A report on the accessibility of the AMERIGROUP Provider Network for the Members of AMERIGROUP Iowa, Inc.

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1 AMERIGROUP, Inc. Managed Care Accessibility Analysis November 19, 2015 A report on the accessibility of the AMERIGROUP Provider Network for the Members of AMERIGROUP, Inc.

2 Geographic overview Allamakee Andrew Appanoose Atchison Audrain Audubon Benton Black Hawk Blue Earth Bremer Brookings Buchanan Buchanan Buchanan Buchanan Buena Vista Buffalo Burt Caldwell Calhoun Calhoun Callaway Carver Cedar Cerro Gordo Chariton Cherokee Chickasaw e ton Colfax Cooper Cottonwood Crawford Crawford Cuming Dallas Daviess Davis DeKalb Decatur Delaware Des Moines Deuel Dickinson Dixon Douglas Dubuque Dunn Eau Claire Emmet Faribault Fayette Fillmore Floyd Franklin Freeborn Fremont Fulton Gage Gentry Goodhue Guthrie Hamilton Hardin Harrison Harrison Harrison Henderson Hennepin Holt Houston Howard Howard Humboldt Ida Jasper Jefferson Jersey Jo Daviess Jones Juneau Kandiyohi Keokuk Kossuth La Crosse Lac qui Parle Lake Lancaster Le Sueur Lee Lewis Livingston Louisa Lucas Macon Macoupin Mahaska Marion Marion Marshall Martin Mason McDonough McLeod Meeker Menard Mills Minnehaha Mitchell Monona Moody Morgan Mower Murray Muscatine Nemaha Nicollet Nobles Nodaway O'Brien Olmsted Osceola Otoe Page Palo Alto Pawnee Pepin Pettis Pierce Pipestone Platte Plymouth Pocahontas Polk Pottawattamie Poweshiek Putnam Ralls Ramsey Randolph Ray Redwood Renville Rice Richardson Richland Ringgold Rock Rock Island Sac Sarpy Sauk Saunders Scotland Seward Shelby Shelby Shelby Shelby Sibley Sioux St. Charles St. Croix Stark Steele Story Sullivan Tama Taylor Thurston Trempealeau Turner Union Union Union Van Buren Vernon Wabasha Wapello Waseca Watonwan Webster Whiteside Winnebago Winneshiek Winona Wood Woodbury outh Nebraska Missouri Illinois 390 miles 40 miles

3 Provider locations Kandiyohi Meeker Lac qui Parle Deuel Brookings Redwood Renville PCP - Adult & Peds McLeod Sibley Carver Nicollet Le Sueur Rice Hennepin Ramsey St. Croix Goodhue Pierce Dunn Pepin Wabasha Buffalo Eau Claire Trempealeau Wood Lake MoodyPipestone Murray Cottonwood Blue EarthWasecaSteele Watonwan Olmsted Winona La Crosse Juneau Minnehaha Turner outh Union Rock Plymouth Dixon Woodbury Nobles Faribault Freeborn Fillmore Houston Osceola Dickinson Emmet Winnebago Mitchell Howard Richland Sauk Winneshiek Allamakee Crawford Kossuth O'Brien Palo Alto Cerro Gordo Floyd Chickasaw Fayette ton Cherokee Buena Vista Pocahontas Humboldt Franklin Bremer Ida Martin Webster Sac Calhoun Hamilton Hardin Black Hawk BuchananDelawareDubuque Jo Daviess Thurston Benton Jones Monona Crawford Tama Story Marshall Cuming Burt Nebraska Cedar Whiteside Harrison Shelby AudubonGuthrie Dallas Polk Jasper Poweshiek Colfax Muscatine Rock Island Pottawattamie Douglas Marion Mahaska Keokuk Saunders Louisa Sarpy Stark Mills Union e Lucas Wapello Jefferson Des Moines Seward Illinois Lancaster Fremont Decatur Appanoose Davis Henderson Page Taylor Ringgold Van Buren Otoe Lee Sioux Missouri Atchison Putnam Fulton Scotland McDonough Nemaha Nodaway Harrison Gage Gentry Sullivan Mason PawneeRichardson Holt Lewis Andrew Daviess Menard DeKalb Livingston Macon Shelby Marion Morgan Buchanan Caldwell Chariton Ralls Randolph Platte Ray Calhoun Macoupin Audrain Howard Jersey Callaway Cooper St. Charles Pettis 40 miles Mower 1,431 Providers at 304 locations Vernon Single Provider locations (108) Multiple Provider locations (196) 30 mile radius

