Adult Community Autism Program (ACAP) 18 Font Version

Transcription

1 Adult Community Autism Program (ACAP) 18 Font Version Network Provider Directory 2017

2 HOW TO USE THIS DIRECTORY This directory includes important information about the professional, hospital, facility and ancillary providers that are a part of the Adult Community Autism Program (ACAP) Provider Network. Keystone Autism Services is pleased to offer you this directory and reminds you to work closely with your assigned ACAP Supports Coordinator to connect you with the Primary Care Physician (PCP) of your choice. Your Supports Coordinator will arrange all of your behavioral health and medical health services, including both general practitioner and specialist appointments, and will also arrange transportation to and from services, when needed. You will note that your directory is divided by provider type including Dentistry, Family Medicine/Primary Care Physician, and Specialty Services. Within each category, the directory is further divided by county and the city in which the service type is provided. All entries are listed alphabetically. If you need a provider who speaks a language other than English, a Medical Assistance Language Line can be used to arrange interpreter services by calling Your Supports Coordinator can also help you with using the language line or to help you find a provider who meets your needs or will arrange for an interpreter service free of charge.

3 DIRECTORY UPDATES Keystone Autism Services will provide Program Participants with update pages as changes occur within the ACAP Provider Network upon request. Please check our website for quarterly updates at keystonehumanservices.org. Click on Autism Services under the services tab and you will find Network Provider Directory as one of the options listed below. If a network provider that you had previously chosen no longer participates in the network, your Supports Coordinator will assist you with accessing a network provider of equivalent training and experience. If you are not pleased with your PCP, please make your Supports Coordinator aware of your dissatisfaction either verbally or in writing. Your Supports Coordinator will work with you to address your concerns. If you wish to change your PCP, your Supports Coordinator will assist you with accessing a new PCP within fourteen (14) days of your request to change. If a Participant requests a change of PCP a third time in one year, approval must be sought from the KAS Medical Director. Participants may seek a second opinion from a qualified health care professional within the network, if available, and if not available, your Supports Coordinator will arrange for you to obtain a second opinion from a qualified health care professional outside of the network, at no cost to you. You will notice that some providers have a notation that states they are open to existing patients only. In most cases, if this message is not listed beside the practice name, the practice is open to all patients. Please contact your Supports Coordinator when you wish to schedule with a new physician or specialist so

4 that he/she can assist with the referral process, when necessary, and so they can assure that you receive prompt medical service. Please remember that maintaining contact with your Supports Coordinator, utilizing a provider within the ACAP provider network and obtaining a referral, when indicated, are all important in order to ensure that your services are paid for through ACAP. If at any time you have questions about ACAP coverage or the provider network, please contact your Supports Coordinator or the Director of Provider Relations at or Toll Free at IMPORTANT TIMELINES FOR YOUR AWARENESS Your Supports Coordinator will schedule all medical appointments for you, adhering to established timelines for service delivery. Within fourteen (14) days of enrollment into ACAP, you will be assigned a PCP or Specialist, if you have not chosen from the network directory provided. Within three (3) weeks of enrollment into ACAP, you will need to have a physical exam, with vision screening, completed by your PCP, unless you received a physical exam within three (3) months prior to the enrollment into ACAP. Your Supports Coordinator will arrange for you to complete a physical exam, including vision screening, on an annual basis. If you have an urgent medical and/or behavioral need, your Supports Coordinator will arrange for you to be seen within twenty-four (24) hours of your request.

5 If you need a routine medical appointment with your PCP, your Supports Coordinator will schedule the appointment within seven (7) days of your request. If your PCP has referred you to see a Specialist, your Supports Coordinator will schedule your appointment within seven (7) days of the referral by the PCP. IF YOU NEED EMERGENCY SERVICES, GO TO THE NEAREST EMERGENCY FACILITY OR CALL 911 FOR ASSISTANCE. ACAP DOES NOT REQUIRE PRIOR AUTHORIZATION FOR EMERGENCY SERVICES. AFTER HOURS CARE Keystone Autism Services will ensure that the Provider offers emergency on-call services twenty-four (24) hours per day, seven (7) days per week and that service hours offered to ACAP Participants mirror those offered to other MA service recipients. Keystone Autism Services can also be reached, twenty-four (24) hours per day, seven (7) days per week by calling or Toll Free at

6 SERVICE AREA The ACAP service area includes providers in Chester, Cumberland, Dauphin and Lancaster Counties. In addition, providers based in counties adjacent to the three counties named may participate in ACAP to better serve Participants. OUT OF AREA COVERAGE ACAP Participants may receive out of area emergency services and must contact Keystone Autism Services at or Toll Free at after receiving emergency service care. Any follow-up care to an emergency service while traveling outside of the service area must be pre-authorized by Keystone Autism Services. If you require urgent health services (non-emergency care) while traveling outside of the service area, you must call Keystone Autism Services at or Toll Free at to receive prior authorization. ACAP does not pay for routine care (such as a physical) or other non-urgent care provided outside of the Provider Network. EYE EXAMS AND EYEWEAR There is no waiting period to receive eye coverage through ACAP. Each Participant enrolled in ACAP is eligible for an annual eye examination. The annual eye examination must be completed by an eye doctor who participates in ACAP s Provider Network.

7 Annual eye examinations can be scheduled by your Supports Coordinator or you can elect to schedule the appointment yourself. If you do not wish to utilize the Supports Coordinator for scheduling it is important to contact your Supports Coordinator with the time, date, and place where the appointment will occur after you or your family schedule the examination. Upon arrival to your eye examination provide the facility with your ACAP insurance card, as well as any and all other insurance cards from which you receive coverage. Each Participant of ACAP who receives a prescription for corrective lenses is eligible for one pair of eyeglasses (frames and lenses) per calendar year; contact lenses can be substituted for eyeglasses. Participants are not covered to receive both eyeglasses and contact lenses within the same calendar year unless deemed medically necessary. Eyeglasses (frames and lenses) are covered up to $200 all-inclusive cost; any additional fees are the responsibility of the Participant. Contact lenses can be substituted for eyeglasses with the total allowable expense not to exceed $200 for the total cost of the lenses per calendar year. Necessary solutions, eye drops, cleaners, etc. that are needed for the wear of contact lenses are not the responsibility of ACAP. Conditions that require additional treatments, such as eye infections, cataracts, and glaucoma, are considered medically necessary and said treatment is covered through the ACAP Provider Network.

