ANTITRUST AND FLORIDA MANAGED MEDICAID: REFORMS TO ENSURE QUALITY SERVICES AND COMPETITION

ATTORNeyS.&. COUNSEI.ORS www.munsch.com ANTITRUST AND FLORIDA MANAGED MEDICAID: REFORMS TO ENSURE QUALITY SERVICES AND COMPETITION Prepared For: The Agency for Health Care Administration Elizabeth Dudek, Secretary Prepared and Respectfully Submitted By: Edward Vishnevetsky, Esq. Munsch Hardt Kopf & Harr, P.C 500 North Akard; Ste. 3800 Dallas, TX 75231 (214) 855-7546 evish@munsch.com

I. INTRODUCTION The undersigned and the law firm of Munsch Hardt Kopf & Harr, P.C. ("Munsch Hardt") have been retained by several Florida health care providers (in consideration of their Medicaid beneficiaries) to prepare this paper in order to alert the Florida Agency for Health Care Administration (AHCA) of current and future potentially anticompetitive conduct as it relates to the creation and proliferation of unlicensed exclusive provider organizations in Florida Managed Medicaid. To that effect, please direct all future correspondence regarding this paper to the undersigned firm, care of Edward L. Vishnevetsky. II. BACKGROUND 1. Antitrust Antitrust law promotes or maintains competition among businesses by regulating anticompetitive behavior. In health care, competition benefits consumers because it helps contain costs, improves quality, maintains choice and encourages innovation. The United States Department of Justice (DOJ) recently stressed the importance of antitrust enforcement and competition policy in healthcare. 1 The DOJ Antitrust Division enforces the antitrust laws of the United States? The DOJ shares jurisdiction over civil antitrust cases with the Federal Trade Commission (FTC) and often works jointly with the FTC to provide regulatory guidance to businesses. 3 The Antitrust Division also has the power to file criminal cases against willful violators of the antitrust laws." The three major Federal antitrust laws are: (a) the Sherman Antitrust Act (the "Sherman Act"); (b) the Clayton Act; and (c) the Federal Trade Commission Act (the "FTC Act"). In addition to these federal statutes, most states have antitrust laws that are enforced by state attorneys general or private plaintiffs. Many of these statutes are based on the federal antitrust laws. In Florida, the Attorney General's Office enforces the state antitrust laws." a. Sherman Act The Sherman Act outlaws all contracts, combinations, and conspiracies that unreasonably restrain interstate and foreign trade." This includes agreements among competitors to fix prices, rig bids, and allocate customers, which are punishable as criminal felonies.' The Sherman Act also makes it a crime to monopolize any part of interstate commerce. 8 An unlawful monopoly 1 Sharis A. Pozen, Acting Assistant Attorney General, Antitrust Division, U.S. Dep't of Justice, Competition and Health Care: A Prescription for High Quality, Affordable Care, Remarks as Prepared for the World Annual Leadership Summit on Mergers and Acquisitions in Health Care, at 16 (Mar. 19,2012). 2 15 U.S.C. 4. 3 fd. 4 fd. at 3. 5 Fla. Stat. 542.27. 615 U.S.C. 1-7. 7 fd. 8 15 U.S.C. 2. MHDocs 3880621_113130.1 Page 12

exists when one firm controls the market for a product or service, and it has obtained that market power, not because its product or service is superior to others, but by suppressing competition with anticompetitive conduct. 9 b. Clayton Act The Clayton Act is a civil statute that prohibits mergers or acquisitions that are likely to lessen competition.l'' Under the Clayton Act, the government challenges mergers that are likely to increase prices to consumers.l ' As amended by the Robinson-Patman Act of 1936, the Clayton Act also bans certain discriminatory prices, services, and allowances in dealings between merchants.v' The Clayton Act was amended again in 1976 by the Hart-Scott-Rodino Antitrust Improvements Act to require companies planning large mergers or acquisitions to notify the government of their plans in advance. 13 c. FTC Act The FTC Act bans "unfair methods of competition" and "unfair or deceptive acts or practices.v'" The Supreme Court has said that all violations of the Sherman Act also violate the FTC Act. 1S Thus, although the FTC does not technically enforce the Sherman Act, it can bring cases under the FTC Act against the same kinds of activities that violate the Sherman Act. 16 The FTC Act also reaches other practices that harm competition, but that may not fit neatly into categories of conduct formally prohibited by the Sherman Act. 17 2. State Immunity Exception States have the authority to exempt certain forms of anticompetitive conduct from federal antitrust laws. Under the "state action immunity doctrine" propounded by the U.S. Supreme Court in Parker v. Brown,18 state regulatory programs that authorize anticompetitive conduct to further a legitimate state policy do not violate federal antitrust laws. In this vein, many states have enacted legislation aimed at providing antitrust immunity for certain types of cooperative agreements among healthcare providers by substituting regulation for competition. For instance, Florida's Legislature has specifically stated that rural health network cooperative agreements are intended to be "protected from federal antitrust laws," but the agreements are still subject to approval and regulation by the Florida Department of Health. 19 9 Copperweld Corp. v. Independence Tube Corp., 467 U.S. 752, 768 (1984). 1015 U.S.C. 12-27. 11 Id. 12 15 U.S.C. 13. B 15 U.S.C. 18. 14 15 U.S.C. 41-58. 15 FTCv. Brown Shoe Co., 384 U.S. 316,320-322 (1966). 16 I d. 17Id. 18 317 U.S. 341,350-52 (1943). 19Fla. Stat. 381.04065(1) (2012). MHDocs 3880621_113130.1 P a g" 13

a. Exclusive Provider Organization The creation of Exclusive Provider Organizations (EPOs) in Florida may also fit within the state action immunity doctrine. EPOs allow managed care plans to condition the payment of benefits on the use of exclusive providers.r" An EPO, on its face, violates antitrust law, because it eliminates competition in a specific geographic area. However, Florida law specifically excepts EPOs from violation if certain conditions are met. Specifically, a managed care plan that wants to create an EPO must submit an application identifying the parties to the EPO and receive approval from AHCA. Once an EPO is established, AHCA continually monitors the EPO by requiring it to submit the following items: (a) a list of the EPO's provider networks every six months; (b) annual grievance reporting; and (c) investigations of quality of care complaints received. Although EPOs are not statutorily exempted from federal or state antitrust laws (like rural health network cooperative agreements), Florida law treats EPOs as an exception to antitrust laws. 3. Florida Managed Medicaid Medicaid managed care provides for the delivery of Medicaid health benefits and additional services in the United States through an arrangement between a state Medicaid agency and managed care plans that accept a set payment - "capitation" - for these services. All managed care plans contract with doctors, hospitals, clinics, and other health care providers such as pharmacies, labs, x-ray centers, medical equipment companies, infusion, and home health care companies. This group of contracted health care providers is known as the health plan's "network." Managed care plans typically contract with providers that: (a) are enrolled in Medicaid; (b) are willing to accept a certain reimbursement rate; (c) can provide services to all beneficiaries in a specific geographic area; and (d) agree to abide by specific quality and utilization review guidelines." a. Current Structure In Florida, a "managed care plan" is either a health maintenance organization (HMO) or a prepaid health plan. 22 Florida law requires that most Medicaid beneficiaries choose some type of managed care option.r' The two types of privatized managed care options for Florida Medicaid beneficiaries are (a) HMOs; and (b) Provider Service Networks (PSNs). b. Future Structure In 2011, AHCA created a Statewide Medicaid Managed Care (SMMC) Program. The SMMC program has two key components: (a) the Managed Medical Assistance Program; and (b) the Long-Term Care Managed Care Program. The programs should be implemented beginning in 2013. 20 See FI. Stat. 627.6472(3). 21 See generally David M. Cutler, et. al., How does managed care do it?, 31 RAND J. Eco. 526 (Autumn 2000). 22 FI. Stat. 409.901(13). 23 FI. Stat. 409.9122 and 409.964. MHDocs 3880621 113130.1 Page 14

According to the SMMC Program overview, AHCA will invite eligible plans to participate in the two programs using invitations to negotiate (ITNs). AHCA will then choose the plans that may participate in the programs through a competitive bid process. Only certain types of managed care plans may participate in the Florida Managed Medical Assistance Program, including: (a) Health Maintenance Organizations; (b) Provider Service Networks; (c) Accountable Care Organizations; (d) Exclusive Provider Organizations; and (e) Children's Medical Services Networks. Based on AHCA timelines, it is anticipated that the Florida Managed Medical Assistance Program will be available in certain areas of the State in the last quarter of 2013 and will be in all areas by October 1,2014; in addition, it is anticipated that the Florida Long-Term Care Managed Care Program will be available in certain areas of the State in the first quarter of 2013 and will be in all areas by October 1,2013. 4. Third Party Administrators Third party Administrators (TPAs) are prominent players in the managed care industry. They are essentially outsourced administrative managers. Insurers, such as HMOs, contract with TPAs to manage their claims processing, provider networks, premium collection, utilization review, and/or perform administrative and membership functions. While some TPAs may operate as units of insurance companies, they are often independent. Fl. Stat. 626.88-89 governs TPA licensure requirements. HI. ANTICOMPETITIVE EXCLUSIVITYARRANGEMENTS Numerous Medicaid managed care plans in Florida refuse to contract with more than one provider per service category in a specific geographic area. This type of behavior eliminates patient choice. According to the CMS State Medicaid Manual, a managed care plan contract with a state must "allow each enrollee to choose his or her health professional to the extent possible and appropriate.v'" "The purpose of the free choice provision is to allow [Medicaid] recipients the same opportunities to choose among available providers of covered health care and services as normally offered to the general population.vf By only contracting with one provider, Medicaid managed care plans in Florida do not offer Medicaid recipients the same opportunities to choose among providers as normally offered to the general population. Given that contracting with one service provider is anticompetitive, Florida permits this behavior on only one condition -- the creation of a properly registered EPO. Pursuant to Fl. Stat. 627.6472, a managed care plan that wants to create an EPO must submit an application identifying the parties to the EPO and receive approval from AHCA. The application and approval processes are purposefully stringent in order to limit the number of anti competitive EPOs in Florida. 24 ems State Medicaid Manual, Pub. 45, Ch. 2, 2090.2. 25ld at 2100. MHDocs 3880621 113130.1 Page 15

