VAP Exception Appeals Provider Type LHCSA NH Physician Pharmacy D&TC CHHA ACF Os Harm 1915i HH/CMA Other Hospital Leads (included above) Total Accepted by DOH VAP Exception Appeals Denied by DOH VAP Exception Appeals 7 139 29 3 9 3 8 7 113 122 39 13 11 503 5 1 942 7 8 2 37 4 1,006 Total VAP Exception Appeals received by DOH Applicants Already SN Providers 1 2 37 2 27 1 1 71 13 3 1,118 36 3 19 5 35 7 113 122 76 18 12 1,580 Justification for Pass/Fail scoring: Depending on provider type, if the provider did not prove the following in their narrative or supporting documentation, they were not recommended. 1. A community will not be served without granting the exception because no other eligible provider is willing or capable of serving the community. 2. Any hospital is uniquely qualified to serve based on services provided, financial viability, relationships within the community, and/or clear track record of success in reducing avoidable hospital use. 3. Any state-designated health home or group of health homes. If a hospital indicated #2 above and did not provide a financial viability analysis (as required) with their submission, they were not recommended. 1 VAPE SUMM Can you be part of a PPS (Performing Provider System) as a Safety Net Provider? (See the definition at: http://www.health.ny.gov/health_care/medicaid/redesign/docs/safety_net_definitions.pdf) General Test 1. Are you a hospital or a non-hospital based provider? (Not just a health program: ex. personal care services or a site within a provider) YES: Go to #2 NO: You do not qualify unless you are a provider. Perhaps you are part of a larger entity that is participating. 2. Do you participate in Medicaid? YES: Go to #4 the DSRIP Safety Net Test NO: Go to #3. 3. Are you an OMH/OASAS 1915i provider, a Harm Reduction 1915i provider or a State Designated Health Home and Downstream Care Management Agency? YES: Go to #9 Vital Access Exception Test NO: You can still participate in Performing Providers Systems. However, nonqualifying providers are eligible to receive DSRIP payments totaling no more than 5 percent of a project’s total valuation. DSRIP Safety Net Definition Test 4. Are you a hospital? YES: Please go to #5 NO: Please go to #6 5. Do you meet the following criteria: either a public hospital, Critical Access Hospital or Sole Community Hospital, OR you must pass two tests: A. At least 35 percent of all patient volume in their outpatient lines of business must be associated with Medicaid, uninsured and Dual Eligible individuals. B. At least 30 percent of inpatient treatment must be associated with Medicaid, uninsured and Dual Eligible individuals; or YES: Please go to #7 NO: You may go to #9 for the VAP exception or participate in a PPS as a non safety net provider. 6. Are you a non-hospital provider that serves at least 30 percent of all Medicaid, uninsured and Dual Eligible members in the proposed county or multi-county community. YES: Please go to #7 NO: You may go to #9 for the VAP exception or participate in a PPS as a non safety net provider. 7. Are you on one of our Safety Net lists created from reports such as cost report data as a safety net provider? YES: You are already a safety net provider-no action required NO: Please go to #8 12/4/2014 1 Safety Net Provider Criteria 12_4_14.xlsx Can you be part of a PPS (Performing Provider System) as a Safety Net Provider? (See the definition at: http://www.health.ny.gov/health_care/medicaid/redesign/docs/safety_net_definitions.pdf) DSRIP Safety Net Lists Is this your provider type? Please check this list: Hospitals Eligible Safety Net Hospitals Diagnostic and Treatment Centers Eligible Safety Net Clinics Nursing Homes Eligible Safety Net Nursing Homes LTHHCPs Eligible Safety Net LTHHCPs CHHAs Eligible Safety Net CHHAs OMH OMH Safety Net Calculations OASAS OASAS Safety Net Calculations OPWDD OPWDD Safety Net Calculations Foster Care Eligible Safety Net Foster Care Physicians (includes dental, podiatric, optometric and psychological services) Eligible Safety Net Physicians Pharmacies Eligible Safety Net Pharmacies Please take this action: If you do not receive Safety Net Designation: Safety Net Appeal Form (two appeal periods ending 6/11/14 and 8/27/14) Non-qualifying providers can still participate in Performing Providers Systems. However, non-qualifying providers are eligible to receive DSRIP payments totaling no more than 5 percent of a project’s total valuation. Physicians and Pharmacies Safety Net Appeal Form (1 appeal period ending 7/15/14) Non-qualifying providers can still participate in Performing Providers Systems. However, non-qualifying providers are eligible to receive DSRIP payments totaling no more than 5 percent of a project’s total valuation. Please take this action: If you do not receive Safety Net Designation: 8. You are a provider type that does not have an established list, but you can appeal. Is this your provider type? Safety Net Test Question: Assisted Living Residencies LHCSAs Do you have 35% of utilization associated Safety Net Appeal Form (two appeal periods ending 6/11/14 with Medicaid, uninsured and Dual and 8/27/14) Eligible Individuals? Adult Care Facilities Intermediate Care Programs Emergency Ambulance Services Other Non-qualifying providers can still participate in Performing Providers Systems. However, non-qualifying providers are eligible to receive DSRIP payments totaling no more than 5 percent of a project’s total valuation. Vital Access Provider Exception Test 9. Are you NOT considered a Safety Net Provider but feel that you should be considered a safety net provider? This includes providers that may have submitted safety net appeal forms and did not receive safety net status. YES: Go to #10 NO: Non-qualifying providers can still participate in Performing Providers Systems. However, non-qualifying providers are eligible to receive DSRIP payments totaling no more than 5 percent of a project’s total valuation. 10. What is your provider type? Is this your provider type? State-designated Health Home Do you meet the Exception Criteria? IF NO: Vital Access Exception form (one appeal period ending 10/24/14) Non-qualifying providers can still participate in Performing Providers Systems. However, non-qualifying providers are eligible to receive DSRIP payments totaling no more than 5 percent of a project’s total valuation. Any state-designated health home or group of health home A community will not be served without OMH/OASAS 1915i provider, a Harm granting the exception because no other Reduction 1915i provider eligible provider is willing or capable of serving the community. 12/4/2014 If YES: Hospital Any hospital is uniquely qualified to serve based on services provided, financial viability, relationships within the community, and/or clear track record of success in reducing avoidable hospital use. All Other A community will not be served without granting the exception because no other eligible provider is willing or capable of serving the community. 2 Safety Net Provider Criteria 12_4_14.xlsx VAP Exception Public Comments Date Received Contact 11/4/2014 Steven L. Hoover; LHCSA 11/5/2014 Renee Shanker; Safety Net Hospitals 11/6/2014 Email Address Comments DOH Reply [email protected] I noticed the LHCSA – Exception Appeals (in the below link) only contain the first sheet of the VAP exception form. Our form had an additional sheet with two more PPSs. Are these also being considered or should we submit two more VAP Exception forms? Thank you for your public comment(s) regarding the VAP exception appeal process. We will share your comments with the DSRIP team and will post all comments to the DSRIP web page at a later date. [email protected] I understand that NYU and North Shore LIJ are being designated as "safety net" hospitals for the purpose of receiving DSRIP funds. Is this true? Only 2% of the population they serve are uninsured and 14% and 12% have Medicaid respectively. Hospitals that truly are "safety net" hospitals will lose money if NYU and North Shore are added to the list of hospitals that qualify for DSRIP monies. Please reconsider this decision. It's outrageous. Hospitals that serve the poor really need the money. NYU and North Shore do not. Thank you for your public comment(s) regarding the VAP exception appeal process. We will share your comments with the DSRIP team and will post all comments to the DSRIP web page at a later date. Public health advocates were surprised to see academic medical centers like NYU and North Shore University Hospital on the list. The two “should no way be approved for safety-net status,” said Judy Wessler, former director of the Commission on the Public's Health System, in an email. Thank you for your public comment(s) regarding the VAP exception appeal process. We will share your comments with the DSRIP team and will post all comments to the DSRIP web page at a later date. Crain's Health Pulse RENA FINKELSTEIN: I submitted a VAP exception form on Friday, November 4. In my haste I submitted the incorrect form, which had several omissions. I should have submitted my revised form, which is attached. As a result our organization was not included in the VAP Exception appeals list for public comment. I hope it is still possible to be considered as a vital access 1915i provider. 11/7/2014 - DSRIP TEAM: Do you mean October 24, 2014? We will file this with appeal with any appeal you submitted by the deadline, October 24th. BONNIE HALLEY; DMH Planning: Yes, I have a copy of the email that Rena Finkelstein submitted. It was on October 24 at 1:40 PM. Thank you for including this agency appeal. 