Docstoc

NorthSTAR MEMBER INFORMATION AND ... - ValueOptions

Document Sample
NorthSTAR MEMBER INFORMATION AND ... - ValueOptions Powered By Docstoc
					                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
        Visit our website at:
www.valueoptions.com/northstar




                                      NorthSTAR MEMBER INFORMATION
                                             AND PROVIDER DIRECTORY
                                               Libro de Miembros y Directorio
                                                              de Proveedores
               NorthSTAR
                                                                      06/01/12
                                                                       DA4B-0612
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?                                       4
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?         5
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?                                                           7
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                                                                          18-32
Provider Index                                                                                        33
Clinic Index                                                                                          35




   Please note: This list is current as of 06/01/12. 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®.


                                                                                                           1
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             a manner that is respectful and cost-efficient,
     program for the State. NorthSTAR serves           and                                                 • Expansion Children and Federal Mandate
Collin, Dallas, Ellis, Hunt, Kaufman, Navarro,                                                               Children(MAO)
and Rockwall counties (the NorthSTAR area).          • Assist consumers in achieving the success
We manage publicly funded mental health and            that they deserve.                                  • Disabled or Blind Individuals receiving
substance abuse services for people who live in                                                              Supplemental Security Income (SSI) with or
the NorthSTAR area, to make sure that you get        ValueOptions® does not discriminate against             without Medicare
the best care and service. We also make sure         anyone on the basis of race, religion, gender,
that everyone who is helping you is working          age, disability or sexual orientation. The decision   • Children who are ineligible for Supplemental
together. Our services are close to you and easy     to provide services is based on the clinical and        Security Income (SSI) for reasons other than
to use.                                              psychosocial needs of the individual and what           disability.
                                                     will best assist his or her recovery.
This handbook will tell you about ValueOptions®                                                            • Client enrollment is voluntary into NorthSTAR
and NorthSTAR. If there are words or phrases          WHERE IS VALUEOPTIONS®?                                managed care or traditional fee-for-service
in this handbook that you do not understand,                                                                 Medicaid.
there is a helpful list to tell you what they mean   We are as close as your telephone. Call the toll
                                                     free ACCESS LINE at 1-888-800-6799 or TDD             • State or Federal Adoption Subsidy
on page 12. If you have questions or comments
about your services, or in case of emergency,        1-888-800-6792. Our phone lines are staffed
                                                     24 hours a day, 7 days a week with licensed
                                                                                                           NON-MEDICAID-ELIGIBLE
you can call:
                                                     behavioral healthcare clinicians.                     INDIVIDUALS
       ValueOptions® toll free                       Our qualified and helpful staff will answer           If you do not receive Medicaid, you are eligible
           ACCESS LINE                               questions about your benefits, what behavioral        to enroll in the NorthSTAR program if you reside
                                                     health services you want, or who would be a           in the NorthSTAR area and meet the criteria
        24 Hours A Day, 7 Days a Week
                                                     good provider of mental health or substance           listed below.
               1-888-800-6799
                                                     abuse services for you. You can also talk to a
             TDD 1-888-800-6792                                                                            Individuals who have income at or below 200%
                                                     clinician if you or a family member is having
             Visit our website at                                                                          of the Federal Poverty Level (FPL) and fit into
                                                     a mental health or substance abuse crisis.
                                                                                                           one of the following groups:
        www.valueoptions.com/northstar               Our customer services staff who answer our
                                                     ACCESS LINE can also help persons who need            • Individuals who meet the Texas Department
 WHO IS VALUEOPTIONS®?                               information interpreted into another language.          of State Health Services (TDSHS) mental
                                                                                                             health target population definition
ValueOptions® is licensed as a Health                ValueOptions® central office location and
Maintenance Organization (HMO) by the Texas          mailing address is:                                   • Adults or Youth with a substance abuse or
Department of Insurance (TDI). We are a                                                                      chemical dependency diagnosis
special kind of HMO that manages programs for                       ValueOptions®
mental health and substance abuse services.                  1199 S. Beltline Road, Suite 100              Individuals who are in one of the groups
This type of HMO is called a Behavioral Health                     Coppell, TX 75019                       listed above are eligible for covered services
Organization (BHO).                                                                                        that are medically necessary.
                                                      AM I ELIGIBLE TO ENROLL
In 1999, the State of Texas created new                                                                     HOW DO I ENROLL IN
                                                      IN THE VALUEOPTIONS®
programs to provide better health care to low
                                                      NORTHSTAR PROGRAM?                                    VALUEOPTIONS® NORTHSTAR?
income families. The physical health plan is
called STAR, and NorthSTAR is the mental health                                                            Maximus, the State’s enrollment broker for STAR
                                                     You are eligible to enroll in the NorthSTAR
and substance abuse plan.                                                                                  and NorthSTAR will enroll Medicaid-eligible
                                                     program if you live in the NorthSTAR area and
                                                     meet any of the criteria listed below.                individuals, who qualify for NorthSTAR eligible
ValueOptions® understands mental health and
                                                                                                           Medicaid types, in NorthSTAR. The State will
substance abuse problems, and we are here
                                                     MEDICAID-ELIGIBLE INDIVIDUALS                         let Maximus know when you are approved
to help you with any problems you may have.
                                                                                                           for Medicaid, and Maximus will enroll you
ValueOptions® has a lot of experience in more        If you believe that you may be eligible for one of    in NorthSTAR. If you are a Medicaid-eligible
than 24 other states and Tarrant and Harris          the following programs, contact your local office     individual and have a question about your
Counties with increasing the quality of mental       of the Texas Department of Human Services. To         enrollment you may call Maximus at 1-800-964-
health and substance abuse care and improving        find the nearest office, look in your telephone       2777, or you may call ValueOptions® at 1-888-
access to needed services for people who get         book or call ValueOptions® Customer Service at        800-6799 or TDD 1-888-800-6792.
their services through public programs.              1-888-800-6799.
                                                                                                           Non-Medicaid-eligible individuals may enroll
Please call us if you have any questions or need     • Temporary Assistance to Needy Families              in NorthSTAR at any of our enrollment sites by
to get care.                                           (TANF) Adults                                       completing a short form that tells us about your
ValueOptions® Mission Statement is to:                                                                     income (a financial assessment form). To find the
                                                     • Temporary Assistance to Needy Families
                                                                                                           enrollment site nearest you call ValueOptions®
                                                       (TANF) Children
• Empower the consumers we serve within their                                                              Access Line at 1-888-800-6799 or TDD1-800-
  communities,                                                                                             888-6792.




2
ValueOptions® NorthSTAR Member Information

With in five days after enrollment, you will be   SSI can opt out of STAR-Plus. Maximus, the • Our Clinical Department is available 24
sent an enrollment package that will include      enrollment broker for STAR, STAR-Plus, and          hours a day, 7 days a week. The Clinical
a welcome letter, this handbook and provider      NorthSTAR, will send Medicaid recipients            Department includes licensed behavioral
directory, and a schedule of upcoming             appropriate information about the program they      health professionals (called Care Managers)
introductory meetings and health education        must sign up for as well as about the various       who can help you:
programs.                                         plans in our area that they may choose among.
                                                  Both STAR and STAR-Plus provide benefits • Find a provider who can provide the services
  HOW MUCH WILL I PAY FOR                         for the Medicaid members who receive them           you need and who is near by
  NorthSTAR SERVICES?                             by providing a primary care physician in a
                                                  medical family home and access to unlimited • Obtain mental health or substance abuse
Medicaid-Eligible Individuals receive approved prescriptions through the Medicaid Vendor Drug         services
covered services at no cost. If you are not Program.
                                                                                                   • Deal with a mental health or substance
Medicaid-eligible, you may pay a fee based
                                                                                                      abusee
on your income and ability to pay. If you have      HOW DO I GET MENTAL HEALTH
questions about what you might have to pay, ask     OR SUBSTANCE ABUSE                               WHAT IF I NEED EMERGENCY
your provider or call ValueOptions® at 1-888-       SERVICES?
800-6799 or TDD 1-888-800-6792.                                                                      CARE?
                                                  You can get these services by:                   A mental health or substance abuse emergency
ValueOptions® cannot pay for services that are
not covered by the NorthSTAR program. If you • Calling the toll free ACCESS LINE at 1-888-         is when you feel like hurting yourself or someone
receive services that are not pre-approved by                                                      else, or if you believe your life or health may be
                                                     800-6799 or TDD 1-888-800-6792,
ValueOptions®, you may have to pay for them,                                                       in danger. If you, a family member, or someone
except for emergency behavioral healthcare.       • Calling or visiting any ValueOptions network   you know is having a mental health or substance
                                                     provider,or                                   abuse emergency you should do at least one of
If you are receiving benefits that are covered by                                                  these things:
another insurance plan (such as Medicare or • Asking your primary care physician.
private insurance), those insurance plans must                                                     • Call your mental health or substance abuse
                          ®
pay before ValueOptions pays. If you receive      You are the most important part of the NorthSTAR    provider or
a bill for services, please contact the other program. We want to provide you the information
                                                                                                   • Call the toll-free ACCESS LINE at 1-888-800-
insurance plan about paying for those services. you need. We have two departments to serve
                                                  you-a Customer Service Department and a             6799 or TDD 1-888-800-6792 or
  ARE THERE OTHER HEALTH                          Clinical Department. They can help you get the
                                                                                                   • Call the Mobile Crisis Team toll free at 1-866-
                                                  best possible care.
  INSURANCE PROGRAMS MY                                                                               260-8000
 CHILDREN OR I MAY QUALIFY                          To talk to someone from Customer Service or the
                                                                                                    • Call 911
 FOR?                                               Clinical Department, call the toll free ACCESS
                                                    LINE at 1-888-800-6799 or TDD 1-888-800- • Go to the nearest hospital emergency room
CHIP (Children’s Health Insurance                   6792. We have Spanish-speaking employees
Program)                                            available 24 hours a day, 7 days a week, and a   WHAT IF I NEED TO BE
                                                    service through AT&T to interpret more than 100
The State of Texas has a program called CHIP                                                         ADMITTED TO A HOSPITAL?
                                                    foreign languages.
to insure low-income children from birth through
                                                                                                      NorthSTAR members who have Medicaid or who
age 19 who do not qualify for Medicaid. CHIP        Our Customer Service Department is available
                                                                                                      have no insurance other than NorthSTAR must
has both physical and behavioral health benefits.   Monday through Friday from 8 a.m. until 5 p.m.
                                                                                                      be screened at Green Oaks Hospital in Dallas
The income limit for CHIP is 200% of the Federal    to answer your questions about:
                                                                                                      before admission to inpatient treatment at a
Poverty Level. Non-Medicaid-Eligible children
                                                    • If you or your family are eligible to receive   hospital. NorthSTAR will provide transportation
who are eligible for NorthSTAR are probably also
                                                      mental health or substance abuse services       from any other emergency room or hospital to
eligible for CHIP. To find out about CHIP or to
                                                                                                      Green Oaks for the screening.
apply call the Tex-Care Partnership at 1-800-
                                                    • How to get mental health or substance abuse
647-6558, or go to the Tex-Care partnership                                                           Members who have no insurance will only be
                                                      services
web site at www.texcarepartnership.com. You                                                           admitted to Green Oaks Hospital. Members
can also get information about CHIP by calling      • How to find out about services you or your      who have Medicaid who need to be hospitalized
ValueOptions® ACCESS LINE at 1-888-800-6799           family members can receive if you are           may choose Green Oaks, or any hospital in the
or TDD 1-888-800-6792.                                receiving STAR, CHIP, or other benefits,        NorthSTAR network to receive treatment after
                                                                                                      being screened at Green Oaks. NorthSTAR will
STAR and STAR-Plus                                  • Information about having someone interpret      provide transportation for Medicaid members to
                                                      for you in another language                     the chosen network hospital.
STAR is the state’s managed Medicaid plan that
in the NorthSTAR area covers persons with TANF • Information about educational information            NorthSTAR members who have Medicare
Medicaid benefits for health services other than  or programs or about preventing illness or          hospital benefits remaining may still choose
behavioral health. Behavioral health services are substance abuse, including how to receive           any hospital that accepts Medicare. Medicare
still covered for STAR recipients under NorthSTAR tip sheets or brochures                             eligible members who have remaining hospital
in the seven county NorthSTAR region. (In other                                                       benefits do not have to be screened at Green
parts of the state, STAR and STAR-Plus also • How to find information about community                 Oaks prior to admission to a Medicare provider
provide behavioral health coverage.)              resources including self-help programs              hospital.
Aged, blind, or disabled persons who receive • Information about how to give a compliment
Supplemental Security Income (SSI) are eligible or make a complaint or file a grievance or
for the STAR-Plus program, even if they also    appeal
receive Social Security Disability Insurance
(SSDI) payments. Only children who receive


                                                                                                                                                  3
ValueOptions® NorthSTAR Member Information

The location and phone number for Green Oaks           many years. They are located throughout the        When you call, be sure to have:
Hospital is:                                           NorthSTAR service area.
                                                                                                          • Your 9-digit Medicaid number
Green Oaks Hospital                                    The NorthSTAR Provider Directory section of this
(972) 991-9504                                         handbook lists the providers who are contracted    • Your address
7808 Clodus Fields Drive                               to provide behavioral health services to
Dallas, TX 75251                                                                                          • The name, address, and phone number of
                                                       individuals enrolled in NorthSTAR. If you know a
                                                                                                            your provider
                                                       provider you would like to use and that provider
 WHAT IF I AM AWAY FROM                                is listed in the NorthSTAR Provider Directory      • The date and time of your appointment
 HOME AND NEED ROUTINE OR                              section of this handbook, call that provider to
 EMERGENCY CARE?                                       find out how to get services.                       If you cancel or change your appointment with
                                                                                                           your provider, you must call the MTP office and
The NorthSTAR service area includes Collin,            If you do not know a provider you want to use, or cancel your ride. MTP can refuse to give you
Dallas, Ellis, Hunt, Kaufman, Navarro, and             if the provider you want to use is not a NorthSTAR a ride after the second time you fail to call to
Rockwall counties. When you receive services           provider, call ValueOptions® ACCESS LINE at cancel a ride, or if you are not able to give a
outside the NorthSTAR service area, this is            1-888-800-6799 or TDD 1-888-800-6792. We good reason for not calling to cancel the ride.
called out-of-area care. Only emergency care           can help you find a provider that you feel is right
is covered when you are out of the NorthSTAR           for you that is located close to where you live or If you are not Medicaid-eligible and you are
service area.                                          work. Please tell us if you need a provider who unable to get to your NorthSTAR provider,
                                                       speaks your native language, understands your call your provider for help in getting to your
  **(Note: some NorthSTAR providers may be             culture, or if you have any other special needs, appointment. You can also call the toll-free
located near you in neighboring non-NorthSTAR          so the ACCESS LINE Care Manager will be able ValueOptions® ACCESS LINE at 1-888-800-
counties. Receiving care from these contracted         to help you find the right provider.                6799 or TDD 1-888-800-6792.
NorthSTAR providers is not considered out-of-
area care.)                                            Be sure to tell your provider about your special    HOW DO I CANCEL OR CHANGE
                                                       needs when you call to make an appointment.
                                                                                                           AN APPOINTMENT?
If you have a mental health or substance abuse
emergency when you are outside of the service          Remember, you need to receive treatment
                                                                                                        If you can not keep your appointment with a
area, you can:                                         from a ValueOptions® NorthSTAR provider.
                                                                                                        NorthSTAR provider, please call the provider at
                                                                                                        least 24 hours before your appointment. Calling
• Go straight to the hospital. Tell the hospital         HOW DO I GET A REFERRAL TO
                                                                                                        your provider makes it possible for someone
  your name and the ValueOptions® ACCESS                 ANOTHER PROVIDER?                              else to receive care they may need. If you
  LINE phone number, 1-888-800-6799. The
                                                                                                        cannot make a new appointment when you call
  hospital will call us to tell us you are there, or   If you are already in treatment and are having
                                                                                                        to cancel, please remember to call as soon as
                                                       problems with your provider, or do not feel that
• Call the ValueOptions® ACCESS LINE first. A                                                           possible to make another appointment.
                                                       you are getting the services you need, call our
  ValueOptions® Care Manager will help you             ACCESS LINE for assistance before you make
  get the care you need at the closest hospital.       your next appointment.
                                                                                                          WHAT ARE MEDICALLY
                                                                                                           NECESSARY SERVICES?
• If you believe that you or someone with you          If you need different services from those your
  is in immediate danger, call 911. Give the           provider offers, you can also call the ACCESS      Medically necessary services are mental health
  ValueOptions® ACCESS LINE number to the              LINE to find a provider who has those services.    or substance abuse services that:
  hospital if you are taken to a hospital.
                                                       If you are not satisfied with your provider for • Are reasonably necessary for the diagnosis
When your emergency care is completed, we              any reason, call our ACCESS LINE for help.           or treatment of a mental health or substance
will work with the hospital to transfer you back to                                                         abuse disorder or to improve, maintain, or
your provider in the NorthSTAR area.                   Our ACCESS LINE staff can help you file a            prevent deterioration of functioning due to
                                                       complaint or grievance, or they can help you         such a disorder.
When you know you will be traveling outside of         find another provider. You will be given a referral,
the NorthSTAR service area, be sure that you           which is the name, address, and telephone • Are in accordance with professionally
take enough of your medications to last until          number of one or more mental health or chemical      accepted clinical guidelines and standards
you return. It is also a good idea to take a list      dependency professionals who can help you.           of practice in behavioral health care
that includes your providers name and phone
                                                                                                          • Are furnished in the most appropriate and
number, the ValueOptions® ACCESS LINE                   WHAT IF I HAVE NO WAY TO GET
number, a list of your medications and when you                                                             least restrictive setting in which services can
                                                        TO MY PROVIDER?                                     be delivered safely
take them, and a phone number for a friend or
relative who is your emergency contact.                For transportation to your provider for routine • Are the most appropriate level or amount of
                                                       care, if you are Medicaid-eligible and you have   service that can be provided safely
This information can be written on the                 no other form of transportation to your provider,
ValueOptions® NorthSTAR Program Information            you may call the Medical Transportation Program • Services that could not be omitted without
Card that you got in your packet of information        (MTP) office, Monday through Friday between 8     negatively affecting the individuals mental
when you enrolled, or you can request one by           a.m. and 5 p.m. The number to call is:            and/or physical health or the quality of care
calling the ValueOptions® ACCESS LINE.
                                                                                                         given
                                                         Medical Transportation Program
 HOW CAN I FIND A PROVIDER?                                           (MTP)
You have the right to get the best possible                  1-877-Med Trip or 1-877-633-8747
treatment. You also have the right to choose your
                                                       Please call for transportation as soon as you
NorthSTAR provider and to change providers
                                                       know about your appointment. You must call at
if you wish. Our mental health or substance
                                                       least 48 hours (2 days) before your appointment.
abuse providers have been helping people for


