Adult Community Autism Program (ACAP) 18 Font Version

Similar documents
Comprehensive Research Services

Classic Blue Indemnity Plan BluePPO J Simply Blue HDHP

PIAA DISTRICT III M&T BANK BASKETBALL CHAMPIONSHIPS DAILY SCHEDULE AND SCOREBOARD

Important Plan Information

Primary Care Plus Enrollment Booklet

Site view of Naval Medical Center Portsmouth

Academic Achievement and Access Center University of Kansas Updated: 11/2017 Testing Resources for LD/ADHD Evaluations.

HOW TO GET SPECIALTY CARE AND REFERRALS

Playing Fields In Alphabetical Order by Field Name

HENRY MAYO NEWHALL MEMORIAL HOSPITAL, HENRY MAYO NEWHALL MEMORIAL HEALTH FOUNDATION, INC., SANTA CLARITA HEALTH CARE ASSOCIATION, INC.

Allegheny Conservation District 400 N. Lexington St. Pittsburgh, PA Phone: (412) Fax: (412)

Please call with any questions or scheduling concerns.

Bensalem High School 4319 Hulmeville Road Bensalem, PA 19020

Neurology. Adva nce Neurology and Pain Phone: (336) E. Kinderton Way, Suite 101 Advance, NC 27006

Finding, Selecting & Working with a Behavioral Health Provider: How do you choose the right provider

What language do you speak? English

FOR SALE. 700 BRENTWOOD DRIVE LITITZ Perfect for Church or Daycare 8,060 SF $1,299,000

REGENTS MEDICAL AT LA JOLLA FOR LEASE 4150 REGENTS PARK ROW 4130 LA JOLLA VILLAGE DR. LA JOLLA, CA 92037

The Role of Patients in Transitions of Care

Christina Narensky, Psy.D.

URGENT CARE CENTERS IN OSCEOLA COUNTY

Your Doctor. They know you best. Make an appointment or ask about your care choices.

UC San Diego Health Accountable Care Network

Your NAMI State Organization

PROPERTY HIGHLIGHTS Covered patient drop-off and pick-up area

PRIME LOCATION OFFICE/FLEX SPACE FOR LEASE

Tax Records at LancasterHistory.org

General Resources and Safety

Notice of Privacy Practices

Dr Nadia Delshad. List of providers for ADHD treatment Hospitals and Centers. Amen Clinic Northwest. Hands On Medicine. Insights To Health

How To Talk To Your Doctor

Part 11. You may also write to: Blue Cross and Blue Shield of Texas Complaints and Appeals Department PO Box Albuquerque, NM

Not For Issue. Limited capability for work questionnaire. About you. If you want help filling in this questionnaire or any part of it

Your Health Care Be Involved

PROVIDER DIRECTORY. June 14, Comments: Plan: Distance: CDPHP par Hospitals National EPO/PPO/HDEPO/HDPPO 10 miles

MAKING IT HAPPEN YOUR HARBOR REGIONAL CENTER SERVICE COORDINATOR

PROJECT EXPERIENCE Curtis Group Architects

West Main Consignment 17 W. Main Street Lansdale Goodwill Store, Outlet & Donation Center 753 Behtlehem Pike Montgomeryville Impact Thrift Stores 979

Lesli K. Johnson Licensed Psychologist Licensed Independent Social Worker 17 Blue Line Drive Athens, Ohio (740)

Professional Providers Near You

Road Map to Independence for Young Adults

SIMPLE. VERSATILE. VERSATILE PRINTING ON FILM OR PAPER. DRYVIEW CHROMA Imaging System

Community Resource Guide

The Importance of Taking Your Pills on Schedule

Kings County Office of Education. Classified. Salary Schedule

Healthcare Deals for June 2018

REHP Medicare Advantage HMO. Provider Directory Volume Two. Capital BlueCross is an independent licensee of the BlueCross BlueShield Association

HRET HIIN Readmissions Virtual Event. Fishbowl Event #4: Catch and Release Readmissions August 10, 2017

MENTAL HEALTH ADVANCE DIRECTIVES

MANAGING DIRECTOR 360 MADISON AVENUE NEW YORK, NY

MEDICAL ASSISTANCE BULLETIN

LEARNING DISABILITY PROJECT SUGGESTED EVALUATION SITES

Coming to hospital for an appointment or staying in hospital

Transition Planning: A Guidebook for Young Adults and Family

Carolinas HealthCare Foundation. Annual Report 2016

First class (Getting Started) Date. Please read. Second Class (Vitamins and Supplements) Date.

headspace Bairnsdale Private Practitioners: Model for Operations and Support

Professional Providers Near You

Please also note that this is an annual survey, so many of these questions will be familiar to you if you completed a survey last year.

Subject: State-Wide Hoosier Healthwise Mandatory Managed Care Organization Transition

Healthcare in China and in US - opportunites

Emergency Department of Durham VA Medical Center and in the Division of Emergency Medicine at Duke University Medical Center.

NOTICE OF PROPOSED CLASS ACTION SETTLEMENT AND FAIRNESS HEARING

Welcome to the Crohn s & Colitis Foundation s Online Support Group for Caregivers

Appendix P Contact Information

Leadership 2015 Board of Directors Executive Team Management Team

Office: Fax: Thank you for choosing Texas Digestive Disease Consultants for your health care needs.

* ROSTER OF PRIVATE INSTRUMENTAL MUSIC INSTRUCTORS * * *

What to expect at your outpatient consultation. Hospitals + Health Checks + Physio + Gyms

Boundaryless Hospital - Rethink and Redefine Health Care Management. New Chains of Value Creation

BOARD of DIRECTORS. Federal Reserve Bank of Philadelphia

Speaking with One Voice Unifying Scripps Under a Master Brand Strategy

MINUTES OF THE FINANCE COMMITTEE University of Kentucky Board of Trustees June 16, :00 PM Patterson Office Tower

Professional Providers Near You

When you need urgent care, you have choices. know before you go. convenient hours affordable costs shorter wait times no appointment necessary

IRWIN COUNTY, GA RESOURCE BOOK

Medicaid Managed Care Grievance Procedures

DECEMBER 5, 2017 ISSUE NO. 2 CATHEAD DISTILLERY 6:30-11P.M. BDJ BEST DRESSED JACKSON A UNITED FORCE AGAINST ALL CANCERS

Ronald Lee Davidson SW 40th Moore, Oklahoma Phone: (405) Fax: (405)

322 North 2 nd Street, 2 nd Floor Sunbury, PA

What is a coverage determination?

Pennsylvania. The Quilt Company 3940 Middle Road Allison Park PA

A general guide for inmates who have disabilities at the Utah State Prison

Guide to completing the Tier 4 online application from overseas

Field Directions for TCLL Teams (updated March 23, 2012)

Directions to GMC Middle School Game Sites (updated 8/20/13)

Locate Request Information

Lemoyne-based investment company named 'Best Place to Work in Pa.'

