VAP Exception Appeals...At least 35 percent of all patient volume in their outpatient lines of business must be associated with Medicaid, uninsured and Dual Eligible ... Foster Care

VAP Exception Appeals

Provider Type

Accepted by DOH

VAP Exception

Appeals

Denied by DOH VAP

Exception Appeals

Applicants

Already SN

Providers

Total VAP

Exception

Appeals received

by DOHLHCSA 7 5 1 13

NH - 1 2 3

Physician 139 942 37 1,118

Pharmacy 29 7 - 36

D&TC 3 - - 3

CHHA 9 8 2 19

ACF 3 2 - 5

Os 8 - 27 35

Harm 7 - - 7

1915i 113 - - 113

HH/CMA 122 - - 122

Other 39 37 - 76

Hospital 13 4 1 18

Leads (included above) 11 - 1 12 Total 503 1,006 71 1,580

If a hospital indicated #2 above and did not provide a financial viability analysis (as required) with their submission, they were not recommended.

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.

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

DSRIP Safety Net Definition Test

3. Are you an OMH/OASAS 1915i provider, a Harm Reduction 1915i provider or a State Designated Health Home and Downstream Care

Management Agency?

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)

2. Do you participate in Medicaid?

7. Are you on one of our Safety Net lists created from reports such as cost report data as a safety net provider?

NO: You do not qualify unless you are a provider. Perhaps you are part of a

larger entity that is participating.

YES: Go to #2

YES: Go to #4 the DSRIP Safety Net Test

NO: Go to #3.

YES: Go to #9 Vital Access Exception Test

NO: You 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.

YES: You are already a safety net provider-no action required

NO: Please go to #8

4. Are you a hospital?

YES: Please go to #5

NO: Please go to #6

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.


NO: You may go to #9 for the VAP exception or participate in a PPS as a non

safety net provider.

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


NO: You may go to #9 for the VAP exception or participate in a PPS as a non

safety net provider.

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: Please take this action:If you do not receive Safety

Net Designation:

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

Is this your provider type? Safety Net Test Question: Please take this action:If you do not receive Safety

Net Designation:

Assisted Living Residencies

LHCSAs

Adult Care Facilities

Intermediate Care Programs

Emergency Ambulance Services

Other

Vital Access Provider Exception Test

Is this your provider type? Do you meet the Exception Criteria? If YES: IF NO:

State-designated Health HomeAny state-designated health home or

group of health home

OMH/OASAS 1915i provider, a Harm

Reduction 1915i provider

A community will not be served without

granting the exception because no other

eligible provider is willing or capable of

serving the community.

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.

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.

Safety Net Appeal Form

(two appeal periods ending 6/11/14

and 8/27/14)


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.

Safety Net Appeal Form

(two appeal periods ending 6/11/14

and 8/27/14)

Vital Access Exception form

(one appeal period ending

10/24/14)


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.

8. You are a provider type that does not have an established list, but you can appeal.

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.

Do you have 35% of utilization associated

with Medicaid, uninsured and Dual

Eligible Individuals?

10. What is your provider type?


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)

12/4/2014 2 Safety Net Provider Criteria 12_4_14.xlsx

http://www.health.ny.gov/health_care/medicaid/redesign/docs/safety_net_hospital.pdf

http://www.health.ny.gov/health_care/medicaid/redesign/docs/safety_net_clinics.pdf

http://www.health.ny.gov/health_care/medicaid/redesign/docs/safety_net_nursing_homes.pdf

http://www.health.ny.gov/health_care/medicaid/redesign/docs/safety_net_lthhcp.pdf

http://www.health.ny.gov/health_care/medicaid/redesign/docs/safety_net_chha.pdf

http://www.health.ny.gov/health_care/medicaid/redesign/docs/safety_net_omh.pdf

http://www.health.ny.gov/health_care/medicaid/redesign/docs/oasas_safety_net_calculations.pdf

http://www.health.ny.gov/health_care/medicaid/redesign/docs/opwdd_safety_net_calcualtions.pdf

http://www.health.ny.gov/health_care/medicaid/redesign/docs/eligible_safety_net_foster_care.pdf

http://www.health.ny.gov/health_care/medicaid/redesign/docs/safety_net_physicians.pdf

http://www.health.ny.gov/health_care/medicaid/redesign/docs/safety_net_pharmacies.pdf

http://www.health.ny.gov/health_care/medicaid/redesign/docs/safety_net_appeal_form.xlsx






http://www.health.ny.gov/health_care/medicaid/redesign/docs/physi_pharm_safety_net_appeal_form.xls



Date Received Contact Email Address Comments DOH Reply

11/4/2014 Steven L. Hoover; LHCSA [email protected] 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.

11/5/2014Renee Shanker; Safety Net

[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.




a later date.

11/6/2014 Crain's Health PulsePublic 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.




a later date.

11/7/2014

Rena Finkelstein; NAMI-

FAMILYA of Rockland

County, Inc.

[email protected]

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.

11/10/2014Marion Breland; Village of

Haverstraw [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

11/10/2014 Betsy Rauschart; Open Arms [email protected] 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.




a later date.

11/11/2014 Kathleen Shure [email protected] Attached are letters of support for the VAP applications for five institutions. Thank you for your consideration.




a later date.

11/12/2104

Barry Weiss; Community

Home Care Referral Service

Inc.

[email protected] 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?




a later date.

11/12/2014Kara M. Kane; Bertrand

Chaffee [email protected] 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.




a later date.

11/12/2014

Carmen Plaja Cordero;

Community Healthcare

Network

[email protected] 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.




a later date.

VAP Exception

Public Comments

mailto:[email protected]










11/14/2014

Ann Maxwell; Medicaid and

Health Care Reform Policy

and Analysis

[email protected]

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.




a later date.



11/18/2014 Jacqueline Kassman, RN CHPN [email protected] 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

11/19/2014 Goldie Watkins [email protected] Stop! Do no give safety net designation to North Shore and NYU Hospitals.




a later date.

11/25/2014 April Gornik [email protected] 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.




a later date.

11/26/2014Alfonso Wyatt; Founder

Strategic [email protected]

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...




a later date.

11/28/2014

Amanda McEvoy; Community

Pharmacy Residnecy Program

and Middleport Family Health

Center

[email protected] 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.




a later date.

11/28/2014




Center

[email protected] 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.




a later date.

11/28/2014




Center

[email protected] 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





a later date.

11/28/2014




Center

[email protected] find attached a document containing VAP Exception Appeals Public Comments in support of inclusion of Oakfield Family Pharmacy in the DSRIP program. Please do

not hesitate to contact us with any questions.




a later date.

11/28/2014




Center

[email protected] 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





a later date.

11/28/2014




Center

[email protected] 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.




a later date.















a later date.

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 disaster-

related 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.

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

[email protected] Wessler12/2/2014


12/2/2014 Patricia Nelson [email protected]

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.




a later date.

12/2/2014 Tony Mahler

[email protected]

Please see the attached letter from Westchester Medical Center in support of this application.




a later date.

12/2/2014 Samantha Bobeck [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

Legislative Analyst/Community Liaison

Office of NYS Senator Timothy M. Kennedy, 63rd District

District Office:

2239 South Park Ave

Buffalo, NY 14220

P: (716) 826-2683

F: (716) 826-2793

[email protected]




a later date.

12/3/2014

Leon Bell

Leon Bell <[email protected]> NYU Memo against VAP Exception/Safety Net Designation




a later date.

12/3/2014 Chris Norwood

[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 kind attention.




a later date.

12/3/2014 Anne & Sidney Emerman

[email protected]

NYUMC Langone a safety net provider?

We beg to differ.