4
ValueOptions® NorthSTAR Member Information

 WHAT SERVICES OR BENEFITS                            4. SUBSTANCE ABUSE/CHEMICAL                          • Crisis stabilization, subacute inpatient,
                                                         DEPENDENCY — ADULT/CHILD/                           in-home services, targeted/focused case
 DOES VALUEOPTIONS® OFFER
                                                         ADOLESCENT, MEDICAID-                               management, 23hour observation bed
 ME IN NORTHSTAR IF I AM
                                                         ELIGIBLE ENROLLEE
 MEDICAID-ELIGIBLE?                                                                                        • Rehabilitative Services through the Specialty
                                                      • Outpatient services, including assessment,           Provider Network (SPN)-day treatment,
If you are a Medicaid-eligible enrollee, you                                                                 partial hospitalization programs, community
                                                        individual and group therapy, intensive
may receive the following services from                                                                      support services, service coordination/case
                                                        outpatient programs, partial hospitalization
ValueOptions® NorthSTAR behavioral plan if                                                                   management, supported housing, supported
                                                        programs, medication management,
they are medically necessary and you meet the                                                                employment, intensive crisis residential
                                                        outpatient detox, special female services
criteria for age and diagnosis, as indicated. If                                                             services, personal care homes/assisted
                                                        with child care, services to interpret
you have both a mental health and a substance                                                                living, adult foster care, and ACT Teams
                                                        information into another language, as
abuse diagnosis, you may receive both types of
                                                        needed, and health education services.
services.                                                                                                  • Transportation (when authorized)
                                                      • Inpatient services, including medically
1. MENTAL HEALTH SERVICES —                             managed residential detox and residential
                                                                                                           3.) MENTAL HEALTH — CHILD/
   ADULT/CHILD/ADOLESCENT,                              rehabilitation                                         ADOLESCENT WITH A SERIOUS
   MEDICAID-ELIGIBLE ENROLLEE                                                                                  EMOTIONAL DISORDER (SED)–
                                                      • Medication is covered by your STAR plan,               NON-MEDICAID-ELIGIBLE
• Outpatient services, including assessment,            if you are enrolled in STAR, or by the State
  individual and group therapy, psychological           Medicaid vendor drug program                       NorthSTAR-enrolled children and adolescents
  testing, medication management, and health                                                               who have been diagnosed with a serious
  education.                                           IF I AM NOT MEDICAID-ELIGIBLE,                      emotional disorder and are not Medicaid-eligible
                                                       WHAT SERVICES DOES                                  may receive, when medically necessary, all the
• Inpatient services, including general hospital                                                           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             your age, or your diagnosis, as described in the
                                                                                                             centers, and early intervention for ages 3 to
  if you are enrolled in STAR, or by the State        lists below. If you have both a mental illness and
                                                                                                             5.
  Medicaid vendor drug program if you are not         a substance abuse condition, you may receive
  enrolled in STAR.                                   services from both lists.                            A.) SUBSTANCE ABUSE – ADULT/CHILD/
                                                                                                               ADOLESCENT, NON-MEDICAID-
2. MENTAL HEALTH SERVICES —                           1.) MENTAL HEALTH — ADULT/                               ELIGIBLE
   CHILD/ADOLESCENT, MEDICAID                             CHILD/ADOLESCENT, NON-
   ELIGIBLE ENROLLEE                                      MEDICAID-ELIGIBLE AND NON-                       • Outpatient services, including assessment,
                                                          SMI/SED                                            individual and group therapy, intensive
Medicaid-eligible children and adolescents may                                                               outpatient programs, partial hospitalization
receive all the services listed in section 1 above,   Persons who are financially eligible for               programs, medication management,
as well as the following medically necessary          NorthSTAR but do not have a target diagnosis,          outpatient detox, special female services
services:                                             as defined by the state are eligible for               (including primary care for pregnant women
                                                                                                             only) with child care, needed interpretive
• Rehabilitative Services through the Specialty       • Emergency services including crisis                  services, and health education services
  Provider Network (SPN) day treatment,                 stabilization, 23 hour observation, and
  partial hospitalization programs, community           inpatient care when medical necessity              B.) SUBSTANCE ABUSE — CHILD/
  support services, service coordination/case           criteria are met.                                      ADOLESCENT, NON-MEDICAID-
  management, respite, and early intervention                                                                  ELIGIBLE
  for ages 3 to 5.                                    2.) MENTAL HEALTH — ADULT
                                                          WITH A SERIOUS MENTAL                            NorthSTAR-enrolled children and adolescents
3. MENTAL HEALTH SERVICES                                 ILLNESS (SMI), NON-MEDICAID-                     who are not Medicaid-eligible may receive,
   — ADULTS WITH A SERIOUS                                ELIGIBLE                                         when medically necessary, all substance abuse
   MENTAL ILLNESS (SMI),                                                                                   treatment services listed in Section 1, as well
   MEDICAID-ELIGIBLE ENROLLEE                         NorthSTAR-enrolled adults who have been              as:
                                                      diagnosed with a serious mental illness that is
Medicaid-eligible adults who have been                a target diagnosis as defined by the state and       • Inpatient services, including medically
diagnosed with a serious mental illness may           who are not Medicaid-eligible may receive,             managed residential detox and residential
receive all the services listed in section 1 above,   when medically necessary, all the Mental Health        rehabilitatation
as well as:                                           services listed in Section 1 above, as well as:
                                                                                                           SPECIAL POPULATIONS
• Rehabilitative Services through the Specialty       • Outpatient services, including assessment,
  Provider Network (SPN)-day treatment,                                                                    If you are a pregnant woman, a woman with
                                                        medication management, psychiatric
  partial hospitalization programs, community                                                              dependent children, a parent of children in
                                                        medications, individual and group therapy,
  support services, service coordination/case                                                              foster care, HIV-positive, or use needles to take
                                                        and psychological testing
  management, supported housing, supported                                                                 drugs, you are eligible to receive, as medically
  employment, and ACT Teams.


                                                                                                                                                         5
ValueOptions® NorthSTAR Member Information

indicated, all the outpatient substance abuse        Non-Medicaid-eligible                                 • Texas Health Steps exams and other
services listed in Section 1, as well as:                                                                    ambulatory health exams
                                                     If you are not Medicaid-eligible and you are a
• Inpatient services, including medically            person with a serious mental illness or a serious     • Emergency medical transportation for
  managed residential detox and residential          emotional disorder, you may be eligible for             behavioral health emergencies
  rehabilitation                                     prescription drugs for your behavioral health
                                                     treatment under the NorthSTAR plan. For more          • Behavioral health services provided by
CHEMICAL DEPENDENCY —                                information, please check with your provider            primary care physicians, other STAR
ADULT/CHILD/ADOLESCENT, NON-                         or call the toll free ACCESS LINE at 1-888-800-         physicians, or other applicable Medicaid
MEDICAID-ELIGIBLE                                    6799 or TDD 1-888-800-6792.                             physicians within the scope of their licenses

If you are diagnosed with chemical dependency                                                              • Behavioral health services provided by
                                                      HOW MUCH WILL I PAY FOR                                federally qualified health centers and rural
you are eligible to receive, if medically
                                                      PRESCRIPTIONS?                                         health clinics
necessary, all of the substance abuse treatment
services listed above.                               Medicaid-Eligible members will not have to pay        • Ambulatory laboratory services
                                                     any costs for the three allowed prescriptions per
 CAN I GET PRESCRIPTION                              month.                                                • Certain emergency room services
 DRUGS?
                                                     Non-Medicaid-eligible enrollees may have co-          • Certain inpatient hospital services
Medicaid-eligible, enrolled in STAR                  pays of twenty dollars on some prescriptions.
                                                                                                           • The Medicaid Vendor Drug Program pays
If you are Medicaid-eligible and enrolled in          WHAT IS 340B?                                          for prescription medications for both STAR-
the STAR program, the Medicaid Vendor Drug                                                                   enrolled and non-STAR enrolled Medicaid-
program plan will pay for almost all of your         NorthSTAR members who do not have Medicaid              eligible enrollees in NorthSTAR. Medicaid
prescriptions. This includes the medicine your       may be enrolled in the NorthSTAR 340B program.          will pay for only 3 prescriptions per month for
provider orders as part of your behavioral           This is a program that allows NorthSTAR to buy          Medicaid-eligible adults who are not enrolled
health treatment as long as it is on the list of     medications at a discounted cost. NorthSTAR’ s          in STAR.
drugs provided under the plan. Please call your      340B program is a partnership with the University
physical health plan if you have questions about     of Texas Medical Branch in Galveston. Lowering        For   Non-Medicaid-eligible  adults,    new
prescriptions.                                       the cost of medications makes it possible             generation anti-psychotic medications may
                                                     for more members to have better access to a           be limited, depending on the availability of
• Texas Health Network         1-888-302-6688        greater number of medications.                        designated funding.
• AMERIGROUP                   1-800-600-4441
• Parkland Health Plan         1-888-672-2277        Each NorthSTAR clinic must use one NorthSTAR          Family planning services are not covered
                                                     pharmacy for members who get their                    services under NorthSTAR. If you are interested
Medicaid-eligible, enrolled in STAR-                 medications through the 340B program. This            in family planning services, ask your primary
                                                     is a federal requirement of the program. 340B         care physician (PCP), family doctor, health
Plus
                                                     enrolled members should use their clinic’s            clinic, or local county health department for help
Some NorthSTAR members may be enrolled               pharmacy to fill regular prescriptions they           in finding these services. Your city or county
in the STAR-Plus plan, which serves the aged,        receive from their clinic doctor. When 340B           information and referral service can also tell
blind, and disabled who receive Supplemental         members receive mental health prescriptions at        you which agencies in your community provide
Security Income (SSI) benefits, and may also         a hospital or emergency room, they will need to       these services at low or no cost. Medicaid
receive Social Security Disability Insurance         call ValueOptions® Customer Service at 1-888-         members who are enrolled in STAR can call their
payments. These members receive medications          800-6799 in order to fill the prescription.           STAR plans for help in finding family planning
through the Medicaid Vendor Drug program and                                                               services.
there is no prescription limit. The companies that   One benefit to 340B enrolled members are
provide STAR-Plus programs in the NorthSTAR          annual physical health screens. These screens          WHAT IF I AM UNHAPPY WITH MY
area are:                                            will occur at the member’s NorthSTAR clinic and        CARE OR YOUR SERVICE?
                                                     can help identify any potential health problems
• Molina Healthcare of Texas    1-866-449-6849       the member has. If physical health problems           ValueOptions® cares about you and the quality
• Superior Healthplan Plus      1-866-516-4501       are found, the member will be assisted with           of services that you receive. We work hard to
                                                     referrals to a health care facility or primary care   give you the best care. We also understand
Medicare-Part D Recipient                            physician.                                            that sometimes problems happen. If you are
                                                                                                           unhappy with any part of your mental health
NorthSTAR members who have Medicare                   ARE THERE ANY BENEFIT LIMITS                         or substance abuse treatment, or if you are
Part D will receive their prescriptions through       OR EXCLUDED SERVICES?                                denied care, you can contact the ACCESS LINE
their Medicare Part D plans. If a member who                                                               at 1-888-800-6799 or TDD 1-888-800-6792. A
has Medicare Part D but does not also have           The NorthSTAR plan only provides mental               customer service representative can tell you
Medicaid needs a prescription that is not            health and substance abuse related services           how to make a complaint or file a grievance
included in any Medicare Part D Plan because         (behavioral health services). It does not cover       or appeal. If you wish to find a new provider,
the government excluded those types of drugs,        physical medical services except for some             a Clinical Care Manager can help you find a
such as benzodiazepines or barbiturates,             specialized female services for pregnant              provider that fits your needs.
NorthSTAR will pay for those drugs when they         women who are not eligible for other healthcare
are prescribed by a NorthSTAR doctor and are         benefit plans such as Medicaid. The following         You have the right to ask questions or make a
considered medically necessary. NorthSTAR            behavioral health services are excluded from          complaint about your mental health or substance
may also help with NorthSTAR prescribed              the NorthSTAR benefits for Medicaid individuals,      abuse care, provider, or ValueOptions® without
medications if a member is in the doughnut hole      but may be covered by your physical health            penalty. Medicaid recipients may request a
or gap in Medicare Part D coverage. Members          plan:                                                 Fair Hearing at any point in the complaint and
who need excluded drugs or who are in the                                                                  appeals process. Information on how to ask for
doughnut hole, will need to call ValueOptions®       • Screening for behavioral health disorders           a Fair Hearing is on page 7.
Customer Service at 1-888-800-6799.                    during well adult checks

