
H5528	Medicare Compliance Officer	"Dir., Govt. Program Regulatory/MCO"	Mr.	Genovese-Scullin	Anthony		1-646-447-7110					agenovese@emblemhealth.com	55 Water Street		New York	NY	10041	3/5/2026	2026	"EMBLEMHEALTH PLAN, INC."	Local CCP	EmblemHealth	Local PPO		"EmblemHealth, Inc."	361	Yes	Active					PPO - BBA		C	New York
H5528	Part D Exceptions Contact	Pharmacy Client Ops Director		Der Weer	J'Nisha							jderweer@emblemhealth.com	55 Water street		New York	NY	10041	3/5/2026	2026	"EMBLEMHEALTH PLAN, INC."	Local CCP	EmblemHealth	Local PPO		"EmblemHealth, Inc."	361	Yes	Active	1-646-447-7198				PPO - BBA		C	New York
H5528	Pharmacy Network Management Contact	Pharm. Govt. Programs Manager		Der Weer	J'Nisha		1-786-918-6890					jderweer@emblemhealth.com	55 Water Street		New York	NY	10041	3/5/2026	2026	"EMBLEMHEALTH PLAN, INC."	Local CCP	EmblemHealth	Local PPO		"EmblemHealth, Inc."	361	Yes	Active					PPO - BBA		C	New York
H5528	Pharmacy Technical Help Desk Contact	Dir Service Delivery		Sebastian	Marissa							marissa.sebastian@primetherapeutics.com	2900 Ames Crossing Road	#200	Eagan	MN	55121	3/5/2026	2026	"EMBLEMHEALTH PLAN, INC."	Local CCP	EmblemHealth	Local PPO		"EmblemHealth, Inc."	361	Yes	Active	1-866-799-7781				PPO - BBA		C	New York
H5528	Plan to Plan Reconciliation Contact	Accounts Payable Manager		Siozios	Jacqueline		1-646-447-3017					jsiozios@emblemhealth.com	55 Water Street		New York	NY	10041	3/5/2026	2026	"EMBLEMHEALTH PLAN, INC."	Local CCP	EmblemHealth	Local PPO		"EmblemHealth, Inc."	361	Yes	Active					PPO - BBA		C	New York
H5533	Automated TrOOP Balance Transfer Contact	"AVP, Medicare Operations Support"		Cain	John		1-412-454-5539					cainjo@upmc.edu	"USX Tower, 9th Floor"	600 Grant Street	Pittsburgh	PA	15219	1/13/2026	2026	"UPMC HEALTH NETWORK, INC."	Local CCP	UPMC for Life	Local PPO		UPMC Health System	249	Yes	Active					PPO - BBA		C	Dallas
H5533	Best Available Evidence Contact	Customer Service		Health Plan	UPMC		1-877-539-3080					upmchp@upmc.edu	"USX Tower, 23rd Floor"	600 Grant Street	Pittsburgh	PA	15219	3/23/2012	2026	"UPMC HEALTH NETWORK, INC."	Local CCP	UPMC for Life	Local PPO		UPMC Health System	249	Yes	Active					PPO - BBA		C	Dallas
H5533	Chief Financial Officer	Chief Financial Officer	Ms.	Farrell	Lisa		1-412-454-5559					farrelllm@UPMC.EDU	"USX Tower, 55th Floor"	600 Grant Street	Pittsburgh	PA	15219	3/30/2026	2026	"UPMC HEALTH NETWORK, INC."	Local CCP	UPMC for Life	Local PPO		UPMC Health System	249	Yes	Active					PPO - BBA		C	Dallas
H5533	CMS Casework Communication Contact	"Sr. Manager, Medicare Compliance"	Ms.	McGough	Amber		1-412-901-1352					russellal@upmc.edu	"USX Tower, 14th Floor"	600 Grant Street	Pittsburgh	PA	15219	1/13/2026	2026	"UPMC HEALTH NETWORK, INC."	Local CCP	UPMC for Life	Local PPO		UPMC Health System	249	Yes	Active					PPO - BBA		C	Dallas
H5533	Coordination of Benefits Contact	Program Director		Turner	Shannon		1-412-454-7360					turners3@upmc.edu	"USX Tower, 5th Floor"	600 Grant Street	Pittsburgh	PA	15219	1/13/2026	2026	"UPMC HEALTH NETWORK, INC."	Local CCP	UPMC for Life	Local PPO		UPMC Health System	249	Yes	Active					PPO - BBA		C	Dallas
H5533	Customer Service Operations Contact	Customer Service		Health Plan	UPMC		1-877-539-3080					upmchp@upmc.edu	"USX Tower, 23rd Floor"	600 Grant Street	Pittsburgh	PA	15219	1/18/2012	2026	"UPMC HEALTH NETWORK, INC."	Local CCP	UPMC for Life	Local PPO		UPMC Health System	249	Yes	Active					PPO - BBA		C	Dallas
H5533	Government Relations Contact	Medicare Compliance Officer	Mrs.	Vybiral	Erin		1-412-454-5247				1-412-454-2110	mccomplianceofficer@upmc.edu	"USX Tower, 14th Floor"	600 Grant Street	Pittsburgh	PA	15219	12/15/2021	2026	"UPMC HEALTH NETWORK, INC."	Local CCP	UPMC for Life	Local PPO		UPMC Health System	249	Yes	Active					PPO - BBA		C	Dallas
H5533	Hospice Contact	Pharmacy Coordinator	Ms.	Keilback	Nicole		1-412-454-8589					lindemuthnl@upmc.edu	"USX Tower, 12th Floor"	600 Grant Street	Pittsburgh	PA	15219	1/13/2026	2026	"UPMC HEALTH NETWORK, INC."	Local CCP	UPMC for Life	Local PPO		UPMC Health System	249	Yes	Active					PPO - BBA		C	Dallas
H5533	Medicare Compliance Officer	Medicare Compliance Officer	Mrs.	Vybiral	Erin		1-412-454-5247				1-412-454-2110	mccomplianceofficer@upmc.edu	"USX Tower, 14th Floor"	600 Grant Street	Pittsburgh	PA	15219	12/15/2021	2026	"UPMC HEALTH NETWORK, INC."	Local CCP	UPMC for Life	Local PPO		UPMC Health System	249	Yes	Active					PPO - BBA		C	Dallas
H5533	Part D Exceptions Contact			Services	Pharmacy							upmchp@upmc.edu	"USX Tower, 12th Floor"	600 Grant Street	Pittsburgh	PA	15219	8/29/2012	2026	"UPMC HEALTH NETWORK, INC."	Local CCP	UPMC for Life	Local PPO		UPMC Health System	249	Yes	Active	1-800-396-4139				PPO - BBA		C	Dallas
H5533	Pharmacy Network Management Contact	Network Account Director		Kelly	Heather		1-314-692-1866				1-877-387-5800	hakelly@express-scripts.com	One Express Way		St. Louis	MO	63121	10/31/2016	2026	"UPMC HEALTH NETWORK, INC."	Local CCP	UPMC for Life	Local PPO		UPMC Health System	249	Yes	Active					PPO - BBA		C	Dallas
H5533	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Warren	Mark							MWarren@express-scripts.com	6625 West 78th Street		Bloomington	MN	55439	1/13/2026	2026	"UPMC HEALTH NETWORK, INC."	Local CCP	UPMC for Life	Local PPO		UPMC Health System	249	Yes	Active	1-800-922-1557				PPO - BBA		C	Dallas
H5533	Plan to Plan Reconciliation Contact	Business Analyst		Michalski	Jeff		1-412-454-5715				1-412-454-2110	medicarereporting@upmc.edu	"US Steel Tower, 600 Grant Street, 9th Floor"	c/o UPMC Health Plan Attn: Aunika Hall P2P - 09-257	Pittsburgh	PA	15219	8/11/2025	2026	"UPMC HEALTH NETWORK, INC."	Local CCP	UPMC for Life	Local PPO		UPMC Health System	249	Yes	Active					PPO - BBA		C	Dallas
H5538	Automated TrOOP Balance Transfer Contact	Regional Director Finance	Ms	Fuhrmeister	Nicole		1-215-778-8707					nicole.fuhrmeister@trinity-health.org	4508 Chestnut Street		Philadelphia	PA	19139	8/4/2023	2026	TRINITY HEALTH PACE OF PENSACOLA	National PACE	Trinity Health PACE of Pensacola	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H5538	Best Available Evidence Contact	Regional Director Finance	Ms	Fuhrmeister	Nicole		1-215-778-8707					nicole.fuhrmeister@trinity-health.org	4508 Chestnut Street		Philadelphia	PA	19139	8/4/2023	2026	TRINITY HEALTH PACE OF PENSACOLA	National PACE	Trinity Health PACE of Pensacola	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H5538	Chief Financial Officer	Regional Director Finance	Ms	Fuhrmeister	Nicole		1-215-778-8707					nicole.fuhrmeister@trinity-health.org	4508 Chestnut Street		Philadelphia	PA	19139	8/4/2023	2026	TRINITY HEALTH PACE OF PENSACOLA	National PACE	Trinity Health PACE of Pensacola	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H5538	CMS Casework Communication Contact	Executive Director	Mr.	Garrett	Travis		1-417-214-0524					travis.garrett@trinity-health.org	5020 Commerce Park Circle		Pensacola	FL	32505	8/4/2023	2026	TRINITY HEALTH PACE OF PENSACOLA	National PACE	Trinity Health PACE of Pensacola	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H5538	Coordination of Benefits Contact	Regional Director Finance	Ms	Fuhrmeister	Nicole		1-215-778-8707				1-251-287-8478	nicole.fuhrmeister@trinity-health.org	2900 Springhill Ave		Mobile	AL	36607	8/4/2023	2026	TRINITY HEALTH PACE OF PENSACOLA	National PACE	Trinity Health PACE of Pensacola	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H5538	Customer Service Operations Contact	Executive Director	Mr.	Garrett	Travis		1-417-214-0524					travis.garrett@trinity-health.org	5020 Commerce Park Circle		Pensacola	FL	32505	8/4/2023	2026	TRINITY HEALTH PACE OF PENSACOLA	National PACE	Trinity Health PACE of Pensacola	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H5538	Government Relations Contact	Executive Director	Mr.	Garrett	Travis		1-417-214-0524					travis.garrett@trinity-health.org	5020 Commerce Park Circle		Pensacola	FL	32505	8/4/2023	2026	TRINITY HEALTH PACE OF PENSACOLA	National PACE	Trinity Health PACE of Pensacola	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H5538	Medicare Compliance Officer	National Director QI/Compliance	Ms	Watts	Christina		1-248-420-6065					wattscl@trinity-health.org	20555 Victor Parkway		Livonia	MI	48152	8/15/2023	2026	TRINITY HEALTH PACE OF PENSACOLA	National PACE	Trinity Health PACE of Pensacola	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H5538	Part D Exceptions Contact	Manager Part D Compliance	Mr.	Garbarino	Joseph							joseph.garbarino@mercyhealth.org	1930 S. Broad Street	Unit 3	Philadelphia	PA	19145	6/16/2022	2026	TRINITY HEALTH PACE OF PENSACOLA	National PACE	Trinity Health PACE of Pensacola	National PACE		Trinity Health Corporation	234	Yes	Active	1-215-339-4362				PACE - Nat		C	Atlanta
H5538	Pharmacy Network Management Contact	Manager Part D Compliance	Mr.	Garbarino	Joseph		1-215-339-4362					joseph.garbarino@trinity-health.org	1930 S. Broad Street	Unit 3	Philadelphia	PA	19145	10/28/2024	2026	TRINITY HEALTH PACE OF PENSACOLA	National PACE	Trinity Health PACE of Pensacola	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H5538	Pharmacy Technical Help Desk Contact	Manager Part D Compliance	Mr	Garbarino	Joseph							Joseph.Garbarino@trinity-health.org	1930 South Broad St	Unit 3	Philadelphia	PA	19145	10/28/2024	2026	TRINITY HEALTH PACE OF PENSACOLA	National PACE	Trinity Health PACE of Pensacola	National PACE		Trinity Health Corporation	234	Yes	Active	1-215-339-4362				PACE - Nat		C	Atlanta
H5538	Plan to Plan Reconciliation Contact	Regional Director Finance	Ms	Fuhrmeister	Nicole		1-215-778-8707					nicole.fuhrmeister@trinity-health.org	4508 Chestnut Street		Philadelphia	PA	19139	8/4/2023	2026	TRINITY HEALTH PACE OF PENSACOLA	National PACE	Trinity Health PACE of Pensacola	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Atlanta
H5549	Automated TrOOP Balance Transfer Contact	"Manager, Membership and Eligibility Unit"	Ms.	Tang	Cheryl		1-212-760-3147					Cheryl.Tang@vnshealth.org	220 East 42nd Street	3rd Floor	New York	NY	10017	8/15/2023	2026	VNS CHOICE	Local CCP	VNS Health Medicare	HMO/HMOPOS		Visiting Nurse Service of New York	309	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5549	Best Available Evidence Contact	"Manager, Membership and Eligibility Unit"	Ms.	Tang	Cheryl		1-212-760-3147					Cheryl.Tang@vnshealth.org	220 East 42nd Street	3rd Floor	New York	NY	10017	8/15/2023	2026	VNS CHOICE	Local CCP	VNS Health Medicare	HMO/HMOPOS		Visiting Nurse Service of New York	309	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5549	Chief Financial Officer	CFO	Mr.	Patterson	Keith		1-646-988-5391					Keith.Patterson@vnshealth.org	220 East 42nd Street	6th Floor	New York	NY	10017	9/26/2024	2026	VNS CHOICE	Local CCP	VNS Health Medicare	HMO/HMOPOS		Visiting Nurse Service of New York	309	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5549	CMS Casework Communication Contact	"Vice President, Compliance & Regulatory Affairs"		Borenkind	Carly		1-917-227-1214					Carly.Borenkind@vnshealth.org	220 East 42nd Street	6th Floor	New York	NY	10017	4/1/2026	2026	VNS CHOICE	Local CCP	VNS Health Medicare	HMO/HMOPOS		Visiting Nurse Service of New York	309	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5549	Coordination of Benefits Contact	"Manager, Membership and Eligibility Unit"	Ms.	Tang	Cheryl		1-212-760-3147					Cheryl.Tang@vnshealth.org	220 East 42nd Street	3rd Floor	New York	NY	10017	8/15/2023	2026	VNS CHOICE	Local CCP	VNS Health Medicare	HMO/HMOPOS		Visiting Nurse Service of New York	309	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5549	Customer Service Operations Contact	"Vice President, Contact Center Services & Admin"	Ms.	Vitale	Nancy		1-212-626-8071					Nancy.Vitale@vnshealth.org	500 7th Avenue	11th Floor	New York	NY	10018	8/15/2023	2026	VNS CHOICE	Local CCP	VNS Health Medicare	HMO/HMOPOS		Visiting Nurse Service of New York	309	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5549	Government Relations Contact	"Vice President, Government Affairs"	Mr.	Lowenstein	Daniel		1-212-609-1514					Dan.Lowenstein@vnshealth.org	220 East 42nd Street	6th Floor	New York	NY	10017	8/15/2023	2026	VNS CHOICE	Local CCP	VNS Health Medicare	HMO/HMOPOS		Visiting Nurse Service of New York	309	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5549	Hospice Contact	Pharmacy Services Specialist	Ms.	Rahman	Ishrat		1-212-609-1751					Ishrat.Rahman@vnshealth.org	220 East 42nd Street	3rd Floor	New York	NY	10017	8/15/2023	2026	VNS CHOICE	Local CCP	VNS Health Medicare	HMO/HMOPOS		Visiting Nurse Service of New York	309	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5549	Medicare Compliance Officer	"Vice President, Compliance & Regulatory Affairs"	Ms.	Borenkind	Carly		1-917-227-1214					Carly.Borenkind@vnshealth.org	220 East 42nd Street	6th Floor	New York	NY	10017	4/1/2026	2026	VNS CHOICE	Local CCP	VNS Health Medicare	HMO/HMOPOS		Visiting Nurse Service of New York	309	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5549	Part D Exceptions Contact	"Vice President, Pharmacy Services"	Ms.	Shell	Sofya							Sofya.Shell@vnshealth.org	220 East 42nd Street	3rd Floor	New York	NY	10017	8/15/2023	2026	VNS CHOICE	Local CCP	VNS Health Medicare	HMO/HMOPOS		Visiting Nurse Service of New York	309	Yes	Active	1-212-290-6557				HMO - Health Maintenance Organization		C	New York
H5549	Pharmacy Network Management Contact	"Vice President, Pharmacy Services"	Ms.	Shell	Sofya		1-212-290-6557					Sofya.Shell@vnshealth.org	220 East 42nd Street	3rd Floor	New York	NY	10017	8/15/2023	2026	VNS CHOICE	Local CCP	VNS Health Medicare	HMO/HMOPOS		Visiting Nurse Service of New York	309	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5549	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"	Ms.	Brewer	Kathy							customerservice@MedImpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	12/8/2022	2026	VNS CHOICE	Local CCP	VNS Health Medicare	HMO/HMOPOS		Visiting Nurse Service of New York	309	Yes	Active	1-888-672-7205				HMO - Health Maintenance Organization		C	New York
H5549	Plan to Plan Reconciliation Contact	"Manager, Membership and Eligibility Unit"	Ms.	Tang	Cheryl		1-212-760-3147					Cheryl.Tang@vnshealth.org	220 East 42nd Street	3rd Floor	New York	NY	10017	8/15/2023	2026	VNS CHOICE	Local CCP	VNS Health Medicare	HMO/HMOPOS		Visiting Nurse Service of New York	309	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5577	Automated TrOOP Balance Transfer Contact	Enrollment VP		Rios	Hector		1-787-758-2500	2874				hector.rios@medicalcardsystem.com	MCS Plaza	"255 Ponce de Leon Avenue, Second Floor"	San Juan	PR	00918	7/27/2020	2026	"MCS ADVANTAGE, INC."	Local CCP	MCS Classicare	HMO/HMOPOS		"MHH Healthcare, L.P."	669	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5577	Best Available Evidence Contact	SVP & Medicare Compliance Officer		Pastrana	Isis	C	1-787-478-3428					isis.pastrana@medicalcardsystem.com	MCS Plaza	"255 Ponce de Leon Avenue, Second Floor"	San Juan	PR	00918	12/26/2025	2026	"MCS ADVANTAGE, INC."	Local CCP	MCS Classicare	HMO/HMOPOS		"MHH Healthcare, L.P."	669	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5577	Chief Financial Officer	Chief Financial Officer	Mr.	Aponte	Jose		1-787-758-2500	5022			1-787-622-2098	joseap@medicalcardsystem.com	MCS Plaza	"255 Ponce de Leon Avenue, Second Floor"	San Juan	PR	00918	7/27/2020	2026	"MCS ADVANTAGE, INC."	Local CCP	MCS Classicare	HMO/HMOPOS		"MHH Healthcare, L.P."	669	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5577	CMS Casework Communication Contact	Grievances & Appeals Director		Roman	Beatriz		1-787-758-2500	5799			1-787-620-7765	broman@medicalcardsystem.com	MCS Plaza	"255 Ponce de Leon Avenue, Second Floor"	San Juan	PR	00918	4/15/2021	2026	"MCS ADVANTAGE, INC."	Local CCP	MCS Classicare	HMO/HMOPOS		"MHH Healthcare, L.P."	669	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5577	Coordination of Benefits Contact	Classicare Enrollment & Reconciliation AVP		Campos	Jose		1-787-758-2500	2939				jose.campos@medicalcardsystem.com	MCS Plaza	"255 Ponce de Leon, Second Floor"	San Juan	PR	00918	7/28/2020	2026	"MCS ADVANTAGE, INC."	Local CCP	MCS Classicare	HMO/HMOPOS		"MHH Healthcare, L.P."	669	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5577	Customer Service Operations Contact	Service Call Center AVP		Reyes  Ramos	Johalis		1-787-758-2500	3781			1-787-622-2463	jreyesra@medicalcardsystem.com	MCS Plaza	"255 Ponce de Leon Avenue, Second Floor"	San Juan	PR	00918	6/12/2025	2026	"MCS ADVANTAGE, INC."	Local CCP	MCS Classicare	HMO/HMOPOS		"MHH Healthcare, L.P."	669	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5577	Government Relations Contact	SVP & Medicare Compliance Officer		Pastrana	Isis	C	1-787-478-3428					isis.pastrana@medicalcardsystem.com	MCS Plaza	"255 Ponce de Leon Avenue, Second Floor"	San Juan	PR	00918	12/26/2025	2026	"MCS ADVANTAGE, INC."	Local CCP	MCS Classicare	HMO/HMOPOS		"MHH Healthcare, L.P."	669	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5577	Hospice Contact	Pharmacy Utilization Management Director		Burgos	Grace		1-787-758-2500	5747				grace.burgos@medicalcardsystem.com	MCS Plaza	"255 Ponce de Leon Avenue, Second Floor"	San Juan	PR	00918	9/9/2024	2026	"MCS ADVANTAGE, INC."	Local CCP	MCS Classicare	HMO/HMOPOS		"MHH Healthcare, L.P."	669	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5577	Medicare Compliance Officer	SVP & Medicare Compliance Officer	Ms.	Pastrana	Isis	C	1-787-478-3428					isis.pastrana@medicalcardsystem.com	MCS Plaza	"255 Ponce de Leon Avenue, Second Floor"	San Juan	PR	00918	12/26/2025	2026	"MCS ADVANTAGE, INC."	Local CCP	MCS Classicare	HMO/HMOPOS		"MHH Healthcare, L.P."	669	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5577	Part D Exceptions Contact	Pharmacy Utilization Management & Specialty		Ramos Marrero	Gladiany							gramos@medicalcardsystem.com	MCS Plaza	"255 Ponce de Leon Avenue, Second Floor"	San Juan	PR	00918	5/30/2025	2026	"MCS ADVANTAGE, INC."	Local CCP	MCS Classicare	HMO/HMOPOS		"MHH Healthcare, L.P."	669	Yes	Active	1-787-758-2500	2414			HMO - Health Maintenance Organization		C	Dallas
H5577	Pharmacy Network Management Contact	Pharmacy Regulations & Audit Monitoring Director		Izquierdo	Delmarie		1-787-758-2500	5719				dizquierdo@medicalcardsystem.com	MCS Plaza	"255 Ponce de Leon Avenue, Second Floor"	San Juan	PR	00918	6/4/2024	2026	"MCS ADVANTAGE, INC."	Local CCP	MCS Classicare	HMO/HMOPOS		"MHH Healthcare, L.P."	669	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5577	Pharmacy Technical Help Desk Contact	Pharmacy Utilization Management Director		Burgos	Grace							grace.burgos@medicalcardsystem.com	MCS Plaza	"255 Ponce de Leon Avenue, Second Floor"	San Juan	PR	00918	9/9/2024	2026	"MCS ADVANTAGE, INC."	Local CCP	MCS Classicare	HMO/HMOPOS		"MHH Healthcare, L.P."	669	Yes	Active	1-844-633-1064				HMO - Health Maintenance Organization		C	Dallas
H5577	Plan to Plan Reconciliation Contact	Financial Reporting Manager		Perez	Javier		1-787-758-2500	2604				javperez@medicalcardsystem.com	MCS Plaza	255 Ponce de Leon Avenue Second Floor	San Juan	PR	00918	7/27/2020	2026	"MCS ADVANTAGE, INC."	Local CCP	MCS Classicare	HMO/HMOPOS		"MHH Healthcare, L.P."	669	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5580	Automated TrOOP Balance Transfer Contact	"Director, Finance"	Ms.	Wilson	Robyn		1-602-659-1424					WilsonR3@mercycareaz.org	"4750 S. 44th Place,  Suite 150"		Phoenix	AZ	85040	11/21/2023	2026	MERCY CARE	Local CCP	Mercy Care Advantage	HMO/HMOPOS		Mercy Care	214	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5580	Best Available Evidence Contact	Enrollment Services Manager	Ms.	Romero	Tammie		1-602-453-6054				1-602-414-7228	RomeroT@mercycareaz.org	"4750 S. 44th Place,  Suite 150"		Phoenix	AZ	85040	11/21/2023	2026	MERCY CARE	Local CCP	Mercy Care Advantage	HMO/HMOPOS		Mercy Care	214	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5580	Chief Financial Officer	Chief Financial Officer	Mr.	Ek	Randell		1-602-659-1457					EkR@mercycareaz.org	"4750 S. 44th Place,  Suite 150"		Phoenix	AZ	85040	11/21/2023	2026	MERCY CARE	Local CCP	Mercy Care Advantage	HMO/HMOPOS		Mercy Care	214	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5580	CMS Casework Communication Contact	"Director, Medicare Product"	Mrs.	Richardson	Shannon		1-602-453-5592					RichardsonS4@mercycareaz.org	"4750 S. 44th Place,  Suite 150"		Phoenix	AZ	85040	11/12/2025	2026	MERCY CARE	Local CCP	Mercy Care Advantage	HMO/HMOPOS		Mercy Care	214	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5580	Coordination of Benefits Contact	Accounting Manager	Mr.	Le	Tu		1-602-453-8345					LeT@mercycareaz.org	4755 S 44th Place	Suite 150	Phoenix	AZ	85040	6/12/2024	2026	MERCY CARE	Local CCP	Mercy Care Advantage	HMO/HMOPOS		Mercy Care	214	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5580	Customer Service Operations Contact	Director Customer Service	Mr.	Sanchez	Luis		1-602-351-2317					sanchezl@mercycareaz.org	"4750 S. 44th Place,  Suite 150"		Phoenix	AZ	85040	11/13/2024	2026	MERCY CARE	Local CCP	Mercy Care Advantage	HMO/HMOPOS		Mercy Care	214	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5580	Government Relations Contact	Chief Operating Officer	Mr.	Hargens	Brad		1-602-414-7512					Hargensb@mercycareaz.org	"4750 S. 44th Place,  Suite 150"		Phoenix	AZ	85040	11/13/2024	2026	MERCY CARE	Local CCP	Mercy Care Advantage	HMO/HMOPOS		Mercy Care	214	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5580	Hospice Contact	Director Medicare Product	Mr.	Barrera	Noe		1-602-453-8010					barreran@mercycareaz.org	"4750 S. 44th Place,  Suite 150"		Phoenix	AZ	85040	11/13/2024	2026	MERCY CARE	Local CCP	Mercy Care Advantage	HMO/HMOPOS		Mercy Care	214	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5580	Medicare Compliance Officer	"Director, Medicare Product"	Mrs.	Richardson	Shannon		1-602-826-1831					richardsons4@mercycareaz.org	"4750 S. 44th Place,  Suite 150"		Phoenix	AZ	85040	11/12/2025	2026	MERCY CARE	Local CCP	Mercy Care Advantage	HMO/HMOPOS		Mercy Care	214	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5580	Part D Exceptions Contact	Appeals Supervisor		Spencer	Tiffane						1-855-230-5544	SpencerT4@AETNA.com	"4750 S. 44th Place,  Suite 150"		Phoenix	AZ	85040	11/21/2023	2026	MERCY CARE	Local CCP	Mercy Care Advantage	HMO/HMOPOS		Mercy Care	214	Yes	Active	1-860-900-4547				HMO - Health Maintenance Organization		C	New York
H5580	Pharmacy Network Management Contact	"Director, Network Systems & Standards"		Lindsey	Lisa		1-877-864-7744					Lisa.lindsey@cvshealth.com	9501 E Shea Blvd		Scottsdale	AZ	85260	7/7/2025	2026	MERCY CARE	Local CCP	Mercy Care Advantage	HMO/HMOPOS		Mercy Care	214	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5580	Pharmacy Technical Help Desk Contact	Pharmacy Help Desk		Leverette	Miesha							Miesha.Leverette@cvshealth.com	750 W John Carpenter Fwy	Ste 1200	Irving	TX	75039	7/7/2025	2026	MERCY CARE	Local CCP	Mercy Care Advantage	HMO/HMOPOS		Mercy Care	214	Yes	Active	1-855-539-4721				HMO - Health Maintenance Organization		C	New York
H5580	Plan to Plan Reconciliation Contact	Accounting Manager	Mr.	Le	Tu		1-602-453-8345					LeT@mercycareaz.org	4755 S 44th Place	Suite 150	Phoenix	AZ	85040	6/12/2024	2026	MERCY CARE	Local CCP	Mercy Care Advantage	HMO/HMOPOS		Mercy Care	214	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5587	Automated TrOOP Balance Transfer Contact	Sr Mgr Financial Reporting-VP Finance		Jones	Erin		1-602-864-4361					erin.jones@azblue.com	8220 N 23rd Ave		Phoenix	AZ	85021	9/11/2024	2026	"HEALTH CHOICE ARIZONA, INC."	Local CCP	Blue Cross Blue Shield of Arizona Health Choice	HMO/HMOPOS		Blue Cross Blue Shield of Arizona	447	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5587	Best Available Evidence Contact	Manager Operations Center- Call Center		Cruz Herrera	Elizabeth		1-480-303-4419				1-480-760-4708	Elizabeth.CruzHerrera@azblue.com	8220 N 23rd Ave		Phoenix	AZ	85021	8/24/2023	2026	"HEALTH CHOICE ARIZONA, INC."	Local CCP	Blue Cross Blue Shield of Arizona Health Choice	HMO/HMOPOS		Blue Cross Blue Shield of Arizona	447	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5587	Chief Financial Officer	Chief Financial Officer	Ms	Magallanes	Tammy		1-520-609-7835					Tammy.Magallanes@azblue.com	8220 N 23rd Ave		Phoenix	AZ	85021	8/24/2023	2026	"HEALTH CHOICE ARIZONA, INC."	Local CCP	Blue Cross Blue Shield of Arizona Health Choice	HMO/HMOPOS		Blue Cross Blue Shield of Arizona	447	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5587	CMS Casework Communication Contact	Staff VP - Chief Medical Officer		Carroll	Mark		1-928-214-2175					Mark.carroll@azblue.com	8220 N 23rd Ave		Phoenix	AZ	85021	2/5/2025	2026	"HEALTH CHOICE ARIZONA, INC."	Local CCP	Blue Cross Blue Shield of Arizona Health Choice	HMO/HMOPOS		Blue Cross Blue Shield of Arizona	447	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5587	Coordination of Benefits Contact	"Manager, Provider Asst. Customer Service Ops Medic"		Williams	Tammy		1-800-322-8670				1-480-760-4708	tammy.williams@azblue.com	8220 N 23rd Ave		Phoenix	AZ	85021	8/24/2023	2026	"HEALTH CHOICE ARIZONA, INC."	Local CCP	Blue Cross Blue Shield of Arizona Health Choice	HMO/HMOPOS		Blue Cross Blue Shield of Arizona	447	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5587	Customer Service Operations Contact	Vice President of Operations Center - Call Center		Rajskub	Suzan		1-480-333-4507				1-480-760-4708	Suzan.Irmer@azblue.com	8220 N 23rd Ave		Phoenix	AZ	85021	3/5/2025	2026	"HEALTH CHOICE ARIZONA, INC."	Local CCP	Blue Cross Blue Shield of Arizona Health Choice	HMO/HMOPOS		Blue Cross Blue Shield of Arizona	447	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5587	Government Relations Contact	Staff VP Health Plan Operations		ladich	Matthew		1-480-303-4439					Matthew.Ladich@azblue.com	8220 N 23rd Ave		Phoenix	AZ	85021	8/14/2024	2026	"HEALTH CHOICE ARIZONA, INC."	Local CCP	Blue Cross Blue Shield of Arizona Health Choice	HMO/HMOPOS		Blue Cross Blue Shield of Arizona	447	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5587	Hospice Contact	Clinical Pharmacy Program Manager		Sanders	Stephanie		1-520-906-3358				1-888-908-6747	Stephanie.Sanders@azblue.com	8220 N 23rd Ave		Phoenix	AZ	85021	8/24/2023	2026	"HEALTH CHOICE ARIZONA, INC."	Local CCP	Blue Cross Blue Shield of Arizona Health Choice	HMO/HMOPOS		Blue Cross Blue Shield of Arizona	447	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5587	Medicare Compliance Officer	"Staff VP, Corporate & Medicare Compliance"	Ms	Moore	Veronica		1-602-336-7600					Veronica.Moore@azblue.com	8220 N 23rd Ave		Phoenix	AZ	85021	7/1/2024	2026	"HEALTH CHOICE ARIZONA, INC."	Local CCP	Blue Cross Blue Shield of Arizona Health Choice	HMO/HMOPOS		Blue Cross Blue Shield of Arizona	447	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5587	Part D Exceptions Contact	HCP Pharmacist		Rodriguez	Leslie							Leslie.Rodriguez@azblue.com	8220 N 23rd Ave		Phoenix	AZ	85021	8/24/2023	2026	"HEALTH CHOICE ARIZONA, INC."	Local CCP	Blue Cross Blue Shield of Arizona Health Choice	HMO/HMOPOS		Blue Cross Blue Shield of Arizona	447	Yes	Active	1-602-819-4784				HMO - Health Maintenance Organization		C	Chicago
H5587	Pharmacy Network Management Contact	HCP Pharmacist		Rodriguez	Leslie		1-602-819-4784					Leslie.Rodriguez@azblue.com	8220 N 23rd Ave		Phoenix	AZ	85021	8/24/2023	2026	"HEALTH CHOICE ARIZONA, INC."	Local CCP	Blue Cross Blue Shield of Arizona Health Choice	HMO/HMOPOS		Blue Cross Blue Shield of Arizona	447	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5587	Pharmacy Technical Help Desk Contact	"AVP, Caremark Member Operations (CMO) - Government"		Jackson	Scott	A						Scott.Jackson@CVSHealth.com	CVS Health	1 CVS Drive	Woonsocket	RI	02895	1/1/2024	2026	"HEALTH CHOICE ARIZONA, INC."	Local CCP	Blue Cross Blue Shield of Arizona Health Choice	HMO/HMOPOS		Blue Cross Blue Shield of Arizona	447	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Chicago
H5587	Plan to Plan Reconciliation Contact	Sr Mgr Financial Reporting-VP Finance		Jones	Erin		1-602-864-4361					erin.jones@azblue.com	8220 N 23rd Ave		Phoenix	AZ	85021	9/11/2024	2026	"HEALTH CHOICE ARIZONA, INC."	Local CCP	Blue Cross Blue Shield of Arizona Health Choice	HMO/HMOPOS		Blue Cross Blue Shield of Arizona	447	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5590	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/5/2024	2026	"Bridgeway Health Solutions of Arizona, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5590	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	"Bridgeway Health Solutions of Arizona, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5590	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	7/5/2024	2026	"Bridgeway Health Solutions of Arizona, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5590	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"Bridgeway Health Solutions of Arizona, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5590	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"Bridgeway Health Solutions of Arizona, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5590	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	9/18/2024	2026	"Bridgeway Health Solutions of Arizona, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5590	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"Bridgeway Health Solutions of Arizona, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5590	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	7/5/2024	2026	"Bridgeway Health Solutions of Arizona, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5590	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	"Bridgeway Health Solutions of Arizona, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5590	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	7/5/2024	2026	"Bridgeway Health Solutions of Arizona, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H5590	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	"Bridgeway Health Solutions of Arizona, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5590	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/11/2025	2026	"Bridgeway Health Solutions of Arizona, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-4411				HMO - Health Maintenance Organization		C	Denver
H5590	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	7/5/2024	2026	"Bridgeway Health Solutions of Arizona, Inc."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5591	Automated TrOOP Balance Transfer Contact	"Manager, Pharmacy Operations"		Theriault	Anne		1-207-766-3144					anne.theriault@martinspoint.org	P.O. Box 9746	891 Washington Ave	Portland	ME	04101	6/10/2026	2026	"MARTIN'S POINT GENERATIONS ADVANTAGE, INC."	Local CCP	Martin's Point Generations Advantage	HMO/HMOPOS		"Martin's Point Health Care, Inc."	287	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5591	Best Available Evidence Contact	"Manager, Member Operations"		Whelan	James		1-207-274-2738					james.whelan@martinspoint.org	PO Box 9746	891 Washington Ave	Portland	ME	04104	6/10/2026	2026	"MARTIN'S POINT GENERATIONS ADVANTAGE, INC."	Local CCP	Martin's Point Generations Advantage	HMO/HMOPOS		"Martin's Point Health Care, Inc."	287	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5591	Chief Financial Officer	Chief Financial Officer	Ms	Jackson	Amanda		1-207-253-6115					amanda.jackson@martinspoint.org	331 Veranda Street	P. O.  Box 9746	Portland	ME	04104	6/10/2026	2026	"MARTIN'S POINT GENERATIONS ADVANTAGE, INC."	Local CCP	Martin's Point Generations Advantage	HMO/HMOPOS		"Martin's Point Health Care, Inc."	287	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5591	CMS Casework Communication Contact	Director Compliance & MCO		Loomis	Elizabeth		1-518-229-0535					elizabeth.loomis@martinspoint.org	P.O. Box 9746	331 Veranda Street	Portland	ME	04104	6/10/2026	2026	"MARTIN'S POINT GENERATIONS ADVANTAGE, INC."	Local CCP	Martin's Point Generations Advantage	HMO/HMOPOS		"Martin's Point Health Care, Inc."	287	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5591	Coordination of Benefits Contact	"Manager, Member Operations"		Whelan	James		1-207-274-2738					james.whelan@martinspoint.org	PO Box 9746	891 Washington Ave	Portland	ME	04104	6/10/2026	2026	"MARTIN'S POINT GENERATIONS ADVANTAGE, INC."	Local CCP	Martin's Point Generations Advantage	HMO/HMOPOS		"Martin's Point Health Care, Inc."	287	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5591	Customer Service Operations Contact	Director Compliance & MCO		Loomis	Elizabeth		1-518-229-0535					elizabeth.loomis@martinspoint.org	P.O. Box 9746	331 Veranda Street	Portland	ME	04101	6/10/2026	2026	"MARTIN'S POINT GENERATIONS ADVANTAGE, INC."	Local CCP	Martin's Point Generations Advantage	HMO/HMOPOS		"Martin's Point Health Care, Inc."	287	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5591	Government Relations Contact	Director Compliance & MCO	Ms	Loomis	Elizabeth		1-518-229-0535					elizabeth.loomis@martinspoint.org	P.O. Box 9746	331 Veranda Street Bldg 2	Portland	ME	04104	6/10/2026	2026	"MARTIN'S POINT GENERATIONS ADVANTAGE, INC."	Local CCP	Martin's Point Generations Advantage	HMO/HMOPOS		"Martin's Point Health Care, Inc."	287	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5591	Hospice Contact	"Manager, Pharmacy Operations"		Theriault	Anne		1-207-766-3144					anne.theriault@martinspoint.org	331 Veranda Street	PO Box 9746	Portland	ME	04104	6/10/2026	2026	"MARTIN'S POINT GENERATIONS ADVANTAGE, INC."	Local CCP	Martin's Point Generations Advantage	HMO/HMOPOS		"Martin's Point Health Care, Inc."	287	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5591	Medicare Compliance Officer	Director Compliance & MCO	Ms	Loomis	Elizabeth		1-518-229-0535					elizabeth.loomis@martinspoint.org	P.O. Box 9746	331 Veranda Street Bldg 2	Portland	ME	04104	6/10/2026	2026	"MARTIN'S POINT GENERATIONS ADVANTAGE, INC."	Local CCP	Martin's Point Generations Advantage	HMO/HMOPOS		"Martin's Point Health Care, Inc."	287	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5591	Part D Exceptions Contact	Appeals Representative		Representative	Appeals							appealsmedicare@caremark.com	CVS Caremark	9501 E. Shea Blvd MC 109	Scottsdale	AZ	85260	6/10/2026	2026	"MARTIN'S POINT GENERATIONS ADVANTAGE, INC."	Local CCP	Martin's Point Generations Advantage	HMO/HMOPOS		"Martin's Point Health Care, Inc."	287	Yes	Active	1-868-884-9479				HMO - Health Maintenance Organization		C	Boston
H5591	Pharmacy Network Management Contact	"Director, Network Operations"		Smith	Shawn		1-480-391-4844				1-480-314-6964	Shawn.Smith@caremark.com	CVS Caremark	9501 E. Shea Blvd. MC143	Scottsdale	AZ	85260	6/10/2026	2026	"MARTIN'S POINT GENERATIONS ADVANTAGE, INC."	Local CCP	Martin's Point Generations Advantage	HMO/HMOPOS		"Martin's Point Health Care, Inc."	287	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5591	Pharmacy Technical Help Desk Contact	"Manager, Vendor Management"		Palmieri	Mike							mike.palmieri@caremark.com	CVS Caremark	2401 Cherahala Blvd. MC650	Knoxville	TN	37932	6/10/2026	2026	"MARTIN'S POINT GENERATIONS ADVANTAGE, INC."	Local CCP	Martin's Point Generations Advantage	HMO/HMOPOS		"Martin's Point Health Care, Inc."	287	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Boston
H5591	Plan to Plan Reconciliation Contact	Accountant II		Ayub	Rehema		1-207-253-6991					rehema.ayub@martinspoint.org	P. O. Box 9746	891 Washington Ave	Portland	ME	04103	6/10/2026	2026	"MARTIN'S POINT GENERATIONS ADVANTAGE, INC."	Local CCP	Martin's Point Generations Advantage	HMO/HMOPOS		"Martin's Point Health Care, Inc."	287	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5593	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	AETNA HEALTH OF IOWA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5593	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	AETNA HEALTH OF IOWA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5593	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA HEALTH OF IOWA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5593	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	AETNA HEALTH OF IOWA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5593	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	AETNA HEALTH OF IOWA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5593	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	AETNA HEALTH OF IOWA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5593	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA HEALTH OF IOWA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5593	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	AETNA HEALTH OF IOWA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5593	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	AETNA HEALTH OF IOWA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5593	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	AETNA HEALTH OF IOWA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H5593	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA HEALTH OF IOWA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5593	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	AETNA HEALTH OF IOWA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H5593	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA HEALTH OF IOWA INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5594	Automated TrOOP Balance Transfer Contact	Manager Pharmacy Clinical Ops		Marrocco	Brianna		1-813-506-6000	1621753			1-813-490-5338	bmarrocco@freedomh.com	5411 SkyCenter Drive		Tampa	FL	33607	1/8/2026	2026	"OPTIMUM HEALTHCARE, INC."	Local CCP	"Optimum HealthCare, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5594	Best Available Evidence Contact	Director Program Management		Salvietti	Kerensa		1-203-598-4738					Kerensa.Salvietti@elevancehealth.com	108 Leigus Road		Wallingford	CT	06492	8/20/2025	2026	"OPTIMUM HEALTHCARE, INC."	Local CCP	"Optimum HealthCare, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5594	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	1/26/2026	2026	"OPTIMUM HEALTHCARE, INC."	Local CCP	"Optimum HealthCare, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5594	CMS Casework Communication Contact	Dir II GBD G&A		Rolle	Celeste		1-813-506-6000	11469			1-813-506-6151	crolle@freedomh.com	5411 Sky Center Dr		Tampa	FL	33607	7/10/2024	2026	"OPTIMUM HEALTHCARE, INC."	Local CCP	"Optimum HealthCare, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5594	Coordination of Benefits Contact	"Manager II, Financial Ops Dept"	Ms.	Fonseca	Idany		1-305-448-8100	262			1-305-444-9148	idany.fonseca@healthsun.com	9250 West Flager Street	Suite 600	Miami	FL	33174	7/10/2024	2026	"OPTIMUM HEALTHCARE, INC."	Local CCP	"Optimum HealthCare, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5594	Customer Service Operations Contact	Director of Member Services		Doroteo	Carlos		1-800-401-2740					CMSMemberServices@freedomh.com	5411 SkyCenter Drive		Tampa	FL	33607	1/8/2026	2026	"OPTIMUM HEALTHCARE, INC."	Local CCP	"Optimum HealthCare, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5594	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"OPTIMUM HEALTHCARE, INC."	Local CCP	"Optimum HealthCare, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5594	Hospice Contact	Manager Pharmacy Clinical Ops		Marrocco	Brianna		1-813-506-6000	1621753			1-813-490-5338	bmarrocco@freedomh.com	5411 SkyCenter Drive		Tampa	FL	33607	1/8/2026	2026	"OPTIMUM HEALTHCARE, INC."	Local CCP	"Optimum HealthCare, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5594	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"OPTIMUM HEALTHCARE, INC."	Local CCP	"Optimum HealthCare, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5594	Part D Exceptions Contact	Dir II GBD G&A		Rolle	Celeste						1-813-506-6152	crolle@freedomh.com	5411 SkyCenter Drive		Tampa	FL	33607	7/10/2024	2026	"OPTIMUM HEALTHCARE, INC."	Local CCP	"Optimum HealthCare, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-813-506-6000	11469			HMO - Health Maintenance Organization		C	Chicago
H5594	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Road		Mason	OH	45040	7/10/2024	2026	"OPTIMUM HEALTHCARE, INC."	Local CCP	"Optimum HealthCare, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5594	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Road		Mason	OH	45040	7/10/2024	2026	"OPTIMUM HEALTHCARE, INC."	Local CCP	"Optimum HealthCare, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H5594	Plan to Plan Reconciliation Contact	P2P Contact		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd	Ste 100 Mailstop CA9304-R04H	Woodland Hills	CA	91367	7/10/2024	2026	"OPTIMUM HEALTHCARE, INC."	Local CCP	"Optimum HealthCare, Inc."	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5599	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"	Mr.	Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	1/3/2024	2026	NEW YORK QUALITY HEALTHCARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5599	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					MedicareEnrollmentUnit@fideliscare.org	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	NEW YORK QUALITY HEALTHCARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5599	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	4/5/2024	2026	NEW YORK QUALITY HEALTHCARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5599	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Peters	John	M	1-646-386-0713					JPeters@fideliscare.org	2501 Jackson Ave		Long Island City	NY	11101	11/3/2025	2026	NEW YORK QUALITY HEALTHCARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5599	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	NEW YORK QUALITY HEALTHCARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5599	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	9/18/2024	2026	NEW YORK QUALITY HEALTHCARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5599	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	NEW YORK QUALITY HEALTHCARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5599	Hospice Contact	"Director, Case Management"		Ruffell	Jennifer		1-585-498-3094					jruffell@fideliscare.org	2501 Jackson Avenue		Long Island City	NY	11101	3/11/2024	2026	NEW YORK QUALITY HEALTHCARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5599	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	NEW YORK QUALITY HEALTHCARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5599	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	9/3/2025	2026	NEW YORK QUALITY HEALTHCARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H5599	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	NEW YORK QUALITY HEALTHCARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5599	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	1/9/2025	2026	NEW YORK QUALITY HEALTHCARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-4593				HMO - Health Maintenance Organization		C	Denver
H5599	Plan to Plan Reconciliation Contact	"Manager, Reporting and Analytics"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	8/18/2023	2026	NEW YORK QUALITY HEALTHCARE CORPORATION	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5608	Automated TrOOP Balance Transfer Contact	Medicare Operations Supervisor		Distel	Chris		1-330-212-7994					PartDCAT@medimpact.com	10181 Scripps Gateway Court		San Diego	CA	92131	12/10/2024	2026	"DENVER HEALTH MEDICAL PLAN, INC."	Local CCP	Elevate Medicare Advantage	HMO/HMOPOS		Denver Health and Hospital Authority	77	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5608	Best Available Evidence Contact	"Sr. Manager, Health Plan Products"		Chrissinger	Cailey		1-303-602-2427				1-303-602-2094	Cailey.Chrissinger@dhha.org	777 Bannock Street	Mail Code 6000	Denver	CO	80204	5/26/2026	2026	"DENVER HEALTH MEDICAL PLAN, INC."	Local CCP	Elevate Medicare Advantage	HMO/HMOPOS		Denver Health and Hospital Authority	77	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5608	Chief Financial Officer	CFO	Mr.	Hassan	Ansar		1-303-602-7083					ansar.hassan@dhha.org	777 Bannock Street	Mail Code 6000	Denver	CO	80204	1/9/2025	2026	"DENVER HEALTH MEDICAL PLAN, INC."	Local CCP	Elevate Medicare Advantage	HMO/HMOPOS		Denver Health and Hospital Authority	77	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5608	CMS Casework Communication Contact	"Sr. Manager, Health Plan Products"		Chrissinger	Cailey		1-303-602-2427				1-303-602-2094	Cailey.Chrissinger@dhha.org	777 Bannock Street	Mail Code 6000	Denver	CO	80204	5/26/2026	2026	"DENVER HEALTH MEDICAL PLAN, INC."	Local CCP	Elevate Medicare Advantage	HMO/HMOPOS		Denver Health and Hospital Authority	77	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5608	Coordination of Benefits Contact	Enrollment Services Manager		White	Christophe		1-303-602-2056				1-303-602-2094	Christopher.White@dhha.org	777 Bannock Street	Mail Code 6000	Denver	CO	80204	6/12/2025	2026	"DENVER HEALTH MEDICAL PLAN, INC."	Local CCP	Elevate Medicare Advantage	HMO/HMOPOS		Denver Health and Hospital Authority	77	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5608	Customer Service Operations Contact	"Sr. Manager, Health Plan Products"		Chrissinger	Cailey		1-303-602-2427					Cailey.Chrissinger@dhha.org	777 Bannock St.	Mail Code 6000	Denver	CO	80204-4507	5/26/2026	2026	"DENVER HEALTH MEDICAL PLAN, INC."	Local CCP	Elevate Medicare Advantage	HMO/HMOPOS		Denver Health and Hospital Authority	77	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5608	Government Relations Contact	"Sr. Manager, Health Plan Products"		Chrissinger	Cailey		1-303-602-2427				1-303-602-2094	Cailey.Chrissinger@dhha.org	777 Bannock Street	Mail Code 6000	Denver	CO	80204	5/26/2026	2026	"DENVER HEALTH MEDICAL PLAN, INC."	Local CCP	Elevate Medicare Advantage	HMO/HMOPOS		Denver Health and Hospital Authority	77	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5608	Hospice Contact	"Sr. Manager, Health Plan Products"		Chrissinger	Cailey		1-303-602-2427				1-303-602-2094	Cailey.Chrissinger@dhha.org	777 Bannock Street	Mail Code 6000	Denver	CO	80204	5/26/2026	2026	"DENVER HEALTH MEDICAL PLAN, INC."	Local CCP	Elevate Medicare Advantage	HMO/HMOPOS		Denver Health and Hospital Authority	77	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5608	Medicare Compliance Officer	Compliance Manager	Mr.	Bean	Adam		1-303-602-2135					adam.bean@dhha.org	601 Broadway	Mail Code 7776	Denver	CO	80204	5/15/2024	2026	"DENVER HEALTH MEDICAL PLAN, INC."	Local CCP	Elevate Medicare Advantage	HMO/HMOPOS		Denver Health and Hospital Authority	77	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5608	Part D Exceptions Contact	Chief Medical Director	Dr.	Lopez	Gina							gina.lopez2@dhha.org	777 Bannock St.	Mail Code 6000	Denver	CO	80204-4507	5/26/2026	2026	"DENVER HEALTH MEDICAL PLAN, INC."	Local CCP	Elevate Medicare Advantage	HMO/HMOPOS		Denver Health and Hospital Authority	77	Yes	Active	1-303-602-2007				HMO - Health Maintenance Organization		C	Dallas
H5608	Pharmacy Network Management Contact	Dir. Pharmacy Network Administration		Hunt	Brian		1-858-790-7092					Brian.Hunt@medimpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	12/10/2024	2026	"DENVER HEALTH MEDICAL PLAN, INC."	Local CCP	Elevate Medicare Advantage	HMO/HMOPOS		Denver Health and Hospital Authority	77	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5608	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"		Brewer	Kathy							Customerservice@medimpact.com	10181 Scripps Gateway Court		San Diego	CA	92131	1/12/2021	2026	"DENVER HEALTH MEDICAL PLAN, INC."	Local CCP	Elevate Medicare Advantage	HMO/HMOPOS		Denver Health and Hospital Authority	77	Yes	Active	1-877-391-9291				HMO - Health Maintenance Organization		C	Dallas
H5608	Plan to Plan Reconciliation Contact	Finance Manager		Muschanow	Rhonda		1-303-602-2472				1-303-602-2094	rhonda.muschanow@dhha.org	777 Bannock	Mail Code 6000	Denver	CO	80204	2/19/2024	2026	"DENVER HEALTH MEDICAL PLAN, INC."	Local CCP	Elevate Medicare Advantage	HMO/HMOPOS		Denver Health and Hospital Authority	77	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5610	Automated TrOOP Balance Transfer Contact	Director of Quality & Compliance		Poeller	Dawn		1-616-913-2012				1-616-913-2003	dawn.poeller@careresources.org	4150 Kalamazoo Avenue SE		Grand Rapids	MI	49508	5/20/2025	2026	CARE RESOURCES	National PACE	Care Resources	National PACE		Care Resources	267	Yes	Active					PACE - Nat		C	Chicago
H5610	Best Available Evidence Contact	Director of Quality & Compliance		Poeller	Dawn		1-616-913-2012				1-616-913-2003	dawn.poeller@careresources.org	4150 Kalamazoo Avenue SE		Grand Rapids	MI	49508	5/20/2025	2026	CARE RESOURCES	National PACE	Care Resources	National PACE		Care Resources	267	Yes	Active					PACE - Nat		C	Chicago
H5610	Chief Financial Officer	CFO	Mr.	Quist	Steve		1-616-235-5123				1-616-913-2003	steve.quist@careresources.org	4150 Kalamazoo Avenue SE		Grand Rapids	MI	49508	2/24/2023	2026	CARE RESOURCES	National PACE	Care Resources	National PACE		Care Resources	267	Yes	Active					PACE - Nat		C	Chicago
H5610	CMS Casework Communication Contact	Director of Quality & Compliance		Poeller	Dawn		1-616-913-2012				1-616-913-2003	dawn.poeller@careresources.org	4150 Kalamazoo Avenue SE		Grand Rapids	MI	49508	5/20/2025	2026	CARE RESOURCES	National PACE	Care Resources	National PACE		Care Resources	267	Yes	Active					PACE - Nat		C	Chicago
H5610	Coordination of Benefits Contact	Director of Quality & Compliance		Poeller	Dawn		1-616-913-2012				1-616-913-2003	dawn.poeller@careresources.org	4150 Kalamazoo Avenue SE		Grand Rapids	MI	49508	5/20/2025	2026	CARE RESOURCES	National PACE	Care Resources	National PACE		Care Resources	267	Yes	Active					PACE - Nat		C	Chicago
H5610	Customer Service Operations Contact	Director of Quality & Compliance		Poeller	Dawn		1-616-913-2012				1-616-913-2005	dawn.poeller@careresources.org	4150 Kalamazoo Avenue SE		Grand Rapids	MI	49508	8/23/2023	2026	CARE RESOURCES	National PACE	Care Resources	National PACE		Care Resources	267	Yes	Active					PACE - Nat		C	Chicago
H5610	Government Relations Contact	CEO		Smith	Kim		1-616-913-2011				1-616-913-2003	kimberly.smith@careresources.org	4150 Kalamazoo Avenue SE		Grand Rapids	MI	49506	2/14/2025	2026	CARE RESOURCES	National PACE	Care Resources	National PACE		Care Resources	267	Yes	Active					PACE - Nat		C	Chicago
H5610	Medicare Compliance Officer	Director of Quality & Compliance	Ms.	Poeller	Dawn		1-616-913-2012				1-616-913-2003	dawn.poeller@careresources.org	4150 Kalamazoo Avenue SE		Grand Rapids	MI	49508	5/20/2025	2026	CARE RESOURCES	National PACE	Care Resources	National PACE		Care Resources	267	Yes	Active					PACE - Nat		C	Chicago
H5610	Part D Exceptions Contact	Director of Quality & Compliance		Poeller	Dawn						1-616-913-2003	dawn.poeller@careresources.org	4150 Kalamazoo Avenue SE		Grand Rapids	MI	49508	5/20/2025	2026	CARE RESOURCES	National PACE	Care Resources	National PACE		Care Resources	267	Yes	Active	1-800-610-6299	2012			PACE - Nat		C	Chicago
H5610	Pharmacy Network Management Contact	Pharmacist		Hoholik	Aaron		1-616-913-2032				1-616-913-2037	aaron.hoholik@careresources.org	4150 Kalamazoo Avenue SE		Grand Rapids	MI	49508	11/4/2022	2026	CARE RESOURCES	National PACE	Care Resources	National PACE		Care Resources	267	Yes	Active					PACE - Nat		C	Chicago
H5610	Pharmacy Technical Help Desk Contact	Pharmacist		Hoholik	Aaron						1-616-913-2037	aaron.hoholik@careresources.org	4150 Kalamazoo Avenue SE		Grand Rapids	MI	49508	11/4/2022	2026	CARE RESOURCES	National PACE	Care Resources	National PACE		Care Resources	267	Yes	Active	1-180-061-0629				PACE - Nat		C	Chicago
H5610	Plan to Plan Reconciliation Contact	Director of Quality & Compliance		Poeller	Dawn		1-616-913-2012				1-616-913-2003	dawn.poeller@careresources.org	4150 Kalamazoo Avenue SE		Grand Rapids	MI	49508	5/20/2025	2026	CARE RESOURCES	National PACE	Care Resources	National PACE		Care Resources	267	Yes	Active					PACE - Nat		C	Chicago
H5619	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"ARCADIAN HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5619	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"ARCADIAN HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5619	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"ARCADIAN HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5619	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	"ARCADIAN HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5619	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	"ARCADIAN HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5619	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"ARCADIAN HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5619	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"ARCADIAN HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5619	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"ARCADIAN HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5619	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"ARCADIAN HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5619	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"ARCADIAN HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-859-321-9075				HMO - Health Maintenance Organization		C	Kansas City
H5619	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"ARCADIAN HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5619	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	"ARCADIAN HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-800-865-8715				HMO - Health Maintenance Organization		C	Kansas City
H5619	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	"ARCADIAN HEALTH PLAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H5622	Automated TrOOP Balance Transfer Contact	PACE Financial Analyst	Ms	Kiefer	Martha		1-270-600-2594					mkiefer@careguidepartners.org	109 Buffalo Creek Drive		Elizabethtown	KY	42701	1/16/2026	2026	"CARE GUIDE PARTNERS, INC."	National PACE	Care Guide Partners	National PACE		Hosparus Health Inc	824	Yes	Active					PACE - Nat		C	Atlanta
H5622	Best Available Evidence Contact	Quality Improvement Coordinator	Ms	Alvey	Jackie		1-270-600-2580					jalvey@careguidepartners.org	109 Buffalo Creek Drive		Elizabethtown	KY	42701	1/16/2026	2026	"CARE GUIDE PARTNERS, INC."	National PACE	Care Guide Partners	National PACE		Hosparus Health Inc	824	Yes	Active					PACE - Nat		C	Atlanta
H5622	Chief Financial Officer	CFO/VP of Finance	Ms.	Hodge	Holly		1-859-276-5344					hhodge@everenthealth.org	1733 Harrodsburg Rd		Lexington	KY	40504	1/16/2026	2026	"CARE GUIDE PARTNERS, INC."	National PACE	Care Guide Partners	National PACE		Hosparus Health Inc	824	Yes	Active					PACE - Nat		C	Atlanta
H5622	CMS Casework Communication Contact	VP of PACE	Mr	Ammermann	Craig		1-270-600-2580					cammermann@everenthealth.org	109 Buffalo Creek Drive		Elizabethtown	KY	42701	1/16/2026	2026	"CARE GUIDE PARTNERS, INC."	National PACE	Care Guide Partners	National PACE		Hosparus Health Inc	824	Yes	Active					PACE - Nat		C	Atlanta
H5622	Coordination of Benefits Contact	PACE Financial Analyst	Ms.	Kiefer	Martha		1-270-600-2594					mkiefer@careguidepartners.org	109 Buffalo Creek Drive		Elizabethtown	KY	42701	1/16/2026	2026	"CARE GUIDE PARTNERS, INC."	National PACE	Care Guide Partners	National PACE		Hosparus Health Inc	824	Yes	Active					PACE - Nat		C	Atlanta
H5622	Customer Service Operations Contact	Executive Director of PACE Operations	Ms	Parsons	Judith		1-270-600-2580					jparsons@careguidepartners.org	109 Buffalo Creek Drive		Elizabethtown	KY	42701	12/6/2023	2026	"CARE GUIDE PARTNERS, INC."	National PACE	Care Guide Partners	National PACE		Hosparus Health Inc	824	Yes	Active					PACE - Nat		C	Atlanta
H5622	Government Relations Contact	VP of PACE	Mr	Ammermann	Craig		1-270-600-2580					cammermann@everenthealth.org	109 Buffalo Creek Drive		Elizabethtown	KY	42701	2/12/2026	2026	"CARE GUIDE PARTNERS, INC."	National PACE	Care Guide Partners	National PACE		Hosparus Health Inc	824	Yes	Active					PACE - Nat		C	Atlanta
H5622	Medicare Compliance Officer	"VP, Compliance & Organizational Excellence"	Ms.	McGinty	Loretta		1-502-719-4194					lmcginty@everenthealth.org	6200 Dutchmans Lane		Louisville	KY	40205	10/30/2025	2026	"CARE GUIDE PARTNERS, INC."	National PACE	Care Guide Partners	National PACE		Hosparus Health Inc	824	Yes	Active					PACE - Nat		C	Atlanta
H5622	Part D Exceptions Contact	PACE Financial Analyst	Ms.	Kiefer	Martha							mkiefer@careguidepartners.org	109 Buffalo Creek Drive		Elizabethtown	KY	42701	2/12/2026	2026	"CARE GUIDE PARTNERS, INC."	National PACE	Care Guide Partners	National PACE		Hosparus Health Inc	824	Yes	Active	1-270-600-2580				PACE - Nat		C	Atlanta
H5622	Pharmacy Network Management Contact	PACE Financial Analyst	Ms	Kiefer	Martha		1-270-600-2580					mkiefer@careguidepartners.org	109 Buffalo Creek Drive		Elizabethtown	KY	42701	2/13/2026	2026	"CARE GUIDE PARTNERS, INC."	National PACE	Care Guide Partners	National PACE		Hosparus Health Inc	824	Yes	Active					PACE - Nat		C	Atlanta
H5622	Pharmacy Technical Help Desk Contact	PACE Financial Analyst	Ms.	Kiefer	Martha							mkiefer@careguidepartners.org	109 Buffalo Creek Drive		Elizabethtown	KY	42701	2/13/2026	2026	"CARE GUIDE PARTNERS, INC."	National PACE	Care Guide Partners	National PACE		Hosparus Health Inc	824	Yes	Active	1-270-600-2580				PACE - Nat		C	Atlanta
H5622	Plan to Plan Reconciliation Contact	PACE Financial Analyst	Ms.	Kiefer	Martha		1-270-600-2580					mkiefer@careguidepartners.org	109 Buffalo Creek Drive		Elizabethtown	KY	42701	2/13/2026	2026	"CARE GUIDE PARTNERS, INC."	National PACE	Care Guide Partners	National PACE		Hosparus Health Inc	824	Yes	Active					PACE - Nat		C	Atlanta
H5628	Automated TrOOP Balance Transfer Contact	"AVP, Pharmacy"		Vu	John		1-801-252-5706					an.vu@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF UTAH, INC."	Local CCP	Molina Healthcare of Utah & Idaho	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5628	Best Available Evidence Contact	"Director, Medicare PEnrollment"		LeJeune	Ryan		1-562-549-4527					ryan.lejeune@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF UTAH, INC."	Local CCP	Molina Healthcare of Utah & Idaho	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5628	Chief Financial Officer	"MHI - VP, Operating Finance"	Mr.	Parthasarathy	Vijay		1-630-381-8563					vijay.parthasarathy@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF UTAH, INC."	Local CCP	Molina Healthcare of Utah & Idaho	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5628	CMS Casework Communication Contact	"Dir, Medicare A&G"		Bennett	Kimberly		1-248-854-9474					Kimberly.Bennett@molinahealthcare.com	24121 Rosewood Street		Oak Park	MI	48237	5/21/2025	2026	"MOLINA HEALTHCARE OF UTAH, INC."	Local CCP	Molina Healthcare of Utah & Idaho	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5628	Coordination of Benefits Contact	"Director, Payment Integrity"		Hartberger	Jake		1-484-269-1480					Jake.Hartberger@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF UTAH, INC."	Local CCP	Molina Healthcare of Utah & Idaho	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5628	Customer Service Operations Contact	"Vice President, Call Center"		Faroughi	Cheryl		1-614-547-6829					cheryl.faroughi@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF UTAH, INC."	Local CCP	Molina Healthcare of Utah & Idaho	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5628	Government Relations Contact	"MHI- Vice President, Compliance"		Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@Molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF UTAH, INC."	Local CCP	Molina Healthcare of Utah & Idaho	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5628	Hospice Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"MOLINA HEALTHCARE OF UTAH, INC."	Local CCP	Molina Healthcare of Utah & Idaho	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5628	Medicare Compliance Officer	"MHI- Vice President, Compliance"	Mr.	Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF UTAH, INC."	Local CCP	Molina Healthcare of Utah & Idaho	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5628	Part D Exceptions Contact	"AVP, Medicare Pharmacy Services"		Vu	John							An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"MOLINA HEALTHCARE OF UTAH, INC."	Local CCP	Molina Healthcare of Utah & Idaho	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-801-252-5706				HMO - Health Maintenance Organization		C	New York
H5628	Pharmacy Network Management Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"MOLINA HEALTHCARE OF UTAH, INC."	Local CCP	Molina Healthcare of Utah & Idaho	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5628	Pharmacy Technical Help Desk Contact	"Director, Client Operations"		Help Desk	Pharmacy						1-480-314-6077	dayoubj@cvshealth.com	445 Great Circle Road		Nashville	TN	37228	5/21/2025	2026	"MOLINA HEALTHCARE OF UTAH, INC."	Local CCP	Molina Healthcare of Utah & Idaho	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H5628	Plan to Plan Reconciliation Contact	"Director, Finance"		Cook	Keith		1-562-542-2024					P2P.molina@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF UTAH, INC."	Local CCP	Molina Healthcare of Utah & Idaho	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5629	Automated TrOOP Balance Transfer Contact	Health Plan Director		Bellar	Brittni		1-619-677-3927					bbellar@stpaulspace.org	3444 Camino Del Rio N		San Diego	CA	92108	1/7/2026	2026	COMMUNITY ELDERCARE OF SAN DIEGO	National PACE	St. Paul's PACE	National PACE		St. Paul’s Episcopal Home	653	Yes	Active					PACE - Nat		C	San Francisco
H5629	Best Available Evidence Contact	Health Plan Manager		Bellar	Brittni		1-619-677-3927					bbellar@stpaulspace.org	3444 Camino Del Rio N		San Diego	CA	92108	3/7/2025	2026	COMMUNITY ELDERCARE OF SAN DIEGO	National PACE	St. Paul's PACE	National PACE		St. Paul’s Episcopal Home	653	Yes	Active					PACE - Nat		C	San Francisco
H5629	Chief Financial Officer	Chief Financial Officer	Mr.	Vieu	George		1-619-621-3351					gvieu@stpaulseniors.org	328 Maple Street		San Diego	CA	92103	12/8/2023	2026	COMMUNITY ELDERCARE OF SAN DIEGO	National PACE	St. Paul's PACE	National PACE		St. Paul’s Episcopal Home	653	Yes	Active					PACE - Nat		C	San Francisco
H5629	CMS Casework Communication Contact	Director of Quality and Compliance		Cueva	Celeste		1-619-677-3869					ccueva@stpaulspace.org	3444 Camino Del Rio N		San Diego	CA	92108	1/7/2026	2026	COMMUNITY ELDERCARE OF SAN DIEGO	National PACE	St. Paul's PACE	National PACE		St. Paul’s Episcopal Home	653	Yes	Active					PACE - Nat		C	San Francisco
H5629	Coordination of Benefits Contact	Director of Quality and Compliance		Cueva	Celeste		1-877-510-7223					ccueva@stpaulspace.org	3444 Camino Del Rio N		San Diego	CA	92108	1/7/2026	2026	COMMUNITY ELDERCARE OF SAN DIEGO	National PACE	St. Paul's PACE	National PACE		St. Paul’s Episcopal Home	653	Yes	Active					PACE - Nat		C	San Francisco
H5629	Customer Service Operations Contact	VP of PACE Operations		Castillon	Carol		1-619-677-3876					ccastillon@stpaulspace.org	3444 Camino Del Rio N		San Diego	CA	92108	8/5/2024	2026	COMMUNITY ELDERCARE OF SAN DIEGO	National PACE	St. Paul's PACE	National PACE		St. Paul’s Episcopal Home	653	Yes	Active					PACE - Nat		C	San Francisco
H5629	Government Relations Contact	VP of PACE Operations		Castillon	Carol		1-619-677-3876					ccastillon@stpaulspace.org	3444 Camino Del Rio N		San Diego	CA	92108	8/5/2024	2026	COMMUNITY ELDERCARE OF SAN DIEGO	National PACE	St. Paul's PACE	National PACE		St. Paul’s Episcopal Home	653	Yes	Active					PACE - Nat		C	San Francisco
H5629	Medicare Compliance Officer	Director of Quality and Compliance	Mrs.	Cueva	Celeste		1-619-677-3869					ccueva@stpaulspace.org	3444 Camino Del Rio N		San Diego	CA	92108	1/7/2026	2026	COMMUNITY ELDERCARE OF SAN DIEGO	National PACE	St. Paul's PACE	National PACE		St. Paul’s Episcopal Home	653	Yes	Active					PACE - Nat		C	San Francisco
H5629	Part D Exceptions Contact	VP PACE Operations/Executive Director		Castillon	Carol							ccastillon@stpaulspace.org	3444 Camino Del Rio N		San Diego	CA	92108	8/27/2025	2026	COMMUNITY ELDERCARE OF SAN DIEGO	National PACE	St. Paul's PACE	National PACE		St. Paul’s Episcopal Home	653	Yes	Active	1-800-735-2922				PACE - Nat		C	San Francisco
H5629	Pharmacy Network Management Contact	Director of Quality and Compliance		Cueva	Celeste		1-619-677-3869					ccueva@stpaulspace.org	3444 Camino Del Rio N		San Diego	CA	92108	1/7/2026	2026	COMMUNITY ELDERCARE OF SAN DIEGO	National PACE	St. Paul's PACE	National PACE		St. Paul’s Episcopal Home	653	Yes	Active					PACE - Nat		C	San Francisco
H5629	Pharmacy Technical Help Desk Contact	Director of Quality and Compliance		Cueva	Celeste							ccueva@stpaulspace.org	3444 Camino Del Rio N		San Diego	CA	92108	1/7/2026	2026	COMMUNITY ELDERCARE OF SAN DIEGO	National PACE	St. Paul's PACE	National PACE		St. Paul’s Episcopal Home	653	Yes	Active	1-800-735-2922				PACE - Nat		C	San Francisco
H5629	Plan to Plan Reconciliation Contact	Chief Financial Officer		Vieu	George		1-619-621-3351					gvieu@stpaulseniors.org	328 Maple Street		San Diego	CA	92103	12/8/2023	2026	COMMUNITY ELDERCARE OF SAN DIEGO	National PACE	St. Paul's PACE	National PACE		St. Paul’s Episcopal Home	653	Yes	Active					PACE - Nat		C	San Francisco
H5644	Automated TrOOP Balance Transfer Contact	Pharmacy Benefits Program Manager		Kempfer	Amanda		1-920-720-1607					pharmacybenefits@networkhealth.com	1570 Midway Place	PO Box 120	Menasha	WI	54952	6/8/2026	2026	NETWORK HEALTH INSURANCE CORPORATION	Local CCP	Network Health Medicare Advantage Plans	HMO/HMOPOS		"Network Health, Inc."	670	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5644	Best Available Evidence Contact	"Manager, Enrollment & Business Analysis Integratio"		Crocker	Brian		1-920-720-1640					bcrocker@networkhealth.com	1570 Midway Place		Menasha	WI	54952	6/26/2024	2026	NETWORK HEALTH INSURANCE CORPORATION	Local CCP	Network Health Medicare Advantage Plans	HMO/HMOPOS		"Network Health, Inc."	670	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5644	Chief Financial Officer	Chief Financial Officer	Mr	Ollech	Brian		1-920-720-1886					bollech@networkhealth.com	1570 Midway Place	PO Box 120	Menasha	WI	54952	4/10/2024	2026	NETWORK HEALTH INSURANCE CORPORATION	Local CCP	Network Health Medicare Advantage Plans	HMO/HMOPOS		"Network Health, Inc."	670	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5644	CMS Casework Communication Contact	Regulatory Support Administrator II		Lee	Chia		1-920-628-7268					clee@networkhealth.com	1570 Midway Place		Menasha	WI	54952	1/2/2026	2026	NETWORK HEALTH INSURANCE CORPORATION	Local CCP	Network Health Medicare Advantage Plans	HMO/HMOPOS		"Network Health, Inc."	670	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5644	Coordination of Benefits Contact	"Director, Pharmacy Benefits"		Wheaton	Andy		1-920-720-1612				1-920-720-1906	pharmacybenefits@networkhealth.com	1570 Midway Place		Menasha	WI	54952	4/10/2024	2026	NETWORK HEALTH INSURANCE CORPORATION	Local CCP	Network Health Medicare Advantage Plans	HMO/HMOPOS		"Network Health, Inc."	670	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5644	Customer Service Operations Contact	"Manager, Member Experience"		Schwandner	Stacy		1-920-720-1309				1-920-720-1908	sschwand@networkhealth.com	1570 Midway Place	P.O. Box 120	Menasha	WI	54952	1/2/2026	2026	NETWORK HEALTH INSURANCE CORPORATION	Local CCP	Network Health Medicare Advantage Plans	HMO/HMOPOS		"Network Health, Inc."	670	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5644	Government Relations Contact	Compliance Officer		Jurmu	Michael		1-920-720-1893					mjurmu@networkhealth.com	1570 Midway Place		Menasha	WI	54952	4/7/2025	2026	NETWORK HEALTH INSURANCE CORPORATION	Local CCP	Network Health Medicare Advantage Plans	HMO/HMOPOS		"Network Health, Inc."	670	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5644	Hospice Contact	Pharmacy Benefits Program Manager		Kempfer	Amanda		1-920-720-1607					pharmacybenefits@networkhealth.com	1570 Midway Place		Menasha	WI	54952	4/13/2023	2026	NETWORK HEALTH INSURANCE CORPORATION	Local CCP	Network Health Medicare Advantage Plans	HMO/HMOPOS		"Network Health, Inc."	670	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5644	Medicare Compliance Officer	Compliance Officer	Mr.	Jurmu	Michael		1-920-720-1893				1-920-720-1912	mjurmu@networkhealth.com	1570 Midway Place		Menasha	WI	54952	4/7/2025	2026	NETWORK HEALTH INSURANCE CORPORATION	Local CCP	Network Health Medicare Advantage Plans	HMO/HMOPOS		"Network Health, Inc."	670	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5644	Part D Exceptions Contact	Sr. Manager - Pharmacy Prior Authorization		Herbert	Joshua							Joshua.Herbert@evernorth.com	One Express Way Mail Stop: S13NB		St. Louis	MO	63121	10/27/2025	2026	NETWORK HEALTH INSURANCE CORPORATION	Local CCP	Network Health Medicare Advantage Plans	HMO/HMOPOS		"Network Health, Inc."	670	Yes	Active	1-513-292-0563				HMO - Health Maintenance Organization		C	Boston
H5644	Pharmacy Network Management Contact			Kelly	Heather		1-314-692-1866				1-800-357-9578	hakelly@express-scripts.com	One Express Way		St Louis	MO	63121	1/19/2023	2026	NETWORK HEALTH INSURANCE CORPORATION	Local CCP	Network Health Medicare Advantage Plans	HMO/HMOPOS		"Network Health, Inc."	670	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5644	Pharmacy Technical Help Desk Contact	Director - Customer Service		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	13051 N. Telecom Pkwy STE 150		Temple Terrace	FL	33637	11/1/2022	2026	NETWORK HEALTH INSURANCE CORPORATION	Local CCP	Network Health Medicare Advantage Plans	HMO/HMOPOS		"Network Health, Inc."	670	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Boston
H5644	Plan to Plan Reconciliation Contact	"Vice President, Finance"		Leigh	Dennis		1-920-720-1837					FinanceReporting@networkhealth.com	1570 Midway  Place		Menasha	WI	54952	4/12/2024	2026	NETWORK HEALTH INSURANCE CORPORATION	Local CCP	Network Health Medicare Advantage Plans	HMO/HMOPOS		"Network Health, Inc."	670	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5649	Automated TrOOP Balance Transfer Contact	"AVP, Pharmacy"		Vu	John		1-801-252-5706					an.vu@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	"CENTRAL HEALTH PLAN OF CALIFORNIA, INC."	Local CCP	Central Health Medicare Plan	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H5649	Best Available Evidence Contact	"Director, Medicare PEnrollment"		LeJeune	Ryan		1-562-549-4527					ryan.lejeune@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	"CENTRAL HEALTH PLAN OF CALIFORNIA, INC."	Local CCP	Central Health Medicare Plan	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H5649	Chief Financial Officer	"MHI - VP, Operating Finance"	Mr.	Parthasarathy	Vijay		1-630-381-8563					vijay.parthasarathy@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	"CENTRAL HEALTH PLAN OF CALIFORNIA, INC."	Local CCP	Central Health Medicare Plan	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H5649	CMS Casework Communication Contact	"Dir, Medicare A&G"		Bennett	Kimberly		1-248-854-9474					Kimberly.Bennett@molinahealthcare.com	24121 Rosewood Street		Oak Park	MI	48237	5/20/2026	2026	"CENTRAL HEALTH PLAN OF CALIFORNIA, INC."	Local CCP	Central Health Medicare Plan	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H5649	Coordination of Benefits Contact	"Director, Payment Integrity"		Hartberger	Jake		1-484-269-1480					Jake.Hartberger@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	"CENTRAL HEALTH PLAN OF CALIFORNIA, INC."	Local CCP	Central Health Medicare Plan	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H5649	Customer Service Operations Contact	"Vice President, Call Center"		Faroughi	Cheryl		1-614-547-6829					cheryl.faroughi@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	"CENTRAL HEALTH PLAN OF CALIFORNIA, INC."	Local CCP	Central Health Medicare Plan	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H5649	Government Relations Contact	"MHI- Vice President, Compliance"		Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@Molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	"CENTRAL HEALTH PLAN OF CALIFORNIA, INC."	Local CCP	Central Health Medicare Plan	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H5649	Hospice Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/20/2026	2026	"CENTRAL HEALTH PLAN OF CALIFORNIA, INC."	Local CCP	Central Health Medicare Plan	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H5649	Medicare Compliance Officer	"MHI- Vice President, Compliance"	Mr.	Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	"CENTRAL HEALTH PLAN OF CALIFORNIA, INC."	Local CCP	Central Health Medicare Plan	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H5649	Part D Exceptions Contact	"AVP, Medicare Pharmacy Services"		Vu	John							An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/20/2026	2026	"CENTRAL HEALTH PLAN OF CALIFORNIA, INC."	Local CCP	Central Health Medicare Plan	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract	1-801-252-5706				HMO - Health Maintenance Organization		C	New York
H5649	Pharmacy Network Management Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/20/2026	2026	"CENTRAL HEALTH PLAN OF CALIFORNIA, INC."	Local CCP	Central Health Medicare Plan	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H5649	Pharmacy Technical Help Desk Contact	"Director, Client Operations"		Help Desk	Pharmacy						1-480-314-6077	dayoubj@cvshealth.com	445 Great Circle Road		Nashville	TN	37228	5/20/2026	2026	"CENTRAL HEALTH PLAN OF CALIFORNIA, INC."	Local CCP	Central Health Medicare Plan	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H5649	Plan to Plan Reconciliation Contact	"Director, Finance"		Cook	Keith		1-562-542-2024					P2P.molina@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	"CENTRAL HEALTH PLAN OF CALIFORNIA, INC."	Local CCP	Central Health Medicare Plan	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H5652	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5652	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	"SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5652	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	"SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5652	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5652	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5652	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5652	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5652	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5652	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5652	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H5652	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5652	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H5652	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5692	Automated TrOOP Balance Transfer Contact	Pharmacy Director	Ms.	Sachdeva	Navneet		1-831-430-5802					nsachdeva@thealliance.health	"1600 Green Hill Road, Suite 101"		Scotts Valley	CA	95066	2/6/2025	2026	SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MANAGED MEDICAL CARE COMMISSION	Local CCP	Central California Alliance for Health	HMO/HMOPOS		SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MAN	873	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5692	Best Available Evidence Contact	Medicare Operations Director	Ms.	Katz	Sherri		1-831-430-2535					skatz@thealliance.health	"1600 Green Hill Road, Suite 101"		Scotts Valley	CA	95066	5/20/2026	2026	SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MANAGED MEDICAL CARE COMMISSION	Local CCP	Central California Alliance for Health	HMO/HMOPOS		SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MAN	873	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5692	Chief Financial Officer	Chief Financial Officer	Ms.	Ba	Lisa		1-831-430-2600					Lba@thealliance.health	"1600 Green Hill Road, Suite 101"		Scotts Valley	CA	95066	2/6/2025	2026	SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MANAGED MEDICAL CARE COMMISSION	Local CCP	Central California Alliance for Health	HMO/HMOPOS		SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MAN	873	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5692	CMS Casework Communication Contact	Compliance Director	Mr.	Markley	Ryan		1-831-430-1431					rmarkley@thealliance.health	"1600 Green Hill Road, Suite 101"		Scotts Valley	CA	95066	2/6/2025	2026	SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MANAGED MEDICAL CARE COMMISSION	Local CCP	Central California Alliance for Health	HMO/HMOPOS		SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MAN	873	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5692	Coordination of Benefits Contact	Member Data Manager	Ms.	Martinez	Veronica		1-209-381-5337					listcob@thealliance.health	"1600 Green Hill Road, Suite 101"		Scotts Valley	CA	95066	3/26/2026	2026	SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MANAGED MEDICAL CARE COMMISSION	Local CCP	Central California Alliance for Health	HMO/HMOPOS		SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MAN	873	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5692	Customer Service Operations Contact	Member Services Director	Ms.	Chagolla	Lilia		1-831-755-6020					lchagolla@thealliance.health	"1600 Green Hill Road, Suite 101"		Scotts Valley	CA	95066	2/6/2025	2026	SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MANAGED MEDICAL CARE COMMISSION	Local CCP	Central California Alliance for Health	HMO/HMOPOS		SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MAN	873	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5692	Government Relations Contact	Government Relations Director	Ms.	Carlson	Danita		1-831-212-1602					dcarlson@thealliance.health	"1600 Green Hill Road, Suite 101"		Scotts Valley	CA	95066	2/6/2025	2026	SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MANAGED MEDICAL CARE COMMISSION	Local CCP	Central California Alliance for Health	HMO/HMOPOS		SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MAN	873	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5692	Hospice Contact	Pharmacy Director	Ms.	Sachdeva	Navneet		1-831-430-5802					nsachdeva@thealliance.health	"1600 Green Hill Road, Suite 101"		Scotts Valley	CA	95066	2/6/2025	2026	SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MANAGED MEDICAL CARE COMMISSION	Local CCP	Central California Alliance for Health	HMO/HMOPOS		SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MAN	873	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5692	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Mandella	Jenifer		1-831-430-5624					jkugler@thealliance.health	"1600 Green Hill Road, Suite 101"		Scotts Valley	CA	95066	2/6/2025	2026	SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MANAGED MEDICAL CARE COMMISSION	Local CCP	Central California Alliance for Health	HMO/HMOPOS		SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MAN	873	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5692	Part D Exceptions Contact	Pharmacy Director	Ms.	Sachdeva	Navneet							nsachdeva@thealliance.health	"1600 Green Hill Road, Suite 101"		Scotts Valley	CA	95066	2/6/2025	2026	SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MANAGED MEDICAL CARE COMMISSION	Local CCP	Central California Alliance for Health	HMO/HMOPOS		SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MAN	873	Yes	Active	1-831-430-5802				HMO - Health Maintenance Organization		C	Dallas
H5692	Pharmacy Network Management Contact	Pharmacy Director	Ms.	Sachdeva	Navneet		1-831-430-5802					nsachdeva@thealliance.health	"1600 Green Hill Road, Suite 101"		Scotts Valley	CA	95066	2/6/2025	2026	SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MANAGED MEDICAL CARE COMMISSION	Local CCP	Central California Alliance for Health	HMO/HMOPOS		SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MAN	873	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5692	Pharmacy Technical Help Desk Contact	"Director, Customer Service Contracts"		Brewer	Kathy							customerservice@medimpact.com	10181 Scripps Gateway Court		San Diego	CA	92131	11/19/2025	2026	SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MANAGED MEDICAL CARE COMMISSION	Local CCP	Central California Alliance for Health	HMO/HMOPOS		SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MAN	873	Yes	Active	1-800-347-5841				HMO - Health Maintenance Organization		C	Dallas
H5692	Plan to Plan Reconciliation Contact	Financial Planning and Analysis Director	Ms.	Lee	Anne		1-831-430-2664					alee@thealliance.health	"1600 Green Hill Road, Suite 101"		Scotts Valley	CA	95066	2/6/2025	2026	SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MANAGED MEDICAL CARE COMMISSION	Local CCP	Central California Alliance for Health	HMO/HMOPOS		SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MAN	873	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5703	Automated TrOOP Balance Transfer Contact	Business Systems Analyst		Murral	Karla		1-267-298-5899					kdmurray@performrx.com	PerformRx	200 Stevens Dr.	Philadelphia	PA	19113	6/18/2025	2026	SOUTH COUNTRY HEALTH ALLIANCE	Local CCP	South Country Health Alliance	HMO/HMOPOS		South Country Health Alliance	212	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5703	Best Available Evidence Contact	Director of Operations		Lewer	Cheryl		1-507-431-6377				1-507-444-7774	clewer@mnscha.org	South Country Health Alliance	6380 West Frontage Road	Medford	MN	55049	10/22/2021	2026	SOUTH COUNTRY HEALTH ALLIANCE	Local CCP	South Country Health Alliance	HMO/HMOPOS		South Country Health Alliance	212	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5703	Chief Financial Officer	Chief Financial Officer	Mr	Schufman	Scott		1-507-431-6599				1-507-444-7774	sschufman@mnscha.org	South Country Health Alliance	6380 West Frontage Road	Medford	MN	55049	10/22/2021	2026	SOUTH COUNTRY HEALTH ALLIANCE	Local CCP	South Country Health Alliance	HMO/HMOPOS		South Country Health Alliance	212	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5703	CMS Casework Communication Contact	Grievance and Appeals Manager		Miller	Suzette		1-507-431-6373				1-507-444-7774	sumiller@mnscha.org	South Country Health Alliance	6380 West Frontage Road	Medford	MN	55049	10/22/2021	2026	SOUTH COUNTRY HEALTH ALLIANCE	Local CCP	South Country Health Alliance	HMO/HMOPOS		South Country Health Alliance	212	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5703	Coordination of Benefits Contact	Director of Operations		Lewer	Cheryl		1-507-431-6377				1-507-444-7774	clewer@mnscha.org	South Country Health Alliance	6380 West Frontage Road	Medford	MN	55049	10/26/2021	2026	SOUTH COUNTRY HEALTH ALLIANCE	Local CCP	South Country Health Alliance	HMO/HMOPOS		South Country Health Alliance	212	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5703	Customer Service Operations Contact	Director of Operations		Lewer	Cheryl		1-507-431-6377				1-507-444-7774	clewer@mnscha.org	South Country Health Alliance	6380 West Frontage Road	Medford	MN	55049	10/26/2021	2026	SOUTH COUNTRY HEALTH ALLIANCE	Local CCP	South Country Health Alliance	HMO/HMOPOS		South Country Health Alliance	212	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5703	Government Relations Contact	Compliance and Government Relations Manager		Krenz	Kayla		1-507-431-6938				1-507-444-7774	kkrenz@mnscha.org	South Country Health Alliance	6380 West Frontage Road	Medford	MN	55049	10/26/2021	2026	SOUTH COUNTRY HEALTH ALLIANCE	Local CCP	South Country Health Alliance	HMO/HMOPOS		South Country Health Alliance	212	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5703	Hospice Contact	Director of Health Services		Worrall	Kim		1-507-431-6397				1-507-444-7774	kworrall@mnscha.org	South Country Health Alliance	6380 West Frontage Road	Medford	MN	55049	10/26/2021	2026	SOUTH COUNTRY HEALTH ALLIANCE	Local CCP	South Country Health Alliance	HMO/HMOPOS		South Country Health Alliance	212	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5703	Medicare Compliance Officer	Compliance Officer	Mr	Marks	Jeff		1-507-431-6068				1-507-444-7774	jmarks@mnscha.org	South Country Health Alliance	6380 West Frontage Road	Medford	MN	55049	10/22/2021	2026	SOUTH COUNTRY HEALTH ALLIANCE	Local CCP	South Country Health Alliance	HMO/HMOPOS		South Country Health Alliance	212	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5703	Part D Exceptions Contact	Director of Pharmacy Utilization Mgmt		Bonko	Gerald						1-215-863-5100	gbonko@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	7/30/2024	2026	SOUTH COUNTRY HEALTH ALLIANCE	Local CCP	South Country Health Alliance	HMO/HMOPOS		South Country Health Alliance	212	Yes	Active	1-215-863-6483				HMO - Health Maintenance Organization		C	Chicago
H5703	Pharmacy Network Management Contact	Vice President Network Strategy		Sullivan	Tim		1-630-330-3638					tim.sullivan@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	7/30/2024	2026	SOUTH COUNTRY HEALTH ALLIANCE	Local CCP	South Country Health Alliance	HMO/HMOPOS		South Country Health Alliance	212	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5703	Pharmacy Technical Help Desk Contact	Call Center		Vargas	Crystal							cvargas@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	1/6/2026	2026	SOUTH COUNTRY HEALTH ALLIANCE	Local CCP	South Country Health Alliance	HMO/HMOPOS		South Country Health Alliance	212	Yes	Active	1-866-935-6681				HMO - Health Maintenance Organization		C	Chicago
H5703	Plan to Plan Reconciliation Contact	Chief Financial Officer		Schufman	Scott		1-507-431-6599				1-507-444-7774	sschufman@mnscha.org	South Country Health Alliance	6380 West Frontage Road	Medford	MN	55049	5/4/2026	2026	SOUTH COUNTRY HEALTH ALLIANCE	Local CCP	South Country Health Alliance	HMO/HMOPOS		South Country Health Alliance	212	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5718	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H5718	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H5718	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H5718	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H5718	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H5718	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H5718	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H5718	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H5718	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H5718	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				PPO - BBA		C	Boston
H5718	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H5718	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				PPO - BBA		C	Boston
H5718	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H5734	Automated TrOOP Balance Transfer Contact	Chief Health Services Officer		Hitzeman	Tracy		1-209-208-5637					thitzeman@hpsj.com	7751 S. Manthey Road		French Camp	CA	95231	6/1/2026	2026	SAN JOAQUIN COUNTY HEALTH COMMISSION	Local CCP	Health Plan of San Joaquin / Mountain Valley Health Plan Advantage D-SNP (HMO)	HMO/HMOPOS		SAN JOAQUIN COUNTY HEALTH COMMISSION	872	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5734	Best Available Evidence Contact	Senior Director Finance		Navarro	Christophe		1-209-279-5790					cnavarro@hpsj.com	7751 S. Manthey Road		French Camp	CA	95231	1/7/2025	2026	SAN JOAQUIN COUNTY HEALTH COMMISSION	Local CCP	Health Plan of San Joaquin / Mountain Valley Health Plan Advantage D-SNP (HMO)	HMO/HMOPOS		SAN JOAQUIN COUNTY HEALTH COMMISSION	872	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5734	Chief Financial Officer	Chief Financial Officer	Ms	Tetrault	Michelle		1-209-800-2174					mtetreault@hpsj.com	7751 S. Manthey Road		French Camp	CA	95231	1/2/2025	2026	SAN JOAQUIN COUNTY HEALTH COMMISSION	Local CCP	Health Plan of San Joaquin / Mountain Valley Health Plan Advantage D-SNP (HMO)	HMO/HMOPOS		SAN JOAQUIN COUNTY HEALTH COMMISSION	872	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5734	CMS Casework Communication Contact	"Director, Compliance"		Hayes	Tamara		1-209-425-4506					thayes@hpsj.com	7751 S. Manthey Road		French Camp	CA	95231	6/5/2026	2026	SAN JOAQUIN COUNTY HEALTH COMMISSION	Local CCP	Health Plan of San Joaquin / Mountain Valley Health Plan Advantage D-SNP (HMO)	HMO/HMOPOS		SAN JOAQUIN COUNTY HEALTH COMMISSION	872	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5734	Coordination of Benefits Contact	Controller		Sourng	Somatra		1-209-662-7950					ssourng@hpsj.com	7751 S. Manthey Road		French Camp	CA	95231	6/4/2026	2026	SAN JOAQUIN COUNTY HEALTH COMMISSION	Local CCP	Health Plan of San Joaquin / Mountain Valley Health Plan Advantage D-SNP (HMO)	HMO/HMOPOS		SAN JOAQUIN COUNTY HEALTH COMMISSION	872	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5734	Customer Service Operations Contact	Chief Operating Officer		Le	Liz		1-209-260-6795					ele@hpsj.com	7751 S. Manthey Road		French Camp	CA	95231	12/12/2025	2026	SAN JOAQUIN COUNTY HEALTH COMMISSION	Local CCP	Health Plan of San Joaquin / Mountain Valley Health Plan Advantage D-SNP (HMO)	HMO/HMOPOS		SAN JOAQUIN COUNTY HEALTH COMMISSION	872	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5734	Government Relations Contact	"Director, Compliance"		Hayes	Tamara		1-209-425-4506					thayes@hpsj.com	7751 S. Manthey Road		French Camp	CA	95231	6/5/2026	2026	SAN JOAQUIN COUNTY HEALTH COMMISSION	Local CCP	Health Plan of San Joaquin / Mountain Valley Health Plan Advantage D-SNP (HMO)	HMO/HMOPOS		SAN JOAQUIN COUNTY HEALTH COMMISSION	872	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5734	Hospice Contact	"Director, Case Management"		Lee	Pamela		1-209-317-1913					plee@hpsj.com	7751 S. Manthey Road		French Camp	CA	95231	1/2/2025	2026	SAN JOAQUIN COUNTY HEALTH COMMISSION	Local CCP	Health Plan of San Joaquin / Mountain Valley Health Plan Advantage D-SNP (HMO)	HMO/HMOPOS		SAN JOAQUIN COUNTY HEALTH COMMISSION	872	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5734	Medicare Compliance Officer	"Director, Compliance"	Ms	Hayes	Tamara		1-209-425-4506					thayes@hpsj.com	7751 S. Manthey Road		French Camp	CA	95231	6/5/2026	2026	SAN JOAQUIN COUNTY HEALTH COMMISSION	Local CCP	Health Plan of San Joaquin / Mountain Valley Health Plan Advantage D-SNP (HMO)	HMO/HMOPOS		SAN JOAQUIN COUNTY HEALTH COMMISSION	872	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5734	Part D Exceptions Contact	"Manager, Clinical Pharmacy"		Le	NhuAnh							nle@hpsj.com	7751 S. Manthey Road		French Camp	CA	95231	2/3/2025	2026	SAN JOAQUIN COUNTY HEALTH COMMISSION	Local CCP	Health Plan of San Joaquin / Mountain Valley Health Plan Advantage D-SNP (HMO)	HMO/HMOPOS		SAN JOAQUIN COUNTY HEALTH COMMISSION	872	Yes	Active	1-888-936-7526				HMO - Health Maintenance Organization		C	Dallas
H5734	Pharmacy Network Management Contact	Chief Health Services Officer		Hitzeman	Tracy		1-209-208-5637					thitzeman@hpsj.com	7751 S. Manthey Road		French Camp	CA	95231	6/1/2026	2026	SAN JOAQUIN COUNTY HEALTH COMMISSION	Local CCP	Health Plan of San Joaquin / Mountain Valley Health Plan Advantage D-SNP (HMO)	HMO/HMOPOS		SAN JOAQUIN COUNTY HEALTH COMMISSION	872	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5734	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Brewer	Kathy							Customerservice@MedImpact.com	10181 Scripps		San Diego	CA	92131	7/14/2025	2026	SAN JOAQUIN COUNTY HEALTH COMMISSION	Local CCP	Health Plan of San Joaquin / Mountain Valley Health Plan Advantage D-SNP (HMO)	HMO/HMOPOS		SAN JOAQUIN COUNTY HEALTH COMMISSION	872	Yes	Active	1-833-546-0796				HMO - Health Maintenance Organization		C	Dallas
H5734	Plan to Plan Reconciliation Contact	Controller		Sourng	Somatra		1-209-662-7950					ssourng@hpsj.com	7751 S. Manthey Road		French Camp	CA	95231	6/4/2026	2026	SAN JOAQUIN COUNTY HEALTH COMMISSION	Local CCP	Health Plan of San Joaquin / Mountain Valley Health Plan Advantage D-SNP (HMO)	HMO/HMOPOS		SAN JOAQUIN COUNTY HEALTH COMMISSION	872	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5774	Automated TrOOP Balance Transfer Contact	MA Revenue Management Director	Mr	Rosich	Luis		1-787-749-4949	8321176			1-787-993-3257	lrosich@ssspr.com	PO Box 11320		San Juan	PR	00922	4/10/2024	2026	"TRIPLE S ADVANTAGE, INC."	Local CCP	Triple S Advantage	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5774	Best Available Evidence Contact	MA Enrollment & Reconciliation Director		Toste	Maria		1-787-749-4949	8322541			1-787-522-4307	mtoste@ssspr.com	PO Box 11320		San Juan	PR	00922	4/10/2024	2026	"TRIPLE S ADVANTAGE, INC."	Local CCP	Triple S Advantage	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5774	Chief Financial Officer	Chief Financial Officer	Mr.	Petruzzellis	Dave		1-787-749-4949	8322430				dave.petruzzellis@guidewell.com	P.O. Box 363628		San Juan	PR	00936-3628	5/27/2026	2026	"TRIPLE S ADVANTAGE, INC."	Local CCP	Triple S Advantage	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5774	CMS Casework Communication Contact	Appeals and Grievances Manager	Mrs	Martinez	Aixa		1-787-749-4949	8322307			1-787-993-3261	aixam@ssspr.com	PO Box 11320		San Juan	PR	00922	4/8/2024	2026	"TRIPLE S ADVANTAGE, INC."	Local CCP	Triple S Advantage	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5774	Coordination of Benefits Contact	MA Enrollment & Reconcilliation Director	Mrs.	Toste	Maria		1-787-749-4949	8322541			1-787-522-4307	mtoste@ssspr.com	PO Box 11320		San Juan	PR	00922	4/10/2024	2026	"TRIPLE S ADVANTAGE, INC."	Local CCP	Triple S Advantage	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5774	Customer Service Operations Contact	Customer Service Manager	Mr	Jaxon	Harold		1-787-664-9288				1-787-620-0931	harold.jaxon@ssspr.com	PO Box 363628		San Juan	PR	00922	12/21/2022	2026	"TRIPLE S ADVANTAGE, INC."	Local CCP	Triple S Advantage	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5774	Government Relations Contact	CCompliance Officer & VP • Compliance & Privacy Of	Ms	Cardenas	Jenny		1-787-749-4949	8322438			1-787-993-3260	jennycar@ssspr.com	PO Box 11320		San Juan	PR	00922	4/10/2024	2026	"TRIPLE S ADVANTAGE, INC."	Local CCP	Triple S Advantage	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5774	Hospice Contact	Health Management Programs Director	Mrs	Lliteras	Jeanniffer		1-787-749-4949	8322691				jeanieffer@ssspr.com	PO Box 11320		San Juan	PR	00922	4/18/2024	2026	"TRIPLE S ADVANTAGE, INC."	Local CCP	Triple S Advantage	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5774	Medicare Compliance Officer	Compliance Officer & VP • Compliance & Privacy Off	Mrs	Cardenas	Jenny	D	1-787-749-4949	8322438			1-787-993-3260	jennycar@ssspr.com	PO Box 11320		San Juan	PR	00922-9905	4/10/2024	2026	"TRIPLE S ADVANTAGE, INC."	Local CCP	Triple S Advantage	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5774	Part D Exceptions Contact	Pharmacy Regulatory & Compliance Manager	Mrs	Cordero	Cindy	N					1-787-522-4004	cindy.cordero@ssspr.com	PO Box 11320		San Juan	PR	00922	4/18/2024	2026	"TRIPLE S ADVANTAGE, INC."	Local CCP	Triple S Advantage	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active	1-787-749-4949	8321797			HMO - Health Maintenance Organization		C	Dallas
H5774	Pharmacy Network Management Contact	AVP.Network Strategy and Programs		Baker	David		1-816-783-3834					David.baker@abarcahealth.com	650 Avenida Muñoz Rivera	Suite 701	San Juan	PR	00918	1/19/2026	2026	"TRIPLE S ADVANTAGE, INC."	Local CCP	Triple S Advantage	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5774	Pharmacy Technical Help Desk Contact	Senior Director Service Operation	Mr.	Hogg	Jo						1-787-777-1372	jo.jogg@abarcahealth.com	1606 Avenida Muñoz Rivera		San Juan	PR	00909	1/19/2026	2026	"TRIPLE S ADVANTAGE, INC."	Local CCP	Triple S Advantage	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active	1-855-922-2722				HMO - Health Maintenance Organization		C	Dallas
H5774	Plan to Plan Reconciliation Contact	MA Revenue Management Director	Mr	Rosich	Luis		1-787-749-4949	8321176			1-787-993-3257	lrosich@ssspr.com	PO Box 11320		San Juan	PR	00922	4/10/2024	2026	"TRIPLE S ADVANTAGE, INC."	Local CCP	Triple S Advantage	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5779	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/18/2024	2026	"MERIDIAN HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5779	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"MERIDIAN HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5779	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/18/2024	2026	"MERIDIAN HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5779	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"MERIDIAN HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5779	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"MERIDIAN HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5779	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/19/2024	2026	"MERIDIAN HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5779	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"MERIDIAN HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5779	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/18/2024	2026	"MERIDIAN HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5779	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	"MERIDIAN HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5779	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/18/2024	2026	"MERIDIAN HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H5779	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	"MERIDIAN HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5779	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/18/2024	2026	"MERIDIAN HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0408				HMO - Health Maintenance Organization		C	Denver
H5779	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	6/18/2024	2026	"MERIDIAN HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H5793	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	AETNA HEALTH INC. (CT)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5793	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	AETNA HEALTH INC. (CT)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5793	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA HEALTH INC. (CT)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5793	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	AETNA HEALTH INC. (CT)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5793	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	AETNA HEALTH INC. (CT)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5793	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	AETNA HEALTH INC. (CT)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5793	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA HEALTH INC. (CT)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5793	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	AETNA HEALTH INC. (CT)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5793	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	9/15/2023	2026	AETNA HEALTH INC. (CT)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5793	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	AETNA HEALTH INC. (CT)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H5793	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA HEALTH INC. (CT)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5793	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	AETNA HEALTH INC. (CT)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H5793	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA HEALTH INC. (CT)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H5810	Automated TrOOP Balance Transfer Contact	"AVP, Pharmacy"		Vu	John		1-801-252-5706					an.vu@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	MOLINA HEALTHCARE OF CALIFORNIA	Local CCP	Molina Healthcare of California	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H5810	Best Available Evidence Contact	"Director, Medicare PEnrollment"		LeJeune	Ryan		1-562-549-4527					ryan.lejeune@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	MOLINA HEALTHCARE OF CALIFORNIA	Local CCP	Molina Healthcare of California	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H5810	Chief Financial Officer	"MHI - VP, Operating Finance"	Mr.	Parthasarathy	Vijay		1-630-381-8563					vijay.parthasarathy@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	MOLINA HEALTHCARE OF CALIFORNIA	Local CCP	Molina Healthcare of California	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H5810	CMS Casework Communication Contact	"Dir, Medicare A&G"		Bennett	Kimberly		1-248-854-9474					Kimberly.Bennett@molinahealthcare.com	24121 Rosewood Street		Oak Park	MI	48237	5/20/2026	2026	MOLINA HEALTHCARE OF CALIFORNIA	Local CCP	Molina Healthcare of California	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H5810	Coordination of Benefits Contact	"Director, Payment Integrity"		Hartberger	Jake		1-484-269-1480					Jake.Hartberger@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	MOLINA HEALTHCARE OF CALIFORNIA	Local CCP	Molina Healthcare of California	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H5810	Customer Service Operations Contact	"Vice President, Call Center"		Faroughi	Cheryl		1-614-547-6829					cheryl.faroughi@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	MOLINA HEALTHCARE OF CALIFORNIA	Local CCP	Molina Healthcare of California	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H5810	Government Relations Contact	"MHI- Vice President, Compliance"		Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@Molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	MOLINA HEALTHCARE OF CALIFORNIA	Local CCP	Molina Healthcare of California	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H5810	Hospice Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/20/2026	2026	MOLINA HEALTHCARE OF CALIFORNIA	Local CCP	Molina Healthcare of California	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H5810	Medicare Compliance Officer	"MHI- Vice President, Compliance"	Mr.	Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	MOLINA HEALTHCARE OF CALIFORNIA	Local CCP	Molina Healthcare of California	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H5810	Part D Exceptions Contact	"AVP, Medicare Pharmacy Services"		Vu	John							An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/20/2026	2026	MOLINA HEALTHCARE OF CALIFORNIA	Local CCP	Molina Healthcare of California	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract	1-801-252-5706				HMO - Health Maintenance Organization		C	New York
H5810	Pharmacy Network Management Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/20/2026	2026	MOLINA HEALTHCARE OF CALIFORNIA	Local CCP	Molina Healthcare of California	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H5810	Pharmacy Technical Help Desk Contact	"Director, Client Operations"		Help Desk	Pharmacy						1-480-314-6077	dayoubj@cvshealth.com	445 Great Circle Road		Nashville	TN	37228	5/20/2026	2026	MOLINA HEALTHCARE OF CALIFORNIA	Local CCP	Molina Healthcare of California	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H5810	Plan to Plan Reconciliation Contact	"Director, Finance"		Cook	Keith		1-562-542-2024					P2P.molina@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/20/2026	2026	MOLINA HEALTHCARE OF CALIFORNIA	Local CCP	Molina Healthcare of California	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	New York
H5822	Automated TrOOP Balance Transfer Contact	"Director of Health Plan, Quality and Compliance"		Mitchell	Lisa		1-785-232-2044					lmitchell@midlandcc.org	200 SW Frazier Bldg A		Topeka	KS	66606	4/7/2025	2026	MIDLAND CARE CONNECTION	National PACE	Midland Care PACE	National PACE		"Midland Care Connection, Inc."	291	Yes	Active					PACE - Nat		C	San Francisco
H5822	Best Available Evidence Contact	VP / Executive Director of PACE		Rath	Heath	L	1-785-232-2044				1-785-232-5567	hrath@midlandcc.org	200 SW Frazier Circle		Topeka	KS	66606	1/12/2026	2026	MIDLAND CARE CONNECTION	National PACE	Midland Care PACE	National PACE		"Midland Care Connection, Inc."	291	Yes	Active					PACE - Nat		C	San Francisco
H5822	Chief Financial Officer	CFO	Mr.	Lehman	Daniel	L	1-785-232-2044				1-785-232-5567	dlehman@midlandcc.org	200 SW Frazier Circle		Topeka	KS	66606	7/24/2023	2026	MIDLAND CARE CONNECTION	National PACE	Midland Care PACE	National PACE		"Midland Care Connection, Inc."	291	Yes	Active					PACE - Nat		C	San Francisco
H5822	CMS Casework Communication Contact	VP / Executive Director of PACE		Rath	Heath	L	1-785-232-2044				1-785-232-5567	hrath@midlandcc.org	200 SW Frazier Circle		Topeka	KS	66606	1/12/2026	2026	MIDLAND CARE CONNECTION	National PACE	Midland Care PACE	National PACE		"Midland Care Connection, Inc."	291	Yes	Active					PACE - Nat		C	San Francisco
H5822	Coordination of Benefits Contact	VP / Executive Director of PACE		Rath	Heath	L	1-785-232-2044				1-785-232-5567	hrath@midlandcc.org	200 SW Frazier Circle		Topeka	KS	66606	1/12/2026	2026	MIDLAND CARE CONNECTION	National PACE	Midland Care PACE	National PACE		"Midland Care Connection, Inc."	291	Yes	Active					PACE - Nat		C	San Francisco
H5822	Customer Service Operations Contact	VP / Executive Director of PACE		Rath	Heath	L	1-785-232-2044				1-785-232-5567	hrath@midlandcc.org	200 SW Frazier Circle		Topeka	KS	66606	1/12/2026	2026	MIDLAND CARE CONNECTION	National PACE	Midland Care PACE	National PACE		"Midland Care Connection, Inc."	291	Yes	Active					PACE - Nat		C	San Francisco
H5822	Government Relations Contact	President/CEO		Sullivan	Shawn		1-785-232-2044				1-785-232-5567	ssullivan@midlandcc.org	200 SW Frazier Circle		Topeka	KS	66606	12/31/2020	2026	MIDLAND CARE CONNECTION	National PACE	Midland Care PACE	National PACE		"Midland Care Connection, Inc."	291	Yes	Active					PACE - Nat		C	San Francisco
H5822	Medicare Compliance Officer	"Director of Health Plan, Quality, and Compliance"	Mrs.	Mitchell	Lisa		1-785-232-2044	1054			1-785-232-5567	lmitchell@midlandcc.org	200 SW Frazier Cir		Topeka	KS	66606	5/15/2026	2026	MIDLAND CARE CONNECTION	National PACE	Midland Care PACE	National PACE		"Midland Care Connection, Inc."	291	Yes	Active					PACE - Nat		C	San Francisco
H5822	Part D Exceptions Contact	VP / Executive Director of PACE		Chaffee	Leanna						1-785-232-5567	lchaffee@midlandcc.org	200 SW Frazier Circle		Topeka	KS	66606	10/1/2024	2026	MIDLAND CARE CONNECTION	National PACE	Midland Care PACE	National PACE		"Midland Care Connection, Inc."	291	Yes	Active	1-800-491-3691				PACE - Nat		C	San Francisco
H5822	Pharmacy Network Management Contact	VP / Executive Director of PACE		Rath	Heath	L	1-785-232-2044				1-785-232-5567	hrath@midlandcc.org	200 SW Frazier Circle		Topeka	KS	66606	1/12/2026	2026	MIDLAND CARE CONNECTION	National PACE	Midland Care PACE	National PACE		"Midland Care Connection, Inc."	291	Yes	Active					PACE - Nat		C	San Francisco
H5822	Pharmacy Technical Help Desk Contact	VP / Executive Director of PACE		Chaffee	Leanna						1-785-232-5567	lchaffee@midlandcc.org	200 SW Frazier Circle		Topeka	KS	66606	3/20/2023	2026	MIDLAND CARE CONNECTION	National PACE	Midland Care PACE	National PACE		"Midland Care Connection, Inc."	291	Yes	Active	1-785-232-2044				PACE - Nat		C	San Francisco
H5822	Plan to Plan Reconciliation Contact	CFO	Mr.	Lehman	Daniel	L	1-785-232-2044				1-785-232-5567	dlehman@midlandcc.org	200 SW Frazier Circle		Topeka	KS	66606	7/24/2023	2026	MIDLAND CARE CONNECTION	National PACE	Midland Care PACE	National PACE		"Midland Care Connection, Inc."	291	Yes	Active					PACE - Nat		C	San Francisco
H5823	Automated TrOOP Balance Transfer Contact	"AVP, Pharmacy"		Vu	John		1-801-252-5706					an.vu@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF WASHINGTON, INC."	Local CCP	"Molina Healthcare of Washington, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5823	Best Available Evidence Contact	"Director, Medicare PEnrollment"		LeJeune	Ryan		1-562-549-4527					ryan.lejeune@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF WASHINGTON, INC."	Local CCP	"Molina Healthcare of Washington, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5823	Chief Financial Officer	"MHI - VP, Operating Finance"	Mr.	Parthasarathy	Vijay		1-630-381-8563					vijay.parthasarathy@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF WASHINGTON, INC."	Local CCP	"Molina Healthcare of Washington, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5823	CMS Casework Communication Contact	"Dir, Medicare A&G"		Bennett	Kimberly		1-248-854-9474					Kimberly.Bennett@molinahealthcare.com	24121 Rosewood Street		Oak Park	MI	48237	5/21/2025	2026	"MOLINA HEALTHCARE OF WASHINGTON, INC."	Local CCP	"Molina Healthcare of Washington, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5823	Coordination of Benefits Contact	"Director, Payment Integrity"		Hartberger	Jake		1-484-269-1480					Jake.Hartberger@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF WASHINGTON, INC."	Local CCP	"Molina Healthcare of Washington, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5823	Customer Service Operations Contact	"Vice President, Call Center"		Faroughi	Cheryl		1-614-547-6829					cheryl.faroughi@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF WASHINGTON, INC."	Local CCP	"Molina Healthcare of Washington, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5823	Government Relations Contact	"MHI- Vice President, Compliance"		Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@Molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF WASHINGTON, INC."	Local CCP	"Molina Healthcare of Washington, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5823	Hospice Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"MOLINA HEALTHCARE OF WASHINGTON, INC."	Local CCP	"Molina Healthcare of Washington, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5823	Medicare Compliance Officer	"MHI- Vice President, Compliance"	Mr.	Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF WASHINGTON, INC."	Local CCP	"Molina Healthcare of Washington, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5823	Part D Exceptions Contact	"AVP, Medicare Pharmacy Services"		Vu	John							An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"MOLINA HEALTHCARE OF WASHINGTON, INC."	Local CCP	"Molina Healthcare of Washington, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-801-252-5706				HMO - Health Maintenance Organization		C	New York
H5823	Pharmacy Network Management Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"MOLINA HEALTHCARE OF WASHINGTON, INC."	Local CCP	"Molina Healthcare of Washington, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5823	Pharmacy Technical Help Desk Contact	"Director, Client Operations"		Help Desk	Pharmacy						1-480-314-6077	dayoubj@cvshealth.com	445 Great Circle Road		Nashville	TN	37228	5/21/2025	2026	"MOLINA HEALTHCARE OF WASHINGTON, INC."	Local CCP	"Molina Healthcare of Washington, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H5823	Plan to Plan Reconciliation Contact	"Director, Finance"		Cook	Keith		1-562-542-2024					P2P.molina@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF WASHINGTON, INC."	Local CCP	"Molina Healthcare of Washington, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5826	Automated TrOOP Balance Transfer Contact	Sr. Financial Analyst		Slack	Lynne		1-206-652-7148				1-206-521-8834	Lynne.Slack@chpw.org	"1111 Third Ave, Suite 400"		Seattle	WA	98101	1/15/2026	2026	COMMUNITY HEALTH PLAN OF WASHINGTON	Local CCP	Community Health Plan of WA Medicare Advantage	HMO/HMOPOS		Community Health Plan of Washington	275	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5826	Best Available Evidence Contact	VP Customer Experience	Ms	Norwood	Charyl		1-206-613-8885				1-206-521-8834	charyl.norwood@chpw.org	"1111 Third Ave, Ste 400"		Seattle	WA	98101	8/1/2023	2026	COMMUNITY HEALTH PLAN OF WASHINGTON	Local CCP	Community Health Plan of WA Medicare Advantage	HMO/HMOPOS		Community Health Plan of Washington	275	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5826	Chief Financial Officer	Chief Financial Officer	Mr	Battersby	Stuart		1-206-652-7205				1-206-521-8834	stuart.battersby@chpw.org	"1111 Third Ave, Ste 400"		Seattle	WA	98101	4/17/2024	2026	COMMUNITY HEALTH PLAN OF WASHINGTON	Local CCP	Community Health Plan of WA Medicare Advantage	HMO/HMOPOS		Community Health Plan of Washington	275	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5826	CMS Casework Communication Contact	VP Customer Experience	Ms	Norwood	Charyl		1-206-613-8885				1-206-521-8834	charyl.norwood@chpw.org	"1111 Third Ave, Ste 400"		Seattle	WA	98101	8/1/2023	2026	COMMUNITY HEALTH PLAN OF WASHINGTON	Local CCP	Community Health Plan of WA Medicare Advantage	HMO/HMOPOS		Community Health Plan of Washington	275	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5826	Coordination of Benefits Contact	VP Customer  Experience	Ms	Norwood	Charyl		1-206-613-8885				1-206-521-8834	charyl.norwood@chpw.org	"1111 Third Ave, Ste 400"		Seattle	WA	98101	8/1/2023	2026	COMMUNITY HEALTH PLAN OF WASHINGTON	Local CCP	Community Health Plan of WA Medicare Advantage	HMO/HMOPOS		Community Health Plan of Washington	275	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5826	Customer Service Operations Contact	Director Customer Service		Reed	Beverly		1-206-613-5039				1-206-521-8834	Beverly.Reed@chpw.org	"1111 Third Ave, Ste 400"		Seattle	WA	98101	5/20/2026	2026	COMMUNITY HEALTH PLAN OF WASHINGTON	Local CCP	Community Health Plan of WA Medicare Advantage	HMO/HMOPOS		Community Health Plan of Washington	275	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5826	Government Relations Contact	VP Compliance Officer	Ms	Rabung	Marie	A	1-206-799-1406				1-206-521-8834	Marie.Rabung@chpw.org	1111 Third Ave Ste 400		Seattle	WA	98059	5/20/2026	2026	COMMUNITY HEALTH PLAN OF WASHINGTON	Local CCP	Community Health Plan of WA Medicare Advantage	HMO/HMOPOS		Community Health Plan of Washington	275	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5826	Hospice Contact	Director of Pharmacy		Daoud	Omar		1-206-475-5779				1-206-521-8834	omar.daoud@chpw.org	"1111 Third Ave, Ste 400"		Seattle	WA	98101	5/11/2021	2026	COMMUNITY HEALTH PLAN OF WASHINGTON	Local CCP	Community Health Plan of WA Medicare Advantage	HMO/HMOPOS		Community Health Plan of Washington	275	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5826	Medicare Compliance Officer	"VP, Compliance Officer"	Ms	Rabung	Marie	A	1-206-613-5091				1-206-652-7017	marie.rabung@chpw.org	"1111 Third Ave, Ste 400"		Seattle	WA	98101	3/4/2026	2026	COMMUNITY HEALTH PLAN OF WASHINGTON	Local CCP	Community Health Plan of WA Medicare Advantage	HMO/HMOPOS		Community Health Plan of Washington	275	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5826	Part D Exceptions Contact	Senior Pharmacy Manager		Schumm	Brian							Brian_Schumm@express-scripts.com	5151 Blazer Pkwy		Dublin	OH	43017	5/5/2022	2026	COMMUNITY HEALTH PLAN OF WASHINGTON	Local CCP	Community Health Plan of WA Medicare Advantage	HMO/HMOPOS		Community Health Plan of Washington	275	Yes	Active	1-800-344-3405	733326			HMO - Health Maintenance Organization		C	Boston
H5826	Pharmacy Network Management Contact	"Network Acct Director, Retail Strategy/Contracting"		Kelly	Heather		1-314-692-1866				1-877-387-5800	hakelly@express-scripts.com	One Express Way		St. Louis	MO	63121	5/24/2023	2026	COMMUNITY HEALTH PLAN OF WASHINGTON	Local CCP	Community Health Plan of WA Medicare Advantage	HMO/HMOPOS		Community Health Plan of Washington	275	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5826	Pharmacy Technical Help Desk Contact	Director Customer Service		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	13051 N. Telecom PKWY	STE 150	Temple Terrace	FL	33637	11/22/2021	2026	COMMUNITY HEALTH PLAN OF WASHINGTON	Local CCP	Community Health Plan of WA Medicare Advantage	HMO/HMOPOS		Community Health Plan of Washington	275	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Boston
H5826	Plan to Plan Reconciliation Contact	Sr. Financial Analyst	Ms.	Slack	Lynne		1-206-652-7148				1-206-521-8834	Lynne.Slack@chpw.org	"1111 Third Ave, Ste 400"		Seattle	WA	98101	1/15/2026	2026	COMMUNITY HEALTH PLAN OF WASHINGTON	Local CCP	Community Health Plan of WA Medicare Advantage	HMO/HMOPOS		Community Health Plan of Washington	275	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5828	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	"WELLPOINT TENNESSEE, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5828	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"WELLPOINT TENNESSEE, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5828	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	"WELLPOINT TENNESSEE, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5828	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	"WELLPOINT TENNESSEE, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5828	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	"WELLPOINT TENNESSEE, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5828	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	"WELLPOINT TENNESSEE, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5828	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"WELLPOINT TENNESSEE, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5828	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"WELLPOINT TENNESSEE, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5828	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"WELLPOINT TENNESSEE, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5828	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	"WELLPOINT TENNESSEE, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H5828	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/31/2023	2026	"WELLPOINT TENNESSEE, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5828	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	"WELLPOINT TENNESSEE, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H5828	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/7/2021	2026	"WELLPOINT TENNESSEE, INC."	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5843	Automated TrOOP Balance Transfer Contact	Chief Financial Officer		Brady	Michael		1-480-861-3410					Michael.Brady@bannerhealth.com	2901 N Central Ave Ste. 160		Phoenix	AZ	85012	12/26/2024	2026	"BANNER HEALTH PLAN, INC."	Local CCP	Banner Medicare Advantage	HMO/HMOPOS		Banner Health	389	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5843	Best Available Evidence Contact	"Director, Grievance and Appeals"		Clayton	Natasha		1-520-667-3777				1-520-874-3462	natasha.clayton@bannerhealth.com	"5255 E Williams Circle, Ste 2050"		Tucson	AZ	85711	9/19/2024	2026	"BANNER HEALTH PLAN, INC."	Local CCP	Banner Medicare Advantage	HMO/HMOPOS		Banner Health	389	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5843	Chief Financial Officer	Chief Financial Officer	Mr	Brady	Michael		1-480-861-3410					Michael.Brady@bannerhealth.com	2901 N Central Ave Ste. 160		Phoenix	AZ	85012	12/26/2024	2026	"BANNER HEALTH PLAN, INC."	Local CCP	Banner Medicare Advantage	HMO/HMOPOS		Banner Health	389	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5843	CMS Casework Communication Contact	"Director, Grievance and Appeals"		Clayton	Natasha		1-602-747-8416				1-602-334-4683	Natasha.Clayton@bannerhealth.com	"5255 E Williams Circle, Ste 2050"		Tucson	AZ	85711	12/26/2024	2026	"BANNER HEALTH PLAN, INC."	Local CCP	Banner Medicare Advantage	HMO/HMOPOS		Banner Health	389	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5843	Coordination of Benefits Contact	"Supervisor, Senior Business Analyst"		Greenway	Olga		1-864-934-1365					olga.greenway@BannerHealth.com	525 W Brown Rd		Mesa	AZ	85201	11/22/2023	2026	"BANNER HEALTH PLAN, INC."	Local CCP	Banner Medicare Advantage	HMO/HMOPOS		Banner Health	389	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5843	Customer Service Operations Contact	Customer Care Director		Carrillo	Veronica		1-520-874-5349				1-520-874-7083	Veronica.Carrillo@bannerhealth.com	"5255 E Williams Circle, Ste 2050"		Tucson	AZ	85711	12/26/2024	2026	"BANNER HEALTH PLAN, INC."	Local CCP	Banner Medicare Advantage	HMO/HMOPOS		Banner Health	389	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5843	Government Relations Contact	"Senior Director, Government Programs"		Steward	Linda		1-520-874-2553					linda.steward@bannerhealth.com	"5255 E Williams Circle, Ste 2050"		Tucson	AZ	85711	11/26/2024	2026	"BANNER HEALTH PLAN, INC."	Local CCP	Banner Medicare Advantage	HMO/HMOPOS		Banner Health	389	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5843	Hospice Contact	"Director, Managed Pharmacy Solutions"		Ramsey	Michael		1-480-650-8341					Michael.Ramsey@bannerhealth.com	"2901 N. Central Ave., Ste 160"		Phoenix	AZ	85012	12/26/2024	2026	"BANNER HEALTH PLAN, INC."	Local CCP	Banner Medicare Advantage	HMO/HMOPOS		Banner Health	389	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5843	Medicare Compliance Officer	"Area Program Director, Medicare Compliance Officer"	Ms.	Rood	Audrey		1-602-747-1103					audrey.rood@bannerhealth.com	"2901 N. Central Ave., Ste 160"		Phoenix	AZ	85012	2/26/2026	2026	"BANNER HEALTH PLAN, INC."	Local CCP	Banner Medicare Advantage	HMO/HMOPOS		Banner Health	389	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5843	Part D Exceptions Contact	Express Scripts Sr. Manager Pharmacy Prio Auth		Herbert	Joshua							Joshua.Herbert@evernorth.com	One Express Way Mail Stop: S13NB		St. Louis	MO	63121	10/14/2025	2026	"BANNER HEALTH PLAN, INC."	Local CCP	Banner Medicare Advantage	HMO/HMOPOS		Banner Health	389	Yes	Active	1-513-292-0563				HMO - Health Maintenance Organization		C	New York
H5843	Pharmacy Network Management Contact	Express Scripts Network Accountant Director		Kelly	Heather		1-314-692-1866				1-800-357-9578	Heather.Kelly2@evernorth.com	Express Scripts	One Express Way	St. Louis	MO	63121	1/7/2026	2026	"BANNER HEALTH PLAN, INC."	Local CCP	Banner Medicare Advantage	HMO/HMOPOS		Banner Health	389	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5843	Pharmacy Technical Help Desk Contact	"Senior Director, Customer Service"		Sahs	Dale							dale.sahs@express-scripts.com	One Express Way Mail Stop: S13NB		St. Louis	MO	63121	11/4/2025	2026	"BANNER HEALTH PLAN, INC."	Local CCP	Banner Medicare Advantage	HMO/HMOPOS		Banner Health	389	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	New York
H5843	Plan to Plan Reconciliation Contact	Financial Analyst		Best	Heather		1-833-318-4146					p2p@bannerhealth.com	PO BOX 16423		Mesa	AZ	85211	5/18/2026	2026	"BANNER HEALTH PLAN, INC."	Local CCP	Banner Medicare Advantage	HMO/HMOPOS		Banner Health	389	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5852	Automated TrOOP Balance Transfer Contact	Medicare Part D Project Manager	Ms.	Rivera-Aquino	Denisse		1-858-291-5269					denisse.rivera-aquino@medimpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	1/5/2024	2026	AIDS HEALTHCARE FOUNDATION	Local CCP	AHF	HMO/HMOPOS		AIDS Healthcare Foundation	3	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5852	Best Available Evidence Contact	Health Plan Administrator	Mr.	O'Malley	Michael		1-323-337-9172				1-888-235-8482	michael.omalley@aidshealth.org	1710 N. La Brea Ave.		Los Angeles	CA	90046	7/11/2025	2026	AIDS HEALTHCARE FOUNDATION	Local CCP	AHF	HMO/HMOPOS		AIDS Healthcare Foundation	3	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5852	Chief Financial Officer	Chief Financial Officer	Mr.	Honig Mojica	Lyle		1-323-860-5244				1-323-962-8513	lyle.honig@aidshealth.org	6255 W Sunset Blvd 21st Floor		Los Angeles	CA	90028	3/14/2022	2026	AIDS HEALTHCARE FOUNDATION	Local CCP	AHF	HMO/HMOPOS		AIDS Healthcare Foundation	3	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5852	CMS Casework Communication Contact	"Associate Director, Risk Management"	Ms.	Beneche	Emelyne		1-954-522-3132	53292			1-888-965-7430	emelyne.beneche@aidshealth.org	700 SE 3rd Ave 4th Floor		Fort Lauderdale	FL	33316	4/23/2026	2026	AIDS HEALTHCARE FOUNDATION	Local CCP	AHF	HMO/HMOPOS		AIDS Healthcare Foundation	3	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5852	Coordination of Benefits Contact	Health Plan Administrator	Mr.	O'Malley	Michael		1-323-337-9172				1-888-235-8482	michael.omalley@aidshealth.org	1710 N. La Brea Ave.		Los Angeles	CA	90046	7/11/2025	2026	AIDS HEALTHCARE FOUNDATION	Local CCP	AHF	HMO/HMOPOS		AIDS Healthcare Foundation	3	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5852	Customer Service Operations Contact	Health Plan Administrator	Mr.	O'Malley	Michael		1-323-337-9172				1-888-235-8482	michael.omalley@aidshealth.org	1710 N. La Brea Ave.		Los Angeles	CA	90046	7/11/2025	2026	AIDS HEALTHCARE FOUNDATION	Local CCP	AHF	HMO/HMOPOS		AIDS Healthcare Foundation	3	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5852	Government Relations Contact	Chief of Care Management	Ms.	Stidham	Donna	M	1-805-660-0703					donna.stidham@aidshealth.org	1710 N. La Brea Ave.		Los Angeles	CA	90046	4/23/2026	2026	AIDS HEALTHCARE FOUNDATION	Local CCP	AHF	HMO/HMOPOS		AIDS Healthcare Foundation	3	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5852	Hospice Contact	Pharmacy Director - Care Management	Mr.	Dao	Anthony		1-323-436-5005				1-888-238-2244	anthony.dao@aidshealth.org	1710 N. La Brea Ave.		Los Angeles	CA	90046	4/23/2026	2026	AIDS HEALTHCARE FOUNDATION	Local CCP	AHF	HMO/HMOPOS		AIDS Healthcare Foundation	3	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5852	Medicare Compliance Officer	Interim Compliance Officer	Mr	O'Malley	Michael		1-323-337-9172					michael.omalley@ahf.org	1710 N. La Brea Ave.		Los Angeles	CA	90046	6/8/2026	2026	AIDS HEALTHCARE FOUNDATION	Local CCP	AHF	HMO/HMOPOS		AIDS Healthcare Foundation	3	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5852	Part D Exceptions Contact	Pharmacy Director - Care Management	Mr.	Dao	Anthony						1-888-238-2244	anthony.dao@aidshealth.org	1710 N. La Brea Ave.		Los Angeles	CA	90046	4/23/2026	2026	AIDS HEALTHCARE FOUNDATION	Local CCP	AHF	HMO/HMOPOS		AIDS Healthcare Foundation	3	Yes	Active	1-888-554-1334				HMO - Health Maintenance Organization		C	Boston
H5852	Pharmacy Network Management Contact	Pharmacy Director - Care Management	Mr.	Dao	Anthony		1-323-436-5005				1-888-238-2244	anthony.dao@aidshealth.org	1710 N. La Brea Ave.		Los Angeles	CA	90046	4/23/2026	2026	AIDS HEALTHCARE FOUNDATION	Local CCP	AHF	HMO/HMOPOS		AIDS Healthcare Foundation	3	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5852	Pharmacy Technical Help Desk Contact	Pharmacy Director - Care Management	Mr.	Dao	Anthony						1-888-238-2244	anthony.dao@aidshealth.org	1710 N. La Brea Ave.		Los Angeles	CA	90046	4/23/2026	2026	AIDS HEALTHCARE FOUNDATION	Local CCP	AHF	HMO/HMOPOS		AIDS Healthcare Foundation	3	Yes	Active	1-888-554-1334				HMO - Health Maintenance Organization		C	Boston
H5852	Plan to Plan Reconciliation Contact	Chief Financial Officer	Mr.	Honig Mojica	Lyle		1-323-860-5244				1-323-860-5283	lyle.honig@aidshealth.org	6255 W Sunset Blvd 21st Floor		Los Angeles	CA	90028	4/28/2022	2026	AIDS HEALTHCARE FOUNDATION	Local CCP	AHF	HMO/HMOPOS		AIDS Healthcare Foundation	3	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5854	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	"ANTHEM HEALTH PLANS, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5854	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"ANTHEM HEALTH PLANS, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5854	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	"ANTHEM HEALTH PLANS, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5854	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	"ANTHEM HEALTH PLANS, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5854	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	"ANTHEM HEALTH PLANS, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5854	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	"ANTHEM HEALTH PLANS, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5854	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"ANTHEM HEALTH PLANS, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5854	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"ANTHEM HEALTH PLANS, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5854	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"ANTHEM HEALTH PLANS, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5854	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	"ANTHEM HEALTH PLANS, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H5854	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/31/2023	2026	"ANTHEM HEALTH PLANS, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5854	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	"ANTHEM HEALTH PLANS, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H5854	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/7/2021	2026	"ANTHEM HEALTH PLANS, INC."	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5859	Automated TrOOP Balance Transfer Contact	"Associate Director, Claims Business Process"		Cassata	Mercedes		1-714-317-2628					mercedes.cassata@optum.com	Optum Rx 11000 Optum Cir		Eden Prairie	MN	55344	3/19/2026	2026	"HEALTH PLAN OF CAREOREGON, INC."	Local CCP	CareOregon Advantage	HMO/HMOPOS		"CareOregon, Inc."	48	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5859	Best Available Evidence Contact	Enrollment Supervisor		Schulte	Rachel		1-503-416-8908				1-503-416-3723	schulter@careoregon.org	CareOregon Advantage	315 SW Fifth Avenue	Portland	OR	97204	9/9/2020	2026	"HEALTH PLAN OF CAREOREGON, INC."	Local CCP	CareOregon Advantage	HMO/HMOPOS		"CareOregon, Inc."	48	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5859	Chief Financial Officer	CFO	Ms.	Cruz	Dee		1-971-339-1856				1-503-416-8101	cruzd@careoregon.org	CareOregon Advantage	315 SW Fifth Avenue	Portland	OR	97204	3/4/2026	2026	"HEALTH PLAN OF CAREOREGON, INC."	Local CCP	CareOregon Advantage	HMO/HMOPOS		"CareOregon, Inc."	48	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5859	CMS Casework Communication Contact	Medicare Program Manager		Duran Rey	Whitney		1-503-416-8040				1-503-416-3720	duranreyw@careoregon.org	CareOregon Advantage	315 SW Fifth Avenue	Portland	OR	97204	7/15/2022	2026	"HEALTH PLAN OF CAREOREGON, INC."	Local CCP	CareOregon Advantage	HMO/HMOPOS		"CareOregon, Inc."	48	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5859	Coordination of Benefits Contact	Enrollment Manager		Foster	Cody		1-503-416-7887				1-503-416-3723	COBServices@careoregon.org	CareOregon Advantage	315 SW Fifth Avenue	Portland	OR	97204	4/18/2022	2026	"HEALTH PLAN OF CAREOREGON, INC."	Local CCP	CareOregon Advantage	HMO/HMOPOS		"CareOregon, Inc."	48	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5859	Customer Service Operations Contact	Customer Service Manager		Mattila	Karen		1-503-416-8033				1-503-416-3723	mattilak@careoregon.org	CareOregon Advantage	315 SW Fifth Avenue	Portland	OR	97204	8/19/2021	2026	"HEALTH PLAN OF CAREOREGON, INC."	Local CCP	CareOregon Advantage	HMO/HMOPOS		"CareOregon, Inc."	48	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5859	Government Relations Contact	Chief of Staff		Rigsby	Jeremiah		1-503-416-4699				1-503-416-3720	rigsbyj@careoregon.org	CareOregon Advantage	315 SW Fifth Avenue	Portland	OR	97204	9/9/2020	2026	"HEALTH PLAN OF CAREOREGON, INC."	Local CCP	CareOregon Advantage	HMO/HMOPOS		"CareOregon, Inc."	48	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5859	Hospice Contact	Pharmacy Medicare Manager		Nguyen	Viet		1-503-416-1429				1-503-416-1428	partdrx@careoregon.org	CareOregon Advantage	315 SW Fifth Avenue	Portland	OR	97204	6/18/2025	2026	"HEALTH PLAN OF CAREOREGON, INC."	Local CCP	CareOregon Advantage	HMO/HMOPOS		"CareOregon, Inc."	48	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5859	Medicare Compliance Officer	VP Audit and Compliance	Ms.	Severson	Denise		1-503-508-2621				1-503-416-8117	seversond@careoregon.org	CareOregon Advantage	315 SW Fifth Avenue	Portland	OR	97204	3/4/2026	2026	"HEALTH PLAN OF CAREOREGON, INC."	Local CCP	CareOregon Advantage	HMO/HMOPOS		"CareOregon, Inc."	48	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5859	Part D Exceptions Contact	Pharmacy Medicare Manager		Nguyen	Viet						1-503-416-1428	partdrx@careoregon.org	CareOregon Advantage	315 SW Fifth Avenue	Portland	OR	97204	6/18/2025	2026	"HEALTH PLAN OF CAREOREGON, INC."	Local CCP	CareOregon Advantage	HMO/HMOPOS		"CareOregon, Inc."	48	Yes	Active	1-503-416-1429				HMO - Health Maintenance Organization		C	Boston
H5859	Pharmacy Network Management Contact	Manager Retail Network Operations		Perez	Felix		1-305-331-3044					felix.perez@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	12/16/2025	2026	"HEALTH PLAN OF CAREOREGON, INC."	Local CCP	CareOregon Advantage	HMO/HMOPOS		"CareOregon, Inc."	48	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5859	Pharmacy Technical Help Desk Contact	"Manager, Pharmacy Help Desk"		Villanueva	Juan							juan.villanueva@optum.com	3515 S Harbor Blvd		Costa Mesa	CA	92626	3/19/2026	2026	"HEALTH PLAN OF CAREOREGON, INC."	Local CCP	CareOregon Advantage	HMO/HMOPOS		"CareOregon, Inc."	48	Yes	Active	1-866-325-7344				HMO - Health Maintenance Organization		C	Boston
H5859	Plan to Plan Reconciliation Contact	Senior Accountant - Financial Reporting & Analysis		Lin	Echo		1-503-416-1414				1-503-416-8101	line@careoregon.org	315 SW Fifth Avenue		Portland	OR	97204	2/28/2024	2026	"HEALTH PLAN OF CAREOREGON, INC."	Local CCP	CareOregon Advantage	HMO/HMOPOS		"CareOregon, Inc."	48	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5883	Automated TrOOP Balance Transfer Contact	Manager	Mr.	Nalamolu	Chandra		1-248-665-4549					hnalamolu@bcbsm.com	600 East Lafayette Blvd.	TC 1705	Detroit	MI	48226	10/8/2019	2026	BLUE CARE NETWORK OF MICHIGAN	Local CCP	Blue Care Network	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5883	Best Available Evidence Contact	Director	Mrs.	Love	Lonita		1-248-223-5350					LLove@bcbsm.com	441 E. Jefferson		Detroit	MI	48226	12/3/2024	2026	BLUE CARE NETWORK OF MICHIGAN	Local CCP	Blue Care Network	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5883	Chief Financial Officer	"VP, Finance and Treasurer"	Mr.	Harris	Waymond	E	1-313-225-6544					WHarris@bcbsm.com	600 E. Lafayette	MC 1800	Detroit	MI	48226	6/7/2021	2026	BLUE CARE NETWORK OF MICHIGAN	Local CCP	Blue Care Network	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5883	CMS Casework Communication Contact	Manager		Smith	Brandon		1-248-223-5319					Bsmith@bcbsm.com	441 E. Jefferson		Detroit	MI	48226	12/3/2024	2026	BLUE CARE NETWORK OF MICHIGAN	Local CCP	Blue Care Network	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5883	Coordination of Benefits Contact	"Manager, COB Payment Integrity"		Besant	Tracy		1-313-448-5846					Tbesant@bcbsm.com	"611 Cascade West Parkway, S.E."	G801	Grand Rapids	MI	49546	3/5/2024	2026	BLUE CARE NETWORK OF MICHIGAN	Local CCP	Blue Care Network	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5883	Customer Service Operations Contact	Director	Ms.	Judson	Johanna		1-313-225-5856					jjudson@bcbsm.com	600 East Lafayette Blvd.		Detroit	MI	48226	3/16/2022	2026	BLUE CARE NETWORK OF MICHIGAN	Local CCP	Blue Care Network	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5883	Government Relations Contact	Managing Director	Ms.	Pickens	Veronica		1-248-395-5887					vpickens@bcbsm.com	600 East Lafayette Blvd.	TC 1301	Detroit	MI	48226	2/23/2024	2026	BLUE CARE NETWORK OF MICHIGAN	Local CCP	Blue Care Network	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5883	Hospice Contact	Manager	Mrs.	Rawson	Lori		1-616-956-5796					Lrawson@bcbsm.com	600 East Lafayette Blvd.	TC 1309	Detroit	MI	48226	10/16/2019	2026	BLUE CARE NETWORK OF MICHIGAN	Local CCP	Blue Care Network	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5883	Medicare Compliance Officer	"Vice President, Enterprise Compliance"	Ms.	Lange	Kelly		1-313-225-8554					medcomplianceofficer2@bcbsm.com	600 East Lafayette Blvd.	MC 1603	Detroit	MI	48226	3/3/2022	2026	BLUE CARE NETWORK OF MICHIGAN	Local CCP	Blue Care Network	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5883	Part D Exceptions Contact	Manager		Lewis	Letoretoys						1-800-459-8027	dramspriorauthmedicareD@bcbsm.com	600 East Lafayette Blvd.	TC 1408	Detroit	MI	48226	3/4/2024	2026	BLUE CARE NETWORK OF MICHIGAN	Local CCP	Blue Care Network	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active	1-800-437-3803				HMO - Health Maintenance Organization		C	Chicago
H5883	Pharmacy Network Management Contact	Director	Dr.	Fritsch	Michael		1-248-752-7580					mfritsch@bcbsm.com	600 East Lafayette Blvd.	MC 512D	Detroit	MI	48226	2/6/2026	2026	BLUE CARE NETWORK OF MICHIGAN	Local CCP	Blue Care Network	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5883	Pharmacy Technical Help Desk Contact	Manager	Mr.	Nalamolu	Chandra							hnalamolu@bcbsm.com	600 East Lafayette Blvd	MC 1309	Detroit	MI	48226	12/10/2025	2026	BLUE CARE NETWORK OF MICHIGAN	Local CCP	Blue Care Network	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active	1-855-810-0007				HMO - Health Maintenance Organization		C	Chicago
H5883	Plan to Plan Reconciliation Contact	Project Consultant		Anderson	Michelle		1-313-225-8935					bcnp2padmin@bcbsm.com	600 East Lafayette Blvd.		Detroit	MI	48226	3/6/2026	2026	BLUE CARE NETWORK OF MICHIGAN	Local CCP	Blue Care Network	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5900	Automated TrOOP Balance Transfer Contact	Director		Clark	Erica		1-616-758-0917					eclark3@bcbsm.com	1000 Town Center		Southfield	MI	48075	6/1/2026	2026	"WELLMARK ADVANTAGE HEALTH PLAN, INC."	Local CCP	Wellmark Advantage Health Plan	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H5900	Best Available Evidence Contact	Manager		LaMontagne	Amanda		1-508-439-9720					amanda.lamontagne@advantasure.com	5 Polaris Way		Aliso Viejo	CA	92656	6/1/2026	2026	"WELLMARK ADVANTAGE HEALTH PLAN, INC."	Local CCP	Wellmark Advantage Health Plan	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H5900	Chief Financial Officer	"SVP, Controller"	Mr.	Pisarik	Jason		1-517-708-5285					jason.pisarik@emergentholdingsinc.com	200 N. Grand Ave.		Lansing	MI	48901	6/1/2026	2026	"WELLMARK ADVANTAGE HEALTH PLAN, INC."	Local CCP	Wellmark Advantage Health Plan	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H5900	CMS Casework Communication Contact	Manager		Martell	Stacey		1-313-806-5905					smartell@bcbsm.com	600 East Lafayette Blvd.	MC 1502	Detroit	MI	48226	6/1/2026	2026	"WELLMARK ADVANTAGE HEALTH PLAN, INC."	Local CCP	Wellmark Advantage Health Plan	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H5900	Coordination of Benefits Contact	Manager		LaMontagne	Amanda		1-508-439-9720					amanda.lamontagne@advantasure.com	5 Polaris Way		Aliso Viejo	CA	92656	6/1/2026	2026	"WELLMARK ADVANTAGE HEALTH PLAN, INC."	Local CCP	Wellmark Advantage Health Plan	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H5900	Customer Service Operations Contact	"Director, Workforce Management, Analytics, & Supp"		Weber	Julie		1-313-225-0555					jweber@bcbsm.com	600 East Lafayette		Detroit	MI	48226	6/1/2026	2026	"WELLMARK ADVANTAGE HEALTH PLAN, INC."	Local CCP	Wellmark Advantage Health Plan	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H5900	Government Relations Contact	Manager		Martell	Stacey		1-313-806-5905					smartell@bcbsm.com	600 East Lafayette Blvd.	MC 1502	Detroit	MI	48226	6/1/2026	2026	"WELLMARK ADVANTAGE HEALTH PLAN, INC."	Local CCP	Wellmark Advantage Health Plan	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H5900	Hospice Contact	Director		Clark	Erica		1-616-758-0917					eclark3@bcbsm.com	1000 Town Center		Southfield	MI	48075	6/1/2026	2026	"WELLMARK ADVANTAGE HEALTH PLAN, INC."	Local CCP	Wellmark Advantage Health Plan	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H5900	Medicare Compliance Officer	"Vice President, Enterprise Compliance"	Ms.	Lange	Kelly		1-313-225-8554					medcomplianceofficer2@bcbsm.com	600 East Lafayette		Detroit	MI	48226	6/1/2026	2026	"WELLMARK ADVANTAGE HEALTH PLAN, INC."	Local CCP	Wellmark Advantage Health Plan	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H5900	Part D Exceptions Contact	Director		Clark	Erica							eclark3@bcbsm.com	1000 Town Center		Southfield	MI	48075	6/1/2026	2026	"WELLMARK ADVANTAGE HEALTH PLAN, INC."	Local CCP	Wellmark Advantage Health Plan	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract	1-616-758-0917				PPO - BBA		C	Chicago
H5900	Pharmacy Network Management Contact	Director		Clark	Erica		1-616-758-0917					eclark3@bcbsm.com	1000 Town Center		Southfield	MI	48075	6/1/2026	2026	"WELLMARK ADVANTAGE HEALTH PLAN, INC."	Local CCP	Wellmark Advantage Health Plan	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H5900	Pharmacy Technical Help Desk Contact	"Manager, Pharmacy Operations"		Zylstra	Jennifer							Jennifer.Zylstra@bcbsm.com	1000 Town Center		Southfield	MI	48075	6/1/2026	2026	"WELLMARK ADVANTAGE HEALTH PLAN, INC."	Local CCP	Wellmark Advantage Health Plan	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract	1-800-600-8065				PPO - BBA		C	Chicago
H5900	Plan to Plan Reconciliation Contact	"SVP, Controller"	Mr.	Pisarik	Jason		1-517-708-5285					jason.pisarik@emergentholdingsinc.com	200 N. Grand Ave.		Lansing	MI	48901	6/1/2026	2026	"WELLMARK ADVANTAGE HEALTH PLAN, INC."	Local CCP	Wellmark Advantage Health Plan	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H5902	Automated TrOOP Balance Transfer Contact	Chief Financial Officer	Mr.	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/7/2026	2026	"SENIOR LIFE ALTOONA, INC."	National PACE	Senior LIFE Altoona / Ebensburg / Indiana	National PACE		"Senior LIFE Altoona, Inc."	542	Yes	Active					PACE - Nat		C	Philadelphia
H5902	Best Available Evidence Contact	Chief Financial Officer	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"SENIOR LIFE ALTOONA, INC."	National PACE	Senior LIFE Altoona / Ebensburg / Indiana	National PACE		"Senior LIFE Altoona, Inc."	542	Yes	Active					PACE - Nat		C	Philadelphia
H5902	Chief Financial Officer	Chief Financial Officer	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"SENIOR LIFE ALTOONA, INC."	National PACE	Senior LIFE Altoona / Ebensburg / Indiana	National PACE		"Senior LIFE Altoona, Inc."	542	Yes	Active					PACE - Nat		C	Philadelphia
H5902	CMS Casework Communication Contact	Chief Executive Officer	Mr	Irwin	Mark		1-814-535-6000	22101			1-814-248-7902	Mirwin@pace-cs.com	401 Broad Street		Johnstown	PA	15906	2/23/2017	2026	"SENIOR LIFE ALTOONA, INC."	National PACE	Senior LIFE Altoona / Ebensburg / Indiana	National PACE		"Senior LIFE Altoona, Inc."	542	Yes	Active					PACE - Nat		C	Philadelphia
H5902	Coordination of Benefits Contact	Chief Financial Officer	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"SENIOR LIFE ALTOONA, INC."	National PACE	Senior LIFE Altoona / Ebensburg / Indiana	National PACE		"Senior LIFE Altoona, Inc."	542	Yes	Active					PACE - Nat		C	Philadelphia
H5902	Customer Service Operations Contact	Chief Executive Officer	Mr	Irwin	Mark		1-814-535-6000	22101			1-814-248-7902	Mirwin@pace-cs.com	401 Broad Street		Johnstown	PA	15906	2/23/2017	2026	"SENIOR LIFE ALTOONA, INC."	National PACE	Senior LIFE Altoona / Ebensburg / Indiana	National PACE		"Senior LIFE Altoona, Inc."	542	Yes	Active					PACE - Nat		C	Philadelphia
H5902	Government Relations Contact	Chief Executive Officer	Mr	Irwin	Mark		1-814-535-6000	22101			1-814-248-7902	Mirwin@pace-cs.com	401 Broad Street		Johnstown	PA	15906	2/23/2017	2026	"SENIOR LIFE ALTOONA, INC."	National PACE	Senior LIFE Altoona / Ebensburg / Indiana	National PACE		"Senior LIFE Altoona, Inc."	542	Yes	Active					PACE - Nat		C	Philadelphia
H5902	Medicare Compliance Officer	Executive Director	Mrs.	Miloro	Roxanne		1-814-472-6060	27004				SLEDirectors@seniorlifeebensburg.com	429 Manor Drive		Ebensburg	PA	15931	8/26/2024	2026	"SENIOR LIFE ALTOONA, INC."	National PACE	Senior LIFE Altoona / Ebensburg / Indiana	National PACE		"Senior LIFE Altoona, Inc."	542	Yes	Active					PACE - Nat		C	Philadelphia
H5902	Part D Exceptions Contact	Chief Financial Officer	Mr	Dodson	David						1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"SENIOR LIFE ALTOONA, INC."	National PACE	Senior LIFE Altoona / Ebensburg / Indiana	National PACE		"Senior LIFE Altoona, Inc."	542	Yes	Active	1-814-535-6000	22102			PACE - Nat		C	Philadelphia
H5902	Pharmacy Network Management Contact		Mr	Rowland	Bob		1-724-275-1203	219				Browland@granerx.com	464 Nixon Road		Cheswick	PA	15024	1/7/2026	2026	"SENIOR LIFE ALTOONA, INC."	National PACE	Senior LIFE Altoona / Ebensburg / Indiana	National PACE		"Senior LIFE Altoona, Inc."	542	Yes	Active					PACE - Nat		C	Philadelphia
H5902	Pharmacy Technical Help Desk Contact		Mr.	Rowland	Bob						1-814-248-7902	Browland@granerx.com	464 Nixon Road		Cheswick	PA	15024	1/7/2026	2026	"SENIOR LIFE ALTOONA, INC."	National PACE	Senior LIFE Altoona / Ebensburg / Indiana	National PACE		"Senior LIFE Altoona, Inc."	542	Yes	Active	1-724-275-1203	219			PACE - Nat		C	Philadelphia
H5902	Plan to Plan Reconciliation Contact	Chief Financial Officer	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"SENIOR LIFE ALTOONA, INC."	National PACE	Senior LIFE Altoona / Ebensburg / Indiana	National PACE		"Senior LIFE Altoona, Inc."	542	Yes	Active					PACE - Nat		C	Philadelphia
H5926	Automated TrOOP Balance Transfer Contact	"AVP, Pharmacy"		Vu	John		1-801-252-5706					an.vu@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF MICHIGAN, INC."	Local CCP	Molina Healthcare of Michigan	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5926	Best Available Evidence Contact	"Director, Medicare PEnrollment"		LeJeune	Ryan		1-562-549-4527					ryan.lejeune@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF MICHIGAN, INC."	Local CCP	Molina Healthcare of Michigan	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5926	Chief Financial Officer	"MHI - VP, Operating Finance"	Mr.	Parthasarathy	Vijay		1-630-381-8563					vijay.parthasarathy@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF MICHIGAN, INC."	Local CCP	Molina Healthcare of Michigan	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5926	CMS Casework Communication Contact	"Dir, Medicare A&G"		Bennett	Kimberly		1-248-854-9474					Kimberly.Bennett@molinahealthcare.com	24121 Rosewood Street		Oak Park	MI	48237	5/21/2025	2026	"MOLINA HEALTHCARE OF MICHIGAN, INC."	Local CCP	Molina Healthcare of Michigan	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5926	Coordination of Benefits Contact	"Director, Payment Integrity"		Hartberger	Jake		1-484-269-1480					Jake.Hartberger@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF MICHIGAN, INC."	Local CCP	Molina Healthcare of Michigan	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5926	Customer Service Operations Contact	"Vice President, Call Center"		Faroughi	Cheryl		1-614-547-6829					cheryl.faroughi@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF MICHIGAN, INC."	Local CCP	Molina Healthcare of Michigan	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5926	Government Relations Contact	"MHI- Vice President, Compliance"		Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@Molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF MICHIGAN, INC."	Local CCP	Molina Healthcare of Michigan	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5926	Hospice Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"MOLINA HEALTHCARE OF MICHIGAN, INC."	Local CCP	Molina Healthcare of Michigan	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5926	Medicare Compliance Officer	"MHI- Vice President, Compliance"	Mr.	Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF MICHIGAN, INC."	Local CCP	Molina Healthcare of Michigan	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5926	Part D Exceptions Contact	"AVP, Medicare Pharmacy Services"		Vu	John							An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"MOLINA HEALTHCARE OF MICHIGAN, INC."	Local CCP	Molina Healthcare of Michigan	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-801-252-5706				HMO - Health Maintenance Organization		C	New York
H5926	Pharmacy Network Management Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"MOLINA HEALTHCARE OF MICHIGAN, INC."	Local CCP	Molina Healthcare of Michigan	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5926	Pharmacy Technical Help Desk Contact	"Director, Client Operations"		Help Desk	Pharmacy						1-480-314-6077	dayoubj@cvshealth.com	445 Great Circle Road		Nashville	TN	37228	5/21/2025	2026	"MOLINA HEALTHCARE OF MICHIGAN, INC."	Local CCP	Molina Healthcare of Michigan	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H5926	Plan to Plan Reconciliation Contact	"Director, Finance"		Cook	Keith		1-562-542-2024					P2P.molina@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF MICHIGAN, INC."	Local CCP	Molina Healthcare of Michigan	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5928	Automated TrOOP Balance Transfer Contact	"Business Analyst, Consultant"		Escobedo	Karina		1-562-613-5532					karina.escobedo@blueshieldca.com	3021 Reynolds Ranch Pkwy		Lodi	CA	95240	1/6/2026	2026	California Physicians' Service	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5928	Best Available Evidence Contact	"Senior Manager, Installation & Billing"		White	Cheri		1-916-350-3262					cheri.white@blueshieldca.com	"4207 Town Center Blvd, Building B"		El Dorado Hills	CA	95762	11/5/2025	2026	California Physicians' Service	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5928	Chief Financial Officer	VP Actuarial & Financial Mgmt - Govt Markets	Mr.	Solomon	Aaron		1-310-744-2848					aaron.solomon@blueshieldca.com	6300 Canoga Avenue		Woodland Hills	CA	91367	5/15/2026	2026	California Physicians' Service	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5928	CMS Casework Communication Contact	"Senior Manager, Medicare Compliance"		Lester	Sheri		1-562-364-1860					sheri.lester@blueshieldca.com	6300 Canoga Avenue		Woodland Hills	CA	91367	3/22/2023	2026	California Physicians' Service	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5928	Coordination of Benefits Contact	"Senior Manager, Installation & Billing"		White	Cheri		1-916-350-3262					cheri.white@blueshieldca.com	"4207 Town Center Blvd, Building B"		El Dorado Hills	CA	95762	11/5/2025	2026	California Physicians' Service	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5928	Customer Service Operations Contact	Manager- Program and Project Management		Zuehlke	Erica		1-562-613-5004					erica.zuehlke@blueshieldca.com	3021 Reynolds Ranch Pkwy		Lodi	CA	95240	12/23/2025	2026	California Physicians' Service	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5928	Government Relations Contact	"Director, Medicare Compliance"		Mata	Marcos		1-562-613-5249					marcos.mata@blueshieldca.com	6300 Canoga Avenue		Woodland Hills	CA	91367	12/23/2025	2026	California Physicians' Service	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5928	Hospice Contact	"Supervisor, Operations"		Hatley	Mongnissia		1-562-613-5416					Mongnissia.Hatley@blueshieldca.com	6300 Canoga Avenue		Woodland Hills	CA	91367	3/13/2026	2026	California Physicians' Service	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5928	Medicare Compliance Officer	"Senior Director, Medicare Compliance"	Mr.	Robinson	Richard		1-562-580-6482					medicarecomplofficer@blueshieldca.com	6300 Canoga Avenue		Woodland Hills	CA	91367	1/6/2026	2026	California Physicians' Service	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5928	Part D Exceptions Contact	"Director, Pharmacy Prior Authorization"		March	Nancee							nancee.march@blueshieldca.com	3300 Zinfandel Drive		Rancho Cordova	CA	95670	1/11/2021	2026	California Physicians' Service	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active	1-800-776-4466				HMO - Health Maintenance Organization		C	Dallas
H5928	Pharmacy Network Management Contact	"Senior Manager, Program and Project Management"		Nelson	Kimberly		1-415-297-2196					kim.nelson@blueshieldca.com	4201 Town Center Blvd		El Dorado Hills	CA	95762	4/2/2026	2026	California Physicians' Service	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5928	Pharmacy Technical Help Desk Contact	"Senior Manager, Program and Project Management"		Nelson	Kimberly							kim.nelson@blueshieldca.com	4201 Town Center Blvd		El Dorado Hills	CA	95762	4/2/2026	2026	California Physicians' Service	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active	1-800-375-7924				HMO - Health Maintenance Organization		C	Dallas
H5928	Plan to Plan Reconciliation Contact	Supervisor Accounts Payable/Receivable		Perez	Cheryl		1-916-702-4442					BSCP2PRecon@blueshieldca.com	3021 Reynolds Ranch Parkway		Lodi	CA	95240	2/22/2024	2026	California Physicians' Service	Local CCP	Blue Shield of California	HMO/HMOPOS		California Physicians' Service	30	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5932	Automated TrOOP Balance Transfer Contact	Senior Risk and Compliance Project Manager		Woods	Shane		1-412-918-8763					Shane.Woods@highmark.com	Fifth Avenue Place	120 Fifth Avenue	Pittsburgh	PA	15222	2/9/2026	2026	"GATEWAY HEALTH PLAN, INC."	Local CCP	Highmark Wholecare Medicare Assured	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5932	Best Available Evidence Contact	"Senior Director,Operations"	Ms.	Magliocco	Michelle		1-412-255-4810					mmagliocco@highmarkwholecare.com	Fifth Avenue Place	120 Fifth Avenue	Pittsburgh	PA	15222	6/15/2023	2026	"GATEWAY HEALTH PLAN, INC."	Local CCP	Highmark Wholecare Medicare Assured	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5932	Chief Financial Officer	CFO Highmark Health Plan	Ms.	Musler	Kate		1-412-544-8653					katherine.musler@highmark.com	120 5th Avenue		Pittsburgh	PA	15222	2/25/2025	2026	"GATEWAY HEALTH PLAN, INC."	Local CCP	Highmark Wholecare Medicare Assured	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5932	CMS Casework Communication Contact	"Senior Director, Operations"	Ms.	Magliocco	Michelle		1-412-255-4810					mmagliocco@highmarkwholecare.com	Fifth Avenue Place	120 Fifth Avenue	Pittsburgh	PA	15222	5/13/2025	2026	"GATEWAY HEALTH PLAN, INC."	Local CCP	Highmark Wholecare Medicare Assured	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5932	Coordination of Benefits Contact	"Sr. Director, Operations"	Ms.	Magliocco	Michelle		1-412-255-4810					COB-TPLMedicare@highmarkwholecare.com	Fifth Avenue Place	120 Fifth Avenue	Pittsburgh	PA	15222	6/15/2023	2026	"GATEWAY HEALTH PLAN, INC."	Local CCP	Highmark Wholecare Medicare Assured	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5932	Customer Service Operations Contact	Manager Business Operations	Mr.	Hartman	Josh		1-800-685-5209					jhartman@highmarkwholecare.com	Fifth Avenue Place	120 Fifth Avenue	Pittsburgh	PA	15222	6/15/2023	2026	"GATEWAY HEALTH PLAN, INC."	Local CCP	Highmark Wholecare Medicare Assured	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5932	Government Relations Contact	Medicare Compliance Officer	Mr.	Boettler	Thomas		1-412-544-7031					Thomas.Boettler@highmark.com	120 5th Avenue	Suite 1833	Pittsburgh	PA	15222	7/29/2024	2026	"GATEWAY HEALTH PLAN, INC."	Local CCP	Highmark Wholecare Medicare Assured	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5932	Hospice Contact	Senior Risk and Compliance Project Manager		Woods	Shane		1-412-918-8763					Shane.Woods@highmark.com	Fifth Avenue Place	120 Fifth Avenue	Pittsburgh	PA	15222	2/9/2026	2026	"GATEWAY HEALTH PLAN, INC."	Local CCP	Highmark Wholecare Medicare Assured	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5932	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Boettler	Thomas		1-412-544-7031					Thomas.Boettler@highmark.com	120 5th Avenue	Suite 1833	Pittsburgh	PA	15222	1/3/2024	2026	"GATEWAY HEALTH PLAN, INC."	Local CCP	Highmark Wholecare Medicare Assured	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5932	Part D Exceptions Contact	"Manager, Pharmacy Clinical Operations"		Zikmund	Ross							ross.zikmund@highmark.com	Fifth Avenue Place	120 Fifth Avenue	Pittsburgh	PA	15222	2/9/2026	2026	"GATEWAY HEALTH PLAN, INC."	Local CCP	Highmark Wholecare Medicare Assured	HMO/HMOPOS		Highmark Health	123	Yes	Active	1-412-255-6370				HMO - Health Maintenance Organization		C	Boston
H5932	Pharmacy Network Management Contact	"Director,  Pharmacy Business Operations"		Funkhouser	Christina		1-412-215-7123					christina.funkhouser@highmark.com	Fifth Avenue Place	120 Fifth Avenue	Pittsburgh	PA	15222	2/9/2026	2026	"GATEWAY HEALTH PLAN, INC."	Local CCP	Highmark Wholecare Medicare Assured	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5932	Pharmacy Technical Help Desk Contact			Pharmacy Help Desk	CVS								Fifth Avenue Place	120 Fifth Avenue	Pittsburgh	PA	15222	11/21/2024	2026	"GATEWAY HEALTH PLAN, INC."	Local CCP	Highmark Wholecare Medicare Assured	HMO/HMOPOS		Highmark Health	123	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Boston
H5932	Plan to Plan Reconciliation Contact	"Manager, Operational Accounting"		Stehr	Brett		1-717-302-2748					P2PRecon@highmark.com	Attn: Cashier	PO Box 898820	Camp Hill	PA	17089	11/18/2024	2026	"GATEWAY HEALTH PLAN, INC."	Local CCP	Highmark Wholecare Medicare Assured	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5934	Automated TrOOP Balance Transfer Contact			Vazquez	Delmaliz		1-239-985-6402					lissie.vazquezayala@hopehcs.org	2668 Winkler Avenue		Fort Myers	FL	33901	4/19/2023	2026	"HOPE HOSPICE AND COMMUNITY SERVICES, INC."	National PACE	Hope PACE	National PACE		"Chapters Health System, Inc."	878	Yes	Active					PACE - Nat		C	Atlanta
H5934	Best Available Evidence Contact			Vazquez	Delmaliz		1-239-985-6402					lissie.vazquezayala@hopehcs.org	2668 Winkler Avenue		Fort Myers	FL	33901	4/19/2023	2026	"HOPE HOSPICE AND COMMUNITY SERVICES, INC."	National PACE	Hope PACE	National PACE		"Chapters Health System, Inc."	878	Yes	Active					PACE - Nat		C	Atlanta
H5934	Chief Financial Officer	Director of Finance and Healthplan Management	Mr.	Iffland	Bill		1-239-482-4673				1-239-482-7298	IfflandB@chaptershealth.org	9470 HealthPark Circle		Fort Myers	FL	33908	6/15/2026	2026	"HOPE HOSPICE AND COMMUNITY SERVICES, INC."	National PACE	Hope PACE	National PACE		"Chapters Health System, Inc."	878	Yes	Active					PACE - Nat		C	Atlanta
H5934	CMS Casework Communication Contact			Vazquez	Delmaliz		1-239-985-6402					lissie.vazquezayala@hopehcs.org	2668 Winkler Avenue		Fort Myers	FL	33901	4/19/2023	2026	"HOPE HOSPICE AND COMMUNITY SERVICES, INC."	National PACE	Hope PACE	National PACE		"Chapters Health System, Inc."	878	Yes	Active					PACE - Nat		C	Atlanta
H5934	Coordination of Benefits Contact			Vazquez	Delmaliz		1-239-985-6402					lissie.vazquezayala@hopehcs.org	2668 Winkler Avenue		Fort Myers	FL	33901	4/24/2023	2026	"HOPE HOSPICE AND COMMUNITY SERVICES, INC."	National PACE	Hope PACE	National PACE		"Chapters Health System, Inc."	878	Yes	Active					PACE - Nat		C	Atlanta
H5934	Customer Service Operations Contact			Vazquez	Delmaliz		1-239-985-6402					lissie.vazquezayala@hopehcs.org	2668 Winkler Avenue		Fort Myers	FL	33901	4/19/2023	2026	"HOPE HOSPICE AND COMMUNITY SERVICES, INC."	National PACE	Hope PACE	National PACE		"Chapters Health System, Inc."	878	Yes	Active					PACE - Nat		C	Atlanta
H5934	Government Relations Contact			Vazquez	Delmaliz		1-239-985-6402					lissie.vazquezayala@hopehcs.org	2668 Winkler Avenue		Fort Myers	FL	33901	4/24/2023	2026	"HOPE HOSPICE AND COMMUNITY SERVICES, INC."	National PACE	Hope PACE	National PACE		"Chapters Health System, Inc."	878	Yes	Active					PACE - Nat		C	Atlanta
H5934	Medicare Compliance Officer		mrs	Zolman	Valerie		1-352-742-6890				1-239-985-6411	vzolman@chaptershealth.org	12470 Telecom Dr Suite 301		Tampa	FL	33637	9/5/2025	2026	"HOPE HOSPICE AND COMMUNITY SERVICES, INC."	National PACE	Hope PACE	National PACE		"Chapters Health System, Inc."	878	Yes	Active					PACE - Nat		C	Atlanta
H5934	Part D Exceptions Contact			Vazquez	Delmaliz							lissie.vazquezayala@hopehcs.org	2668 Winkler Avenue		Fort Myers	FL	33901	4/19/2023	2026	"HOPE HOSPICE AND COMMUNITY SERVICES, INC."	National PACE	Hope PACE	National PACE		"Chapters Health System, Inc."	878	Yes	Active	1-866-659-7223				PACE - Nat		C	Atlanta
H5934	Pharmacy Network Management Contact			Vazquez	Delmaliz		1-239-985-6402					lissie.vazquezayala@hopehcs.org	2668 Winkler Avenue		Fort Myers	FL	33901	4/19/2023	2026	"HOPE HOSPICE AND COMMUNITY SERVICES, INC."	National PACE	Hope PACE	National PACE		"Chapters Health System, Inc."	878	Yes	Active					PACE - Nat		C	Atlanta
H5934	Pharmacy Technical Help Desk Contact			Murphy	Brenna							bmurphy@careventionhc.com	228  Strawbridge Drive		Moorestown	NJ	08057	2/19/2024	2026	"HOPE HOSPICE AND COMMUNITY SERVICES, INC."	National PACE	Hope PACE	National PACE		"Chapters Health System, Inc."	878	Yes	Active	1-856-840-4854				PACE - Nat		C	Atlanta
H5934	Plan to Plan Reconciliation Contact		Mr.	Iffland	Bill		1-239-985-7767					bill.iffland@hopehcs.org	9470 HealthPark Circle		Fort Myers	FL	33908	3/3/2017	2026	"HOPE HOSPICE AND COMMUNITY SERVICES, INC."	National PACE	Hope PACE	National PACE		"Chapters Health System, Inc."	878	Yes	Active					PACE - Nat		C	Atlanta
H5938	Automated TrOOP Balance Transfer Contact	"Manager, PBM Operations"	Mrs.	Cain	Christina		1-612-777-1330				1-612-777-6706	EOBP2P@primetherapeutics.com	Prime Therapeutics	2900 Ames Crossing Road	Eagan	MN	55121	1/6/2025	2026	CAPITAL HEALTH PLAN	Local CCP	Capital Health Plan	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5938	Best Available Evidence Contact	Director of Enrollment	Mr.	Sanquintin	Gabe	A	1-850-383-3502					gasanquintin@chp.org	P.O. Box 15349		Tallahassee	FL	32317	9/25/2025	2026	CAPITAL HEALTH PLAN	Local CCP	Capital Health Plan	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5938	Chief Financial Officer	CFO	Mr.	Bedenbaugh	Jeff	Y	1-850-383-3306				1-850-383-3441	jybedenbaugh@chp.org	P.O. Box 15349		Tallahassee	FL	32317	6/4/2024	2026	CAPITAL HEALTH PLAN	Local CCP	Capital Health Plan	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5938	CMS Casework Communication Contact	"Director, Member Services"	Ms.	Mackey	Felecia		1-850-523-7302				1-850-383-3339	ffmackey@chp.org	PO Box 15349		Tallahassee	FL	32317	8/15/2011	2026	CAPITAL HEALTH PLAN	Local CCP	Capital Health Plan	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5938	Coordination of Benefits Contact	"Director, PBM Operations"	Mrs.	Cain	Christina		1-612-777-1330				1-612-777-6706	EOBP2P@primetherapeutics.com	Prime Therapeutics	2900 Ames Crossing Road	Eagan	MN	55121	12/31/2024	2026	CAPITAL HEALTH PLAN	Local CCP	Capital Health Plan	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5938	Customer Service Operations Contact	"Director, Member Services"	Ms.	Mackey	Felecia		1-850-383-3311				1-850-383-3338	ffmackey@chp.org	P.O. Box 15349		Tallahassee	FL	32317	12/5/2019	2026	CAPITAL HEALTH PLAN	Local CCP	Capital Health Plan	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5938	Government Relations Contact	President and Chief Executive Officer	Mr.	Bass	Sabin	C	1-850-383-3492				1-850-383-3497	scbass@chp.org	P.O. Box 15349		Tallahassee	FL	32317	6/4/2024	2026	CAPITAL HEALTH PLAN	Local CCP	Capital Health Plan	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5938	Hospice Contact	Manager Medication Management Services	Mrs.	Duncan	Anne	A	1-850-523-5648				1-850-383-3413	amduncan@chp.org	PO BOX 15349		Tallahassee	FL	32317	12/30/2021	2026	CAPITAL HEALTH PLAN	Local CCP	Capital Health Plan	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5938	Medicare Compliance Officer	Compliance and Privacy Officer	Mr.	Kaminski	Frank	C	1-850-523-7304				1-850-523-7419	fckaminski@chp.org	P.O. Box 15349		Tallahassee	FL	32317	11/15/2021	2026	CAPITAL HEALTH PLAN	Local CCP	Capital Health Plan	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5938	Part D Exceptions Contact	Regulatory Director		Davis	Megan						1-800-693-6703	Clinicalreviewmeddaudit@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	12/30/2021	2026	CAPITAL HEALTH PLAN	Local CCP	Capital Health Plan	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active	1-800-693-6651				HMO - Health Maintenance Organization		C	Dallas
H5938	Pharmacy Network Management Contact	VP Network  Management	Ms.	Conlin	Marci		1-612-777-2842				1-877-823-6373	marci.conlin@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55122	12/30/2021	2026	CAPITAL HEALTH PLAN	Local CCP	Capital Health Plan	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5938	Pharmacy Technical Help Desk Contact	Sr. Director Member Services	Mr.	Scott	Shane							shane.scott@primetherapeutics.com	Prime Therapeutics LLC 2900 Ames Crossing Road		Eagan	MN	55121	1/6/2025	2026	CAPITAL HEALTH PLAN	Local CCP	Capital Health Plan	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active	1-866-590-3010				HMO - Health Maintenance Organization		C	Dallas
H5938	Plan to Plan Reconciliation Contact	Actuarial Services Director	Ms.	Cornman	Adriel	W	1-850-523-7481				1-850-383-3441	awcornman@chp.org	P.O. 15349		Tallahassee	FL	32317	10/19/2023	2026	CAPITAL HEALTH PLAN	Local CCP	Capital Health Plan	HMO/HMOPOS		Guidewell Mutual Holding Corporation	594	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H5943	Automated TrOOP Balance Transfer Contact	Pharmacy Analyst		Banks	Marcia	D	1-562-308-1189	1189			1-562-997-3196	mcurtis@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	1/26/2023	2026	SCAN HEALTH PLAN	Local CCP	VillageHealth	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5943	Best Available Evidence Contact	"Director, Enrollment & Reconciliation"		Coronel	Vincent		1-562-637-1234				1-562-989-5243	vcoronel@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	8/28/2019	2026	SCAN HEALTH PLAN	Local CCP	VillageHealth	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5943	Chief Financial Officer	Chief Financial Officer	Mr	Plumb	Michael		1-562-997-1589					MPlumb@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	11/2/2020	2026	SCAN HEALTH PLAN	Local CCP	VillageHealth	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5943	CMS Casework Communication Contact	Sr. Director Medicare Compliance Officer		Cordova	Elizabeth		1-562-997-3131	3131			1-562-989-5120	ecordova@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	10/14/2025	2026	SCAN HEALTH PLAN	Local CCP	VillageHealth	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5943	Coordination of Benefits Contact	Pharmacy Analyst		Banks	Marcia	D	1-562-308-1189	1189			1-562-997-3196	mcurtis@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	1/26/2023	2026	SCAN HEALTH PLAN	Local CCP	VillageHealth	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5943	Customer Service Operations Contact	"Director, (Customer) Member Services"	Ms.	McBeath	Kim		1-562-997-1805				1-562-989-5181	kmcbeath@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	5/27/2014	2026	SCAN HEALTH PLAN	Local CCP	VillageHealth	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5943	Government Relations Contact	Dir Public and Govt Affairs		Guay	Tricia		1-202-617-0906					p.guay@scanhealthplan.com	"1455 Pennsylvania Avenue, NW"		Washington	DC	20004	6/17/2026	2026	SCAN HEALTH PLAN	Local CCP	VillageHealth	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5943	Hospice Contact	Sr Dir Pharm & Formly Ops		Slavina	Yelena		1-562-308-2816					yslavina@scanhealthplan.com	3800 Kilroy Airport Way		Long Beach	CA	90806	8/7/2025	2026	SCAN HEALTH PLAN	Local CCP	VillageHealth	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5943	Medicare Compliance Officer	Sr. Director Medicare Compliance Officer	Ms.	Cordova	Elizabeth		1-562-997-3131				1-562-989-5120	ecordova@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	10/14/2025	2026	SCAN HEALTH PLAN	Local CCP	VillageHealth	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5943	Part D Exceptions Contact	Sr. Manager – Pharmacy Prior Authorization		Herbert	Joshua							Joshua.Herbert@evernorth.com	One Express Way Mail Stop	S13NB	St. Louis	MO	63121	10/14/2025	2026	SCAN HEALTH PLAN	Local CCP	VillageHealth	HMO/HMOPOS		SCAN Group	768	Yes	Active	1-513-292-0563				HMO - Health Maintenance Organization		C	Chicago
H5943	Pharmacy Network Management Contact	"Network Acct Director, Retail Strategy"	Ms.	Kelly	Heather		1-314-692-1866				1-800-357-9578	hakelly@express-scripts.com	One Express Way		St Louis	MO	63121	1/23/2023	2026	SCAN HEALTH PLAN	Local CCP	VillageHealth	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5943	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	13051 N. Telecom Pkwy	STE 150	Temple Terrace	FL	33637	12/1/2021	2026	SCAN HEALTH PLAN	Local CCP	VillageHealth	HMO/HMOPOS		SCAN Group	768	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Chicago
H5943	Plan to Plan Reconciliation Contact	"Vice President, Controller"	Ms.	Havai	Virginia		1-562-989-8300				1-562-989-0101	P2PAdmin@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	4/9/2019	2026	SCAN HEALTH PLAN	Local CCP	VillageHealth	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5945	Automated TrOOP Balance Transfer Contact	Medicare Part D Project Manager		Manosca	Nova		1-858-790-5873					PartDCAT@MedImpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	8/15/2024	2026	PROMINENCE HEALTHFIRST	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5945	Best Available Evidence Contact	Chief Operating Officer	Mr.	Koltz	Patrick		1-775-770-9240					Patrick.Koltz@uhsinc.com	1510 Meadow Wood Lane		Reno	NV	89502	8/15/2024	2026	PROMINENCE HEALTHFIRST	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5945	Chief Financial Officer	CEO/Interim CFO	Mr.	Jemmoua	Kamal		1-941-545-8046					kamal.jemmoua@uhsinc.com	1510 Meadow Wood Lane		Reno	NV	89502	3/30/2026	2026	PROMINENCE HEALTHFIRST	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5945	CMS Casework Communication Contact	VP of Compliance & Risk Management	Mr.	von Arx	Michael	A	1-775-770-9348					Michael.vonArx@uhsinc.com	1510 Meadow Wood Lane		Reno	NV	89502	8/15/2024	2026	PROMINENCE HEALTHFIRST	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5945	Coordination of Benefits Contact	Chief Operating Officer	Mr.	Koltz	Patrick		1-775-770-9240					Patrick.Koltz@uhsinc.com	1510 Meadow Wood Lane		Reno	NV	89502	8/15/2024	2026	PROMINENCE HEALTHFIRST	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5945	Customer Service Operations Contact	Chief Operating Officer		Koltz	Patrick		1-775-770-9240					patrick.koltz@uhsinc.com	1510 Meadow Wood Ln		Reno	NV	89502	8/15/2024	2026	PROMINENCE HEALTHFIRST	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5945	Government Relations Contact	VP of Compliance & Risk Management	Mr.	von Arx	Michael	A	1-775-770-9348					Michael.vonArx@uhsinc.com	1510 Meadow Wood Lane		Reno	NV	89502	8/15/2024	2026	PROMINENCE HEALTHFIRST	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5945	Hospice Contact	Health Services Director		Estipona	Steve		1-775-770-9462					Steve.Estipona@uhsinc.com	1510 Meadow Wood Lane		Reno	NV	89502	8/15/2024	2026	PROMINENCE HEALTHFIRST	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5945	Medicare Compliance Officer	VP of Compliance & Risk Management	Mr.	von Arx	Michael	A	1-775-770-9348					Michael.vonArx@uhsinc.com	1510 Meadow Wood Lane		Reno	NV	89502	8/15/2024	2026	PROMINENCE HEALTHFIRST	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5945	Part D Exceptions Contact	Director Prior Authorization and Utilization Mgmt		Emoto	Junianne							Julianne.Emoto@MedImpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	8/15/2024	2026	PROMINENCE HEALTHFIRST	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active	1-858-790-5846				HMO - Health Maintenance Organization		C	Boston
H5945	Pharmacy Network Management Contact	"Supervisor, Carrier Configuration"		Montes	Melissa		1-619-599-5938					Melissa.Montes@medimpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	8/15/2024	2026	PROMINENCE HEALTHFIRST	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5945	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"		Brewer	Kathy							Customerservice@MedImpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	1/29/2025	2026	PROMINENCE HEALTHFIRST	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active	1-844-587-7389				HMO - Health Maintenance Organization		C	Boston
H5945	Plan to Plan Reconciliation Contact	CEO/Interim CFO	Mr.	Jemmoua	Kamal		1-941-545-8046					kamal.jemmoua@uhsinc.com	1510 Meadow Wood Lane		Reno	NV	89502	3/30/2026	2026	PROMINENCE HEALTHFIRST	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5959	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Management		Chesling	Beth		1-612-777-6722				1-612-777-6706	EOBP2P@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	4/22/2025	2026	"BCBSM, Inc."	Local CCP	Blue Cross and Blue Shield of Minnesota	Local PPO		"Aware Integrated, Inc."	642	Yes	Active					PPO - BBA		C	Chicago
H5959	Best Available Evidence Contact	"Manager, Business Services"		Daniels	Cassandra		1-651-662-3468					Cassandra.Daniels@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	2/3/2022	2026	"BCBSM, Inc."	Local CCP	Blue Cross and Blue Shield of Minnesota	Local PPO		"Aware Integrated, Inc."	642	Yes	Active					PPO - BBA		C	Chicago
H5959	Chief Financial Officer	"Senior Vice President, Chief Financial Officer"	Mr.	Uribe	John		1-651-662-9501					John.Uribe@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	8/21/2023	2026	"BCBSM, Inc."	Local CCP	Blue Cross and Blue Shield of Minnesota	Local PPO		"Aware Integrated, Inc."	642	Yes	Active					PPO - BBA		C	Chicago
H5959	CMS Casework Communication Contact	Manager Appeals & Grievances		Bazzarre	Tom		1-651-662-9643					Tom.bazzarre@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	7/14/2023	2026	"BCBSM, Inc."	Local CCP	Blue Cross and Blue Shield of Minnesota	Local PPO		"Aware Integrated, Inc."	642	Yes	Active					PPO - BBA		C	Chicago
H5959	Coordination of Benefits Contact	Business Services  Mgr		Daniels	Cassandra		1-651-662-3468					government.program.service.request@bcbsmn.com	3400 Yankee Dr		Eagan	MN	55121	1/27/2025	2026	"BCBSM, Inc."	Local CCP	Blue Cross and Blue Shield of Minnesota	Local PPO		"Aware Integrated, Inc."	642	Yes	Active					PPO - BBA		C	Chicago
H5959	Customer Service Operations Contact	"Director, Customer Service"		Golmen	Scott		1-651-662-8827					scott.golmen@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	3/5/2026	2026	"BCBSM, Inc."	Local CCP	Blue Cross and Blue Shield of Minnesota	Local PPO		"Aware Integrated, Inc."	642	Yes	Active					PPO - BBA		C	Chicago
H5959	Government Relations Contact	Chief Lobbyist		Nelson	Lin		1-651-662-7123					lin.nelson@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	8/21/2023	2026	"BCBSM, Inc."	Local CCP	Blue Cross and Blue Shield of Minnesota	Local PPO		"Aware Integrated, Inc."	642	Yes	Active					PPO - BBA		C	Chicago
H5959	Hospice Contact	Operations Business Analyst		Dick	Beth		1-651-662-9644					beth.dick@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	3/19/2019	2026	"BCBSM, Inc."	Local CCP	Blue Cross and Blue Shield of Minnesota	Local PPO		"Aware Integrated, Inc."	642	Yes	Active					PPO - BBA		C	Chicago
H5959	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Tracy	Tracy		1-651-662-9094					mco@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	6/16/2026	2026	"BCBSM, Inc."	Local CCP	Blue Cross and Blue Shield of Minnesota	Local PPO		"Aware Integrated, Inc."	642	Yes	Active					PPO - BBA		C	Chicago
H5959	Part D Exceptions Contact	"Director, Pharmacy Operations"		Ibrahim	Sonya						1-800-693-6703	sonya.ibrahim@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	6/1/2026	2026	"BCBSM, Inc."	Local CCP	Blue Cross and Blue Shield of Minnesota	Local PPO		"Aware Integrated, Inc."	642	Yes	Active	1-800-693-6651				PPO - BBA		C	Chicago
H5959	Pharmacy Network Management Contact	"Pharmacy Operations Analyst, Principle"		Carlson	Melissa		1-651-662-7791					Melissa.carlson@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	4/27/2026	2026	"BCBSM, Inc."	Local CCP	Blue Cross and Blue Shield of Minnesota	Local PPO		"Aware Integrated, Inc."	642	Yes	Active					PPO - BBA		C	Chicago
H5959	Pharmacy Technical Help Desk Contact	"Pharmacy Operations Analyst, Principle"		Corley	Courtney							Courtney.corley@bluecrossmn.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Rd	Eagan	MN	55121	6/1/2026	2026	"BCBSM, Inc."	Local CCP	Blue Cross and Blue Shield of Minnesota	Local PPO		"Aware Integrated, Inc."	642	Yes	Active	1-800-648-2778				PPO - BBA		C	Chicago
H5959	Plan to Plan Reconciliation Contact	"Manager, Financial Reporting"		Harrelson	Michael		1-651-662-8490				1-651-662-2200	Michael.Harrelson@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	8/21/2023	2026	"BCBSM, Inc."	Local CCP	Blue Cross and Blue Shield of Minnesota	Local PPO		"Aware Integrated, Inc."	642	Yes	Active					PPO - BBA		C	Chicago
H5965	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	5/8/2026	2026	WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H5965	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	5/8/2026	2026	WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H5965	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	5/8/2026	2026	WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H5965	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	5/8/2026	2026	WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H5965	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	5/8/2026	2026	WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H5965	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	5/8/2026	2026	WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H5965	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	5/8/2026	2026	WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H5965	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	5/8/2026	2026	WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H5965	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	5/8/2026	2026	WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H5965	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	5/8/2026	2026	WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract	1-813-206-7152				PPO - BBA		C	Denver
H5965	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	5/8/2026	2026	WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H5965	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	5/8/2026	2026	WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract	1-833-750-0408				PPO - BBA		C	Denver
H5965	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	5/8/2026	2026	WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H5969	Automated TrOOP Balance Transfer Contact	VP of Operations	Mr.	Janicek	Jerome		1-808-973-6320				1-808-973-3810	CMSEnrollment@alohacare.org	"1357 Kapiolani Blvd., Suite G101"		Honolulu	HI	96814	2/5/2026	2026	ALOHACARE	Local CCP	AlohaCare	HMO/HMOPOS		AlohaCare	10	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5969	Best Available Evidence Contact	Sr. VP of Operations	Mr.	Janicek	Jerome		1-808-973-6320				1-808-973-3810	CMSEnrollment@alohacare.org	"1357 Kapiolani Blvd., Suite G101"		Honolulu	HI	96814	2/5/2026	2026	ALOHACARE	Local CCP	AlohaCare	HMO/HMOPOS		AlohaCare	10	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5969	Chief Financial Officer	Chief Executive Officer	Ms.	Culley-Trotman	Francoise		1-813-846-6424				1-808-973-2625	CMSCFO@alohacare.org	"1357 Kapiolani Blvd., Suite G101"		Honolulu	HI	96814	2/5/2026	2026	ALOHACARE	Local CCP	AlohaCare	HMO/HMOPOS		AlohaCare	10	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5969	CMS Casework Communication Contact	Sr. VP of Compliance and Quality	Ms.	Mellor	June		1-808-973-0690				1-808-973-7410	CMSCompliance@alohacare.org	"1357 Kapiolani Blvd., Suite G101"		Honolulu	HI	96814	2/5/2026	2026	ALOHACARE	Local CCP	AlohaCare	HMO/HMOPOS		AlohaCare	10	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5969	Coordination of Benefits Contact	Sr. VP of Operations	Mr.	Janicek	Jerome		1-808-973-6320				1-808-973-3810	CMSEnrollment@alohacare.org	"1357 Kapiolani Blvd., Suite G101"		Honolulu	HI	96814	2/5/2026	2026	ALOHACARE	Local CCP	AlohaCare	HMO/HMOPOS		AlohaCare	10	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5969	Customer Service Operations Contact	Senior. VP of Operations	Mr.	Janicek	Jerome		1-808-973-6320				1-808-973-3810	CMSCustomerservice@alohacare.org	"1357 Kapiolani Blvd., Suite G101"		Honolulu	HI	96814	2/5/2026	2026	ALOHACARE	Local CCP	AlohaCare	HMO/HMOPOS		AlohaCare	10	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5969	Government Relations Contact	VP of External Affairs	Ms	Arcena	Paula		1-808-973-6426				1-808-973-0204	CMSExternalAffairs@alohacare.org	"1357 Kapiolani Blvd., Suite G101"		Honolulu	HI	96814	2/5/2026	2026	ALOHACARE	Local CCP	AlohaCare	HMO/HMOPOS		AlohaCare	10	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5969	Hospice Contact	Senior Pharmacy Director	Ms.	Bannister	Hanh		1-808-973-6843				1-808-973-6327	CMSPharmacy@alohacare.org	"1357 Kapiolani Blvd., Suite G101"		Honolulu	HI	96814	2/5/2026	2026	ALOHACARE	Local CCP	AlohaCare	HMO/HMOPOS		AlohaCare	10	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5969	Medicare Compliance Officer	Sr. VP of Compliance & Quality	Ms.	Mellor	June		1-808-973-0690				1-808-973-7410	CMSCompliance@alohacare.org	"1357 Kapiolani Blvd., Suite G101"		Honolulu	HI	96814	2/5/2026	2026	ALOHACARE	Local CCP	AlohaCare	HMO/HMOPOS		AlohaCare	10	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5969	Part D Exceptions Contact	Senior Pharmacy Director	Ms.	Bannister	Hanh						1-808-973-6327	CMSPharmacy@alohacare.org	"1357 Kapiolani Blvd., Suite G101"		Honolulu	HI	96814	2/5/2026	2026	ALOHACARE	Local CCP	AlohaCare	HMO/HMOPOS		AlohaCare	10	Yes	Active	1-866-973-7418				HMO - Health Maintenance Organization		C	Boston
H5969	Pharmacy Network Management Contact	Senior Pharmacy Director	Ms.	Bannister	Hanh		1-808-973-6843				1-808-973-6327	CMSPharmacy@alohacare.org	"1357 Kapiolani Blvd., Suite G101"		Honolulu	HI	96814	2/5/2026	2026	ALOHACARE	Local CCP	AlohaCare	HMO/HMOPOS		AlohaCare	10	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5969	Pharmacy Technical Help Desk Contact	Sr. Manager	Mr.	Villanueva	Juan							juan.villanueva@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	2/19/2025	2026	ALOHACARE	Local CCP	AlohaCare	HMO/HMOPOS		AlohaCare	10	Yes	Active	1-800-383-0589				HMO - Health Maintenance Organization		C	Boston
H5969	Plan to Plan Reconciliation Contact	Chief Executive Officer	Ms.	Culley-Trotman	Francoise		1-813-846-6424				1-808-973-2625	CMSFinance@alohacare.org	"1357 Kapiolani Blvd., Suite G101"		Honolulu	HI	96814	2/5/2026	2026	ALOHACARE	Local CCP	AlohaCare	HMO/HMOPOS		AlohaCare	10	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H5970	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY OF NEW YORK	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5970	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY OF NEW YORK	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5970	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY OF NEW YORK	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5970	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	HUMANA INSURANCE COMPANY OF NEW YORK	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5970	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY OF NEW YORK	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5970	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY OF NEW YORK	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5970	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY OF NEW YORK	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5970	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY OF NEW YORK	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5970	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY OF NEW YORK	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5970	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY OF NEW YORK	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active	1-859-321-9075				PPO - BBA		C	Kansas City
H5970	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY OF NEW YORK	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5970	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	HUMANA INSURANCE COMPANY OF NEW YORK	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active	1-800-865-8715				PPO - BBA		C	Kansas City
H5970	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	HUMANA INSURANCE COMPANY OF NEW YORK	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H5978	Automated TrOOP Balance Transfer Contact	Chief Financial Officer	Mr.	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/7/2026	2026	"SENIOR LIFE LEHIGH VALLEY, INC."	National PACE	Senior LIFE Lehigh Valley / Reading	National PACE		"Senior LIFE Lehigh Valley, Inc."	562	Yes	Active					PACE - Nat		C	Philadelphia
H5978	Best Available Evidence Contact	Chief Financial Officer	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"SENIOR LIFE LEHIGH VALLEY, INC."	National PACE	Senior LIFE Lehigh Valley / Reading	National PACE		"Senior LIFE Lehigh Valley, Inc."	562	Yes	Active					PACE - Nat		C	Philadelphia
H5978	Chief Financial Officer	Chief Financial Officer	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"SENIOR LIFE LEHIGH VALLEY, INC."	National PACE	Senior LIFE Lehigh Valley / Reading	National PACE		"Senior LIFE Lehigh Valley, Inc."	562	Yes	Active					PACE - Nat		C	Philadelphia
H5978	CMS Casework Communication Contact	Chief Executive Officer	Mr	Irwin	Mark		1-814-535-6000	22101			1-814-248-7902	Mirwin@pace-cs.com	401 Broad Street		Johnstown	PA	15906	2/23/2017	2026	"SENIOR LIFE LEHIGH VALLEY, INC."	National PACE	Senior LIFE Lehigh Valley / Reading	National PACE		"Senior LIFE Lehigh Valley, Inc."	562	Yes	Active					PACE - Nat		C	Philadelphia
H5978	Coordination of Benefits Contact	Chief Financial Officer	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"SENIOR LIFE LEHIGH VALLEY, INC."	National PACE	Senior LIFE Lehigh Valley / Reading	National PACE		"Senior LIFE Lehigh Valley, Inc."	562	Yes	Active					PACE - Nat		C	Philadelphia
H5978	Customer Service Operations Contact	Chief Executive Officer	Mr	Irwin	Mark		1-814-535-6000	22101			1-814-248-7902	Mirwin@pace-cs.com	401 Broad Street		Johnstown	PA	15906	2/23/2017	2026	"SENIOR LIFE LEHIGH VALLEY, INC."	National PACE	Senior LIFE Lehigh Valley / Reading	National PACE		"Senior LIFE Lehigh Valley, Inc."	562	Yes	Active					PACE - Nat		C	Philadelphia
H5978	Government Relations Contact	Chief Executive Officer	Mr	Irwin	Mark		1-814-535-6000	22101			1-814-248-7902	Mirwin@pace-cs.com	401 Broad Street		Johnstown	PA	15906	2/23/2017	2026	"SENIOR LIFE LEHIGH VALLEY, INC."	National PACE	Senior LIFE Lehigh Valley / Reading	National PACE		"Senior LIFE Lehigh Valley, Inc."	562	Yes	Active					PACE - Nat		C	Philadelphia
H5978	Medicare Compliance Officer	Executive Director	Mr	Sauers	Robert		1-610-954-5433	31167				SLLVDirectors@seniorlifelehighvalley.com	3365 High Point Boulevard		Bethlehem	PA	18017	8/26/2024	2026	"SENIOR LIFE LEHIGH VALLEY, INC."	National PACE	Senior LIFE Lehigh Valley / Reading	National PACE		"Senior LIFE Lehigh Valley, Inc."	562	Yes	Active					PACE - Nat		C	Philadelphia
H5978	Part D Exceptions Contact	Chief Financial Officer	Mr	Dodson	David						1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"SENIOR LIFE LEHIGH VALLEY, INC."	National PACE	Senior LIFE Lehigh Valley / Reading	National PACE		"Senior LIFE Lehigh Valley, Inc."	562	Yes	Active	1-814-535-6000	22102			PACE - Nat		C	Philadelphia
H5978	Pharmacy Network Management Contact		Mr	Rowland	Bob		1-724-275-1203	219				Browland@granerx.com	464 Nixon Road		Cheswick	PA	15024	1/7/2026	2026	"SENIOR LIFE LEHIGH VALLEY, INC."	National PACE	Senior LIFE Lehigh Valley / Reading	National PACE		"Senior LIFE Lehigh Valley, Inc."	562	Yes	Active					PACE - Nat		C	Philadelphia
H5978	Pharmacy Technical Help Desk Contact		Mr.	Rowland	Bob						1-814-248-7902	Browland@granerx.com	464 Nixon Road		Cheswick	PA	15024	1/7/2026	2026	"SENIOR LIFE LEHIGH VALLEY, INC."	National PACE	Senior LIFE Lehigh Valley / Reading	National PACE		"Senior LIFE Lehigh Valley, Inc."	562	Yes	Active	1-724-275-1203	219			PACE - Nat		C	Philadelphia
H5978	Plan to Plan Reconciliation Contact	Chief Financial Officer	Mr	Dodson	David		1-814-535-6000	22102			1-814-248-7902	Ddodson@PACE-CS.com	401 Broad Street		Johnstown	PA	15906	1/20/2021	2026	"SENIOR LIFE LEHIGH VALLEY, INC."	National PACE	Senior LIFE Lehigh Valley / Reading	National PACE		"Senior LIFE Lehigh Valley, Inc."	562	Yes	Active					PACE - Nat		C	Philadelphia
H5989	Automated TrOOP Balance Transfer Contact	"Sr. Manager, Enrollment & Billing"	Mr.	Howell	Justin		1-646-767-5753					jhowell@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5989	Best Available Evidence Contact	"Sr. Manager, Enrollment & Billing"	Mr.	Howell	Justin		1-646-767-5753					jhowell@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5989	Chief Financial Officer	Chief Financial Officer	Ms.	Kang	Judy		1-718-484-5489					jkang@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5989	CMS Casework Communication Contact	"Director, Appeal & Grievance Operations"	Mr.	Craig	Jeffrey		1-646-767-5642					jcraig@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5989	Coordination of Benefits Contact	"Director, Payment Integrity Team"	Ms.	Hutchinson	Chris		1-917-698-2415					chutchinson@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5989	Customer Service Operations Contact	"AVP,  Member Services"	Mr.	Antony	Joemon		1-212-801-1519					jantony@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5989	Government Relations Contact	"VP, Regulatory Affairs"	Ms.	Logreira	Christine		1-646-313-8967					clogreira@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5989	Hospice Contact	"Manager, Clinical Pharmacy Benefits"	Ms.	Baja	Melodie		1-646-856-5983					mbaja@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5989	Medicare Compliance Officer	Chief Compliance Officer & Head of Internal Audit	Mr.	Hackendorn	John		1-212-453-4495					jhackendorn@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5989	Part D Exceptions Contact	"Manager, Clinical Pharmacy Benefits"	Ms.	Baja	Melodie							mbaja@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active	1-888-260-1010				HMO - Health Maintenance Organization		C	Chicago
H5989	Pharmacy Network Management Contact	"AVP, Pharmacy Benefits Operations"	Mr.	Suri	Tarun		1-646-354-1168					tsuri@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5989	Pharmacy Technical Help Desk Contact	AVP Customer Care	Mr.	Jackson	Scott							scott.jackson@cvshealth.com	CVS Health	"800 NW Chipman Rd, Ste 5830"	Lees Summit	MO	64063	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Chicago
H5989	Plan to Plan Reconciliation Contact	"Sr. Manager, Enrollment & Billing"	Mr.	Howell	Justin		1-646-767-5753					P2P@healthfirst.org	"100 Church Street, 18th Floor"	Attn:  Treasury Department	New York	NY	10007	5/6/2026	2026	"HEALTHFIRST HEALTH PLAN, INC."	Local CCP	Healthfirst Medicare Plan	HMO/HMOPOS		"Healthfirst, Inc."	391	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H5991	Automated TrOOP Balance Transfer Contact	"Dir., Enrollment & Billing"		Ewen	Jillian		1-860-674-5780					JEwen@emblemhealth.com	55 Water St		New York	NY	10041	3/5/2026	2026	HEALTH INSURANCE PLAN OF GREATER NEW YORK	Local CCP	EmblemHealth	HMO/HMOPOS		"EmblemHealth, Inc."	361	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5991	Best Available Evidence Contact	"Dir., Enrollment & Billing"		Ewen	Jillian		1-860-674-5780					jewen@emblemhealth.com	55 Water Street		New York	NY	10041	3/5/2026	2026	HEALTH INSURANCE PLAN OF GREATER NEW YORK	Local CCP	EmblemHealth	HMO/HMOPOS		"EmblemHealth, Inc."	361	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5991	Chief Financial Officer	Chief Financial Officer	Ms.	Tamborino	Heather		1-646-447-6174					htamborino@emblemhealth.com	55 Water Street		New York	NY	10041	3/5/2026	2026	HEALTH INSURANCE PLAN OF GREATER NEW YORK	Local CCP	EmblemHealth	HMO/HMOPOS		"EmblemHealth, Inc."	361	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5991	CMS Casework Communication Contact	"Dir., G & A and Pharmacy Ops."		Marie	Jacqueline	A	1-646-447-7215				1-212-510-8130	jmarie@emblemhealth.com	55 Water Street		New York	NY	10041	3/5/2026	2026	HEALTH INSURANCE PLAN OF GREATER NEW YORK	Local CCP	EmblemHealth	HMO/HMOPOS		"EmblemHealth, Inc."	361	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5991	Coordination of Benefits Contact	"AVP, Provider Claim Resolution"		Maxwell	Christine		1-860-674-5751					cmaxwell@connecticare.com	175 Scott Swamp Road		Farmington	CT	06032	3/5/2026	2026	HEALTH INSURANCE PLAN OF GREATER NEW YORK	Local CCP	EmblemHealth	HMO/HMOPOS		"EmblemHealth, Inc."	361	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5991	Customer Service Operations Contact	VP Customer Service		Tirado	Nicole		1-518-446-6981					ntirado@emblemhealth.com	80 Wolf Road		Albany	NY	12205	3/5/2026	2026	HEALTH INSURANCE PLAN OF GREATER NEW YORK	Local CCP	EmblemHealth	HMO/HMOPOS		"EmblemHealth, Inc."	361	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5991	Government Relations Contact	"Dir., Govt. Program Regulatory/MCO"		Genovese-Scullin	Anthony		1-646-447-7110					agenovese@emblemhealth.com	55 Water Street		New York	NY	10041	3/5/2026	2026	HEALTH INSURANCE PLAN OF GREATER NEW YORK	Local CCP	EmblemHealth	HMO/HMOPOS		"EmblemHealth, Inc."	361	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5991	Hospice Contact	Pharm. Govt. Programs Manager		Der Weer	J'Nisha		1-786-918-6890					jderweer@emblemhealth.com	55 Water Street		New York	NY	10041	3/5/2026	2026	HEALTH INSURANCE PLAN OF GREATER NEW YORK	Local CCP	EmblemHealth	HMO/HMOPOS		"EmblemHealth, Inc."	361	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5991	Medicare Compliance Officer	"Dir., Govt. Program Regulatory/MCO"	Mr.	Genovese-Scullin	Anthony		1-646-447-7110					agenovese@emblemhealth.com	55 Water Street		New York	NY	10041	3/5/2026	2026	HEALTH INSURANCE PLAN OF GREATER NEW YORK	Local CCP	EmblemHealth	HMO/HMOPOS		"EmblemHealth, Inc."	361	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5991	Part D Exceptions Contact	Pharmacy Client Ops Director		Der Weer	J'Nisha							jderweer@emblemhealth.com	55 Water street		New York	NY	10041	3/5/2026	2026	HEALTH INSURANCE PLAN OF GREATER NEW YORK	Local CCP	EmblemHealth	HMO/HMOPOS		"EmblemHealth, Inc."	361	Yes	Active	1-646-447-7198				HMO - Health Maintenance Organization		C	New York
