Physician Hospital Organization
Missouri Care and Anthem
Effective January 23, 2020, ownership of Missouri Care will change from WellCare to Anthem, Inc. through its affiliate ATH Holding Company, LLC. (Anthem).
There will be no changes to Missouri Care member benefits, appointments, providers, or how Missouri Care members are served. Missouri Care will remain a MO HealthNet Managed Care health plan.
Home State Health
WellCare Acquisition as you are likely aware, Centene, the parent company of Home State Health recently acquired WellCare, the parent company of Missouri Care. In most markets we are joining our businesses together. In Missouri, however, Missouri Care’s Medicaid product was sold to Anthem. For Home State Health providers, nothing is changing. You should continue to treat members from Home State Health as you do under your current contract. Your existing provider support channels will remain in place and your patients’ current Member ID cards will remain valid as well. We will communicate any relevant changes in health plan operations to you well in advance. If you also participate with Missouri Care, as of January 23, 2020, Anthem is the owner of that product and you should communicate with Anthem regarding their administration of the business. For questions regarding Home State Health, please contact Home State Health Provider Services at 1-855-694-Home (4663).
GEHA (Government Employees Health Association, Inc.) is a not-for-profit provider of medical and dental plans for federal employees based in Lee’s Summit, Missouri.
They can be reached Monday through Friday from 7 a.m. – 7 p.m. Central time at 800.821.6136
They use the United HealthCare Options PPO network.
Need personalized assistance using the secure features of the WPS GHA Portal? Email them at MedicareAdmin@wpsic.com and include the details regarding the assistance you need or the difficulties you are having. Include you contact information and they will contact you.
Ambetter from Sunflower Health Plan is Centene Corporation's Health Insurance Marketplace product. Ambetter exists to improve the health of its beneficiaries through focused, compassionate abd coordinator care.
Allwell is Centene Corporation's Medicare Advantage product in Kansas. Together, Allwell and Sunflower Health Plan exist to help members get the care they need to feel their best.
Expanded access for health plan members enrolled in Point of Service and PPO plans through Kaiser Permanente Insurance Company. KPIC offers a variety of health plans that allow members to access a broad range of providers through Multiplan's PHCS Network for their care. The KPIC identification card will display the Multiplan's PHCS Network logo. Refer to the members ID card for claim submission address as the address may vary by plan.
Please click here for provider information and a phone directory for SmartHealth.
Preferred Health Systems is now officially Coventry Health Care of Kansas, Inc.
Our participation agreement is now with Coventry. All references to Preferred Health Systems in our agreement have been changed to Coventry Health Care of Kansas, Inc.
In time, they will simply be known as Aetna. Member's benefits are not changing because of the name change. New and replacement ID cards will have the Coventry logo. Preferred Health Systems has been removed from directprovider.com. Please call 1-866-427-9719 with any questions.
Their new address is:
238 N. Waco
Wichita, Kansas 67202
Please make this change effective immediately for ALL claims that would normally be sent to their old address of:
1102 S. Hillside
Wichita, Kansas 67211
This includes all claims addressed to Third Party Administrators with the above address in your system. It could take up to a year for their payers to update the new address on their members ID cards. Any questions please contact 1-800-801-9772 option 4.