+ All Categories
Home > Documents > Innovations Solicitation CCE/MCCN Letters of Intent ...Innovations Solicitation CCE/MCCN Letters of...

Innovations Solicitation CCE/MCCN Letters of Intent ...Innovations Solicitation CCE/MCCN Letters of...

Date post: 11-Jan-2020
Category:
Upload: others
View: 2 times
Download: 0 times
Share this document with a friend
21
1 Innovations Solicitation CCE/MCCN Letters of Intent - Received To be posted on HFS Website as of March 20, 2012 Name of Entity Primary Contact Targeted Geographic Area Targeted Population # Individuals Anticipate Serving Primary Collaborators (information as reported in Letters of Intent. Degree of collaboration varies from each LOI) 1 A Safe Haven Mark Mulroe, VP of Safe Haven City of Chicago and Cook County, where their 21 facilities are located Seniors, adults w/ physical disabilities (including SMI) duals and those with DD. Also include family members Year 1 - 4,000; Year 2 - 9,000; Year 3 - 15,000 No relationships formally established as yet. 2 Access Community Health Network Donna Thompson, CEO DuPage County and three different sections of Chicago where their Access health centers exist Adults with Disabilities, dually eligible seniors, patients w/ severe mental health diagnoses and patients w/ substance abuse disorders Expects to serve about 2,000 patients through Access CCE, potentially have capacity for 5,000 patients Central DuPage Hospital, Adventist Glen Oaks, Sinai Health System, Gateway Foundation, Walgreens, United Health Care 3 Alexian Brothers Health System Kelley Clancy, VP of External Affairs at Alexian Brothers Health System Their surrounding areas, which includes mostly Cook and DuPage. Letter is broken down by zip codes Seniors and adults with behavioral health challenges Does not state how many individuals they plan to serve Alexian Brothers Health System (ABHS), which includes 4 hospitals, including 2 acute care emergency departments, 1 rehabilitation hospital and 1 BH hospital. Also partnering with social service agencies such as Kenneth Young Center and PADS Shelters
Transcript
Page 1: Innovations Solicitation CCE/MCCN Letters of Intent ...Innovations Solicitation CCE/MCCN Letters of Intent - Received To be posted on HFS Website as of March 20, 2012 ... CHF, COPD,

1

Innovations Solicitation CCE/MCCN Letters of Intent - Received To be posted on HFS Website as of March 20, 2012

Name of Entity Primary Contact Targeted Geographic Area

Targeted Population # Individuals Anticipate Serving Primary Collaborators (information as reported in Letters of Intent. Degree of collaboration varies from each LOI)

1 A Safe Haven Mark Mulroe, VP of Safe Haven

City of Chicago and Cook County, where their 21 facilities are located

Seniors, adults w/ physical disabilities (including SMI) duals and those with DD. Also include family members

Year 1 - 4,000; Year 2 - 9,000; Year 3 - 15,000

No relationships formally established as yet.

2 Access Community Health Network

Donna Thompson, CEO

DuPage County and three different sections of Chicago where their Access health centers exist

Adults with Disabilities, dually eligible seniors, patients w/ severe mental health diagnoses and patients w/ substance abuse disorders

Expects to serve about 2,000 patients through Access CCE, potentially have capacity for 5,000 patients

Central DuPage Hospital, Adventist Glen Oaks, Sinai Health System, Gateway Foundation, Walgreens, United Health Care

3 Alexian Brothers Health System

Kelley Clancy, VP of External Affairs at Alexian Brothers Health System

Their surrounding areas, which includes mostly Cook and DuPage. Letter is broken down by zip codes

Seniors and adults with behavioral health challenges

Does not state how many individuals they plan to serve

Alexian Brothers Health System (ABHS), which includes 4 hospitals, including 2 acute care emergency departments, 1 rehabilitation hospital and 1 BH hospital. Also partnering with social service agencies such as Kenneth Young Center and PADS Shelters

Page 2: Innovations Solicitation CCE/MCCN Letters of Intent ...Innovations Solicitation CCE/MCCN Letters of Intent - Received To be posted on HFS Website as of March 20, 2012 ... CHF, COPD,

2

Name of Entity Primary Contact Targeted Geographic Area

Targeted Population # Individuals Anticipate Serving Primary Collaborators (information as reported in Letters of Intent. Degree of collaboration varies from each LOI)

4 Alliance of Chicago Community Health Services, The

Fred Rachman, MC, President and CEO of Alliance of Chicago Community Health Services

North, West and NE Chicago (12 zip codes, all beginning with 606xx)

Initially target seniors, disabled and mentally ill/ SA patients who are 21 and older as well as an equal # w/ chronic medical conditions Priority persons included in target group: HIV/AIDS, Diabetes, CHF, COPD, or CAD

Minimum of 1000-2000 priority persons and equal # of non-priority persons in the first year;

Advocate Medical Center, Advocate Illinois Masonic Medical Center, Northwestern Memorial Hospital. Discussions ongoing with Thorek, Chicago Lakeshore, and Norwegian American Hospital. PCPs will be provided at the Alliance FQHC sites. Behavioral Health Services will be handled onsite and are in early discussions w/Thresholds. Another potential partner is Walgreens.

5 Alternative Strategies in Behavioral Healthcare

James E. Johnson, President and CEO

Does not reference geographic area to target

Their approach is directed toward the SMI

Does not state how many individuals they plan to serve

ASBHC will serve as lead entity; no other collaborators listed.

6 American Homecare Federation, The

Lisa Liberatore National Payer Relations Manager

The hemophilia population within the State of Illinois

Hemophilia patients (and those with a secondary diagnosis of HIV/AIDS)

Does not state how many individuals they plan to serve

will partner with “locally based” Illinois Home Health care/nurse /education providers who specialize in assistance of administering home infusion RX’s.

