Get documents about "NorthSTAR MEMBER INFORMATION AND PROVIDER DIRECTORY
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Si necesita esta
información en español
solamente, por favor
llame:
1-888-800-6799
For:
En los Condados:
Collin, Dallas,
Ellis, Hunt,
Kaufman,
Navarro and
Rockwall
Counties
If your Provider is not
listed, please call:
Si usted no ve a su Proveedor
en este Directorio, por favor
llame al:
1-888-800-6799
TDD:
Aparato de telecomunicaciones
para personas sordas:
1-888-800-6792
NorthSTAR MEMBER INFORMATION
AND PROVIDER DIRECTORY
Libro de Miembros y Directorio
NorthSTAR de Proveedores
2/01/09
c.VO_Northstar.indd C1 1/27/09 1:00:15 PM
ValueOptions® NorthSTAR Member Information
CONTENTS
Who is ValueOptions®? 2
Where is ValueOptions®? 2
Am I eligible to enroll in the ValueOptions® NorthSTAR Program? 2
How do I enroll in ValueOptions® NorthSTAR? 2
How much will I pay for NorthSTAR Services? 3
Are there other Health Insurance Programs my Children or I may qualify for? 3
How do I get Mental Health or Substance Abuse Services? 3
What if I need Emergency Care? 3
What if I Need to be Admitted to a Hospital? 3
What if I am away from home and need Routine or Emergency Care? 3
How can I find a Provider? 4
How do I get a Referral to another Provider? 4
What if I have no way to get to my Provider? 4
How Do I Cancel or Change an Appointment? 4
What are Medically Necessary Services? 4
What Services or Benefits does ValueOptions® offer me in NorthSTAR if I am Medicaid-Eligible? 4
If I am not Medicaid-Eligible, what Services does ValueOptions® offer me? 5
Can I get Prescription Drugs? 6
How much will I pay for Prescriptions? 6
What is 340B? 6
Are there any Benefit Limits or Excluded Services? 6
What if I am unhappy with my care or your service? 6
What is a Complaint, and how do I make one? 6
What is an Appeal, and how do I file one? 7
How do I get a Fair Hearing? 7
Can I be Disenrolled from NorthSTAR? 7
What if I move? 7
What is Fraud and Abuse? 8
What are My Rights? 8
What are My Responsibilities in My Recovery? 8
Do You offer Prevention or Education Programs? 9
What about Programs for Family Members? 9
Are there any Self-Help or Consumer-Run Programs? 9
What are Advance Directives? 9
How can I find other Community Resources? 10
What are My Privacy Rights? 10
What if I don’t understand the information in this book? 12
What does that Word Mean? 12
How to Read Our Provider Listings 14
Pharmacy Listing 15
Provider/Facility Listing 18-30
Provider Index 31
Clinic Index 32
Please note: This list is current as of 02/01/08. Every day ValueOptions® is adding more providers to
serve NorthSTAR enrollees. If you do not see your provider listed, please call the ACCESS LINE
at 1-888-800-6799 and we will give you the latest provider information from ValueOptions®.
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ValueOptions® NorthSTAR Member Information
Welcome to • Ensure the provision of integrated, high-
quality, culturally competent, community-
• Pregnant Women–Medical Assistance Only
(MAO)–Pregnant women whose family
ValueOptions®
based mental health and substance abuse income is below 185% of the Federal Poverty
treatment services, Level
• Enrich the lives of those we serve by • Newborns–children under age one born to
® providing services when they are needed in MAO Mothers
V alueOptions manages the NorthSTAR
program for the State. NorthSTAR serves
Collin, Dallas, Ellis, Hunt, Kaufman, Navarro,
a manner that is respectful and cost-efficient,
and • Expansion Children and Federal Mandate
Children(MAO)
and Rockwall counties (the NorthSTAR area).
• Assist consumers in achieving the success
We manage publicly funded mental health and • Disabled or Blind Individuals receiving
that they deserve.
substance abuse services for people who live in Supplemental Security Income (SSI) with or
the NorthSTAR area, to make sure that you get without Medicare
ValueOptions® does not discriminate against
the best care and service. We also make sure
anyone on the basis of race, religion, gender, • State or Federal Adoption Subsidy
that everyone who is helping you is working
age, disability or sexual orientation. The decision
together. Our services are close to you and easy
to provide services is based on the clinical and
to use. NON-MEDICAID-ELIGIBLE
psychosocial needs of the individual and what
® will best assist his or her recovery. INDIVIDUALS
This handbook will tell you about ValueOptions
and NorthSTAR. If there are words or phrases
If you do not receive Medicaid, you are eligible
in this handbook that you do not understand, WHERE IS VALUEOPTIONS®? to enroll in the NorthSTAR program if you reside
there is a helpful list to tell you what they mean
in the NorthSTAR area and meet the criteria
on page 12. If you have questions or comments We are as close as your telephone. Call the toll listed below.
about your services, or in case of emergency, free ACCESS LINE at 1-888-800-6799 or TDD
you can call: 1-888-800-6792. Our phone lines are staffed Individuals who have income at or below 200%
24 hours a day, 7 days a week with licensed of the Federal Poverty Level (FPL) and fit into
ValueOptions® toll free behavioral healthcare clinicians. one of the following groups:
ACCESS LINE Our qualified and helpful staff will answer • Individuals who meet the Texas Department
24 Hours A Day, 7 Days a Week questions about your benefits, what behavioral of State Health Services (TDSHS) mental
1-888-800-6799 health services you want, or who would be a health target population definition
TDD 1-888-800-6792 good provider of mental health or substance
abuse services for you. You can also talk to a • Adults or Youth with a substance abuse or
clinician if you or a family member is having chemical dependency diagnosis
a mental health or substance abuse crisis.
WHO IS VALUEOPTIONS®? Our customer services staff who answer our Individuals who are in one of the groups
ACCESS LINE can also help persons who need listed above are eligible for covered services
ValueOptions® is licensed as a Health information interpreted into another language. that are medically necessary.
Maintenance Organization (HMO) by the Texas
Department of Insurance (TDI). We are a ValueOptions® central office location and
HOW DO I ENROLL IN
special kind of HMO that manages programs for mailing address is:
mental health and substance abuse services. VALUEOPTIONS® NORTHSTAR?
This type of HMO is called a Behavioral Health ValueOptions® Maximus, the State’s enrollment broker for STAR
Organization (BHO). 1199 S. Beltline Road, Suite 100
and NorthSTAR will enroll Medicaid-eligible
Coppell, TX 75019
In 1999, the State of Texas created new programs individuals, who qualify for NorthSTAR eligible
to provide better health care to low income Medicaid types, in NorthSTAR. The State will
families. The physical health plan is called AM I ELIGIBLE TO ENROLL let Maximus know when you are approved
for Medicaid, and Maximus will enroll you
STAR, and NorthSTAR is the mental health and IN THE VALUEOPTIONS® in NorthSTAR. If you are a Medicaid-eligible
substance abuse plan.
NORTHSTAR PROGRAM? individual and have a question about your
ValueOptions® understands mental health and enrollment you may call Maximus at 1-800-964-
You are eligible to enroll in the NorthSTAR 2777, or you may call ValueOptions® at 1-888-
substance abuse problems, and we are here
program if you live in the NorthSTAR area and 800-6799 or TDD 1-888-800-6792.
to help you with any problems you may have.
meet any of the criteria listed below.
ValueOptions® has a lot of experience in more
than 24 other states and Tarrant and Harris Non-Medicaid-eligible individuals may enroll
MEDICAID-ELIGIBLE INDIVIDUALS in NorthSTAR at any of our enrollment sites by
Counties with increasing the quality of mental
health and substance abuse care andimproving completing a short form that tells us about your
If you believe that you may be eligible for one of income (a financial assessment form). To find the
access to needed services for people who get
the following programs, contact your local office enrollment site nearest you call ValueOptions®
their services through public programs.
of the Texas Department of Human Services. To Access Line at 1-888-800-6799 or TDD1-800-
find the nearest office, look in your telephone 888-6792.
Please call us if you have any questions or need
book or call ValueOptions® Customer Service at
to get care.
1-888-800-6799. With in five days after enrollment, you will be
ValueOptions® Mission Statement is to: sent an enrollment package that will include
• Temporary Assistance to Needy Families
a welcome letter, this handbook and provider
(TANF) Adults
• Empower the consumers we serve within their directory, and a schedule of upcoming
communities, • Temporary Assistance to Needy Families introductory meetings and health education
(TANF) Children programs.
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ValueOptions® NorthSTAR Member Information
HOW MUCH WILL I PAY FOR HOW DO I GET MENTAL HEALTH WHAT IF I NEED EMERGENCY
NorthSTAR SERVICES? OR SUBSTANCE ABUSE CARE?
SERVICES?
Medicaid-Eligible Individuals receive approved A mental health or substance abuse emergency
covered services at no cost. If you are not You can get these services by: is when you feel like hurting yourself or someone
Medicaid-eligible, you may pay a fee based else, or if you believe your life or health may be
on your income and ability to pay. If you have • Calling the toll free ACCESS LINE at 1-888- in danger. If you, a family member, or someone
questions about what you might have to pay, ask 800-6799 or TDD 1-888-800-6792, you know is having a mental health or substance
your provider or call ValueOptions® at 1-888- abuse emergency you should do at least one of
800-6799 or TDD 1-888-800-6792. • Calling or visiting any ValueOptions network these things:
provider,or
• Call your mental health or substance abuse
ValueOptions® cannot pay for services that are
• Asking your primary care physician. provider or
not covered by the NorthSTAR program. If you
receive services that are not pre-approved by You are the most important part of the NorthSTAR • Call the toll-free ACCESS LINE at 1-888-800-
ValueOptions®, you may have to pay for them, program. We want to provide you the information 6799 or TDD 1-888-800-6792 or
except for emergency behavioral healthcare. you need. We have two departments to serve
you-a Customer Service Department and a • Call the Mobile Crisis Team toll free at
If you are receiving benefits that are covered by Clinical Department. They can help you get the 1-866260-8000
another insurance plan (such as Medicare or best possible care.
private insurance), those insurance plans must • Call 911
pay before ValueOptions® pays. If you receive To talk to someone from Customer Service or the
a bill for services, please contact the other Clinical Department, call the toll free ACCESS • Go to the nearest hospital emergency room
insurance plan about paying for those services. LINE at 1-888-800-6799 or TDD 1-888-800-6792.
We have Spanish-speaking employees available WHAT IF I NEED TO BE ADMITTED
24 hours a day, 7 days a week, and a service TO A HOSPITAL?
ARE THERE OTHER HEALTH through AT&T to interpret more than 100 foreign
INSURANCE PROGRAMS MY languages. NorthSTAR members who have Medicaid or who
CHILDREN OR I MAY QUALIFY have no insurance other than NorthSTAR must
Our Customer Service Department is available be screened at Green Oaks Hospital in Dallas
FOR?
Monday through Friday from 8 a.m. until 5 p.m. before admission to inpatient treatment at a
to answer your questions about: hospital. NorthSTAR will provide transportation
CHIP (Children’s Health Insurance
Program) from any other emergency room or hospital to
• If you or your family are eligible to receive Green Oaks for the screening.
mental health or substance abuse services
The State of Texas has a program called CHIP
Members who have no insurance will only be
to insure low-income children from birth through • How to get mental health or substance abuse admitted to Green Oaks Hospital. Members
age 19 who do not qualify for Medicaid. CHIP services who have Medicaid who need to be hospitalized
has both physical and behavioral health benefits.
may choose Green Oaks, or any hospital in the
The income limit for CHIP is 200% of the Federal • How to find out about services you or your
NorthSTAR network to receive treatment after
Poverty Level. Non-Medicaid-Eligible children family members can receive if you are
being screened at Green Oaks. NorthSTAR will
who are eligible for NorthSTAR are probably also receiving STAR, CHIP, or other benefits,
provide transportation for Medicaid members to
eligible for CHIP. To find out about CHIP or to
• Information about having someone interpret the chosen network hospital.
apply call the Tex-Care Partnership at 1-800-
647-6558, or go to the Tex-Care partnership for you in another language
NorthSTAR members who have Medicare
web site at www.texcarepartnership.com. You hospital benefits remaining may still choose
• Information about educational information
can also get information about CHIP by calling any hospital that accepts Medicare. Medicare
or programs or about preventing illness or
ValueOptions® ACCESS LINE at 1-888-800-6799 eligible members who have remaining hospital
substance abuse, including how to receive
or TDD 1-888-800-6792. benefits do not have to be screened at Green
tip sheets or brochures
Oaks prior to admission to a Medicare provider
STAR • How to find information about community hospital.
resources including self-help programs
STAR is the State’s Medicaid physical health The location and phone number for Green Oaks
program. Medicaid-eligible individuals who • Information about how to give a compliment Hospital is:
qualify for NorthSTAR also qualify for STAR, or make a complaint or file a grievance or
except for SSI recipients who receive Medicare appeal Green Oaks Hospital
as well as Medicaid. SSI recipients who do not (972) 991-9504
receive Medicare can choose whether or not • Our Clinical Department is available 24 7808 Clodus Fields Drive
they wish to enroll in STAR. Maximus will send hours a day, 7 days a week. The Clinical Dallas, TX 75251
all Medicaid-eligible individuals enrolled in Department includes licensed behavioral
NorthSTAR information about how to enroll in health professionals (called Care Managers) WHAT IF I AM AWAY FROM
STAR. Adults enrolled in STAR are not limited who can help you: HOME AND NEED ROUTINE OR
to three prescriptions per month. If you have
• Find a provider who can provide the services
EMERGENCY CARE?
questions about STAR, call Maximus at 1-800-
you need and who is near by
964-2777. You can also get information about The NorthSTAR service area includes Collin,
STAR by calling ValueOptions® ACCESS LINE at • Obtain mental health or substance abuse Dallas, Ellis, Hunt, Kaufman, Navarro, and
1-888-800-6799 or TDD 1-888-800-6792. services Rockwall counties. When you receive services
outside the NorthSTAR service area, this is
• Deal with a mental health or substance called out-of-area care. Only emergency care
abusee
3
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ValueOptions® NorthSTAR Member Information
is covered when you are out of the NorthSTAR 1-888-800-6799 or TDD 1-888-800-6792. We If you cancel or change your appointment with
service area. can help you find a provider that you feel is right your provider, you must call the MTP office and
for you that is located close to where you live or cancel your ride. MTP can refuse to give you
**(Note: some NorthSTAR providers may be work. Please tell us if you need a provider who a ride after the second time you fail to call to
located near you in neighboring non-NorthSTAR speaks your native language, understands your cancel a ride, or if you are not able to give a
counties. Receiving care from these contracted culture, or if you have any other special needs, good reason for not calling to cancel the ride.
NorthSTAR providers is not considered out-of- so the ACCESS LINE Care Manager will be able
area care.) to help you find the right provider. If you are not Medicaid-eligible and you are
unable to get to your NorthSTAR provider,
If you have a mental health or substance abuse Be sure to tell your provider about your special call your provider for help in getting to your
emergency when you are outside of the service needs when you call to make an appointment. appointment. You can also call the toll-free
area, you can: ValueOptions® ACCESS LINE at 1-888-800-6799
Remember, you need to receive treatment or TDD 1-888-800-6792.
• Go straight to the hospital. Tell the hospital from a ValueOptions® NorthSTAR provider.
your name and the ValueOptions® ACCESS HOW DO I CANCEL OR CHANGE
LINE phone number, 1-888-800-6799. The HOW DO I GET A REFERRAL TO AN APPOINTMENT?
hospital will call us to tell us you are there, or ANOTHER PROVIDER?
If you can not keep your appointment with a
• Call the ValueOptions® ACCESS LINE first. A If you are already in treatment and are having NorthSTAR provider, please call the provider at
ValueOptions® Care Manager will help you problems with your provider, or do not feel that least 24 hours before your appointment. Calling
get the care you need at the closest hospital. you are getting the services you need, call our your provider makes it possible for someone
ACCESS LINE for assistance before you make else to receive care they may need. If you
• If you believe that you or someone with you your next appointment. cannot make a new appointment when you call
is in immediate danger, call 911. Give the to cancel, please remember to call as soon as
ValueOptions® ACCESS LINE number to the If you need different services from those your possible to make another appointment.
hospital if you are taken to a hospital. provider offers, you can also call the ACCESS
LINE to find a provider who has those services. WHAT ARE MEDICALLY
When your emergency care is completed, we
will work with the hospital to transfer you back to NECESSARY SERVICES?
If you are not satisfied with your provider for
your provider in the NorthSTAR area. any reason, call our ACCESS LINE for help. Medically necessary services are mental health
When you know you will be traveling outside of or substance abuse services that:
Our ACCESS LINE staff can help you file a
the NorthSTAR service area, be sure that you complaint or grievance, or they can help you • Are reasonably necessary for the diagnosis
take enough of your medications to last until find another provider. You will be given a referral,
you return. It is also a good idea to take a list or treatment of a mental health or substance
which is the name, address, and telephone abuse disorder or to improve, maintain, or
that includes your providers name and phone number of one or more mental health or chemical
number, the ValueOptions® ACCESS LINE prevent deterioration of functioning due to
dependency professionals who can help you. such a disorder.
number, a list of your medications and when you
take them, and a phone number for a friend or
relative who is your emergency contact.