Anne & Sidney Emerman




a later date.

Attachments - See Vap Exception folder in P:drive.

N/A - Has attached file but is a VAP exception form and not a public comment.






Passed LHCSA Applicants Joined PPS Opcert # MMIS # NPI #

Aftercare Nursing Services, Inc. Niagara Falls Memorial 9058L001 1180189 1841384906

Family Services of Westchester, Inc. Montefiore Medical Ctr 0081L004 00546603 1740587724

Independent Health Care Services Upstate University Hosp Not Provided 01030386 1447244660

Visiting Nurse Services of Northeastern NY 4601600 02997684 TBD Application ID 2197-L

Community Care of Rochester dba Visiting Nurse Signature Care Finger Lakes 07161L001 1045303 1477620797

Schenectady County Public Health Services Ellis Hospital 1219378 1366589657

Niagara Homemaker Services Catholic Medical Partners 0744L001 887976 1467424200

Failed LHCSA Applicants Joined PPS Opcert # MMIS # NPI #

BHRAGS Home Care Corp. 0857L001 922298 1679606735

Dennelisse-LHCSA Corporation Bronx Lebanon Hospital 0562L001 1449994 1043340474

Home & Health Care Services, Inc. Finger Lakes 9088L001 00916243 1073718011

Home Aides of Central New York Upstate University Hosp Not Provided 00588023 1467527283

Lower West Side Household Services Corporation Mt. Sinai Hospital Group 0217L001 1552221 1811058522

Already SN LHCSA Applicant Joined PPS Opcert # MMIS # NPI #

Liberty Resources, Inc. Cortland Regional Medical P1948L001 3869665 1780012286

7 Passed

5 Failed

1 Already SN

13 Total LHCSA appeals

1 LHCSA


Failed Nursing Home Applicant Joined PPS OPCERT/License MMIS # NPI # Billing Entity ID

7003394N Mt. Sinai 7003394N 1639177272

Already SN Nursing Home Applicants Joined PPS OPCERT/License MMIS # NPI # Billing Entity ID

Grand Manor Bronx Lebanon 7000361N 358021 1588667125

Westmount Health Facility 5601305N 473794 1528152386

0 Passed

1 Failed

2 Already SN

3 Total Nursing Home appeals

2 NH


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 137216 '00632013 1407821986

Bruce W MacKellar MD PC Finger Lakes 1093769358

C & S Medical Building Catholic Medical Partners 225376 '02367215 1013986256

CapitalCare Medical Group, LLC 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 '012164 '02960736 1487833117

Crystal Run Healthcare, LLP Westchester medical Center 2409709 1952376410

Dale L. Deahn, M.D., P.C. Finger Lakes 150120 711064 1871573378 on CMP list also

Dr. Depner Finger Lakes 173875-1 1104810944

Eggleston_Westfield Family Physicians, PC Catholic Medical Partners 142899 '00722069 1487629515

Elizabeth O'Neill, MD_General Physicians PC 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 262832 '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

3 PHYSICIAN



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-1Catholic 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

Westfield Family Physicians ,PC _ Mackowiak vap_exception_appeal_form-1Catholic Medical Partners 305556 '02937988 1750473419

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

Mary Obear MD PLLC (dba Pembroke Family Medicine) Finger Lakes '03044906 1780698555

Medicor Asociates - Bartholomew vap_exception_appeal_form-1Catholic Medical Partners 180842 '01227641 1992771935

Medicor Associates - Alam vap_exception_appeal_form-1Catholic Medical Partners 223561 '02212504 1750357810

Medicor Associates - Barnes vap_exception_appeal_form-1Catholic Medical Partners 175338 '01088522 1295758860

Medicor Associates - Bishop vap_exception_appeal_form-1Catholic Medical Partners 185898 '01289174 1316913338

Medicor Associates - Landis vap_exception_appeal_form-1Catholic Medical Partners 191665 '01413854 1467428425

Medicor Associates - Merza vap_exception_appeal_form-1Catholic Medical Partners '003971 03437432 1235409673

Medicor Associates - Peerzada vap_exception_appeal_form-1Catholic 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

Medicor Associates - salazar vap_exception_appeal_form-1Catholic Medical Partners 272261 '03823907 1316195696

General Physicians PC- Melissa Fanton PA Erie County Medical Center Corporation '03031436 1902998974

Mohamad-Zahi Kassas, MDFinger Lakes

NY State License 2361902055278 1629085592

Westfield Family Physicians,PC_Murawski vap_exception_appeal_form-1Catholic Medical Partners 332342 '01877825 1184699670

Niagara Family Medicine Associates_General Physicians PC- Allison Wasson, DOErie County Medical Center Corporation 3809285 1932343944

Niagara Family Medicine Associates_General Physicians PC- Ashok Singh, MDErie County Medical Center Corporation 2071016 1326046343

Niagara Family Medicine Associates_General Physicians PC- Harold Reubens, MDErie County Medical Center Corporation 1023752 1164420378

Niagara Family Medicine Associates_General Physicians PC- Jerome C.Andres, MDErie County Medical Center Corporation 826137 1063410108

Niagara Family Medicine Associates_General Physicians PC- Maria Komin, MDErie County Medical Center Corporation 1023752 1508864505

Niagara Family Medicine Associates_General Physicians PC- Melvin B. Dyster, M.DErie County Medical Center Corporation 603223 1093713141

Niagara Family Medicine Associates_General Physicians PC- Michael Gray, PAErie County Medical Center Corporation 1461545 1780611640

Niagara Family Medicine Associates_General Physicians PC- Patricia Shea, FNPErie County Medical Center Corporation 2528669 1871591040

Niagara Family Medicine Associates_General Physicians PC- Sonjoy Singh, MDErie County Medical Center Corporation 1543333 1063410066

Niagara Family Medicine Associates_General Physicians PC- Daniel Zorich, MDErie County Medical Center Corporation 2147771 1770581993

Olean Medical Group-Cuba, NY - Brad Pecherzewski, NP_Olean Medical Group LLP - Brad Pecherzewski, NPErie County Medical Center Corporation 1202088 1487096384

Olean Medical Group-Cuba, NY - Christa L. Zenoski, MD_Olean Medical Group LLP - Christa L. Zenoski, MDErie County Medical Center Corporation 3158041 1992039861

Olean Medical Group- Cuba,NY - Susan E. Dougherty, NP_Olean Medical Group LLP - Susan E. Dougherty, NPErie County Medical Center Corporation 1246262 1295708774

Olean Medical Group-Ellicotville,NY- Andrew J. Berger, MD_Olean Medical Group LLP - Andrew J. Berger, MDErie County Medical Center Corporation 722312 1255213755

Olean Medical Group- Ellicottville, NY - Michelle A. Silliker, NP_Olean Medical Group LLP - Michelle A. Silliker, NPErie County Medical Center Corporation 2077250 1720070881

Olean Medical Group- Ellicottville,NY - Renee L. Hansen, CNM_Olean Medical Group LLP - Renee L. Hansen, CNMErie County Medical Center Corporation 3776890 1912337718

4 PHYSICIAN



Olean Medical Group- Franklinville, NY - Donna M. Oehman, MD_Olean Medical Group LLP - Donna M. Oehman, MDErie County Medical Center Corporation 1175988 1952327363

Olean Medical Group, Franklinville, NY - Richard D. Larsson, PA_Olean Medical Group LLP - Richard D. Larsson, PAErie County Medical Center Corporation 2220780 1063412963

Olean Medical Group-Olean, NY - Angela Adomako, MD_Olean Medical Group LLP - Angela Adomako, MDErie County Medical Center Corporation 3446971 1821399411