BEFORE THE ARKANSAS WORKERS COMPENSATION COMMISSION CLAIM NO. G STEVEN BROWNING, EMPLOYEE CENTRAL ADJUSTMENT COMPANY, INC.

Southern Illinois Phone Resource Guide

YOUR RIGHTS. In Intermediate Care Facilities for Persons with. Mental Retardation (ICF-MR) Programs. Texas Department of Aging and Disability Services

Purvi B. Maniar Member of the Firm

Care of your rigid gas permeable contact lenses

Providing Services to Survivors of Sexual Abuse in Jails

CHECKLIST FOR YOUR 1 ST APPOINTMENT

CLARION COUNTY OFFICE DIRECTORY

Paola Bailey, PsyD Licensed Clinical Psychologist PSY# 25263

GOLDEN EAGLES WRESTLING

BEFORE THE ARKANSAS WORKERS COMPENSATION COMMISSION CLAIM NO. F COOPER STANDARD AUTOMOTIVE, INC., EMPLOYER RESPONDENT NO. 1

Philadelphia Area USTA Jr. Team Tennis Spring League Teams and Contact Info

Transcription:

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

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 1-866-872-8969. 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.

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

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 717-220- 1465 or Toll Free at 1-877-501-4715. 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.

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 717-220-1465 or Toll Free at 1-877-501-4715.

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 717-220-1465 or Toll Free at 1-877-501-4715 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 717-220-1465 or Toll Free at 1-877-501-4715 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.

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.

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).

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 717-220-1465 or Toll Free at 1-877-501-4715. 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

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 19707 Phone: (302) 234-2728 Fax: (302) 234-3326 Gentle Dental 125 Turner Lane West Chester, PA 19380 Phone: (484) 643-4417 Fax: (610) 738-9445 Smile Solutions, LLC Michelle Aitken, DDS 1381 E. Boot Road West Chester, PA 19380 Phone: (610) 918-4995 Gentle Dental 3307 Lincoln Hwy. Thorndale, PA 19372 Phone: (610) 384-9099 Fax: (610) 384-5016 Jenny Chen Family Dentistry, LLC 207 North Guernsey Road West Grove, PA 19390 (610) 869-0991 Elwyn Health Center 111 Elwyn Road Elwyn, PA 19063 Phone: (610) 891-2000 Fax: (610) 891-2458 Upper Merion Dental Associates 357 South Gulph Road King of Prussia, PA 19406 Phone: (610) 337-2325 Fax: (610) 337-3863 Special Touch Dentistry General/Oral Surgery 211 Geiger Road Philadelphia, PA 19115 Appointment: (215) 508-4200 Office: (215) 464-2411 Fax: (215) 933-5360

CUMBERLAND COUNTY West Shore Family Dentistry 40 N. 36 th Street Camp Hill, PA 17011 Phone: (717) 737-4321 Fax: (717) 737-4357 Sadler Health Center 100 North Hanover Street Carlisle, PA 17013 Phone: (717) 218-6670 Fax: (717) 218-6671 Kravitz and Miller 890 Poplar Church Road Camp Hill, PA 17011 717-761-2453 Community Medical and Dental 309 Gravel Pike Rahns, PA 19426 Phone: (610) 489-1313 Fax: (610) 489-5859 http://communitymedicaldental.com/index.html DAUPHIN COUNTY HACC Dental Select Medical Health Education Pavilion Room 102 HACC Harrisburg Campus One HACC Drive Harrisburg, PA 17110 Phone: (717) 780-2441 Steven B. Grater, DMD 4129 Locust Lane Harrisburg, PA 17109 Phone: (717) 657-3326 John J. Watson, DDS 4707 Derry Street Harrisburg, PA 17011 Phone: (717) 564-3698

LANCASTER COUNTY 717 Dentist, LLC / SmileCare Group (formerly Vasanti Puranik, now Rashi Majithia) 1337 Elm Avenue Lancaster, PA 17603 Phone: (717) 393-7515 Fax: (717) 393-7548 SouthEast Lancaster Health Services South Duke Street Medical Center 625 South Duke Street Lancaster, PA 17608 Phone: (717) 299-6371 Fax: http://www.selhs.org Smilebuilderz 1685 Crown Avenue Lancaster, PA 17601 Phone: (717) 481-7645 Fax: (717) 481-7655 Provides general dentistry and oral surgery Welsh Mountain Medical & Dental Center 584 Springville Road New Holland, PA 17557 Phone: (717) 354-4711 Fax: (717) 354-0259

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 19460 Phone: (610) 983-9729 Fax: (610) 983-0698 CHESTER COUNTY

CUMBERLAND COUNTY Penn State Hershey Medical Group 3025 Market St. Camp Hill, PA 17011 Phone: (717) 691-1212 Fax: (717) 691-5354 Bowmansdale Women s Health One Kacey Court, Suite 101 Mechanicsburg, PA 17055 Phone: (717) 591-0961 Fax: (717) 591-0980 Spirit Physician Services Center For Women s Health 423 North 21 st St. Camp Hill, PA 17011 Phone: (717) 975-9101 Services: OBGYN; Obstetric Care Heritage Family Practice 3 Walnut Street, Suite 205 Lemoyne, PA 17043 Phone: (717) 909-0520 Fax: (717) 909-4676 Shepherdstown Women s Health 2140 Fisher Road Mechanicsburg, PA 17055 Phone: (717) 766-1795 Fax: (717) 697-6575

DAUPHIN COUNTY Penn State Hershey Medical Group 121 Nyes Road, Suite C Harrisburg, PA 17112 Phone: (717) 657-4045 Fax: (717) 531-0405 University Physician Group 2626 North 3rd Street, Rose Garden Building, 2nd Floor Harrisburg, PA 17110 Phone: (717) 232-5443 Fax: (717) 232-4553 Penn State Hershey Medical Group Obstetric & Gynecology 35 Hope Drive Hershey, PA 17033 Phone: (717) 531-3503 Fax: (717) 531-1539

LANCASTER COUNTY May-Grant OB/GYN Women & Babies Hospital Medical Office Bldg., Suite 112 694 Good Drive Lancaster, PA 17601 Phone: (717) 397-8177 Fax: (717) 397-2426 OB/GYN of Lancaster 2125 Noll Drive Lancaster, PA 17603 Phone: 888-393-1338 Fax: 717-627-1817 (Accepting Existing Patients Only) SouthEast Lancaster Health Services North Arch Street Medical Center 333 North Arch Street Lancaster, PA 17603 Phone: (717) 299-6371 Fax: http://www.selhs.org

