"CMS Contract Number","Contract Name","GENERAL-10","GENERAL-11","GENERAL-14","GENERAL-15","GENERAL-20","GENERAL-50","GENERAL-60","GENERAL-70","GENERAL-80","GENERAL-90","GENERAL-95","GENERAL-100","GENERAL-105","GENERAL-110","GENERAL-115","GENERAL-120","GENERAL-125","GENERAL-130","GENERAL-135","GENERAL-150"
"H0084","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",24763,"09","San Francisco","Medicare","014","Care Improvement Plus Silver Rx (PPO SNP)","Yes","Chronic or Disabling Condition","Yes","No","2","4",6,"No",569.00
"H0084","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",24763,"09","San Francisco","Medicare","004","Care Improvement Plus Gold Rx (PPO SNP)","Yes","Chronic or Disabling Condition","Yes","No","2","4",6,"No",4601.00
"H0150","HEALTHSPRING OF ALABAMA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",47846,"06","Dallas","Medicare","007","Cigna-HealthSpring TotalCare (HMO SNP)","Yes","Dual-Eligible","Yes","No","8","1",9,"No",19409.00
"H0151","UNITEDHEALTHCARE OF ALABAMA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",36186,"09","San Francisco","Medicare","015","UnitedHealthcare Dual Complete (HMO SNP)","Yes","Dual-Eligible","Yes","No","5","1",6,"No",7808.00
"H0154","VIVA HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",44151,"04","Atlanta","Medicare","012","VIVA Medicare Extra Value (HMO SNP)","Yes","Dual-Eligible","Yes","No","7","1",8,"No",19002.00
"H0251","UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",40530,"09","San Francisco","Medicare","002","UnitedHealthcare Dual Complete (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",40530.00
"H0294","CARE IMPROVEMENT PLUS WISCONSIN INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",5558,"09","San Francisco","Medicare","002","Care Improvement Plus Gold Rx (PPO SNP)","Yes","Chronic or Disabling Condition","Yes","No","1","2",3,"No",660.00
"H0294","CARE IMPROVEMENT PLUS WISCONSIN INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",5558,"09","San Francisco","Medicare","006","Care Improvement Plus Dual Advantage (PPO SNP)","Yes","Dual-Eligible","Yes","No","1","2",3,"No",347.00
"H0319","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",943,"09","San Francisco","Medicare","001","UnitedHealthcare Nursing Home Plan (PPO SNP)","Yes","Institutional","Yes","No","0","1",1,"Yes",943.00
"H0321","ARIZONA PHYSICIANS IPA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",35753,"09","San Francisco","Medicare","002","UnitedHealthcare Dual Complete (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",35753.00
"H0351","HEALTH NET OF ARIZONA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",45930,"10","Seattle","Medicare","042","Health Net Jade Cardiovascular (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","11","3",14,"No",1168.00
"H0351","HEALTH NET OF ARIZONA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",45930,"10","Seattle","Medicare","029","Health Net Amber (HMO SNP)","Yes","Dual-Eligible","Yes","No","11","3",14,"No",1470.00
"H0351","HEALTH NET OF ARIZONA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",45930,"10","Seattle","Medicare","038","Health Net Jade (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","11","3",14,"No",8074.00
"H0354","CIGNA HEALTHCARE OF ARIZONA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",36787,"06","Dallas","Medicare","021","Cigna Medicare Select Plus Rx-Diabetes Heart (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","4","1",5,"No",4292.00
"H0423","METROPLUS HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",8559,"02","New York","Medicare","002","MetroPlus Medicare Partnership in Care Plan (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","1","3",4,"No",57.00
"H0423","METROPLUS HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",8559,"02","New York","Medicare","003","MetroPlus Select Plan (HMO SNP)","Yes","Dual-Eligible","Yes","No","1","3",4,"No",620.00
"H0423","METROPLUS HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",8559,"02","New York","Medicare","001","MetroPlus Advantage Plan (HMO SNP)","Yes","Dual-Eligible","Yes","No","1","3",4,"No",6474.00
"H0490","MOLINA HEALTHCARE OF OHIO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",866,"10","Seattle","Medicare","004","Molina Medicare Options Plus (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",866.00
"H0524","KAISER FOUNDATION HP, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",989135,"09","San Francisco","Medicare","029","Senior Advantage Medicare Medi-Cal Plan South (HMO SNP)","Yes","Dual-Eligible","Yes","No","32","2",34,"No",42244.00
"H0524","KAISER FOUNDATION HP, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",989135,"09","San Francisco","Medicare","030","Senior Advantage Medicare Medi-Cal Plan North (HMO SNP)","Yes","Dual-Eligible","Yes","No","32","2",34,"No",35484.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",52405,"05","Chicago","Medicare","019","CareMore Breathe (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","9","17",26,"No",477.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",52405,"05","Chicago","Medicare","020","CareMore ESRD (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","9","17",26,"No",165.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",52405,"05","Chicago","Medicare","041","CareMore Connect (HMO SNP)","Yes","Dual-Eligible","Yes","No","9","17",26,"No",323.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",52405,"05","Chicago","Medicare","038","CareMore Heart (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","9","17",26,"No",272.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",52405,"05","Chicago","Medicare","037","CareMore Heart (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","9","17",26,"No",147.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",52405,"05","Chicago","Medicare","036","CareMore Heart (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","9","17",26,"No",111.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",52405,"05","Chicago","Medicare","032","CareMore Diabetes (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","9","17",26,"No",894.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",52405,"05","Chicago","Medicare","031","CareMore Breathe (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","9","17",26,"No",185.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",52405,"05","Chicago","Medicare","025","CareMore Diabetes (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","9","17",26,"No",805.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",52405,"05","Chicago","Medicare","024","CareMore Breathe (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","9","17",26,"No",159.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",52405,"05","Chicago","Medicare","015","CareMore ESRD (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","9","17",26,"No",1356.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",52405,"05","Chicago","Medicare","014","CareMore Breathe (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","9","17",26,"No",1486.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",52405,"05","Chicago","Medicare","013","CareMore Heart (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","9","17",26,"No",1712.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",52405,"05","Chicago","Medicare","010","CareMore Reliance (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","9","17",26,"No",1529.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",52405,"05","Chicago","Medicare","005","CareMore Touch (HMO SNP)","Yes","Institutional","Yes","No","9","17",26,"No",2089.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",52405,"05","Chicago","Medicare","004","CareMore Reliance (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","9","17",26,"No",9769.00
"H0544","CAREMORE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",52405,"05","Chicago","Medicare","003","CareMore Connect (HMO SNP)","Yes","Dual-Eligible","Yes","No","9","17",26,"No",1577.00
"H0562","HEALTH NET OF CALIFORNIA,INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",168265,"10","Seattle","Medicare","055","Health Net Seniority Plus Amber I (HMO SNP)","Yes","Dual-Eligible","Yes","No","32","3",35,"No",1598.00
"H0562","HEALTH NET OF CALIFORNIA,INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",168265,"10","Seattle","Medicare","070","Health Net Seniority Plus Amber II (HMO SNP)","Yes","Dual-Eligible","Yes","No","32","3",35,"No",46040.00
"H0562","HEALTH NET OF CALIFORNIA,INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",168265,"10","Seattle","Medicare","092","Health Net Jade (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","32","3",35,"No",6522.00
"H0571","CHINESE COMMUNITY HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",8941,"09","San Francisco","Medicare","005","CCHP Senior Select Program (HMO SNP)","Yes","Dual-Eligible","Yes","No","1","1",2,"No",4643.00
"H0620","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",2440,"09","San Francisco","Medicare","002","UnitedHealthcare Nursing Home Plan (PPO SNP)","Yes","Institutional","Yes","No","0","1",1,"Yes",2440.00
"H0621","COLORADO ACCESS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3684,"08","Denver","Medicare","010","Colorado Access Advantage Summit Plan (HMO SNP)","Yes","Dual-Eligible","Yes","No","1","1",2,"No",2616.00
"H0624","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3381,"09","San Francisco","Medicare","001","UnitedHealthcare Dual Complete (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",3381.00
"H0630","KAISER FOUNDATION HP OF CO","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",93600,"09","San Francisco","Medicare","014","Senior Advantage Medicare Medicaid Plan (HMO SNP)","Yes","Dual-Eligible","Yes","No","26","1",27,"No",2464.00
"H0710","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",2441,"09","San Francisco","Medicare","001","UnitedHealthcare Nursing Home Plan (PPO SNP)","Yes","Institutional","Yes","No","0","1",1,"Yes",2441.00
"H0712","WELLCARE OF CONNECTICUT, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",11235,"04","Atlanta","Medicare","005","WellCare Access (HMO SNP)","Yes","Dual-Eligible","Yes","No","3","1",4,"No",8239.00
"H0838","UNIVERSAL CARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5595,"09","San Francisco","Medicare","020","Brand New Day for Mental Illness (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","3","6",9,"No",2986.00
"H0838","UNIVERSAL CARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5595,"09","San Francisco","Medicare","024","Brand New Day Dual Coverage (HMO SNP)","Yes","Dual-Eligible","Yes","No","3","6",9,"No",1803.00
"H0908","BUCKEYE COMMUNITY HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1390,"10","Seattle","Medicare","001","Advantage by Buckeye Community Health Plan (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1390.00
"H1013","COVENTRY HEALTH PLAN OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4789,"08","Denver","Medicare","024","Coventry Vista Maximum (HMO SNP)","Yes","Dual-Eligible","Yes","No","5","1",6,"No",600.00
"H1019","CAREPLUS HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",97002,"07","Kansas City","Medicare","023","CareNeeds (HMO SNP)","Yes","Dual-Eligible","Yes","No","13","25",38,"No",1085.00
"H1019","CAREPLUS HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",97002,"07","Kansas City","Medicare","062","CareHeart (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","13","25",38,"No",218.00
"H1019","CAREPLUS HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",97002,"07","Kansas City","Medicare","074","CareNeeds (HMO SNP)","Yes","Dual-Eligible","Yes","No","13","25",38,"No",605.00