8 CHOOSING A PROVIDER Your Supports Coordinator will assist you with choosing your Primary Care Physician and/or Specialist. Some of the things you should think about when choosing a provider are: Is the office conveniently located? Do you have a current or previous relationship with a specific provider or physicians group? Do you have language or other special needs that may require translation services? PRIMAY INSURANCE If participants have primary insurance, services must be processed through that insurance prior to using ACAP insurance. Providers should be selected based on the primary insurances guidelines and do not have to be an in-network provider with ACAP. However, those providers should be given the ACAP insurance information for processing claims where ACAP may have some payment responsibility (e.g. copays).

9 IMPORTANT REMINDER Please contact your Supports Coordinator for coordination of your medical appointments and services, including transportation to and from your appointments and assistance with any required paperwork. If you have any questions about your benefits and/or aspects of your health care coverage or you wish to voice a concern about a specific provider within the network, please contact the Director of Provider Relations by calling or Toll Free at The Director of Provider Relations is available to you Monday through Friday, 8:00 a.m. to 5:00 p.m. After normal business hours, you may leave a message for the Director of Provider Relations and you will receive a call back the next business day. ALWAYS CARRY YOUR MEMBER IDENTIFICATION CARD WITH YOU IN THE EVENT OF AN EMERGENCY AND PRESENT YOUR CARD EACH TIME YOU SEEK MEDICAL SERVICES

10 DENTAL Bi-annual dental exams (twice per year), including cleanings, are considered routine medical treatment and do not require a referral from a Primary Care Physician. CHESTER COUNTY Raymond L. Para, DDS 720 Yorklyn Road, Suite 120 Hockessin, DE Phone: (302) Fax: (302) Gentle Dental 125 Turner Lane West Chester, PA Phone: (484) Fax: (610) Smile Solutions, LLC Michelle Aitken, DDS 1381 E. Boot Road West Chester, PA Phone: (610) Gentle Dental 3307 Lincoln Hwy. Thorndale, PA Phone: (610) Fax: (610) Jenny Chen Family Dentistry, LLC 207 North Guernsey Road West Grove, PA (610) Elwyn Health Center 111 Elwyn Road Elwyn, PA Phone: (610) Fax: (610) Upper Merion Dental Associates 357 South Gulph Road King of Prussia, PA Phone: (610) Fax: (610) Special Touch Dentistry General/Oral Surgery 211 Geiger Road Philadelphia, PA Appointment: (215) Office: (215) Fax: (215)

11 CUMBERLAND COUNTY West Shore Family Dentistry 40 N. 36 th Street Camp Hill, PA Phone: (717) Fax: (717) Sadler Health Center 100 North Hanover Street Carlisle, PA Phone: (717) Fax: (717) Kravitz and Miller 890 Poplar Church Road Camp Hill, PA Community Medical and Dental 309 Gravel Pike Rahns, PA Phone: (610) Fax: (610) DAUPHIN COUNTY HACC Dental Select Medical Health Education Pavilion Room 102 HACC Harrisburg Campus One HACC Drive Harrisburg, PA Phone: (717) Steven B. Grater, DMD 4129 Locust Lane Harrisburg, PA Phone: (717) John J. Watson, DDS 4707 Derry Street Harrisburg, PA Phone: (717)

12 LANCASTER COUNTY 717 Dentist, LLC / SmileCare Group (formerly Vasanti Puranik, now Rashi Majithia) 1337 Elm Avenue Lancaster, PA Phone: (717) Fax: (717) SouthEast Lancaster Health Services South Duke Street Medical Center 625 South Duke Street Lancaster, PA Phone: (717) Fax: Smilebuilderz 1685 Crown Avenue Lancaster, PA Phone: (717) Fax: (717) Provides general dentistry and oral surgery Welsh Mountain Medical & Dental Center 584 Springville Road New Holland, PA Phone: (717) Fax: (717)

13 OB/GYN NOTICE: PLEASE SEE THE LANCASTER GENERAL HEALTH ADDENDUM FOR OTHER POTENTIAL SITES WHICH MAY INCLUDE ACCESS FOR CHESTER COUNTY. Annual gynecological exams are considered routine medical treatment and do not require a referral from a Primary Care Physician. Steiner Medical & Therapeutic Center 1220 Valley Forge Rd. #35/36 Phoenixville, PA Phone: (610) Fax: (610) CHESTER COUNTY

14 CUMBERLAND COUNTY Penn State Hershey Medical Group 3025 Market St. Camp Hill, PA Phone: (717) Fax: (717) Bowmansdale Women s Health One Kacey Court, Suite 101 Mechanicsburg, PA Phone: (717) Fax: (717) Spirit Physician Services Center For Women s Health 423 North 21 st St. Camp Hill, PA Phone: (717) Services: OBGYN; Obstetric Care Heritage Family Practice 3 Walnut Street, Suite 205 Lemoyne, PA Phone: (717) Fax: (717) Shepherdstown Women s Health 2140 Fisher Road Mechanicsburg, PA Phone: (717) Fax: (717)

15 DAUPHIN COUNTY Penn State Hershey Medical Group 121 Nyes Road, Suite C Harrisburg, PA Phone: (717) Fax: (717) University Physician Group 2626 North 3rd Street, Rose Garden Building, 2nd Floor Harrisburg, PA Phone: (717) Fax: (717) Penn State Hershey Medical Group Obstetric & Gynecology 35 Hope Drive Hershey, PA Phone: (717) Fax: (717)

16 LANCASTER COUNTY May-Grant OB/GYN Women & Babies Hospital Medical Office Bldg., Suite Good Drive Lancaster, PA Phone: (717) Fax: (717) OB/GYN of Lancaster 2125 Noll Drive Lancaster, PA Phone: Fax: (Accepting Existing Patients Only) SouthEast Lancaster Health Services North Arch Street Medical Center 333 North Arch Street Lancaster, PA Phone: (717) Fax:

