disclosures concerning ownership and control page 1

Disclosures Concerning Ownership and Control Information and Business Transactions

According to 42 CFR Part 455, Subpart B

The Medicaid agency must obtain disclosures from disclosing entities, fiscal agents and managed care entities (MCOs, PIHPs, PAHPs, and HIOs), except PCCMs are required to disclose upon Medicaid agency request. The report shall be submitted in the format specified by the state agency in the “Ownership or Controlling Interest Disclosure” and “Transaction Disclosure”.

The MCOs shall update ownership and financial disclosures information on an annual basis, per Missouri Managed Care Contract Section 2.21.5. This report shall include full and complete information regarding ownership, financial transactions, and persons as described herein.

Missouri Managed Care Organization Ownership and Controlling Interest and Transaction Disclosure

Disclosures Concerning Ownership and Control Information and Business Transactions According to 42 CFR Part 455, Subpart B

Health Plan: UnitedHealthcare

Ownership Controlling Interest Name UnitedHealthcare, Inc.

Title Owner

Subcontractors Childrens Mercy Hospital Skygen Dental March Vision Medical Transportation Management


Health Plan: Healthy Blue

Ownership Controlling Interest Name Anthem, Inc. Advantage Dental Service, LLC Alaina Macia Angela Simpson ATH Holding Company, LLC Benjamin Woodruff BlackRock, Inc. Brett A. Bostrack Brian Balogh Catalyst Institute, Inc. California Spring Holdings, PC CCP II I AIV IV, L.P. CCP III Cayman GP, Ltd. Centerbridge Associates III, L.P. Community Care of Kentucky, Inc. Community Psychiatry Management, LLC* CP Monarch GP, LLC CP Monarch, L.P. David Abelman Dental Health Programs, Inc. D/B/A Community Dental Care DentaQuest Group, Inc. DentaQuest IPA of New York, LLC DentaQuest of Arizona, LLC DentaQuest of Florida, Inc. DentaQuest of Georgia, LLC DentaQuest of Illinois, LLC DentaQuest of Iowa, LLC DentaQuest of Kentucky, LLC DentaQuest of Maryland, LLC DentaQuest of Minnesota, LLC


Title Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner



Ownership Controlling Interest Name DentaQuest of New Jersey, LLC DentaQuest of New Mexico, LLC DentaQuest of New York, LLC DentaQuest of Tennessee, LLC DentaQuest USA Insurance Company, Inc. DentaQuest, LLC Derek Morrison DSM USA Insurance Company, Inc. Frank Scalise Gail Griswold Help at Home, LLC* Jason Morrison Jillian Heneghan John Ryan Judy Fujimoro, M.D. Katherine Lemley Kerri Mileski Michele Blackwell Michele Lucas Missouri Care, Inc. Natasha Boekholt Oregon Community Dental Care Rick Holbrook Robert Lynn Sarrell Regional Dental Center for Public Health, Inc. The MENTOR Network (fka Civitas Solutions, Inc.)* The Vanguard Group, Inc. T. Rowe Price Associates, Inc. Timothy Kessler Versant Health, Inc.*


Title Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner Owner




Ownership Controlling Interest Name Akhil Sharma Angela Kish Jeff Davis Robert Stefanic Roxanne Martinez Steven Pollock

Title Managing Employee Managing Employee Managing Employee Managing Employee Managing Employee Managing Employee

Subcontractors DentaQuest, LLC. March Vision Care, Inc. owned by March Holdings, Inc.


Health Plan: Home State Health

Ownership Controlling Interest Name Centene Corporation Missouri Community Health Access, LLC Healthy Missouri Holdings, Inc. Home State Health Plan, Inc. Shannon Bagley Jeffrey Stevens Adam Loomans Tricia Dinkelman Ryan Litteken Nathan Landsbaum Anna Dmuchovsky Roy Williams Ronald Battelle Alan Freeman Mark Steele Leslie Fields David L Brax Dennis Pryor Paul Thomlinson Charles McGinty Matthew Stinson Katherine Scolari Childress Nelson Perez Cynthia Dean



Title Owner Owner Owner Owner Managing Employees Managing Employees Managing Employees Managing Employees Managing Employees Managing Employees Managing Employees Managing Employees Managing Employees Managing Employees Managing Employees Managing Employees Managing Employees Managing Employees Managing Employees Managing Employees Managing Employees Managing Employees Managing Employees Managing Employees

Subcontractors Subcontractors Subcontractors

180 MEDICAL INC 32ND STREET SURGERY CENT ADVANCED RADIOLOGY CONSU 1ST CARE HOME HEALTH LLC A LOUIS OJASCASTO MD ADVANCED RESPIRATORY 1ST CHOICE HEALTHCARE LL ABBOTT AMBULANCE INC ADVANTAGE IN HOME SERVIC 1ST CHOICE HOME HEALTH S ADVANCED MEDICAL REVIEWS, INC. ADVANTAGE NURSING SERVICES




