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MENTAL HEALTH: Alabama County and County Equivalent Listing Page 1 of 263 Pages Autauga County Population Group: Low Income - Mental Health Catchment Area 14 Baldwin County Service Area: Baldwin County Barbour County Population Group: Low Income - Barbour/Dale/Geneva/Henry/Houston Facility: Easterling Correctional Facility Facility: Ventress Correctional Facility Bibb County Population Group: Low Income - Bibb/Pickens/Tuscaloosa - Mental Health Catchment Area 8 Facility: Bibb Correctional Facility Facility: Cahaba Medical Care Foundation Blount County Population Group: Low Income - Catchment Area M-5 Bullock County Service Area: Mental Health Catchment Area 15 Butler County Service Area: Catchment Area M-18 Calhoun County Service Area: Calhoun/Cleburne - Mental Health Catchment Area 7 Chambers County Service Area: Chambers/Lee/Russell/Tallapoosa - Mental Health Catchment Area 12 Cherokee County Population Group: Low Income - Mental Health Catchment Area 6 Choctaw County Service Area: Catchment Area M-10 Clarke County Service Area: Mental Health Catchment Area 17 Clay County Service Area: Clay/Coosa/Randolph/Talladega Mental Health Catchment Area 9 Cleburne County Service Area: Calhoun/Cleburne - Mental Health Catchment Area 7 Coffee County Service Area: Catchment Area M-18 Colbert County Service Area: Colbert/Franklin/Lauderdale - Mental Health Catchment Area 1 Conecuh County Service Area: Mental Health Catchment Area 17 Facility: Tri-County Medical Center Coosa County Service Area: Clay/Coosa/Randolph/Talladega Mental Health Catchment Area 9

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MENTAL HEALTH: Alabama County and County Equivalent Listing

Page 1 of 263 Pages

Autauga County

Population Group: Low Income - Mental Health Catchment Area 14

Baldwin County

Service Area: Baldwin County

Barbour County

Population Group: Low Income - Barbour/Dale/Geneva/Henry/Houston

Facility: Easterling Correctional Facility

Facility: Ventress Correctional Facility

Bibb County

Population Group: Low Income - Bibb/Pickens/Tuscaloosa - Mental Health Catchment

Area 8

Facility: Bibb Correctional Facility

Facility: Cahaba Medical Care Foundation

Blount County

Population Group: Low Income - Catchment Area M-5

Bullock County

Service Area: Mental Health Catchment Area 15

Butler County

Service Area: Catchment Area M-18

Calhoun County

Service Area: Calhoun/Cleburne - Mental Health Catchment Area 7

Chambers County

Service Area: Chambers/Lee/Russell/Tallapoosa - Mental Health Catchment Area 12

Cherokee County

Population Group: Low Income - Mental Health Catchment Area 6

Choctaw County

Service Area: Catchment Area M-10

Clarke County

Service Area: Mental Health Catchment Area 17

Clay County

Service Area: Clay/Coosa/Randolph/Talladega Mental Health Catchment Area 9

Cleburne County

Service Area: Calhoun/Cleburne - Mental Health Catchment Area 7

Coffee County

Service Area: Catchment Area M-18

Colbert County

Service Area: Colbert/Franklin/Lauderdale - Mental Health Catchment Area 1

Conecuh County

Service Area: Mental Health Catchment Area 17

Facility: Tri-County Medical Center

Coosa County

Service Area: Clay/Coosa/Randolph/Talladega Mental Health Catchment Area 9

MENTAL HEALTH: Alabama County and County Equivalent Listing

Page 2 of 263 Pages

Covington County

Service Area: Catchment Area M-18

Crenshaw County

Service Area: Catchment Area M-18

Cullman County

Service Area: Cullman County - Mental Health Catchment Area 22

Dale County

Population Group: Low Income - Barbour/Dale/Geneva/Henry/Houston

Dallas County

Service Area: Mental Health Catchment Area 13

Facility: Rural Health Medical Program

DeKalb County

Population Group: Low Income - Mental Health Catchment Area 6

Elmore County

Population Group: Low Income - Mental Health Catchment Area 14

Facility: Draper Correctional Facility

Facility: Julia Tutwiler Prison for Women

Facility: Staton Correctional Facility

Escambia County

Service Area: Mental Health Catchment Area 17

Facility: Fountain Correctional Facility

Etowah County

Population Group: Low Income - Mental Health Catchment Area 6

Facility: Quality of Life Health Services

Fayette County

Service Area: Catchment Area M-4

Franklin County

Service Area: Colbert/Franklin/Lauderdale - Mental Health Catchment Area 1

Geneva County

Population Group: Low Income - Barbour/Dale/Geneva/Henry/Houston

Greene County

Service Area: Catchment Area M-10

Hale County

Service Area: Catchment Area M-10

Henry County

Population Group: Low Income - Barbour/Dale/Geneva/Henry/Houston

Houston County

Population Group: Low Income - Barbour/Dale/Geneva/Henry/Houston

Jackson County

Service Area: Jackson/Marshall - Mental Health Catchment Area 20

Facility: Northeast Alabama Health Services, Inc.

MENTAL HEALTH: Alabama County and County Equivalent Listing

Page 3 of 263 Pages

Jefferson County

Population Group: Low Income - Catchment Area M-5

Facility: Aletheia House

Facility: Birmingham Healthcare

Facility: Christ Health Center, Inc.

Lamar County

Service Area: Catchment Area M-4

Lauderdale County

Service Area: Colbert/Franklin/Lauderdale - Mental Health Catchment Area 1

Lawrence County

Population Group: Low Income - Lawrence/Limestone/Morgan - Mental Health Catchment

Area 2

Lee County

Service Area: Chambers/Lee/Russell/Tallapoosa - Mental Health Catchment Area 12

Limestone County

Population Group: Low Income - Lawrence/Limestone/Morgan - Mental Health Catchment

Area 2

Facility: CF-Limestone Correctional Facility

Lowndes County

Population Group: Low Income - Mental Health Catchment Area 14

Macon County

Service Area: Mental Health Catchment Area 15

Madison County

Facility: Central North Alabama Health Services

Marengo County

Service Area: Catchment Area M-10

Marion County

Service Area: Catchment Area M-4

Facility: Hamilton Correctional Facility

Marshall County

Service Area: Jackson/Marshall - Mental Health Catchment Area 20

Facility: Marshall Family Health Clinic

Mobile County

Population Group: Low Income - Mobile/Washington - Mental Health Catchment Area 16

Facility: Bayou La Batre Area Health Development

Facility: Family Oriented Primary Health Care

Facility: Franklin Primary Health Center

Facility: The Bayou Clinic

Monroe County

Service Area: Mental Health Catchment Area 17

Montgomery County

Population Group: Low Income - Mental Health Catchment Area 14

Facility: Health Services, Inc.

MENTAL HEALTH: Alabama County and County Equivalent Listing

Page 4 of 263 Pages

Montgomery County

Facility: Kilby Correctional Facility

Morgan County

Population Group: Low Income - Lawrence/Limestone/Morgan - Mental Health Catchment

Area 2

Perry County

Service Area: Mental Health Catchment Area 13

Pickens County

Population Group: Low Income - Bibb/Pickens/Tuscaloosa - Mental Health Catchment

Area 8

Pike County

Service Area: Mental Health Catchment Area 15

Facility: Southeast Alabama Rural Health Association

Randolph County

Service Area: Clay/Coosa/Randolph/Talladega Mental Health Catchment Area 9

Facility: Tanner Primary Care of Wedowee, Inc.