17 OPTOMETRY (EYE CARE) Annual eye exams are considered routine medical treatment and do not require a referral from a Primary Care Physician. Please refer to eyewear section listed in body of directory. CHESTER COUNTY Oxford Family Eye Care, P.C. Dr. Malcolm H. Kelly, Jr. 49 South 2 nd St. Oxford, PA Phone: (610) Fax: (610) Spaeth, Katz, Myers, PC 840 Walnut St., Suite 1110 Philadelphia, PA Phone: (215) Fax: (215) Miller Eye Care 57 Jenners Village Ctr. West Grove, PA Phone: (610) Fax: (610) Phoenixville Eye Associates 286 Griffen Street Phoenixville, PA Ph- (610) Fax (610)

18 CUMBERLAND COUNTY Premier Eye Care Group 1524 Cedar Cliff Drive Camp Hill, PA Phone: (717) Fax: (717) Allegany Optical Carlisle Commons 40 Noble Blvd. Carlisle, PA Phone: (717) Allegany Optical 1039 Wayne Avenue Chambersburg, PA Phone: (717) Allegany Optical 319 York Road Carlisle, PA Phone: (717) Allegany Optical 341 Baltimore Road Shippensburg, PA Phone: (717) Allegany Optical Chambersburg Mall Chambersburg, PA Phone: (717)

19 DAUPHIN COUNTY Penn State Hershey Medical Group 121 Nyes Road, Suite C Harrisburg, PA Phone: (717) Fax: (717) Premier Eye Care 2745 North Front Street Harrisburg, PA Phone (717) Fax (717) Daniel Korn & Assoc. Daniel Korn, O.D. Rt 83 & Paxton St., Harrisburg Mall Harrisburg, PA Phone: (717) Fax: (717) Premier Eye Care Group 92 Tuscarora Street Harrisburg, PA Phone (717) Fax (717) Hershey University Physician Center Primary and Specialty Eye Care 500 University Drive Suite 800 Hershey, PA Phone: (800) or (717) Fax: (717)

20 LANCASTER COUNTY Eye Group of Lancaster 202 Butler Avenue Lancaster, PA Phone: (717) Fax: (717) Eye Physicians of Lancaster 810 Plaza Blvd. Lancaster, PA Phone: (717) Fax: (717)

21 PRIMARY CARE PHYSICIANS LISTING NOTICE: PLEASE SEE THE LANCASTER GENERAL HEALTH ADDENDUM FOR OTHER POTENTIAL SITES WHICH MAY INCLUDE ACCESS FOR CHESTER COUNTY. Annual physical examinations and treatment to ensure health and wellness can be provided by your Primary Care Physician. Please contact your Supports Coordinator for scheduling. CHESTER COUNTY Downingtown Family Practice Dr. Edward Kelly, Jr. MD 99 Manor Drive Downingtown, PA Phone: (610) Fax: (610) The Kimberton Clinic 1375 Hares Hill Road Kimberton, PA Phone: (610) Fax: (610) Chester County Family Medicine & Geriatrics 29 North Third Street Oxford, PA Phone: (610) Fax: (610) Elwyn Health Center 111 Elwyn Road Downingtown Family Medicine 77 Manor Avenue, Suite 100 Downingtown, PA Phone: (610) Fax: (610) Penn Primary 440 East Marshall St. Suite 100 West Chester, PA Phone: (610) Steiner Medical & Therapeutic Center 1220 Valley Forge Rd. #35/36 Phoenixville, PA Phone: (610) Fax: (610) William Dickerman, D.O W. Main St.

22 Elwyn, PA Phone: (610) Fax: (610) Norristown, PA Phone: (610) Fax: (610) CUMBERLAND COUNTY Holy Spirit Hospital 503 North 21 st St. Camp Hill, PA Phone: (717) Services: Outpatient Professional Services including Neonatologist, CRNA, Physicians Assistants and Cardiology Good Hope Family Physicians 1830 Good Hope Road Enola, PA Phone: (717) Fax: (717) Shepherdstown Family Practice 2140 Fisher Road Mechanicsburg, PA Phone: (717) Fax: (717) Thomas Kunkle, D.O. 500 Brandt Avenue New Cumberland, PA Phone: (717) Penn State Hershey Medical Group Camp Hill 3025 Market St., Entrance B Camp Hill, PA Phone: (717) Fax: (717) Heritage Family Medicine 3 Walnut Street, Suite 205 Lemoyne, PA Phone: (717) Fax: (717) Silver Creek Family Health Center 335 Lamb s Gap Road Mechanicsburg, PA Phone (717) Fax (717) West Shore Family Practice 6375 Mercury Drive, Suite 200 Mechanicsburg, PA Phone: (717)

23 Fax: (717) Sadler Health Care 100 North Hanover Street Carlisle, PA Phone: (717) Fax: (717) Fax: (717) Front Desk Fax: (717) Clinical Bowmansdale Family Practice One Kacey Court, Suite 101 Mechanicsburg, PA Phone: (717) Fax: (717) Goldman & Associates 4700 Union Deposit Road Harrisburg, PA Phone: (717) DAUPHIN COUNTY Kandra, Fierer, Kuskin Associates 1199 Colonial Rd Harrisburg, PA Phone: (717) Fax: (717) Penn State Hershey Medical Group 121 Nyes Road, Suite A Harrisburg, PA Phone: (717) Fax: (717) Penn State Hershey Medical Group 3100 Schoolhouse Road Middletown, PA Phone: (717) Fax: (717) Penn State Hershey Medical Group II Primary Care 121 Nyes Road, Suite E Harrisburg, PA Phone: (717) Fax: (717) Penn State Hershey Medical Group 2626 North 3rd Street, Rose Garden Building, Harrisburg, PA Phone: (717) Fax: (717)