Olean Medical Group-Olean, NY - Arkady Peterman, MD_Olean Medical Group LLP - Arkady Peterman, MDErie County Medical Center Corporation 2633443 1073512273

Olean Medical Group- Olean, NY - Christine Wild, NP_Olean Medical Group LLP - Christine Wild, NPErie County Medical Center Corporation 3427869 1861765331

Olean Medical Group- Olean, NY - David S. Shulman, MD_Olean Medical Group LLP - David S. Shulman, MDErie County Medical Center Corporation 1202088 1467451534

Olean Medical Group- Olean, NY -Jin Hwa Song, MD_Olean Medical Group LLP -Jin Hwa Song, MDErie County Medical Center Corporation 3498340 1760629364

Olean Medical Group- Olean,NY- Kelly A. Keech, NP_Olean Medical Group LLP - Kelly A. Keech, NPErie County Medical Center Corporation 3132450 1346471851

Olean Medical Group- Olean, NY- Marianna Worczak, MD_Olean Medical Group LLP - Marianna Worczak, MDErie County Medical Center Corporation 3643249 1609190560

Olean Medical Group- Olean, NY - Marti L. Brotka, NP_Olean Medical Group LLP - Marti L. Brotka, NPErie County Medical Center Corporation 3465230 1497053037

Olean Medical Group- Olean, NY- Matthew R. Cox, MD_Olean Medical Group LLP - Matthew R. Cox, MDErie County Medical Center Corporation 3076762 1407017940

Olean Medical Group- Olean, NY - Nichole T. Green, PA_Olean Medical Group LLP - Nichole T. Green, PAErie County Medical Center Corporation 2563546 1376535393

Olean Medical Group- Olean, NY-Prerna Sood, MD_Olean Medical Group LLP -Prerna Sood, MDErie County Medical Center Corporation 3499061 1184956310

Olean Medical Group-Olean, NY-Roger A. Klein, MD_Olean Medical Group LLP - Arkady Peterman, MDErie County Medical Center Corporation 2633443 1073512273

Olean Medical Group- Olean, NY - Tami T. Buzzard, DNP_Olean Medical Group LLP - Tami T. Buzzard, DNPErie County Medical Center Corporation 2079165 1528067667

Olean Medical Group- Olean, NY - Thaddeus S. Wojcik, MD_Olean Medical Group LLP - Thaddeus S. Wojcik, MDErie County Medical Center Corporation 839478 1508865601

Olean Medical-Olean, NY - William G. Cihak, MD_Olean Medical Group LLP - William G. Cihak, MDErie County Medical Center Corporation 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 Hospital145193 '00821027 1922065150

Pierce_Westfield Family Physicians,PC Catholic Medical Partners '006851 '02153579 1093780025

Priscilla Dale, MD_General Physicians PC- Priscilla Dale, MDErie County Medical Center Corporation 01443250 1194725275

Przybelinski_Westfield Family Physicians,PC Catholic Medical Partners 306490 00988129 1043647688

Rajiv Parikh, MD_General Physicians PC- Rajiv Parikh, MDErie County Medical Center Corporation '00600826 1396854055

Ricahrd Milazzo, MD_General Physicians PC- Richard Milazzo, MDErie County 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 Tier Pediatrics Practice, P.C.Catholic Medical Partners 11983 3109428 1881884526

Southern Tier Pediatrics Practice, P.C._for Lyndsey Carlson_Southern Tier Pediatrics Practice, P.C.Catholic Medical Partners 15498 3518816 1336414796

Suchritra Koneru, MD_General Physicians PC- Suchritra Koneru, MDErie County Medical Center Corporation 2649085 1336170729

Thomas Madjewski, MD_General Physicians PC- Thomas Madjewski, MDErie County Medical Center Corporation '01394412 1356318992

Thomas McTernian, MD_General Physicians PC- Thomas McTernian, MDErie County Medical Center Corporation '02202977 1336242387

Tri County- Anderson_Tri-County Family Medicine Assocates, PCErie County Medical Center Corporation 167740 '01028468 1629069349

Tri County- Burroughs_Tri-County Family Medicine Assocates, PCErie County Medical Center Corporation '010035 '02626126 1366406134

Tri County-Wild_Tri-County Family Medicine Assocates, PCErie 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



Virkam Sodi, MD_General Physicians PC- Virkam Sodhi, MDErie County Medical Center Corporation '03374614 1114157112

Wehr_Westfield Family Physicians,PC Catholic Medical Partners 248542 '02976387 1083608418

William M. Linsky, NP Upstate University Hospital F301558 '02613069 1760445969

William Wnuk, MD vap_exception_General Physicians PC- William Wnuk, MDErie County Medical Center Corporation '02049365 1529069085

Wyoming Ob-Gyn, Scott Treutlein ,MD Finger Lakes NY213977 2571002 1063481422

Failed Physician Applicants Joined PPS OPCERT/License MMIS # NPI #

Abbasey Medical PLLC Finger Lakes PPS 231805 3059721 1053419028

5 PHYSICIAN



Finger Lakes Medical Associates, LLP Finger Lakes 2382869 1730254459

Already SN Physician Applicants Joined PPS OPCERT/License MMIS # NPI #

Brad Speta NP Finger Lakes 1689994147

Liberty Pediatrics, PC Westchester Medical Center 17864 1131213 1477643856

Linda Pullman NP Finger Lakes F331354-1 1194710236

Medicor Associates - Ouellette vap_exception_appeal_form-1Catholic Medical Partners 'F334898 '02946110 1770586398

Olean Medical Group- Olean, NY - Pamela T. Salzmann, DO_Olean Medical Group LLP - Pamela T. Salzmann, DOErie County Medical Center Corporation 2521906 1932108149

Olean Medical Group-Olean, NY - Ricardo P. Ilustre, MD_Olean Medical Group LLP - Ricardo P. Ilustre, MDErie County Medical Center Corporation 1753084 1467451658

Southern Tier Pediatrics Practice, P.C._ for Amy Beach_Southern Tier Pediatrics Practice, P.C.Catholic Medical Partners 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 1991262 1134112691

David Farrugia MD Catholic Medical Partners 257310 1891998563

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 1578534368

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 1956481 1639196421

Jennifer Roller MD Catholic Medical Partners 229568 1912936121

Jerome Ulatowski MD Catholic Medical Partners 159192 1167817 1790783355

John Hellriegel MD Catholic Medical Partners 137338 1528064136

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 1167817 1649277930

Samuel Reyes MD,PhD Catholic Medical Partners 253206 1598976391

Sarah Cook MD Catholic Medical Partners 243153-1 2882837 1740401918

Tej Kaul MD Catholic Medical Partners 166453 961582 1831194513

139 Passed

942 Failed

37 Already SN

1118 Total Physician appeals

Note: We received 972 CMP ACO IPA VAP exceptions appeals through BVAPR email account

6 PHYSICIAN


Passed Pharmacy Applicants Joined PPS OPCERT/License MMIS # NPI # Billing Entity ID

Belle Mead Pharmacy 31021 037544785 1922379809

Brothers drug corp N/A 1091221 1326022922

Buffalo PharmaciesErie County Medical Center

Corporation21600 00449990 1194745307

Buffalo Pharmacies InstitutionalErie County Medical Center

Corporation22231 '01509439 1184666968

Cresetti Drug Corpd/b/a Neergaard Pharmacy Lutheran Medical Center 1022637 1376546820

Four Corners Pharmacy LLC Albany Medical Center 2634426 1083722771

G.S.P. LONGTERM CARE, INC. Montefiore Medical Center 29024 3055589 1255592457

Gem Drug Corporation DBA Lincoln Pharmacy Albany Medical Center 1100201 1992895692

