Medicaid Managed Care Program Summary

June 30, 2009 Managed Care Entity
Medical-only PIHP Medical-only PIHP PCCM PCCM Transp PAHP PACE

State
AL AL AL AR AR AR

Plan
Maternity Care Program Partnership Hospital Program Patient 1st Connect Care Non-Emergency Transportation Total Life Healthcare

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation Fee-For-Service Fee-For-Service Risk-based Capitation Risk-based Capitation

Operating Authority
1915(b) 1915(a) 1902(a)(4) 1915(b) 1115 1915(b) PACE

Geographic Area Served
Statewide Statewide Statewide Statewide Statewide 72315, 72319, 72324, 72354, 72365, 72373, 72387, 72396, 72401, 72404, 72411, 72414, 72416, 72417, 72419, 72421, 72427, 72432, 72433, 72437, 72438, 72442, 72447, 72450, 72455, 72465, 72467, 72472, 72476 La Paz, Maricopa, Pima, Yuma LaPaz, Maricopa, Pima, Yuma Yavapai LaPaz, Maricopa, Yuma Yavapai Maricopa Maricopa Cochise, Graham, Greenlee Statewide

Number of Enrollees
21,324 518,769 443,327 411,351 451,863 21

AZ AZ AZ AZ AZ AZ AZ AZ AZ

AZ Physicians IPA (Family Planning Extension) AZ Physicians IPA (HP) Bridgeway (Family Planning Extension) Bridgeway Health Solution (HP) Bridgeway Health Solution (PC) Care 1st Health Plan Care 1st Health Plan (Family Planning Extension) Cochise Co. Dept. of Health Services (PC) Department of Economic Security/Childrens Medical and Dental Program (Family Planning Extension)

Medicaid MCO Medicaid MCO Medicaid MCO Medicaid MCO Medicaid MCO Medicaid MCO Medicaid MCO Medicaid MCO Medicaid MCO

Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

1115 1115 1115 1115 1115 1115 1115 1115 1115

604 220,485 56 16,182 2,405 49,355 208 938 0

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 23

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Medicaid MCO

State
AZ

Plan
Department of Economic Security/Childrens Medical and Dental Program (HP) Department of Economic Security/Division of Developmental Disabilities (PC) Department of Health Services (Behavioral Health) Evercare Select (PC) Health Choice Arizona (Family Planning Extension) Health Choice Arizona (HP) Maricopa County Health Plan (Family Planning Extension) Maricopa County Health Plan (HP) Mercy Care Plan (Family Planning Extension) Mercy Care Plan (HP) Mercy Care Plan (PC) Phoenix Health Plan/Community Connection (Family Planning Extension) Phoenix Health Plan/Community Connection (HP) Pima Health System (Family Planning Extension) Pima Health System (HP)

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

Operating Authority
1115

Geographic Area Served
Statewide

Number of Enrollees
9,533

AZ

Medicaid MCO

1115

Statewide

21,753

AZ

MH/SUD PIHP

1115

Apache, Cochise, Coconino, Gila, Graham, Greenlee, LaPaz, Maricopa, Mohave, Navajo, Pima, Pinal, Santa Cruz, Yavapai, Yuma Apache, Coconino, La Paz, Maricopa, Mohave, Navajo, Yuma Apache, Coconino, LaPaz, Maricopa, Mohave, Navajo, Pima, Santa Cruz, Yuma Apache, Coconino, LaPaz, Maricopa, Mohave, Navajo, Pima, Santa Cruz, Yuma Maricopa Maricopa Cochise, Graham, Greenlee, Maricopa, Pima Cochise, Graham, Greenlee, Maricopa, Pima Maricopa Apache, Coconino, Gila, Maricopa, Mohave, Navajo, Pima, Pinal, Yavapai Apache, Coconino, Gila, Maricopa, Mohave, Navajo, Pima, Pinal, Yavapai Pima Pima

104,101

AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ

Medicaid MCO Medicaid MCO Medicaid MCO Medicaid MCO Medicaid MCO Medicaid MCO Medicaid MCO Medicaid MCO Medicaid MCO Medicaid MCO Medicaid MCO Medicaid MCO

1115 1115 1115 1115 1115 1115 1115 1115 1115 1115 1115 1115

3,647 791 177,142 109 51,234 994 283,456 8,388 710 174,038 12 2,153

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 24

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Medicaid MCO Medicaid MCO Medicaid MCO Medicaid MCO Medicaid MCO Medicaid MCO Dental PAHP Dental PAHP Commercial MCO PACE Dental PAHP Commercial MCO Commercial MCO HIO Commercial MCO Dental PAHP

State
AZ AZ AZ AZ AZ AZ CA CA CA CA CA CA CA CA CA CA

Plan
Pima Health System (PC) Pinal County Long Term Care (PC) SCAN University Family Care (Family Planning Extension) University Family Care (HP) Yavapai County Long Term Care (PC) Access Dental Plan-LA Access Dental Plan-Sacramento Alameda Alliance for Health AltaMed Health Services Corporation American Health Guard-Dental Plan-LA Anthem Blue Cross Partnership Plan Sacramento Anthem Blue Cross Partnership PlanTPMP Caloptima-Orange Care 1st Health Plan/San Diego Care 1st Health Plan-Dental-LA

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

Operating Authority
1115 1115 1115 1115 1115 1115 1915(a) 1915(a) 1915(b), 1932(a) PACE 1915(a) 1915(b), 1932(a) 1915(b), 1932(a) 1915(b) 1915(b), 1932(a) 1915(a)

Geographic Area Served
Pima, Santa Cruz Gila, Pinal Maricopa Cochise, Gila, Graham, Greenlee, Pima, Pinal, Santa Cruz Cochise, Gila, Graham, Greenlee, Pima, Pinal, Santa Cruz Yavapai Los Angeles Sacramento Alameda LA Los Angeles Sacramento Alameda, Contra Costa, Fresno, San Francisco, San Joaquin, Santa Calra, Stanislaus, Tulare Orange San Diego Los Angeles

Number of Enrollees
4,210 1,433 2,591 159 62,763 1,016 104,353 51,946 88,767 622 16,938 86,166 349,162 327,163 9,126 17,632

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 25

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
HIO PACE Dental PAHP Dental PAHP PACE Commercial MCO Commercial MCO Commercial MCO Commercial MCO Commercial MCO Dental PAHP Dental PAHP Commercial MCO *MCO/COHS Commercial MCO Commercial MCO

State
CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

Plan
Central Coast Alliance For Health Coalition of Elders Independence dba Center for Elders Independence Community Dental Services/Sacramento Community Dental Services-LA Community Eldercare of San Diego dba St. Paul's PACE Community Health Group Partnership Plan-San Diego Contra Costa Health Plan Health Net Community Solutions, Inc. Sacramento Health Net Community Solutions, Inc.San Diego Health Net Community Solutions, Inc.TPMP Health Net of CA-Dental-LA Health Net of CA-Dental-Sacramento Health Plan of San Joaquin Health Plan of San Mateo Inland Empire Health Plan Kern Family Health Care

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

Operating Authority
1915(b) PACE 1915(b), 1932(a) 1915(a) PACE 1915(b), 1932(a) 1915(b), 1932(a) 1915(b), 1932(a) 1915(b), 1932(a) 1915(b), 1932(a) 1915(a) 1915(a) 1915(b), 1932(a) 1915(b) 1915(b), 1932(a) 1915(b), 1932(a)

Geographic Area Served
Monterey, Santa Cruz Alameda Sacramento Los Angeles San Diego San Diego Contra Costa Sacramento San Diego Fresno, Kern, LA, Stanislaus, Tulare Los Angeles Sacramento San Joaquin San Mateo Riverside, San Bernardino Kern

Number of Enrollees
96,468 413 12,805 4,889 77 86,241 53,869 34,498 30,586 582,166 31,247 12,078 67,793 52,908 344,595 100,487

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 26

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Commercial MCO Commercial MCO Commercial MCO Commercial MCO Dental PAHP Dental PAHP Commercial MCO Commercial MCO Commercial MCO PACE HIO Medicaid MCO Dental PAHP *Emotional and Mental Health Support PIHP Commercial MCO HIO

State
CA CA CA CA CA CA CA CA CA CA CA CA CA CA

Plan
KP Cal, LLC KP Cal, LLC - Sacramento KP Cal, LLC-San Diego LA Care Health Plan Liberty Dental Plan of CA/Sacramento Liberty Dental Plan of CA-LA Molina Healthcare of California Partner Plan, Inc. - Sacramento Molina Healthcare of California Partner Plan, Inc. - San Diego Molina Healthcare of California Partner Plan, Inc.-TPMP On Lok Senior Health Services dba On Lok Lifeways Partnership Health Plan Positive Healthcare/AHF Healthcare Centers Safeguard Dental-LA San Francisco City & CO/Family Mosaic

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

Operating Authority
1915(a) 1915(b), 1932(a) 1915(b), 1932(a) 1915(b), 1932(a) 1915(b), 1932(a) 1915(b), 1932(a) 1915(b), 1932(a) 1915(b), 1932(a) 1915(b), 1932(a) PACE 1915(b) 1915(a) 1915(a) 1915(a)

Geographic Area Served
Marin, Sonoma Sacramento San Diego Los Angeles Sacramento LA Sacramento San Diego Riverside, San Bernardino San Francisco Napa, Solano, Yolo Los Angeles Los Angeles, Riverside, San Bernardino San Francisco

Number of Enrollees
2,328 24,405 13,085 763,736 27,192 7,095 22,791 53,645 89,952 995 94,280 587 21,801 157

CA CA

San Francisco Health Plan Santa Barbara San luis Obispo Regional Health Authority

1915(b), 1932(a) 1915(b)

San Francisco Santa Barbara

34,567 83,751

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 27

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Commercial MCO Medicaid MCO PACE Dental PAHP Dental PAHP Commercial MCO Mental Health PIHP Mental Health PIHP Medicaid MCO Mental Health PIHP

State
CA CA CA CA CA CA CO CO CO CO

Plan
Santa Clara Family Health Plan Senior Care Action Network (SCAN) Sutter Health sacramento Sierra dba Sutter Senior Care Western Dental Services-LA Western Dental Services-Sacramento Western Health Advantage Community Health Plan-Sacramento Access Behavioral Care Behavioral Healthcare, Inc. Colorado Access Colorado Health Partnerships

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

Operating Authority
1915(b), 1932(a) 1915(a) PACE 1915(a) 1915(b), 1932(a) 1915(b), 1932(a) 1915(b) 1915(b) 1915(a) 1915(b)

Geographic Area Served
Santa Clara LA, Riverside, San Barnardino Sacramento, Yolo Los Angeles, Riverside, Sacramento, San Bernardino Sacramento Sacramento Denver East Metro Denver Adams, Arapahoe, Boulder, Broomfield, Denver Alamosa, Archuleta, Baca, Bent, Chaffee, Conejos, Costilla, Crowley, Custer, Delta, Dolores, Eagle, El Paso, Fremont, Garfield, Grand, Gunnison, Hinsdale, Huerfano, Jackson, Kiowa, La Plata, Lake, Las Animas, Mesa, Mineral, Moffat, Montezuma, Montrose, Otero, Ouray, Park, Pitkin, Prowers, Pueblo, Rio Blanco, Rio Grande, Routt, Saguache, San Juan, San Miguel, Summit, Teller Adams, Arapahoe, Denver, Jefferson Boulder, Broomfield, Clear Creek, Gilpin, Jefferson Cheyenne, Elbert, Kit Carson, Larimer, Lincoln, Logan, Morgan, Phillips, Sedgwick, Washington, Weld, Yuma Statewide Delta, Mesa, Montrose, Ouray, Rio Blanco, San Miguel

Number of Enrollees
89,930 6,920 204 55,845 83,840 16,070 80,507 103,730 2,315 157,160

CO CO CO CO CO

Denver Health and Hospital Authority Foothills Behavioral Health Partners Northeast Behavioral Health Partnership Primary Care Physician Program Rocky Mountain Health Plan Authority

Medicaid MCO Mental Health PIHP Mental Health PIHP PCCM Medical-only PIHP

Risk-based Capitation Risk-based Capitation Risk-based Capitation Fee-For-Service Non-risk Capitation

1915(a) 1915(b) 1915(b) 1932(a) 1915(a)

41,932 50,500 56,410 22,426 15,157

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 28

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
PACE PACE PACE Commercial MCO Medicaid MCO Medicaid MCO PCCM Medicaid MCO Medicaid MCO Medical-only PIHP Transp PAHP Medicaid MCO Medicaid MCO *Fee for Service Model Medicaid MCO Medical-only PAHP

State
CO CO CO CT CT CT CT DC DC DC DC DC DE DE DE FL

Plan
Rocky Mountain PACE Total Long Term Care VOANS PACE, Inc Aetna Better Health Americhoice by United HealthCare Community Health Network of Connecticut HUSKY Primary Care DC Chartered Health Plan, Incorporated Health Right Incorporated Health Services For Children with Special Needs Medical Transportation Management Unison Health Plan of the Capital Area Delaware Physicians Care, Inc Diamond State Partners Unison Health Plan of Delaware, Inc. Access Health Solutions

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Fee-For-Service Risk-based Capitation Risk-based Capitation Risk-based Capitation Non-risk Capitation Risk-based Capitation Risk-based Capitation Fee-For-Service Risk-based Capitation Non-risk Capitation

Operating Authority
PACE PACE PACE 1915(b) 1915(b) 1915(b) 1915(b) 1932(a) 1932(a) 1915(a) 1902(a)(70) 1932(a) 1115 1115 1115 1915(b)

Geographic Area Served
El Paso Adams, Arapahoe, Denver, Jefferson Delta, Montrose Statewide Statewide Statewide Greater Waterbury, Greater Windham Statewide Statewide Statewide Statewide Statewide Statewide Statewide Statewide Baker, Brevard, Broward, Clay, Duval, Flagler, Hardee, Indian River, Manatee, Martin, Nassau, Okeechobee, Orange, Osceola, Palm Beach, Polk, Seminole, St. Johns, St. Lucie, Volusia

Number of Enrollees
37 1,263 121 83,069 39,163 220,384 168 63,915 20,356 3,593 50,174 12,368 78,603 8,487 38,999 57,539

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 29

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Medical-only PIHP *Adult Day Health Care Facility Disease Management PAHP Disease Management PAHP *Community Care for the Elderly Agencies Long Term Care PIHP

State
FL FL

Plan
Access Health Solutions (Reform) Adult Day Health Care

Reimbursement Arrangement
FFS/Some Risk Capitation Fee-For-Service

Operating Authority
1115 1915(b)/(c)

Geographic Area Served
Baker, Broward, Clay, Duval, Nassau Lee, Palm Beach

Number of Enrollees
51,260 37

FL

AIDS Healthcare Foundation, Inc.