H5991	Pharmacy Network Management Contact	Pharm. Govt. Programs Manager		Der Weer	J'Nisha		1-786-918-6890					jderweer@emblemhealth.com	55 Water Street		New York	NY	10041	3/5/2026	2026	HEALTH INSURANCE PLAN OF GREATER NEW YORK	Local CCP	EmblemHealth	HMO/HMOPOS		"EmblemHealth, Inc."	361	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5991	Pharmacy Technical Help Desk Contact	Dir Service Delivery		Sebastian	Marissa							marissa.sebastian@primetherapeutics.com	2900 Ames Crossing Road	#200	Eagan	MN	55121	3/5/2026	2026	HEALTH INSURANCE PLAN OF GREATER NEW YORK	Local CCP	EmblemHealth	HMO/HMOPOS		"EmblemHealth, Inc."	361	Yes	Active	1-866-799-7781				HMO - Health Maintenance Organization		C	New York
H5991	Plan to Plan Reconciliation Contact	Accounts Payable Manager		Siozios	Jacqueline		1-646-447-3017					jsiozios@emblemhealth.com	55 Water Street		New York	NY	10041	3/5/2026	2026	HEALTH INSURANCE PLAN OF GREATER NEW YORK	Local CCP	EmblemHealth	HMO/HMOPOS		"EmblemHealth, Inc."	361	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5992	Automated TrOOP Balance Transfer Contact	"AVP, Pharmacy"		Vu	John		1-801-252-5706					an.vu@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"SENIOR WHOLE HEALTH OF NEW YORK, INC."	Local CCP	Senior Whole Health of New York	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5992	Best Available Evidence Contact	"Director, Medicare PEnrollment"		LeJeune	Ryan		1-562-549-4527					ryan.lejeune@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"SENIOR WHOLE HEALTH OF NEW YORK, INC."	Local CCP	Senior Whole Health of New York	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5992	Chief Financial Officer	"MHI - VP, Operating Finance"	Mr.	Parthasarathy	Vijay		1-630-381-8563					vijay.parthasarathy@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"SENIOR WHOLE HEALTH OF NEW YORK, INC."	Local CCP	Senior Whole Health of New York	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5992	CMS Casework Communication Contact	"Dir, Medicare A&G"		Bennett	Kimberly		1-248-854-9474					Kimberly.Bennett@molinahealthcare.com	24121 Rosewood Street		Oak Park	MI	48237	5/21/2025	2026	"SENIOR WHOLE HEALTH OF NEW YORK, INC."	Local CCP	Senior Whole Health of New York	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5992	Coordination of Benefits Contact	"Director, Payment Integrity"		Hartberger	Jake		1-484-269-1480					Jake.Hartberger@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"SENIOR WHOLE HEALTH OF NEW YORK, INC."	Local CCP	Senior Whole Health of New York	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5992	Customer Service Operations Contact	"Vice President, Call Center"		Faroughi	Cheryl		1-614-547-6829					cheryl.faroughi@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"SENIOR WHOLE HEALTH OF NEW YORK, INC."	Local CCP	Senior Whole Health of New York	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5992	Government Relations Contact	"MHI- Vice President, Compliance"		Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@Molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"SENIOR WHOLE HEALTH OF NEW YORK, INC."	Local CCP	Senior Whole Health of New York	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5992	Hospice Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"SENIOR WHOLE HEALTH OF NEW YORK, INC."	Local CCP	Senior Whole Health of New York	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5992	Medicare Compliance Officer	"MHI- Vice President, Compliance"	Mr.	Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"SENIOR WHOLE HEALTH OF NEW YORK, INC."	Local CCP	Senior Whole Health of New York	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5992	Part D Exceptions Contact	"AVP, Medicare Pharmacy Services"		Vu	John							An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"SENIOR WHOLE HEALTH OF NEW YORK, INC."	Local CCP	Senior Whole Health of New York	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-801-252-5706				HMO - Health Maintenance Organization		C	New York
H5992	Pharmacy Network Management Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"SENIOR WHOLE HEALTH OF NEW YORK, INC."	Local CCP	Senior Whole Health of New York	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5992	Pharmacy Technical Help Desk Contact	"Director, Client Operations"		Help Desk	Pharmacy						1-480-314-6077	dayoubj@cvshealth.com	445 Great Circle Road		Nashville	TN	37228	5/21/2025	2026	"SENIOR WHOLE HEALTH OF NEW YORK, INC."	Local CCP	Senior Whole Health of New York	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H5992	Plan to Plan Reconciliation Contact	"Director, Finance"		Cook	Keith		1-562-542-2024					P2P.molina@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"SENIOR WHOLE HEALTH OF NEW YORK, INC."	Local CCP	Senior Whole Health of New York	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H5993	Automated TrOOP Balance Transfer Contact	COO	Mr.	Wildt	Jonathan		1-872-588-3014					PACE@lawndale.org	3860 W Ogden Ave		Chicago	IL	60623	12/20/2022	2026	LAWNDALE CHRISTIAN HEALTH CENTER	National PACE	Lawndale Christian Health Center	National PACE		Lawndale Christian Health Center	822	Yes	Active					PACE - Nat		C	New York
H5993	Best Available Evidence Contact	COO	Mr.	Wildt	Jonathan		1-872-588-3014					PACE@lawndale.org	3860 W Ogden Ave		Chicago	IL	60623	12/20/2022	2026	LAWNDALE CHRISTIAN HEALTH CENTER	National PACE	Lawndale Christian Health Center	National PACE		Lawndale Christian Health Center	822	Yes	Active					PACE - Nat		C	New York
H5993	Chief Financial Officer	PACE CFO	Mr.	Koetz	Andrew		1-872-588-3183					andrewkoetz@lawndale.org	3860 W Ogden Ave		Chicago	IL	60623	6/11/2024	2026	LAWNDALE CHRISTIAN HEALTH CENTER	National PACE	Lawndale Christian Health Center	National PACE		Lawndale Christian Health Center	822	Yes	Active					PACE - Nat		C	New York
H5993	CMS Casework Communication Contact	COO	Mr.	Wildt	Jonathan		1-872-588-3014					PACE@lawndale.org	3860 W Ogden Ave		Chicago	IL	60623	12/21/2022	2026	LAWNDALE CHRISTIAN HEALTH CENTER	National PACE	Lawndale Christian Health Center	National PACE		Lawndale Christian Health Center	822	Yes	Active					PACE - Nat		C	New York
H5993	Coordination of Benefits Contact	COO	Mr.	Wildt	Jonathan		1-872-588-3014					PACE@lawndale.org	3860 W Ogden Ave		Chicago	IL	60623	12/21/2022	2026	LAWNDALE CHRISTIAN HEALTH CENTER	National PACE	Lawndale Christian Health Center	National PACE		Lawndale Christian Health Center	822	Yes	Active					PACE - Nat		C	New York
H5993	Customer Service Operations Contact	COO	Mr.	Wildt	Jonathan		1-872-588-3014					PACE@lawndale.org	3860 W Ogden Ave		Chicago	IL	60623	12/21/2022	2026	LAWNDALE CHRISTIAN HEALTH CENTER	National PACE	Lawndale Christian Health Center	National PACE		Lawndale Christian Health Center	822	Yes	Active					PACE - Nat		C	New York
H5993	Government Relations Contact			Koetz	Andrew		1-872-588-3183					development@lawndale.org	3860 W Ogden Ave		Chicago	IL	60623	4/29/2024	2026	LAWNDALE CHRISTIAN HEALTH CENTER	National PACE	Lawndale Christian Health Center	National PACE		Lawndale Christian Health Center	822	Yes	Active					PACE - Nat		C	New York
H5993	Medicare Compliance Officer	COO	Mr.	Koetz	Andrew		1-872-588-3183					AndrewKoetz@lawndale.org	3860 W Ogden Ave		Chicago	IL	60623	7/19/2024	2026	LAWNDALE CHRISTIAN HEALTH CENTER	National PACE	Lawndale Christian Health Center	National PACE		Lawndale Christian Health Center	822	Yes	Active					PACE - Nat		C	New York
H5993	Part D Exceptions Contact			Wildt	Jonathan							PACE@lawndale.org	3860 W Ogden Ave		Chicago	IL	60623	12/21/2022	2026	LAWNDALE CHRISTIAN HEALTH CENTER	National PACE	Lawndale Christian Health Center	National PACE		Lawndale Christian Health Center	822	Yes	Active	1-872-588-3000				PACE - Nat		C	New York
H5993	Pharmacy Network Management Contact	Pharmacy Network Manager	Ms.	Matthys	Laurie		1-219-670-9133					lmatthys@carekinesis.com	228 Strawbridge Dr		Moorestown	NJ	08057	7/30/2024	2026	LAWNDALE CHRISTIAN HEALTH CENTER	National PACE	Lawndale Christian Health Center	National PACE		Lawndale Christian Health Center	822	Yes	Active					PACE - Nat		C	New York
H5993	Pharmacy Technical Help Desk Contact			TRHC	Support							info@trhc.com	228 Strawbridge Dr		Moorestown	NJ	08057	7/30/2024	2026	LAWNDALE CHRISTIAN HEALTH CENTER	National PACE	Lawndale Christian Health Center	National PACE		Lawndale Christian Health Center	822	Yes	Active	1-888-974-2763	4			PACE - Nat		C	New York
H5993	Plan to Plan Reconciliation Contact	COO	Mr.	Wildt	Jonathan		1-872-588-3014					PACE@lawndale.org	3860 W Ogden Ave		Chicago	IL	60623	12/21/2022	2026	LAWNDALE CHRISTIAN HEALTH CENTER	National PACE	Lawndale Christian Health Center	National PACE		Lawndale Christian Health Center	822	Yes	Active					PACE - Nat		C	New York
H5995	Automated TrOOP Balance Transfer Contact	Medicare Part D Project Manager		Esp	Bryan		1-858-790-6445					PartDCAT@MedImpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	6/2/2026	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	HMO/HMOPOS		ATRIO Health Plans	5	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H5995	Best Available Evidence Contact	Enrollment Manager		Vredenburg	Cristi		1-541-492-5119					Cristi.vredenburg@atriohp.com	"550 Hawthorne Ave SE #140, Salem, OR 97301"		Salem	OR	97301	6/2/2026	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	HMO/HMOPOS		ATRIO Health Plans	5	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H5995	Chief Financial Officer	Chief Financial Officer	Mr.	Kirkpatrick	James		1-503-428-5602					james.kirkpatrick@atriohp.com	"550 Hawthorne Ave SE #140, Salem"		Salem	OR	97301	6/2/2026	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	HMO/HMOPOS		ATRIO Health Plans	5	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H5995	CMS Casework Communication Contact	Enrollment Manager		Vredenburg	Cristi		1-541-492-5119					Cristi.vredenburg@atriohp.com	"550 Hawthorne Ave SE #140, Salem"		Salem	OR	97301	6/2/2026	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	HMO/HMOPOS		ATRIO Health Plans	5	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H5995	Coordination of Benefits Contact	President & CEO	Mrs.	Callhan	Jennifer		1-971-599-2441					jennifer.callahan@atriohp.com	"550 Hawthorne Ave SE #140, Salem"		Salem	OR	97301	6/2/2026	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	HMO/HMOPOS		ATRIO Health Plans	5	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H5995	Customer Service Operations Contact	President & CEO	Mrs.	Callahan	Jennifer		1-971-599-2441					jennifer.callahan@atriohp.com	"550 Hawthorne Ave SE #140, Salem"		Salem	OR	97301	6/2/2026	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	HMO/HMOPOS		ATRIO Health Plans	5	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H5995	Government Relations Contact	Chief Compliance Officer		Allotta	Tony		1-830-309-0299					tony.allotta@atriohp.com	"550 Hawthorne Ave SE #140, Salem"		Salem	OR	97301	6/2/2026	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	HMO/HMOPOS		ATRIO Health Plans	5	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H5995	Hospice Contact	Chief Medical Officer	Dr.	Revai	Krystal		1-541-239-2067					krystal.revai@atriohp.com	"550 Hawthorne Ave SE #140, Salem"		Salem	OR	97301	6/2/2026	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	HMO/HMOPOS		ATRIO Health Plans	5	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H5995	Medicare Compliance Officer	Chief Compliance Officer	Mr.	Allotta	Tony		1-530-396-7149					tony.allotta@atriohp.com	"550 Hawthorne Ave SE #140, Salem"		Salem	OR	97301	6/2/2026	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	HMO/HMOPOS		ATRIO Health Plans	5	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H5995	Part D Exceptions Contact	Director of Appeals and Grievances		Vaughn	Sara						1-541-672-8670	sara.vaughn@atriohp.com	"550 Hawthorne Ave SE #140, Salem"		Salem	OR	97301	6/2/2026	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	HMO/HMOPOS		ATRIO Health Plans	5	Yes	Withdrawn Contract	1-877-672-8620	3			HMO - Health Maintenance Organization		C	Dallas
H5995	Pharmacy Network Management Contact	"Supervisor, Pharmacy Network Support"		Burke	Sharon		1-858-790-7148					Sharon.Burke@MedImpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	6/2/2026	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	HMO/HMOPOS		ATRIO Health Plans	5	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H5995	Pharmacy Technical Help Desk Contact	"Director, Contact Center Services"		Brewer	Kathy							Customerservice@Medimpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	6/2/2026	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	HMO/HMOPOS		ATRIO Health Plans	5	Yes	Withdrawn Contract	1-800-681-9571				HMO - Health Maintenance Organization		C	Dallas
H5995	Plan to Plan Reconciliation Contact	Chief Financial Officer	Mr.	Kirkpatrick	James		1-503-428-5602					james.kirkpatrick@atriohp.com	"550 Hawthorne Ave SE #140, Salem"		Salem	OR	97301	6/2/2026	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	HMO/HMOPOS		ATRIO Health Plans	5	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H6018	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6018	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6018	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6018	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6018	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6018	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6018	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6018	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6018	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6018	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				PPO - BBA		C	New York
H6018	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6018	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				PPO - BBA		C	New York
H6018	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6019	Automated TrOOP Balance Transfer Contact	Medicare Front End Process Manager		Platts	Karen		1-816-843-5486					585HPSM@argushealth.com	423 W. 8th Street		Kansas City	MO	64105	2/2/2022	2026	SAN MATEO HEALTH COMMISSION	Local CCP	HEALTH PLAN OF SAN MATEO	HMO/HMOPOS		Health Plan of San Mateo	115	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6019	Best Available Evidence Contact	CareAdvantage Manager		Barairo	Charlene		1-650-616-2183					CMSEnrollmentCenter@hpsm.org	801 Gateway Blvd	Suite 100	South San Francisco	CA	94080	2/2/2022	2026	SAN MATEO HEALTH COMMISSION	Local CCP	HEALTH PLAN OF SAN MATEO	HMO/HMOPOS		Health Plan of San Mateo	115	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6019	Chief Financial Officer	Chief Financial Officer	Mr.	Ehrgood	Trent		1-650-616-2171					trent.ehrgood@hpsm.org	801 Gateway Blvd	Suite 100	South San Francisco	CA	94080	2/2/2022	2026	SAN MATEO HEALTH COMMISSION	Local CCP	HEALTH PLAN OF SAN MATEO	HMO/HMOPOS		Health Plan of San Mateo	115	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6019	CMS Casework Communication Contact	Director of Medicare	Mr	Okonne	John		1-650-616-1521					john.okonne@hpsm.org	"801 Gateway Blvd,"	Suite 100	South San Francisco	CA	94080	9/5/2023	2026	SAN MATEO HEALTH COMMISSION	Local CCP	HEALTH PLAN OF SAN MATEO	HMO/HMOPOS		Health Plan of San Mateo	115	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6019	Coordination of Benefits Contact	Chief Information Officer	Mr.	Yong	Eben		1-650-616-2010					eben.yong@hpsm.org	801 Gateway Blvd	Suite 100	South San Francisco	CA	94080	2/2/2022	2026	SAN MATEO HEALTH COMMISSION	Local CCP	HEALTH PLAN OF SAN MATEO	HMO/HMOPOS		Health Plan of San Mateo	115	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6019	Customer Service Operations Contact	CareAdvantage Manager		Barairo	Charlene		1-650-616-2183					CMSEnrollmentCenter@hpsm.org	801 Gateway Blvd	Suite 100	South San Francisco	CA	94080	3/6/2023	2026	SAN MATEO HEALTH COMMISSION	Local CCP	HEALTH PLAN OF SAN MATEO	HMO/HMOPOS		Health Plan of San Mateo	115	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6019	Government Relations Contact	Chief Government Affairs and Compliance Officer		Johansson	Ian		1-650-616-2151					ian.johansson@hpsm.org	801 Gateway Blvd	Suite 100	South San Francisco	CA	94080	6/16/2026	2026	SAN MATEO HEALTH COMMISSION	Local CCP	HEALTH PLAN OF SAN MATEO	HMO/HMOPOS		Health Plan of San Mateo	115	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6019	Hospice Contact	CareAdvantage Manager		Barairo	Charlene		1-650-616-2183					CMSEnrollmentCenter@hpsm.org	801 Gateway Blvd	Suite 100	South San Francisco	CA	94080	2/3/2022	2026	SAN MATEO HEALTH COMMISSION	Local CCP	HEALTH PLAN OF SAN MATEO	HMO/HMOPOS		Health Plan of San Mateo	115	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6019	Medicare Compliance Officer	Chief Government Affairs and Compliance Officer	Mr	Johansson	Ian	K	1-650-616-2151					ian.johansson@hpsm.org	"801 Gateway Blvd,"	Suite 100	South San Francisco	CA	94080	9/5/2023	2026	SAN MATEO HEALTH COMMISSION	Local CCP	HEALTH PLAN OF SAN MATEO	HMO/HMOPOS		Health Plan of San Mateo	115	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6019	Part D Exceptions Contact			Services	Pharmacy							PharmPA@hpsm.org	801 Gateway Blvd	Suite 100	South San Francisco	CA	94080	2/3/2022	2026	SAN MATEO HEALTH COMMISSION	Local CCP	HEALTH PLAN OF SAN MATEO	HMO/HMOPOS		Health Plan of San Mateo	115	Yes	Active	1-650-616-2088				HMO - Health Maintenance Organization		C	New York
H6019	Pharmacy Network Management Contact	Credentialing Specialist		Dela Cruz	Paul		1-650-616-2107					CMSPharmacyNetwork@hpsm.org	801 Gateway Blvd	Suite 100	South San Francisco	CA	94080	2/3/2022	2026	SAN MATEO HEALTH COMMISSION	Local CCP	HEALTH PLAN OF SAN MATEO	HMO/HMOPOS		Health Plan of San Mateo	115	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6019	Pharmacy Technical Help Desk Contact			Help Desk	Pharmacy						1-816-283-9785		1300 Washington Street		Kansas City	MO	64105	12/18/2023	2026	SAN MATEO HEALTH COMMISSION	Local CCP	HEALTH PLAN OF SAN MATEO	HMO/HMOPOS		Health Plan of San Mateo	115	Yes	Active	1-888-635-8362				HMO - Health Maintenance Organization		C	New York
H6019	Plan to Plan Reconciliation Contact	Chief Financial Officer	Mr.	Ehrgood	Trent		1-650-616-2171					trent.ehrgood@hpsm.org	801 Gateway Blvd	Suite 100	South San Francisco	CA	94080	2/3/2022	2026	SAN MATEO HEALTH COMMISSION	Local CCP	HEALTH PLAN OF SAN MATEO	HMO/HMOPOS		Health Plan of San Mateo	115	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6059	Automated TrOOP Balance Transfer Contact	Health Plan Specialist		Powell	Greg		1-336-550-4040					Greg.Powell@pacetriad.org	1471 East Cone Blvd		Greensboro	NC	27405	2/24/2023	2026	"PACE OF GUILFORD AND ROCKINGHAM COUNTIES, INC."	National PACE	PACE OF THE TRIAD	National PACE		"Well-Spring Services, Inc."	641	Yes	Active					PACE - Nat		C	Atlanta
H6059	Best Available Evidence Contact	President/CEO	Mrs	Robinson	Ursula	B	1-336-550-4040				1-336-464-2212	Ursula.Robinson@pacetriad.org	1471 East Cone Blvd		Greensboro	NC	27405	2/24/2023	2026	"PACE OF GUILFORD AND ROCKINGHAM COUNTIES, INC."	National PACE	PACE OF THE TRIAD	National PACE		"Well-Spring Services, Inc."	641	Yes	Active					PACE - Nat		C	Atlanta
H6059	Chief Financial Officer	CFO	Mr	Nickerson	Kirby		1-704-754-8228				1-704-900-0766	Knickerson@LSCarolinas.net	1416 S. Martin Luther King Jr. Ave		Salisbury	NC	28145	2/24/2023	2026	"PACE OF GUILFORD AND ROCKINGHAM COUNTIES, INC."	National PACE	PACE OF THE TRIAD	National PACE		"Well-Spring Services, Inc."	641	Yes	Active					PACE - Nat		C	Atlanta
H6059	CMS Casework Communication Contact	President/CEO	Mrs	Robinson	Ursula	B	1-336-550-4040				1-336-464-2212	Ursula.Robinson@pacetriad.org	1471 East Cone Blvd		Greensboro	NC	27405	2/24/2023	2026	"PACE OF GUILFORD AND ROCKINGHAM COUNTIES, INC."	National PACE	PACE OF THE TRIAD	National PACE		"Well-Spring Services, Inc."	641	Yes	Active					PACE - Nat		C	Atlanta
H6059	Coordination of Benefits Contact	Director of Intake and Outreach		Baldwin	Nedra		1-336-550-4040					Nedra.Baldwin@pacetriad.org	1471 East Cone Blvd		Greensboro	NC	27405	6/2/2025	2026	"PACE OF GUILFORD AND ROCKINGHAM COUNTIES, INC."	National PACE	PACE OF THE TRIAD	National PACE		"Well-Spring Services, Inc."	641	Yes	Active					PACE - Nat		C	Atlanta
H6059	Customer Service Operations Contact	Director of Outreach and Marketing	Mrs.	Baldwin	Nedra		1-336-550-4040				1-336-550-4044	Nedra.Baldwin@pacetriad.org	1471 East Cone Blvd		Greensboro	NC	27405	2/24/2023	2026	"PACE OF GUILFORD AND ROCKINGHAM COUNTIES, INC."	National PACE	PACE OF THE TRIAD	National PACE		"Well-Spring Services, Inc."	641	Yes	Active					PACE - Nat		C	Atlanta
H6059	Government Relations Contact	Director of Quality & Compliance	Ms	Holyfield	Tracy		1-336-550-4040				1-336-550-4044	Tracy.Holyfield@pacetriad.org	1471 East Cone Blvd		Greensboro	NC	27405	8/27/2025	2026	"PACE OF GUILFORD AND ROCKINGHAM COUNTIES, INC."	National PACE	PACE OF THE TRIAD	National PACE		"Well-Spring Services, Inc."	641	Yes	Active					PACE - Nat		C	Atlanta
H6059	Medicare Compliance Officer	Director of Quality & Compliance	Ms.	Holyfield	Tracy		1-336-550-4040				1-336-458-5550	Tracy.Holyfield@pacetriad.org	1471 E Cone Blvd		Greensboro	NC	27405	8/27/2025	2026	"PACE OF GUILFORD AND ROCKINGHAM COUNTIES, INC."	National PACE	PACE OF THE TRIAD	National PACE		"Well-Spring Services, Inc."	641	Yes	Active					PACE - Nat		C	Atlanta
H6059	Part D Exceptions Contact	Health Plan Specialist	Mr	Powell	Greg						1-336-550-4044	Greg.Powell@pacetriad.org	1471 East Cone Blvd		Greensboro	NC	27405	6/2/2025	2026	"PACE OF GUILFORD AND ROCKINGHAM COUNTIES, INC."	National PACE	PACE OF THE TRIAD	National PACE		"Well-Spring Services, Inc."	641	Yes	Active	1-336-550-4040				PACE - Nat		C	Atlanta
H6059	Pharmacy Network Management Contact	Health Plan Specialistical Director	Mr	Powell	Greg		1-336-550-4040				1-336-550-4045	Greg.Powell@pacetriad.org	1471 East Cone Blvd		Greensboro	NC	27405	6/2/2025	2026	"PACE OF GUILFORD AND ROCKINGHAM COUNTIES, INC."	National PACE	PACE OF THE TRIAD	National PACE		"Well-Spring Services, Inc."	641	Yes	Active					PACE - Nat		C	Atlanta
H6059	Pharmacy Technical Help Desk Contact	Dir of Clinical Services	Mrs	Rumble	Rhonda						1-336-550-4045	Rhonda.Rumple@pacetriad.org	1471 East Cone Blvd		Greensboro	NC	27405	6/2/2025	2026	"PACE OF GUILFORD AND ROCKINGHAM COUNTIES, INC."	National PACE	PACE OF THE TRIAD	National PACE		"Well-Spring Services, Inc."	641	Yes	Active	1-336-550-4040				PACE - Nat		C	Atlanta
H6059	Plan to Plan Reconciliation Contact	Health Plan Specialist		Powell	Greg		1-336-550-4040					Greg.Powell@pacetriad.org	1471 East Cone Blvd		Greensboro	NC	27405	12/27/2020	2026	"PACE OF GUILFORD AND ROCKINGHAM COUNTIES, INC."	National PACE	PACE OF THE TRIAD	National PACE		"Well-Spring Services, Inc."	641	Yes	Active					PACE - Nat		C	Atlanta
H6078	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	"Group Retiree Health Solutions, Inc."	Local CCP	Blue Medicare Advantage	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H6078	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"Group Retiree Health Solutions, Inc."	Local CCP	Blue Medicare Advantage	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H6078	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	"Group Retiree Health Solutions, Inc."	Local CCP	Blue Medicare Advantage	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H6078	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	"Group Retiree Health Solutions, Inc."	Local CCP	Blue Medicare Advantage	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H6078	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	"Group Retiree Health Solutions, Inc."	Local CCP	Blue Medicare Advantage	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H6078	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	"Group Retiree Health Solutions, Inc."	Local CCP	Blue Medicare Advantage	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H6078	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"Group Retiree Health Solutions, Inc."	Local CCP	Blue Medicare Advantage	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H6078	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"Group Retiree Health Solutions, Inc."	Local CCP	Blue Medicare Advantage	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H6078	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"Group Retiree Health Solutions, Inc."	Local CCP	Blue Medicare Advantage	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H6078	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	"Group Retiree Health Solutions, Inc."	Local CCP	Blue Medicare Advantage	Local PPO		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				PPO - BBA		C	Chicago
H6078	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/31/2023	2026	"Group Retiree Health Solutions, Inc."	Local CCP	Blue Medicare Advantage	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H6078	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	"Group Retiree Health Solutions, Inc."	Local CCP	Blue Medicare Advantage	Local PPO		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				PPO - BBA		C	Chicago
H6078	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/7/2021	2026	"Group Retiree Health Solutions, Inc."	Local CCP	Blue Medicare Advantage	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H6079	Automated TrOOP Balance Transfer Contact	Medicare Compliance Manager		Brown	Lauren		1-720-974-6031				1-303-996-1600	lbrown2@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	7/27/2023	2026	"TOTAL LONGTERM CARE, INC."	National PACE	InnovAge California PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H6079	Best Available Evidence Contact	Director of Finance	Ms.	Hewitt	Jessica		1-720-974-6767					jhewitt@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	5/19/2025	2026	"TOTAL LONGTERM CARE, INC."	National PACE	InnovAge California PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H6079	Chief Financial Officer	CFO	Mr.	Adams	Ben		1-917-842-3099				1-303-996-1600	badams@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"TOTAL LONGTERM CARE, INC."	National PACE	InnovAge California PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H6079	CMS Casework Communication Contact	Director of Compliance		Martin	Jeremy		1-720-789-6016				1-303-996-1600	jmartin@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	5/19/2025	2026	"TOTAL LONGTERM CARE, INC."	National PACE	InnovAge California PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H6079	Coordination of Benefits Contact	Medicare Compliance Manager		Brown	Lauren		1-720-974-6031				1-303-996-1600	lbrown2@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"TOTAL LONGTERM CARE, INC."	National PACE	InnovAge California PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H6079	Customer Service Operations Contact	Director of Compliance		Martin	Jeremy		1-720-789-6016				1-303-996-1600	jmartin@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	5/19/2025	2026	"TOTAL LONGTERM CARE, INC."	National PACE	InnovAge California PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H6079	Government Relations Contact	"SVP, External Affairs"		Nelson	Don		1-608-217-5110					dnelson3@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	12/5/2025	2026	"TOTAL LONGTERM CARE, INC."	National PACE	InnovAge California PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H6079	Medicare Compliance Officer	VP of Compliance	Ms.	Teter	Lezlie	A	1-720-682-9848				1-303-996-1600	lteter@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	4/24/2026	2026	"TOTAL LONGTERM CARE, INC."	National PACE	InnovAge California PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H6079	Part D Exceptions Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael						1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"TOTAL LONGTERM CARE, INC."	National PACE	InnovAge California PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active	1-720-666-3817				PACE - Nat		C	Dallas
H6079	Pharmacy Network Management Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael		1-720-666-3817				1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"TOTAL LONGTERM CARE, INC."	National PACE	InnovAge California PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H6079	Pharmacy Technical Help Desk Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael						1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"TOTAL LONGTERM CARE, INC."	National PACE	InnovAge California PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active	1-720-666-3817				PACE - Nat		C	Dallas
H6079	Plan to Plan Reconciliation Contact	Financial and Compliance Analyst		Kizewski	Alex		1-720-789-6171				1-720-917-3390	AKizewski@innovage.com	8950 East Lowry Blvd		Denver	CO	80230	12/28/2023	2026	"TOTAL LONGTERM CARE, INC."	National PACE	InnovAge California PACE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Dallas
H6081	Automated TrOOP Balance Transfer Contact	Director of Compliance	Mrs.	Garza	Nicole		1-559-930-7722					ngarza@highdesertpace.org	11833 Amethyst Road		Victorville	CA	92392	9/22/2025	2026	"HIGH DESERT PACE, INC,"	National PACE	High Desert PACE	National PACE		"High Desert PACE, Inc."	848	Yes	Active					PACE - Nat		C	San Francisco
H6081	Best Available Evidence Contact			Garza	Nicole		1-559-930-7722					nicole.garza@highdesertpace.org	11833 Amethyst Road		Victorville	CA	92392	4/4/2024	2026	"HIGH DESERT PACE, INC,"	National PACE	High Desert PACE	National PACE		"High Desert PACE, Inc."	848	Yes	Active					PACE - Nat		C	San Francisco
H6081	Chief Financial Officer	Vice President/Executive Director	Mrs.	Melancon	Sharon		1-760-932-0920					smelancon@highdesertpace.org	11833 Amethyst Road		Victorville	CA	92392	9/10/2025	2026	"HIGH DESERT PACE, INC,"	National PACE	High Desert PACE	National PACE		"High Desert PACE, Inc."	848	Yes	Active					PACE - Nat		C	San Francisco
H6081	CMS Casework Communication Contact		Mrs.	Garza	Nicole		1-559-930-7722					nicole.garza@highdesertpace.org	11833 Amethyst Road		Victorville	CA	92392	4/4/2024	2026	"HIGH DESERT PACE, INC,"	National PACE	High Desert PACE	National PACE		"High Desert PACE, Inc."	848	Yes	Active					PACE - Nat		C	San Francisco
H6081	Coordination of Benefits Contact	Director of Compliance	Mrs.	Garza	Nicole		1-559-930-7722					ngarza@highdesertpace.org	11833 Amethyst Road		Victorville	CA	92392	9/22/2025	2026	"HIGH DESERT PACE, INC,"	National PACE	High Desert PACE	National PACE		"High Desert PACE, Inc."	848	Yes	Active					PACE - Nat		C	San Francisco
H6081	Customer Service Operations Contact		Mrs.	Garza	Nicole		1-559-930-7722					nicole.garza@highdesertpace.org	11833 Amethyst Road		Victorville	CA	92392	4/4/2024	2026	"HIGH DESERT PACE, INC,"	National PACE	High Desert PACE	National PACE		"High Desert PACE, Inc."	848	Yes	Active					PACE - Nat		C	San Francisco
H6081	Government Relations Contact	Director of Quality & Compliance	Mrs.	Garza	Nicole		1-559-930-7722					nicole.garza@highdesertpace.org	11833 Amethyst Road		Victorville	CA	92392	4/4/2024	2026	"HIGH DESERT PACE, INC,"	National PACE	High Desert PACE	National PACE		"High Desert PACE, Inc."	848	Yes	Active					PACE - Nat		C	San Francisco
H6081	Medicare Compliance Officer	Director of Quality & Compliance	Mrs.	Garza	Nicole		1-559-930-7722					nicole.garza@highdesertpace.org	11833 Amethyst Road		Victorville	CA	92392	4/4/2024	2026	"HIGH DESERT PACE, INC,"	National PACE	High Desert PACE	National PACE		"High Desert PACE, Inc."	848	Yes	Active					PACE - Nat		C	San Francisco
H6081	Part D Exceptions Contact	Director of Compliance	Mrs	Garza	Nicole							ngarza@highdesertpace.org	11833 Amethyst Road		Victorville	CA	92392	9/22/2025	2026	"HIGH DESERT PACE, INC,"	National PACE	High Desert PACE	National PACE		"High Desert PACE, Inc."	848	Yes	Active	1-559-930-7722				PACE - Nat		C	San Francisco
H6081	Pharmacy Network Management Contact	Director of Compiance		Garza	Nicole		1-559-930-7722					ngarza@highdesertpace.org	11833 Amethyst Road		Victorville	CA	92392	9/22/2025	2026	"HIGH DESERT PACE, INC,"	National PACE	High Desert PACE	National PACE		"High Desert PACE, Inc."	848	Yes	Active					PACE - Nat		C	San Francisco
H6081	Pharmacy Technical Help Desk Contact	Director of Compliance		Garza	Nicole							ngarza@highdesertpace.org	11833 Amethyst Road		Victorville	CA	92392	9/22/2025	2026	"HIGH DESERT PACE, INC,"	National PACE	High Desert PACE	National PACE		"High Desert PACE, Inc."	848	Yes	Active	1-559-930-7722				PACE - Nat		C	San Francisco
H6081	Plan to Plan Reconciliation Contact	Director of Compliance	Mrs.	Garza	Nicole		1-559-930-7722					ngarza@highdesertpace.org	11833 Amethyst Road		Victorville	CA	92392	9/22/2025	2026	"HIGH DESERT PACE, INC,"	National PACE	High Desert PACE	National PACE		"High Desert PACE, Inc."	848	Yes	Active					PACE - Nat		C	San Francisco
H6130	Chief Financial Officer		Mr.	Broderick	Donald	J	1-800-350-6626					finance@fenyxhealth.com	PO Box 135		Winfield	PA	17889	2/28/2024	2026	FENYX HEALTH INSURANCE COMPANY	MSA	Fenyx Health	MSA		"Fenyx Health Holdings, Inc."	808	No	Active					MSA		C	Denver
H6130	CMS Casework Communication Contact			Handlan	James	B	1-800-350-6626				1-559-396-3582	clinical@fenyxhealth.com	PO Box 135		Winfield	PA	17889	2/28/2024	2026	FENYX HEALTH INSURANCE COMPANY	MSA	Fenyx Health	MSA		"Fenyx Health Holdings, Inc."	808	No	Active					MSA		C	Denver
H6130	Customer Service Operations Contact	Chief Operating Officer	Ms.	Handlan	Jen		1-800-350-6626				1-559-396-3582	operations@fenyxhealth.com	PO Box 135		Winfield	PA	17889	12/23/2025	2026	FENYX HEALTH INSURANCE COMPANY	MSA	Fenyx Health	MSA		"Fenyx Health Holdings, Inc."	808	No	Active					MSA		C	Denver
H6130	Government Relations Contact		Ms.	Handlan	Jen		1-559-777-5728					jen@fenyxhealth.com	PO Box 135		Winfield	PA	17889	1/27/2024	2026	FENYX HEALTH INSURANCE COMPANY	MSA	Fenyx Health	MSA		"Fenyx Health Holdings, Inc."	808	No	Active					MSA		C	Denver
H6130	Medicare Compliance Officer		Ms.	Handlan	Jen		1-559-777-5728					jen@fenyxhealth.com	PO Box 135		Winfield	PA	17889	1/27/2024	2026	FENYX HEALTH INSURANCE COMPANY	MSA	Fenyx Health	MSA		"Fenyx Health Holdings, Inc."	808	No	Active					MSA		C	Denver
H6142	Chief Financial Officer	CHIEF FINANCIAL OFFICER	Ms.	Vullmahn	Caroline		1-312-423-4200					cvullmahn@unionhealth.org	1634 W POLK ST		CHICAGO	IL	60612	10/6/2022	2026	"UNION HEALTH SERVICES, INC."	HCPP - 1833 Cost	"Union Health Service, Inc."	HCPP - 1833 Cost		"Union Health Services, Inc."	241	No	Active					HCPP		1	Chicago
H6142	Medicare Compliance Officer		MS.	ROCK	JILL		1-312-423-4200	3222				JROCK@UNIONHEALTH.ORG	1634  W POLK STREET		CHICAGO	IL	60612	4/28/2021	2026	"UNION HEALTH SERVICES, INC."	HCPP - 1833 Cost	"Union Health Service, Inc."	HCPP - 1833 Cost		"Union Health Services, Inc."	241	No	Active					HCPP		1	Chicago
H6147	Automated TrOOP Balance Transfer Contact	Business Services Manager		Valdivia	Nadina	M	1-909-558-7223	49157				nmvaldiv@llu.edu	1790 West Park Avenue	Ste. 100	Redlands	CA	92373	3/27/2025	2026	LOMA LINDA UNIVERSITY MEDICAL CENTER	National PACE	Loma Linda University Health PACE	National PACE		Loma Linda University Medical Center	819	Yes	Active					PACE - Nat		C	San Francisco
H6147	Best Available Evidence Contact	"VP, Financial Services"		Mowery	Lew		1-909-558-4000					lmowery@llu.edu	11234 Anderson Street		Loma Linda	CA	92354	9/22/2021	2026	LOMA LINDA UNIVERSITY MEDICAL CENTER	National PACE	Loma Linda University Health PACE	National PACE		Loma Linda University Medical Center	819	Yes	Active					PACE - Nat		C	San Francisco
H6147	Chief Financial Officer	Chief Financial Officer and SVP Finance	Ms.	Lalas	Angela		1-909-558-4000					ALalas@llu.edu	11234 Anderson Street		Loma Linda	CA	92354	9/22/2021	2026	LOMA LINDA UNIVERSITY MEDICAL CENTER	National PACE	Loma Linda University Health PACE	National PACE		Loma Linda University Medical Center	819	Yes	Active					PACE - Nat		C	San Francisco
H6147	CMS Casework Communication Contact	"AVP, Care Coordination"		Glaspell	Pamela		1-909-558-4000	88682				pglaspell@llu.edu	11234 Anderson Street		Loma Linda	CA	92354	11/7/2024	2026	LOMA LINDA UNIVERSITY MEDICAL CENTER	National PACE	Loma Linda University Health PACE	National PACE		Loma Linda University Medical Center	819	Yes	Active					PACE - Nat		C	San Francisco
H6147	Coordination of Benefits Contact	"Director, LLUH-PACE"		von Esch	Leslie		1-909-558-7223				1-909-219-6691	lvonesch@llu.edu	1790 West Park Avenue	Suite 100	Redlands	CA	92373	3/6/2024	2026	LOMA LINDA UNIVERSITY MEDICAL CENTER	National PACE	Loma Linda University Health PACE	National PACE		Loma Linda University Medical Center	819	Yes	Active					PACE - Nat		C	San Francisco
H6147	Customer Service Operations Contact	Director-Patient Relations		Mikhail	Wagih		1-909-558-4000					WMikhail@llu.edu	11234 Anderson Street		Loma Linda	CA	92354	9/22/2021	2026	LOMA LINDA UNIVERSITY MEDICAL CENTER	National PACE	Loma Linda University Health PACE	National PACE		Loma Linda University Medical Center	819	Yes	Active					PACE - Nat		C	San Francisco
H6147	Government Relations Contact	Program Director	Ms.	Von Esch	Leslie		1-909-558-7223					LVonEsch@llu.edu	1790 West Park Ave		Redlands	CA	92373	3/6/2024	2026	LOMA LINDA UNIVERSITY MEDICAL CENTER	National PACE	Loma Linda University Health PACE	National PACE		Loma Linda University Medical Center	819	Yes	Active					PACE - Nat		C	San Francisco
H6147	Medicare Compliance Officer	Program Director	Ms.	von Esch	Leslie		1-909-558-7223				1-909-219-6691	lvonesch@llu.edu	1790 West Park Avenue	Suite 100	Redlands	CA	92373	3/6/2024	2026	LOMA LINDA UNIVERSITY MEDICAL CENTER	National PACE	Loma Linda University Health PACE	National PACE		Loma Linda University Medical Center	819	Yes	Active					PACE - Nat		C	San Francisco
H6147	Part D Exceptions Contact	Business Services Manager		Valdivia	Nadina							nmvaldiv@llu.edu	1790 West Park Avenue	Ste. 100	Redlands	CA	92373	3/27/2025	2026	LOMA LINDA UNIVERSITY MEDICAL CENTER	National PACE	Loma Linda University Health PACE	National PACE		Loma Linda University Medical Center	819	Yes	Active	1-909-558-7223	49157			PACE - Nat		C	San Francisco
H6147	Pharmacy Network Management Contact	Director-Home Delivery Pharmacy		Gunther	Larisa		1-909-651-4705					Lagunther@llu.edu	"125 E. Club Center Drive, Suite 1500"		San Bernardino	CA	92408	11/8/2024	2026	LOMA LINDA UNIVERSITY MEDICAL CENTER	National PACE	Loma Linda University Health PACE	National PACE		Loma Linda University Medical Center	819	Yes	Active					PACE - Nat		C	San Francisco
H6147	Pharmacy Technical Help Desk Contact	Pharmastar		Service	Customer							jvang@pharmastaronline.com	2503 N. Hillcrest Parkway		Altoona	WI	54720	9/23/2021	2026	LOMA LINDA UNIVERSITY MEDICAL CENTER	National PACE	Loma Linda University Health PACE	National PACE		Loma Linda University Medical Center	819	Yes	Active	1-888-298-7770				PACE - Nat		C	San Francisco
H6147	Plan to Plan Reconciliation Contact	Business Services Manager		Valdivia	Nadina	M	1-909-558-7223				1-909-219-6691	nmvaldiv@llu.edu	1790 West Park Avenue	Suite 100	Redlands	CA	92373	12/5/2024	2026	LOMA LINDA UNIVERSITY MEDICAL CENTER	National PACE	Loma Linda University Health PACE	National PACE		Loma Linda University Medical Center	819	Yes	Active					PACE - Nat		C	San Francisco
H6154	Automated TrOOP Balance Transfer Contact			Bean	Danielle		1-952-992-2864					danielle.bean@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	5/19/2026	2026	MEDICA HEALTH PLANS	Local CCP	Medica	HMO/HMOPOS		Medica Holding Company	439	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H6154	Best Available Evidence Contact			Bock	Kelly		1-952-992-8379					kelly.bock@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	5/19/2026	2026	MEDICA HEALTH PLANS	Local CCP	Medica	HMO/HMOPOS		Medica Holding Company	439	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H6154	Chief Financial Officer	CFO	Ms	Dusil	Krista		1-952-992-3908					CFO@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	5/19/2026	2026	MEDICA HEALTH PLANS	Local CCP	Medica	HMO/HMOPOS		Medica Holding Company	439	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H6154	CMS Casework Communication Contact			Blum	Adam		1-608-830-5954					adam.blum@deancare.com	1277 Deming Way		Madison	WI	53717	5/19/2026	2026	MEDICA HEALTH PLANS	Local CCP	Medica	HMO/HMOPOS		Medica Holding Company	439	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H6154	Coordination of Benefits Contact			Vilendrer	Krista		1-952-992-3252					krista.vilendrer@medica.com	301 Carlson Parkway		Minnetonka	MN	55305	5/19/2026	2026	MEDICA HEALTH PLANS	Local CCP	Medica	HMO/HMOPOS		Medica Holding Company	439	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H6154	Customer Service Operations Contact			Bock	Kelly		1-952-992-8379					kelly.bock@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	5/19/2026	2026	MEDICA HEALTH PLANS	Local CCP	Medica	HMO/HMOPOS		Medica Holding Company	439	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H6154	Government Relations Contact	"VP & GM, Medicare"		Orr	Britta		1-952-992-3111					Britta.Orr@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	5/19/2026	2026	MEDICA HEALTH PLANS	Local CCP	Medica	HMO/HMOPOS		Medica Holding Company	439	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H6154	Hospice Contact			Bourdages	Kathy		1-952-992-3653					PharmacySrvcGovtProg@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	5/19/2026	2026	MEDICA HEALTH PLANS	Local CCP	Medica	HMO/HMOPOS		Medica Holding Company	439	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H6154	Medicare Compliance Officer	VP Risk and Compliance	Ms	Bengtson	Kelly		1-952-992-3948					complianceofficer@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	5/19/2026	2026	MEDICA HEALTH PLANS	Local CCP	Medica	HMO/HMOPOS		Medica Holding Company	439	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H6154	Part D Exceptions Contact			Rodine	Bridget							bridget.rodine@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	5/19/2026	2026	MEDICA HEALTH PLANS	Local CCP	Medica	HMO/HMOPOS		Medica Holding Company	439	Yes	Withdrawn Contract	1-952-992-2353				HMO - Health Maintenance Organization		C	Dallas
H6154	Pharmacy Network Management Contact	Director Clinical Pharmacy		Wilhelm	Sue		1-608-827-7576					Sue.Wilhelm@deancare.com	1277 Deming Way		Madison	WI	53717	5/19/2026	2026	MEDICA HEALTH PLANS	Local CCP	Medica	HMO/HMOPOS		Medica Holding Company	439	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H6154	Pharmacy Technical Help Desk Contact	"Sr. Director, Customer Service"		Sahs	Dale							dale.sahs@expressscripts.com	One Express Way		St. Louis	MO	63121	5/19/2026	2026	MEDICA HEALTH PLANS	Local CCP	Medica	HMO/HMOPOS		Medica Holding Company	439	Yes	Withdrawn Contract	1-800-922-1557				HMO - Health Maintenance Organization		C	Dallas
H6154	Plan to Plan Reconciliation Contact			Ricaurte	Angela		1-952-992-3748					Angela.Ricaurte@medica.com	401 Carlson Parkway CP330		Minnetonka	MN	55305	5/19/2026	2026	MEDICA HEALTH PLANS	Local CCP	Medica	HMO/HMOPOS		Medica Holding Company	439	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H6158	Automated TrOOP Balance Transfer Contact	"Manager, MedD Financial Operations"		Davis	Brittany		1-480-536-4772					Brittany.Davis@CVSHealth.com	9501 E Shea Blvd MC 121		Scottsdale	AZ	85260	7/18/2024	2026	"USABLE HMO, INC."	Local CCP	Arkansas Blue Medicare	HMO/HMOPOS		USAble Mutual Insurance Company	421	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6158	Best Available Evidence Contact	"Manager, Medicare Operations"		Sherer	Michael		1-501-378-3641					mcsherer@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	10/17/2024	2026	"USABLE HMO, INC."	Local CCP	Arkansas Blue Medicare	HMO/HMOPOS		USAble Mutual Insurance Company	421	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6158	Chief Financial Officer	Treasurer	Mr.	Winter	Scott		1-501-399-3951					sbwinter@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	1/13/2025	2026	"USABLE HMO, INC."	Local CCP	Arkansas Blue Medicare	HMO/HMOPOS		USAble Mutual Insurance Company	421	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6158	CMS Casework Communication Contact	"Manager, Medicare Operations"		Sherer	Michael		1-501-378-3641					mcsherer@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	10/17/2024	2026	"USABLE HMO, INC."	Local CCP	Arkansas Blue Medicare	HMO/HMOPOS		USAble Mutual Insurance Company	421	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6158	Coordination of Benefits Contact	"Manager, MedD Financial Operations"		Davis	Brittany		1-480-536-4772					Brittany.Davis@CVSHealth.com	9501 E Shea Blvd MC 121		Scottsdale	AZ	85260	7/18/2024	2026	"USABLE HMO, INC."	Local CCP	Arkansas Blue Medicare	HMO/HMOPOS		USAble Mutual Insurance Company	421	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6158	Customer Service Operations Contact	"Manager, Medicare Operations"		Sherer	Michael		1-501-378-3641					mcsherer@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	10/17/2024	2026	"USABLE HMO, INC."	Local CCP	Arkansas Blue Medicare	HMO/HMOPOS		USAble Mutual Insurance Company	421	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6158	Government Relations Contact	Director Medicare Compliance	Mr.	Kirsch	Nick		1-501-340-9589					nkirsch@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	4/8/2026	2026	"USABLE HMO, INC."	Local CCP	Arkansas Blue Medicare	HMO/HMOPOS		USAble Mutual Insurance Company	421	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6158	Hospice Contact	"Supervisor, Medicare Member Services"		Taylor	Alicia		1-501-378-3743					aataylor@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	8/18/2021	2026	"USABLE HMO, INC."	Local CCP	Arkansas Blue Medicare	HMO/HMOPOS		USAble Mutual Insurance Company	421	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6158	Medicare Compliance Officer	Director Medicare Compliance	Mr.	Kirsch	Nick		1-501-340-9589					nkirsch@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	2/6/2026	2026	"USABLE HMO, INC."	Local CCP	Arkansas Blue Medicare	HMO/HMOPOS		USAble Mutual Insurance Company	421	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6158	Part D Exceptions Contact	Account Manager		Ellinger	David							David.Ellinger@CVSHealth.com	9501 E Shea Blvd MC 121		Scottsdale	AZ	85260	5/21/2025	2026	"USABLE HMO, INC."	Local CCP	Arkansas Blue Medicare	HMO/HMOPOS		USAble Mutual Insurance Company	421	Yes	Active	1-480-240-8415				HMO - Health Maintenance Organization		C	New York
H6158	Pharmacy Network Management Contact	Account Manager		Ellinger	David		1-480-240-8415					David.Ellinger@CVSHealth.com	9501 E Shea Blvd MC 121		Scottsdale	AZ	85260	5/21/2025	2026	"USABLE HMO, INC."	Local CCP	Arkansas Blue Medicare	HMO/HMOPOS		USAble Mutual Insurance Company	421	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6158	Pharmacy Technical Help Desk Contact			Customer Service	CVS								9501 E Shea Blvd MC 121		Scottsdale	AZ	85260	10/10/2024	2026	"USABLE HMO, INC."	Local CCP	Arkansas Blue Medicare	HMO/HMOPOS		USAble Mutual Insurance Company	421	Yes	Active	1-844-280-5833				HMO - Health Maintenance Organization		C	New York
H6158	Plan to Plan Reconciliation Contact	Financial Analyst		Holt	Susan		1-501-294-2491				1-501-378-3258	sbholt@arkbluecross.com	P O Box 8084		Little Rock	AR	72203	9/5/2024	2026	"USABLE HMO, INC."	Local CCP	Arkansas Blue Medicare	HMO/HMOPOS		USAble Mutual Insurance Company	421	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6170	Automated TrOOP Balance Transfer Contact	Compliance Director	Ms.	Snyder	Rebekah	J	1-657-505-8203				1-949-998-9856	BSnyder@championpayer.com	5000 Airport Plaza Drive	Suite 100	Long Beach	CA	90815	4/16/2025	2026	CHAMPION HEALTH PLAN OF CALIFORNIA INC	Local CCP	Champion Heath Plan	HMO/HMOPOS		"Champion Health Plans-USA, LLC."	804	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6170	Best Available Evidence Contact	Chief Compliance Officer	Ms.	Snyder	Constance	J	1-562-682-9395				1-949-998-9856	CSnyder@championpayer.com	5000 Airport Plaza Drive	Suite 100	Long Beach	CA	90815	4/16/2025	2026	CHAMPION HEALTH PLAN OF CALIFORNIA INC	Local CCP	Champion Heath Plan	HMO/HMOPOS		"Champion Health Plans-USA, LLC."	804	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6170	Chief Financial Officer	Chief Financial Officer	Mr	Kori	Vijay		1-800-885-8000				1-949-998-9856	vkori@championpayer.com	5000 Airport Plaza Drive	Suite 100	Long Beach	CA	90815	4/16/2025	2026	CHAMPION HEALTH PLAN OF CALIFORNIA INC	Local CCP	Champion Heath Plan	HMO/HMOPOS		"Champion Health Plans-USA, LLC."	804	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6170	CMS Casework Communication Contact	Chief Compliance Officer	Ms.	Snyder	Constance	J	1-562-682-9395				1-949-998-9856	CSnyder@ChampionPayer.com	5000 Airport Plaza Drive	Suite 100	"Long Beach,"	CA	90815	4/16/2025	2026	CHAMPION HEALTH PLAN OF CALIFORNIA INC	Local CCP	Champion Heath Plan	HMO/HMOPOS		"Champion Health Plans-USA, LLC."	804	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6170	Coordination of Benefits Contact	VP Quality	Ms	Reed	Mechelle		1-800-885-8000				1-949-998-9856	Claims@ChampionPayer.com	5000 Airport Plaza Drive	Suite 100	Long Beach	CA	90815	4/16/2025	2026	CHAMPION HEALTH PLAN OF CALIFORNIA INC	Local CCP	Champion Heath Plan	HMO/HMOPOS		"Champion Health Plans-USA, LLC."	804	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6170	Customer Service Operations Contact	Compliance Officer	Ms.	Snyder	Constance	J	1-562-682-9395				1-949-998-9856	CSnyder@championpayer.com	5000 Airport Plaza Drive	Suite 100	Long Beach	CA	90815	4/16/2025	2026	CHAMPION HEALTH PLAN OF CALIFORNIA INC	Local CCP	Champion Heath Plan	HMO/HMOPOS		"Champion Health Plans-USA, LLC."	804	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6170	Government Relations Contact	Chief Compliance Officer	Ms.	Snyder	Constance	J	1-562-682-9395				1-949-998-9856	CSnyder@championpayer.com	5000 Airport Plaza Drive	Suite 100	Long Beach	CA	90815	4/16/2025	2026	CHAMPION HEALTH PLAN OF CALIFORNIA INC	Local CCP	Champion Heath Plan	HMO/HMOPOS		"Champion Health Plans-USA, LLC."	804	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6170	Hospice Contact	Chief Compliance Officer	Ms.	Snyder	Constance	J	1-562-682-9395				1-949-998-9856	CSnyder@championpayer.com	5000 Airport Plaza Drive	Suite 100	Long Beach	CA	90815	4/16/2025	2026	CHAMPION HEALTH PLAN OF CALIFORNIA INC	Local CCP	Champion Heath Plan	HMO/HMOPOS		"Champion Health Plans-USA, LLC."	804	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6170	Medicare Compliance Officer	Compliance Officer / COO	Ms	Snyder	Constance	J	1-562-682-9395				1-949-998-9856	CSnyder@championpayer.com	5000 Airport Plaza Drive	Suite 100	Long Beach	CA	90815	4/16/2025	2026	CHAMPION HEALTH PLAN OF CALIFORNIA INC	Local CCP	Champion Heath Plan	HMO/HMOPOS		"Champion Health Plans-USA, LLC."	804	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6170	Part D Exceptions Contact	Sup PA & UM Programs	Mr	deGuzman	Edwin							Edwin.deGuzman@medimpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	4/16/2025	2026	CHAMPION HEALTH PLAN OF CALIFORNIA INC	Local CCP	Champion Heath Plan	HMO/HMOPOS		"Champion Health Plans-USA, LLC."	804	Yes	Active	1-844-282-5341				HMO - Health Maintenance Organization		C	Dallas
H6170	Pharmacy Network Management Contact	Dir Pharm Net Admin	Dr.	Hunt	Brian		1-858-790-7092					Brian.Hunt@MedImpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	5/20/2026	2026	CHAMPION HEALTH PLAN OF CALIFORNIA INC	Local CCP	Champion Heath Plan	HMO/HMOPOS		"Champion Health Plans-USA, LLC."	804	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6170	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"		Brewer	Kathy							CustomerService@MedImpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	4/16/2025	2026	CHAMPION HEALTH PLAN OF CALIFORNIA INC	Local CCP	Champion Heath Plan	HMO/HMOPOS		"Champion Health Plans-USA, LLC."	804	Yes	Active	1-844-282-5341				HMO - Health Maintenance Organization		C	Dallas
H6170	Plan to Plan Reconciliation Contact	CFO	Mr	Kori	Vijay		1-800-885-8000				1-949-998-9856	vkori@championpayer.com	5000 Airport Plaza Drive	Suite 100	Long Beach	CA	90815	4/16/2025	2026	CHAMPION HEALTH PLAN OF CALIFORNIA INC	Local CCP	Champion Heath Plan	HMO/HMOPOS		"Champion Health Plans-USA, LLC."	804	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6188	Automated TrOOP Balance Transfer Contact	Director Financial Management	Mr.	Hamm	David	A	1-724-776-1100					dave.hamm@lutheranseniorlife.org	191 Scharberry Lane		Mars	PA	16046	5/14/2024	2026	"VIECARE ARMSTRONG, LLC"	National PACE	LIFE Armstrong	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H6188	Best Available Evidence Contact	Director Financial Management	Mr.	Hamm	David		1-724-742-2226					dave.hamm@lutheranseniorlife.org	191 Scharberry Lane		Mars	PA	16046	8/10/2016	2026	"VIECARE ARMSTRONG, LLC"	National PACE	LIFE Armstrong	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H6188	Chief Financial Officer	CFO	Mr.	Carraway	Jeffrey		1-724-776-1100					jeffrey.carraway@lutheranseniorlife.org	191 Scharberry Lane		Mars	PA	16046	2/2/2018	2026	"VIECARE ARMSTRONG, LLC"	National PACE	LIFE Armstrong	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H6188	CMS Casework Communication Contact	Executive Director	Ms	Kisow	Leslie		1-724-776-1100					leslie.kisow@lutheranseniorlife.org	740 Blackburn Road		Sewickley	PA	15143	11/22/2021	2026	"VIECARE ARMSTRONG, LLC"	National PACE	LIFE Armstrong	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H6188	Coordination of Benefits Contact	Director Financial Management	Mr.	Hamm	David		1-724-742-2226					dave.hamm@lutheranseniorlife.org	191 Scharberry Lane		Mars	PA	16046	8/10/2016	2026	"VIECARE ARMSTRONG, LLC"	National PACE	LIFE Armstrong	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H6188	Customer Service Operations Contact	Executive Director	Ms	Kisow	Leslie		1-724-776-1100					leslie.kisow@lutheranseniorlife.org	740 Blackburn Road		Sewickley	PA	15143	11/22/2021	2026	"VIECARE ARMSTRONG, LLC"	National PACE	LIFE Armstrong	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H6188	Government Relations Contact	Executive Director	Ms	Kisow	Leslie		1-724-776-1100					leslie.kisow@lutheranseniorlife.org	740 Blackburn Road		Sewickley	PA	15143	11/22/2021	2026	"VIECARE ARMSTRONG, LLC"	National PACE	LIFE Armstrong	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H6188	Medicare Compliance Officer	Director Financial Management	Mr.	Hamm	David		1-724-742-2226					dave.hamm@lutheranseniorlife.org	191 Scharberry Lane		Mars	PA	16046	8/10/2016	2026	"VIECARE ARMSTRONG, LLC"	National PACE	LIFE Armstrong	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H6188	Part D Exceptions Contact	Director Financial Management	Mr.	Hamm	David							dave.hamm@lutheranseniorlife.org	191 Scharberry Lane		Mars	PA	16046	8/10/2016	2026	"VIECARE ARMSTRONG, LLC"	National PACE	LIFE Armstrong	National PACE		Lutheran SeniorLife	352	Yes	Active	1-724-742-2226				PACE - Nat		C	Philadelphia
H6188	Pharmacy Network Management Contact	Executive Director	Ms	Kisow	Leslie		1-724-776-1100					leslie.kisow@lutheranseniorlife.org	740 Blackburn Road		Sewickley	PA	15143	11/22/2021	2026	"VIECARE ARMSTRONG, LLC"	National PACE	LIFE Armstrong	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H6188	Pharmacy Technical Help Desk Contact	Medical Director	Dr.	Konitzky	Paul						1-724-543-4370	paul.konitzky@lutheranseniorlife.org	115 Nolte Drive		Kittanning	PA	16201	3/10/2020	2026	"VIECARE ARMSTRONG, LLC"	National PACE	LIFE Armstrong	National PACE		Lutheran SeniorLife	352	Yes	Active	1-724-545-8000				PACE - Nat		C	Philadelphia
H6188	Plan to Plan Reconciliation Contact	Director Financial Management	Mr.	Hamm	David		1-724-742-2226					dave.hamm@lutheranseniorlife.org	191 Scharberry Lane		Mars	PA	16046	8/10/2016	2026	"VIECARE ARMSTRONG, LLC"	National PACE	LIFE Armstrong	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H6200	Automated TrOOP Balance Transfer Contact	"Director, Fulfillment"	Mr.	Kunkel	Shawn		1-618-401-5356					enrollment@lumeris.com	13900 Riverport Drive		Maryland Heights	MO	63043	1/27/2026	2026	"ESSENCE HEALTHCARE PPO, INC."	Local CCP	Essence Healthcare	Local PPO		Lumeris Group Holdings Corporation	86	Yes	Active					PPO - BBA		C	Dallas
H6200	Best Available Evidence Contact	"Director, Fulfillment"	Mr.	Kunkel	Shawn		1-618-401-5356					enrollment@lumeris.com	13900 Riverport Drive		Maryland Heights	MO	63131	1/27/2026	2026	"ESSENCE HEALTHCARE PPO, INC."	Local CCP	Essence Healthcare	Local PPO		Lumeris Group Holdings Corporation	86	Yes	Active					PPO - BBA		C	Dallas
H6200	Chief Financial Officer	Chief Financial Officer	Ms.	Venable	Erin		1-314-324-3689					evenable@lumeris.com	13900 Riverport Drive		Maryland Heights	MO	63043	1/27/2026	2026	"ESSENCE HEALTHCARE PPO, INC."	Local CCP	Essence Healthcare	Local PPO		Lumeris Group Holdings Corporation	86	Yes	Active					PPO - BBA		C	Dallas
H6200	CMS Casework Communication Contact	"VP Compliance, Medicare Compliance Officer"	Mr.	Whitbeck	Britton		1-314-209-3989					jwhitbeck@lumeris.com	13900 Riverport Drive		Maryland Heights	MO	63043	1/27/2026	2026	"ESSENCE HEALTHCARE PPO, INC."	Local CCP	Essence Healthcare	Local PPO		Lumeris Group Holdings Corporation	86	Yes	Active					PPO - BBA		C	Dallas
H6200	Coordination of Benefits Contact			Inquiries	COB		1-866-597-9560					COBInquiry@lumeris.com	P O BOX 5907		TROY	MI	48007	1/27/2026	2026	"ESSENCE HEALTHCARE PPO, INC."	Local CCP	Essence Healthcare	Local PPO		Lumeris Group Holdings Corporation	86	Yes	Active					PPO - BBA		C	Dallas
H6200	Customer Service Operations Contact	"Vice President, Health Plan Operations"	Ms.	Meyerhoffer	Linda		1-636-541-6110					rmeyerhoffer@lumeris.com	13900 Riverport Drive		Maryland Heights	MO	63043	1/27/2026	2026	"ESSENCE HEALTHCARE PPO, INC."	Local CCP	Essence Healthcare	Local PPO		Lumeris Group Holdings Corporation	86	Yes	Active					PPO - BBA		C	Dallas
H6200	Government Relations Contact	Chief Legal Officer	Ms.	Halterman	Gail		1-314-482-9176					ghalterman@lumeris.com	13900 Riverport Drive		Maryland Heights	MO	63043	1/27/2026	2026	"ESSENCE HEALTHCARE PPO, INC."	Local CCP	Essence Healthcare	Local PPO		Lumeris Group Holdings Corporation	86	Yes	Active					PPO - BBA		C	Dallas
H6200	Hospice Contact	"Director, Pharmacy Operations"	Ms.	Summerfield	Kelly		1-314-770-3788					ksummerfield@lumeris.com	13900 Riverport Drive		Maryland Heights	MO	63043	1/27/2026	2026	"ESSENCE HEALTHCARE PPO, INC."	Local CCP	Essence Healthcare	Local PPO		Lumeris Group Holdings Corporation	86	Yes	Active					PPO - BBA		C	Dallas
H6200	Medicare Compliance Officer	"VP Compliance, Medicare Compliance Officer"	Mr.	Whitbeck	Britton		1-314-209-3989					jwhitbeck@lumeris.com	13900 Riverport Drive		Maryland Heights	MO	63043	1/27/2026	2026	"ESSENCE HEALTHCARE PPO, INC."	Local CCP	Essence Healthcare	Local PPO		Lumeris Group Holdings Corporation	86	Yes	Active					PPO - BBA		C	Dallas
H6200	Part D Exceptions Contact	Sr. Manager Pharmacy Prior Authorization	Mr.	Herbert	Joshua							Adam.Hollowell@evernorth.com	One Express Way	Mail Stop S13NB	St Louis	MO	63121	1/27/2026	2026	"ESSENCE HEALTHCARE PPO, INC."	Local CCP	Essence Healthcare	Local PPO		Lumeris Group Holdings Corporation	86	Yes	Active	1-513-292-0563				PPO - BBA		C	Dallas
H6200	Pharmacy Network Management Contact	"Director, Pharmacy Operations"	Ms.	Summerfield	Kelly		1-314-770-3788					ksummerfield@lumeris.com	13900 Riverport Drive		Maryland Heights	MO	63043	1/27/2026	2026	"ESSENCE HEALTHCARE PPO, INC."	Local CCP	Essence Healthcare	Local PPO		Lumeris Group Holdings Corporation	86	Yes	Active					PPO - BBA		C	Dallas
H6200	Pharmacy Technical Help Desk Contact	"Sr. Director, Customer Service"	Mr.	Sahs	Dale							dale.sahs@express-scripts.com	One Express Way	Mail Stop S13NB	St. Louis	MO	63121	1/27/2026	2026	"ESSENCE HEALTHCARE PPO, INC."	Local CCP	Essence Healthcare	Local PPO		Lumeris Group Holdings Corporation	86	Yes	Active	1-800-922-1557				PPO - BBA		C	Dallas
H6200	Plan to Plan Reconciliation Contact	"Director, Health Plan Finance"	Ms.	Meyer	Jenell		1-314-770-3733					jameyer@lumeris.com	13900 Riverport Drive		Maryland Heights	MO	63043	1/27/2026	2026	"ESSENCE HEALTHCARE PPO, INC."	Local CCP	Essence Healthcare	Local PPO		Lumeris Group Holdings Corporation	86	Yes	Active					PPO - BBA		C	Dallas
H6202	Automated TrOOP Balance Transfer Contact	"Manager, Business Process"		Diaz	Mario		1-714-317-2628					OptumRx-SupportServices@optum.com	11000 Optum Circle		Eden Prairie	MN	55344	1/11/2023	2026	NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY	Local CCP	NextBlue of North Dakota	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H6202	Best Available Evidence Contact	Manager		LaMontagne	Amanda		1-508-439-9720					amanda.lamontagne@advantasure.com	5 Polaris Way		Aliso Viejo	CA	92656	3/6/2024	2026	NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY	Local CCP	NextBlue of North Dakota	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H6202	Chief Financial Officer	"SVP, Controller"	Mr.	Pisarik	Jason		1-517-708-5285					jason.pisarik@emergentholdingsinc.com	200 N. Grand Ave.		Lansing	MI	48901	2/6/2020	2026	NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY	Local CCP	NextBlue of North Dakota	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H6202	CMS Casework Communication Contact	Manager		Martell	Stacey		1-313-806-5905					smartell@bcbsm.com	600 East Lafayette Blvd.	MC 1502	Detroit	MI	48226	12/3/2024	2026	NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY	Local CCP	NextBlue of North Dakota	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H6202	Coordination of Benefits Contact	Manager		LaMontagne	Amanda		1-508-439-9720					amanda.lamontagne@advantasure.com	5 Polaris Way		Aliso Viejo	CA	92656	3/6/2024	2026	NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY	Local CCP	NextBlue of North Dakota	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H6202	Customer Service Operations Contact	"Director, Workforce Management, Analytics, & Supp"		Weber	Julie		1-313-225-0555					jweber@bcbsm.com	600 East Lafayette		Detroit	MI	48226	3/11/2021	2026	NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY	Local CCP	NextBlue of North Dakota	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H6202	Government Relations Contact	Manager		Martell	Stacey		1-313-806-5905					smartell@bcbsm.com	600 East Lafayette Blvd.	MC 1502	Detroit	MI	48226	12/3/2024	2026	NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY	Local CCP	NextBlue of North Dakota	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H6202	Hospice Contact	"Senior Analyst, Pharmacy Operations"		Zylstra	Jennifer		1-954-498-5880					Jennifer.zylstra@emergient.com	1000 Town Center		Southfield	MI	48075	6/8/2022	2026	NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY	Local CCP	NextBlue of North Dakota	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H6202	Medicare Compliance Officer	"Vice President, Enterprise Compliance"	Ms.	Lange	Kelly		1-313-225-8554					medcomplianceofficer2@bcbsm.com	600 East Lafayette		Detroit	MI	48226	3/3/2022	2026	NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY	Local CCP	NextBlue of North Dakota	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H6202	Part D Exceptions Contact	"Manager, Pharmacy PA/Appeals"		Bricker	Bryce							bryce.m.bricker@optum.com	11000 Optum Circle		Eden Prairie	MN	55344	1/11/2023	2026	NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY	Local CCP	NextBlue of North Dakota	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active	1-855-812-4306				PPO - BBA		C	Chicago
H6202	Pharmacy Network Management Contact	"Sr. Account Manager, Network Account Management"		Brown	Casey		1-612-642-7367					casey.brown@optum.com	11000 Optum Circle		Eden Prairie	MN	55344	1/11/2023	2026	NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY	Local CCP	NextBlue of North Dakota	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H6202	Pharmacy Technical Help Desk Contact	Manager		Villanueva	Juan							Juan.Villanueva@optum.com	Telecommute		Costa Mesa	CA	92626	12/17/2025	2026	NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY	Local CCP	NextBlue of North Dakota	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active	1-800-788-7871				PPO - BBA		C	Chicago
H6202	Plan to Plan Reconciliation Contact	"SVP, Controller"		Pisarik	Jason		1-517-708-5285					jason.pisarik@emergentholdingsinc.com	200 N. Grand Ave.		Lansing	MI	48901	2/6/2020	2026	NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY	Local CCP	NextBlue of North Dakota	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H6224	Automated TrOOP Balance Transfer Contact	Senior Risk and Compliance Project Manager		Woods	Shane		1-412-918-8763					Shane.Woods@highmark.com	Fifth Avenue Place	120 Fifth Avenue	Pittsburgh	PA	15222	2/9/2026	2026	HIGHMARK HEALTH OPTIONS WEST VIRGINIA INC.	Local CCP	Highmark Blue Cross Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H6224	Best Available Evidence Contact	"Senior Director,Operations"	Ms.	Magliocco	Michelle		1-412-255-4810					mmagliocco@highmarkwholecare.com	Fifth Avenue Place	120 Fifth Avenue	Pittsburgh	PA	15222	1/4/2026	2026	HIGHMARK HEALTH OPTIONS WEST VIRGINIA INC.	Local CCP	Highmark Blue Cross Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H6224	Chief Financial Officer	CFO Highmark Health Plan	Ms.	Musler	Kate		1-412-544-8653					katherine.musler@highmark.com	120 5th Avenue		Pittsburgh	PA	15222	1/4/2026	2026	HIGHMARK HEALTH OPTIONS WEST VIRGINIA INC.	Local CCP	Highmark Blue Cross Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H6224	CMS Casework Communication Contact	"Senior Director, Operations"	Ms.	Magliocco	Michelle		1-412-255-4810					mmagliocco@highmarkwholecare.com	Fifth Avenue Place	120 Fifth Avenue	Pittsburgh	PA	15222	1/4/2026	2026	HIGHMARK HEALTH OPTIONS WEST VIRGINIA INC.	Local CCP	Highmark Blue Cross Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H6224	Coordination of Benefits Contact	"Sr. Director, Operations"	Ms.	Magliocco	Michelle		1-412-255-4810					COB-TPLMedicare@highmarkwholecare.com	Fifth Avenue Place	120 Fifth Avenue	Pittsburgh	PA	15222	1/4/2026	2026	HIGHMARK HEALTH OPTIONS WEST VIRGINIA INC.	Local CCP	Highmark Blue Cross Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H6224	Customer Service Operations Contact	Manager Business Operations	Mr.	Hartman	Josh		1-800-685-5209					jhartman@highmarkwholecare.com	Fifth Avenue Place	120 Fifth Avenue	Pittsburgh	PA	15222	1/4/2026	2026	HIGHMARK HEALTH OPTIONS WEST VIRGINIA INC.	Local CCP	Highmark Blue Cross Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H6224	Government Relations Contact	Medicare Compliance Officer	Mr.	Boettler	Thomas		1-412-544-7031					Thomas.Boettler@highmark.com	120 5th Avenue	Suite 1833	Pittsburgh	PA	15222	1/4/2026	2026	HIGHMARK HEALTH OPTIONS WEST VIRGINIA INC.	Local CCP	Highmark Blue Cross Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H6224	Hospice Contact	Senior Risk and Compliance Project Manager		Woods	Shane		1-412-918-8763					Shane.Woods@highmark.com	Fifth Avenue Place	120 Fifth Avenue	Pittsburgh	PA	15222	2/9/2026	2026	HIGHMARK HEALTH OPTIONS WEST VIRGINIA INC.	Local CCP	Highmark Blue Cross Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H6224	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Boettler	Thomas		1-412-544-7031					Thomas.Boettler@highmark.com	120 5th Avenue	Suite 1833	Pittsburgh	PA	15222	1/4/2026	2026	HIGHMARK HEALTH OPTIONS WEST VIRGINIA INC.	Local CCP	Highmark Blue Cross Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H6224	Part D Exceptions Contact	"Manager, Pharmacy Clinical Operations"		Zikmund	Ross							ross.zikmund@highmark.com	Fifth Avenue Place	120 Fifth Avenue	Pittsburgh	PA	15222	2/9/2026	2026	HIGHMARK HEALTH OPTIONS WEST VIRGINIA INC.	Local CCP	Highmark Blue Cross Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active	1-412-255-6370				HMO - Health Maintenance Organization		C	Philadelphia
H6224	Pharmacy Network Management Contact	"Director,  Pharmacy Business Operations"		Funkhouser	Christina		1-412-215-7123					christina.funkhouser@highmark.com	Fifth Avenue Place	120 Fifth Avenue	Pittsburgh	PA	15222	2/9/2026	2026	HIGHMARK HEALTH OPTIONS WEST VIRGINIA INC.	Local CCP	Highmark Blue Cross Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H6224	Pharmacy Technical Help Desk Contact			Pharmacy Help Desk	CVS								Fifth Avenue Place	120 Fifth Avenue	Pittsburgh	PA	15222	1/4/2026	2026	HIGHMARK HEALTH OPTIONS WEST VIRGINIA INC.	Local CCP	Highmark Blue Cross Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Philadelphia
H6224	Plan to Plan Reconciliation Contact	"Manager, Operational Accounting"		Stehr	Brett		1-717-302-2748					P2PRecon@highmark.com	Attn: Cashier	PO Box 898820	Camp Hill	PA	17089	1/4/2026	2026	HIGHMARK HEALTH OPTIONS WEST VIRGINIA INC.	Local CCP	Highmark Blue Cross Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H6231	Automated TrOOP Balance Transfer Contact	VP Finance	Mr.	Richard	Scott		1-225-765-5216				1-225-765-8305	scott.richard@fmolhs.org	5000 Hennessy Blvd		Baton Rouge	LA	70808	2/13/2026	2026	"FRANCISCAN PACE, INC."	National PACE	PACE Baton Rouge	National PACE		Franciscan Missionaries of Our Lady Health System	366	Yes	Active					PACE - Nat		C	New York
H6231	Best Available Evidence Contact	Executive Director	Mr.	Hickey	Michael		1-225-490-0604	322			1-225-490-0354	michael.hickey@fmolhs.org	7436 Bishop Ott Drive		Baton Rouge	LA	70806	2/13/2026	2026	"FRANCISCAN PACE, INC."	National PACE	PACE Baton Rouge	National PACE		Franciscan Missionaries of Our Lady Health System	366	Yes	Active					PACE - Nat		C	New York
H6231	Chief Financial Officer	Chief Financial Officer - FMOLHS	Mr.	Gleason	Mike		1-225-923-2701				1-225-926-4846	michael.gleason@fmolhs.org	4200 Essen Lane		Baton Rouge	LA	70808	7/25/2024	2026	"FRANCISCAN PACE, INC."	National PACE	PACE Baton Rouge	National PACE		Franciscan Missionaries of Our Lady Health System	366	Yes	Active					PACE - Nat		C	New York
H6231	CMS Casework Communication Contact	Executive Director	Mr.	Hickey	Michael		1-225-490-0604				1-225-490-0354	michael.hickey@fmolhs.org	7436 Bishop Ott Drive		Baton Rouge	LA	70808	2/13/2026	2026	"FRANCISCAN PACE, INC."	National PACE	PACE Baton Rouge	National PACE		Franciscan Missionaries of Our Lady Health System	366	Yes	Active					PACE - Nat		C	New York
H6231	Coordination of Benefits Contact	VP Finance	Mr.	Richard	Scott		1-225-374-7763				1-225-765-8305	scott.richard@fmolhs.org	5000 Hennessy Blvd		Baton Rouge	LA	70808	2/13/2026	2026	"FRANCISCAN PACE, INC."	National PACE	PACE Baton Rouge	National PACE		Franciscan Missionaries of Our Lady Health System	366	Yes	Active					PACE - Nat		C	New York
H6231	Customer Service Operations Contact	Executive Director	Mr.	Hickey	Michael		1-225-490-0604	322			1-225-490-0354	michael.hickey@fmolhs.org	7436 Bishop Ott Drive		Baton Rouge	LA	70808	2/13/2026	2026	"FRANCISCAN PACE, INC."	National PACE	PACE Baton Rouge	National PACE		Franciscan Missionaries of Our Lady Health System	366	Yes	Active					PACE - Nat		C	New York
H6231	Government Relations Contact	Executive Director	Mr.	Hickey	Michael		1-225-490-0604				1-225-490-0354	michael.hickey@fmolhs.org	7436 Bishop Ott Drive		Baton Rouge	LA	70808	2/13/2026	2026	"FRANCISCAN PACE, INC."	National PACE	PACE Baton Rouge	National PACE		Franciscan Missionaries of Our Lady Health System	366	Yes	Active					PACE - Nat		C	New York
H6231	Medicare Compliance Officer	Compliance Officer	Mr.	Leblanc	Philip		1-225-765-5216				1-225-490-0354	philip.leblanc@fmolhs.org	5000 Hennessy Blvd.		Baton Rouge	LA	70809	4/18/2023	2026	"FRANCISCAN PACE, INC."	National PACE	PACE Baton Rouge	National PACE		Franciscan Missionaries of Our Lady Health System	366	Yes	Active					PACE - Nat		C	New York
H6231	Part D Exceptions Contact	Franciscan PACE Inc. Medical Director	Dr.	Green	Michael						1-225-490-0354	michael.green@fmolhs.org	7436 Bishop Ott Drive		Baton Rouge	LA	70806	12/27/2018	2026	"FRANCISCAN PACE, INC."	National PACE	PACE Baton Rouge	National PACE		Franciscan Missionaries of Our Lady Health System	366	Yes	Active	1-800-789-2863				PACE - Nat		C	New York
H6231	Pharmacy Network Management Contact	Executive Director	Mr.	Hickey	Michael		1-225-490-0604	322			1-225-490-0354	michael.hickey@fmolhs.org	7436 Bishop Ott Drive		Baton Rouge	LA	70806	2/13/2026	2026	"FRANCISCAN PACE, INC."	National PACE	PACE Baton Rouge	National PACE		Franciscan Missionaries of Our Lady Health System	366	Yes	Active					PACE - Nat		C	New York
H6231	Pharmacy Technical Help Desk Contact	Medical Director	Dr.	Green	Michael						1-225-490-0354	michael.green@fmolhs.org	7436 Bishop Ott Drive		Baton Rouge	LA	70806	7/18/2024	2026	"FRANCISCAN PACE, INC."	National PACE	PACE Baton Rouge	National PACE		Franciscan Missionaries of Our Lady Health System	366	Yes	Active	1-225-490-0604				PACE - Nat		C	New York
H6231	Plan to Plan Reconciliation Contact	VP Finance	Mr.	Richard	Scott		1-225-374-7763				1-225-765-8305	scott.richard@fmolhs.org	5000 Hennessy Blvd		Baton Rouge	LA	70808	2/13/2026	2026	"FRANCISCAN PACE, INC."	National PACE	PACE Baton Rouge	National PACE		Franciscan Missionaries of Our Lady Health System	366	Yes	Active					PACE - Nat		C	New York
H6237	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Mngmnt	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	3/18/2025	2026	REGENCE BLUECROSS BLUESHIELD OF OREGON	Local CCP	Regence BlueCross BlueShield of Oregon	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6237	Best Available Evidence Contact	Membership Ambassador	Ms.	Wells	Trisha		1-800-543-8848	2751			1-888-335-2988	ORMEMMEDAmbassador@regence.com	PO Box 1827		Medford	OR	97501	3/18/2025	2026	REGENCE BLUECROSS BLUESHIELD OF OREGON	Local CCP	Regence BlueCross BlueShield of Oregon	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6237	Chief Financial Officer	Cambia EVP & CFO	Mr.	Rains	Mike		1-317-690-0081					Mike.Rains@regence.com	1111 Lake Washington Blvd North STE 900		Renton	WA	98056	4/15/2026	2026	REGENCE BLUECROSS BLUESHIELD OF OREGON	Local CCP	Regence BlueCross BlueShield of Oregon	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6237	CMS Casework Communication Contact	Ops Reporting & Perf Analyst	Ms.	Haselden	Brandy		1-800-543-8848	6370				brandy.haselden@regence.com	PO Box 1827		Medford	OR	97501	4/27/2026	2026	REGENCE BLUECROSS BLUESHIELD OF OREGON	Local CCP	Regence BlueCross BlueShield of Oregon	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6237	Coordination of Benefits Contact	"Manager, Member Services"	Ms.	Christiansen	Stacy		1-541-618-1240					Stacy.Christiansen@regence.com	PO Box 1827		Medford	OR	97501	3/18/2025	2026	REGENCE BLUECROSS BLUESHIELD OF OREGON	Local CCP	Regence BlueCross BlueShield of Oregon	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6237	Customer Service Operations Contact	Manager Member Services	Ms.	Ciuro	Catina		1-541-618-1268					Catina.Ciuro@regence.com	PO Box 1827		Medford	OR	97504	3/18/2025	2026	REGENCE BLUECROSS BLUESHIELD OF OREGON	Local CCP	Regence BlueCross BlueShield of Oregon	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6237	Government Relations Contact	Director Government Programs Compliance Officer	Ms.	Hoey	Yen		1-503-721-4040					Yen.Hoey@cambiahealth.com	200 SW Market Street 11th Floor		Portland	OR	97201	3/18/2025	2026	REGENCE BLUECROSS BLUESHIELD OF OREGON	Local CCP	Regence BlueCross BlueShield of Oregon	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6237	Hospice Contact	Pharmacy Ops Oversight Lead	Ms.	Manzer	Amy		1-503-225-5368					Amy.Manzer@regence.com	200 SW Market Street 11th Floor		Portland	OR	97201	12/22/2025	2026	REGENCE BLUECROSS BLUESHIELD OF OREGON	Local CCP	Regence BlueCross BlueShield of Oregon	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6237	Medicare Compliance Officer	Director Government Programs Compliance Officer	Ms.	Hoey	Yen		1-503-721-4040					Yen.Hoey@cambiahealth.com	200 SW Market Street 11th Floor		Portland	OR	97201	3/18/2025	2026	REGENCE BLUECROSS BLUESHIELD OF OREGON	Local CCP	Regence BlueCross BlueShield of Oregon	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6237	Part D Exceptions Contact	"Regulatory Pharmacist, Sr"	Mr.	Spears	Scott						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	10/3/2025	2026	REGENCE BLUECROSS BLUESHIELD OF OREGON	Local CCP	Regence BlueCross BlueShield of Oregon	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active	1-800-693-6651				HMO - Health Maintenance Organization		C	Dallas
H6237	Pharmacy Network Management Contact	"VP, Network Mangement"	Ms.	Conlin	Marci		1-612-777-2837				1-877-823-6373	marci.conlin@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	3/18/2025	2026	REGENCE BLUECROSS BLUESHIELD OF OREGON	Local CCP	Regence BlueCross BlueShield of Oregon	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6237	Pharmacy Technical Help Desk Contact	"Sr Director, Member Services"	Mr.	Scott	Shane							shane.scott@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/18/2025	2026	REGENCE BLUECROSS BLUESHIELD OF OREGON	Local CCP	Regence BlueCross BlueShield of Oregon	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active	1-844-765-6826				HMO - Health Maintenance Organization		C	Dallas
H6237	Plan to Plan Reconciliation Contact	Pharmacy Operations Oversight Lead	Ms.	Manzer	Amy		1-503-225-5368					Amy.Manzer@regence.com	200 SW Market Street 11th Floor		Portland	OR	97201	12/22/2025	2026	REGENCE BLUECROSS BLUESHIELD OF OREGON	Local CCP	Regence BlueCross BlueShield of Oregon	HMO/HMOPOS		"Cambia Health Solutions, Inc."	227	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6248	Automated TrOOP Balance Transfer Contact	Medicare Part D Project Manager		Rivera-Aquino	Denisse		1-858-790-5873					PartDCAT@MedImpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	10/5/2023	2026	COMMUNITY HEALTH GROUP	Local CCP	Community Health Group	HMO/HMOPOS		Community Health Group	320	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6248	Best Available Evidence Contact	Enrollment Manager		Fernandez	Judith		1-619-498-6418				1-619-426-9437	jferna@chgsd.com	2420 Fenton Street Suite 100		Chula Vista	CA	91914	2/15/2023	2026	COMMUNITY HEALTH GROUP	Local CCP	Community Health Group	HMO/HMOPOS		Community Health Group	320	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6248	Chief Financial Officer	Chief Financial Officer	Mr.	Carroll	Scott		1-619-498-6591				1-619-425-7803	scarro@chgsd.com	2420 Fenton Street Suite 100		Chula Vista	CA	91914	2/15/2023	2026	COMMUNITY HEALTH GROUP	Local CCP	Community Health Group	HMO/HMOPOS		Community Health Group	320	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6248	CMS Casework Communication Contact	Chief Compliance and Health Equity Officer		Arndt	Heidi		1-619-932-9155					harndt@chgsd.com	2420 Fenton Street Suite 100		Chula Vista	CA	91914	1/16/2026	2026	COMMUNITY HEALTH GROUP	Local CCP	Community Health Group	HMO/HMOPOS		Community Health Group	320	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6248	Coordination of Benefits Contact	Pharmacy Manager		Nicks	Ronald		1-619-240-8859					rnicks@chgsd.com	2420 Fenton Street Suite 100		Chula Vista	CA	91914	10/1/2025	2026	COMMUNITY HEALTH GROUP	Local CCP	Community Health Group	HMO/HMOPOS		Community Health Group	320	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6248	Customer Service Operations Contact	Chief Operating Officer		Farook	Yousaf		1-619-407-0102					yfaroo@chgsd.com	2420 Fenton Street Suite 100		Chula Vista	CA	91914	1/16/2026	2026	COMMUNITY HEALTH GROUP	Local CCP	Community Health Group	HMO/HMOPOS		Community Health Group	320	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6248	Government Relations Contact	Chief Compliance and Health Equity Officer		Arndt	Heidi		1-619-498-6406				1-619-422-5930	harndt@chgsd.com	2420 Fenton Street Suite 100		Chula Vista	CA	91914	1/16/2026	2026	COMMUNITY HEALTH GROUP	Local CCP	Community Health Group	HMO/HMOPOS		Community Health Group	320	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6248	Hospice Contact	Pharmacy Manager		Nicks	Ronald		1-619-240-8859					rnicks@chgsd.com	2420 Fenton Street		Chula Vista	CA	91914	1/16/2026	2026	COMMUNITY HEALTH GROUP	Local CCP	Community Health Group	HMO/HMOPOS		Community Health Group	320	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6248	Medicare Compliance Officer	Chief Compliance and Health Equity Officer	Ms.	Arndt	Heidi		1-619-498-6406					harndt@chgsd.com	2420 Fenton Street	Suite 100	Chula Vista	CA	91914	1/16/2026	2026	COMMUNITY HEALTH GROUP	Local CCP	Community Health Group	HMO/HMOPOS		Community Health Group	320	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6248	Part D Exceptions Contact	Pharmacy Manager		Nicks	Ronald							rnicks@chgsd.com	2420 Fenton Street Suite 100		Chula Vista	CA	91914	10/1/2025	2026	COMMUNITY HEALTH GROUP	Local CCP	Community Health Group	HMO/HMOPOS		Community Health Group	320	Yes	Active	1-619-240-8859				HMO - Health Maintenance Organization		C	New York
H6248	Pharmacy Network Management Contact	Pharmacy Manager		Nicks	Ronald		1-619-240-8859					rnicks@chgsd.com	2420 Fenton Street Suite 100		Chula Vista	CA	91914	10/1/2025	2026	COMMUNITY HEALTH GROUP	Local CCP	Community Health Group	HMO/HMOPOS		Community Health Group	320	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6248	Pharmacy Technical Help Desk Contact	"VP, Customer Contact Services"		Battle	Dorry						1-858-790-6075	Customerservice@Medimpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	12/15/2023	2026	COMMUNITY HEALTH GROUP	Local CCP	Community Health Group	HMO/HMOPOS		Community Health Group	320	Yes	Active	1-833-726-0674				HMO - Health Maintenance Organization		C	New York
H6248	Plan to Plan Reconciliation Contact	Pharmacy Manager		Nicks	Ronald		1-619-240-8859					rnicks@chgsd.com	2420 Fenton Street Suite 100		Chula Vista	CA	91914	10/1/2025	2026	COMMUNITY HEALTH GROUP	Local CCP	Community Health Group	HMO/HMOPOS		Community Health Group	320	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6251	Automated TrOOP Balance Transfer Contact	"Regional Director, Finance"	Mr.	Schmotzer	David		1-301-754-8530					DAVID.SCHMOTZER@trinity-health.org	200 Perry Parkway	Suite 1	Gaithersburg	MD	20877	11/24/2025	2026	TRINITY HEALTH PACE OF MONTGOMERY COUNTY	National PACE	Trinity Health PACE of Montgomery County	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H6251	Best Available Evidence Contact	"Regional Director, Finance"	Mr.	Schmotzer	David		1-301-754-8530					DAVID.SCHMOTZER@trinity-health.org	200 Perry Parkway	Suite 1	Gaithersburg	MD	20877	11/24/2025	2026	TRINITY HEALTH PACE OF MONTGOMERY COUNTY	National PACE	Trinity Health PACE of Montgomery County	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H6251	Chief Financial Officer	"Regional Director, Finance"	Mr.	Schmotzer	David		1-301-754-8530					DAVID.SCHMOTZER@trinity-health.org	200 Perry Parkway	Suite 1	Gaithersburg	MD	20877	11/24/2025	2026	TRINITY HEALTH PACE OF MONTGOMERY COUNTY	National PACE	Trinity Health PACE of Montgomery County	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H6251	CMS Casework Communication Contact	Executive Director	Ms	Williams	Kathleen		1-301-754-8530					willkast@trinity-health.org	200 Perry Parkway	Suite 1	Gaithersburg	MD	20877	5/20/2024	2026	TRINITY HEALTH PACE OF MONTGOMERY COUNTY	National PACE	Trinity Health PACE of Montgomery County	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H6251	Coordination of Benefits Contact	"Regional Director, Finance"	Mr.	Schmotzer	David		1-301-754-8530					DAVID.SCHMOTZER@trinity-health.org	200 Perry Parkway	Suite 1	Gaithersburgh	MD	20877	11/24/2025	2026	TRINITY HEALTH PACE OF MONTGOMERY COUNTY	National PACE	Trinity Health PACE of Montgomery County	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H6251	Customer Service Operations Contact	Executive Director	Ms	Williams	Kathleen		1-301-754-8530					willkast@trinity-health.org	200 Perry Parkway	Suite 1	Gaithersburg	MD	20877	5/20/2024	2026	TRINITY HEALTH PACE OF MONTGOMERY COUNTY	National PACE	Trinity Health PACE of Montgomery County	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H6251	Government Relations Contact	Executive Director	Ms	Willaims	Kathleen		1-301-754-8530					willkast@trinity-health.org	200 Perry Parkway	Suite 1	Maryland	MD	20877	5/20/2024	2026	TRINITY HEALTH PACE OF MONTGOMERY COUNTY	National PACE	Trinity Health PACE of Montgomery County	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H6251	Medicare Compliance Officer	National Director QI/Compliance	Ms	Watts	Christina		1-248-420-6065					wattscl@trinity-health.org	20555 Victor Parkway		Livonia	MI	48152	8/15/2023	2026	TRINITY HEALTH PACE OF MONTGOMERY COUNTY	National PACE	Trinity Health PACE of Montgomery County	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H6251	Part D Exceptions Contact	Manager Part D Compliance	Mr.	Garbarino	Joseph							joseph.Garbarino@trinity-health.org	1001 Baltimore Pike		Springfield	PA	19064	6/20/2024	2026	TRINITY HEALTH PACE OF MONTGOMERY COUNTY	National PACE	Trinity Health PACE of Montgomery County	National PACE		Trinity Health Corporation	234	Yes	Active	1-215-339-4362				PACE - Nat		C	Philadelphia
H6251	Pharmacy Network Management Contact	Manager Part D Compliance	Mr.	Garbarino	Joseph		1-215-339-4362					joseph.Garbarino@trinity-health.org	1930 South Broad Street	Unit 3	Philadelphia	PA	19145	6/20/2024	2026	TRINITY HEALTH PACE OF MONTGOMERY COUNTY	National PACE	Trinity Health PACE of Montgomery County	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H6251	Pharmacy Technical Help Desk Contact	Manager Part D Compliance	Mr.	Garbarino	Joseph							joseph.Garbarino@trinity-health.org	1930 South Broad Street	Unit 3	Philadelphia	PA	19145	6/20/2024	2026	TRINITY HEALTH PACE OF MONTGOMERY COUNTY	National PACE	Trinity Health PACE of Montgomery County	National PACE		Trinity Health Corporation	234	Yes	Active	1-215-339-4362				PACE - Nat		C	Philadelphia
H6251	Plan to Plan Reconciliation Contact	"Regional Director, Finance"	Mr.	Schmotzer	David		1-301-754-8530					DAVID.SCHMOTZER@trinity-health.org	200 Perry Parkway	Suite 1	Gaithersburg	MD	20877	11/24/2025	2026	TRINITY HEALTH PACE OF MONTGOMERY COUNTY	National PACE	Trinity Health PACE of Montgomery County	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H6309	Automated TrOOP Balance Transfer Contact	"Manager, Pharmacy Configuration and PBM Services"		Heinen	Keeley		1-952-883-5279					keeley.m.heinen@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS:  21111B	Minneapolis	MN	55440-1309	1/27/2026	2026	HEALTHPARTNERS INSURANCE COMPANY	Local CCP	HealthPartners	Local PPO		"HealthPartners, Inc."	117	Yes	Active					PPO - BBA		C	Chicago
H6309	Best Available Evidence Contact	Sr. Manager Membership Accounting		Marty	Amanda	E	1-952-967-7685					amanda.e.marty@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS: 21103R	Minneapolis	MN	55440-1309	1/29/2025	2026	HEALTHPARTNERS INSURANCE COMPANY	Local CCP	HealthPartners	Local PPO		"HealthPartners, Inc."	117	Yes	Active					PPO - BBA		C	Chicago
H6309	Chief Financial Officer	SVP & Chief Financial Officer	Ms.	Johnson	Kathleen	A	1-952-883-6531					kathy.a.johnson1@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS:  21110T	Minneapolis	MN	55440-1309	1/29/2025	2026	HEALTHPARTNERS INSURANCE COMPANY	Local CCP	HealthPartners	Local PPO		"HealthPartners, Inc."	117	Yes	Active					PPO - BBA		C	Chicago
H6309	CMS Casework Communication Contact	Manager Member Rights and Benefits		Kruse	Morgan	L	1-952-967-7679					Morgan.L.Kruse@HealthPartners.Com	P.O. Box 21662		Eagan	MN	55121	1/27/2026	2026	HEALTHPARTNERS INSURANCE COMPANY	Local CCP	HealthPartners	Local PPO		"HealthPartners, Inc."	117	Yes	Active					PPO - BBA		C	Chicago
H6309	Coordination of Benefits Contact	"Manager, Claims Production"		Prine	Chantelle	M	1-952-967-7335					RVSCCOBTECHS@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"		Minneapolis	MN	55440-1309	1/29/2025	2026	HEALTHPARTNERS INSURANCE COMPANY	Local CCP	HealthPartners	Local PPO		"HealthPartners, Inc."	117	Yes	Active					PPO - BBA		C	Chicago
H6309	Customer Service Operations Contact	Director Member Services		Renneke	Alison		1-952-967-7668					alison.m.renneke@healthpartners.com	"8170 33rd Avenue South, PO Box 9463"	MS:  21103R	Minneapolis	MN	55440-9463	1/29/2025	2026	HEALTHPARTNERS INSURANCE COMPANY	Local CCP	HealthPartners	Local PPO		"HealthPartners, Inc."	117	Yes	Active					PPO - BBA		C	Chicago
H6309	Government Relations Contact	VP Government Programs		Clelland	Jennifer	J	1-952-967-5119					jennifer.j.clelland@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS: 21103C	Minneapolis	MN	55440-1309	1/29/2025	2026	HEALTHPARTNERS INSURANCE COMPANY	Local CCP	HealthPartners	Local PPO		"HealthPartners, Inc."	117	Yes	Active					PPO - BBA		C	Chicago
H6309	Hospice Contact	Sr Pharmacy UM Comp and Ops Analyst		Riggs	Ben	H	1-651-323-0244					benjamin.h.riggs@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS: 21111B	Minneapolis	MN	55440-1309	1/29/2025	2026	HEALTHPARTNERS INSURANCE COMPANY	Local CCP	HealthPartners	Local PPO		"HealthPartners, Inc."	117	Yes	Active					PPO - BBA		C	Chicago
H6309	Medicare Compliance Officer	"Director, Integrity and Compliance"	Ms.	Moscetti	Stephanie	M	1-952-883-7330				1-952-883-5522	stephanie.m.moscetti@healthpartners.com	8170 33rd Avenue South		Bloomington	MN	55425	1/29/2025	2026	HEALTHPARTNERS INSURANCE COMPANY	Local CCP	HealthPartners	Local PPO		"HealthPartners, Inc."	117	Yes	Active					PPO - BBA		C	Chicago
H6309	Part D Exceptions Contact	Mgr Pharmacy Clinical Svcs & UM Pharm Clin Srv		Whelan	Hillary	A					1-888-883-5434	hillary.a.whelan@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS:  21111B	Minneapolis	MN	55440-1309	1/27/2026	2026	HEALTHPARTNERS INSURANCE COMPANY	Local CCP	HealthPartners	Local PPO		"HealthPartners, Inc."	117	Yes	Active	1-800-492-7259				PPO - BBA		C	Chicago
H6309	Pharmacy Network Management Contact	"Manager, Pharmacy Configuration and PBM Services"		Heinen	Keeley		1-952-883-5279					keeley.m.heinen@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS:  21111B	Minneapolis	MN	55440-1309	1/27/2026	2026	HEALTHPARTNERS INSURANCE COMPANY	Local CCP	HealthPartners	Local PPO		"HealthPartners, Inc."	117	Yes	Active					PPO - BBA		C	Chicago
H6309	Pharmacy Technical Help Desk Contact	Mgr Pharmacy Clinical Svcs & UM  Pharm Clin Srv		Whelan	Hillary	A					1-888-883-5434	Hillary.A.Whelan@HealthPartners.com	"8170 33rd Avenue South, PO Box 1309"	MS:  21111B	Minneapolis	MN	55440-1309	1/27/2026	2026	HEALTHPARTNERS INSURANCE COMPANY	Local CCP	HealthPartners	Local PPO		"HealthPartners, Inc."	117	Yes	Active	1-800-492-7259				PPO - BBA		C	Chicago
H6309	Plan to Plan Reconciliation Contact	Senior Accountant		Lee	Sheng		1-715-571-5521					sheng.x.lee@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS: 21109A	Minneapolis	MN	55440-1309	3/4/2025	2026	HEALTHPARTNERS INSURANCE COMPANY	Local CCP	HealthPartners	Local PPO		"HealthPartners, Inc."	117	Yes	Active					PPO - BBA		C	Chicago
H6316	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	"MISSOURI CARE, INCORPORATED"	Local CCP	Healthy Blue	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6316	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"MISSOURI CARE, INCORPORATED"	Local CCP	Healthy Blue	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6316	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	"MISSOURI CARE, INCORPORATED"	Local CCP	Healthy Blue	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6316	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	"MISSOURI CARE, INCORPORATED"	Local CCP	Healthy Blue	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6316	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	"MISSOURI CARE, INCORPORATED"	Local CCP	Healthy Blue	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6316	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	"MISSOURI CARE, INCORPORATED"	Local CCP	Healthy Blue	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6316	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"MISSOURI CARE, INCORPORATED"	Local CCP	Healthy Blue	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6316	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"MISSOURI CARE, INCORPORATED"	Local CCP	Healthy Blue	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6316	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"MISSOURI CARE, INCORPORATED"	Local CCP	Healthy Blue	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6316	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	"MISSOURI CARE, INCORPORATED"	Local CCP	Healthy Blue	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H6316	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/31/2023	2026	"MISSOURI CARE, INCORPORATED"	Local CCP	Healthy Blue	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6316	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	"MISSOURI CARE, INCORPORATED"	Local CCP	Healthy Blue	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H6316	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/7/2021	2026	"MISSOURI CARE, INCORPORATED"	Local CCP	Healthy Blue	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6317	Automated TrOOP Balance Transfer Contact			North	Tom		1-714-878-4552					tom.north@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/23/2025	2026	"WELBEHEALTH BAY AREA PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H6317	Best Available Evidence Contact			Cumpian	Terry		1-209-840-8404					terry.cumpian@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	5/29/2024	2026	"WELBEHEALTH BAY AREA PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H6317	Chief Financial Officer		Ms.	Davis	Amanda		1-669-877-1288					amanda.davis@welbehealth.com	440 N BARRANCA AVE #4053		Covina	CA	91723	6/30/2026	2026	"WELBEHEALTH BAY AREA PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H6317	CMS Casework Communication Contact			Costigan	Bobbie		1-219-210-6392					Bobbie.Costigan@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	7/30/2025	2026	"WELBEHEALTH BAY AREA PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H6317	Coordination of Benefits Contact			Holmes	Nicole		1-269-910-1107					nicole.holmes@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/23/2025	2026	"WELBEHEALTH BAY AREA PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H6317	Customer Service Operations Contact		Ms.	Davis	Amanda		1-669-877-1288					amanda.davis@welbehealth.com	1799 Hamilton Ave		San Jose	CA	95125	5/30/2024	2026	"WELBEHEALTH BAY AREA PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H6317	Government Relations Contact			Lee	Elizabeth		1-714-470-6077					elizabeth.lee@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	3/5/2024	2026	"WELBEHEALTH BAY AREA PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H6317	Medicare Compliance Officer		Ms.	Lee	Elizabeth		1-714-470-6077					elizabeth.lee@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	3/5/2024	2026	"WELBEHEALTH BAY AREA PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H6317	Part D Exceptions Contact			Lincoln-Giang	Pam							pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	8/12/2025	2026	"WELBEHEALTH BAY AREA PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active	1-650-294-8027				PACE - Nat		C	San Francisco
H6317	Pharmacy Network Management Contact			Lincoln-Giang	Pam		1-650-294-8027					pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	8/12/2025	2026	"WELBEHEALTH BAY AREA PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H6317	Pharmacy Technical Help Desk Contact			Lincoln-Giang	Pam							pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	8/12/2025	2026	"WELBEHEALTH BAY AREA PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active	1-650-294-8027				PACE - Nat		C	San Francisco
H6317	Plan to Plan Reconciliation Contact			Porras	Ashleigh		1-650-442-2660					p2p@welbehealth.com	440 N BARRANCA AVE #4053		COVINA	CA	91723	6/30/2026	2026	"WELBEHEALTH BAY AREA PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H6322	Automated TrOOP Balance Transfer Contact	MIG Vice President Pharmacy		Musial	Brian		1-317-822-7523					bmusial@mdwise.org	2955 N Meridian St		Indianapolis	IN	46208	3/2/2022	2026	"MCLAREN HEALTH PLAN, INC."	Local CCP	McLaren Medicare	HMO/HMOPOS		McLaren Health Care Corporation	494	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6322	Best Available Evidence Contact	MIG Director of Operations		Cuccia	Tami		1-810-733-9669					tami.cuccia@mclaren.org	G-3245 Beecher Rd		Flint	MI	48532	9/15/2025	2026	"MCLAREN HEALTH PLAN, INC."	Local CCP	McLaren Medicare	HMO/HMOPOS		McLaren Health Care Corporation	494	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6322	Chief Financial Officer	VP & Chief Financial Officer	Ms.	Diehl	Cheryl		1-989-992-3272					cheryl.diehl@mclaren.org	G-3245 Beecher Rd		Flint	MI	48532	1/25/2021	2026	"MCLAREN HEALTH PLAN, INC."	Local CCP	McLaren Medicare	HMO/HMOPOS		McLaren Health Care Corporation	494	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6322	CMS Casework Communication Contact	Medicare Program Specialist		Sweet	Melissa		1-810-733-9672				1-810-600-7984	melissa.sweet@mclaren.org	G-3245 Beecher Rd		Flint	MI	48532	8/27/2024	2026	"MCLAREN HEALTH PLAN, INC."	Local CCP	McLaren Medicare	HMO/HMOPOS		McLaren Health Care Corporation	494	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6322	Coordination of Benefits Contact	MIG Director of Operations		Cuccia	Tami		1-810-733-9669					tami.cuccia@mclaren.org	G-3245 Beecher Rd		Flint	MI	48532	9/15/2025	2026	"MCLAREN HEALTH PLAN, INC."	Local CCP	McLaren Medicare	HMO/HMOPOS		McLaren Health Care Corporation	494	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6322	Customer Service Operations Contact	"Director, Customer Service"		Marks	Ryan		1-317-822-7206					rmarks@mdwise.org	G-3245 Beecher Rd	Ste 201	Flint	MI	48532	5/20/2024	2026	"MCLAREN HEALTH PLAN, INC."	Local CCP	McLaren Medicare	HMO/HMOPOS		McLaren Health Care Corporation	494	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6322	Government Relations Contact	VP General Counsel		Ehrlich	Matthew		1-810-733-9681					matthew.ehrlich@mclaren.org	G-3245 Beecher Rd		Flint	MI	48532	1/25/2021	2026	"MCLAREN HEALTH PLAN, INC."	Local CCP	McLaren Medicare	HMO/HMOPOS		McLaren Health Care Corporation	494	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6322	Hospice Contact	Pharmacy Project Coordinator		Slater	Angela		1-810-644-1660					angela.slater@mclaren.org	G-3245 Beecher Rd		Flint	MI	48532	8/27/2024	2026	"MCLAREN HEALTH PLAN, INC."	Local CCP	McLaren Medicare	HMO/HMOPOS		McLaren Health Care Corporation	494	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6322	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Anderson	Paula		1-765-631-3511					Paula.Anderson1@mclaren.org	G-3245 Beecher Rd		Flint	MI	48532	7/25/2022	2026	"MCLAREN HEALTH PLAN, INC."	Local CCP	McLaren Medicare	HMO/HMOPOS		McLaren Health Care Corporation	494	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6322	Part D Exceptions Contact	Pharmacy Project Coordinator		Slater	Angela							angela.slater@mclaren.org	G-3245 Beecher Rd		Flint	MI	48532	8/27/2024	2026	"MCLAREN HEALTH PLAN, INC."	Local CCP	McLaren Medicare	HMO/HMOPOS		McLaren Health Care Corporation	494	Yes	Active	1-888-327-0671				HMO - Health Maintenance Organization		C	Chicago
H6322	Pharmacy Network Management Contact	Pharmacy Project Coordinator		Slater	Angela		1-810-244-1660					angela.slater@mclaren.org	G-3245 Beecher Rd		Flint	MI	48532	8/27/2024	2026	"MCLAREN HEALTH PLAN, INC."	Local CCP	McLaren Medicare	HMO/HMOPOS		McLaren Health Care Corporation	494	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6322	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"		Brewer	Kathy							customerservice@medimpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	10/17/2025	2026	"MCLAREN HEALTH PLAN, INC."	Local CCP	McLaren Medicare	HMO/HMOPOS		McLaren Health Care Corporation	494	Yes	Active	1-844-336-2678				HMO - Health Maintenance Organization		C	Chicago
H6322	Plan to Plan Reconciliation Contact	"Director, Finance"		Hairston	Rachel		1-810-733-9678					rachel.hairston@mclaren.org	G-3245 Beecher Rd		Flint	MI	48532	5/19/2026	2026	"MCLAREN HEALTH PLAN, INC."	Local CCP	McLaren Medicare	HMO/HMOPOS		McLaren Health Care Corporation	494	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6334	Chief Financial Officer	Chief Financial Officer	Mr.	Heim	John		1-212-586-6400	4551			1-212-586-3596	jheim@hotelfunds.org	"NYHTC and HANYC, Inc. Employee Benefit Funds"	305 West 44th Street	New York	NY	10036	11/17/2020	2026	NY HOTEL TRADES COUNCIL & HOTEL ASSOCIATION OF NYC	HCPP - 1833 Cost	NY Hotel Trades Council and Hotel Assn. of NYC	HCPP - 1833 Cost		NY Hotel Trades Council&Hotel Assn of NYC	167	No	Active					HCPP		1	Boston
H6334	Customer Service Operations Contact	Provider Relations Representative	Mr.	Enoe	Mark		1-212-586-6400	4288				menoe@hotelfunds.org	305 West 44th Street		New York	NY	10036	11/17/2020	2026	NY HOTEL TRADES COUNCIL & HOTEL ASSOCIATION OF NYC	HCPP - 1833 Cost	NY Hotel Trades Council and Hotel Assn. of NYC	HCPP - 1833 Cost		NY Hotel Trades Council&Hotel Assn of NYC	167	No	Active					HCPP		1	Boston
H6334	Government Relations Contact	Provider Relations Representative	Mr.	Enoe	Mark		1-212-586-6400	4288			1-212-237-3080	menoe@hotelfunds.org	"NYHTC and HANYC, Inc. Employee Benefit Funds"	305 West 44th Street	New York	NY	10036	8/29/2019	2026	NY HOTEL TRADES COUNCIL & HOTEL ASSOCIATION OF NYC	HCPP - 1833 Cost	NY Hotel Trades Council and Hotel Assn. of NYC	HCPP - 1833 Cost		NY Hotel Trades Council&Hotel Assn of NYC	167	No	Active					HCPP		1	Boston
H6334	Medicare Compliance Officer	Chief External Affairs Officer	Mr.	Yang	Jordan	E	1-212-586-6400	4340			1-212-237-3080	jyang@hotelfunds.org	"NYHTC and HANYC, Inc. Employee Benefit Funds"	305 West 44th Street	New York	NY	10036	8/30/2019	2026	NY HOTEL TRADES COUNCIL & HOTEL ASSOCIATION OF NYC	HCPP - 1833 Cost	NY Hotel Trades Council and Hotel Assn. of NYC	HCPP - 1833 Cost		NY Hotel Trades Council&Hotel Assn of NYC	167	No	Active					HCPP		1	Boston
H6340	Automated TrOOP Balance Transfer Contact			North	Tom		1-714-878-4552					tom.north@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	7/30/2025	2026	"WELBEHEALTH ATLANTIC PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H6340	Best Available Evidence Contact			Cumpian	Terry		1-209-840-8404					terry.cumpian@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	7/30/2025	2026	"WELBEHEALTH ATLANTIC PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H6340	Chief Financial Officer		Ms.	Eidell	Rachel		1-714-292-7152					rachel.eidell@welbehealth.com	440 N BARRANCA AVE #4053		COVINA	CA	91723	6/30/2026	2026	"WELBEHEALTH ATLANTIC PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H6340	CMS Casework Communication Contact			Costigan	Bobbie		1-219-210-6392					Bobbie.Costigan@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	7/30/2025	2026	"WELBEHEALTH ATLANTIC PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H6340	Coordination of Benefits Contact			Holmes	Nicole		1-269-910-1107					nicole.holmes@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	7/30/2025	2026	"WELBEHEALTH ATLANTIC PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H6340	Customer Service Operations Contact			Eidell	Rachel		1-714-292-7152					rachel.eidell@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	2/20/2025	2026	"WELBEHEALTH ATLANTIC PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H6340	Government Relations Contact			Lee	Elizabeth		1-650-514-1390					elizabeth.lee@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	4/18/2023	2026	"WELBEHEALTH ATLANTIC PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H6340	Medicare Compliance Officer		Ms.	Lee	Elizabeth		1-650-514-1390					elizabeth.lee@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	4/18/2023	2026	"WELBEHEALTH ATLANTIC PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H6340	Part D Exceptions Contact			Lincoln-Giang	Pam							pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	8/12/2025	2026	"WELBEHEALTH ATLANTIC PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Pending	1-650-294-8027				PACE - Nat		C	San Francisco
H6340	Pharmacy Network Management Contact			Lincoln-Giang	Pam		1-650-294-8027					pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	8/12/2025	2026	"WELBEHEALTH ATLANTIC PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H6340	Pharmacy Technical Help Desk Contact			Lincoln-Giang	Pam							pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	8/12/2025	2026	"WELBEHEALTH ATLANTIC PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Pending	1-650-294-8027				PACE - Nat		C	San Francisco
H6340	Plan to Plan Reconciliation Contact			Porras	Ashleigh		1-650-442-2660					p2p@welbehealth.com	440 N BARRANCA AVE #4053		COVINA	CA	91723	6/30/2026	2026	"WELBEHEALTH ATLANTIC PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H6341	Automated TrOOP Balance Transfer Contact	Director of Data and Tech Services		Cuchel	Eric		1-215-937-4161					ecuchel@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH MICHIGAN, INC."	Local CCP	AmeriHealth Caritas VIP Care	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6341	Best Available Evidence Contact	Medicare Enrollment Manager	Ms.	Mullins	Naketa		1-484-497-1171					nmullins@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH MICHIGAN, INC."	Local CCP	AmeriHealth Caritas VIP Care	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6341	Chief Financial Officer	"EVP, CFO & Treasurer"	Mr.	Lopez	Juan		1-609-405-0539					Juan.Lopez@ibx.com	"1901 Market Street, 39th floor"		Philadelphia	PA	19103	3/17/2026	2026	"AMERIHEALTH MICHIGAN, INC."	Local CCP	AmeriHealth Caritas VIP Care	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6341	CMS Casework Communication Contact	Director Medicare Appeals and Grievances	Ms.	Lopez	Yismell		1-215-863-5677					yelopez@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH MICHIGAN, INC."	Local CCP	AmeriHealth Caritas VIP Care	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6341	Coordination of Benefits Contact	"Manager,  Medicare Regulatory Performance"	Ms.	Williams	Kathy		1-843-830-0812					kwilliams@firstchoicevipcareplus.com	Amerihealth Caritas Family of Companies	"4390 Belle Oak Dr, Suite 400"	Charleston	SC	29405	3/17/2026	2026	"AMERIHEALTH MICHIGAN, INC."	Local CCP	AmeriHealth Caritas VIP Care	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6341	Customer Service Operations Contact	"Director, Medicare Customer Service"	Ms.	Veras	Helen		1-267-298-1794					hveras@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	200 Stevens Dr.	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH MICHIGAN, INC."	Local CCP	AmeriHealth Caritas VIP Care	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6341	Government Relations Contact	"VP, Public Policy"	Mr.	Cozzo	Steven		1-215-937-8236					scozzo@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	3875 West Chester Pike	Newtown Square	PA	19073	3/17/2026	2026	"AMERIHEALTH MICHIGAN, INC."	Local CCP	AmeriHealth Caritas VIP Care	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6341	Hospice Contact	Dir Member Services	Ms.	Veras	Helen		1-833-852-4433					hveras@amerihealthcaritas.com	AmeriHealth Caritas	3875 West Chester Pike	Newtown Square	PA	19073	3/17/2026	2026	"AMERIHEALTH MICHIGAN, INC."	Local CCP	AmeriHealth Caritas VIP Care	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6341	Medicare Compliance Officer	Medicare Compliance Officer	Ms	Dupre	Colleen		1-203-506-8413					cdupre@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	3875 West Chester Pike	Newtown Square	PA	19073	3/17/2026	2026	"AMERIHEALTH MICHIGAN, INC."	Local CCP	AmeriHealth Caritas VIP Care	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6341	Part D Exceptions Contact	"Director, Pharmacy Utilization Management"		Bonko	Gerald						1-215-863-5100	gbonko@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH MICHIGAN, INC."	Local CCP	AmeriHealth Caritas VIP Care	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active	1-215-863-6483				HMO - Health Maintenance Organization		C	Chicago
H6341	Pharmacy Network Management Contact	Director Pharmacy Network Operations		Patel	Disha		1-215-863-5276					dpatel5@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH MICHIGAN, INC."	Local CCP	AmeriHealth Caritas VIP Care	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6341	Pharmacy Technical Help Desk Contact	"Manager, Call Center"		Vargas	Crystal							cvargas@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH MICHIGAN, INC."	Local CCP	AmeriHealth Caritas VIP Care	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active	1-800-555-5690				HMO - Health Maintenance Organization		C	Chicago
H6341	Plan to Plan Reconciliation Contact	Finance Manager	Ms	Zeleneva	Zhanna		1-312-543-9113					zzeleneva@amerihealthcaritas.com	Amerihealth Caritas Family of Companies	3875 West Chester Pike	Newton Square	PA	19073	3/17/2026	2026	"AMERIHEALTH MICHIGAN, INC."	Local CCP	AmeriHealth Caritas VIP Care	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6342	Automated TrOOP Balance Transfer Contact	VP		Williams	Sheila		1-501-441-8001					sheila.williams@baptist-health.org	3500 Springhill Drive		North Little Rock	AR	72117	11/4/2024	2026	COMPLETE HEALTH WITH PACE	National PACE	Baptist Health PACE	National PACE		Baptist Health (Arkansas)	629	Yes	Active					PACE - Nat		C	New York
H6342	Best Available Evidence Contact			Williams	Sheila		1-501-441-8000					sheila.williams@baptist-health.org	3500 Springhill Drive		North Little Rock	AR	72117	8/9/2022	2026	COMPLETE HEALTH WITH PACE	National PACE	Baptist Health PACE	National PACE		Baptist Health (Arkansas)	629	Yes	Active					PACE - Nat		C	New York
H6342	Chief Financial Officer	Director of Finance	Mr	Mhoon	Blake		1-501-441-8003					blake.mhoon@baptist-health.org	3500 Springhill Drive		North Little Rock	AR	72117	11/17/2025	2026	COMPLETE HEALTH WITH PACE	National PACE	Baptist Health PACE	National PACE		Baptist Health (Arkansas)	629	Yes	Active					PACE - Nat		C	New York
H6342	CMS Casework Communication Contact	VP	Mrs	Williams	Sheila		1-501-441-8000					sheila.williams@baptist-health.org	3500 Springhill Drive		North Little Rock	AR	72117	11/4/2024	2026	COMPLETE HEALTH WITH PACE	National PACE	Baptist Health PACE	National PACE		Baptist Health (Arkansas)	629	Yes	Active					PACE - Nat		C	New York
H6342	Coordination of Benefits Contact	Director of Finance		Mhoon	Blake		1-501-441-8003					blake.mhoon@baptist-health.org	3500 Springhill Drive		North Little Rock	AR	72117	11/17/2025	2026	COMPLETE HEALTH WITH PACE	National PACE	Baptist Health PACE	National PACE		Baptist Health (Arkansas)	629	Yes	Active					PACE - Nat		C	New York
H6342	Customer Service Operations Contact	QI Coordinator		Stoneman	Kimberly		1-501-441-8000					kimberly.stoneman@baptist-health.org	3500 Springhill Drive		North Little Rock	AR	72117	8/15/2022	2026	COMPLETE HEALTH WITH PACE	National PACE	Baptist Health PACE	National PACE		Baptist Health (Arkansas)	629	Yes	Active					PACE - Nat		C	New York
H6342	Government Relations Contact	VP		Williams	Sheila		1-501-441-8000					sheila.williams@baptist-health.org	3500 Springhill Dr	Suite 410	North Little Rock	AR	72117	2/23/2024	2026	COMPLETE HEALTH WITH PACE	National PACE	Baptist Health PACE	National PACE		Baptist Health (Arkansas)	629	Yes	Active					PACE - Nat		C	New York
H6342	Medicare Compliance Officer	VP	Mrs	Williams	Sheila		1-501-441-8000					sheila.williams@baptist-health.org	3500 Springhill Drive		North Little Rock	AR	72117	11/4/2024	2026	COMPLETE HEALTH WITH PACE	National PACE	Baptist Health PACE	National PACE		Baptist Health (Arkansas)	629	Yes	Active					PACE - Nat		C	New York
H6342	Part D Exceptions Contact	VP		Williams	Sheila							sheila.williams@baptist-health.org	3500 Springhill Drive		North Little Rock	AR	72117	11/4/2024	2026	COMPLETE HEALTH WITH PACE	National PACE	Baptist Health PACE	National PACE		Baptist Health (Arkansas)	629	Yes	Active	1-501-441-8000				PACE - Nat		C	New York
H6342	Pharmacy Network Management Contact	Medical Director	Dr.	Prime	Jasmine		1-501-441-8000					jasmine.prime@practice-plus.com	3500 Springhill Drive		North Little Rock	AR	72117	6/28/2023	2026	COMPLETE HEALTH WITH PACE	National PACE	Baptist Health PACE	National PACE		Baptist Health (Arkansas)	629	Yes	Active					PACE - Nat		C	New York
H6342	Pharmacy Technical Help Desk Contact	VP		Williams	Sheila							sheila.williams@baptist-health.org	3500 Springhill Drive		North Little Rock	AR	72117	11/4/2024	2026	COMPLETE HEALTH WITH PACE	National PACE	Baptist Health PACE	National PACE		Baptist Health (Arkansas)	629	Yes	Active	1-501-441-8000				PACE - Nat		C	New York
H6342	Plan to Plan Reconciliation Contact			Mhoon	Blake		1-501-441-8003					blake.mhoon@baptist-health.org	3500 Springhill Drive		North Little Rock	AR	72117	11/17/2025	2026	COMPLETE HEALTH WITH PACE	National PACE	Baptist Health PACE	National PACE		Baptist Health (Arkansas)	629	Yes	Active					PACE - Nat		C	New York
H6345	Automated TrOOP Balance Transfer Contact	"Supervisor, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	relay.health@navitus.com	"Navitus Health Solutions, LLC"	1025 West Navitus Drive	Appleton	WI	54913	1/3/2025	2026	"PRUITTHEALTH PREMIER NORTH CAROLINA, LLC"	Local CCP	PruittHealth Premier	HMO/HMOPOS		"UNICO Services, Inc."	622	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6345	Best Available Evidence Contact			Beringer	Stephanie		1-206-697-7797				1-833-610-2390	stephanie.beringer@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/10/2026	2026	"PRUITTHEALTH PREMIER NORTH CAROLINA, LLC"	Local CCP	PruittHealth Premier	HMO/HMOPOS		"UNICO Services, Inc."	622	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6345	Chief Financial Officer	CFO	Mr	Small	Phil		1-770-279-6200					PhSmall@pruitthealth.com	1626 Jeurgens Ct		Norcross	GA	30093	1/3/2025	2026	"PRUITTHEALTH PREMIER NORTH CAROLINA, LLC"	Local CCP	PruittHealth Premier	HMO/HMOPOS		"UNICO Services, Inc."	622	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6345	CMS Casework Communication Contact	Director - Grievance/Appeals & CTMs		Fernandez	Erik		1-786-239-8513					Erik.Fernandez@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	1/3/2025	2026	"PRUITTHEALTH PREMIER NORTH CAROLINA, LLC"	Local CCP	PruittHealth Premier	HMO/HMOPOS		"UNICO Services, Inc."	622	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6345	Coordination of Benefits Contact			Beringer	Stephanie		1-206-697-7797				1-833-610-2390	stephanie.beringer@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/10/2026	2026	"PRUITTHEALTH PREMIER NORTH CAROLINA, LLC"	Local CCP	PruittHealth Premier	HMO/HMOPOS		"UNICO Services, Inc."	622	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6345	Customer Service Operations Contact			Estes	Courtney		1-877-310-6754	744				courtney.estes@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/3/2026	2026	"PRUITTHEALTH PREMIER NORTH CAROLINA, LLC"	Local CCP	PruittHealth Premier	HMO/HMOPOS		"UNICO Services, Inc."	622	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6345	Government Relations Contact			Landahl	Darryl		1-832-384-5949					darryl.landahl@curanahealth.com	10900 Nuckols Rd	Suite 110	Glen Allen	VA	23060	1/3/2025	2026	"PRUITTHEALTH PREMIER NORTH CAROLINA, LLC"	Local CCP	PruittHealth Premier	HMO/HMOPOS		"UNICO Services, Inc."	622	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6345	Hospice Contact	Sr. Director Part D Operations	Mr.	Sone	Victor		1-347-683-5717					victor.sone@curanahealth.com	10900 Nuckols Rd	Suite 110	Glen Allen	VA	23060	1/3/2025	2026	"PRUITTHEALTH PREMIER NORTH CAROLINA, LLC"	Local CCP	PruittHealth Premier	HMO/HMOPOS		"UNICO Services, Inc."	622	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6345	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Christopher	Laura	K	1-404-694-4897					Kelly.Christopher@pruitthealth.com	1626 Jeurgens Court		Norcross	GA	30093	1/3/2025	2026	"PRUITTHEALTH PREMIER NORTH CAROLINA, LLC"	Local CCP	PruittHealth Premier	HMO/HMOPOS		"UNICO Services, Inc."	622	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6345	Part D Exceptions Contact			LeClair	Christophe						1-920-221-4676	christopher.leclair@Navitus.com	Navitus Health Solutions	1025 West Navitus Dr.	Appleton	WI	54913	1/3/2025	2026	"PRUITTHEALTH PREMIER NORTH CAROLINA, LLC"	Local CCP	PruittHealth Premier	HMO/HMOPOS		"UNICO Services, Inc."	622	Yes	Active	1-920-221-4176				HMO - Health Maintenance Organization		C	Chicago
H6345	Pharmacy Network Management Contact	"VP, Network Mgmt"		Santos	Christina		1-608-820-4408					christina.santos@navitus.com	Navitus Health Solutions	361 Integrity Drive	Madison	WI	53717	9/30/2025	2026	"PRUITTHEALTH PREMIER NORTH CAROLINA, LLC"	Local CCP	PruittHealth Premier	HMO/HMOPOS		"UNICO Services, Inc."	622	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6345	Pharmacy Technical Help Desk Contact	"Manager, Customer Care Accounts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	"Navitus Health Solutions, LLC"	1025 W. Navitus Drive	Appleton	WI	54913	1/3/2025	2026	"PRUITTHEALTH PREMIER NORTH CAROLINA, LLC"	Local CCP	PruittHealth Premier	HMO/HMOPOS		"UNICO Services, Inc."	622	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Chicago
H6345	Plan to Plan Reconciliation Contact	CFO	Ms.	Martin	Rachel		1-775-544-8314					p2padministration@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	1/3/2025	2026	"PRUITTHEALTH PREMIER NORTH CAROLINA, LLC"	Local CCP	PruittHealth Premier	HMO/HMOPOS		"UNICO Services, Inc."	622	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6348	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/5/2024	2026	COORDINATED CARE CORPORATION	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H6348	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	COORDINATED CARE CORPORATION	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H6348	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	7/5/2024	2026	COORDINATED CARE CORPORATION	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H6348	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	COORDINATED CARE CORPORATION	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H6348	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	COORDINATED CARE CORPORATION	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H6348	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	9/18/2024	2026	COORDINATED CARE CORPORATION	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H6348	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	COORDINATED CARE CORPORATION	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H6348	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	7/5/2024	2026	COORDINATED CARE CORPORATION	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H6348	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	COORDINATED CARE CORPORATION	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H6348	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	7/5/2024	2026	COORDINATED CARE CORPORATION	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active	1-813-206-7152				PPO - BBA		C	Denver
H6348	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	COORDINATED CARE CORPORATION	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H6348	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	1/9/2025	2026	COORDINATED CARE CORPORATION	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active	1-833-750-0202				PPO - BBA		C	Denver
H6348	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	7/5/2024	2026	COORDINATED CARE CORPORATION	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H6351	Automated TrOOP Balance Transfer Contact	"Manager, Enrollment & Eligibility"	Ms.	Sherman	Mandy		1-920-221-4083				1-920-221-4583	relay.health@navitus.com	"Navitus Health Solutions, LLC"	1025 West Navitus Drive	Appleton	WI	54913	5/26/2026	2026	"LIBERTY ADVANTAGE, LLC"	Local CCP	Liberty Medicare Advantage	HMO/HMOPOS		Liberty Healthcare Insurance	668	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6351	Best Available Evidence Contact	Executive Director	Mr.	Oliver	David	J	1-910-263-2306					doliver@libertyhcare.com	2334 South 41st Street		Wilmington	NC	28403	5/27/2026	2026	"LIBERTY ADVANTAGE, LLC"	Local CCP	Liberty Medicare Advantage	HMO/HMOPOS		Liberty Healthcare Insurance	668	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6351	Chief Financial Officer	Chief Financial Officer	Mr.	Calcutt	Joseph	V	1-910-332-1793					jcalcutt@libertyhcare.com	2334 South 41st Street		Wilmington	NC	28403	5/26/2026	2026	"LIBERTY ADVANTAGE, LLC"	Local CCP	Liberty Medicare Advantage	HMO/HMOPOS		Liberty Healthcare Insurance	668	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6351	CMS Casework Communication Contact	Executive Director	Mr.	Oliver	David	J	1-910-263-2306					doliver@libertyhcare.com	2334 South 41st Street		Wilmington	NC	28403	5/27/2026	2026	"LIBERTY ADVANTAGE, LLC"	Local CCP	Liberty Medicare Advantage	HMO/HMOPOS		Liberty Healthcare Insurance	668	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6351	Coordination of Benefits Contact	Claims and Receivable Manager	Ms.	Crook	Rachel	A	1-910-465-0791					RCrook@libertyhcare.com	2334 South 41st Street		Wilmington	NC	28403	5/26/2026	2026	"LIBERTY ADVANTAGE, LLC"	Local CCP	Liberty Medicare Advantage	HMO/HMOPOS		Liberty Healthcare Insurance	668	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6351	Customer Service Operations Contact	Compliance Officer	Ms.	Klimek	Kimberly	A	1-910-836-7764					kklimek@libertyhcare.com	2334 South 41st Street		Wilmington	NC	28403	5/19/2026	2026	"LIBERTY ADVANTAGE, LLC"	Local CCP	Liberty Medicare Advantage	HMO/HMOPOS		Liberty Healthcare Insurance	668	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6351	Government Relations Contact	Executive Director	Mr.	Oliver	David	J	1-910-263-2306					doliver@libertyhcare.com	2334 South 41st Street		Wilmington	NC	28403	5/27/2026	2026	"LIBERTY ADVANTAGE, LLC"	Local CCP	Liberty Medicare Advantage	HMO/HMOPOS		Liberty Healthcare Insurance	668	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6351	Hospice Contact	Executive Director	Mr.	Oliver	David	J	1-910-263-2306					doliver@libertyhcare.com	2334 South 41st Street		Wilmington	NC	28403	5/27/2026	2026	"LIBERTY ADVANTAGE, LLC"	Local CCP	Liberty Medicare Advantage	HMO/HMOPOS		Liberty Healthcare Insurance	668	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6351	Medicare Compliance Officer	Compliance Officer	Ms.	Klimek	Kimberly	A	1-910-836-7764					kklimek@libertyhcare.com	2334 South 41st Street		Wilmington	NC	28403	5/20/2026	2026	"LIBERTY ADVANTAGE, LLC"	Local CCP	Liberty Medicare Advantage	HMO/HMOPOS		Liberty Healthcare Insurance	668	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6351	Part D Exceptions Contact	"Assoc. Director, Clinical Prior Authorization"	Mr.	LeClair	Christophe						1-920-221-4676	Christopher.LeClair@Navitus.com	1025 West Navitus Drive		Appleton	WI	54913	5/26/2026	2026	"LIBERTY ADVANTAGE, LLC"	Local CCP	Liberty Medicare Advantage	HMO/HMOPOS		Liberty Healthcare Insurance	668	Yes	Active	1-920-221-4176				HMO - Health Maintenance Organization		C	Atlanta
H6351	Pharmacy Network Management Contact	VP Provider Services	Mr.	Nagy	Don		1-608-820-4403					Don.Nagy@navitus.com	Navitus Health Solutions	361 Integrity Drive	Madison	WI	53717	5/26/2026	2026	"LIBERTY ADVANTAGE, LLC"	Local CCP	Liberty Medicare Advantage	HMO/HMOPOS		Liberty Healthcare Insurance	668	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6351	Pharmacy Technical Help Desk Contact	"Sr. Manager, Customer Care Accounts"	Ms.	Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	"Navitus Health Solutions, LLC"	1025 W. Navitus Drive	Appleton	WI	54913	5/26/2026	2026	"LIBERTY ADVANTAGE, LLC"	Local CCP	Liberty Medicare Advantage	HMO/HMOPOS		Liberty Healthcare Insurance	668	Yes	Active	1-866-270-3877				HMO - Health Maintenance Organization		C	Atlanta
H6351	Plan to Plan Reconciliation Contact	Claims and Receivable Manager	Ms.	Crook	Rachel	A	1-910-465-0791					RCrook@libertyhcare.com	2334 South 41st Street		Wilmington	NC	28403	5/26/2026	2026	"LIBERTY ADVANTAGE, LLC"	Local CCP	Liberty Medicare Advantage	HMO/HMOPOS		Liberty Healthcare Insurance	668	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6353	Automated TrOOP Balance Transfer Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/1/2026	2026	"BEACON OF LIFE FLORIDA, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H6353	Best Available Evidence Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/1/2026	2026	"BEACON OF LIFE FLORIDA, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H6353	Chief Financial Officer	Chief Financial Officer	Mr	Schlesinger	David		1-855-801-2653					dschlesinger@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	5/20/2026	2026	"BEACON OF LIFE FLORIDA, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H6353	CMS Casework Communication Contact	Director of Compliance	Ms	Cooper	Wanda		1-855-801-2653					WCooper@boldagepace.com	1075 Stephenson Avenue Suite B		Oceanport	NJ	07757	5/20/2026	2026	"BEACON OF LIFE FLORIDA, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H6353	Coordination of Benefits Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/21/2026	2026	"BEACON OF LIFE FLORIDA, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H6353	Customer Service Operations Contact	Director of Compliance		Cooper	Wanda		1-855-801-2653					WCooper@boldagepace.com	1200 Synergy Way	Building P	Holly Hill	FL	32117	5/20/2026	2026	"BEACON OF LIFE FLORIDA, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H6353	Government Relations Contact	Chief Administrative Officer	Mr	Czermak	Michael		1-855-801-2653					michaelc@boldagepace.com	1897 Lakewood Road	Unit 109	Toms River	NJ	08753	5/11/2026	2026	"BEACON OF LIFE FLORIDA, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H6353	Medicare Compliance Officer	Director of Compliance	Ms	Cooper	Wanda		1-855-801-2653					WCooper@boldagepace.com	1075 Stephenson Avenue	Suite B	Oceanport	NJ	07757	5/20/2026	2026	"BEACON OF LIFE FLORIDA, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H6353	Part D Exceptions Contact	Financial Specialist		Partlow	Jennie							jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/28/2026	2026	"BEACON OF LIFE FLORIDA, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending	1-732-806-3224				PACE - Nat		C	New York
H6353	Pharmacy Network Management Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/1/2026	2026	"BEACON OF LIFE FLORIDA, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H6353	Pharmacy Technical Help Desk Contact	Financial Specialist	Ms	Partlow	Jennie							jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/1/2026	2026	"BEACON OF LIFE FLORIDA, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending	1-732-608-1975				PACE - Nat		C	New York
H6353	Plan to Plan Reconciliation Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/1/2026	2026	"BEACON OF LIFE FLORIDA, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H6368	Automated TrOOP Balance Transfer Contact	Medicare Part D		MedImpact	MedImpact		1-858-790-6250					PartDCAT@MedImpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	2/11/2025	2026	"ELITE HEALTH PLAN, INC."	Local CCP	"Elite Health Plan, Inc."	HMO/HMOPOS		"Elite Health Systems, Inc."	871	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H6368	Best Available Evidence Contact	Vice President Compliance		Del Villar	Jennifer		1-909-905-0367					cmscasework@elitehealthplan.com	1131 West 6th Street	Suite 225	Ontario	CA	91762	3/24/2026	2026	"ELITE HEALTH PLAN, INC."	Local CCP	"Elite Health Plan, Inc."	HMO/HMOPOS		"Elite Health Systems, Inc."	871	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H6368	Chief Financial Officer	CFO Interim	Mr.	Minor	Kenneth	A	1-909-630-2031					cmscasework@elitehealthplan.com	1131 West 6th Street	Suite 225	Ontario	CA	91762	2/17/2026	2026	"ELITE HEALTH PLAN, INC."	Local CCP	"Elite Health Plan, Inc."	HMO/HMOPOS		"Elite Health Systems, Inc."	871	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H6368	CMS Casework Communication Contact	Vice President of Compliance		Del Villar	Jennifer	E	1-909-905-0367					cmscasework@elitehealthplan.com	1131 West 6th Street	Suite 225	Ontario	CA	91762	3/24/2026	2026	"ELITE HEALTH PLAN, INC."	Local CCP	"Elite Health Plan, Inc."	HMO/HMOPOS		"Elite Health Systems, Inc."	871	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H6368	Coordination of Benefits Contact	"Manager, Enrollment"		Purser	Jessica		1-909-972-7628					cmscasework@elitehealthplan.com	1131 West 6th Street	Suite 225	Ontario	CA	91762	3/24/2026	2026	"ELITE HEALTH PLAN, INC."	Local CCP	"Elite Health Plan, Inc."	HMO/HMOPOS		"Elite Health Systems, Inc."	871	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H6368	Customer Service Operations Contact	Director of Member Engagement/Community Outreach		Gonzalez	Raudel		1-909-757-5869					cmscasework@elitehealthplan.com	1131 West 6th Street	Suite 225	Ontario	CA	91762	3/24/2026	2026	"ELITE HEALTH PLAN, INC."	Local CCP	"Elite Health Plan, Inc."	HMO/HMOPOS		"Elite Health Systems, Inc."	871	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H6368	Government Relations Contact	Vice President Compliance		Del Villar	Jennifer	E	1-909-905-0367					cmscasework@elitehealthplan.com	1131 West 6th Street	Suite 225	Ontario	CA	91762	3/24/2026	2026	"ELITE HEALTH PLAN, INC."	Local CCP	"Elite Health Plan, Inc."	HMO/HMOPOS		"Elite Health Systems, Inc."	871	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H6368	Hospice Contact	VP Operations		Del Villar	Jennifer	E	1-909-905-0367					cmscasework@elitehealthplan.com	1131 West 6th Street	Suite 225	Ontario	CA	91762	2/17/2026	2026	"ELITE HEALTH PLAN, INC."	Local CCP	"Elite Health Plan, Inc."	HMO/HMOPOS		"Elite Health Systems, Inc."	871	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H6368	Medicare Compliance Officer	Vice President Compliance	Ms.	Del Villar	Jennifer	E	1-909-905-0367					jdelvillar@elitehealthplan.com	1131 West 6th Street	Suite 225	Ontario	CA	91762	3/30/2026	2026	"ELITE HEALTH PLAN, INC."	Local CCP	"Elite Health Plan, Inc."	HMO/HMOPOS		"Elite Health Systems, Inc."	871	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H6368	Part D Exceptions Contact	Dir PA & UM Programs		Emoto	Julianne							Julianne.emoto@MedImpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	2/11/2025	2026	"ELITE HEALTH PLAN, INC."	Local CCP	"Elite Health Plan, Inc."	HMO/HMOPOS		"Elite Health Systems, Inc."	871	Yes	Active	1-858-790-5846				HMO - Health Maintenance Organization		C	Kansas City
H6368	Pharmacy Network Management Contact	Pharmacy Network		Network	Pharmacy		1-800-788-2949					pharmacyoperationssups@medimpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	8/13/2025	2026	"ELITE HEALTH PLAN, INC."	Local CCP	"Elite Health Plan, Inc."	HMO/HMOPOS		"Elite Health Systems, Inc."	871	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H6368	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"		Brewer	Kathy							Customerservice@Medimpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	12/17/2025	2026	"ELITE HEALTH PLAN, INC."	Local CCP	"Elite Health Plan, Inc."	HMO/HMOPOS		"Elite Health Systems, Inc."	871	Yes	Active	1-888-807-5705				HMO - Health Maintenance Organization		C	Kansas City
H6368	Plan to Plan Reconciliation Contact	Chief Information Officer		Chen	Bill		1-909-263-5191					cmscasework@elitehealthplan.com	1131 West 6th Street	Suite 225	Ontario	CA	91762	2/17/2026	2026	"ELITE HEALTH PLAN, INC."	Local CCP	"Elite Health Plan, Inc."	HMO/HMOPOS		"Elite Health Systems, Inc."	871	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H6371	Automated TrOOP Balance Transfer Contact	Regional Director of PACE	Mr.	Chau	David		1-201-499-3900	3872			1-201-706-2092	dchau@lsmnj.org	377 Jersey Avenue	Suite   310	Jersey City	NJ	07302	12/17/2025	2026	"LUTHERAN SENIOR HEALTHCARE, INC."	National PACE	Lutheran Senior LIFE	National PACE		Lutheran Social Ministries of New Jersey	427	Yes	Active					PACE - Nat		C	New York
H6371	Best Available Evidence Contact	Regional Director of PACE	Mr.	Chau	David		1-201-499-3900	3872			1-201-706-2092	dchau@lsmnj.org	377 Jersey Avenue	Suite   310	Jersey City	NJ	07302	12/17/2025	2026	"LUTHERAN SENIOR HEALTHCARE, INC."	National PACE	Lutheran Senior LIFE	National PACE		Lutheran Social Ministries of New Jersey	427	Yes	Active					PACE - Nat		C	New York
H6371	Chief Financial Officer	CFO	Ms	Richman	Jeannine	M	1-609-781-1379				1-609-747-4140	jrichman@lsmnj.org	3 Manhattan Drive		Burlington	NJ	08016	9/2/2020	2026	"LUTHERAN SENIOR HEALTHCARE, INC."	National PACE	Lutheran Senior LIFE	National PACE		Lutheran Social Ministries of New Jersey	427	Yes	Active					PACE - Nat		C	New York
H6371	CMS Casework Communication Contact	Regional Director of PACE	Mr.	Chau	David		1-201-499-3900	3879			1-201-706-2092	dchau@lsmnj.org	377 Jersey Avenue	Suite   310	Jersey City	NJ	07302	12/17/2025	2026	"LUTHERAN SENIOR HEALTHCARE, INC."	National PACE	Lutheran Senior LIFE	National PACE		Lutheran Social Ministries of New Jersey	427	Yes	Active					PACE - Nat		C	New York
H6371	Coordination of Benefits Contact	Regional Director of PACE	Mr.	Chau	David		1-201-499-3900	3879			1-201-706-2092	dchau@lsmnj.org	377 Jersey Avenue	Suite   310	Jersey City	NJ	07302	12/17/2025	2026	"LUTHERAN SENIOR HEALTHCARE, INC."	National PACE	Lutheran Senior LIFE	National PACE		Lutheran Social Ministries of New Jersey	427	Yes	Active					PACE - Nat		C	New York
H6371	Customer Service Operations Contact	Regional Director of PACE	Mr.	Chau	David		1-201-499-3900	3879			1-201-706-2092	dchau@lsmnj.org	377 Jersey Avenue	Suite   310	Jersey City	NJ	07302	12/17/2025	2026	"LUTHERAN SENIOR HEALTHCARE, INC."	National PACE	Lutheran Senior LIFE	National PACE		Lutheran Social Ministries of New Jersey	427	Yes	Active					PACE - Nat		C	New York
H6371	Government Relations Contact	Regional Director of PACE	Mr.	Chau	David		1-201-499-3900	3872			1-201-706-2092	dchau@lsmnj.org	377 Jersey Avenue	Suite   310	Jersey City	NJ	07302	12/17/2025	2026	"LUTHERAN SENIOR HEALTHCARE, INC."	National PACE	Lutheran Senior LIFE	National PACE		Lutheran Social Ministries of New Jersey	427	Yes	Active					PACE - Nat		C	New York
H6371	Medicare Compliance Officer	Regional Director of PACE	Mr.	Chau	David		1-201-499-3900	3872			1-201-706-2092	dchau@lsmnj.org	377 Jersey Avenue	Suite   310	Jersey City	NJ	07302	12/17/2025	2026	"LUTHERAN SENIOR HEALTHCARE, INC."	National PACE	Lutheran Senior LIFE	National PACE		Lutheran Social Ministries of New Jersey	427	Yes	Active					PACE - Nat		C	New York
H6371	Part D Exceptions Contact	Regional Director of PACE	Mr.	Chau	David						1-201-706-2092	dchau@lsmnj.org	377 Jersey Avenue	Suite   310	Jersey City	NJ	07302	12/17/2025	2026	"LUTHERAN SENIOR HEALTHCARE, INC."	National PACE	Lutheran Senior LIFE	National PACE		Lutheran Social Ministries of New Jersey	427	Yes	Active	1-201-499-3900	3872			PACE - Nat		C	New York
H6371	Pharmacy Network Management Contact	Regional Director of PACE	Mr.	Chau	David		1-201-499-3900	3872			1-201-706-2092	dchau@lsmnj.org	377 Jersey Avenue	Suite   310	Jersey City	NJ	07302	12/17/2025	2026	"LUTHERAN SENIOR HEALTHCARE, INC."	National PACE	Lutheran Senior LIFE	National PACE		Lutheran Social Ministries of New Jersey	427	Yes	Active					PACE - Nat		C	New York
H6371	Pharmacy Technical Help Desk Contact	Regional Director of PACE	Mr.	Chau	David						1-201-706-2092	dchau@lsmnj.org	377 Jersey Avenue	Suite   310	Jersey City	NJ	07302	12/17/2025	2026	"LUTHERAN SENIOR HEALTHCARE, INC."	National PACE	Lutheran Senior LIFE	National PACE		Lutheran Social Ministries of New Jersey	427	Yes	Active	1-201-499-3900	3872			PACE - Nat		C	New York
H6371	Plan to Plan Reconciliation Contact	CFO	Ms	Richman	Jeannine	M	1-609-781-1379				1-609-747-4140	jrichman@lsmnj.org	3 Manhattan Drive		Burlington	NJ	08016	9/2/2020	2026	"LUTHERAN SENIOR HEALTHCARE, INC."	National PACE	Lutheran Senior LIFE	National PACE		Lutheran Social Ministries of New Jersey	427	Yes	Active					PACE - Nat		C	New York
H6378	Automated TrOOP Balance Transfer Contact	Director of Data and Tech Services		Cuchel	Eric		1-215-937-4161					ecuchel@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH CARITAS FLORIDA, INC."	Local CCP	AmeriHealth Caritas VIP Care (HMO-D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6378	Best Available Evidence Contact	Medicare Enrollment Manager	Ms.	Mullins	Naketa		1-484-497-1171					nmullins@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH CARITAS FLORIDA, INC."	Local CCP	AmeriHealth Caritas VIP Care (HMO-D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6378	Chief Financial Officer	"EVP, CFO & Treasurer"	Mr.	Lopez	Juan		1-609-405-0539					Juan.Lopez@ibx.com	"1901 Market Street, 39th floor"		Philadelphia	PA	19103	3/17/2026	2026	"AMERIHEALTH CARITAS FLORIDA, INC."	Local CCP	AmeriHealth Caritas VIP Care (HMO-D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6378	CMS Casework Communication Contact	Director Medicare Appeals and Grievances	Ms.	Lopez	Yismell		1-215-863-5677					yelopez@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH CARITAS FLORIDA, INC."	Local CCP	AmeriHealth Caritas VIP Care (HMO-D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6378	Coordination of Benefits Contact	"Manager,  Medicare Regulatory Performance"	Ms.	Williams	Kathy		1-843-830-0812					kwilliams@firstchoicevipcareplus.com	Amerihealth Caritas Family of Companies	"4390 Belle Oak Dr, Suite 400"	Charleston	SC	29405	3/17/2026	2026	"AMERIHEALTH CARITAS FLORIDA, INC."	Local CCP	AmeriHealth Caritas VIP Care (HMO-D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6378	Customer Service Operations Contact	"Director, Medicare Customer Service"	Ms.	Veras	Helen		1-267-298-1794					hveras@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	200 Stevens Dr.	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH CARITAS FLORIDA, INC."	Local CCP	AmeriHealth Caritas VIP Care (HMO-D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6378	Government Relations Contact	"VP, Public Policy"	Mr.	Cozzo	Steven		1-215-937-8236					scozzo@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	3875 West Chester Pike	Newtown Square	PA	19073	3/17/2026	2026	"AMERIHEALTH CARITAS FLORIDA, INC."	Local CCP	AmeriHealth Caritas VIP Care (HMO-D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6378	Hospice Contact	Dir Member Services	Ms.	Veras	Helen		1-833-852-4433					hveras@amerihealthcaritas.com	AmeriHealth Caritas	3875 West Chester Pike	Newtown Square	PA	19073	3/17/2026	2026	"AMERIHEALTH CARITAS FLORIDA, INC."	Local CCP	AmeriHealth Caritas VIP Care (HMO-D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6378	Medicare Compliance Officer	Medicare Compliance Officer	Ms	Dupre	Colleen		1-203-506-8413					cdupre@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	3875 West Chester Pike	Newtown Square	PA	19073	3/17/2026	2026	"AMERIHEALTH CARITAS FLORIDA, INC."	Local CCP	AmeriHealth Caritas VIP Care (HMO-D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6378	Part D Exceptions Contact	"Director, Pharmacy Utilization Management"		Bonko	Gerald						1-215-863-5100	gbonko@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH CARITAS FLORIDA, INC."	Local CCP	AmeriHealth Caritas VIP Care (HMO-D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active	1-215-863-6483				HMO - Health Maintenance Organization		C	Chicago
H6378	Pharmacy Network Management Contact	Director Pharmacy Network Operations		Patel	Disha		1-215-863-5276					dpatel5@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH CARITAS FLORIDA, INC."	Local CCP	AmeriHealth Caritas VIP Care (HMO-D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6378	Pharmacy Technical Help Desk Contact	"Manager, Call Center"		Vargas	Crystal							cvargas@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH CARITAS FLORIDA, INC."	Local CCP	AmeriHealth Caritas VIP Care (HMO-D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active	1-800-555-5690				HMO - Health Maintenance Organization		C	Chicago
H6378	Plan to Plan Reconciliation Contact	Finance Manager	Ms	Zeleneva	Zhanna		1-312-543-9113					zzeleneva@amerihealthcaritas.com	Amerihealth Caritas Family of Companies	3875 West Chester Pike	Newton Square	PA	19073	3/17/2026	2026	"AMERIHEALTH CARITAS FLORIDA, INC."	Local CCP	AmeriHealth Caritas VIP Care (HMO-D-SNP)	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6379	Automated TrOOP Balance Transfer Contact	"Vice President, Pharmacy"	Mr.	Lopez	Eduardo		1-754-208-5867					Elopez@clearspringhealthcare.com	3601 SW 160th Avenue	Suite 450	Miramar	FL	33027	4/30/2026	2026	"CLEAR SPRING HEALTH (CO), INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H6379	Best Available Evidence Contact	"Director, Compliance"	Ms.	Wilcox-Lange	Tracie		1-847-696-8503					tracie.lange@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH (CO), INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H6379	Chief Financial Officer	Chief Financial Officer	Mr.	Moss	Adam		1-317-457-1252					Adam.Moss@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	6/30/2026	2026	"CLEAR SPRING HEALTH (CO), INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H6379	CMS Casework Communication Contact	"Director, Compliance"	Ms.	Wilcox-Lange	Tracie		1-847-696-8503					tracie.lange@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH (CO), INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H6379	Coordination of Benefits Contact	"Director, Compliance"	Ms.	Wilcox-Lange	Tracie		1-847-696-8503					tracie.lange@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH (CO), INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H6379	Customer Service Operations Contact	"Vice President, Compliance"	Ms.	Cornish	Sameria		1-843-276-1153					sameria.cornish@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH (CO), INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H6379	Government Relations Contact	Chief Executive Officer	Mr.	Parker	Jim		1-317-931-9666					Jim.Parker@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH (CO), INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H6379	Hospice Contact	"Director, Compliance"	Ms.	Wilcox-Lange	Tracie		1-847-696-8503					tracie.lange@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH (CO), INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H6379	Medicare Compliance Officer	"Vice President, Compliance"	Ms.	Cornish	Sameria		1-843-276-1153					sameria.cornish@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH (CO), INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H6379	Part D Exceptions Contact			Le	Christina							christina.le@optum.com	PO Box 2975		Mission	KS	66201	4/30/2026	2026	"CLEAR SPRING HEALTH (CO), INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated	1-888-403-3398				HMO - Health Maintenance Organization		C	Chicago
H6379	Pharmacy Network Management Contact			Perez	Felix		1-305-331-3044				1-305-331-3044	Felix.perez@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	4/30/2026	2026	"CLEAR SPRING HEALTH (CO), INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H6379	Pharmacy Technical Help Desk Contact	"Manager, Pharmacy Help Desk"		Villanueva	Juan							juan.villanueva@optum.com	P.O. Box 2975		Mission	KS	66201	4/30/2026	2026	"CLEAR SPRING HEALTH (CO), INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated	1-800-461-1308				HMO - Health Maintenance Organization		C	Chicago
H6379	Plan to Plan Reconciliation Contact	Senior Accountant	Ms.	Wrenn	Alisa		1-224-985-5588				1-312-429-0194	Alisa.Wrenn@Clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH (CO), INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H6396	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Innovation"	Ms.	Loricco	Nichol		1-937-818-7479					rxcompliancerequest@caresource.com	140 N Jefferson St		Dayton	OH	45402	3/25/2022	2026	"CARESOURCE OHIO, INC."	Local CCP	CareSource MyCare Ohio (HMO D-SNP)	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6396	Best Available Evidence Contact	Enrollment Team Lead	Mr.	Richardson	Kal		1-937-224-3300	3437			1-937-425-0909	kal.richardson@caresource.com	P. O. Box 45401		Dayton	OH	45401	2/2/2016	2026	"CARESOURCE OHIO, INC."	Local CCP	CareSource MyCare Ohio (HMO D-SNP)	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6396	Chief Financial Officer	Chief Financial Officer	Mr.	Smart	Lawrence		1-937-531-3335					Lawrence.Smart@caresource.com	P. O. Box 8738		Dayton	OH	45401	1/5/2026	2026	"CARESOURCE OHIO, INC."	Local CCP	CareSource MyCare Ohio (HMO D-SNP)	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6396	CMS Casework Communication Contact	"AVP, Grievance and Appeals"	Mr.	Mayo	Faustino		1-937-701-3522					faustino.mayo@caresource.com	P.O. Box 1947		Dayton	OH	45401	2/6/2025	2026	"CARESOURCE OHIO, INC."	Local CCP	CareSource MyCare Ohio (HMO D-SNP)	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6396	Coordination of Benefits Contact	"Manager, Enrollment Operations"	Mr.	Spivey	Michael		1-937-531-3682				1-937-487-0643	COBInquiry@caresource.com	230 N. Main St.		Dayton	OH	45402	4/15/2022	2026	"CARESOURCE OHIO, INC."	Local CCP	CareSource MyCare Ohio (HMO D-SNP)	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6396	Customer Service Operations Contact	"Director, Customer Care"		Cary	Lisa		1-937-232-6458					lisa.cary@caresource.com	40 W 2nd St		Dayton	OH	45402	10/4/2021	2026	"CARESOURCE OHIO, INC."	Local CCP	CareSource MyCare Ohio (HMO D-SNP)	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6396	Government Relations Contact	"Sr. Manager, Medicare Compliance Officer"	Ms.	Nettles	Kylie		1-937-487-6159					kylie.nettles@caresource.com	230 North Main Street		Dayton	OH	45402	7/12/2024	2026	"CARESOURCE OHIO, INC."	Local CCP	CareSource MyCare Ohio (HMO D-SNP)	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6396	Hospice Contact	"Director, Enrollment"	Mr.	Castro	Armando		1-937-531-2291					armando.castro@caresource.com	230 N Main St		Dayton	OH	45402	5/29/2020	2026	"CARESOURCE OHIO, INC."	Local CCP	CareSource MyCare Ohio (HMO D-SNP)	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6396	Medicare Compliance Officer	"Sr. Manager, Medicare Compliance Officer"	Ms.	Nettles	Kylie		1-937-487-6159					kylie.nettles@caresource.com	230 N. Main St.		Dayton	OH	45402	7/12/2024	2026	"CARESOURCE OHIO, INC."	Local CCP	CareSource MyCare Ohio (HMO D-SNP)	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6396	Part D Exceptions Contact	Sr. Pharmacy Manager	Mr.	Schumm	Brian							Brian_Schumm@express-scripts.com	5151 Blazer Pkwy		Dublin	OH	43017	6/8/2022	2026	"CARESOURCE OHIO, INC."	Local CCP	CareSource MyCare Ohio (HMO D-SNP)	HMO/HMOPOS		CareSource	321	Yes	Active	1-800-344-3405	733326			HMO - Health Maintenance Organization		C	Boston
H6396	Pharmacy Network Management Contact	"Director, Pharmacy Innovation"	Ms.	Loricco	Nichol		1-937-818-7479					rxcompliancerequest@caresource.com	140 N Jefferson St		Dayton	OH	45402	3/25/2022	2026	"CARESOURCE OHIO, INC."	Local CCP	CareSource MyCare Ohio (HMO D-SNP)	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6396	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	13051 N. Telecom PKWY STE 150		Temple Terrace	FL	33637	11/22/2021	2026	"CARESOURCE OHIO, INC."	Local CCP	CareSource MyCare Ohio (HMO D-SNP)	HMO/HMOPOS		CareSource	321	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Boston
H6396	Plan to Plan Reconciliation Contact	"Senior Manager, Accounting"	Ms.	Schoen	Dawn		1-937-487-6597					CareSourceP2P@CareSource.com	CareSource Accounting	P.O. Box 2208	Dayton	OH	45401	8/12/2024	2026	"CARESOURCE OHIO, INC."	Local CCP	CareSource MyCare Ohio (HMO D-SNP)	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6399	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	AETNA BETTER HEALTH INC. (NJ)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6399	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	AETNA BETTER HEALTH INC. (NJ)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6399	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA BETTER HEALTH INC. (NJ)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6399	CMS Casework Communication Contact	"Lead Director, Complaint and Appeals"	Ms.	Mougey	Melissa		1-740-819-1678					mougeym@aetna.com	109 Hunters Trl		Wheelersburg	OH	45694	4/14/2023	2026	AETNA BETTER HEALTH INC. (NJ)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6399	Coordination of Benefits Contact	Director of Pharmacy		Stekol	Ilona		1-347-880-6082					StekolI@aetna.com	7400 West Campus Road		New Albany	OH	43054	4/29/2022	2026	AETNA BETTER HEALTH INC. (NJ)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6399	Customer Service Operations Contact	"Director, Service Operations"		Phillips	Tish		1-614-653-7335					PhillipsL1@aetna.com	7400 Campus Road		New Albany	OH	43054	11/18/2025	2026	AETNA BETTER HEALTH INC. (NJ)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6399	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA BETTER HEALTH INC. (NJ)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6399	Hospice Contact	"Lead Director, Service Operations"		Truitt	Michelle		1-717-671-6847					MLTruitt@aetna.com	151 Farmington Ave.		Hartford	CT	06156	10/24/2025	2026	AETNA BETTER HEALTH INC. (NJ)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6399	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	1/24/2020	2026	AETNA BETTER HEALTH INC. (NJ)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6399	Part D Exceptions Contact	"Director, Pharmacy"		Stekol	Ilona							StekolI@aetna.com	7400 West Campus Road		New Albany	OH	43054	12/5/2022	2026	AETNA BETTER HEALTH INC. (NJ)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-347-880-6082				HMO - Health Maintenance Organization		C	Atlanta
H6399	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA BETTER HEALTH INC. (NJ)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6399	Pharmacy Technical Help Desk Contact	"Director, Pharmacy"		Stekol	Ilona							StekolI@aetna.com	7400 West Campus Road		New Albany	OH	43054	4/29/2022	2026	AETNA BETTER HEALTH INC. (NJ)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H6399	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA BETTER HEALTH INC. (NJ)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6425	Automated TrOOP Balance Transfer Contact	Business Office Manager	Mr	Lever	Jake		1-479-463-6609				1-479-463-6601	jlever@wregional.com	"813 Founders Park Drive East, Suite 107"		Springdale	AR	72762	9/25/2025	2026	WASHINGTON REGIONAL MEDICORP	National PACE	PACE of the Ozarks	National PACE		Washington Regional Medical System	686	Yes	Active					PACE - Nat		C	New York
H6425	Best Available Evidence Contact	Quality Improvement Coordinator	Mr	Harmon	Martin		1-479-463-6610				1-479-463-6601	mharmon@wregional.com	"813 Founders Park Drive East, Suite 107"		Springdale	AR	72762	5/6/2025	2026	WASHINGTON REGIONAL MEDICORP	National PACE	PACE of the Ozarks	National PACE		Washington Regional Medical System	686	Yes	Active					PACE - Nat		C	New York
H6425	Chief Financial Officer	Controller	Mr	Burrows	DJ		1-479-463-1120					dburrows@wregional.com	"813 Founders Park Drive East, Suite 107"		Springdale	AR	72762	1/7/2022	2026	WASHINGTON REGIONAL MEDICORP	National PACE	PACE of the Ozarks	National PACE		Washington Regional Medical System	686	Yes	Active					PACE - Nat		C	New York
H6425	CMS Casework Communication Contact	Executive Director	Mr	Morris	Jack		1-479-463-6611				1-479-463-6601	jmorris@wregional.com	"813 Founders Park Drive East, Suite 107"		Springdale	AR	72762	12/7/2022	2026	WASHINGTON REGIONAL MEDICORP	National PACE	PACE of the Ozarks	National PACE		Washington Regional Medical System	686	Yes	Active					PACE - Nat		C	New York
H6425	Coordination of Benefits Contact	Quality Improvement Coordinator	Mr	Harmon	Martin		1-479-463-6610				1-479-463-6601	mharmon@wregional.com	"813 Founders Park Drive East, Suite 107"		Springdale	AR	72762	5/6/2025	2026	WASHINGTON REGIONAL MEDICORP	National PACE	PACE of the Ozarks	National PACE		Washington Regional Medical System	686	Yes	Active					PACE - Nat		C	New York
H6425	Customer Service Operations Contact	Quality Improvement Coordinator	Mr	Harmon	Martin		1-479-463-6610				1-479-463-6601	mharmon@wregional.com	"813 Founders Park Drive East, Suite 107"		Springdale	AR	72762	5/6/2025	2026	WASHINGTON REGIONAL MEDICORP	National PACE	PACE of the Ozarks	National PACE		Washington Regional Medical System	686	Yes	Active					PACE - Nat		C	New York
H6425	Government Relations Contact	Executive Director	Mr	Morris	Jack		1-479-463-6611				1-479-463-6601	jmorris@wregional.com	"813 Founders Park Drive East, Suite 107"		Springdale	AR	72762	12/7/2022	2026	WASHINGTON REGIONAL MEDICORP	National PACE	PACE of the Ozarks	National PACE		Washington Regional Medical System	686	Yes	Active					PACE - Nat		C	New York
H6425	Medicare Compliance Officer	Quality Improvement Coordinator	Mr	Harmon	Martin		1-479-463-6610				1-479-463-6601	mharmon@wregional.com	"813 Founders Park Drive East, Suite 107"		Springdale	AR	72762	1/30/2024	2026	WASHINGTON REGIONAL MEDICORP	National PACE	PACE of the Ozarks	National PACE		Washington Regional Medical System	686	Yes	Active					PACE - Nat		C	New York
H6425	Part D Exceptions Contact	Executive Director	Mr	Morris	Jack						1-479-463-6601	jmorris@wregional.com	"813 Founders Park Drive East, Suite 107"		Springdale	AR	72762	12/7/2022	2026	WASHINGTON REGIONAL MEDICORP	National PACE	PACE of the Ozarks	National PACE		Washington Regional Medical System	686	Yes	Active	1-479-463-6611				PACE - Nat		C	New York
H6425	Pharmacy Network Management Contact	Quality Improvement Coordinator	Mr	Harmon	Martin		1-479-463-6600				1-479-463-6601	mharmon@wregional.com	"813 Founders Park Drive East, Suite 107"		Springdale	AR	72762	12/4/2024	2026	WASHINGTON REGIONAL MEDICORP	National PACE	PACE of the Ozarks	National PACE		Washington Regional Medical System	686	Yes	Active					PACE - Nat		C	New York
H6425	Pharmacy Technical Help Desk Contact	Quality Improvement Coordinator	Mr	Harmon	Martin						1-479-463-6601	mharmon@wregional.com	"813 Founders Park Drive East, Suite 107"		Springdale	AR	72762	4/8/2025	2026	WASHINGTON REGIONAL MEDICORP	National PACE	PACE of the Ozarks	National PACE		Washington Regional Medical System	686	Yes	Active	1-479-463-6610				PACE - Nat		C	New York
H6425	Plan to Plan Reconciliation Contact	Business Office Supervisor	Mr.	Lever	Jake		1-479-463-6609				1-479-463-6601	jlever@wregional.com	"813 Founders Park Drive East, Suite 107"		Springdale	AR	72762	4/8/2025	2026	WASHINGTON REGIONAL MEDICORP	National PACE	PACE of the Ozarks	National PACE		Washington Regional Medical System	686	Yes	Active					PACE - Nat		C	New York
H6453	Automated TrOOP Balance Transfer Contact	"SVP, Government Programs"	Mrs.	Hogan	Sabrina		1-225-295-2390					sabrina.hogan@bcbsla.com	5525 Reitz Ave		Baton Rouge	LA	70809	6/26/2026	2026	"HMO LOUISIANA, INC."	Local CCP	Blue Cross and Blue Shield of Louisiana	HMO/HMOPOS		Louisiana Health Service & Indemnity Company	617	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6453	Best Available Evidence Contact	Medicare Advantage Compliance Officer	Mrs.	Rainer	Sally		1-225-298-7361					sally.rainer@lablue.com	5525 Reitz Avenue		Baton Rouge	LA	70809	6/26/2026	2026	"HMO LOUISIANA, INC."	Local CCP	Blue Cross and Blue Shield of Louisiana	HMO/HMOPOS		Louisiana Health Service & Indemnity Company	617	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6453	Chief Financial Officer	"SVP, Government Programs"	Mrs.	Hogan	Sabrina		1-225-295-2390					sabrina.hogan@bcbsla.com	5525 Reitz Ave		Baton Rouge	LA	70809	6/26/2026	2026	"HMO LOUISIANA, INC."	Local CCP	Blue Cross and Blue Shield of Louisiana	HMO/HMOPOS		Louisiana Health Service & Indemnity Company	617	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6453	CMS Casework Communication Contact	Medicare Advantage Compliance Officer	Mrs.	Rainer	Sally		1-225-298-7361					sally.rainer@lablue.com	5525 Reitz Ave		Baton Rouge	LA	70809	6/26/2026	2026	"HMO LOUISIANA, INC."	Local CCP	Blue Cross and Blue Shield of Louisiana	HMO/HMOPOS		Louisiana Health Service & Indemnity Company	617	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6453	Coordination of Benefits Contact	Medicare Advantage Compliance Officer	Mrs.	Rainer	Sally		1-225-298-7361					sally.rainer@lablue.com	5525 Reitz Avenue		Baton Rouge	LA	70809	6/26/2026	2026	"HMO LOUISIANA, INC."	Local CCP	Blue Cross and Blue Shield of Louisiana	HMO/HMOPOS		Louisiana Health Service & Indemnity Company	617	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6453	Customer Service Operations Contact	Director of Member Services	Mrs.	Trichel Jones	Amy		1-318-998-2870					amy.trichel@lablue.com	5525 Reitz Ave		Baton Rouge	LA	70809	6/26/2026	2026	"HMO LOUISIANA, INC."	Local CCP	Blue Cross and Blue Shield of Louisiana	HMO/HMOPOS		Louisiana Health Service & Indemnity Company	617	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6453	Government Relations Contact	"Director, Medicare Advantage Compliance Officer"	Mr.	Harvey	Korey		1-225-297-2762					korey.harvey@lablue.com	5525 Reitz Avenue		Baton Rouge	LA	70809	6/26/2026	2026	"HMO LOUISIANA, INC."	Local CCP	Blue Cross and Blue Shield of Louisiana	HMO/HMOPOS		Louisiana Health Service & Indemnity Company	617	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6453	Hospice Contact	Account Manager - Express Scripts	Ms.	Morgan	Stacy		1-480-281-8763					slmorgan@express-scripts.com	6625 West 78th Street		Bloomington	MN	55439	6/26/2026	2026	"HMO LOUISIANA, INC."	Local CCP	Blue Cross and Blue Shield of Louisiana	HMO/HMOPOS		Louisiana Health Service & Indemnity Company	617	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6453	Medicare Compliance Officer	Medicare Advantage Compliance Officer	Mrs.	Rainer	Sally		1-225-298-7361					sally.rainer@lablue.com	5525 Reitz Avenue		Baton Rouge	LA	70809	6/26/2026	2026	"HMO LOUISIANA, INC."	Local CCP	Blue Cross and Blue Shield of Louisiana	HMO/HMOPOS		Louisiana Health Service & Indemnity Company	617	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6453	Part D Exceptions Contact	Senior Pharmacy Manager		Herbert	Joshua							joshua.herbert@evernorth.com	One Espress Way Mail Stop S13NB		St. Louis	MO	63121	6/26/2026	2026	"HMO LOUISIANA, INC."	Local CCP	Blue Cross and Blue Shield of Louisiana	HMO/HMOPOS		Louisiana Health Service & Indemnity Company	617	Yes	Active	1-513-292-0563				HMO - Health Maintenance Organization		C	Dallas
H6453	Pharmacy Network Management Contact	"Network Account Dir, Retail Strategy & Contracting"	Ms.	Kelly	Heather		1-314-692-1866					Hakelly@express-scripts.com	One Express Way		St Louis	MO	63121	6/26/2026	2026	"HMO LOUISIANA, INC."	Local CCP	Blue Cross and Blue Shield of Louisiana	HMO/HMOPOS		Louisiana Health Service & Indemnity Company	617	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6453	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Monroe	LaTasha							latasha_monroe@express-scripts.com	13051 N Telecom Parkway	Suite 150	Temple Terrace	FL	33637	6/26/2026	2026	"HMO LOUISIANA, INC."	Local CCP	Blue Cross and Blue Shield of Louisiana	HMO/HMOPOS		Louisiana Health Service & Indemnity Company	617	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Dallas
H6453	Plan to Plan Reconciliation Contact	"SVP, Government Programs"	Mrs.	Hogan	Sabrina		1-225-295-2390					sabrina.hogan@bcbsla.com	5525 Reitz Avenue		Baton Rouge	LA	70809	6/26/2026	2026	"HMO LOUISIANA, INC."	Local CCP	Blue Cross and Blue Shield of Louisiana	HMO/HMOPOS		Louisiana Health Service & Indemnity Company	617	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6474	Automated TrOOP Balance Transfer Contact	Compliance Director	Ms.	Snyder	Rebekah	J	1-657-505-8203				1-949-998-9856	BSnyder@championpayer.com	5000 Airport Plaza Drive	Suite 100	Long Beach	CA	90815	5/24/2026	2026	"CHAMPION HEALTH PLAN OF NEVADA, INC."	Local CCP	Champion Health Plan	HMO/HMOPOS		"Champion Health Plans-USA, LLC."	804	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6474	Best Available Evidence Contact	Chief Compliance Officer	Ms.	Snyder	Constance	J	1-562-682-9395				1-949-998-9856	CSnyder@championpayer.com	5000 Airport Plaza Drive	Suite 100	Long Beach	CA	90815	5/24/2026	2026	"CHAMPION HEALTH PLAN OF NEVADA, INC."	Local CCP	Champion Health Plan	HMO/HMOPOS		"Champion Health Plans-USA, LLC."	804	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6474	Chief Financial Officer	Chief Financial Officer	Mr	Kori	Vijay		1-800-885-8000				1-949-998-9856	vkori@championpayer.com	5000 Airport Plaza Drive	Suite 100	Long Beach	CA	90815	5/24/2026	2026	"CHAMPION HEALTH PLAN OF NEVADA, INC."	Local CCP	Champion Health Plan	HMO/HMOPOS		"Champion Health Plans-USA, LLC."	804	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6474	CMS Casework Communication Contact	Chief Compliance Officer	Ms.	Snyder	Constance	J	1-562-682-9395				1-949-998-9856	CSnyder@ChampionPayer.com	5000 Airport Plaza Drive	Suite 100	"Long Beach,"	CA	90815	5/24/2026	2026	"CHAMPION HEALTH PLAN OF NEVADA, INC."	Local CCP	Champion Health Plan	HMO/HMOPOS		"Champion Health Plans-USA, LLC."	804	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6474	Coordination of Benefits Contact	VP Quality	Ms	Reed	Mechelle		1-800-885-8000				1-949-998-9856	Claims@ChampionPayer.com	5000 Airport Plaza Drive	Suite 100	Long Beach	CA	90815	5/24/2026	2026	"CHAMPION HEALTH PLAN OF NEVADA, INC."	Local CCP	Champion Health Plan	HMO/HMOPOS		"Champion Health Plans-USA, LLC."	804	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6474	Customer Service Operations Contact	Compliance Officer	Ms.	Snyder	Constance	J	1-562-682-9395				1-949-998-9856	CSnyder@championpayer.com	5000 Airport Plaza Drive	Suite 100	Long Beach	CA	90815	5/24/2026	2026	"CHAMPION HEALTH PLAN OF NEVADA, INC."	Local CCP	Champion Health Plan	HMO/HMOPOS		"Champion Health Plans-USA, LLC."	804	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6474	Government Relations Contact	Chief Compliance Officer	Ms.	Snyder	Constance	J	1-562-682-9395				1-949-998-9856	CSnyder@championpayer.com	5000 Airport Plaza Drive	Suite 100	Long Beach	CA	90815	5/24/2026	2026	"CHAMPION HEALTH PLAN OF NEVADA, INC."	Local CCP	Champion Health Plan	HMO/HMOPOS		"Champion Health Plans-USA, LLC."	804	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6474	Hospice Contact	Chief Compliance Officer	Ms.	Snyder	Constance	J	1-562-682-9395				1-949-998-9856	CSnyder@championpayer.com	5000 Airport Plaza Drive	Suite 100	Long Beach	CA	90815	5/24/2026	2026	"CHAMPION HEALTH PLAN OF NEVADA, INC."	Local CCP	Champion Health Plan	HMO/HMOPOS		"Champion Health Plans-USA, LLC."	804	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6474	Medicare Compliance Officer	Compliance Officer / COO	Ms	Snyder	Constance	J	1-562-682-9395				1-949-998-9856	CSnyder@championpayer.com	5000 Airport Plaza Drive	Suite 100	Long Beach	CA	90815	5/24/2026	2026	"CHAMPION HEALTH PLAN OF NEVADA, INC."	Local CCP	Champion Health Plan	HMO/HMOPOS		"Champion Health Plans-USA, LLC."	804	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6474	Part D Exceptions Contact	Sup PA & UM Programs	Mr	deGuzman	Edwin							Edwin.deGuzman@medimpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	5/24/2026	2026	"CHAMPION HEALTH PLAN OF NEVADA, INC."	Local CCP	Champion Health Plan	HMO/HMOPOS		"Champion Health Plans-USA, LLC."	804	Yes	Active	1-844-282-5341				HMO - Health Maintenance Organization		C	Dallas
H6474	Pharmacy Network Management Contact	Dir Pharm Net Admin	Dr.	Hunt	Brian		1-858-790-7092					Brian.Hunt@MedImpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	5/24/2026	2026	"CHAMPION HEALTH PLAN OF NEVADA, INC."	Local CCP	Champion Health Plan	HMO/HMOPOS		"Champion Health Plans-USA, LLC."	804	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6474	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"		Brewer	Kathy							CustomerService@MedImpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	5/24/2026	2026	"CHAMPION HEALTH PLAN OF NEVADA, INC."	Local CCP	Champion Health Plan	HMO/HMOPOS		"Champion Health Plans-USA, LLC."	804	Yes	Active	1-844-282-5341				HMO - Health Maintenance Organization		C	Dallas
H6474	Plan to Plan Reconciliation Contact	CFO	Mr	Kori	Vijay		1-800-885-8000				1-949-998-9856	vkori@championpayer.com	5000 Airport Plaza Drive	Suite 100	Long Beach	CA	90815	5/24/2026	2026	"CHAMPION HEALTH PLAN OF NEVADA, INC."	Local CCP	Champion Health Plan	HMO/HMOPOS		"Champion Health Plans-USA, LLC."	804	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6515	Automated TrOOP Balance Transfer Contact	"AVP, Pharmacy"		Vu	John		1-801-252-5706					an.vu@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF TEXAS, INC."	Local CCP	"Molina Healthcare of Texas, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6515	Best Available Evidence Contact	"Director, Medicare PEnrollment"		LeJeune	Ryan		1-562-549-4527					ryan.lejeune@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF TEXAS, INC."	Local CCP	"Molina Healthcare of Texas, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6515	Chief Financial Officer	"MHI - VP, Operating Finance"	Mr.	Parthasarathy	Vijay		1-630-381-8563					vijay.parthasarathy@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF TEXAS, INC."	Local CCP	"Molina Healthcare of Texas, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6515	CMS Casework Communication Contact	"Dir, Medicare A&G"		Bennett	Kimberly		1-248-854-9474					Kimberly.Bennett@molinahealthcare.com	24121 Rosewood Street		Oak Park	MI	48237	5/21/2025	2026	"MOLINA HEALTHCARE OF TEXAS, INC."	Local CCP	"Molina Healthcare of Texas, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6515	Coordination of Benefits Contact	"Director, Payment Integrity"		Hartberger	Jake		1-484-269-1480					Jake.Hartberger@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF TEXAS, INC."	Local CCP	"Molina Healthcare of Texas, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6515	Customer Service Operations Contact	"Vice President, Call Center"		Faroughi	Cheryl		1-614-547-6829					cheryl.faroughi@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF TEXAS, INC."	Local CCP	"Molina Healthcare of Texas, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6515	Government Relations Contact	"MHI- Vice President, Compliance"		Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@Molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF TEXAS, INC."	Local CCP	"Molina Healthcare of Texas, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6515	Hospice Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"MOLINA HEALTHCARE OF TEXAS, INC."	Local CCP	"Molina Healthcare of Texas, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6515	Medicare Compliance Officer	"MHI- Vice President, Compliance"	Mr.	Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF TEXAS, INC."	Local CCP	"Molina Healthcare of Texas, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6515	Part D Exceptions Contact	"AVP, Medicare Pharmacy Services"		Vu	John							An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"MOLINA HEALTHCARE OF TEXAS, INC."	Local CCP	"Molina Healthcare of Texas, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-801-252-5706				HMO - Health Maintenance Organization		C	Atlanta
H6515	Pharmacy Network Management Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"MOLINA HEALTHCARE OF TEXAS, INC."	Local CCP	"Molina Healthcare of Texas, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6515	Pharmacy Technical Help Desk Contact	"Director, Client Operations"		Help Desk	Pharmacy						1-480-314-6077	dayoubj@cvshealth.com	445 Great Circle Road		Nashville	TN	37228	5/21/2025	2026	"MOLINA HEALTHCARE OF TEXAS, INC."	Local CCP	"Molina Healthcare of Texas, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Atlanta
H6515	Plan to Plan Reconciliation Contact	"Director, Finance"		Cook	Keith		1-562-542-2024					P2P.molina@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF TEXAS, INC."	Local CCP	"Molina Healthcare of Texas, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6517	Automated TrOOP Balance Transfer Contact	Deputy CEO & Senior VP	Mr	Vawter	Chad		1-559-737-4907					cvawter@fhcn.org	305 E Center Ave		Visalia	CA	93291	3/2/2026	2026	Family HealthCare Network (FHCN) PACE	National PACE	Family HealthCare Network PACE	National PACE		Family Healthcare Network	835	Yes	Active					PACE - Nat		C	San Francisco
H6517	Best Available Evidence Contact	Vice President of Quality & Risk Management	Mrs	Neely	Whitney		1-559-741-4307					wneely@fhcn.org	500 East School Ave		Visalia	CA	93292	3/2/2026	2026	Family HealthCare Network (FHCN) PACE	National PACE	Family HealthCare Network PACE	National PACE		Family Healthcare Network	835	Yes	Active					PACE - Nat		C	San Francisco
H6517	Chief Financial Officer	Deputy CEO & Senior VP	Mr	Vawter	Chad		1-559-737-4907					cvawter@fhcn.org	305 E Center Ave		Visalia	CA	93291	3/2/2026	2026	Family HealthCare Network (FHCN) PACE	National PACE	Family HealthCare Network PACE	National PACE		Family Healthcare Network	835	Yes	Active					PACE - Nat		C	San Francisco
H6517	CMS Casework Communication Contact	Vice President of Quality & Risk Management	Mrs	Neely	Whitney		1-559-741-4307					wneely@fhcn.org	500 East School Ave		Visalia	CA	93292	3/2/2026	2026	Family HealthCare Network (FHCN) PACE	National PACE	Family HealthCare Network PACE	National PACE		Family Healthcare Network	835	Yes	Active					PACE - Nat		C	San Francisco
H6517	Coordination of Benefits Contact	Business Office Analyst	Mr	Gutierrez	Antonio		1-877-960-3426	2842				antgutierrez@fhcn.org	500 E. School Ave		Visalia	CA	93292	9/11/2025	2026	Family HealthCare Network (FHCN) PACE	National PACE	Family HealthCare Network PACE	National PACE		Family Healthcare Network	835	Yes	Active					PACE - Nat		C	San Francisco
H6517	Customer Service Operations Contact	Vice President of Quality & Risk Management	Mrs	Neely	Whitney		1-559-741-4307					wneely@fhcn.org	500 East School Ave		Visalia	CA	93292	3/2/2026	2026	Family HealthCare Network (FHCN) PACE	National PACE	Family HealthCare Network PACE	National PACE		Family Healthcare Network	835	Yes	Active					PACE - Nat		C	San Francisco
H6517	Government Relations Contact	Deputy CEO	Mr	Vawter	Chad		1-559-737-4907					cvawter@fhcn.org	305 E Center Ave		Visalia	CA	93291	9/29/2022	2026	Family HealthCare Network (FHCN) PACE	National PACE	Family HealthCare Network PACE	National PACE		Family Healthcare Network	835	Yes	Active					PACE - Nat		C	San Francisco
H6517	Medicare Compliance Officer	VP of Quality and Risk Management	Mrs.	Neely	Whitney		1-559-741-4307				1-559-737-4907	wneely@fhcn.org	305 E Center Ave		Visalia	CA	93291	3/2/2026	2026	Family HealthCare Network (FHCN) PACE	National PACE	Family HealthCare Network PACE	National PACE		Family Healthcare Network	835	Yes	Active					PACE - Nat		C	San Francisco
H6517	Part D Exceptions Contact	Vice President of Quality & Risk Management	Mrs	Neely	Whitney							wneely@fhcn.org	500 E. School Ave		Visalia	CA	93291	3/2/2026	2026	Family HealthCare Network (FHCN) PACE	National PACE	Family HealthCare Network PACE	National PACE		Family Healthcare Network	835	Yes	Active	1-877-326-7223				PACE - Nat		C	San Francisco
H6517	Pharmacy Network Management Contact	Vice President of Quality & Risk Management	Mrs	Neely	Whitney		1-559-741-4307					wneely@fhcn.org	500 East School Ave		Visalia	CA	93292	3/2/2026	2026	Family HealthCare Network (FHCN) PACE	National PACE	Family HealthCare Network PACE	National PACE		Family Healthcare Network	835	Yes	Active					PACE - Nat		C	San Francisco
H6517	Pharmacy Technical Help Desk Contact	Vice President of Quality & Risk Management	Mrs	Neely	Whitney							wneely@fhcn.org	500 E. School Ave		Visalia	CA	93291	3/2/2026	2026	Family HealthCare Network (FHCN) PACE	National PACE	Family HealthCare Network PACE	National PACE		Family Healthcare Network	835	Yes	Active	1-877-326-7223				PACE - Nat		C	San Francisco
H6517	Plan to Plan Reconciliation Contact	Business Office Analyst	Mr	Gutierrez	Antonio		1-877-960-3426	2842				antgutierrez@fhcn.org	500 E. School Ave		Visalia	CA	93292	9/11/2025	2026	Family HealthCare Network (FHCN) PACE	National PACE	Family HealthCare Network PACE	National PACE		Family Healthcare Network	835	Yes	Active					PACE - Nat		C	San Francisco
H6529	Automated TrOOP Balance Transfer Contact	Director of Medicare Advantage Technical Services	Mr.	Coleman	Jonathan		1-812-314-2500	1022				jonathan.coleman@siho.org	417 Washington Street		Columbus	IN	47201	8/8/2025	2026	"SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC."	Local CCP	MyTruAdvantage	HMO/HMOPOS		"SIHO Holding, Inc."	761	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6529	Best Available Evidence Contact	Manager of Eligibility		Ralston	Tonya		1-812-314-2500	1033				tonya.ralston@siho.org	417 Washington Street		Columbus	IN	47201	8/8/2025	2026	"SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC."	Local CCP	MyTruAdvantage	HMO/HMOPOS		"SIHO Holding, Inc."	761	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6529	Chief Financial Officer	Chief Financial Officer	Ms.	Newell	Wendy		1-812-378-7040					Wendy.Newell@SIHO.org	417 Washington Street		Columbus	IN	47201	8/8/2025	2026	"SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC."	Local CCP	MyTruAdvantage	HMO/HMOPOS		"SIHO Holding, Inc."	761	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6529	CMS Casework Communication Contact	Compliance and Reports Coordinator		Keele	Laura		1-812-314-2500	1221				laura.keele@siho.org	417 Washington Street		Columbus	IN	47201	8/8/2025	2026	"SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC."	Local CCP	MyTruAdvantage	HMO/HMOPOS		"SIHO Holding, Inc."	761	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6529	Coordination of Benefits Contact	Manager of Quality Assurance		Do	Nicole		1-812-314-2500	1102				Nicole.do@siho.org	417 Washington Street		Columbus	IN	47201	8/8/2025	2026	"SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC."	Local CCP	MyTruAdvantage	HMO/HMOPOS		"SIHO Holding, Inc."	761	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6529	Customer Service Operations Contact	"Vice President, MTA Sales"		Ward	Lisa		1-812-374-8215					lisa.ward@mytruadvantage.com	417 Washington Street		Columbus	IN	47201	8/8/2025	2026	"SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC."	Local CCP	MyTruAdvantage	HMO/HMOPOS		"SIHO Holding, Inc."	761	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6529	Government Relations Contact	COO	Mr.	Brey	Austin		1-812-379-3514					austin.brey@siho.org	417 Washington St		Columbus	IN	47201	8/8/2025	2026	"SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC."	Local CCP	MyTruAdvantage	HMO/HMOPOS		"SIHO Holding, Inc."	761	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6529	Hospice Contact	Medicare Advantage Utilization Management Nurse		Graham	Jessica		1-812-314-2500	1016				jessica.graham@siho.org	417 Washington Street		Columbus	IN	47201	8/8/2025	2026	"SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC."	Local CCP	MyTruAdvantage	HMO/HMOPOS		"SIHO Holding, Inc."	761	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6529	Medicare Compliance Officer	Chief Compliance Officer	Mr.	Marx	David		1-812-378-7101					David.Marx@mytruadvantage.com	417 Washington Street		Columbus	IN	47201	8/8/2025	2026	"SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC."	Local CCP	MyTruAdvantage	HMO/HMOPOS		"SIHO Holding, Inc."	761	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6529	Part D Exceptions Contact	Manager of Quality Assurance		Do	Nicole							Nicole.do@siho.org	417 Washington Street		Columbus	IN	47201	8/8/2025	2026	"SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC."	Local CCP	MyTruAdvantage	HMO/HMOPOS		"SIHO Holding, Inc."	761	Yes	Active	1-812-314-2500	1102			HMO - Health Maintenance Organization		C	Dallas
H6529	Pharmacy Network Management Contact	"Director, Part D Operations & Vendor Oversight"		Helsley	Kimberly		1-812-378-7028					Kim.Helsley@siho.org	417 Washington Street		Columbus	IN	47201	8/8/2025	2026	"SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC."	Local CCP	MyTruAdvantage	HMO/HMOPOS		"SIHO Holding, Inc."	761	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6529	Pharmacy Technical Help Desk Contact	Client Administrator		Nguyen	Tony							customerservice@MedImpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	5/20/2026	2026	"SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC."	Local CCP	MyTruAdvantage	HMO/HMOPOS		"SIHO Holding, Inc."	761	Yes	Active	1-877-403-6035				HMO - Health Maintenance Organization		C	Dallas
H6529	Plan to Plan Reconciliation Contact	Staff Accountant I		Dobbs	Rachel		1-812-314-2500	1202				rachel.dobbs@siho.org	417 Washington Street		Columbus	IN	47201	8/8/2025	2026	"SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC."	Local CCP	MyTruAdvantage	HMO/HMOPOS		"SIHO Holding, Inc."	761	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6537	Automated TrOOP Balance Transfer Contact			Siler	Sarah		1-855-659-2670					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	9/8/2025	2026	"TUNGSTEN HEALTH SACRAMENTO, LLC"	National PACE	Habitat Health Sacramento	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Active					PACE - Nat		C	San Francisco
H6537	Best Available Evidence Contact			Siler	Sarah		1-855-659-2670					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	9/8/2025	2026	"TUNGSTEN HEALTH SACRAMENTO, LLC"	National PACE	Habitat Health Sacramento	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Active					PACE - Nat		C	San Francisco
H6537	Chief Financial Officer		Mr.	Fuentes	Robert		1-844-664-2248					rfuentes@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	12/17/2024	2026	"TUNGSTEN HEALTH SACRAMENTO, LLC"	National PACE	Habitat Health Sacramento	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Active					PACE - Nat		C	San Francisco
H6537	CMS Casework Communication Contact			Siler	Sarah		1-855-659-2670					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	9/8/2025	2026	"TUNGSTEN HEALTH SACRAMENTO, LLC"	National PACE	Habitat Health Sacramento	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Active					PACE - Nat		C	San Francisco
H6537	Coordination of Benefits Contact			Siler	Sarah		1-855-659-2670					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	9/8/2025	2026	"TUNGSTEN HEALTH SACRAMENTO, LLC"	National PACE	Habitat Health Sacramento	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Active					PACE - Nat		C	San Francisco
H6537	Customer Service Operations Contact			Seals	Thad		1-844-664-2248					tseals@habitathealth.com	855 Howe Ave		Sacramento	CA	95825	6/8/2026	2026	"TUNGSTEN HEALTH SACRAMENTO, LLC"	National PACE	Habitat Health Sacramento	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Active					PACE - Nat		C	San Francisco
H6537	Government Relations Contact			Dey	Anna		1-844-664-2248					adey@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	12/17/2024	2026	"TUNGSTEN HEALTH SACRAMENTO, LLC"	National PACE	Habitat Health Sacramento	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Active					PACE - Nat		C	San Francisco
H6537	Medicare Compliance Officer		Mrs.	Dey	Anna		1-844-664-2248					adey@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	12/17/2024	2026	"TUNGSTEN HEALTH SACRAMENTO, LLC"	National PACE	Habitat Health Sacramento	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Active					PACE - Nat		C	San Francisco
H6537	Part D Exceptions Contact		Mrs.	Siler	Sarah							ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	9/8/2025	2026	"TUNGSTEN HEALTH SACRAMENTO, LLC"	National PACE	Habitat Health Sacramento	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Active	1-855-659-2670				PACE - Nat		C	San Francisco
H6537	Pharmacy Network Management Contact			Siler	Sarah		1-855-659-2670					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	9/8/2025	2026	"TUNGSTEN HEALTH SACRAMENTO, LLC"	National PACE	Habitat Health Sacramento	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Active					PACE - Nat		C	San Francisco
H6537	Pharmacy Technical Help Desk Contact		Mrs.	Siler	Sarah							ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	9/8/2025	2026	"TUNGSTEN HEALTH SACRAMENTO, LLC"	National PACE	Habitat Health Sacramento	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Active	1-855-659-2670				PACE - Nat		C	San Francisco
H6537	Plan to Plan Reconciliation Contact			Siler	Sarah		1-855-659-2670					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	9/8/2025	2026	"TUNGSTEN HEALTH SACRAMENTO, LLC"	National PACE	Habitat Health Sacramento	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Active					PACE - Nat		C	San Francisco
H6541	Automated TrOOP Balance Transfer Contact	CFO	Mr.	Dapkus	Cody		1-859-623-4080	1104			1-859-624-5771	cdapkus@forhorizon.com	2028 Merrick Drive		Richmond	KY	40475	12/10/2024	2026	"HORIZON-PACE, LLC"	National PACE	Horizon - PACE	National PACE		"American Health Management, Inc."	783	Yes	Active					PACE - Nat		C	Atlanta
H6541	Best Available Evidence Contact			Upchurch	Kelly		1-859-623-4080					kellyupchurch@forhorizon.com	2028 Merrick Drive		Richmond	KY	40475	2/9/2021	2026	"HORIZON-PACE, LLC"	National PACE	Horizon - PACE	National PACE		"American Health Management, Inc."	783	Yes	Active					PACE - Nat		C	Atlanta
H6541	Chief Financial Officer	CFO	Mr.	Dapkus	Cody		1-859-623-4080	1104			1-859-624-5771	cdapkus@forhorizon.com	2028 Merrick Drive		Richmond	KY	40475	12/10/2024	2026	"HORIZON-PACE, LLC"	National PACE	Horizon - PACE	National PACE		"American Health Management, Inc."	783	Yes	Active					PACE - Nat		C	Atlanta
H6541	CMS Casework Communication Contact	Executive Director		Hickman	Stacey		1-606-309-9068					shickman@forhorizon.com	PO Box 135		Albany	KY	42602	6/8/2022	2026	"HORIZON-PACE, LLC"	National PACE	Horizon - PACE	National PACE		"American Health Management, Inc."	783	Yes	Active					PACE - Nat		C	Atlanta
H6541	Coordination of Benefits Contact	Executive Director		Hickman	Stacey		1-606-309-9068					shickman@forhorizon.com	PO Box 135		Albany	KY	42602	6/7/2022	2026	"HORIZON-PACE, LLC"	National PACE	Horizon - PACE	National PACE		"American Health Management, Inc."	783	Yes	Active					PACE - Nat		C	Atlanta
H6541	Customer Service Operations Contact	Executive Director		Hickman	Stacey		1-606-309-9068					shickman@forhorizon.com	PO Box 135		Albany	KY	42602	6/8/2022	2026	"HORIZON-PACE, LLC"	National PACE	Horizon - PACE	National PACE		"American Health Management, Inc."	783	Yes	Active					PACE - Nat		C	Atlanta
H6541	Government Relations Contact	CEO	Mr.	Upchurch	Kelly		1-859-623-4080					kellyupchurch@forhorizon.com	2028 Merrick Dr		Richmond	KY	40475	2/9/2021	2026	"HORIZON-PACE, LLC"	National PACE	Horizon - PACE	National PACE		"American Health Management, Inc."	783	Yes	Active					PACE - Nat		C	Atlanta
H6541	Medicare Compliance Officer	Quality Director	Mrs.	Latham	Amber	L	1-606-688-2143					alatham@forhorizonpace.com	PO Box 135		Albany	KY	42602	11/18/2024	2026	"HORIZON-PACE, LLC"	National PACE	Horizon - PACE	National PACE		"American Health Management, Inc."	783	Yes	Active					PACE - Nat		C	Atlanta
H6541	Part D Exceptions Contact	CEO	Mr.	Upchurch	Kelly						1-859-624-5771	kellyupchurch@forhorizon.com	2028 Merrick Dr		Richmond	KY	40475	2/9/2021	2026	"HORIZON-PACE, LLC"	National PACE	Horizon - PACE	National PACE		"American Health Management, Inc."	783	Yes	Active	1-859-623-4080				PACE - Nat		C	Atlanta
H6541	Pharmacy Network Management Contact	COO	Ms.	Burchett	Melinda		1-606-305-3028					mburchett@forhorizon.com	PO Box 135		Albany	KY	42602	2/9/2021	2026	"HORIZON-PACE, LLC"	National PACE	Horizon - PACE	National PACE		"American Health Management, Inc."	783	Yes	Active					PACE - Nat		C	Atlanta
H6541	Pharmacy Technical Help Desk Contact	CEO	Mr.	Upchurch	Kelly						1-859-624-5771	kellyupchurch@forhorizon.com	2028 Merrick Dr		Richmond	KY	40475	2/9/2021	2026	"HORIZON-PACE, LLC"	National PACE	Horizon - PACE	National PACE		"American Health Management, Inc."	783	Yes	Active	1-859-623-4080				PACE - Nat		C	Atlanta
H6541	Plan to Plan Reconciliation Contact	CFO	Mr.	Dapkus	Cody		1-859-623-4080	1104			1-859-624-5771	cdapkus@forhorizon.com	2028 Merrick Drive		Richmond	KY	40475	12/10/2024	2026	"HORIZON-PACE, LLC"	National PACE	Horizon - PACE	National PACE		"American Health Management, Inc."	783	Yes	Active					PACE - Nat		C	Atlanta
H6545	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"Devoted Health Insurance Company of Illinois, Inc."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6545	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"Devoted Health Insurance Company of Illinois, Inc."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6545	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"Devoted Health Insurance Company of Illinois, Inc."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6545	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"Devoted Health Insurance Company of Illinois, Inc."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6545	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"Devoted Health Insurance Company of Illinois, Inc."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6545	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"Devoted Health Insurance Company of Illinois, Inc."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6545	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"Devoted Health Insurance Company of Illinois, Inc."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6545	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"Devoted Health Insurance Company of Illinois, Inc."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6545	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"Devoted Health Insurance Company of Illinois, Inc."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6545	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"Devoted Health Insurance Company of Illinois, Inc."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				PPO - BBA		C	New York
H6545	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"Devoted Health Insurance Company of Illinois, Inc."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6545	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"Devoted Health Insurance Company of Illinois, Inc."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				PPO - BBA		C	New York
H6545	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"Devoted Health Insurance Company of Illinois, Inc."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6550	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/5/2024	2026	"SUNFLOWER STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H6550	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	"SUNFLOWER STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H6550	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	7/5/2024	2026	"SUNFLOWER STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H6550	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"SUNFLOWER STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H6550	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"SUNFLOWER STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H6550	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	9/18/2024	2026	"SUNFLOWER STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H6550	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"SUNFLOWER STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H6550	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	7/5/2024	2026	"SUNFLOWER STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H6550	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	"SUNFLOWER STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H6550	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	7/5/2024	2026	"SUNFLOWER STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H6550	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	"SUNFLOWER STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H6550	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	1/9/2025	2026	"SUNFLOWER STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0202				HMO - Health Maintenance Organization		C	Denver
H6550	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	7/5/2024	2026	"SUNFLOWER STATE HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H6551	Automated TrOOP Balance Transfer Contact	Regional Finance Director		Schmotzer	David		1-215-339-4533				1-610-271-9530	David.Schmotzer@Trinity-Health.org	1930 South Broad Street	Unit 3	Philadelphia	PA	19145	8/2/2023	2026	LIFE ST. MARY	National PACE	LIFE St. Mary	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H6551	Best Available Evidence Contact	Executive Director	Mr.	Moore	Daniel		1-267-991-7620				1-267-991-7618	Dmoore2@trinity-health.org	2500 Northgate Road		Trevose	PA	19053	9/30/2025	2026	LIFE ST. MARY	National PACE	LIFE St. Mary	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H6551	Chief Financial Officer	Regional Finance Director	Mr.	Schmotzer	David	P	1-215-339-4533					David.Schmotzer@Trinity-Health.org	"1930 South Broad Street, Unit 3"		Philadelphia	PA	19145	8/13/2021	2026	LIFE ST. MARY	National PACE	LIFE St. Mary	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H6551	CMS Casework Communication Contact	Executive Director	Mr.	Moore	Daniel		1-267-991-7620				1-267-991-7618	Dmoore2@trinity-health.org	2500 Northgate Road		Trevose	PA	19053	9/30/2025	2026	LIFE ST. MARY	National PACE	LIFE St. Mary	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H6551	Coordination of Benefits Contact	Regional Finance Director	Mr.	Schmotzer	David	P	1-215-339-4533					David.Schmotzer@Trinity-Health.org	"1930 South Broad Street, Unit 3"		Philadelphia	PA	19145	8/13/2021	2026	LIFE ST. MARY	National PACE	LIFE St. Mary	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H6551	Customer Service Operations Contact	Executive Director	Mr	Moore	Daniel		1-267-991-7620					Dmoore2@trinity-health.org	2500 Northgate Rd		Trevose	PA	19053	9/30/2025	2026	LIFE ST. MARY	National PACE	LIFE St. Mary	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H6551	Government Relations Contact	Executive Director	Mr.	Moore	Daniel		1-267-991-7620				1-267-991-7618	Dmoore2@trinity-health.org	2500 Northgate Road		Trevose	PA	19053	9/30/2025	2026	LIFE ST. MARY	National PACE	LIFE St. Mary	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H6551	Medicare Compliance Officer	National Director QI/Compliance	Ms	Watts	Christina		1-248-420-6065					wattscl@trinity-health.org	20555 Victor Parkway		Livonia	MI	48152	8/15/2023	2026	LIFE ST. MARY	National PACE	LIFE St. Mary	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H6551	Part D Exceptions Contact	Manager Part D Compliance	Mr.	Garbarino	Joseph							Joseph.Garbarino@trinity-health.org	"1930 South Broad Street, Unit 3"		Philadelphia	PA	19145	9/3/2021	2026	LIFE ST. MARY	National PACE	LIFE St. Mary	National PACE		Trinity Health Corporation	234	Yes	Active	1-215-339-4362				PACE - Nat		C	Philadelphia