11/7/2014 Rena Finkelstein; NAMIFAMILYA of Rockland County, Inc. [email protected] 11/10/2014 Marion Breland; Village of Haverstraw DAPC [email protected] Please find my amended form- I inadvertently checked the wrong box in the original for Question #4 when I submitted on October 24th (see original below). I should have checked selection #1. This issue has been taken care of on 11.21.14 [email protected] I have been informed by the County of Rockland that my original submission to you on October 24th contained an error. Please see below the original submission, and attached is my corrected form. Thank you for your public comment(s) regarding the VAP exception appeal process. We will share your comments with the DSRIP team and will post all comments to the DSRIP web page at a later date. Attached are letters of support for the VAP applications for five institutions. Thank you for your consideration. Thank you for your public comment(s) regarding the VAP exception appeal process. We will share your comments with the DSRIP team and will post all comments to the DSRIP web page at a later date. In reviewing the data that we sent on the Safety Net Appeal, we realize that we made a serious error in our data. We would like to resubmit accurate numbers. Which is the correct email address to submit this information? Thank you for your public comment(s) regarding the VAP exception appeal process. We will share your comments with the DSRIP team and will post all comments to the DSRIP web page at a later date. I’m just following up to see if the Bertrand Chaffee Hospital VAP Exception Appeal has been accepted, and if we can expect to see if updated on the DSRIP web site. Thank you for your public comment(s) regarding the VAP exception appeal process. We will share your comments with the DSRIP team and will post all comments to the DSRIP web page at a later date. Our organization Community Healthcare Network has been approved as a safety net provider. We have 12 FQHC. We are also a Health Home. Were we required to fill out two VAP one for the FQHC and one for the Health Home? Please let us know. Thank you for your public comment(s) regarding the VAP exception appeal process. We will share your comments with the DSRIP team and will post all comments to the DSRIP web page at a later date. 11/10/2014 Betsy Rauschart; Open Arms 11/11/2014 Kathleen Shure 11/12/2104 Barry Weiss; Community Home Care Referral Service Inc. 11/12/2014 Kara M. Kane; Bertrand Chaffee Hospital 11/12/2014 Carmen Plaja Cordero; Community Healthcare Network [email protected] [email protected] [email protected] [email protected] Date Received 11/14/2014 Contact Ann Maxwell; Medicaid and Health Care Reform Policy and Analysis Email Address [email protected] Comments Would you be able tell me if any of the following (3) providers need to submit a completed or updated VAP- After Hours Project, Trillium Health, and EHS? After Hours is listed in the pending Safety Net Harm Reduction Program and the pending Safety Net OMH/OASAS Providers; they are not listed in State designated Health Home and Downstream Care Management Agencies. Trillium Health is listed in the pending Safety Net Harm Reduction and State designated Health Home; they are not listed in the pending Safety Net OMH/OASAS Provider list. EHS is listed in the pending Safety Net Harm Reduction Providers; they are not listed in the pending Safety Net OMH/OASAS Provider list and the State designated Health Home and Downstream Care Management Agencies. Also, does anything need to be done to change the agency’s name from A C Center to Trillium Health on those reports? If you are unable to assist with this request could you provide me with the name of the person I should direct my questions to. DOH Reply Thank you for your public comment(s) regarding the VAP exception appeal process. We will share your comments with the DSRIP team and will post all comments to the DSRIP web page at a later date. Date Received 11/18/2014 11/19/2014 Contact Jacqueline Kassman, RN CHPN Goldie Watkins 11/25/2014 April Gornik 11/26/2014 Alfonso Wyatt; Founder Strategic Destiny 11/28/2014 Amanda McEvoy; Community Pharmacy Residnecy Program and Middleport Family Health Center 11/28/2014 Amanda McEvoy; Community Pharmacy Residnecy Program and Middleport Family Health Center 11/28/2014 Amanda McEvoy; Community Pharmacy Residnecy Program and Middleport Family Health Center 11/28/2014 Amanda McEvoy; Community Pharmacy Residnecy Program and Middleport Family Health Center 11/28/2014 Amanda McEvoy; Community Pharmacy Residnecy Program and Middleport Family Health Center 11/28/2014 Amanda McEvoy; Community Pharmacy Residnecy Program and Middleport Family Health Center Email Address Comments DOH Reply Dear Madam/Sir, Avanti Health Care Services would like to know if we have been approved for the VAP Exception as per our appeal. Please contact me at your earliest convenience. Thank you, 11/18/2014 - Jacqueline, The VAP Exception is a much different process than the Safety Net Appeals. Unfortunately at this time we do not know when approvals will be made. Please make sure you are signed up for the MRT ListServ. Any updates on approvals of the VAP Exceptions will be through that listserv. MRT ListServ: http://www.health.ny.gov/health_care/medicaid/redesign/listserv.h tm Stop! Do no give safety net designation to North Shore and NYU Hospitals. Thank you for your public comment(s) regarding the VAP exception appeal process. We will share your comments with the DSRIP team and will post all comments to the DSRIP web page at a later date. I would like to voice my concern that hospitals like NYU/Langone and North Shore would be able to apply for funds as "safety net" hospitals under DSRIP. This would be a terrible breach of trust and concern for hospitals that really need funding. Please don't allow this to happen. Thank you for your public comment(s) regarding the VAP exception appeal process. We will share your comments with the DSRIP team and will post all comments to the DSRIP web page at a later date. If we found a hospital engaged in healthy practice sanctions/law suits could be levied. I want to report a unhealthy practice as wealthy hospitals are trying to get Medicaid Transformation Program (DSRIP) funds that are not needed nor deserved. This gluttonous, unhealthy practice by hospitals already generating huge profits is indeed unconscionable as it is reprehensible. Signed... Sick And Tired Of Shameless Greed... Thank you for your public comment(s) regarding the VAP exception appeal process. We will share your comments with the DSRIP team and will post all comments to the DSRIP web page at a later date. [email protected] Please find attached a document containing VAP Exception Appeals Public Comments in support of inclusion of Middleport Family Health Center in the DSRIP program. Please do not hesitate to contact us with any question. Thank you for your public comment(s) regarding the VAP exception appeal process. We will share your comments with the DSRIP team and will post all comments to the DSRIP web page at a later date. [email protected] Please find attached a document containing VAP Exception Appeals Public Comments in support of inclusion of Transit Hill Pharmacy in the DSRIP program. Please do not hesitate to contact us with any questions. Thank you for your public comment(s) regarding the VAP exception appeal process. We will share your comments with the DSRIP team and will post all comments to the DSRIP web page at a later date. [email protected] Please find attached a document containing VAP Exception Appeals Public Comments in support of inclusion if Rosenkran's Pharmacy in the DSRIP program. Please do not hesitate to contact us with any questions. Thank you for your public comment(s) regarding the VAP exception appeal process. We will share your comments with the DSRIP team and will post all comments to the DSRIP web page at a later date. [email protected] Thank you for your public comment(s) regarding the VAP Please find attached a document containing VAP Exception Appeals Public Comments in support of inclusion of Oakfield Family Pharmacy in the DSRIP program. Please do exception appeal process. We will share your comments with the not hesitate to contact us with any questions. DSRIP team and will post all comments to the DSRIP web page at a later date. [email protected] Thank you for your public comment(s) regarding the VAP Please find attached a document containing VAP Exception Appeals Public Comments in support of inclusion of Summit Park Pharmacy in the DSRIP program. Please do not exception appeal process. We will share your comments with the hesitate to contact us with any questions. DSRIP team and will post all comments to the DSRIP web page at a later date. [email protected] Please find attached a document containing VAP Exception Appeals Public Comments in support of inclusion of Wurlitzer Family Pharmacy in the DSRIP program. Please do not hesitate to contact us with any questions. [email protected] [email protected] [email protected] [email protected] Thank you for your public comment(s) regarding the VAP exception appeal process. We will share your comments with the DSRIP team and will post all comments to the DSRIP web page at a later date. Date Received Contact Email Address Comments DOH Reply I am writing to urge that the State Health Department deny VAP Exemption to NYU Langone and North Shore/LIJ. There stats and history make clear that these are not safety net providers and should not be allowed to share in DSRIP funding. Approving these exemptions will make a greater mockery of the concept and reality of the definition of the safety net. Stop this outrage and deny safety net definition for these two hospitals -- North Shore and NYU Langone. It is time to say Nada Mas! No more! Let us not allow NYU and North Shore, also rolling in money, to take money out of the safety net. If they want to participate, they can share in the allowable 5% of the PPS funding. Using NYU Langone as an example of an institution that has dollars and is capable fo getting much more. NYU recently received $1 billion + from FEMA for post-Sandy "repairs." Also for the last several years, NYU has bee receiving almost $10 million from the state's charity care pool without meeting the minimum requirements for providing care for the uninsured and large numbers of Medicaid patients. Reprinted below is information from Capital Health blog on 11.13.14..N.Y.U. Langone Medical Center reported that its revenue exceeded expenses by $215 million for the fiscal year ending Aug. 31. That's a marked improvement over 2013 when Hurricane Sandy forced the closure of N.Y.U.'s emergency room and significantly depressed revenues. Patient revenue increased to just over $2 billion from $1.67 billion the year before, and disasterrelated expenses also dropped from $115 million to $22.1 million. http://bit.ly/1EvIvsO<http://link.capitalnewyork.com/542304f70f299646728b4f441zgnn.ue/VGSB1kmO3BUKdgreB7a80> NYU Hospitals Center Notes to Consolidated Financial Statements August 31, 2014 and 2013 In this report, NYU Langone reports Uncompensated Care. Although claiming charity care, in reality, NYU includes bad debt in this calculation, a formulation no longer allowed. So that these figures are inflated at best. Charity care totaled $24.3 million and $15.8 million for fiscal years 2014 and 2013. This equated to an approximate cost of $7.6 million and $6.1 million for the years ended August 31, 2014 and 2013, respectively, which is based on a ratio of cost to charges during the year. 12/2/2014 Judy Wessler [email protected] NYU Hospitals