Non-risk Capitation Non-risk Capitation Fee-For-Service

1915(b)

Statewide

6,015

FL

Alternative Medicine Integration

1915(b)

Hillsborough, Pasco, Pinellas

428

FL

Alzheimer's Waiver Service Provider

1915(b)/(c)

Broward, Dade, Palm Beach, Pinellas

310

FL

American Eldercare

Risk-based Capitation

1915(a)/(c)

Alachua, Brevard, Broward, Charlotte, Clay, Dade, Duval, Flagler, Hernando, Highlands, Hillsborough, Indian River, Lake, Lee, Manatee, Marion, Martin, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Sarasota, Seminole, St. Johns, St. Lucie, Volusia Brevard, Broward, Dade, Hernando, Hillsborough, Lake, Lee, Manatee, Orange, Osceola, Pasco, Pinellas, Polk, Sarasota, Seminole, Volusia Brevard, Broward, Charlotte, Citrus, Collier, Dade, Duval, Hernando, Hillsborough, Indian River, Lake, Lee, Manatee, Marion, Martin, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Sarasota, Seminole, St. Johns, St. Lucie, Volusia Broward Dade Broward County Broward, Dade, Gadsden, Hendry, Jefferson, Leon, Liberty, Madison, Wakulla Statewide

3,821

FL

Amerigroup

Commercial MCO

Risk-based Capitation Risk-based Capitation

1915(b)

155,880

FL

Amerigroup (NHD)

Long Term Care PIHP

1915(a)/(c)

2,301

FL FL FL FL FL

Amerigroup (Reform) Atlantic Dental, Inc. Better Health (Reform) Buena Vista Caremark

Commercial MCO Dental PAHP Medical-only PIHP Commercial MCO Disease Management PAHP

Risk-based Capitation Risk-based Capitation FFS w/Some Risk Capitation Risk-based Capitation Non-risk Capitation

1115 1915(b) 1115 1915(b) 1915(b)

22,262 175,971 4,410 20,981 85

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 30

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Medical-only PIHP Long Term Care PIHP

State
FL FL

Plan
Children's Medical Services (Reform) Citrus (NHD)

Reimbursement Arrangement
FFS/Some Risk Capitation Risk-based Capitation

Operating Authority
1115 1915(a)/(c)

Geographic Area Served
Broward, Duval Alachua, Brevard, Broward, Citrus, Dade, Duval, Hernando, Hillsborough, Lake, Manatee, Marion, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Sarasota, Seminole, Volusia Hillsborough, Lake, Orange, Osceola, Pasco, Pinellas, Polk, Seminole Statewide Duval Hillsborough, Lee, Osceola, Pasco 33125, 33127, 33128, 33129, 33130, 33131, 33132, 33135, 33136, 33137, 33138, 33139, 33140, 33141, 33142, 33147, 33150, 33154, 33161, 33167, 33168, 33181 Dade, Palm Beach Broward Brevard, Broward, Calhoun, Citrus, Dade, Duval, Escambia, Gadsden, Highlands, Hillsborough, Jefferson, Lake, Leon, Liberty, Madison, Manatee, Marion, Martin, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Putnam, Santa Rosa, Sarasota, Seminole, Volusia, Wakulla Duval Statewide

Number of Enrollees
5,484 1,226

FL FL FL FL FL

Citrus Health Care Commission for the Transportation of the Disadvantaged First Coast Advantage (Reform) Florida Health Partners, Inc. Florida PACE Centers

Commercial MCO Transp PAHP Medical-only PIHP Mental Health PIHP PACE

Risk-based Capitation Flat Rate per Ride FFS/Some Risk Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

1915(b) 1915(b) 1115 1915(b) PACE

27,039 70,965 29,032 188,934 231

FL FL FL

Freedom Health Plan Freedom Health Plan (Reform) HealthEase

Commercial MCO Commercial MCO Medicaid MCO

1915(b) 1115 1915(b)

2,191 1,022 179,142

FL FL

HealthEase (Reform) HealthierFlorida (Pfizer Health Solutions, Inc.) Healthy Palm Beaches Hemophilia of the Sunshine State

Commercial MCO Disease Management PAHP Medicaid MCO Disease Management PAHP

Risk-based Capitation Non-risk Capitation Risk-based Capitation Non-risk Capitation

1115 1915(b)

23,508 10,171

FL FL

1915(b) 1915(b)

Palm Beach Statewide

7,833 130

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 31

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Long Term Care PIHP PACE Commercial MCO Commercial MCO Long Term Care PIHP Long Term Care PIHP Commercial MCO Mental Health PIHP Long Term Care PIHP Mental Health PIHP Dental PAHP PCCM Medicaid MCO Commercial MCO Long Term Care PIHP

State
FL FL FL FL FL

Plan
Hope Life Care Hope Select Care Humana Family Humana Family (Reform) Humana Medical Plan

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Fee-For-Service Risk-based Capitation Risk-based Capitation Risk-based Capitation

Operating Authority
1915(a)/(c) PACE 1915(b) 1115 1915(a)/(c)

Geographic Area Served
Charlotte, Collier, Hendry, Lee Lee Broward, Dade, Palm Beach Broward Broward, Dade, Duval, Flagler, Hillsborough, Manatee, Nassau, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Sarasota, Seminole, St. Johns, Volusia Brevard, Broward, Dade, Indian River, Martin, Okeechobee, Palm Beach, St. Lucie Dade Escambia Broward, Dade, Palm Beach Dade, Leon, Palm Beach, Volusia Dade Statewide Broward (Reform), Dade, Hillsborough, Palm Beach, Pasco, Pinellas, Polk Broward County Brevard, Broward, Citrus, Dade, Hernando, Hillsborough, Indian River, Manatee, Martin, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Sarasota, Seminole, St. Lucie

Number of Enrollees
203 98 36,703 15,063 605

FL FL FL FL FL FL FL FL FL FL

Humana Senior's Choice JMH Health Plan Lakeview Center, Inc. Little Havana Activities and Nutrition Centers Magellan Behavioral Health of Florida Managed Care of North America MediPass Molina Health Care of Florida Molina Health Care of Florida (Reform) Neighborly Care Network

1915(a)/(c) 1915(b) 1915(b) 1915(a)/(c) 1915(b) 1915(b) 1915(b) 1915(b) 1115 1915(a)/(c)

303 15,200 31,116 847 213,091 6,228 455,877 23,731 5,023 522

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 32

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Medical-only PAHP

State
FL

Plan
NetPass

Reimbursement Arrangement
Risk-based Capitation

Operating Authority
1915(b)

Geographic Area Served
Baker, Brevard, Broward, Clay, Duval, Flagler, Hardee, Indian River, Manatee, Martin, Nassau, Okeechobee, Orange, Osceola, Palm Beach, Polk, Seminole, St. Johns, St. Lucia, Volusia Broward Alachua Broward, Dade Broward Dade, Hillsborough, Lee, Pinellas Dade Dade Dade Broward Brevard, Broward, Dade, Hernando, Hillsborough, Lee, Manatee, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Sarasota, Seminole, St. Lucie, Sumter Dade, Hillbourough, Pasco, Pinellas Broward, Dade Broward Broward, Dade

Number of Enrollees
13,568

FL FL FL FL FL FL FL FL FL FL

NetPass (Reform) North Florida Behavioral Health Partnership Preferred Medical Plan Preferred Medical Plan (Reform) Prestige Health Choice Project Independence at Home Provider Service Network Public Health Trust of Dade County South Florida Community Care Network (Reform) StayWell

Medical-only PIHP Mental Health PIHP Commercial MCO Commercial MCO Medicaid MCO Long Term Care PIHP *Shared Savings Model Mental Health PIHP Medical-only PIHP Commercial MCO

FFS/Some Risk Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation FFS/Some Risk Capitation Risk-based Capitation FFS/Some Risk Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

1115 1915(b) 1915(b) 1115 1915(b) 1915(a)/(c) 1915(b) 1915(b) 1115 1915(b)

8,002 88,856 14,512 2,735 16,327 105 9,045 47,332 17,792 178,605

FL FL FL FL

Sunshine State Health Plan Total Health Choice Total Health Choice (Reform) United Evercare

Medicaid MCO Commercial MCO Commercial MCO Commercial MCO

1915(b) 1915(b) 1115 1915(b)

22,298 2,753 18,819 2,126

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 33

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Commercial MCO

State
FL

Plan
United Health Care

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation

Operating Authority
1915(b)

Geographic Area Served
Brevard, Broward, Citrus, Dade, Duval, Hernando, Highlands, Hillsborough, Lake, Manatee, Marion, Osceola, Palm Beach, Pasco, Pinellas, Polk, Seminole, Volusia Brevard, Broward, Charlotte, Citrus, Dade, Duval, Hernando, Hillsborough, Lake, Lee, Manatee, Marion, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Sarasota, Seminole, St. Johns, Volusia Baker, Clay, Duval, Nassau Dade Dade, Gadsden, Hernando, Hillsborough, Jefferson, Leon, Manatee, Palm Beach, Pasco, Pinellas, Polk, Sarasota, Wakulla Brevard, Charlotte, Citrus, Clay, Collier, Dade, Hernando, Hillsborough, Lake, Lee, Manatee, Marion, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Sarasota, Seminole Broward, Duval Clay, Duval, St. Johns Dade Broward, Dade, Palm Beach Brevard Atlanta Region, East Region, North Region, Southeast Region Statewide Statewide Atlanta Region, Central Region, Southwest Region

Number of Enrollees
80,591

FL

United Health Care (NHD)

Long Term Care PIHP

1915(a)/(c)

2,198

FL FL FL

United Health Care (Reform) United Home Care Services Universal Health Care

Commercial MCO Long Term Care PIHP Commercial MCO

Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Fee-For-Service Risk-based Capitation Risk-based Capitation

1115 1915(a)/(c) 1915(b)

10,815 918 23,127

FL

Universal Health Care (NHD)

Long Term Care PIHP Commercial MCO Long Term Care PIHP Commercial MCO Long Term Care PIHP Long Term Care PIHP Medicaid MCO PCCM Transp PAHP Medicaid MCO

1915(a)/(c)

682

FL FL FL FL FL GA GA GA GA

Universal Health Care (Reform) Urban Jacksonville Vista Health Plan of South Florida Vista Independence Plan YourCare Brevard Amerigroup Community Care Georgia Better Health Care Non-Emergency Transportation Brokerage Program Peach State Health Plan

1115 1915(a)/(c) 1915(b) 1915(a)/(c) 1915(a)/(c) 1932(a) 1932(a) 1902(a)(70) 1932(a)

7,003 96 18,945 1,233 62 177,441 108,619 1,274,823 239,247

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 34

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Medicaid MCO Medicaid MCO Commercial MCO Commercial MCO Commercial MCO PACE Commercial MCO MH/SUD PIHP PCCM

State
GA HI HI HI HI HI HI IA IA

Plan
WellCare Aloha Care Evercare HMSA-Medical Kaiser Permanente Maui PACE Ohana Iowa Plan For Behavioral Health Medipass

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Fee-For-Service

Operating Authority
1932(a) 1115 1115 1115 1115 PACE 1115 1915(b) 1932(a)

Geographic Area Served
Atlanta Region, Central Region, East Region, North Region, Southeast Region, Southwest Region Statewide Statewide Big Island, Kauai, Oahu Maui, Oahu Maui Maui Statewide Adair, Adams, Allamakee, Appanoose, Audubon, Benton, Black Hawk, Boone, Bremer, Buchanan, Buena Vista, Butler, Calhoun, Carroll, Cass, Cedar, Cerro Gordo, Cherokee, Chickasaw, Clarke, Clay, Clayton, Clinton, Crawford, Dallas, Davis, Decatur, Delaware, Dickinson, Dubuque, Emmet, Fayette, Floyd, Franklin, Fremont, Greene, Grundy, Guthrie, Hamilton, Hancock, Hardin, Harrison, Henry, Howard, Humboldt, Ida, Jackson, Jasper, Jefferson, Johnson, Jones, Keokuk, Kossuth, Lee, Linn, Lucas, Lyon, Madison, Mahaska, Marion, Marshall, Mills, Mitchell, Monona, Monroe, Montgomery, Muscatine, O'Brien, Osceola, Page, Palo Alto, Plymouth, Pocahontas, Polk, Pottawattamie, Sac, Scott, Shelby, Sioux, Story, Tama, Taylor, Union, Van Buren, Warren, Wayne, Webster, Winnebago, Winneshiek, Woodbury, Worth, Wright Cherokee, Ida, Monona, Plymouth, Sioux, Woodbury Statewide Statewide

Number of Enrollees
421,656 68,037 18,494 97,164 22,223 17 22,239 329,897 170,659

IA ID ID

Siouxland PACE Blue Cross of Idaho Healthy Connections

PACE Dental PAHP PCCM

Risk-based Capitation Risk-based Capitation Fee-for-Service

PACE 1937 1937

55 129,308 166,524

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 35

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Medical-only PAHP

State
ID

Plan
Medicare-Medicaid Coordinated Plan

Reimbursement Arrangement
Risk-based Capitation

Operating Authority
1937

Geographic Area Served
Ada, Bannock, Benewah, Boise, Bonner, Bonneville, Boundary, Canyon, Caribou, Cassia, Gem, Jefferson, Kootenai, Latah, Madison, Minidoka, Nez Perce, Oneida, Owyhee, Payette, Power, Shoshone, Twin Falls, Washington Cook Cook, Jackson, Kane, Madison, Perry, Randolph, St. Clair, Washington, Williamson Statewide Adams, Brown, Henry, Mercer, Pike, Rock Island, Scott Statewide Statewide Statewide Statewide Statewide Statewide Statewide Statewide Region 1 (NE/NCentral KS), Region 2 (SE/SCentral KS) Statewide Statewide Dogulas, Jackson, Jeffferson, Osage, Pottawatomie, Shawnee, Wabaunsee

Number of Enrollees
1,030

IL IL IL IL IN IN IN IN IN IN IN IN KS KS KS KS

Family Health Network Harmony Health Plan Illinois Health Connect Meridian Health Plan Advantage Health Solutions-Care Select Anthem-Healthy Indiana Plan Anthem-Hoosier Healthwise Enhanced Services Plan (ESP)-Healthy Indiana Plan Managed Health Services (MHS)-Hoosier Healthwise MDwise-Care Select MDwise-Healthy Indiana Plan MDwise-Hoosier Healthwise Children's Mercy's Family Health Partners HealthConnect Kansas Kansas Health Solutions Midland Care Services

Medicaid MCO Commercial MCO PCCM Medicaid MCO PCCM Commercial MCO Commercial MCO *High Risk Plan Medicaid MCO PCCM Commercial MCO Commercial MCO Medicaid MCO PCCM Mental Health PAHP PACE

Risk-based Capitation Risk-based Capitation Fee-For-Service Risk-based Capitation Fee-For-Service Risk-based Capitation Risk-based Capitation Fee-For-Service Risk-based Capitation Fee-For-Service Risk-based Capitation Risk-based Capitation Risk-based Capitation Fee-For-Service Non-risk Capitation Risk-based Capitation

1915(a) 1915(a) 1932(a) 1915(a) 1915(b) 1115 1115, 1915(b) 1115 1115, 1915(b) 1915(b) 1115 1115, 1915(b) 1932(a) 1932(a) 1915(b)/(c) PACE

44,500 133,200 1,100,300 200 28,691 29,232 148,426 469 191,413 35,498 15,127 262,780 93,316 24,050 243,352 54

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 36

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Medicaid MCO Substance Use Disorders PIHP PACE Transp PAHP PCCM Medicaid MCO PCCM PACE

State
KS KS KS KY KY KY LA LA

Plan
UniCare Health Plan of Kansas, Inc. ValueOptions-Kansas Via Christi Healthcare Outreach Programs for Elders Human Service Transportation Kentucky Patient Access and Care (KenPAC) Passport Health Plan Community Care Greater New Orleans

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Fee-For-Service Risk-based Capitation Fee-For-Service Risk-based Capitation

Operating Authority
1932(a) 1915(b)/(c) PACE 1902(a)(70) 1932(a) 1115 1932(a) PACE

Geographic Area Served
Statewide Statewide Sedgwick Statewide Statewide Jefferson County (Louisville) Kentucky and 15 surrounding counties Statewide 70001, 70002, 70003, 70005, 70006, 70032, 70043, 70053, 70112, 70113, 70114, 70115, 70116, 70117, 70118, 70119, 70121, 70122, 70124, 70125, 70126, 70127, 70128, 70129, 70130, 70131 Boston/Greater Boston Region, Central Region, Southern Region, Western Region Allston, Cambridge, Somerville East Boston Greater Boston Northeastern MA Central Region Statewide Boston/Greater Region, Central/Western Region, Northeast/Southeast Region

Number of Enrollees
47,684 243,352 173 638,083 304,973 159,005 729,219 119

MA MA MA MA MA MA MA MA

Boston Medical Center HealthNet Plan Elder Service Plan of Cambridge Health Alliance Elder Service Plan of East Boston Elder Service Plan of Harbor Health Services, Inc. Elder Service Plan of the North Shore, Inc. Fallon Community Health Plan MA Behavioral Health Partnership Neighborhood Health Plan