Facility: Woodland Family Healthcare

Russell County

Service Area: Chambers/Lee/Russell/Tallapoosa - Mental Health Catchment Area 12

St. Clair County

Population Group: Low Income - Catchment Area M-5

Facility: St. Clair Correctional Facility

Sumter County

Service Area: Catchment Area M-10

Talladega County

Service Area: Clay/Coosa/Randolph/Talladega Mental Health Catchment Area 9

Facility: Federal Correctional Institution - Talladega

Tallapoosa County

Service Area: Chambers/Lee/Russell/Tallapoosa - Mental Health Catchment Area 12

Tuscaloosa County

Population Group: Low Income - Bibb/Pickens/Tuscaloosa - Mental Health Catchment

Area 8

Facility: Whatley Health Service

Walker County

Service Area: Catchment Area M-4

Facility: Capstone Rural Health Center

Washington County

Population Group: Low Income - Mobile/Washington - Mental Health Catchment Area 16

Wilcox County

Service Area: Mental Health Catchment Area 13

Winston County

Service Area: Catchment Area M-4

Page 5 of 263 Pages

MENTAL HEALTH: Alaska County and County Equivalent Listing

Aleutians East Borough

Service Area: Aleutians East Borough

Aleutians West Census Area

Service Area: Aleutians West Borough

Facility: Iliuliuk Family Health Center

Anchorage Borough

Facility: Aleutians/Pribilof Islands Association

Facility: Anchorage Neighborhood Health Center

Facility: CF-Anchorage Correctional Complex

Facility: Chugachmiut

Facility: Eastern Aleutian Tribe, Inc.

Facility: Eklutna Health Clinic

Facility: Girdwood Health Clinic

Facility: Southcentral Foundation

Bethel Census Area

Service Area: Bethel and Wade Hampton

Facility: Bethel Family Clinic

Facility: Yukon-Kuskokwim Health Corporation

Bristol Bay Borough

Service Area: Bristol Bay/Dillingham/Lake Peninsula

Facility: Bristol Bay Borough

Denali Borough

Service Area: Denali Borough

Dillingham Census Area

Service Area: Bristol Bay/Dillingham/Lake Peninsula

Facility: Bristol Bay Area Health Corporation

Facility: Kanakanak Hospital

Fairbanks North Star Borough

Facility: Chief Andrew Issac Health Center

Facility: Dena' Nena' Henash

Facility: Fairbanks Native Association

Facility: Interior Community Health Center

Facility: Tanana Tribal Council

Haines Borough

Service Area: Haines Borough

Hoonah-Angoon Census Area

Service Area: Hoonah-Angoon

Juneau Borough

Facility: Front Street Community Health Center

Facility: Southeast Alaska Region Health Consortium

Kenai Peninsula Borough

Service Area: Kenai Peninsula Borough

MENTAL HEALTH: Alaska County and County Equivalent Listing

Page 6 of 263 Pages

Kenai Peninsula Borough

Facility: CF-Spring Creek Correctional Center

Facility: City of Seward Administration

Facility: Kenaitze Indian Tribe

Facility: Ninilchik Traditional Council

Facility: Peninsula Community Health Services of Alaska, Inc.

Facility: Seldovia Village Health Center

Ketchikan Gateway Borough

Service Area: Southern Southeast Alaska

Facility: Ketchikan Indian Corporation

Kodiak Island Borough

Facility: Kodiak Area Native Association

Facility: Kodiak Island Health Care Foundation

Lake and Peninsula Borough

Service Area: Bristol Bay/Dillingham/Lake Peninsula

Matanuska-Susitna Borough

Service Area: Matanuska-Susitna Borough

Facility: CF-Goose Creek Correctional Center

Facility: Mat-Su Health Services

Facility: Scf Valley Native Primary Care Center

Facility: Sunshine Community Health Center

Nome Census Area

Service Area: Nome Census Area

Facility: Norton Sound Health Corporation

Facility: Norton Sound Health Corporation-Behavioral Health Tribal

Facility: Norton Sound Health Corporation-Outpatient Primary Care/Dt Tribal C

Facility: Norton Sound Health Corporation-Tribal Clinic

Facility: Norton Sound Regional Hospital Fast Track

Facility: Nshc Clinic, Native Village of Diomede

North Slope Borough

Service Area: North Slope Borough

Facility: Samuel Simmonds Memorial Hospital

Northwest Arctic Borough

Service Area: Northwest Arctic Borough

Facility: Maniilaq Association

Not Determined

Service Area: Bethel and Wade Hampton

Not Determined

Facility: Kana Clinic Native Village of Karluk

Facility: Native Village of Kwinhagak

Petersburg Borough

Service Area: Southern Southeast Alaska

MENTAL HEALTH: Alaska County and County Equivalent Listing

Page 7 of 263 Pages

Prince of Wales-Hyder Census Area

Service Area: Southern Southeast Alaska

Facility: Annette Island Service Unit/Metlakatla Indian Community

Facility: Searhc-Craig Behavioral Health

Sitka Borough

Facility: Searhc/MT. Edgecumbe Hospital

Skagway Municipality

Service Area: Skagway Municipality

Facility: Dahl Memorial Clinc

Southeast Fairbanks Census Area

Service Area: Southeast Fairbanks Census Area

Facility: Upper Tanana Health Center

Valdez-Cordova Census Area

Service Area: Valdez-Cordova Census Area

Facility: Chitina Tribal and Community Health Center

Facility: Copper River Native Association

Facility: Cross Roads Medical Center

Facility: Mt. Sanford Tribal Consortium

Facility: Native Village of Eyak

Wrangell City and Borough

Service Area: Southern Southeast Alaska

Facility: Alaska Island Community Services

Yakutat Borough

Service Area: Yakutat Borough

Facility: Yakutat Tlingit Tribe

Yukon-Koyukuk Census Area

Service Area: Yukon-Koyukuk Census Area

Facility: Council of Athabascan Tribal Government

Page 8 of 263 Pages

MENTAL HEALTH: Arizona County and County Equivalent Listing

Apache County

Service Area: Navajo Nation

Service Area: Springerville/Eager

Facility: Chinle Comprehensive Health Center

Facility: Fort Defiance PHS Indian Hospital

Facility: Navajo Division of Emergency Medical Services

Facility: Navajo Division of Health

Facility: Navajo Division of Social Services

Facility: Navajo Health Foundation Dba Sage Memorial Hospital

Facility: Rockpoint Health Clinic

Facility: Shiprock Service Unit-Four Corners Regional Health Center

Facility: Tsaile Indian Health Center

Cochise County

Service Area: Bisbee

Service Area: Douglas and Pirtleville

Service Area: Sierra Vista

Service Area: Willcox and Bowie

Population Group: Low Income-Benson

Facility: Arizona State Prison - Douglas

Facility: Chiricahua Community Health Center

Facility: Copper Queen Medical Associates - Douglas

Facility: Copper Queen Medical Associates-Bisbee

Facility: Palominas/Hereford Rural Health Clinics

Coconino County

Service Area: Grand Canyon Village

Service Area: Hopi Tribe

Service Area: Navajo Nation

Population Group: Low Income-Cottonwood/Sedona

Population Group: Low Income-Flagstaff

Facility: Canyonlands Community Health Center

Facility: Kaibab-Paiute Tribe

Facility: Naca Family Health Center

Facility: Native Americans for Community Action

Facility: North Country Community Health Center

Facility: Sacred Peaks Health Center

Facility: San Juan Southern Paiute Tribe

Facility: Supai Clinic

Facility: Tuba City Regional Health Care Corporation

Gila County

Service Area: Globe

Service Area: Payson

Service Area: San Carlos Apache Tribe

MENTAL HEALTH: Arizona County and County Equivalent Listing

Page 9 of 263 Pages

Gila County

Service Area: White Mountain Apache Tribe

Facility: Bylas Health Center

Facility: Pleasant Valley Community Medical Center

Facility: San Carlos PHS Indian Hospital

Facility: Tonto Apache Tribe

Graham County

Service Area: Safford

Service Area: San Carlos Apache Tribe

Service Area: Thatcher

Facility: Arizona State Prison - Safford

Greenlee County

Service Area: Morenci

La Paz County

Service Area: Colorado River Indian Tribe

Service Area: Parker

Service Area: Quartzsite

Facility: Colorado River Indian Community

Facility: Parker PHS Indian Hospital

Maricopa County

Service Area: Apache Junction

Service Area: Chandler South

Service Area: Estrella Village and Tolleson

Service Area: Fort McDowell Yavapai Nation

Service Area: Gila River Indian Community

Service Area: Gilbert South

Service Area: Glendale Central

Service Area: Maryvale Village

Service Area: Mesa Gateway

Service Area: Mesa West Service

Area: Queen Creek

Service Area: Salt River Pima-Maricopa Indian Community

Service Area: South Mountain Village and Guadalupe

Service Area: Surprise North and Wickenburg

Service Area: Tohono O'Odham Nation

Population Group: Low Income-Alhambra Village

Population Group: Low Income-El Mirage and Youngtown

Population Group: Low Income-Mesa Central

Population Group: Low Income-North Mountain Village

Population Group: Low Income-Tempe North

Facility: Adelante Healthcare, Inc.