1. Unauthorized EPOs In many instances, managed care plans do not follow the requirements to properly create or register an EPO in Florida. Instead, the managed care plan creates an informal EPO without submitting an application to, or obtaining approval from, AReA. Although the managed care plan does not denote the arrangement as an EPO, by contracting with only one provider and refusing to even consider other providers that may be able to provide the same services at a lower cost and with higher quality, the managed care plan has effectively established a de facto EPO. As such, this arrangement must follow EPO registration guidelines. Without authorization from AHeA, any Medicaid-related business conducted by an unauthorized EPO violates state and federal antitrust laws. As of July 1, 2012, there are eighteen (18) HMOs and six (6) PSNs covering 1,147,917 Florida Managed Medicaid lives." Ofthese managed care plans, at least seven (7) HMOs27 and one (1) PSN 28 have unofficial EPOs in place for the provision of durable medical equipment (DME), as evinced by their Provider Directories (or affirmative statement(s) by the managed care plan that an EPO exists)?9 These managed care plans cover 922,005 Florida Managed Medicaid lives, or approximately 80.31% of all Florida Managed Medicaid enrollees. Yet, AHeA has no record of any authorized EPOs created or registered by these managed care plans." Consequently, at least 80% of all Florida Managed Medicaid beneficiaries receiving DME are being serviced by unauthorized EPOs. 2. TP A Involvement, Ownership and Control in Unauthorized EPOs In addition to creating an unauthorized EPO directly between a managed care plan and a provider, some managed care plans use a TPA to establish an unauthorized EPO. Specifically, the managed care plan hires a TPA that contracts with an exclusive "network" provider. Meanwhile, the TPA refuses to contract with any other providers that may be able to provide the same services at a lower cost and at a higher quality. The resulting de facto EPO is just as illegitimate as if it were created directly by the managed care plan and provider. Even more problematic, oftentimes both the TPA and the exclusive provider are owned by, and share similar governing boards as, the same parent company. The following figure illustrates such a relationship: 26 See Exhibit 1, "Medicaid Managed Care, Sunnnary Enrollment, As of July 1,2012". 27 These eight HMOs are: ArneriGroup, HealthEase, Molina Healthcare, Simply Healthcare Plan, Staywell, Sunshine, and United Healthcare Plan. 28 The one PSN is Prestige. 29 See Exhibits 2-9. 30 See Exhibit 10. MHDocs 3880621 1 13130.1 P age 16

Common ownership and control of TPA and Exclusive Provider In this scenario, the TPA has a financial incentive to contract with the Exclusive Provider because they are owned by the same company. As a result, Florida Medicaid beneficiaries are deprived of the choice of other providers that may be able to provide services for less cost or higher quality in the relevant geographic area. Ultimately, the parent company profits from the use of the related TPA and Exclusive Provider. For example, in 2012, two Florida Medicaid managed care plans, HealthEase and Staywell (both part of the WellCare Affiliate Network) entered into an Ancillary Services Agreement with All-Med Management Systems, Inc. ("All-Med Management") whereby AU- Med Management would act as the TPA for the WellCare Affiliate Network. All-Med Management is licensed as both a TPA and a provider of DME in Florida. Consequently, All- Med Management (as a TPA), exclusively contracted with All-Med Management (as an Exclusive Provider) to provide DME to HealthEase and Staywell Managed Medicaid beneficiaries. 31 In 2012, Univita Health, Inc. acquired All-Med Services of Florida, Inc. and its subsidiaries, including All-Med Management.Y Therefore, Univita Health, Inc. owns, controls and operates both the TPA (All-Med Management) and the Exclusive Provider (All-Med Management) for all DME provided to HealthEase and Staywell beneficiaries, and is able to profit from the contractual and self-referring relationship between the TPA and Exclusive Provider. Moreover, the de facto EPa created between HealthEase, Staywell and All-Med Management (the Exclusive Provider) through All-Med Management (the TPA) was never authorized by AHCA. Similarly, in 2009, one of the Florida Medicaid managed care plans, Amerigroup Florida, Inc. ("Amerigroup"), entered into a Management Services Agreement with Atenda Healthcare, Inc. whereby Atenda Healthcare, through one of its affiliated companies, would act as the TPA for Amerigroup's participating provider nerwork.v' In 2010, Univita 31 See Exhibit 11. 32 See Exhibit 12. 33 See Exhibit 13. MHDocs 3880621 1 13130.l Pagel7

Health, Inc. purchased Atenda Healthcare, Inc. and its affiliated companies ("Atenda,,)?4 Atenda then contracted with Univita Healthcare, LLC to be the exclusive DME provider for Amerigroup. Univita Healthcare, LLC is owned, controlled and operated by the same managers as Univita Health, Inc. Therefore, Univita Health, Inc. owns, controls and/or operates both the TPA (Atenda) and the Exclusive Provider (Univita Healthcare, LLC) for all DME provided to Amerigroup beneficiaries, and is able to profit from the contractual and self-referring relationship between the TPA and Exclusive Provider. Moreover, the de facto EPO created between Amerigroup and Univita Healthcare, LLC (through Atenda) was never authorized by AHCA. 3. Case Law Courts have long recognized that our federal antitrust laws (15 U.S.C. 1 et seq.) prohibit exclusivity agreements among insurers and providers that create, or attempt to create, a monopoly. For example, in a closely watched case in 2010, the U.S. Court of Appeals for the Third Circuit reinstated a Pittsburgh hospital's antitrust lawsuit against a competing hospital and the area's largest health insurer. 35 In 2009, West Penn filed an antitrust lawsuit against the region's largest hospital and insurer alleging a "mutual protection" conspiracy-i.e., that the defendants had conspired to eliminate competition in their respective markets in order to create a "super monopoly"-in violation of Sections 1 and 2 of the Sherman Act. The District Court dismissed the case.'" The Third Circuit reinstated West Penn's case, finding that West Penn had sufficiently alleged direct evidence of an agreement between the hospital and the insurer to protect each other from rivals. 3? The Third Circuit's holding demonstrates that insurer-provider exclusivity arrangements must undergo and withstand strict scrutiny under the law in order to proceed. Furthermore, the McCarran-Ferguson Act ("the Act") does not insulate insurer-provider exclusivity agreements from federal antitrust scrutiny. The Act exempts the "business of insurance" from federal antitrust law to the extent that the business of insurance is regulated by state law. However, exclusivity agreements between insurers and providers are not the "business of insurance." In Group Life & Health Ins. Co. v. Royal Drug Co., Inc., the plaintiffs, independent pharmacies, challenged agreements between a health insurer and three "participating pharmacies.v" Under the agreements, the insurer's policyholders could purchase prescription drugs from the participating pharmacies at a price of $2 per prescription, and the insurer would reimburse the pharmacy for the cost of acquiring the drug prescribed. By contrast, policyholders who selected a non-participating pharmacy were required to pay the full retail price charged by the pharmacy and could then seek reimbursement from the insurer for 75% of the difference between that price and $2. The Supreme Court concluded that Congress did not intend to protect insurer-provider exclusivity agreements because those agreements are not the 34 See Exhibit 14. 35 West Penn Allegheny Health System, Inc. v. UPMC, 627 F.3d 85 (3d Cir. 2010). 362009 WL 3601600 (W.D. Pa. 2009). 37 UPMC, 627 F.3d at 110. 38 440 U.S. 205,211 (1979). MHDocs 3880621_113130.1 Page 18

"business of insurance." The Court's ruling is yet another example of the need for strict regulatory oversight of insurer-provider exclusivity arrangements. Neither the "state action immunity doctrine" nor the McCarran-Ferguson Act permits a laissez-faire approach to insurer-provider exclusivity agreements. Rather, such arrangements must be intensely regulated due to the threat posed to output, quality of services, and innovation. By creating arrangements that establish a monopoly on market share in the manner described above, Florida Medicaid managed care plans (as well as the TPAs and providers they contract with) may be guilty of anticompetitive conduct, and may also be guilty of violations of federal and state kickback statutes. IV. RECOMMENDATIONS In light of the foregoing, Florida's regulation of anti competitive managed care arena can be improved by: conduct in the Medicaid 1. Eliminating unauthorized, de facto EPOs that do not comply with the law; 2. Enforcing disclosure of any and all EPOs between and among managed care plans, TPAs, and/or providers (as currently required by Fl. Stat. 627.6472); 3. Requiring disclosure of any direct or indirect financial relationships between and among managed care plans, TPAs, and/or providers; and 4. Denying approval of authorized EPOs where there is common control or ownership between or among the managed care plans, TPAs, and/or providers. Given that current monopolization of market power may lead to the elimination of providers in certain geographic areas in Florida, one can only imagine how many providers will be eliminated when the SMCC program is fully instituted throughout all geographic areas in Florida. As a result, it is especially important to employ the aforementioned recommendations during the lin process of the SMCC program. There must be transparency and full disclosure of exclusivity arrangements in order for ARCA to preserve and promote competition between and among providers. MHDocs 3880621_113130.1 Page 19