WHAT IF I HAVE NO WAY TO GET • Are in accordance with professionally
TO MY PROVIDER? accepted clinical guidelines and standards
This information can be written on the of practice in behavioral health care
ValueOptions® NorthSTAR Program Information For transportation to your provider for routine
Card that you got in your packet of information care, if you are Medicaid-eligible and you have • Are furnished in the most appropriate and
when you enrolled, or you can request one by no other form of transportation to your provider, least restrictive setting in which services can
calling the ValueOptions® ACCESS LINE. you may call the Medical Transportation Program be delivered safely
(MTP) office, Monday through Friday between 8
a.m. and 5 p.m. The number to call is: • Are the most appropriate level or amount of
HOW CAN I FIND A PROVIDER?
service that can be provided safely
You have the right to get the best possible Medical Transportation Program
• Services that could not be omitted without
treatment. You also have the right to choose your (MTP)
negatively affecting the individuals mental
NorthSTAR provider and to change providers 1-877-Med Trip or 1-877-633-8747
and/or physical health or the quality of care
if you wish. Our mental health or substance
given
abuse providers have been helping people for Please call for transportation as soon as you
many years. They are located throughout the know about your appointment. You must call at
NorthSTAR service area. least 48 hours (2 days) before your appointment. WHAT SERVICES OR BENEFITS
DOES VALUEOPTIONS® OFFER
The NorthSTAR Provider Directory section of this When you call, be sure to have: ME IN NORTHSTAR IF I AM
handbook lists the providers who are contracted MEDICAID-ELIGIBLE?
to provide behavioral health services to • Your 9-digit Medicaid number
individuals enrolled in NorthSTAR. If you know a If you are a Medicaid-eligible enrollee, you
provider you would like to use and that provider • Your address
may receive the following services from
is listed in the NorthSTAR Provider Directory ValueOptions® NorthSTAR behavioral plan if
• The name, address, and phone number of
section of this handbook, call that provider to they are medically necessary and you meet the
your provider
find out how to get services. criteria for age and diagnosis, as indicated. If
• The date and time of your appointment you have both a mental health and a substance
If you do not know a provider you want to use, or abuse diagnosis, you may receive both types of
if the provider you want to use is not a NorthSTAR services.
provider, call ValueOptions® ACCESS LINE at
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ValueOptions® NorthSTAR Member Information
1. MENTAL HEALTH SERVICES — • Inpatient services, including medically 3.) MENTAL HEALTH — CHILD/
ADULT/CHILD/ADOLESCENT, managed residential detox and residential ADOLESCENT WITH A SERIOUS
MEDICAID-ELIGIBLE ENROLLEE rehabilitation EMOTIONAL DISORDER (SED)–
NON-MEDICAID-ELIGIBLE
• Outpatient services, including assessment, • Medication is covered by your STAR plan,
individual and group therapy, psychological if you are enrolled in STAR, or by the State NorthSTAR-enrolled children and adolescents
testing, medication management, and health Medicaid vendor drug program who have been diagnosed with a serious
education. emotional disorder and are not Medicaid-eligible
IF I AM NOT MEDICAID-ELIGIBLE, may receive, when medically necessary, all the
• Inpatient services, including general hospital WHAT SERVICES DOES services listed in Sections 1 and 2 above, as
and freestanding psychiatric hospitals VALUEOPTIONS® OFFER ME? well as:
• Other services-crisis stabilization, subacute If you are not Medicaid-eligible and not enrolled • Rehabilitative Services through the Specialty
inpatient, in-home services, targeted/focused in one of the STAR physical health plans, you Provider Network (SPN)-day treatment,
case management, 23-hour observation may still receive services from ValueOptions® partial hospitalization programs, community
bed, emergency services, and services to NorthSTAR behavioral health plan if you meet the support services, service coordination/case
interpret information in a foreign language, eligibility criteria described on page 2 for non- management, supported housing, supported
as needed. Medicaid eligible enrollment. The services you employment, respite, intensive crisis
are eligible for are based on medical necessity, residential services, residential treatment
• Medication is covered by your STAR plan centers, and early intervention for ages 3 to
your age, or your diagnosis, as described in the
if you are enrolled in STAR, or by the State 5.
lists below. If you have both a mental illness and
Medicaid vendor drug program if you are not
a substance abuse condition, you may receive
enrolled in STAR. A.) SUBSTANCE ABUSE – ADULT/CHILD/
services from both lists.
ADOLESCENT, NON-MEDICAID-
2. MENTAL HEALTH SERVICES — ELIGIBLE
1.) MENTAL HEALTH — ADULT/
CHILD/ADOLESCENT, MEDICAID
CHILD/ADOLESCENT, NON-
ELIGIBLE ENROLLEE • Outpatient services, including assessment,
MEDICAID-ELIGIBLE AND NON- individual and group therapy, intensive
Medicaid-eligible children and adolescents may SMI/SED outpatient programs, partial hospitalization
receive all the services listed in section 1 above, programs, medication management,
as well as the following medically necessary Persons who are financially eligible for
outpatient detox, special female services
services: NorthSTAR but do not have a target diagnosis,
(including primary care for pregnant women
as defined by the state are eligible for
only) with child care, needed interpretive
• Rehabilitative Services through the Specialty services, and health education services
Provider Network (SPN) day treatment, • Emergency services including crisis
partial hospitalization programs, community stabilization, 23 hour observation, and
B.) SUBSTANCE ABUSE — CHILD/
support services, service coordination/case inpatient care when medical necessity
ADOLESCENT, NON-MEDICAID-
management, respite, and early intervention criteria are met.
ELIGIBLE
for ages 3 to 5.
2.) MENTAL HEALTH — ADULT NorthSTAR-enrolled children and adolescents
3. MENTAL HEALTH SERVICES WITH A SERIOUS MENTAL who are not Medicaid-eligible may receive,
— ADULTS WITH A SERIOUS ILLNESS (SMI), NON-MEDICAID- when medically necessary, all substance abuse
MENTAL ILLNESS (SMI), ELIGIBLE treatment services listed in Section 1, as well
MEDICAID-ELIGIBLE ENROLLEE as:
NorthSTAR-enrolled adults who have been
Medicaid-eligible adults who have been diagnosed with a serious mental illness that is • Inpatient services, including medically
diagnosed with a serious mental illness may a target diagnosis as defined by the state and managed residential detox and residential
receive all the services listed in section 1 above, who are not Medicaid-eligible may receive, rehabilitatation
as well as: when medically necessary, all the Mental Health
services listed in Section 1 above, as well as: SPECIAL POPULATIONS
• Rehabilitative Services through the Specialty
Provider Network (SPN)-day treatment, • Outpatient services, including assessment, If you are a pregnant woman, a woman with
partial hospitalization programs, community medication management, psychiatric dependent children, a parent of children in
support services, service coordination/case medications, individual and group therapy, foster care, HIV-positive, or use needles to take
management, supported housing, supported and psychological testing drugs, you are eligible to receive, as medically
employment, and ACT Teams. indicated, all the outpatient substance abuse
• Crisis stabilization, subacute inpatient, services listed in Section 1, as well as:
in-home services, targeted/focused case
4. SUBSTANCE ABUSE/CHEMICAL
management, 23hour observation bed • Inpatient services, including medically
DEPENDENCY — ADULT/CHILD/
ADOLESCENT, MEDICAID- managed residential detox and residential
• Rehabilitative Services through the Specialty
rehabilitation
ELIGIBLE ENROLLEE Provider Network (SPN)-day treatment,
partial hospitalization programs, community
• Outpatient services, including assessment, support services, service coordination/case CHEMICAL DEPENDENCY —
individual and group therapy, intensive management, supported housing, supported ADULT/CHILD/ADOLESCENT, NON-
outpatient programs, partial hospitalization employment, intensive crisis residential MEDICAID-ELIGIBLE
programs, medication management, services, personal care homes/assisted
outpatient detox, special female services living, adult foster care, and ACT Teams If you are diagnosed with chemical dependency
with child care, services to interpret you are eligible to receive, if medically necessary,
information into another language, as • Transportation (when authorized) all of the substance abuse treatment services
needed, and health education services. listed above.
5
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ValueOptions® NorthSTAR Member Information
CAN I GET PRESCRIPTION WHAT IS 340B? • The Medicaid Vendor Drug Program pays
for prescription medications for both STAR-
DRUGS?
NorthSTAR members who do not have Medicaid enrolled and non-STAR enrolled Medicaid-
Medicaid-eligible, enrolled in STAR may be enrolled in the NorthSTAR 340B program. eligible enrollees in NorthSTAR. Medicaid
This is a program that allows NorthSTAR to buy will pay for only 3 prescriptions per month for
If you are Medicaid-eligible and enrolled in medications at a discounted cost. NorthSTAR’ s Medicaid-eligible adults who are not enrolled
the STAR program, the Medicaid Vendor Drug 340B program is a partnership with the University in STAR.
program plan will pay for almost all of your of Texas Medical Branch in Galveston. Lowering
prescriptions. This includes the medicine your the cost of medications makes it possible For Non-Medicaid-eligible adults, new
provider orders as part of your behavioral for more members to have better access to a generation anti-psychotic medications may
health treatment as long as it is on the list of greater number of medications. be limited, depending on the availability of
drugs provided under the plan. Please call your designated funding.
physical health plan if you have questions about Each NorthSTAR clinic must use one NorthSTAR
pharmacy for members who get their Family planning services are not covered
prescriptions.
medications through the 340B program. This services under NorthSTAR. If you are interested
• Texas Health Network 1-888-302-6688 is a federal requirement of the program. 340B in family planning services, ask your primary
• AMERIGROUP 1-800-600-4441 enrolled members should use their clinic’s care physician (PCP), family doctor, health
• Parkland Health Plan 1-888-672-2277 pharmacy to fill regular prescriptions they clinic, or local county health department for help
receive from their clinic doctor. When 340B in finding these services. Your city or county
Medicaid-eligible, not enrolled in members receive mental health prescriptions at information and referral service can also tell
a hospital or emergency room, they will need to you which agencies in your community provide
STAR these services at low or no cost. Medicaid
call ValueOptions® Customer Service at 1-888-
The Medicaid Vendor Drug program also pays 800-6799 in order to fill the prescription. members who are enrolled in STAR can call their
for Medicaid prescriptions for adults who are STAR plans for helpin finding family planning
Medicaid-eligible but who are not enrolled in One benefit to 340B enrolled members are services.
the STAR program. However, Medicaid will pay annual physical health screens. These screens
for only 3 prescriptions per month for Medicaid- will occur at the member’s NorthSTAR clinic and WHAT IF I AM UNHAPPY WITH MY
eligible adults who are not enrolled in STAR. can help identify any potential health problems CARE OR YOUR SERVICE?
the member has. If physical health problems
are found, the member will be assisted with ValueOptions® cares about you and the quality
Medicare-Part D Recipient of services that you receive. We work hard to
referrals to a health care facility or primary care
NorthSTAR members who have Medicare physician. give you the best care. We also understand that
Part D will receive their prescriptions through sometimes problems happen. If you are unhappy
their Medicare Part D plans. If a member who ARE THERE ANY BENEFIT LIMITS with any part of your mental health or substance
abuse treatment, or if you are denied care,
has Medicare Part D but does not also have OR EXCLUDED SERVICES?
Medicaid needs a prescription that is not you can contact the ACCESS LINE at 1-888-
included in any Medicare Part D Plan because The NorthSTAR plan only provides mental 800-6799 or TDD 1-888-800-6792. A customer
the government excluded those types of drugs, health and substance abuse related services service representative can tell you how to make
such as benzodiazepines or barbiturates, (behavioral health services). It does not cover a complaint or file a grievance or appeal. If
NorthSTAR will pay for those drugs when they physical medical services except for some you wish to find a new provider, a Clinical Care
are prescribed by a NorthSTAR doctor and are specialized female services for pregnant Manager can help you find a provider that fits
considered medically necessary. NorthSTAR women who are not eligible for other healthcare your needs.
may also help with NorthSTAR prescribed benefit plans such as Medicaid. The following
You have the right to ask questions or make a
medications if a member is in the doughnut hole behavioral health services are excluded from the
complaint about your mental health or substance
or gap in Medicare Part D coverage. Members NorthSTAR benefits for Medicaid individuals, but
abuse care, provider, or ValueOptions® without
who need excluded drugs or who are in the may be covered by your physical health plan:
penalty. Medicaid recipients may request a
doughnut hole, will need to call ValueOptions®
• Screening for behavioral health disorders Fair Hearing at any point in the complaint and
Customer Service at 1-888-800-6799.
during well adult checks appeals process. Information on how to ask for
a Fair Hearing is on page 7.
Non-Medicaid-eligible • Texas Health Steps exams and other
ambulatory health exams Non-Medicaid NorthSTAR members may request
If you are not Medicaid-eligible and you are a
a review by an Independent Review Organization
person with a serious mental illness or a serious
• Emergency medical transportation for (IRO) at any point in the appeal process if you
emotional disorder, you may be eligible for
behavioral health emergencies are receiving inpatient services or are appealing
prescription drugs for your behavioral health
non-authorization of emergency services, or
treatment under the NorthSTAR plan. For more • Behavioral health services provided by services that need immediate review.
information, please check with your provider primary care physicians, other STAR
or call the toll free ACCESS LINE at 1-888-800- physicians, or other applicable Medicaid WHAT IS A COMPLAINT, AND HOW
6799 or TDD 1-888-800-6792. physicians within the scope of their licenses DO I MAKE ONE?
HOW MUCH WILL I PAY FOR • Behavioral health services provided by A complaint is an easy way for you or your family
PRESCRIPTIONS? federally qualified health centers and rural member to resolve issues or problems with your
health clinics mental health or substance abuse care before
Medicaid-Eligible members will not have to pay they become more serious. You can make
• Ambulatory laboratory services a complaint to the ValueOptions® customer
any costs for the three allowed prescriptions per
service department through our ACCESS LINE
month. • Certain emergency room services or in writing. You can talk to a customer service
representative who will do everything possible
Non-Medicaid-eligible enrollees may have co- • Certain inpatient hospital services to solve your problem.
pays of twenty dollars on some prescriptions.
6
c.VO_Northstar.indd Sec1:6 1/27/09 1:00:17 PM
ValueOptions® NorthSTAR Member Information
To make a complaint, you may call: To file an appeal, you can: Non-Medicaid-eligible NorthSTAR enrollees who
disagree with the results of the ValueOptions®
ValueOptions® Customer Service • Call the ACCESS LINE at 1-888-800-6799 or appeal process may request a review of the
1-888-800-6799 or TDD 1-888-800-6792 TDD 1-888-800-6792 and ask the Customer appeal decision by an Independent Review
Service representative to mail you an appeal Organization (IRO).
Maximus NorthSTAR Enrollee Services form. If you need help with the appeal
1-800-964-2777 process, ValueOptions® has peer and family If you disagree with our decision to deny, delay,
advocates to help you. reduce, suspend, or stop services, a Medicaid-
NTBHA Consumer Ombudsman eligible enrollee may file a request for a Fair
1-877-653-6363 • Complete an appeal form or write a letter Hearing, or a non-Medicaid-eligible enrollee
and send it to: may request an IRO review, by calling the
Texas Department of Insurance ValueOptions® ACCESS LINE at 1-888-800-6799
1-800-252-3439 ValueOptions®, ATTN: Complaint or TDD 1-888-800-6792. The customer service
and Grievance Coordinator representative or a peer or family advocate will
NorthSTAR Enrollee and Provider Services 1199 S. Beltline, Suite 200 help you complete the request form.
1-512-206-5551 Coppell, TX 75019
CAN I BE DISENROLLED FROM
• Ask your provider for an appeal form
Or, you can mail a letter of NORTHSTAR?
complaint to: The Complaint and Grievance Coordinator
will send you a letter within five working days The State must approve any disenrollment
ValueOptions®, ATTN: Complaint after we receive your appeal. If we need more that is not requested by the enrollee. However,
information, we will contact you to ask you for ValueOptions® may ask the State to disenroll you
and Grievance Coordinator from the program due to:
1199 South Beltline, Suite 100 the information we need to work on your appeal.
Coppell, TX 75019 Your help is necessary to help us resolve your
appeal. A decision will be made in response • Unruly behavior on the part of an enrollee
to your appeal within 30 days from when we that is not caused by the enrollee’s mental
Or to receive it. illness or substance abuse disorder
Texas Department of You may ask for an expedited appeal if it involves • Loaning of your Medicaid enrollee ID card to
State Health Services (TDSHS) inpatient care or urgent or emergent treatment. another person
ATTN: NorthSTAR A decision will be made on an expedited appeal
P.O. Box 12668 within one day. Your provider will be notified by • An enrollee moving away from the NorthSTAR
Austin, TX 78711-2668 phone of the decision on the appeal. A letter service area
describing the decision on your expedited
If you make a written complaint to ValueOptions®, appeal will be sent to you within three working • A change in financial status of a non-
our Quality Management Department will days. Medicaid-eligible enrollee so that the
contact you within five working days after we enrollee no longer meets the income limits
receive your letter to let you know that we have HOW DO I GET A FAIR HEARING? for NorthSTAR
your complaint. We will send you a letter within
30 days after that to tell you how we resolved the Medicaid-eligible NorthSTAR enrollees who WHAT IF I MOVE?
problem. If we can’t solve your problem within disagree with the results of the ValueOptions®
30 days, we will send you a letter telling you why, appeal process may request a Fair Hearing. If you move within the NorthSTAR area, be sure
and when you will get an answer. To request a fair hearing, NorthSTAR Medicaid to give your new address to your provider, and
eligible enrollees or someone acting on their to call ValueOptions® ACCESS LINE at 1-888-
If you are unhappy with our answer to your behalf as a representative can call or write the 800-6799 or TDD 1-888-800-6792 to report
complaint, you may file a grievance, which is following: your new address. If you need a new provider
a verbal or written communication that tells us because your new address is not near your
that you are not satisfied with the outcome of ValueOptions® ACCESS line at 1-888-800-6799 current provider, a ValueOptions® Clinical Care
your complaint resolution. To file a grievance, Manager can help you find a new provider that
either call our Customer Service department at ValueOptions® is right for you and located near to your new
1-888-800-6799 for information on how to file, or 1199 S. Beltline, Ste 100 address.
send your request for a grievance in writing to Coppell, TX 75019
ValueOptions® at the address given above. If you move outside of the NorthSTAR area,
Or contact the Department of State Health
call the ValueOptions® ACCESS LINE at 1-888-
Services (DSHS) Office of Consumer Rights at
WHAT IS AN APPEAL, AND HOW 1-800-252-8154
800-6799 or TDD 1-888-800-6792 before you
DO I FILE ONE? move to report that you are moving out of the
Or you may call 1-512-206-5551 for DSHS area. We will give you information about how
An appeal is a request that ValueOptions® NorthSTAR Enrollee and Provider Relations for to find the behavioral health services you need
change a clinical decision, such as a change assistance in filing for a Fair Hearing. in your new area. It is important that you keep
or denial of services. If you are unhappy with a getting care, especially if you take medicine to
ValueOptions® decision about your behavioral Or write to: help you manage your illness. It is a good idea
health treatment, you may file an appeal. A to see your current provider and get adequate
ValueOptions® clinician or manager who was not NorthSTAR Enrollee and Provider medications before you move, so that you will
involved with the original decision will review the Services not run out of medication before you have time
original decision and decide whether or not to Texas Department of State to make an appointment with a provider near
change that decision. Health Services (TDSHS) your new address.