Facility: Arizona State Prison - Lewis

MENTAL HEALTH: Arizona County and County Equivalent Listing

Page 10 of 263 Pages

Maricopa County

Facility: Arizona State Prison - Perryville

Facility: Arizona State Prison - Phoenix

Facility: Circle the City

Facility: Community Hospital Clinic

Facility: Federal Correctional Institution - Phoenix

Facility: Maricopa County Community Health Center

Facility: Maricopa County Special Health Care District

Facility: Mountain Park Health Center

Facility: Native American Community Health Center

Facility: Native American Community Health Center - Dunlap

Facility: Neighborhood Outreach Access to Health

Facility: Phoenix Indian Medical Center

Facility: Salt River Clinic

Facility: Terros Inc.

Facility: Valle Del Sol/Dba Mi Salud

Facility: Wesley Community Center Inc.

Mohave County

Service Area: Colorado City

Service Area: Golden Valley

Service Area: Hualapai Tribe

Service Area: Kingman

Population Group: Low Income-Bullhead City

Population Group: Low Income-Lake Havasu City

Facility: Peach Springs PHS Indian Health Center

Navajo County

Service Area: Hopi Tribe

Service Area: Navajo Nation

Service Area: Show Low Service

Area: Snowflake/Heber

Service Area: White Mountain Apache Tribe

Service Area: Winslow

Facility: Arizona State Prison - Winslow

Facility: Cibecue PHS Indian Health Center

Facility: Health and Social Services Committee

Facility: Hopi Health Care Center

Facility: Inscription House Health Center

Facility: Kayenta PHS Indian Health Center

Facility: Pinon Health Center

Facility: Whiteriver Indian Health Services Hospital

Facility: Winslow Indian Health Care Center

MENTAL HEALTH: Arizona County and County Equivalent Listing

Page 11 of 263 Pages

Pima County

Service Area: Ajo

Service Area: Drexel Heights

Service Area: Flowing Wells

Service Area: Pascua Yaqui Tribe

Service Area: Picture Rocks

Service Area: San Xavier

Service Area: Tohono O'Odham Nation

Service Area: Tucson South East

Service Area: Vail

Population Group: Low Income-Tucson Central

Population Group: Low Income-Tucson South

Population Group: Low Income-Tucson West

Facility: Ajo Community Health Center

Facility: Arizona State Prison - Tucson

Facility: El Rio Health Center

Facility: Federal Correctional Complex-Tucson

Facility: Marana Health Center

Facility: Pascua Yaqui Tribe Health Programs

Facility: San Xavier PHS Indian Health Center

Facility: Sells PHS Indian Health Hospital-Santa Rosa Clinic

Facility: Sells PHS Indian Hospital

Facility: Tucson Indian Center

Facility: United Community Health Center-Maria Auxiliadora

Pinal County

Service Area: Apache Junction

Service Area: Casa Grande

Service Area: Coolidge Service

Area: Eloy

Service Area: Florence

Service Area: Gila River Indian Community

Service Area: Gold Canyon

Service Area: Maricopa Service

Area: Queen Creek Service

Area: San Tan Valley

Facility: Ak-Chin Indian Community

Facility: Arizona State Prison - Eyman

Facility: Arizona State Prison - Florence

Facility: CF-Florence Correctional Center

Facility: Desert Visions Wellness Center

Facility: Gila River Health Care Corporation

Facility: Immigration and Customs Enforcement - Florence

MENTAL HEALTH: Arizona County and County Equivalent Listing

Page 12 of 263 Pages

Pinal County

Facility: Immigration and Customs Enforcement - Pinal Count

Facility: Immigration and Customs Enforcement-Eloy

Facility: Kearny Clinic

Facility: Mountain Health and Wellness

Facility: Rightway Healthcare LLC

Facility: Sun Life Family Health Center

Facility: Superior Clinic

Santa Cruz County

Service Area: Nogales

Service Area: Rio Rico

Facility: Mariposa Community Health Center

Yavapai County

Service Area: Black Canyon City

Service Area: Chino Valley

Service Area: Williamson

Population Group: Low Income-Cottonwood/Sedona

Population Group: Low Income-Prescott

Population Group: Low Income-Prescott Valley

Facility: Yavapai County Health Department

Facility: Yavapai-Apache Nation

Facility: Yavapai-Prescott Tribe

Yuma County

Service Area: Fortuna Foothills

Service Area: San Luis

Service Area: Somerton

Service Area: Yuma

Facility: Arizona State Prison - Yuma

Facility: Cocopah Tribe

Facility: San Luis Walk-in Center

Facility: San Luis Walk-in Center-Somerton

Facility: Sunset Community Health

Page 13 of 263 Pages

MENTAL HEALTH: Arkansas

County and County Equivalent Listing

Arkansas County

Service Area: Pine Bluff Catchment Area

Ashley County

Population Group: Low Income-Monticello Mental Health Catchment Area

Facility: Mainline Health Systems

Baxter County

Population Group: Mental Health Catchment Area Mountain Home

Benton County

Facility: Decatur Medi Clinic

Facility: Uams/Ach Center for Children

Boone County

Population Group: Mental Health Catchment Area Mountain Home

Bradley County

Population Group: Low Income-Monticello Mental Health Catchment Area

Calhoun County

Service Area: El Dorado Catchment Area

Facility: Cabun Rural Health Services

Carroll County

Service Area: Carroll/Madison Catchment Area

Chicot County

Population Group: Low Income-Monticello Mental Health Catchment Area

Facility: Lake Village Clinic, P.A.

Clark County

Population Group: Mental Health Catchment Area Hot Spring

Clay County

Population Group: Jonesboro Mental Health Catchment Area

Facility: Corning Area Health Care

Cleburne County

Population Group: Mental Health Catchment Area - Batesville

Cleveland County

Service Area: Pine Bluff Catchment Area

Columbia County

Service Area: El Dorado Catchment Area

Conway County

Population Group: Mental Health Catchment Area-Russellville

Craighead County

Population Group: Jonesboro Mental Health Catchment Area

Crawford County

Population Group: Mental Health Catchment Area-Fort Smith

Crittenden County

Facility: East Arkansas Family Health

Page 14 of 263 Pages

MENTAL HEALTH: Arkansas

County and County Equivalent Listing

Cross County

Service Area: Helena Catchment Area

Dallas County

Service Area: El Dorado Catchment Area

Desha County

Population Group: Low Income-Monticello Mental Health Catchment Area

Drew County

Population Group: Low Income-Monticello Mental Health Catchment Area

Franklin County

Population Group: Mental Health Catchment Area-Fort Smith

Fulton County

Population Group: Mental Health Catchment Area - Batesville

Garland County

Population Group: Mental Health Catchment Area Hot Spring

Grant County

Service Area: Pine Bluff Catchment Area

Greene County

Population Group: Jonesboro Mental Health Catchment Area

Facility: Paragould Doctors Clinic

Hempstead County

Service Area: Texarkana Catchment Area

Hot Spring County

Population Group: Mental Health Catchment Area Hot Spring

Facility: Ouachita River Correctional Unit

Howard County

Service Area: Texarkana Catchment Area

Independence County

Population Group: Mental Health Catchment Area - Batesville

Izard County

Population Group: Mental Health Catchment Area - Batesville

Facility: North Central Correctional Unit

Jackson County

Population Group: Mental Health Catchment Area - Batesville

Facility: Grimes Correctional Unit

Facility: McPherson Correctional Unit

Jefferson County

Service Area: Pine Bluff Catchment Area

Facility: Jefferson Comprehensive Care System, Inc.