Center Notes to Consolidated Financial Statements August 31, 2014 and 2013 12 Most hospitals receive a percentage of their claimed charity care. NYU again counts bad debt in their calculation of how much care they provided. The state has finally changed their way of counting for charity care allocations so that NYU's claims are undoubtedly way less than what they claim. New York State regulations provide for the distribution of funds from an indigent care pool, which is intended to partially offset the cost of bad debts and services provided to the uninsured. The funds are distributed to the Hospitals Center based on each hospital’s level of bad debt and charity care in relation to all other hospitals. Subsidy payments recognized as revenue amounted to approximately $8.5 million and $9.6 million for 2014 and 2013, respectively, and are included in net patient service revenue in the accompanying consolidated statements of operations. For the reasons detailed above, I am urging that the State deny the request from NYU Langone and North Shore/LIJ to receive a VAP exemption to be considered safety net providers. Judy Wessler Thank you for your public comment(s) regarding the VAP exception appeal process. We will share your comments with the DSRIP team and will post all comments to the DSRIP web page at a later date. Date Received 12/2/2014 12/2/2014 Contact Patricia Nelson Email Address [email protected] Tony Mahler Comments DOH Reply Dear Jason Helgerson, I am writing to urge the state to reconsider their decision on allowing NYU Langone, and North Shore, hospitals to be declared as safety net hospitals, which will allow them to be entitled to receive DSRIP funding,. I would like to encourage the State to deviate all DSRIP funding to the true safety-net hospitals who provide services to the unserved and underserved low-income, Immigrant, Communities of color, who are not insured. By allowing NYU, and North Shore access to this funding will be doing the true safety-net hospitals a great dis-justice and possibly putting them in jeopardy of losing additional funding that is desperately needed to keep them a float. So I urge the State, and CMS to reconsider this decision. Thank you for your public comment(s) regarding the VAP exception appeal process. We will share your comments with the DSRIP team and will post all comments to the DSRIP web page at a later date. Please see the attached letter from Westchester Medical Center in support of this application. Thank you for your public comment(s) regarding the VAP exception appeal process. We will share your comments with the DSRIP team and will post all comments to the DSRIP web page at a later date. [email protected] Good afternoon, Attached please find an electronic copy of a letter of support from Senator Tim Kennedy for Aftercare Nursing Services, Inc.'s application to the DSRIP program as a Vital Access Provider. Please do not hesitate to contact me if you have any questions or concerns. Respectfully, Samantha Bobeck 12/2/2014 Samantha Bobeck [email protected] Legislative Analyst/Community Liaison Office of NYS Senator Timothy M. Kennedy, 63rd District District Office: 2239 South Park Ave Buffalo, NY 14220 Thank you for your public comment(s) regarding the VAP exception appeal process. We will share your comments with the DSRIP team and will post all comments to the DSRIP web page at a later date. P: (716) 826-2683 F: (716) 826-2793 [email protected] 12/3/2014 Leon Bell <[email protected]> NYU Memo against VAP Exception/Safety Net Designation Leon Bell [email protected] Hello---I would like to state complete objection to the idea that NYU Langone and North Shore would seek a “waiver” to have themselves declared ‘safety net” hospitals under DSRIP. As you may know, NYU alone recently reported an annual profit of more than $200 million! It is almost embarrassing that these hospitals would apply for safety net status---thereby literally robbing money from poorer hospitals who not only serve Medicaid patients, but serve masses of uninsured patients. To grant them undeserved millions more would be more than embarrassing; it would place NY State in an equivocal position right the beginning of reform. It would seriously disrupt the sense of momentum, cooperation and---we may even say---the widespread sense of mutual mission which has built up around DSRIP. Thank you for your public comment(s) regarding the VAP exception appeal process. We will share your comments with the DSRIP team and will post all comments to the DSRIP web page at a later date. Thank you for your public comment(s) regarding the VAP exception appeal process. We will share your comments with the DSRIP team and will post all comments to the DSRIP web page at a later date. Thank you for your kind attention. 12/3/2014 Chris Norwood [email protected] 12/3/2014 Anne & Sidney Emerman Attachments - See Vap Exception folder in P:drive. N/A - Has attached file but is a VAP exception form and not a public comment. NYUMC Langone a safety net provider? We beg to differ. Anne & Sidney Emerman Thank you for your public comment(s) regarding the VAP exception appeal process. We will share your comments with the DSRIP team and will post all comments to the DSRIP web page at a later date. VAP Exception Appeals Passed LHCSA Applicants Aftercare Nursing Services, Inc. Family Services of Westchester, Inc. Independent Health Care Services Visiting Nurse Services of Northeastern NY Community Care of Rochester dba Visiting Nurse Signature Care Schenectady County Public Health Services Niagara Homemaker Services Failed LHCSA Applicants BHRAGS Home Care Corp. Dennelisse-LHCSA Corporation Home & Health Care Services, Inc. Home Aides of Central New York Lower West Side Household Services Corporation Already SN LHCSA Applicant Liberty Resources, Inc. Joined PPS Niagara Falls Memorial Montefiore Medical Ctr Upstate University Hosp Finger Lakes Ellis Hospital Catholic Medical Partners Joined PPS 7 5 1 13 Bronx Lebanon Hospital Finger Lakes Upstate University Hosp Mt. Sinai Hospital Group Joined PPS Cortland Regional Medical Passed Failed Already SN Total LHCSA appeals 1 Opcert # 9058L001 0081L004 Not Provided 4601600 07161L001 0744L001 Opcert # 0857L001 0562L001 9088L001 Not Provided 0217L001 Opcert # P1948L001 MMIS # 1180189 00546603 01030386 02997684 1045303 1219378 887976 MMIS # 922298 1449994 00916243 00588023 1552221 MMIS # 3869665 NPI # 1841384906 1740587724 1447244660 TBD Application ID 2197-L 1477620797 1366589657 1467424200 NPI # 1679606735 1043340474 1073718011 1467527283 1811058522 NPI # 1780012286 LHCSA VAP Exception Appeals Failed Nursing Home Applicant 7003394N Already SN Nursing Home Applicants Grand Manor Westmount Health Facility Joined PPS Mt. Sinai Joined PPS Bronx Lebanon 0 1 2 3 OPCERT/License 7003394N OPCERT/License 7000361N 5601305N MMIS # MMIS # 358021 473794 NPI # 1639177272 NPI # 1588667125 1528152386 Billing Entity ID Billing Entity ID Passed Failed Already SN Total Nursing Home appeals 2 NH VAP Exception Appeals Passed Physician Applicants Joined PPS OPCERT/License MMIS # NPI # General Physicians PC- Amy Damiani, MD Erie County Medical Center Corporation 01417358 1174626170 General Physicians PC- Ashley Sajdak, PA Erie County Medical Center Corporation 03618637 1861833824 General Physicians PC- Bonnie Sunday, MD Erie County Medical Center Corporation '01346689 1992778674 Brautigam_Westfield Family Physicians-MD Catholic Medical Partners '00632013 1407821986 Bruce W MacKellar MD PC Finger Lakes C & S Medical Building Catholic Medical Partners CapitalCare Medical Group, LLC 137216 1093769358 225376 '02367215 1013986256 Albany Medical Center '02177719 1811946775 General Physicians PC- Carl Contino, MD Erie County Medical Center Corporation '00613525 1417922154 Child and Adolescent Health Associates Samaritan Medical Center 601818 1861589384 CookVAP_Westfield Family Physicians, PC Catholic Medical Partners '02960736 1487833117 Crystal Run Healthcare, LLP Westchester medical Center 2409709 1952376410 Dale L. Deahn, M.D., P.C. Finger Lakes 150120 711064 1871573378 Dr. Depner Finger Lakes 173875-1 Eggleston_Westfield Family Physicians, PC Catholic Medical Partners 142899 Elizabeth O'Neill, MD_General Physicians PC '012164 1104810944 '00722069 1487629515 Erie County Medical Center Corporation '02845792 1346204377 Faiza Wajid, MD_General Physicians PC Erie County Medical Center Corporation '03735095 1326359126 Family Health Medical Services, PLLC_Peterson Catholic Medical Partners '007012 '02342107 1124019948 Family Health Medical Services, PLLC _Redlecki Catholic Medical Partners '008740 '02651650 1437140423 Family Health Medical Services, PLLC _Uebelhoer Catholic Medical Partners '015235 '03406177 1528345469 Family Health Medical Services, PLLC _Whitmore Catholic Medical Partners '011192 '03163022 1982695839 Franklyn Campagna_General Physicians PC Erie County Medical Center Corporation '00613492 1063488542 General Physicians PC- Tat-Sum Lee, MD Erie County Medical Center Corporation '00600702 1477500304 General Physicians PC- Gordon Comstock, MD Erie County Medical Center Corporation 00603778 1972596229 Gorman_Westfield Family Physicians-MD Catholic Medical Partners 168596 '01032475 1942275441 Grant W. Stephenson, MD Catholic Medical Partners 170427 '01041730 1720055999 Guthrie Medical Group, P.C. United Health Services Hospitals, Inc. 2079481 1245246644 Howard T. Meny MD, PC Samaritan Medical Center 3464826 1205031937 JAMESTOWN PEDIATRIC ASSOCIATES Catholic Medical Partners 381058 3735173 1922344159 Jamestown Primary Care_Bentley Catholic Medical Partners '016685 '03706407 1417393927 Jamestown Primary Care_Collins Catholic Medical Partners 138697 '00722330 1073511424 Jamestown Primary Care_Daniels Catholic Medical Partners 333431 '02518789 1053339622 Jamestown Primary Care_Dmueller Catholic Medical Partners 189247 01358552 1215955984 Jamestown Primary Care_Gray Catholic Medical Partners '014030 1306157326 1306157326 Jamestown Primary Care_Johnson Catholic Medical Partners 175795 01213372 1851319685 Jamestown Primary Care_Krahn Catholic Medical Partners 171050 01033210 1215961347 Jamestown Primary Care_Powers Catholic Medical Partners 235137 02637929 1952329591 Jamestown Primary Care_Rmueller Catholic Medical Partners 189244 01358570 1235157926 Jefferson Family Medicine, P.C. Finger Lakes '01038260 1578732608 Jennifer Ruh, MD_General Physicians PC Erie County Medical Center Corporation 01830331 1891814028 Jordan Christy PA_General Physicians PC Erie County Medical Center Corporation '03529426 1780932822 Karen Manning NP_General Physicians PC Erie County Medical Center