Medicaid MCO PACE PACE PACE PACE Commercial MCO MH/SUD PIHP Commercial MCO

Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

1115 PACE PACE PACE PACE 1115 1115 1115

181,342 194 297 293 652 12,259 304,821 135,287

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 37

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Medicaid MCO PCCM PACE PACE Medical-only PAHP Medicaid MCO PACE Medicaid MCO Medical-only PAHP Medicaid MCO Medical-only PAHP Medicaid MCO Medical-only PAHP Medicaid MCO Medicaid MCO Medicaid MCO

State
MA MA MA MA MD MD MD MD MD MD MD MD MD MD MD MD

Plan
Network Health Primary Care Clinician Plan Summit Elder Care Uphams Elder Service Plan AMERIGROUP - PAC AMERIGROUP Maryland Inc. Hopkins Elder Plus JAI Medical System JAI Medical Systems - PAC Maryland Physicians Care Maryland Physicians Care - PAC Medstar Family Choice Priority Partners - PAC Priority Partners MCO The Diamond Plan United Health Care

Reimbursement Arrangement
Risk-based Capitation Fee-For-Service Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

Operating Authority
1115 1115 PACE PACE 1115 1115 PACE 1115 1115 1115 1115 1115 1115 1115 1115 1115

Geographic Area Served
Boston/Greater Boston Region, Central/Western Region, Northeast/Southeast Region Statewide Worchester Boston Statewide except for Allegany and Washington Count Statewide except Allegany and Wahington Counties 21052, 21202, 21205, 21206, 21213, 21214, 21218, 21219, 21220, 21221, 21222, 21224, 21227, 21231, 21237 Baltimore City, Baltimore County Baltimore City, Baltimore County Statewide except Cecil County Statewide Anne Arundel North, Baltimore City, Baltimore County, Harford Statewide Statewide except North and East Baltimore County and Cecil County Baltimore City, Baltimore County, Cecil, Harford Statewide

Number of Enrollees
107,286 284,404 592 150 624 182,360 138 11,012 6,136 100,608 11,128 24,795 3,640 143,839 7,870 119,056

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 38

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Medical-only PAHP PCCM Mental Health PIHP Medicaid MCO PACE Medicaid MCO

State
MD ME MI MI MI MI

Plan
United HealthCare - PAC MaineCare Primary Care Case Management Access Alliance of Michigan BlueCaid of Michigan Care Resources CareSource of Michigan

Reimbursement Arrangement
Risk-based Capitation Fee-For-Service Risk-based Capitation Risk-based Capitation Capitation Risk-based Capitation

Operating Authority
1115 1932(a) 1915(b) 1915(b) PACE 1915(b)

Geographic Area Served
Statewide Statewide Arenac, Bay, Huron, Montcalm, Shiawassee, Tuscola Livingston, Washtenaw, Wayne Kent Alcona, Allegan, Alpena, Antrim, Arenac, Benzie, Berrien, Calhoun, Cass, Charlevoix, Cheboygan, Crawford, Genesee, Gladwin, Grand Traverse, Ionia, Iosco, Kalamazoo, Kalkaska, Kent, Lake, Leelanau, Manistee, Mason, Mecosta, Missaukee, Montmorency, Newaygo, Oceana, Ogemaw, Osceola, Oscoda, Ottawa, Presque Isle, Roscommon, Saginaw, St. Joseph, Van Buren Benzie, Clinton, Eaton, Gratiot, Ingham, Ionia, Manistee, Newago Clare, Gladwin, Isabella, Mecosta, Midland, Osceola Kent Calhoun Wayne Genesee Allegan, Berrien, Branch, Calhoun, Cass, Hillsdale, Huron, Jackson, Kalamazoo, Lenawee, Livingston, Macomb, Oakland, Saginaw, Sanilac, St. Clair, St. Joseph, Tuscola, Van Buren, Wayne

Number of Enrollees
8,818 178,353 54,216 20,128 154 48,143

MI MI MI MI MI MI MI

CMH Affiliation of Mid-Michigan CMH for Central Michigan CMHSA Network of West Michigan Comprehensive Senior Care Corporation Detroit-Wayne County CMH Agency Genesee County CMH Services Great Lakes Health Plan

Mental Health PIHP Mental Health PIHP Mental Health PIHP PACE Mental Health PIHP Mental Health PIHP Medicaid MCO

Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

1915(b) 1915(b) 1915(b) PACE 1915(b) 1915(b) 1915(b)

84,957 39,138 88,718 18 400,370 84,805 193,811

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 39

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Medicaid MCO

State
MI

Plan
Health Plan of Michigan

Reimbursement Arrangement
Risk-based Capitation

Operating Authority
1915(b)

Geographic Area Served
Allegan, Barry, Berrien, Branch, Calhoun, Cass, Clinton, Crawford, Eaton, Genesee, Hillsdale, Huron, Jackson, Kalamazoo, Kent, Lenawee, Livingston, Macomb, Manistee, Mason, Mecosta, Monroe, Montcalm, Muskegon, Newago, Oakland, Oceana, Ogemaw, Osceola, Oscoda, Otsego, Ottawa, Roscommon, Saginaw, Sanilac, Shiawassee, St. Clair, St. Joseph, Tuscola, Van Buren, Wayne Bay, Genesee, Lapeer, Saginaw, Shiawassee, Tuscola Alcona, Alger, Allegan, Alpena, Antrim, Arenac, Baraga, Barry, Benzie, Branch, Charlevoix, Cheboygan, Chippewa, Clare, Clinton, Crawford, Delta, Dickinson, Eaton, Emmet, Genesee, Gladwin, Gogebic, Gratiot, Hillsdale, Houghton, Huron, Ionia, Iosco, Iron, Isabella, Kalkaska, Keweenaw, Lake, Lapeer, Leelanau, Lenawee, Livingston, Luce, Mackinac, Manistee, Marquette, Menominee, Midland, Missaukee, Monroe, Montmorency, Ogemaw, Ontonagon, Oscoda, Otsego, Presque Isle, Roscommon, Saginaw, Sanilac, Schoolcraft, Shiawassee, St. Clair, St. Joseph, Tuscola, Van Buren 48201, 48202, 48203, 48204, 48205, 48206, 48207, 48208, 48209, 48210, 48211, 48212, 48213, 48214, 48215, 48216, 48217, 48218, 48219, 48221, 48223, 48224, 48225, 48226, 48227, 48228, 48229, 48230, 48234, 48235, 48236, 48238, 48239, 48240 Muskegon, Ottawa Muskegon, Ottawa Hillsdale, Jackson Macomb Arenac, Bay, Clinton, Crawford, Eaton, Genesee, Gratiot, Ingham, Ionia, Isabella, Lapeer, Macomb, Montcalm, Oakland, Ogemaw, Oscoda, Roscommon, Saginaw, Shiawassee, Tuscola Livingston, Macomb, Oakland, St. Clair, Washtenaw, Wayne

Number of Enrollees
202,710

MI MI

HealthPlus Partners, Inc. Healthy Kids Dental

Medicaid MCO Dental PAHP

Risk-based Capitation Risk-based Capitation

1915(b) 1915(b)

67,721 295,794

MI

Henry Ford Health System-Center for Senior Independence

PACE

Risk-based Capitation

PACE

194

MI MI MI MI MI

Lakeshore Behavioral Health Alliance Life Circles LifeWays Macomb County CMH Services McLaren Health Plan

Mental Health PIHP PACE Mental Health PIHP Mental Health PIHP Medicaid MCO

Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

1915(b) PACE 1915(b) 1915(b) 1915(b)

58,964 21 31,591 87,717 71,083

MI

Midwest Health Plan

Medicaid MCO

Risk-based Capitation

1915(b)

66,934

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 40

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Medicaid MCO

State
MI

Plan
Molina Healthcare of Michigan

Reimbursement Arrangement
Risk-based Capitation

Operating Authority
1915(b)

Geographic Area Served
Alcona, Allegan, Arenac, Bay, Benzie, Clare, Crawford, Genesee, Gladwin, Gratiot, Huron, Ionia, Iosco, Isabella, Kent, Lake, Macomb, Manistee, Mason, Mecosta, Midland, Missaukee, Monroe, Montcalm, Montmorency, Muskegon, Newaygo, Oakland, Oceana, Ogemaw, Osceola, Oscoda, Otsego, Ottawa, Presque Isle, Roscommon, Saginaw, Sanilac, St. Clair, Tuscola, Wayne, Wexford Alger, Baraga, Chippewa, Delta, Dickinson, Gogebic, Houghton, Iron, Keeweenau, Luce, Mackinac, Marquette, Menominee, Ontonagon, Schoolcraft Alcona, Alpena, Antrim, Charlevoix, Cheboygan, Emmet, Iosco, Kalkaska, Montmorency, Ogemaw, Oscoda, Otsego, Presque Isle Crawford, Grand Traverse, Lake, Leelanau, Mason, Missaukee, Oceana, Roscommon, Wexford Oakland Oakland, Wayne Ingham, Ionia, Montcalm, Shiawassee Allegan, Kent, Lake, Manistee, Mecosta, Montcalm, Muskegon, Oceana, Osceola, Ottawa Wayne Saginaw Lenawee, Livingston, Monroe, Washtenaw Allegan, Cass, Kalamazoo, St. Joseph Lapeer, Sanilac, St. Clair Genesee, Macomb, Oakland, Wayne

Number of Enrollees
205,469

MI

Northcare

Mental Health PIHP Mental Health PIHP Mental Health PIHP Mental Health PIHP Medicaid MCO Medicaid MCO Medicaid MCO Medicaid MCO Mental Health PIHP Mental Health PIHP Mental Health PIHP Mental Health PIHP Medicaid MCO

Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

1915(b)

41,636

MI

Northern Affiliation

1915(b)

43,437

MI MI MI MI MI MI MI MI MI MI MI

Northern Lakes CMH Authority Oakland County CMH Authority Omnicare Health Plan Physicians Health Plan of Mid-Michigan Family Care Priority Health Government Programs, Inc. ProCare Health Plan Saginaw County CMH Authority Southeast Partnership Southwest Alliance Thumb Mental Health Alliance Total Health Care

1915(b) 1915(b) 1915(b) 1915(b) 1915(b) 1915(b) 1915(b) 1915(b) 1915(b) 1915(b) 1915(b)

40,434 95,564 54,184 17,843 59,560 1,113 38,276 67,544 67,132 41,820 53,576

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 41

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Medicaid MCO

State
MI

Plan
Upper Peninsula Health Plan

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation Risk-based Capitation

Operating Authority
1915(b)

Geographic Area Served
Alger, Baraga, Chippewa, Delta, Dickinson, Gogebic, Houghton, Iron, Keewenaw, Luce, Mackinac, Marquette, Menominee, Ontonagon, Schoolcraft Barry, Berrien, Branch, Calhoun, VanBuren Aitkin, Anoka, Becker, Beltrami, Benton, Big Stone, Blue Earth, Brown, Carver, Cass, Chippewa, Chisago, Clay, Clearwater, Cottonwood, Crow Wing, Dakota, Dodge, Douglas, Faribault, Fillmore, Freeborn, Goodhue, Grant, Hennepin, Houston, Hubbard, Isanti, Itasca, Jackson, Kanabec, Kandiyohi, Kittson, Lac Qui Parle, Lake of the Woods, LeSueur, Lincoln, Lyon, Mahnomen, Marshall, Martin, Mcleod, Meeker, Mille Lacs, Morrison, Mower, Murray, Nicollet, Nobles, Norman, Olmsted, Otter Tail, Pennington, Pine, Pipestone, Polk, Pope, Ramsey, Red Lake, Redwood, Renville, Rice, Rock, Rouseau, Scott, Sherburne, Sibley, Stearns, Steele, Stevens, Swift, Todd, Traverse, Wabasha, Wadena, Waseca, Washington, Watonwan, Wilkin, Winona, Wright, Yellow Medicine Carlton, Cook, Koochiching, Lake, St. Louis

Number of Enrollees
26,540

MI MN

Venture Behavioral Health Blue Plus

Mental Health PIHP Commercial MCO

1915(b) 1115, 1932(a), 1915(a), 1915(b)/(c)

81,054 99,354

MN

First Plan Blue

Commercial MCO

Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

1115, 1932(a), 1915(a), 1915(b)/(c) 1115, 1932(a), 1915(a), 1915(b)/(c) 1115, 1932(a), 1915(a), 1915(b)/(c) 1115, 1932(a), 1915(a), 1915(b)/(c)

8,679

MN

Health Partners

Commercial MCO

Anoka, Benton, Carver, Chisago, Dakota, Hennepin, McLeod, Meeker, Ramsey, Scott, Sherburne, Stearns, Washington, Wright Aitkin, Itasca, Koochiching

45,170

MN

Itasca Medical Care

Medicaid MCO

5,017

MN

Medica

Commercial MCO

Aitkin, Anoka, Becker, Benton, Carlton, Carver, Cass, Chisago, Clay, Crow Wing, Dakota, Hennepin, Isanti, Koochiching, Lake, Mahnomen, Mille Lacs, Morrison, Norman, Otter Tail, Pine, Polk, Ramsey, Rice, Scott, Sherburne, St. Louis, Stearns, Todd, Wadena, Washington, Wilkin, Wright Anoka, Carver, Hennepin, Mower, Polk, Scott

119,185

MN

Metropolitan Health Plan

Commercial MCO

Risk-based Capitation

1115, 1932(a), 1915(a), 1915(b)/(c)

14,352

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 42

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Medicaid MCO

State
MN

Plan
PrimeWest Health System

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation Risk-based Capitation

Operating Authority
1115, 1932(a), 1915(a), 1915(b)/(c) 1115, 1932(a), 1915(a), 1915(b)/(c) 1115, 1932(a), 1915(a), 1915(b)/(c)

Geographic Area Served
Beltrami, Big Stone, Clearwater, Douglas, Grant, Hubbard, McLeod, Meeker, Pipestone, Pope, Renville, Stevens, Traverse Brown, Cass, Crow Wing, Dodge, Freeborn, Goodhue, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena, Waseca Aitkin, Anoka, Benton, Big Stone, Blue Earth, Brown, Carlton, Carver, Cass, Chippewa, Chisago, Cook, Cottonwood, Crow Wing, Dakota, Dodge, Douglas, Faribault, Fillmore, Freeborn, Goodhue, Grant, Hennepin, Houston, Isanti, Jackson, Kanabec, Kandiyohi, Kittson, Koochiching, Lac Qui Parle, Lake, LeSueur, Lincoln, Lyon, Marshall, Martin, McLeod, Meeker, Mille Lacs, Morrison, Mower, Murray, Nicollet, Nobles, Norman, Olmsted, Otter Tail, Pennington, Pine, Pipestone, Polk, Pope, Ramsey, Red Lake, Redwood, Renville, Rice, Rock, Roseau, Scott, Sherburne, Sibley, St. Louis, Stearns, Steele, Stevens, Swift, Todd, Traverse, Wabasha, Wadena, Waseca, Washington, Watonwan, Winona, Wright, Yellow Medicine St. Louis City, St. Louis County Cass, Clay, Henry, Jackson, Johnson, Lafayette, Platte, Ray, St. Clair Bates, Cass, Cedar, Clay, Henry, Jackson, Johnson, Lafayette, Platte, Polk, Ray, St. Clair, Vernon Franklin, Jefferson, Lincoln, Madison, Perry, Pike, St. Charles, St. Francois, St. Louis, St. Louis City, Ste. Genevieve, Warren, Washington Audrain, Bates, Benton, Boone, Callaway, Camden, Cass, Cedar, Chariton, Clay, Cole, Cooper, Franklin, Gasconade, Henry, Howard, Jackson, Jefferson, Johnson, Laclede, Lafayette, Lincoln, Linn, Macon, Maries, Marion, Miller, Moniteau, Monroe, Montgomery, Morgan, Osage, Pettis, Phelps, Pike, Platte, Polk, Pulaski, Ralls, Randolph, Ray, Saline, Shelby, St. Charles, St. Clair, St. Francois, St. Louis, St. Louis City, Ste. Genevieve, Vernon, Warren, Washington Statewide