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 19363 Phone: (610) 932-9356 Fax: (610) 932-3097 Spaeth, Katz, Myers, PC 840 Walnut St., Suite 1110 Philadelphia, PA 19107 Phone: (215) 928-3197 Fax: (215) 928-0166 Miller Eye Care 57 Jenners Village Ctr. West Grove, PA 19390-8201 Phone: (610) 869-4200 Fax: (610) 869-2511 Phoenixville Eye Associates 286 Griffen Street Phoenixville, PA 19460 Ph- (610) 933-1144 Fax (610) 933-7067

CUMBERLAND COUNTY Premier Eye Care Group 1524 Cedar Cliff Drive Camp Hill, PA 17011 Phone: (717) 761-3077 Fax: (717) 761-1186 Allegany Optical Carlisle Commons 40 Noble Blvd. Carlisle, PA 17013 Phone: (717) 218-6656 Allegany Optical 1039 Wayne Avenue Chambersburg, PA 17201 Phone: (717) 263-2389 Allegany Optical 319 York Road Carlisle, PA 17013 Phone: (717) 258-4422 Allegany Optical 341 Baltimore Road Shippensburg, PA 17257 Phone: (717) 532-8806 Allegany Optical Chambersburg Mall Chambersburg, PA 17202 Phone: (717) 263-7050

DAUPHIN COUNTY Penn State Hershey Medical Group 121 Nyes Road, Suite C Harrisburg, PA 17112 Phone: (717) 657-4045 Fax: (717) 531-0405 Premier Eye Care 2745 North Front Street Harrisburg, PA 17110 Phone (717) 238-6757 Fax (717) 238-6541 Daniel Korn & Assoc. Daniel Korn, O.D. Rt 83 & Paxton St., Harrisburg Mall Harrisburg, PA 17111 Phone: (717) 564-7710 Fax: (717) 564-7819 Premier Eye Care Group 92 Tuscarora Street Harrisburg, PA 17104 Phone (717) 232-0843 Fax (717) 232-3294 Hershey University Physician Center Primary and Specialty Eye Care 500 University Drive Suite 800 Hershey, PA 17033 Phone: (800)-292-3332 or (717)- 531-5690 Fax: (717)-531-5009

LANCASTER COUNTY Eye Group of Lancaster 202 Butler Avenue Lancaster, PA 17601 Phone: (717) 393-8190 Fax: (717) 393-8192 Eye Physicians of Lancaster 810 Plaza Blvd. Lancaster, PA 17602 Phone: (717) 735-6700 Fax: (717) 735-8113

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 19336 Phone: (610) 269-2377 Fax: (610) 269-5022 The Kimberton Clinic 1375 Hares Hill Road Kimberton, PA 19442 Phone: (610) 933-0708 Fax: (610) 933-4125 Chester County Family Medicine & Geriatrics 29 North Third Street Oxford, PA 19363 Phone: (610) 932-6386 Fax: (610) 932-6385 Elwyn Health Center 111 Elwyn Road Downingtown Family Medicine 77 Manor Avenue, Suite 100 Downingtown, PA 19335-2620 Phone: (610) 269-9570 Fax: (610) 269-3568 Penn Primary 440 East Marshall St. Suite 100 West Chester, PA 19380 Phone: (610) 696-8900 Steiner Medical & Therapeutic Center 1220 Valley Forge Rd. #35/36 Phoenixville, PA 19460 Phone: (610) 983-9729 Fax: (610) 983-0698 William Dickerman, D.O. 1246 W. Main St.

Elwyn, PA 19063 Phone: (610) 891-2000 Fax: (610) 891-2458 Norristown, PA 19401 Phone: (610) 277-9040 Fax: (610) 277-7890 CUMBERLAND COUNTY Holy Spirit Hospital 503 North 21 st St. Camp Hill, PA 17011 Phone: (717) 763-2100 Services: Outpatient Professional Services including Neonatologist, CRNA, Physicians Assistants and Cardiology Good Hope Family Physicians 1830 Good Hope Road Enola, PA 17025 Phone: (717) 732-8877 Fax: (717) 909-4676 Shepherdstown Family Practice 2140 Fisher Road Mechanicsburg, PA 17055 Phone: (717) 766-1795 Fax: (717) 697-6575 Thomas Kunkle, D.O. 500 Brandt Avenue New Cumberland, PA 17070 Phone: (717) 774-0300 Penn State Hershey Medical Group Camp Hill 3025 Market St., Entrance B Camp Hill, PA 17011 Phone: (717) 691-1212 Fax: (717) 691-5354 Heritage Family Medicine 3 Walnut Street, Suite 205 Lemoyne, PA 17043 Phone: (717) 909-0520 Fax: (717) 909-4676 Silver Creek Family Health Center 335 Lamb s Gap Road Mechanicsburg, PA 17050 Phone (717) 591-1425 Fax (717) 591-1365 West Shore Family Practice 6375 Mercury Drive, Suite 200 Mechanicsburg, PA 17050 Phone: (717) 620-2500

Fax: (717) 774-3357 Sadler Health Care 100 North Hanover Street Carlisle, PA 17013 Phone: (717) 218-6670 Fax: (717) 218-6671 Fax: (717) 620-2511- Front Desk Fax: (717) 620-2512- Clinical Bowmansdale Family Practice One Kacey Court, Suite 101 Mechanicsburg, PA 17055 Phone: (717) 591-0961 Fax: (717) 591-0980 Goldman & Associates 4700 Union Deposit Road Harrisburg, PA 17110 Phone: (717) 545-9666 DAUPHIN COUNTY Kandra, Fierer, Kuskin Associates 1199 Colonial Rd Harrisburg, PA 17112 Phone: (717) 652-8436 Fax: (717) 652-8804 Penn State Hershey Medical Group 121 Nyes Road, Suite A Harrisburg, PA 17112 Phone: (717) 657-4040 Fax: (717) 671-9038 Penn State Hershey Medical Group 3100 Schoolhouse Road Middletown, PA 17057 Phone: (717) 948-5180 Fax: (717) 948-0488 Penn State Hershey Medical Group II Primary Care 121 Nyes Road, Suite E Harrisburg, PA 17112 Phone: (717) 214-6545 Fax: (717) 214-531-0639 Penn State Hershey Medical Group 2626 North 3rd Street, Rose Garden Building, Harrisburg, PA 17102 Phone: (717) 232-5443 Fax: (717) 232-4553