Corporation '02209070 1114909066 Kathleen Kait NP_General Physicians PC Erie County Medical Center Corporation '02503859 170208028 Kathleen Simms NP_General Physicians PC Erie County Medical Center Corporation '03308803 1194058966 Kelsey Stack, MD Upstate University Hospital '03428026 1033344049 Ken Osborn PA_General Physicians PC- Erie County Medical Center Corporation 01274304 1417939943 Kitchen_Westfield Family Physicians,PC Catholic Medical Partners 188164 01387062 1003884289 Lake Erie Medical Services, PC Catholic Medical Partners 270871 03518187 1437409638 262832 3 on CMP list also PHYSICIAN VAP Exception Appeals Passed Physician Applicants Joined PPS OPCERT/License MMIS # NPI # Lake Erie Medical Services, PC 2 Catholic Medical Partners 271432 '03386270 1356534713 Lake Erie Medical Services, PC 3 Catholic Medical Partners 276408 pending 1407112105 Lake Erie Medical Services, PC 4 Catholic Medical Partners 275052 pending 1720214349 Westfield Family Physicians _ Lashbrook vap_exception_appeal_form-1 Catholic Medical Partners 233677 2586029 1003381400 Letchworth Family Medicine- Barb Walker, NP Erie County Medical Center Corporation 2995040 1295727949 Letchworth Family Medicine- Daniel Zerbe, MD Erie County Medical Center Corporation 1745094 1033101720 Letchworth Family Medicine- Julie Grover, NP Erie County Medical Center Corporation 1922930 1003808296 Letchworth Family Medicine- Mary Richards, NP Erie County Medical Center Corporation 2189435 1154380038 Letchworth Family Medicine- Rodney Logan, MD Erie County Medical Center Corporation 604140 1811989015 Letchworth Family Medicine- J. Thomas Reagan, MD Erie County Medical Center Corporation 488546 1174515373 Letchworth Family Medicine, P.C. Finger Lakes 488564 1154313351 General Physicians PC- Linda Cole PA Erie County Medical Center Corporation '01282397 1669454005 General Physicians PC- Linda Fuller NP Erie County Medical Center Corporation '03546590 1609045343 Lisa M. Evans, NP Upstate University Hospital F333074 '02137126 1861499196 M. Shane Jennings, MD Upstate University Hospital 266197 '03486688 1639316797 305556 '02937988 1750473419 Westfield Family Physicians ,PC _ Mackowiak vap_exception_appeal_form-1 Catholic Medical Partners General Physicians PC- Marcel Rosario NP Erie County Medical Center Corporation ' 02897749 1992996912 General Physicians PC- Mary Beth Earl, NP Erie County Medical Center Corporation '02674115 1962424226 '03044906 1780698555 Mary Obear MD PLLC (dba Pembroke Family Medicine) Finger Lakes Medicor Asociates - Bartholomew vap_exception_appeal_form-1 Catholic Medical Partners 180842 '01227641 1992771935 Medicor Associates - Alam vap_exception_appeal_form-1 Catholic Medical Partners 223561 '02212504 1750357810 Medicor Associates - Barnes vap_exception_appeal_form-1 Catholic Medical Partners 175338 '01088522 1295758860 Medicor Associates - Bishop vap_exception_appeal_form-1 Catholic Medical Partners 185898 '01289174 1316913338 Medicor Associates - Landis vap_exception_appeal_form-1 Catholic Medical Partners 191665 '01413854 1467428425 Catholic Medical Partners Medicor Associates - Merza vap_exception_appeal_form-1 '003971 03437432 1235409673 Medicor Associates - Peerzada vap_exception_appeal_form-1 Catholic Medical Partners '003912 '03388658 1073769725 Medicor Associates - Raja vap_exception_appeal_form-1Catholic Medical Partners 270272 '03635765 1497089460 Medicor Associates - Roth vap_exception_appeal_form-1Catholic Medical Partners 200012 '01576076 1942303029 Catholic Medical Partners Medicor Associates - salazar vap_exception_appeal_form-1 272261 '03823907 1316195696 '03031436 1902998974 General Physicians PC- Melissa Fanton PA Mohamad-Zahi Kassas, MD Erie County Medical Center Corporation Finger Lakes NY State License 236190 2055278 1629085592 332342 '01877825 1184699670 Erie Allison County Wasson, Medical Center Corporation Niagara Family Medicine Associates_General Physicians PCDO 3809285 1932343944 Erie Ashok CountySingh, Medical Niagara Family Medicine Associates_General Physicians PCMDCenter Corporation 2071016 1326046343 Erie Harold County Reubens, Medical Center Niagara Family Medicine Associates_General Physicians PCMD Corporation 1023752 1164420378 Erie County Center Niagara Family Medicine Associates_General Physicians PCJeromeMedical C.Andres, MD Corporation 826137 1063410108 Erie Maria CountyKomin, Medical Center Corporation Niagara Family Medicine Associates_General Physicians PCMD 1023752 1508864505 Erie Melvin County B. Medical Niagara Family Medicine Associates_General Physicians PCDyster,Center M.D Corporation 603223 1093713141 Erie Michael County Medical Niagara Family Medicine Associates_General Physicians PCGray, PACenter Corporation 1461545 1780611640 Erie Patricia County Medical Center Corporation Niagara Family Medicine Associates_General Physicians PCShea, FNP 2528669 1871591040 Erie Sonjoy County Singh, Medical Center Corporation Niagara Family Medicine Associates_General Physicians PCMD 1543333 1063410066 Erie County MedicalMD Center Corporation Niagara Family Medicine Associates_General Physicians PCDaniel Zorich, 2147771 1770581993 Erie County Medical Center Corporation Olean Medical Group-Cuba, NY - Brad Pecherzewski, NP_Olean Medical Group LLP - Brad Pecherzewski, NP 1202088 1487096384 Erie County Medical Corporation Olean Medical Group-Cuba, NY - Christa L. Zenoski, MD_Olean Medical GroupCenter LLP - Christa L. Zenoski, MD 3158041 1992039861 Erie County Medical Center Olean Medical Group- Cuba,NY - Susan E. Dougherty, NP_Olean Medical Group LLP -Corporation Susan E. Dougherty, NP 1246262 1295708774 Erie County Medical Center Olean Medical Group-Ellicotville,NY- Andrew J. Berger, MD_Olean Medical Group LLPCorporation - Andrew J. Berger, MD 722312 1255213755 Olean Medical Group- Ellicottville, NY - Michelle A. Silliker, ErieNP_Olean County Medical MedicalCenter GroupCorporation LLP - Michelle A. Silliker, NP 2077250 1720070881 Olean Medical Group- Ellicottville,NY - Renee L. Hansen, Erie CNM_Olean County Medical MedicalCenter GroupCorporation LLP - Renee L. Hansen, CNM 3776890 1912337718 Catholic Medical Partners Westfield Family Physicians,PC_Murawski vap_exception_appeal_form-1 4 PHYSICIAN VAP Exception Appeals Passed Physician Applicants Joined PPS OPCERT/License MMIS # NPI # Olean Medical Group- Franklinville, NY - Donna M. Oehman, Erie County MD_Olean Medical Medical Center Group Corporation LLP - Donna M. Oehman, MD 1175988 1952327363 Olean Medical Group, Franklinville, NY - Richard D. Larsson, EriePA_Olean County Medical Medical Center GroupCorporation LLP - Richard D. Larsson, PA 2220780 1063412963 Olean Medical Group-Olean, NY - Angela Adomako, MD_Olean Erie County Medical Medical GroupCenter LLP - Angela Corporation Adomako, MD 3446971 1821399411 Olean Medical Group-Olean, NY - Arkady Peterman, MD_Olean Erie County Medical Medical Group Center LLP - Arkady Corporation Peterman, MD 2633443 1073512273 Olean Medical Group- Olean, NY - Christine Wild, NP_Olean ErieMedical County Medical Group LLP Center - Christine Corporation Wild, NP 3427869 1861765331 Olean Medical Group- Olean, NY - David S. Shulman, MD_Olean Erie County Medical Medical Group Center LLP -Corporation David S. Shulman, MD 1202088 1467451534 Olean Medical Group- Olean, NY -Jin Hwa Song, MD_Olean ErieMedical CountyGroup Medical LLPCenter -Jin Hwa Corporation Song, MD 3498340 1760629364 Olean Medical Group- Olean,NY- Kelly A. Keech, NP_Olean Erie Medical CountyGroup Medical LLPCenter - KellyCorporation A. Keech, NP 3132450 1346471851 Olean Medical Group- Olean, NY- Marianna Worczak, MD_Olean Erie County Medical Medical Group Center LLP Corporation - Marianna Worczak, MD 3643249 1609190560 Olean Medical Group- Olean, NY - Marti L. Brotka, NP_Olean Erie County MedicalMedical Group LLP Center - Marti Corporation L. Brotka, NP 3465230 1497053037 Olean Medical Group- Olean, NY- Matthew R. Cox, MD_Olean Erie County Medical Medical GroupCenter LLP - Matthew Corporation R. Cox, MD 3076762 1407017940 Olean Medical Group- Olean, NY - Nichole T. Green, PA_Olean Erie County Medical Medical GroupCenter LLP - Nichole Corporation T. Green, PA 2563546 1376535393 Olean Medical Group- Olean, NY-Prerna Sood, MD_OleanErie Medical County Group Medical LLP Center -PrernaCorporation Sood, MD 3499061 1184956310 Olean Medical Group-Olean, NY-Roger A. Klein, MD_Olean ErieMedical CountyGroup Medical LLPCenter - Arkady Corporation Peterman, MD 2633443 1073512273 Olean Medical Group- Olean, NY - Tami T. Buzzard, DNP_Olean Erie County Medical Medical Group Center LLP - Tami Corporation T. Buzzard, DNP 2079165 1528067667 Olean Medical Group- Olean, NY - Thaddeus S. Wojcik, MD_Olean Erie County Medical Medical Group Center LLPCorporation - Thaddeus S. Wojcik, MD 839478 1508865601 Olean Medical-Olean, NY - William G. Cihak, MD_Olean Medical Erie County Group Medical LLP - William Center Corporation G. Cihak, MD 2022622 1386643781 Pam Reamer NP_General Physicians PC- Pam Reamer NPErie County Medical Center Corporation '02564872 1831382878 Pediatric Associates of Watertown Samaritan Medical Center `0058890 1497855670 Peter Sadowitz, MD Upstate University Hospital 145193 '00821027 1922065150 '006851 '02153579 1093780025 01443250 1194725275 00988129 1043647688 Rajiv Parikh, MD_General Physicians PC- Rajiv Parikh, MD Erie County Medical Center Corporation '00600826 1396854055 Ricahrd Milazzo, MD_General Physicians PC- Richard Milazzo, Erie County MD Medical Center Corporation '00605147 1487605150 Rome Medical Group St.Joseph's Hospital Health Center 1511013 1407892342 Ross Sullivan, MD Upstate University Hospital 258893 '03302994 1366699498 Southern Tier Pediatrics Practice, P.C._for Katie Bell_Southern Catholic Tier Medical Pediatrics Partners Practice, P.C. 11983 3109428 1881884526 Southern Tier Pediatrics Practice, P.C._for Lyndsey Carlson_Southern Catholic Medical Tier Partners Pediatrics Practice, P.C. 15498 3518816 1336414796 Suchritra Koneru, MD_General Physicians PC- Suchritra Koneru, Erie County MD Medical Center Corporation 2649085 1336170729 Thomas Madjewski, MD_General Physicians PC- ThomasErie Madjewski, County Medical MD Center Corporation '01394412 1356318992 Thomas McTernian, MD_General Physicians PC- ThomasErie McTernian, County Medical MD Center Corporation '02202977 1336242387 Pierce_Westfield Family Physicians,PC Catholic Medical Partners Priscilla Dale, MD_General Physicians PC- Priscilla Dale, MD Erie County Medical Center Corporation Przybelinski_Westfield Family Physicians,PC Catholic Medical Partners 306490 Tri County- Anderson_Tri-County Family Medicine Assocates, Erie County PC Medical Center