Number of Enrollees
18,248

MN

South Country Health Alliance

Medicaid MCO

27,698

MN

UCARE

Commercial MCO

88,306

MO MO MO MO

Alexian Brothers Community Services Blue Advantage Plus of Kansas City Childrens Mercy Family Health Partners Harmony Health Plan of Missouri

PACE Medicaid MCO Medicaid MCO Medicaid MCO

Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

PACE 1915(b) 1915(b) 1915(b)

183 29,057 51,512 15,318

MO

HealthCare USA

Medicaid MCO

1915(b)

187,157

MO

LogistiCare Solutions, LLC

Transp PAHP

Risk-based Capitation

1902(a)(70)

481,926

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 43

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Medicaid MCO

State
MO

Plan
Missouri Care

Reimbursement Arrangement
Risk-based Capitation

Operating Authority
1915(b)

Geographic Area Served
Audrain, Benton, Boone, Callaway, Camden, Chariton, Cole, Cooper, Gasconade, Howard, Laclede, Linn, Macon, Maries, Marion, Miller, Moniteau, Monroe, Montgomery, Morgan, Osage, Pettis, Phelps, Pulaski, Ralls, Randolph, Saline, Shelby Audrain, Bates, Benton, Boone, Callaway, Camden, Cass, Cedar, Chariton, Clay, Cole, Cooper, Franklin, Gasconade, Henry, Howard, Jackson, Jefferson, Johnson, Laclede, Lafayette, Lincoln, Linn, Macon, Madison, Maries, Marion, Miller, Moniteau, Monroe, Montgomery, Morgan, Osage, Perry, Pettis, Phelps, Pike, Platte, Polk, Pulaski, Ralls, Randolph, Ray, Saline, Shelby, St. Charles, St. Clair, St. Francois, St. Louis, St. Louis City, Ste. Genevieve, Vernon, Warren, Washington Statewide 59002, 59006, 59015, 59024, 59037, 59044, 59047, 59064, 59079, 59088, 59101, 59102, 59105, 59106 Statewide

Number of Enrollees
40,763

MO

Molina Healthcare of Missouri

Medicaid MCO

Risk-based Capitation

1915(b)

77,507

MS MT MT

LogistiCare Soultions, LLC Billings Clinic McKesson Health Solutions

Transp PAHP PACE Disease Management PAHP PCCM PCCM PCCM PACE MH/SUD PIHP PACE Disease Management PAHP PACE

Risk-based Capitation Risk-based Capitation Risk-based Capitation Fee-For-Service Fee-For-Service Fee-For-Service Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

1902(a)(70) PACE 1915(b)

512,796 24 368

MT NC NC NC NC NC ND

Passport to Health Carolina Access Community Care of North Carolina (Access II/III) Elderhaus Piedmont Cardinal Health Plan Piedmont SeniorCare ExperienceHealth ND

1915(b) 1932(a) 1932(a) PACE 1915(b)/(c) PACE 1915(b)

Statewide Statewide Statewide Brunswick, New Hanover Rowan, Stanly, Davidson, Union and Cabarrus Counties Caswell, Yancy Statewide

371 77,803 921,106 26 72,734 24 2,427

ND

Northland PACE

PACE

58501, 58502, 58503, 58504, 58554, 58558, 58601, 58602, 58652, 58655, 58656

25

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 44

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
PCCM *Specialty Physician Case Management (SPCM) Program PCCM Commercial MCO Disease Management PAHP Commercial MCO Medicaid MCO

State
ND NE

Plan
Primary Care Case Management Magellan Behavioral Health

Reimbursement Arrangement
Fee-For-Service Fee-For-Service

Operating Authority
1932(a) 1915(b)

Geographic Area Served
Statewide Statewide

Number of Enrollees
29,339 179,512

NE NE NH

Primary Care Plus Share Advantage McKesson Health Solutions

Fee-For-Service Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

1915(b), 1932(a) 1915(b), 1932(a) 1915(b)

Douglas, Lancaster, Sarpy Douglas, Lancaster, Sarpy Statewide

38,623 36,119 96,553

NJ NJ

AmeriChoice of New Jersey, Inc. AMERIGROUP New Jersey, Inc.

1915(b), 1932(a) 1915(b), 1932(a)

Statewide Atlantic, Bergen, Burlington, Camden, Cape May, Cumberland, Essex, Gloucester, Hudson, Hunterdon, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Somerset, Sussex, Union, Warren Bergen, Burlington, Camden, Cumberland, Essex, Gloucester, Hudson, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Salem, Somerset, Union Statewide 08002, 08003, 08004, 08007, 08009, 08012, 08021, 08026, 08029, 08030, 08031, 08033, 08034, 08035, 08043, 08045, 08049, 08059, 08078, 08081, 08083, 08084, 08091, 08095, 08099, 08101, 08102, 08103, 08104, 08105, 08106, 08107, 08108, 08109, 08110 08505, 08518, 08554 Atlantic, Bergen, Burlington, Camden, Cumberland, Essex, Gloucester, Hudson, Hunterdon, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Salem, Somerset, Sussex, Union, Warren Statewide

222,083 90,055

NJ

Health Net of New Jersey, Inc.

Medicaid MCO

Risk-based Capitation Risk-based Capitation Risk-based Capitation

1915(b), 1932(a)

41,914

NJ NJ

Horizon NJ Health Life at Loudes

Medicaid MCO PACE

1915(b), 1932(a) PACE

324,911 14

NJ NJ

Life St. Francis University Health Plans, Inc.

PACE Commercial MCO

Risk-based Capitation Risk-based Capitation

PACE 1915(b), 1932(a)

17 46,651

NM

AMERIGROUP Community Care of New Mexico, Inc.

Commercial MCO

Risk-based Capitation

1915(b)/(c)

19,080

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 45

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Commercial MCO Commercial MCO Commercial MCO Medicaid MCO Commercial MCO PACE Mental Health PIHP Medicaid MCO Commercial MCO Transp PAHP Medicaid MCO Commercial MCO Medicaid MCO Long Term Care PIHP PCCM Commercial MCO

State
NM NM NM NM NM NM NM NV NV NV NY NY NY NY NY NY

Plan
Blue Cross Blue Shield of New Mexico Evercare of New Mexico Lovelace Community Health Plan Molina Healthcare of New Mexico Presbyterian Health Plan Total Community Care (PACE) ValueOptions of New Mexico Amerigroup Community Care Health Plan of Nevada Logisticare Affinity Health Plan Affinity/Medicaid Advantage Amerigroup Amerigroup Community Connections Broome County MC Capital District Physicians Health Plan

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Fee-For-Service Risk-based Capitation

Operating Authority
1915(b) 1915(b)/(c) 1915(b) 1915(b) 1915(b) PACE 1915(b) 1932(a) 1932(a) 1932(a) 1115 1115 1115 1915(a) 1115 1115

Geographic Area Served
Statewide Statewide Statewide Statewide Statewide Bernalillo County, Sandoval County, Valencia County Statewide Statewide Clark, Washoe Statewide Bronx, Kings, Nassau, New York, Orange, Queens, Richmond, Rockland, Suffolk, Westchester Statewide New York City, Putnam New York City Broome Albany, Broome, Columbia, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Tioga, Washington

Number of Enrollees
9,560 17,891 80,679 69,035 148,732 376 312,498 46,921 59,381 178,711 204,166 81 98,618 585 3,366 53,410

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 46

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Long Term Care PIHP PACE PACE Commercial MCO

State
NY NY NY NY

Plan
CCM Select Comprehensive Care Management (CCM) Eddy Senior Care Excellus

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

Operating Authority
1915(a) PACE PACE 1115

Geographic Area Served
Statewide New York City, Westchester Albany, Schenectady Broome, Chemung, Clinton, Essex, Franklin, Herkimer, Livingston, Madison, Monroe, Oneida, Onondaga, Ontario, Orleans, Oswego, Otsego, Seneca, St Lawrence, Wayne, Yates Statewide Albany, Bronx, Broome, Columbia, Delaware, Dutchess, Greene, Kings, Manhattan, Montgomery, Orange, Otsego, Putnam, Rensselaer, Richmond, Rockland, Saratoga, Schenectady, Sullivan, Ulster, Warren, Washington, Westchester Statewide New York City Statewide Orange Bronx, Kings, Nassau, New York, Queens, Richmond, Suffolk Albany, Allegany, Cattauragus, Chautauqua, Clinton, Columbia, Erie, Essex, Fulton, Genesee, Greene, Montgomery, Niagara, Orleans, Rensselaer, Saratoga, Schenectady, Warren, Washington, Wyoming Statewide Bronx, Kings, New York, Queens, Richmond

Number of Enrollees
1,254 2,488 113 105,454

NY NY

GHI GHI HMO Select

*PPO Commercial MCO

Risk-based Capitation Risk-based Capitation

1115 1115

6,148 36,547

NY NY NY NY NY NY

GHI/Medicaid Advantage Guildnet GuildNet/Medicaid Advantage Plus Health Advantage/Elant Choice Health First Health Now

Commercial MCO Long Term Care PIHP Long Term Care PIHP Long Term Care PIHP Medicaid MCO Commercial MCO

Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

1115 1915(a) 1915(a) 1915(a) 1115 1115

940 6,522 162 136 381,548 39,462

NY NY

Health Now/Medicaid Advantage HealthPlus

Commercial MCO Medicaid MCO

Risk-based Capitation Risk-based Capitation

1115 1115

166 258,988

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 47

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Long Term Care PIHP Commercial MCO Commercial MCO Long Term Care PIHP Medicaid MCO Long Term Care PIHP Commercial MCO PACE Commercial MCO Commercial MCO Medicaid MCO Medicaid MCO Commercial MCO Commercial MCO Commercial MCO Medicaid MCO

State
NY NY NY NY NY NY NY NY NY NY NY NY NY NY NY NY

Plan
HHH Choices HIP Combined HIP Health Plan/Medicaid Advantage HomeFirst Hudson Health Plan Independent Care Systems Independent Health/Hudson Valley&WNY Independent Living For Seniors Liberty Health Advantage/Medicaid Advantage Managed Health Inc/Medicaid Advantage MetroPlus Health Plan MetroPlus Health Plan Special Needs MetroPlus/Medicaid Advantage MVP Health Plan Neighborhood Health Provider/Medicaid Advantage Neighborhood Health Providers

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

Operating Authority
1915(a) 1115 1115 1915(a) 1115 1915(a) 1115 PACE 1115 1115 1115 1115 1115 1115 1115 1115

Geographic Area Served
Statewide Bronx, Kings, Nassau, New York, Queens, Richmond, Suffolk, Westchester Statewide New York City Dutchess, Orange, Rockland, Sullivan, Ulster, Westchester New York City Erie, Niagara Monroe Statewide Statewide Bronx, Kings, New York, Queens Bronx, Brooklyn, Manhattan, Queens Statewide Dutchess, Ulster Statewide Bronx, Kings, New York, Queens, Richmond

Number of Enrollees
754 255,511 1,950 3,236 64,812 1,369 31,030 253 703 51 339,331 2,962 8 32,276 195 199,517

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 48

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Medicaid MCO Commercial MCO Medicaid MCO

State
NY NY NY

Plan
NYPS Select Health Special Needs NYS Catholic Health Plan 1199 NYS Catholic Health Plan/Fidelis

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation Risk-based Capitation

Operating Authority
1115 1115 1115

Geographic Area Served
Statewide Statewide Albany, Bronx, Broome, Cattauragus, Chautauqua, Clinton, Columbia, Cortland, Dutchess, Erie, Essex, Greene, Hamilton, Herkimer, Kings, Nassau, New York, Niagara, Oneida, Onondaga, Orleans, Oswego, Queens, Rensselaer, Richmond, Rockland, Saratoga, Schenectady, Suffolk, Warren, Washington, Westchester Statewide Onondaga Orange, Rockland Erie Onondaga, Oswego, Tompkins New York City Statewide Statewide Statewide Chemung, Steuben Chemung, Schuyler, Steuben Erie

Number of Enrollees
1,334 4,219 393,919

NY NY NY NY NY NY NY NY NY NY NY NY

NYS Catholic Health Plan/Fidelis/Medicaid Advantage PACE CNY Partners In Community Care Physician Case Management Program SCHC TotalCare Senior Health Partners Senior Network Health Senior Whole Health Medicaid Advantage Plus Senior Whole Health/ Medicaid Advantage Southern Tier Pediatrics Southern Tier Priority Total Aging in Place

Commercial MCO PACE Long Term Care PIHP PCCM Medicaid MCO Long Term Care PIHP Long Term Care PIHP Long Term Care PIHP Commercial MCO PCCM PCCM Long Term Care PIHP

Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

1115 PACE 1915(a) 1115 1115 1915(a) 1915(a) 1915(a) 1115 1115 1115 1915(a)

240 340 270 4,947 31,284 1,599 378 135 599 4,050 4,276 147

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 49

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
PACE Commercial MCO Commercial MCO Medicaid MCO Medicaid MCO Long Term Care PIHP Long Term Care PIHP Commercial MCO Long Term Care PIHP Long Term Care PIHP Medicaid MCO Medicaid MCO Medicaid MCO PACE Medicaid MCO Medicaid MCO

State
NY NY NY NY NY NY NY NY NY NY OH OH OH OH OH OH

Plan
Total Senior Care Touchstone/Prestige/Medicaid Advantage United Healthcare Univera Community Health VidaCare Inc. Special Needs VNS Choice VNS Choice Plus/Medicaid Advantage Plus Wellcare WellCare Advantage Plus/Medicaid Advantage Plus WellCare Advocate Amerigroup Ohio Buckeye Community Health Plan CareSource Concordia Care Molina Healthcare of Ohio Paramount Advantage

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

Operating Authority
PACE 1115 1115 1115 1115 1915(a) 1915(a) 1115 1915(a) 1915(a) 1932(a) 1932(a) 1932(a) PACE 1932(a) 1932(a)

Geographic Area Served
Cattaraugus Statewide Bronx, Kings, Nassau, Queens, Richmond, Suffolk Allegany, Cattaraugus, Chautauqua, Erie Bronx, Brooklyn, Manhattan, Queens, Staten Island New York City Statewide Albany, Bronx, Columbia, Dutchess, Greene, Kings, New York, Orange, Queens, Rensselaer, Rockland, Sullivan, Ulster Statewide Statewide Southwest, West Central East Central, Northeast, Northwest, Southwest Central, East Central, Northeast, Northeast Central, Northwest, Southeast, Southwest, West Central Cuyahoga Central, Southeast, Southwest, West Central Northwest

Number of Enrollees
16 551 209,812 36,123 1,374 7,375 21 89,419 127 283 59,762 140,296 689,818 238 201,551 76,841

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 50

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
PACE Medicaid MCO Medicaid MCO PACE PCCM PCCM Transp PAHP Mental Health PIHP Dental PAHP

State
OH OH OH OK OK OK OK OR OR

Plan
TriHealth Senior Link Unison Health Plan of Ohio WellCare of Ohio Cherokee Elder Care SoonerCare American Indian PCCM SoonerCare PCCM SoonerRide Accountable Behavioral Health Capitol Dental Care Inc.

