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The AmeriHealth Caritas Family of Companies

Medicaid Managed Care (MCO)

As the Medicaid managed care leader, AmeriHealth Caritas provides responsible managed care solutions for underserved populations. These include Medicaid, Medicare, and CHIP—plus pharmacy benefits management, behavioral health, and administrative services. Working together with states, health plans, and advocates, we can save lives and reduce costs.

AmeriHealth Caritas Pennsylvania

AmeriHealth Caritas Pennsylvania

Providing services in Pennsylvania since 1996

Achievements

  • AmeriHealth Caritas Pennsylvania is ranked No. 33 out of 227 Medicaid plans in NCQA's Medicaid Health Plan Rankings 2012-2013.
  • Over 83% of pregnant members receive 81% or more of their recommended prenatal visits, a rate that is in the 90th percentile for Medicaid plans, nationally
  • Reduced inpatient admissions by more than 5% between 2010 and 2011 with its integrated care management program

http://www.amerihealthcaritaspa.com
Member Services: 1-888-991-7200 | Provider Services: 1-800-521-6007

AmeriHealth Caritas Louisiana

AmeriHealth Caritas Louisiana

Providing services in Louisiana since 2012

Regional President, Southern Division: Michael Jernigan

Achievements

  • Selected from 11 other bidders to help the state implement a Medicaid managed care system by 2012
  • Brought over 100 jobs to Louisiana

http://www.amerihealthcaritasla.com/
Member Services: 1-888-756-0004 | Provider Network Management Team: 1-877-588-2248

AmeriHealth District of Columbia

AmeriHealth District of Columbia

Providing services in Washington D.C. since 2013

http://www.amerihealthdc.com
Medicaid Member Services: 202-408-4720 or 1-800-408-7511
Alliance Member Services: 202-842-2810 or 1-866-842-2810
Provider Services: 202-408-2237 or 1-888-656-2383

AmeriHealth Northeast

AmeriHealth Northeast

Providing services in Pennsylvania since 2012

http://www.amerihealthnortheast.com
Member Services: 1-855-809-9200
Provider Services: 1-888-208-7370

Arbor Health Plan

Arbor Health Plan

Providing services in Nebraska since 2012

Achievements

  • Partnership with Blue Cross Blue Shield of Nebraska
  • Will bring more than 25 jobs to Nebraska

http://www.arborhealthplan.com
Member Services: 1-866-935-6760 | Provider Services: 1-866-423-2337

Keystone First

Keystone First

Providing services in Pennsylvania since 1996

Achievements

  • Keystone First is ranked No. 22 out of 227 Medicaid plans in NCQA's Medicaid Health Plan Rankings 2012-2013.
  • Achieved NCQA's Credentials Verification Organization (CVO) certification
  • Reduced inpatient admissions by more than 6% between 2010 and 2011 with its integrated care management program

http://www.keystonefirstpa.com
Member Services: 1-800-521-6860 | Provider Services: 1-800-521-6007

MDwise Hoosier Alliance

MDwise Hoosier Alliance

Providing services in Indiana since 2007

Achievements

  • Recognized as the top Indiana Medicaid health plan for the second year in a row
  • Reduced length of stay in Neonatal Intensive Care Units by 33%
  • Increased complex case management engagement rate by 20%

http://www.hoosieralliance.org/
MDwise Customer Service: 1-800-356-1204 or 1-317-630-2831
Provider Representative: 1-888-961-3100

Select Health of South Carolina - First Choice

Select Health of South Carolina, Inc.