Penn State Hershey Medical Group East Health Campus 35 Hope Drive Hershey, PA 17033 Phone: (717) 531-5160 Fax: (717) 531-2034 Devonshire Family Health Center 2850 Commerce Drive Suite 300 Harrisburg, PA 17110 Phone (717) 657-1361 Fax (717) 657-5396 Watkins, Nipple Associates 845 Sir Thomas Court Harrisburg, PA 17109 Phone: (717) 233-6791 Fax: (717) 233-6439 Jatto Internal Medicine and Wellness Center 2205 Forest Hills Drive, Suite 12 Harrisburg, PA 17112 Phone: (717) 327-4448 Fax: (717) 327-4449 Pinnacle Health Family Care Lower Paxton 2310 Patton Road Harrisburg, PA 17112 Ph- 717-724-6500 Fax- 717-724-6510 Penn State Hershey Medical Group 845 Fishburn Road Hershey, PA 17033 Phone: (717) 531-8181 Fax: (717) 531-3509 Pinnacle Health Family Care Middletown 1025 West Harrisburg Pike Middletown, PA 17057 Ph- (717) 944-0491 Fax- (717) 944-1436 Dr. James Bower* 614 Main Street Lykens, PA 17048 Phone: (717) 453-7135 Fax: (717) 453-9877 *Accepting existing patients only Steelton Family Practice 239 South Front Street Steelton, PA 17113 Phone: (717) 939-9633

LANCASTER COUNTY Lincoln Family Medicine 1635 W. Main St Suite 700 Ephrata, PA 17522 Phone: (717) 738-0660 SouthEast Lancaster Health Services North Arch Street Medical Center 333 North Arch Street Lancaster, PA 17603 Phone: (717) 299-6371 Fax: http://www.selhs.org SouthEast Lancaster Health Services Reynolds Middle School Medical Center 605 West Walnut Street Lancaster, PA 17603 Phone: (717) 299-6371 Fax: http://www.selhs.org Welsh Mountain Medical & Dental Center 584 Springville Road New Holland, PA 17557 Phone: (717) 354-4711 Fax: (717) 354-0259 East Petersburg Family Practice 5665 Main St East Petersburg, PA 17520 Phone: (717) 569-7011 *Existing patients only SouthEast Lancaster Health Services South Duke Street Medical Center 625 South Duke Street Lancaster, PA 17608 Phone: (717) 299-6371 Fax: http://www.selhs.org Cornerstone Family Healthcare Associates 6 W. Newport Road Lititz, PA 17543 Phone: (717) 627-2108 Fax: (717) 627-2434 Meadow Creek Family Practice (Part of Welsh Mountain) 435 S. Kinzer Avenue New Holland, PA 17557 Phone: (717) 351-2400 Fax: (717) 351-2407

Stephen G. Diamantoni, M.D. & Associates Family Practice Quarryville Office 203 Commerce Drive, Suite G Quarryville, PA 17566 Phone: (717) 786-1202 Fax: (717) 786 7758 SouthEast Lancaster Health Services Bright Side Medical Center 515B Hershey Avenue Lancaster, PA 17603 Phone: (717) 299-6371 Fax: http://www.selhs.org General Internal Medicine* 2301 Columbia Avenue Lancaster, PA 17602 Phone: (717) 397-2738 Fax: (717) 397-7634 *Existing Patients Only Mountville Family Practice 2 College Avenue Mountville, PA 17554 Phone: (717) 285-1444 Fax: (717) 285-3529 Eastbrook Family Health Center 29 Eastbrook Rd Ronks, PA 17572 717-299-5711

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 19343 Phone: (610) 942-9990 Fax: (610) 942-4174 McCormick Chiropractic 553 West Ridge Pike Limerick, PA 19468 Phone: (610) 495-0101 Fax: (610) 495-0638

MULTI-SPECIALTY Steiner Medical & Therapeutic Center 1220 Valley Forge Rd. #35/36 Phoenixville, PA 19460 Phone: (610) 983-9729 Fax: (610) 983-0698 Integrative Cancer Program Integrative Pain Management Program Nutritional Counseling ANESTHESIA Capital Anesthesia 423 N 21 st St, Suite 106 Camp Hill, PA 17011 Phone: (717) 975-2430 CUMBERLAND COUNTY COSMETIC Penn State Hershey Medical Group 3025 Market Street Camp Hill, PA 17011 Phone: (717) 691-1212 Fax: (717) 691-5354

ENDOCRINOLOGY Penn State Hershey Medical Group 3025 Market Street Camp Hill, PA 17011 Phone: (717) 691-1212 Fax: (717) 691-5354 GASTROENTEROLOGY Penn State Hershey Medical Group 3025 Market Street Camp Hill, PA 17011 Phone: (717) 691-1212 Fax: (717) 691-5354 Jackson Siegelbaum Gastroenterology 423 N 21 st St, Suite 102 Camp Hill, PA 17011 Phone: (717) 761-0930 Fax: (717) 761-0465 NEPHROLOGY Penn State Hershey Medical Group 3025 Market Street Camp Hill, PA 17011 Phone: (717) 691-1212 Fax: (717) 691-5354 NEUROLOGY Penn State Hershey Medical Group 3025 Market Street Camp Hill, PA 17011 Phone: (717) 691-1212

Fax: (717) 691-5354 BONE AND JOINT Penn State Hershey Medical Group 3025 Market Street Camp Hill, PA 17011 Phone: (717) 691-1212 Fax: (717) 691-5354 CARDIOLOGY Penn State Hershey Medical Group 3025 Market Street Camp Hill, PA 17011 Phone: (717) 691-1212 Fax: (717) 691-5354 COLON & RECTAL SURGERY Penn State Hershey Medical Group 3025 Market Street Camp Hill, PA 17011 Phone: (717) 691-1212 Fax: (717) 691-5354 ORTHOPEDICS Penn State Hershey Medical Group

3025 Market Street Camp Hill, PA 17011 Phone: (717) 691-1212 Fax: (717) 691-5354 PULMONARY SLEEP STUDIES Penn State Hershey Medical Group 3025 Market Street Camp Hill, PA 17011 Phone: (717) 691-1212 Fax: (717) 691-5354 DAUPHIN COUNTY ADULT CARDIOLOGY Penn State Hershey Medical Group 121 Nyes Road, Suite C Harrisburg, PA 17112 Phone: (717) 657-4045 Fax: (717) 531-0405 Penn State Hershey Medical Group II Penn State Heart & Vascular Institute 121 Nyes Road, Suite E Harrisburg, PA 17112 Phone: (717) 703-3649 Phone: (717) 531-1474 Fax: (717) 531-0107 Penn State Hershey Medical Group II Primary Care 121 Nyes Road, Suite E Harrisburg, PA 17112 Phone: (717) 214-6545 Fax: (717) 531-0639

ADULT DERMATOLOGY Penn State Hershey Medical Group 121 Nyes Road, Suite C Harrisburg, PA 17112 Phone: (717) 657-4045 Fax: (717) 531-0405 Penn State Hershey Medical Group 500 University Drive Hershey, PA 17033 Phone: (717) 531-6820 CHIROPRACTIC Blake Chiropractic and Rehabilitation 275 S. Houcks Road Harrisburg, PA 17109 Phone: (717) 657-2561 Fax: (717) 657-8217 COLORECTAL Penn State Hershey Medical Group 121 Nyes Road, Suite C Harrisburg, PA 17112 Phone: (717) 657-4045 Fax: (717) 531-0405 GASTROENTEROLOGY Jackson Siegelbaum Gastroenterology 4387 Sturbridge Avenue

