mh participating provider plan list 3-2-16

7/25/2019 MH Participating Provider Plan List 3-2-16

1/13

The Millennium Health logo is a service mark or registered service mark of Millennium Health, LLC or its subsidiaries in the United States and other countries.

Page 1 of 13

2016Millennium Health, LLC 03/2016

PARTICIPATING PROVIDER PLAN LIST

CURRENT AS OF 3.2.16 SUBJECT TO CHANGE AT ANYTIME

Plan Name State s) Covered

Account

Director

Type of Coverage Effective Date

BCBS/Anthem Plans:

BCBS of Arizona ArizonaAndrew

MarbachCommercial PPO April 2012

BCBS of Arkansas Arkansas Stacie Potter Non-preferred Contract August 2012

Anthem Blue Cross of California CaliforniaAndrew

MarbachPPO/ POS Medicare/ WC August 2010

Blue Shield of California CaliforniaAndrew

Marbach

PPO, Medi-Cal Managed

MedicaidMay 2008

Anthem BCBS CT, NH, ME Connecticut,New Hampshire, Maine

Susan Campbell All except CT HMO October 2011

BCBS of Georgia Georgia Chris Canter PPO May 2010

BCBS of Hawaii (HMSA) HawaiiAndrew

Marbach

Commercial PPO, Medicare,

Quest MedicaidApril 2012

BCBS of Illinois Illinois Stacie Potter Commercial PPO March 2012

Anthem BCBS of Indiana Indiana Stacie PotterCommercial, HMO, Managed

MedicaidJuly 2013

BCBS of Kansas City Missouri, Kansas

Michael

NeSmith Commercial PPO October 2012

Anthem BCBS of Kentucky Kentucky Stacie PotterCommercial, HMO, Medicare,

MedicaidJuly 2013

BCBS of Massachusetts Massachusetts Susan Campbell Commercial, HMO, MedicareSeptember

2015

BCBS of Michigan Michigan Susan Campbell Commercial May 2013

BCBS of Minnesota Minnesota Carla Bischoff All June 2012

Anthem BCBS of Missouri Missouri Stacie Potter Commercial, HMO, Medicare July 2013


2/13


Page 2 of 13

2016 Millennium Health, LLC 03/2016



Plan Name State s) Covered

Account

Director

Type of Coverage Effective Date

BCBS of Montana Montana Carla Bischoff

HMO, Commercial, Medicare

and Healthy Kids Managed

Medicaid

1/1/2014

BCBS of Nebraska Nebraska Carla Bischoff All October 2012

Anthem BCBS of Ohio Ohio Susan Campbell Commercial, HMO, Medicare July 2013

Highmark BCBS of Pennsylvania Pittsburgh, PA Susan Campbell Commercial, HMO, Medicare August 2010

BCBS SC (Avalon Healthcare

Solutions South Carolina Chris Canter Commercial, HMO, Medicare November 2015

BCBS of Tennessee Tennessee Stacie Potter Commercial and Medicare March 2013

BCBS of Texas Texas Carla Bischoff Commercial PPO May 2012

BCBS of Vermont Vermont Susan Campbell Commercial April 15, 2012

Anthem BCBS of Virginia Virginia Chris Canter Commercial July 2013

Anthem BCBS of Wisconsin Wisconsin Stacie PotterCommercial, HMO, Medicare,

MedicaidJuly 2013

Highmark BCBS of West Virginia West Virginia Susan Campbell PPO/ HMO/ Medicare August 2010

