1915i Providers. Condition 1 - Volume Volumes >= 35% REPORTING PROVIDER FACILITY NAME

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1 PLEASE NOTE* Providers on this list are agencies known to operate non-medicaid reimbursable Home and Community Based-like services that are similar to or identical to the HCBS, also referred to as 1915i-like, services that will be available to Health and Recovery Plan (HARP) enrollees if HARPs are approved by CMS. Most are currently recipients of funds from OMH and/or OASAS to provide these services. Some are agencies known to OASAS as providers of these services that are funded through other than State sources. All of the providers appear qualified to be designated to provide one or more HCBS services to HARP enrollees, based on their experience delivering OMH /OASAS funded similar services. Importantly, however, their appearance on this list is NOT tantamount to designation. These providers will have to apply for designation. Any provider on this list that does not apply to be an HCBS service provider and/or is not approved as an HCBS provider will be delisted as a safety net provider. 09/24/2014 All 1915I (DSRIP) Total % Analysis of 1915i Data for Qualified % Delivery System Reform Incentive Payment Plan 1915i Condition 1 - Volume Volumes >= 35% OMH RD Street Improvement Council Yes TRUE pending approval OMH Abilities First, Inc. Yes TRUE pending approval OMH Abilities, Inc. Yes TRUE pending approval OMH ABVI-Goodwill Yes TRUE pending approval OMH ACCORD Corp Yes TRUE pending approval OMH ADDICTS REHABILITATION CENTER FOUNDATION, INC. Yes TRUE pending approval OASAS Addicts Rehabilitation Center Fund,Inc Yes TRUE pending approval OMH Adelante of Suffolk County, Inc. Yes TRUE pending approval OMH Adirondack Medical Center Yes TRUE pending approval OASAS After Hours Project Yes TRUE pending approval OASAS AIDS Center of Queens County (ACQC) Yes TRUE pending approval OASAS AIDS Service Center of NYC - Community Center in East Harlem Yes TRUE pending approval OASAS AIDS Service Center of NYC - Community Center in Washington Heights Yes TRUE pending approval OASAS AIDS Service Center of NYC - Union Square Main Program Office Yes TRUE pending approval OMH Albany County Consumer Advocacy Board for Mental Health, Inc. Yes TRUE pending approval OASAS Albert Einstein Medical Center Yes TRUE pending approval OMH Allegany County Chapter NYSARC, Inc Yes TRUE pending approval OMH American Red Cross Tompkins County Chapter Yes TRUE pending approval OASAS Amethyst House Inc. Yes TRUE pending approval OASAS Anchor House, Inc. Yes TRUE pending approval OMH Apropos Housing Opportunities and Management Enterprises Yes TRUE pending approval OMH Baltic Street AEH, INC. Yes TRUE pending approval OASAS Behavioral Health Services North Inc. Yes TRUE pending approval OMH Berkshire Farm Center and Services for Youth, Inc Yes TRUE pending approval OASAS Beth Israel Medical Center- Project SHARE Yes TRUE pending approval OMH Bethesda House of Schenectady, Inc Yes TRUE pending approval OMH Black Veterans for Social Justice, Inc. Yes TRUE pending approval OASAS Bridge Center of Schenectady Inc Yes TRUE pending approval OASAS Bridging Access to CARE Yes TRUE pending approval OMH Bronx Provider Consumer Alliance Resource Center Inc Yes TRUE pending approval OASAS BronxWorks Yes TRUE pending approval OMH BRONXWORKS, INC. Yes TRUE pending approval OASAS Brownsville Comm Develop.Corp., Inc. Yes TRUE pending approval OMH Burnt Hills-Ballston Lake Community Human Services Yes TRUE pending approval OMH CAMBA, Inc Yes TRUE pending approval OMH Camelot of Staten Island, Inc Yes TRUE pending approval OMH Camp Get-A-Way Yes TRUE pending approval OMH Capabilities Inc. Yes TRUE pending approval OMH CAPITAL AREA PEER SERVICES INC Yes TRUE pending approval 1

