{ "$schema": "https://json-structure.org/schema/v0.json", "$id": "https://raw.githubusercontent.com/api-evangelist/amerihealth-caritas/refs/heads/main/json-structure/amerihealth-caritas-health-plan-structure.json", "title": "AmeriHealthCaritasHealthPlan", "description": "JSON Structure describing one AmeriHealth Caritas health plan brand (state Medicaid managed care, CHIP, D-SNP, LTSS, Marketplace, or behavioral-health line of business). Aggregated from the family-of-plans health plan finder.", "type": "object", "required": ["brand", "state", "lineOfBusiness", "url", "fhirPlanCode"], "properties": { "brand": { "type": "string", "description": "Public brand name (e.g. AmeriHealth Caritas Louisiana, Keystone First, Blue Cross Complete of Michigan, First Choice by Select Health, PerformCare)." }, "state": { "type": "string", "description": "U.S. state or D.C. served by the plan." }, "lineOfBusiness": { "type": "string", "enum": [ "Medicaid Managed Care", "CHIP", "D-SNP", "Dual Eligible", "LTSS Managed Care", "Marketplace", "Behavioral Health" ] }, "url": { "type": "string", "format": "uri", "description": "Member-facing plan website." }, "fhirPlanCode": { "type": "string", "description": "Four-digit plan code used to route per-plan FHIR endpoints at api-ext.amerihealthcaritas.com (e.g. 0100, 0500, 0900, 1200, 2100, 2400, 2600)." }, "parent": { "type": "string", "description": "Operating parent (AmeriHealth Caritas, jointly owned by Independence Blue Cross and Blue Cross Blue Shield of Michigan)." }, "stateAgency": { "type": "string", "description": "Contracting state Medicaid agency (e.g. PA DHS, LA LDH, NC DHHS, OH ODM, FL AHCA, MI MDHHS, DE DHSS, SC DHHS, NJ DHS, NH DHHS, DC DHCF)." }, "fhirBaseUrl": { "type": "string", "format": "uri", "description": "Per-plan FHIR base URL, of the form https://api-ext.amerihealthcaritas.com/{fhirPlanCode}/patient-api or .../provider-api" }, "capabilityStatementUrl": { "type": "string", "format": "uri" }, "memberCount": { "type": "integer", "description": "Approximate enrolled members (where publicly disclosed)." } } }