APD Northwest Region Directory of Functions Northwest Region: Lynne Daw, Regional Operations Manager (ph.(850)922-9831; supervises Administrative and QA Work Streams) Colleen Foley, Regional Program Admin. (phone (850)872-7652 or (850) 595-8649; supervises Waiver, Waitlist and Clinical Supports Work Streams) Tina Basford, Human Services Program Specialist ph. 850-487-1994 Donna Templeton, Administrative Assistant II ph. 850-487-1993 Katie Bowman, Clerk ph. 850-487-1992 Angelica Middleton, Clerk Specialist ph. 850-872-7652 Administrative Services Work Stream: Work Stream Lead: Lynne Daw Work Stream Staff: Jane Tillman, Mary Farr, Quality Assurance Work Quality Assurance Work Stream: Nilda Barreto, Work Stream Lead ph. 850-922-9188 Joanne David (supervisor for residential planning, and LTRC licensure and monitoring) ph. (850) 595-8098 Work Stream Staff - Deborah Rancifer, Rita Hughes, Bonnie Williams, Marion Bright, Terry White, Kristin Jordan, Amy Mantecon, Donna Ross, Gisela Fisher, Addie Holt, Anna Marie McArthur, Charlene Thomas, Pat Green, Administrative Support ph. 850-595-8349 Wait List/Community Supports Work Stream: Octavius Jackson, Work Stream Lead ph. 850-(850)922-2870 Sharon Stephens (supervisor for waitlist support coordination) ph. 850-922-5356 Annette Zeeb (supervisor for community resource development and supported employment) ph. 850-595-8307 Work Stream Staff - Katrina Washington, Patricia Williams, Shirley Horton-Scott, Philip Richard,Walneter Daniels Jennifer Turner, Administrative Support ph. 850-595-8322 Waiver Work Stream: Pam Silva, Work Stream Lead ph. 850-595-8163 Work Stream Staff - Rose Salter, Amanda Price, Tasha Tubbs, Janet Herring, Marnie Millender, Eddie Tanner Sibylla Washington, Administrative Support ph. 850-595-8308 Clinical Supports Work Stream: Nicole Miller- Work Stream Lead ph. 850-872-7652 Work Stream Staff - Kelly Lucas, Ali Stanley,Monica Wittenberg, Wan Ahmad, Regina Schouest QSI Assessors - Vicki Vargason, LaDonna Beauford, Donna Chastang, Dana McMahon, Fajr Ibraheem, Susan Hettick, Linda Donar, Emily Stanley, Jean Jasmin Marianne Hobbs, Administrative Support ph. 850-595-8627 Carol Wright, Administrative Support ph. 850-482-9109 APD NW Region Tallahassee Office - 4030 Esplanade Way Suite 280 Tallahassee 32399-0950 ph. 850-487-1992 fax 850-488-3763 APD NW Region Panama City Office - 651 W. 14th St. Panama City FL 32401 ph. 850-872-7652 fax 850-747-5472 APD NW Region Marianna Office - 3635 Webb Rd. Marianna FL 32446 ph. 850-482-9109 fax 850-482-9575 APD NW Region Pensacola Office - 160 w. Government St. Suite 412 Pensacola FL 32502 ph. 850-595-8351 fax 850-595-8020 ABC Invoicing FUNCTION ADA Coordinator Application and Eligibility Determination NW Region - Area 1 Contact NW Region-Area 2A Contact NW Region-Area 2B Contact Sandra Hill ph. 850-595-8347 Background Screening Liaison Behavior Analysis Behavior Analysis Crisis Reviews Lori Rapp, Ph.D. ph. 850-595-8351 (main # in Pensacola) Lori Rapp, Ph.D. ph. 850-595-8351 (main # in Pensacola) Nikki Bryan ph. 850-922-9963 Budget/Budget Management CDC+ - Liaison, Purchasing Plans Central Records - Set -Up, Transfer, Closure and Tracking Central Records - Storage and Destruction Jennifer Turner ph. 850-595-8322 Tina Basford- 850 487-1994 Mindy Whitehead ph. 850-922- 7699 Client Services - Quality Assurance Issues Rita Hughes 850-595-8163 Terry White 850-718-0558 Amy Mantecon ph 850-482-9109 Marion Bright (850) APD Northwest Region Directory of Functions 9/3/2014 Page 1