Facility: Pine Bluff Correctional Unit

Facility: Randall Williams Unit

Facility: Tucker Maximum Security Unit

Facility: Tucker Prison Unit

Page 15 of 263 Pages

MENTAL HEALTH: Arkansas

County and County Equivalent Listing

Johnson County

Population Group: Mental Health Catchment Area-Russellville

Lafayette County

Service Area: Texarkana Catchment Area

Lawrence County

Population Group: Jonesboro Mental Health Catchment Area

Lee County

Service Area: Helena Catchment Area

Facility: East Arkansas Regional Unit at Brickeys

Facility: Lee County Cooperative

Lincoln County

Service Area: Pine Bluff Catchment Area

Facility: Cummins Unit

Facility: Varner Supermax Unit

Little River County

Service Area: Texarkana Catchment Area

Logan County

Population Group: Mental Health Catchment Area-Fort Smith

Facility: Booneville Community and Family Medical Clinic

Facility: River Valley Primary Care Services

Lonoke County

Population Group: Low Income-Lonoke County

Madison County

Service Area: Carroll/Madison Catchment Area

Marion County

Population Group: Mental Health Catchment Area Mountain Home

Miller County

Service Area: Texarkana Catchment Area

Mississippi County

Population Group: Jonesboro Mental Health Catchment Area

Monroe County

Service Area: Helena Catchment Area

Facility: Mid-Delta Health Systems, Inc.

Montgomery County

Population Group: Mental Health Catchment Area Hot Spring

Nevada County

Service Area: El Dorado Catchment Area

Newton County

Population Group: Mental Health Catchment Area Mountain Home

Ouachita County

Service Area: El Dorado Catchment Area

Page 16 of 263 Pages

MENTAL HEALTH: Arkansas

County and County Equivalent Listing

Perry County

Population Group: Mental Health Catchment Area-Russellville

Phillips County

Service Area: Helena Catchment Area

Pike County

Population Group: Mental Health Catchment Area Hot Spring

Poinsett County

Population Group: Jonesboro Mental Health Catchment Area

Polk County

Population Group: Mental Health Catchment Area-Fort Smith

Facility: Healthy Connections

Pope County

Population Group: Mental Health Catchment Area-Russellville

Prairie County

Population Group: Low Income-Prairie County

Pulaski County

Facility: Wrightsville Unit

Randolph County

Population Group: Jonesboro Mental Health Catchment Area

Scott County

Population Group: Mental Health Catchment Area-Fort Smith

Searcy County

Population Group: Mental Health Catchment Area Mountain Home

Facility: Boston Mountain Rural

Facility: Marshall Family Practice Clinic

Sebastian County

Population Group: Mental Health Catchment Area-Fort Smith

Sevier County

Service Area: Texarkana Catchment Area

Sharp County

Population Group: Mental Health Catchment Area - Batesville

St. Francis County

Service Area: Helena Catchment Area

Facility: Federal Correctional Complex - Forrest City

Stone County

Population Group: Mental Health Catchment Area - Batesville

Union County

Service Area: El Dorado Catchment Area

Van Buren County

Population Group: Mental Health Catchment Area - Batesville

Washington County

Facility: St. Francis House NWA, Inc.

Page 17 of 263 Pages

MENTAL HEALTH: Arkansas

County and County Equivalent Listing

White County

Population Group: Mental Health Catchment Area - Batesville

Woodruff County

Population Group: Mental Health Catchment Area - Batesville

Facility: Arcare

Yell County

Population Group: Mental Health Catchment Area-Russellville

Page 18 of 263 Pages

MENTAL HEALTH: California

County and County Equivalent Listing

Alameda County

Population Group: Low Income - MSSA 2H/Ashland

Facility: Alameda County Health Department

Facility: Asian Health Services

Facility: Axis Community Health

Facility: Childrens Hospital

Facility: Davis Street Community Center

Facility: La Clinica De La Raza

Facility: Lifelong Medical Care

Facility: Native American Health Center-Oakland

Facility: Tiburcio Vasquez Health Center

Facility: Tri-City Health Center

Facility: West Oakland Health Council

Amador County

Facility: Sutter Plymouth Health Center

Butte County

Service Area: Butte County

Facility: Chuk Ndule Medical Center-Gridley

Facility: Dr. Ndulue Medical Practice-Oroville

Facility: Feather River Hospital - Feather River Health Center

Facility: Feather River Hospital Canyon View Clinic

Facility: Feather River Hospital Family Health Center

Facility: Northen Valley Indian Health - Chico

Facility: Northern Valley Indian Health, Inc. - Children's Hea

Calaveras County

Service Area: Calaveras County

Colusa County

Service Area: Colusa County

Facility: Colusa Indian Community Council

Contra Costa County

Service Area: MSSA 17-Brentwood East

Service Area: MSSA 18D/Antioch North and West

Service Area: MSSA 18F/Richmond Central

Facility: Brighter Beginnings

Facility: Contra Costa County Health

Del Norte County

Service Area: Del Norte County

Facility: Pelican Bay State Prison

Facility: Sutter Coast Community Clinic

El Dorado County

Service Area: MSSA 24-South Lake Tahoe

Facility: Barton Memorial Hospital Community Clinic

MENTAL HEALTH: California

County and County Equivalent Listing

Page 19 of 263 Pages

El Dorado County

Facility: El Dorado County Community Health Center

Facility: Shingle Springs Tribal Health Program

Facility: Western Sierra Medical Center-Camino

Fresno County

Service Area: MSSA 25, 26, 27, 28/Western Fresno

Service Area: MSSA 29-Kerman

Service Area: MSSA 31 and 32 - Sanger/Reedley

Service Area: MSSA 35B and D Clovis West/Fresno East

Population Group: Low Income/Hmfw-MSSA 35F (Fresno North Central)

Population Group: Low Income-Migrant Farmworker/MSSA 30/Caruthers/Raisin City

Facility: Adventist Health Community Care - Caruthers West

Facility: Adventist Health Community Care - Coalinga

Facility: Adventist Health Community Care - Fowler

Facility: Adventist Health Community Care - Huron

Facility: Adventist Health Community Care - Kerman

Facility: Adventist Health Community Care - Kerman Central

Facility: Adventist Health Community Care - Kingsburg

Facility: Adventist Health Community Care - Orange Cove

Facility: Adventist Health Community Care - Parlier Newmark

Facility: Adventist Health Community Care - Reedley

Facility: Adventist Health Community Care - Reedley Children

Facility: Adventist Health Community Care - Reedley Cypress

Facility: Adventist Health Community Care - Reedley Jefferso

Facility: Adventist Health Community Care - Reedley Women's

Facility: Adventist Health Community Care - Riverdale

Facility: Adventist Health Community Care - Sanger

Facility: Adventist Health Community Care - Selma

Facility: Adventist Health Community Care - Selma Central

Facility: Adventist Health Community Care Caruthers

Facility: Central Valley Indian Health Inc.