7 Avery Telehealth LLC

Sunil Hazaray, COO Dual Eligibles within the State of Illinois

Dual Eligibles who are enrolled in a Medicare Advantage Plan

3,600 new patients in each of the 2 years of the program through a phase in approach

6 urban and 12 rural hospitals (no specific organizations are listed)

Page 3: Innovations Solicitation CCE/MCCN Letters of Intent ...Innovations Solicitation CCE/MCCN Letters of Intent - Received To be posted on HFS Website as of March 20, 2012 ... CHF, COPD,

3

Name of Entity Primary Contact Targeted Geographic Area

Targeted Population # Individuals Anticipate Serving Primary Collaborators (information as reported in Letters of Intent. Degree of collaboration varies from each LOI)

8 Be Well Partners in Health

Mark Mroz, Development Director

North and West sides of Chicago

Targeting Adults & Seniors and Duals w/ SMI; these recipient will likely have an SA problem and/or chronic health condition. Goes on to add priority pops will have medical or psychiatric hospitalizations & history of excessive ER use; also targeting kids of enrollees

5,000 MADO Management LP, Bethany Homes and Methodist Hospital, Norwegian American Hospital, Neumann Family Services; in discussion with an array of other service providers

9 Behavioral Services Network

Eugene Isyanov, PhD, LCPC Clinical Services Director; Project Associate is Randall Webber

Skokie, Bensenville, and Libertyville areas

Recipients between the ages of 15 and 65 with substance abuse and mental health issues

500 enrollees Behavioral Turning Point, Social Services Depts. of Niles and Evanston Townships, Prime Health LTD, Deer Rehabilitation Services, Vernon Hills Medical Center, several physicians named

10 Blessing Health System, The

Maureen Kahn, President/CEO

West Central IL - Adams, Brown, Calhoun, Hancock, Pike, Schuyler and Scott Counties

SPD, SMI, HCBS Waivers, Dual Eligible Participants

40,000 Caidan Management Company (CMC) and the Blessing Health System

Page 4: Innovations Solicitation CCE/MCCN Letters of Intent ...Innovations Solicitation CCE/MCCN Letters of Intent - Received To be posted on HFS Website as of March 20, 2012 ... CHF, COPD,

4

Name of Entity Primary Contact Targeted Geographic Area

Targeted Population # Individuals Anticipate Serving Primary Collaborators (information as reported in Letters of Intent. Degree of collaboration varies from each LOI)

11 Carle Foundation Hospital Care Coordination

Melissa Black, Manager of Government Relations

6 East Central Illinois Counties: Champaign, Vermilion, Douglas, Ford, Piatt and Coles

Seniors and adults with disabilities, including LTC, those with SMI, HCBS waivers and duals. Also want to focus on children with asthma and high risk OB women and newborns

"As a conservative estimate, we anticipate engaging 40% of the total Medicaid eligible priority pop within the identified geographic region."

Possible primary collaborators may include but is not limited to organizations with which Carle Foundation Hospital is currently affiliated: Carle Physician Group, Carle Home Health and Hospice Services, Carle Medical Supply, Health Alliance Medical Plans, Hoopeston Regional Medical Center, Kirby Medical Center, Champaign County Nursing Home, Frances Nelson (FQHC), Prairie Center Health Systems, Champaign County Health Department, Parkland Dental Clinic, The Pavilion, Community Elements, and 14 potential LTC providers

12 Chicago R.E.A.C.H. Foundation

Sharon Tinsley, Executive Director

34 Chicago and suburban zip codes

5 populations listed: priority populations are duals & seniors under the HCBS program; also will serve adults with disabilities, HCBS disabilities participants, Medicaid eligible adults who struggle with substance abuse

2,000 patients by the end of the third project year

Have begun or will soon begin discussions with: St. Bernard, Holy Cross, University of Chicago Medical Center, Roseland Community, South Shore, Sacred Hearth, Jackson Park, Kindred and Garfield Kidney Center. Has formed partnerships with several LTC facilities, rehab centers, SLFs, hospice providers; 7 potential partnership with SA providers

13 Community Care Alliance (CCA)

Esther Izaguirre, Executive Director of CCA

the City of Chicago (primary) and Cook County (Medicare-Medicaid) only. w/request of option to expand to collar counties later.

seniors & adults with physical disabilities, including those with (SMI) & intellectual/ dev. Disabilities… Medicaid only beneficiaries as well as Medicaid/Medicare beneficiaries

1,360 people enrolled in 1st year; 4,920 by end of 2nd year; goal is to provide services to 10,292 by end of 3rd year

CCA’s primary partners: Family Health Network, Sinai Health System, Schwab Rehabilitation Hospital, Health & Medicine Policy Research Group (HMPRG), and Access Living (AL) in Chicago; exploring formal partnerships with Mercy D&T and Mercy Hospital, Swedish Covenant Hospital, UIC School of Nursing and Aviva, PrimeCare Community Health Inc, St.Mary/St. Elizabeth Hospital. 10 other provider organizations have expressed interested in serving as Anchor Medical Sites

Page 5: Innovations Solicitation CCE/MCCN Letters of Intent ...Innovations Solicitation CCE/MCCN Letters of Intent - Received To be posted on HFS Website as of March 20, 2012 ... CHF, COPD,

5

Name of Entity Primary Contact Targeted Geographic Area

Targeted Population # Individuals Anticipate Serving Primary Collaborators (information as reported in Letters of Intent. Degree of collaboration varies from each LOI)

14 Community Health Partnership

Christina Plotzke, Grants Coordinator

Kane, Kendall, DeKalb, DuPage, Will Counties and Hanover Township in Cook County

Medicaid/Medicare eligible w/ co-morbidities or SMI, DD, SA with particular emphasis on those w/ diabetes, cardiovascular disease, smoking, obesity

1,000 adults Association for Individual Development (AID), Ben Gordon Center, VNA Healthcare, KishHealth Systems, Presence Health (formerly Provena Hospitals) Rush-Copley Hospital, Northern Illinois University, county health departments

15 Community Health Solutions (CHS) of America, Inc.

S. Kyle Moll, Executive VP

Does not reference geographic area to target

all Medicare and Medicaid recipients; CHS historically has embraced the ABD and duals as well as individuals with disabilities and those in medical foster care settings

Does not state how many individuals they plan to serve

No collaborators listed. Contracting with an IPA for the purpose of building a network.

16 Consolidated Community Medical Centers

Dr. Dominic Imburgia, MD

Clark County (towns of Marshall, Martinsville)

Any individual receiving Medicaid or CHIP

up to 1,000 individuals No collaborators listed. States, "we are willing to work with any one or more groups." CCMS is made up of primary care providers

17 Cook County Health Plan, LLC (CCHP)

Genevieve Thomas, CEO, Cook County Health Plan

Cook County, particularly the 606xx zip codes. Eventual expansion to collar counties

Seniors and adults with disabilities w/ SMI and those dually eligible for Medicare and Medicaid and those w/ intellectual/ DD. Will also serve non-priority population.