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Fee-For-Service Fee-For-Service Risk-based Capitation Risk-based Capitation Risk-based Capitation

Operating Authority
PACE 1932(a) 1932(a) PACE 1115 1115 1902(a)(70) 1115 1115

Geographic Area Served
Butler, Clermont, Hamilton, Warren East Central, Northeast Central, Southeast Northeast 74347, 74352, 74364, 74368, 74401, 74423, 74427, 74434, 74441, 74451, 74452, 74464, 74471 Statewide Statewide Statewide Benton, Crook, Deschutes, Jefferson, Lincoln Benton, Clackamas, Clatsop, Columbia, Hood River, Jackson, Josephine, Klamath, Lane, Lincoln, Linn, Marion, Morrow, Multnomah, Polk, Umatilla, Union, Wasco, Washington, Yamhill Clackamas, Clatsop, Columbia, Coos, Douglas, Jackson, Klamath, Marion, Morrow, Multnomah, Polk, Umatilla, Washington, Yamhill Klamath Crook, Deschutes, Grant, Harney, Hood River, Jefferson, Klamath, Lake, Sherman, Wasco, Wheeler Clackamas, Gilliam, Hood River, Marion, Sherman, Wasco Deschutes Coos Douglas

Number of Enrollees
454 108,213 97,347 49 11,831 400,642 553,385 30,076 131,921

OR

Care Oregon

Medicaid MCO

Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

1115

114,606

OR OR OR OR OR OR

Cascade Comprehensive Care Central Oregon Independent Health Solutions Clackamas County Mental Health Deschutes County CDO Doctors of the Oregon Coast South Douglas County IPA

Medicaid MCO Medicaid MCO Mental Health PIHP Substance Use Disorders PAHP Medicaid MCO Commercial MCO

1115 1115 1115 1115 1115 1115

6,678 22,859 27,427 15,615 8,444 12,369

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 51

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Mental Health PIHP Commercial MCO Mental Health PIHP Dental PAHP

State
OR OR OR OR

Plan
FamilyCare (Mental Health) FamilyCare Health Plans Greater Oregon Behavioral Health, Inc. Hayden Family Dentistry

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

Operating Authority
1115 1115 1115 1115

Geographic Area Served
Clackamas, Multnomah, Washington Clackamas, Jackson, Josephine, Morrow, Multnomah, Umatilla, Washington Baker, Clatsop, Columbia, Grant, Harney, Lake, Malheur, Morrow, Umatilla, Union, Wallowa, Wheeler Benton, Clackamas, Coos, Crook, Deschutes, Douglas, Gilliam, Grant, Harney, Jackson, Jefferson, Klamath, Lake, Lane, Lincoln, Linn, Marion, Morrow, Multnomah, Polk, Sherman, Umatilla, Wasco, Wheeler Benton, Linn Coos, Curry, Douglas, Jackson, Josephine, Klamath Clackamas, Marion, Multnomah, Polk Lane Benton, Lane, Linn Benton, Clackamas, Clatsop, Columbia, Hood River, Jackson, Josephine, Linn, Marion, Multnomah, Polk, Tillamook, Washington, Yamhill Benton, Clackamas, Linn, Marion, Polk, Yamhill Linn, Marion, Polk, Tillamook, Yamhill Douglas, Jackson, Josephine Clackamas, Multnomah, Washington Multnomah

Number of Enrollees
12,727 23,132 46,127 60,900

OR OR OR OR OR OR

Inter-Community Health Network Jefferson Behavioral Health Kaiser Permanente Oregon Plus Lane Care MHO Lane Individual Practice Association Managed Dental Care of Oregon

Medicaid MCO Mental Health PIHP Medicaid MCO Mental Health PIHP Medicaid MCO Dental PAHP

Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

1115 1115 1115 1115 1115 1115

17,999 55,904 6,355 38,210 31,541 10,509

OR OR OR OR OR

Marion Polk Community Health Plan Mid Valley Behavioral Care Network Mid-Rogue Independent Practice Assoc. Multicare Dental Multnomah County Verity

Medicaid MCO Mental Health PIHP Medicaid MCO Dental PAHP Mental Health PIHP

1115 1115 1115 1115 1115

45,642 79,755 12,880 28,057 74,430

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 52

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Dental PAHP

State
OR

Plan
Northwest Dental Services

Reimbursement Arrangement
Risk-based Capitation

Operating Authority
1115

Geographic Area Served
Baker, Coos, Crook, Curry, Deschutes, Douglas, Grant, Harney, Hood River, Jackson, Jefferson, Josephine, Klamath, Lake, Lane, Malheur, Sherman, Umatilla, Union, Wallowa, Wasco, Wheeler Baker, Deschutes, Jackson, Malheur, Union, Wallowa Baker, Benton, Clackamas, Clatsop, Columbia, Crook, Deschutes, Grant, Hood River, Jackson, Jefferson, Josephine, Lane, Linn, Malheur, Marion, Multnomah, Polk, Tillamook, Umatilla, Wasco, Washington, Yamhill Douglas, Jackson, Josephine Statewide 97009, 97010, 97014, 97019, 97024, 97030, 97034, 97035, 97056, 97060, 97080, 97124, 97133, 97201, 97202, 97203, 97204, 97205, 97206, 97209, 97210, 97211, 97212, 97213, 97215, 97216, 97217, 97218, 97219, 97220, 97221, 97222, 97225, 97227, 97229, 97230, 97231, 97232, 97233, 97236, 97239, 97258, 97266 Clackamas, Multnomah, Washington, Yamhill Washington Washington Benton, Clackamas, Deschutes, Douglas, Jackson, Josephine, Lane, Lincoln, Linn, Marion, Multnomah, Polk, Tillamook, Washington Bedford, Blair, Bradford, Cambria, Cameron, Carbon, Centre, Clarion, Clearfield, Clinton, Columbia, Crawford, Elk, Erie, Forest, Franklin, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Luzerne, Lycoming, McKean, Mercer, Mifflin, Monroe, Montour, Northumberland, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Wayne, Wyoming Clinton, Lancaster, Lycoming

Number of Enrollees
58,028

OR OR

ODS Community Health Inc. Oregon Dental Service

Medicaid MCO Dental PAHP

Risk-based Capitation Risk-based Capitation

1115 1115

7,232 48,745

OR OR OR

Oregon Health Management Service PCCM Providence Elder Place

Medicaid MCO PCCM PACE

Risk-based Capitation Fee-For-Service Risk-based Capitation

1115 1115 PACE

4,351 12,207 555

OR OR OR OR

Providence Health Assurance Tuality Health Care Washington County Health (Mental Health) Willamette Dental

Medicaid MCO Medicaid MCO Mental Health PIHP Dental PAHP

Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Fee-For-Service

1115 1115 1115 1115

17,183 7,276 34,889 56,673

PA

Access Plus Program

PCCM

1915(b)

262,583

PA

Albright LIFE

Medical-only PIHP

Risk-based Capitation

1915(a)

46

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 53

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Commercial MCO Commercial MCO Commercial MCO MH/SUD PIHP MH/SUD PIHP PACE

State
PA PA PA PA PA PA

Plan
AmeriChoice of Pennsylvania AmeriHealth HMO, Inc./AmeriHealth Mercy Health Plan AmeriHealth HMO, Inc./AmeriHealth Mercy Health Plan - VOL Community Care Behavioral Health North Central Community Care Behavioral Health Northeast Community LIFE

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

Operating Authority
1915(b) 1915(b) 1915(a) 1915(b) 1915(b) PACE

Geographic Area Served
Bucks, Chester, Delaware, Montgomery, Philadelphia Adams, Berks, Cumberland, Dauphin, Lancaster, Lebanon, Lehigh, Northampton, Perry, York Carbon, Lackawanna, Luzerne, Monroe, Pike Bradford, Cameron, Centre, Clarion, Clearfield, Columbia, Elk, Forest, Huntingdon, Jefferson, Juniat Lackawanna, Luzerne, Susquehanna, Wyoming 14145, 15014, 15018, 15020, 15024, 15025, 15028, 15030, 15032, 15034, 15035, 15037, 15045, 15047, 15049, 15051, 15065, 15075, 15076, 15084, 15088, 15102, 15104, 15110, 15112, 15120, 15122, 15129, 15131, 15132, 15133, 15135, 15137, 15139, 15140, 15144, 15146, 15147, 15148, 15206, 15207, 15208, 15215, 15217, 15218, 15221, 15227, 15232, 15234, 15235, 15236, 15238, 15239 Armstrong, Indiana Bedford

Number of Enrollees
57,378 87,673 2,262 121,194 74,059 298

PA PA

Counties of Armstrong/Indiana - Value Behavioral Health of PA Counties of Bedford/Somerset Community Behavioral Healthcare Network of Pennsylvania Counties of Carbon/Monroe/Pike Community Care Behavioral Health Counties of Crawford/Mercer/Venango Value Behavioral Health Counties of Franklin/Fulton - Community Behavorial Healthcare Network of Pennsylvania Counties of Lycoming/Clinton Community Behavioral Healthcare Network of Pennsylvania County of Adams - Community Care Behavioral Health County of Allegheny - Community Care Behavioral Health

MH/SUD PIHP MH/SUD PIHP

Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

1915(b) 1915(b)

17,134 13,280

PA PA PA

MH/SUD PIHP MH/SUD PIHP MH/SUD PIHP

1915(b) 1915(b) 1915(b)

Carbon, Monroe, Pike Crawford, Mercer, Venango Franklin, Fulton

30,595 35,594 13,874

PA

MH/SUD PIHP

1915(b)

Clinton, Lycoming

18,341

PA PA

MH/SUD PIHP MH/SUD PIHP

1915(b) 1915(b)

Adams Allegheny

6,971 133,123

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 54

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
MH/SUD PIHP MH/SUD PIHP MH/SUD PIHP MH/SUD PIHP MH/SUD PIHP MH/SUD PIHP MH/SUD PIHP MH/SUD PIHP MH/SUD PIHP MH/SUD PIHP MH/SUD PIHP MH/SUD PIHP MH/SUD PIHP MH/SUD PIHP MH/SUD PIHP MH/SUD PIHP

State
PA PA PA PA PA PA PA PA PA PA PA PA PA PA PA PA

Plan
County of Beaver - Value Behavioral Health of PA County of Berks - Community Care Behavioral Health County of Blair County - Community Behavioral Healthcare Network of PA County of Bucks - Magellan Behavioral Health County of Butler - Value Behavioral Health of PA County of Cambria - Value Behavioral Health County of Chester - Community Care Behavioral Health County of Cumberland - Community Behavioral Healthcare Network of PA, Inc. County of Dauphin - Community Behavioral Healthcare Network of PA, Inc. County of Delaware - Magellan Behavioral Health County of Erie - Value Behavioral Health County of Fayette - Value Behavioral Health of PA County of Lancaster - Community Behavioral Healthcare Network of PA, Inc. County of Lawrence - Value Behavioral Health of PA County of Lebanon - Community Behavioral Healthcare Network of PA, Inc. County of Lehigh - Magellan Behavioral Health

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

Operating Authority
1915(b) 1915(b) 1915(b) 1915(b) 1915(b) 1915(b) 1915(b) 1915(b) 1915(b) 1915(b) 1915(b) 1915(b) 1915(b) 1915(b) 1915(b) 1915(b)

Geographic Area Served
Beaver Berks Blair Bucks Butler Cambria Chester Cumberland Dauphin Delaware Erie Fayette Lancaster Lawrence Lebanon Lehigh

Number of Enrollees
19,792 48,242 17,435 35,983 13,462 17,308 24,311 13,100 30,360 56,058 39,483 24,132 44,157 12,361 12,248 41,315

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 55

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
MH/SUD PIHP MH/SUD PIHP MH/SUD PIHP MH/SUD PIHP MH/SUD PIHP MH/SUD PIHP MH/SUD PIHP PACE Commercial MCO

State
PA PA PA PA PA PA PA PA PA

Plan
County of Montgomery - Magellan Behavioral Health County of Northampton - Magellan Behavioral Health County of Perry - Community Behavioral Healthcare Network of PA, Inc. County of Philadelphia - Community Behavioral Health County of Washington - Value Behavioral Health of PA County of Westmoreland - Value Behavioral Health of PA County of York - Community Care Behavioral Health Everyday LIFE Gateway Health Plan, Inc.

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

Operating Authority
1915(b) 1915(b) 1915(b) 1915(b) 1915(b) 1915(b) 1915(b) PACE 1915(b)

Geographic Area Served
Montgomery Northampton Perry Philadelphia Washington Westmoreland York Lehigh, Northampton Adams, Allegheny, Armstrong, Beaver, Berks, Butler, Cumberland, Dauphin, Fayette, Greene, Indiana, Lancaster, Lawrence, Lebanon, Lehigh, Northampton, Perry, Washington, Westmoreland, York Blair, Cambria, Carbon, Clarion, Columbia, Erie, Franklin, Jefferson, Lackawanna, Luzerne, Mercer, Monroe, Montour, Northumberland, Pike, Schuylkill, Somerset, Susquehanna, Wyoming Bucks, Chester, Delaware, Montgomery, Philadelphia Bucks, Chester, Delaware, Montgomery, Philadelphia Beaver Lackawanna, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union, Wyoming

Number of Enrollees
47,007 25,482 3,517 353,115 20,798 35,123 37,574 5 192,419

PA

Gateway Health Plan, Inc. -VOL

Commercial MCO

Risk-based Capitation

1915(a)

19,681

PA PA PA PA

Health Partners of Philadelphia Keystone Mercy Health Plan LIFE - Beaver County LIFE - Geisinger

Commercial MCO Commercial MCO PACE PACE

Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

1915(b) 1915(b) PACE PACE

124,518 263,884 122 98

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 56

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
PACE

State
PA

Plan
LIFE - Pittsburgh

Reimbursement Arrangement
Risk-based Capitation

Operating Authority
PACE

Geographic Area Served
15006, 15007, 15015, 15017, 15031, 15044, 15046, 15056, 15064, 15071, 15082, 15086, 15090, 15091, 15101, 15106, 15108, 15116, 15126, 15127, 15136, 15142, 15143, 15201, 15202, 15203, 15204, 15205, 15209, 15210, 15211, 15212, 15213, 15214, 15216, 15219, 15220, 15222, 15223, 15224, 15225, 15226, 15228, 15229, 15233, 15237, 15241, 15243 19103, 19104, 19121, 19130, 19131, 19139, 19142, 19143, 19151, 19153 Chester, Delaware Butler Franklin Erie Philadelphia Bedford, Blair, Bradford, Cambria, Cameron, Carbon, Centre, Clarion, Clearfield, Clinton, Columbia, Crawford, Elk, Erie, Forest, Franklin, Fulton, Huntington, Jefferson, Juniata, Lackwanna, Luzerne, Lycoming, McKean, Mercer, Mifflin, Monroe, Montour, Northumberland, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Wayne, Wyoming 19106, 19107, 19111, 19114, 19115, 19116, 19123, 19124, 19125, 19134, 19135, 19136, 19137, 19145, 19146, 19147, 19148, 19149, 19152, 19154 Philadelphia County zip codes 19118, 19119, 19120, 19126, 19127, 19128, 19129, 19132, 19138, 19141, Blair, Cambria, Dauphin, Somerset County zip codes 15531, 15928, 15935, 15953 and 15963, Westmoreland County zip codes 15944 and 15954, York Adams, Allegheny, Armstrong, Beaver, Berks, Butler, Cumberland, Dauphin, Fayette, Greene, Indiana, Lancaster, Lawrence, Lebanon, Lehigh, Northampton, Perry, Washington, Westmoreland, York

Number of Enrollees
320

PA PA PA PA PA PA PA

LIFE - University of Pennsylvania LIFE at Home LIFE Butler County LIFE Lutheran Services LIFE NWPA Logisticare Solutions, LLC McKesson Health Solutions

PACE PACE Medical-only PIHP PACE Medical-only PIHP Transp PAHP Disease Management PAHP

Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

PACE PACE 1915(a) PACE 1915(a) 1902(a)(70) 1915(b)

341 59 16 15 28 406,732 50,788

PA

Mercy LIFE

PACE

Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

PACE

234

PA PA

New Courtland LIFE Senior LIFE Johnstown

Medical-only PIHP PACE

1915(a) PACE

113 145

PA

Unison Health Plan / MedPLUS

Commercial MCO

1915(b)