H6551	Pharmacy Network Management Contact	Manager Part D Compliance		Garbarino	Joseph		1-215-339-4362					joseph.garbarino@trinity-health.org	2500 Northgate Road		Trevose	PA	19053	9/9/2021	2026	LIFE ST. MARY	National PACE	LIFE St. Mary	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H6551	Pharmacy Technical Help Desk Contact	Manager Part D Compliance		Garbarino	Joseph							joseph.garbarino@trinity-health.org	2500 Northgate Road		Trevose	PA	19053	9/9/2021	2026	LIFE ST. MARY	National PACE	LIFE St. Mary	National PACE		Trinity Health Corporation	234	Yes	Active	1-215-339-4362				PACE - Nat		C	Philadelphia
H6551	Plan to Plan Reconciliation Contact	Director of Finance	Mr.	Schmotzer	David	P	1-215-339-4533					David.Schmotzer@Trinity-Health.org	"1930 South Broad Street, Unit 3"		Philadelphia	PA	19145	8/13/2021	2026	LIFE ST. MARY	National PACE	LIFE St. Mary	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Philadelphia
H6566	Automated TrOOP Balance Transfer Contact	"Supervisor, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	relay.health@navitus.com	"Navitus Health Solutions, LLC"	1025 West Navitus Drive	Appleton	WI	54913	2/10/2025	2026	LAGNIAPPE ADVANTAGE INSURANCE COMPANY	Local CCP	Lagniappe Advantage	Local PPO		"Curana Health Holdings, LLC"	733	Yes	Active					PPO - BBA		C	Chicago
H6566	Best Available Evidence Contact	Enrollment Manager	Ms	Beringer	Stephanie		1-206-697-7797					stephanie.beringer@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	6/6/2025	2026	LAGNIAPPE ADVANTAGE INSURANCE COMPANY	Local CCP	Lagniappe Advantage	Local PPO		"Curana Health Holdings, LLC"	733	Yes	Active					PPO - BBA		C	Chicago
H6566	Chief Financial Officer	CFO/VP of Finance	Ms.	Martin	Rachel		1-775-544-8314					Rachel.Martin@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	2/10/2025	2026	LAGNIAPPE ADVANTAGE INSURANCE COMPANY	Local CCP	Lagniappe Advantage	Local PPO		"Curana Health Holdings, LLC"	733	Yes	Active					PPO - BBA		C	Chicago
H6566	CMS Casework Communication Contact	Director - Grievance/Appeals & CTMs		Fernandez	Erik		1-786-239-8513					Erik.Fernandez@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/10/2025	2026	LAGNIAPPE ADVANTAGE INSURANCE COMPANY	Local CCP	Lagniappe Advantage	Local PPO		"Curana Health Holdings, LLC"	733	Yes	Active					PPO - BBA		C	Chicago
H6566	Coordination of Benefits Contact	Enrollment Manager	Ms	Beringer	Stephanie		1-206-697-7797					stephanie.beringer@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	6/6/2025	2026	LAGNIAPPE ADVANTAGE INSURANCE COMPANY	Local CCP	Lagniappe Advantage	Local PPO		"Curana Health Holdings, LLC"	733	Yes	Active					PPO - BBA		C	Chicago
H6566	Customer Service Operations Contact			Estes	Courtney		1-877-310-6754	744				courtney.estes@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/3/2026	2026	LAGNIAPPE ADVANTAGE INSURANCE COMPANY	Local CCP	Lagniappe Advantage	Local PPO		"Curana Health Holdings, LLC"	733	Yes	Active					PPO - BBA		C	Chicago
H6566	Government Relations Contact	Medicare Compliance Officer	Ms.	Kotun	Gillian		1-615-481-1897					gillian.kotun@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	5/14/2026	2026	LAGNIAPPE ADVANTAGE INSURANCE COMPANY	Local CCP	Lagniappe Advantage	Local PPO		"Curana Health Holdings, LLC"	733	Yes	Active					PPO - BBA		C	Chicago
H6566	Hospice Contact	Sr. Director Part D Operations	Mr.	Sone	Victor		1-347-683-5717					victor.sone@curanahealth.com	10900 Nuckols Rd	Suite 110	Glen Allen	VA	23060	2/10/2025	2026	LAGNIAPPE ADVANTAGE INSURANCE COMPANY	Local CCP	Lagniappe Advantage	Local PPO		"Curana Health Holdings, LLC"	733	Yes	Active					PPO - BBA		C	Chicago
H6566	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Kotun	Gillian		1-615-481-1897					gillian.kotun@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	2/10/2025	2026	LAGNIAPPE ADVANTAGE INSURANCE COMPANY	Local CCP	Lagniappe Advantage	Local PPO		"Curana Health Holdings, LLC"	733	Yes	Active					PPO - BBA		C	Chicago
H6566	Part D Exceptions Contact			LeClair	Christophe						1-920-221-4676	christopher.leclair@Navitus.com	Navitus Health Solutions	361 Integrity Dr	Madison	WI	53717	2/10/2025	2026	LAGNIAPPE ADVANTAGE INSURANCE COMPANY	Local CCP	Lagniappe Advantage	Local PPO		"Curana Health Holdings, LLC"	733	Yes	Active	1-920-221-4176				PPO - BBA		C	Chicago
H6566	Pharmacy Network Management Contact	VP Network Management		Santos	Christina		1-608-820-4408					christina.santos@navitus.com	361 Integrity Drive		Madison	WI	53717	6/6/2025	2026	LAGNIAPPE ADVANTAGE INSURANCE COMPANY	Local CCP	Lagniappe Advantage	Local PPO		"Curana Health Holdings, LLC"	733	Yes	Active					PPO - BBA		C	Chicago
H6566	Pharmacy Technical Help Desk Contact	"Manager, Customer Care Accounts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	"Navitus Health Solutions, LLC"	1025 W. Navitus Drive	Appleton	WI	54913	2/10/2025	2026	LAGNIAPPE ADVANTAGE INSURANCE COMPANY	Local CCP	Lagniappe Advantage	Local PPO		"Curana Health Holdings, LLC"	733	Yes	Active	1-866-270-3877	4224			PPO - BBA		C	Chicago
H6566	Plan to Plan Reconciliation Contact	CFO/VP of Finance	Ms.	Martin	Rachel		1-775-544-8314					p2padministration@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	2/10/2025	2026	LAGNIAPPE ADVANTAGE INSURANCE COMPANY	Local CCP	Lagniappe Advantage	Local PPO		"Curana Health Holdings, LLC"	733	Yes	Active					PPO - BBA		C	Chicago
H6586	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6586	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6586	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6586	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6586	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6586	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6586	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6586	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6586	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6586	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				PPO - BBA		C	New York
H6586	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6586	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				PPO - BBA		C	New York
H6586	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6595	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6595	Best Available Evidence Contact	"Manager, Enrollment & Eligibility"		Asselin	Krista		1-763-361-1104					krista_asselin@uhc.com	PO Box 9472		Minneapolis	MN	55440	11/14/2025	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6595	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/13/2025	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6595	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6595	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6595	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6595	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6595	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6595	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6595	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H6595	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6595	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H6595	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"UNITEDHEALTHCARE OF WISCONSIN, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6596	Automated TrOOP Balance Transfer Contact	Enrollment and Billing Operations Manager	Ms.	Farrar	Christina		1-800-333-2535	79089				Christina.Farrar@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	9/30/2024	2026	"FALLON HEALTH WEINBERG, INC."	National PACE	Fallon Health Weinberg	National PACE		"Fallon Community Health Plan, Inc."	88	Yes	Active					PACE - Nat		C	New York
H6596	Best Available Evidence Contact	Enrollment and Billing Operations Manager	Ms.	Farrar	Christina		1-800-333-2535	79089				Christina.Farrar@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	9/30/2024	2026	"FALLON HEALTH WEINBERG, INC."	National PACE	Fallon Health Weinberg	National PACE		"Fallon Community Health Plan, Inc."	88	Yes	Active					PACE - Nat		C	New York
H6596	Chief Financial Officer	SVP & Chief Financial Officer	Mr.	Consolmagno	Anthony		1-508-368-9473					Anthony.Consolmagno@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	2/25/2026	2026	"FALLON HEALTH WEINBERG, INC."	National PACE	Fallon Health Weinberg	National PACE		"Fallon Community Health Plan, Inc."	88	Yes	Active					PACE - Nat		C	New York
H6596	CMS Casework Communication Contact	Customer Service Team Lead	Ms.	Ulfves	Heather		1-508-799-2100	79275				Heather.Ulfves@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	9/30/2024	2026	"FALLON HEALTH WEINBERG, INC."	National PACE	Fallon Health Weinberg	National PACE		"Fallon Community Health Plan, Inc."	88	Yes	Active					PACE - Nat		C	New York
H6596	Coordination of Benefits Contact	"Director, Claims Admin & Compliance, Pymt Integ"	Ms.	Peterson	Stephanie		1-508-368-9654					stephanie.peterson@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	2/10/2026	2026	"FALLON HEALTH WEINBERG, INC."	National PACE	Fallon Health Weinberg	National PACE		"Fallon Community Health Plan, Inc."	88	Yes	Active					PACE - Nat		C	New York
H6596	Customer Service Operations Contact	"Director, Customer Service"	Mr.	Fregeau	Andrew		1-508-368-9958					Andrew.Fregeau@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	1/10/2025	2026	"FALLON HEALTH WEINBERG, INC."	National PACE	Fallon Health Weinberg	National PACE		"Fallon Community Health Plan, Inc."	88	Yes	Active					PACE - Nat		C	New York
H6596	Government Relations Contact	SrDirector MDCR Programs & MDCR Compliance Officer	Ms.	Lashbrook	Lisa		1-508-368-9539					Lisa.Lashbrook@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	9/30/2024	2026	"FALLON HEALTH WEINBERG, INC."	National PACE	Fallon Health Weinberg	National PACE		"Fallon Community Health Plan, Inc."	88	Yes	Active					PACE - Nat		C	New York
H6596	Medicare Compliance Officer	SrDirector MDCR Programs & MDCR Compliance Officer	Ms.	Lashbrook	Lisa		1-508-368-9539					Lisa.Lashbrook@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	9/30/2024	2026	"FALLON HEALTH WEINBERG, INC."	National PACE	Fallon Health Weinberg	National PACE		"Fallon Community Health Plan, Inc."	88	Yes	Active					PACE - Nat		C	New York
H6596	Part D Exceptions Contact	"Director, Pharmacy Operations & Clinical Programs"	Mr.	Sartini	David							David.Sartini@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	2/10/2026	2026	"FALLON HEALTH WEINBERG, INC."	National PACE	Fallon Health Weinberg	National PACE		"Fallon Community Health Plan, Inc."	88	Yes	Active	1-508-368-9790				PACE - Nat		C	New York
H6596	Pharmacy Network Management Contact	"Director, Pharmacy Operations & Clinical Programs"	Mr.	Sartini	David		1-508-368-9790					David.Sartini@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	2/10/2026	2026	"FALLON HEALTH WEINBERG, INC."	National PACE	Fallon Health Weinberg	National PACE		"Fallon Community Health Plan, Inc."	88	Yes	Active					PACE - Nat		C	New York
H6596	Pharmacy Technical Help Desk Contact			Help Desk	OptumRx								1600 McConnor Parkway		Schaumburg	IL	60173	12/29/2021	2026	"FALLON HEALTH WEINBERG, INC."	National PACE	Fallon Health Weinberg	National PACE		"Fallon Community Health Plan, Inc."	88	Yes	Active	1-844-368-8734				PACE - Nat		C	New York
H6596	Plan to Plan Reconciliation Contact	"Director, Medical Accounting"	Mr.	Beaulieu	Michael		1-508-368-9020					Michael.Beaulieu@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	9/30/2024	2026	"FALLON HEALTH WEINBERG, INC."	National PACE	Fallon Health Weinberg	National PACE		"Fallon Community Health Plan, Inc."	88	Yes	Active					PACE - Nat		C	New York
H6622	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H6622	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H6622	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H6622	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H6622	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H6622	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H6622	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H6622	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H6622	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H6622	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-859-321-9075				HMO - Health Maintenance Organization		C	Kansas City
H6622	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H6622	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-800-865-8715				HMO - Health Maintenance Organization		C	Kansas City
H6622	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H6652	Automated TrOOP Balance Transfer Contact	"Operations Mgr, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	Relay.Health@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	"AMERICAN HEALTH PLAN OF FL, INC."	Local CCP	American Health Advantage of Florida	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6652	Best Available Evidence Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF FL, INC."	Local CCP	American Health Advantage of Florida	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6652	Chief Financial Officer	Chief Financial Officer	Mr.	Bogle	Jeffrey	A	1-615-751-8134				1-844-280-5360	MACFO@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF FL, INC."	Local CCP	American Health Advantage of Florida	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6652	CMS Casework Communication Contact	Compliance Officer		Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF FL, INC."	Local CCP	American Health Advantage of Florida	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6652	Coordination of Benefits Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF FL, INC."	Local CCP	American Health Advantage of Florida	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6652	Customer Service Operations Contact	"VP, Administration"		Brandt	Toni		1-615-476-0748				1-844-280-5360	tbrandt@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF FL, INC."	Local CCP	American Health Advantage of Florida	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6652	Government Relations Contact	Compliance Officer		Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF FL, INC."	Local CCP	American Health Advantage of Florida	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6652	Hospice Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF FL, INC."	Local CCP	American Health Advantage of Florida	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6652	Medicare Compliance Officer	Compliance Officer	Ms.	Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF FL, INC."	Local CCP	American Health Advantage of Florida	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6652	Part D Exceptions Contact	"Assoc Dir, Clinical Prior Authorization"		LeClair	Christophe						1-920-221-4176	Christopher.LeClair@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	"AMERICAN HEALTH PLAN OF FL, INC."	Local CCP	American Health Advantage of Florida	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active	1-844-228-7934				HMO - Health Maintenance Organization		C	Dallas
H6652	Pharmacy Network Management Contact	"VP, Provider Services"		Nagy	Don		1-608-820-4403					Don.Nagy@navitus.com	361 Integrity Drive		Madison	WI	53717	6/22/2026	2026	"AMERICAN HEALTH PLAN OF FL, INC."	Local CCP	American Health Advantage of Florida	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6652	Pharmacy Technical Help Desk Contact	"Sr. Mgr, Customer Care Accts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	"AMERICAN HEALTH PLAN OF FL, INC."	Local CCP	American Health Advantage of Florida	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Dallas
H6652	Plan to Plan Reconciliation Contact	"Director,  Finance"		Tilley	Stephanie		1-931-242-0499				1-844-280-5360	stilley@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF FL, INC."	Local CCP	American Health Advantage of Florida	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6672	Automated TrOOP Balance Transfer Contact	"Vice President, Pharmacy"	Mr.	Lopez	Eduardo		1-754-208-5867					Elopez@clearspringhealthcare.com	3601 SW 160th Avenue	Suite 450	Miramar	FL	33027	4/30/2026	2026	"CLEAR SPRING HEALTH (GA), INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H6672	Best Available Evidence Contact	"Director, Compliance"	Ms.	Wilcox-Lange	Tracie		1-847-696-8503					tracie.lange@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH (GA), INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H6672	Chief Financial Officer	Chief Financial Officer	Mr.	Moss	Adam		1-317-457-1252					Adam.Moss@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	6/30/2026	2026	"CLEAR SPRING HEALTH (GA), INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H6672	CMS Casework Communication Contact	"Director, Compliance"	Ms.	Wilcox-Lange	Tracie		1-847-696-8503					tracie.lange@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH (GA), INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H6672	Coordination of Benefits Contact	"Director, Compliance"	Ms.	Wilcox-Lange	Tracie		1-847-696-8503					tracie.lange@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH (GA), INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H6672	Customer Service Operations Contact	"Vice President, Compliance"	Ms.	Cornish	Sameria		1-843-276-1153					sameria.cornish@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH (GA), INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H6672	Government Relations Contact	Chief Executive Officer	Mr.	Parker	Jim		1-317-931-9666					Jim.Parker@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH (GA), INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H6672	Hospice Contact	"Director, Compliance"	Ms.	Wilcox-Lange	Tracie		1-847-696-8503					tracie.lange@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH (GA), INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H6672	Medicare Compliance Officer	"Vice President, Compliance"	Ms.	Cornish	Sameria		1-843-276-1153					sameria.cornish@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH (GA), INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H6672	Part D Exceptions Contact			Le	Christina							christina.le@optum.com	PO Box 2975		Mission	KS	66201	4/30/2026	2026	"CLEAR SPRING HEALTH (GA), INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated	1-888-403-3398				HMO - Health Maintenance Organization		C	Chicago
H6672	Pharmacy Network Management Contact			Perez	Felix		1-305-331-3044				1-305-331-3044	Felix.perez@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	4/30/2026	2026	"CLEAR SPRING HEALTH (GA), INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H6672	Pharmacy Technical Help Desk Contact	"Manager, Pharmacy Help Desk"		Villanueva	Juan							juan.villanueva@optum.com	P.O. Box 2975		Mission	KS	66201	4/30/2026	2026	"CLEAR SPRING HEALTH (GA), INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated	1-800-461-1308				HMO - Health Maintenance Organization		C	Chicago
H6672	Plan to Plan Reconciliation Contact	Senior Accountant	Ms.	Wrenn	Alisa		1-224-985-5588				1-312-429-0194	Alisa.Wrenn@Clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH (GA), INC."	Local CCP	Clear Spring Health	HMO/HMOPOS		Group 1001	689	Yes	Terminated					HMO - Health Maintenance Organization		C	Chicago
H6700	Automated TrOOP Balance Transfer Contact	Business Operations Manager	Mrs.	Jozwiak	Morgan		1-989-204-8229				1-989-963-4968	jozwiakm@pacenemi.org	2676 US Highway 23 S		Alpena	MI	49707	9/18/2025	2026	PACE NORTHEAST MICHIGAN	National PACE	PACE Northeast Michigan	National PACE		PACE Northeast Michigan	843	Yes	Active					PACE - Nat		C	Atlanta
H6700	Best Available Evidence Contact	Business Operations Manager		Jozwiak	Morgan		1-989-204-8229					jozwiakm@pacenemi.org	2676 US Highway 23 S		Alpena	MI	49707	9/17/2025	2026	PACE NORTHEAST MICHIGAN	National PACE	PACE Northeast Michigan	National PACE		PACE Northeast Michigan	843	Yes	Active					PACE - Nat		C	Atlanta
H6700	Chief Financial Officer	Business Operations Manager	Mrs.	Jozwiak	Morgan		1-989-204-8229					jozwiakm@pacenemi.org	2676 US Highway 23 S		Alpena	MI	49707	9/17/2025	2026	PACE NORTHEAST MICHIGAN	National PACE	PACE Northeast Michigan	National PACE		PACE Northeast Michigan	843	Yes	Active					PACE - Nat		C	Atlanta
H6700	CMS Casework Communication Contact	Business Operations Manager		Jozwiak	Morgan		1-989-204-8229					jozwiakm@pacenemi.org	2676 US Highway 23 S		Alpena	MI	49707	9/17/2025	2026	PACE NORTHEAST MICHIGAN	National PACE	PACE Northeast Michigan	National PACE		PACE Northeast Michigan	843	Yes	Active					PACE - Nat		C	Atlanta
H6700	Coordination of Benefits Contact	Business Operations Manager		Jozwiak	Morgan		1-989-204-8229					jozwiakm@pacenemi.org	2676 US Highway 23 S		Alpena	MI	49707	9/17/2025	2026	PACE NORTHEAST MICHIGAN	National PACE	PACE Northeast Michigan	National PACE		PACE Northeast Michigan	843	Yes	Active					PACE - Nat		C	Atlanta
H6700	Customer Service Operations Contact	Center Manager	Mrs.	Dacey	Amy		1-989-204-8230					daceya@pacenemi.org	2676 US HWY 23 S		Alpena	MI	49707	9/17/2025	2026	PACE NORTHEAST MICHIGAN	National PACE	PACE Northeast Michigan	National PACE		PACE Northeast Michigan	843	Yes	Active					PACE - Nat		C	Atlanta
H6700	Government Relations Contact	Executive Director	Mr.	Meden	Jeff		1-989-204-8210					medenj@pacenemi.org	2676 US Highway 23 S		Alpena	MI	49707	10/10/2025	2026	PACE NORTHEAST MICHIGAN	National PACE	PACE Northeast Michigan	National PACE		PACE Northeast Michigan	843	Yes	Active					PACE - Nat		C	Atlanta
H6700	Medicare Compliance Officer	Quality and Compliance Manager	Ms.	Shultz	Lisa		1-989-204-8213					shultzl@pacenemi.org	2676 US Highway 23 S		Alpena	MI	49707	10/10/2025	2026	PACE NORTHEAST MICHIGAN	National PACE	PACE Northeast Michigan	National PACE		PACE Northeast Michigan	843	Yes	Active					PACE - Nat		C	Atlanta
H6700	Part D Exceptions Contact	Business Operations Manager	Mrs.	Jozwiak	Morgan							jozwiakm@pacenemi.org	2676 US Highway 23 S		Alpena	MI	49707	9/18/2025	2026	PACE NORTHEAST MICHIGAN	National PACE	PACE Northeast Michigan	National PACE		PACE Northeast Michigan	843	Yes	Active	1-989-204-8229				PACE - Nat		C	Atlanta
H6700	Pharmacy Network Management Contact	Clinical Manager	Mrs.	Leask	Kelli		1-989-204-8212				1-989-963-4968	leaskk@pacenemi.org	2676 US HWY 23 S		Alpena	MI	49707	9/18/2025	2026	PACE NORTHEAST MICHIGAN	National PACE	PACE Northeast Michigan	National PACE		PACE Northeast Michigan	843	Yes	Active					PACE - Nat		C	Atlanta
H6700	Pharmacy Technical Help Desk Contact	Clinical Manager	Mrs.	Leask	Kelli							leaskk@pacenemi.org	2676 US Highway 23 S		Alpena	MI	49707	9/18/2025	2026	PACE NORTHEAST MICHIGAN	National PACE	PACE Northeast Michigan	National PACE		PACE Northeast Michigan	843	Yes	Active	1-989-204-8212				PACE - Nat		C	Atlanta
H6700	Plan to Plan Reconciliation Contact	Business Operations Manager	Mrs.	Jozwiak	Morgan		1-989-204-8229				1-989-963-4968	jozwiakm@pacenemi.org	2676 US Highway 23 S		Alpena	MI	49707	9/18/2025	2026	PACE NORTHEAST MICHIGAN	National PACE	PACE Northeast Michigan	National PACE		PACE Northeast Michigan	843	Yes	Active					PACE - Nat		C	Atlanta
H6706	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6706	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6706	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6706	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6706	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6706	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6706	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6706	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6706	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6706	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H6706	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6706	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H6706	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"UnitedHealthcare Benefits of Texas, Inc."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6723	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy - Medicare and Information"		Goff	Katie		1-216-687-7344					Katie.Goff@medmutual.com	100 American Road		Cleveland	OH	44144	6/30/2025	2026	MEDICAL MUTUAL OF OHIO	Local CCP	Medical Mutual of Ohio	HMO/HMOPOS		MEDICAL MUTUAL OF OHIO	289	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6723	Best Available Evidence Contact	Medicare Operations Analyst II		Crowley	Lauren		1-216-687-6585					BAEdocs@medmutual.com	100 American Road		Cleveland	OH	44144	6/30/2025	2026	MEDICAL MUTUAL OF OHIO	Local CCP	Medical Mutual of Ohio	HMO/HMOPOS		MEDICAL MUTUAL OF OHIO	289	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6723	Chief Financial Officer	"VP, Chief Financial Officer"	Mr.	McNutt	Jim		1-216-687-7006					james.mcnutt@medmutual.com	100 American Road		Cleveland	OH	44144	6/30/2025	2026	MEDICAL MUTUAL OF OHIO	Local CCP	Medical Mutual of Ohio	HMO/HMOPOS		MEDICAL MUTUAL OF OHIO	289	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6723	CMS Casework Communication Contact	"Director, Customer Care"		Glaspie	Anissa		1-216-687-7059					anissa.glaspie@medmutual.com	100 American Road		Cleveland	OH	44144	6/30/2025	2026	MEDICAL MUTUAL OF OHIO	Local CCP	Medical Mutual of Ohio	HMO/HMOPOS		MEDICAL MUTUAL OF OHIO	289	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6723	Coordination of Benefits Contact	"Manager, COB and Workers Comp"		Njaim	Stephanie		1-419-473-7733					Stephanie.Njaim@medmutual.com	100 American Road		Cleveland	OH	44144	6/30/2025	2026	MEDICAL MUTUAL OF OHIO	Local CCP	Medical Mutual of Ohio	HMO/HMOPOS		MEDICAL MUTUAL OF OHIO	289	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6723	Customer Service Operations Contact	"Director, Customer Care"		Glaspie	Anissa		1-216-687-7059					Anissa.Glaspie@medmutual.com	100 American Road		Cleveland	OH	44144	6/30/2025	2026	MEDICAL MUTUAL OF OHIO	Local CCP	Medical Mutual of Ohio	HMO/HMOPOS		MEDICAL MUTUAL OF OHIO	289	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6723	Government Relations Contact	Medicare Compliance Officer		Beadle	Nicole		1-937-681-2032					nicole.beadle@medmutual.com	100 American Road		Cleveland	OH	44144	8/20/2025	2026	MEDICAL MUTUAL OF OHIO	Local CCP	Medical Mutual of Ohio	HMO/HMOPOS		MEDICAL MUTUAL OF OHIO	289	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6723	Hospice Contact	"Director, Pharmacy - Medicare and Information"		Goff	Katie		1-216-687-7344					Katie.Goff@medmutual.com	100 American Road		Cleveland	OH	44144	6/30/2025	2026	MEDICAL MUTUAL OF OHIO	Local CCP	Medical Mutual of Ohio	HMO/HMOPOS		MEDICAL MUTUAL OF OHIO	289	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6723	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Beadle	Nicole		1-937-681-2032					nicole.beadle@medmutual.com	100 American Road		Cleveland	OH	44144	5/26/2026	2026	MEDICAL MUTUAL OF OHIO	Local CCP	Medical Mutual of Ohio	HMO/HMOPOS		MEDICAL MUTUAL OF OHIO	289	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6723	Part D Exceptions Contact	Sr. Pharmacy Manager		Schumm	Brian							Brian_Schumm@express-scripts.com	5151 Blazer Pkwy		Dublin	OH	43017	6/30/2025	2026	MEDICAL MUTUAL OF OHIO	Local CCP	Medical Mutual of Ohio	HMO/HMOPOS		MEDICAL MUTUAL OF OHIO	289	Yes	Active	1-614-336-3326				HMO - Health Maintenance Organization		C	Chicago
H6723	Pharmacy Network Management Contact			Kelly	Heather		1-314-692-1866					hakelly@express-scripts.com	One Express Way		St. Louis	MO	63121	6/30/2025	2026	MEDICAL MUTUAL OF OHIO	Local CCP	Medical Mutual of Ohio	HMO/HMOPOS		MEDICAL MUTUAL OF OHIO	289	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6723	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	4700 North Hanley		St. Louis	MO	63134	6/30/2025	2026	MEDICAL MUTUAL OF OHIO	Local CCP	Medical Mutual of Ohio	HMO/HMOPOS		MEDICAL MUTUAL OF OHIO	289	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Chicago
H6723	Plan to Plan Reconciliation Contact	"Manager, Financial Reporting and Data Analytics"		Stepic	Michelle		1-216-687-7151					Michelle.Stepic@medmutual.com	100 American Road	MZ: 02-3B-5320	Cleveland	OH	44144	6/30/2025	2026	MEDICAL MUTUAL OF OHIO	Local CCP	Medical Mutual of Ohio	HMO/HMOPOS		MEDICAL MUTUAL OF OHIO	289	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6743	Automated TrOOP Balance Transfer Contact	Medicare Part D Project Manager		Esp	Bryan		1-858-790-6445					PartDCAT@MedImpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	11/4/2015	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	Local PPO		ATRIO Health Plans	5	Yes	Active					PPO - BBA		C	Dallas
H6743	Best Available Evidence Contact	Enrollment Manager		Vredenburg	Cristi		1-541-492-5119					Cristi.vredenburg@atriohp.com	"550 Hawthorne Ave SE #140, Salem"		Salem	OR	97301	10/29/2025	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	Local PPO		ATRIO Health Plans	5	Yes	Active					PPO - BBA		C	Dallas
H6743	Chief Financial Officer	Chief Financial Officer	Mr.	Kirkpatrick	James		1-503-428-5602					james.kirkpatrick@atriohp.com	"550 Hawthorne Ave SE #140, Salem"		Salem	OR	97301	10/29/2025	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	Local PPO		ATRIO Health Plans	5	Yes	Active					PPO - BBA		C	Dallas
H6743	CMS Casework Communication Contact	Enrollment Manager		Vredenburg	Cristi		1-541-492-5119					Cristi.vredenburg@atriohp.com	"550 Hawthorne Ave SE #140, Salem"		Salem	OR	97301	10/29/2025	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	Local PPO		ATRIO Health Plans	5	Yes	Active					PPO - BBA		C	Dallas
H6743	Coordination of Benefits Contact	President & CEO	Mrs.	Callahan	Jennifer		1-971-599-2441					jennifer.callahan@atriohp.com	"550 Hawthorne Ave SE #140, Salem"		Salem	OR	97301	10/29/2025	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	Local PPO		ATRIO Health Plans	5	Yes	Active					PPO - BBA		C	Dallas
H6743	Customer Service Operations Contact	President & CEO	Mrs.	Callahan	Jennifer		1-971-599-2441					jennifer.callahan@atriohp.com	"550 Hawthorne Ave SE #140, Salem"		Salem	OR	97301	10/29/2025	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	Local PPO		ATRIO Health Plans	5	Yes	Active					PPO - BBA		C	Dallas
H6743	Government Relations Contact	Chief Compliance Officer		Allotta	Tony		1-530-396-7149				1-503-584-1772	tony.allotta@atriohp.com	"550 Hawthorne Ave SE #140, Salem"		Salem	OR	97301	3/24/2026	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	Local PPO		ATRIO Health Plans	5	Yes	Active					PPO - BBA		C	Dallas
H6743	Hospice Contact	Chief Medical Officer	Dr.	Revai	Krystal		1-541-239-2067					krystal.revai@atriohp.com	"550 Hawthorne Ave SE #140, Salem"		Salem	OR	97301	3/24/2026	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	Local PPO		ATRIO Health Plans	5	Yes	Active					PPO - BBA		C	Dallas
H6743	Medicare Compliance Officer	Chief Compliance Officer	Mr	Allotta	Tony		1-830-309-0299				1-503-584-1772	Tony.allotta@atriohp.com	"550 Hawthorne Ave SE #140, Salem"		Salem	OR	97301	10/29/2025	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	Local PPO		ATRIO Health Plans	5	Yes	Active					PPO - BBA		C	Dallas
H6743	Part D Exceptions Contact	Director of Appeals and Grievances		Vaughn	Sara						1-541-672-8670	sara.vaughn@atriohp.com	550 Hawthorne Ave SE #140		Salem	OR	97301	10/29/2025	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	Local PPO		ATRIO Health Plans	5	Yes	Active	1-877-672-8620	3			PPO - BBA		C	Dallas
H6743	Pharmacy Network Management Contact	"Supervisor, Pharmacy Network Support"		Burke	Sharon		1-858-790-7148					Sharon.Burke@MedImpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	3/13/2019	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	Local PPO		ATRIO Health Plans	5	Yes	Active					PPO - BBA		C	Dallas
H6743	Pharmacy Technical Help Desk Contact	"Director, Contact Center Services"		Brewer	Kathy							Customerservice@Medimpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	11/8/2018	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	Local PPO		ATRIO Health Plans	5	Yes	Active	1-800-681-9571				PPO - BBA		C	Dallas
H6743	Plan to Plan Reconciliation Contact	Chief Medical Officer	Mr.	Kirkpatrick	James		1-503-428-5602					james.kirkpatrick@atriohp.com	550 Hawthorne Ave SE #140		Salem	OR	97301	10/29/2025	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	Local PPO		ATRIO Health Plans	5	Yes	Active					PPO - BBA		C	Dallas
H6752	Automated TrOOP Balance Transfer Contact	Vice President of Finance	Ms.	DiMaria	Anna		1-516-422-7891					adimaria@Kinshiphs.com	225 Crossways Park Drive		Woodbury	NY	11797	3/13/2026	2026	"KINSHIP PACE OF THE TRI-CITIES, LLC"	National PACE	"Kinship PACE of the Tri-Cities, LLC"	National PACE		"KH PACE HEALTH GROUP, LLC"	895	Yes	Pending					PACE - Nat		C	New York
H6752	Best Available Evidence Contact	CEO	Mrs	Garay	Lisa		1-201-675-5663					lgaray@kinshiphs.com	63 Karen Drive		Mahwah	NJ	07430	3/13/2026	2026	"KINSHIP PACE OF THE TRI-CITIES, LLC"	National PACE	"Kinship PACE of the Tri-Cities, LLC"	National PACE		"KH PACE HEALTH GROUP, LLC"	895	Yes	Pending					PACE - Nat		C	New York
H6752	Chief Financial Officer	Chief Financial Officer	Mr.	Leahy	Ryan		1-845-235-6531					RLeahy@Kinshiphs.com	225 Crossways Park Drive		Woodbury	NY	11797	4/13/2026	2026	"KINSHIP PACE OF THE TRI-CITIES, LLC"	National PACE	"Kinship PACE of the Tri-Cities, LLC"	National PACE		"KH PACE HEALTH GROUP, LLC"	895	Yes	Pending					PACE - Nat		C	New York
H6752	CMS Casework Communication Contact	SVP Clinical Services	Mr	Tavares	David		1-914-610-9706					DTavares@Kinshiphs.com	23 Old Orchard Ln		Stamford	CT	06903	3/13/2026	2026	"KINSHIP PACE OF THE TRI-CITIES, LLC"	National PACE	"Kinship PACE of the Tri-Cities, LLC"	National PACE		"KH PACE HEALTH GROUP, LLC"	895	Yes	Pending					PACE - Nat		C	New York
H6752	Coordination of Benefits Contact	CEO	Mrs	Garay	Lisa		1-201-675-5663					lgaray@kinshiphs.com	63 Karen Drive		Mahwah	NJ	07430	3/13/2026	2026	"KINSHIP PACE OF THE TRI-CITIES, LLC"	National PACE	"Kinship PACE of the Tri-Cities, LLC"	National PACE		"KH PACE HEALTH GROUP, LLC"	895	Yes	Pending					PACE - Nat		C	New York
H6752	Customer Service Operations Contact	CEO	Mrs	Garay	Lisa		1-201-675-5663					lgaray@kinshiphs.com	63 Karen Drive		Mahwah	NJ	07430	3/13/2026	2026	"KINSHIP PACE OF THE TRI-CITIES, LLC"	National PACE	"Kinship PACE of the Tri-Cities, LLC"	National PACE		"KH PACE HEALTH GROUP, LLC"	895	Yes	Pending					PACE - Nat		C	New York
H6752	Government Relations Contact	VP Compliance and Government Affairs	Ms.	Lopez	Kim		1-303-960-0733					KLOPEZ@kinshiphs.com	225 Crossways Park Drive		Woodbury	NY	11797	6/1/2026	2026	"KINSHIP PACE OF THE TRI-CITIES, LLC"	National PACE	"Kinship PACE of the Tri-Cities, LLC"	National PACE		"KH PACE HEALTH GROUP, LLC"	895	Yes	Pending					PACE - Nat		C	New York
H6752	Medicare Compliance Officer	VP Compliance and Government Affairs	Ms.	Lopez	Kim		1-303-960-0733					KLOPEZ@kinshiphs.com	225 Crossways Park Drive		Woodbury	NY	11797	6/1/2026	2026	"KINSHIP PACE OF THE TRI-CITIES, LLC"	National PACE	"Kinship PACE of the Tri-Cities, LLC"	National PACE		"KH PACE HEALTH GROUP, LLC"	895	Yes	Pending					PACE - Nat		C	New York
H6752	Part D Exceptions Contact	CEO	Mrs	Garay	Lisa							lgaray@kinshiphs.com	63 Karen Drive		Mahwah	NJ	07430	3/13/2026	2026	"KINSHIP PACE OF THE TRI-CITIES, LLC"	National PACE	"Kinship PACE of the Tri-Cities, LLC"	National PACE		"KH PACE HEALTH GROUP, LLC"	895	Yes	Pending	1-201-675-5663				PACE - Nat		C	New York
H6752	Pharmacy Network Management Contact	CEO	Mrs	Garay	Lisa		1-201-675-5663					lgaray@kinshiphs.com	63 Karen Drive		Mahwah	NJ	07430	3/13/2026	2026	"KINSHIP PACE OF THE TRI-CITIES, LLC"	National PACE	"Kinship PACE of the Tri-Cities, LLC"	National PACE		"KH PACE HEALTH GROUP, LLC"	895	Yes	Pending					PACE - Nat		C	New York
H6752	Pharmacy Technical Help Desk Contact	CEO	Mrs	Garay	Lisa							lgaray@kinshiphs.com	63 Karen Drive		Mahwah	NJ	07430	3/13/2026	2026	"KINSHIP PACE OF THE TRI-CITIES, LLC"	National PACE	"Kinship PACE of the Tri-Cities, LLC"	National PACE		"KH PACE HEALTH GROUP, LLC"	895	Yes	Pending	1-201-675-5663				PACE - Nat		C	New York
H6752	Plan to Plan Reconciliation Contact	CEO	Mrs	Garay	Lisa		1-201-675-5663					lgaray@kinshiphs.com	63 Karen Drive		Mahwah	NJ	07430	3/13/2026	2026	"KINSHIP PACE OF THE TRI-CITIES, LLC"	National PACE	"Kinship PACE of the Tri-Cities, LLC"	National PACE		"KH PACE HEALTH GROUP, LLC"	895	Yes	Pending					PACE - Nat		C	New York
H6759	Automated TrOOP Balance Transfer Contact	AR Reimbursement Specialist		Cox	Terra		1-970-508-7737				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	4/5/2024	2026	Senior CommUnity Care Of Kentucky	National PACE	Senior CommUnity Care of Kentucky	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H6759	Best Available Evidence Contact	AR Reimbursement Specialist		Cox	Terra		1-970-508-7737				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	4/5/2024	2026	Senior CommUnity Care Of Kentucky	National PACE	Senior CommUnity Care of Kentucky	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H6759	Chief Financial Officer	"Regional Vice President, PACE Operations"	Mr.	Nilsen	Eric		1-612-428-7858				1-952-941-7097	enilsen@voa.org	7485 Office Ridge Circle		Eden Prairie	MN	55344	4/5/2024	2026	Senior CommUnity Care Of Kentucky	National PACE	Senior CommUnity Care of Kentucky	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H6759	CMS Casework Communication Contact	Quality and Compliance Manager		Otto	Karen		1-859-970-2480				1-517-913-5991	kotto@voa.org	"47 Cavalier Blvd., Suite 140"		Florence	KY	41042	6/1/2026	2026	Senior CommUnity Care Of Kentucky	National PACE	Senior CommUnity Care of Kentucky	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H6759	Coordination of Benefits Contact	AR Reimbursement Specialist		Cox	Terra		1-970-964-3556				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	4/5/2024	2026	Senior CommUnity Care Of Kentucky	National PACE	Senior CommUnity Care of Kentucky	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H6759	Customer Service Operations Contact	"Regional Vice President, PACE Operations"	Mr.	Nilsen	Eric		1-612-428-7858				1-952-941-7097	enilsen@voa.org	7485 Office Ridge Circle		Eden Prairie	MN	55344	6/8/2026	2026	Senior CommUnity Care Of Kentucky	National PACE	Senior CommUnity Care of Kentucky	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H6759	Government Relations Contact	"Regional Vice President, PACE Operations"	Mr.	Nilsen	Eric		1-612-428-7858				1-952-941-7097	enilsen@voa.org	7485 Office Ridge Circle		Eden Prairie	MN	55344	6/8/2026	2026	Senior CommUnity Care Of Kentucky	National PACE	Senior CommUnity Care of Kentucky	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H6759	Medicare Compliance Officer	Director of Quality	Ms	Peterson	Nora		1-970-964-3500				1-970-525-0166	npeterson@voa.org	2377 Robins Way		Montrose	CO	81401	4/5/2024	2026	Senior CommUnity Care Of Kentucky	National PACE	Senior CommUnity Care of Kentucky	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H6759	Part D Exceptions Contact	Regulatory Compliance Coordinator		Whitney	Courtney						1-970-252-0166	cwhitney@voa.org	2377 Robins Way		Montrose	CO	81401	4/5/2024	2026	Senior CommUnity Care Of Kentucky	National PACE	Senior CommUnity Care of Kentucky	National PACE		Volunteers of America National Services	367	Yes	Active	1-970-964-3500				PACE - Nat		C	Atlanta
H6759	Pharmacy Network Management Contact	Regulatory Compliance Coordinator		Whitney	Courtney		1-970-964-3500				1-970-252-0166	cwhitney@voa.org	2377 Robins Way		Montrose	CO	81401	4/5/2024	2026	Senior CommUnity Care Of Kentucky	National PACE	Senior CommUnity Care of Kentucky	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H6759	Pharmacy Technical Help Desk Contact	Regulatory Compliance Coordinator		Whitney	Courtney						1-970-252-0166	cwhitney@voa.org	2377 Robins Way		Montrose	CO	81401	4/5/2024	2026	Senior CommUnity Care Of Kentucky	National PACE	Senior CommUnity Care of Kentucky	National PACE		Volunteers of America National Services	367	Yes	Active	1-970-964-3500				PACE - Nat		C	Atlanta
H6759	Plan to Plan Reconciliation Contact	AR Reimbursement Specialist		Cox	Terra		1-970-508-7737				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	4/5/2024	2026	Senior CommUnity Care Of Kentucky	National PACE	Senior CommUnity Care of Kentucky	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H6765	Automated TrOOP Balance Transfer Contact	"Operations Mgr, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	Relay.Health@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	AMERICAN HEALTH PLAN OF IOWA INC	Local CCP	Iowa Health Advantage	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6765	Best Available Evidence Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	AMERICAN HEALTH PLAN OF IOWA INC	Local CCP	Iowa Health Advantage	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6765	Chief Financial Officer	Chief Financial Officer	Mr.	Bogle	Jeffrey	A	1-615-751-8134				1-844-280-5360	MACFO@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	AMERICAN HEALTH PLAN OF IOWA INC	Local CCP	Iowa Health Advantage	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6765	CMS Casework Communication Contact	Compliance Officer		Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	AMERICAN HEALTH PLAN OF IOWA INC	Local CCP	Iowa Health Advantage	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6765	Coordination of Benefits Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	AMERICAN HEALTH PLAN OF IOWA INC	Local CCP	Iowa Health Advantage	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6765	Customer Service Operations Contact	"VP, Administration"		Brandt	Toni		1-615-476-0748				1-844-280-5360	tbrandt@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	AMERICAN HEALTH PLAN OF IOWA INC	Local CCP	Iowa Health Advantage	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6765	Government Relations Contact	Compliance Officer		Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	AMERICAN HEALTH PLAN OF IOWA INC	Local CCP	Iowa Health Advantage	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6765	Hospice Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	AMERICAN HEALTH PLAN OF IOWA INC	Local CCP	Iowa Health Advantage	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6765	Medicare Compliance Officer	Compliance Officer	Ms.	Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	AMERICAN HEALTH PLAN OF IOWA INC	Local CCP	Iowa Health Advantage	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6765	Part D Exceptions Contact	"Assoc Dir, Clinical Prior Authorization"		LeClair	Christophe						1-920-221-4176	Christopher.LeClair@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	AMERICAN HEALTH PLAN OF IOWA INC	Local CCP	Iowa Health Advantage	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active	1-844-228-7934				HMO - Health Maintenance Organization		C	Dallas
H6765	Pharmacy Network Management Contact	"VP, Provider Services"		Nagy	Don		1-608-820-4403					Don.Nagy@navitus.com	361 Integrity Drive		Madison	WI	53717	6/22/2026	2026	AMERICAN HEALTH PLAN OF IOWA INC	Local CCP	Iowa Health Advantage	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6765	Pharmacy Technical Help Desk Contact	"Sr. Mgr, Customer Care Accts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	AMERICAN HEALTH PLAN OF IOWA INC	Local CCP	Iowa Health Advantage	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Dallas
H6765	Plan to Plan Reconciliation Contact	"Director,  Finance"		Tilley	Stephanie		1-931-242-0499				1-844-280-5360	stilley@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	AMERICAN HEALTH PLAN OF IOWA INC	Local CCP	Iowa Health Advantage	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6776	Automated TrOOP Balance Transfer Contact	VP of ITS		Ramaglia	Damon		1-347-842-3584					damon.ramaglia@elderservehealth.org	80 West 225th Street		Bronx	NY	10463	4/25/2018	2026	"ELDERSERVE HEALTH, INC."	Local CCP	ElderServe Health	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6776	Best Available Evidence Contact	VP of Operational Support		Rosen	Richard		1-347-842-3684					richard.rosen@elderservehealth.org	80 West 225th Street		Bronx	NY	10463	7/17/2019	2026	"ELDERSERVE HEALTH, INC."	Local CCP	ElderServe Health	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6776	Chief Financial Officer	SVP of Finance	Mr.	Kehoe	John		1-347-842-3503					john.kehoe@elderservehealth.org	80 West 225th Street		Bronx	NY	10463	2/22/2023	2026	"ELDERSERVE HEALTH, INC."	Local CCP	ElderServe Health	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6776	CMS Casework Communication Contact	Executive Vice President		Aldrich	Susan	Y	1-914-960-4407					susan.aldrich@elderservehealth.org	80 West 225th Street		Bronx	NY	10463	7/17/2019	2026	"ELDERSERVE HEALTH, INC."	Local CCP	ElderServe Health	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6776	Coordination of Benefits Contact	SVP of Finance		Kehoe	John		1-347-842-3503					John.Kehoe@elderservehealth.org	80 West 225th Street		Bronx	NY	10463	2/22/2023	2026	"ELDERSERVE HEALTH, INC."	Local CCP	ElderServe Health	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6776	Customer Service Operations Contact	VP of Member Services		Hron	Patty		1-347-842-3541					patty.hron@elderservehealth.org	80 West 225th Street		Bronx	NY	10463	2/22/2023	2026	"ELDERSERVE HEALTH, INC."	Local CCP	ElderServe Health	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6776	Government Relations Contact	Executive Vice President		Aldrich	Susan	Y	1-914-960-4407					susan.aldrich@elderservehealth.org	80 West 225th Street		Bronx	NY	10463	7/17/2019	2026	"ELDERSERVE HEALTH, INC."	Local CCP	ElderServe Health	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6776	Hospice Contact	SVP Clinical Operations	Ms.	Lau	Julieanne		1-347-842-3554					julieanne.lau@elderservehealth.org	80 West 225th Street		Bronx	NY	10463	2/22/2023	2026	"ELDERSERVE HEALTH, INC."	Local CCP	ElderServe Health	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6776	Medicare Compliance Officer	SVP of Regulatory Affairs	Esq.	Ling	Jenny		1-347-842-3528					jenny.ling@elderservehealth.org	80 West 225th Street		Bronx	NY	10463	2/22/2023	2026	"ELDERSERVE HEALTH, INC."	Local CCP	ElderServe Health	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6776	Part D Exceptions Contact	Sr. Pharmacy Manager		Herbert	Jo							joshua.herbert@evernorth.com	One Express Way Mail Stop S13 NB		Saint Louis	MO	63121	10/15/2025	2026	"ELDERSERVE HEALTH, INC."	Local CCP	ElderServe Health	HMO/HMOPOS		CareSource	321	Yes	Active	1-513-292-0563				HMO - Health Maintenance Organization		C	Boston
H6776	Pharmacy Network Management Contact	"Network Account, Director, Retail Strategy Network"		Kelly	Heather		1-314-692-1866					hakelly@express-scripts.com	ESI	1 Express Way	St. Louis	MO	63121	10/28/2022	2026	"ELDERSERVE HEALTH, INC."	Local CCP	ElderServe Health	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6776	Pharmacy Technical Help Desk Contact	"Sr. Director, Customer Service"		Sahs	Dale							dale.sahs@expressscripts.com	one		Saint Louis	MO	63121	10/15/2025	2026	"ELDERSERVE HEALTH, INC."	Local CCP	ElderServe Health	HMO/HMOPOS		CareSource	321	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Boston
H6776	Plan to Plan Reconciliation Contact	AVP of Finance		Lugo	Michelle		1-347-842-3557					michelle.lugo@elderservehealth.org	80 West 225th Street		Bronx	NY	10463	2/19/2021	2026	"ELDERSERVE HEALTH, INC."	Local CCP	ElderServe Health	HMO/HMOPOS		CareSource	321	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6787	Automated TrOOP Balance Transfer Contact	AR Reimbursement Specialist		Cox	Terra		1-970-508-7737				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	4/16/2024	2026	"VOANS SENIOR COMMUNITY CARE OF MICHIGAN, INC."	National PACE	Senior Community Care of Michigan	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H6787	Best Available Evidence Contact	AR Reimbursement Specialist		Cox	Terra		1-970-508-7737				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	4/16/2024	2026	"VOANS SENIOR COMMUNITY CARE OF MICHIGAN, INC."	National PACE	Senior Community Care of Michigan	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H6787	Chief Financial Officer	"Regional Vice President, PACE Operations"	Mr	Nilsen	Eric		1-612-428-7858				1-952-941-0428	enilsen@voa.org	7485 Office Ridge Circle		Eden Prairie	MN	55344	4/16/2024	2026	"VOANS SENIOR COMMUNITY CARE OF MICHIGAN, INC."	National PACE	Senior Community Care of Michigan	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H6787	CMS Casework Communication Contact	Quality and Compliance Manager		Hardin	Jessica		1-517-319-0700				1-517-913-5991	jhardin@voa.org	1921 East Miller Road		Lansing	MI	48911	4/16/2024	2026	"VOANS SENIOR COMMUNITY CARE OF MICHIGAN, INC."	National PACE	Senior Community Care of Michigan	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H6787	Coordination of Benefits Contact	AR Reimbursement Specialist		Cox	Terra		1-970-508-7737				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	4/16/2024	2026	"VOANS SENIOR COMMUNITY CARE OF MICHIGAN, INC."	National PACE	Senior Community Care of Michigan	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H6787	Customer Service Operations Contact	Executive Director		McKenna	Rebecca		1-517-319-0690				1-517-319-0650	rmckenna@voa.org	1921 East Miller Road		Lansing	MI	48911	10/23/2024	2026	"VOANS SENIOR COMMUNITY CARE OF MICHIGAN, INC."	National PACE	Senior Community Care of Michigan	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H6787	Government Relations Contact	Executive Director		McKenna	Rebecca		1-517-319-0690				1-517-319-0650	rmckenna@voa.org	1921 East Miller Road		Lansing	MI	48911	10/23/2024	2026	"VOANS SENIOR COMMUNITY CARE OF MICHIGAN, INC."	National PACE	Senior Community Care of Michigan	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H6787	Medicare Compliance Officer	Director of Quality	Ms	Peterson	Nora		1-970-964-3500				1-970-252-0166	npeterson@voa.org	2377 Robins Way		Montrose	CO	81401	4/16/2024	2026	"VOANS SENIOR COMMUNITY CARE OF MICHIGAN, INC."	National PACE	Senior Community Care of Michigan	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H6787	Part D Exceptions Contact	Regulatory Compliance Coordinator		Whitney	Courtney						1-970-252-0166	cwhitney@voa.org	2377 Robins Way		Montrose	CO	81401	4/16/2024	2026	"VOANS SENIOR COMMUNITY CARE OF MICHIGAN, INC."	National PACE	Senior Community Care of Michigan	National PACE		Volunteers of America National Services	367	Yes	Active	1-970-964-3500				PACE - Nat		C	Atlanta
H6787	Pharmacy Network Management Contact	Regulatory Compliance Coordinator		Whitney	Courtney		1-970-964-3500				1-970-252-0166	cwhitney@voa.org	2377 Robins Way		Montrose	CO	81401	4/16/2024	2026	"VOANS SENIOR COMMUNITY CARE OF MICHIGAN, INC."	National PACE	Senior Community Care of Michigan	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H6787	Pharmacy Technical Help Desk Contact	Regulatory Compliance Coordinator		Whitney	Courtney						1-970-252-0166	cwhitney@voa.org	2377 Robins Way		Montrose	CO	81401	4/16/2024	2026	"VOANS SENIOR COMMUNITY CARE OF MICHIGAN, INC."	National PACE	Senior Community Care of Michigan	National PACE		Volunteers of America National Services	367	Yes	Active	1-970-964-3500				PACE - Nat		C	Atlanta
H6787	Plan to Plan Reconciliation Contact	AR Reimbursement Specialist		Cox	Terra		1-970-508-7737				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	4/16/2024	2026	"VOANS SENIOR COMMUNITY CARE OF MICHIGAN, INC."	National PACE	Senior Community Care of Michigan	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H6796	Automated TrOOP Balance Transfer Contact	Executive Director		Felix	Carole		1-760-790-7706					carolef@innercare.org	"1600 North Imperial Avenue, Ste. 102"		Imperial	CA	92251	5/4/2026	2026	"CLINICAS DE SALUD DEL PUEBLO, INC."	National PACE	PACE by Innercare	National PACE		"Clinicas de Salud del Pueblo, Inc."	890	Yes	Active					PACE - Nat		C	San Francisco
H6796	Best Available Evidence Contact	Executive Director		Felix	Carole		1-760-790-7706					carolef@innercare.org	"1600 North Imperial Avenue, Ste. 102"		Imperial	CA	92251	5/4/2026	2026	"CLINICAS DE SALUD DEL PUEBLO, INC."	National PACE	PACE by Innercare	National PACE		"Clinicas de Salud del Pueblo, Inc."	890	Yes	Active					PACE - Nat		C	San Francisco
H6796	Chief Financial Officer	CFO	Ms.	Rizzo	Marlene		1-760-344-9951	10132				marlener@innercare.org	852 East Danenberg Drive		El Centro	CA	92243	5/4/2026	2026	"CLINICAS DE SALUD DEL PUEBLO, INC."	National PACE	PACE by Innercare	National PACE		"Clinicas de Salud del Pueblo, Inc."	890	Yes	Active					PACE - Nat		C	San Francisco
H6796	CMS Casework Communication Contact	CEO	Ms.	Bell	Yvonne		1-760-344-9951	10159				yvonneb@innercare.org	852 East Danenberg Drive		El Centro	CA	92243	5/4/2026	2026	"CLINICAS DE SALUD DEL PUEBLO, INC."	National PACE	PACE by Innercare	National PACE		"Clinicas de Salud del Pueblo, Inc."	890	Yes	Active					PACE - Nat		C	San Francisco
H6796	Coordination of Benefits Contact	Executive Director		Felix	Carole		1-760-790-7706					carolef@innercare.org	"1600 North Imperial Avenue, Ste. 102"		Imperial	CA	92251	5/4/2026	2026	"CLINICAS DE SALUD DEL PUEBLO, INC."	National PACE	PACE by Innercare	National PACE		"Clinicas de Salud del Pueblo, Inc."	890	Yes	Active					PACE - Nat		C	San Francisco
H6796	Customer Service Operations Contact	Executive Director		Felix	Carole		1-760-790-7706					carolef@innercare.org	"1600 North Imperial Avenue, Ste. 102"		Imperial	CA	92251	5/4/2026	2026	"CLINICAS DE SALUD DEL PUEBLO, INC."	National PACE	PACE by Innercare	National PACE		"Clinicas de Salud del Pueblo, Inc."	890	Yes	Active					PACE - Nat		C	San Francisco
H6796	Government Relations Contact	Executive Director		Felix	Carole		1-760-790-7706					carolef@innercare.org	"1600 North Imperial Avenue, Ste. 102"		Imperial	CA	92251	5/4/2026	2026	"CLINICAS DE SALUD DEL PUEBLO, INC."	National PACE	PACE by Innercare	National PACE		"Clinicas de Salud del Pueblo, Inc."	890	Yes	Active					PACE - Nat		C	San Francisco
H6796	Medicare Compliance Officer	Director of Quality & Compliance	Ms.	Goel	Jyotika		1-760-412-4422	119				jyotikag@pacebyinnercare.org	1600 N Imperial Ave Ste 102		Imperial	CA	92251	5/4/2026	2026	"CLINICAS DE SALUD DEL PUEBLO, INC."	National PACE	PACE by Innercare	National PACE		"Clinicas de Salud del Pueblo, Inc."	890	Yes	Active					PACE - Nat		C	San Francisco
H6796	Part D Exceptions Contact	Executive Director		Felix	Carole							carolef@innercare.org	"1600 North Imperial Avenue, Ste. 102"		Imperial	CA	92251	5/4/2026	2026	"CLINICAS DE SALUD DEL PUEBLO, INC."	National PACE	PACE by Innercare	National PACE		"Clinicas de Salud del Pueblo, Inc."	890	Yes	Active	1-800-465-3203				PACE - Nat		C	San Francisco
H6796	Pharmacy Network Management Contact	Director of Pharmacy		Kang	Daniel		1-760-460-4255					DanK@innercare.org	852 E. Danenberg Drive		El Centro	CA	92243	5/4/2026	2026	"CLINICAS DE SALUD DEL PUEBLO, INC."	National PACE	PACE by Innercare	National PACE		"Clinicas de Salud del Pueblo, Inc."	890	Yes	Active					PACE - Nat		C	San Francisco
H6796	Pharmacy Technical Help Desk Contact	Executive Director		Felix	Carole							carolef@innercare.org	"1600 North Imperial Avenue, Ste. 102"		Imperial	CA	92251	5/4/2026	2026	"CLINICAS DE SALUD DEL PUEBLO, INC."	National PACE	PACE by Innercare	National PACE		"Clinicas de Salud del Pueblo, Inc."	890	Yes	Active	1-800-465-3203				PACE - Nat		C	San Francisco
H6796	Plan to Plan Reconciliation Contact	Executive Director		Felix	Carole		1-760-790-7706					carolef@innercare.org	"1600 North Imperial Avenue, Ste. 102"		Imperial	CA	92251	5/4/2026	2026	"CLINICAS DE SALUD DEL PUEBLO, INC."	National PACE	PACE by Innercare	National PACE		"Clinicas de Salud del Pueblo, Inc."	890	Yes	Active					PACE - Nat		C	San Francisco
H6813	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF TEXAS	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6813	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF TEXAS	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6813	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF TEXAS	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6813	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF TEXAS	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6813	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF TEXAS	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6813	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF TEXAS	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6813	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF TEXAS	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6813	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF TEXAS	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6813	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF TEXAS	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6813	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF TEXAS	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				PPO - BBA		C	New York
H6813	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF TEXAS	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6813	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF TEXAS	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				PPO - BBA		C	New York
H6813	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF TEXAS	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H6815	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/5/2024	2026	"HEALTH NET HEALTH PLAN OF OREGON, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H6815	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	"HEALTH NET HEALTH PLAN OF OREGON, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H6815	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	7/5/2024	2026	"HEALTH NET HEALTH PLAN OF OREGON, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H6815	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"HEALTH NET HEALTH PLAN OF OREGON, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H6815	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"HEALTH NET HEALTH PLAN OF OREGON, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H6815	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	9/18/2024	2026	"HEALTH NET HEALTH PLAN OF OREGON, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H6815	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"HEALTH NET HEALTH PLAN OF OREGON, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H6815	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	7/5/2024	2026	"HEALTH NET HEALTH PLAN OF OREGON, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H6815	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	"HEALTH NET HEALTH PLAN OF OREGON, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H6815	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	7/5/2024	2026	"HEALTH NET HEALTH PLAN OF OREGON, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H6815	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	"HEALTH NET HEALTH PLAN OF OREGON, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H6815	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	1/9/2025	2026	"HEALTH NET HEALTH PLAN OF OREGON, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0202				HMO - Health Maintenance Organization		C	Denver
H6815	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	7/5/2024	2026	"HEALTH NET HEALTH PLAN OF OREGON, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H6824	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H6824	Best Available Evidence Contact	"Manager, Enrollment & Eligibility"		Asselin	Krista		1-763-361-1104					krista_asselin@uhc.com	PO Box 9472		Minneapolis	MN	55440	11/14/2025	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H6824	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/13/2025	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H6824	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H6824	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H6824	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H6824	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H6824	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H6824	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H6824	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				PPO - BBA		C	Boston
H6824	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H6824	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				PPO - BBA		C	Boston
H6824	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H6832	Automated TrOOP Balance Transfer Contact	"Supervisor, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	relay.health@navitus.com	"Navitus Health Solutions, LLC"	1025 West Navitus Drive	Appleton	WI	54913	10/8/2024	2026	"ALIGN SENIOR CARE MI, LLC"	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6832	Best Available Evidence Contact	Enrollment Manager	Ms	Beringer	Stephanie		1-206-697-7797					stephanie.beringer@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/25/2025	2026	"ALIGN SENIOR CARE MI, LLC"	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6832	Chief Financial Officer	CFO/VP of Finance	Ms.	Martin	Rachel		1-775-544-8314					Rachel.Martin@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	10/8/2024	2026	"ALIGN SENIOR CARE MI, LLC"	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6832	CMS Casework Communication Contact	Director - Grievance/Appeals & CTMs		Fernandez	Erik		1-786-239-8513					Erik.Fernandez@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	10/8/2024	2026	"ALIGN SENIOR CARE MI, LLC"	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6832	Coordination of Benefits Contact	Enrollment Manager	Ms	Beringer	Stephanie		1-206-697-7797					stephanie.beringer@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/25/2025	2026	"ALIGN SENIOR CARE MI, LLC"	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6832	Customer Service Operations Contact			Estes	Courtney		1-877-310-6754	744				courtney.estes@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/3/2026	2026	"ALIGN SENIOR CARE MI, LLC"	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6832	Government Relations Contact	Medicare Compliance Officer	Ms.	Kotun	Gillian		1-615-481-1897					gillian.kotun@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	5/14/2026	2026	"ALIGN SENIOR CARE MI, LLC"	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6832	Hospice Contact	Sr. Director Part D Operations	Mr.	Sone	Victor		1-347-683-5717					victor.sone@curanahealth.com	10900 Nuckols Rd	Suite 110	Glen Allen	VA	23060	10/8/2024	2026	"ALIGN SENIOR CARE MI, LLC"	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6832	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Kotun	Gillian		1-615-481-1897					gillian.kotun@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	10/8/2024	2026	"ALIGN SENIOR CARE MI, LLC"	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6832	Part D Exceptions Contact			LeClair	Christophe						1-920-221-4676	christopher.leclair@Navitus.com	Navitus Health Solutions	361 Integrity Dr	Madison	WI	53717	10/8/2024	2026	"ALIGN SENIOR CARE MI, LLC"	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active	1-920-221-4176				HMO - Health Maintenance Organization		C	Chicago
H6832	Pharmacy Network Management Contact	VP Network Management		Santos	Christina		1-608-820-4408					christina.santos@navitus.com	361 Integrity Drive		Madison	WI	53717	6/6/2025	2026	"ALIGN SENIOR CARE MI, LLC"	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6832	Pharmacy Technical Help Desk Contact	"Manager, Customer Care Accounts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	"Navitus Health Solutions, LLC"	1025 W. Navitus Drive	Appleton	WI	54913	10/8/2024	2026	"ALIGN SENIOR CARE MI, LLC"	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Chicago
H6832	Plan to Plan Reconciliation Contact	CFO/VP of Finance	Ms.	Martin	Rachel		1-775-544-8314					p2padministration@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	10/8/2024	2026	"ALIGN SENIOR CARE MI, LLC"	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6846	Automated TrOOP Balance Transfer Contact	Finance Manager	Mr.	Earley	Trey		1-828-213-8442				1-828-681-8913	Trey.Earley@HCAHealthcare.com	286 Overlook Rd		Asheville	NC	28803	8/7/2019	2026	"CAREPARTNERS REHABILITATION HOSPITAL, LLLP"	National PACE	CarePartners PACE	National PACE		"HCA Healthcare, Inc."	606	Yes	Active					PACE - Nat		C	Atlanta
H6846	Best Available Evidence Contact	Program Director	Ms.	Capps	Lisa		1-828-213-8440					lisa.capps@hcahealthcare.com	286 Overlook Rd		Asheville	NC	28803	6/12/2024	2026	"CAREPARTNERS REHABILITATION HOSPITAL, LLLP"	National PACE	CarePartners PACE	National PACE		"HCA Healthcare, Inc."	606	Yes	Active					PACE - Nat		C	Atlanta
H6846	Chief Financial Officer	CFO	Mr.	Groesser	Tyler		1-828-277-4818					tyler.groesser@hcahealthcare.com	286 Overlook Road		Asheville	NC	28803	8/13/2021	2026	"CAREPARTNERS REHABILITATION HOSPITAL, LLLP"	National PACE	CarePartners PACE	National PACE		"HCA Healthcare, Inc."	606	Yes	Active					PACE - Nat		C	Atlanta
H6846	CMS Casework Communication Contact	Quality and Compliance Manager	Ms.	Capps	Lisa		1-828-213-8442					lisa.capps@hcahealthcare.com	286 Overlook Rd		Asheville	NC	28803	6/12/2024	2026	"CAREPARTNERS REHABILITATION HOSPITAL, LLLP"	National PACE	CarePartners PACE	National PACE		"HCA Healthcare, Inc."	606	Yes	Active					PACE - Nat		C	Atlanta
H6846	Coordination of Benefits Contact	Finance Manager	Mr.	Earley	Trey		1-828-213-8442				1-828-681-8913	Trey.Earley@HCAHealthcare.com	286 Overlook Rd		Asheville	NC	28803	8/7/2019	2026	"CAREPARTNERS REHABILITATION HOSPITAL, LLLP"	National PACE	CarePartners PACE	National PACE		"HCA Healthcare, Inc."	606	Yes	Active					PACE - Nat		C	Atlanta
H6846	Customer Service Operations Contact	Program Director	Ms.	Capps	Lisa		1-828-213-8442				1-828-681-8913	Lisa.capps@HCAHealthcare.com	286 Overlook Road		Asheville	NC	28803	6/12/2024	2026	"CAREPARTNERS REHABILITATION HOSPITAL, LLLP"	National PACE	CarePartners PACE	National PACE		"HCA Healthcare, Inc."	606	Yes	Active					PACE - Nat		C	Atlanta
H6846	Government Relations Contact	Program Director	Ms.	Capps	Lisa		1-828-213-8440					Lisa.capps@HCAHealthcare.com	286 Overlook Road		Asheville	NC	28803	6/12/2024	2026	"CAREPARTNERS REHABILITATION HOSPITAL, LLLP"	National PACE	CarePartners PACE	National PACE		"HCA Healthcare, Inc."	606	Yes	Active					PACE - Nat		C	Atlanta
H6846	Medicare Compliance Officer	Ethics and Compliance Officer & Privacy	Mr.	Burnette	Bryan		1-828-277-4800				1-828-681-8913	bryan.burnette@hcahealthcare.com	286 Overlook Road		Asheville	NC	28803	4/17/2025	2026	"CAREPARTNERS REHABILITATION HOSPITAL, LLLP"	National PACE	CarePartners PACE	National PACE		"HCA Healthcare, Inc."	606	Yes	Active					PACE - Nat		C	Atlanta
H6846	Part D Exceptions Contact	Finance Manager	Mr.	Earley	Trey						1-828-681-8913	Trey.Earley@HCAHealthcare.com	286 Overlook Rd		Asheville	NC	28803	3/18/2020	2026	"CAREPARTNERS REHABILITATION HOSPITAL, LLLP"	National PACE	CarePartners PACE	National PACE		"HCA Healthcare, Inc."	606	Yes	Active	1-828-213-8442				PACE - Nat		C	Atlanta
H6846	Pharmacy Network Management Contact	Clinical RN Coord	Ms.	Tolley	Stephanie		1-828-213-8442				1-828-681-8913	Stephanie.tolley1@hcahealthcare.com	286 Overlook Road		Asheville	NC	28803	9/20/2023	2026	"CAREPARTNERS REHABILITATION HOSPITAL, LLLP"	National PACE	CarePartners PACE	National PACE		"HCA Healthcare, Inc."	606	Yes	Active					PACE - Nat		C	Atlanta
H6846	Pharmacy Technical Help Desk Contact	Clinical Nurse Coordinator	Ms.	Tolley	Stephanie						1-828-681-8913	Stephanie.tolley1@hcahealthcare.com	286 Overlook Road		Asheville	NC	28803	9/20/2023	2026	"CAREPARTNERS REHABILITATION HOSPITAL, LLLP"	National PACE	CarePartners PACE	National PACE		"HCA Healthcare, Inc."	606	Yes	Active	1-800-111-2222				PACE - Nat		C	Atlanta
H6846	Plan to Plan Reconciliation Contact	Finance Manager	Mr.	Earley	Trey		1-828-213-8442				1-828-681-8913	Trey.Earley@HCAHealthcare.com	286 Overlook Rd		Asheville	NC	28803	8/7/2019	2026	"CAREPARTNERS REHABILITATION HOSPITAL, LLLP"	National PACE	CarePartners PACE	National PACE		"HCA Healthcare, Inc."	606	Yes	Active					PACE - Nat		C	Atlanta
H6847	Automated TrOOP Balance Transfer Contact	"Vice President, Business Operations"		Malvo	Donovan		1-857-282-3015					dmalvo@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/4/2025	2026	"Mass General Brigham Health Plan, Inc."	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6847	Best Available Evidence Contact	"Director, Enrollment"		Merrill	Benjamin		1-857-282-2831					bmerrill2@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/4/2025	2026	"Mass General Brigham Health Plan, Inc."	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6847	Chief Financial Officer	Chief Financial Officer	Ms	Silva	Lucy		1-857-282-6595					lsilva16@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/4/2025	2026	"Mass General Brigham Health Plan, Inc."	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6847	CMS Casework Communication Contact	"Director, Appeals and Grievances"		Swasey	Andrea		1-800-433-5556	1005				aswasey@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/4/2025	2026	"Mass General Brigham Health Plan, Inc."	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6847	Coordination of Benefits Contact	"Manager, Recoveries"		Ryan	Cathy		1-857-282-9131					cryan17@mgb.org	399 Revolution Dr		Somerville	MA	02145	1/9/2024	2026	"Mass General Brigham Health Plan, Inc."	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6847	Customer Service Operations Contact	"Director, Customer Services"		Armstrong	Carolyn		1-413-427-0087					carmstrong6@mgb.org	399 Revolution Dr		Somerville	MA	02145	1/9/2024	2026	"Mass General Brigham Health Plan, Inc."	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6847	Government Relations Contact	"Director, Government Affairs"		Sullivan	John		1-857-282-3376					jsullivan77@mgb.org	399 Revolution Dr		Somerville	MA	02145	1/9/2024	2026	"Mass General Brigham Health Plan, Inc."	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6847	Hospice Contact	"Director, Pharmacy"		Gallagher	Angela		1-857-282-2493					agallagher9@mgb.org	399 Revolution Dr		Somerville	MA	02145	1/9/2024	2026	"Mass General Brigham Health Plan, Inc."	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6847	Medicare Compliance Officer	Medicare Compliance Officer	Ms	Trembley	Shannon		1-207-939-4468					strembley1@mgb.org	399 Revolution Dr		Somerville	MA	02145	1/9/2024	2026	"Mass General Brigham Health Plan, Inc."	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6847	Part D Exceptions Contact	"Director, Pharmacy"		Gallagher	Angela							agallagher9@mgb.org	399 Revolution Dr		Somerville	MA	02145	1/9/2024	2026	"Mass General Brigham Health Plan, Inc."	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active	1-857-282-2493				HMO - Health Maintenance Organization		C	Boston
H6847	Pharmacy Network Management Contact	"Director, Pharmacy"		Gallagher	Angela		1-857-282-2493					agallagher9@mgb.org	399 Revolution Dr		Somerville	MA	02145	1/9/2024	2026	"Mass General Brigham Health Plan, Inc."	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6847	Pharmacy Technical Help Desk Contact	"Director, Pharmacy"		Gallagher	Angela							agallagher9@mgb.org	399 Revolution Dr		Somerville	MA	02145	12/16/2025	2026	"Mass General Brigham Health Plan, Inc."	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active	1-844-368-8732				HMO - Health Maintenance Organization		C	Boston
H6847	Plan to Plan Reconciliation Contact	Finance Director	Ms	Umashankar	Kamini		1-860-839-3151					kumashankar@mgb.org	399 Revolution Dr		Somerville	MA	02145	6/3/2024	2026	"Mass General Brigham Health Plan, Inc."	Local CCP	Mass General Brigham Health Plan	HMO/HMOPOS		Mass General Brigham Incorporated	784	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H6851	Automated TrOOP Balance Transfer Contact	Director of Clinical Pharmacy		Smith	Ashley		1-617-478-3738					ashley.smith@wellsense.org	"100 City Square, Suite 200"		Charlestown	MA	02129	4/21/2026	2026	"BOSTON MEDICAL CENTER HEALTH PLAN, INC."	Local CCP	WellSense Health Plan	HMO/HMOPOS		"BMC Health System, Inc."	493	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H6851	Best Available Evidence Contact	Sr Enrollment & Reconciliation Analyst		Cason	Joseph		1-617-748-6356					joseph.cason@wellsense.org	"100 City Square, Suite 200"		Charlestown	MA	02129	4/21/2026	2026	"BOSTON MEDICAL CENTER HEALTH PLAN, INC."	Local CCP	WellSense Health Plan	HMO/HMOPOS		"BMC Health System, Inc."	493	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H6851	Chief Financial Officer	Chief Financial Officer	Mr.	Bennett	Darren		1-617-748-6160					Darren.Bennett@wellsense.org	"100 City Square, Suite 200"		Charlestown	MA	02129	4/21/2026	2026	"BOSTON MEDICAL CENTER HEALTH PLAN, INC."	Local CCP	WellSense Health Plan	HMO/HMOPOS		"BMC Health System, Inc."	493	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H6851	CMS Casework Communication Contact	"Director, Appeals & Grievances"		Bigbee	Jacqueline		1-774-644-6922					jacqueline.bigbee@wellsense.org	"100 City Square, Suite 200"		Charlestown	MA	02129	4/21/2026	2026	"BOSTON MEDICAL CENTER HEALTH PLAN, INC."	Local CCP	WellSense Health Plan	HMO/HMOPOS		"BMC Health System, Inc."	493	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H6851	Coordination of Benefits Contact	"Manager, Coordination of Benefits"		Castillo	Yvonne		1-617-748-6133					yvonne.castillo@wellsense.org	"100 City Square, Suite 200"		Charlestown	MA	02129	4/21/2026	2026	"BOSTON MEDICAL CENTER HEALTH PLAN, INC."	Local CCP	WellSense Health Plan	HMO/HMOPOS		"BMC Health System, Inc."	493	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H6851	Customer Service Operations Contact	"Sr. Mgr, Regulatory Operations"		Day	Jennifer		1-781-576-9126					jennifer.day@wellsense.org	"100 City Square, Suite 200"		Charlestown	MA	02129	4/21/2026	2026	"BOSTON MEDICAL CENTER HEALTH PLAN, INC."	Local CCP	WellSense Health Plan	HMO/HMOPOS		"BMC Health System, Inc."	493	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H6851	Government Relations Contact	Director of Government Affairs	Mr.	Krintzman	Josh		1-617-748-6490					Josh.Krintzman@wellsense.org	"100 City Square, Suite 200"		Charlestown	MA	02129	4/21/2026	2026	"BOSTON MEDICAL CENTER HEALTH PLAN, INC."	Local CCP	WellSense Health Plan	HMO/HMOPOS		"BMC Health System, Inc."	493	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H6851	Hospice Contact	Director of Clinical Pharmacy		Smith	Ashley		1-617-478-3738					Ashley.Smith@wellsense.org	"100 City Square, Suite 200"		Charlestown	MA	02129	4/21/2026	2026	"BOSTON MEDICAL CENTER HEALTH PLAN, INC."	Local CCP	WellSense Health Plan	HMO/HMOPOS		"BMC Health System, Inc."	493	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H6851	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Comerford	Michael		1-781-962-0405					michael.comerford@wellsense.org	"100 City Square, Suite 200"		Charlestown	MA	02129	4/21/2026	2026	"BOSTON MEDICAL CENTER HEALTH PLAN, INC."	Local CCP	WellSense Health Plan	HMO/HMOPOS		"BMC Health System, Inc."	493	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H6851	Part D Exceptions Contact	Director of Clinical Pharmacy		Smith	Ashley							Ashley.Smith@wellsense.org	"100 City Square, Suite 200"		Charlestown	MA	02129	4/21/2026	2026	"BOSTON MEDICAL CENTER HEALTH PLAN, INC."	Local CCP	WellSense Health Plan	HMO/HMOPOS		"BMC Health System, Inc."	493	Yes	Withdrawn Contract	1-855-833-8125				HMO - Health Maintenance Organization		C	Boston
H6851	Pharmacy Network Management Contact	Director of Clinical Pharmacy		Smith	Ashley		1-617-478-3738					Ashley.Smith@wellsense.org	"100 City Square, Suite 200"		Charlestown	MA	02129	4/21/2026	2026	"BOSTON MEDICAL CENTER HEALTH PLAN, INC."	Local CCP	WellSense Health Plan	HMO/HMOPOS		"BMC Health System, Inc."	493	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H6851	Pharmacy Technical Help Desk Contact	Director of Clinical Pharmacy		Smith	Ashley							Ashely.Smith@wellsense.org	"100 City Square, Suite 200"		Charlestown	MA	02129	4/21/2026	2026	"BOSTON MEDICAL CENTER HEALTH PLAN, INC."	Local CCP	WellSense Health Plan	HMO/HMOPOS		"BMC Health System, Inc."	493	Yes	Withdrawn Contract	1-800-922-1557				HMO - Health Maintenance Organization		C	Boston
H6851	Plan to Plan Reconciliation Contact	Sr. Healthcare Accountant		Leung	Angela		1-978-204-3651					Angela.Leung@wellsense.org	"100 City Square, Suite 200"		Charlestown	MA	02129	4/21/2026	2026	"BOSTON MEDICAL CENTER HEALTH PLAN, INC."	Local CCP	WellSense Health Plan	HMO/HMOPOS		"BMC Health System, Inc."	493	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H6852	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF PENNSYLVANIA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6852	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF PENNSYLVANIA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6852	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF PENNSYLVANIA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6852	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF PENNSYLVANIA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6852	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF PENNSYLVANIA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6852	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF PENNSYLVANIA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6852	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF PENNSYLVANIA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6852	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF PENNSYLVANIA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6852	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF PENNSYLVANIA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6852	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF PENNSYLVANIA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				HMO - Health Maintenance Organization		C	New York
H6852	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF PENNSYLVANIA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6852	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF PENNSYLVANIA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H6852	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF PENNSYLVANIA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H6868	Automated TrOOP Balance Transfer Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224				1-732-806-3324	jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/27/2026	2026	"BOLDAGE PACE KENTUCKY, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H6868	Best Available Evidence Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/30/2026	2026	"BOLDAGE PACE KENTUCKY, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H6868	Chief Financial Officer	Chief Financial Officer	Mr	Schlesinger	David		1-855-801-2653					dschlesinger@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	5/20/2026	2026	"BOLDAGE PACE KENTUCKY, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H6868	CMS Casework Communication Contact	Director of Compliance	Ms	Cooper	Wanda		1-855-801-2653					wcoooper@boldagepace.com	1075 Stephenson Avenue Suite B		Oceanport	NJ	07757	5/20/2026	2026	"BOLDAGE PACE KENTUCKY, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H6868	Coordination of Benefits Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224				1-732-806-3324	jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/20/2026	2026	"BOLDAGE PACE KENTUCKY, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H6868	Customer Service Operations Contact	Executive Director		Matusiak	Matthew		1-270-494-5401					mmatusiak@boldagepace.com	2050 E Parrish Ave		Owensboro	KY	42303	3/30/2026	2026	"BOLDAGE PACE KENTUCKY, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H6868	Government Relations Contact	Chief Administrative Officer	Mr	Czermak	Michael		1-855-801-2653					michaelc@boldagepace.com	1897 Lakewood Road	Unit 109	Toms River	NJ	08753	5/11/2026	2026	"BOLDAGE PACE KENTUCKY, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H6868	Medicare Compliance Officer	Director of Compliance	Ms	Cooper	Wanda		1-855-801-2653					wcooper@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	5/20/2026	2026	"BOLDAGE PACE KENTUCKY, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H6868	Part D Exceptions Contact	Financial Specialist		Partlow	Jennie							jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/28/2026	2026	"BOLDAGE PACE KENTUCKY, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active	1-954-839-5000				PACE - Nat		C	New York
H6868	Pharmacy Network Management Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/27/2026	2026	"BOLDAGE PACE KENTUCKY, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H6868	Pharmacy Technical Help Desk Contact	Financial Specialist	Ms	Partlow	Jennie							jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/27/2026	2026	"BOLDAGE PACE KENTUCKY, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active	1-855-801-2653				PACE - Nat		C	New York
H6868	Plan to Plan Reconciliation Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/31/2026	2026	"BOLDAGE PACE KENTUCKY, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H6874	Automated TrOOP Balance Transfer Contact	MBE Operations Senior Manager		Dolan	Lindsey		1-612-676-5130					FIR_Transactions@ucare.org	500 Stinson Boulevard NE		Minnneapolis	MN	55413	6/1/2026	2026	"ASPIRUS HEALTH PLAN, INC."	Local CCP	Aspirus Health Plan	Local PPO		"Aspirus, Inc."	747	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H6874	Best Available Evidence Contact	MBE Operations Senior Manager		Dolan	Lindsey		1-612-676-5130					ldolan@ucare.org	500 Stinson Boulevard NE		Minneapolis	MN	55413	6/1/2026	2026	"ASPIRUS HEALTH PLAN, INC."	Local CCP	Aspirus Health Plan	Local PPO		"Aspirus, Inc."	747	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H6874	Chief Financial Officer	CFO	Mr.	Yang	Jerry		1-715-847-2526					jerry.yang@aspirus.org	P.O. Box 395		Wausau	WI	54402	6/1/2026	2026	"ASPIRUS HEALTH PLAN, INC."	Local CCP	Aspirus Health Plan	Local PPO		"Aspirus, Inc."	747	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H6874	CMS Casework Communication Contact	A&G Audit Specialist Lead		Jacobs	Jill		1-612-296-3324					cag@ucare.org	500 Stinson Blvd NE		Minneapolis	MN	55413	6/1/2026	2026	"ASPIRUS HEALTH PLAN, INC."	Local CCP	Aspirus Health Plan	Local PPO		"Aspirus, Inc."	747	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H6874	Coordination of Benefits Contact	Clinical Pharmacy Associate Director		Nelson	Adam		1-612-294-5030				1-612-884-2263	anelson@ucare.org	500 Stinson		Minneapolis	MN	55413	6/1/2026	2026	"ASPIRUS HEALTH PLAN, INC."	Local CCP	Aspirus Health Plan	Local PPO		"Aspirus, Inc."	747	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H6874	Customer Service Operations Contact	Business Analyst		Pena	Jennifer		1-612-294-5251					jstromquist@ucare.org	500 Stinson Boulevard NE		Minneapolis	MN	55413	6/1/2026	2026	"ASPIRUS HEALTH PLAN, INC."	Local CCP	Aspirus Health Plan	Local PPO		"Aspirus, Inc."	747	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H6874	Government Relations Contact	Medicare Team Manager		Berglund	Marie		1-612-676-3598					mberglund@ucare.org	500 Stinson Boulevard NE		Minneapolis	MN	55413	6/1/2026	2026	"ASPIRUS HEALTH PLAN, INC."	Local CCP	Aspirus Health Plan	Local PPO		"Aspirus, Inc."	747	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H6874	Hospice Contact	Clinical Pharmacy Associate Director		Nelson	Adam		1-612-294-5030					anelson@ucare.org	500 Stinson		Minneapolis	MN	55413	6/1/2026	2026	"ASPIRUS HEALTH PLAN, INC."	Local CCP	Aspirus Health Plan	Local PPO		"Aspirus, Inc."	747	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H6874	Medicare Compliance Officer	Healthplan Compliance Specalist	Mrs.	Nadolski	Elizabeth		1-715-571-2198					elizabeth.nadolski@aspirushealthplan.com	"3000 Westhill Drive, Suite 303"	P.O. Box 395	Wausau	WI	54401	6/1/2026	2026	"ASPIRUS HEALTH PLAN, INC."	Local CCP	Aspirus Health Plan	Local PPO		"Aspirus, Inc."	747	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H6874	Part D Exceptions Contact	Clinical Pharmacy Associate Director		Nelson	Adam						1-612-884-2013	anelson@ucare.org	500 Stinson Boulevard NE		Minneapolis	MN	55413	6/1/2026	2026	"ASPIRUS HEALTH PLAN, INC."	Local CCP	Aspirus Health Plan	Local PPO		"Aspirus, Inc."	747	Yes	Withdrawn Contract	1-612-294-5030				PPO - BBA		C	Chicago
H6874	Pharmacy Network Management Contact	Clinical Pharmacy Associate Director		Nelson	Adam		1-612-294-5030				1-612-884-2263	anelson@ucare.org	500 Stinson		Minneapolis	MN	55413	6/1/2026	2026	"ASPIRUS HEALTH PLAN, INC."	Local CCP	Aspirus Health Plan	Local PPO		"Aspirus, Inc."	747	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H6874	Pharmacy Technical Help Desk Contact	Sr Manager Customer Care Accounts		Nett	Danielle							Danielle.Nett@Navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/1/2026	2026	"ASPIRUS HEALTH PLAN, INC."	Local CCP	Aspirus Health Plan	Local PPO		"Aspirus, Inc."	747	Yes	Withdrawn Contract	1-833-837-4300				PPO - BBA		C	Chicago
H6874	Plan to Plan Reconciliation Contact	Controller		Marshall	Greg		1-612-676-3213					gmarshall@ucare.org	500 Stinson Boulevard NE		Minneapolis	MN	55413	6/1/2026	2026	"ASPIRUS HEALTH PLAN, INC."	Local CCP	Aspirus Health Plan	Local PPO		"Aspirus, Inc."	747	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H6876	Automated TrOOP Balance Transfer Contact	Chief Medical Officer		Fessenden	Michael		1-312-300-3495					michael.fessenden@myzinghealth.com	225 W. Washington Street	Suite 450	Chicago	IL	60624	3/3/2026	2026	"ZING HEALTH OF MICHIGAN, INC."	Local CCP	Zing Health	Local PPO		"Zing Health Consolidator, Inc"	730	Yes	Active					PPO - BBA		C	Chicago
H6876	Best Available Evidence Contact	COO	Mr.	Collins	Garfield		1-312-319-5468					garfield.collins@myzinghealth.com	225 West Washington Street	Suite 450	Chicago	IL	60606	3/3/2026	2026	"ZING HEALTH OF MICHIGAN, INC."	Local CCP	Zing Health	Local PPO		"Zing Health Consolidator, Inc"	730	Yes	Active					PPO - BBA		C	Chicago
H6876	Chief Financial Officer	Interim CFO	Ms.	Hoenstine	Jennifer		1-312-724-9092	157				jennifer.hoenstine@myzinghealth.com	225 West Washington Street	Suite 450	Chicago	IL	60606	3/3/2026	2026	"ZING HEALTH OF MICHIGAN, INC."	Local CCP	Zing Health	Local PPO		"Zing Health Consolidator, Inc"	730	Yes	Active					PPO - BBA		C	Chicago
H6876	CMS Casework Communication Contact	V.P. Medicare Compliance		Gordon	Reneatha		1-312-809-7947					reneatha.gordon@myzinghealth.com	225 W. Washington Street	Suite 450	Chicago	IL	60606	3/3/2026	2026	"ZING HEALTH OF MICHIGAN, INC."	Local CCP	Zing Health	Local PPO		"Zing Health Consolidator, Inc"	730	Yes	Active					PPO - BBA		C	Chicago
H6876	Coordination of Benefits Contact	COO	Mr.	Collins	Garfield		1-312-319-5468					garfield.collins@myzinghealth.com	225 West Washington Street	Suite 450	Chicago	IL	60606	3/3/2026	2026	"ZING HEALTH OF MICHIGAN, INC."	Local CCP	Zing Health	Local PPO		"Zing Health Consolidator, Inc"	730	Yes	Active					PPO - BBA		C	Chicago
H6876	Customer Service Operations Contact	COO	Mr.	Collins	Garfield		1-312-319-5468	101				garfield.collins@myzinghealth.com	225 West Washington Street	Suite 450	Chicago	IL	60606	3/3/2026	2026	"ZING HEALTH OF MICHIGAN, INC."	Local CCP	Zing Health	Local PPO		"Zing Health Consolidator, Inc"	730	Yes	Active					PPO - BBA		C	Chicago
H6876	Government Relations Contact	General Counsel and Chief Compliance Officer	Mr.	Matuszak	Russell		1-312-832-6676					russell.matuszak@myzinghealth.com	225 West Washington Street	Suite 450	Chicago	IL	60606	3/3/2026	2026	"ZING HEALTH OF MICHIGAN, INC."	Local CCP	Zing Health	Local PPO		"Zing Health Consolidator, Inc"	730	Yes	Active					PPO - BBA		C	Chicago
H6876	Hospice Contact	V.P. Clinical Operations		Wohkittel	Karen		1-312-858-5770					karen.wohkittel@myzinghealth.com	225 West Washington Street	Suite 450	Chicago	IL	60606	3/3/2026	2026	"ZING HEALTH OF MICHIGAN, INC."	Local CCP	Zing Health	Local PPO		"Zing Health Consolidator, Inc"	730	Yes	Active					PPO - BBA		C	Chicago
H6876	Medicare Compliance Officer	Chief Compliance Officer	Mr.	Matuszak	Russell		1-312-832-6676	292				russell.matuszak@myzinghealth.com	225 West Washington Street	Suite 450	Chicago	IL	60606	3/3/2026	2026	"ZING HEALTH OF MICHIGAN, INC."	Local CCP	Zing Health	Local PPO		"Zing Health Consolidator, Inc"	730	Yes	Active					PPO - BBA		C	Chicago
H6876	Part D Exceptions Contact	Chief Medical Officer		Fessenden	Michael							michael.fessenden@myzinghealth.com	225 West Washington Street	Suite 450	Chicago	IL	60606	3/3/2026	2026	"ZING HEALTH OF MICHIGAN, INC."	Local CCP	Zing Health	Local PPO		"Zing Health Consolidator, Inc"	730	Yes	Active	1-312-300-3495				PPO - BBA		C	Chicago
H6876	Pharmacy Network Management Contact	Chief Medical Officer		Fessenden	Michael		1-312-300-3495					michael.fessenden@myzinghealth.com	225 West Washington Street	Suite 450	Chicago	IL	60624	3/3/2026	2026	"ZING HEALTH OF MICHIGAN, INC."	Local CCP	Zing Health	Local PPO		"Zing Health Consolidator, Inc"	730	Yes	Active					PPO - BBA		C	Chicago
H6876	Pharmacy Technical Help Desk Contact	Chief Medical Officer		Fessenden	Michael							michael.fessenden@myzinghealth.com	225 West Washington Street	Suite 450	Chicago	IL	60624	3/3/2026	2026	"ZING HEALTH OF MICHIGAN, INC."	Local CCP	Zing Health	Local PPO		"Zing Health Consolidator, Inc"	730	Yes	Active	1-866-693-4620				PPO - BBA		C	Chicago
H6876	Plan to Plan Reconciliation Contact	Controller	Ms.	Jackson	Amy		1-312-883-3465					amy.jackson@myzinghealth.com	"225 W. Washington Street, Suite 450"	Suite 450	Chicago	IL	60606	3/3/2026	2026	"ZING HEALTH OF MICHIGAN, INC."	Local CCP	Zing Health	Local PPO		"Zing Health Consolidator, Inc"	730	Yes	Active					PPO - BBA		C	Chicago
H6887	Automated TrOOP Balance Transfer Contact	Finance and Health Plan Manager	Mr.	Madden	Sean		1-856-507-8542					maddens@ihn.org	2445 S. Delsea Drive		Vineland	NJ	08360	8/6/2025	2026	"INSPIRA HEALTH NETWORK LIFE, INC."	National PACE	Inspira Health Network LIFE	National PACE		"Inspira Health Network, Inc."	454	Yes	Active					PACE - Nat		C	New York
H6887	Best Available Evidence Contact	Patel	Dr.	Patel	Ankur		1-856-482-5433					patela16@ihn.org	2445 S Delsea Drive		Vineland	NJ	08360	1/15/2026	2026	"INSPIRA HEALTH NETWORK LIFE, INC."	National PACE	Inspira Health Network LIFE	National PACE		"Inspira Health Network, Inc."	454	Yes	Active					PACE - Nat		C	New York
H6887	Chief Financial Officer	Senior VP of Finance and CFO	Mr.	Pelino	William	D	1-856-641-6605					pelinow@ihn.org	165 Bridgeton Pike		Mullica Hill	NJ	08062	3/9/2023	2026	"INSPIRA HEALTH NETWORK LIFE, INC."	National PACE	Inspira Health Network LIFE	National PACE		"Inspira Health Network, Inc."	454	Yes	Active					PACE - Nat		C	New York
H6887	CMS Casework Communication Contact	President	Dr.	Patel	Ankur		1-856-482-5433					patela16@ihn.org	2445 S Delsea Drive		Vineland	NJ	08360	1/15/2026	2026	"INSPIRA HEALTH NETWORK LIFE, INC."	National PACE	Inspira Health Network LIFE	National PACE		"Inspira Health Network, Inc."	454	Yes	Active					PACE - Nat		C	New York
H6887	Coordination of Benefits Contact	Finance and Health Plan Manager	Mr.	Madden	Sean		1-856-507-8542					maddens@ihn.org	2445 S Delsea Drive		Vineland	NJ	08360	8/6/2025	2026	"INSPIRA HEALTH NETWORK LIFE, INC."	National PACE	Inspira Health Network LIFE	National PACE		"Inspira Health Network, Inc."	454	Yes	Active					PACE - Nat		C	New York
H6887	Customer Service Operations Contact	President	Dr.	Patel	Ankur		1-856-482-5433					patela16@ihn.org	2445 S Delsea Drive		Vineland	NJ	08360	1/15/2026	2026	"INSPIRA HEALTH NETWORK LIFE, INC."	National PACE	Inspira Health Network LIFE	National PACE		"Inspira Health Network, Inc."	454	Yes	Active					PACE - Nat		C	New York
H6887	Government Relations Contact	President	Dr.	Patel	Ankur		1-856-482-5433					patela16@ihn.org	2445 S Delsea Drive		Vineland	NJ	08360	1/15/2026	2026	"INSPIRA HEALTH NETWORK LIFE, INC."	National PACE	Inspira Health Network LIFE	National PACE		"Inspira Health Network, Inc."	454	Yes	Active					PACE - Nat		C	New York
H6887	Medicare Compliance Officer	Quality Manager	Ms.	Racano	Roseanne		1-856-362-4517					Racanor1@ihn.org	2445 S Delsea Drive		Vineland	NJ	08360	1/6/2026	2026	"INSPIRA HEALTH NETWORK LIFE, INC."	National PACE	Inspira Health Network LIFE	National PACE		"Inspira Health Network, Inc."	454	Yes	Active					PACE - Nat		C	New York
H6887	Part D Exceptions Contact	Finance and Health Plan Manager	Mr.	Madden	Sean							maddens@ihn.org	2445 S Delsea Drive		Vineland	NJ	08360	8/6/2025	2026	"INSPIRA HEALTH NETWORK LIFE, INC."	National PACE	Inspira Health Network LIFE	National PACE		"Inspira Health Network, Inc."	454	Yes	Active	1-856-507-8542				PACE - Nat		C	New York
H6887	Pharmacy Network Management Contact	Medical Director	Dr	Stefanacci	Richard		1-215-266-7509					stefanaccir@ihn.org	2445 S. Delsea Dr.		Vineland	NJ	08360	2/12/2025	2026	"INSPIRA HEALTH NETWORK LIFE, INC."	National PACE	Inspira Health Network LIFE	National PACE		"Inspira Health Network, Inc."	454	Yes	Active					PACE - Nat		C	New York
H6887	Pharmacy Technical Help Desk Contact	President	Dr.	Patel	Ankur							patela16@ihn.org	2445 S Delsea Drive		Vineland	NJ	08360	1/15/2026	2026	"INSPIRA HEALTH NETWORK LIFE, INC."	National PACE	Inspira Health Network LIFE	National PACE		"Inspira Health Network, Inc."	454	Yes	Active	1-856-482-5433				PACE - Nat		C	New York
H6887	Plan to Plan Reconciliation Contact	Finance and Health Plan Manager	Mr.	Madden	Sean		1-856-507-8542					maddens@ihn.org	2445 S Delsea Drive		Vineland	NJ	08360	8/6/2025	2026	"INSPIRA HEALTH NETWORK LIFE, INC."	National PACE	Inspira Health Network LIFE	National PACE		"Inspira Health Network, Inc."	454	Yes	Active					PACE - Nat		C	New York
H6891	Automated TrOOP Balance Transfer Contact	"Operations Mgr, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	Relay.Health@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	"AMERICAN HEALTH PLAN OF TX, INC."	Local CCP	American Health Advantage of Texas	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6891	Best Available Evidence Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF TX, INC."	Local CCP	American Health Advantage of Texas	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6891	Chief Financial Officer	Chief Financial Officer	Mr.	Bogle	Jeffrey	A	1-615-751-8134				1-844-280-5360	MACFO@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF TX, INC."	Local CCP	American Health Advantage of Texas	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6891	CMS Casework Communication Contact	Compliance Officer		Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF TX, INC."	Local CCP	American Health Advantage of Texas	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6891	Coordination of Benefits Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF TX, INC."	Local CCP	American Health Advantage of Texas	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6891	Customer Service Operations Contact	"VP, Administration"		Brandt	Toni		1-615-476-0748				1-844-280-5360	tbrandt@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF TX, INC."	Local CCP	American Health Advantage of Texas	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6891	Government Relations Contact	Compliance Officer		Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF TX, INC."	Local CCP	American Health Advantage of Texas	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6891	Hospice Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF TX, INC."	Local CCP	American Health Advantage of Texas	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6891	Medicare Compliance Officer	Compliance Officer	Ms.	Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF TX, INC."	Local CCP	American Health Advantage of Texas	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6891	Part D Exceptions Contact	"Assoc Dir, Clinical Prior Authorization"		LeClair	Christophe						1-920-221-4176	Christopher.LeClair@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	"AMERICAN HEALTH PLAN OF TX, INC."	Local CCP	American Health Advantage of Texas	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active	1-844-228-7934				HMO - Health Maintenance Organization		C	Dallas
H6891	Pharmacy Network Management Contact	"VP, Provider Services"		Nagy	Don		1-608-820-4403					Don.Nagy@navitus.com	361 Integrity Drive		Madison	WI	53717	6/22/2026	2026	"AMERICAN HEALTH PLAN OF TX, INC."	Local CCP	American Health Advantage of Texas	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6891	Pharmacy Technical Help Desk Contact	"Sr. Mgr, Customer Care Accts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	"AMERICAN HEALTH PLAN OF TX, INC."	Local CCP	American Health Advantage of Texas	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Dallas
H6891	Plan to Plan Reconciliation Contact	"Director,  Finance"		Tilley	Stephanie		1-931-242-0499				1-844-280-5360	stilley@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF TX, INC."	Local CCP	American Health Advantage of Texas	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6898	Automated TrOOP Balance Transfer Contact	"Manager, Business Process"		Diaz	Mario		1-714-317-2628					OptumRx-SupportServices@optum.com	11000 Optum Circle		Eden Prairie	MN	55344	6/1/2026	2026	"VERMONT BLUE ADVANTAGE, INC."	Local CCP	Vermont Blue Advantage	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H6898	Best Available Evidence Contact	Manager		LaMontagne	Amanda		1-508-439-9720					amanda.lamontagne@advantasure.com	5 Polaris Way		Aliso Viejo	CA	92656	6/1/2026	2026	"VERMONT BLUE ADVANTAGE, INC."	Local CCP	Vermont Blue Advantage	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H6898	Chief Financial Officer	"SVP, Controller"	Mr.	Pisarik	Jason		1-248-665-4348					jason.pisarik@emergentholdingsinc.com	200 N. Grand Ave.		Lansing	VT	05601	6/1/2026	2026	"VERMONT BLUE ADVANTAGE, INC."	Local CCP	Vermont Blue Advantage	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H6898	CMS Casework Communication Contact	Manager		Martell	Stacey		1-313-806-5905					smartell@bcbsm.com	600 East Lafayette Blvd.	MC 1502	Detroit	MI	48226	6/1/2026	2026	"VERMONT BLUE ADVANTAGE, INC."	Local CCP	Vermont Blue Advantage	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H6898	Coordination of Benefits Contact	Manager		LaMontagne	Amanda		1-508-439-9720					amanda.lamontagne@advantasure.com	5 Polaris Way		Aliso Viejo	CA	92656	6/1/2026	2026	"VERMONT BLUE ADVANTAGE, INC."	Local CCP	Vermont Blue Advantage	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H6898	Customer Service Operations Contact	"Director, Workforce Management, Analytics, & Supp"		Weber	Julie		1-313-225-0555					jweber@bcbsm.com	600 East Lafayette		Detroit	MI	48226	6/1/2026	2026	"VERMONT BLUE ADVANTAGE, INC."	Local CCP	Vermont Blue Advantage	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H6898	Government Relations Contact	Manager		Martell	Stacey		1-313-806-5905					smartell@bcbsm.com	600 East Lafayette Blvd.	MC 1502	Detroit	MI	48226	6/1/2026	2026	"VERMONT BLUE ADVANTAGE, INC."	Local CCP	Vermont Blue Advantage	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H6898	Hospice Contact	"Senior Analyst, Pharmacy Operations"		Zylstra	Jennifer		1-954-498-5880					Jennifer.zylstra@emergient.com	1000 Town Center		Southfield	MI	48075	6/1/2026	2026	"VERMONT BLUE ADVANTAGE, INC."	Local CCP	Vermont Blue Advantage	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H6898	Medicare Compliance Officer	"Vice President, Enterprise Compliance"	Ms.	Lange	Kelly		1-313-225-8554					medcomplianceofficer2@bcbsm.com	600 East Lafayette		Detroit	MI	48226	6/1/2026	2026	"VERMONT BLUE ADVANTAGE, INC."	Local CCP	Vermont Blue Advantage	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H6898	Part D Exceptions Contact	"Manager, Pharmacy PA/Appeals"		Bricker	Bryce							bryce.m.bricker@optum.com	11000 Optum Circle		Eden Prairie	MN	55344	6/1/2026	2026	"VERMONT BLUE ADVANTAGE, INC."	Local CCP	Vermont Blue Advantage	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract	1-855-489-0646				PPO - BBA		C	Chicago
H6898	Pharmacy Network Management Contact	"Sr. Account Manager, Network Account Management"		Brown	Casey		1-612-642-7367					casey.brown@optum.com	11000 Optum Circle		Eden Prairie	MN	55344	6/1/2026	2026	"VERMONT BLUE ADVANTAGE, INC."	Local CCP	Vermont Blue Advantage	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H6898	Pharmacy Technical Help Desk Contact	Senior Manager		Villanueva	Juan							Juan.Villanueva@optum.com	11000 Optum Cir		Eden	MN	55344	6/1/2026	2026	"VERMONT BLUE ADVANTAGE, INC."	Local CCP	Vermont Blue Advantage	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract	1-800-903-8346				PPO - BBA		C	Chicago
H6898	Plan to Plan Reconciliation Contact	"SVP, Controller"		Pisarik	Jason		1-517-708-5285					jason.pisarik@emergentholdingsinc.com	200 N. Grand Ave.		Lansing	MI	48901	6/1/2026	2026	"VERMONT BLUE ADVANTAGE, INC."	Local CCP	Vermont Blue Advantage	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					PPO - BBA		C	Chicago
H6910	Automated TrOOP Balance Transfer Contact	Part D Analyst		Houk	Kim		1-614-546-3183				1-614-546-3131	kulrich@Medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	5/29/2026	2026	"MOUNT CARMEL HEALTH PLAN OF IDAHO, INC."	Local CCP	Saint Alphonsus Health Plan	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H6910	Best Available Evidence Contact	"Manager, Enrollment & Reconciliation"		Buddell	Natasha		1-614-546-3222				1-614-546-3148	nbuddell@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	5/29/2026	2026	"MOUNT CARMEL HEALTH PLAN OF IDAHO, INC."	Local CCP	Saint Alphonsus Health Plan	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H6910	Chief Financial Officer	Chief Financial Officer	Mr	Vis	David		1-614-546-3211				1-614-546-3131	david.vis@medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	5/29/2026	2026	"MOUNT CARMEL HEALTH PLAN OF IDAHO, INC."	Local CCP	Saint Alphonsus Health Plan	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H6910	CMS Casework Communication Contact	Compliance Specialist	Mr.	Jordan	David	A	1-614-706-8474				1-614-234-8372	djordan@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	5/29/2026	2026	"MOUNT CARMEL HEALTH PLAN OF IDAHO, INC."	Local CCP	Saint Alphonsus Health Plan	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H6910	Coordination of Benefits Contact	Pharmacy Data Analyst		Houk	Kim		1-614-546-3183				1-614-546-3132	kulrich@Medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	5/29/2026	2026	"MOUNT CARMEL HEALTH PLAN OF IDAHO, INC."	Local CCP	Saint Alphonsus Health Plan	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H6910	Customer Service Operations Contact	"Senior Director, Member and Provider Services"		Schlabach	Marilyn		1-614-546-3180				1-614-546-3132	mschlabach@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	5/29/2026	2026	"MOUNT CARMEL HEALTH PLAN OF IDAHO, INC."	Local CCP	Saint Alphonsus Health Plan	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H6910	Government Relations Contact	CEO	Mr	Randolph	John	C	1-614-546-3152				1-614-546-3131	jack.randolph@MediGold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	5/29/2026	2026	"MOUNT CARMEL HEALTH PLAN OF IDAHO, INC."	Local CCP	Saint Alphonsus Health Plan	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H6910	Hospice Contact	Senior Pharmacy Data Analyst		Houk	Kim		1-614-546-3183				1-614-546-3132	kulrich@Medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	5/29/2026	2026	"MOUNT CARMEL HEALTH PLAN OF IDAHO, INC."	Local CCP	Saint Alphonsus Health Plan	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H6910	Medicare Compliance Officer	Chief Compliance Officer	Ms	Suffern	Patricia		1-412-478-0244					patricia.suffern@medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	5/29/2026	2026	"MOUNT CARMEL HEALTH PLAN OF IDAHO, INC."	Local CCP	Saint Alphonsus Health Plan	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H6910	Part D Exceptions Contact	"Director, Pharmacy"	Ms.	McGhee	Anna							anna.mcghee@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	5/29/2026	2026	"MOUNT CARMEL HEALTH PLAN OF IDAHO, INC."	Local CCP	Saint Alphonsus Health Plan	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Withdrawn Contract	1-800-240-3851				HMO - Health Maintenance Organization		C	Chicago
H6910	Pharmacy Network Management Contact	"Director, Pharmacy"	Ms.	McGhee	Anna		1-216-534-5375					anna.mcghee@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	5/29/2026	2026	"MOUNT CARMEL HEALTH PLAN OF IDAHO, INC."	Local CCP	Saint Alphonsus Health Plan	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H6910	Pharmacy Technical Help Desk Contact	"Director, Pharmacy"	Ms.	McGhee	Anna							anna.mcghee@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	5/29/2026	2026	"MOUNT CARMEL HEALTH PLAN OF IDAHO, INC."	Local CCP	Saint Alphonsus Health Plan	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Withdrawn Contract	1-866-693-4620				HMO - Health Maintenance Organization		C	Chicago
H6910	Plan to Plan Reconciliation Contact	Pharmacy Data Analyst		Houk	Kim		1-614-546-3183				1-614-546-3132	kulrich@Medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	5/29/2026	2026	"MOUNT CARMEL HEALTH PLAN OF IDAHO, INC."	Local CCP	Saint Alphonsus Health Plan	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H6941	Automated TrOOP Balance Transfer Contact	Chief Financial Officer	Mr	Copeland	Bill		1-918-664-9000				1-918-664-9922	bcopeland@lifeseniorservices.org	"5330 East 31st Street, Suite 800"		Tulsa	OK	74135	2/27/2019	2026	LIFE PACE	National PACE	"LIFE PACE, INC."	National PACE		"LIFE Senior Services, Inc."	601	Yes	Active					PACE - Nat		C	Dallas
H6941	Best Available Evidence Contact	Chief Operating Officer	Mrs.	Blue	Samantha		1-918-938-7648				1-918-701-1795	sblue@lifeseniorservices.org	4821 S. 72nd East Ave.		Tulsa	OK	74145	2/4/2026	2026	LIFE PACE	National PACE	"LIFE PACE, INC."	National PACE		"LIFE Senior Services, Inc."	601	Yes	Active					PACE - Nat		C	Dallas
H6941	Chief Financial Officer	Chief Financial Officer	Mr	Copeland	Bill		1-918-664-9000				1-918-664-9922	bcopeland@lifeseniorservices.org	"5330 East 31st Street, Suite 800"		Tulsa	OK	74135	2/27/2019	2026	LIFE PACE	National PACE	"LIFE PACE, INC."	National PACE		"LIFE Senior Services, Inc."	601	Yes	Active					PACE - Nat		C	Dallas
H6941	CMS Casework Communication Contact	Chief Operating Officer	Mrs	Blue	Samantha		1-918-938-7648				1-918-701-1795	sblue@lifeseniorservices.org	4821 S. 72nd East Ave.		Tulsa	OK	74145	2/4/2026	2026	LIFE PACE	National PACE	"LIFE PACE, INC."	National PACE		"LIFE Senior Services, Inc."	601	Yes	Active					PACE - Nat		C	Dallas
H6941	Coordination of Benefits Contact	Chief Financial Officer	Mr	Copeland	Bill		1-918-664-9000				1-918-664-9922	bcopeland@lifeseniorservices.org	"5330 East 31st Street, Suite 800"		Tulsa	OK	74135	2/27/2019	2026	LIFE PACE	National PACE	"LIFE PACE, INC."	National PACE		"LIFE Senior Services, Inc."	601	Yes	Active					PACE - Nat		C	Dallas
H6941	Customer Service Operations Contact	Chief Operating Officer	Mrs.	Blue	Samantha		1-918-938-7648				1-918-701-1795	sblue@lifeseniorservices.org	4821 S. 72nd East Ave.		Tulsa	OK	74145	2/4/2026	2026	LIFE PACE	National PACE	"LIFE PACE, INC."	National PACE		"LIFE Senior Services, Inc."	601	Yes	Active					PACE - Nat		C	Dallas
H6941	Government Relations Contact	Chief Operating Officer	Mrs.	Blue	Samantha		1-918-938-7648				1-918-701-1795	sblue@lifeseniorservices.org	4821 S. 72nd East Ave.		Tulsa	OK	74145	2/4/2026	2026	LIFE PACE	National PACE	"LIFE PACE, INC."	National PACE		"LIFE Senior Services, Inc."	601	Yes	Active					PACE - Nat		C	Dallas
H6941	Medicare Compliance Officer	Compliance Officer	"Mrs,"	Crow	Mary		1-918-664-9000					mcrow@lifeseniorservices.org	4821 S. 72nd East Ave.		Tulsa	OK	74145	10/3/2025	2026	LIFE PACE	National PACE	"LIFE PACE, INC."	National PACE		"LIFE Senior Services, Inc."	601	Yes	Active					PACE - Nat		C	Dallas
H6941	Part D Exceptions Contact	Chief Financial Officer	Mr	Copeland	Bill						1-918-664-9922	bcopeland@lifeseniorservices.org	"5330 East 31st Street, Suite 800"		Tulsa	OK	74135	8/12/2024	2026	LIFE PACE	National PACE	"LIFE PACE, INC."	National PACE		"LIFE Senior Services, Inc."	601	Yes	Active	1-918-664-9000				PACE - Nat		C	Dallas
H6941	Pharmacy Network Management Contact	Director		Goode	Alex		1-866-237-8217	2005			1-855-711-3900	A.Goode@boomerxsolutions.com	Guardian Pharmacy	"5415 South 125th East Avenue, Suite 205"	Tulsa	OK	74146	3/13/2026	2026	LIFE PACE	National PACE	"LIFE PACE, INC."	National PACE		"LIFE Senior Services, Inc."	601	Yes	Active					PACE - Nat		C	Dallas
H6941	Pharmacy Technical Help Desk Contact	Director		Goode	Alex						1-855-711-3900	A.Goode@boomerxsolutions.com	Guardian Pharmacy	"5415 South 125th East Avenue, Suite 205"	Tulsa	OK	74146	3/13/2026	2026	LIFE PACE	National PACE	"LIFE PACE, INC."	National PACE		"LIFE Senior Services, Inc."	601	Yes	Active	1-866-237-8217	2005			PACE - Nat		C	Dallas
H6941	Plan to Plan Reconciliation Contact	Chief Financial Officer	Mr	Copeland	Bill		1-918-664-9000				1-918-664-9922	bcopeland@lifeseniorservices.org	"5330 East 31st Street, Suite 800"		Tulsa	OK	74135	2/27/2019	2026	LIFE PACE	National PACE	"LIFE PACE, INC."	National PACE		"LIFE Senior Services, Inc."	601	Yes	Active					PACE - Nat		C	Dallas
H6958	Automated TrOOP Balance Transfer Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/2/2026	2026	"ACUTECARE PACE MONTGOMERY, LLC"	National PACE	"Acutecare PACE Montgomery, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H6958	Best Available Evidence Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/3/2026	2026	"ACUTECARE PACE MONTGOMERY, LLC"	National PACE	"Acutecare PACE Montgomery, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H6958	Chief Financial Officer	Chief Financial Officer	Mr	Schlesinger	David		1-855-801-2653					dschlesinger@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	5/20/2026	2026	"ACUTECARE PACE MONTGOMERY, LLC"	National PACE	"Acutecare PACE Montgomery, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H6958	CMS Casework Communication Contact	Director of Compliance	Ms	Cooper	Wanda		1-855-801-2653					wcooper@boldagepace.com	1075 Stephenson Avenue Suite B		Oceanport	NJ	07757	5/20/2026	2026	"ACUTECARE PACE MONTGOMERY, LLC"	National PACE	"Acutecare PACE Montgomery, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H6958	Coordination of Benefits Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/21/2026	2026	"ACUTECARE PACE MONTGOMERY, LLC"	National PACE	"Acutecare PACE Montgomery, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H6958	Customer Service Operations Contact	Executive Director	Mr	Sprockett	Stephen		1-614-400-4360					ssprockett@boldagepace.com	200 Daruma Parkway		Moraine	OH	45439	4/2/2026	2026	"ACUTECARE PACE MONTGOMERY, LLC"	National PACE	"Acutecare PACE Montgomery, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H6958	Government Relations Contact	Chief Administrative Officer	Mr	Czermak	Michael		1-855-801-2653					michaelc@boldagepace.com	1897 Lakewood Road	Unit 109	Toms River	NJ	08753	5/11/2026	2026	"ACUTECARE PACE MONTGOMERY, LLC"	National PACE	"Acutecare PACE Montgomery, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H6958	Medicare Compliance Officer	Director of Compliance	Ms	Cooper	Wanda		1-855-801-2653					wcooper@boldagepace.com	1075 Stephenson Avenue	Suite B	Oceanport	NJ	07757	5/20/2026	2026	"ACUTECARE PACE MONTGOMERY, LLC"	National PACE	"Acutecare PACE Montgomery, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H6958	Part D Exceptions Contact	Financial Specialist	Ms	Partlow	Jennie							jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/3/2026	2026	"ACUTECARE PACE MONTGOMERY, LLC"	National PACE	"Acutecare PACE Montgomery, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending	1-732-806-3224				PACE - Nat		C	New York
H6958	Pharmacy Network Management Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/2/2026	2026	"ACUTECARE PACE MONTGOMERY, LLC"	National PACE	"Acutecare PACE Montgomery, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H6958	Pharmacy Technical Help Desk Contact	Financial Specialist	Ms	Partlow	Jennie							jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/2/2026	2026	"ACUTECARE PACE MONTGOMERY, LLC"	National PACE	"Acutecare PACE Montgomery, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending	1-732-806-3224				PACE - Nat		C	New York
H6958	Plan to Plan Reconciliation Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/2/2026	2026	"ACUTECARE PACE MONTGOMERY, LLC"	National PACE	"Acutecare PACE Montgomery, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Pending					PACE - Nat		C	New York
H6959	Automated TrOOP Balance Transfer Contact	"Supervisor, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	relay.health@navitus.com	"Navitus Health Solutions, LLC"	1025 West Navitus Drive	Appleton	WI	54913	1/3/2025	2026	"ISNP VENTURES, LLC"	Local CCP	KeyCare Advantage	HMO/HMOPOS		"ISNP Holdings, LLC"	732	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6959	Best Available Evidence Contact			Beringer	Stephanie		1-206-697-7797				1-833-610-2390	stephanie.beringer@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/10/2026	2026	"ISNP VENTURES, LLC"	Local CCP	KeyCare Advantage	HMO/HMOPOS		"ISNP Holdings, LLC"	732	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6959	Chief Financial Officer	"CFO, ISNP Ventures, LLC"	Mr.	Finglass	Brian		1-410-766-1995	114			1-410-505-1525	finglassb@keycareadvantage.com	8028 Ritchie Highway		Pasadena	MD	21122	3/26/2019	2026	"ISNP VENTURES, LLC"	Local CCP	KeyCare Advantage	HMO/HMOPOS		"ISNP Holdings, LLC"	732	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6959	CMS Casework Communication Contact	Director - Grievance/Appeals & CTMs		Fernandez	Erik		1-786-239-8513					Erik.Fernandez@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	1/3/2025	2026	"ISNP VENTURES, LLC"	Local CCP	KeyCare Advantage	HMO/HMOPOS		"ISNP Holdings, LLC"	732	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6959	Coordination of Benefits Contact			Beringer	Stephanie		1-206-697-7797				1-833-610-2390	stephanie.beringer@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/10/2026	2026	"ISNP VENTURES, LLC"	Local CCP	KeyCare Advantage	HMO/HMOPOS		"ISNP Holdings, LLC"	732	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6959	Customer Service Operations Contact			Estes	Courtney		1-877-310-6754	744				courtney.estes@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/3/2026	2026	"ISNP VENTURES, LLC"	Local CCP	KeyCare Advantage	HMO/HMOPOS		"ISNP Holdings, LLC"	732	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6959	Government Relations Contact			Landahl	Darryl		1-832-384-5949					darryl.landahl@curanahealth.com	10900 Nuckols Rd	Suite 110	Glen Allen	VA	23060	9/28/2022	2026	"ISNP VENTURES, LLC"	Local CCP	KeyCare Advantage	HMO/HMOPOS		"ISNP Holdings, LLC"	732	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6959	Hospice Contact	Sr. Director Part D Operations	Mr.	Sone	Victor		1-347-683-5717					victor.sone@curanahealth.com	10900 Nuckols Rd	Suite 110	Glen Allen	VA	23060	1/3/2025	2026	"ISNP VENTURES, LLC"	Local CCP	KeyCare Advantage	HMO/HMOPOS		"ISNP Holdings, LLC"	732	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6959	Medicare Compliance Officer	"Chief Compliance Officer, ISNP Ventures, LLC"	Ms.	Bonner	Alice		1-410-766-1995					bonnera@futurecare.com	8028 Ritchie Highway		Pasadena	MD	21122	1/29/2026	2026	"ISNP VENTURES, LLC"	Local CCP	KeyCare Advantage	HMO/HMOPOS		"ISNP Holdings, LLC"	732	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6959	Part D Exceptions Contact			LeClair	Christophe						1-920-221-4676	christopher.leclair@Navitus.com	Navitus Health Solutions	1025 West Navitus Dr.	Appleton	WI	54913	1/3/2025	2026	"ISNP VENTURES, LLC"	Local CCP	KeyCare Advantage	HMO/HMOPOS		"ISNP Holdings, LLC"	732	Yes	Active	1-920-221-4176				HMO - Health Maintenance Organization		C	Chicago
H6959	Pharmacy Network Management Contact	"VP, Network Management"		Santos	Christina		1-608-820-4408					christina.santos@navitus.com	Navitus Health Solutions	361 Integrity Drive	Madison	WI	53717	12/3/2025	2026	"ISNP VENTURES, LLC"	Local CCP	KeyCare Advantage	HMO/HMOPOS		"ISNP Holdings, LLC"	732	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6959	Pharmacy Technical Help Desk Contact	"Manager, Customer Care Accounts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	"Navitus Health Solutions, LLC"	1025 W. Navitus Drive	Appleton	WI	54913	1/3/2025	2026	"ISNP VENTURES, LLC"	Local CCP	KeyCare Advantage	HMO/HMOPOS		"ISNP Holdings, LLC"	732	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Chicago
H6959	Plan to Plan Reconciliation Contact	CFO	Ms.	Martin	Rachel		1-775-544-8314					p2padministration@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	1/3/2025	2026	"ISNP VENTURES, LLC"	Local CCP	KeyCare Advantage	HMO/HMOPOS		"ISNP Holdings, LLC"	732	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6971	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	2/7/2025	2026	"MERIDIAN HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6971	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"MERIDIAN HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6971	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	2/7/2025	2026	"MERIDIAN HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6971	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"MERIDIAN HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6971	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"MERIDIAN HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6971	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	2/7/2025	2026	"MERIDIAN HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6971	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"MERIDIAN HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6971	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	2/7/2025	2026	"MERIDIAN HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6971	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	"MERIDIAN HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6971	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	2/7/2025	2026	"MERIDIAN HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Dallas
H6971	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	"MERIDIAN HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6971	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/11/2025	2026	"MERIDIAN HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-4200				HMO - Health Maintenance Organization		C	Dallas
H6971	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	2/7/2025	2026	"MERIDIAN HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H6988	Automated TrOOP Balance Transfer Contact	Medicare Part D Project Manager		Cuevas	Lauren		1-858-790-5849				1-858-790-6052	PartDCAT@MedImpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	4/4/2025	2026	"Anthem HP, LLC"	Local CCP	Anthem Blue Cross and Blue Shield HP	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6988	Best Available Evidence Contact	Medicare Enrollment Manager		Thompkins	Alicia		1-917-636-5717	3750			1-718-581-5552	AThompkins@centersplan.com	75 Vanderbilt Avenue	7th Floor	Staten Island	NY	10304	8/26/2025	2026	"Anthem HP, LLC"	Local CCP	Anthem Blue Cross and Blue Shield HP	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6988	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	"Anthem HP, LLC"	Local CCP	Anthem Blue Cross and Blue Shield HP	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6988	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	2/14/2025	2026	"Anthem HP, LLC"	Local CCP	Anthem Blue Cross and Blue Shield HP	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6988	Coordination of Benefits Contact	Manager II Claims		Montalvo	Crystal		1-646-859-4039					claims@centersplan.com	75 Vanderbilt Avenue	7th Floor	Staten Island	NY	10304	8/26/2025	2026	"Anthem HP, LLC"	Local CCP	Anthem Blue Cross and Blue Shield HP	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6988	Customer Service Operations Contact	Director Network Support		Castillo	Yaritza		1-917-993-7892					ycastillo@centersplan.com	75 Vanderbilt Avenue	7th Floor	Staten Island	NY	10304	8/26/2025	2026	"Anthem HP, LLC"	Local CCP	Anthem Blue Cross and Blue Shield HP	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6988	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	2/14/2025	2026	"Anthem HP, LLC"	Local CCP	Anthem Blue Cross and Blue Shield HP	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6988	Hospice Contact	Manager Pharmacy Clinical Operations		Segal	Penina		1-917-993-6829					Penina.segal@anthem.com	75 Vanderbilt Avenue	Ste. 700	Staten Island	NY	10304	8/27/2025	2026	"Anthem HP, LLC"	Local CCP	Anthem Blue Cross and Blue Shield HP	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6988	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	2/14/2025	2026	"Anthem HP, LLC"	Local CCP	Anthem Blue Cross and Blue Shield HP	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6988	Part D Exceptions Contact	Manager Pharmacy Clinical Operations		Segal	Penina							Penina.segal@anthem.com	75 Vanderbilt Avenue	7th Floor	Staten Island	NY	10304	8/27/2025	2026	"Anthem HP, LLC"	Local CCP	Anthem Blue Cross and Blue Shield HP	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-917-993-6829				HMO - Health Maintenance Organization		C	Chicago
H6988	Pharmacy Network Management Contact	Director of Configuration Services		Cornwall	Allen		1-858-663-3317					allen.cornwall@MedImpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	4/24/2025	2026	"Anthem HP, LLC"	Local CCP	Anthem Blue Cross and Blue Shield HP	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6988	Pharmacy Technical Help Desk Contact	Pharmacy Network Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Road		Mason	OH	45040	5/7/2026	2026	"Anthem HP, LLC"	Local CCP	Anthem Blue Cross and Blue Shield HP	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H6988	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/13/2025	2026	"Anthem HP, LLC"	Local CCP	Anthem Blue Cross and Blue Shield HP	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H6994	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF VIRGINIA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6994	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF VIRGINIA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6994	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF VIRGINIA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6994	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF VIRGINIA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6994	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF VIRGINIA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6994	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF VIRGINIA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6994	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF VIRGINIA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6994	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF VIRGINIA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6994	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF VIRGINIA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6994	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF VIRGINIA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				HMO - Health Maintenance Organization		C	Atlanta
H6994	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF VIRGINIA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H6994	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF VIRGINIA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Atlanta
H6994	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF VIRGINIA INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H7003	Automated TrOOP Balance Transfer Contact	Health Plan Analyst	Mrs.	Battaglia	Trisha		1-402-829-6951				1-402-829-2998	tbattaglia@immanuel.com	"1044 North 115th Street, Suite 500"		Omaha	NE	68154	6/17/2024	2026	PACE NEBRASKA	National PACE	Immanuel Pathways Omaha	National PACE		Immanuel	460	Yes	Active					PACE - Nat		C	San Francisco
H7003	Best Available Evidence Contact	Health Plan Analyst	Mrs.	Battaglia	Trisha		1-402-829-6951				1-402-829-2998	tbattaglia@immanuel.com	"1044 North 115th Street, Suite 500"		Omaha	NE	68154	6/17/2024	2026	PACE NEBRASKA	National PACE	Immanuel Pathways Omaha	National PACE		Immanuel	460	Yes	Active					PACE - Nat		C	San Francisco
H7003	Chief Financial Officer	CFO	Mr	Bear	Scott		1-402-829-2922				1-402-829-2939	sbear@immanuel.com	"1044 North 115th Street, Suite 500"		Omaha	NE	68154	6/17/2024	2026	PACE NEBRASKA	National PACE	Immanuel Pathways Omaha	National PACE		Immanuel	460	Yes	Active					PACE - Nat		C	San Francisco
H7003	CMS Casework Communication Contact	VP of PACE Operations	Mrs	Butterfield	April		1-402-829-2900				1-402-829-2998	abutterfield@immanuel.com	"1044 North 115th Street, Suite 500"		Omaha	NE	68154	6/17/2024	2026	PACE NEBRASKA	National PACE	Immanuel Pathways Omaha	National PACE		Immanuel	460	Yes	Active					PACE - Nat		C	San Francisco
H7003	Coordination of Benefits Contact	Health Plan Analyst	Mrs.	Battaglia	Trisha		1-402-829-6951				1-402-829-2998	tbattaglia@immanuel.com	"1044 North 115th Street, Suite 500"		Omaha	NE	68154	6/17/2024	2026	PACE NEBRASKA	National PACE	Immanuel Pathways Omaha	National PACE		Immanuel	460	Yes	Active					PACE - Nat		C	San Francisco
H7003	Customer Service Operations Contact	VP of PACE Operations	Mrs	Butterfield	April		1-402-829-2900				1-402-829-2998	abutterfield@immanuel.com	"1044 North 115th Street, Suite 500"		Omaha	NE	68154	6/17/2024	2026	PACE NEBRASKA	National PACE	Immanuel Pathways Omaha	National PACE		Immanuel	460	Yes	Active					PACE - Nat		C	San Francisco
H7003	Government Relations Contact	Corporate Compliance Officer	Mr	Sigmon	John		1-402-829-2910					jsigmon@immanuel.com	"1044 North 115th Street, Suite 500"		Omaha	NE	68154	5/22/2026	2026	PACE NEBRASKA	National PACE	Immanuel Pathways Omaha	National PACE		Immanuel	460	Yes	Active					PACE - Nat		C	San Francisco
H7003	Medicare Compliance Officer	Corp Compliance Officer	Ms	Durbin	Tracy		1-402-829-2968					tdurbin@immanuel.com	"1044 North 115th Street, Suite 500"		Omaha	NE	68154	6/17/2024	2026	PACE NEBRASKA	National PACE	Immanuel Pathways Omaha	National PACE		Immanuel	460	Yes	Active					PACE - Nat		C	San Francisco
H7003	Part D Exceptions Contact	Health Plan Analyst	Mrs.	Battaglia	Trisha						1-402-829-2998	tbattaglia@immanuel.com	"1044 North 115th Street, Suite 500"		Omaha	NE	68154	6/17/2024	2026	PACE NEBRASKA	National PACE	Immanuel Pathways Omaha	National PACE		Immanuel	460	Yes	Active	1-402-829-6951				PACE - Nat		C	San Francisco
H7003	Pharmacy Network Management Contact	VP of Clincial Operations	Mr	Fox	Devin		1-402-829-3278					DFox@immanuel.com	"1044 North 115th Street, Suite 500"		Omaha	NE	68154	6/17/2024	2026	PACE NEBRASKA	National PACE	Immanuel Pathways Omaha	National PACE		Immanuel	460	Yes	Active					PACE - Nat		C	San Francisco
H7003	Pharmacy Technical Help Desk Contact	Health Plan Analyst	Mrs.	Battaglia	Trisha						1-402-829-2998	tbattaglia@immanuel.com	"1044 North 115th Street, Suite 500"		Omaha	NE	68154	6/17/2024	2026	PACE NEBRASKA	National PACE	Immanuel Pathways Omaha	National PACE		Immanuel	460	Yes	Active	1-402-829-6951				PACE - Nat		C	San Francisco
H7003	Plan to Plan Reconciliation Contact	Health Plan Analyst	Mrs.	Battaglia	Trisha		1-402-829-6951				1-402-829-2998	tbattaglia@immanuel.com	"1044 North 115th Street, Suite 500"		Omaha	NE	68154	6/17/2024	2026	PACE NEBRASKA	National PACE	Immanuel Pathways Omaha	National PACE		Immanuel	460	Yes	Active					PACE - Nat		C	San Francisco
H7006	Automated TrOOP Balance Transfer Contact	Medicare Part D Project Manager		Esp	Bryan		1-858-790-6445					PartDCAT@MedImpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	11/4/2015	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	Local PPO		ATRIO Health Plans	5	Yes	Active					PPO - BBA		C	Dallas
H7006	Best Available Evidence Contact	Enrollment Manager		Vredenburg	Cristi		1-541-492-5119					Cristi.vredenburg@atriohp.com	"550 Hawthorne Ave SE #140, Salem, OR 97301"		Salem	OR	97301	10/29/2025	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	Local PPO		ATRIO Health Plans	5	Yes	Active					PPO - BBA		C	Dallas
H7006	Chief Financial Officer	CFO	Mr.	Kirkpatrick	James		1-503-428-5602					james.kirkpatrick@atriohp.com	550 Hawthorne Ave SE #140		Salem	OR	97301	10/29/2025	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	Local PPO		ATRIO Health Plans	5	Yes	Active					PPO - BBA		C	Dallas
H7006	CMS Casework Communication Contact	Enrollment Manager		Vredenburg	Cristi		1-541-492-5119					Cristi.vredenburg@atriohp.com	550 Hawthorne Ave SE #140		Salem	OR	97301	10/29/2025	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	Local PPO		ATRIO Health Plans	5	Yes	Active					PPO - BBA		C	Dallas
H7006	Coordination of Benefits Contact	President & CEO	Mrs.	Callahan	Jennifer		1-971-599-2441					jennifer.callahan@atriohp.com	550 Hawthorne Ave SE	Suite #140	Salem	OR	97301	2/21/2025	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	Local PPO		ATRIO Health Plans	5	Yes	Active					PPO - BBA		C	Dallas
H7006	Customer Service Operations Contact	President & CEO	Mrs.	Callahan	Jennifer		1-971-599-2441					jennifer.callahan@atriohp.com	550 Hawthorne Ave SE	Suite #140	Salem	OR	97301	2/21/2025	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	Local PPO		ATRIO Health Plans	5	Yes	Active					PPO - BBA		C	Dallas
H7006	Government Relations Contact	Chief Compliance Officer	Mr.	Allotta	Tony		1-530-396-7149				1-503-584-1772	tony.allotta@atriohp.com	550 Hawthorne Ave SE #140		Salem	OR	97301	3/24/2026	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	Local PPO		ATRIO Health Plans	5	Yes	Active					PPO - BBA		C	Dallas
H7006	Hospice Contact	Chief Medical Officer	Mr.	Revai	Krystal		1-541-239-2067					krystal.revai@atriohp.com	550 Hawthorne Ave SE #140		Salem	OR	97301	3/24/2026	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	Local PPO		ATRIO Health Plans	5	Yes	Active					PPO - BBA		C	Dallas
H7006	Medicare Compliance Officer	Chief Compliance Officer	Mr.	Allotta	Tony		1-530-396-7149				1-503-584-1772	tony.allotta@atriohp.com	550 Hawthorne Ave SE #140		Salem	OR	97301	3/24/2026	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	Local PPO		ATRIO Health Plans	5	Yes	Active					PPO - BBA		C	Dallas
H7006	Part D Exceptions Contact	Director of Appeals and Grievances		Vaughn	Sara						1-541-672-8670	sara.vaughn@atriohp.com	550 Hawthorne Ave SE #140		Salem	OR	97301	10/29/2025	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	Local PPO		ATRIO Health Plans	5	Yes	Active	1-877-672-8620	3			PPO - BBA		C	Dallas
H7006	Pharmacy Network Management Contact	"Supervisor, Pharmacy Network Support"		Burke	Sharon		1-858-790-7148					Sharon.Burke@MedImpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	3/13/2019	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	Local PPO		ATRIO Health Plans	5	Yes	Active					PPO - BBA		C	Dallas
H7006	Pharmacy Technical Help Desk Contact	"Director, Contact Center Services"		Brewer	Kathy							Customerservice@Medimpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	11/13/2018	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	Local PPO		ATRIO Health Plans	5	Yes	Active	1-800-681-9571				PPO - BBA		C	Dallas
H7006	Plan to Plan Reconciliation Contact	Chief Financial Officer		Kirkpatrick	James		1-503-428-5602					james.kirkpatrick@atriohp.com	550 Hawthorne Ave SE #140		Salem	OR	97301	10/29/2025	2026	ATRIO HEALTH PLANS	Local CCP	ATRIO Health Plans	Local PPO		ATRIO Health Plans	5	Yes	Active					PPO - BBA		C	Dallas
H7020	Automated TrOOP Balance Transfer Contact	Operations Advisor	Ms.	Fertig	Nancy	J	1-860-902-4553					nancy_fertig@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7020	Best Available Evidence Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7020	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	Health Care Service Corporation	300 East Randolph St	Chicago	IL	60601	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7020	CMS Casework Communication Contact	Customer Service Manager	Ms.	McCarroll	Angie		1-615-235-0177					angie_mccarroll@hcsc.com	3700 O'Donnell Street		Baltimore	MD	21224	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7020	Coordination of Benefits Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7020	Customer Service Operations Contact	VP of Customer Service	Mr.	Akovenko	Josh		1-615-695-8916				1-000-000-0000	josh_akovenko@hcsc.com	Health Care Service Corporation	500 Great Circle Rd	Nashville	IL	60601	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7020	Government Relations Contact	Executive Director - Health Policy	Ms.	DuGoff	Eva		1-202-249-7208				1-000-000-0000	eva_dugoff@hcsc.net	Health Care Service Corporation	1001 Pennsylvania NW	Washington	DC	20004	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7020	Hospice Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7020	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7020	Part D Exceptions Contact	Operations Senior Manager	Mr.	Erkens	Ron							ron_erkens@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-602-317-1992				HMO - Health Maintenance Organization		C	New York
H7020	Pharmacy Network Management Contact	Provider Contracting Sr Manager	Ms.	Bourdier	Maryanne		1-860-338-9867					maryanne_bourdier@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7020	Pharmacy Technical Help Desk Contact			Scripts	Express								Health Care Services Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	New York
H7020	Plan to Plan Reconciliation Contact		Ms.	Thomas	Andrea	F	1-629-317-9367				1-615-291-7025	P2P@healthspring.com	P.O. Box 11407	Dept#8277	Birmingham	AL	35246	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7027	Automated TrOOP Balance Transfer Contact	Chief Financial Officer		Gadia	Ryan		1-773-640-5792					rgadia@esperanzachicago.org	1940 S Western Ave. Suite 205		Chicago	IL	60608	12/28/2022	2026	ESPERANZA HEALTH CENTERS	National PACE	Panorama PACE	National PACE		Esperanza Health Centers	814	Yes	Active					PACE - Nat		C	New York
H7027	Best Available Evidence Contact	Vice President of PACE		Weiss	Jennifer		1-773-482-1989					jweiss@esperanzachicago.org	1940 S Western Ave. Suite 205		Chicago	IL	60608	1/12/2024	2026	ESPERANZA HEALTH CENTERS	National PACE	Panorama PACE	National PACE		Esperanza Health Centers	814	Yes	Active					PACE - Nat		C	New York
H7027	Chief Financial Officer	Chief Financial Officer	Mr.	Gadia	Ryan		1-773-640-5792					rgadia@esperanzachicago.org	1940 S Western Ave. Suite 205		Chicago	IL	60608	12/28/2022	2026	ESPERANZA HEALTH CENTERS	National PACE	Panorama PACE	National PACE		Esperanza Health Centers	814	Yes	Active					PACE - Nat		C	New York
H7027	CMS Casework Communication Contact	Vice President of PACE		Weiss	Jennifer		1-773-482-1989					jweiss@esperanzachicago.org	1940 S Western Ave. Suite 205		Chicago	IL	60608	1/12/2024	2026	ESPERANZA HEALTH CENTERS	National PACE	Panorama PACE	National PACE		Esperanza Health Centers	814	Yes	Active					PACE - Nat		C	New York
H7027	Coordination of Benefits Contact	Chief Financial Officer		Gadia	Ryan		1-773-640-5792					rgadia@esperanzachicago.org	1940 S Western Ave. Suite 205		Chicago	IL	60608	12/28/2022	2026	ESPERANZA HEALTH CENTERS	National PACE	Panorama PACE	National PACE		Esperanza Health Centers	814	Yes	Active					PACE - Nat		C	New York
H7027	Customer Service Operations Contact	Vice President of PACE		Weiss	Jennifer		1-773-482-1989					jweiss@esperanzachicago.org	1940 S Western Ave. Suite 205		Chicago	IL	60608	1/12/2024	2026	ESPERANZA HEALTH CENTERS	National PACE	Panorama PACE	National PACE		Esperanza Health Centers	814	Yes	Active					PACE - Nat		C	New York
H7027	Government Relations Contact	Director of Foundation and Government Relations		Hayford	Justin		1-773-828-8270					jhayford@esperanzachicago.org	1940 S Western Ave. Suite 205		Chicago	IL	60608	12/28/2022	2026	ESPERANZA HEALTH CENTERS	National PACE	Panorama PACE	National PACE		Esperanza Health Centers	814	Yes	Active					PACE - Nat		C	New York
H7027	Medicare Compliance Officer	Vice President of PACE	Ms	Weiss	Jennifer		1-773-220-4350					jweiss@esperanzachicago.org	1940 S Western Ave. Suite 205		Chicago	IL	60608	7/29/2024	2026	ESPERANZA HEALTH CENTERS	National PACE	Panorama PACE	National PACE		Esperanza Health Centers	814	Yes	Active					PACE - Nat		C	New York
H7027	Part D Exceptions Contact	Vice President of PACE		Weiss	Jennifer							jweiss@esperanzachicago.org	1940 S Western Ave. Suite 205		Chicago	IL	60608	1/12/2024	2026	ESPERANZA HEALTH CENTERS	National PACE	Panorama PACE	National PACE		Esperanza Health Centers	814	Yes	Active	1-774-482-1989				PACE - Nat		C	New York
H7027	Pharmacy Network Management Contact	Vice President of PACE		Weiss	Jennifer		1-773-482-1989					jweiss@esperanzachicago.org	1940 S Western Ave. Suite 205		Chicago	IL	60608	1/12/2024	2026	ESPERANZA HEALTH CENTERS	National PACE	Panorama PACE	National PACE		Esperanza Health Centers	814	Yes	Active					PACE - Nat		C	New York
H7027	Pharmacy Technical Help Desk Contact	Vice President of PACE		Weiss	Jennifer							jweiss@esperanzachicago.org	1940 S Western Ave. Suite 205		Chicago	IL	60608	1/12/2024	2026	ESPERANZA HEALTH CENTERS	National PACE	Panorama PACE	National PACE		Esperanza Health Centers	814	Yes	Active	1-774-482-1989				PACE - Nat		C	New York
H7027	Plan to Plan Reconciliation Contact	Chief Financial Officer		Gadia	Ryan		1-773-640-5792					rgadia@esperanzachicago.org	1940 S Western Ave. Suite 205		Chicago	IL	60608	12/28/2022	2026	ESPERANZA HEALTH CENTERS	National PACE	Panorama PACE	National PACE		Esperanza Health Centers	814	Yes	Active					PACE - Nat		C	New York
H7028	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H7028	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H7028	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H7028	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H7028	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H7028	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H7028	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H7028	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H7028	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H7028	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				PPO - BBA		C	New York
H7028	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H7028	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				PPO - BBA		C	New York
H7028	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H7059	Automated TrOOP Balance Transfer Contact	Director of Health Plan Operations	Mr.	Pettry	Jason		1-727-735-5716					jpettry@empathhealth.org	6774 102nd Ave.		Pinellas Park	FL	33782	9/29/2025	2026	"STRATUM LIFE, LLC"	National PACE	Stratum LIFE	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H7059	Best Available Evidence Contact	Interim Program Director	Mr.	Mason	Michael		1-941-248-1550					michaelmason@empathhealth.org	303 13th Ave E		Bradenton	FL	34208	4/29/2025	2026	"STRATUM LIFE, LLC"	National PACE	Stratum LIFE	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H7059	Chief Financial Officer	CFO	Ms.	Bouhamid	Saida		1-941-552-7599					SaidaBouhamid@EmpathHealth.org	5955 Rand Blvd.		Sarasota	FL	34238	9/6/2023	2026	"STRATUM LIFE, LLC"	National PACE	Stratum LIFE	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H7059	CMS Casework Communication Contact	Interim Program Director	Mr.	Mason	Michael		1-941-248-1550					michaelmason@empathhealth.org	303 13th Ave E		Bradenton	FL	34208	4/29/2025	2026	"STRATUM LIFE, LLC"	National PACE	Stratum LIFE	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H7059	Coordination of Benefits Contact	Director of Health Plan Operations	Mr.	Pettry	Jason		1-727-735-5716					jpettry@empathhealth.org	6774 102nd Ave North		Pinellas Park	FL	33782	9/29/2025	2026	"STRATUM LIFE, LLC"	National PACE	Stratum LIFE	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H7059	Customer Service Operations Contact	Interim Program Director	Mr.	Mason	Michael		1-941-248-1550					michaelmason@empathhealth.org	303 13th Ave E		Bradenton	FL	34208	4/29/2025	2026	"STRATUM LIFE, LLC"	National PACE	Stratum LIFE	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H7059	Government Relations Contact	Interim program director	Mr.	Mason	Michael		1-941-248-1550					michaelmason@empathhealth.org	303 13th Ave E		Bradenton	FL	34208	4/29/2025	2026	"STRATUM LIFE, LLC"	National PACE	Stratum LIFE	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H7059	Medicare Compliance Officer	VP of Compliance	Ms.	Mosby	Laura		1-727-523-2106				1-727-523-2122	LauraMosby@empathhealth.org	6310 Capital Dr Suite 200		Lakewood Ranch	FL	34208	2/18/2026	2026	"STRATUM LIFE, LLC"	National PACE	Stratum LIFE	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H7059	Part D Exceptions Contact	Director of Health Plan Operations	Mr.	Pettry	Jason							jpettry@empathhealth.org	6774 102nd Ave. No.		Pinellas Park	FL	33782	9/29/2025	2026	"STRATUM LIFE, LLC"	National PACE	Stratum LIFE	National PACE		"Empath Health, Inc."	635	Yes	Active	1-727-735-5716				PACE - Nat		C	Atlanta
H7059	Pharmacy Network Management Contact	Director of Health Plan Operations	Mr.	Pettry	Jason		1-727-735-5716					jpettry@empathhealth.org	6774 102nd Ave. No.		Pinellas Park	FL	33782	2/18/2026	2026	"STRATUM LIFE, LLC"	National PACE	Stratum LIFE	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H7059	Pharmacy Technical Help Desk Contact	Director of Health Plan Operations	Mr.	Pettry	Jason							jpettry@empathhealth.org	6774 102nd Ave. No.		Pinellas Park	FL	33782	2/18/2026	2026	"STRATUM LIFE, LLC"	National PACE	Stratum LIFE	National PACE		"Empath Health, Inc."	635	Yes	Active	1-727-735-5716				PACE - Nat		C	Atlanta
H7059	Plan to Plan Reconciliation Contact	Director of Health Plan Operations	Ms.	Pettry	Jason		1-727-735-5716					jpettry@empathhealth.org	6774 102nd Ave. No.		Pinellas Park	FL	33782	9/29/2025	2026	"STRATUM LIFE, LLC"	National PACE	Stratum LIFE	National PACE		"Empath Health, Inc."	635	Yes	Active					PACE - Nat		C	Atlanta
H7063	Automated TrOOP Balance Transfer Contact	Director PBM Operations	Ms.	Cain	Christina		1-612-777-1330				1-612-777-1330	EOBP2P@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	12/27/2023	2026	"BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC."	Local CCP	Blue Cross and Blue Shield of Kansas	Local PPO		Blue Cross Blue Shield of Kansas	310	Yes	Active					PPO - BBA		C	Chicago
H7063	Best Available Evidence Contact	Manager Customer Service Operations		Bailey	Denise		1-785-291-8670					denise.bailey@bcbsks.com	1133 SW Topeka Blvd		Topeka	KS	66629-0001	1/21/2026	2026	"BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC."	Local CCP	Blue Cross and Blue Shield of Kansas	Local PPO		Blue Cross Blue Shield of Kansas	310	Yes	Active					PPO - BBA		C	Chicago
H7063	Chief Financial Officer	Chief Financial Officer	Mr	Bergman	Jeff		1-785-291-7263				1-785-291-8465	jeff.bergman@bcbsks.com	1133 SW Topeka Blvd		Topeka	KS	66629-0001	6/1/2022	2026	"BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC."	Local CCP	Blue Cross and Blue Shield of Kansas	Local PPO		Blue Cross Blue Shield of Kansas	310	Yes	Active					PPO - BBA		C	Chicago
H7063	CMS Casework Communication Contact	Compliance Officer		Reeves	Johnathan		1-785-291-7855					johnathan.reeves@bcbsks.com	1133 SW Topeka Blvd.		Topeka	KS	66629-0001	1/21/2026	2026	"BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC."	Local CCP	Blue Cross and Blue Shield of Kansas	Local PPO		Blue Cross Blue Shield of Kansas	310	Yes	Active					PPO - BBA		C	Chicago
H7063	Coordination of Benefits Contact	Director PBM Operations	Ms.	Cain	Christina		1-612-777-1330				1-612-777-1330	COBmedd@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	12/27/2023	2026	"BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC."	Local CCP	Blue Cross and Blue Shield of Kansas	Local PPO		Blue Cross Blue Shield of Kansas	310	Yes	Active					PPO - BBA		C	Chicago
H7063	Customer Service Operations Contact	Manager Customer Service Operations		Bailey	Denise		1-785-291-8670					denise.bailey@bcbsks.com	1133 SW Topeka Blvd		Topeka	KS	66629-0001	1/21/2026	2026	"BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC."	Local CCP	Blue Cross and Blue Shield of Kansas	Local PPO		Blue Cross Blue Shield of Kansas	310	Yes	Active					PPO - BBA		C	Chicago
H7063	Government Relations Contact	VP Government & Community Relations		Mickle	Sunee		1-785-291-7194					sunee.mickle@bcbsks.com	1133 SW Topeka Blvd.		Topeka	KS	66629-0001	4/17/2019	2026	"BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC."	Local CCP	Blue Cross and Blue Shield of Kansas	Local PPO		Blue Cross Blue Shield of Kansas	310	Yes	Active					PPO - BBA		C	Chicago
H7063	Hospice Contact	Manager Medicare Programs Operations		Shafer	Catherine		1-785-291-8011				1-785-290-0783	catherine.shafer@bcbsks.com	1133 SW Topeka Blvd		Topeka	KS	66629-0001	1/21/2026	2026	"BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC."	Local CCP	Blue Cross and Blue Shield of Kansas	Local PPO		Blue Cross Blue Shield of Kansas	310	Yes	Active					PPO - BBA		C	Chicago
H7063	Medicare Compliance Officer	Compliance Officer	Mr.	Reeves	Johnathan		1-785-291-6811					johnathan.reeves@bcbsks.com	1133 SW Topeka Blvd		Topeka	KS	66629-0001	6/23/2025	2026	"BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC."	Local CCP	Blue Cross and Blue Shield of Kansas	Local PPO		Blue Cross Blue Shield of Kansas	310	Yes	Active					PPO - BBA		C	Chicago
H7063	Part D Exceptions Contact	Director Regulatory and Audit Response	Ms.	Davis	Megan						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	10/15/2020	2026	"BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC."	Local CCP	Blue Cross and Blue Shield of Kansas	Local PPO		Blue Cross Blue Shield of Kansas	310	Yes	Active	1-877-277-5449	3			PPO - BBA		C	Chicago
H7063	Pharmacy Network Management Contact	AVP Network Management	Ms.	Conlin	Marci		1-612-777-2837				1-877-823-6373	MConlin@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	12/14/2023	2026	"BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC."	Local CCP	Blue Cross and Blue Shield of Kansas	Local PPO		Blue Cross Blue Shield of Kansas	310	Yes	Active					PPO - BBA		C	Chicago
H7063	Pharmacy Technical Help Desk Contact	Director Member Services		Schultz	Bret							bret.schultz@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55122	12/14/2023	2026	"BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC."	Local CCP	Blue Cross and Blue Shield of Kansas	Local PPO		Blue Cross Blue Shield of Kansas	310	Yes	Active	1-866-325-5231				PPO - BBA		C	Chicago
H7063	Plan to Plan Reconciliation Contact	Supervisor Cost Accounting		Smith	Jennifer		1-785-291-7991				1-785-290-0733	jennifer.smith@bcbsks.com	1133 SW Topeka Blvd		Topeka	KS	66629-0001	1/21/2026	2026	"BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC."	Local CCP	Blue Cross and Blue Shield of Kansas	Local PPO		Blue Cross Blue Shield of Kansas	310	Yes	Active					PPO - BBA		C	Chicago
H7074	Automated TrOOP Balance Transfer Contact	PBM - Manager Project and Program Management		Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H7074	Best Available Evidence Contact	"Director, Membership & Eligibility"		Starks	Heather		1-661-433-0187				1-562-207-4623	HStarks@ahcusa.com	1100 W. Town and Country Road #300		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H7074	Chief Financial Officer	Chief Financial Officer	Mr.	Head	James	M	1-657-218-7612					Jhead@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H7074	CMS Casework Communication Contact	CEO		Maroney	Dawn		1-844-310-2247				1-844-320-2247	DMaroney@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H7074	Coordination of Benefits Contact	"Director, Membership & Eligibility"		Starks	Heather		1-661-433-0187					HStarks@ahcusa.com	1100 W. Town and Country Rd #1600		Orange	CA	92868	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H7074	Customer Service Operations Contact	"VP, Member Experience"		Shaffer	Troy		1-714-208-2446					TShaffer@ahcusa.com	1100  W. Town and Country Road #300		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H7074	Government Relations Contact	"SVP, Chief Compliance Officer"		Lynch	Cindy		1-657-383-5394					clynch@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H7074	Hospice Contact	"SVP, Market Management"	Dr.	Kim	John		1-657-218-7640					jkim@ahcusa.com	1100 W Town and Country	Suite 1600	Orange	CA	92868	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H7074	Medicare Compliance Officer	"SVP, Chief Compliance Officer"	Ms.	Lynch	Cindy	B	1-657-383-5394					clynch@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H7074	Part D Exceptions Contact	PBM - Regulatory Pharmacist Sr.		Emerson	Kimberly						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active	1-800-693-6651				PPO - BBA		C	Chicago
H7074	Pharmacy Network Management Contact	"PBM - VP, Network Management"		Conlin	Marci		1-612-777-2842				1-877-823-6373	marci.conlin@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55122	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H7074	Pharmacy Technical Help Desk Contact	"PBM - Sr. Director, Member Services"		Scott	Shane							shane.scott@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active	1-844-227-7615				PPO - BBA		C	Chicago
H7074	Plan to Plan Reconciliation Contact	"Manager, Financial Operations"		De La Torre	Angelo		1-657-218-7422				1-562-207-4266	adelatorre@ahcusa.com	1100 W. Town and Country Road #300		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC."	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H7093	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H7093	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H7093	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H7093	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H7093	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H7093	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H7093	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H7093	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H7093	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H7093	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				PPO - BBA		C	Chicago
H7093	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/31/2023	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H7093	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				PPO - BBA		C	Chicago
H7093	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/7/2021	2026	COMMUNITY INSURANCE COMPANY	Local CCP	Anthem Blue Cross and Blue Shield	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H7114	Automated TrOOP Balance Transfer Contact	Director - RCM		Bridges	Vincent		1-405-464-2031					vincent.bridges@valir.com	721 NW 6th St		Oklahoma City	OK	73102	2/18/2026	2026	VALIR PACE	National PACE	Valir PACE	National PACE		"Valir PACE, LLC."	716	Yes	Active					PACE - Nat		C	Dallas
H7114	Best Available Evidence Contact	Director - RCM		Bridges	Vincent		1-405-464-2031					vincent.bridges@valir.com	721 NW 6th Street		Oklahoma City	OK	73102	2/18/2026	2026	VALIR PACE	National PACE	Valir PACE	National PACE		"Valir PACE, LLC."	716	Yes	Active					PACE - Nat		C	Dallas
H7114	Chief Financial Officer	Controller	Mr	Cross	Nathan		1-405-609-3668					nathan.cross@valir.com	721 NW 6th St		Oklahoma City	OK	73102	2/18/2026	2026	VALIR PACE	National PACE	Valir PACE	National PACE		"Valir PACE, LLC."	716	Yes	Active					PACE - Nat		C	Dallas
H7114	CMS Casework Communication Contact	Director of Compliance	Mrs.	Santilli	Lisa		1-856-371-0276					lisa.santilli@valir.com	610 Otter Branch Dr		Magnolia	NJ	08049	12/9/2025	2026	VALIR PACE	National PACE	Valir PACE	National PACE		"Valir PACE, LLC."	716	Yes	Active					PACE - Nat		C	Dallas
H7114	Coordination of Benefits Contact	Director of Business Operations		Bridges	Vincent		1-405-464-2031					vincent.bridges@valir.com	721 NW 6th St		Oklahoma City	OK	73102	2/18/2026	2026	VALIR PACE	National PACE	Valir PACE	National PACE		"Valir PACE, LLC."	716	Yes	Active					PACE - Nat		C	Dallas
H7114	Customer Service Operations Contact	Director - RCM		Bridges	Vincent		1-405-464-2031					vincent.bridges@valir.com	721 NW 6th		Oklahoma City	OK	73102	2/18/2026	2026	VALIR PACE	National PACE	Valir PACE	National PACE		"Valir PACE, LLC."	716	Yes	Active					PACE - Nat		C	Dallas
H7114	Government Relations Contact	Director of Quality	Mrs	Dan	Jennifer		1-405-609-3688					jennifer.dan@valir.com	721 NW 6th St		Oklahoma City	OK	73102	12/9/2025	2026	VALIR PACE	National PACE	Valir PACE	National PACE		"Valir PACE, LLC."	716	Yes	Active					PACE - Nat		C	Dallas
H7114	Medicare Compliance Officer	Director of Compliance	Mrs	Santilli	Lisa		1-856-371-0276					lisa.santilli@valir.com	610 Otter Branch Dr		Magnoia	NJ	08049	12/9/2025	2026	VALIR PACE	National PACE	Valir PACE	National PACE		"Valir PACE, LLC."	716	Yes	Active					PACE - Nat		C	Dallas
H7114	Part D Exceptions Contact	Medical Director		"Raju, M.D."	Senthil							Senthil.raju@valir.com	721 NW 6th St		Oklahoma City	OK	73102	1/26/2026	2026	VALIR PACE	National PACE	Valir PACE	National PACE		"Valir PACE, LLC."	716	Yes	Active	1-405-609-3688				PACE - Nat		C	Dallas
H7114	Pharmacy Network Management Contact	Director of Business Operations		Bridges	Vincent		1-405-464-2031					vincent.bridges@valir.com	721 NW 6th		Oklahoma City	OK	73102	2/18/2026	2026	VALIR PACE	National PACE	Valir PACE	National PACE		"Valir PACE, LLC."	716	Yes	Active					PACE - Nat		C	Dallas
H7114	Pharmacy Technical Help Desk Contact	Medical Director		"Raju, M.D."	Senthil							senthil.raju@valir.com	721 NW 6th St		Oklahoma City	OK	73102	1/26/2026	2026	VALIR PACE	National PACE	Valir PACE	National PACE		"Valir PACE, LLC."	716	Yes	Active	1-405-609-3688				PACE - Nat		C	Dallas
H7114	Plan to Plan Reconciliation Contact	Controller	Mr.	Cross	Nathan		1-405-609-3688					nathan.cross@valir.com	721 NW 6th St		Oklahoma City	OK	73102	2/18/2026	2026	VALIR PACE	National PACE	Valir PACE	National PACE		"Valir PACE, LLC."	716	Yes	Active					PACE - Nat		C	Dallas
H7115	Automated TrOOP Balance Transfer Contact	"Director, Government Programs Operations"		Cano	Diego		1-646-791-7201					governmentprograms@cap-rx.com	Capital Rx	228 Park Avenue South Suite 87234	New York	NY	10003	4/29/2026	2026	MEMORIAL HERMANN HEALTH PLAN	Local CCP	Memorial Hermann Health Plan	HMO/HMOPOS		Memorial Hermann Health System	578	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Seattle
H7115	Best Available Evidence Contact	"VP, Marketing & Brand"		Dutka	Pete		1-615-218-2867					pete.dutka@apex4health.com	24 Greenway Plaza	Suite 1150	Houston	TX	77046	4/29/2026	2026	MEMORIAL HERMANN HEALTH PLAN	Local CCP	Memorial Hermann Health Plan	HMO/HMOPOS		Memorial Hermann Health System	578	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Seattle
H7115	Chief Financial Officer	Chief Financial Officer	Mr.	Lenhart	Kurt		1-937-478-0674					kurt.lenhart@apex4health.com	24 Greenway Plaza	Suite 1150	Houston	TX	77046	4/29/2026	2026	MEMORIAL HERMANN HEALTH PLAN	Local CCP	Memorial Hermann Health Plan	HMO/HMOPOS		Memorial Hermann Health System	578	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Seattle
H7115	CMS Casework Communication Contact	"VP, Marketing & Brand"		Dutka	Pete		1-615-218-2867					pete.dutka@apex4health.com	24 Greenway Plaza	Suite 1150	Houston	TX	77046	4/29/2026	2026	MEMORIAL HERMANN HEALTH PLAN	Local CCP	Memorial Hermann Health Plan	HMO/HMOPOS		Memorial Hermann Health System	578	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Seattle
H7115	Coordination of Benefits Contact	"Manager, Eligibility & Enrollment"		Smith	Noel		1-713-597-2523					noel.smith@apex4health.com	24 Greenway Plaza	Suite 1150	Houston	TX	77046	4/29/2026	2026	MEMORIAL HERMANN HEALTH PLAN	Local CCP	Memorial Hermann Health Plan	HMO/HMOPOS		Memorial Hermann Health System	578	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Seattle
H7115	Customer Service Operations Contact	"VP, Value Based Care Operations"		Columbus	Jessica		1-281-617-9929					jessica.columbus@apex4health.com	24 Greenway Plaza	Suite 1150	Houston	TX	77046	4/29/2026	2026	MEMORIAL HERMANN HEALTH PLAN	Local CCP	Memorial Hermann Health Plan	HMO/HMOPOS		Memorial Hermann Health System	578	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Seattle
H7115	Government Relations Contact	Chief Executive Officer	Ms.	Krystopolski	Ruth		1-605-351-6960					Ruth.Krystopolski@apex4health.com	24 Greenway Plaza	Suite 1150	Houston	TX	77046	5/1/2026	2026	MEMORIAL HERMANN HEALTH PLAN	Local CCP	Memorial Hermann Health Plan	HMO/HMOPOS		Memorial Hermann Health System	578	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Seattle
H7115	Hospice Contact	Medical Director		Bates	Karmen		1-713-597-2523					Karmen.Bates@apex4health.com	24 Greenway Plaza	Suite 1150	Houston	TX	77046	5/8/2026	2026	MEMORIAL HERMANN HEALTH PLAN	Local CCP	Memorial Hermann Health Plan	HMO/HMOPOS		Memorial Hermann Health System	578	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Seattle
H7115	Medicare Compliance Officer	Compliance Officer	Mrs.	Portwood	Dipali		1-512-568-9769					dipali.portwood@apex4health.com	"24 Greenway Plaza, Suite 1150"		Houston	TX	77046	5/29/2026	2026	MEMORIAL HERMANN HEALTH PLAN	Local CCP	Memorial Hermann Health Plan	HMO/HMOPOS		Memorial Hermann Health System	578	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Seattle
H7115	Part D Exceptions Contact	"Manager, Medicare Utilization Management"		Popwell	Chris							pacc_support@cap-rx.com	"Capital Rx, Attn: Appeals Department"	"9450 SW Gemini Dr., #87234"	Beaverton	OR	97008	4/29/2026	2026	MEMORIAL HERMANN HEALTH PLAN	Local CCP	Memorial Hermann Health Plan	HMO/HMOPOS		Memorial Hermann Health System	578	Yes	Withdrawn Contract	1-888-832-2779				HMO - Health Maintenance Organization		C	Seattle
H7115	Pharmacy Network Management Contact	"VP, Provider Relations"		Ortiz	Kasi		1-888-434-2619					network@cap-rx.com	Capital Rx	228 Park Avenue South Suite 87234	New York	NY	10003	4/29/2026	2026	MEMORIAL HERMANN HEALTH PLAN	Local CCP	Memorial Hermann Health Plan	HMO/HMOPOS		Memorial Hermann Health System	578	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Seattle
H7115	Pharmacy Technical Help Desk Contact	"Sr Director, Customer Care Operations"		Ellerhorst	Lisa							lellerhorst@cap-rx.com	Capital Rx	228 Park Avenue South Suite 87234	New York	NY	10003	4/29/2026	2026	MEMORIAL HERMANN HEALTH PLAN	Local CCP	Memorial Hermann Health Plan	HMO/HMOPOS		Memorial Hermann Health System	578	Yes	Withdrawn Contract	1-888-227-7940				HMO - Health Maintenance Organization		C	Seattle
H7115	Plan to Plan Reconciliation Contact	"Director, Finance"		Powell	John		1-713-906-0870					john.powell@apex4health.com	24 Greenway Plaza	Suite 1150	Houston	TX	77046	4/29/2026	2026	MEMORIAL HERMANN HEALTH PLAN	Local CCP	Memorial Hermann Health Plan	HMO/HMOPOS		Memorial Hermann Health System	578	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Seattle
H7123	Automated TrOOP Balance Transfer Contact	"AVP, Medicare Operations Support"		Cain	John		1-412-454-5539					cainjo@upmc.edu	"USX Tower, 9th Floor"	600 Grant Street	Pittsburgh	PA	15219	1/13/2026	2026	"UPMC HEALTH COVERAGE, INC."	Local CCP	UPMC for Life Complete Care	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7123	Best Available Evidence Contact	Customer Service		Health Plan	UPMC		1-800-606-8648					upmchp@upmc.edu	"USX Tower, 23rd Floor"	600 Grant Street	Pittsburgh	PA	15219	3/17/2023	2026	"UPMC HEALTH COVERAGE, INC."	Local CCP	UPMC for Life Complete Care	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7123	Chief Financial Officer	Chief Financial Officer	Ms.	Farrell	Lisa		1-412-454-5559					farrelllm@upmc.edu	"USX Tower, 55th Floor"	600 Grant Street	Pittsburgh	PA	15219	1/13/2026	2026	"UPMC HEALTH COVERAGE, INC."	Local CCP	UPMC for Life Complete Care	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7123	CMS Casework Communication Contact	"Sr. Manager, Medicare Compliance"	Ms.	McGough	Amber		1-412-901-1352					russellal@upmc.edu	"USX Tower, 14th Floor"	600 Grant Street	Pittsburgh	PA	15219	1/13/2026	2026	"UPMC HEALTH COVERAGE, INC."	Local CCP	UPMC for Life Complete Care	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7123	Coordination of Benefits Contact	Program Director		Turner	Shannon		1-412-454-7360					turners3@upmc.edu	"USX Tower, 5th Floor"	600 Grant Street	Pittsburgh	PA	15219	1/13/2026	2026	"UPMC HEALTH COVERAGE, INC."	Local CCP	UPMC for Life Complete Care	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7123	Customer Service Operations Contact	Customer Service		Health Plan	UPMC		1-800-606-8648					upmchp@upmc.edu	"USX Tower, 23rd Floor"	600 Grant Street	Pittsburgh	PA	15219	3/17/2023	2026	"UPMC HEALTH COVERAGE, INC."	Local CCP	UPMC for Life Complete Care	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7123	Government Relations Contact	Medicare Compliance Officer	Mrs.	Vybiral	Erin		1-412-454-5247				1-412-454-2110	mccomplianceofficer@upmc.edu	"USX Tower, 14th Floor"	600 Grant Street	Pittsburgh	PA	15219	12/15/2021	2026	"UPMC HEALTH COVERAGE, INC."	Local CCP	UPMC for Life Complete Care	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7123	Hospice Contact	Pharmacy Coordinator	Ms.	Keilback	Nicole		1-412-454-8589					lindemuthnl@upmc.edu	"USX Tower, 12th Floor"	600 Grant Street	Pittsburgh	PA	15219	1/13/2026	2026	"UPMC HEALTH COVERAGE, INC."	Local CCP	UPMC for Life Complete Care	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7123	Medicare Compliance Officer	Medicare Compliance Officer	Mrs.	Vybiral	Erin		1-412-454-5247				1-412-454-2110	mccomplianceofficer@upmc.edu	"USX Tower, 14th Floor"	600 Grant Street	Pittsburgh	PA	15219	12/15/2021	2026	"UPMC HEALTH COVERAGE, INC."	Local CCP	UPMC for Life Complete Care	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7123	Part D Exceptions Contact			Services	Pharmacy							upmchp@upmc.edu	"USX Tower, 12th Floor"	600 Grant Street	Pittsburgh	PA	15219	1/16/2019	2026	"UPMC HEALTH COVERAGE, INC."	Local CCP	UPMC for Life Complete Care	HMO/HMOPOS		UPMC Health System	249	Yes	Active	1-800-396-4139				HMO - Health Maintenance Organization		C	Dallas
H7123	Pharmacy Network Management Contact	Network Account Director		Kelly	Heather		1-314-692-1866				1-877-387-5800	hakelly@express-scripts.com	One Express Way		St. Louis	MO	63121	1/16/2019	2026	"UPMC HEALTH COVERAGE, INC."	Local CCP	UPMC for Life Complete Care	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7123	Pharmacy Technical Help Desk Contact	"DIrector, Customer Service"		Warren	Mark							MWarren@express-scripts.com	6625 West 78th Street		Bloomington	MN	55439	7/29/2021	2026	"UPMC HEALTH COVERAGE, INC."	Local CCP	UPMC for Life Complete Care	HMO/HMOPOS		UPMC Health System	249	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Dallas
H7123	Plan to Plan Reconciliation Contact	Business Analyst II		Michalski	Jeff		1-412-454-5715				1-412-454-2110	medicarereporting@upmc.edu	"US Steel Tower, 600 Grant Street, 9th Floor"	c/o UPMC Health Plan Attn: Aunika Hall P2P - 09-257	Pittsburgh	PA	15219	3/17/2025	2026	"UPMC HEALTH COVERAGE, INC."	Local CCP	UPMC for Life Complete Care	HMO/HMOPOS		UPMC Health System	249	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7147	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF COLORADO INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7147	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF COLORADO INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7147	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF COLORADO INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7147	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF COLORADO INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7147	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF COLORADO INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7147	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF COLORADO INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7147	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF COLORADO INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7147	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF COLORADO INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7147	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF COLORADO INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7147	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF COLORADO INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				HMO - Health Maintenance Organization		C	New York
H7147	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF COLORADO INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7147	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF COLORADO INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H7147	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF COLORADO INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7149	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H7149	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H7149	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H7149	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H7149	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H7149	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H7149	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H7149	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H7149	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H7149	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H7149	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H7149	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H7149	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA HEALTH INC. (PA)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H7151	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7151	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7151	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7151	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7151	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7151	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7151	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7151	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7151	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7151	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				HMO - Health Maintenance Organization		C	New York
H7151	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7151	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H7151	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7195	Automated TrOOP Balance Transfer Contact	CEO	Mrs.	Grimm	Lynn		1-701-250-0709	103			1-701-250-0739	lgrimm@northlandhealth.com	2223 East Rosser Avenue		Bismarck	ND	58501	2/16/2022	2026	NORTHLAND PACE PROGRAM	National PACE	Northland PACE Senior Care Services	National PACE		Northland Healthcare Alliance	369	Yes	Active					PACE - Nat		C	New York
H7195	Best Available Evidence Contact	CEO	Mrs.	Grimm	Lynn		1-701-250-0709	103			1-701-250-0739	lgrimm@northlandhealth.com	2223 East Rosser Avenue		Bismarck	ND	58501	2/16/2022	2026	NORTHLAND PACE PROGRAM	National PACE	Northland PACE Senior Care Services	National PACE		Northland Healthcare Alliance	369	Yes	Active					PACE - Nat		C	New York
H7195	Chief Financial Officer	CEO	Mrs.	Grimm	Lynn	M	1-701-250-0709	102			1-701-250-0739	lgrimm@northlandhealth.com	2223 East Rosser Avenue		Bismarck	ND	58501	2/16/2022	2026	NORTHLAND PACE PROGRAM	National PACE	Northland PACE Senior Care Services	National PACE		Northland Healthcare Alliance	369	Yes	Active					PACE - Nat		C	New York
H7195	CMS Casework Communication Contact	CEO	Mrs.	Grimm	Lynn	M	1-701-250-0709	102			1-701-250-0739	lgrimm@northlandhealth.com	2223 East Rosser Avenue		Bismarck	ND	58501	2/16/2022	2026	NORTHLAND PACE PROGRAM	National PACE	Northland PACE Senior Care Services	National PACE		Northland Healthcare Alliance	369	Yes	Active					PACE - Nat		C	New York
H7195	Coordination of Benefits Contact	CEO	Mrs.	Grimm	Lynn		1-701-250-0709	103			1-701-250-0739	lgrimm@northlandhealth.com	2223 East Rosser Avenue		Bismarck	ND	58501	2/16/2022	2026	NORTHLAND PACE PROGRAM	National PACE	Northland PACE Senior Care Services	National PACE		Northland Healthcare Alliance	369	Yes	Active					PACE - Nat		C	New York
H7195	Customer Service Operations Contact	Director of PACE Operations	Mrs.	Becker	Patricia	D	1-701-250-0709	222			1-701-250-0739	pbecker@northlandhealth.com	2223 East Rosser Avenue		Bismarck	ND	58501	5/9/2024	2026	NORTHLAND PACE PROGRAM	National PACE	Northland PACE Senior Care Services	National PACE		Northland Healthcare Alliance	369	Yes	Active					PACE - Nat		C	New York
H7195	Government Relations Contact	CEO	Mrs.	Grimm	Lynn		1-701-250-0709	103			1-701-250-0739	lgrimm@northlandhealth.com	2223 East Rosser Avenue		Bismarck	ND	58501	2/16/2022	2026	NORTHLAND PACE PROGRAM	National PACE	Northland PACE Senior Care Services	National PACE		Northland Healthcare Alliance	369	Yes	Active					PACE - Nat		C	New York
H7195	Medicare Compliance Officer	Compliance Officer	Mrs.	Harrison	Marlys		1-701-751-3050	121			1-701-751-3053	mharrison@northlandhealth.com	2223 East Rosser Avenue		Bismarck	ND	58501	3/26/2026	2026	NORTHLAND PACE PROGRAM	National PACE	Northland PACE Senior Care Services	National PACE		Northland Healthcare Alliance	369	Yes	Active					PACE - Nat		C	New York
H7195	Part D Exceptions Contact	Compliance Officer	Mrs.	Harrison	Marlys						1-701-751-3053	mharrison@northlandhealth.com	2223 East Rosser Avenue		Bismarck	ND	58501	3/26/2026	2026	NORTHLAND PACE PROGRAM	National PACE	Northland PACE Senior Care Services	National PACE		Northland Healthcare Alliance	369	Yes	Active	1-888-883-8959	121			PACE - Nat		C	New York
H7195	Pharmacy Network Management Contact	Compliance Officer	Mrs.	Harrison	Marlys		1-701-751-3050	121			1-701-751-3053	mharrison@northlandhealth.com	2223 East Rosser Avenue		Bismarck	ND	58501	3/26/2026	2026	NORTHLAND PACE PROGRAM	National PACE	Northland PACE Senior Care Services	National PACE		Northland Healthcare Alliance	369	Yes	Active					PACE - Nat		C	New York
H7195	Pharmacy Technical Help Desk Contact	Compliance Officer	Mrs.	Harrison	Marlys						1-701-751-3053	mharrison@northlandhealth.com	2223 East Rosser Avenue		Bismarck	ND	58501	3/26/2026	2026	NORTHLAND PACE PROGRAM	National PACE	Northland PACE Senior Care Services	National PACE		Northland Healthcare Alliance	369	Yes	Active	1-888-883-8959	121			PACE - Nat		C	New York
H7195	Plan to Plan Reconciliation Contact	CEO	Mrs.	Grimm	Lynn	M	1-701-250-0709					lgrimm@northlandhealth.com	2223 East Rosser Ave.		Bismarck	ND	58501	2/16/2022	2026	NORTHLAND PACE PROGRAM	National PACE	Northland PACE Senior Care Services	National PACE		Northland Healthcare Alliance	369	Yes	Active					PACE - Nat		C	New York
H7199	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH  PLAN OF OREGON	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H7199	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH  PLAN OF OREGON	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H7199	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH  PLAN OF OREGON	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H7199	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH  PLAN OF OREGON	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H7199	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH  PLAN OF OREGON	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H7199	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH  PLAN OF OREGON	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H7199	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH  PLAN OF OREGON	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H7199	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH  PLAN OF OREGON	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H7199	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH  PLAN OF OREGON	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H7199	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH  PLAN OF OREGON	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				PPO - BBA		C	New York
H7199	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH  PLAN OF OREGON	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H7199	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH  PLAN OF OREGON	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				PPO - BBA		C	New York
H7199	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH  PLAN OF OREGON	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H7220	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	12/31/2025	2026	"HealthKeepers, Inc."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7220	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	12/31/2025	2026	"HealthKeepers, Inc."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7220	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	"HealthKeepers, Inc."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7220	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	12/31/2025	2026	"HealthKeepers, Inc."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7220	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	"HealthKeepers, Inc."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7220	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	12/31/2025	2026	"HealthKeepers, Inc."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7220	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	8/21/2025	2026	"HealthKeepers, Inc."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7220	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	12/31/2025	2026	"HealthKeepers, Inc."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7220	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	10/21/2025	2026	"HealthKeepers, Inc."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7220	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	12/31/2025	2026	"HealthKeepers, Inc."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H7220	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	12/31/2025	2026	"HealthKeepers, Inc."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7220	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	12/31/2025	2026	"HealthKeepers, Inc."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H7220	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	12/31/2025	2026	"HealthKeepers, Inc."	Local CCP	Anthem HealthKeepers	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7233	Automated TrOOP Balance Transfer Contact	AR Reimbursement Specialist		Cox	Terra		1-970-508-7737				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	4/24/2024	2026	VOANS SENIOR COMMUNITY CARE OF MARYLAND	National PACE	Senior CommUnity Care of Maryland	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H7233	Best Available Evidence Contact	AR Reimbursement Specialist		Cox	Terra		1-970-508-7737				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	4/24/2024	2026	VOANS SENIOR COMMUNITY CARE OF MARYLAND	National PACE	Senior CommUnity Care of Maryland	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H7233	Chief Financial Officer	"Regional Vice President, PACE Operations"	Mr	Nilsen	Eric		1-612-428-7858				1-952-941-0428	enilsen@voa.org	7485 Office Ridge Circle		Eden Prairie	MN	55344	4/24/2024	2026	VOANS SENIOR COMMUNITY CARE OF MARYLAND	National PACE	Senior CommUnity Care of Maryland	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H7233	CMS Casework Communication Contact	Quality Manager		Porter	Amy		1-240-603-6010					aporter@voa.org	831 Brightseat Rd		Hyattsville	MD	20785	4/2/2026	2026	VOANS SENIOR COMMUNITY CARE OF MARYLAND	National PACE	Senior CommUnity Care of Maryland	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H7233	Coordination of Benefits Contact	AR Reimbursement Specialist		Cox	Terra		1-970-964-3556				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	4/24/2024	2026	VOANS SENIOR COMMUNITY CARE OF MARYLAND	National PACE	Senior CommUnity Care of Maryland	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H7233	Customer Service Operations Contact	Executive Director		Fields	Kelly		1-301-673-3335				1-301-673-3336	kfields@voa.org	"801 Brightseat Road, Suite 831"		Hyattsville	MD	20785	10/28/2024	2026	VOANS SENIOR COMMUNITY CARE OF MARYLAND	National PACE	Senior CommUnity Care of Maryland	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H7233	Government Relations Contact	Executive Director		Fields	Kelly		1-301-673-3335				1-301-673-3336	kfields@voa.org	"801 Brightseat Road, Suite 831"		Hyattsville	MD	20785	10/28/2024	2026	VOANS SENIOR COMMUNITY CARE OF MARYLAND	National PACE	Senior CommUnity Care of Maryland	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H7233	Medicare Compliance Officer	Director of Quality	Ms	Peterson	Nora		1-970-964-3500				1-970-525-0166	npeterson@voa.org	2377 Robins Way		Montrose	CO	81401	4/24/2024	2026	VOANS SENIOR COMMUNITY CARE OF MARYLAND	National PACE	Senior CommUnity Care of Maryland	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H7233	Part D Exceptions Contact	Regulatory Compliance Coordinator		Whitney	Courtney						1-970-252-0166	cwhitney@voa.org	2377 Robins Way		Montrose	CO	81401	4/24/2024	2026	VOANS SENIOR COMMUNITY CARE OF MARYLAND	National PACE	Senior CommUnity Care of Maryland	National PACE		Volunteers of America National Services	367	Yes	Active	1-970-964-3500				PACE - Nat		C	Atlanta
H7233	Pharmacy Network Management Contact	Regulatory Compliance Coordinator		Whitney	Courtney		1-970-964-3500				1-970-252-0166	cwhitney@voa.org	2377 Robins Way		Montrose	CO	81401	4/24/2024	2026	VOANS SENIOR COMMUNITY CARE OF MARYLAND	National PACE	Senior CommUnity Care of Maryland	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H7233	Pharmacy Technical Help Desk Contact	Regulatory Compliance Coordinator		Whitney	Courtney						1-970-252-0166	cwhitney@voa.org	2377 Robins Way		Montrose	CO	81401	4/24/2024	2026	VOANS SENIOR COMMUNITY CARE OF MARYLAND	National PACE	Senior CommUnity Care of Maryland	National PACE		Volunteers of America National Services	367	Yes	Active	1-970-964-3500				PACE - Nat		C	Atlanta
H7233	Plan to Plan Reconciliation Contact	AR Reimbursement Specialist		Cox	Terra		1-970-508-7737				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	4/24/2024	2026	VOANS SENIOR COMMUNITY CARE OF MARYLAND	National PACE	Senior CommUnity Care of Maryland	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H7239	Automated TrOOP Balance Transfer Contact	Medicare Part D Project Manager		Manosca	Nova		1-858-790-5873					PartDCAT@MedImpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	6/4/2025	2026	PROMINENCE HEALTHFIRST OF FLORIDA INC	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7239	Best Available Evidence Contact	Chief Operating Officer	Mr.	Koltz	Patrick		1-775-770-9240					Patrick.Koltz@uhsinc.com	1510 Meadow Wood Lane		Reno	NV	89502	6/4/2025	2026	PROMINENCE HEALTHFIRST OF FLORIDA INC	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7239	Chief Financial Officer	CEO/Interim CFO	Mr.	Jemmoua	Kamal		1-941-545-8046					kamal.jemmoua@uhsinc.com	1510 Meadow Wood Lane		Reno	NV	89502	3/30/2026	2026	PROMINENCE HEALTHFIRST OF FLORIDA INC	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7239	CMS Casework Communication Contact	VP of Compliance & Risk Management	Mr.	von Arx	Michael	A	1-775-770-9348					Michael.vonArx@uhsinc.com	1510 Meadow Wood Lane		Reno	NV	89502	6/4/2025	2026	PROMINENCE HEALTHFIRST OF FLORIDA INC	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7239	Coordination of Benefits Contact	Chief Operating Officer	Mr.	Koltz	Patrick		1-775-770-9240					Patrick.Koltz@uhsinc.com	1510 Meadow Wood Lane		Reno	NV	89502	6/4/2025	2026	PROMINENCE HEALTHFIRST OF FLORIDA INC	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7239	Customer Service Operations Contact	Chief Operating Officer		Koltz	Patrick		1-775-770-9240					patrick.koltz@uhsinc.com	1510 Meadow Wood Ln		Reno	NV	89502	6/4/2025	2026	PROMINENCE HEALTHFIRST OF FLORIDA INC	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7239	Government Relations Contact	VP of Compliance & Risk Management	Mr.	von Arx	Michael	A	1-775-770-9348					Michael.vonArx@uhsinc.com	1510 Meadow Wood Lane		Reno	NV	89502	6/4/2025	2026	PROMINENCE HEALTHFIRST OF FLORIDA INC	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7239	Hospice Contact	Health Services Director		Estipona	Steve		1-775-770-9462					Steve.Estipona@uhsinc.com	1510 Meadow Wood Lane		Reno	NV	89502	6/4/2025	2026	PROMINENCE HEALTHFIRST OF FLORIDA INC	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7239	Medicare Compliance Officer	VP of Compliance & Risk Management	Mr.	von Arx	Michael	A	1-775-770-9348					Michael.vonArx@uhsinc.com	1510 Meadow Wood Lane		Reno	NV	89502	6/4/2025	2026	PROMINENCE HEALTHFIRST OF FLORIDA INC	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7239	Part D Exceptions Contact	Director Prior Authorization and Utilization Mgmt		Emoto	Junianne							Julianne.Emoto@MedImpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	6/4/2025	2026	PROMINENCE HEALTHFIRST OF FLORIDA INC	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active	1-858-790-5846				HMO - Health Maintenance Organization		C	Boston
H7239	Pharmacy Network Management Contact	"Supervisor, Carrier Configuration"		Montes	Melissa		1-619-599-5938					Melissa.Montes@medimpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	6/4/2025	2026	PROMINENCE HEALTHFIRST OF FLORIDA INC	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7239	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"		Brewer	Kathy							Customerservice@MedImpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	6/4/2025	2026	PROMINENCE HEALTHFIRST OF FLORIDA INC	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active	1-844-587-7389				HMO - Health Maintenance Organization		C	Boston
H7239	Plan to Plan Reconciliation Contact	CEO/Interim CFO	Mr.	Jemmoua	Kamal		1-941-545-8046					kamal.jemmoua@uhsinc.com	1510 Meadow Wood Lane		Reno	NV	89502	3/30/2026	2026	PROMINENCE HEALTHFIRST OF FLORIDA INC	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7262	Automated TrOOP Balance Transfer Contact	PACE Quality & Compliance Director	Ms.	Salinas	Laura		1-303-305-9387					LauraSalinas@trucare.org	2593 Park Lane		Lafayette	CO	80026	5/19/2026	2026	TRU COMMUNITY CARE	National PACE	TRU PACE	National PACE		TRU Community Care	655	Yes	Active					PACE - Nat		C	San Francisco
H7262	Best Available Evidence Contact	PACE Executive Director	Ms.	Bowie	Heather		1-720-604-0674					HeatherBowie@trucare.org	2593 Park Lane		Lafayette	CO	80026	7/2/2025	2026	TRU COMMUNITY CARE	National PACE	TRU PACE	National PACE		TRU Community Care	655	Yes	Active					PACE - Nat		C	San Francisco
H7262	Chief Financial Officer	Chief Executive and Financial Officer	Mr.	Vieu	George		1-619-621-3351					gvieu@triassolutions.org	328 Maple Street		San Diego	CA	92103	8/22/2025	2026	TRU COMMUNITY CARE	National PACE	TRU PACE	National PACE		TRU Community Care	655	Yes	Active					PACE - Nat		C	San Francisco
H7262	CMS Casework Communication Contact	PACE Quality and Complinace Director	Ms.	Salinas	Laura		1-303-305-9387					laurasalinas@trucare.org	2593 Park Lane		Lafayette	CO	80026	8/28/2025	2026	TRU COMMUNITY CARE	National PACE	TRU PACE	National PACE		TRU Community Care	655	Yes	Active					PACE - Nat		C	San Francisco
H7262	Coordination of Benefits Contact	PACE Quality and Complinace Director	Ms.	Salinas	Laura		1-303-305-9387					laurasalinas@trucare.org	2593 Park Lane		Lafayette	CO	80026	8/28/2025	2026	TRU COMMUNITY CARE	National PACE	TRU PACE	National PACE		TRU Community Care	655	Yes	Active					PACE - Nat		C	San Francisco
H7262	Customer Service Operations Contact	PACE Quality and Complinace Director	Ms.	Salinas	Laura		1-303-305-9387					laurasalinas@trucare.org	2593 Park Lane		Lafayette	CO	80026	8/22/2025	2026	TRU COMMUNITY CARE	National PACE	TRU PACE	National PACE		TRU Community Care	655	Yes	Active					PACE - Nat		C	San Francisco
H7262	Government Relations Contact	PACE Executive Director	Ms.	Bowie	Heather		1-720-604-0674					HeatherBowie@trucare.org	2593 Park Lane		Lafayette	CO	80026	7/2/2025	2026	TRU COMMUNITY CARE	National PACE	TRU PACE	National PACE		TRU Community Care	655	Yes	Active					PACE - Nat		C	San Francisco
H7262	Medicare Compliance Officer	PACE Quality/Compliance Director	Ms.	Salinas	Laura		1-303-305-9387					LauraSalinas@trucare.org	2593 Park Lane		Lafayette	CO	80026	5/19/2026	2026	TRU COMMUNITY CARE	National PACE	TRU PACE	National PACE		TRU Community Care	655	Yes	Active					PACE - Nat		C	San Francisco
H7262	Part D Exceptions Contact	PACE Executive Director	Ms.	Bowie	Heather							HeatherBowie@trucare.org	2593 Park Lane		Lafayette	CO	80026	8/28/2025	2026	TRU COMMUNITY CARE	National PACE	TRU PACE	National PACE		TRU Community Care	655	Yes	Active	1-303-746-9368				PACE - Nat		C	San Francisco
H7262	Pharmacy Network Management Contact	CMO	Dr.	Wensel	David		1-303-926-4733					DavidWensel@trucare.org	2593 Park Lane		Lafayette	CO	80026	3/12/2021	2026	TRU COMMUNITY CARE	National PACE	TRU PACE	National PACE		TRU Community Care	655	Yes	Active					PACE - Nat		C	San Francisco
H7262	Pharmacy Technical Help Desk Contact	PACE Medical Director	Ms.	Salinas	Laura							laurasalinas@trucare.org	2593 Park Lane		Lafayette	CO	80026	8/28/2025	2026	TRU COMMUNITY CARE	National PACE	TRU PACE	National PACE		TRU Community Care	655	Yes	Active	1-303-903-5388				PACE - Nat		C	San Francisco
H7262	Plan to Plan Reconciliation Contact	Chief Executive and Financial Officer	Mr.	Vieu	George		1-619-621-3351					gvieu@triassolutions.org	328 Maple Street		San Diego	CA	92103	1/13/2026	2026	TRU COMMUNITY CARE	National PACE	TRU PACE	National PACE		TRU Community Care	655	Yes	Active					PACE - Nat		C	San Francisco
H7275	Automated TrOOP Balance Transfer Contact	VP of Pharmacy	Dr	Ford	James	E	1-443-275-9801					jford@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	5/28/2026	2026	PROVIDER PARTNERS HEALTH PLAN OF KENTUCKY	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Kansas City
H7275	Best Available Evidence Contact	VP of Plan Management	Ms	Radice	Sue		1-410-991-3213				1-844-462-3091	sradice@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	5/28/2026	2026	PROVIDER PARTNERS HEALTH PLAN OF KENTUCKY	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Kansas City
H7275	Chief Financial Officer	CFO	Mr	Persinger	Keith		1-410-456-3946					kpersinger@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	5/28/2026	2026	PROVIDER PARTNERS HEALTH PLAN OF KENTUCKY	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Kansas City
H7275	CMS Casework Communication Contact	Chief Compliance Officer	Mr	Nunez	Kenneth		1-813-230-1048					knunez@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	5/28/2026	2026	PROVIDER PARTNERS HEALTH PLAN OF KENTUCKY	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Kansas City
H7275	Coordination of Benefits Contact	VP of Finance	Ms	McIntyre	Mary Beth		1-410-967-2097					mmcintyre@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	5/28/2026	2026	PROVIDER PARTNERS HEALTH PLAN OF KENTUCKY	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Kansas City
H7275	Customer Service Operations Contact	VP of Operations	Mr	Brain	Jay		1-240-367-2626					JBrain@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	5/28/2026	2026	PROVIDER PARTNERS HEALTH PLAN OF KENTUCKY	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Kansas City
H7275	Government Relations Contact	President & CEO	Mr	Grindrod	Rick		1-410-913-7653					rgrindrod@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	5/28/2026	2026	PROVIDER PARTNERS HEALTH PLAN OF KENTUCKY	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Kansas City
H7275	Hospice Contact	Director of Operations	Ms	Winton	Linde		1-817-374-3812					lwinton@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	5/28/2026	2026	PROVIDER PARTNERS HEALTH PLAN OF KENTUCKY	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Kansas City
H7275	Medicare Compliance Officer	Chief Compliance Officer	Mr	Nunez	Kenneth		1-813-230-1048					knunez@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	5/28/2026	2026	PROVIDER PARTNERS HEALTH PLAN OF KENTUCKY	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Kansas City
H7275	Part D Exceptions Contact	"Manager, Prior Authorization Appeals"		Le	Christina						1-877-239-4565	christina.le@optum.com	PO Box 2975		Mission	KS	66201	5/28/2026	2026	PROVIDER PARTNERS HEALTH PLAN OF KENTUCKY	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Withdrawn Contract	1-888-403-3398				HMO - Health Maintenance Organization		C	Kansas City
H7275	Pharmacy Network Management Contact	"Manager, Retail Network Operations"		Perez	Felix		1-305-331-3044					Felix.perez@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	5/28/2026	2026	PROVIDER PARTNERS HEALTH PLAN OF KENTUCKY	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Kansas City
H7275	Pharmacy Technical Help Desk Contact	"Manager, Pharmacy Help Desk"		Villanueva	Juan							juan.villanueva@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	5/28/2026	2026	PROVIDER PARTNERS HEALTH PLAN OF KENTUCKY	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Withdrawn Contract	1-855-205-4428				HMO - Health Maintenance Organization		C	Kansas City
H7275	Plan to Plan Reconciliation Contact	VP of Finance	Ms	McIntyre	Mary Beth		1-410-967-2097					mmcintyre@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	5/28/2026	2026	PROVIDER PARTNERS HEALTH PLAN OF KENTUCKY	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Kansas City
H7284	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H7284	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H7284	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H7284	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	"HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H7284	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H7284	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H7284	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H7284	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H7284	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H7284	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active	1-859-321-9075				PPO - BBA		C	Kansas City
H7284	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H7284	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	"HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active	1-800-865-8715				PPO - BBA		C	Kansas City
H7284	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	"HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC."	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H7296	Automated TrOOP Balance Transfer Contact	Chief Financial Officer		Alley	Brad		1-720-814-2154					balley@caresynergynertowrk.org	8289 E. Lowry Blvd		Denver	CO	80230	12/9/2024	2026	"HOSPICE OF METRO DENVER, INC"	National PACE	Colorado PACE	National PACE		"Hospice of Metro Denver, Inc"	862	Yes	Active					PACE - Nat		C	San Francisco
H7296	Best Available Evidence Contact	Vice President of Quality and Compliance		Davis	Kerri		1-303-398-6231					kdavis@caresynergynetwork.org	8289 E. Lowry Blvd		Denver	CO	80230	6/29/2026	2026	"HOSPICE OF METRO DENVER, INC"	National PACE	Colorado PACE	National PACE		"Hospice of Metro Denver, Inc"	862	Yes	Active					PACE - Nat		C	San Francisco
H7296	Chief Financial Officer	Chief Financial Officer	Mr	Alley	Brad		1-720-814-2154					balley@caresynergynetwork.org	8289 E. Lowry Blvd		Denver	CO	80230	12/9/2024	2026	"HOSPICE OF METRO DENVER, INC"	National PACE	Colorado PACE	National PACE		"Hospice of Metro Denver, Inc"	862	Yes	Active					PACE - Nat		C	San Francisco
H7296	CMS Casework Communication Contact	Director of Quality and Compliance		Cooper	Savannah		1-303-381-1234					scooper@caresynergynetwork.org	13650 E. Mississippi Ave.		Aurora	CO	80012	12/9/2024	2026	"HOSPICE OF METRO DENVER, INC"	National PACE	Colorado PACE	National PACE		"Hospice of Metro Denver, Inc"	862	Yes	Active					PACE - Nat		C	San Francisco