CMAT Liaison (Childrens Multidisciplinary Assessment Team) Nicole Miller. ph. 850-872-7652 Community Outreach Community Resource Development Community Resource Guides and Data Bases Community-Based Care Liaison Colleen Foley ph. 850-872-7652 Complaint Inquiries Amy Mantecon 850-482-9109 Terry White ph. 850-718-0558 Marion Bright 850 922-4353 Contract Management Jane Tillman ph. 850-922-2291 Supplemental Funding Requests (Waiver) Cost Plans - Technical Assistance Court Liaison Crisis Waiver Enrollment DCF Protective Investigations Liaison DDDP Liaison (Developmental Disabilites Defendant Program) handled through contract with Lakeview Eddie Tanner 850-718-0565 Sharon Stephens ph. 850-922-5356 Millender. 850-922-5495 Death Reports/Death Reviews Nicole Miller. ph. 850-872-7652/ Delmarva Review Liaison Disability Mentoring Day Coordinator Due Process - Eligibility, Crisis Enrollment and General Revenue Services Due Process - Waiver Services Employee ID badges Octavius Jackson ph. 850-922-2870 Eddie Tanner ph. 850 718-0565 Family Care Council Liaison Octavius Jackson ph. 850-922-2870 Annette Zeeb ph. 850-922-2870 F-BIRN (Florida -Benefits Information and Resource Network) Liaison FMMIS Liaison Forensics Liaison handled through contract with Lakeview Waitlist Support Coordination Patricia Williams ph. 850-595-8249 Shirley Horton ph. 850-449-1509 Philip Richard ph. 850-595-8343 Vacant Waltneter Daniels ph. 850-922-5415 APD Northwest Region Directory of Functions Page 2 9/3/2014
General Revenue Case Load Assignments and Tracking General Services High Risk Tracking Clarence Shorten ph. 850-595-8329 Human Resources Liaison ibudget Cost Plans - initial, Annual and Update Millender 850-922-5495 ibudget Initiatives ibudget IT Application ibudget Service Authorizations Pam Silva ph. 850-595-8163 Mindy Whitehead ph. 850-922-7699 Marnie Millender ph. 850-922-5495 Same as above ICF/DD Central Admissions Nicole Miller. ph. 850-872-7652 ICF/DD Choice Counseling ICF/DD Transition Liaison ICF/DD Utilization Reviews Kelly Lucas, R.N. ph. 850 595-8192 Bonnie Williams ph. 850-718-0560 Monica Wittenberg ph. 850 922-9896 Monica Wittenberg ph. 850 922-9896 IFS Allocations IFS Invoicing and Tracking Incident Reporting Lynne Daw ph 850 566-6056 Lynne Daw ph. 850 566-6056 Lynne Daw ph. 850 566-6056 Intake and Eligibility- Tracking and Records Managment Jennifer Turner ph. 850-595-8322 IT Coordination Journal Transfers Licensing - Group and Foster Anna Marie McArthur Homes ph. 850-595-8352 Donna Ross ph. 850-418-9644 LTRC Monitoring Gisela Fisher ph. 850-418-9558 Addie Holt ph. 850-922-7679 Charlene Thomas ph. 850-418-9557 Sibyl Rich ph. 850-418-9559 Mail - incoming and outgoing mail Medicaid Integrity/Medicaid Fraud Liaison Jennifer Turner ph. 850-595-8322 PC - Angelica Middleton ph. 850-872-7652 Marianna - Carol Wright ph. 850-482-9109 Katie Bowman ( incoming) ph. 850 487-1992 Donna Templeton 850-487-1993 ( outgoing) APD Northwest Region Directory of Functions Page 3 9/3/2014