Providing services in South Carolina since 1996

Regional President, Southern Division: Michael Jernigan

Achievements

  • The highest nationally ranked (#46) South Carolina Medicaid health plan, according to NCQA's Medicaid Health Insurance Plan Rankings for 2011-2012
  • Increased well care visits for ages 3-6 and adolescents, and breast cancer screening, by 5% for its predominantly female and pediatric populations
  • Reduced inpatient admissions by more than 10% between 2010 and 2011 through its outreach programs

http://www.selecthealthofsc.com
Member Services: 1-888-276-2020 | Provider Services: 1-800-741-6605

TrueBlue

TrueBlue

Providing services in Florida since 2013

President, Florida Region: Dwight Chenette

Achievements

  • Partnership with Blue Cross Blue Shield of Florida
  • Will bring over 35 jobs to Florida in the first year with major expansion over the next four years

http://www.fltrueblue.com
Member Services: 1-866-423-1444 | Provider Services: 1-888-358-0904

Medicare Advantage HMO Special Needs Plans (SNP)

Through our distinctive Medicare Advantage HMO Special Needs Plans (SNP) for dual-eligible beneficiaries, AmeriHealth Caritas has developed proven, established care management, preventive services, and other programs that effectively coordinate care for the aged, blind, and disabled. We also provide supplemental benefits to original Medicare services.

AmeriHealth VIP Care

AmeriHealth VIP Care

Providing services in Pennsylvania beginning in 2013

President, Medicare Special Needs Plans: John Baackes

http://www.amerihealthvipcare.com
Member Services: 1-866-533-5490
Provider Services: 1-800-521-6007

AmeriHealth VIP District of Columbia

AmeriHealth VIP DC

Providing services beginning in 2014

President, Medicare Special Needs Plans: John Baackes

http://www.amerihealthvipdc.com

Members
AmeriHealth VIP Care (HMO SNP) member services:
1-888-996-0799 (TDD/TTY:1- 866-428-7583)
AmeriHealth VIP Select (HMO) member services:
1-888-996-0899 (TDD/TTY:1- 866-428-7583)

Providers
AmeriHealth VIP Care (HMO SNP) provider services:
1-888-996-0799
AmeriHealth VIP Select (HMO) provider services:
1-888-996-0899

AmeriHealth VIP Louisiana

AmeriHealth VIP LA

Providing services beginning in 2014

President, Medicare Special Needs Plans: John Baackes

http://www.amerihealthvipla.com

Members
AmeriHealth VIP Care (HMO SNP) member services:
1-888-247-0373 (TDD/TTY:1- 866-428-7583)
AmeriHealth VIP Select (HMO) member services:
1-888-247-0391 (TDD/TTY:1- 866-428-7583)

Providers
AmeriHealth VIP Care (HMO SNP) provider services:
1-888-247-0373
AmeriHealth VIP Select (HMO) provider services:
1-888-247-0391

Keystone VIP Choice

Keystone VIP Choice

Providing services in Pennsylvania beginning in 2013

President, Medicare Special Needs Plans: John Baackes

http://www.keystonevipchoice.com
Member Services: 1-800-450-1166
Provider Services: 1-800-521-6007

First Choice VIP Care

First Choice VIP Care

Providing services in South Carolina beginning in 2013

President, Medicare Special Needs Plans: John Baackes

http://www.firstchoicevipcare.com
Member Services: 1-866-654-3705
Provider Services: 1-800-575-0418

Behavioral Health Managed Care

PerformCare® is a full-service behavioral health managed care company supporting millions of members in the public and private sectors. Our mission is to provide the highest quality behavioral health solutions to our members, their families, and our community.

PerformCare

PerformCare

Providing services since 2009

President: Michael Golinkoff, PhD, MBA

http://www.performcare.org
Contact: 717-671-6500 or 1-888-700-7370

Pharmacy Benefits Management (PBM)

PerformRx provides innovative, cost-effective pharmacy benefit management services for Medicaid, Medicare, and commercial health plans. Through a distinctive high-touch approach, we partner with health plans to improve patient outcomes and financial performance.

PerformRx

PerformRx

Providing services since 2008

President, PerformRx: Mesfin Tegenu

http://www.performrx.com
Contact:
1-866-533-5492

Care Management

At AmeriHealth Caritas, we work to address care gaps and foster health equity with a proven Integrated Care Management (ICM) model. This model incorporates a member-based decision support system that drives both communication and care-plan development through a multidisciplinary management approach.

PerforMED®

PerforMED

The PerforMED® care management model incorporates the best practices in intensive case management, disease management, and care coordination. This holistic approach allows us to maximize the care for our Medicaid members.

http://www.performedhealth.com
Contact:
215-937-8431

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