Health Plan: Home State Health Subcontractors Subcontractors Subcontractors ADVOCATE HEALTH&HOSPITALS CORPORATION BARNES JEWISH HOSPITAL BROOKLYN AVENUE EMERGENC ADVOCATES FOR A HEALTH COMMUNITY INC BARNES JEWISH ST PETERS BROWNRIDGE PEDIATRICS PC ADVOCATES FOR A HEALTHY BARNES JEWISH ST. PETERS HOSPITAL BRUCE REINER Advocates for a Healthy Community BARNES JEWISH WEST COUNT BURRELL REHAVIORAL HLTH ADVOCATES FOR A HEALTHY COMMUNITY INC BARNES JEWISH WEST COUNTY BUTLER COUNTY EMS LLC AFFINA HEALTHCARE BARNES-JEWISH HOSPITAL C REX WITHERSPOON SURGER Affinia Healthcare BATES COUNTY MEMORIAL HOSPITAL CAMDEN EMERGENCY GROUP L AIM LABORATORIES LLC BAYADA NURSES CAMERON REGIONAL MEDICAL AIR EVAC EMS INC BEHAVIOR MGMT ASSOCIATES CAMERON REGIONAL MEDICAL CENTER, INC. ALGONQUIN NURSES HOME HE BELTON REGIONAL MEDICAL CENTER CAPE COUNTY PRIVATE AMBU ALL ACCESS INTERPRETERS, LLC BETTY JEAN KERR PEOPLES CAPE RADIOLOGY GROUP ALLERGY AND ASTHMA OF SP Beyer Medical Group CAPITAL EMERGENCY PHYSIC ALLIANCE RADIOLOGY PA BIG SPRINGS MEDICAL ASSOCIATION CAPITAL REGION MEDICAL C ALLIANCE REHAB AND MEDIC BIO-MEDICAL APPLICATIONS OF MISSOURI INC CAPITAL REGION MEDICAL CENTER ALLIED MEDICAL EQUIPMENT BIRTH AND WELLNESS CENTER LLC CARDINAL GLENNON CHILDRENS HOSP ALPHAPOINTE BISHOP HOME CARE CARDINAL GLENNON CHILDRENS HOSPITAL Altegra/Change Healthcare BJC HEALTHCARE CareNow ALTERNACARE INFUSION PHA Blackwell Security Services CARROLL COUNTY MEMORIAL AMERICAN MULITSPECIALTY GROUP INC BLESSING CORPORATE SERVI CASS REGIONAL MEDICAL CENTER ANESTHESIA ASSOCIATES OF KANSAS CITY PC BLESSING HOSPITAL CASS REGIONAL MEDICAL CENTER ANESTHESIA PARTNERS LTD BLUE PARKWAY EMERGENCY P CCPARTNERS LLC APOLLO HEALTHCARE LLC BOONE HOSPITAL CENTER CEDAR COUNTY MEMORIAL H ARCH AIR MEDICAL SERVICE INC Boonslick Pediatrics CENTENNIAL EMERGENCY PHY Arch Pediatrics Llc BOOTHEEL COUNSELING SERVICES CENTER FOR LIFE COACHING ARKANSAS METHODIST HOSPI BOOTHEEL IN-HOME CARE SE CENTERPOINT MEDICAL CENTER AUDRAIN MEDICAL CENTER BOSTON ORTHOTICS & PROSTHETICS CENTERPOINT MEDICAL CENTER BABY AND CHILD ASSOCIATE BOTHWELL REGIONAL HEALTH CENTER CENTERPOINT WOMENS SERVICES LLC Babylon BOTHWELL REGIONAL HEALTH CENTER CenterPointe Hospital BABYLON HEALTHCARE, INC. Boys and Girls Town Missouri CENTERPOINTE HOSPITAL OF BACH MEDICAL SUPPLY BRENTWOOD PEDIATRICS PC CENTREPOINTE HOSPITAL BALLAS ANESTHESIA INC BRIDGES MEDICAL SERVICES Cenveo BARNES JEWISH HOSPITAL BRITELL LLC CEP AMERICA LLC