6
ValueOptions® NorthSTAR Member Information

Non-Medicaid NorthSTAR members may                    1-888-800-6799 for information on how to file, or     Or contact the Department of State Health
request a review by an Independent Review             send your request for a grievance in writing to       Services (DSHS) Office of Consumer Rights at
Organization (IRO) at any point in the appeal         ValueOptions® at the address given above.             1-800-252-8154
process if you are receiving inpatient services or
are appealing non-authorization of emergency           WHAT IS AN APPEAL, AND                               Or you may call 1-512-206-5551 for DSHS
                                                                                                            NorthSTAR Enrollee and Provider Relations for
services, or services that need immediate              HOW DO I FILE ONE?
review.                                                                                                     assistance in filing for a Fair Hearing.
                                                      An appeal is a request that ValueOptions®
 WHAT IS A COMPLAINT, AND                                                                                   Or write to:
                                                      change a clinical decision, such as a change
 HOW DO I MAKE ONE?                                   or denial of services. If you are unhappy with a
                                                      ValueOptions® decision about your behavioral          NorthSTAR Enrollee and Provider
A complaint is an easy way for you or your family     health treatment, you may file an appeal. A           Services
member to resolve issues or problems with your        ValueOptions® clinician or manager who was not        Texas Department of State Health Services
mental health or substance abuse care before          involved with the original decision will review the   NorthSTAR Program
they become more serious. You can make                original decision and decide whether or not to        PO Box 149347/Mail Code 2012
a complaint to the ValueOptions® customer             change that decision.                                 Austin, TX 78714-9347
service department through our ACCESS LINE
or in writing. You can talk to a customer service                                                           Non-Medicaid-eligible NorthSTAR enrollees who
representative who will do everything possible
                                                      To file an appeal, you can:
                                                                                                            disagree with the results of the ValueOptions®
to solve your problem.                                • Call the ACCESS LINE at 1-888-800-6799 or           appeal process may request a review of the
                                                        TDD 1-888-800-6792 and ask the Customer             appeal decision by an Independent Review
To make a complaint, you may call:                      Service representative to mail you an appeal        Organization (IRO).
                                                        form. If you need help with the appeal
ValueOptions® Customer Service                                                                              If you disagree with our decision to deny, delay,
                                                        process, ValueOptions® has peer and family
     1-888-800-6799 or TDD 1-888-800-6792                                                                   reduce, suspend, or stop services, a Medicaid-
                                                        advocates to help you.
                                                                                                            eligible enrollee may file a request for a Fair
Maximus NorthSTAR Enrollee Services                                                                         Hearing, or a non-Medicaid-eligible enrollee
                                                      • Complete an appeal form or write a letter and
    1-800-964-2777                                                                                          may request an IRO review, by calling the
                                                        send it to:
                                                                                                            ValueOptions® ACCESS LINE at 1-888-800-6799
NTBHA Consumer Ombudsman
    1-877-653-6363                                      ValueOptions®, ATTN: Complaint                      or TDD 1-888-800-6792. The customer service
                                                                                                            representative or a peer or family advocate will
                                                           and Grievance Coordinator
Texas Department of Insurance                                                                               help you complete the request form.
                                                                 1199 S. Beltline, Suite 100
     1-800-252-3439                                                 Coppell, TX 75019
                                                                                                             CAN I BE DISENROLLED FROM
NorthSTAR Enrollee and Provider Services              • Ask your provider for an appeal form                 NORTHSTAR?
     1-512-206-5551
                                                      The Complaint and Grievance Coordinator               The State must approve any disenrollment
Or, you can mail a letter of                          will send you a letter within five working days       that is not requested by the enrollee. However,
complaint to:                                         after we receive your appeal. If we need more         ValueOptions® may ask the State to disenroll you
                                                      information, we will contact you to ask you for       from the program due to:
  ValueOptions®, ATTN: Complaint                      the information we need to work on your appeal.
                                                      Your help is necessary to help us resolve your        • Unruly behavior on the part of an enrollee
     and Grievance Coordinator                                                                                that is not caused by the enrollee’s mental
                                                      appeal. A decision will be made in response
         1199 South Beltline, Suite 100                                                                       illness or substance abuse disorder
                                                      to your appeal within 30 days from when we
              Coppell, TX 75019
                                                      receive it.
                                                                                                            • Loaning of your Medicaid enrollee ID card to
Or to                                                 You may ask for an expedited appeal if it involves      another person
                                                      inpatient care or urgent or emergent treatment.
          Texas Department of                         A decision will be made on an expedited appeal        • An enrollee moving away from the NorthSTAR
          State Health Services                                                                               service area
                                                      within one day. Your provider will be notified by
             NorthSTAR Program                        phone of the decision on the appeal. A letter         • A change in financial status of a non-
        PO Box 149347/Mail Code 2012                  describing the decision on your expedited               Medicaid-eligible enrollee so that the
            Austin, TX 78714-9347                     appeal will be sent to you within three working         enrollee no longer meets the income limits
                                                      days.
If you make a written complaint to ValueOptions®,                                                             for NorthSTAR
our Quality Management Department will                 HOW DO I GET A FAIR HEARING?
contact you within five working days after we                                                                WHAT IF I MOVE?
receive your letter to let you know that we have      Medicaid-eligible NorthSTAR enrollees who             If you move within the NorthSTAR area, be sure
your complaint. We will send you a letter within      disagree with the results of the ValueOptions®        to give your new address to your provider, and
30 days after that to tell you how we resolved the    appeal process may request a Fair Hearing.            to call ValueOptions® ACCESS LINE at 1-888-
problem. If we can’t solve your problem within        To request a fair hearing, NorthSTAR Medicaid         800-6799 or TDD 1-888-800-6792 to report
30 days, we will send you a letter telling you why,   eligible enrollees or someone acting on their         your new address. If you need a new provider
and when you will get an answer.                      behalf as a representative can call or write the      because your new address is not near your
                                                      following:
If you are unhappy with our answer to your                                                                  current provider, a ValueOptions® Clinical Care
complaint, you may file a grievance, which is         ValueOptions® ACCESS line at 1-888-800-6799           Manager can help you find a new provider that
a verbal or written communication that tells us                                                             is right for you and located near to your new
that you are not satisfied with the outcome of        ValueOptions®                                         address.
your complaint resolution. To file a grievance,       1199 S. Beltline, Ste 100
either call our Customer Service department at        Coppell, TX 75019



                                                                                                                                                            7
ValueOptions® NorthSTAR Member Information

If you move outside of the NorthSTAR area,           3. You have the right to ask                           b. To have someone interpret for you if you
call the ValueOptions® ACCESS LINE at 1-888-            questions and get answers about                        need information in another language,
800-6799 or TDD 1-888-800-6792 before you                                                                      both when you call ValueOptions® or your
                                                        anything you don’t understand.
move to report that you are moving out of the                                                                  provider, and when you go to see your
                                                        This includes the right:                               provider. Interpreters include people who
area. We will give you information about how
to find the behavioral health services you need      a. To have your provider explain your                     can speak in your native language, assist
in your new area. It is important that you keep         behavioral health care needs to you and                with a disability, or help you understand
getting care, especially if you take medicine to        talk to you about the different ways your              information you need to make sure you get
help you manage your illness. It is a good idea         behavioral health care problems can be                 the care you need.
to see your current provider and get adequate           treated, and
medications before you move, so that you will                                                               c. To be given an explanation that you can
not run out of medication before you have time       b. To be told why care or services were denied            understand about the ValueOptions®
to make an appointment with a provider near             and not given when you or your provider                NorthSTAR plan rules, including what
your new address.                                       requested them.                                        services you can get and how to get them.

 WHAT IS FRAUD AND ABUSE?                            4. You have the right to consent or                     WHAT ARE MY RESPONSIBILITIES
                                                        refuse treatment, and to actively                    IN MY RECOVERY?
Health care fraud and abuse is a willful deception      participate in decisions about
or lie, made by an enrollee, family member,                                                                 As a partner in your recovery, you have a
                                                        your care. That includes the right:                 responsibility to take part in meeting the goals
provider, or any other person, knowing that this
could result in some unauthorized benefit to that    a. To be treated in the least restrictive clinically   that you and your provider set. The following list
person or another interested party.                     appropriate setting                                 can help you, your provider, and everyone else
                                                                                                            involved in your care make sure that you get the
If you think that a provider, an enrollee, or        b. To give permission for your family members          most out of your treatment.
any other person is involved with fraud and             or guardians to be involved in the planning of
abuse involving the NorthSTAR plan, report it           your treatment                                      1. You have the responsibility to
immediately to ValueOptions® by calling our                                                                    learn and understand the rights
Customer Service Department on our ACCESS            c. To work as part of a team with your provider           you have under the NorthSTAR
LINE at1-888-800-6799 or TDD 1-888-800-6792.            in deciding what behavioral health care is             program. That includes the
                                                        best for you, and                                      responsibility:
 WHAT ARE MY RIGHTS?
                                                     d. To say yes or no to the care recommended            a. To ask questions if you don’t understand your
ValueOptions® believes that individuals who             by your provider.                                      rights
receive services in the NorthSTAR program are
full partners in their mental health or substance    5. You have the right to use each                      b. To call ValueOptions® ACCESS LINE at
abuse care. Certain rights are guaranteed to            available complaint process                            1-888-800-6799 or TDD 1-888-800-6792 and
you while you are receiving services under the          through ValueOptions® and                              inform a Clinical Care Manager when you
NorthSTAR program. You should be aware of               through Medicaid and/or the                            change your provider
these rights.                                           State. This includes the right:
                                                                                                            c. To keep your scheduled appointments with
1. You have the right to respect,                    a. To make a complaint to ValueOptions® or to             your provider
   dignity, privacy, confidentiality,                   the State about your behavioral health care,
   and non-discrimination.That                          your behavioral health provider, or about           d. To cancel appointments at least 24 hours in
                                                                                                               advance, or as soon as you know you cannot
   includes the right:                                  ValueOptions®.
                                                                                                               keep them, so that your provider can use that
a. To be treated fairly and with respect, and        b. To get a timely answer to your complaint, and          time to give someone else care.

b. To know that your medical records and what        c. For Medicaid-eligible-enrollees to ask for          e. To use a NorthSTAR provider for all but
   you tell your providers will be kept private         and receive a Fair Hearing, or for Non-                emergency room care in an emergency or
   and confidential, and not shared without your        Medicaid-enrollees to ask for a review by an           life or health threatening situation
   written permission.                                  Independent Review Organization (IRO).
                                                                                                            f. To understand when you should and should
2. You have the right to a reasonable 6. You have the right to timely                  not go to the emergency room
   opportunity to choose a mental        access to care that does not               g. In all but emergency situations, to call
   health or substance abuse             have any communication or                     ValueOptions® or the provider you wish to
   provider from the ValueOptions®       physical access barriers. This                use to find out if that provider is a NorthSTAR
   NorthSTAR network of providers,       means that you have the right                 provider.
   and to change that provider if you    to get in and out of a behavioral
   choose to do so. That includes        health provider’s office, with no          h. To abide by the NorthSTAR policies and
                                         barriers to access if you have a              procedures, and, if you do not understand
   the right to be informed about
                                                                                       the policies and procedures, to call
   how to choose and change your         disability that limits your mobility,
                                                                                       ValueOptions® or your provider to have them
   provider.                             in accordance with the Americans              explained to you.
                                         with Disabilities Act. This includes
                                         the right:                                 2. You have the responsibility to
                                                                                       share information about your
                                      a. To have telephone access to a behavioral
                                         health professional 24 hours a day, 7 days
                                                                                       mental health or substance abuse
                                         a week to obtain any needed emergency or      status with your provider, and to
                                         urgent care,                                  become fully informed about the
                                                                                       different types of treatment you

8
ValueOptions® NorthSTAR Member Information

  can get for your disorder. This                                                                        Advance Directives say what types of care
                                                     WHAT ABOUT PROGRAMS FOR
  includes the responsibility to help                                                                    you do or do not want. There are two types of
                                                     FAMILY MEMBERS?                                     Advance Directives:
  your behavioral health provider
  get your medical records from                     Families play an important role in a person’s        • Medical Advance Directives, which tell
  past providers.                                   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
3. You have the responsibility to                   of their loved one. Family members can call            medical problem and are unable to make
   actively participate in decisions                ValueOptions® ACCESS LINE at 1-888-800-6799            decisions. An example would be if you were
   relating to who your provider                    or TDD 1-888-800-6792 for information on the           unconscious.
   is, what services you want from                  NorthSTAR program, how to get services for their     • Psychiatric or Mental Health Advance
                                                    family member, or how to resolve a complaint
   that provider, and what type of                                                                         Directives, which tell doctors and family
                                                    about a provider, services, or ValueOptions®.          members what your wishes are if you
   care you get. This includes the
   responsibility to make personal                                                                         become disabled by a psychiatric illness.
                                                    If your family member calls, ValueOptions® will
   choices and to take action to                    keep all information about your case confidential,   The State Legislature has developed forms for
   maintain your behavioral health.                 but we can answer general questions about the        both types of Advance Directives. These forms
   It also includes the responsibility              NorthSTAR plan and services.                         are simple to complete, and you are not required
   to:                                                                                                   to have to have a lawyer, even though Advance
                                                    We can help you find special programs for
                                                                                                         Directives are legal forms.
a. Work as a team with your provider in             family members including:
   deciding what care is best for you                                                                    It is a good idea to discuss what might go in an
                                                    • Educational programs for family members
                                                                                                         Advance Directive with your doctor or provider;
b. Understand how the things you do can affect        to help them learn about mental illness and
                                                                                                         however, your doctor or provider is not allowed
   your behavioral health                             substance abuse
                                                                                                         to help you complete an Advance Directive.
c. Do your best to stay healthy, and                • Support groups for family members
                                                                                                         If you have an Advance Directive, it is a good
                                                    Your provider can also help you find resources       idea to tell your Provider, and to give a copy to
d. To treat behavioral health providers and staff
                                                    for education and support for your family.           your provider. You or your provider should call
   with respect
                                                                                                         ValueOptions® ACCESS LINE at 1-888-800-6799
                                                    There are listings of groups and community           or TDD 1-888-800-6792 and speak to a Clinical
 DO YOU OFFER PREVENTION OR
                                                    resources on page 10 of this handbook.               Care Manager so that the information about your
 EDUCATION PROGRAMS?                                                                                     Advance Directive can be put in your record.
The best time to take care of a problem is before
                                                     ARE THERE ANY SELF-HELP OR                          This way, in an emergency, your wishes for the
                                                     CONSUMER-RUN PROGRAMS?                              type of treatment you want, or do not want, can
it gets so big that you need to see a doctor. In
                                                                                                         be respected.
other words, prevention is the best medicine.
                                                    ValueOptions® believes that everyone who
                                                    receives mental health or substance abuse            A Living Will is a special type of Medical Advance
Our prevention, education, and outreach
                                                    services should be able to live the fullest life     Directive that tells your family members and
programs can help you find support groups and
                                                    possible. Sometimes, people with a behavioral        doctors what you want them to do about medical
community programs in your area. We attend
                                                    health problem want to develop their own             procedures that would prolong your life if you
many community events and hold or sponsor
                                                    programs to help themselves and others               are unable to tell them yourself.
workshops to provide information that can
be helpful to you or your family. We also have      who have similar problems. These programs,
tipsheets and other information that can help       called Consumer-run Programs, are used with           For more information about Advance
you with everyday problems like:                    professional mental health or substance abuse
                                                    programs. Together, professional services                 Directives and Living Wills, call
• Addiction                                         and Consumer-run Programs can help people
• Anger and Child Discipline                        recover a meaningful life.
• Dealing with Anger
                                                                                                            ValueOptions® ACCESS LINE at
• Good Parenting                                    ValueOptions®       sponsors       Consumer-run
• Helping Kids Like Themselves                      Programs, self-help groups, and drop-in                          1-888-800-6799 or
• HIV and AIDS                                      centers. We also offer technical assistance to
• Hyperactive Children                              consumer groups who want to build their own
                                                    self-help groups. To get information about these
                                                                                                             TDD 1-888-800-6792 and ask to
• Preventing Relapse
• Understanding Stress                              programs, or to locate the ones near you, call
                                                    ValueOptions® ACCESS LINE at 1-888-800-              speak to a member of the Prevention,
ValueOptions®      believes     that    healthy     6799 or TDD 1-888-800-6792.
communities produce healthy families. We                                                                      Education, and Outreach Staff.
work with many community organizations to            WHAT ARE ADVANCE
address issues that impact the mental health         DIRECTIVES?
of the people who live in the NorthSTAR area. If
you would like information on a special subject     Advance Directives are legal papers you
or about problems you may be facing, please         prepare while you are healthy. Advance
call the ACCESS LINE at 1-888-800-6799 and          directives give instructions to those who might
ask to speak to our Prevention, Education, and      treat you in the future if you are unable to make
Outreach Department. You can also ask your          decisions about your care due to your illness.
provider for information about your mental          Advance Directives are a way for you to still be
health or substance abuse, or about handling        a partner in your health care, even if you are not
the problems that you and your family face in       able to make decisions.
everyday life.


                                                                                                                                                        9
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


W
            e have listed some excellent community resources below. Our Customer Service                                                     of reasons. Examples of the types of persons
            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 ............................................214/363-0461 or info@dallasal-anon.org
                                                                                                                                             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
BRAIN (North TX Brain Injury Resource & Information Network, Inc.) (metro) .............817/477-3300                                         be shared with the health professional that is
                                                                                                                                             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
Depressive and Bipolar Support Alliance (metro) ........................................................817/654-7100                         to pay claims from the health professionals who
                                                                                                                                             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
Mental Health Association of Greater Dallas ................................................................214/871-2420                     services. For example, we may release portions
                                                                                                                                             of your PHI to a state Medicaid agency or to
NAMI Dallas ..................................................................................................................214/341-7133   another insurance company that provides your
                                                                                                                                             coverage. We may also use your PHI, along with
NAMI Collin County ......................................................(214) 908-NAMI (6264) or info@namicco.org
                                                                                                                                             the PHI of many others, to set our premiums.
NAMI Southern Sector Dallas .......................................................................................972/401-3834
                                                                                                                                             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
                                                                                                                                             programs, and other programs. For example,
Recovery, Inc ................................................................................................................214/904-0296   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                            health care services provided, or share your PHI
               PRIVACY PRACTICES                                      or electronic inquiry to your group health plan                        with our accountants or attorneys for audits or
                                                                      or its business associates, your other health                          litigation. If we are providing health benefits to
      THIS NOTICE DESCRIBES HOW MEDICAL                               insurance companies, your providers, or other                          you under an employer-sponsored group health
     INFORMATION ABOUT YOU MAY BE USED                                available databases. This Notice explains how,                         plan, we may disclose your PHI to the sponsor
     AND DISCLOSED AND HOW YOU CAN GET                                when and why we may use or share your PHI.                             of the plan.
      ACCESS TO THIS INFORMATION. PLEASE                              In most cases, we must use or share only the
              REVIEW IT CAREFULLY                                     minimum necessary PHI to accomplish a task.                            Individuals involved in your care or payment for
                                                                      The law has special protections for some kinds                         your care: We may release PHI about you to a
      If you have any questions, please contact                       of information, including substance abuse                              friend or family member who is involved in your
          ValueOptions® at 1-888-800-6799 or                          information.                                                           medical care. We may also give information to
                TDD 1-888-800-6792.                                                                                                          someone who helps pay for your care.
                                                                      We are required to follow the privacy practices
I.    How we Safeguard Your Protected                                 described in this Notice, but we may change our                        When required by law: We will share PHI about
      Health Information.                                             privacy practices and this Notice at any time.                         you when required by federal, state or local law.
                                                                      If we make changes, we will put a new Notice                           We may share PHI when a law requires us to
Your individual information about your past,                          on our Website at www.ValueOptions.com. You                            report information about suspected abuse,
present, or future health, the health care you                        may request a copy of the new Notice by calling                        neglect or domestic violence, or relating to
receive, or the payment for the health care is                        the customer service number in your member                             suspected criminal activity. We must also share
                                                                      materials or handbook.