24 Penn State Hershey Medical Group East Health Campus 35 Hope Drive Hershey, PA Phone: (717) Fax: (717) Devonshire Family Health Center 2850 Commerce Drive Suite 300 Harrisburg, PA Phone (717) Fax (717) Watkins, Nipple Associates 845 Sir Thomas Court Harrisburg, PA Phone: (717) Fax: (717) Jatto Internal Medicine and Wellness Center 2205 Forest Hills Drive, Suite 12 Harrisburg, PA Phone: (717) Fax: (717) Pinnacle Health Family Care Lower Paxton 2310 Patton Road Harrisburg, PA Ph Fax Penn State Hershey Medical Group 845 Fishburn Road Hershey, PA Phone: (717) Fax: (717) Pinnacle Health Family Care Middletown 1025 West Harrisburg Pike Middletown, PA Ph- (717) Fax- (717) Dr. James Bower* 614 Main Street Lykens, PA Phone: (717) Fax: (717) *Accepting existing patients only Steelton Family Practice 239 South Front Street Steelton, PA Phone: (717)

25 LANCASTER COUNTY Lincoln Family Medicine 1635 W. Main St Suite 700 Ephrata, PA Phone: (717) SouthEast Lancaster Health Services North Arch Street Medical Center 333 North Arch Street Lancaster, PA Phone: (717) Fax: SouthEast Lancaster Health Services Reynolds Middle School Medical Center 605 West Walnut Street Lancaster, PA Phone: (717) Fax: Welsh Mountain Medical & Dental Center 584 Springville Road New Holland, PA Phone: (717) Fax: (717) East Petersburg Family Practice 5665 Main St East Petersburg, PA Phone: (717) *Existing patients only SouthEast Lancaster Health Services South Duke Street Medical Center 625 South Duke Street Lancaster, PA Phone: (717) Fax: Cornerstone Family Healthcare Associates 6 W. Newport Road Lititz, PA Phone: (717) Fax: (717) Meadow Creek Family Practice (Part of Welsh Mountain) 435 S. Kinzer Avenue New Holland, PA Phone: (717) Fax: (717)

26 Stephen G. Diamantoni, M.D. & Associates Family Practice Quarryville Office 203 Commerce Drive, Suite G Quarryville, PA Phone: (717) Fax: (717) SouthEast Lancaster Health Services Bright Side Medical Center 515B Hershey Avenue Lancaster, PA Phone: (717) Fax: General Internal Medicine* 2301 Columbia Avenue Lancaster, PA Phone: (717) Fax: (717) *Existing Patients Only Mountville Family Practice 2 College Avenue Mountville, PA Phone: (717) Fax: (717) Eastbrook Family Health Center 29 Eastbrook Rd Ronks, PA

27 MEDICAL SPECIALISTS NOTICE: PLEASE SEE THE LANCASTER GENERAL HEALTH ADDENDUM FOR OTHER POTENTIAL SITES WHICH MAY INCLUDE ACCESS FOR CHESTER COUNTY. The providers in the following section are ACAP Network Specialists; Specialists are listed by county and specified by city; specialty services are listed alphabetically within the city listed. Referral Requirements Your PCP will refer you to a specialist or provider who will provide the services you need. If you receive specialty care without obtaining a referral, ACAP may not cover the service and you may incur out of pocket expenses for the service(s). CHESTER COUNTY CHIROPRACTIC Eagle Chiropractic 1404 Horseshoe Pike Glenmoore, PA Phone: (610) Fax: (610) McCormick Chiropractic 553 West Ridge Pike Limerick, PA Phone: (610) Fax: (610)

28 MULTI-SPECIALTY Steiner Medical & Therapeutic Center 1220 Valley Forge Rd. #35/36 Phoenixville, PA Phone: (610) Fax: (610) Integrative Cancer Program Integrative Pain Management Program Nutritional Counseling ANESTHESIA Capital Anesthesia 423 N 21 st St, Suite 106 Camp Hill, PA Phone: (717) CUMBERLAND COUNTY COSMETIC Penn State Hershey Medical Group 3025 Market Street Camp Hill, PA Phone: (717) Fax: (717)

29 ENDOCRINOLOGY Penn State Hershey Medical Group 3025 Market Street Camp Hill, PA Phone: (717) Fax: (717) GASTROENTEROLOGY Penn State Hershey Medical Group 3025 Market Street Camp Hill, PA Phone: (717) Fax: (717) Jackson Siegelbaum Gastroenterology 423 N 21 st St, Suite 102 Camp Hill, PA Phone: (717) Fax: (717) NEPHROLOGY Penn State Hershey Medical Group 3025 Market Street Camp Hill, PA Phone: (717) Fax: (717) NEUROLOGY Penn State Hershey Medical Group 3025 Market Street Camp Hill, PA Phone: (717)

30 Fax: (717) BONE AND JOINT Penn State Hershey Medical Group 3025 Market Street Camp Hill, PA Phone: (717) Fax: (717) CARDIOLOGY Penn State Hershey Medical Group 3025 Market Street Camp Hill, PA Phone: (717) Fax: (717) COLON & RECTAL SURGERY Penn State Hershey Medical Group 3025 Market Street Camp Hill, PA Phone: (717) Fax: (717) ORTHOPEDICS Penn State Hershey Medical Group

31 3025 Market Street Camp Hill, PA Phone: (717) Fax: (717) PULMONARY SLEEP STUDIES Penn State Hershey Medical Group 3025 Market Street Camp Hill, PA Phone: (717) Fax: (717) DAUPHIN COUNTY ADULT CARDIOLOGY Penn State Hershey Medical Group 121 Nyes Road, Suite C Harrisburg, PA Phone: (717) Fax: (717) Penn State Hershey Medical Group II Penn State Heart & Vascular Institute 121 Nyes Road, Suite E Harrisburg, PA Phone: (717) Phone: (717) Fax: (717) Penn State Hershey Medical Group II Primary Care 121 Nyes Road, Suite E Harrisburg, PA Phone: (717) Fax: (717)

32 ADULT DERMATOLOGY Penn State Hershey Medical Group 121 Nyes Road, Suite C Harrisburg, PA Phone: (717) Fax: (717) Penn State Hershey Medical Group 500 University Drive Hershey, PA Phone: (717) CHIROPRACTIC Blake Chiropractic and Rehabilitation 275 S. Houcks Road Harrisburg, PA Phone: (717) Fax: (717) COLORECTAL Penn State Hershey Medical Group 121 Nyes Road, Suite C Harrisburg, PA Phone: (717) Fax: (717) GASTROENTEROLOGY Jackson Siegelbaum Gastroenterology 4387 Sturbridge Avenue