"H1019","CAREPLUS HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",97002,"07","Kansas City","Medicare","073","CareNeeds (HMO SNP)","Yes","Dual-Eligible","Yes","No","13","25",38,"No",278.00
"H1019","CAREPLUS HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",97002,"07","Kansas City","Medicare","071","CareNeeds (HMO SNP)","Yes","Dual-Eligible","Yes","No","13","25",38,"No",409.00
"H1019","CAREPLUS HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",97002,"07","Kansas City","Medicare","064","CareHeart (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","13","25",38,"No",108.00
"H1019","CAREPLUS HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",97002,"07","Kansas City","Medicare","063","CareHeart (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","13","25",38,"No",439.00
"H1019","CAREPLUS HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",97002,"07","Kansas City","Medicare","032","CareDirect (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","13","25",38,"No",366.00
"H1019","CAREPLUS HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",97002,"07","Kansas City","Medicare","028","CareNeeds (HMO SNP)","Yes","Dual-Eligible","Yes","No","13","25",38,"No",2947.00
"H1019","CAREPLUS HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",97002,"07","Kansas City","Medicare","026","CareNeeds (HMO SNP)","Yes","Dual-Eligible","Yes","No","13","25",38,"No",2473.00
"H1019","CAREPLUS HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",97002,"07","Kansas City","Medicare","025","CareNeeds (HMO SNP)","Yes","Dual-Eligible","Yes","No","13","25",38,"No",580.00
"H1019","CAREPLUS HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",97002,"07","Kansas City","Medicare","024","CareNeeds (HMO SNP)","Yes","Dual-Eligible","Yes","No","13","25",38,"No",2280.00
"H1019","CAREPLUS HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",97002,"07","Kansas City","Medicare","059","CareDirect (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","13","25",38,"No",334.00
"H1032","WELLCARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",103594,"04","Atlanta","Medicare","124","WellCare Liberty (HMO SNP)","Yes","Dual-Eligible","Yes","No","14","5",19,"No",14611.00
"H1032","WELLCARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",103594,"04","Atlanta","Medicare","176","WellCare Access (HMO SNP)","Yes","Dual-Eligible","Yes","No","14","5",19,"No",262.00
"H1032","WELLCARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",103594,"04","Atlanta","Medicare","170","WellCare Liberty (HMO SNP)","Yes","Dual-Eligible","Yes","No","14","5",19,"No",206.00
"H1032","WELLCARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",103594,"04","Atlanta","Medicare","061","WellCare Select (HMO SNP)","Yes","Dual-Eligible","Yes","No","14","5",19,"No",6412.00
"H1032","WELLCARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",103594,"04","Atlanta","Medicare","175","WellCare Access (HMO SNP)","Yes","Dual-Eligible","Yes","No","14","5",19,"No",10759.00
"H1035","FLORIDA HEALTH CARE PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",13012,"04","Atlanta","Medicare","009","FHCP Medvantage Dual Access SNP (HMO SNP)","Yes","Dual-Eligible","Yes","No","5","1",6,"No",271.00
"H1036","HUMANA MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",363254,"07","Kansas City","Medicare","190","Humana Gold Plus SNP-CVD/CHF H1036-190 (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","44","43",87,"No",193.00
"H1036","HUMANA MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",363254,"07","Kansas City","Medicare","184","Humana Gold Plus SNP-CVD/CHF/DM H1036-184 (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","44","43",87,"No",1833.00
"H1036","HUMANA MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",363254,"07","Kansas City","Medicare","186","Humana Gold Plus SNP-CVD/CHF H1036-186 (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","44","43",87,"No",283.00
"H1036","HUMANA MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",363254,"07","Kansas City","Medicare","179","Humana Gold Plus SNP-DB H1036-179 (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","44","43",87,"No",863.00
"H1036","HUMANA MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",363254,"07","Kansas City","Medicare","188","Humana Gold Plus SNP-DB H1036-188 (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","44","43",87,"No",506.00
"H1036","HUMANA MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",363254,"07","Kansas City","Medicare","189","Humana Gold Plus SNP-CVD/CHF H1036-189 (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","44","43",87,"No",285.00
"H1036","HUMANA MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",363254,"07","Kansas City","Medicare","193","Humana Gold Plus SNP-DB H1036-193 (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","44","43",87,"No",254.00
"H1036","HUMANA MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",363254,"07","Kansas City","Medicare","194","Humana Gold Plus SNP-DB H1036-194 (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","44","43",87,"No",288.00
"H1036","HUMANA MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",363254,"07","Kansas City","Medicare","209","Humana Gold Plus SNP-DE H1036-209 (HMO SNP)","Yes","Dual-Eligible","Yes","No","44","43",87,"No",1111.00
"H1036","HUMANA MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",363254,"07","Kansas City","Medicare","213","Humana Gold Plus SNP-DE H1036-213 (HMO SNP)","Yes","Dual-Eligible","Yes","No","44","43",87,"No",1480.00
"H1036","HUMANA MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",363254,"07","Kansas City","Medicare","169","Humana Gold Plus SNP-DE H1036-169 (HMO SNP)","Yes","Dual-Eligible","Yes","No","44","43",87,"No",798.00
"H1036","HUMANA MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",363254,"07","Kansas City","Medicare","214","Humana Gold Plus SNP-DE H1036-214 (HMO SNP)","Yes","Dual-Eligible","Yes","No","44","43",87,"No",316.00
"H1036","HUMANA MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",363254,"07","Kansas City","Medicare","226","Humana Gold Plus SNP-DE H1036-226 (HMO SNP)","Yes","Dual-Eligible","Yes","No","44","43",87,"No",864.00
"H1036","HUMANA MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",363254,"07","Kansas City","Medicare","210","Humana Gold Plus SNP-DE H1036-210 (HMO SNP)","Yes","Dual-Eligible","Yes","No","44","43",87,"No",651.00
"H1036","HUMANA MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",363254,"07","Kansas City","Medicare","102","Humana Gold Plus SNP-DE H1036-102 (HMO SNP)","Yes","Dual-Eligible","Yes","No","44","43",87,"No",6353.00
"H1036","HUMANA MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",363254,"07","Kansas City","Medicare","175","Humana Gold Plus SNP-DB H1036-175 (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","44","43",87,"No",420.00
"H1036","HUMANA MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",363254,"07","Kansas City","Medicare","077","Humana Gold Plus SNP-DE H1036-077A (HMO SNP)","Yes","Dual-Eligible","Yes","No","44","43",87,"No",3932.00
"H1036","HUMANA MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",363254,"07","Kansas City","Medicare","178","Humana Gold Plus SNP-DB H1036-178 (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","44","43",87,"No",606.00
"H1036","HUMANA MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",363254,"07","Kansas City","Medicare","103","Humana Gold Plus SNP-DE H1036-103A (HMO SNP)","Yes","Dual-Eligible","Yes","No","44","43",87,"No",2843.00
"H1036","HUMANA MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",363254,"07","Kansas City","Medicare","104","Humana Gold Plus SNP-DE H1036-104A (HMO SNP)","Yes","Dual-Eligible","Yes","No","44","43",87,"No",2518.00
"H1036","HUMANA MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",363254,"07","Kansas City","Medicare","121","Humana Gold Plus SNP-DB H1036-121C (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","44","43",87,"No",1106.00
"H1036","HUMANA MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",363254,"07","Kansas City","Medicare","130","Humana Gold Plus SNP-DB H1036-130C (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","44","43",87,"No",862.00
"H1036","HUMANA MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",363254,"07","Kansas City","Medicare","156","Humana Gold Plus SNP-DB H1036-156 (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","44","43",87,"No",630.00
"H1036","HUMANA MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",363254,"07","Kansas City","Medicare","160","Humana Gold Plus SNP-DB H1036-160 (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","44","43",87,"No",473.00
"H1036","HUMANA MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",363254,"07","Kansas City","Medicare","167","Humana Gold Plus SNP-DE H1036-167 (HMO SNP)","Yes","Dual-Eligible","Yes","No","44","43",87,"No",1621.00
"H1036","HUMANA MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",363254,"07","Kansas City","Medicare","168","Humana Gold Plus SNP-DE H1036-168 (HMO SNP)","Yes","Dual-Eligible","Yes","No","44","43",87,"No",1242.00
"H1036","HUMANA MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",363254,"07","Kansas City","Medicare","170","Humana Gold Plus SNP-DE H1036-170 (HMO SNP)","Yes","Dual-Eligible","Yes","No","44","43",87,"No",732.00
"H1045","PREFERRED CARE PARTNERS INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",44774,"09","San Francisco","Medicare","012","Preferred Medicare Assist (HMO-POS SNP)","Yes","Dual-Eligible","Yes","No","5","2",7,"No",3544.00
"H1045","PREFERRED CARE PARTNERS INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",44774,"09","San Francisco","Medicare","018","Preferred Special Care Miami-Dade (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","5","2",7,"No",1535.00
"H1080","UNITEDHEALTHCARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",35659,"09","San Francisco","Medicare","036","UnitedHealthcare Dual Complete LP (HMO SNP)","Yes","Dual-Eligible","Yes","No","7","1",8,"No",663.00
"H1108","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",6385,"09","San Francisco","Medicare","001","UnitedHealthcare Nursing Home Plan (PPO SNP)","Yes","Institutional","Yes","No","0","2",2,"Yes",2192.00
"H1108","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",6385,"09","San Francisco","Medicare","002","UnitedHealthcare Dual Complete (PPO SNP)","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",4193.00
"H1112","WELLCARE OF GEORGIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",31114,"04","Atlanta","Medicare","006","WellCare Access (HMO SNP)","Yes","Dual-Eligible","Yes","No","1","1",2,"No",12201.00
"H1170","KAISER FOUNDATION HP OF GA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",22960,"09","San Francisco","Medicare","008","Senior Advantage Medicare Medicaid Plan (HMO SNP)","Yes","Dual-Eligible","Yes","No","5","1",6,"No",1043.00
"H1264","WELLCARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",29071,"04","Atlanta","Medicare","018","WellCare Access (HMO SNP)","Yes","Dual-Eligible","Yes","No","2","2",4,"No",882.00
"H1264","WELLCARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",29071,"04","Atlanta","Medicare","007","WellCare Access (HMO SNP)","Yes","Dual-Eligible","Yes","No","2","2",4,"No",8766.00
"H1350","BLUE CROSS OF IDAHO HEALTH SERVICE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",19578,"10","Seattle","Medicare","009","True Blue Special Needs Plan (HMO SNP)","Yes","Dual-Eligible","Yes","No","4","1",5,"No",1206.00
"H1406","HUMANA HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",41505,"07","Kansas City","Medicare","029","Humana Gold Plus SNP-DB H1406-029 (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","9","2",11,"No",384.00