H7296	Coordination of Benefits Contact	PACE President		Jenkins	Vennita		1-720-814-2354					VJenkins@coloradopace.org	8289 E. Lowry Blvd		Denver	CO	80230	5/19/2026	2026	"HOSPICE OF METRO DENVER, INC"	National PACE	Colorado PACE	National PACE		"Hospice of Metro Denver, Inc"	862	Yes	Active					PACE - Nat		C	San Francisco
H7296	Customer Service Operations Contact	PACE President		Jenkins	Vennita		1-720-814-2354					VJenkins@coloradopace.org	8289 E. Lowry Blvd		Denver	CO	80230	5/19/2026	2026	"HOSPICE OF METRO DENVER, INC"	National PACE	Colorado PACE	National PACE		"Hospice of Metro Denver, Inc"	862	Yes	Active					PACE - Nat		C	San Francisco
H7296	Government Relations Contact	Vice President of Quality and Compliance		Davis	Kerri		1-303-398-6231					kdavis@caresynergynetwork.org	8289 E. Lowry Blvd		Denver	CO	80230	6/29/2026	2026	"HOSPICE OF METRO DENVER, INC"	National PACE	Colorado PACE	National PACE		"Hospice of Metro Denver, Inc"	862	Yes	Active					PACE - Nat		C	San Francisco
H7296	Medicare Compliance Officer	Compliance Officer	Ms	Cooper	Savannah		1-720-346-1677					scooper@caresynergynetwork.org	8289 E. Lowry Blvd		Denver	CO	80230	5/29/2025	2026	"HOSPICE OF METRO DENVER, INC"	National PACE	Colorado PACE	National PACE		"Hospice of Metro Denver, Inc"	862	Yes	Active					PACE - Nat		C	San Francisco
H7296	Part D Exceptions Contact	PACE President		Jenkins	Vennita							VJenkins@coloradopace.org	8289 E. Lowry Blvd		Denver	CO	80230	5/19/2026	2026	"HOSPICE OF METRO DENVER, INC"	National PACE	Colorado PACE	National PACE		"Hospice of Metro Denver, Inc"	862	Yes	Active	1-720-814-2354				PACE - Nat		C	San Francisco
H7296	Pharmacy Network Management Contact			Perri	Cheryl		1-412-449-0680	12209				cperri@granrx.com	105 Gamma Drive	Suite 100	Pittsburg	PA	15238	12/9/2024	2026	"HOSPICE OF METRO DENVER, INC"	National PACE	Colorado PACE	National PACE		"Hospice of Metro Denver, Inc"	862	Yes	Active					PACE - Nat		C	San Francisco
H7296	Pharmacy Technical Help Desk Contact			Perri	Cheryl							cperri@granrx.com	105 Gamma Drive	Suite	Pittsburg	PA	15238	12/9/2024	2026	"HOSPICE OF METRO DENVER, INC"	National PACE	Colorado PACE	National PACE		"Hospice of Metro Denver, Inc"	862	Yes	Active	1-412-449-0680	12209			PACE - Nat		C	San Francisco
H7296	Plan to Plan Reconciliation Contact	Vice President of Quality and Compliance		Davis	Kerri		1-303-398-6231					kdavis@caresynergynetwork.org	8289 E. Lowry Blvd		Denver	CO	80230	6/29/2026	2026	"HOSPICE OF METRO DENVER, INC"	National PACE	Colorado PACE	National PACE		"Hospice of Metro Denver, Inc"	862	Yes	Active					PACE - Nat		C	San Francisco
H7301	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	"COVENTRY HEALTH CARE OF ILLINOIS, INC."	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H7301	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	"COVENTRY HEALTH CARE OF ILLINOIS, INC."	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H7301	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	"COVENTRY HEALTH CARE OF ILLINOIS, INC."	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H7301	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	"COVENTRY HEALTH CARE OF ILLINOIS, INC."	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H7301	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	"COVENTRY HEALTH CARE OF ILLINOIS, INC."	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H7301	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	"COVENTRY HEALTH CARE OF ILLINOIS, INC."	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H7301	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	"COVENTRY HEALTH CARE OF ILLINOIS, INC."	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H7301	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	"COVENTRY HEALTH CARE OF ILLINOIS, INC."	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H7301	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	"COVENTRY HEALTH CARE OF ILLINOIS, INC."	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H7301	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	"COVENTRY HEALTH CARE OF ILLINOIS, INC."	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active	1-469-243-5213				PPO - BBA		C	Atlanta
H7301	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	"COVENTRY HEALTH CARE OF ILLINOIS, INC."	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H7301	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	"COVENTRY HEALTH CARE OF ILLINOIS, INC."	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active	1-800-238-6279				PPO - BBA		C	Atlanta
H7301	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	"COVENTRY HEALTH CARE OF ILLINOIS, INC."	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H7323	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/18/2024	2026	WELLCARE NATIONAL HEALTH INSURANCE COMPANY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7323	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	WELLCARE NATIONAL HEALTH INSURANCE COMPANY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7323	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/18/2024	2026	WELLCARE NATIONAL HEALTH INSURANCE COMPANY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7323	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	WELLCARE NATIONAL HEALTH INSURANCE COMPANY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7323	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	WELLCARE NATIONAL HEALTH INSURANCE COMPANY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7323	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/19/2024	2026	WELLCARE NATIONAL HEALTH INSURANCE COMPANY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7323	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	WELLCARE NATIONAL HEALTH INSURANCE COMPANY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7323	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/18/2024	2026	WELLCARE NATIONAL HEALTH INSURANCE COMPANY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7323	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	WELLCARE NATIONAL HEALTH INSURANCE COMPANY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7323	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/18/2024	2026	WELLCARE NATIONAL HEALTH INSURANCE COMPANY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active	1-813-206-7152				PPO - BBA		C	Denver
H7323	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	WELLCARE NATIONAL HEALTH INSURANCE COMPANY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7323	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/18/2024	2026	WELLCARE NATIONAL HEALTH INSURANCE COMPANY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active	1-833-750-0408				PPO - BBA		C	Denver
H7323	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	6/18/2024	2026	WELLCARE NATIONAL HEALTH INSURANCE COMPANY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7326	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/18/2024	2026	"WELLCARE OF SOUTH CAROLINA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7326	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"WELLCARE OF SOUTH CAROLINA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7326	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/18/2024	2026	"WELLCARE OF SOUTH CAROLINA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7326	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"WELLCARE OF SOUTH CAROLINA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7326	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"WELLCARE OF SOUTH CAROLINA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7326	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/19/2024	2026	"WELLCARE OF SOUTH CAROLINA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7326	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"WELLCARE OF SOUTH CAROLINA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7326	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/18/2024	2026	"WELLCARE OF SOUTH CAROLINA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7326	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	"WELLCARE OF SOUTH CAROLINA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7326	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/18/2024	2026	"WELLCARE OF SOUTH CAROLINA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active	1-813-206-7152				PPO - BBA		C	Denver
H7326	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	"WELLCARE OF SOUTH CAROLINA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7326	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/18/2024	2026	"WELLCARE OF SOUTH CAROLINA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active	1-833-750-0408				PPO - BBA		C	Denver
H7326	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	6/18/2024	2026	"WELLCARE OF SOUTH CAROLINA, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7355	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7355	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7355	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7355	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7355	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7355	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7355	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7355	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7355	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7355	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				PPO - BBA		C	Boston
H7355	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7355	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				PPO - BBA		C	Boston
H7355	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7366	Automated TrOOP Balance Transfer Contact	Medicare Compliance Manager		Brown	Lauren		1-720-974-6031				1-303-996-1600	lbrown2@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	12/8/2023	2026	"CONCERTOHEALTH PACE OF LOS ANGELES, LLC"	National PACE	InnovAge California PACE - Crenshaw	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H7366	Best Available Evidence Contact	Director of Finance	Ms.	Hewitt	Jessica		1-720-974-6767					jhewitt@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	5/16/2025	2026	"CONCERTOHEALTH PACE OF LOS ANGELES, LLC"	National PACE	InnovAge California PACE - Crenshaw	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H7366	Chief Financial Officer	CFO	Mr.	Adams	Ben		1-917-842-3099				1-303-996-1600	badams@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"CONCERTOHEALTH PACE OF LOS ANGELES, LLC"	National PACE	InnovAge California PACE - Crenshaw	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H7366	CMS Casework Communication Contact	Director of Compliance		Martin	Jeremy		1-720-879-6016				1-303-996-1600	jmartin@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	5/16/2025	2026	"CONCERTOHEALTH PACE OF LOS ANGELES, LLC"	National PACE	InnovAge California PACE - Crenshaw	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H7366	Coordination of Benefits Contact	Medicare Compliance Manager		Brown	Lauren		1-720-974-6031				1-303-996-1600	lbrown2@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"CONCERTOHEALTH PACE OF LOS ANGELES, LLC"	National PACE	InnovAge California PACE - Crenshaw	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H7366	Customer Service Operations Contact	Director of Compliance		Martin	Jeremy		1-720-879-6016				1-303-996-1600	jmartin@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	5/16/2025	2026	"CONCERTOHEALTH PACE OF LOS ANGELES, LLC"	National PACE	InnovAge California PACE - Crenshaw	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H7366	Government Relations Contact	"SVP, External Affairs"		Nelson	Don		1-608-217-5110					dnelson3@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	12/5/2025	2026	"CONCERTOHEALTH PACE OF LOS ANGELES, LLC"	National PACE	InnovAge California PACE - Crenshaw	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H7366	Medicare Compliance Officer	VP of Compliance	Ms.	Teter	Lezlie	A	1-720-682-9848				1-303-996-1600	lteter@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	4/24/2026	2026	"CONCERTOHEALTH PACE OF LOS ANGELES, LLC"	National PACE	InnovAge California PACE - Crenshaw	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H7366	Part D Exceptions Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael						1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"CONCERTOHEALTH PACE OF LOS ANGELES, LLC"	National PACE	InnovAge California PACE - Crenshaw	National PACE		"Total Community Options, Inc."	230	Yes	Active	1-720-666-3817				PACE - Nat		C	Philadelphia
H7366	Pharmacy Network Management Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael		1-720-666-3817				1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"CONCERTOHEALTH PACE OF LOS ANGELES, LLC"	National PACE	InnovAge California PACE - Crenshaw	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H7366	Pharmacy Technical Help Desk Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael						1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"CONCERTOHEALTH PACE OF LOS ANGELES, LLC"	National PACE	InnovAge California PACE - Crenshaw	National PACE		"Total Community Options, Inc."	230	Yes	Active	1-720-666-3817				PACE - Nat		C	Philadelphia
H7366	Plan to Plan Reconciliation Contact	Financial and Compliance Analyst		Kizewski	Alex		1-720-789-6171				1-720-917-3390	AKizewsk@innovage.com	8950 East Lowry Blvd		Denver	CO	80230	12/8/2023	2026	"CONCERTOHEALTH PACE OF LOS ANGELES, LLC"	National PACE	InnovAge California PACE - Crenshaw	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H7379	Automated TrOOP Balance Transfer Contact	"Manager, Specialty Business"	Mr.	Nardone	Mark		1-410-998-5675					Mark.Nardone@carefirst.com	10455 Mill Run Circle		Owings Mills	MD	21117	3/10/2026	2026	"CAREFIRST ADVANTAGE PPO, INC."	Local CCP	CareFirst BlueCross BlueShield Medicare Advantage	Local PPO		"CareFirst, Inc."	45	Yes	Active					PPO - BBA		C	Chicago
H7379	Best Available Evidence Contact	"VP, Government Programs"	Ms.	Toland	Cheryl		1-410-998-5107					CFGroupMA@carefirst.com	10455 Mill Run Circle		Owings Mills	MD	21117	3/10/2026	2026	"CAREFIRST ADVANTAGE PPO, INC."	Local CCP	CareFirst BlueCross BlueShield Medicare Advantage	Local PPO		"CareFirst, Inc."	45	Yes	Active					PPO - BBA		C	Chicago
H7379	Chief Financial Officer	Chief Financial Officer	Mr.	Pemberton	Daniel		1-410-998-5930					daniel.pemberton@carefirst.com	1501 S. Clinton Street		Baltimore	MD	21224	3/10/2026	2026	"CAREFIRST ADVANTAGE PPO, INC."	Local CCP	CareFirst BlueCross BlueShield Medicare Advantage	Local PPO		"CareFirst, Inc."	45	Yes	Active					PPO - BBA		C	Chicago
H7379	CMS Casework Communication Contact	"Director, Medical Review & Appeals"	Ms.	Kelley	Maggie		1-410-469-2166					Maggie.Kelley@carefirst.com	1501 S. Clinton Street		Baltimore	MD	21224	5/27/2026	2026	"CAREFIRST ADVANTAGE PPO, INC."	Local CCP	CareFirst BlueCross BlueShield Medicare Advantage	Local PPO		"CareFirst, Inc."	45	Yes	Active					PPO - BBA		C	Chicago
H7379	Coordination of Benefits Contact	"VP, Government Programs"	Ms.	Toland	Cheryl		1-410-998-5107					CFGroupMA@carefirst.com	10455 Mill Run Circle		Owings Mills	MD	21117	3/10/2026	2026	"CAREFIRST ADVANTAGE PPO, INC."	Local CCP	CareFirst BlueCross BlueShield Medicare Advantage	Local PPO		"CareFirst, Inc."	45	Yes	Active					PPO - BBA		C	Chicago
H7379	Customer Service Operations Contact	"Manager, Operations"	Ms.	Boer	Kelsey		1-410-998-5353					Kelsey.Boer@carefirst.com	10455 Mill Run Circle		Owings Mills	MD	21117	3/10/2026	2026	"CAREFIRST ADVANTAGE PPO, INC."	Local CCP	CareFirst BlueCross BlueShield Medicare Advantage	Local PPO		"CareFirst, Inc."	45	Yes	Active					PPO - BBA		C	Chicago
H7379	Government Relations Contact	Medicare Compliance Officer	Ms.	Snapp-Borleis	Mary-Paul		1-410-605-2579					mary-paul.snapp-borleis@carefirst.com	10455 Mill Run Circle		Owings Mills	MD	21117	3/10/2026	2026	"CAREFIRST ADVANTAGE PPO, INC."	Local CCP	CareFirst BlueCross BlueShield Medicare Advantage	Local PPO		"CareFirst, Inc."	45	Yes	Active					PPO - BBA		C	Chicago
H7379	Hospice Contact	Chief Medical Officer	Dr.	Herrera Scott	Laura		1-410-528-2235					Laura.HerreraScott@carefirst.com	1501 S. Clinton Stret		Baltimore	MD	21224	3/10/2026	2026	"CAREFIRST ADVANTAGE PPO, INC."	Local CCP	CareFirst BlueCross BlueShield Medicare Advantage	Local PPO		"CareFirst, Inc."	45	Yes	Active					PPO - BBA		C	Chicago
H7379	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Snapp-Borleis	Mary-Paul		1-410-605-2579					Mary-Paul.Snapp-Borleis@Carefirst.com	1501 South Clinton Street		Baltimore	MD	21224	3/10/2026	2026	"CAREFIRST ADVANTAGE PPO, INC."	Local CCP	CareFirst BlueCross BlueShield Medicare Advantage	Local PPO		"CareFirst, Inc."	45	Yes	Active					PPO - BBA		C	Chicago
H7379	Part D Exceptions Contact	"Sr. Dir., Pharm Eval & Oversight"	Ms.	Poplawski	Mandi							Mandi.Poplawski@carefirst.com	1501 S Clinton St		Baltimore	MD	21224	3/10/2026	2026	"CAREFIRST ADVANTAGE PPO, INC."	Local CCP	CareFirst BlueCross BlueShield Medicare Advantage	Local PPO		"CareFirst, Inc."	45	Yes	Active	1-410-528-5053				PPO - BBA		C	Chicago
H7379	Pharmacy Network Management Contact	Director Pharmacy Government Programs	Mr.	Nardone	Mark		1-410-998-5675					Mark.Nardone@Carefirst.com	10455 Mill Run Circle		Owings Mills	MD	21117	3/10/2026	2026	"CAREFIRST ADVANTAGE PPO, INC."	Local CCP	CareFirst BlueCross BlueShield Medicare Advantage	Local PPO		"CareFirst, Inc."	45	Yes	Active					PPO - BBA		C	Chicago
H7379	Pharmacy Technical Help Desk Contact	Director Pharmacy Government Programs	Mr.	Nardone	Mark							Mark.Nardone@Carefirst.com	10455 Mill Run Circle		Owings Mills	MD	21117	3/10/2026	2026	"CAREFIRST ADVANTAGE PPO, INC."	Local CCP	CareFirst BlueCross BlueShield Medicare Advantage	Local PPO		"CareFirst, Inc."	45	Yes	Active	1-866-693-4620				PPO - BBA		C	Chicago
H7379	Plan to Plan Reconciliation Contact	Financial Analyst	Mr.	Murry	Kyle		1-410-605-2401					Kyle.Murry@Carefirst.com	P.O. Box 782085		Philadelphia	PA	19178-1637	3/10/2026	2026	"CAREFIRST ADVANTAGE PPO, INC."	Local CCP	CareFirst BlueCross BlueShield Medicare Advantage	Local PPO		"CareFirst, Inc."	45	Yes	Active					PPO - BBA		C	Chicago
H7389	Automated TrOOP Balance Transfer Contact	Operations Advisor	Ms.	Fertig	Nancy	J	1-860-902-4553					nancy_fertig@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HealthSpring Life & Health Insurance Company, Inc."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7389	Best Available Evidence Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HealthSpring Life & Health Insurance Company, Inc."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7389	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	Health Care Service Corporation	300 East Randolph St	Chicago	IL	60601	5/26/2026	2026	"HealthSpring Life & Health Insurance Company, Inc."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7389	CMS Casework Communication Contact	Customer Service Manager	Ms.	McCarroll	Angie		1-615-235-0177					angie_mccarroll@hcsc.com	3700 O'Donnell Street		Baltimore	MD	21224	5/26/2026	2026	"HealthSpring Life & Health Insurance Company, Inc."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7389	Coordination of Benefits Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HealthSpring Life & Health Insurance Company, Inc."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7389	Customer Service Operations Contact	VP of Customer Service	Mr.	Akovenko	Josh		1-615-695-8916				1-000-000-0000	josh_akovenko@hcsc.com	Health Care Service Corporation	500 Great Circle Rd	Nashville	IL	60601	5/26/2026	2026	"HealthSpring Life & Health Insurance Company, Inc."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7389	Government Relations Contact	Executive Director - Health Policy	Ms.	DuGoff	Eva		1-202-249-7208				1-000-000-0000	eva_dugoff@hcsc.net	Health Care Service Corporation	1001 Pennsylvania NW	Washington	DC	20004	5/26/2026	2026	"HealthSpring Life & Health Insurance Company, Inc."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7389	Hospice Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HealthSpring Life & Health Insurance Company, Inc."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7389	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	5/26/2026	2026	"HealthSpring Life & Health Insurance Company, Inc."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7389	Part D Exceptions Contact	Operations Senior Manager	Mr.	Erkens	Ron							ron_erkens@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HealthSpring Life & Health Insurance Company, Inc."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-602-317-1992				HMO - Health Maintenance Organization		C	New York
H7389	Pharmacy Network Management Contact	Provider Contracting Sr Manager	Ms.	Bourdier	Maryanne		1-860-338-9867					maryanne_bourdier@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HealthSpring Life & Health Insurance Company, Inc."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7389	Pharmacy Technical Help Desk Contact			Scripts	Express								Health Care Services Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HealthSpring Life & Health Insurance Company, Inc."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	New York
H7389	Plan to Plan Reconciliation Contact		Ms.	Thomas	Andrea	F	1-629-317-9367				1-615-291-7025	P2P@healthspring.com	P.O. Box 11407	Dept#8277	Birmingham	AL	35246	5/26/2026	2026	"HealthSpring Life & Health Insurance Company, Inc."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7397	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7397	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7397	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7397	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7397	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7397	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7397	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7397	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7397	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7397	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				PPO - BBA		C	Boston
H7397	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7397	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				PPO - BBA		C	Boston
H7397	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7435	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	2/7/2025	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H7435	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H7435	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	2/7/2025	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H7435	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H7435	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H7435	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	2/7/2025	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H7435	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H7435	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	2/7/2025	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H7435	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H7435	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	2/7/2025	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H7435	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H7435	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/11/2025	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-1800				HMO - Health Maintenance Organization		C	Denver
H7435	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	2/7/2025	2026	"MERIDIAN HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H7464	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7464	Best Available Evidence Contact	"Manager, Enrollment & Eligibility"		Asselin	Krista		1-763-361-1104					krista_asselin@uhc.com	PO Box 9472		Minneapolis	MN	55440	11/14/2025	2026	"UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7464	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/13/2025	2026	"UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7464	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7464	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7464	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7464	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7464	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7464	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7464	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				HMO - Health Maintenance Organization		C	Boston
H7464	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7464	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				HMO - Health Maintenance Organization		C	Boston
H7464	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	"UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC."	Local CCP	UnitedHealthcare	HMO/HMOPOS		"UnitedHealth Group, Inc."	239	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7469	Automated TrOOP Balance Transfer Contact	Health Plan Manager	Mr.	Durrance	Marc		1-904-428-0400				1-904-428-0404	mdurrance@thepaceplace.org	5450 Ramona Blvd		Jacksonville	FL	32205	1/12/2025	2026	"PACE PARTNERS OF NORTHEAST FLORIDA, INC."	National PACE	PACE Partners of Northeast Florida	National PACE		"Community Hospice of Northeast Florida, Inc."	720	Yes	Active					PACE - Nat		C	Atlanta
H7469	Best Available Evidence Contact	Quality Manager	Mrs.	Smith	Adria		1-904-428-0400				1-904-428-0404	asmith2@thepaceplace.org	5450 Ramona Boulevard		Jacksonville	FL	32205	1/2/2025	2026	"PACE PARTNERS OF NORTHEAST FLORIDA, INC."	National PACE	PACE Partners of Northeast Florida	National PACE		"Community Hospice of Northeast Florida, Inc."	720	Yes	Active					PACE - Nat		C	Atlanta
H7469	Chief Financial Officer	CFO	Mr.	Marsh	Skip		1-904-407-6329					skip.marsh@aliviacare.com	4266 Sunbeam Rd.		Jacksonville	FL	32257	1/20/2025	2026	"PACE PARTNERS OF NORTHEAST FLORIDA, INC."	National PACE	PACE Partners of Northeast Florida	National PACE		"Community Hospice of Northeast Florida, Inc."	720	Yes	Active					PACE - Nat		C	Atlanta
H7469	CMS Casework Communication Contact	Quality Manager	Mrs.	Smith	Adria		1-904-428-0400				1-904-428-0404	asmith2@thepaceplace.org	5450 Ramona Boulevard		Jacksonville	FL	32205	1/2/2025	2026	"PACE PARTNERS OF NORTHEAST FLORIDA, INC."	National PACE	PACE Partners of Northeast Florida	National PACE		"Community Hospice of Northeast Florida, Inc."	720	Yes	Active					PACE - Nat		C	Atlanta
H7469	Coordination of Benefits Contact	Health Plan Manager	Mr.	Durrance	Marc		1-904-428-0400				1-904-428-0404	mdurrance@thepaceplace.org	5450 Ramona Blvd		Jacksonville	FL	32205	1/12/2025	2026	"PACE PARTNERS OF NORTHEAST FLORIDA, INC."	National PACE	PACE Partners of Northeast Florida	National PACE		"Community Hospice of Northeast Florida, Inc."	720	Yes	Active					PACE - Nat		C	Atlanta
H7469	Customer Service Operations Contact	Quality Manager	Mrs.	Smith	Adria		1-904-428-0400				1-904-428-0404	asmith2@thepaceplace.org	5450 Ramona Boulevard		Jacksonville	FL	32205	1/2/2025	2026	"PACE PARTNERS OF NORTHEAST FLORIDA, INC."	National PACE	PACE Partners of Northeast Florida	National PACE		"Community Hospice of Northeast Florida, Inc."	720	Yes	Active					PACE - Nat		C	Atlanta
H7469	Government Relations Contact	Interim Executive Director	Mrs.	Goodson	Connie		1-727-218-3166					cgoodson@thepaceplace.org	5450 Ramona Boulevard		Jacksonville	FL	32205	5/11/2026	2026	"PACE PARTNERS OF NORTHEAST FLORIDA, INC."	National PACE	PACE Partners of Northeast Florida	National PACE		"Community Hospice of Northeast Florida, Inc."	720	Yes	Active					PACE - Nat		C	Atlanta
H7469	Medicare Compliance Officer	QI Manager	Mrs.	Smith	Adria		1-904-428-0400	232				asmith2@thepaceplace.org	5450 Ramona Blvd		Jacksonville	FL	32205	1/12/2025	2026	"PACE PARTNERS OF NORTHEAST FLORIDA, INC."	National PACE	PACE Partners of Northeast Florida	National PACE		"Community Hospice of Northeast Florida, Inc."	720	Yes	Active					PACE - Nat		C	Atlanta
H7469	Part D Exceptions Contact	Health Plan Manager	Mr.	Durrance	Marc	D					1-904-428-0404	mdurrance@thepaceplace.org	5450 Ramona Blvd		Jacksonville	FL	32205	1/12/2025	2026	"PACE PARTNERS OF NORTHEAST FLORIDA, INC."	National PACE	PACE Partners of Northeast Florida	National PACE		"Community Hospice of Northeast Florida, Inc."	720	Yes	Active	1-904-428-0400				PACE - Nat		C	Atlanta
H7469	Pharmacy Network Management Contact	Health Plan Manager	Mr.	Durrance	Marc		1-904-428-0400				1-904-428-0404	mdurrance@thepaceplace.org	5450 Ramona Blvd		Jacksonville	FL	32205	1/12/2025	2026	"PACE PARTNERS OF NORTHEAST FLORIDA, INC."	National PACE	PACE Partners of Northeast Florida	National PACE		"Community Hospice of Northeast Florida, Inc."	720	Yes	Active					PACE - Nat		C	Atlanta
H7469	Pharmacy Technical Help Desk Contact	Health Plan Manager	Mr.	Durrance	Marc						1-904-428-0404	mdurrance@thepaceplace.org	5450 Ramona Boulevard		Jacksonville	FL	32205	1/12/2025	2026	"PACE PARTNERS OF NORTHEAST FLORIDA, INC."	National PACE	PACE Partners of Northeast Florida	National PACE		"Community Hospice of Northeast Florida, Inc."	720	Yes	Active	1-904-428-0400				PACE - Nat		C	Atlanta
H7469	Plan to Plan Reconciliation Contact	Health Plan Manager	Mr.	Durrance	Marc		1-904-428-0400				1-904-428-0404	mdurrance@thepaceplace.org	5450 Ramona Blvd		Jacksonville	FL	32205	1/12/2025	2026	"PACE PARTNERS OF NORTHEAST FLORIDA, INC."	National PACE	PACE Partners of Northeast Florida	National PACE		"Community Hospice of Northeast Florida, Inc."	720	Yes	Active					PACE - Nat		C	Atlanta
H7471	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF INDIANA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7471	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF INDIANA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7471	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF INDIANA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7471	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF INDIANA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7471	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF INDIANA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7471	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF INDIANA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7471	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF INDIANA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7471	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF INDIANA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7471	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF INDIANA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7471	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF INDIANA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				PPO - BBA		C	Boston
H7471	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF INDIANA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7471	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF INDIANA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				PPO - BBA		C	Boston
H7471	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF INDIANA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H7501	Automated TrOOP Balance Transfer Contact	Medicare Part D Project Manager		Zlotkus	Steve		1-858-790-6250				1-858-790-6052	PartDCAT@MedImpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	2/13/2019	2026	ORANGE COUNTY HEALTH AUTHORITY	National PACE	CalOptima Health PACE	National PACE		Orange County Health Authority	39	Yes	Active					PACE - Nat		C	San Francisco
H7501	Best Available Evidence Contact	Director of PACE		Macias-Garcia	Monica		1-714-468-1077					monica.macias@caloptima.org	13300 Garden Grove Boulevard		Garden Grove	CA	92843	3/28/2024	2026	ORANGE COUNTY HEALTH AUTHORITY	National PACE	CalOptima Health PACE	National PACE		Orange County Health Authority	39	Yes	Active					PACE - Nat		C	San Francisco
H7501	Chief Financial Officer	Chief Financial Officer	Ms.	Huang	Nancy		1-657-235-6935					nhuang@caloptima.org	505 City Parkway West		Orange	CA	92868	12/10/2019	2026	ORANGE COUNTY HEALTH AUTHORITY	National PACE	CalOptima Health PACE	National PACE		Orange County Health Authority	39	Yes	Active					PACE - Nat		C	San Francisco
H7501	CMS Casework Communication Contact	"Manager, Pharmacy Management"		Nguyen	Kendrix		1-714-246-8646				1-714-954-2313	Kendrixnguyen@caloptima.org	505 City Parkway West		Orange	CA	92868	1/13/2025	2026	ORANGE COUNTY HEALTH AUTHORITY	National PACE	CalOptima Health PACE	National PACE		Orange County Health Authority	39	Yes	Active					PACE - Nat		C	San Francisco
H7501	Coordination of Benefits Contact			Cardenas	Albert		1-714-246-8878					COBinquiries@caloptima.org	505 City Parkway West		Orange	CA	92868	4/21/2022	2026	ORANGE COUNTY HEALTH AUTHORITY	National PACE	CalOptima Health PACE	National PACE		Orange County Health Authority	39	Yes	Active					PACE - Nat		C	San Francisco
H7501	Customer Service Operations Contact	Director of PACE		Macias-Garcia	Monica		1-714-468-1077					monica.macias@caloptima.org	13300 Garden Grove Boulevard		Garden Grove	CA	92843	3/28/2024	2026	ORANGE COUNTY HEALTH AUTHORITY	National PACE	CalOptima Health PACE	National PACE		Orange County Health Authority	39	Yes	Active					PACE - Nat		C	San Francisco
H7501	Government Relations Contact	Manager		Gomez	Gisela		1-714-246-8757					ggomez@caloptima.org	505 City Parkway West		Orange	CA	92868	2/29/2024	2026	ORANGE COUNTY HEALTH AUTHORITY	National PACE	CalOptima Health PACE	National PACE		Orange County Health Authority	39	Yes	Active					PACE - Nat		C	San Francisco
H7501	Medicare Compliance Officer	Director of Regulatory Affairs and Compliance	Ms.	Phillips	Annie		1-657-236-9044					medicarecomplianceofficer@caloptima.org	505 City Parkway West		Orange	CA	92868	10/31/2025	2026	ORANGE COUNTY HEALTH AUTHORITY	National PACE	CalOptima Health PACE	National PACE		Orange County Health Authority	39	Yes	Active					PACE - Nat		C	San Francisco
H7501	Part D Exceptions Contact	"Manager, Pharmacy Management"		Nguyen	Kendrix						1-714-954-2313	Kendrixnguyen@caloptima.org	CalOptima	505 City Parkway West	Orange	CA	92868	1/13/2025	2026	ORANGE COUNTY HEALTH AUTHORITY	National PACE	CalOptima Health PACE	National PACE		Orange County Health Authority	39	Yes	Active	1-714-246-8646				PACE - Nat		C	San Francisco
H7501	Pharmacy Network Management Contact	"Manager, PNS & Claims Operations"		Burke	Sharon		1-858-790-7148					Sharon.Burke@MedImpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	2/13/2019	2026	ORANGE COUNTY HEALTH AUTHORITY	National PACE	CalOptima Health PACE	National PACE		Orange County Health Authority	39	Yes	Active					PACE - Nat		C	San Francisco
H7501	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"		Brewer	Kathy							customerservice@medimpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	12/24/2019	2026	ORANGE COUNTY HEALTH AUTHORITY	National PACE	CalOptima Health PACE	National PACE		Orange County Health Authority	39	Yes	Active	1-800-810-0554				PACE - Nat		C	San Francisco
H7501	Plan to Plan Reconciliation Contact	Controller		Kaing	Jason		1-657-900-1373					p2p@caloptima.org	505 City Parkway West		Orange	CA	92868	1/25/2024	2026	ORANGE COUNTY HEALTH AUTHORITY	National PACE	CalOptima Health PACE	National PACE		Orange County Health Authority	39	Yes	Active					PACE - Nat		C	San Francisco
H7511	Automated TrOOP Balance Transfer Contact	Director of Pharmacy	Ms.	Schilling	Gretchen		1-605-312-2741					Gretchen.Schilling@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	"GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC."	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7511	Best Available Evidence Contact	Senior Director of Regulation and Risk	Ms.	Jansick	Aleesa		1-605-328-7182					Aleesa.Jansick@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	"GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC."	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7511	Chief Financial Officer	Chief Financial Officer	Mr.	Custis	Stephen		1-612-964-9158					Stephen.Custis@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	11/4/2025	2026	"GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC."	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7511	CMS Casework Communication Contact	Manager of Appeals and Grievances	Ms.	Bjorklund	Angela		1-605-312-2634					Angela.Bjorklund@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	"GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC."	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7511	Coordination of Benefits Contact	Director of Customer Service	Mr.	Ling	Ryan		1-605-312-7459					Ryan.Ling@sanfordhealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	"GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC."	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7511	Customer Service Operations Contact	Director of Customer Service	Mr.	Ling	Ryan		1-605-312-7459					Ryan.Ling@sanfordhealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	"GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC."	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7511	Government Relations Contact	Head of Government Affairs	Mr.	Wheeler	Dylan		1-605-328-7186					Dylan.Wheeler@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	"GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC."	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7511	Hospice Contact	Director of Care and Utilization Management	Ms.	Vandonslear	Barbara		1-605-328-6853					Barbara.Vandonslear@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	"GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC."	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7511	Medicare Compliance Officer	Compliance Officer	Mr.	Yeoman	Dallan		1-605-328-6806					Dallan.Yeoman@sanfordhealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	"GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC."	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7511	Part D Exceptions Contact	"Manager, Prior Authorization"	Ms.	Le	Christina						1-877-239-4565	rxsol_prior_auth_redirected_queue_DL@uhc.com	PO Box 2975		Mission	KS	66201	8/28/2024	2026	"GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC."	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active	1-888-403-3398				HMO - Health Maintenance Organization		C	Dallas
H7511	Pharmacy Network Management Contact	"Manager, Retail Network Operations"	Mr.	Perez	Felix		1-763-283-3503					Felix.Perez@optum.com	"1600 McConnor Parkway , IL 601736801"		Schaumburg	IL	60173-6801	8/28/2024	2026	"GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC."	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7511	Pharmacy Technical Help Desk Contact	Pharmacy Technical Help Desk	Sr.	Villanueva	Juan							juan.villanueva@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	12/29/2025	2026	"GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC."	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active	1-855-800-8872				HMO - Health Maintenance Organization		C	Dallas
H7511	Plan to Plan Reconciliation Contact	Director of Finance	Ms.	Harris	Debora		1-605-312-9344					Debora.Harris@sanfordhealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	"GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC."	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7512	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/5/2024	2026	CENTENE VENTURE COMPANY MICHIGAN	Local CCP	Ascension Complete	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7512	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	CENTENE VENTURE COMPANY MICHIGAN	Local CCP	Ascension Complete	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7512	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	7/5/2024	2026	CENTENE VENTURE COMPANY MICHIGAN	Local CCP	Ascension Complete	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7512	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	CENTENE VENTURE COMPANY MICHIGAN	Local CCP	Ascension Complete	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7512	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	CENTENE VENTURE COMPANY MICHIGAN	Local CCP	Ascension Complete	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7512	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	9/18/2024	2026	CENTENE VENTURE COMPANY MICHIGAN	Local CCP	Ascension Complete	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7512	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	CENTENE VENTURE COMPANY MICHIGAN	Local CCP	Ascension Complete	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7512	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	7/5/2024	2026	CENTENE VENTURE COMPANY MICHIGAN	Local CCP	Ascension Complete	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7512	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	CENTENE VENTURE COMPANY MICHIGAN	Local CCP	Ascension Complete	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7512	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	7/5/2024	2026	CENTENE VENTURE COMPANY MICHIGAN	Local CCP	Ascension Complete	Local PPO		Centene Corporation	351	Yes	Active	1-813-206-7152				PPO - BBA		C	Denver
H7512	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	CENTENE VENTURE COMPANY MICHIGAN	Local CCP	Ascension Complete	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7512	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	1/9/2025	2026	CENTENE VENTURE COMPANY MICHIGAN	Local CCP	Ascension Complete	Local PPO		Centene Corporation	351	Yes	Active	1-833-750-0202				PPO - BBA		C	Denver
H7512	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	7/5/2024	2026	CENTENE VENTURE COMPANY MICHIGAN	Local CCP	Ascension Complete	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7518	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/18/2024	2026	"WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC"	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7518	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC"	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7518	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/18/2024	2026	"WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC"	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7518	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC"	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7518	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC"	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7518	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/19/2024	2026	"WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC"	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7518	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC"	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7518	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/18/2024	2026	"WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC"	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7518	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	"WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC"	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7518	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/18/2024	2026	"WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC"	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active	1-813-206-7152				PPO - BBA		C	Denver
H7518	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	"WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC"	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7518	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/18/2024	2026	"WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC"	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active	1-833-750-0408				PPO - BBA		C	Denver
H7518	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	6/18/2024	2026	"WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC"	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H7522	Automated TrOOP Balance Transfer Contact	Director Pharmacy Operations	Mr	Mercado Toro	Jose		1-787-925-7029	58679			1-833-740-4081	jose.mercado-toro@mso-pr.com	"350 Avenida Chardon, Torre Chardon, Suite 500"		San Juan	PR	00918	1/23/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H7522	Best Available Evidence Contact	Director Service Operations	Ms.	Suarez	Yamile		1-787-406-9767				1-787-999-2199	Yamile.Suarez@mmmhc.com	350 Avenida Chardon	"Torre Chardon, Suite 500"	San Juan	PR	00918-2137	5/1/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H7522	Chief Financial Officer	President	Mr.	Gonzalez Cuadrado	Agustin		1-787-608-9270				1-787-300-4886	agustin.gonzalez-cuadrado@mmmhc.com	350 Avenida Chardon	"Torre Chardon, Suite 500"	San Juan	PR	00918	5/1/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H7522	CMS Casework Communication Contact	Director II Compliance	Ms	Hiraldo	Marieva		1-787-223-1672				1-787-625-3356	marieva.hiraldo@mmmhc.com	350 Avenida Chardon	"Torre Chardon, Suite 500"	San Juan	PR	00918	1/23/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H7522	Coordination of Benefits Contact	Director Pharmacy Operations	Mr	Mercado Toro	Jose		1-787-925-7029	58679			1-833-740-4081	jose.mercado-toro@mso-pr.com	"350 Avenida Chardon, Torre Chardon, Suite 500"		San Juan	PR	00918	1/23/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H7522	Customer Service Operations Contact	Staff VP Operations Mgmt	Ms.	Iglesias	Morayma		1-787-600-2047					morayma.iglesias-sustache@mmmhc.com	350 Avenida Chardon	"Torre Chardon, Suite 500"	San Juan	PR	00936	5/1/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H7522	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	1/23/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H7522	Hospice Contact	Director Pharmacy UM	Mrs	Albors	Gabriela		1-787-249-4544	58670			1-833-740-4081	Gabriela.Albors-Rivera@mso-pr.com	PO BOX 71114		San Juan	PR	00936-8014	1/23/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H7522	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	1/23/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H7522	Part D Exceptions Contact	Director Pharmacy UM	Mrs	Albors	Gabriela						1-833-740-4081	gabriela.albors-rivera@mso-pr.com	PO BOX 71114		San Juan	PR	00936-8014	1/23/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	Local PPO		"Elevance Health, Inc."	1	Yes	Active	1-866-333-5470	58670			PPO - BBA		C	Chicago
H7522	Pharmacy Network Management Contact	AVP Network Strategy	Mr	Baker	David		1-816-783-3834					david.baker@abarcahealth.com	Abarca Health LLC	1606 Ave. Ponce de Leon	San Juan	PR	00909-4830	1/23/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H7522	Pharmacy Technical Help Desk Contact	Dir Pharmacy Operations	Mrs	Albors	Gabriela						1-833-740-4081	gabriela.albors-rivera@mso-pr.com	PO BOX 71114		San Juan	PR	00936-8014	1/23/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	Local PPO		"Elevance Health, Inc."	1	Yes	Active	1-855-201-9936				PPO - BBA		C	Chicago
H7522	Plan to Plan Reconciliation Contact	Mgr Fin Acctg/Rptg/Analysis	Mr.	Serrano Figueroa	Juan		1-787-398-7704					Juan.Serrano@mmmhc.com	PO Box 71114		San Juan	PR	00936	1/23/2026	2026	"MMM HEALTHCARE, LLC"	Local CCP	Medicare y Mucho Mas (MMM)	Local PPO		"Elevance Health, Inc."	1	Yes	Active					PPO - BBA		C	Chicago
H7524	Automated TrOOP Balance Transfer Contact	"Supervisor, Medicare Operations"		Matecki	Lisa		1-716-614-5722					Lisa.Matecki@excellus.com	205 Park Club Lane		Williamsville	NY	14221	1/22/2024	2026	EXCELLUS HEALTH PLAN COMMUNITY CARE LLC	Local CCP	Excellus Health Plan Community Care LLC	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7524	Best Available Evidence Contact	Supervisor Medicare Operations		Piershalski	Dana		1-716-857-4435				1-716-857-6160	medicare.reconciliation.unit@excellus.com	205 Park Club Lane		Buffalo	NY	14221	1/22/2024	2026	EXCELLUS HEALTH PLAN COMMUNITY CARE LLC	Local CCP	Excellus Health Plan Community Care LLC	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7524	Chief Financial Officer	Executive Vice President & Chief Financial Officer	Mr.	Gorecki	Christophe	M	1-480-993-5254					Christopher.Gorecki@excellus.com	165 Court Street		Rochester	NY	14647	1/22/2024	2026	EXCELLUS HEALTH PLAN COMMUNITY CARE LLC	Local CCP	Excellus Health Plan Community Care LLC	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7524	CMS Casework Communication Contact	Medicare Compliance Program Administrator		Gomez	Rafael		1-716-857-6226					Advocacy.Department@excellus.com	205 Park Club Lane		Buffalo	NY	14221	4/7/2025	2026	EXCELLUS HEALTH PLAN COMMUNITY CARE LLC	Local CCP	Excellus Health Plan Community Care LLC	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7524	Coordination of Benefits Contact	"Manager, Analysis and Recovery"		May	Mary		1-315-792-8873					Mary.May@excellus.com	301 Woods Park Drive	Suite 201	Clinton	NY	13323	5/22/2024	2026	EXCELLUS HEALTH PLAN COMMUNITY CARE LLC	Local CCP	Excellus Health Plan Community Care LLC	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7524	Customer Service Operations Contact	"Vice President, Customer Care"		Levi	Alexander		1-585-399-6683					Alexander.Levi@excellus.com	165 Court Street		Rochester	NY	14647	1/22/2024	2026	EXCELLUS HEALTH PLAN COMMUNITY CARE LLC	Local CCP	Excellus Health Plan Community Care LLC	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7524	Government Relations Contact	Chief Compliance Officer	Mrs.	Dibble	Laura		1-585-339-7745					Laura.Dibble@excellus.com	165 Court St.		Rochester	NY	14647	1/15/2026	2026	EXCELLUS HEALTH PLAN COMMUNITY CARE LLC	Local CCP	Excellus Health Plan Community Care LLC	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7524	Hospice Contact	"Director, Pharmacy Utilization Management"		Khan	Joe		1-716-843-7881					Joe.Khan@univerahealthcare.com	205 Park Club Lane		Buffalo	NY	14221	1/22/2024	2026	EXCELLUS HEALTH PLAN COMMUNITY CARE LLC	Local CCP	Excellus Health Plan Community Care LLC	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7524	Medicare Compliance Officer	Chief Compliance Officer	Mrs.	Dibble	Laura		1-585-339-7745					Laura.Dibble@excellus.com	165 Court St.		Rochester	NY	14647	1/15/2026	2026	EXCELLUS HEALTH PLAN COMMUNITY CARE LLC	Local CCP	Excellus Health Plan Community Care LLC	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7524	Part D Exceptions Contact	"Director, Pharmacy Utiization Management"		Khan	Joe							Joe.Khan@univerahealthcare.com	205 Park Club Lane		Buffalo	NY	14221	1/22/2024	2026	EXCELLUS HEALTH PLAN COMMUNITY CARE LLC	Local CCP	Excellus Health Plan Community Care LLC	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active	1-716-843-7881				HMO - Health Maintenance Organization		C	Chicago
H7524	Pharmacy Network Management Contact	Pharmacy Operations Support		Brown	Burt		1-585-327-7530				1-585-339-6640	Burt.Brown@excellus.com	165 Court Street		Rochester	NY	14647	1/22/2024	2026	EXCELLUS HEALTH PLAN COMMUNITY CARE LLC	Local CCP	Excellus Health Plan Community Care LLC	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7524	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	13051 N. Telecom Pkway	Ste 150	Temple Terrace	FL	33637	1/22/2024	2026	EXCELLUS HEALTH PLAN COMMUNITY CARE LLC	Local CCP	Excellus Health Plan Community Care LLC	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Chicago
H7524	Plan to Plan Reconciliation Contact	"Manager, Finance Operations"		Simmons	Jennifer		1-585-649-2768					Jennifer.Simmons@excellus.com	165 Court Street		Rochester	NY	14647	1/22/2024	2026	EXCELLUS HEALTH PLAN COMMUNITY CARE LLC	Local CCP	Excellus Health Plan Community Care LLC	HMO/HMOPOS		"Lifetime Healthcare, Inc."	87	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7557	Automated TrOOP Balance Transfer Contact	"Operations Manager, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083					Relay.Health@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H7557	Best Available Evidence Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H7557	Chief Financial Officer		Mr.	Granow	Les		1-561-444-0709					les.granow@longevityhealthplan.com	Longevity Health Plan	11780 U.S. Highway 1 Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H7557	CMS Casework Communication Contact			Socoski	Beth		1-561-690-1134					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1 Suite N107		Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H7557	Coordination of Benefits Contact		Ms.	Crowl	Lacey		1-765-792-1412					Lacey.crowl@longevityhealthplan.com	11780 U.S. Highway 1 Suite N107		Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H7557	Customer Service Operations Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H7557	Government Relations Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H7557	Hospice Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H7557	Medicare Compliance Officer		Ms.	Socoski	Beth		1-412-260-1207					Beth.Socoski@longevityhealthplan.com	Longevity Health Plan	11780 U.S. Highway 1 Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H7557	Part D Exceptions Contact	"Assoc Director, Clinical Prior Authorization"	Mr.	LeClair	Christophe						1-888-235-8551	Christopher.LeClair@Navitus.com	1025 West Navitus Drive		Appleton	WI	54913	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active	1-800-204-0016				HMO - Health Maintenance Organization		C	Seattle
H7557	Pharmacy Network Management Contact	"VP, Provider Services"	Mr.	Nagy	Don		1-608-820-4403					Don.Nagy@navitus.com	361 Integrity Drive		Madison	WI	53717	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H7557	Pharmacy Technical Help Desk Contact	"Sr. Manager, Customer Care Accounts"	Ms.	Nett	Danielle						1-888-235-8551	Danielle.Nett@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Seattle
H7557	Plan to Plan Reconciliation Contact		Ms.	Ajayi	Bisi		1-561-632-8915					bisi.ajayi@longevityhealthplan.com	11780 U.S. Highway 1 Suite N107		Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF MICHIGAN, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H7598	Automated TrOOP Balance Transfer Contact	Sr. Pharmacy Manager		Schumm	Brian		1-800-344-3405	733326				Brian_Schumm@express-scripts.com	5151 Blazer Pkwy		Dublin	OH	43017	6/6/2024	2026	GROUP HEALTH COOPERATIVE OF EAU CLAIRE	Local CCP	Group Health Cooperative of Eau Claire	HMO/HMOPOS		Group Health Cooperative of Eau Claire	754	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7598	Best Available Evidence Contact	Clinical Pharmacist	Mr.	Rau	Dakota		1-715-852-5783					drau@group-health.com	2503 N. Hillcrest Pkwy		Altoona	WI	54720	6/24/2025	2026	GROUP HEALTH COOPERATIVE OF EAU CLAIRE	Local CCP	Group Health Cooperative of Eau Claire	HMO/HMOPOS		Group Health Cooperative of Eau Claire	754	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7598	Chief Financial Officer	Chief Financial Officer	Mr.	Tanner	Robert		1-715-852-2064					btanner@group-health.com	2503 N. Hillcrest Pkwy		Altoona	WI	54720	5/4/2022	2026	GROUP HEALTH COOPERATIVE OF EAU CLAIRE	Local CCP	Group Health Cooperative of Eau Claire	HMO/HMOPOS		Group Health Cooperative of Eau Claire	754	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7598	CMS Casework Communication Contact	Chief Medical Officer		Bauer	Michele		1-715-852-5721					mbauer@group-health.com	2503 N. Hillcrest Pkwy		Altoona	WI	54720	5/4/2022	2026	GROUP HEALTH COOPERATIVE OF EAU CLAIRE	Local CCP	Group Health Cooperative of Eau Claire	HMO/HMOPOS		Group Health Cooperative of Eau Claire	754	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7598	Coordination of Benefits Contact	Director of Member and Provider Services		Johnson	Kirk		1-715-852-2618					kjohnson@group-health.com	2503 N. Hillcrest Pkwy		Altoona	WI	54720	6/24/2025	2026	GROUP HEALTH COOPERATIVE OF EAU CLAIRE	Local CCP	Group Health Cooperative of Eau Claire	HMO/HMOPOS		Group Health Cooperative of Eau Claire	754	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7598	Customer Service Operations Contact	Director of Member and Provider Services		Johnson	Kirk		1-715-852-2618				1-715-836-7683	kjohnson@group-health.com	2503 N. Hillcrest Pkwy		Altoona	WI	54720	6/24/2025	2026	GROUP HEALTH COOPERATIVE OF EAU CLAIRE	Local CCP	Group Health Cooperative of Eau Claire	HMO/HMOPOS		Group Health Cooperative of Eau Claire	754	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7598	Government Relations Contact	Director of Government Programs		McConaughey	Christina		1-715-852-2039					cmcconaughey@group-health.com	2503 N. Hillcrest Pkwy		Altoona	WI	54720	11/24/2025	2026	GROUP HEALTH COOPERATIVE OF EAU CLAIRE	Local CCP	Group Health Cooperative of Eau Claire	HMO/HMOPOS		Group Health Cooperative of Eau Claire	754	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7598	Hospice Contact	Chief Medical Officer		Bauer	Michele		1-715-852-5721					mbauer@group-health.com	2503 N. Hillcrest Pkwy		Altoona	WI	54720	5/4/2022	2026	GROUP HEALTH COOPERATIVE OF EAU CLAIRE	Local CCP	Group Health Cooperative of Eau Claire	HMO/HMOPOS		Group Health Cooperative of Eau Claire	754	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7598	Medicare Compliance Officer	Government Programs Manager	Ms.	Starck	Sara		1-715-852-2083					sstarck@group-health.com	2503 N. Hillcrest Pkwy		"Altoona, WI 54720-2569"	WI	54720	11/24/2025	2026	GROUP HEALTH COOPERATIVE OF EAU CLAIRE	Local CCP	Group Health Cooperative of Eau Claire	HMO/HMOPOS		Group Health Cooperative of Eau Claire	754	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7598	Part D Exceptions Contact	Sr. Manager - Pharmacy Prior Authorization		Herbert	Joshua							Joshua.Herbert@evernorth.com	One Express Way Mail Stop: S13NB		St. Louis	MO	63121	1/8/2026	2026	GROUP HEALTH COOPERATIVE OF EAU CLAIRE	Local CCP	Group Health Cooperative of Eau Claire	HMO/HMOPOS		Group Health Cooperative of Eau Claire	754	Yes	Active	1-513-292-0563				HMO - Health Maintenance Organization		C	Chicago
H7598	Pharmacy Network Management Contact	Network Account Director		Kelly	Heather		1-314-692-1866					Heather.Kelly2@evernorth.com	One Express Way		St. Louis	MO	63121	1/8/2026	2026	GROUP HEALTH COOPERATIVE OF EAU CLAIRE	Local CCP	Group Health Cooperative of Eau Claire	HMO/HMOPOS		Group Health Cooperative of Eau Claire	754	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7598	Pharmacy Technical Help Desk Contact	"Sr. Director, Customer Service"		Sahs	Dale							dale.sahs@express-scripts.com	One Express Way Mail Stop: S13NB		St. Louis	MO	63121	1/8/2026	2026	GROUP HEALTH COOPERATIVE OF EAU CLAIRE	Local CCP	Group Health Cooperative of Eau Claire	HMO/HMOPOS		Group Health Cooperative of Eau Claire	754	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Chicago
H7598	Plan to Plan Reconciliation Contact	Chief Financial Officer	Mr.	Tanner	Robert		1-715-852-2064					btanner@group-health.com	2503 N. Hillcrest Pkwy		Altoona	WI	54720	5/4/2022	2026	GROUP HEALTH COOPERATIVE OF EAU CLAIRE	Local CCP	Group Health Cooperative of Eau Claire	HMO/HMOPOS		Group Health Cooperative of Eau Claire	754	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7605	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF TENNESSEE INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H7605	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF TENNESSEE INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H7605	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF TENNESSEE INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H7605	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF TENNESSEE INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H7605	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF TENNESSEE INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H7605	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF TENNESSEE INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H7605	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF TENNESSEE INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H7605	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF TENNESSEE INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H7605	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF TENNESSEE INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H7605	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF TENNESSEE INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				HMO - Health Maintenance Organization		C	Kansas City
H7605	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF TENNESSEE INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H7605	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF TENNESSEE INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Kansas City
H7605	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF TENNESSEE INC	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H7607	Automated TrOOP Balance Transfer Contact	Compliance Officer	Ms.	Topps	Sabrina	M	1-626-514-9140					sabrina.topps@ccmapd.com	7711 Center Ave	Ste 100	Huntington Beach	CA	92647	5/12/2026	2026	"CLEVER CARE OF GOLDEN STATE, INC."	Local CCP	Clever Care Health Plan	HMO/HMOPOS		"Clever Care Health Plan, Inc."	750	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7607	Best Available Evidence Contact	COO	Mrs.	Ramsey	Erin	R	1-949-291-1387					erin.ramsey@ccmapd.com	7711 Center Ave	Suite 100	Huntington Beach	CA	92647	1/13/2026	2026	"CLEVER CARE OF GOLDEN STATE, INC."	Local CCP	Clever Care Health Plan	HMO/HMOPOS		"Clever Care Health Plan, Inc."	750	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7607	Chief Financial Officer	Controller	Ms.	Ngo	Van		1-714-650-8695					van.ngo@ccmapd.com	7711 Center Ave	Suite 100	Huntington Beach	CA	92647	6/12/2026	2026	"CLEVER CARE OF GOLDEN STATE, INC."	Local CCP	Clever Care Health Plan	HMO/HMOPOS		"Clever Care Health Plan, Inc."	750	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7607	CMS Casework Communication Contact	COO	Mrs.	Ramsey	Erin	R	1-949-291-1387					erin.ramsey@ccmapd.com	7711 Center Ave	Suite 100	Huntington Beach	CA	92647	5/8/2025	2026	"CLEVER CARE OF GOLDEN STATE, INC."	Local CCP	Clever Care Health Plan	HMO/HMOPOS		"Clever Care Health Plan, Inc."	750	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7607	Coordination of Benefits Contact	COO	Mrs.	Ramsey	Erin	R	1-949-291-1387					erin.ramsey@ccmapd.com	7711 Center Ave	Suite 100	Huntington Beach	CA	92647	5/8/2025	2026	"CLEVER CARE OF GOLDEN STATE, INC."	Local CCP	Clever Care Health Plan	HMO/HMOPOS		"Clever Care Health Plan, Inc."	750	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7607	Customer Service Operations Contact	"Manager, A&G"	Ms.	Sprague	Ashlee		1-714-650-8768					ashlee.sprague@ccmapd.com	7711 Center Ave	Suite 100	Huntington Beach	CA	92647	5/8/2025	2026	"CLEVER CARE OF GOLDEN STATE, INC."	Local CCP	Clever Care Health Plan	HMO/HMOPOS		"Clever Care Health Plan, Inc."	750	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7607	Government Relations Contact	COO	Mrs.	Ramsey	Erin	R	1-949-291-1387					erin.ramsey@ccmapd.com	7711 Center Ave	Suite 100	Huntington Beach	CA	92647	1/13/2026	2026	"CLEVER CARE OF GOLDEN STATE, INC."	Local CCP	Clever Care Health Plan	HMO/HMOPOS		"Clever Care Health Plan, Inc."	750	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7607	Hospice Contact	COO	Mrs.	Ramsey	Erin	R	1-949-291-1387					erin.ramsey@ccmapd.com	7711 Center Ave	Suite 100	Huntington Beach	CA	92647	5/8/2025	2026	"CLEVER CARE OF GOLDEN STATE, INC."	Local CCP	Clever Care Health Plan	HMO/HMOPOS		"Clever Care Health Plan, Inc."	750	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7607	Medicare Compliance Officer	Compliance Officer	Mrs.	Topps	Sabrina	M	1-914-327-1439					sabrina.topps@ccmapd.com	7711 Center Ave	Suite 100	Huntington Beach	CA	92647	6/24/2026	2026	"CLEVER CARE OF GOLDEN STATE, INC."	Local CCP	Clever Care Health Plan	HMO/HMOPOS		"Clever Care Health Plan, Inc."	750	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7607	Part D Exceptions Contact	Compliance Officer	Ms.	Topps	Sabrina	M						sabrina.topps@ccmapd.com	7711 Center Ave	Ste 100	Huntington Beach	CA	92131	5/12/2026	2026	"CLEVER CARE OF GOLDEN STATE, INC."	Local CCP	Clever Care Health Plan	HMO/HMOPOS		"Clever Care Health Plan, Inc."	750	Yes	Active	1-626-514-9140				HMO - Health Maintenance Organization		C	Chicago
H7607	Pharmacy Network Management Contact	Compliance Officer	Ms.	Topps	Sabrina	M	1-626-514-9140					sabrina.topps@ccmapd.com	7711 Center Ave	Ste 100	Huntington Beach	CA	92131	5/12/2026	2026	"CLEVER CARE OF GOLDEN STATE, INC."	Local CCP	Clever Care Health Plan	HMO/HMOPOS		"Clever Care Health Plan, Inc."	750	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7607	Pharmacy Technical Help Desk Contact			Help Desk	CVS							Dan.Calderbank@CVSHealth.com	1 CVS Drive		Woonsocket	RI	02895	5/18/2026	2026	"CLEVER CARE OF GOLDEN STATE, INC."	Local CCP	Clever Care Health Plan	HMO/HMOPOS		"Clever Care Health Plan, Inc."	750	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Chicago
H7607	Plan to Plan Reconciliation Contact	Controller	Ms.	Ngo	Van		1-714-650-8695					van.ngo@ccmapd.com	7711 Center Ave	Suite 100	Huntington Beach	CA	92647	1/13/2026	2026	"CLEVER CARE OF GOLDEN STATE, INC."	Local CCP	Clever Care Health Plan	HMO/HMOPOS		"Clever Care Health Plan, Inc."	750	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H7617	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	EMPHESYS INSURANCE COMPANY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H7617	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	EMPHESYS INSURANCE COMPANY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H7617	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	EMPHESYS INSURANCE COMPANY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H7617	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	EMPHESYS INSURANCE COMPANY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H7617	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	EMPHESYS INSURANCE COMPANY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H7617	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	EMPHESYS INSURANCE COMPANY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H7617	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	EMPHESYS INSURANCE COMPANY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H7617	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	EMPHESYS INSURANCE COMPANY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H7617	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	EMPHESYS INSURANCE COMPANY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H7617	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	EMPHESYS INSURANCE COMPANY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active	1-859-321-9075				PPO - BBA		C	Kansas City
H7617	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	EMPHESYS INSURANCE COMPANY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H7617	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	EMPHESYS INSURANCE COMPANY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active	1-800-865-8715				PPO - BBA		C	Kansas City
H7617	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	EMPHESYS INSURANCE COMPANY	Local CCP	Humana	Local PPO		Humana Inc.	128	Yes	Active					PPO - BBA		C	Kansas City
H7619	Automated TrOOP Balance Transfer Contact	Health Plan Operations Manager		DeRitis	Sandra		1-609-572-8588					sderitis@atlanticare.org	1401 Atlantic Ave.	Suite 1400	Atlantic City	NJ	08401	7/8/2025	2026	"ATLANTICARE HEALTH SERVICES, INC."	National PACE	AtlantiCare LIFE Connection	National PACE		"AtlantiCare Health Services, Inc."	683	Yes	Active					PACE - Nat		C	New York
H7619	Best Available Evidence Contact	Executive Director		Festa	Sandra		1-609-572-8588					sfesta@atlanticare.org	1401 Atlantic Ave	Suite 1400	Atlantic City	NJ	08401	3/3/2026	2026	"ATLANTICARE HEALTH SERVICES, INC."	National PACE	AtlantiCare LIFE Connection	National PACE		"AtlantiCare Health Services, Inc."	683	Yes	Active					PACE - Nat		C	New York
H7619	Chief Financial Officer	AVP/Executive Director	Ms	Festa	Sandra		1-609-572-8588					sfesta@atlanticare.org	1401 Atlantic Ave.	Suite 1400	Atlantic City	NJ	08401	3/3/2026	2026	"ATLANTICARE HEALTH SERVICES, INC."	National PACE	AtlantiCare LIFE Connection	National PACE		"AtlantiCare Health Services, Inc."	683	Yes	Active					PACE - Nat		C	New York
H7619	CMS Casework Communication Contact	Executive Director		Festa	Sandra		1-609-572-8588					sfesta@atlanticare.org	1401 Atlantic Ave.	Suite 1400	Atlantic City	NJ	08401	7/8/2025	2026	"ATLANTICARE HEALTH SERVICES, INC."	National PACE	AtlantiCare LIFE Connection	National PACE		"AtlantiCare Health Services, Inc."	683	Yes	Active					PACE - Nat		C	New York
H7619	Coordination of Benefits Contact	Health Plan Operations Manager		DeRitis	Sandra		1-609-572-8641					sderitis@atlanticare.org	1401 Atlantic Ave.	Suite 1400	Atlantic City	NJ	08401	7/8/2025	2026	"ATLANTICARE HEALTH SERVICES, INC."	National PACE	AtlantiCare LIFE Connection	National PACE		"AtlantiCare Health Services, Inc."	683	Yes	Active					PACE - Nat		C	New York
H7619	Customer Service Operations Contact	Executive Director		Festa	Sandra		1-609-572-8588					sfesta@atlanticare.org	1401 Atlantic Ave	Suite 1400	Atlantic City	NJ	08401	7/8/2025	2026	"ATLANTICARE HEALTH SERVICES, INC."	National PACE	AtlantiCare LIFE Connection	National PACE		"AtlantiCare Health Services, Inc."	683	Yes	Active					PACE - Nat		C	New York
H7619	Government Relations Contact	Executive Director		Festa	Sandra		1-609-572-8588					sandra.festa@atlanticare.org	1401 Atlantic Ave.	Suite 1400	Atlantic City	NJ	08401	4/30/2025	2026	"ATLANTICARE HEALTH SERVICES, INC."	National PACE	AtlantiCare LIFE Connection	National PACE		"AtlantiCare Health Services, Inc."	683	Yes	Active					PACE - Nat		C	New York
H7619	Medicare Compliance Officer	Health Plan Operations Manager	Ms.	DeRitis	Sandra		1-609-572-8641					sderitis@atlanticare.org	1401 Atlantic Ave	Suite 1400	Atlantic City	NJ	08401	7/8/2025	2026	"ATLANTICARE HEALTH SERVICES, INC."	National PACE	AtlantiCare LIFE Connection	National PACE		"AtlantiCare Health Services, Inc."	683	Yes	Active					PACE - Nat		C	New York
H7619	Part D Exceptions Contact	Health Plan Operations Manager		DeRitis	Sandra							sderitis@atlanticare.org	1401 Atlantic Ave	Suite 1400	Atlantic City	NJ	08401	7/8/2025	2026	"ATLANTICARE HEALTH SERVICES, INC."	National PACE	AtlantiCare LIFE Connection	National PACE		"AtlantiCare Health Services, Inc."	683	Yes	Active	1-609-572-8641				PACE - Nat		C	New York
H7619	Pharmacy Network Management Contact	Medical Director	Dr.	Lipshutz	Robert		1-609-572-8588					rlipshutz@atlanticare.org	1401 Atlantic Ave.	Suite 1400	Atlantic City	NJ	08401	10/18/2023	2026	"ATLANTICARE HEALTH SERVICES, INC."	National PACE	AtlantiCare LIFE Connection	National PACE		"AtlantiCare Health Services, Inc."	683	Yes	Active					PACE - Nat		C	New York
H7619	Pharmacy Technical Help Desk Contact	Executive Director		Festa	Sandra							sfesta@atlanticare.org	1401 Atlantic Ave	Suite 1400	Atlantic City	NJ	08401	5/21/2026	2026	"ATLANTICARE HEALTH SERVICES, INC."	National PACE	AtlantiCare LIFE Connection	National PACE		"AtlantiCare Health Services, Inc."	683	Yes	Active	1-609-572-8588				PACE - Nat		C	New York
H7619	Plan to Plan Reconciliation Contact	Health Plan Operations Manager		DeRitis	Sandra		1-609-572-8588					SDERITIS@atlanticare.org	1401 Atlantic Ave	Suite 1400	Atlantic City	NJ	08401	7/8/2025	2026	"ATLANTICARE HEALTH SERVICES, INC."	National PACE	AtlantiCare LIFE Connection	National PACE		"AtlantiCare Health Services, Inc."	683	Yes	Active					PACE - Nat		C	New York
H7620	Automated TrOOP Balance Transfer Contact	Pharmacy Director		Lamaa	Tina		1-805-685-9525	5529				tlamaa@cencalhealth.org	4050 Calle Real		Santa Barbara	CA	93110	6/10/2026	2026	SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTHORITY DBA CENCAL HEALTH	Local CCP	CenCal CareConnect	HMO/HMOPOS		SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTH	870	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H7620	Best Available Evidence Contact	"Director, Member Services"		Buben	Eric		1-805-685-9525	1661				ebuben@cencalhealth.org	4050 Calle Real		Santa Barbara	CA	93110	1/16/2025	2026	SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTHORITY DBA CENCAL HEALTH	Local CCP	CenCal CareConnect	HMO/HMOPOS		SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTH	870	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H7620	Chief Financial Officer	Chief Financial Officer	Ms.	Bishop	Kashina		1-805-685-9525	1090				kbishop@cencalhealth.org	4050 Calle Real		Santa Barbara	CA	93110	1/17/2025	2026	SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTHORITY DBA CENCAL HEALTH	Local CCP	CenCal CareConnect	HMO/HMOPOS		SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTH	870	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H7620	CMS Casework Communication Contact	Medicare Grievance and Appeals Manager		Ragland	Tameka		1-805-685-9525	5389				tragland@cencalhealth.org	4050 Calle Real		Santa Barbara	CA	93110	1/17/2025	2026	SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTHORITY DBA CENCAL HEALTH	Local CCP	CenCal CareConnect	HMO/HMOPOS		SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTH	870	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H7620	Coordination of Benefits Contact	"Manager, Payment Integrity & Recoveries"		Matthews	Cody		1-805-685-9525	1087				cmatthews@cencalhealth.org	4050 Calle Real		Santa Barbara	CA	93110	1/16/2025	2026	SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTHORITY DBA CENCAL HEALTH	Local CCP	CenCal CareConnect	HMO/HMOPOS		SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTH	870	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H7620	Customer Service Operations Contact	"Director, Member Services"		Buben	Eric		1-805-685-9525	1661				ebuben@cencalhealth.org	4050 Calle Real		Santa Barbara	CA	93110	1/16/2025	2026	SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTHORITY DBA CENCAL HEALTH	Local CCP	CenCal CareConnect	HMO/HMOPOS		SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTH	870	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H7620	Government Relations Contact	Government Relations Director		Roberts	Brandon		1-805-685-9525	5565				broberts@cencalhealth.org	4050 Calle Real		Santa Barbara	CA	93110	6/10/2026	2026	SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTHORITY DBA CENCAL HEALTH	Local CCP	CenCal CareConnect	HMO/HMOPOS		SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTH	870	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H7620	Hospice Contact	Pharmacy Director		Lamaa	Tina		1-805-685-9525	5529				tlamaa@cencalhealth.org	4050 Calle Real		Santa Barbara	CA	93110	6/10/2026	2026	SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTHORITY DBA CENCAL HEALTH	Local CCP	CenCal CareConnect	HMO/HMOPOS		SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTH	870	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H7620	Medicare Compliance Officer	Chief Compliance and Fraud Prevention Officer	Ms.	Kim	Karen		1-805-685-9525	1975				kkim@cencalhealth.org	4050 Calle Real		Santa Barbara	CA	93110	3/13/2025	2026	SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTHORITY DBA CENCAL HEALTH	Local CCP	CenCal CareConnect	HMO/HMOPOS		SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTH	870	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H7620	Part D Exceptions Contact	Pharmacy Director		Lamaa	Tina							tlamaaa@cencalhealth.org	4050 Calle Real		Santa Barbara	CA	93110	6/10/2026	2026	SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTHORITY DBA CENCAL HEALTH	Local CCP	CenCal CareConnect	HMO/HMOPOS		SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTH	870	Yes	Active	1-805-685-9525	5529			HMO - Health Maintenance Organization		C	Atlanta
H7620	Pharmacy Network Management Contact	Pharmacy Director		Lamaa	Tina		1-805-685-9525	5529				tlamaa@cencalhealth.org	4050 Calle Real		Santa Barbara	CA	93110	6/10/2026	2026	SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTHORITY DBA CENCAL HEALTH	Local CCP	CenCal CareConnect	HMO/HMOPOS		SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTH	870	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H7620	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"		Brewer	Kathy							customerservice@medimpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	12/17/2025	2026	SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTHORITY DBA CENCAL HEALTH	Local CCP	CenCal CareConnect	HMO/HMOPOS		SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTH	870	Yes	Active	1-833-726-0676				HMO - Health Maintenance Organization		C	Atlanta
H7620	Plan to Plan Reconciliation Contact	Pharmacy Director		Lamaa	Tina		1-805-685-9525	5529				tlamaa@cencalhealth.org	4050 Calle Real		Santa Barbara	CA	93110	6/10/2026	2026	SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTHORITY DBA CENCAL HEALTH	Local CCP	CenCal CareConnect	HMO/HMOPOS		SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTH	870	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H7635	Automated TrOOP Balance Transfer Contact	Chief Financial Officer	Ms.	Sears	Michelle		1-401-427-8164					msears@nhpri.org	910 Douglas Pike		Smithfield	RI	02917	1/31/2025	2026	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	Local CCP	Neighborhood Health Plan of Rhode Island	HMO/HMOPOS		NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	530	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7635	Best Available Evidence Contact	Director of Business Services	Ms.	Sullivan	Kari		1-401-459-6612					ksullivan2@nhpri.org	910 Douglas Pike		Smithfield	RI	02917	1/31/2025	2026	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	Local CCP	Neighborhood Health Plan of Rhode Island	HMO/HMOPOS		NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	530	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7635	Chief Financial Officer	Chief Financial Officer	Ms.	Sears	Michelle		1-401-427-8164					msears@nhpri.org	910 Douglas Pike		Smithfield	RI	02917	1/31/2025	2026	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	Local CCP	Neighborhood Health Plan of Rhode Island	HMO/HMOPOS		NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	530	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7635	CMS Casework Communication Contact	Director of Quality & Grievance and Appeals	Ms.	Elias	Cesarina		1-401-459-6087					celias@nhpri.org	910 Douglas Pike		Smithfield	RI	02917	1/31/2025	2026	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	Local CCP	Neighborhood Health Plan of Rhode Island	HMO/HMOPOS		NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	530	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7635	Coordination of Benefits Contact	Chief Operating Officer	Ms.	Carlson	Karen		1-401-459-6633					kcarlson@nhpri.org	910 Douglas Pike		Smithfield	RI	02917	1/31/2025	2026	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	Local CCP	Neighborhood Health Plan of Rhode Island	HMO/HMOPOS		NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	530	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7635	Customer Service Operations Contact	Manager of Member Services	Mr.	Barnett	Ronald		1-401-459-6110					rbarnett@nhpri.org	910 Douglas Pike		Smithfield	RI	02917	1/31/2025	2026	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	Local CCP	Neighborhood Health Plan of Rhode Island	HMO/HMOPOS		NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	530	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7635	Government Relations Contact	Chief Growth Officer	Mr.	Burnett	David		1-401-459-6161					dburnett@nhpri.org	910 Douglas Pike		Smithfield	RI	02917	1/31/2025	2026	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	Local CCP	Neighborhood Health Plan of Rhode Island	HMO/HMOPOS		NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	530	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7635	Hospice Contact	Vice President of Pharmacy	Mr.	Lorson	Mark		1-401-459-6640					mlorson@nhpri.org	910 Douglas Pike		Smithfield	RI	02917	1/31/2025	2026	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	Local CCP	Neighborhood Health Plan of Rhode Island	HMO/HMOPOS		NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	530	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7635	Medicare Compliance Officer	Compliance & Privacy Officer	Ms.	Switzer	Kristen		1-401-459-6162					kswitzer@nhpri.org	910 Douglas Pike		Smithfield	RI	02917	1/31/2025	2026	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	Local CCP	Neighborhood Health Plan of Rhode Island	HMO/HMOPOS		NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	530	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7635	Part D Exceptions Contact	Vice President of Pharmacy	Mr.	Lorson	Mark							mlorson@nhpri.org	910 Douglas Pike		Smithfield	RI	02917	1/31/2025	2026	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	Local CCP	Neighborhood Health Plan of Rhode Island	HMO/HMOPOS		NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	530	Yes	Active	1-401-459-6640				HMO - Health Maintenance Organization		C	Boston
H7635	Pharmacy Network Management Contact	Vice President of Pharmacy	Mr.	Lorson	Mark		1-401-459-6640					mlorson@nhpri.org	910 Douglas Pike		Smithfield	RI	02917	1/31/2025	2026	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	Local CCP	Neighborhood Health Plan of Rhode Island	HMO/HMOPOS		NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	530	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7635	Pharmacy Technical Help Desk Contact	AVP Customer Care	Mr.	Jackson	Scott							scott.jackson@cvshealth.com	CVS Caremark Pharmacy Help Desk	445 Great Circle Blvd.	Nashville	TN	37228	1/31/2025	2026	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	Local CCP	Neighborhood Health Plan of Rhode Island	HMO/HMOPOS		NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	530	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Boston
H7635	Plan to Plan Reconciliation Contact	Senior Manager of Financial Analysis	Mr.	Milton	Bryan		1-401-427-6726					bmilton@nhpri.org	910 Douglas Pike		Smithfield	RI	02917	1/31/2025	2026	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	Local CCP	Neighborhood Health Plan of Rhode Island	HMO/HMOPOS		NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	530	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7656	Automated TrOOP Balance Transfer Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224				1-732-806-3324	jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/26/2026	2026	"VALLEY PACE, LLC"	National PACE	BoldAge PACE	National PACE		"Valley PACE, LLC"	836	Yes	Active					PACE - Nat		C	New York
H7656	Best Available Evidence Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/30/2026	2026	"VALLEY PACE, LLC"	National PACE	BoldAge PACE	National PACE		"Valley PACE, LLC"	836	Yes	Active					PACE - Nat		C	New York
H7656	Chief Financial Officer	Chief Financial Officer	Mr	Schlesinger	David		1-855-801-2653					dschlesinger@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	5/20/2026	2026	"VALLEY PACE, LLC"	National PACE	BoldAge PACE	National PACE		"Valley PACE, LLC"	836	Yes	Active					PACE - Nat		C	New York
H7656	CMS Casework Communication Contact	Director of Compliance		Cooper	Wanda		1-855-801-2653					wcooper@boldagepace.com	1075 Stephenson Ave	Suite B	Oceanport	NJ	07757	5/20/2026	2026	"VALLEY PACE, LLC"	National PACE	BoldAge PACE	National PACE		"Valley PACE, LLC"	836	Yes	Active					PACE - Nat		C	New York
H7656	Coordination of Benefits Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224				1-732-806-3324	jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/20/2026	2026	"VALLEY PACE, LLC"	National PACE	BoldAge PACE	National PACE		"Valley PACE, LLC"	836	Yes	Active					PACE - Nat		C	New York
H7656	Customer Service Operations Contact	Executive Director	Ms	Yang	Chue		1-559-414-5001					cyang@boldagepace.com	4837 E McKinley Avenue	Suite B	Fresno	CA	93703	9/24/2024	2026	"VALLEY PACE, LLC"	National PACE	BoldAge PACE	National PACE		"Valley PACE, LLC"	836	Yes	Active					PACE - Nat		C	New York
H7656	Government Relations Contact	Chief Administrative Officer	Mr	Czermak	Michael		1-855-801-2653					michaelc@boldagepace.com	1897 Lakewood Road	Unit 109	Toms River	NJ	08753	5/11/2026	2026	"VALLEY PACE, LLC"	National PACE	BoldAge PACE	National PACE		"Valley PACE, LLC"	836	Yes	Active					PACE - Nat		C	New York
H7656	Medicare Compliance Officer	Director of Compliance	Ms	Cooper	Wanda		1-855-801-2653					wcooper@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	5/20/2026	2026	"VALLEY PACE, LLC"	National PACE	BoldAge PACE	National PACE		"Valley PACE, LLC"	836	Yes	Active					PACE - Nat		C	New York
H7656	Part D Exceptions Contact	Financial Specialist		Partlow	Jennie							jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/30/2026	2026	"VALLEY PACE, LLC"	National PACE	BoldAge PACE	National PACE		"Valley PACE, LLC"	836	Yes	Active	1-732-806-3224				PACE - Nat		C	New York
H7656	Pharmacy Network Management Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/26/2026	2026	"VALLEY PACE, LLC"	National PACE	BoldAge PACE	National PACE		"Valley PACE, LLC"	836	Yes	Active					PACE - Nat		C	New York
H7656	Pharmacy Technical Help Desk Contact	Financial Specialist	Ms	Partlow	Jennie							jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/26/2026	2026	"VALLEY PACE, LLC"	National PACE	BoldAge PACE	National PACE		"Valley PACE, LLC"	836	Yes	Active	1-855-801-2653				PACE - Nat		C	New York
H7656	Plan to Plan Reconciliation Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224				1-732-806-3324	jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/26/2026	2026	"VALLEY PACE, LLC"	National PACE	BoldAge PACE	National PACE		"Valley PACE, LLC"	836	Yes	Active					PACE - Nat		C	New York
H7660	Automated TrOOP Balance Transfer Contact	Director Financial Management	Mr.	Hamm	David	A	1-724-776-1100					dave.hamm@lutheranseniorlife.org	191 Scharberry Lane		Mars	PA	16046	5/14/2024	2026	"VIECARE BEAVER, LLC"	National PACE	LIFE Beaver and Lawrence Counties	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H7660	Best Available Evidence Contact	Director Financial Management	Mr.	Hamm	David		1-724-742-2226					dave.hamm@lutheranseniorlife.org	Lutheran SeniorLife	191 Scharberry Lane	Mars	PA	16046	8/10/2016	2026	"VIECARE BEAVER, LLC"	National PACE	LIFE Beaver and Lawrence Counties	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H7660	Chief Financial Officer	CFO	Mr.	Carraway	Jeffrey		1-724-776-1100					jeffrey.carraway@lutheranseniorlife.org	191 Scharberry Lane		Mars	PA	16046	2/2/2018	2026	"VIECARE BEAVER, LLC"	National PACE	LIFE Beaver and Lawrence Counties	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H7660	CMS Casework Communication Contact	Executive Director	Ms	Kisow	Leslie		1-724-776-1100					leslie.kisow@lutheranseniorlife.org	740 Blackburn Road		Sewickley	PA	15143	11/22/2021	2026	"VIECARE BEAVER, LLC"	National PACE	LIFE Beaver and Lawrence Counties	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H7660	Coordination of Benefits Contact	Director Financial Management	Mr.	Hamm	David		1-724-742-2226					dave.hamm@lutheranseniorlife.org	Lutheran SeniorLife	191 Scharberry Lane	Mars	PA	16046	8/10/2016	2026	"VIECARE BEAVER, LLC"	National PACE	LIFE Beaver and Lawrence Counties	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H7660	Customer Service Operations Contact	Executive Director	Ms	Kisow	Leslie		1-724-776-1100					leslie.kisow@lutheranseniorlife.org	740 Blackburn Road		Sewickley	PA	15143	11/22/2021	2026	"VIECARE BEAVER, LLC"	National PACE	LIFE Beaver and Lawrence Counties	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H7660	Government Relations Contact	Executive Director	Ms	Kisow	Leslie		1-724-776-1100					leslie.kisow@lutheranseniorlife.org	740 Blackburn Road		Sewickley	PA	15143	11/22/2021	2026	"VIECARE BEAVER, LLC"	National PACE	LIFE Beaver and Lawrence Counties	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H7660	Medicare Compliance Officer	Director Financial Management	Mr.	Hamm	David		1-724-742-2226					dave.hamm@lutheranseniorlife.org	191 Scharberry Lane		Mars	PA	16046	4/21/2017	2026	"VIECARE BEAVER, LLC"	National PACE	LIFE Beaver and Lawrence Counties	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H7660	Part D Exceptions Contact	Director Financial Management	Mr.	Hamm	David							dave.hamm@lutheranseniorlife.org	191 Scharberry Lane		Mars	PA	16046	8/16/2016	2026	"VIECARE BEAVER, LLC"	National PACE	LIFE Beaver and Lawrence Counties	National PACE		Lutheran SeniorLife	352	Yes	Active	1-724-742-2226				PACE - Nat		C	Philadelphia
H7660	Pharmacy Network Management Contact	Executive Director	Ms	Kisow	Leslie		1-724-776-1100					leslie.kisow@lutheranseniorlife.org	740 Blackburn Road		Sewickley	PA	15143	11/22/2021	2026	"VIECARE BEAVER, LLC"	National PACE	LIFE Beaver and Lawrence Counties	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H7660	Pharmacy Technical Help Desk Contact	Medical Director	Dr.	Hanna	Abeer							abeer.hanna@lutheranseniorlife.org	LIFE-Beaver County Center Place	131 Pleasant Drive Suite 1	Aliquippa	PA	15001	10/3/2022	2026	"VIECARE BEAVER, LLC"	National PACE	LIFE Beaver and Lawrence Counties	National PACE		Lutheran SeniorLife	352	Yes	Active	1-724-378-5400				PACE - Nat		C	Philadelphia
H7660	Plan to Plan Reconciliation Contact	Director Financial Management	Mr.	Hamm	David		1-724-742-2226					dave.hamm@lutheranseniorlife.org	191 Scharberry Lane		Mars	PA	16046	8/10/2016	2026	"VIECARE BEAVER, LLC"	National PACE	LIFE Beaver and Lawrence Counties	National PACE		Lutheran SeniorLife	352	Yes	Active					PACE - Nat		C	Philadelphia
H7670	Automated TrOOP Balance Transfer Contact	Sr. Manager Medicare Pharmacy	Ms.	Jones	Susan		1-774-701-1720					susan.jones@massadvantage.com	67 Millbrook Street		Worcester	MA	01606	5/27/2026	2026	"CENTRAL MASS HEALTH, LLC"	Local CCP	Mass Advantage	HMO/HMOPOS		Central Mass Health Holding LLC	773	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H7670	Best Available Evidence Contact	Chief Compliance Officer	Mr.	Arnott	Drew		1-774-701-1423					drew.arnott@massadvantage.com	67 Millbrook Street		Worcester	MA	01606	5/27/2026	2026	"CENTRAL MASS HEALTH, LLC"	Local CCP	Mass Advantage	HMO/HMOPOS		Central Mass Health Holding LLC	773	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H7670	Chief Financial Officer	CFO	Ms.	Natarajan	Gayatri		1-774-570-0390					gayatri.natarajan@massadvantage.com	67 Millbrook Street		Worcester	MA	01606	5/27/2026	2026	"CENTRAL MASS HEALTH, LLC"	Local CCP	Mass Advantage	HMO/HMOPOS		Central Mass Health Holding LLC	773	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H7670	CMS Casework Communication Contact	Chief Compliance Officer	Mr.	Arnott	Drew		1-774-701-1423					drew.arnott@massadvantage.com	67 Millbrook Street		Worchester	MA	01606	5/27/2026	2026	"CENTRAL MASS HEALTH, LLC"	Local CCP	Mass Advantage	HMO/HMOPOS		Central Mass Health Holding LLC	773	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H7670	Coordination of Benefits Contact	Claims Manager (for VP Ops)	Ms.	Green	Rose		1-774-701-1176					rose.green@massadvantage.com	67 Millbrook Street		Worcester	MA	01606	5/27/2026	2026	"CENTRAL MASS HEALTH, LLC"	Local CCP	Mass Advantage	HMO/HMOPOS		Central Mass Health Holding LLC	773	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H7670	Customer Service Operations Contact	Vice President	Mr.	Velten	Steve		1-816-435-7408					svelten@dsthealth.com	210 W 10th St		Kansas	MO	64105	5/27/2026	2026	"CENTRAL MASS HEALTH, LLC"	Local CCP	Mass Advantage	HMO/HMOPOS		Central Mass Health Holding LLC	773	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H7670	Government Relations Contact	Chief Compliance Officer	Mr.	Arnott	Drew		1-774-701-1423					drew.arnott@massadvantage.com	67 Millbrook Street		Worcester	MA	01605	5/27/2026	2026	"CENTRAL MASS HEALTH, LLC"	Local CCP	Mass Advantage	HMO/HMOPOS		Central Mass Health Holding LLC	773	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H7670	Hospice Contact	Operations Support Specialist	Ms.	Bochtler	Kimberly		1-207-576-4136					kimberly.bochtler@massadvantage.com	67 Millbrook Street		Worcester	MA	01606	5/27/2026	2026	"CENTRAL MASS HEALTH, LLC"	Local CCP	Mass Advantage	HMO/HMOPOS		Central Mass Health Holding LLC	773	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H7670	Medicare Compliance Officer	Chief Compliance Officer	Mr.	Arnott	Drew		1-774-701-1423					drew.arnott@massadvantage.com	67 Milbrook St		Worcester	MA	01605	5/27/2026	2026	"CENTRAL MASS HEALTH, LLC"	Local CCP	Mass Advantage	HMO/HMOPOS		Central Mass Health Holding LLC	773	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H7670	Part D Exceptions Contact	Sr. Manager Medicare Pharmacy	Ms.	Jones	Susan							susan.jones@massadvantage.com	67 Milbrook Street		Worcester	MA	01606	5/27/2026	2026	"CENTRAL MASS HEALTH, LLC"	Local CCP	Mass Advantage	HMO/HMOPOS		Central Mass Health Holding LLC	773	Yes	Withdrawn Contract	1-774-701-1720				HMO - Health Maintenance Organization		C	Boston
H7670	Pharmacy Network Management Contact	VP Account Management II	Mr.	Nagy	Don		1-612-318-6111					don.nagy@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	5/27/2026	2026	"CENTRAL MASS HEALTH, LLC"	Local CCP	Mass Advantage	HMO/HMOPOS		Central Mass Health Holding LLC	773	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H7670	Pharmacy Technical Help Desk Contact	"Sr. Manager, CDAG, Medicare Part D"	Mr.	DiBiase	Joe							joe.dibiase@primetherapeutics.com	P.O. Box 64806		St. Paul	MN	55164-0811	5/27/2026	2026	"CENTRAL MASS HEALTH, LLC"	Local CCP	Mass Advantage	HMO/HMOPOS		Central Mass Health Holding LLC	773	Yes	Withdrawn Contract	1-877-865-4624				HMO - Health Maintenance Organization		C	Boston
H7670	Plan to Plan Reconciliation Contact	Sr. Manager Medicare Pharmacy	Ms.	Jones	Susan		1-774-701-1720					susan.jones@massadvantage.com	67 Millbrook Street		Worcester	MA	01606	5/27/2026	2026	"CENTRAL MASS HEALTH, LLC"	Local CCP	Mass Advantage	HMO/HMOPOS		Central Mass Health Holding LLC	773	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H7678	Automated TrOOP Balance Transfer Contact	"AVP, Pharmacy"		Vu	John		1-801-252-5706					an.vu@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF TEXAS, INC."	Local CCP	"Molina Healthcare of Texas, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7678	Best Available Evidence Contact	"Director, Medicare PEnrollment"		LeJeune	Ryan		1-562-549-4527					ryan.lejeune@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF TEXAS, INC."	Local CCP	"Molina Healthcare of Texas, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7678	Chief Financial Officer	"MHI - VP, Operating Finance"	Mr.	Parthasarathy	Vijay		1-630-381-8563					vijay.parthasarathy@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF TEXAS, INC."	Local CCP	"Molina Healthcare of Texas, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7678	CMS Casework Communication Contact	"Dir, Medicare A&G"		Bennett	Kimberly		1-248-854-9474					Kimberly.Bennett@molinahealthcare.com	24121 Rosewood Street		Oak Park	MI	48237	5/21/2025	2026	"MOLINA HEALTHCARE OF TEXAS, INC."	Local CCP	"Molina Healthcare of Texas, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7678	Coordination of Benefits Contact	"Director, Payment Integrity"		Hartberger	Jake		1-484-269-1480					Jake.Hartberger@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF TEXAS, INC."	Local CCP	"Molina Healthcare of Texas, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7678	Customer Service Operations Contact	"Vice President, Call Center"		Faroughi	Cheryl		1-614-547-6829					cheryl.faroughi@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF TEXAS, INC."	Local CCP	"Molina Healthcare of Texas, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7678	Government Relations Contact	"MHI- Vice President, Compliance"		Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@Molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF TEXAS, INC."	Local CCP	"Molina Healthcare of Texas, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7678	Hospice Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"MOLINA HEALTHCARE OF TEXAS, INC."	Local CCP	"Molina Healthcare of Texas, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7678	Medicare Compliance Officer	"MHI- Vice President, Compliance"	Mr.	Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF TEXAS, INC."	Local CCP	"Molina Healthcare of Texas, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7678	Part D Exceptions Contact	"AVP, Medicare Pharmacy Services"		Vu	John							An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"MOLINA HEALTHCARE OF TEXAS, INC."	Local CCP	"Molina Healthcare of Texas, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-801-252-5706				HMO - Health Maintenance Organization		C	New York
H7678	Pharmacy Network Management Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"MOLINA HEALTHCARE OF TEXAS, INC."	Local CCP	"Molina Healthcare of Texas, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7678	Pharmacy Technical Help Desk Contact	"Director, Client Operations"		Help Desk	Pharmacy						1-480-314-6077	dayoubj@cvshealth.com	445 Great Circle Road		Nashville	TN	37228	5/21/2025	2026	"MOLINA HEALTHCARE OF TEXAS, INC."	Local CCP	"Molina Healthcare of Texas, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H7678	Plan to Plan Reconciliation Contact	"Director, Finance"		Cook	Keith		1-562-542-2024					P2P.molina@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF TEXAS, INC."	Local CCP	"Molina Healthcare of Texas, Inc."	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7680	Automated TrOOP Balance Transfer Contact	Medicare Part D Project Manager		Manosca	Nova		1-858-790-5873					PartDCAT@MedImpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	6/4/2025	2026	PROMINENCE HEALTHFIRST OF TEXAS	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7680	Best Available Evidence Contact	Chief Operating Officer	Mr.	Koltz	Patrick		1-775-770-9240					Patrick.Koltz@uhsinc.com	1510 Meadow Wood Lane		Reno	NV	89502	6/4/2025	2026	PROMINENCE HEALTHFIRST OF TEXAS	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7680	Chief Financial Officer	CEO/Interim CFO	Mr.	Jemmoua	Kamal		1-941-545-8046					kamal.jemmoua@uhsinc.com	1510 Meadow Wood Lane		Reno	NV	89502	3/30/2026	2026	PROMINENCE HEALTHFIRST OF TEXAS	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7680	CMS Casework Communication Contact	VP of Compliance & Risk Management	Mr.	von Arx	Michael	A	1-775-770-9348					Michael.vonArx@uhsinc.com	1510 Meadow Wood Lane		Reno	NV	89502	6/4/2025	2026	PROMINENCE HEALTHFIRST OF TEXAS	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7680	Coordination of Benefits Contact	Chief Operating Officer	Mr.	Koltz	Patrick		1-775-770-9240					Patrick.Koltz@uhsinc.com	1510 Meadow Wood Lane		Reno	NV	89502	6/4/2025	2026	PROMINENCE HEALTHFIRST OF TEXAS	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7680	Customer Service Operations Contact	Chief Operating Officer		Koltz	Patrick		1-775-770-9240					patrick.koltz@uhsinc.com	1510 Meadow Wood Ln		Reno	NV	89502	6/4/2025	2026	PROMINENCE HEALTHFIRST OF TEXAS	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7680	Government Relations Contact	VP of Compliance & Risk Management	Mr.	von Arx	Michael	A	1-775-770-9348					Michael.vonArx@uhsinc.com	1510 Meadow Wood Lane		Reno	NV	89502	6/4/2025	2026	PROMINENCE HEALTHFIRST OF TEXAS	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7680	Hospice Contact	Health Services Director		Estipona	Steve		1-775-770-9462					Steve.Estipona@uhsinc.com	1510 Meadow Wood Lane		Reno	NV	89502	6/4/2025	2026	PROMINENCE HEALTHFIRST OF TEXAS	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7680	Medicare Compliance Officer	VP of Compliance & Risk Management	Mr.	von Arx	Michael	A	1-775-770-9348					Michael.vonArx@uhsinc.com	1510 Meadow Wood Lane		Reno	NV	89502	6/4/2025	2026	PROMINENCE HEALTHFIRST OF TEXAS	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7680	Part D Exceptions Contact	Director Prior Authorization and Utilization Mgmt		Emoto	Junianne							Julianne.Emoto@MedImpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	6/4/2025	2026	PROMINENCE HEALTHFIRST OF TEXAS	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active	1-858-790-5846				HMO - Health Maintenance Organization		C	Boston
H7680	Pharmacy Network Management Contact	"Supervisor, Carrier Configuration"		Montes	Melissa		1-619-599-5938					Melissa.Montes@medimpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	6/4/2025	2026	PROMINENCE HEALTHFIRST OF TEXAS	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7680	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"		Brewer	Kathy							Customerservice@MedImpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	6/4/2025	2026	PROMINENCE HEALTHFIRST OF TEXAS	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active	1-844-587-7389				HMO - Health Maintenance Organization		C	Boston
H7680	Plan to Plan Reconciliation Contact	CEO/Interim CFO	Mr.	Jemmoua	Kamal		1-941-545-8046					kamal.jemmoua@uhsinc.com	1510 Meadow Wood Lane		Reno	NV	89502	3/30/2026	2026	PROMINENCE HEALTHFIRST OF TEXAS	Local CCP	Prominence Health Plan	HMO/HMOPOS		"Universal Health Services, Inc."	587	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7710	Automated TrOOP Balance Transfer Contact	Senior Risk and Compliance Project Manager		Woods	Shane		1-412-918-8763					Shane.Woods@highmark.com	Fifth Avenue Place	120 Fifth Avenue	Pittsburgh	PA	15222	2/9/2026	2026	"HIGHMARK BCBSD, INC."	Local CCP	Highmark Blue Cross Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7710	Best Available Evidence Contact	"Senior Director,Operations"	Ms.	Magliocco	Michelle		1-412-255-4810					mmagliocco@highmarkwholecare.com	Fifth Avenue Place	120 Fifth Avenue	Pittsburgh	PA	15222	1/4/2026	2026	"HIGHMARK BCBSD, INC."	Local CCP	Highmark Blue Cross Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7710	Chief Financial Officer	CFO Highmark Health Plan	Ms.	Musler	Kate		1-412-544-8653					katherine.musler@highmark.com	120 5th Avenue		Pittsburgh	PA	15222	1/4/2026	2026	"HIGHMARK BCBSD, INC."	Local CCP	Highmark Blue Cross Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7710	CMS Casework Communication Contact	"Senior Director, Operations"	Ms.	Magliocco	Michelle		1-412-255-4810					mmagliocco@highmarkwholecare.com	Fifth Avenue Place	120 Fifth Avenue	Pittsburgh	PA	15222	1/4/2026	2026	"HIGHMARK BCBSD, INC."	Local CCP	Highmark Blue Cross Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7710	Coordination of Benefits Contact	"Sr. Director, Operations"	Ms.	Magliocco	Michelle		1-412-255-4810					COB-TPLMedicare@highmarkwholecare.com	Fifth Avenue Place	120 Fifth Avenue	Pittsburgh	PA	15222	1/4/2026	2026	"HIGHMARK BCBSD, INC."	Local CCP	Highmark Blue Cross Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7710	Customer Service Operations Contact	Manager Business Operations	Mr.	Hartman	Josh		1-800-685-5209					jhartman@highmarkwholecare.com	Fifth Avenue Place	120 Fifth Avenue	Pittsburgh	PA	15222	1/4/2026	2026	"HIGHMARK BCBSD, INC."	Local CCP	Highmark Blue Cross Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7710	Government Relations Contact	Medicare Compliance Officer	Mr.	Boettler	Thomas		1-412-544-7031					Thomas.Boettler@highmark.com	120 5th Avenue	Suite 1833	Pittsburgh	PA	15222	1/4/2026	2026	"HIGHMARK BCBSD, INC."	Local CCP	Highmark Blue Cross Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7710	Hospice Contact	Senior Risk and Compliance Project Manager	Mr.	Woods	Shane		1-412-918-8763					Shane.Woods@highmark.com	Fifth Avenue Place	120 Fifth Avenue	Pittsburgh	PA	15222	2/9/2026	2026	"HIGHMARK BCBSD, INC."	Local CCP	Highmark Blue Cross Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7710	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Boettler	Thomas		1-412-544-7031					Thomas.Boettler@highmark.com	120 5th Avenue	Suite 1833	Pittsburgh	PA	15222	1/4/2026	2026	"HIGHMARK BCBSD, INC."	Local CCP	Highmark Blue Cross Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7710	Part D Exceptions Contact	"Manager, Pharmacy Clinical Operations"		Zikmund	Ross							ross.zikmund@highmark.com	Fifth Avenue Place	120 Fifth Avenue	Pittsburgh	PA	15222	2/9/2026	2026	"HIGHMARK BCBSD, INC."	Local CCP	Highmark Blue Cross Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active	1-412-255-6370				HMO - Health Maintenance Organization		C	Boston
H7710	Pharmacy Network Management Contact	"Director,  Pharmacy Business Operations"	Ms.	Funkhouser	Christina		1-412-215-7123					christina.funkhouser@highmark.com	Fifth Avenue Place	120 Fifth Avenue	Pittsburgh	PA	15222	2/9/2026	2026	"HIGHMARK BCBSD, INC."	Local CCP	Highmark Blue Cross Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7710	Pharmacy Technical Help Desk Contact			Pharmacy Help Desk	CVS								Fifth Avenue Place	120 Fifth Avenue	Pittsburgh	PA	15222	1/4/2026	2026	"HIGHMARK BCBSD, INC."	Local CCP	Highmark Blue Cross Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Boston
H7710	Plan to Plan Reconciliation Contact	"Manager, Operational Accounting"		Stehr	Brett		1-717-302-2748					P2PRecon@highmark.com	Attn: Cashier	PO Box 898820	Camp Hill	PA	17089	1/4/2026	2026	"HIGHMARK BCBSD, INC."	Local CCP	Highmark Blue Cross Blue Shield	HMO/HMOPOS		Highmark Health	123	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H7725	Automated TrOOP Balance Transfer Contact	AR Reimbursement Specialist		Cox	Terra		1-970-508-7737				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	4/5/2024	2026	VOANS SENIOR COMMUNITY CARE OF JEFFERSON COUNTY	National PACE	Senior CommUnity Care of Jefferson County	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H7725	Best Available Evidence Contact	AR Reimbursement Specialist		Cox	Terra		1-970-508-7737				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	4/5/2024	2026	VOANS SENIOR COMMUNITY CARE OF JEFFERSON COUNTY	National PACE	Senior CommUnity Care of Jefferson County	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H7725	Chief Financial Officer	"Regional Vice President, PACE Operations"	Mr.	Nilsen	Eric		1-612-428-7858				1-952-941-7097	enilsen@voa.org	7485 Office Ridge Circle		Eden Prairie	MN	55344	4/5/2024	2026	VOANS SENIOR COMMUNITY CARE OF JEFFERSON COUNTY	National PACE	Senior CommUnity Care of Jefferson County	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H7725	CMS Casework Communication Contact	Quality and Compliance Manager		Otto	Karen		1-502-676-7516				1-502-676-7517	kotto@voa.org	960 S. 4th St.		Louisville	KY	40203	4/2/2026	2026	VOANS SENIOR COMMUNITY CARE OF JEFFERSON COUNTY	National PACE	Senior CommUnity Care of Jefferson County	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H7725	Coordination of Benefits Contact	AR Reimbursement Specialist		Cox	Terra		1-970-964-3556				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	4/5/2024	2026	VOANS SENIOR COMMUNITY CARE OF JEFFERSON COUNTY	National PACE	Senior CommUnity Care of Jefferson County	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H7725	Customer Service Operations Contact	"Regional Vice President, PACE Operations"	Mr.	Nilsen	Eric		1-612-428-7858				1-952-941-7097	enilsen@voa.org	7485 Office Ridge Circle		Eden Prairie	MN	55344	6/8/2026	2026	VOANS SENIOR COMMUNITY CARE OF JEFFERSON COUNTY	National PACE	Senior CommUnity Care of Jefferson County	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H7725	Government Relations Contact	"Regional Vice President, PACE Operations"	Mr.	Nilsen	Eric		1-612-428-7858				1-952-941-7097	enilsen@voa.org	7485 Office Ridge Circle		Eden Prairie	MN	55344	6/8/2026	2026	VOANS SENIOR COMMUNITY CARE OF JEFFERSON COUNTY	National PACE	Senior CommUnity Care of Jefferson County	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H7725	Medicare Compliance Officer	Director of Quality	Ms	Peterson	Nora		1-970-964-3500				1-970-525-0166	npeterson@voa.org	2377 Robins Way		Montrose	CO	81401	4/5/2024	2026	VOANS SENIOR COMMUNITY CARE OF JEFFERSON COUNTY	National PACE	Senior CommUnity Care of Jefferson County	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H7725	Part D Exceptions Contact	Regulatory Compliance Coordinator		Whitney	Courtney						1-970-252-0166	cwhitney@voa.org	2377 Robins Way		Montrose	CO	81401	4/5/2024	2026	VOANS SENIOR COMMUNITY CARE OF JEFFERSON COUNTY	National PACE	Senior CommUnity Care of Jefferson County	National PACE		Volunteers of America National Services	367	Yes	Active	1-970-964-3500				PACE - Nat		C	Atlanta
H7725	Pharmacy Network Management Contact	Regulatory Compliance Coordinator		Whitney	Courtney		1-970-964-3500				1-970-252-0166	cwhitney@voa.org	2377 Robins Way		Montrose	CO	81401	4/5/2024	2026	VOANS SENIOR COMMUNITY CARE OF JEFFERSON COUNTY	National PACE	Senior CommUnity Care of Jefferson County	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H7725	Pharmacy Technical Help Desk Contact	Regulatory Compliance Coordinator		Whitney	Courtney						1-970-252-0166	cwhitney@voa.org	2377 Robins Way		Montrose	CO	81401	4/5/2024	2026	VOANS SENIOR COMMUNITY CARE OF JEFFERSON COUNTY	National PACE	Senior CommUnity Care of Jefferson County	National PACE		Volunteers of America National Services	367	Yes	Active	1-970-964-3500				PACE - Nat		C	Atlanta
H7725	Plan to Plan Reconciliation Contact	AR Reimbursement Specialist		Cox	Terra		1-970-508-7737				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	4/5/2024	2026	VOANS SENIOR COMMUNITY CARE OF JEFFERSON COUNTY	National PACE	Senior CommUnity Care of Jefferson County	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H7766	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF LOUISIANA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H7766	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF LOUISIANA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H7766	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF LOUISIANA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H7766	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF LOUISIANA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H7766	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF LOUISIANA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H7766	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF LOUISIANA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H7766	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF LOUISIANA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H7766	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF LOUISIANA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H7766	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF LOUISIANA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H7766	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF LOUISIANA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				PPO - BBA		C	Atlanta
H7766	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF LOUISIANA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H7766	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF LOUISIANA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				PPO - BBA		C	Atlanta
H7766	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF LOUISIANA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H7777	Automated TrOOP Balance Transfer Contact	Finance Officer	Ms.	Nicewonger	Georgia		1-513-862-7170					Georgia_nicewonger@trihealth.com	4850 Smith Rd		Cincinnati	OH	45212	9/17/2025	2026	"TRIHEALTH G, LLC"	National PACE	PACE of Cincinnati	National PACE		"TriHealth, Inc."	233	Yes	Active					PACE - Nat		C	Chicago
H7777	Best Available Evidence Contact	Director of Care Management	Mrs	Baker	Lori		1-513-569-6748					lori_baker@trihealth.com	625 Eden Park Dr 10th floor		Cincinnati	OH	45202	3/24/2025	2026	"TRIHEALTH G, LLC"	National PACE	PACE of Cincinnati	National PACE		"TriHealth, Inc."	233	Yes	Active					PACE - Nat		C	Chicago
H7777	Chief Financial Officer	Chief Financial Officer	Mr.	Anderson	Todd		1-513-862-7223					todd_anderson@trihealth.com	4850 Smith Rd		Cincinnati	OH	45212	9/17/2025	2026	"TRIHEALTH G, LLC"	National PACE	PACE of Cincinnati	National PACE		"TriHealth, Inc."	233	Yes	Active					PACE - Nat		C	Chicago
H7777	CMS Casework Communication Contact	Director of Care Management	Mrs	Baker	Lori		1-513-569-6750					lori_baker@trihealth.com	625 Eden Park Dr 10th floor		Cincinnati	OH	45202	9/17/2025	2026	"TRIHEALTH G, LLC"	National PACE	PACE of Cincinnati	National PACE		"TriHealth, Inc."	233	Yes	Active					PACE - Nat		C	Chicago
H7777	Coordination of Benefits Contact	Finance Officer	Ms.	Nicewonger	Georgia		1-513-862-7170					Georgia_nicewonger@trihealth.com	4850 Smith Rd		Cincinnati	OH	45212	9/17/2025	2026	"TRIHEALTH G, LLC"	National PACE	PACE of Cincinnati	National PACE		"TriHealth, Inc."	233	Yes	Active					PACE - Nat		C	Chicago
H7777	Customer Service Operations Contact	Director of Care Management	Mrs	Baker	Lori		1-513-569-6750					lori_baker@trihealth.com	625 Eden Park Dr 10th floor		Cincinnati	OH	45202	9/17/2025	2026	"TRIHEALTH G, LLC"	National PACE	PACE of Cincinnati	National PACE		"TriHealth, Inc."	233	Yes	Active					PACE - Nat		C	Chicago
H7777	Government Relations Contact	Director of Care Management	Mrs	Baker	Lori		1-513-569-6750					lori_baker@trihealth.com	625 Eden Park Dr 10th floor		Cincinnati	OH	45202	3/24/2025	2026	"TRIHEALTH G, LLC"	National PACE	PACE of Cincinnati	National PACE		"TriHealth, Inc."	233	Yes	Active					PACE - Nat		C	Chicago
H7777	Medicare Compliance Officer	"Compliance, Privacy, and QI"	Mrs	hargis	heather		1-513-862-7223					heather_hargis@trihealth.com	4850 Smith Rd		Cincinnati	OH	45212	1/7/2026	2026	"TRIHEALTH G, LLC"	National PACE	PACE of Cincinnati	National PACE		"TriHealth, Inc."	233	Yes	Active					PACE - Nat		C	Chicago
H7777	Part D Exceptions Contact	Finance Director	Ms.	Nicewonger	Georgia							georgia_nicewonger@trihealth.com	4850 Smith Rd		Cincinnati	OH	45212	9/17/2025	2026	"TRIHEALTH G, LLC"	National PACE	PACE of Cincinnati	National PACE		"TriHealth, Inc."	233	Yes	Active	1-513-862-7170				PACE - Nat		C	Chicago
H7777	Pharmacy Network Management Contact	Finance Officer	Ms.	Nicewonger	Georgia		1-513-862-7170					Georgia_nicewonger@trihealth.com	4850 Smith Rd		Cincinnati	OH	45212	9/17/2025	2026	"TRIHEALTH G, LLC"	National PACE	PACE of Cincinnati	National PACE		"TriHealth, Inc."	233	Yes	Active					PACE - Nat		C	Chicago
H7777	Pharmacy Technical Help Desk Contact	Pharmacist	Dr	Mueller	Justi							justi_mueller@trihealth.com	4850 Smith Rd		Cincinnati	OH	45212	9/17/2025	2026	"TRIHEALTH G, LLC"	National PACE	PACE of Cincinnati	National PACE		"TriHealth, Inc."	233	Yes	Active	1-513-862-7223				PACE - Nat		C	Chicago
H7777	Plan to Plan Reconciliation Contact	Finance Officer	Ms.	Nicewonger	Georgia		1-513-862-7170					Georgia_nicewonger@trihealth.com	4850 Smith Rd		Cincinnati	OH	45212	9/17/2025	2026	"TRIHEALTH G, LLC"	National PACE	PACE of Cincinnati	National PACE		"TriHealth, Inc."	233	Yes	Active					PACE - Nat		C	Chicago
H7779	Automated TrOOP Balance Transfer Contact	"Operations Mgr, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	Relay.Health@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	"AMERICAN HEALTH PLAN, INC."	Local CCP	American Health Advantage of Tennessee	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7779	Best Available Evidence Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN, INC."	Local CCP	American Health Advantage of Tennessee	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7779	Chief Financial Officer	Chief Financial Officer	Mr.	Bogle	Jeffrey	A	1-615-751-8134				1-844-280-5360	MACFO@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN, INC."	Local CCP	American Health Advantage of Tennessee	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7779	CMS Casework Communication Contact	Compliance Officer		Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN, INC."	Local CCP	American Health Advantage of Tennessee	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7779	Coordination of Benefits Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN, INC."	Local CCP	American Health Advantage of Tennessee	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7779	Customer Service Operations Contact	"VP, Administration"		Brandt	Toni		1-615-476-0748				1-844-280-5360	tbrandt@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN, INC."	Local CCP	American Health Advantage of Tennessee	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7779	Government Relations Contact	Compliance Officer		Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN, INC."	Local CCP	American Health Advantage of Tennessee	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7779	Hospice Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN, INC."	Local CCP	American Health Advantage of Tennessee	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7779	Medicare Compliance Officer	Compliance Officer	Ms.	Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN, INC."	Local CCP	American Health Advantage of Tennessee	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7779	Part D Exceptions Contact	"Assoc Dir, Clinical Prior Authorization"		LeClair	Christophe						1-920-221-4176	Christopher.LeClair@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	"AMERICAN HEALTH PLAN, INC."	Local CCP	American Health Advantage of Tennessee	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active	1-844-228-7934				HMO - Health Maintenance Organization		C	Dallas
H7779	Pharmacy Network Management Contact	"VP, Provider Services"		Nagy	Don		1-608-820-4403					Don.Nagy@navitus.com	361 Integrity Drive		Madison	WI	53717	6/22/2026	2026	"AMERICAN HEALTH PLAN, INC."	Local CCP	American Health Advantage of Tennessee	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7779	Pharmacy Technical Help Desk Contact	"Sr. Mgr, Customer Care Accts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	"AMERICAN HEALTH PLAN, INC."	Local CCP	American Health Advantage of Tennessee	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Dallas
H7779	Plan to Plan Reconciliation Contact	"Director,  Finance"		Tilley	Stephanie		1-931-242-0499				1-844-280-5360	stilley@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN, INC."	Local CCP	American Health Advantage of Tennessee	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H7787	Automated TrOOP Balance Transfer Contact	Operations Advisor	Ms.	Fertig	Nancy	J	1-860-902-4553					nancy_fertig@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	New York
H7787	Best Available Evidence Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	New York
H7787	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	Health Care Service Corporation	300 East Randolph St	Chicago	IL	60601	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	New York
H7787	CMS Casework Communication Contact	Customer Service Manager	Ms.	McCarroll	Angie		1-615-235-0177					angie_mccarroll@hcsc.com	3700 O'Donnell Street		Baltimore	MD	21224	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	New York
H7787	Coordination of Benefits Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	New York
H7787	Customer Service Operations Contact	VP of Customer Service	Mr.	Akovenko	Josh		1-615-695-8916				1-000-000-0000	josh_akovenko@hcsc.com	Health Care Service Corporation	500 Great Circle Rd	Nashville	IL	60601	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	New York
H7787	Government Relations Contact	Executive Director - Health Policy	Ms.	DuGoff	Eva		1-202-249-7208				1-000-000-0000	eva_dugoff@hcsc.net	Health Care Service Corporation	1001 Pennsylvania NW	Washington	DC	20004	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	New York
H7787	Hospice Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	New York
H7787	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	New York
H7787	Part D Exceptions Contact	Operations Senior Manager	Mr.	Erkens	Ron							ron_erkens@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	Local PPO		Health Care Service Corporation	110	Yes	Active	1-602-317-1992				PPO - BBA		C	New York
H7787	Pharmacy Network Management Contact	Provider Contracting Sr Manager	Ms.	Bourdier	Maryanne		1-860-338-9867					maryanne_bourdier@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	New York
H7787	Pharmacy Technical Help Desk Contact			Scripts	Express								Health Care Services Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	Local PPO		Health Care Service Corporation	110	Yes	Active	1-800-922-1557				PPO - BBA		C	New York
H7787	Plan to Plan Reconciliation Contact		Ms.	Thomas	Andrea	F	1-629-317-9367				1-615-291-7025	P2P@healthspring.com	P.O. Box 11407	Dept#8277	Birmingham	AL	35246	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	New York
H7813	Automated TrOOP Balance Transfer Contact	Director of Revenue and Claims Management		Hernandez	Milexys		1-585-683-0811					milexys.hernandez@icirclecny.org	860 Hard Rd		Webster	NY	14580	1/22/2026	2026	"ICIRCLE SERVICES OF THE FINGER LAKES, INC."	Local CCP	"iCircle Services of the Finger Lakes, Inc"	HMO/HMOPOS		"CDS Monarch, Inc."	756	Yes	Terminated					HMO - Health Maintenance Organization		C	New York
H7813	Best Available Evidence Contact	Director of Revenue and Claims Management		Hernandez	Milexys		1-585-683-0811					milexys.hernandez@icirclecny.org	860 Hard Rd		Webster	NY	14580	1/22/2026	2026	"ICIRCLE SERVICES OF THE FINGER LAKES, INC."	Local CCP	"iCircle Services of the Finger Lakes, Inc"	HMO/HMOPOS		"CDS Monarch, Inc."	756	Yes	Terminated					HMO - Health Maintenance Organization		C	New York
H7813	Chief Financial Officer	CFO	Mr	Kotsch	Stephan		1-585-347-1201					stephan.kotsch@icirclecny.org	860 Hard Rd		Webster	NY	14580	1/22/2026	2026	"ICIRCLE SERVICES OF THE FINGER LAKES, INC."	Local CCP	"iCircle Services of the Finger Lakes, Inc"	HMO/HMOPOS		"CDS Monarch, Inc."	756	Yes	Terminated					HMO - Health Maintenance Organization		C	New York
H7813	CMS Casework Communication Contact	COO		Marble	Sharon		1-585-347-1215					sharon.marble@icirclecny.org	860 Hard Rd.		Webster	NY	14580	1/22/2026	2026	"ICIRCLE SERVICES OF THE FINGER LAKES, INC."	Local CCP	"iCircle Services of the Finger Lakes, Inc"	HMO/HMOPOS		"CDS Monarch, Inc."	756	Yes	Terminated					HMO - Health Maintenance Organization		C	New York
H7813	Coordination of Benefits Contact	COO		Marble	Sharon		1-585-347-1215					sharon.marble@icirclecny.org	860 Hard Rd		Webster	NY	14580	1/22/2026	2026	"ICIRCLE SERVICES OF THE FINGER LAKES, INC."	Local CCP	"iCircle Services of the Finger Lakes, Inc"	HMO/HMOPOS		"CDS Monarch, Inc."	756	Yes	Terminated					HMO - Health Maintenance Organization		C	New York
H7813	Customer Service Operations Contact	Manager of Enrollment & Member Services		Ortiz	Becky		1-585-347-1923					becky.ortiz@icirclecny.org	860 Hard Rd.		Webster	NY	14580	1/22/2026	2026	"ICIRCLE SERVICES OF THE FINGER LAKES, INC."	Local CCP	"iCircle Services of the Finger Lakes, Inc"	HMO/HMOPOS		"CDS Monarch, Inc."	756	Yes	Terminated					HMO - Health Maintenance Organization		C	New York
H7813	Government Relations Contact	EVP of Government Relations and Corporate Planning		Valk	Andrea		1-585-313-6427					andrea.valk@icirclecny.org	860 Hard Rd.		Webster	NY	14580	1/22/2026	2026	"ICIRCLE SERVICES OF THE FINGER LAKES, INC."	Local CCP	"iCircle Services of the Finger Lakes, Inc"	HMO/HMOPOS		"CDS Monarch, Inc."	756	Yes	Terminated					HMO - Health Maintenance Organization		C	New York
H7813	Hospice Contact	COO		Marble	Sharon		1-585-347-1215					sharon.marble@icirclecny.org	860 Hard Rd		Webster	NY	14580	1/22/2026	2026	"ICIRCLE SERVICES OF THE FINGER LAKES, INC."	Local CCP	"iCircle Services of the Finger Lakes, Inc"	HMO/HMOPOS		"CDS Monarch, Inc."	756	Yes	Terminated					HMO - Health Maintenance Organization		C	New York
H7813	Medicare Compliance Officer	VP of Quality & Compliance	Ms.	Frederico	Diane		1-585-347-1924					diane.frederico@icirclecny.org	860 Hard Rd		Webster	NY	14580	1/22/2026	2026	"ICIRCLE SERVICES OF THE FINGER LAKES, INC."	Local CCP	"iCircle Services of the Finger Lakes, Inc"	HMO/HMOPOS		"CDS Monarch, Inc."	756	Yes	Terminated					HMO - Health Maintenance Organization		C	New York
H7813	Part D Exceptions Contact	"Pharmacy Supervisor, Coverage Determinations"		"Larkins, PharmD"	Casey							clarkins@elixirsolutions.com	7835 Freedom Avenue NW		North Canton	OH	44720	1/22/2026	2026	"ICIRCLE SERVICES OF THE FINGER LAKES, INC."	Local CCP	"iCircle Services of the Finger Lakes, Inc"	HMO/HMOPOS		"CDS Monarch, Inc."	756	Yes	Terminated	1-330-285-9685				HMO - Health Maintenance Organization		C	New York
H7813	Pharmacy Network Management Contact	Director Pharmacy Network Development & Operations		Profio	Lauren		1-330-486-4864				1-330-405-8094	lprofio@elixirsolutions.com	2181 East Aurora Road	Suite 201	Twinsburg	OH	44087	1/22/2026	2026	"ICIRCLE SERVICES OF THE FINGER LAKES, INC."	Local CCP	"iCircle Services of the Finger Lakes, Inc"	HMO/HMOPOS		"CDS Monarch, Inc."	756	Yes	Terminated					HMO - Health Maintenance Organization		C	New York
H7813	Pharmacy Technical Help Desk Contact	Vice President Operations		Conn	Todd							tconn@elixirsolutions.com	7835 Freedom Avenue NW		North Canton	OH	44721	1/22/2026	2026	"ICIRCLE SERVICES OF THE FINGER LAKES, INC."	Local CCP	"iCircle Services of the Finger Lakes, Inc"	HMO/HMOPOS		"CDS Monarch, Inc."	756	Yes	Terminated	1-833-682-1192				HMO - Health Maintenance Organization		C	New York
H7813	Plan to Plan Reconciliation Contact	Manager of Enrollment & Member Services		Ortiz	Becky		1-585-347-1923					becky.ortiz@icirclecny.org	860 Hard Rd		Webster	NY	14580	1/22/2026	2026	"ICIRCLE SERVICES OF THE FINGER LAKES, INC."	Local CCP	"iCircle Services of the Finger Lakes, Inc"	HMO/HMOPOS		"CDS Monarch, Inc."	756	Yes	Terminated					HMO - Health Maintenance Organization		C	New York
H7831	Automated TrOOP Balance Transfer Contact	Finance Director	Mrs.	Johnson	Stephanie		1-314-897-7007					stephanie.johnson@evertrueliving.org	5035 Manchester Ave		Saint Louis	MO	63110	7/15/2025	2026	"PRIME ACQUISITIONS, LLC"	National PACE	EverTrue PACE	National PACE		"Midwest Christian Villages, Inc."	781	Yes	Active					PACE - Nat		C	Kansas City
H7831	Best Available Evidence Contact	Finance Director	Mrs.	Johnson	Stephanie		1-314-897-7007					stephanie.johnson@evertrueliving.org	5035 Manchester Ave		Saint Louis	MO	63110	4/16/2026	2026	"PRIME ACQUISITIONS, LLC"	National PACE	EverTrue PACE	National PACE		"Midwest Christian Villages, Inc."	781	Yes	Active					PACE - Nat		C	Kansas City
H7831	Chief Financial Officer	CFO	Mr.	Johnson	Stephanie		1-314-897-7007					stephanie.johnson@evertrueliving.org	5035 Manchester Ave.		Saint Louis	MO	63110	4/16/2026	2026	"PRIME ACQUISITIONS, LLC"	National PACE	EverTrue PACE	National PACE		"Midwest Christian Villages, Inc."	781	Yes	Active					PACE - Nat		C	Kansas City
H7831	CMS Casework Communication Contact	Operations Director	Mrs.	Butler	Diana		1-314-897-7005					diana.butler@evertrueliving.org	5035 Manchester Ave		Saint Louis	MO	63110	7/15/2025	2026	"PRIME ACQUISITIONS, LLC"	National PACE	EverTrue PACE	National PACE		"Midwest Christian Villages, Inc."	781	Yes	Active					PACE - Nat		C	Kansas City
H7831	Coordination of Benefits Contact	Finance Director	Mrs.	Johnson	Stephanie		1-314-897-7007					stephanie.johnson@lssliving.org	5035 Manchester Ave		Saint Louis	MO	63110	3/18/2025	2026	"PRIME ACQUISITIONS, LLC"	National PACE	EverTrue PACE	National PACE		"Midwest Christian Villages, Inc."	781	Yes	Active					PACE - Nat		C	Kansas City
H7831	Customer Service Operations Contact	CFO	Mr.	Johnson	Stephanie		1-314-897-7007					stephanie.johnson@evertrueliving.org	5035 Manchester Ave.		Saint Louis	MO	63110	4/16/2026	2026	"PRIME ACQUISITIONS, LLC"	National PACE	EverTrue PACE	National PACE		"Midwest Christian Villages, Inc."	781	Yes	Active					PACE - Nat		C	Kansas City
H7831	Government Relations Contact	Executive Director	Mr.	Redman	Drew	A	1-314-397-4215					drew.redman@lssliving.org	5035 Manchester Ave		Saint Louis	MO	63110	7/11/2024	2026	"PRIME ACQUISITIONS, LLC"	National PACE	EverTrue PACE	National PACE		"Midwest Christian Villages, Inc."	781	Yes	Active					PACE - Nat		C	Kansas City
H7831	Medicare Compliance Officer	CFO	Mr.	Johnson	Stephanie		1-314-897-7007					stephanie.johnson@evertrueliving.org	5035 Manchester Ave.		Saint Louis	MO	63110	4/16/2026	2026	"PRIME ACQUISITIONS, LLC"	National PACE	EverTrue PACE	National PACE		"Midwest Christian Villages, Inc."	781	Yes	Active					PACE - Nat		C	Kansas City
H7831	Part D Exceptions Contact	Chief Financial Officer	Mrs.	Johnson	Stephanie						1-314-897-7007	stephanie.johnson@evertrueliving.org	5035 Manchester Ave	5035 Manchester Ave	Saint Louis	MO	63110	4/16/2026	2026	"PRIME ACQUISITIONS, LLC"	National PACE	EverTrue PACE	National PACE		"Midwest Christian Villages, Inc."	781	Yes	Active	1-314-897-7005				PACE - Nat		C	Kansas City
H7831	Pharmacy Network Management Contact	Chief Operating Officer	Mrs.	Butler	Diana		1-314-897-7005					diana.butler@evertrueliving.org	5035 Manchester Ave		Saint Louis	MO	63110	4/16/2026	2026	"PRIME ACQUISITIONS, LLC"	National PACE	EverTrue PACE	National PACE		"Midwest Christian Villages, Inc."	781	Yes	Active					PACE - Nat		C	Kansas City
H7831	Pharmacy Technical Help Desk Contact	Executive Director	Mr.	Redman	Drew	A						drew.redman@lssliving.org	5035 Manchester Ave		Saint Louis	MO	63110	7/11/2024	2026	"PRIME ACQUISITIONS, LLC"	National PACE	EverTrue PACE	National PACE		"Midwest Christian Villages, Inc."	781	Yes	Active	1-314-397-4215				PACE - Nat		C	Kansas City
H7831	Plan to Plan Reconciliation Contact	CFO	Mr.	Johnson	Stephanie		1-314-897-7007					stephanie.johnson@evertrueliving.org	5035 Manchester Ave.		Saint Louis	MO	63110	4/16/2026	2026	"PRIME ACQUISITIONS, LLC"	National PACE	EverTrue PACE	National PACE		"Midwest Christian Villages, Inc."	781	Yes	Active					PACE - Nat		C	Kansas City
H7849	Automated TrOOP Balance Transfer Contact	Operations Advisor	Ms.	Fertig	Nancy	J	1-860-902-4553					nancy_fertig@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	New York
H7849	Best Available Evidence Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	New York
H7849	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	Health Care Service Corporation	300 East Randolph St	Chicago	IL	60601	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	New York
H7849	CMS Casework Communication Contact	Customer Service Manager	Ms.	McCarroll	Angie		1-615-235-0177					angie_mccarroll@hcsc.com	3700 O'Donnell Street		Baltimore	MD	21224	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	New York
H7849	Coordination of Benefits Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	New York
H7849	Customer Service Operations Contact	VP of Customer Service	Mr.	Akovenko	Josh		1-615-695-8916				1-000-000-0000	josh_akovenko@hcsc.com	Health Care Service Corporation	500 Great Circle Rd	Nashville	IL	60601	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	New York
H7849	Government Relations Contact	Executive Director - Health Policy	Ms.	DuGoff	Eva		1-202-249-7208				1-000-000-0000	eva_dugoff@hcsc.net	Health Care Service Corporation	1001 Pennsylvania NW	Washington	DC	20004	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	New York
H7849	Hospice Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	New York
H7849	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	New York
H7849	Part D Exceptions Contact	Operations Senior Manager	Mr.	Erkens	Ron							ron_erkens@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	Local PPO		Health Care Service Corporation	110	Yes	Active	1-602-317-1992				PPO - BBA		C	New York
H7849	Pharmacy Network Management Contact	Provider Contracting Sr Manager	Ms.	Bourdier	Maryanne		1-860-338-9867					maryanne_bourdier@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	New York
H7849	Pharmacy Technical Help Desk Contact			Scripts	Express								Health Care Services Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	Local PPO		Health Care Service Corporation	110	Yes	Active	1-800-922-1557				PPO - BBA		C	New York
H7849	Plan to Plan Reconciliation Contact		Ms.	Thomas	Andrea	F	1-629-317-9367				1-615-291-7025	P2P@healthspring.com	P.O. Box 11407	Dept#8277	Birmingham	AL	35246	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	New York
H7855	Automated TrOOP Balance Transfer Contact	Health Plan Specialist	Ms.	Ilcken	Leslie		1-818-757-4458				1-818-774-5907	leslie.ilcken@jha.org	7150 Tampa Avenue		Reseda	CA	91335	2/19/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE, INC."	National PACE	Brandman Centers for Senior Care	National PACE		Los Angeles Jewish Home for the Aging	506	Yes	Active					PACE - Nat		C	San Francisco
H7855	Best Available Evidence Contact	Health Plan Specialist	Ms.	Ilcken	Leslie		1-818-757-4458				1-818-774-5907	leslie.ilcken@jha.org	7150 Tampa Avenue		Reseda	CA	91335	2/19/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE, INC."	National PACE	Brandman Centers for Senior Care	National PACE		Los Angeles Jewish Home for the Aging	506	Yes	Active					PACE - Nat		C	San Francisco
H7855	Chief Financial Officer	Chief Financial Officer	Ms	Ruditsky	Crystal		1-818-774-3336				1-818-774-3020	crystal.ruditsky@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/3/2022	2026	"BRANDMAN CENTERS FOR SENIOR CARE, INC."	National PACE	Brandman Centers for Senior Care	National PACE		Los Angeles Jewish Home for the Aging	506	Yes	Active					PACE - Nat		C	San Francisco
H7855	CMS Casework Communication Contact	Director of Quality and Compliance	Mr.	Perkins	Michelle		1-818-774-3371					jasmine.young@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/18/2026	2026	"BRANDMAN CENTERS FOR SENIOR CARE, INC."	National PACE	Brandman Centers for Senior Care	National PACE		Los Angeles Jewish Home for the Aging	506	Yes	Active					PACE - Nat		C	San Francisco
H7855	Coordination of Benefits Contact	Health Plan Specialist	Ms.	Ilcken	Leslie		1-818-757-4458				1-818-774-5907	leslie.ilcken@jha.org	7150 Tampa Avenue		Reseda	CA	91335	2/19/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE, INC."	National PACE	Brandman Centers for Senior Care	National PACE		Los Angeles Jewish Home for the Aging	506	Yes	Active					PACE - Nat		C	San Francisco
H7855	Customer Service Operations Contact	COO	Ms.	Stepanians	Larissa		1-818-774-3371					larissa.stepanians@jha.org	7150 Tampa Avenue		Reseda	CA	91335	8/21/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE, INC."	National PACE	Brandman Centers for Senior Care	National PACE		Los Angeles Jewish Home for the Aging	506	Yes	Active					PACE - Nat		C	San Francisco
H7855	Government Relations Contact	Chief Operating Officer	Ms	Stepanians	Larissa		1-818-774-3371				1-818-774-2424	larissa.stepanians@jha.org	7150 Tampa Avenue		Reseda	CA	91335	8/21/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE, INC."	National PACE	Brandman Centers for Senior Care	National PACE		Los Angeles Jewish Home for the Aging	506	Yes	Active					PACE - Nat		C	San Francisco
H7855	Medicare Compliance Officer	Compliance Officer	Mr.	Carlson	Timothy		1-818-774-3397				1-818-774-2424	timothy.carlson@jha.org	7150 Tampa Avenue		Reseda	CA	91335	4/24/2017	2026	"BRANDMAN CENTERS FOR SENIOR CARE, INC."	National PACE	Brandman Centers for Senior Care	National PACE		Los Angeles Jewish Home for the Aging	506	Yes	Active					PACE - Nat		C	San Francisco
H7855	Part D Exceptions Contact	Health Plan Specialist	Ms.	Ilcken	Leslie						1-818-774-5907	leslie.ilcken@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/6/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE, INC."	National PACE	Brandman Centers for Senior Care	National PACE		Los Angeles Jewish Home for the Aging	506	Yes	Active	1-818-757-4458				PACE - Nat		C	San Francisco
H7855	Pharmacy Network Management Contact	"Medical Director, Brandman Centers for Senior Care"	Dr.	Ott	Casey		1-818-757-4418				1-818-774-5907	casey.ott@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/20/2019	2026	"BRANDMAN CENTERS FOR SENIOR CARE, INC."	National PACE	Brandman Centers for Senior Care	National PACE		Los Angeles Jewish Home for the Aging	506	Yes	Active					PACE - Nat		C	San Francisco
H7855	Pharmacy Technical Help Desk Contact	Pharmacist	Ms.	Aramyan	Ani						1-818-774-5900	ani.aramyan@jha.org	7150 Tampa Avenue		Reseda	CA	91335	1/7/2016	2026	"BRANDMAN CENTERS FOR SENIOR CARE, INC."	National PACE	Brandman Centers for Senior Care	National PACE		Los Angeles Jewish Home for the Aging	506	Yes	Active	1-855-654-3023				PACE - Nat		C	San Francisco
H7855	Plan to Plan Reconciliation Contact	Health Plan Specialist	Ms.	Ilcken	Leslie		1-818-757-4458				1-818-774-5907	janice.boothe@jha.org	7150 Tampa Avenue		Reseda	CA	91335	3/6/2025	2026	"BRANDMAN CENTERS FOR SENIOR CARE, INC."	National PACE	Brandman Centers for Senior Care	National PACE		Los Angeles Jewish Home for the Aging	506	Yes	Active					PACE - Nat		C	San Francisco
H7917	Automated TrOOP Balance Transfer Contact	Advisor Business CVS		Davis	Brittany		1-480-606-4613					FIRSupport@CVSHealth.com	9501 E. Shea Blvd		Scottsdale	AZ	85260	12/21/2021	2026	"BLUECROSS BLUESHIELD OF TENNESSEE, INC."	Local CCP	BlueCross BlueShield of Tennessee	Local PPO		BlueCross BlueShield of Tennessee	34	Yes	Active					PPO - BBA		C	Chicago
H7917	Best Available Evidence Contact	Manager Operations		Hardy	Sequita		1-423-991-1375					Sequita_Hardy@bcbst.com	1 Cameron Hill Circle		Chattanooga	TN	37402	4/24/2025	2026	"BLUECROSS BLUESHIELD OF TENNESSEE, INC."	Local CCP	BlueCross BlueShield of Tennessee	Local PPO		BlueCross BlueShield of Tennessee	34	Yes	Active					PPO - BBA		C	Chicago
H7917	Chief Financial Officer	Exec VP & Chief Financial Officer	Mr	Criswell	David		1-423-535-7016					David_Criswell@bcbst.com	1 Cameron Hill Circle		Chattanooga	TN	37402	5/1/2024	2026	"BLUECROSS BLUESHIELD OF TENNESSEE, INC."	Local CCP	BlueCross BlueShield of Tennessee	Local PPO		BlueCross BlueShield of Tennessee	34	Yes	Active					PPO - BBA		C	Chicago
H7917	CMS Casework Communication Contact	Manager Operations		Flagg	Kendra		1-423-535-7524				1-423-535-5498	Kendra_Flagg@bcbst.com	1 Cameron Hill Circle		Chattanooga	TN	37402	12/17/2019	2026	"BLUECROSS BLUESHIELD OF TENNESSEE, INC."	Local CCP	BlueCross BlueShield of Tennessee	Local PPO		BlueCross BlueShield of Tennessee	34	Yes	Active					PPO - BBA		C	Chicago
H7917	Coordination of Benefits Contact	Manger Revenue Reconciliation		Camp	Jan		1-423-535-3639					jan_camp@bcbst.com	1 Cameron Hill Circle		Chattanooga	TN	37402	9/29/2017	2026	"BLUECROSS BLUESHIELD OF TENNESSEE, INC."	Local CCP	BlueCross BlueShield of Tennessee	Local PPO		BlueCross BlueShield of Tennessee	34	Yes	Active					PPO - BBA		C	Chicago
H7917	Customer Service Operations Contact	Manager Operations		Walters	Karen		1-423-535-7696					Karen_Walters@bcbst.com	1 Cameron Hill Circle		Chattanooga	TN	37402	3/31/2015	2026	"BLUECROSS BLUESHIELD OF TENNESSEE, INC."	Local CCP	BlueCross BlueShield of Tennessee	Local PPO		BlueCross BlueShield of Tennessee	34	Yes	Active					PPO - BBA		C	Chicago
H7917	Government Relations Contact	Medicare Compliance Officer	Mrs.	Womble	Charriet		1-615-347-9580					charriet_womble@bcbst.com	1 Cameron Hill Circle		Chattanooga	TN	37402	10/31/2022	2026	"BLUECROSS BLUESHIELD OF TENNESSEE, INC."	Local CCP	BlueCross BlueShield of Tennessee	Local PPO		BlueCross BlueShield of Tennessee	34	Yes	Active					PPO - BBA		C	Chicago
H7917	Hospice Contact	Supervisor MA Reconciliation		Hicks	Brandon		1-423-535-3006	3006			1-423-535-5498	Brandon_Hicks@bcbst.com	1 Cameron Hill Circle		Chattanooga	TN	37402	9/15/2023	2026	"BLUECROSS BLUESHIELD OF TENNESSEE, INC."	Local CCP	BlueCross BlueShield of Tennessee	Local PPO		BlueCross BlueShield of Tennessee	34	Yes	Active					PPO - BBA		C	Chicago
H7917	Medicare Compliance Officer	Medicare Compliance Officer	Mrs	Womble	Charriet		1-615-347-9580					charriet_womble@bcbst.com	1 Cameron Hill Circle		Chattanooga	TN	37402	10/31/2022	2026	"BLUECROSS BLUESHIELD OF TENNESSEE, INC."	Local CCP	BlueCross BlueShield of Tennessee	Local PPO		BlueCross BlueShield of Tennessee	34	Yes	Active					PPO - BBA		C	Chicago
H7917	Part D Exceptions Contact	VP of Pharmacy		Tate	Natalie							Natalie_Tate@bcbst.com	1 Cameron Hill Circle		Chattanooga	TN	37402	12/9/2025	2026	"BLUECROSS BLUESHIELD OF TENNESSEE, INC."	Local CCP	BlueCross BlueShield of Tennessee	Local PPO		BlueCross BlueShield of Tennessee	34	Yes	Active	1-800-831-2583				PPO - BBA		C	Chicago
H7917	Pharmacy Network Management Contact	Advisor Network Products CVS		Lowe	David		1-480-744-9231				1-877-387-5800	David.Lowe2@CVSHealth.com	9501 E. Shea Blvd		Scottsdale	AZ	85260	12/20/2021	2026	"BLUECROSS BLUESHIELD OF TENNESSEE, INC."	Local CCP	BlueCross BlueShield of Tennessee	Local PPO		BlueCross BlueShield of Tennessee	34	Yes	Active					PPO - BBA		C	Chicago
H7917	Pharmacy Technical Help Desk Contact	Vendor Management		Rodriguez	Alex							Alex.rodriguez@CVSHealth.com	2401 Cherahala  Blvd		Knoxville	TN	37932	2/16/2024	2026	"BLUECROSS BLUESHIELD OF TENNESSEE, INC."	Local CCP	BlueCross BlueShield of Tennessee	Local PPO		BlueCross BlueShield of Tennessee	34	Yes	Active	1-866-693-4620				PPO - BBA		C	Chicago
H7917	Plan to Plan Reconciliation Contact	Business Analyst Associate		Stinnett	James		1-423-535-1624					P2PAdministration_GM@bcbst.com	Attn: P2P Coordinator	1 Cameron Hill Circle Suite 0050	Chattanooga	TN	37402-0050	2/7/2018	2026	"BLUECROSS BLUESHIELD OF TENNESSEE, INC."	Local CCP	BlueCross BlueShield of Tennessee	Local PPO		BlueCross BlueShield of Tennessee	34	Yes	Active					PPO - BBA		C	Chicago
H7980	Automated TrOOP Balance Transfer Contact	Director of Clinical Pharmacy		Smith	Ashley		1-617-478-3738					ashley.smith@wellsense.org	"100 City Square, Suite 200"		Charlestown	MA	02129	4/21/2026	2026	"BOSTON MEDICAL CENTER HEALTH PLAN, INC."	Local CCP	WellSense Health Plan	Local PPO		"BMC Health System, Inc."	493	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H7980	Best Available Evidence Contact	Sr Enrollment & Reconciliation Analyst		Cason	Joseph		1-617-748-6356					joseph.cason@wellsense.org	"100 City Square, Suite 200"		Charlestown	MA	02129	4/21/2026	2026	"BOSTON MEDICAL CENTER HEALTH PLAN, INC."	Local CCP	WellSense Health Plan	Local PPO		"BMC Health System, Inc."	493	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H7980	Chief Financial Officer	Chief Financial Officer	Mr.	Bennett	Darren		1-617-748-6160					Darren.Bennett@wellsense.org	"100 City Square, Suite 200"		Charlestown	MA	02129	4/21/2026	2026	"BOSTON MEDICAL CENTER HEALTH PLAN, INC."	Local CCP	WellSense Health Plan	Local PPO		"BMC Health System, Inc."	493	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H7980	CMS Casework Communication Contact	"Director, Appeals & Grievances"		Bigbee	Jacqueline		1-774-644-6922					jacqueline.bigbee@wellsense.org	"100 City Square, Suite 200"		Charlestown	MA	02129	4/21/2026	2026	"BOSTON MEDICAL CENTER HEALTH PLAN, INC."	Local CCP	WellSense Health Plan	Local PPO		"BMC Health System, Inc."	493	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H7980	Coordination of Benefits Contact	"Manager, Coordination of Benefits"		Castillo	Yvonne		1-617-748-6133					yvonne.castillo@wellsense.org	"100 City Square, Suite 200"		Charlestown	MA	02129	4/21/2026	2026	"BOSTON MEDICAL CENTER HEALTH PLAN, INC."	Local CCP	WellSense Health Plan	Local PPO		"BMC Health System, Inc."	493	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H7980	Customer Service Operations Contact	"Sr. Mgr, Regulatory Operations"		Day	Jennifer		1-781-576-9126					jennifer.day@wellsense.org	"100 City Square, Suite 200"		Charlestown	MA	02129	4/21/2026	2026	"BOSTON MEDICAL CENTER HEALTH PLAN, INC."	Local CCP	WellSense Health Plan	Local PPO		"BMC Health System, Inc."	493	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H7980	Government Relations Contact	Director of Government Affairs	Mr.	Krintzman	Josh		1-617-748-6490					Josh.Krintzman@wellsense.org	"100 City Square, Suite 200"		Charlestown	MA	02129	4/21/2026	2026	"BOSTON MEDICAL CENTER HEALTH PLAN, INC."	Local CCP	WellSense Health Plan	Local PPO		"BMC Health System, Inc."	493	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H7980	Hospice Contact	Director of Clinical Pharmacy		Smith	Ashley		1-617-478-3738					Ashley.Smith@wellsense.org	"100 City Square, Suite 200"		Charlestown	MA	02129	4/21/2026	2026	"BOSTON MEDICAL CENTER HEALTH PLAN, INC."	Local CCP	WellSense Health Plan	Local PPO		"BMC Health System, Inc."	493	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H7980	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Comerford	Michael		1-781-962-0405					michael.comerford@wellsense.org	"100 City Square, Suite 200"		Charlestown	MA	02129	4/21/2026	2026	"BOSTON MEDICAL CENTER HEALTH PLAN, INC."	Local CCP	WellSense Health Plan	Local PPO		"BMC Health System, Inc."	493	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H7980	Part D Exceptions Contact	Director of Clinical Pharmacy		Smith	Ashley							Ashley.Smith@wellsense.org	"100 City Square, Suite 200"		Charlestown	MA	02129	4/21/2026	2026	"BOSTON MEDICAL CENTER HEALTH PLAN, INC."	Local CCP	WellSense Health Plan	Local PPO		"BMC Health System, Inc."	493	Yes	Withdrawn Contract	1-855-833-8125				PPO - BBA		C	Boston
H7980	Pharmacy Network Management Contact	Director of Clinical Pharmacy		Smith	Ashley		1-617-478-3738					Ashley.Smith@wellsense.org	"100 City Square, Suite 200"		Charlestown	MA	02129	4/21/2026	2026	"BOSTON MEDICAL CENTER HEALTH PLAN, INC."	Local CCP	WellSense Health Plan	Local PPO		"BMC Health System, Inc."	493	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H7980	Pharmacy Technical Help Desk Contact	Director of Clinical Pharmacy		Smith	Ashley							Ashley.Smith@wellsense.org	"100 City Square, Suite 200"		Charlestown	MA	02129	4/21/2026	2026	"BOSTON MEDICAL CENTER HEALTH PLAN, INC."	Local CCP	WellSense Health Plan	Local PPO		"BMC Health System, Inc."	493	Yes	Withdrawn Contract	1-800-922-1557				PPO - BBA		C	Boston
H7980	Plan to Plan Reconciliation Contact	Sr. Healthcare Accountant		Leung	Angela		1-978-204-3651					Angela.Leung@wellsense.org	"100 City Square, Suite 200"		Charlestown	MA	02129	4/21/2026	2026	"BOSTON MEDICAL CENTER HEALTH PLAN, INC."	Local CCP	WellSense Health Plan	Local PPO		"BMC Health System, Inc."	493	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H7993	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF TEXAS, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7993	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF TEXAS, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7993	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF TEXAS, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7993	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF TEXAS, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7993	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF TEXAS, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7993	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF TEXAS, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7993	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF TEXAS, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7993	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF TEXAS, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7993	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF TEXAS, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7993	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF TEXAS, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				HMO - Health Maintenance Organization		C	New York
H7993	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF TEXAS, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H7993	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF TEXAS, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H7993	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF TEXAS, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8003	Automated TrOOP Balance Transfer Contact	Supervisor - Medicare Advantage Operations		Dewitt	Tanika		1-803-264-1103					tanika.dewitt@BCBSSC.com	I-20 at Alpine Road	AG-780	Columbia	SC	29219	10/25/2019	2026	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	Local CCP	Blue Cross Blue Shield of South Carolina	Local PPO		BlueCross BlueShield of South Carolina (BCBSSC)	2	Yes	Active					PPO - BBA		C	Chicago
H8003	Best Available Evidence Contact	Director Operations		Morris	Charles		1-803-264-1799				1-803-264-9581	charles.morris@bcbssc.com	I-20 at Alpine Road	AG-780	Columbia	SC	29219	4/12/2023	2026	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	Local CCP	Blue Cross Blue Shield of South Carolina	Local PPO		BlueCross BlueShield of South Carolina (BCBSSC)	2	Yes	Active					PPO - BBA		C	Chicago
H8003	Chief Financial Officer	"VP & CFO, BCBS Div"	Mrs.	Srulevich	Heather		1-803-264-9488					Heather.Srulevich@BCBSSC.com	I-20 at Alpine Road	AX-200	Columbia	SC	29219	10/26/2017	2026	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	Local CCP	Blue Cross Blue Shield of South Carolina	Local PPO		BlueCross BlueShield of South Carolina (BCBSSC)	2	Yes	Active					PPO - BBA		C	Chicago
H8003	CMS Casework Communication Contact	Manager - Medicare Advantage Operations		Dewitt	Tanika		1-803-264-1103					Tanika.Dewitt@BCBSSC.com	I-20 at Alpine Road	AG-780	Columbia	SC	29219	3/11/2020	2026	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	Local CCP	Blue Cross Blue Shield of South Carolina	Local PPO		BlueCross BlueShield of South Carolina (BCBSSC)	2	Yes	Active					PPO - BBA		C	Chicago
H8003	Coordination of Benefits Contact	Supervisor - Medicare Advantage Operations		Dewitt	Tanika		1-803-264-1103					tanika.dewitt@BCBSSC.com	I-20 at Alpine Road	AG-780	Columbia	SC	29219	10/25/2019	2026	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	Local CCP	Blue Cross Blue Shield of South Carolina	Local PPO		BlueCross BlueShield of South Carolina (BCBSSC)	2	Yes	Active					PPO - BBA		C	Chicago
H8003	Customer Service Operations Contact	"Senior Director, Service & Staff Development"		Huggins	Amoy		1-803-264-3285					amoy.huggins@bcbssc.com	I-20 at Alpine Road	AX-F21	Columbia	SC	29219	3/5/2026	2026	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	Local CCP	Blue Cross Blue Shield of South Carolina	Local PPO		BlueCross BlueShield of South Carolina (BCBSSC)	2	Yes	Active					PPO - BBA		C	Chicago
H8003	Government Relations Contact	Compliance Officer		Pierstorff	Joel		1-803-264-1971				1-803-264-4050	BCBSSC.MA.COMPLIANCE@bcbssc.com	I-20 at Alpine Road	AC-200	Columbia	SC	29219	12/1/2021	2026	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	Local CCP	Blue Cross Blue Shield of South Carolina	Local PPO		BlueCross BlueShield of South Carolina (BCBSSC)	2	Yes	Active					PPO - BBA		C	Chicago
H8003	Hospice Contact	Supervisor - Medicare Advantage Operations		DeWitt	Tanika		1-803-264-1103					tanika.dewitt@bcbssc.com	1-20 @ Alpine Rd.	AG-780	Columbia	SC	29223	10/25/2019	2026	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	Local CCP	Blue Cross Blue Shield of South Carolina	Local PPO		BlueCross BlueShield of South Carolina (BCBSSC)	2	Yes	Active					PPO - BBA		C	Chicago
H8003	Medicare Compliance Officer	Compliance Officer	Mr.	Pierstorff	Joel		1-803-264-1971				1-803-264-4050	BCBSSC.MA.COMPLIANCE@bcbssc.com	I-20 at Alpine Road	AC-200	Columbia	SC	29219	3/5/2026	2026	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	Local CCP	Blue Cross Blue Shield of South Carolina	Local PPO		BlueCross BlueShield of South Carolina (BCBSSC)	2	Yes	Active					PPO - BBA		C	Chicago
H8003	Part D Exceptions Contact	Manager - Medicare Part D Pharmacy Contracting		Puffenbarger	Chris						1-803-870-8162	Chris.Puffenbarger@BCBSSC.com	I-20 at Alpine Road	AX-740	Columbia	SC	29219	12/31/2020	2026	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	Local CCP	Blue Cross Blue Shield of South Carolina	Local PPO		BlueCross BlueShield of South Carolina (BCBSSC)	2	Yes	Active	1-803-264-5355				PPO - BBA		C	Chicago
H8003	Pharmacy Network Management Contact	Manager - Medicare Part D Pharmacy Contracting		Puffenbarger	Chris		1-803-264-4347				1-803-870-8162	Chris.Puffenbarger@BCBSSC.com	I-20 at Alpine Road	AX-740	Columbia	SC	29219	12/27/2016	2026	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	Local CCP	Blue Cross Blue Shield of South Carolina	Local PPO		BlueCross BlueShield of South Carolina (BCBSSC)	2	Yes	Active					PPO - BBA		C	Chicago
H8003	Pharmacy Technical Help Desk Contact	Sr.		Villanueva	Juan							juan.villanueva@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	3/27/2024	2026	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	Local CCP	Blue Cross Blue Shield of South Carolina	Local PPO		BlueCross BlueShield of South Carolina (BCBSSC)	2	Yes	Active	1-855-540-5951				PPO - BBA		C	Chicago
H8003	Plan to Plan Reconciliation Contact	"Director, Accounting"		Campbell	Newt		1-803-264-0357					Newt.Campbell@bcbssc.com	I-20 at Alpine Road	AX-200	Columbia	SC	29219	4/13/2023	2026	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	Local CCP	Blue Cross Blue Shield of South Carolina	Local PPO		BlueCross BlueShield of South Carolina (BCBSSC)	2	Yes	Active					PPO - BBA		C	Chicago
H8010	Automated TrOOP Balance Transfer Contact	CFO	Mr.	Thornton	Clay		1-859-221-9670				1-201-255-4173	clay.thornton@cloverhealth.com	P.O.Box 21164		Eagan	MN	55121	1/27/2026	2026	CLOVER HMO OF NEW JERSEY INC.	Local CCP	Clover Health	HMO/HMOPOS		"Clover Health Holdings, Inc."	491	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8010	Best Available Evidence Contact	Enrollment Dir	Ms	Newman	Jennifer		1-754-245-6377					jennifer.newman@cloverhealth.com	P.O. Box 21164		Eagan	MN	55121	1/27/2026	2026	CLOVER HMO OF NEW JERSEY INC.	Local CCP	Clover Health	HMO/HMOPOS		"Clover Health Holdings, Inc."	491	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8010	Chief Financial Officer	CFO	Mr.	Thornton	Clay		1-859-221-9670				1-201-255-4173	clay.thornton@cloverhealth.com	P.O. Box 21164		Eagan	MN	55121	1/27/2026	2026	CLOVER HMO OF NEW JERSEY INC.	Local CCP	Clover Health	HMO/HMOPOS		"Clover Health Holdings, Inc."	491	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8010	CMS Casework Communication Contact	Compliance Director	Mr.	Davis	Robert		1-201-320-0506					robert.davis@cloverhealth.com	P.O. Box 21164		Eagan	MN	55121	1/27/2026	2026	CLOVER HMO OF NEW JERSEY INC.	Local CCP	Clover Health	HMO/HMOPOS		"Clover Health Holdings, Inc."	491	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8010	Coordination of Benefits Contact	Enrollment Director	Ms.	Newman	Jennifer		1-754-245-6377					jennifer.newman@cloverhealth.com	P.O. Box 21164		Eagan	MN	55121	1/27/2026	2026	CLOVER HMO OF NEW JERSEY INC.	Local CCP	Clover Health	HMO/HMOPOS		"Clover Health Holdings, Inc."	491	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8010	Customer Service Operations Contact	COO	Mr.	Brand	Joseph		1-201-432-2133				1-201-255-4173	joe.brand@cloverhealth.com	P.O. Box 21164		Eagan	MN	55121	1/27/2026	2026	CLOVER HMO OF NEW JERSEY INC.	Local CCP	Clover Health	HMO/HMOPOS		"Clover Health Holdings, Inc."	491	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8010	Government Relations Contact	Chief Compliance Officer	Ms.	Clapper	Wendy		1-551-225-2014				1-201-255-4173	wendy.clapper@cloverhealth.com	P.O. Box 21164		Eagan	MN	55121	1/27/2026	2026	CLOVER HMO OF NEW JERSEY INC.	Local CCP	Clover Health	HMO/HMOPOS		"Clover Health Holdings, Inc."	491	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8010	Hospice Contact	COO	Mr.	Brand	Joseph		1-201-432-2133				1-201-858-7355	joe.brand@cloverhealth.com	P.O. Box 21164		Eagan	MN	55121	1/27/2026	2026	CLOVER HMO OF NEW JERSEY INC.	Local CCP	Clover Health	HMO/HMOPOS		"Clover Health Holdings, Inc."	491	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8010	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Clapper	Wendy		1-551-225-2014				1-201-255-4173	wendy.clapper@cloverhealth.com	P.O. Box 21164		Eagan	MN	55121	1/27/2026	2026	CLOVER HMO OF NEW JERSEY INC.	Local CCP	Clover Health	HMO/HMOPOS		"Clover Health Holdings, Inc."	491	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8010	Part D Exceptions Contact	VP of Pharmacy	Mr	Pica	Michael						1-201-255-4173	mike.pica@cloverhealth.com	P.O. Box 21164		Eagan	MN	55121	1/27/2026	2026	CLOVER HMO OF NEW JERSEY INC.	Local CCP	Clover Health	HMO/HMOPOS		"Clover Health Holdings, Inc."	491	Yes	Active	1-201-432-2133				HMO - Health Maintenance Organization		C	New York
H8010	Pharmacy Network Management Contact	SV Pharmacy	Mr	Pica	Michael		1-201-432-2133				1-480-314-6023	mike.pica@Cloverhealth.com	P.O. Box 21164		Eagan	MN	55121	1/27/2026	2026	CLOVER HMO OF NEW JERSEY INC.	Local CCP	Clover Health	HMO/HMOPOS		"Clover Health Holdings, Inc."	491	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8010	Pharmacy Technical Help Desk Contact	VP of Pharmacy	Mr	Pica	Michael							mike.pica@cloverhealth.com	P.O. Box 21164		Eagan	MN	55121	1/27/2026	2026	CLOVER HMO OF NEW JERSEY INC.	Local CCP	Clover Health	HMO/HMOPOS		"Clover Health Holdings, Inc."	491	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H8010	Plan to Plan Reconciliation Contact	Accounting Manager	Mr.	Bhatt	Mital		1-551-358-4582					mital.bhatt@cloverhealth.com	c/o PNC Bank	PO Box 825694	Philadelphia	PA	19182	1/27/2026	2026	CLOVER HMO OF NEW JERSEY INC.	Local CCP	Clover Health	HMO/HMOPOS		"Clover Health Holdings, Inc."	491	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8048	Automated TrOOP Balance Transfer Contact	Vice President of Finance	Ms.	DiMaria	Anna		1-516-422-7891					adimaria@Kinshiphs.com	225 Crossways Park Drive		Woodbury	NY	11797	1/7/2026	2026	"KINSHIP PACE OF INDIANA, LLC"	National PACE	"Kinship PACE of Indiana, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Active					PACE - Nat		C	Chicago
H8048	Best Available Evidence Contact	CEO	Mrs	Garay	Lisa		1-201-675-5663					lgaray@kinshiphs.com	63 Karen Drive		Mahwah	NJ	07430	3/13/2026	2026	"KINSHIP PACE OF INDIANA, LLC"	National PACE	"Kinship PACE of Indiana, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Active					PACE - Nat		C	Chicago
H8048	Chief Financial Officer	Chief Financial Officer	Mr.	Leahy	Ryan		1-845-235-6531					RLeahy@Kinshiphs.com	225 Crossways Park Drive		Woodbury	NY	11797	4/13/2026	2026	"KINSHIP PACE OF INDIANA, LLC"	National PACE	"Kinship PACE of Indiana, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Active					PACE - Nat		C	Chicago
H8048	CMS Casework Communication Contact	SVP Clinical Services	Mr	Tavares	David		1-914-610-9706					DTavares@Kinshiphs.com	23 Old Orchard Ln		Stamford	CT	06903	1/7/2026	2026	"KINSHIP PACE OF INDIANA, LLC"	National PACE	"Kinship PACE of Indiana, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Active					PACE - Nat		C	Chicago
H8048	Coordination of Benefits Contact	Regional Program Director - Indiana	Ms	Escobedo	Kace		1-812-583-4189					kescobedo@kinshiphs.com	3734 South Reed Road		Kokomo	IN	46902	1/7/2026	2026	"KINSHIP PACE OF INDIANA, LLC"	National PACE	"Kinship PACE of Indiana, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Active					PACE - Nat		C	Chicago
H8048	Customer Service Operations Contact	Regional Program Director - Indiana	Ms	Escobedo	Kace		1-812-583-4189					kescobedo@kinshiphs.com	3734 South Reed Road		Kokomo	IN	46902	1/7/2026	2026	"KINSHIP PACE OF INDIANA, LLC"	National PACE	"Kinship PACE of Indiana, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Active					PACE - Nat		C	Chicago
H8048	Government Relations Contact	VP Compliance and Government Affairs	Ms	Lopez	Kim		1-303-960-0733					klopez@kinshiphs.com	225 Crossways Park Drive		Woodbury	NY	11797	6/1/2026	2026	"KINSHIP PACE OF INDIANA, LLC"	National PACE	"Kinship PACE of Indiana, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Active					PACE - Nat		C	Chicago
H8048	Medicare Compliance Officer	VP Compliance and Government Affairs	Ms	Lopez	Kim		1-303-960-0733					klopoz@kinshiphs.com	225 Crossways Park Drive		Woodbury	NY	11797	6/1/2026	2026	"KINSHIP PACE OF INDIANA, LLC"	National PACE	"Kinship PACE of Indiana, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Active					PACE - Nat		C	Chicago
H8048	Part D Exceptions Contact	Regional Program Director - Indiana	Ms	Escobedo	Kace							KESCOBEDO@KINSHIPHS.COM	3734 South Reed Road		Kokomo	IN	46902	1/7/2026	2026	"KINSHIP PACE OF INDIANA, LLC"	National PACE	"Kinship PACE of Indiana, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Active	1-812-583-4189				PACE - Nat		C	Chicago
H8048	Pharmacy Network Management Contact	Regional Program Director - Indiana	Ms	Escobedo	Kace		1-812-583-4189					kescobedo@kinshiphs.com	3734 South Reed Road		Kokomo	IN	46902	1/7/2026	2026	"KINSHIP PACE OF INDIANA, LLC"	National PACE	"Kinship PACE of Indiana, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Active					PACE - Nat		C	Chicago
H8048	Pharmacy Technical Help Desk Contact	CEO	Mrs	Garay	Lisa							lgaray@kinshiphs.com	63 Karen Drive		Mahwah	NJ	07430	3/13/2026	2026	"KINSHIP PACE OF INDIANA, LLC"	National PACE	"Kinship PACE of Indiana, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Active	1-201-675-5663				PACE - Nat		C	Chicago
H8048	Plan to Plan Reconciliation Contact	Regional Program Director - Indiana	Ms	Escobedo	Kace		1-812-583-4189					kescobedo@kinshiphs.com	3734 South Reed Road		Kokomo	IN	46902	1/7/2026	2026	"KINSHIP PACE OF INDIANA, LLC"	National PACE	"Kinship PACE of Indiana, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Active					PACE - Nat		C	Chicago
H8051	Automated TrOOP Balance Transfer Contact	"Sr Director, Operations"		Wong	Dave		1-415-615-4487					dwong@sfhp.org	50 Beale Street	13th Floor	San Francisco	CA	94105	2/25/2026	2026	SAN FRANCISCO HEALTH AUTHORITY DBA SAN FRANCISCO HEALTH PLAN	Local CCP	San Francisco Health Plan	HMO/HMOPOS		SAN FRANCISCO HEALTH AUTHORITY	869	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8051	Best Available Evidence Contact	"Senior Manager, Member Data"		Huang	Leslie		1-415-615-4470					mhuang@sfhp.org	50 Beale Street	12th Floor	San Francisco	CA	94105	10/14/2025	2026	SAN FRANCISCO HEALTH AUTHORITY DBA SAN FRANCISCO HEALTH PLAN	Local CCP	San Francisco Health Plan	HMO/HMOPOS		SAN FRANCISCO HEALTH AUTHORITY	869	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8051	Chief Financial Officer	Chief Financial Officer	Mr.	Bishop	Skip		1-415-615-4230					sbishop@sfhp.org	50 Beale Street	13th Floor	San Francisco	CA	94105	12/9/2025	2026	SAN FRANCISCO HEALTH AUTHORITY DBA SAN FRANCISCO HEALTH PLAN	Local CCP	San Francisco Health Plan	HMO/HMOPOS		SAN FRANCISCO HEALTH AUTHORITY	869	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8051	CMS Casework Communication Contact	"Director, Regulatory Affairs"	Mr.	Bhambra	John	M	1-415-615-5950					jbhambra@sfhp.org	50 Beale Street	13th Floor	San Francisco	CA	94105	5/20/2025	2026	SAN FRANCISCO HEALTH AUTHORITY DBA SAN FRANCISCO HEALTH PLAN	Local CCP	San Francisco Health Plan	HMO/HMOPOS		SAN FRANCISCO HEALTH AUTHORITY	869	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8051	Coordination of Benefits Contact	"Manager, Member Data"		Huang	Leslie		1-415-615-4470					mhuang@sfhp.org	50 Beale Street	12th Floor	San Francisco	CA	94105	6/12/2025	2026	SAN FRANCISCO HEALTH AUTHORITY DBA SAN FRANCISCO HEALTH PLAN	Local CCP	San Francisco Health Plan	HMO/HMOPOS		SAN FRANCISCO HEALTH AUTHORITY	869	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8051	Customer Service Operations Contact	"Senior Manager, Member Services"		Tiani	Travis		1-415-615-4293					ttiani@sfhp.org	50 Beale Street	12th Floor	San Francisco	CA	94105	2/6/2025	2026	SAN FRANCISCO HEALTH AUTHORITY DBA SAN FRANCISCO HEALTH PLAN	Local CCP	San Francisco Health Plan	HMO/HMOPOS		SAN FRANCISCO HEALTH AUTHORITY	869	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8051	Government Relations Contact	"Director, Regulatory Affairs"		Bhambra	John		1-415-615-5950					jbhambra@sfhp.org	50 Beale Street	13th Floor	San Francisco	CA	94105	2/6/2025	2026	SAN FRANCISCO HEALTH AUTHORITY DBA SAN FRANCISCO HEALTH PLAN	Local CCP	San Francisco Health Plan	HMO/HMOPOS		SAN FRANCISCO HEALTH AUTHORITY	869	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8051	Hospice Contact	"Manager, Clinical Operations"		Kerr	Morgan		1-415-615-5670					mkerr@sfhp.org	50 Beale Street	12th Floor	San Francisco	CA	94105	2/25/2026	2026	SAN FRANCISCO HEALTH AUTHORITY DBA SAN FRANCISCO HEALTH PLAN	Local CCP	San Francisco Health Plan	HMO/HMOPOS		SAN FRANCISCO HEALTH AUTHORITY	869	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8051	Medicare Compliance Officer	Chief Compliance and Regulatory Affairs Officer	Ms.	Maruyama	Nina		1-415-615-4217					nmaruyama@sfhp.org	50 Beale Street	13th Floor	San Francisco	CA	94105	1/13/2026	2026	SAN FRANCISCO HEALTH AUTHORITY DBA SAN FRANCISCO HEALTH PLAN	Local CCP	San Francisco Health Plan	HMO/HMOPOS		SAN FRANCISCO HEALTH AUTHORITY	869	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8051	Part D Exceptions Contact	"Director, Pharmacy"		Ellsworth	Brian							bellsworth01@sfhp.org	50 Beale Street	12th Floor	San Francisco	CA	94105	2/6/2025	2026	SAN FRANCISCO HEALTH AUTHORITY DBA SAN FRANCISCO HEALTH PLAN	Local CCP	San Francisco Health Plan	HMO/HMOPOS		SAN FRANCISCO HEALTH AUTHORITY	869	Yes	Active	1-800-288-5555				HMO - Health Maintenance Organization		C	New York
H8051	Pharmacy Network Management Contact	"Director, Pharmacy"		Ellsworth	Brian		1-415-615-5799					bellsworth01@sfhp.org	50 Beale Street	12th Floor	San Francisco	CA	94105	2/5/2025	2026	SAN FRANCISCO HEALTH AUTHORITY DBA SAN FRANCISCO HEALTH PLAN	Local CCP	San Francisco Health Plan	HMO/HMOPOS		SAN FRANCISCO HEALTH AUTHORITY	869	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8051	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"		Brewer	Kathy							Customerservice@MedImpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	12/19/2025	2026	SAN FRANCISCO HEALTH AUTHORITY DBA SAN FRANCISCO HEALTH PLAN	Local CCP	San Francisco Health Plan	HMO/HMOPOS		SAN FRANCISCO HEALTH AUTHORITY	869	Yes	Active	1-877-391-9293				HMO - Health Maintenance Organization		C	New York
H8051	Plan to Plan Reconciliation Contact	"Director, Pharmacy"		Ellsworth	Brian		1-415-615-5799					bellsworth01@sfhp.org	50 Beale Street	12th Floor	San Francisco	CA	94105	2/5/2025	2026	SAN FRANCISCO HEALTH AUTHORITY DBA SAN FRANCISCO HEALTH PLAN	Local CCP	San Francisco Health Plan	HMO/HMOPOS		SAN FRANCISCO HEALTH AUTHORITY	869	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8067	Automated TrOOP Balance Transfer Contact	VP of Pharmacy	Dr	Ford	James	E	1-443-275-9801					jford@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	5/28/2026	2026	"PROVIDER PARTNERS HEALTH PLAN, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H8067	Best Available Evidence Contact	VP of Plan Management	Ms	Radice	Sue		1-410-991-3213				1-844-462-3091	sradice@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	5/28/2026	2026	"PROVIDER PARTNERS HEALTH PLAN, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H8067	Chief Financial Officer	CFO	Mr	Persinger	Keith		1-410-456-3946					kpersinger@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	5/28/2026	2026	"PROVIDER PARTNERS HEALTH PLAN, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H8067	CMS Casework Communication Contact	Chief Compliance Officer	Mr	Nunez	Kenneth		1-813-230-1048					knunez@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	5/28/2026	2026	"PROVIDER PARTNERS HEALTH PLAN, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H8067	Coordination of Benefits Contact	VP of Finance	Ms	McIntyre	Mary Beth		1-410-967-2097					mmcintyre@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	5/28/2026	2026	"PROVIDER PARTNERS HEALTH PLAN, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H8067	Customer Service Operations Contact	VP of Operations	Mr	Brain	Jay		1-240-367-2626					JBrain@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	5/28/2026	2026	"PROVIDER PARTNERS HEALTH PLAN, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H8067	Government Relations Contact	President & CEO	Mr	Grindrod	Rick		1-410-913-7653					rgrindrod@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	5/28/2026	2026	"PROVIDER PARTNERS HEALTH PLAN, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H8067	Hospice Contact	Director of Operations	Ms	Winton	Linde		1-817-374-3812					lwinton@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	5/28/2026	2026	"PROVIDER PARTNERS HEALTH PLAN, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H8067	Medicare Compliance Officer	Chief Compliance Officer	Mr	Nunez	Kenneth		1-813-230-1048					knunez@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	5/28/2026	2026	"PROVIDER PARTNERS HEALTH PLAN, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H8067	Part D Exceptions Contact	"Manager, Prior Authorization Appeals"		Le	Christina						1-877-239-4565	christina.le@optum.com	PO Box 2975		Mission	KS	66201	5/28/2026	2026	"PROVIDER PARTNERS HEALTH PLAN, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Withdrawn Contract	1-888-403-3398				HMO - Health Maintenance Organization		C	Dallas
H8067	Pharmacy Network Management Contact	"Manager, Retail Network Operations"		Perez	Felix		1-305-331-3044					Felix.perez@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	5/28/2026	2026	"PROVIDER PARTNERS HEALTH PLAN, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H8067	Pharmacy Technical Help Desk Contact	"Manager, Pharmacy Help Desk"		Villanueva	Juan							juan.villanueva@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	5/28/2026	2026	"PROVIDER PARTNERS HEALTH PLAN, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Withdrawn Contract	1-855-205-4428				HMO - Health Maintenance Organization		C	Dallas
H8067	Plan to Plan Reconciliation Contact	VP of Finance	Ms	McIntyre	Mary Beth		1-410-967-2097					mmcintyre@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	5/28/2026	2026	"PROVIDER PARTNERS HEALTH PLAN, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H8082	Automated TrOOP Balance Transfer Contact			North	Tom		1-714-878-4552					tom.north@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/24/2025	2026	STOCKTON PACE	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H8082	Best Available Evidence Contact			Cumpian	Terry		1-209-840-8404					terry.cumpian@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	5/29/2024	2026	STOCKTON PACE	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H8082	Chief Financial Officer		Ms.	Bosse	Colleen		1-209-300-9443					colleen.bosse@welbehealth.com	440 N BARRANCA AVE #4053		Covina	CA	91723	6/30/2026	2026	STOCKTON PACE	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H8082	CMS Casework Communication Contact			Costigan	Bobbie		1-219-210-6392					Bobbie.Costigan@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	7/30/2025	2026	STOCKTON PACE	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H8082	Coordination of Benefits Contact			Holmes	Nicole		1-269-910-1107					nicole.holmes@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/24/2025	2026	STOCKTON PACE	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H8082	Customer Service Operations Contact			Bosse	Colleen		1-209-300-9443					colleen.bosse@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/30/2026	2026	STOCKTON PACE	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H8082	Government Relations Contact			Lee	Elizabeth		1-714-470-6077					elizabeth.lee@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	3/5/2024	2026	STOCKTON PACE	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H8082	Medicare Compliance Officer		Ms.	Lee	Elizabeth		1-714-470-6077					elizabeth.lee@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	3/5/2024	2026	STOCKTON PACE	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H8082	Part D Exceptions Contact			Lincoln-Giang	Pam							pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	8/12/2025	2026	STOCKTON PACE	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active	1-650-294-8027				PACE - Nat		C	San Francisco
H8082	Pharmacy Network Management Contact			Lincoln-Giang	Pam		1-650-294-8027					pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	8/12/2025	2026	STOCKTON PACE	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H8082	Pharmacy Technical Help Desk Contact			Lincoln-Giang	Pam							pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	8/12/2025	2026	STOCKTON PACE	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active	1-650-294-8027				PACE - Nat		C	San Francisco
H8082	Plan to Plan Reconciliation Contact			Porras	Ashleigh		1-650-442-2660					p2p@welbehealth.com	440 N BARRANCA AVE #4053		COVINA	CA	91723	6/30/2026	2026	STOCKTON PACE	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Active					PACE - Nat		C	San Francisco
H8093	Automated TrOOP Balance Transfer Contact	"Operations Mgr, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	Relay.Health@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	"GEORGIA ASSURANCE, INC."	Local CCP	Georgia Health Advantage	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8093	Best Available Evidence Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"GEORGIA ASSURANCE, INC."	Local CCP	Georgia Health Advantage	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8093	Chief Financial Officer	Chief Financial Officer	Mr.	Bogle	Jeffrey	A	1-615-751-8134				1-844-280-5360	MACFO@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"GEORGIA ASSURANCE, INC."	Local CCP	Georgia Health Advantage	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8093	CMS Casework Communication Contact	Compliance Officer		Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"GEORGIA ASSURANCE, INC."	Local CCP	Georgia Health Advantage	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8093	Coordination of Benefits Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"GEORGIA ASSURANCE, INC."	Local CCP	Georgia Health Advantage	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8093	Customer Service Operations Contact	"VP, Administration"		Brandt	Toni		1-615-476-0748				1-844-280-5360	tbrandt@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"GEORGIA ASSURANCE, INC."	Local CCP	Georgia Health Advantage	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8093	Government Relations Contact	Compliance Officer		Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"GEORGIA ASSURANCE, INC."	Local CCP	Georgia Health Advantage	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8093	Hospice Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"GEORGIA ASSURANCE, INC."	Local CCP	Georgia Health Advantage	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8093	Medicare Compliance Officer	Compliance Officer	Ms.	Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"GEORGIA ASSURANCE, INC."	Local CCP	Georgia Health Advantage	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8093	Part D Exceptions Contact	"Assoc Dir, Clinical Prior Authorization"		LeClair	Christophe						1-920-221-4176	Christopher.LeClair@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	"GEORGIA ASSURANCE, INC."	Local CCP	Georgia Health Advantage	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active	1-844-228-7934				HMO - Health Maintenance Organization		C	Dallas
H8093	Pharmacy Network Management Contact	"VP, Provider Services"		Nagy	Don		1-608-820-4403					Don.Nagy@navitus.com	361 Integrity Drive		Madison	WI	53717	6/22/2026	2026	"GEORGIA ASSURANCE, INC."	Local CCP	Georgia Health Advantage	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8093	Pharmacy Technical Help Desk Contact	"Sr. Mgr, Customer Care Accts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	"GEORGIA ASSURANCE, INC."	Local CCP	Georgia Health Advantage	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Dallas
H8093	Plan to Plan Reconciliation Contact	"Director,  Finance"		Tilley	Stephanie		1-931-242-0499				1-844-280-5360	stilley@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"GEORGIA ASSURANCE, INC."	Local CCP	Georgia Health Advantage	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8095	Automated TrOOP Balance Transfer Contact	Director		Clark	Erica		1-616-758-0917					eclark3@bcbsm.com	1000 Town Center		Southfield	MI	48075	6/1/2026	2026	"WELLMARK ADVANTAGE HEALTH PLAN, INC."	Local CCP	Wellmark Advantage Health Plan	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H8095	Best Available Evidence Contact	Manager		LaMontagne	Amanda		1-508-439-9720					amanda.lamontagne@advantasure.com	5 Polaris Way		Aliso Viejo	CA	92656	6/1/2026	2026	"WELLMARK ADVANTAGE HEALTH PLAN, INC."	Local CCP	Wellmark Advantage Health Plan	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H8095	Chief Financial Officer	"SVP, Controller"	Mr.	Pisarik	Jason		1-517-708-5285					jason.pisarik@emergentholdingsinc.com	200 N. Grand Ave.		Lansing	MI	48901	6/1/2026	2026	"WELLMARK ADVANTAGE HEALTH PLAN, INC."	Local CCP	Wellmark Advantage Health Plan	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H8095	CMS Casework Communication Contact	Manager		Martell	Stacey		1-313-806-5905					smartell@bcbsm.com	600 East Lafayette Blvd.	MC 1502	Detroit	MI	48226	6/1/2026	2026	"WELLMARK ADVANTAGE HEALTH PLAN, INC."	Local CCP	Wellmark Advantage Health Plan	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H8095	Coordination of Benefits Contact	Manager		LaMontagne	Amanda		1-508-439-9720					amanda.lamontagne@advantasure.com	5 Polaris Way		Aliso Viejo	CA	92656	6/1/2026	2026	"WELLMARK ADVANTAGE HEALTH PLAN, INC."	Local CCP	Wellmark Advantage Health Plan	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H8095	Customer Service Operations Contact	"Director, Workforce Management, Analytics, & Supp"		Weber	Julie		1-313-225-0555					jweber@bcbsm.com	600 East Lafayette		Detroit	MI	48226	6/1/2026	2026	"WELLMARK ADVANTAGE HEALTH PLAN, INC."	Local CCP	Wellmark Advantage Health Plan	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H8095	Government Relations Contact	Manager		Martell	Stacey		1-313-806-5905					smartell@bcbsm.com	600 East Lafayette Blvd.	MC 1502	Detroit	MI	48226	6/1/2026	2026	"WELLMARK ADVANTAGE HEALTH PLAN, INC."	Local CCP	Wellmark Advantage Health Plan	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H8095	Hospice Contact	Director		Clark	Erica		1-616-758-0917					eclark3@bcbsm.com	1000 Town Center		Southfield	MI	48075	6/1/2026	2026	"WELLMARK ADVANTAGE HEALTH PLAN, INC."	Local CCP	Wellmark Advantage Health Plan	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H8095	Medicare Compliance Officer	"Vice President, Enterprise Compliance"	Ms.	Lange	Kelly		1-313-225-8554					medcomplianceofficer2@bcbsm.com	600 East Lafayette		Detroit	MI	48226	6/1/2026	2026	"WELLMARK ADVANTAGE HEALTH PLAN, INC."	Local CCP	Wellmark Advantage Health Plan	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H8095	Part D Exceptions Contact	Director		Clark	Erica							eclark3@bcbsm.com	1000 Town Center		Southfield	MI	48075	6/1/2026	2026	"WELLMARK ADVANTAGE HEALTH PLAN, INC."	Local CCP	Wellmark Advantage Health Plan	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract	1-616-758-0917				HMO - Health Maintenance Organization		C	Chicago
H8095	Pharmacy Network Management Contact	Director		Clark	Erica		1-616-758-0917					eclark3@bcbsm.com	1000 Town Center		Southfield	MI	48075	6/1/2026	2026	"WELLMARK ADVANTAGE HEALTH PLAN, INC."	Local CCP	Wellmark Advantage Health Plan	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H8095	Pharmacy Technical Help Desk Contact	"Manager, Pharmacy Operations"		Zylstra	Jennifer							Jennifer.Zylstra@bcbsm.com	1000 Town Center		Southfield	MI	48075	6/1/2026	2026	"WELLMARK ADVANTAGE HEALTH PLAN, INC."	Local CCP	Wellmark Advantage Health Plan	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract	1-800-600-8065				HMO - Health Maintenance Organization		C	Chicago
H8095	Plan to Plan Reconciliation Contact	"SVP, Controller"	Mr.	Pisarik	Jason		1-517-708-5285					jason.pisarik@emergentholdingsinc.com	200 N. Grand Ave.		Lansing	MI	48901	6/1/2026	2026	"WELLMARK ADVANTAGE HEALTH PLAN, INC."	Local CCP	Wellmark Advantage Health Plan	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H8096	Automated TrOOP Balance Transfer Contact	"Director, PACE Health Plan Operations"	Mrs.	Beach	Megan	F	1-434-200-6516					megan.beach@centrahealth.com	407 Federal Street		Lynchburg	VA	24504	2/26/2024	2026	"CENTRA HEALTH, INC."	National PACE	Centra PACE	National PACE		"Centra Health, Inc."	394	Yes	Active					PACE - Nat		C	Philadelphia
H8096	Best Available Evidence Contact	Quality Manager	Mrs	Brooks	Chrissette		1-434-200-6516					Chrissette.brooks@centrahealth.com	407 Federal Street		Lynchburg	VA	24504	2/26/2024	2026	"CENTRA HEALTH, INC."	National PACE	Centra PACE	National PACE		"Centra Health, Inc."	394	Yes	Active					PACE - Nat		C	Philadelphia
H8096	Chief Financial Officer	Sr. Vice President & CFO	Mr	Tonkinson	Rob		1-434-200-4708					rob.tonkinson@centrahealth.com	1901 Tate Springs Rd.		Lynchburg	VA	24501	8/16/2024	2026	"CENTRA HEALTH, INC."	National PACE	Centra PACE	National PACE		"Centra Health, Inc."	394	Yes	Active					PACE - Nat		C	Philadelphia
H8096	CMS Casework Communication Contact	Senior Director	Mrs.	Boyd	Jennifer	H	1-434-200-6320					Jennifer.boyd@centrahealth.com	407 Federal Street		Lynchburg	VA	24504	2/26/2024	2026	"CENTRA HEALTH, INC."	National PACE	Centra PACE	National PACE		"Centra Health, Inc."	394	Yes	Active					PACE - Nat		C	Philadelphia
H8096	Coordination of Benefits Contact	"Director, PACE Health Plan Operation"	Mrs.	Beach	Megan	F	1-434-200-6516					megan.beach@centrahealth.com	407 Federal Street		Lynchburg	VA	24504	2/26/2024	2026	"CENTRA HEALTH, INC."	National PACE	Centra PACE	National PACE		"Centra Health, Inc."	394	Yes	Active					PACE - Nat		C	Philadelphia
H8096	Customer Service Operations Contact	Senior Director	Mrs.	Boyd	Jennifer	H	1-434-200-6320					jennifer.boyd@centrahealth.com	407 Federal Street		Lynchburg	VA	24504	2/26/2024	2026	"CENTRA HEALTH, INC."	National PACE	Centra PACE	National PACE		"Centra Health, Inc."	394	Yes	Active					PACE - Nat		C	Philadelphia
H8096	Government Relations Contact	Senior Director	Mrs	Boyd	Jennifer	H	1-434-200-6320					Jennifer.boyd@centrahealth.com	407 Federal Street		Lynchburg	VA	24504	2/26/2024	2026	"CENTRA HEALTH, INC."	National PACE	Centra PACE	National PACE		"Centra Health, Inc."	394	Yes	Active					PACE - Nat		C	Philadelphia
H8096	Medicare Compliance Officer	CORPORATE DIRECTOR COMPLIANCE & REGULATORY AFFAIRS	Mrs.	Sparks	Jenny		1-434-200-1539					jenny.sparks@centrahealth.com	2301 Langhorne Road		Lynchburg	VA	24501	11/13/2024	2026	"CENTRA HEALTH, INC."	National PACE	Centra PACE	National PACE		"Centra Health, Inc."	394	Yes	Active					PACE - Nat		C	Philadelphia
H8096	Part D Exceptions Contact	"Director, PACE Health Plan Operation"	Mrs.	Beach	Megan	F						megan.beach@centrahealth.com	407 Federal Street		Lynchburg	VA	24504	2/26/2024	2026	"CENTRA HEALTH, INC."	National PACE	Centra PACE	National PACE		"Centra Health, Inc."	394	Yes	Active	1-888-316-9540				PACE - Nat		C	Philadelphia
H8096	Pharmacy Network Management Contact	Business Manager	Mrs.	Beach	Megan	F	1-434-200-6303					megan.beach@centrahealth.com	407 Federal Street		Lynchburg	VA	24504	8/31/2022	2026	"CENTRA HEALTH, INC."	National PACE	Centra PACE	National PACE		"Centra Health, Inc."	394	Yes	Active					PACE - Nat		C	Philadelphia
H8096	Pharmacy Technical Help Desk Contact	Centra PACE Pharmacy Technical Help Desk	Mr	Hawkins	Patrick							patrick.hawkins@centrahealth.com	"407 Federal Street, Suite B"		Lynchburg	VA	24504	6/3/2013	2026	"CENTRA HEALTH, INC."	National PACE	Centra PACE	National PACE		"Centra Health, Inc."	394	Yes	Active	1-434-200-2148				PACE - Nat		C	Philadelphia
H8096	Plan to Plan Reconciliation Contact	Business Manager	Mrs.	Beach	Megan	F	1-434-200-6516					megan.beach@centrahealth.com	Centra PACE	407 Federal Street	Lynchburg	VA	24504	8/31/2022	2026	"CENTRA HEALTH, INC."	National PACE	Centra PACE	National PACE		"Centra Health, Inc."	394	Yes	Active					PACE - Nat		C	Philadelphia
H8099	Automated TrOOP Balance Transfer Contact	AR Reimbursement Specialist		Cox	Terra		1-970-508-7737				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	4/5/2024	2026	VOANS SENIOR COMMUNITY CARE OF NORTHERN KENTUCKY	National PACE	Senior CommUnity Care of Northern Kentucky	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H8099	Best Available Evidence Contact	AR Reimbursement Specialist		Cox	Terra		1-970-508-7737				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	4/5/2024	2026	VOANS SENIOR COMMUNITY CARE OF NORTHERN KENTUCKY	National PACE	Senior CommUnity Care of Northern Kentucky	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H8099	Chief Financial Officer	"Regional Vice President, PACE Operations"	Mr	Nilsen	Eric		1-612-428-7858				1-952-941-0428	enilsen@voa.org	7485 Office Ridge Circle		Eden Prairie	MN	55344	4/5/2024	2026	VOANS SENIOR COMMUNITY CARE OF NORTHERN KENTUCKY	National PACE	Senior CommUnity Care of Northern Kentucky	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H8099	CMS Casework Communication Contact	Quality and Compliance Manager		Otto	Karen		1-517-319-0700				1-517-913-5991	kotto@voa.org	"47 Cavalier Blvd., Suite 140"		Florence	KY	41042	5/30/2024	2026	VOANS SENIOR COMMUNITY CARE OF NORTHERN KENTUCKY	National PACE	Senior CommUnity Care of Northern Kentucky	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H8099	Coordination of Benefits Contact	AR Reimbursement Specialist		Cox	Terra		1-970-508-7737				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	4/5/2024	2026	VOANS SENIOR COMMUNITY CARE OF NORTHERN KENTUCKY	National PACE	Senior CommUnity Care of Northern Kentucky	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H8099	Customer Service Operations Contact	Executive Director		McFalls	Robert		1-859-970-2450				1-859-970-2449	rmcfalls@voa.org	47 Cavalier Blvd. Suite 140		Florence	KY	41042	4/5/2024	2026	VOANS SENIOR COMMUNITY CARE OF NORTHERN KENTUCKY	National PACE	Senior CommUnity Care of Northern Kentucky	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H8099	Government Relations Contact	Executive Director		McFalls	Robert		1-859-970-2450				1-859-970-2449	rmcfalls@voa.org	47 Cavalier Blvd. Suite 140		Florence	KY	41042	4/5/2024	2026	VOANS SENIOR COMMUNITY CARE OF NORTHERN KENTUCKY	National PACE	Senior CommUnity Care of Northern Kentucky	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H8099	Medicare Compliance Officer	Director of Quality	Ms	Peterson	Nora		1-970-964-3500				1-970-525-0166	npeterson@voa.org	2377 Robins Way		Montrose	CO	81401	4/5/2024	2026	VOANS SENIOR COMMUNITY CARE OF NORTHERN KENTUCKY	National PACE	Senior CommUnity Care of Northern Kentucky	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H8099	Part D Exceptions Contact	Regulatory Compliance Coordinator		Whitney	Courtney						1-970-252-0166	cwhitney@voa.org	2377 Robins Way		Montrose	CO	81401	4/5/2024	2026	VOANS SENIOR COMMUNITY CARE OF NORTHERN KENTUCKY	National PACE	Senior CommUnity Care of Northern Kentucky	National PACE		Volunteers of America National Services	367	Yes	Active	1-970-964-3500				PACE - Nat		C	Atlanta
H8099	Pharmacy Network Management Contact	Regulatory Compliance Coordinator		Whitney	Courtney		1-970-964-3500				1-970-252-0166	cwhitney@voa.org	2377 Robins Way		Montrose	CO	81401	4/5/2024	2026	VOANS SENIOR COMMUNITY CARE OF NORTHERN KENTUCKY	National PACE	Senior CommUnity Care of Northern Kentucky	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H8099	Pharmacy Technical Help Desk Contact	Regulatory Compliance Coordinator		Whitney	Courtney						1-970-252-0166	cwhitney@voa.org	2377 Robins Way		Montrose	CO	81401	4/5/2024	2026	VOANS SENIOR COMMUNITY CARE OF NORTHERN KENTUCKY	National PACE	Senior CommUnity Care of Northern Kentucky	National PACE		Volunteers of America National Services	367	Yes	Active	1-970-964-3500				PACE - Nat		C	Atlanta
H8099	Plan to Plan Reconciliation Contact	AR Reimbursement Specialist		Cox	Terra		1-970-508-7737				1-970-252-0166	tecox@voa.org	2377 Robins Way		Montrose	CO	81401	4/5/2024	2026	VOANS SENIOR COMMUNITY CARE OF NORTHERN KENTUCKY	National PACE	Senior CommUnity Care of Northern Kentucky	National PACE		Volunteers of America National Services	367	Yes	Active					PACE - Nat		C	Atlanta
H8106	Automated TrOOP Balance Transfer Contact	"SVP Program Operations, Quality, and Compliance"	Mr	Kapolas	Peter	J	1-855-209-5451					pkapolas@heops.com	PO Box 2403		Brentwood	TN	37024	8/22/2024	2026	LIFE COORDINATED COMMONWEALTH PACE III INC.	National PACE	LIFE COORDINATED COMMONWEALTH PACE III INC.	National PACE		"LIFE COORDINATED® Commonwealth PACE III, Inc."	860	Yes	Pending					PACE - Nat		C	Atlanta
H8106	Best Available Evidence Contact	"SVP Program Operations, Quality, and Compliance"	Mr	Kapolas	Peter	J	1-855-209-5451					pkapolas@heops.com	PO Box 2403		Brentwood	TN	37024	8/22/2024	2026	LIFE COORDINATED COMMONWEALTH PACE III INC.	National PACE	LIFE COORDINATED COMMONWEALTH PACE III INC.	National PACE		"LIFE COORDINATED® Commonwealth PACE III, Inc."	860	Yes	Pending					PACE - Nat		C	Atlanta
H8106	Chief Financial Officer	CFO	Mr	Isaacs	William		1-855-209-5451					neveritt@heops.com	PO Box 2403		Brentwood	TN	37024	8/22/2024	2026	LIFE COORDINATED COMMONWEALTH PACE III INC.	National PACE	LIFE COORDINATED COMMONWEALTH PACE III INC.	National PACE		"LIFE COORDINATED® Commonwealth PACE III, Inc."	860	Yes	Pending					PACE - Nat		C	Atlanta
H8106	CMS Casework Communication Contact	"SVP Program Operations, Quality, and Compliance"	Mr	Kapolas	Peter	J	1-855-209-5451					pkapolas@heops.com	PO Box 2403		Brentwood	TN	37024	8/22/2024	2026	LIFE COORDINATED COMMONWEALTH PACE III INC.	National PACE	LIFE COORDINATED COMMONWEALTH PACE III INC.	National PACE		"LIFE COORDINATED® Commonwealth PACE III, Inc."	860	Yes	Pending					PACE - Nat		C	Atlanta
H8106	Coordination of Benefits Contact	"SVP Program Operations, Quality, and Compliance"	Mr	Kapolas	Peter	J	1-855-209-5451					pkapolas@heops.com	PO Box 2403		Brentwood	TN	37024	8/22/2024	2026	LIFE COORDINATED COMMONWEALTH PACE III INC.	National PACE	LIFE COORDINATED COMMONWEALTH PACE III INC.	National PACE		"LIFE COORDINATED® Commonwealth PACE III, Inc."	860	Yes	Pending					PACE - Nat		C	Atlanta
H8106	Customer Service Operations Contact	"SVP Program Operations, Quality, and Compliance"	Mr	Kapolas	Peter	J	1-855-209-5451					pkapolas@heops.com	PO Box 2403		Brentwood	TN	37024	8/22/2024	2026	LIFE COORDINATED COMMONWEALTH PACE III INC.	National PACE	LIFE COORDINATED COMMONWEALTH PACE III INC.	National PACE		"LIFE COORDINATED® Commonwealth PACE III, Inc."	860	Yes	Pending					PACE - Nat		C	Atlanta
H8106	Government Relations Contact	CEO	Ms	Everitt	Nancy	C	1-855-209-5451					neveritt@heops.com	PO Box 2403		Brentwood	TN	37024	8/22/2024	2026	LIFE COORDINATED COMMONWEALTH PACE III INC.	National PACE	LIFE COORDINATED COMMONWEALTH PACE III INC.	National PACE		"LIFE COORDINATED® Commonwealth PACE III, Inc."	860	Yes	Pending					PACE - Nat		C	Atlanta
H8106	Medicare Compliance Officer	"SVP Program Operations, Quality, and Compliance"	Mr	Kapolas	Peter	J	1-855-209-5451					pkapolas@heops.com	PO Box 2403		Brentwood	TN	37024	8/22/2024	2026	LIFE COORDINATED COMMONWEALTH PACE III INC.	National PACE	LIFE COORDINATED COMMONWEALTH PACE III INC.	National PACE		"LIFE COORDINATED® Commonwealth PACE III, Inc."	860	Yes	Pending					PACE - Nat		C	Atlanta
H8106	Part D Exceptions Contact	"SVP Program Operations, Quality, and Compliance"	Mr	Kapolas	Peter	J						pkapolas@heops.com	PO Box 2403		Brentwood	TN	37024	8/22/2024	2026	LIFE COORDINATED COMMONWEALTH PACE III INC.	National PACE	LIFE COORDINATED COMMONWEALTH PACE III INC.	National PACE		"LIFE COORDINATED® Commonwealth PACE III, Inc."	860	Yes	Pending	1-855-209-5451				PACE - Nat		C	Atlanta
H8106	Pharmacy Network Management Contact	"SVP Program Operations, Quality, and Compliance"	Mr	Kapolas	Peter	J	1-855-209-5451					pkapolas@heops.com	PO Box 2403		Brentwood	TN	37024	8/22/2024	2026	LIFE COORDINATED COMMONWEALTH PACE III INC.	National PACE	LIFE COORDINATED COMMONWEALTH PACE III INC.	National PACE		"LIFE COORDINATED® Commonwealth PACE III, Inc."	860	Yes	Pending					PACE - Nat		C	Atlanta
H8106	Pharmacy Technical Help Desk Contact	"SVP Program Operations, Quality, and Compliance"	Mr	Kapolas	Peter	J						pkapolas@heops.com	PO Box 2403		Brentwood	TN	37024	8/22/2024	2026	LIFE COORDINATED COMMONWEALTH PACE III INC.	National PACE	LIFE COORDINATED COMMONWEALTH PACE III INC.	National PACE		"LIFE COORDINATED® Commonwealth PACE III, Inc."	860	Yes	Pending	1-855-209-5451				PACE - Nat		C	Atlanta
H8106	Plan to Plan Reconciliation Contact	CEO	Ms	Everitt	Nancy	C	1-855-209-5451					neveritt@heops.com	PO Box 2403		Brentwood	TN	37024	8/22/2024	2026	LIFE COORDINATED COMMONWEALTH PACE III INC.	National PACE	LIFE COORDINATED COMMONWEALTH PACE III INC.	National PACE		"LIFE COORDINATED® Commonwealth PACE III, Inc."	860	Yes	Pending					PACE - Nat		C	Atlanta