33 Harrisburg, PA Phone: (717) Fax: (717) NEPHROLOGY Penn State Hershey Medical Group 121 Nyes Road, Suite C Harrisburg, PA Phone: (717) Fax: (717) NEUROSURGERY Penn State Hershey Medical Group 121 Nyes Road, Suite C Harrisburg, PA Phone: (717) Fax: (717) PODIATRY Pine Street Podiatry 127 Pine Street Harrisburg, PA Phone: (717) Fax: (717) PULMONARY Penn State Hershey Medical Group 121 Nyes Road, Suite C

34 Harrisburg, PA Phone: (717) Fax: (717) UROLOGY Penn State Hershey Medical Group 121 Nyes Road, Suite C Harrisburg, PA Phone: (717) Fax: (717) BONE AND JOINT Penn State Hershey Medical Group 30 Hope Drive Hershey, PA Phone: (717) Scheduling: (800) COSMETIC SURGERY Penn State Hershey Medical Group 35 Hope Drive Hershey, PA Phone: (717)

35 HEMATOLOGY/ONCOLOGY Hershey Medical Center 500 University Drive Hershey, PA Phone: (717) MATERNAL FETAL MEDICINE Penn State Hershey Medical Group 35 Hope Drive Hershey, PA Phone: (717) Fax: (717) NEUROLOGY Penn State Hershey Medical Group 30 Hope Drive Hershey, PA Phone: (717) Scheduling: (800) ORTHOTICS & PROSTHETICS Penn State Hershey Medical Group 30 Hope Drive Hershey, PA Phone: (717) OTOLARYNGOLOGY (Ear, Nose & Throat) Hershey Medical Center 500 University Drive

36 Hershey, PA Phone: (717) RADIOLOGY Penn State Hershey Medical Group 500 University Drive Hershey, PA Phone: (717) REPRODUCTIVE ENDOCRINOLOGY Penn State Hershey Medical Group Reproductive Endocrinology 35 Hope Drive Hershey, PA Phone: (717) Fax: (717) RHEUMATOLOGY Hershey Medical Center Division of Rheumatology 500 University Drive, H038 Hershey, PA Phone: (717) Fax: (717) GASTROENTEROLOGY LANCASTER COUNTY

37 Penn State Hershey Medical Group 1 Continental Drive Elizabethtown, PA Phone: (717) Fax: (717) Regional Gastroenterology Associates of Lancaster/Regional GI 426 Cloverleaf Road Elizabethtown, PA Phone: (717) Fax: Regional Gastroenterology Associates of Lancaster/Regional GI 4140 Oregon Pike Ephrata, PA Phone: (717) Fax: (717) Regional Gastroenterology Associates of Lancaster/Regional GI 2112 Harrisburg Pike, Suite 202 Lancaster, PA Phone: (717) Fax: Regional Gastroenterology Associates of Lancaster/Regional GI 690 Good Drive, 2 nd Floor Lancaster, PA Phone: (717) Fax: OESTOPATHIC MANIPULATION Sally Craig, D.O. Penn State Hershey Medical Group - Elizabethtown 1 Continental Drive Elizabethtown, PA Phone: (800) / (717) Fax: (717)

38 BEHAVIORAL HEALTH SERVICES NOTICE: PLEASE SEE THE LANCASTER GENERAL HEALTH ADDENDUM FOR OTHER POTENTIAL SITES WHICH MAY INCLUDE ACCESS FOR CHESTER COUNTY. Behavioral Health Services that are medically necessary include out-patient therapy provided by a licensed psychologist, psychiatrist, clinical social worker, or other licensed and or certified therapist specializing in behavioral health support services. The medical necessity of behavioral health services outside of the ACAP clinical team will be discussed and reevaluated during the ISP process. The Supports Coordinator will schedule appointments that are identified as a medical necessity and as recommended by the ACAP clinical team. CHESTER COUNTY Doris Lebischak, M.D. 12 Painters Lane Chesterbrook, PA Phone: (610) *Accepting Existing Patients Only Franklin Family Services 131 East McKinley St. Chambersburg, PA Phone: (717) T.W. Ponessa & Associates Counseling Services, Inc. 390 Waterloo Boulevard, Suite 120 Exton, PA Phone: (610) Fax: (610) Out- Patient Therapy/ D& A Counseling Elwyn Health Center 111 Elwyn Road Elwyn, PA Phone: (610)

39 Fax: (717) Fax: (610) CCRN Educational and Behavioral Supports Highlands Corporate Center 495 Highland Blvd Coatesville, PA Phone: (484) Fax: (484) Penn Psychiatric Center 3773 Ridge Pike Collegeville, PA Phone: (610) Fax: (610) Elwyn Behavioral Health 4040 Market Street Philadelphia, PA Phone: (215) Fax: (215) Penn Psychiatric Center 601 Gay Street Phoenixville, PA Phone: (610) Fax: (610) CUMBERLAND COUNTY Holy Spirit Behavioral Health Services 503 North 21 st St. Camp Hill, PA Phone: (717) Services: Outpatient Psychiatric and Behavior Health Services; Acute Care Inpatient William Thomas, M.S. (Clinical Psychologist) 10 Curtis Drive Carlisle, PA T.W. Ponessa & Associates Counseling Services, Inc North West Street, Suite 8 Carlisle, PA Phone: (717) Fax: (717) Out- Patient Therapy/ D& A Counseling Diakon Family Life Services 960 Century Drive Mechanicsburg, PA Phone: (717)