Carefirst BCBS Virginia, Maryland Susan Campbell PPO December 2011

Capital Blue Cross Pennsylvania Susan Campbell Commercial/Medicare October 2012

Wellmark BCBS IA/SD Iowa, South Dakota Carla Bischoff All October 2011


3/13


Page 3 of 13




4 Most West Virginia (Kentucky, Virginia and Pennsylvania)

Chris

Canter

PPO and Workers

Comp April 2012

AIG (PMSI) NationalChris

CanterWC March 2013

Ancillary Care

ServiceNational

Chris

CanterPPO and WC July 2011

Alamed AlabamaChris

Canter

PPO/ Workers

CompDecember 2010

Americas

Choice Provider

Network

NationalAndrew

MarbachPPO Network 2014

Arbor HealthPlan

NebraskaCarlaBischoff

Managed MedicaidSeptember2012

University of

Arizona

HealthPlan

ArizonaAndrew

Marbach

Commercial,

Managed Medicaid,

Medicare

Advantage

October 2014

AvMed FloridaChris

Canter

Commercial,

MedicareJuly 2013

Amerigroup

Washington, Nevada, New Mexico, Texas, Louisiana, Kansas,

New York, Florida, Georgia, Maryland, New Jersey, Tennessee,

Iowa

Chris

Canter

Medicaid HMO,

HMO

February 2014

Amerihealth of

New JerseyNew Jersey

Susan

CampbellPPO Only February 2013

Beech Street

(Multiplan)All

Carla

BischoffPPO Network November 2009

Broadspire WC NationalChris

CanterWC March 2014

CenCal CaliforniaAndrew

MarbachManaged Medicaid January 2008


4/13


Page 4 of 13




CIGNA National

Andrew

Marbach All Lines June 1, 2014

Cofinity (Auto) MultipleChris

CanterNetwork only November 2010

Connecticare ConnecticutSusan

Campbell

Commercial/

MedicareJuly 2011

CorVel

(CorCare)National

Chris

CanterWorkers Comp July 2012

Colorado

AccessColorado

Carla

Bischoff

Managed Medicaid,

Managed

Medicare, CHIP

August 1, 2012

CommunityPartners Health

Plan

IllinoisStacie

PotterPPO Network August 2012

Coventry CaliforniaAndrew

Marbach

HMO/ PPO/

Workers CompAugust 2010

Coventry KentuckyStacie

PotterManaged Medicaid November 2011

Coventry LouisianaMiranda

TostiHMO/PPO/WC August 2010

Coventry Nebraska

Carla

Bischoff Managed Medicaid

September

2012Coventry (First

Health)Oklahoma

Stacie

PotterHMO/POC/PPO/WC July 2014

Coventry TennesseeStacie

PotterHMO/PPO/WC August 2012

Coventry TexasMiranda

TostiWorkers Comp January 2011

Devon Health

ServicesOhio, New York

Susan

CampbellPPO October 2009


5/13


Page 5 of 13




EBS-RMSCO New York, Connecticut, New Jersey

Susan

Campbell PPO Network August 2010The Empire

PlanNew York

Susan

CampbellPPO February 2011

Evolutions

Health SystemNational

Chris

CanterPPO/ HMO/ WC

September

2011

Fidelis MichiganSusan

Campbell

Medicare

AdvantageJuly 2014

Fidelis New YorkSusan

CampbellManaged Medicaid March 2012

First Choice

Health PPO/Pacific NW

Washington CarlaBischoff Commercial PPO February 2012

Fortified

Provider

Network/Health

Systems

International

NationalAndrew

MarbachPPO Network 2014

Gallagher-

Bassett- Kenan

Advantage

Group clientonly

Select markets from clientChris

CanterWorkers Comp July 2013

Geisinger

Health PlanNortheast

Susan

CampbellHMO/POC/PPO/WC June 2014

GemCare

Managed Care

System

CaliforniaAndrew

MarbachPPO & IPA January 2013

Gold Coast

Health Ventura

County

CaliforniaAndrew

MarbachManaged Medicaid

February 3,

2012


6/13


Page 6 of 13




Golden Empire

Managed Care California

Andrew

Marbach

Medical Group &

IPA January 2013

Group Health

CooperativeWashington

Carla

Bischoff

PPO, HMO,

Medicare

Advantage

January 1, 2014

Health Alliance

Plan (MI)Michigan

Susan

Campbell

Commercial PPO

OnlyJune 2013

The Health Plan

of OhioOhio, West Virginia

Susan

CampbellPPO/ HMO/ WC

September

2011

Healthlink Arkansas, Illinois, Indiana, Kentucky, Missouri, OhioStacie

PotterHMO/ PPO/WC March 2011

Health NetArizona

Arizona AndrewMarbach

Commercial PPO March 2012

Health Net

OregonOregon

Carla

BischoffCommercial PPO February 2012

Health Plan

PlusMichigan

Susan

CampbellPPO April 2015

HealthSpring TN, TX, Al, GA, NC, SC, WVAndrew

MarbachMedicare

February/August

2013

HFA

Illinois, NW Indiana, Wisconsin, St. Louis and the Quad Cities

(Moline and Rock Island IL and Davenport and Bettendorf IA)

