name = "Atlas Commons research objects — Medicare Advantage organization directory entry for Provider Partners Health Plans (contract H7275)"
description = "CMS Medicare Advantage Plan Directory entry for Provider Partners Health Plans (contract H7275): organization identity (type, plan type, parent, CMS region), enrollment, and directory contact — all verbatim CMS-published values (RECORDED). Epistemic status of each figure is labeled. This is an organizational directory — not plan benefits, premiums, or star ratings; use medicare.gov/plan-compare to compare actual plans. CC0."
license = "CC0-1.0"
jsonld = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-advantage/h7275.jsonld"

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-advantage/h7275/org-identity"
warrant = "RECORDED"
name = "Provider Partners Health Plans (contract H7275) is a CMS-contracted Local CCP offering HMO/HMOPOS plans"
text = "The CMS Medicare Advantage Plan Directory records Provider Partners Health Plans (legal entity: PROVIDER PARTNERS HEALTH PLAN OF KENTUCKY, contract number: H7275) as a Local CCP offering HMO/HMOPOS plans. Contract effective date: 01/01/2026. Tax status: For Profit. CMS region: Kansas City. Parent organization: Rifkin Managed Care Holding, LLC. These are verbatim CMS directory values; accuracy depends on carrier submissions to CMS."
source = "CMS Medicare Advantage Plan Directory"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage"
falsifier = "Verify at the CMS MA Plan Directory (https://www.cms.gov/medicare/health-drug-plans/medicare-advantage) by looking up contract number H7275. Falsified if the CMS directory contradicts these values."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-advantage/h7275/directory-contact"
warrant = "RECORDED"
name = "CMS MA Plan Directory contact for Provider Partners Health Plans (contract H7275)"
text = "The CMS MA Plan Directory lists the following directory contact for Provider Partners Health Plans (contract H7275): name: Sue Radice; title: VP of Plan Management; phone: 1-410-991-3213; email: Sradice@pphealthplan.com; address: 8820 Columbia 100 Parkway, Suite 430, Columbia, MD, 21045. Last updated per CMS: 05/28/2026. This is the contact as submitted by the organization to CMS — it is not a consumer help line; it is the CMS-directory administrative contact."
source = "CMS Medicare Advantage Plan Directory"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage"
falsifier = "Verify at the CMS MA Plan Directory for contract H7275. Falsified if the CMS directory shows different contact information."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-advantage/h7275/boundary"
warrant = "INTERPRETATION"
name = "What this Medicare Advantage directory entry is — and is NOT — for Provider Partners Health Plans (the epistemic boundary)"
text = "This page is a directory of the organization offering Medicare Advantage / PACE plans under CMS contract H7275. It lists who the organization is, its type, parent, CMS region, and enrollment — verbatim from the CMS MA Plan Directory. It is NOT a directory of individual plan benefits, premiums, deductibles, drug formularies, or star ratings. Enrollment is a CMS-reported count, not a quality signal. To compare actual Medicare Advantage plans available in your area — including premiums, coverage, and star ratings — use the official Medicare Plan Finder at medicare.gov/plan-compare. For free, unbiased help understanding your Medicare options, contact your State Health Insurance Assistance Program (SHIP) or call 1-800-MEDICARE (1-800-633-4227)."
source = "Coverage Atlas framing (over the CMS MA Plan Directory facts above)"
sourceUrl = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-advantage/h7275"
falsifier = "occurred=FALSE (a framing, not an event) and adjudged=FALSE (the atlas's reading, not a CMS verdict) — the LOWEST-warrant claim here. The org identity, enrollment, and contact above are verbatim CMS records; this boundary note is interpretation."

[[maPlanIdentity]]
indicator = "Contract number"
value = "H7275"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "Legal entity name"
value = "PROVIDER PARTNERS HEALTH PLAN OF KENTUCKY"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "Organization marketing name"
value = "Provider Partners Health Plans"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "Organization type"
value = "Local CCP"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "Plan type"
value = "HMO/HMOPOS"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "Contract effective date"
value = "01/01/2026"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "Tax status"
value = "For Profit"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "Parent organization"
value = "Rifkin Managed Care Holding, LLC"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "CMS region"
value = "Kansas City"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "Legal entity address"
value = "8820 Columbia 100 Parkway, Suite 430, Columbia, MD, 21045"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanContact]]
field = "Contact name"
value = "Sue Radice"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanContact]]
field = "Contact title"
value = "VP of Plan Management"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanContact]]
field = "Contact phone"
value = "1-410-991-3213"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanContact]]
field = "Contact email"
value = "Sradice@pphealthplan.com"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanContact]]
field = "Contact address"
value = "8820 Columbia 100 Parkway, Suite 430, Columbia, MD, 21045"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanContact]]
field = "Contact last updated"
value = "05/28/2026"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"