40 Phone: (717) Fax: (717) The Stevens Center 33 State Avenue Carlisle, PA Phone: (717) Fax: (717) Kenneth Small and Associates 10 East Main Street Mechanicsburg, PA DAUPHIN COUNTY Edgewater Psychiatric Center of NHS 1100 South Cameron St. Harrisburg, PA Phone: (717) Penn State Hershey Medical Group Pennsylvania Psychiatric Institute 401 Division St. Harrisburg, PA Phone: (717) Pinnacle Health Psychological Associates 205 South Front Street 5 th Floor Harrisburg, PA Phone: (717) Fax: (717) Sleber Associates, P.C. Licensed Psychologists Riverside Associates 2818 Green Street Harrisburg, PA Phone: (717) Penn State Hershey Medical Group Pennsylvania Psychiatric Institute 2501 North 3 rd St. Harrisburg, PA Phone: (717) Pressley Ridge 121 Locust Street Harrisburg, PA Phone: (717) Fax: (717) Alder Health Services 100 North Cameron Street, Suite 301

41 2626 North Third Street, Suite 3B Harrisburg, PA Phone: (717) Fax: (717) Penn State Hershey Sleep, Research and Treatment Center 1214 Research Boulevard Hummelstown, PA Phone: (717) Penn State Hershey Medical Group Neuropsychological Services 121 Nyes Road, Suite C Harrisburg, PA Phone: (717) Fax: (717) Integrative Counseling Services 4309 Linglestown Road, Suite 214 Harrisburg, PA Phone: (717) Fax: (717) Harrisburg, PA Phone: (717) Fax: (717) (Has specialty services for LGBT) University Physician Center Briarcrest 905 West Governor Road, Suite 250 Hershey, PA Phone: (717) Penn State Hershey Medical Group Pennsylvania Psychiatric Institute 22 Northeast Drive Hershey, PA Phone: (717) Lawrence Counseling 312 South Progress Ave. Harrisburg, PA Phone: (717) Fax: (717) T.W. Ponessa & Associates Counseling Services, Inc. 900 N. Sixth St. Harrisburg, PA Phone: (717) Fax: (717)

42 Out-Patient Therapy/ D&A Counseling LANCASTER COUNTY New Life Psychological Services 1025 Cocalico Road Denver, PA Phone: (717) Fax: SouthEast Lancaster Health Services Reynolds Middle School Medical Center 605 West Walnut Street Lancaster, PA Phone: (717) Fax: SouthEast Lancaster Health Services North Arch Street Medical Center 333 North Arch Street Lancaster, PA Phone: (717) SouthEast Lancaster Health Services South Duke Street Medical Center 625 South Duke Street Lancaster, PA Phone: (717) Fax: SouthEast Lancaster Health Services Bright Side Medical Center 515B Hershey Avenue Lancaster, PA Phone: (717) Fax: John Tardibuono, Ed.D Greenfield Corporate Center 1860 Charter Lane, Suite 103 Lancaster, PA Phone: (717) Fax: (717)

43 Fax: John R. Guetter, PhD 2023 Town Square North Manheim, PA Phone: (888) Fax: (717) Providence Behavioral Health d/b/a Freeman Chakara 1525 Oregon Pike Ste. 501 Lancaster, PA Phone:( 717) Fax: (717) Lynn M. Anderson 309 North George Street Millersville, PA Phone: (717) T.W. Ponessa & Associates Counseling Services, Inc. 15 S. 9 th Street Lebanon, PA Phone: (717) Fax: (717) Behavioral Health Care Corporation 822 Marietta Avenue Lancaster, PA Phone: (717) Fax: (717) John R. Guetter, PhD 2023 Town Square North Manheim, PA Phone: (888) Fax: (717) New Providence Home Health Care Services 56 Scheller Road New Providence, PA Phone: (717) Fax: (717) Family Counseling/ Respite/ Assistive Technology/OT/PT/In Home Care/Speech/Other T.W. Ponessa & Associates Counseling Services, Inc Eastern Blvd. York, PA Phone: (717) Fax: (717)

44 T.W. Ponessa & Associates Counseling Services, Inc. 410 North Prince Street Lancaster, PA Phone: (717) Fax: (717) Toll Free: Intake: Out- Patient Therapy/ D& A Counseling Center for Autism & Developmental Disabilities (Philhaven) 1886 Roherstown Road Lancaster, PA Phone: (717) Toll Free: (877) Fax: (717) MAPS Behavioral Health Services Community Service Group 790 New Holland Avenue Lancaster, PA Phone: (717) Fax: (717) Outpatient (psychological eval, individual/couple/family therapy, Dialectical Beh. Therapy (DBT), Med management); Psychiatric Peer Support; Partial T.W. Ponessa & Associates Counseling Services, Inc. 239 West Philadelphia Street York, PA Phone: (717) Fax: (717) New Horizons Counseling Services 120 Foxshire Drive Lancaster, PA Phone: (717) John R. Guetter, PhD 2722 Horseshoe Pike (Route 322) Campbelltown, PA Phone: (888) Fax: (717)

45 Yvonne Foster 309 North George Street Millersville, PA Phone: (717) Weigel Counsleing Associates 2421 Willow Street Pike, Ste B Willow Street, PA Phone: (717) or (717) Fax: New Day Psychological Services 780 Eden Road Lancaster, PA Phone: (717) Fax:

46 CENTERS FOR MEDICAL NEEDS NOTICE: PLEASE SEE THE LANCASTER GENERAL HEALTH ADDENDUM FOR OTHER POTENTIAL SITES WHICH MAY INCLUDE ACCESS FOR CHESTER COUNTY. The listed centers are affiliates of Hershey Medical Center. Please contact your Supports Coordinator for services and/or questions regarding a center of interest. Breast Center Hershey Medical Center 30 Hope Drive Hershey, PA Phone: (717) DAUPHIN COUNTY Shock Trauma Center Hershey Medical Center 500 University Drive Hershey, PA Phone: (717) Global Health Center Hershey Medical Center 500 University Drive Suite 800 Hershey, PA Phone: (717)

47 Sleep Research & Treatment Center Hershey Medical Center 500 University Drive Hershey, PA Phone: (717) Spine Center Hershey Medical Center 30 Hope Drive, Entrance B Hershey, PA Phone: (717) Careline: (800) Stroke Center Hershey Medical Center 500 University Drive Hershey, PA Phone: (717) Bipolar Clinic Penn State Hershey Medical Group Pennsylvania Psychiatric Institute 22 N. East Drive Hershey, PA Phone: (717)

