MDwise Excel Network and MDwise Connect Provider Relations Territory Map

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1 Excel Network and Connect Territory Map 1 Paulette Means pmeans@mdwise.org Garrett Walker gwalker@mdwise.org Charmaine Campbell ccampbell@mdwise.org Jamaal Wade jwade@mdwise.org David Hoover dhoover@mdwise.org Tonya Trout ttrout@mdwise.org Rebecca Church rchurch@mdwise.org GIBSON NEWTON V E R M I L L I O N LAKE BENTON WARREN VIGO SULLIVAN KNOX FOUNTAIN PARKE PIKE PORTER JASPER CLAY DAVIESS WHITE TIPPECANOE MONTGOMERY GREENE PUTNAM OWEN MARTIN DUBOIS LAPORTE STARKE PULASKI CARROLL CLINTON BOONE HENDRICKS MORGAN MONROE LAWRENCE ORANGE CRAWFORD ST. JOSEPH MARSHALL FULTON CAS S MIAMI HOWARD TIPTON HAMILTON MARION JOHNSON BROWN JACKSON WASHINGTON ELKHART KOSCIUSKO WABASH GRANT MADISON HANCOCK SHELBY BARTHOLOMEW FLOYD SCOTT JENNINGS CLARK LAGRANGE NOBLE WHITLEY HUNTING- TON BLACK- FORD DELAWARE HENRY RUSH DECATUR JEFFERSON WELLS RIPLEY FAYETTE STEUBEN DEKALB ALLEN ADAMS JAY RANDOLPH WAYNE FRANKLIN UNION DEARBORN OHIO SWITZERLAND 8 Sean O Brien sobrien@mdwise.org POSEY VANDER- BURGH WARRICK SPENCER PERRY HARRISON 9 Whitney Burnes wburnes@mdwise.org HHW-HIPP0559 (5/18) Michelle Phillips mphillips@mdwise.org (DME, Home Health & Hospice) Nichole Young, RN nyoung@mdwise.org (Behavioral Health - CMHCs, OTPs, IMDs, Residential) 1

2 IHCP Name 01-Adams Decatur 5 Northeast David Hoover 02-Allen Fort Wayne 2 Northeast Garrett Walker 03-Bartholomew Columbus 8 Southeast Sean O Brien 04-Benton Fowler 3 West Central Charmaine Campbell 05-Blackford Hartford City 5 East Central David Hoover 06-Boone Lebanon 3 Central Charmaine Campbell 07-Brown Nashville 8 Southwest Sean O Brien 08-Carroll Delphi 3 West Central Charmaine Campbell 09-Cass Logansport 5 West Central David Hoover 10-Clark Jeffersonville 7 Southeast Rebecca Church 11-Clay Brazil 6 West Central Tonya Trout 12-Clinton Frankfort 3 West Central Charmaine Campbell 13-Crawford English 7 Southeast Rebecca Church 14-Daviess Washington 7 Southwest Rebecca Church 15-Dearborn Lawrenceburg 8 Southeast Sean O Brien 16-Decatur Greensburg 9 Southeast Whitney Burnes 17-Dekalb Auburn 2 Northeast Garrett Walker 18-Delaware Muncie 5 East Central David Hoover 19-Dubois Jasper 7 Southwest Rebecca Church 20-Elkhart Goshen 2 North Central Garrett Walker 21-Fayette Connersville 9 East Central Whitney Burnes 22-Floyd New Albany 7 Southeast Rebecca Church 23-Fountain Covington 3 West Central Charmaine Campbell 24-Franklin Brookville 9 Southeast Whitney Burnes 25-Fulton Rochester 3 North Central Charmaine Campbell 2