 10
ValueOptions® NorthSTAR Member Information

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.
medical examiners or funeral directors, and to                                                            The list will not include any disclosures made
organ procurement organizations relating to           To request restrictions on uses or sharing with before April 14, 2003 and may not include
organ, eye, or tissue donations or transplants.       others: You have the right to ask us to limit how disclosures that law enforcement or health
                                                      we use or share your PHI. We will consider your authorities asked us not to list. To request this
For research purposes: In certain circumstances,      request, but we don’t have to agree to it. If we do list, you must send your request in writing as
and under supervision of a privacy board, we          agree to restrictions, we will put the agreement indicated in your member materials. We will
may share PHI in order to assist medical or           in writing and follow it, except in emergency respond to your written request for a list within
psychiatric research.                                 situations. We cannot agree to limit the uses or a period required by law. You can request a list
                                                      sharing of information that are required by law.    of disclosures going back up to six years but
To prevent threats to health or safety: In order to                                                       no earlier than April 14, 2003. There will be no
avoid a serious threat to health or safety, we may    To choose how we contact you: You have the charge for one list each year.There may be a
share PHI with law enforcement or other persons       right to ask that we communicate with you charge for more 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
• In emergency circumstances to report a              part of our records, or (iii) is a type of information
                                                      that we cannot disclose. If we deny your


                                                                                                                                                        11
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
ValueOptions® NorthSTAR Member Information

New Generation Medication: New                       Respite:      Services provided to family
generation anti-psychotic medications, also          members of a person receiving services to help
called atypicals, such as Risperidone, that may      allow the consumer to function as independently
be more effective and have fewer side effects for    as possible. Services may include short-
some patients.                                       term 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
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
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                           1-877-872-1003                   (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                          1-866-544-1887                   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
1-866-935-9700                        (972) 938-2642
                                                                               PROVIDENCE OF TEXAS              MEDICATION STATION
Dallas Metro Care Outpatient          Atlshuler Adult OP Clinic Dallas         106 S. Jefferson St.             700 W HWY 243
Clinic - Atlshuler                    County MHMR Pharmacy                     Kaufman, TX 75142                KAUFMAN, TX 75142
4645 Samuell Blvd                     4645 Samuell Blvd                        1-800-297-7936                   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                     1-877-932-4157                   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                         Child & Family Guidance          KROGER PHARMACY #34581
(214) 743-6188                        (214) 743-1229                           4031 W Plano Pkwy, Ste. 211      2925 Custer Rd
                                                                               Plano, TX 75074                  PLANO, TX 75075
Child & Family Guidance -             Kroger 528                               972-612-5989                     (972) 612-1864
Main Office                           4142 Cedar Springs
8915 HARRY HINES BLVD                 Dallas, TX 75219                         Life Path Systems                LIFE PATH PHARMACY
Dallas, TX 75235                      (214) 599-9859                           (Main Office)                    3920 Alma Dr
(214) 351-3490                                                                 3920 ALMA DR                     Plano, TX 75023
                                                                               Plano, TX 75023                  469-467-8629
Adapt of TEXAS - Dallas               Pathways Adult OP Clinic - Dallas        972-422-5939
5701 MAPLE AVE. STE 300               County MHMR Pharmacy
Dallas, TX 75235                      1380 Riverbend Dr.                       Child & Family Guidance          KROGER PHARMACY #35209
1-888-905-0595                        Dallas, TX 75247                         120 W. Main Street, Suite 220    525 N GALLOWAY
                                      (214) 743-1229                           Mesquite, TX 75149               MESQUITE, TX 75149
                                                                               214-351-3490                     (972) 289-1300
Dallas Metro Care Outpatient          Lancaster Adult OP Clinic - Dallas
Clinic - Lancaster                    County MHMR Pharmacy                     LIFENET COMMUNITY                QOL Meds
3330 S. Lancaster Rd                  3330 S Lancaster Rd.                     BEHAVIORAL HEALTHCARE            9708 Skillman St.
Dallas, TX 75216                      Dallas, TX 75216                         9708 Skillman St.                Dallas, TX 75243
214-371-6639                          (214) 371-6639                           Dallas, TX 75243                 (214) 553-6136
                                                                               214-221-5433
Dallas Metro Care Outpatient          Westmoreland Adult OP Clinic -
Clinic - Westmoreland                 Dallas County MHMR Pharmacy
1350 N Westmoreland                   1350 N. Westmoreland
Dallas, TX 75211                      Dallas, TX 75211
214-330-0036                          (214) 330-0036




l   Accepting Current Patients Only, s Accepting Referrals                                                                               15
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                                                      l   Aceptando solamente pacientes actuales, s Aceptar las referencias
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

l   Accepting Current Patients Only, s Accepting Referrals                                                           17
ValueOptions® NorthSTAR Provider Network                                Proveedores Contratados por ValueOptions® NorthSTAR

NorthSTAR Clinic                         Child and Family Guidance                   Dallas Metrocare Services-
                                         8915 Harry Hines Blvd.                      Altshuler Clinic
Providers                                Dallas, TX 75235                            4645 Samuell Blvd.
Mental Health                            (214) 351-3490                              Dallas, TX 75228
                                         Adult Adol Child                            (214) 275-7393
                                         Enrollment Site                             Adult Adol Child
      COLLIN COUNTY                      Spanish                                     Spanish
                                                                                     Enrollment Site
Adapt of Texas                           Child and Family Guidance
2300 White Ave., Ste: 104                210 West 10th Street                        Dallas Metrocare Services-
McKinney, TX 75071                       Dallas, TX 75208                            Pathways Clinic
1-866-544-1887                           (214) 351-3490                              1340 Riverbend Road
Adult                                    Adult Adol Child                            Dallas, TX 75247
Enrollment Site                          Enrollment Site                             (214) 743-6188
                                         Spanish                                     Adult
Boys & Girls Family Services of Collin
                                                                                     Spanish, Chinese, Sign Language
County                                   Child and Family Guidance                   Enrollment Site
2600 K Ave., Suite 140                   120 W. Main Street, Ste: 220
Plano, TX 75074                          Mesquite, TX 75149                          Dallas Metrocare Services-
(972) 578-2802                           (214) 351-3490                              Treatment Foster Care
Adults Adol Child                        Adults Adol Child                           1353 N. Westmoreland, Bldg A
Spanish                                  Enrollment Site                             Dallas, TX 75211
                                         Spanish                                     (214) 333-7015
Child and Family Guidance
                                                                                     Adol Child
4031 W. Plano Parkway, Ste: 211          Children’s First Counseling Center          Spanish, Chinese, Sign Language
Plano, TX 75093                          202 College Street                          Enrollment Site
(214) 351-3490                           Grand Prairie, TX 75050
Adult Adol Child                         (972) 264-0604                              Dallas Metrocare Services-
Enrollment Site                          Adol Child                                  Westside Family Clinic
Spanish                                                                              1353 N. Westmoreland, Bldg B
                                         Counseling Institute of Texas               Dallas, TX 75211
Life Path Systems/Avenues Behavioral     705 W. Avenue B, Ste: 200                   (214) 331-0107
Healthcare Center                        Garland, TX 75040                           Adol Child (over 7 yrs.)
201 W. Louisiana Street                  (972) 494-0160                              Spanish
McKinney, TX 75070                       Adult Adol Child                            Enrollment Site
(972) 562-9647                           Spanish
Adult Adol Child                                                                     Dallas Metrocare Services
Enrollment Site                          Dallas Metrocare Services –                 221 S. Ninth Street
                                         Lancaster/Keist Clinic                      Garland, TX 75040
Life Path Systems/Avenues Behavioral     3330 S. Lancaster Road                      (972) 494-8164
Healthcare Center                        Dallas, TX 75216                            Adol Child
3920 Alma Drive                          (214) 371-6639                              Spanish
Plano, TX 75023                          Adult                                       Enrollment Site
(972) 422-5939                           Spanish, Chinese, Sign Language
Adult                                    Enrollment Site                             Dallas Metrocare Services
Enrollment Site                                                                      405 Stadium Drive
                                         Dallas Metrocare Services-                  Grand Prairie, TX 75052
      DALLAS COUNTY                      Special Needs Offender Program              (972) 504-6079
                                         3330 S. Lancaster Road, Annex Bldg.         Adults (morning only) Adol Child
ABC Behavioral Health                    Dallas, TX 75216                            Enrollment Site
4600 Samuell Blvd.                       (214) 371-0474
(Timberlawn Campus)                      Adult                                       Dallas Metrocare Services-
Dallas, TX 75228                         Spanish, Chinese, Sign Language             Early Intervention
(214) 275-8500                           Enrollment Site                             1353 N. Westmoreland
Adult/Enrollment Site                                                                Dallas, TX 75211
Spanish                                  Dallas Metrocare Services-                  (214) 333-7015
                                         Westmoreland Clinic                         Child (up to 6yrs old only)
Adapt of Texas                           1350 N. Westmoreland                        Spanish
2600 N. Stemmons Frwy., Suite 151        Dallas, TX 75211                            Enrollment Site
Dallas, TX 75207                         (214) 330-0036
1-888-905-0595                           Adult                                       Dallas Sigma Counseling Services
Adult//Enrollment Site                   Spanish, Sign Language                      1902 Country Club Dr.
Spanish                                  Enrollment Site                             Carrollton, TX 75006
                                                                                     (214) 358-7533
Centro De Mi Salud                                                                   Adult Adol Child
628 Centre Street                                                                    Korean
Dallas, TX 75208
(214) 941-0798
Adult Adol Child
Spanish/Enrollment Site


18                                                       l   Aceptando solamente pacientes actuales, s Aceptar las referencias
ValueOptions® NorthSTAR Provider Network                                   Proveedores Contratados por ValueOptions® NorthSTAR

Galaxy Counseling Center                      Hope Clinic
1025 S. Jupiter Road                          2411 E. Jefferson St.                        ROCKWALL COUNTY
Garland, TX 75042                             Waxahachie, TX 75165
(972) 272-4429                                (972) 923-2440                            Lakes Regional MHMR
Adult Adol Child                              Adult Adol Child                          102 S. First Street
Spanish                                       (Non- Medicaid members only)              Rockwall, TX 75087
                                                                                        (972) 977-5235
Integrated Psychotherapeutic Services         Integrated Psychotherapeutic Services     Adult
(IPS)                                         (IPS)                                     Enrollment Site
400 N. Saint Paul Street, Ste: 235            106 N. 6th St.                            Wednesdays and Fridays (8am to 5pm)
Dallas, TX 75201                              Midlothian, TX 76065
(214) 331-1205                                (214) 331-1205                            Chemical Dependency
Adults                                        Adults
                                                                                              COLLIN COUNTY
LifeNet Community Behavioral
Healthcare
                                                      HUNT COUNTY
                                                                                        First Step Counseling
9708 Skillman Street                          Lakes Regional MHMR                       900 E Park Blvd., Ste: 153
Dallas, TX 75243                              4200 Stuart Street                        Plano, TX 75074
(214) 221-5433                                Greenville, TX 75402                      (972) 633-5544
Adult                                         (903) 455-3987                            Adults
Enrollment Site                               Adult Adol Child                          Enrollment Site
                                              Enrollment Site
LifeNet Community Behavioral                                                            Hickory Trail Hospital
Healthcare                                    Providence of Texas                       2000 Old Hickory Trail
The Bridge: Homeless Shelter                  2718 Wesley Street, Ste: C                Desoto, TX 75115
1818 Corsicana Street                         Greenville, TX 75401                      (972) 298-7323
Dallas, TX 75201                              (903) 455-9090                            Adults
(214) 670-1100                                Adol Child                                Enrolment Site
Adult                                         Enrollment Site
                                                                                        Imagine Programs
Providence of Texas
8625 King George Drive, Suite 111                 KAUFMAN COUNTY                        1947 K Avenue, Ste: A100
                                                                                        Plano, TX 75074
Dallas, TX 75235                              Adapt of Texas                            (972) 423-6007
(214) 631-7002                                106 S. Jefferson Street                   Adolescents Only
Adol Child (over 4 yrs)                       Kaufman, TX 75142                         Enrollment Site
Enrollment Site                               1-877-932-4157
                                              Adult                                     Legacy Counseling Center
Southern Area Behavioral Healthcare                                                     4054 McKinney Ave., Ste: 102
(After-hours Crisis Clinic)                   Enrollment Site
                                                                                        Dallas, TX 75204
4333 Gannon Ln., Ste: 101                     Lakes Regional MHMR                       (214) 520-6308
Dallas, TX 75237                              400 Airport Road                          Adults Only
(972) 283-9090                                Terrell, TX 75160
Monday- Fridays: 4pm to 10pm                  (972) 524-4159                            Life Management Resources
Sundays: 2pm to 7pm                           Adult Adol Child                          3131 Custer Road, Suite 265
                                              Enrollment Site                           Plano, TX 75075
Youth Advocate Programs                                                                 (972) 985-7565
4225 Office Parkway                           Providence of Texas                       Adults
Dallas, TX 75204                              106 S. Jefferson Street                   Enrollment Site
(214) 821-6505                                Kaufman, TX 75142
Adol Child                                    1-800-297-7936                            Life Management Resources
Enrollment Site                               Adol Child                                2414 W. University Drive, Ste: 115
                                              Enrollment Site                           McKinney, TX 75071
          ELLIS COUNTY                                                                  (469) 742-8910

Adapt of Texas                                     NAVARRO COUNTY                       Adults
                                                                                        Enrollment Site
1311 Ferris Ave.                              Adapt of Texas
Waxahachie, TX 75165                          319 N. 12th Street                        Life Management Resources
1-866-935-9700                                Corsicana, TX 75110                       303 S. Jackson Ave., Ste: 100
Adult Adol Child                              1-877-872-1003                            Wylie, TX 75098
Enrollment Site                               Adult Adol Child                          (972) 941-8757
                                              Enrollment Site                           Adults
Adapt of Texas (Wilmer Clinic)                                                          Enrollment Site
200 Greene Road
Wilmer, TX 75172                                                                        Life Path Systems/Avenues Behavioral
1-866-562-2730                                                                          Healthcare Center
Adults                                                                                  201 W. Louisiana Street
                                                                                        McKinney, TX 75070
                                                                                        (972) 562-9647
                                                                                        Adult Adol Child
                                                                                        Enrollment Site


l   Accepting Current Patients Only, s Accepting Referrals                                                                   19
ValueOptions® NorthSTAR Provider Network                                Proveedores Contratados por ValueOptions® NorthSTAR

MedPro Treatment Center                  Lifenet Community Behavioral                 West Texas Counseling & Rehabilitation
(Methadone Clinic)                       Healthcare                                   Foundation (Methadone Clinic)
2309 Virginia Parkway, Ste: 200          9708 Skillman Street                         1808 Market Center Blvd.
McKinney, TX 75071                       Dallas, TX 75243                             Dallas, TX 75207
(972) 542-4144                           (214) 221-5433                               (214) 630-7146
Adults                                   Adult Adol Child                             Adults
                                         Enrollment Site                              Enrollment Site
West Texas Counseling & Rehabilitation
Foundation (Methadone Clinic)
1108 Dobie Drive, Ste: 102
                                         Nexus Recovery Center
                                         8733 La Prada Drive
                                                                                               HUNT COUNTY
Plano, TX 75074                          Dallas, TX 75228                             Lakes Regional MH/MR
(972) 516-2900                           (214) 321-0156                               4200 Stuart Street
Adults                                   Adult Adol Child (women only)                Greenville, TX 75402
Enrollment Site                          Spanish                                      (903) 455-3987
                                         Enrollment Site                              Adult Adol Child
      DALLAS COUNTY                      Phoenix House of Texas
                                                                                      Enrollment Site