10,000 members over a 3-year period

in discussion with many collaborators, but not established yet and therefore not specifically named.

Page 6: Innovations Solicitation CCE/MCCN Letters of Intent ...Innovations Solicitation CCE/MCCN Letters of Intent - Received To be posted on HFS Website as of March 20, 2012 ... CHF, COPD,

6

Name of Entity Primary Contact Targeted Geographic Area

Targeted Population # Individuals Anticipate Serving Primary Collaborators (information as reported in Letters of Intent. Degree of collaboration varies from each LOI)

18 Daniel J. Nellum Youth Services, Inc. (DJNYS)

Robert Martin, Executive Director

Cook-South communities of Roseland, Englewood and New City

Adults 25-55 Does not state how many individuals they plan to serve

DJNYS, Roseland Hospital, Holy Cross Hospital, Wise Elders supportive services

19 DuPage County Health Department

Christina LePage, Population Health Manager

DuPage County Seniors and adults with disabilities, including those w/ SMI and those w DD

minimum of 500 individuals (35% seniors, 30% SMI and/or SA and 35% adults with DD)

Participants of their "working group": Access Community Health Network, Adventist Midwest Health, Breaking Free, Central DuPage Hospital, DuPage Community Clinic, DuPage County Senior Citizens Services, DuPage Medical Group, Edward Hospital, Gateway, Linden Oaks Hospital, VNA Health Care, Ray Graham Association, Walgreens

20 Family Alliance Carol A. Louise, Executive Director of Family Alliance, Inc.

Does not reference geographic area to target

55 and over w/ SMI. Includes clients w/ disabilities, SA, HCBS waivers and Duals.

Does not state how many individuals they plan to serve

Family Alliance has initiated conversations with several hospitals as possible collaborators.

21 Freeport Health Network

Sharon Summers, COO of Freeport Health Network

5 counties (Stephenson, Ogle, Winnebago, Jo Daviess and Carroll)

Medicaid population within their service area with intent to expand in the future

Does not state how many individuals they plan to serve

Stephenson County Health Department

Page 7: Innovations Solicitation CCE/MCCN Letters of Intent ...Innovations Solicitation CCE/MCCN Letters of Intent - Received To be posted on HFS Website as of March 20, 2012 ... CHF, COPD,

7

Name of Entity Primary Contact Targeted Geographic Area

Targeted Population # Individuals Anticipate Serving Primary Collaborators (information as reported in Letters of Intent. Degree of collaboration varies from each LOI)

22 Genesis Health System - Mercer County Hospital

William M. Langley, MD Executive Director of Genesis ACO

Mercer County as primary, with secondary service for Rock Island, Warren and Henry

All ages of Medicaid population in the 4 counties

Does not state how many individuals they plan to serve - but does reference 5,000 Medicaid patients in their practices

Mercer County Hospital; Genesis employs large # of PCPs, specialists, home health, SNFs, and in discussion with independent physicians to join the Genesis ACO

23 Genesis Health System - Illini Campus

William M. Langley, MD Executive Director of Genesis ACO

Mercer, Rock Island, Whiteside, Henry Counties

All ages of Medicaid population in the 4 counties

Does not state how many individuals they plan to serve - but does reference 5,000 Medicaid patients in their practices

Genesis employs large # of PCPs, specialists, home health, SNFs, and in discussion with independent physicians to join the Genesis ACO; state have strong relationship with health department and support agencies

24 Greenville Regional Hospital

Sherry Koehler, CFO of Greenville Regional Hospital

Bond County with focus on zip code 62246

Medicaid recipients within Bond County

Does not state how many individuals they plan to serve

Greenville Regional Hospital, approximately 20 physicians, Bond County Health Dept and Bond County Senior Center

25 Hancock County Health Department, The

Maureen Crawford, Grants Administrator at Hancock Co. HD

Hancock County primarily - but clients who live outside the county and use services of HCCC would be encouraged to enroll

Seniors and adults with disabilities

Does not state how many individuals they plan to serve

Expectation is that there will be three collaborators: Hancock County HD, Memorial Hospital Association and Mental Health Centers of Western Illinois.

Page 8: Innovations Solicitation CCE/MCCN Letters of Intent ...Innovations Solicitation CCE/MCCN Letters of Intent - Received To be posted on HFS Website as of March 20, 2012 ... CHF, COPD,

8

Name of Entity Primary Contact Targeted Geographic Area

Targeted Population # Individuals Anticipate Serving Primary Collaborators (information as reported in Letters of Intent. Degree of collaboration varies from each LOI)

26 Healing Hands Medical Center

Yehoodah Y Green, CEO of Healing Hands Medical Center

4 zip codes on the west side of Chicago: 60612, 60623, 60624, 60651

Adults 18 and older with SMI and/or substance dependence

500 SMI and/or substance dependent individuals with or without other chronic illness and 500 of their family members, including children, who do not have chronic illness

Collaborators include Healing Hands Resource Center, Elite Treatment Centers, Kaplan University, Loretto Hospital, Scott Nolan Psychiatric Hospital, Sacred Heart Hospital, Mt. Sinai Dept of Family Practice, Columbus Park Nursing and Rehab Center, Unilab inc, Preferred Open MRI, Gideon Group, and 7 faith-based organizations.

27 Healthcare Alternative Systems

Marco Jacome, CEO of Healthcare Alternative Systems

Chicago Metro and Collar Counties

Hispanic seniors 65 and older and Hispanic Adults with Disabilities between 18-65

6,000 Hispanic individuals over 3-year time period

Norwegian American Hospital, Healthcare Alternative Systems, Chicago Hispanic Healthcare Coalition, and TASC. Business agreements and MOUs have been distributed to 20 potential collaborators

28 Healthcare Consortium of Illinois (HCI)

Salim Al Nurridin, CEO

13 zip codes on Chicago's south side

Seniors 65 and older 1,500 seniors in Year 1; 7,500 seniors by the end of Year 3

Roseland Hospital, South Shore Hospital, Beloved Community Family Wellness Center, Home Health Medical, 3 Net Wise, Comprehensive Quality Care, Baptist Ministers Conference of Chicago and vicinity, Human Resources Development Institute, Inc., Aetna Better Health

29 Howard Brown Health Center

Jamal M. Edwards, Esq., President and CEO of HBHC

Primary service area of HBHC, which includes North and NE Chicago

seniors and disabled 21 and older w/chronic medical conditions & reside in HBHC area; patients living within the primary service area of HBHC and its partners.

