Illinois Medicaid Health Plans - Subcontractors Effective ...

Plan Aetna Better Health

Transportation MTM

Illinois Medicaid Health Plans - Subcontractors

Effective January 1, 2018

PBM CVS Caremark

BH Chrysalis (Crisis Call Services Only)

Dental DentaQuest

BCBS CCAI

CountyCare FHN Harmony

MTM First Transit First Transit CCHHS Transportation First Transit

MTM

Prime Therapeutics

CVS Caremark

Health Integrated

DentaQuest DentaQuest

OptumRx CVS Caremark

CVS Caremark

Health Integrated Chrysalis (Crisis Call Services Only)

DentaQuest DentaQuest

Liberty

Vision

March Vision

Davis Vision EyeQuest

Eyeglasses

March Vision Davis Vision/Davis HVHC EyeQuest

EyeQuest EyeQuest

EyeQuest EyeQuest

Premier Eye Care Premier Eye Care

HealthSpring (Cigna) First Transit

Humana

MTM

Illinicare

MTM

OptumRx Humana Pharmacy Solutions Envolve Pharmacy Solutions

Beacon

DentaQuest

Superior

Superior

DentaQuest Eyemed

Eyemed

Envolve Dental Envolve Vision Envolve Vision

Meridian Molina

Next Level

MTM Secure Transportation PAL Transportation, SCR Medical, Catch A Ride

Meridian RX CVS Caremark

Envolve Pharmacy Solutions

Note: Blank spaces indicate service is provided directly through the health plan. *Meridian's relationship with the vision and eyeglass vendors are not considered a subcontractor relationship, but rather that of a contracted provider under Meridian's standard practitioner agreement. They are credentialed by Meridian.

DentaQuest Avesis

Classic Optical Bard Optical, Dixon March Vision March Vision

Liberty Dental Envolve Vision Envolve Vision

1/1/2018

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