Facility: Coalinga State Mental Hospital

Facility: Federal Correctional Institution - Mendota

Facility: Greater Fresno Health Organization

Facility: San Joaquin Prime Care Medical Corporation-Squaw Valley

Facility: San Juaquin Prime Care Medical Corporation-Reedley

Facility: United American Indian Involvement-Fresno

Facility: United Health Centers of San Joaquin Valley

Facility: Valley Health Team

Glenn County

Service Area: MSSA 36.1,36.2,37-Glenn County

Facility: Northern Valley Indian Health

MENTAL HEALTH: California

County and County Equivalent Listing

Page 20 of 263 Pages

Humboldt County

Population Group: Low Income/H/Migrant Farmworker-Humboldt County

Facility: Hoopa Valley Tribe

Facility: Open Door Community Health Centers

Facility: Redwood Family Practice, Inc.

Facility: Redwoods Rural Health Center

Facility: Southern Humboldt Community Clinic

Facility: United Indian Health Service - Potowat

Imperial County

Service Area: Imperial County

Facility: Calexico Health Center

Facility: Calexico Outpatient Center

Facility: California State Prison - Calipatria

Facility: Centinela State Prison

Facility: Clinicas De Salud Del Pueblo

Facility: De Anza

Facility: El Centro Regional Medical Center Outpatient Clini

Facility: Fort Yuma

Facility: Quechan Tribal Council

Inyo County

Facility: Toiyabe Indian Health Project

Kern County

Service Area: MSSA 61/Arvin

Service Area: MSSAs 57.1,/57.2/and 59-Taft/Frazier Park/Buttonwi

Service Area: MSSAs 58.1. 58.2, 60 Shafter/Lost Hills/Wasco

Service Area: MSSAs 62,63,64-Tehachapi/Lake Isabella/Ridgecrest

Population Group: Low Income/Migrant Farmworker-MSSA 66A, B, C, D/Bakersfield

Facility: Adventist Health Community Care - Shafter

Facility: Adventist Health Community Care - Taft

Facility: Adventist Health Community Care - Wasco

Facility: Beverly Medical Center II

Facility: California Correctional Institution

Facility: California Correctional Institution - Kern

Facility: Clinica Sierra Vista

Facility: Gloria Nelson Center for Women and Children

Facility: Kern Valley Healthcare District Rural Health Clinic

Facility: Kern Valley State Prison

Facility: Omni Family Health

Facility: Ridgecrest Regional Rural Health Clinic

Facility: Sage Community Health Center

Facility: Tehachapi Family Health Center - California City

Facility: Tehachapi Family Health Center - Mojave

MENTAL HEALTH: California

County and County Equivalent Listing

Page 21 of 263 Pages

Kern County

Facility: Tehachapi Family Health Center - Tehachapi

Facility: United American Indian Involvement-Bakersfield

Kings County

Service Area: Kings County

Facility: Adventist Health Community Care - Avenal

Facility: Adventist Health Community Care - Avenal West

Facility: Adventist Health Community Care - Corcoran

Facility: Adventist Health Community Care - Corcoran East

Facility: Adventist Health Community Care - Hanford

Facility: Adventist Health Community Care - Home Garden

Facility: Adventist Health Community Care - Lemoore

Facility: Avenal Community Health Center

Facility: Avenal State Prison

Facility: California State Prison - Corcoran

Facility: Health Valley Medical Group, Inc.

Facility: Substance Abuse Treatment Facility

Lake County

Population Group: Low Income/Migrant Farmworker-Lake County

Facility: Lake County Tribal Health Consortium

Facility: Lucerne Community Clinic

Facility: St Helena Family Health Center - Kelseyville

Facility: St. Helena Family Center – Clearlake

Facility: St. Helena Health Center – Middletown

Facility: St. Helena Konocti Wellness Center

Facility: St. Helena Medical Care

Facility: Sutter Lakeside Community Clinic

Facility: Sutter Lakeside Family Medicine Clinic

Facility: Ukiah Valley Primary Care/Adventist Health-Lakeport

Lassen County

Facility: California Correctional Center - Lassen County

Facility: Federal Correctional Institution - Herlong

Facility: High Desert State Prison

Facility: Lassen Indian Health Center

Facility: Mountain Valleys Health Centers, Inc.

Facility: Northeastern Rural Health

Los Angeles County

Service Area: MSSA 77.1A-C, 77.2, 77.3, 77.5/Lancaster/Palmdale

Service Area: MSSA 77.4-Acton

Service Area: MSSA 78.1/Avalon

Service Area: MSSA 78.2C/Bell Northeast

Service Area: MSSA 78.2CCC-Huntington Park

MENTAL HEALTH: California

County and County Equivalent Listing

Page 22 of 263 Pages

Los Angeles County

Service Area: MSSA 78.2D/City Terrace East

Service Area: MSSA 78.2MMM/Downtown Southeast

Service Area: MSSAs 78.2III,78.2BBB/North Long Beach/Compton Ea

Population Group: Low Income - MSSA 78.2Z/Mar Vista

Facility: Aaa Comprehensive Healthcare

Facility: Aghaby Comprehensive Community Health Center

Facility: All for Health, Health for All

Facility: All-Inclusive Community Health Center

Facility: Altamed Health Services Corporation

Facility: American Indian Healing Center

Facility: Antelope Valley Community Clinic

Facility: Apla Health and Wellness

Facility: Arroyo Vista Family Health

Facility: Asian/Pacific Health Care Venture

Facility: Bartz-Altadonna Community Health Center

Facility: Benevolence Industries

Facility: Bienvenidos Community Health Center

Facility: Center for Family Health and Education, Inc.

Facility: Central Neighborhood Health Foundation

Facility: Children's Clinic

Facility: Chinatown Service Center

Facility: Clinica Monsenor Oscar a. Romero

Facility: Community Health Alliance of Pasadena

Facility: Community Medical Wellness Centers Usa

Facility: Complete Care Community Health Center, Inc.

Facility: Comprehensive Community Health Centers, Inc.

Facility: East Valley Community Health Center

Facility: Eisner Pediatric and Family

Facility: El Proyecto Del Barrio, Inc.

Facility: Family Health Care Centers of Gtr La

Facility: Federal Correctional Institution - Terminal Islan

Facility: Garfield Health Center

Facility: Harbor Community Clinic

Facility: Herald Christian Health Center

Facility: JWCH/Clinic Institute

Facility: Kedren Community Health Center, Inc.

Facility: Korean Health, Educ., Info and Research (Kheir)

Facility: Latino Kids Health

Facility: Los Angeles Christian Health Center

Facility: Los Angeles Gay and Lesbian Center

Facility: Metropolitan Detention Center-Los Angeles

MENTAL HEALTH: California

County and County Equivalent Listing

Page 23 of 263 Pages

Los Angeles County

Facility: Mission City Community

Facility: Northeast Community Clinic (Necc)

Facility: Northeast Valley Health

Facility: Pomona Community Health Center

Facility: Queenscare Family Clinic

Facility: Roads Foundation Inc.

Facility: Saint Anthony Medical

Facility: Saint Anthony Medical Centers, Inc.