Exhibit 1

Medicaid Managed Care [1915(b)] Summary Enrollment Report As of July f st, 2012 (Including Medikids Population) IITANF I/SSI '#To!al Enrolled I "10 Chg From Plan Name Type '".. No.... -..---Medic ;re--... M~'ricar... Market Share Enrolled Medicare Part B Parts A 8. B Enrolled nrev.month. L prev.rnonth AMERIGROUP HMOMC 153,408 21,224 28 4,355 189.015 16.5% 187,2.n 0.93 BUENA VISTA HMOMC 20,585 2,484 1 570 2~,640 2.1% 23,229 1.77 CAREFLORIDA HMOMC 1,601 352 1 37 1.SS1 0.2% 2,008 M:') CLEAR HEALTH ALLIANCE HMOMC 189 380 1 6 576 0.1% \>21..7.25 FREEDOM HMOMC 21,906 2,432 1 332 24,6/3 2.1% 24.457 0,88 HEALTHEASE HMOMC 156,076 19.530 22 2,125 178,353 15.5% 176,079 0,15 HE:ALTHYPALM BEACHES HMOMC 12,255 5 Q 3 12;266 1.1% 12,105 1.33' HUMANA HMOMC 31,989 6.$64 33 993 39,St9 3.5% 40,008 0.07% ME:DICA HMOMC 2,034 640 5 119 3;296 0.3% 3,326 --0.84% MOLINA HE:AL THCARE HMOMC 35,766 5,355 13 707 41,841 3. % 41,374 U3% PREFERRED MEDICAL PLAN HMOMC 13,042 2.314 9 60S, '16.171 1.4% 15,e08 3.61' Y" SIMPLY HEALTHCARE: PLAN HMDMC Z3.762 2,700 9 362 2.3% 25,963 3.58% STAYWE:LL HMOMC 170,2.18 24,212 HI 3.262 ~!~:~~~ 17.2% 196,606 0.59% SUNSHINE HMOMC 101,921 13.007 7 1,696 ;16,631 10.2% 114,6$7 1.71% UNITED EVERCARE FREtO 0 144 1 2.461 ' 2,600 0.2% 2.619..0.50% iunited HEAL THCARE PLAN HMOMC 85,973 11,463 16 2,426 99,678 8.7% 98,120 1.79% UNIVERSAL HMDMC 37.587 5,414 7 822 4S,!!~O 3.8% '43,563 0.61% VISTA HEAL THPLAN of S, Fl HMOMC 20.773 1.926 12 436 '. ~~147 2.0% 22,487 ;Z.94~, HMO_.ENRJOTAL HMOMC 899,590 120,6$6 164 22,118, l,042.54!l 90.8% 1,032,107 1.01% PClES :.GE CPS 1 62 FJ5,.01& 9 1,002 71',635 6.2% 73482..2.51", Ir.;ECRP,L cr:,;, 19,:,55 1.572 I 195 21;6:i3 1,9% 21,416 l.01' CPSN_EI-lR,.TOTAL CP(;'1 82.470 9.59'1 10 1,197,~',,1SS., 1~i.l $4,1.\98 1.72% SETTER HEAlTH, LLC, PSNNR 1,332 218 1 28 U3:n 0.1% 1,486 6.12~' First Coast Advantage Central PSNNR 1,04f; 109 0 4 \.169 0.1"; 608 128:; SFCCN PSNNR 5,322 2,.128 11 389 B 1S<! 0,7% 8.138 0,15% WeC.re Health Plans. Inc PSNNR 1,057 161 0 7 1,;05 0.1% 1.176 3.32'" PSN_ENR_TOTAL PSNNR 8,751 2,904 12 4lB 12,101 1.1% 11.30a 7)1% " MMCP ENR TOTAL 990,B17 133.151j '206 23,743 1,147,911 100.0% 1136313 0.B4% Medicaid Pilot (1115) HMO and PSN Summary Enrollment Report As of July 1st, 2012 (Including Mediklds Population) IITANF -... -.. #SSI Enrolled % Chg Plan Name Type No 1- iiledlciir"c- i -Medicare Market Share Enrolled Medicare I PartS I Parts A & B Enrolled, nrev.month prev.morrth POSITIVE RAHF 14 1581 o! 11 0.1% 182 0.55% freedom REHfo'O 3,567 550! o i wr 1.4% 4.133 1.72% HUMANA REHMO 4,400 1,3941 7i 212 1.9% 5,262 1427% ME;DICA REHMO 2,860 7741 21 122 1.2% 3.697 1.65% MOLINA HEALTHCARE REHMO 23,717 3,7flS j 9) 525 9.0% 27,999 0.29% CAREFLORIOA REHMO 2,613 5621 21 1M 1.0% 3,274 ~1.01% :~ 926 21.8% 86,221 0.33% SUNSHINE< REHMO 77.7$ 1,832! UNITEOHEALiHCAREPLAN REHMO 7.442 1,1331 91 ' $;672 2.e% 1l.592 0.93% UNIVERSAL REHMO 17,070 2,5681 1H 370 20,{)1S 6,4% 19,755 1.33% i! PILOT HMO TOTAL 139,479 18,740 I 39 t 2.416 1eO,574 51.7% 159,115 0.98%! I 8ETTER HEALTH, LtC, P$l(1{ 31,003 3,9871 4 f 582 30,?3~ 11,8% 36.137 1.38% ems CIISR 4.751 3.713! o j 13 :Mn 2.7% 8.457 0.24% SFCCN PSNR 32,252 4,294 \ 5i 5% 3r;-j,ffl 12.0% 36.929 0,59% ISI'artdsIJa~ db. FCA F' \!~ n,ss5 8.638 i 51 1,298 67;836 21.8% 66,684, 1.73% i PILOT PSN TOTAL 12,9b1 20.632j 2,498 141 1t..(lMS "t1.3% 148,207 1.27~(' j ILOT ENR TOTAL 266440 53 f A,~04 310,769 100.0% 307,322 1.12%! CARE ENR TOTAL 172,~231 259 I 28,847 1458.1>86 1.445,63~ 0.90% Medicaid Enrollment By Program Type Report (Including Medikids Population) Medicaid Enrollment Ratio JUNE 2012 JULY 2012 1 I! % ChgFrom PROGRAM MMCP PILOT f TOTAL Markel Share MMCP! PILOT i TOTAL Market Share nrev. month I I! HIIIO 1,032,107 ~ 159,115\ 1,191222 38,0% 1042548 I 160,6741 1.203.222 3B,3% 1.01% PSN 11.~OS 1 148,20], 159,515 5:1% 12101 150,095 162,196 5:2% 1.68% CPSN 94,"(l9S; i 94,898, '3.0% 93,26BI i 93,268 3.0% 1.72% i f I ~ANAGED CARE,ENR~OTAL 1,138,313i 307,322. 1.445.635 4. 1.147,917j 310,7 9, 1.458,686 46.4% 0,90%,,!,.M'DIPASS 596.~57i 595,457 19 590.107' 596,107 19.0% 0.05% Nurse Horne Division 1B.4S4 18.454 0,5 18,831j I 18.831 0:60% 2.04% PACE 621 i 621 0.0 62flJ! 626 '0,02% 0.81% FfS 1.075,3511 1,075351 ;34 1,068,8B5i I 1.DeB 885, '34.U%..a.flO%! i MEDICAID ENR. TOTAL 2,829,1'.; 301.322 3136.518 100% 2832,366' 310,7;;$ 3143.135 100% 0.21%,

Exhi it

1 tt.i' At U"'I :II: East Region

PageJPiig<na S2 Ameriqroup Ancillary ProvidersiProveedores Brevard County/Condado de Brevard - 24hr Psych Res Trtmt Ctr-Aduft Servicio AuxHiar Brevard County! ;ondado de Brevard Wuesfuoff Memorial Hospital 110 Longwood Ave Rockledge 32955 (321) 636-2211 Devereux Florida 1264 Us Highway 1 Rockledge 32955 (321) 631 6753 1600 Sarno Rd Ste 109 Melbourne 32935 (321} 752-3134 The Devereux Florida 1600 Sarno Rd Ste 214 Melbourne 32935 (321) 752-3111 Devereux Florida BODO Devereux Dr Viera 32940 {407}242-9100 Apollo Surgery Ctr 375 S Wickham Rd W Melbourne 32904 (321) 726 9393 The Brevard Specialty Surgery Ctr 95 Bulldog Blvd Ste 104 Melboume 32901 (321) 952-9800 Digestive & Liver cir Of Melboume 25 Stiver Palm Ave Ste B Melbourne 32901 (321) 733-2210 Merritt Island Surgery Center 220 NSykes Creek Pkwy Ste 101 Merritt Island 32953 {321}459-0015 Surgery Center Of Melbourne 14G1 S Apollo Blvd Ste 3 Melboume 32901 (321) 725-5151 Circles of Care 2020 Commerce Dr Melboume 32906 (321) 722-5200 6700 N. Hwy Us 1 TItusville 32780 (321) 722-5200 The Devereux Florida 1600 Sarno Rd Ste 214 Melbourne 32935 (321) 752-3111 Devereux. florida 8000 Devereux Dr Viera 32940 (407) 242-9100 Devereux Florida 1264 Us Highway 1 Rockledge 32955 (321) 631-6753 DaVIia - Melbourne Dialysis 2235 S Babcock St Melbourne 32901 (321) 956-6252 Frasenius Medical Care Viera 8Q41 Spyglass Hill Dr Unit 101 Viera 32940 (321) 254-4553 Renal Care Group Brevard 4940 Stack Blvd Ste C 3-7 Melbourne 32901 (321) 952-11B1 Hanger Prosthetics.& Orthotics 1121 Geiger St Rockledge 32955 (321) 636-4525 737 S Apollo Blvd Melbourne 32901 (321) 953-2224 Univita Haalthcare Titusville 32780 (38B) 914-2201 Diagnostic Health, Merritt Island 270 N Sykes Creek Pkwy Merritt Island 32953 (321) 454-7302 Neuro Imaging Institute 27 E Hibiscus Blvd Melbourne 32901 (321) 952-7300 Neuroskeletai Imaging Inst Orlando 255 N Sykes Creek Pkwy Merritt Island 32953 (321) 454 6335 Omni Healthcare 1344 S Apollo Blvd Ste 102 Melbourne 32901 (321) 777-7888 Anchor Care And Rehabilitation Center 1515 Part Malabar Blvd Ne Palm Bay 32905 (321) 723-1235 Rockledge Health.& Rehabilitation Ctr 587 Barton Blvd Rockledge 32955 (321) 632-6300 Neuroskeletal Imaging Illst Melbourne 1344 S Apollo Blvd Ste 406 MelboUme 32901 1 t" (321) 409-9990 I Circles of Care 1770 Cedar St 255 N Sykes Creek Rockledge 32955 Pkwy (32i) 722-5200 Merritt Island 32953 (321) 454 6335 Neuroskeletal Imaging lnst Orlando 1344 S Apollo Blvd Merritt Island 32953 (321) 409-9990 The Health Center Of Merritt Island 500 Crockett Blvd Merritt Island 32953 (321) 454-4035 Unilfiia Heaithcare Titusville 32780 (88B) 914-2201, ~ ~l~ 2000 Commerce Dr W Melboume 32904 (321) 722-5273 ibrevard Prosthetics 1405 S Valentine se Melbourne 32901 (321) 733-7778 3880 S Washington AveSte 241 Titusville 32780 (321) 383-0860 500 N Washington Ave Ste 104 TJtusviUe32796 (321) 383 0860 Univita Healtheare Titusville 3278(} (BBS) 914-2201 The Health Center Of Merritt Island 500 Crockett Blvd Merritt Island 32953 (321) 454-4035 Univita Healthcare Titusville 32780 (888) 91 4-2201 Circles of Care 4450 W Eau Gallie Blvd Ste 200 Melboume 32934 (321) 722-5200 Diagnostic Health, Merritt Island 270 N Sykes Creek Pkwy Merritt Island 32953 (321) 454-7302 Florida Diagnostic Imaging 5201 Babcock St Ne Ste 5 Palm Bay 32905 (321) 676-5323 M R I Of Nort!l Brevard 1905 Jess Parrish Ct TItusville 32796 (321) 269-1693 Neuro Imaging Institute 27 E Hibiscus Blvd Melbourne 32901 (321) 952-7300 Neuroskeleial Imaging Institute - Merritt Island 1344 S Apollo Blvd Merritt Island 32953 (321) 454-6335 255 N Sykes Creek Pkwy Merritt Island 32953 (321) 454-6335 Open M R I Of Rockledge 1327 Oak St Melbourne 32901 (321) 729-1449 1978 Rockledge Blvd Sfe 101 Rockledge 32955 (321) 633-1600 Anchor Care And Rehabilitation Center 1515 Part Malabar Blvd Ne Palm Bay 32905 (321) 723-1235 The Health Center Of Merritt Island 500 Crockett Blvd Merritt Island 32953 (321) 454-4035