Corporation 167740 '01028468 1629069349 Tri County- Burroughs_Tri-County Family Medicine Assocates, Erie County PC Medical Center Corporation '010035 '02626126 1366406134 Tri County-Wild_Tri-County Family Medicine Assocates, PC Erie County Medical Center Corporation 160937 '01028606 1437140985 Tri County Family Medicine Associates_Keicher 15127 03418013 1538445069 Umamaheswara Vejendla MD PC Catholic Medical Partners 014284-1 2050080 1437467487 Umamaheswara Vejendla MD PC Catholic Medical Partners 006401-1 2050080 1881786598 Umamaheswara Vejendla MD PC Catholic Medical Partners 214279-1 2050080 140707057 '03374614 1114157112 Virkam Sodi, MD_General Physicians PC- Virkam Sodhi, MD Erie County Medical Center Corporation Wehr_Westfield Family Physicians,PC Catholic Medical Partners 248542 '02976387 1083608418 William M. Linsky, NP Upstate University Hospital F301558 '02613069 1760445969 '02049365 1529069085 William Wnuk, MD vap_exception_General Physicians PCErie William CountyWnuk, Medical MDCenter Corporation Wyoming Ob-Gyn, Scott Treutlein ,MD Failed Physician Applicants Abbasey Medical PLLC Finger Lakes NY213977 2571002 1063481422 Joined PPS OPCERT/License MMIS # NPI # Finger Lakes PPS 231805 3059721 1053419028 5 PHYSICIAN VAP Exception Appeals Passed Physician Applicants Joined PPS Finger Lakes Medical Associates, LLP OPCERT/License Finger Lakes Already SN Physician Applicants Joined PPS OPCERT/License Brad Speta NP Finger Lakes Liberty Pediatrics, PC Westchester Medical Center 17864 Linda Pullman NP Finger Lakes F331354-1 MMIS # NPI # 2382869 1730254459 MMIS # NPI # 1689994147 Medicor Associates - Ouellette vap_exception_appeal_form-1 Catholic Medical Partners 1477643856 1194710236 '02946110 1770586398 Olean Medical Group- Olean, NY - Pamela T. Salzmann, DO_Olean Erie County Medical Medical Group Center LLPCorporation - Pamela T. Salzmann, DO 2521906 1932108149 Olean Medical Group-Olean, NY - Ricardo P. Ilustre, MD_Olean Erie County Medical Medical GroupCenter LLP - Ricardo Corporation P. Ilustre, MD 1753084 1467451658 Southern Tier Pediatrics Practice, P.C._ for Amy Beach_Southern Catholic Tier Medical Pediatrics Partners Practice, P.C. 330896 1568501 1629045026 Ji Young Lee MD Catholic Medical Partners 268466 1477796092 Calogero Ippolito MD Catholic Medical Partners 220843 1205803509 Charles Yates MD Catholic Medical Partners 211440 David Farrugia MD Catholic Medical Partners 257310 Elizabeth M Love MD Catholic Medical Partners 200473 1761820 1063400521 Subrato Ghosh MD Catholic Medical Partners 226537 2317664 1083607055 Ayman Farghaly MD Catholic Medical Partners 195041 1167817 1760489975 Barbara Stouter MD Catholic Medical Partners 183576 8494418 1073568358 Christopher Springer MD Catholic Medical Partners 214979-1 2166287 1093706657 Dalip Khurana MD Catholic Medical Partners 139722 Danielle Conley MD Catholic Medical Partners 2422551 2836446 1497818173 Daryl Ehlenfield MD Catholic Medical Partners 209031 1856573 1033117809 Deborah Raiken MD Catholic Medical Partners 149970 764392 1245221274 Faraj Touchan MD Catholic Medical Partners 267669 1184887853 Frances Ilozue MD Catholic Medical Partners 243530 1013036706 Frederick Piwko MD Catholic Medical Partners 213857 Jennifer Roller MD Catholic Medical Partners 229568 Jerome Ulatowski MD Catholic Medical Partners 159192 John Hellriegel MD Catholic Medical Partners 137338 John Sauret MD Catholic Medical Partners 208903 1688288 1225000268 Joseph Polcaro MD Catholic Medical Partners 198470 8878102 1598716920 Laurie Kasnicki MD Catholic Medical Partners 141845 1052120 1649202342 Mary Jo McDonell MD Catholic Medical Partners 178523 1167817 1821095118 Michael D. Calabrese MD Catholic Medical Partners 148092 839318 1992782601 Michele H. Frech DO Catholic Medical Partners 195207 1093800476 Robbert J. Salis MD Catholic Medical Partners 259122 1215238258 Robert Gadawski MD Catholic Medical Partners 201617 Samuel Reyes MD,PhD Catholic Medical Partners 253206 Sarah Cook MD Catholic Medical Partners 243153-1 2882837 1740401918 Tej Kaul MD Catholic Medical Partners 166453 961582 1831194513 139 942 37 1118 'F334898 1131213 1991262 1134112691 1891998563 1578534368 1956481 1639196421 1912936121 1167817 1790783355 1528064136 1167817 1649277930 1598976391 Passed Failed Already SN Total Physician appeals Note: We received 972 CMP ACO IPA VAP exceptions appeals through BVAPR email account 6 PHYSICIAN VAP Exception Appeals Passed Pharmacy Applicants Belle Mead Pharmacy Brothers drug corp Joined PPS OPCERT/License 31021 MMIS # 037544785 1091221 NPI # 1922379809 1326022922 21600 00449990 1194745307 22231 '01509439 1184666968 1022637 2634426 3055589 1100201 1376546820 1083722771 1255592457 1992895692 Cresetti Drug Corpd/b/a Neergaard Pharmacy Four Corners Pharmacy LLC G.S.P. LONGTERM CARE, INC. Gem Drug Corporation DBA Lincoln Pharmacy N/A Erie County Medical Center Corporation Erie County Medical Center Corporation Lutheran Medical Center Albany Medical Center Montefiore Medical Center Albany Medical Center Great Neck Chemists Inc of NY Long Island Jewish Medical Center 19602 1051674 1386789543 Hillcrest Pharmacy llc Hometown Healthcare Inc. Kings Park Slope, Inc Refuah Health Center Ellis Hospital Suny Downstate Medical Center 15710 19339 276646 00522647 1014942 1801817853 1144335183 1942311329 KPH Healthcare Services, Inc. St. Joseph's Hospital Health Center 031874 3585339 1487996377 18848 7907 918649 01123775 516207 1073598397 1881712271 1063496404 19919 1092286 1518058106 16931 '518098 2459772 1982756029 1588694483 2459772 1588694483 18315 868864 1578645875 26915 2632906 1972696300 7943 453338 1386733079 27764 2998236 2632740 1972518512 1194810770 27337 2728921 1063427656 29447 3124623 1568603124 29447 3124623 1568603124 31707 3776354 1205176211 Buffalo Pharmacies Buffalo Pharmacies Institutional Lindsay Drug Co., Inc. Madison Avenue Pharmacy Marra's Pharmacy Albany Medical Center Mount Sinai Hospitals Group Albany Medical Center Erie County Medical Center Moden-Giroux, Inc. d/b/a Transit Hill Pharmacy Corporation New Utrecht Pharmacy Inc. Maimonides Medical Center P & S Pharmacy, llc dba Wurtsboro Pharmacy_1 Westchester Medical Center P & S Pharmacy, llc dba Wurtsboro Pharmacy_2 N/A (Repeat) PURTI DRUGS CORPORATION N/A Rosenkran's Pharmacy Inc. d/b/a Oakfield Niagara Falls memorial Medical Family Pharmacy Center Niagara Falls memorial Medical Rosenkran's Pharmacy Inc. Center S & T PHARMACY N/A Sullivan Pharmacy Inc Westchester Medical Center Niagara Falls memorial Medical Summit Park Pharmacy, Inc. Center Vascuscript, Inc., d/b/a Mobile Pharmacy Erie County Medical Center Solutions_1 Corporation Vascuscript, Inc., d/b/a Mobile Pharmacy Erie County Medical Center Solutions_2 (Repeat) Corporation Niagara Falls memorial Medical Wurlitzer Family Pharmacy, Inc. Center Faild Pharmacy Applicants Ascan Pharmacy Inc Joined PPS Pharmacy CIVA DRUGS CORP D/B/A BRENTWOOD PHARMACY Pharmacy John & Franco's Drugs Inc d/b/a Stuarts PharmacyPharmacy Marg Pharmacy, Inc DBA Katz Drugs_1 Pharmacy Marg Pharmacy, Inc DBA Katz Drugs_2 Pharmacy RG Drug Corp Pharmacy SRK PHARMACY INC DBA V&K PHARMACY 29024 Pharmacy 29 Passed 7 Failed 36 Total Pharmacy appeals OPCERT/License MMIS # Amida Care N/A Nassau University Medical Center N/A Health & Hospital Corporation The New York and Presbyterian Hospital N/A 7 NPI # Billing Entity ID Billing Entity ID 3432648 1447527775 017492 00713240 1174534739 20290 1134849 1760569636 22684 1578078 1932185352 '22684 '1578078 1932185352 21514 1372729 1225070857 31753 3530792 1487907697 PHARM VAP Exception Appeals Passed D&TC Applicants Tri County Family Medicine Program Orleans Count Health Department Already SN D&TC Applicant Washington County Board of Supervisors c/o County Public Health Nursing Service Joined PPS Finger Lakes PPS Finger Lakes PPS Joined PPS Adirondack Health Insitute 2 Passed 1 Already SN 3 Total D&TC OPCERT/License 2527200R 362020OR OPCERT/License 5726200R 8 MMIS # 355257 3760189 MMIS # 1011430 NPI # Billing Entity ID 1588649503 1922446137 NPI # 1548327596 Billing Entity ID E0198717 DTC VAP Exception Appeals Passed CHHA Applicants CCH Home Care and Palliative Care Services Joined PPS OPCERT/License MMIS # NPI # Upstate University Hospital None 1030386 1447244660 Ellis Hospital 4102601 2994154 1114967924 Adirondack Health Insitute 46-3241378 3878255 1639511892 Adirondack Health Insitute 4420600 3864468 1881037604 Visiting Nurse Services of Northeastern NY Ellis Hospital Cabrini of Westchester d/b/a Cabrini Certified Home Health Agency Montefiori Medical Center 4601600 2997684 1841360740 5925600 3856397 1003017211 Eddy Visiting Nurse Association (EVNA) Fort Hudson Certified Home Health Agency, Inc. Northern Lights Health Care Partnership, Inc. Rosa Coplon Jewish Home and Infirmary Certified Home Health Agency Catholic Medical PartnersAccountable Care IPA INC 1451604 1047974 1053337865 Constellation Home Care, LLC The Wartburg Home of the Evangelical Lutheran Church Nassau University Medical Center 2952606 3912118 1841629698 Montefiore Medical Center 1177999 1215089479 Failed CHHA Applicants Hamilton County Public Health Nursing Service Joined PPS 5904601 OPCERT/License MMIS # NPI # Billing Entity ID Billing Entity ID 2055601 2997386 1801977376 L. Woerner Inc. Cortland Adirondack Health Insitute Cottland Regional Medical Center, Inc. 1101601 3003894 1891098927 L. Woerner Inc. Delaware Mary Imogene Bassett Hospital 1257602 2997973 1033481932 L. Woerner Inc. Schoharie L. Woerner Inc. Washington Mary Imogene Bassett Hospital Adirondack Health Insitute United Health Service Hospitals, Inc. Catholic Medical PartnersAccountable Care IPA INC United Health Service Hospitals, Inc. 4724601 5726601 473730 3001021 1649575549 1114363744 301603 3001145 1952306631 1455600N 1080735 169772343 301601 683656 1760489406 222348211 Joined PPS Mount Sani Hospitals Group Adirondack Health Insitute Passed Failed Already SN Total CHHA appeals OPCERT/License MMIS # 7002659 3870564 1521600 413721 NPI # 1780936948 1689663155 Billing Entity ID Lourdes At Home McAuley-Seton Home Care Twin Tier Home Health Inc. Already SN CHHA Applicants Jewish Home Lifecare Essex County Nursing Services 9 8 2 19 9 E0156910 CHHA VAP Exception Appeals Passed ACF Applicants Joined PPS OPCERT/License MMIS # NPI # Bayoumi Medical, PLLC Finger Lakes PPS 210742 2833109 1750389797 St. Dominic's Home Western New York Physicians Westchester Medical Center Finger Lakes PPS 7159430 454548256 1310012 3441861 1235197047 1093088197 Failed ACF Applicants Joined PPS OPCERT/License MMIS # NPI # Family Service of Rochester, Inc. Finger Lakes PPS 370-S-051 None 198284702 Family Service