909 West 45th Street
Austin, TX 78711-2668
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ValueOptions® NorthSTAR Member Information
WHAT IS FRAUD AND ABUSE? refuse treatment, and to actively WHAT ARE MY RESPONSIBILITIES
participate in decisions about IN MY RECOVERY?
Health care fraud and abuse is a willful deception your care. That includes the right:
or lie, made by an enrollee, family member, As a partner in your recovery, you have a
provider, or any other person, knowing that this a. To be treated in the least restrictive clinically responsibility to take part in meeting the goals
could result in some unauthorized benefit to that appropriate setting that you and your provider set. The following list
person or another interested party. can help you, your provider, and everyone else
b. To give permission for your family members involved in your care make sure that you get the
If you think that a provider, an enrollee, or or guardians to be involved in the planning of most out of your treatment.
any other person is involved with fraud and your treatment
abuse involving the NorthSTAR plan, report it 1. You have the responsibility to
immediately to ValueOptions® by calling our c. To work as part of a team with your provider learn and understand the rights
Customer Service Department on our ACCESS in deciding what behavioral health care is
you have under the NorthSTAR
LINE at1-888-800-6799 or TDD 1-888-800- best for you, and
program. That includes the
6792.
d. To say yes or no to the care recommended responsibility:
WHAT ARE MY RIGHTS? by your provider.
a. To ask questions if you don’t understand your
5. You have the right to use each rights
ValueOptions® believes that individuals who
receive services in the NorthSTAR program are available complaint process b. To call ValueOptions® ACCESS LINE at
full partners in their mental health or substance through ValueOptions® and 1-888-800-6799 or TDD 1-888-800-6792 and
abuse care. Certain rights are guaranteed to through Medicaid and/or the inform a Clinical Care Manager when you
you while you are receiving services under the State. This includes the right: change your provider
NorthSTAR program. You should be aware of
these rights. a. To make a complaint to ValueOptions® or to c. To keep your scheduled appointments with
the State about your behavioral health care, your provider
1. You have the right to respect, your behavioral health provider, or about
dignity, privacy, confidentiality, ValueOptions®. d. To cancel appointments at least 24 hours in
and non-discrimination.That advance, or as soon as you know you cannot
b. To get a timely answer to your complaint, and keep them, so that your provider can use that
includes the right:
time to give someone else care.
c. For Medicaid-eligible-enrollees to ask for
a. To be treated fairly and with respect, and
and receive a Fair Hearing, or for Non- e. To use a NorthSTAR provider for all but
b. To know that your medical records and what Medicaid-enrollees to ask for a review by an emergency room care in an emergency or
you tell your providers will be kept private Independent Review Organization (IRO). life or health threatening situation
and confidential, and not shared without your
written permission. 6. You have the right to timely f. To understand when you should and should
access to care that does not not go to the emergency room
2. You have the right to a reasonable have any communication or
g. In all but emergency situations, to call
opportunity to choose a mental physical access barriers. This
ValueOptions® or the provider you wish to
health or substance abuse means that you have the right use to find out if that provider is a NorthSTAR
provider from the ValueOptions® to get in and out of a behavioral provider.
NorthSTAR network of providers, health provider’s office, with no
and to change that provider if you barriers to access if you have a h. To abide by the NorthSTAR policies and
choose to do so. That includes disability that limits your mobility, procedures, and, if you do not understand
the right to be informed about in accordance with the Americans the policies and procedures, to call
how to choose and change your with Disabilities Act. This includes ValueOptions® or your provider to have them
explained to you.
provider. the right:
3. You have the right to ask a. To have telephone access to a behavioral 2. You have the responsibility to
questions and get answers about health professional 24 hours a day, 7 days share information about your
anything you don’t understand. a week to obtain any needed emergency or mental health or substance abuse
This includes the right: urgent care, status with your provider, and to
become fully informed about the
b. To have someone interpret for you if you
a. To have your provider explain your different types of treatment you
need information in another language,
behavioral health care needs to you and can get for your disorder. This
both when you call ValueOptions® or your
talk to you about the different ways your includes the responsibility to help
provider, and when you go to see your
behavioral health care problems can be your behavioral health provider
provider. Interpreters include people who
treated, and get your medical records from
can speak in your native language, assist
b. To be told why care or services were denied with a disability, or help you understand past providers.
and not given when you or your provider information you need to make sure you get
requested them. the care you need. 3. You have the responsibility to
actively participate in decisions
4. You have the right to consent or c. To be given an explanation that you can relating to who your provider
understand about the ValueOptions® is, what services you want from
NorthSTAR plan rules, including what that provider, and what type of
services you can get and how to get them.
care you get. This includes the
8
c.VO_Northstar.indd Sec1:8 1/27/09 1:00:17 PM
ValueOptions® NorthSTAR Member Information
responsibility to make personal If your family member calls, ValueOptions® will The State Legislature has developed forms for
choices and to take action to keep all information about your case confidential, both types of Advance Directives. These forms
maintain your behavioral health. but we can answer general questions about the are simple to complete, and you are not required
NorthSTAR plan and services. to have to have a lawyer, even though Advance
It also includes the responsibility
Directives are legal forms.
to: We can help you find special programs for family
members including: It is a good idea to discuss what might go in an
a. Work as a team with your provider in
Advance Directive with your doctor or provider;
deciding what care is best for you • Educational programs for family members however, your doctor or provider is not allowed
to help them learn about mental illness and to help you complete an Advance Directive.
b. Understand how the things you do can affect
substance abuse
your behavioral health
If you have an Advance Directive, it is a good
• Support groups for family members idea to tell your Provider, and to give a copy to
c. Do your best to stay healthy, and
your provider. You or your provider should call
Your provider can also help you find resources ValueOptions® ACCESS LINE at 1-888-800-6799
d. To treat behavioral health providers and staff
for education and support for your family. or TDD 1-888-800-6792 and speak to a Clinical
with respect
Care Manager so that the information about your
There are listings of groups and community
DO YOU OFFER PREVENTION OR Advance Directive can be put in your record.
resources on page 10 of this handbook.
This way, in an emergency, your wishes for the
EDUCATION PROGRAMS? type of treatment you want, or do not want, can
ARE THERE ANY SELF-HELP OR
The best time to take care of a problem is before be respected.
CONSUMER-RUN PROGRAMS?
it gets so big that you need to see a doctor. In
A Living Will is a special type of Medical Advance
other words, prevention is the best medicine. ValueOptions® believes that everyone who Directive that tells your family members and
receives mental health or substance abuse
Our prevention, education, and outreach doctors what you want them to do about medical
services should be able to live the fullest life
programs can help you find support groups and procedures that would prolong your life if you
possible. Sometimes, people with a behavioral
community programs in your area. We attend are unable to tell them yourself.
health problem want to develop their own
many community events and hold or sponsor programs to help themselves and others
workshops to provide information that can For more information about Advance
who have similar problems. These programs,
be helpful to you or your family. We also have called Consumer-run Programs, are used with
tipsheets and other information that can help professional mental health or substance abuse Directives and Living Wills, call
you with everyday problems like: programs. Together, professional services
• Addiction
and Consumer-run Programs can help people ValueOptions® ACCESS LINE at
recover a meaningful life.
• Anger and Child Discipline
• Dealing with Anger ValueOptions® sponsors Consumer-run 1-888-800-6799 or
• Good Parenting Programs, self-help groups, and drop-in
• Helping Kids Like Themselves centers. We also offer technical assistance to TDD 1-888-800-6792 and ask to
• HIV and AIDS consumer groups who want to build their own
• Hyperactive Children self-help groups. To get information about these
• Preventing Relapse programs, or to locate the ones near you, call speak to a member of the Prevention,
• Understanding Stress ValueOptions® ACCESS LINE at 1-888-800-
6799 or TDD 1-888-800-6792. Education, and Outreach Staff.
ValueOptions® believes that healthy communities
produce healthy families. We work with many
WHAT ARE ADVANCE
community organizations to address issues that
impact the mental health of the people who live in DIRECTIVES?
the NorthSTAR area. If you would like information
Advance Directives are legal papers you prepare
on a special subject or about problems you may
while you are healthy. Advance directives give
be facing, please call the ACCESS LINE at 1-888-
instructions to those who might treat you in
800-6799 and ask to speak to our Prevention,
the future if you are unable to make decisions
Education, and Outreach Department. You can
about your care due to your illness. Advance
also ask your provider for information about your
Directives are a way for you to still be a partner
mental health or substance abuse, or about
in your health care, even if you are not able to
handling the problems that you and your family
make decisions.
face in everyday life.
Advance Directives say what types of care
WHAT ABOUT PROGRAMS FOR you do or do not want. There are two types of
FAMILY MEMBERS? Advance Directives:
Families play an important role in a person’s • Medical Advance Directives, which tell
recovery. We encourage family members to your family and providers about your
become involved in the treatment and recovery wishes in case you become disabled by a
of their loved one. Family members can call medical problem and are unable to make
ValueOptions® ACCESS LINE at 1-888-800-6799 decisions. An example would be if you were
or TDD 1-888-800-6792 for information on the unconscious.
NorthSTAR program, how to get services for their • Psychiatric or Mental Health Advance
family member, or how to resolve a complaint Directives, which tell doctors and family
about a provider, services, or ValueOptions®. members what your wishes are if you
become disabled by a psychiatric illness.
9
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ValueOptions® NorthSTAR Member Information
II. How We May Use Your Protected Health
HOW CAN I FIND OTHER Information and Share It With Others
COMMUNITY RESOURCES?
We use PHI and share it with others for a variety
of reasons. Examples of the types of persons
W
e have listed some excellent community resources below. Our Customer Service
Representatives or our Prevention, Education, and Outreach staff can give you additional who have access to your PHI are our customer
resources if you call our ACCESS LINE at 1-888-800-6799 or TDD 1-888-800-6792. The service representatives, our care managers, our
North Texas Behavioral Health Authority (NTBHA) can also help you with resources if you call them medical professionals, our claims administration
at toll free at 1-877-653-6363, or go to their website www.ntbhatx.org. The Mental Health Association staff, your group health plan, if it complies with
of Greater Dallas and NAMI Dallas, listed below, can also provide lists of support groups and other the law, and public authorities that are permitted
resources in the area. access under the law. Sometimes we must have
your written agreement to share PHI. Sometimes
Aids Arms, Inc. .............................................................................................................214/521-5191 we are allowed by law to use or share your
PHI without your written agreement. Here are
Al-Anon Information Service .........................................................................................214/363-0461 examples of how we use and share PHI.
Alcoholics Anonymous, Dallas .....................................................................................972/239-4599
For treatment: We may disclose your PHI to
The ARC of Dallas ........................................................................................................214/634-9810 caregivers who are involved in providing your
health care or Employee Assistance Program
Battered Womens Hotline .............................................................................................214/941-1991 (EAP) services. For example, your PHI may
be shared with the health professional that is
BRAIN (North TX Brain Injury Resource & Information Network, Inc.) (metro) .............817/477-3300 treating you.
Community Helpline (for information on a wide array of needs) .....214/ 379-HELP or 214/379-4357 For payment: We may use and share your PHI
to pay claims from the health professionals who
Depressive and Bipolar Support Alliance (metro) ........................................................817/654-7100
have provided services to you. We may also use
Deaf Action Alliance(TDD) ............................................................................................214/521-0407 and share your PHI to obtain payment for our
services. For example, we may release portions
Mental Health Association of Greater Dallas ................................................................214/871-2420 of your PHI to a state Medicaid agency or to
another insurance company that provides your
NAMI Dallas ..................................................................................................................214/350-7196 coverage. We may also use your PHI, along with
the PHI of many others, to set our premiums.
NAMI Collin County ..................................................................(972) 922-5095 or info@namicco.org
For health care operations: We may use and
Obsessive-Compulsive Disorder Support Group .........................................................972/278-0318
share your PHI to operate our health plans, EAP
Recovery, Inc ................................................................................................................214/904-0296 programs, and other programs. For example,
we may use your PHI in deciding whether
Salvation Army ..............................................................................................................214/688-4494 you are eligible for specific services, or share
your PHI with other professionals involved
Texas Narcotics Anonymous ......................................................................................888/NAWORKS in your care. We may combine and analyze
data from different sources so that your health
United Way of Greater Dallas Help Line .......................................................................214/379-4357 plans and treating professionals can receive
information about the products and services
United Way of Greater Dallas Hispanic Help Line ........................................................214/379-4357
you are receiving in order to better coordinate
your care. Unless you provide us with different
directions, we may send appointment reminders
WHAT ARE MY called “Protected Health Information” (“PHI”). and other similar information to your home. We
We are required to protect PHI that we have may also send you information about treatment
PRIVACY RIGHTS? received or created, and to give you this Notice alternatives and health-related benefits. We may
about our privacy practices. We may receive PHI also use your PHI in studying the quality of the
VALUEOPTIONS®’ NOTICE OF from sources other than you through a paper or health care services provided, or share your PHI
PRIVACY PRACTICES electronic inquiry to your group health plan or its with our accountants or attorneys for audits or
business associates, your other health insurance litigation. If we are providing health benefits to
THIS NOTICE DESCRIBES HOW MEDICAL companies, your providers, or other available you under an employer-sponsored group health
INFORMATION ABOUT YOU MAY BE USED databases. This Notice explains how, when plan, we may disclose your PHI to the sponsor
AND DISCLOSED AND HOW YOU CAN GET and why we may use or share your PHI. In most of the plan.
ACCESS TO THIS INFORMATION. PLEASE cases, we must use or share only the minimum
REVIEW IT CAREFULLY necessary PHI to accomplish a task. The law has Individuals involved in your care or payment for
special protections for some kinds of information, your care: We may release PHI about you to a
If you have any questions, please contact including substance abuse information. friend or family member who is involved in your
ValueOptions® at 1-888-800-6799 or medical care. We may also give information to
TDD 1-888-800-6792. We are required to follow the privacy practices someone who helps pay for your care.
described in this Notice, but we may change our
I. How we Safeguard Your Protected privacy practices and this Notice at any time. When required by law: We will share PHI about
Health Information. If we make changes, we will put a new Notice you when required by federal, state or local law.
on our Website at www.ValueOptions.com. You We may share PHI when a law requires us to
Your individual information about your past, may request a copy of the new Notice by calling report information about suspected abuse,
present, or future health, the health care you the customer service number in your member neglect or domestic violence, or relating to
receive, or the payment for the health care is materials or handbook.
10
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ValueOptions® NorthSTAR Member Information
suspected criminal activity. We must also share • In emergency circumstances to report a that we cannot disclose. If we deny your
PHI with authorities that monitor our compliance crime, the location of the crime or victims; request for changes, we will tell you in writing
with privacy requirements. or the identity, description or location of the the reasons for denial and explain your rights to
person who committed the crime. have your request and our denial, together with
For public health activities: We may share PHI any statement of disagreementmade part of your
when we are required to collect information By law we must have your written permission (an PHI. If we approve the request for changes, we
about disease or injury, or to report information “authorization”) to use or give out your PHI for will change the PHI, and tell you and others that
to a public health authority. any purpose that is not set out in this Notice. You need to know, about the change.
may take back (“revoke”) your written permission
For health oversight activities: We may share at any time, except if we or our subcontractors To find out what disclosures have been made:
PHI with an agency responsible for monitoring have already acted based on your permission. You have the right to get a list of the disclosures
the health care system for activities authorized we made of your PHI, including the date, the
by law. These oversight activities include, for IV. Your Rights Regarding Your Protected person receiving the PHI and the purpose of the
example, audits, investigations, inspections and Health Information. disclosure. This list will not include disclosures
licensing. for treatment, payment or health care operations,
You have the following rights relating to your PHI. any release of information we made to you or to
Relating to decedents: We may share PHI You may exercise these rights by contacting those you authorized, your family, or any release
relating to an individual’s death with coroners, ValueOptions® at 1-888-800-6799. to national security or intelligence authorities. The
medical examiners or funeral directors, and to list will not include any disclosures made before
organ procurement organizations relating to To request restrictions on uses or sharing with April 14, 2003 and may not include disclosures
organ, eye, or tissue donations or transplants. others: You have the right to ask us to limit how that law enforcement or health authorities asked
we use or share your PHI. We will consider your us not to list. To request this list, you must send
For research purposes: In certain circumstances, request, but we don’t have to agree to it. If we do your request in writing as indicated in your
and under supervision of a privacy board, we agree to restrictions, we will put the agreement member materials. We will respond to your
may share PHI in order to assist medical or in writing and follow it, except in emergency written request for a list within a period required
psychiatric research. situations. We cannot agree to limit the uses or by law. You can request a list of disclosures
sharing of information that are required by law. going back up to six years but no earlier than
To prevent threats to health or safety: In order to April 14, 2003. There will be no charge for one
avoid a serious threat to health or safety, we may To choose how we contact you: You have the list each year.There may be a charge for more
share PHI with law enforcement or other persons right to ask that we communicate with you than one list per year.
who might prevent or reduce the threat of harm. about medical matters in a certain way or at a
certain location. For example, you can ask that To receive this notice: You have a right to receive
For specific government functions: We may we only contact you at work or by mail. To make a paper copy of this Notice and/or an electronic
share PHI of military personnel and veterans a request regarding how we communicate with copy by email upon request.
in certain situations, with correctional facilities you, you must make your request in writing as
in certain situations, with other government indicated in your member materials. We will V. How to Complain about our Privacy
programs for eligibility and enrollment, and for agree to your request as long as it is reasonable Practices:
national security reasons. for us to do so.