Harrisburg, PA 17110 Phone: (717) 238-3111 Fax: (717) 238-1896 NEPHROLOGY Penn State Hershey Medical Group 121 Nyes Road, Suite C Harrisburg, PA 17112 Phone: (717) 657-4045 Fax: (717) 531-0405 NEUROSURGERY Penn State Hershey Medical Group 121 Nyes Road, Suite C Harrisburg, PA 17112 Phone: (717) 657-4045 Fax: (717) 531-0405 PODIATRY Pine Street Podiatry 127 Pine Street Harrisburg, PA 17101 Phone: (717) 238-1445 Fax: (717) 238-1146 PULMONARY Penn State Hershey Medical Group 121 Nyes Road, Suite C

Harrisburg, PA 17112 Phone: (717) 657-4045 Fax: (717) 531-0405 UROLOGY Penn State Hershey Medical Group 121 Nyes Road, Suite C Harrisburg, PA 17112 Phone: (717) 657-4045 Fax: (717) 531-0405 BONE AND JOINT Penn State Hershey Medical Group 30 Hope Drive Hershey, PA 17033 Phone: (717) 531-5638 Scheduling: (800)-243-1455 COSMETIC SURGERY Penn State Hershey Medical Group 35 Hope Drive Hershey, PA 17033 Phone: (717) 531-1386

HEMATOLOGY/ONCOLOGY Hershey Medical Center 500 University Drive Hershey, PA 17033 Phone: (717) 531-8521 MATERNAL FETAL MEDICINE Penn State Hershey Medical Group 35 Hope Drive Hershey, PA 17033 Phone: (717) 531-8142 Fax: (717) 531-0117 NEUROLOGY Penn State Hershey Medical Group 30 Hope Drive Hershey, PA 17033 Phone: (717) 531-0117 Scheduling: (800)-292-3332 ORTHOTICS & PROSTHETICS Penn State Hershey Medical Group 30 Hope Drive Hershey, PA 17033 Phone: (717) 531-8070 OTOLARYNGOLOGY (Ear, Nose & Throat) Hershey Medical Center 500 University Drive

Hershey, PA 17033 Phone: (717) 531-8521 RADIOLOGY Penn State Hershey Medical Group 500 University Drive Hershey, PA 17033 Phone: (717) 531-3799 REPRODUCTIVE ENDOCRINOLOGY Penn State Hershey Medical Group Reproductive Endocrinology 35 Hope Drive Hershey, PA 17033 Phone: (717) 531-8478 Fax: (717) 531-6286 RHEUMATOLOGY Hershey Medical Center Division of Rheumatology 500 University Drive, H038 Hershey, PA 17033 Phone: (717)-531-5384 Fax: (717)-531-8274 GASTROENTEROLOGY LANCASTER COUNTY

Penn State Hershey Medical Group 1 Continental Drive Elizabethtown, PA 17022 Phone: (717) 361-0666 Fax: (717) 361-0202 Regional Gastroenterology Associates of Lancaster/Regional GI 426 Cloverleaf Road Elizabethtown, PA 17022 Phone: (717) 869-4600 Fax: Regional Gastroenterology Associates of Lancaster/Regional GI 4140 Oregon Pike Ephrata, PA 17522 Phone: (717) 869-4600 Fax: (717) Regional Gastroenterology Associates of Lancaster/Regional GI 2112 Harrisburg Pike, Suite 202 Lancaster, PA 17604 Phone: (717) 869-4600 Fax: Regional Gastroenterology Associates of Lancaster/Regional GI 690 Good Drive, 2 nd Floor Lancaster, PA 17601 Phone: (717) 869-4600 Fax: OESTOPATHIC MANIPULATION Sally Craig, D.O. Penn State Hershey Medical Group - Elizabethtown 1 Continental Drive Elizabethtown, PA 17022 Phone: (800) 243-1455 / (717) 361-0666 Fax: (717) 361-0202

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 19087 Phone: (610) 651-0993 *Accepting Existing Patients Only Franklin Family Services 131 East McKinley St. Chambersburg, PA 17201 Phone: (717) 267-1515 T.W. Ponessa & Associates Counseling Services, Inc. 390 Waterloo Boulevard, Suite 120 Exton, PA 19341 Phone: (610) 363-5500 Fax: (610) 363-6499 Out- Patient Therapy/ D& A Counseling Elwyn Health Center 111 Elwyn Road Elwyn, PA 19063 Phone: (610) 891-2000

Fax: (717) 267-2316 Fax: (610) 891-2458 CCRN Educational and Behavioral Supports Highlands Corporate Center 495 Highland Blvd Coatesville, PA 19320 Phone: (484) 879-2222 Fax: (484) 879-2223 Penn Psychiatric Center 3773 Ridge Pike Collegeville, PA 19426 Phone: (610) 489-3333 Fax: (610) 489-9390 Elwyn Behavioral Health 4040 Market Street Philadelphia, PA 19104 Phone: (215) 895-5500 Fax: (215) 386-4436 Penn Psychiatric Center 601 Gay Street Phoenixville, PA 19460 Phone: (610) 917-2200 Fax: (610) 917-2360 CUMBERLAND COUNTY Holy Spirit Behavioral Health Services 503 North 21 st St. Camp Hill, PA 17011 Phone: (717) 763-2100 Services: Outpatient Psychiatric and Behavior Health Services; Acute Care Inpatient William Thomas, M.S. (Clinical Psychologist) 10 Curtis Drive Carlisle, PA 17013 T.W. Ponessa & Associates Counseling Services, Inc. 1325 North West Street, Suite 8 Carlisle, PA 17013 Phone: (717) 386-5237 Fax: (717) 386-5243 Out- Patient Therapy/ D& A Counseling Diakon Family Life Services 960 Century Drive Mechanicsburg, PA 17055-0707 Phone: (717) 795-0330

Phone: (717) 249-1419 Fax: (717) 249-1244 The Stevens Center 33 State Avenue Carlisle, PA 17013 Phone: (717) 243-6033 Fax: (717) 795-0407 Kenneth Small and Associates 10 East Main Street Mechanicsburg, PA 17055 717-795-8588 DAUPHIN COUNTY Edgewater Psychiatric Center of NHS 1100 South Cameron St. Harrisburg, PA 17102 Phone: (717) 238-7662 Penn State Hershey Medical Group Pennsylvania Psychiatric Institute 401 Division St. Harrisburg, PA 17110 Phone: (717) 782-4349 Pinnacle Health Psychological Associates 205 South Front Street 5 th Floor Harrisburg, PA 17104 Phone: (717) 231-8360 Fax: (717) 231-8964 Sleber Associates, P.C. Licensed Psychologists Riverside Associates 2818 Green Street Harrisburg, PA 17110 Phone: (717) 238-6880 Penn State Hershey Medical Group Pennsylvania Psychiatric Institute 2501 North 3 rd St. Harrisburg, PA 17110 Phone: (717) 782-6420 Pressley Ridge 121 Locust Street Harrisburg, PA 17101 Phone: (717) 238-8118 Fax: (717) 238-8140 Alder Health Services 100 North Cameron Street, Suite 301