Amerigroup Ancillary Providers/Proveedores de Servicro AUXKUar PagefP<igJna ~ Marion County/Condado de Marion - Imaging Fadlity/Fadlid<:td de imagen Hadloqrafica _,', T~"'_ ~ " island Health And Indian River DaVita - leesburg Villages Endo Surg Rehabilitation Ctr Dialysis Ctr Ctr County/ "5 ~'rna Blvd 801 E Dixie Ave ste 10900 Se 174th Place,land 32953 Condado de 108-A Rd 6' 3-Q202 Indian River Leesburg 34748 Clermont Radiology Summerfield 34491, c (863) 648-1719 1804 Oakley Seaver Dr (352) 245-7427 Ihe Palms Rehab Sta B I\.nd Healthcare Ctr DaVila - Mt Dora Clermont 34711 5405 Babcock St Ne Dialysis (352) 241-6100 Palm Bay 32905 2735 W Old Us Hwy ;321) 722-0660 441 Mount Dora 32757 Univita Healthcere Rockledge Health & Univita Heafthcare (352) 383-7022 Rehabilitation Ctr 587 Barton Blvd serving This Area DaVita - Ocala Reg Rockledge 32955 Winter Beach 32971 Kidney Ctr South Ocala 34480 :321) 632-6300 ~9i4-2201 13940 N Us Hwy 441 914"2201 lfista Manor ;~~~:!{E~(~~Jdi ; Ste40D lady Lake 32159 Clermont Radiology r~iwtt~~;:;;~ 1804 Oakley Seaver Dr ""'" "... ;i':_,,~..a,,_.,...""'" 1550 Jess Parrish Ct (352} 75H240 Sts B : DaVita - Ocala Reg Iltusville 32796 DaVits - Sebastian :321) 269-2200 Dialysis Lake Griffin East Clermont 34711 : Krdney Ctr North West Melbourne 1424 Us Highway 1 I Dialysis (352) 241-/3100 ' 2620 W Highway 316 Sebastian 32958 401 E North Ave Citra 32113 Health & (772) 589-9182 Leesburg 34748 (352) 591-4680 Rehabilitation (352) 315-0D62 DaVita - Ocala Reg ~enter indian River Dialysis 2125 W New Haven Center Renal Care Group Kidney Ctr West 9401 Sw Highway 200 o'vs 2150 45th St Ste 1D2 Clermont Melboume 32904 Vera Beach 32967 312 Mohawk Rd Bldg 600 :321) 725-7360 (772) 567-2529 Minneola 34715 Ocara 34481 (352) 243-1200 (352) 873-9371 RCe Vem Beach DaVila - Regional 1515 Indian River Blvd Kidney Ctr Home Di Ste A-i01 2860 Sa 1st Ave Vera Beach 32960 Ocala 34471 (772) 778-4917 (352) 622-8758 Bay Area Sleep Ocala Regional I\ssociates Kidney Ctr East 1101 W HibIscUS Blvd 2870 Se 1st Ave 3te 100 Ocala 34471 Vlelbourne 32901 (352) 351-9140 :800)797-7533 19!8 U:, Highway 1 Univita Healthcare ge 32955,dOc.,..17-7533 Winter Beach 32971 Space Coast Sleep (888) 914-2201 Disorders Ctr 340 Classic Ct Ste 106 'AeJboume 32940 :321) 255-9901 Advanced Prosthetics & Orthotics Lake Harris Health 2763 W Old Us Hwy Ctr 441 701 Lake Port Blvd Mount Dora 32757 (352) 383-0396 LeesbU~ 3474B (352) 72-3366 The Health Center Hanger Prosthetics Of l\!ierritt Island & Orthotics 500 Crockett Blvd 601 Mount Homer Rd Marion County! M.erritt Island 32953 Eustis 32726 Condado de Hanger Prosthetics :321) 454-4035 (352) 357-0764 Marion & Orthotics l1nivita Healthcare Hanger Prosthetics 1750 Sw 1st St Ocala 34474 & Orthotics East (352) 351-2788 601 E Dixie Ave Ste rrtusvifle 32780 803 Univiia Healthcare :888) 914-2201 Leesburg 34748 (352) 360-2665 Univita Healthcare Ocala 34480 {8SS) 91 4-2201 Lady Lake 32159 (888) 914-2201 1I.nchol' Care And Rehabilitation lake Harris Health A 1 Imaging of Ocala Center ~;? Ctr 301 Se 17th St Ste 1515 Part Malabar HearX 701 Lake Port Blvd 102 31vd Ne 1501 N, Us Hwy 441, Leesburg 34748 Ocala 34471 ~~1'" "lay 32905 Bldg, 1600 (352) 728-3366 Surgery Ctr Of (352) 622-7459 3-1235 Lady Lake 32159 Un1vita Heafthcare Ocala In, -,alth Cenier (352) 391-5098 3241 Sw 34th St ~ Merritt Island Ocala 34474 ioo Crockett BlVd Lady lake 32159 (352) 237-5906 Davita - lake vlerritt Island 32953 (88B) 914-2201 Dialysis 321) 454-4035 221 N 1st St Leesburg 34748 (407) 874-4423

Page/Pagir1854 Ameriqroup AndHa!y Providers/Proveedcres de Servicio Auxiliar _ ""_=""~'"",.,_~_"r~,..,,,,,,,,,,,,,,,,' Marion county/conoado de Marion - Nursing Home/Hogar de Comralescencia <.", Family Preservation Health Central DaVita - Orlando, Sves of Florida Surgery Center North Dialysis 1690 Nw 9th Ave 1435 Division St 5135 Adanson St Ste Okeechobee 34972 Ocoee 34761 700 (772) 595-3773 (407) 296-1000 Orlando 32804 (407) 539-3998 Millenia Surgery ctr 4901 S Vineland Rd DaVita - Orlando Ste 150 Behavioral Support Southwest Dialysis Orlando 32811 Svcs 6925 Lake Elienor Dr (407) 370-3272 Family Preservatioll 315 N Lakemont Ave Ste 650 Sves of Ronda MNH Surgical Ctr Ste B Orlando 32809 103 Nw 5th St 1101 N Maitland Ave Winter Park 32792 (407) 539-399a Okeechobee 34972 Maitland 32751 (407) 830-6412 FMC Dialysis (772)!;i95-3773 (407) 644-4222 Devereux: Florida Services - Winter Orlando 6147 Christian Way Park Opthalmology Orlando 32808 6848 Aloma Ave (407) 296"5300 Winter Park 32792 Surgery Crr (407) 673-5191 Unilliia Healthcare 105 Bonnie Loch Ct Eckerd Youth Orlando 32806 AlternatIves Fresenlus Medical Marion House (407) 428--D040 2300 Lee Rd Care East Orlando Healthcare Ctr Ocala 34480 3930 E Silver Springs Orlando Surgery Ctr Winter Park 32789 2200 Alafaya TrI Ste (888) 914-2201 8lvd 2000 N Orange Ave (407) 339-7451 600 Orlando 32826 1 Ocala 34470 Orlando 32804 (407) 282-1506 (352) 23(>-2626 (407) 897-2000 Park Place Surgery Home Dialysis Of Dscf Univita Heaithcare Ctr Okeechobee 2501 N Orange Ave 2450 Maitland Ctr County! Ste 537n Saunders Pkwy$te 100 Devereux Florida Orlando 32804 Prosthetics & Cotuiedo de Okeechobee 34972 Maitland 32751 1010 Executive Dr (407) 515-2200 Orthotics Okeechobee (BBB)914-2201 (407) 875-0296 Orlando 32803 Physicians Surgical (321) 281-3840 2548 N Orange Ocala 34480 Orange County! Care Blossom TTl (407) 870-8081 2056 Aloma Ave Ste 1140 S Semoran Blvd Orlando 32804 Condado de 200 Ste A (407) 246-5081 Orange Winter Park 32792 Orlando 32807 (407) 647-5100 (407) 273-7117 4100 Metric Dr Ste 300 Sand Lake SUl"gery Winter Park 32792 501 N Wymore Rd Center (407) 681-7600 Winter Park 32789 Devereux Ror"ida 7477 Sand LAke (407) 975-2565 Orlando Arficial i 1010 Executive Dr Commons Blvd Kldney Ctr : Orlando 32803 Orlando 3~819 3100 Clay Ave Ste 151 (321) 281-3840 (407) 264-9633 Orlando 32804 Apopka Dialysis Surgical Lie Ward (407) 898-4815 640 Executive Pari<ct 1140 S Semoran Blvd 110 W Underwood St Apopka 32703 Orlando Dialysis SteA SteB (407) 389-8980 14050 Town Loop Blvd Orlando 32807 Orlando 32806 Ste 104 A (407) 273-7117 (407) 648-9151 lama Apoka! Orlando 32837 1065 W Orange 501 N Wymore Rd University Surqical (407) 858-9458 Blossom Trail Family Pre servation Winter Park 32789 Ctr Apopka 32712 Orlando Park Svcs of Florida (407) 975-2565 7251 University Blvd (407) 880-2121 Dialysis 103 Nw 5th St Ste 100 5397 W Colonial Dr Okeechobee 34972 Winter Park 32792 BMA Of West Sie 120 MariOi'll House (772) 595-3773 (407) 677--D066 Orlando Orlando 32808 5600 W Colonial Dr Healthcare Ctr (407) 532-3109 Suite 101 3930 E Silver Springs 1690 Nw 9th Ave Orlando 32808 Winter Garden Blvd Okeechobee 34972 (407) 297-3777 Dialysis Ocala 34470 I (772) 595-3773 (352) 236-2626 Central Orlando 1222 Winter Garden Vineland Rd Bldg 3 'r~wl i$~ Dialysis.A-;'~.~5:J", ' ~~~. Ste 300 2548 N Orange RCe Okeechobee Winter Garden 34787 Blossom Trl Sie 400 201 Sw 16th St (407) 877-0364 Orlando 32804 Okeechobee 34974 (407) 246-5081 Winter Park Dialysis (863) 467-7654 Un!vita Heatthcare 3727 N Goldenrod Rd DaVifa - Ocoee Ste 101 Dialysis Winter Park 32792 11140 W Colonial Dr Ocala 34480 (407) 657-5262! Ste 5 (888) 914-2201 The Birth Place Ocoee 34761 Winter Park Herno 1150 E Plant St Ste F (239) 659-5202 Dialysis Winter Garden 34787 4100 Mebic Dr Ste 300 DaYUta - Orlando (407) 656-6938 Winter Park 32792 Dialysis (407) 681-7600 118 Sturtevant St Central Florida Orlando 32806 Winter Park Home Surgical Ctr Marion House (407) 426-9212 PO Dialysis 11140 W Cotonial Dr Healthcare Ctr 4100 Metric Dr Sts 200 sts 3 DaVita - Orlando 3930 E Silver Springs Winter Park 32792 Ocoee 34761 Univita Healthcare East Dialysis Blvd (407) 681-8730 (407) 656-2700 1160 S Semoran Blvd Ocala 34470 (352) 236-2626 Citrus Ambulatory SteC Orlando 32801 Orlando 32807 Surgery Ctc Ocala Health & (888) 914-2201 (407) 823-9533 2861 S Delaney Ave Rehabilitation Ctr Family Preservation Sts 8 DaYita - Orlando 1201 Se 24th Rd Svcs of Florida Orlando 32806 Home Training Dialy Ocala 34471 103 Nw 5th St (407) 472-5095 3885 Oakwater eir (352} 732-2449 Okeechobee 34972 Orlando 32806 (772) 595-3773 (407) 826-0101 -",''''''---'