"H1415","HEALTHSPRING OF TENNESSEE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",16380,"06","Dallas","Medicare","005","Cigna-HealthSpring TotalCare (HMO SNP)","Yes","Dual-Eligible","Yes","No","3","1",4,"No",3839.00
"H1416","HARMONY HEALTH PLAN OF ILLINOIS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",14863,"04","Atlanta","Medicare","007","WellCare Access (HMO SNP)","Yes","Dual-Eligible","Yes","No","2","1",3,"No",4393.00
"H1444","TOTAL HEALTH CARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",233,"05","Chicago","Medicare","001","Total Medicare Plus (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",233.00
"H1717","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",225,"09","San Francisco","Medicare","009","UnitedHealthcare Nursing Home Plan (PPO SNP)","Yes","Institutional","Yes","No","0","1",1,"Yes",225.00
"H1777","CATHOLIC SPECIAL NEEDS PLAN, LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1576,"02","New York","Medicare","007","ArchCare  Advantage (HMO SNP)","Yes","Institutional","Yes","No","0","1",1,"Yes",1576.00
"H1903","WELLCARE OF LOUISIANA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",8577,"04","Atlanta","Medicare","011","WellCare Access (HMO SNP)","Yes","Dual-Eligible","Yes","No","1","1",2,"No",5388.00
"H1951","HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",113204,"07","Kansas City","Medicare","033","Humana Gold Plus SNP-DE H1951-033 (HMO SNP)","Yes","Dual-Eligible","Yes","No","13","8",21,"No",2217.00
"H1951","HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",113204,"07","Kansas City","Medicare","041","Humana Gold Plus SNP-DE H1951-041 (HMO SNP)","Yes","Dual-Eligible","Yes","No","13","8",21,"No",1597.00
"H1951","HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",113204,"07","Kansas City","Medicare","037","Humana Gold Plus SNP-DB H1951-037 (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","13","8",21,"No",280.00
"H1951","HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",113204,"07","Kansas City","Medicare","036","Humana Gold Plus SNP-DB H1951-036 (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","13","8",21,"No",985.00
"H1951","HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",113204,"07","Kansas City","Medicare","034","Humana Gold Plus SNP-DE H1951-034 (HMO SNP)","Yes","Dual-Eligible","Yes","No","13","8",21,"No",504.00
"H1951","HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",113204,"07","Kansas City","Medicare","032","Humana Gold Plus SNP-DE H1951-032 (HMO SNP)","Yes","Dual-Eligible","Yes","No","13","8",21,"No",1686.00
"H1951","HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",113204,"07","Kansas City","Medicare","035","Humana Gold Plus SNP-DE H1951-035 (HMO SNP)","Yes","Dual-Eligible","Yes","No","13","8",21,"No",500.00
"H1961","PEOPLES HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",57678,"06","Dallas","Medicare","003","Peoples Health Secure Health (HMO SNP)","Yes","Dual-Eligible","Yes","No","7","2",9,"No",13135.00
"H1961","PEOPLES HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",57678,"06","Dallas","Medicare","008","Peoples Health Secure Choice (HMO SNP)","Yes","Dual-Eligible","Yes","No","7","2",9,"No",351.00
"H2012","HUMANA HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",190921,"07","Kansas City","Medicare","064","Humana Gold Plus SNP-DE H2012-064 (HMO SNP)","Yes","Dual-Eligible","Yes","No","43","13",56,"No",453.00
"H2012","HUMANA HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",190921,"07","Kansas City","Medicare","084","Humana Gold Plus SNP-CVD/CHF/DM H2012-084 (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","43","13",56,"No",344.00
"H2012","HUMANA HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",190921,"07","Kansas City","Medicare","095","Humana Gold Plus SNP-DE H2012-095 (HMO SNP)","Yes","Dual-Eligible","Yes","No","43","13",56,"No",343.00
"H2012","HUMANA HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",190921,"07","Kansas City","Medicare","081","Humana Gold Plus SNP-DE H2012-081 (HMO SNP)","Yes","Dual-Eligible","Yes","No","43","13",56,"No",374.00
"H2012","HUMANA HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",190921,"07","Kansas City","Medicare","070","Humana Gold Plus SNP-DE H2012-070 (HMO SNP)","Yes","Dual-Eligible","Yes","No","43","13",56,"No",1224.00
"H2012","HUMANA HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",190921,"07","Kansas City","Medicare","054","Humana Gold Plus SNP-DE H2012-054 (HMO SNP)","Yes","Dual-Eligible","Yes","No","43","13",56,"No",386.00
"H2012","HUMANA HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",190921,"07","Kansas City","Medicare","053","Humana Gold Plus SNP-DE H2012-053 (HMO SNP)","Yes","Dual-Eligible","Yes","No","43","13",56,"No",1636.00
"H2012","HUMANA HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",190921,"07","Kansas City","Medicare","042","Humana Gold Plus SNP-DE H2012-042 (HMO SNP)","Yes","Dual-Eligible","Yes","No","43","13",56,"No",343.00
"H2012","HUMANA HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",190921,"07","Kansas City","Medicare","060","Humana Gold Plus SNP-CVD/CHF/DM H2012-060 (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","43","13",56,"No",683.00
"H2034","COMMUNITY CARE HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",285,"05","Chicago","Medicare","001","Community Care's  Partnership Program (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",172.00
"H2034","COMMUNITY CARE HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",285,"05","Chicago","Medicare","002","Community Care's Partnership Program Disabled (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",113.00
"H2108","BRAVO HEALTH MID-ATLANTIC, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",20788,"06","Dallas","Medicare","001","Cigna-HealthSpring TotalCare (HMO SNP)","Yes","Dual-Eligible","Yes","No","8","4",12,"No",6091.00
"H2108","BRAVO HEALTH MID-ATLANTIC, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",20788,"06","Dallas","Medicare","020","Cigna-HealthSpring Traditions (HMO SNP)","Yes","Institutional","Yes","No","8","4",12,"No",556.00
"H2108","BRAVO HEALTH MID-ATLANTIC, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",20788,"06","Dallas","Medicare","029","Cigna-HealthSpring Achieve Plus (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","8","4",12,"No",1435.00
"H2108","BRAVO HEALTH MID-ATLANTIC, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",20788,"06","Dallas","Medicare","030","Cigna-HealthSpring Achieve (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","8","4",12,"No",1504.00
"H2111","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",5296,"09","San Francisco","Medicare","001","UnitedHealthcare Nursing Home Plan (PPO SNP)","Yes","Institutional","Yes","No","0","2",2,"Yes",2811.00
"H2111","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",5296,"09","San Francisco","Medicare","008","UnitedHealthcare Dual Complete (PPO SNP)","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",2485.00
"H2161","UPPER PENINSULA HEALTH PLAN, LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",489,"05","Chicago","Medicare","001","Upper Peninsula Health Plan Plus (HMO SNP)","Yes","Dual-Eligible","Yes","No","1","1",2,"No",441.00
"H2165","HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",7131,"06","Dallas","Medicare","019","Cigna-HealthSpring TotalCare (HMO SNP)","Yes","Dual-Eligible","Yes","No","10","1",11,"No",1167.00
"H2174","TRILLIUM COMMUNITY HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3772,"10","Seattle","Medicare","005","Trillium Advantage TLC Community ISNP (HMO SNP)","Yes","Institutional","Yes","No","2","3",5,"No",87.00
"H2174","TRILLIUM COMMUNITY HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3772,"10","Seattle","Medicare","003","Trillium Advantage TLC ISNP (HMO SNP)","Yes","Institutional","Yes","No","2","3",5,"No",28.00
"H2174","TRILLIUM COMMUNITY HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3772,"10","Seattle","Medicare","001","Trillium Advantage Dual (HMO SNP)","Yes","Dual-Eligible","Yes","No","2","3",5,"No",3315.00
"H2224","SENIOR WHOLE HEALTH, LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10023,"01","Boston","Medicare","001","Senior Whole Health (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",5613.00
"H2224","SENIOR WHOLE HEALTH, LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10023,"01","Boston","Medicare","003","Senior Whole Health NHC (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",4410.00
"H2225","COMMONWEALTH CARE ALLIANCE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",6125,"01","Boston","Medicare","001","Senior Care Options Program (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",6125.00
"H2226","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",12273,"09","San Francisco","Medicare","001","UnitedHealthcare Senior Care Options (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",12273.00
"H2228","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",1788,"09","San Francisco","Medicare","001","UnitedHealthcare Nursing Home Plan (PPO SNP)","Yes","Institutional","Yes","No","0","2",2,"Yes",216.00
"H2228","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",1788,"09","San Francisco","Medicare","002","UnitedHealthcare Nursing Home Plan (PPO SNP)","Yes","Institutional","Yes","No","0","2",2,"Yes",1572.00
"H2237","INDEPENDENT CARE HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5803,"05","Chicago","Medicare","007","iCare Family Care Partnership (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",475.00
"H2237","INDEPENDENT CARE HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5803,"05","Chicago","Medicare","001","iCare Medicare Plan (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",5328.00
"H2256","TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",105487,"01","Boston","Medicare","029","Tufts Health Plan Senior Care Options (HMO SNP)","Yes","Dual-Eligible","Yes","No","29","1",30,"No",723.00
"H2323","FIDELIS SECURECARE OF MICHIGAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2074,"05","Chicago","Medicare","005","Fidelis Secure Comfort (HMO SNP)","Yes","Institutional","Yes","No","2","3",5,"No",87.00
"H2323","FIDELIS SECURECARE OF MICHIGAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2074,"05","Chicago","Medicare","011","Fidelis Secure Freedom (HMO SNP)","Yes","Institutional","Yes","No","2","3",5,"No",167.00
"H2323","FIDELIS SECURECARE OF MICHIGAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2074,"05","Chicago","Medicare","012","Fidelis Secure Liberty (HMO SNP)","Yes","Dual-Eligible","Yes","No","2","3",5,"No",1093.00
"H2354","HEALTHPLUS OF MICHIGAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",20115,"05","Chicago","Medicare","016","HealthPlus MedicarePlus Advantage D-SNP (HMO SNP)","Yes","Dual-Eligible","Yes","No","6","1",7,"No",991.00
"H2406","SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.","Local CCP","Local PPO","Yes","Yes","PPO",2996,"09","San Francisco","Medicare","001","UnitedHealthcare Nursing Home Plan (PPO SNP)","Yes","Institutional","Yes","No","0","1",1,"Yes",2996.00
"H2416","PRIMEWEST CTRL COUNTY-BASED PURCHASING INITIATIVE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2030,"05","Chicago","Medicare","001","PrimeWest Senior Health Complete (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",2030.00
"H2417","ITASCA MEDICAL CARE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",472,"05","Chicago","Medicare","001","IMCare Classic (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",472.00
"H2419","SOUTH COUNTRY HEALTH ALLIANCE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1608,"05","Chicago","Medicare","001","SeniorCare Complete (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1608.00