Great Neck Chemists Inc of NY Long Island Jewish Medical Center 19602 1051674 1386789543

Hillcrest Pharmacy llc Refuah Health Center 276646 1801817853

Hometown Healthcare Inc. Ellis Hospital 15710 00522647 1144335183

Kings Park Slope, Inc Suny Downstate Medical Center 19339 1014942 1942311329

KPH Healthcare Services, Inc. St. Joseph's Hospital Health Center 031874 3585339 1487996377

Lindsay Drug Co., Inc. Albany Medical Center 18848 918649 1073598397

Madison Avenue Pharmacy Mount Sinai Hospitals Group 01123775 1881712271

Marra's Pharmacy Albany Medical Center 7907 516207 1063496404

Moden-Giroux, Inc. d/b/a Transit Hill PharmacyErie County Medical Center

Corporation19919 1092286 1518058106

New Utrecht Pharmacy Inc. Maimonides Medical Center 16931 '518098 1982756029

P & S Pharmacy, llc dba Wurtsboro Pharmacy_1 Westchester Medical Center 2459772 1588694483

P & S Pharmacy, llc dba Wurtsboro Pharmacy_2

(Repeat)N/A 2459772 1588694483

PURTI DRUGS CORPORATION N/A 18315 868864 1578645875

Rosenkran's Pharmacy Inc. d/b/a Oakfield

Family Pharmacy

Niagara Falls memorial Medical

Center26915 2632906 1972696300

Rosenkran's Pharmacy Inc.Niagara Falls memorial Medical

Center7943 453338 1386733079

S & T PHARMACY N/A 27764 2998236 1972518512

Sullivan Pharmacy Inc Westchester Medical Center 2632740 1194810770

Summit Park Pharmacy, Inc.Niagara Falls memorial Medical

Center27337 2728921 1063427656

Vascuscript, Inc., d/b/a Mobile Pharmacy

Solutions_1

Erie County Medical Center

Corporation29447 3124623 1568603124

Vascuscript, Inc., d/b/a Mobile Pharmacy

Solutions_2 (Repeat)


Corporation29447 3124623 1568603124

Wurlitzer Family Pharmacy, Inc.Niagara Falls memorial Medical

Center31707 3776354 1205176211

Faild Pharmacy Applicants Joined PPS OPCERT/License MMIS # NPI # Billing Entity ID

Ascan Pharmacy Inc Pharmacy Amida Care 3432648 1447527775

CIVA DRUGS CORP D/B/A BRENTWOOD PHARMACYPharmacy N/A 017492 00713240 1174534739

John & Franco's Drugs Inc d/b/a Stuarts PharmacyPharmacyNassau University Medical

Center20290 1134849 1760569636

Marg Pharmacy, Inc DBA Katz Drugs_1 Pharmacy N/A 22684 1578078 1932185352

Marg Pharmacy, Inc DBA Katz Drugs_2 PharmacyHealth & Hospital

Corporation'22684 '1578078 1932185352

RG Drug Corp PharmacyThe New York and

Presbyterian Hospital 21514 1372729 1225070857

SRK PHARMACY INC DBA V&K PHARMACY Pharmacy N/A 31753 3530792 1487907697

29 Passed

7 Failed

36 Total Pharmacy appeals

7 PHARM


Passed D&TC Applicants Joined PPS OPCERT/License MMIS # NPI # Billing Entity ID

Tri County Family Medicine Program Finger Lakes PPS 2527200R 355257 1588649503Orleans Count Health Department Finger Lakes PPS 362020OR 3760189 1922446137

Already SN D&TC Applicant Joined PPS OPCERT/License MMIS # NPI # Billing Entity ID

Washington County Board of

Supervisors c/o County Public Health

Nursing Service

Adirondack Health

Insitute 5726200R 1011430 1548327596 E0198717

2 Passed

1 Already SN

3 Total D&TC

8 DTC


Passed CHHA Applicants Joined PPS OPCERT/License MMIS # NPI # Billing Entity ID

CCH Home Care and Palliative Care

Services Upstate University Hospital None 1030386 1447244660

Eddy Visiting Nurse Association (EVNA) Ellis Hospital 4102601 2994154 1114967924

Fort Hudson Certified Home Health

Agency, Inc. Adirondack Health Insitute 46-3241378 3878255 1639511892

Northern Lights Health Care Partnership,

Inc. Adirondack Health Insitute 4420600 3864468 1881037604

Visiting Nurse Services of Northeastern NY Ellis Hospital 4601600 2997684 1841360740

Cabrini of Westchester d/b/a Cabrini

Certified Home Health Agency Montefiori Medical Center 5925600 3856397 1003017211

Rosa Coplon Jewish Home and Infirmary

Certified Home Health Agency

Catholic Medical Partners-

Accountable Care IPA INC 1451604 1047974 1053337865

Constellation Home Care, LLC Nassau University Medical Center 2952606 3912118 1841629698The Wartburg Home of the Evangelical

Lutheran Church Montefiore Medical Center 5904601 1177999 1215089479

Failed CHHA Applicants Joined PPS OPCERT/License MMIS # NPI # Billing Entity ID

Hamilton County Public Health Nursing

Service Adirondack Health Insitute 2055601 2997386 1801977376 E0156910

L. Woerner Inc. Cortland

Cottland Regional Medical

Center, Inc. 1101601 3003894 1891098927

L. Woerner Inc. Delaware Mary Imogene Bassett Hospital 1257602 2997973 1033481932

L. Woerner Inc. Schoharie Mary Imogene Bassett Hospital 4724601 473730 1649575549

L. Woerner Inc. Washington Adirondack Health Insitute 5726601 3001021 1114363744

Lourdes At Home

United Health Service Hospitals,

Inc. 301603 3001145 1952306631

McAuley-Seton Home Care

Catholic Medical Partners-

Accountable Care IPA INC 1455600N 1080735 169772343

Twin Tier Home Health Inc.

United Health Service Hospitals,

Inc. 301601 683656 1760489406 222348211

Already SN CHHA Applicants Joined PPS OPCERT/License MMIS # NPI # Billing Entity ID

Jewish Home Lifecare Mount Sani Hospitals Group 7002659 3870564 1780936948

Essex County Nursing Services Adirondack Health Insitute 1521600 413721 1689663155

9 Passed

8 Failed

2 Already SN

19 Total CHHA appeals

9 CHHA


Passed ACF Applicants Joined PPS OPCERT/License MMIS # NPI # Billing Entity ID Agency Code

Bayoumi Medical, PLLC Finger Lakes PPS 210742 2833109 1750389797

St. Dominic's Home Westchester Medical Center 7159430 1310012 1235197047 E0168933 22280

Western New York Physicians Finger Lakes PPS 454548256 3441861 1093088197

Failed ACF Applicants Joined PPS OPCERT/License MMIS # NPI # Billing Entity ID Agency Code

Family Service of Rochester, Inc. Finger Lakes PPS 370-S-051 None 198284702

Family Service of Rochester, Inc. Finger Lakes PPS 370-S-191 None 1817936

3 Passed

2 Failed

5 Total ACF appeals

10 ACF


O Applicants Prov. Type Joined PPS OPCERT/License MMIS # NPI # Agency CodeMedicaid % servedMedicaid provider

The Einstein Division of Substance Abuse Wellness ProgramsOASAS St. Barnabas Hospital 7000217R 245643 1891837910 87 yes

Trinity Alliance of the Capital Region, Inc. - Homer Perkins CenterOASAS Albany Medical Center 160910049 1326448275 0