500-700 priority persons and 500 non-priority persons in the 1st year; in total model will expand to 3,200 adult patients in the next 2 years

Collaborators include Thorek, Advocate IL Masonic Medical Center, Chicago Lakeshore. Erie Family Health Center and Near North Family Health Center have signed on to work on the development of the CCE. Also early discussions with Thresholds.

Page 9: Innovations Solicitation CCE/MCCN Letters of Intent ...Innovations Solicitation CCE/MCCN Letters of Intent - Received To be posted on HFS Website as of March 20, 2012 ... CHF, COPD,

9

Name of Entity Primary Contact Targeted Geographic Area

Targeted Population # Individuals Anticipate Serving Primary Collaborators (information as reported in Letters of Intent. Degree of collaboration varies from each LOI)

30 HR4Non-Profits, Inc.

Theresa A. Dear, President

City of Chicago areas of Pullman, Riverdale, Roseland, Markham, Hedewich and South suburban Cook County

Seniors and adults with disabilities

1,500 seniors and 1,500 adults with disabilities in the first year

TCA Health, Lakeside Community Committee, Youth First Counseling Inc, Universal Family Connections, JB Consulting, Inc., New Technology Services Inc., Sadie Waterford Manor, HR4non-profits Inc.

31 Illinois Behavioral Health Home Coalition

Thom Pollock, Executive Director

there are 9 CCEs covering a broad area of the state. Over 60 counties listed and also covers the city of Chicago

Adults w/ SMI and or SA. Most likely to enroll adults w/ SMI or SMI and 1 chronic condition OR SA and 1 chronic condition

at least 500 enrollees from the priority populations will be served by each CCE

The first level of collaboration has been the formation of the Coalition. It includes: 1. Human Services Center; 2. Community Elements; 3. Crosspoint Human Services; 4. Chestnut Health Systems; 5. Mental HC of Central IL; 6. Bridgeway; 7. Heritage BHC; 8. Rosecrance Health Network; 9. Thresholds... Coalition members currently identifying specific PCPs, FQHCs, hospitals who will form each CCE.

Page 10: Innovations Solicitation CCE/MCCN Letters of Intent ...Innovations Solicitation CCE/MCCN Letters of Intent - Received To be posted on HFS Website as of March 20, 2012 ... CHF, COPD,

10

Name of Entity Primary Contact Targeted Geographic Area

Targeted Population # Individuals Anticipate Serving Primary Collaborators (information as reported in Letters of Intent. Degree of collaboration varies from each LOI)

32 Illinois Coordinated Care Partnership, LLC

George Jones, Jr, President

Cook County via the North, South Southeast and West sides of Chicago except those in non-606 area codes (opposite of ICP)

Adult enrollees 18 years and older and their dependents (they list 8 populations: seniors, SMI, LTC, HCBS, Duals, those with disabilities, chronic conditions, children and dependents)

20,000 to 25,000 individuals Annie B Jones Community Services, Ada S. McKinley Community Services, Chicago Area Project, Habilitative Systems Inc, Illinois African-American Family Research Institute, Link & Option Center, South Central Community Services, Inc, Apogee Health Partners (network of 7 hospitals and 250 PCPs and 250 specialists), Roseland Community Hospital, Healthcare Alternative Services, El Valor, Community Integrated Health Network (103 private practitioners) . In discussions with Cook County Hospital, Norwegian American Hospital, IL Masonic Hospital, Loretto Hospital, St. Bernard Hospital, Jackson Park Hospital, Rush University Medical Center, University of Chicago Medical Center, University of IL at Chicago Medical Center, Mile Square Health Center; IL College of Optometry

33 Illinois Hospital Association - Rural Health Innovations Project

Lori Williams, VP Medicaid beneficiaries in 22 rural counties of: Crawford, Richland, Mason, Hamilton, Shelby, Vermilion, Washington, McDonough, Whiteside, Wayne, Schuyler, Grundy, Saline, Henry, JoDaviess, Macoupin, Bureau, Fulton, Christian, Jersey, LaSalle, Randolph

Seniors, Adults with Disabilities, SMI, HCBS waivers, dual Eligibles, other adults. Project will also target the uninsured in each county

Does not state how many individuals they plan to serve, but does cite 162,871 persons enrolled in Medicaid in the 22 counties in FY 2011

23 small and rural hospitals will act as the lead agent in their 22 counties. The Illinois Hospital Association will act as the third party administrator for the program; IHA is reaching out to BCBS of IL to support the start-up costs.

Page 11: Innovations Solicitation CCE/MCCN Letters of Intent ...Innovations Solicitation CCE/MCCN Letters of Intent - Received To be posted on HFS Website as of March 20, 2012 ... CHF, COPD,

11

Name of Entity Primary Contact Targeted Geographic Area

Targeted Population # Individuals Anticipate Serving Primary Collaborators (information as reported in Letters of Intent. Degree of collaboration varies from each LOI)

34 Ingalls Health System

Kurt E. Johnson, President and CEO of Ingalls Health System

their surrounding areas, which consists primarily of 604xx zip codes

The letter states "Medicaid population"

Does not state how many individuals they plan to serve

The Ingalls system which includes Ingalls Memorial Hospital, Ingalls Family Care Centers, Ingalls Same Day Surgery Center, 450 physicians across 30 different medical and surgical specialties. Other primary collaborators are yet to be determined.

35 Integrated Physicians Group (IPG)

Olusegun A. Ishmael, MD, Chief Medical Officer

38 zip codes in the Chicago area

TANF, Obstetric Population, Seniors, Adults w/ Disabilities, Adults and Children in IHC

Existing network is capable of caring for up to 25,000 eligible enrollees

No specific collaborator names are mentioned.

36 Jersey Community Hospital

Larry Bear, CEO of Jersey Comm. Hospital

Jersey County with particular zip code 62052

Medicaid recipients in Jersey County 62052

Does not state how many individuals they plan to serve

Jersey Community Hospital, campus wellness center, 4 employed physicians, Jersey County Dept of Health, our owned ambulance service and the Illini Physician Group.