Health Plan: Home State Health Subcontractors Subcontractors Subcontractors CH ALLIED SERVICES INC COMMUNITY TREATMENT DOCTORS HEALTH GROUP, INC CHADWICK T CAUDILL MD PS COMMUNITY TREATMENT INC DOCTORS HOSPITAL OF SPRINGFIELD CHATTERBOX SPEECH THERAP COMO CUBS PEDIATRICS DOUGLAS COUNTY PUBLIC HE CHERUB MEDICAL SUPPLY LL COMPASS COUNSELING SRVCS DR FERNANDO PEREZ MAGNELLI LLC CHERYL G WILLIAMS DO PC Compass Health DVA HEALTHCARE RENAL CARE INC CHILDRENS ENDOCRINE CARE COMPREHENSIVE MNTL HLTH DYERSBURG HOSPITAL CORPORATION CHILDRENS MERCY - COMMUN COOPERATIVE HOME CARE INC EAR NOSE THROAT AND PLAS CHILDRENS MERCY PREFERRE CORAM ALTERNATE SITE SERVICES INC EARL C. BEEKS, JR., INC CHRISTIAN HOSPITAL NORTHEAST NORTHWEST COTIVITI, LLC EAST CENTRAL MISSOURI BEHAVIORAL HEALTH Christian Hospital Northeast-Northwest COUNSELING SOLUTIONS LLC EAST CENTRAL MISSOURI BEHAVIORAL HEALTH SERVICES INC CHRISTIAN HOSPITAL NW COX BARTON COUNTY HOSPIT EAST MEYER BLVD EMERG PH CHRISTINA M OJASCASTRO-S COX HPS OF THE OZARKS DB EMERGENCY PHYSICIANS OF CITIZENS MEMORIAL HEALTHCARE COX LESTER E MEDICAL CENTER EMERGENT CARE PLUS LLC CITIZENS MEMORIAL HOSPIT COX MEDICAL CENTER BRANSON AND RELATED Envolve Dental CITIZENS MEMORIAL HOSPITAL COX MONETT HOSPITAL, INC. Envolve People Care CITIZENS MEMORIAL HOSPITAL COXHEALTH Envolve Vision CITY OF KANSAS CITY MISS COXHEALTH CENTER CHESTER ERIN M SMITH LPC CITY OF SPRINGFIELD Craig A Spiegel MD Eureka Pediatrics CITY OF ST LOUIS EMERGENCY MEDICAL S CRAIG HOMECARE EVANS PEDIATRIC CLINIC P CLARK COMMUNITY MENTAL HEALTH CENTER CRITERION IN HOME HEALTH SERVICES EXCELSIOR SPRINGS HOSPITAL CLINICAL COLLEAGUES INC CROSS TRAILS MEDICAL CEN FAIRVIEW HEIGHTS MEDICAL GROUP SC CLINT VANLANDINGHAM CURATORS OF THE UNIVERSITY FAMILY CARE CLINIC: ADRIAN CMH Professional Group CURATORS OF THE UNIVERSITY OF MISSOURI FAMILY CARE HEALTH CENTE COLE COUNTY EMERGENCY ME CURATORS OF THE UNVERSITY OF MISSOURI Family Care Health Centers COLLEGE SKYLINE CENTER LLC D & D SERVICES INC FAMILY COUNSELING CTR COMMUNITY COUNSELING CTR DAVID A YATES&ASSOCIATES INC FAMILY GUIDANCE CENTER COMMUNITY FIRE PROTECTION DISTRICT DEER VALLEY HOME HEALTH FAMILY HEALTH CENTER OF COMMUNITY HEALTH CENTER DERMATOLOGY OFFICE PC FAMILY MEDICAL WALK-IN C COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC DIATHERIX LABORATORIES LLC FAMILY WALK IN CLINIC OF COMMUNITY HOSPICES OF AMERICA LLC DIRECT HEALTHCARE SUPPLY FAST TRACK MEDICAL LLC COMMUNITY HOSPITAL ASSOCIATION DIVERSE HEALTH SERVICES FERRELL-DUNCAN CLINIC BR COMMUNITY MEMORIAL HOSPITAL DISTRICT DIXON FAMILY PRACTICE AN FINDLEY PSYD KATHRYN




Health Plan: Home State Health Subcontractors Subcontractors Subcontractors FITZGIBBON HOSPITAL HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT JEFFERSON CITY RADIOLOGY FLORISSANT VALLEY FIRE PROTECTION DI HEALTH CARE ASSOCIATED E Jefferson Medical Group FORBES REHAB SERVICES INC HEALTH MANAGEMENT SYSTEMS, INC. JEFFERSON MEM HOSP FORDLAND CLINIC, INC. HEARTLAND BEHAVIORAL HEALTH SERVICES JEFFERSON MEMORIAL HOSPITAL FORENSIC TESTING SERVICES LLC DBA IN HEARTLAND REGIONAL MEDICAL CENTER JEFFERSON REGIONAL OUTPA FOUR STATE REGIONAL DIAL HEARTLAND REHABILITATION HOSPITAL LLC JOACHIM PLATTIN TOWNSHIPS AMBULANCE FREEMAN HEALTH SYSTEM HEARTLAND WOMEN'S HEALTH Joel P Karasek MD FREEMAN NEOSHO HOSPITAL HENDRICK MEDICAL CENTER JOHN FITZGIBBON MEMORIAL FREEMAN SURGICAL CENTER HERMANN AREA DISTRICT HOSPITAL JOHNSON COUNTY AMBULANCE DISTRICT FREEMAN-OAK HILL HEALTH SYSTEM HERMANN MEDICAL ARTS JOHNSON PEDIATRICS PC FREEMAN-OAK HILL HEALTH SYSTEM HIGH RISK PREGNANCY CENT JONESBORO ANESTHESIA INC FULTON MEDICAL CENTER LLC Hinton Healthcare Group JOSEPH HAZAN INC GATEWAY EMERGENCY PHYSIC HOME DELIVERY INCONTINENT SUPPLIES Joyce D Johnson MD GATEWAY PEDIATRICS LTD HOMETOWN PEDIATRICS OF J JWTDO LLC DBA DAILY LIVI GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION HONOUR BRITE LLC Kansas City Care Clinic

