| State |
Part A Fiscal Intermediaries |
| Alabama |
Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Arizona, Mutual of Omaha Insurance Company |
| Alaska |
Noridian Mutual Insurance Company, Mutual of Omaha Insurance Company |
| Arizona |
Blue Cross and Blue Shield of Arizona, Mutual of Omaha Insurance Company |
| Arkansas |
Arkansas Blue Cross and Blue Shield, Mutual of Omaha Insurance Company |
| California |
Blue Cross and Blue Shield of Arizona, United Government Services, LLC., Veritus Medicare Services, Mutual of Omaha Insurance Company |
| Colorado |
Blue Cross and Blue Shield of Arizona, Trailblazers Health Enterprise, LLC., Mutual of Omaha Insurance Company |
| Connecticut |
Empire HealthChoice, Inc., Veritus Medicare Services, Mutual of Omaha Insurance Company |
| Delaware |
Empire HealthChoice, Inc., Veritus Medicare Services, Mutual of Omaha Insurance Company |
| District of Columbia |
Veritus Medicare Services, Mutual of Omaha Insurance Company |
| Florida |
First Coast Service Options, Inc., Veritus Medicare Services, Mutual of Omaha Insurance Company |
| Georgia |
Blue Cross and Blue Shield of Georgia, Inc., Mutual of Omaha Insurance Company |
| Hawaii |
United Government Services, LLC., Mutual of Omaha Insurance Company |
| Idaho |
Noridian Mutual Insurance Company, Mutual of Omaha Insurance Company |
| Illinois |
AdminaStar Federal, Inc., Mutual of Omaha Insurance Company |
| Indiana |
AdminaStar Federal, Inc., Mutual of Omaha Insurance Company |
| Iowa |
Blue Cross and Blue Shield of Alabama, Mutual of Omaha Insurance Company |
| Kansas |
Blue Cross and Blue Shield of Kansas, Inc., Mutual of Omaha Insurance Company |
| Kentucky |
AdminaStar Federal, Inc., Mutual of Omaha Insurance Company |
| Louisiana |
Blue Cross and Blue Shield of Mississippi, Mutual of Omaha Insurance Company |
| Maine |
Anthem Health Plans of Maine, Inc., Veritus Medicare Services, Mutual of Omaha Insurance Company |
| Maryland |
Veritus Medicare Services, Mutual of Omaha Insurance Company |
| Massachusetts |
Anthem Health Plans of Maine, Inc., Veritus Medicare Services, Mutual of Omaha Insurance Company |
| Michigan |
United Government Services, LLC., Mutual of Omaha Insurance Company |
| Minnesota |
Noridian Mutual Insurance Company, Mutual of Omaha Insurance Company |
| Mississippi |
Blue Cross and Blue Shield of Mississippi, Mutual of Omaha Insurance Company |
| Missouri |
Blue Cross and Blue Shield of Mississippi, Mutual of Omaha Insurance Company |
| Montana |
Blue Cross and Blue Shield of Montana, Inc., Mutual of Omaha Insurance Company |
| Nebraska |
Blue Cross and Blue Shield of Nebraska, Mutual of Omaha Insurance Company |
| Nevada |
Blue Cross and Blue Shield of Arizona, United Government Services, LLC., Mutual of Omaha Insurance Company |
| New Hampshire |
Anthem Health Plans of New Hampshire, Inc., Veritus Medicare Services, Mutual of Omaha Insurance Company |
| New Jersey |
Riverbend Government Benefit Administrators, Inc., Mutual of Omaha Insurance Company |
| New Mexico |
Trailblazers Health Enterprises, LLC., Mutual of Omaha Insurance Company |
| New York |
Empire HealthChoice, Inc., Veritus Medicare Services, Mutual of Omaha Insurance Company |
| North Carolina |
Palmetto Government Benefit Administrators, Inc., Veritus Medicare Services, Mutual of Omaha Insurance Company |
| North Dakota |
Noridian Mutual Insurance Company, Mutual of Omaha Insurance Company |
| Ohio |
AdminaStar Federal, Inc., Veritus Medicare Services, Mutual of Omaha Insurance Company |
| Oklahoma |
Group Health Service of Oklahoma, Inc., Mutual of Omaha Insurance Company |
| Oregon |
Noridian Mutual Insurance Company, Mutual of Omaha Insurance Company |
| Pennsylvania |
Veritus Medicare Services, Mutual of Omaha Insurance Company |
| Rhode Island |
Arkansas Blue Cross and Blue Shield, Veritus Medicare Services, Mutual of Omaha Insurance Company |
| South Carolina |
Palmetto Government Benefit Administrators, Inc., Mutual of Omaha Insurance Company |
| South Dakota |
Blue Cross and Blue Shield of Alabama, Mutual of Omaha Insurance Company |
| Tennessee |
Riverbend Government Benefit Administrators, Inc., Veritus Medicare Services, Mutual of Omaha Insurance Company |
| Texas |
Blue Cross and Blue Shield of Arizona, Trailblazers Health Enterprises, LLC., Mutual of Omaha Insurance Company |
| Utah |
Noridian Mutual Insurance Company, Mutual of Omaha Insurance Company |
| Vermont |
Anthem Health Plans of New Hampshire, Inc., Veritus Medicare Services, Mutual of Omaha Insurance Company |
| Virginia |
United Government Services, LLC., Veritus Medicare Services Mutual of Omaha Insurance Company |
| Washington |
Noridian Mutual Insurance Company, Mutual of Omaha Insurance Company |
| West Virginia |
United Government Services, LLC., Veritus Medicare Services, Mutual of Omaha Insurance Company |
| Wisconsin |
United Government Services, LLC., Mutual of Omaha Insurance Company |
| Wyoming |
Blue Cross and Blue Shield of Wyoming, Mutual of Omaha Insurance Company |
| American Samoa |
United Government Services, LLC. |
| Guam |
United Government Services, LLC. |
| Northern Marianna Islands |
United Government Services, LLC. |
| Puerto Rico |
Cooperative de Seguros de Vida de Puerto Rico |
| US Virgin Islands |
Cooperative de Seguros de Vida de Puerto Rico |