2626 North Third Street, Suite 3B Harrisburg, PA 17110 Phone: (717) 238-0885 Fax: (717) 236-6633 Penn State Hershey Sleep, Research and Treatment Center 1214 Research Boulevard Hummelstown, PA 17036 Phone: (717) 531-8520 Penn State Hershey Medical Group Neuropsychological Services 121 Nyes Road, Suite C Harrisburg, PA 17112 Phone: (717) 657-4045 Fax: (717) 531-0405 Integrative Counseling Services 4309 Linglestown Road, Suite 214 Harrisburg, PA 17112 Phone: (717) 412-4908 Fax: (717) 695-0853 Harrisburg, PA 17101 Phone: (717) 233-7190 Fax: (717)233-7196 (Has specialty services for LGBT) University Physician Center Briarcrest 905 West Governor Road, Suite 250 Hershey, PA 17033 Phone: (717) 531-7235 Penn State Hershey Medical Group Pennsylvania Psychiatric Institute 22 Northeast Drive Hershey, PA 17033 Phone: (717) 531-8338 Lawrence Counseling 312 South Progress Ave. Harrisburg, PA 17109 Phone: (717) 540-9505 Fax: (717) 540-9547 T.W. Ponessa & Associates Counseling Services, Inc. 900 N. Sixth St. Harrisburg, PA 17102 Phone: (717) 233-4027 Fax: (717) 233-4047

Out-Patient Therapy/ D&A Counseling LANCASTER COUNTY New Life Psychological Services 1025 Cocalico Road Denver, PA 17517 Phone: (717) 606-7652 Fax: SouthEast Lancaster Health Services Reynolds Middle School Medical Center 605 West Walnut Street Lancaster, PA 17603 Phone: (717) 299-6371 Fax: http://www.selhs.org SouthEast Lancaster Health Services North Arch Street Medical Center 333 North Arch Street Lancaster, PA 17603 Phone: (717) 299-6371 SouthEast Lancaster Health Services South Duke Street Medical Center 625 South Duke Street Lancaster, PA 17608 Phone: (717) 299-6371 Fax: http://www.selhs.org SouthEast Lancaster Health Services Bright Side Medical Center 515B Hershey Avenue Lancaster, PA 17603 Phone: (717) 299-6371 Fax: http://www.selhs.org John Tardibuono, Ed.D Greenfield Corporate Center 1860 Charter Lane, Suite 103 Lancaster, PA 17601 Phone: (717) 371-3123 Fax: (717) 290-7044

Fax: http://www.selhs.org John R. Guetter, PhD 2023 Town Square North Manheim, PA 17545 Phone: (888) 574-2722 Fax: (717) 838-2610 Providence Behavioral Health d/b/a Freeman Chakara 1525 Oregon Pike Ste. 501 Lancaster, PA 17601 Phone:( 717) 397-1400 Fax: (717) 509-4066 Lynn M. Anderson 309 North George Street Millersville, PA 17551 Phone: (717) 940-6820 T.W. Ponessa & Associates Counseling Services, Inc. 15 S. 9 th Street Lebanon, PA 17042 Phone: (717) 273-5992 Fax: (717) 273-5995 Behavioral Health Care Corporation 822 Marietta Avenue Lancaster, PA 17603 Phone: (717) 399-8288 Fax: (717) 399-8968 John R. Guetter, PhD 2023 Town Square North Manheim, PA 17545 Phone: (888) 574-2722 Fax: (717) 838-2610 New Providence Home Health Care Services 56 Scheller Road New Providence, PA 17560 Phone: (717) 786-9254 Fax: (717) 786-9135 Family Counseling/ Respite/ Assistive Technology/OT/PT/In Home Care/Speech/Other http://www.nphhcs.com/index.html T.W. Ponessa & Associates Counseling Services, Inc. 2845 Eastern Blvd. York, PA 17402 Phone: (717) 840-6444 Fax: (717) 757-2555

T.W. Ponessa & Associates Counseling Services, Inc. 410 North Prince Street Lancaster, PA 17603 Phone: (717) 560-7917 Fax: (717) 560-6452 Toll Free: 1-877-228-9177 Intake: 800-437-5405 Out- Patient Therapy/ D& A Counseling Center for Autism & Developmental Disabilities (Philhaven) 1886 Roherstown Road Lancaster, PA 17601 Phone: (717) 735-1920 Toll Free: (877) 203-2233 Fax: (717) 735-1921 MAPS Behavioral Health Services Community Service Group 790 New Holland Avenue Lancaster, PA 17602 Phone: (717) 390-0353 Fax: (717) 390-1812 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 17402 Phone: (717) 845-2425 Fax: (717) 845-2682 New Horizons Counseling Services 120 Foxshire Drive Lancaster, PA 17601 Phone: (717) 431-6615 John R. Guetter, PhD 2722 Horseshoe Pike (Route 322) Campbelltown, PA 17010 Phone: (888) 574-2722 Fax: (717) 560-2117

Yvonne Foster 309 North George Street Millersville, PA 17551 Phone: (717) 471-9910 Weigel Counsleing Associates 2421 Willow Street Pike, Ste B Willow Street, PA 17584 Phone: (717) 464-1450 or (717) 464-0621 Fax: http://weigelcounseling.com/ New Day Psychological Services 780 Eden Road Lancaster, PA 17601 Phone: (717) 735-0515 Fax: 866-568-5755

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 17033 Phone: (717) 531-1660 DAUPHIN COUNTY Shock Trauma Center Hershey Medical Center 500 University Drive Hershey, PA 17033 Phone: (717) 531-8521 Global Health Center Hershey Medical Center 500 University Drive Suite 800 Hershey, PA 17033 Phone: (717) 531-8187

Sleep Research & Treatment Center Hershey Medical Center 500 University Drive Hershey, PA 17033 Phone: (717) 531-8520 Spine Center Hershey Medical Center 30 Hope Drive, Entrance B Hershey, PA 17033 Phone: (717) 531-8521 Careline: (800) 243-1455 Stroke Center Hershey Medical Center 500 University Drive Hershey, PA 17033 Phone: (717) 531-3828 Bipolar Clinic Penn State Hershey Medical Group Pennsylvania Psychiatric Institute 22 N. East Drive Hershey, PA 17033 Phone: (717) 531-8338