of Rochester, Inc. Finger Lakes PPS 3 Passed 2 Failed 5 Total ACF appeals 370-S-191 None 1817936 10 Billing Entity ID E0168933 Billing Entity ID Agency Code 22280 Agency Code ACF VAP Exception Appeals O Applicants Prov. Type Joined PPS OPCERT/License MMIS # NPI # Agency CodeMedicaid % served Medicaid provider The Einstein Division of Substance Abuse Wellness Programs OASAS St. Barnabas Hospital 7000217R 245643 1891837910 87 yes Trinity Alliance of the Capital Region, Inc. - Homer Perkins OASAS Center Albany Medical Center 160910049 1326448275 0 Youth and Family Counseling Agency of Oyster Bay East OASAS Norwich, Inc.Nassau University 160511549 1316032782 bbb yes Western Finger Lakes START OPWDD Finger 6052311 2857183 1306901608 79 yes Bronx Psychiatric Center OMH Montefiore 769360 1619034154 80 yes Credo Community Center OMH 8182001A 2996752 1326295809 3n4 75 no Bridging Access to Care OMH Montefiore 8048001A 1102441 1548368756 E0180257 99 yes Sancia Wellness, Inc. OMH Westchester Medical 8112001A 3417934 1558644708 47970 99 yes Already SN 'O' Applicants Prov. Type Joined PPS OPCERT/License MMIS # NPI # Agency CodeMedicaid % served Medicaid provider Addicts Rehabilitation Center Fund, Inc. OASAS HHC 130210050/120410051 19 98 yes Alternatives Counseling Services, Inc. OASAS Stony Brook University 150411504 2772296 1508085226 227 62 yes Bridging Access to Care OASAS Montefiore 150711255 1102441 1528149341 92 yes 1915i Can Am Youth Services Inc. dba Rose Hill OASAS Samaritan 160811624 1178385 1891896767 36330 90 yes Equinox Inc. OASAS Albany Medical Center 160511801 2581964 1831389899 16 yes Catholic Charities of the Diocese of Rochester dba Catholic OASAS Family Center 1179964 1790853844 90 yes Housing Works East NY Community Health Center OASAS Maimonides 150911679 1826104 1538379573 45980 97 yes Loyola Recovery Foundation OASAS Finger 150211608 '00689721 1134294978 70570 3 yes Long Beach Reach, Inc. OASAS Nassau University 19 yes Nassau Alternative Advocacy Program OASAS Nassau University 160511269 2350012 1487871133 41400 30 yes Nassau County Office of Mental Health, Chemical Dependency OASAS and Developmental Nassau University Disabilities Services 150210368 '00689730 1033276662 40150 47 yes New York Center for Addiction Treatment Services OASAS HHC 150510892 1492644 1497942114 99 yes Oceanside Counseling Center OASAS Nassau University 150810910 1302501 1811967128 6438 yes Recovery Counseling, LLC OASAS upstate University 160411762 E0320685 1225178445 47830 98 yes South Brooklyn Medical Administrative Services, Inc. OASAS Lutheran 160310387 2737286 1114093523 553 95 yes The Addiction Center of Broome County Inc. OASAS 635112 1295817583 36030 75 yes YMCA of Long Island, inc. OASAS Stony Brook University 161211543 unsure 111649914 25 yes Long Island Advocacy Center OPWDD Nassau University 2002344 80730590 l yes Long Island Advocacy Center OPWDD Stony Brook University 2002344 80730590 l yes Adelante of Suffolk County, Inc. OMH 0025248N '002910 s yes Allegany Rehabilitation Associates- Wyoming County Mental OMHHealth Clinic Finger 7531103A 77382 1295853166 63 yes Equinox Inc. OMH 7524110A 2995811 1477695021 Horizon Health Services, Inc. OMH Erie County 6034190A, 6034005A, 2993786 6034005B, 1043387152 6034005C,11130 6034005D, 6034104A, 6034103A, yes6034105A, 6034105B, 6034105C, 6034105D, 6034 John T. Mather Memorial Hospital OMH Stony Brook University 6026001A '03158014 1093718728 20 yes Kids Oneida, Inc. OMH Faxton 9063010A 2276286 1770787079 28220 92 yes LaSalle School- Lancaster OMH Ellis 8178001 A 1439192 1861664617 40 Northeast Parent & Child Society, Inc. OMH Ellis 7308001A '02664359 1003901695 83 yes 20 OASAS 3 OPWDD 12 OMH 35 Total O Agencies 11 Os VAP Exception Appeals Harm Applicants CitiWide Harm Reduction Program d/b/a BOOM!Health Affiliate CitiWide Harm Reduction Program d/b/a BOOM!Health Affiliate CitiWide Harm Reduction Program d/b/a BOOM!Health Affiliate CitiWide Harm Reduction Program d/b/a BOOM!Health Affiliate Lower East Side Harm Reduction Center Lower East Side Harm Reduction Center St. Ann's Corner of Harm Reduction Joined PPS OPCERT/License MMIS # NPI # Bronx - Lebanon Hostpital St. Barnabas Amida Mt. Sinai 7 Pending SN 12 HARM VAP Exception Appeals 1915i Applicants AIDS Service Center NYC dba Allied Service Center NYC Anchor House INC Argus Community, Inc. Argus Community, Inc. Astor Services for Children & Families Baltic Street AEH, Inc. Bowery Residence Capabilities, Inc Catholic Charities of Cortland County Catholic Charities of Steuben Cayuga Counseling Services Center for Behavioral Health Services Center for Community Alternatives, Inc. Chautauqua County Department of Mental Hygiene Chautauqua County Department of Mental Hygiene Chautauqua County Health Homes Chautauqua County Health Homes Circulo de la Hispanidad Joined PPS Hillside Children's Center Hillside Children's Center Hillside Children's Center Housing Options Made Easy, Inc. Housing Options Made Easy, Inc. Housing Options Made Easy, Inc. Housing Works Inc Kids Oneida Lake Shore Behavioral Health, Inc. NPI # Agency Code 610 Bronx-Lebanon Hospital Center Mount Sinai Hospital Group 170411505 170411505 2737644 1932241429 2737644 1932241429 2994769 1225009806 Pending List X X 18320 X Lutheran Medical Center Finger Lakes PPS 7560960 United Health Services Hospitals, Inc. Finger Lakes PPS 2995802 1477684967 2171346 2995435 1366597171 7734100A Maimonides Medical Center Finger Lakes PPS Catholic Medical Partners Accountable Care IPA INC Erie County Medical Center Corporation Erie County Medical Center Corporation Catholic Medical Partners Accountable Care IPA INC 40790 X 50760 44050 X X 26310 02135 X X 1014075 1194874610 2003170 1003008301 2997928 1902897374 X 2997928 1902897374 X 3520990 1477807097 3520990 1477807097 13030 Community Awareness Network for a Drug-free Life and Environment Montiefiore Medical Center Community Maternity Services Albany Medical Center Hospital Compeer Inc Finger Lakes PPS Erie County Medical Center Compeer of Greater Buffalo Corporation Compeer Rochester, Inc Council on Addiction Recovery Services Inc Finger Lakes PPS EAC Inc Erie County Council for the Prevention of Alcohol and Substance Erie County Medical Center Abuse Corporation Erie County Medical Center Every Person Influences Children Inc. Corporation Families Child Advocacy Network Families First in Essex County Inc. Adirondack Health Institute Families On The Move of New York City, Inc. Erie County Medical Center Family Help Center Corporation Family Service League, Inc. Family Ties of Westchester, Inc. FEGS Health & Human Services Bronx-Lebanon Hospital Center Fountain House, INC. Goddard Riverside Community Center Heights-Hill Mental Health Service SBPC Community Advisory Board, Inc. Hillside Children's Center OPCERT/Lice nse MMIS # 1337 3001498 1689820920 40900 25260 170910702 160511510 933817 1144395054 2249145 1346302346 2997428 1811190663 38180 48540 18590 43530 18140 7296471A 02995733 1457444234 18380 Finger Lakes PPS Erie County Medical Center Corporation 969333 1639267933 42860 16-1453581 969333 1639267933 16-1453581 St. Joseph's Hospital Health Center Upstate University Hospital Erie County Medical Center Corporation Finger Lakes PPS Niagara Falls Memorial Medical Center 969333 969333 1639267933 1639267933 16-1453581 16-1453581 Catholic Medical Partners Accountable Care IPA INC 13 X X 1303502 1578642054 Faxton St. Luke's Healthcare X X 38160 6110503 Mount Sinai Hospital Group X X X X X X 9063010A 2276286 1770787079 6783100A, 6783110B, 6783110A, 6783101A, 30053230 0671765, 02370363 , 03005290 , 03005314 , 03005323 , 02732658 , 01653781 28220 1922210657, 1508868407, 1023230695, 1497967129, 1184897258, 1922210657, 1346424520, 1447497821 50250 X 1915i VAP Exception Appeals 1915i Applicants Lake Shore Behavioral Health, Inc. Lake Shore Behavioral Health, Inc. Lake Shore Behavioral Health, Inc. Liberty House Foundation, Inc. Liberty Resources, Inc. Liberty Resources, Inc. Liberty Resources, Inc. Liberty Resources, Inc. Long Island Families Together, Inc. Long Island Minority AIDS Coalition Long Island Minority AIDS Coalition Loretto Independent Living Services Inc. Joined PPS Catholic Medical Partners Accountable Care IPA INC Erie County Medical Center Corporation Erie County Medical Center Corporation Finger Lakes PPS Upstate University Hospital Finger Lakes PPS Upstate University Hospital OPCERT/Lice nse MMIS # NPI # Agency Code 6783100A, 6783110B, 6783110A, 6783101A, 30053230 0671765, 02370363 , 03005290 , 03005314 , 03005323 , 02732658 , 01653781 1922210657, 1508868407, 1023230695, 1497967129, 1184897258, 1922210657, 1346424520, 1447497821 50250 X 6783100A, 6783110B, 6783110A, 6783101A, 30053230 0671765, 02370363 , 03005290 , 03005314 , 03005323 , 02732658 , 01653781 1922210657, 1508868407, 1023230695, 1497967129, 1184897258, 1922210657, 1346424520, 1447497821 50250 X 6783100A, 6783110B, 6783110A, 6783101A, 30053230 0671765, 02370363 , 03005290 , 03005314 , 03005323 , 02732658 , 01653781 1922210657, 1508868407, 1023230695, 1497967129, 1184897258, 1922210657, 1346424520, 1447497821 50250 X 7241441 7241441 2994810 2994810 2994810 2994810 1225254881 1225254881 1225254881 1225254881 50660 50660 41470 Maryhaven Center of Hope 3301209R 01519162 1740624709 6825012A/68 Catholic Health Services of Long Island 25006A 02882424 1215120399 86050 Maryhaven Center of Hope Catholic Health Services of Long Island 6825014A 03012315 1417149386 86050 Maryhaven Center of Hope Catholic Health Services of Long Island Erie County Medical Center Corporation Niagara Falls Memorial Medical Center Stony Brook University Hospital Albany Medical Center Hospital Samaritan Medical Center Mount Sinai Hospital Group Westchester Medical Center 02870437 1730218546 86050 Mental Health Assocaition of Erie County, Inc. Mental Health Association in Niagara County Inc Mental Health Association in Suffolk County Mental Health Association of Columbia-Greene Counties, Inc. MHAJC - Mental Health Assoc. Jefferson County MHA-NYC Multi-County Community Development Corporation NADAP NAMI-FAMILYA of Rockland CountyInc (didn't put name on form) NAMI-NYC Metro New York Harm Reduction Educators North Country Freedom Homes, Inc. 150511768 7418022A 1700938560 7957018A 8276445 3421029 10132374 2248671 1154517928 3439925 1295006526 14 X X X X X 10550 X 10050 16160 X X 10590 Montiefiore Medical Center Maimonides Medical Center Samaritan Medical Center Pending List 14640 43070 17320 151110151 36160 X X X 1915i VAP Exception Appeals 1915i Applicants Joined PPS Northeast Parent & Child Society, Inc. Northern Manhattan Perinatal Partnership, Inc. The New