If you think we may have violated your privacy
Lawsuits and disputes: If you are involved in a To inspect and copy your PHI: You have a rights, or you disagree with a decision we
lawsuit or dispute, we may disclose PHI about right to see and copy your protected health made about access to or changes to your PHI,
you in response to a court or administrative information if you put your request in writing you should follow the appeal instructions we
order. We may also disclose PHI about you in as directed in your member materials. We will will give you. You may file a complaint at the
response to a subpoena, discovery request or respond to your request within the time required number listed in your member materials. You
other lawful request by someone else involved in by law. If we deny your request, we will give also may file a complaint with the Office for Civil
the dispute, but only if efforts have been made you written reasons for the denial and explain Rights, U.S. Department of Health and Human
to tell you about the request (which may include your appeal rights. In certain situations, we may Services, 1301 Young Street, Suite 1169, Dallas,
written notice to you) or to obtain an order deny access to some parts of your PHI and you TX 75202. Voice Phone (214) 767-4056. FAX
protecting the information requested. cannot appeal that decision. We will not provide (214) 767-0432. TDD (214) 767-8940. We will
access to psychotherapy notes, information not discriminate against you in any way because
Law enforcement: We may release PHI if asked we collect for legal actions, or any lab test you file a complaint.
to do so by a law enforcement official: information protected by law, and you can’t
appeal those decisions. If you want copies of
• In response to a court order, subpoena, your PHI, a charge for copying may be required,
warrant, summons or similar process; depending on your circumstances. You have a
right to choose to get a summary instead of a
• To identify or locate a suspect, fugitive, copy of the whole record.
material witness, or missing person;
To request changes or corrections of your PHI:
• About the victim of a crime if, under certain If you believe that there is a mistake or missing
limited circumstances, we are unable to information in your PHI, you may request that we
obtain the per-son’s agreement; correct or add to the record. You must submit
your request in writing as indicated in your
• About a death we believe may be the result member materials, along with a reason that
of criminal conduct; supports your request. We will respond within the
time required by law. We may deny the request
• About criminal conduct at a hospital; and if we determine that the PHI: (i) is correct and
complete; (ii) was not created by us and/or is not
part of our records, or (iii) is a type of information
11
c.VO_Northstar.indd Sec1:11 1/27/09 1:00:18 PM
ValueOptions® NorthSTAR Member Information
WHAT IF I DON’T
UNDERSTAND THE
INFORMATION IN THIS BOOK?
On the next pages we tell you what some of the words and phrases we use in this book
mean. If you need help understanding this handbook, or if you have any questions about
what is in this book, please:
• Call our ACCESS LINE at 1-888-800-6799 or TDD 1-888-800-6792 for help, or to
speak to someone in your own language, or
• Call or visit your provider for help
WHAT DOES THAT Confidentiality: A law that protects a Family: To determine financial eligibility for
person’s personal and behavioral health NorthSTAR by determining family income, family
WORD MEAN? treatment information from becoming public. is defined as a spouse (whether or not that
People who take care of the client don’t tell other spouse is living in the home) and children under
ACCESS LINE: The toll-free number you people what they know about the client unless age 18. The income of parents is not counted for
can call to get mental health and/or substance the client says that it is okay. persons over 18, even if that person lives with
abuse care, help, or information about this plan. parents.
The number is 1-888-800-6799 or TDD 1-888- Copay: A small fee that some enrollees pay
800-6792. for services they receive. Copays are based on Formulary: A list of medications pre-
eligibility and consumer and family income. approvedby the Texas Department of State
Appeal: If you file a complaint and it is Health Services that can be prescribed for
decided in a way that you are not happy with, Crisis Stabilization: A short-term, eligible people receiving Medicaid and non-
you may appeal the decision by making a written intensive type of treatment offered to enrollees Medicaid health care services.
request that a professional at the ValueOptions® in the event of a crisis. It involves individual
Service Center review the original decision. This assessment, follow-up, and referral to longer- HIPPA: The Health Insurance Portability and
professional will then decide whether to change term treatment if necessary. Accountability Act (HIPAA) is a federal law.
the original decision. You can also ask an This federal law and state legislation gives you
independent reviewer to go over the decision. Early Intervention: Specialized services important rights. The most important right in the
for children ages 3-5 including child/family law is the privacy of your health information.
Assessment: The clinical process of looking assessment, play therapy, parent counseling,
at a person’s mental health or substance abuse and parent educational training. Managed Care: A system of providing care
and medical history, his or her functioning, that helps you to find the right care from the right
relationships, and development to determine his Eligible Client: A person who can get provider (a counselor, doctor or hospital) as
or her need for treatment. behavioral health services if they meet soon as possible.
specific financial and behavioral health criteria
Behavioral Health Services: Services established by TD-SHS. Medicaid: A program that pays for health
that help people think, feel, and act in healthy care for people who might not otherwise be able
ways, sometimes called mental health, Emergency Behavioral Health to receive health care. People with disabilities,
substance abuse or chemical dependency people who are blind, and needy families with
Condition: Any condition that, in the opinion
treatment services. These services can also children may receive Medicaid so that their
of a prudent lay person possessing an average
help people stop drinking and using drugs. physical health and mental health needs can be
knowledge of medicine and health, requires
met.
immediate medical attention without which an
Complaint: A verbal or written statement individual would present a danger to themselves
expressing your unhappiness with a decision or or others, or that renders individuals incapable Medication Management: A visit with
service from ValueOptions® or your provider. of controlling, knowing, or understanding the a psychiatrist to decide if medication is an
consequences of their actions. appropriate treatment, and on going visits
to make sure the medication is helping the
behavioral health condition.
Enrollee: A person who is enrolled in
NorthSTAR.
12
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ValueOptions® NorthSTAR Member Information
New Generation Medication: New Respite: Services provided to family members
generation anti-psychotic medications, also of a person receiving services to help allow
called atypicals, such as Risperidone, that may the consumer to function as independently as
be more effective and have fewer side effects for possible. Services may include short-term
some patients. residential services outside of the home,
providing a place for the consumer to go during
North Texas Behavioral Health the day, or having respite staff come to the
Authority (NTBHA): The local behavioral home.
health authority for the NorthSTAR service area.
NTBHA will be responsible for planning, policy SPN: Specialty Provider Network; a network
development, coordination, and oversight of of providers within ValueOptions® NorthSTAR
NorthSTAR mental health and substance abuse network. Each of these providers has a lot of
services. You can call them at 1-877-653-6363. experience working with severely mentally ill
individuals. SPN providers run clinics in the
NorthSTAR Program: Behavioral Health NorthSTAR area.
State of Texas Access Reform Program covering
publicly funded mental health, substance abuse, Texas Health Steps (THSTEPS): The
and chemical dependency treatment services name adopted by the State of Texas for the
for Collin, Dallas, Ellis, Hunt, Kaufman, Navarro, federal Early, Periodic Screening, Diagnosis
and Rockwall Counties. The Texas Department and Treatment (EPSDT) program. It includes the
of State Health Services manage NorthSTAR. state’s Comprehensive Care Program extension
to EPSDT.
Out of Area Care: The behavioral health
services you receive when you are out of the TDSHS: Texas Department of State Health
NorthSTAR service area. Services
Peer or Family Advocate: A person Therapeutic Foster Care: Specialized
who can help families receive services, resolve living arrangements for children or adolescents
complaints, or do other things to ensure you and with serious emotional disturbances who are
your family are receiving the best possible care. unable to receive needed services while living
with their parents or primary caregivers.
Primary Care Physician (PCP): A
physician or provider who has agreed with TDH We understand mental
or a STAR HMO to provide a medical home to
Medicaid Enrollees and who is responsible for
health and substance abuse
providing initial and primary care to patients, problems, and we are here to
maintaining the continuity of patient care, and help you with any problems
initiating referral for care.
you may have.
Prevention, Education & Outreach
(PE&O): A recovery-focused program that
teaches you to make healthy choices and deal
with problems before they get out of control.
Provider: A counselor, doctor, mental health
treatment professional, or treatment center that
has agreed to provide behavioral health services
through ValueOptions®.
Rehabilitative Services: Services to
help consumers develop the skills they need for
recovery in order to function as independently
as possible and to keep up a support network.
Services include improvement of communication
and relationship skills, medication and symptom
management, skills training related to household
tasks, using transportation, managing money,
using community services, and making choices
for the use of leisure time.
Residential Treatment Center
(RTC): A facility such as a hospital or health
care organization that provides psychiatric,
drug abuse, or alcoholism services in a less
structured environment than that of an acute
inpatient program.
13
c.VO_Northstar.indd Sec1:13 1/27/09 1:00:18 PM
ValueOptions® NorthSTAR Member Information
How to Read Our Provider Listings Como Leer Nuestra Lista de Proveedores
Example/Ejemplo
Alphabetical listing of counties----------------------------------Collin------------------------------------Lista alfabetica de Condados
Provider’s name and degree ----------------------------Smith,JohnA.,PhD------------------Nombre y titulo escolar del proveedor
Street address-----------------------------------------------123 Street Ste.#A --------------------------------------------------------Domicilio
City, state, zip code --------------------------------------Town, State 000000 ----------------------------Ciudad, Estado, Zona Postal
Office phone number ----------------------------------- ---(123) 456-7890 -------------------------Numero de Telefono de la Oficina
Age group provider treats ---------------------------------CHILD ADULT-------------Grupos de edades que el proveedor ayuda
Foreign language(s) spoken-----------------------------------Spanish ---------------------------------Idioma(s) extranjeros hablados
Discipline (for practitioners) --------------------------------------------------------------------------------Disciplina (para profesionales)
Psychiatrist -----------------------------------------------------------MD -----------------------------------------------------------------Psiquiatra
Licensed Master Social Worker Trabajador(ra Social con Maestria y Licenciatura -
Advanced Clinical Practitioner ------------------------------LCSW--------------------------------------ProfesionalAvanzadaClínica
Psychologist --------------------------------------------------------PhD---------------------------------------------------------------Psicolgo(ga)
Licensed Professional Counselors ---------------------------LPC ----------------Consejeros(ras) Profesionales con Licenciatura
Mental Health Individual Provider ------------------------------Proveedor de Servicios Individuales de Dependencia Química
Hospitals and other facilities -----------------------------------------------------------------------------------------------------------Hospitales
Outpatient Clinic -------------------------------------------------------------------------------Clínicas para Pacientes Externos
Psychiatric Facility --------------------------------------------------------------------------------------------Facilidad Psiquiátrica
Chemical Dependency Facility ---------------------------------------------------------Facilidad de Dependencia Química
General Hospital -----------------------------------------------------------------------------------------------------Hospital General
Outpatient Services --------------------------------------------------------------------------Servicios para Pacientes Externos
Community Mental Health Center -----------------------------------------------------Centro Comunitario de Salud Mental
14
c.VO_Northstar.indd Sec1:14 1/27/09 1:00:19 PM
ValueOptions® NorthSTAR Pharmacy Network Proveedores Contratados por ValueOptions® NorthSTAR
NorthSTAR 340B SPN locations to Designated Pharmacy What is 340B? See Page 6.
Match pharmacy location with the clinic location in the column to the right.
SPN (Special Provider SPN (Special Provider
Network) Clinic Pharmacy Network) Clinic Pharmacy
PROVIDENCE OF TEXAS Kroger 528 Adapt of TX - Corsicana P & S REXALL PHARMACY
(Main Office) 4142 Cedar Springs 800 N. MAIN ST. Ste. D 829 N MAIN
8625 King George Dr Ste 120, Dallas, TX 75219 Corsicana, TX 75110 CORSICANA, TX 75110
Dallas, TX 75235 (214) 599-9859 877-872-1011 (903) 874-5691
(214) 631-7002
Adapt of TX - McKinney Kroger 488
Youth Advocate Programs Ravens Corner Pharmacy 2300 W. WHITE AVE, Ste. 104 707 W University Dr
210 W. Tenth Street, Suite 201 500 W JEFFERSON BLVD, McKinney, TX 75071 McKinney, TX 75069
Dallas, TX 75208 Dallas TX 75208 214-544-1887 972-548-9633
(214) 943-6500 (214) 946-1700
Life Path Systems Kroger 488
Centro De Mi Salud (Bilingual) Ravens Corner Pharmacy 1416 N CHURCH ST 1707 W University Dr
628 Centre Street 500 W JEFFERSON BLVD, McKinney, TX 75069 McKinney, TX 75069
Dallas, TX 75208 Dallas TX 75208 972-562-0190 972-548-9633
(214) 941-0798 (214) 946-1700
Lakes Regional - Greenville MCGAUGHEY MEDICINE CHEST
Adapt Of Texas Waxahatchie The Prescription Shop 4200 Stuart St. 3001 JOE RAMSEY BLVD,
1311 Ferris Ave 120 S. Grand Ave., Ste: 1 Greenville, TX 75402 GREENVILLE, TX 75401
Waxahachie, TX 75165 Waxahachie, TX 75165 903-455-3987 (903)455-2180
(972) 935-9700 (972) 938-2642
PROVIDENCE OF TEXAS MEDICATION STATION
Dallas Metro Care Outpatient Atlshuler Adult OP Clinic Dallas 305 W. Mulberry 700 W HWY 243
Clinic - Atlshuler County MHMR Pharmacy Kaufman, TX 75142 KAUFMAN, TX 75142
4645 Samuell Blvd 4645 Samuell Blvd 972-932-8002 1-800-297-7936
Dallas, TX 75228 Dallas, TX 75228
(214) 275-7393 (214) 275-7393 Adapt/TX - Kaufman MEDICATION STATION
301 W. Mulberry 700 W HWY 243
ABC Behavioral Health Atlshuler Adult OP Clinic Dallas Kaufman, TX 75142 KAUFMAN, TX 75142
4600 Samuell Blvd County MHMR Pharmacy 972-932-4157 1-800-297-7936
Dallas, TX 75228 4645 Samuell Blvd
(214) 275-8500 Dallas, TX 75228 LAKES REGIONAL BASS-RUTLEDGE DRUG CO
(214) 275-7393 (MAIN OFFICE) 201 W. MOORE AVE,
400 AIRPORT RD. TERRELL, TX 75160
Dallas Metro Care Outpatient Pathways Adult OP Clinic - Terrell, TX 75160 (972)563-3327
Clinic - Pathways Dallas County MHMR Pharmacy 972-524-4159
1380 Riverbend Dr. Ste 1340-P, 1380 Riverbend Dr.
Dallas, TX 75247 Dallas, TX 75247 Adapt of TX - Plano KROGER PHARMACY #34581
(214) 743-6188 (214) 743-1229 900 E. Park, #155 2925 CUSTER RD
Plano, TX 75074 PLANO, TX 75075
Child & Family Guidance - Kroger 528 214-544-1887 (972) 612-1864
Main Office 4142 Cedar Springs
8915 HARRY HINES BLVD Dallas, TX 75219 Child & Family Guidance KROGER PHARMACY #35423
Dallas, TX 75235 (214) 599-9859 4031 W Plano Pkwy, Ste. 211 2400 PRESTON RD
(214) 351-3490 Plano, TX 75074 PLANO, TX 75093
972-612-5989 (972)596-5375
Adapt of TEXAS - Dallas Pathways Adult OP Clinic - Dallas
5701 MAPLE AVE. STE 300 County MHMR Pharmacy Life Path Systems LIFE PATH PHARMACY
Dallas, TX 75235 1380 Riverbend Dr. (Main Office) 3920 Alma Dr
214-905-0595 Dallas, TX 75247 3920 ALMA DR Plano, TX 75023
(214) 743-1229 Plano, TX 75023 469-467-8629
972-422-5939
Dallas Metro Care Outpatient Lancaster Adult OP Clinic - Dallas
Clinic - Lancaster County MHMR Pharmacy Child & Family Guidance KROGER PHARMACY #35209
3330 S. Lancaster Rd 3330 S Lancaster Rd. 1035 A MILITARY PKWY 525 N GALLOWAY
Dallas, TX 75216 Dallas, TX 75216 Mesquite, TX 75149 MESQUITE, TX 75149
214-371-6639 (214) 371-6639 972-285-8834 (972) 289-1300
Dallas Metro Care Outpatient Westmoreland Adult OP Clinic - LIFENET COMMUNITY Kroger Pharmacy 511
Clinic - Westmoreland Dallas County MHMR Pharmacy BEHAVIORAL HEALTHCARE 10677 E Northwest Hwy,
1350 N Westmoreland 1350 N. Westmoreland 10405 E Northwest HwySte. 100 Dallas, TX 75238
Dallas, TX 75211 Dallas, TX 75211 Dallas, TX 75238 (214) 553-0997
214-330-0036 (214) 330-0036 214-221-5433
● Accepting Current Patients Only, ▲ Accepting Referrals 15
c.VO_Northstar.indd Sec1:15 1/27/09 1:00:19 PM
ValueOptions® NorthSTAR Pharmacy Network Proveedores Contratados por ValueOptions® NorthSTAR
Non-Indigent Pharmacy Kroger Pharmacy
Provider by County DALLAS COUNTY 5666 E. Mockingbird
Dallas, TX 75206
214-826-2967
Kroger Pharmacy
COLLIN COUNTY 3770 Beltline Road Apothecary Shop
Addison, TX 75001 6303 Forest Park Road
Kroger Pharmacy 972-620-0349 Dallas, TX 75235
1212 E Bethany, Drive 214-357-8889
Allen, TX 75002 Kroger Pharmacy
972-727-9395 11925 Elam Road Kroger Pharmacy
Balch Springs, TX 75180 752 Wynnewood
Kroger Pharmacy 972-557-2567 Dallas, TX 75224
1320 W. McDermott 214-942-3191
Allen, TX 75013 Kroger Pharmacy
214-495-0204 536 Centennial Blvd. Kroger Pharmacy
Richardson, TX 75081 9140 Forest Lane
Kroger Pharmacy 972-437-2478 Dallas, TX 75243
4851 Legacy Drive
Frisco, TX 75034 214-221-0978
Kroger Pharmacy
972-377-0251 235 E. FM 1382 Kroger Pharmacy
Kroger Pharmacy Cedar Hill, TX 75104 N. Beckley Street
7500 Preston at Stonebrook 972-291-0224 Desoto, TX 75115
Frisco, TX 7534 972-224-3225
972-377-0840 Kroger Pharmacy
10677 E. Northwest Highway Kroger Pharmacy
Kroger Pharmacy Dallas, TX 75238 200 W. Camp Wisdom Rd.