Youth and Family Counseling Agency of Oyster Bay East Norwich, Inc.OASAS 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 % servedMedicaid 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 Family CenterOASAS 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 and Developmental Disabilities ServicesOASAS Nassau University 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 Health ClinicOMH Finger 7531103A 77382 1295853166 63 yes

Equinox Inc. OMH 7524110A 2995811 1477695021

Horizon Health Services, Inc. OMH Erie County 6034190A, 6034005A, 6034005B, 6034005C, 6034005D, 6034104A, 6034103A, 6034105A, 6034105B, 6034105C, 6034105D, 6034303A2993786 1043387152 11130 yes

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


Harm Applicants Joined PPS OPCERT/License MMIS # NPI #

CitiWide Harm Reduction Program d/b/a BOOM!Health

Affiliate Bronx - Lebanon Hostpital


Affiliate St. Barnabas


Affiliate Amida


Affiliate Mt. Sinai

Lower East Side Harm Reduction Center

Lower East Side Harm Reduction Center

St. Ann's Corner of Harm Reduction

7 Pending SN

12 HARM


1915i Applicants Joined PPS

OPCERT/Lice

nse MMIS # NPI # Agency Code Pending List

AIDS Service Center NYC dba Allied Service Center NYC X

Anchor House INC 610 X

Argus Community, Inc. Bronx-Lebanon Hospital Center 170411505 2737644 1932241429

Argus Community, Inc. Mount Sinai Hospital Group 170411505 2737644 1932241429

Astor Services for Children & Families 2994769 1225009806 18320

Baltic Street AEH, Inc. X

Bowery Residence Lutheran Medical Center 2995802 1477684967

Capabilities, Inc Finger Lakes PPS 7560960 2171346 40790 X

Catholic Charities of Cortland County United Health Services Hospitals, Inc. 2995435 1366597171 50760 X

Catholic Charities of Steuben Finger Lakes PPS 44050 X

Cayuga Counseling Services 7734100A 1014075 1194874610

Center for Behavioral Health Services Maimonides Medical Center 26310 X

Center for Community Alternatives, Inc. Finger Lakes PPS 2003170 1003008301 02135 X

Chautauqua County Department of Mental Hygiene

Catholic Medical Partners -

Accountable Care IPA INC 2997928 1902897374 X

Chautauqua County Department of Mental Hygiene


Corporation 2997928 1902897374 X

Chautauqua County Health Homes


Corporation 3520990 1477807097

Chautauqua County Health Homes


Accountable Care IPA INC 3520990 1477807097

Circulo de la Hispanidad 13030 X

Community Awareness Network for a Drug-free Life and Environment Montiefiore Medical Center 1337

Community Maternity Services Albany Medical Center Hospital 3001498 1689820920

Compeer Inc Finger Lakes PPS 40900

Compeer of Greater Buffalo


Corporation 25260 X

Compeer Rochester, Inc X

Council on Addiction Recovery Services Inc Finger Lakes PPS 170910702 933817 1144395054 38160

EAC Inc 160511510 2249145 1346302346

Erie County Council for the Prevention of Alcohol and Substance

Abuse


Corporation

Every Person Influences Children Inc.


Corporation 38180 X

Families Child Advocacy Network 48540

Families First in Essex County Inc. Adirondack Health Institute 2997428 1811190663 18590

Families On The Move of New York City, Inc. X

Family Help Center


Corporation

Family Service League, Inc.

Family Ties of Westchester, Inc. 43530 X

FEGS Health & Human Services Bronx-Lebanon Hospital Center

Fountain House, INC. 6110503 1303502 1578642054 18140

Goddard Riverside Community Center Mount Sinai Hospital Group 7296471A 02995733 1457444234 18380

Heights-Hill Mental Health Service SBPC Community Advisory Board,

Inc. 42860 X

Hillside Children's Center Finger Lakes PPS 969333 1639267933 16-1453581

Hillside Children's Center


Corporation 969333 1639267933 16-1453581

Hillside Children's Center St. Joseph's Hospital Health Center 969333 1639267933 16-1453581

Hillside Children's Center Upstate University Hospital 969333 1639267933 16-1453581

Housing Options Made Easy, Inc.


Corporation X

Housing Options Made Easy, Inc. Finger Lakes PPS X

Housing Options Made Easy, Inc.

Niagara Falls Memorial Medical

Center X

Housing Works Inc

Kids Oneida Faxton St. Luke's Healthcare 9063010A 2276286 1770787079 28220

Lake Shore Behavioral Health, Inc.


Accountable Care IPA INC

6783100A,

6783110B,

6783110A,

6783101A,

30053230

0671765,

02370363

,

03005290

,

03005314

,

03005323

,

02732658

,

01653781

1922210657,

1508868407,

1023230695,

1497967129,

1184897258,

1922210657,

1346424520,

1447497821 50250 X

13 1915i



OPCERT/Lice





6783100A,

6783110B,

6783110A,

6783101A,

30053230

0671765,

02370363

,

03005290

,

03005314

,

03005323

,

02732658

,

01653781

1922210657,

1508868407,

1023230695,

1497967129,

1184897258,

1922210657,

1346424520,

1447497821 50250 X



Corporation

6783100A,

6783110B,

6783110A,

6783101A,

30053230

0671765,

02370363

,

03005290

,

03005314

,

03005323

,

02732658

,

01653781

1922210657,

1508868407,

1023230695,

1497967129,

1184897258,

1922210657,

1346424520,

1447497821 50250 X



Corporation

6783100A,

6783110B,

6783110A,

6783101A,

30053230

0671765,

02370363

,

03005290

,

03005314

,

03005323

,

02732658

,

01653781

1922210657,

1508868407,

1023230695,

1497967129,

1184897258,

1922210657,

1346424520,

1447497821 50250 X

Liberty House Foundation, Inc.

Liberty Resources, Inc. Finger Lakes PPS 2994810 1225254881 50660 X

Liberty Resources, Inc. Upstate University Hospital 2994810 1225254881 50660 X

Liberty Resources, Inc. Finger Lakes PPS 7241441 2994810 1225254881 X

Liberty Resources, Inc. Upstate University Hospital 7241441 2994810 1225254881 X

Long Island Families Together, Inc. 41470 X

Long Island Minority AIDS Coalition

Long Island Minority AIDS Coalition

Loretto Independent Living Services Inc. 3301209R 01519162 1740624709

Maryhaven Center of Hope Catholic Health Services of Long Island

6825012A/68

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 150511768 02870437 1730218546 86050

Mental Health Assocaition of Erie County, Inc.


Corporation 10550 X

Mental Health Association in Niagara County Inc

Niagara Falls Memorial Medical

Center 10050 X

Mental Health Association in Suffolk County Stony Brook University Hospital 16160 X

Mental Health Association of Columbia-Greene Counties, Inc. Albany Medical Center Hospital 7418022A 1700938560

MHAJC - Mental Health Assoc. Jefferson County Samaritan Medical Center 10590

MHA-NYC Mount Sinai Hospital Group 7957018A 3421029 10132374

Multi-County Community Development Corporation Westchester Medical Center 8276445 2248671 1154517928 14640

NADAP 3439925 1295006526

NAMI-FAMILYA of Rockland CountyInc (didn't put name on form) Montiefiore Medical Center 43070

NAMI-NYC Metro Maimonides Medical Center 17320 X

New York Harm Reduction Educators X

North Country Freedom Homes, Inc. Samaritan Medical Center 151110151 36160 X

14 1915i



OPCERT/Lice


Northeast Parent & Child Society, Inc. 7308001A 02664359 1003901695 13050

Northern Manhattan Perinatal Partnership, Inc. The New York Prebyterian Hospital

NYSARC INC NEW YORK CITY CHAPTER Health & Hospital Corporation 02703602 X

Odyssey House, Inc. Mount Sinai Hospital Group 7002141R 1399760 1013976976 X

Onondaga Case Management Services Inc. Upstate University Hospital 8044025A 02994838 1235184235 12600