"H2422","HEALTHPARTNERS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3178,"05","Chicago","Medicare","002","HealthPartners Minnesota Senior Health Options (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",3178.00
"H2425","BLUE PLUS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",16681,"05","Chicago","Medicare","001","SecureBlue (HMO SNP)","Yes","Dual-Eligible","Yes","No","2","1",3,"No",8313.00
"H2456","UCARE MINNESOTA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10011,"05","Chicago","Medicare","002","UCare's Minnesota Senior Health Options (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",10011.00
"H2458","MEDICA HEALTH PLANS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",9899,"05","Chicago","Medicare","002","Medica DUAL Solution (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",9899.00
"H2491","WELLCARE HEALTH INSURANCE OF ARIZONA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","POS",10063,"04","Atlanta","Medicare","004","'Ohana Liberty (HMO-POS SNP)","Yes","Dual-Eligible","Yes","No","1","1",2,"No",6775.00
"H2593","CAREMORE HEALTH PLAN OF ARIZONA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",16101,"05","Chicago","Medicare","011","CareMore Diabetes (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","7","7",14,"No",1728.00
"H2593","CAREMORE HEALTH PLAN OF ARIZONA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",16101,"05","Chicago","Medicare","015","CareMore Breathe (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","7","7",14,"No",346.00
"H2593","CAREMORE HEALTH PLAN OF ARIZONA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",16101,"05","Chicago","Medicare","013","CareMore Heart (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","7","7",14,"No",898.00
"H2593","CAREMORE HEALTH PLAN OF ARIZONA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",16101,"05","Chicago","Medicare","014","CareMore Heart (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","7","7",14,"No",530.00
"H2593","CAREMORE HEALTH PLAN OF ARIZONA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",16101,"05","Chicago","Medicare","005","CareMore Breathe (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","7","7",14,"No",888.00
"H2593","CAREMORE HEALTH PLAN OF ARIZONA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",16101,"05","Chicago","Medicare","003","CareMore Touch (HMO SNP)","Yes","Institutional","Yes","No","7","7",14,"No",920.00
"H2593","CAREMORE HEALTH PLAN OF ARIZONA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",16101,"05","Chicago","Medicare","006","CareMore Diabetes (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","7","7",14,"No",2748.00
"H2649","HUMANA HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",98478,"07","Kansas City","Medicare","036","Humana Gold Plus SNP-CVD/CHF/DM H2649-036 (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","24","4",28,"No",613.00
"H2649","HUMANA HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",98478,"07","Kansas City","Medicare","025","Humana Gold Plus SNP-DB H2649-025 (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","24","4",28,"No",1292.00
"H2649","HUMANA HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",98478,"07","Kansas City","Medicare","028","Humana Gold Plus SNP-DE H2649-028 (HMO SNP)","Yes","Dual-Eligible","Yes","No","24","4",28,"No",1049.00
"H2663","COVENTRY HEALTH CARE OF MISSOURI, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",50640,"08","Denver","Medicare","014","Advantra Dual Eligible SNP (HMO SNP)","Yes","Dual-Eligible","Yes","No","7","1",8,"No",2008.00
"H2773","QUALITY HEALTH PLANS OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",320,"02","New York","Medicare","003","Advantage Health NY - SNP (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","3","3",6,"No",47.00
"H2879","MOLINA HEALTHCARE OF WISCONSIN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",429,"10","Seattle","Medicare","001","Molina Medicare Options Plus (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",429.00
"H2926","PRIMEWEST CTRL COUNTY-BASED PURCHASING INTIATIVE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",273,"05","Chicago","Medicare","001","Prime Health Complete (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",273.00
"H2949","HUMANA HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",38743,"07","Kansas City","Medicare","013","Humana Gold Plus SNP-CVD/CHF/DM H2949-013 (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","5","2",7,"No",3957.00
"H2949","HUMANA HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",38743,"07","Kansas City","Medicare","014","Humana Gold Plus SNP-CLD H2949-014 (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","5","2",7,"No",1271.00
"H3054","CONSTELLATION HEALTH, LLC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2647,"02","New York","Medicare","001","Genesis - Constellation Health (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",2628.00
"H3071","COMMUNITY CARE ALLIANCE OF ILLINOIS, NFP","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1020,"05","Chicago","Medicare","001","Community Care Alliance of Illinois (HMO SNP)","Yes","Dual-Eligible","Yes","No","1","1",2,"No",761.00
"H3113","OXFORD HEALTH PLANS (NJ), INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",1152,"09","San Francisco","Medicare","001","UnitedHealthcare Nursing Home Plan (HMO SNP)","Yes","Institutional","Yes","No","0","1",1,"Yes",1152.00
"H3132","AHF MCO OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1072,"09","San Francisco","Medicare","001","PHP (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","0","1",1,"Yes",1072.00
"H3154","HORIZON HEALTHCARE OF NEW JERSEY, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",39447,"02","New York","Medicare","020","Horizon Medicare Blue TotalCare (HMO SNP)","Yes","Dual-Eligible","Yes","No","6","1",7,"No",12995.00
"H3209","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",4436,"09","San Francisco","Medicare","001","UnitedHealthcare Nursing Home Plan (PPO SNP)","Yes","Institutional","Yes","No","0","2",2,"Yes",251.00
"H3209","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",4436,"09","San Francisco","Medicare","002","UnitedHealthcare Dual Complete (PPO SNP)","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",4185.00
"H3240","AMERIGROUP NEW JERSEY, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5174,"05","Chicago","Medicare","013","Amerivantage Specialty + Rx (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",5174.00
"H3259","VOLUNTEER STATE HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2002,"04","Atlanta","Medicare","001","BlueCare Plus (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",2002.00
"H3327","TOUCHSTONE HEALTH HMO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",13604,"02","New York","Medicare","026","Touchstone Health Medicare Prestige (HMO SNP)","Yes","Dual-Eligible","Yes","No","9","4",13,"No",1934.00
"H3328","THE NEW YORK STATE CATHOLIC HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27028,"02","New York","Medicare","002","Fidelis Dual Advantage (HMO SNP)","Yes","Dual-Eligible","Yes","No","6","4",10,"No",1726.00
"H3328","THE NEW YORK STATE CATHOLIC HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27028,"02","New York","Medicare","016","Fidelis Medicaid Advantage Plus (HMO SNP)","Yes","Dual-Eligible","Yes","No","6","4",10,"No",183.00
"H3328","THE NEW YORK STATE CATHOLIC HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27028,"02","New York","Medicare","017","Fidelis Dual Advantage Flex (HMO SNP)","Yes","Dual-Eligible","Yes","No","6","4",10,"No",11932.00
"H3330","HEALTH INSURANCE PLAN OF GREATER NEW YORK","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",113303,"02","New York","Medicare","029","EmblemHealth Dual Eligible (HMO SNP)","Yes","Dual-Eligible","Yes","No","13","2",15,"No",10282.00
"H3330","HEALTH INSURANCE PLAN OF GREATER NEW YORK","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",113303,"02","New York","Medicare","810","EmblemHealth Dual Eligible Group (HMO SNP)","Yes","Dual-Eligible","Yes","Yes","13","2",15,"No",256.00
"H3337","LIBERTY HEALTH ADVANTAGE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4595,"02","New York","Medicare","003","Liberty Health Advantage Dual Power (HMO SNP)","Yes","Dual-Eligible","Yes","No","1","1",2,"No",709.00
"H3347","ELDERPLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",13962,"02","New York","Medicare","007","Elderplan Plus Long Term Care (HMO SNP)","Yes","Dual-Eligible","Yes","No","2","4",6,"No",839.00
"H3347","ELDERPLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",13962,"02","New York","Medicare","002","Elderplan For Medicaid Beneficiaries (HMO SNP)","Yes","Dual-Eligible","Yes","No","2","4",6,"No",2556.00
"H3347","ELDERPLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",13962,"02","New York","Medicare","003","Elderplan Advantage For Nursing Home Residents (HMO SNP)","Yes","Institutional","Yes","No","2","4",6,"No",294.00
"H3359","MANAGED HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",124015,"02","New York","Medicare","021","Healthfirst Life Improvement Plan (HMO SNP)","Yes","Dual-Eligible","Yes","No","3","4",7,"No",66737.00
"H3359","MANAGED HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",124015,"02","New York","Medicare","034","Healthfirst CompleteCare (HMO SNP)","Yes","Dual-Eligible","Yes","No","3","4",7,"No",3348.00
"H3359","MANAGED HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",124015,"02","New York","Medicare","035","Healthfirst AssuredCare (HMO SNP)","Yes","Institutional","Yes","No","3","4",7,"No",311.00
"H3361","WELLCARE OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",51971,"04","Atlanta","Medicare","043","WellCare Liberty (HMO SNP)","Yes","Dual-Eligible","Yes","No","6","4",10,"No",2240.00
"H3361","WELLCARE OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",51971,"04","Atlanta","Medicare","065","WellCare Access (HMO SNP)","Yes","Dual-Eligible","Yes","No","6","4",10,"No",3469.00
"H3361","WELLCARE OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",51971,"04","Atlanta","Medicare","109","WellCare Access (HMO SNP)","Yes","Dual-Eligible","Yes","No","6","4",10,"No",13220.00
"H3362","INDEPENDENT HEALTH ASSOCIATION, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",73082,"02","New York","Medicare","020","Independent Health Medicare Family Choice (HMO SNP)","Yes","Institutional","Yes","No","9","2",11,"No",1431.00
"H3362","INDEPENDENT HEALTH ASSOCIATION, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",73082,"02","New York","Medicare","025","Independent Health's Dual Difference (HMO SNP)","Yes","Dual-Eligible","Yes","No","9","2",11,"No",5268.00
"H3379","UNITEDHEALTHCARE OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",24844,"09","San Francisco","Medicare","002","UnitedHealthcare Nursing Home Plan (HMO SNP)","Yes","Institutional","Yes","No","1","2",3,"No",6681.00
"H3379","UNITEDHEALTHCARE OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",24844,"09","San Francisco","Medicare","022","UnitedHealthcare Nursing Home Plan (HMO SNP)","Yes","Institutional","Yes","No","1","2",3,"No",2881.00
"H3387","UNITEDHEALTHCARE OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",10284,"09","San Francisco","Medicare","010","UnitedHealthcare Dual Complete (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",10284.00
"H3447","HEALTHKEEPERS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2113,"05","Chicago","Medicare","004","Anthem MediBlue Diabetes (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","2","3",5,"No",610.00
"H3447","HEALTHKEEPERS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2113,"05","Chicago","Medicare","003","Anthem MediBlue COPD (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","2","3",5,"No",158.00