90,679

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 57

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Commercial MCO

State
PA

Plan
Unison Health Plan/MedPlus - VOL

Reimbursement Arrangement
Risk-based Capitation

Operating Authority
1915(a)

Geographic Area Served
Blair, Bradford, Cambria, Carbon, Clarion, Columbia, Crawford, Erie, Forest, Franklin, Jefferson, Lackawanna, Luzerne, Mercer, Monroe, Montour, Pike, Schuylkill, Somerset, Sullivan, Susquehanna, Warren, Wyoming Allegheny, Armstrong, Beaver, Butler, Fayette, Greene, Indiana, Lawrence, Washington, Westmoreland Bedford, Blair, Cambria, Clearfield, Crawford, Mercer, Somerset, Venango Greene Adjuntas, Aguada, Aguadilla, Aguas Buenas, Aibonito, Añasco, Arecibo, Arroyo, Barceloneta, Barranquitas, Bayamón, Cabo Rojo, Caguas, Camuy, Canovanas, Carolina, Cataño, Cayey, Ceiba, Ciales, Cidra, Coamo, Comerio, Corozal, Culebra, Dorado, Fajardo, Florida, Guanica, Guayama, Guayanilla, Guaynabo, Gurabo, Hatillo, Hormigueros, Humacao, Isabela, Jayuya, Juana Díaz, Juncos, Lajas, Lares, Las Marias, Las Piedras, Lioza, Luquillo, Manatí, Maricao, Maunabo, Mayagüez, Moca, Morovis, Naguabo, Naranjito, Orocovis, Patillas, Peñuelas, Ponce, Quebradillas, Rincon, Río Grande, Sabana Grande, Salinas, San German, San Juan, San Lorenzo, San Sebastian, Santa Isabel, Toa Alta, Toa Baja, Trujillo Alto, Utuado, Vega Alta, Vega Baja, Vieques, Villalba, Yabucoa, Yauco Aguas Buenas, Arecibo, Barceloneta, Caguas, Camuy, Canovanas, Carolina, Cayey, Ceiba, Ciales, Cidra, Culebra, Fajardo, Florida, Gurabo, Hatillo, Humacao, Juncos, Lares, Las Piedras, Loiza, Luquillo, Manati, Morovis, Naguabo, Quebradillas, Rio Grande, San Lorenzo, Trujillo Alto, Utuado, Vega Baja, Vieques, Yabucoa Adjuntas, Aibonito, Arroyo, Barranquitas, Coamo, Guanica, Guayama, Guayanilla, Jayuya, Juana Diaz, Maunabo, Orocovis, Patillas, Penuelas, Ponce, Salinas, Santa Isabel, Villalba, Yauco Aguas Buenas, Aibonito, Arroyo, Barranquitas, Caguas, Cayey, Cidra, Coamo, Guayama, Gurabo, Humacao, Juana Diaz, Juncos, Las Piedras, Maunabo, Naguabo, Orocovis, Patillas, Salinas, San Lorenzo, Santa Isabel, Villalba, Yabucoa

Number of Enrollees
30,188

PA PA PA PR

UPMC Health Plan, Inc./UPMC for You UPMC Health Plan, Inc./UPMC for You VOL Value Behavioral Health of PA (Greene County) American Health Medicare

Commercial MCO Commercial MCO MH/SUD PIHP Commercial MCO

Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

1915(b) 1915(a) 1915(b) 1915(a)

90,899 5,607 5,998 14,134

PR

APS Healthcare

MH/SUD PIHP

Risk-based Capitation

1915(a)

323,126

PR

FHC Healthcare

MH/SUD PIHP

Risk-based Capitation

1915(a)

182,176

PR

Humana Health Plans of Puerto Rico, Inc.

Commercial MCO

Risk-based Capitation

1915(a)

210,422

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 58

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Commercial MCO

State
PR

Plan
Humana Puerto Rico

Reimbursement Arrangement
Risk-based Capitation

Operating Authority
1915(a)

Geographic Area Served
Adjuntas, Aguada, Aguadilla, Aguas Buenas, Aibonito, Añasco, Arecibo, Arroyo, Barceloneta, Barranquitas, Bayamón, Cabo Rojo, Caguas, Camuy, Canóvanas, Carolina, Cataño, Cayey, Ceiba, Ciales, Cidra, Coamo, Comerío, Corozal, Culebra, Dorado, Fajardo, Florida, Guanica, Guayama, Guayanilla, Guaynabo, Gurabo, Hatillo, Hormigueros, Humacao, Isabela, Jayuya, Juana Díaz, Juncos, Lajas, Lares, Las Marias, Las Piedras, Loíza, Luquillo, Manatí, Maricao, Maunabo, Mayaguëz, Moca, Morovis, Naguabo, Naranjito, Orocovis, Patillas, Peñuelas, Ponce, Quebradillas, Rincon, Río Grande, Sabana Grande, Salinas, San German, San Juan, San Lorenzo, San Sebastian, Santa Isabel, Toa Alta, Toa Baja, Trujillo Alto, Utuado, Vega Alta, Vega Baja, Vieques, Villalba, Yabucoa, Yauco Adjuntas, Aguada, Aguadilla, Aguas Buenas, Aibonito, Añasco, Arecibo, Arroyo, Barceloneta, Barranquitas, Bayamón, Cabo Rojo, Caguas, Camuy, Canovanas, Carolina, Cataño, Cayey, Ceiba, Ciales, Cidra, Coamo, Comerio, Corozal, Culebra, Dorado, Fajardo, Florida, Guanica, Guayama, Guayanilla, Gurabo, Gyanabo, Hatillo, Hormigueros, Humacao, Isabela, Jayuya, Juana Díaz, Juncos, Lajas, Lares, Las Marías, Las Piedras, Loiza, Luquillo, Manatí, Maricao, Maunabo, Mayagüez, Moca, Morovis, Naguabo, Naranjito, Orocovis, Patillas, Peñuelas, Ponce, Quebradillas, Rincón, Río Grande, Sabana Grande, Salinas, San German, San Juan, San Lorenzo, San Sebastián, Santa Isabel, Toa Alta, Toa Baja, Trujillo Alto, Utuado, Vega Alta, Vega Baja, Vieques, Villalba, Yabucoa, Yauco Aguada, Aguadilla, Añasco, Cabo Rojo, Canovanas, Carolina, Ceiba, Culebra, Fajardo, Hormigueros, Isabela, Lajas, Las Marias, Loiza, Luquillo, Maricao, Mayaguez, Moca, Rincon, Rio Grande, Sabana Grande, San German, San Juan, San Sebastian, Trujillo Alto, Vieques

Number of Enrollees
8,338

PR

MCS Advantage

Commercial MCO

Risk-based Capitation

1915(a)

40,124

PR

MCS Health Management Options, Inc.

Commercial MCO

Risk-based Capitation

1915(a)

260,470

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 59

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Commercial MCO

State
PR

Plan
MMM Healthcare Inc.

Reimbursement Arrangement
Risk-based Capitation

Operating Authority
1915(a)

Geographic Area Served
Adjuntas, Aguada, Aguadilla, Aguas Buenas, Aibonito, Añasco, Arecibo, Arroyo, Barceloneta, Barranquitas, Bayamón, Cabo Rojo, Caguas, Camuy, Canovanas, Carolina, Cataño, Cayey, Ceiba, Ciales, Cidra, Coamo, Comerio, Corozal, Culebra, Dorado, Fajardo, Florida, Guanica, Guayama, Guayanilla, Guaynabo, Gurabo, Hatillo, Hormigueros, Humacao, Isabela, Jayuya, Juana Díaz, Juncos, Lajas, Lares, Las Marías, Las Piedras, Lioza, Luquillo, Manatí, Maricao, Maunabo, Mayaguëz, Moca, Morovis, Naguabo, Naranjito, Orocovis, Patillas, Peñuelas, Ponce, Quebradillas, Rincón, Río Grande, Sabana Grande, Salinas, San German, San Juan, San Lorenzo, San Sebastián, Santa Isabel, Toa Alta, Toa Baja, Trujillo Alto, Utuado, Vega Alta, Vega Baja, Vieques, Villalba, Yabucoa, Yauco Adjuntas, Aguada, Aguadilla, Aguas Buenas, Aibonito, Añasco, Arecibo, Arroyo, Barceloneta, Barranquitas, Bayamón, Cabo Rojo, Caguas, Camuy, Canovanas, Carolina, Cataño, Cayey, Ceiba, Ciales, Cidra, Coamo, Comerio, Corozal, Culebra, Dorado, Fajardo, Florida, Guanica, Guayama, Guayanilla, Guaynabo, Gurabo, Hatillo, Hormigueros, Humacao, Isabela, Jayuya, Juana Díaz, Juncos, Lajas, Lares, Las Marías, Las Piedras, Lioza, Luquillo, Manatí, Maricao, Maunabo, Mayaguëz, Moca, Morovis, Naguabo, Naranjito, Orocovis, Patillas, Peñuelas, Ponce, Quebradillas, Rincón, Río Grande, Sabana Grande, Salinas, San German, San Juan, San Lorenzo, San Sebastián, Santa Isabel, Toa Alta, Toa Baja, Trujillo Alto, Utuado, Vega Alta, Vega Baja, Vieques, Villalba, Yabucoa, Yauco Adjuntas, Aguada, Aguadilla, Aguas Buenas, Aibonito, Añasco, Arecibo, Arroyo, Barceloneta, Barranquitas, Bayamon, Cabo Rojo, Caguas, Camuy, Canovanas, Carolina, Cataño, Cayey, Ceiba, Ciales, Cidra, Coamo, Comerio, Corozal, Culebra, Dorado, Fajardo, Florida, Guanica, Guayama, Guayanilla, Guaynabo, Gurabo, Hatillo, Hormigueros, Humacao, Isabela, Jayuya, Juana Díaz, Juncos, Lajas, Lares, Las Marías, Las Piedras, Loiza, Luquillo, Manatí, Maricao, Maunabo, Mayagüez, Moca, Morovis, Naguabo, Naranjito, Orocovis, Patillas, Peñuelas, Ponce, Quebradillas, Rincón, Río Grande, Sabana Grande, Salinas, San German, San Juan, San Lorenzo, San Sebastián, Santa Isabel, Toa Alta, Toa Baja, Trujillo Alto, Utuado, Vega Alta, Vega Baja, Vieques, Villalba, Yabucoa, Yauco

Number of Enrollees
48,755

PR

PMC Medicare Choice

Commercial MCO

Risk-based Capitation

1915(a)

32,093

PR

Salud Dorada con Medicare

Commercial MCO

Risk-based Capitation

1915(a)

3,292

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 60

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Commercial MCO

State
PR

Plan
Triple S

Reimbursement Arrangement
Risk-based Capitation

Operating Authority
1915(a)

Geographic Area Served
Adjuntas, Aguada, Aguadilla, Aguas Buenas, Aibonito, Añasco, Arecibo, Arroyo, Barceloneta, Barranquitas, Bayamón, Cabo Rojo, Caguas, Camuy, Canovanas, Carolina, Cataño, Cayey, Ceiba, Ciales, Cidra, Coamo, Comerio, Corozal, Culebra, Dorado, Fajardo, Florida, Guanica, Guayama, Guayanilla, Guaynabo, Gurabo, Hatillo, Hormigueros, Humacao, Isabela, Jayuya, Juana Díaz, Juncos, Lajas, Lares, Las Marías, Las Piedras, Lioza, Luquillo, Manatí, Maricao, Maunabo, Mayaguëz, Moca, Morovis, Naguabo, Naranjito, Orocovis, Patillas, Peñuelas, Ponce, Quebradillas, Rincón, Río Grande, Sabana Grande, Salinas, San German, San Juan, San Lorenzo, San Sebastián, Santa Isabel, Toa Alta, Toa Baja, Trujillo Alto, Utuado, Vega Alta, Vega Baja, Vieques, Villalba, Yabucoa, Yauco Adjuntas, Arecibo, Barceloneta, Bayamón, Camuy, Cataño, Ciales, Comerío, Corozal, Dorado, Florida, Guanica, Guayanilla, Guaynabo, Hatillo, Jayuya, Lares, Manati, Morovis, Naranjito, Penuelas, Ponce, Quebradillas, Toa Alta, Toa Baja, Utuado, Vega Alta, Vega Baja, Yauco Statewide Statewide Statewide except for Zip Codes Block Island 02807 Statewide Statewide Aiken, Allendale, Anderson, Bamberg, Barnwell, Beaufort, Berkely, Calhoun, Charleston, Cherokee, Chester, Chesterfield, Clarendon, Colleton, Darlington, Dillon, Dorchester, Edgefield, Fairfield, Florence, Greenville, Hampton, Horry, Jasper, Kershaw, Lancaster, Laurens, Lee, Lexington, Marion, Marlboro, Newberry, Oconee, Orangeburg, Pickens, Richland, Saluda, Spartanburg, Sumter, Union, Williamsburg, York

Number of Enrollees
18,405

PR

Triple-S, Inc.

Commercial MCO

Risk-based Capitation

1915(a)

323,026

RI RI RI RI RI SC

Blue Cross & Blue Shield of Rhode Island Neighborhood Health Plan of Rhode Island PACE Organization of Rhode Island United HealthCare Dental - RIte Smiles United HealthCare of New England Absolute Total Care

Commercial MCO Medicaid MCO PACE Dental PAHP Commercial MCO Medicaid MCO

Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

1115 1115 PACE 1115 1115 1915(a)

13,638 74,027 164 41,717 32,578 46,270

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 61

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Medicaid MCO

State
SC

Plan
BlueChoice Health Plan

Reimbursement Arrangement
Risk-based Capitation

Operating Authority
1915(a)

Geographic Area Served
Abbeville, Allendale, Anderson, Bamberg, Barnwell, Beaufort, Berkeley, Calhoun, Charleston, Cherokee, Chester, Chesterfield, Clarendon, Colleton, Darlington, Dorchester, Fairfield, Florence, Greenville, Hampton, Jasper, Kershaw, Lancaster, Laurens, Lee, Lexington, Newberry, Oconee, Orangeburg, Pickens, Richland, Spartanburg, Sumter, Union, Williamsburg, York Abbeville, Aiken, Allendale, Anderson, Bamberg, Barnwell, Beaufort, Berkeley, Calhoun, Charleston, Cherokee, Chester, Chesterfield, Clarendon, Colleton, Darlington, Dillon, Dorchester, Edgefield, Fairfield, Florence, Georgetown, Greenville, Greenwood, Hampton, Horry, Jasper, Kershaw, Lancaster, Laurens, Lee, Lexington, Marion, Marlboro, McCormick, Newberry, Oconee, Orangeburg, Pickens, Richland, Saluda, Spartanburg, Sumter, Union, Williamsburg, York Aiken, Bamberg, Barnwell, Berkley, Calhoun, Cherokee, Chester, Chesterfield, Clarendon, Colleton, Dorchester, Edgefield, Fairfield, Kershaw, Lancaster, Lexington, McCormick, Newberry, Orangeburg, Richland, Saluda, Sumter, Union, York Abbeville, Aiken, Allendale, Anderson, Bamberg, Barnwell, Beaufort, Berkeley, Calhoun, Charleston, Cherokee, Chester, Chesterfield, Clarendon, Colleton, Darlington, Dillon, Dorchester, Edgefield, Fairfield, Florence, Georgetown, Greenville, Greenwood, Hampton, Horry, Jasper, Kershaw, Lancaster, Laurens, Lee, Lexington, Marion, Marlboro, McCormick, Newberry, Oconee, Orangeburg, Pickens, Richland, Saluda, Spartanburg, Sumter, Union, Williamsburg, York Region 3, Region 4, Region 5, Region 6 Region 1, Region 2 Anderson, Berkeley, Charleston, Dorchester, Greenville, Lexington, Oconee, Pickens, Richland Lexington, Richland Statewide

Number of Enrollees
19,464

SC

Carolina Crescent Health Plan

Medicaid MCO

Risk-based Capitation

1915(a)

33,867

SC

CHCcares of South Carolina

Medicaid MCO

Risk-based Capitation

1915(a)

4,254

SC

First Choice by Select Health of South Carolina, Inc.