H8121	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/5/2024	2026	CENTENE VENTURE COMPANY TENNESSEE	Local CCP	Ascension Complete	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H8121	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	CENTENE VENTURE COMPANY TENNESSEE	Local CCP	Ascension Complete	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H8121	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	7/5/2024	2026	CENTENE VENTURE COMPANY TENNESSEE	Local CCP	Ascension Complete	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H8121	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	CENTENE VENTURE COMPANY TENNESSEE	Local CCP	Ascension Complete	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H8121	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	CENTENE VENTURE COMPANY TENNESSEE	Local CCP	Ascension Complete	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H8121	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	9/18/2024	2026	CENTENE VENTURE COMPANY TENNESSEE	Local CCP	Ascension Complete	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H8121	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	CENTENE VENTURE COMPANY TENNESSEE	Local CCP	Ascension Complete	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H8121	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	7/5/2024	2026	CENTENE VENTURE COMPANY TENNESSEE	Local CCP	Ascension Complete	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H8121	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	CENTENE VENTURE COMPANY TENNESSEE	Local CCP	Ascension Complete	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H8121	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	7/5/2024	2026	CENTENE VENTURE COMPANY TENNESSEE	Local CCP	Ascension Complete	Local PPO		Centene Corporation	351	Yes	Active	1-813-206-7152				PPO - BBA		C	Denver
H8121	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	CENTENE VENTURE COMPANY TENNESSEE	Local CCP	Ascension Complete	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H8121	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	1/9/2025	2026	CENTENE VENTURE COMPANY TENNESSEE	Local CCP	Ascension Complete	Local PPO		Centene Corporation	351	Yes	Active	1-833-750-0202				PPO - BBA		C	Denver
H8121	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	7/5/2024	2026	CENTENE VENTURE COMPANY TENNESSEE	Local CCP	Ascension Complete	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H8133	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Management	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	5/7/2026	2026	GHS INSURANCE COMPANY	Local CCP	Blue Cross and Blue Shield of Texas	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8133	Best Available Evidence Contact	"Deputy General Manager, Digital Operations"	Mr.	Davis	Tom		1-570-344-9237	73545			1-000-000-0000	Thomas.Davis@cognizant.com	Cognizant	25 Lakeview Drive	Jessup	PA	18434	5/7/2026	2026	GHS INSURANCE COMPANY	Local CCP	Blue Cross and Blue Shield of Texas	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8133	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	300 East Randolph St		Chicago	IL	60601	5/7/2026	2026	GHS INSURANCE COMPANY	Local CCP	Blue Cross and Blue Shield of Texas	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8133	CMS Casework Communication Contact	Manager Medicare Operations & Oversight	Ms.	Morris	Tawanna		1-630-824-5090				1-000-000-0000	Tawanna_Morris@bcbsil.com	Health Care Service Corporation	300 E. Randolph Street	Chicago	IL	60601	5/7/2026	2026	GHS INSURANCE COMPANY	Local CCP	Blue Cross and Blue Shield of Texas	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8133	Coordination of Benefits Contact	Mgr Project & Program Management	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	COBMedD@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	5/7/2026	2026	GHS INSURANCE COMPANY	Local CCP	Blue Cross and Blue Shield of Texas	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8133	Customer Service Operations Contact	VP of Customer Service	Mr.	Akovenko	Josh		1-615-695-8916				1-000-000-0000	josh_akovenko@hcsc.com	Health Care Service Corporation	500 Great Circle Rd	Nashville	IL	60601	5/7/2026	2026	GHS INSURANCE COMPANY	Local CCP	Blue Cross and Blue Shield of Texas	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8133	Government Relations Contact	Executive Director - Health Policy	Ms.	DuGoff	Eva		1-202-249-7208				1-000-000-0000	eva_dugoff@hcsc.net	Health Care Service Corporation	1001 Pennsylvania NW	Washington	DC	20004	5/7/2026	2026	GHS INSURANCE COMPANY	Local CCP	Blue Cross and Blue Shield of Texas	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8133	Hospice Contact	Govt Prog Clinical Ops Dvisional Vice President	Ms.	Thomas-Spaulding	Felicia	S	1-505-816-2717				1-000-000-0000	Felicia_Spaulding@bcbsnm.com	Blue Cross Blue Shield of New Mexico	4411 The 25 Way NE	Albuquerque	NM	87109	5/7/2026	2026	GHS INSURANCE COMPANY	Local CCP	Blue Cross and Blue Shield of Texas	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8133	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	5/7/2026	2026	GHS INSURANCE COMPANY	Local CCP	Blue Cross and Blue Shield of Texas	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8133	Part D Exceptions Contact	Regulatory Pharmacist Sr	Mr.	Spears	Scott						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	5/7/2026	2026	GHS INSURANCE COMPANY	Local CCP	Blue Cross and Blue Shield of Texas	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-800-693-6651				HMO - Health Maintenance Organization		C	Dallas
H8133	Pharmacy Network Management Contact	"VP, Network Management"	Ms.	Conlin	Marci		1-612-777-2837				1-877-823-6373	marci.conlin@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Road	Eagan	MN	55121	5/7/2026	2026	GHS INSURANCE COMPANY	Local CCP	Blue Cross and Blue Shield of Texas	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8133	Pharmacy Technical Help Desk Contact	"Sr. Director, Member Services"	Mr.	Scott	Shane						1-000-000-0000	shane.scott@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	5/7/2026	2026	GHS INSURANCE COMPANY	Local CCP	Blue Cross and Blue Shield of Texas	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-877-277-7898				HMO - Health Maintenance Organization		C	Dallas
H8133	Plan to Plan Reconciliation Contact	Accountant	Ms.	Bowen	Niaya		1-972-766-1324				1-972-766-4360	niaya_bowen@bcbstx.com	Health Care Service Corporation	"1001 East Lookout Drive,"	Richardson	TX	75082	5/7/2026	2026	GHS INSURANCE COMPANY	Local CCP	Blue Cross and Blue Shield of Texas	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8142	Automated TrOOP Balance Transfer Contact	Chief Financial Officer		Bush	Stephen	P	1-254-298-3568				1-254-298-3005	Stephen.Bush@BSWHealth.org	1206 West Campus Drive		Temple	TX	76502	7/26/2024	2026	SCOTT AND WHITE HEALTH PLAN	Local CCP	Baylor Scott & White Health Plan	HMO/HMOPOS		Baylor Scott & White Health	588	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H8142	Best Available Evidence Contact	"Director, HP Enrollment"		Ulrich	Deanna		1-254-298-3340					Deanna.Ulrich@BSWHealth.org	1206 West Campus Drive		Temple	TX	76502	7/26/2024	2026	SCOTT AND WHITE HEALTH PLAN	Local CCP	Baylor Scott & White Health Plan	HMO/HMOPOS		Baylor Scott & White Health	588	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H8142	Chief Financial Officer	Chief Financial Officer	Mr.	Bush	Stephen	P	1-254-298-3568					Stephen.Bush@BSWHealth.org	1206 West Campus Drive		Temple	TX	76502	7/26/2024	2026	SCOTT AND WHITE HEALTH PLAN	Local CCP	Baylor Scott & White Health Plan	HMO/HMOPOS		Baylor Scott & White Health	588	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H8142	CMS Casework Communication Contact	"Manager, Health Plan Compliance"		Ponce	Vilaida		1-254-298-3238					Vilaida.Ponce@BSWHealth.org	1206 West Campus Drive		Temple	TX	76502	7/1/2025	2026	SCOTT AND WHITE HEALTH PLAN	Local CCP	Baylor Scott & White Health Plan	HMO/HMOPOS		Baylor Scott & White Health	588	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H8142	Coordination of Benefits Contact	"Director, Enrollment Operations"		Ulrich	Deanna		1-254-298-3340					Deanna.Ulrich@BSWHealth.org	1206 West Campus Drive		Temple	TX	76502	7/1/2025	2026	SCOTT AND WHITE HEALTH PLAN	Local CCP	Baylor Scott & White Health Plan	HMO/HMOPOS		Baylor Scott & White Health	588	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H8142	Customer Service Operations Contact	"Director, Customer Advocacy"		Perkins	Michelle		1-254-298-3393					Michelle.Perkins@BSWHealth.org	1206 West Campus Drive		Temple	TX	76502	7/26/2024	2026	SCOTT AND WHITE HEALTH PLAN	Local CCP	Baylor Scott & White Health Plan	HMO/HMOPOS		Baylor Scott & White Health	588	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H8142	Government Relations Contact	"Manager, Health Plan Compliance"		Ponce	Vilaida		1-254-298-3238					Vilaida.Ponce@BSWHealth.org	1206 West Campus Drive		Temple	TX	76502	9/29/2025	2026	SCOTT AND WHITE HEALTH PLAN	Local CCP	Baylor Scott & White Health Plan	HMO/HMOPOS		Baylor Scott & White Health	588	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H8142	Hospice Contact	"Director, Pharmacy Operations"		Luebbert	Charlotte		1-254-298-6151					Charlotte.Luebbert@BSWHealth.org	1206 West Campus Drive		Temple	TX	76502	7/26/2024	2026	SCOTT AND WHITE HEALTH PLAN	Local CCP	Baylor Scott & White Health Plan	HMO/HMOPOS		Baylor Scott & White Health	588	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H8142	Medicare Compliance Officer	"VP, Compliance"	Ms	Wilson	Hollie		1-217-621-4156					Hollie.Wilson@BSWHealth.org	301 N Washington Avenue		Dallas	TX	75201	12/29/2025	2026	SCOTT AND WHITE HEALTH PLAN	Local CCP	Baylor Scott & White Health Plan	HMO/HMOPOS		Baylor Scott & White Health	588	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H8142	Part D Exceptions Contact	"Manager, Managed Care Pharmacy"		Thomas	Megan							Megan.Cunningham@BSWHealth.org	1206 West Campus Drive		Temple	TX	76502	7/26/2024	2026	SCOTT AND WHITE HEALTH PLAN	Local CCP	Baylor Scott & White Health Plan	HMO/HMOPOS		Baylor Scott & White Health	588	Yes	Active	1-254-298-6108				HMO - Health Maintenance Organization		C	Denver
H8142	Pharmacy Network Management Contact	"Director, Pharmacy Operations"		Luebbert	Charlotte		1-254-298-6151					Charlotte.Luebbert@BSWHealth.org	1206 West Campus Drive		Temple	TX	76502	7/26/2024	2026	SCOTT AND WHITE HEALTH PLAN	Local CCP	Baylor Scott & White Health Plan	HMO/HMOPOS		Baylor Scott & White Health	588	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H8142	Pharmacy Technical Help Desk Contact			Rx	Capital							giajernigan@cap-rx.com	228 Park Avenue South	Suite 87234	New York	NY	10003	12/11/2025	2026	SCOTT AND WHITE HEALTH PLAN	Local CCP	Baylor Scott & White Health Plan	HMO/HMOPOS		Baylor Scott & White Health	588	Yes	Active	1-844-230-9357				HMO - Health Maintenance Organization		C	Denver
H8142	Plan to Plan Reconciliation Contact	Chief Financial Officer		Bush	Stephen	P	1-254-298-3568				1-254-298-3005	Stephen.Bush@BSWHealth.org	1206 West Campus Drive		Temple	TX	76502	7/26/2024	2026	SCOTT AND WHITE HEALTH PLAN	Local CCP	Baylor Scott & White Health Plan	HMO/HMOPOS		Baylor Scott & White Health	588	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H8145	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	PFFS	Humana	PFFS		Humana Inc.	128	Yes	Active					PFFS - Private Fee for Service		C	Kansas City
H8145	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	PFFS	Humana	PFFS		Humana Inc.	128	Yes	Active					PFFS - Private Fee for Service		C	Kansas City
H8145	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	PFFS	Humana	PFFS		Humana Inc.	128	Yes	Active					PFFS - Private Fee for Service		C	Kansas City
H8145	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	HUMANA INSURANCE COMPANY	PFFS	Humana	PFFS		Humana Inc.	128	Yes	Active					PFFS - Private Fee for Service		C	Kansas City
H8145	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	PFFS	Humana	PFFS		Humana Inc.	128	Yes	Active					PFFS - Private Fee for Service		C	Kansas City
H8145	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	PFFS	Humana	PFFS		Humana Inc.	128	Yes	Active					PFFS - Private Fee for Service		C	Kansas City
H8145	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	PFFS	Humana	PFFS		Humana Inc.	128	Yes	Active					PFFS - Private Fee for Service		C	Kansas City
H8145	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	PFFS	Humana	PFFS		Humana Inc.	128	Yes	Active					PFFS - Private Fee for Service		C	Kansas City
H8145	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	PFFS	Humana	PFFS		Humana Inc.	128	Yes	Active					PFFS - Private Fee for Service		C	Kansas City
H8145	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	PFFS	Humana	PFFS		Humana Inc.	128	Yes	Active	1-859-321-9075				PFFS - Private Fee for Service		C	Kansas City
H8145	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	PFFS	Humana	PFFS		Humana Inc.	128	Yes	Active					PFFS - Private Fee for Service		C	Kansas City
H8145	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	HUMANA INSURANCE COMPANY	PFFS	Humana	PFFS		Humana Inc.	128	Yes	Active	1-800-865-8715				PFFS - Private Fee for Service		C	Kansas City
H8145	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	HUMANA INSURANCE COMPANY	PFFS	Humana	PFFS		Humana Inc.	128	Yes	Active					PFFS - Private Fee for Service		C	Kansas City
H8166	Automated TrOOP Balance Transfer Contact	"Manager, Pharmacy Government Operations"	Ms.	Lynn Schill	Jodie		1-570-578-3579					Jodie.LynnSchill@highmark.com	120 Fifth Avenue		Pittsburgh	PA	15222	1/4/2026	2026	HIGHMARK BCBSD INC.	Local CCP	Highmark Blue Cross Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H8166	Best Available Evidence Contact	"Manager, Government Business Enrollment"	Mr.	Stanhoff	David		1-412-544-5689					LISBAE@highmark.com	120 Fifth Avenue		Pittsburgh	PA	15222	1/4/2026	2026	HIGHMARK BCBSD INC.	Local CCP	Highmark Blue Cross Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H8166	Chief Financial Officer	CFO Highmark Health Plan	Ms.	Musler	Kate		1-412-544-8653					katherine.musler@highmark.com	120 5th Avenue		Pittsburgh	PA	15222	1/4/2026	2026	HIGHMARK BCBSD INC.	Local CCP	Highmark Blue Cross Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H8166	CMS Casework Communication Contact	"Manager, Appeals and Grievances"	Ms.	Walsh	Lynne	M	1-412-544-4579				1-717-635-4209	Lynne.Walsh@highmark.com	120 Fifth Avenue	Suite P5501	Pittsburgh	PA	15222	1/4/2026	2026	HIGHMARK BCBSD INC.	Local CCP	Highmark Blue Cross Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H8166	Coordination of Benefits Contact	Sr. Process Analyst	Ms.	Cassidy	Christina		1-412-544-4417					Christina.Cassidy@highmark.com	120 Fifth Avenue	PAP P5111	Pittsburgh	PA	15222	1/4/2026	2026	HIGHMARK BCBSD INC.	Local CCP	Highmark Blue Cross Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H8166	Customer Service Operations Contact	"Director, Member & Provider Services"		Scarnati	Chris		1-814-871-6712					Chris.Scarnati@highmark.com	120 Fifth Avenue		Pittsburgh	PA	15222	1/4/2026	2026	HIGHMARK BCBSD INC.	Local CCP	Highmark Blue Cross Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H8166	Government Relations Contact	Medicare Compliance Officer	Mr.	Boettler	Thomas		1-412-544-7031					Thomas.Boettler@highmark.com	120 5th Avenue	Suite 1833	Pittsburgh	PA	15222	1/4/2026	2026	HIGHMARK BCBSD INC.	Local CCP	Highmark Blue Cross Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H8166	Hospice Contact	Intake Coordinator		Welker	Jessica		1-717-888-3043					DrugHelp_Authorizations@highmark.com	120 5th Avenue Place		Pittsburgh	PA	15222	1/4/2026	2026	HIGHMARK BCBSD INC.	Local CCP	Highmark Blue Cross Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H8166	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Boettler	Thomas		1-412-544-7031					Thomas.Boettler@highmark.com	120 5th Avenue	Suite 1833	Pittsburgh	PA	15222	1/4/2026	2026	HIGHMARK BCBSD INC.	Local CCP	Highmark Blue Cross Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H8166	Part D Exceptions Contact			Affairs	Pharmacy							drughelp@highmark.com	120 Fifth Avenue	Suite SPECARE	Pittsburgh	PA	15222	1/4/2026	2026	HIGHMARK BCBSD INC.	Local CCP	Highmark Blue Cross Blue Shield	Local PPO		Highmark Health	123	Yes	Active	1-800-600-2227				PPO - BBA		C	Boston
H8166	Pharmacy Network Management Contact	"Network Account Director, Retail Strategy&Contract"		Kelly	Heather		1-314-692-1866				1-877-387-5800	hakelly@express-scripts.com	One Express Way		St. Louis	MO	63121	1/4/2026	2026	HIGHMARK BCBSD INC.	Local CCP	Highmark Blue Cross Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H8166	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	13051 N. Telecom PKWY STE 150		Temple Terrace	FL	33637	1/4/2026	2026	HIGHMARK BCBSD INC.	Local CCP	Highmark Blue Cross Blue Shield	Local PPO		Highmark Health	123	Yes	Active	1-800-922-1557				PPO - BBA		C	Boston
H8166	Plan to Plan Reconciliation Contact	"Manager, Operational Accounting"		Stehr	Brett		1-717-302-2748					P2Precon@highmark.com	"Highmark, Inc. Attn: Cashier"	PO Box 898820	Camp Hill	PA	17089	1/4/2026	2026	HIGHMARK BCBSD INC.	Local CCP	Highmark Blue Cross Blue Shield	Local PPO		Highmark Health	123	Yes	Active					PPO - BBA		C	Boston
H8167	Automated TrOOP Balance Transfer Contact			Davila	Mirla		1-916-628-0448					mirlad@sacpace.com	8795 Folsum Boulevard		Sacramento	CA	95826	9/28/2023	2026	"PACE OF SACRAMENTO, INC."	National PACE	"PACE of Sacramento, Inc"	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H8167	Best Available Evidence Contact	CEO	Ph.D	Martinez	Stephen		1-626-824-9951					stephenm@sacpace.com	8795 Folom Blvd		Sacramento	CA	95826	9/28/2023	2026	"PACE OF SACRAMENTO, INC."	National PACE	"PACE of Sacramento, Inc"	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H8167	Chief Financial Officer	CEO	Ph.D	Martinez	Stephen		1-626-824-9951					stephenm@sacpace.com	8795 Folom Blvd		Sacramento	CA	95826	9/28/2023	2026	"PACE OF SACRAMENTO, INC."	National PACE	"PACE of Sacramento, Inc"	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H8167	CMS Casework Communication Contact	CEO	Ph.D	Martinez	Stephen		1-626-824-9951					stephenm@sacpace.com	8795 Folom Blvd		Sacramento	CA	95826	9/28/2023	2026	"PACE OF SACRAMENTO, INC."	National PACE	"PACE of Sacramento, Inc"	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H8167	Coordination of Benefits Contact	Development Officer		Davila	Mirla		1-844-572-2722					mirlad@sacpace.com	8795 Folom Blvd		Sacramento	CA	95826	9/28/2023	2026	"PACE OF SACRAMENTO, INC."	National PACE	"PACE of Sacramento, Inc"	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H8167	Customer Service Operations Contact	Development Officer		Davila	Mirla		1-844-572-2722					mirlad@sacpace.com	8795 Folom Blvd		Sacramento	CA	95826	9/28/2023	2026	"PACE OF SACRAMENTO, INC."	National PACE	"PACE of Sacramento, Inc"	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H8167	Government Relations Contact	Development Officer		Davila	Mirla		1-844-572-2722					mirlad@sacpace.com	8795 Folom Blvd		Sacramento	CA	95826	9/28/2023	2026	"PACE OF SACRAMENTO, INC."	National PACE	"PACE of Sacramento, Inc"	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H8167	Medicare Compliance Officer	Chief Medical Officer	MD	Eswar	Kali Eswar		1-844-572-2722					mirlad@sacpace.com	8795 Folom Blvd		Sacramento	CA	95826	9/28/2023	2026	"PACE OF SACRAMENTO, INC."	National PACE	"PACE of Sacramento, Inc"	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H8167	Part D Exceptions Contact	Development Officer		Davila	Mirla						1-844-572-2722	mirlad@sacpace.com	8795 Folom Blvd		Sacramento	CA	95826	9/28/2023	2026	"PACE OF SACRAMENTO, INC."	National PACE	"PACE of Sacramento, Inc"	National PACE				Yes	Pending	1-844-572-2722				PACE - Nat		C	San Francisco
H8167	Pharmacy Network Management Contact	Chief Medical Officer	MD	Eswar	kali		1-844-572-2722					stephenm@sacpace.com	8795 Folom Blvd		Sacramento	CA	95826	9/28/2023	2026	"PACE OF SACRAMENTO, INC."	National PACE	"PACE of Sacramento, Inc"	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H8167	Pharmacy Technical Help Desk Contact	Chief Medical Officer	MD	Eswar	kali							stephenm@sacpace.com	8795 Folom Blvd		Sacramento	CA	95826	9/28/2023	2026	"PACE OF SACRAMENTO, INC."	National PACE	"PACE of Sacramento, Inc"	National PACE				Yes	Pending	1-844-572-2722				PACE - Nat		C	San Francisco
H8167	Plan to Plan Reconciliation Contact	Development Officer		Davila	Mirla		1-844-572-2722					mirlad@sacpace.com	8795 Folom Blvd		Sacramento	CA	95826	9/28/2023	2026	"PACE OF SACRAMENTO, INC."	National PACE	"PACE of Sacramento, Inc"	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H8171	Automated TrOOP Balance Transfer Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224				1-732-806-3324	jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/26/2026	2026	"BEACON PACE ILLINOIS, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8171	Best Available Evidence Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/31/2026	2026	"BEACON PACE ILLINOIS, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8171	Chief Financial Officer	Chief Financial Officer	Mr	Schlesinger	David		1-855-801-2653					dschlesinger@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	5/20/2026	2026	"BEACON PACE ILLINOIS, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8171	CMS Casework Communication Contact	Director of Compliance	Ms	Cooper	Wanda		1-855-801-2653					wcooper@boldagepace.com	1075 Stephenson Avenue Suite B		Oceanport	NJ	07757	5/20/2026	2026	"BEACON PACE ILLINOIS, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8171	Coordination of Benefits Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224				1-732-806-3324	jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/20/2026	2026	"BEACON PACE ILLINOIS, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8171	Customer Service Operations Contact	Executive Director		Bolek	Stephanie		1-708-358-7300					sbolek@boldagepace.com	5419 135th St		Crestwood	IL	60445	4/14/2026	2026	"BEACON PACE ILLINOIS, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8171	Government Relations Contact	Chief Administrative Officer	Mr	Czermak	Michael		1-855-801-2653					michaelc@boldagepace.com	1897 Lakewood Road	Unit 109	Toms River	NJ	08753	5/11/2026	2026	"BEACON PACE ILLINOIS, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8171	Medicare Compliance Officer	Director of Compliance	Ms	Cooper	Wanda		1-855-801-2653					wcooper@boldagepace.com	1075 Stephenson Avenue	Suite B	Oceanport	NJ	07757	5/20/2026	2026	"BEACON PACE ILLINOIS, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8171	Part D Exceptions Contact	Financial Specialist		Partlow	Jennie							jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/31/2026	2026	"BEACON PACE ILLINOIS, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active	1-732-806-3224				PACE - Nat		C	New York
H8171	Pharmacy Network Management Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/26/2026	2026	"BEACON PACE ILLINOIS, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8171	Pharmacy Technical Help Desk Contact	Financial Specialist	Ms	Partlow	Jennie							jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/26/2026	2026	"BEACON PACE ILLINOIS, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active	1-855-801-2653				PACE - Nat		C	New York
H8171	Plan to Plan Reconciliation Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224				1-732-806-3324	jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/31/2026	2026	"BEACON PACE ILLINOIS, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8173	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF ARIZONA, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8173	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF ARIZONA, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8173	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF ARIZONA, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8173	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF ARIZONA, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8173	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF ARIZONA, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8173	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF ARIZONA, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8173	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF ARIZONA, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8173	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF ARIZONA, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8173	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF ARIZONA, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8173	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF ARIZONA, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				HMO - Health Maintenance Organization		C	New York
H8173	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF ARIZONA, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8173	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF ARIZONA, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H8173	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF ARIZONA, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8176	Automated TrOOP Balance Transfer Contact	"AVP, Pharmacy"		Vu	John		1-801-252-5706					an.vu@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF SOUTH CAROLINA,INC"	Local CCP	Molina Healthcare of South Carolina	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8176	Best Available Evidence Contact	"Director, Medicare PEnrollment"		LeJeune	Ryan		1-562-549-4527					ryan.lejeune@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF SOUTH CAROLINA,INC"	Local CCP	Molina Healthcare of South Carolina	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8176	Chief Financial Officer	"MHI - VP, Operating Finance"	Mr.	Parthasarathy	Vijay		1-630-381-8563					vijay.parthasarathy@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF SOUTH CAROLINA,INC"	Local CCP	Molina Healthcare of South Carolina	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8176	CMS Casework Communication Contact	"Dir, Medicare A&G"		Bennett	Kimberly		1-248-854-9474					Kimberly.Bennett@molinahealthcare.com	24121 Rosewood Street		Oak Park	MI	48237	5/21/2025	2026	"MOLINA HEALTHCARE OF SOUTH CAROLINA,INC"	Local CCP	Molina Healthcare of South Carolina	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8176	Coordination of Benefits Contact	"Director, Payment Integrity"		Hartberger	Jake		1-484-269-1480					Jake.Hartberger@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF SOUTH CAROLINA,INC"	Local CCP	Molina Healthcare of South Carolina	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8176	Customer Service Operations Contact	"Vice President, Call Center"		Faroughi	Cheryl		1-614-547-6829					cheryl.faroughi@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF SOUTH CAROLINA,INC"	Local CCP	Molina Healthcare of South Carolina	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8176	Government Relations Contact	"MHI- Vice President, Compliance"		Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@Molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF SOUTH CAROLINA,INC"	Local CCP	Molina Healthcare of South Carolina	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8176	Hospice Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"MOLINA HEALTHCARE OF SOUTH CAROLINA,INC"	Local CCP	Molina Healthcare of South Carolina	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8176	Medicare Compliance Officer	"MHI- Vice President, Compliance"	Mr.	Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF SOUTH CAROLINA,INC"	Local CCP	Molina Healthcare of South Carolina	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8176	Part D Exceptions Contact	"AVP, Medicare Pharmacy Services"		Vu	John							An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"MOLINA HEALTHCARE OF SOUTH CAROLINA,INC"	Local CCP	Molina Healthcare of South Carolina	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-801-252-5706				HMO - Health Maintenance Organization		C	New York
H8176	Pharmacy Network Management Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"MOLINA HEALTHCARE OF SOUTH CAROLINA,INC"	Local CCP	Molina Healthcare of South Carolina	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8176	Pharmacy Technical Help Desk Contact	"Director, Client Operations"		Help Desk	Pharmacy						1-480-314-6077	dayoubj@cvshealth.com	445 Great Circle Road		Nashville	TN	37228	5/21/2025	2026	"MOLINA HEALTHCARE OF SOUTH CAROLINA,INC"	Local CCP	Molina Healthcare of South Carolina	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H8176	Plan to Plan Reconciliation Contact	"Director, Finance"		Cook	Keith		1-562-542-2024					P2P.molina@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF SOUTH CAROLINA,INC"	Local CCP	Molina Healthcare of South Carolina	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8181	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Management	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	3/11/2025	2026	"SAPPHIRE EDGE, INC."	Local CCP	Blue Cross and Blue Shield of Nebraska	Local PPO		Blue Cross Blue Shield of Nebraska	647	Yes	Active					PPO - BBA		C	Chicago
H8181	Best Available Evidence Contact	Manager Medicare Advantage Accounts Rec & Enrollme	Ms.	Vlietstra	Josh		1-402-982-6064					Josh.Vlietstra@nebraskablue.com	1919 Aksarben Dr		Omaha	NE	68108	8/7/2025	2026	"SAPPHIRE EDGE, INC."	Local CCP	Blue Cross and Blue Shield of Nebraska	Local PPO		Blue Cross Blue Shield of Nebraska	647	Yes	Active					PPO - BBA		C	Chicago
H8181	Chief Financial Officer	EVP Chief Financial Officer	Mr	Werner	Chad		1-402-616-2860					chad.werner@nebraskablue.com	1919 Aksarben Dr		Omaha	NE	68180	9/9/2024	2026	"SAPPHIRE EDGE, INC."	Local CCP	Blue Cross and Blue Shield of Nebraska	Local PPO		Blue Cross Blue Shield of Nebraska	647	Yes	Active					PPO - BBA		C	Chicago
H8181	CMS Casework Communication Contact	MCO	Ms.	Vaughn	Shannon		1-402-982-7846					shannon.vaughn@nebraskablue.com	1919 Aksarben Drive		nebraska	NE	68106	9/9/2024	2026	"SAPPHIRE EDGE, INC."	Local CCP	Blue Cross and Blue Shield of Nebraska	Local PPO		Blue Cross Blue Shield of Nebraska	647	Yes	Active					PPO - BBA		C	Chicago
H8181	Coordination of Benefits Contact	Mgr Project & Program Management	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	COBMedD@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	3/11/2025	2026	"SAPPHIRE EDGE, INC."	Local CCP	Blue Cross and Blue Shield of Nebraska	Local PPO		Blue Cross Blue Shield of Nebraska	647	Yes	Active					PPO - BBA		C	Chicago
H8181	Customer Service Operations Contact	Manager Customer Service		Graeve	Sheryl		1-402-982-7036					Sheryl.Graeve@nebraskablue.com	1919 Aksarben Dr		Omaha	NE	68180	11/17/2025	2026	"SAPPHIRE EDGE, INC."	Local CCP	Blue Cross and Blue Shield of Nebraska	Local PPO		Blue Cross Blue Shield of Nebraska	647	Yes	Active					PPO - BBA		C	Chicago
H8181	Government Relations Contact	MA Compliance Officer	Ms.	Vaughn	Shannon		1-402-982-7846					shannon.vaughn@nebraskablue.com	1919 Aksarben Dr		Omaha	NE	68180	9/9/2024	2026	"SAPPHIRE EDGE, INC."	Local CCP	Blue Cross and Blue Shield of Nebraska	Local PPO		Blue Cross Blue Shield of Nebraska	647	Yes	Active					PPO - BBA		C	Chicago
H8181	Hospice Contact	Director of Pharmacy	Mr.	Huether	Jeff		1-402-982-6655					jeff.huether@nebraskablue.com	1919 Aksarben Drive		Omaha	NE	68180	9/9/2024	2026	"SAPPHIRE EDGE, INC."	Local CCP	Blue Cross and Blue Shield of Nebraska	Local PPO		Blue Cross Blue Shield of Nebraska	647	Yes	Active					PPO - BBA		C	Chicago
H8181	Medicare Compliance Officer	MA Compliance Officer	Ms.	Vaughn	Shannon		1-402-982-7846					shannon.vaughn@nebraskablue.com	1919 Aksarben Dr		Omaha	NE	68180	5/19/2025	2026	"SAPPHIRE EDGE, INC."	Local CCP	Blue Cross and Blue Shield of Nebraska	Local PPO		Blue Cross Blue Shield of Nebraska	647	Yes	Active					PPO - BBA		C	Chicago
H8181	Part D Exceptions Contact	Regulatory Pharmacist		Spears	Scott						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	9/22/2025	2026	"SAPPHIRE EDGE, INC."	Local CCP	Blue Cross and Blue Shield of Nebraska	Local PPO		Blue Cross Blue Shield of Nebraska	647	Yes	Active	1-800-693-6651				PPO - BBA		C	Chicago
H8181	Pharmacy Network Management Contact	"AVP, Network Management"	Ms.	Conlin	Marci		1-612-777-2837				1-877-823-6373	MConlin@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	9/9/2024	2026	"SAPPHIRE EDGE, INC."	Local CCP	Blue Cross and Blue Shield of Nebraska	Local PPO		Blue Cross Blue Shield of Nebraska	647	Yes	Active					PPO - BBA		C	Chicago
H8181	Pharmacy Technical Help Desk Contact	"Sr Director, Member Services"		Scott	Shane							shane.scott@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	6/16/2025	2026	"SAPPHIRE EDGE, INC."	Local CCP	Blue Cross and Blue Shield of Nebraska	Local PPO		Blue Cross Blue Shield of Nebraska	647	Yes	Active	1-855-457-1351				PPO - BBA		C	Chicago
H8181	Plan to Plan Reconciliation Contact	Sr Accountant Medicare Advantage	Ms.	Richter	Sarah		1-402-982-8790					Sarah.Richter@nebraskablue.com	1919 Aksarben Dr		Omaha	NE	68180	9/9/2024	2026	"SAPPHIRE EDGE, INC."	Local CCP	Blue Cross and Blue Shield of Nebraska	Local PPO		Blue Cross Blue Shield of Nebraska	647	Yes	Active					PPO - BBA		C	Chicago
H8189	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/5/2024	2026	MANAGED HEALTH SERVICES INSURANCE CORP.	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H8189	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	MANAGED HEALTH SERVICES INSURANCE CORP.	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H8189	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	7/5/2024	2026	MANAGED HEALTH SERVICES INSURANCE CORP.	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H8189	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	MANAGED HEALTH SERVICES INSURANCE CORP.	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H8189	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	MANAGED HEALTH SERVICES INSURANCE CORP.	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H8189	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	9/18/2024	2026	MANAGED HEALTH SERVICES INSURANCE CORP.	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H8189	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	MANAGED HEALTH SERVICES INSURANCE CORP.	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H8189	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	7/5/2024	2026	MANAGED HEALTH SERVICES INSURANCE CORP.	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H8189	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	MANAGED HEALTH SERVICES INSURANCE CORP.	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H8189	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	7/5/2024	2026	MANAGED HEALTH SERVICES INSURANCE CORP.	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H8189	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	MANAGED HEALTH SERVICES INSURANCE CORP.	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H8189	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	1/9/2025	2026	MANAGED HEALTH SERVICES INSURANCE CORP.	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0202				HMO - Health Maintenance Organization		C	Denver
H8189	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	7/5/2024	2026	MANAGED HEALTH SERVICES INSURANCE CORP.	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H8211	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H8211	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H8211	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H8211	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H8211	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H8211	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H8211	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H8211	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H8211	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H8211	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				PPO - BBA		C	Boston
H8211	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H8211	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				PPO - BBA		C	Boston
H8211	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H8212	Automated TrOOP Balance Transfer Contact	Director of Data and Tech Services		Cuchel	Eric		1-215-937-4161					ecuchel@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH CARITAS NORTH CAROLINA, INC."	Local CCP	AmeriHealth Caritas VIP Care	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8212	Best Available Evidence Contact	Medicare Enrollment Manager	Ms.	Mullins	Naketa		1-484-497-1171					nmullins@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH CARITAS NORTH CAROLINA, INC."	Local CCP	AmeriHealth Caritas VIP Care	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8212	Chief Financial Officer	"EVP, CFO & Treasurer"	Mr.	Lopez	Juan		1-609-405-0539					Juan.Lopez@ibx.com	"1901 Market Street, 39th floor"		Philadelphia	PA	19103	3/17/2026	2026	"AMERIHEALTH CARITAS NORTH CAROLINA, INC."	Local CCP	AmeriHealth Caritas VIP Care	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8212	CMS Casework Communication Contact	Director Medicare Appeals and Grievances	Ms.	Lopez	Yismell		1-215-863-5677					yelopez@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH CARITAS NORTH CAROLINA, INC."	Local CCP	AmeriHealth Caritas VIP Care	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8212	Coordination of Benefits Contact	"Manager,  Medicare Regulatory Performance"	Ms.	Williams	Kathy		1-843-830-0812					kwilliams@firstchoicevipcareplus.com	Amerihealth Caritas Family of Companies	"4390 Belle Oak Dr, Suite 400"	Charleston	SC	29405	3/17/2026	2026	"AMERIHEALTH CARITAS NORTH CAROLINA, INC."	Local CCP	AmeriHealth Caritas VIP Care	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8212	Customer Service Operations Contact	"Director, Medicare Customer Service"	Ms.	Veras	Helen		1-267-298-1794					hveras@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	200 Stevens Dr.	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH CARITAS NORTH CAROLINA, INC."	Local CCP	AmeriHealth Caritas VIP Care	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8212	Government Relations Contact	"VP, Public Policy"	Mr.	Cozzo	Steven		1-215-937-8236					scozzo@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	3875 West Chester Pike	Newtown Square	PA	19073	3/17/2026	2026	"AMERIHEALTH CARITAS NORTH CAROLINA, INC."	Local CCP	AmeriHealth Caritas VIP Care	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8212	Hospice Contact	Dir Member Services	Ms.	Veras	Helen		1-833-852-4433					hveras@amerihealthcaritas.com	AmeriHealth Caritas	3875 West Chester Pike	Newtown Square	PA	19073	3/17/2026	2026	"AMERIHEALTH CARITAS NORTH CAROLINA, INC."	Local CCP	AmeriHealth Caritas VIP Care	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8212	Medicare Compliance Officer	Medicare Compliance Officer	Ms	Dupre	Colleen		1-203-506-8413					cdupre@amerihealthcaritas.com	AmeriHealth Caritas Family of Companies	3875 West Chester Pike	Newtown Square	PA	19073	3/17/2026	2026	"AMERIHEALTH CARITAS NORTH CAROLINA, INC."	Local CCP	AmeriHealth Caritas VIP Care	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8212	Part D Exceptions Contact	"Director, Pharmacy Utilization Management"		Bonko	Gerald						1-215-863-5100	gbonko@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH CARITAS NORTH CAROLINA, INC."	Local CCP	AmeriHealth Caritas VIP Care	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active	1-215-863-6483				HMO - Health Maintenance Organization		C	Chicago
H8212	Pharmacy Network Management Contact	Director Pharmacy Network Operations		Patel	Disha		1-215-863-5276					dpatel5@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH CARITAS NORTH CAROLINA, INC."	Local CCP	AmeriHealth Caritas VIP Care	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8212	Pharmacy Technical Help Desk Contact	"Manager, Call Center"		Vargas	Crystal							cvargas@performrx.com	PerformRx	200 Stevens Drive	Philadelphia	PA	19113	3/17/2026	2026	"AMERIHEALTH CARITAS NORTH CAROLINA, INC."	Local CCP	AmeriHealth Caritas VIP Care	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active	1-800-555-5690				HMO - Health Maintenance Organization		C	Chicago
H8212	Plan to Plan Reconciliation Contact	Finance Manager	Ms	Zeleneva	Zhanna		1-312-543-9113					zzeleneva@amerihealthcaritas.com	Amerihealth Caritas Family of Companies	3875 West Chester Pike	Newton Square	PA	19073	3/17/2026	2026	"AMERIHEALTH CARITAS NORTH CAROLINA, INC."	Local CCP	AmeriHealth Caritas VIP Care	HMO/HMOPOS		"Independence Health Group, Inc."	609	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8220	Automated TrOOP Balance Transfer Contact			Rolfe	Tammy		1-321-269-4240					trolfe@reflectionslsc.org	1250-B Grumman Place		Titusville	FL	32780	9/28/2022	2026	"HOSPICE OF ST. FRANCIS, INC."	National PACE	St. Francis Reflections PACE	National PACE				Yes	Pending					PACE - Nat		C	Atlanta
H8220	Best Available Evidence Contact			Killian	Joseph		1-513-382-6688					jkillian@reflectionslsc.org	1250 B Grumman Place		Titusville	FL	32780	9/28/2022	2026	"HOSPICE OF ST. FRANCIS, INC."	National PACE	St. Francis Reflections PACE	National PACE				Yes	Pending					PACE - Nat		C	Atlanta
H8220	Chief Financial Officer		Ms.	Forbes	Angela		1-321-615-8762					aforbes@reflectionslsc.org	1250 B Grumman Place		Titusville	FL	32780	9/28/2022	2026	"HOSPICE OF ST. FRANCIS, INC."	National PACE	St. Francis Reflections PACE	National PACE				Yes	Pending					PACE - Nat		C	Atlanta
H8220	CMS Casework Communication Contact			Rolfe	Tammy		1-321-269-4240					trolfe@reflectionslsc.org	1250-B Grumman Place		Titusville	FL	32780	9/28/2022	2026	"HOSPICE OF ST. FRANCIS, INC."	National PACE	St. Francis Reflections PACE	National PACE				Yes	Pending					PACE - Nat		C	Atlanta
H8220	Coordination of Benefits Contact			Rolfe	Tammy		1-321-269-4240					trolfe@reflectionslsc.org	1250-B Grumman Place		Titusville	FL	32780	9/28/2022	2026	"HOSPICE OF ST. FRANCIS, INC."	National PACE	St. Francis Reflections PACE	National PACE				Yes	Pending					PACE - Nat		C	Atlanta
H8220	Customer Service Operations Contact			Rolfe	Tammy		1-321-269-4240					trolfe@reflectionslsc.org	1250-B Grumman Place		Titusville	FL	32780	9/28/2022	2026	"HOSPICE OF ST. FRANCIS, INC."	National PACE	St. Francis Reflections PACE	National PACE				Yes	Pending					PACE - Nat		C	Atlanta
H8220	Government Relations Contact			Killian	Joseph		1-513-382-6688					jkillian@reflectionslsc.org	1250 B Grumman Place		Titusville	FL	32780	9/28/2022	2026	"HOSPICE OF ST. FRANCIS, INC."	National PACE	St. Francis Reflections PACE	National PACE				Yes	Pending					PACE - Nat		C	Atlanta
H8220	Medicare Compliance Officer		Ms.	Rolfe	Tammy		1-321-269-4240					trolfe@reflectionslc.org	1250 B Grumman Place		Titusville	FL	32780	9/28/2022	2026	"HOSPICE OF ST. FRANCIS, INC."	National PACE	St. Francis Reflections PACE	National PACE				Yes	Pending					PACE - Nat		C	Atlanta
H8220	Part D Exceptions Contact			Rolfe	Tammy							trolfe@reflectionslc.org	1250 B Grumman Place		Titusville	FL	32780	9/28/2022	2026	"HOSPICE OF ST. FRANCIS, INC."	National PACE	St. Francis Reflections PACE	National PACE				Yes	Pending	1-207-242-5386				PACE - Nat		C	Atlanta
H8220	Pharmacy Network Management Contact			Rolfe	Tammy		1-321-269-4240					trolfe@reflectionslsc.org	1250-B Grumman Place		Titusville	FL	32780	9/29/2022	2026	"HOSPICE OF ST. FRANCIS, INC."	National PACE	St. Francis Reflections PACE	National PACE				Yes	Pending					PACE - Nat		C	Atlanta
H8220	Pharmacy Technical Help Desk Contact			Rolfe	Tammy							trolfe@reflectionslc.org	1250 B Grumman Place		Titusville	FL	32780	9/29/2022	2026	"HOSPICE OF ST. FRANCIS, INC."	National PACE	St. Francis Reflections PACE	National PACE				Yes	Pending	1-207-242-5386				PACE - Nat		C	Atlanta
H8220	Plan to Plan Reconciliation Contact			Rolfe	Tammy		1-321-269-4240					trolfe@reflectionslsc.org	1250-B Grumman Place		Titusville	FL	32780	9/29/2022	2026	"HOSPICE OF ST. FRANCIS, INC."	National PACE	St. Francis Reflections PACE	National PACE				Yes	Pending					PACE - Nat		C	Atlanta
H8261	Automated TrOOP Balance Transfer Contact	"Senior Vice President, Health Plan Operations"		Ghaly	Khaled		1-208-563-2338					Khaled.Ghaly@pacificsource.com	408 E Parkcenter Boulevard		Boise	ID	83706	7/2/2025	2026	"PACIFICSOURCE PACE, LLC"	National PACE	PacificSource PACE	National PACE		PacificSource	429	Yes	Active					PACE - Nat		C	San Francisco
H8261	Best Available Evidence Contact	"PACE Chief Medical Officer, and Program Director"		Van Fleet - Green	Jessica		1-253-238-4018					Jessica.VanFleet-Green@pacificsource.com	1500 SW First Ave	Suite 200	Portland	OR	97201	2/24/2026	2026	"PACIFICSOURCE PACE, LLC"	National PACE	PacificSource PACE	National PACE		PacificSource	429	Yes	Active					PACE - Nat		C	San Francisco
H8261	Chief Financial Officer	Senior Vice President and Chief Financial Officer	Mr	Fellner	Brian		1-208-563-2342					Brian.Fellner@pacificsource.com	408 E Parkcenter Boulevard	Suite 100	Boise	ID	83706	10/28/2025	2026	"PACIFICSOURCE PACE, LLC"	National PACE	PacificSource PACE	National PACE		PacificSource	429	Yes	Active					PACE - Nat		C	San Francisco
H8261	CMS Casework Communication Contact	PACE Quality and Compliance Program Manager		Crabtree	Melanie		1-503-388-3232					Melanie.Crabtree@pacificsource.com	1500 SW First Ave	Suite 200	Portland	OR	97201	3/14/2025	2026	"PACIFICSOURCE PACE, LLC"	National PACE	PacificSource PACE	National PACE		PacificSource	429	Yes	Active					PACE - Nat		C	San Francisco
H8261	Coordination of Benefits Contact	"PACE Chief Medical Officer, and Program Director"		Van Fleet - Green	Jessica		1-253-238-4018					Jessica.VanFleet-Green@pacificsource.com	1500 SW First Ave	Suite 200	Portland	OR	97201	2/24/2026	2026	"PACIFICSOURCE PACE, LLC"	National PACE	PacificSource PACE	National PACE		PacificSource	429	Yes	Active					PACE - Nat		C	San Francisco
H8261	Customer Service Operations Contact	"Senior Vice President, Health Plan Operations"		Ghaly	Khaled		1-208-563-2338				1-541-385-3008	Khaled.Ghaly@pacificsource.com	408 E Parkcenter Boulevard	Suite 100	Boise	ID	83706	7/2/2025	2026	"PACIFICSOURCE PACE, LLC"	National PACE	PacificSource PACE	National PACE		PacificSource	429	Yes	Active					PACE - Nat		C	San Francisco
H8261	Government Relations Contact	"PACE Chief Medical Officer, and Program Director"		Van Fleet - Green	Jessica		1-253-238-4018					Jessica.VanFleet-Green@pacificsource.com	1500 SW First Ave	Suite 200	Portland	OR	97201	2/24/2026	2026	"PACIFICSOURCE PACE, LLC"	National PACE	PacificSource PACE	National PACE		PacificSource	429	Yes	Active					PACE - Nat		C	San Francisco
H8261	Medicare Compliance Officer	Corporate Compliance Officer	Mr	Cass	Dave		1-503-802-5327					Dave.Cass@pacificsource.com	1500 SW First Ave	Suite 200	Portland	OR	97201	2/24/2026	2026	"PACIFICSOURCE PACE, LLC"	National PACE	PacificSource PACE	National PACE		PacificSource	429	Yes	Active					PACE - Nat		C	San Francisco
H8261	Part D Exceptions Contact	"PACE Chief Medical Officer, and Program Director"		Van Fleet - Green	Jessica							Jessica.VanFleet-Green@pacificsource.com	1500 SW First Ave	Suite 200	Portland	OR	97201	2/24/2026	2026	"PACIFICSOURCE PACE, LLC"	National PACE	PacificSource PACE	National PACE		PacificSource	429	Yes	Active	1-253-238-4018				PACE - Nat		C	San Francisco
H8261	Pharmacy Network Management Contact	"PACE Chief Medical Officer, and Program Director"		Van Fleet - Green	Jessica		1-253-238-4018					Jessica.VanFleet-Green@pacificsource.com	1500 SW First Ave	Suite 200	Portland	OR	97201	2/24/2026	2026	"PACIFICSOURCE PACE, LLC"	National PACE	PacificSource PACE	National PACE		PacificSource	429	Yes	Active					PACE - Nat		C	San Francisco
H8261	Pharmacy Technical Help Desk Contact	"PACE Chief Medical Officer, and Program Director"		Van Fleet - Green	Jessica							Jessica.VanFleet-Green@pacificsource.com	1500 SW First Ave	Suite 200	Portland	OR	97201	2/24/2026	2026	"PACIFICSOURCE PACE, LLC"	National PACE	PacificSource PACE	National PACE		PacificSource	429	Yes	Active	1-253-238-4018				PACE - Nat		C	San Francisco
H8261	Plan to Plan Reconciliation Contact	"PACE Chief Medical Officer, and Program Director"		Van Fleet - Green	Jessica		1-253-238-4018					Jessica.VanFleet-Green@pacificsource.com	1500 SW First Ave	Suite 200	Portland	OR	97201	2/24/2026	2026	"PACIFICSOURCE PACE, LLC"	National PACE	PacificSource PACE	National PACE		PacificSource	429	Yes	Active					PACE - Nat		C	San Francisco
H8263	Automated TrOOP Balance Transfer Contact			Siler	Sarah		1-844-664-2248					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	1/24/2025	2026	"HABITAT HEALTH WEST COVINA, LLC"	National PACE	Habitat Health West Covina	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Pending					PACE - Nat		C	San Francisco
H8263	Best Available Evidence Contact			Siler	Sarah		1-844-664-2248					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	1/24/2025	2026	"HABITAT HEALTH WEST COVINA, LLC"	National PACE	Habitat Health West Covina	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Pending					PACE - Nat		C	San Francisco
H8263	Chief Financial Officer		Mr.	Fuentes	Robert		1-844-664-2248					rfuentes@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	1/24/2025	2026	"HABITAT HEALTH WEST COVINA, LLC"	National PACE	Habitat Health West Covina	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Pending					PACE - Nat		C	San Francisco
H8263	CMS Casework Communication Contact			Siler	Sarah		1-844-664-2248					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	1/24/2025	2026	"HABITAT HEALTH WEST COVINA, LLC"	National PACE	Habitat Health West Covina	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Pending					PACE - Nat		C	San Francisco
H8263	Coordination of Benefits Contact			Siler	Sarah		1-844-664-2248					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	1/24/2025	2026	"HABITAT HEALTH WEST COVINA, LLC"	National PACE	Habitat Health West Covina	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Pending					PACE - Nat		C	San Francisco
H8263	Customer Service Operations Contact			Waschevski	Susan		1-844-664-2248					swaschevski@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	1/24/2025	2026	"HABITAT HEALTH WEST COVINA, LLC"	National PACE	Habitat Health West Covina	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Pending					PACE - Nat		C	San Francisco
H8263	Government Relations Contact			Dey	Anna		1-844-664-2248					adey@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	1/24/2025	2026	"HABITAT HEALTH WEST COVINA, LLC"	National PACE	Habitat Health West Covina	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Pending					PACE - Nat		C	San Francisco
H8263	Medicare Compliance Officer		Mrs.	Dey	Anna		1-844-664-2248					adey@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	1/24/2025	2026	"HABITAT HEALTH WEST COVINA, LLC"	National PACE	Habitat Health West Covina	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Pending					PACE - Nat		C	San Francisco
H8263	Part D Exceptions Contact		Mrs.	Siler	Sarah							ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	1/24/2025	2026	"HABITAT HEALTH WEST COVINA, LLC"	National PACE	Habitat Health West Covina	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Pending	1-844-664-2248				PACE - Nat		C	San Francisco
H8263	Pharmacy Network Management Contact			Siler	Sarah		1-844-664-2248					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	1/24/2025	2026	"HABITAT HEALTH WEST COVINA, LLC"	National PACE	Habitat Health West Covina	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Pending					PACE - Nat		C	San Francisco
H8263	Pharmacy Technical Help Desk Contact		Mrs.	Siler	Sarah							ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	1/24/2025	2026	"HABITAT HEALTH WEST COVINA, LLC"	National PACE	Habitat Health West Covina	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Pending	1-844-664-2248				PACE - Nat		C	San Francisco
H8263	Plan to Plan Reconciliation Contact			Siler	Sarah		1-844-664-2248					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	1/24/2025	2026	"HABITAT HEALTH WEST COVINA, LLC"	National PACE	Habitat Health West Covina	National PACE		"Tungsten Health Holdings, LLC"	826	Yes	Pending					PACE - Nat		C	San Francisco
H8298	Automated TrOOP Balance Transfer Contact	"Director, PBM Ops."	Ms.	Cain	Christina		1-612-777-6722				1-612-777-1330	EOBP2P@primetherapeutics.com	2900 Ames Crossing Rd		Eagan	MN	55121	11/28/2023	2026	"HORIZON HEALTHCARE OF NEW JERSEY, INC."	Local CCP	Horizon Blue Cross Blue Shield of New Jersey	HMO/HMOPOS		"Horizon Mutual Holdings, Inc"	126	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8298	Best Available Evidence Contact	"Supervisor, Govt. Programs"		Achoe	Kisha		1-973-466-7328					Kisha_Achoe@horizonblue.com	3 Penn Plaza East		Newark	NJ	07105	7/27/2023	2026	"HORIZON HEALTHCARE OF NEW JERSEY, INC."	Local CCP	Horizon Blue Cross Blue Shield of New Jersey	HMO/HMOPOS		"Horizon Mutual Holdings, Inc"	126	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8298	Chief Financial Officer	SVP & Chief Financial Offcr.	Mr.	Rosenberg	David		1-973-466-4600					david_rosenberg@horizonblue.com	3 Penn Plaza	PP-16	Newark	NJ	07105	11/2/2022	2026	"HORIZON HEALTHCARE OF NEW JERSEY, INC."	Local CCP	Horizon Blue Cross Blue Shield of New Jersey	HMO/HMOPOS		"Horizon Mutual Holdings, Inc"	126	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8298	CMS Casework Communication Contact	"Director, GP Operations"		Maramraju	Venkata		1-609-537-2113					venkata.maramraju@horizonblue.com	1700 American Boulevard		Pennington	NJ	08534	1/3/2022	2026	"HORIZON HEALTHCARE OF NEW JERSEY, INC."	Local CCP	Horizon Blue Cross Blue Shield of New Jersey	HMO/HMOPOS		"Horizon Mutual Holdings, Inc"	126	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8298	Coordination of Benefits Contact	"Director, PBM Ops"	Ms.	Cain	Christina		1-612-777-6722				1-612-777-1330	COBMedD@primetherapeutics.com	2900 Ames Crossing Rd		Eagan	MN	55121	11/28/2023	2026	"HORIZON HEALTHCARE OF NEW JERSEY, INC."	Local CCP	Horizon Blue Cross Blue Shield of New Jersey	HMO/HMOPOS		"Horizon Mutual Holdings, Inc"	126	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8298	Customer Service Operations Contact	"Director, Operations - GP"		Maramraju	Venkata		1-609-537-2113					venkata_maramraju@horizonblue.com	1700 American Blvd	HL-03	Pennington	NJ	08534	1/27/2026	2026	"HORIZON HEALTHCARE OF NEW JERSEY, INC."	Local CCP	Horizon Blue Cross Blue Shield of New Jersey	HMO/HMOPOS		"Horizon Mutual Holdings, Inc"	126	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8298	Government Relations Contact	"Director, Regulatory Compliance"	Ms.	Ventura	Jill		1-609-537-2611					Jill_Ventura@horizonblue.com	1700 American Blvd	HL-03	Pennington	NJ	08534	4/7/2026	2026	"HORIZON HEALTHCARE OF NEW JERSEY, INC."	Local CCP	Horizon Blue Cross Blue Shield of New Jersey	HMO/HMOPOS		"Horizon Mutual Holdings, Inc"	126	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8298	Hospice Contact	"Director, Clinical Special Needs Plan"		Smolij	Carol		1-856-638-3595					Carol_Smolij@horizonblue.com	250 Century Pkwy		Mt. Laurel	NJ	08054	4/4/2018	2026	"HORIZON HEALTHCARE OF NEW JERSEY, INC."	Local CCP	Horizon Blue Cross Blue Shield of New Jersey	HMO/HMOPOS		"Horizon Mutual Holdings, Inc"	126	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8298	Medicare Compliance Officer	"Director, GP Regulatory Compliance"	Ms.	Ventura	Jill		1-609-537-2611					jill_ventura@horizonblue.com	1700 American Blvd.	HL-03	Pennington	NJ	08534	3/25/2026	2026	"HORIZON HEALTHCARE OF NEW JERSEY, INC."	Local CCP	Horizon Blue Cross Blue Shield of New Jersey	HMO/HMOPOS		"Horizon Mutual Holdings, Inc"	126	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8298	Part D Exceptions Contact	"Director, Reg/Audit Response"	Ms.	Davis	Megan						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	2900 Ames Crossing Rd		"Eagan,"	MN	55121	4/15/2021	2026	"HORIZON HEALTHCARE OF NEW JERSEY, INC."	Local CCP	Horizon Blue Cross Blue Shield of New Jersey	HMO/HMOPOS		"Horizon Mutual Holdings, Inc"	126	Yes	Active	1-800-693-6651				HMO - Health Maintenance Organization		C	Dallas
H8298	Pharmacy Network Management Contact	"AVP, Network Mgmt"	Ms	Conlin	Marci		1-612-777-2842					Marci.Conlin@primetherapeutics.com	2900 Ames Crossing Rd		Eagan	MN	55121	4/15/2021	2026	"HORIZON HEALTHCARE OF NEW JERSEY, INC."	Local CCP	Horizon Blue Cross Blue Shield of New Jersey	HMO/HMOPOS		"Horizon Mutual Holdings, Inc"	126	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8298	Pharmacy Technical Help Desk Contact	"Director, Member Services"		Schultz	Bret							bret.schultz@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	6/12/2024	2026	"HORIZON HEALTHCARE OF NEW JERSEY, INC."	Local CCP	Horizon Blue Cross Blue Shield of New Jersey	HMO/HMOPOS		"Horizon Mutual Holdings, Inc"	126	Yes	Active	1-855-457-1347				HMO - Health Maintenance Organization		C	Dallas
H8298	Plan to Plan Reconciliation Contact	Pharmacy Business Admin		Cunningham	Theresa		1-973-466-7886				1-973-466-4665	theresa_cunningham@horizonblue.com	"3 Penn Plaza East, PP-12Q"		Newark	NJ	07105	12/22/2016	2026	"HORIZON HEALTHCARE OF NEW JERSEY, INC."	Local CCP	Horizon Blue Cross Blue Shield of New Jersey	HMO/HMOPOS		"Horizon Mutual Holdings, Inc"	126	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8320	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"Devoted of Illinois, Inc."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H8320	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"Devoted of Illinois, Inc."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H8320	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"Devoted of Illinois, Inc."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H8320	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"Devoted of Illinois, Inc."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H8320	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"Devoted of Illinois, Inc."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H8320	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"Devoted of Illinois, Inc."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H8320	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"Devoted of Illinois, Inc."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H8320	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"Devoted of Illinois, Inc."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H8320	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"Devoted of Illinois, Inc."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H8320	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"Devoted of Illinois, Inc."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				PPO - BBA		C	Boston
H8320	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"Devoted of Illinois, Inc."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H8320	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"Devoted of Illinois, Inc."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				PPO - BBA		C	Boston
H8320	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"Devoted of Illinois, Inc."	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H8330	Automated TrOOP Balance Transfer Contact			Burns	Kevin		1-781-612-3538					Kevin.Burns@point32health.org	1 Wellness Way		Canton	MA	02021	1/15/2026	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8330	Best Available Evidence Contact	"Director, Public Plans Enrollment & Revenue Rec"		Mahoney	Thomas		1-781-612-4897	3152780				thomas.mahoney@point32health.org	1 Wellness Way		Canton	MA	02021	4/3/2025	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8330	Chief Financial Officer	Chief Financial Officer	Mr.	Marrone	Michael		1-781-612-6435					michael.marrone@point32health.org	1 Wellness Way		Canton	MA	02021	1/7/2026	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8330	CMS Casework Communication Contact	"Sr. Program Manager, Appeals & Grievances"		Mello	Sheri		1-781-612-1000	84682				sheri.mello@point32health.org	1 Wellness Way		Canton	MA	02021	4/3/2025	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8330	Coordination of Benefits Contact			COB Inquiries	Medicare		1-781-612-1000					Medicare_COB_Inquiries@point32health.org	1 Wellness Way		Canton	MA	02021	4/3/2025	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8330	Customer Service Operations Contact	"Manager, Member Services"		Villatoro	Yesly		1-781-612-1000	54152				yesly.villatoro@point32health.org	1 Wellness Way		Canton	MA	02021	4/3/2025	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8330	Government Relations Contact	Chief Government Affairs Officer		Lewis	Kristin		1-781-612-1000	83621				kristin.lewis@point32health.org	1 Wellness Way		Canton	MA	02021	4/3/2025	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8330	Hospice Contact	"Senior Manager, Pharmacy Operations & Programs"		Alves	Heather		1-508-965-9919					Heather.Alves@point32health.org	1 Wellness Way		Canton	MA	02021	12/19/2025	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8330	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Geroski	Tami	A	1-570-814-2999					tami.geroski@point32health.org	1 Wellness Way		Canton	MA	02021	1/7/2026	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8330	Part D Exceptions Contact	"Director, Pharmacy Utilization Management"		Chan	Bryan							bryan.chan@point32health.org	1 Wellness Way		Canton	MA	02021	4/3/2025	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active	1-781-612-1000	82370			HMO - Health Maintenance Organization		C	Boston
H8330	Pharmacy Network Management Contact	"Manager, Retail Network Operations"		Perez	Felix		1-305-351-3044					Felix.perez@optum.com	11000 Optum Circle		Eden Prairie	MN	55344	1/22/2026	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8330	Pharmacy Technical Help Desk Contact	Sr. Manager		Villaneuva	Juan							Juan.Villanueva@optum.com	3515 S Harbor Blvd.		Costa Mesa	CA	92626	4/3/2025	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active	1-855-679-2639				HMO - Health Maintenance Organization		C	Boston
H8330	Plan to Plan Reconciliation Contact	"Manager, Finance Operations Compliance"		Schumaker	Tyler		1-617-972-9400	87394				Tyler.Schumaker@point32health.org	1 Wellness Way		Canton	MA	02021	4/3/2025	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	HMO/HMOPOS		"Point32Health, Inc."	398	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8332	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/9/2024	2026	AETNA HEALTH INC. (TX)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8332	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	AETNA HEALTH INC. (TX)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8332	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA HEALTH INC. (TX)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8332	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	AETNA HEALTH INC. (TX)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8332	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	AETNA HEALTH INC. (TX)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8332	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	AETNA HEALTH INC. (TX)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8332	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA HEALTH INC. (TX)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8332	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	AETNA HEALTH INC. (TX)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8332	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	1/13/2020	2026	AETNA HEALTH INC. (TX)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8332	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	AETNA HEALTH INC. (TX)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H8332	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA HEALTH INC. (TX)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8332	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	AETNA HEALTH INC. (TX)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H8332	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA HEALTH INC. (TX)	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8371	Automated TrOOP Balance Transfer Contact	Vice President of Finance	Ms.	DiMaria	Anna		1-516-422-7891					adimaria@Kinshiphs.com	225 Crossways Park Drive		Woodbury	NY	11797	6/1/2026	2026	"KINSHIP PACE OF WESTERN ARKANSAS, LLC"	National PACE	"Kinship PACE of Western Arkansas, LLC"	National PACE				Yes	Pending					PACE - Nat		C	Denver
H8371	Best Available Evidence Contact	CEO	Mrs	Garay	Lisa		1-201-675-5663					lgaray@kinshiphs.com	63 Karen Drive		Mahwah	NJ	07430	6/1/2026	2026	"KINSHIP PACE OF WESTERN ARKANSAS, LLC"	National PACE	"Kinship PACE of Western Arkansas, LLC"	National PACE				Yes	Pending					PACE - Nat		C	Denver
H8371	Chief Financial Officer	Chief Financial Officer	Mr.	Leahy	Ryan		1-845-235-6531					RLeahy@Kinshiphs.com	225 Crossways Park Drive		Woodbury	NY	11797	6/1/2026	2026	"KINSHIP PACE OF WESTERN ARKANSAS, LLC"	National PACE	"Kinship PACE of Western Arkansas, LLC"	National PACE				Yes	Pending					PACE - Nat		C	Denver
H8371	CMS Casework Communication Contact	SVP Clinical Services	Mr	Tavares	David		1-914-610-9706					DTavares@Kinshiphs.com	23 Old Orchard Ln		Stamford	CT	06903	6/1/2026	2026	"KINSHIP PACE OF WESTERN ARKANSAS, LLC"	National PACE	"Kinship PACE of Western Arkansas, LLC"	National PACE				Yes	Pending					PACE - Nat		C	Denver
H8371	Coordination of Benefits Contact	CEO	Mrs	Garay	Lisa		1-201-675-5663					lgaray@kinshiphs.com	63 Karen Drive		Mahwah	NJ	07430	6/1/2026	2026	"KINSHIP PACE OF WESTERN ARKANSAS, LLC"	National PACE	"Kinship PACE of Western Arkansas, LLC"	National PACE				Yes	Pending					PACE - Nat		C	Denver
H8371	Customer Service Operations Contact	CEO	Mrs	Garay	Lisa		1-201-675-5663					lgaray@kinshiphs.com	63 Karen Drive		Mahwah	NJ	07430	6/1/2026	2026	"KINSHIP PACE OF WESTERN ARKANSAS, LLC"	National PACE	"Kinship PACE of Western Arkansas, LLC"	National PACE				Yes	Pending					PACE - Nat		C	Denver
H8371	Government Relations Contact	VP Compliance and Government Affairs	Ms.	Lopez	Kim		1-303-960-0733					KLOPEZ@kinshiphs.com	225 Crossways Park Drive		Woodbury	NY	11797	6/1/2026	2026	"KINSHIP PACE OF WESTERN ARKANSAS, LLC"	National PACE	"Kinship PACE of Western Arkansas, LLC"	National PACE				Yes	Pending					PACE - Nat		C	Denver
H8371	Medicare Compliance Officer	VP Compliance and Government Affairs	Ms.	Lopez	Kim		1-303-960-0733					KLOPEZ@kinshiphs.com	225 Crossways Park Drive		Woodbury	NY	11797	6/1/2026	2026	"KINSHIP PACE OF WESTERN ARKANSAS, LLC"	National PACE	"Kinship PACE of Western Arkansas, LLC"	National PACE				Yes	Pending					PACE - Nat		C	Denver
H8371	Part D Exceptions Contact	CEO	Mrs	Garay	Lisa							lgaray@kinshiphs.com	63 Karen Drive		Mahwah	NJ	07430	6/1/2026	2026	"KINSHIP PACE OF WESTERN ARKANSAS, LLC"	National PACE	"Kinship PACE of Western Arkansas, LLC"	National PACE				Yes	Pending	1-201-675-5663				PACE - Nat		C	Denver
H8371	Pharmacy Network Management Contact	CEO	Mrs	Garay	Lisa		1-201-675-5663					lgaray@kinshiphs.com	63 Karen Drive		Mahwah	NJ	07430	6/1/2026	2026	"KINSHIP PACE OF WESTERN ARKANSAS, LLC"	National PACE	"Kinship PACE of Western Arkansas, LLC"	National PACE				Yes	Pending					PACE - Nat		C	Denver
H8371	Pharmacy Technical Help Desk Contact	CEO	Mrs	Garay	Lisa							lgaray@kinshiphs.com	63 Karen Drive		Mahwah	NJ	07430	6/1/2026	2026	"KINSHIP PACE OF WESTERN ARKANSAS, LLC"	National PACE	"Kinship PACE of Western Arkansas, LLC"	National PACE				Yes	Pending	1-201-675-5663				PACE - Nat		C	Denver
H8371	Plan to Plan Reconciliation Contact	CEO	Mrs	Garay	Lisa		1-201-675-5663					lgaray@kinshiphs.com	63 Karen Drive		Mahwah	NJ	07430	6/1/2026	2026	"KINSHIP PACE OF WESTERN ARKANSAS, LLC"	National PACE	"Kinship PACE of Western Arkansas, LLC"	National PACE				Yes	Pending					PACE - Nat		C	Denver
H8379	Automated TrOOP Balance Transfer Contact	Enrollment Coordinator		Rice	Lori		1-616-464-8667					PH-MedicareTrOOPContact@PriorityHealth.com	1231 East Beltline Ave NE	MS 1175	Grand Rapids	MI	49525	5/17/2023	2026	"PRIORITY HEALTH CHOICE, INC."	Local CCP	Priority Health Medicare	HMO/HMOPOS		Corewell Health	190	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H8379	Best Available Evidence Contact	"Manager, Medicare Enrollment"		Thomas	Sabrina		1-616-464-8578					phcompliance@priorityhealth.com	1231 East Beltline Ave NE		Grand Rapids	MI	49525	11/7/2024	2026	"PRIORITY HEALTH CHOICE, INC."	Local CCP	Priority Health Medicare	HMO/HMOPOS		Corewell Health	190	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H8379	Chief Financial Officer	"Senior Vice President, Finance"	Mrs.	McIntyre	Celeste		1-616-774-5142					phcompliance@priorityhealth.com	1231 East Beltline Ave NE		Grand Rapids	MI	49525	11/20/2025	2026	"PRIORITY HEALTH CHOICE, INC."	Local CCP	Priority Health Medicare	HMO/HMOPOS		Corewell Health	190	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H8379	CMS Casework Communication Contact	Manager for Business Monitoring - G & A		LaBelle	Julie		1-917-841-7869					Radha.LaBelle@priorityhealth.com	1231 East Beltline Ave NE		Grand Rapids	MI	49525	5/17/2023	2026	"PRIORITY HEALTH CHOICE, INC."	Local CCP	Priority Health Medicare	HMO/HMOPOS		Corewell Health	190	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H8379	Coordination of Benefits Contact	Claims Manager		Ball	Jill		1-888-389-6648					phcompliance@priorityhealth.com	1239 East Beltline Ave NE	MS2205	Grand Rapids	MI	49525	11/7/2024	2026	"PRIORITY HEALTH CHOICE, INC."	Local CCP	Priority Health Medicare	HMO/HMOPOS		Corewell Health	190	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H8379	Customer Service Operations Contact	"Customer Care Center Manager, Medicare"		Storment	Joe		1-503-330-9550					phcompliance@priorityhealth.com	1231 East Beltline Ave NE		Grand Rapids	MI	49525	11/7/2024	2026	"PRIORITY HEALTH CHOICE, INC."	Local CCP	Priority Health Medicare	HMO/HMOPOS		Corewell Health	190	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H8379	Government Relations Contact	Medicare Compliance Officer Director	Mrs.	DeHaan	Heather		1-616-464-3510					phcompliance@priorityhealth.com	1239 East Beltline Ave NE	MS 3230	Grand Rapids	MI	49525	11/7/2024	2026	"PRIORITY HEALTH CHOICE, INC."	Local CCP	Priority Health Medicare	HMO/HMOPOS		Corewell Health	190	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H8379	Hospice Contact	Medicare Compliance Officer Director	Mrs.	DeHaan	Heather		1-616-464-3510					phcompliance@priorityhealth.com	1239 East Beltline Ave NE	MS 3230	Grand Rapids	MI	49525	11/7/2024	2026	"PRIORITY HEALTH CHOICE, INC."	Local CCP	Priority Health Medicare	HMO/HMOPOS		Corewell Health	190	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H8379	Medicare Compliance Officer	Medicare Compliance Officer Director	Mrs	DeHaan	Heather		1-616-464-3510					heather.dehaan@priorityhealth.com	1239 East Beltline Ave NE	MS 3230	Grand Rapids	MI	49525	11/7/2024	2026	"PRIORITY HEALTH CHOICE, INC."	Local CCP	Priority Health Medicare	HMO/HMOPOS		Corewell Health	190	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H8379	Part D Exceptions Contact			Help Desk	Pharmacy							part.d.ops@priorityhealth.com	1231 East Beltline Ave NE		Grand Rapids	MI	49525	5/17/2023	2026	"PRIORITY HEALTH CHOICE, INC."	Local CCP	Priority Health Medicare	HMO/HMOPOS		Corewell Health	190	Yes	Active	1-800-466-6642				HMO - Health Maintenance Organization		C	Seattle
H8379	Pharmacy Network Management Contact	Director Pharmacy Operations		Chaffee	Jacob		1-616-575-6149					jacob.chaffee@priorityhealth.com	1231 E. Beltline Ave Ne		Grand Rapids	MI	49525	5/17/2023	2026	"PRIORITY HEALTH CHOICE, INC."	Local CCP	Priority Health Medicare	HMO/HMOPOS		Corewell Health	190	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H8379	Pharmacy Technical Help Desk Contact			Help Desk	Pharmacy							part.d.ops@priorityhealth.com	1231 East Beltline Ave NE		Grand Rapids	MI	49525	5/17/2023	2026	"PRIORITY HEALTH CHOICE, INC."	Local CCP	Priority Health Medicare	HMO/HMOPOS		Corewell Health	190	Yes	Active	1-800-466-6642				HMO - Health Maintenance Organization		C	Seattle
H8379	Plan to Plan Reconciliation Contact	Business Systems Analyst		Robinson	Aminah		1-616-862-9827					aminah.robinson@priorityhealth.com	1231 East Beltline Ave NE		Grand Rapids	MI	49525	7/1/2024	2026	"PRIORITY HEALTH CHOICE, INC."	Local CCP	Priority Health Medicare	HMO/HMOPOS		Corewell Health	190	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H8385	Automated TrOOP Balance Transfer Contact	Director of Pharmacy	Ms.	Schilling	Gretchen		1-605-312-2741					Gretchen.Schilling@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/20/2024	2026	SANFORD HEALTH PLAN	Local CCP	Align powered by Sanford Health Plan	Local PPO		Sanford Health	740	Yes	Active					PPO - BBA		C	Dallas
H8385	Best Available Evidence Contact	Senior Director of Regulation and Risk	Ms.	Jansick	Aleesa		1-605-328-7182					Aleesa.Jansick@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/20/2024	2026	SANFORD HEALTH PLAN	Local CCP	Align powered by Sanford Health Plan	Local PPO		Sanford Health	740	Yes	Active					PPO - BBA		C	Dallas
H8385	Chief Financial Officer	Chief Financial Officer	Mr.	Custis	Stephen		1-612-964-9158					Stephen.Custis@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	11/4/2025	2026	SANFORD HEALTH PLAN	Local CCP	Align powered by Sanford Health Plan	Local PPO		Sanford Health	740	Yes	Active					PPO - BBA		C	Dallas
H8385	CMS Casework Communication Contact	Manager of Appeals and Grievances	Ms.	Bjorklund	Angela		1-605-312-2634					Angela.Bjorklund@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/20/2024	2026	SANFORD HEALTH PLAN	Local CCP	Align powered by Sanford Health Plan	Local PPO		Sanford Health	740	Yes	Active					PPO - BBA		C	Dallas
H8385	Coordination of Benefits Contact	Director of Customer Service	Mr.	Ling	Ryan		1-605-312-7459					Ryan.Ling@sanfordhealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/20/2024	2026	SANFORD HEALTH PLAN	Local CCP	Align powered by Sanford Health Plan	Local PPO		Sanford Health	740	Yes	Active					PPO - BBA		C	Dallas
H8385	Customer Service Operations Contact	Director of Customer Service	Mr.	Ling	Ryan		1-605-312-7459					Ryan.Ling@sanfordhealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/20/2024	2026	SANFORD HEALTH PLAN	Local CCP	Align powered by Sanford Health Plan	Local PPO		Sanford Health	740	Yes	Active					PPO - BBA		C	Dallas
H8385	Government Relations Contact	Head of Government Affairs	Mr.	Wheeler	Dylan		1-605-328-7186					Dylan.Wheeler@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/20/2024	2026	SANFORD HEALTH PLAN	Local CCP	Align powered by Sanford Health Plan	Local PPO		Sanford Health	740	Yes	Active					PPO - BBA		C	Dallas
H8385	Hospice Contact	Director of Care and Utilization Management	Ms.	Vandonslear	Barbara		1-605-328-6853					Barbara.Vandonslear@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/20/2024	2026	SANFORD HEALTH PLAN	Local CCP	Align powered by Sanford Health Plan	Local PPO		Sanford Health	740	Yes	Active					PPO - BBA		C	Dallas
H8385	Medicare Compliance Officer	Compliance Officer	Mr.	Yeoman	Dallan		1-605-328-6806					Dallan.Yeoman@sanfordhealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/20/2024	2026	SANFORD HEALTH PLAN	Local CCP	Align powered by Sanford Health Plan	Local PPO		Sanford Health	740	Yes	Active					PPO - BBA		C	Dallas
H8385	Part D Exceptions Contact	"Manager, Prior Authorization"	Ms.	Le	Christina						1-877-239-4565	rxsol_prior_auth_redirected_queue_DL@uhc.com	PO Box 2975		Mission	KS	66201	8/28/2024	2026	SANFORD HEALTH PLAN	Local CCP	Align powered by Sanford Health Plan	Local PPO		Sanford Health	740	Yes	Active	1-888-403-3398				PPO - BBA		C	Dallas
H8385	Pharmacy Network Management Contact	"Manager, Retail Network Operations"	Mr.	Perez	Felix		1-763-283-3503					Felix.Perez@optum.com	"1600 McConnor Parkway , IL 601736801"		Schaumburg	IL	60173-6801	8/28/2024	2026	SANFORD HEALTH PLAN	Local CCP	Align powered by Sanford Health Plan	Local PPO		Sanford Health	740	Yes	Active					PPO - BBA		C	Dallas
H8385	Pharmacy Technical Help Desk Contact	Pharmacy Technical Help Desk	Sr.	Villanueva	Juan							juan.villanueva@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	12/15/2023	2026	SANFORD HEALTH PLAN	Local CCP	Align powered by Sanford Health Plan	Local PPO		Sanford Health	740	Yes	Active	1-844-642-9090				PPO - BBA		C	Dallas
H8385	Plan to Plan Reconciliation Contact	Director of Finance	Ms.	Harris	Debora		1-605-312-9344					Debora.Harris@sanfordhealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/20/2024	2026	SANFORD HEALTH PLAN	Local CCP	Align powered by Sanford Health Plan	Local PPO		Sanford Health	740	Yes	Active					PPO - BBA		C	Dallas
H8390	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Innovation"	Ms.	Loricco	Nichol		1-937-818-7479					rxcompliancerequest@caresource.com	140 N Jefferson St		Dayton	OH	45402	4/21/2026	2026	CARESOURCE GEORGIA CO.	Local CCP	CareSource	HMO/HMOPOS		CareSource	321	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H8390	Best Available Evidence Contact	Enrollment Team Lead	Mr.	Richardson	Kal		1-937-224-3300	3437			1-937-425-0909	kal.richardson@caresource.com	P. O. Box 45401		Dayton	OH	45401	4/21/2026	2026	CARESOURCE GEORGIA CO.	Local CCP	CareSource	HMO/HMOPOS		CareSource	321	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H8390	Chief Financial Officer	Chief Financial Officer	Mr.	Smart	Lawrence		1-937-531-3335					Lawrence.Smart@caresource.com	P. O. Box 8738		Dayton	OH	45401	4/21/2026	2026	CARESOURCE GEORGIA CO.	Local CCP	CareSource	HMO/HMOPOS		CareSource	321	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H8390	CMS Casework Communication Contact	"AVP, Grievance and Appeals"	Mr.	Mayo	Faustino		1-937-701-3522					faustino.mayo@caresource.com	P.O. Box 1947		Dayton	OH	45401	4/21/2026	2026	CARESOURCE GEORGIA CO.	Local CCP	CareSource	HMO/HMOPOS		CareSource	321	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H8390	Coordination of Benefits Contact	"Manager, Enrollment Operations"	Mr.	Spivey	Michael		1-937-531-3682				1-937-487-0643	COBInquiry@caresource.com	230 N. Main St.		Dayton	OH	45402	4/21/2026	2026	CARESOURCE GEORGIA CO.	Local CCP	CareSource	HMO/HMOPOS		CareSource	321	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H8390	Customer Service Operations Contact	"Director, Customer Care"		Cary	Lisa		1-937-232-6458					lisa.cary@caresource.com	40 W 2nd St		Dayton	OH	45402	4/21/2026	2026	CARESOURCE GEORGIA CO.	Local CCP	CareSource	HMO/HMOPOS		CareSource	321	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H8390	Government Relations Contact	"Sr. Manager, Medicare Compliance Officer"	Ms.	Nettles	Kylie		1-937-487-6159					kylie.nettles@caresource.com	230 North Main Street		Dayton	OH	45402	4/21/2026	2026	CARESOURCE GEORGIA CO.	Local CCP	CareSource	HMO/HMOPOS		CareSource	321	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H8390	Hospice Contact	"Director, Enrollment"	Mr.	Castro	Armando		1-937-531-2291					armando.castro@caresource.com	230 N Main St		Dayton	OH	45402	4/21/2026	2026	CARESOURCE GEORGIA CO.	Local CCP	CareSource	HMO/HMOPOS		CareSource	321	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H8390	Medicare Compliance Officer	"Sr. Manager, Medicare Compliance Officer"	Ms.	Nettles	Kylie		1-937-487-6159					kylie.nettles@caresource.com	230 N. Main St.		Dayton	OH	45402	4/21/2026	2026	CARESOURCE GEORGIA CO.	Local CCP	CareSource	HMO/HMOPOS		CareSource	321	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H8390	Part D Exceptions Contact	Sr. Pharmacy Manager	Mr.	Schumm	Brian							Brian_Schumm@express-scripts.com	5151 Blazer Pkwy		Dublin	OH	43017	4/21/2026	2026	CARESOURCE GEORGIA CO.	Local CCP	CareSource	HMO/HMOPOS		CareSource	321	Yes	Withdrawn Contract	1-800-344-3405	733326			HMO - Health Maintenance Organization		C	Boston
H8390	Pharmacy Network Management Contact	"Director, Pharmacy Innovation"	Ms.	Loricco	Nichol		1-937-818-7479					rxcompliancerequest@caresource.com	140 N Jefferson St		Dayton	OH	45402	4/21/2026	2026	CARESOURCE GEORGIA CO.	Local CCP	CareSource	HMO/HMOPOS		CareSource	321	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H8390	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	13051 N. Telecom PKWY STE 150		Temple Terrace	FL	33637	4/21/2026	2026	CARESOURCE GEORGIA CO.	Local CCP	CareSource	HMO/HMOPOS		CareSource	321	Yes	Withdrawn Contract	1-800-922-1557				HMO - Health Maintenance Organization		C	Boston
H8390	Plan to Plan Reconciliation Contact	"Senior Manager, Accounting"	Ms.	Schoen	Dawn		1-937-487-6597					CareSourceP2P@caresource.com	CareSource Accounting	PO Box 2208	Dayton	OH	45401	4/21/2026	2026	CARESOURCE GEORGIA CO.	Local CCP	CareSource	HMO/HMOPOS		CareSource	321	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Boston
H8421	Automated TrOOP Balance Transfer Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224				1-732-806-3324	jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/26/2026	2026	"ACUTECARE PACE FRANKLIN, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8421	Best Available Evidence Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/31/2026	2026	"ACUTECARE PACE FRANKLIN, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8421	Chief Financial Officer	Chief Financial Officer	Mr	Schlesinger	David		1-855-801-2653					dschlesinger@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	5/20/2026	2026	"ACUTECARE PACE FRANKLIN, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8421	CMS Casework Communication Contact	Director of Compliance	Mr.	Cooper	Wanda		1-855-801-2653					wcooper@boldagepace.com	1075 Stephenson Avenue Suite B		Oceanport	NJ	07757	5/20/2026	2026	"ACUTECARE PACE FRANKLIN, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8421	Coordination of Benefits Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/28/2026	2026	"ACUTECARE PACE FRANKLIN, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8421	Customer Service Operations Contact	Executive Director		Sprockett	Steve		1-937-414-1835					ssprockett@boldagepace.com	1700 E Dublin Granville Rd		Columbus	OH	43229	3/31/2026	2026	"ACUTECARE PACE FRANKLIN, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8421	Government Relations Contact	Chief Administrative Officer	Mr	Czermak	Michael		1-855-801-2653					michaelc@boldagepace.com	1897 Lakewood Road	Unit 109	Toms River	NJ	08753	5/11/2026	2026	"ACUTECARE PACE FRANKLIN, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8421	Medicare Compliance Officer	Director of Compliance	Ms	Cooper	Wanda		1-855-801-2653					wcooper@boldagepace.com	1075 Stephenson Avenue	Suite B	Oceanport	NJ	07757	5/20/2026	2026	"ACUTECARE PACE FRANKLIN, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8421	Part D Exceptions Contact	Financial Specialist	Ms	Partlow	Jennie						1-732-806-3324	jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/28/2026	2026	"ACUTECARE PACE FRANKLIN, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active	1-954-839-5000				PACE - Nat		C	New York
H8421	Pharmacy Network Management Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/26/2026	2026	"ACUTECARE PACE FRANKLIN, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8421	Pharmacy Technical Help Desk Contact	Financial Specialist	Ms	Partlow	Jennie							jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/26/2026	2026	"ACUTECARE PACE FRANKLIN, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active	1-855-801-2653				PACE - Nat		C	New York
H8421	Plan to Plan Reconciliation Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224				1-732-806-3324	jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/31/2026	2026	"ACUTECARE PACE FRANKLIN, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8424	Automated TrOOP Balance Transfer Contact	COO	Ms	Smith	Wendy		1-712-224-7223				1-712-224-7253	Wendy.smith@unitypoint.org	1200 Tri View Ave.		Sioux City	IA	51103	8/14/2024	2026	"SIOUXLAND PACE, INC."	National PACE	UnityPoint Health PACE Senior Care	National PACE		Iowa Health System	657	Yes	Active					PACE - Nat		C	San Francisco
H8424	Best Available Evidence Contact	CEO		Swanstrom	Matt		1-515-471-9702				1-515-241-4238	matt.swanstrom@unitypoint.org	1776 Westlakes Pkwy	Suite 400	West Des Moines	IA	50266	5/8/2024	2026	"SIOUXLAND PACE, INC."	National PACE	UnityPoint Health PACE Senior Care	National PACE		Iowa Health System	657	Yes	Active					PACE - Nat		C	San Francisco
H8424	Chief Financial Officer	Chief Financial Officer	Mr	Seashore	Keith		1-712-224-7223					keith.seashore@unitypoint.org	1776 West Lakes Pkwy	Suite 400	West Des moines	IA	50266	4/16/2024	2026	"SIOUXLAND PACE, INC."	National PACE	UnityPoint Health PACE Senior Care	National PACE		Iowa Health System	657	Yes	Active					PACE - Nat		C	San Francisco
H8424	CMS Casework Communication Contact	CEO	Mr	Swanstrom	Matt		1-515-471-9702				1-515-241-4238	matt.swanstrom@unitypoint.org	1776 Westlakes Pkwy	Suite 400	West Des Moines	IA	50266	5/8/2024	2026	"SIOUXLAND PACE, INC."	National PACE	UnityPoint Health PACE Senior Care	National PACE		Iowa Health System	657	Yes	Active					PACE - Nat		C	San Francisco
H8424	Coordination of Benefits Contact	COO	Ms	Smith	Wendy		1-712-224-7223				1-712-224-7253	Wendy.smith@unitypoint.org	1200 Tri View Ave.		Sioux City	IA	51103	8/14/2024	2026	"SIOUXLAND PACE, INC."	National PACE	UnityPoint Health PACE Senior Care	National PACE		Iowa Health System	657	Yes	Active					PACE - Nat		C	San Francisco
H8424	Customer Service Operations Contact	COO	Ms	Smith	Wendy		1-712-224-7223				1-712-224-7253	Wendy.smith@unitypoint.org	1200 Tri View Ave.		Sioux City	IA	51103	8/14/2024	2026	"SIOUXLAND PACE, INC."	National PACE	UnityPoint Health PACE Senior Care	National PACE		Iowa Health System	657	Yes	Active					PACE - Nat		C	San Francisco
H8424	Government Relations Contact	CEO		Swanstrom	Matt		1-515-471-9702				1-515-241-4238	matt.swanstrom@unitypoint.org	1776 Westlakes Pkwy	Suite 400	West Des Moines	IA	50266	5/8/2024	2026	"SIOUXLAND PACE, INC."	National PACE	UnityPoint Health PACE Senior Care	National PACE		Iowa Health System	657	Yes	Active					PACE - Nat		C	San Francisco
H8424	Medicare Compliance Officer	Compliance Officer	Ms	Ricklefs	Jodi	M	1-515-574-8437					jodi.ricklefs2@unitypoint.org	1776 West Lakes Parkway	Suite 400	West Des Moines	IA	50266	9/19/2024	2026	"SIOUXLAND PACE, INC."	National PACE	UnityPoint Health PACE Senior Care	National PACE		Iowa Health System	657	Yes	Active					PACE - Nat		C	San Francisco
H8424	Part D Exceptions Contact	COO		Smith	Wendy						1-712-224-7253	Wendy.smith@unitypoint.org	1200 Tri View Ave		Sioux City	IA	51103	11/3/2022	2026	"SIOUXLAND PACE, INC."	National PACE	UnityPoint Health PACE Senior Care	National PACE		Iowa Health System	657	Yes	Active	1-888-722-3713				PACE - Nat		C	San Francisco
H8424	Pharmacy Network Management Contact	COO	Ms	Smith	Wendy		1-712-224-7223				1-712-224-7253	Wendy.smith@unitypoint.org	1200 Tri View Ave.		Sioux City	IA	51103	8/14/2024	2026	"SIOUXLAND PACE, INC."	National PACE	UnityPoint Health PACE Senior Care	National PACE		Iowa Health System	657	Yes	Active					PACE - Nat		C	San Francisco
H8424	Pharmacy Technical Help Desk Contact	COO		Smith	Wendy						1-712-224-7253	Wendy.smith@unitypoint.org	Siouxland PACE		Sioux City	IA	51103	11/3/2022	2026	"SIOUXLAND PACE, INC."	National PACE	UnityPoint Health PACE Senior Care	National PACE		Iowa Health System	657	Yes	Active	1-712-224-7256				PACE - Nat		C	San Francisco
H8424	Plan to Plan Reconciliation Contact	COO	Ms	Smith	Wendy		1-712-224-7223				1-712-224-7253	Wendy.smith@unitypoint.org	1200 Tri View Ave.		Sioux City	IA	51103	8/14/2024	2026	"SIOUXLAND PACE, INC."	National PACE	UnityPoint Health PACE Senior Care	National PACE		Iowa Health System	657	Yes	Active					PACE - Nat		C	San Francisco
H8432	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	"ANTHEM HP, LLC."	Local CCP	Anthem Blue Cross and Blue Shield HP	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8432	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"ANTHEM HP, LLC."	Local CCP	Anthem Blue Cross and Blue Shield HP	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8432	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	"ANTHEM HP, LLC."	Local CCP	Anthem Blue Cross and Blue Shield HP	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8432	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	"ANTHEM HP, LLC."	Local CCP	Anthem Blue Cross and Blue Shield HP	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8432	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	"ANTHEM HP, LLC."	Local CCP	Anthem Blue Cross and Blue Shield HP	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8432	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	"ANTHEM HP, LLC."	Local CCP	Anthem Blue Cross and Blue Shield HP	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8432	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"ANTHEM HP, LLC."	Local CCP	Anthem Blue Cross and Blue Shield HP	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8432	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"ANTHEM HP, LLC."	Local CCP	Anthem Blue Cross and Blue Shield HP	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8432	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"ANTHEM HP, LLC."	Local CCP	Anthem Blue Cross and Blue Shield HP	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8432	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	"ANTHEM HP, LLC."	Local CCP	Anthem Blue Cross and Blue Shield HP	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H8432	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/31/2023	2026	"ANTHEM HP, LLC."	Local CCP	Anthem Blue Cross and Blue Shield HP	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8432	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	"ANTHEM HP, LLC."	Local CCP	Anthem Blue Cross and Blue Shield HP	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H8432	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/10/2021	2026	"ANTHEM HP, LLC."	Local CCP	Anthem Blue Cross and Blue Shield HP	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8457	Automated TrOOP Balance Transfer Contact	"Operations Manager, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083					Relay.Health@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF NEW YORK, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H8457	Best Available Evidence Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF NEW YORK, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H8457	Chief Financial Officer		Mr.	Granow	Les		1-561-444-0709					les.granow@longevityhealthplan.com	Longevity Health Plan	11780 U.S. Highway 1 Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF NEW YORK, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H8457	CMS Casework Communication Contact			Socoski	Beth		1-561-690-1134					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1 Suite N107		Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF NEW YORK, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H8457	Coordination of Benefits Contact		Ms.	Crowl	Lacey		1-765-792-1412					Lacey.crowl@longevityhealthplan.com	11780 U.S. Highway 1 Suite N107		Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF NEW YORK, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H8457	Customer Service Operations Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF NEW YORK, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H8457	Government Relations Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF NEW YORK, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H8457	Hospice Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF NEW YORK, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H8457	Medicare Compliance Officer		Ms.	Socoski	Beth		1-412-260-1207					Beth.Socoski@longevityhealthplan.com	Longevity Health Plan	11780 U.S. Highway 1 Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF NEW YORK, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H8457	Part D Exceptions Contact	"Assoc Director, Clinical Prior Authorization"	Mr.	LeClair	Christophe						1-888-235-8551	Christopher.LeClair@Navitus.com	1025 West Navitus Drive		Appleton	WI	54913	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF NEW YORK, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active	1-800-204-0016				HMO - Health Maintenance Organization		C	Seattle
H8457	Pharmacy Network Management Contact	"VP, Provider Services"	Mr.	Nagy	Don		1-608-820-4403					Don.Nagy@navitus.com	361 Integrity Drive		Madison	WI	53717	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF NEW YORK, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H8457	Pharmacy Technical Help Desk Contact	"Sr. Manager, Customer Care Accounts"	Ms.	Nett	Danielle						1-888-235-8551	Danielle.Nett@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF NEW YORK, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Seattle
H8457	Plan to Plan Reconciliation Contact		Ms.	Ajayi	Bisi		1-561-632-8915					bisi.ajayi@longevityhealthplan.com	11780 U.S. Highway 1 Suite N107		Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF NEW YORK, INC."	Local CCP	Longevity Health Plan	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H8459	Automated TrOOP Balance Transfer Contact			Siler	Sarah		1-844-664-2248					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	12/23/2025	2026	"CPV EAST ST. LOUIS, LLC"	National PACE	"CPV East St. Louis, LLC"	National PACE		"Community PACE Ventures, LLC."	885	Yes	Pending					PACE - Nat		C	San Francisco
H8459	Best Available Evidence Contact			Siler	Sarah		1-844-664-2248					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	12/23/2025	2026	"CPV EAST ST. LOUIS, LLC"	National PACE	"CPV East St. Louis, LLC"	National PACE		"Community PACE Ventures, LLC."	885	Yes	Pending					PACE - Nat		C	San Francisco
H8459	Chief Financial Officer		Mr.	Fuentes	Robert		1-844-664-2248					rfuentes@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	12/23/2025	2026	"CPV EAST ST. LOUIS, LLC"	National PACE	"CPV East St. Louis, LLC"	National PACE		"Community PACE Ventures, LLC."	885	Yes	Pending					PACE - Nat		C	San Francisco
H8459	CMS Casework Communication Contact			Siler	Sarah		1-844-664-2248					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	12/23/2025	2026	"CPV EAST ST. LOUIS, LLC"	National PACE	"CPV East St. Louis, LLC"	National PACE		"Community PACE Ventures, LLC."	885	Yes	Pending					PACE - Nat		C	San Francisco
H8459	Coordination of Benefits Contact			Siler	Sarah		1-844-664-2248					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	12/23/2025	2026	"CPV EAST ST. LOUIS, LLC"	National PACE	"CPV East St. Louis, LLC"	National PACE		"Community PACE Ventures, LLC."	885	Yes	Pending					PACE - Nat		C	San Francisco
H8459	Customer Service Operations Contact			Waschevski	Susan		1-844-664-2248					swaschevski@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	12/23/2025	2026	"CPV EAST ST. LOUIS, LLC"	National PACE	"CPV East St. Louis, LLC"	National PACE		"Community PACE Ventures, LLC."	885	Yes	Pending					PACE - Nat		C	San Francisco
H8459	Government Relations Contact			Dey	Anna		1-844-664-2248					adey@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	12/23/2025	2026	"CPV EAST ST. LOUIS, LLC"	National PACE	"CPV East St. Louis, LLC"	National PACE		"Community PACE Ventures, LLC."	885	Yes	Pending					PACE - Nat		C	San Francisco
H8459	Medicare Compliance Officer		Mrs.	Dey	Anna		1-844-664-2248					adey@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	12/23/2025	2026	"CPV EAST ST. LOUIS, LLC"	National PACE	"CPV East St. Louis, LLC"	National PACE		"Community PACE Ventures, LLC."	885	Yes	Pending					PACE - Nat		C	San Francisco
H8459	Part D Exceptions Contact		Mrs.	Siler	Sarah							ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	12/23/2025	2026	"CPV EAST ST. LOUIS, LLC"	National PACE	"CPV East St. Louis, LLC"	National PACE		"Community PACE Ventures, LLC."	885	Yes	Pending	1-844-664-2248				PACE - Nat		C	San Francisco
H8459	Pharmacy Network Management Contact			Siler	Sarah		1-844-664-2248					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	12/23/2025	2026	"CPV EAST ST. LOUIS, LLC"	National PACE	"CPV East St. Louis, LLC"	National PACE		"Community PACE Ventures, LLC."	885	Yes	Pending					PACE - Nat		C	San Francisco
H8459	Pharmacy Technical Help Desk Contact		Mrs.	Siler	Sarah							ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	12/23/2025	2026	"CPV EAST ST. LOUIS, LLC"	National PACE	"CPV East St. Louis, LLC"	National PACE		"Community PACE Ventures, LLC."	885	Yes	Pending	1-844-664-2248				PACE - Nat		C	San Francisco
H8459	Plan to Plan Reconciliation Contact			Siler	Sarah		1-844-664-2248					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	12/23/2025	2026	"CPV EAST ST. LOUIS, LLC"	National PACE	"CPV East St. Louis, LLC"	National PACE		"Community PACE Ventures, LLC."	885	Yes	Pending					PACE - Nat		C	San Francisco
H8481	Automated TrOOP Balance Transfer Contact	Senior Business Analyst		Kalino	Karen		1-808-948-6262				1-808-948-6585	karen_apiki_kalino@hmsa.com	P.O. Box 860	8 - MP	Honolulu	HI	96808	1/23/2025	2026	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	Local CCP	HMSA Akamai Advantage Dual Care	Local PPO		Hawaii Medical Service Association	107	Yes	Active					PPO - BBA		C	San Francisco
H8481	Best Available Evidence Contact	"Enrollment Specialist, IO Liaison"		Jose	Angelica		1-808-948-5705				1-808-948-6285	Angelica_Jose@hmsa.com	P.O. Box 860	7 - MS	Honolulu	HI	96808	5/19/2026	2026	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	Local CCP	HMSA Akamai Advantage Dual Care	Local PPO		Hawaii Medical Service Association	107	Yes	Active					PPO - BBA		C	San Francisco
H8481	Chief Financial Officer	President and  COO	Ms.	Smith	Jenny		1-808-948-6621				1-808-948-5999	Jenny_smith@hmsa.com	P.O. Box 860	11 - EXEC	Honolulu	HI	96808	5/19/2026	2026	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	Local CCP	HMSA Akamai Advantage Dual Care	Local PPO		Hawaii Medical Service Association	107	Yes	Active					PPO - BBA		C	San Francisco
H8481	CMS Casework Communication Contact	Medicare Grievance & Appeal Coordinator		Hartenstein	Renee		1-808-948-5347				1-808-952-7546	Renee_Hartenstein@hmsa.com	P.O. Box 860	KB-MAA	Honolulu	HI	96808	1/23/2025	2026	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	Local CCP	HMSA Akamai Advantage Dual Care	Local PPO		Hawaii Medical Service Association	107	Yes	Active					PPO - BBA		C	San Francisco
H8481	Coordination of Benefits Contact	"Manager, Internal Operations Liaison, Claims"		Makio	Lani		1-808-948-6215					lani_makio@hmsa.com	P.O. Box 860	7 - CA	Honolulu	HI	96808	5/19/2026	2026	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	Local CCP	HMSA Akamai Advantage Dual Care	Local PPO		Hawaii Medical Service Association	107	Yes	Active					PPO - BBA		C	San Francisco
H8481	Customer Service Operations Contact	"Senior Manager, Customer Relations"		Forsyth	Clarice		1-808-948-5224				1-808-948-5567	Customer-service@hmsa.com	P.O. Box 860	7 CR	Honolulu	HI	96808	11/6/2025	2026	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	Local CCP	HMSA Akamai Advantage Dual Care	Local PPO		Hawaii Medical Service Association	107	Yes	Active					PPO - BBA		C	San Francisco
H8481	Government Relations Contact	"SVP, Government"		Diesman	Jennifer		1-808-561-6397				1-808-948-6860	jennifer_diesman@hmsa.com	P.O. Box 860	11 EXEC	Honolulu	HI	96808	1/23/2025	2026	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	Local CCP	HMSA Akamai Advantage Dual Care	Local PPO		Hawaii Medical Service Association	107	Yes	Active					PPO - BBA		C	San Francisco
H8481	Hospice Contact	Business Analyst - Medicare Part D		Kanda	Jordan		1-808-952-7749				1-808-948-5611	jordan_kanda@hmsa.com	P.O. Box 860	10 - KB-PM	Honolulu	HI	96808	1/23/2025	2026	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	Local CCP	HMSA Akamai Advantage Dual Care	Local PPO		Hawaii Medical Service Association	107	Yes	Active					PPO - BBA		C	San Francisco
H8481	Medicare Compliance Officer	"AVP, Regulatory Compliance and SIU"	Ms.	Aronson	Virginya		1-808-952-8548				1-808-948-6585	virginya_aronson@hmsa.com	P.O. Box 860	10-CE	Honolulu	HI	96808	6/8/2026	2026	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	Local CCP	HMSA Akamai Advantage Dual Care	Local PPO		Hawaii Medical Service Association	107	Yes	Active					PPO - BBA		C	San Francisco
H8481	Part D Exceptions Contact	"Clinical Pharmacist, Government Programs"		Iwaishi	Brandon							Brandon_Iwaishi@hmsa.com	1601 Kapiolani Blvd.	10-KB-PM	Honolulu	HI	96814	11/12/2025	2026	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	Local CCP	HMSA Akamai Advantage Dual Care	Local PPO		Hawaii Medical Service Association	107	Yes	Active	1-808-948-5618				PPO - BBA		C	San Francisco
H8481	Pharmacy Network Management Contact	Director		Smith	Shawn		1-480-391-4844					shawn.smith@cvshealth.com	"9501 E. Shea Blvd., MC080"	CVS Caremark	Scottsdale	AZ	85260	1/23/2025	2026	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	Local CCP	HMSA Akamai Advantage Dual Care	Local PPO		Hawaii Medical Service Association	107	Yes	Active					PPO - BBA		C	San Francisco
H8481	Pharmacy Technical Help Desk Contact	Sr. Manager		Stauffer	Grace							grace.stauffer@cvshealth.com	9501 E. Shea Blvd		Scottsdale	AZ	85260	1/23/2025	2026	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	Local CCP	HMSA Akamai Advantage Dual Care	Local PPO		Hawaii Medical Service Association	107	Yes	Active	1-866-693-4620				PPO - BBA		C	San Francisco
H8481	Plan to Plan Reconciliation Contact	Fin Svcs-FA Management		Randall	Ryan		1-513-484-0399					ryan_randall@hmsa.com	PO BOX 860	6 FA	Honolulu	HI	96808	5/19/2026	2026	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	Local CCP	HMSA Akamai Advantage Dual Care	Local PPO		Hawaii Medical Service Association	107	Yes	Active					PPO - BBA		C	San Francisco
H8492	Automated TrOOP Balance Transfer Contact	"Operations Mgr, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	Relay.Health@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	DIGNITY CARE CORPORATION	Local CCP	American Health Advantage of Louisiana	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8492	Best Available Evidence Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	DIGNITY CARE CORPORATION	Local CCP	American Health Advantage of Louisiana	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8492	Chief Financial Officer	Chief Financial Officer	Mr.	Bogle	Jeffrey	A	1-615-751-8134				1-844-280-5360	MACFO@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	DIGNITY CARE CORPORATION	Local CCP	American Health Advantage of Louisiana	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8492	CMS Casework Communication Contact	Compliance Officer		Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	DIGNITY CARE CORPORATION	Local CCP	American Health Advantage of Louisiana	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8492	Coordination of Benefits Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	DIGNITY CARE CORPORATION	Local CCP	American Health Advantage of Louisiana	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8492	Customer Service Operations Contact	"VP, Administration"		Brandt	Toni		1-615-476-0748				1-844-280-5360	tbrandt@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	DIGNITY CARE CORPORATION	Local CCP	American Health Advantage of Louisiana	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8492	Government Relations Contact	Compliance Officer		Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	DIGNITY CARE CORPORATION	Local CCP	American Health Advantage of Louisiana	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8492	Hospice Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	DIGNITY CARE CORPORATION	Local CCP	American Health Advantage of Louisiana	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8492	Medicare Compliance Officer	Compliance Officer	Ms.	Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	DIGNITY CARE CORPORATION	Local CCP	American Health Advantage of Louisiana	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8492	Part D Exceptions Contact	"Assoc Dir, Clinical Prior Authorization"		LeClair	Christophe						1-920-221-4176	Christopher.LeClair@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	DIGNITY CARE CORPORATION	Local CCP	American Health Advantage of Louisiana	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active	1-844-228-7934				HMO - Health Maintenance Organization		C	Dallas
H8492	Pharmacy Network Management Contact	"VP, Provider Services"		Nagy	Don		1-608-820-4403					Don.Nagy@navitus.com	361 Integrity Drive		Madison	WI	53717	6/22/2026	2026	DIGNITY CARE CORPORATION	Local CCP	American Health Advantage of Louisiana	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8492	Pharmacy Technical Help Desk Contact	"Sr. Mgr, Customer Care Accts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	DIGNITY CARE CORPORATION	Local CCP	American Health Advantage of Louisiana	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Dallas
H8492	Plan to Plan Reconciliation Contact	"Director,  Finance"		Tilley	Stephanie		1-931-242-0499				1-844-280-5360	stilley@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	DIGNITY CARE CORPORATION	Local CCP	American Health Advantage of Louisiana	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8547	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Management	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	5/7/2026	2026	ILLINOIS BLUE CROSS BLUE SHIELD INSURANCE COMPANY	Local CCP	Blue Cross and Blue Shield of Illinois	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H8547	Best Available Evidence Contact	"Deputy General Manager, Digital Operations"	Mr.	Davis	Tom		1-570-344-9237	73545			1-000-000-0000	Thomas.Davis@cognizant.com	Cognizant	25 Lakeview Drive	Jessup	PA	18434	5/7/2026	2026	ILLINOIS BLUE CROSS BLUE SHIELD INSURANCE COMPANY	Local CCP	Blue Cross and Blue Shield of Illinois	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H8547	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	300 East Randolph St		Chicago	IL	60601	5/7/2026	2026	ILLINOIS BLUE CROSS BLUE SHIELD INSURANCE COMPANY	Local CCP	Blue Cross and Blue Shield of Illinois	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H8547	CMS Casework Communication Contact	Manager Medicare Operations & Oversight	Ms.	Morris	Tawanna		1-630-824-5090				1-000-000-0000	Tawanna_Morris@bcbsil.com	Health Care Service Corporation	300 E. Randolph Street	Chicago	IL	60601	5/7/2026	2026	ILLINOIS BLUE CROSS BLUE SHIELD INSURANCE COMPANY	Local CCP	Blue Cross and Blue Shield of Illinois	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H8547	Coordination of Benefits Contact	Mgr Project & Program Management	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-1670	COBMedD@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	5/7/2026	2026	ILLINOIS BLUE CROSS BLUE SHIELD INSURANCE COMPANY	Local CCP	Blue Cross and Blue Shield of Illinois	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H8547	Customer Service Operations Contact	VP of Customer Service	Mr.	Akovenko	Josh		1-615-695-8916				1-000-000-0000	josh_akovenko@hcsc.com	Health Care Service Corporation	500 Great Circle Rd	Nashville	IL	60601	5/7/2026	2026	ILLINOIS BLUE CROSS BLUE SHIELD INSURANCE COMPANY	Local CCP	Blue Cross and Blue Shield of Illinois	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H8547	Government Relations Contact	Executive Director - Health Policy	Ms.	DuGoff	Eva		1-202-249-7208				1-000-000-0000	eva_dugoff@hcsc.net	Health Care Service Corporation	1001 Pennsylvania NW	Washington	DC	20004	5/7/2026	2026	ILLINOIS BLUE CROSS BLUE SHIELD INSURANCE COMPANY	Local CCP	Blue Cross and Blue Shield of Illinois	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H8547	Hospice Contact	Govt Prog Clinical Ops Dvisional Vice President	Ms.	Thomas-Spaulding	Felicia	S	1-505-816-2717				1-000-000-0000	Felicia_Spaulding@bcbsnm.com	Blue Cross Blue Shield of New Mexico	4411 The 25 Way NE	Albuquerque	NM	87109	5/7/2026	2026	ILLINOIS BLUE CROSS BLUE SHIELD INSURANCE COMPANY	Local CCP	Blue Cross and Blue Shield of Illinois	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H8547	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	5/7/2026	2026	ILLINOIS BLUE CROSS BLUE SHIELD INSURANCE COMPANY	Local CCP	Blue Cross and Blue Shield of Illinois	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H8547	Part D Exceptions Contact	Regulatory Pharmacist Sr	Mr.	Spears	Scott						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	5/7/2026	2026	ILLINOIS BLUE CROSS BLUE SHIELD INSURANCE COMPANY	Local CCP	Blue Cross and Blue Shield of Illinois	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Withdrawn Contract	1-800-693-6651				HMO - Health Maintenance Organization		C	Chicago
H8547	Pharmacy Network Management Contact	"VP, Network Management"	Ms.	Conlin	Marci		1-612-777-2837				1-877-823-6373	marci.conlin@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Road	Eagan	MN	55121	5/7/2026	2026	ILLINOIS BLUE CROSS BLUE SHIELD INSURANCE COMPANY	Local CCP	Blue Cross and Blue Shield of Illinois	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H8547	Pharmacy Technical Help Desk Contact	"Sr. Director, Member Services"	Mr.	Scott	Shane						1-000-000-0000	shane.scott@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	5/7/2026	2026	ILLINOIS BLUE CROSS BLUE SHIELD INSURANCE COMPANY	Local CCP	Blue Cross and Blue Shield of Illinois	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Withdrawn Contract	1-877-277-7898				HMO - Health Maintenance Organization		C	Chicago
H8547	Plan to Plan Reconciliation Contact	Accountant	Ms.	Bowen	Niaya		1-972-766-1324				1-972-766-4360	niaya_bowen@bcbstx.com	Health Care Service Corporation	"1001 East Lookout Drive,"	Richardson	TX	75082	5/7/2026	2026	ILLINOIS BLUE CROSS BLUE SHIELD INSURANCE COMPANY	Local CCP	Blue Cross and Blue Shield of Illinois	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H8552	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	Local CCP	Anthem Blue Cross Life and Health Insurance Company	Local PPO		"Elevance Health, Inc."	1	Yes	Consolidation					PPO - BBA		C	Chicago
H8552	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	Local CCP	Anthem Blue Cross Life and Health Insurance Company	Local PPO		"Elevance Health, Inc."	1	Yes	Consolidation					PPO - BBA		C	Chicago
H8552	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	Local CCP	Anthem Blue Cross Life and Health Insurance Company	Local PPO		"Elevance Health, Inc."	1	Yes	Consolidation					PPO - BBA		C	Chicago
H8552	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	Local CCP	Anthem Blue Cross Life and Health Insurance Company	Local PPO		"Elevance Health, Inc."	1	Yes	Consolidation					PPO - BBA		C	Chicago
H8552	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	Local CCP	Anthem Blue Cross Life and Health Insurance Company	Local PPO		"Elevance Health, Inc."	1	Yes	Consolidation					PPO - BBA		C	Chicago
H8552	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	Local CCP	Anthem Blue Cross Life and Health Insurance Company	Local PPO		"Elevance Health, Inc."	1	Yes	Consolidation					PPO - BBA		C	Chicago
H8552	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	Local CCP	Anthem Blue Cross Life and Health Insurance Company	Local PPO		"Elevance Health, Inc."	1	Yes	Consolidation					PPO - BBA		C	Chicago
H8552	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	Local CCP	Anthem Blue Cross Life and Health Insurance Company	Local PPO		"Elevance Health, Inc."	1	Yes	Consolidation					PPO - BBA		C	Chicago
H8552	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	Local CCP	Anthem Blue Cross Life and Health Insurance Company	Local PPO		"Elevance Health, Inc."	1	Yes	Consolidation					PPO - BBA		C	Chicago
H8552	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	Local CCP	Anthem Blue Cross Life and Health Insurance Company	Local PPO		"Elevance Health, Inc."	1	Yes	Consolidation	1-513-316-7654				PPO - BBA		C	Chicago
H8552	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/31/2023	2026	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	Local CCP	Anthem Blue Cross Life and Health Insurance Company	Local PPO		"Elevance Health, Inc."	1	Yes	Consolidation					PPO - BBA		C	Chicago
H8552	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	Local CCP	Anthem Blue Cross Life and Health Insurance Company	Local PPO		"Elevance Health, Inc."	1	Yes	Consolidation	1-833-377-4266				PPO - BBA		C	Chicago
H8552	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/10/2021	2026	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	Local CCP	Anthem Blue Cross Life and Health Insurance Company	Local PPO		"Elevance Health, Inc."	1	Yes	Consolidation					PPO - BBA		C	Chicago
H8554	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Management	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-1330	EOBP2P@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	5/7/2026	2026	GHS INSURANCE COMPANY	Local CCP	"Blue Cross and Blue Shield of OK, TX"	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8554	Best Available Evidence Contact	"Deputy General Manager, Digital Operations"	Mr.	Davis	Tom		1-570-344-9237	73545			1-000-000-0000	Thomas.Davis@cognizant.com	Cognizant	25 Lakeview Drive	Jessup	PA	18434	5/7/2026	2026	GHS INSURANCE COMPANY	Local CCP	"Blue Cross and Blue Shield of OK, TX"	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8554	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	300 East Randolph St		Chicago	IL	60601	5/7/2026	2026	GHS INSURANCE COMPANY	Local CCP	"Blue Cross and Blue Shield of OK, TX"	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8554	CMS Casework Communication Contact	Manager Medicare Operations & Oversight	Ms.	Morris	Tawanna		1-630-824-5090				1-000-000-0000	Tawanna_Morris@bcbsil.com	Health Care Service Corporation	300 E. Randolph Street	Chicago	IL	60601	5/7/2026	2026	GHS INSURANCE COMPANY	Local CCP	"Blue Cross and Blue Shield of OK, TX"	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8554	Coordination of Benefits Contact	Mgr Project & Program Management	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-1330	COBMedD@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	5/7/2026	2026	GHS INSURANCE COMPANY	Local CCP	"Blue Cross and Blue Shield of OK, TX"	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8554	Customer Service Operations Contact	VP of Customer Service	Mr.	Akovenko	Josh		1-615-695-8916				1-000-000-0000	josh_akovenko@hcsc.com	Health Care Service Corporation	500 Great Circle Rd	Nashville	IL	60601	5/7/2026	2026	GHS INSURANCE COMPANY	Local CCP	"Blue Cross and Blue Shield of OK, TX"	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8554	Government Relations Contact	Executive Director - Health Policy	Ms.	DuGoff	Eva		1-202-249-7208				1-000-000-0000	eva_dugoff@hcsc.net	Health Care Service Corporation	1001 Pennsylvania NW	Washington	DC	20004	5/7/2026	2026	GHS INSURANCE COMPANY	Local CCP	"Blue Cross and Blue Shield of OK, TX"	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8554	Hospice Contact	Govt Prog Clinical Ops Dvisional Vice President	Ms.	Thomas-Spaulding	Felicia	S	1-505-816-2717				1-000-000-0000	Felicia_Spaulding@bcbsnm.com	Blue Cross Blue Shield of New Mexico	4411 The 25 Way NE	Albuquerque	NM	87109	5/7/2026	2026	GHS INSURANCE COMPANY	Local CCP	"Blue Cross and Blue Shield of OK, TX"	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8554	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	5/7/2026	2026	GHS INSURANCE COMPANY	Local CCP	"Blue Cross and Blue Shield of OK, TX"	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8554	Part D Exceptions Contact	Regulatory Pharmacist Sr	Mr.	Spears	Scott						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	5/7/2026	2026	GHS INSURANCE COMPANY	Local CCP	"Blue Cross and Blue Shield of OK, TX"	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-800-693-6651				HMO - Health Maintenance Organization		C	Dallas
H8554	Pharmacy Network Management Contact	"VP, Network Management"	Ms.	Conlin	Marci		1-612-777-2837				1-877-823-6373	marci.conlin@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Road	Eagan	MN	55121	5/7/2026	2026	GHS INSURANCE COMPANY	Local CCP	"Blue Cross and Blue Shield of OK, TX"	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8554	Pharmacy Technical Help Desk Contact	"Sr. Director, Member Services"	Mr.	Scott	Shane						1-000-000-0000	shane.scott@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	5/7/2026	2026	GHS INSURANCE COMPANY	Local CCP	"Blue Cross and Blue Shield of OK, TX"	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-877-277-7898				HMO - Health Maintenance Organization		C	Dallas
H8554	Plan to Plan Reconciliation Contact	Accountant	Ms.	Bowen	Niaya		1-972-766-1324				1-972-766-4360	niaya_bowen@bcbstx.com	Health Care Service Corporation	"1001 East Lookout Drive,"	Richardson	TX	75082	5/7/2026	2026	GHS INSURANCE COMPANY	Local CCP	"Blue Cross and Blue Shield of OK, TX"	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8561	Automated TrOOP Balance Transfer Contact	CFO	Mrs	Medina	Margarita		1-559-664-4406					mmedina@camarenahealth.org	730 N. I Street #202		Madera	CA	93637	3/8/2024	2026	"CAMARENA HEALTH, INC."	National PACE	"Camarena Health, Inc."	National PACE		"Camarena Health, Inc."	846	Yes	Pending					PACE - Nat		C	San Francisco
H8561	Best Available Evidence Contact	COO	Mrs	Howland	Christine		1-559-664-4142					chowland@camarenahealth.org	730 N. I Street #202		Madera	CA	93637	3/8/2024	2026	"CAMARENA HEALTH, INC."	National PACE	"Camarena Health, Inc."	National PACE		"Camarena Health, Inc."	846	Yes	Pending					PACE - Nat		C	San Francisco
H8561	Chief Financial Officer	CFO	Mrs	Medina	Margarita		1-559-664-4406					mmedina@camarenahealth.org	730 N. I Street #202		Madera	CA	93637	3/8/2024	2026	"CAMARENA HEALTH, INC."	National PACE	"Camarena Health, Inc."	National PACE		"Camarena Health, Inc."	846	Yes	Pending					PACE - Nat		C	San Francisco
H8561	CMS Casework Communication Contact	COO	Mrs	Howland	Christine		1-559-664-4142					chowland@camarenahealth.org	730 N. I Street #202		Madera	CA	93637	3/8/2024	2026	"CAMARENA HEALTH, INC."	National PACE	"Camarena Health, Inc."	National PACE		"Camarena Health, Inc."	846	Yes	Pending					PACE - Nat		C	San Francisco
H8561	Coordination of Benefits Contact	COO	Mrs	Howland	Christine		1-559-664-4142					chowland@camarenahealth.org	730 N. I Street #202		Madera	CA	93637	3/8/2024	2026	"CAMARENA HEALTH, INC."	National PACE	"Camarena Health, Inc."	National PACE		"Camarena Health, Inc."	846	Yes	Pending					PACE - Nat		C	San Francisco
H8561	Customer Service Operations Contact	Chief Quality & Compliance Officer	Mrs	Seiler	Leonor		1-559-664-4086					lseiler@camarenahealth.org	730 N. I Street #202		Madera	CA	93637	3/8/2024	2026	"CAMARENA HEALTH, INC."	National PACE	"Camarena Health, Inc."	National PACE		"Camarena Health, Inc."	846	Yes	Pending					PACE - Nat		C	San Francisco
H8561	Government Relations Contact	Chief Strategy Officer	Mrs	Mosqueda	Nichole		1-559-664-4339					nmosqueda@camarenahealth.org	730 N. I Street #202		Madera	CA	93637	3/8/2024	2026	"CAMARENA HEALTH, INC."	National PACE	"Camarena Health, Inc."	National PACE		"Camarena Health, Inc."	846	Yes	Pending					PACE - Nat		C	San Francisco
H8561	Medicare Compliance Officer		Mrs	Seiler	Leonor		1-559-664-4086					lseiler@camarenahealth.org	730 N. I Street #202		Madera	CA	93637	3/8/2024	2026	"CAMARENA HEALTH, INC."	National PACE	"Camarena Health, Inc."	National PACE		"Camarena Health, Inc."	846	Yes	Pending					PACE - Nat		C	San Francisco
H8561	Part D Exceptions Contact	COO	Mrs	Howland	Christine							chowland@camarenahealth.org	730 N. I Street #202		Madera	CA	93637	3/8/2024	2026	"CAMARENA HEALTH, INC."	National PACE	"Camarena Health, Inc."	National PACE		"Camarena Health, Inc."	846	Yes	Pending	1-559-664-4142				PACE - Nat		C	San Francisco
H8561	Pharmacy Network Management Contact	COO	Mrs	Howland	Christine		1-559-664-4142					chowland@camarenahealth.org	730 N. I Street #202		Madera	CA	93637	3/8/2024	2026	"CAMARENA HEALTH, INC."	National PACE	"Camarena Health, Inc."	National PACE		"Camarena Health, Inc."	846	Yes	Pending					PACE - Nat		C	San Francisco
H8561	Pharmacy Technical Help Desk Contact	Clinical Pharmacist	Mr	Snowden	Stanley							ssnowden@camarenahealth.org	730 N. I Street #202		Madera	CA	93637	3/8/2024	2026	"CAMARENA HEALTH, INC."	National PACE	"Camarena Health, Inc."	National PACE		"Camarena Health, Inc."	846	Yes	Pending	1-559-664-4304				PACE - Nat		C	San Francisco
H8561	Plan to Plan Reconciliation Contact	CMO	Dr	Ramirez	Joel		1-559-664-4360					jramirez@camarenahealth.org	730 N. I Street #202		Madera	CA	93637	3/8/2024	2026	"CAMARENA HEALTH, INC."	National PACE	"Camarena Health, Inc."	National PACE		"Camarena Health, Inc."	846	Yes	Pending					PACE - Nat		C	San Francisco
H8573	Automated TrOOP Balance Transfer Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224				1-732-806-3324	jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/27/2026	2026	"BEACON OF LIFE NORTH NJ, LLC"	National PACE	"Beacon of Life North NJ, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8573	Best Available Evidence Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/31/2026	2026	"BEACON OF LIFE NORTH NJ, LLC"	National PACE	"Beacon of Life North NJ, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8573	Chief Financial Officer	Chief Financial Officer	Mr	Schlesinger	David		1-855-801-2653					dschlesinger@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	5/20/2026	2026	"BEACON OF LIFE NORTH NJ, LLC"	National PACE	"Beacon of Life North NJ, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8573	CMS Casework Communication Contact	Director of Compliance		Cooper	Wanda		1-855-801-2653					wcooper@boldagepace.com	1075 Stephenson Avenue Suite B		Oceanport	NJ	07757	5/20/2026	2026	"BEACON OF LIFE NORTH NJ, LLC"	National PACE	"Beacon of Life North NJ, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8573	Coordination of Benefits Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/21/2026	2026	"BEACON OF LIFE NORTH NJ, LLC"	National PACE	"Beacon of Life North NJ, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8573	Customer Service Operations Contact	Executive Director		Gagliano	Melissa		1-732-498-0400				1-732-498-0500	mgagliano@boldagepace.com	25 Kennedy Boulevard	Suite 600	East Brunswick	NJ	08816	3/31/2026	2026	"BEACON OF LIFE NORTH NJ, LLC"	National PACE	"Beacon of Life North NJ, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8573	Government Relations Contact	Chief Administrative Officer		Czermak	Michael		1-855-801-2653					michaelc@boldagepace.com	1897 Lakewood Road	Unit 109	Toms River	NJ	08753	5/11/2026	2026	"BEACON OF LIFE NORTH NJ, LLC"	National PACE	"Beacon of Life North NJ, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8573	Medicare Compliance Officer	Director of Compliance	Ms	Cooper	Wanda		1-855-801-2653					wcooper@boldagepace.com	1075 Stephenson Avenue Suite B		Oceanport	NJ	07757	5/20/2026	2026	"BEACON OF LIFE NORTH NJ, LLC"	National PACE	"Beacon of Life North NJ, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8573	Part D Exceptions Contact	Financial Specialist		Partlow	Jennie						1-732-806-3324	jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/27/2026	2026	"BEACON OF LIFE NORTH NJ, LLC"	National PACE	"Beacon of Life North NJ, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Active	1-954-839-5000				PACE - Nat		C	New York
H8573	Pharmacy Network Management Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/27/2026	2026	"BEACON OF LIFE NORTH NJ, LLC"	National PACE	"Beacon of Life North NJ, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8573	Pharmacy Technical Help Desk Contact	Financial Specialist		Partlow	Jennie						1-732-806-3324	jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/27/2026	2026	"BEACON OF LIFE NORTH NJ, LLC"	National PACE	"Beacon of Life North NJ, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Active	1-732-806-3224				PACE - Nat		C	New York
H8573	Plan to Plan Reconciliation Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/27/2026	2026	"BEACON OF LIFE NORTH NJ, LLC"	National PACE	"Beacon of Life North NJ, LLC"	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H8578	Automated TrOOP Balance Transfer Contact	Pharmacy Services Specialist	Ms.	Bacaj	Blerina		1-413-233-3423				1-413-233-3423	bbacaj@hne.com	One Monarch Place	Suite 1500	Springfield	MA	01144	6/3/2026	2026	"HEALTH NEW ENGLAND, INC."	Local CCP	Health New England Medicare Advantage Plans	HMO/HMOPOS		"Baystate Health, Inc."	381	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8578	Best Available Evidence Contact	Director of Medicare Program Development		Powers	Shannon		1-413-233-3055				1-413-233-3055	spowers@hne.com	One Monarch Place		Springfield	MA	01144	9/6/2024	2026	"HEALTH NEW ENGLAND, INC."	Local CCP	Health New England Medicare Advantage Plans	HMO/HMOPOS		"Baystate Health, Inc."	381	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8578	Chief Financial Officer	Chief Financial Officer	Mr.	Rio	Jason		1-413-233-3340					jrio@hne.com	"Health New England, Inc."	"One Monarch Place, Suite 1500"	Springfield	MA	01144	5/7/2026	2026	"HEALTH NEW ENGLAND, INC."	Local CCP	Health New England Medicare Advantage Plans	HMO/HMOPOS		"Baystate Health, Inc."	381	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8578	CMS Casework Communication Contact	Complaints & Appeals Manager	Mr.	Farrell	James		1-413-233-3231				1-413-233-3231	jfarrell@hne.com	"Health New England, Inc."	"One Monarch Place, Suite 1500"	Springfield	MA	01144	3/1/2018	2026	"HEALTH NEW ENGLAND, INC."	Local CCP	Health New England Medicare Advantage Plans	HMO/HMOPOS		"Baystate Health, Inc."	381	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8578	Coordination of Benefits Contact	Recovery and Reinsurance Manager	Ms.	Carter	Ronda		1-413-233-3353				1-413-233-3353	rcarter@hne.com	"Health New England, Inc."	"One Monarch Place, Suite 1500"	Springfield	MA	01144	4/26/2023	2026	"HEALTH NEW ENGLAND, INC."	Local CCP	Health New England Medicare Advantage Plans	HMO/HMOPOS		"Baystate Health, Inc."	381	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8578	Customer Service Operations Contact	Member Services Supervisor	Ms.	Rivera	Aracelis		1-413-233-3209				1-413-233-3301	arivera@hne.com	"Health New England, Inc."	"One Monarch Place, Suite 1500"	Springfield	MA	01144	11/14/2023	2026	"HEALTH NEW ENGLAND, INC."	Local CCP	Health New England Medicare Advantage Plans	HMO/HMOPOS		"Baystate Health, Inc."	381	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8578	Government Relations Contact	Director of Medicare Program Development	Ms.	Powers	Shannon		1-413-233-3055				1-413-233-3055	spowers@hne.com	"Health New England, Inc."	"One Monarch Place, Suite 1500"	Springfield	MA	01144	9/6/2024	2026	"HEALTH NEW ENGLAND, INC."	Local CCP	Health New England Medicare Advantage Plans	HMO/HMOPOS		"Baystate Health, Inc."	381	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8578	Hospice Contact	Pharmacy Services Specialist	Ms.	Bacaj	Blerina		1-413-233-3423				1-413-233-3423	bbacaj@hne.com	One Monarch Place	Suitr 1500	Springfield	MA	01144	3/1/2018	2026	"HEALTH NEW ENGLAND, INC."	Local CCP	Health New England Medicare Advantage Plans	HMO/HMOPOS		"Baystate Health, Inc."	381	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8578	Medicare Compliance Officer	Director of Compliance	Ms	Tulloch	Charmalee		1-413-233-3566				1-413-233-3566	ctulloch@hne.com	"Health New England, Inc."	"One Monarch Place, Suite 1500"	Springfield	MA	01144	9/27/2022	2026	"HEALTH NEW ENGLAND, INC."	Local CCP	Health New England Medicare Advantage Plans	HMO/HMOPOS		"Baystate Health, Inc."	381	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8578	Part D Exceptions Contact	"Manager, Prior Authorization"		Mourad	Hala							hala.mourad@optum.com	2441 Warrenville Rd	Suite 400	Lisle	IL	60532	1/1/2020	2026	"HEALTH NEW ENGLAND, INC."	Local CCP	Health New England Medicare Advantage Plans	HMO/HMOPOS		"Baystate Health, Inc."	381	Yes	Active	1-630-328-5837				HMO - Health Maintenance Organization		C	Boston
H8578	Pharmacy Network Management Contact	Sr. Business Consultant		Pham	Katie		1-817-846-9722					katie.pham@optum.com	1600 McConnor Parkway		Schaumburg	IL	60173	6/3/2026	2026	"HEALTH NEW ENGLAND, INC."	Local CCP	Health New England Medicare Advantage Plans	HMO/HMOPOS		"Baystate Health, Inc."	381	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8578	Pharmacy Technical Help Desk Contact	"Manager, Pharmacy Help Desk"		Villanueva	Juan							juan.villanueva@optum.com	11000 Optum Cir City	Suite 300	Eden Prairie	MN	55344	12/18/2023	2026	"HEALTH NEW ENGLAND, INC."	Local CCP	Health New England Medicare Advantage Plans	HMO/HMOPOS		"Baystate Health, Inc."	381	Yes	Active	1-800-393-0395				HMO - Health Maintenance Organization		C	Boston
H8578	Plan to Plan Reconciliation Contact	Assistant Controller	Mr.	Grobe	Michael		1-413-233-3413					mgrobe@hne.com	"Health New England, Inc."	"One Monarch Place, Suite 1500"	Springfield	MA	01144	6/3/2026	2026	"HEALTH NEW ENGLAND, INC."	Local CCP	Health New England Medicare Advantage Plans	HMO/HMOPOS		"Baystate Health, Inc."	381	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8597	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	10/24/2025	2026	AETNA BETTER HEALTH OF TEXAS INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8597	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	AETNA BETTER HEALTH OF TEXAS INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8597	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA BETTER HEALTH OF TEXAS INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8597	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	AETNA BETTER HEALTH OF TEXAS INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8597	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	AETNA BETTER HEALTH OF TEXAS INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8597	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	AETNA BETTER HEALTH OF TEXAS INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8597	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA BETTER HEALTH OF TEXAS INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8597	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	AETNA BETTER HEALTH OF TEXAS INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8597	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	AETNA BETTER HEALTH OF TEXAS INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8597	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/9/2024	2026	AETNA BETTER HEALTH OF TEXAS INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H8597	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA BETTER HEALTH OF TEXAS INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8597	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	AETNA BETTER HEALTH OF TEXAS INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H8597	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA BETTER HEALTH OF TEXAS INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8604	Automated TrOOP Balance Transfer Contact	Senior Clinical Pharmacist		Kovalski	Amy		1-740-232-4320				1-304-885-7592	akovalski@healthplan.org	The Health Plan	1110 Main Street	Wheeling	WV	26003	12/17/2024	2026	THP INSURANCE COMPANY	Local CCP	The Health Plan	Local PPO		"The Health Plan of West Virginia, Inc."	354	Yes	Active					PPO - BBA		C	Chicago
H8604	Best Available Evidence Contact	Manager Medicare Enrollment		Bliss	Tonya		1-740-699-6990				1-740-699-6164	tbliss@healthplan.org	The Health Plan	1110 Main Street	Wheeling	WV	26003	8/14/2024	2026	THP INSURANCE COMPANY	Local CCP	The Health Plan	Local PPO		"The Health Plan of West Virginia, Inc."	354	Yes	Active					PPO - BBA		C	Chicago
H8604	Chief Financial Officer	Chief Financial Officer	Mr	Ralston	Ryan		1-740-699-6236				1-740-699-6161	rralston@healthplan.org	The Health Plan	1110 Main Street	Wheeling	WV	26003	8/14/2024	2026	THP INSURANCE COMPANY	Local CCP	The Health Plan	Local PPO		"The Health Plan of West Virginia, Inc."	354	Yes	Active					PPO - BBA		C	Chicago
H8604	CMS Casework Communication Contact	Director Medicare Operations		Staffileno	Penny		1-740-695-7597				1-740-699-6163	pstaffileno@healthplan.org	The Health Plan	1110 Main Street	Wheeling	WV	26003	8/14/2024	2026	THP INSURANCE COMPANY	Local CCP	The Health Plan	Local PPO		"The Health Plan of West Virginia, Inc."	354	Yes	Active					PPO - BBA		C	Chicago
H8604	Coordination of Benefits Contact	Manager COB		Fetty	Jackie		1-740-695-7699				1-740-699-6163	jfetty@healthplan.org	The Health Plan	1110 Main Street	Wheeling	WV	26003	8/14/2024	2026	THP INSURANCE COMPANY	Local CCP	The Health Plan	Local PPO		"The Health Plan of West Virginia, Inc."	354	Yes	Active					PPO - BBA		C	Chicago
H8604	Customer Service Operations Contact	Director Medicare Operations		Staffileno	Penny		1-740-695-7597				1-740-699-6163	pstaffileno@healthplan.org	The Health Plan	1110 Main Street	Wheeling	WV	26003	8/14/2024	2026	THP INSURANCE COMPANY	Local CCP	The Health Plan	Local PPO		"The Health Plan of West Virginia, Inc."	354	Yes	Active					PPO - BBA		C	Chicago
H8604	Government Relations Contact	Director of Compliance	Ms	Swift	Jennifer		1-740-695-7660					jswift@healthplan.org	The Health Plan	1110 Main Street	Wheeling	WV	26003	1/5/2026	2026	THP INSURANCE COMPANY	Local CCP	The Health Plan	Local PPO		"The Health Plan of West Virginia, Inc."	354	Yes	Active					PPO - BBA		C	Chicago
H8604	Hospice Contact	Senior Clinical Pharmacist		Kovalski	Amy		1-740-232-4320				1-304-885-7592	akovalski@healthplan.org	The Health Plan	1110 Main Street	Wheeling	WV	26003	12/17/2024	2026	THP INSURANCE COMPANY	Local CCP	The Health Plan	Local PPO		"The Health Plan of West Virginia, Inc."	354	Yes	Active					PPO - BBA		C	Chicago
H8604	Medicare Compliance Officer	Director of Compliance	Ms	Swift	Jennifer		1-740-695-7660					jswift@healthplan.org	The Health Plan	1110 Main Street	Wheeling	WV	26003	1/5/2026	2026	THP INSURANCE COMPANY	Local CCP	The Health Plan	Local PPO		"The Health Plan of West Virginia, Inc."	354	Yes	Active					PPO - BBA		C	Chicago
H8604	Part D Exceptions Contact	Senior Clinical Pharmacist		Kovalski	Amy						1-304-885-7592	akovalski@healthplan.org	The Health Plan	1110 Main Street	Wheeling	WV	26003	12/17/2024	2026	THP INSURANCE COMPANY	Local CCP	The Health Plan	Local PPO		"The Health Plan of West Virginia, Inc."	354	Yes	Active	1-800-624-6961	6627			PPO - BBA		C	Chicago
H8604	Pharmacy Network Management Contact	"Network Account Dir, Retail Strategy & Contracting"		Kelly	Heather		1-314-692-1866				1-800-357-9578	Heather.Kelly2@evernorth.com	Express Scripts	One Express Way	St. Louis	MO	63121	1/7/2026	2026	THP INSURANCE COMPANY	Local CCP	The Health Plan	Local PPO		"The Health Plan of West Virginia, Inc."	354	Yes	Active					PPO - BBA		C	Chicago
H8604	Pharmacy Technical Help Desk Contact	"Sr. Director, Customer Service"		Sahs	Dale							dale.sahs@express-scripts.com	One Express Way Mail Stop S13NB		St. Louis	MO	63121	1/7/2026	2026	THP INSURANCE COMPANY	Local CCP	The Health Plan	Local PPO		"The Health Plan of West Virginia, Inc."	354	Yes	Active	1-800-922-1557				PPO - BBA		C	Chicago
H8604	Plan to Plan Reconciliation Contact	Controller		Marsh	Jane		1-740-699-6121				1-740-699-6161	jmarsh@healthplan.org	The Health Plan	1110 Main Street	Wheeling	WV	26003	8/14/2024	2026	THP INSURANCE COMPANY	Local CCP	The Health Plan	Local PPO		"The Health Plan of West Virginia, Inc."	354	Yes	Active					PPO - BBA		C	Chicago
H8614	Automated TrOOP Balance Transfer Contact	Business Office Manager		Debus	Mary		1-302-865-3565	102				mdebus@paceyourlifemwv.com	"21 W. Clarke Ave, Suite 1010"		Milford	DE	19963	5/29/2025	2026	MILFORD WELLNESS VILLAGE PACE	National PACE	PACE Your LIFE	National PACE		"Milford Wellness Village PACE, LLC"	782	Yes	Active					PACE - Nat		C	Philadelphia
H8614	Best Available Evidence Contact	Business Office Manager		Debus	Mary		1-302-865-3565	102				mdebus@paceyourlifemwv.com	"21 W. Clarke Ave, Suite 1010"		Milford	DE	19963	5/29/2025	2026	MILFORD WELLNESS VILLAGE PACE	National PACE	PACE Your LIFE	National PACE		"Milford Wellness Village PACE, LLC"	782	Yes	Active					PACE - Nat		C	Philadelphia
H8614	Chief Financial Officer	CFO	Mr.	Braun	Sheldon		1-732-262-2255				1-732-276-9866	Sbraun@nationwidehealthcare.com	260 Chambers Bridge Road		Brick	NJ	08723	10/10/2021	2026	MILFORD WELLNESS VILLAGE PACE	National PACE	PACE Your LIFE	National PACE		"Milford Wellness Village PACE, LLC"	782	Yes	Active					PACE - Nat		C	Philadelphia
H8614	CMS Casework Communication Contact	Director of Marketing & Enrollment		Scala	Damian		1-302-865-3565	119				dscala@paceyourlifemwv.com	"21 W. Clarke Ave, Suite 1010"	Suite 1010	Milford	DE	19963	6/13/2025	2026	MILFORD WELLNESS VILLAGE PACE	National PACE	PACE Your LIFE	National PACE		"Milford Wellness Village PACE, LLC"	782	Yes	Active					PACE - Nat		C	Philadelphia
H8614	Coordination of Benefits Contact	Business Office Manager		Debus	Mary		1-302-865-3565	102				mdebus@paceyourlifemwv.com	"21 W. Clarke Ave, Suite 1010"		Milford	DE	19963	5/29/2025	2026	MILFORD WELLNESS VILLAGE PACE	National PACE	PACE Your LIFE	National PACE		"Milford Wellness Village PACE, LLC"	782	Yes	Active					PACE - Nat		C	Philadelphia
H8614	Customer Service Operations Contact	Director Information Technology	Mr	Forman	Joe		1-732-262-2255	2120			1-732-276-9866	jforman@nationwidehealthcare.com	260 Chambers Bridge Road		Brick	NJ	08723	6/22/2020	2026	MILFORD WELLNESS VILLAGE PACE	National PACE	PACE Your LIFE	National PACE		"Milford Wellness Village PACE, LLC"	782	Yes	Active					PACE - Nat		C	Philadelphia
H8614	Government Relations Contact	Officer	Mr	Halberstam	Yitzchock		1-732-642-9142				1-732-276-9866	Yhalberstam@nationwidehealthcare.com	260 Chambers Bridge Road		Brick	NJ	08723	6/22/2020	2026	MILFORD WELLNESS VILLAGE PACE	National PACE	PACE Your LIFE	National PACE		"Milford Wellness Village PACE, LLC"	782	Yes	Active					PACE - Nat		C	Philadelphia
H8614	Medicare Compliance Officer	Quality & Compliance	Mrs.	Stemrich	Barbara		1-302-865-3565	102			1-732-276-9866	bstemrich@paceyourlifemwv.com	21 W. Clarke Ave.	Suite 1010	Milford	DE	19963	3/11/2026	2026	MILFORD WELLNESS VILLAGE PACE	National PACE	PACE Your LIFE	National PACE		"Milford Wellness Village PACE, LLC"	782	Yes	Active					PACE - Nat		C	Philadelphia
H8614	Part D Exceptions Contact	Business Office Manager		Debus	Mary						1-732-276-9866	mdebus@paceyourlifemwv.com	"21 W. Clarke Ave, Suite 1010"		Milford	DE	19963	5/29/2025	2026	MILFORD WELLNESS VILLAGE PACE	National PACE	PACE Your LIFE	National PACE		"Milford Wellness Village PACE, LLC"	782	Yes	Active	1-833-722-3302	102			PACE - Nat		C	Philadelphia
H8614	Pharmacy Network Management Contact	Controller		Friedman	Ben		1-732-262-2255	2106			1-732-276-9866	bfriedman@nationwidehealthcare.com	260 Chambers Ridge Road		Brick	NJ	08723	6/22/2020	2026	MILFORD WELLNESS VILLAGE PACE	National PACE	PACE Your LIFE	National PACE		"Milford Wellness Village PACE, LLC"	782	Yes	Active					PACE - Nat		C	Philadelphia
H8614	Pharmacy Technical Help Desk Contact	Executive Director		Felton	Sonja						1-732-276-9866	sfelton@paceyourlifemwv.com	"21 W. Clarke Ave, Suite 1010"	Suite 1010	Milford	DE	19963	9/10/2025	2026	MILFORD WELLNESS VILLAGE PACE	National PACE	PACE Your LIFE	National PACE		"Milford Wellness Village PACE, LLC"	782	Yes	Active	1-302-865-3565	108			PACE - Nat		C	Philadelphia
H8614	Plan to Plan Reconciliation Contact	Business Office Manager		Debus	Mary		1-302-865-3565	102				mdebus@paceyourlifemwv.com	"21 W. Clarke Ave, Suite 1010"	Suite 1010	Milford	DE	19963	5/29/2025	2026	MILFORD WELLNESS VILLAGE PACE	National PACE	PACE Your LIFE	National PACE		"Milford Wellness Village PACE, LLC"	782	Yes	Active					PACE - Nat		C	Philadelphia
H8634	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Management	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/14/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	"Blue Cross and Blue Shield of IL, NM, OK, TX"	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Chicago
H8634	Best Available Evidence Contact	"Deputy General Manager, Digital Operations"	Mr.	Davis	Tom		1-570-344-9237	73545			1-000-000-0000	Thomas.Davis@cognizant.com	Cognizant	25 Lakeview Drive	Jessup	PA	18434	1/4/2022	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	"Blue Cross and Blue Shield of IL, NM, OK, TX"	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Chicago
H8634	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	300 East Randolph St		Chicago	IL	60601	4/7/2026	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	"Blue Cross and Blue Shield of IL, NM, OK, TX"	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Chicago
H8634	CMS Casework Communication Contact	Manager Medicare Operations & Oversight	Ms.	Morris	Tawanna		1-630-824-5090				1-000-000-0000	Tawanna_Morris@bcbsil.com	Health Care Service Corporation	300 E. Randolph Street	Chicago	IL	60601	8/6/2024	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	"Blue Cross and Blue Shield of IL, NM, OK, TX"	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Chicago
H8634	Coordination of Benefits Contact	Mgr Project & Program Management	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	COBMedD@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/14/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	"Blue Cross and Blue Shield of IL, NM, OK, TX"	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Chicago
H8634	Customer Service Operations Contact	VP of Customer Service	Mr.	Akovenko	Josh		1-615-695-8916				1-000-000-0000	josh_akovenko@hcsc.com	Health Care Service Corporation	500 Great Circle Rd	Nashville	IL	60601	12/4/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	"Blue Cross and Blue Shield of IL, NM, OK, TX"	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Chicago
H8634	Government Relations Contact	Executive Director - Health Policy	Ms.	DuGoff	Eva		1-202-249-7208				1-000-000-0000	eva_dugoff@hcsc.net	Health Care Service Corporation	1001 Pennsylvania NW	Washington	DC	20004	9/30/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	"Blue Cross and Blue Shield of IL, NM, OK, TX"	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Chicago
H8634	Hospice Contact	Govt Prog Clinical Ops Dvisional Vice President	Ms.	Thomas-Spaulding	Felicia	S	1-505-816-2717				1-000-000-0000	Felicia_Spaulding@bcbsnm.com	Blue Cross Blue Shield of New Mexico	4411 The 25 Way NE	Albuquerque	NM	87109	2/27/2019	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	"Blue Cross and Blue Shield of IL, NM, OK, TX"	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Chicago
H8634	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	9/5/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	"Blue Cross and Blue Shield of IL, NM, OK, TX"	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Chicago
H8634	Part D Exceptions Contact	Regulatory Pharmacist Sr	Mr.	Spears	Scott						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	9/22/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	"Blue Cross and Blue Shield of IL, NM, OK, TX"	Local PPO		Health Care Service Corporation	110	Yes	Active	1-800-693-6651				PPO - BBA		C	Chicago
H8634	Pharmacy Network Management Contact	"VP, Network Management"	Ms.	Conlin	Marci		1-612-777-2837				1-877-823-6373	marci.conlin@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Road	Eagan	MN	55121	3/22/2023	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	"Blue Cross and Blue Shield of IL, NM, OK, TX"	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Chicago
H8634	Pharmacy Technical Help Desk Contact	"Sr. Director, Member Services"	Mr.	Scott	Shane						1-000-000-0000	shane.scott@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	12/19/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	"Blue Cross and Blue Shield of IL, NM, OK, TX"	Local PPO		Health Care Service Corporation	110	Yes	Active	1-877-277-7898				PPO - BBA		C	Chicago
H8634	Plan to Plan Reconciliation Contact	Accountant	Ms.	Bowen	Niaya		1-972-766-1324				1-972-766-4360	niaya_bowen@bcbstx.com	Health Care Service Corporation	"1001 East Lookout Drive,"	Richardson	TX	75082	9/30/2025	2026	HEALTH CARE SERVICE CORPORATION	Local CCP	"Blue Cross and Blue Shield of IL, NM, OK, TX"	Local PPO		Health Care Service Corporation	110	Yes	Active					PPO - BBA		C	Chicago
H8649	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/10/2024	2026	AETNA HEALTH OF UTAH INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8649	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	AETNA HEALTH OF UTAH INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8649	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA HEALTH OF UTAH INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8649	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	AETNA HEALTH OF UTAH INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8649	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	AETNA HEALTH OF UTAH INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8649	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	AETNA HEALTH OF UTAH INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8649	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA HEALTH OF UTAH INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8649	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	AETNA HEALTH OF UTAH INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8649	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	AETNA HEALTH OF UTAH INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8649	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	11/12/2025	2026	AETNA HEALTH OF UTAH INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-469-243-5213				HMO - Health Maintenance Organization		C	Atlanta
H8649	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA HEALTH OF UTAH INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8649	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	AETNA HEALTH OF UTAH INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H8649	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA HEALTH OF UTAH INC.	Local CCP	Aetna Medicare	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H8655	Automated TrOOP Balance Transfer Contact	Medicare Compliance Manager		Brown	Lauren		1-720-974-6031				1-303-996-1600	lbrown2@myinnovage.com	8950 East Lowry Boulevard		Denver	CO	80230	7/28/2023	2026	"INNOVAGE VIRGINIA PACE II, LLC"	National PACE	InnovAge Virginia PACE - Richmond and Peninsula	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H8655	Best Available Evidence Contact	Director of Finance	Ms.	Hewitt	Jessica		1-720-974-6767					jhewitt@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	5/19/2025	2026	"INNOVAGE VIRGINIA PACE II, LLC"	National PACE	InnovAge Virginia PACE - Richmond and Peninsula	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H8655	Chief Financial Officer	CFO	Mr.	Adams	Ben		1-917-842-3099				1-303-996-1600	badams@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE VIRGINIA PACE II, LLC"	National PACE	InnovAge Virginia PACE - Richmond and Peninsula	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H8655	CMS Casework Communication Contact	Director of Compliance		Simpson-Thomas	Shakyra		1-804-819-9554				1-303-996-1600	ssimpson-thomas@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	3/3/2026	2026	"INNOVAGE VIRGINIA PACE II, LLC"	National PACE	InnovAge Virginia PACE - Richmond and Peninsula	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H8655	Coordination of Benefits Contact	Medicare Compliance Manager		Brown	Lauren		1-720-974-6031				1-303-996-1600	lbrown2@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE VIRGINIA PACE II, LLC"	National PACE	InnovAge Virginia PACE - Richmond and Peninsula	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H8655	Customer Service Operations Contact	Director of Compliance		Simpson-Thomas	Shakyra		1-804-819-9554				1-303-996-1600	ssimpson-thomas@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	3/3/2026	2026	"INNOVAGE VIRGINIA PACE II, LLC"	National PACE	InnovAge Virginia PACE - Richmond and Peninsula	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H8655	Government Relations Contact	"SVP, External Affairs"		Nelson	Don		1-608-217-5110					dnelson3@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	12/5/2025	2026	"INNOVAGE VIRGINIA PACE II, LLC"	National PACE	InnovAge Virginia PACE - Richmond and Peninsula	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H8655	Medicare Compliance Officer	VP of Compliance	Ms.	Teter	Lezlie	A	1-720-682-9848				1-303-996-1600	lteter@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	4/24/2026	2026	"INNOVAGE VIRGINIA PACE II, LLC"	National PACE	InnovAge Virginia PACE - Richmond and Peninsula	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H8655	Part D Exceptions Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael						1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE VIRGINIA PACE II, LLC"	National PACE	InnovAge Virginia PACE - Richmond and Peninsula	National PACE		"Total Community Options, Inc."	230	Yes	Active	1-720-666-3817				PACE - Nat		C	Philadelphia
H8655	Pharmacy Network Management Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael		1-720-666-3817				1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE VIRGINIA PACE II, LLC"	National PACE	InnovAge Virginia PACE - Richmond and Peninsula	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H8655	Pharmacy Technical Help Desk Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael						1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE VIRGINIA PACE II, LLC"	National PACE	InnovAge Virginia PACE - Richmond and Peninsula	National PACE		"Total Community Options, Inc."	230	Yes	Active	1-720-666-3817				PACE - Nat		C	Philadelphia
H8655	Plan to Plan Reconciliation Contact	Finance and Compliance Analyst		Kizewski	Alex		1-720-789-6171				1-720-917-3390	akizewski@innovage.com	8950 East Lowry Blvd		Denver	CO	80230	7/28/2023	2026	"INNOVAGE VIRGINIA PACE II, LLC"	National PACE	InnovAge Virginia PACE - Richmond and Peninsula	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H8711	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"	Mr.	Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	4/10/2024	2026	WELLCARE HEALTH INSURANCE COMPANY OF NEW JERSEY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H8711	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	WELLCARE HEALTH INSURANCE COMPANY OF NEW JERSEY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H8711	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	4/5/2024	2026	WELLCARE HEALTH INSURANCE COMPANY OF NEW JERSEY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H8711	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	WELLCARE HEALTH INSURANCE COMPANY OF NEW JERSEY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H8711	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	WELLCARE HEALTH INSURANCE COMPANY OF NEW JERSEY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H8711	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/19/2024	2026	WELLCARE HEALTH INSURANCE COMPANY OF NEW JERSEY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H8711	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	WELLCARE HEALTH INSURANCE COMPANY OF NEW JERSEY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H8711	Hospice Contact	"Director, Pharmacy Operations"	Mr.	Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	4/10/2024	2026	WELLCARE HEALTH INSURANCE COMPANY OF NEW JERSEY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H8711	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	WELLCARE HEALTH INSURANCE COMPANY OF NEW JERSEY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H8711	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	9/3/2025	2026	WELLCARE HEALTH INSURANCE COMPANY OF NEW JERSEY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active	1-813-206-7152				PPO - BBA		C	Denver
H8711	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	WELLCARE HEALTH INSURANCE COMPANY OF NEW JERSEY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H8711	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/18/2024	2026	WELLCARE HEALTH INSURANCE COMPANY OF NEW JERSEY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active	1-833-750-0408				PPO - BBA		C	Denver
H8711	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	8/18/2023	2026	WELLCARE HEALTH INSURANCE COMPANY OF NEW JERSEY	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Active					PPO - BBA		C	Denver
H8730	Automated TrOOP Balance Transfer Contact	Vice President of Finance	Ms.	DiMaria	Anna		1-516-422-7891					adimaria@Kinshiphs.com	225 Crossways Park Drive		Woodbury	NY	11797	6/1/2026	2026	"KINSHIP PACE OF EAST FLORIDA, LLC"	National PACE	"Kinship PACE of East Florida, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Pending					PACE - Nat		C	New York
H8730	Best Available Evidence Contact	CEO	Mrs	Garay	Lisa		1-201-675-5663					lgaray@kinshiphs.com	63 Karen Drive		Mahwah	NJ	07430	6/1/2026	2026	"KINSHIP PACE OF EAST FLORIDA, LLC"	National PACE	"Kinship PACE of East Florida, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Pending					PACE - Nat		C	New York
H8730	Chief Financial Officer	Chief Financial Officer	Mr.	Leahy	Ryan		1-845-235-6531					RLeahy@Kinshiphs.com	225 Crossways Park Drive		Woodbury	NY	11797	6/1/2026	2026	"KINSHIP PACE OF EAST FLORIDA, LLC"	National PACE	"Kinship PACE of East Florida, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Pending					PACE - Nat		C	New York
H8730	CMS Casework Communication Contact	SVP Clinical Services	Mr	Tavares	David		1-914-610-9706					DTavares@Kinshiphs.com	23 Old Orchard Ln		Stamford	CT	06903	6/1/2026	2026	"KINSHIP PACE OF EAST FLORIDA, LLC"	National PACE	"Kinship PACE of East Florida, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Pending					PACE - Nat		C	New York
H8730	Coordination of Benefits Contact	Regional Program Director	Ms.	Hogenkamp	Christine		1-561-961-9869					chogenkamp@kinshiphs.com	2555 Davie Rd		Davie	FL	33317	6/1/2026	2026	"KINSHIP PACE OF EAST FLORIDA, LLC"	National PACE	"Kinship PACE of East Florida, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Pending					PACE - Nat		C	New York
H8730	Customer Service Operations Contact	Regional Program Director	Ms.	Hogenkamp	Christine		1-561-961-9869					chogenkamp@kinshiphs.com	2555 Davie Rd		Davie	FL	33317	6/1/2026	2026	"KINSHIP PACE OF EAST FLORIDA, LLC"	National PACE	"Kinship PACE of East Florida, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Pending					PACE - Nat		C	New York
H8730	Government Relations Contact	VP Compliance and Government Affairs	Ms.	Lopez	Kim		1-303-960-0733					KLOPEZ@kinshiphs.com	225 Crossways Park Drive		Woodbury	NY	11797	6/1/2026	2026	"KINSHIP PACE OF EAST FLORIDA, LLC"	National PACE	"Kinship PACE of East Florida, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Pending					PACE - Nat		C	New York
H8730	Medicare Compliance Officer	VP Compliance and Government Affairs	Ms.	Lopez	Kim		1-303-960-0733					KLOPEZ@kinshiphs.com	225 Crossways Park Drive		Woodbury	NY	11797	6/1/2026	2026	"KINSHIP PACE OF EAST FLORIDA, LLC"	National PACE	"Kinship PACE of East Florida, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Pending					PACE - Nat		C	New York
H8730	Part D Exceptions Contact	Regional Program Director	Ms.	Hogenkamp	Christine							chogenkamp@kinshiphs.com	2555 Davie Rd		Davie	FL	33317	6/1/2026	2026	"KINSHIP PACE OF EAST FLORIDA, LLC"	National PACE	"Kinship PACE of East Florida, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Pending	1-561-961-9869				PACE - Nat		C	New York
H8730	Pharmacy Network Management Contact	Regional Program Director	Ms.	Hogenkamp	Christine		1-561-961-9869					chogenkamp@kinshiphs.com	2555 Davie Rd		Davie	FL	33317	6/1/2026	2026	"KINSHIP PACE OF EAST FLORIDA, LLC"	National PACE	"Kinship PACE of East Florida, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Pending					PACE - Nat		C	New York
H8730	Pharmacy Technical Help Desk Contact	CEO	Mrs	Garay	Lisa							lgaray@kinshiphs.com	63 Karen Drive		Mahwah	NJ	07430	6/1/2026	2026	"KINSHIP PACE OF EAST FLORIDA, LLC"	National PACE	"Kinship PACE of East Florida, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Pending	1-201-675-5663				PACE - Nat		C	New York
H8730	Plan to Plan Reconciliation Contact	Regional Program Director	Ms.	Hogenkamp	Christine		1-561-961-9869					chogenkamp@kinshiphs.com	2555 Davie Rd		Davie	FL	33317	6/1/2026	2026	"KINSHIP PACE OF EAST FLORIDA, LLC"	National PACE	"Kinship PACE of East Florida, LLC"	National PACE		"CitiPACE Holding Company, LLC"	841	Yes	Pending					PACE - Nat		C	New York
H8764	Automated TrOOP Balance Transfer Contact	Medicare Part D Project Manager		Zlotkus	Steve		1-858-790-6250					PartDCAT@MedImpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	1/1/2020	2026	ASPIRE HEALTH PLAN	Local CCP	Aspire Health	HMO/HMOPOS		Montage Health	517	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H8764	Best Available Evidence Contact	Supervisor Medicare Membership Accounting	Ms.	Saucedo	Sonya		1-503-584-4236				1-503-584-4234	Sonya.saucedo@phtech.com	3990 Fairview Industrial Drive SE		Salem	OR	97302	2/28/2022	2026	ASPIRE HEALTH PLAN	Local CCP	Aspire Health	HMO/HMOPOS		Montage Health	517	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H8764	Chief Financial Officer	Chief Financial Officer	Ms.	Maitland	Alicia		1-831-625-4500					regalerts@aspirehealth.org	23625 Holman Highway		Monterey	CA	93940	4/23/2026	2026	ASPIRE HEALTH PLAN	Local CCP	Aspire Health	HMO/HMOPOS		Montage Health	517	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H8764	CMS Casework Communication Contact	Director of Health Plan Operations	Ms.	Fagan	Elisabeth		1-831-644-7419				1-831-657-2669	elisabeth.fagan@aspirehealthplan.org	"10 Ragsdale Drive, Suite 101"		Monterey	CA	93940	3/13/2026	2026	ASPIRE HEALTH PLAN	Local CCP	Aspire Health	HMO/HMOPOS		Montage Health	517	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H8764	Coordination of Benefits Contact	Supervisor Medicaid Membership Accounting	Ms.	Wilson	Jennifer		1-503-362-2818	1251			1-503-584-4234	jennifer.wilson@phtech.com	3990 Fairview Industrial Drive SE		Salem	OR	97302	2/28/2022	2026	ASPIRE HEALTH PLAN	Local CCP	Aspire Health	HMO/HMOPOS		Montage Health	517	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H8764	Customer Service Operations Contact	Chief Operating Officer	Mr.	Hancock	Scott		1-831-644-7406					Scott.hancock@aspirehealth.org	"10 Ragsdale Drive, Suite 101"		Monterey	CA	93940	3/13/2026	2026	ASPIRE HEALTH PLAN	Local CCP	Aspire Health	HMO/HMOPOS		Montage Health	517	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H8764	Government Relations Contact	Chief Executive Officer	Mr.	Bush	Bob		1-831-644-7412					bob.bush@aspirehealth.org	10 Ragsdale Drive		Monterey	CA	93940	3/13/2026	2026	ASPIRE HEALTH PLAN	Local CCP	Aspire Health	HMO/HMOPOS		Montage Health	517	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H8764	Hospice Contact	Chief Medical Officer	Dr.	Guez	Gilly		1-831-644-7467					gilly.guez@aspirehealth.org	10 Ragsdale Drive	Suite 200	Monterey	CA	93940	3/13/2026	2026	ASPIRE HEALTH PLAN	Local CCP	Aspire Health	HMO/HMOPOS		Montage Health	517	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H8764	Medicare Compliance Officer	Compliance Officer	Mr.	Serrano	Anthony		1-831-644-7409				1-831-657-0703	anthony.serrano@aspirehealthplan.org	"10 Ragsdale Drive, Suite 101"		Monterey	CA	93940	10/11/2019	2026	ASPIRE HEALTH PLAN	Local CCP	Aspire Health	HMO/HMOPOS		Montage Health	517	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H8764	Part D Exceptions Contact	Dir PA & UM Programs		Emoto	Julianne							Julianne.emoto@MedImpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	1/1/2020	2026	ASPIRE HEALTH PLAN	Local CCP	Aspire Health	HMO/HMOPOS		Montage Health	517	Yes	Active	1-858-790-5846				HMO - Health Maintenance Organization		C	Philadelphia
H8764	Pharmacy Network Management Contact	Director Configuration Services		Moe	Kathleen		1-858-790-7437					kathlene.moe@medimpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	12/23/2020	2026	ASPIRE HEALTH PLAN	Local CCP	Aspire Health	HMO/HMOPOS		Montage Health	517	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H8764	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"		Brewer	Kathy							Customerservice@Medimpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	12/9/2024	2026	ASPIRE HEALTH PLAN	Local CCP	Aspire Health	HMO/HMOPOS		Montage Health	517	Yes	Active	1-888-495-3160				HMO - Health Maintenance Organization		C	Philadelphia
H8764	Plan to Plan Reconciliation Contact	Sr Financial Analyst	Ms.	Kaur	Joti		1-831-625-4828					regalerts@aspirehealth.org	10 Ragsdale Drive	Suite 101	Monterey	CA	93940	1/13/2026	2026	ASPIRE HEALTH PLAN	Local CCP	Aspire Health	HMO/HMOPOS		Montage Health	517	Yes	Active					HMO - Health Maintenance Organization		C	Philadelphia
H8768	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H8768	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H8768	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H8768	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H8768	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H8768	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H8768	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H8768	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H8768	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H8768	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				PPO - BBA		C	Boston
H8768	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H8768	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				PPO - BBA		C	Boston
H8768	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Local CCP	UnitedHealthcare	Local PPO		"UnitedHealth Group, Inc."	239	Yes	Active					PPO - BBA		C	Boston
H8769	Automated TrOOP Balance Transfer Contact	Finance Director	Mr.	Webster	Ty		1-314-270-2497					ty.webster@ascension.org	4600 Edmundson Road		St. Louis	MO	63134	1/5/2026	2026	Center for Gerontology	National PACE	Ascension Living PACE Michigan	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H8769	Best Available Evidence Contact	Medical Director	Dr.	Dudley	Morgan		1-810-236-7471				1-810-236-7558	morgan.dudley@ascension.org	3801 W. Boulevard Drive		Flint	MI	48505	5/23/2025	2026	Center for Gerontology	National PACE	Ascension Living PACE Michigan	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H8769	Chief Financial Officer	Finance Director	Mr.	Webster	Ty		1-314-270-2497					brian.cooper@ascension.org	4600 Edmundson Drive		St. Louis	MO	63134	1/5/2026	2026	Center for Gerontology	National PACE	Ascension Living PACE Michigan	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H8769	CMS Casework Communication Contact	Director of Quality	Ms.	Fierke	Christina		1-810-236-7472				1-810-236-7558	christina.fierke@ascension.org	3801 W. Boulevard		Flint	MI	48505	5/23/2025	2026	Center for Gerontology	National PACE	Ascension Living PACE Michigan	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H8769	Coordination of Benefits Contact	Finance Director	Mr.	Webster	Ty		1-314-270-2497					ty.webster@ascension.org	4600 Edmundson		St. Louis	MO	63134	1/5/2026	2026	Center for Gerontology	National PACE	Ascension Living PACE Michigan	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H8769	Customer Service Operations Contact	Executive Director	Ms.	Fierke	Christina		1-810-236-7500				1-810-236-7558	christina.fierke@ascension.org	3801 W. Boulevard Drive		Flint	MI	48505	3/10/2026	2026	Center for Gerontology	National PACE	Ascension Living PACE Michigan	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H8769	Government Relations Contact	Executive Director	Ms.	Fierke	Christina		1-810-236-7500				1-810-236-7558	christina.fierke@ascension.org	3801 W. Boulevard Drive		Flint	MI	48505	3/10/2026	2026	Center for Gerontology	National PACE	Ascension Living PACE Michigan	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H8769	Medicare Compliance Officer	Director of Quality	Ms.	Fierke	Christina		1-810-236-7472				1-810-236-7558	christina.fierke@ascension.org	3801 W. Boulevard Drive		Flint	MI	48505	5/23/2025	2026	Center for Gerontology	National PACE	Ascension Living PACE Michigan	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H8769	Part D Exceptions Contact	Finance Director	Mr.	Webster	Ty						1-423-622-6048	ty.webster@ascension.org	250 East 10th Street		Chattanooga	TN	37402	1/5/2026	2026	Center for Gerontology	National PACE	Ascension Living PACE Michigan	National PACE		Ascension Health Alliance	708	Yes	Active	1-800-441-8883				PACE - Nat		C	Atlanta
H8769	Pharmacy Network Management Contact	Medical Director	Dr.	Dudley	Morgan		1-810-236-7471				1-810-236-7558	morgan.dudley@ascension.org	3801 W. Boulevard Drive		Flint	MI	48505	5/23/2025	2026	Center for Gerontology	National PACE	Ascension Living PACE Michigan	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H8769	Pharmacy Technical Help Desk Contact	Medical Director	Dr.	Dudley	Morgan						1-810-236-7558	morgan.dudley@ascension.org	3801 W. Boulevard Drive		Flint	MI	48505	5/23/2025	2026	Center for Gerontology	National PACE	Ascension Living PACE Michigan	National PACE		Ascension Health Alliance	708	Yes	Active	1-810-236-7500				PACE - Nat		C	Atlanta
H8769	Plan to Plan Reconciliation Contact	Finance Director	Mr.	Webster	Ty		1-314-270-2497					ty.webster@ascension.org	4600 Edmundson		St. Louis	MO	63134	1/5/2026	2026	Center for Gerontology	National PACE	Ascension Living PACE Michigan	National PACE		Ascension Health Alliance	708	Yes	Active					PACE - Nat		C	Atlanta
H8777	Automated TrOOP Balance Transfer Contact	Chief Financial Officer		Lynch	Edward		1-716-285-8224	114				lynch@hanci.com	1302 Main Street		Niagara Falls	NY	14301	11/17/2025	2026	"COMPLETE SENIOR CARE, INC."	National PACE	Complete Senior Care	National PACE		"Health Association of Niagara County, Incorp."	425	Yes	Active					PACE - Nat		C	New York
H8777	Best Available Evidence Contact	Chief Executive Officer		McAuliffe	Virginia		1-716-285-8248	147				McAuliffe@completeseniorcare.org	1302 Main Street		Niagara Falls	NY	14301	11/17/2025	2026	"COMPLETE SENIOR CARE, INC."	National PACE	Complete Senior Care	National PACE		"Health Association of Niagara County, Incorp."	425	Yes	Active					PACE - Nat		C	New York
H8777	Chief Financial Officer	Chief Financial Officer	Mr.	Lynch	Edward		1-716-285-8224	114				lynch@hanci.com	1302 Main Street		Niagara Falls	NY	14301	11/17/2025	2026	"COMPLETE SENIOR CARE, INC."	National PACE	Complete Senior Care	National PACE		"Health Association of Niagara County, Incorp."	425	Yes	Active					PACE - Nat		C	New York
H8777	CMS Casework Communication Contact	Clinical Manager		Cogdill	Maryann		1-716-285-8248	128				cogdill@completeseniorcare.org	1302 Main Street		Niagara Falls	NY	14301	8/12/2025	2026	"COMPLETE SENIOR CARE, INC."	National PACE	Complete Senior Care	National PACE		"Health Association of Niagara County, Incorp."	425	Yes	Active					PACE - Nat		C	New York
H8777	Coordination of Benefits Contact	Chief Financial Officer		Lynch	Edward		1-716-285-8224	114				lynch@hanci.com	1302 Main Street		Niagara Falls	NY	14301	11/17/2025	2026	"COMPLETE SENIOR CARE, INC."	National PACE	Complete Senior Care	National PACE		"Health Association of Niagara County, Incorp."	425	Yes	Active					PACE - Nat		C	New York
H8777	Customer Service Operations Contact	Chief Executive Officer		McAuliffe	Virginia		1-716-285-8248	147				McAuliffe@completeseniorcare.org	1302 Main Street		Niagara Falls	NY	14301	11/17/2025	2026	"COMPLETE SENIOR CARE, INC."	National PACE	Complete Senior Care	National PACE		"Health Association of Niagara County, Incorp."	425	Yes	Active					PACE - Nat		C	New York
H8777	Government Relations Contact	Chief Executive Officer		McAuliffe	Virginia		1-716-285-8248	147				McAuliffe@completeseniorcare.org	1302 Main Street		Niagara Falls	NY	14301	11/17/2025	2026	"COMPLETE SENIOR CARE, INC."	National PACE	Complete Senior Care	National PACE		"Health Association of Niagara County, Incorp."	425	Yes	Active					PACE - Nat		C	New York
H8777	Medicare Compliance Officer	Director of Quality and Compliance	Mrs.	Bowes	Jenna		1-716-285-8248	131				jbowes@completeseniorcare.org	1302 Main Street		Niagara Falls	NY	14301	4/23/2025	2026	"COMPLETE SENIOR CARE, INC."	National PACE	Complete Senior Care	National PACE		"Health Association of Niagara County, Incorp."	425	Yes	Active					PACE - Nat		C	New York
H8777	Part D Exceptions Contact	Chief Executive Officer		McAuliffe	Virginia							McAuliffe@completeseniorcare.org	1302 Main Street		Niagara Falls	NY	14301	11/17/2025	2026	"COMPLETE SENIOR CARE, INC."	National PACE	Complete Senior Care	National PACE		"Health Association of Niagara County, Incorp."	425	Yes	Active	1-716-285-8248	147			PACE - Nat		C	New York
H8777	Pharmacy Network Management Contact	Chief Executive Officer		McAuliffe	Virginia		1-716-285-8248	147				McAuliffe@completeseniorcare.org	1302 Main Street		Niagara Falls	NY	14301	11/17/2025	2026	"COMPLETE SENIOR CARE, INC."	National PACE	Complete Senior Care	National PACE		"Health Association of Niagara County, Incorp."	425	Yes	Active					PACE - Nat		C	New York
H8777	Pharmacy Technical Help Desk Contact	Chief Financial Officer		Lynch	Edward							lynch@hanci.com	1302 Main Street		Niagara Falls	NY	14301	11/17/2025	2026	"COMPLETE SENIOR CARE, INC."	National PACE	Complete Senior Care	National PACE		"Health Association of Niagara County, Incorp."	425	Yes	Active	1-716-285-8224	114			PACE - Nat		C	New York
H8777	Plan to Plan Reconciliation Contact	Chief Financial Officer		Lynch	Edward		1-716-285-8224	114				lynch@hanci.com	1302 Main Street		Niagara Falls	NY	14301	11/17/2025	2026	"COMPLETE SENIOR CARE, INC."	National PACE	Complete Senior Care	National PACE		"Health Association of Niagara County, Incorp."	425	Yes	Active					PACE - Nat		C	New York
H8794	Automated TrOOP Balance Transfer Contact	"Project Manager III, Pharmacy Benefit Mgmt"		Perez	Elizabeth	R	1-562-367-0592					Elizabeth.R.Perez@kp.org	12254 Bellflower Blvd.		Downey	CA	90242	8/29/2023	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8794	Best Available Evidence Contact	"Senior Team Manager, Medicare Membership Admin."		Salcido	Adam		1-858-829-3521					CSC-SD-Hospice-BAE@kp.org	3840 Murphy Canyon Rd.		San Diego	CA	92123	8/29/2023	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8794	Chief Financial Officer	SVP & CFO National Medicare Finance	Mr.	Stewart	Mark		1-401-284-8679					Mark.C1.Stewart@kp.org	1 Kaiser Plaza	c/o Kaiser Foundation Health Plan	Oakland	CA	94612	12/16/2024	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8794	CMS Casework Communication Contact	Medicare Compliance Lead	Ms	Piper	Kimberly	C	1-206-473-9504				1-206-877-0645	Kimberly.C.Piper@kp.org	2715 Naches Ave. SW	P.O. Box 9010	Renton	WA	98057	9/8/2025	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8794	Coordination of Benefits Contact	Senior Director		Chung	Clarence		1-562-390-9293				1-562-658-3866	clarence.j.chung@kp.org	"12254 Bellflower Blvd - Suite 106, 1st Floor"		Downey	CA	90242	8/29/2023	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8794	Customer Service Operations Contact			Services	Member		1-800-443-0815					mscc@kp.org	"1800 Harrison St., 23rd Floor"		Oakland	CA	94612	8/29/2023	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8794	Government Relations Contact	"Senior Vice President, Government Relations"		Barrueta	Anthony	A	1-510-271-6835					Anthony.Barrueta@kp.org	One Kaiser Plaza		Oakland	CA	94612	8/29/2023	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8794	Hospice Contact	"Senior Team Manager, Medicare Membership Admin."		Salcido	Adam		1-858-829-3521					CSC-SD-Hospice-BAE@kp.org	3840 Murphy Canyon Rd.		San Diego	CA	92123	8/29/2023	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8794	Medicare Compliance Officer	Medicare Compliance Lead	Ms	Piper	Kimberly	C	1-206-473-9504				1-206-877-0645	Kimberly.C.Piper@kp.org	2715 Naches Ave. SW	P.O. Box 9010	Renton	WA	98057	6/1/2026	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8794	Part D Exceptions Contact	Supervisor Program Management		Ramos	Blanca							blanca.a.ramos@kp.org	12254 Bellflower Blvd		Downey	CA	90242	12/6/2024	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active	1-562-370-3382				HMO - Health Maintenance Organization		C	Dallas
H8794	Pharmacy Network Management Contact	"National Pharmacy Benefits, Project Manager II"		Munoz	Vanessa		1-562-447-7739					Vanessa.L.Munoz@kp.org	12254 Bellflower Blvd.		Downey	CA	90242	8/29/2023	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8794	Pharmacy Technical Help Desk Contact	Customer Care Center		OptumRx	PBM								755 Research Parkway Suite 160		Oklahoma City	OK	73104	8/29/2023	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active	1-877-645-1282				HMO - Health Maintenance Organization		C	Dallas
H8794	Plan to Plan Reconciliation Contact	"Interim Director, Medicare Accounting"		Wright	Mark	A	1-925-323-9443					mark.a.wright@kp.org	"1 Kaiser Plaza, 25th Floor"		Oakland	CA	94612	8/29/2023	2026	"KAISER FOUNDATION HP, INC."	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8797	Automated TrOOP Balance Transfer Contact	"Supervisor, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	relay.health@navitus.com	"Navitus Health Solutions, LLC"	1025 West Navitus Drive	Appleton	WI	54913	1/3/2025	2026	"PERENNIAL ADVANTAGE OF OHIO, INC."	Local CCP	Perennial Advantage	HMO/HMOPOS		"Perennial Consortium, LLC"	759	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8797	Best Available Evidence Contact			Beringer	Stephanie		1-206-697-7797					stephanie.beringer@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/11/2026	2026	"PERENNIAL ADVANTAGE OF OHIO, INC."	Local CCP	Perennial Advantage	HMO/HMOPOS		"Perennial Consortium, LLC"	759	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8797	Chief Financial Officer	CFO	Ms.	Martin	Rachel		1-775-544-8314					Rachel.Martin@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	1/3/2025	2026	"PERENNIAL ADVANTAGE OF OHIO, INC."	Local CCP	Perennial Advantage	HMO/HMOPOS		"Perennial Consortium, LLC"	759	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8797	CMS Casework Communication Contact	Director - Grievance/Appeals & CTMs		Fernandez	Erik		1-786-239-8513					Erik.Fernandez@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	1/3/2025	2026	"PERENNIAL ADVANTAGE OF OHIO, INC."	Local CCP	Perennial Advantage	HMO/HMOPOS		"Perennial Consortium, LLC"	759	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8797	Coordination of Benefits Contact			Beringer	Stephanie		1-206-697-7797				1-833-610-2390	stephanie.beringer@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/10/2026	2026	"PERENNIAL ADVANTAGE OF OHIO, INC."	Local CCP	Perennial Advantage	HMO/HMOPOS		"Perennial Consortium, LLC"	759	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8797	Customer Service Operations Contact			Estes	Courtney		1-877-310-6754	744				courtney.estes@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/3/2026	2026	"PERENNIAL ADVANTAGE OF OHIO, INC."	Local CCP	Perennial Advantage	HMO/HMOPOS		"Perennial Consortium, LLC"	759	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8797	Government Relations Contact			Landahl	Darryl		1-832-384-5949					darryl.landahl@curanahealth.com	10900 Nuckols Rd	Suite 110	Glen Allen	VA	23060	1/3/2025	2026	"PERENNIAL ADVANTAGE OF OHIO, INC."	Local CCP	Perennial Advantage	HMO/HMOPOS		"Perennial Consortium, LLC"	759	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8797	Hospice Contact	Sr. Director Part D Operations	Mr.	Sone	Victor		1-347-683-5717					victor.sone@curanahealth.com	10900 Nuckols Rd	Suite 110	Glen Allen	VA	23060	1/3/2025	2026	"PERENNIAL ADVANTAGE OF OHIO, INC."	Local CCP	Perennial Advantage	HMO/HMOPOS		"Perennial Consortium, LLC"	759	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8797	Medicare Compliance Officer	Compliance Officer	Mr.	Chrisman	Allen		1-513-216-4256					allen.chrisman@perennialadvantage.com	9200 Worthington Road	Suite 300	Westerville	OH	43082	1/3/2025	2026	"PERENNIAL ADVANTAGE OF OHIO, INC."	Local CCP	Perennial Advantage	HMO/HMOPOS		"Perennial Consortium, LLC"	759	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8797	Part D Exceptions Contact			LeClair	Christophe						1-920-221-4676	christopher.leclair@Navitus.com	Navitus Health Solutions	1025 West Navitus Dr.	Appleton	WI	54913	1/3/2025	2026	"PERENNIAL ADVANTAGE OF OHIO, INC."	Local CCP	Perennial Advantage	HMO/HMOPOS		"Perennial Consortium, LLC"	759	Yes	Active	1-920-221-4176				HMO - Health Maintenance Organization		C	Chicago
H8797	Pharmacy Network Management Contact			Robinson	Jan		1-608-729-1688					jan.robinson@navitus.com	Navitus Health Solutions	1025 West Navitus Drive	Appleton	WI	54913	1/3/2025	2026	"PERENNIAL ADVANTAGE OF OHIO, INC."	Local CCP	Perennial Advantage	HMO/HMOPOS		"Perennial Consortium, LLC"	759	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8797	Pharmacy Technical Help Desk Contact	"Manager, Customer Care Accounts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	"Navitus Health Solutions, LLC"	1025 W. Navitus Drive	Appleton	WI	54913	1/3/2025	2026	"PERENNIAL ADVANTAGE OF OHIO, INC."	Local CCP	Perennial Advantage	HMO/HMOPOS		"Perennial Consortium, LLC"	759	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Chicago
H8797	Plan to Plan Reconciliation Contact	CFO	Ms.	Martin	Rachel		1-775-544-8314					p2padministration@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	1/3/2025	2026	"PERENNIAL ADVANTAGE OF OHIO, INC."	Local CCP	Perennial Advantage	HMO/HMOPOS		"Perennial Consortium, LLC"	759	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8800	Automated TrOOP Balance Transfer Contact	Accounting Manager	Mrs.	Rice	Stephanie	M	1-716-379-8474				1-716-379-8543	srice@homecare-hospice.org	519 North Union Street		Olean	NY	14760	2/19/2024	2026	"TOTAL SENIOR CARE, INC."	National PACE	"Total Senior Care, Inc."	National PACE		"Community Care of Western New York, Inc."	472	Yes	Active					PACE - Nat		C	New York
H8800	Best Available Evidence Contact	Chief Executive Officer	Ms.	Sullivan	Melissa		1-716-372-2106					msullivan@homecare-hospice.org	115 East Main Street		Allegany	NY	14706	12/26/2023	2026	"TOTAL SENIOR CARE, INC."	National PACE	"Total Senior Care, Inc."	National PACE		"Community Care of Western New York, Inc."	472	Yes	Active					PACE - Nat		C	New York
H8800	Chief Financial Officer	Chief Financial Officer	Mr	Kirk	Chad		1-716-372-2106	1103				ckirk@homecare-hospice.org	115 East Main St		Allegany	NY	14706	9/6/2024	2026	"TOTAL SENIOR CARE, INC."	National PACE	"Total Senior Care, Inc."	National PACE		"Community Care of Western New York, Inc."	472	Yes	Active					PACE - Nat		C	New York
H8800	CMS Casework Communication Contact	Quality and Compliance Director	Ms	Langdon	Angela		1-716-372-2106					alangdon@homecare-hospice.org	115 East Main Street		Allegany	NY	14706	2/26/2025	2026	"TOTAL SENIOR CARE, INC."	National PACE	"Total Senior Care, Inc."	National PACE		"Community Care of Western New York, Inc."	472	Yes	Active					PACE - Nat		C	New York
H8800	Coordination of Benefits Contact	Accounting Manager	Mrs.	Rice	Stephanie	M	1-716-379-8474				1-716-379-8543	srice@homecare-hospice.org	519 North Union Street		Olean	NY	14760	2/19/2024	2026	"TOTAL SENIOR CARE, INC."	National PACE	"Total Senior Care, Inc."	National PACE		"Community Care of Western New York, Inc."	472	Yes	Active					PACE - Nat		C	New York
H8800	Customer Service Operations Contact	Executive Program Director	Mrs	Padlo	Roxanne		1-716-379-8474					rpadlo@totalseniorcare.org	519 North Union Street		Olean	NY	14760-2135	1/31/2022	2026	"TOTAL SENIOR CARE, INC."	National PACE	"Total Senior Care, Inc."	National PACE		"Community Care of Western New York, Inc."	472	Yes	Active					PACE - Nat		C	New York
H8800	Government Relations Contact	Chief Executive Officer	Ms	Sullivan	Melissa		1-716-372-2106					msullivan@homecare-hospice.org	115 East Main Street		Allegany	NY	14706	12/26/2023	2026	"TOTAL SENIOR CARE, INC."	National PACE	"Total Senior Care, Inc."	National PACE		"Community Care of Western New York, Inc."	472	Yes	Active					PACE - Nat		C	New York
H8800	Medicare Compliance Officer	Quality and Compliance Director	Mrs	Langdon	Angela		1-716-372-2106					alangdon@homecare-hospice.org	115 East Main Street		Olean	NY	14706	2/26/2025	2026	"TOTAL SENIOR CARE, INC."	National PACE	"Total Senior Care, Inc."	National PACE		"Community Care of Western New York, Inc."	472	Yes	Active					PACE - Nat		C	New York
H8800	Part D Exceptions Contact	Chief Financial Officer		Kirk	Chad							ckirk@homecare-hospice.org	115 East Main St		Allegany	NY	14706	9/6/2024	2026	"TOTAL SENIOR CARE, INC."	National PACE	"Total Senior Care, Inc."	National PACE		"Community Care of Western New York, Inc."	472	Yes	Active	1-716-719-7129	1103			PACE - Nat		C	New York
H8800	Pharmacy Network Management Contact	Chief Financial Officer		Kirk	Chad		1-716-372-2106	1103				ckirk@homecare-hospice.org	115 East Main St		Allegany	NY	14706	9/6/2024	2026	"TOTAL SENIOR CARE, INC."	National PACE	"Total Senior Care, Inc."	National PACE		"Community Care of Western New York, Inc."	472	Yes	Active					PACE - Nat		C	New York
H8800	Pharmacy Technical Help Desk Contact	Health Information Systems Manager	Mr	Brown	Kalan							kbrown@homecare-hospice.org	519 North Union Street		Olean	NY	14760	3/7/2024	2026	"TOTAL SENIOR CARE, INC."	National PACE	"Total Senior Care, Inc."	National PACE		"Community Care of Western New York, Inc."	472	Yes	Active	1-716-379-8474				PACE - Nat		C	New York
H8800	Plan to Plan Reconciliation Contact	Chief Financial Officer		Kirk	Chad		1-716-372-2106	1103				ckirk@homecare-hospice.org	115 East Main St		Allegany	NY	14706	9/6/2024	2026	"TOTAL SENIOR CARE, INC."	National PACE	"Total Senior Care, Inc."	National PACE		"Community Care of Western New York, Inc."	472	Yes	Active					PACE - Nat		C	New York
H8811	Automated TrOOP Balance Transfer Contact	"Director, Accounting"	Mr.	Menchaca	Rafael		1-213-379-6438					HPMS@myplacehealth.com	121 S Mountain View Ave		Los Angeles	CA	90057	11/20/2023	2026	MYPLACE SOUTH LA PACE INC.	National PACE	myPlace PACE	National PACE		SCAN Group	768	Yes	Active					PACE - Nat		C	San Francisco
H8811	Best Available Evidence Contact	"Director, Accounting"	Mr.	Menchaca	Rafael		1-213-379-6438					HPMS@myplacehealth.com	121 S Mountain View Ave		Los Angeles	CA	90057	11/20/2023	2026	MYPLACE SOUTH LA PACE INC.	National PACE	myPlace PACE	National PACE		SCAN Group	768	Yes	Active					PACE - Nat		C	San Francisco
H8811	Chief Financial Officer	"Director, Accounting"	Mr.	Menchaca	Rafael		1-213-379-6438					HPMS@myplacehealth.com	121 S Mountain View Ave		Los Angeles	CA	90057	11/20/2023	2026	MYPLACE SOUTH LA PACE INC.	National PACE	myPlace PACE	National PACE		SCAN Group	768	Yes	Active					PACE - Nat		C	San Francisco
H8811	CMS Casework Communication Contact	Sr. Director Health Plan Operations	Ms.	Da Rosa	Cassandra		1-213-729-9851					HPMS@myplacehealth.com	121 S Mountain View Ave		Los Angeles	CA	90057	5/8/2024	2026	MYPLACE SOUTH LA PACE INC.	National PACE	myPlace PACE	National PACE		SCAN Group	768	Yes	Active					PACE - Nat		C	San Francisco
H8811	Coordination of Benefits Contact	Sr. Director Health Plan Operations	Ms.	Da Rosa	Cassandra		1-213-729-9851					HPMS@myplacehealth.com	121 S Mountain View Ave		Los Angeles	CA	90057	5/8/2024	2026	MYPLACE SOUTH LA PACE INC.	National PACE	myPlace PACE	National PACE		SCAN Group	768	Yes	Active					PACE - Nat		C	San Francisco
H8811	Customer Service Operations Contact	Sr. Director Health Plan Operations	Ms.	Da Rosa	Cassandra		1-213-729-9851					HPMS@myplacehealth.com	121 S Mountain View Ave		Los Angeles	CA	90057	5/8/2024	2026	MYPLACE SOUTH LA PACE INC.	National PACE	myPlace PACE	National PACE		SCAN Group	768	Yes	Active					PACE - Nat		C	San Francisco
H8811	Government Relations Contact	Chief Executive Officer	Mr.	Arumugam	Senthu		1-650-887-4379					HPMS@myplacehealth.com	121 S Mountain View Ave		Los Angeles	CA	90057	3/5/2026	2026	MYPLACE SOUTH LA PACE INC.	National PACE	myPlace PACE	National PACE		SCAN Group	768	Yes	Active					PACE - Nat		C	San Francisco
H8811	Medicare Compliance Officer	National Director of Quality and Compliance Progra	Dr.	Flake	Crissy	L	1-213-800-8886					HPMS@myplacehealth.com	121 S Mountain View Ave		Los Angeles	CA	90057	5/10/2024	2026	MYPLACE SOUTH LA PACE INC.	National PACE	myPlace PACE	National PACE		SCAN Group	768	Yes	Active					PACE - Nat		C	San Francisco
H8811	Part D Exceptions Contact	Sr. Director Health Plan Operations	Ms.	Da Rosa	Cassandra							HPMS@myplacehealth.com	121 S Mountain View Ave		Los Angeles	CA	90057	5/8/2024	2026	MYPLACE SOUTH LA PACE INC.	National PACE	myPlace PACE	National PACE		SCAN Group	768	Yes	Active	1-213-729-9851				PACE - Nat		C	San Francisco
H8811	Pharmacy Network Management Contact	Sr. Director Health Plan Operations	Ms.	Da Rosa	Cassandra		1-619-739-3775					HPMS@myplacehealth.com	121 S Mountain View Ave		Los Angeles	CA	90057	11/20/2023	2026	MYPLACE SOUTH LA PACE INC.	National PACE	myPlace PACE	National PACE		SCAN Group	768	Yes	Active					PACE - Nat		C	San Francisco
H8811	Pharmacy Technical Help Desk Contact	VP & Head of Product	Mrs.	Gobalan	Anupama							HPMS@myplacehealth.com	121 S Mountain View Ave		Los Angeles	CA	90057	11/20/2023	2026	MYPLACE SOUTH LA PACE INC.	National PACE	myPlace PACE	National PACE		SCAN Group	768	Yes	Active	1-714-858-4942				PACE - Nat		C	San Francisco
H8811	Plan to Plan Reconciliation Contact	Sr. Director Health Plan Operations	Ms.	Da Rosa	Cassandra		1-213-729-9851					HPMS@myplacehealth.com	121 S Mountain View Ave		Los Angeles	CA	90057	5/8/2024	2026	MYPLACE SOUTH LA PACE INC.	National PACE	myPlace PACE	National PACE		SCAN Group	768	Yes	Active					PACE - Nat		C	San Francisco
H8832	Automated TrOOP Balance Transfer Contact	PBM - Manager Project and Program Management		Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	5/24/2026	2026	ALIGNMENT HEALTH ADVANTAGE PLAN INC	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H8832	Best Available Evidence Contact	"Director, Membership & Eligibility"		Starks	Heather		1-661-433-0187				1-562-207-4623	HStarks@ahcusa.com	1100 W. Town and Country Road #300		Orange	CA	92868-4600	5/24/2026	2026	ALIGNMENT HEALTH ADVANTAGE PLAN INC	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H8832	Chief Financial Officer	Chief Financial Officer	Mr.	Head	James	M	1-657-218-7612					Jhead@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	ALIGNMENT HEALTH ADVANTAGE PLAN INC	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H8832	CMS Casework Communication Contact	CEO		Maroney	Dawn		1-844-310-2247				1-844-320-2247	DMaroney@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	ALIGNMENT HEALTH ADVANTAGE PLAN INC	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H8832	Coordination of Benefits Contact	"Director, Membership & Eligibility"		Starks	Heather		1-661-433-0187					HStarks@ahcusa.com	1100 W. Town and Country Rd #1600		Orange	CA	92868	5/24/2026	2026	ALIGNMENT HEALTH ADVANTAGE PLAN INC	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H8832	Customer Service Operations Contact	"VP, Member Experience"		Shaffer	Troy		1-714-208-2446					TShaffer@ahcusa.com	1100  W. Town and Country Road #300		Orange	CA	92868-4600	5/24/2026	2026	ALIGNMENT HEALTH ADVANTAGE PLAN INC	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H8832	Government Relations Contact	"SVP, Chief Compliance Officer"		Lynch	Cindy		1-657-383-5394					clynch@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	ALIGNMENT HEALTH ADVANTAGE PLAN INC	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H8832	Hospice Contact	"SVP, Market Management"	Dr.	Kim	John		1-657-218-7640					jkim@ahcusa.com	1100 W Town and Country	Suite 1600	Orange	CA	92868	5/24/2026	2026	ALIGNMENT HEALTH ADVANTAGE PLAN INC	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H8832	Medicare Compliance Officer	"SVP, Chief Compliance Officer"	Ms.	Lynch	Cindy	B	1-657-383-5394					clynch@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	ALIGNMENT HEALTH ADVANTAGE PLAN INC	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H8832	Part D Exceptions Contact	PBM - Regulatory Pharmacist Sr.		Emerson	Kimberly						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	5/24/2026	2026	ALIGNMENT HEALTH ADVANTAGE PLAN INC	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active	1-800-693-6651				PPO - BBA		C	Chicago
H8832	Pharmacy Network Management Contact	"PBM - VP, Network Management"		Conlin	Marci		1-612-777-2842				1-877-823-6373	marci.conlin@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55122	5/24/2026	2026	ALIGNMENT HEALTH ADVANTAGE PLAN INC	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H8832	Pharmacy Technical Help Desk Contact	"PBM - Sr. Director, Member Services"		Scott	Shane							shane.scott@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	5/24/2026	2026	ALIGNMENT HEALTH ADVANTAGE PLAN INC	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active	1-844-227-7615				PPO - BBA		C	Chicago
H8832	Plan to Plan Reconciliation Contact	"Manager, Financial Operations"		De La Torre	Angelo		1-657-218-7422				1-562-207-4266	adelatorre@ahcusa.com	1100 W. Town and Country Road #300		Orange	CA	92868-4600	5/24/2026	2026	ALIGNMENT HEALTH ADVANTAGE PLAN INC	Local CCP	Alignment Health Plan	Local PPO		"Alignment Healthcare USA, LLC"	612	Yes	Active					PPO - BBA		C	Chicago
H8845	Automated TrOOP Balance Transfer Contact	"AVP, Pharmacy"		Vu	John		1-801-252-5706					an.vu@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF ARIZONA, INC."	Local CCP	Molina Healthcare of Arizona	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8845	Best Available Evidence Contact	"Director, Medicare PEnrollment"		LeJeune	Ryan		1-562-549-4527					ryan.lejeune@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF ARIZONA, INC."	Local CCP	Molina Healthcare of Arizona	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8845	Chief Financial Officer	"MHI - VP, Operating Finance"	Mr.	Parthasarathy	Vijay		1-630-381-8563					vijay.parthasarathy@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF ARIZONA, INC."	Local CCP	Molina Healthcare of Arizona	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8845	CMS Casework Communication Contact	"Dir, Medicare A&G"		Bennett	Kimberly		1-248-854-9474					Kimberly.Bennett@molinahealthcare.com	24121 Rosewood Street		Oak Park	MI	48237	5/21/2025	2026	"MOLINA HEALTHCARE OF ARIZONA, INC."	Local CCP	Molina Healthcare of Arizona	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8845	Coordination of Benefits Contact	"Director, Payment Integrity"		Hartberger	Jake		1-484-269-1480					Jake.Hartberger@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF ARIZONA, INC."	Local CCP	Molina Healthcare of Arizona	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8845	Customer Service Operations Contact	"Vice President, Call Center"		Faroughi	Cheryl		1-614-547-6829					cheryl.faroughi@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF ARIZONA, INC."	Local CCP	Molina Healthcare of Arizona	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8845	Government Relations Contact	"MHI- Vice President, Compliance"		Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@Molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF ARIZONA, INC."	Local CCP	Molina Healthcare of Arizona	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8845	Hospice Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"MOLINA HEALTHCARE OF ARIZONA, INC."	Local CCP	Molina Healthcare of Arizona	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8845	Medicare Compliance Officer	"MHI- Vice President, Compliance"	Mr.	Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF ARIZONA, INC."	Local CCP	Molina Healthcare of Arizona	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8845	Part D Exceptions Contact	"AVP, Medicare Pharmacy Services"		Vu	John							An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"MOLINA HEALTHCARE OF ARIZONA, INC."	Local CCP	Molina Healthcare of Arizona	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-801-252-5706				HMO - Health Maintenance Organization		C	New York