Ontario ARC Finger Lakes PPS 61330 2702005 40530 X

Open Arms Incorporated

160810119,

150811472,

151011771

34360, 51524,

52613

Parsons Child and Family Center 6223100A 02998034 1922171305 40400

Peninsula Counseling Center Nassau University Medical Center 160910937 244817 1437262839 50630

Positive Health Project Mount Sinai Hospital Group 05-77-18 05-77-18

Projects to Empower 1215273503

Rehabilitation Support Services, Inc. Ellis Hospital 50111313 2998070 1922293745 14370 X

Rockland County Department of Mental Health Montiefiore Medical Center 70460 X

Rockland Independent Living Center Refuah Health Center 01666031 1770829624 73390

Samuel Field Y Mount Sinai Hospital Group 8600150A 1382663 1205862950 40390

Skills Unlimited, Inc. Stony Brook University Hospital 6868110A 468759 1487789392 40290

South Shore Assocaition for Independent Living, Inc. Nassau University Medical Center

7552470A,

7552001,

7552434,

7552435,

7552431,

7552430 02994503 1043267339 16330 X

Spectrum Human Services Finger Lakes PPS 1487601837

St. Anne Institute 00353535 1629243407 14350 X

Standing Together Effectively for People By Standing Together

Effectively for People,INC St. Joseph's Hospital Health Center

c000148-

3650631


Effectively for People,INC Adirondack Health Institute

c000148-

3650631


Effectively for People,INC Samaritan Medical Center

c000148-

3650631

The Family Counseling Center of Fulton County Ellis Hospital 8549100A 1384734 1164473831 15980

The Fortune Society 8095001A 2740141 1235357237 1523

The Fortune Society 171011539 2740141 1235357237 1523

The Osborne Association HHC 160311272 2225116 1740497478

The Osborne Association Bronx-Lebanon Hospital Center 160311272 2225116 1740497478

The Osborne Association Montiefiore Medical Center 160311272 2225116 1740497478

The Osborne Association Maimonides Medical Center 160311272 2225116 1740497478

The Osborne Association St. Barnabas 160311272 2225116 1740497478

The Pederson Krag Center Stony Brook University Hospital 6816100/A 2993575 1013964170 50430

Urban Pathways, Inc. 1245543149

Villa of Hope Finger Lakes PPS

160911629 &

160511362 2996312 15789640298 37220

Villa of Hope Finger Lakes PPS

7598040 &

7598431 2996312 15789640298 37220

Village of Haverstraw DAPC

Voices of Activists & Community Leaders, Inc. (VOCAL-NY) Health & Hospital Corporation X

Washington Heights CORNER Project The New York Prebyterian Hospital X

Washington Heights CORNER Project The New York Prebyterian Hospital X

Western New York Independent Living, Inc.


Corporation 01586098 1427267806 15620 X

113 1915i

15 1915i


HH Applicants Joined PPS MMIS # NPI # Billing Entity ID Agency Code Pending List

Adirondack Health Institute Health Home Adirondack Health Institute 3449974 1740557735 X

AIDS Center of Queens County, Inc. ("ACQC")

The New York Hospital Medical Center

of Queens 2996601 1629274972 X

AIDS Community Resources, Inc. Upstate University Hospital 1272031 1477672798 X

AIDS Council of Northeastern New York Albany Medical Center Hospital 12656528685 E1429318 X

AIDS Service Center NYC dba Allied Service Center NYC 1484019 1710109947 X

Allegany County Community Finger Lakes PPS 1287801 1316111636 X

Argus Community, Inc. 1370850 1659412849 X

Baden Street Settlement Finger Lakes PPS 2085225 1578608832 16220

Bowery Residence Lutheran Medical Center 2995802 1477684967 X

Bowery Residence Mount Sinai Hospitals Group 2995802 1477684967 X

Bronx AIDS Services d/b/a BOOM!Health Mt. Sinai 1243521 1669642211 X

Bronx AIDS Services d/b/a BOOM!Health Amida Care Inc. 1243521 1669642211 X

Bronx AIDS Services d/b/a BOOM!Health St. Barnabas Hospital 1243521 1669642211 X

Bronx AIDS Services d/b/a BOOM!Health Bronx-Lebanon Hospital Center 1243521 1669642211 X

BronxWorks, Inc. Bronx-Lebanon Hospital Center 01315695 1053504456 X

Brownsville Multi X

CAMBA, Inc. Maimonides Medical Center 01552134 1659594075 E0144784 31600 X

Catholic Charities Diocese of Rochester dba Catholic

Charities Community Services Finger Lakes PPS 1190629 1902018971 16-0743944 20640 X

Catholic Charities of Broome County X

CATHOLIC CHARITIES OF BUFFALO NY


Accountable Care IPA INC X

CATHOLIC CHARITIES OF BUFFALO NY Erie County Medical Center X

CATHOLIC CHARITIES OF BUFFALO NY Finger Lakes PPS X

CATHOLIC CHARITIES OF BUFFALO NY Niagara Falls Memorial Medical Center X

Catholic Charities of Cortland County X

Catholic Charities of Onondaga County St. Joseph's Hospital Health Center 1922258615

Catholic Charities of Oswego County Upstate University Hospital 03014808 1730345109 X

Children's Mental Health Coalition of WNY, Inc.

Citizen Advocates, Inc. X

Clubhouse of Suffolk Inc. dba Association for Mental Health

and Wellness Stony Brook University Hospital 2996261 1578516738 E0001941 16540 X

Clubhouse of Suffolk Inc. dba Association for Mental Health

and Wellness 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) Upstate University Hospital 3549144 1396151791 X

Community Care Management Partners LLC (CCMP) Bronx-Lebanon Hospital Center 3606902 1366780850

Community Care Management Partners LLC (CCMP) Mount Sinai Hospitals Group 3606902 1366780850

Community Care Management Partners LLC (CCMP) Bronx-Lebanon Hospital Center 3606902 1366780850

Community Healthcare Network, Inc. X

Coordinated Behavioral Care 3559515 1730451071 X

Direcitons in Independent Living, Inc.



Direcitons in Independent Living, Inc. Erie County Medical Center 2971126 1871889915 X

Equinox Inc. Samaritan Medical Center 2995811 1477695021 X

Fairview Recovery Services, Inc. X

Family Services Network of New York, Inc. 01701179 1326264672 X

Family Services of Chemung County, Inc. Finger Lakes PPS 02996569 1619922432 E0086000 50810 X

Family Services of Chemung County, Inc. MH Finger Lakes PPS 02996569 1619922432 E0086000 50810 X

FEGS Health & Human Services Stony Brook University Hospital 1371571 1912164120 E0162796 X

Gay Men's Health Crisis (GMHC) Maimonides Medical Center 1422811 1992903389 E0157693 X

Greater Buffalo United IPA/GBUAHN Erie County Medical Center 3489287 1033484894 E0338409 X

Greater Rochester Health Home Network, LLC Finger Lakes PPS 03467301 1740554229 X

Harbor View Medical Services Stony Brook University Hospital 03793886

1861636219,

1831487198,

1922364181,

1295162543

Harlem United Community AIDS Center, Inc. O1756596 1609087790 X

Health Home Partners of WNY, LLC



HELP/PSI Inc. Maimonides Medical Center 2995339 1346464989

13-3464470

(FEIN) X

Hillside Children's Center Erie County Medical Center 969333 1639267933 1639267933 EIN: 16-1453581

Hillside Children's Center St. Joseph's Hospital Health Center 969333 1639267933 1639267933 EIN: 16-1453581

16 HH.CMA


Hillside Children's Center Upstate University Hospital 969333 1639267933 1639267933 EIN: 16-1453581

Hillside Children's Center Finger Lakes PPS 969333 1639267933 1639267933 EIN: 16-1453581

HONOR ehg, Inc. X

Housing Works Inc Amida Care Inc. 1350509 1538379573 E0164894 X

Hudson Valley Care Coalition

Hudson Valley Community Services, Inc.