48 Mood Disorder Clinic Penn State Hershey Medical Group Pennsylvania Psychiatric Institute 22 N. East Drive Hershey, PA Phone: (717) Clozeril Clinic Penn State Hershey Medical Group Pennsylvania Psychiatric Institute 22 N. East Drive Hershey, PA Phone: (717)

49 HOME HEALTH CARE/ MEDICAL SUPPLIES NOTICE: PLEASE SEE THE LANCASTER GENERAL HEALTH ADDENDUM FOR OTHER POTENTIAL SITES WHICH MAY INCLUDE ACCESS FOR CHESTER COUNTY. Home Health Care services include skilled nursing, telehealth, hospice services, as well as other services that can assist with the transfer of skills from a licensed or certified nursing professional to the individual. Home Health Care services should be discussed during the ISP and will be based on medical necessity. CUMBERLAND COUNTY CressCare Medical (Continuous Positive Airway Pressure machines i.e. CPAP) 1531 Commerce Ave Carlisle, PA Phone: Fax: Youth Advocate Program (YAP) 2007 North Third Street Harrisburg, PA Phone: Fax: H&C Nursing Care and Staffing Agency 525 Highlands Boulevard, Suite 105 Coatesville, PA Phone: Respite Services UCP 925 Linda Lane Camp Hill, PA Phone: Branch Creek and Friday Night Respite DAUPHIN COUNTY

50 CressCare Medical (Continuous Positive Airway Pressure machines i.e. CPAP) 1820 Linglestown Road Harrisburg, PA Phone: (717) Fax: H&C Nursing Care and Staffing Agency 525 Highlands Boulevard, Suite 105 Coatesville, PA Phone: Respite Services HersheyCare, Inc. 11 Briarcrest Square Hershey, PA Phone: (717) Fax: (717) Youth Advocate Program (YAP) 2007 North Third Street Harrisburg, PA Phone: Fax: Visiting Nurses of Central PA 3315 Derry Street Harrisburg, PA Phone: (717) Fax: UCP 925 Linda Lane Camp Hill, PA Phone: Branch Creek and Friday Night Respite Caring Matters (Unskilled Nursing) 500 Elm Street Leesport, PA (covers Dauphin Co.) Phone

51 LANCASTER COUNTY Caring Matters (Unskilled Nursing) 888 Millersville Road Lancaster, PA Phone: (717) Fax: H&C Nursing Care and Staffing Agency 525 Highlands Boulevard, Suite 105 Coatesville, PA Phone: Respite Services Faithful Nursing (Skilled Nursing) 900 Millersville Road Lancaster, PA Phone: (717) Fax: (can possibly provide services in Chester County)

52 CHESTER COUNTY Cooperative Provider Network 1467 Hark-A-Way Road Chester Springs, PA Phone: (610) Fax: In and Out of Home Respite Jorpat Home Health Care 85 Landsdowne Avenue, Suite 2 Landsdowne, PA Phone: (610) In Home Respite, Habilitation CCRN Educational and Behavioral Supports Highlands Corporate Center 495 Highland Blvd Coatesville, PA Phone: (484) Fax: (484) Respite Services ARC of Chester County 900 Lawrence Drive West Chester, PA Phone: (610) In-Home Respite, Out-of-Home Respite, Non-medical Habilitation H&C Nursing Care and Staffing Agency 525 Highlands Boulevard, Suite 105 Coatesville, PA Respite Services

53 SPECIALIZED THERAPIES NOTICE: PLEASE SEE THE LANCASTER GENERAL HEALTH ADDENDUM FOR OTHER POTENTIAL SITES WHICH MAY INCLUDE ACCESS FOR CHESTER COUNTY. Specialized Therapies include music therapy, occupational therapy, speech and language therapy and physical therapy services. ACAP s network of specialized therapists are licensed and/or certified to provide support services to participants of ACAP. Specialized Therapies may require a referral from a Primary Care Physician, but can also be authorized by the Behavioral Health Practitioner. All services are identified and scheduled based on medical necessity. CHESTER COUNTY Living Unlimited 4601 Locust Lane Suite 202 Harrisburg, PA Phone: (717) Fax: (717) Music Therapy, VCAP Allegretto Therapy Services 694 Wharton Blvd. Exton, PA Phone: (610) Fax: Speech and Occupational Therapy Dynamic Physical Therapy 674 Unionville Rd. Suite 101 Kennett Square, PA Phone: (610) Fax- (610) Physical Therapy Bryn Mawr Rehabilitation Hospital 414 Paoli Pike Malvern, PA Phone: (484) or REHAB-41 Occupational Therapy, Physical Therapy, Speech Therapy, Brain Injury Program

54 Tempo Music Therapy 7 North Five Points Road West Chester, PA Phone: (610) Music Therapy DAUPHIN AND CUMBERLAND COUNTY Living Unlimited 4601 Locust Lane Suite 202 Harrisburg, PA Phone: (717) Fax: (717) Music Therapy, VCAP Kelly Mahler 144 Azalea Drive Hershey, PA Phone: (71) Occupational Therapy Merle Crawford 990 Cater Cove Hummelstown, PA Phone: (71) Occupational Therapy Living Unlimited 4601 Locust Lane Suite 202 Harrisburg, PA Phone: (717) Fax: (717) Music Therapy, VCAP LANCASTER COUNTY

55 SUPPORTED EMPLOYMENT / PRE-VOCATIONAL PROVIDERS Supported Employment Pre Vocational providers offer a comprehensive assessment of vocational skills, potential, interest and other factors that impede vocational adjustment. Other services could include development of vocational skills, job coaching and direct job placement. Supported employment and pre vocational services should be discussed during the ISP and will be based on medical necessity. CHESTER COUNTY Handi-Crafters 215 Barley Sheaf Road Thorndale, PA Phone: (610) Fax: (610) Main Line Rehabilitation Associates, Inc. 668 Exton Commons Exton, PA Phone: (610) Fax: (610) Melmark, Inc Wayland Road Berwyn, PA Ph MELMARK ( ) Fax- (610) Wilson Pollock Center For Industrial Training (CIT) 262 Silver Springs Road CUMBERLAND COUNTY

