CMS INITIATIVE TO REDUCE AVOIDABLE HOSPITALIZATIONS AMONG NURSING FACILITY RESIDENTS List of organizations that have submitted a Notice of Intent to Apply (NOIA) and have approved the posting of their information Notes: The deadline for submitting a NOIA was May 7, 2012 by 3:00pm EST. This list includes only those organizations that have granted permission for their information to be posted publicly. There are other organizations that have submitted a NOIA. The list is sorted alphabetically by "Primary" State targeted for the proposed intervention. A NOIA is non-binding and organizations that have submitted a NOIA may choose not to apply to the Initiative. Additionally, the target locations identified by organizations to implement their intervention may change. Information not associated with the proposed target location has been removed from certain fields. The posting of this list of organizations that have submitted a NOIA is not a confirmation of eligibility. The deadline for submitting a full application is June 14, 2012 by 3:00pm EST. Please direct questions about the Initiative to [email protected]. Programmatic questions regarding this opportunity submitted after May 31, 2012 are not guaranteed a response. More information on this Initiative can be found at the below websites: http://innovation.cms.gov/initiatives/rahnfr/ http://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination- Office/ReducingPreventableHospitalizationsAmongNursingFacilityResidents.html List of Organizations that have Submitted a Notice of Intent to Apply (NOIA) and have Approved the Posting of their Information Point of Contact's Business Information Proposed Implementation State(s) Proposed target geographic location of the Name of Applicant Organization Street Address City State Zip Code First Last Business Email Primary Secondary Tertiary proposed intervention. North Alabama Community Care, 228 Holmes Huntsville AL 35801 Dana Garrard [email protected] AL Madison, Limestone, Morgan and Cullman Inc. Avenue om counties in Alabama. Primary Care Providers of 4212 N Carmichael Montgomer AL 36016 Michael Reeves [email protected] AL Montgomery, Huntsvile, Mobile and America, LLC Dr y Birmingham, Alabama Premier Healthcare Solutions P.O Box 361003 Birmingha AL 35236 Gregory Ramsey [email protected] AL Jefferson County, State of Alabama Alabama Quality Assurance 2 Perimeter Park Birmingha AL 35243 Liz Prosch [email protected] AL Twenty-five (25) contiguous counties in Foundation (AQAF) South, Suite 200W m central/southeast Alabama spanning across five (5) Area Agency on Aging (AAA) service areas. East Arkansas Area Agency on 2005 East Highland Jonesboro AR 72403 Melissa Prater [email protected] AR Northeast Arkansas Counties Include: Clay, Aging, Inc. Drive, PO Box Randolph, Lawrence, Greene, Mississippi, 5035 Craighead, Poinsett, Cross, St. Francis, Crittenden, Lee and Phillips Business Process Excellence, LLC 3820 W Happy Glendale AZ 85310 Amy Bair [email protected] AZ FL Metro Phoenix and Southern Florida Valley Dr Ste 141- 128 City of Mesa Fire and Medical 13 W. 1st Street Mesa AZ 85201 TONY LO TONY.LOGIUDICE@MES AZ CITY OF MESA AND PHOENIX Department GIUDICE AAZ.GOV METROPOLITAN The list is sorted alphabetically by 2141 E. Broadway Tempe AZ 85282 April Bolles Abolles@palliativeconnectio AZ Maricopa County, Arizona "Primary" State targeted for the Rd. Suite 118 ns.com proposed intervention. IPC The Hospitalist Company dba 2510 W. Dunlap Phoenix AZ 85021 Saul Blair [email protected] AZ Maricopa, Yavapai and Coconino County Hospitalist of Arizona Avenue, Suite 290 Banner Health 1441 N 12th Street Phoenix AZ 85006 Karen Bangle karen.bangle@bannerhealth. AZ Marcopa Counties Pinal Counties com Dignity Health (DBA St. Joseph's 350 West Thomas Phoenix AZ 85013 Debra Mahan debra.mahan@dignityhealth. AZ Greater Phoenix Metropolitan Area to include Hospital and Medical Center) Road org Maricopa County and Northern Pinal County. People Helping People 7609 E felicity Tucson AZ 85750 Mary Hanna [email protected] AZ AZ place Sun Valley Internists LLC 14815 N Del Webb Sun City AZ 85351 Onkar Bhowra [email protected] AZ Maricopa County, Arizona Blvd Meridian Health Systems, P.C. 4477 west 118th Hawthorne CA 90250 323 2522784 [email protected] CA FL NC multi States Street Suite 304 USMDDIRECT,INC. 2021 SANTA SANTA CA 90404 FAWAD ZAFAR- [email protected] CA California -Santa Monica, West Los MONICA SUITE MONICA KHAN angels,Beverly hill, Hollywood Inglewood, long 710E beach, Los Angeles, Irvin, Northern California HealthCare Partners Affiliates 19191 South Torrance CA 90502 Jeremy Rich [email protected] CA NV FL Southern California (primary) May include Medical Group Vermont Ave. Suite