Passport Health Plan Medicaid - Louisville, Kentucky
Medicare Advantage Kentucky
Kentucky Medicaid
Kentucky Healthcare
Passport Advantage - Medicare Part D
Pharmacy Benefit Management
Prescription Drug Plan for Medicare
Centers for Medicare & Medicaid Services (CMS)
Kentucky Health Plan Medicaid
Kentucky Prescription Drug Coverage
Pennsylvania Health Plan Medicaid - Keystone Mercy Health Plan Pennsylvania Health Plan Medicaid - AmeriHealth Mercy Health Plan

• New Medicare Drug Plan, Prescription Drug Benefit

• Medicare Part D

• Prescription Drug Coverage

• Healthcare

Medicaid, Kentucky, Medicare, Medicare Advantage, Passport, Health, Plan, Members, Medicare Part D, Centers for Medicare & Medicaid Services (CMS), AmeriHealth Mercy, Perform Rx, Providers, Healthcare, Medical Assistance, Transition Policy, Prior Authorization Process, Pharmacy Network, Drug Formulary, Medication Therapy Management, Enroll, Enrollment, Premiums, Coinsurance, Deductable, Coverage Gap, Eligibility, Co-insurance, Copay/copayment, Dual eligible, Emergency care, Evidence of Coverage (EOC), Generic drugs, Medically necessary services, Medicare Modernization Act (MMA), Medicare Part A, Medicare Part B, Over the Counter (OTC) Drugs, Practitioner, Primary Care Provider (PCP), Summary of Benefits, Urgent care, Special Needs Plan, SOBRA - Poverty level pregnant women and children, TANF - Temporary Assistance to Needy Families, SSI without Medicare - Individuals who are medically needy, aged, blind and disabled, SSI with Medicare - Individuals receiving Supplemental Security Income and Medicare benefits, CHIP - Children of families eligible for Kentucky Children's Health Insurance Program (KCHIP). Eligibility for KCHIP is based on the family's income, Foster Care - Children placed in out-of-home care by the state of Kentucky, Presumptive Eligibility - Temporary benefits for expectant mothers, Welfare, Medical Assistance

Counties
Breckinridge, Marion, Bullitt, Meade, Carroll, Nelson, Grayson, Oldham, Hardin, Shelby, Henry, Spencer, Jefferson, Trimble, Larue, Washington Kentucky Hospitals BAPTIST HOSPITAL EAST BAPTIST HOSPITAL NORTHEAST BRECKINRIDGE MEMORIAL HOSPITAL CARDINAL HILL REHAB HOSPITAL CARITAS MEDICAL CENTER CARROLL COUNTY MEMORIAL HOSPITAL CAVERNA MEMORIAL HOSPITAL EPHRAIM MCDOWELL REG MED CENTER FLAGET MEMORIAL HOSPITAL FRAZIER REHAB CENTER HARDIN MEMORIAL HOSPITAL HARRISON COUNTY HOSPITAL HEALTHSOUTH CENTRAL KY JEFFERSON ALCOHOL & DRUG ABUSE CENTER JEWISH HOSPITAL JEWISH HOSPITAL MC-EAST JEWISH HOSPITAL-SHELBYVILLE KINDRED HOSPITAL LOUISVILLE KOSAIR CHILDREN'S HOSPITAL NEW HORIZONS MEDICAL CENTER NORTON AUDUBON HOSPITAL NORTON HOSPITAL NORTON SOUTHWEST HOSPITAL NORTON SUBURBAN HOSPITAL SOUTHERN INDIANA REHAB HOSP SPRING VIEW HOSPITAL ST LUKE HOSPITAL EAST ST LUKE HOSPITAL WEST TAYLOR REGIONAL HOSPITAL THE JAMES B HAGGIN MEMORIAL HOSPITAL THE KINGS DAUGHTER'S HOSPITAL TWIN LAKES REGIONAL MEDICAL CENTER UNIVERSITY OF LOUISVILLE HOSPITAL

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Gale Pearce Executive Director, MDwise Hoosier Alliance; Executive Director & General Manager, Pediatric Associates Health Plan Gale Pearce is General Manager of MDwise Hoosier Alliance. Based in Indianapolis, Indiana, MDwise Hoosier Alliance provides managed care services for the Indiana Family and Social Services Administration's Hoosier Healthwise program. Hoosier Healthwise is Indiana's health coverage program for low-income families and children. Ms. Pearce is responsible for the general oversight and operations of the health plan, including managing community outreach, medical management, provider contracting services and growth strategies. Ms. Pearce is also Executive Director and General Manager of Pediatric Associates Health Plan in Broward County, Florida. Both MDwise Hoosier Alliance and Pediatric Associates Health Plans are members of the AmeriHealth Mercy Family of Companies. Prior to her current positions, Ms. Pearce was Chief of Staff at sister company Passport Health Plan in Louisville, Kentucky. In this role she provided legal services, managed the human resources and the compliance departments, and developed and implemented a Medicare Advantage Special Needs Plan for the Plan's dual eligible members. Before joining Passport Health Plan she was General Counsel for both the Commonwealth of Kentucky's Department of Insurance, Acordia of Louisville. She also provided legal services and support to Humana, Inc., and Kentucky Blue Cross and Blue Shield. Ms. Pearce earned a JD degree from the University of Louisville, and a BA in Sociology from the University of South Florida.