Addicare Group of Texas                  2345 Regan Street
                                         Dallas, TX 75219
2722 W. Kingsley, Suite 115
Garland, TX 75042                        (214) 999-1044                                    KAUFMAN COUNTY
(972) 278-4760                           Adol                                         Lakes Regional MH/MR
Adult Adol                               Enrolment Site                               400 Airport Road
Enrollment Site                                                                       Terrell, TX 75160
                                         Recovery Healthcare Corporation
                                         9090 N. Stemmons Freeway, Suite A            (972) 524-4159
Association of Persons Affected                                                       Adult Adol Child
by Addiction (APAA)                      Dallas, TX 75247
                                         (214) 350-1711                               Enrollment Site
2438 Butler Street, Ste: 120
Dallas, TX 75235                         Adult
(214) 634-2722                           Enrollment Site                                  ROCKWALL COUNTY
Adult Adol                                                                            Lakes Regional MH/MR
(Peer Services ONLY)                     Redbird Education Center
                                         105 S. 1st Street                            102 S. First Street
Dallas Challenge, Inc.                   Rockwall, TX 75087                           Rockwall, TX 75087
201 S. Tyler Street                      (214) 287-3501                               (972) 977-5235
Dallas, TX 75208                         Adult                                        Adult
(214) 942-5166                                                                        Enrollment Site
Adol                                     Solace Counseling and Associates             Tuesdays, Wednesdays, and Fridays
Enrollment Site                          1475 Prudential Drive                        (8am to 5pm)
                                         Dallas, TX 75235
Demson Counseling                        (214) 522-4640
10945 Estate Lane, Suite 105             Adults
Dallas, TX 75238                         Enrollment Site
(214) 688-9800
Adult Adol Child                         S.T.E.P. Med (Methadone Clinic)
                                         1705 Martin Luther King Jr. Blvd, Suite E
First Step Counseling                    Dallas, TX 75215
219 B. Sunset Ave. Suite 101             (214) 421-9100
Dallas, TX 75208                         Adults
(214)942-8808
Adults                                   The Road to Recovery
Enrollment Site                          9401 LBJ Freeway, Suite 270
                                         Dallas, TX 75243
First Step Counseling                    (214) 503-3764
16539 Addison Rd.                        Adults
Addison, TX 75001                        Enrollment Site
(972) 239-4440
Adults                                   Turtle Creek Recovery Center
Enrollment Site                          2707 Routh Street
                                         Dallas, TX 75201
Homeward Bound                           (214) 871-2483
233 W. 10th Street                       Adults
Dallas, TX 75208                         Enrollment Site
(214) 941-3500
Adults                                   West Texas Counseling & Rehabilitation
Spanish                                  Foundation (Methadone Clinic)
Enrollment Site                          1116 W. Pioneer Drive, Suite 1112
                                         Irving, TX 75061
                                         (972) 253-9370
                                         Adults
                                         Enrollment Site



20                                                        l   Aceptando solamente pacientes actuales, s Aceptar las referencias
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)

Timberlawn Mental Health System
1510 N. Hampton Rd., Ste: 110
Desoto, TX 75115
(972) 228-2488
Enrollment Site (Children Only)


          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




l   Accepting Current Patients Only, s Accepting Referrals                                                   21
ValueOptions® NorthSTAR Provider Network                                         Proveedores Contratados por ValueOptions® NorthSTAR




*Roster of UTSW providers and their multiple practice locations.


200 Treadway Plaza          2201 Inwood Rd.              5303 Harry Hines Blvd                 5959 Harry Hines Blvd.
Dallas, TX 75235            Dallas, TX 75390             Dallas, TX 75390                      Dallas, TX 75390

6011 Harry Hines Blvd       6263 Harry Hines Blvd        6300 Harry Hines Blvd                 6363 Forrest Park Rd.
Dallas, TX 75390            Dallas, TX 75390             Dallas, TX 75390                      Dallas, TX 75390

UT Southwestern- at Zale Lipshy Hospital       UT Southwestern- at St. Paul Hospital           UT Southwester-at Parkland Hospital
5151 Harry Hines Blvd                          5909 Harry Hines Blvd                           5201 Harry Hines Blvd.
Dallas, TX 75390                               Dallas, TX 75390                                Dallas, TX 75235

UT Southwestern-at Children’s Medical Center
1935 Motor St.
Dallas, TX 75235         *Hours of Operation for all listed are Monday thru Friday 8 am to 5 pm
                                 Main number for UTSW group: 214-645-0600


Farida Ali, MD l                               Urszula Kelley, MD l                            Stephanie Setliff, MD l

Rajbir Bakshi, MD l                            Andrea Kim, MD l                                Mujeeb Shad, MD l

Cynthia Bret, MD l                             Frank Kozel, MD l                               Geetha Shivakumar, MD l

Mary Ellen Bret, MD l                          Benji Kurian, MD l                              Prabha Sunderajan, MD l

Edson Brown, MD l                              Janet Lawhon, DO l                              Suresh Sureddi, MD l

Kevin Brown, MD l                              Nhan T. Le, MD l                                Rongrong Tao, MD l

Matthew Byerly, MD l                           Michael Lutter, MD l                            Yee Yee Thein, MD l

John Cain, MD l                                Anthony Mazzarulli, MD l                        Jodie Trello-Rishel, MD l

Marius Commodore, MD l                         Jane Miles, MD l                                Madhukar Trivedi, MD l

Paul Croakin, DO l                             Paul Mohl, MD l                                 Aaron Van Wright, MD l

Charles De Gravelles, MD l                     Alyson Nakamura, MD l                           David Waller, MD l

Wayne Denton, MD l                             Michelle Nichols, MD l                          Frank Webster, MD l
Graham Emslie, MD l                            James Norcross, MD l                            Myron Weiner, MD l

Corinne Fribley, MD l                          Carol North, MD l                               Arthur Westover, MD l

Robert Garrett, MD l                           Andrew Pieper, MD l                             Timothy Wolff, MD l

Ghose Subroto, MD l                            John Quinn, MD l                                Tyler Wooten, MD l

Yaprak Harrison, MD l                          Uma Rao, MD l                                   Nasir Zaki, MD l

Mustafa Husain, MD l                           Ahmad Raza, MD l

Celia Jenkins, MD l                            John Sadler, MD l

Neysa Johnson, MD l                            Kirti Saxena, MD l

Catherine Karni, MD l                          Marzeena Senktas, MD l




l   Accepting Current Patient Only/Aceptando solamente pacientes actuales


22                                                                 l   Aceptando solamente pacientes actuales, s Aceptar las referencias
ValueOptions® NorthSTAR Provider Network                     Proveedores Contratados por ValueOptions® NorthSTAR

In-Home/Community
Providers

Mental Health
Bernard, Diana LPC s
1017 Sahallee Drive
Frisco, TX 75034
(214) 705-6153
Adult Adol
Sign Language
Travels to Frisco, Allen, Plano
and some areas of McKinney

Shipley, Brenda LCSW s
10314 Bent Tree Drive
Rowlett, TX 75089
(972) 890-3551
Adol Child
Travels to Rowlett, Forney,
and Rockwall areas


Chemical Dependency
Bernard, Diana LPC s
1017 Sahallee Drive
Frisco, TX 75034
(214) 705-6153
Adult Adol
Sign Language
Travels to Frisco, Allen, Plano
and some areas of McKinney




l   Accepting Current Patients Only, s Accepting Referrals                                                   23
ValueOptions® NorthSTAR Provider Network                                      Proveedores Contratados por ValueOptions® NorthSTAR

NorthSTAR Individual                         Cocoris, John PsyD s                          Little, Irene LCDC
                                             7209 Verdi Way                                2600 K Ave., Ste: 102
Providers                                    McKinney, TX 75070                            Plano, TX 75074
                                             (972) 951-2120                                (972) 423-8727
        COLLIN COUNTY                        Adult Adol Child                              Adult Adol
Chemical Dependency Providers Crooks, Wayne LCSW                                           Meyer, Darren MD l
                                             CJM & RSJ Inc.                                1575 Heritage Dr., Ste: 203
Felber, Mark LPC, LCDC     s
                                             2222 w. Spring Creek Pkwy., Ste: 116          McKinney, TX 75069
1717 Sacramento Terrance
                                             Plano, TX 75023                               (972) 529-5445
Plano, TX 75075
                                             (972) 964-3214                                Adult
(214) 796-2323
                                             Adult Adol Child
Adult                                                                                      Moolamalla, Preveen MD l
                                             Felber, Mark LPC, LCDC s                      1575 Heritage Dr., Ste: 203
Kelly, Sherry LCSW s
                                             1717 Sacramento Terrance                      McKinney, TX 75069
2121 Spring Creek Pkwy, Ste: 220
                                             Plano, TX 75075                               (972) 529-5445
Plano, TX 75023
                                             (214) 796-2323                                Adult Adol
(972) 867-8169
                                             Adult
Adult Adol                                                                                 Moreno, Richard PhD
                                             Goodwin, Pamela LPC l                         1721 W. Plano Parkway, Ste: 107
Little, Irene LCDC
                                             5301 Village Creek Dr., Ste: A                Plano, TX 75075
2600 K Ave., Ste: 102
                                             Plano, TX 75093                               (972) 673-4111
Plano, TX 75074
                                             (214) 202-7437                                Adult
(972) 423-8727
                                             Adult Adol Child
Adult Adol                                                                                 Nietert, Michelle LPC
                                             Hamilton, Ellen LPC s                         Her Life, Inc.
Sikes, Lori LCSW l
                                             720 E. Main Street, Ste: B                    1506 N. Greenville Ave., Ste: 200
1700 Alma Dr., Ste: 315
                                             Allen, TX 75002                               Allen, TX 75002
Plano, TX 75075
                                             (469) 867-3274                                (972) 979- 9720
(469) 693-5705
                                             Adult Adol Child                              Adult Adol Child
Adult Adol Child
                                             Hildre, Jerold LPC s                          Pruitt, Debra LPC l
Waddell, Tarsyia LPC s
                                             9300 Coit Rd, Ste: 1424                       6136 Frisco Square Blvd., Ste: 400
900 E. Park Blvd., Suite 155
                                             Plano, TX 75025                               Frisco, TX 75034
Plano, TX 75074
                                             (214) 726-5451                                (214) 923-8488
(214) 738-6869
                                             Adult                                         Adult Adol Child
Adults Adol Child
                                             Interian-Boysselle, Brenda LPC s              Sadre, Mahnaz, LPC s
Mental Health Providers                      1514 N. Greenville Ave, Ste: 310              3550 Parkwood Blvd., Ste: A201
                                             Allen, TX 75002                               Frisco, TX 75034
Bass, Kathleen LPC                           (214) 592-4367                                (972) 625-9911
1721 W. Plano Parkway, Ste: 103              Adult Adol Child                              Adult Adol Child
Plano, TX 75075                                                                            Farsi
(817) 915-0359                               Karlix, Krysla LCSW
Adult Adol Child                             520 Central Parkway E, Ste: 234               Sikes, Lori LCSW l
Spanish                                      Plano, TX 75074                               1700 Alma Dr., Ste: 315
                                             (972) 333-1686                                Plano, TX 75075
Baumbach, Cathy LPC s                        Adult Adol                                    (469) 693-5705
202 N. Allen Drive, Suite E                                                                Adult Adol Child
Allen, TX 75013                              Kelly, Sherry LCSW s
(972) 896-6123                               2121 Spring Creek Pkwy, Ste: 220              Turner, Kathi LCSW s
Adult Adol Child                             Plano, TX 75023                               1721 W. Plano Parkway, Suite 127
                                             (972) 867-8169                                Plano, TX 75074
Bellamy, Douglas EdD l                       Adult Adol                                    (214) 924-5706
101 E. Park Blvd., Suite 600                                                               Adult Adol
Plano, TX 75074                              Kerby, Tim LPC s
(972) 404-8888                               1110 Howell St.                               Waddell, Tarsyia LPC s
Adult Adol Child                             McKinney, TX 75069                            900 E. Park Blvd., Suite 155
                                             (214) 544-8991                                Plano, TX 75074
Bellamy, Priscilla EdD l                     Adult Adol Child                              (214) 738-6869
101 E. Park Blvd. Suite 600                                                                Adults Adol Child
Plano, TX 75074                              Lewis, Beverly LCSW l
(972) 404-8888                               1500 S. Central Expressway, Ste: 100          Weathersbee-Ellason, Joan LPC s
Adult Adol Child                             McKinney, TX 75070                            101 E. Park Blvd., Ste: 640
                                             (214) 385-4066                                Plano, TX 75074
Cameron, Susan LPC                           Adol Child                                    (469) 831-4548
2301 Ohio, Suite 259                                                                       Adult Adol
Plano, TX 75093
(972) 964-7730
Adult Adol


l   Accepting Current Patients Only, s Accepting Referrals                                                                      24
ValueOptions® NorthSTAR Provider Network                             Proveedores Contratados por ValueOptions® NorthSTAR

                                       DeQuesada, Christina, LPC s                 Nazempoor, Al, LPC, LCDC, PhD
      DALLAS COUNTY                    1401 N. Central Expressway, Suite 375       12820 Hillcrest Rd., Ste: 107
Chemical Dependency Providers          Richardson, TX 75080                        Dallas, TX 75230
                                       (972) 639-6579                              (972) 233-0181
Arnett, Wayne LPC s                    Adult Adol Child                            Adult Adol Child (over 10 yrs)
7920 Beltline Road, Ste: 520                                                       Farsi
Dallas, TX 75254                       Gill, Andrew LPC s
(972) 259-4025                         3317 Finley Rd., Ste: 120 D                 O’Dea, John LPC
Adult Adol (over 16 yrs)               Irving, TX 75062                            1475 Prudential Drive
                                       (817) 360-5364                              Dallas, TX 75235
Asante, Ofori LPC s                    Adult Adol                                  (214) 522-4640
Innertouch Counseling                                                              Adult
9319 Lyndon B Johnson Freeway          Graeser, Ted LPC s
Suite 105                              3960 Broadway Blvd., Ste: 120               Odiachi, Frank LPC s
Dallas, TX 75243                       Garland, TX 75043                           12300 Ford Rd., Ste: 427
(214) 329-1243                         (214) 703-3317                              Dallas, TX 75234
Adult Adol Child                       Adult Adol Child                            (972) 243-9500
Yoruba/Ibo                                                                         Adult Adol Child
                                       Husbands, Marjorie LPC                      Yoruba & Ibo
Brewster, Judith LPC, LCDC s           1108 High Vista Lane
6162 E. Mockingbird Lane, Ste: 204     Richardson, TX 75080                        Pawelek, Aaron, LCSW s
Dallas, TX 75214                       (972) 669-9944                              Pastoral Counseling & Education Ctr.
(214) 824-1914                         Adult Adol                                  4525 Lemmon Ave., Ste: 200
Adult Adol Child                                                                   Dallas, TX 75219
                                       Jones-Epstein, Ruby LCSW s                  (214) 526-4525
Burks, Kathey LMFT      s              921 W. Pioneer Parkway, Ste: K              Adult Adol
9550 Forest Lane                       Grand Prairie, TX 75052
Building 1, Suite 116                  (972) 266-0777                              Perez, Juan LPC
Dallas, TX 75243                       Adult Adol Child                            620 W. Westchester Parkway, Suite 2207
(972) 250-1136                         German                                      Grand Prairie, TX 75052
Adults                                                                             (469) 682-8046
                                       Jung, Pyeong-Soo “Daniel” LPC               Adol Child
Caughy, Dennis LCSW s                  3530 Forest Lane, Ste: 255                  Spanish
3200 Southern Dr., Ste: 107            Dallas, TX 75234
Garland, TX 75043                      (214) 358-7533                              Pole, Rekha MD l
Richardson, TX 75080                   Adult Adol Child                            1755 N. Collins Blvd. Ste: 525
(972) 742-1679                         Korean                                      Richardson, TX 75080
Adults Adol Child                                                                  (214) 369-5522
                                       Martin, Cornelius LCSW                      Adult Adol Child
Chandler, Donald Jr LPC s              Legacy Counseling Center                    Hindi
424 S. Corinth Street                  4054 McKinney Ave., Ste: 102
Dallas, TX 75203                       Dallas, TX 75204                            Prakash, A PhD l
(214) 946-3676                         (214) 520-6308                              800 W Airport Frwy., Ste: 1100
Adult Adol Child                       Adult Adol                                  Irving, TX 75062
                                                                                   (972) 445-4158
Chandler, Nichelle PhD s               Melman, Steven LMFT l                       Adult Adol Child
128 Lofton St.                         6380 Lyndon B Johnson Frwy, Ste: 185        Hindi, Urdu
Cedar Hill, TX 75104                   Dallas, TX 75240
(469) 867-1343                         (800) 603-9217                              Shiwach, Rajinder, MD
Adults Adol Child                      Adult Adol Child                            941 York Drive, Suite 205
                                                                                   Desoto, TX 75115
Chavason, Arthur MD l                  Merchant, Albert LCSW s                     (972) 283-6286
Holiner Psychiatric Group              11520 N. Central Expressway, Ste: 200       Adult
7777 Forest Lane, Ste: C833            Dallas, TX 75243                            Hindi
Dallas, TX 75230                       (214) 503-9222
(972) 566-4591                         Adult Adol Child (over 6yrs)                Shiwach, Rajinder, MD l
Adult                                                                              2000 Old Hickory Trail
                                       Mills, Kathleen LPC l                       Desoto, TX 75115
Coutee, Kelly LPC                      14679 Midway Road, Ste: 200                 (972) 298-7323
10405 E. Northwest Highway, Ste: 203   Addison, TX 75001                           Adult
Dallas, TX 75238                       (972) 234-6634                              Hindi
(214) 340-0208                         Adult Adol
Adult Adol                                                                         Solis, Carolyn LPC
                                       Nazempoor, Al LPC, LCDC, PhD s              3626 N. Hall Street, Ste: 404
Denson, Michael LCSW s                 Bank of America Tower                       Dallas, TX 75219
1075 Kinwest Parkway, Ste: 107         400 S. Zang Blvd., Ste: 813                 (214) 521-4241
Irving, TX 75063                       Dallas, TX 75208                            Adult
(972) 910-8388                         (972) 233-0181
Child (over 8 years)                   Adult Adol Child (over 10yrs)
                                       Farsi


