Kaiser Permanente QUEST Integration Long Term Services and Supports (LTSS) Provider Directory

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1 Kaiser Permanente QUEST Integration Long Term Services and Supports (LTSS) Provider Directory ADDENDUM June 2015 NEW PROVIDERS OAHU Acute Waitlisted SNF/ICF Leahi Hospital 3675 Kilauea Ave Maluhia Hospital 1027 Hala Dr Queen s Medical Center 1301 Punchbowl St Queen s Medical Center West Oahu Fort Weaver Rd Adult Day Health Ann Pearl Nursing Facility Waikalua Rd Community Care Foster Family Home (CCFFH) Vicenta Acosta Mahoe Pl Purificacion Aguinaldo B Fort Weaver Rd , Ilocano Edsa Almazan Loaa St , Ilocano Melecia Andres 1182 Manuwa Dr. Honolulu, HI Ilocano, Oscar Anunciacion Apowale St Rosalina Ayala Hoopio St Dominador Balinbin Paiwa Pl Joanne Baysa Halelehua St This is a list of changes to the Kaiser Permanente QUEST Integration Long Term Services and Supports (LTSS) provider network as of June Please keep this list with the Kaiser Permanente QUEST Integration Long Term Services and Supports (LTSS) Provider Directory that was published in January M-15

2 Community Care Foster Family Home (CCFFH) (continued) Evelyn Beltran Mokuola St , Ilocano Beatriz Camat 1137 Ihi Ihi Ave Ilocano, Cesar Comiso Puhikani St Belinda Dimaya Kuhaulua St JJJB Foster Home Hohola St Emelita Laurente 1703 Kamehameha IV Rd Noralyn Malacas Kupuna Lp Baltazar Mayo Poloula Pl Lily Mendoza Komana St Ilocano, Jenneline Molina 1854 Kamehameha IV Rd Ginalyn Paguirigan 1542 Iao Ln Lucrecia Paraon Kauiki St Lorenza Parel Waipahu St Digna Quemado Lumiaina St Ilocano, Nicerita Rabut Kaneohe Bay Dr Esmeralda Racachot 114 Kaniahe Pl Glenda Ramo Lehopulu St , Ilocano Alejandrina Seatriz Kauiki St Ilocano, Corazon Tan Heahea St Pat Tangonan Anaaina Pl Myrna Tumbaga 4506 Ukali St. Honolulu, HI Ilocano Trinidad Tumbaga Keoneae Pl Losaline Tupouniua Puuohalai Pl Mildred Uytiepo 1637 Ahihi St Kaiser Permanente QUEST Integration Long Term Services and Supports (LTSS) Provider Directory June 2015

3 Community Care Management Agency (CCMA) Absolute Care Management Services Aloalii St. Aiea, HI Counseling and Training Infinite Care Plus Pupupani St., # Metrocare Hawaii Plus Pupukahi St., # Environmental Accessibility Adaptations (EAA) Trace Industries, Inc Kilihau St Expanded Adult Residential Care Homes (E-ARCH) Purificacion Aguinaldo B Fort Weaver Rd , Ilocano Teresita Domingo Hiapo St Lorenza Parel Waipahu St Home Maintenance Trace Industries, Inc Kilihau St Intermediate Care Facility (ICF) Ann Pearl Nursing Facility Waikalua Rd Avalon Care Center Honolulu 1930 Kamehameha IV Rd Avalon Care Center Hale Nani 1677 Pensacola St. Honolulu, HI Care Center of Honolulu 1900 Bachelot St Hale Malamalama 6163 Summer St Hale Ola Kino 1314 Kalakaua Ave., 2nd Fl Hiolani Care Center at Kahala Nui 4389 Malia St Island Nursing Home 1205 Alexander St Ka Punawai Ola Farrington Hwy. Kapolei, HI Maunalani Nursing and Rehabilitation Center 5113 Maunalani Cir Oahu Care Facility 1808 S. Beretania St Pearl City Nursing Home 919 Lehua Ave. Pearl City, HI Pohai Nani Care Center Namoku St Puuwaio Makaha (Leeward Integrated Health Services) Jade St. Waianae, HI Visit us at kpquest.org 3

4 Moving Assistance Island Movers P.O. Box Non-Medical Transportation Ecocab Hawaii 3060 Ualena St Akamai Cab 1785 S. King St Nursing Facility (NF) Avalon Care Center Honolulu 1930 Kamehameha IV Rd Avalon Care Center Hale Nani 1677 Pensacola St. Honolulu, HI Hale Malamalama 6163 Summer St Hale Ola Kino 1314 Kalakaua Ave., 2nd Fl Hiolani Care Center at Kahala Nui 4389 Malia St Island Nursing Home 1205 Alexander St Ka Punawai Ola Farrington Hwy. Kapolei, HI Maunalani Nursing and Rehabilitation Center 5113 Maunalani Cir Pearl City Nursing Home 919 Lehua Ave. Pearl City, HI Pohai Nani Care Center Namoku St Puuwaio Makaha (Leeward Integrated Health Services) Jade St. Waianae, HI Personal Care Assistance Hawaii Nursing Solutions 1188 Bishop St., # Heaven s Helpers 1388 Kapiolani Blvd., #200 Honolulu, HI Respite Care Hawaii Nursing Solutions 1188 Bishop St., # Skilled (or Private Duty) Nursing Cradles N Crayons Haike Pl. Mililani, HI Hawaii Nursing Solutions 1188 Bishop St., # Skilled Nursing Facility (SNF) Ann Pearl Nursing Facility Waikalua Rd Avalon Care Center Honolulu 1930 Kamehameha IV Rd Avalon Care Center Hale Nani 1677 Pensacola St. Honolulu, HI Care Center of Honolulu 1900 Bachelot St Hale Malamalama 6163 Summer St Hale Ola Kino 1314 Kalakaua Ave., 2nd Fl Hiolani Care Center at Kahala Nui 4389 Malia St Kaiser Permanente QUEST Integration Long Term Services and Supports (LTSS) Provider Directory June 2015