HealthAlliance of the Hudson Valley,

HealthAlliance Hospital: Broadway

Campu 1295394 1841339728 E0170375 X

Huther Doyle 954572 1073614533 E0204306 6013 X

Institute for Family Health Westchester Medical Center 903700 1295729408 E0209381 X

Jewish Child Care Association of NY 00272688 1467571653 E0179492 0021300

Kids Oneida Faxton St. Luke's Healthcare 2276286 1770787079 28220




30053230067

1765,

02370363,

03005290,

03005314,

03005323,

02732658,

01653781

1922210657,

1508868407,

1023230695,

1497967129,

1184897258,

1922210657,

1346424520,

1447497821 E0232519 50250 X



Corporation

30053230067

1765,

02370363,

03005290,

03005314,

03005323,

02732658,

01653781

1922210657,

1508868407,

1023230695,

1497967129,

1184897258,

1922210657,

1346424520,

1447497821 E0232519 50250 X

Lakeview Health Services Finger Lakes PPS 02993680 1033155833 10490 X

Liberty Resources Inc. Finger Lakes PPS 2994810 1225254881 E0001939 X

Liberty Resources Inc. Upstate University Hospital 2994810 1225254881 E0001939 X

Long Island Association for AIDS Care, Inc. (LIAAC) Stony Brook University Hospital 1743457 1154446557 E0125681 X

Long Island Association for AIDS Care, Inc. (LIAAC) Stony Brook University Hospital 1743457 1154446557 E0125681 X

Mental Health Association of the Southern Tier, Inc. United Health Services Hospitals, Inc. 1073955092 12010

Mental Health Providers of Western Queens Health & Hospital Corporation 2324885 1023173820 E00667615 321 X

MHA in Essex, Inc. Adirondack Health Institute 1550370 1487940870 E0144960 12370 X

Mid Erie Mental Health Services, Inc. Erie County Medical Center 2994796 1225095201 E0086760 50230 X

Monroe Plan for Medical Care X

Narco Freedom INC Bronx-Lebanon Hospital Center 1222191 1245272772 E0177676 X

National Association on Drug Abuse Problems, Inc. (NADAP,

Inc.) X

Northeast Parent & Child Society, Inc. Ellis Hospital 02664359 1003901695 13050

North-Shore University Hospital Health Home Long Island Jewish Medical Center 03457054 1932472107 E0334635 X

Onondaga Case Management Services Inc. Upstate University Hospital 02994838 1235184235 E0028423 12600 X

Onondaga Case Management Services Inc. Upstate University Hospital 02994838 1235184235 E0028423 12600 X

Orleans County Department of Mental Health Finger Lakes PPS 2993759 1043345713 72W 70250 X

Orleans County Department of Mental Health Erie County Medical Center 2993759 1043345713 72W 70250 X

Orleans County Department of Mental Health Niagara Falls Memorial Medical Center 2993759 1043345713 72W 70250 X

Parsons Child and Family Center Albany Medical Center Hospital 02998034 1922171305 40400 X

PSCH, Inc. Bronx-Lebanon Hospital Center 2189655 1386817906 X

PSCH, Inc. Long Island Jewish Medical Center 2189655 1386817906 X

PSCH, Inc. Lutheran Medical Center 2189655 1386817906 X

PSCH, Inc. Mount Sinai Hospitals Group 2189655 1386817906 X

PSCH, Inc. Nassau University Medical Center 3269096 1477864866

PSCH, Inc. Long Island Jewish Medical Center 3269096 1477864866

Queens Coordinated Care Partners, LLC. The Jamaica Hospital 03785206 1215292305

Sayville Project - SUNY SB Stony Brook University Hospital 1571851 1124224084 E 16100 X

Schuyler County MHC MH 2993502 1003869165 1371457 X

Southern Tier AIDS Program United Health Services Hospitals, Inc. 1681130 1922130335 E0131906 X

ST LUKES ROOSEVELT HOSPITAL CENTER DBA MOUNT SINAI

HEALTH HOME Mount Sinai Hospitals Group 00354967 1104982917 X

Strong Memorial Hospital Finger Lakes PPS X

Suffolk County Dept of Health, Division of Community

Mental Hygiene Care Management Program Stony Brook University Hospital 1175277 1699877811 EO182361 X

The Children's Collaborative, Inc.

The Family & Children's Society, Inc. United Health Services Hospitals, Inc. 679155 1972552776

The Pederson Krag Center Stony Brook University Hospital 2993575 1013964170 50430 X

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 Mount Sinai Hospitals Group 01391120 1902080401 178 X

The Salvation Army HIV Health Home Care Management

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

17 HH.CMA


The Salvation Army HIV Health Home Care Management Bronx-Lebanon Hospital Center 01391120 1902080401 178 X

The Substance Abuse Prevention Team of Essex County, Inc. Adirondack Health Institute

Transitional Services for New York, inc 2189875 1780855213 X

Trillium Health, Inc. Finger Lakes PPS 1230991 1861496358 E0176804 X

United Health Services Hospitals, Inc Medicaid Health Home United Health Services Hospitals, Inc. 3004639 1518998699 X

Venture House 19620

Villa of Hope Finger Lakes PPS 02996312 15789640298 37220

Village Center for Care Maimonides Medical Center 01539335 1063573152 X

Visiting Nurse Services of Northeastern NY Ellis Hospital 02997684 1841360740 X

VNA Homecare Options Upstate University Hospital 03529059 1801140777

122 HH/CMA

18 HH.CMA


Passed Other Applicants Joined PPS OP Cert/Lic MMIS NPI Agency Code Billing

Albany County Department of Health Ellis Hospital 0101202R 473616 1851401186 E0252155

Alexander Infusion dba Avanti Health NY Hospital Med Ctr Qns 23601 3009794 1639165459

CareFirst NY (fka Southern Tier & Pall) Finger Lakes PPS 0721501F 973982 1285638775

Catholic Charities Diocese Albany dba Ellis Hospital

7703431,

7703430 1304636 1144476185

Catskill Area Hosp & Palliative Care Mary Imog Bassett Hosp 3801501F 1067674 1558353680

Columbia County Dept. of Health Albany Medical Center 1001200R 1578752192

Empire Home Infusion Srvcs - NE Home Ellis Hospital 2164510 1770551228

Empire Home Infusion Srvcs Ellis Hospital 23023 1697465 1598705386

Equinox Albany Medical Center 7524430 2995811 1477695021




Equinox Albany Medical Center 752007A 2995811 1477695021

Family and Child Service of Schenectady, Inc. Ellis Hospital 555871 1225245210

Family Residences & Essential Enterprises, Inc.