25                                                     l   Aceptando solamente pacientes actuales, s Aceptar las referencias
ValueOptions® NorthSTAR Provider Network                                     Proveedores Contratados por ValueOptions® NorthSTAR

Sparks, Luanne LMFT, LCDC l                  Bateman, Kenneth LPC, LMFT, EdD l            Burks, Kathey LMFT s
310 E. I-30, Ste: M-103                      1701 N. Collins Road, Ste: 126               9550 Forest Lane
Garland, TX 75043                            Richardson, TX 75080                         Building 1, Suite 116
(972) 270-0425                               (972) 680-8986                               Dallas, TX 75243
Adult Adol Child (over 6yrs)                 Adult Adol                                   (972) 250-1136
                                                                                          Adults
Tulloch, Edwin LPC, LMFT s                   Bates, Delores LPC s
7424 Greenville Ave, Ste: 114                1106 Santa Fe Trail, Ste: 6                  Cannon, Betty LPC s
Dallas, TX 75214                             Duncanville, TX 75137                        10910 Listi Drive
(972) 617-0242                               (972) 780-1504                               Dallas, TX 75238
Adult Adol Child                             Adult Adol Child                             (214) 537-9297
                                                                                          Adult Adol Child
Mental Health Providers                      Bellamy, Douglas EdD l
                                             17304 Preston Rd, Suite 800                  Caughy, Dennis LCSW s
Abbassi, Amir LCSW                           Dallas, TX 75252                             3200 Southern Dr.
1701 N. Collins Blvd., Ste: 126              (972) 404-8888                               Garland, TX 75043
Richardson, TX 75080                         Adult Adol Child                             (972) 742-1679
(972) 680-8986                                                                            Adults Adol Child
Adult Adol Child                             Bellamy, Priscilla EdD l
                                             17304 Preston Rd, Suite 800                  Chandler, Donald Jr LPC s
Abernethy, Pam LPC s                         Dallas, TX 75252                             424 S. Corinth Street
1221 Abrams Road, Ste: 232, Box 47           (972) 404-8888                               Dallas, TX 75203
Richardson, TX 75081                         Adult Adol Child                             (214) 946-3676
(972) 234-2333                                                                            Adult Adol Child
Adult Adol                                   Berger, Murray PhD, LMFT s
                                             11551 Forest Central Dr., Ste: 123           Chandler, Nichelle PhD s
Alexander, Stacia LPC    s                   Dallas, TX 75243                             128 Lofton St.
8828 N. Stemmons Frwy., Ste: 225             (214) 692-5793                               Cedar Hill, TX 75104
Dallas, TX 75247                             Adult Adol                                   (469) 867-1343
(469) 227-7847                               Hebrew/Yiddish                               Adults Adol Child
Adult Adol Child
                                             Berger, Roberta, PhD                         Cherry, Debbie LMFT s
Allawala, Shahzad MD                         11551 Forest Central Dr., Ste: 123           1401 N. Central Expwy., Ste: 375
Blue Sky Healthcare, Inc.                    Dallas, TX 75243                             Richardson, TX 75080
2000 Old Hickory Trail                       (214) 692-5793                               (214) 562-2110
Desoto, TX 75115                             Adult Adol Child                             Adult Adol Child
(972) 298-7323
Adult Adol Child                             Blair, Leita LPC s                           Coutee, Kelly LPC
Hindi                                        2007 N Collins, Ste: 409                     10405 E. Northwest Highway, Ste: 203
                                             Richardson, TX 75080                         Dallas, TX 75238
Anderson-Captain, Diane LPC s                (817) 410-9006                               (214) 340-0208
400 S. Zang Blvd., Ste: 828                  Adult Adol Child                             Adult Adol
Dallas, TX 75208                             Spanish
(214) 948-9200                                                                            Cox, Patricia LCSW s
Adult Adol Child (over 6 yrs)                Bracken, Jill DO s                           5646 Milton Street, Suite 520
                                             3200 Southern Drive, Ste: 107                Dallas, TX 75206
Antonetti, Robert LPC s                      Garland, TX 75043                            (214) 526-2000
3420 Oak Grove Ave.                          (972) 278-5385                               Adult Adol
Dallas, TX 75204                             Child
(214) 720-1833                                                                            Crosby, Shirley LCSW s
Adult Adol Child                             Brewster, Judith LPC, LCDC      l
                                                                                          1106 S. Santa Fe Trail, Ste: 4
Spanish                                      6162 E. Mockingbird Lane, Ste: 204           Duncanville, TX 75137
                                             Dallas, TX 75214                             (214) 929-4269
Arnett, Wayne LPC s                          (214) 824-1914                               Adult Adol Child
7920 Beltline Road, Ste: 520                 Adult Adol Child
Dallas, TX 75254                                                                          Daner, Francine LPC, LMFT s
(972) 259-4025                               Brock, Martha LPC s                          1118 Overlake Drive
Adult Adol                                   Journeys Christian Counseling Center         Richardson, TX 75080
                                             100 North Central Expressway, Ste: 614       (972) 234-2257
Asante, Ofori LPC s                          Richardson, TX 75080                         Adult
Innertouch Counseling                        (972) 889-2487
9319 Lyndon B Johnson Freeway                Adult Adol child                             DeQuesada, Christina, LPC s
Suite 105                                                                                 1401 N. Central Expressway, Suite 375
Dallas, TX 75243                             Brophy, Michael MD l                         Richardson, TX 75080
(214) 329-1243                               800 W Airport Frwy, Ste: 1015                (972) 639-6579
Adult Adol Child                             Irving, TX 75062                             Adult Adol Child
Yoruba/Ibo                                   (972) 445-0086
                                             Adult Adol Child



l   Accepting Current Patients Only, s Accepting Referrals                                                                        26
ValueOptions® NorthSTAR Provider Network                                Proveedores Contratados por ValueOptions® NorthSTAR

Donohue, Peggy LPC, LMFT s             Glick, Michael EdD, LPC, LMFT l               Horton, Rhonda LPC s
1221 Abrams Road, Ste: 336             3906 Lemmon Ave., Ste: 204                    3960 Broadway Blvd. Ste: 120
Richardson, TX 75081                   Dallas, TX 75219                              Garland, TX 75043
(972) 699-0774                         (214) 521-0451                                (214) 538-7099
Adult Adol Child (over 6yrs)           Adult Adol Child                              Adult Adol Child (over 5 years)

Fenton, Barry MD l                     Graeser, Ted LPC s                            Hunt, Ruth LPC
3710 Rawlings, Ste: 1370               3960 Broadway Blvd., Ste: 120                 1401 N. Central Expwy., Ste: 375
Dallas, TX 75219                       Garland, TX 75043                             Richardson, TX 75080
(214) 520-7575                         (214) 703-3317                                (972) 231-9111
Adult Adol                             Adult Adol Child                              Adult Adol Child

Fernandez, Gretchen LCSW s             Grantham, Barbara LPC s                       Husbands, Marjorie LPC
Jewish Family Services                 202 College Street                            1108 High Vista Lane
5402 Arapaho Rd.                       Grand Prairie, TX 75050                       Richardson, TX 75080
Dallas, TX 75248                       (972) 264-0604                                (972) 669-9944
(972) 437-9950                         Adult Adol Child                              Adult Adol
Adult Adol
                                       Grisham, James LPC l                          Johnson, Katie LPC s
Ferreira, Tina LPC s                   6220 Gaston Ave., Ste: 200F                   1666 N. Hampton Rd., Ste: 112
1000 N. Central Expressway, Ste: 400   Dallas, TX 75214                              Desoto, TX 75115
Dallas, TX 75230                       (972) 822-4110                                (469) 235-3477
(214) 207-3484                         Adult Adol                                    Adult Adol Child
Adult Adol Child
Farsi                                  Grubbs, Gerald EdD s                          Johnson, Lynda LCSW s
                                       221 E. Davis                                  515 N. Cedar Ridge Dr., Ste: 7J
Fliss, Karen LPC l                     Mesquite, TX 75149                            Duncanville, TX 75116
6945 Westlake Ave., Ste: 1             (972) 289-9954                                (469)226-2033
Dallas, TX 75214                       Adult Adol Child                              Adult Adol
(214) 321-8910
Adult Adol Child                       Hamilton, Joyce LPC s                         Jones-Epstein, Ruby LCSW s
                                       5906 Llano Ave                                921 W. Pioneer Parkway, Ste: K
Foster, Mark PhD, LMFT l               Dallas, TX 75206                              Grand Prairie, TX 75052
2730 N. Stemmons Fwy (West Tower)      (214) 823-2861                                (972) 266-0777
Ste: 407                               Adult Adol                                    Adult Adol Child
Dallas, TX 75207                                                                     German
(972) 977-5727                         Hamric, Conrad, LCSW
Adult Adol Child                       17440 Dallas Parkway, Suite 208               Jung, Pyeong-Soo “Daniel” LPC s
                                       Dallas, TX 75287                              3530 Forest Lane, Ste: 255
Foster, Martha LPC                     (214) 289-3164                                Dallas, TX 75234
407 N. Cedar Ridge, Ste: 200           Adult Adol Child                              (214) 358-7533
Duncanville, TX 75116                                                                Adult Adol Child
(972) 283-9282                         Hamric, Conrad, LCSW                          Korean
Adult Adol Child                       1813 N. Westmoreland Rd.
                                       Desoto, TX 75115                              Khatami, Manoochehr MD l
Gault, Anne LPC s                      (214) 289-3164                                5939 Harry Hines Blvd., Ste: 823
3112 N. Jupiter Rd., Ste: 203          Adult Adol Child                              Dallas, TX 75235
Garland, TX 75044                                                                    (214) 631-0502
(972) 897-4986                         Hernandez, Felisha LCSW s                     Adult
Adult Adol (12 yrs & up)               3112 N. Jupiter Rd, Suite 203                 Farsi
                                       Garland, TX 75044
General, Dale PhD l                    (972) 897-4986                                Kogan, Inna MD l
11882 Greenville Ave, Ste: 105         Adult Adol                                    13101 Preston Road, Ste: 504
Dallas, TX 75243                       Spanish                                       Dallas, TX 75240
(214) 340-1601                                                                       (469) 791-9000
Adult Adol (over 16 yrs)               Herren, Carla PhD                             Adult
                                       1200 E. Davis St., Ste: 101A                  Russian
Gibson, Randall LPC s                  Mesquite, TX 75149
4230 LBJ Frwy, Ste: 210                (214) 664-4100                                Kunnathusseril, John LPC s
Dallas, TX 75240                       Adult Adol Child                              4525 Lemmon Ave., Ste: 200
(214) 929-4670                                                                       Dallas, TX 75219
Adult Adol Child                       Higgins, Shannon LPC l                        (214) 526-4525
Spanish                                1755 N. Collin Blvd., Ste: 525                Adult Adol Child (over 13yrs)
                                       Richardson, TX 75080                          Hindi, Malayalam, Tamil
Gill, Andrew LPC s                     (214) 369-5522
3317 Finley Rd.                        Adult Adol Child                              Lammers, Donald PhD s
Ste: 120 D                                                                           8215 Westchester Drive, Ste: 130
Irving, TX 75062                                                                     Dallas, TX 75225
(817) 360-5364                                                                       (214) 891-0925
Adult Adol                                                                           Adult Adol Child


27                                                      l   Aceptando solamente pacientes actuales, s Aceptar las referencias
ValueOptions® NorthSTAR Provider Network                                   Proveedores Contratados por ValueOptions® NorthSTAR

Lane, Katrina LPC                             Montani, Graciela LPC s                   Omolaja, Rabiu LPC
621 Lockwood Dr.                              1005 W. Jefferson Blvd., Ste: 205         3021 Southern Hills Lane
Richardson, TX 75080                          Dallas, TX 75208                          Mesquite, TX 75181
(972)333-3925                                 (214) 941-1650                            (214) 641-4577
Adult Adol Child                              Adult Adol Child                          Adult
                                              Spanish
Lewis, Stacy LPC l                                                                      Osborn, Frances LPC s
115 W. Wheatland, Ste: B                      Morshed, Tanya LCSW                       1221 Abrams Road, Ste: 220
Duncanville, TX 75137                         Jewish Family Services                    Richardson, TX 75081
(972) 572-4158                                5402 Arapaho Rd.                          972-994-0444
Adult Adol Child                              Dallas, TX 75248                          Adult Adol
                                              (972) 437-9950
Marquez, Theresa LMSW l                       Adult Adol Child                          Oshman, Harvey PhD l
1701 Gateway Blvd., Ste: 465                  Hebrew                                    12850 Hillcrest Rd., Ste: F206
Richardson, TX 75080                                                                    Dallas, TX 75230
(972) 644-2500                                Nazempoor, Al LPC, LCDC, PhD s            (972) 404-8253
Adult Adol Child                              Bank of America Tower                     Adult Adol Child
                                              400 S. Zang Blvd., Ste: 813
Martin, Cornelius LCSW                        Dallas, TX 75208                          Parides, Maria LMFT
Legacy Counseling Center                      (214) 727-7717                            2007 N. Collins Blvd., Ste: 407
4054 McKinney Ave., Ste: 102                  Adult Adol Child (over 10yrs)             Richardson, TX 75080
Dallas, TX 75204                              Farsi                                     (972) 234-9000
(214) 520-6308                                                                          Adult Adol Child
Adult Adol                                    Nazempoor, Al, LPC, LCDC, PhD             Spanish
                                              12820 Hillcrest Rd, Ste: 107
McCain, Cody LPC s                            Dallas, TX 75230                          Parker, Susan LPC s
17480 Dallas Parkway, Suite 114               (972) 233-0181                            331 Melrose, Ste: 105
Dallas, TX 75287                              Adult Adol Child (over 10yrs)             Richardson, TX 75080
(214) 202-2264                                Farsi                                     (972) 517-8138
Adult Adol Child                                                                        Adult
                                              Nicolle, Victoria LPC s
Melman, Steven LMFT                           Helping Communities                       Pawelek, Aaron, LCSW s
6380 Lyndon B Johnson Frwy, Ste: 185          148 S. Highway 67                         Pastoral Counseling & Education Ctr.
Dallas, TX 75240                              Cedar Hill, TX 75104                      4525 Lemmon Ave., Ste: 200
(800) 603-9217                                (469) 579-7399                            Dallas, TX 75219
Adult Adol Child                              Adol Child                                (214) 526-4525
                                              Spanish                                   Adult Adol
Meltzer, Rachel LPC s
1221 Abrams Road, Ste: 232                    Nuche, Sarah PhD                          Perez, Juan LPC
Richardson, TX 75081                          6350 Lyndon B Johnson Frwy., Ste: 254     620 W. Westchester Parkway, Suite 2207
(972) 234-2333                                Dallas, TX 75240                          Grand Prairie, TX 75052
Adult Adol                                    (972) 490-8833                            (469) 682-8046
                                              Adult Adol Child                          Adol Child
Merchant, Albert LCSW s                                                                 Spanish
11520 N. Central Expressway, Ste: 200         O’Brien David PhD s
Dallas, TX 75243                              9304 Forest Lane, Ste: 274                Pierson-Ward, Sylvia LPC s
(214) 503-9222                                Dallas, TX 75243                          3300 Gus Thomasson Rd.
Adult Adol Child (over 6yrs)                  (214) 221-0010                            Mesquite, TX 75150
                                              Adult Adol                                (214) 732-9445
Mills, Kathleen LPC l                                                                   Adult Adol Child
14679 Midway Road, Ste: 200                   O’Dea, John LPC
Addison, TX 75001                             1475 Prudential Drive                     Poeck, Shirley LPC s
(972) 234-6634                                Dallas, TX 75235                          3530 Forest Lane, Ste 33
Adult Adol                                    (214) 522-4640                            Dallas, TX 75234
                                              Adult                                     (972) 764-8045
Mims, Linda LPC s                                                                       Adult Adol Child
400 S. Zang Blvd., Ste: 828                   Odiachi, Frank LPC s                      Spanish, French
Dallas, TX 75208                              12300 Ford Rd., Ste: 427
(214) 948-9400                                Dallas, TX 75234                          Polan, Roger LCSW s
Adult Adol Child                              (972) 243-9500                            5470 Glen Lakes Drive, Ste: 400
                                              Adult Adol Child                          Dallas, TX 75231
Mittledorf, Wynne LPC s                       Yoruba & Ibo                              (214) 361-9336
(Dallas Children’s Advocacy Center)                                                     Adult Adol Child (over 6 yrs)
3611 Swiss Ave.                               Okafor, Mary LPC s
Dallas, TX 75204                              2331 Gus Thomasson Road, Ste: 125         Pole, Rekha MD l
(214) 818-2655                                Dallas, TX 75228                          1755 N. Collins Blvd. Ste: 525
Adult Adol Child                              (214) 435-6414                            Richardson, TX 75080
                                              Adult Adol Child                          (214) 369-5522
                                              Igbo                                      Adult Adol Child
                                                                                        Hindi

l   Accepting Current Patients Only, s Accepting Referrals                                                                     28
ValueOptions® NorthSTAR Provider Network                              Proveedores Contratados por ValueOptions® NorthSTAR

