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Managed Care Organizations

Managed Care OrganizationCommercial HMOCommercial PPODiscount CardMedicare MCOMedicaid HMO
Accountable (Interplan Health Group)- HealthSmart √ WC   
Aetna U.S. Healthcare√ WC √ CHIP
AmeriGroup    √ CHIP
Beech Street/Concentra (MultiPlan) √ WC   
BlueCross & BlueShield of Texas√ POS   
Bravo Health Texas   HMO, PPO 
Care Improvement Plus (XL Health)    
ChoiceCare Network - Humana  HMO, PPO 
CIGNA HealthCare of Texas√ OA, Network√ OA +   
CoastalComp Health Networks √ WC   
Cook Children's Health Plan    √ CHIP
CorVel Healthcare, Inc. √ Auto WC   
Coventry - First Health/CCN √ Auto WC  
Evercare by United Healthcare    
FOCUS (Coventry - Panel Closed) √ Auto WC   
Fresenius   PPO  
Galaxy Health Network √ NWI, SUP  
GreatWest Healthcare (CIGNA)√ POS  
Health e Innovations (Claims Admiinstrative Svc) WC   
Health Payors Organization Ltd.- IHG (HealthSmart)    
HealthSmart Preferred Care, Inc. √ WC POS EPO GEPO AP3   
HealthSpring of Texas    
Independent Medical Systems    
Integrated Health Plan √ WC   
Molina Healthcare of Texas   MA MA-SNP√ STAR-PLUS CHIP CHIP-PERINATE
MultiPlan    
National Choice Care √ Auto WC   
National Preferred Provider Network √ WC   
Nexcaliber (A.A.G.I.)    
PacifiCare Health Plans (United Healthcare)   
PHCS Savility (MultiPlan)    
ppoNEXT (MultiPlan)    
Prime Health Services, Inc. √ Auto GH WC   
Principal Edge Network    
Private HealthCare Systems (MultiPlan)    
Provider Select    
Rockport Community Health Plan √ WC   
Secure Horizons (United Healthcare)    
SouthWest Medical Provider Network MC   
Superior Healthplan    √ Star-Plus CHIP FC
Texan Plus (Texas First)    
Texas Healthcare Foundation WC   
Texas True Choice (MultiPlan)   CHIP FC
The Reny Company WC   
Three Rivers Provider Network (Panel Closed) √ WC   
Today's Option (Texas First)    
TRICARE (Humana Military Healthcare Services)   
Unicare    √ CHIP
Union Pacific Railroad Employes HS    
United Healthcare (CVO for Direct Agmts)√ EPO POS  
Universal Health Care Group  HMO PPO√ CHIP
UNTHSC Federal Prison Contract (Closed)    
USA Managed Care Organization √ WC CHIP
WellCare of Texas, Inc.    
Legend
CHIP = Children's Health Insurance Plan
EPO = Exclusive Provider Organization
FC = Foster Care Medicaid Program
GEPO = Gatekeeper Exclusive Provider Organization
GH = Group Health
MCO = Managed Care Organization
POS = Point of Service Plan
PPO = Preferred Provider Organization
OA = Open Access Plan or Network
WC = Workers Comp
 
This page was last updated on 3/13/2008 9:18:13 AM