Medicaid MCO

Risk-based Capitation

1915(a)

184,059

SC SC SC SC SC

Logisticare Medical Transportation Management (MTM) Medically Fragile Children Palmetto SeniorCare (PACE) South Carolina Solutions

Transp PAHP Transp PAHP Medical-only PAHP PACE PCCM

Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Fee-For-Service

1902(a)(70) 1902(a)(70) 1915(a) PACE 1932(a)

508,817 254,408 142 375 90,136

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 62

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
PACE Medicaid MCO

State
SC SC

Plan
The Oaks PACE Unison Health Plan of SC

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation

Operating Authority
PACE 1915(a)

Geographic Area Served
Orangeburg County Abbeville, Aiken, Allendale, Anderson, Bamberg, Barnwell, Beaufort, Berkeley, Calhoun, Chester, Chesterfield, Clarendon, Colleton, Darlington, Dillon, Dorchester, Edgefield, Fairfield, Florence, Georgetown, Greenville, Hampton, Horry, Jasper, Kershaw, Lancaster, Laurens, Lee, Lexington, Marion, Marlboro, Newberry, Oconee, Orangeburg, Pickens, Richland, Saluda, Sumter, Union, Williamsburg, York Statewide Hamilton East Tennessee Middle Tennessee West Tennessee Middle Tennessee Statewide Statewide Statewide East Tennessee West Tennessee

Number of Enrollees
32 53,868

SD TN TN TN TN TN TN TN TN TN TN

PRIME Alexian Brothers Community Services AmeriChoice - East TN AmeriChoice - Middle TN AmeriChoice - West TN AmeriGroup Community Care Doral Dental of Tennessee, LLC Premier Behavioral Systems of TN SXC Health Solution Corperation Volunteer State Health Plan (Bluecare) East Volunteer State Health Plan (Bluecare) West

PCCM PACE Medicaid MCO Medicaid MCO Medicaid MCO Medicaid MCO *Dental Benefit Manager MH/SUD PIHP *Pharmacy Benefit Manager Medicaid MCO Medicaid MCO

Fee-For-Service Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Administrative Services Fee Risk-based Capitation Administrative Services Fee Risk-based Capitation Risk-based Capitation

1932(a) PACE 1115 1115 1115 1115 1115 1115 1115 1115 1115

85,476 309 172,670 189,868 162,647 189,937 678,776 71,661 1,230,750 249,726 194,241

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 63

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
*Prepaid Inpatient Health Plan (PIHP), partial risk, partial capitation Commercial MCO Medicaid MCO

State
TN

Plan
Volunteer State Health Plan (TennCare Select)

Reimbursement Arrangement
Partial Capitation

Operating Authority
1115

Geographic Area Served
Statewide

Number of Enrollees
71,661

TX TX

Aetna Amerigroup (STAR)

Risk-based Capitation Risk-based Capitation

1915(b) 1915(b)

Atascosa, Bexar, Comal, Denton, Guadalupe, Hood, Johnson, Kendall, Medina, Parker, Tarrant, Wilson, Wise Bastrop, Brazoria, Burnet, Caldwell, Collin, Dallas, Denton, Ellis, Fort Bend, Galveston, Harris, Hays, Hood, Hunt, Johnson, Kaufman, Lee, Montgomery, Navarro, Parker, Rockwell, Tarrant, Travis, Waller, Williamson, Wise Atascosa, Bastrop, Bexar, Blanco, Brazoria, Burnet, Caldwell, Comal, Fort Bend, Galveston, Guadalupe, Harris, Hays, Kendall, Lee, Medina, Montgomery, Travis, Waller, Williamson, Wilson 79901, 79902, 79903, 79904, 79905, 79907, 79915, 79924, 79925, 79930, 79935, 79936 Atascosa, Bexar, Comal, Guadalupe, Kendall, Medina, Wilson Brazoria, Fort Bend, Galveston, Harris, Montgomery, Waller Denton, Hood, Johnson, Parker, Tarrant, Wise Aransas, Bee, Calhoun, Jim Wells, Kleberg, Nueces, Refugio, San Patricio, Victoria El Paso Bastrop, Blanco, Brazoria, Burnet, Caldwell, Crosby, Floyd, Fort Bend, Galveston, Garza, Hale, Harris, Hays, Hockley, Lamb, Lee, Lubbock, Lynn, Montgomery, Terry, Travis, Waller, Williamson Crosby, Floyd, Garza, Hale, Hockley, Lamb, Lubbock, Lynn, Terry 79015, 79101, 79102, 79103, 79104, 79106, 79107, 79108, 79109, 79110, 79111, 79118, 79119, 79121, 79124

38,597 351,524

TX

Amerigroup (STAR+PLUS)

Medicaid MCO

Risk-based Capitation

1915(b), 1915(b)/(c)

54,887

TX TX TX TX TX TX TX

Bienvivir Senior Health Service Community First Community Health Choice Cook Children's Driscoll El Paso First Premier Evercare

PACE Commercial MCO Medicaid MCO Medicaid MCO Medicaid MCO Commercial MCO Medicaid MCO

Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

PACE 1915(b) 1915(b) 1915(b) 1915(b) 1915(b) 1915(b), 1915(b)/(c)

761 72,332 98,795 40,990 36,982 39,914 54,488

TX TX

First Care Jan Werner Adult Day Care Center

Commercial MCO PACE

Risk-based Capitation Risk-based Capitation

1915(b) PACE

24,937 128

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 64

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Disease Management PAHP Medicaid MCO Medicaid MCO

State
TX

Plan
McKesson Health Solutions

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Fee-For-Service

Operating Authority
1915(b)

Geographic Area Served
Statewide

Number of Enrollees
54,794

TX TX

Molina (STAR) Molina (STAR+Plus)

1915(b) 1915(b), 1915(b)/(c) 1915(b) 1932(a)

Brazoria, Fort Bend, Galveston, Harris, Montgomery, Waller Atascosa, Bexar, Brazoria, Comal, Fort Bend, Galveston, Guadalupe, Harris, Kendall, Medinal, Montgomery, Waller, Wilson Collin, Dallas, Ellis, Hunt, Kaufman, Navarro, Rockwall Anderson, Andrews, Angelina, Archer, Armstrong, Austin, Bailey, Bandera, Baylor, Bell, Bordon, Bosque, Bowie, Brazos, Brewster, Briscoe, Brooks, Brown, Burleson, Callahan, Cameron, Camp, Carson, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Coke, Coleman, Collingsworth, Colorado, Comanche, Concho, Cooke, Coryell, Cottle, Crane, Crockett, Dallam, Dawson, Deaf Smith, Delta, DeWitt, Dickens, Dimmit, Donley, Duval, Eastland, Ector, Edwards, Erath, Falls, Fannin, Fayette, Fisher, Foard, Franklin, Freestone, Frio, Gaines, Gillespie, Glasscock, Goliad, Gonzales, Gray, Grayson, Gregg, Grimes, Hall, Hamilton, Hansford, Hardeman, Hardin, Harrison, Hartley, Haskell, Hemphill, Henderson, Hildalgo, Hill, Hopkins, Houston, Howard, Hutchinson, Irion, Jack, Jackson, Jasper, Jeff Davis, Jefferson, Jim Hogg, Jones, Karnes, Kenedy, Kent, Kerr, Kimble, King, Kinney, Knox, La Salle, Lamar, Lampasas, Lavaca, Leon, Liberty, Limestone, Lipscomb, Live Oak, Llano, Loving, Madison, Marion, Martin, Mason, Matagorda, Maverick, McCulloch, McLennan, McMullen, Menard, Midland, Milam, Mills, Mitchell, Montague, Moore, Morris, Motley, Nacogdoches, Newton, Nolan, Ochiltree, Oldham, Orange, Palo Pinto, Panola, Parmer, Pecos, Polk, Potter, Presidio, Rains, Randall, Reagan, Real, Red River, Reeves, Roberts, Robertson, Runnels, Sabine, San Augustine, San Jacinto, San Saba, Schleicher, Scurry, Shackelford, Shelby, Sherman, Smith, Somervell, Starr, Stephens, Sterling, Stonewall, Sutton, Swisher, Taylor, Terrell, Throckmorton, Titus, Tom Green, Trinity, Tyler, Upshur, Upton, Uvalde, Val Verde, Van Zandt, Walker, Ward, Washington, Webb, Wharton, Wheeler, Wichita, Wilbarger, Willacy, Winkler, Wood, Yoakum, Young, Zapata, Zavala

10,145 17,079

TX TX

Parkland Community Health Plan PCCM

Medicaid MCO PCCM

122,684 732,219

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 65

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Medicaid MCO Medicaid MCO

State
TX TX

Plan
Superior HealthPlan (STAR Health) Superior HealthPlan (STAR)

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation

Operating Authority
1915(a) 1915(b)

Geographic Area Served
Statewide Atascosa, Bastrop, Bexar, Burnet, Caldwell, Comal, Crosby, El Paso, Floyd, Garza, Guadalupe, Hale, Hays, Hockley, Hudspeth, Kendall, Lamb, Lee, Lubbock, Lynn, Medina, Terry, Travis, Williamson, Wilson Aransas, Atascosa, Bee, Bexar, Calhoun, Comal, Guadalupe, Jim Wells, Kendall, Kleberg, Medina, Nueces, Refugio, San Patricio, Victoria, Wilson Brazoria, Fort Bend, Galveston, Harris, Montgomery, Waller Collin, Dallas, Ellis, Hunt, Kaufman, Navarro, Rockwall Brazoria, Fort Bend, Galveston, Harris, Montgomery, Waller Collin County, Dallas County, Ellis County, Hunt County, Kaufman County, Navarro County, Rockwall County Box Elder, Cache, Rich Juab, Millard, Piute, Sanpete, Sevier, Wayne Davis Carbon, Emery, Grand Davis County, Salt Lake County, Utah County, Weber County Davis, Salt Lake, Utah, Weber Statewide Daggett, Duchesne, Uintah

Number of Enrollees
29,508 211,806

TX

Superior HealthPlan (STAR+Plus)

Medicaid MCO

Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation FFS/Some Risk Based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Non-risk Capitation Non-risk Capitation Risk-based Capitation Risk-based Capitation

1915(b), 1915(b)/(c) 1915(b) 1915(b) 1915(b) 1915(b) 1115, 1915(b) 1115, 1915(b) 1115, 1915(b) 1115, 1915(b) 1115, 1915(b) 1115, 1915(b) 1915(b) 1115, 1915(b)

35,680

TX TX TX TX UT UT UT UT UT UT UT UT

Texas Children's Health Plan Unicare United ValueOptions Bear River Mental Health Central Utah Counseling Center Davis Behavioral Health Four Corners Community Behavioral Health Healthy U Molina Healthcare of Utah (Molina) Non-Emergency Medical Transportation Northeastern Counseling Center

Medicaid MCO Commercial MCO Commercial MCO MH/SUD PIHP Mental Health PIHP Mental Health PIHP Mental Health PIHP Mental Health PIHP Medical-only PIHP Medical-only PIHP Transp PAHP Mental Health PIHP

153,468 23,699 10,587 306,513 12,284 7,115 16,430 4,544 29,338 42,116 176,036 4,207

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 66

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
PCCM Mental Health PIHP Mental Health PIHP Mental Health PIHP Mental Health PIHP PACE Medicaid MCO

State
UT UT UT UT UT VA VA

Plan
Select Access Southwest Behavioral Health Services Valley Mental Health Wasatch Mental Health Weber Human Services AllCare for Seniors AmeriGroup Community Care

Reimbursement Arrangement
Fee-For-Service Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

Operating Authority
1115, 1915(b) 1115, 1915(b) 1115, 1915(b) 1115, 1915(b) 1115, 1915(b) PACE 1915(b)

Geographic Area Served
Davis County, Salt Lake County, Utah County, Weber County Beaver, Garfield, Iron, Kane, Washington Salt Lake, Summit, Tooele Utah County Morgan, Weber Buchanan, Dickerson, Russell, Tazewell Alexandria City, Arlington County, Fairfax City, Fairfax County, Falls Church City, Fauquier County, Loudoun County, Manassas City, Manassas Park City, Prince William County Accomack County, Albemarle County, Alexandria City, Amelia County, Arlington County, Brunswick County, Buckingham County, Caroline County, Charles City County, Charlottesville City, Chesapeake City, Chesterfield County, Clarke County, Colonial Heights City, Cumberland County, Dinwiddie County, Emporia City, Essex County, Fairfax City, Fairfax County, Falls Church City, Fauquier County, Fluvanna County, Franklin City, Frederick County, Fredericksburg City, Gloucester County, Goochland County, Greene County, Greensville County, Halifax County, Hampton City, Hanover County, Henrico County, Hopewell City, Isle of Wight County, James City County, King and Queen County, King George County, King William County, Lancaster County, Loudoun County, Louisa County, Lunenburg County, Madison County, Manassas City, Manassas Park City, Mathews County, Mecklenburg County, Middlesex County, Nelson County, New Kent County, Newport News City, Norfolk City, Northampton County, Northumberland County, Nottoway County, Orange County, Petersburg City, Poquoson City, Portsmouth City, Powhatan County, Prince Edward County, Prince George County, Prince William County, Richmond City, Richmond County, Southampton County, Spotsylvania County, Stafford County, Suffolk City, Surry County, Sussex County, Virginia Beach City, Warren County, Westmoreland County, Williamsburg City, Winchester City, York County

Number of Enrollees
58,484 18,006 83,812 34,822 20,342 27 24,889

VA

Anthem Healthkeepers Plus

Commercial MCO

Risk-based Capitation

1915(b)

163,028

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 67

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Transp PAHP PCCM

State
VA VA

Plan
LogistiCare Solutions MEDALLION

Reimbursement Arrangement
Risk-based Capitation Fee-For-Service

Operating Authority
1902(a)(70) 1915(b)

Geographic Area Served
Statewide Alleghany County, Bath County, Bland County, Bristol City, Buchanan County, Carroll County, Covington City, Craig County, Dickenson County, Galax, Grayson County, Highland County, Lee County, Norton, Russell, Scott County, Smyth County, Tazewell County, Washington County, Wise County Lee, Norton, Scott, Wise Accomack County, Albemarle County, Amelia County, Amherst County, Appomattox County, Augusta County, Brunswick County, Buckingham County, Campbell County, Caroline County, Charles City County, Charlotte County, Charlottesville City, Chesapeake City, Chesterfield County, Clarke County, Colonial Heights City, Cumberland County, Danville City, Dinwiddie County, Emporia City, Essex County, Fluvanna County, Franklin City, Frederick County, Gloucester County, Goochland County, Greene County, Greensville County, Halifax County, Hampton City, Hanover County, Harrisonburg City, Henrico County, Hopewell City, Isle of Wight County, James City County, King and Queen County, King William County, Lancaster County, Louisa County, Lunenburg County, Madison County, Mathews County, Mecklenburg County, Middlesex County, Nelson County, New Kent County, Newport News City, Norfolk City, Northampton County, Northumberland County, Nottoway County, Orange County, Page County, Petersburg City, Pittsylvania County, Poquoson City, Portsmouth City, Powhatan County, Prince Edward County, Prince George County, Rappahannock County, Richmond City, Richmond County, Rockingham County, Shenandoah County, Southampton County, Staunton City, Suffolk City, Surry County, Sussex County, Virginia Beach City, Warren County, Waynesboro City, Westmoreland County, Williamsburg City, Winchester City, York County Hampton, Newport News, Poquoson, Southeastern portion of York County Chesapeake, Norfolk, Portsmouth, Virginia Beach