"H3456","UNITEDHEALTHCARE OF NORTH CAROLINA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",79383,"09","San Francisco","Medicare","010","UnitedHealthcare Nursing Home Plan (HMO SNP)","Yes","Institutional","Yes","No","9","2",11,"No",2426.00
"H3456","UNITEDHEALTHCARE OF NORTH CAROLINA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",79383,"09","San Francisco","Medicare","016","UnitedHealthcare Dual Complete (HMO SNP)","Yes","Dual-Eligible","Yes","No","9","2",11,"No",12003.00
"H3533","HUMANA HEALTH COMPANY OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1718,"07","Kansas City","Medicare","002","Humana Gold Plus SNP-DE H3533-002 (HMO SNP)","Yes","Dual-Eligible","Yes","No","9","3",12,"No",113.00
"H3659","UNITEDHEALTHCARE OF OHIO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",76603,"09","San Francisco","Medicare","056","UnitedHealthcare Dual Complete (HMO SNP)","Yes","Dual-Eligible","Yes","No","8","2",10,"No",8220.00
"H3659","UNITEDHEALTHCARE OF OHIO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",76603,"09","San Francisco","Medicare","058","UnitedHealthcare Nursing Home Plan (HMO-POS SNP)","Yes","Institutional","Yes","No","8","2",10,"No",515.00
"H3708","SELECTCARE OF OKLAHOMA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",123,"06","Dallas","Medicare","001","Tribute (HMO SNP)","Yes","Institutional","Yes","No","0","1",1,"Yes",123.00
"H3811","SAMARITAN HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4941,"10","Seattle","Medicare","003","Samaritan Advantage Special Needs Plan (HMO SNP)","Yes","Dual-Eligible","Yes","No","3","1",4,"No",1394.00
"H3812","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",18475,"09","San Francisco","Medicare","005","UnitedHealthcare Nursing Home Plan (PPO SNP)","Yes","Institutional","Yes","No","1","1",2,"No",501.00
"H3814","ATRIO HEALTH PLANS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1950,"10","Seattle","Medicare","007","ATRIO Special Needs Plan (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1950.00
"H3818","FAMILYCARE HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2449,"10","Seattle","Medicare","002","FamilyCare MyPlan C (HMO SNP)","Yes","Dual-Eligible","Yes","No","3","1",4,"No",1648.00
"H3887","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",21848,"09","San Francisco","Medicare","001","UnitedHealthcare Nursing Home Plan (HMO-POS SNP)","Yes","Institutional","Yes","No","1","1",2,"No",559.00
"H3912","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",2133,"09","San Francisco","Medicare","001","UnitedHealthcare Nursing Home Plan (PPO SNP)","Yes","Institutional","Yes","No","0","1",1,"Yes",2133.00
"H3949","BRAVO HEALTH PENNSYLVANIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",63267,"06","Dallas","Medicare","016","Cigna-HealthSpring Traditions (HMO SNP)","Yes","Institutional","Yes","No","10","3",13,"No",488.00
"H3949","BRAVO HEALTH PENNSYLVANIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",63267,"06","Dallas","Medicare","024","Cigna-HealthSpring Achieve (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","10","3",13,"No",5812.00
"H3949","BRAVO HEALTH PENNSYLVANIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",63267,"06","Dallas","Medicare","009","Cigna-HealthSpring TotalCare (HMO SNP)","Yes","Dual-Eligible","Yes","No","10","3",13,"No",25321.00
"H3954","GEISINGER HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",54774,"03","Philadelphia","Medicare","097","Geisinger Gold Secure 1 (HMO SNP)","Yes","Dual-Eligible","Yes","No","27","2",29,"No",4142.00
"H3959","HEALTHAMERICA PENNSYLVANIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",60184,"08","Denver","Medicare","035","Advantra Cares (HMO SNP)","Yes","Dual-Eligible","Yes","No","11","2",13,"No",613.00
"H3959","HEALTHAMERICA PENNSYLVANIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",60184,"08","Denver","Medicare","036","Advantra Cares (HMO SNP)","Yes","Dual-Eligible","Yes","No","11","2",13,"No",6103.00
"H4003","MMM HEALTHCARE, LLC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",154113,"02","New York","Medicare","009","Medicare y Mucho Mas - SUPREMO (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","10","3",13,"No",7351.00
"H4003","MMM HEALTHCARE, LLC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",154113,"02","New York","Medicare","017","Medicare y Mucho Mas - DIAMANTE CHOICE (HMO SNP)","Yes","Dual-Eligible","Yes","No","10","3",13,"No",78649.00
"H4003","MMM HEALTHCARE, LLC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",154113,"02","New York","Medicare","021","Medicare y Mucho Mas - DIAMANTE EXTRA (HMO SNP)","Yes","Dual-Eligible","Yes","No","10","3",13,"No",8153.00
"H4004","PMC MEDICARE CHOICE, LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",31901,"02","New York","Medicare","048","Premier Preferred (HMO SNP)","Yes","Dual-Eligible","Yes","No","4","1",5,"No",23877.00
"H4007","HUMANA HEALTH PLANS OF PUERTO RICO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",49798,"07","Kansas City","Medicare","005","Humana Gold Plus SNP-DE H4007-005 (HMO SNP)","Yes","Dual-Eligible","Yes","No","11","2",13,"No",30534.00
"H4007","HUMANA HEALTH PLANS OF PUERTO RICO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",49798,"07","Kansas City","Medicare","016","Humana Gold Plus SNP-DE H4007-016 (HMO SNP)","Yes","Dual-Eligible","Yes","No","11","2",13,"No",2808.00
"H4141","HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",36765,"07","Kansas City","Medicare","003","Humana Gold Plus SNP-DE H4141-003 (HMO SNP)","Yes","Dual-Eligible","Yes","No","10","4",14,"No",984.00
"H4141","HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",36765,"07","Kansas City","Medicare","010","Humana Gold Plus SNP-DE H4141-010 (HMO SNP)","Yes","Dual-Eligible","Yes","No","10","4",14,"No",289.00
"H4141","HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",36765,"07","Kansas City","Medicare","009","Humana Gold Plus SNP-CVD/CHF/DM H4141-009 (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","10","4",14,"No",1579.00
"H4227","VISTA HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2183,"03","Philadelphia","Medicare","001","Keystone VIP Choice (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",2100.00
"H4227","VISTA HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2183,"03","Philadelphia","Medicare","002","AmeriHealth VIP Care (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",83.00
"H4279","UPMC FOR YOU, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",18248,"03","Philadelphia","Medicare","001","UPMC for You Advantage (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",18171.00
"H4279","UPMC FOR YOU, INC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",18248,"03","Philadelphia","Medicare","002","UPMC Community Care (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","0","2",2,"Yes",77.00
"H4346","CAREMORE HEALTH PLAN OF NEVADA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5884,"05","Chicago","Medicare","005","CareMore Breathe (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","5","3",8,"No",679.00
"H4346","CAREMORE HEALTH PLAN OF NEVADA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5884,"05","Chicago","Medicare","006","CareMore Diabetes (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","5","3",8,"No",1587.00
"H4346","CAREMORE HEALTH PLAN OF NEVADA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5884,"05","Chicago","Medicare","008","CareMore Heart (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","5","3",8,"No",444.00
"H4407","HEALTHSPRING OF TENNESSEE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",8619,"06","Dallas","Medicare","004","Cigna-HealthSpring TotalCare SMS (HMO SNP)","Yes","Dual-Eligible","Yes","No","4","1",5,"No",2220.00
"H4454","HEALTHSPRING OF TENNESSEE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",91150,"06","Dallas","Medicare","020","Cigna-HealthSpring TotalCare (HMO SNP)","Yes","Dual-Eligible","Yes","No","12","1",13,"No",9427.00
"H4461","CARITEN HEALTH PLAN INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",103757,"07","Kansas City","Medicare","022","Humana Gold Plus SNP-DE H4461-022 (HMO SNP)","Yes","Dual-Eligible","Yes","No","9","1",10,"No",4941.00
"H4510","HUMANA HEALTH PLAN OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",77701,"07","Kansas City","Medicare","024","Humana Gold Plus SNP-DE H4510-024 (HMO SNP)","Yes","Dual-Eligible","Yes","No","12","6",18,"No",1515.00
"H4510","HUMANA HEALTH PLAN OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",77701,"07","Kansas City","Medicare","029","Humana Gold Plus SNP-CHF/DM H4510-029 (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","12","6",18,"No",288.00
"H4510","HUMANA HEALTH PLAN OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",77701,"07","Kansas City","Medicare","021","Humana Gold Plus SNP-DE H4510-021 (HMO SNP)","Yes","Dual-Eligible","Yes","No","12","6",18,"No",867.00
"H4510","HUMANA HEALTH PLAN OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",77701,"07","Kansas City","Medicare","030","Humana Gold Plus SNP-CHF/DM H4510-030 (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","12","6",18,"No",1021.00
"H4513","HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",81003,"06","Dallas","Medicare","010","Cigna-HealthSpring TotalCare (HMO SNP)","Yes","Dual-Eligible","Yes","No","8","1",9,"No",18808.00
"H4514","UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",32078,"09","San Francisco","Medicare","001","UnitedHealthcare Dual Complete (HMO SNP)","Yes","Dual-Eligible","Yes","No","4","1",5,"No",11969.00
"H4522","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",26677,"09","San Francisco","Medicare","007","UnitedHealthcare Dual Complete (PPO SNP)","Yes","Dual-Eligible","Yes","No","1","2",3,"No",5672.00
"H4522","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",26677,"09","San Francisco","Medicare","010","UnitedHealthcare Dual Complete (PPO SNP)","Yes","Dual-Eligible","Yes","No","1","2",3,"No",3730.00
"H4525","SHA, L.L.C","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3084,"06","Dallas","Medicare","003","FirstCare Advantage Select (HMO SNP)","Yes","Dual-Eligible","Yes","No","10","1",11,"No",1258.00
"H4527","PHYSICIANS HEALTH CHOICE OF TEXAS LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27283,"09","San Francisco","Medicare","003","UnitedHealthcare Dual Complete Focus (HMO SNP)","Yes","Dual-Eligible","Yes","No","5","4",9,"No",1163.00
"H4527","PHYSICIANS HEALTH CHOICE OF TEXAS LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27283,"09","San Francisco","Medicare","004","UnitedHealthcare Dual Complete Focus (HMO SNP)","Yes","Dual-Eligible","Yes","No","5","4",9,"No",584.00
"H4527","PHYSICIANS HEALTH CHOICE OF TEXAS LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27283,"09","San Francisco","Medicare","006","UnitedHealthcare Dual Complete Focus (HMO SNP)","Yes","Dual-Eligible","Yes","No","5","4",9,"No",687.00
"H4527","PHYSICIANS HEALTH CHOICE OF TEXAS LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27283,"09","San Francisco","Medicare","015","UnitedHealthcare Dual Complete Focus (HMO SNP)","Yes","Dual-Eligible","Yes","No","5","4",9,"No",827.00
"H4528","HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",12906,"06","Dallas","Medicare","002","Cigna-HealthSpring TotalCare (HMO SNP)","Yes","Dual-Eligible","Yes","No","2","2",4,"No",5912.00
"H4590","UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",189430,"09","San Francisco","Medicare","038","UnitedHealthcare Nursing Home Plan (HMO SNP)","Yes","Institutional","Yes","No","8","6",14,"No",210.00
