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BEM 101 13 of 15 MA DESK AIDS BPB 2017-008 4-1-2017

BRIDGES ELIGIBILITY MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

89 Do not use for Medicaid enrollments. Private enrollments only - Managed Care Plans/Health Maintenance Organizations (includes HMO, PPO and POS plans). Carriers assigned this code include, but are not limited to:

 Family Health Care Plan of Ohio  FHP Health Care  Grand Valley Health  Health Alliance Plan (aka HAP)  Health America  Health Maintenance Plan  Health Plan of Nevada  Health Plus of Michigan  HMO Health Ohio  HMO Illinois  Humana Health Care Plan  IBA Self-Funded Group  Maxicare Indiana, Inc.  MCARE  McAuley Health Plan (HMO)  MetraHealth Care Plan of Texas  Multiplan WPPN  Mutually Preferred HMO  NGS American  OmniCare, Inc.  Paramount Health Care  Partners National Health Plans  PHP Plus, Inc.  Physicians Health Plans (aka PHP)  Physicians Plus HMO  Planned Administrators, Inc.  PPOM Claims Department  Preferred Choices  Principal Health Care of Florida  Principal Health Care of Illinois  Principal Health Care of Indiana