PagelPagina 55 Ameriurouo Ancillary Providers/Proveedores de Servicio Auxiliar...-~.- Osceola County/Condado de Osceola - 24hr Psych Res Trtmt Ctr-Child -...-.-..--""-~. Professional Ocoee Health Care Imaging Center Center 7806 Lake Underhill 1556 Maguire Rd Rd Ste 101 OCoee 34761 Orlando 32822 (407) 877-2272 Ai Imaging of (407) 608-6800 ABC Prosthetics & R G Therapy Svcs Adventist Care Ocoee Professional Orthotics 630 N Maitland Ave Centers Courtland 9450 W Colonial Dr Univita Healthcare, imaging 115 W Columbia St Maitland 32751 730 Courtland sr ocoee 34761 :. Consultants stea& B (407) 539-24B8 Orlando 32804 (407) 822-0999 7806 Lake Underhill Orlando 32806 (407) 975-3800 Univita Healthcare Orlando 32801 A 1 Imagin.g of Ste 101 (407) 999-B977 Lake Bennett Health (888) 914-2201 Orlando Orlando 32822 & Rehabilitation 500 N Semoran Blvd (407) 608-6800 2909 N Orange Ave Orlando 32801 Center Ste 104 Ste 103 University :tt:; 914-2201 1091 Kelton Ave Orlando 32604! Orlando 32807 Oooee 34761 ~ Diagnostic Institute (407) 896-6480! (407) 275-6072 (850) 256-0316, 111 N Lakemont Ave Drew Medical : Ste t a Ocoee Health Care 1561 W Fairbanks Ave. Winter Park 32792 Orlando 32801 Center Winter Park 32789 (407) 975-3315 (407) 999-6977 I Center For 1556 Maguire Rd (407) 629-7474 Ocoee 34761 ABC Prosthetics & Diagnostic Imaging Advanced (407) 877-2272 Orthotics Of Winter 1295 Orange Ave Prosthetics & 51 W KaleySt Park Winter Park 32789 Sunbelt Health & Orthotics Orlando 32806 115 W Columbia St (407) 628-5051 Rehab Center- 73 W Underwood St (407) 999-9925 SteA&B Apopka Orlando 32806 Orlando 32806 1781 Park Center Dr 305 E Oak St (407) 254-5011 7208 Sand Lake Rd (407) 999-8977 Ste 110 Apopka 32703 Hanger Prosthetics Ste 300 Orlando 32835 (407) 860-2266 Orlando 32819 & Orthotics 2909 N Orange Ave (407) 741-5400 (407) 363-6700 Winter Park Care & 1Q000 W Colonial Dr Ste 104 Rehabilitation Ctr Ste 184 Orlando 32804 3847 Oakwater Clr 775 N Alafaya Tri 2970 Scarlett Rd Ocooe3476i (407) 898-6480 Orlando 32806 Orlando 32828 Winter Park 32792 (407) 578-0446 (407) 599-6585 (321) 235-8700 Combined Medical (407) 671-8030 Svcs Group Mid FloTida Imaging 1100 S Orlando Ave Winter Park 32789 9582 W Colonial Dr East Orlando Health 1150 S Semoran Blvd ocoee 34761 Orlando 32801 SteD (407) 740-8774 & Rehab Center {407) 363-6700 (407) 622-7200 Orlando 32807 250 8 Chickasaw Trf Hanger Prosthetics (407) 482-5253 Emery Medical Orlando 32825 Saunders &. Orthotics East (407) 380-3466 Prosthetics & 124 Underwood sr 200 N Orlando Ave Orlando 32806 2151 E Semoran Blvd Ocoee Health Care Orthotics Winter Park 32789 Children First ILl' ~22-8200 Apopka 32703 Center Serving Thls Area (407) 599-4744 Therapy (407) 628-9100 1556 Maguire Rd Orlando 32801 444B Edgewater Dr cooter Store - (407) 870-80Bi A FO Imaging Ocoee 34761 6342 W Colonial Dr Orlando 32804 _,.<,.ldo 6388 Sliver Star Rd ' (407) 877-2272 ste C (407) 513-3000 2457 Silver Star Rd Ste 1a Orlando 32818 Orlando 32804 Westminster Towers Orlando 32818 (407) 523-0411 Herman & Assoc (800) 771-5449 70 W Luoerne Cir Pediatric Specialists (407) 298-2828 Orlando 32801 Neuroskeletal 4401 E Colonial Dr Ste Uoivita Healtheare Heart Study ctr (407) 841-1310 Imaging Institute 107 10244 E Colonial Dr Merritt Island Orlando 32803 Ste 107 Orlando 32801 R G Therapy Svcs 1315 S Orange Ave (407) 898-5060 Orlando 32817 :;U!ft 914-2201 630 N Maitland Ave Orlando 32806 (407) 277 4808 Maitland 32751 (407) 999-9977 Ocoee Health Care Center (407) 539-2488 West Coast 1556 Maguire Rd 63B6 Silver Star Rd Ste2h West Rehab Svcs Radiology Ocoee 34761 Orlando 32818 1170 S Semoran Blvd 1193 Blackwood Ave (407) 877-2272 FH Oerrtra Care -! (407) 834-1151 Ste F Ste H Children First R G Therapy Svcs Orlando 32807 Ocoee 34761 Colonial Town I Mobile Sonix Therapy (407) 207-6113 (407) 656-6040 630 N Maitland Ave 630 N Bumby Ave 2071 Eagles Rest Dr 4448 Edgewater Dr Maitland 32751 Orlando 32803 Apopka 32712 Orlando 32804 (407) 539-2488 (407) 596-1014.1 (407) 339-7717 (407) 513-3000 Univiia Healthcare, Neuroskeleta! Herman & Assoc, Imaging Jnst Pediatric Specialists Melbourne 4401 E Colonial Dr Ste Orlando 32801 1315 S Orange Ave 107 ' (88B) 914-2201 Orlando 32806 Orlando 32803 (407) 999-9977 (407) 898-5060 Osceola Neuroskeletal Ocoee Health Care County! Imaging Inst Center Condado de Orlando 1556 Maguire Rd 1315 S Orange Ave Ocoee 34761 Osceola Orlando 32806 (407) 877-2272 (407) 999-9977 R G Therapy Svcs Neuroskeletal 630 N Maitland Ave Alere Women's & Imaging Institute - Maitland 32751 Univita Healthcare Devereux Florida Children's Health Winter Park (407) 539-2488 Children First 3497 W Vine St 2111 Glenwood Dr Ste Uniltita Healthcare Therapy Kissimmee 34741 Ori"ndo 32801 101 4448 Edgewater Dr Orlando 32801 (407) 935-3770 '99-2106 Winter Park 32792 Orlando 32804 (888) 914-2201 (407) 478-1550.a Healthcare Orlando 32801 (407) 513-3000 Orlando Ultrasound (888) 914-2201 Hennan & Assoc Assoc Pediatric Specialists Orlando 32B01 11325 Lake Underhill 4401 E Colonial Dr ste (888) 914-2201 Rd Ste id1 107 Orlando 32825 Orlando 32803 (407) 273-7303 (407) 898-506Q