York Prebyterian Hospital NYSARC INC NEW YORK CITY CHAPTER Odyssey House, Inc. Health & Hospital Corporation Mount Sinai Hospital Group Onondaga Case Management Services Inc. Ontario ARC Upstate University Hospital Finger Lakes PPS Open Arms Incorporated Parsons Child and Family Center Peninsula Counseling Center Positive Health Project Projects to Empower Rehabilitation Support Services, Inc. Rockland County Department of Mental Health Nassau University Medical Center Mount Sinai Hospital Group Ellis Hospital Montiefiore Medical Center Rockland Independent Living Center Samuel Field Y Skills Unlimited, Inc. Refuah Health Center Mount Sinai Hospital Group Stony Brook University Hospital South Shore Assocaition for Independent Living, Inc. Spectrum Human Services Nassau University Medical Center Finger Lakes PPS St. Anne Institute Standing Together Effectively for People By Standing Together Effectively for People,INC Standing Together Effectively for People By Standing Together Effectively for People,INC Standing Together Effectively for People By Standing Together Effectively for People,INC The Family Counseling Center of Fulton County The Fortune Society The Fortune Society The Osborne Association The Osborne Association The Osborne Association The Osborne Association The Osborne Association The Pederson Krag Center Urban Pathways, Inc. OPCERT/Lice nse MMIS # NPI # 7308001A 02664359 1003901695 7002141R 02703602 1399760 1013976976 8044025A 61330 160810119, 150811472, 151011771 02994838 1235184235 2702005 6223100A 160910937 05-77-18 02998034 1922171305 244817 1437262839 50111313 8600150A 6868110A 7552470A, 7552001, 7552434, 7552435, 7552431, 7552430 1215273503 2998070 1922293745 HHC Bronx-Lebanon Hospital Center Montiefiore Medical Center Maimonides Medical Center St. Barnabas Stony Brook University Hospital 13050 X X 12600 40530 X 40400 50630 05-77-18 14370 70460 X X 01666031 1770829624 1382663 1205862950 468759 1487789392 73390 40390 40290 02994503 1043267339 1487601837 16330 X 00353535 1629243407 14350 c0001483650631 c0001483650631 c0001483650631 15980 1523 1523 X Adirondack Health Institute 8549100A 8095001A 171011539 160311272 160311272 160311272 160311272 160311272 6816100/A Pending List 34360, 51524, 52613 St. Joseph's Hospital Health Center Samaritan Medical Center Ellis Hospital Agency Code 1384734 2740141 2740141 2225116 2225116 2225116 2225116 2225116 2993575 1164473831 1235357237 1235357237 1740497478 1740497478 1740497478 1740497478 1740497478 1013964170 1245543149 50430 160911629 & 160511362 2996312 15789640298 37220 7598040 & 7598431 2996312 15789640298 37220 Villa of Hope Finger Lakes PPS Villa of Hope Village of Haverstraw DAPC Voices of Activists & Community Leaders, Inc. (VOCAL-NY) Finger Lakes PPS Health & Hospital Corporation X Washington Heights CORNER Project The New York Prebyterian Hospital X Washington Heights CORNER Project The New York Prebyterian Hospital Erie County Medical Center Corporation 113 1915i X Western New York Independent Living, Inc. 15 01586098 1427267806 15620 X 1915i VAP Exception Appeals HH Applicants Adirondack Health Institute Health Home AIDS Center of Queens County, Inc. ("ACQC") AIDS Community Resources, Inc. AIDS Council of Northeastern New York AIDS Service Center NYC dba Allied Service Center NYC Allegany County Community Argus Community, Inc. Baden Street Settlement Bowery Residence Bowery Residence Bronx AIDS Services d/b/a BOOM!Health Bronx AIDS Services d/b/a BOOM!Health Bronx AIDS Services d/b/a BOOM!Health Bronx AIDS Services d/b/a BOOM!Health BronxWorks, Inc. Brownsville Multi CAMBA, Inc. Catholic Charities Diocese of Rochester dba Catholic Charities Community Services Catholic Charities of Broome County CATHOLIC CHARITIES OF BUFFALO NY CATHOLIC CHARITIES OF BUFFALO NY CATHOLIC CHARITIES OF BUFFALO NY CATHOLIC CHARITIES OF BUFFALO NY Catholic Charities of Cortland County Catholic Charities of Onondaga County Catholic Charities of Oswego County Children's Mental Health Coalition of WNY, Inc. Citizen Advocates, Inc. Clubhouse of Suffolk Inc. dba Association for Mental Health and Wellness Clubhouse of Suffolk Inc. dba Association for Mental Health and Wellness Joined PPS MMIS # Adirondack Health Institute 3449974 The New York Hospital Medical Center of Queens 2996601 Upstate University Hospital 1272031 Albany Medical Center Hospital NPI # 1740557735 1629274972 1477672798 12656528685 Billing Entity ID Agency Code X X X E1429318 Finger Lakes PPS Lutheran Medical Center Mount Sinai Hospitals Group Mt. Sinai Amida Care Inc. St. Barnabas Hospital Bronx-Lebanon Hospital Center Bronx-Lebanon Hospital Center 1484019 1287801 1370850 2085225 2995802 2995802 1243521 1243521 1243521 1243521 01315695 1710109947 1316111636 1659412849 1578608832 1477684967 1477684967 1669642211 1669642211 1669642211 1669642211 1053504456 Maimonides Medical Center 01552134 1659594075 E0144784 31600 Finger Lakes PPS 1190629 1902018971 16-0743944 20640 Finger Lakes PPS X X X 16220 Catholic Medical Partners Accountable Care IPA INC Erie County Medical Center Finger Lakes PPS Niagara Falls Memorial Medical Center St. Joseph's Hospital Health Center Upstate University Hospital Pending List X X X X X X X X X X X X X X X X X 03014808 1922258615 1730345109 X X Stony Brook University Hospital 2996261 1578516738 E0001941 16540 X X CNYHHN, Inc. (Central New York Health Home Network) Mary Imogene Bassett Hospital 3549144 1396151791 X CNYHHN, Inc. (Central New York Health Home Network) Adirondack Health Institute 3549144 1396151791 X CNYHHN, Inc. (Central New York Health Home Network) Auburn Community Hospital 3549144 1396151791 X CNYHHN, Inc. (Central New York Health Home Network) Faxton St. Luke's Healthcare 3549144 1396151791 X CNYHHN, Inc. (Central New York Health Home Network) Samaritan Medical Center 3549144 1396151791 X CNYHHN, Inc. (Central New York Health Home Network) St. Joseph's Hospital Health Center 3549144 1396151791 X CNYHHN, Inc. (Central New York Health Home Network) Community Care Management Partners LLC (CCMP) Community Care Management Partners LLC (CCMP) Community Care Management Partners LLC (CCMP) Community Healthcare Network, Inc. Coordinated Behavioral Care Upstate University Hospital Bronx-Lebanon Hospital Center Mount Sinai Hospitals Group Bronx-Lebanon Hospital Center 3549144 3606902 3606902 3606902 1396151791 1366780850 1366780850 1366780850 X Direcitons in Independent Living, Inc. Direcitons in Independent Living, Inc. Equinox Inc. Fairview Recovery Services, Inc. Family Services Network of New York, Inc. Family Services of Chemung County, Inc. Family Services of Chemung County, Inc. MH FEGS Health & Human Services Gay Men's Health Crisis (GMHC) Greater Buffalo United IPA/GBUAHN Greater Rochester Health Home Network, LLC Harbor View Medical Services Harlem United Community AIDS Center, Inc. Health Home Partners of WNY, LLC HELP/PSI Inc. Hillside Children's Center Hillside Children's Center 3559515 1730451071 Catholic Medical Partners Accountable Care IPA INC Erie County Medical Center Samaritan Medical Center 2971126 2971126 2995811 1871889915 1871889915 1477695021 Finger Lakes PPS Finger Lakes PPS Stony Brook University Hospital Maimonides Medical Center Erie County Medical Center Finger Lakes PPS 01701179 02996569 02996569 1371571 1422811 3489287 03467301 03793886 O1756596 1326264672 1619922432 1619922432 1912164120 1992903389 1033484894 1740554229 1861636219, 1831487198, 1922364181, 1295162543 1609087790 3465001 1760742548 Stony Brook University Hospital Catholic Medical Partners Accountable Care IPA INC Maimonides Medical Center Erie County Medical Center St. Joseph's Hospital Health Center 16 2995339 969333 969333 1346464989 1639267933 1639267933 X X E0086000 E0086000 E0162796 E0157693 E0338409 50810 50810 X X X X X X X X X X X X X 1639267933 1639267933 13-3464470 (FEIN) EIN: 16-1453581 EIN: 16-1453581 X HH.CMA VAP Exception Appeals Hillside Children's Center Hillside Children's Center HONOR ehg, Inc. Housing Works Inc Hudson Valley Care Coalition Hudson Valley Community Services, Inc. Huther Doyle Institute for Family Health Jewish Child Care Association of NY Kids Oneida Lake Shore Behavioral Health, Inc. Lake Shore Behavioral Health, Inc. Lakeview Health Services Liberty Resources Inc. Liberty Resources Inc. Long Island Association for AIDS Care, Inc. (LIAAC) Long Island Association for AIDS Care, Inc. (LIAAC) Mental Health Association of the Southern Tier, Inc. Mental Health Providers of Western Queens MHA in Essex, Inc. Mid Erie Mental Health Services, Inc. Monroe Plan for Medical Care Narco Freedom INC National Association on Drug Abuse Problems, Inc. (NADAP, Inc.) Northeast Parent & Child Society, Inc. North-Shore University Hospital Health Home Onondaga Case Management Services Inc. Onondaga Case Management Services Inc. Orleans County Department of Mental Health Orleans County Department of Mental Health Orleans County Department of Mental Health Parsons Child and Family Center PSCH, Inc. PSCH, Inc. PSCH, Inc. PSCH, Inc. PSCH, Inc. PSCH, Inc. Queens Coordinated Care Partners, LLC. Sayville Project - SUNY SB Schuyler County MHC MH Southern Tier AIDS Program ST LUKES ROOSEVELT HOSPITAL CENTER DBA MOUNT SINAI HEALTH HOME Strong Memorial Hospital Upstate University Hospital Finger Lakes PPS 969333 969333 1639267933 1639267933 1639267933 1639267933 EIN: 16-1453581 EIN: 16-1453581 Amida Care Inc. 1350509 1538379573 E0164894 X X HealthAlliance of the Hudson Valley, HealthAlliance Hospital: Broadway Campu 1295394 1841339728 E0170375 X 954572 903700 00272688 2276286 30053230067 1765, 02370363, 03005290, 03005314, 03005323, 02732658, 01653781 30053230067 1765, 02370363, 03005290, 03005314, 03005323, 02732658, 01653781 02993680 2994810 2994810 1743457 1743457 E0204306 E0209381 E0179492 6013 X X 2324885 1550370 2994796 1073614533 1295729408 1467571653 1770787079 1922210657, 1508868407, 1023230695, 1497967129, 1184897258, 1922210657, 1346424520, 1447497821 1922210657, 1508868407, 1023230695, 1497967129, 1184897258, 1922210657, 1346424520, 1447497821 1033155833 1225254881 1225254881 1154446557 1154446557 1073955092 1023173820 1487940870 1225095201 1222191 1245272772 E0177676 Westchester Medical Center Faxton St. Luke's Healthcare Catholic Medical Partners Accountable Care IPA INC Erie County Medical Center Corporation Finger Lakes PPS Finger Lakes PPS Upstate University Hospital Stony Brook University Hospital Stony Brook University Hospital United Health Services Hospitals, Inc. Health & Hospital Corporation Adirondack Health Institute Erie County Medical Center Bronx-Lebanon Hospital Center 0021300 28220 E0232519 E0232519 10490 