"H4590","UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",189430,"09","San Francisco","Medicare","037","UnitedHealthcare Chronic Complete (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","8","6",14,"No",2717.00
"H4590","UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",189430,"09","San Francisco","Medicare","020","UnitedHealthcare Dual Complete (HMO SNP)","Yes","Dual-Eligible","Yes","No","8","6",14,"No",6598.00
"H4590","UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",189430,"09","San Francisco","Medicare","022","UnitedHealthcare Dual Complete (HMO SNP)","Yes","Dual-Eligible","Yes","No","8","6",14,"No",7332.00
"H4590","UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",189430,"09","San Francisco","Medicare","033","UnitedHealthcare Dual Complete (HMO SNP)","Yes","Dual-Eligible","Yes","No","8","6",14,"No",3886.00
"H4837","UNITEDHEALTHCARE OF WISCONSIN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1139,"09","San Francisco","Medicare","001","UnitedHealthcare Dual Complete (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1139.00
"H4866","CUATRO LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3367,"02","New York","Medicare","005","Access Medicare Pearl (HMO SNP)","Yes","Dual-Eligible","Yes","No","2","1",3,"No",1444.00
"H5008","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",8140,"09","San Francisco","Medicare","001","UnitedHealthcare Nursing Home Plan (HMO SNP)","Yes","Institutional","Yes","No","0","2",2,"Yes",1454.00
"H5008","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",8140,"09","San Francisco","Medicare","002","UnitedHealthcare Dual Complete (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",6686.00
"H5087","EASY CHOICE HEALTH PLAN INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",61870,"04","Atlanta","Medicare","001","Easy Choice Freedom Plan (HMO SNP)","Yes","Dual-Eligible","Yes","No","8","1",9,"No",15472.00
"H5151","HEALTH PLAN OF THE UPPER OHIO VALLEY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",7676,"03","Philadelphia","Medicare","007","SecureCare SNP (HMO SNP)","Yes","Dual-Eligible","Yes","No","5","1",6,"No",122.00
"H5190","SUNSHINE STATE HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",490,"10","Seattle","Medicare","001","Advantage by Sunshine Health (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","3",3,"Yes",279.00
"H5207","COMMUNITY CARE HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",293,"05","Chicago","Medicare","001","Community Care's Partnership Program (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",293.00
"H5209","CARE WISCONSIN HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1018,"05","Chicago","Medicare","002","Partnership (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1018.00
"H5215","NETWORK HEALTH INSURANCE CORPORATION","Local CCP","Local PPO","Yes","Yes","PPO",57598,"05","Chicago","Medicare","007","NetworkCares (PPO SNP)","Yes","Dual-Eligible","Yes","No","8","1",9,"No",2388.00
"H5253","UNITEDHEALTHCARE OF WISCONSIN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",98471,"09","San Francisco","Medicare","007","UnitedHealthcare Nursing Home Plan (HMO-POS SNP)","Yes","Institutional","Yes","No","8","2",10,"No",1566.00
"H5253","UNITEDHEALTHCARE OF WISCONSIN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",98471,"09","San Francisco","Medicare","024","UnitedHealthcare Dual Complete LP (HMO SNP)","Yes","Dual-Eligible","Yes","No","8","2",10,"No",5304.00
"H5294","SUPERIOR HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2808,"10","Seattle","Medicare","001","Advantage by Superior HealthPlan (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",2808.00
"H5322","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3062,"09","San Francisco","Medicare","001","UnitedHealthcare Nursing Home Plan (HMO-POS SNP)","Yes","Institutional","Yes","No","6","8",14,"No",316.00
"H5322","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",3062,"09","San Francisco","Medicare","003","UnitedHealthcare Nursing Home Plan (HMO SNP)","Yes","Institutional","Yes","No","6","8",14,"No",600.00
"H5410","HEALTHSPRING OF FLORIDA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",49018,"06","Dallas","Medicare","013","Cigna-HealthSpring TotalCare (HMO SNP)","Yes","Dual-Eligible","Yes","No","4","1",5,"No",954.00
"H5417","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",2661,"09","San Francisco","Medicare","001","UnitedHealthcare Nursing Home Plan (PPO SNP)","Yes","Institutional","Yes","No","0","1",1,"Yes",2661.00
"H5420","MEDICA HEALTHCARE PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",33338,"09","San Francisco","Medicare","006","Medica HealthCare Plans MedicareMax Plus (HMO-POS SNP)","Yes","Dual-Eligible","Yes","No","2","1",3,"No",4694.00
"H5424","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","Local PPO","Yes","Yes","PPO",14399,"09","San Francisco","Medicare","005","UnitedHealthcare Dual Complete (PPO SNP)","Yes","Dual-Eligible","Yes","No","2","1",3,"No",8195.00
"H5425","SCAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",149337,"09","San Francisco","Medicare","030","SCAN Connections at Home (HMO SNP)","Yes","Dual-Eligible","Yes","No","19","14",33,"No",508.00
"H5425","SCAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",149337,"09","San Francisco","Medicare","034","SCAN Balance (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","19","14",33,"No",7121.00
"H5425","SCAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",149337,"09","San Francisco","Medicare","048","SCAN Balance (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","19","14",33,"No",44.00
"H5425","SCAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",149337,"09","San Francisco","Medicare","031","SCAN Connections at Home (HMO SNP)","Yes","Dual-Eligible","Yes","No","19","14",33,"No",321.00
"H5425","SCAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",149337,"09","San Francisco","Medicare","028","Heart First (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","19","14",33,"No",1789.00
"H5425","SCAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",149337,"09","San Francisco","Medicare","010","SCAN Connections (HMO SNP)","Yes","Dual-Eligible","Yes","No","19","14",33,"No",4996.00
"H5425","SCAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",149337,"09","San Francisco","Medicare","029","SCAN Connections at Home (HMO SNP)","Yes","Dual-Eligible","Yes","No","19","14",33,"No",1547.00
"H5425","SCAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",149337,"09","San Francisco","Medicare","033","Heart First (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","19","14",33,"No",1447.00
"H5427","FREEDOM HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",54174,"04","Atlanta","Medicare","076","Freedom VIP Care COPD (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","6","8",14,"No",771.00
"H5427","FREEDOM HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",54174,"04","Atlanta","Medicare","070","Freedom VIP Care (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","6","8",14,"No",2330.00
"H5427","FREEDOM HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",54174,"04","Atlanta","Medicare","072","Freedom VIP Savings (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","6","8",14,"No",15047.00
"H5427","FREEDOM HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",54174,"04","Atlanta","Medicare","077","Freedom VIP Savings COPD (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","6","8",14,"No",3909.00
"H5427","FREEDOM HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",54174,"04","Atlanta","Medicare","078","Freedom Medi-Medi Partial (HMO SNP)","Yes","Dual-Eligible","Yes","No","6","8",14,"No",3563.00
"H5427","FREEDOM HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",54174,"04","Atlanta","Medicare","082","Freedom VIP Savings (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","6","8",14,"No",4422.00
"H5427","FREEDOM HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",54174,"04","Atlanta","Medicare","083","Freedom VIP Savings COPD (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","6","8",14,"No",1091.00
"H5427","FREEDOM HEALTH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",54174,"04","Atlanta","Medicare","087","Freedom Medi-Medi Full (HMO SNP)","Yes","Dual-Eligible","Yes","No","6","8",14,"No",4922.00
"H5428","SAN MATEO HEALTH COMMISSION","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",8462,"09","San Francisco","Medicare","001","HPSM CareAdvantage (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",8462.00
"H5430","ONECARE BY CARE1ST HEALTH PLAN ARIZONA INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1774,"09","San Francisco","Medicare","001","ONECare by Care1st Health Plan Arizona, Inc. (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1774.00
"H5433","ORANGE COUNTY HEALTH AUTHORITY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",13615,"09","San Francisco","Medicare","001","OneCare (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",13615.00
"H5471","SIMPLY HEALTHCARE PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27136,"04","Atlanta","Medicare","007","Simply Complete (HMO SNP)","Yes","Dual-Eligible","Yes","No","17","20",37,"No",3248.00
"H5471","SIMPLY HEALTHCARE PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27136,"04","Atlanta","Medicare","008","Simply Care (HMO SNP)","Yes","Institutional","Yes","No","17","20",37,"No",122.00
"H5471","SIMPLY HEALTHCARE PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27136,"04","Atlanta","Medicare","009","Simply Comfort (HMO SNP)","Yes","Institutional","Yes","No","17","20",37,"No",206.00
"H5471","SIMPLY HEALTHCARE PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27136,"04","Atlanta","Medicare","012","Simply Level (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","17","20",37,"No",533.00
"H5471","SIMPLY HEALTHCARE PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27136,"04","Atlanta","Medicare","020","Simply Level (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","17","20",37,"No",626.00
"H5471","SIMPLY HEALTHCARE PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27136,"04","Atlanta","Medicare","039","Simply Complete (HMO SNP)","Yes","Dual-Eligible","Yes","No","17","20",37,"No",241.00
"H5471","SIMPLY HEALTHCARE PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27136,"04","Atlanta","Medicare","042","Simply Level (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","17","20",37,"No",92.00
"H5471","SIMPLY HEALTHCARE PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",27136,"04","Atlanta","Medicare","001","Simply Complete (HMO SNP)","Yes","Dual-Eligible","Yes","No","17","20",37,"No",9182.00
"H5475","MERIDIAN HEALTH PLAN OF MICHIGAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2761,"05","Chicago","Medicare","001","Meridian Advantage Plan of Michigan (HMO SNP)","Yes","Dual-Eligible","Yes","No","1","1",2,"No",1920.00
"H5528","GROUP HEALTH INCORPORATED","Local CCP","Local PPO","Yes","Yes","PPO",24046,"02","New York","Medicare","018","EmblemHealth Dual Eligible (PPO SNP)","Yes","Dual-Eligible","Yes","No","12","1",13,"No",2984.00
"H5549","VNS CHOICE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",19109,"02","New York","Medicare","002","VNSNY CHOICE Medicare Preferred (HMO SNP)","Yes","Dual-Eligible","Yes","No","2","3",5,"No",14498.00
"H5549","VNS CHOICE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",19109,"02","New York","Medicare","003","VNSNY CHOICE Total (HMO SNP)","Yes","Dual-Eligible","Yes","No","2","3",5,"No",206.00
"H5549","VNS CHOICE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",19109,"02","New York","Medicare","006","VNSNY CHOICE Medicare Maximum (HMO SNP)","Yes","Dual-Eligible","Yes","No","2","3",5,"No",498.00