Prakash, A PhD l                      Shavers, Dolores LPC                          Stein, Tzivia LCSW s
800 W Airport Frwy. Ste: 1100         8035 E R.L. Thornton Freeway, Ste: 522        2829 Saturn Rd, Ste: 108
Irving, TX 75062                      Dallas, TX 75228                              Garland, TX 75041
(972) 445-4158                        (214) 660-9515                                (214) 232-5159
Adult Adol Child                      Adult Adol Child                              Adults
Hindi, Urdu
                                      Shiwach, Rajinder, MD                         Stolarski, Frances LCSW s
Price, Lynn PhD                       941 York Drive, Suite 205                     1005 W. Jefferson Blvd., Ste: 205
12880 Hillcrest Road, Ste: 233        Desoto, TX 75115                              Dallas, TX 75208
Dallas, TX 75230                      (972) 283-6286                                (214) 941-1650
(972) 233-9064                        Adult                                         Adult Adol Child (over 3 yrs)
Adult Adol Child                      Hindi                                         Spanish

Pruitt, Debra LPC                     Shiwach, Rajinder, MD l                       Talmage, Susan PhD s
4141 Blue Lake Circle, Ste: 137       2000 Old Hickory Trail                        1412 Main St., Ste: 205
Dallas, TX 75244                      Desoto, TX 75115                              Dallas, TX 75202
(214) 923-8488                        (972) 298-7323                                (214) 760-1964
Adult Adol Child                      Adult                                         Adult Adol Child
                                      Hindi
Quarfoot, Beth LPC l                                                                Terpstra, David LPC, LMFT s
331 Melrose Drive, Ste: 105           Silverman, Barbara LCSW l                     530 S. Carrier Pkwy., Ste: 211
Richardson, TX 75080                  331 Melrose Drive, Suite 105                  Grand Prairie, TX 75051
(972) 907-0077                        Richardson, TX 75080                          (214) 354-3648
Adult Adol Child                      (972) 387-3312                                Adult Adol
                                      Adult Adol Child
Ratner, Joyce LPC                                                                   Terpstra, David LPC, LMFT s
8035 R.L. Thornton Frwy., Ste: 503    Skipper-Relyea, Melanie LPC s                 6162 E. Mockingbird Lane, Ste: 215
Dallas, TX 75228                      800 W. Beltline Road                          Dallas, TX 75214
(214) 319-9200                        Cedar Hill, TX 75104                          (214) 354-3648
Adult Adol Child (over 8 yrs)         (972) 754-9313                                Adult Adol
                                      Adult Adol Child
Rickman, Wendy LPC, LMFT s                                                          Tipton, Lee LPC l
9401 LBJ Freeway, Suite 270           Smith, Linda LCSW l                           CRT Counseling
Dallas, TX 75243                      4525 Lemmon Ave., Ste: 200                    10405 E. Northwest Highway, Ste: 203
(214) 503-3764                        Dallas, TX 75219                              Dallas, TX 75238
Adult Adol                            (214) 526-4525                                (214) 340-0208
                                      Adult Adol Child                              Adult Adol
Rila, Barbara PhD
3530 Forest Lane, Ste: 326            Smith, Mary Magdalena LPC s                   Tulloch, Edwin LPC, LMFT s
Dallas, TX 75234                      214 S. Main Street, Suite 101 F               7424 Greenville Ave, Ste: 114
(972) 243-5817                        Duncanville, TX 75116                         Dallas, TX 75214
Adult Adol Chid                       (972) 283-4336                                (972) 617-0242
                                      Adult Adol Child                              Adult Adol Child
Roche, Steve MD l                     Spanish
12850 Hillcrest Rd., Ste: F206                                                      Turney, Sandra LCSW
Dallas, TX 75230                      Smith, Rob LCSW s                             3141 Hood St., Ste: 608
(972) 404-8253                        8035 E. R.L. Thornton Frwy., Ste: 503         Dallas, TX 75219
Adult Adol                            Dallas, TX 75228                              (214) 528-3722
                                      (214) 319-9200                                Adult
Rosin, Charles PhD s                  Adult Adol Child (over 4 yrs)
205 Dal Rich Village                                                                Vasquez, Leslie LPC s
Richardson, TX 75080                  Solis, Carolyn LPC                            3516 Oates Dr.
(972) 437-0531                        3626 N. Hall Street, Ste: 619                 Mesquite, TX 75150
Adult Ado                             Dallas, TX 75219                              (214) 641-9139
                                      (214) 521-4241                                Adult Adol Child
Schultz, Suzanne LPC s                Adult                                         Spanish
13345 N. Central Expwy., Ste: 200
Dallas, TX 75243                      Sparks, Luanne LMFT, LCDC l                   Warren, Jeridith, PhD s
(972) 248-5567                        310 E. I-30, Ste: M-103                       12700 Hillcrest Rd, Suite 212
Adult Adol Child                      Garland, TX 75043                             Dallas, TX 75230
                                      (972) 270-0425                                (214) 738-7017
Scoville, Alice LPC, LMFT s           Adult Adol Child (over 6yrs)                  Adult Adol Child
2007 N Collins Blvd., Ste: 509
Richardson, TX 75080                  Spillman, Craig LPC s                         Watson, William, LMFT s
(972) 699-9991                        1300 Walnut Hill Lane, Ste: 200               1005 W. Jefferson Blvd., Ste: 205
Adult Adol Child (over 8 yrs)         Irving, TX 75038                              Dallas, TX 75208
                                      (972) 550-8369                                (214) 941-1650
                                      Adult Adol Child                              Adult Adol Child




29                                                     l   Aceptando solamente pacientes actuales, s Aceptar las referencias
ValueOptions® NorthSTAR Provider Network                                       Proveedores Contratados por ValueOptions® NorthSTAR

White, Russell LPC l                          Mental Health Providers                       Strange, Travis LPC l
3465 Highland Road, Ste: 110                                                                1311 Ferris Ave.
Dallas, TX 75228                              Allain, Jackie LPC l                          Waxahachie, TX 75165
(214) 320-9202                                408 W Avenue F                                (469) 383-9988
Adult                                         Midlothian, TX 76065                          Adol Child
                                              (972) 723-0044
Wilcox, Bill LPC                              Adult Adol Child (over 3 yrs)                 Tulloch, Edwin LPC, LMFT
12820 Hillcrest Road, Ste: C127                                                             624 Ovilla Road
Dallas, TX 75230                              Boaz, Ben LPC l                               Waxahachie, TX 75165
(972) 386-8990                                201 Amanda Lane, Suite 100                    (972) 617-0242
Adult                                         Waxahachie, TX 75165                          Adult Adol Child
                                              (214) 773-2905
Young, Michelle LPC, LCSW s                   Adult                                         Valentine, Sharon LPC l
10300 N Central Expwy., Ste: 172                                                            122 Otter
Dallas, TX 75231                              Cheatham, Douglas PhD l                       Waxahachie, TX 75165
(214) 520-7007                                Ellis County Family Services                  (214) 399-8359
Adult Adol Child                              100 N. College, Ste: 302                      Adult Adol Child
                                              Waxahachie, TX 75165
       DENTON COUNTY                          (888) 935-0027
                                              Adult Adol Child
                                                                                            Walter, Tom LPC s
                                                                                            206 South Rogers Street, Ste: 207
Chemical Dependency Providers                                                               Waxahachie, TX 75165
                                              Collins, Dana LPC                             (972) 351-1113
Derryberry, Betty LPC                         107 S. Gaines Street, Ste: 105                Adult Adol Child (over 5 yrs)
3740 N Josey Lane, Ste: 246                   Ennis, TX 75119
Carrollton, TX 75007                          (469) 337-7152                                Watson, Jason LPC s
(972) 394-6162                                Adult Adol Child                              201 Amanda Lane, Ste: 102
Adult                                                                                       Waxahachie, TX 75165
                                              Garvin, Philip LPC s                          (214) 213-6434
Mental Health Providers                       101 Executive Ct., Ste: 400A                  Adult Adol Child
                                              Waxahachie, TX 75165
Derryberry, Betty LPC                         (972) 923-9214                                Wyckoff, Roxanne, LMSW l
3740 N Josey Lane, Ste: 246                   Adult Adol Child                              100 S. College, Ste: 305
Carrollton, TX 75007                                                                        Waxahachie, TX 75165
(972) 394-6162                                Haley, Patricia LPC                           (972) 845-2535
Adult                                         110 Oneida Street                             Adult Adol Child
                                              Waxahachie, TX 75165
Hughes, Jean LPC s
3740 N. Josey Lane, Ste: 246
                                              (214) 949-9383
                                              Adult Adol Child
                                                                                                GRAYSON COUNTY
Carrollton, TX 75007                                                                        Chemical Dependency Providers
(972) 322-4922                                Hardy, Darlene LPC l
Adol Child                                    4250 FM 663                                   Mory, William (Bill) LPC, LMFT, LCDC
                                              Midlothian, TX 76065                          100 Travis St., Ste: 406
                                              (214) 577-9828                                Sherman, TX 75090
          ELLIS COUNTY                        Adult Adol Child                              (903) 624-3960
Chemical Dependency Providers                                                               Adult Adol Child
                                              Hindman, Emily LPC
Allain, Jackie LPC l                          1014 Ferris Ave, Ste: 2154                    Mental Health Providers
408 W Avenue F                                Waxahachie, TX 75167
Midlothian, TX 76065                          (903) 851-5058                                Chaudry, Naeela PhD s
(972) 723-0044                                Adult Adol Child                              402 W. Lamar St.
Adult Adol Child (over 3 yrs)                                                               Sherman, TX 75090
                                              Johns, Vickie LPC                             (903) 361-0486
Boaz, Ben LPC l                               201 Amanda Lane, Ste: 102                     Adult Adol Child
201 Amanda Lane, Suite 100                    Waxahachie, TX 75165                          Punjabi & Urdu
Waxahachie, TX 75165                          (469) 766-7490
(214) 773-2905                                Adult Adol                                    Mory, William (Bill) LPC, LMFT, LCDC
Adult                                                                                       100 Travis St., Ste: 406
                                              Lancaster, Lee LPC s                          Sherman, TX 75090
Radosta, Robert PhD                           1014 Ferris Ave #2154                         (903) 624-3960
206 South Rogers Street, Ste: 205             Waxahachie, TX 75165                          Adult Adol Child
Waxahachie, TX 75165                          (214) 552-2401
(972) 816-8772                                Adult Adol Child
Adult Adol Child
                                              Radosta, Robert PhD
Tulloch, Edwin LPC, LMFT s                    206 South Rogers Street, Ste: 205
624 Ovilla Road                               Waxahachie, TX 75168
Waxahachie, TX 75165                          (972) 816-8772
(972) 617-0242                                Adult Adol Child
Adult Adol Child


l   Accepting Current Patients Only, s Accepting Referrals                                                                         30
ValueOptions® NorthSTAR Provider Network                             Proveedores Contratados por ValueOptions® NorthSTAR

                                      Cook, V Denise LPC s
         HILL COUNTY                  2401 Stonewall                                    KAUFMAN COUNTY
Chemical Dependency and               Greenville, TX 75401                         Mental Health Providers
                                      (903) 454-4446
Mental Health Providers               Adol Child (over 3 yrs)                      Agulefo, Pauline LPC s
                                                                                   300 E. Cherry St., Suite D
Tulloch, Edwin PhD                    Cotton, Kimberly, APN s                      Kaufman, TX 75142
301 Old Brandon Road                  2704 Washington St.                          (254) 471-5906
Hillsboro, TX 76645                   Greenville, TX 75401                         Adult Adol Child
(972) 617-0242                        (903) 454-7200
Adult Adol Child                      Adult Adol Child                             Lautz, Susan LPC s
                                                                                   106 E. Moore Ave
        HUNT COUNTY                   Flanagan, Kacy LPC s                         Terrell, TX 75160
                                      2708 Washington St.                          (214) 868-0050
Chemical Dependency Providers         Greenville, TX 75401                         Adults
Bryanson, Brian LCSW s                (903) 461-2183
Compassionate Counseling              Adult Adol Child                             Ludden, Linda EdD l
4000 Wesley Street, Ste: F                                                         202 Lee Street, Ste: 204A
                                      Gaskin-Smith, Wanda LMFT                     Terrell, TX 75160
Greenville, TX 75401
                                      5005 Live Oak St.                            (972) 772-8484
(903) 269-1301
                                      Greenville, TX 75401                         Adult Adol Child
Adult Adol Child
                                      (214) 364-4469
                                      Adult
Bryanson, Brian LCSW                                                                    NAVARRO COUNTY
1723 County Road #2712
Caddo Mills, TX 75135
                                      Gladden, Rae M. LPC                          Chemical Dependency Providers
                                      Compassionate Counseling
(214) 728-8735                                                                     Stephens, Sandra LPC s
                                      4000 Wesley Street, Suite F
Adult Adol Child                                                                   100 Main Street, Ste: 304
                                      Greenville, TX 75401
                                      (903) 269-1301                               Corsicana, TX 75110
Koenig, Marti LPC s
                                      Adult Adol Child                             (903) 874-7133
5005 Live Oak St.
                                                                                   Adult Adol Child (over 5yrs)
Greenville, TX 75402
                                      Jernigan, Janiell ANP s
(903) 268-5514                                                                     Espericueta, Dalia LCSW s
                                      2704 Washington Street
Adult Adol                                                                         100 N. Main Street, Ste: 304
                                      Greenville, TX 75401
                                      (903) 454-7200                               Corsicana, TX 75110
Mental Health Providers               Adult                                        (903) 874-7133
                                                                                   Adult Adol Child
Beene, Johnnie LPC                    Jordan, Jason LPC s                          Spanish
2410 Lee Street                       2911 Terrell Rd., Suite C
Greenville, TX 75401                  Greenville, TX 75402
(903) 455-7449
                                                                                   Mental Health Providers
                                      (903) 454-6334
Adult Adol Child                      Adult Adol Child                             Adelman, Robert PhD, LPC s
                                                                                   803 W. 2nd Ave
Brewer, Daniel LPC                    Kalra, Gurjeet MD l                          Corsicana, TX 75110
2401 Stonewall                        4818 Wellington St., Ste: 4                  (903) 874-8442
Greenville, TX 75402                  Greenville, TX 75402                         Adult Adol Child
(903) 454-4446                        (903) 454-1600
Adult Adol                            Adult Adol Child                             Crumpton, Pamela LPC
                                      Hindi                                        200 N. 13th Street, Ste: 105
Bryanson, Brian LCSW   s
                                                                                   Corsicana, TX 75110
Compassionate Counseling              Koenig, Marti LPC s                          (254) 580-5289
4000 Wesley Street, Ste: F            5005 Live Oak St.                            Adult Adol Child
Greenville, TX 75401                  Greenville, TX 75402
(903) 269-1301                        (903) 268-5514                               Espericueta, Dalia LCSW s
Adult Adol Child                      Adult Adol                                   100 N. Main Street, Ste: 304
                                                                                   Corsicana, TX 75110
Bryanson, Brian LCSW                  Siles, Fernando MD l                         (903) 874-7133
1723 County Road #2712                2405 Stonewall Street                        Adult Adol Child
Caddo Mills, TX 75135                 Greenville, TX 75401                         Spanish
(214) 728-8735                        (903) 454-3300
Adult Adol Child                      Adult Adol Child                             Green, Kimberly LPC
                                      Spanish                                      2000 W. 2nd Ave, Ste: B
Casselton, Emma LPC    s
                                                                                   Corsicana, TX 75110
2703 Wesley Street
                                                                                   (903) 872-4442
Greenville, TX 75401
                                                                                   Adult Adol Child
(903) 408-0621
Adult Adol Child                                                                   Henderson, Karol LPC
                                                                                   200 N. 13th Street, Suite 207
                                                                                   Corsicana, TX 75110
                                                                                   (903) 872-5048
                                                                                   Adult Adol Child
31                                                     l   Aceptando solamente pacientes actuales, s Aceptar las referencias
ValueOptions® NorthSTAR Provider Network                                   Proveedores Contratados por ValueOptions® NorthSTAR