Facility: Samuel Dixon Family Health Center

Facility: San Fernando Community Health Center

Facility: South Bay Family Healthcare Center

Facility: South Central Family Health

Facility: Southern California Medical Center

Facility: St. John's Well Child and Family Center

Facility: T.H.E. Clinic

Facility: The Achievable Foundation

Facility: The Los Angeles Free Clinic

Facility: United American Indian Involvement

Facility: Universal Community Health Center

Facility: Universal Health Foundation

Facility: University Muslim Medical Association

Facility: Valley Community Clinic

Facility: Venice Family Clinic

Facility: Watts Healthcare Corporation

Facility: Westside Family Health Center

Facility: Wilmington Community Clinic

Facility: Yehowa Medical Services

Madera County

Service Area: Madera County

Facility: Adventist Health Community Care - Madera Ranchos

Facility: Adventist Health Community Care - Oakhurst

Facility: Adventist Health Community Care - Oakhurst East

Facility: Charlie Mitchell Childrens Clinic

Facility: Darin Camarena Health Center

Marin County

Facility: Coastal Health Alliance

Facility: Marin City Health and Wellness Center

Facility: Marin Community Clinic

Facility: Ritter Center

Mariposa County

Service Area: Mariposa County/MSSA 85/86

MENTAL HEALTH: California

County and County Equivalent Listing

Page 24 of 263 Pages

Mariposa County

Facility: John C Fremont Healthcare District Northside Clini

Facility: John C. Fremont Healthcare Clinic

Facility: John C. Fremont Healthcare Clinic II

Mendocino County

Population Group: Low Income/Migrant Farmworker-Mendocino County

Facility: Anderson Valley Health Center, Inc.

Facility: Consolidated Tribal Health Project, Inc.

Facility: Fort Bragg Rural Health Center

Facility: Long Valley Health Center

Facility: Mendocino Coast Clinics, Inc.

Facility: Mendocino Community

Facility: Potter Valley Community Health Center

Facility: Redwood Coast Medical Center

Facility: Redwood Medical Clinic

Facility: Round Valley Indian Health Center

Facility: Ukiah Valley Primary Care/Adventist Health-Dora B1

Facility: Ukiah Valley Primary Care/Adventist Health-Hospita

Facility: Ukiah Valley Primary Care/Adventist Health-North State

Merced County

Service Area: Merced County

Facility: Bloss Memorial Hospital District

Facility: Castle Family Health Center

Facility: Golden Valley Health Center

Facility: Livingston Community Health Services

Facility: USP-Atwater

Modoc County

Service Area: Modoc County

Facility: Canby Family Practice Clinic

Facility: Modoc Medical Center

Facility: Surprise Valley Medical Clinic

Mono County

Service Area: Mono County

Facility: Mammoth Hospital

Monterey County

Service Area: MSSA 104/Big Sur/Lucia

Service Area: MSSA 107-Soledad

Service Area: MSSA's 105 and 106/King City/San Ardo

Facility: Clinica De Salud Del Valle

Facility: Correctional Training Facility-Soledad

Facility: Monterey County Health Department

MENTAL HEALTH: California

County and County Equivalent Listing

Page 25 of 263 Pages

Napa County

Facility: Community Health Clinic Ole

Nevada County

Service Area: Nevada County

Facility: Chapa-De Indian Health Program-Grass Valley

Facility: Miners Community Clinic

Facility: Sierra Family Medical Clinic, Inc.

Orange County

Facility: Asian Health Center

Facility: Casa De Salud Clinic Dba (Ocrm Health Care

Facility: Central City Community Health Centers - Anaheim

Facility: Families Together of Orange County

Facility: Friends of Family Health Center

Facility: Hurtt Family Health Clinic, Inc.

Facility: Korean Community Services, Inc.

Facility: Livingstone Community Development Corporation

Facility: Mission Hospital's Camino Health Center

Facility: Nhan Hoa Comprehensive Health Care Clinic, Inc.

Facility: North Orange County Regional Health Foundation

Facility: Serve the People, Inc.

Facility: Share Our Selves (Sos)

Facility: St. Jude Neighborhood Health Centers

Facility: University of California-Irvine Family Health

Facility: Vietnamese Community of Orange County

Placer County

Service Area: MSSA 117-Dollar Point

Facility: Chapa De Indian Health Program, Inc.

Plumas County

Facility: Eastern Plumas Health Care Graeagle Medical Clinic

Facility: Eastern Plumas Health Care-Indian Valley Medical C

Facility: Eastern Plumas Health Care-Portola Medical Clinic

Facility: Plumas Rural Health Center

Riverside County

Service Area: MSSA 126-Blythe

Service Area: MSSA 127/128/130-Desert Center/Coachella/Idyllwild

Service Area: MSSA 131B/Temecula North

Population Group: Low Income-MSSA 129.2/Bermuda Dunes/Indio North

Population Group: Low Income-MSSA 129.4/Palm Springs/Cathedral City

Facility: California Rehabilitation Center

Facility: Centro Medico Community Clinic, Inc.

Facility: Chuckawalla Valley State Prison

Facility: Community Health Systems, Inc.

MENTAL HEALTH: California

County and County Equivalent Listing

Page 26 of 263 Pages

Riverside County

Facility: County of Riverside

Facility: Desert AIDS Project

Facility: Ironwood State Prison

Facility: Oasis Community Health Center

Facility: Riverside-San Bernadino County Indian Health

Facility: Urban Community Action Projects

Sacramento County

Facility: California Rural Indian Health Board, Inc.

Facility: Center for AIDS Research, Education and Services

Facility: Center for AIDS Research, Education and Services, in

Facility: Elica Health Centers

Facility: Folsom State Prison

Facility: Health for All, Inc.

Facility: Lodi Health Physicians Galt Family and Specialty Care

Facility: Sacramento Community Clinic

Facility: Sacramento County Department of Health

Facility: Sacramento Native American Health Center, Inc.

Facility: The Effort

San Benito County

Facility: San Benito Health Foundation

San Bernardino County

Service Area: MSSA 142/Argus/Trona

Service Area: MSSA 144.2/Yucca Valley/Joshua Tree

Service Area: MSSA 145.2/Adelanto

Service Area: MSSA 145.3/Lucerne Valley

Service Area: MSSA 146/Big Bear Lake

Service Area: MSSA 147/Crestline/Blue Jay

Service Area: MSSA 148/Lytle Creek/Wrightwood

Service Area: MSSA 149/Barstow

Service Area: MSSA 150/Baker/Harvard/Newberry Springs

Service Area: MSSAs 145.1A and 145.1B/Hesperia West/Hesperia East

Population Group: Low Income-MSSAs 143 and 144.3-Needles/Twentynine PA

Facility: Chemehuevi Tribe

Facility: Federal Correctional Complex-Victorville

Facility: Hi-Desert Memorial Health Care District

Facility: Inland Behavioral and Health Services

Facility: San Bernardino County Health Center

Facility: Sean R. Thomas, MD

Facility: Social Action Community Health System

Facility: Tri-State Community Healthcare Center

Facility: Unicare Community Health Center, Inc.

MENTAL HEALTH: California

County and County Equivalent Listing

Page 27 of 263 Pages

San Diego County

Service Area: MSSA 159/Buckman Springs

Population Group: Low Income - MSSA 161C (Golden Hill/Logan Heights)

Population Group: Low Income - MSSA 161J/San Ysidro

Population Group: Low Income-MSSA 161F/LA Mesa

Facility: Borrego Community Health Foundation

Facility: Campo Clinic

Facility: Family Health Centers of San Diego

Facility: Immigration and Customs Enforcement - San Diego

Facility: Imperial Beach Community Clinic

Facility: Indian Health Council, Inc.

Facility: La Maestra Family Clinic

Facility: Metropolitan Correctional Center-San Diego

Facility: Mountain Health

Facility: Neighborhood Healthcare/Escondido

Facility: North County Health Project, Inc.

Facility: Operation Samahan, Inc.

Facility: San Diego American Indian Health Center

Facility: San Diego Family Care

Facility: San Ysidro Health Center

Facility: Southern Indian Health Council

Facility: St. Vincent De Paul Village

Facility: Sycuan Band of Mission Indians

Facility: Vista Community Clinic

San Francisco County

Facility: Asian and Pacific Islander Wellness Center, Inc.

Facility: Healthright 360

Facility: Mission Neighborhood Health Center

Facility: Northeast Medical Services

Facility: San Fransico Community Clinic Consortium

Facility: South of Market Health Center

San Joaquin County

Population Group: Low Income/Migrant Farmworker-San Joaquin County

Facility: Community Medical Centers, Inc.