3 IHCP Name 26-Gibson Princeton 7 Southwest Rebecca Church 27-Grant Marion 5 East Central David Hoover 28-Greene Bloomfield 6 Southwest Tonya Trout 29-Hamilton Noblesville 4 Central Jamaal Wade 30-Hancock Greenfield 9 Central Whitney Burnes 31-Harrison Corydon 7 Southeast Rebecca Church 32-Hendricks Danville 4 Central Jamaal Wade 33-Henry New Castle 9 East Central Whitney Burnes 34-Howard Kokomo 5 East Central David Hoover 35-Huntington Huntington 5 Northeast David Hoover 36-Jackson Brownstown 8 Southeast Sean O Brien 37-Jasper Rensselaer 3 Northwest Charmaine Campbell 38-Jay Portland 5 East Central David Hoover 39-Jefferson Madison 8 Southeast Sean O Brien 40-Jennings Vernon 8 Southeast Sean O Brien 41-Johnson Franklin 4 Central Jamaal Wade 42-Knox Vincennes 7 Southwest Rebecca Church 43-Kosciusko Warsaw 2 Northeast Garrett Walker 44-LaGrange LaGrange 2 Northeast Garrett Walker 45-Lake Crown Point 1 Northwest Paulette Means 46-LaPorte LaPorte 1 Northwest Paulette Means 47-Lawrence Bedford 8 Southwest Sean O Brien 48-Madison Anderson 9 Central Whitney Burnes 49-Marion Indianapolis 4 Central Jamaal Wade 50-Marshall Plymouth 1 North Central Paulette Means 3

4 IHCP Name 51-Martin Shoals 7 Southwest Rebecca Church 52-Miami Peru 5 Northeast David Hoover 53-Monroe Bloomington 8 Southwest Sean O Brien 54-Montgomery Crawfordsville 3 West Central Charmaine Campbell 55-Morgan Martinsville 8 Central Sean O Brien 56-Newton Kentland 3 Northwest Charmaine Campbell 57-Noble Albion 2 Northeast Garrett Walker 58-Ohio Rising Sun 8 Southeast Sean O Brien 59-Orange Paoli 7 Southwest Rebecca Church 60-Owen Spencer 6 Southwest Tonya Trout 61-Parke Rockville 6 West Central Tonya Trout 62-Perry Tell City 7 Southwest Rebecca Church 63-Pike Petersburg 7 Southwest Rebecca Church 64-Porter Valparaiso 1 Northwest Paulette Means 65-Posey Mount Vernon 7 Southwest Rebecca Church 66-Pulaski Winimac 3 North Central Charmaine Campbell 67-Putnam Greencastle 6 Central Tonya Trout 68-Randolph Winchester 9 East Central Whitney Burnes 69-Ripley Versailles 8 Southeast Sean O Brien 70-Rush Rushville 9 Central Whitney Burnes 71-St. Joseph South Bend 1 North Central Paulette Means 72-Scott Scottsburg 8 Southeast Sean O Brien 73-Shelby Shelbyville 9 Central Whitney Burnes 74-Spencer Rockport 7 Southwest Rebecca Church 75-Starke Knox 1 North Central Paulette Means 4

5 IHCP Name 76-Steuben Angola 2 Northeast Garrett Walker 77-Sullivan Sullivan 6 West Central Tonya Trout 78-Switzerland Vevay 8 Southeast Sean O Brien 79-Tippecanoe Lafayette 3 West Central Charmaine Campbell 80-Tipton Tipton 5 East Central David Hoover 81-Union Liberty 9 East Central Whitney Burnes 82-Vanderburgh Evansville 7 Southwest Rebecca Church 83-Vermillion Newport 6 West Central Tonya Trout 84-Vigo Terre Haute 6 West Central Tonya Trout 85-Wabash Wabash 5 Northeast David Hoover 86-Warren Williamsport 3 West Central Charmaine Campbell 87-Warrick Booneville 7 Southwest Rebecca Church 88-Washington Salem 7 Southeast Rebecca Church 89-Wayne Richmond 9 East Central Whitney Burnes 90-Wells Bluffton 5 Northeast David Hoover 91-White Monticello 3 West Central Charmaine Campbell 92-Whitley Columbia City 2 Northeast Garrett Walker HHW-HIPP0559 (5/18) Revised June