Mood Disorder Clinic Penn State Hershey Medical Group Pennsylvania Psychiatric Institute 22 N. East Drive Hershey, PA 17033 Phone: (717) 531-8338 Clozeril Clinic Penn State Hershey Medical Group Pennsylvania Psychiatric Institute 22 N. East Drive Hershey, PA 17033 Phone: (717) 531-8338

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 17015 Phone: 717-241-4441 Fax: Youth Advocate Program (YAP) 2007 North Third Street Harrisburg, PA 17102 Phone: 717-232-7580 Fax: H&C Nursing Care and Staffing Agency 525 Highlands Boulevard, Suite 105 Coatesville, PA 19320 Phone: 215-604-1562 Respite Services UCP 925 Linda Lane Camp Hill, PA 17011 Phone: 717-530-9300 Branch Creek and Friday Night Respite DAUPHIN COUNTY

CressCare Medical (Continuous Positive Airway Pressure machines i.e. CPAP) 1820 Linglestown Road Harrisburg, PA 17110 Phone: (717) 236-7482 Fax: H&C Nursing Care and Staffing Agency 525 Highlands Boulevard, Suite 105 Coatesville, PA 19320 Phone: 215-604-1562 Respite Services HersheyCare, Inc. 11 Briarcrest Square Hershey, PA 17033 Phone: (717) 534-1450 Fax: (717) 534-1707 Youth Advocate Program (YAP) 2007 North Third Street Harrisburg, PA 17102 Phone: 717-232-7580 Fax: Visiting Nurses of Central PA 3315 Derry Street Harrisburg, PA 17111 Phone: (717) 233-1035 Fax: UCP 925 Linda Lane Camp Hill, PA 17011 Phone: 717-530-9300 Branch Creek and Friday Night Respite Caring Matters (Unskilled Nursing) 500 Elm Street Leesport, PA 19533 (covers Dauphin Co.) Phone

LANCASTER COUNTY Caring Matters (Unskilled Nursing) 888 Millersville Road Lancaster, PA 17602 Phone: (717) 431-1211 Fax: H&C Nursing Care and Staffing Agency 525 Highlands Boulevard, Suite 105 Coatesville, PA 19320 Phone: 215-604-1562 Respite Services Faithful Nursing (Skilled Nursing) 900 Millersville Road Lancaster, PA 17603 Phone: (717) 584-1100 Fax: (can possibly provide services in Chester County)

CHESTER COUNTY Cooperative Provider Network 1467 Hark-A-Way Road Chester Springs, PA 19425 Phone: (610) 453-5005 Fax: In and Out of Home Respite Jorpat Home Health Care 85 Landsdowne Avenue, Suite 2 Landsdowne, PA 19050 Phone: (610) 622-0338 In Home Respite, Habilitation CCRN Educational and Behavioral Supports Highlands Corporate Center 495 Highland Blvd Coatesville, PA 19320 Phone: (484) 879-2222 Fax: (484) 879-2223 Respite Services ARC of Chester County 900 Lawrence Drive West Chester, PA 19380 Phone: (610) 696-8090 In-Home Respite, Out-of-Home Respite, Non-medical Habilitation H&C Nursing Care and Staffing Agency 525 Highlands Boulevard, Suite 105 Coatesville, PA 19320 215-604-1562 Respite Services

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 17109 Phone: (717) 526-2111 Fax: (717) 526-2117 Music Therapy, VCAP Allegretto Therapy Services 694 Wharton Blvd. Exton, PA 19341 Phone: (610) 715-2702 Fax: Speech and Occupational Therapy Dynamic Physical Therapy 674 Unionville Rd. Suite 101 Kennett Square, PA 19348 Phone: (610) 925-4856 Fax- (610) 925-4859 Physical Therapy Bryn Mawr Rehabilitation Hospital 414 Paoli Pike Malvern, PA 19355 Phone: (484) 596-5400 or 1-888- REHAB-41 Occupational Therapy, Physical Therapy, Speech Therapy, Brain Injury Program

Tempo Music Therapy 7 North Five Points Road West Chester, PA 19380 Phone: (610) 344-7030 Music Therapy DAUPHIN AND CUMBERLAND COUNTY Living Unlimited 4601 Locust Lane Suite 202 Harrisburg, PA 17109 Phone: (717) 526-2111 Fax: (717) 526-2117 Music Therapy, VCAP Kelly Mahler 144 Azalea Drive Hershey, PA 17033 Phone: (71) 468-5446 Occupational Therapy Merle Crawford 990 Cater Cove Hummelstown, PA 17036 Phone: (71) 608-3897 Occupational Therapy Living Unlimited 4601 Locust Lane Suite 202 Harrisburg, PA 17109 Phone: (717) 526-2111 Fax: (717) 526-2117 Music Therapy, VCAP LANCASTER COUNTY

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 19372 Phone: (610) 384-6990 Fax: (610) 380-8829 Main Line Rehabilitation Associates, Inc. 668 Exton Commons Exton, PA 19341 Phone: (610) 280-0180 Fax: (610) 280-0192 Melmark, Inc. 2600 Wayland Road Berwyn, PA 19312 Ph-1-888-MELMARK (635-6275) Fax- (610) 325-2920 Wilson Pollock Center For Industrial Training (CIT) 262 Silver Springs Road CUMBERLAND COUNTY

Mechanicsburg, PA 17050 Phone: (717) 766-8512 Fax: (717) 766-0434 DAUPHIN COUNTY Goodwill Keystone Area 1150 Goodwill Drive Harrisburg, PA 17101 Phone: (717) 232-1831 Toll Free: (800) 432-GIVE Fax: (717) 232-0115 Goodwill Keystone Area 3825 Hartzdale Drive Camp Hill, PA 17011 Phone: (717) 232-1831 Fax: (717) 232-0115 Goodwill Keystone Area 1048 N. Plum Street Lancaster, PA 17601 Phone: (717) 394-0647 Fax: (717) 291-2367 LANCASTER COUNTY

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: 1-888-LGH-INFO (888-544-4636) Lancaster General Health Main Website: http://lancastergeneralhealth.org/lgh/ 1. Lincoln Family Medicine 1635 West Main Street, Suite 700 Ephrata, PA 17522 Phone: (717) 738-0660 http://www.lancastergeneralhealth.org/lgh/locations/lg- Health-Physicians/Family-Medicine/Lincoln-Family- Medicine.aspx 2. East Petersburg Family Medicine 5665 Main Street East Petersburg, PA 17520 Phone: (717) 569-7011

http://www.lancastergeneralhealth.org/lgh/locations/lg- Health-Physicians/Family-Medicine/East-Petersburg- Family-Medicine.aspx 3. Susquehanna Family Medicine 1159 River Road Marietta, PA 17547 Phone: (717) 426-1131 Fax: (717) 426-2068 http://www.lancastergeneralhealth.org/lgh/locations/lg- Health-Physicians/Family-Medicine/Susquehanna-Family- Medicine.aspx 4. Abbeyville Family Medicine 101 Abbeyville Road Lancaster, PA 17603 Phone: (717) 291-5991 Fax: (717) 291-5806 http://www.lancastergeneralhealth.org/lgh/locations/lg- Health-Physicians/Family-Medicine/Abbeyville-Family- Medicine.aspx 5. Norlanco Family Medicine 418 Cloverleaf Road