Page/Pagina 56 Amerigroup Ancillary ProvfdersfProveedores de Servicio Auxiliar Osceola County/Condado de Osceola - Adult Companion Services/El Compatierc adulto Atiende a Kissimmee Endoscopy Center 715 Oak Commons Blvd Kissimmee 34741 (407) 931-2816 Kissimmee Surgery Center 2275 N Central AVe Kissimmee 34741 (407) 870-0573 Osceola Mental Health 206 Park PI Blvd Kissimmee 34741 (407) 846-0023 St Cloud Dialysis 4750 Old Canoe Creek Ad Saint Cloud 34769 (407) 498-0018 Hanger Prosthetics a Orthotics East 308 E Oak St Kissimmee 34744 (407) 870-0111 Unillita Healthcare Kissimmee 34741 (888) 914-22D1 Alere Women's & Children's Health Kissimmee 34741 (800) 999-2106 Univita Healthcare Kissimmee 34741 {S88) 914-2201 Combined Medical Svcs Group Kissimmee 34741 (407) 622-7200 Saunders Prosthetics & Orthotics Kissimmee 34741 (407) 870-8081 Florida Eye Clinic A SC 160 Boston Ave Altamonte Springs 32701 (407) 834-7776 lake Mary Surgery Gil" 460 sr Charles Ct Lake Mary 32746 (407) 585-0263 Lake Mary Surgical Ctr 1070 Greenwood Blvd Lake Mary 32746 (407) 333-5111 Rinehart Lake Mary Surgical Center 917 Rinehart Rd Ste 1001 lake MaJY32746 (407) 708-5383 BMA North Orlando 750 S North Lake Blvd Ste 1024 Altamonte Springs 32701 (407) 831-7070 Casselberry Dialysis 4970 S Us Hwy 17/92 Casselberry 32707 (321) 207-7135 Fresenius Med Care-Sanford 419 E 1st St Sanford 32771 (407) 323-6765 Home Dialysis Of Dscf 1701 Wist st Sanford 32771 (407) 268-9425 640 Executive Park Altamonte Springs 32714 (407) 389--8980 Alere Women's 8.. Children's Health Ntamonte Springs 32701 (800) 999-2106 I Uoivita Hsalthcare 1 l I Altamonte Springs! 32701 ; (888) 914-2201 Drew Medical 277 Douglas Ave Ste 1014 Altamonte Springs 32714 (407) 788-2888 7424 Red Bug Lake Rd Oviedo 32765 (407) 971-6344 Heart study Ctr 755 W State Rd 434 SteA Longwood 32750 (407) 834-1151 Professionals Imaging Consultants 1049 Willa Springs Dr Ste 1051 Winter Springs 32708 (407) 657-7979 1343 S International Pkwy Ste 1351 Lake Mary 32746 (407) 304-1000 De1lel'eWC Florida 3497 W Vine St Kissimmee 34741 (407) 935-3770 l~2~~~lf&l11tei~! Celebration Dialysis 1154 Celebration Blvd Kissimmee 34747 (407) 566-1780 DaVita" Kissimmee Dialysis 802 N John Young Pkwy Kissimmee 34741 (407) 847>4423 Nephrology Consultants Dialysis 4750 Old Canoe Creek Rd Saint Cloud 34769 (407) 498-0018 A 1 Imaging of Kissimmee 810 N John Young Pkwy Kissimmee 34741 (407) 847-6745 Drew Medical 208 W OakSt Kissimmee 34741 (407) 846-8700 A F 0 Imaging 56 W Oak St Kissimmee 34741 (407) 344-9899 Medi~ound Inc 301 N John Young P\<wy Kissimmee 34741 (407) 931-4840 Professional Imaging Consultants 911 E Oak St Kissimmee 34744 (407) 847-3070 MediSOl.ll1d Inc 301 III John Young Pkwy Kissimmee 34741 (407) 931-4840 Mid Florida Imaging 819 E Oak si Ste C Kissimmee 34744 (407) 932-0224 Univita Healthcare Kissimmee 34741 (888) 914-2201 Seminole County! Condado de Seminole Univita Healthcare Serviog This Area Altamonte Springs 32701 (888) 914-2201 Family Presentation Svcs of Rorida 2500 W Lake Mary Blvd LaKe Mary 32746 (407) 688-0055 Hanger Prosthetics & Orthotics East 819 E 1st SI Sanford 32771 (407) 321-2053 Uohrita Heelthcare Altamonte Springs 32701 (888) 914-2201 Audiology Assoc 108 Forest Ave Altamonte Springs 32701 (407) 339-8998 < HearX ;, 600 E Altamonte Dr Ste 1100 Altamonte Springs 32701 (407) 331-8883 Combined Medical SliCS Group Attamonte Springs 32701 (407) 622-7200

Amerigroup AnciUary Providers!Proveedores de Servicio Auxiliar Page!Piiglna OJ Voiusia County/Condado de Vojusia - Speech Therapy Services/Servicios de Terapia del Habla Saunders Prf'~thetics & ics j This Area Alta, nonte Springs 32701 (407) 870-8081 Center For Diagnostic Imaging 1000 W Broadway St Ste 104 Oviedo 32765 (407) 977-9597 "" )rida Imaging vestmonte Dr.e,118 Altamonte Springs 32714 (407) 786-5877 Open M R I Of Stanford 303 Wist St Sanford 32771 (407) 330-7333 Vincon Diagnostic Ctr 5732 Canton Cv Winter Springs 32708 (407) 699-7787 Falcon Sleep Center 120 Alexandria Blvd Ste 19 Oviedo 32765 (407) 365-3033 Unillita Healthcare serving This Area Altamonte Springs 32701 ;,.~914-2201 Valusia County! Candado de Valusia O$land SUrgery Ctr 651 W Plymouth Ave Deland 32720 (386) 738-6811 Orange City Surgery Center 975 Town Center Dr Ste 100 Orange City 32763 (386) 456-5247 Children'S Advocacy Center 1011 W International Speedway Blvd Daytona Beach 32114 (386) 238-3830 Devereux Florida 120 E New York Ave Deland 32724 (407) 362-9210 Family Preservation Svcs of Florida 1540 Cornerstone Blvd Ste 200 Daytona Beach 32117 (386) 236-2652 Halifax Health 1041 DunJawton Ave Port Orange 32127 (386) 322-4200 841 Jimmy Ann Dr Daytona Beach 32117 (386} 274-5333 The House Next Door 121 W Pennsylvania Ave Deland 32720 (386) 738-9169 940k Deltona Blvd Deltona 32725 {386} 748-1776 ~1an4i~B~ 13MA Deltona 1200 Deltona Blvd Ste 53 Deltona 32725 (386) 574-0225 i)avita Daytona South Dialysis 1026 S Ridgewood Ave Daytona Beach 32114 (386) 257-3211 DaVila - Deland Dialysis 350 E New York Ave Deland 32724 (386) 738-2570 DaVita - Greater Daytona Home Traini 575 N Clyde Morris Blvd SteA Daytona Beach 32114 (386) 258-7719 DaVfta - New Smyra Beach Dialysis 11Q S Orange St New Smyma Beach 32168 (386) 409-0025 DaVita - Orange City Dialysis 242 Treemont Dr Bldg 2 Orange City 32763 (386) 775-0118 DaVila - Ormond Beach DialYSIS 495 S Nova Rd Ste 109 Ormond Beach 32174 (386) 676-2405 Daytona South Dialysis 1801 S Nova Rd Ste 306 South Deytona 32119 (386) 322-3625 New Smyrna Artificial Kidney Ctr 821 State Road 44 New Smyrna Beach 32168 (904) 409-8855 SMA Deltona 1200 Deltona Blvd Ste 53 Deltona 32725 (386) 574-0225 Advanced! Prosthetics &, Orthotics! 123 S Industrial Dr Ste I 104 ~ Orange City 32763 ; (386) 775-2800 : Hanger Prosthetics! & Orthotics j 1400 Mason Ave Ste C :1' Daytona Beach 32117 (386) 274-4907 ~ ; 2754 Enterprise Rd Ste 'A, Orange City 32763 j (386) 774-5678 1/ Onlvita Healthcare, i j Daytona Beach 32122 I (888) 914-2201 'I Stand Up MRI & I Diagnostic Ctr i 555 W Granada Blvd ; Ste H-1 I Ormond Beach 32174 1 (386) 677-7730! I 1 Halifax Health 1041 Ounlawton Ave Port Orange 32127 (386) 322-4200 303 N Clyde Morris Blvd Daytona Beach 32114 (386) 254-4000 841 Jimmy Ann Dr Daytona Beach 32117 (386) 274-5333 Family Preservation SIlCS of Florida 1540 Cornerstone Blvd Sta 200 Daytona Beach 32117 (386) 236-2652 TOOT~Of Daytona Beach 1704 Huntrngton ViHage Cir Daytona Beach 32114 (386) 255-6571 Woodlands Terrace 1 Extended Care Ctr 120 W Chipola Ave Deland 32720 (386) 738-3433 Univita Healthcare Daytona Beach 32122 (888) 914-2201 Halifax Health 1041 Dunlawton Ave Port Orange 32127 (386) 322-4200 841 Jimmy Ann Dr Daytona Beach 32117 (386) 274-5833 Halifax Health 303 N Clyde Morris Blvd Daytona Beach 32114 (386} 254-4000 Halifax Health 1041 Dunlawton Ave Port Orange 32127 (386) 322-4200 Halifax Health 1041 Dunlawton Ave Port Orange 32127 (386) 322-4200 303 N Clyde Morris Blvd Daytona Beach 32114 (386) 254-4000 Halifax Health 841 Jimmy Ann Dr Daytona Beach 32117 (386) 274-5333 Halifax Health 1041 Dunlawton Ave Port Orange 32127 (386) 322-4200 303 N Clyde Morris Blvd Daytona Beach 32114 (386) 254-4000 East Central Florida Outpatiem Imaging 1195 Dunlawton Ave Port Orange 32127 (386) 322-1616 i 1673 Mason Ave Ste i 305 I Daytona Beach 32117 I. (386) 274-7118 '! 1890 Lpga Blvd Ste 110 Daytona Beach 32117 (386) 274-5454 LAD Imaging 1555 Saxon Blvd. Ste. 401 Deltona 32725 (386} 860-9336 I I Univita Healthcara Daytona Beach 32122 (888) 914-2201 Signature Health Care Of Ormond 103 N Clyde Mom'S Blvd Ormond Beach 32174 (386) 673-0450 The Terrace Of Daytona Beach 1704 Huntington ViHage Cir Daytona Beach 32114 (386) 255-6571 Univita Healthcare Daytona Beach 3212::' (88B) 914-2201

Exhibit 3

PROVIDER EXPER!ENCE 'iveucare Health Plans, Inc, has placed a renewed emphasis In the experiences of both our members and providers. As 3. result, the organization has created a team of dedicated susmess Process Improvement (BPI) and cross-functional JUStness leaders charged with streamlining and enhancing overall provider-facing activities, such as contracting, claims oayrnent, provider cau center, authorizations, provider ::lemographic data, and more. Ihe Provider Experience team is responsible for partnering with tmcttonal owners from across the enterprise to: 1} document :he current state of activities, 2) define future provider-centric f 'ions and 3) oversee the improvement initiatives designed :0.rte end-to-end excellence for our providers, )ur provider experience Vision simply states: "To be the health )lan of choice for providers participating in government health irograms by erhancing member care through operational ixcellence in the execution of our business model" t should be noted that one of our very first undertakings 'las to conduct an initial Provider Satisfaction Survey so we.ould learn from, and understand more thoroughly, our valued )rovider network. The survey touched on a variety of subjects,eluding cal! center/member services, provider relations,.orrtlnuity/coordinatton of care, provider network, utilization nd quality management, finance issues, pharmacy and drug seneflts, and overall satisfaction and loyalty. Currently, we are 1the process of evaluating this information to identify specific ction plans toward improving the overall business relationship vith our providers. We Sincerely thank those who elected to artkipate in this year's effort, and look forward to next fa!! {hen we will again survey providers to measure improvement gainst this year's baseline. he emphasis the organization has placed on the provider xperience Is essential to ensuring that our providers have the ur ': they need in order to deliver the high quality of care la, ~Jr members deserve. By leveraging technology, working lose!y with our providers, and investing in growth, WellCare now uniquely positioned in making a difference toward btaining service excellence. You ~nfind the.followi~g'docurrents on www.welkare.corrr.. " Clinical Practice Guidelines - ASthma - Diabetes and more 4 Provider Resources.and Tools - Diabetes Tool Kit - Depression Tool Kit - Prellatar and Postpartum Tool kit - ADHb T901 K.it ~more.. HEDlS.lnfc)\l1Ia;i:ion " Provider Manuals " Quality l~p~~;~ment Prpgrarn and Updates " Member RightS and R~P9.nsibjlities e EI~ctiohic'tla:;mssGbmissiohs ',. " '.,",.:"...,'..," AbDmONAL..cRlTERlA.AVAILABLE Ou~ 'review crii~;3.and,gujde!ine~ are available to provtders upon request, piovi9~rsm;iyrequest a copy of the criteria used for specific d~et!nfnati.on ('jf medical necessity by calling thecustomer Service Dumber listed on the Ronda Quick Refer~oceGu[de~ Also, please.rernernberthat all Cljnical Coverage GuicleUnes, detallihg medical iiece;s$.itycriteria for several medical procedures; devices an9tests; are.availablevi~ the provider resources link at WWW.wellcare.com/Prbvider/CCGs. W83 RtSOUR\:ES Visit WWw.wellcare.com to access our Preventive Health Guidelines, Ciini~r Practice GUidelines, EPSDT documents, Pharmacy Gqiclelines, CulturalC~mpetency Plan and-other helpful resources, If you would like to receive a hard copy of any of these documents, please contact your Provider Relations representative.