2 OMH CAREERS for People with Disabilities, Inc. Yes TRUE pending approval OASAS Catholic Char Diocese of Syracuse Yes TRUE pending approval OMH Catholic Charities of Livingston County Yes TRUE pending approval OMH CATHOLIC CHARITIES OF ONONDAGA CTY Yes TRUE pending approval OMH Catholic Charities of Oswego County Yes TRUE pending approval OASAS Catholic Charities of Steuben Yes TRUE pending approval OMH Catholic Charities of Steuben County Yes TRUE pending approval OMH Catholic Charities of the Diocese of Ogdensburg Yes TRUE pending approval OMH Catholic Charities of Tompkins & Tioga Yes TRUE pending approval OASAS Catholic Charities Dioc of Syracuse Yes TRUE pending approval OMH Catskill Center For Independence Yes TRUE pending approval OMH Cazenovia Recovery Systems, Inc. Yes TRUE pending approval OASAS Cazenovia Recovery Systems, Inc. Yes TRUE pending approval OASAS CC Rochester-Kinship Family Youth Srvs Yes TRUE pending approval OMH Cecil HDFC Yes TRUE pending approval OASAS Center for Alternative Sentencing &Employment Services Yes TRUE pending approval OMH CENTER FOR BEHAVIORAL HEALTH SERVICES Yes TRUE pending approval OMH Center for Career Freedom Yes TRUE pending approval OASAS Center for Community Alternatives Yes TRUE pending approval OASAS Center for Employment Opportunities Yes TRUE pending approval OMH Center for Family Life and Recovery, Inc. Yes TRUE pending approval OMH Challenge Industries, Inc. Yes TRUE pending approval OMH Chautauqua Opportunities, Inc Yes TRUE pending approval OMH Chemung County Dept of Mental Hygiene Yes TRUE pending approval OMH CHILD CARE RESOURCES OF ROCKLAND, INC Yes TRUE pending approval OMH Children's Institute Inc. Yes TRUE pending approval OMH Childrens Mental Health Coalition Yes TRUE pending approval OMH Circulo de la Hispanidad Yes TRUE pending approval OASAS Citiwide Harm Reduction Yes TRUE pending approval OMH COLUMBA SERVICES, INC Yes TRUE pending approval OMH Common Ground Community HDFC Yes TRUE pending approval OMH COMMUNITY ACTION FOR HUMAN SERVICES, INC. Yes TRUE pending approval OMH Community Aid for Retarded Children Yes TRUE pending approval OMH Community Connections of NY, Inc. Yes TRUE pending approval OASAS Community Health Action of Staten Island Yes TRUE pending approval OMH Community Maternity Services Yes TRUE pending approval OMH Community, Work and Independence, Inc. Yes TRUE pending approval OMH Compeer Inc Yes TRUE pending approval OMH Compeer Rochester, Inc. Yes TRUE pending approval OMH COMPEER WEST, INC Yes TRUE pending approval OMH Consumers Connection Yes TRUE pending approval OMH Contact Community Services, Inc. Yes TRUE pending approval OASAS Correctional Association of New York Yes TRUE pending approval OMH Counseling Care and Services, Inc Yes TRUE pending approval OMH COVENANT HOUSE/UNDER 21 Yes TRUE pending approval OASAS Damon House New York, Inc. Yes TRUE pending approval OASAS EAC Network Yes TRUE pending approval OASAS East House Corporation Yes TRUE pending approval OASAS Education and Assistance Corporation Yes TRUE pending approval OMH EPIC - Every Person Influences Children, Inc. Yes TRUE pending approval OMH ERIE COUNTY DEPT OF MENTAL HEALTH Yes TRUE pending approval OMH ETC Housing Corporation Yes TRUE pending approval OASAS Exponents, Inc Yes TRUE pending approval OASAS Exponents, Inc. Yes TRUE pending approval OMH Fairview Recovery Services Yes TRUE pending approval OASAS Fairview Recovery Services, Inc. Yes TRUE pending approval OMH FAMILIES ON THE MOVE OF NYC INC. Yes TRUE pending approval OMH FAMILY & CHILDREN'S SVS OF CAPITAL REGION Yes TRUE pending approval OMH FAMILY EMPOWERMENT COUNCIL Yes TRUE pending approval OMH Family Help Center Yes TRUE pending approval 2