4 Accessibility summary Accessibility analysis specifications Provider group: Member group: Access standard: PCP - Adult & Peds 1,431 Providers at 304 locations (based on 2,076 records) IA Mems 558,065 Members 1in30 All Members: 558,065 (100.0%) 96.4% with access 3.6% without access Average distance to a choice of Providers for all Members Number of Providers Miles Access Standard Comparision 100% 80 Percent of Members Miles to a choice of Providers 1 Provider 2 Providers 3 Providers 4 Providers 5 Providers

5 Provider locations Kandiyohi Meeker Lac qui Parle Deuel Brookings Redwood Renville McLeod Sibley Hospitals - All Carver Nicollet Le Sueur Rice Hennepin Ramsey St. Croix Goodhue Pierce Dunn Pepin Wabasha Buffalo Eau Claire Trempealeau Wood Lake MoodyPipestone Murray Cottonwood Blue EarthWasecaSteele Watonwan Olmsted Winona La Crosse Juneau Minnehaha Turner outh Union Rock Plymouth Dixon Woodbury Nobles Faribault Freeborn Fillmore Houston Osceola Dickinson Emmet Winnebago Mitchell Howard Richland Sauk Winneshiek Allamakee Crawford Kossuth O'Brien Palo Alto Cerro Gordo Floyd Chickasaw Fayette ton Cherokee Buena Vista Pocahontas Humboldt Franklin Bremer Ida Martin Webster Sac Calhoun Hamilton Hardin Black Hawk BuchananDelawareDubuque Jo Daviess Thurston Benton Jones Monona Crawford Tama Story Marshall Cuming Burt Nebraska Cedar Whiteside Harrison Shelby AudubonGuthrie Dallas Polk Jasper Poweshiek Colfax Muscatine Rock Island Pottawattamie Douglas Marion Mahaska Keokuk Saunders Louisa Sarpy Stark Mills Union e Lucas Wapello Jefferson Des Moines Seward Illinois Lancaster Fremont Decatur Appanoose Davis Henderson Page Taylor Ringgold Van Buren Otoe Lee Sioux Missouri Atchison Putnam Fulton Scotland McDonough Nemaha Nodaway Harrison Gage Gentry Sullivan Mason PawneeRichardson Holt Lewis Andrew Daviess Menard DeKalb Livingston Macon Shelby Marion Morgan Buchanan Caldwell Chariton Ralls Randolph Platte Ray Calhoun Macoupin Audrain Howard Jersey Callaway Cooper St. Charles Pettis 40 miles Mower 32 Providers at 29 locations Vernon Single Provider locations (23) Multiple Provider locations (6) 30 mile radius

6 Accessibility summary Accessibility analysis specifications Provider group: Member group: Access standard: Hospitals - All 32 Providers at 29 locations (based on 35 records) IA Mems 558,065 Members 1in30 All Members: 558,065 (100.0%) 48.2% with access 51.8% without access Average distance to a choice of Providers for all Members Number of Providers Miles Access Standard Comparision 100% 80 Percent of Members Miles to a choice of Providers 1 Provider 2 Providers 3 Providers 4 Providers 5 Providers

7 Provider locations Kandiyohi Meeker Lac qui Parle Deuel Brookings Redwood Renville Behavioral Health - All McLeod Sibley Carver Nicollet Le Sueur Rice Hennepin Ramsey St. Croix Goodhue Pierce Dunn Pepin Wabasha Buffalo Eau Claire Trempealeau Wood Lake MoodyPipestone Murray Cottonwood Blue EarthWasecaSteele Watonwan Olmsted Winona La Crosse Juneau Minnehaha Turner outh Union Rock Plymouth Dixon Woodbury Nobles Faribault Freeborn Fillmore Houston Osceola Dickinson Emmet Winnebago Mitchell Howard Richland Sauk Winneshiek Allamakee Crawford Kossuth O'Brien Palo Alto Cerro Gordo Floyd Chickasaw Fayette ton Cherokee Buena Vista Pocahontas Humboldt Franklin Bremer Ida Martin Webster Sac Calhoun Hamilton Hardin Black Hawk BuchananDelawareDubuque Jo Daviess Thurston Benton Jones Monona Crawford Tama Story Marshall Cuming Burt Nebraska Cedar Whiteside Harrison Shelby AudubonGuthrie Dallas Polk Jasper Poweshiek Colfax Muscatine Rock Island Pottawattamie Douglas Marion Mahaska Keokuk Saunders Louisa Sarpy Stark Mills Union e Lucas Wapello Jefferson Des Moines Seward Illinois Lancaster Fremont Decatur Appanoose Davis Henderson Page Taylor Ringgold Van Buren Otoe Lee Sioux Missouri Atchison Putnam Fulton Scotland McDonough Nemaha Nodaway Harrison Gage Gentry Sullivan Mason PawneeRichardson Holt Lewis Andrew Daviess Menard DeKalb Livingston Macon Shelby Marion Morgan Buchanan Caldwell Chariton Ralls Randolph Platte Ray Calhoun Macoupin Audrain Howard Jersey Callaway Cooper St. Charles Pettis 40 miles Mower 1,431 Providers at 304 locations Vernon Single Provider locations (108) Multiple Provider locations (196) 30 mile radius