Hindman, Emily LPC
100 N. Main Street, Ste: 511                         SMITH COUNTY
Corsicana, TX 75110                          Mental Health Providers
(903) 851-5058
Adult Adol Child                             Wicker, Dennis LPC s
                                             1405 S. Fleishel Ave, Suite 332
Kelman, Sharon LPC                           Tyler, TX 75701
803 W. 2nd Ave                               (903) 286-4772
Corsicana, TX 75110                          Adult Adol Child
(903) 874-8442
Adult Adol Child
                                                   TARRANT COUNTY
Sheriff, Thomas PhD                          Chemical Dependency Providers
301 Hospital Dr.
Corsicana, TX 75110                          Alexander, Deanna LPC, RN l
(903) 874-4656                               2105 W. Kendal Lane
Adult Adol                                   Arlington, TX 76015
                                             (817) 481-0655
Stephens, Sandra LPC s                       Adult Adol
100 Main Street, Ste: 304
Corsicana, TX 75110                          Fernando, Sumith LPC
(903) 874-7133                               AGAPE Christian Counseling
Adult Adol Child (over 5yrs)                 1901 Central Dr., Ste: 205
                                             Bedford, TX 76021
     ROCKWALL COUNTY                         (817) 283-1420
                                             Adult Adol
Chemical Dependency
O’Neal, Mark LCDC s
                                             Mental Health Providers
105 S. 1st St.                               Alexander, Deanna LPC, RN l
Rockwall, TX 75087                           2105 W. Kendal Lane
(214) 475-3712                               Arlington, TX 76015
Adults                                       (817) 481-0655
                                             Adult Adol
Mental Health Providers
                                             Broussard, John EdD l
Houser, Lauren LPC s                         1600 Airport Freeway, Ste: 322
200 N. Arch Street                           Bedford, TX 76022
Royse City, TX 75189                         (817) 571-8463
(972) 636-9577                               Adult Adol Child (over 5yrs)
Adult Adol
                                             Camon, Eartha LPC s
Ludden, Linda EdD l                          3015 Medlin Drive, Ste: 300
935 W. Ralph Hall Parkway, Ste: 105          Arlington, TX 76015
Rockwall, TX 75032                           (817) 466-4450
(972) 772-8484                               Adult Adol Child
Adult Adol Child (over 5yrs)
                                             Clark, Alice LCSW s
Sheikha, Sabri MD l                          1114 W. Pioneer Parkway
601 White Hills Drive, Ste: 100              Arlington, TX 76013
Rockwall, TX 75087                           (817) 261-1044
(972) 772-3630                               Adult Adol child
Adult Adol Child
Arabic                                       Fernando, Sumith LPC
                                             1901 Central Dr., Ste: 205
Shields, Sandra LCSW l                       Bedford, TX 76021
775 Justin Rd                                (817) 283-1420
Rockwall, TX 75087                           Adult Adol
(972) 772-4006
Adult Adol Child                             Liverman, Raymond DO s
                                             801 W. Road to Six Flags, Ste: 147
Tate, Laurel LCSW                            Arlington, TX 76012
815 T. L. Townsend Dr.                       (817) 461-7774
Rockwall, TX 75087                           Adult Adol Child (over 8 yrs)
(469) 644-4626
Adult Adol Child                             Wahby, Samir MD s
                                             905A Medical Center
                                             Arlington, TX 76012
                                             (817) 461-3823
                                             Adult Adol Child (over 5 yrs)

l   Accepting Current Patients Only, s Accepting Referrals                                                                 32
ValueOptions® NorthSTAR Provider Network                                                                  Proveedores Contratados por ValueOptions® NorthSTAR

       PROVIDERS INDEX                                           D                                                             J
                                                            Daner, Francine ......................................26           Johns, Vickie ..........................................30
                                                            Denson, Michael .....................................25            Johnson, Katie .......................................27
A                                                           DeQuesada, Christina ......................25, 26                  Johnson, Lynda .....................................27
Abbassi, Amir .........................................26
                                                            Derryberry, Betty ....................................30           Jones-Epstein, Ruby ........................25, 27
Abernethy, Pam .....................................26
                                                            Donohue, Peggy .....................................27             Jordan, Jason ........................................31
Adelman, Robert ...................................31
                                                                                                                               Jung, Pyeong-Soo ............................25, 27
Agulefo, Pauline .....................................31
Alexander, Deanna .................................32 E
Alexander, Stacia ...................................26 Espericueta, Dalia ..................................31
                                                                                                                               K
                                                                                                                               Kalra, Gurjeet .........................................31
Allain, Jackie ..........................................30
Allawala, Shahzad ..................................26 F
                                                                                                                               Karlix, Krysla ..........................................24
                                                                                                                               Kelly, Sherry ...........................................24
Anderson-Captain, Diane .......................26 Felber, Mark ...........................................24
                                                                                                                               Kelman, Sharon .....................................32
Antonetti, Robert ....................................26 Fenton, Barry ..........................................27
                                                                                                                               Kerby, Tim ..............................................24
Arnett, Wayne ...................................25, 26 Fernandez, Gretchen .............................27
                                                                                                                               Khatami, Manoochehr ............................27
Asante, Ofori ....................................25, 26 Fernando, Sumith ..................................32
                                                            Ferreira, Tina ..........................................27        Koenig, Marti .........................................31
                                                            Flanagan, Kacy ......................................31            Kogan, Inna ............................................27
B                                                                                                                              Kunnathusseril, John ..............................27
Bass, Kathleen .......................................24 Fliss, Karen ............................................27
Bateman, Kenneth ..................................26 Foster, Mark ...........................................27
Bates, Delores ........................................26 Foster, Martha ........................................27
                                                                                                                               L
                                                                                                                               Lammers, Donald ...................................27
Baumbach, Cathy ...................................24
Beene, Johnnie ......................................31          G                                                             Lancaster, Lee .......................................30
                                                                 Garvin, Philip ..........................................30   Lane, Katrina ..........................................28
Bellamy, Douglas .............................24, 26
                                                                 Gaskin-Smith, Wanda .............................31           Lautz, Susan ..........................................31
Bellamy, Priscilla ..............................24, 26
                                                                 Gault, Anne ............................................27    Lewis, Beverly ........................................24
Berger, Murray ........................................26
                                                                 General, Dale .........................................27     Lewis, Stacy ...........................................28
Berger, Roberta ......................................26
                                                                 Gibson, Randall ......................................27      Little, Irene ..............................................24
Blair, Leita ...............................................26
                                                                 Gill, Andrew .....................................25, 27      Liverman, Raymond ...............................32
Boaz, Ben ...............................................30
                                                                 Gladden, Rae M .....................................31        Ludden, Linda ..................................31, 32
Bracken, Jill ............................................26
Brewer, Daniel ........................................31        Glick, Michael .........................................27
Brewster, Judith ................................25, 26          Goodwin, Pamela ...................................24         M
Brock, Martha .........................................26        Graeser, Ted ....................................25, 27       Marquez, Theresa ..................................28
Brophy, Michael ......................................26         Grantham, Barbara .................................27         Martin, Cornelius ..............................25, 28
Broussard, John .....................................32          Green, Kimberly .....................................31       McCain, Cody ........................................28
Bryanson, Brian ......................................31         Grisham, James .....................................27        Melman, Steven ...............................25, 28
Burks, Kathey ....................................25, 26         Grubbs, Gerald .......................................27      Meltzer, Rachel ......................................28
                                                                                                                               Merchant, Albert ..............................25, 28
C                                                                H                                                             Meyer, Darren .........................................24
                                                                 Haley, Patricia ........................................30    Mills, Kathleen ..................................25, 28
Cameron, Susan ....................................24
                                                                 Hamilton, Ellen .......................................24     Mims, Linda ............................................28
Camon, Eartha ......................................32
                                                                 Hamilton, Joyce ......................................27      Mittledorf, Wynne ..................................28
Cannon, Betty .........................................26
                                                                 Hamric, Conrad ......................................27       Montani, Graciela ..................................28
Casselton, Emma ...................................31
                                                                 Hardy, Darlene .......................................30      Moolamalla, Preveen ..............................24
Caughy, Dennis ................................25, 26
                                                                 Henderson, Karol ...................................31        Moreno, Richard .....................................24
Chandler, Donald Jr .........................25, 26
                                                                 Hernandez, Felisha ................................27         Morshed, Tanya .....................................28
Chandler, Nichelle ............................25, 26
                                                                 Herren, Carla .........................................27     Mory, William ..........................................30
Chaudry, Naeela ....................................30
Chavason, Arthur ...................................25           Higgins, Shannon ..................................27
Cheatham, Douglas ................................30             Hildre, Jerold ..........................................24   N
Cherry, Debbie .......................................26         Hindman, Emily ................................30, 32         Nazempoor, Al ..................................25, 28
Clark, Alice .............................................32     Horton, Rhonda .......................................27      Nicolle, Victoria ......................................28
Cocoris, John .........................................24        Houser, Lauren .......................................32      Nietert, Michelle .....................................24
Collins, Dana .........................................30        Hughes, Jean .........................................30      Nuche, Sarah .........................................28
Cook, V Denise .......................................31         Hunt, Ruth ..............................................27
Cotton, Kimberly ....................................31          Husbands, Marjorie .........................25, 27            O
Coutee, Kelly ....................................25, 26                                                            O Brien David .........................................28
Cox, Patricia ...........................................26      I_                                                 O Dea, John .....................................25, 28
Crooks, Wayne .......................................24          Interian-Boysselle, Brenda .....................24 O’Neal, Mark ..........................................32
Crosby, Shirley .......................................26                                                           Odiachi, Frank ..................................25, 28
Crumpton, Pamela .................................31                                                                Okafor, Mary ...........................................28
                                                                                                                    Omolaja, Rabui .......................................28
                                                                                                                    Osborn, Frances ....................................28
                                                                                                                    Oshman, Harvey ....................................28


33                                                                                      l   Aceptando solamente pacientes actuales, s Aceptar las referencias
ValueOptions® NorthSTAR Contracted Providers                                                          Proveedores Contratados por ValueOptions® NorthSTAR

P                                                              V
Parides, Maria ........................................28      Valentine, Sharon ...................................30
Parker, Susan .........................................28      Vasquez, Leslie ......................................29
Pawelek, Aaron ................................25, 28
Perez, Juan ......................................25, 28       W
Pierson-Ward, Sylvia ..............................28    Waddell, Tarsyia .....................................24
Poeck, Shirley ........................................28Wahby, Samir ........................................32
Polan, Roger ..........................................28Walter, Tom .............................................30
Pole, Rekha ......................................25, 28 Warren, Jeridith ......................................29
Prakash, A ........................................25, 29Watson, Jason .......................................30
Price, Lynn .............................................29
                                                         Watson, William ......................................29
Pruitt, Debra .....................................24, 29Weathersbee-Ellason, Joan ...................24
                                                         White, Russell .......................................30
Q                                                        Wicker, Dennis .......................................32
Quarfoot, Beth .......................................29 Wilcox, Bill ..............................................30
                                                         Wyckoff, Roxanne ..................................30
R
Radosta, Robert ...............................29, 30 Y
Ratner, Joyce .........................................29 Young, Michelle ......................................30
Rickman, Wendy ....................................29
Rila, Barbara ..........................................29
Roche, Steve ..........................................29
Rosin, Charles ........................................29

S
Sadre, Mahnaz .......................................24
Schultz, Suzanne ...................................29
Scoville, Alice .........................................29
Shavers, Dolores ....................................29
Sheikha, Sabri ........................................32
Sheriff, Thomas ......................................32
Shields, Sandra ......................................32
Shiwach, Rajinder ............................25, 29
Sikes, Lori ..............................................24
Siles, Fernando ......................................31
Silverman, Barbara ................................29
Skipper-Relyea, Melanie ........................29
Smith, Linda ...........................................29
Smith, Mary Magdalena ........................29
Smith, Rob ..............................................29
Solis, Carolyn ...................................25, 29
Sparks, Luanne ................................26, 29
Spillman, Craig .......................................29
Stein, Tzivia ............................................29
Stephens, Sandra ............................31, 32
Stolarski, Frances ...................................29
Strange, Travis .......................................30

T
Talmage, Susan .....................................29
Tate, Laurel .............................................32
Terpstra, David .......................................29
Tipton, Lee .............................................29
Tulloch, Edwin ......................26, 29, 30, 31
Turner, Kathi ...........................................24
Turney, Sandra .......................................29




                                                                                                                                                      34
ValueOptions® NorthSTAR Contracted Providers                                                               Proveedores Contratados por ValueOptions® NorthSTAR


              CLINIC INDEX                                       L
                                                       Lakes Regional MH/MR ...................19, 20
                                                       Legacy Counseling Center ....................19
A                                                      Life Management Resources .................19
ABC Behavioral Health ..........................18
                                                       Life Path Systems/Avenues Behavioral
Adapt of Texas .................................18, 19
                                                          Healthcare Center .........................18,19
Addicare Group of Texas ........................20
                                                       Lifenet Community Behavioral
Association of Persons Affected by
                                                          Healthcare ....................................19, 20
  Addiction (APAA) ................................20

B                                                                M
                                                                 MedPro Treatment Center (Metadone
Boys & Girls Family Services of
                                                                  Clinic) .................................................20
  Collin County ......................................18

C                                                                N
                                                                 Nexus Recovery Center .........................20
Centro De Mi Salud ................................18
Child and Family Guidance ..................18
Children’s First Counseling Center .........18
                                                      P
                                                      Phoenix House of Texas .........................20
Counseling Institute of Texas .................18
                                                      Providence of Texas ...............................19
D
Dallas Challenge, Inc. ............................20
                                                                 R
                                                                 Recovery Healthcare Corporation ..........20
Dallas Metrocare Services .....................18
                                                                 Redbird Education Center .....................20
Dallas Metrocare Services – Lancaster/
  Keist Clinic ..........................................18
Dallas Metrocare Services - Altshuler                            S
  Clinic............................................18           S.T.E.P. Med (Methadone Clinic) ...........20
Dallas Metrocare Services - Early                                Solace Counseling and Associates .......20
  Intervention .........................................18       Southern Area Behavioral Healthcare ....19
Dallas Metrocare Services - Pathways
  Clinic ...................................................18   T
Dallas Metrocare Services-Special Needs                          The Road to Recovery ...........................20
  Offender Program ...............................18             Turtle Creek Recovery Center ................20
Dallas Metrocare Services - Treatment
  Foster Care .........................................18        W
Dallas Metrocare Services - Westmoreland                         West Texas Counseling & Rehabilitation
  Clinic ...................................................18    Foundation (Methadone Clinic) ..........20
Dallas Metrocare Services - Westside
  Family Clinic ........................................18       Y
Dallas Sigma Counseling Services .........18                     Youth Advocate Programs ......................19
Demson Counseling ...............................20

F
First Step Counseling .......................19, 20

G
Galaxy Counseling Center .....................19

H
Hickory Trail Hospital .............................19
Homeward Bound ..................................20
Hope Clinic ............................................19

I
Imagine Programs ..................................19
Integrated Psychotherapeutic
   Services (IPS) .....................................19




 35
ValueOptions® NorthSTAR Contracted Providers   Proveedores Contratados por ValueOptions® NorthSTAR




                                                                                               36
                                                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   DA4B-0612
Mobil Crisis Team........................................................1-866-260-8000
NTBHA Ombudsman...................................................1-877-653-6363

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:48
posted:10/17/2012
language:Unknown
pages:38