56 Mechanicsburg, PA Phone: (717) Fax: (717) DAUPHIN COUNTY Goodwill Keystone Area 1150 Goodwill Drive Harrisburg, PA Phone: (717) Toll Free: (800) 432-GIVE Fax: (717) Goodwill Keystone Area 3825 Hartzdale Drive Camp Hill, PA Phone: (717) Fax: (717) Goodwill Keystone Area 1048 N. Plum Street Lancaster, PA Phone: (717) Fax: (717) LANCASTER COUNTY

57 Lancaster General Health Addendum Revised May 2017 Note that some service locations may be accessible for individuals in Chester County. The following providers are part of Lancaster General Health. Services provided through these sites include physical, behavioral and specialty services. Specific information can be obtained about each site by calling the phone number listed or visiting their website. Website links are provided for most of the locations to obtain information including services provided, directions, hours of operation and other valuable information. Additional contact options include: Lancaster General Health Information: LGH-INFO ( ) Lancaster General Health Main Website: 1. Lincoln Family Medicine 1635 West Main Street, Suite 700 Ephrata, PA Phone: (717) Health-Physicians/Family-Medicine/Lincoln-Family- Medicine.aspx 2. East Petersburg Family Medicine 5665 Main Street East Petersburg, PA Phone: (717)

58 Health-Physicians/Family-Medicine/East-Petersburg- Family-Medicine.aspx 3. Susquehanna Family Medicine 1159 River Road Marietta, PA Phone: (717) Fax: (717) Health-Physicians/Family-Medicine/Susquehanna-Family- Medicine.aspx 4. Abbeyville Family Medicine 101 Abbeyville Road Lancaster, PA Phone: (717) Fax: (717) Health-Physicians/Family-Medicine/Abbeyville-Family- Medicine.aspx 5. Norlanco Family Medicine 418 Cloverleaf Road

59 Elizabethtown, PA Phone: (717) Fax: (717) Health-Physicians/Family-Medicine/Norlanco-Family- Medicine.aspx 6. Arthritis and Rheumatology-Lancaster 2108 Harrisburg Pike, Suite 200 Lancaster, PA Phone: (717) Fax: (717) Health-Physicians/Rheumatology/Arthritis-and- Rheumatology-Specialists.aspx 7. Arthritis and Rheumatology-Elizabethtown 426 Cloverleaf Road Elizabethtown, PA Phone: (717) Fax: (717) Health-Physicians/Rheumatology/Arthritis-and- Rheumatology-Specialists.aspx 8. Arthritis and Rheumatology-Ephrata 1261 Division Highway - Suite 2 Ephrata, PA Phone: (717) Fax: (717)

60 Health-Physicians/Rheumatology/Arthritis-and- Rheumatology-Specialists.aspx 9. Behavioral Health - Lancaster 802 New Holland Avenue Lancaster, PA Phone: (717) Fax: (717) Health-Physicians/Behavioral-Health/Behavioral-Health- Specialists.aspx 10. Behavioral Health - Lititz Roseville Kissel Hill 51 Peters Road Lititz, PA Phone: (717) patient/outpatient-1.aspx 11. Behavioral Health Lancaster ABBCI 2102 Harrisburg Pike Lancaster, PA Phone: (717) patient/outpatient-1.aspx 12.

61 Behavioral Health Lancaster Roseville N Pointe 160 North Pointe Boulevard, Suite 110 Lancaster, PA Phone: (717) Fax: (717) Behavioral Health Columbia 306 North 7th Street Columbia, PA Phone: patient/outpatient-1.aspx 14. Behavioral Health Women s Outpatient Center 690 Good Drive, 2 nd Floor Lancaster, PA Phone: (717) Behavioral Health Lancaster Duke Street 540 North Duke Street, 3rd Floor Lancaster, PA Phone: (717) patient/outpatient-1.aspx 16. County Line Family Medicine 5360 Lincoln Highway East Gap, PA Phone: (717)

62 Fax: (717) Health-Physicians/Family-Medicine/County-Line-Family- Medicine.aspx 17. Crooked Oak Family Medicine 1655 Crooked Oak Drive Lancaster, PA Phone: (717) Fax: (717) Health-Physicians/Family-Medicine/Crooked-Oak-Family- Medicine.aspx 18. Diabetes & Endocrinology - Lancaster 2112 Harrisburg Pike, Suite 200 Lancaster, PA Phone: (717) Fax: (717) Health-Physicians/Diabetes/Diabetes-Endocrinology- Specialists.aspx 19. Diabetes & Endocrinology - Elizabethtown 426 Cloverleaf Road Elizabethtown, PA Phone: (717) Fax: (717)

63 Health-Physicians/Diabetes/Diabetes-Endocrinology- Specialists.aspx 20. Diabetes & Endocrinology - Ephrata 1261 Division Highway, Suite 2 Ephrata, PA Phone: (717) Fax: (717) Health-Physicians/Diabetes/Diabetes-Endocrinology- Specialists.aspx 21. Family Medicine at The Buck 34 Fawn Drive Quarryville, PA Phone: (717) Fax: (717) Health-Physicians/Family-Medicine/Family-Medicine-at- The-Buck.aspx 22. Gynecologic Oncology 2102 Harrisburg Pike Lancaster, PA Phone: (717) Fax: (717) Health-Physicians/Oncology/GYN-Oncology- Specialists.aspx

64 23. Hematology & Medical Oncology 2102 Harrisburg Pike Lancaster, PA Phone: (717) Fax: (717) Health-Physicians/Oncology/Hematology-Oncology- Specialists.aspx 24. Infectious Diseases Lancaster 2106 Harrisburg Pike, Suite 301 Lancaster, PA Phone: (717) Fax: (717) Health-Physicians/Infectious-Diseases/Infectious- Diseases.aspx 25. Internal Medicine Lancaster 2110 Harrisburg Pike, Suite 100 Lancaster, PA Phone: (717) Fax: (717) Health-Physicians/Internal-Medicine/Internal- Medicine.aspx