NEW HOME HEALTH AND DMEPROYJDER T~e Staywell arid HealthEase Plans hav~en~ered:i~t9 af1exdu$ive<:qn~~~t with An-:Med,M.~na~etnen't~ystem.s, lnc., for home health, durable niedkatequlpment,(dme) and respjrato,ry services. Effective Aprltl, 2012, AH~M~d will serve patients in Florida who are rnernberscf these.plans, ', ' Please coordinate horne health and DME requests through AH~Med.For new referrals and preauthertzation requests of home health and DME services, cat! All-Med at 1-800-369-1416: Submit all prescriptioris/orders via fax to 1-800-831~4264_ We,'re confident All-Med will be a great partner for these services, The company has 23 years of experience working with patients throughout our state. Headquartered in Miami Lakes, Florida, they provide quality DME, respiratory and home health services from multiple distribution centers and a network of sub-contracted providers throughout the state. For more information about AII-Med and their services, please call 1-800-369-1416. If you have any questions regarding this matter, please contact Customer Service at 1-866-334-7927 (Staywell) or 1-800-278-0656 (HealthEase). 18

Exhibit 4

Who knew you had so many doctors +n your family? l.quien iba a decir que habia tantos doctores en su familia?. ~,\",.;, < /,.:' '..... Medicaid Area 7 Brevard) Orange, Osceola & Seminole Counties 2012 Florida Provider Directory Version One MO IN~' HEAlTHCARE

Ancillarv Providers IN ALPHABETICAL OROEff BY COUNTY, THEN SPECIALTY Audiology Hearusa Inc For Listing Of Locations: www.hearusa.com 1.800.700.3277 languages Spoken: English Durable Medical Equipment & Medical Supplies All Med Management Systems (305)826-0244 Fax; (305)823-1144 End Stage Renal Disease Treatment Facility Renal Care Group Brevard 4940 Stack Blvd St 0-7 Melbourne, FL 32901 (317)574-4734 Fax: (317)574-4741 languages Spoken: English Home Health AIl Med Management Systems (305)826-0244 ~ax: (305)823-1144 anguages Spoken: English Home Infusion All Med Management Systems {305)826-0244 Fax: (305)823-1144 laboratory Quest Diagnostics For Listing Of Locations: www.questdiagnostics.com 866- Myquest (866-697-8378) Prosthetic/Orthotic Supplier Hanger Prosthetics & Orthotics Inc- Melbourne 737 South Apollo Boulevard Melbourne, FL32901 (321)953-2224 Hanger Prosthetics & Orthotics Inc-. Rockledge 1121 Geiger Street Rockledge, FL 32955 (321)636-4525 Hours; 8:30am-5:00pm Skilled Nursing Facility Anchor Care & Rehabilitation 1515 Port Malabar Blvd Ne Palm Bay,FL 32905 (321)723-1235 Center Titusville Rehab & Nursing Center 1705 Jess Parish Crt Titusville, FL 32796, (321)269-5720 West Melbourne Health & Rehabilitation Center 2125 W New Haven Ave Melbourne, FL 32904 ; (321}725-7360 Wound Care Wound Technology Network Inc, For Listing Of Locations: j www.woundtech.net 1 1-866-986-2263 Languages Spoken; English Ambulatory Surgical Center Citrus Ambulatory Surgery Center, 2861 South Delaney AVe,Ste B Orlando, PL 32806 (407)722-5095. Oakwater Surgical Center, 3885 Oakwater Cir. Orlando, FL 32808 407-851-5600 Fax: 407-438-0507 Hours: 8:30 Am - 5:00 Pm Same Day Surgicenter Of Orlando 88WKaleySt Orlando, FL 32806 (407)423-0537, Languages Spoken; English Audiology Hearusa Inc For Listing Of Locations:, www.hearusacom 1.800.700.3277 Diagnostic Radiology Boston Diagnostic Imaging - Orlando 1751 S Orange Ave, Orlando, FL 32806, (4])7)872-7777 Mid Florida Imaging - Wmterpark 200 N Orlando Ave Winter Park, FL 32789 407-599-4744 Fax: 407-622-8640. i Westroast Radiology 1193 Blockwood Ave, Ste H Ocoee, FL 34761 407-656-6040 Fax: 407-656-4431 ; WestcoastRadiology! 572 Ocoee Commerce Pkway! Ocoee, FL 34761 i 407-228-6635 Fax: 407-228-6636 Durable Medical Equipment & Medical Supplies ; All Med Management Systems, (305)826..Q244 Fax: (305)823-1144 Providers are accepting new patients unless noted. "Not Accepting New Patients - No aceptan pacientes nuevo. -e information in this provider directory is subject to change. If you have any questions regarding the status of.. particular provider, please contact Molina Member Services at 1-866-472-4585 or TTY at 1-800-955-8771. 33

Ancillarv Providers IN ALPHABETICAL ORDER' BY COUNTY, THEN SPECJALTY End Stage Renal Disease Treatment Facility Bma - Apopka 1056 W Orange Blossom 11 Apopka, FL 32712 407-880-2121 Fax: 407-880-21]6 Bma Of West Orlando 5600 W Colonial Dr, Ste 101 Orlando, FL 32808 407-297-3777 Fax: 407-298-3666 Fmc - Dialysis Services Wmter Park 5216 Dr. Phillips Boulevard Orlando. FL 32792 407-673-5191 Fax: 407-673-0884 Fmc - East Orlando 2400 State Rd 415 Sanford, FL 32771 407-322-8645 Fax: 407-324-7311 Hours: 8:00am - 7:00pm Open Mri Of Sanford 100 Clay Ave, Ste 151 Orlando, FL 32804 407-898-4815 Fax: 407-894-3512 Home Health All Med Management Systems (305)826-0244 FaJc(305)823-1144 languages Spoken: English Home Infusion All Med Management Systems (305)826-0244 Fax: (305)823-1144 laboratory Quest Diagnostics For Listing Of Locations: www.questdiagnostics.com 866-Myquest (866-697-8378) Occepatienal Iherapy Collaborative Functlon 726 West Colonial Drive Orlando, FL32804 (407) 540-1937 i Herman And Associates Pediatric Specialists i 4401 East Colonial Drive, Ste 107 Orlando, FL 32803 (407) 898-5060 K & L Therapy Services, Inc. 7209 Curry Ford Road, Suite E < Orlando, FL 32822 (407)421-7284 Lifespan Therapy Services, Inc. D/B/A The Therapy Place 9318 E Colonial Drive,Ste B-3 Orlando, FL 32817 (407) 281-3803 Otter Therapy, Inc. 2926 S. Morningside Ct. Orlando, FL 32765 (407) 421-5002 Hours; 8:30am-5:00pm Languages Spoken; English Pediatric Therapy Services Of Greater Orlando 886 South Dillard Street Wmter Garden, FL 34787 (407) 905-890l~ LanguagesSpoken:English Ucp Of Central Florida 3305 South Orange Avenue Orlando, FL 32806 (407) 852-3300, : Physical Therapy Herman And Associates Pediatric Specialists 4401 East Colonial Drive, Ste!O7 Orlando, FL 32803 (407) 898-5060, K & L Therapy Services, Inc. 1 7209 Curry Ford Road, Suite E Orlando, FL 32812 (407}42}-7284 lifespan Therapy Services, Inc. D/B/A The Therapy place 9318 E, Colonial Drive, Ste B-3 Orlando, Fi 32817 (407) 28]-3803 Hours: 8;30am-5:00pm Otter Therapy, Inc. 2926 S. Mornmgside Ct Orlando, FL32765 (407) 421-5002 Pediatric Therapy Services Of Greater Orlando 886 South Dillard Street Winter Garden, FL 34787 (407) 905-8908 Ucp Of Central Florida : 3305 South Orange Avenue, Orlando, FL 32806 (407) 852-3300 Prosthetic/Orthotic Supplier Advanced Prosthetics & Orthotics Of! America-Orlando, 73 W Underwood Orlando, FL 32806 (954)962-4148 Hours: 8:30am-5;OOpm Hanger Prosthetics & Orthotics Inc 10000 W Colonial Dr I Ocoee, FL 34761 f 407-578-0446 Fax: 407-578-2450 Providers are accepting new patients unless noted. "Not Accepting New Patients - No aceptan pacientes nuevo, ne information in this provider directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-866-472-4585 or TTY at 1-800-955-8771. 34