m Nevada and Florida, if feasible. #200 Companion Management Group, 5 Hutton Centre Santa Ana CA 92707 Steve Nahm [email protected] CA The California counties of Los Angeles, Orange, LLC Drive, Suite 1110 Riverside, and San Bernardino. Milvali Healthcare Consulting 101 West Central Brea CA 92821 Mildred DeCastro mdecastro@milvalihealthcar CA NV MHCC plans to implement proposed Company (MHCC) Avenue #249 e.com interventions in California (Southern & Northern). Palo Alto Medical Foundation 795 El Camino Palo Alto CA 94301 Albert Lam [email protected] CA San Francisco South Bay Region from Palo Alto Real in the West to Sunnyvale in the East, and to the south in Santa Cruz. Jewish Family Service of Los 3580 Wilshire Los CA 90010 Eli Veitzer [email protected] CA County of Los Angeles Angeles Blvd. #700 Angeles Managed Care Systems/GEMCare 4550 California Bakersfield CA 93309 Michele Giboney mgiboney@managedcaresyst CA Kern County, Ventura County, San Luis Obispo Medical Associates Ave., Suite 500 ems.com County, potentially other Central California and California central coast counties. 2 List of Organizations that have Submitted a Notice of Intent to Apply (NOIA) and have Approved the Posting of their Information Point of Contact's Business Information Proposed Implementation State(s) Proposed target geographic location of the Name of Applicant Organization Street Address City State Zip Code First Last Business Email Primary Secondary Tertiary proposed intervention. Orange Coast Surgery Inc 1000 S.anaheim Anaheim CA 92805 krishna surapaneni [email protected] CA TX Southern California, CA, Dallas, TX blvd, #300 Belville Enterprises, Inc. 6225 Nancy Ridge San Diego CA 92121 Betty Haller [email protected] CA MOSTLY SOUTHERN CALIFORNIA SOME Drive CENTRAL AND NORTHERN CALIFORNIA Meadowood Health and 3110 Wagner Stockton CA 95209 Cathy Otte [email protected] CA Stockton, Lodi, Manteca, CA Rehabilitation Center Heights Rd California Alzheimer's Support 343 Park street #1 Redwood CA 94061 Monica Ewing [email protected] CA Redwood City, Palo Alto, San Francisco, San Services City Jose Salveo Inc. 2941 Fulton Sacramento CA 95821 David Klaeser dklaeser@interimhealthcare. CA Northern California Avenue Suite B com sigalit Marmorstein RN, MSN, 4535 Park allegra Calabasas CA 91302 David Tashman [email protected] CA Nursing home and long term care facilities in FNP-BC chief ER Nurse CA. Practitioner Verdugo Hills Hospital Snowline Hospice 6520 Pleasant Diamond CA 95619 530 621-7820 mschmidt@snowlinehospice. CA Sacramento County and El Dorado County in Valley Road Springs org Northern California Lorian Home Systems, Inc. 3570 Camino Del San Diego CA 92108 Julian Ahumada [email protected] CA IN NV Indiana, Southern California, and Nevada, Rio North, Suite including San Diego, Orange, Los Angeles, 201 Riverside, San Bernadino and Clark counties California Telehealth Network 2001 P Street, Ste Sacramento CA 95811 Cindy Morton [email protected] CA State of California 100 On Lok, inc. 1333 Bush St. San CA 94109 Susan Poor [email protected] CA San Francisco Bay Area Francisco West Coast Wound Care, Inc. 976 McLean Yonkers NY 10704 Craig Bunker [email protected] CA California Avenue, Suite 387 SCAN Health Plan 2501 Cherry Signal Hill CA 90755 Denise Likar [email protected] CA Our proposed geographic locations are Los Avenue Angeles County, a predominantly densely populated urban area and San Joaquin County, a predominately rural and less densely populated area. Access to Independence of San 8885 Rio San San Diego CA 92108 Louis Frick [email protected] CA San Diego and Imperial Counties Diego, Inc. Diego Dr., Ste. 131 Acute Response Team Inc 2951 Four Corners Chula Vista CA 91914 Guillerm Castillo drgcastillo@acuteresponsete CA Street o am.com Lumina Healthcare, LLC 2121 Rosecrans El Segundo CA 90245 Robert Mathuny rmathuny@luminahealthcare CA Los Angeles County Avenue, Suite 4325 .com Kennedy Krieger Institute 707 N. Broadway Baltimore MD 21201 Karen Cox [email protected] CO Nursing facilities & hospitals in El Paso County, CO. Hospital Remedy 3453 S. Ammons Lakewood CO 80227 Teresa Freudig [email protected] CO Denver Metro area St. 2-8 Catholic Health Initiatives Colorado 6385 Corporate Colorado CO 80919 Jane Barnes [email protected] CO Colorado: Denver metro area, Colorado Springs, Foundation Drive, Suite 301 Springs Pueblo Hospice & Palliative Care of 3090 N 12th St Grand CO 81506 Christy Whitney [email protected] CO Mesa and Montrose County Western Colorado Junction Colorado Access 10065 E. Harvard Denver CO 80231 Ford Allison [email protected] CO Denver-Boulder Metropolitan area Ave, Suite 600 Agape Healthcare 6041 S Syracuse Greenwood CO 80111 Amanda Stanley astanley@agape-