Chris

Canter

PPO Network,

Group Health,

Workers Comp andAuto

June 2012

Hometown

Health RenoNevada

Andrew

MarbachHMO/ PPO October 2011

Hudson Health

PlanNew York

Susan

CampbellManaged Medicaid July 2012

Humana

(Veterans)National

Andrew

MarbachPPO

September

2011

Kaiser Colorado ColoradoAndrew

MarbachAll


7/13


Page 7 of 13




Kaiser

Southern CA National

Andrew

Marbach All August 2012Kaiser North

WestSouthern CA

Andrew

MarbachHMO July 2012

HealthSpan

(Kaiser

Permanente

OH)

North WestAndrew

Marbach

Commercial PPO,

Managed Medicaid,

Medicare

January 1, 2014

AK Native

Health

Alaska Native Health Anchorage

Tanana Cheifs Conference Faribanks

Reno-Sparks Indian Health Services, Samuel Simmons Barrow

Andrew

Marbach

Native American

HealthQ1 2015

IndianaUniversity

Health Plan

IndianaStacie

Potter

Commercial,

Medicaid, MedicareOctober 1, 2014

Kern Health

SystemOhio

Susan

CampbellHMO/PPO October 2012

Keystone

Healthplan

Central

PennsylvaniaSusan

CampbellHMO October 2012

Love

Rehabilitation

Hospital

New MexicoAndrew

MarbachPPO

November 11,

2014

MagnaCare New YorkSusan

CampbellPPO August 2010

MD Wise

(Hoosier

Alliance)

IndianaStacie

PotterManaged Medicaid August 2012

Mercy Care ArizonaAndrew

MarbachManaged Medicaid June 2012


8/13


Page 8 of 13




Meridian

Health Plan ofMichigan

Michigan StaciePotter ManagedMedicaid/Medicare April 2012

Meridian

Health Plan of

Illinois

IllinoisStacie

PotterManaged Medicaid July 2012

Meridian

Health Plan of

Iowa

IowaStacie

PotterManaged Medicaid July 2012

Meridian

Health Plan of

New Hampshire

New HampshireSusan

Campbell

Managed Medicaid December 2012

Medical Mutual

(Medical

Mutual of Ohio,

Consumer Life

Insurance Co

subsidiary,

Carolina Care)

Ohio

Indiana, Georgia, Pennsylvania, Michigan, West Virginia, and

Wisconsin

South Carolina

Chris

Canter

Commercial PPO,

HMO, PPO Network,

WC

April 2012

Maryland

Physicians CareMaryland

Susan

CampbellManaged Medicaid November 2012

Midlands

Choice

Nebraska, Iowa and South Dakota, as well as portions ofColorado, Wyoming, Kansas, Missouri, Illinois, Wisconsin and

Minnesota.

Carla

BischoffPPO Network

September

2012

Modern

MedicalNational

Chris

CanterWorkers Comp August 2012

Molina OhioSusan

Campbell

Meciaid/Medicare

AdvFebruary 2015

Molina South CarolinaChris

CanterMedicaid

September

2015


9/13


Page 9 of 13




Molina Washington

Carla

Bischoff Managed Medicaid

September

2010Mountain State

Insurance

Group

New MexicoChris

CanterWorkers Comp

November 11,

2014

National Care

NetworkNational

Chris

CanterWorkers Comp August 2010

Neighborhood

Health of RIRhode Island

Susan

CampbellAll Lines April 2014

New Mexico

MutualNew Mexico

Chris

CanterWorkers Comp February 2014

NovaNet National ChrisCanter

PPO Network April 2012

Ohio Health

ChoiceOhio

Stacie

PotterPPO Network April 2012

Pacific Source OregonCarla

Bischoff

PPO, POS, HMO,

Medicare Adv

November 1,

2013

Palmetto GBA CaliforniaAndrew

MarbachMedicare February 2008

Passport Health KentuckyStacie

PotterMedicaid February 2013

PhysiciansHealth Plan of

IN

IndianaStacie

PotterCommercial PPO

September

2012

Plan Vista

SolutionsNational

Chris

CanterPPO February 2010

PreferredOne MinnesotaCarla

Bischoff

Commercial HMO

and PPONovember 2012

Prime Health

ServicesNational

Chris

Canter

PPO/ Workers

CompApril 2010


10/13


Page 10 of 13




ProvidenceHealth Care Oregon CarlaBischoff

Commercial PPO,

Managed Medicaid,Medicare

January 1, 2014

Qual Choice ArkansasStacie

Potter

Commercial, PPO,

HMOApril 1, 2013

Quartz TPA WisconsinStacie

PotterCommercial January 2015

Rocky

Mountain

Health Plan

(includes PGT

and UDT, PArequired for

unlisted codes

only)