GOLDEN VALLEY MEMORIAL HOPE CLINICAL CARE KANSAS CITY PEDIATRICS LLC GOLDEN VALLEY MEMORIAL HEALTHCARE HOPE CONNECTIONS LLC KANSAS UNIVERSITY PHYSICIANS INC GOLDEN VALLEY MEMORIAL HOSPITAL DIST Hope Family Care Center KATY TRAIL COMMUNITY HEA GOPPERTTRINITY FAMILY CA HUBBARD BONE & JOINT CLI KATY TRAIL COMMUNITY HEALTH GRACE HILL HEALTH CENTER INDEPENDENCE PEDIATRICS PC INC KC CHILDRENS SURGERY CEN

GRANITE CITY ILLINOIS HOSPITAL CO LLC INSTITUTE FOR RESEARCH AND EDUCATION IN FAMILY MEDICINE KDB ENTERPRISES INC

GREAT MINES HEALTH CENTE INTENSIVA HOSPITAL OF GR KENNETT PEDIATRICS GREAT PLAINS HOSPITAL INTERGRIS GROVE HOSPITAL KENNY ROGERS CHILDRENS C GREATER JOPLIN AREA ER M INTERNATIONAL EYECARE CENTER INC KESSLER HEASLEY ARTIFICIAL LIMB CO HAH HOLDINGS, LLC IRON COUNTY HOSPITAL KINDRED HOSPITAL NORTHLA HAMPTON VILLAGE PEDIATRI IV CARE KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC HANGER PROSTHETICS&ORTHOTICS EAST INC JACK EDMINSTEN, MD Kosse Pediatrics Hannibal Clinic JACKSON DRIVE EMERGENCY KPMG Audit/E&Y Tax fee accrual HANNIBAL CLINIC OPERATIONS LLC JACKSON EMERGENCY PHYSIC KVC HOSPITALS INC HANNIBAL REGIONAL HEALTHCARE SYSTEM INC JAK PROPERTIES INC LABCORP OF AMERICA HOLDINGS HANNIBAL REGIONAL HOSPIT JAMES F PIONTEK INC LABONE LLC




Health Plan: Home State Health Subcontractors Subcontractors Subcontractors HANNIBAL REGIONAL HOSPITAL JEB MEDICAL LLC LABORATORY CORP OF AMERICA LAFAYETTE INDUSTRIES MAXIM HEALTHCARE SERVICES MERCY HOSPITAL AURORA LAKE OZARK ANESTHESIA AN MCCALLUM PLACE MERCY HOSPITAL CARTHAGE LAKE REGIONAL HEALTH SYS MCGUIRE CHRISTIAN COUNSE MERCY HOSPITAL CARTHAGE LAKE REGIONAL HEALTH SYSTEM MEDEVAC MEDICAL RESPONSE MERCY HOSPITAL CASSVILLE LAKE REGIONAL MEDICAL MA MEDIC ONE LLC MISSOURI MERCY HOSPITAL JEFFERSON LAKELAND BEHAVIORAL HEALTH SYSTEM MEDICAL TRANSPORTATION MANAGEMENT MERCY HOSPITAL JOPLIN LAKELAND HOSPITAL ACQUISITION CORPORATION MEDICAL TRANSPORTATION MANAGEMENT, INC. MERCY HOSPITAL JOPLIN LANDMARK HOSPITAL OF JOP MED-TRANS CORPORATION MERCY HOSPITAL LEBANON LANGUAGE ACCESS MULTICULTURAL PEOPLE LLC MEHLVILLE FIRE PROTECTIO MERCY HOSPITAL LINCOLN LEE'S SUMMIT MEDICAL CENTER MERCY AND AFFILIATES MERCY HOSPITAL LINCOLN LEES SUMMIT PHYSICIANS G MERCY CHILDRENS THERAPY MERCY HOSPITAL NORTHWEST LESTER E COX MEDICAL CEN MERCY CLINIC ADULT CRITI MERCY HOSPITAL OF SPRINGFIELD LESTER E COX MEDICAL CENTER MERCY CLINIC ADULT HOSPI MERCY HOSPITAL SOUTH LESTER E. COX MEDICAL CE MERCY CLINIC BURN AND PL MERCY HOSPITAL SOUTH LIBERTY HOSPITAL MERCY CLINIC CHILDREN'S MERCY HOSPITAL ST LOUIS LIBERTY HOSPITAL MERCY CLINIC CHILDRENS CRITICAL CARE LLC MERCY HOSPITAL ST. LOUIS LIBERTY HOSPITAL EMERGEN MERCY CLINIC CHILDRENS H MERCY HOSPITAL WASHINGTON LIFEFLIGHT EAGLE MERCY CLINIC EAST COMMUN MERCY HOSPITALS EAST COMMUNITIES LINCARE INC MERCY CLINIC EAST COMMUNITIES Mercy McAuley Clinic LINCOLN COUNTY AMBULANCE DISTRICT MERCY CLINIC GASTROENTER MERCY MOSAIC FAMILY MEDICINE LINDSEY BELT EMERGENCY P MERCY CLINIC HOSPITALIST MERCY REHABILITATION HOS LITTLE FLOWER FAMILY MED MERCY CLINIC JOPLIN LLC MERCY SOUTHERN MISSOURI LITTLE HILLS HEALTHCARE LLC MERCY CLINIC KIDS GI, LL MERY CLINIC MATERNAL FET LIVE WELL CHC WAVERLY MERCY CLINIC MATERNAL FETAL MEDICINE LLC METHODIST HOSPITALS LORMAX REHABILITATION IN MERCY CLINIC PULMONOLOGY METRO DIALYSIS CENTER -MADISON MEDICAL CENTER MERCY CLINIC SPRINGFIELD METRO EMERGENCY PHYSICIA MANSFIELD CLINIC, INC. MERCY CLINIC SPRINGFIELD COMMUNITIES METRO WEST ANESTHESIA IN MARBLE HILL MEDICAL CLIN MERCY CLINIC TRAUMA AND MHPA MARION COUNTY AMBULANCE DISTRICT MERCY CLINIC-SPRINGFIELD MICHAEL STEPHEN HANKS MD MARK TWAIN AREA COUNSELING CENTER MERCY EAST AMBULATORY SERVICES LLC MICHELLE L BEUMER PC MAWD PATHOLOGY GROUP PA MERCY EAST SUPPORT SERVICES LLC MID AMERICA ANESTHESIA C