1707 W. University 214-553-0997 Duncanville, TX 75116
McKinney, TX 75069 972-298-6255
972-548-9633 Westmoreland Adult OP Clinic
1350 N. Westmoreland Kroger Pharmacy
Kroger Pharmacy
Dallas, TX 75211 2770 Valwood Parkway
2901 So. Lake Forest Drive
McKinney, TX 75070 214-330-0036 Farmers Branch, TX 75234
972-540-1172 972-620-7141
Pathway Adult OP Clinic
Kroger Pharmacy 1380 Riverbend Drive Kroger Pharmacy
2400 Preston Road Dallas, TX 75247 1406 W. Walnut
Plano, TX 75093 214-743-1229 Garland, TX 75042
972-596-5375 972-494-3306
Kroger Pharmacy
Kroger Pharmacy 17194 Preston Road Kroger Pharmacy
2925 Custer Road Dallas, TX 75248 532 W. I-30
Plano, TX 75075 972-931-9371 Garland, TX 75043
972-612-1864
972-226-1132
Lancaster Adult OP Clinic
Kroger Pharmacy
3305 N Dallas Parkway 3330 S. Lancaster Road Kroger Pharmacy
Plano, TX 75093 Dallas, TX 75216 6850 N. Shiloh Road
972-608-4694 214-371-6639 Garland, TX 75044
972-496-4503
Kroger Pharmacy Kroger Pharmacy
4017-14th Street 4142 Cedar Springs Kroger Pharmacy
Plano, TX 75074 Dallas, TX 75219 2525 I-20
972-424-7529 214-599-9861 Grand Prairie, TX 75052
Kroger Pharmacy 972-988-1366
Dallas Metrocare-Outpatient
7100 Independence 4645 Samuell Blvd Kroger Pharmacy
Plano, TX 75025
Dallas, TX 75228 313 E. Spur 303
972-491-2596
214-275-7393 Grand Prairie, TX 75051
Kroger Pharmacy 972-264-0311
9700 Coit Road Ravens Corner
Plano, TX 75025 500 W. Jefferson Kroger Pharmacy
214-705-9097 Dallas, TX 75208 514 S. Carrier Parkway
214-946-1700 Grand Prairie, TX 75050
972-264-0301
●
16 Aceptando solamente pacientes actuales, ▲ Aceptar las referencias
c.VO_Northstar.indd Sec1:16 1/27/09 1:00:19 PM
ValueOptions® NorthSTAR Pharmacy Network Proveedores Contratados por ValueOptions® NorthSTAR
Kroger Pharmacy
2201 W. Grauwyler KAUFMAN COUNTY
Irving, TX 75061
972-790-5747
Bass-Rutledge
Kroger Pharmacy 201 W. Moore Ave
3612 N. Beltline Road Terrell, TX 75160
Irving, TX 75062 972-563-3327
972-252-6350
Medication Station
Kroger Pharmacy 700 W. Highway 243
515 S. MacArthur Blvd. Kaufman, TX 75142
Irving, TX 75060 972-932-6855
972-254-9105
Kroger Pharmacy NAVARRO COUNTY
7505 N. MacArthur Blvd.
Irving, TX 75063
P & S Rexall Pharmacy
972-373-8158
829 N. Main Street
Kroger Pharmacy Corsicana, TX 75110
1919 Faithon P Lucas Blvd. 903-874-5691
Mesquite, TX 75181
469-726-0013
ROCKWALL COUNTY
Kroger Pharmacy
3600 Gus Thomasson Rd Kroger Pharmacy
Mesquite, TX 75150 2935 Ridge Road
972-270-2401 Rockwall, TX 75032
972-771-3208
Kroger Pharmacy
525 N. Galloway
Mesquite, TX 75149
972-289-1300
Kroger Pharmacy
160 N. Coit
Richardson, TX 75080
972-497-9339
Kroger Pharmacy
5190 Highway 78
Sachse, TX 75040
972-675-1066
ELLIS COUNTY
The Prescription
120 S. Grand Ave., Ste: 1
Waxahachie, TX 75165
972-938-2642
HUNT COUNTY
McGaughey Medicine
3001 Joe Ramsey Blvd.
Greenville, TX 75401
903-455-2180
Save Mart
276 Highway 34
Quinlan, TX 75474
903-356-2449
● Accepting Current Patients Only, ▲ Accepting Referrals 17
c.VO_Northstar.indd Sec1:17 1/27/09 1:00:19 PM
ValueOptions® NorthSTAR Provider Network Proveedores Contratados por ValueOptions® NorthSTAR
Hospital Provider
COLLIN COUNTY
Medical Center of McKinney
4500 Medical Center Dr.
McKinney, TX 75069
(972)547-8000
Enrollment Site
DALLAS COUNTY
Hickory Trail Hospital
2000 N. Old Hickory Trail
Desoto, TX 75115
(972)298-7323
Adult
Green Oaks
7808 Clodus Fields Dr.
Dallas, TX 75251
(972)991-9504
Enrollment Site
Parkland Health and Hospital System
5201 Harry Hines Blvd.
Dallas, TX 75235
(214)590-8000
Enrollment Site
Timberlawn Mental Health
4600 Samuell Blvd.
Dallas, TX 75228
(214)381-7181
Enrollment Site (children only)
Zale Lipshy University Hospital
5151 Harry Hines Blvd.
Dallas, TX 75235
(214)648-1541
HUNT COUNTY
Glen Oaks Hospital
301 E. Division St.
Greenville, TX 75402
(903)454-6000
Enrollment Site (children only)
KAUFMAN COUNTY
Terrell State Hospital
1200 East Brin St.
Terrell, TX 75160
(972)563-6452
●
18 Aceptando solamente pacientes actuales, ▲ Aceptar las referencias
c.VO_Northstar.indd Sec1:18 1/27/09 1:00:19 PM
ValueOptions® NorthSTAR Provider Network Proveedores Contratados por ValueOptions® NorthSTAR
NorthSTAR Clinic Dallas Metrocare Services- Dallas Metrocare Services
Special Needs Offender Program 405 Stadium Drive
Providers 3330 S. Lancaster Road, Annex Bldg. Grand Prairie, TX 75052
Mental Health Dallas, TX 75216 (972) 264-8431
(214) 371-0474 Adol Child
Adult Enrollment Site
DALLAS COUNTY Spanish, Chinese, Sign Language
Enrollment Site Dallas Metrocare Services-
ABC Behavioral Health
4600 Samuell Blvd. Eastside Family Center
(Timberlawn Campus) Dallas Metrocare Services- 4701 Samuell Blvd.
Dallas, TX 75228 Westmoreland Clinic Dallas, TX 75228
(214) 275-8500 1350 N. Westmoreland (214) 381-7070
Adult/Enrollment Site Dallas, TX 75211 Adol Child (over 5 yrs.)
(214) 330-0036 Spanish, Chinese, Sign Language
Adapt of Texas Adult Enrollment Site
2600 N. Stemmons Frwy., Suite 151 Spanish, Chinese, Sign Language/
Dallas, TX 75207 Enrollment Site Dallas Metrocare Services-
(888) 905-0595 Early Intervention
Adult//Enrollment Site Dallas Metrocare Services- 1353 N. Westmoreland
Spanish Altshuler Clinic Dallas, TX 75211
4645 Samuell Blvd. (214) 333-7015
Centro De Mi Salud Dallas, TX 75228 Child (up to 6yrs old only)
628 Centre Street (214) 275-7393 Spanish
Dallas, TX 75208 Adult Enrollment Site
(214) 941-0798 Spanish
Adult Adol Child Enrollment Site Galaxy Counseling Center
Spanish/Enrollment Site 1025 S. Jupiter Road
Dallas Metrocare Services- Garland, TX 75042
Child and Family Guidance Homeless (972) 272-4429
8915 Harry Hines Blvd. 1818 Corsicana Street Adult Adol Child
Dallas, TX 75235 Dallas, TX 75201 Spanish
(214) 351-3490 (214) 670-1100
Adult Adol Child Adult Juliette Fowler Homes
Enrollment Site Spanish 1220 Abrams Road
Enrollment Site Dallas, TX 75214
Child and Family Guidance (214) 827-0813
120 W. Main Street, Ste: 220 Dallas Metrocare Services- Adult Adol Child
Mesquite, TX 75149 Pathways Clinic (214) 827-0813
(214) 351-3490 1340 Riverbend Road Spanish
Adults Adol Child Dallas, TX 75247 Enrollment Site
Enrollment Site (214) 743-6188
Adult Lifenet Community Behavioral
Counseling Institute of Texas Spanish, Chinese, Sign Language Healthcare
705 W. Avenue B, Ste: 200 Enrollment Site 9708 Skillman Street
Garland, TX 75040 Dallas, TX 75243
(972) 494-0160 Dallas Metrocare Services- (214) 221-5433
Adult Adol Child Treatment Foster Care Adult Adol Child
1353 N. Westmoreland, Bldg A Enrollment Site
Dallas Metrocare Services Dallas, TX 75211
(Independence House Drop-In Center) (214)333-7015 Providence of Texas
3330 S. Lancaster Road Adol Child 8625 King George Drive, Suite 111
Dallas, TX 75216 Spanish, Chinese, Sign Language Dallas, TX 75235
(214) 941-6054 Enrollment Site (214) 631-7002
Adult Adol Child (over 4 yrs)
Spanish, Chinese, Sign Language Dallas Metrocare Services- Enrollment Site
Enrollment Site Westside Family Clinic
Salesmanship Club Youth & Family
1353 N. Westmoreland, Bldg B
Dallas Metrocare Services – 106 E. 10th Street
Dallas, TX 75211
Lancaster/Keist Clinic Dallas, TX 75203
(214) 331-0107
3330 S. Lancaster Road (972) 481-7890
Adol Child (over 7 yrs.)
Dallas, TX 75216 Adol Child
Spanish
(214) 371-6639 Spanish
Enrollment Site
Adult
Spanish, Chinese, Sign Language Salesmanship Club Youth & Family
Dallas Metrocare Services
Enrollment Site 3003 LBJ Freeway, Ste: 228
221 S. Ninth Street
Dallas, TX 75234
Garland, TX 75040
(972) 481-7890
(972) 494-8164
Adol Child
Adol Child
Spanish
Enrollment Site
● Accepting Current Patients Only, ▲ Accepting Referrals 19
c.VO_Northstar.indd Sec1:19 1/27/09 1:00:20 PM
ValueOptions® NorthSTAR Provider Network Proveedores Contratados por ValueOptions® NorthSTAR
Texas Social Services Adapt of Texas (Wilmer Clinic) Chemical Dependency
3530 Forest Lane, Ste: 83 200 Greene Road
Dallas, TX 75234 Wilmer, TX 75172 DALLAS COUNTY
(972) 838-5798 (866) 562-2730
www.texassocialservices.org Adults Addicare Group of Texas
Adol Child 2722 W. Kingsley, Suite 115
Spanish
Enrollment Site
HUNT COUNTY Garland, TX 75042
(972) 278-4760
Lakes Regional MHMR Adult Adol
Youth Advocate Programs
4200 Stuart Street Enrollment Site
4225 Office Parkway
Greenville, TX 75402
Dallas, TX 75204 First Step Counseling
(903) 455-3987
(214) 821-6505 219 B. Sunset Ave. Suite 101
Adult Adol Child
Adol Child Dallas, TX 75208
Enrollment Site Enrollment Site
(214)942-8808
Providence of Texas Adults
COLLIN COUNTY 2718 Wesley Street, Ste: C Enrollment Site
Greenville, TX 75401
Adapt of Texas (903) 455-9090 First Step Counseling
2300 White Ave., Ste: 104 Adol Child 13610 Midway Road, Suite 241
McKinney, TX 75071 Enrollment Site Dallas, TX 75244
Adult (972) 239-4440
Spanish KAUFMAN COUNTY Adults
Enrollment Site Enrollment Site
Adapt of Texas
Adapt of Texas 106 S. Jefferson Street Holmes Street Foundation
900 E. Park Blvd., Ste: 155 Kaufman, TX 75142 2719 Holmes Street
Plano, TX 75074 (877) 932-4157 Dallas, TX 75215
(866) 544-1887 Adult (214) 421-7580
Adult Enrollment Site Adol (only boys)
Enrollment Site Enrollment Site
Lakes Regional MHMR
Child and Family Guidance 400 Airport Road Homeward Bound
4031 W. Plano Parkway, Suite 211 Terrell, TX 75160 233 W. 10th Street
Plano, TX 75093 (972) 524-4159 Dallas, TX 75208
(214) 351-3490 X 3105 Adult Adol Child (214) 941-3500
Adults Adol Child Enrollment Site Adults
Enrollment Site Spanish
Lakes Regional MHMR Enrollment Site
Crossroads Family Services 400 Terrell Highway
2600 K Ave., Suite 140 Kaufman, TX 75142 La Sima Foundation
Plano, TX 75074 (972) 932-2461 777 S RL Thornton Freeway
(972) 578-2802 Adult Adol Dallas, TX 75203
Adults Adol Child Enrollment Site (214) 941-1132
Spanish Adults
Providence of Texas Enrollment Site
Life Path Systems 106 S. Jefferson Street
3920 Alma Drive Kaufman, TX 75142 Lifenet Community Behavioral
Plano, TX 75023 (800) 297-7936
(972) 422-5939 Healthcare
Adol Child 9708 Skillman Street
Adult Enrollment Site
Enrollment Site Dallas, TX 75243
(214) 221-5433
Life Path Systems ROCKWALL COUNTY Adult Adol Child
1416 N. Church Street Enrollment Site
McKinney, TX 75069 Lakes Regional MHMR
(972) 562-0190 810 Williams Street Nexus Recovery Center
Adult Rockwall, TX 75087 8733 La Prada Drive
Enrollment Site (972) 524-4159 Dallas, TX 75228
Adult (214) 321-0156
Enrollment Site Adult Adol Child (women only)
Spanish
ELLIS COUNTY NAVARRO COUNTY Enrollment Site
Adapt of Texas
1311 Ferris Ave. Adapt of Texas Phoenix House of Texas
Waxahachie, TX 75165 319 N. 12th Street 2345 Regan Street
(866) 935-9700 Corsicana, TX 75110 Dallas, TX 75219
Adult Adol Child (877) 872-1003 (214) 999-1044
Enrollment Site Adult Adol Child Adol
Enrollment Site Enrolment Site
●
20 Aceptando solamente pacientes actuales, ▲ Aceptar las referencias
c.VO_Northstar.indd Sec1:20 1/27/09 1:00:20 PM
ValueOptions® NorthSTAR Provider Network Proveedores Contratados por ValueOptions® NorthSTAR
Phoenix House of Texas West Texas Counseling & Rehabilitation
2438 Butler Street, Suite 100 Foundation (Methadone Clinic) HUNT COUNTY
Dallas, TX 75219 1116 W. Pioneer Drive, Suite 1112
(214) 999-1044 Lakes Regional MH/MR
Irving, TX 75061
Adol 4200 Stuart Street
(972) 253-9370
Enrollment Site Greenville, TX 75402
Adults
(903) 455-3987
Enrollment Site
Phoenix Project Adult Adol Child
201 S. Tyler Street West Texas Counseling & Rehabilitation Enrollment Site
Dallas, TX 75208 Foundation (Methadone Clinic)
(214) 942-5166 Addiction Treatment Resources
5415 Maple Ave., Ste: 427 4702 Wesley Street, Ste: D
Adol Dallas, TX 75235
Enrollment Site Greenville, TX 75401
(214) 630-7146 (903) 455-4114
Adults Adolescent
Recovery Healthcare Corporation Enrollment Site
2520 Electronic Lane, Suite 810 Enrollment Site
Dallas, TX 75220
(214) 350-1711 COLLIN COUNTY Addiction Treatment Resources
Adult 3819 Highway 34 South, Ste: C
Enrollment Site Avenues Counseling Center Greenville, TX 75402
201 W. Louisiana Street (903) 883-4500
Remedy Addictions Counselors McKinney, TX 75070 Adult
1400 W. Irving Blvd., Ste: 100 (972) 562-9647 Enrollment Site
Irving, TX 75061 Adult Adol Child
(972) 253-0000 Enrollment Site KAUFMAN COUNTY
Adult Adol
Enrollment Site First Step Counseling Lakes Regional MH/MR
900 E Park Blvd., Ste: 153 400 Airport Road
Remedy Addictions Counselors Plano, TX 75074 Terrell, TX 75160
4915 Gus Thomason (972) 633-5544 (972) 524-4159
Mesquite, TX 75150 Adults Adult Adol Child
(214) 324-5400 Enrollment Site Enrollment Site
Adult Adol
Enrollment Site Life Management Resources Lakes Regional MHMR
3131 Custer Road, Suite 265 400 Terrell Highway
Solace Counseling and Associates Plano, TX 75075 Kaufman, TX 75142
1475 Prudential Drive (972) 985-7565 (972) 932-2461
Dallas, TX 75235 Adults Adult Adol
(214) 522-4640 Enrollment Site Enrollment Site
Adults
Enrollment Site West Texas Counseling & Rehabilitation MCLENNAN COUNTY
Foundation (Methadone Clinic)
S.T.E.P. Med (Methadone Clinic) 1006 20th Street The Freeman Center
1705 Martin Luther King Jr. Blvd, Suite E Plano, TX 75074 1401 Columbus Ave
Dallas, TX 75215 (972) 423-8532 Waco, TX 76703
214-421-9100 Adults (254) 753-8251
Adults Enrollment Site Adult Adol
Enrollment site
The Road to Recovery
9304 Forest Lane, Suite 269 North
ROCKWALL COUNTY
Dallas, TX 75243 Lakes Regional MH/MR
(214) 503-3764 810 Williams Street
Adults Rockwall, TX 75087
Enrollment Site (972) 524-4159
Adult
Turtle Creek Manor Enrollment Site
2820 Swiss Ave
Dallas, TX 75204
(214) 522-7930
ELLIS COUNTY
Adults Counseling Center of Ellis County
Enrollment Site 6350 N. Interstate 35 East
Waxahachie, TX 75165
Turtle Creek Manor
(972) 617-6222
2707 Routh Street
Adult
Dallas, TX 75201
Enrollment Site
(214) 871-2483
Adults
Enrollment Site
● Accepting Current Patients Only, ▲ Accepting Referrals 21
c.VO_Northstar.indd Sec1:21 1/27/09 1:00:20 PM
ValueOptions® NorthSTAR Provider Network Proveedores Contratados por ValueOptions® NorthSTAR
NorthSTAR Individual Ellason, Joan LPC Moreno, Richard PhD
101 E. Park Blvd., Ste: 640 1721 W. Plano Parkway, Ste: 107
Providers Plano, TX 75074 Plano, TX 75075
(469) 831-4548 (972) 673-4111
COLLIN COUNTY Adult Adol Adult
Chemical Dependency Providers Gaskin-Smith, Wanda PhD Pruitt, Debra LPC
321 N. Central Expressway, Ste: 309 6136 Frisco Square Blvd., Ste: 400
Kelly, Sherry LCSW McKinney, TX 75070 Frisco, TX 75034
2121 Spring Creek Pkwy, Ste: 220 (972) 562-7860 (214) 923-8488
Plano, TX 75023 Adult Adol Child Adult Adol Child
(972) 867-8169
Adult Adol Goodwin, Pamela LPC ▲ Sikes, Lori LCSW
2800 W. Parker Road, Ste: 103 555 Republic, Suite 109
Little, Irene LCDC ▲ Plano, TX 75075 Plano, TX 75074
5555 Republic Drive (2nd floor) (214) 202-7437 (469) 693-5705
Plano, TX 75074 Adult Adol Child Adult Adol Child
(972) 516-4297
Adult Adol Hamilton, Ellen LPC Sikes, Lori LCSW
720 E. Main Street, Ste: C7 6404 International Parkway, Ste: 2100
O’Neal, Michael, LCDC Allen, TX 75002 Plano, TX 75093
201 W. Boyd Drive, Suite 105D (469) 867-3274 (469) 693-5705
Allen, TX 75013 Adult Adol Child Adult Adol Child
(972) 359-1600
Adult Hebert, David LPC DALLAS COUNTY
2309 Coit Road, Ste: E
Mental Health Providers Plano, TX 75075 Chemical Dependency Providers
(214) 867-6363
Anderson, Annette LCSW Adult Adol child Arnett, Gary LPC
555 Republic Drive, Suite 109 7920 Beltline Road, Ste: 250
Plano, TX 75074 Hildre, Jerold LPC Dallas, TX 75254
(972) 480-5310 3033 Maumelle Drive (972) 259-4025
Adult Adol Child Plano, TX 75203 Adult Adol (over 16 yrs)
(972) 606-3015
Baumbach, Cathy LPC ▲ Adult Adol Berger, Mary LCSW
202 N. Allen Drive, Suite E 511 E. Carpenter Frwy, Ste: 436
Allen, TX 75013 Kelly, Sherry LCSW Irving, TX 75062
(972) 896-6123 2121 Spring Creek Pkwy, Ste: 220 (972) 506-0700
Adult Adol Child Plano, TX 75023 Adult
(972) 867-8169
Bellamy, Douglas EdD Adult Adol Brewster, Judith LPC, LCDC
101 E. Park Blvd., Ste: 600 6162 E. Mockingbird Lane, Ste: 204
Plano, TX 75074 Little, Irene LCDC ▲ Dallas, TX 75214
(972) 618-4252 5555 Republic Drive (2nd floor) (214) 824-1914
Adult Adol Child Plano, TX 75074 Adult Adol Child
(972) 516-4297
Bellamy, Priscilla EdD Adult Adol Burks, Kathey LMFT
101 E. Park Blvd. Ste: 600 9550 Forest Lane
Plano, TX 75074 McGrath, Eileen LPC Building 1, Suite 116
(972) 618-4252 555 Republic Drive Dallas, TX 75243
Adult Adol Child Plano, TX 75074 (972) 250-1136
(972) 377-9814 Adults
Bennett, Michael Ph.D Adult Adol Child (over 2 years)
3608 Preston Rd., Ste: 150 Burks, Kathey LMFT
Plano, TX 75093 McGrath, Eileen LPC 18601 LBJ Freeway, Suite: 160
(469) 467-0644 9741 Preston Road, Ste: 105 Mesquite, TX 75150
Adult Adol Child Frisco, TX 75034 (972) 250-1136
(972) 377-9814 Adults
Cameron, Susan LPC ● Adult Adol Child (over 2 years)
2301 Ohio, Suite 259 Corn, Billy LPC ▲
Plano, TX 75093 Meyer, Darren MD 202 West Center Street, Ste: F
(972) 964-7730 321 N. Central Expressway, Ste: 340 Duncanville, TX 75138
Adult Adol McKinney, TX 75070 (972) 296-2676
(972) 529-5445 Adult Adol
Cocoris, John PsyD Adult
7209 Verdi Way Denson, Michael LCSW
McKinney, TX 75070 Moolamalla, Preveen MD ● 1075 Kinwest Parkway, Ste: 107
(972) 529-4483 321 N. Central Expwy, Ste: 340 Irving, TX 75063
Adult Adol Child McKinney, TX 75070 (972) 910-8388
(972) 529-5445 Child (over 8 years)
Adult Adol
●
22 Aceptando solamente pacientes actuales, ▲ Aceptar las referencias
c.VO_Northstar.indd Sec1:22 1/27/09 1:00:20 PM
ValueOptions® NorthSTAR Provider Network Proveedores Contratados por ValueOptions® NorthSTAR
Dilmore-Jones, Helen LCSW Myers, Janell LPC, LMFT, LCDC, PhD Williams, James LPC, LCDC ▲
3960 Broadway Blvd. Ste: 220 7475 Skillman, Ste: 106A 8500 N. Stemmons Frwy, Suite 1070
Garland, TX 75049 Dallas, TX 75248 Dallas, TX 75247
(214) 682-8444 (214) 221-2121 (214) 638-9000
Adult Adol Child Adult Adol Child (over 10yrs)
Mental Health Providers
Felber, Mark LPC, LCDC Nazempoor, Al LPC, LCDC, PhD
1311 Rockingham Drive, Ste: 230 Bank of America Tower Abernethy, Pam LPC
Richardson, TX 75080 400 S. Zang Blvd., Ste: 813 1221 Abrams Road, Ste: 232, Box 47