3 OMH Family of Woodstock, Inc. Yes TRUE pending approval OMH Family Resource Network, Inc Yes TRUE pending approval OMH Family Service of the Chaurtauqua Region Yes TRUE pending approval OMH Family Ties of Westchester Inc Yes TRUE pending approval OASAS Fellowship House, Inc. Yes TRUE pending approval OMH Finger Lakes Parent Network Yes TRUE pending approval OASAS Fortune Society Inc Yes TRUE pending approval OMH Friends and Advocates for Mental Health Yes TRUE pending approval OMH Friends of Mental Health of Orleans County Yes TRUE pending approval OASAS Fulton Friendship House Inc. Yes TRUE pending approval OASAS Gay Men s Health Crisis (GMHC) Yes TRUE pending approval OMH General Dev. & Orient. Council, Inc Yes TRUE pending approval OMH Genesee County Mental Health Assoc. Yes TRUE pending approval OMH Good Shepherd Services Yes TRUE pending approval OMH Grace Church Community Center, Inc Yes TRUE pending approval OMH Guardians of the Sick Yes TRUE pending approval OMH H.O.M.E.E. Clinic inc. Yes TRUE pending approval OASAS Halfway Houses of Westchester Inc. Yes TRUE pending approval OMH Hamilton County Community Services Yes TRUE pending approval OASAS Harlem Hospital Center Yes TRUE pending approval OASAS Harlem United Yes TRUE pending approval OMH Healthy Community Alliance Yes TRUE pending approval OMH Heights Hill Mental Health Service Yes TRUE pending approval OASAS HELP/PSI - Brooklyn Yes TRUE pending approval OASAS HELP/PSI - Queens Yes TRUE pending approval OASAS HELP/PSI- Bronx Yes TRUE pending approval OASAS HHC Queens Hospital Center Yes TRUE pending approval OMH Homeless & Travelers Aid Society Yes TRUE pending approval OASAS Homer Perkins Center, Inc. Yes TRUE pending approval OMH HONORehg, Inc. Yes TRUE pending approval OMH HORIZON HEALTH SERVICES, INC. Yes TRUE pending approval OASAS Hospitality House Therapeutic Comm Inc Yes TRUE pending approval OMH Housing Options Made Easy, Inc. Yes TRUE pending approval OASAS Housing Works, Inc. Yes TRUE pending approval OASAS Housing Works-East New York Community Health Center Yes TRUE pending approval OMH Hudson River Housing, Inc. Yes TRUE pending approval OMH Huntington Family Centers, Inc Yes TRUE pending approval OMH Ibero-American Action League, Inc. Yes TRUE pending approval OMH Independent Living, Inc. Yes TRUE pending approval OASAS Iris House Inc Yes TRUE pending approval OMH J M MURRAY Yes TRUE pending approval OMH Jefferson County Community Services Yes TRUE pending approval OMH Jefferson Rehabilitation Center Yes TRUE pending approval OMH Jericho Project Yes TRUE pending approval OMH Joseph's House and Shelter Yes TRUE pending approval OMH Lake Shore Behavioral Health Yes TRUE pending approval OMH Lantern Community Services, Inc Yes TRUE pending approval OMH Lenox Hill Neighborhood House Yes TRUE pending approval OMH Lesbian & Gay Community Services Center, Inc. Yes TRUE pending approval OMH Liberty House Foundation Inc Yes TRUE pending approval OASAS Liberty Resources, Inc. Yes TRUE pending approval OMH LIVINGSTON-WYOMING ARC Yes TRUE pending approval OMH LivingWorks Education Yes TRUE pending approval OMH Long Island Advocacy Center Yes TRUE pending approval OMH Long Island Families Together, Inc. Yes TRUE pending approval OASAS Lower East Side Harm Reduction Center Yes TRUE pending approval OMH Lutheran Social Services Yes TRUE pending approval OMH Madison Cortland Chapter NYSARC Inc. Yes TRUE pending approval OMH Mental Health Assn of ST, Inc Yes TRUE pending approval OMH MENTAL HEALTH ASSOC. Yes TRUE pending approval 3

4 OMH Mental Health Assoc. in Suffolk Co. Yes TRUE pending approval OMH MENTAL HEALTH ASSOCIATION Yes TRUE pending approval OMH Mental Health Association in Cattaraugus County, Inc. Yes TRUE pending approval OMH Mental Health Association in Jefferson County, Inc. Yes TRUE pending approval OMH Mental Health Association in Niagara County, Inc. Yes TRUE pending approval OMH Mental Health Association in Putnam County, Inc. Yes TRUE pending approval OMH Mental Health Association of Clinton and Franklin Counties Yes TRUE pending approval OMH MENTAL HEALTH ASSOCIATION OF ERIE COUNTY, INC. Yes TRUE pending approval OMH Mental Health Association of NYC Yes TRUE pending approval OMH Mental Health Association of Oswego County, Inc. Yes TRUE pending approval OMH Mental Health Association of Rochester Yes TRUE pending approval OMH Mental Health Association on New York State, Inc. Yes TRUE pending approval OMH Mental Health Empowerment Project Yes TRUE pending approval OMH MFY Legal Services, Inc. Yes TRUE pending approval OASAS MHA in Fulton and Montgomery Counties Yes TRUE