Elizabethtown, PA 17022 Phone: (717) 653-1467 Fax: (717) 653-1001 http://www.lancastergeneralhealth.org/lgh/locations/lg- Health-Physicians/Family-Medicine/Norlanco-Family- Medicine.aspx 6. Arthritis and Rheumatology-Lancaster 2108 Harrisburg Pike, Suite 200 Lancaster, PA 17604 Phone: (717) 299-1301 Fax: (717) 299-2214 http://www.lancastergeneralhealth.org/lgh/locations/lg- Health-Physicians/Rheumatology/Arthritis-and- Rheumatology-Specialists.aspx 7. Arthritis and Rheumatology-Elizabethtown 426 Cloverleaf Road Elizabethtown, PA 17022-9320 Phone: (717) 299-1301 Fax: (717) 299-2214 http://www.lancastergeneralhealth.org/lgh/locations/lg- Health-Physicians/Rheumatology/Arthritis-and- Rheumatology-Specialists.aspx 8. Arthritis and Rheumatology-Ephrata 1261 Division Highway - Suite 2 Ephrata, PA 17522-8822 Phone: (717) 738-0777 Fax: (717) 299-2214

http://www.lancastergeneralhealth.org/lgh/locations/lg- Health-Physicians/Rheumatology/Arthritis-and- Rheumatology-Specialists.aspx 9. Behavioral Health - Lancaster 802 New Holland Avenue Lancaster, PA 17602-2287 Phone: (717) 560-3782 Fax: (717) 560-3787 http://www.lancastergeneralhealth.org/lgh/locations/lg- Health-Physicians/Behavioral-Health/Behavioral-Health- Specialists.aspx 10. Behavioral Health - Lititz Roseville Kissel Hill 51 Peters Road Lititz, PA 17543 Phone: (717) 627-2400 http://www.lancastergeneralhealth.org/lgh/locations/out patient/outpatient-1.aspx 11. Behavioral Health Lancaster ABBCI 2102 Harrisburg Pike Lancaster, PA 17601-2644 Phone: (717) 544-9400 http://www.lancastergeneralhealth.org/lgh/locations/out patient/outpatient-1.aspx 12.

Behavioral Health Lancaster Roseville N Pointe 160 North Pointe Boulevard, Suite 110 Lancaster, PA 17601 Phone: (717) 569-6481 Fax: (717) 569-5213 13. Behavioral Health Columbia 306 North 7th Street Columbia, PA 17512-2137 Phone: 717-684-1500 http://www.lancastergeneralhealth.org/lgh/locations/out patient/outpatient-1.aspx 14. Behavioral Health Women s Outpatient Center 690 Good Drive, 2 nd Floor Lancaster, PA 17601-2433 Phone: (717) 560-3782 15. Behavioral Health Lancaster Duke Street 540 North Duke Street, 3rd Floor Lancaster, PA 17602-2208 Phone: (717) 544-2300 http://www.lancastergeneralhealth.org/lgh/locations/out patient/outpatient-1.aspx 16. County Line Family Medicine 5360 Lincoln Highway East Gap, PA 17527-9427 Phone: (717) 442-8111

Fax: (717) 442-8981 http://www.lancastergeneralhealth.org/lgh/locations/lg- Health-Physicians/Family-Medicine/County-Line-Family- Medicine.aspx 17. Crooked Oak Family Medicine 1655 Crooked Oak Drive Lancaster, PA 17601-4207 Phone: (717) 569-2678 Fax: (717) 569-1730 http://www.lancastergeneralhealth.org/lgh/locations/lg- Health-Physicians/Family-Medicine/Crooked-Oak-Family- Medicine.aspx 18. Diabetes & Endocrinology - Lancaster 2112 Harrisburg Pike, Suite 200 Lancaster, PA 17601-2644 Phone: (717) 544-3059 Fax: (717) 544-3638 http://www.lancastergeneralhealth.org/lgh/locations/lg- Health-Physicians/Diabetes/Diabetes-Endocrinology- Specialists.aspx 19. Diabetes & Endocrinology - Elizabethtown 426 Cloverleaf Road Elizabethtown, PA 17022 Phone: (717) 544-3059 Fax: (717) 544-3638

http://www.lancastergeneralhealth.org/lgh/locations/lg- Health-Physicians/Diabetes/Diabetes-Endocrinology- Specialists.aspx 20. Diabetes & Endocrinology - Ephrata 1261 Division Highway, Suite 2 Ephrata, PA 17522-8822 Phone: (717) 544-3059 Fax: (717) 544-3638 http://www.lancastergeneralhealth.org/lgh/locations/lg- Health-Physicians/Diabetes/Diabetes-Endocrinology- Specialists.aspx 21. Family Medicine at The Buck 34 Fawn Drive Quarryville, PA 17566 Phone: (717) 284-3137 Fax: (717) 284-4164 http://lancastergeneralhealth.org/lgh/locations/lg- Health-Physicians/Family-Medicine/Family-Medicine-at- The-Buck.aspx 22. Gynecologic Oncology 2102 Harrisburg Pike Lancaster, PA 17601-2644 Phone: (717) 544-9400 Fax: (717) 544-9401 http://www.lancastergeneralhealth.org/lgh/locations/lg- Health-Physicians/Oncology/GYN-Oncology- Specialists.aspx

23. Hematology & Medical Oncology 2102 Harrisburg Pike Lancaster, PA 17601-2644 Phone: (717) 544-9400 Fax: (717) 544-9401 http://www.lancastergeneralhealth.org/lgh/locations/lg- Health-Physicians/Oncology/Hematology-Oncology- Specialists.aspx 24. Infectious Diseases Lancaster 2106 Harrisburg Pike, Suite 301 Lancaster, PA 17601-2644 Phone: (717) 544-3517 Fax: (717) 735-0012 http://www.lancastergeneralhealth.org/lgh/locations/lg- Health-Physicians/Infectious-Diseases/Infectious- Diseases.aspx 25. Internal Medicine Lancaster 2110 Harrisburg Pike, Suite 100 Lancaster, PA 17601-2644 Phone: (717) 544-3191 Fax: (717) 544-3637 http://www.lancastergeneralhealth.org/lgh/locations/lg- Health-Physicians/Internal-Medicine/Internal- Medicine.aspx