(214) 796-2323 Dallas, TX 75208 Richardson, TX 75081
Adult (972) 233-0181 (972) 234-2333
Adult Adol Child (over 10yrs) Adult Adol
Fernando, Sumith, LPC Farsi
2455 Robinson Rd.
Grand Prairie, TX 75051 Alexander, Cindy LCSW
O’Dea, John LPC
(972) 522-5665 (Dallas Children’s Advocacy Center)
1475 Prudential Drive
Adult Adol 3611 Swiss Ave.
Dallas, TX 75235
Dallas, TX 75204
(214) 522-4640
(214) 818-2604
Haram, Sandra PhD Adult
Adol Child
1401 N. Central Expwy., Ste: 375
Richardson, TX 75080 Perez, Juan LPC
Alexander, Stacia LPC
(972) 644-8077 620 W. Westchester Parkway, Suite 2207
1700 Commerce Street, Ste: 1210
Adult Adol Child Grand Prairie, TX 75052
Dallas, TX 75201
(469) 682-8046
(469) 227-7847
Horton, Rhonda LPC Adol Child
Adult Adol Child
629 W Centerville Road, Ste: 205 Spanish
Garland, TX 75041 Allen, Thomas LPC
(972) 278-5088 Ext: 15 Phelps, Carol LMFT
14114 Dallas Parkway, Suite 260
Adult Adol Child (over 5 yrs) 5646 Milton Street, Ste: 520
Dallas, TX 75254
Dallas, TX 75206
(214) 498-8466
Jung, Pyeong-Soo “Daniel” LPC (214) 528-3007
Adult
3530 Forest Lane, Ste: 255 Adult Adol
Dallas, TX 75234 Anderson-Captain, Diane LPC
(214) 358-7533 Prakash, A PhD
400 S. Zang Blvd., Ste: 828
Adult Adol Child 800 W Airport Frwy., Ste: 1100
Dallas, TX 75208
Korean Irving, TX 75062
(214) 948-9200
(972) 445-4158
Adult Adol Child (over 6 yrs)
Lawless, Dommie LPC Adult Adol Child
1750 N. Collins Blvd. Ste: 200 Hindi, Urdu Antonetti, Robert LPC
Richardson, TX 75080 3420 Oak Grove Ave.
(972) 412-7645 Solis, Carolyn LPC
Dallas, TX 75204
Adult Adol 3626 N. Hall Street, Ste: 619
(214) 720-1833
Dallas, TX 75219
Adult Adol Child
Martin, Cornelius LMSW (214) 521-4241
Spanish
3719 N. Hall Street Adult
Dallas, TX 75219 Arnett, Gary LPC
(214) 526-3181 Sparks, Luanne LMFT, LCDC
7920 Beltline Road, Ste: 250
Adult Adol 310 E. I-30, Ste: M-103
Dallas, TX 75254
Garland, TX 75043
(972) 259-4025
Melman, Steven LMFT (972) 270-0425
Adult Adol (over 16 yrs)
12870 Hillcrest Plaza, Ste: 212 Adult Adol Child (over 6yrs)
Dallas, TX 75230 Barry, John LPC ▲
(800) 603-9217 Sparks, Luanne LMFT, LCDC
3626 N. Hall Street, Ste: 619
Adult Adol Child 602 N. Main Street
Dallas, TX 75219
Duncanville, TX 75137
(214) 521-4241
Merchant, Albert LCSW (972) 270-0425
Adult
11520 N. Central Expressway, Ste: 200 Adult Adol Child (over 6yrs)
Dallas, TX 75243 Bateman, Kenneth LPC, LMFT, EdD
(214) 503-9222 Tulloch, Edwin LPC, LMFT
1701 N. Collins Road, Ste: 310
Adult Adol Child (over 6yrs) 7424 Greenville Ave, Ste: 114
Richardson, TX 75080
Dallas, TX 75214
(972) 680-8986
Mills, Kathleen LPC (972) 617-0242
Adult Adol
14679 Midway Road, Ste: 200 Adult Adol Child
Addison, TX 75001 Bates, Delores LPC
(972) 234-6634 Tulloch, Edwin LPC, LMFT
1106 Santa Fe Trail, Ste: 6
Adult Adol 543 E. Freeman
Duncanville, TX 75137
Duncanville, TX 75116
(972) 780-1504
(972) 617-0242
Adult Adol Child
Adult Adol Child
● Accepting Current Patients Only, ▲ Accepting Referrals 23
c.VO_Northstar.indd Sec1:23 1/27/09 1:00:20 PM
ValueOptions® NorthSTAR Provider Network Proveedores Contratados por ValueOptions® NorthSTAR
Bellamy, Douglas EdD Busby, Margaret LPC, LMFT Crosby, Shirley LCSW
17304 Preston Road, Ste: 800 2995 LBJ Freeway, Ste: 200 1106 S. Santa Fe Trail, Ste: 4
Dallas, TX 75252 Dallas, TX 75234 Duncanville, TX 75137
(972) 618-4252 (972) 243-8822 (214) 929-4269
Adult Adol Child Adult Adol Child (over 8 yrs) Adult Adol Child
Berger, Mary LCSW Cannon, Betty LPC Daner, Francine LPC, LMFT
511 E. John Carpenter Frwy. Ste: 436 10910 Listi Drive 1118 Overlake Drive
Irving, TX 75062 Dallas, TX 75238 Richardson, TX 75080
(972) 506-0700 (214) 537-9297 (972) 234-2257
Adult Adult Adol Child Adult Adol (Girls only)
Berger, Murray PhD, LMFT Chandler, Donald Jr LPC David, Suzanne LPC
11311 N Central Expwy. Ste: 208 424 S. Corinth Street 12860 Hillcrest Road, Ste: C124
Dallas, TX 75243 Dallas, TX 75203 Dallas, TX 75230
(214) 692-5793 (214) 941-0578 (972) 728-1566
Adult Adult Adol Child Adol Child
Berger, Roberta, PhD Chio, Maria LPC Dilmore-Jones, Helen LCSW ▲
11311 N Central Expwy. Ste: 208 5005 W. Royal Lane, Ste: 271 3960 Broadway, Ste: 220
Dallas, TX 75243 Irving, TX 75063 Garland, TX 75043
(214) 692-5793 (214) 492-1975 (214) 682-8444
Adult Adol Child Adult Adol Child Adult Adol Child
Spanish
Blair, Leita LPC Donohue, Peggy LPC, LMFT
2007 N Collins, Ste: 409 Ciarochi, Sandra LPC 1221 Abrams Road, Ste: 227
Richardson, TX 75080 903 S. Main Street, Ste: 101 Richardson, TX 75081
(817) 410-9006 Duncanville, TX 75137 (972) 669-0774
Adult Adol Child (972) 296-9947 Adult Adol Child (over 6yrs)
Spanish Adult
Efurd, Emily LPC
Bontempo, Beth PhD Clark, Debbie LCSW, LMFT 2302 Northeast Parkway
5646 Milton Street 6301 Gaston Ave, Ste: 620 Garland, TX 75040
Dallas, TX 75206 Dallas, TX 75214 (214) 906-2913
(214) 356-9888 (214) 370-5333 Adult Adol
Adult Adol Child Adol Child
Felber, Mark LPC, LCDC
Bracken, Jill DO ● Copaken, James LCSW ▲ 1311 Rockingham Drive, Ste: 230
3200 Southern Drive, Ste: 107 5402 Arapaho Road Richardson, TX 75080
Garland, TX 75043 Dallas, TX 75248 (214) 796-2323
(972) 278-5385 (972) 437-9950 Adult
Adult Adol Child Adult Adol Child
Felsenthal, Debbie LCSW
Brewster, Judith LPC, LCDC Corn, Billy LPC ▲ 1221 W Campbell Road, Ste: 123
6162 E. Mockingbird Lane, Ste: 204 202 West Center Street, Ste: F Richardson, TX 75080
Dallas, TX 75214 Duncanville, TX 75138 (972) 231-1102
(214) 824-1914 (972) 296-2676 Adult Adol
Adult Adol Child Adult Adol
Fenton, Barry MD
Brophy, Michael MD Coutee, Kelly LPC 3710 Rawlings, Ste: 1370
800 W Airport Frwy, Ste: 1015 9304 Forest Lane, Ste: 100-South Dallas, TX 75219
Irving, TX 75062 Dallas, TX 75243 (214) 520-7575
(972) 445-0086 (214) 340-0208 Adult Adol
Adult Adol Child Adult Adol Child
Fernando, Sumith, LPC
Burks, Kathey LMFT Cox, Patricia LCSW 2455 Robinson Rd.
9550 Forest Lane 3609 Cedar Springs Road Grand Prairie, TX 75051
Building 1, Suite 116 Dallas, TX 75219 (972) 522-5665
Dallas, TX 75243 (214) 526-2000 Adult Adol
(972) 250-1136 Adult Adol
Adults Fliss, Karen LPC
Crooks, Wayne LCSW 6945 Westlake Ave.