Health Plan: Home State Health Subcontractors Subcontractors Subcontractors MAWD PATHOLOGY PARTNERS MERCY HOSPITAL AURORA MID MISSOURI ORTHOTICS A MID WEST HEART AND VASCU MOSAIC MEDICAL CENTER OBSTETRICAL ASSOCIATES O MIDWEST DIVISION LRHC LLC MOSAIC MEDICAL CENTER - MARYVILLE OPTION CARE PHOENIX MIDWEST DIVISION LSH LLC MOTOR MONKEYS LLC OR MONITORING CONSULTANT MIDWEST DIVISION -MMC, L MPULSE MOBILE, INC. ORTHOTIC AND PROSTHETIC MIDWEST DIVISION OPRMC LLC MYRTLE HILLIARD DAVIS CO OTOLARYNGOLOGY OF JOPLIN MIDWEST DIVISION RBH, LL MYRTLE HILLIARD DAVIS COMPREHENSIVE OUR URGENT CARE LLC MIDWEST EMERGENCY MEDICA NATERA INC OZARK ANESTHESIA ASSOCIA MIDWEST HEALTH GROUP CON NATIONAL IMAGING ASSOCIATES OZARK CENTER MIDWEST OBGYN OF MISSOURI LLC NEDRA D TWILLIE MD PC OZARK MEDICAL CENTER MID-WEST PODIATRY&ASSOCIATES LLC NEVADA MEDICAL CLINIC LL OZARK NEONATAL ASSOCIATE MIDWEST RADIOLOGICAL ASSOCIATES NEVADA REGIONAL MEDICAL OZARK TRI-COUNTY HEALTH MIDWEST RADIOLOGY LTD NEVADA REGIONAL MEDICAL CENTER (NRMC) OZARKS MEDICAL CENTER MIDWEST WOMEN'S HEALTHCA NEW LIBERTY HOSPITAL CORPORATION OZARKS RESOURCE GROUP MILLER COUNTY AMBULANCE DISTRICT NEWBORN HEARING SERVICES Pacify Health MILLIMAN, INC. NEWTON COUNTY AMBULANCE PARKLAND HEALTH CENTER MISSISSIPPI COUNTY HOSPI NHC RELIANT PSYCHIATRIC SERVICES LLC PARKLAND HEALTH CENTER MISSOURI BAPTIST HOSPITAL OF SULLIVAN NORTH CENTRAL MISSOURI MENTAL HEALTH PATHOLOGY SERVICES OF SPRINGFIELD PC MISSOURI BAPTIST HOSPITAL SULLIVAN NORTH KANSAS CITY HOSPITAL PATHWAYS PSYCHIATRIC HOSPTIAL MISSOURI BAPTIST MEDICAL NORTH KANSAS CITY HOSPITAL PAUL W ILES MISSOURI BAPTIST MEDICAL CENTER NORTH SCOTT COUNTY AMBUL PEDIATRIC ASSOCIATES OF SW MO LLC