37 Keystone Alliance - d.b.a Integrated Care for People with Developmental disabilities (ICPDD)

John Lipscomb, President and CEO of Keystone Alliance

Prospective enrollees receiving services from one of the collaborators live here: North Side of Chicago, North Suburban Cook, Lake or McHenry

Medicaid eligible adults and DD who receive services from one of their collaborators; will serve duals

510 individuals receiving residential services (ICF-DD or CILA) from one of the partners

Active discussions with Search, Inc, Glenkirk, Clearbrook, Keystone Alliance itself provides admin. services to organizations.

38 KishHealth Systems

Pamela Duffy, VP of Patient Care Services/CNO

DeKalb County (*** Not directly stated)

Does not state how many individuals they plan to serve

Kish Health System - 2 acute care facilities and 10 outpatient facilities

Page 12: Innovations Solicitation CCE/MCCN Letters of Intent ...Innovations Solicitation CCE/MCCN Letters of Intent - Received To be posted on HFS Website as of March 20, 2012 ... CHF, COPD,

12

Name of Entity Primary Contact Targeted Geographic Area

Targeted Population # Individuals Anticipate Serving Primary Collaborators (information as reported in Letters of Intent. Degree of collaboration varies from each LOI)

39 Little City Foundation

Kelly Goldstein, Director of Strategic Initiatives

Northwest suburban Chicago area (20-mile radius from their Center for Health and Wellness, located in Palatine)

Currently treat individuals with intellectual and DD (I believe their target is to continue w/ this population)

At Year 1: 600 w/ capacity growing to 1,350 by end of Year 3

Alexian Brothers Center for Mental Health; Northwest Community Hospital; 8 physicians named; William Rainey Harper College and University of Illinois-Chicago; other partners within the network will recruit and enroll the participants, including Aunt Martha's Youth Service Center, Advocate Lutheran Hospital, Clearbrook, the Meadows and Countryside Association for People with Disabilities

40 Macon County Care Coordination

Michael Bach, Associate Director of Macon County Mental Health Board

Macon County Seniors and Adults w/ Disabilities including LTC populations and those w/ SMI and Duals

up to 2,500 individuals Macon County Mental Health Board, Community Health Improvement Center (FQHC), Decatur Memorial Hospital, Heritage Behavioral Health Center, Macon County Health Department and St. Mary's Hospital

41 Magellan Health Services

Katie Zito, VP Government Business Development of Magellan

States they have 'yet to define a particular geographic area'

Medicaid beneficiaries w/ SMI Does not state how many individuals they plan to serve

Currently exploring partnerships

42 McHenry County Mental Health Board

Alexandria "Sandy" Lewis

McHenry County Medicaid eligible who fall under several categories but in summary: AABD, substance abuse or SMI

Year 1 - 500-750 Medicaid recipients; Year 2 - 2,500 Medicaid recipients; Year 3 - 5,000 Medicaid recipients

McHenry County Mental Health Board, Centegra Health System, Centegra Hospital - McHenry, Centegra Hospital - Woodstock, Centegra Specialty Hospital - Woodstock, McHenry Community Health Center, Family Service and Community Mental Health Center, Pioneer Center for Human Services, Family Alliance Inc, Alden Terrace of McHenry, Family Home Health and Hospice, Prism Medical Equipment, Forum Pharmacy, CPT, McHenry County Crisis Program, McHenry County Department of Health

Page 13: Innovations Solicitation CCE/MCCN Letters of Intent ...Innovations Solicitation CCE/MCCN Letters of Intent - Received To be posted on HFS Website as of March 20, 2012 ... CHF, COPD,

13

Name of Entity Primary Contact Targeted Geographic Area

Targeted Population # Individuals Anticipate Serving Primary Collaborators (information as reported in Letters of Intent. Degree of collaboration varies from each LOI)

43 MD at Home Management Company

Dana Robinson, President

Chicago Metro Area Homebound duals with 2 or more chronic medical conditions

Physician Practice could accommodate up to 5,000 potential enrollees

Homescript Pharmacy Solutions, Woundcare Solutions, Dieticians at Home, Nikatek

44 Medicaid Collaborative, The - Central counties Health Centers, Inc.

Craig Glover, President and CEO of Central Counties Health Centers

Sangamon County Complex adult population (both duals and those covered under AABD). Wants 1:1 TANF ratio. Interest in expanding to complex children.

Does not state how many individuals they plan to serve

Hospital Sisters Health System (St. John's Hospital), Southern Illinois Health Foundation (SIHF), SIU Healthcare, and Central Counties Health Centers

45 Mercy Family Medical Center

Daniel D. Vicencio, MD, Med Director and Interim Exec Director of Mercy Diagnostic & Treatment Center

South and Southwest side of Chicago

Dual Eligibles (they define this as seniors 60 years and older w/ a chronic medical illness enrolled in Medicare and Medicaid)

Does not state how many individuals they plan to serve, but references the 500 Duals they currently serve and 1200 seniors from various insurance plans getting care from Mercy Family Medical Center

Mercy Hospital and Medical Center will provide medical; VNA Home Health Care Services will provide home health services; BH/SA will be obtained from community partners including Mercy Mental Health Center, SASI, and Henry Booth House

46 Mercy IPA Shelly Barker, Executive Director

Mercy Hospital and Mercy IPA Medicaid covered individuals in Cook County

Mercy IPA system Medicaid individuals that are AABD, duals, and an equal number of IHC adults and dependents

40,000 Mercy's IPA system including Mercy Hospital

47 Methodist Medical Center

Terry Waters, VP, Planning

Peoria, Tazewell and Woodford counties

Priority populations of Seniors and Adults w/Disabilities but specifically proposal seeks to address CC of adults over 18 afflicted w/ either diabetes, COPD and congestive heart failure

Does not state how many individuals they plan to serve, but references the 800 Medicaid enrollees diagnosed w/ one of the 3 conditions they want to focus on

Methodist Medical Center of Illinois; Anticipate collaboration with Heartland Community Health Clinic

Page 14: Innovations Solicitation CCE/MCCN Letters of Intent ...Innovations Solicitation CCE/MCCN Letters of Intent - Received To be posted on HFS Website as of March 20, 2012 ... CHF, COPD,

14

Name of Entity Primary Contact Targeted Geographic Area

Targeted Population # Individuals Anticipate Serving Primary Collaborators (information as reported in Letters of Intent. Degree of collaboration varies from each LOI)