8 Accessibility summary Accessibility analysis specifications Provider group: Member group: Access standard: Behavioral Health - All 1,431 Providers at 304 locations (based on 2,076 records) IA Mems 558,065 Members 1in60 All Members: 558,065 (100.0%) 100.0% with access 0.0% without access Average distance to a choice of Providers for all Members Number of Providers Miles Access Standard Comparision 100% 80 Percent of Members Miles to a choice of Providers 1 Provider 2 Providers 3 Providers 4 Providers 5 Providers

9 Provider locations Kandiyohi Meeker Lac qui Parle Deuel Brookings Senior Services - NF, SNF, Elderly HCBS Waiver Redwood Renville McLeod Sibley Carver Nicollet Le Sueur Rice Hennepin Ramsey St. Croix Goodhue Pierce Dunn Pepin Wabasha Buffalo Eau Claire Trempealeau Wood Lake MoodyPipestone Murray Cottonwood Blue EarthWasecaSteele Watonwan Olmsted Winona La Crosse Juneau Minnehaha Turner outh Union Rock Plymouth Dixon Woodbury Nobles Faribault Freeborn Fillmore Houston Osceola Dickinson Emmet Winnebago Mitchell Howard Richland Sauk Winneshiek Allamakee Crawford Kossuth O'Brien Palo Alto Cerro Gordo Floyd Chickasaw Fayette ton Cherokee Buena Vista Pocahontas Humboldt Franklin Bremer Ida Martin Webster Sac Calhoun Hamilton Hardin Black Hawk BuchananDelawareDubuque Jo Daviess Thurston Benton Jones Monona Crawford Tama Story Marshall Cuming Burt Nebraska Cedar Whiteside Harrison Shelby AudubonGuthrie Dallas Polk Jasper Poweshiek Colfax Muscatine Rock Island Pottawattamie Douglas Marion Mahaska Keokuk Saunders Louisa Sarpy Stark Mills Union e Lucas Wapello Jefferson Des Moines Seward Illinois Lancaster Fremont Decatur Appanoose Davis Henderson Page Taylor Ringgold Van Buren Otoe Lee Sioux Missouri Atchison Putnam Fulton Scotland McDonough Nemaha Nodaway Harrison Gage Gentry Sullivan Mason PawneeRichardson Holt Lewis Andrew Daviess Menard DeKalb Livingston Macon Shelby Marion Morgan Buchanan Caldwell Chariton Ralls Randolph Platte Ray Calhoun Macoupin Audrain Howard Jersey Callaway Cooper St. Charles Pettis 40 miles Mower 227 Providers at 249 locations Vernon Single Provider locations (215) Multiple Provider locations (34) 30 mile radius 60 mile radius

10 Accessibility summary Accessibility analysis specifications Member group: Access standard: All Members: IA Mems 558,065 Members 30/60 1 Senior Services - NF, SNF, Elderly HCBS Waiver within 30.0 miles or 1 Senior Services - NF, SNF, Elderly HCBS Waiver within 60.0 miles 558,065 (100.0%) 100.0% with access 0.0% without access Average distance to a choice of Providers for all Members Provider group: Senior Services - NF, SNF, Elderly H Key geographic areas Service area Total number of Members All Members Percent w wo IA 558,