San Luis Obispo County

Population Group: Low Income-MSSAs 171 and 172/Arroyo Grande//San Luis

Facility: Community Health Centers of the Central Coast, Inc.

San Mateo County

Facility: San Mateo County Health Services Agency

Facility: South County Community Health Center

Santa Barbara County

Service Area: MSSAs 178.1/178.2/179/180.2/Buellton/Solvang/Lompoc/Guada

MENTAL HEALTH: California

County and County Equivalent Listing

Page 28 of 263 Pages

Santa Barbara County

Population Group: Low Income/Migrant Farmworker - MSSA 180.1 Santa Maria

Facility: American Indian Health and Services Corporation

Facility: Federal Correctional Complex-Lompoc

Facility: Santa Barbara County Public Health Department

Facility: Santa Barbara Neighborhood Clinics

Facility: Santa Ynez Band of Mission Indians

Santa Clara County

Facility: Asian Americans for Community Involvemen

Facility: Gardner Family Health

Facility: Indian Health Center of Santa Clara

Facility: Mayview Community Health Center

Facility: San Jose Foothills Family Community Clinic

Facility: Santa Clara Valley Health and Hospital

Facility: School Health Clinics of Santa Clara County

Santa Cruz County

Facility: County of Santa Cruz Health Services

Facility: Salud Para La Gente

Facility: Santa Cruz Women's Health Center

Shasta County

Service Area: Shasta County

Facility: Hill Country Community Clinic

Facility: Lassen Medical Group-Cottonwood

Facility: Pit River Health Services

Facility: Redding Rancheria Health Clinic

Facility: Shasta Community Health Center

Facility: Shingletown Medical Center

Sierra County

Service Area: Sierra County

Facility: Eastern Plumas Health Care-Loyalton Medical Clinic

Facility: Western Sierra Medical Clinic

Siskiyou County

Service Area: Siskiyou County

Facility: Fairchild Medical Group, Inc.

Facility: Karuk Tribe of California

Facility: McCloud Healthcare Clinic

Facility: Mercy Lake Shastina Community Clinic

Facility: Mercy Mt. Shasta Community Clinic

Facility: Pine Street Clinic

Facility: Quartz Valley Indian Reservation

Solano County

Facility: California State Prison - Solano

MENTAL HEALTH: California

County and County Equivalent Listing

Page 29 of 263 Pages

Solano County

Facility: Solano County Health and Social Services

Sonoma County

Population Group: Low Income-MSSA 210.1-Santa Rosa

Facility: Alliance Medical Center

Facility: Copper Towers Family Medical Care

Facility: Federated Indians of Graton Rancheria

Facility: Petaluma Health Center

Facility: Santa Rosa Community Health Centers

Facility: Sonoma County Indian Health

Facility: Sonoma Valley Community Health Center

Facility: West County Health Centers, Inc.

Stanislaus County

Population Group: Low Income - Stanislaus County

Facility: Del Puerto Health Center

Facility: Stanislaus County

Sutter County

Service Area: Mental Health-Sutter County

Facility: Ampla Health (Formerly) Del Norte Clinics, Inc.

Tehama County

Service Area: Tehama County

Facility: Corning Rural Health Clinic

Facility: Greenville Rancheria Tribal Health Program-Red Blu

Facility: James Ooi, MD

Facility: Lassen Medical Group-Red Bluff

Facility: Rolling Hills Clinic

Trinity County

Service Area: Trinity County

Facility: Southern Trinity Health Services

Facility: Trinity Community Health Clinic

Tulare County

Service Area: MSSA 231/Alpaugh

Facility: Adventist Health Community Care - Dinuba

Facility: Adventist Health Community Care - Dinuba Plaza

Facility: Adventist Health Community Care - Dinuba West

Facility: Adventist Health Community Care - Orosi

Facility: Alta Family Health Clinic, Inc.

Facility: Family Care/Tulare City

Facility: Family Healthcare Network

Facility: Lindsay Family and Pediatrics Clinic

Facility: San Joaquin Prime Care Medical Corporation-Exeter

Facility: San Joaquin Prime Care Medical Corporation-Farmersville

MENTAL HEALTH: California

County and County Equivalent Listing

Page 30 of 263 Pages

Tulare County

Facility: Sequoia Family Medical Center

Facility: Tulare Community Health

Facility: Tulare County Health

Facility: Tule River Indian Health Program

Facility: Vida Sana Medical Group Inc. - Pediatrics

Tuolumne County

Service Area: Tuolumne County

Facility: Forest Road Health and Wellness Center

Facility: M.A.C.T. Health Board, Inc.

Facility: Mathiesen Memorial Health Clinic

Facility: Sierra Conservation Center

Facility: Tuolumne Me-Wuk Indian Health Center

Ventura County

Service Area: MSSA 237-Santa Paula

Facility: Clinicas Del Camino

Facility: Ventura County Public Healthcare Agency

Yolo County

Population Group: Low Income/Migrant Farmworker-Yolo County

Facility: Communicare Health Center

Facility: MMC for Children and Families

Facility: Northern Valley Indian Health-Woodland

Facility: The Midtown Medical Center for Children and Families

Facility: Winters Healthcare Foundation

Yuba County

Service Area: Yuba County

Facility: Chuk Ndule, MD

Facility: County of Yuba/Peach Tree Clinic

Facility: Harmony Health Medical Clinic and Family Resource Center

MENTAL HEALTH: Colorado

County and County Equivalent Listing

Page 31 of 263 Pages

Adams County

Population Group: Low Income Brighton

Population Group: Low Income-Commerce City

Facility: Amhc-Colorado Crisis Walk-in Clinic

Facility: Aurora Mental Health Center-Galena Clinic

Facility: Elmira North Adult Clinic

Facility: Northglenn Clinic

Facility: Ofac-Cr Mlp Fox Dr Clinic

Facility: Ofac-Cr Westminster Clinic

Facility: Regents of the University of Colorado

Alamosa County

Service Area: San Luis Valley

Facility: Valley-Wide Health Services

Arapahoe County

Facility: Arapahoe Douglas Mental Health Network - Berry Building

Facility: Arapahoe Douglas Mental Health Network - Inverness Clinic

Facility: Arapahoe Douglas Mental Health Network - Sycamore Clinic

Facility: Arapahoe/Douglas Mental Health Network-Acute Care Clinic

Facility: Arapahoe/Douglas Mental Health Network-Prince Street Clinic

Facility: Arapahoe/Douglas Mental Health Network-Southwood Clinic

Facility: Aumhc-Smokey Hill Clinic

Facility: Aurora Mental Health Center - Hampden Clinic

Facility: Aurora Mental Health Center - Viewpoint Plaza

Facility: Aurora Mental Health Center-Chambers Clinic

Facility: Metro Community Provider Network

Archuleta County

Service Area: Southwestern Mental Health Catchment Area

Baca County

Service Area: Southeastern Mental Health Catchment Area

Bent County

Service Area: Southeastern Mental Health Catchment Area

Boulder County

Facility: Clinica Campesina

Facility: Mental Health Partners - Coffman Clinic

Facility: Mental Health Partners - Iris Clinic

Facility: Mental Health Partners - Sherman Clinic

Chaffee County

Service Area: West Central Mental Health Region

Facility: Buena Vista Correctional Facility

Cheyenne County

Service Area: Centennial Mental Health Catchment Area

MENTAL HEALTH: Colorado

County and County Equivalent Listing

Page 32 of 263 Pages

Clear Creek County

Service Area: Clear Creek County

Conejos County

Service Area: San Luis Valley

Costilla County

Service Area: San Luis Valley

Crowley County

Service Area: Southeastern Mental Health Catchment Area

Facility: Arkansas Valley Correctional Facility

Facility: Crowley County Correctional Facility

Custer County

Service Area: West Central Mental Health Region

Delta County

Service Area: Midwestern Colorado Mental Health Catchment Area

Facility: Surface Creek Family Practice

Denver County

Population Group: Low Income - Denver Mental Health Catchment Area

Facility: Colorado Coalition for the Homeless

Facility: Colorado Mental Health Institute - Fort Logan

Facility: Denver Health and Hospital

Facility: Denver Indian Health and Family Services

Facility: Denver Reception and Diagnostic Center

Facility: Denver Womens Correctional Facility

Facility: La Clinica Tepeyac

Dolores County

Service Area: Southwestern Mental Health Catchment Area

Facility: Dolores County Health Association

Douglas County

Facility: Arapahoe Douglas Mental Health Network - Parker Clinic

Facility: Arapahoe Douglas Mental Health Network. - Castle Rock Clinic

Eagle County

Service Area: Colorado West Regional Mental Health Catchment Area

El Paso County

Service Area: Aspen Pointe Mental Health Catchment Area

Facility: Peak Vista Community Health Centers, Inc.