pending approval OMH MHA OF CORTLAND COUNTY Yes TRUE pending approval OASAS Mid-Hudson Addiction Recovery Centers Yes TRUE pending approval OMH Monroe County Department of Human Serivces Yes TRUE pending approval OMH Montgomery County Community Services Yes TRUE pending approval OASAS Montgomery Transitional Services, Inc. Yes TRUE pending approval OMH MTI Residential Svcs., Inc. Yes TRUE pending approval OMH Multi-County Community Development Corp. Yes TRUE pending approval OASAS NADAP Yes TRUE pending approval OMH NAMI HARLEM, INC Yes TRUE pending approval OMH NAMI OF MONTGOMERY FULTON & HAMILTON COUNTIES INC Yes TRUE pending approval OMH NAMI of Westchester Inc Yes TRUE pending approval OMH NAMI QUEENS/NASSAU Yes TRUE pending approval OMH NAMI-FAMILYA of Rockland County, Inc. Yes TRUE pending approval OMH NAMI-NYS Yes TRUE pending approval OMH NAMI-PROMISE Yes TRUE pending approval OMH Nassau County Dept of Mental Health, CD and DDDS Yes TRUE pending approval OMH National Alliance on Mental Illness of Champlain Valley Yes TRUE pending approval OMH National Council for Community Behavioral Healthcare Yes TRUE pending approval OMH Neighborhood Care Team, Inc. Yes TRUE pending approval OMH Neighborhood Coalition for Shelter, Inc. Yes TRUE pending approval OMH NEW ERA VETERANS, INC Yes TRUE pending approval OASAS New Hope Manor, Inc. Yes TRUE pending approval OMH New York Center For Child Development Yes TRUE pending approval OASAS Next Step <The> Yes TRUE pending approval OASAS North Country Freedom Homes Inc. Yes TRUE pending approval OMH Northern Regional Center for Independent Living Yes TRUE pending approval OASAS NYS Office of Children Family Services Yes TRUE pending approval OMH NYSARC Herkimer County Chapter Inc. Yes TRUE pending approval OMH NYSARC INC SULLIVAN Yes TRUE pending approval OMH NYSARC Montgomery Yes TRUE pending approval OMH NYSARC, INC CATT. CO. CHAPTER Yes TRUE pending approval OMH NYSARC, Inc. Dutchess County Chapter Yes TRUE pending approval OMH NYSARC, Inc. Saratoga County Chapter Yes TRUE pending approval OMH NYSARC, Inc., NYC Chapter Yes TRUE pending approval OASAS Odyssey House Yes TRUE pending approval OMH Odyssey House, Inc. Yes TRUE pending approval OMH ONEIDA COUNTY DMH Yes TRUE pending approval OMH Oneida-Lewis Chapter, NYSARC Yes TRUE pending approval OMH ONTARIO ARC Yes TRUE pending approval OASAS Open Arms, Incorporated Yes TRUE pending approval OASAS Osborne Association Yes TRUE pending approval OMH Oswego County Mental Health Yes TRUE pending approval OASAS Oswego County Opportunities Inc. Yes TRUE pending approval OMH OSWEGO INDUSTRIES, INC Yes TRUE pending approval OMH PALLADIA INC Yes TRUE pending approval 4

5 OMH PEACE Family Support Group, Inc. Yes TRUE pending approval OMH PEOPLe, Inc. Yes TRUE pending approval OASAS Phase: Piggy Back, Inc Yes TRUE pending approval OMH Phipps Community Development Corp Yes TRUE pending approval OASAS Phoenix Houses of New York Yes TRUE pending approval OMH Prevent Child Abuse New York, Inc. Yes TRUE pending approval OASAS Project Greenhope Services for Women Yes TRUE pending approval OASAS Project Hospitality Yes TRUE pending approval OMH PROJECT HOSPITALITY,INC Yes TRUE pending approval OASAS Providence Housing Development Corporation - Providence House Yes TRUE pending approval OMH PUTNAM COUNTY CHAPTER, NYSARC, INC. Yes TRUE pending approval OASAS Queens Village Committee for MH J-CAP Yes TRUE pending approval OMH Reachout of St. Lawrence County, Inc. Yes TRUE pending approval OASAS Recovery Network of New York Yes TRUE pending approval OASAS Rehabilitation Support Services, Inc. Yes TRUE pending approval OASAS Renaissance Addiction Services Inc. Yes TRUE pending approval OMH Rescue Mission Alliance of Syracuse NY Yes TRUE pending approval OMH Rescue Mission of Utica Yes TRUE pending approval OMH Restoration Society, Inc. Yes TRUE pending approval OMH Rockland County Department of Mental Health Yes TRUE pending approval OASAS Ryan-NENA Community Health Center Yes TRUE pending approval OASAS Safe Harbor Retreat