cillarv Providers IN ALPHABETICAL ORDEit BY COUNTY, THEN SPECIALTY Hanger Prosthetics &: Orthotics- Orlando 124 Underwood St Orlando, FL 32806 (407)422-8200 Hanger Prosthetics Orthotics Inc- Wmter Park 1100 South Orlando Avenue Winter Park, FL 32789 (407)774-6421 Radiology Al-.Imaging Centers Llc 500 N Semoran Blvd, Ste lq3 Orlando, FL 32807 407-275-6072 Fax; 407-275-7301 Hours: 8:30am-5;00pm AI-Imaging Centers lie 9450 W Colonial Dr, Ste 12 Ocoee,FL34761 407-822-0999 Fax: 407-822-0990 Mid Florida Imaging - S Semoran 1150 S Semoran Blvd, Ste D Orlando, FL 32807 407-482-5253 Fax; 407-482-5254 Skilled Nursing Facility Adventist Care Centers Courtland Inc 730 Courtland St, Ste 20(] Orlando, FL 32804 (407)975-3800 Delaney Park Health & Rehab Center 215AnnieSt Orlando, FL 32806 (407)841-4371 East Orlando Health & Rehab Center Inc 250 S ChickasawTrI Orlando, FL32825 407-380-3466 Fax; 407-380-1216 Ocoee Healthcare Center 1556 Maguire Rd Ocoee, FL 3476I (407)321-3040 Orlando Health And Reahbilitation 830 29th St Orlando, FL 32805 (407)843-3230 Poinciana Dialysis 558 N Semoran Blvd Winter Park, FL 32792 407-679-1575 Fax: 407-679-0545 Center Sunbelt Health &Rehab Center Apopka Inc 305 EOa1cSt Apopka, PL 32703 407-88Q-2266 Fax: 407-880-2273 Speech Therapy Collaborative Function 726 West Colonial Drive Orlando, FL 32804 (407) 540-1937 Florida Speech-Language Pathology Inc- Orlando 1525 South Alafaya Trail, Ste 101 Orlando, FL 32835 (407) 277-5400 Fax: 407-382-5637 Florida Speech-Language Pathology Inc- Orlando 5216 Dr. Phillips Boulevard Orlando, FL 32819 (407) 668-4923 Herman And Associates Pediatric Specialists 4401 East Colonial Drive, Ste 107 Orlando, FL 32803 (407) 898-5060 K & L Therapy Services, Inc. 7209 Curry Ford Road, Suite E Orlando, FL 32822 (407)421-7284 lifespan Therapy Services, Inc.DIBIA The Therapy Place 9318 E. Colonial Drive, Ste B-3 Orlando, FL 32817 (407) 281-3803 Otter Therapy, Inc. 2926 S. Morningside Ct. Orlando, FL 32765 (407) 421-5002 Pediatric Therapy Services Of Greater Orlando 886 South Dillard Street Winter Garden, FL 34787 (407) 905-8908 Simply Speaking, lie 3564 Avalon Park Blvd, East, Suite 1,#249 Orlando, PL 32828 (407) 737-2023 Ucp Of Central Florida 3305 South Orange Avenue Orlando, FL 32806 (407) 852-3300 West Orange Speech Pathologists, 6388 SilverStar Road, # 2e Orlando, FL32818 (407) 298-5300 Hours: 8:30am-5;OOpm Urgent Care After Hours Pediatrics Practices Inc 4101 Towne Center Blvd Orlando, FL 32837 407-850-3497 Inc. Providers are accepting new patients unless noted. "Not Accepting New Patients - No aceptan pacientes nuevo. The injormation. in this provider directory is subject to change. If you have any questions regarding the status of 11particular provider; please contact Molina Member Services at 1-866-472-4585 or TTY at 1-800-955-8771. 35

After Hours Pediatrics Practices Inc 5018 Dr Phillips Blvd Orlando, FL 32819 407-363-5753 After Hours Pediatrics Practices Inc 651 N Alafaya Trl Orlando, FL 32825 407-273-4132 Celebration Dialysis 1154 Celebration Blvd Night LitePediatrics lie Celebration,FL34747 11325 Lake Underhill Rd Ste 103 (407)566-1780 Durable Medical Equipment & Medical Supplies All Med Management (305)826-0244 Fax: (305)823-1144 End Stage Renal Disease Treatment Facility Orlando, FL 32825 407-398-6702 i Fax; 407-398-6699 i Hours: M -F 4pm -l lpm.sat -Sun 12pm-12am ' Kissimmee Dialysis 802 N John Young Pkwy Kissimmee, PL 34741 Night Lite Pediatrics Llc (407)847-4423 13?50 W Colonial Dr Ste 205 Wmter Garden, FL 34787 407-905-4717 Fax: 407-905-4787, Poinciana l)jalysis Hours:M -F 4pm -lipid.sat-sun 12pm-12am 1002 Cypress Pkwy Poinciana, FL 34758 Night Lite Pediatrics lie 321-697-5658 Fax: 321-697-5435 7556 W. Sandlake Rd Orlando, FL 32819 407-506-0002 Fax: 407-506-0003 I St Cloud Dialysis Hours: M -F 4pm -llpm,sat -Sun 12pm-12am I 4750 Old Canoe CreekRd "anguages Spoken: English Saint Cloud, FL 34769 Night lite Pediatrics lie 844 N Thornton Ave Orlando, FL 32803 (407)398-6470 Fax: (407)894-6872 Hours: M -F 4pm -Llpm,Sat -Sun 12pm-12am Wound Care Wound 'Iechnology Network Inc For listing Of Locations: www.woundtech.net 1-866-986-2263 Audiology Hearusa Inc For Listing Of Locations: www.hearusa.com 1.800.700.3277 (407)498-0018 Systems Home Health All Med Management Systems i (305}826-0244 FaX: (305)823-1144 Home Infusion 1 All Med Management Systems f (305)826-0244 Fax: (305)823-1144 laboratory 1 Quest Diagnostics : For Listing Of Locations: ; www.questdiagnostics.com, 866-Myquest (866-697-8378) Occupational, Cja Therapy & Beyond, Llc 809 East Oak Street, 106 Kissimmee, FL 34744 (407) 483-1249 Therapy Physical Therapy Cja Therapy &: Beyond, lie 809 East Oak Street, 106 Kissimmee, Fl, 34744 (407) 483-1249 Prosthetic/Orthotic Supplier Hanger Prosthetics & Orthotics - Kissimmee 308EOakSt Kissimmee, FL 34744 407-870-1111 Fax; 407-516-9226 Hours: 8:00am - 5:00pm Radiology, AI-Imaging Centers tic! 810 N John Young Pkwy Kissimmee, FL 34741 407-847-6745 Fax: 407-847-8749 Mid Florida Imaging - Kissimmee 819 E Oak St, Ste C i Kissimmee, FL 34744! 407-932-0224 I Fax:407-932-1012, Speech Therapy Cja Therapy & Beyond, lie 809 East Oak Street, 106 Kissimmee, FL 34744. I (407) 483-1249 Small Steps Pediatric Therapy 5216 Dr. Phillips Boulevard Orlando, FL 34741 (407)847-7344 I I Providers Clreaccepting new patients unless noted. "Not Accepting New Patients ~ No aceptan pacientes nuevo. 'he information in this provider directory is subject to change. If you have any questions regarding the status of..iparticular provider; please contact Molina Member Services at 1-866-472-4585 or TTY at 1-800-955-8771. 36

Exhibit 5

From: Sent: MondaYI July 09[ 2012 3:00 PM To: ~~ Subject:' Good Afternoon/ I hope your weekend went well.! regretto inform you that we are not able to do a contract with your DME company. I spoke with Jean and my Manager and we are in a statewide exclusive agreement with AHmed, Thank you for your time! Brandis Account Executive Burney} MHSA T: 407.660.3003 ext 304 F: 407.660.3099 1051 Vifinderley Place, Suite 204 J Maitland I FL I 32751 BBurney@simplyhealthcareplans.com I wvl/w,simp!yhealthcareplans.com

, I '., i İ. ~, ~~ Me icaid Provider Directory Osceola and Seminole Counties

Ancillary Providers 'iagnostic Radiology Home Health Agency Specialty Imaging Services Inc Specialty Imaging Services Inc 2501 Howell Branch Road Casselberry, FL 32707 Office Hours: M~F 8:30am ~5pm Office Phone: (407) 678-7333 Vlncon Pa Vlncon PA 5732Canton Cv Winter Springs, FL 32708 Office Hours: M-F 8am - 5:30pm Office Phone: (407) 6.99-7787 SMA of Apopka SMA of Apopka 1065 W Orange Blossom Trail Apopka, FL 33319 'flee Phone: (407) 880-2121 BMAOrlando SMA Orlando 3100 Clay Ave Suite 151. Orlando, FL 33319 Office Phone: (407) 898-4815 BMA West Orlando SMA West Orlando 5600 W Colonial Dr SUIte 101 Orlando t FL 33319 Office Phone; (407) 297-3777 SMA Winter Park SMA Winter Park 6848 Aloma Ave Winter Park, FL 33319 Office Phone: (407) 673-5191 Klsstmee Dialysis Klsshnee Dialysis 4750 Old Canoe Creek Road Salnt Cloud, FL 34769 Office Phone: (954) 341-6286 SMA North Orlando SMA North Orlando 750 S North Lake Blvd Suite 1024 Altamonte Springs, FL 33319 Office Phone: (407) 831-7070 SMA Sanford BMASanford 419 E 1st Street Sanford FL 33319 Office Phone: (407) 688-6765 Atl~Med Services of Florida All-Med Senrkesof Florida 14101 Commerce Way Miami Lakes, FL 33016 Office Phone; (305) 826-0244 Respltec Medical-Care 8. Equipment Inc Rsspltec Medical-Care & Equipment Inc 401 Commerce Way Unit 101 Longwood, FL 32750 Office Phone: (407) 834-2266 Graham, James HearUSA 1503 S Orange Ave Orlando, FL 32806 Office Phone: (407) 849-6520 Mendez, Sheryl HearUSA 1503 S Orange Ave Orlando, FL 32806 Offtce Phone: (407) 849-6520 Shipman, Teresa HearUSA 1503 S Orange Ave Orlando, FL 32806 Office Phone: (407) 849-{)520 Bess, Ronald Best Hearing Aids 103AWOakSt Kissimmee, FL 34741 Office Phone: (407) 846-4155 310617th St Saint Cloud, FL 34769 Office Phone: (407) 892~8663 Graham, James HearUSA 600 E Altamonte Dr Ste 1100 Altamonte Springs, FL 32701 Office Phone: (407) 331-8883 Mendez, Sheryl HearUSA 600 E Altamonte Dr Ste 1100 Altamonte Springs, FL 32701 Office Phone: (407) 331-8883 Woodin, Gerard HearUSA 600 E Altamonte Dr Ste 1100 Altamonte Springs, FL 32701 Office Phone: (407) 331-8883 American Nurses American Nurses 1510 E Colonial Dr Ste 300 Orlando, FL 32803 Office Phone: (407) 898-3969 Interim Healthcars of Greater Orlando Interim Healthcara of Greater Orlando 1890 State Rd 436 Ste 355 Winter Park, FL 32792 Office Hours: M-F 8am - 5pm Office Phone: (407) 740-5284 Maxim Healthcara Services Inc Maxim Healthcare Services Inc 1707 Orlando Central Pkwy Ste 250 Orlando,FL 32809 Office Phone: (407) 240-6266 4S Directory is subject to change. Please cat! to make sure the provider still participates in the network. X = Providers with this symbol are not accepting new patients. SHP_Orlando Area_06.1S.12