Nassau University

Medical

FLH Medical Finger Lakes PPS 3093703 1215174644

Finger Lakes Parent Network Finger Lakes PPS 26470 2622195 1790186872

Home Aide Service of East New York Ellis Hospital 1446193 1114967924

Hospicare & Palliative Services UnitedHealth Services 5401501F 1730185737

Hospice at Lourdes United Health Serv Hosp 0301501F 955775 1336197714

Hospice of Chenango County United Health Serv Hosp 0824500F 1268400 1821095902

Hospice Fulton County dba Mt. Valley Adirondack Health 1701500F 1062371 1396759213

Hospice of Jefferson County Samaritan Medical Ctr 2201501F 987279 1164426433 3648

Hospice of Orange & Sullivan Montefiore 3502500F 1078468 1316945660

Hospice of St. Lawrence Valley Samaritan Medical Ctr 4429501F 977028 1497758080

Hospice, Inc. dba Hudson Valley Hosp. Mont. Med. Ctr.(& WMC) 1302500F 1049669 1508866286

Independent Living Center HudsonVall Ellis Hospital 1631016 1447504550

Jefferson Rehabilitation Center Samaritan Medical Ctr

03262484 &

02001729 1003060039

Lifespan Finger Lakes PPS 3065616 1174951297

Medical Solutions Finger Lakes PPS 3016837 1225375470

Moden-Giroux dba Middleport Family Niagara Falls 17837 775966 1073602017

Northern Regional Ctr. for Indep. Living Samaritan Medical Ctr 1187024955

Orange County Department of Health Westchester Medical Ctr 2996445 1598973596

Orleans Community Health

Catholic Med Part.-Acc.

Care IPA 3622000H 30000846 1609873520

Pesach Tikvah Hope Development Maimonides Medical Ctr 986310 1376598466

Syracuse Orthopedic Specialist St. Joseph Hospital 2668922 1669410379

The Caring Coalition Central NY Upstate University Hosp. 3301501F 955826 1912098666

The Community Hospice Ellis Hospital 4152500F 955739 1588631733United Hospice of Rockland Montefiore 4353005 1051101 1538166319

Failed Other Applicants Joined PPS OP Cert/Lic MMIS NPI Agency Code Billing

Alcohol & Substance Abuse Council of Jefferson

County, Inc. Samaritan Medical Center

OASAS

#100900736 36130

Catherine St. Community Center 146037150

Cheming County Dept of Aging & LT Finger Lakes PPS

Comprehensive Interdisciplin. Dev. Srvs. Finger Lakes PPS

Council for Prevention Adirondack Health 35040

Cornell Cooperative Ext. Wayne County Finger Lakes PPS

Exercise Express Finger Lakes PPS

Family Counseling Serv of Finger Lakes Finger Lakes PPS 14170353387

Family Services of Westchester Montefiore Medical Ctr

Four Points Finger Lakes PPS

Genesee County Office for the Aging Finger Lakes PPS

Gods Love We Deliver HHC 1467646281

Hamilton County Community Services Adirondack Health 251S00000X provider # 70090

Hands Across Long Island Stonybrook Univ Hosp 8684006A 2995619 1427269141 13070 E0003098

Health Reach Plus 1104045848

Hospitality House Ellis Hospital 141210043 1578615423 170

Institute for Human Services, Inc. (IHS) Finger Lakes PPS

Leatherstocking Education Alch/Add. Mary Imog Bassett Hosp 35280

LI Council on Alcoholism and Drug Dependence

(LICADD) Nassau Univ Medical Ctr

19 OTHER


Maple City Physical Therapy Finger Lakes PPS 1821411802

Mental Health Empowerment Project Albany Medical Center 27100

Mental Health Association of Rochester/Monroe

County, Inc. Finger Lakes PPS 17090

Mid-Hudson Addict Recovery Centers Westchester Medical Ctr 170310114 34010

Monroe County Office of the Aging Finger Lakes PPS 16-6002563

Pathway House of Rochester Finger Lakes PPS 160410159 1851700264

Rescue Mission of Utica

Faxton St. Lukes

Healthcare

Restoration Society Erie County Medical Ctr 1114116324 10150

Samaritan Womens Finger Lakes PPS

Seaway Valley Council Alcoh/Sub Abuse Samaritan Medical Ctr 110801147

SES Oper. Corp dba Harlem East Life 7002165R 1979006 1427125632 7806 133934211

Steuben County Department of Social Services Finger Lakes PPS 1982709846

Fed.ID#

166002567

Steuben County Office for the Aging Finger Lakes PPS

The Autism Council Finger Lakes PPS 1316223597

Unique People Services Bronx Lebanon Hosp 1861616518 16630

Venture House 19620 19620

Wayne County Action Program Finger Lakes PPS 166069004

Wayne County Dept of Aging and Youth Finger Lakes PPS

39 Passed

37 Failed

76 Total Other VAP Appeals

20 OTHER


Passed Hospital Applicants Joined PPS OP Cert/Lic MMIS NPI Agency Code Billing

Bertrand Chaffee Hospital Catholic Medical Part.-Acc. Care IPA 1427000H 354150 1275553521 E0263762

John T. Mather Memorial Hospital Stony Brook Univ. Hosp. 5149000H 3158014 1093718728

NYU Hospital Center Lutheran Medical Ctr 7003053H 3000057 1801992631

North Shore University Hospital LI Jewish Medical 2951001H 245510 1366459570

Saratoga Hospital Albany Medical Center 4501000H 303282 1073569331 E0268755

Seton Health System Ellis Hospital 4102003H 1534463 1811982911

South Nassau Communities Hospital Nassau University Medical 2950001H 2999659 1922079094 E0273885

St. Elizabeth Medical Center Faxton St. Lukes 3202002H 279901 1821093402 E0271084

St. Peters Hospital Ellis Hospital 0101004H 3000960 1497701106

Sunnyview Hospital & Rehab Ellis Hospital 4601004H 361720 1578664470

Tri Town Regional Healthcare Mary Imogene Bassett 12227001H 3024857 1225226962 E0284415

Westfield Memorial Hospital Catholic Med Part.-Acc. Care IPA 0632000H 354614 1942236427

Winthrop-University Hospital AssociationNassau Univ Medical Ctr 2908000H 2999026 1114925567

Failed Hospital Applicants Joined PPS OP Cert/Lic MMIS NPI Agency Code Billing

Gutherie Robert Packerd Hosp. United Health Serv Hosp 440601 3002462 1083614382

Kenmore Mercy Hospital Catholic Medical Part.-Acc. Care IPA 1404000H 3001618 1770598104

Mercy Hospital of Buffalo Catholic Medical Part.-Acc. Care IPA 140108H 354412 1164464921

Western NY Phyisicians Finger Lakes PPS

Already SN Hospital Applicants Joined PPS OP Cert/Lic MMIS NPI Agency Code Billing

Albany Medical Center Albany Medical Center 101000 3000364 1376577247

13 Passed

4 Failed

1 Already SN

18 Total Hospital appeals

21 HOSP


VAPE Lead Applicants Joined PPS

Advocate Community Providers (fka **NYCCP) AW Medical

Bronx Lebanon PPS Bronx Lebanon

CNY DSRIP Performing Provider System Upstate Univ Hosp

Catholic Medical Partners and Participating Providers Cath Med Part Acc Care IPA

Finger Lakes PPS Finger Lakes PPS

Mount Sinai PPS NewCo Mt. Sinai Hosp Group

Nassau - Queens PPS, LLC

NewCo United Health Services

New Corporation (NewCo) Ellis Hospital

Richmond University Medical Center and Staten Island University Hospital Richmond & SI

SB Clinical Network IPA, LLC Stony Brook Univ Hosp

**New York Community Preferred Providers, LLC

11 Leads

Already SN Lead Applicant Joined PPS

Albany Medical Center Albany Medical Center

1 Already SN

12 Total Lead VAPES

22 LEADS

Documents

VAP Exception Appeals...At least 35 percent of all patient volume in their outpatient lines of business must be associated with Medicaid, uninsured and Dual Eligible ... Foster Care