MISSOURI DELTA MEDICAL CENTER NORTHEAST AMBULANCE&FIRE PROTECTION DISTRICT PEDIATRIC CANCER & HEMAT

MISSOURI DELTA MEDICAL CENTER NORTHEAST MISSOURI HEALTH COUNCIL INC PEDIATRIC ORTHOTIC AND PROSTHETIC SE MISSOURI HEALTH PLUS LLC NORTHEAST REGIONAL MEDICAL CENTER Pediatric Professionals MISSOURI HEALTH PLUS LLC NORTHEAST REGIONAL MEDICAL CENTER PEDIATRIX CARDIOLOGY OF MISSOURI HIGHLANDS MEDIC NORTHLAND NEUROSURGERY, PEDIATRIX MEDICAL GROUP OF KANSAS PA MISSOURI OZARKS COMMUNIT NORTHLAND RADIOLOGY INC PEDIATRIX MEDICAL GROUP OF MISSOURI P C MOBERLY HOSPITAL COMPANY NORTHSTAR ANESTHESIA OF PEMISCOT COUNTY MEMORIAL MOBERLY REGIONAL MEDICAL CENTER Northwest Health Services Inc PEMISCOT MEMORIAL HEALTH SYSTEMS MOHAMMAD RASHEED NORTHWEST MEDICAL CENTER PERRY COUNTY MEMORIAL HO Monzer Nazeer Naji MD NW HEALTH SERVICES, INC PERRY COUNTY MEMORIAL HOSPITAL




Health Plan: Home State Health Subcontractors Subcontractors Subcontractors MOORE ENTERPRISES OBHG MISSOURI, PC PERRY COUNTY MEMORIAL HOSPITAL MOSAIC LIFE CARE AT ST JOSEPH MEDICAL OBSTETRICAL ANESTHESIA A PERRYVILLE FMLY CARE CL PERTLE SPRINGS EMERGENCY PSYCHOLOGICAL AND BEHAVIORAL CONSULTANTS, INC. SAINT LUKES HOSPITAL EAST PETTIS COUNTY AMBULANCE PURFOODS LLC SAINT LUKES HOSPITAL OF PHELPS COUNTY REGIONAL MEDICAL PUTNAM COUNTY RURAL HEAL SAINT LUKES HOSPITAL OF CHILLICOTHE PHELPS COUNTY REGIONAL MEDICAL CENTE RADIOLOGIC IMAGING CONSULTANTS SAINT LUKES HOSPITAL OF TRENTON PHELPS COUNTY REGIONAL MEDICAL CENTER RADIOLOGY SPECIALISTS OF SAINT LUKE'S INTERNAL ME PHOENIX HOME CARE INC RANKEN JORDAN HOME FOR C Saint Lukes Medical Group PHYSICIAN SPECIALISTS OF ST LUKES LLC RAY COUNTY MEMORIAL HOSP SAINT LUKES NORTH HOSPITAL Physicians Group LC REDISCOVER SAINT LUKES NORTHLAND HO PIGGOTT COMMUNITY HOSPIT REGIONAL EMERGENCY MEDICAL SVCS AUTH SAINT LUKES NORTHLAND HOSPITAL CORPORATI PIKE COUNTY MEMORIAL HOSPITAL REGIONAL SERVICES SAINT LUKES SOUTH HOSPITAL PLACES FOR PEOPLE INC REHAB SPECIALITY MEDICAL INC Salem Memorial Hospital PLANNED PARENTHOOD OF TH RESEARCH MEDICAL CENTER SAMARITAN MEMORIAL HOSPITAL POPLAR BLUFF CANCER & RA RESEARCH MEDICAL CENTER SAMUEL U RODGERS HEALTH POPLAR BLUFF EMERGENCY P RESPIRTECH SCOTT LARSON INC POPLAR BLUFF MEDICAL RGH ENTERPRISES INC SELECT HOSPITALS OF MISS POPLAR BLUFF REGIONAL RICHLAND MEDICAL CENTER SGOH ACQUISITION INC POPLAR BLUFF REGIONAL MEDICAL CENTER RICHLAND MEDICAL CENTER, Inc SHAFFER RAINEY DERMATOLO POPLAR BLUFF REGIONAL MEDICAL CENTER Riverside Pediatrics SHAWNEE MISSION MED CTR POTOSI EMERGENCY GROUP, RN 4 KIDS INC SHEREI BEHRNDT PREFERRED FAMILY HEALTHCARE INC Robert H Strashun MD SHIRLEY CHANG, MD Premier Pediatrics, LLC ROCK TOWNSHIP AMBULANCE SHRINERS HOSPITAL FOR CHILDREN PRENTKE ROMICH COMPANY ROLLA URGENT CARE LLC SHRINERS HOSPITALS FOR CHILDREN INC PRIME HEALTHCARE SERVICE ROYAL OAKS HOSPITAL SIGNATURE HEALTH SERVICE PRIME HEALTHCARE SERVICES KANSAS CITY LLC RURAL ALLIANCE FOR BETTE SIGNATURE MEDICAL GROUP OF KANSAS CITY P PRIORITY CARE PEDIATRICS RUSK REHABILTIATION CENTER, A JOINT SIGNATURE PSYCHIATRIC HOSPITAL PROFORMA S BATTULA MD LLC SIKESTON EMERGENCY GROUP Progress West Healthcare Center S E EMERGENCY PHYS MEMPH SKAGGS COMM HEALTH PROGRESS WEST HOSPITAL SAFE HANDS IN HOME CARE SOUND HEALTH SERVICES P. PROTESTANT MEMORIAL MEDICAL CENTER INC Saint Francis Medical Center SOUND PHYSICIANS OF ILLI