H8845	Pharmacy Network Management Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"MOLINA HEALTHCARE OF ARIZONA, INC."	Local CCP	Molina Healthcare of Arizona	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8845	Pharmacy Technical Help Desk Contact	"Director, Client Operations"		Help Desk	Pharmacy						1-480-314-6077	dayoubj@cvshealth.com	445 Great Circle Road		Nashville	TN	37228	5/21/2025	2026	"MOLINA HEALTHCARE OF ARIZONA, INC."	Local CCP	Molina Healthcare of Arizona	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H8845	Plan to Plan Reconciliation Contact	"Director, Finance"		Cook	Keith		1-562-542-2024					P2P.molina@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF ARIZONA, INC."	Local CCP	Molina Healthcare of Arizona	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8849	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	WELLPOINT INSURANCE COMPANY	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8849	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	WELLPOINT INSURANCE COMPANY	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8849	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	WELLPOINT INSURANCE COMPANY	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8849	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	WELLPOINT INSURANCE COMPANY	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8849	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	WELLPOINT INSURANCE COMPANY	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8849	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	WELLPOINT INSURANCE COMPANY	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8849	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	WELLPOINT INSURANCE COMPANY	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8849	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	WELLPOINT INSURANCE COMPANY	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8849	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	WELLPOINT INSURANCE COMPANY	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8849	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	WELLPOINT INSURANCE COMPANY	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H8849	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/31/2023	2026	WELLPOINT INSURANCE COMPANY	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8849	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	WELLPOINT INSURANCE COMPANY	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H8849	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/10/2021	2026	WELLPOINT INSURANCE COMPANY	Local CCP	Wellpoint	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8854	Automated TrOOP Balance Transfer Contact	"Manager, Specialty Business"	Mr.	Nardone	Mark		1-410-998-5675					Mark.Nardone@carefirst.com	10455 Mill Run Circle		Owings Mills	MD	21117	3/10/2026	2026	"CAREFIRST ADVANTAGE DSNP, INC."	Local CCP	CareFirst BlueCross BlueShield Advantage DualPrime	HMO/HMOPOS		"CareFirst, Inc."	45	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8854	Best Available Evidence Contact	"VP, Government Programs"	Ms.	Toland	Cheryl		1-410-998-5107					CFGroupMA@carefirst.com	10455 Mill Run Circle		Owings Mills	MD	21117	3/10/2026	2026	"CAREFIRST ADVANTAGE DSNP, INC."	Local CCP	CareFirst BlueCross BlueShield Advantage DualPrime	HMO/HMOPOS		"CareFirst, Inc."	45	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8854	Chief Financial Officer	Chief Financial Officer	Mr.	Pemberton	Daniel		1-410-998-5930					daniel.pemberton@carefirst.com	1501 S. Clinton Street		Baltimore	MD	21224	3/10/2026	2026	"CAREFIRST ADVANTAGE DSNP, INC."	Local CCP	CareFirst BlueCross BlueShield Advantage DualPrime	HMO/HMOPOS		"CareFirst, Inc."	45	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8854	CMS Casework Communication Contact	"Director, Medical Review & Appeals"	Ms.	Kelley	Maggie		1-410-469-2166					Maggie.Kelley@carefirst.com	1501 S. Clinton Street		Baltimore	MD	21224	5/27/2026	2026	"CAREFIRST ADVANTAGE DSNP, INC."	Local CCP	CareFirst BlueCross BlueShield Advantage DualPrime	HMO/HMOPOS		"CareFirst, Inc."	45	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8854	Coordination of Benefits Contact	"VP, Government Programs"	Ms.	Toland	Cheryl		1-410-998-5107					CFGroupMA@carefirst.com	10455 Mill Run Circle		Owings Mills	MD	21117	3/10/2026	2026	"CAREFIRST ADVANTAGE DSNP, INC."	Local CCP	CareFirst BlueCross BlueShield Advantage DualPrime	HMO/HMOPOS		"CareFirst, Inc."	45	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8854	Customer Service Operations Contact	"Manager, Operations"	Ms.	Boer	Kelsey		1-410-998-5353					Kelsey.Boer@carefirst.com	10455 Mill Run Circle		Owings Mills	MD	21117	3/10/2026	2026	"CAREFIRST ADVANTAGE DSNP, INC."	Local CCP	CareFirst BlueCross BlueShield Advantage DualPrime	HMO/HMOPOS		"CareFirst, Inc."	45	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8854	Government Relations Contact	Medicare Compliance Officer	Ms.	Snapp-Borleis	Mary-Paul		1-410-605-2579					mary-paul.snapp-borleis@carefirst.com	10455 Mill Run Circle		Owings Mills	MD	21117	3/10/2026	2026	"CAREFIRST ADVANTAGE DSNP, INC."	Local CCP	CareFirst BlueCross BlueShield Advantage DualPrime	HMO/HMOPOS		"CareFirst, Inc."	45	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8854	Hospice Contact	Chief Medical Officer	Dr.	Herrera Scott	Laura		1-410-528-2235					Laura.HerreraScott@carefirst.com	1501 S. Clinton Stret		Baltimore	MD	21224	3/10/2026	2026	"CAREFIRST ADVANTAGE DSNP, INC."	Local CCP	CareFirst BlueCross BlueShield Advantage DualPrime	HMO/HMOPOS		"CareFirst, Inc."	45	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8854	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Snapp-Borleis	Mary-Paul		1-410-605-2579					Mary-Paul.Snapp-Borleis@Carefirst.com	1501 South Clinton Street		Baltimore	MD	21224	3/10/2026	2026	"CAREFIRST ADVANTAGE DSNP, INC."	Local CCP	CareFirst BlueCross BlueShield Advantage DualPrime	HMO/HMOPOS		"CareFirst, Inc."	45	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8854	Part D Exceptions Contact	"Sr. Dir., Pharm Eval & Oversight"	Ms.	Poplawski	Mandi							Mandi.Poplawski@carefirst.com	1501 S Clinton St		Baltimore	MD	21224	3/10/2026	2026	"CAREFIRST ADVANTAGE DSNP, INC."	Local CCP	CareFirst BlueCross BlueShield Advantage DualPrime	HMO/HMOPOS		"CareFirst, Inc."	45	Yes	Active	1-410-528-5053				HMO - Health Maintenance Organization		C	Chicago
H8854	Pharmacy Network Management Contact	Director Pharmacy Government Programs	Mr.	Nardone	Mark		1-410-998-5675					Mark.Nardone@Carefirst.com	10455 Mill Run Circle		Owings Mills	MD	21117	3/10/2026	2026	"CAREFIRST ADVANTAGE DSNP, INC."	Local CCP	CareFirst BlueCross BlueShield Advantage DualPrime	HMO/HMOPOS		"CareFirst, Inc."	45	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8854	Pharmacy Technical Help Desk Contact	Director Pharmacy Government Programs	Mr.	Nardone	Mark							Mark.Nardone@Carefirst.com	10455 Mill Run Circle		Owings Mills	MD	21117	3/10/2026	2026	"CAREFIRST ADVANTAGE DSNP, INC."	Local CCP	CareFirst BlueCross BlueShield Advantage DualPrime	HMO/HMOPOS		"CareFirst, Inc."	45	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Chicago
H8854	Plan to Plan Reconciliation Contact	Financial Analyst	Mr.	Murry	Kyle		1-410-605-2401					Kyle.Murry@Carefirst.com	P.O. Box 782085		Philadelphia	PA	19178-1637	3/10/2026	2026	"CAREFIRST ADVANTAGE DSNP, INC."	Local CCP	CareFirst BlueCross BlueShield Advantage DualPrime	HMO/HMOPOS		"CareFirst, Inc."	45	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8879	Automated TrOOP Balance Transfer Contact	COO		Howeth	Teresa		1-219-900-9129					thoweth@qualexahealthcare.com	10996 Four Seasons Pl	100C	Crown Point	IN	46307	6/4/2025	2026	"Healthy Mississippi, Inc."	Local CCP	"Healthy Mississippi, Inc."	HMO/HMOPOS		Singh Holdings LLC	832	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8879	Best Available Evidence Contact	COO		Howeth	Teresa		1-219-900-9129					thoweth@qualexahealthcare.com	10996 Four Seasons Pl	100C	Crown Point	IN	46307	12/17/2025	2026	"Healthy Mississippi, Inc."	Local CCP	"Healthy Mississippi, Inc."	HMO/HMOPOS		Singh Holdings LLC	832	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8879	Chief Financial Officer	President	Dr	Singh	Kirnjot		1-218-228-4355					ksingh@qualexahealthcare.com	10996 Four Seasons Pl	100C	Crown Point	IN	46307	6/4/2025	2026	"Healthy Mississippi, Inc."	Local CCP	"Healthy Mississippi, Inc."	HMO/HMOPOS		Singh Holdings LLC	832	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8879	CMS Casework Communication Contact	"Director, Quality"		Snyder	Karen		1-219-228-4152					ksnyder@qualexahealthcare.com	10996 Four Seasons Pl	100C	Crown Point	IN	46307	6/4/2025	2026	"Healthy Mississippi, Inc."	Local CCP	"Healthy Mississippi, Inc."	HMO/HMOPOS		Singh Holdings LLC	832	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8879	Coordination of Benefits Contact	COO		Howeth	Teresa		1-219-900-9129					thoweth@qualexahealthcare.com	10996 Four Seasons Pl	100C	Crown Point	IN	46307	12/17/2025	2026	"Healthy Mississippi, Inc."	Local CCP	"Healthy Mississippi, Inc."	HMO/HMOPOS		Singh Holdings LLC	832	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8879	Customer Service Operations Contact		Mrs	Howeth	Teresa		1-219-900-9129					thoweth@qualexahealthcare.com	10996 Four Seasons Pl	100C	Crown Point	IN	46307	6/4/2025	2026	"Healthy Mississippi, Inc."	Local CCP	"Healthy Mississippi, Inc."	HMO/HMOPOS		Singh Holdings LLC	832	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8879	Government Relations Contact		Ms	Savoy	Vernisha		1-219-228-4152					vsavoy@qualexahealthcare.com	10996 Four Seasons Pl	100C	Crown Point	IN	46307	6/4/2025	2026	"Healthy Mississippi, Inc."	Local CCP	"Healthy Mississippi, Inc."	HMO/HMOPOS		Singh Holdings LLC	832	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8879	Hospice Contact	"Vice President, Outpatient Clinics"	Ms.	McDermeit	Kelly		1-620-388-3006					kmcdermeit@qualexahealthcare.com	10996 Four Seasons Pl	100C	Crown Point	IN	46307	6/4/2025	2026	"Healthy Mississippi, Inc."	Local CCP	"Healthy Mississippi, Inc."	HMO/HMOPOS		Singh Holdings LLC	832	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8879	Medicare Compliance Officer	Chief Compliance Officer	Mrs	Savoy	Vernisha	R	1-463-231-5137					vsavoy@qualexahealthcare.com	10996 Four Seasons Pl	100C	Crown Point	IN	46307	6/4/2025	2026	"Healthy Mississippi, Inc."	Local CCP	"Healthy Mississippi, Inc."	HMO/HMOPOS		Singh Holdings LLC	832	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8879	Part D Exceptions Contact	Director of Pharmacy Services		Jacobi	Jacqueline							jjacobi@qualexahealthcare.com	10996 Four Seasons Pl	100C	Crown Point	IN	46307	12/17/2025	2026	"Healthy Mississippi, Inc."	Local CCP	"Healthy Mississippi, Inc."	HMO/HMOPOS		Singh Holdings LLC	832	Yes	Active	1-219-200-1695				HMO - Health Maintenance Organization		C	Dallas
H8879	Pharmacy Network Management Contact		Mrs	Howeth	Teresa		1-219-900-9129					thoweth@qualexahealthcare.com	10996 Four Seasons Pl	100C	Crown Point	IN	46307	6/4/2025	2026	"Healthy Mississippi, Inc."	Local CCP	"Healthy Mississippi, Inc."	HMO/HMOPOS		Singh Holdings LLC	832	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8879	Pharmacy Technical Help Desk Contact	COO	Mrs	Howeth	Teresa							thoweth@qualexahealthcare.com	10996 Four Seasons Pl	100C	Crown Point	IN	46307	6/5/2025	2026	"Healthy Mississippi, Inc."	Local CCP	"Healthy Mississippi, Inc."	HMO/HMOPOS		Singh Holdings LLC	832	Yes	Active	1-833-201-6413				HMO - Health Maintenance Organization		C	Dallas
H8879	Plan to Plan Reconciliation Contact	Chief Operating Officer	ms.	Howeth	Teresa		1-219-900-9129					thoweth@qualexahealthcare.com	10996 Four Seasons Pl	100C	Crown Point	IN	46307	6/4/2025	2026	"Healthy Mississippi, Inc."	Local CCP	"Healthy Mississippi, Inc."	HMO/HMOPOS		Singh Holdings LLC	832	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H8883	Automated TrOOP Balance Transfer Contact			North	Tom		1-714-878-4552					tom.north@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	5/22/2026	2026	"WELBEHEALTH BERGEN PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H8883	Best Available Evidence Contact			Cumpian	Terry		1-209-840-8404					terry.cumpian@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	5/22/2026	2026	"WELBEHEALTH BERGEN PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H8883	Chief Financial Officer		Mr.	Zybak	Don		1-773-243-6444					don.zybak@welbehealth.com	440 N BARRANCA AVE #4053		COVINA	CA	91723	6/30/2026	2026	"WELBEHEALTH BERGEN PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H8883	CMS Casework Communication Contact	Compliance Director		Costigan	Bobbie		1-219-210-6392					Bobbie.Costigan@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/3/2025	2026	"WELBEHEALTH BERGEN PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H8883	Coordination of Benefits Contact			Holmes	Nicole		1-269-910-1107					nicole.holmes@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	5/22/2026	2026	"WELBEHEALTH BERGEN PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H8883	Customer Service Operations Contact			Eidell	Rachel		1-714-292-7152					rachel.frank@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/3/2025	2026	"WELBEHEALTH BERGEN PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H8883	Government Relations Contact			Lee	Elizabeth		1-650-514-1390					elizabeth.lee@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/3/2025	2026	"WELBEHEALTH BERGEN PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H8883	Medicare Compliance Officer		Ms.	Lee	Elizabeth		1-650-514-1390					elizabeth.lee@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	6/3/2025	2026	"WELBEHEALTH BERGEN PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H8883	Part D Exceptions Contact	Chief Medical Officer	Dr.	Lincoln-Giang	Pam							pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	5/26/2026	2026	"WELBEHEALTH BERGEN PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Pending	1-650-294-8027				PACE - Nat		C	San Francisco
H8883	Pharmacy Network Management Contact			Lincoln-Giang	Pam		1-650-294-8027					pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	5/26/2026	2026	"WELBEHEALTH BERGEN PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H8883	Pharmacy Technical Help Desk Contact			Lincoln-Giang	Pam							pam.lincoln-giang@welbehealth.com	440 N BARRANCA AVE #4051		COVINA	CA	91723	5/26/2026	2026	"WELBEHEALTH BERGEN PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Pending	1-650-294-8027				PACE - Nat		C	San Francisco
H8883	Plan to Plan Reconciliation Contact			Porras	Ashleigh		1-650-442-2660					ashleigh.porras@welbehealth.com	440 N BARRANCA AVE #4053		COVINA	CA	91723	6/30/2026	2026	"WELBEHEALTH BERGEN PACE, LLC"	National PACE	WelbeHealth	National PACE		WelbeHealth LLC.	707	Yes	Pending					PACE - Nat		C	San Francisco
H8889	Automated TrOOP Balance Transfer Contact			Bean	Danielle		1-952-992-2864					danielle.bean@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	2/17/2021	2026	MEDICA HEALTH PLANS	Local CCP	Medica	Local PPO		Medica Holding Company	439	Yes	Active					PPO - BBA		C	Dallas
H8889	Best Available Evidence Contact			Bock	Kelly		1-952-992-8379					kelly.bock@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	11/10/2022	2026	MEDICA HEALTH PLANS	Local CCP	Medica	Local PPO		Medica Holding Company	439	Yes	Active					PPO - BBA		C	Dallas
H8889	Chief Financial Officer	CFO	Ms	Dusil	Krista		1-952-992-3908					CFO@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	7/1/2025	2026	MEDICA HEALTH PLANS	Local CCP	Medica	Local PPO		Medica Holding Company	439	Yes	Active					PPO - BBA		C	Dallas
H8889	CMS Casework Communication Contact	"Manager, Consumer Advisor"		Blum	Adam		1-608-827-4420					Adam.Blum@deancare.com	1277 Deming Way		Madison	WI	53717	10/30/2024	2026	MEDICA HEALTH PLANS	Local CCP	Medica	Local PPO		Medica Holding Company	439	Yes	Active					PPO - BBA		C	Dallas
H8889	Coordination of Benefits Contact			Vilendrer	Krista		1-952-992-3252					krista.vilendrer@medica.com	301 Carlson Parkway		Minnetonka	MN	55305	4/22/2022	2026	MEDICA HEALTH PLANS	Local CCP	Medica	Local PPO		Medica Holding Company	439	Yes	Active					PPO - BBA		C	Dallas
H8889	Customer Service Operations Contact			Bock	Kelly		1-952-992-8379					kelly.bock@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	11/10/2022	2026	MEDICA HEALTH PLANS	Local CCP	Medica	Local PPO		Medica Holding Company	439	Yes	Active					PPO - BBA		C	Dallas
H8889	Government Relations Contact	"VP & GM, Medicare"		Orr	Britta		1-952-992-3111					Britta.Orr@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	6/12/2025	2026	MEDICA HEALTH PLANS	Local CCP	Medica	Local PPO		Medica Holding Company	439	Yes	Active					PPO - BBA		C	Dallas
H8889	Hospice Contact			Bourdages	Kathy		1-952-992-3653				1-952-992-3636	PharmacySrvcGovtProg@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	2/13/2018	2026	MEDICA HEALTH PLANS	Local CCP	Medica	Local PPO		Medica Holding Company	439	Yes	Active					PPO - BBA		C	Dallas
H8889	Medicare Compliance Officer	VP Risk and Compliance	Ms	Bengtson	Kelly		1-952-992-3948					complianceofficer@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	2/24/2026	2026	MEDICA HEALTH PLANS	Local CCP	Medica	Local PPO		Medica Holding Company	439	Yes	Active					PPO - BBA		C	Dallas
H8889	Part D Exceptions Contact			Rodine	Bridget							bridget.rodine@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	1/25/2018	2026	MEDICA HEALTH PLANS	Local CCP	Medica	Local PPO		Medica Holding Company	439	Yes	Active	1-952-992-2353				PPO - BBA		C	Dallas
H8889	Pharmacy Network Management Contact	Director Clinical Pharmacy		Wilhelm	Sue		1-608-827-7576					Sue.Wilhelm@deancare.com	1277 Deming Way		Madison	WI	53717	12/9/2024	2026	MEDICA HEALTH PLANS	Local CCP	Medica	Local PPO		Medica Holding Company	439	Yes	Active					PPO - BBA		C	Dallas
H8889	Pharmacy Technical Help Desk Contact	"Sr. Director, Customer Service"		Sahs	Dale							dale.sahs@expressscripts.com	One Express Way		St. Louis	MO	63121	1/20/2026	2026	MEDICA HEALTH PLANS	Local CCP	Medica	Local PPO		Medica Holding Company	439	Yes	Active	1-800-922-1557				PPO - BBA		C	Dallas
H8889	Plan to Plan Reconciliation Contact			Ricaurte	Angela		1-952-992-3748					Angela.Ricaurte@medica.com	401 Carlson Parkway CP330		Minnetonka	MN	55305	5/16/2023	2026	MEDICA HEALTH PLANS	Local CCP	Medica	Local PPO		Medica Holding Company	439	Yes	Active					PPO - BBA		C	Dallas
H8894	Automated TrOOP Balance Transfer Contact	"Manager, Formulary and Pharmacy Benefits"	Dr	Chirk	Robert		1-909-660-1917					chirk-r@iehp.org	10801 Sixth St.		Rancho Cucamonga	CA	91730	11/7/2025	2026	Inland Empire Health Plan	Local CCP	IEHP DualChoice	HMO/HMOPOS		INLAND EMPIRE HEALTH PLAN	285	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8894	Best Available Evidence Contact	"Manager, Business Systems Operations Support"		Ramirez	Tiana		1-909-890-2073					ramirez-t@iehp.org	10801 Sixth St.		Rancho Cucamonga	CA	91730	1/3/2024	2026	Inland Empire Health Plan	Local CCP	IEHP DualChoice	HMO/HMOPOS		INLAND EMPIRE HEALTH PLAN	285	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8894	Chief Financial Officer	Chief Financial Officer	Mr.	Brosnan	Patrick		1-909-890-2010					patrick.brosnan@iehp.org	10801 Sixth St.		Rancho Cucamonga	CA	91730	5/11/2026	2026	Inland Empire Health Plan	Local CCP	IEHP DualChoice	HMO/HMOPOS		INLAND EMPIRE HEALTH PLAN	285	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8894	CMS Casework Communication Contact	"Manager, Regulatory Management"		North	Ebony		1-909-727-2614				1-909-890-5748	ebony.north@iehp.org	PO Box 1800		Rancho Cucamonga	CA	91729	5/8/2026	2026	Inland Empire Health Plan	Local CCP	IEHP DualChoice	HMO/HMOPOS		INLAND EMPIRE HEALTH PLAN	285	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8894	Coordination of Benefits Contact	"Manager, Formulary & Pharmacy Benefits"	Dr	Chirk	Robert		1-909-660-1917					chirk-r@iehp.org	10801 Sixth St.		Rancho Cucamonga	CA	91730	11/7/2025	2026	Inland Empire Health Plan	Local CCP	IEHP DualChoice	HMO/HMOPOS		INLAND EMPIRE HEALTH PLAN	285	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8894	Customer Service Operations Contact	"Vice President, Member Experience"		Paul	Remington		1-909-296-3619					remington.paul@iehp.org	10801 Sixth St.		Rancho Cucamonga	CA	91730	4/3/2026	2026	Inland Empire Health Plan	Local CCP	IEHP DualChoice	HMO/HMOPOS		INLAND EMPIRE HEALTH PLAN	285	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8894	Government Relations Contact	Chief Executive Officer	Mr	McNaughton	Jarrod		1-909-890-2010				1-909-890-2973	mcnaughton-jb@iehp.org	10801 Sixth Street		Rancho Cucamonga	CA	91730	1/12/2022	2026	Inland Empire Health Plan	Local CCP	IEHP DualChoice	HMO/HMOPOS		INLAND EMPIRE HEALTH PLAN	285	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8894	Hospice Contact	"Manager, Pharmacy Utilization Management"	Dr.	Yu	Adam		1-951-233-5584					yu-a@iehp.org	10801 Sixth Street		Rancho Cucamonga	CA	91730	11/7/2025	2026	Inland Empire Health Plan	Local CCP	IEHP DualChoice	HMO/HMOPOS		INLAND EMPIRE HEALTH PLAN	285	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8894	Medicare Compliance Officer	"Vice President, Compliance"	Ms	Nery	Lourdes		1-909-420-5546					dgmedicarecomplianceofficer@iehp.org	10801 Sixth St		Rancho Cucamonga	CA	91730	8/7/2025	2026	Inland Empire Health Plan	Local CCP	IEHP DualChoice	HMO/HMOPOS		INLAND EMPIRE HEALTH PLAN	285	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8894	Part D Exceptions Contact	"Manager, Pharmacy Utilization Management"	Dr.	Yu	Adam							yu-a@iehp.org	10801 Sixth Street		Rancho Cucamonga	CA	91730	11/7/2025	2026	Inland Empire Health Plan	Local CCP	IEHP DualChoice	HMO/HMOPOS		INLAND EMPIRE HEALTH PLAN	285	Yes	Active	1-951-233-5584				HMO - Health Maintenance Organization		C	New York
H8894	Pharmacy Network Management Contact	"Senior Director, Pharmacy Operations"	Dr.	Ornelas	Christina		1-909-727-5149					christina.ornelas@iehp.org	10801 Sixth Street		Rancho Cucamonga	CA	91730	11/7/2025	2026	Inland Empire Health Plan	Local CCP	IEHP DualChoice	HMO/HMOPOS		INLAND EMPIRE HEALTH PLAN	285	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8894	Pharmacy Technical Help Desk Contact	"Director, Contact Center Services"		Brewer	Kathy							Customerservice@Medimpact.com	10181 Scripps Gateway Ct.		San Diego	CA	92131	11/29/2022	2026	Inland Empire Health Plan	Local CCP	IEHP DualChoice	HMO/HMOPOS		INLAND EMPIRE HEALTH PLAN	285	Yes	Active	1-888-495-3147				HMO - Health Maintenance Organization		C	New York
H8894	Plan to Plan Reconciliation Contact	"Director, Accounting Services"		Yan Goh	Aileen		1-909-291-8057					aileen.yangoh@iehp.org	US Bank Wholesale Lockbox C/O 511966	16420 Valley View Ave.	La Mirada	CA	90638	4/21/2025	2026	Inland Empire Health Plan	Local CCP	IEHP DualChoice	HMO/HMOPOS		INLAND EMPIRE HEALTH PLAN	285	Yes	Active					HMO - Health Maintenance Organization		C	New York
H8902	Automated TrOOP Balance Transfer Contact	Pharmacy Analyst		Banks	Marcia	D	1-562-308-1189	1189			1-562-997-3196	mcurtis@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	1/26/2023	2026	"SCAN HEALTH PLAN TEXAS, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8902	Best Available Evidence Contact	"Director, Enrollment & Reconciliation"	Mr.	Coronel	Vincent		1-562-637-1234				1-562-989-5243	vcoronel@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	2/9/2022	2026	"SCAN HEALTH PLAN TEXAS, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8902	Chief Financial Officer	Chief Financial Officer	Mr.	Plumb	Michael		1-562-997-1589					MPlumb@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	2/10/2022	2026	"SCAN HEALTH PLAN TEXAS, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8902	CMS Casework Communication Contact	Sr. Director Medicare Compliance Officer		Cordova	Elizabeth		1-562-997-3131	3131			1-562-989-5120	ecordova@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	10/14/2025	2026	"SCAN HEALTH PLAN TEXAS, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8902	Coordination of Benefits Contact	Pharmacy Analyst		Banks	Marcia	D	1-562-308-1189	1189			1-562-997-3196	mcurtis@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	1/26/2023	2026	"SCAN HEALTH PLAN TEXAS, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8902	Customer Service Operations Contact	"Director, (Customer) Member Services"	Ms.	McBeath	Kim		1-562-997-1805				1-562-989-5181	kmcbeath@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	12/17/2021	2026	"SCAN HEALTH PLAN TEXAS, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8902	Government Relations Contact	VP of Government Relations		Kazan	Matt		1-800-559-3500				1-562-989-9439	m.kazan@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	6/25/2024	2026	"SCAN HEALTH PLAN TEXAS, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8902	Hospice Contact	Sr Dir Pharm & Formly Ops		Slavina	Yelena		1-562-308-2816					yslavina@scanhealthplan.com	3800 Kilroy Airport Way		Long Beach	CA	90806	8/7/2025	2026	"SCAN HEALTH PLAN TEXAS, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8902	Medicare Compliance Officer	Sr. Director Medicare Compliance Officer	Ms.	Cordova	Elizabeth		1-562-997-3131				1-562-989-5120	ecordova@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	10/14/2025	2026	"SCAN HEALTH PLAN TEXAS, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8902	Part D Exceptions Contact	Sr. Manager – Pharmacy Prior Authorization	Mr.	Herbert	Joshua							Joshua.Herbert@evernorth.com	One Express Way Mail Stop	S13NB	St. Louis	MO	63121	10/14/2025	2026	"SCAN HEALTH PLAN TEXAS, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active	1-513-292-0563	733326			HMO - Health Maintenance Organization		C	Chicago
H8902	Pharmacy Network Management Contact	"Network Acct Director, Retail Strategy"	Ms.	Kelly	Heather		1-314-692-1866				1-800-357-9578	hakelly@express-scripts.com	One Express Way		St Louis	MO	63121	1/23/2023	2026	"SCAN HEALTH PLAN TEXAS, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8902	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	13051 N. Telecom Pkwy	STE 150	Temple Terrace	FL	33637	12/17/2021	2026	"SCAN HEALTH PLAN TEXAS, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Chicago
H8902	Plan to Plan Reconciliation Contact	"Vice President, Controller"	Ms.	Havai	Virginia		1-562-989-8300				1-562-989-0101	P2PAdmin@scanhealthplan.com	3800 Kilroy Airport Way	Suite 100	Long Beach	CA	90806	12/17/2021	2026	"SCAN HEALTH PLAN TEXAS, INC."	Local CCP	SCAN Health Plan	HMO/HMOPOS		SCAN Group	768	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H8908	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF MICHIGAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H8908	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF MICHIGAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H8908	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF MICHIGAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H8908	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	"HUMANA MEDICAL PLAN OF MICHIGAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H8908	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF MICHIGAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H8908	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF MICHIGAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H8908	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF MICHIGAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H8908	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF MICHIGAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H8908	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF MICHIGAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H8908	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF MICHIGAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-859-321-9075				HMO - Health Maintenance Organization		C	Kansas City
H8908	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	"HUMANA MEDICAL PLAN OF MICHIGAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H8908	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	"HUMANA MEDICAL PLAN OF MICHIGAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active	1-800-865-8715				HMO - Health Maintenance Organization		C	Kansas City
H8908	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	"HUMANA MEDICAL PLAN OF MICHIGAN, INC."	Local CCP	Humana	HMO/HMOPOS		Humana Inc.	128	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H8917	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H8917	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H8917	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H8917	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H8917	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H8917	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H8917	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H8917	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H8917	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H8917	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				PPO - BBA		C	Boston
H8917	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H8917	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				PPO - BBA		C	Boston
H8917	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H8928	Automated TrOOP Balance Transfer Contact	Enrollment and Billing Operations Manager	Ms.	Farrar	Christina		1-800-333-2535	79089				Christina.Farrar@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	9/30/2024	2026	FALLON COMMUNITY HEALTH PLAN	Local CCP	Fallon Health	HMO/HMOPOS		"Fallon Community Health Plan, Inc."	88	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8928	Best Available Evidence Contact	Enrollment and Billing Operations Manager	Ms.	Farrar	Christina		1-800-333-2535	79089				Christina.Farrar@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	9/30/2024	2026	FALLON COMMUNITY HEALTH PLAN	Local CCP	Fallon Health	HMO/HMOPOS		"Fallon Community Health Plan, Inc."	88	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8928	Chief Financial Officer	SVP & Chief Financial Officer	Mr.	Consolmagno	Anthony		1-508-368-9473					Anthony.Consolmagno@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	2/25/2026	2026	FALLON COMMUNITY HEALTH PLAN	Local CCP	Fallon Health	HMO/HMOPOS		"Fallon Community Health Plan, Inc."	88	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8928	CMS Casework Communication Contact	Customer Service Team Lead	Ms.	Ulfves	Heather		1-508-799-2100	79275				Heather.Ulfves@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	9/30/2024	2026	FALLON COMMUNITY HEALTH PLAN	Local CCP	Fallon Health	HMO/HMOPOS		"Fallon Community Health Plan, Inc."	88	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8928	Coordination of Benefits Contact	"Director, Claims Admin & Compliance, Pymt Integ"	Ms.	Peterson	Stephanie		1-508-368-9654					stephanie.peterson@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	2/10/2026	2026	FALLON COMMUNITY HEALTH PLAN	Local CCP	Fallon Health	HMO/HMOPOS		"Fallon Community Health Plan, Inc."	88	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8928	Customer Service Operations Contact	"Director, Customer Service"	Mr.	Fregeau	Andrew		1-508-368-9958					Andrew.Fregeau@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	1/10/2025	2026	FALLON COMMUNITY HEALTH PLAN	Local CCP	Fallon Health	HMO/HMOPOS		"Fallon Community Health Plan, Inc."	88	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8928	Government Relations Contact	SrDirector MDCR Programs & MDCR Compliance Officer	Ms.	Lashbrook	Lisa		1-508-368-9539					Lisa.Lashbrook@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	9/30/2024	2026	FALLON COMMUNITY HEALTH PLAN	Local CCP	Fallon Health	HMO/HMOPOS		"Fallon Community Health Plan, Inc."	88	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8928	Hospice Contact	Govt Programs and Quality Clinical Pharmacist	Mr.	Huynh	Jayce		1-508-799-2100	69212				Jayce.Huynh@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	12/1/2025	2026	FALLON COMMUNITY HEALTH PLAN	Local CCP	Fallon Health	HMO/HMOPOS		"Fallon Community Health Plan, Inc."	88	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8928	Medicare Compliance Officer	SrDirector MDCR Programs & MDCR Compliance Officer	Ms.	Lashbrook	Lisa		1-508-368-9539					Lisa.Lashbrook@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	9/30/2024	2026	FALLON COMMUNITY HEALTH PLAN	Local CCP	Fallon Health	HMO/HMOPOS		"Fallon Community Health Plan, Inc."	88	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8928	Part D Exceptions Contact	"Director, Pharmacy Operations & Clinical Programs"	Mr.	Sartini	David							David.Sartini@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	2/10/2026	2026	FALLON COMMUNITY HEALTH PLAN	Local CCP	Fallon Health	HMO/HMOPOS		"Fallon Community Health Plan, Inc."	88	Yes	Active	1-508-368-9790				HMO - Health Maintenance Organization		C	Boston
H8928	Pharmacy Network Management Contact	"Director, Pharmacy Operations & Clinical Programs"	Mr.	Sartini	David		1-508-368-9790					David.Sartini@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	2/10/2026	2026	FALLON COMMUNITY HEALTH PLAN	Local CCP	Fallon Health	HMO/HMOPOS		"Fallon Community Health Plan, Inc."	88	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8928	Pharmacy Technical Help Desk Contact			Help Desk	OptumRx								1600 McConnor Parkway		Schaumburg	IL	60173	9/30/2024	2026	FALLON COMMUNITY HEALTH PLAN	Local CCP	Fallon Health	HMO/HMOPOS		"Fallon Community Health Plan, Inc."	88	Yes	Active	1-844-368-8734				HMO - Health Maintenance Organization		C	Boston
H8928	Plan to Plan Reconciliation Contact	"Director, Medical Accounting"	Mr.	Beaulieu	Michael		1-508-368-9020					Michael.Beaulieu@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	9/30/2024	2026	FALLON COMMUNITY HEALTH PLAN	Local CCP	Fallon Health	HMO/HMOPOS		"Fallon Community Health Plan, Inc."	88	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H8947	Automated TrOOP Balance Transfer Contact	"Operations Manager, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	Relay.Health@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	2/2/2023	2026	PEAK HEALTH INSURANCE CORPORATION	Local CCP	Peak Health	Local PPO		"West Virginia United Health System, Inc."	805	Yes	Active					PPO - BBA		C	Dallas
H8947	Best Available Evidence Contact	"Manager, Enrollment"	Mr.	Cordero	Chris		1-304-974-3504	169914			1-304-974-3470	christopher.cordero@peakhealth.org	1085 Van Voorhis Road		Morgantown	WV	26505	12/4/2025	2026	PEAK HEALTH INSURANCE CORPORATION	Local CCP	Peak Health	Local PPO		"West Virginia United Health System, Inc."	805	Yes	Active					PPO - BBA		C	Dallas
H8947	Chief Financial Officer	CFO	Mr.	Stilwell	Brian		1-412-298-5013				1-304-974-3470	brian.stilwell@peakhealth.org	1085 Van Voorhis Road		Morgantown	WV	26505	12/4/2025	2026	PEAK HEALTH INSURANCE CORPORATION	Local CCP	Peak Health	Local PPO		"West Virginia United Health System, Inc."	805	Yes	Active					PPO - BBA		C	Dallas
H8947	CMS Casework Communication Contact	CCO	Mr.	Hoover	Mark		1-412-638-8952					mark.hoover2@peakhealth.org	1085 Van Voorhis Road		Morgantown	WV	26505	12/4/2025	2026	PEAK HEALTH INSURANCE CORPORATION	Local CCP	Peak Health	Local PPO		"West Virginia United Health System, Inc."	805	Yes	Active					PPO - BBA		C	Dallas
H8947	Coordination of Benefits Contact	"Manager, Enrollment"	Mr.	Cordero	Chris		1-304-974-3504	169914			1-304-974-3470	christopher.cordero@peakhealth.org	1085 Van Voorhis Road		Morgantown	WV	26505	12/4/2025	2026	PEAK HEALTH INSURANCE CORPORATION	Local CCP	Peak Health	Local PPO		"West Virginia United Health System, Inc."	805	Yes	Active					PPO - BBA		C	Dallas
H8947	Customer Service Operations Contact	"Manager, Member & Provider Service"	Mr.	Scott	Larry		1-304-974-3466				1-304-974-3470	larry.scott@peakhealth.org	1085 Van Voorhis Road		Morgantown	WV	26505	12/4/2025	2026	PEAK HEALTH INSURANCE CORPORATION	Local CCP	Peak Health	Local PPO		"West Virginia United Health System, Inc."	805	Yes	Active					PPO - BBA		C	Dallas
H8947	Government Relations Contact	CCO	Mr.	Hoover	Mark		1-412-638-8952					mark.hoover2@peakhealth.org	1085 Van Voorhis Road		Morgantown	WV	26505	12/4/2025	2026	PEAK HEALTH INSURANCE CORPORATION	Local CCP	Peak Health	Local PPO		"West Virginia United Health System, Inc."	805	Yes	Active					PPO - BBA		C	Dallas
H8947	Hospice Contact	"Director, Utilization Management"	Mr.	Atkinson	Nathan		1-724-322-3460					nathan.atkinson@peakhealth.org	1085 Van Voorhis Road		Morgantown	WV	26505	2/24/2026	2026	PEAK HEALTH INSURANCE CORPORATION	Local CCP	Peak Health	Local PPO		"West Virginia United Health System, Inc."	805	Yes	Active					PPO - BBA		C	Dallas
H8947	Medicare Compliance Officer	Compliance Officer	Mr.	Hoover	Mark		1-412-638-8952				1-304-974-3470	mark.hoover2@peakhealth.org	1085 Van Voorhis Road		Morgantown	WV	26505	12/4/2025	2026	PEAK HEALTH INSURANCE CORPORATION	Local CCP	Peak Health	Local PPO		"West Virginia United Health System, Inc."	805	Yes	Active					PPO - BBA		C	Dallas
H8947	Part D Exceptions Contact	"Sr. Manager, Clinical Prior Authorization"		LeClair	Christophe						1-920-221-4904	Christopher.LeClair@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	2/8/2023	2026	PEAK HEALTH INSURANCE CORPORATION	Local CCP	Peak Health	Local PPO		"West Virginia United Health System, Inc."	805	Yes	Active	1-920-221-4404				PPO - BBA		C	Dallas
H8947	Pharmacy Network Management Contact	"VP, Provider Services"		Nagy	Don		1-608-820-4403					Don.Nagy@navitus.com	361 Integrity Drive		Madison	WI	53717	5/12/2026	2026	PEAK HEALTH INSURANCE CORPORATION	Local CCP	Peak Health	Local PPO		"West Virginia United Health System, Inc."	805	Yes	Active					PPO - BBA		C	Dallas
H8947	Pharmacy Technical Help Desk Contact	"Manager, Customer Care Accounts"		Nett	Danielle						1-866-595-1975	Danielle.Nett@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	2/8/2023	2026	PEAK HEALTH INSURANCE CORPORATION	Local CCP	Peak Health	Local PPO		"West Virginia United Health System, Inc."	805	Yes	Active	1-866-270-3877				PPO - BBA		C	Dallas
H8947	Plan to Plan Reconciliation Contact	Senior Analyst Government Programs		McCoy	Erin		1-304-552-1061				1-304-974-3470	erin.mccoy2@peakhealth.org	1085 Van Voorhis Road		Morgantown	WV	26505	12/4/2025	2026	PEAK HEALTH INSURANCE CORPORATION	Local CCP	Peak Health	Local PPO		"West Virginia United Health System, Inc."	805	Yes	Active					PPO - BBA		C	Dallas
H8967	Automated TrOOP Balance Transfer Contact	Director of Pharmacy	Ms.	Schilling	Gretchen		1-605-312-2741					Gretchen.Schilling@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	SANFORD HEALTH PLAN	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Consolidation					HMO - Health Maintenance Organization		C	Dallas
H8967	Best Available Evidence Contact	Senior Director of Regulation and Risk	Ms.	Jansick	Aleesa		1-605-328-7182					Aleesa.Jansick@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	SANFORD HEALTH PLAN	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Consolidation					HMO - Health Maintenance Organization		C	Dallas
H8967	Chief Financial Officer	Chief Financial Officer	Mr.	Custis	Stephen		1-612-964-9158					Stephen.Custis@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	11/4/2025	2026	SANFORD HEALTH PLAN	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Consolidation					HMO - Health Maintenance Organization		C	Dallas
H8967	CMS Casework Communication Contact	Manager of Appeals and Grievances	Ms.	Bjorklund	Angela		1-605-312-2634					Angela.Bjorklund@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	SANFORD HEALTH PLAN	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Consolidation					HMO - Health Maintenance Organization		C	Dallas
H8967	Coordination of Benefits Contact	Director of Customer Service	Mr.	Ling	Ryan		1-605-312-7459					Ryan.Ling@sanfordhealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	SANFORD HEALTH PLAN	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Consolidation					HMO - Health Maintenance Organization		C	Dallas
H8967	Customer Service Operations Contact	Director of Customer Service	Mr.	Ling	Ryan		1-605-312-7459					Ryan.Ling@sanfordhealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	SANFORD HEALTH PLAN	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Consolidation					HMO - Health Maintenance Organization		C	Dallas
H8967	Government Relations Contact	Head of Government Affairs	Mr.	Wheeler	Dylan		1-605-328-7186					Dylan.Wheeler@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	SANFORD HEALTH PLAN	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Consolidation					HMO - Health Maintenance Organization		C	Dallas
H8967	Hospice Contact	Director of Care and Utilization Management	Ms.	Vandonslear	Barbara		1-605-328-6853					Barbara.Vandonslear@SanfordHealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	SANFORD HEALTH PLAN	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Consolidation					HMO - Health Maintenance Organization		C	Dallas
H8967	Medicare Compliance Officer	Compliance Officer	Mr.	Yeoman	Dallan		1-605-328-6806					Dallan.Yeoman@sanfordhealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	SANFORD HEALTH PLAN	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Consolidation					HMO - Health Maintenance Organization		C	Dallas
H8967	Part D Exceptions Contact	"Manager, Prior Authorization"	Ms.	Le	Christina						1-877-239-4565	rxsol_prior_auth_redirected_queue_DL@uhc.com	PO Box 2975		Mission	KS	66201	8/28/2024	2026	SANFORD HEALTH PLAN	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Consolidation	1-888-403-3398				HMO - Health Maintenance Organization		C	Dallas
H8967	Pharmacy Network Management Contact	"Manager, Retail Network Operations"	Mr.	Perez	Felix		1-763-283-3503					Felix.Perez@optum.com	"1600 McConnor Parkway , IL 601736801"		Schaumburg	IL	60173-6801	8/28/2024	2026	SANFORD HEALTH PLAN	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Consolidation					HMO - Health Maintenance Organization		C	Dallas
H8967	Pharmacy Technical Help Desk Contact	Pharmacy Technical Help Desk	Sr.	Villanueva	Juan							juan.villanueva@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	12/29/2025	2026	SANFORD HEALTH PLAN	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Consolidation	1-855-800-8872				HMO - Health Maintenance Organization		C	Dallas
H8967	Plan to Plan Reconciliation Contact	Director of Finance	Ms.	Harris	Debora		1-605-312-9344					Debora.Harris@sanfordhealth.org	4800 West 57th Street		Sioux Falls	SD	57108	8/28/2024	2026	SANFORD HEALTH PLAN	Local CCP	Great Plains Medicare Advantage	HMO/HMOPOS		Sanford Health	740	Yes	Consolidation					HMO - Health Maintenance Organization		C	Dallas
H8982	Automated TrOOP Balance Transfer Contact	Business Office Manager		Johnson	Julie		1-305-751-8626	68299				JJohnson@miamijewishhealth.org	5200 NE 2nd Ave		Miami	FL	33137	2/27/2025	2026	BROWARD PACE PROGRAM LLC	National PACE	"Broward PACE Program, LLC"	National PACE		SFH PACE Holdings LLC	883	Yes	Active					PACE - Nat		C	Atlanta
H8982	Best Available Evidence Contact	AVP PACE		Lane	Maria		1-305-790-9730					mlane@miamijewishhealth.org	5200 NE 2nd Ave		Miami	FL	33137	2/27/2025	2026	BROWARD PACE PROGRAM LLC	National PACE	"Broward PACE Program, LLC"	National PACE		SFH PACE Holdings LLC	883	Yes	Active					PACE - Nat		C	Atlanta
H8982	Chief Financial Officer	CFO	Mr.	Goldsmith	Alan		1-305-514-8585					Agoldsmith@miamijewishhealth.org	5200 NE 2nd Ave		Miami	FL	33137	4/3/2024	2026	BROWARD PACE PROGRAM LLC	National PACE	"Broward PACE Program, LLC"	National PACE		SFH PACE Holdings LLC	883	Yes	Active					PACE - Nat		C	Atlanta
H8982	CMS Casework Communication Contact	AVP of PACE		Lane	Maria		1-305-790-9730					mlane@miamijewishhealth.org	5200 NE 2nd Ave		Miami	FL	33137	2/27/2025	2026	BROWARD PACE PROGRAM LLC	National PACE	"Broward PACE Program, LLC"	National PACE		SFH PACE Holdings LLC	883	Yes	Active					PACE - Nat		C	Atlanta
H8982	Coordination of Benefits Contact	AVP PACE		Lane	Maria		1-305-790-9730					mlane@miamijewishhealth.org	5200 NE 2nd Ave		Miami	FL	33137	2/27/2025	2026	BROWARD PACE PROGRAM LLC	National PACE	"Broward PACE Program, LLC"	National PACE		SFH PACE Holdings LLC	883	Yes	Active					PACE - Nat		C	Atlanta
H8982	Customer Service Operations Contact	AVP PACE	Mr.	Lane	Maria		1-305-751-8626	66703				mlane@miamijewishhealth.org	5200 NE 2nd Ave		Miami	FL	33137	9/30/2022	2026	BROWARD PACE PROGRAM LLC	National PACE	"Broward PACE Program, LLC"	National PACE		SFH PACE Holdings LLC	883	Yes	Active					PACE - Nat		C	Atlanta
H8982	Government Relations Contact	AVP PACE		Lane	Maria		1-305-751-8626	66703				mlane@miamijewishhealth.org	5200 NE 2nd Ave		Miami	FL	33137	9/30/2022	2026	BROWARD PACE PROGRAM LLC	National PACE	"Broward PACE Program, LLC"	National PACE		SFH PACE Holdings LLC	883	Yes	Active					PACE - Nat		C	Atlanta
H8982	Medicare Compliance Officer	AVP PACE	Ms.	Lane	Maria		1-305-751-8626	66703				mlane@miamijewishhealth.org	5200 NE 2nd Ave		Miami	FL	33137	9/30/2022	2026	BROWARD PACE PROGRAM LLC	National PACE	"Broward PACE Program, LLC"	National PACE		SFH PACE Holdings LLC	883	Yes	Active					PACE - Nat		C	Atlanta
H8982	Part D Exceptions Contact	Business Office Manager	Mr.	Johnson	Julie						1-305-795-1855	JJohnson@miamijewishhealth.org	5200 NE 2nd Ave	5200 NE 2nd Ave	Miami	FL	33137	2/25/2026	2026	BROWARD PACE PROGRAM LLC	National PACE	"Broward PACE Program, LLC"	National PACE		SFH PACE Holdings LLC	883	Yes	Active	1-305-762-3942				PACE - Nat		C	Atlanta
H8982	Pharmacy Network Management Contact	Director of Pharmacy		Martinez	Mario		1-305-751-8626	66299				MMartinez1@miamijewishhealth.org	5200 NE 2nd Ave		Miami	FL	33137	9/30/2022	2026	BROWARD PACE PROGRAM LLC	National PACE	"Broward PACE Program, LLC"	National PACE		SFH PACE Holdings LLC	883	Yes	Active					PACE - Nat		C	Atlanta
H8982	Pharmacy Technical Help Desk Contact	Director of Pharmacy		Martinez	Mario						1-305-795-1855	MMartinez1@miamijewishhealth.org	5200 NE 2nd Ave		Miami	FL	33137	9/30/2022	2026	BROWARD PACE PROGRAM LLC	National PACE	"Broward PACE Program, LLC"	National PACE		SFH PACE Holdings LLC	883	Yes	Active	1-305-751-8626	66299			PACE - Nat		C	Atlanta
H8982	Plan to Plan Reconciliation Contact	Business Office Manager		Johnson	Julie		1-305-762-3942					JJohnson@miamijewishhealth.org	5200 NE 2nd Ave		Miami	FL	33137	2/25/2026	2026	BROWARD PACE PROGRAM LLC	National PACE	"Broward PACE Program, LLC"	National PACE		SFH PACE Holdings LLC	883	Yes	Active					PACE - Nat		C	Atlanta
H8992	Automated TrOOP Balance Transfer Contact	CFO		Montgomery	Essence		1-816-599-5683					emontgomery@swopehealth.org	4141 Dr. MLK Blvd.		Kansas City	MO	64130	1/13/2026	2026	"PACE KC, LLC"	National PACE	PACE KC	National PACE		Swope Health Services	817	Yes	Active					PACE - Nat		C	Kansas City
H8992	Best Available Evidence Contact			Montgomery	Essence		1-816-599-5683					emontgomery@swopehealth.org	4141 Dr. MLK Blvd.		Kansas City	MO	64130	1/13/2026	2026	"PACE KC, LLC"	National PACE	PACE KC	National PACE		Swope Health Services	817	Yes	Active					PACE - Nat		C	Kansas City
H8992	Chief Financial Officer	CFO	Ms.	Montgomery	Essence		1-816-599-5683					EMontgomery@swopehealth.org	4141 Dr. Martin Luther King Jr. Blvd		Kansas City	MO	64130	9/8/2025	2026	"PACE KC, LLC"	National PACE	PACE KC	National PACE		Swope Health Services	817	Yes	Active					PACE - Nat		C	Kansas City
H8992	CMS Casework Communication Contact		Dr.	Hashmi	Bushra		1-816-599-5549					bhashmi@swopehealth.org	4141 Dr. MLK Blvd.		Kansas City	MO	64130	6/10/2026	2026	"PACE KC, LLC"	National PACE	PACE KC	National PACE		Swope Health Services	817	Yes	Active					PACE - Nat		C	Kansas City
H8992	Coordination of Benefits Contact		Mrs	Montgomery	Essence		1-816-599-5683					emontgomery@swopehealth.org	4141 Dr. MLK Blvd.		Kansas City	MO	64130	1/13/2026	2026	"PACE KC, LLC"	National PACE	PACE KC	National PACE		Swope Health Services	817	Yes	Active					PACE - Nat		C	Kansas City
H8992	Customer Service Operations Contact		Mrs.	Montgomery	Essence		1-816-599-5683					emontgomery@swopehealth.org	4141 Dr. MLK Blvd.		Kansas City	MO	64130	1/13/2026	2026	"PACE KC, LLC"	National PACE	PACE KC	National PACE		Swope Health Services	817	Yes	Active					PACE - Nat		C	Kansas City
H8992	Government Relations Contact		Mrs.	Montgomery	Essence		1-816-599-5683				1-816-599-5996	emontgomery@swopehealth.org	4141 Dr. MLK Blvd.		Kansas City	MO	64130	1/13/2026	2026	"PACE KC, LLC"	National PACE	PACE KC	National PACE		Swope Health Services	817	Yes	Active					PACE - Nat		C	Kansas City
H8992	Medicare Compliance Officer	interim Director of Quality and Compliance	Dr	Hashmi	Bushra		1-816-599-5549					bhashmi@swopehealth.org	4141 Dr. Martin Luther King Jr. Blvd		Kansas City	MO	64130	5/29/2026	2026	"PACE KC, LLC"	National PACE	PACE KC	National PACE		Swope Health Services	817	Yes	Active					PACE - Nat		C	Kansas City
H8992	Part D Exceptions Contact			Montgomery	Essence							emontgomery@swopehealth.org	4141 Dr. MLK Blvd.		Kansas City	MO	64130	1/13/2026	2026	"PACE KC, LLC"	National PACE	PACE KC	National PACE		Swope Health Services	817	Yes	Active	1-816-599-5683				PACE - Nat		C	Kansas City
H8992	Pharmacy Network Management Contact			Bierman	Gracie		1-816-599-5459					gbierman@swopehealth.org	3801 Dr. MLK Blvd.		Kansas City	MO	64130	1/13/2026	2026	"PACE KC, LLC"	National PACE	PACE KC	National PACE		Swope Health Services	817	Yes	Active					PACE - Nat		C	Kansas City
H8992	Pharmacy Technical Help Desk Contact			Bierman	Gracie							gbierman@swopehealth.org	3801 Dr. MLK Blvd.		Kansas City	MO	64130	1/13/2026	2026	"PACE KC, LLC"	National PACE	PACE KC	National PACE		Swope Health Services	817	Yes	Active	1-816-599-5459				PACE - Nat		C	Kansas City
H8992	Plan to Plan Reconciliation Contact			Montgomery	Essence		1-816-599-5683					emontgomery@swopehealth.org	4141 Dr. MLK Blvd.		Kansas City	MO	64130	1/13/2026	2026	"PACE KC, LLC"	National PACE	PACE KC	National PACE		Swope Health Services	817	Yes	Active					PACE - Nat		C	Kansas City
H9001	Automated TrOOP Balance Transfer Contact	Enrollment and Billing Operations Manager	Ms.	Farrar	Christina		1-800-333-2535	79089				Christina.Farrar@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	9/30/2024	2026	FALLON COMMUNITY HEALTH PLAN	Local CCP	Fallon Health	HMO/HMOPOS		"Fallon Community Health Plan, Inc."	88	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H9001	Best Available Evidence Contact	Enrollment and Billing Operations Manager	Ms.	Farrar	Christina		1-800-333-2535	79089				Christina.Farrar@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	9/30/2024	2026	FALLON COMMUNITY HEALTH PLAN	Local CCP	Fallon Health	HMO/HMOPOS		"Fallon Community Health Plan, Inc."	88	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H9001	Chief Financial Officer	SVP & Chief Financial Officer	Mr.	Consolmagno	Anthony		1-508-368-9473					Anthony.Consolmagno@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	2/25/2026	2026	FALLON COMMUNITY HEALTH PLAN	Local CCP	Fallon Health	HMO/HMOPOS		"Fallon Community Health Plan, Inc."	88	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H9001	CMS Casework Communication Contact	Customer Service Team Lead	Ms.	Ulfves	Heather		1-508-799-2100	79275				Heather.Ulfves@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	9/30/2024	2026	FALLON COMMUNITY HEALTH PLAN	Local CCP	Fallon Health	HMO/HMOPOS		"Fallon Community Health Plan, Inc."	88	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H9001	Coordination of Benefits Contact	"Director, Claims Admin & Compliance, Pymt Integ"	Ms.	Peterson	Stephanie		1-508-368-9654					stephanie.peterson@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	2/10/2026	2026	FALLON COMMUNITY HEALTH PLAN	Local CCP	Fallon Health	HMO/HMOPOS		"Fallon Community Health Plan, Inc."	88	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H9001	Customer Service Operations Contact	"Director, Customer Service"	Mr.	Fregeau	Andrew		1-508-368-9958					Andrew.Fregeau@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	1/10/2025	2026	FALLON COMMUNITY HEALTH PLAN	Local CCP	Fallon Health	HMO/HMOPOS		"Fallon Community Health Plan, Inc."	88	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H9001	Government Relations Contact	SrDirector MDCR Programs & MDCR Compliance Officer	Ms.	Lashbrook	Lisa		1-508-368-9539					Lisa.Lashbrook@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	9/30/2024	2026	FALLON COMMUNITY HEALTH PLAN	Local CCP	Fallon Health	HMO/HMOPOS		"Fallon Community Health Plan, Inc."	88	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H9001	Hospice Contact	Govt Programs and Quality Clinical Pharmacist	Mr.	Huynh	Jayce		1-508-799-2100	69212				Jayce.Huynh@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	12/1/2025	2026	FALLON COMMUNITY HEALTH PLAN	Local CCP	Fallon Health	HMO/HMOPOS		"Fallon Community Health Plan, Inc."	88	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H9001	Medicare Compliance Officer	SrDirector MDCR Programs & MDCR Compliance Officer	Ms.	Lashbrook	Lisa		1-508-368-9539					Lisa.Lashbrook@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	9/30/2024	2026	FALLON COMMUNITY HEALTH PLAN	Local CCP	Fallon Health	HMO/HMOPOS		"Fallon Community Health Plan, Inc."	88	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H9001	Part D Exceptions Contact	"Director, Pharmacy Operations & Clinical Programs"	Mr.	Sartini	David							David.Sartini@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	2/10/2026	2026	FALLON COMMUNITY HEALTH PLAN	Local CCP	Fallon Health	HMO/HMOPOS		"Fallon Community Health Plan, Inc."	88	Yes	Active	1-508-368-9790				HMO - Health Maintenance Organization		C	Boston
H9001	Pharmacy Network Management Contact	"Director, Pharmacy Operations & Clinical Programs"	Mr.	Sartini	David		1-508-368-9790					David.Sartini@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	2/10/2026	2026	FALLON COMMUNITY HEALTH PLAN	Local CCP	Fallon Health	HMO/HMOPOS		"Fallon Community Health Plan, Inc."	88	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H9001	Pharmacy Technical Help Desk Contact			Help Desk	OptumRx								1600 McConnor Parkway		Schaumburg	IL	60173	12/29/2021	2026	FALLON COMMUNITY HEALTH PLAN	Local CCP	Fallon Health	HMO/HMOPOS		"Fallon Community Health Plan, Inc."	88	Yes	Active	1-844-368-8734				HMO - Health Maintenance Organization		C	Boston
H9001	Plan to Plan Reconciliation Contact	"Director, Medical Accounting"	Mr.	Beaulieu	Michael		1-508-368-9020					Michael.Beaulieu@fallonhealth.org	"1 Mercantile St., Ste. 400"		Worcester	MA	01608	9/30/2024	2026	FALLON COMMUNITY HEALTH PLAN	Local CCP	Fallon Health	HMO/HMOPOS		"Fallon Community Health Plan, Inc."	88	Yes	Active					HMO - Health Maintenance Organization		C	Boston
H9003	Automated TrOOP Balance Transfer Contact	"Project Manager III, Pharmacy Benefit Mgmt"		Perez	Elizabeth	R	1-562-367-0592					Elizabeth.R.Perez@kp.org	12254 Bellflower Blvd.		Downey	CA	90242	8/2/2018	2026	KAISER FOUNDATION HP OF THE N W	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9003	Best Available Evidence Contact	"Senior Team Manager, Medicare Membership Admin."		Salcido	Adam		1-858-829-3521					CSC-SD-Hospice-BAE@kp.org	3840 Murphy Canyon Rd.		San Diego	CA	92123	4/24/2023	2026	KAISER FOUNDATION HP OF THE N W	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9003	Chief Financial Officer	SVP & CFO National Medicare Finance	Mr.	Stewart	Mark		1-401-284-8679					Mark.C1.Stewart@kp.org	1 Kaiser Plaza	c/o Kaiser Foundation Health Plan	Oakland	CA	94612	12/16/2024	2026	KAISER FOUNDATION HP OF THE N W	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9003	CMS Casework Communication Contact	"Compliance Consultant, Medicare"		Lutz	Heidi		1-971-404-7562					KP-HPMS-MCO@kp.org	500 NE Multnomah St.		Portland	OR	97232	6/21/2026	2026	KAISER FOUNDATION HP OF THE N W	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9003	Coordination of Benefits Contact	Senior Director		Chung	Clarence		1-562-390-9293				1-562-658-3866	clarence.j.chung@kp.org	"12254 Bellflower Blvd - Suite 106, 1st Floor"		Downey	CA	90242	4/28/2022	2026	KAISER FOUNDATION HP OF THE N W	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9003	Customer Service Operations Contact			Services	Member		1-800-443-0815					mscc@kp.org	"1800 Harrison St., 23rd Floor"		Oakland	CA	94612	10/25/2019	2026	KAISER FOUNDATION HP OF THE N W	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9003	Government Relations Contact	"Senior Vice President, Government Relations"		Barrueta	Anthony	A	1-510-271-6835					Anthony.Barrueta@kp.org	One Kaiser Plaza		Oakland	CA	94612	10/10/2014	2026	KAISER FOUNDATION HP OF THE N W	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9003	Hospice Contact	"Senior Team Manager, Medicare Membership Admin."		Salcido	Adam		1-858-829-3521					CSC-SD-Hospice-BAE@kp.org	3840 Murphy Canyon Rd.		San Diego	CA	92123	4/24/2023	2026	KAISER FOUNDATION HP OF THE N W	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9003	Medicare Compliance Officer	"Compliance Consultant, Medicare"	Ms.	Lutz	Heidi		1-971-404-7562					KP-HPMS-MCO@kp.org	"500 NE Multnomah St., Suite 100"	Attn: Compliance Department	Portland	OR	97232	6/21/2026	2026	KAISER FOUNDATION HP OF THE N W	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9003	Part D Exceptions Contact	Supervisor Program Management		Ramos	Blanca							blanca.a.ramos@kp.org	12254 Bellflower Blvd		Downey	CA	90242	12/6/2024	2026	KAISER FOUNDATION HP OF THE N W	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active	1-562-370-3382				HMO - Health Maintenance Organization		C	Dallas
H9003	Pharmacy Network Management Contact	"National Pharmacy Benefits, Project Manager II"		Munoz	Vanessa		1-562-447-7739					Vanessa.L.Munoz@kp.org	12254 Bellflower Blvd.		Downey	CA	90242	10/25/2019	2026	KAISER FOUNDATION HP OF THE N W	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9003	Pharmacy Technical Help Desk Contact			OptumRx	PBM								755 Research Parkway Suite 160		Oklahoma City	OK	73104	11/2/2016	2026	KAISER FOUNDATION HP OF THE N W	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active	1-888-791-7245				HMO - Health Maintenance Organization		C	Dallas
H9003	Plan to Plan Reconciliation Contact	"Interim Director, Medicare Accounting"		Wright	Mark	A	1-925-323-9443					mark.a.wright@kp.org	"1 Kaiser Plaza, 25th Floor"		Oakland	CA	94612	1/20/2023	2026	KAISER FOUNDATION HP OF THE N W	Local CCP	Kaiser Permanente	HMO/HMOPOS		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9042	Automated TrOOP Balance Transfer Contact	Director of Medicare Advantage Technical Services	Mr.	Coleman	Jonathan		1-812-314-2500	1022				jonathan.coleman@siho.org	417 Washington Street		Columbus	IN	47201	2/14/2025	2026	"SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC."	Local CCP	MyTruAdvantage	Local PPO		"SIHO Holding, Inc."	761	Yes	Active					PPO - BBA		C	Dallas
H9042	Best Available Evidence Contact	Manager of Eligibility		Ralston	Tonya		1-812-314-2500	1033				tonya.ralston@siho.org	417 Washington Street		Columbus	IN	47201	3/6/2024	2026	"SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC."	Local CCP	MyTruAdvantage	Local PPO		"SIHO Holding, Inc."	761	Yes	Active					PPO - BBA		C	Dallas
H9042	Chief Financial Officer	Chief Financial Officer	Ms.	Newell	Wendy		1-812-378-7040					Wendy.Newell@SIHO.org	417 Washington Street		Columbus	IN	47201	3/6/2024	2026	"SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC."	Local CCP	MyTruAdvantage	Local PPO		"SIHO Holding, Inc."	761	Yes	Active					PPO - BBA		C	Dallas
H9042	CMS Casework Communication Contact	Compliance and Reports Coordinator		Keele	Laura		1-812-314-2500	1221				laura.keele@siho.org	417 Washington Street		Columbus	IN	47201	8/8/2025	2026	"SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC."	Local CCP	MyTruAdvantage	Local PPO		"SIHO Holding, Inc."	761	Yes	Active					PPO - BBA		C	Dallas
H9042	Coordination of Benefits Contact	Manager of Quality Assurance		Do	Nicole		1-812-314-2500	1102				Nicole.do@siho.org	417 Washington Street		Columbus	IN	47201	8/3/2022	2026	"SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC."	Local CCP	MyTruAdvantage	Local PPO		"SIHO Holding, Inc."	761	Yes	Active					PPO - BBA		C	Dallas
H9042	Customer Service Operations Contact	"Vice President, MTA Sales"		Ward	Lisa		1-812-374-8215					lisa.ward@mytruadvantage.com	417 Washington Street		Columbus	IN	47201	5/9/2025	2026	"SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC."	Local CCP	MyTruAdvantage	Local PPO		"SIHO Holding, Inc."	761	Yes	Active					PPO - BBA		C	Dallas
H9042	Government Relations Contact	COO	Mr.	Brey	Austin		1-812-379-3514					austin.brey@siho.org	417 Washington St		Columbus	IN	47201	6/17/2024	2026	"SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC."	Local CCP	MyTruAdvantage	Local PPO		"SIHO Holding, Inc."	761	Yes	Active					PPO - BBA		C	Dallas
H9042	Hospice Contact	Medicare Advantage Utilization Management Nurse		Graham	Jessica		1-812-314-2500	1016				jessica.graham@siho.org	417 Washington Street		Columbus	IN	47201	3/7/2024	2026	"SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC."	Local CCP	MyTruAdvantage	Local PPO		"SIHO Holding, Inc."	761	Yes	Active					PPO - BBA		C	Dallas
H9042	Medicare Compliance Officer	Chief Compliance Officer	Mr.	Marx	David		1-812-378-7101					David.Marx@mytruadvantage.com	417 Washington Street		Columbus	IN	47201	7/25/2024	2026	"SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC."	Local CCP	MyTruAdvantage	Local PPO		"SIHO Holding, Inc."	761	Yes	Active					PPO - BBA		C	Dallas
H9042	Part D Exceptions Contact	Manager of Quality Assurance		Do	Nicole							Nicole.do@siho.org	417 Washington Street		Columbus	IN	47201	3/6/2024	2026	"SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC."	Local CCP	MyTruAdvantage	Local PPO		"SIHO Holding, Inc."	761	Yes	Active	1-812-314-2500	1102			PPO - BBA		C	Dallas
H9042	Pharmacy Network Management Contact	"Director, Part D Operations & Vendor Oversight"		Helsley	Kimberly		1-812-378-7028					Kim.Helsley@siho.org	417 Washington Street		Columbus	IN	47201	3/21/2023	2026	"SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC."	Local CCP	MyTruAdvantage	Local PPO		"SIHO Holding, Inc."	761	Yes	Active					PPO - BBA		C	Dallas
H9042	Pharmacy Technical Help Desk Contact	Client Administrator		Nguyen	Tony							customerservice@MedImpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	5/20/2026	2026	"SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC."	Local CCP	MyTruAdvantage	Local PPO		"SIHO Holding, Inc."	761	Yes	Active	1-877-403-6035				PPO - BBA		C	Dallas
H9042	Plan to Plan Reconciliation Contact	Staff Accountant I		Dobbs	Rachel		1-812-314-2500	1202				rachel.dobbs@siho.org	417 Washington Street		Columbus	IN	47201	5/12/2021	2026	"SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC."	Local CCP	MyTruAdvantage	Local PPO		"SIHO Holding, Inc."	761	Yes	Active					PPO - BBA		C	Dallas
H9047	Automated TrOOP Balance Transfer Contact	"Business Analyst Systems Coord, Pharmacy"		Jundt	Curtis		1-503-574-5617				1-503-574-8646	curtis.jundt@providence.org	P.O. Box 4327		Portland	OR	97208	9/9/2025	2026	PROVIDENCE HEALTH ASSURANCE	Local CCP	Providence Medicare Advantage Plans	HMO/HMOPOS		Providence St Joseph Health	798	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9047	Best Available Evidence Contact	Supervisor- Medicare Membership Accounting		Hopkins	Chantel		1-503-574-5723					chantel.hopkins@providence.org	P.O. Box 4327		Portland	OR	97208	9/9/2025	2026	PROVIDENCE HEALTH ASSURANCE	Local CCP	Providence Medicare Advantage Plans	HMO/HMOPOS		Providence St Joseph Health	798	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9047	Chief Financial Officer	Chief Financial Officer	Ms.	Saadzoi	Lina		1-510-816-2526					lina.saadzoi@providence.org	P.O. Box 4327		Portland	OR	97208	9/9/2025	2026	PROVIDENCE HEALTH ASSURANCE	Local CCP	Providence Medicare Advantage Plans	HMO/HMOPOS		Providence St Joseph Health	798	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9047	CMS Casework Communication Contact	Compliance Medicare Consultant		Saucy	Tara		1-503-574-7431					tara.saucy@providence.org	P.O. Box 4327		Portland	OR	97208	9/9/2025	2026	PROVIDENCE HEALTH ASSURANCE	Local CCP	Providence Medicare Advantage Plans	HMO/HMOPOS		Providence St Joseph Health	798	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9047	Coordination of Benefits Contact	Manager-OFT		Parish	Lori		1-503-574-5861					Lori.parish@providence.org	P.O. Box 4327		Portland	OR	97208	9/9/2025	2026	PROVIDENCE HEALTH ASSURANCE	Local CCP	Providence Medicare Advantage Plans	HMO/HMOPOS		Providence St Joseph Health	798	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9047	Customer Service Operations Contact	Supervisor Service Ops-Customer Service		Aronson	Elizabeth		1-503-574-6589					Elizabeth.Aronson@providence.org	P.O. Box 4327		Portland	OR	97208	9/9/2025	2026	PROVIDENCE HEALTH ASSURANCE	Local CCP	Providence Medicare Advantage Plans	HMO/HMOPOS		Providence St Joseph Health	798	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9047	Government Relations Contact	Chief Compliance & Risk Officer	Mr.	Bals	Aaron		1-503-574-6562					aaron.bals@providence.org	P.O. Box 4327		Portland	OR	97208	9/9/2025	2026	PROVIDENCE HEALTH ASSURANCE	Local CCP	Providence Medicare Advantage Plans	HMO/HMOPOS		Providence St Joseph Health	798	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9047	Hospice Contact	"Supervisor Training, Pharmacy"		Ahnberg	Chelsea		1-503-574-6965					Chelsea.ahnberg@providence.org	P.O. Box 4327		Portland	OR	97208	10/28/2025	2026	PROVIDENCE HEALTH ASSURANCE	Local CCP	Providence Medicare Advantage Plans	HMO/HMOPOS		Providence St Joseph Health	798	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9047	Medicare Compliance Officer	Sr. Compliance Director - Compliance Officer	Mrs.	Dunphy	Misty		1-503-574-6608					misty.dunphy@providence.org	P.O. Box 4327		Portland	OR	97208	6/9/2026	2026	PROVIDENCE HEALTH ASSURANCE	Local CCP	Providence Medicare Advantage Plans	HMO/HMOPOS		Providence St Joseph Health	798	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9047	Part D Exceptions Contact	Sr. Manager Clinical Pharmacy		Rutledge	Shelly							shellylrutledge@providence.org	P.O. Box 4327		Portland	OR	97208	4/30/2026	2026	PROVIDENCE HEALTH ASSURANCE	Local CCP	Providence Medicare Advantage Plans	HMO/HMOPOS		Providence St Joseph Health	798	Yes	Active	1-501-230-7315				HMO - Health Maintenance Organization		C	Dallas
H9047	Pharmacy Network Management Contact	VP Health Care Services Administration		Dietzman	Greg		1-503-574-6413				1-503-574-8646	gregory.dietzman@providence.org	P.O. Box 4327		Portland	OR	97208	9/9/2025	2026	PROVIDENCE HEALTH ASSURANCE	Local CCP	Providence Medicare Advantage Plans	HMO/HMOPOS		Providence St Joseph Health	798	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9047	Pharmacy Technical Help Desk Contact	Supervisor Healthcare Services		Huynh	Hanh							hanh.huynh@providence.org	P.O. Box 4327		Portland	OR	97208	10/28/2025	2026	PROVIDENCE HEALTH ASSURANCE	Local CCP	Providence Medicare Advantage Plans	HMO/HMOPOS		Providence St Joseph Health	798	Yes	Active	1-888-445-5518				HMO - Health Maintenance Organization		C	Dallas
H9047	Plan to Plan Reconciliation Contact	Healthcare Data Analyst		Williams	Rachelle		1-503-574-6316					rachelle.williams@providence.org	P.O. Box 4327		Portland	OR	97208	9/9/2025	2026	PROVIDENCE HEALTH ASSURANCE	Local CCP	Providence Medicare Advantage Plans	HMO/HMOPOS		Providence St Joseph Health	798	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9052	Automated TrOOP Balance Transfer Contact	CFO	Mr.	Visuri	Elliott		1-989-893-4506					visurie@region7aaa.org	1615 S. Euclid Avenue		Bay City	MI	48706	7/5/2024	2026	REGION VII AREA AGENCY ON AGING	National PACE	Sunrise PACE	National PACE		"Region VII Area Agency on Aging, Inc."	778	Yes	Active					PACE - Nat		C	Atlanta
H9052	Best Available Evidence Contact	PACE Executive Director	Mr.	Britz	Paul		1-810-444-0665					britzp@region7aaa.org	5229 Lakeshore Rd.		Fort Gratiot	MI	48059	10/16/2025	2026	REGION VII AREA AGENCY ON AGING	National PACE	Sunrise PACE	National PACE		"Region VII Area Agency on Aging, Inc."	778	Yes	Active					PACE - Nat		C	Atlanta
H9052	Chief Financial Officer	CFO	Mr.	Visuri	Elliott		1-989-893-4506					visurie@region7aaa.org	1615 S. Euclid Avenue		Bay City	MI	48706	7/5/2024	2026	REGION VII AREA AGENCY ON AGING	National PACE	Sunrise PACE	National PACE		"Region VII Area Agency on Aging, Inc."	778	Yes	Active					PACE - Nat		C	Atlanta
H9052	CMS Casework Communication Contact	PACE Executive Director	Mr.	Britz	Paul		1-810-388-6300					britzp@region7aaa.org	5229 Lakeshore Rd		Fort Gratiot	MI	48059	10/16/2025	2026	REGION VII AREA AGENCY ON AGING	National PACE	Sunrise PACE	National PACE		"Region VII Area Agency on Aging, Inc."	778	Yes	Active					PACE - Nat		C	Atlanta
H9052	Coordination of Benefits Contact	Business Office Manager	Mrs.	Turner	Jody		1-810-388-6300					turnerj@region7aaa.org	5229 Lakeshore Rd		Fort Gratiot	MI	48059	10/16/2025	2026	REGION VII AREA AGENCY ON AGING	National PACE	Sunrise PACE	National PACE		"Region VII Area Agency on Aging, Inc."	778	Yes	Active					PACE - Nat		C	Atlanta
H9052	Customer Service Operations Contact	PACE Executive Director	Mr.	Britz	Paul		1-810-388-6300					britzp@region7aaa.org	5229 Lakeshore Rd.		Fort Gratiot	MI	48059	10/16/2025	2026	REGION VII AREA AGENCY ON AGING	National PACE	Sunrise PACE	National PACE		"Region VII Area Agency on Aging, Inc."	778	Yes	Active					PACE - Nat		C	Atlanta
H9052	Government Relations Contact	CEO	Mrs.	Altom	Dayna		1-810-388-6300					altomd@region7aaa.org	1615 S. Euclid		Bay City	MI	48706	10/16/2025	2026	REGION VII AREA AGENCY ON AGING	National PACE	Sunrise PACE	National PACE		"Region VII Area Agency on Aging, Inc."	778	Yes	Active					PACE - Nat		C	Atlanta
H9052	Medicare Compliance Officer	CHRO	Mrs.	Johnson	Megan		1-989-893-4506					johnsonm@region7aaa.org	1615 S. Euclid		Bay City	MI	48706	10/11/2024	2026	REGION VII AREA AGENCY ON AGING	National PACE	Sunrise PACE	National PACE		"Region VII Area Agency on Aging, Inc."	778	Yes	Active					PACE - Nat		C	Atlanta
H9052	Part D Exceptions Contact	Medical Director	Mr.	Grech	Tony							grechtm@region7aaa.org	5229 Lakeshore Road		FORT GRATIOT	MI	48059	7/5/2024	2026	REGION VII AREA AGENCY ON AGING	National PACE	Sunrise PACE	National PACE		"Region VII Area Agency on Aging, Inc."	778	Yes	Active	1-810-388-6300				PACE - Nat		C	Atlanta
H9052	Pharmacy Network Management Contact	Medical Director		Grech	Dr. Tony		1-810-388-6300					grecht@region7aaa.org	5229 Lakeshore		Fort Gratiot	MI	48059	3/19/2025	2026	REGION VII AREA AGENCY ON AGING	National PACE	Sunrise PACE	National PACE		"Region VII Area Agency on Aging, Inc."	778	Yes	Active					PACE - Nat		C	Atlanta
H9052	Pharmacy Technical Help Desk Contact	Medical Director	Mr.	Grech	Tony							grechtm@region7aaa.org	5229 Lakeshore Road		FORT GRATIOT	MI	48059	7/5/2024	2026	REGION VII AREA AGENCY ON AGING	National PACE	Sunrise PACE	National PACE		"Region VII Area Agency on Aging, Inc."	778	Yes	Active	1-810-388-6300				PACE - Nat		C	Atlanta
H9052	Plan to Plan Reconciliation Contact	CFO	Mr.	Visuri	Elliott		1-989-893-4506					visurie@region7aaa.org	1615 S. Euclid Avenue		Bay City	MI	48706	7/5/2024	2026	REGION VII AREA AGENCY ON AGING	National PACE	Sunrise PACE	National PACE		"Region VII Area Agency on Aging, Inc."	778	Yes	Active					PACE - Nat		C	Atlanta
H9065	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	"AMH HEALTH, LLC"	Local CCP	AMH Health	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9065	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"AMH HEALTH, LLC"	Local CCP	AMH Health	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9065	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	"AMH HEALTH, LLC"	Local CCP	AMH Health	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9065	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	"AMH HEALTH, LLC"	Local CCP	AMH Health	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9065	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	"AMH HEALTH, LLC"	Local CCP	AMH Health	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9065	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	"AMH HEALTH, LLC"	Local CCP	AMH Health	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9065	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"AMH HEALTH, LLC"	Local CCP	AMH Health	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9065	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"AMH HEALTH, LLC"	Local CCP	AMH Health	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9065	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"AMH HEALTH, LLC"	Local CCP	AMH Health	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9065	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	"AMH HEALTH, LLC"	Local CCP	AMH Health	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H9065	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/31/2023	2026	"AMH HEALTH, LLC"	Local CCP	AMH Health	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9065	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	"AMH HEALTH, LLC"	Local CCP	AMH Health	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H9065	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/10/2021	2026	"AMH HEALTH, LLC"	Local CCP	AMH Health	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9066	Automated TrOOP Balance Transfer Contact	Chief Financial Officer		Castle	June		1-315-477-9320					jcastle@477home.org	1050 West Genesee St		Syracuse	NY	13204	10/4/2023	2026	VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	Local CCP	Nascentia Health Plus	HMO/HMOPOS		VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	703	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9066	Best Available Evidence Contact	Chief Clinical Officer	Ms	Lazarek-Laquay	Andrea		1-315-477-9500	598				alaquay@477home.org	1050 West Genesee St		Syracuse	NY	13204	2/12/2018	2026	VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	Local CCP	Nascentia Health Plus	HMO/HMOPOS		VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	703	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9066	Chief Financial Officer	Chief Financial Officer	Ms.	Castle	June		1-315-477-9320					jcastle@477home.org	1050 West Genesee St		Syracuse	NY	13204	10/4/2023	2026	VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	Local CCP	Nascentia Health Plus	HMO/HMOPOS		VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	703	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9066	CMS Casework Communication Contact	UR Manager	MS	Ginestro	Suzanne		1-315-477-9304					sginestro@477home.org	1050 West Genesee St		Syracuse	NY	13204	1/13/2020	2026	VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	Local CCP	Nascentia Health Plus	HMO/HMOPOS		VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	703	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9066	Coordination of Benefits Contact	VP Health Plan Operations	Ms	Frederick	Amanda		1-315-477-9275					afrederick@477home.org	1050 West Genesee St		Syracuse	NY	13204	8/16/2021	2026	VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	Local CCP	Nascentia Health Plus	HMO/HMOPOS		VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	703	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9066	Customer Service Operations Contact	EVP Strategic Operations	Ms	Lindsay	Tammy		1-315-960-1827					tlindsay@477home.org	1050 West Genesee St		Syracuse	NY	13204	3/19/2021	2026	VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	Local CCP	Nascentia Health Plus	HMO/HMOPOS		VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	703	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9066	Government Relations Contact	Chief Clinical Officer	MS	Lazarek-Laquay	Andrea		1-315-477-9500	598				alaquay@477home.org	1050 West Genesee St		Syracuse	NY	13204	2/11/2018	2026	VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	Local CCP	Nascentia Health Plus	HMO/HMOPOS		VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	703	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9066	Hospice Contact	Chief Clinical Officer	MS	Lazarek-Laquay	Andrea		1-315-477-9500	598				alaquay@477home.org	1050 West Genesee St		Syracuse	NY	13204	2/11/2018	2026	VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	Local CCP	Nascentia Health Plus	HMO/HMOPOS		VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	703	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9066	Medicare Compliance Officer	Compliance Officer	Ms.	Billington	Janet		1-315-477-9233					JBillington@477home.org	1050 West Genesee St		Syracuse	NY	13204	5/5/2023	2026	VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	Local CCP	Nascentia Health Plus	HMO/HMOPOS		VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	703	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9066	Part D Exceptions Contact	Dir Clin ops		Collins	Andrea							andrea.collins@medimpact.com	2181 East Aurora Rd	Suite 201	Twinsburg	OH	44087	1/16/2025	2026	VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	Local CCP	Nascentia Health Plus	HMO/HMOPOS		VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	703	Yes	Active	1-330-410-3565				HMO - Health Maintenance Organization		C	New York
H9066	Pharmacy Network Management Contact	Director Pharmacy Network Development and Operatio		Hunt	Brian		1-858-790-7092					Brian.hunt@medimpact.com	2181 East Aurora Rd	Suite 201	Twinsburg	OH	44087	10/1/2025	2026	VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	Local CCP	Nascentia Health Plus	HMO/HMOPOS		VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	703	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9066	Pharmacy Technical Help Desk Contact	Vice President Operations	Mr	Conn	Todd							Todd.Conn@medimpact.com	2181 East Aurora Road	Suite 201	Twinsburg	OH	44087	10/8/2025	2026	VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	Local CCP	Nascentia Health Plus	HMO/HMOPOS		VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	703	Yes	Active	1-833-459-4424				HMO - Health Maintenance Organization		C	New York
H9066	Plan to Plan Reconciliation Contact	Chief Administrative Officer	Ms	Castle	June		1-315-477-9500				1-315-870-7788	jcastle@477home.org	1050 West Genesee St		Syracuse	NY	13204	2/19/2021	2026	VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	Local CCP	Nascentia Health Plus	HMO/HMOPOS		VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	703	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9068	Automated TrOOP Balance Transfer Contact	Vice President of Finance	Ms.	DiMaria	Anna		1-516-412-7891					Admaria@cassenacare.com	225 Crossways Pike Drive		Woodbury	NY	11797	1/15/2026	2026	ALBRIGHT CARE SERVICES	National PACE	ALBRIGHT CARE SERVICES	National PACE		"Asbury Communities, Inc."	461	Yes	Active					PACE - Nat		C	Philadelphia
H9068	Best Available Evidence Contact	President	Mr.	Smith	Shaun	T	1-570-522-3889				1-570-524-9068	Shaun.smith@albrightcare.org	90 Maplewood Drive		Lewisburg	PA	17837	1/2/2025	2026	ALBRIGHT CARE SERVICES	National PACE	ALBRIGHT CARE SERVICES	National PACE		"Asbury Communities, Inc."	461	Yes	Active					PACE - Nat		C	Philadelphia
H9068	Chief Financial Officer	Vice President/ Controller	Ms.	Ehrenfried	Kimberly		1-301-250-2137					Kehrenfried@asbury.org	5285 Westview Drive		Frederick	MD	21703	1/2/2025	2026	ALBRIGHT CARE SERVICES	National PACE	ALBRIGHT CARE SERVICES	National PACE		"Asbury Communities, Inc."	461	Yes	Active					PACE - Nat		C	Philadelphia
H9068	CMS Casework Communication Contact	Regional Program Director	Ms.	Murr-Davidson	Dawn		1-717-381-4320				1-570-524-9068	Dmurrdavidson@kinships.com	417 West Frederick St		Lancaster	PA	17603	1/15/2026	2026	ALBRIGHT CARE SERVICES	National PACE	ALBRIGHT CARE SERVICES	National PACE		"Asbury Communities, Inc."	461	Yes	Active					PACE - Nat		C	Philadelphia
H9068	Coordination of Benefits Contact	Vice President/ Controller	Ms	Ehrenfried	Kimberly		1-301-250-2137					Kehrenfried@asbury.org	5285 Westview Drive		Frederick	MD	21703	1/2/2025	2026	ALBRIGHT CARE SERVICES	National PACE	ALBRIGHT CARE SERVICES	National PACE		"Asbury Communities, Inc."	461	Yes	Active					PACE - Nat		C	Philadelphia
H9068	Customer Service Operations Contact	Regional Program Director	Ms.	Murr-Davidson	Dawn		1-717-381-4320					Dmurrdavidson@kinships.com	417 West Frederick St		Lancaster	PA	17603	1/15/2026	2026	ALBRIGHT CARE SERVICES	National PACE	ALBRIGHT CARE SERVICES	National PACE		"Asbury Communities, Inc."	461	Yes	Active					PACE - Nat		C	Philadelphia
H9068	Government Relations Contact	CEO	Mr.	Smith	Shaun		1-570-522-3880				1-570-524-9068	shaun.smith@albrightcare.org	90 Maplewood Drive		Lewisburg	PA	17837	5/24/2012	2026	ALBRIGHT CARE SERVICES	National PACE	ALBRIGHT CARE SERVICES	National PACE		"Asbury Communities, Inc."	461	Yes	Active					PACE - Nat		C	Philadelphia
H9068	Medicare Compliance Officer	Senior Director	Mr.	McDonough	John		1-570-522-3880				1-570-524-9068	John.Mcdonough@asbury.org	90 Maplewood Drive		Lewisburg	PA	17837	1/15/2026	2026	ALBRIGHT CARE SERVICES	National PACE	ALBRIGHT CARE SERVICES	National PACE		"Asbury Communities, Inc."	461	Yes	Active					PACE - Nat		C	Philadelphia
H9068	Part D Exceptions Contact	Regional Program Director	Ms.	Murr-Davidson	Dawn						1-570-524-9068	Dmurrdavidson@kinships.com	417 West Frederick St		Lancaster	PA	17837	1/15/2026	2026	ALBRIGHT CARE SERVICES	National PACE	ALBRIGHT CARE SERVICES	National PACE		"Asbury Communities, Inc."	461	Yes	Active	1-888-791-0094				PACE - Nat		C	Philadelphia
H9068	Pharmacy Network Management Contact	Director of Pharmacy	Mrs.	Beitz	Krystal		1-570-523-3108				1-570-523-3109	krystal.beitz@albrightcare.org	110 Maplewood Drive		Lewisburg	PA	17837	3/21/2019	2026	ALBRIGHT CARE SERVICES	National PACE	ALBRIGHT CARE SERVICES	National PACE		"Asbury Communities, Inc."	461	Yes	Active					PACE - Nat		C	Philadelphia
H9068	Pharmacy Technical Help Desk Contact	Director of Pharmacy	Mrs.	Beitz	Krystal						1-570-523-3109	krystal.beitz@albrightcare.org	110 Maplewood Drive		Lewisburg	PA	17837	2/26/2015	2026	ALBRIGHT CARE SERVICES	National PACE	ALBRIGHT CARE SERVICES	National PACE		"Asbury Communities, Inc."	461	Yes	Active	1-570-523-3108				PACE - Nat		C	Philadelphia
H9068	Plan to Plan Reconciliation Contact	Vice President/ Controller	Ms.	Ehrenfried	Kimberly		1-301-250-2137					Kehrenfried@asbury.org	5285 Westview Drive		Frederick	MD	21703	1/2/2025	2026	ALBRIGHT CARE SERVICES	National PACE	ALBRIGHT CARE SERVICES	National PACE		"Asbury Communities, Inc."	461	Yes	Active					PACE - Nat		C	Philadelphia
H9081	Automated TrOOP Balance Transfer Contact			Liu	Boyu		1-949-561-0999					liu.boyu@del-sol.com	820 Diamond Bar Blvd		Diamond Bar	CA	91765	12/19/2025	2026	DEL SOL PACE LLC	National PACE	Del Sol PACE	National PACE		"Del Sol PACE, LLC"	891	Yes	Pending					PACE - Nat		C	San Francisco
H9081	Best Available Evidence Contact			Song	Zuxi		1-949-396-1777					songzuxi@del-sol.com	820 Diamond Bar Blvd		Diamond Bar	CA	91765	12/19/2025	2026	DEL SOL PACE LLC	National PACE	Del Sol PACE	National PACE		"Del Sol PACE, LLC"	891	Yes	Pending					PACE - Nat		C	San Francisco
H9081	Chief Financial Officer		Mr	Fang	Yujie		1-408-597-2516					james.fang@del-sol.com	820 N Diamond Bar Blvd		Diamond Bar	CA	91765	12/19/2025	2026	DEL SOL PACE LLC	National PACE	Del Sol PACE	National PACE		"Del Sol PACE, LLC"	891	Yes	Pending					PACE - Nat		C	San Francisco
H9081	CMS Casework Communication Contact			Song	Zuxi		1-949-396-1777					songzuxi@del-sol.com	820 Diamond Bar Blvd		Diamond Bar	CA	91765	12/19/2025	2026	DEL SOL PACE LLC	National PACE	Del Sol PACE	National PACE		"Del Sol PACE, LLC"	891	Yes	Pending					PACE - Nat		C	San Francisco
H9081	Coordination of Benefits Contact			Liu	Boyu		1-949-561-0999					liu.boyu@del-sol.com	820 Diamond Bar Blvd		Diamond Bar	CA	91765	12/19/2025	2026	DEL SOL PACE LLC	National PACE	Del Sol PACE	National PACE		"Del Sol PACE, LLC"	891	Yes	Pending					PACE - Nat		C	San Francisco
H9081	Customer Service Operations Contact			Liu	Boyu		1-949-561-0999					liu.boyu@del-sol.com	820 Diamond Bar Blvd		Diamond Bar	CA	91765	12/19/2025	2026	DEL SOL PACE LLC	National PACE	Del Sol PACE	National PACE		"Del Sol PACE, LLC"	891	Yes	Pending					PACE - Nat		C	San Francisco
H9081	Government Relations Contact			Liu	Boyu		1-949-561-0999					liu.boyu@del-sol.com	820 Diamond Bar Blvd		Diamond Bar	CA	91765	12/22/2025	2026	DEL SOL PACE LLC	National PACE	Del Sol PACE	National PACE		"Del Sol PACE, LLC"	891	Yes	Pending					PACE - Nat		C	San Francisco
H9081	Medicare Compliance Officer		Mr.	Liu	Boyu		1-949-561-0999					liu.boyu@del-sol.com	820 N Diamond Bar Blvd		Diamond Bar	CA	91765	12/22/2025	2026	DEL SOL PACE LLC	National PACE	Del Sol PACE	National PACE		"Del Sol PACE, LLC"	891	Yes	Pending					PACE - Nat		C	San Francisco
H9081	Part D Exceptions Contact			Liu	Boyu							liu.boyu@del-sol.com	820 N Diamond Bar Blvd		Diamond Bar	CA	91765	12/22/2025	2026	DEL SOL PACE LLC	National PACE	Del Sol PACE	National PACE		"Del Sol PACE, LLC"	891	Yes	Pending	1-626-322-2777				PACE - Nat		C	San Francisco
H9081	Pharmacy Network Management Contact			Liu	Boyu		1-949-561-0999					liu.boyu@del-sol.com	820 Diamond Bar Blvd		Diamond Bar	CA	91765	12/22/2025	2026	DEL SOL PACE LLC	National PACE	Del Sol PACE	National PACE		"Del Sol PACE, LLC"	891	Yes	Pending					PACE - Nat		C	San Francisco
H9081	Pharmacy Technical Help Desk Contact			Liu	Boyu							liu.boyu@del-sol.com	820 N Diamond Bar Blvd		Diamond Bar	CA	91765	12/22/2025	2026	DEL SOL PACE LLC	National PACE	Del Sol PACE	National PACE		"Del Sol PACE, LLC"	891	Yes	Pending	1-626-322-2777				PACE - Nat		C	San Francisco
H9081	Plan to Plan Reconciliation Contact			Liu	Boyu		1-949-561-0999					liu.boyu@del-sol.com	820 Diamond Bar Blvd		Diamond Bar	CA	91765	12/22/2025	2026	DEL SOL PACE LLC	National PACE	Del Sol PACE	National PACE		"Del Sol PACE, LLC"	891	Yes	Pending					PACE - Nat		C	San Francisco
H9096	Automated TrOOP Balance Transfer Contact	"Operations Manager, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	Relay.Health@Navitus.com	1025 West Navitus Drive		Appleton	WI	54913	5/4/2023	2026	"DEAN HEALTH PLAN, INC."	Local CCP	Dean Advantage	HMO/HMOPOS		Medica Holding Company	439	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9096	Best Available Evidence Contact	Manager - Enrollment & Billing		Kaderabek	Kay		1-608-828-1976					Kay.Kaderabek@deancare.com	1277 Deming Way		Madison	WI	53717	5/4/2023	2026	"DEAN HEALTH PLAN, INC."	Local CCP	Dean Advantage	HMO/HMOPOS		Medica Holding Company	439	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9096	Chief Financial Officer	CFO	Ms	Dusil	Krista		1-952-992-3908					CFO@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	7/1/2025	2026	"DEAN HEALTH PLAN, INC."	Local CCP	Dean Advantage	HMO/HMOPOS		Medica Holding Company	439	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9096	CMS Casework Communication Contact	"Manager, Consumer Affairs"		Blum	Adam		1-608-827-4420					Adam.Blum@deancare.com	1277 Deming Way		Madison	WI	53717	10/23/2023	2026	"DEAN HEALTH PLAN, INC."	Local CCP	Dean Advantage	HMO/HMOPOS		Medica Holding Company	439	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9096	Coordination of Benefits Contact	Manager - Enrollment & Billing		Kaderabek	Kay		1-608-828-1976					Kay.Kaderabek@deancare.com	1277 Deming Way		Madison	WI	53717	5/4/2023	2026	"DEAN HEALTH PLAN, INC."	Local CCP	Dean Advantage	HMO/HMOPOS		Medica Holding Company	439	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9096	Customer Service Operations Contact	Manager Customer Service		Riske	Christina		1-800-279-1302					Christina.Riske@deancare.com	1277 Deming Way		Madison	WI	53717	8/23/2023	2026	"DEAN HEALTH PLAN, INC."	Local CCP	Dean Advantage	HMO/HMOPOS		Medica Holding Company	439	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9096	Government Relations Contact	"VP & GM, Medicare"		Orr	Britta		1-952-992-3111					Britta.Orr@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	6/12/2025	2026	"DEAN HEALTH PLAN, INC."	Local CCP	Dean Advantage	HMO/HMOPOS		Medica Holding Company	439	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9096	Hospice Contact	Manager - Compliance		Herbst	Travis		1-608-828-2856					Travis.Herbst@deancare.com	1277 Deming Way		Madison	WI	53717	5/4/2023	2026	"DEAN HEALTH PLAN, INC."	Local CCP	Dean Advantage	HMO/HMOPOS		Medica Holding Company	439	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9096	Medicare Compliance Officer	VP Risk and Compliance	Ms	Bengtson	Kelly		1-952-992-3948					complianceofficer@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	2/24/2026	2026	"DEAN HEALTH PLAN, INC."	Local CCP	Dean Advantage	HMO/HMOPOS		Medica Holding Company	439	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9096	Part D Exceptions Contact	"Assoc Director, Clinical Prior Authorization"		LeClair	Christophe						1-920-221-4676	Christopher.LeClair@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	4/9/2024	2026	"DEAN HEALTH PLAN, INC."	Local CCP	Dean Advantage	HMO/HMOPOS		Medica Holding Company	439	Yes	Active	1-920-221-4176				HMO - Health Maintenance Organization		C	Dallas
H9096	Pharmacy Network Management Contact	"VP, Network Management"		Santos	Christina		1-608-820-4408					Christina.Santos@navitus.com	361 Integrity Drive		Madison	WI	53717	4/9/2024	2026	"DEAN HEALTH PLAN, INC."	Local CCP	Dean Advantage	HMO/HMOPOS		Medica Holding Company	439	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9096	Pharmacy Technical Help Desk Contact	"Manager, Customer Care Accounts"		Nett	Danielle						1-920-221-4724	Danielle.Nett@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	4/9/2024	2026	"DEAN HEALTH PLAN, INC."	Local CCP	Dean Advantage	HMO/HMOPOS		Medica Holding Company	439	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Dallas
H9096	Plan to Plan Reconciliation Contact			Ricaurte	Angela		1-952-992-3748					Angela.Ricaurte@medica.com	401 Carlson Parkway CP330		Minnetonka	MN	55305	1/5/2026	2026	"DEAN HEALTH PLAN, INC."	Local CCP	Dean Advantage	HMO/HMOPOS		Medica Holding Company	439	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9147	Automated TrOOP Balance Transfer Contact	"Manager, PBM Operations"		Hanson	Michelle		1-612-777-6706					eobp2p@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Road	Eagan	MN	55121	10/16/2020	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9147	Best Available Evidence Contact	"Director, Member Enrollment & Operations"		Clayton	Beth		1-919-765-2438					Beth.Clayton@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	P.O. Box 2291	Durham	NC	27702	5/19/2022	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9147	Chief Financial Officer	"SVP, Chief Financial Officer and Treasurer"	Mr.	Perry	Mitchell	W	1-919-765-3923					mitch.perry@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	PO Box 2291	Durham	NC	27702	2/6/2020	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9147	CMS Casework Communication Contact	"Manager, Contact Center"		Rambert	Alex		1-919-765-7299					Caseworker@bcbsnc.com	4613 University Drive		Durham	NC	27707	5/21/2025	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9147	Coordination of Benefits Contact	"Team Lead, Operations"		Pridgen	David		1-336-201-4141					David. Pridgen@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	PO Box 2291	Durham	NC	27702	5/26/2023	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9147	Customer Service Operations Contact	"Sr. Manager, Contact Center"		Woods	Renita		1-919-765-7057					Renita.Woods@bcbsnc.com	4613 University Drive		Durham	NC	27707	3/26/2025	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9147	Government Relations Contact	"Director, CIG Compliance"		Washington-McNeill	Deborah		1-336-692-3556				1-336-659-2969	deborah.washington-mcneill@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	P.O. Box 2291	Durham	NC	27702	12/26/2025	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9147	Hospice Contact	Sr. Pharmacy Operations Analyst		Edwards	Chrissie		1-919-765-3536					chrissie.edwards@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	P.O. Box 2291	Durham	NC	27702	8/27/2025	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9147	Medicare Compliance Officer	"Director, Corporate Compliance"	Mrs.	Haith	Elenor		1-984-212-5897					elenor.haith@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	PO Box 2291	Durham	NC	27702	6/9/2023	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9147	Part D Exceptions Contact	"Director, UM Operations and Compliance"		Lee	Jessica							PartDExceptions@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	4613 University Drive	Durham	NC	27707	4/17/2026	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Active	1-888-296-9790				HMO - Health Maintenance Organization		C	Atlanta
H9147	Pharmacy Network Management Contact	"AVP, Corporate Pharmacy"		Rooker	Todd		1-602-418-1702					Todd.Rooker@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	PO Box 2291	Durham	NC	27702	8/27/2025	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9147	Pharmacy Technical Help Desk Contact			Helpdesk	Pharmacy							bret.schultz@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Road	Eagan	MN	55121	12/14/2023	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Active	1-877-277-7893				HMO - Health Maintenance Organization		C	Atlanta
H9147	Plan to Plan Reconciliation Contact	Sr Accountant		Taylor	Krystal		1-984-960-3607					krystal.taylor@bcbsnc.com	ATTN:  Sheila Adams or Yvonne Stancil (Medicare P2P)	PO Box 30060 Mailstop 700-1AP	Durham	NC	27702	2/28/2024	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Local CCP	Blue Cross and Blue Shield of North Carolina	HMO/HMOPOS		CuraCor Solutions Corp.	884	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9153	Automated TrOOP Balance Transfer Contact	Operations Mgr		Sherman	Mandy		1-920-221-4083				1-920-221-4583	relay.health@navitus.com	1025 W. Navitus Dr		Appleton	WI	54913	6/4/2026	2026	"WEST VIRGINIA SENIOR ADVANTAGE, INC."	Local CCP	West Virginia Senior Advantage	HMO/HMOPOS		"SNP Holdings, LLC"	758	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9153	Best Available Evidence Contact	Director of Medicare Compliance		McBratney	Kimberly		1-785-224-6063					kmcbratney@communicare-advantage.com	10123 Alliance Road	Suite 240	Blue Ash	OH	45242	8/19/2025	2026	"WEST VIRGINIA SENIOR ADVANTAGE, INC."	Local CCP	West Virginia Senior Advantage	HMO/HMOPOS		"SNP Holdings, LLC"	758	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9153	Chief Financial Officer	CFO	Mr.	Heimgarter	Jeremy		1-304-343-1950				1-304-343-1949	jheimgartner@communicare-advantage.com	700 Chappell Road		Charleston	WV	25304	1/23/2024	2026	"WEST VIRGINIA SENIOR ADVANTAGE, INC."	Local CCP	West Virginia Senior Advantage	HMO/HMOPOS		"SNP Holdings, LLC"	758	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9153	CMS Casework Communication Contact	VP Healthcare and Quality Operations		Parente	Robin		1-513-802-6452				1-513-605-6845	Robin.Parente@communicare-advantage.com	10123 Alliance Road	Suite 240	Blue Ash	OH	45242	8/19/2025	2026	"WEST VIRGINIA SENIOR ADVANTAGE, INC."	Local CCP	West Virginia Senior Advantage	HMO/HMOPOS		"SNP Holdings, LLC"	758	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9153	Coordination of Benefits Contact	CFO		Heimgartner	Jeremy		1-513-469-8545					jheimgartner@communicare-advantage.com	700 Chappell Rd.		Charleston	WV	25304	8/19/2025	2026	"WEST VIRGINIA SENIOR ADVANTAGE, INC."	Local CCP	West Virginia Senior Advantage	HMO/HMOPOS		"SNP Holdings, LLC"	758	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9153	Customer Service Operations Contact	Vice President of Operations		Muldowney	Jessica		1-513-835-8228					jmuldowney@communicare-advantage.com	700 Chappell Rd.		Charleston	WV	25304	9/25/2024	2026	"WEST VIRGINIA SENIOR ADVANTAGE, INC."	Local CCP	West Virginia Senior Advantage	HMO/HMOPOS		"SNP Holdings, LLC"	758	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9153	Government Relations Contact			Risher	Laura		1-513-814-0651					laura.risher@communicare-advantage.com	10123 Alliance Road	Suite 240	Blue Ash	OH	45242	8/19/2025	2026	"WEST VIRGINIA SENIOR ADVANTAGE, INC."	Local CCP	West Virginia Senior Advantage	HMO/HMOPOS		"SNP Holdings, LLC"	758	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9153	Hospice Contact	CMO	Dr.	Riedinger	Jennifer		1-443-223-0109					jriedinger@CommuniCare-advantage.com	10123 Alliance Road	Suite 240	Blue Ash	OH	45242	3/9/2026	2026	"WEST VIRGINIA SENIOR ADVANTAGE, INC."	Local CCP	West Virginia Senior Advantage	HMO/HMOPOS		"SNP Holdings, LLC"	758	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9153	Medicare Compliance Officer	Chief Compliance Officer	Mr.	Ehrman	James		1-513-917-0302					James.Ehrman@communicare-advantage.com	10123 Alliance Road	Suite 240	Blue Ash	OH	45242	2/3/2025	2026	"WEST VIRGINIA SENIOR ADVANTAGE, INC."	Local CCP	West Virginia Senior Advantage	HMO/HMOPOS		"SNP Holdings, LLC"	758	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9153	Part D Exceptions Contact	Associate Director Clinical Prior Auth		LeClair	Christophe						1-920-221-4676	Christopher.LeClair@navitus.com	1025 W. Navitus Dr		Appleton	WI	54913	6/3/2026	2026	"WEST VIRGINIA SENIOR ADVANTAGE, INC."	Local CCP	West Virginia Senior Advantage	HMO/HMOPOS		"SNP Holdings, LLC"	758	Yes	Active	1-920-221-4176				HMO - Health Maintenance Organization		C	Chicago
H9153	Pharmacy Network Management Contact	"VP, Provider Services"		Nagy	Don		1-608-820-4403					don.nagy@navitus.com	361 Integrity Drive		Madison	WI	53717	6/3/2026	2026	"WEST VIRGINIA SENIOR ADVANTAGE, INC."	Local CCP	West Virginia Senior Advantage	HMO/HMOPOS		"SNP Holdings, LLC"	758	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9153	Pharmacy Technical Help Desk Contact	MedImpact VP Operations		Conn	Todd							todd.conn@medimpact.com	10181 Scripps Gateway Ct		San Diego	CA	92131	8/19/2025	2026	"WEST VIRGINIA SENIOR ADVANTAGE, INC."	Local CCP	West Virginia Senior Advantage	HMO/HMOPOS		"SNP Holdings, LLC"	758	Yes	Active	1-833-697-8516				HMO - Health Maintenance Organization		C	Chicago
H9153	Plan to Plan Reconciliation Contact	CFO		Heimgartner	Jeremy		1-513-240-4810				1-513-605-6845	jheimgartner@communicare-advantage.com	700 Chappell Road		Charleston	WV	25304	8/19/2025	2026	"WEST VIRGINIA SENIOR ADVANTAGE, INC."	Local CCP	West Virginia Senior Advantage	HMO/HMOPOS		"SNP Holdings, LLC"	758	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9179	Automated TrOOP Balance Transfer Contact	Part D Analyst		Houk	Kim		1-614-546-3183				1-614-546-3131	kulrich@Medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	2/7/2023	2026	TRINITY HEALTH PLAN OF MICHIGAN INC	Local CCP	Trinity Health Plan of Michigan	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9179	Best Available Evidence Contact	"Manager, Enrollment & Reconciliation"		Buddell	Natasha		1-614-546-3222				1-614-546-3148	nbuddell@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	2/7/2023	2026	TRINITY HEALTH PLAN OF MICHIGAN INC	Local CCP	Trinity Health Plan of Michigan	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9179	Chief Financial Officer	Chief Financial Officer	Mr	Vis	David		1-614-546-3211				1-614-546-3131	david.vis@medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	2/7/2023	2026	TRINITY HEALTH PLAN OF MICHIGAN INC	Local CCP	Trinity Health Plan of Michigan	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9179	CMS Casework Communication Contact	Compliance Specialist	Mr.	Jordan	David	A	1-614-706-8474				1-614-234-8372	djordan@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	2/7/2023	2026	TRINITY HEALTH PLAN OF MICHIGAN INC	Local CCP	Trinity Health Plan of Michigan	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9179	Coordination of Benefits Contact	Pharmacy Data Analyst		Houk	Kim		1-614-546-3183				1-614-546-3132	kulrich@Medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	2/7/2023	2026	TRINITY HEALTH PLAN OF MICHIGAN INC	Local CCP	Trinity Health Plan of Michigan	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9179	Customer Service Operations Contact	"Senior Director, Member and Provider Services"		Schlabach	Marilyn		1-614-546-3180				1-614-546-3132	mschlabach@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	2/7/2023	2026	TRINITY HEALTH PLAN OF MICHIGAN INC	Local CCP	Trinity Health Plan of Michigan	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9179	Government Relations Contact	CEO	Mr	Randolph	John	C	1-614-546-3152				1-614-546-3131	jack.randolph@MediGold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	2/7/2023	2026	TRINITY HEALTH PLAN OF MICHIGAN INC	Local CCP	Trinity Health Plan of Michigan	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9179	Hospice Contact	Senior Pharmacy Data Analyst		Houk	Kim		1-614-546-3183				1-614-546-3132	kulrich@Medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	2/7/2023	2026	TRINITY HEALTH PLAN OF MICHIGAN INC	Local CCP	Trinity Health Plan of Michigan	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9179	Medicare Compliance Officer	Chief Compliance Officer	Ms	Suffern	Patricia		1-412-478-0244					patricia.suffern@medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	2/7/2023	2026	TRINITY HEALTH PLAN OF MICHIGAN INC	Local CCP	Trinity Health Plan of Michigan	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9179	Part D Exceptions Contact	"Director, Pharmacy"	Ms.	McGhee	Anna							anna.mcghee@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	1/21/2024	2026	TRINITY HEALTH PLAN OF MICHIGAN INC	Local CCP	Trinity Health Plan of Michigan	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active	1-800-240-3851				HMO - Health Maintenance Organization		C	Chicago
H9179	Pharmacy Network Management Contact	"Director, Pharmacy"	Ms.	McGhee	Anna		1-216-534-5375					anna.mcghee@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	1/21/2024	2026	TRINITY HEALTH PLAN OF MICHIGAN INC	Local CCP	Trinity Health Plan of Michigan	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9179	Pharmacy Technical Help Desk Contact	"Director, Pharmacy"	Ms.	McGhee	Anna							anna.mcghee@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	1/21/2024	2026	TRINITY HEALTH PLAN OF MICHIGAN INC	Local CCP	Trinity Health Plan of Michigan	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Chicago
H9179	Plan to Plan Reconciliation Contact	Pharmacy Data Analyst		Houk	Kim		1-614-546-3183				1-614-546-3132	kulrich@Medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	2/7/2023	2026	TRINITY HEALTH PLAN OF MICHIGAN INC	Local CCP	Trinity Health Plan of Michigan	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9185	Automated TrOOP Balance Transfer Contact	Health Plan Specialist I		Wahl	Beth		1-989-272-7610					bthompson@greatlakespace.org	3378 Fashion Square Blvd		Saginaw	MI	48603	4/18/2019	2026	"A&D CHARITABLE FOUNDATION, INC."	National PACE	Great Lakes PACE	National PACE		"A&D Charitable Foundation, Inc."	608	Yes	Active					PACE - Nat		C	Atlanta
H9185	Best Available Evidence Contact	Program Director		Benjamin	David		1-989-272-7610					dbenjamin@greatlakespace.org	3378 Fashion Square Blvd		Saginaw	MI	48603	3/14/2017	2026	"A&D CHARITABLE FOUNDATION, INC."	National PACE	Great Lakes PACE	National PACE		"A&D Charitable Foundation, Inc."	608	Yes	Active					PACE - Nat		C	Atlanta
H9185	Chief Financial Officer	Chief Financial Officer	Mr.	Sen	Tuhin		1-989-272-7610					sen70@cs.com	3378 Fashion Square Blvd		Saginaw	MI	48603	7/19/2018	2026	"A&D CHARITABLE FOUNDATION, INC."	National PACE	Great Lakes PACE	National PACE		"A&D Charitable Foundation, Inc."	608	Yes	Active					PACE - Nat		C	Atlanta
H9185	CMS Casework Communication Contact	Program Director		Benjamin	David		1-989-272-7610					dbenjamin@greatlakespace.org	3378 Fashion Square Blvd		Saginaw	MI	48603	3/14/2017	2026	"A&D CHARITABLE FOUNDATION, INC."	National PACE	Great Lakes PACE	National PACE		"A&D Charitable Foundation, Inc."	608	Yes	Active					PACE - Nat		C	Atlanta
H9185	Coordination of Benefits Contact	Health Plan Specialist I		Wahl	Beth		1-989-272-7610					bthompson@greatlakespace.org	3378 Fashion Square Blvd		Saginaw	MI	48603	4/18/2019	2026	"A&D CHARITABLE FOUNDATION, INC."	National PACE	Great Lakes PACE	National PACE		"A&D Charitable Foundation, Inc."	608	Yes	Active					PACE - Nat		C	Atlanta
H9185	Customer Service Operations Contact	Program Director		Benjamin	David		1-989-272-7610					dbenjamin@greatlakespace.org	3378 Fashion Square Blvd		Saginaw	MI	48603	3/14/2017	2026	"A&D CHARITABLE FOUNDATION, INC."	National PACE	Great Lakes PACE	National PACE		"A&D Charitable Foundation, Inc."	608	Yes	Active					PACE - Nat		C	Atlanta
H9185	Government Relations Contact	Program Director		Benjamin	David		1-989-272-7610					dbenjamin@greatlakespace.org	3378 Fashion Square Blvd		Saginaw	MI	48603	3/14/2017	2026	"A&D CHARITABLE FOUNDATION, INC."	National PACE	Great Lakes PACE	National PACE		"A&D Charitable Foundation, Inc."	608	Yes	Active					PACE - Nat		C	Atlanta
H9185	Medicare Compliance Officer	Quality Assurance Coordinator	Mrs	Hurley	Ashley		1-989-272-7610				1-989-272-7669	ahurley@greatlakespace.org	3378 Fashion Square Blvd		Saginaw	MI	48603	4/18/2019	2026	"A&D CHARITABLE FOUNDATION, INC."	National PACE	Great Lakes PACE	National PACE		"A&D Charitable Foundation, Inc."	608	Yes	Active					PACE - Nat		C	Atlanta
H9185	Part D Exceptions Contact	Program Director	Mr.	Benjamin	David						1-989-272-7669	dbenjamin@greatlakespace.org	3378 Fashion Square Blvd		Saginaw	MI	48603	3/14/2017	2026	"A&D CHARITABLE FOUNDATION, INC."	National PACE	Great Lakes PACE	National PACE		"A&D Charitable Foundation, Inc."	608	Yes	Active	1-844-445-7223				PACE - Nat		C	Atlanta
H9185	Pharmacy Network Management Contact	Program Director		Benjamin	David		1-989-272-7610					dbenjamin@greatlakespace.org	3378 Fashion Square Blvd		Saginaw	MI	48603	3/14/2017	2026	"A&D CHARITABLE FOUNDATION, INC."	National PACE	Great Lakes PACE	National PACE		"A&D Charitable Foundation, Inc."	608	Yes	Active					PACE - Nat		C	Atlanta
H9185	Pharmacy Technical Help Desk Contact	Program Director	Mr.	Benjamin	David						1-989-272-7669	dbenjamin@greatlakespace.org	3378 Fashion Square Blvd		Saginaw	MI	48603	3/14/2017	2026	"A&D CHARITABLE FOUNDATION, INC."	National PACE	Great Lakes PACE	National PACE		"A&D Charitable Foundation, Inc."	608	Yes	Active	1-844-445-7223				PACE - Nat		C	Atlanta
H9185	Plan to Plan Reconciliation Contact	Health Plan Specialist I		Wahl	Beth		1-989-272-7610					bthompson@greatlakespace.org	3378 Fashion Square Blvd		Saginaw	MI	48603	4/18/2019	2026	"A&D CHARITABLE FOUNDATION, INC."	National PACE	Great Lakes PACE	National PACE		"A&D Charitable Foundation, Inc."	608	Yes	Active					PACE - Nat		C	Atlanta
H9191	Automated TrOOP Balance Transfer Contact	VP of Pharmacy	Dr	Ford	James	E	1-443-275-9801					jford@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9191	Best Available Evidence Contact	VP of Plan Management	Ms	Radice	Sue		1-410-991-3213				1-844-462-3091	sradice@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9191	Chief Financial Officer	CFO	Mr	Persinger	Keith		1-410-456-3946					kpersinger@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9191	CMS Casework Communication Contact	Chief Compliance Officer	Mr	Nunez	Kenneth		1-813-230-1048					knunez@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9191	Coordination of Benefits Contact	VP of Finance	Ms	McIntyre	Mary Beth		1-410-967-2097					mmcintyre@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9191	Customer Service Operations Contact	VP of Operations	Mr	Brain	Jay		1-240-367-2626					JBrain@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9191	Government Relations Contact	President & CEO	Mr	Grindrod	Rick		1-410-913-7653					rgrindrod@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9191	Hospice Contact	Director of Operations	Ms	Winton	Linde		1-817-374-3812					lwinton@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9191	Medicare Compliance Officer	Chief Compliance Officer	Mr	Nunez	Kenneth		1-813-230-1048					knunez@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	2/18/2026	2026	"PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9191	Part D Exceptions Contact	"Manager, Prior Authorization Appeals"		Le	Christina						1-877-239-4565	christina.le@optum.com	PO Box 2975		"Mission,"	KS	66201	12/19/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active	1-888-403-3398				HMO - Health Maintenance Organization		C	Dallas
H9191	Pharmacy Network Management Contact	"Manager, Retail Network Operations"		Perez	Felix		1-305-331-3044					Felix.perez@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	12/19/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9191	Pharmacy Technical Help Desk Contact	"Manager, Pharmacy Help Desk"		Villanueva	Juan							juan.villanueva@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	5/18/2026	2026	"PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active	1-855-205-4428				HMO - Health Maintenance Organization		C	Dallas
H9191	Plan to Plan Reconciliation Contact	VP of Finance	Ms	McIntyre	Mary Beth		1-410-967-2097					mmcintyre@pphealthplan.com	8820 Columbia 100 Parkway	Suite 430	Columbia	MD	21045	7/3/2025	2026	"PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC."	Local CCP	Provider Partners Health Plans	HMO/HMOPOS		"Rifkin Managed Care Holding, LLC"	673	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9207	Automated TrOOP Balance Transfer Contact	"Manager, Pharmacy Regulations & Implementations"		McCaffrey	Hammah		1-412-999-0675				1-215-967-4482	troop@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/3/2026	2026	"HEALTH PARTNERS PLANS, INC."	Local CCP	Jefferson Health Plans	HMO/HMOPOS		Thomas Jefferson University	523	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9207	Best Available Evidence Contact	"Manager, Enrollment Support"		Polkus	Megan		1-267-979-8799				1-215-967-9267	megan.polkus@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/1/2026	2026	"HEALTH PARTNERS PLANS, INC."	Local CCP	Jefferson Health Plans	HMO/HMOPOS		Thomas Jefferson University	523	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9207	Chief Financial Officer	Chief Financial Officer	Mr.	Czar	Gregory	J	1-215-287-3338					gregory.czar@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/10/2025	2026	"HEALTH PARTNERS PLANS, INC."	Local CCP	Jefferson Health Plans	HMO/HMOPOS		Thomas Jefferson University	523	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9207	CMS Casework Communication Contact	"Manager, Complaints, Grievances and Appeals"		Watkins	Leah		1-215-991-4023					leah.watkins@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/1/2026	2026	"HEALTH PARTNERS PLANS, INC."	Local CCP	Jefferson Health Plans	HMO/HMOPOS		Thomas Jefferson University	523	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9207	Coordination of Benefits Contact	Manager Pharmacy Benefit Design & Audit		Chan	Kay		1-215-991-4197				1-215-967-4482	suzanna.chan@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/4/2026	2026	"HEALTH PARTNERS PLANS, INC."	Local CCP	Jefferson Health Plans	HMO/HMOPOS		Thomas Jefferson University	523	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9207	Customer Service Operations Contact	Vice President of Customer Experience		Shultis	Jesse		1-203-613-7767					jesse.shultis@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/1/2026	2026	"HEALTH PARTNERS PLANS, INC."	Local CCP	Jefferson Health Plans	HMO/HMOPOS		Thomas Jefferson University	523	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9207	Government Relations Contact	AVP Policy and Regulatory Affairs		Bellito	Lisa		1-610-217-1468					lisa.bellito@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	5/29/2026	2026	"HEALTH PARTNERS PLANS, INC."	Local CCP	Jefferson Health Plans	HMO/HMOPOS		Thomas Jefferson University	523	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9207	Hospice Contact	"Mgr, Pharmacy Regulations & Implementations"		McCaffrey	Hannah		1-412-999-0675					pharmacymedicare@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/3/2026	2026	"HEALTH PARTNERS PLANS, INC."	Local CCP	Jefferson Health Plans	HMO/HMOPOS		Thomas Jefferson University	523	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9207	Medicare Compliance Officer	Associate Compliance Officer	Mrs.	Lloyd	Angela		1-267-972-0786					angela.lloyd@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	5/29/2026	2026	"HEALTH PARTNERS PLANS, INC."	Local CCP	Jefferson Health Plans	HMO/HMOPOS		Thomas Jefferson University	523	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9207	Part D Exceptions Contact	"Director, Pharmacy Services"		Dolores	Danielle						1-866-371-3239	Exceptions@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/3/2026	2026	"HEALTH PARTNERS PLANS, INC."	Local CCP	Jefferson Health Plans	HMO/HMOPOS		Thomas Jefferson University	523	Yes	Active	1-215-991-4329				HMO - Health Maintenance Organization		C	Chicago
H9207	Pharmacy Network Management Contact	"Director, Pharmacy Services"		Dolores	Danielle		1-856-577-5734				1-215-967-4482	Pharmacynetwork@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/3/2026	2026	"HEALTH PARTNERS PLANS, INC."	Local CCP	Jefferson Health Plans	HMO/HMOPOS		Thomas Jefferson University	523	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9207	Pharmacy Technical Help Desk Contact	"Director, Pharmacy Services"		Dolores	Danielle						1-215-967-9270	Formulary@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	6/3/2026	2026	"HEALTH PARTNERS PLANS, INC."	Local CCP	Jefferson Health Plans	HMO/HMOPOS		Thomas Jefferson University	523	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Chicago
H9207	Plan to Plan Reconciliation Contact	Pharmacy Regulatory Business Coordinator		Rutledge-Glazov	Rose	A	1-215-965-7142				1-215-967-9263	P2P@jeffersonhealthplans.com	1101 Market Street	Suite 3000	Philadelphia	PA	19107	1/6/2025	2026	"HEALTH PARTNERS PLANS, INC."	Local CCP	Jefferson Health Plans	HMO/HMOPOS		Thomas Jefferson University	523	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9219	Automated TrOOP Balance Transfer Contact	"Manager II, Membership"		Miller	Karen		1-920-539-1417					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	5/27/2026	2026	"AMH HEALTH PLANS OF MAINE, INC."	Local CCP	AMH Health	Local PPO		"Elevance Health, Inc."	1	No	Withdrawn Contract					PPO - BBA		C	Chicago
H9219	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	5/27/2026	2026	"AMH HEALTH PLANS OF MAINE, INC."	Local CCP	AMH Health	Local PPO		"Elevance Health, Inc."	1	No	Withdrawn Contract					PPO - BBA		C	Chicago
H9219	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	5/27/2026	2026	"AMH HEALTH PLANS OF MAINE, INC."	Local CCP	AMH Health	Local PPO		"Elevance Health, Inc."	1	No	Withdrawn Contract					PPO - BBA		C	Chicago
H9219	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/27/2026	2026	"AMH HEALTH PLANS OF MAINE, INC."	Local CCP	AMH Health	Local PPO		"Elevance Health, Inc."	1	No	Withdrawn Contract					PPO - BBA		C	Chicago
H9219	Coordination of Benefits Contact	Staff VP Cost Optimization		Franke	Beth		1-502-548-1076					beth.franke@carelon.com	13550 Triton Office Park Blvd		Louisville	KY	40223	5/27/2026	2026	"AMH HEALTH PLANS OF MAINE, INC."	Local CCP	AMH Health	Local PPO		"Elevance Health, Inc."	1	No	Withdrawn Contract					PPO - BBA		C	Chicago
H9219	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/27/2026	2026	"AMH HEALTH PLANS OF MAINE, INC."	Local CCP	AMH Health	Local PPO		"Elevance Health, Inc."	1	No	Withdrawn Contract					PPO - BBA		C	Chicago
H9219	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	5/27/2026	2026	"AMH HEALTH PLANS OF MAINE, INC."	Local CCP	AMH Health	Local PPO		"Elevance Health, Inc."	1	No	Withdrawn Contract					PPO - BBA		C	Chicago
H9219	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	5/27/2026	2026	"AMH HEALTH PLANS OF MAINE, INC."	Local CCP	AMH Health	Local PPO		"Elevance Health, Inc."	1	No	Withdrawn Contract					PPO - BBA		C	Chicago
H9219	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	5/27/2026	2026	"AMH HEALTH PLANS OF MAINE, INC."	Local CCP	AMH Health	Local PPO		"Elevance Health, Inc."	1	No	Withdrawn Contract					PPO - BBA		C	Chicago
H9219	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	5/27/2026	2026	"AMH HEALTH PLANS OF MAINE, INC."	Local CCP	AMH Health	Local PPO		"Elevance Health, Inc."	1	No	Withdrawn Contract	1-513-316-7654				PPO - BBA		C	Chicago
H9219	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	5/27/2026	2026	"AMH HEALTH PLANS OF MAINE, INC."	Local CCP	AMH Health	Local PPO		"Elevance Health, Inc."	1	No	Withdrawn Contract					PPO - BBA		C	Chicago
H9219	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	5/27/2026	2026	"AMH HEALTH PLANS OF MAINE, INC."	Local CCP	AMH Health	Local PPO		"Elevance Health, Inc."	1	No	Withdrawn Contract	1-833-377-4266				PPO - BBA		C	Chicago
H9219	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/27/2026	2026	"AMH HEALTH PLANS OF MAINE, INC."	Local CCP	AMH Health	Local PPO		"Elevance Health, Inc."	1	No	Withdrawn Contract					PPO - BBA		C	Chicago
H9231	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H9231	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H9231	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H9231	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H9231	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H9231	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H9231	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H9231	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H9231	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H9231	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				PPO - BBA		C	New York
H9231	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H9231	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				PPO - BBA		C	New York
H9231	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H9252	Automated TrOOP Balance Transfer Contact	Director PACE Program Development & Implementation		Kiefert	Mary		1-904-234-4338					mary.kiefert@msmc.com	4300 Alton Road		Miami Beach	FL	33140	11/12/2021	2026	"MOUNT SINAI ELDERCARE, INC."	National PACE	Mount Sinai Eldercare	National PACE		"Mount Sinai Medical Center of Florida, Inc."	799	Yes	Active					PACE - Nat		C	Atlanta
H9252	Best Available Evidence Contact	Director PACE Program Development & Implementation		Kiefert	Mary	D	1-904-234-4338					mary.kiefert@msmc.com	4300 Alton Rd		Miami Beach	FL	33140	11/12/2021	2026	"MOUNT SINAI ELDERCARE, INC."	National PACE	Mount Sinai Eldercare	National PACE		"Mount Sinai Medical Center of Florida, Inc."	799	Yes	Active					PACE - Nat		C	Atlanta
H9252	Chief Financial Officer	EVP and Chief Financial Officer	Mr.	Mendez	Alex		1-305-674-2089					alex.mendez@msmc.com	4300 Alton Road		Miami Beach	FL	33140	6/20/2021	2026	"MOUNT SINAI ELDERCARE, INC."	National PACE	Mount Sinai Eldercare	National PACE		"Mount Sinai Medical Center of Florida, Inc."	799	Yes	Active					PACE - Nat		C	Atlanta
H9252	CMS Casework Communication Contact	Director PACE Program Development & Implementation		Kiefert	Mary		1-904-234-4338					mary.kiefert@msmc.com	4300 Alton Road		Miami Beach	FL	33140	11/12/2021	2026	"MOUNT SINAI ELDERCARE, INC."	National PACE	Mount Sinai Eldercare	National PACE		"Mount Sinai Medical Center of Florida, Inc."	799	Yes	Active					PACE - Nat		C	Atlanta
H9252	Coordination of Benefits Contact	Director PACE Program Development & Implementation		Kiefert	Mary		1-904-234-4338					mary.kiefert@msmc.com	4300 Alton Road		Miami Beach	FL	33140	11/12/2021	2026	"MOUNT SINAI ELDERCARE, INC."	National PACE	Mount Sinai Eldercare	National PACE		"Mount Sinai Medical Center of Florida, Inc."	799	Yes	Active					PACE - Nat		C	Atlanta
H9252	Customer Service Operations Contact	Director PACE Program Development & Implementation		Kiefert	Mary		1-904-234-4338					mary.kiefert@msmc.com	4300 Alton Road		Miami Beach	FL	33140	11/12/2021	2026	"MOUNT SINAI ELDERCARE, INC."	National PACE	Mount Sinai Eldercare	National PACE		"Mount Sinai Medical Center of Florida, Inc."	799	Yes	Active					PACE - Nat		C	Atlanta
H9252	Government Relations Contact	Director PACE Program Development & Implementation		Kiefert	Mary		1-904-234-4338					mary.kiefert@msmc.com	4300 Alton Road		Miami Beach	FL	33140	11/12/2021	2026	"MOUNT SINAI ELDERCARE, INC."	National PACE	Mount Sinai Eldercare	National PACE		"Mount Sinai Medical Center of Florida, Inc."	799	Yes	Active					PACE - Nat		C	Atlanta
H9252	Medicare Compliance Officer	Director PACE Program Development & Implementation	Ms.	Kiefert	Mary		1-904-234-4338					mary.kiefert@msmc.com	4300 Alton Road		Miami Beach	FL	33140	11/12/2021	2026	"MOUNT SINAI ELDERCARE, INC."	National PACE	Mount Sinai Eldercare	National PACE		"Mount Sinai Medical Center of Florida, Inc."	799	Yes	Active					PACE - Nat		C	Atlanta
H9252	Part D Exceptions Contact			Kiefert	Mary							mary.kiefert@msmc.com	4300 Alton Road		Miami Beach	FL	33140	11/12/2021	2026	"MOUNT SINAI ELDERCARE, INC."	National PACE	Mount Sinai Eldercare	National PACE		"Mount Sinai Medical Center of Florida, Inc."	799	Yes	Active	1-904-234-4338				PACE - Nat		C	Atlanta
H9252	Pharmacy Network Management Contact	Director PACE Program Development & Implementation		Kiefert	Mary		1-904-234-4338					mary.kiefert@msmc.com	4300 Alton Road		Miami Beach	FL	33140	11/12/2021	2026	"MOUNT SINAI ELDERCARE, INC."	National PACE	Mount Sinai Eldercare	National PACE		"Mount Sinai Medical Center of Florida, Inc."	799	Yes	Active					PACE - Nat		C	Atlanta
H9252	Pharmacy Technical Help Desk Contact			Kiefert	Mary							mary.kiefert@msmc.com	4300 Alton Road		Miami Beach	FL	33140	11/12/2021	2026	"MOUNT SINAI ELDERCARE, INC."	National PACE	Mount Sinai Eldercare	National PACE		"Mount Sinai Medical Center of Florida, Inc."	799	Yes	Active	1-904-234-4338				PACE - Nat		C	Atlanta
H9252	Plan to Plan Reconciliation Contact	Director PACE Program Development & Implementation		Kiefert	Mary		1-904-234-4338					mary.kiefert@msmc.com	4300 Alton Road		Miami Beach	FL	33140	11/12/2021	2026	"MOUNT SINAI ELDERCARE, INC."	National PACE	Mount Sinai Eldercare	National PACE		"Mount Sinai Medical Center of Florida, Inc."	799	Yes	Active					PACE - Nat		C	Atlanta
H9266	Automated TrOOP Balance Transfer Contact	Health Plan Director		White	Cre'shawna		1-919-933-8494	2645			1-919-933-9201	whitec@piedmonthealth.org	"88 Vilcom Center Drive, Suite 110"		Chapel Hill	NC	27514	4/17/2025	2026	"PIEDMONT HEALTH SERVICES, INC."	National PACE	Piedmont Health SeniorCare	National PACE		"PIEDMONT HEALTH SERVICES, INC."	383	Yes	Active					PACE - Nat		C	Atlanta
H9266	Best Available Evidence Contact	Health Plan Director		White	Cre'shawna		1-919-933-8494	2645			1-919-933-9201	whitec@piedmonthealth.org	"88 Vilcom Center Drive, Suite 110"		Chapel Hill	NC	27514	4/17/2025	2026	"PIEDMONT HEALTH SERVICES, INC."	National PACE	Piedmont Health SeniorCare	National PACE		"PIEDMONT HEALTH SERVICES, INC."	383	Yes	Active					PACE - Nat		C	Atlanta
H9266	Chief Financial Officer	Chief Pharmacy Officer	Mrs.	Stout	Kelly		1-919-537-7493				1-919-933-9201	stoutk@piedmonthealth.org	"88 Vilcom Center Drive, Suite 110"		Chapel Hil	NC	27514	5/20/2026	2026	"PIEDMONT HEALTH SERVICES, INC."	National PACE	Piedmont Health SeniorCare	National PACE		"PIEDMONT HEALTH SERVICES, INC."	383	Yes	Active					PACE - Nat		C	Atlanta
H9266	CMS Casework Communication Contact	"Executive Director, Piedmont Health SeniorCare"	Mr.	Sumpter	Jeffrey		1-919-545-7341				1-919-933-9201	sumpterj@piedmonthealth.org	"88 Vilcom Center Drive, Suite 110"		Chapel Hill	NC	27514	6/11/2021	2026	"PIEDMONT HEALTH SERVICES, INC."	National PACE	Piedmont Health SeniorCare	National PACE		"PIEDMONT HEALTH SERVICES, INC."	383	Yes	Active					PACE - Nat		C	Atlanta
H9266	Coordination of Benefits Contact	Health Plan Director		White	Cre'shawna		1-919-933-8494	2645			1-919-933-9201	whitec@piedmonthealth.org	"88 Vilcom Center Drive, Suite 110"		Chapel Hill	NC	27514	4/17/2025	2026	"PIEDMONT HEALTH SERVICES, INC."	National PACE	Piedmont Health SeniorCare	National PACE		"PIEDMONT HEALTH SERVICES, INC."	383	Yes	Active					PACE - Nat		C	Atlanta
H9266	Customer Service Operations Contact	Health Plan Director		White	Cre'shawna		1-919-933-8494	2645			1-919-933-9201	whitec@piedmonthealth.org	"88 Vilcom Center Drive, Suite 110"		Chapel Hill	NC	27514	4/17/2025	2026	"PIEDMONT HEALTH SERVICES, INC."	National PACE	Piedmont Health SeniorCare	National PACE		"PIEDMONT HEALTH SERVICES, INC."	383	Yes	Active					PACE - Nat		C	Atlanta
H9266	Government Relations Contact	PACE Executive Director	Ms.	Sumpter	Jeffery		1-919-545-7341				1-919-933-9201	sumpterj@piedmonthealth.org	"88 Vilcom Center Drive, Suite 110"		Chapel Hill	NC	27514	5/20/2026	2026	"PIEDMONT HEALTH SERVICES, INC."	National PACE	Piedmont Health SeniorCare	National PACE		"PIEDMONT HEALTH SERVICES, INC."	383	Yes	Active					PACE - Nat		C	Atlanta
H9266	Medicare Compliance Officer	PACE Executive Director	Mr.	Sumpter	Jeffrey		1-919-545-7341				1-919-933-9201	sumpterj@piedmonthealth.org	"88 Vilcom Center Drive, Suite 110"		Chapel Hill	NC	27514	6/11/2021	2026	"PIEDMONT HEALTH SERVICES, INC."	National PACE	Piedmont Health SeniorCare	National PACE		"PIEDMONT HEALTH SERVICES, INC."	383	Yes	Active					PACE - Nat		C	Atlanta
H9266	Part D Exceptions Contact	Chief Pharmacy Officer	Mrs.	Stout	Kelly						1-336-532-0001	stoutk@piedmonthealth.org	88 Vilcom Center Drive	Suite 110	Chapel Hill	NC	27514	4/15/2024	2026	"PIEDMONT HEALTH SERVICES, INC."	National PACE	Piedmont Health SeniorCare	National PACE		"PIEDMONT HEALTH SERVICES, INC."	383	Yes	Active	1-919-537-7493				PACE - Nat		C	Atlanta
H9266	Pharmacy Network Management Contact	Chief Pharmacy Officer	Mrs.	Stout	Kelly		1-919-537-7493				1-336-532-0001	stoutk@piedmonthealth.org	88 Vilcom Center Drive	Suite 110	Chapel Hill	NC	27514	4/15/2024	2026	"PIEDMONT HEALTH SERVICES, INC."	National PACE	Piedmont Health SeniorCare	National PACE		"PIEDMONT HEALTH SERVICES, INC."	383	Yes	Active					PACE - Nat		C	Atlanta
H9266	Pharmacy Technical Help Desk Contact	Chief Pharmacy Officer	Mrs.	Stout	Kelly						1-336-532-0001	stoutk@piedmonthealth.org	88 Vilcom Center Drive	Suite 110	Chapel Hill	NC	27514	4/15/2024	2026	"PIEDMONT HEALTH SERVICES, INC."	National PACE	Piedmont Health SeniorCare	National PACE		"PIEDMONT HEALTH SERVICES, INC."	383	Yes	Active	1-919-537-7493				PACE - Nat		C	Atlanta
H9266	Plan to Plan Reconciliation Contact	Health Plan Director		White	Cre'shawna		1-919-933-8494	2645			1-919-933-9201	whitec@piedmonthealth.org	"88 Vilcom Center Drive, Suite 110"		Chapel Hill	NC	27514	4/17/2025	2026	"PIEDMONT HEALTH SERVICES, INC."	National PACE	Piedmont Health SeniorCare	National PACE		"PIEDMONT HEALTH SERVICES, INC."	383	Yes	Active					PACE - Nat		C	Atlanta
H9289	Automated TrOOP Balance Transfer Contact			Landeros	Cesar		1-818-899-5555					clanderos@cffhae.org	"8727 Van Nuys Boulevard, #101"		Panorama City	CA	91402	3/22/2024	2026	COMPLETE CARE PACE PROGRAM	National PACE	Complete Care PACE Program	National PACE		Center for Family Health and Education	847	Yes	Active					PACE - Nat		C	San Francisco
H9289	Best Available Evidence Contact			Landeros	Cesar		1-818-899-5555					clanderos@cffhae.org	"8727 Van Nuys Boulevard, #101"		Panorama City	CA	91402	3/22/2024	2026	COMPLETE CARE PACE PROGRAM	National PACE	Complete Care PACE Program	National PACE		Center for Family Health and Education	847	Yes	Active					PACE - Nat		C	San Francisco
H9289	Chief Financial Officer	CFO	Mr	Landeros	Cesar		1-818-895-5200					CLanderos@cffhae.org	6609 Van Nuys Blvd	Suite 102	Van Nuys	CA	91405	3/22/2024	2026	COMPLETE CARE PACE PROGRAM	National PACE	Complete Care PACE Program	National PACE		Center for Family Health and Education	847	Yes	Active					PACE - Nat		C	San Francisco
H9289	CMS Casework Communication Contact			Landeros	Cesar		1-818-899-5555					clanderos@cffhae.org	"8727 Van Nuys Boulevard, #101"		Panorama City	CA	91402	3/22/2024	2026	COMPLETE CARE PACE PROGRAM	National PACE	Complete Care PACE Program	National PACE		Center for Family Health and Education	847	Yes	Active					PACE - Nat		C	San Francisco
H9289	Coordination of Benefits Contact			Landeros	Cesar		1-818-899-5555					clanderos@cffhae.org	"8727 Van Nuys Boulevard, #101"		Panorama City	CA	91402	3/22/2024	2026	COMPLETE CARE PACE PROGRAM	National PACE	Complete Care PACE Program	National PACE		Center for Family Health and Education	847	Yes	Active					PACE - Nat		C	San Francisco
H9289	Customer Service Operations Contact			Landeros	Cesar		1-818-899-5555					clanderos@cffhae.org	"8727 Van Nuys Boulevard, #101"		Panorama City	CA	91402	3/22/2024	2026	COMPLETE CARE PACE PROGRAM	National PACE	Complete Care PACE Program	National PACE		Center for Family Health and Education	847	Yes	Active					PACE - Nat		C	San Francisco
H9289	Government Relations Contact	COO	Mr	Barkhash	Asya		1-818-895-5200					ABarkhash@cffhae.org	6609 Van Nuys Blvd		Van Nuys	CA	91405	3/22/2024	2026	COMPLETE CARE PACE PROGRAM	National PACE	Complete Care PACE Program	National PACE		Center for Family Health and Education	847	Yes	Active					PACE - Nat		C	San Francisco
H9289	Medicare Compliance Officer	CEO	Mr	Kashani	Daryoush		1-818-895-5200					DKashani@cffhae.org	6609 Van Nuys Blvd		Van Nuys	CA	91405	3/22/2024	2026	COMPLETE CARE PACE PROGRAM	National PACE	Complete Care PACE Program	National PACE		Center for Family Health and Education	847	Yes	Active					PACE - Nat		C	San Francisco
H9289	Part D Exceptions Contact			Kossari	Sean							SKossari@cffhae.org	6609 Van Nuys Blvd		Van Nuys	CA	91405	3/22/2024	2026	COMPLETE CARE PACE PROGRAM	National PACE	Complete Care PACE Program	National PACE		Center for Family Health and Education	847	Yes	Active	1-818-895-5200				PACE - Nat		C	San Francisco
H9289	Pharmacy Network Management Contact			Landeros	Cesar		1-818-899-5555					clanderos@cffhae.org	"8727 Van Nuys Boulevard, #101"		Panorama City	CA	91402	3/22/2024	2026	COMPLETE CARE PACE PROGRAM	National PACE	Complete Care PACE Program	National PACE		Center for Family Health and Education	847	Yes	Active					PACE - Nat		C	San Francisco
H9289	Pharmacy Technical Help Desk Contact			Kossari	Sean							SKossari@cffhae.org	6609 Van Nuys Blvd		Van Nuys	CA	91405	3/22/2024	2026	COMPLETE CARE PACE PROGRAM	National PACE	Complete Care PACE Program	National PACE		Center for Family Health and Education	847	Yes	Active	1-818-895-5200				PACE - Nat		C	San Francisco
H9289	Plan to Plan Reconciliation Contact	CFO	Mr	Landeros	Cesar		1-818-895-5200					clanderos@cffhae.org	6609 Van Nuys Blvd		Van Nuys	CA	91405	3/22/2024	2026	COMPLETE CARE PACE PROGRAM	National PACE	Complete Care PACE Program	National PACE		Center for Family Health and Education	847	Yes	Active					PACE - Nat		C	San Francisco
H9306	Automated TrOOP Balance Transfer Contact	Clinical Pharmacist	Mr	Njoku	Samual		1-443-597-7812				1-410-801-5703	snjoku@alterwoodhealth.com	PO Box 4175		Timonium	MD	21094	5/10/2024	2026	"ALTERWOOD ADVANTAGE, INC."	Local CCP	Alterwood Advantage	HMO/HMOPOS		"LifeBridge Health, Inc."	770	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H9306	Best Available Evidence Contact	Medicare Program Director	Ms	Zahangir	Nadia		1-347-307-5868				1-443-318-1060	nzahangir@alterwoodhealth.com	PO Box 4175		Timonium	MD	21094	1/21/2022	2026	"ALTERWOOD ADVANTAGE, INC."	Local CCP	Alterwood Advantage	HMO/HMOPOS		"LifeBridge Health, Inc."	770	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H9306	Chief Financial Officer	Chief Financial Officer	Mr	Yancisin	Matt		1-443-884-9108				1-443-558-7809	myancisin@alterwoodhealth.com	PO Box 4175		Timonium	MD	21094	1/21/2022	2026	"ALTERWOOD ADVANTAGE, INC."	Local CCP	Alterwood Advantage	HMO/HMOPOS		"LifeBridge Health, Inc."	770	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H9306	CMS Casework Communication Contact	Chief Compliance Officer	Mr	Burch	Aaron		1-410-446-6506				1-410-801-5704	aburch@alterwoodhealth.com	10090 Red Run Blvd		Owings Mills	MD	21117	12/10/2025	2026	"ALTERWOOD ADVANTAGE, INC."	Local CCP	Alterwood Advantage	HMO/HMOPOS		"LifeBridge Health, Inc."	770	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H9306	Coordination of Benefits Contact	Medicare Program Director	Ms	Zahangir	Nadia		1-347-307-5868				1-443-318-1060	nzahangir@alterwoodhealth.com	PO Box 4175		Timonium	MD	21094	1/21/2022	2026	"ALTERWOOD ADVANTAGE, INC."	Local CCP	Alterwood Advantage	HMO/HMOPOS		"LifeBridge Health, Inc."	770	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H9306	Customer Service Operations Contact	Director of Operations	Ms	Goss	April		1-667-290-5601				1-410-801-5704	agoss@alterwoodhealth.com	PO Box 4175		Timonium	MD	21094	1/21/2022	2026	"ALTERWOOD ADVANTAGE, INC."	Local CCP	Alterwood Advantage	HMO/HMOPOS		"LifeBridge Health, Inc."	770	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H9306	Government Relations Contact	Chief Marketing Officer	Mr	Davis	James		1-443-884-9082				1-410-801-5865	jdavis@alterwoodhealth.com	PO Box 4175		Timonium	MD	21094	1/21/2022	2026	"ALTERWOOD ADVANTAGE, INC."	Local CCP	Alterwood Advantage	HMO/HMOPOS		"LifeBridge Health, Inc."	770	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H9306	Hospice Contact	Chief Health & Quality Officer	Ms	Bavis	Jill		1-443-884-9083				1-443-558-7809	jbavis@alterwoodhealth.com	PO Box 4175		Timonium	MD	21094	6/23/2022	2026	"ALTERWOOD ADVANTAGE, INC."	Local CCP	Alterwood Advantage	HMO/HMOPOS		"LifeBridge Health, Inc."	770	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H9306	Medicare Compliance Officer	"Vice President, Business & Regulatory Affairs"	Mr	Burch	Aaron		1-410-446-6506				1-240-201-9079	aburch@alterwoodhealth.com	PO Box 4175		Timonium	MD	21094	2/7/2022	2026	"ALTERWOOD ADVANTAGE, INC."	Local CCP	Alterwood Advantage	HMO/HMOPOS		"LifeBridge Health, Inc."	770	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H9306	Part D Exceptions Contact	Clinical Pharmacist	Mr	Njoku	Samual						1-410-801-5703	snjoku@alterwoodhealth.com	PO Box 4175		Timonium	MD	21094	5/10/2024	2026	"ALTERWOOD ADVANTAGE, INC."	Local CCP	Alterwood Advantage	HMO/HMOPOS		"LifeBridge Health, Inc."	770	Yes	Active	1-866-267-3144				HMO - Health Maintenance Organization		C	Seattle
H9306	Pharmacy Network Management Contact	Director Pharmacy Network Dev and Ops	Ms	Profio	Lauren		1-330-486-4864				1-330-405-8094	lprofio@elixirsolutions.com	7801 Freedom Way NW		N. Canton	OH	44720	2/14/2024	2026	"ALTERWOOD ADVANTAGE, INC."	Local CCP	Alterwood Advantage	HMO/HMOPOS		"LifeBridge Health, Inc."	770	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H9306	Pharmacy Technical Help Desk Contact	VP Operations	Mr	Conn	Todd							tconn@elixirsolutions.com	7801 Freedom Way NW		N. Canton	OH	44720	2/14/2024	2026	"ALTERWOOD ADVANTAGE, INC."	Local CCP	Alterwood Advantage	HMO/HMOPOS		"LifeBridge Health, Inc."	770	Yes	Active	1-833-693-2189				HMO - Health Maintenance Organization		C	Seattle
H9306	Plan to Plan Reconciliation Contact	Chief Financial Officer	Mr	Yancisin	Matt		1-443-884-9108				1-443-558-7809	myancisin@alterwoodhealth.com	PO Box 4175		Timonium	MD	21094	1/21/2022	2026	"ALTERWOOD ADVANTAGE, INC."	Local CCP	Alterwood Advantage	HMO/HMOPOS		"LifeBridge Health, Inc."	770	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H9314	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	10/24/2025	2026	AETNA BETTER HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare HIDE	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9314	Best Available Evidence Contact	"Lead Director, Compliance"		Brown	Kristen	J	1-614-439-5370					brownk5@aetna.com	"7400 West Campus Road, Mail Code F494"		New Albany	OH	43054	11/1/2024	2026	AETNA BETTER HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare HIDE	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9314	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA BETTER HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare HIDE	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9314	CMS Casework Communication Contact	"Lead Director, Complaint and Appeals"	Ms.	Mougey	Melissa		1-740-819-1678					mougeym@aetna.com	109 Hunters Trl		Wheelersburg	OH	45694	11/1/2024	2026	AETNA BETTER HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare HIDE	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9314	Coordination of Benefits Contact	Phamacy Director		Vergil	Gina		1-402-699-7768					VergilG@aetna.com	7400 West Campus Road		New Albany	OH	43054	11/1/2024	2026	AETNA BETTER HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare HIDE	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9314	Customer Service Operations Contact	"Director, Service Operations"		Phillips	Tish		1-614-653-7335					PhillipsL1@aetna.com	7400 Campus Road		New Albany	OH	43054	11/18/2025	2026	AETNA BETTER HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare HIDE	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9314	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA BETTER HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare HIDE	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9314	Hospice Contact	"Lead Director, Service Operations"		Truitt	Michelle		1-717-671-6847					MLTruitt@aetna.com	151 Farmington Ave.		Hartford	CT	06156	10/24/2025	2026	AETNA BETTER HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare HIDE	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9314	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	11/1/2024	2026	AETNA BETTER HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare HIDE	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9314	Part D Exceptions Contact	Pharmacy Director		Vergil	Gina						1-844-242-0914	Vergilg@aetna.com	7400 West Campus Road		New Albany	OH	43054	6/15/2026	2026	AETNA BETTER HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare HIDE	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-402-699-7768				HMO - Health Maintenance Organization		C	Atlanta
H9314	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	11/18/2025	2026	AETNA BETTER HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare HIDE	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9314	Pharmacy Technical Help Desk Contact	Phamacy Director		Vergil	Gina							VergilG@aetna.com	7400 West Campus Road		New Albany	OH	43054	11/1/2024	2026	AETNA BETTER HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare HIDE	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-855-319-6287				HMO - Health Maintenance Organization		C	Atlanta
H9314	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA BETTER HEALTH OF MICHIGAN INC.	Local CCP	Aetna Medicare HIDE	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9317	Automated TrOOP Balance Transfer Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224				1-732-806-3324	jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/26/2026	2026	"BEACON OF LIFE SC, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H9317	Best Available Evidence Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/31/2026	2026	"BEACON OF LIFE SC, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H9317	Chief Financial Officer	Chief Financial Officer	Mr	Schlesinger	David		1-855-801-2653					dschlesinger@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	5/20/2026	2026	"BEACON OF LIFE SC, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H9317	CMS Casework Communication Contact	Director of Compliance	Ms	Cooper	Wanda		1-855-801-2653					wcooper@boldagepace.com	1075 Stephenson Avenue Suite B		Oceanport	NJ	07757	5/20/2026	2026	"BEACON OF LIFE SC, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H9317	Coordination of Benefits Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3324				1-732-806-3324	jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/20/2026	2026	"BEACON OF LIFE SC, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H9317	Customer Service Operations Contact	Executive Director	Mr	Williams	Rob		1-854-768-0800					rwilliams@boldagepace.com	2801 Ashley Phosphate Road		North Charleston	SC	29418	5/6/2025	2026	"BEACON OF LIFE SC, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H9317	Government Relations Contact	Chief Administrative Officer	Mr	Czermak	Michael		1-855-801-2653					michaelc@boldagepace.com	1897 Lakewood Road	Unit 109	Oceanport	NJ	07757	5/11/2026	2026	"BEACON OF LIFE SC, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H9317	Medicare Compliance Officer	Director of Compliance	Ms	Cooper	Wanda		1-855-801-2653					wcooper@boldagepace.com	1075 Stephenson Avenue	Suite B	Oceanport	NJ	07757	5/20/2026	2026	"BEACON OF LIFE SC, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H9317	Part D Exceptions Contact	Finance Specialist		Partlow	Jennie							jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/26/2026	2026	"BEACON OF LIFE SC, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active	1-954-839-5000				PACE - Nat		C	New York
H9317	Pharmacy Network Management Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/26/2026	2026	"BEACON OF LIFE SC, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H9317	Pharmacy Technical Help Desk Contact	Financial Specialist	Ms	Partlow	Jennie							jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/26/2026	2026	"BEACON OF LIFE SC, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active	1-855-801-2653				PACE - Nat		C	New York
H9317	Plan to Plan Reconciliation Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224				1-732-806-3324	jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/26/2026	2026	"BEACON OF LIFE SC, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H9323	Automated TrOOP Balance Transfer Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224				1-732-806-3324	jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/26/2026	2026	"BEACON OF LIFE CENTRAL NJ, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H9323	Best Available Evidence Contact	Financial Specialist		Partlow	Jennie		1-732-806-3224				1-732-592-3500	jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/30/2026	2026	"BEACON OF LIFE CENTRAL NJ, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H9323	Chief Financial Officer	Chief Financial Officer	Mr	Schlesinger	David		1-855-801-2653					dschlesinger@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	5/20/2026	2026	"BEACON OF LIFE CENTRAL NJ, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H9323	CMS Casework Communication Contact	Director of Compliance	Ms.	Cooper	Wanda		1-855-801-2653					wcooper@boldagepace.com	1075 Stephenson Avenue Suite B		Oceanport	NJ	07757	5/20/2026	2026	"BEACON OF LIFE CENTRAL NJ, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H9323	Coordination of Benefits Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224				1-732-806-3324	jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/17/2026	2026	"BEACON OF LIFE CENTRAL NJ, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H9323	Customer Service Operations Contact	Executive Director	Dr	Gagliano	Melissa		1-732-592-3400					mgagliano@beaconpace.com	1075 Stephenson Avenue	Suite B	Oceanport	NJ	07757	4/8/2025	2026	"BEACON OF LIFE CENTRAL NJ, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H9323	Government Relations Contact	Chief Administrative Officer	Mr	Czermak	Michael		1-855-801-2653					michaelc@boldagepace.com	1897 Lakewood Road	Unit 109	Toms River	NJ	08753	5/11/2026	2026	"BEACON OF LIFE CENTRAL NJ, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H9323	Medicare Compliance Officer	Director of Compliance	Ms	Cooper	Wanda		1-855-801-2653					wcooper@boldagepace.com	1075 Stephenson Avenue	Suite B	Oceanport	NJ	07757	5/20/2026	2026	"BEACON OF LIFE CENTRAL NJ, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H9323	Part D Exceptions Contact	Financial Specialist	Ms	Partlow	Jennie							jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	4/20/2026	2026	"BEACON OF LIFE CENTRAL NJ, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active	1-732-806-3224				PACE - Nat		C	New York
H9323	Pharmacy Network Management Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224					jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/26/2026	2026	"BEACON OF LIFE CENTRAL NJ, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H9323	Pharmacy Technical Help Desk Contact	Financial Specialist	Ms	Partlow	Jennie						1-732-806-3324	jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/26/2026	2026	"BEACON OF LIFE CENTRAL NJ, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active	1-855-801-2653				PACE - Nat		C	New York
H9323	Plan to Plan Reconciliation Contact	Financial Specialist	Ms	Partlow	Jennie		1-732-806-3224				1-732-806-3324	jpartlow@boldagepace.com	112 Exmore Road	Suite 3	Mooresville	NC	28117	3/26/2026	2026	"BEACON OF LIFE CENTRAL NJ, LLC"	National PACE	BoldAge PACE	National PACE		"BoldAge PACE, LLC"	898	Yes	Active					PACE - Nat		C	New York
H9326	Automated TrOOP Balance Transfer Contact	Sr. Business Analyst		Diaz	Mario		1-714-317-2628					OptumRx-SupportServices@optum.com	11000 Optum Circle		Eden Pairie	MN	55344	1/13/2025	2026	WYOBLUE ADVANTAGE INC	Local CCP	WyoBlue Advantage	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H9326	Best Available Evidence Contact			McLemore	Emily		1-713-443-9643					emily.mclemore@usthealthproof.com	5 Polaris Way		Alisa Veijo	CA	92656	1/13/2025	2026	WYOBLUE ADVANTAGE INC	Local CCP	WyoBlue Advantage	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H9326	Chief Financial Officer	"SVP, Controller"	Mr	Pisarik	Jason		1-517-708-5285					jason.pisarik@emergentholdingsinc.com	200 N Grand Ave		Lansing	MI	48901	1/13/2025	2026	WYOBLUE ADVANTAGE INC	Local CCP	WyoBlue Advantage	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H9326	CMS Casework Communication Contact	"Manager, Program Oversight"		Martell	Stacey		1-248-665-4028					smartell@bcbsm.com	600 Lafayette East		Detroit	MI	48226	1/13/2025	2026	WYOBLUE ADVANTAGE INC	Local CCP	WyoBlue Advantage	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H9326	Coordination of Benefits Contact	Manager		Mercurio	Corrin		1-603-260-7717					corrin.mercurio@advantasure.com	5 Polaris Way		Alisa Veijo	CA	92656	1/13/2025	2026	WYOBLUE ADVANTAGE INC	Local CCP	WyoBlue Advantage	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H9326	Customer Service Operations Contact	Manager		Williams	Dena		1-770-309-1524					dena.williams@usthealthproof.com	5 Polaris Way		Alisa Veijo	CA	92656	1/13/2025	2026	WYOBLUE ADVANTAGE INC	Local CCP	WyoBlue Advantage	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H9326	Government Relations Contact	"Manager, Program Oversight"		Martell	Stacey		1-248-665-4028					smartell@bcbsm.com	600 Lafayette East		Detroit	MI	48226	1/13/2025	2026	WYOBLUE ADVANTAGE INC	Local CCP	WyoBlue Advantage	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H9326	Hospice Contact	"Director, Pharmacy Operations"		Clark	Erica		1-616-758-0917					Erica.Clark@bcbsm.com	200 N Grand Ave		Lansing	MI	48901	1/13/2025	2026	WYOBLUE ADVANTAGE INC	Local CCP	WyoBlue Advantage	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H9326	Medicare Compliance Officer	VP Enterprise Compliance	Ms	Lange	Kelly		1-313-225-8554					MedComplianceOfficer2@bcbsm.com	600 Lafayette East		Detroit	MI	48226	4/14/2025	2026	WYOBLUE ADVANTAGE INC	Local CCP	WyoBlue Advantage	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H9326	Part D Exceptions Contact			Le	Christina							christina.le@optum.com	PO Box 2975		Mission	KS	66201	1/13/2025	2026	WYOBLUE ADVANTAGE INC	Local CCP	WyoBlue Advantage	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active	1-714-825-3783				PPO - BBA		C	Chicago
H9326	Pharmacy Network Management Contact			Perez	Felix		1-305-331-3044					felix.perez@optum.com	11000 Optum Circle		Eden Pairie	MN	55344	1/13/2025	2026	WYOBLUE ADVANTAGE INC	Local CCP	WyoBlue Advantage	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H9326	Pharmacy Technical Help Desk Contact	Manager		Villanueva	Juan							Juan.Villanueva@optum.com	Telecommute		Costa Mesa	CA	92626	12/17/2025	2026	WYOBLUE ADVANTAGE INC	Local CCP	WyoBlue Advantage	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active	1-800-788-7871				PPO - BBA		C	Chicago
H9326	Plan to Plan Reconciliation Contact	"SVP, Controller"	Mr.	Pisarik	Jason		1-517-708-5285					jason.pisarik@emergentholdingsinc.com	200 N. Grand Ave.		Lansing	MI	48901	2/25/2026	2026	WYOBLUE ADVANTAGE INC	Local CCP	WyoBlue Advantage	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H9360	Automated TrOOP Balance Transfer Contact			Cheng	Jack		1-213-808-1709					jacheng@cscla.org	767 N. Hill Street		Los Angeles	CA	90012	12/16/2021	2026	CHINATOWN SERVICE CENTER	National PACE	www.cscpace.org	National PACE		CHINATOWN SERVICE CENTER	856	Yes	Active					PACE - Nat		C	San Francisco
H9360	Best Available Evidence Contact			Cheng	Jack		1-213-808-1709					jacheng@cscla.org	767 N. Hill Street		Los Angeles	CA	90012	12/16/2021	2026	CHINATOWN SERVICE CENTER	National PACE	www.cscpace.org	National PACE		CHINATOWN SERVICE CENTER	856	Yes	Active					PACE - Nat		C	San Francisco
H9360	Chief Financial Officer	CFO	Ms.	Ramos	Yeryca		1-213-808-1702					yramos@cscla.org	767 N. Hill Street	Suite 400	Los Angeles	CA	90012	12/22/2021	2026	CHINATOWN SERVICE CENTER	National PACE	www.cscpace.org	National PACE		CHINATOWN SERVICE CENTER	856	Yes	Active					PACE - Nat		C	San Francisco
H9360	CMS Casework Communication Contact	COO	Mr.	Cheng	Jack		1-213-808-1709					jacheng@cscla.org	767 N. Hill Street	Suite 400	Los Angeles	CA	90012	12/16/2021	2026	CHINATOWN SERVICE CENTER	National PACE	www.cscpace.org	National PACE		CHINATOWN SERVICE CENTER	856	Yes	Active					PACE - Nat		C	San Francisco
H9360	Coordination of Benefits Contact	COO	Mr.	Cheng	Jack		1-213-808-1709					jacheng@cscla.org	767 N. Hill Street	Suite 400	Los Angeles	CA	90012	12/16/2021	2026	CHINATOWN SERVICE CENTER	National PACE	www.cscpace.org	National PACE		CHINATOWN SERVICE CENTER	856	Yes	Active					PACE - Nat		C	San Francisco
H9360	Customer Service Operations Contact	PACE Operations Director	Mrs	Tran	Phoi		1-626-988-8006					ptran@cscla.org	726 E. Main St	A	Alhambra	CA	91801	3/24/2025	2026	CHINATOWN SERVICE CENTER	National PACE	www.cscpace.org	National PACE		CHINATOWN SERVICE CENTER	856	Yes	Active					PACE - Nat		C	San Francisco
H9360	Government Relations Contact	CEO	Mr.	Ng	Peter		1-213-808-1701					png@cscla.org	767 N. Hill Street	Suite 400	Los Angeles	CA	90012	12/22/2021	2026	CHINATOWN SERVICE CENTER	National PACE	www.cscpace.org	National PACE		CHINATOWN SERVICE CENTER	856	Yes	Active					PACE - Nat		C	San Francisco
H9360	Medicare Compliance Officer	COO	Mr.	Cheng	Jack		1-213-808-1709					jacheng@cscla.org	767 N. Hill Street	Suite 400	Los Angeles	CA	90012	12/16/2021	2026	CHINATOWN SERVICE CENTER	National PACE	www.cscpace.org	National PACE		CHINATOWN SERVICE CENTER	856	Yes	Active					PACE - Nat		C	San Francisco
H9360	Part D Exceptions Contact			Cheng	Jack							jacheng@cscla.org	767 N. Hill Street	Suite 400	Los Angeles	CA	90012	12/16/2021	2026	CHINATOWN SERVICE CENTER	National PACE	www.cscpace.org	National PACE		CHINATOWN SERVICE CENTER	856	Yes	Active	1-213-808-1709				PACE - Nat		C	San Francisco
H9360	Pharmacy Network Management Contact	PACE Operations Director	Mrs	Tran	Phoi		1-626-988-8006					ptran@cscla.org	726 E. Main St	A	Alhambra	CA	91801	3/24/2025	2026	CHINATOWN SERVICE CENTER	National PACE	www.cscpace.org	National PACE		CHINATOWN SERVICE CENTER	856	Yes	Active					PACE - Nat		C	San Francisco
H9360	Pharmacy Technical Help Desk Contact	PACE Operations Director	Mrs.	Tran	Phoi							ptran@cscla.org	726 E. Main St	A	Alhambra	CA	91801	3/24/2025	2026	CHINATOWN SERVICE CENTER	National PACE	www.cscpace.org	National PACE		CHINATOWN SERVICE CENTER	856	Yes	Active	1-626-988-8006				PACE - Nat		C	San Francisco
H9360	Plan to Plan Reconciliation Contact	COO	Mr.	Cheng	Jack		1-213-808-1709					jacheng@cscla.org	767 N. Hill Street	Suite 400	Los Angeles	CA	90012	12/16/2021	2026	CHINATOWN SERVICE CENTER	National PACE	www.cscpace.org	National PACE		CHINATOWN SERVICE CENTER	856	Yes	Active					PACE - Nat		C	San Francisco
H9364	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	6/18/2024	2026	"WELLCARE OF MAINE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9364	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/17/2025	2026	"WELLCARE OF MAINE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9364	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	6/18/2024	2026	"WELLCARE OF MAINE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9364	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"WELLCARE OF MAINE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9364	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"WELLCARE OF MAINE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9364	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/19/2024	2026	"WELLCARE OF MAINE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9364	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"WELLCARE OF MAINE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9364	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	6/18/2024	2026	"WELLCARE OF MAINE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9364	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	"WELLCARE OF MAINE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9364	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	6/18/2024	2026	"WELLCARE OF MAINE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H9364	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	"WELLCARE OF MAINE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9364	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/18/2024	2026	"WELLCARE OF MAINE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0408				HMO - Health Maintenance Organization		C	Denver
H9364	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd	Attn: P2P Department	Tampa	FL	33634	6/18/2024	2026	"WELLCARE OF MAINE, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9387	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	5/19/2026	2026	"SUNFLOWER STATE HEALTH PLAN, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H9387	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	5/19/2026	2026	"SUNFLOWER STATE HEALTH PLAN, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H9387	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	5/19/2026	2026	"SUNFLOWER STATE HEALTH PLAN, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H9387	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	5/19/2026	2026	"SUNFLOWER STATE HEALTH PLAN, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H9387	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	5/19/2026	2026	"SUNFLOWER STATE HEALTH PLAN, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H9387	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	5/19/2026	2026	"SUNFLOWER STATE HEALTH PLAN, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H9387	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	5/19/2026	2026	"SUNFLOWER STATE HEALTH PLAN, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H9387	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	5/19/2026	2026	"SUNFLOWER STATE HEALTH PLAN, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H9387	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	5/19/2026	2026	"SUNFLOWER STATE HEALTH PLAN, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H9387	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	5/19/2026	2026	"SUNFLOWER STATE HEALTH PLAN, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract	1-813-206-7152				PPO - BBA		C	Denver
H9387	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	5/19/2026	2026	"SUNFLOWER STATE HEALTH PLAN, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H9387	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	5/19/2026	2026	"SUNFLOWER STATE HEALTH PLAN, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract	1-833-750-0202				PPO - BBA		C	Denver
H9387	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	5/19/2026	2026	"SUNFLOWER STATE HEALTH PLAN, INC."	Local CCP	Wellcare	Local PPO		Centene Corporation	351	Yes	Withdrawn Contract					PPO - BBA		C	Denver
H9391	Automated TrOOP Balance Transfer Contact	CEO		Beker	Lena		1-323-938-1155					lena@rozeroom.org	18107 Sherman Way Suite 101		Reseda	CA	91335	6/19/2023	2026	"ROZE ROOM PACE, INC."	National PACE	Roze Room PACE	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H9391	Best Available Evidence Contact	CEO		Beker	Lena		1-323-938-1155					lena@rozeroom.org	18107 Sherman Way Suite 101		Reseda	CA	91335	6/19/2023	2026	"ROZE ROOM PACE, INC."	National PACE	Roze Room PACE	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H9391	Chief Financial Officer	CEO	Mrs.	Beker	Lena		1-323-938-1155					lena@rozeroom.org	18107 Sherman Way Suite 101		Reseda	CA	91335	6/19/2023	2026	"ROZE ROOM PACE, INC."	National PACE	Roze Room PACE	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H9391	CMS Casework Communication Contact	CEO		Beker	Lena		1-323-938-1155					lena@rozeroom.org	18107 Sherman Way Suite 101		Reseda	CA	91335	6/19/2023	2026	"ROZE ROOM PACE, INC."	National PACE	Roze Room PACE	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H9391	Coordination of Benefits Contact	CEO		Beker	Lena		1-323-938-1155					lena@rozeroom.org	18107 Sherman Way Suite 101		Reseda	CA	91335	6/19/2023	2026	"ROZE ROOM PACE, INC."	National PACE	Roze Room PACE	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H9391	Customer Service Operations Contact	Corp. Secretary	Mr.	Beker	Alon		1-323-938-1155					alon@roseroomhospice.org	18107 Sherman Way Suite 101		Reseda	CA	91335	6/19/2023	2026	"ROZE ROOM PACE, INC."	National PACE	Roze Room PACE	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H9391	Government Relations Contact	CEO		Beker	Lena		1-323-938-1155					lena@rozeroom.org	18107 Sherman Way Suite 101		Reseda	CA	91335	6/19/2023	2026	"ROZE ROOM PACE, INC."	National PACE	Roze Room PACE	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H9391	Medicare Compliance Officer	Corp. Secretary	Mr.	Beker	Alon		1-323-938-1155					alon@roseroomhospice.org	18107 Sherman Way Suite 101		Reseda	CA	91335	6/20/2023	2026	"ROZE ROOM PACE, INC."	National PACE	Roze Room PACE	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H9391	Part D Exceptions Contact	Chief Compliance Officer		Beker	Alon							alon@roseroomhospice.org	18107 Sherman Way Suite 101		Reseda	CA	91335	6/20/2023	2026	"ROZE ROOM PACE, INC."	National PACE	Roze Room PACE	National PACE				Yes	Pending	1-818-326-7166				PACE - Nat		C	San Francisco
H9391	Pharmacy Network Management Contact	Chief Medical Officer		Cartmel DO	Ana		1-323-938-1155					lena@rozeroom.org	18107 Sherman Way Suite 101		Reseda	CA	91335	6/20/2023	2026	"ROZE ROOM PACE, INC."	National PACE	Roze Room PACE	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H9391	Pharmacy Technical Help Desk Contact	Chief Compliance Officer		Beker	Alon							alon@roseroomhospice.org	18107 Sherman Way Suite 101		Reseda	CA	91335	6/20/2023	2026	"ROZE ROOM PACE, INC."	National PACE	Roze Room PACE	National PACE				Yes	Pending	1-818-326-7166				PACE - Nat		C	San Francisco
H9391	Plan to Plan Reconciliation Contact	CEO		Beker	Lena		1-323-938-1155					lena@rozeroom.org	18107 Sherman Way Suite 101		Reseda	CA	91335	6/20/2023	2026	"ROZE ROOM PACE, INC."	National PACE	Roze Room PACE	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H9411	Automated TrOOP Balance Transfer Contact	Program Director	Ms.	Ko	Audrey	K	1-888-804-1118					audrey.ko@heritagepace.org	1818 S. Western Ave	Suite 100	Los Angeles	CA	90006	5/18/2026	2026	"1818 WESTERN, LLC"	National PACE	HeritAge PACE	National PACE		1818 WESTERN LLC	858	Yes	Active					PACE - Nat		C	San Francisco
H9411	Best Available Evidence Contact	CEO	Mr.	Ko	David	K	1-888-804-1118					david.ko@heritagepace.org	1818 S. Western Ave	Suite 100	Los Angeles	CA	90006	5/18/2026	2026	"1818 WESTERN, LLC"	National PACE	HeritAge PACE	National PACE		1818 WESTERN LLC	858	Yes	Active					PACE - Nat		C	San Francisco
H9411	Chief Financial Officer	CFO	Mrs.	Ko	Audrey	K	1-888-804-1118					audrey.ko@heritagepace.org	1818 S. Western Ave	Suite 100	Los Angeles	CA	90006	5/18/2026	2026	"1818 WESTERN, LLC"	National PACE	HeritAge PACE	National PACE		1818 WESTERN LLC	858	Yes	Active					PACE - Nat		C	San Francisco
H9411	CMS Casework Communication Contact	CEO	Mr.	Ko	David	K	1-888-804-1118					david.ko@heritagepace.org	1818 S. Western Ave	Suite 100	Los Angeles	CA	90006	5/18/2026	2026	"1818 WESTERN, LLC"	National PACE	HeritAge PACE	National PACE		1818 WESTERN LLC	858	Yes	Active					PACE - Nat		C	San Francisco
H9411	Coordination of Benefits Contact	Program Director	Ms.	Ko	Audrey	K	1-888-804-1118					audrey.ko@heritagepace.org	1818 S. Western Ave	Suite 100	Los Angeles	CA	90006	5/18/2026	2026	"1818 WESTERN, LLC"	National PACE	HeritAge PACE	National PACE		1818 WESTERN LLC	858	Yes	Active					PACE - Nat		C	San Francisco
H9411	Customer Service Operations Contact	General Manager	Mr.	Lee	Daniel		1-888-804-1118					daniel.lee@heritagepace.org	1818 S. Western Ave	Suite 100	Los Angeles	CA	90006	12/15/2025	2026	"1818 WESTERN, LLC"	National PACE	HeritAge PACE	National PACE		1818 WESTERN LLC	858	Yes	Active					PACE - Nat		C	San Francisco
H9411	Government Relations Contact	CEO	Mr.	Ko	David	K	1-888-804-1118					david.ko@heritagepace.org	1818 S. Western Ave	Suite 100	Los Angeles	CA	90006	5/18/2026	2026	"1818 WESTERN, LLC"	National PACE	HeritAge PACE	National PACE		1818 WESTERN LLC	858	Yes	Active					PACE - Nat		C	San Francisco
H9411	Medicare Compliance Officer	CEO	Mr.	Ko	David	K	1-888-804-1118					david.ko@heritagepace.org	1818 S. Western Ave	Suite 100	Los Angeles	CA	90006	5/18/2026	2026	"1818 WESTERN, LLC"	National PACE	HeritAge PACE	National PACE		1818 WESTERN LLC	858	Yes	Active					PACE - Nat		C	San Francisco
H9411	Part D Exceptions Contact	CFO	Ms.	Ko	Audrey	K						audrey.ko@heritagepace.org	1818 S. Western Ave	Suite 100	Los Angeles	CA	90006	5/18/2026	2026	"1818 WESTERN, LLC"	National PACE	HeritAge PACE	National PACE		1818 WESTERN LLC	858	Yes	Active	1-888-804-1118				PACE - Nat		C	San Francisco
H9411	Pharmacy Network Management Contact	Medical Director	Dr.	Tracy	Robert		1-888-804-1118					robert.tracy@heritagepace.org	1818 S. Western Ave	Suite 100	Los Angeles	CA	90006	5/18/2026	2026	"1818 WESTERN, LLC"	National PACE	HeritAge PACE	National PACE		1818 WESTERN LLC	858	Yes	Active					PACE - Nat		C	San Francisco
H9411	Pharmacy Technical Help Desk Contact	CEO	Mr.	Ko	David	K						david.ko@heritagepace.org	1818 S. Western Ave	Suite 100	Los Angeles	CA	90006	5/18/2026	2026	"1818 WESTERN, LLC"	National PACE	HeritAge PACE	National PACE		1818 WESTERN LLC	858	Yes	Active	1-888-804-1118				PACE - Nat		C	San Francisco
H9411	Plan to Plan Reconciliation Contact	CEO	Mr.	Ko	David	K	1-888-804-1118					david.ko@heritagepace.org	1818 S. Western Ave	Suite 100	Los Angeles	CA	90006	5/18/2026	2026	"1818 WESTERN, LLC"	National PACE	HeritAge PACE	National PACE		1818 WESTERN LLC	858	Yes	Active					PACE - Nat		C	San Francisco
H9412	Automated TrOOP Balance Transfer Contact	"Manager, Government Programs"	Mr.	Merkel	Patrick		1-570-214-4692				1-570-214-1367	eobp2p@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822	10/31/2019	2026	"GEISINGER QUALITY OPTIONS, INC."	Local CCP	Geisinger Gold	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H9412	Best Available Evidence Contact	"Director, Health Plan Operations - Enrollment"	Ms.	Felix	Noelle	C	1-570-214-9270					ncfelix@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822-2580	1/30/2025	2026	"GEISINGER QUALITY OPTIONS, INC."	Local CCP	Geisinger Gold	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H9412	Chief Financial Officer	"Chief Financial Officer, Geisinger Health Plan"	Mr.	Mccullough	Mark		1-570-214-3200					mmccullough2@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822-3220	4/29/2025	2026	"GEISINGER QUALITY OPTIONS, INC."	Local CCP	Geisinger Gold	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H9412	CMS Casework Communication Contact	Senior Appeals Coordinator		Fracalossi	Kathleen		1-570-214-4533					kmfracalossi@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822-2580	12/21/2023	2026	"GEISINGER QUALITY OPTIONS, INC."	Local CCP	Geisinger Gold	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H9412	Coordination of Benefits Contact	"Supervisor, Health Plan COB"	Ms.	Corrall	Theresa		1-570-214-5414					COB@geisinger.edu	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822-3251	3/19/2025	2026	"GEISINGER QUALITY OPTIONS, INC."	Local CCP	Geisinger Gold	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H9412	Customer Service Operations Contact	"Director, Health Plan Operations, Customer Care"	Mr.	Sanders	John	R	1-570-214-8046					jrsanders@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822-2580	11/1/2019	2026	"GEISINGER QUALITY OPTIONS, INC."	Local CCP	Geisinger Gold	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H9412	Government Relations Contact	"Director, Federal Government Programs"	Mr.	Malett	Terry	L	1-570-214-2193					tlmalett@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822-3220	6/24/2022	2026	"GEISINGER QUALITY OPTIONS, INC."	Local CCP	Geisinger Gold	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H9412	Hospice Contact	"Claims and Benefits Auditor, GHP Pharmacy"	Ms.	Seabrook	Naiki	A	1-570-214-7851				1-570-300-2122	naseabrook@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822-3245	11/1/2019	2026	"GEISINGER QUALITY OPTIONS, INC."	Local CCP	Geisinger Gold	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H9412	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Marine	Deborah		1-248-756-3771					dlmarine@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822-3220	6/12/2025	2026	"GEISINGER QUALITY OPTIONS, INC."	Local CCP	Geisinger Gold	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H9412	Part D Exceptions Contact	"Director, Pharmacy Services"	Dr.	Miller	Jamie						1-570-214-6768	jlmiller12@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822-3245	12/22/2017	2026	"GEISINGER QUALITY OPTIONS, INC."	Local CCP	Geisinger Gold	Local PPO		"Risant Health, Inc."	96	Yes	Active	1-800-988-4861				PPO - BBA		C	Dallas
H9412	Pharmacy Network Management Contact	"VP, Network Management, Navitas"	Ms.	Santos	Christina		1-608-820-4408					Christina.Santos@navitus.com	Navitus	361 Integrity Drive	Madison	WI	53717	1/2/2024	2026	"GEISINGER QUALITY OPTIONS, INC."	Local CCP	Geisinger Gold	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H9412	Pharmacy Technical Help Desk Contact	"Sr. Manager, Customer Care Accounts"	Ms	Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	Navitus	1025 West Navitus Drive	Appleton	WI	54913	1/2/2024	2026	"GEISINGER QUALITY OPTIONS, INC."	Local CCP	Geisinger Gold	Local PPO		"Risant Health, Inc."	96	Yes	Active	1-866-270-3877	4224			PPO - BBA		C	Dallas
H9412	Plan to Plan Reconciliation Contact	"Manager, Government Programs"	Mr.	Merkel	Patrick		1-570-214-4692				1-570-214-1367	eobp2p@thehealthplan.com	Geisinger Health Plan	100 North Academy Avenue	Danville	PA	17822	10/31/2019	2026	"GEISINGER QUALITY OPTIONS, INC."	Local CCP	Geisinger Gold	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H9431	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	10/24/2025	2026	FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H9431	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H9431	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H9431	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H9431	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H9431	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H9431	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H9431	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H9431	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H9431	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/10/2024	2026	FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active	1-469-243-5213				PPO - BBA		C	Atlanta
H9431	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H9431	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active	1-800-238-6279				PPO - BBA		C	Atlanta
H9431	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	Local CCP	Aetna Medicare	Local PPO		CVS Health Corporation	49	Yes	Active					PPO - BBA		C	Atlanta
H9438	Automated TrOOP Balance Transfer Contact	PACE Director of Accounting		Morgan	Traci		1-620-327-3401				1-316-836-4250	tracim@bluestem.org	200 W. Cedar		Hesston	KS	67062	5/27/2026	2026	"BLUESTEM PACE, INC."	National PACE	Bluestem PACE	National PACE		"Bluestem Communities, Inc."	645	Yes	Active					PACE - Nat		C	San Francisco
H9438	Best Available Evidence Contact	PACE Director of Accounting		Morgan	Traci		1-620-327-3401				1-316-836-4250	tracim@bluestem.org	200 W. Cedar		Hesston	KS	67062	5/27/2026	2026	"BLUESTEM PACE, INC."	National PACE	Bluestem PACE	National PACE		"Bluestem Communities, Inc."	645	Yes	Active					PACE - Nat		C	San Francisco
H9438	Chief Financial Officer	CFO	Mr.	Schrag	Jerol		1-316-284-2900				1-316-284-0173	jerols@bluestemks.org	3001 Ivy Drive		North Newton	KS	67117	3/2/2016	2026	"BLUESTEM PACE, INC."	National PACE	Bluestem PACE	National PACE		"Bluestem Communities, Inc."	645	Yes	Active					PACE - Nat		C	San Francisco
H9438	CMS Casework Communication Contact	PACE Operations Director	Ms	Brumley	Kim		1-620-504-5916				1-620-504-5674	kimb@bluestem.org	113 South Ash		McPherson	KS	67460	5/27/2026	2026	"BLUESTEM PACE, INC."	National PACE	Bluestem PACE	National PACE		"Bluestem Communities, Inc."	645	Yes	Active					PACE - Nat		C	San Francisco
H9438	Coordination of Benefits Contact	PACE Director of Accounting		Morgan	Traci		1-620-327-3401				1-620-327-4262	tracim@bluestem.org	200 W. Cedar		Hesston	KS	67062	5/27/2026	2026	"BLUESTEM PACE, INC."	National PACE	Bluestem PACE	National PACE		"Bluestem Communities, Inc."	645	Yes	Active					PACE - Nat		C	San Francisco
H9438	Customer Service Operations Contact	Exec Director	Ms	Rains	Emilie		1-620-504-5950				1-620-504-5674	emilier@bluestemks.org	113 South Ash		McPherson	KS	67460	8/2/2023	2026	"BLUESTEM PACE, INC."	National PACE	Bluestem PACE	National PACE		"Bluestem Communities, Inc."	645	Yes	Active					PACE - Nat		C	San Francisco
H9438	Government Relations Contact	Exec Director	Ms	Rains	Emilie		1-620-504-5950				1-620-504-5674	emilier@bluestemks.org	113 South Ash		McPherson	KS	67460	8/2/2023	2026	"BLUESTEM PACE, INC."	National PACE	Bluestem PACE	National PACE		"Bluestem Communities, Inc."	645	Yes	Active					PACE - Nat		C	San Francisco
H9438	Medicare Compliance Officer	Accountant	Ms	Morgan	Traci		1-620-327-3401				1-620-327-4262	tracim@bluestem.org	3001 Ivy Drive		North Newton	KS	67117	4/20/2026	2026	"BLUESTEM PACE, INC."	National PACE	Bluestem PACE	National PACE		"Bluestem Communities, Inc."	645	Yes	Active					PACE - Nat		C	San Francisco
H9438	Part D Exceptions Contact	PACE Director of Accounting		Morgan	Traci						1-620-327-4262	tracim@bluestem.org	200 W. Cedar		Hesston	KS	67062	5/27/2026	2026	"BLUESTEM PACE, INC."	National PACE	Bluestem PACE	National PACE		"Bluestem Communities, Inc."	645	Yes	Active	1-620-327-3401				PACE - Nat		C	San Francisco
H9438	Pharmacy Network Management Contact	Exec Director	Ms	Rains	Emilie		1-620-504-5950				1-620-504-5674	emilier@bluestemks.org	113 South Ash		McPherson	KS	67460	8/2/2023	2026	"BLUESTEM PACE, INC."	National PACE	Bluestem PACE	National PACE		"Bluestem Communities, Inc."	645	Yes	Active					PACE - Nat		C	San Francisco
H9438	Pharmacy Technical Help Desk Contact			Schrag	Jerol						1-316-284-0173	jerols@bluestemks.org	3001 Ivy Drive		North Newton	KS	67117	7/15/2015	2026	"BLUESTEM PACE, INC."	National PACE	Bluestem PACE	National PACE		"Bluestem Communities, Inc."	645	Yes	Active	1-316-284-2900				PACE - Nat		C	San Francisco
H9438	Plan to Plan Reconciliation Contact	PACE Director of Accounting		Morgan	Traci		1-620-327-3401				1-620-327-4262	tracim@bluestem.org	200 W. Cedar		Hesston	KS	67062	5/27/2026	2026	"BLUESTEM PACE, INC."	National PACE	Bluestem PACE	National PACE		"Bluestem Communities, Inc."	645	Yes	Active					PACE - Nat		C	San Francisco
H9460	Automated TrOOP Balance Transfer Contact	Operations Advisor	Ms.	Fertig	Nancy	J	1-860-902-4553					nancy_fertig@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9460	Best Available Evidence Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9460	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	Health Care Service Corporation	300 East Randolph St	Chicago	IL	60601	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9460	CMS Casework Communication Contact	Customer Service Manager	Ms.	McCarroll	Angie		1-615-235-0177					angie_mccarroll@hcsc.com	3700 O'Donnell Street		Baltimore	MD	21224	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9460	Coordination of Benefits Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9460	Customer Service Operations Contact	VP of Customer Service	Mr.	Akovenko	Josh		1-615-695-8916				1-000-000-0000	josh_akovenko@hcsc.com	Health Care Service Corporation	500 Great Circle Rd	Nashville	IL	60601	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9460	Government Relations Contact	Executive Director - Health Policy	Ms.	DuGoff	Eva		1-202-249-7208				1-000-000-0000	eva_dugoff@hcsc.net	Health Care Service Corporation	1001 Pennsylvania NW	Washington	DC	20004	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9460	Hospice Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9460	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9460	Part D Exceptions Contact	Operations Senior Manager	Mr.	Erkens	Ron							ron_erkens@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-602-317-1992				HMO - Health Maintenance Organization		C	New York
H9460	Pharmacy Network Management Contact	Provider Contracting Sr Manager	Ms.	Bourdier	Maryanne		1-860-338-9867					maryanne_bourdier@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9460	Pharmacy Technical Help Desk Contact			Scripts	Express								Health Care Services Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	New York
H9460	Plan to Plan Reconciliation Contact		Ms.	Thomas	Andrea	F	1-629-317-9367				1-615-291-7025	P2P@healthspring.com	P.O. Box 11407	Dept#8277	Birmingham	AL	35246	5/26/2026	2026	"HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9468	Automated TrOOP Balance Transfer Contact	"VP, Controller"		Williams	Kelly		1-814-456-5433					kelly.williams@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"ONE SENIOR CARE KENTUCKY, LLC"	National PACE	Mountain View PACE	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Atlanta
H9468	Best Available Evidence Contact	"VP, Controller"		Williams	Kelly		1-814-456-5433					kelly.williams@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"ONE SENIOR CARE KENTUCKY, LLC"	National PACE	Mountain View PACE	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Atlanta
H9468	Chief Financial Officer	CFO	Mr.	Phillips	Jeff		1-814-456-5433					jeffrey.phillips@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"ONE SENIOR CARE KENTUCKY, LLC"	National PACE	Mountain View PACE	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Atlanta
H9468	CMS Casework Communication Contact	Chief Compliance Officer	Mrs	Kennedy	Jennifer		1-814-456-5433					jennifer.kennedy@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"ONE SENIOR CARE KENTUCKY, LLC"	National PACE	Mountain View PACE	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Atlanta
H9468	Coordination of Benefits Contact	"VP, Controller"		Williams	Kelly		1-814-456-5433					kelly.williams@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"ONE SENIOR CARE KENTUCKY, LLC"	National PACE	Mountain View PACE	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Atlanta
H9468	Customer Service Operations Contact	Chief Operating Officer		Worland	Craig	M	1-814-456-5433					craig.worland@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"ONE SENIOR CARE KENTUCKY, LLC"	National PACE	Mountain View PACE	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Atlanta
H9468	Government Relations Contact	Chief Quality Officer		Lyons	Laura		1-814-456-5433					Laura.lyons@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"ONE SENIOR CARE KENTUCKY, LLC"	National PACE	Mountain View PACE	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Atlanta
H9468	Medicare Compliance Officer	Chief Compliance Officer	Mrs.	Kennedy	Jennifer		1-814-456-5433					jennifer.kennedy@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"ONE SENIOR CARE KENTUCKY, LLC"	National PACE	Mountain View PACE	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Atlanta
H9468	Part D Exceptions Contact	Medical Director	Dr.	Rummel	James							james.rummel@lifenwpa.org	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"ONE SENIOR CARE KENTUCKY, LLC"	National PACE	Mountain View PACE	National PACE		"One Senior Care, Inc."	553	Yes	Active	1-814-456-5433				PACE - Nat		C	Atlanta
H9468	Pharmacy Network Management Contact	Director of Network & Special Projects		Feldmann	William		1-814-456-5433					wfeldmann@lifenwpa.org	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"ONE SENIOR CARE KENTUCKY, LLC"	National PACE	Mountain View PACE	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Atlanta
H9468	Pharmacy Technical Help Desk Contact	"VP, Controller"		Williams	Kelly							kelly.williams@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"ONE SENIOR CARE KENTUCKY, LLC"	National PACE	Mountain View PACE	National PACE		"One Senior Care, Inc."	553	Yes	Active	1-814-456-5433				PACE - Nat		C	Atlanta
H9468	Plan to Plan Reconciliation Contact	"VP, Controller"		Williams	Kelly		1-814-456-5433					kelly.williams@oneseniorcare.com	100 State Street	Suite 200	Erie	PA	16507	6/25/2025	2026	"ONE SENIOR CARE KENTUCKY, LLC"	National PACE	Mountain View PACE	National PACE		"One Senior Care, Inc."	553	Yes	Active					PACE - Nat		C	Atlanta
H9485	Automated TrOOP Balance Transfer Contact	"Vice President, Business Operations"		Malvo	Donovan		1-857-282-3015					dmalvo@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/4/2025	2026	"Mass General Brigham Health Plan, Inc."	Local CCP	Mass General Brigham Health Plan	Local PPO		Mass General Brigham Incorporated	784	Yes	Active					PPO - BBA		C	Boston
H9485	Best Available Evidence Contact	"Director, Enrollment"		Merrill	Benjamin		1-857-282-2831					bmerrill2@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/4/2025	2026	"Mass General Brigham Health Plan, Inc."	Local CCP	Mass General Brigham Health Plan	Local PPO		Mass General Brigham Incorporated	784	Yes	Active					PPO - BBA		C	Boston
H9485	Chief Financial Officer	Chief Financial Officer	Ms	Silva	Lucy		1-857-282-6595					lsilva16@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/4/2025	2026	"Mass General Brigham Health Plan, Inc."	Local CCP	Mass General Brigham Health Plan	Local PPO		Mass General Brigham Incorporated	784	Yes	Active					PPO - BBA		C	Boston
H9485	CMS Casework Communication Contact	"Director, Appeals and Grievances"		Swasey	Andrea		1-800-433-5556	1005				aswasey@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/4/2025	2026	"Mass General Brigham Health Plan, Inc."	Local CCP	Mass General Brigham Health Plan	Local PPO		Mass General Brigham Incorporated	784	Yes	Active					PPO - BBA		C	Boston
H9485	Coordination of Benefits Contact	"Manager, Recoveries"		Ryan	Cathy		1-857-282-9131					cryan17@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/4/2025	2026	"Mass General Brigham Health Plan, Inc."	Local CCP	Mass General Brigham Health Plan	Local PPO		Mass General Brigham Incorporated	784	Yes	Active					PPO - BBA		C	Boston
H9485	Customer Service Operations Contact	"Director, Customer Services"		Armstrong	Carolyn		1-413-427-0087					carmstrong6@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/4/2025	2026	"Mass General Brigham Health Plan, Inc."	Local CCP	Mass General Brigham Health Plan	Local PPO		Mass General Brigham Incorporated	784	Yes	Active					PPO - BBA		C	Boston
H9485	Government Relations Contact	"Director, Government Affairs"		Sullivan	John		1-857-282-3376					jsullivan77@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/4/2025	2026	"Mass General Brigham Health Plan, Inc."	Local CCP	Mass General Brigham Health Plan	Local PPO		Mass General Brigham Incorporated	784	Yes	Active					PPO - BBA		C	Boston
H9485	Hospice Contact	"Director, Pharmacy"		Gallagher	Angela		1-857-282-2493					agallagher9@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/4/2025	2026	"Mass General Brigham Health Plan, Inc."	Local CCP	Mass General Brigham Health Plan	Local PPO		Mass General Brigham Incorporated	784	Yes	Active					PPO - BBA		C	Boston
H9485	Medicare Compliance Officer	Medicare Compliance Officer	Ms	Trembley	Shannon		1-207-939-4468					strembley1@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/4/2025	2026	"Mass General Brigham Health Plan, Inc."	Local CCP	Mass General Brigham Health Plan	Local PPO		Mass General Brigham Incorporated	784	Yes	Active					PPO - BBA		C	Boston
H9485	Part D Exceptions Contact	"Director, Pharmacy"		Gallagher	Angela							agallagher9@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/4/2025	2026	"Mass General Brigham Health Plan, Inc."	Local CCP	Mass General Brigham Health Plan	Local PPO		Mass General Brigham Incorporated	784	Yes	Active	1-857-282-2493				PPO - BBA		C	Boston
H9485	Pharmacy Network Management Contact	"Director, Pharmacy"		Gallagher	Angela		1-857-282-2493					agallagher9@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/4/2025	2026	"Mass General Brigham Health Plan, Inc."	Local CCP	Mass General Brigham Health Plan	Local PPO		Mass General Brigham Incorporated	784	Yes	Active					PPO - BBA		C	Boston
H9485	Pharmacy Technical Help Desk Contact	"Director, Pharmacy"		Gallagher	Angela							agallagher9@mgb.org	399 Revolution Dr		Somerville	MA	02145	12/16/2025	2026	"Mass General Brigham Health Plan, Inc."	Local CCP	Mass General Brigham Health Plan	Local PPO		Mass General Brigham Incorporated	784	Yes	Active	1-844-368-8732				PPO - BBA		C	Boston
H9485	Plan to Plan Reconciliation Contact	Finance Director	Ms	Umashankar	Kamini		1-860-839-3151					kumashankar@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/4/2025	2026	"Mass General Brigham Health Plan, Inc."	Local CCP	Mass General Brigham Health Plan	Local PPO		Mass General Brigham Incorporated	784	Yes	Active					PPO - BBA		C	Boston
H9489	Automated TrOOP Balance Transfer Contact	"Manager, Business Process"		Diaz	Mario		1-714-317-2628					OptumRx-SupportServices@optum.com	11000 Optum Circle		Eden Prairie	MN	55344	6/1/2026	2026	"VERMONT BLUE ADVANTAGE, INC."	Local CCP	Vermont Blue Advantage	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H9489	Best Available Evidence Contact	Manager		LaMontagne	Amanda		1-508-439-9720					amanda.lamontagne@advantasure.com	5 Polaris Way		Aliso Viejo	CA	92656	6/1/2026	2026	"VERMONT BLUE ADVANTAGE, INC."	Local CCP	Vermont Blue Advantage	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H9489	Chief Financial Officer	"SVP, Controller"	Mr.	Pisarik	Jason		1-248-665-4348					jason.pisarik@emergentholdingsinc.com	200 N. Grand Ave.		Lansing	VT	05601	6/1/2026	2026	"VERMONT BLUE ADVANTAGE, INC."	Local CCP	Vermont Blue Advantage	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H9489	CMS Casework Communication Contact	Manager		Martell	Stacey		1-313-806-5905					smartell@bcbsm.com	600 East Lafayette Blvd.	MC 1502	Detroit	MI	48226	6/1/2026	2026	"VERMONT BLUE ADVANTAGE, INC."	Local CCP	Vermont Blue Advantage	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H9489	Coordination of Benefits Contact	Manager		LaMontagne	Amanda		1-508-439-9720					amanda.lamontagne@advantasure.com	5 Polaris Way		Aliso Viejo	CA	92656	6/1/2026	2026	"VERMONT BLUE ADVANTAGE, INC."	Local CCP	Vermont Blue Advantage	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H9489	Customer Service Operations Contact	"Director, Workforce Management, Analytics, & Supp"		Weber	Julie		1-313-225-0555					jweber@bcbsm.com	600 East Lafayette		Detroit	MI	48226	6/1/2026	2026	"VERMONT BLUE ADVANTAGE, INC."	Local CCP	Vermont Blue Advantage	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H9489	Government Relations Contact	Manager		Martell	Stacey		1-313-806-5905					smartell@bcbsm.com	600 East Lafayette Blvd.	MC 1502	Detroit	MI	48226	6/1/2026	2026	"VERMONT BLUE ADVANTAGE, INC."	Local CCP	Vermont Blue Advantage	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H9489	Hospice Contact	"Senior Analyst, Pharmacy Operations"		Zylstra	Jennifer		1-954-498-5880					Jennifer.zylstra@emergient.com	1000 Town Center		Southfield	MI	48075	6/1/2026	2026	"VERMONT BLUE ADVANTAGE, INC."	Local CCP	Vermont Blue Advantage	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H9489	Medicare Compliance Officer	"Vice President, Enterprise Compliance"	Ms.	Lange	Kelly		1-313-225-8554					medcomplianceofficer2@bcbsm.com	600 East Lafayette		Detroit	MI	48226	6/1/2026	2026	"VERMONT BLUE ADVANTAGE, INC."	Local CCP	Vermont Blue Advantage	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H9489	Part D Exceptions Contact	"Manager, Pharmacy PA/Appeals"		Bricker	Bryce							bryce.m.bricker@optum.com	11000 Optum Circle		Eden Prairie	MN	55344	6/1/2026	2026	"VERMONT BLUE ADVANTAGE, INC."	Local CCP	Vermont Blue Advantage	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract	1-855-207-5871				HMO - Health Maintenance Organization		C	Chicago
H9489	Pharmacy Network Management Contact	"Sr. Account Manager, Network Account Management"		Brown	Casey		1-612-642-7367					casey.brown@optum.com	11000 Optum Circle		Eden Prairie	MN	55344	6/1/2026	2026	"VERMONT BLUE ADVANTAGE, INC."	Local CCP	Vermont Blue Advantage	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H9489	Pharmacy Technical Help Desk Contact	Senior Manager		Villanueva	Juan							Juan.Villanueva@optum.com	11000 Optum Cir		Eden	MN	55344	6/1/2026	2026	"VERMONT BLUE ADVANTAGE, INC."	Local CCP	Vermont Blue Advantage	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract	1-800-903-8346				HMO - Health Maintenance Organization		C	Chicago
H9489	Plan to Plan Reconciliation Contact	"SVP, Controller"		Pisarik	Jason		1-517-708-5285					jason.pisarik@emergentholdingsinc.com	200 N. Grand Ave.		Lansing	MI	48901	6/1/2026	2026	"VERMONT BLUE ADVANTAGE, INC."	Local CCP	Vermont Blue Advantage	HMO/HMOPOS		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Chicago
H9525	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	COMPCARE HEALTH SERVICES INSURANCE CORPORATION	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9525	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	COMPCARE HEALTH SERVICES INSURANCE CORPORATION	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9525	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	COMPCARE HEALTH SERVICES INSURANCE CORPORATION	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9525	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	COMPCARE HEALTH SERVICES INSURANCE CORPORATION	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9525	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	COMPCARE HEALTH SERVICES INSURANCE CORPORATION	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9525	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	COMPCARE HEALTH SERVICES INSURANCE CORPORATION	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9525	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	COMPCARE HEALTH SERVICES INSURANCE CORPORATION	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9525	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	COMPCARE HEALTH SERVICES INSURANCE CORPORATION	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9525	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	COMPCARE HEALTH SERVICES INSURANCE CORPORATION	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9525	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	COMPCARE HEALTH SERVICES INSURANCE CORPORATION	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				HMO - Health Maintenance Organization		C	Chicago
H9525	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/31/2023	2026	COMPCARE HEALTH SERVICES INSURANCE CORPORATION	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9525	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	COMPCARE HEALTH SERVICES INSURANCE CORPORATION	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				HMO - Health Maintenance Organization		C	Chicago
H9525	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/10/2021	2026	COMPCARE HEALTH SERVICES INSURANCE CORPORATION	Local CCP	Anthem Blue Cross and Blue Shield	HMO/HMOPOS		"Elevance Health, Inc."	1	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9564	Automated TrOOP Balance Transfer Contact	Part D Program Manager	Ms.	Dennison	Martha		1-781-934-2936					MDennison@elementcare.org	2211 Town Center Drive SE		Washington	DC	20020	12/16/2025	2026	PACE4DC LLC	National PACE	PACE4DC LLC	National PACE		Element Care INC.	801	Yes	Active					PACE - Nat		C	Philadelphia
H9564	Best Available Evidence Contact	Quality Director	Ms.	Weeks	Willa		1-571-622-0555					willa.weeks@edenbridgehealth.org	2211 Town Center Drive SE		Washington	DC	20020	1/3/2024	2026	PACE4DC LLC	National PACE	PACE4DC LLC	National PACE		Element Care INC.	801	Yes	Active					PACE - Nat		C	Philadelphia
H9564	Chief Financial Officer	CFO	Mr.	Zamanasky	Andrew		1-781-715-2394					AndrewZ@Elementcare.org	2211 Townsend center		Washington	DC	20020	12/16/2025	2026	PACE4DC LLC	National PACE	PACE4DC LLC	National PACE		Element Care INC.	801	Yes	Active					PACE - Nat		C	Philadelphia
H9564	CMS Casework Communication Contact	CEO	Mr.	Sawyer	James		1-571-622-0555					James.Sawyer@edenbridgehealth.org	2211 Town Center Drive SE		Washington	DC	20020	12/16/2025	2026	PACE4DC LLC	National PACE	PACE4DC LLC	National PACE		Element Care INC.	801	Yes	Active					PACE - Nat		C	Philadelphia
H9564	Coordination of Benefits Contact	CFO	Mr.	Zamansky	Andrew		1-781-715-2394					AndrewZ@Elementcare.org	2211 Town center drive SE		Washington	DC	20020	12/16/2025	2026	PACE4DC LLC	National PACE	PACE4DC LLC	National PACE		Element Care INC.	801	Yes	Active					PACE - Nat		C	Philadelphia
H9564	Customer Service Operations Contact	Vice President and Executive Director	Ms.	Sawyer	James		1-571-622-0555					james.sawyer@edenbridgehealth.org	2211 Town Center Drive SE		Washington	DC	20020	12/17/2024	2026	PACE4DC LLC	National PACE	PACE4DC LLC	National PACE		Element Care INC.	801	Yes	Active					PACE - Nat		C	Philadelphia
H9564	Government Relations Contact	Vice President and Executive Director	Mr	Sawyer	James		1-571-622-0555					james.sawyer@edenbridgehealth.org	2211 Town Center Drive SE		Washington	DC	20020	12/17/2024	2026	PACE4DC LLC	National PACE	PACE4DC LLC	National PACE		Element Care INC.	801	Yes	Active					PACE - Nat		C	Philadelphia
H9564	Medicare Compliance Officer	Director of Quality & Compliance	Ms.	Weeks	Willa		1-571-622-0555					willa.weeks@edenbridgehealth.org	2211 Town Center Drive SE		Washington	DC	20020	3/6/2024	2026	PACE4DC LLC	National PACE	PACE4DC LLC	National PACE		Element Care INC.	801	Yes	Active					PACE - Nat		C	Philadelphia
H9564	Part D Exceptions Contact	Part D Program Manager	Ms	Dennison	Martha							MDennison@elementcare.org	2211 Town Center Dr. SE		Washington	DC	20020	12/16/2025	2026	PACE4DC LLC	National PACE	PACE4DC LLC	National PACE		Element Care INC.	801	Yes	Active	1-781-934-2936				PACE - Nat		C	Philadelphia
H9564	Pharmacy Network Management Contact	Chief Medical Officer	Dr.	Schoenburg	Rachel		1-202-450-7331					rachel.schoenburg@edenbridgehealth.org	2211 Town Center Drive SE		Washington	DC	20020	12/16/2025	2026	PACE4DC LLC	National PACE	PACE4DC LLC	National PACE		Element Care INC.	801	Yes	Active					PACE - Nat		C	Philadelphia
H9564	Pharmacy Technical Help Desk Contact	Chief Medical Officer	Dr.	Schoenburg	Rachel							rachel.schoenburg@edenbridgehealth.org	2211 Town Center Drive SE		Washington	DC	20020	12/16/2025	2026	PACE4DC LLC	National PACE	PACE4DC LLC	National PACE		Element Care INC.	801	Yes	Active	1-202-450-7331				PACE - Nat		C	Philadelphia