"H5577","MCS ADVANTAGE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",126460,"02","New York","Medicare","002","MCS Classicare Platino Ideal (HMO SNP)","Yes","Dual-Eligible","Yes","No","8","3",11,"No",34576.00
"H5577","MCS ADVANTAGE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",126460,"02","New York","Medicare","009","MCS Classicare Platino Mximo (HMO SNP)","Yes","Dual-Eligible","Yes","No","8","3",11,"No",13806.00
"H5577","MCS ADVANTAGE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",126460,"02","New York","Medicare","010","MCS Classicare Platino Superior (HMO SNP)","Yes","Dual-Eligible","Yes","No","8","3",11,"No",31198.00
"H5580","SOUTHWEST CATHOLIC HEALTH NETWORK CORPORATION","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",17740,"09","San Francisco","Medicare","001","Mercy Care Advantage (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","3",3,"Yes",11357.00
"H5580","SOUTHWEST CATHOLIC HEALTH NETWORK CORPORATION","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",17740,"09","San Francisco","Medicare","004","Mercy Care Advantage (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","3",3,"Yes",5275.00
"H5580","SOUTHWEST CATHOLIC HEALTH NETWORK CORPORATION","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",17740,"09","San Francisco","Medicare","005","Mercy Care Advantage (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","3",3,"Yes",1108.00
"H5587","HEALTH CHOICE ARIZONA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",9126,"09","San Francisco","Medicare","002","Health Choice Generations (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",9126.00
"H5590","BRIDGEWAY HEALTH SOLUTIONS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1432,"10","Seattle","Medicare","002","Advantage by Bridgeway Health Solutions (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1432.00
"H5594","OPTIMUM HEALTHCARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",43073,"04","Atlanta","Medicare","029","Optimum Diamond Rewards COPD (HMO-POS SNP)","Yes","Chronic or Disabling Condition","Yes","No","9","6",15,"No",2253.00
"H5594","OPTIMUM HEALTHCARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",43073,"04","Atlanta","Medicare","030","Optimum Diamond Rewards (HMO-POS SNP)","Yes","Chronic or Disabling Condition","Yes","No","9","6",15,"No",6692.00
"H5594","OPTIMUM HEALTHCARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",43073,"04","Atlanta","Medicare","028","Optimum Diamond Rewards (HMO-POS SNP)","Yes","Chronic or Disabling Condition","Yes","No","9","6",15,"No",7720.00
"H5594","OPTIMUM HEALTHCARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",43073,"04","Atlanta","Medicare","017","Optimum Emerald Full (HMO SNP)","Yes","Dual-Eligible","Yes","No","9","6",15,"No",1914.00
"H5594","OPTIMUM HEALTHCARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",43073,"04","Atlanta","Medicare","016","Optimum Emerald Partial (HMO SNP)","Yes","Dual-Eligible","Yes","No","9","6",15,"No",950.00
"H5594","OPTIMUM HEALTHCARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",43073,"04","Atlanta","Medicare","031","Optimum Diamond Rewards COPD (HMO-POS SNP)","Yes","Chronic or Disabling Condition","Yes","No","9","6",15,"No",1777.00
"H5608","DENVER HEALTH MEDICAL PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4251,"08","Denver","Medicare","001","Denver Health Medicare Choice (HMO SNP)","Yes","Dual-Eligible","Yes","No","1","1",2,"No",1524.00
"H5619","ARCADIAN HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4149,"07","Kansas City","Medicare","003","Humana Gold Plus SNP-DE H5619-003 (HMO SNP)","Yes","Dual-Eligible","Yes","No","5","2",7,"No",1288.00
"H5619","ARCADIAN HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4149,"07","Kansas City","Medicare","009","Humana Gold Plus SNP-DE H5619-009 (HMO SNP)","Yes","Dual-Eligible","Yes","No","5","2",7,"No",485.00
"H5628","MOLINA HEALTHCARE OF UTAH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",8457,"10","Seattle","Medicare","001","Molina Medicare Options Plus (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",6359.00
"H5628","MOLINA HEALTHCARE OF UTAH, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",8457,"10","Seattle","Medicare","006","Healthy Advantage (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",2098.00
"H5640","IEHP HEALTH ACCESS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",11334,"09","San Francisco","Medicare","001","IEHP Medicare DualChoice (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",11334.00
"H5649","CENTRAL HEALTH PLAN OF CALIFORNIA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",21243,"10","Seattle","Medicare","002","Central Health Medi-Medi Plan (HMO SNP)","Yes","Dual-Eligible","Yes","No","2","1",3,"No",8872.00
"H5652","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4421,"09","San Francisco","Medicare","003","Erickson Advantage Guardian (HMO-POS SNP)","Yes","Institutional","Yes","No","3","2",5,"No",208.00
"H5652","UNITEDHEALTHCARE INSURANCE COMPANY","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4421,"09","San Francisco","Medicare","004","Erickson Advantage Champion (HMO-POS SNP)","Yes","Chronic or Disabling Condition","Yes","No","3","2",5,"No",1902.00
"H5685","HAP MIDWEST HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1276,"05","Chicago","Medicare","001","Midwest  Advantage (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1276.00
"H5698","WINDSOR HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",37192,"04","Atlanta","Medicare","134","Windsor Medicare Extra Comp Plus Plan (HMO SNP)","Yes","Dual-Eligible","Yes","No","5","4",9,"No",8232.00
"H5698","WINDSOR HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",37192,"04","Atlanta","Medicare","128","Windsor Medicare Extra Comp Plus Plan (HMO SNP)","Yes","Dual-Eligible","Yes","No","5","4",9,"No",4019.00
"H5698","WINDSOR HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",37192,"04","Atlanta","Medicare","140","Windsor Medicare Extra Comp Plus Plan (HMO SNP)","Yes","Dual-Eligible","Yes","No","5","4",9,"No",5222.00
"H5698","WINDSOR HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",37192,"04","Atlanta","Medicare","158","Windsor Medicare Extra Comp Plus Plan (HMO SNP)","Yes","Dual-Eligible","Yes","No","5","4",9,"No",1066.00
"H5703","SOUTH COUNTRY HEALTH ALLIANCE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",605,"05","Chicago","Medicare","001","AbilityCare (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",605.00
"H5774","TRIPLE S ADVANTAGE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",51454,"02","New York","Medicare","009","AHM Classic Plus (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","7","2",9,"No",3368.00
"H5774","TRIPLE S ADVANTAGE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",51454,"02","New York","Medicare","019","AHM Platino Plus (HMO SNP)","Yes","Dual-Eligible","Yes","No","7","2",9,"No",32855.00
"H5779","MERIDIAN HEALTH PLAN OF ILLINOIS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",455,"05","Chicago","Medicare","001","Meridian Advantage Plan of Illinois (HMO SNP)","Yes","Dual-Eligible","Yes","No","1","1",2,"No",266.00
"H5786","MERIDIAN HEALTH PLAN OF IOWA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",345,"05","Chicago","Medicare","001","Meridian Advantage Plan of Iowa (HMO SNP)","Yes","Dual-Eligible","Yes","No","1","1",2,"No",223.00
"H5810","MOLINA HEALTHCARE OF CALIFORNIA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",9517,"10","Seattle","Medicare","001","Molina Medicare Options Plus (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",7240.00
"H5810","MOLINA HEALTHCARE OF CALIFORNIA","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",9517,"10","Seattle","Medicare","007","Molina Medicare Options Plus (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",2277.00
"H5817","AMERIGROUP TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",34878,"05","Chicago","Medicare","009","Amerivantage Specialty + Rx (HMO SNP)","Yes","Dual-Eligible","Yes","No","1","1",2,"No",23070.00
"H5823","MOLINA HEALTHCARE OF WASHINGTON, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",8556,"10","Seattle","Medicare","006","Molina Medicare Options Plus (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",8556.00
"H5826","COMMUNITY HEALTH PLAN OF WASHINGTON","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",17470,"10","Seattle","Medicare","005","Community HealthFirst MA Special Needs Plan (HMO SNP)","Yes","Dual-Eligible","Yes","No","4","1",5,"No",6571.00
"H5852","AIDS HEALTHCARE FOUNDATION","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",829,"09","San Francisco","Medicare","001","PHP (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","0","1",1,"Yes",829.00
"H5859","HEALTH PLAN OF CAREOREGON, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","POS",11038,"10","Seattle","Medicare","001","CareOregon Advantage Plus (HMO-POS SNP)","Yes","Dual-Eligible","Yes","No","1","1",2,"No",9673.00
"H5887","MMM HEALTHCARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",9143,"02","New York","Medicare","010","First+Plus Platino (HMO SNP)","Yes","Dual-Eligible","Yes","No","18","2",20,"No",1984.00
"H5887","MMM HEALTHCARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",9143,"02","New York","Medicare","007","First+Plus Complete (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","18","2",20,"No",1430.00
"H5926","MOLINA HEALTHCARE OF MICHIGAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",11701,"10","Seattle","Medicare","001","Molina Medicare Options Plus (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",11701.00
"H5928","CARE1ST HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",44918,"09","San Francisco","Medicare","001","Care1st TotalDual Plan (HMO SNP)","Yes","Dual-Eligible","Yes","No","11","4",15,"No",8902.00
"H5928","CARE1ST HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",44918,"09","San Francisco","Medicare","005","Care1st TotalDual Plan (HMO SNP)","Yes","Dual-Eligible","Yes","No","11","4",15,"No",621.00
"H5928","CARE1ST HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",44918,"09","San Francisco","Medicare","009","Care1st TotalDual Plan (HMO SNP)","Yes","Dual-Eligible","Yes","No","11","4",15,"No",5065.00
"H5928","CARE1ST HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",44918,"09","San Francisco","Medicare","025","Care1st TotalDual Plan (HMO SNP)","Yes","Dual-Eligible","Yes","No","11","4",15,"No",3099.00
"H5932","GATEWAY HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",47681,"03","Philadelphia","Medicare","001","Gateway Health Medicare Assured Diamond (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","4",4,"Yes",39065.00
"H5932","GATEWAY HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",47681,"03","Philadelphia","Medicare","007","Gateway Health  Medicare Assured Gold (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","0","4",4,"Yes",1003.00
"H5932","GATEWAY HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",47681,"03","Philadelphia","Medicare","008","Gateway Health  Medicare Assured Platinum (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","0","4",4,"Yes",5133.00
"H5932","GATEWAY HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",47681,"03","Philadelphia","Medicare","009","Gateway Health  Medicare Assured  Ruby (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","4",4,"Yes",2480.00
"H5943","SCAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",987,"09","San Francisco","Medicare","001","VillageHealth (HMO-POS SNP)","Yes","Chronic or Disabling Condition","Yes","No","0","2",2,"Yes",802.00
"H5969","ALOHACARE","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1663,"09","San Francisco","Medicare","002","AlohaCare Advantage Plus (HMO SNP)","Yes","Dual-Eligible","Yes","No","2","1",3,"No",399.00