ColoradoCarla

BischoffPPO & HMO March 2015

Sagamore

Health NetworkIndiana, Illinois

Stacie

PotterPPO Network June 2012

Select

Administrative

Services (SAS)

Mississippi, Alabama, FloridaChris

CanterTPA July 2014

Select Health ofUtha

Utah AndrewMarbach

Commercial,

MedicareAdvantage,

Medicaid

July 2015

SilverCross

HMO (HMOI)Illinois

Stacie

PotterHMO- IPA

September

2012

Southeastern

Indiana Health

Organization

(SIHO)

Indiana and KentuckyStacie

Potter

Commercial PPO

and HMOApril 2012


11/13


Page 11 of 13




St. Marys HMO Nevada

Andrew

Marbach HMO & PPO January 2013State of

Washington

Dept. of Labor

and Industries

WashingtonChris

CanterWorkers Comp June 2010

Sutter Solano

Medical GroupNorthern California

Andrew

Marbach

Commercial,

Medicaid, MedicareQ4 2014

Sutter Health

(Central)California

Andrew

Marbach

Medical Group &

IPAAugust 2010

Sutter Gould

Medical Groupand IPA

California AndrewMarbach Medical Group &IPA November 2012

Three Rivers

NetworkNational

Andrew

Marbach

Workers Comp/

Auto/ PPO/ HMO/

PIP

August 2009

Travelers NationalChris

CanterWorkers Comp October 2015

TriCare North/

Health Net

Federal

Services

Connecticut, Maryland, Ohio, Delaware, Massachusetts,

Pennsylvania, District of Columbia, Michigan, Rhode

Island, Illinois, Missouri (St. Louis Area), Indiana, New

Hampshire, Vermont, Iowa (Rock Island area), New Jersey,Virginia, Kentucky (except Ft Campbell), New York, West Virginia,

Maine, North Carolina and Wisconsin

Andrew

Marbach

Benefit for Military

families and retiredmilitary

July 2011


12/13


Page 12 of 13




TriCare West-

TriCare/UHC

Alaska, Arizona, California, Colorado, Hawaii, Idaho, Iowa

(excluding Rock Island Arsenal area), Kansas, Minnesota,

Missouri (except the St. Louis area), Montana, Nebraska,

Nevada, New Mexico, North Dakota, Oregon, South Dakota,

Texas (the southwestern corner, including El Paso), Utah,

Washington and Wyoming.

Andrew

Marbach


families and retired

militaryApril 1, 2013

TriCare South -

Humana

Texas, Oklahoma, Louisiana, Arkansas, Tennessee,

Mississippi, Alabama, Georgia, Florida, South Carolina

Andrew

Marbach


families and retired

military

April 2013

Tri-West VA PC3 CaliforniaAndrew

Marbach

Access to Veterans

outside of Virginia

Tuffs Health Plan MassachusettsSusan

CampbellCommercial/ Medicare

June

2012

Unicare of WV West VirginiaStacie

PotterManaged Medicaid 1/1/2014

United Healthcare NationalAndrew

MarbachPPO/ Non-Capitated

February

2011

United Community

& State New York, Connecticut, New Jersey, Ohio, MSAndrew

Marbach Managed MedicaidFebruary

2011

United Mine

Workers of

America- Retired

mine workers only

NationalChris

CanterRetired Mine Workers

October

2012

Unity Health Plans WisconsinStacie

Potter

Commercial, Medicaid,

Medicare

August 1,

2014

Universal Care/

Brand New DayCalifornia

Andrew

MarbachMental Health Services

February

2012


13/13


Page 13 of 13




University of

Arizona HealthPlans

Arizona AndrewMarbach Medicaid, Commercial,Medicare Advantage 2014

The Vermont

Health PlanVermont

Susan

CampbellCommercial/ Medicaid

April

2012

WellCareGA, HI, IL, KY, NY, OH , Harmony Health, Mosouri Care, Ohana

Medicaid

Chris

CanterMedicare and Medicaid

February

2013

Well Path North CarolinaChris

Canter

Advantra, Select, Select

Plus, Direct, Connect,

Health Plus, Coventry One

May 2011

Windsor Health

Plan (WellCare)Alabama, Mississippi, Tennessee

Chris

CanterMedicare

December

2010

mh participating provider plan list 3-2-16

Documents