Burks, Kathey LMFT 8035 E. R L Thornton Frwy. Ste: 503 Dallas, TX 75214
18601 LBJ Freeway, Suite: 160 Dallas, TX 75228 (214) 321-8910
Mesquite, TX 75150 (214) 319-9200
(972) 250-1136 Adult Adol Foster, Mark PhD, LMFT
Adults 2730 N. Stemmons Fwy (West Tower)
Ste: 407
Dallas, TX 75207
(972) 977-5727
Adult Adol Child
●
24 Aceptando solamente pacientes actuales, ▲ Aceptar las referencias
c.VO_Northstar.indd Sec1:24 1/27/09 1:00:21 PM
ValueOptions® NorthSTAR Provider Network Proveedores Contratados por ValueOptions® NorthSTAR
Foster, Martha LPC Hamric, Conrad, LCSW Khatami, Manoochehr MD
407 N. Cedar Ridge, Ste: 200 17440 Dallas Parkway, Suite 208 5939 Harry Hines Blvd., Ste: 823
Duncanville, TX 75116 Dallas, TX 75287 Dallas, TX 75235
(972) 283-9282 (214) 289-3164 (214) 631-0502
Adult Adol Child Adult Adol Child Adult
Farsi
Freele, Robert MD Hamric, Conrad, LCSW
7777 Forest Lane, Ste: C833 923 York Drive Kogan, Inna MD
Dallas, TX 75230 Desoto, TX 75115 13101 Preston Road, Ste: 504
(972) 566-4591 (214) 289-3164 Dallas, TX 75240
Adult Adol Adult Adol Child (469) 791-9000
Adult
General, Dale PhD Haram, Sandra PhD Russian
11882 Greenville Ave, Ste: 105 1401 N. Central Expwy., Ste: 375
Dallas, TX 75243 Richardson, TX 75080 Kunnathusseril, John LPC
(214) 340-1601 (972) 644-8077 4525 Lemmon Ave., Ste: 200
Adult Adol (over 16 yrs) Adult Adol Child Dallas, TX 75219
(214) 526-4525
Gibson, Randall LPC Harton, Rhonda LCSW ▲ Adult Adol Child (over 13yrs)
5710 LBJ Frwy, Ste: 210 1704 N. Hampton Road, Ste: 204 Hindi, Malayalam, Tamil
Dallas, TX 75240 Desoto, TX 75115
(214) 929-4670 (214) 287-0644 Lahti, Sherrie LPC
Adult Adol Child Adult Adol Child 1510 N. Hampton Drive, Ste: 250
Spanish Desoto, TX 75115
Hartzog, Dennis LPC (972) 224-8606
Glick, Michael EdD, LPC, LMFT 3317 McKinney Ave., Ste: 205 Adult Adol Child
3906 Lemmon Ave., Ste: 204 Dallas, TX 75204
Dallas, TX 75219 (214) 559-3478 Lammers, Donald PhD
(214) 521-0451 Adult 8215 Westchester Drive, Ste: 130
Adult Adol Child Dallas, TX 75225
Hebert, David LPC (214) 891-0925
Gotts, Linda PhD 777 Walter Reed Blvd., Ste: 305 Adult Adol Child
100 N. Central Expwy., Ste: 614 Garland, TX 75042
Richardson, TX 75080 (972) 276-8820 Lawless, Dommie LPC
(972) 238-7507 Adult Adol Child 1750 N. Collins Blvd., Ste: 200
Adult Richardson, TX 75080
Hunt, Ruth LPC (972) 412-7645
Graham, Sherry LPC 1401 N. Central Expwy., Ste: 375 Adult Adol
3112 Hood Street Richardson, TX 75080
Dallas, TX 75219 (972) 231-9111 Litwins, Nola Ph.D
(214) 769-8165 Adult Adol Child 12820 Hillcrest Road, Ste: C107
Adult Adol Child Dallas, TX 75230
Husbands, Marjorie LPC (972) 849-4128
Graham, Sherry LPC 18170 Dallas Parkway, Suite 502 Adult
8035 E. R.L. Thornton, Ste: 503 Dallas, TX 75287
Dallas, TX 75228 (972) 669-9944 Marquez, Theresa LMSW ▲
(214) 319-9200 Adult Adol Child 1701 Gateway Blvd., Ste: 465
Richardson, TX 75080
Grantham, Barbara LPC Jones, Christopher LPC (972) 644-2500
509 N.E. 4th Street, Ste: 200 1700 Commerce Street, Suite 1210 Adult Adol Child
Grand Prairie, TX 75050 Dallas, TX 75201
(972) 264-0604 (469) 227-7847 Marr, John PhD
Adult Adol Child Adult Adol Child 2655 Villa Creek Drive, Ste: 110
Dallas, TX 75234
Grisham, James LPC Jones-Epstein, Ruby LCSW ▲ (972) 488-2303
6220 Gaston Ave., Ste: 200F 3231 S. Carrier Parkway Adult Adol Child
Dallas, TX 75214 Grand Prairie, TX 75052
(972) 822-4110 (972) 237-1821 Martin, Cornelius LCSW
Adult Adol Adult Adol Child 3719 N. Hall Street
German Dallas, TX 75219
Grubbs, Gerald EdD (214) 526-3181
221 E. Davis Jung, Pyeong-Soo “Daniel” LPC Adult Adol
Mesquite, TX 75149 3530 Forest Lane, Ste: 255
(972) 289-9954 Dallas, TX 75234 Melman, Steven LMFT
Adult Adol Child (214) 358-7533 12870 Hillcrest Plaza, Ste: 212
Adult Adol Child Dallas, TX 75230
Hamilton, Joyce LPC ▲ Korean (800) 603-9217
5906 Llano Ave Adult Adol Child
Dallas, TX 75206
(214) 823-2861
Adult Adol Child
● Accepting Current Patients Only, ▲ Accepting Referrals 25
c.VO_Northstar.indd Sec1:25 1/27/09 1:00:21 PM
ValueOptions® NorthSTAR Provider Network Proveedores Contratados por ValueOptions® NorthSTAR
Meltzer, Rachel LPC O’Brien David PhD ▲ Phelps, Carol LMFT
1221 Abrams Road, Ste: 232 9304 Forest Lane, Ste: 274 5646 Milton Street, Ste: 520
Richardson, TX 75081 Dallas, TX 75243 Dallas, TX 75206
(972) 234-2333 (214) 221-0010 (214) 528-3007
Adult Adol Adult Adol Adult Adol
Merchant, Albert LCSW O’Dea, John LPC Pinillos, Mary LPC ▲
11520 N. Central Expressway, Ste: 200 1475 Prudential Drive 6220 Gaston Ave, Suite 606
Dallas, TX 75243 Dallas, TX 75235 Dallas, TX 75214
(214) 503-9222 (214) 522-4640 (214) 404-6929
Adult Adol Child (over 6yrs) Adult Adult Adol
Spanish
Mills, Kathleen LPC Okafor, Mary LPC
14679 Midway Road, Ste: 200 4915 Gus Thomasson Road, Ste: 110 Poeck, Shirley LPC
Addison, TX 75001 Dallas, TX 75227 3530 Forest Lane, Ste 83
(972) 234-6634 (214) 435-6414 Dallas, TX 75234
Adult Adol Adult Adol Child (972) 764-8045
Igbo Adult Adol Child
Mims, Linda LPC Spanish, French
400 S. Zang Blvd., Ste: 828 Omolaja, Rabiu LPC
Dallas, TX 75208 3021 Southern Hills Lane Polan, Roger LCSW
(214) 948-9400 Mesquite, TX 75181 5470 Glen Lakes Drive, Ste: 400
Adult Adol Child (214) 641-4577 Dallas, TX 75231
Adult (214) 361-9336
Mittledorf, Wynne LPC Adult Adol Child (over 6 yrs)
(Dallas Children’s Advocacy Center) Oshman, Harvey PhD
3611 Swiss Ave. 12201 Merit Drive, Ste: 250 Portwood, Sheri LCSW, LMFT
Dallas, TX 75204 Dallas, TX 75251 5402 Arapaho Road
(214) 818-2658 (972) 404-8253 Dallas, TX 75248
Adult Adol Child Adult Adol Child (972) 437-9950
Adult
Montani, Graciela LPC Oualline, Viola PhD
1005 W. Jefferson Blvd., Ste: 205 11311 N. Central Expwy., Ste: 208 Prakash, A PhD
Dallas, TX 75208 Dallas, TX 75243 800 W Airport Frwy., Ste: 1100
(214) 941-1650 (214) 696-1079 Irving, TX 75062
Adult Adol Child Adol Child (972) 445-4158
Spanish Adult Adol Child
Parker, Susan LPC Hindi, Urdu
Morris, Brenda LPC 331 Melrose, Ste: 105
3617-B Broadway Blvd. Richardson, TX 75080 Prescott, Melanie LPC ▲
Garland, TX 75043 (972) 517-8138 14833 Midway Road, Ste: 210
(972) 278-1590 Addison, TX 75001
Adult Adol Child Parker, Susan LPC (214) 477-6945
331 Melrose, Ste: 105 Adult Adol Child
Mulcahy, Mary LPC Richardson, TX 75080
6220 Gaston Ave., Ste: 606 (972) 517-8138 Price, Lynn PhD
Dallas, TX 75214 Adult 12880 Hillcrest Road, Ste: 233
(214) 632-6500 Dallas, TX 75230
Adult Patterson, Mary PhD (972) 233-9064
329 Cooper Street Adult Adol Child
Myers, Janell LPC, LMFT, LCDC, PhD Cedar Hill, TX 75104
7475 Skillman, Ste: 106A (972) 293-3939 Quarfoot, Beth LPC
Dallas, TX 75248 Adult Adol Child (over 4 yrs) 331 Melrose Drive, Ste: 105
(214) 221-2121 Richardson, TX 75080
Adult Adol Child (over 10yrs) Perez, Juan LPC (972) 907-0077
620 W. Westchester Parkway, Suite 2207 Adult Adol Child
Nazempoor, Al LPC, LCDC, PhD Grand Prairie, TX 75052
Bank of America Tower (469) 682-8046 Ratner, Joyce LPC
400 S. Zang Blvd., Ste: 813 Adol Child 8035 R.L. Thornton Frwy., Ste: 503
Dallas, TX 75208 Spanish Dallas, TX 75228
(972) 233-0181 (214) 319-9200
Adult Adol Child (over 10yrs) Petty, Laurie LPC Adult Adol Child (over 8 yrs)
Farsi 14833 Midway Road, Ste: 210
Dallas, TX 752301 Reed, Jimmie LCSW
Nuche, Sarah PhD (214) 202-4687 5402 Arapaho Road
12820 Hillcrest Road, Ste: C112 Adult Adol Child Dallas, TX 75248
Dallas, TX 75230 (972) 437-9950
(972) 490-8833 Adult
Adult Adol Child
●
26 Aceptando solamente pacientes actuales, ▲ Aceptar las referencias
c.VO_Northstar.indd Sec1:26 1/27/09 1:00:21 PM
ValueOptions® NorthSTAR Provider Network Proveedores Contratados por ValueOptions® NorthSTAR
Rickman, Wendy LPC, LMFT Shavers, Dolores LPC ▲ Stokes, Nancy LPC
9304 Forest Lane, Ste: 269 North 8035 E R.L. Thornton Freeway, Ste: 533 6750 Hillcrest Plaza Drive, Ste: 304
Dallas, TX 75243 Dallas, TX 75228 Dallas, TX 75230
(214) 503-3764 (214) 660-9515 (972) 681-2760
Adult Adol Adult Adol Child Adult
Riddick, Christopher LPC Sheikha, Sabri MD ● Stokes, Nancy LPC
580 Denton Tap Road, Ste: 270 505 W. Centerville Road 6162 E. Mockingbird Lane, Ste: 204
Coppell, TX 75019 Garland, TX 75041 Dallas, TX 75214
(972) 393-1596 ext 06 (972) 768-8884 (972) 681-2760
Adult Adol Child Adult Adol Child Adult
Arabic
Rila, Barbara PhD Stolarski, Frances LCSW
2665 Villa Creek Drive, Ste: 202 Shiwach, Rajinder, MD ▲ 1005 W. Jefferson Blvd., Ste: 205
Dallas, TX 75234 941 York Drive, Suite 205 Dallas, TX 75208
(972) 243-5817 Desoto, TX 75115 (214) 941-1650
Adult Adol (972) 283-6286 Adult Adol Child (over 3 yrs)
Adult Spanish
Ring, Marsha LPC Hindi
8222 Douglas Ave, Ste: 777 Tarver, Donna LCSW
Dallas, TX 75225 Skipper-Relyea, Melanie LPC 5924 Royal lane, Ste: 216
(214) 361-9010 800 W. Beltline Road Dallas, TX 75230
Adult Adol Child Cedar Hill, TX 75104 (214) 691-2171
(972) 754-9313 Adult Adol Child
Roche, Steve MD Adult Adol Child
12201 Merit Drive, Ste: 250 Terpstra, David LPC, LMFT
Dallas, TX 75251 Smith, Linda LCSW 530 S. Carrier Pkwy., Ste: 397
(972) 404-8253 4525 Lemmon Ave., Ste: 200 Grand Prairie, TX 75051
Adult Adol Dallas, TX 75219 (214) 354-3648
(214) 526-4525 Adult Adol
Rosin, Charles PhD Adult Adol Child
205 Dal Rich Village Terpstra, David LPC, LMFT
Richardson, TX 75080 Smith, Mary Magdalena LPC 6162 E. Mockingbird Lane, Ste: 215
(972) 437-0531 214 S. Main Street, Suite 100B Dallas, TX 75214
Adult Ado Duncanville, TX 75116 (214) 354-3648
(972) 283-4336 Adult Adol
Russell, Jinna LPC ● Adult Adol Child
10622 Lake Haven Spanish Tipton, Lee LPC ●
Dallas, TX 75238 9304 Forest Lane, Ste: 100 South
(303) 456-2889 Smith, Rob LCSW Dallas, TX 75243
Adult Adol Child 8035 E. R.L. Thornton Frwy., Ste: 503 (214) 340-0208
Dallas, TX 75228 Adult Adol
Schultz, Andrea LPC ▲ (214) 319-9200
(Dallas Children’s Advocacy Center) Adult Adol Child (over 4 yrs) Tulloch, Edwin LPC, LMFT
3611 Swiss Ave 7424 Greenville Ave, Ste: 114
Dallas, TX 75204 Solis, Carolyn LPC Dallas, TX 75214
(214) 818-2604 3626 N. Hall Street, Ste: 619 (972) 617-0242
Adol Child Dallas, TX 75219 Adult Adol Child
(214) 521-4241
Schultz, Suzanne LPC Adult Tulloch, Edwin LPC, LMFT
13345 N. Central Expwy., Ste: 200 543 E. Freeman
Dallas, TX 75243 Sparks, Luanne LMFT, LCDC Duncanville, TX 75116
(972) 248-5567 310 E. I-30, Ste: M-103 (972) 617-0242
Adult Adol Child Garland, TX 75043 Adult Adol Child
(972) 270-0425
Scoville, Alice LPC, LMFT Adult Adol Child (over 6yrs) Turney, Sandra LCSW
2007 N Collins Blvd., Ste: 509 3626 N. Hall Street, Ste: 623
Richardson, TX 75080 Spillman, Craig LPC Dallas, TX 75219
(972) 699-9991 1300 Walnut Hill Lane, Ste: 200 (214) 528-3722
Adult Adol Child (over 8 yrs) Irving, TX 75038 Adult
(972) 550-8369
Shackelford, John PsyD Adult Adol Child White, Russell LPC
1701 Gateway Blvd., Ste: 405 3465 Highland Road, Ste: 110
Richardson, TX 75080 Sprague, Carla LCSW Dallas, TX 75228
(972) 979-1949 2995 LBJ Frwy., Ste: 200 (214) 320-9202
Adult Adol Child Dallas, TX 75234 Adult
(972) 620-1889
Adol Child (starting at 5yrs to 13yrs)
● Accepting Current Patients Only, ▲ Accepting Referrals 27
c.VO_Northstar.indd Sec1:27 1/27/09 1:00:21 PM
ValueOptions® NorthSTAR Provider Network Proveedores Contratados por ValueOptions® NorthSTAR
White, Russell LPC Stubblefield, Loretta LPC Johns, Vickie LPC ▲
6301 Gaston Ave., Ste: 620 100 W. Oak, Ste: 205 507 S. Clay street
Dallas, TX 75214 Denton, TX 76201 Ennis, TX 75116
(214) 929-7840 (940) 368-7700 (469) 766-7490
Adult Adult Adol Child (over 3yrs) Adult
Wilcox, Bill LPC ELLIS COUNTY Johns, Vickie LPC
12820 Hillcrest Road, Ste: C127 215 W. Franklin Street
Dallas, TX 75230 Waxahachie, TX 75165
(972) 386-8990
Chemical Dependency Providers (469) 766-7490
Adult Allain, Jackie LPC ● Adult
408 W Avenue F
Williams, James LPC, LCDC ▲ Metcalfe, Carol LPC ▲
Midlothian, TX 76065
8500 N. Stemmons Frwy, Suite 1070 3080 W Highway 287 Bypass
(972) 723-0044
Dallas, TX 75247 Waxahachie, TX 75167
Adult Adol Child (over 3 yrs)
(214) 638-9000 (469) 767-7868
Boaz, Benjamin LPC Adult Adol Child
Wilkinson, Ron LCSW, LMFT
6350 North I-35 E
3131 Turtle Creek Blvd., Ste: 1022 Radosta, Robert PhD
Waxahachie, TX 75165
Dallas, TX 75219 206 South Rogers Street, Ste: 205
(972) 617-6222
(214) 522-9909 Waxahachie, TX 75165
Adult Adol
Adult Adol (972) 816-8772
Radosta, Robert PhD Adult Adol Child
Wood, Cedric LPC
7424 Greenville Ave., Ste: 104 206 South Rogers Street, Ste: 205 Tulloch, Edwin LPC, LMFT
Dallas, TX 75231 Waxahachie, TX 75165 624 Ovilla Road
(214) 394-4040 (972) 816-8722 Waxahachie, TX 75165
Adult Adult Adol Child (972) 617-0242
Adult Adol Child
Wrightsman, James LPC ▲ Tulloch, Edwin LPC, LMFT
4240 W. Lovers Lane 624 Ovilla Road Von Helms, Caroline LPC ●
Dallas, TX 75209 Waxahachie, TX 75165 203 S. College Street, Ste: 202
(214) 330-2727 (972) 617-0242 Waxahachie, TX 75165
Adult Adol Child Adult Adol Child (214) 457-6096
Adol Child
Young, Michelle LPC, LCSW Mental Health Providers
10300 N Central Expwy., Ste: 172 Walter, Tom LPC
Dallas, TX 75231 Allain, Jackie LPC ● 206 South Rogers Street, Ste: 207
(214) 520-7007 408 W Avenue F Waxahachie, TX 75165
Adult Adol Child Midlothian, TX 76065 (972) 351-1113
(972) 723-0044 Adult Adol Child (over 5 yrs)
DENTON COUNTY Adult Adol Child (over 3 yrs)
Wyckoff, Roxanne, LMSW ●
Boaz, Benjamin LPC 203 S. College, Ste: 203
Chemical Dependency Providers 6350 North I-35 E Waxahachie, TX 75165
Waxahachie, TX 75165 (972) 845-2535
Derryberry, Betty LPC (972) 617-6222
3740 N Josey Lane, Ste: 246 Adult Adol Child
Adult Adol
Carrollton, TX 75007
(972) 394-6162 Cheatham, Douglas PhD GRAYSON COUNTY
Adult 1626 w. Hightway 287, Bus, Ste: 104
Waxahachie, TX 75165 Chemical Dependency Providers
Stubblefield, Loretta LPC (972) 935-0027
100 W. Oak, Ste: 205 Adult Adol Child Mory, William (Bill) LPC, LMFT, LCDC
Denton, TX 76201 210 S. Rusk, Ste: 2
(940) 368-7700 Collins, Dana LPC Sherman, TX 75090
Adult Adol Child (over 3yrs) 208 W. Knox Street (903) 813-0723
Ennis, TX 75119 Adult Adol Child
Mental Health Providers (469) 337-7152
Adult Adol Child Venable, William PhD
Bell, Patricia LPC 1800 Teague Drive, Ste: 502
4210 Mesa Drive Graham, Vicki LPC Sherman, TX 75090
Denton, TX 76207 1626 w. Hightway 287, Bus, Ste: 104 (903) 892-4466
(940) 381-1501 Waxahachie, TX 75165 Adult Adol Child (over 5yrs)
Adult Adol Child (972) 935-0027
Adult Adol Child
Derryberry, Betty LPC
3740 N Josey Lane, Ste: 246
Carrollton, TX 75007
(972) 394-6162
Adult
●
28 Aceptando solamente pacientes actuales, ▲ Aceptar las referencias
c.VO_Northstar.indd Sec1:28 1/27/09 1:00:21 PM
ValueOptions® NorthSTAR Provider Network Proveedores Contratados por ValueOptions® NorthSTAR
Mental Health Providers Harding, Dana PhD ▲ Radeke, Joanne PhD
5500 W. Frontage Road I-30 1004 S. Washington Street, Ste: 110
Bryan, Teresa LCSW Greenville, TX 75402 Kaufman, TX 75142
2009 W. Lamberth Road (903) 453-7530 (972) 932-3941
Sherman, TX 75092 Adult Adol Child Adult
(903) 893-6010
Adult Adol Child Jordan, Jason LPC Rust, Sherry LPC, LCDC ●
2611 Lee Street 101 N. Jackson
Mory, William (Bill) LPC, LMFT, LCDC Greenville, TX 75401 Kaufman, TX 75160
210 S. Rusk, Ste: 2 (903) 454-6334 (972) 932-8888
Sherman, TX 75090 Adult Adol Child Adult Adol Child (over 2 yrs)
(903) 813-0723
Adult Adol Child Kalra, Gurjeet MD
4701 C Wesley Street
NAVARRO COUNTY
HILL COUNTY Greenville, TX 75401
(903) 454-1600
Chemical Dependency Providers
Adult Adol Child Stephens, Sandra LPC
Chemical Dependency and Hindi 100 Main Street, Ste: 304
Mental Health Providers Corsicana, TX 75110
McKinney, Dawn LPC
(903) 874-7133
Tulloch, Edwin PhD 4216 Wesley Street, Ste: 100
Adult Adol Child (over 5yrs)
301 Old Brandon Road Greenville, TX 75401
Hillsboro, TX 76645 (903) 454-7404 Espericueta, Dalia LCSW ▲
(972) 617-0242 Adult Adol Child 100 N. Main Street, Ste: 304
Adult Adol Child Corsicana, TX 75110
Siles, Fernando MD
(903) 874-7133
HUNT COUNTY 2405 Stonewall Street
Adult Adol Child
Greenville, TX 75401
Spanish
(903) 454-3300
Mental Health Providers Adult Adol Child
Spanish Mental Health Providers
Beene, Johnnie LPC
2410 Lee Street Adelman, Robert PhD, LPC
Greenville, TX 75401 KAUFMAN COUNTY 803 W. 2nd Ave
(903) 455-7449 Corsicana, TX 75110
Adult Adol Child Chemical Dependency Providers (903) 874-8442
Adult Adol Child
Bell, David PhD Rust, Sherry LPC, LCDC ●
2611 Lee Street 101 N. Jackson Boyer, Richard PhD
Greenville, TX 75401 Kaufman, TX 75160 100 N. Main Street, Ste: 518
(903) 454-6334 (972) 932-8888 Corsicana, TX 75110
Adult Adol Child Adult Adol Child (over 2 yrs) (903) 654-7591
Adult Adol Child
Brewer, Daniel LPC Mental Health Providers
2401 Stonewall Crumpton, Pamela LPC
Greenville, TX 75402 Duggan, Linda LPC ● 200 N. 13th Street, Ste: 105
(903) 454-4446 9199 Old Nacogdoches Trail Corsicana, TX 75110
Adult Adol Forney, TX 75126 (903) 872-8903
(972) 564-0455 Adult Adol Child
Casselton, Emma LPC Adult Adol Child
3668 S. Highway 69 Espericueta, Dalia LCSW ▲
Greenville, TX 75402 Herren, Carla PhD 100 N. Main Street, Ste: 304
(903) 450-5888 9199 Old Nacogdoches Trail Corsicana, TX 75110
Adult Adol Child Forney, TX 75126 (903) 874-7133
(972) 564-0455 Adult Adol Child
Cook, V Denise LPC Adult Adol Child Spanish
2401 Stonewall
Greenville, TX 75401 Horton, Rhonda LPC Henderson, Karol LPC
(903) 454-4446 417 N. Gun Barrel Lane 200 N. 13th Street, Suite 207
Adol Child (over 3 yrs) Gun Barrel City, TX 75156 Corsicana, TX 75110
(214) 538-7099 (903) 872-5048
Gladden, Rae M. LPC Adult Adol Child
Adult Adol Child (over 5yrs)
4000 Wesley Street, Suite F
Greenville, TX 75401 Kegerreis, John PhD ● Hindman, Emily LPC
(903) 269-1301 201-B W Moore Ave 100 N. Main Street, Ste: 511
Adult Adol Child Terrell, TX 75160 Corsicana, TX 75110
(972) 563-1981 (903) 851-5058
Adult Adol Child (over 6yrs) Adult Adol Child
● Accepting Current Patients Only, ▲ Accepting Referrals 29
c.VO_Northstar.indd Sec1:29 1/27/09 1:00:22 PM
ValueOptions® NorthSTAR Provider Network Proveedores Contratados por ValueOptions® NorthSTAR
Kelman, Sharon LPC Tate, Laurel LCSW Peters, Michael LPC
803 W. 2nd Ave 915 Whitmore 1901 Central Drive, Ste: 700
Corsicana, TX 75110 Rockwall, TX 75087 Bedford, TX 76021
(903) 677-3112 (469) 402-0614 (817) 354-1234
Adult Adol Child Adult Adol Child
TARRANT COUNTY
Metcalfe, Carol LPC ▲ Wahby, Samir MD
8148 NE County Road 1040 905A Medical Center
Chemical Dependency Providers Arlington, TX 76012
Rice, TX 75155
(469) 767-7868 Alexander, Deanna LPC, RN (817) 461-3823
Adult Adol Child 2105 W. Kendal Lane Adult Adol Child (over 5 yrs)