"H5985","PHOENIX HEALTH PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",9177,"06","Dallas","Medicare","002","Phoenix Advantage Plus (HMO SNP)","Yes","Dual-Eligible","Yes","No","2","1",3,"No",3322.00
"H5989","CENTERLIGHT HEALTHCARE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",967,"02","New York","Medicare","002","CenterLight Healthcare Direct Complete Plan (HMO SNP)","Yes","Institutional","Yes","No","0","2",2,"Yes",967.00
"H5991","AFFINITY HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4806,"02","New York","Medicare","001","Affinity Medicare Ultimate (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",3850.00
"H5991","AFFINITY HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",4806,"02","New York","Medicare","002","Affinity Medicare Solutions (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",956.00
"H5992","SENIOR WHOLE HEALTH OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",41,"01","Boston","Medicare","006","Senior Whole Health of New York (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",14.00
"H5995","ATRIO HEALTH PLANS","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3193,"10","Seattle","Medicare","001","ATRIO Special Needs Plan (Willamette) (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",3193.00
"H6181","AMERIGROUP NEW YORK, LLC","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",11024,"05","Chicago","Medicare","007","Amerivantage Specialty + Rx (HMO SNP)","Yes","Dual-Eligible","Yes","No","1","1",2,"No",6086.00
"H6528","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Local CCP","Local PPO","Yes","Yes","PPO",31300,"09","San Francisco","Medicare","029","Care Improvement Plus Gold Rx (PPO SNP)","Yes","Chronic or Disabling Condition","Yes","No","2","2",4,"No",266.00
"H6528","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Local CCP","Local PPO","Yes","Yes","PPO",31300,"09","San Francisco","Medicare","016","Care Improvement Plus Gold Rx (PPO SNP)","Yes","Chronic or Disabling Condition","Yes","No","2","2",4,"No",5687.00
"H6623","MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1406,"09","San Francisco","Medicare","001","Maricopa Care Advantage (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1406.00
"H6815","HEALTH NET HEALTH PLAN OF OREGON","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",13034,"10","Seattle","Medicare","002","Health Net Jade (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","1","1",2,"No",1958.00
"H6864","GUILDNET, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO/POS Combined",714,"02","New York","Medicare","001","GuildNet Gold (HMO-POS SNP)","Yes","Dual-Eligible","Yes","No","0","2",2,"Yes",714.00
"H7173","PEACH STATE HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",64,"10","Seattle","Medicare","001","Advantage by Peach State Health Plan (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",64.00
"H7200","AMERIGROUP TENNESSEE, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5603,"05","Chicago","Medicare","006","Amerivantage Specialty + Rx (HMO SNP)","Yes","Dual-Eligible","Yes","No","1","1",2,"No",4199.00
"H7475","CARE WISCONSIN HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",251,"05","Chicago","Medicare","001","Partnership (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",251.00
"H7678","MOLINA HEALTHCARE OF TEXAS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",5963,"10","Seattle","Medicare","001","Molina Medicare Options Plus (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",5963.00
"H8130","MOLINA HEALTHCARE OF FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1112,"10","Seattle","Medicare","001","Molina Medicare Options Plus (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1112.00
"H8189","MANAGED HEALTH SERVICES, WISCONSIN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1018,"10","Seattle","Medicare","001","Advantage by Managed Health Services (HMO SNP)","Yes","Dual-Eligible","Yes","No","0","1",1,"Yes",1018.00
"H8822","ADVANTAGE HEALTH SOLUTIONS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1502,"05","Chicago","Medicare","005","ADVANTAGE Special Needs Plan (HMO SNP)","Yes","Dual-Eligible","Yes","No","1","1",2,"No",93.00
"H8953","HUMANA HEALTH PLAN OF OHIO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",29802,"07","Kansas City","Medicare","007","Humana Gold Plus SNP-DE H8953-007 (HMO SNP)","Yes","Dual-Eligible","Yes","No","10","5",15,"No",386.00
"H8953","HUMANA HEALTH PLAN OF OHIO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",29802,"07","Kansas City","Medicare","011","Humana Gold Plus SNP-CVD/CHF/DM H8953-011 (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","10","5",15,"No",525.00
"H8953","HUMANA HEALTH PLAN OF OHIO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",29802,"07","Kansas City","Medicare","012","Humana Gold Plus SNP-CVD/CHF/DM H8953-012 (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","10","5",15,"No",355.00
"H8953","HUMANA HEALTH PLAN OF OHIO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",29802,"07","Kansas City","Medicare","014","Humana Gold Plus SNP-DE H8953-014 (HMO SNP)","Yes","Dual-Eligible","Yes","No","10","5",15,"No",159.00
"H8991","AMERIGROUP FLORIDA, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",2770,"05","Chicago","Medicare","017","Amerivantage Specialty + Rx (HMO SNP)","Yes","Dual-Eligible","Yes","No","1","2",3,"No",2494.00
"H9001","FALLON COMMUNITY HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",17340,"01","Boston","Medicare","019","NaviCare (HMO SNP)","Yes","Dual-Eligible","Yes","No","25","1",26,"No",4117.00
"H9082","MOLINA HEALTHCARE OF NEW MEXICO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1640,"10","Seattle","Medicare","007","Molina Medicare Options Plus (HMO SNP)","Yes","Dual-Eligible","Yes","No","1","1",2,"No",1052.00
"H9104","SCAN HEALTH PLAN","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",3496,"09","San Francisco","Medicare","006","SCAN Healthy at Home (HMO SNP)","Yes","Institutional","Yes","No","0","1",1,"Yes",3496.00
"H9122","ALPHACARE OF NEW YORK, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1082,"02","New York","Medicare","003","AlphaCare Total (HMO SNP)","Yes","Dual-Eligible","Yes","No","1","2",3,"No",477.00
"H9190","GATEWAY HEALTH PLAN OF OHIO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1022,"03","Philadelphia","Medicare","004","Gateway Health  Medicare Assured Platinum (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","4","4",8,"No",124.00
"H9190","GATEWAY HEALTH PLAN OF OHIO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1022,"03","Philadelphia","Medicare","001","Gateway Health  Medicare Assured Diamond (HMO SNP)","Yes","Dual-Eligible","Yes","No","4","4",8,"No",592.00
"H9190","GATEWAY HEALTH PLAN OF OHIO, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",1022,"03","Philadelphia","Medicare","003","Gateway Health  Medicare Assured Gold (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","4","4",8,"No",73.00
"H9207","HEALTH PARTNERS PLANS, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",6924,"03","Philadelphia","Medicare","004","Health Partners Medicare Special (HMO SNP)","Yes","Dual-Eligible","Yes","No","3","1",4,"No",4549.00
"H9285","ATLANTIS HEALTH PLAN, INC.","Local CCP","HMO/HMOPOS","Yes","Yes","HMO",870,"04","Atlanta","Medicare","003","Easy Choice Diamond Rewards (HMO SNP)","Yes","Chronic or Disabling Condition","Yes","No","2","1",3,"No",171.00
"R3175","UNITEDHEALTHCARE INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",3328,"09","San Francisco","Medicare","003","UnitedHealthcare Dual Complete RP (Regional PPO SNP)","Yes","Dual-Eligible","Yes","No","2","1",3,"No",3328.00
"R3444","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",53472,"09","San Francisco","Medicare","008","Care Improvement Plus Silver Rx (Regional PPO SNP)","Yes","Chronic or Disabling Condition","Yes","No","1","3",4,"No",7670.00
"R3444","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",53472,"09","San Francisco","Medicare","009","Care Improvement Plus Gold Rx (Regional PPO SNP)","Yes","Chronic or Disabling Condition","Yes","No","1","3",4,"No",12504.00
"R3444","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",53472,"09","San Francisco","Medicare","011","Care Improvement Plus Dual Advantage (Regional PPO SNP)","Yes","Dual-Eligible","Yes","No","1","3",4,"No",15030.00
"R5287","UNITEDHEALTHCARE INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",166300,"09","San Francisco","Medicare","003","UnitedHealthcare Dual Complete RP (Regional PPO SNP)","Yes","Dual-Eligible","Yes","No","2","1",3,"No",22852.00
"R5287","UNITEDHEALTHCARE INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",166300,"09","San Francisco","Medicare","003","UnitedHealthcare Dual Complete RP (Regional PPO SNP)","Yes","Dual-Eligible","Yes","No","2","1",3,"No",22852.00
"R6801","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",71350,"09","San Francisco","Medicare","011","Care Improvement Plus Dual Advantage (Regional PPO SNP)","Yes","Dual-Eligible","Yes","No","1","3",4,"No",18558.00
"R6801","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",71350,"09","San Francisco","Medicare","009","Care Improvement Plus Gold Rx (Regional PPO SNP)","Yes","Chronic or Disabling Condition","Yes","No","1","3",4,"No",19818.00
"R6801","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",71350,"09","San Francisco","Medicare","008","Care Improvement Plus Silver Rx (Regional PPO SNP)","Yes","Chronic or Disabling Condition","Yes","No","1","3",4,"No",5694.00
"R6801","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",71350,"09","San Francisco","Medicare","009","Care Improvement Plus Gold Rx (Regional PPO SNP)","Yes","Chronic or Disabling Condition","Yes","No","1","3",4,"No",19818.00
"R6801","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",71350,"09","San Francisco","Medicare","008","Care Improvement Plus Silver Rx (Regional PPO SNP)","Yes","Chronic or Disabling Condition","Yes","No","1","3",4,"No",5694.00
"R6801","CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY","Regional CCP","Regional PPO","Yes","Yes","PPO",71350,"09","San Francisco","Medicare","011","Care Improvement Plus Dual Advantage (Regional PPO SNP)","Yes","Dual-Eligible","Yes","No","1","3",4,"No",18558.00
"R9896","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",160874,"09","San Francisco","Medicare","021","Care Improvement Plus Dual Advantage (Regional PPO SNP)","Yes","Dual-Eligible","Yes","No","1","3",4,"No",43454.00
"R9896","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",160874,"09","San Francisco","Medicare","008","Care Improvement Plus Silver Rx (Regional PPO SNP)","Yes","Chronic or Disabling Condition","Yes","No","1","3",4,"No",22866.00
"R9896","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",160874,"09","San Francisco","Medicare","009","Care Improvement Plus Gold Rx (Regional PPO SNP)","Yes","Chronic or Disabling Condition","Yes","No","1","3",4,"No",45439.00
"R9896","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",160874,"09","San Francisco","Medicare","008","Care Improvement Plus Silver Rx (Regional PPO SNP)","Yes","Chronic or Disabling Condition","Yes","No","1","3",4,"No",22866.00
"R9896","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",160874,"09","San Francisco","Medicare","009","Care Improvement Plus Gold Rx (Regional PPO SNP)","Yes","Chronic or Disabling Condition","Yes","No","1","3",4,"No",45439.00
"R9896","CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.","Regional CCP","Regional PPO","Yes","Yes","PPO",160874,"09","San Francisco","Medicare","021","Care Improvement Plus Dual Advantage (Regional PPO SNP)","Yes","Dual-Eligible","Yes","No","1","3",4,"No",43454.00