E0001939 E0001939 E0125681 E0125681 E00667615 E0144960 E0086760 12010 321 12370 50230 50250 X 50250 X X X X X X X X X X X X 02664359 03457054 02994838 02994838 2993759 2993759 2993759 02998034 2189655 2189655 2189655 2189655 3269096 3269096 03785206 1571851 2993502 1681130 1003901695 1932472107 1235184235 1235184235 1043345713 1043345713 1043345713 1922171305 1386817906 1386817906 1386817906 1386817906 1477864866 1477864866 1215292305 1124224084 1003869165 1922130335 Mount Sinai Hospitals Group Finger Lakes PPS 00354967 1104982917 Stony Brook University Hospital 1175277 1699877811 United Health Services Hospitals, Inc. Stony Brook University Hospital 679155 2993575 1972552776 1013964170 The Salvation Army HIV Health Home Care Management Health & Hospital Corporation 01391120 1902080401 178 X The Salvation Army HIV Health Home Care Management Maimonides Medical Center 01391120 1902080401 178 X The Salvation Army HIV Health Home Care Management 01391120 1902080401 178 X The Salvation Army HIV Health Home Care Management Mount Sinai Hospitals Group The New York and Prebyterian Hospital 01391120 1902080401 178 X The Salvation Army HIV Health Home Care Management St. Barnabas Hospital 01391120 1902080401 178 X Suffolk County Dept of Health, Division of Community Mental Hygiene Care Management Program The Children's Collaborative, Inc. The Family & Children's Society, Inc. The Pederson Krag Center Ellis Hospital Long Island Jewish Medical Center Upstate University Hospital Upstate University Hospital Finger Lakes PPS Erie County Medical Center Niagara Falls Memorial Medical Center Albany Medical Center Hospital Bronx-Lebanon Hospital Center Long Island Jewish Medical Center Lutheran Medical Center Mount Sinai Hospitals Group Nassau University Medical Center Long Island Jewish Medical Center The Jamaica Hospital Stony Brook University Hospital United Health Services Hospitals, Inc. 17 13050 E0334635 E0028423 E0028423 72W 72W 72W E 1371457 E0131906 12600 12600 70250 70250 70250 40400 16100 X X X X X X X X X X X X X X X X EO182361 X 50430 X HH.CMA VAP Exception Appeals The Salvation Army HIV Health Home Care Management Bronx-Lebanon Hospital Center 01391120 1902080401 2189875 1230991 1780855213 1861496358 United Health Services Hospitals, Inc. 3004639 1518998699 Finger Lakes PPS Maimonides Medical Center Ellis Hospital Upstate University Hospital HH/CMA 02996312 01539335 02997684 03529059 15789640298 1063573152 1841360740 1801140777 The Substance Abuse Prevention Team of Essex County, Inc. Adirondack Health Institute Transitional Services for New York, inc Trillium Health, Inc. Finger Lakes PPS United Health Services Hospitals, Inc Medicaid Health Home Venture House Villa of Hope Village Center for Care Visiting Nurse Services of Northeastern NY VNA Homecare Options 122 18 178 X E0176804 X X X 19620 37220 X X HH.CMA VAP Exception Appeals Passed Other Applicants Albany County Department of Health Joined PPS Ellis Hospital Alexander Infusion dba Avanti Health CareFirst NY (fka Southern Tier & Pall) MMIS 473616 NPI 1851401186 3009794 973982 1639165459 1285638775 Catholic Charities Diocese Albany dba NY Hospital Med Ctr Qns 23601 Finger Lakes PPS 0721501F 7703431, Ellis Hospital 7703430 1304636 1144476185 Catskill Area Hosp & Palliative Care Columbia County Dept. of Health Empire Home Infusion Srvcs - NE Home Empire Home Infusion Srvcs Equinox Equinox Equinox Equinox Equinox Mary Imog Bassett Hosp Albany Medical Center Ellis Hospital Ellis Hospital Albany Medical Center Albany Medical Center Albany Medical Center Albany Medical Center Albany Medical Center 1067674 2164510 1697465 2995811 2995811 2995811 2995811 2995811 1558353680 1578752192 1770551228 1598705386 1477695021 1477695021 1477695021 1477695021 1477695021 Family and Child Service of Schenectady, Inc. 555871 1225245210 Family Residences & Essential Enterprises, Inc. FLH Medical Finger Lakes Parent Network Home Aide Service of East New York Hospicare & Palliative Services Ellis Hospital Nassau University Medical Finger Lakes PPS Finger Lakes PPS Ellis Hospital UnitedHealth Services 3093703 2622195 1446193 1215174644 1790186872 1114967924 1730185737 Hospice at Lourdes United Health Serv Hosp 0301501F 955775 1336197714 Hospice of Chenango County Hospice Fulton County dba Mt. Valley Hospice of Jefferson County Hospice of Orange & Sullivan Hospice of St. Lawrence Valley United Health Serv Hosp Adirondack Health Samaritan Medical Ctr Montefiore Samaritan Medical Ctr 1268400 1062371 987279 1078468 977028 1821095902 1396759213 1164426433 1316945660 1497758080 Hospice, Inc. dba Hudson Valley Hosp. Independent Living Center HudsonVall Mont. Med. Ctr.(& WMC) 1302500F Ellis Hospital 1508866286 1447504550 Jefferson Rehabilitation Center Lifespan Medical Solutions Moden-Giroux dba Middleport Family Northern Regional Ctr. for Indep. Living Samaritan Medical Ctr Finger Lakes PPS Finger Lakes PPS Niagara Falls Samaritan Medical Ctr 1049669 1631016 03262484 & 02001729 3065616 3016837 775966 Orange County Department of Health 2996445 1598973596 Orleans Community Health Westchester Medical Ctr Catholic Med Part.-Acc. Care IPA 3622000H 30000846 1609873520 Pesach Tikvah Hope Development Syracuse Orthopedic Specialist Maimonides Medical Ctr St. Joseph Hospital 986310 2668922 1376598466 1669410379 The Caring Coalition Central NY The Community Hospice United Hospice of Rockland Failed Other Applicants Alcohol & Substance Abuse Council of Jefferson County, Inc. Catherine St. Community Center Cheming County Dept of Aging & LT Comprehensive Interdisciplin. Dev. Srvs. Council for Prevention Cornell Cooperative Ext. Wayne County Exercise Express Family Counseling Serv of Finger Lakes Upstate University Hosp. 3301501F Ellis Hospital 4152500F Montefiore 4353005 Joined PPS OP Cert/Lic OASAS Samaritan Medical Center #100900736 955826 955739 1051101 MMIS 1912098666 1588631733 1538166319 NPI Finger Lakes PPS Finger Lakes PPS Adirondack Health Finger Lakes PPS Finger Lakes PPS Finger Lakes PPS 14170353387 Family Services of Westchester Four Points Genesee County Office for the Aging Gods Love We Deliver Montefiore Medical Ctr Finger Lakes PPS Finger Lakes PPS HHC 1467646281 Hamilton County Community Services Hands Across Long Island Health Reach Plus Hospitality House Institute for Human Services, Inc. (IHS) Adirondack Health Stonybrook Univ Hosp Ellis Hospital Finger Lakes PPS OP Cert/Lic 0101202R 3801501F 1001200R 23023 7524430 7524433 7524434 7524432 752007A 26470 5401501F 0824500F 1701500F 2201501F 3502500F 4429501F 17837 Agency Code Billing E0252155 3648 1003060039 1174951297 1225375470 1073602017 1187024955 Agency Code Billing 36130 146037150 35040 8684006A 141210043 Leatherstocking Education Alch/Add. Mary Imog Bassett Hosp LI Council on Alcoholism and Drug Dependence (LICADD) Nassau Univ Medical Ctr 2995619 251S00000X 1427269141 1104045848 1578615423 provider # 70090 13070 E0003098 170 35280 19 OTHER VAP Exception Appeals Maple City Physical Therapy Finger Lakes PPS Mental Health Empowerment Project Albany Medical Center Mental Health Association of Rochester/Monroe County, Inc. Finger Lakes PPS Mid-Hudson Addict Recovery Centers Monroe County Office of the Aging Pathway House of Rochester Rescue Mission of Utica 1821411802 27100 17090 Westchester Medical Ctr 170310114 Finger Lakes PPS Finger Lakes PPS 160410159 Faxton St. Lukes Healthcare Restoration Society Samaritan Womens Seaway Valley Council Alcoh/Sub Abuse SES Oper. Corp dba Harlem East Life Erie County Medical Ctr Finger Lakes PPS Samaritan Medical Ctr Steuben County Department of Social Services Steuben County Office for the Aging The Autism Council Unique People Services Venture House Wayne County Action Program Wayne County Dept of Aging and Youth 39 37 76 Finger Lakes PPS Finger Lakes PPS Finger Lakes PPS Bronx Lebanon Hosp 34010 16-6002563 1851700264 1114116324 110801147 7002165R 1979006 1427125632 1982709846 1316223597 1861616518 19620 166069004 Finger Lakes PPS Finger Lakes PPS Passed Failed Total Other VAP Appeals 20 10150 7806 Fed.ID# 166002567 133934211 16630 19620 OTHER VAP Exception Appeals Passed Hospital Applicants Joined PPS Bertrand Chaffee Hospital Catholic Medical Part.-Acc. Care IPA John T. Mather Memorial Hospital Stony Brook Univ. Hosp. NYU Hospital Center Lutheran Medical Ctr North Shore University Hospital LI Jewish Medical Saratoga Hospital Albany Medical Center Seton Health System Ellis Hospital South Nassau Communities Hospital Nassau University Medical St. Elizabeth Medical Center Faxton St. Lukes St. Peters Hospital Ellis Hospital Sunnyview Hospital & Rehab Ellis Hospital Tri Town Regional Healthcare Mary Imogene Bassett Westfield Memorial Hospital Catholic Med Part.-Acc. Care IPA Winthrop-University Hospital Association Nassau Univ Medical Ctr Failed Hospital Applicants Joined PPS Gutherie Robert Packerd Hosp. United Health Serv Hosp Kenmore Mercy Hospital Catholic Medical Part.-Acc. Care IPA Mercy Hospital of Buffalo Catholic Medical Part.-Acc. Care IPA Western NY Phyisicians Finger Lakes PPS Already SN Hospital Applicants Joined PPS Albany Medical Center Albany Medical Center 13 Passed 4 Failed 1 Already SN 18 Total Hospital appeals OP Cert/Lic 1427000H 5149000H 7003053H 2951001H 4501000H 4102003H 2950001H 3202002H 0101004H 4601004H 12227001H 0632000H 2908000H OP Cert/Lic 440601 1404000H 140108H MMIS 354150 3158014 3000057 245510 303282 1534463 2999659 279901 3000960 361720 3024857 354614 2999026 MMIS 3002462 3001618 354412 NPI 1275553521 1093718728 1801992631 1366459570 1073569331 1811982911 1922079094 1821093402 1497701106 1578664470 1225226962 1942236427 1114925567 NPI 1083614382 1770598104 1164464921 Agency Code Agency Code Billing OP Cert/Lic 101000 MMIS 3000364 NPI 1376577247 Agency Code Billing 21 Billing E0263762 E0268755 E0273885 E0271084 E0284415 HOSP VAP Exception Appeals VAPE Lead Applicants Advocate Community Providers (fka **NYCCP) Bronx Lebanon PPS CNY DSRIP Performing Provider System Catholic Medical Partners and Participating Providers Finger Lakes PPS Mount Sinai PPS NewCo Nassau - Queens PPS, LLC NewCo New Corporation (NewCo) Richmond University Medical Center and Staten Island University Hospital SB Clinical Network IPA, LLC **New York Community Preferred Providers, LLC Joined PPS AW Medical Bronx Lebanon Upstate Univ Hosp Cath Med Part Acc Care IPA Finger Lakes PPS Mt. Sinai Hosp Group United Health Services Ellis Hospital Richmond & SI Stony Brook Univ Hosp 11 Leads Already SN Lead Applicant Joined PPS Albany Medical Center 1 Already SN 12 Total Lead VAPES Albany Medical Center 22 LEADS
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