Arlington, TX 76015
Sheriff, Thomas PhD West, Dave LCSW
(817) 481-0655
200 N. 13th Street, Ste: 201 2601 Tandy Ave.
Adult Adol
Corsicana, TX 75110 Fort Worth, TX 76103
(903) 874-4656 Genung, Vanessa LCSW, RNCS, LMFT, (817) 531-8330
Adult Adol Adult Adol Child
LCDC
720 W Harwood Road, Ste: 250
Smith, Randy PhD ▲ Hurst, TX 76054 WICHITA COUNTY
920 N. Main Street (817) 581-1049
Corsicana, TX 75110 Adult Adol Child Mental Health Providers
(972) 923-9337
Adult Adol Child Mental Health Providers Butler, John LCSW, LMFT
1808 Rose Street
Stebbins, David LPC ▲ Alexander, Deanna LPC, RN Wichita Falls, TX 76301
812 W. 2nd Ave 2105 W. Kendal Lane (940) 723-4488
Corsicana, TX 75110 Arlington, TX 76015 Adult Adol
(903) 872-0548 (817) 481-0655
Adult Adol Child Adult Adol
Stephens, Sandra LPC Broussard, John EdD
100 Main Street, Ste: 304 1600 Airport Freeway, Ste: 322
Corsicana, TX 75110 Bedford, TX 76022
(903) 874-7133 (817) 571-8463
Adult Adol Child (over 5yrs) Adult Adol Child (over 5yrs)
Strange, Travis LPC ● Camon, Eartha LPC
312 N. 13th Street 3015 Medlin Drive, Ste: 300
Corsicana, TX 75110 Arlington, TX 76015
(972) 937-7147 (817) 466-4450
Adol Child Adult Adol Child
ROCKWALL COUNTY Genung, Vanessa LCSW, RNCS, LMFT,
LCDC
Mental Health Providers 720 W Harwood Road, Ste: 250
Hurst, TX 76054
Ludden, Linda LPC (817) 581-1049
106 E. Rusk Street, Ste: 103 Adult Adol Child
Rockwall, TX 75087
(972) 772-8484 Hallmark, Rebecca LPC
Adult Adol Child (over 5yrs) 814 Savannah Way
Bedford, TX 76022
Minto, James LCSW (817) 858-0665
661 Justin Road Adult Adol Child
Rockwall, TX 75087
(214) 543-7056 Knipstein, Robert MD
Adult Adol Child 731 N. Fielder, Ste: 100
Arlington, TX 76012
Sheikha, Sabri MD ● (817) 265-2021
601 White Hills Drive, Ste: 100 Adult Adol
Rockwall, TX 75087
(972) 772-3630 Liverman, Raymond DO
Adult Adol Child 801 W. Road to Six Flags, Ste: 147
Arabic Arlington, TX 76012
(817) 461-7774
Shields, Sandra LCSW Adult Adol Child (over 8 yrs)
506 N. Goliad, Ste: 6C
Rockwall, TX 75087
(972) 772-4006
Adult Adol Child
●
30 Aceptando solamente pacientes actuales, ▲ Aceptar las referencias
c.VO_Northstar.indd Sec1:30 1/27/09 1:00:22 PM
ValueOptions® NorthSTAR Contracted Providers Proveedores Contratados por ValueOptions® NorthSTAR
PROVIDERS INDEX D K
Daner, Francine ......................................24 Kalra, Gurjeet .........................................29
A David, Suzanne ......................................24 Kegerreis, John ......................................29
Abernethy, Pam .....................................23 Denson, Michael .....................................22 Kelly, Sherry ...........................................22
Adelman, Robert ...................................29 Derryberry, Betty .....................................28 Kelman, Sharon ......................................30
Alexander, Cindy ...................................23 Dilmore-Jones, Helen ........................23, 24 Khatami, Manoochehr ............................25
Alexander, Deanna ................................30 Donohue, Peggy .....................................24 Knipstein, Robert ....................................30
Alexander, Stacia ...................................23 Duggan, Linda ........................................29 Kogan, Inna ............................................25
Allain, Jackie .........................................28 Kunnathusseril, John ..............................25
Allen, Thomas .........................................23
E
Efurd, Emily ............................................24 L
Anderson-Captain, Diane .......................23
Ellason, Joan ..........................................22 Lahti, Sherrie ..........................................25
Anderson, Annette..................................22
Espericueta, Dalia .................................29 Lammers, Donald ...................................25
Antonetti, Robert ....................................23
Little, Irene ..............................................22
Arnett, Gary .....................................22, 23 F
Lawless, Dommie .............................23, 25
Felber, Mark .....................................23, 24 Litwins, Nola ...........................................25
B Felsenthal, Debbie .................................24 Liverman, Raymond ...............................30
Barry, John .............................................23
Fenton, Barry ..........................................24 Ludden, Linda ........................................30
Bateman, Kenneth ..................................23
Fernando, Sumith .............................23, 24
Bates, Delores ........................................23
Fliss, Karen ............................................24 M
Baumbach, Cathy ...................................22
Foster, Mark ...........................................24 Marquez, Theresa ..................................25
Beene, Johnnie ......................................29
Foster, Martha ........................................25 Marr, John ..............................................25
Bell, David ..............................................29
Freele, Robert .........................................25 Martin, Cornelius ..............................23, 25
Bell, Patricia ...........................................28
McGrath, Eileen ......................................22
Bellamy, Douglas ..............................22, 24 G
McKinney, Dawn .....................................29
Bellamy, Priscilla ....................................22 Gaskin-Smith, Wanda .............................22
Melman, Steven ...............................23, 25
Bennett, Michael .....................................22 General, Dale .........................................25
Meltzer, Rachel ......................................26
Berger, Mary .....................................22, 24 Genung, Vanessa ...................................30
Merchant, Albert ..............................23, 26
Berger, Murray ........................................24 Gibson, Randall ......................................25
Metcalfe, Carol .................................28, 30
Berger, Roberta ......................................24 Gladden, Rae M .....................................29
Meyer, Darren .........................................22
Blair, Leita ...............................................24 Glick, Michael .........................................25
Mills, Kathleen ..................................23, 26
Boaz, Benjamin ......................................28 Goodwin, Pamela ...................................22
Mims, Linda ............................................26
Bontempo, Beth ......................................24 Gotts, Linda ............................................25
Minto, James ..........................................30
Boyer, Richard ........................................29 Graham, Sherry ......................................25
Mittledorf, Wynne ..................................26
Bracken, Jill ............................................24 Graham, Vicki .........................................28
Montani, Graciela ..................................26
Brewer, Daniel ........................................29 Grantham, Barbara .................................25
Moolamalla, Preveen ..............................22
Brewster, Judith ................................22, 24 Grisham, James .....................................25
Moreno, Richard .....................................22
Brophy, Michael ......................................24 Grubbs, Gerald .......................................25
Morris, Brenda ........................................26
Broussard, John .....................................30
Mory, William ....................................28, 29
Bryan, Teresa .........................................29 H
Mulcahy, Mary ........................................26
Burks, Kathey ....................................22, 24 Hallmark, Rebecca .................................30
Myers, Janell ....................................23, 26
Busby, Margaret .....................................24 Hamilton, Ellen .......................................22
Butler, John ............................................30 Hamilton, Joyce ......................................25 N
Hamric, Conrad ......................................25 Nazempoor, Al ..................................23, 26
C Haram, Sandra .................................23, 25 Nuche, Sarah .........................................26
Cameron, Susan ....................................22 Harding, Dana ........................................29
Camon, Eartha ......................................30 Harton, Rhonda ......................................25 O
Cannon, Betty .........................................24 Hartzog, Dennis ......................................25 O Brien David .........................................26
Casselton, Emma ...................................29 Hebert, David ...................................22, 25 O Dea, John .....................................23, 26
Chandler, Donald Jr ..............................24 Henderson, Karol ...................................29 O Neal, Michael ......................................22
Cheatham, Douglas ................................28 Herren, Carla ..........................................29 Okafor, Mary ...........................................26
Chio, Maria .............................................24 Hildre, Jerold ..........................................22 Omolaja, Rabui .......................................26
Ciarochi, Sandra .....................................24 Hindman, Emily ......................................29 Oshman, Harvey ....................................26
Clark, Debbie ..........................................24 Horton, Rhonda ................................23, 29 Oualline, Viola ........................................26
Cocoris, John .........................................22 Hunt, Ruth ..............................................25
Collins, Dana .........................................28 Husbands, Marjorie ................................25 P
Cook, V Denise .......................................29 Parker, Susan .........................................26
Copaken, James ....................................24 J Patterson, Mary ......................................26
Corn, Billy .........................................22, 24 Johns, Vickie ..........................................28 Perez, Juan ......................................23, 26
Coutee, Kelly ...........................................24 Jones-Epstein, Ruby ..............................25 Peters, Michael .......................................30
Cox, Patricia ...........................................24 Jones, Christopher .................................25 Petty, Laurie ...........................................26
Crooks, Wayne ........................................24 Jordan, Jason .........................................29 Phelps, Carol ....................................23, 26
Crosby, Shirley .......................................24 Jung, Pyeong-Soo ............................23, 25 Pinillos, Mary .........................................26
Crumpton, Pamela .................................29
31
c.VO_Northstar.indd Sec1:31 1/27/09 1:00:22 PM
ValueOptions® NorthSTAR Contracted Providers Proveedores Contratados por ValueOptions® NorthSTAR
Poeck, Shirley ........................................26 W J
Polan, Roger ..........................................26Wahby, Samir ........................................30 Juliette Fowler Homes ............................19
Portwood, Sheri ......................................26 Walter, Tom .............................................28
Prakash, A ........................................23, 26West, Dave .............................................30 L
Prescott, Melanie ....................................26 White, Russell ...................................27, 28 La Sima Foundation ...............................20
Price, Lynn .............................................26
Wilcox, Bill ..............................................28 Lakes Regional MH/MR ....................20, 21
Pruitt, Debra ..........................................22
Wilkinson, Ron .......................................28 Life Management Resources .................21
Williams, James ...............................23, 28 Life Path Systems ..................................20
Q Wood, Cedric ..........................................28 Lifenet Community Behavioral
Quarfoot, Beth .......................................26 Wrightsman, James ...............................28 Healthcare ....................................19, 20
Wyckoff, Roxanne ..................................28
R N
Radeke, Joanne .....................................29 Y Nexus Recovery Center .........................20
Radosta, Robert .....................................28 Young, Michelle ......................................28
Ratner, Joyce .........................................26 P
Reed, Jimmie .........................................26 Phoenix House of Texas ...................20, 21
Rickman, Wendy ....................................27 CLINIC INDEX Phoenix Project ......................................21
Riddick, Christopher ...............................27 Providence of Texas .........................19, 20
Rila, Barbara ..........................................27 A
Ring, Marsha ..........................................27 ABC Behavioral Health ..........................19 R
Roche, Steve ..........................................27 Adapt of Texas .................................19, 20 Recovery Healthcare Corporation ..........21
Rosin, Charles ........................................27 Addicare Group of Texas ........................20 Remedy Addictions Counselors ............21
Russell, Jinna .........................................27 Addiction Treatment Resources .............21
Rust, Sherry ...........................................29 Avenues Counseling Center ...................21 S
S.T.E.P. Med (Methadone Clinic) ...........21
S C Salesmanship Club Youth & Family .......19
Schultz, Andrea .....................................27 Centro De Mi Salud ................................19 Solace Counseling and Associates .......21
Schultz, Suzanne ...................................27 Child and Family Guidance ..............19, 20
Scoville, Alice .........................................27 Counseling Center of Ellis County .........21 T
Shackelford, John ...................................27 Counseling Institute of Texas .................19 Texas Social Services ............................20
Shavers, Dolores ....................................27 Crossroads Family Services .................20 The Freeman Center ..............................21
Sheikha, Sabri ..................................27, 30 The Road to Recovery ...........................21
Sheriff, Thomas ......................................30 D Turtle Creek Manor ................................21
Shields, Sandra ......................................30 Dallas Metrocare Services .....................19
Shiwach, Rajinder ..................................27 Dallas Metrocare Services – Lancaster/ W
Sikes, Lori ...............................................22 Keist Clinic ..........................................19 West Texas Counseling & Rehabilitation
Dallas Metrocare Services (Independence Foundation (Methadone Clinic) ..........21
Siles, Fernando ......................................29
Skipper-Relyea, Melanie ........................27 House Drop-In Center) .......................19
Dallas Metrocare Services - Altshuler
Y
Smith, Linda ...........................................27 Youth Advocate Programs ......................20
Smith, Mary Magdalena ........................27 Clinic............................................19
Smith, Randy ..........................................30 Dallas Metrocare Services - Early
Smith, Rob ..............................................27 Intervention .........................................19
Solis, Carolyn ...................................23, 27 Dallas Metrocare Services - Eastside Family
Sparks, Luanne ................................23, 27 Center .................................................19
Spillman, Craig .......................................27 Dallas Metrocare Services-Homeless ....19
Sprague, Carla .......................................27 Dallas Metrocare Services - Pathways
Stebbins, David .....................................30 Clinic ...................................................19
Stephens, Sandra .............................29, 30 Dallas Metrocare Services-Special Needs
Stokes, Nancy ........................................27 Offender Program ...............................19
Stolarski, Frances ...................................27 Dallas Metrocare Services - Treatment
Strange, Travis .......................................30 Foster Care .........................................19
Stubblefield, Loretta ..............................28 Dallas Metrocare Services - Westmoreland
Clinic ...................................................19
T Dallas Metrocare Services - Westside
Tarver, Donna .........................................27 Family Clinic ........................................19
Tate, Laurel .............................................30
Terpstra, David .......................................27 F
Tipton, Lee ..............................................27 First Step Counseling .......................20, 21
Tulloch, Edwin ......................23, 27, 28, 29
Turney, Sandra .......................................27
G
Galaxy Counseling Center .....................19
V H
Venable, William .....................................28 Holmes Street Foundation .....................20
Von Helms, Caroline ..............................28 Homeward Bound ..................................20
32
c.VO_Northstar.indd Sec1:32 1/27/09 1:00:22 PM
Regulated by the Texas Dept of Insurance
Program Information Card
Your Name
ValueOptions® ACCESS Line......................................1-888-800-6799
TDD..............................................................................1-888-800-6792
Emergency Services..........................................................................911
Mobil Crisis Team........................................................1-866-260-8000
NTBHA Ombudsman...................................................1-877-653-6363
c.VO_Northstar.indd C4 1/27/09 1:00:22 PM
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