11 Provider locations Kandiyohi Meeker Lac qui Parle Deuel Brookings Redwood ID Services - ICF/ID, ID HCBS Waiver Renville McLeod Sibley Carver Nicollet Le Sueur Rice Hennepin Ramsey St. Croix Goodhue Pierce Dunn Pepin Wabasha Buffalo Eau Claire Trempealeau Wood Lake MoodyPipestone Murray Cottonwood Blue EarthWasecaSteele Watonwan Olmsted Winona La Crosse Juneau Minnehaha Turner outh Union Rock Plymouth Dixon Woodbury Nobles Faribault Freeborn Fillmore Houston Osceola Dickinson Emmet Winnebago Mitchell Howard Richland Sauk Winneshiek Allamakee Crawford Kossuth O'Brien Palo Alto Cerro Gordo Floyd Chickasaw Fayette ton Cherokee Buena Vista Pocahontas Humboldt Franklin Bremer Ida Martin Webster Sac Calhoun Hamilton Hardin Black Hawk BuchananDelawareDubuque Jo Daviess Thurston Benton Jones Monona Crawford Tama Story Marshall Cuming Burt Nebraska Cedar Whiteside Harrison Shelby AudubonGuthrie Dallas Polk Jasper Poweshiek Colfax Muscatine Rock Island Pottawattamie Douglas Marion Mahaska Keokuk Saunders Louisa Sarpy Stark Mills Union e Lucas Wapello Jefferson Des Moines Seward Illinois Lancaster Fremont Decatur Appanoose Davis Henderson Page Taylor Ringgold Van Buren Otoe Lee Sioux Missouri Atchison Putnam Fulton Scotland McDonough Nemaha Nodaway Harrison Gage Gentry Sullivan Mason PawneeRichardson Holt Lewis Andrew Daviess Menard DeKalb Livingston Macon Shelby Marion Morgan Buchanan Caldwell Chariton Ralls Randolph Platte Ray Calhoun Macoupin Audrain Howard Jersey Callaway Cooper St. Charles Pettis 40 miles Mower 7 Providers at 7 locations Vernon Provider locations (7) 30 mile radius 60 mile radius

12 Accessibility summary Accessibility analysis specifications Member group: Access standard: All Members: IA Mems 558,065 Members 30/60 1 ID Services - ICF/ID, ID HCBS Waiver within 30.0 miles or 1 ID Services - ICF/ID, ID HCBS Waiver within 60.0 miles 558,065 (100.0%) 69.0% with access 31.0% without access Average distance to a choice of Providers for all Members Provider group: ID Services - ICF/ID, ID HCBS Waiver Key geographic areas Service area Total number of Members All Members Percent w wo IA 558,

13 Provider locations Kandiyohi Meeker Lac qui Parle Deuel Brookings MH - CMHC, PMIC, Children's MH Waiver, Habilitation Redwood Renville McLeod Sibley Carver Nicollet Le Sueur Rice Hennepin Ramsey St. Croix Goodhue Pierce Dunn Pepin Wabasha Buffalo Eau Claire Trempealeau Wood Lake MoodyPipestone Murray Cottonwood Blue EarthWasecaSteele Watonwan Olmsted Winona La Crosse Juneau Minnehaha Turner outh Union Rock Plymouth Dixon Woodbury Nobles Faribault Freeborn Fillmore Houston Osceola Dickinson Emmet Winnebago Mitchell Howard Richland Sauk Winneshiek Allamakee Crawford Kossuth O'Brien Palo Alto Cerro Gordo Floyd Chickasaw Fayette ton Cherokee Buena Vista Pocahontas Humboldt Franklin Bremer Ida Martin Webster Sac Calhoun Hamilton Hardin Black Hawk BuchananDelawareDubuque Jo Daviess Thurston Benton Jones Monona Crawford Tama Story Marshall Cuming Burt Nebraska Cedar Whiteside Harrison Shelby AudubonGuthrie Dallas Polk Jasper Poweshiek Colfax Muscatine Rock Island Pottawattamie Douglas Marion Mahaska Keokuk Saunders Louisa Sarpy Stark Mills Union e Lucas Wapello Jefferson Des Moines Seward Illinois Lancaster Fremont Decatur Appanoose Davis Henderson Page Taylor Ringgold Van Buren Otoe Lee Sioux Missouri Atchison Putnam Fulton Scotland McDonough Nemaha Nodaway Harrison Gage Gentry Sullivan Mason PawneeRichardson Holt Lewis Andrew Daviess Menard DeKalb Livingston Macon Shelby Marion Morgan Buchanan Caldwell Chariton Ralls Randolph Platte Ray Calhoun Macoupin Audrain Howard Jersey Callaway Cooper St. Charles Pettis 40 miles Mower 357 Providers at 261 locations Vernon Single Provider locations (180) Multiple Provider locations (81) 30 mile radius 60 mile radius

14 Accessibility summary Accessibility analysis specifications Member group: Access standard: All Members: IA Mems 558,065 Members 30/60 1 MH - CMHC, PMIC, Children's MH Waiver, Habilitati within 30.0 miles or 1 MH - CMHC, PMIC, Children's MH Waiver, Habilitati within 60.0 miles 558,065 (100.0%) 100.0% with access 0.0% without access Average distance to a choice of Providers for all Members Provider group: MH - CMHC, PMIC, Children's MH Wai Key geographic areas Service area Total number of Members All Members Percent w wo IA 558,

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