Number of Enrollees
520,773 54,101

VA VA

Mountain Empire Optima Family Care

PACE Commercial MCO

Risk-based Capitation Risk-based Capitation

PACE 1915(b)

48 130,954

VA VA

Riverside Peninsula Sentara Senior Community Care

PACE PACE

Risk-based Capitation Risk-based Capitation

PACE PACE

114 126

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 68

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Commercial MCO

State
VA

Plan
Southern Health CareNet

Reimbursement Arrangement
Risk-based Capitation

Operating Authority
1915(b)

Geographic Area Served
Albemarle County, Amelia County, Amherst County, Appomattox County, Augusta County, Buckingham County, Campbell County, Caroline County, Charles City County, Charlottesville, Chesterfield County, Colonial Heights City, Cumberland County, Dinwiddie County, Essex County, Fluvanna County, Goochland County, Greene County, Hanover County, Henrico County, Hopewell City, King and Queen County, King William County, Lancaster County, Louisa County, Lunenburg County, Lynchburg, Mathews County, Mecklenburg County, Middlesex County, Nelson County, New Kent County, Northumberland County, Nottoway County, Orange County, Petersburg City, Powhatan County, Prince George County, Richmond City, Richmond County, Staunton, Surry County, Sussex County, Waynesboro, Westmoreland County Accomack County, Albemarle County, Amelia County, Appomattox County, Augusta County, Bedford City, Bedford County, Botetourt County, Brunswick County, Buckingham County, Buena Vista City, Campbell County, Caroline County, Charles City County, Charlotte County, Charlottesville City, Chesapeake City, Chesterfield County, Clarke County, Colonial Heights City, Culpeper County, Cumberland County, Danville, Dinwiddie County, Emporia City, Floyd County, Fluvanna County, Franklin City, Franklin County, Frederick County, Fredericksburg City, Giles County, Goochland County, Greene County, Greensville County, Halifax County, Hampton City, Hanover County, Harrisonburg City, Henrico County, Henry County, Hopewell City, King George County, King William County, Lexington City, Louisa County, Lunenburg County, Lynchburg City, Madison County, Martinsville City, Mecklenburg County, Montgomery County, Nelson County, New Kent County, Newport News City, Norfolk City, Northampton County, Nottoway County, Orange County, Page County, Patrick County, Petersburg City, Pittsylvania County, Portsmouth City, Powhatan County, Prince Edward County, Prince George County, Pulaski County, Radford City, Rappahannock County, Richmond City, Roanoke City, Roanoke County, Rockbridge County, Rockingham County, Salem City, Shenandoah County, Southampton County, Spotsylvania County, Stafford County, Staunton City, Suffolk City, Surry County, Sussex County, Virginia Beach City, Warren County, Waynesboro City, Westmoreland County, Winchester City, Wythe County Statewide

Number of Enrollees
18,896

VA

Virginia Premier Health Plan

Medicaid MCO

Risk-based Capitation

1915(b)

128,905

VT

Global Committment to Health

Medicaid MCO

Risk-based Capitation

1115

137,385

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 69

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
PACE Commercial MCO Disease Management PAHP Commercial MCO Commercial MCO

State
VT WA WA

Plan
Vermont PACE Asuris Northwest Health City of Seattle Human Services

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

Operating Authority
PACE 1932(a) 1932(a)

Geographic Area Served
Chittereden, Dorset, Grand Isle, Manchester, Rupert, South Hero Spokane County King

Number of Enrollees
76 2,003 8,386

WA WA

Columbia United Providers Community Health Plan

1932(a) 1932(a)

Clark Adams, Benton, Chelan, Clark, Cowlitz, Douglas, Ferry, Franklin, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oriellle, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Yakima King, Kitsap, Pierce, Snohomish, Spokane, Thurston Clark, Cowlitz Adams, Asotin, Benton, Chelan, Clallam, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, King, Kitsap, Kittitas, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Orielle, Pierce, San Juan, Skagit, Snohomish, Spokane, Stevens, Thurston, Walla Walla, Whatcom, Whitman, Yakima Snohomish Statewide King Clallam, Grays Harbor, Island, Pacific, Pierce, San Juan, Skagit, Snohomish, Yakima Statewide

37,848 189,559

WA WA WA

Group Health Cooperative Kaiser Foundation Health Plan Molina Healthcare

Commercial MCO Commercial MCO Commercial MCO

Risk-based Capitation Risk-based Capitation Risk-based Capitation

1932(a) 1932(a) 1932(a)

20,656 876 291,562

WA WA WA WA WA

Molina Healthcare (WMIP) PCCM Tribal Clinics Providence ElderPlace - Seattle Regence Blue Shield Regional Support Network

Commercial MCO PCCM PACE Commercial MCO Mental Health PIHP

Risk-based Capitation Fee-For-Service Risk-based Capitation Risk-based Capitation Risk-based Capitation

1932(a) 1932(a) PACE 1932(a) 1915(b)

2,990 4,495 319 36,093 949,263

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 70

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Commercial MCO

State
WI

Plan
Abri Health Plan -- Medicaid HMO

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

Operating Authority
1932(a)

Geographic Area Served
Brown, Dodge, Jefferson, Kenosha, Kewaunee, Milwaukee, Outagamie, Ozaukee, Racine, Washington, Waukesha, Waupace, Winnebago Brown, Dodge, Jefferson, Kenosha, Kewaunee, Milwaukee, Outagamie, Ozaukee, Racine, Washington, Waukesha, Waupace, Winnebago Columbia, Dodge, Green Lake, Jefferson, Marquette, Washington, Waukesha, Waushara Dane County Columbia, Dane, Iowa, Kenosha, Milwaukee, Ozaukee, Racine, Walworth, Washington, Waukesha Chippewa, Dunn, Eau Claire, Pierce, St. Croix Milwaukee Marathon, Portage, Wood Milwaukee Calumet, Kenosha, Milwaukee, Ozaukee, Racine, Sheboygan, Walworth, Washington, Waukesha Chippewa, Dunn, Eau Claire Adams, Ashland, Barron, Bayfield, Buffalo, Burnett, Chippewa, Crawford, Douglas, Dunn, Eau Claire, Grant, Green, Jackson, Juneau, La Crosse, Marquette, Monroe, Pepin, Pierce, Polk, Richland, Rusk, Sauk, Sawyer, St. Croix, Trempealeau, Vernon, Washburn Dane Columbia, Dane, Dodge, Grant, Green, Jefferson, Kenosha, Milwaukee, Ozaukee, Racine, Rock, Sauk, Walworth, Waukesha

Number of Enrollees
14,403

WI

Abri Health Plan -- SSI

Commercial MCO

1932(a)

1,783

WI WI WI WI WI WI WI WI WI WI

Care Wisconsin First, Inc. Care Wisconsin Health Plan, Inc. (Partnership) Children's Community Health Plan Medicaid HMO CHP-LTS, Inc. Community Care Health Plan, Inc. Community Care of Central Wisconsin Community Care Organization (PACE) Community Care, Inc. Community Health Partnership -Partnership Compcare -- Medicaid HMO

Long Term Care PIHP Medicaid MCO Commercial MCO Long Term Care PIHP Commercial MCO Long Term Care PIHP PACE Long Term Care PIHP Commercial MCO Commercial MCO

1915(b)/(c) 1932(a)/1915(c) 1932(a) 1915(b)/(c) 1932(a)/1915(c) 1915(b)/(c) PACE 1915(b)/(c) 1932(a) 1932(a)

2,774 1,115 21,705 922 1,147 6,122 577 3,803 935 29,955

WI WI

Dane County Human Services Department -- CCF Dean Health Plan -- Medicaid HMO

MH/SUD PIHP Commercial MCO

Risk-based Capitation Risk-based Capitation

1915(a) 1932(a)

134 41,704

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 71

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Commercial MCO

State
WI

Plan
Group Health Cooperative Of Eau Claire -- Medicaid HMO

Reimbursement Arrangement
Risk-based Capitation

Operating Authority
1932(a)

Geographic Area Served
Ashland, Barron, Bayfield, Buffalo, Burnett, Chippewa, Clark, Columbia, Crawford, Douglas, Dunn, Eau Claire, Grant, Green, Iowa, Jackson, Juneau, Lafayette, Lincoln, Marathon, Pepin, Pierce, Polk, Price, Rusk, Sauk, Sawyer, St. Croix, Taylor, Trempealeau, Washburn Buffalo, Jackson, La Crosse, Monroe, Trempealeau, Vernon Dane, Monroe, Vernon Buffalo, Crawford, Grant, Jackson, Juneau, La Crosse, Monroe, Trempealeau, Vernon Buffalo, Crawford, Grant, La Crosse, Monroe, Trempealeau, Vernon Kenosha, Milwaukee, Ozaukee, Racine, Sheboygan, Washington, Waukesha Kenosha, Milwaukee, Ozaukee, Racine, Sheboygan, Washington, Waukesha Fond du Lac Brown, Calumet, Clark, Dodge, Fond du lac, Green Lake, Jefferson, Kenosha, Langlade, Manitowoc, Marathon, Marquette, Menominee, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Portage, Racine, Rock, Shawano, Sheboygan, Taylor, Vilas, Walworth, Washington, Waukesha, Waupaca, Waushara, Winnebago, Wood Kensosha, Milwaukee, Racine, Waukesha Dane, Green, Jefferson, Rock, Walworth Milwaukee Milwaukee

Number of Enrollees
30,529

WI WI WI WI WI WI WI WI

Group Health Cooperative of Eau Claire County SSI Group Health Cooperative Of South Central WI -- Medicaid HMO Gundersen Lutheran Health Plan Medicaid HMO Health Tradition Health Plan -- Medicaid HMO Independent Care (iCare) - Medicaid HMO Independent Care Health Plan -- SSI Lakeland Care District Managed Health Services -- Medicaid HMO

Commercial MCO Commercial MCO Commercial MCO Commercial MCO Medicaid MCO Medicaid MCO Long Term Care PIHP Medicaid MCO

Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

1932(a) 1932(a) 1932(a) 1932(a) 1932(a) 1932(a) 1915(b)/(c) 1932(a)

760 3,867 13,317 8,069 5,200 8,372 1,040 76,347

WI WI WI WI

Managed Health Services -- SSI MercyCare Insurance Company -Medicaid HMO Milwaukee County Department on Aging Milwaukee County Human Services Department -- Wraparound Milwaukee

Medicaid MCO Commercial MCO Long Term Care PIHP MH/SUD PIHP

Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

1932(a) 1932(a) 1915(b)/(c) 1915(a)

4,751 13,309 6,796 771

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 72

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Commercial MCO

State
WI

Plan
Network Health Plan -- Medicaid HMO

Reimbursement Arrangement
Risk-based Capitation

Operating Authority
1932(a)

Geographic Area Served
Brown, Calumet, Clark, Dodge, Fond du lac, Forest, Green Lake, Jefferson, Kenosha, Langlade, Lincoln, Manitowoc, Marathon, Marquette, Menominee, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Portage, Racine, Rock, Shawano, Sheboygan, Taylor, Vilas, Walworth, Washington, Waukesha, Waupaca, Waushara, Winnebago, Wood Kenosha, Milwaukee, Racine, Waukesha Ashland, Barron, Bayfield, Burnett, Douglas, Iron, Polk, Price, Rusk, Sawyer, Washburn Chippewa, Dunn, Eau Claire Dane Adams, Ashland, Barron, Chippewa, Clark, Eau Claire, Forest, Iron, Jackson, Juneau, Langlade, Lincoln, Marathon, Oneida, Polk, Portage, Price, Rusk, Sawyer, Shawano, Taylor, Vilas, Washburn, Waupaca, Wood Crawford, Green, Juneau, Lafayette, Richland, Sauk Ashland, Bayfield, Brown, Burnett, Calumet, Dodge, Douglas, Fond du Lac, Green Lake, Jefferson, Kenosha, Kewaunee, Langlade, Manitowoc, Marathon, Marquette, Menominee, Milwaukee, Oconto, Outagamie, Ozaukee, Polk, Portage, Racine, Rock, Shawano, Sheboygan, Walworth, Washburn, Washington, Waukesha, Waupaca, Waushara, Winnebago, Wood Ashland, Bayfield, Brown, Burnett, Calumet, Dodge, Douglas, Fond du lac, Green Lake, Jefferson, Kenosha, Kewaunee, Langlade, Manitowoc, Marathon, Marquette, Menominee, Milwaukee, Oconto, Outagamie, Ozaukee, Polk, Portage, Racine, Rock, Shawano, Sheboygan, Taylor, Walworth, Washburn, Washington, Waukesha, Waupace, Waushara, Winnebago, Wood Columbia, Dane, Dodge, Green, Jefferson, Sauk Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon

Number of Enrollees
47,302

WI WI WI WI WI

Network Health Plan - SSI Northern Bridges Partnership Health Plan, Inc. Physicians Plus Health Plan - Medicaid HMO Security Health Plan -- Medicaid HMO

Commercial MCO Long Term Care PIHP Commercial MCO Commercial MCO Commercial MCO

Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation Risk-based Capitation

1932(a) 1915(b)/(c) 1932(a)/1915(c) 1932(a) 1932(a)

2,657 870 1,884 4,573 40,823

WI WI

Southwest Family Care Alliance UnitedHealthcare of WI -- Medicaid HMO

Long Term Care PIHP Commercial MCO

Risk-based Capitation Risk-based Capitation

1915(b)/(c) 1932(a)

917 187,573

WI

UnitedHealthcare of WI -- SSI

Commercial MCO

Risk-based Capitation

1932(a)

7,346

WI WI

Unity Health Insurance -- Medicaid HMO Western Wisconsin Cares

Commercial MCO Long Term Care PIHP

Risk-based Capitation Risk-based Capitation

1932(a) 1915(b)/(c)

11,130 3,067

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 73

Medicaid Managed Care Program Summary
June 30, 2009 Managed Care Entity
Commercial MCO

State
WV

Plan
Carelink Health Plan

Reimbursement Arrangement
Risk-based Capitation Risk-based Capitation

Operating Authority
1915(b), 1937

Geographic Area Served
Boone, Brooke, Clay, Fayette, Hancock, Jackson, Kanawha, Lincoln, Logan, Marshall, Mingo, Nicholas, Ohio, Pleasants, Putnam, Raleigh, Tyler, Webster, Wetzel, Wirt, Wood Barbour, Brooke, Doddridge, Gilmer, Hancock, Harrison, Lewis, Marion, Marshall, Monongalia, Ohio, Pleasants, Preston, Randolph, Ritchie, Taylor, Tucker, Tyler, Upshur, Wetzel, Wirt, Wood Statewide Barbour, Berkeley, Boone, Braxton, Calhoun, Clay, Doddridge, Fayette, Gilmer, Greenbrier, Hampshire, Harrison, Jackson, Jefferson, Kanawha, Lewis, Lincoln, Logan, Marion, Marshall, McDowell, Mercer, Mineral, Mingo, Monongalia, Monroe, Morgan, Nicholas, Ohio, Pleasants, Pocahontas, Preston, Putnam, Raleigh, Randolph, Ritchie, Roane, Summers, Taylor, Tucker, Tyler, Upshur, Webster, Wetzel, Wirt, Wood, Wyoming

Number of Enrollees
45,168

WV

Health Plan of the Upper Ohio Valley

Commercial MCO

1915(b), 1937

29,142

WV WV

Physician Assured Access System Unicare Health Plan of WV

PCCM Commercial MCO

Fee-For-Service Risk-based Capitation

1915(b) 1915(b), 1937

14,747 75,384

TOTAL NUMBER OF ENROLLEES:

50,224,705

Blank or 0 "Number of Enrollees" indicates Plan had not been implemented as of 6/30/2009 * Indicates the structure of the Managed Care Entity is "Other" and not considered a PCCM, MCO, HIO, PIHP, PAHP or PACE

Page 74

Sign up to vote on this title
UsefulNot useful