Health Plan: Home State Health Subcontractors Subcontractors Subcontractors

PROVIDER PLUS INC SAINT LOUIS COUNSELING DBA CATHOLIC FAMILY SERVICES

SOUTH CENTRAL MISSOURI C

PSKIDS LLC SAINT LUKES EAST HOSPITAL SOUTH COUNTY ANESTHESIA PSYCH CARE CONSULTANTS L SAINT LUKES EAST HOSPITAL SOUTH HOWELL COUNTY AMBU SOUTH SCOTT CNTY AMBULAN ST FRANCIS HOSPITAL MOUN STRICTLY PEDIATRICS CENT SOUTHEAST HEALTH CENTER ST FRANCIS MEDICAL CENTER SUBASH JOSHI, MD SOUTHEAST HEALTH CENTER OF STODDARD ST FRANCOIS CO AMBULANCE DISTRICT Suburban Pediatrics Inc SOUTHEAST HOSPITAL ST JOHNS HOSPITAL LEBANON SULLIVAN COUNTY MEMORIAL SOUTHEAST MISSOURI HEALTH NETWORK ST JOHNS MERCY HOSPITAL SUNFLOWER NEONATOLOGY ASSOCIATES SOUTHEAST MISSOURI HOSPITAL ASSOC-06 ST JOHNS MERCY MEDICAL CNTR SUNSHINE PEDIATRICS INC Southeast Missouri Hospital Physicians LLC ST JOHNS REGIONAL HEALTH SWOPE HEALTH SERVICES SOUTHERN MISSOURI EAR, N ST JUDE CHILDRENS TABLE ROCK FAMILY CARE C SPRINGFIELD BEHAVIORAL H ST LOUIS ARC INC TALK TO ME TECHNOLOGIES LLC SPRINGFIELD FAMILY MEDICAL WALK IN CLINICS INC ST LOUIS CHILDRENS HOSPITAL TANEY COUNTY AMBULANCE DISTRICT SPRINGFIELD OB-GYN, LLC ST LOUIS CHILDREN'S HOSPITAL TASANAPORN PITIYANUVATH SSM HEALTHCARE ST LOUIS COUNTY HEALTH D TEAM SELECT HOME CARE SSM CARDINAL GLENNON CHILDRENS HOSP ST LOUIS MEDICAL TENDER HEARTS CHILD THER SSM HEALTH CARDINAL GLENNON CHILDREN'S ST LOUIS PATHOLOGY ASSOC TENNEY PEDIATRICS AND AD SSM Health Care St Louis ST LOUIS UNIVERSITY HEALTH CENTER TEXAS COUNTY MEMORIAL HOSPITAL SSM HEALTH CARE ST. JOSPEH LAKE ST LOUIS ST LUKES HOSPITAL TEXAS COUNTY MEMORIAL HOSPITAL SSM HEALTH DEPAUL HOSPITAL - ST LOUIS ST LUKES HOSPITAL OF KANSAS CITY THE CHILDRENS MERCY HOSPITAL SSM HEALTH SAINT LOUIS UNIVERSITY ST MARYS HEALTH CENTER THE CHILDREN'S MERCY HOSPITAL SSM HEALTH SAINT LOUIS UNIVERSITY ST. ALEXIUS HOSPITAL CORPORATION#1 THE ERNST RADIOLOGY CLIN SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL ST. FRANCIS MEDICAL CENTER THE RANKEN-JORDAN HOME FOR CONVALESCENT SSM HEALTH ST MARY'S HOSPITAL - ST. JOHN'S MERCY CHILD D THE RAWLINGS COMPANY LLC SSM HEALTH ST MARY'S HOSPITAL - AUDRAIN ST. JOSEPH MEDICAL CENTER THE REHABILITATION INSTITUTE OF ST. SSM HEALTH ST. CLARE HOSPITAL - FENTON ST. LOUIS CHILDREN'S HOSPITAL THERACARE OUTPATIENT SER SSM HEALTH ST. JOSEPH HOSPITAL - LAKE ST. LUKE'S DES PERES EPI THOMAS ALDERSON SSM HEALTH ST. JOSEPH HOSPITAL - ST. ST. LUKE'S DES PERES HOSPITAL THYROID SPECIALTY LABORA SSM Regional Health Services ST. LUKE'S HOSPITAL TIGER PEDIATRICS LLC SSM SLUH INC ST. LUKE'S HOSPITAL OF KANSAS CITY TOMI TAYLOR SSM ST CLARE SURGICAL CE ST. MARY'S MEDICAL CENTER Total System Services