Yes TRUE pending approval OASAS Salvation Army - Elmira Citadel Yes TRUE pending approval OMH Saratoga Center For The Family Yes TRUE pending approval OMH Schenectady County Chpter NYSARC, Inc. Yes TRUE pending approval OMH Schoharie County Chapter NYSARC, Inc. Yes TRUE pending approval OMH Schoharie County Community ActionProgram, Inc Yes TRUE pending approval OMH SCHUYLER COUNTY CHAPTER,NYSARC,INC Yes TRUE pending approval OASAS SCO Family of Services Yes TRUE pending approval OMH SKY LIGHT CENTER INC. Yes TRUE pending approval OASAS South Shore Association for Independent Living Yes TRUE pending approval OMH St Anne Institute Yes TRUE pending approval OMH ST JOHN'S COMMUNITY HDFC Yes TRUE pending approval OASAS St. Ann's Corner of Harm Reduction Yes TRUE pending approval OMH ST. LAWRENCE NYSARC Yes TRUE pending approval OASAS St. Vincents Catholic Medical Centers Yes TRUE pending approval OMH STEP by STEP INC Yes TRUE pending approval OMH STEUBEN CTY CHAPTER, NYSARC, INC. Yes TRUE pending approval OMH Suicide Prevention & Crisis Services Yes TRUE pending approval OMH Suicide Prevention and Crisis Service of Tompkins County Yes TRUE pending approval OMH Taconic Resources for Independence, Inc. Yes TRUE pending approval OASAS TASC of the Capital District Yes TRUE pending approval OASAS The Center Yes TRUE pending approval OMH The Door - A Center of Alternatives Yes TRUE pending approval OASAS The Fortune Society Yes TRUE pending approval OMH The Rehabilitation Institute, Inc. Yes TRUE pending approval OMH The Salvation Army Yes TRUE pending approval OMH The Samaritans of New York Yes TRUE pending approval OMH The Young Mens Christian Association of the Capital District Yes TRUE pending approval OASAS TLC Health Network Yes TRUE pending approval OASAS Transitional Services Association, Inc Yes TRUE pending approval OMH Turnaround for Children, Inc. Yes TRUE pending approval OASAS Turning Point Yes TRUE pending approval OMH UB FAMILY MEDICINE, INC. Yes TRUE pending approval OMH UCPA - Niagara County, Inc. Yes TRUE pending approval OMH Unique People Services, Inc Yes TRUE pending approval OASAS United Bronx Parents, Inc (including Casita Esperanza) Yes TRUE pending approval OASAS Unity House of Cayuga County Inc. Yes TRUE pending approval OMH UNLIMITED POSSIBILITIES Yes TRUE pending approval OMH Venture House, Inc. Yes TRUE pending approval 5

6 OMH Visiting Nurse Service of New York-CARE Yes TRUE pending approval OMH 325 Vocational Instruction Project Community Services Yes TRUE pending approval OASAS Voices of Community Activists & Leaders (VOCAL-NY), Inc. Yes TRUE pending approval OASAS Volunteers of America - GNY, Inc. Yes TRUE pending approval OMH Warren County Community Services Administration Yes TRUE pending approval OMH Washington County Community Services Administration Yes TRUE pending approval OASAS Washington Heights Corner Project Yes TRUE pending approval OMH WAYNE ARC Yes TRUE pending approval OMH Wayne County Action Program, Inc Yes TRUE pending approval OMH West End Residences HDFC Yes TRUE pending approval OMH West Side Community Services Yes TRUE pending approval OMH WEST SIDE FEDERATION FOR SENIOR AND SUPPORTIVE HOUSING INC. Yes TRUE pending approval OMH Westchester Consumer Empowerment Center. Yes TRUE pending approval OMH WESTCHESTER INDEPENDENT LIVING CTR Yes TRUE pending approval OMH Westchester Residential Opportunities, Inc. Yes TRUE pending approval OMH Western New York Independent Living, Inc. Yes TRUE pending approval OMH Westhab Inc. Yes TRUE pending approval OASAS William F. Ryan Community Health Center, Inc. Yes TRUE pending approval OASAS Women s Prison Association Yes TRUE pending approval OMH Wyoming Co Mental Health Department Yes TRUE pending approval OMH Yates Community Services Yes TRUE pending approval OMH YATES COUNTY CHAPTER, NYSARC, INC. Yes TRUE pending approval OMH Young Adult Institute, Inc. Yes TRUE pending approval OMH YWCA of the Greater Capital Region, Inc. Yes TRUE pending approval 6

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