48 Nandra Family Practice

Jane Burkett, Practice Administrator

Kane, Kendall and DeKalb Counties and the surrounding areas

Adult diabetics between ages of 18-75

Does not state how many individuals they plan to serve

Considering relationships with LTCs, home health; currently have a defined partnership now with Diabetes Care Coordinator

49 Northwest Innovations - Ecker Center for Mental Health

Karen Beyer, Executive Director of Ecker Center for Mental Health

Kane County and Cook County townships of Hanover, Elk Grove and Schaumburg

Medicaid recipients w/ MH and/or SA diagnoses, including duals.

minimum of 500 Medicaid recipients

Primary collaborators are Ecker Center for Mental Health, Kenneth Young Center, and Renz Addiction Counseling Center; Senior Services Assoc. Being recruited are VNA of Fox Valley, Provena St. Joseph Hospital, Sherman Hospital, Alexian Brothers, St. Alexius Hospitals, Greater Elgin Family Care Center, Aunt Martha's Clinic

50 Partners in Health

Nina Engleman, Executive Director

St. Bernard Hospital Medicaid covered individuals in Cook County

St. Bernard Medicaid individuals that are AABD, duals, and an equal number of IHC adults and dependents

25,000 St. Bernard physicians and facilities

51 Piatt County Mental Health

David King, Executive Director of Piatt County MH Center

19 counties: Adams, Hancock, Brown, Pike, Cass, Schuyler, Macoupin, Greene, Christian, DeWitt, Piatt, Ford, Douglas, Moultrie, Shelby, Effingham, Coles, Edgar and Clark

Adults and seniors over the age of 18 w/ SMI diagnosis and/or disability. Target pop will also have chronic health condition they have identified

estimate of existing clients that meet proposal eligibility: 2,400 for geographic service area

Primary BH collaborators: Piatt County Mental Health Center, DeWitt County Human Resource Center, Douglas County Mental Health Center, Transitions of Western Illinois, Community Counseling and Resource Center, Human Resources Center of Edgar and Clark Counties, Shelby County Community Services, Moultrie County Counseling Center, Lifelinks Mental Health, Human Resource Center for Cass County, Schuyler Counseling and Health Services, Mental Health Centers of Western Illinois, Heartland Human Services, Locust Street Resource Center, Christian County Mental Health Association. Development of additional collaborative relationships will continue - 99 agencies and organizations listed here, including 21 hospitals

Page 15: Innovations Solicitation CCE/MCCN Letters of Intent ...Innovations Solicitation CCE/MCCN Letters of Intent - Received To be posted on HFS Website as of March 20, 2012 ... CHF, COPD,

15

Name of Entity Primary Contact Targeted Geographic Area

Targeted Population # Individuals Anticipate Serving Primary Collaborators (information as reported in Letters of Intent. Degree of collaboration varies from each LOI)

52 Provena Resurrection Care Coordination Group

Angela Haggard, System Director of Comm. Benefit and Ministry Outreach

Cook, Kane, Will, Kankakee, Champaign and Vermillion counties

Seniors, Adults with Disabilities and Participants in IHC (but reference duals in their research)

500 patients at the outset of the program

Provena Resurrection Health Network, which encompasses 12 hospitals and 29 LTC facilities, among other outpatient services and clinics. Anticipate working with PrimeCare Community Health, Resurrection Behavioral Health, Resurrection Senior Services, Healthcare Alternative Systems, Chicago Department of Public Health

53 Proviso Township Mental Health Commission, The

Jesse D. Rosas, Executive Director

Proviso Township (30 square miles in the west suburbs of Cook County) 14 villages listed

seniors with dual coverage and adults with disabilities and/or SMI

Does not specifically state, but references 13,138 adults between 19-64 on Medicaid and 2,623 seniors over 65 w/dual coverage not covered by ABH or IlliniCare

Proviso Township Mental Health Commission, Chicago Internal Medicine Practice and Research, Resurrection Behavioral Health, Aging Care Connection, Community Support Services, Way Back Inn, Leyden Family Services, TASC, PLCCA, Health Care Alternative Systems, Comprehensive Clinical Services, West Suburban Senior Services

54 REM Services Inc. of Illinois

Tina Wilkins, Director of External Operations

Springfield (4 zip codes) and Decatur (4 zip codes)

Medicare and Medicaid and All Kids enrollees

Does not state how many individuals they plan to serve

Collaborators expected to include: Capitol Community Health Center, CATCH, Primed For Life, RCR Associates, Tower of Refuge, St. John's Memorial Hospital (pending) Memorial Hospital (pending), SIU Medical Clinic (pending)

55 Rockford Health System

Henry M. Seybold, Jr., Sr VP and CFO

Primary area- Winnebago, Boone and Ogle Counties, secondary area - Stephenson and Lee.

Disabled seniors and adults in Medicaid

Does not state how many individuals they plan to serve

Rockford Health Systems, Visiting Nurses Association of the Greater Rockford Area; some of the primary collaborators may include but not be limited to Rosecrance, Crusader Clinic, Winnebago County Health Department, MD at Home, Community Centers

Page 16: Innovations Solicitation CCE/MCCN Letters of Intent ...Innovations Solicitation CCE/MCCN Letters of Intent - Received To be posted on HFS Website as of March 20, 2012 ... CHF, COPD,

16

Name of Entity Primary Contact Targeted Geographic Area

Targeted Population # Individuals Anticipate Serving Primary Collaborators (information as reported in Letters of Intent. Degree of collaboration varies from each LOI)

56 Rockford Medicaid Collaborative - Crusader Community Health

Gordon Eggers, President and CEO of Crusader Community Health

Winnebago and Boone Counties

Both Medicare/Medicaid dual population and those covered under AABD alone. Interest to expand w/ complex children.

Does not state how many individuals they plan to serve

Crusader Community Health, Swedish American Hospital, Rosecrance.