H9564	Plan to Plan Reconciliation Contact	CFO	Mr.	Zamansky	Andrew		1-781-715-2394					AndrewZ@Elementcare.org	2211 town Center Dr. SE		Washington	DC	20020	12/16/2025	2026	PACE4DC LLC	National PACE	PACE4DC LLC	National PACE		Element Care INC.	801	Yes	Active					PACE - Nat		C	Philadelphia
H9572	Automated TrOOP Balance Transfer Contact	Manager	Mr.	Nalamolu	Chandra		1-248-665-4549					hnalamolu@bcbsm.com	600 East Lafayette Blvd.	TC 1309	Detroit	MI	48226	10/16/2019	2026	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	Local CCP	Blue Cross Blue Shield of Michigan	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H9572	Best Available Evidence Contact	Business Systems Analyst Sr		Hall	Barbara		1-313-225-6662					BHall@bcbsm.com	600 East Lafayette Blvd.	MC 1602	Detroit	MI	48226	6/17/2022	2026	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	Local CCP	Blue Cross Blue Shield of Michigan	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H9572	Chief Financial Officer	Executive Vice President CFO	Mr.	Mozak	Paul	L	1-313-225-7939					PMozak@bcbsm.com	600 East Lafayette Blvd.	MC 2104	Detroit	MI	48226	3/7/2023	2026	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	Local CCP	Blue Cross Blue Shield of Michigan	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H9572	CMS Casework Communication Contact	Senior Analyst		Whitener	David		1-313-654-6885					DWhitener@bcbsm.com	600 East Lafayette		Detroit	MI	48226	12/4/2024	2026	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	Local CCP	Blue Cross Blue Shield of Michigan	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H9572	Coordination of Benefits Contact	Manager	Ms.	Adams	Ronnie		1-248-665-4591					radams@bcbsm.com	600 East Lafayette Blvd.		Detroit	MI	48226	1/4/2024	2026	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	Local CCP	Blue Cross Blue Shield of Michigan	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H9572	Customer Service Operations Contact	Director	Ms.	Judson	Johanna		1-313-225-5856					jjudson@bcbsm.com	600 East Lafayette Blvd.		Detroit	MI	48226	3/16/2022	2026	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	Local CCP	Blue Cross Blue Shield of Michigan	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H9572	Government Relations Contact	Managing Director	Ms.	Pickens	Veronica		1-248-395-5887					vpickens@bcbsm.com	600 East Lafayette Blvd.	TC 1301	Detroit	MI	48226	2/23/2024	2026	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	Local CCP	Blue Cross Blue Shield of Michigan	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H9572	Hospice Contact	Manager	Mrs.	Rawson	Lori		1-616-956-5796					Lrawson@bcbsm.com	600 East Lafayette Blvd.	TC 1309	Detroit	MI	48226	10/16/2019	2026	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	Local CCP	Blue Cross Blue Shield of Michigan	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H9572	Medicare Compliance Officer	"Vice President, Enterprise Compliance"	Ms.	Lange	Kelly		1-313-225-8554					medcomplianceofficer2@bcbsm.com	600 East Lafayette Blvd.	MC 1603	Detroit	MI	48226	3/3/2022	2026	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	Local CCP	Blue Cross Blue Shield of Michigan	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H9572	Part D Exceptions Contact	Manager		Lewis	Letoretoys						1-866-601-4428	dramspriorauthmedicareD@bcbsm.com	600 East Lafayette Blvd.	TC 1408	Detroit	MI	48226	3/4/2024	2026	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	Local CCP	Blue Cross Blue Shield of Michigan	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active	1-800-437-3803				PPO - BBA		C	Chicago
H9572	Pharmacy Network Management Contact	Director	Dr.	Fritsch	Michael		1-248-752-7580					mfritsch@bcbsm.com	600 East Lafayette Blvd.	MC 512D	Detroit	MI	48226	2/6/2026	2026	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	Local CCP	Blue Cross Blue Shield of Michigan	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H9572	Pharmacy Technical Help Desk Contact	Manager	Mr.	Nalamolu	Chandra							hnalamolu@bcbsm.com	600 East Lafayette Blvd	MC 1309	Detroit	MI	48226	12/10/2025	2026	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	Local CCP	Blue Cross Blue Shield of Michigan	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active	1-855-810-0007				PPO - BBA		C	Chicago
H9572	Plan to Plan Reconciliation Contact	Financial Coordinator		Sempek	Lindora		1-248-417-9714					Lsempek@bcbsm.com	600 East Lafayette Blvd.	Attn: P2P Mail Code 0807 - G Dillard-Brown	Detroit	MI	48226	4/21/2025	2026	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	Local CCP	Blue Cross Blue Shield of Michigan	Local PPO		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					PPO - BBA		C	Chicago
H9589	Automated TrOOP Balance Transfer Contact	"Vice President, Pharmacy"	Mr.	Lopez	Eduardo		1-754-208-5867					Elopez@clearspringhealthcare.com	3601 SW 160th Avenue	Suite 450	Miramar	FL	33027	4/30/2026	2026	"CLEAR SPRING HEALTH (GA), INC."	Local CCP	Clear Spring Health	Local PPO		Group 1001	689	Yes	Terminated					PPO - BBA		C	Chicago
H9589	Best Available Evidence Contact	"Director, Compliance"	Ms.	Wilcox-Lange	Tracie		1-847-696-8503					tracie.lange@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH (GA), INC."	Local CCP	Clear Spring Health	Local PPO		Group 1001	689	Yes	Terminated					PPO - BBA		C	Chicago
H9589	Chief Financial Officer	Chief Financial Officer	Mr.	Moss	Adam		1-317-457-1252					Adam.Moss@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	6/30/2026	2026	"CLEAR SPRING HEALTH (GA), INC."	Local CCP	Clear Spring Health	Local PPO		Group 1001	689	Yes	Terminated					PPO - BBA		C	Chicago
H9589	CMS Casework Communication Contact	"Director, Compliance"	Ms.	Wilcox-Lange	Tracie		1-847-696-8503					tracie.lange@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH (GA), INC."	Local CCP	Clear Spring Health	Local PPO		Group 1001	689	Yes	Terminated					PPO - BBA		C	Chicago
H9589	Coordination of Benefits Contact	"Director, Compliance"	Ms.	Wilcox-Lange	Tracie		1-847-696-8503					tracie.lange@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH (GA), INC."	Local CCP	Clear Spring Health	Local PPO		Group 1001	689	Yes	Terminated					PPO - BBA		C	Chicago
H9589	Customer Service Operations Contact	"Vice President, Compliance"	Ms.	Cornish	Sameria		1-843-276-1153					sameria.cornish@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH (GA), INC."	Local CCP	Clear Spring Health	Local PPO		Group 1001	689	Yes	Terminated					PPO - BBA		C	Chicago
H9589	Government Relations Contact	Chief Executive Officer	Mr.	Parker	Jim		1-317-931-9666					Jim.Parker@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH (GA), INC."	Local CCP	Clear Spring Health	Local PPO		Group 1001	689	Yes	Terminated					PPO - BBA		C	Chicago
H9589	Hospice Contact	"Director, Compliance"	Ms.	Wilcox-Lange	Tracie		1-847-696-8503					tracie.lange@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH (GA), INC."	Local CCP	Clear Spring Health	Local PPO		Group 1001	689	Yes	Terminated					PPO - BBA		C	Chicago
H9589	Medicare Compliance Officer	"Vice President, Compliance"	Ms.	Cornish	Sameria		1-843-276-1153					sameria.cornish@clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH (GA), INC."	Local CCP	Clear Spring Health	Local PPO		Group 1001	689	Yes	Terminated					PPO - BBA		C	Chicago
H9589	Part D Exceptions Contact			Le	Christina							christina.le@optum.com	PO Box 2975		Mission	KS	66201	4/30/2026	2026	"CLEAR SPRING HEALTH (GA), INC."	Local CCP	Clear Spring Health	Local PPO		Group 1001	689	Yes	Terminated	1-888-403-3398				PPO - BBA		C	Chicago
H9589	Pharmacy Network Management Contact			Perez	Felix		1-305-331-3044				1-305-331-3044	Felix.perez@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	4/30/2026	2026	"CLEAR SPRING HEALTH (GA), INC."	Local CCP	Clear Spring Health	Local PPO		Group 1001	689	Yes	Terminated					PPO - BBA		C	Chicago
H9589	Pharmacy Technical Help Desk Contact	"Manager, Pharmacy Help Desk"		Villanueva	Juan							juan.villanueva@optum.com	P.O. Box 2975		Mission	KS	66201	4/30/2026	2026	"CLEAR SPRING HEALTH (GA), INC."	Local CCP	Clear Spring Health	Local PPO		Group 1001	689	Yes	Terminated	1-800-461-1308				PPO - BBA		C	Chicago
H9589	Plan to Plan Reconciliation Contact	Senior Accountant	Ms.	Wrenn	Alisa		1-224-985-5588				1-312-429-0194	Alisa.Wrenn@Clearspringhealthcare.com	250 South Northwest Highway	Suite 302	Park Ridge	IL	60068	4/30/2026	2026	"CLEAR SPRING HEALTH (GA), INC."	Local CCP	Clear Spring Health	Local PPO		Group 1001	689	Yes	Terminated					PPO - BBA		C	Chicago
H9590	Automated TrOOP Balance Transfer Contact	"Operations Manager, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083					Relay.Health@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Longevity Health	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H9590	Best Available Evidence Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Longevity Health	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H9590	Chief Financial Officer		Mr.	Granow	Les		1-561-444-0709					les.granow@longevityhealthplan.com	Longevity Health Plan	11780 U.S. Highway 1 Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Longevity Health	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H9590	CMS Casework Communication Contact			Socoski	Beth		1-561-690-1134					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1 Suite N107		Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Longevity Health	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H9590	Coordination of Benefits Contact		Ms.	Crowl	Lacey		1-765-792-1412					Lacey.crowl@longevityhealthplan.com	11780 U.S. Highway 1 Suite N107		Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Longevity Health	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H9590	Customer Service Operations Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Longevity Health	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H9590	Government Relations Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Longevity Health	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H9590	Hospice Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Longevity Health	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H9590	Medicare Compliance Officer		Ms.	Socoski	Beth		1-412-260-1207					Beth.Socoski@longevityhealthplan.com	Longevity Health Plan	11780 U.S. Highway 1 Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Longevity Health	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H9590	Part D Exceptions Contact	"Assoc Director, Clinical Prior Authorization"	Mr.	LeClair	Christophe						1-888-235-8551	Christopher.LeClair@Navitus.com	1025 West Navitus Drive		Appleton	WI	54913	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Longevity Health	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active	1-800-204-0016				HMO - Health Maintenance Organization		C	Seattle
H9590	Pharmacy Network Management Contact	"VP, Provider Services"	Mr.	Nagy	Don		1-608-820-4403					Don.Nagy@navitus.com	361 Integrity Drive		Madison	WI	53717	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Longevity Health	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H9590	Pharmacy Technical Help Desk Contact	"Sr. Manager, Customer Care Accounts"	Ms.	Nett	Danielle						1-888-235-8551	Danielle.Nett@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Longevity Health	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	Seattle
H9590	Plan to Plan Reconciliation Contact		Ms.	Ajayi	Bisi		1-561-632-8915					bisi.ajayi@longevityhealthplan.com	11780 U.S. Highway 1 Suite N107		Palm Beach Gardens	FL	33408	5/7/2026	2026	"LONGEVITY HEALTH PLAN OF ILLINOIS, INC."	Local CCP	Longevity Health	HMO/HMOPOS		"Longevity Health Founders, LLC"	697	Yes	Active					HMO - Health Maintenance Organization		C	Seattle
H9592	Automated TrOOP Balance Transfer Contact			Lyfoung	Tsuleng		1-612-807-2260					tlyfoung@innovativeih.com	2042 Kern Street		Fresno	CA	93721	2/8/2023	2026	"INNOVATIVE INTEGRATED HEALTH, INC."	National PACE	Innovative Integrated Health Inc.	National PACE		"Innovative Integrated Health, Inc."	710	Yes	Active					PACE - Nat		C	San Francisco
H9592	Best Available Evidence Contact			Longoria	Daniel		1-512-507-2010					dlongoria@innovativeih.com	2042 Kern Sreet		Fresno	CA	93721	5/21/2021	2026	"INNOVATIVE INTEGRATED HEALTH, INC."	National PACE	Innovative Integrated Health Inc.	National PACE		"Innovative Integrated Health, Inc."	710	Yes	Active					PACE - Nat		C	San Francisco
H9592	Chief Financial Officer		Mr.	Longoria	Daniel		1-512-507-2010					dlongoria@innovativeih.com	2042 Kern Street		Fresno	CA	93721	5/21/2021	2026	"INNOVATIVE INTEGRATED HEALTH, INC."	National PACE	Innovative Integrated Health Inc.	National PACE		"Innovative Integrated Health, Inc."	710	Yes	Active					PACE - Nat		C	San Francisco
H9592	CMS Casework Communication Contact			Elser	Eva		1-949-508-5840					eelser@innovativeih.com	2042 Kern Street		Fresno	CA	93721	5/17/2024	2026	"INNOVATIVE INTEGRATED HEALTH, INC."	National PACE	Innovative Integrated Health Inc.	National PACE		"Innovative Integrated Health, Inc."	710	Yes	Active					PACE - Nat		C	San Francisco
H9592	Coordination of Benefits Contact			Shayan	Zohreh		1-949-292-5586					zshayan@fresnopace.org	2042 Kern Street		Fresno	CA	93721	5/21/2021	2026	"INNOVATIVE INTEGRATED HEALTH, INC."	National PACE	Innovative Integrated Health Inc.	National PACE		"Innovative Integrated Health, Inc."	710	Yes	Active					PACE - Nat		C	San Francisco
H9592	Customer Service Operations Contact		Ms.	Elser	Eva		1-949-508-5840					eelser@innovativeih.com	2042 Kern Street		Fresno	CA	93721	5/17/2024	2026	"INNOVATIVE INTEGRATED HEALTH, INC."	National PACE	Innovative Integrated Health Inc.	National PACE		"Innovative Integrated Health, Inc."	710	Yes	Active					PACE - Nat		C	San Francisco
H9592	Government Relations Contact			Longoria	Daniel		1-512-507-2010					dlongoria@innovativeih.com	2042 Kern Street		Fresno	CA	93721	5/21/2021	2026	"INNOVATIVE INTEGRATED HEALTH, INC."	National PACE	Innovative Integrated Health Inc.	National PACE		"Innovative Integrated Health, Inc."	710	Yes	Active					PACE - Nat		C	San Francisco
H9592	Medicare Compliance Officer		Ms	Elser	Eva		1-949-508-5840					eelser@innovativeih.com	2042 Kern Street		Fresno	CA	93721	5/17/2024	2026	"INNOVATIVE INTEGRATED HEALTH, INC."	National PACE	Innovative Integrated Health Inc.	National PACE		"Innovative Integrated Health, Inc."	710	Yes	Active					PACE - Nat		C	San Francisco
H9592	Part D Exceptions Contact			Longoria	Daniel							dlongoria@innovativeih.com	2042 Kern Street		Fresno	CA	93721	5/21/2021	2026	"INNOVATIVE INTEGRATED HEALTH, INC."	National PACE	Innovative Integrated Health Inc.	National PACE		"Innovative Integrated Health, Inc."	710	Yes	Active	1-512-507-2010				PACE - Nat		C	San Francisco
H9592	Pharmacy Network Management Contact			Masatsugu	Miles		1-949-375-9308					mmasatsugu@innovativeih.com	2042 Kern Street		Fresno	CA	93721	2/8/2023	2026	"INNOVATIVE INTEGRATED HEALTH, INC."	National PACE	Innovative Integrated Health Inc.	National PACE		"Innovative Integrated Health, Inc."	710	Yes	Active					PACE - Nat		C	San Francisco
H9592	Pharmacy Technical Help Desk Contact			Masatsugu	Miles							mmasatsugu@innovativeih.com	2042 Kern Street		Fresno	CA	93721	2/8/2023	2026	"INNOVATIVE INTEGRATED HEALTH, INC."	National PACE	Innovative Integrated Health Inc.	National PACE		"Innovative Integrated Health, Inc."	710	Yes	Active	1-949-375-9308				PACE - Nat		C	San Francisco
H9592	Plan to Plan Reconciliation Contact			Lyfoung	Tsuleng		1-612-807-2260					tlyfoung@innovativeih.com	2042 Kern Street		Fresno	CA	93721	2/8/2023	2026	"INNOVATIVE INTEGRATED HEALTH, INC."	National PACE	Innovative Integrated Health Inc.	National PACE		"Innovative Integrated Health, Inc."	710	Yes	Active					PACE - Nat		C	San Francisco
H9615	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Management"		Colin	Wendy		1-585-885-2435					wcolin@mvphealthcare.com	20 South Clinton Avenue		Rochester	NY	14604	2/13/2024	2026	"MVP HEALTH PLAN, INC."	Local CCP	MVP HEALTH CARE	Local PPO		"MVP Health Care, Inc."	197	Yes	Active					PPO - BBA		C	Boston
H9615	Best Available Evidence Contact	"Leader, Medicare Enrollment Operations"		Moxley	Radija		1-585-885-2361				1-585-327-2227	RMoxley@mvphealthcare.com	20 South Clinton Avenue		Rochester	NY	14604	2/13/2024	2026	"MVP HEALTH PLAN, INC."	Local CCP	MVP HEALTH CARE	Local PPO		"MVP Health Care, Inc."	197	Yes	Active					PPO - BBA		C	Boston
H9615	Chief Financial Officer	Chief Financial Officer	Ms.	Austen	Karla		1-518-388-2357					kausten@mvphealthcare.com	625 State Street		Schenectady	NY	12305	6/26/2014	2026	"MVP HEALTH PLAN, INC."	Local CCP	MVP HEALTH CARE	Local PPO		"MVP Health Care, Inc."	197	Yes	Active					PPO - BBA		C	Boston
H9615	CMS Casework Communication Contact	"Leader, Medicare Appeals"		Allen	Amy		1-585-258-8096				1-585-327-5724	aallen@mvphealthcare.com	20 South Clinton Avenue		Rochester	NY	14604	2/13/2024	2026	"MVP HEALTH PLAN, INC."	Local CCP	MVP HEALTH CARE	Local PPO		"MVP Health Care, Inc."	197	Yes	Active					PPO - BBA		C	Boston
H9615	Coordination of Benefits Contact	"Director, Pharmacy Management"		Colin	Wendy		1-585-885-2435					wcolin@mvphealthcare.com	20 South Clinton Avenue		Rochester	NY	14604	2/13/2024	2026	"MVP HEALTH PLAN, INC."	Local CCP	MVP HEALTH CARE	Local PPO		"MVP Health Care, Inc."	197	Yes	Active					PPO - BBA		C	Boston
H9615	Customer Service Operations Contact	"Sr. Leader, Customer Care & Support Services"		Greenberg	Melissa		1-518-991-3731					mgreenberg@mvphealthcare.com	625 State Street		Schenectady	NY	12305	8/23/2022	2026	"MVP HEALTH PLAN, INC."	Local CCP	MVP HEALTH CARE	Local PPO		"MVP Health Care, Inc."	197	Yes	Active					PPO - BBA		C	Boston
H9615	Government Relations Contact	"VP, Government Affairs"		Estey	Jordan		1-518-991-3923				1-518-836-3202	jestey@mvphealthcare.com	625 State Street		Schenectady	NY	12305	6/18/2026	2026	"MVP HEALTH PLAN, INC."	Local CCP	MVP HEALTH CARE	Local PPO		"MVP Health Care, Inc."	197	Yes	Active					PPO - BBA		C	Boston
H9615	Hospice Contact	"Director, Pharmacy Management"		Colin	Wendy		1-585-885-2435				1-800-401-0915	WColin@mvphealthcare.com	20 S. Clinton Ave		Rochester	NY	14604	4/10/2024	2026	"MVP HEALTH PLAN, INC."	Local CCP	MVP HEALTH CARE	Local PPO		"MVP Health Care, Inc."	197	Yes	Active					PPO - BBA		C	Boston
H9615	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Borges	Linda		1-518-991-3803				1-518-836-3202	mco@mvphealthcare.com	625 State Street		Schenectady	NY	12305	3/29/2023	2026	"MVP HEALTH PLAN, INC."	Local CCP	MVP HEALTH CARE	Local PPO		"MVP Health Care, Inc."	197	Yes	Active					PPO - BBA		C	Boston
H9615	Part D Exceptions Contact	"Director, Pharmacy Management"		Colin	Wendy							wcolin@mvphealthcare.com	20 South Clinton Avenue		Rochester	NY	14604	2/13/2024	2026	"MVP HEALTH PLAN, INC."	Local CCP	MVP HEALTH CARE	Local PPO		"MVP Health Care, Inc."	197	Yes	Active	1-585-885-2435				PPO - BBA		C	Boston
H9615	Pharmacy Network Management Contact	Director Network Operations		Smith	Shawn		1-480-391-4844					shawn.smith@cvshealth.com	9501 E. Shea Blvd. MC 080		Scottsdale	AZ	85260	7/18/2018	2026	"MVP HEALTH PLAN, INC."	Local CCP	MVP HEALTH CARE	Local PPO		"MVP Health Care, Inc."	197	Yes	Active					PPO - BBA		C	Boston
H9615	Pharmacy Technical Help Desk Contact	"Director, Client Operations"		Leeper	Shonda							Shonda.Leeper@CVSHealth.com	445 Great Circle Rd		Nashville	TN	37228	12/3/2021	2026	"MVP HEALTH PLAN, INC."	Local CCP	MVP HEALTH CARE	Local PPO		"MVP Health Care, Inc."	197	Yes	Active	1-866-693-4620				PPO - BBA		C	Boston
H9615	Plan to Plan Reconciliation Contact	"Leader, State & Federal Plan Billing"		Marcus	Yael		1-914-429-8496					ymarcus@mvphealthcare.com	625 State Street		Schenectady	NY	12305	10/4/2022	2026	"MVP HEALTH PLAN, INC."	Local CCP	MVP HEALTH CARE	Local PPO		"MVP Health Care, Inc."	197	Yes	Active					PPO - BBA		C	Boston
H9616	Automated TrOOP Balance Transfer Contact	CFO	Mr.	Wallace	William	B	1-619-205-6339					brian.wallace@syhealth.org	1601 Precision Park Lane		San Diego	CA	92173	12/6/2019	2026	"San Diego PACE, LLC"	National PACE	San Diego PACE	National PACE		Centro de Salud de la Comunidad de San Ysidro	610	Yes	Active					PACE - Nat		C	San Francisco
H9616	Best Available Evidence Contact	Director of Contracts	Mr.	Israel	Douglas		1-619-662-4100	4165				Disrael@syhealth.org	1601 Precision Park Lane		San Diego	CA	92173	4/14/2022	2026	"San Diego PACE, LLC"	National PACE	San Diego PACE	National PACE		Centro de Salud de la Comunidad de San Ysidro	610	Yes	Active					PACE - Nat		C	San Francisco
H9616	Chief Financial Officer	CFO	Mr.	Wallace	William	B	1-619-205-6339					brian.wallace@syhealth.org	1601 Precision Park Lane		San Diego	CA	92173	12/6/2019	2026	"San Diego PACE, LLC"	National PACE	San Diego PACE	National PACE		Centro de Salud de la Comunidad de San Ysidro	610	Yes	Active					PACE - Nat		C	San Francisco
H9616	CMS Casework Communication Contact	Director of Nursing	Mr.	Ballesteros	Alfredo		1-619-662-4100	3442				alfredo.ballasteros@syhealth.org	1601 Precision Park Lane		San Diego	CA	92173	4/14/2022	2026	"San Diego PACE, LLC"	National PACE	San Diego PACE	National PACE		Centro de Salud de la Comunidad de San Ysidro	610	Yes	Active					PACE - Nat		C	San Francisco
H9616	Coordination of Benefits Contact	Director of Marketing & Enrollment	Mr.	Perez	Gerardo		1-619-205-4585					gerardo.perez@syhealth.org	1601 Precision Park Lane		San Diego	CA	92173	1/24/2024	2026	"San Diego PACE, LLC"	National PACE	San Diego PACE	National PACE		Centro de Salud de la Comunidad de San Ysidro	610	Yes	Active					PACE - Nat		C	San Francisco
H9616	Customer Service Operations Contact	Vice President & Chief Strategy Officer	Ms.	Todd	Vernita		1-619-941-2472					vernita.todd@syhealth.org	1601 Precision Park Lane		San Diego	CA	92173	10/26/2023	2026	"San Diego PACE, LLC"	National PACE	San Diego PACE	National PACE		Centro de Salud de la Comunidad de San Ysidro	610	Yes	Active					PACE - Nat		C	San Francisco
H9616	Government Relations Contact	Vice President of External Affairs	Ms.	Melgoza	Ana		1-619-662-4100	6378				Amelgoza@syhealth.org	1601 Precision Park Lane		San Diego	CA	92173	4/14/2022	2026	"San Diego PACE, LLC"	National PACE	San Diego PACE	National PACE		Centro de Salud de la Comunidad de San Ysidro	610	Yes	Active					PACE - Nat		C	San Francisco
H9616	Medicare Compliance Officer	Interim Chief Compliance Officer	Ms.	Muller	Beate		1-619-662-4100	3492				beate.muller@syhealth.org	1601 Precision Park Lane		San Diego	CA	92173	9/29/2025	2026	"San Diego PACE, LLC"	National PACE	San Diego PACE	National PACE		Centro de Salud de la Comunidad de San Ysidro	610	Yes	Active					PACE - Nat		C	San Francisco
H9616	Part D Exceptions Contact	PACE Pharmacy Manager	Ms.	Pham	Kim-Anh							kim-anh.pham@syhealth.org	3364 Beyer Blvd.		San Diego	CA	92173	10/26/2023	2026	"San Diego PACE, LLC"	National PACE	San Diego PACE	National PACE		Centro de Salud de la Comunidad de San Ysidro	610	Yes	Active	1-619-205-4585	4008			PACE - Nat		C	San Francisco
H9616	Pharmacy Network Management Contact	CFO	Mr.	Wallace	William	B	1-619-205-6339					brian.wallace@syhealth.org	1601 Precision Park Lane		San Diego	CA	92173	12/6/2019	2026	"San Diego PACE, LLC"	National PACE	San Diego PACE	National PACE		Centro de Salud de la Comunidad de San Ysidro	610	Yes	Active					PACE - Nat		C	San Francisco
H9616	Pharmacy Technical Help Desk Contact	Vice President & Chief Strategy Officer	Ms.	Todd	Vernita							vernita.todd@syhealth.org	1601 Precision Park Lane		San Diego	CA	92173	10/26/2023	2026	"San Diego PACE, LLC"	National PACE	San Diego PACE	National PACE		Centro de Salud de la Comunidad de San Ysidro	610	Yes	Active	1-619-941-2472				PACE - Nat		C	San Francisco
H9616	Plan to Plan Reconciliation Contact	CFO	Mr.	Wallace	William	B	1-619-205-6339					brian.wallace@syhealth.org	1601 Precision Park Lane		San Diego	CA	92173	12/6/2019	2026	"San Diego PACE, LLC"	National PACE	San Diego PACE	National PACE		Centro de Salud de la Comunidad de San Ysidro	610	Yes	Active					PACE - Nat		C	San Francisco
H9623	Automated TrOOP Balance Transfer Contact	Manager Project & Program Management	Ms.	Chesling	Beth		1-612-777-4823					EOBP2P@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	11/20/2025	2026	Ventura County Medi-Cal Managed Care Commission	Local CCP	Gold Coast Health Plan	HMO/HMOPOS		Ventura County Medi-Cal Managed Care Commission	867	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9623	Best Available Evidence Contact	"Director, Pharmacy"	Ms.	Yip	Lily		1-805-437-5873					lyip@goldchp.org	711 E. Daily Suite 106		Camarillo	CA	93010	2/18/2025	2026	Ventura County Medi-Cal Managed Care Commission	Local CCP	Gold Coast Health Plan	HMO/HMOPOS		Ventura County Medi-Cal Managed Care Commission	867	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9623	Chief Financial Officer	Acting Chief Finance Officer	Mr.	Register	Jeff		1-805-910-9700					jregister@goldchp.org	711 E. Daily Suite 106		Camarillo	CA	93010	3/20/2026	2026	Ventura County Medi-Cal Managed Care Commission	Local CCP	Gold Coast Health Plan	HMO/HMOPOS		Ventura County Medi-Cal Managed Care Commission	867	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9623	CMS Casework Communication Contact	Medicare Compliance Manager	Ms.	Gomez-Garcia	Brenda		1-805-437-5987					bgomez-garcia@goldchp.org	711 E. Daily Suite 106		Camarillo	CA	93010	2/18/2025	2026	Ventura County Medi-Cal Managed Care Commission	Local CCP	Gold Coast Health Plan	HMO/HMOPOS		Ventura County Medi-Cal Managed Care Commission	867	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9623	Coordination of Benefits Contact	"Sr. Manager, Operations Claims"	Mr.	Cooper	Thomas		1-805-437-5725					tcooper@goldchp.org	711 E. Daily Suite 106		Camarillo	CA	93010	2/18/2025	2026	Ventura County Medi-Cal Managed Care Commission	Local CCP	Gold Coast Health Plan	HMO/HMOPOS		Ventura County Medi-Cal Managed Care Commission	867	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9623	Customer Service Operations Contact	"Sr. Director, Operations"	Ms.	Krull	Holly		1-805-603-9827					hkrill@goldchp.org	711 E. Daily Suite 106		Camarillo	CA	93010	2/18/2025	2026	Ventura County Medi-Cal Managed Care Commission	Local CCP	Gold Coast Health Plan	HMO/HMOPOS		Ventura County Medi-Cal Managed Care Commission	867	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9623	Government Relations Contact	"Manager, Government Relations"	Ms.	Armstrong	Alison		1-805-437-5829					aarmstrong@goldchp.org	711 E. Daily Suite 106		Camarillo	CA	93010	2/18/2025	2026	Ventura County Medi-Cal Managed Care Commission	Local CCP	Gold Coast Health Plan	HMO/HMOPOS		Ventura County Medi-Cal Managed Care Commission	867	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9623	Hospice Contact	"Director, Pharmacy"	Ms.	Yip	Lily		1-805-437-5873					lyip@goldchp.org	711 E. Daily Suite 106		Camarillo	CA	93010	2/18/2025	2026	Ventura County Medi-Cal Managed Care Commission	Local CCP	Gold Coast Health Plan	HMO/HMOPOS		Ventura County Medi-Cal Managed Care Commission	867	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9623	Medicare Compliance Officer	Chief Compliance Officer	Mr.	Franco	Robert		1-805-910-6447					rfranco@goldchp.org	711 E. Daily Suite 106		Camarillo	CA	93010	2/18/2025	2026	Ventura County Medi-Cal Managed Care Commission	Local CCP	Gold Coast Health Plan	HMO/HMOPOS		Ventura County Medi-Cal Managed Care Commission	867	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9623	Part D Exceptions Contact	Regulatory Pharmacist Sr.- PBM	Mr.	Spears	Scott							clinicalreviewmeddaudit@primetherapeutics.com	2900 Ames Crossing Road		Eagan	CA	93010	11/20/2025	2026	Ventura County Medi-Cal Managed Care Commission	Local CCP	Gold Coast Health Plan	HMO/HMOPOS		Ventura County Medi-Cal Managed Care Commission	867	Yes	Active	1-800-693-6651				HMO - Health Maintenance Organization		C	New York
H9623	Pharmacy Network Management Contact	"VP, Network Management"		Conlin	Marci		1-612-777-2837					marci.conlin@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	2/6/2025	2026	Ventura County Medi-Cal Managed Care Commission	Local CCP	Gold Coast Health Plan	HMO/HMOPOS		Ventura County Medi-Cal Managed Care Commission	867	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9623	Pharmacy Technical Help Desk Contact	"Sr Director, Member Services"	Mr	Scott	Shane							shane.scott@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	12/16/2025	2026	Ventura County Medi-Cal Managed Care Commission	Local CCP	Gold Coast Health Plan	HMO/HMOPOS		Ventura County Medi-Cal Managed Care Commission	867	Yes	Active	1-855-681-9590				HMO - Health Maintenance Organization		C	New York
H9623	Plan to Plan Reconciliation Contact	Acting Chief Finance Officer	Mr.	Register	Jeff		1-805-910-9700					jregister@goldchp.org	711 E. Daily Suite 106		Camarillo	CA	93010	3/20/2026	2026	Ventura County Medi-Cal Managed Care Commission	Local CCP	Gold Coast Health Plan	HMO/HMOPOS		Ventura County Medi-Cal Managed Care Commission	867	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9630	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/5/2024	2026	"ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9630	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	"ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9630	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	7/5/2024	2026	"ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9630	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9630	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9630	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	9/18/2024	2026	"ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9630	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9630	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	7/5/2024	2026	"ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9630	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	"ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9630	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	7/5/2024	2026	"ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H9630	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	"ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9630	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	1/9/2025	2026	"ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0202				HMO - Health Maintenance Organization		C	Denver
H9630	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	7/5/2024	2026	"ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9649	Automated TrOOP Balance Transfer Contact	Director of Finance	Mr	Morgan	Jason		1-970-257-2368					jmorgan@hopewestco.org	2754 Compass Drive	Unit B	Grand Junction	CO	81506	1/26/2026	2026	HOPEWEST	National PACE	HopeWest PACE	National PACE		Hopewest	766	Yes	Active					PACE - Nat		C	San Francisco
H9649	Best Available Evidence Contact	Director of Finance	Mr	Morgan	Jason		1-970-257-2368					jmorgan@hopewestco.org	3090 North 12th Street	Unit B	Grand Junction	CO	81506	1/26/2026	2026	HOPEWEST	National PACE	HopeWest PACE	National PACE		Hopewest	766	Yes	Active					PACE - Nat		C	San Francisco
H9649	Chief Financial Officer	Chief Financial Officer	Mr	Bair	Carter		1-970-257-2366					cbair@hopewestco.org	3090 North 12th Street	Unit B	Grand Junction	CO	81506	1/21/2025	2026	HOPEWEST	National PACE	HopeWest PACE	National PACE		Hopewest	766	Yes	Active					PACE - Nat		C	San Francisco
H9649	CMS Casework Communication Contact	Director of Quality and Compliance	Ms	Eldridge-Davies	Natasha		1-970-263-2197	2197				neldridgedavies@hopewestco.org	2754 Compass Drive		Grand Junction	CO	81506	8/21/2023	2026	HOPEWEST	National PACE	HopeWest PACE	National PACE		Hopewest	766	Yes	Active					PACE - Nat		C	San Francisco
H9649	Coordination of Benefits Contact	Director of Finance	Mr	Morgan	Jason		1-970-257-2368	2372				jmorgan@hopewestco.org	2754 Compass Drive		Grand Junction	CO	81506	1/26/2026	2026	HOPEWEST	National PACE	HopeWest PACE	National PACE		Hopewest	766	Yes	Active					PACE - Nat		C	San Francisco
H9649	Customer Service Operations Contact	Director of Quality/Compliance	Ms	Eldridge-Davies	Natasha		1-970-263-2197	2197				neldridgedavies@hopewestco.org	2754 Compass Drive		Grand Junction	CO	81506	8/21/2023	2026	HOPEWEST	National PACE	HopeWest PACE	National PACE		Hopewest	766	Yes	Active					PACE - Nat		C	San Francisco
H9649	Government Relations Contact	Sr. Vice President of Compliance	Ms	Fakier	Stephanie	M	1-970-257-2373	2373				sfakier@hopewestco.org	3090 North 12th Street	Unit B	Grand Junction	CO	81506	3/20/2026	2026	HOPEWEST	National PACE	HopeWest PACE	National PACE		Hopewest	766	Yes	Active					PACE - Nat		C	San Francisco
H9649	Medicare Compliance Officer	Sr. Vice President of Compliance	Ms	Fakier	Stephanie	M	1-970-257-2373	2373				sfakier@hopewestco.org	3090 North 12th Street	Unit B	Grand Junction	CO	81506	3/20/2026	2026	HOPEWEST	National PACE	HopeWest PACE	National PACE		Hopewest	766	Yes	Active					PACE - Nat		C	San Francisco
H9649	Part D Exceptions Contact	Medical Director	Dr.	Marlin	Heidi							hmarlin@hopewestco.org	2754 Compass Drive		Grand Junction	CO	81506	8/13/2025	2026	HOPEWEST	National PACE	HopeWest PACE	National PACE		Hopewest	766	Yes	Active	1-970-254-4021	4021			PACE - Nat		C	San Francisco
H9649	Pharmacy Network Management Contact	PACE Business Office Manager	Ms	Brandt	Krista		1-970-255-7223					kbrandt@hopewestco.org	2754 Compass Drive		Grand Junction	CO	81506	3/2/2026	2026	HOPEWEST	National PACE	HopeWest PACE	National PACE		Hopewest	766	Yes	Active					PACE - Nat		C	San Francisco
H9649	Pharmacy Technical Help Desk Contact	Executive Director	Ms	Barrios	Tracy							Tbarrios@HopeWestCO.org	2754 compass Drive		Grand Junction	CO	81506	8/13/2025	2026	HOPEWEST	National PACE	HopeWest PACE	National PACE		Hopewest	766	Yes	Active	1-970-255-7207	7207			PACE - Nat		C	San Francisco
H9649	Plan to Plan Reconciliation Contact	Director of Finance	Mr	Morgan	Jason		1-970-257-2368	2368				jmorgan@hopewestco.org	3090 North 12th Street	Unit B	Grand Junction	CO	81506	1/26/2026	2026	HOPEWEST	National PACE	HopeWest PACE	National PACE		Hopewest	766	Yes	Active					PACE - Nat		C	San Francisco
H9678	Automated TrOOP Balance Transfer Contact	"Sr. Manager, Enrollment & Billing"	Mr.	Howell	Justin		1-646-767-5753					jhowell@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST INSURANCE COMPANY, INC."	Local CCP	Healthfirst Medicare Plan	Local PPO		"Healthfirst, Inc."	391	Yes	Active					PPO - BBA		C	Chicago
H9678	Best Available Evidence Contact	"Sr. Manager, Enrollment & Billing"	Mr.	Howell	Justin		1-646-767-5753					jhowell@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST INSURANCE COMPANY, INC."	Local CCP	Healthfirst Medicare Plan	Local PPO		"Healthfirst, Inc."	391	Yes	Active					PPO - BBA		C	Chicago
H9678	Chief Financial Officer	Chief Financial Officer	Ms.	Kang	Judy		1-718-484-5489					jkang@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST INSURANCE COMPANY, INC."	Local CCP	Healthfirst Medicare Plan	Local PPO		"Healthfirst, Inc."	391	Yes	Active					PPO - BBA		C	Chicago
H9678	CMS Casework Communication Contact	"Director, Appeal & Grievance Operations"	Mr.	Craig	Jeffrey		1-646-767-5642					jcraig@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST INSURANCE COMPANY, INC."	Local CCP	Healthfirst Medicare Plan	Local PPO		"Healthfirst, Inc."	391	Yes	Active					PPO - BBA		C	Chicago
H9678	Coordination of Benefits Contact	"Director, Payment Integrity Team"	Ms.	Hutchinson	Chris		1-917-698-2415					chutchinson@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST INSURANCE COMPANY, INC."	Local CCP	Healthfirst Medicare Plan	Local PPO		"Healthfirst, Inc."	391	Yes	Active					PPO - BBA		C	Chicago
H9678	Customer Service Operations Contact	"AVP,  Member Services"	Mr.	Antony	Joemon		1-212-801-1519					jantony@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST INSURANCE COMPANY, INC."	Local CCP	Healthfirst Medicare Plan	Local PPO		"Healthfirst, Inc."	391	Yes	Active					PPO - BBA		C	Chicago
H9678	Government Relations Contact	"VP, Regulatory Affairs"	Ms.	Logreira	Christine		1-646-313-8967					clogreira@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST INSURANCE COMPANY, INC."	Local CCP	Healthfirst Medicare Plan	Local PPO		"Healthfirst, Inc."	391	Yes	Active					PPO - BBA		C	Chicago
H9678	Hospice Contact	"Manager, Clinical Pharmacy Benefits"	Ms.	Baja	Melodie		1-646-856-5983					mbaja@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST INSURANCE COMPANY, INC."	Local CCP	Healthfirst Medicare Plan	Local PPO		"Healthfirst, Inc."	391	Yes	Active					PPO - BBA		C	Chicago
H9678	Medicare Compliance Officer	Chief Compliance Officer & Head of Internal Audit	Mr.	Hackendorn	John		1-212-453-4495					jhackendorn@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST INSURANCE COMPANY, INC."	Local CCP	Healthfirst Medicare Plan	Local PPO		"Healthfirst, Inc."	391	Yes	Active					PPO - BBA		C	Chicago
H9678	Part D Exceptions Contact	"Manager, Clinical Pharmacy Benefits"	Ms.	Baja	Melodie							mbaja@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST INSURANCE COMPANY, INC."	Local CCP	Healthfirst Medicare Plan	Local PPO		"Healthfirst, Inc."	391	Yes	Active	1-888-260-1010				PPO - BBA		C	Chicago
H9678	Pharmacy Network Management Contact	"AVP, Pharmacy Benefits Operations"	Mr.	Suri	Tarun		1-646-354-1168					tsuri@healthfirst.org	"100 Church Street, 18th Floor"		New York	NY	10007	5/6/2026	2026	"HEALTHFIRST INSURANCE COMPANY, INC."	Local CCP	Healthfirst Medicare Plan	Local PPO		"Healthfirst, Inc."	391	Yes	Active					PPO - BBA		C	Chicago
H9678	Pharmacy Technical Help Desk Contact	AVP Customer Care	Mr.	Jackson	Scott							scott.jackson@cvshealth.com	CVS Health	"800 NW Chipman Rd, Ste 5830"	Lees Summit	MO	64063	5/6/2026	2026	"HEALTHFIRST INSURANCE COMPANY, INC."	Local CCP	Healthfirst Medicare Plan	Local PPO		"Healthfirst, Inc."	391	Yes	Active	1-866-693-4620				PPO - BBA		C	Chicago
H9678	Plan to Plan Reconciliation Contact	"Sr. Manager, Enrollment & Billing"	Mr.	Howell	Justin		1-646-767-5753					P2P@healthfirst.org	"100 Church Street, 18th Floor"	Attn:  Treasury Department	New York	NY	10007	5/6/2026	2026	"HEALTHFIRST INSURANCE COMPANY, INC."	Local CCP	Healthfirst Medicare Plan	Local PPO		"Healthfirst, Inc."	391	Yes	Active					PPO - BBA		C	Chicago
H9686	Automated TrOOP Balance Transfer Contact	PBM - Manager Project and Program Management		Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NEVADA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9686	Best Available Evidence Contact	"Director, Membership & Eligibility"		Starks	Heather		1-661-433-0187				1-562-207-4623	HStarks@ahcusa.com	1100 W. Town and Country Road #300		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NEVADA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9686	Chief Financial Officer	Chief Financial Officer	Mr.	Head	James	M	1-657-218-7612					Jhead@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NEVADA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9686	CMS Casework Communication Contact	CEO		Maroney	Dawn		1-844-310-2247				1-844-320-2247	DMaroney@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NEVADA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9686	Coordination of Benefits Contact	"Director, Membership & Eligibility"		Starks	Heather		1-661-433-0187					HStarks@ahcusa.com	1100 W. Town and Country Rd #1600		Orange	CA	92868	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NEVADA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9686	Customer Service Operations Contact	"VP, Member Experience"		Shaffer	Troy		1-714-208-2446					TShaffer@ahcusa.com	1100  W. Town and Country Road #300		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NEVADA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9686	Government Relations Contact	"SVP, Chief Compliance Officer"		Lynch	Cindy		1-657-383-5394					clynch@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NEVADA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9686	Hospice Contact	"SVP, Market Management"	Dr.	Kim	John		1-657-218-7640					jkim@ahcusa.com	1100 W Town and Country	Suite 1600	Orange	CA	92868	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NEVADA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9686	Medicare Compliance Officer	"SVP, Chief Compliance Officer"	Ms.	Lynch	Cindy	B	1-657-383-5394					clynch@ahcusa.com	1100 W. Town and Country Road #1600		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NEVADA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9686	Part D Exceptions Contact	PBM - Regulatory Pharmacist Sr.		Emerson	Kimberly						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NEVADA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active	1-800-693-6651				HMO - Health Maintenance Organization		C	Chicago
H9686	Pharmacy Network Management Contact	"PBM - VP, Network Management"		Conlin	Marci		1-612-777-2842				1-877-823-6373	marci.conlin@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55122	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NEVADA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9686	Pharmacy Technical Help Desk Contact	"PBM - Sr. Director, Member Services"		Scott	Shane							shane.scott@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NEVADA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active	1-844-227-7615				HMO - Health Maintenance Organization		C	Chicago
H9686	Plan to Plan Reconciliation Contact	"Manager, Financial Operations"		De La Torre	Angelo		1-657-218-7422				1-562-207-4266	adelatorre@ahcusa.com	1100 W. Town and Country Road #300		Orange	CA	92868-4600	5/24/2026	2026	"ALIGNMENT HEALTH PLAN OF NEVADA, INC."	Local CCP	Alignment Health Plan	HMO/HMOPOS		"Alignment Healthcare USA, LLC"	612	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9690	Automated TrOOP Balance Transfer Contact	"Operations Mgr, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	Relay.Health@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	AMERICAN HEALTH PLAN OF INDIANA INC	Local CCP	American Health Advantage of Indiana	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9690	Best Available Evidence Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	AMERICAN HEALTH PLAN OF INDIANA INC	Local CCP	American Health Advantage of Indiana	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9690	Chief Financial Officer	Chief Financial Officer	Mr.	Bogle	Jeffrey	A	1-615-751-8134				1-844-280-5360	MACFO@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	AMERICAN HEALTH PLAN OF INDIANA INC	Local CCP	American Health Advantage of Indiana	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9690	CMS Casework Communication Contact	Compliance Officer		Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	AMERICAN HEALTH PLAN OF INDIANA INC	Local CCP	American Health Advantage of Indiana	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9690	Coordination of Benefits Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	AMERICAN HEALTH PLAN OF INDIANA INC	Local CCP	American Health Advantage of Indiana	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9690	Customer Service Operations Contact	"VP, Administration"		Brandt	Toni		1-615-476-0748				1-844-280-5360	tbrandt@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	AMERICAN HEALTH PLAN OF INDIANA INC	Local CCP	American Health Advantage of Indiana	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9690	Government Relations Contact	Compliance Officer		Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	AMERICAN HEALTH PLAN OF INDIANA INC	Local CCP	American Health Advantage of Indiana	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9690	Hospice Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	AMERICAN HEALTH PLAN OF INDIANA INC	Local CCP	American Health Advantage of Indiana	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9690	Medicare Compliance Officer	Compliance Officer	Ms.	Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	AMERICAN HEALTH PLAN OF INDIANA INC	Local CCP	American Health Advantage of Indiana	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9690	Part D Exceptions Contact	"Assoc Dir, Clinical Prior Authorization"		LeClair	Christophe						1-920-221-4176	Christopher.LeClair@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	AMERICAN HEALTH PLAN OF INDIANA INC	Local CCP	American Health Advantage of Indiana	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active	1-844-228-7934				HMO - Health Maintenance Organization		C	Dallas
H9690	Pharmacy Network Management Contact	"VP, Provider Services"		Nagy	Don		1-608-820-4403					Don.Nagy@navitus.com	361 Integrity Drive		Madison	WI	53717	6/22/2026	2026	AMERICAN HEALTH PLAN OF INDIANA INC	Local CCP	American Health Advantage of Indiana	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9690	Pharmacy Technical Help Desk Contact	"Sr. Mgr, Customer Care Accts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	AMERICAN HEALTH PLAN OF INDIANA INC	Local CCP	American Health Advantage of Indiana	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Dallas
H9690	Plan to Plan Reconciliation Contact	"Director,  Finance"		Tilley	Stephanie		1-931-242-0499				1-844-280-5360	stilley@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	AMERICAN HEALTH PLAN OF INDIANA INC	Local CCP	American Health Advantage of Indiana	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9699	Automated TrOOP Balance Transfer Contact	"Manager, MedD Financial Operations"		Davis	Brittany		1-480-536-4772					Brittany.Davis@CVSHealth.com	9501 E Shea Blvd MC 121		Scottsdale	AZ	85260	7/18/2024	2026	"USABLE HMO, INC."	Local CCP	Arkansas Blue Medicare	HMO/HMOPOS		USAble Mutual Insurance Company	421	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9699	Best Available Evidence Contact	"Manager, Medicare Operations"		Sherer	Michael		1-501-378-3641					mcsherer@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	10/18/2024	2026	"USABLE HMO, INC."	Local CCP	Arkansas Blue Medicare	HMO/HMOPOS		USAble Mutual Insurance Company	421	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9699	Chief Financial Officer	Treasurer	Mr.	Winter	Scott		1-501-399-3951					sbwinter@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	1/13/2025	2026	"USABLE HMO, INC."	Local CCP	Arkansas Blue Medicare	HMO/HMOPOS		USAble Mutual Insurance Company	421	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9699	CMS Casework Communication Contact	"Manager, Medicare Operations"		Sherer	Michael		1-501-378-3641					mcsherer@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	10/18/2024	2026	"USABLE HMO, INC."	Local CCP	Arkansas Blue Medicare	HMO/HMOPOS		USAble Mutual Insurance Company	421	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9699	Coordination of Benefits Contact	"Manager, MedD Financial Operations"		Davis	Brittany		1-480-536-4772					Brittany.Davis@CVSHealth.com	9501 E Shea Blvd MC 121		Scottsdale	AZ	85260	7/18/2024	2026	"USABLE HMO, INC."	Local CCP	Arkansas Blue Medicare	HMO/HMOPOS		USAble Mutual Insurance Company	421	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9699	Customer Service Operations Contact	"Manager, Medicare Operations"		Sherer	Michael		1-501-378-3641					mcsherer@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	10/18/2024	2026	"USABLE HMO, INC."	Local CCP	Arkansas Blue Medicare	HMO/HMOPOS		USAble Mutual Insurance Company	421	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9699	Government Relations Contact	Director Medicare Compliance	Mr.	Kirsch	Nick		1-501-340-9589					nkirsch@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	4/8/2026	2026	"USABLE HMO, INC."	Local CCP	Arkansas Blue Medicare	HMO/HMOPOS		USAble Mutual Insurance Company	421	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9699	Hospice Contact	"Supervisor, Medicare Member Services"		Taylor	Alicia		1-501-378-3743					aataylor@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	8/18/2021	2026	"USABLE HMO, INC."	Local CCP	Arkansas Blue Medicare	HMO/HMOPOS		USAble Mutual Insurance Company	421	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9699	Medicare Compliance Officer	Director Medicare Compliance	Mr.	Kirsch	Nick		1-501-340-9589					nkirsch@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	2/6/2026	2026	"USABLE HMO, INC."	Local CCP	Arkansas Blue Medicare	HMO/HMOPOS		USAble Mutual Insurance Company	421	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9699	Part D Exceptions Contact	Account Manager		Ellinger	David							David.Ellinger@CVSHealth.com	9501 E Shea Blvd MC 121		Scottsdale	AZ	85260	5/21/2025	2026	"USABLE HMO, INC."	Local CCP	Arkansas Blue Medicare	HMO/HMOPOS		USAble Mutual Insurance Company	421	Yes	Active	1-480-240-8415				HMO - Health Maintenance Organization		C	New York
H9699	Pharmacy Network Management Contact	Account Manager		Ellinger	David		1-480-240-8415					David.Ellinger@CVSHealth.com	9501 E Shea Blvd MC 121		Scottsdale	AZ	85260	5/21/2025	2026	"USABLE HMO, INC."	Local CCP	Arkansas Blue Medicare	HMO/HMOPOS		USAble Mutual Insurance Company	421	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9699	Pharmacy Technical Help Desk Contact			Customer Service	CVS								9501 E Shea Blvd MC 121		Scottsdale	AZ	85260	10/10/2024	2026	"USABLE HMO, INC."	Local CCP	Arkansas Blue Medicare	HMO/HMOPOS		USAble Mutual Insurance Company	421	Yes	Active	1-844-280-5833				HMO - Health Maintenance Organization		C	New York
H9699	Plan to Plan Reconciliation Contact	Financial Analyst		Holt	Susan		1-501-294-2491				1-501-378-3258	sbholt@arkbluecross.com	P O Box 8084		Little Rock	AR	72203	9/5/2024	2026	"USABLE HMO, INC."	Local CCP	Arkansas Blue Medicare	HMO/HMOPOS		USAble Mutual Insurance Company	421	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9700	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF NORTH CAROLINA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H9700	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF NORTH CAROLINA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H9700	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF NORTH CAROLINA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H9700	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF NORTH CAROLINA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H9700	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF NORTH CAROLINA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H9700	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF NORTH CAROLINA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H9700	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF NORTH CAROLINA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H9700	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF NORTH CAROLINA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H9700	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF NORTH CAROLINA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H9700	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF NORTH CAROLINA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				PPO - BBA		C	Boston
H9700	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF NORTH CAROLINA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H9700	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF NORTH CAROLINA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				PPO - BBA		C	Boston
H9700	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH PLAN OF NORTH CAROLINA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Boston
H9706	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Management	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/14/2025	2026	HCSC INSURANCE SERVICES COMPANY	Local CCP	Blue Cross and Blue Shield of Texas	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9706	Best Available Evidence Contact	"Deputy General Manager, Digital Operations"	Mr.	Davis	Tom		1-570-344-9237	73545			1-000-000-0000	Thomas.Davis@cognizant.com	Cognizant	25 Lakeview Drive	Jessup	PA	18434	1/4/2022	2026	HCSC INSURANCE SERVICES COMPANY	Local CCP	Blue Cross and Blue Shield of Texas	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9706	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	300 East Randolph St		Chicago	IL	60601	4/7/2026	2026	HCSC INSURANCE SERVICES COMPANY	Local CCP	Blue Cross and Blue Shield of Texas	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9706	CMS Casework Communication Contact	Manager Medicare Operations & Oversight	Ms.	Morris	Tawanna		1-630-824-5090				1-000-000-0000	Tawanna_Morris@bcbsil.com	Health Care Service Corporation	300 E. Randolph Street	Chicago	IL	60601	8/6/2024	2026	HCSC INSURANCE SERVICES COMPANY	Local CCP	Blue Cross and Blue Shield of Texas	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9706	Coordination of Benefits Contact	Mgr Project & Program Management	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	COBMedD@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/14/2025	2026	HCSC INSURANCE SERVICES COMPANY	Local CCP	Blue Cross and Blue Shield of Texas	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9706	Customer Service Operations Contact	VP of Customer Service	Mr.	Akovenko	Josh		1-615-695-8916				1-000-000-0000	josh_akovenko@hcsc.com	Health Care Service Corporation	500 Great Circle Rd	Nashville	IL	60601	12/4/2025	2026	HCSC INSURANCE SERVICES COMPANY	Local CCP	Blue Cross and Blue Shield of Texas	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9706	Government Relations Contact	Executive Director - Health Policy	Ms.	DuGoff	Eva		1-202-249-7208				1-000-000-0000	eva_dugoff@hcsc.net	Health Care Service Corporation	1001 Pennsylvania NW	Washington	DC	20004	9/30/2025	2026	HCSC INSURANCE SERVICES COMPANY	Local CCP	Blue Cross and Blue Shield of Texas	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9706	Hospice Contact	Govt Prog Clinical Ops Dvisional Vice President	Ms.	Thomas-Spaulding	Felicia	S	1-505-816-2717				1-000-000-0000	Felicia_Spaulding@bcbsnm.com	Blue Cross Blue Shield of New Mexico	4411 The 25 Way NE	Albuquerque	NM	87109	8/9/2019	2026	HCSC INSURANCE SERVICES COMPANY	Local CCP	Blue Cross and Blue Shield of Texas	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9706	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	9/5/2025	2026	HCSC INSURANCE SERVICES COMPANY	Local CCP	Blue Cross and Blue Shield of Texas	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9706	Part D Exceptions Contact	Regulatory Pharmacist Sr	Mr.	Spears	Scott						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	9/22/2025	2026	HCSC INSURANCE SERVICES COMPANY	Local CCP	Blue Cross and Blue Shield of Texas	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-800-693-6651				HMO - Health Maintenance Organization		C	Dallas
H9706	Pharmacy Network Management Contact	"VP, Network Management"	Ms.	Conlin	Marci		1-612-777-2837				1-877-823-6373	marci.conlin@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Road	Eagan	MN	55121	3/22/2023	2026	HCSC INSURANCE SERVICES COMPANY	Local CCP	Blue Cross and Blue Shield of Texas	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9706	Pharmacy Technical Help Desk Contact	"Sr. Director, Member Services"	Mr.	Scott	Shane						1-000-000-0000	shane.scott@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	12/19/2025	2026	HCSC INSURANCE SERVICES COMPANY	Local CCP	Blue Cross and Blue Shield of Texas	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-877-277-7898				HMO - Health Maintenance Organization		C	Dallas
H9706	Plan to Plan Reconciliation Contact	Accountant	Ms.	Bowen	Niaya		1-972-766-1324				1-972-766-4360	niaya_bowen@bcbstx.com	Health Care Service Corporation	"1001 East Lookout Drive,"	Richardson	TX	75082	9/30/2025	2026	HCSC INSURANCE SERVICES COMPANY	Local CCP	Blue Cross and Blue Shield of Texas	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9725	Automated TrOOP Balance Transfer Contact	Operations Advisor	Ms.	Fertig	Nancy	J	1-860-902-4553					nancy_fertig@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9725	Best Available Evidence Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9725	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	Health Care Service Corporation	300 East Randolph St	Chicago	IL	60601	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9725	CMS Casework Communication Contact	Customer Service Manager	Ms.	McCarroll	Angie		1-615-235-0177					angie_mccarroll@hcsc.com	3700 O'Donnell Street		Baltimore	MD	21224	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9725	Coordination of Benefits Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9725	Customer Service Operations Contact	VP of Customer Service	Mr.	Akovenko	Josh		1-615-695-8916				1-000-000-0000	josh_akovenko@hcsc.com	Health Care Service Corporation	500 Great Circle Rd	Nashville	IL	60601	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9725	Government Relations Contact	Executive Director - Health Policy	Ms.	DuGoff	Eva		1-202-249-7208				1-000-000-0000	eva_dugoff@hcsc.net	Health Care Service Corporation	1001 Pennsylvania NW	Washington	DC	20004	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9725	Hospice Contact	Operations Senior Manager	Ms.	Rice	Sarah		1-480-215-9884					sarah_rice@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9725	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9725	Part D Exceptions Contact	Operations Senior Manager	Mr.	Erkens	Ron							ron_erkens@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-602-317-1992				HMO - Health Maintenance Organization		C	New York
H9725	Pharmacy Network Management Contact	Provider Contracting Sr Manager	Ms.	Bourdier	Maryanne		1-860-338-9867					maryanne_bourdier@hcsc.com	Health Care Service Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9725	Pharmacy Technical Help Desk Contact			Scripts	Express								Health Care Services Corporation	500 Great Circle Road	Nashville	TN	37228	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active	1-800-922-1557				HMO - Health Maintenance Organization		C	New York
H9725	Plan to Plan Reconciliation Contact		Ms.	Thomas	Andrea	F	1-629-317-9367				1-615-291-7025	P2P@healthspring.com	P.O. Box 11407	Dept#8277	Birmingham	AL	35246	5/26/2026	2026	"BRAVO HEALTH PENNSYLVANIA, INC."	Local CCP	HealthSpring	HMO/HMOPOS		Health Care Service Corporation	110	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9730	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/5/2024	2026	"WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC"	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9730	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	"WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC"	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9730	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	7/5/2024	2026	"WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC"	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9730	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC"	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9730	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC"	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9730	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	9/18/2024	2026	"WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC"	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9730	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC"	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9730	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	7/5/2024	2026	"WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC"	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9730	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	"WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC"	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9730	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	7/5/2024	2026	"WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC"	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H9730	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	"WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC"	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9730	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/17/2024	2026	"WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC"	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0408				HMO - Health Maintenance Organization		C	Denver
H9730	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	7/5/2024	2026	"WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC"	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9734	Automated TrOOP Balance Transfer Contact			Siler	Sarah		1-844-664-2248					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	12/23/2025	2026	"CPV South, LLC"	National PACE	"CPV South, LLC"	National PACE		"Community PACE Ventures, LLC."	885	Yes	Pending					PACE - Nat		C	San Francisco
H9734	Best Available Evidence Contact			Siler	Sarah		1-844-664-2248					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	12/23/2025	2026	"CPV South, LLC"	National PACE	"CPV South, LLC"	National PACE		"Community PACE Ventures, LLC."	885	Yes	Pending					PACE - Nat		C	San Francisco
H9734	Chief Financial Officer		Mr.	Fuentes	Robert		1-844-664-2248					rfuentes@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	12/23/2025	2026	"CPV South, LLC"	National PACE	"CPV South, LLC"	National PACE		"Community PACE Ventures, LLC."	885	Yes	Pending					PACE - Nat		C	San Francisco
H9734	CMS Casework Communication Contact			Siler	Sarah		1-844-664-2248					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	12/23/2025	2026	"CPV South, LLC"	National PACE	"CPV South, LLC"	National PACE		"Community PACE Ventures, LLC."	885	Yes	Pending					PACE - Nat		C	San Francisco
H9734	Coordination of Benefits Contact			Siler	Sarah		1-844-664-2248					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	12/23/2025	2026	"CPV South, LLC"	National PACE	"CPV South, LLC"	National PACE		"Community PACE Ventures, LLC."	885	Yes	Pending					PACE - Nat		C	San Francisco
H9734	Customer Service Operations Contact			Waschevski	Susan		1-844-664-2248					swaschevski@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	12/23/2025	2026	"CPV South, LLC"	National PACE	"CPV South, LLC"	National PACE		"Community PACE Ventures, LLC."	885	Yes	Pending					PACE - Nat		C	San Francisco
H9734	Government Relations Contact			Dey	Anna		1-844-664-2248					adey@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	12/23/2025	2026	"CPV South, LLC"	National PACE	"CPV South, LLC"	National PACE		"Community PACE Ventures, LLC."	885	Yes	Pending					PACE - Nat		C	San Francisco
H9734	Medicare Compliance Officer		Mrs.	Dey	Anna		1-844-664-2248					adey@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	12/23/2025	2026	"CPV South, LLC"	National PACE	"CPV South, LLC"	National PACE		"Community PACE Ventures, LLC."	885	Yes	Pending					PACE - Nat		C	San Francisco
H9734	Part D Exceptions Contact		Mrs.	Siler	Sarah							ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	12/23/2025	2026	"CPV South, LLC"	National PACE	"CPV South, LLC"	National PACE		"Community PACE Ventures, LLC."	885	Yes	Pending	1-844-664-2248				PACE - Nat		C	San Francisco
H9734	Pharmacy Network Management Contact			Siler	Sarah		1-844-664-2248					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	12/23/2025	2026	"CPV South, LLC"	National PACE	"CPV South, LLC"	National PACE		"Community PACE Ventures, LLC."	885	Yes	Pending					PACE - Nat		C	San Francisco
H9734	Pharmacy Technical Help Desk Contact		Mrs.	Siler	Sarah							ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	12/23/2025	2026	"CPV South, LLC"	National PACE	"CPV South, LLC"	National PACE		"Community PACE Ventures, LLC."	885	Yes	Pending	1-844-664-2248				PACE - Nat		C	San Francisco
H9734	Plan to Plan Reconciliation Contact			Siler	Sarah		1-844-664-2248					ssiler@habitathealth.com	39 Arkansas Street		San Francisco	CA	94107	12/23/2025	2026	"CPV South, LLC"	National PACE	"CPV South, LLC"	National PACE		"Community PACE Ventures, LLC."	885	Yes	Pending					PACE - Nat		C	San Francisco
H9771	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	10/24/2025	2026	AETNA BETTER HEALTH PREMIER PLAN MMAI INC.	Local CCP	Aetna Medicare FIDE	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9771	Best Available Evidence Contact	"Lead Director, Compliance"		Brown	Kristen	J	1-614-439-5370					brownk5@aetna.com	"7400 West Campus Road, Mail Code F494"		New Albany	OH	43054	11/1/2024	2026	AETNA BETTER HEALTH PREMIER PLAN MMAI INC.	Local CCP	Aetna Medicare FIDE	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9771	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA BETTER HEALTH PREMIER PLAN MMAI INC.	Local CCP	Aetna Medicare FIDE	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9771	CMS Casework Communication Contact	"Lead Director, Complaint and Appeals"	Ms.	Mougey	Melissa		1-740-819-1678					mougeym@aetna.com	109 Hunters Trl		Wheelersburg	OH	45694	11/1/2024	2026	AETNA BETTER HEALTH PREMIER PLAN MMAI INC.	Local CCP	Aetna Medicare FIDE	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9771	Coordination of Benefits Contact	Phamacy Director		Vergil	Gina		1-402-699-7768					VergilG@aetna.com	7400 West Campus Road		New Albany	OH	43054	11/1/2024	2026	AETNA BETTER HEALTH PREMIER PLAN MMAI INC.	Local CCP	Aetna Medicare FIDE	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9771	Customer Service Operations Contact	"Director, Service Operations"		Phillips	Tish		1-614-653-7335					PhillipsL1@aetna.com	7400 Campus Road		New Albany	OH	43054	11/18/2025	2026	AETNA BETTER HEALTH PREMIER PLAN MMAI INC.	Local CCP	Aetna Medicare FIDE	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9771	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA BETTER HEALTH PREMIER PLAN MMAI INC.	Local CCP	Aetna Medicare FIDE	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9771	Hospice Contact	"Lead Director, Service Operations"		Truitt	Michelle		1-717-671-6847					MLTruitt@aetna.com	151 Farmington Ave.		Hartford	CT	06156	10/24/2025	2026	AETNA BETTER HEALTH PREMIER PLAN MMAI INC.	Local CCP	Aetna Medicare FIDE	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9771	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	11/1/2024	2026	AETNA BETTER HEALTH PREMIER PLAN MMAI INC.	Local CCP	Aetna Medicare FIDE	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9771	Part D Exceptions Contact	Pharmacy Director		Vergil	Gina						1-855-365-8109	Vergilg@aetna.com	7400 West Campus Road		New Albany	OH	43054	6/15/2026	2026	AETNA BETTER HEALTH PREMIER PLAN MMAI INC.	Local CCP	Aetna Medicare FIDE	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-402-699-7768				HMO - Health Maintenance Organization		C	Atlanta
H9771	Pharmacy Network Management Contact	Pharmacy Director		Nkurunziza	Natalie		1-860-900-6247					NkurunzizaN@aetna.com	1421 Round Hill Road		Harrisburg	PA	17110	11/1/2024	2026	AETNA BETTER HEALTH PREMIER PLAN MMAI INC.	Local CCP	Aetna Medicare FIDE	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9771	Pharmacy Technical Help Desk Contact	Pharmacy Director		Nkurunziza	Natalie							NkurunzizaN@aetna.com	1421 Round Hill Road	8002386279	Harrisburg	PA	17110	6/15/2026	2026	AETNA BETTER HEALTH PREMIER PLAN MMAI INC.	Local CCP	Aetna Medicare FIDE	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active	1-800-238-6279				HMO - Health Maintenance Organization		C	Atlanta
H9771	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA BETTER HEALTH PREMIER PLAN MMAI INC.	Local CCP	Aetna Medicare FIDE	HMO/HMOPOS		CVS Health Corporation	49	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9772	Automated TrOOP Balance Transfer Contact			Alley	Brad		1-720-814-2154					BAlley@caresynergynetwork.org	8289 E. Lowry Blvd		Denver	CO	80230	9/5/2024	2026	PATHWAYS	National PACE	Pathways PACE	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H9772	Best Available Evidence Contact	CFO		Alley	Brad		1-720-814-2154					BAlley@caresynergynetwork.org	8289 E. Lowry Blvd		Denver	CO	80230	9/5/2024	2026	PATHWAYS	National PACE	Pathways PACE	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H9772	Chief Financial Officer	CFO	Mr	Alley	Brad		1-720-814-2154					BAlley@caresynergynetwork.org	8289 E. Lowry Blvd		Denver	CO	80230	9/5/2024	2026	PATHWAYS	National PACE	Pathways PACE	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H9772	CMS Casework Communication Contact	Director of Quality and Compliance		Cooper	Savannah		1-303-381-1234					scooper@caresynergynetwork.org	8289 E. Lowry Blvd		Denver	CO	80230	6/26/2026	2026	PATHWAYS	National PACE	Pathways PACE	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H9772	Coordination of Benefits Contact	PACE President		Jenkins	Vennita		1-720-814-2354					VJenkins@coloradopace.org	8289 E. Lowry Blvd		Denver	CO	80230	6/26/2026	2026	PATHWAYS	National PACE	Pathways PACE	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H9772	Customer Service Operations Contact	PACE President		Jenkins	Vennita		1-720-814-2354					VJenkins@coloradopace.org	8289 E. Lowry Blvd		Denver	CO	80230	6/26/2026	2026	PATHWAYS	National PACE	Pathways PACE	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H9772	Government Relations Contact	Vice President of Quality and Compliance		Davis	Kerri		1-303-398-6231					kdavis@caresynergynetwork.org	8289 E. Lowry Blvd		Denver	CO	80230	6/29/2026	2026	PATHWAYS	National PACE	Pathways PACE	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H9772	Medicare Compliance Officer	Vice President of Quality and Compliance	Ms	Davis	Kerri		1-303-398-6231					kdavis@caresynergynetwork.org	8289 E. Lowry Blvd		Denver	CO	80230	6/29/2026	2026	PATHWAYS	National PACE	Pathways PACE	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H9772	Part D Exceptions Contact	PACE President		Jenkins	Vennita							VJenkins@coloradopace.org	8289 E. Lowry Blvd		Denver	CO	80230	6/26/2026	2026	PATHWAYS	National PACE	Pathways PACE	National PACE				Yes	Pending	1-720-814-2354				PACE - Nat		C	San Francisco
H9772	Pharmacy Network Management Contact			Enders-Jack	Danielle		1-412-449-0680					DanielleEnders-Jack@Granerx.com	3251 N. Revere St		Aurora	CO	80011	9/5/2024	2026	PATHWAYS	National PACE	Pathways PACE	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H9772	Pharmacy Technical Help Desk Contact			Enders-Jack	Danielle								3251 N. revere Street		Aurora	CO	80011	9/5/2024	2026	PATHWAYS	National PACE	Pathways PACE	National PACE				Yes	Pending	1-800-381-3737				PACE - Nat		C	San Francisco
H9772	Plan to Plan Reconciliation Contact			Enders-Jack	Danielle		1-412-449-0680					DanielleEnders-Jack@Granerx.com	3251 N. Revere Street		Aurora	CO	80011	9/5/2024	2026	PATHWAYS	National PACE	Pathways PACE	National PACE				Yes	Pending					PACE - Nat		C	San Francisco
H9802	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF NEBRASKA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H9802	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF NEBRASKA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H9802	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF NEBRASKA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H9802	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF NEBRASKA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H9802	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF NEBRASKA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H9802	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF NEBRASKA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H9802	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF NEBRASKA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H9802	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF NEBRASKA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H9802	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF NEBRASKA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H9802	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF NEBRASKA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				PPO - BBA		C	Atlanta
H9802	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF NEBRASKA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H9802	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF NEBRASKA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				PPO - BBA		C	Atlanta
H9802	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF NEBRASKA	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Atlanta
H9808	Automated TrOOP Balance Transfer Contact	"Manager, Business Systems & Data"		Rao	Chanukya		1-508-804-6892					chanukya.rao@nirvanahealth.com	136 Turnpike Road		Southborough	MA	01772	12/12/2022	2026	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	Local CCP	HealthTeam Advantage	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H9808	Best Available Evidence Contact	Business Analyst		Bhupatiraju	Adarsh		1-508-804-7430	7260				Adarsh.Bhupatiraju@nirvanahealth.com	136 Turnpike Road		Southborough	MA	01772	1/11/2023	2026	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	Local CCP	HealthTeam Advantage	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H9808	Chief Financial Officer	Chief Financial Officer	Ms.	Donoghue	Trish		1-336-790-4386					tdonoghue@htanc.com	300 East Wendover Avenue	Suite 121	Greensboro	NC	27401	6/2/2023	2026	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	Local CCP	HealthTeam Advantage	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H9808	CMS Casework Communication Contact	Director of Operations		Leppin	Amy		1-336-660-0562					aleppin@htanc.com	300 East Wendover Avenue	Suite 121	Greensboro	NC	27401	6/2/2023	2026	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	Local CCP	HealthTeam Advantage	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H9808	Coordination of Benefits Contact	"Manager, Business Systems  & Data"		Rao	Chanukya		1-508-804-6892					chanukya.rao@nirvanahealth.com	136 Turnpike Road		Southborough	MA	01772	1/11/2023	2026	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	Local CCP	HealthTeam Advantage	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H9808	Customer Service Operations Contact	Director of Operations	Ms.	Cotten	Ashley		1-888-965-1965					acotten@htanc.com	300 East Wendover Avenue	Suite 121	Greensboro	NC	27401	10/16/2025	2026	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	Local CCP	HealthTeam Advantage	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H9808	Government Relations Contact	President & CEO		Hodges	Brendan		1-336-790-4392					bhodges@htanc.com	300 East Wendover Avenue	Suite 121	Greensboro	NC	27401	6/2/2023	2026	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	Local CCP	HealthTeam Advantage	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H9808	Hospice Contact	Chief Operations Officer	Dr.	Homer	Deanna		1-336-790-4385					dhomer@htanc.com	300 East Wendover Avenue	Suite 121	Greensboro	NC	27401	1/28/2024	2026	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	Local CCP	HealthTeam Advantage	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H9808	Medicare Compliance Officer	Compliance Officer	Ms	Moore	Teresa		1-814-504-2687					teresa.moore@conehealth.com	300 East Wendover Avenue	Suite 121	Greensboro	NC	27401	7/2/2025	2026	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	Local CCP	HealthTeam Advantage	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H9808	Part D Exceptions Contact	Clinical Advisor		Morgan	Madeline						1-508-282-7171	madeline.morgan@nirvanahealth.com	136 Turnpike Road		Southborough	MA	01772	6/10/2025	2026	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	Local CCP	HealthTeam Advantage	Local PPO		"Risant Health, Inc."	96	Yes	Active	1-800-237-1992				PPO - BBA		C	Dallas
H9808	Pharmacy Network Management Contact	Chief Administrative Officer		Wickremeratne	Aruna		1-508-804-6923					aruna.w@nirvanahealth.com	136 Turnpike Road		Southborough	MA	01772	12/12/2022	2026	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	Local CCP	HealthTeam Advantage	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H9808	Pharmacy Technical Help Desk Contact	Consumer Services Operations Manager		Carrera	Heylen						1-508-310-6372	heylen.carrera@nirvanahealth.com	600 North Westshore Boulevard	suite 900	Tampa	FL	33607	6/10/2025	2026	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	Local CCP	HealthTeam Advantage	Local PPO		"Risant Health, Inc."	96	Yes	Active	1-800-237-1992				PPO - BBA		C	Dallas
H9808	Plan to Plan Reconciliation Contact	Chief Financial Officer	Ms.	Donoghue	Trish		1-336-790-4386					tdonoghue@htanc.com	300 East Wendover Avenue	Suite 121	Greensboro	NC	27401	6/2/2023	2026	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	Local CCP	HealthTeam Advantage	Local PPO		"Risant Health, Inc."	96	Yes	Active					PPO - BBA		C	Dallas
H9811	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/5/2024	2026	"MAGNOLIA HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9811	Best Available Evidence Contact	"Director, Business Operations"		Demirchyan	Ovsanna		1-818-676-6079					ovsanna.demirchyan@centene.com	21271 Burbank Blvd		Woodland Hills	CA	91367	7/17/2025	2026	"MAGNOLIA HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9811	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	7/5/2024	2026	"MAGNOLIA HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9811	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"MAGNOLIA HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9811	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"MAGNOLIA HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9811	Customer Service Operations Contact	"Director, Contact Center Operations"		Lewis	Jesse		1-726-444-2205					jesse.lewis2@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	9/18/2024	2026	"MAGNOLIA HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9811	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"MAGNOLIA HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9811	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	7/5/2024	2026	"MAGNOLIA HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9811	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	"MAGNOLIA HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9811	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	7/5/2024	2026	"MAGNOLIA HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-813-206-7152				HMO - Health Maintenance Organization		C	Denver
H9811	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	"MAGNOLIA HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9811	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	1/9/2025	2026	"MAGNOLIA HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active	1-833-750-0202				HMO - Health Maintenance Organization		C	Denver
H9811	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	7/5/2024	2026	"MAGNOLIA HEALTH PLAN, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Active					HMO - Health Maintenance Organization		C	Denver
H9826	Automated TrOOP Balance Transfer Contact		Mr.	Sherman	Mandy		1-920-221-4083				1-920-221-4583	relay.health@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	7/30/2020	2026	"COMMUNITY HEALTH CHOICE TEXAS, INC."	Local CCP	Community Health Choice	HMO/HMOPOS		Harris County Hospital District	724	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9826	Best Available Evidence Contact	"Director, Operations Strategy"		Olatunbosun	Evelyn		1-713-295-2324				1-713-295-7041	evelyn.olatunbosun@communityhealthchoice.org	4888 Loop Central Drive		Houston	TX	77054	10/7/2024	2026	"COMMUNITY HEALTH CHOICE TEXAS, INC."	Local CCP	Community Health Choice	HMO/HMOPOS		Harris County Hospital District	724	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9826	Chief Financial Officer	Chief Financial Officer	Mrs.	Mateja	Anna		1-713-295-2238					Anna.Mateja@communityhealthchoice.org	4888 Loop Central Drive	Suite 600	Houston	TX	77054	3/26/2024	2026	"COMMUNITY HEALTH CHOICE TEXAS, INC."	Local CCP	Community Health Choice	HMO/HMOPOS		Harris County Hospital District	724	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9826	CMS Casework Communication Contact	Service Improvement Manager		Ortiz	Eliden		1-713-295-2411					Eliden.Ortiz@CommunityHealthChoice.org	4888 Loop Central Ste 600		Houston	TX	77081	3/5/2026	2026	"COMMUNITY HEALTH CHOICE TEXAS, INC."	Local CCP	Community Health Choice	HMO/HMOPOS		Harris County Hospital District	724	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9826	Coordination of Benefits Contact	"Sr. Director, Contact Center"		Ziegler	Tonie		1-713-295-2384					tonie.ziegler@communityhealthchoice.org	4888 Loop Central Drive		Houston	TX	77054	10/7/2024	2026	"COMMUNITY HEALTH CHOICE TEXAS, INC."	Local CCP	Community Health Choice	HMO/HMOPOS		Harris County Hospital District	724	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9826	Customer Service Operations Contact	"Sr. Director, Contact Center"	Mrs.	Ziegler	Tonie		1-713-295-2235					tonie.ziegler@communityhealthchoice.org	4888 Loop Central Drive	Suite 125	Houston	TX	77081	10/7/2024	2026	"COMMUNITY HEALTH CHOICE TEXAS, INC."	Local CCP	Community Health Choice	HMO/HMOPOS		Harris County Hospital District	724	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9826	Government Relations Contact	Chief Legal and Assurance Officer	Mr.	Buley	Chris		1-713-848-6766					Chris.Buley@CommunityHealthChoice.org	4888 Loop Central Drive	Suite 600	Houston	TX	77081	5/26/2026	2026	"COMMUNITY HEALTH CHOICE TEXAS, INC."	Local CCP	Community Health Choice	HMO/HMOPOS		Harris County Hospital District	724	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9826	Hospice Contact	"Sr. VP, Health Services"	Ms.	Richardson	DeiLaSheun		1-713-295-6791					deilasheun.richardson@communityhealthchoice.org	4888 Loop Central Drive	Suite 600	Houston	TX	77054	12/4/2024	2026	"COMMUNITY HEALTH CHOICE TEXAS, INC."	Local CCP	Community Health Choice	HMO/HMOPOS		Harris County Hospital District	724	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9826	Medicare Compliance Officer	"Director, Federal Programs"	Ms.	Sullivan	Keri		1-713-848-6759					Keri.Sullivan@CommunityHealthChoice.org	4888 Loop Central Drive	Suite 600	Houston	TX	77081	3/5/2026	2026	"COMMUNITY HEALTH CHOICE TEXAS, INC."	Local CCP	Community Health Choice	HMO/HMOPOS		Harris County Hospital District	724	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9826	Part D Exceptions Contact			LeClair	Chris						1-920-221-4676	christopher.LeClair@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	7/30/2020	2026	"COMMUNITY HEALTH CHOICE TEXAS, INC."	Local CCP	Community Health Choice	HMO/HMOPOS		Harris County Hospital District	724	Yes	Active	1-920-221-4176				HMO - Health Maintenance Organization		C	Dallas
H9826	Pharmacy Network Management Contact	"VP, Pharmacy Network Management"		Santos	Christina	~	1-608-820-4408					Christina.Santos@navitus.com	361 Integrity Drive		Madison	WI	53717	5/13/2025	2026	"COMMUNITY HEALTH CHOICE TEXAS, INC."	Local CCP	Community Health Choice	HMO/HMOPOS		Harris County Hospital District	724	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9826	Pharmacy Technical Help Desk Contact	"Sr. Manager, Customer Care Accounts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	12/16/2022	2026	"COMMUNITY HEALTH CHOICE TEXAS, INC."	Local CCP	Community Health Choice	HMO/HMOPOS		Harris County Hospital District	724	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Dallas
H9826	Plan to Plan Reconciliation Contact	Accounting Manager	Mrs.	Gulley	Bridget		1-713-295-2238					Bridget.Gulley@CommunityHealthChoice.org	4888 Loop Central Drive	Suite 125	Houston	TX	77081	2/20/2025	2026	"COMMUNITY HEALTH CHOICE TEXAS, INC."	Local CCP	Community Health Choice	HMO/HMOPOS		Harris County Hospital District	724	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9827	Automated TrOOP Balance Transfer Contact	Part D Analyst		Houk	Kim		1-614-546-3183				1-614-546-3131	kulrich@Medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	"MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC."	Local CCP	Trinity Health Plan New York	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9827	Best Available Evidence Contact	"Manager, Enrollment & Reconciliation"		Buddell	Natasha		1-614-546-3222				1-614-546-3148	nbuddell@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	"MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC."	Local CCP	Trinity Health Plan New York	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9827	Chief Financial Officer	Chief Financial Officer	Mr	Vis	David		1-614-546-3211				1-614-546-3131	david.vis@medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	"MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC."	Local CCP	Trinity Health Plan New York	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9827	CMS Casework Communication Contact	Compliance Specialist	Mr.	Jordan	David	A	1-614-706-8474				1-614-234-8372	djordan@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	"MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC."	Local CCP	Trinity Health Plan New York	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9827	Coordination of Benefits Contact	Pharmacy Data Analyst		Houk	Kim		1-614-546-3183				1-614-546-3132	kulrich@Medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	"MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC."	Local CCP	Trinity Health Plan New York	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9827	Customer Service Operations Contact	"Senior Director, Member and Provider Services"		Schlabach	Marilyn		1-614-546-3180				1-614-546-3132	mschlabach@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	"MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC."	Local CCP	Trinity Health Plan New York	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9827	Government Relations Contact	CEO	Mr	Randolph	John	C	1-614-546-3152				1-614-546-3131	jack.randolph@MediGold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	"MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC."	Local CCP	Trinity Health Plan New York	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9827	Hospice Contact	Senior Pharmacy Data Analyst		Houk	Kim		1-614-546-3183				1-614-546-3132	kulrich@Medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	"MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC."	Local CCP	Trinity Health Plan New York	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9827	Medicare Compliance Officer	Chief Compliance Officer	Ms	Suffern	Patricia		1-412-478-0244					patricia.suffern@medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	"MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC."	Local CCP	Trinity Health Plan New York	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9827	Part D Exceptions Contact	"Director, Pharmacy"	Ms.	McGhee	Anna							anna.mcghee@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	1/21/2024	2026	"MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC."	Local CCP	Trinity Health Plan New York	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active	1-800-240-3851				HMO - Health Maintenance Organization		C	Chicago
H9827	Pharmacy Network Management Contact	"Director, Pharmacy"	Ms.	McGhee	Anna		1-216-534-5375					anna.mcghee@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	1/21/2024	2026	"MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC."	Local CCP	Trinity Health Plan New York	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9827	Pharmacy Technical Help Desk Contact	"Director, Pharmacy"	Ms.	McGhee	Anna							anna.mcghee@mchs.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	1/21/2024	2026	"MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC."	Local CCP	Trinity Health Plan New York	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Chicago
H9827	Plan to Plan Reconciliation Contact	Pharmacy Data Analyst		Houk	Kim		1-614-546-3183				1-614-546-3132	kulrich@Medigold.com	3100 Easton Square Place	Suite 300-Health Plan	Columbus	OH	43219	9/14/2022	2026	"MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC."	Local CCP	Trinity Health Plan New York	HMO/HMOPOS		Trinity Health Corporation	234	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9830	Automated TrOOP Balance Transfer Contact	Medicare Compliance Manager		Brown	Lauren		1-720-974-6031				1-303-996-1600	lbrown2@myinnovage.com	8950 East Lowry Boulevard		Denver	CO	80230	7/28/2023	2026	"INNOVAGE PENNSYLVANIA LIFE, LLC"	National PACE	InnovAge Pennsylvania LIFE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H9830	Best Available Evidence Contact	Director of Finance	Ms.	Hewitt	Jessica		1-720-974-6767					jhewitt@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	5/19/2025	2026	"INNOVAGE PENNSYLVANIA LIFE, LLC"	National PACE	InnovAge Pennsylvania LIFE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H9830	Chief Financial Officer	CFO	Mr.	Adams	Ben		1-917-842-3099				1-303-996-1600	badams@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE PENNSYLVANIA LIFE, LLC"	National PACE	InnovAge Pennsylvania LIFE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H9830	CMS Casework Communication Contact	Director of Compliance		Simpson-Thomas	Shakyra		1-804-819-9554				1-303-996-1600	ssimpson-thomas@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	3/3/2026	2026	"INNOVAGE PENNSYLVANIA LIFE, LLC"	National PACE	InnovAge Pennsylvania LIFE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H9830	Coordination of Benefits Contact	Medicare Compliance Manager		Brown	Lauren		1-720-974-6031				1-303-996-1600	lbrown2@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE PENNSYLVANIA LIFE, LLC"	National PACE	InnovAge Pennsylvania LIFE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H9830	Customer Service Operations Contact	Director of Compliance		Simpson-Thomas	Shakyra		1-804-819-9554				1-303-996-1600	ssimpson-thomas@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	3/3/2026	2026	"INNOVAGE PENNSYLVANIA LIFE, LLC"	National PACE	InnovAge Pennsylvania LIFE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H9830	Government Relations Contact	"SVP, External Affairs"		Nelson	Don		1-608-217-5110					dnelson3@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	12/5/2025	2026	"INNOVAGE PENNSYLVANIA LIFE, LLC"	National PACE	InnovAge Pennsylvania LIFE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H9830	Medicare Compliance Officer	VP of Compliance	Ms.	Teter	Lezlie	A	1-720-682-9848				1-303-996-1600	lteter@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	4/24/2026	2026	"INNOVAGE PENNSYLVANIA LIFE, LLC"	National PACE	InnovAge Pennsylvania LIFE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H9830	Part D Exceptions Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael						1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE PENNSYLVANIA LIFE, LLC"	National PACE	InnovAge Pennsylvania LIFE	National PACE		"Total Community Options, Inc."	230	Yes	Active	1-720-666-3817				PACE - Nat		C	Philadelphia
H9830	Pharmacy Network Management Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael		1-720-666-3817				1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE PENNSYLVANIA LIFE, LLC"	National PACE	InnovAge Pennsylvania LIFE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H9830	Pharmacy Technical Help Desk Contact	SVP of Clinical Strategic Partnerships		Cinque	Michael						1-303-996-1600	mcinque@innovage.com	8950 East Lowry Boulevard		Denver	CO	80230	2/14/2025	2026	"INNOVAGE PENNSYLVANIA LIFE, LLC"	National PACE	InnovAge Pennsylvania LIFE	National PACE		"Total Community Options, Inc."	230	Yes	Active	1-720-666-3817				PACE - Nat		C	Philadelphia
H9830	Plan to Plan Reconciliation Contact	Finance and Compliance Analyst		Kizewski	Alex		1-720-789-6171				1-720-917-3390	akizewski@innovage.com	8950 East Lowry Blvd		Denver	CO	80230	7/28/2023	2026	"INNOVAGE PENNSYLVANIA LIFE, LLC"	National PACE	InnovAge Pennsylvania LIFE	National PACE		"Total Community Options, Inc."	230	Yes	Active					PACE - Nat		C	Philadelphia
H9834	Automated TrOOP Balance Transfer Contact	Pharmacy Manager		Suhr	Anessa		1-608-881-8616				1-608-881-8307	anessa.suhr@quartzbenefits.com	2650 Novation Pkwy		Fitchburg	WI	53713	8/6/2025	2026	QUARTZ HEALTH PLAN MN CORPORATION	Local CCP	Quartz Medicare Advantage (HMO)	HMO/HMOPOS		University of Wisconsin Hospitals and Clincs Autho	677	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9834	Best Available Evidence Contact	"Director, Enrollment, Billing & Collections"		Jones	Jenny		1-608-471-4695					jenny.jones@quartzbenefits.com	2650 Novation Pkwy		Fitchburg	WI	53713	8/6/2025	2026	QUARTZ HEALTH PLAN MN CORPORATION	Local CCP	Quartz Medicare Advantage (HMO)	HMO/HMOPOS		University of Wisconsin Hospitals and Clincs Autho	677	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9834	Chief Financial Officer	"Senior Vice President, CFO, Treasurer"	Mr.	Butcher	Jeff		1-608-471-4771					jeffrey.butcher@quartzbenefits.com	2650 Novation Pkwy		Fitchburg	WI	53713	8/6/2025	2026	QUARTZ HEALTH PLAN MN CORPORATION	Local CCP	Quartz Medicare Advantage (HMO)	HMO/HMOPOS		University of Wisconsin Hospitals and Clincs Autho	677	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9834	CMS Casework Communication Contact	Senior Compliance Analyst		Stanton	Jessica		1-608-881-8157					jessica.stanton@quartzbenefits.com	2650 Novation Pkwy		Fitchburg	WI	53713	8/6/2025	2026	QUARTZ HEALTH PLAN MN CORPORATION	Local CCP	Quartz Medicare Advantage (HMO)	HMO/HMOPOS		University of Wisconsin Hospitals and Clincs Autho	677	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9834	Coordination of Benefits Contact	"Director, Enrollment, Billing & Collections"		Jones	Jenny		1-608-471-4695					jenny.jones@quartzbenefits.com	2650 Novation Pkwy		Fitchburg	WI	53713	8/6/2025	2026	QUARTZ HEALTH PLAN MN CORPORATION	Local CCP	Quartz Medicare Advantage (HMO)	HMO/HMOPOS		University of Wisconsin Hospitals and Clincs Autho	677	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9834	Customer Service Operations Contact	Senior Director of Customer Success		Greubel	Lori		1-608-644-1433					lori.greubel@quartzbenefits.com	2650 Novation Pkwy		Fitchburg	WI	53713	8/6/2025	2026	QUARTZ HEALTH PLAN MN CORPORATION	Local CCP	Quartz Medicare Advantage (HMO)	HMO/HMOPOS		University of Wisconsin Hospitals and Clincs Autho	677	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9834	Government Relations Contact	Chief Compliance Officer	Mrs.	Skifton	Kelly		1-608-881-8151					kelly.skifton@quartzbenefits.com	2650 Novation Pkwy		Fitchburg	WI	53713	8/6/2025	2026	QUARTZ HEALTH PLAN MN CORPORATION	Local CCP	Quartz Medicare Advantage (HMO)	HMO/HMOPOS		University of Wisconsin Hospitals and Clincs Autho	677	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9834	Hospice Contact	Pharmacy Manager		Suhr	Anessa		1-608-881-8616				1-608-881-8307	anessa.suhr@quartzbenefits.com	2650 Novation Pkwy		Fitchburg	WI	53713	8/6/2025	2026	QUARTZ HEALTH PLAN MN CORPORATION	Local CCP	Quartz Medicare Advantage (HMO)	HMO/HMOPOS		University of Wisconsin Hospitals and Clincs Autho	677	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9834	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Skifton	Kelly	N	1-608-881-8151					kelly.skifton@quartzbenefits.com	2650 Novation Pkwy		Fitchburg	WI	53713	8/6/2025	2026	QUARTZ HEALTH PLAN MN CORPORATION	Local CCP	Quartz Medicare Advantage (HMO)	HMO/HMOPOS		University of Wisconsin Hospitals and Clincs Autho	677	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9834	Part D Exceptions Contact	Pharmacy Manager		Suhr	Anessa						1-608-881-8307	anessa.suhr@quartzbenefits.com	2650 Novation Pkwy		Fitchburg	WI	53713	8/6/2025	2026	QUARTZ HEALTH PLAN MN CORPORATION	Local CCP	Quartz Medicare Advantage (HMO)	HMO/HMOPOS		University of Wisconsin Hospitals and Clincs Autho	677	Yes	Active	1-800-394-5566				HMO - Health Maintenance Organization		C	Chicago
H9834	Pharmacy Network Management Contact	Pharmacy Manager		Suhr	Anessa		1-608-881-8616				1-608-881-8307	anessa.suhr@quartzbenefits.com	2650 Novation Pkwy		Fitchburg	WI	53713	8/6/2025	2026	QUARTZ HEALTH PLAN MN CORPORATION	Local CCP	Quartz Medicare Advantage (HMO)	HMO/HMOPOS		University of Wisconsin Hospitals and Clincs Autho	677	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9834	Pharmacy Technical Help Desk Contact	"OptumRx Senior Manager, PhD"		Villanueva	Juan							juan.villanueva@optum.com	11000 Optum Circle		Eden Prairie	MN	55344	8/6/2025	2026	QUARTZ HEALTH PLAN MN CORPORATION	Local CCP	Quartz Medicare Advantage (HMO)	HMO/HMOPOS		University of Wisconsin Hospitals and Clincs Autho	677	Yes	Active	1-800-506-4614				HMO - Health Maintenance Organization		C	Chicago
H9834	Plan to Plan Reconciliation Contact	Lead Financial Analyst		Cheung	Sheila		1-608-881-8082					sheila.cheung@quartzbenefits.com	2650 Novation Pkwy		Fitchburg	WI	53713	8/6/2025	2026	QUARTZ HEALTH PLAN MN CORPORATION	Local CCP	Quartz Medicare Advantage (HMO)	HMO/HMOPOS		University of Wisconsin Hospitals and Clincs Autho	677	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9842	Automated TrOOP Balance Transfer Contact	"Regional Director, Finance"	Ms	Fuhrmeister	Nicole		1-574-247-8763					Nicole.Fuhrmeister@trinity-health.org	250 E. Day Rd		Mishawaka	IN	46545	11/24/2025	2026	SAINT JOSEPH PACE	National PACE	Saint Joseph PACE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Chicago
H9842	Best Available Evidence Contact	"Regional Director, Finance"	Ms	Fuhrmeister	Nicole		1-574-247-8763					Nicole.Fuhrmeister@trinity-health.org	250 E. Day Rd		Mishawaka	IN	46545	11/24/2025	2026	SAINT JOSEPH PACE	National PACE	Saint Joseph PACE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Chicago
H9842	Chief Financial Officer	"Regional Director, Finance"	Ms	Fuhrmeister	Nicole		1-574-247-8763					Nicole.Fuhrmeister@trinity-health.org	250 E. Day Rd		Mishawaka	IN	46546	11/24/2025	2026	SAINT JOSEPH PACE	National PACE	Saint Joseph PACE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Chicago
H9842	CMS Casework Communication Contact	Regional VP Operations	Mr.	Coble	Hogan		1-574-247-8763					William.Coble@trinity-health.org	250 E. Day Rd.		Mishawaka	IN	46545	5/5/2026	2026	SAINT JOSEPH PACE	National PACE	Saint Joseph PACE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Chicago
H9842	Coordination of Benefits Contact	"Regional Director, Finance"	Ms	Fuhrmeister	Nicole		1-574-247-8763					Nicole.Fuhrmeister@trinity-health.org	250 E. Day Rd		Mishawaka	IN	46545	11/24/2025	2026	SAINT JOSEPH PACE	National PACE	Saint Joseph PACE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Chicago
H9842	Customer Service Operations Contact	Regional VP Operations	Mr.	Coble	William		1-574-247-8763					William.Coble@trinity-health.org	250 E. Day Rd.		Mishawaka	IN	46545	5/5/2026	2026	SAINT JOSEPH PACE	National PACE	Saint Joseph PACE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Chicago
H9842	Government Relations Contact	Regional VP Operations	Mr.	Coble	Hogan		1-574-247-8763					William.Coble@trinity-health.org	250 E. Day Rd.		Mishawaka	IN	46545	5/5/2026	2026	SAINT JOSEPH PACE	National PACE	Saint Joseph PACE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Chicago
H9842	Medicare Compliance Officer	National Director QI/Compliance	Ms	Watts	Christina		1-248-420-6065					wattscl@trinity-health.org	20555 Victor Parkway		Livonia	MI	48152	8/15/2023	2026	SAINT JOSEPH PACE	National PACE	Saint Joseph PACE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Chicago
H9842	Part D Exceptions Contact	Manager Part D Compliance		Garbarino	Joseph							Joseph.Garbarino@mercyhealth.org	1930 South Broad St	Unit 3	Philadelphia	PA	19145	1/4/2021	2026	SAINT JOSEPH PACE	National PACE	Saint Joseph PACE	National PACE		Trinity Health Corporation	234	Yes	Active	1-215-339-4362				PACE - Nat		C	Chicago
H9842	Pharmacy Network Management Contact	"Manager Pharmacy, Part D Compliance"		Garbarino	Joseph		1-215-339-4362					joseph.garbarino@trinity-health.org	250 E. Day Rd.		Mishawaka	IN	46545	10/3/2022	2026	SAINT JOSEPH PACE	National PACE	Saint Joseph PACE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Chicago
H9842	Pharmacy Technical Help Desk Contact	Manager Part D Compliance		Garbarino	Joseph							joseph.garbarino@trinity-health.org	2500 Northgate Road		Trevose	PA	19053	8/3/2023	2026	SAINT JOSEPH PACE	National PACE	Saint Joseph PACE	National PACE		Trinity Health Corporation	234	Yes	Active	1-215-339-4362				PACE - Nat		C	Chicago
H9842	Plan to Plan Reconciliation Contact	"Regional Director, Finance"	Ms	Fuhrmeister	Nicole		1-574-247-8763					Nicole.Fuhrmeister@trinity-health.org	250 E. Day Rd.		Mishawaka	IN	46545	11/24/2025	2026	SAINT JOSEPH PACE	National PACE	Saint Joseph PACE	National PACE		Trinity Health Corporation	234	Yes	Active					PACE - Nat		C	Chicago
H9884	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Kansas City
H9884	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Kansas City
H9884	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Kansas City
H9884	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Kansas City
H9884	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Kansas City
H9884	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Kansas City
H9884	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Kansas City
H9884	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Kansas City
H9884	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Kansas City
H9884	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				PPO - BBA		C	Kansas City
H9884	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Kansas City
H9884	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				PPO - BBA		C	Kansas City
H9884	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	Kansas City
H9888	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H9888	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H9888	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H9888	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H9888	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H9888	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H9888	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H9888	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H9888	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H9888	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				PPO - BBA		C	New York
H9888	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H9888	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				PPO - BBA		C	New York
H9888	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC	Local CCP	Devoted Health	Local PPO		"Devoted Health, Inc."	690	Yes	Active					PPO - BBA		C	New York
H9904	Automated TrOOP Balance Transfer Contact	"Sr. Manager, Medicare Pharmacy Program"	Ms.	Jones	Susan		1-774-701-1720					susan.jones@massadvantage.com	67 Millbrook Street		Worcester	MA	01606	5/27/2026	2026	"CENTRAL MASS HEALTH, LLC"	Local CCP	Mass Advantage	Local PPO		Central Mass Health Holding LLC	773	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H9904	Best Available Evidence Contact	Chief Compliance Officer for COO	Mr.	Arnott	Drew		1-774-701-1423					drew.arnott@massadvantage.com	67 Millbrook Street		Worcester	MA	01606	5/27/2026	2026	"CENTRAL MASS HEALTH, LLC"	Local CCP	Mass Advantage	Local PPO		Central Mass Health Holding LLC	773	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H9904	Chief Financial Officer	CFO	Ms.	Natarajan	Gayatri		1-774-570-0390					gayatri.natarajan@massadvantage.com	67 Millbrook Street		Worcester	MA	01606	5/27/2026	2026	"CENTRAL MASS HEALTH, LLC"	Local CCP	Mass Advantage	Local PPO		Central Mass Health Holding LLC	773	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H9904	CMS Casework Communication Contact	Chief Compliance Officer	Mr.	Arnott	Drew		1-774-701-1423					drew.arnott@massadvantage.com	67 Millbrook Street		Worchester	MA	01606	5/27/2026	2026	"CENTRAL MASS HEALTH, LLC"	Local CCP	Mass Advantage	Local PPO		Central Mass Health Holding LLC	773	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H9904	Coordination of Benefits Contact	Claims Manager (for VP Ops)	Ms.	Green	Rose		1-774-701-1176					rose.green@massadvantage.com	67 Millbrook Street		Worcester	MA	01606	5/27/2026	2026	"CENTRAL MASS HEALTH, LLC"	Local CCP	Mass Advantage	Local PPO		Central Mass Health Holding LLC	773	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H9904	Customer Service Operations Contact	Vice President	Mr.	Velten	Steve		1-816-435-7408					svelten@dsthealth.com	210 W 10th St		Kansas	MO	64105	5/27/2026	2026	"CENTRAL MASS HEALTH, LLC"	Local CCP	Mass Advantage	Local PPO		Central Mass Health Holding LLC	773	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H9904	Government Relations Contact	Chief Compliance Officer	Mr.	Arnott	Drew		1-774-701-1423					drew.arnott@massadvantage.com	67 Millbrook Street		Worcester	MA	01606	5/27/2026	2026	"CENTRAL MASS HEALTH, LLC"	Local CCP	Mass Advantage	Local PPO		Central Mass Health Holding LLC	773	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H9904	Hospice Contact	Operations Support Specialist	Ms.	Bochtler	Kimberly		1-207-576-4136					kimberly.bochtler@massadvantage.com	67 Millbrook Street		Worcester	MA	01606	5/27/2026	2026	"CENTRAL MASS HEALTH, LLC"	Local CCP	Mass Advantage	Local PPO		Central Mass Health Holding LLC	773	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H9904	Medicare Compliance Officer	Chief Compliance Officer	Mr.	Arnott	Drew		1-774-701-1423					drew.arnott@massadvantage.com	67 Milbrook St		Worcester	MA	01605	5/27/2026	2026	"CENTRAL MASS HEALTH, LLC"	Local CCP	Mass Advantage	Local PPO		Central Mass Health Holding LLC	773	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H9904	Part D Exceptions Contact	Sr. Manager Medicare Pharmacy	Ms.	Jones	Susan							erica.hursey@massadvantage.com	67 Milbrook Street		Worcester	MA	01606	5/27/2026	2026	"CENTRAL MASS HEALTH, LLC"	Local CCP	Mass Advantage	Local PPO		Central Mass Health Holding LLC	773	Yes	Withdrawn Contract	1-774-701-1720				PPO - BBA		C	Boston
H9904	Pharmacy Network Management Contact	VP Account Management II	Mr.	Nagy	Don		1-612-318-6111					don.nagy@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	5/27/2026	2026	"CENTRAL MASS HEALTH, LLC"	Local CCP	Mass Advantage	Local PPO		Central Mass Health Holding LLC	773	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H9904	Pharmacy Technical Help Desk Contact	"Sr. Manager, CDAG, Medicare Part D"	Mr.	DiBiase	Joe							joe.dibiase@primetherapeutics.com	P.O. Box 64806		St. Paul	MN	55164-0811	5/27/2026	2026	"CENTRAL MASS HEALTH, LLC"	Local CCP	Mass Advantage	Local PPO		Central Mass Health Holding LLC	773	Yes	Withdrawn Contract	1-877-865-4624				PPO - BBA		C	Boston
H9904	Plan to Plan Reconciliation Contact	Sr. Manager Medicare Pharmacy	Ms.	Jones	Susan		1-774-701-1720					susan.jones@massadvantage.com	67 Millbrook Street		Worcester	MA	01606	5/27/2026	2026	"CENTRAL MASS HEALTH, LLC"	Local CCP	Mass Advantage	Local PPO		Central Mass Health Holding LLC	773	Yes	Withdrawn Contract					PPO - BBA		C	Boston
H9907	Automated TrOOP Balance Transfer Contact			Burns	Kevin		1-781-612-3538					Kevin.Burns@point32health.org	1 Wellness Way		Canton	MA	02021	1/15/2026	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	Local PPO		"Point32Health, Inc."	398	Yes	Active					PPO - BBA		C	Boston
H9907	Best Available Evidence Contact	"Director, Public Plans Enrollment & Revenue Rec"		Mahoney	Thomas		1-781-612-4897	3152780				thomas.mahoney@point32health.org	1 Wellness Way		Canton	MA	02021	4/3/2025	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	Local PPO		"Point32Health, Inc."	398	Yes	Active					PPO - BBA		C	Boston
H9907	Chief Financial Officer	Chief Financial Officer	Mr.	Marrone	Michael		1-781-612-6435					michael.marrone@point32health.org	1 Wellness Way		Canton	MA	02021	1/7/2026	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	Local PPO		"Point32Health, Inc."	398	Yes	Active					PPO - BBA		C	Boston
H9907	CMS Casework Communication Contact	"Sr. Program Manager, Appeals & Grievances"		Mello	Sheri		1-781-612-1000	84682				sheri.mello@point32health.org	1 Wellness Way		Canton	MA	02021	4/3/2025	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	Local PPO		"Point32Health, Inc."	398	Yes	Active					PPO - BBA		C	Boston
H9907	Coordination of Benefits Contact			COB Inquiries	Medicare		1-781-612-1000					Medicare_COB_Inquiries@point32health.org	1 Wellness Way		Canton	MA	02021	4/3/2025	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	Local PPO		"Point32Health, Inc."	398	Yes	Active					PPO - BBA		C	Boston
H9907	Customer Service Operations Contact	"Manager, Member Services"		Villatoro	Yesly		1-781-612-1000	54152				yesly.villatoro@point32health.org	1 Wellness Way		Canton	MA	02021	4/3/2025	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	Local PPO		"Point32Health, Inc."	398	Yes	Active					PPO - BBA		C	Boston
H9907	Government Relations Contact	Chief Government Affairs Officer		Lewis	Kristin		1-781-612-1000	83621				kristin.lewis@point32health.org	1 Wellness Way		Canton	MA	02021	4/3/2025	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	Local PPO		"Point32Health, Inc."	398	Yes	Active					PPO - BBA		C	Boston
H9907	Hospice Contact	"Manager, Pharmacy Operations & Programs"		MacAuley	Jacqueline		1-781-612-1000	83059				jacqueline.macauley@point32health.org	1 Wellness Way		Canton	MA	02021	4/3/2025	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	Local PPO		"Point32Health, Inc."	398	Yes	Active					PPO - BBA		C	Boston
H9907	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Geroski	Tami	A	1-570-814-2999					tami.geroski@point32health.org	1 Wellness Way		Canton	MA	02021	1/5/2026	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	Local PPO		"Point32Health, Inc."	398	Yes	Active					PPO - BBA		C	Boston
H9907	Part D Exceptions Contact	"Director, Pharmacy Utilization Management"		Chan	Bryan							bryan.chan@point32health.org	1 Wellness Way		Canton	MA	02021	4/3/2025	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	Local PPO		"Point32Health, Inc."	398	Yes	Active	1-781-612-1000	82370			PPO - BBA		C	Boston
H9907	Pharmacy Network Management Contact	Manager		Perez	Felix		1-305-331-3044					Felix.perez@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	1/22/2026	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	Local PPO		"Point32Health, Inc."	398	Yes	Active					PPO - BBA		C	Boston
H9907	Pharmacy Technical Help Desk Contact	Sr. Manager		Villaneuva	Juan							Juan.Villanueva@optum.com	3515 S Harbor Blvd.		Costa Mesa	CA	92626	4/3/2025	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	Local PPO		"Point32Health, Inc."	398	Yes	Active	1-855-679-2639				PPO - BBA		C	Boston
H9907	Plan to Plan Reconciliation Contact	"Manager, Finance Operations Compliance"		Schumaker	Tyler		1-617-972-9400	87394				Tyler.Schumaker@point32health.org	1 Wellness Way		Canton	MA	02021	4/3/2025	2026	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	Local CCP	Tufts Health Plan	Local PPO		"Point32Health, Inc."	398	Yes	Active					PPO - BBA		C	Boston
H9909	Automated TrOOP Balance Transfer Contact	"Operations Mgr, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	Relay.Health@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	"AMERICAN HEALTH PLAN OF MS, INC."	Local CCP	American Health Advantage of MS	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9909	Best Available Evidence Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF MS, INC."	Local CCP	American Health Advantage of MS	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9909	Chief Financial Officer	Chief Financial Officer	Mr.	Bogle	Jeffrey	A	1-615-751-8134				1-844-280-5360	MACFO@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF MS, INC."	Local CCP	American Health Advantage of MS	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9909	CMS Casework Communication Contact	Compliance Officer		Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF MS, INC."	Local CCP	American Health Advantage of MS	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9909	Coordination of Benefits Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF MS, INC."	Local CCP	American Health Advantage of MS	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9909	Customer Service Operations Contact	"VP, Administration"		Brandt	Toni		1-615-476-0748				1-844-280-5360	tbrandt@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF MS, INC."	Local CCP	American Health Advantage of MS	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9909	Government Relations Contact	Compliance Officer		Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF MS, INC."	Local CCP	American Health Advantage of MS	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9909	Hospice Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF MS, INC."	Local CCP	American Health Advantage of MS	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9909	Medicare Compliance Officer	Compliance Officer	Ms.	Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF MS, INC."	Local CCP	American Health Advantage of MS	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9909	Part D Exceptions Contact	"Assoc Dir, Clinical Prior Authorization"		LeClair	Christophe						1-920-221-4176	Christopher.LeClair@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	"AMERICAN HEALTH PLAN OF MS, INC."	Local CCP	American Health Advantage of MS	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active	1-844-228-7934				HMO - Health Maintenance Organization		C	Dallas
H9909	Pharmacy Network Management Contact	"VP, Provider Services"		Nagy	Don		1-608-820-4403					Don.Nagy@navitus.com	361 Integrity Drive		Madison	WI	53717	6/22/2026	2026	"AMERICAN HEALTH PLAN OF MS, INC."	Local CCP	American Health Advantage of MS	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9909	Pharmacy Technical Help Desk Contact	"Sr. Mgr, Customer Care Accts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	"AMERICAN HEALTH PLAN OF MS, INC."	Local CCP	American Health Advantage of MS	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Dallas
H9909	Plan to Plan Reconciliation Contact	"Director,  Finance"		Tilley	Stephanie		1-931-242-0499				1-844-280-5360	stilley@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	"AMERICAN HEALTH PLAN OF MS, INC."	Local CCP	American Health Advantage of MS	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9916	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-349-3212					PartD_FIR@centene.com	8725 Henderson Rd		Tampa	FL	33634	5/26/2026	2026	"WELLCARE HEALTH INSURANCE OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H9916	Best Available Evidence Contact	"Director, Business Operations"		McKenzie	Shakira		1-818-206-1838					Shakira.Mckenzie@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	5/26/2026	2026	"WELLCARE HEALTH INSURANCE OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H9916	Chief Financial Officer	"Vice President, Medicare CFO"	Mr.	Schindler	Michael		1-310-482-1083					michael.j.schindler@centene.com	4801 W 122nd Terr		Overland Park	KS	66209	5/26/2026	2026	"WELLCARE HEALTH INSURANCE OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H9916	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	5/26/2026	2026	"WELLCARE HEALTH INSURANCE OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H9916	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	5/26/2026	2026	"WELLCARE HEALTH INSURANCE OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H9916	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	5/26/2026	2026	"WELLCARE HEALTH INSURANCE OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H9916	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	5/26/2026	2026	"WELLCARE HEALTH INSURANCE OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H9916	Hospice Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Rd		Tampa	FL	33634	5/26/2026	2026	"WELLCARE HEALTH INSURANCE OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H9916	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	5/26/2026	2026	"WELLCARE HEALTH INSURANCE OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H9916	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Rd		Tampa	FL	33634	5/26/2026	2026	"WELLCARE HEALTH INSURANCE OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Withdrawn Contract	1-813-206-7152				HMO - Health Maintenance Organization		C	Dallas
H9916	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	5/26/2026	2026	"WELLCARE HEALTH INSURANCE OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H9916	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra							ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33634	5/26/2026	2026	"WELLCARE HEALTH INSURANCE OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Withdrawn Contract	1-833-750-0408				HMO - Health Maintenance Organization		C	Dallas
H9916	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Rd		Tampa	FL	33634	5/26/2026	2026	"WELLCARE HEALTH INSURANCE OF ARIZONA, INC."	Local CCP	Wellcare	HMO/HMOPOS		Centene Corporation	351	Yes	Withdrawn Contract					HMO - Health Maintenance Organization		C	Dallas
H9917	Automated TrOOP Balance Transfer Contact	"Supervisor, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	relay.health@navitus.com	"Navitus Health Solutions, LLC"	1025 West Navitus Drive	Appleton	WI	54913	10/8/2024	2026	"ALIGN SENIOR CARE FLORIDA, INC."	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9917	Best Available Evidence Contact	Enrollment Manager	Ms	Beringer	Stephanie		1-206-697-7797					stephanie.beringer@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/25/2025	2026	"ALIGN SENIOR CARE FLORIDA, INC."	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9917	Chief Financial Officer	CFO/VP of Finance	Ms.	Martin	Rachel		1-775-544-8314					Rachel.Martin@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	10/8/2024	2026	"ALIGN SENIOR CARE FLORIDA, INC."	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9917	CMS Casework Communication Contact	Director - Grievance/Appeals & CTMs		Fernandez	Erik		1-786-239-8513					Erik.Fernandez@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	10/8/2024	2026	"ALIGN SENIOR CARE FLORIDA, INC."	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9917	Coordination of Benefits Contact	Enrollment Manager	Ms	Beringer	Stephanie		1-206-697-7797					stephanie.beringer@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/25/2025	2026	"ALIGN SENIOR CARE FLORIDA, INC."	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9917	Customer Service Operations Contact			Estes	Courtney		1-877-310-6754	744				courtney.estes@curanahealth.com	10900 Nuckols Rd.	Suite 110	Glen Allen	VA	23060	2/3/2026	2026	"ALIGN SENIOR CARE FLORIDA, INC."	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9917	Government Relations Contact	Medicare Compliance Officer	Ms.	Kotun	Gillian		1-615-481-1897					gillian.kotun@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	5/14/2026	2026	"ALIGN SENIOR CARE FLORIDA, INC."	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9917	Hospice Contact	Sr. Director Part D Operations	Mr.	Sone	Victor		1-347-683-5717					victor.sone@curanahealth.com	10900 Nuckols Rd	Suite 110	Glen Allen	VA	23060	10/8/2024	2026	"ALIGN SENIOR CARE FLORIDA, INC."	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9917	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Kotun	Gillian		1-615-481-1897					gillian.kotun@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	10/8/2024	2026	"ALIGN SENIOR CARE FLORIDA, INC."	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9917	Part D Exceptions Contact			LeClair	Christophe						1-920-221-4676	christopher.leclair@Navitus.com	Navitus Health Solutions	361 Integrity Dr	Madison	WI	53717	10/8/2024	2026	"ALIGN SENIOR CARE FLORIDA, INC."	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active	1-920-221-4176				HMO - Health Maintenance Organization		C	Chicago
H9917	Pharmacy Network Management Contact	VP Network Management		Santos	Christina		1-608-820-4408					christina.santos@navitus.com	361 Integrity Drive		Madison	WI	53717	6/6/2025	2026	"ALIGN SENIOR CARE FLORIDA, INC."	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9917	Pharmacy Technical Help Desk Contact	"Manager, Customer Care Accounts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	"Navitus Health Solutions, LLC"	1025 W. Navitus Drive	Appleton	WI	54913	10/8/2024	2026	"ALIGN SENIOR CARE FLORIDA, INC."	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Chicago
H9917	Plan to Plan Reconciliation Contact	CFO/VP of Finance	Ms.	Martin	Rachel		1-775-544-8314					p2padministration@curanahealth.com	10900 Nuckols Road	Suite 110	Glen Allen	VA	23060	10/8/2024	2026	"ALIGN SENIOR CARE FLORIDA, INC."	Local CCP	Align Senior Care	HMO/HMOPOS		"Curana Health Holdings, LLC"	733	Yes	Active					HMO - Health Maintenance Organization		C	Chicago
H9942	Automated TrOOP Balance Transfer Contact	"Operations Manager, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083					Relay.Health@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	5/7/2026	2026	LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP	Local CCP	Longevity Health Plan	Local PPO		"Longevity Health Founders, LLC"	697	Yes	Active					PPO - BBA		C	Seattle
H9942	Best Available Evidence Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP	Local CCP	Longevity Health Plan	Local PPO		"Longevity Health Founders, LLC"	697	Yes	Active					PPO - BBA		C	Seattle
H9942	Chief Financial Officer		Mr.	Granow	Les		1-561-444-0709					les.granow@longevityhealthplan.com	Longevity Health Plan	11780 U.S. Highway 1 Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP	Local CCP	Longevity Health Plan	Local PPO		"Longevity Health Founders, LLC"	697	Yes	Active					PPO - BBA		C	Seattle
H9942	CMS Casework Communication Contact			Socoski	Beth		1-561-690-1134					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1 Suite N107		Palm Beach Gardens	FL	33408	5/7/2026	2026	LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP	Local CCP	Longevity Health Plan	Local PPO		"Longevity Health Founders, LLC"	697	Yes	Active					PPO - BBA		C	Seattle
H9942	Coordination of Benefits Contact		Ms.	Crowl	Lacey		1-765-792-1412					Lacey.crowl@longevityhealthplan.com	11780 U.S. Highway 1 Suite N107		Palm Beach Gardens	FL	33408	5/7/2026	2026	LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP	Local CCP	Longevity Health Plan	Local PPO		"Longevity Health Founders, LLC"	697	Yes	Active					PPO - BBA		C	Seattle
H9942	Customer Service Operations Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP	Local CCP	Longevity Health Plan	Local PPO		"Longevity Health Founders, LLC"	697	Yes	Active					PPO - BBA		C	Seattle
H9942	Government Relations Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP	Local CCP	Longevity Health Plan	Local PPO		"Longevity Health Founders, LLC"	697	Yes	Active					PPO - BBA		C	Seattle
H9942	Hospice Contact	VP Compliance		Socoski	Beth		1-412-260-1207					beth.socoski@longevityhealthplan.com	11780 U.S. Highway 1	Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP	Local CCP	Longevity Health Plan	Local PPO		"Longevity Health Founders, LLC"	697	Yes	Active					PPO - BBA		C	Seattle
H9942	Medicare Compliance Officer		Ms.	Socoski	Beth		1-412-260-1207					Beth.Socoski@longevityhealthplan.com	Longevity Health Plan	11780 U.S. Highway 1 Suite N107	Palm Beach Gardens	FL	33408	5/7/2026	2026	LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP	Local CCP	Longevity Health Plan	Local PPO		"Longevity Health Founders, LLC"	697	Yes	Active					PPO - BBA		C	Seattle
H9942	Part D Exceptions Contact	"Assoc Director, Clinical Prior Authorization"	Mr.	LeClair	Christophe						1-888-235-8551	Christopher.LeClair@Navitus.com	1025 West Navitus Drive		Appleton	WI	54913	5/7/2026	2026	LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP	Local CCP	Longevity Health Plan	Local PPO		"Longevity Health Founders, LLC"	697	Yes	Active	1-800-204-0016				PPO - BBA		C	Seattle
H9942	Pharmacy Network Management Contact	"VP, Provider Services"	Mr.	Nagy	Don		1-608-820-4403					Don.Nagy@navitus.com	361 Integrity Drive		Madison	WI	53717	5/7/2026	2026	LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP	Local CCP	Longevity Health Plan	Local PPO		"Longevity Health Founders, LLC"	697	Yes	Active					PPO - BBA		C	Seattle
H9942	Pharmacy Technical Help Desk Contact	"Sr. Manager, Customer Care Accounts"	Ms.	Nett	Danielle						1-888-235-8551	Danielle.Nett@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	5/7/2026	2026	LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP	Local CCP	Longevity Health Plan	Local PPO		"Longevity Health Founders, LLC"	697	Yes	Active	1-800-922-1557				PPO - BBA		C	Seattle
H9942	Plan to Plan Reconciliation Contact		Ms.	Ajayi	Bisi		1-561-632-8915					bisi.ajayi@longevityhealthplan.com	11780 U.S. Highway 1 Suite N107		Palm Beach Gardens	FL	33408	5/7/2026	2026	LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP	Local CCP	Longevity Health Plan	Local PPO		"Longevity Health Founders, LLC"	697	Yes	Active					PPO - BBA		C	Seattle
H9955	Automated TrOOP Balance Transfer Contact	"AVP, Pharmacy"		Vu	John		1-801-252-5706					an.vu@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF OHIO, INC."	Local CCP	Molina Healthcare of Ohio	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9955	Best Available Evidence Contact	"Director, Medicare PEnrollment"		LeJeune	Ryan		1-562-549-4527					ryan.lejeune@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF OHIO, INC."	Local CCP	Molina Healthcare of Ohio	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9955	Chief Financial Officer	"MHI - VP, Operating Finance"	Mr.	Parthasarathy	Vijay		1-630-381-8563					vijay.parthasarathy@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF OHIO, INC."	Local CCP	Molina Healthcare of Ohio	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9955	CMS Casework Communication Contact	"Dir, Medicare A&G"		Bennett	Kimberly		1-248-854-9474					Kimberly.Bennett@molinahealthcare.com	24121 Rosewood Street		Oak Park	MI	48237	5/21/2025	2026	"MOLINA HEALTHCARE OF OHIO, INC."	Local CCP	Molina Healthcare of Ohio	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9955	Coordination of Benefits Contact	"Director, Payment Integrity"		Hartberger	Jake		1-484-269-1480					Jake.Hartberger@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF OHIO, INC."	Local CCP	Molina Healthcare of Ohio	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9955	Customer Service Operations Contact	"Vice President, Call Center"		Faroughi	Cheryl		1-614-547-6829					cheryl.faroughi@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF OHIO, INC."	Local CCP	Molina Healthcare of Ohio	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9955	Government Relations Contact	"MHI- Vice President, Compliance"		Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@Molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF OHIO, INC."	Local CCP	Molina Healthcare of Ohio	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9955	Hospice Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"MOLINA HEALTHCARE OF OHIO, INC."	Local CCP	Molina Healthcare of Ohio	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9955	Medicare Compliance Officer	"MHI- Vice President, Compliance"	Mr.	Gupta	Rohit		1-562-951-1594					MedicareComplianceOfficer@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF OHIO, INC."	Local CCP	Molina Healthcare of Ohio	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9955	Part D Exceptions Contact	"AVP, Medicare Pharmacy Services"		Vu	John							An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"MOLINA HEALTHCARE OF OHIO, INC."	Local CCP	Molina Healthcare of Ohio	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-801-252-5706				HMO - Health Maintenance Organization		C	New York
H9955	Pharmacy Network Management Contact	"AVP, Medicare Pharmacy Services"		Vu	John		1-801-252-5706					An.Vu@molinahealthcare.com	7050 South Union Park Center	Suite 200	Midvale	UT	84047	5/21/2025	2026	"MOLINA HEALTHCARE OF OHIO, INC."	Local CCP	Molina Healthcare of Ohio	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9955	Pharmacy Technical Help Desk Contact	"Director, Client Operations"		Help Desk	Pharmacy						1-480-314-6077	dayoubj@cvshealth.com	445 Great Circle Road		Nashville	TN	37228	5/21/2025	2026	"MOLINA HEALTHCARE OF OHIO, INC."	Local CCP	Molina Healthcare of Ohio	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	New York
H9955	Plan to Plan Reconciliation Contact	"Director, Finance"		Cook	Keith		1-562-542-2024					P2P.molina@molinahealthcare.com	200 Oceangate	Suite 100	Long Beach	CA	90802	5/21/2025	2026	"MOLINA HEALTHCARE OF OHIO, INC."	Local CCP	Molina Healthcare of Ohio	HMO/HMOPOS		"Molina Healthcare, Inc."	165	Yes	Active					HMO - Health Maintenance Organization		C	New York
H9968	Automated TrOOP Balance Transfer Contact	"Operations Mgr, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	Relay.Health@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	AMERICAN HEALTH PLAN OF PENNSYLVANIA INC	Local CCP	American Health Advantage of Pennsylvania	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9968	Best Available Evidence Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	AMERICAN HEALTH PLAN OF PENNSYLVANIA INC	Local CCP	American Health Advantage of Pennsylvania	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9968	Chief Financial Officer	Chief Financial Officer	Mr.	Bogle	Jeffrey	A	1-615-751-8134				1-844-280-5360	MACFO@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	AMERICAN HEALTH PLAN OF PENNSYLVANIA INC	Local CCP	American Health Advantage of Pennsylvania	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9968	CMS Casework Communication Contact	Compliance Officer		Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	AMERICAN HEALTH PLAN OF PENNSYLVANIA INC	Local CCP	American Health Advantage of Pennsylvania	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9968	Coordination of Benefits Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	AMERICAN HEALTH PLAN OF PENNSYLVANIA INC	Local CCP	American Health Advantage of Pennsylvania	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9968	Customer Service Operations Contact	"VP, Administration"		Brandt	Toni		1-615-476-0748				1-844-280-5360	tbrandt@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	AMERICAN HEALTH PLAN OF PENNSYLVANIA INC	Local CCP	American Health Advantage of Pennsylvania	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9968	Government Relations Contact	Compliance Officer		Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	AMERICAN HEALTH PLAN OF PENNSYLVANIA INC	Local CCP	American Health Advantage of Pennsylvania	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9968	Hospice Contact	"Director, Enrollment"		Mohning	Kathleen		1-615-465-0182				1-844-280-5360	kmohning@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	AMERICAN HEALTH PLAN OF PENNSYLVANIA INC	Local CCP	American Health Advantage of Pennsylvania	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9968	Medicare Compliance Officer	Compliance Officer	Ms.	Ward	Debbie		1-405-404-6691				1-844-280-5360	dward@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	AMERICAN HEALTH PLAN OF PENNSYLVANIA INC	Local CCP	American Health Advantage of Pennsylvania	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9968	Part D Exceptions Contact	"Assoc Dir, Clinical Prior Authorization"		LeClair	Christophe						1-920-221-4176	Christopher.LeClair@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	AMERICAN HEALTH PLAN OF PENNSYLVANIA INC	Local CCP	American Health Advantage of Pennsylvania	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active	1-844-228-7934				HMO - Health Maintenance Organization		C	Dallas
H9968	Pharmacy Network Management Contact	"VP, Provider Services"		Nagy	Don		1-608-820-4403					Don.Nagy@navitus.com	361 Integrity Drive		Madison	WI	53717	6/22/2026	2026	AMERICAN HEALTH PLAN OF PENNSYLVANIA INC	Local CCP	American Health Advantage of Pennsylvania	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9968	Pharmacy Technical Help Desk Contact	"Sr. Mgr, Customer Care Accts"		Nett	Danielle						1-920-221-4724	danielle.nett@navitus.com	1025 West Navitus Dr		Appleton	WI	54913	6/22/2026	2026	AMERICAN HEALTH PLAN OF PENNSYLVANIA INC	Local CCP	American Health Advantage of Pennsylvania	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active	1-866-270-3877	4224			HMO - Health Maintenance Organization		C	Dallas
H9968	Plan to Plan Reconciliation Contact	"Director,  Finance"		Tilley	Stephanie		1-931-242-0499				1-844-280-5360	stilley@AmHealthPlans.com	201 Jordan Road		Franklin	TN	37067	6/22/2026	2026	AMERICAN HEALTH PLAN OF PENNSYLVANIA INC	Local CCP	American Health Advantage of Pennsylvania	HMO/HMOPOS		Mitchell Family Office	795	Yes	Active					HMO - Health Maintenance Organization		C	Dallas
H9977	Automated TrOOP Balance Transfer Contact	Medicare Part D		McDaniel	Jody		1-207-299-0251					jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF NEW MEXICO, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9977	Best Available Evidence Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					enrollment@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF NEW MEXICO, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9977	Chief Financial Officer	Chief Financial Officer	Mr.	Yale	W. Bradley		1-781-227-2124					byale@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF NEW MEXICO, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9977	CMS Casework Communication Contact	"Appeals, Grievances and Medicare Complaints"		Cagot	Janette		1-304-914-6913					JCagot@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF NEW MEXICO, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9977	Coordination of Benefits Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF NEW MEXICO, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9977	Customer Service Operations Contact	Chief Operating Officer		Nanavati	Monna		1-339-203-7312					mnanavati@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF NEW MEXICO, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9977	Government Relations Contact	Chief Legal and External Affairs Officer		Cowan	Mo		1-781-227-2122					mcowan@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF NEW MEXICO, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9977	Hospice Contact	Membership Operations		Mangat	Sunny		1-617-858-9484					smangat@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF NEW MEXICO, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9977	Medicare Compliance Officer	Chief Compliance Officer	Ms.	O'Kane	Shannon		1-781-227-2132					sokane@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF NEW MEXICO, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9977	Part D Exceptions Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF NEW MEXICO, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-207-299-0251				HMO - Health Maintenance Organization		C	Atlanta
H9977	Pharmacy Network Management Contact	Medicare Advantage Programs		Stearns	David		1-207-239-8200					DStearns@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF NEW MEXICO, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9977	Pharmacy Technical Help Desk Contact	Medicare Part D		McDaniel	Jody							jody.mcdaniel@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF NEW MEXICO, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Atlanta
H9977	Plan to Plan Reconciliation Contact	Accounting		Aucoin	Craig		1-781-726-3460					p2padmin@devoted.com	221 Crescent Street	Suite 202	Waltham	MA	02453	6/4/2026	2026	"DEVOTED HEALTH PLAN OF NEW MEXICO, INC."	Local CCP	Devoted Health	HMO/HMOPOS		"Devoted Health, Inc."	690	Yes	Active					HMO - Health Maintenance Organization		C	Atlanta
H9986	Automated TrOOP Balance Transfer Contact	Director of Government Programs Operation		Cano	Diego		1-973-901-7029					governmentprograms@cap-rx.com	228 Park Avenue South	Suite 87234	New York	NY	10003	5/21/2026	2026	"HPMP OF FLORIDA, INC."	Local CCP	Florida Complete Care	HMO/HMOPOS		"Independent Living Systems, LLC"	695	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H9986	Best Available Evidence Contact	Sr. VP of Operations		Gutwald	David		1-631-881-2404	801304				dgutwald@ilshealth.com	4601 NW 77th Ave		Miami	FL	33166	2/9/2021	2026	"HPMP OF FLORIDA, INC."	Local CCP	Florida Complete Care	HMO/HMOPOS		"Independent Living Systems, LLC"	695	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H9986	Chief Financial Officer	CFO	Mr	Thomas	Tarlton		1-937-418-4199					tthomas@ilshealth.com	4601 NW 77th Ave		Miami	FL	33166	12/29/2025	2026	"HPMP OF FLORIDA, INC."	Local CCP	Florida Complete Care	HMO/HMOPOS		"Independent Living Systems, LLC"	695	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H9986	CMS Casework Communication Contact	Senior Director of Medicare Operations		Fagundo	Jenny		1-786-543-5229					JFagundo@ilshealth.com	4601 N.W. 77th Avenue		Miami	FL	33166	12/2/2022	2026	"HPMP OF FLORIDA, INC."	Local CCP	Florida Complete Care	HMO/HMOPOS		"Independent Living Systems, LLC"	695	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H9986	Coordination of Benefits Contact	Sr. VP of Operations		Gutwald	David		1-631-881-2404	801304				dgutwald@ilshealth.com	4601 NW 77th Ave		Miami	FL	33166	4/12/2022	2026	"HPMP OF FLORIDA, INC."	Local CCP	Florida Complete Care	HMO/HMOPOS		"Independent Living Systems, LLC"	695	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H9986	Customer Service Operations Contact	National Director of Call Center Operations		Perez	Lizette	T	1-833-322-7526					ltperez@ilshealth.com	4601 NW 77th Ave		Miami	FL	33166	5/5/2022	2026	"HPMP OF FLORIDA, INC."	Local CCP	Florida Complete Care	HMO/HMOPOS		"Independent Living Systems, LLC"	695	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H9986	Government Relations Contact	"VP, Government Affairs"		Gormley	Carol		1-305-225-7266					cgormley@ilshealth.com	201 East Park Ave	Suite 400B	"Tallahassee,"	FL	32301	2/9/2021	2026	"HPMP OF FLORIDA, INC."	Local CCP	Florida Complete Care	HMO/HMOPOS		"Independent Living Systems, LLC"	695	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H9986	Hospice Contact	Director of Pharmacy Benefits	Dr.	Prados	Yesenia		1-786-679-6899					yprados@ilshealth.com	4601 NW 77th Ave		Miami	FL	33166	3/31/2022	2026	"HPMP OF FLORIDA, INC."	Local CCP	Florida Complete Care	HMO/HMOPOS		"Independent Living Systems, LLC"	695	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H9986	Medicare Compliance Officer	Chief Compliance Officer	Ms	Santamaria	Cary		1-786-759-4387					csantamaria@ilshealth.com	4601 NW 77th Ave		Miami	FL	33166	11/12/2021	2026	"HPMP OF FLORIDA, INC."	Local CCP	Florida Complete Care	HMO/HMOPOS		"Independent Living Systems, LLC"	695	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H9986	Part D Exceptions Contact	Director of Pharmacy Benefits	Dr	Prados	Yesenia						1-786-679-6899	yprados@ilshealth.com	4601 NW 77th Ave		Miami	FL	33166	1/10/2023	2026	"HPMP OF FLORIDA, INC."	Local CCP	Florida Complete Care	HMO/HMOPOS		"Independent Living Systems, LLC"	695	Yes	Active	1-855-344-0930				HMO - Health Maintenance Organization		C	Kansas City
H9986	Pharmacy Network Management Contact	Director of Pharmacy Benefits	Dr.	Prados	Yesenia		1-786-679-6899					yprados@ilshealth.com	4601 NW 77th Ave		Miami	FL	33166	3/31/2022	2026	"HPMP OF FLORIDA, INC."	Local CCP	Florida Complete Care	HMO/HMOPOS		"Independent Living Systems, LLC"	695	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H9986	Pharmacy Technical Help Desk Contact	Pharmacy Helpdesk		Helpdesk	Pharmacy						1-305-402-7827	cara.cox@cvshealth.com	2401 Cherahala Blvd.		Knoxville	TN	37932	5/16/2022	2026	"HPMP OF FLORIDA, INC."	Local CCP	Florida Complete Care	HMO/HMOPOS		"Independent Living Systems, LLC"	695	Yes	Active	1-866-693-4620				HMO - Health Maintenance Organization		C	Kansas City
H9986	Plan to Plan Reconciliation Contact	AVP & Controller		Rankin	Krystal		1-646-775-0693					KRankin@ilshealth.com	4601 NW 77th Ave		Miami	FL	33166	12/9/2021	2026	"HPMP OF FLORIDA, INC."	Local CCP	Florida Complete Care	HMO/HMOPOS		"Independent Living Systems, LLC"	695	Yes	Active					HMO - Health Maintenance Organization		C	Kansas City
H9998	Automated TrOOP Balance Transfer Contact	Director of Data Management		Shell	Brian	C	1-806-767-1726				1-806-791-0578	PACEdatateam@starcarelubbock.org	P.O. Box 2828		Lubbock	TX	79408	1/18/2019	2026	LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION	National PACE	Silver Star	National PACE		Lubbock Regional Mental Health	356	Yes	Active					PACE - Nat		C	New York
H9998	Best Available Evidence Contact	Director of Data Management		Shell	Brian	C	1-806-767-1726				1-806-791-0578	PACEdatateam@starcarelubbock.org	P.O. Box 2828		Lubbock	TX	79408	1/18/2019	2026	LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION	National PACE	Silver Star	National PACE		Lubbock Regional Mental Health	356	Yes	Active					PACE - Nat		C	New York
H9998	Chief Financial Officer	CFO	MRS.	HASTINGS	TANYA		1-806-766-0223				1-806-766-0250	tfhastings@starcarelubbock.org	P.O. Box 2828		Lubbock	TX	79408	2/18/2025	2026	LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION	National PACE	Silver Star	National PACE		Lubbock Regional Mental Health	356	Yes	Active					PACE - Nat		C	New York
H9998	CMS Casework Communication Contact	Silver Star PACE Program Director	MS.	FORD	MARCELLA		1-806-787-4824				1-806-767-1726	mford@starcarelubbock.org	PO BOX 2828		LUBBOCK	TX	79408	9/20/2023	2026	LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION	National PACE	Silver Star	National PACE		Lubbock Regional Mental Health	356	Yes	Active					PACE - Nat		C	New York
H9998	Coordination of Benefits Contact	Director of Data Management	Mr	SHELL	BRIAN		1-806-767-1726				1-806-791-0578	PACEdatateam@starcarelubbock.org	P.O. Box 2828		Lubbock	TX	79408	4/7/2023	2026	LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION	National PACE	Silver Star	National PACE		Lubbock Regional Mental Health	356	Yes	Active					PACE - Nat		C	New York
H9998	Customer Service Operations Contact	Silver Star PACE Program Director	MS.	FORD	MARCELLA		1-806-787-4824				1-806-767-1726	mford@starcarelubbock.org	PO BOX 2828		LUBBOCK	TX	79408	9/20/2023	2026	LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION	National PACE	Silver Star	National PACE		Lubbock Regional Mental Health	356	Yes	Active					PACE - Nat		C	New York
H9998	Government Relations Contact	CEO	MRS	Lawson	Beth		1-806-767-1648					starcare@starcarelubbock.org	P.O. Box 2828		Lubbock	TX	79408	12/4/2023	2026	LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION	National PACE	Silver Star	National PACE		Lubbock Regional Mental Health	356	Yes	Active					PACE - Nat		C	New York
H9998	Medicare Compliance Officer	Part D Compliance Officer	MS.	HARRIS	KAREN		1-806-740-1407				1-806-766-0250	PACEdatateam@starcarelubbock.org	P.O. Box 2828		Lubbock	TX	79408	2/20/2026	2026	LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION	National PACE	Silver Star	National PACE		Lubbock Regional Mental Health	356	Yes	Active					PACE - Nat		C	New York
H9998	Part D Exceptions Contact	CFO	MRS.	HASTINGS	TANYA						1-806-766-0250	PACEdatateam@starcarelubbock.org	P.O. Box 2828		Lubbock	TX	79408	2/18/2025	2026	LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION	National PACE	Silver Star	National PACE		Lubbock Regional Mental Health	356	Yes	Active	1-806-766-0223				PACE - Nat		C	New York
H9998	Pharmacy Network Management Contact	Silver Star PACE Program Director	MS.	FORD	MARCELLA		1-806-787-4824				1-806-767-1726	mford@starcarelubbock.org	PO BOX 2828		LUBBOCK	TX	79408	9/20/2023	2026	LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION	National PACE	Silver Star	National PACE		Lubbock Regional Mental Health	356	Yes	Active					PACE - Nat		C	New York
H9998	Pharmacy Technical Help Desk Contact	CFO	MRS.	HASTINGS	TANYA						1-806-766-0250	PACEdatateam@starcarelubbock.org	P.O. Box 2828		Lubbock	TX	79408	2/18/2025	2026	LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION	National PACE	Silver Star	National PACE		Lubbock Regional Mental Health	356	Yes	Active	1-806-766-0223				PACE - Nat		C	New York
H9998	Plan to Plan Reconciliation Contact	Director of Data Management	MR	SHELL	BRIAN		1-806-767-1726				1-806-791-0578	PACEdatateam@starcarelubbock.org	P.O. Box 2828		Lubbock	TX	79408	1/18/2019	2026	LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION	National PACE	Silver Star	National PACE		Lubbock Regional Mental Health	356	Yes	Active					PACE - Nat		C	New York
R0110	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R0110	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R0110	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R0110	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R0110	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R0110	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R0110	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R0110	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R0110	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R0110	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active	1-859-321-9075				Regional PPO		C	Kansas City
R0110	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R0110	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active	1-800-865-8715				Regional PPO		C	Kansas City
R0110	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R0759	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R0759	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R0759	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R0759	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R0759	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R0759	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R0759	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R0759	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R0759	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R0759	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				Regional PPO		C	Boston
R0759	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R0759	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				Regional PPO		C	Boston
R0759	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R1532	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R1532	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R1532	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R1532	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R1532	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R1532	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R1532	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R1532	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R1532	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R1532	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active	1-859-321-9075				Regional PPO		C	Kansas City
R1532	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R1532	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active	1-800-865-8715				Regional PPO		C	Kansas City
R1532	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R2604	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R2604	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R2604	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R2604	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R2604	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R2604	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R2604	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R2604	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R2604	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R2604	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				Regional PPO		C	Boston
R2604	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R2604	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				Regional PPO		C	Boston
R2604	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R3175	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	1/2/2025	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	No	Active					Regional PPO		C	Boston
R3175	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	1/2/2025	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	No	Active					Regional PPO		C	Boston
R3175	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/17/2025	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	No	Active					Regional PPO		C	Boston
R3175	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	1/2/2025	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	No	Active					Regional PPO		C	Boston
R3175	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	1/2/2025	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	No	Active					Regional PPO		C	Boston
R3175	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	1/2/2025	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	No	Active					Regional PPO		C	Boston
R3175	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	1/2/2025	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	No	Active					Regional PPO		C	Boston
R3175	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	1/2/2025	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	No	Active					Regional PPO		C	Boston
R3175	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	1/2/2025	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	No	Active					Regional PPO		C	Boston
R3175	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	1/2/2025	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	No	Active	1-800-595-9532				Regional PPO		C	Boston
R3175	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	1/2/2025	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	No	Active					Regional PPO		C	Boston
R3175	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	1/2/2025	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	No	Active	1-877-889-6510				Regional PPO		C	Boston
R3175	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	1/2/2025	2026	UNITEDHEALTHCARE INSURANCE COMPANY	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	No	Active					Regional PPO		C	Boston
R3444	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R3444	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R3444	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R3444	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R3444	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R3444	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R3444	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R3444	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R3444	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R3444	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				Regional PPO		C	Boston
R3444	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R3444	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				Regional PPO		C	Boston
R3444	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R4182	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R4182	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R4182	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R4182	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R4182	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R4182	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R4182	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R4182	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R4182	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R4182	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active	1-859-321-9075				Regional PPO		C	Kansas City
R4182	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R4182	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active	1-800-865-8715				Regional PPO		C	Kansas City
R4182	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R5342	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	No	Active					Regional PPO		C	Boston
R5342	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	No	Active					Regional PPO		C	Boston
R5342	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	No	Active					Regional PPO		C	Boston
R5342	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	No	Active					Regional PPO		C	Boston
R5342	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	No	Active					Regional PPO		C	Boston
R5342	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	No	Active					Regional PPO		C	Boston
R5342	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	No	Active					Regional PPO		C	Boston
R5342	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	No	Active					Regional PPO		C	Boston
R5342	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	No	Active					Regional PPO		C	Boston
R5342	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	No	Active	1-800-595-9532				Regional PPO		C	Boston
R5342	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	No	Active					Regional PPO		C	Boston
R5342	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	No	Active	1-877-889-6510				Regional PPO		C	Boston
R5342	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	No	Active					Regional PPO		C	Boston
R5361	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R5361	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R5361	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R5361	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R5361	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R5361	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R5361	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R5361	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R5361	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R5361	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active	1-859-321-9075				Regional PPO		C	Kansas City
R5361	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R5361	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active	1-800-865-8715				Regional PPO		C	Kansas City
R5361	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R5826	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R5826	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R5826	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R5826	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R5826	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R5826	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R5826	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R5826	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R5826	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R5826	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active	1-859-321-9075				Regional PPO		C	Kansas City
R5826	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R5826	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active	1-800-865-8715				Regional PPO		C	Kansas City
R5826	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R5941	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	"ANTHEM INSURANCE COMPANIES, INC."	Regional CCP	Anthem Blue Cross and Blue Shield	Regional PPO		"Elevance Health, Inc."	1	Yes	Active					Regional PPO		C	Chicago
R5941	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Regional CCP	Anthem Blue Cross and Blue Shield	Regional PPO		"Elevance Health, Inc."	1	Yes	Active					Regional PPO		C	Chicago
R5941	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	"ANTHEM INSURANCE COMPANIES, INC."	Regional CCP	Anthem Blue Cross and Blue Shield	Regional PPO		"Elevance Health, Inc."	1	Yes	Active					Regional PPO		C	Chicago
R5941	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	"ANTHEM INSURANCE COMPANIES, INC."	Regional CCP	Anthem Blue Cross and Blue Shield	Regional PPO		"Elevance Health, Inc."	1	Yes	Active					Regional PPO		C	Chicago
R5941	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	"ANTHEM INSURANCE COMPANIES, INC."	Regional CCP	Anthem Blue Cross and Blue Shield	Regional PPO		"Elevance Health, Inc."	1	Yes	Active					Regional PPO		C	Chicago
R5941	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	"ANTHEM INSURANCE COMPANIES, INC."	Regional CCP	Anthem Blue Cross and Blue Shield	Regional PPO		"Elevance Health, Inc."	1	Yes	Active					Regional PPO		C	Chicago
R5941	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Regional CCP	Anthem Blue Cross and Blue Shield	Regional PPO		"Elevance Health, Inc."	1	Yes	Active					Regional PPO		C	Chicago
R5941	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Regional CCP	Anthem Blue Cross and Blue Shield	Regional PPO		"Elevance Health, Inc."	1	Yes	Active					Regional PPO		C	Chicago
R5941	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Regional CCP	Anthem Blue Cross and Blue Shield	Regional PPO		"Elevance Health, Inc."	1	Yes	Active					Regional PPO		C	Chicago
R5941	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Regional CCP	Anthem Blue Cross and Blue Shield	Regional PPO		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				Regional PPO		C	Chicago
R5941	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/31/2023	2026	"ANTHEM INSURANCE COMPANIES, INC."	Regional CCP	Anthem Blue Cross and Blue Shield	Regional PPO		"Elevance Health, Inc."	1	Yes	Active					Regional PPO		C	Chicago
R5941	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	Regional CCP	Anthem Blue Cross and Blue Shield	Regional PPO		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				Regional PPO		C	Chicago
R5941	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/10/2021	2026	"ANTHEM INSURANCE COMPANIES, INC."	Regional CCP	Anthem Blue Cross and Blue Shield	Regional PPO		"Elevance Health, Inc."	1	Yes	Active					Regional PPO		C	Chicago
R6694	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/10/2024	2026	AETNA LIFE INSURANCE COMPANY	Regional CCP	Aetna Medicare	Regional PPO		CVS Health Corporation	49	Yes	Active					Regional PPO		C	Atlanta
R6694	Best Available Evidence Contact	"Manager, Plan Sponsor Support"		"Kinsey, Jr."	Wayne		1-800-238-6279				1-888-665-6296	BAE/LISMailbox@aetna.com	Attn: BAE	P.O. Box 14076	Lexington	KY	40512	11/19/2025	2026	AETNA LIFE INSURANCE COMPANY	Regional CCP	Aetna Medicare	Regional PPO		CVS Health Corporation	49	Yes	Active					Regional PPO		C	Atlanta
R6694	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	AETNA LIFE INSURANCE COMPANY	Regional CCP	Aetna Medicare	Regional PPO		CVS Health Corporation	49	Yes	Active					Regional PPO		C	Atlanta
R6694	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2022	2026	AETNA LIFE INSURANCE COMPANY	Regional CCP	Aetna Medicare	Regional PPO		CVS Health Corporation	49	Yes	Active					Regional PPO		C	Atlanta
R6694	Coordination of Benefits Contact	"Manager, Client Operations"		Hijazi	Hanin		1-401-526-6711					MedicareCOBPharmacy@AETNA.com	2 Towne Square		Southfield	MI	48076	6/16/2026	2026	AETNA LIFE INSURANCE COMPANY	Regional CCP	Aetna Medicare	Regional PPO		CVS Health Corporation	49	Yes	Active					Regional PPO		C	Atlanta
R6694	Customer Service Operations Contact	"VP, Contact Center of Excellence"		Ellison	Christine		1-412-432-6289					EllisonC1@aetna.com	300 Corporate Parkway #1005		Amherst	NY	14226	11/19/2025	2026	AETNA LIFE INSURANCE COMPANY	Regional CCP	Aetna Medicare	Regional PPO		CVS Health Corporation	49	Yes	Active					Regional PPO		C	Atlanta
R6694	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	AETNA LIFE INSURANCE COMPANY	Regional CCP	Aetna Medicare	Regional PPO		CVS Health Corporation	49	Yes	Active					Regional PPO		C	Atlanta
R6694	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	AETNA LIFE INSURANCE COMPANY	Regional CCP	Aetna Medicare	Regional PPO		CVS Health Corporation	49	Yes	Active					Regional PPO		C	Atlanta
R6694	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	AETNA LIFE INSURANCE COMPANY	Regional CCP	Aetna Medicare	Regional PPO		CVS Health Corporation	49	Yes	Active					Regional PPO		C	Atlanta
R6694	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	12/10/2024	2026	AETNA LIFE INSURANCE COMPANY	Regional CCP	Aetna Medicare	Regional PPO		CVS Health Corporation	49	Yes	Active	1-469-243-5213				Regional PPO		C	Atlanta
R6694	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	AETNA LIFE INSURANCE COMPANY	Regional CCP	Aetna Medicare	Regional PPO		CVS Health Corporation	49	Yes	Active					Regional PPO		C	Atlanta
R6694	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	AETNA LIFE INSURANCE COMPANY	Regional CCP	Aetna Medicare	Regional PPO		CVS Health Corporation	49	Yes	Active	1-800-238-6279				Regional PPO		C	Atlanta
R6694	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	AETNA LIFE INSURANCE COMPANY	Regional CCP	Aetna Medicare	Regional PPO		CVS Health Corporation	49	Yes	Active					Regional PPO		C	Atlanta
R6801	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R6801	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R6801	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R6801	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R6801	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R6801	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R6801	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R6801	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R6801	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R6801	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				Regional PPO		C	Boston
R6801	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R6801	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				Regional PPO		C	Boston
R6801	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R7220	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R7220	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R7220	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R7220	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R7220	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R7220	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R7220	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R7220	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R7220	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R7220	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active	1-859-321-9075				Regional PPO		C	Kansas City
R7220	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R7220	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active	1-800-865-8715				Regional PPO		C	Kansas City
R7220	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	HUMANA INSURANCE COMPANY	Regional CCP	Humana	Regional PPO		Humana Inc.	128	Yes	Active					Regional PPO		C	Kansas City
R7444	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R7444	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R7444	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R7444	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R7444	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R7444	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R7444	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R7444	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R7444	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R7444	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				Regional PPO		C	Boston
R7444	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
R7444	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				Regional PPO		C	Boston
R7444	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Regional CCP	UnitedHealthcare	Regional PPO		"UnitedHealth Group, Inc."	239	Yes	Active					Regional PPO		C	Boston
S0262	Automated TrOOP Balance Transfer Contact	"Project Manager III, Pharmacy Benefit Mgmt"		Perez	Elizabeth	R	1-562-367-0592					Elizabeth.R.Perez@kp.org	12254 Bellflower Blvd.		Downey	CA	90242	1/10/2024	2026	KAISER PERMANENTE INSURANCE COMPANY	PDP	Kaiser Permanente	Medicare Prescription Drug Plan		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S0262	Best Available Evidence Contact	"Senior Team Manager, Medicare Membership Admin."		Salcido	Adam		1-858-829-3521					CSC-SD-Hospice-BAE@kp.org	3840 Murphy Canyon Rd.		San Diego	CA	92123	1/10/2024	2026	KAISER PERMANENTE INSURANCE COMPANY	PDP	Kaiser Permanente	Medicare Prescription Drug Plan		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S0262	Chief Financial Officer	"SVP, CFO National Medicare Finance"	Mr.	Stewart	Mark		1-401-284-8679					mark.c1.stewart@kp.org	1 Kaiser Plaza	c/o Kaiser Foundation Health Plan	Oakland	CA	94612	12/18/2024	2026	KAISER PERMANENTE INSURANCE COMPANY	PDP	Kaiser Permanente	Medicare Prescription Drug Plan		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S0262	CMS Casework Communication Contact	Compliance Director		Tiratsuyan	Luiza		1-800-443-0815					mscc@kp.org	74 N. Pasadena Ave.		Pasadena	CA	91103	1/26/2026	2026	KAISER PERMANENTE INSURANCE COMPANY	PDP	Kaiser Permanente	Medicare Prescription Drug Plan		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S0262	Coordination of Benefits Contact	Senior Director		Chung	Clarence		1-562-390-9293				1-562-658-3866	clarence.j.chung@kp.org	"12254 Bellflower Blvd - Suite 106, 1st Floor"		Downey	CA	90242	1/10/2024	2026	KAISER PERMANENTE INSURANCE COMPANY	PDP	Kaiser Permanente	Medicare Prescription Drug Plan		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S0262	Customer Service Operations Contact			Services	Member		1-800-443-0815					mscc@kp.org	"1800 Harrison St., 23rd Floor"		Oakland	CA	94612	1/10/2024	2026	KAISER PERMANENTE INSURANCE COMPANY	PDP	Kaiser Permanente	Medicare Prescription Drug Plan		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S0262	Government Relations Contact	"Senior Vice President, Government Relations"		Barrueta	Anthony	A	1-510-271-6835					Anthony.Barrueta@kp.org	One Kaiser Plaza		Oakland	CA	94612	1/10/2024	2026	KAISER PERMANENTE INSURANCE COMPANY	PDP	Kaiser Permanente	Medicare Prescription Drug Plan		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S0262	Hospice Contact	"Senior Team Manager, Medicare Membership Admin."		Salcido	Adam		1-858-829-3521					CSC-SD-Hospice-BAE@kp.org	3840 Murphy Canyon Rd.		San Diego	CA	92123	1/10/2024	2026	KAISER PERMANENTE INSURANCE COMPANY	PDP	Kaiser Permanente	Medicare Prescription Drug Plan		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S0262	Medicare Compliance Officer	Compliance Director	Ms.	Tiratsuyan	Luiza		1-626-344-3906					luiza.x.tiratsuyan@kp.org	74 N. Pasadena Ave.		Pasadena	CA	91103	8/26/2025	2026	KAISER PERMANENTE INSURANCE COMPANY	PDP	Kaiser Permanente	Medicare Prescription Drug Plan		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S0262	Part D Exceptions Contact	Supervisor Program Management		Ramos	Blanca							blanca.a.ramos@kp.org	12254 Bellflower Blvd		Downey	CA	90242	12/6/2024	2026	KAISER PERMANENTE INSURANCE COMPANY	PDP	Kaiser Permanente	Medicare Prescription Drug Plan		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active	1-562-370-3382				Medicare Prescription Drug Plan		5	Dallas
S0262	Pharmacy Network Management Contact	"National Pharmacy Benefits, Project Manager II"		Munoz	Vanessa		1-562-447-7739					Vanessa.L.Munoz@kp.org	12254 Bellflower Blvd.		Downey	CA	90242	1/10/2024	2026	KAISER PERMANENTE INSURANCE COMPANY	PDP	Kaiser Permanente	Medicare Prescription Drug Plan		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S0262	Pharmacy Technical Help Desk Contact	Customer Care Center		OptumRx	PBM								755 Research Parkway Suite 160		Oklahoma City	OK	73104	1/24/2024	2026	KAISER PERMANENTE INSURANCE COMPANY	PDP	Kaiser Permanente	Medicare Prescription Drug Plan		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active	1-877-645-1282				Medicare Prescription Drug Plan		5	Dallas
S0262	Plan to Plan Reconciliation Contact	"Interim Director, Medicare Accounting"		Wright	Mark	A	1-925-323-9443					mark.a.wright@kp.org	"1 Kaiser Plaza, 25th Floor"		Oakland	CA	94612	1/10/2024	2026	KAISER PERMANENTE INSURANCE COMPANY	PDP	Kaiser Permanente	Medicare Prescription Drug Plan		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S0375	Automated TrOOP Balance Transfer Contact	"Manager, Specialty Business"	Mr.	Nardone	Mark		1-410-998-5675					Mark.Nardone@carefirst.com	10455 Mill Run Circle		Owings Mills	MD	21117	3/10/2026	2026	"CAREFIRST ADVANTAGE PPO, INC"	PDP	CareFirst BlueCross BlueShield Group Prescription Drug Plan	Medicare Prescription Drug Plan		"CareFirst, Inc."	45	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S0375	Best Available Evidence Contact	"VP, Government Programs"	Ms.	Toland	Cheryl		1-410-998-5107					CFGroupMA@carefirst.com	10455 Mill Run Circle		Owings Mills	MD	21117	3/10/2026	2026	"CAREFIRST ADVANTAGE PPO, INC"	PDP	CareFirst BlueCross BlueShield Group Prescription Drug Plan	Medicare Prescription Drug Plan		"CareFirst, Inc."	45	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S0375	Chief Financial Officer	Chief Financial Officer	Mr.	Pemberton	Daniel		1-410-998-5930					daniel.pemberton@carefirst.com	1501 S. Clinton Street		Baltimore	MD	21224	3/10/2026	2026	"CAREFIRST ADVANTAGE PPO, INC"	PDP	CareFirst BlueCross BlueShield Group Prescription Drug Plan	Medicare Prescription Drug Plan		"CareFirst, Inc."	45	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S0375	CMS Casework Communication Contact	"Director, Medical Review & Appeals"	Ms.	Kelley	Maggie		1-410-469-2166					Maggie.Kelley@carefirst.com	1501 S. Clinton Street		Baltimore	MD	21224	5/27/2026	2026	"CAREFIRST ADVANTAGE PPO, INC"	PDP	CareFirst BlueCross BlueShield Group Prescription Drug Plan	Medicare Prescription Drug Plan		"CareFirst, Inc."	45	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S0375	Coordination of Benefits Contact	"VP, Government Programs"	Ms.	Toland	Cheryl		1-410-998-5107					CFGroupMA@carefirst.com	10455 Mill Run Circle		Owings Mills	MD	21117	3/10/2026	2026	"CAREFIRST ADVANTAGE PPO, INC"	PDP	CareFirst BlueCross BlueShield Group Prescription Drug Plan	Medicare Prescription Drug Plan		"CareFirst, Inc."	45	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S0375	Customer Service Operations Contact	"Manager, Operations"	Ms.	Boer	Kelsey		1-410-998-5353					Kelsey.Boer@carefirst.com	10455 Mill Run Circle		Owings Mills	MD	21117	3/10/2026	2026	"CAREFIRST ADVANTAGE PPO, INC"	PDP	CareFirst BlueCross BlueShield Group Prescription Drug Plan	Medicare Prescription Drug Plan		"CareFirst, Inc."	45	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S0375	Government Relations Contact	Medicare Compliance Officer	Ms.	Snapp-Borleis	Mary-Paul		1-410-605-2579					mary-paul.snapp-borleis@carefirst.com	10455 Mill Run Circle		Owings Mills	MD	21117	3/10/2026	2026	"CAREFIRST ADVANTAGE PPO, INC"	PDP	CareFirst BlueCross BlueShield Group Prescription Drug Plan	Medicare Prescription Drug Plan		"CareFirst, Inc."	45	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S0375	Hospice Contact	Chief Medical Officer	Dr.	Herrera Scott	Laura		1-410-528-2235					Laura.HerreraScott@carefirst.com	1501 S. Clinton Stret		Baltimore	MD	21224	3/10/2026	2026	"CAREFIRST ADVANTAGE PPO, INC"	PDP	CareFirst BlueCross BlueShield Group Prescription Drug Plan	Medicare Prescription Drug Plan		"CareFirst, Inc."	45	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S0375	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Snapp-Borleis	Mary-Paul		1-410-605-2579					Mary-Paul.Snapp-Borleis@Carefirst.com	1501 South Clinton Street		Baltimore	MD	21224	3/10/2026	2026	"CAREFIRST ADVANTAGE PPO, INC"	PDP	CareFirst BlueCross BlueShield Group Prescription Drug Plan	Medicare Prescription Drug Plan		"CareFirst, Inc."	45	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S0375	Part D Exceptions Contact	"Sr. Dir., Pharm Eval & Oversight"	Ms.	Poplawski	Mandi							Mandi.Poplawski@carefirst.com	1501 S Clinton St		Baltimore	MD	21224	3/10/2026	2026	"CAREFIRST ADVANTAGE PPO, INC"	PDP	CareFirst BlueCross BlueShield Group Prescription Drug Plan	Medicare Prescription Drug Plan		"CareFirst, Inc."	45	Yes	Active	1-410-528-5053				Medicare Prescription Drug Plan		5	Chicago
S0375	Pharmacy Network Management Contact	Director Pharmacy Government Programs	Mr.	Nardone	Mark		1-410-998-5675					Mark.Nardone@Carefirst.com	10455 Mill Run Circle		Owings Mills	MD	21117	3/10/2026	2026	"CAREFIRST ADVANTAGE PPO, INC"	PDP	CareFirst BlueCross BlueShield Group Prescription Drug Plan	Medicare Prescription Drug Plan		"CareFirst, Inc."	45	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S0375	Pharmacy Technical Help Desk Contact	Director Pharmacy Government Programs	Mr.	Nardone	Mark							Mark.Nardone@Carefirst.com	10455 Mill Run Circle		Owings Mills	MD	21117	3/10/2026	2026	"CAREFIRST ADVANTAGE PPO, INC"	PDP	CareFirst BlueCross BlueShield Group Prescription Drug Plan	Medicare Prescription Drug Plan		"CareFirst, Inc."	45	Yes	Active	1-866-693-4620				Medicare Prescription Drug Plan		5	Chicago
S0375	Plan to Plan Reconciliation Contact	Financial Analyst	Mr.	Murry	Kyle		1-410-605-2401					Kyle.Murry@Carefirst.com	P.O. Box 782085		Philadelphia	PA	19178-1637	3/10/2026	2026	"CAREFIRST ADVANTAGE PPO, INC"	PDP	CareFirst BlueCross BlueShield Group Prescription Drug Plan	Medicare Prescription Drug Plan		"CareFirst, Inc."	45	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S0586	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Management"		Colin	Wendy		1-585-885-2435					wcolin@mvphealthcare.com	20 South Clinton Avenue		Rochester	NY	14604	2/13/2024	2026	"MVP HEALTH PLAN, INC."	PDP	MVP Health Care	Medicare Prescription Drug Plan		"MVP Health Care, Inc."	197	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S0586	Best Available Evidence Contact	"Leader, Medicare Enrollment Operations"		Moxley	Radija		1-585-885-2361				1-585-327-2227	RMoxley@mvphealthcare.com	20 South Clinton Avenue		Rochester	NY	14604	2/13/2024	2026	"MVP HEALTH PLAN, INC."	PDP	MVP Health Care	Medicare Prescription Drug Plan		"MVP Health Care, Inc."	197	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S0586	Chief Financial Officer	Chief Financial Officer	Ms.	Austen	Karla		1-518-388-2357					kausten@mvphealthcare.com	625 State Street		Schenectady	NY	12305	6/26/2014	2026	"MVP HEALTH PLAN, INC."	PDP	MVP Health Care	Medicare Prescription Drug Plan		"MVP Health Care, Inc."	197	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S0586	CMS Casework Communication Contact	"Leader, Medicare Appeals"		Allen	Amy		1-585-258-8096				1-585-327-5724	aallen@mvphealthcare.com	20 South Clinton Avenue		Rochester	NY	14604	2/13/2024	2026	"MVP HEALTH PLAN, INC."	PDP	MVP Health Care	Medicare Prescription Drug Plan		"MVP Health Care, Inc."	197	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S0586	Coordination of Benefits Contact	"Director, Pharmacy Management"		Colin	Wendy		1-585-885-2435					wcolin@mvphealthcare.com	20 South Clinton Avenue		Rochester	NY	14604	2/13/2024	2026	"MVP HEALTH PLAN, INC."	PDP	MVP Health Care	Medicare Prescription Drug Plan		"MVP Health Care, Inc."	197	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S0586	Customer Service Operations Contact	"Sr. Leader, Customer Care & Support Services"		Greenberg	Melissa		1-518-991-3731					mgreenberg@mvphealthcare.com	625 State Street		Schenectady	NY	12305	8/23/2022	2026	"MVP HEALTH PLAN, INC."	PDP	MVP Health Care	Medicare Prescription Drug Plan		"MVP Health Care, Inc."	197	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S0586	Government Relations Contact	"VP, Government Affairs"		Estey	Jordan		1-518-991-3923				1-518-836-3202	jestey@mvphealthcare.com	625 State Street	625 State Street	Schenectady	NY	12305	6/18/2026	2026	"MVP HEALTH PLAN, INC."	PDP	MVP Health Care	Medicare Prescription Drug Plan		"MVP Health Care, Inc."	197	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S0586	Hospice Contact	"Director, Pharmacy Management"		Colin	Wendy		1-585-885-2435					WColin@mvphealthcare.com	20 South Clinton Avenue		Rochester	NY	14604	2/13/2024	2026	"MVP HEALTH PLAN, INC."	PDP	MVP Health Care	Medicare Prescription Drug Plan		"MVP Health Care, Inc."	197	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S0586	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Borges	Linda		1-518-991-3803				1-518-836-3202	mco@mvphealthcare.com	625 State Street		Schenectady	NY	12305	3/29/2023	2026	"MVP HEALTH PLAN, INC."	PDP	MVP Health Care	Medicare Prescription Drug Plan		"MVP Health Care, Inc."	197	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S0586	Part D Exceptions Contact	"Director, Pharmacy Management"		Colin	Wendy							wcolin@mvphealthcare.com	20 South Clinton Avenue		Rochester	NY	14604	2/13/2024	2026	"MVP HEALTH PLAN, INC."	PDP	MVP Health Care	Medicare Prescription Drug Plan		"MVP Health Care, Inc."	197	Yes	Active	1-585-885-2435				Medicare Prescription Drug Plan		5	Boston
S0586	Pharmacy Network Management Contact	Director Network Operations		Smith	Shawn		1-480-391-4844					shawn.smith@cvshealth.com	9501 E. Shea Blvd. MC 080		Scottsdale	AZ	85260	2/27/2019	2026	"MVP HEALTH PLAN, INC."	PDP	MVP Health Care	Medicare Prescription Drug Plan		"MVP Health Care, Inc."	197	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S0586	Pharmacy Technical Help Desk Contact	"Director, Client Operations"		Leeper	Shonda							Shonda.Leeper@CVSHealth.com	445 Great Circle Rd		Nashville	TN	37228	12/3/2021	2026	"MVP HEALTH PLAN, INC."	PDP	MVP Health Care	Medicare Prescription Drug Plan		"MVP Health Care, Inc."	197	Yes	Active	1-866-693-4620				Medicare Prescription Drug Plan		5	Boston
S0586	Plan to Plan Reconciliation Contact	"Leader, State & Federal Plan Billing"		Marcus	Yael		1-914-429-8496					ymarcus@mvphealthcare.com	625 State Street		Schenectady	NY	12305	10/4/2022	2026	"MVP HEALTH PLAN, INC."	PDP	MVP Health Care	Medicare Prescription Drug Plan		"MVP Health Care, Inc."	197	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S1030	Automated TrOOP Balance Transfer Contact	Pharmacy Operations Coordinator		Stevens	Andrew		1-205-220-2593					Wstevens@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	8/23/2023	2026	BCBS OF ALABAMA & UTIC INSURANCE COMPANY	PDP	BlueRx (PDP)	Medicare Prescription Drug Plan		BlueCross BlueShield of Alabama	32	Yes	Active					Medicare Prescription Drug Plan		5	New York
S1030	Best Available Evidence Contact	Sr. Business Analyst		Hurst	Terri		1-205-220-2695					Terri.Hurst@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	11/1/2023	2026	BCBS OF ALABAMA & UTIC INSURANCE COMPANY	PDP	BlueRx (PDP)	Medicare Prescription Drug Plan		BlueCross BlueShield of Alabama	32	Yes	Active					Medicare Prescription Drug Plan		5	New York
S1030	Chief Financial Officer	SVP & Chief Financial Officer	Mr.	Carden	Noel		1-205-220-7741					ncarden@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	4/18/2022	2026	BCBS OF ALABAMA & UTIC INSURANCE COMPANY	PDP	BlueRx (PDP)	Medicare Prescription Drug Plan		BlueCross BlueShield of Alabama	32	Yes	Active					Medicare Prescription Drug Plan		5	New York
S1030	CMS Casework Communication Contact	Senior Compliance Analyst		Stoudemire	Danielle		1-205-220-5678					danielle.stoudemire@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	3/17/2026	2026	BCBS OF ALABAMA & UTIC INSURANCE COMPANY	PDP	BlueRx (PDP)	Medicare Prescription Drug Plan		BlueCross BlueShield of Alabama	32	Yes	Active					Medicare Prescription Drug Plan		5	New York
S1030	Coordination of Benefits Contact	Manager Claims Processing		Cole	Jason		1-205-220-2490					Jason.Cole@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	5/2/2023	2026	BCBS OF ALABAMA & UTIC INSURANCE COMPANY	PDP	BlueRx (PDP)	Medicare Prescription Drug Plan		BlueCross BlueShield of Alabama	32	Yes	Active					Medicare Prescription Drug Plan		5	New York
S1030	Customer Service Operations Contact	Dept Manager Customer Service		Pearson	Latreta		1-205-220-2601					llpearson@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	1/13/2021	2026	BCBS OF ALABAMA & UTIC INSURANCE COMPANY	PDP	BlueRx (PDP)	Medicare Prescription Drug Plan		BlueCross BlueShield of Alabama	32	Yes	Active					Medicare Prescription Drug Plan		5	New York
S1030	Government Relations Contact	Manager Product Management		Staton	Shelley		1-205-220-2329					Shelley.Staton@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	5/6/2025	2026	BCBS OF ALABAMA & UTIC INSURANCE COMPANY	PDP	BlueRx (PDP)	Medicare Prescription Drug Plan		BlueCross BlueShield of Alabama	32	Yes	Active					Medicare Prescription Drug Plan		5	New York
S1030	Hospice Contact	Pharmacy Operations Coordinator		Stevens	Andrew		1-205-220-2593					WStevens@bcbsal.org	450 Riverchase Pkwy East		Hoover	AL	35244	4/17/2019	2026	BCBS OF ALABAMA & UTIC INSURANCE COMPANY	PDP	BlueRx (PDP)	Medicare Prescription Drug Plan		BlueCross BlueShield of Alabama	32	Yes	Active					Medicare Prescription Drug Plan		5	New York
S1030	Medicare Compliance Officer	Manager Corporate Compliance	Mr.	Gregg	Roger		1-205-220-7480					RGREGG@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	12/16/2024	2026	BCBS OF ALABAMA & UTIC INSURANCE COMPANY	PDP	BlueRx (PDP)	Medicare Prescription Drug Plan		BlueCross BlueShield of Alabama	32	Yes	Active					Medicare Prescription Drug Plan		5	New York
S1030	Part D Exceptions Contact	Regulatory Pharmacist Sr.		Emerson	Kimberly						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	2900 Ames Crossing Road		Mendota Heights	MN	55120	12/18/2024	2026	BCBS OF ALABAMA & UTIC INSURANCE COMPANY	PDP	BlueRx (PDP)	Medicare Prescription Drug Plan		BlueCross BlueShield of Alabama	32	Yes	Active	1-800-693-6651				Medicare Prescription Drug Plan		5	New York
S1030	Pharmacy Network Management Contact	Pharmacy Services Mgr		Matthews	Ginny		1-205-220-6558				1-205-403-4052	Ginny.Matthews@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	10/13/2020	2026	BCBS OF ALABAMA & UTIC INSURANCE COMPANY	PDP	BlueRx (PDP)	Medicare Prescription Drug Plan		BlueCross BlueShield of Alabama	32	Yes	Active					Medicare Prescription Drug Plan		5	New York
S1030	Pharmacy Technical Help Desk Contact	Pharmacy Services Mgr		Matthews	Ginny							Ginny.Matthews@bcbsal.org	450 Riverchase Parkway East		Birmingham	AL	35244	10/13/2020	2026	BCBS OF ALABAMA & UTIC INSURANCE COMPANY	PDP	BlueRx (PDP)	Medicare Prescription Drug Plan		BlueCross BlueShield of Alabama	32	Yes	Active	1-877-878-8668				Medicare Prescription Drug Plan		5	New York
S1030	Plan to Plan Reconciliation Contact	In-charge Analyst Cash Mgmt		Prince	Jonathan		1-205-220-7723					jonathan.prince@bcbsal.org	450 Riverchase Parkway		Birmingham	AL	35244	3/18/2024	2026	BCBS OF ALABAMA & UTIC INSURANCE COMPANY	PDP	BlueRx (PDP)	Medicare Prescription Drug Plan		BlueCross BlueShield of Alabama	32	Yes	Active					Medicare Prescription Drug Plan		5	New York
S1140	Automated TrOOP Balance Transfer Contact	"Manager, Pharmacy Government Operations"	Ms.	Lynn Schill	Jodie		1-570-578-3579					Jodie.LynnSchill@highmark.com	120 Fifth Avenue		Pittsburgh	PA	15222	8/16/2023	2026	Highmark Western and Northeastern New York Inc.	PDP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Medicare Prescription Drug Plan		Highmark Health	123	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S1140	Best Available Evidence Contact	"Manager, Government Business Enrollment"	Mr.	Stanhoff	David		1-412-544-5689					LISBAE@highmark.com	120 Fifth Avenue		Pittsburgh	PA	15222	3/20/2024	2026	Highmark Western and Northeastern New York Inc.	PDP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Medicare Prescription Drug Plan		Highmark Health	123	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S1140	Chief Financial Officer	CFO Highmark Health Plan	Ms.	Musler	Kate		1-412-544-8653					katherine.musler@highmark.com	120 5th Avenue		Pittsburgh	PA	15222	2/25/2025	2026	Highmark Western and Northeastern New York Inc.	PDP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Medicare Prescription Drug Plan		Highmark Health	123	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S1140	CMS Casework Communication Contact	"Manager, Appeals and Grievances"	Ms.	Walsh	Lynne	M	1-412-544-4579				1-717-635-4209	Lynne.Walsh@highmark.com	120 Fifth Avenue	Suite P5501	Pittsburgh	PA	15222	12/22/2023	2026	Highmark Western and Northeastern New York Inc.	PDP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Medicare Prescription Drug Plan		Highmark Health	123	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S1140	Coordination of Benefits Contact	Sr. Process Analyst	Ms.	Cassidy	Christina		1-412-544-4417					Christina.Cassidy@highmark.com	120 Fifth Avenue	PAP P5111	Pittsburgh	PA	15222	6/3/2022	2026	Highmark Western and Northeastern New York Inc.	PDP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Medicare Prescription Drug Plan		Highmark Health	123	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S1140	Customer Service Operations Contact	"Director, Member & Provider Services"		Scarnati	Chris		1-814-871-6712					Chris.Scarnati@highmark.com	120 Fifth Avenue		Pittsburgh	PA	15222	3/20/2024	2026	Highmark Western and Northeastern New York Inc.	PDP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Medicare Prescription Drug Plan		Highmark Health	123	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S1140	Government Relations Contact	Medicare Compliance Officer	Mr.	Boettler	Thomas		1-412-544-7031					Thomas.Boettler@highmark.com	120 5th Avenue	Suite 1833	Pittsburgh	PA	15222	7/29/2024	2026	Highmark Western and Northeastern New York Inc.	PDP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Medicare Prescription Drug Plan		Highmark Health	123	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S1140	Hospice Contact	Intake Coordinator		Welker	Jessica		1-717-888-3043					DrugHelp_Authorizations@highmark.com	120 5th Avenue Place		Pittsburgh	PA	15222	11/9/2022	2026	Highmark Western and Northeastern New York Inc.	PDP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Medicare Prescription Drug Plan		Highmark Health	123	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S1140	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Boettler	Thomas		1-412-544-7031					Thomas.Boettler@highmark.com	120 5th Avenue	Suite 1833	Pittsburgh	PA	15222	7/28/2021	2026	Highmark Western and Northeastern New York Inc.	PDP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Medicare Prescription Drug Plan		Highmark Health	123	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S1140	Part D Exceptions Contact			Affairs	Pharmacy							drughelp@highmark.com	120 Fifth Avenue	Suite SPECARE	Pittsburgh	PA	15222	8/4/2023	2026	Highmark Western and Northeastern New York Inc.	PDP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Medicare Prescription Drug Plan		Highmark Health	123	Yes	Active	1-800-600-2227				Medicare Prescription Drug Plan		5	Boston
S1140	Pharmacy Network Management Contact	"Network Account Director, Retail Strategy&Contract"		Kelly	Heather		1-314-692-1866				1-877-387-5800	hakelly@express-scripts.com	One Express Way		St. Louis	MO	63121	11/9/2022	2026	Highmark Western and Northeastern New York Inc.	PDP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Medicare Prescription Drug Plan		Highmark Health	123	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S1140	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	13051 N. Telecom PKWY STE 150		Temple Terrace	FL	33637	12/17/2021	2026	Highmark Western and Northeastern New York Inc.	PDP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Medicare Prescription Drug Plan		Highmark Health	123	Yes	Active	1-800-922-1557				Medicare Prescription Drug Plan		5	Boston
S1140	Plan to Plan Reconciliation Contact	"Manager, Operational Accounting"		Stehr	Brett		1-717-302-2748					P2Precon@highmark.com	Highmark Inc. Attn: Cashier	PO Box 898820	Camp Hill	PA	17089	6/28/2023	2026	Highmark Western and Northeastern New York Inc.	PDP	Highmark Blue Cross Blue Shield or Highmark Blue Shield	Medicare Prescription Drug Plan		Highmark Health	123	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S1822	Automated TrOOP Balance Transfer Contact	"Manager, Pharmacy Configuration and PBM Services"		Heinen	Keeley		1-952-883-5279					keeley.m.heinen@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS:  21111B	Minneapolis	MN	55440-1309	1/27/2026	2026	"HEALTHPARTNERS, INC."	PDP	HealthPartners	Medicare Prescription Drug Plan		"HealthPartners, Inc."	117	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S1822	Best Available Evidence Contact	Sr. Manager Membership Accounting		Marty	Amanda	E	1-952-967-7685					amanda.e.marty@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS: 21103R	Minneapolis	MN	55440-1309	1/9/2025	2026	"HEALTHPARTNERS, INC."	PDP	HealthPartners	Medicare Prescription Drug Plan		"HealthPartners, Inc."	117	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S1822	Chief Financial Officer	SVP & Chief Financial Officer	Ms.	Johnson	Kathleen	A	1-952-883-6531					kathy.a.johnson1@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS:  21110T	Minneapolis	MN	55440-1309	3/29/2023	2026	"HEALTHPARTNERS, INC."	PDP	HealthPartners	Medicare Prescription Drug Plan		"HealthPartners, Inc."	117	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S1822	CMS Casework Communication Contact	Manager Member Rights and Benefits		Kruse	Morgan	L	1-952-967-7679					Morgan.L.Kruse@HealthPartners.Com	P.O. Box 21662		Eagan	MN	55121	1/27/2026	2026	"HEALTHPARTNERS, INC."	PDP	HealthPartners	Medicare Prescription Drug Plan		"HealthPartners, Inc."	117	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S1822	Coordination of Benefits Contact	"Manager, Claims Production"		Prine	Chantelle	M	1-952-967-7335					RVSCCOBTECHS@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"		Minneapolis	MN	55440-1309	4/20/2022	2026	"HEALTHPARTNERS, INC."	PDP	HealthPartners	Medicare Prescription Drug Plan		"HealthPartners, Inc."	117	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S1822	Customer Service Operations Contact	Director Member Services		Renneke	Alison		1-952-967-7668					alison.m.renneke@healthpartners.com	"8170 33rd Avenue South, PO Box 9463"	MS:  21103R	Minneapolis	MN	55440-9463	1/29/2020	2026	"HEALTHPARTNERS, INC."	PDP	HealthPartners	Medicare Prescription Drug Plan		"HealthPartners, Inc."	117	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S1822	Government Relations Contact	VP Government Programs		Clelland	Jennifer	J	1-952-967-5119					jennifer.j.clelland@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS: 21103C	Minneapolis	MN	55440-1309	8/30/2021	2026	"HEALTHPARTNERS, INC."	PDP	HealthPartners	Medicare Prescription Drug Plan		"HealthPartners, Inc."	117	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S1822	Hospice Contact	Sr Pharmacy UM Comp and Ops Analyst		Riggs	Ben	H	1-651-323-0244					benjamin.h.riggs@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS: 21111B	Minneapolis	MN	55440-1309	12/12/2023	2026	"HEALTHPARTNERS, INC."	PDP	HealthPartners	Medicare Prescription Drug Plan		"HealthPartners, Inc."	117	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S1822	Medicare Compliance Officer	"Director, Integrity and Compliance"	Ms.	Moscetti	Stephanie	M	1-952-883-7330				1-952-883-5522	stephanie.m.moscetti@healthpartners.com	8170 33rd Avenue South		Bloomington	MN	55425	11/17/2023	2026	"HEALTHPARTNERS, INC."	PDP	HealthPartners	Medicare Prescription Drug Plan		"HealthPartners, Inc."	117	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S1822	Part D Exceptions Contact	Mgr Pharmacy Clinical Svcs & UM		Whelan	Hillary	A					1-888-883-5434	hillary.a.whelan@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS:  21111B	Minneapolis	MN	55440-1309	1/27/2026	2026	"HEALTHPARTNERS, INC."	PDP	HealthPartners	Medicare Prescription Drug Plan		"HealthPartners, Inc."	117	Yes	Active	1-800-492-7259				Medicare Prescription Drug Plan		5	Chicago
S1822	Pharmacy Network Management Contact	"Manager, Pharmacy Configuration and PBM Services"		Heinen	Keeley		1-952-883-5279					keeley.m.heinen@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS:  21111B	Minneapolis	MN	55440-1309	1/27/2026	2026	"HEALTHPARTNERS, INC."	PDP	HealthPartners	Medicare Prescription Drug Plan		"HealthPartners, Inc."	117	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S1822	Pharmacy Technical Help Desk Contact	Mgr Pharmacy Clinical Svcs & UM  Pharm Clin Srv		Whelan	Hillary	A					1-888-883-5434	Hillary.A.Whelan@HealthPartners.com	"8170 33rd Avenue South, PO Box 1309"	MS:  21111B	Minneapolis	MN	55440-1309	1/27/2026	2026	"HEALTHPARTNERS, INC."	PDP	HealthPartners	Medicare Prescription Drug Plan		"HealthPartners, Inc."	117	Yes	Active	1-800-492-7259				Medicare Prescription Drug Plan		5	Chicago