5 Skilled Nursing Facility (SNF) (continued) Island Nursing Home 1205 Alexander St Ka Punawai Ola Farrington Hwy. Kapolei, HI Maunalani Nursing and Rehabilitation Center 5113 Maunalani Cir Oahu Care Facility 1808 S. Beretania St Pearl City Nursing Home 919 Lehua Ave. Pearl City, HI Pohai Nani Care Center Namoku St Puuwaio Makaha (Leeward Integrated Health Services) Jade St. Waianae, HI Subacute Facility Services Queen s Medical Center 1301 Punchbowl St MAUI Acute Waitlisted SNF/ICF Kula Hospital 100 Keokea Pl. Kula, HI Maui Memorial Medical Center 221 Mahalani St. Wailuku, HI Environmental Accessibility Adaptations (EAA) Home Maintenance Trace Industries, Inc Kilihau St Moving Assistance Island Movers P.O. Box Visit us at kpquest.org 5

6 CHANGES TO THE NETWORK OAHU The following providers are no longer part of the provider network: Adult Day Care Center (ADC) Ori Anuenue Hale, Inc. Wellness Center Kamehameha Hwy Adult Day Health Center (ADH) Ori Anuenue Hale, Inc. Wellness Center Kamehameha Hwy Community Care Foster Family Home (CCFFH) Imelda Llantero 3145 Kalihi St., #A The following providers have changed their provider type from Skilled Nursing Facility (SNF) to Intermediate Care Facility (ICF) Services: Liliha Healthcare Center 1814 Liliha St Nuuanu Hale 2900 Pali Hwy Kaiser Permanente QUEST Integration Long Term Services and Supports (LTSS) Provider Directory June 2015

7 ADDITIONS TO GLOSSARY Acute Waitlisted SNF/ICF Acute waitlisted SNF or ICF level of care services provided in an acute care hospital in an acute care hospital bed. Counseling and Training Counseling and training is a service provided to members, families/caregivers, and professional and paraprofessional caregivers on behalf of the member. Counseling and training services may be provided individually or in groups. This service may be provided at the member s residence or an alternative site. Activities include the following: member care training for members, family, and caregivers regarding the nature of the disease and the disease process; methods of transmission and infection control measures; biological, psychological care and special treatment needs/regimens; employer training for consumer directed services; instruction about the treatment regimens; use of equipment specified in the service plan; employer skills updates as necessary to safely maintain the individual at home; crisis intervention; supportive counseling; family therapy; suicide risk assessments and intervention; death and dying counseling; anticipatory grief counseling; substance abuse counseling; and/or nutritional assessment and counseling on coping skills to deal with the stress caused by member s deteriorating functional, medical, or mental status. Environmental Accessibility Adaptations (EAA) Physical adaptations to the home needed to ensure the health, welfare, and safety of the member, allowing member to stay at home as much as possible. Home Maintenance To maintain a safe and clean environment, services may include heavy-duty cleaning, minor repairs to essential appliances, and fumigation or extermination services. Moving Assistance Moving assistance can be provided in rare cases that members need to move to a new home (e.g., unsafe deteriorating home, member is evicted from current home, member is not able to afford home due to a rent increase, or a wheelchair bound member living on the first floor of a multi-story building without elevator.) Non-Medical Transportation In addition to medical transportation, non-medical transportation is a service offered so that individuals can have access to community services, activities, and resources specified by the service plan. This service is to be used only when transportation is not included in the HCBS service being accessed. Personal Care Assistance I and II Level I service are provided to members who are not living with their family and may need help with their daily activities. Level I services include: companion services such as meal prep, laundry, and errands; and homemaker/chore services such as routine housecleaning, care of clothing and linen, shopping, and yard work. Level II services are provided to members needing moderate to total assistance with activities of daily living and health maintenance activities. Services are provided by Home Health Aide, Personal Care Aide, Certified Nurse Aide or Nurse Aide with applicable skills competency. Subacute Facility Services Services provided in either a licensed nursing facility or licensed and certified hospital. Provides the member with services that meet a level of care that is needed by the member not requiring acute care, but who needs more intensive skilled nursing care than most skilled nursing facilities provide. Visit us at kpquest.org 7

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