57 Rush-Copley Medical Center

Diane D. Homan, MD, VP Quality & Patient Safety Officer

Primarily Kane County - but broken down by Primary Service Area and Secondary Service Areas (Service areas also cover parts of Kendall, Will, DuPage)

serving Medicaid residents of the primary service areas with the secondary service area as a secondary priority

Does not state how many individuals they plan to serve

Rush-Copley Medical Center, Kane County Health Department

58 Sinai Health Systems dba Chicago Mental Health Network

Yogi Ahluwalia, MD, Chair Dept. of Pysch and BH

West and Southwest Chicago communities (11 zip codes)

Persons that need psych, BH services or SA services… interested in both adult Medicaid population and the Dual Eligible population in Chicago

Goal is to enroll 10,000 members w/ SMI diagnoses over 3 year period

Sinai Health System; considering contracting with Family Health Network to provide administrative and operating support and potentially with PsycHealth

59 Southern Illinois Healthcare Foundation

Larry McCulley, President and CEO of Southern IL Healthcare Foundation

Madison and St. Clair Counties

Both the dual population and those covered under ABD alone. Interest in expanding to complex children

Does not state how many individuals they plan to serve

St. Elizabeth's Hospital, Hospital Sisters Health Systems integrated physicians, SIU Health Care, Touchette Hospital, and the FQHCs of SIHF.

Page 17: Innovations Solicitation CCE/MCCN Letters of Intent ...Innovations Solicitation CCE/MCCN Letters of Intent - Received To be posted on HFS Website as of March 20, 2012 ... CHF, COPD,

17

Name of Entity Primary Contact Targeted Geographic Area

Targeted Population # Individuals Anticipate Serving Primary Collaborators (information as reported in Letters of Intent. Degree of collaboration varies from each LOI)

60 Southern Illinois Integrated Network (SI-INC)

Woody Thorne, VP of Community Affairs

Jackson, Williamson and Franklin Counties

Seniors and Adults with Disabilities while targeting subsets of elderly, LTC residents, SMI, SA and those considered dually eligible

500 from the 2 priority pops; 200 elderly, 100 LTC residents, 200 SMI and/or SA and 50 dual Eligibles

Southern Illinois Hospital Services (SIH) - Memorial Hospital of Carbondale, Herrin Hospital and St. Joseph Memorial Hospital of Murphysboro, Shawnee Health Services and The H Group are primary collaborators

61 Southernmost Illinois Integrated Care Innovations Coalition (SIICIC)

Frederick Bernstein, CEO of Community Health and Emergency Services, Inc.

11 counties: Pulaski, Alexander, Union, Johnson, Pope, Hardin, Massac, Jackson, Saline, Hamilton and White

Seniors, adults with disabilities and children in the families of those enrolled in the MCCN. Will target individuals with SMI or SA as well as other chronic diseases

Minimum 5,000 enrollees Primary collaborators are: Community Health and Emergency Services Inc, Delta Center Inc, Southern Seven Health Department, Rural Health Inc, Union County Counseling Services, Inc, Fellowship House, Family Counseling Center Inc, Massac County Mental Health and Family Counseling Center; the hospitals of Southern Illinois Healthcare will participate as primary collaborators.

62 Southland Community Care Partners, LLC

Jennifer Artis, CEO of SCCP

South Suburban Cook and NE Will Counties (23 municipalities)

Seniors and Adults with Disabilities including SMI and substance abuse; also plan to target HCBS populations and dual Eligibles

"25% of Medicaid, Medicare and CHIP eligible beneficiaries over the course of 3 years, with 500 enrolled within the first six months of the project"

Includes primary and soon-to-be established relationships: Ingalls, Franciscan St. James, Aunt Martha's, Bureau of County Clinics, Access to Care, Grand Prairie Services, South Suburban Council on Alcoholism

63 Specialized Assistance Services

A. Doris Reynolds, Esq.

City of Chicago Individuals will be recruited w/ history of behavioral health illnesses

Expects to serve a minimum of 500 enrollees

Mercy Family Health Center, Mercy Mental Health Center, NFP

Page 18: Innovations Solicitation CCE/MCCN Letters of Intent ...Innovations Solicitation CCE/MCCN Letters of Intent - Received To be posted on HFS Website as of March 20, 2012 ... CHF, COPD,

18

Name of Entity Primary Contact Targeted Geographic Area

Targeted Population # Individuals Anticipate Serving Primary Collaborators (information as reported in Letters of Intent. Degree of collaboration varies from each LOI)

64 St. Mary's Good Samaritan

Julie Long, VP Strategic Planning/ Development

21 Southern IL counties: Randolph, Washington, Perry, Jackson, Union, Alexander, Pulaski, Massac, Johnson, Williamson, Franklin, Jefferson, Marion Clay, Wayne, Hamilton, White, Saline, Gallatin, Pope and Hardin

Seniors, other IHC adults and children in the families of adult enrollees

Does not state how many individuals they plan to serve

Hospitals participating in the assessment of this proposal include: St. Mary's Hospital (Centralia), Good Samaritan Regional Health Center (Mt. Vernon), Memorial Hospital (Carbondale); Herrin Hospital; St. Joseph Memorial Hospital (Murphysboro), Salem Township Hospital, Washington County Hospital (Nashville); Clay County Hospital (Flora); Franklin Hospital (Benton); Hamilton Memorial (McLeansboro)

65 St. James Physician Hospital Organization, Inc.

Thomas Senesac, Sec/Treasurer of St James PHO

The St. James PHO service area. (Includes 39 zip codes from cities such as Orland Park, Chicago Heights, Kankakee, Tinley Park, etc.)

Broken out by Priority Population: Dual Eligibles, and then by Target Population: "IHC Adults & Children in the families of adults enrolled in MCCN"

"The PHO can accommodate all Dual Eligibles in our service areas which is around 5,900 members."

St. James PHO - consists of 250 physicians on staff at Franciscan St. James Health; Franciscan St. James Health; UIC Medical Center; Psychealth; WellGroup HealthPartners; Alverno Clinical Lab; St. James Home Health; Alverno Home Medical Equipment; Alverno Ambulance Services

Page 19: Innovations Solicitation CCE/MCCN Letters of Intent ...Innovations Solicitation CCE/MCCN Letters of Intent - Received To be posted on HFS Website as of March 20, 2012 ... CHF, COPD,

19

Name of Entity Primary Contact Targeted Geographic Area

Targeted Population # Individuals Anticipate Serving Primary Collaborators (information as reported in Letters of Intent. Degree of collaboration varies from each LOI)

66 Together4 Health - Heartland Alliance

Karen Batia, PhD, Executive Director of Heartland Health Outreach

City of Chicago adults 18 and older w/ multiple health conditions and chronic illnesses

a baseline of 500 participants in Year 1. Expansion will be determined partially by # of patients needed to achieve actuarial soundness to bear risk in the MCCN phase