S1822	Plan to Plan Reconciliation Contact	Senior Accountant		Lee	Sheng		1-715-571-5521					sheng.x.lee@healthpartners.com	"8170 33rd Avenue South, PO Box 1309"	MS: 21109A	Minneapolis	MN	55440-1309	3/4/2025	2026	"HEALTHPARTNERS, INC."	PDP	HealthPartners	Medicare Prescription Drug Plan		"HealthPartners, Inc."	117	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S2135	Automated TrOOP Balance Transfer Contact	"Mgr, Pharmacy Operations"	Ms	Woodson	Keirsten		1-202-639-1689					keirsten.woodson@bcbsa.com	"750 9th St NW,  Suite 900"		Washington	DC	20001	8/8/2024	2026	BLUE CROSS BLUE SHIELD ASSOCIATION	PDP	Blue Cross Blue Shield Association	Medicare Prescription Drug Plan		"BlueCross BlueShield Association, Federal Employee"	807	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S2135	Best Available Evidence Contact	"Mgr, Pharmacy Operations"	Ms	Woodson	Keirsten		1-202-639-1689					keirsten.woodson@bcbsa.com	"750 9th St NW,  Suite 900"		Washington	DC	20001	8/8/2024	2026	BLUE CROSS BLUE SHIELD ASSOCIATION	PDP	Blue Cross Blue Shield Association	Medicare Prescription Drug Plan		"BlueCross BlueShield Association, Federal Employee"	807	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S2135	Chief Financial Officer	VP	Ms	Bentley	Catherine		1-312-297-6061					catherine.bentley@bcbsa.com	"200 E. Randolph St., Suite 1800"		Chicago	IL	60601	5/26/2026	2026	BLUE CROSS BLUE SHIELD ASSOCIATION	PDP	Blue Cross Blue Shield Association	Medicare Prescription Drug Plan		"BlueCross BlueShield Association, Federal Employee"	807	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S2135	CMS Casework Communication Contact	Dir Pharmacy Operations	Ms	Shuler	Julianna		1-202-942-1046					julianna.shuler@bcbsa.com	"750 9th St NW,  Suite 900"		Washington	DC	20001	8/8/2024	2026	BLUE CROSS BLUE SHIELD ASSOCIATION	PDP	Blue Cross Blue Shield Association	Medicare Prescription Drug Plan		"BlueCross BlueShield Association, Federal Employee"	807	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S2135	Coordination of Benefits Contact	Dir OPL Fed Hlth Prg Reim	Ms	Torrico	Yoonji		1-202-942-1124					yoonji.torrico@bcbsa.com	"750 9th St NW,  Suite 900"		Washington	DC	20001	8/8/2024	2026	BLUE CROSS BLUE SHIELD ASSOCIATION	PDP	Blue Cross Blue Shield Association	Medicare Prescription Drug Plan		"BlueCross BlueShield Association, Federal Employee"	807	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S2135	Customer Service Operations Contact	Dir Pharmacy Operations	Ms	Shuler	Julianna		1-202-942-1046					julianna.shuler@bcbsa.com	"750 9th St NW,  Suite 900"		Washington	DC	20001	8/8/2024	2026	BLUE CROSS BLUE SHIELD ASSOCIATION	PDP	Blue Cross Blue Shield Association	Medicare Prescription Drug Plan		"BlueCross BlueShield Association, Federal Employee"	807	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S2135	Government Relations Contact	SVP Federal Employee Program	Mr	Yoder	David		1-202-942-1206					david.yoder@bcbsa.com	"750 9th St NW,  Suite 900"		Washington	DC	20001	8/8/2024	2026	BLUE CROSS BLUE SHIELD ASSOCIATION	PDP	Blue Cross Blue Shield Association	Medicare Prescription Drug Plan		"BlueCross BlueShield Association, Federal Employee"	807	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S2135	Hospice Contact	Dir Pharmacy Operations	Ms	Shuler	Julianna		1-202-942-1046					julianna.shuler@bcbsa.com	"750 9th St NW,  Suite 900"		Washington	DC	20001	8/8/2024	2026	BLUE CROSS BLUE SHIELD ASSOCIATION	PDP	Blue Cross Blue Shield Association	Medicare Prescription Drug Plan		"BlueCross BlueShield Association, Federal Employee"	807	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S2135	Medicare Compliance Officer	"Senior Director, Compliance and Privacy • Legal"	Mr.	Kee	Jeffrey		1-202-942-1168					Jeffrey.Kee@bcbsa.com	"200 E. Randolph St., Suite 1800"		Chicago	IL	60601	2/23/2026	2026	BLUE CROSS BLUE SHIELD ASSOCIATION	PDP	Blue Cross Blue Shield Association	Medicare Prescription Drug Plan		"BlueCross BlueShield Association, Federal Employee"	807	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S2135	Part D Exceptions Contact	Dir Pharmacy Policy	Mr	Seneviratne	Viran							Viran.Seneviratne@bcbsa.com	"750 9th St NW,  Suite 900"		Washington	DC	20001	8/8/2024	2026	BLUE CROSS BLUE SHIELD ASSOCIATION	PDP	Blue Cross Blue Shield Association	Medicare Prescription Drug Plan		"BlueCross BlueShield Association, Federal Employee"	807	Yes	Active	1-202-942-1175				Medicare Prescription Drug Plan		5	Chicago
S2135	Pharmacy Network Management Contact	VP Clinical Operations ¿ Government Prgrm	Ms	Hatch	Vanessa		1-202-942-1284					Vanessa.Hatch@bcbsa.com	"750 9th St NW,  Suite 900"		Washington	DC	20001	3/3/2026	2026	BLUE CROSS BLUE SHIELD ASSOCIATION	PDP	Blue Cross Blue Shield Association	Medicare Prescription Drug Plan		"BlueCross BlueShield Association, Federal Employee"	807	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S2135	Pharmacy Technical Help Desk Contact	"Mgr, Pharmacy Operations"	Ms	Woodson	Keirsten							keirsten.woodson@bcbsa.com	"750 9th St NW,  Suite 900"		Washington	DC	20001	8/8/2024	2026	BLUE CROSS BLUE SHIELD ASSOCIATION	PDP	Blue Cross Blue Shield Association	Medicare Prescription Drug Plan		"BlueCross BlueShield Association, Federal Employee"	807	Yes	Active	1-866-693-4620				Medicare Prescription Drug Plan		5	Chicago
S2135	Plan to Plan Reconciliation Contact	"Mgr, Pharmacy Operations"	Ms	Woodson	Keirsten		1-202-639-1689					keirsten.woodson@bcbsa.com	"200 E. Randolph St., Suite 1800"	Attn Treasury Operations	Chicago	IL	60601	3/30/2026	2026	BLUE CROSS BLUE SHIELD ASSOCIATION	PDP	Blue Cross Blue Shield Association	Medicare Prescription Drug Plan		"BlueCross BlueShield Association, Federal Employee"	807	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S2468	Automated TrOOP Balance Transfer Contact	"Business Analyst, Consultant"		Escobedo	Karina		1-562-613-5532					karina.escobedo@blueshieldca.com	3021 Reynolds Ranch Pkwy		Lodi	CA	94607	1/12/2026	2026	CALIFORNIA PHYSICIANS' SERVICE	PDP	Blue Shield of California	Medicare Prescription Drug Plan		California Physicians' Service	30	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S2468	Best Available Evidence Contact	"Senior Manager, Installation & Billing"		White	Cheri		1-916-350-3262					cheri.white@blueshieldca.com	"4207 Town Center Blvd, Building B"		El Dorado Hills	CA	95762	11/4/2025	2026	CALIFORNIA PHYSICIANS' SERVICE	PDP	Blue Shield of California	Medicare Prescription Drug Plan		California Physicians' Service	30	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S2468	Chief Financial Officer	VP Actuarial & Financial Mgmt - Govt Markets	Mr.	Solomon	Aaron		1-310-744-2848					aaron.solomon@blueshieldca.com	6300 Canoga Avenue		Woodland Hills	CA	91367	5/15/2026	2026	CALIFORNIA PHYSICIANS' SERVICE	PDP	Blue Shield of California	Medicare Prescription Drug Plan		California Physicians' Service	30	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S2468	CMS Casework Communication Contact	"Senior Manager, Medicare Compliance"		Lester	Sheri		1-562-364-1860					sheri.lester@blueshieldca.com	6300 Canoga Avenue		Woodland Hills	CA	91367	3/22/2023	2026	CALIFORNIA PHYSICIANS' SERVICE	PDP	Blue Shield of California	Medicare Prescription Drug Plan		California Physicians' Service	30	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S2468	Coordination of Benefits Contact	"Senior Manager, Installation & Billing"		White	Cheri		1-916-350-3262					cheri.white@blueshieldca.com	"4207 Town Center Blvd, Building B"		El Dorado Hills	CA	95762	11/4/2025	2026	CALIFORNIA PHYSICIANS' SERVICE	PDP	Blue Shield of California	Medicare Prescription Drug Plan		California Physicians' Service	30	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S2468	Customer Service Operations Contact	Director		Mathews	Carolyn		1-562-613-5004					Carolyn.Mathews@blueshieldca.com	3021 Reynolds Ranch Pkwy		Lodi	CA	95240	9/7/2023	2026	CALIFORNIA PHYSICIANS' SERVICE	PDP	Blue Shield of California	Medicare Prescription Drug Plan		California Physicians' Service	30	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S2468	Government Relations Contact	"Director, Medicare Compliance"		Mata	Marcos		1-562-613-5249					marcos.mata@blueshieldca.com	6300 Canoga Avenue		Woodland Hills	CA	91367	12/23/2025	2026	CALIFORNIA PHYSICIANS' SERVICE	PDP	Blue Shield of California	Medicare Prescription Drug Plan		California Physicians' Service	30	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S2468	Hospice Contact	"Supervisor, Operations"		Hatley	Mongnissia		1-562-613-5416					Mongnissia.Hatley@blueshieldca.com	6300 Canoga Avenue		Woodland Hills	CA	91367	3/13/2026	2026	CALIFORNIA PHYSICIANS' SERVICE	PDP	Blue Shield of California	Medicare Prescription Drug Plan		California Physicians' Service	30	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S2468	Medicare Compliance Officer	"Senior Director, Medicare Compliance"	Mr.	Robinson	Richard		1-562-580-6482					MedicareComplOfficer@blueshieldca.com	6300 Canoga Avenue		Woodland Hills	CA	91367	6/16/2023	2026	CALIFORNIA PHYSICIANS' SERVICE	PDP	Blue Shield of California	Medicare Prescription Drug Plan		California Physicians' Service	30	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S2468	Part D Exceptions Contact	"Director, Pharmacy Prior Authorization"		March	Nancee							nancee.march@blueshieldca.com	3300 Zinfandel Drive		Rancho Cordova	CA	95670	1/11/2021	2026	CALIFORNIA PHYSICIANS' SERVICE	PDP	Blue Shield of California	Medicare Prescription Drug Plan		California Physicians' Service	30	Yes	Active	1-800-776-4466				Medicare Prescription Drug Plan		5	Dallas
S2468	Pharmacy Network Management Contact	"Senior Manager, Program and Project Management"		Nelson	Kimberly		1-415-297-2196					kim.nelson@blueshieldca.com	4201 Town Center Blvd		El Dorado Hills	CA	95762	4/2/2026	2026	CALIFORNIA PHYSICIANS' SERVICE	PDP	Blue Shield of California	Medicare Prescription Drug Plan		California Physicians' Service	30	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S2468	Pharmacy Technical Help Desk Contact	"Senior Manager, Program and Project Management"		Nelson	Kimberly							kim.nelson@blueshieldca.com	4201 Town Center Blvd		El Dorado Hills	CA	95672	4/2/2026	2026	CALIFORNIA PHYSICIANS' SERVICE	PDP	Blue Shield of California	Medicare Prescription Drug Plan		California Physicians' Service	30	Yes	Active	1-800-375-7924				Medicare Prescription Drug Plan		5	Dallas
S2468	Plan to Plan Reconciliation Contact	"Sr. Dir., Corp Tax & Producer Accounting"		Larsen	Cynthia		1-510-939-6404					cynthia.larsen@blueshieldca.com	"601 12th Street, 22nd Floor"		Oakland	CA	94607	1/12/2026	2026	CALIFORNIA PHYSICIANS' SERVICE	PDP	Blue Shield of California	Medicare Prescription Drug Plan		California Physicians' Service	30	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S2893	Automated TrOOP Balance Transfer Contact	Manager Strategic Accounts		Pityou	Sean		1-602-245-8871					JEAccountManagement@CVSCaremark.com	9501 E. Shea BLVD		Scottsdale	AZ	85260	6/16/2022	2026	ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT	PDP	Blue MedicareRx	Medicare Prescription Drug Plan		"Elevance Health, Inc. & BCBSMA & BCBSRI & BCBSVT"	386	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S2893	Best Available Evidence Contact	Manager		Mondhink	Tiffany		1-480-614-7228					Tiffany.Mondhink@CVSHealth.com	"9501 E. Shea Blvd, MC125"		Scottsdale	AZ	85260	11/14/2019	2026	ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT	PDP	Blue MedicareRx	Medicare Prescription Drug Plan		"Elevance Health, Inc. & BCBSMA & BCBSRI & BCBSVT"	386	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S2893	Chief Financial Officer	Chief Financial Officer	Ms.	Kam	Ruby		1-617-246-3600					Ruby.Kam@bcbsma.com	"101 Huntington Ave, Suite 1300"		Boston	MA	02199-7611	10/3/2023	2026	ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT	PDP	Blue MedicareRx	Medicare Prescription Drug Plan		"Elevance Health, Inc. & BCBSMA & BCBSRI & BCBSVT"	386	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S2893	CMS Casework Communication Contact	"Supervisor, Medicare Part D Operations"		Rocco	Lori		1-480-392-7135					Lori.Rocco@CVSHealth.com	"9501 E. Shea BLVD, MC121"		Scottsdale	AZ	85260	1/27/2023	2026	ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT	PDP	Blue MedicareRx	Medicare Prescription Drug Plan		"Elevance Health, Inc. & BCBSMA & BCBSRI & BCBSVT"	386	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S2893	Coordination of Benefits Contact	"Manager, MED D Financial Reconciliation"		Viana	Silvia		1-480-298-0166					Silvia.Viana@cvshealth.com	"9501 E.Shea BLVD,"	MC121	Scottsdale	AZ	85260	6/8/2020	2026	ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT	PDP	Blue MedicareRx	Medicare Prescription Drug Plan		"Elevance Health, Inc. & BCBSMA & BCBSRI & BCBSVT"	386	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S2893	Customer Service Operations Contact	"Lead Director, Client Operations"		Dayoub	Joselyn		1-412-875-7137					dayoubj@cvshealth.com	315 Cloisterbane Drive		St. Johns	FL	32259	10/11/2022	2026	ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT	PDP	Blue MedicareRx	Medicare Prescription Drug Plan		"Elevance Health, Inc. & BCBSMA & BCBSRI & BCBSVT"	386	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S2893	Government Relations Contact	"Director, Government Legislative Affairs"		Meisinger	Jeremy		1-617-246-6135					Jeremy.Meisinger@bcbsma.com	"101 Huntington Ave, Suite 1300"		Boston	MA	02199-7611	2/16/2026	2026	ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT	PDP	Blue MedicareRx	Medicare Prescription Drug Plan		"Elevance Health, Inc. & BCBSMA & BCBSRI & BCBSVT"	386	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S2893	Hospice Contact	Manager Strategic Accounts		Pityou	Sean		1-602-245-8871					JEAccountManagement@CVSHealth.com	9501 E.Shea BLVD		Scottsdale	AZ	85260	6/16/2022	2026	ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT	PDP	Blue MedicareRx	Medicare Prescription Drug Plan		"Elevance Health, Inc. & BCBSMA & BCBSRI & BCBSVT"	386	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S2893	Medicare Compliance Officer	"Director, Medicare Compliance"	Ms.	Sullivan	Christina		1-781-603-8012					NEJECompliance@bcbsma.com	25 Technology Place	Mail stop 03/04	Hingham	MA	02043-4359	4/28/2022	2026	ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT	PDP	Blue MedicareRx	Medicare Prescription Drug Plan		"Elevance Health, Inc. & BCBSMA & BCBSRI & BCBSVT"	386	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S2893	Part D Exceptions Contact	"Manager RPh, Medicare Part D CD&A Client Support"		Moran	Vickie							Vickie.Moran@CVSHealth.com	620 Epsilon Drive		Pittsburgh	PA	15238	11/9/2021	2026	ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT	PDP	Blue MedicareRx	Medicare Prescription Drug Plan		"Elevance Health, Inc. & BCBSMA & BCBSRI & BCBSVT"	386	Yes	Active	1-412-526-3320				Medicare Prescription Drug Plan		5	Boston
S2893	Pharmacy Network Management Contact	"Director, Network Operations"		Smith	Shawn		1-480-652-9980					Shawn.Smith@CVSHealth.com	9501 E. Shea BLVD		Scottsdale	AZ	85260	12/16/2020	2026	ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT	PDP	Blue MedicareRx	Medicare Prescription Drug Plan		"Elevance Health, Inc. & BCBSMA & BCBSRI & BCBSVT"	386	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S2893	Pharmacy Technical Help Desk Contact			Helpdesk	Pharmacy							dayoubj@cvshealth.com	"800 NW Chipman, Rd. Suite 5830"		Lee''s Summit	MO	64086	10/11/2022	2026	ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT	PDP	Blue MedicareRx	Medicare Prescription Drug Plan		"Elevance Health, Inc. & BCBSMA & BCBSRI & BCBSVT"	386	Yes	Active	1-866-693-4620				Medicare Prescription Drug Plan		5	Boston
S2893	Plan to Plan Reconciliation Contact	"Sr. Consultant, Finance Med D"		Spradlin	Eun-Jung		1-602-299-7668					eun-jung.spradlin@cvshealth.com	PO Box 842237		Dallas	TX	75284-2237	2/3/2023	2026	ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT	PDP	Blue MedicareRx	Medicare Prescription Drug Plan		"Elevance Health, Inc. & BCBSMA & BCBSRI & BCBSVT"	386	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S3285	Automated TrOOP Balance Transfer Contact	"Manager, GPS Operations"	Ms.	Moody	Valeria		1-858-291-5123					Valeria.Moody@medimpact.com	10181 Scripps Gateway Court		San Diego	CA	92131	4/10/2026	2026	MG INSURANCE COMPANY	PDP	MG Insurance Company	Medicare Prescription Drug Plan		"MedImpact Holdings, Inc."	698	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S3285	Best Available Evidence Contact	"Director, PDP Operations"	Ms.	Bossert	Michele		1-858-790-6323					michele.bossert@medimpact.com	10181 Scripps Gateway Court	10181 Scripps Gateway Court	San Diego	CA	92131	3/9/2026	2026	MG INSURANCE COMPANY	PDP	MG Insurance Company	Medicare Prescription Drug Plan		"MedImpact Holdings, Inc."	698	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S3285	Chief Financial Officer	"President, MG Insurance Company"	Mr.	Barr	Damien		1-858-790-6330					damien.barr@medimpact.com	10181 Scripps Gateway Court		San Diego	CA	92131	11/25/2020	2026	MG INSURANCE COMPANY	PDP	MG Insurance Company	Medicare Prescription Drug Plan		"MedImpact Holdings, Inc."	698	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S3285	CMS Casework Communication Contact	"Director, PDP Operations"	Ms.	Bossert	Michele		1-858-790-6323					michele.bossert@medimpact.com	10181 Scripps Gateway Court		San Diego	CA	92131	12/30/2020	2026	MG INSURANCE COMPANY	PDP	MG Insurance Company	Medicare Prescription Drug Plan		"MedImpact Holdings, Inc."	698	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S3285	Coordination of Benefits Contact	Program Manager II	Ms.	Granados	Patty		1-858-291-5199					patty.granados@medimpact.com	10181 Scripps Gateway Court		San Diego	CA	92131	3/9/2026	2026	MG INSURANCE COMPANY	PDP	MG Insurance Company	Medicare Prescription Drug Plan		"MedImpact Holdings, Inc."	698	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S3285	Customer Service Operations Contact	"Director, PDP Operations"	Ms.	Bossert	Michele		1-858-790-6323					michele.bossert@medimpact.com	10181 Scripps Gateway Court		San Diego	CA	92131	12/30/2020	2026	MG INSURANCE COMPANY	PDP	MG Insurance Company	Medicare Prescription Drug Plan		"MedImpact Holdings, Inc."	698	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S3285	Government Relations Contact	Compliance Officer	Mrs.	Koja-Volk	Jordana		1-858-790-5653					jordana.koja-volk@medimpact.com	10181 Scripps Gateway Court		San Diego	CA	92131	8/1/2023	2026	MG INSURANCE COMPANY	PDP	MG Insurance Company	Medicare Prescription Drug Plan		"MedImpact Holdings, Inc."	698	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S3285	Hospice Contact	PDP Program Manager II	Ms.	Williams	Valencia		1-858-790-3028					valencia.williams@medimpact.com	10181 Scripps Gateway Court		San Diego	CA	92131	3/9/2026	2026	MG INSURANCE COMPANY	PDP	MG Insurance Company	Medicare Prescription Drug Plan		"MedImpact Holdings, Inc."	698	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S3285	Medicare Compliance Officer	Compliance Officer	Mrs.	Koja-Volk	Jordana		1-858-790-5653					jordana.koja-volk@medimpact.com	10181 Scripps Gateway Court		San Diego	CA	92131	8/1/2023	2026	MG INSURANCE COMPANY	PDP	MG Insurance Company	Medicare Prescription Drug Plan		"MedImpact Holdings, Inc."	698	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S3285	Part D Exceptions Contact	Compliance Officer	Mrs.	Koja-Volk	Jordana							jordana.koja-volk@medimpact.com	10181 Scripps Gateway Court		San Diego	CA	92131	8/1/2023	2026	MG INSURANCE COMPANY	PDP	MG Insurance Company	Medicare Prescription Drug Plan		"MedImpact Holdings, Inc."	698	Yes	Active	1-858-790-5653				Medicare Prescription Drug Plan		5	Chicago
S3285	Pharmacy Network Management Contact	"Director, Pharmacy Network Administration"	Ms.	Profio	Lauren		1-330-221-9259					lauren.profio@medimpact.com	10181 Scripps Gateway Court		San Diego	CA	92131	3/9/2026	2026	MG INSURANCE COMPANY	PDP	MG Insurance Company	Medicare Prescription Drug Plan		"MedImpact Holdings, Inc."	698	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S3285	Pharmacy Technical Help Desk Contact	"Director, Customer Contact Services"	Ms.	Brewer	Kathy							customerservice@medimpact.com	10181 Scripps Gateway Court		San Diego	CA	92131	12/18/2018	2026	MG INSURANCE COMPANY	PDP	MG Insurance Company	Medicare Prescription Drug Plan		"MedImpact Holdings, Inc."	698	Yes	Active	1-844-826-3451				Medicare Prescription Drug Plan		5	Chicago
S3285	Plan to Plan Reconciliation Contact	Manager PDP Programs	Mr.	Mascia	Angelo		1-216-272-5719					angelo.mascia@medimpact.com	10181 Scripps Gateway Court		San Diego	CA	92131	3/9/2026	2026	MG INSURANCE COMPANY	PDP	MG Insurance Company	Medicare Prescription Drug Plan		"MedImpact Holdings, Inc."	698	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S3389	Automated TrOOP Balance Transfer Contact	"AVP, Medicare Operations Support"		Cain	John		1-412-454-5539					cainjo@upmc.edu	"USX Tower, 9th Floor"	600 Grant Street	Pittsburgh	PA	15219	1/13/2026	2026	"UPMC HEALTH BENEFITS, INC."	PDP	UPMC Health Plan	Medicare Prescription Drug Plan		UPMC Health System	249	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S3389	Best Available Evidence Contact	Customer Service		Health Plan	UPMC		1-877-539-3080					upmchp@upmc.edu	"USX Tower, 23rd Floor"	600 Grant Street	Pittsburgh	PA	15219	3/23/2012	2026	"UPMC HEALTH BENEFITS, INC."	PDP	UPMC Health Plan	Medicare Prescription Drug Plan		UPMC Health System	249	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S3389	Chief Financial Officer	Chief Financial Officer	Ms.	Farrell	Lisa		1-412-454-5559					farrelllm@UPMC.EDU	"USX Tower, 55th Floor"	600 Grant Street	Pittsburgh	PA	15219	1/13/2026	2026	"UPMC HEALTH BENEFITS, INC."	PDP	UPMC Health Plan	Medicare Prescription Drug Plan		UPMC Health System	249	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S3389	CMS Casework Communication Contact	"Sr. Manager, Medicare Compliance"	Ms.	McGough	Amber		1-412-901-1352					russellal@upmc.edu	"USX Tower, 14th Floor"	600 Grant Street	Pittsburgh	PA	15219	1/13/2026	2026	"UPMC HEALTH BENEFITS, INC."	PDP	UPMC Health Plan	Medicare Prescription Drug Plan		UPMC Health System	249	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S3389	Coordination of Benefits Contact	"Director, Enrollment"		Turner	Shannon		1-412-454-7360					turners3@upmc.edu	"USX Tower, 5th Floor"	600 Grant Street	Pittsburgh	PA	15219	1/13/2026	2026	"UPMC HEALTH BENEFITS, INC."	PDP	UPMC Health Plan	Medicare Prescription Drug Plan		UPMC Health System	249	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S3389	Customer Service Operations Contact	Customer Service		Health Plan	UPMC		1-877-539-3080					upmchp@upmc.edu	"USX Tower, 23rd Floor"	600 Grant Street	Pittsburgh	PA	15219	3/23/2012	2026	"UPMC HEALTH BENEFITS, INC."	PDP	UPMC Health Plan	Medicare Prescription Drug Plan		UPMC Health System	249	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S3389	Government Relations Contact	Medicare Compliance Officer	Mrs.	Vybiral	Erin		1-412-454-5247				1-412-454-2110	mccomplianceofficer@upmc.edu	"USX Tower, 14th Floor"	600 Grant Street	Pittsburgh	PA	15219	12/15/2021	2026	"UPMC HEALTH BENEFITS, INC."	PDP	UPMC Health Plan	Medicare Prescription Drug Plan		UPMC Health System	249	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S3389	Hospice Contact	Pharmacy Coordinator	Ms.	Keilback	Nicole		1-412-454-8589					lindemuthnl@upmc.edu	"USX Tower, 12th Floor"	600 Grant Street	Pittsburgh	PA	15219	1/13/2026	2026	"UPMC HEALTH BENEFITS, INC."	PDP	UPMC Health Plan	Medicare Prescription Drug Plan		UPMC Health System	249	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S3389	Medicare Compliance Officer	Medicare Compliance Officer	Mrs.	Vybiral	Erin		1-412-454-5247				1-412-454-2110	mccomplianceofficer@upmc.edu	"USX Tower, 14th Floor"	600 Grant Street	Pittsburgh	PA	15219	12/15/2021	2026	"UPMC HEALTH BENEFITS, INC."	PDP	UPMC Health Plan	Medicare Prescription Drug Plan		UPMC Health System	249	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S3389	Part D Exceptions Contact			Services	Pharmacy							upmchp@upmc.edu	"USX Tower, 12th Floor"	600 Grant Street	Pittsburgh	PA	15219	8/29/2012	2026	"UPMC HEALTH BENEFITS, INC."	PDP	UPMC Health Plan	Medicare Prescription Drug Plan		UPMC Health System	249	Yes	Active	1-800-396-4139				Medicare Prescription Drug Plan		5	Dallas
S3389	Pharmacy Network Management Contact	Network Account Director		Kelly	Heather		1-314-692-1866				1-877-387-5800	hakelly@express-scripts.com	One Express Way		St. Louis	MO	63121	10/31/2016	2026	"UPMC HEALTH BENEFITS, INC."	PDP	UPMC Health Plan	Medicare Prescription Drug Plan		UPMC Health System	249	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S3389	Pharmacy Technical Help Desk Contact	"DIrector, Customer Service"		Warren	Mark							MWarren@express-scripts.com	6625 West 78th Street		Bloomington	MN	55439	7/29/2021	2026	"UPMC HEALTH BENEFITS, INC."	PDP	UPMC Health Plan	Medicare Prescription Drug Plan		UPMC Health System	249	Yes	Active	1-800-922-1557				Medicare Prescription Drug Plan		5	Dallas
S3389	Plan to Plan Reconciliation Contact	Business Analyst		Michalski	Jeff		1-412-454-5715				1-412-454-2110	medicarereporting@upmc.edu	"US Steel Tower, 600 Grant Street, 9th Floor"	c/o UPMC Health Plan Attn: Aunika Hall P2P - 09-257	Pittsburgh	PA	15219	8/11/2025	2026	"UPMC HEALTH BENEFITS, INC."	PDP	UPMC Health Plan	Medicare Prescription Drug Plan		UPMC Health System	249	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S3521	Automated TrOOP Balance Transfer Contact	"Supervisor, Medicare Operations"		Matecki	Lisa		1-716-614-5722					Lisa.Matecki@excellus.com	205 Park Club Lane		Williamsville	NY	14221	1/22/2024	2026	"EXCELLUS HEALTH PLAN, INC."	PDP	"Excellus Health Plan, Inc"	Medicare Prescription Drug Plan		"Lifetime Healthcare, Inc."	87	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S3521	Best Available Evidence Contact	Supervisor Medicare Operations		Piershalski	Dana		1-716-857-4435				1-716-857-6160	medicare.reconciliation.unit@excellus.com	205 Park Club Lane		Buffalo	NY	14221	1/22/2024	2026	"EXCELLUS HEALTH PLAN, INC."	PDP	"Excellus Health Plan, Inc"	Medicare Prescription Drug Plan		"Lifetime Healthcare, Inc."	87	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S3521	Chief Financial Officer	Executive Vice President & Chief Financial Officer	Mr.	Gorecki	Christophe	M	1-480-993-5254					Christopher.Gorecki@excellus.com	165 Court Street		Rochester	NY	14647	1/22/2024	2026	"EXCELLUS HEALTH PLAN, INC."	PDP	"Excellus Health Plan, Inc"	Medicare Prescription Drug Plan		"Lifetime Healthcare, Inc."	87	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S3521	CMS Casework Communication Contact	Medicare Compliance Program Administrator		Gomez	Rafael		1-716-857-6226					Advocacy.Department@excellus.com	205 Park Club Lane		Buffalo	NY	14221	4/7/2025	2026	"EXCELLUS HEALTH PLAN, INC."	PDP	"Excellus Health Plan, Inc"	Medicare Prescription Drug Plan		"Lifetime Healthcare, Inc."	87	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S3521	Coordination of Benefits Contact	"Manager, Analysis and Recovery"		May	Mary		1-315-792-8873					Mary.May@excellus.com	301 Woods Park Drive	Suite 201	Clinton	NY	13323	5/22/2024	2026	"EXCELLUS HEALTH PLAN, INC."	PDP	"Excellus Health Plan, Inc"	Medicare Prescription Drug Plan		"Lifetime Healthcare, Inc."	87	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S3521	Customer Service Operations Contact	"Vice President, Customer Care"		Levi	Alexander		1-585-399-6683					Alexander.Levi@excellus.com	165 Court Street		Rochester	NY	14647	1/22/2024	2026	"EXCELLUS HEALTH PLAN, INC."	PDP	"Excellus Health Plan, Inc"	Medicare Prescription Drug Plan		"Lifetime Healthcare, Inc."	87	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S3521	Government Relations Contact	Chief Compliance Officer	Mrs.	Dibble	Laura		1-585-339-7745					Laura.Dibble@excellus.com	165 Court St.		Rochester	NY	14647	1/15/2026	2026	"EXCELLUS HEALTH PLAN, INC."	PDP	"Excellus Health Plan, Inc"	Medicare Prescription Drug Plan		"Lifetime Healthcare, Inc."	87	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S3521	Hospice Contact	"Director, Pharmacy Utilization Management"		Khan	Joe		1-716-843-7881					Joe.Khan@univerahealthcare.com	205 Park Club Lane		Buffalo	NY	14221	1/22/2024	2026	"EXCELLUS HEALTH PLAN, INC."	PDP	"Excellus Health Plan, Inc"	Medicare Prescription Drug Plan		"Lifetime Healthcare, Inc."	87	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S3521	Medicare Compliance Officer	Chief Compliance Officer	Mrs.	Dibble	Laura		1-585-339-7745					Laura.Dibble@excellus.com	165 Court St.		Rochester	NY	14647	1/15/2026	2026	"EXCELLUS HEALTH PLAN, INC."	PDP	"Excellus Health Plan, Inc"	Medicare Prescription Drug Plan		"Lifetime Healthcare, Inc."	87	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S3521	Part D Exceptions Contact	"Director, Pharmacy Utiization Management"		Khan	Joe							Joe.Khan@univerahealthcare.com	205 Park Club Lane		Buffalo	NY	14221	1/22/2024	2026	"EXCELLUS HEALTH PLAN, INC."	PDP	"Excellus Health Plan, Inc"	Medicare Prescription Drug Plan		"Lifetime Healthcare, Inc."	87	Yes	Active	1-716-843-7881				Medicare Prescription Drug Plan		5	Chicago
S3521	Pharmacy Network Management Contact	Pharmacy Operations Support		Brown	Burt		1-585-327-7530				1-585-339-6640	Burt.Brown@excellus.com	165 Court Street		Rochester	NY	14647	1/22/2024	2026	"EXCELLUS HEALTH PLAN, INC."	PDP	"Excellus Health Plan, Inc"	Medicare Prescription Drug Plan		"Lifetime Healthcare, Inc."	87	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S3521	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	13051 N. Telecom Pkway	Ste 150	Temple Terrace	FL	33637	1/22/2024	2026	"EXCELLUS HEALTH PLAN, INC."	PDP	"Excellus Health Plan, Inc"	Medicare Prescription Drug Plan		"Lifetime Healthcare, Inc."	87	Yes	Active	1-800-922-1557				Medicare Prescription Drug Plan		5	Chicago
S3521	Plan to Plan Reconciliation Contact	"Manager, Finance Operations"		Simmons	Jennifer		1-585-649-2768					Jennifer.Simmons@excellus.com	165 Court Street		Rochester	NY	14647	1/22/2024	2026	"EXCELLUS HEALTH PLAN, INC."	PDP	"Excellus Health Plan, Inc"	Medicare Prescription Drug Plan		"Lifetime Healthcare, Inc."	87	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S3875	Automated TrOOP Balance Transfer Contact	"Dir, Project and Program Management"		Arinsberg	Valerie		1-855-586-2573				1-888-656-8099	valerie.arinsberg@primetherapeutics.com	2900 Ames Crossing Road	Suite 200	Eagan	MN	55121	2/9/2024	2026	GRANITE ALLIANCE INSURANCE COMPANY	PDP	Granite Alliance	Medicare Prescription Drug Plan		"Prime Therapeutics, LLC."	803	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S3875	Best Available Evidence Contact	Product Director		Valdivia	Luguer		1-855-586-2573				1-888-656-8099	slcenrollment@primetherapeutics.com	2900 Ames Crossing Road	Suite 200	Eagan	MN	55121	9/3/2025	2026	GRANITE ALLIANCE INSURANCE COMPANY	PDP	Granite Alliance	Medicare Prescription Drug Plan		"Prime Therapeutics, LLC."	803	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S3875	Chief Financial Officer	Chief Financial Officer	Mr.	Bodmer	Ken		1-612-777-3873					ken.bodmer@primetherapeutics.com	2900 Ames Crossing Road	Suite 200	Eagan	MN	55121	3/19/2024	2026	GRANITE ALLIANCE INSURANCE COMPANY	PDP	Granite Alliance	Medicare Prescription Drug Plan		"Prime Therapeutics, LLC."	803	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S3875	CMS Casework Communication Contact	Compliance Officer		Blonigan	Sarah		1-612-777-3582					sarah.blonigan@primetherapeutics.com	2900 Ames Crossing Road	Suite 200	Eagan	MN	55121	3/2/2026	2026	GRANITE ALLIANCE INSURANCE COMPANY	PDP	Granite Alliance	Medicare Prescription Drug Plan		"Prime Therapeutics, LLC."	803	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S3875	Coordination of Benefits Contact	Product Director		Valdivia	Luguer		1-801-503-0117				1-888-656-8099	slcenrollment@primetherapeutics.com	2900 Ames Crossing Road	Suite 200	Eagan	MN	55121	9/3/2025	2026	GRANITE ALLIANCE INSURANCE COMPANY	PDP	Granite Alliance	Medicare Prescription Drug Plan		"Prime Therapeutics, LLC."	803	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S3875	Customer Service Operations Contact	Sr Director Operations		DiBiase	Joseph		1-401-344-1059				1-888-656-8099	joe.dibiase@primetherapeutics.com	2900 Ames Crossing Road	Suite 200	Eagan	MN	55121	9/3/2025	2026	GRANITE ALLIANCE INSURANCE COMPANY	PDP	Granite Alliance	Medicare Prescription Drug Plan		"Prime Therapeutics, LLC."	803	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S3875	Government Relations Contact	Compliance Officer		Blonigan	Sarah		1-612-777-3582					sarah.blonigan@primetherapeutics.com	2900 Ames Crossing Road	Suite 200	Eagan	MN	55121	3/2/2026	2026	GRANITE ALLIANCE INSURANCE COMPANY	PDP	Granite Alliance	Medicare Prescription Drug Plan		"Prime Therapeutics, LLC."	803	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S3875	Hospice Contact	VP Market Growth & Strategy		Magness	Jon		1-801-941-0008				1-888-656-8099	jon.magness@primetherapeutics.com	2900 Ames Crossing Road	Suite 200	Eagan	MN	55121	3/2/2026	2026	GRANITE ALLIANCE INSURANCE COMPANY	PDP	Granite Alliance	Medicare Prescription Drug Plan		"Prime Therapeutics, LLC."	803	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S3875	Medicare Compliance Officer	Compliance Officer	Mrs.	Blonigan	Sarah		1-612-777-3582					sarah.blonigan@primetherapeutics.com	2900 Ames Crossing Road	Suite 200	Eagan	MN	55121	3/2/2026	2026	GRANITE ALLIANCE INSURANCE COMPANY	PDP	Granite Alliance	Medicare Prescription Drug Plan		"Prime Therapeutics, LLC."	803	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S3875	Part D Exceptions Contact	Sr Director Operations		DiBiase	Joseph						1-888-656-8099	joe.dibiase@primetherapeutics.com	2900 Ames Crossing Road	Suite 200	Eagan	MN	55121	9/3/2025	2026	GRANITE ALLIANCE INSURANCE COMPANY	PDP	Granite Alliance	Medicare Prescription Drug Plan		"Prime Therapeutics, LLC."	803	Yes	Active	1-401-344-1059				Medicare Prescription Drug Plan		5	Dallas
S3875	Pharmacy Network Management Contact	AVP Network		Gimm	Joy		1-602-615-3241					joy.gimm@primetherapeutics.com	2900 Ames Crossing Road	Suite 200	Eagan	MN	55121	9/3/2025	2026	GRANITE ALLIANCE INSURANCE COMPANY	PDP	Granite Alliance	Medicare Prescription Drug Plan		"Prime Therapeutics, LLC."	803	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S3875	Pharmacy Technical Help Desk Contact	Sr Director Operations		DiBiase	Joseph								2900 Ames Crossing Road	Suite 200	Eagan	MN	55121	9/3/2025	2026	GRANITE ALLIANCE INSURANCE COMPANY	PDP	Granite Alliance	Medicare Prescription Drug Plan		"Prime Therapeutics, LLC."	803	Yes	Active	1-804-548-0494				Medicare Prescription Drug Plan		5	Dallas
S3875	Plan to Plan Reconciliation Contact	AVP Financial Planning & Analysis		Harris	Brian		1-612-777-5862					brian.harris@primetherapeutics.com	2900 Ames Crossing Road	Suite 200	Eagan	MN	55121	9/3/2025	2026	GRANITE ALLIANCE INSURANCE COMPANY	PDP	Granite Alliance	Medicare Prescription Drug Plan		"Prime Therapeutics, LLC."	803	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S3994	Automated TrOOP Balance Transfer Contact	Senior Business Analyst		Kalino	Karen		1-808-948-6262				1-808-948-6585	karen_apiki_kalino@hmsa.com	P.O. Box 860	8 - MP	Honolulu	HI	96808	11/27/2020	2026	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	PDP	HMSAs Medicare Rx Plan	Medicare Prescription Drug Plan		Hawaii Medical Service Association	107	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S3994	Best Available Evidence Contact	"Enrollment Specialist, IO Liaison"		Jose	Angelica		1-808-948-5705				1-808-948-6285	Angelica_Jose@hmsa.com	P.O. Box 860	7 - MS	Honolulu	HI	96808	2/13/2025	2026	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	PDP	HMSAs Medicare Rx Plan	Medicare Prescription Drug Plan		Hawaii Medical Service Association	107	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S3994	Chief Financial Officer	President and COO	Ms.	Smith	Jenny		1-808-948-6621				1-808-948-5999	Jenny_smith@hmsa.com	P.O. Box 860	11 - EXEC	Honolulu	HI	96808	5/19/2026	2026	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	PDP	HMSAs Medicare Rx Plan	Medicare Prescription Drug Plan		Hawaii Medical Service Association	107	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S3994	CMS Casework Communication Contact	Medicare Grievance & Appeal Coordinator		Hartenstein	Renee		1-808-948-5347				1-808-952-7546	Renee_Hartenstein@hmsa.com	P.O. Box 860	KB-MAA	Honolulu	HI	96808	12/29/2021	2026	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	PDP	HMSAs Medicare Rx Plan	Medicare Prescription Drug Plan		Hawaii Medical Service Association	107	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S3994	Coordination of Benefits Contact	"Manager, Internal Operations Liaison, Claims"		Makio	Lani		1-808-948-6215					lani_makio@hmsa.com	P.O. Box 860	7 - CA	Honolulu	HI	96808	5/19/2026	2026	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	PDP	HMSAs Medicare Rx Plan	Medicare Prescription Drug Plan		Hawaii Medical Service Association	107	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S3994	Customer Service Operations Contact	"Senior Manager, Customer Relations"		Forsyth	Clarice		1-808-948-5224				1-808-948-5567	Customer-service@hmsa.com	P.O. Box 860	7 CR	Honolulu	HI	96808	11/6/2025	2026	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	PDP	HMSAs Medicare Rx Plan	Medicare Prescription Drug Plan		Hawaii Medical Service Association	107	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S3994	Government Relations Contact	"SVP, Government"		Diesman	Jennifer		1-808-561-6397				1-808-948-6860	jennifer_diesman@hmsa.com	P.O. Box 860	11 EXEC	Honolulu	HI	96808	11/16/2023	2026	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	PDP	HMSAs Medicare Rx Plan	Medicare Prescription Drug Plan		Hawaii Medical Service Association	107	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S3994	Hospice Contact	Business Analyst - Medicare Part D		Kanda	Jordan		1-808-952-7749				1-808-948-5611	jordan_kanda@hmsa.com	P.O. Box 860	10 - KB-PM	Honolulu	HI	96808	12/3/2024	2026	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	PDP	HMSAs Medicare Rx Plan	Medicare Prescription Drug Plan		Hawaii Medical Service Association	107	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S3994	Medicare Compliance Officer	"AVP, Regulatory Compliance and SIU"	Ms.	Aronson	Virginya		1-808-952-8548				1-808-948-6585	virginya_aronson@hmsa.com	P.O. Box 860	10-CE	Honolulu	HI	96808	6/8/2026	2026	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	PDP	HMSAs Medicare Rx Plan	Medicare Prescription Drug Plan		Hawaii Medical Service Association	107	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S3994	Part D Exceptions Contact	"Clinical Pharmacist, Government Programs"		Iwaishi	Brandon							Brandon_Iwaishi@hmsa.com	1601 Kapiolani Blvd.	10-KB-PM	Honolulu	HI	96814	11/12/2025	2026	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	PDP	HMSAs Medicare Rx Plan	Medicare Prescription Drug Plan		Hawaii Medical Service Association	107	Yes	Active	1-808-948-5618				Medicare Prescription Drug Plan		5	Boston
S3994	Pharmacy Network Management Contact	Director		Smith	Shawn		1-480-391-4844					shawn.smith@cvshealth.com	"9501 E. Shea Blvd., MC080"	CVS Caremark	Scottsdale	AZ	85260	12/20/2019	2026	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	PDP	HMSAs Medicare Rx Plan	Medicare Prescription Drug Plan		Hawaii Medical Service Association	107	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S3994	Pharmacy Technical Help Desk Contact	Sr. Manager		Stauffer	Grace							grace.stauffer@cvshealth.com	9501 E. Shea Blvd		Scottsdale	AZ	85260	12/6/2024	2026	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	PDP	HMSAs Medicare Rx Plan	Medicare Prescription Drug Plan		Hawaii Medical Service Association	107	Yes	Active	1-866-693-4620				Medicare Prescription Drug Plan		5	Boston
S3994	Plan to Plan Reconciliation Contact	Fin Svcs-FA Management		Randall	Ryan		1-513-484-0399					ryan_randall@hmsa.com	PO BOX 860	6 FA	Honolulu	HI	96808	5/19/2026	2026	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	PDP	HMSAs Medicare Rx Plan	Medicare Prescription Drug Plan		Hawaii Medical Service Association	107	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S4501	Automated TrOOP Balance Transfer Contact	Vice President - Pharmacy		Verrall	Kelly		1-716-635-4885					Kelly.Verrall@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	1/31/2025	2026	INDEPENDENT HEALTH BENEFITS CORPORATION	PDP	Pharmacy Benefit Dimensions PDP	Medicare Prescription Drug Plan		"Independent Health Association, Inc."	131	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S4501	Best Available Evidence Contact	Manager - Enrollment Operations		Sell	Melanie		1-716-250-7321				1-716-250-7162	melanie.sell@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	11/9/2017	2026	INDEPENDENT HEALTH BENEFITS CORPORATION	PDP	Pharmacy Benefit Dimensions PDP	Medicare Prescription Drug Plan		"Independent Health Association, Inc."	131	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S4501	Chief Financial Officer	Executive Vice President - Chief Financial Officer	Mr.	Gross	Jared		1-716-635-3516					Jared.Gross@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	3/11/2024	2026	INDEPENDENT HEALTH BENEFITS CORPORATION	PDP	Pharmacy Benefit Dimensions PDP	Medicare Prescription Drug Plan		"Independent Health Association, Inc."	131	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S4501	CMS Casework Communication Contact	Manager Enrollment Operations		Sell	Melanie		1-716-250-7321				1-716-250-7162	melanie.sell@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	11/9/2017	2026	INDEPENDENT HEALTH BENEFITS CORPORATION	PDP	Pharmacy Benefit Dimensions PDP	Medicare Prescription Drug Plan		"Independent Health Association, Inc."	131	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S4501	Coordination of Benefits Contact	Manager - Corporate Recoveries		Abou-Said	Kelly		1-716-635-3758					Kelly.Abou-Said@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	4/7/2022	2026	INDEPENDENT HEALTH BENEFITS CORPORATION	PDP	Pharmacy Benefit Dimensions PDP	Medicare Prescription Drug Plan		"Independent Health Association, Inc."	131	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S4501	Customer Service Operations Contact	Manager - Provider & Member Services		Bogacz	Lindsay		1-716-635-3973					Lindsay.Bogacz@pbdrx.com	511 Farber Lakes Drive		Buffalo	NY	14221	5/8/2020	2026	INDEPENDENT HEALTH BENEFITS CORPORATION	PDP	Pharmacy Benefit Dimensions PDP	Medicare Prescription Drug Plan		"Independent Health Association, Inc."	131	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S4501	Government Relations Contact	SVP Government Programs		Tracy	Robert		1-716-635-4904					Robert.Tracy@independenthealth.com	511 Farber Lakes Drive		Williamsville	NY	14221	2/27/2018	2026	INDEPENDENT HEALTH BENEFITS CORPORATION	PDP	Pharmacy Benefit Dimensions PDP	Medicare Prescription Drug Plan		"Independent Health Association, Inc."	131	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S4501	Hospice Contact	Vice President - Pharmacy		Verrall	Kelly		1-716-635-4885					Kelly.Verrall@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	1/31/2025	2026	INDEPENDENT HEALTH BENEFITS CORPORATION	PDP	Pharmacy Benefit Dimensions PDP	Medicare Prescription Drug Plan		"Independent Health Association, Inc."	131	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S4501	Medicare Compliance Officer	Chief Compliance Officer	Mrs.	Britton	Nicole		1-716-635-4874					Nicole.Britton@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	2/20/2018	2026	INDEPENDENT HEALTH BENEFITS CORPORATION	PDP	Pharmacy Benefit Dimensions PDP	Medicare Prescription Drug Plan		"Independent Health Association, Inc."	131	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S4501	Part D Exceptions Contact	Vice President - Pharmacy		Verrall	Kelly						1-716-631-0149	Kelly.Verrall@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	1/31/2025	2026	INDEPENDENT HEALTH BENEFITS CORPORATION	PDP	Pharmacy Benefit Dimensions PDP	Medicare Prescription Drug Plan		"Independent Health Association, Inc."	131	Yes	Active	1-800-247-1466	5311			Medicare Prescription Drug Plan		5	Dallas
S4501	Pharmacy Network Management Contact	Vice President - Pharmacy		Verrall	Kelly		1-716-635-4885					Kelly.Verrall@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	1/31/2025	2026	INDEPENDENT HEALTH BENEFITS CORPORATION	PDP	Pharmacy Benefit Dimensions PDP	Medicare Prescription Drug Plan		"Independent Health Association, Inc."	131	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S4501	Pharmacy Technical Help Desk Contact	"Manager, Provider and Member Services"		Dandridge	Tinika							script@independenthealth.com	511 Farber Lakes Drive		Buffalo	NY	14221	12/2/2025	2026	INDEPENDENT HEALTH BENEFITS CORPORATION	PDP	Pharmacy Benefit Dimensions PDP	Medicare Prescription Drug Plan		"Independent Health Association, Inc."	131	Yes	Active	1-800-993-9898				Medicare Prescription Drug Plan		5	Dallas
S4501	Plan to Plan Reconciliation Contact	Pharmacy Systems Gov. Programs Manager		Miszuk	Jane		1-716-635-7857					Jane.Miszuk@pbdrx.com	511 Farber Lakes Drive		Buffalo	NY	14221	4/11/2019	2026	INDEPENDENT HEALTH BENEFITS CORPORATION	PDP	Pharmacy Benefit Dimensions PDP	Medicare Prescription Drug Plan		"Independent Health Association, Inc."	131	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S4802	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy Operations"	Mr.	Borowiecki	Jeff		1-314-349-3212					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Road		Tampa	FL	33634	8/18/2023	2026	"WELLCARE PRESCRIPTION INSURANCE, INC."	PDP	Wellcare	Medicare Prescription Drug Plan		Centene Corporation	351	Yes	Active					Medicare Prescription Drug Plan		5	Denver
S4802	Best Available Evidence Contact	"Manager, Business Operations"		Steadman	Denethia		1-813-206-7131					Denethia.L.Steadman@centene.com	8725 Henderson Road		Tampa	FL	33634	1/13/2026	2026	"WELLCARE PRESCRIPTION INSURANCE, INC."	PDP	Wellcare	Medicare Prescription Drug Plan		Centene Corporation	351	Yes	Active					Medicare Prescription Drug Plan		5	Denver
S4802	Chief Financial Officer	"Vice President, Finance"	Mr.	Palmer	Clint		1-559-244-3873					Clinton.J.Palmer@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	4/18/2024	2026	"WELLCARE PRESCRIPTION INSURANCE, INC."	PDP	Wellcare	Medicare Prescription Drug Plan		Centene Corporation	351	Yes	Active					Medicare Prescription Drug Plan		5	Denver
S4802	CMS Casework Communication Contact	"Manager, Complaints and Issues"		Grant	Takiyah	L	1-480-377-1856					Takiyah.L.Brown@CENTENE.COM	7700 Forsyth Blvd		Clayton	MO	63105	7/18/2025	2026	"WELLCARE PRESCRIPTION INSURANCE, INC."	PDP	Wellcare	Medicare Prescription Drug Plan		Centene Corporation	351	Yes	Active					Medicare Prescription Drug Plan		5	Denver
S4802	Coordination of Benefits Contact	"Director, Pharmacy Operations"		Borowiecki	Jeff		1-314-405-5784					jeffrey.a.borowiecki@centene.com	8725 Henderson Rd		Tampa	FL	33634	7/29/2025	2026	"WELLCARE PRESCRIPTION INSURANCE, INC."	PDP	Wellcare	Medicare Prescription Drug Plan		Centene Corporation	351	Yes	Active					Medicare Prescription Drug Plan		5	Denver
S4802	Customer Service Operations Contact	Vice President Contact Centers		Bollent	Jason		1-813-206-3857					jason.t.bollent@centene.com	8725 Henderson Road		Tampa	FL	33634	9/19/2024	2026	"WELLCARE PRESCRIPTION INSURANCE, INC."	PDP	Wellcare	Medicare Prescription Drug Plan		Centene Corporation	351	Yes	Active					Medicare Prescription Drug Plan		5	Denver
S4802	Government Relations Contact	"Staff Vice President, Public Policy"		Fairman	Brittney		1-202-253-7949	47759				Brittney.Fairman@wellcare.com	1150 Connecticut Ave NW Suite 100		Washingtom	DC	20036	8/5/2025	2026	"WELLCARE PRESCRIPTION INSURANCE, INC."	PDP	Wellcare	Medicare Prescription Drug Plan		Centene Corporation	351	Yes	Active					Medicare Prescription Drug Plan		5	Denver
S4802	Hospice Contact	"Director, Pharmacy Operations"	Mr.	Borowiecki	Jeff		1-314-349-3212					jeffrey.borowiecki@envolvehealth.com	8725 Henderson Road		Tampa	FL	33634	8/18/2023	2026	"WELLCARE PRESCRIPTION INSURANCE, INC."	PDP	Wellcare	Medicare Prescription Drug Plan		Centene Corporation	351	Yes	Active					Medicare Prescription Drug Plan		5	Denver
S4802	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Crognale III	Louis		1-740-203-9319					louis.crognale@centene.com	7700 Forsyth Blvd		Clayton	MO	63105	12/23/2025	2026	"WELLCARE PRESCRIPTION INSURANCE, INC."	PDP	Wellcare	Medicare Prescription Drug Plan		Centene Corporation	351	Yes	Active					Medicare Prescription Drug Plan		5	Denver
S4802	Part D Exceptions Contact	"Vice President, Pharmacy Operations"		Patel	Ronak							ronak.patel@wellcare.com	8725 Henderson Road		Tampa	FL	33634	9/3/2025	2026	"WELLCARE PRESCRIPTION INSURANCE, INC."	PDP	Wellcare	Medicare Prescription Drug Plan		Centene Corporation	351	Yes	Active	1-813-206-7152				Medicare Prescription Drug Plan		5	Denver
S4802	Pharmacy Network Management Contact	"Senior Director, Pharmacy Program Management"		Swartz	Adam		1-813-206-3708					Adam.W.Swartz@CENTENE.COM	8725 Henderson Road		Tampa	FL	33634	9/22/2025	2026	"WELLCARE PRESCRIPTION INSURANCE, INC."	PDP	Wellcare	Medicare Prescription Drug Plan		Centene Corporation	351	Yes	Active					Medicare Prescription Drug Plan		5	Denver
S4802	Pharmacy Technical Help Desk Contact	"Vice President, Contact Centers"		Easley	Ezra	M						ezra.m.easley@centene.com	8725 Henderson Road		Tampa	FL	33646	12/18/2024	2026	"WELLCARE PRESCRIPTION INSURANCE, INC."	PDP	Wellcare	Medicare Prescription Drug Plan		Centene Corporation	351	Yes	Active	1-833-750-0408				Medicare Prescription Drug Plan		5	Denver
S4802	Plan to Plan Reconciliation Contact	"Senior Manager, Revenue Reconciliation"		Rosado	Frank		1-813-206-6231				1-813-283-3302	P2P-CASH@wellcare.com	8725 Henderson Road	Attn: P2P Department	Tampa	FL	33634	8/18/2023	2026	"WELLCARE PRESCRIPTION INSURANCE, INC."	PDP	Wellcare	Medicare Prescription Drug Plan		Centene Corporation	351	Yes	Active					Medicare Prescription Drug Plan		5	Denver
S4983	Automated TrOOP Balance Transfer Contact	"Project Manager III, Pharmacy Benefit Mgmt"		Perez	Elizabeth	R	1-562-367-0592					Elizabeth.R.Perez@kp.org	12254 Bellflower Blvd.		Downey	CA	90242	1/24/2024	2026	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS INC	PDP	Kaiser Permanente	Medicare Prescription Drug Plan		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S4983	Best Available Evidence Contact	"Senior Team Manager, Medicare Membership Admin."		Salcido	Adam		1-858-829-3521					CSC-SD-Hospice-BAE@kp.org	3840 Murphy Canyon Rd.		San Diego	CA	92123	1/24/2024	2026	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS INC	PDP	Kaiser Permanente	Medicare Prescription Drug Plan		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S4983	Chief Financial Officer	SVP & CFO National Medicare Finance	Mr.	Stewart	Mark		1-401-284-8679					mark.c1.stewart@kp.org	1 Kaiser Plaza	c/o Kaiser Foundation Health Plan	Oakland	CA	94612	12/18/2024	2026	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS INC	PDP	Kaiser Permanente	Medicare Prescription Drug Plan		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S4983	CMS Casework Communication Contact	Compliance Director		Tiratsuyan	Luiza		1-626-344-3906					luiza.x.tiratsuyan@kp.org	74 N. Pasadena Ave.		Pasadena	CA	91103	8/26/2025	2026	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS INC	PDP	Kaiser Permanente	Medicare Prescription Drug Plan		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S4983	Coordination of Benefits Contact	Senior Director		Chung	Clarence		1-562-390-9293				1-562-658-3866	clarence.j.chung@kp.org	"12254 Bellflower Blvd - Suite 106, 1st Floor"		Downey	CA	90242	1/24/2024	2026	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS INC	PDP	Kaiser Permanente	Medicare Prescription Drug Plan		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S4983	Customer Service Operations Contact			Services	Member		1-800-443-0815					mscc@kp.org	"1800 Harrison St., 23rd Floor"		Oakland	CA	94612	1/24/2024	2026	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS INC	PDP	Kaiser Permanente	Medicare Prescription Drug Plan		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S4983	Government Relations Contact	"Senior Vice President, Government Relations"		Barrueta	Anthony	A	1-510-271-6835					Anthony.Barrueta@kp.org	One Kaiser Plaza		Oakland	CA	94612	1/24/2024	2026	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS INC	PDP	Kaiser Permanente	Medicare Prescription Drug Plan		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S4983	Hospice Contact	"Senior Team Manager, Medicare Membership Admin."		Salcido	Adam		1-858-829-3521					CSC-SD-Hospice-BAE@kp.org	3840 Murphy Canyon Rd.		San Diego	CA	92123	1/24/2024	2026	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS INC	PDP	Kaiser Permanente	Medicare Prescription Drug Plan		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S4983	Medicare Compliance Officer	Compliance Director	Ms.	Tiratsuyan	Luiza		1-626-344-3906					luiza.x.tiratsuyan@kp.org	74 N. Pasadena Ave.		Pasadena	CA	91103	8/26/2025	2026	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS INC	PDP	Kaiser Permanente	Medicare Prescription Drug Plan		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S4983	Part D Exceptions Contact	"Manager, Pharmacy Ancillary Services"	Ms.	Maktabi	Noushin						1-206-901-4410	Noushin.Maktabi@kp.org	"PO Box 9009, Bldg RCA, Mail Stop RCA-B2N-02"	"2921 Naches Ave. SW, Bldg RCA, Mail Stop RCA-B2N-02"	Renton	WA	98057-9009	1/24/2024	2026	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS INC	PDP	Kaiser Permanente	Medicare Prescription Drug Plan		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active	1-800-729-1174				Medicare Prescription Drug Plan		5	Dallas
S4983	Pharmacy Network Management Contact	"National Pharmacy Benefits, Project Manager II"		Munoz	Vanessa		1-562-447-7739					Vanessa.L.Munoz@kp.org	12254 Bellflower Blvd.		Downey	CA	90242	1/24/2024	2026	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS INC	PDP	Kaiser Permanente	Medicare Prescription Drug Plan		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S4983	Pharmacy Technical Help Desk Contact	Customer Care Center		OptumRx	PBM								755 Research Parkway Suite 160		Oklahoma City	OK	73104	1/24/2024	2026	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS INC	PDP	Kaiser Permanente	Medicare Prescription Drug Plan		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active	1-877-645-1282				Medicare Prescription Drug Plan		5	Dallas
S4983	Plan to Plan Reconciliation Contact	"Interim Director, Medicare Accounting"		Wright	Mark	A	1-925-323-9443					mark.a.wright@kp.org	"1 Kaiser Plaza, 25th Floor"		Oakland	CA	94612	1/24/2024	2026	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS INC	PDP	Kaiser Permanente	Medicare Prescription Drug Plan		"Kaiser Foundation Health Plan, Inc."	138	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5540	Automated TrOOP Balance Transfer Contact	"Manager, PBM Operations"		Hanson	Michelle		1-612-777-6706					eobp2p@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Road	Eagan	MN	55121	10/16/2020	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	PDP	Blue Cross and Blue Shield of North Carolina	Medicare Prescription Drug Plan		CuraCor Solutions Corp.	884	Yes	Active					Medicare Prescription Drug Plan		5	Atlanta
S5540	Best Available Evidence Contact	"Director, Member Enrollment & Operations"		Clayton	Beth		1-919-765-2438					Beth.Clayton@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	P.O. Box 2291	Durham	NC	27702	5/19/2022	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	PDP	Blue Cross and Blue Shield of North Carolina	Medicare Prescription Drug Plan		CuraCor Solutions Corp.	884	Yes	Active					Medicare Prescription Drug Plan		5	Atlanta
S5540	Chief Financial Officer	"SVP, Chief Financial Officer and Treasurer"	Mr.	Perry	Mitchell	W	1-919-765-3923					mitch.perry@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	PO Box 2291	Durham	NC	27702	3/21/2018	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	PDP	Blue Cross and Blue Shield of North Carolina	Medicare Prescription Drug Plan		CuraCor Solutions Corp.	884	Yes	Active					Medicare Prescription Drug Plan		5	Atlanta
S5540	CMS Casework Communication Contact	"Manager, Contact Center"		Rambert	Alex		1-919-765-7299					Caseworker@bcbsnc.com	4613 University Drive		Durham	NC	27707	5/21/2025	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	PDP	Blue Cross and Blue Shield of North Carolina	Medicare Prescription Drug Plan		CuraCor Solutions Corp.	884	Yes	Active					Medicare Prescription Drug Plan		5	Atlanta
S5540	Coordination of Benefits Contact	"Team Lead, Operations"		Pridgen	David		1-336-201-4141					David. Pridgen@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	PO Box 2291	Durham	NC	27702	5/26/2023	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	PDP	Blue Cross and Blue Shield of North Carolina	Medicare Prescription Drug Plan		CuraCor Solutions Corp.	884	Yes	Active					Medicare Prescription Drug Plan		5	Atlanta
S5540	Customer Service Operations Contact	"Sr. Manager, Contact Center"		Woods	Renita		1-919-765-7057					Renita.Woods@bcbsnc.com	4613 University Drive		Durham	NC	27707	3/26/2025	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	PDP	Blue Cross and Blue Shield of North Carolina	Medicare Prescription Drug Plan		CuraCor Solutions Corp.	884	Yes	Active					Medicare Prescription Drug Plan		5	Atlanta
S5540	Government Relations Contact	"Director, CIG Compliance"		Washington-McNeill	Deborah		1-336-692-3556				1-336-659-2969	deborah.washington-mcneill@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	P.O. Box 2291	Durham	NC	27702	12/26/2025	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	PDP	Blue Cross and Blue Shield of North Carolina	Medicare Prescription Drug Plan		CuraCor Solutions Corp.	884	Yes	Active					Medicare Prescription Drug Plan		5	Atlanta
S5540	Hospice Contact	Sr. Pharmacy Operations Analyst		Edwards	Chrissie		1-919-765-3536					chrissie.edwards@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	P.O. Box 2291	Durham	NC	27702	8/27/2025	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	PDP	Blue Cross and Blue Shield of North Carolina	Medicare Prescription Drug Plan		CuraCor Solutions Corp.	884	Yes	Active					Medicare Prescription Drug Plan		5	Atlanta
S5540	Medicare Compliance Officer	"Director, Corporate Compliance"	Mrs.	Haith	Elenor		1-984-212-5897					elenor.haith@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	PO Box 2291	Durham	NC	27702	6/9/2023	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	PDP	Blue Cross and Blue Shield of North Carolina	Medicare Prescription Drug Plan		CuraCor Solutions Corp.	884	Yes	Active					Medicare Prescription Drug Plan		5	Atlanta
S5540	Part D Exceptions Contact	"VP, Pharmacy Services"		Trautman	Suzanne							PartDExceptions@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	P.O. Box 2291	Durham	NC	27702	12/19/2025	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	PDP	Blue Cross and Blue Shield of North Carolina	Medicare Prescription Drug Plan		CuraCor Solutions Corp.	884	Yes	Active	1-888-296-9790				Medicare Prescription Drug Plan		5	Atlanta
S5540	Pharmacy Network Management Contact	"AVP, Corporate Pharmacy"		Rooker	Todd		1-602-418-1702					Todd.Rooker@bcbsnc.com	Blue Cross and Blue Shield of North Carolina	PO Box 2291	Durham	NC	27702	8/27/2025	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	PDP	Blue Cross and Blue Shield of North Carolina	Medicare Prescription Drug Plan		CuraCor Solutions Corp.	884	Yes	Active					Medicare Prescription Drug Plan		5	Atlanta
S5540	Pharmacy Technical Help Desk Contact			Helpdesk	Pharmacy							bret.schultz@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Road	Eagan	MN	55121	12/14/2023	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	PDP	Blue Cross and Blue Shield of North Carolina	Medicare Prescription Drug Plan		CuraCor Solutions Corp.	884	Yes	Active	1-877-277-7893				Medicare Prescription Drug Plan		5	Atlanta
S5540	Plan to Plan Reconciliation Contact	Sr Accountant		Taylor	Krystal		1-984-960-3607					krystal.taylor@bcbsnc.com	ATTN:  Sheila Adams or Yvonne Stancil (Medicare P2P)	PO Box 30060 Mailstop 700-1AP	Durham	NC	27702	2/28/2024	2026	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	PDP	Blue Cross and Blue Shield of North Carolina	Medicare Prescription Drug Plan		CuraCor Solutions Corp.	884	Yes	Active					Medicare Prescription Drug Plan		5	Atlanta
S5584	Automated TrOOP Balance Transfer Contact	Manager	Mr.	Nalamolu	Chandra		1-248-665-4549					hnalamolu@bcbsm.com	600 East Lafayette Blvd.	TC 1309	Detroit	MI	48226	10/16/2019	2026	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	PDP	Blue Cross Blue Shield of Michigan	Medicare Prescription Drug Plan		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5584	Best Available Evidence Contact	Business Systems Analyst Sr		Hall	Barbara		1-313-225-6662					BHall@bcbsm.com	600 East Lafayette Blvd.	MC 1602	Detroit	MI	48226	6/17/2022	2026	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	PDP	Blue Cross Blue Shield of Michigan	Medicare Prescription Drug Plan		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5584	Chief Financial Officer	Executive Vice President CFO	Mr.	Mozak	Paul	L	1-313-225-7939					pmozak@bcbsm.com	600 East Lafayette Blvd.	MC 2122	Detroit	MI	48226	1/11/2022	2026	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	PDP	Blue Cross Blue Shield of Michigan	Medicare Prescription Drug Plan		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5584	CMS Casework Communication Contact	Senior Analyst		Whitener	David		1-313-654-6885					DWhitener@bcbsm.com	600 East Lafayette		Detroit	MI	48226	12/4/2024	2026	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	PDP	Blue Cross Blue Shield of Michigan	Medicare Prescription Drug Plan		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5584	Coordination of Benefits Contact	Manager		Adams	Ronnie		1-248-665-4591					radams@bcbsm.com	600 East Lafayette Blvd.	TC 1515	Detroit	MI	48226	3/4/2024	2026	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	PDP	Blue Cross Blue Shield of Michigan	Medicare Prescription Drug Plan		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5584	Customer Service Operations Contact	Director	Ms.	Judson	Johanna		1-313-225-5856					jjudson@bcbsm.com	600 East Lafayette Blvd.		Detroit	MI	48226	3/16/2022	2026	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	PDP	Blue Cross Blue Shield of Michigan	Medicare Prescription Drug Plan		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5584	Government Relations Contact	Managing Director	Ms.	Pickens	Veronica		1-248-395-5887					vpickens@bcbsm.com	600 East Lafayette Blvd.	TC 1301	Detroit	MI	48226	2/23/2024	2026	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	PDP	Blue Cross Blue Shield of Michigan	Medicare Prescription Drug Plan		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5584	Hospice Contact	Manager	Mrs.	Rawson	Lori		1-616-956-5796					Lrawson@bcbsm.com	600 East Lafayette Blvd.	TC 1309	Detroit	MI	48226	10/16/2019	2026	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	PDP	Blue Cross Blue Shield of Michigan	Medicare Prescription Drug Plan		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5584	Medicare Compliance Officer	"Vice President, Enterprise Compliance"	Ms.	Lange	Kelly		1-313-225-8554					medcomplianceofficer2@bcbsm.com	600 East Lafayette Blvd.	MC 1603	Detroit	MI	48226	3/3/2022	2026	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	PDP	Blue Cross Blue Shield of Michigan	Medicare Prescription Drug Plan		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5584	Part D Exceptions Contact	Manager		Lewis	Letoretoys						1-866-601-4428	dramspriorauthmedicareD@bcbsm.com	600 East Lafayette Blvd.	TC 1408	Detroit	MI	48226	3/4/2024	2026	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	PDP	Blue Cross Blue Shield of Michigan	Medicare Prescription Drug Plan		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active	1-800-437-3803				Medicare Prescription Drug Plan		5	Chicago
S5584	Pharmacy Network Management Contact	Director	Dr.	Fritsch	Michael		1-248-752-7580					mfritsch@bcbsm.com	600 East Lafayette Blvd.	MC 512D	Detroit	MI	48226	2/6/2026	2026	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	PDP	Blue Cross Blue Shield of Michigan	Medicare Prescription Drug Plan		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5584	Pharmacy Technical Help Desk Contact	Manager	Mr.	Nalamolu	Chandra							hnalamolu@bcbsm.com	600 East Lafayette Blvd	MC 1309	Detroit	MI	48226	12/10/2025	2026	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	PDP	Blue Cross Blue Shield of Michigan	Medicare Prescription Drug Plan		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active	1-855-810-0007				Medicare Prescription Drug Plan		5	Chicago
S5584	Plan to Plan Reconciliation Contact	Financial Coordinator		Sempek	Lindora		1-248-417-9714					Lsempek@bcbsm.com	600 East Lafayette Blvd.	Attn: P2P Mail Code 0807 - G Dillard-Brown	Detroit	MI	48226	3/6/2026	2026	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	PDP	Blue Cross Blue Shield of Michigan	Medicare Prescription Drug Plan		Blue Cross Blue Shield of Michigan Mutual Ins. Co.	25	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5593	Automated TrOOP Balance Transfer Contact	"Manager, Pharmacy Government Operations"	Ms.	Lynn Schill	Jodie		1-570-578-3579					Jodie.LynnSchill@highmark.com	120 Fifth Avenue		Pittsburgh	PA	15222	1/4/2026	2026	HM HEALTH INSURANCE COMPANY	PDP	Highmark Blue Shield	Medicare Prescription Drug Plan		Highmark Health	123	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5593	Best Available Evidence Contact	"Manager, Government Business Enrollment"	Mr.	Stanhoff	David		1-412-544-5689					LISBAE@highmark.com	120 Fifth Avenue		Pittsburgh	PA	15222	1/4/2026	2026	HM HEALTH INSURANCE COMPANY	PDP	Highmark Blue Shield	Medicare Prescription Drug Plan		Highmark Health	123	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5593	Chief Financial Officer	CFO Highmark Health Plan	Ms.	Musler	Kate		1-412-544-8653					katherine.musler@highmark.com	120 5th Avenue		Pittsburgh	PA	15222	1/4/2026	2026	HM HEALTH INSURANCE COMPANY	PDP	Highmark Blue Shield	Medicare Prescription Drug Plan		Highmark Health	123	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5593	CMS Casework Communication Contact	"Manager, Appeals and Grievances"	Ms.	Walsh	Lynne	M	1-412-544-4579				1-717-635-4209	Lynne.Walsh@highmark.com	120 Fifth Avenue	Suite P5501	Pittsburgh	PA	15222	1/4/2026	2026	HM HEALTH INSURANCE COMPANY	PDP	Highmark Blue Shield	Medicare Prescription Drug Plan		Highmark Health	123	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5593	Coordination of Benefits Contact	Sr. Process Analyst	Ms.	Cassidy	Christina		1-412-544-4417					Christina.Cassidy@highmark.com	120 Fifth Avenue	PAP P5111	Pittsburgh	PA	15222	1/4/2026	2026	HM HEALTH INSURANCE COMPANY	PDP	Highmark Blue Shield	Medicare Prescription Drug Plan		Highmark Health	123	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5593	Customer Service Operations Contact	"Director, Member & Provider Services"		Scarnati	Chris		1-814-871-6712					Chris.Scarnati@highmark.com	120 Fifth Avenue		Pittsburgh	PA	15222	1/4/2026	2026	HM HEALTH INSURANCE COMPANY	PDP	Highmark Blue Shield	Medicare Prescription Drug Plan		Highmark Health	123	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5593	Government Relations Contact	Medicare Compliance Officer	Mr.	Boettler	Thomas		1-412-544-7031					Thomas.Boettler@highmark.com	120 5th Avenue	Suite 1833	Pittsburgh	PA	15222	1/4/2026	2026	HM HEALTH INSURANCE COMPANY	PDP	Highmark Blue Shield	Medicare Prescription Drug Plan		Highmark Health	123	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5593	Hospice Contact	Intake Coordinator		Welker	Jessica		1-717-888-3043					DrugHelp_Authorizations@highmark.com	120 5th Avenue Place		Pittsburgh	PA	15222	1/4/2026	2026	HM HEALTH INSURANCE COMPANY	PDP	Highmark Blue Shield	Medicare Prescription Drug Plan		Highmark Health	123	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5593	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	Boettler	Thomas		1-412-544-7031					Thomas.Boettler@highmark.com	120 5th Avenue	Suite 1833	Pittsburgh	PA	15222	1/4/2026	2026	HM HEALTH INSURANCE COMPANY	PDP	Highmark Blue Shield	Medicare Prescription Drug Plan		Highmark Health	123	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5593	Part D Exceptions Contact			Affairs	Pharmacy							drughelp@highmark.com	120 Fifth Avenue	Suite SPECARE	Pittsburgh	PA	15222	1/4/2026	2026	HM HEALTH INSURANCE COMPANY	PDP	Highmark Blue Shield	Medicare Prescription Drug Plan		Highmark Health	123	Yes	Active	1-800-600-2227				Medicare Prescription Drug Plan		5	Boston
S5593	Pharmacy Network Management Contact	"Network Account Director, Retail Strategy&Contract"		Kelly	Heather		1-314-692-1866				1-877-387-5800	hakelly@express-scripts.com	One Express Way		St. Louis	MO	63121	1/4/2026	2026	HM HEALTH INSURANCE COMPANY	PDP	Highmark Blue Shield	Medicare Prescription Drug Plan		Highmark Health	123	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5593	Pharmacy Technical Help Desk Contact	"Director, Customer Service"		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	13051 N. Telecom PKWY STE 150		Temple Terrace	FL	33637	1/4/2026	2026	HM HEALTH INSURANCE COMPANY	PDP	Highmark Blue Shield	Medicare Prescription Drug Plan		Highmark Health	123	Yes	Active	1-800-922-1557				Medicare Prescription Drug Plan		5	Boston
S5593	Plan to Plan Reconciliation Contact	"Manager, Operational Accounting"		Stehr	Brett		1-717-302-2748					P2Precon@highmark.com	"Highmark, Inc. Attn: Cashier"	PO Box 898820	Camp Hill	PA	17089	1/4/2026	2026	HM HEALTH INSURANCE COMPANY	PDP	Highmark Blue Shield	Medicare Prescription Drug Plan		Highmark Health	123	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5596	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	"ANTHEM INSURANCE COMPANIES, INC."	PDP	"Anthem Insurance Companies, Inc."	Medicare Prescription Drug Plan		"Elevance Health, Inc."	1	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5596	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	PDP	"Anthem Insurance Companies, Inc."	Medicare Prescription Drug Plan		"Elevance Health, Inc."	1	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5596	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	"ANTHEM INSURANCE COMPANIES, INC."	PDP	"Anthem Insurance Companies, Inc."	Medicare Prescription Drug Plan		"Elevance Health, Inc."	1	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5596	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	"ANTHEM INSURANCE COMPANIES, INC."	PDP	"Anthem Insurance Companies, Inc."	Medicare Prescription Drug Plan		"Elevance Health, Inc."	1	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5596	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	"ANTHEM INSURANCE COMPANIES, INC."	PDP	"Anthem Insurance Companies, Inc."	Medicare Prescription Drug Plan		"Elevance Health, Inc."	1	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5596	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	"ANTHEM INSURANCE COMPANIES, INC."	PDP	"Anthem Insurance Companies, Inc."	Medicare Prescription Drug Plan		"Elevance Health, Inc."	1	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5596	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	PDP	"Anthem Insurance Companies, Inc."	Medicare Prescription Drug Plan		"Elevance Health, Inc."	1	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5596	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	PDP	"Anthem Insurance Companies, Inc."	Medicare Prescription Drug Plan		"Elevance Health, Inc."	1	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5596	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	PDP	"Anthem Insurance Companies, Inc."	Medicare Prescription Drug Plan		"Elevance Health, Inc."	1	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5596	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	PDP	"Anthem Insurance Companies, Inc."	Medicare Prescription Drug Plan		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				Medicare Prescription Drug Plan		5	Chicago
S5596	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	1/16/2026	2026	"ANTHEM INSURANCE COMPANIES, INC."	PDP	"Anthem Insurance Companies, Inc."	Medicare Prescription Drug Plan		"Elevance Health, Inc."	1	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5596	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	"ANTHEM INSURANCE COMPANIES, INC."	PDP	"Anthem Insurance Companies, Inc."	Medicare Prescription Drug Plan		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				Medicare Prescription Drug Plan		5	Chicago
S5596	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/10/2021	2026	"ANTHEM INSURANCE COMPANIES, INC."	PDP	"Anthem Insurance Companies, Inc."	Medicare Prescription Drug Plan		"Elevance Health, Inc."	1	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5601	Automated TrOOP Balance Transfer Contact	"Manager, Financial Planning and Analysis"	Mr.	Hoffer	Jason		1-717-526-2745					jwhoffer@cvshealth.com	151 Farmington Ave.		Hartford	CT	06156	12/10/2024	2026	SILVERSCRIPT INSURANCE COMPANY	PDP	Aetna Medicare	Medicare Prescription Drug Plan		CVS Health Corporation	49	Yes	Active					Medicare Prescription Drug Plan		5	Atlanta
S5601	Best Available Evidence Contact	"Assoc. Manager,  Plan Sponsor Support"		Randall	Octavia		1-717-829-2621				1-866-552-6205	oirandall@aetna.com	1425 Union Meeting Road		Blue Bell	PA	19422	7/8/2024	2026	SILVERSCRIPT INSURANCE COMPANY	PDP	Aetna Medicare	Medicare Prescription Drug Plan		CVS Health Corporation	49	Yes	Active					Medicare Prescription Drug Plan		5	Atlanta
S5601	Chief Financial Officer	"VP, CFO, Medicare"	Mr.	Mike	David		1-724-882-4938					david.mike@aetna.com	151 Farmington Ave.		Hartford	CT	06156	6/5/2025	2026	SILVERSCRIPT INSURANCE COMPANY	PDP	Aetna Medicare	Medicare Prescription Drug Plan		CVS Health Corporation	49	Yes	Active					Medicare Prescription Drug Plan		5	Atlanta
S5601	CMS Casework Communication Contact	"Executive Director, Medicare Complaints"		Diamond	Lorraine		1-724-778-5042				1-860-754-5693	cmscasework@aetna.com	1 CVS Drive		Woonsocket	RI	02895	12/19/2023	2026	SILVERSCRIPT INSURANCE COMPANY	PDP	Aetna Medicare	Medicare Prescription Drug Plan		CVS Health Corporation	49	Yes	Active					Medicare Prescription Drug Plan		5	Atlanta
S5601	Coordination of Benefits Contact	"Manager, MedD Financial Operations"		Simon	Brittany		1-480-536-4772					brittany.davis@cvshealth.com	9501 Shea Blvd. MC 121		Scottsdale	AZ	85260	11/18/2025	2026	SILVERSCRIPT INSURANCE COMPANY	PDP	Aetna Medicare	Medicare Prescription Drug Plan		CVS Health Corporation	49	Yes	Active					Medicare Prescription Drug Plan		5	Atlanta
S5601	Customer Service Operations Contact	Director Customer Care		Swanger	Rachel		1-412-328-6668					Rachel.Swanger@CVSHealth.com	105 Mall Blvd.		Pittsburgh	PA	15146	12/10/2024	2026	SILVERSCRIPT INSURANCE COMPANY	PDP	Aetna Medicare	Medicare Prescription Drug Plan		CVS Health Corporation	49	Yes	Active					Medicare Prescription Drug Plan		5	Atlanta
S5601	Government Relations Contact	"AVP, Government Affairs, Public Policy"		Jones	Greg	A	1-202-285-5320					JonesG2@CVSHealth.com	"1275 Pennsylvania Ave. NW, Suite 700"		Washington	DC	20004	11/21/2025	2026	SILVERSCRIPT INSURANCE COMPANY	PDP	Aetna Medicare	Medicare Prescription Drug Plan		CVS Health Corporation	49	Yes	Active					Medicare Prescription Drug Plan		5	Atlanta
S5601	Hospice Contact	"Sr. Manager, ESRD/Hospice Financial Operations"		Westerlund	Lynnette		1-724-994-0659				1-844-299-4547	HospiceProviderRelationsTeam@CVSCaremark.com	"9501 E. Shea Blvd, MC 121"		Scottsdale	AZ	85260	7/9/2024	2026	SILVERSCRIPT INSURANCE COMPANY	PDP	Aetna Medicare	Medicare Prescription Drug Plan		CVS Health Corporation	49	Yes	Active					Medicare Prescription Drug Plan		5	Atlanta
S5601	Medicare Compliance Officer	Chief Medicare Compliance Officer	Mr	Jeswald	Patrick	J	1-480-661-2030				1-855-454-8052	MedicareCO@aetna.com	9501 E Shea Blvd.	MC-016	Scottsdale	AZ	85260	5/14/2019	2026	SILVERSCRIPT INSURANCE COMPANY	PDP	Aetna Medicare	Medicare Prescription Drug Plan		CVS Health Corporation	49	Yes	Active					Medicare Prescription Drug Plan		5	Atlanta
S5601	Part D Exceptions Contact	"Executive Director, Quality & Audit"		Bailey	Lori							lori.bailey@cvshealth.com	1300 E. Campbell Rd		Richardson	TX	75083	11/12/2025	2026	SILVERSCRIPT INSURANCE COMPANY	PDP	Aetna Medicare	Medicare Prescription Drug Plan		CVS Health Corporation	49	Yes	Active	1-469-243-5213				Medicare Prescription Drug Plan		5	Atlanta
S5601	Pharmacy Network Management Contact	"Executive Director, Clinical Pharmacy"		McKenna	Erin		1-412-592-4308					EKMcKenna@aetna.com	151 Farmington Ave. MC-RT41		Hartford	CT	06156	12/24/2024	2026	SILVERSCRIPT INSURANCE COMPANY	PDP	Aetna Medicare	Medicare Prescription Drug Plan		CVS Health Corporation	49	Yes	Active					Medicare Prescription Drug Plan		5	Atlanta
S5601	Pharmacy Technical Help Desk Contact	"Lead Dir.,Medicare Pharmacy Ops, Bus. Admin & Gov."		Madison	Ryan							madisonr@cvshealth.com	750 E. Park Drive		Harisburg	PA	17111	11/20/2025	2026	SILVERSCRIPT INSURANCE COMPANY	PDP	Aetna Medicare	Medicare Prescription Drug Plan		CVS Health Corporation	49	Yes	Active	1-800-238-6279				Medicare Prescription Drug Plan		5	Atlanta
S5601	Plan to Plan Reconciliation Contact	"Sr. Analyst, FP&A"	Mr.	Banga	Sundeep		1-916-460-2733					P2P@aetna.com	"JPMorgan Chase- Lockbox Processing,    ATTN: AHM - HC"	"Box 22429, 4 Chase Metrotech Center, 7th Floor East"	Brooklyn	NY	11245	7/11/2025	2026	SILVERSCRIPT INSURANCE COMPANY	PDP	Aetna Medicare	Medicare Prescription Drug Plan		CVS Health Corporation	49	Yes	Active					Medicare Prescription Drug Plan		5	Atlanta
S5609	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Mngmnt	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	3/18/2025	2026	ASURIS NORTHWEST HEALTH	PDP	Asuris Northwest Health	Medicare Prescription Drug Plan		"Cambia Health Solutions, Inc."	227	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5609	Best Available Evidence Contact	Membership Ambassador	Ms.	Wells	Trisha		1-800-543-8848	2751			1-888-335-2988	ORMEMMEDAmbassador@regence.com	PO Box 1827		Medford	OR	97501	3/18/2025	2026	ASURIS NORTHWEST HEALTH	PDP	Asuris Northwest Health	Medicare Prescription Drug Plan		"Cambia Health Solutions, Inc."	227	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5609	Chief Financial Officer	Cambia EVP & CFO	Mr.	Rains	Mike		1-317-690-0081					Mike.Rains@regence.com	1111 Lake Washington Blvd North STE 900		Renton	WA	98056	4/15/2026	2026	ASURIS NORTHWEST HEALTH	PDP	Asuris Northwest Health	Medicare Prescription Drug Plan		"Cambia Health Solutions, Inc."	227	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5609	CMS Casework Communication Contact	Ops Reporting & Perf Analyst	Ms.	Haselden	Brandy		1-800-543-8848	6370				brandy.haselden@regence.com	PO Box 1827		Medford	OR	97501	4/27/2026	2026	ASURIS NORTHWEST HEALTH	PDP	Asuris Northwest Health	Medicare Prescription Drug Plan		"Cambia Health Solutions, Inc."	227	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5609	Coordination of Benefits Contact	"Manager, Member Services"	Ms.	Christiansen	Stacy		1-541-618-1240					Stacy.Christiansen@regence.com	PO Box 1827		Medford	OR	97501	3/18/2025	2026	ASURIS NORTHWEST HEALTH	PDP	Asuris Northwest Health	Medicare Prescription Drug Plan		"Cambia Health Solutions, Inc."	227	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5609	Customer Service Operations Contact	Manager Member Services	Ms.	Ciuro	Catina		1-541-618-1268					Catina.Ciuro@regence.com	PO Box 1827		Medford	OR	97504	3/18/2025	2026	ASURIS NORTHWEST HEALTH	PDP	Asuris Northwest Health	Medicare Prescription Drug Plan		"Cambia Health Solutions, Inc."	227	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5609	Government Relations Contact	Government Programs Compliance Officer	Ms.	Hoey	Yen		1-503-721-4040					Yen.Hoey@cambiahealth.com	200 SW Market Street 11th Floor		Portland	OR	97201	4/8/2026	2026	ASURIS NORTHWEST HEALTH	PDP	Asuris Northwest Health	Medicare Prescription Drug Plan		"Cambia Health Solutions, Inc."	227	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5609	Hospice Contact	Pharmacy Ops Oversight Lead	Ms.	Manzer	Amy		1-503-225-5368					Amy.Manzer@regence.com	200 SW Market Street 11th Floor		Portland	OR	97201	12/22/2025	2026	ASURIS NORTHWEST HEALTH	PDP	Asuris Northwest Health	Medicare Prescription Drug Plan		"Cambia Health Solutions, Inc."	227	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5609	Medicare Compliance Officer	Director Government Programs Compliance Officer	Ms.	Hoey	Yen		1-503-721-4040					Yen.Hoey@cambiahealth.com	200 SW Market Street 11th Floor		Portland	OR	97201	3/18/2025	2026	ASURIS NORTHWEST HEALTH	PDP	Asuris Northwest Health	Medicare Prescription Drug Plan		"Cambia Health Solutions, Inc."	227	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5609	Part D Exceptions Contact	"Regulatory Pharmacist, Sr"	Mr.	Spears	Scott						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	10/3/2025	2026	ASURIS NORTHWEST HEALTH	PDP	Asuris Northwest Health	Medicare Prescription Drug Plan		"Cambia Health Solutions, Inc."	227	Yes	Active	1-800-693-6651				Medicare Prescription Drug Plan		5	Dallas
S5609	Pharmacy Network Management Contact	"VP, Network Mangement"	Ms.	Conlin	Marci		1-612-777-2837				1-877-823-6373	marci.conlin@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	3/18/2025	2026	ASURIS NORTHWEST HEALTH	PDP	Asuris Northwest Health	Medicare Prescription Drug Plan		"Cambia Health Solutions, Inc."	227	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5609	Pharmacy Technical Help Desk Contact	"Sr Director, Member Services"	Mr.	Scott	Shane							shane.scott@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/18/2025	2026	ASURIS NORTHWEST HEALTH	PDP	Asuris Northwest Health	Medicare Prescription Drug Plan		"Cambia Health Solutions, Inc."	227	Yes	Active	1-844-765-6826				Medicare Prescription Drug Plan		5	Dallas
S5609	Plan to Plan Reconciliation Contact	Pharmacy Operations Oversight Lead	Ms.	Manzer	Amy		1-503-225-5368					Amy.Manzer@regence.com	200 SW Market Street 11th Floor		Portland	OR	97201	12/22/2025	2026	ASURIS NORTHWEST HEALTH	PDP	Asuris Northwest Health	Medicare Prescription Drug Plan		"Cambia Health Solutions, Inc."	227	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5617	Automated TrOOP Balance Transfer Contact	Operations Advisor	Ms.	Fertig	Nancy	J	1-860-902-4553					nancy_fertig@hcsc.com	500 Great Circle Road		Nashville	TN	37228	12/22/2025	2026	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	PDP	HealthSpring	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Consolidation					Medicare Prescription Drug Plan		5	New York
S5617	Best Available Evidence Contact	Enrollment/Billing Manager	Ms.	Rodrigue	Jacquelyn		1-000-000-0000					jacquelyn_p_rodrigue@hcsc.com	530 Great Cricle Rd		Nashville	TN	37228	9/29/2025	2026	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	PDP	HealthSpring	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Consolidation					Medicare Prescription Drug Plan		5	New York
S5617	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	300 East Randolph St		Chicago	IL	60601	1/5/2026	2026	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	PDP	HealthSpring	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Consolidation					Medicare Prescription Drug Plan		5	New York
S5617	CMS Casework Communication Contact	Customer Service Manager	Ms.	McCarroll	Angie		1-615-235-0177					angie_mccarroll@hcsc.com	3700 O'Donnell Street		Baltimore	MD	21224	5/26/2026	2026	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	PDP	HealthSpring	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Consolidation					Medicare Prescription Drug Plan		5	New York
S5617	Coordination of Benefits Contact	Enrollment/Billing Manager	Ms.	Rodrigue	Jacquelyn		1-000-000-0000					jacquelyn_p_rodrigue@hcsc.com	530 Great Cricle Rd		Nashville	TN	37228	9/29/2025	2026	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	PDP	HealthSpring	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Consolidation					Medicare Prescription Drug Plan		5	New York
S5617	Customer Service Operations Contact	Sr Mgr Operations	Mrs	Weber	Ashleigh		1-860-902-9968					ashleigh_weber@hcsc.com	500 Great Circle Road		Nashville	TN	37228	9/29/2025	2026	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	PDP	HealthSpring	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Consolidation					Medicare Prescription Drug Plan		5	New York
S5617	Government Relations Contact	DSVP Government Programs		Dugoff	Eva		1-202-249-7214					eva_dugoff@hcsc.net	1001 Pennsylvania NW		Washington	DC	20004	9/29/2025	2026	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	PDP	HealthSpring	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Consolidation					Medicare Prescription Drug Plan		5	New York
S5617	Hospice Contact	Enrollment/Billing Manager	Ms.	Rodrigue	Jacquelyn		1-000-000-0000					jacquelyn_p_rodrigue@hcsc.com	530 Great Cricle Rd		Nashville	TN	37228	9/29/2025	2026	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	PDP	HealthSpring	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Consolidation					Medicare Prescription Drug Plan		5	New York
S5617	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	9/5/2025	2026	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	PDP	HealthSpring	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Consolidation					Medicare Prescription Drug Plan		5	New York
S5617	Part D Exceptions Contact	Operations Senior Manager	Mr.	Erkens	Ron							ron_erkens@hcsc.com	500 Great Circle Road		Nashville	TN	37228	12/22/2025	2026	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	PDP	HealthSpring	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Consolidation	1-480-548-0643				Medicare Prescription Drug Plan		5	New York
S5617	Pharmacy Network Management Contact	Provider Contracting Sr Manager	Ms.	Bourdier	Maryanne		1-860-338-9867					maryanne_bourdier@hcsc.com	500 Great Circle Road		Nashville	TN	37228	12/22/2025	2026	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	PDP	HealthSpring	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Consolidation					Medicare Prescription Drug Plan		5	New York
S5617	Pharmacy Technical Help Desk Contact			Scripts	Express								500 Great Circle Road		Nashville	TN	37228	12/20/2024	2026	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	PDP	HealthSpring	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Consolidation	1-800-922-1557				Medicare Prescription Drug Plan		5	New York
S5617	Plan to Plan Reconciliation Contact		Ms.	Thomas	Andrea	F	1-629-317-9367				1-615-291-7025	P2P@healthspring.com	P.O. Box 11407	Dept#8277	Birmingham	AL	35246	6/26/2026	2026	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	PDP	HealthSpring	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Consolidation					Medicare Prescription Drug Plan		5	New York
S5660	Automated TrOOP Balance Transfer Contact	Director		Proper	Rob		1-614-214-4681					ESITroopTransfer@express-scripts.com	440 Polaris Parkway	Suite 300	Westerville	OH	43082	6/4/2026	2026	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	PDP	Express Scripts Medicare	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5660	Best Available Evidence Contact	Product Management Advisor		Bhasin	Nazy		1-314-847-4572					Nazy_Bhasin@express-scripts.com	115 Tabor Road		Morris Plains	NJ	07950	8/29/2024	2026	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	PDP	Express Scripts Medicare	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5660	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	300 East Randolph St		Chicago	IL	60601	1/5/2026	2026	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	PDP	Express Scripts Medicare	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5660	CMS Casework Communication Contact	Manager		Anderson	Angela		1-972-915-6108					angela_anderson@express-scripts.com	"1640 Dallas Parkway,"		Plano	TX	75093	6/4/2025	2026	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	PDP	Express Scripts Medicare	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5660	Coordination of Benefits Contact	Director		Simon	Blake		1-214-620-7186					MedDCOBTeam@express-scripts.com	1640 Dallas Parkway		Plano	TX	75093	6/4/2026	2026	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	PDP	Express Scripts Medicare	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5660	Customer Service Operations Contact	Manager		Rodriguez	Jaime		1-407-854-8005					jrodriguez3@express-scripts.com	One Express Way		St. Louis	MO	63121	6/3/2026	2026	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	PDP	Express Scripts Medicare	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5660	Government Relations Contact	Executive Director - Health Policy	Ms.	DuGoff	Eva		1-202-249-7208				1-000-000-0000	eva_dugoff@hcsc.net	Health Care Service Corporation	1001 Pennsylvania NW	Washington	DC	20004	4/7/2026	2026	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	PDP	Express Scripts Medicare	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5660	Hospice Contact	Director		Simon	Blake		1-214-620-7186					HospiceBAE-ESIPDP-EGWP@express-scripts.com	1640 Dallas Parkway		Plano	TX	75093	6/4/2026	2026	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	PDP	Express Scripts Medicare	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5660	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	9/5/2025	2026	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	PDP	Express Scripts Medicare	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5660	Part D Exceptions Contact	Sr. Manager – Pharmacy Prior Authorization		Herbert	Joshua							Joshua.Herbert@evernorth.com	One Express Way Mail Stop: S13NB		St. Louis	MO	63121	10/13/2025	2026	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	PDP	Express Scripts Medicare	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Active	1-513-292-0563				Medicare Prescription Drug Plan		5	New York
S5660	Pharmacy Network Management Contact			Kelly	Heather		1-314-692-1866					heather.kelly2@evernorth.com	One Express Way		St. Louis	MO	63121	6/2/2026	2026	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	PDP	Express Scripts Medicare	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5660	Pharmacy Technical Help Desk Contact	Director Customer Service		Monroe	LaTasha							LaTasha_Monroe@express-scripts.com	13051 N. Telecom PKWY STE 150		Temple Terrace	FL	33637	11/17/2021	2026	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	PDP	Express Scripts Medicare	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Active	1-800-922-1557				Medicare Prescription Drug Plan		5	New York
S5660	Plan to Plan Reconciliation Contact		Ms.	Thomas	Andrea	F	1-804-904-6147				1-615-291-7025	P2P@CignaHealthcare.com	P.O. Box 11407	Dept#8277	Birmingham	AL	35246	5/6/2025	2026	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	PDP	Express Scripts Medicare	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5715	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Management	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/14/2025	2026	MEDCO CONTAINMENT LIFE & MEDCO CONTAINMENT NY & HEALTH CARE SERVICE CORPORATION	PDP	"Blue Cross and Blue Shield of IL, NM, OK, TX"	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5715	Best Available Evidence Contact	"Deputy General Manager, Digital Operations"	Mr.	Davis	Tom		1-570-344-9237	73545			1-000-000-0000	Thomas.Davis@cognizant.com	Cognizant	25 Lakeview Drive	Jessup	PA	18434	1/4/2022	2026	MEDCO CONTAINMENT LIFE & MEDCO CONTAINMENT NY & HEALTH CARE SERVICE CORPORATION	PDP	"Blue Cross and Blue Shield of IL, NM, OK, TX"	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5715	Chief Financial Officer	VP & Actuary	Mrs	Galka	Jennifer		1-312-653-4565					jennifer_galka@bcbsil.com	300 East Randolph St		Chicago	IL	60601	4/7/2026	2026	MEDCO CONTAINMENT LIFE & MEDCO CONTAINMENT NY & HEALTH CARE SERVICE CORPORATION	PDP	"Blue Cross and Blue Shield of IL, NM, OK, TX"	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5715	CMS Casework Communication Contact	Manager Medicare Operations & Oversight	Ms.	Morris	Tawanna		1-630-824-5090				1-000-000-0000	Tawanna_Morris@bcbsil.com	Health Care Service Corporation	300 E. Randolph Street	Chicago	IL	60601	8/6/2024	2026	MEDCO CONTAINMENT LIFE & MEDCO CONTAINMENT NY & HEALTH CARE SERVICE CORPORATION	PDP	"Blue Cross and Blue Shield of IL, NM, OK, TX"	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5715	Coordination of Benefits Contact	Mgr Project & Program Management	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	COBMedD@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/14/2025	2026	MEDCO CONTAINMENT LIFE & MEDCO CONTAINMENT NY & HEALTH CARE SERVICE CORPORATION	PDP	"Blue Cross and Blue Shield of IL, NM, OK, TX"	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5715	Customer Service Operations Contact	VP of Customer Service	Mr.	Akovenko	Josh		1-615-695-8916				1-000-000-0000	josh_akovenko@hcsc.com	Health Care Service Corporation	500 Great Circle Rd	Nashville	IL	60601	12/4/2025	2026	MEDCO CONTAINMENT LIFE & MEDCO CONTAINMENT NY & HEALTH CARE SERVICE CORPORATION	PDP	"Blue Cross and Blue Shield of IL, NM, OK, TX"	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5715	Government Relations Contact	Executive Director - Health Policy	Ms.	DuGoff	Eva		1-202-249-7208				1-000-000-0000	eva_dugoff@hcsc.net	Health Care Service Corporation	1001 Pennsylvania NW	Washington	DC	20004	9/26/2025	2026	MEDCO CONTAINMENT LIFE & MEDCO CONTAINMENT NY & HEALTH CARE SERVICE CORPORATION	PDP	"Blue Cross and Blue Shield of IL, NM, OK, TX"	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5715	Hospice Contact	Govt Prog Clinical Ops Dvisional Vice President	Ms.	Thomas-Spaulding	Felicia	S	1-505-816-2717				1-000-000-0000	Felicia_Spaulding@bcbsnm.com	Blue Cross Blue Shield of New Mexico	4411 The 25 Way NE	Albuquerque	NM	87109	2/27/2019	2026	MEDCO CONTAINMENT LIFE & MEDCO CONTAINMENT NY & HEALTH CARE SERVICE CORPORATION	PDP	"Blue Cross and Blue Shield of IL, NM, OK, TX"	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5715	Medicare Compliance Officer	"VP, Government Programs Compliance Officer"	Ms.	Green	Kim	A	1-312-653-5110				1-312-819-9474	hcsc_medicare_compliance_officer@hcsc.net	Health Care Service Corporation	300 East Randolph Street	Chicago	IL	60601	9/5/2025	2026	MEDCO CONTAINMENT LIFE & MEDCO CONTAINMENT NY & HEALTH CARE SERVICE CORPORATION	PDP	"Blue Cross and Blue Shield of IL, NM, OK, TX"	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5715	Part D Exceptions Contact	Regulatory Pharmacist Sr	Mr.	Spears	Scott						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	9/22/2025	2026	MEDCO CONTAINMENT LIFE & MEDCO CONTAINMENT NY & HEALTH CARE SERVICE CORPORATION	PDP	"Blue Cross and Blue Shield of IL, NM, OK, TX"	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Active	1-800-693-6651				Medicare Prescription Drug Plan		5	Chicago
S5715	Pharmacy Network Management Contact	"VP, Network Management"	Ms.	Conlin	Marci		1-612-777-2837				1-877-823-6373	marci.conlin@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Road	Eagan	MN	55121	3/22/2023	2026	MEDCO CONTAINMENT LIFE & MEDCO CONTAINMENT NY & HEALTH CARE SERVICE CORPORATION	PDP	"Blue Cross and Blue Shield of IL, NM, OK, TX"	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5715	Pharmacy Technical Help Desk Contact	"Sr. Director, Member Services"	Mr.	Scott	Shane						1-000-000-0000	shane.scott@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	12/19/2025	2026	MEDCO CONTAINMENT LIFE & MEDCO CONTAINMENT NY & HEALTH CARE SERVICE CORPORATION	PDP	"Blue Cross and Blue Shield of IL, NM, OK, TX"	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Active	1-800-693-6704				Medicare Prescription Drug Plan		5	Chicago
S5715	Plan to Plan Reconciliation Contact	Accountant	Ms.	Bowen	Niaya		1-972-766-1642					niaya_bowen@bcbstx.com	Health Care Service Corporation	1001 East Lookout Drive	Richardson	TX	75082	9/29/2025	2026	MEDCO CONTAINMENT LIFE & MEDCO CONTAINMENT NY & HEALTH CARE SERVICE CORPORATION	PDP	"Blue Cross and Blue Shield of IL, NM, OK, TX"	Medicare Prescription Drug Plan		Health Care Service Corporation	110	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5726	Automated TrOOP Balance Transfer Contact	Director PBM Operations		Myslinski	Wendy		1-612-777-1330					EOBP2P@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	1/28/2026	2026	BLUE CROSS AND BLUE SHIELD OF KANSAS	PDP	Blue Cross and Blue Shield of Kansas	Medicare Prescription Drug Plan		Blue Cross Blue Shield of Kansas	310	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5726	Best Available Evidence Contact	Manager Medicare Programs Operations		Shafer	Catherine		1-785-291-8011					catherine.shafer@bcbsks.com	1133 Topeka Blvd		Topeka	KS	66629	1/28/2026	2026	BLUE CROSS AND BLUE SHIELD OF KANSAS	PDP	Blue Cross and Blue Shield of Kansas	Medicare Prescription Drug Plan		Blue Cross Blue Shield of Kansas	310	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5726	Chief Financial Officer	Chief Financial Officer	Mr.	Bergman	Jeff		1-785-291-7263					jeff.bergman@bcbsks.com	1133 SW Topeka Blvd		Topeka	KS	66629-0001	6/1/2022	2026	BLUE CROSS AND BLUE SHIELD OF KANSAS	PDP	Blue Cross and Blue Shield of Kansas	Medicare Prescription Drug Plan		Blue Cross Blue Shield of Kansas	310	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5726	CMS Casework Communication Contact	Compliance Officer		Reeves	Johnathan		1-785-291-7855					Johnathan.reeves@bcbsks.com	1133 Topeka Blvd		Topeka	KS	66629	1/28/2026	2026	BLUE CROSS AND BLUE SHIELD OF KANSAS	PDP	Blue Cross and Blue Shield of Kansas	Medicare Prescription Drug Plan		Blue Cross Blue Shield of Kansas	310	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5726	Coordination of Benefits Contact	Manager PBM Operations		Chesling	Beth		1-612-777-1330					COBmedd@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	1/28/2026	2026	BLUE CROSS AND BLUE SHIELD OF KANSAS	PDP	Blue Cross and Blue Shield of Kansas	Medicare Prescription Drug Plan		Blue Cross Blue Shield of Kansas	310	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5726	Customer Service Operations Contact	Manager Medicare Programs Operations		Shafer	Catherine		1-800-222-7645					catherine.shafer@bcbsks.com	1133 Topeka Blvd		Topeka	KS	66629	2/4/2026	2026	BLUE CROSS AND BLUE SHIELD OF KANSAS	PDP	Blue Cross and Blue Shield of Kansas	Medicare Prescription Drug Plan		Blue Cross Blue Shield of Kansas	310	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5726	Government Relations Contact	VP Government & Community Relations		Mickle	Sunee		1-785-291-7194					Sunee.Mickle@bcbsks.com	1133 SW Topeka Blvd.		Topeka	KS	66629-0001	1/28/2026	2026	BLUE CROSS AND BLUE SHIELD OF KANSAS	PDP	Blue Cross and Blue Shield of Kansas	Medicare Prescription Drug Plan		Blue Cross Blue Shield of Kansas	310	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5726	Hospice Contact	Manager Medicare Programs Operations		Shafer	Catherine		1-785-291-8011					catherine.shafer@bcbsks.com	1133 Topeka Blvd		Topeka	KS	66629	1/28/2026	2026	BLUE CROSS AND BLUE SHIELD OF KANSAS	PDP	Blue Cross and Blue Shield of Kansas	Medicare Prescription Drug Plan		Blue Cross Blue Shield of Kansas	310	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5726	Medicare Compliance Officer	Compliance Officer	Mr.	Reeves	Johnathan		1-785-291-7855				1-785-290-0701	johnathan.reeves@bcbsks.com	1133 SW Topeka Blvd.		Topeka	KS	66629-0001	1/28/2026	2026	BLUE CROSS AND BLUE SHIELD OF KANSAS	PDP	Blue Cross and Blue Shield of Kansas	Medicare Prescription Drug Plan		Blue Cross Blue Shield of Kansas	310	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5726	Part D Exceptions Contact	Director Regulatory and Audit Response		Davis	Megan							clinicalreviewmeddaudit@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	1/28/2026	2026	BLUE CROSS AND BLUE SHIELD OF KANSAS	PDP	Blue Cross and Blue Shield of Kansas	Medicare Prescription Drug Plan		Blue Cross Blue Shield of Kansas	310	Yes	Active	1-800-693-6651				Medicare Prescription Drug Plan		5	Chicago
S5726	Pharmacy Network Management Contact	VP Pharmacy Network Management		Conlin	Marci		1-612-777-2837					Marci.Conlin@PrimeTherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	1/28/2026	2026	BLUE CROSS AND BLUE SHIELD OF KANSAS	PDP	Blue Cross and Blue Shield of Kansas	Medicare Prescription Drug Plan		Blue Cross Blue Shield of Kansas	310	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5726	Pharmacy Technical Help Desk Contact	Sr. Director Operations		Scott	Shane							shane.scott@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	1/28/2026	2026	BLUE CROSS AND BLUE SHIELD OF KANSAS	PDP	Blue Cross and Blue Shield of Kansas	Medicare Prescription Drug Plan		Blue Cross Blue Shield of Kansas	310	Yes	Active	1-866-325-5231				Medicare Prescription Drug Plan		5	Chicago
S5726	Plan to Plan Reconciliation Contact	Supervisor Cost Accounting		Smith	Jennifer		1-785-291-7991					jennifer.smith@bcbsks.com	1133 Topeka Blvd		Topeka	KS	66629	12/16/2025	2026	BLUE CROSS AND BLUE SHIELD OF KANSAS	PDP	Blue Cross and Blue Shield of Kansas	Medicare Prescription Drug Plan		Blue Cross Blue Shield of Kansas	310	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5743	Automated TrOOP Balance Transfer Contact			Pharmacy Operations	ClearStone		1-651-662-7412					clearstone.pharmacy.operations@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	6/23/2023	2026	"WELLMARK  IA & SD, & BCBS MN, MT, NE, ND,& WY"	PDP	MedicareBlue Rx	Medicare Prescription Drug Plan		"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD"	28	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5743	Best Available Evidence Contact	Enrollment Manager		Sawka	Julie		1-877-654-8810					CST-enrollment@ramtechinc.com	PO Box 31049		Tampa	FL	33631-3049	12/18/2025	2026	"WELLMARK  IA & SD, & BCBS MN, MT, NE, ND,& WY"	PDP	MedicareBlue Rx	Medicare Prescription Drug Plan		"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD"	28	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5743	Chief Financial Officer		Ms	Ferlita	Carrie		1-651-662-9037					carrie.ferlita@clearstonesolutions.com	3400 Yankee Drive		Eagan	MN	55121	12/6/2021	2026	"WELLMARK  IA & SD, & BCBS MN, MT, NE, ND,& WY"	PDP	MedicareBlue Rx	Medicare Prescription Drug Plan		"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD"	28	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5743	CMS Casework Communication Contact	PBM Operations Analyst Sr		Blake	Tracy		1-651-662-3509					tracy.blake@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	4/23/2026	2026	"WELLMARK  IA & SD, & BCBS MN, MT, NE, ND,& WY"	PDP	MedicareBlue Rx	Medicare Prescription Drug Plan		"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD"	28	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5743	Coordination of Benefits Contact	Business Analyst Principal		Williams	Julie		1-651-662-1736					julie.williams@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	4/23/2026	2026	"WELLMARK  IA & SD, & BCBS MN, MT, NE, ND,& WY"	PDP	MedicareBlue Rx	Medicare Prescription Drug Plan		"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD"	28	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5743	Customer Service Operations Contact	Customer Service & Grievances Manager		Vang	Vanessa		1-651-662-7154					vanessa.vang@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	3/22/2023	2026	"WELLMARK  IA & SD, & BCBS MN, MT, NE, ND,& WY"	PDP	MedicareBlue Rx	Medicare Prescription Drug Plan		"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD"	28	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5743	Government Relations Contact			Mitchell	Angela		1-651-662-3607					angela.mitchell@clearstonesolutions.com	3400 Yankee Drive		Eagan	MN	55121	6/4/2024	2026	"WELLMARK  IA & SD, & BCBS MN, MT, NE, ND,& WY"	PDP	MedicareBlue Rx	Medicare Prescription Drug Plan		"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD"	28	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5743	Hospice Contact	PBM Operations Analyst Sr		Blake	Tracy		1-651-662-3509				1-651-662-3500	tracy.blake@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	4/23/2026	2026	"WELLMARK  IA & SD, & BCBS MN, MT, NE, ND,& WY"	PDP	MedicareBlue Rx	Medicare Prescription Drug Plan		"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD"	28	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5743	Medicare Compliance Officer	Compliance Officer	Mr	Happe	Paul	M	1-651-662-1234					paul.happe@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	3/1/2022	2026	"WELLMARK  IA & SD, & BCBS MN, MT, NE, ND,& WY"	PDP	MedicareBlue Rx	Medicare Prescription Drug Plan		"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD"	28	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5743	Part D Exceptions Contact			Pharmacy Operations	ClearStone							clearstone.pharmacy.operations@bluecrossmn.com	3400 Yankee Drive		Eagan	MN	55121	4/23/2026	2026	"WELLMARK  IA & SD, & BCBS MN, MT, NE, ND,& WY"	PDP	MedicareBlue Rx	Medicare Prescription Drug Plan		"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD"	28	Yes	Active	1-651-662-3509				Medicare Prescription Drug Plan		5	Chicago
S5743	Pharmacy Network Management Contact	"VP, Network Management"		Conlin	Marci		1-612-777-2842				1-877-823-6373	marci.conlin@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	12/16/2022	2026	"WELLMARK  IA & SD, & BCBS MN, MT, NE, ND,& WY"	PDP	MedicareBlue Rx	Medicare Prescription Drug Plan		"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD"	28	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5743	Pharmacy Technical Help Desk Contact	Senior Business Analyst		Huynh	Chong								"2900 Ames Crossing Rd, Suite 200"		Eagan	MN	55121	4/23/2026	2026	"WELLMARK  IA & SD, & BCBS MN, MT, NE, ND,& WY"	PDP	MedicareBlue Rx	Medicare Prescription Drug Plan		"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD"	28	Yes	Active	1-866-218-5002				Medicare Prescription Drug Plan		5	Chicago
S5743	Plan to Plan Reconciliation Contact			Voves	Alex		1-651-662-3606					Alex.Voves@clearstonesolutions.com	3400 Yankee Drive		Eagan	MN	55121	6/23/2023	2026	"WELLMARK  IA & SD, & BCBS MN, MT, NE, ND,& WY"	PDP	MedicareBlue Rx	Medicare Prescription Drug Plan		"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD"	28	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5795	Automated TrOOP Balance Transfer Contact	"Manager, MedD Financial Operations"		Davis	Brittany		1-480-536-4772					Brittany.Davis@CVSHealth.com	9501 E Shea Blvd MC 121		Scottsdale	AZ	85260	7/18/2024	2026	USABLE MUTUAL INSURANCE COMPANY	PDP	Arkansas Blue Medicare	Medicare Prescription Drug Plan		USAble Mutual Insurance Company	421	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5795	Best Available Evidence Contact	"Manager, Medicare Operations"		Sherer	Michael		1-501-378-3641					mcsherer@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	10/18/2024	2026	USABLE MUTUAL INSURANCE COMPANY	PDP	Arkansas Blue Medicare	Medicare Prescription Drug Plan		USAble Mutual Insurance Company	421	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5795	Chief Financial Officer	CFO	Mr.	Winter	Scott		1-501-399-3951					sbwinter@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	7/18/2019	2026	USABLE MUTUAL INSURANCE COMPANY	PDP	Arkansas Blue Medicare	Medicare Prescription Drug Plan		USAble Mutual Insurance Company	421	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5795	CMS Casework Communication Contact	"Manager, Medicare Operations"		Sherer	Michael		1-501-378-3641					mcsherer@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	10/18/2024	2026	USABLE MUTUAL INSURANCE COMPANY	PDP	Arkansas Blue Medicare	Medicare Prescription Drug Plan		USAble Mutual Insurance Company	421	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5795	Coordination of Benefits Contact	"Manager, MedD Financial Operations"		Davis	Brittany		1-480-536-4772					Brittany.Davis@CVSHealth.com	9501 E Shea Blvd MC 121		Scottsdale	AZ	85260	7/18/2024	2026	USABLE MUTUAL INSURANCE COMPANY	PDP	Arkansas Blue Medicare	Medicare Prescription Drug Plan		USAble Mutual Insurance Company	421	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5795	Customer Service Operations Contact	"Manager, Medicare Operations"		Sherer	Michael		1-501-378-3641					mcsherer@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	10/18/2024	2026	USABLE MUTUAL INSURANCE COMPANY	PDP	Arkansas Blue Medicare	Medicare Prescription Drug Plan		USAble Mutual Insurance Company	421	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5795	Government Relations Contact	Director Medicare Compliance	Mr.	Kirsch	Nick		1-501-340-9589					nkirsch@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	4/8/2026	2026	USABLE MUTUAL INSURANCE COMPANY	PDP	Arkansas Blue Medicare	Medicare Prescription Drug Plan		USAble Mutual Insurance Company	421	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5795	Hospice Contact	"Supervisor, Medicare Member Services"		Taylor	Alicia		1-501-378-3743					aataylor@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	8/18/2021	2026	USABLE MUTUAL INSURANCE COMPANY	PDP	Arkansas Blue Medicare	Medicare Prescription Drug Plan		USAble Mutual Insurance Company	421	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5795	Medicare Compliance Officer	Director Medicare Compliance	Mr.	Kirsch	Nick		1-501-340-9589					nkirsch@arkbluecross.com	601 Gaines Street		Little Rock	AR	72201	2/6/2026	2026	USABLE MUTUAL INSURANCE COMPANY	PDP	Arkansas Blue Medicare	Medicare Prescription Drug Plan		USAble Mutual Insurance Company	421	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5795	Part D Exceptions Contact	Account Manager		Ellinger	David							David.Ellinger@CVSHealth.com	9501 E Shea Blvd MC 121		Scottsdale	AZ	85260	5/21/2025	2026	USABLE MUTUAL INSURANCE COMPANY	PDP	Arkansas Blue Medicare	Medicare Prescription Drug Plan		USAble Mutual Insurance Company	421	Yes	Active	1-480-240-8415				Medicare Prescription Drug Plan		5	New York
S5795	Pharmacy Network Management Contact	Account Manager		Ellinger	David		1-480-240-8415					David.Ellinger@CVSHealth.com	9501 E Shea Blvd MC 121		Scottsdale	AZ	85260	5/21/2025	2026	USABLE MUTUAL INSURANCE COMPANY	PDP	Arkansas Blue Medicare	Medicare Prescription Drug Plan		USAble Mutual Insurance Company	421	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5795	Pharmacy Technical Help Desk Contact			Customer Service	CVS								9501 E Shea Blvd MC 121		Scottsdale	AZ	85260	10/10/2024	2026	USABLE MUTUAL INSURANCE COMPANY	PDP	Arkansas Blue Medicare	Medicare Prescription Drug Plan		USAble Mutual Insurance Company	421	Yes	Active	1-844-280-5833				Medicare Prescription Drug Plan		5	New York
S5795	Plan to Plan Reconciliation Contact	Financial Analyst		Holt	Susan		1-501-294-2491				1-501-378-3258	sbholt@arkbluecross.com	P O Box 8084		Little Rock	AR	72203	9/5/2024	2026	USABLE MUTUAL INSURANCE COMPANY	PDP	Arkansas Blue Medicare	Medicare Prescription Drug Plan		USAble Mutual Insurance Company	421	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5805	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5805	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5805	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5805	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5805	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5805	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5805	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5805	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5805	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5805	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				Medicare Prescription Drug Plan		5	Boston
S5805	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5805	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				Medicare Prescription Drug Plan		5	Boston
S5805	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5820	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5820	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5820	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5820	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5820	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5820	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5820	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5820	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5820	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5820	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				Medicare Prescription Drug Plan		5	Boston
S5820	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5820	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				Medicare Prescription Drug Plan		5	Boston
S5820	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5857	Automated TrOOP Balance Transfer Contact	Enrollment Coordinator		Rice	Lori		1-616-464-8667					PH-MedicareTrOOPContact@PriorityHealth.com	1231 East Beltline Ave NE	MS 1175	Grand Rapids	MI	49525	5/17/2023	2026	PRIORITY HEALTH INSURANCE COMPANY	PDP	Priority Health Medicare	Medicare Prescription Drug Plan		Corewell Health	190	Yes	Active					Medicare Prescription Drug Plan		5	Seattle
S5857	Best Available Evidence Contact	"Manager, Medicare Enrollment"		Thomas	Sabrina		1-616-464-8578					phcompliance@priorityhealth.com	1231 East Beltline Ave NE		Grand Rapids	MI	49525	11/7/2024	2026	PRIORITY HEALTH INSURANCE COMPANY	PDP	Priority Health Medicare	Medicare Prescription Drug Plan		Corewell Health	190	Yes	Active					Medicare Prescription Drug Plan		5	Seattle
S5857	Chief Financial Officer	"Senior Vice President, Finance"	Mrs.	McIntyre	Celeste		1-616-774-5142					phcompliance@priorityhealth.com	1231 East Beltline Ave NE		Grand Rapids	MI	49525	11/20/2025	2026	PRIORITY HEALTH INSURANCE COMPANY	PDP	Priority Health Medicare	Medicare Prescription Drug Plan		Corewell Health	190	Yes	Active					Medicare Prescription Drug Plan		5	Seattle
S5857	CMS Casework Communication Contact	Manager for Business Monitoring - G & A		LaBelle	Julie		1-917-841-7869					Radha.LaBelle@priorityhealth.com	1231 East Beltline Ave NE		Grand Rapids	MI	49525	5/17/2023	2026	PRIORITY HEALTH INSURANCE COMPANY	PDP	Priority Health Medicare	Medicare Prescription Drug Plan		Corewell Health	190	Yes	Active					Medicare Prescription Drug Plan		5	Seattle
S5857	Coordination of Benefits Contact	Claims Manager		Ball	Jill		1-888-389-6648					phcompliance@priorityhealth.com	1239 East Beltline Ave NE	MS2205	Grand Rapids	MI	49525	11/7/2024	2026	PRIORITY HEALTH INSURANCE COMPANY	PDP	Priority Health Medicare	Medicare Prescription Drug Plan		Corewell Health	190	Yes	Active					Medicare Prescription Drug Plan		5	Seattle
S5857	Customer Service Operations Contact	"Customer Care Center Manager, Medicare"		Storment	Joe		1-503-330-9550					phcompliance@priorityhealth.com	1231 East Beltline Ave NE		Grand Rapids	MI	49525	11/7/2024	2026	PRIORITY HEALTH INSURANCE COMPANY	PDP	Priority Health Medicare	Medicare Prescription Drug Plan		Corewell Health	190	Yes	Active					Medicare Prescription Drug Plan		5	Seattle
S5857	Government Relations Contact	Medicare Compliance Officer Director	Mrs.	DeHaan	Heather		1-616-464-3510					phcompliance@priorityhealth.com	1239 East Beltline Ave NE	MS 3230	Grand Rapids	MI	49525	11/7/2024	2026	PRIORITY HEALTH INSURANCE COMPANY	PDP	Priority Health Medicare	Medicare Prescription Drug Plan		Corewell Health	190	Yes	Active					Medicare Prescription Drug Plan		5	Seattle
S5857	Hospice Contact	Medicare Compliance Officer Director	Mrs.	DeHaan	Heather		1-616-464-3510					phcompliance@priorityhealth.com	1239 East Beltline Ave NE	MS 3230	Grand Rapids	MI	49525	11/7/2024	2026	PRIORITY HEALTH INSURANCE COMPANY	PDP	Priority Health Medicare	Medicare Prescription Drug Plan		Corewell Health	190	Yes	Active					Medicare Prescription Drug Plan		5	Seattle
S5857	Medicare Compliance Officer	Medicare Compliance Officer Director	Mrs	DeHaan	Heather	L	1-616-464-3510					heather.dehaan@priorityhealth.com	1239 East Beltline Ave NE	MS 3230	Grand Rapids	MI	49525	11/7/2024	2026	PRIORITY HEALTH INSURANCE COMPANY	PDP	Priority Health Medicare	Medicare Prescription Drug Plan		Corewell Health	190	Yes	Active					Medicare Prescription Drug Plan		5	Seattle
S5857	Part D Exceptions Contact			Help Desk	Pharmacy							part.d.ops@priorityhealth.com	1231 East Beltline Ave NE		Grand Rapids	MI	49525	5/17/2023	2026	PRIORITY HEALTH INSURANCE COMPANY	PDP	Priority Health Medicare	Medicare Prescription Drug Plan		Corewell Health	190	Yes	Active	1-800-466-6642				Medicare Prescription Drug Plan		5	Seattle
S5857	Pharmacy Network Management Contact	Director Pharmacy Operations		Chaffee	Jacob		1-616-575-6149					jacob.chaffee@priorityhealth.com	1231 E. Beltline Ave Ne		Grand Rapids	MI	49525	5/17/2023	2026	PRIORITY HEALTH INSURANCE COMPANY	PDP	Priority Health Medicare	Medicare Prescription Drug Plan		Corewell Health	190	Yes	Active					Medicare Prescription Drug Plan		5	Seattle
S5857	Pharmacy Technical Help Desk Contact			Help Desk	Pharmacy							part.d.ops@priorityhealth.com	1231 East Beltline Ave NE		Grand Rapids	MI	49525	5/17/2023	2026	PRIORITY HEALTH INSURANCE COMPANY	PDP	Priority Health Medicare	Medicare Prescription Drug Plan		Corewell Health	190	Yes	Active	1-800-466-6642				Medicare Prescription Drug Plan		5	Seattle
S5857	Plan to Plan Reconciliation Contact	Business Systems Analyst		Robinson	Aminah		1-616-862-9827					aminah.robinson@priorityhealth.com	1231 East Beltline Ave NE		Grand Rapids	MI	49525	7/1/2024	2026	PRIORITY HEALTH INSURANCE COMPANY	PDP	Priority Health Medicare	Medicare Prescription Drug Plan		Corewell Health	190	Yes	Active					Medicare Prescription Drug Plan		5	Seattle
S5877	Automated TrOOP Balance Transfer Contact	"Director, Pharmacy and Medicare Services"	Mr.	Gedge	Nathan		1-801-270-2974					ngedge@emihealth.com	5101 S Commerce Drive		Murray	UT	84107	6/18/2018	2026	EDUCATORS MUTUAL INSURANCE ASSOCIATION	PDP	EMI Health	Medicare Prescription Drug Plan		Educators Mutual Insurance Association	79	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5877	Best Available Evidence Contact	"Director, Pharmacy and Medicare Services"	Mr.	Gedge	Nathan	D	1-801-270-2974				1-801-269-9734	ngedge@emihealth.com	5101 S Commerce Drive		Murray	UT	84107	6/18/2018	2026	EDUCATORS MUTUAL INSURANCE ASSOCIATION	PDP	EMI Health	Medicare Prescription Drug Plan		Educators Mutual Insurance Association	79	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5877	Chief Financial Officer	Chief Financial Officer	Mr.	Greenhalgh	Mike		1-801-262-7476					mgreenhalgh@emihealth.com	5101 S Commerce Drive		Murray	UT	84107	6/18/2018	2026	EDUCATORS MUTUAL INSURANCE ASSOCIATION	PDP	EMI Health	Medicare Prescription Drug Plan		Educators Mutual Insurance Association	79	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5877	CMS Casework Communication Contact	"Director, Pharmacy and Medicare Services"		Gedge	Nate		1-801-270-2974					ngedge@emihealth.com	5101 S Commerce Drive		Murray	UT	84107	6/4/2019	2026	EDUCATORS MUTUAL INSURANCE ASSOCIATION	PDP	EMI Health	Medicare Prescription Drug Plan		Educators Mutual Insurance Association	79	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5877	Coordination of Benefits Contact	"Director, Pharmacy and Medicare Services"		Gedge	Nate		1-801-270-2974					ngedge@emihealth.com	5101 S Commerce Drive		Murray	UT	84107	6/4/2019	2026	EDUCATORS MUTUAL INSURANCE ASSOCIATION	PDP	EMI Health	Medicare Prescription Drug Plan		Educators Mutual Insurance Association	79	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5877	Customer Service Operations Contact	Sr. Manager - Contact Center		Bloomfield	Peggy		1-772-236-2738					Peggy_Bloomfield@Express-Scripts.com	10045 South Federal Highway		Port St. Lucie	FL	34952	3/30/2017	2026	EDUCATORS MUTUAL INSURANCE ASSOCIATION	PDP	EMI Health	Medicare Prescription Drug Plan		Educators Mutual Insurance Association	79	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5877	Government Relations Contact	"Director, Pharmacy and Medicare Services"		Gedge	Nate		1-801-270-2974					ngedge@emihealth.com	5101 S Commerce Drive		Murray	UT	84107	6/4/2019	2026	EDUCATORS MUTUAL INSURANCE ASSOCIATION	PDP	EMI Health	Medicare Prescription Drug Plan		Educators Mutual Insurance Association	79	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5877	Hospice Contact	Director of Pharmacy and Medicare Services	Mr.	Gedge	Nathan		1-801-270-2974				1-801-269-9734	ngedge@emihealth.com	5101 S Commerce Drive		Murray	UT	84107	6/18/2018	2026	EDUCATORS MUTUAL INSURANCE ASSOCIATION	PDP	EMI Health	Medicare Prescription Drug Plan		Educators Mutual Insurance Association	79	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5877	Medicare Compliance Officer	Compliance Officer	Mr.	Smart	Brandon		1-801-270-2981					bsmart@emihealth.com	5101 S Commerce Drive		Murray	UT	84107	6/18/2018	2026	EDUCATORS MUTUAL INSURANCE ASSOCIATION	PDP	EMI Health	Medicare Prescription Drug Plan		Educators Mutual Insurance Association	79	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5877	Part D Exceptions Contact	Senior Pharmacy Manager		Schumm	Brian							brian_schumm@express-scripts.com	5151 Blazer Pkwy		Dublin	OH	43017	12/8/2016	2026	EDUCATORS MUTUAL INSURANCE ASSOCIATION	PDP	EMI Health	Medicare Prescription Drug Plan		Educators Mutual Insurance Association	79	Yes	Active	1-614-336-3326				Medicare Prescription Drug Plan		5	Dallas
S5877	Pharmacy Network Management Contact	"Network Account Director, Retail Strategy & Contra"		Kelly	Heather		1-314-692-1866					hakelly@express-scripts.com	One Express Way		St. Louis	MO	63121	3/30/2017	2026	EDUCATORS MUTUAL INSURANCE ASSOCIATION	PDP	EMI Health	Medicare Prescription Drug Plan		Educators Mutual Insurance Association	79	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5877	Pharmacy Technical Help Desk Contact	Director - Contact Center		Roberts	Robin							RRoberts2@express-scripts.com	6625 West 78th Street		Bloomington	MN	55439	6/16/2017	2026	EDUCATORS MUTUAL INSURANCE ASSOCIATION	PDP	EMI Health	Medicare Prescription Drug Plan		Educators Mutual Insurance Association	79	Yes	Active	1-800-922-1557				Medicare Prescription Drug Plan		5	Dallas
S5877	Plan to Plan Reconciliation Contact			Clark	Anthony		1-801-262-7476	2965				aclark@emihealth.com	5101 S Commerce Drive		Murray	UT	84107	6/18/2018	2026	EDUCATORS MUTUAL INSURANCE ASSOCIATION	PDP	EMI Health	Medicare Prescription Drug Plan		Educators Mutual Insurance Association	79	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5884	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	Humana Insurance Co. & Humana Insurance Co. of NY	PDP	Humana	Medicare Prescription Drug Plan		Humana Inc.	128	Yes	Active					Medicare Prescription Drug Plan		5	Kansas City
S5884	Best Available Evidence Contact	"Manager, Enrollment"		McKim	Simon		1-502-580-0520					HumanaBAEReviewTeam@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	Humana Insurance Co. & Humana Insurance Co. of NY	PDP	Humana	Medicare Prescription Drug Plan		Humana Inc.	128	Yes	Active					Medicare Prescription Drug Plan		5	Kansas City
S5884	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	Humana Insurance Co. & Humana Insurance Co. of NY	PDP	Humana	Medicare Prescription Drug Plan		Humana Inc.	128	Yes	Active					Medicare Prescription Drug Plan		5	Kansas City
S5884	CMS Casework Communication Contact	Supervisor		Autrey	Paul		1-502-938-7015					HumanaCTMCasework@humana.com	101 East Main Street		Louisville	KY	40204	6/26/2026	2026	Humana Insurance Co. & Humana Insurance Co. of NY	PDP	Humana	Medicare Prescription Drug Plan		Humana Inc.	128	Yes	Active					Medicare Prescription Drug Plan		5	Kansas City
S5884	Coordination of Benefits Contact	Service Contractor		Fessel	Christie		1-502-580-4329					christie.fessel@sscinc.com	101 E Main St.		Louisville	KY	40202	6/26/2026	2026	Humana Insurance Co. & Humana Insurance Co. of NY	PDP	Humana	Medicare Prescription Drug Plan		Humana Inc.	128	Yes	Active					Medicare Prescription Drug Plan		5	Kansas City
S5884	Customer Service Operations Contact	"Director, Inbound Contacts"		Gillis	Tamra		1-502-476-9797					trhodes2@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	Humana Insurance Co. & Humana Insurance Co. of NY	PDP	Humana	Medicare Prescription Drug Plan		Humana Inc.	128	Yes	Active					Medicare Prescription Drug Plan		5	Kansas City
S5884	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	Humana Insurance Co. & Humana Insurance Co. of NY	PDP	Humana	Medicare Prescription Drug Plan		Humana Inc.	128	Yes	Active					Medicare Prescription Drug Plan		5	Kansas City
S5884	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	Humana Insurance Co. & Humana Insurance Co. of NY	PDP	Humana	Medicare Prescription Drug Plan		Humana Inc.	128	Yes	Active					Medicare Prescription Drug Plan		5	Kansas City
S5884	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	Humana Insurance Co. & Humana Insurance Co. of NY	PDP	Humana	Medicare Prescription Drug Plan		Humana Inc.	128	Yes	Active					Medicare Prescription Drug Plan		5	Kansas City
S5884	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	Humana Insurance Co. & Humana Insurance Co. of NY	PDP	Humana	Medicare Prescription Drug Plan		Humana Inc.	128	Yes	Active	1-859-321-9075				Medicare Prescription Drug Plan		5	Kansas City
S5884	Pharmacy Network Management Contact	Sr Compliance Professional		Stevens	Debra		1-502-580-0475					dstevens25@humana.com	101 East Main Street		Louisville	KY	40202	6/26/2026	2026	Humana Insurance Co. & Humana Insurance Co. of NY	PDP	Humana	Medicare Prescription Drug Plan		Humana Inc.	128	Yes	Active					Medicare Prescription Drug Plan		5	Kansas City
S5884	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	6/26/2026	2026	Humana Insurance Co. & Humana Insurance Co. of NY	PDP	Humana	Medicare Prescription Drug Plan		Humana Inc.	128	Yes	Active	1-800-865-8715				Medicare Prescription Drug Plan		5	Kansas City
S5884	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	6/26/2026	2026	Humana Insurance Co. & Humana Insurance Co. of NY	PDP	Humana	Medicare Prescription Drug Plan		Humana Inc.	128	Yes	Active					Medicare Prescription Drug Plan		5	Kansas City
S5904	Automated TrOOP Balance Transfer Contact	"Manager, PBM operations"	Ms.	Hanson	Michelle		1-612-777-6755				1-612-777-6706	EOBP2P@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Road	Eagan	MN	55121	10/27/2020	2026	"BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC."	PDP	Florida Blue	Medicare Prescription Drug Plan		Guidewell Mutual Holding Corporation	594	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5904	Best Available Evidence Contact	Sr. Dir. Medicare Ops & Int		Chick	Benjamin		1-904-905-1711					benjamin.chick@floridablue.com	4800 Deerwood Campus Pkwy	"DCC Building 300, 4th Floor"	Jacksonville	FL	32246	1/30/2024	2026	"BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC."	PDP	Florida Blue	Medicare Prescription Drug Plan		Guidewell Mutual Holding Corporation	594	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5904	Chief Financial Officer	VP CFO Government Business	Mr.	Petruzzellis	Dave		1-904-233-8443					Dave.Petruzzellis@guidewell.com	4800 Deerwood Campus Parkway	DCC Bldg 100	Jacksonville	FL	32246	4/14/2026	2026	"BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC."	PDP	Florida Blue	Medicare Prescription Drug Plan		Guidewell Mutual Holding Corporation	594	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5904	CMS Casework Communication Contact	Sr Manager Med Ops & Integrity		Irizarry	Haydee		1-321-233-0635					Haydee.Irizarry@bcbsfl.com	4800 Deerwood Campus Parkway	Bldg. 400 2nd Floor	Jacksonville	FL	32246	4/25/2023	2026	"BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC."	PDP	Florida Blue	Medicare Prescription Drug Plan		Guidewell Mutual Holding Corporation	594	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5904	Coordination of Benefits Contact	Manager PBM Operations		Hanson	Michelle		1-612-777-6755				1-312-777-6706	COBMedD@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Road	Eagan	MN	55121	2/16/2021	2026	"BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC."	PDP	Florida Blue	Medicare Prescription Drug Plan		Guidewell Mutual Holding Corporation	594	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5904	Customer Service Operations Contact	Sr. Dir. Medicare Ops & Int		Chick	Benjamin		1-904-905-1711					benjamin.chick@floridablue.com	4800 Deerwood Campus Pkwy	"DCC Building 300, 4th Floor"	Jacksonville	FL	32246	5/28/2026	2026	"BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC."	PDP	Florida Blue	Medicare Prescription Drug Plan		Guidewell Mutual Holding Corporation	594	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5904	Government Relations Contact	Sr. Health Policy Consultant		Krizanovic	Aldiana		1-904-655-0188					Aldiana.Krizanovic@bcbsfl.com	4800 Deerwood Campus Parkway	DCC Building 100	Jacksonville	FL	32246	6/23/2026	2026	"BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC."	PDP	Florida Blue	Medicare Prescription Drug Plan		Guidewell Mutual Holding Corporation	594	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5904	Hospice Contact	Sr. Manager Pharmacy		Adams	Tangela		1-904-905-0002					tangela.adams@floridablue.com	4800 Deerwood Campus Pkwy	"Building 100, 3rd Floor"	Jacksonville	FL	32246	9/30/2024	2026	"BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC."	PDP	Florida Blue	Medicare Prescription Drug Plan		Guidewell Mutual Holding Corporation	594	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5904	Medicare Compliance Officer	Sr. Director Govt Programs & Products Compliance	Mrs.	Simpson	Hillary		1-904-445-8502					hillary.simpson@bcbsfl.com	4800 Deerwood Campus Parkway	"DCC Building 100, 7th Floor"	Jacksonville	FL	32246	6/13/2022	2026	"BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC."	PDP	Florida Blue	Medicare Prescription Drug Plan		Guidewell Mutual Holding Corporation	594	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5904	Part D Exceptions Contact	Sr. Director Medicare Pharmacy Programs		Barger	Shawn							shawn.barger@bcbsfl.com	4800 Deerwood Campus Parkway		Jacksonville	FL	32246	1/5/2026	2026	"BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC."	PDP	Florida Blue	Medicare Prescription Drug Plan		Guidewell Mutual Holding Corporation	594	Yes	Active	1-954-684-9240				Medicare Prescription Drug Plan		5	Dallas
S5904	Pharmacy Network Management Contact	Sr. Director Medicare Pharmacy Programs		Barger	Shawn		1-954-684-9240					shawn.barger@bcbsfl.com	4800 Deerwood Campus Parkway		Jacksonville	FL	32246	1/5/2026	2026	"BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC."	PDP	Florida Blue	Medicare Prescription Drug Plan		Guidewell Mutual Holding Corporation	594	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5904	Pharmacy Technical Help Desk Contact	"Director, Member Services"		Pretlow	Jennifer							jennifer.pretlow@primetherapeutics.com	"Prime Therapeutics, LLC"	2900 Ames Crossing Road	Eagan	MN	55121	7/19/2021	2026	"BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC."	PDP	Florida Blue	Medicare Prescription Drug Plan		Guidewell Mutual Holding Corporation	594	Yes	Active	1-888-877-6420				Medicare Prescription Drug Plan		5	Dallas
S5904	Plan to Plan Reconciliation Contact	Accounting Specialist		Williams	Lynn		1-904-905-4568					lynn.williams@floridablue.com	4800 Deerwood Campus Parkway	"DCC Building 100, 3rd Floor"	Jacksonville	FL	32246	1/4/2019	2026	"BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC."	PDP	Florida Blue	Medicare Prescription Drug Plan		Guidewell Mutual Holding Corporation	594	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5916	Automated TrOOP Balance Transfer Contact	Mgr Project & Program Mngmnt	Ms.	Chesling	Beth		1-612-777-4823				1-612-777-6706	EOBP2P@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	3/18/2025	2026	REGENCE BLUESHIELD OF IDAHO AND REGENCE BC BS UTAH	PDP	Regence BlueShield of Idaho and Regence BC BS Utah	Medicare Prescription Drug Plan		"Cambia Health Solutions, Inc."	227	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5916	Best Available Evidence Contact	Membership Ambassador	Ms.	Wells	Trisha		1-800-543-8848	2751			1-888-335-2988	ORMEMMEDAmbassador@regence.com	PO Box 1827		Medford	OR	97501	3/18/2025	2026	REGENCE BLUESHIELD OF IDAHO AND REGENCE BC BS UTAH	PDP	Regence BlueShield of Idaho and Regence BC BS Utah	Medicare Prescription Drug Plan		"Cambia Health Solutions, Inc."	227	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5916	Chief Financial Officer	Cambia EVP & CFO	Mr.	Rains	Mike		1-317-690-0081					Mike.Rains@regence.com	1111 Lake Washington Blvd North STE 900		Renton	WA	98056	4/15/2026	2026	REGENCE BLUESHIELD OF IDAHO AND REGENCE BC BS UTAH	PDP	Regence BlueShield of Idaho and Regence BC BS Utah	Medicare Prescription Drug Plan		"Cambia Health Solutions, Inc."	227	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5916	CMS Casework Communication Contact	Ops Reporting & Perf Analyst	Ms.	Haselden	Brandy		1-800-543-8848	6370				brandy.haselden@regence.com	PO Box 1827		Medford	OR	97501	4/27/2026	2026	REGENCE BLUESHIELD OF IDAHO AND REGENCE BC BS UTAH	PDP	Regence BlueShield of Idaho and Regence BC BS Utah	Medicare Prescription Drug Plan		"Cambia Health Solutions, Inc."	227	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5916	Coordination of Benefits Contact	"Manager, Member Services"	Ms.	Christiansen	Stacy		1-541-618-1240					Stacy.Christiansen@regence.com	PO Box 1827		Medford	OR	97501	3/18/2025	2026	REGENCE BLUESHIELD OF IDAHO AND REGENCE BC BS UTAH	PDP	Regence BlueShield of Idaho and Regence BC BS Utah	Medicare Prescription Drug Plan		"Cambia Health Solutions, Inc."	227	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5916	Customer Service Operations Contact	Manager Member Services	Ms.	Ciuro	Catina		1-541-618-1268					Catina.Ciuro@regence.com	PO Box 1827		Medford	OR	97504	3/18/2025	2026	REGENCE BLUESHIELD OF IDAHO AND REGENCE BC BS UTAH	PDP	Regence BlueShield of Idaho and Regence BC BS Utah	Medicare Prescription Drug Plan		"Cambia Health Solutions, Inc."	227	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5916	Government Relations Contact	Director Government Programs Compliance Officer	Ms.	Hoey	Yen		1-503-721-4040					Yen.Hoey@cambiahealth.com	200 SW Market Street 11th Floor		Portland	OR	97201	3/18/2025	2026	REGENCE BLUESHIELD OF IDAHO AND REGENCE BC BS UTAH	PDP	Regence BlueShield of Idaho and Regence BC BS Utah	Medicare Prescription Drug Plan		"Cambia Health Solutions, Inc."	227	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5916	Hospice Contact	Pharmacy Ops Oversight Lead	Ms.	Manzer	Amy		1-503-225-5368					Amy.Manzer@regence.com	200 SW Market Street 11th Floor		Portland	OR	97201	12/22/2025	2026	REGENCE BLUESHIELD OF IDAHO AND REGENCE BC BS UTAH	PDP	Regence BlueShield of Idaho and Regence BC BS Utah	Medicare Prescription Drug Plan		"Cambia Health Solutions, Inc."	227	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5916	Medicare Compliance Officer	Director Government Programs Compliance Officer	Ms.	Hoey	Yen		1-503-721-4040					Yen.Hoey@cambiahealth.com	200 SW Market Street 11th Floor		Portland	OR	97201	3/18/2025	2026	REGENCE BLUESHIELD OF IDAHO AND REGENCE BC BS UTAH	PDP	Regence BlueShield of Idaho and Regence BC BS Utah	Medicare Prescription Drug Plan		"Cambia Health Solutions, Inc."	227	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5916	Part D Exceptions Contact	"Regulatory Pharmacist, Sr"	Mr.	Spears	Scott						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	12/22/2025	2026	REGENCE BLUESHIELD OF IDAHO AND REGENCE BC BS UTAH	PDP	Regence BlueShield of Idaho and Regence BC BS Utah	Medicare Prescription Drug Plan		"Cambia Health Solutions, Inc."	227	Yes	Active	1-800-693-6651				Medicare Prescription Drug Plan		5	Dallas
S5916	Pharmacy Network Management Contact	"VP, Network Mangement"	Ms.	Conlin	Marci		1-612-777-2837				1-877-823-6373	marci.conlin@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Rd	Eagan	MN	55121	3/18/2025	2026	REGENCE BLUESHIELD OF IDAHO AND REGENCE BC BS UTAH	PDP	Regence BlueShield of Idaho and Regence BC BS Utah	Medicare Prescription Drug Plan		"Cambia Health Solutions, Inc."	227	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5916	Pharmacy Technical Help Desk Contact	"Sr Director, Member Services"	Mr.	Scott	Shane							shane.scott@primetherapeutics.com	Prime Therapeutics LLC	2900 Ames Crossing Road	Eagan	MN	55121	3/18/2025	2026	REGENCE BLUESHIELD OF IDAHO AND REGENCE BC BS UTAH	PDP	Regence BlueShield of Idaho and Regence BC BS Utah	Medicare Prescription Drug Plan		"Cambia Health Solutions, Inc."	227	Yes	Active	1-844-765-6826				Medicare Prescription Drug Plan		5	Dallas
S5916	Plan to Plan Reconciliation Contact	Pharmacy Operations Oversight Lead	Ms.	Manzer	Amy		1-503-225-5368					Amy.Manzer@regence.com	200 SW Market Street 11th Floor		Portland	OR	97201	12/22/2025	2026	REGENCE BLUESHIELD OF IDAHO AND REGENCE BC BS UTAH	PDP	Regence BlueShield of Idaho and Regence BC BS Utah	Medicare Prescription Drug Plan		"Cambia Health Solutions, Inc."	227	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5921	Automated TrOOP Balance Transfer Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5921	Best Available Evidence Contact	"Supervisor, Enrollment & Eligibility"		Prince	Shelli		1-715-858-5748					bae_requests@uhc.com	PO Box 30769		Salt Lake City	UT	84130-0769	12/27/2024	2026	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5921	Chief Financial Officer	Business Segment CFO	Mr.	Colletti	Joseph		1-952-979-0814					joe.colletti@uhg.com	9800 Health Care Lane		Minnetonka	MN	55343	11/3/2025	2026	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5921	CMS Casework Communication Contact	Claims Bus Process Analyst		Padero	Kathryn		1-952-202-6694					UHCCTM_POC@uhc.com	6200 Northwest Parkway		San Antonio	TX	78249	12/27/2024	2026	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5921	Coordination of Benefits Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5921	Customer Service Operations Contact	"Dir, Performance Enablement & Readiness"		Crockett	Bradley		1-763-361-4330					brad_crockett@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5921	Government Relations Contact	Chief Compliance Officer		Furlong	Erin		1-952-931-5444					erin.furlong@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5921	Hospice Contact	"Director, Business Process"		Busbee	Nathanael		1-443-896-1223					nathanael.busbee@uhc.com	10175 Little Patuxent Parkway		Columbia	MD	21044	12/27/2024	2026	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5921	Medicare Compliance Officer	Chief Compliance Officer	Ms.	Furlong	Erin		1-952-931-5444					compliance_officer@uhc.com	9800 Health Care Lane		Minnetonka	MN	55343	12/27/2024	2026	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5921	Part D Exceptions Contact	"Assoc. Director, Part D A&G Audit Readiness"		Seely	Kathryn							kathryn.seely@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-595-9532				Medicare Prescription Drug Plan		5	Boston
S5921	Pharmacy Network Management Contact	"Director, Business Process"		Pham	Brittany		1-763-292-6567					brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5921	Pharmacy Technical Help Desk Contact	"Director, Business Process"		Pham	Brittany							brittany_pham@uhc.com	PO Box 9472		Minneapolis	MN	55440-9472	12/27/2024	2026	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active	1-877-889-6510				Medicare Prescription Drug Plan		5	Boston
S5921	Plan to Plan Reconciliation Contact	"Manager, Accounting"		Crone	David		1-952-931-5204					p2padmin@uhc.com	Lockbox 5818		Carol Stream	IL	60197-5818	12/27/2024	2026	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	PDP	UnitedHealthcare	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S5953	Automated TrOOP Balance Transfer Contact	Supervisor - Medicare Advantage Operations		Dewitt	Tanika		1-803-264-1103					Med.Partd@BCBSSC.com	I-20 at Alpine Road	AX-155	Columbia	SC	29219	5/8/2026	2026	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	PDP	Blue Cross Blue Shield of South Carolina	Medicare Prescription Drug Plan		BlueCross BlueShield of South Carolina (BCBSSC)	2	Yes	Withdrawn Contract					Medicare Prescription Drug Plan		5	Chicago
S5953	Best Available Evidence Contact	Director Operations		Morris	Charles		1-803-264-1799				1-803-264-9581	charles.morris@bcbssc.com	I-20 at Alpine Road	AX-155	Columbia	SC	29219	5/8/2026	2026	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	PDP	Blue Cross Blue Shield of South Carolina	Medicare Prescription Drug Plan		BlueCross BlueShield of South Carolina (BCBSSC)	2	Yes	Withdrawn Contract					Medicare Prescription Drug Plan		5	Chicago
S5953	Chief Financial Officer	"VP & CFO, BCBS Div"	Mrs.	Srulevich	Heather		1-803-264-9488					Heather.Srulevich@BCBSSC.com	I-20 at Alpine Road	AX-200	Columbia	SC	29219	5/8/2026	2026	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	PDP	Blue Cross Blue Shield of South Carolina	Medicare Prescription Drug Plan		BlueCross BlueShield of South Carolina (BCBSSC)	2	Yes	Withdrawn Contract					Medicare Prescription Drug Plan		5	Chicago
S5953	CMS Casework Communication Contact	Manager - Medicare Advantage Operations		Dewitt	Tanika		1-803-264-1103					Tanika.Dewitt@BCBSSC.com	I-20 at Alpine Road	AX-155	Columbia	SC	29219	5/8/2026	2026	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	PDP	Blue Cross Blue Shield of South Carolina	Medicare Prescription Drug Plan		BlueCross BlueShield of South Carolina (BCBSSC)	2	Yes	Withdrawn Contract					Medicare Prescription Drug Plan		5	Chicago
S5953	Coordination of Benefits Contact	Supervisor - Medicare Advantage Operations		Dewitt	Tanika		1-803-264-1103					Med.Partd@BCBSSC.com	I-20 at Alpine Road	AX-155	Columbia	SC	29219	5/8/2026	2026	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	PDP	Blue Cross Blue Shield of South Carolina	Medicare Prescription Drug Plan		BlueCross BlueShield of South Carolina (BCBSSC)	2	Yes	Withdrawn Contract					Medicare Prescription Drug Plan		5	Chicago
S5953	Customer Service Operations Contact	"Senior Director, Service & Staff Development"		Huggins	Amoy		1-803-264-3285					Amoy.Huggins@bcbssc.com	I-20 at Alpine Road	AX-F21	Columbia	SC	29219	5/8/2026	2026	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	PDP	Blue Cross Blue Shield of South Carolina	Medicare Prescription Drug Plan		BlueCross BlueShield of South Carolina (BCBSSC)	2	Yes	Withdrawn Contract					Medicare Prescription Drug Plan		5	Chicago
S5953	Government Relations Contact	Compliance Officer		Pierstorff	Joel		1-803-264-1971				1-803-264-4050	BCBSSC.MA.COMPLIANCE@bcbssc.com	I-20 at Alpine Road	AC-200	Columbia	SC	29219	5/8/2026	2026	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	PDP	Blue Cross Blue Shield of South Carolina	Medicare Prescription Drug Plan		BlueCross BlueShield of South Carolina (BCBSSC)	2	Yes	Withdrawn Contract					Medicare Prescription Drug Plan		5	Chicago
S5953	Hospice Contact			DeWitt	Tanika		1-803-264-1103					tanika.dewitt@bcbssc.com	1-20 @ Alpine Rd. AX-155		Columbia	SC	29223	5/8/2026	2026	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	PDP	Blue Cross Blue Shield of South Carolina	Medicare Prescription Drug Plan		BlueCross BlueShield of South Carolina (BCBSSC)	2	Yes	Withdrawn Contract					Medicare Prescription Drug Plan		5	Chicago
S5953	Medicare Compliance Officer	Compliance Officer	Mr.	Pierstorff	Joel		1-803-264-1971				1-803-264-4050	BCBSSC.MA.COMPLIANCE@bcbssc.com	I-20 at Alpine Road	AC-200	Columbia	SC	29219	5/8/2026	2026	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	PDP	Blue Cross Blue Shield of South Carolina	Medicare Prescription Drug Plan		BlueCross BlueShield of South Carolina (BCBSSC)	2	Yes	Withdrawn Contract					Medicare Prescription Drug Plan		5	Chicago
S5953	Part D Exceptions Contact	Manager - Medicare Part D Pharmacy Contracting		Puffenbarger	Chris						1-803-870-8162	Chris.Puffenbarger@BCBSSC.com	I-20 at Alpine Road	AX-740	Columbia	SC	29219	5/8/2026	2026	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	PDP	Blue Cross Blue Shield of South Carolina	Medicare Prescription Drug Plan		BlueCross BlueShield of South Carolina (BCBSSC)	2	Yes	Withdrawn Contract	1-803-264-4347				Medicare Prescription Drug Plan		5	Chicago
S5953	Pharmacy Network Management Contact	Manager - Medicare Part D Pharmacy Contracting		Puffenbarger	Chris		1-803-264-4347				1-803-870-8162	Chris.Puffenbarger@BCBSSC.com	I-20 at Alpine Road	AX-740	Columbia	SC	29219	5/8/2026	2026	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	PDP	Blue Cross Blue Shield of South Carolina	Medicare Prescription Drug Plan		BlueCross BlueShield of South Carolina (BCBSSC)	2	Yes	Withdrawn Contract					Medicare Prescription Drug Plan		5	Chicago
S5953	Pharmacy Technical Help Desk Contact	Sr.		Villanueva	Juan							juan.villanueva@optum.com	11000 Optum Cir		Eden Prairie	MN	55344	5/8/2026	2026	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	PDP	Blue Cross Blue Shield of South Carolina	Medicare Prescription Drug Plan		BlueCross BlueShield of South Carolina (BCBSSC)	2	Yes	Withdrawn Contract	1-855-540-5951				Medicare Prescription Drug Plan		5	Chicago
S5953	Plan to Plan Reconciliation Contact	"Director, Accounting"		Campbell	Newt		1-803-264-0357				1-803-870-8623	Newt.Campbell@bcbssc.com	I-20 at Alpine Road	AX-200	Columbia	SC	29219	5/8/2026	2026	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	PDP	Blue Cross Blue Shield of South Carolina	Medicare Prescription Drug Plan		BlueCross BlueShield of South Carolina (BCBSSC)	2	Yes	Withdrawn Contract					Medicare Prescription Drug Plan		5	Chicago
S5960	Automated TrOOP Balance Transfer Contact	Membership Representative III		McCurdy	Michelle		1-408-310-0551					FIRCommunications@elevancehealth.com	700 Broadway		Denver	CO	80273	8/28/2025	2026	WELLPOINT LIFE AND HEALTH INSURANCE COMPANY	PDP	Wellpoint	Medicare Prescription Drug Plan		"Elevance Health, Inc."	1	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5960	Best Available Evidence Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	WELLPOINT LIFE AND HEALTH INSURANCE COMPANY	PDP	Wellpoint	Medicare Prescription Drug Plan		"Elevance Health, Inc."	1	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5960	Chief Financial Officer	VP Finance Medicare – Medicare CFO	Mr.	Dlugosz	Phillip		1-630-388-9140					phillip.dlugosz@elevancehealth.com	1792 Alysheba Way	Suite 200	Lexington	KY	40509	8/28/2025	2026	WELLPOINT LIFE AND HEALTH INSURANCE COMPANY	PDP	Wellpoint	Medicare Prescription Drug Plan		"Elevance Health, Inc."	1	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5960	CMS Casework Communication Contact	"Director II, GBD G&A"		Sallee	Teia		1-513-649-7052				1-888-458-1406	teia.sallee@elevancehealth.com	4361 Irwin Simpson Rd	Mailstop OH0205-A537	Mason	OH	45040	5/2/2023	2026	WELLPOINT LIFE AND HEALTH INSURANCE COMPANY	PDP	Wellpoint	Medicare Prescription Drug Plan		"Elevance Health, Inc."	1	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5960	Coordination of Benefits Contact	Staff VP Cost Optimization		Thompson	John		1-757-473-2737					john.thompson@carelon.com	2015 Staples Mill Rd		Richmond	VA	23230	5/13/2026	2026	WELLPOINT LIFE AND HEALTH INSURANCE COMPANY	PDP	Wellpoint	Medicare Prescription Drug Plan		"Elevance Health, Inc."	1	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5960	Customer Service Operations Contact	Staff VP Contact Center		Barrios	Charles		1-832-584-0911					charles.barrios@elevancehealth.com	4361 Irwin Simpson		Mason	OH	45040	5/16/2023	2026	WELLPOINT LIFE AND HEALTH INSURANCE COMPANY	PDP	Wellpoint	Medicare Prescription Drug Plan		"Elevance Health, Inc."	1	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5960	Government Relations Contact	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	WELLPOINT LIFE AND HEALTH INSURANCE COMPANY	PDP	Wellpoint	Medicare Prescription Drug Plan		"Elevance Health, Inc."	1	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5960	Hospice Contact	"Manager II, Membership"		Hayden	Donna		1-303-831-2025					donna.m.hayden@elevancehealth.com	700 Broadway	Mail Drop CO0109-0951	Denver	CO	80273	2/2/2024	2026	WELLPOINT LIFE AND HEALTH INSURANCE COMPANY	PDP	Wellpoint	Medicare Prescription Drug Plan		"Elevance Health, Inc."	1	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5960	Medicare Compliance Officer	"Vice President, Medicare Compliance Officer"	Ms.	Turano	Michelle		1-813-295-1367					MedicareCO@anthem.com	5411 SkyCenter Drive	Suite 700	Tampa	FL	33607	7/10/2024	2026	WELLPOINT LIFE AND HEALTH INSURANCE COMPANY	PDP	Wellpoint	Medicare Prescription Drug Plan		"Elevance Health, Inc."	1	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5960	Part D Exceptions Contact	"Manager Medical Director, MD, RPh Medicare CAG"	Dr.	Dearworth	David							david.dearworth@elevancehealth.com	4361 Irwin Simpson Rd		Mason	OH	45040	10/10/2024	2026	WELLPOINT LIFE AND HEALTH INSURANCE COMPANY	PDP	Wellpoint	Medicare Prescription Drug Plan		"Elevance Health, Inc."	1	Yes	Active	1-513-316-7654				Medicare Prescription Drug Plan		5	Chicago
S5960	Pharmacy Network Management Contact	Pharmacy Network Management Director		Damon	Ben		1-513-382-3982					ben.damon@carelon.com	4241 Irwin Simpson Rd.		Mason	OH	45040	10/31/2023	2026	WELLPOINT LIFE AND HEALTH INSURANCE COMPANY	PDP	Wellpoint	Medicare Prescription Drug Plan		"Elevance Health, Inc."	1	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5960	Pharmacy Technical Help Desk Contact	Pharmacy Network Management Director		Damon	Ben							ben.damon@carelon.com	4241 Irwin Simpson Rd		Mason	OH	45040	2/29/2024	2026	WELLPOINT LIFE AND HEALTH INSURANCE COMPANY	PDP	Wellpoint	Medicare Prescription Drug Plan		"Elevance Health, Inc."	1	Yes	Active	1-833-377-4266				Medicare Prescription Drug Plan		5	Chicago
S5960	Plan to Plan Reconciliation Contact	Financial Accountant		Tran	Phuong		1-805-713-1098					Phuong.Tran@anthem.com	21215 Burbank Blvd.	Suite 100 Mailstop:  CA9304-R04H	Woodland Hills	CA	91367	5/10/2021	2026	WELLPOINT LIFE AND HEALTH INSURANCE COMPANY	PDP	Wellpoint	Medicare Prescription Drug Plan		"Elevance Health, Inc."	1	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S5966	Automated TrOOP Balance Transfer Contact	"Dir., Enrollment & Billing"		Ewen	Jillian		1-860-674-5780					JEwen@emblemhealth.com	55 Water St		New York	NY	10041	3/5/2026	2026	"EMBLEMHEALTH PLAN, INC"	PDP	EmblemHealth	Medicare Prescription Drug Plan		"EmblemHealth, Inc."	361	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5966	Best Available Evidence Contact	"Dir., Enrollment & Billing"		Ewen	Jillian		1-860-674-5780					jewen@emblemhealth.com	55 Water Street		New York	NY	10041	3/5/2026	2026	"EMBLEMHEALTH PLAN, INC"	PDP	EmblemHealth	Medicare Prescription Drug Plan		"EmblemHealth, Inc."	361	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5966	Chief Financial Officer	Chief Financial Officer	Ms.	Tamborino	Heather		1-646-447-6174					htamborino@emblemhealth.com	55 Water Street		New York	NY	10041	3/5/2026	2026	"EMBLEMHEALTH PLAN, INC"	PDP	EmblemHealth	Medicare Prescription Drug Plan		"EmblemHealth, Inc."	361	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5966	CMS Casework Communication Contact	"Dir., G & A and Pharmacy Ops."		Marie	Jacqueline	A	1-646-447-7215				1-212-510-8130	jmarie@emblemhealth.com	55 Water Street		New York	NY	10041	3/5/2026	2026	"EMBLEMHEALTH PLAN, INC"	PDP	EmblemHealth	Medicare Prescription Drug Plan		"EmblemHealth, Inc."	361	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5966	Coordination of Benefits Contact	"AVP, Provider Claim Resolution"		Maxwell	Christine		1-860-674-5751					cmaxwell@connecticare.com	175 Scott Swamp Road		Farmington	CT	06032	3/5/2026	2026	"EMBLEMHEALTH PLAN, INC"	PDP	EmblemHealth	Medicare Prescription Drug Plan		"EmblemHealth, Inc."	361	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5966	Customer Service Operations Contact	VP Customer Service		Tirado	Nicole		1-518-446-6981					ntirado@emblemhealth.com	80 Wolf Road		Albany	NY	12205	3/5/2026	2026	"EMBLEMHEALTH PLAN, INC"	PDP	EmblemHealth	Medicare Prescription Drug Plan		"EmblemHealth, Inc."	361	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5966	Government Relations Contact	"Dir., Govt. Program Regulatory/MCO"		Genovese-Scullin	Anthony		1-646-447-7110					agenovese@emblemhealth.com	55 Water Street		New York	NY	10041	3/5/2026	2026	"EMBLEMHEALTH PLAN, INC"	PDP	EmblemHealth	Medicare Prescription Drug Plan		"EmblemHealth, Inc."	361	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5966	Hospice Contact	Pharm. Govt. Programs Manager		Der Weer	J'Nisha		1-786-918-6890					jderweer@emblemhealth.com	55 Water Street		New York	NY	10041	3/5/2026	2026	"EMBLEMHEALTH PLAN, INC"	PDP	EmblemHealth	Medicare Prescription Drug Plan		"EmblemHealth, Inc."	361	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5966	Medicare Compliance Officer	"Dir., Govt. Program Regulatory/MCO"	Mr.	Genovese-Scullin	Anthony		1-646-447-7110					agenovese@emblemhealth.com	55 Water Street		New York	NY	10041	3/5/2026	2026	"EMBLEMHEALTH PLAN, INC"	PDP	EmblemHealth	Medicare Prescription Drug Plan		"EmblemHealth, Inc."	361	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5966	Part D Exceptions Contact	Pharmacy Client Ops Director		Der Weer	J'Nisha							jderweer@emblemhealth.com	55 Water street		New York	NY	10041	3/5/2026	2026	"EMBLEMHEALTH PLAN, INC"	PDP	EmblemHealth	Medicare Prescription Drug Plan		"EmblemHealth, Inc."	361	Yes	Active	1-646-447-7198				Medicare Prescription Drug Plan		5	New York
S5966	Pharmacy Network Management Contact	Pharm. Govt. Programs Manager		Der Weer	J'Nisha		1-786-918-6890					jderweer@emblemhealth.com	55 Water Street		New York	NY	10041	3/5/2026	2026	"EMBLEMHEALTH PLAN, INC"	PDP	EmblemHealth	Medicare Prescription Drug Plan		"EmblemHealth, Inc."	361	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5966	Pharmacy Technical Help Desk Contact	Dir Service Delivery		Sebastian	Marissa							marissa.sebastian@primetherapeutics.com	2900 Ames Crossing Road	#200	Eagan	MN	55121	3/5/2026	2026	"EMBLEMHEALTH PLAN, INC"	PDP	EmblemHealth	Medicare Prescription Drug Plan		"EmblemHealth, Inc."	361	Yes	Active	1-866-799-7781				Medicare Prescription Drug Plan		5	New York
S5966	Plan to Plan Reconciliation Contact	Accounts Payable Manager		Siozios	Jacqueline		1-646-447-3017					jsiozios@emblemhealth.com	55 Water Street		New York	NY	10041	3/5/2026	2026	"EMBLEMHEALTH PLAN, INC"	PDP	EmblemHealth	Medicare Prescription Drug Plan		"EmblemHealth, Inc."	361	Yes	Active					Medicare Prescription Drug Plan		5	New York
S5975	Automated TrOOP Balance Transfer Contact	"Manager, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	Relay.Health@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	5/27/2026	2026	"MODA HEALTH PLAN, INC."	PDP	"Moda Health Plan, Inc."	Medicare Prescription Drug Plan		"Moda Partners, Inc."	226	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5975	Best Available Evidence Contact	"Supervisor, Membership Accounting"		Lopez	Schannel		1-503-952-5042					schannel.lopez@modahealth.com	601 SW 2nd Avenue		Portland	OR	97204	4/10/2026	2026	"MODA HEALTH PLAN, INC."	PDP	"Moda Health Plan, Inc."	Medicare Prescription Drug Plan		"Moda Partners, Inc."	226	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5975	Chief Financial Officer	Sr VP CFO	Mr.	Evans	Dave		1-503-243-3952				1-503-948-5557	dave.evans@modahealth.com	601 S.W. Second Avenue		Portland	OR	97204	7/11/2018	2026	"MODA HEALTH PLAN, INC."	PDP	"Moda Health Plan, Inc."	Medicare Prescription Drug Plan		"Moda Partners, Inc."	226	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5975	CMS Casework Communication Contact	"Supervisor, Appeals & Grievance"	Ms.	Shattuck	Mica		1-503-412-4021				1-833-949-1888	mica.shattuck@modahealth.com	601 S.W. Second Avenue		Portland	OR	97204	4/10/2026	2026	"MODA HEALTH PLAN, INC."	PDP	"Moda Health Plan, Inc."	Medicare Prescription Drug Plan		"Moda Partners, Inc."	226	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5975	Coordination of Benefits Contact			Service	Customer		1-877-299-9062				1-503-948-5577	PharmacyMedicare@modahealth.com	PO Box 40327		Portland	OR	97240	4/19/2022	2026	"MODA HEALTH PLAN, INC."	PDP	"Moda Health Plan, Inc."	Medicare Prescription Drug Plan		"Moda Partners, Inc."	226	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5975	Customer Service Operations Contact	Customer Service Manager	Ms.	Duncan	Colleen		1-503-765-3424					colleen.duncan@modahealth.com	601 S.W. Second Avenue		Portland	OR	97204	2/11/2019	2026	"MODA HEALTH PLAN, INC."	PDP	"Moda Health Plan, Inc."	Medicare Prescription Drug Plan		"Moda Partners, Inc."	226	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5975	Government Relations Contact	Medicare Compliance Officer	Mr.	McWhorter	Gary		1-503-952-5075					gary.mcwhorter@modahealth.com	601 S.W. Second Avenue Suite 900		Portland	OR	97204	12/27/2017	2026	"MODA HEALTH PLAN, INC."	PDP	"Moda Health Plan, Inc."	Medicare Prescription Drug Plan		"Moda Partners, Inc."	226	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5975	Hospice Contact	Rx Government Programs Analyst	Mr.	Beebe	Colin		1-503-412-4175	4175			1-800-207-8235	colin.beebe@modahealth.com	601 S.W. Second Avenue		Portland	OR	97204	6/4/2020	2026	"MODA HEALTH PLAN, INC."	PDP	"Moda Health Plan, Inc."	Medicare Prescription Drug Plan		"Moda Partners, Inc."	226	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5975	Medicare Compliance Officer	Medicare Compliance Officer	Mr.	McWhorter	Gary		1-503-952-5075					gary.mcwhorter@modahealth.com	601 S.W. Second Avenue Suite 900		Portland	OR	97204	12/27/2017	2026	"MODA HEALTH PLAN, INC."	PDP	"Moda Health Plan, Inc."	Medicare Prescription Drug Plan		"Moda Partners, Inc."	226	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5975	Part D Exceptions Contact	"Pharmacy, Customer Service"		Service	Customer						1-800-207-8235	PharmacyMedicare@modahealth.com	601 S.W. Second Ave.		Portland	OR	97204	1/25/2017	2026	"MODA HEALTH PLAN, INC."	PDP	"Moda Health Plan, Inc."	Medicare Prescription Drug Plan		"Moda Partners, Inc."	226	Yes	Active	1-888-786-7509				Medicare Prescription Drug Plan		5	Dallas
S5975	Pharmacy Network Management Contact	VP Provider Services		Nagy	Don		1-608-820-4403					Don.Nagy@navitus.com	361 Integrity Drive		Madison	WI	53717	5/11/2026	2026	"MODA HEALTH PLAN, INC."	PDP	"Moda Health Plan, Inc."	Medicare Prescription Drug Plan		"Moda Partners, Inc."	226	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5975	Pharmacy Technical Help Desk Contact	"Sr. Manager, Customer Care Accounts"		Nett	Danielle						1-920-221-4724	Danielle.Nett@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	6/4/2020	2026	"MODA HEALTH PLAN, INC."	PDP	"Moda Health Plan, Inc."	Medicare Prescription Drug Plan		"Moda Partners, Inc."	226	Yes	Active	1-866-270-3877	4224			Medicare Prescription Drug Plan		5	Dallas
S5975	Plan to Plan Reconciliation Contact	Lead Pharmacy Benefit Formulary Coordinator	Ms	Brokaw	Katie		1-503-265-4771	4771				katie.brokaw@modahealth.com	601 S.W. Second Avenue		Portland	OR	97204	10/29/2019	2026	"MODA HEALTH PLAN, INC."	PDP	"Moda Health Plan, Inc."	Medicare Prescription Drug Plan		"Moda Partners, Inc."	226	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5993	Automated TrOOP Balance Transfer Contact	"Director, PBM Ops."	Ms.	Cain	Christina		1-612-777-6722				1-612-777-1330	EOBP2P@primetherapeutics.com	2900 Ames Crossing Rd		Eagan	MN	55121	11/28/2023	2026	HORIZON INSURANCE COMPANY	PDP	Horizon Blue Cross Blue Shield of New Jersey	Medicare Prescription Drug Plan		"Horizon Mutual Holdings, Inc"	126	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5993	Best Available Evidence Contact	"Supervisor, Govt. Programs"		Achoe	Kisha		1-973-466-7328					Kisha_Achoe@horizonblue.com	3 Penn Plaza East		Newark	NJ	07105	7/27/2023	2026	HORIZON INSURANCE COMPANY	PDP	Horizon Blue Cross Blue Shield of New Jersey	Medicare Prescription Drug Plan		"Horizon Mutual Holdings, Inc"	126	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5993	Chief Financial Officer	SVP & Chief Financial Offcr.	Mr.	Rosenberg	David		1-973-466-4600					david_rosenberg@horizonblue.com	3 Penn Plaza	PP-16	Newark	NJ	07105	11/2/2022	2026	HORIZON INSURANCE COMPANY	PDP	Horizon Blue Cross Blue Shield of New Jersey	Medicare Prescription Drug Plan		"Horizon Mutual Holdings, Inc"	126	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5993	CMS Casework Communication Contact	"Director, GP Operations"		Maramraju	Venkata		1-609-537-2113					venkata.maramraju@horizonblue.com	1700 American Boulevard		Pennington	NJ	08534	1/3/2022	2026	HORIZON INSURANCE COMPANY	PDP	Horizon Blue Cross Blue Shield of New Jersey	Medicare Prescription Drug Plan		"Horizon Mutual Holdings, Inc"	126	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5993	Coordination of Benefits Contact	"Director, PBM Ops"	Ms.	Cain	Christina		1-612-777-6722				1-612-777-1330	COBMedD@primetherapeutics.com	2900 Ames Crossing Rd		Eagan	MN	55121	11/28/2023	2026	HORIZON INSURANCE COMPANY	PDP	Horizon Blue Cross Blue Shield of New Jersey	Medicare Prescription Drug Plan		"Horizon Mutual Holdings, Inc"	126	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5993	Customer Service Operations Contact	"Director, Operations - GP"		Maramraju	Venkata		1-609-537-2113					venkata_maramraju@horizonblue.com	1700 American Blvd	HL-03	Pennington	NJ	08534	1/27/2026	2026	HORIZON INSURANCE COMPANY	PDP	Horizon Blue Cross Blue Shield of New Jersey	Medicare Prescription Drug Plan		"Horizon Mutual Holdings, Inc"	126	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5993	Government Relations Contact	"Director, Regulatory Compliance"	Ms.	Ventura	Jill		1-609-537-2611					Jill_Ventura@horizonblue.com	1700 American Blvd	HL-03	Pennington	NJ	08534	4/7/2026	2026	HORIZON INSURANCE COMPANY	PDP	Horizon Blue Cross Blue Shield of New Jersey	Medicare Prescription Drug Plan		"Horizon Mutual Holdings, Inc"	126	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5993	Hospice Contact	"Manager, Clinical Pharmacy"		Sun	Jane		1-973-466-5044					Jane_Sun@horizonblue.com	3 Penn Plaza	12-Q	Newark	NJ	07105	2/15/2018	2026	HORIZON INSURANCE COMPANY	PDP	Horizon Blue Cross Blue Shield of New Jersey	Medicare Prescription Drug Plan		"Horizon Mutual Holdings, Inc"	126	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5993	Medicare Compliance Officer	"Director, GP Regulatory Compliance"	Ms.	Ventura	Jill		1-609-537-2611					jill_ventura@horizonblue.com	1700 American Blvd.	HL-03	Pennington	NJ	08534	3/25/2026	2026	HORIZON INSURANCE COMPANY	PDP	Horizon Blue Cross Blue Shield of New Jersey	Medicare Prescription Drug Plan		"Horizon Mutual Holdings, Inc"	126	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5993	Part D Exceptions Contact	"Director, Reg/Audit Response"	Ms.	Davis	Megan						1-800-693-6703	clinicalreviewmeddaudit@primetherapeutics.com	2900 Ames Crossing Rd		"Eagan,"	MN	55121	4/15/2021	2026	HORIZON INSURANCE COMPANY	PDP	Horizon Blue Cross Blue Shield of New Jersey	Medicare Prescription Drug Plan		"Horizon Mutual Holdings, Inc"	126	Yes	Active	1-800-693-6651				Medicare Prescription Drug Plan		5	Dallas
S5993	Pharmacy Network Management Contact	"AVP, Network Mgmt"	Ms	Conlin	Marci		1-612-777-2842					Marci.Conlin@primetherapeutics.com	2900 Ames Crossing Rd		Eagan	MN	55121	4/15/2021	2026	HORIZON INSURANCE COMPANY	PDP	Horizon Blue Cross Blue Shield of New Jersey	Medicare Prescription Drug Plan		"Horizon Mutual Holdings, Inc"	126	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S5993	Pharmacy Technical Help Desk Contact	"Director, Member Services"		Schultz	Bret							bret.schultz@primetherapeutics.com	2900 Ames Crossing Road		Eagan	MN	55121	6/12/2024	2026	HORIZON INSURANCE COMPANY	PDP	Horizon Blue Cross Blue Shield of New Jersey	Medicare Prescription Drug Plan		"Horizon Mutual Holdings, Inc"	126	Yes	Active	1-800-391-1926				Medicare Prescription Drug Plan		5	Dallas
S5993	Plan to Plan Reconciliation Contact	Pharmacy Business Admin		Cunningham	Theresa		1-973-466-7886				1-973-466-4665	theresa_cunningham@horizonblue.com	"3 Penn Plaza East, PP-12Q"		Newark	NJ	07105	10/14/2016	2026	HORIZON INSURANCE COMPANY	PDP	Horizon Blue Cross Blue Shield of New Jersey	Medicare Prescription Drug Plan		"Horizon Mutual Holdings, Inc"	126	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S6875	Automated TrOOP Balance Transfer Contact	Lead Business Systems Support Admin		Jimenez	Barbara		1-267-675-1825					barbara.jimenez@ibx.com	1901 Market Street	16th Floor	Philadelphia	PA	19103	2/27/2023	2026	QCC INSURANCE COMPANY	PDP	Independence Blue Cross	Medicare Prescription Drug Plan		"Independence Health Group, Inc."	609	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S6875	Best Available Evidence Contact	Lead Business Sys Support Admin		Jimenez	Barbara		1-267-675-1825					barbara.jimenez@ibx.com	"1901 Market Street, 16th Floor"		Philadelphia	PA	19103	5/8/2026	2026	QCC INSURANCE COMPANY	PDP	Independence Blue Cross	Medicare Prescription Drug Plan		"Independence Health Group, Inc."	609	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S6875	Chief Financial Officer	"EVP, CFO, & Treasurer"	Mr.	Lopez	Juan		1-215-241-4614	24614				Juan.Lopez@ibx.com	1901 Market Street	45th Floor	Philadelphia	PA	19103	6/15/2022	2026	QCC INSURANCE COMPANY	PDP	Independence Blue Cross	Medicare Prescription Drug Plan		"Independence Health Group, Inc."	609	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S6875	CMS Casework Communication Contact	"Manager, Process Svcs Performance & Admin"		Davis	Isabel		1-267-675-1635					isabel.davis@ibx.com	1900 Market Street	4th Floor	Philadelphia	PA	19103	11/12/2025	2026	QCC INSURANCE COMPANY	PDP	Independence Blue Cross	Medicare Prescription Drug Plan		"Independence Health Group, Inc."	609	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S6875	Coordination of Benefits Contact	Mgr Claims Optns		Rutledge	Maureen		1-215-793-3141					maureen.rutledge@ibx.com	1901 Market Street	17th Floor	Philadelphia	PA	19103	3/5/2026	2026	QCC INSURANCE COMPANY	PDP	Independence Blue Cross	Medicare Prescription Drug Plan		"Independence Health Group, Inc."	609	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S6875	Customer Service Operations Contact	"Director, Contact Center"		Koper	Stan		1-215-640-7445					stan.koperjr@ibx.com	1900 Market Street	5th Floor	Philadelphia	PA	19103	2/4/2026	2026	QCC INSURANCE COMPANY	PDP	Independence Blue Cross	Medicare Prescription Drug Plan		"Independence Health Group, Inc."	609	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S6875	Government Relations Contact	Director of Regulatory Performance Management		Wyka	Tara		1-215-241-3648					Tara.Wyka@ibx.com	1901 Market Street	22nd Floor	Philadelphia	PA	19103	6/25/2019	2026	QCC INSURANCE COMPANY	PDP	Independence Blue Cross	Medicare Prescription Drug Plan		"Independence Health Group, Inc."	609	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S6875	Hospice Contact	Pharmacy Service Process & Governance Director		Erdman	Kathy		1-215-241-2654					kathy.erdman@ibx.com	1901 Market Street	29th Floor	Philadelphia	PA	19103	6/29/2023	2026	QCC INSURANCE COMPANY	PDP	Independence Blue Cross	Medicare Prescription Drug Plan		"Independence Health Group, Inc."	609	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S6875	Medicare Compliance Officer	"Director, Corporate Compliance, Medicare and Comme"	Mr.	Goldberg	Mitchell		1-215-241-9516				1-215-567-4542	Mitchell.Goldberg@ibx.com	1901 Market Street	42nd Floor	Philadelphia	PA	19103	2/13/2025	2026	QCC INSURANCE COMPANY	PDP	Independence Blue Cross	Medicare Prescription Drug Plan		"Independence Health Group, Inc."	609	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S6875	Part D Exceptions Contact	Pharmacy Services Process & Governance Director		Erdman	Kathy						1-215-241-3526	Kathy.Erdman@ibx.com	1901 Market Street	29th Floor	Philadelphia	PA	19103	4/16/2021	2026	QCC INSURANCE COMPANY	PDP	Independence Blue Cross	Medicare Prescription Drug Plan		"Independence Health Group, Inc."	609	Yes	Active	1-888-678-7015				Medicare Prescription Drug Plan		5	Chicago
S6875	Pharmacy Network Management Contact	Pharmacy Services Process & Governance Director		Erdman	Kathy		1-215-241-2654				1-215-241-3526	Kathy.Erdman@ibx.com	1901 Market Street	29th Floor	Philadelphia	PA	19103	4/16/2021	2026	QCC INSURANCE COMPANY	PDP	Independence Blue Cross	Medicare Prescription Drug Plan		"Independence Health Group, Inc."	609	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S6875	Pharmacy Technical Help Desk Contact	Pharmacy Services Process & Governance Director		Erdman	Kathy						1-215-241-3526	Kathy.Erdman@ibx.com	1901 Market Street	29th Floor	Philadelphia	PA	19103	2/19/2026	2026	QCC INSURANCE COMPANY	PDP	Independence Blue Cross	Medicare Prescription Drug Plan		"Independence Health Group, Inc."	609	Yes	Active	1-844-265-1887				Medicare Prescription Drug Plan		5	Chicago
S6875	Plan to Plan Reconciliation Contact	Lead GM Data Audit & Sub Analyst		Wyher	Geoffrey		1-215-640-7265				1-215-241-2408	geoffrey.wyher@ibx.com	1901 Market Street	37th Floor	Philadelphia	PA	19103	2/18/2022	2026	QCC INSURANCE COMPANY	PDP	Independence Blue Cross	Medicare Prescription Drug Plan		"Independence Health Group, Inc."	609	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S6939	Automated TrOOP Balance Transfer Contact	"Vice President, Business Operations"		Malvo	Donovan		1-857-282-3015					dmalvo@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/4/2025	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	PDP	Mass General Brigham Health Plan	Medicare Prescription Drug Plan		Mass General Brigham Incorporated	784	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S6939	Best Available Evidence Contact	"Director, Enrollment"		Merrill	Benjamin		1-857-282-2831					bmerrill2@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/4/2025	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	PDP	Mass General Brigham Health Plan	Medicare Prescription Drug Plan		Mass General Brigham Incorporated	784	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S6939	Chief Financial Officer	Chief Financial Officer	Ms	Silva	Lucy		1-857-282-6595					lsilva16@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/4/2025	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	PDP	Mass General Brigham Health Plan	Medicare Prescription Drug Plan		Mass General Brigham Incorporated	784	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S6939	CMS Casework Communication Contact	"Director, Appeals and Grievances"		Swasey	Andrea		1-800-433-5556	1005				aswasey@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/4/2025	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	PDP	Mass General Brigham Health Plan	Medicare Prescription Drug Plan		Mass General Brigham Incorporated	784	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S6939	Coordination of Benefits Contact	"Manager, Recoveries"		Ryan	Cathy		1-857-282-9131					cryan17@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/4/2025	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	PDP	Mass General Brigham Health Plan	Medicare Prescription Drug Plan		Mass General Brigham Incorporated	784	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S6939	Customer Service Operations Contact	"Director, Customer Services"		Armstrong	Carolyn		1-413-427-0087					carmstrong6@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/4/2025	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	PDP	Mass General Brigham Health Plan	Medicare Prescription Drug Plan		Mass General Brigham Incorporated	784	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S6939	Government Relations Contact	"Director, Government Affairs"		Sullivan	John		1-857-282-3376					jsullivan77@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/4/2025	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	PDP	Mass General Brigham Health Plan	Medicare Prescription Drug Plan		Mass General Brigham Incorporated	784	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S6939	Hospice Contact	"Director, Pharmacy"		Gallagher	Angela		1-857-282-2493					agallagher9@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/4/2025	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	PDP	Mass General Brigham Health Plan	Medicare Prescription Drug Plan		Mass General Brigham Incorporated	784	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S6939	Medicare Compliance Officer	Medicare Compliance Officer	Ms	Trembley	Shannon		1-207-939-4468					strembley1@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/4/2025	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	PDP	Mass General Brigham Health Plan	Medicare Prescription Drug Plan		Mass General Brigham Incorporated	784	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S6939	Part D Exceptions Contact	"Manager, Prior Authorization Appeals"		Le	Christina							christina.le@optum.com	PO Box 2975		Mission	KS	66201	2/4/2025	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	PDP	Mass General Brigham Health Plan	Medicare Prescription Drug Plan		Mass General Brigham Incorporated	784	Yes	Active	1-714-825-3783				Medicare Prescription Drug Plan		5	Boston
S6939	Pharmacy Network Management Contact	"Manager, Retail Network Operations"		Perez	Felix		1-305-331-3044					felix.perez@optum.com	11000 Optum Circle		Eden Prarie	MN	55344	2/4/2025	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	PDP	Mass General Brigham Health Plan	Medicare Prescription Drug Plan		Mass General Brigham Incorporated	784	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S6939	Pharmacy Technical Help Desk Contact	"Director, Pharmacy"		Gallagher	Angela							agallagher9@mgb.org	399 Revolution Dr		Somerville	MA	02145	12/16/2025	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	PDP	Mass General Brigham Health Plan	Medicare Prescription Drug Plan		Mass General Brigham Incorporated	784	Yes	Active	1-844-368-8732				Medicare Prescription Drug Plan		5	Boston
S6939	Plan to Plan Reconciliation Contact	Finance Director	Ms	Umashankar	Kamini		1-860-839-3151					kumashankar@mgb.org	399 Revolution Dr		Somerville	MA	02145	2/4/2025	2026	"MASS GENERAL BRIGHAM HEALTH PLAN, INC"	PDP	Mass General Brigham Health Plan	Medicare Prescription Drug Plan		Mass General Brigham Incorporated	784	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S8067	Automated TrOOP Balance Transfer Contact	Manager Pharmacy Benefits Operations	Ms.	Cook	Tammy		1-717-703-8749				1-717-346-6836	Tammy.Cook@capbluecross.com	2500 Elmerton Avenue		Harrisburg	PA	17177	3/7/2023	2026	Avalon Insurance Company	PDP	Avalon Insurance Company	Medicare Prescription Drug Plan		CAPITAL BLUE CROSS	41	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S8067	Best Available Evidence Contact	Sr. Director Government Operations	Mr.	Koch	Jonathan		1-717-829-2114				1-717-651-8873	jonathan.koch@capbluecross.com	2500 Elmerton Ave		Harrisburg	PA	17177	5/11/2026	2026	Avalon Insurance Company	PDP	Avalon Insurance Company	Medicare Prescription Drug Plan		CAPITAL BLUE CROSS	41	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S8067	Chief Financial Officer	Chief Financial Officer	Mr.	Woodard	Ralph		1-717-541-7181					ralph.woodard@capbluecross.com	2500 Elmerton Avenue		Harrisburg	PA	17177	3/7/2023	2026	Avalon Insurance Company	PDP	Avalon Insurance Company	Medicare Prescription Drug Plan		CAPITAL BLUE CROSS	41	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S8067	CMS Casework Communication Contact		Ms.	Drawbaugh	Cindy		1-717-541-6257					cindy.drawbaugh@capbluecross.com	2500 Elmerton Avenue		Harrisburg	PA	17177	3/7/2023	2026	Avalon Insurance Company	PDP	Avalon Insurance Company	Medicare Prescription Drug Plan		CAPITAL BLUE CROSS	41	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S8067	Coordination of Benefits Contact	Manager Pharmacy Benefits Operations	Ms.	Cook	Tammy		1-717-703-8749				1-717-346-6836	Tammy.Cook@capbluecross.com	2500 Elmerton Avenue		Harrisburg	PA	17177	3/7/2023	2026	Avalon Insurance Company	PDP	Avalon Insurance Company	Medicare Prescription Drug Plan		CAPITAL BLUE CROSS	41	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S8067	Customer Service Operations Contact	Sr. Director Government Operations	Mr.	Koch	Jonathan		1-717-829-2114				1-717-651-8873	jonathan.koch@capbluecross.com	2500 Elmerton Avenue		Harrisburg	PA	17177	5/11/2026	2026	Avalon Insurance Company	PDP	Avalon Insurance Company	Medicare Prescription Drug Plan		CAPITAL BLUE CROSS	41	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S8067	Government Relations Contact	Sr. VP & General Counsel	Mr.	Hopkins	Joel		1-717-541-6358				1-717-651-4445	Joel.Hopkins@capbluecross.com	2500 Elmerton Avenue		Harrisburg	PA	17177	3/7/2023	2026	Avalon Insurance Company	PDP	Avalon Insurance Company	Medicare Prescription Drug Plan		CAPITAL BLUE CROSS	41	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S8067	Hospice Contact	"Director, Medicare Pharmacy"	Ms.	Watts	Christa		1-717-541-7405				1-717-651-8146	christa.watts@capbluecross.com	2500 Elmerton Avenue		Harrisburg	PA	17177	5/15/2025	2026	Avalon Insurance Company	PDP	Avalon Insurance Company	Medicare Prescription Drug Plan		CAPITAL BLUE CROSS	41	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S8067	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Leedock	Melissa		1-717-541-6934					Melissa.Leedock@capbluecross.com	2500 Elmerton Avenue		Harrisburg	PA	17177	12/2/2024	2026	Avalon Insurance Company	PDP	Avalon Insurance Company	Medicare Prescription Drug Plan		CAPITAL BLUE CROSS	41	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S8067	Part D Exceptions Contact	"Director, Medicare Pharmacy"	Ms	Watts	Christa							christa.watts@capbluecross.com	2500 Elmerton Ave		Harrisburg	PA	17177	5/15/2025	2026	Avalon Insurance Company	PDP	Avalon Insurance Company	Medicare Prescription Drug Plan		CAPITAL BLUE CROSS	41	Yes	Active	1-866-987-4213				Medicare Prescription Drug Plan		5	Chicago
S8067	Pharmacy Network Management Contact	Manager Pharmacy Benefits Operations	Ms.	Cook	Tammy		1-717-703-8749				1-717-346-6836	Tammy.Cook@capbluecross.com	2500 Elmerton Avenue		Harrisburg	PA	17177	3/7/2023	2026	Avalon Insurance Company	PDP	Avalon Insurance Company	Medicare Prescription Drug Plan		CAPITAL BLUE CROSS	41	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S8067	Pharmacy Technical Help Desk Contact	"Sr. Director, Member Services"	Mr.	Scott	Shane							shane.scott@primetherapeutics.com	Prime Therapeutics LLC 2655 Eagan Woods Drive		Eagan	MN	55122	12/16/2024	2026	Avalon Insurance Company	PDP	Avalon Insurance Company	Medicare Prescription Drug Plan		CAPITAL BLUE CROSS	41	Yes	Active	1-888-878-0151				Medicare Prescription Drug Plan		5	Chicago
S8067	Plan to Plan Reconciliation Contact	Accountant I	Ms.	Balseiro	Julia		1-717-541-7458					FinanceP2P-CASH@CapBlueCross.com	2500 Elmerton Avenue	Mail Drop 3237	Harrisburg	PA	17177	5/7/2024	2026	Avalon Insurance Company	PDP	Avalon Insurance Company	Medicare Prescription Drug Plan		CAPITAL BLUE CROSS	41	Yes	Active					Medicare Prescription Drug Plan		5	Chicago
S8841	Automated TrOOP Balance Transfer Contact	"Manager, Business Process"	Mr.	Diaz	Mario		1-949-475-3517					mario.diaz@optum.com	1 Optum Circle		Eden Prairie	MN	55344	5/12/2025	2026	"OPTUM INSURANCE OF OHIO, INC."	PDP	"Optum Insurance of Ohio, Inc."	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S8841	Best Available Evidence Contact	"Director, Medicare Enrollment"	Mr.	Johnson	Kent	E	1-518-727-5630					kent.johnson@optum.com	64 Loughberry Lake Road		Saratoga Springs	NY	12866	8/24/2020	2026	"OPTUM INSURANCE OF OHIO, INC."	PDP	"Optum Insurance of Ohio, Inc."	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S8841	Chief Financial Officer	"CFO, OptumRx"	Mr.	Vesledahl	Matthew		1-952-979-5574					optumrx_chief_fin_officer@optum.com	6022 Blue Circle	Attn: MN101 E400	Minnetonka	MN	55343	10/3/2025	2026	"OPTUM INSURANCE OF OHIO, INC."	PDP	"Optum Insurance of Ohio, Inc."	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S8841	CMS Casework Communication Contact	Medicare Compliance Officer	Ms.	Shocklee	Beth		1-301-775-6358					beth.shocklee@optum.com	1 Optum Circle		Eden Prairie	MN	55344	5/12/2025	2026	"OPTUM INSURANCE OF OHIO, INC."	PDP	"Optum Insurance of Ohio, Inc."	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S8841	Coordination of Benefits Contact	OptumRx EGWP COB Mailbox		EGWP COB Mailbox	OptumRx		1-224-231-1694					subrogation_optuminsuranceofohio@optum.com	1 Optum Circle		Eden Prairie	MN	55344	5/12/2025	2026	"OPTUM INSURANCE OF OHIO, INC."	PDP	"Optum Insurance of Ohio, Inc."	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S8841	Customer Service Operations Contact	"Manager, Customer Service"	Ms.	Ortiz	Lisa Marie		1-714-825-3805					lisamarie.ortiz@optum.com	1 Optum Circle		Eden Prarie	MN	55344	5/12/2025	2026	"OPTUM INSURANCE OF OHIO, INC."	PDP	"Optum Insurance of Ohio, Inc."	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S8841	Government Relations Contact	"Senior Director, Regulatory Affairs Optum"	Ms.	Field	Lily		1-952-687-4280					lily.field@optum.com	1 Optum Circle		Eden Prairie	MN	55344	5/12/2025	2026	"OPTUM INSURANCE OF OHIO, INC."	PDP	"Optum Insurance of Ohio, Inc."	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S8841	Hospice Contact	Director- Prior Authorization Governance.	Ms.	Mourad	Hala		1-630-890-5558					hala.mourad@optum.com	1 Optum Circle		Eden Prairie	MN	55344	5/12/2025	2026	"OPTUM INSURANCE OF OHIO, INC."	PDP	"Optum Insurance of Ohio, Inc."	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S8841	Medicare Compliance Officer	Medicare Compliance Officer	Ms.	Shocklee	Beth		1-301-775-6358					beth.shocklee@optum.com	1 Optum Circle		Eden Prairie	MN	55344	5/12/2025	2026	"OPTUM INSURANCE OF OHIO, INC."	PDP	"Optum Insurance of Ohio, Inc."	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S8841	Part D Exceptions Contact	"Manager, Prior Authorization Appeals"	Ms.	Le	Christina						1-877-239-4565	christina.le@optum.com	PO Box 2975		Mission	KS	66201	4/8/2024	2026	"OPTUM INSURANCE OF OHIO, INC."	PDP	"Optum Insurance of Ohio, Inc."	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active	1-714-825-3783				Medicare Prescription Drug Plan		5	Boston
S8841	Pharmacy Network Management Contact	"Manager, Retail Network Operations"	Mr.	Perez	Felix		1-305-331-3044					felix.perez@optum.com	1 Optum Cir		Eden Prairie	MN	55344	5/12/2025	2026	"OPTUM INSURANCE OF OHIO, INC."	PDP	"Optum Insurance of Ohio, Inc."	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S8841	Pharmacy Technical Help Desk Contact	"Manager, Pharmacy Help Desk"	Mr.	Villanueva	Juan							juan.villanueva@optum.com	1 Optum Circle		Eden Prairie	MN	55344	5/12/2025	2026	"OPTUM INSURANCE OF OHIO, INC."	PDP	"Optum Insurance of Ohio, Inc."	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active	1-800-788-7871				Medicare Prescription Drug Plan		5	Boston
S8841	Plan to Plan Reconciliation Contact	"Director, Accounting"	Mr.	Woldehawariat	Million		1-952-205-7859					million.woldehawariat@optum.com	Lockbox 5818		Carol Stream	IL	60197	4/8/2024	2026	"OPTUM INSURANCE OF OHIO, INC."	PDP	"Optum Insurance of Ohio, Inc."	Medicare Prescription Drug Plan		"UnitedHealth Group, Inc."	239	Yes	Active					Medicare Prescription Drug Plan		5	Boston
S9701	Automated TrOOP Balance Transfer Contact	"Operations Manager, Enrollment and Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	Relay.Health@Navitus.com	1025 West Navitus Drive		Appleton	WI	54913	3/11/2025	2026	"DEAN HEALTH INSURANCE, INC."	PDP	Navitus MedicareRx	Medicare Prescription Drug Plan		Medica Holding Company	439	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S9701	Best Available Evidence Contact	Client Onboarding Advisor		Pagel	Ben		1-920-221-4127					ben.pagel@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	3/11/2025	2026	"DEAN HEALTH INSURANCE, INC."	PDP	Navitus MedicareRx	Medicare Prescription Drug Plan		Medica Holding Company	439	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S9701	Chief Financial Officer	CFO	Ms	Dusil	Krista		1-952-992-3908					CFO@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	7/1/2025	2026	"DEAN HEALTH INSURANCE, INC."	PDP	Navitus MedicareRx	Medicare Prescription Drug Plan		Medica Holding Company	439	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S9701	CMS Casework Communication Contact	"Supervisor, Grievance and Appeals"		Blair	Rachel		1-920-221-4372				1-844-268-9791	Rachel.Blair@Navitus.com	1025 W Navitus Dr.		Appleton	WI	54913	10/7/2025	2026	"DEAN HEALTH INSURANCE, INC."	PDP	Navitus MedicareRx	Medicare Prescription Drug Plan		Medica Holding Company	439	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S9701	Coordination of Benefits Contact	"Operations Manager, Enrollment & Eligibility"		Sherman	Mandy		1-920-221-4083				1-920-221-4583	mandy.sherman@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	10/7/2025	2026	"DEAN HEALTH INSURANCE, INC."	PDP	Navitus MedicareRx	Medicare Prescription Drug Plan		Medica Holding Company	439	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S9701	Customer Service Operations Contact	"Sr. Manager, Customer Care Accounts"		Nett	Danielle		1-920-221-4224					Danielle.Nett@Navitus.com	1025 West Navitus Drive		Appleton	WI	54913	3/11/2025	2026	"DEAN HEALTH INSURANCE, INC."	PDP	Navitus MedicareRx	Medicare Prescription Drug Plan		Medica Holding Company	439	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S9701	Government Relations Contact	"General Manager, Medicare Part D Programs"		Jacoby	Scott		1-920-221-4087				1-920-221-4587	scott.jacoby@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	10/13/2022	2026	"DEAN HEALTH INSURANCE, INC."	PDP	Navitus MedicareRx	Medicare Prescription Drug Plan		Medica Holding Company	439	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S9701	Hospice Contact	"Sr. Business Analyst, Enrollment and Eligibility"		Noel	Bailee		1-920-221-4008				1-920-221-4583	Bailee.Noel@Navitus.com	1025 West Navitus Drive		Appleton	WI	54913	11/17/2025	2026	"DEAN HEALTH INSURANCE, INC."	PDP	Navitus MedicareRx	Medicare Prescription Drug Plan		Medica Holding Company	439	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S9701	Medicare Compliance Officer	VP Risk and Compliance	Ms	Bengtson	Kelly		1-952-992-3948					complianceofficer@medica.com	401 Carlson Parkway		Minnetonka	MN	55305	2/24/2026	2026	"DEAN HEALTH INSURANCE, INC."	PDP	Navitus MedicareRx	Medicare Prescription Drug Plan		Medica Holding Company	439	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S9701	Part D Exceptions Contact	"Assoc Director, Clinical Prior Authorization"		LeClair	Christophe						1-920-221-4676	Christopher.LeClair@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	4/9/2024	2026	"DEAN HEALTH INSURANCE, INC."	PDP	Navitus MedicareRx	Medicare Prescription Drug Plan		Medica Holding Company	439	Yes	Active	1-920-221-4176				Medicare Prescription Drug Plan		5	Dallas
S9701	Pharmacy Network Management Contact	"VP, Network Management"		Santos	Christina		1-608-820-4408					Christina.Santos@navitus.com	361 Integrity Drive		Madison	WI	53717	4/9/2024	2026	"DEAN HEALTH INSURANCE, INC."	PDP	Navitus MedicareRx	Medicare Prescription Drug Plan		Medica Holding Company	439	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
S9701	Pharmacy Technical Help Desk Contact	"Sr. Manager, Customer Care Accounts"		Nett	Danielle						1-920-221-4724	Danielle.Nett@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	3/11/2025	2026	"DEAN HEALTH INSURANCE, INC."	PDP	Navitus MedicareRx	Medicare Prescription Drug Plan		Medica Holding Company	439	Yes	Active	1-866-270-3877	4224			Medicare Prescription Drug Plan		5	Dallas
S9701	Plan to Plan Reconciliation Contact	"Sr. Financial Analyst, Medicare Part D"		Seehafer	Angela		1-920-221-4098				1-920-221-4598	Angela.Seehafer@navitus.com	1025 West Navitus Drive		Appleton	WI	54913	10/19/2023	2026	"DEAN HEALTH INSURANCE, INC."	PDP	Navitus MedicareRx	Medicare Prescription Drug Plan		Medica Holding Company	439	Yes	Active					Medicare Prescription Drug Plan		5	Dallas
X0001	Automated TrOOP Balance Transfer Contact	Pharmacy Claims Lead		Fleming	Brandi		1-502-476-8814					HumanaEOBTransfer@humana.com	101 East Main Street		Louisville	KY	40202	12/19/2025	2026	Humana Insurance Co. & Humana Insurance Co. of NY	LI NET Sponsor	Medicare's Limited Income NET Program	LI NET Sponsor		Humana Inc.	128	Yes	Active					LI NET Sponsor		5	Philadelphia
X0001	Best Available Evidence Contact	"Associate Dir., Consumer Service"		Beasley	Tasha		1-502-476-7452					MedicareLINET@humana.com	101 East Main Street		Louisville	KY	40202	12/19/2025	2026	Humana Insurance Co. & Humana Insurance Co. of NY	LI NET Sponsor	Medicare's Limited Income NET Program	LI NET Sponsor		Humana Inc.	128	Yes	Active					LI NET Sponsor		5	Philadelphia
X0001	Chief Financial Officer	Chief Financial Officer	Ms.	Mellet	Celeste		1-502-580-1117					cmellet@humana.com	101 East Main Street		Louisville	KY	40202	12/19/2025	2026	Humana Insurance Co. & Humana Insurance Co. of NY	LI NET Sponsor	Medicare's Limited Income NET Program	LI NET Sponsor		Humana Inc.	128	Yes	Active					LI NET Sponsor		5	Philadelphia
X0001	CMS Casework Communication Contact			Beasley	Tasha		1-502-476-6134					tcovington1@humana.com	101 East Main Street		Louisville	KY	40202	12/19/2025	2026	Humana Insurance Co. & Humana Insurance Co. of NY	LI NET Sponsor	Medicare's Limited Income NET Program	LI NET Sponsor		Humana Inc.	128	Yes	Active					LI NET Sponsor		5	Philadelphia
X0001	Coordination of Benefits Contact	"Associate Director, Pharmacy Claims"		Fessel	Christie		1-502-580-4329					cfessel@humana.com	101 E Main St.		Louisville	KY	40202	12/19/2025	2026	Humana Insurance Co. & Humana Insurance Co. of NY	LI NET Sponsor	Medicare's Limited Income NET Program	LI NET Sponsor		Humana Inc.	128	Yes	Active					LI NET Sponsor		5	Philadelphia
X0001	Customer Service Operations Contact			Beasley	Tasha		1-502-476-6134					tcovington1@humana.com	500 West Main Street		Louisville	KY	40202	12/29/2022	2026	Humana Insurance Co. & Humana Insurance Co. of NY	LI NET Sponsor	Medicare's Limited Income NET Program	LI NET Sponsor		Humana Inc.	128	Yes	Active					LI NET Sponsor		5	Philadelphia
X0001	Government Relations Contact	MCO		Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	12/19/2025	2026	Humana Insurance Co. & Humana Insurance Co. of NY	LI NET Sponsor	Medicare's Limited Income NET Program	LI NET Sponsor		Humana Inc.	128	Yes	Active					LI NET Sponsor		5	Philadelphia
X0001	Hospice Contact	Risk Management Lead		Mcpherson	Brandon		1-502-580-6124					bmcpherson4@humana.com	101 East Main Street		Louisville	KY	40202	12/19/2025	2026	Humana Insurance Co. & Humana Insurance Co. of NY	LI NET Sponsor	Medicare's Limited Income NET Program	LI NET Sponsor		Humana Inc.	128	Yes	Active					LI NET Sponsor		5	Philadelphia
X0001	Medicare Compliance Officer	MCO	Mr.	Duffy	Conor		1-502-580-0428					HumanaMCO3@humana.com	101 East Main Street		Louisville	KY	40202	12/19/2025	2026	Humana Insurance Co. & Humana Insurance Co. of NY	LI NET Sponsor	Medicare's Limited Income NET Program	LI NET Sponsor		Humana Inc.	128	Yes	Active					LI NET Sponsor		5	Philadelphia
X0001	Part D Exceptions Contact	"Associate Director, Risk Management"		Johnson	Courtnay							CJohnson136@humana.com	101 East Main Street		Louisville	KY	40202	12/19/2025	2026	Humana Insurance Co. & Humana Insurance Co. of NY	LI NET Sponsor	Medicare's Limited Income NET Program	LI NET Sponsor		Humana Inc.	128	Yes	Active	1-859-321-9075				LI NET Sponsor		5	Philadelphia
X0001	Pharmacy Technical Help Desk Contact			Pharmacy Solutions	DST							CS_BA@sscinc.com	210 West 10th Street		Kansas City	MO	64105	12/19/2025	2026	Humana Insurance Co. & Humana Insurance Co. of NY	LI NET Sponsor	Medicare's Limited Income NET Program	LI NET Sponsor		Humana Inc.	128	Yes	Active	1-800-865-8715				LI NET Sponsor		5	Philadelphia
X0001	Plan to Plan Reconciliation Contact	"Lead, Financial Planning"		Van Drisse	Ann Marie		1-502-632-7904				1-502-508-3512	P2PAdministration@humana.com	Humana Insurance Co.	P. O. Box 635600	Cincinnati	OH	45263-5600	12/19/2025	2026	Humana Insurance Co. & Humana Insurance Co. of NY	LI NET Sponsor	Medicare's Limited Income NET Program	LI NET Sponsor		Humana Inc.	128	Yes	Active					LI NET Sponsor		5	Philadelphia