Health Plan: Home State Health Subcontractors Subcontractors Subcontractors ST ALEXIUS HOSPITAL STATE OF MISSOURI TRI COUNTY MH SERVICES ST ANTHONYS MEDICAL CENTER STE GENEVIEVE MEMORIAL HOSPITAL dba TRICOREX INC ST ANTHONY'S PHYSICIAN O STE. GENEVIEVE COUNTY MEMORIAL HOSPITAL TRUMAN MEDICAL CENTER ST CHARLES COUNTY AMBULANCE DISTRICT STEELE FAMILY RURAL HEAL TRUMAN MEDICAL CENTER, INCORPORATED TRUMAN MEDICAL CENTER, LAKEWOOD WESTERN MISSOURI MEDICAL CENTER Tender Hearts Child Ther TUGMAN DIALYSIS LLC WINGHAVEN PEDIATRICS LLC Tenney Pediatrics And Ad Turning Point WOMENS CARE SPECIALISTS, Tetrick Counseling Assoc TWIN CITIES AMBULATORY SURGERY CENTER WOMENS HEALTH ASSOCIATES Texas County Memorial Hospital UCSL LLC WUCA - CLOVERLEAF PEDIAT The Aviary Recovery Cent UNIQUE INVENTIVE STRATEG Wuca - Woodsmill Llc The Childrens Home Socie UNITED IMAGING CONSULTANTS LLC WUCA O'Fallon Pediatrics The Childrens Mercy Hospital UNITED SEATING AND MOBILITY LLC WUCA Purely Pediatrics The City Of Grandview UNIVERSITY HEALTH PHYSICIANS WUCA-FENTON PEDIATRICS, The Ernst Radiology Clin UNIVERSITY HOSPITAL - UNIVERSITY OF WUCA-NASH PEDIATRICS LLC The Rawlings Company LLC UNIVERSITY OF KANSAS HOSPITAL WUCA-WESTSIDE PEDIATRICS The Rehabilitation Insti University of Kansas Hospital Authority ZAFAR REHMANI M.D. Therapy Relief Inc UNIVERSITY OF MISSOURI HOSPTIAL ZENITH REHABILITATION LL Thomas Alderson UNIVERSITY PEDIATRIC ASS Steven Crawford Tiffany A Leeker Dba Reflections Counseling UNIVERSITY PHYSICIAN ASS Steven D Langguth MD Tiger Pediatrics LLC UNIVERSITY PHYSICIAN ASSOCIATES Stoddard County Ambulance District Timothy C. Denny, D.D.S. URGENT CARE FOR KIDS Stork Ob-Gyn TLC Pediatrics PC USA RADIOLOGY MANAGEMENT Streamline Orthotics LLC Total Renal Care Inc Dba Pataskala Dialysis Center VENKATA S NAGIREDDI Strictly Pediatrics Cent Total Respiratory And Re Vheda Health Stststst Trbhs Physicians Group Victor M Lovell MD Suburban Pediatrics Inc Tri County Mh Services VPA PC Sullivan County Memorial Tricorex Inc WASHINGTON COUNTY AMBULANCE DISTRICT Sunflower Neonatology Associates Trina Jansen, Lcsw WASHINGTON COUNTY MEMORI Sunshine Pediatrics Inc Truman Medical Center WASHINGTON COUNTY MEMORIAL HOSPITAL Surgery Center At Libert Truman Medical Centers Inc WASHINGTON UNIV CLINICAL ASSOCIATES Surgery Center Of Farmin Twin Cities Ambulatory Surgery Center WASHINGTON UNIVERSITY Survival Flight Inc Two Rivers Psychiatric Hospital Wellframe Swope Health Services U City Urgent Care LLC


Health Plan: Home State Health Subcontractors UCSL LLC WEST COUNTY RADIOLOGICAL GROUP INC Unique Inventive Strateg WESTERN ANESTHESIOLOGY ASSOCIATES INC United Imaging Consultants LLC United Seating And Mobility LLC WESTERN MISSOURI MEDICAL WESTERN MISSOURI MEDICAL CENTER University Of Kansas Hospital University Of Kansas Hospital Authority University Of Missouri Hosptial University Pediatric Ass University Physician Ass University Physician Associates Urgent Care Center Urgent Care For Kids Urgent Care Of Kansas Ci Usa Radiology Management Valle Ambulance District Venkata S Nagireddi Vernon County Health Dep Verscend Technologies, Inc. Victor M Lovell MD VPA PC Waai Mobile Anesthesiolo Walgreen Co Warren County Ambulance District Washington County Ambulance District Washington County Memori Washington University Waynecountyhospital Weight Watchers North America



Subcontractors West County Radiology Group Westbury Pediatrics Ltd Synerby Services Inc Western Missouri Medical White River Anesthesia A Tamarac Medical Inc Winghaven Pediatrics LLC Womens Care Specialists, Womens Health Associates Taney County Ambulance District Tasanaporn Pitiyanuvath Womens Health Specialist Womens Healthcare Inc Women'S Wellness Center, Wuca - Cloverleaf Pediat Wuca - Woodsmill LLC Wuca Forest Park Pediatr Wuca O'Fallon Pediatrics Wuca Purely Pediatrics Wuca-Nash Pediatrics LLC Zafar Rehmani M.D.

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