Cook County Health and Hospitals System, Swedish Covenant, Heartland Health Center Uptown, Erie Family Health Center, Near North Health Service, Heartland International Health Center, Asian Human Services Family Health Center, Christian Community Health Center, Walgreens, HHO Mental Health and Addiction Services, Association House, Lutheran Social Services of Illinois, Community Counseling Centers of Chicago, Thresholds, Trilogy, Human Resources Development Institute, Healthcare Alternative Systems, New Age Services, Heartland Human Care Services, Asian Human Services, Haymarket. Potential collaborators include AIDS Foundation of Chicago, Alliance of Chicago Community Health Services

67 Trinity Medical Center - Trinity Health Foundation

Michael Freda, COO of Robert Young Center for Comm. Mental Health

9 counties comprised of Bureau, Carroll, LaSalle, Lee, Mercer, Ogle, Putnam, Rock Island and Whiteside

18-65 Adults with disabilities as designated priority population. Targeted population is SMI and/ or SA clients w/ other chronic conditions

Does not specifically state, but references 9,000 adults in the 9-county area that fall within their definition of priority and targeted population groups

Trinity Medical Center, the Robert Young Center for Community Mental Health, Riverside Chemical Dependency, Precedence Inc., Community Health Care Inc, North Central Behavioral Health Center and Sinnissippi Centers Inc, KSB Hospital, CGH Medical Center, IL Valley Community Hospital, the Hygienic Institute Community Health Center, St. Margaret's Hospital, St. Elizabeth's Hospital, St. Mary's Hospital, Perry Memorial Hospital and Robert B. McGuire, MD

68 Trinity Services, Inc.

Thane Dykstra, Director of BH Services

Does not specifically state, but references Will County

Those with Intellectual disabilities and SMI

Does not state how many individuals they plan to serve

OneCare Health Solutions

Page 20: Innovations Solicitation CCE/MCCN Letters of Intent ...Innovations Solicitation CCE/MCCN Letters of Intent - Received To be posted on HFS Website as of March 20, 2012 ... CHF, COPD,

20

Name of Entity Primary Contact Targeted Geographic Area

Targeted Population # Individuals Anticipate Serving Primary Collaborators (information as reported in Letters of Intent. Degree of collaboration varies from each LOI)

69 UHS of Delaware, Inc.

Steven Airhart, Regional VP of UHS of Delaware and CEO of Hartgrove Hospital

Does not specifically state, but references Chicago, Forest Park, Streamwood, Champaign and Springfield)

Those with mental health and substance abuse

Does not state how many individuals they plan to serve

Hartgrove Hospital, Chicago Children's Center for Behavioral Health in Chicago, Riveredge Hospital, Streamwood Behavioral Healthcare System, The Pavilion Behavioral Healthcare System, Lincoln Prairie Behavioral Health Center

70 University of Chicago Medicine, Care Coordination

Chad Whelan, Associate Chief Medical Officer for Performance Improvement and Innovation

the South Side of Chicago zip codes surrounding the medical center (14 zip does)

Adults with complex medical needs

Does not state how many individuals they plan to serve

University of Chicago Medicine faculty physicians

71 University of Illinois Hospital and Health Sciences System

Nicole Kazee, PhD, Director of Health Policy and Programs

54 zip codes listed in Cook County

Seniors, adults w/ Disabilities (including SMI) and an equal # of IHC adults and children

Year 1: 1,000 patients and 500 each in Years 2 and 3 (2,000 over 3 year period)

University of Illinois Hospital and Health Sciences System; tentative collaborators include Thresholds, Haymarket Center

72 Vanguard Health Systems - Chicago (VHC)

Ryan Yokley, JD, MHA - VP

Cook County The complex adult population of Cook County (both duals and those covered under AABD/SPD alone) An interest in expanding to complex children

Does not state how many individuals they plan to serve

Vanguard Health Systems d.b.a. West Suburban Medical Center; Vanguard Health Systems d.b.a. Westlake Hospital; PCC Community Wellness Center; Oak Park Township Senior Services

Page 21: Innovations Solicitation CCE/MCCN Letters of Intent ...Innovations Solicitation CCE/MCCN Letters of Intent - Received To be posted on HFS Website as of March 20, 2012 ... CHF, COPD,

21

Name of Entity Primary Contact Targeted Geographic Area

Targeted Population # Individuals Anticipate Serving Primary Collaborators (information as reported in Letters of Intent. Degree of collaboration varies from each LOI)

73 VNA Health Care

Blair Johnson, VP Executive Affairs

Kane, Kendall and DeKalb Counties

Dual Eligibles 65+ Does not state how many individuals they plan to serve

Senior Services Associates; Fox Valley Older Adults; Northeastern Illinois Agency on Aging; Salvation Army; The Tillers; Heritage Woods; Plum Landing; Kane County IPA; Rush Copley Medical Center; Provena Mercy; Provena St. Joe's; Sherman Hospital; Ecker Center; Association of Individual Development; Breaking Free

74 Will County MAPP

Pat Dames-Schuster RN

Will County Medicaid eligible seniors age 65 and over and adults w/ disabilities age 18-65, especially those w/ MH/SA disorders

500 dual eligible seniors living in the Housing Authority and 500 other IHC adults, including Adults w/ disabilities

Primary Collaborators: Aunt Martha's Community Health Center, Housing Authority of Joliet, Provena St. Joseph Medical Center, Stepping Stones Treatment & Recovery Center, United Way of Will County, University of St. Francis Health and Wellness Center, Will County Health Department, Will County Community Health Center. Potential Collaborators: Adventist Bolingbrook Hospital, Edward Hospital, Governor's State University, NAMI of Will County, Senior Services Center of Will County, Silver Cross Hospital, Will County Community Foundation; Basingers Pharmacy and Medical Equipment, Joliet Professional Pharmacy, Kidney Care Center, Life Tech, Trinity Services, Walgreens

75 Wound Care Solutions, Inc. d.b.a. HomeScript Pharmacy Services, Inc.

Aristotle Kornaros, Director

'Northern Illinois' Chronically ill patients with two or more medical conditions

up to 50,000 potential enrollees

HomeScript Pharmacy Services Inc, MD at Home, LLC, Mobile Doctors, Dietitians at Home Inc., Nikatek


Recommended