Medical Case Management Medical Case Management Crisis Reviews Medical Necessity Reviews Medication Administration Errors Medication Administration Rule Millender 850-922-5495 MedWaiver Provider Enrollment Nikki Bryan ph. 850-922-9963/ Tina Basford ph. 850-487-1994 My Florida Market Place Invoicing PASRRs (assessment for nursing home admission) Donna Templeton ph. 850-487-1993 Property Inventory IT IT Property Management Provider Billing Issues Provider Orientation Kristin Jordan ph. 850-408-1001 Nilda Barreto ph. 850-922-9188 Nikki Bryan ph. 850-922-9963 Provider Recoupment Now handled through AHCA Provider Technical Assistance Terry White ph. 850-718-0558 Amy Mantecon ph 850 718-0561 Marion Bright ( 850) 922-4353 QSI (Questionaire for Situational Information) Random Moment Sampling Vicki Vargason ph. 850-450-8757 LaDonna Beauford ph850-549-8840 Donna Chastang ph. 850-549-6784 Dana McMahon ph. 850-390-1933 Sibylla Washington ph. 850-595-8308 Susan Hettick ph. 850-274-0609 Linda Donar 850-274-0602 PC - Marianna- Carol Wright ph. 850-482-9109 Fajr Ibraheem ph. 850-922-2516 Emily Stanley ph. 850-274-3730 Jean Jasmin ph. 850-728-3828 Donna Templeton ph. 850-487-1993 Reception Regional Psychologist Marianne Hobbs ph. 850-595-8148 Angelica Middleton (850) 872-7652 Lori Rapp, Ph.D. ph. 850-595-8351 (main # in Pensacola) Katie Bowman (AM) ph. 850-487-1992 Shannon Roberts ( pm) 850 487-1992 Remediation Residential Planning (placement in APDlicensed homes) Terry White ph. 850-718-0558 Amy Mantecon ph 850 718-0561 Bonnie Williams (850) 718-0560 Marion Bright (850) 922-4353 Room and Board Allocations Room and Board Invoicing and Tracking SARF forms (System Access Request Form) processing Service Authorizations - Technical Assistance APD Northwest Region Directory of Functions Page 4 9/3/2014
SETS (Supported Employment) Data Collection and Reporting Social Security Work Incentives Training and Technical Assistance Spending Plan Supplemental Funding Requests (Waiver) Supply Orders Support Plan Submission and Tracking Support Plans - Technical Assistance Supported Employment Initiative Supported Employment Training and Technical Assistance Supported Living Subsidies Supported Living Training and Technical Assistance Rose Salter ph. 850-595-8394 Eddie Tanner 850 718-0565 Donna Templeton ph. 850 487-1993 Carol Wright ph. 850-482-9109 (for building supplies in Marianna ONLY) Sibylla Washington ph. 850-595-8308 Tasha Tubbs ph. 850-872-7652 Marnie Millender 850-922-5495 Switchboard Schedule Marianne Hobbs (850) 595-8351 Pat Green, Sibylla Washington, Travel Reimbursement Jennifer Rancifer Vocational Rehabilitation Liaison Voter Registration Carol Wright (850) 482-9109 Templeton ph. 850-487-1993 Donna Waiver Enrollment Waiver Support Coordinator Availability and Choice Sharon Stephens ph. 850-922-5356 Sibylla Washington ph. 850-595-8308 WSC Technical Assistance - ibudget IT, Support Plans, Cost Plans, Service Authorizations Waiver Support Coordinator Technical Assistance - Client Issues Waiver Support Coordinator Training Terry White ph. 850-718-0558 Amy Mantecon ph 850 718-0561 Joanne David ph. 850-595-8098 Marion Bright ph. 850-922-4353 APD Northwest Region Directory of Functions Page 5 9/3/2014