Elbert County

Service Area: Centennial Mental Health Catchment Area

Fremont County

Service Area: West Central Mental Health Region

Facility: Button Family Practice, P.C.

Facility: Colorado Territorial Correctional Facility

Facility: Federal Correctional Complex-Florence

MENTAL HEALTH: Colorado

County and County Equivalent Listing

Page 33 of 263 Pages

Fremont County

Facility: Federal Correctional Institution - Florence

Facility: Fremont Correctional Facility

Garfield County

Service Area: Colorado West Regional Mental Health Catchment Area

Gilpin County

Service Area: Gilpin County

Facility: Mountain Family Health Center

Grand County

Service Area: Colorado West Regional Mental Health Catchment Area

Gunnison County

Service Area: Midwestern Colorado Mental Health Catchment Area

Hinsdale County

Service Area: Midwestern Colorado Mental Health Catchment Area

Facility: Lake City Area Medical Center

Huerfano County

Service Area: Spanish Peaks Mental Health Catchment Area

Jackson County

Service Area: Colorado West Regional Mental Health Catchment Area

Jefferson County

Facility: Jcmh-Alameda Office

Facility: Jcmh-Centro Dones De Nuestra Comunidad

Facility: Jcmh-Jeffco Family Health Services Clinic

Facility: Jcmh-the Road

Facility: Jcmh-West Colfax Clinic

Kiowa County

Service Area: Southeastern Mental Health Catchment Area

Kit Carson County

Service Area: Centennial Mental Health Catchment Area

La Plata County

Service Area: Southwestern Mental Health Catchment Area

Facility: Southern Ute Health Center

Facility: Southwest Colorado Mental Health Center, Inc.

Lake County

Service Area: West Central Mental Health Region

Las Animas County

Service Area: Spanish Peaks Mental Health Catchment Area

Facility: Trindidad Area Health Association Dba Mt. San Rafael Hospital

Lincoln County

Service Area: Centennial Mental Health Catchment Area

Facility: Limon Correctional Facility

Facility: Plains Medical Center

MENTAL HEALTH: Colorado

County and County Equivalent Listing

Page 34 of 263 Pages

Logan County

Service Area: Centennial Mental Health Catchment Area

Facility: Sterling Correctional Facility

Mesa County

Service Area: Colorado West Regional Mental Health Catchment Area

Facility: Marillac Clinic, Inc.

Mineral County

Service Area: San Luis Valley

Moffat County

Service Area: Colorado West Regional Mental Health Catchment Area

Facility: Northwest Colorado Community Health Center

Montezuma County

Service Area: Southwestern Mental Health Catchment Area

Facility: Cortez Primary Care Clinic

Facility: Mancos Valley Health Center

Facility: Southwest Memorial Primary Care

Facility: Southwest Walk-in Care

Facility: Ute Mountain Ute Health Program

Montrose County

Service Area: Midwestern Colorado Mental Health Catchment Area

Facility: Olathe Community Clinic

Morgan County

Service Area: Centennial Mental Health Catchment Area

Otero County

Service Area: Southeastern Mental Health Catchment Area

Ouray County

Service Area: Midwestern Colorado Mental Health Catchment Area

Park County

Service Area: Aspen Pointe Mental Health Catchment Area

Phillips County

Service Area: Centennial Mental Health Catchment Area

Pitkin County

Service Area: Colorado West Regional Mental Health Catchment Area

Prowers County

Service Area: Southeastern Mental Health Catchment Area

Facility: High Plains Community Health Center

Pueblo County

Service Area: Spanish Peaks Mental Health Catchment Area

Facility: Colorado Mental Health Institute - Pueblo

Facility: Pueblo Community Health Center

Rio Blanco County

Service Area: Colorado West Regional Mental Health Catchment Area

MENTAL HEALTH: Colorado

County and County Equivalent Listing

Page 35 of 263 Pages

Rio Grande County

Service Area: San Luis Valley

Routt County

Service Area: Colorado West Regional Mental Health Catchment Area

Saguache County

Service Area: San Luis Valley

San Juan County

Service Area: Southwestern Mental Health Catchment Area

San Miguel County

Service Area: Midwestern Colorado Mental Health Catchment Area

Facility: Uncompahgre Combined Community Health Center

Sedgwick County

Service Area: Centennial Mental Health Catchment Area

Summit County

Service Area: Colorado West Regional Mental Health Catchment Area

Facility: Summit Community Care Clinic

Teller County

Service Area: Aspen Pointe Mental Health Catchment Area

Washington County

Service Area: Centennial Mental Health Catchment Area

Facility: Akron Clinic

Weld County

Population Group: Low Income-Weld County

Facility: Plan De Salud Del Valle

Facility: Sunrise Community Health

Yuma County

Service Area: Centennial Mental Health Catchment Area

Facility: Yuma Clinic

Page 36 of 263 Pages

MENTAL HEALTH: Connecticut

County and County Equivalent Listing

Fairfield County

Population Group: Low Income - Bridgeport

Population Group: Low Income - Danbury

Population Group: Low Income - Southend Stamford

Facility: Connecticut Institute for Communities, Inc.

Facility: Federal Correctional Institution - Danbury

Facility: Garner Correctional Institution

Facility: Norwalk Community Health Center

Facility: Optimus Health Care, Inc.

Facility: Southwest Community Health Center

Hartford County

Population Group: Low Income-Hartford

Facility: Charter Oak Health Center, Inc.

Facility: Community Health Services Inc.

Facility: East Hartford Community Health Center

Facility: Hartford Correctional Center

Litchfield County

Service Area: Litchfield County

Facility: Community Health and Wellness of Gtr Torrington

Middlesex County

Service Area: Middlesex County

Facility: Community Health Center of Middletown

New Haven County

Population Group: Low Income-New Haven/West Haven

Facility: Cheshire Correctional Institution

Facility: Cornell Scott-Hill Health Corporation

Facility: Fair Haven Community Health

Facility: New Haven Correctional Center

Facility: Staywell Health Center, Inc.

New London County

Service Area: Region Three

Facility: CF-Corrigan-Radgowski Correctional Center

Facility: Mashantuckey Pequot Tribal Nation

Facility: United Community Services Inc.

Facility: York Correctional Institution

Tolland County

Service Area: Region Three

Windham County

Service Area: Region Three

Facility: Generations Family Health

Page 37 of 263 Pages

MENTAL HEALTH: Delaware

County and County Equivalent Listing

Kent County

Facility: Community Mental Health Clinic (CMHC) – Dover

Facility: Delaware Guidance Services Dover

Facility: Milford State Service Center at Riverwalk

New Castle County

Facility: CF-Baylor Women's Correctional Institution

Facility: CF-Howard Young Correctional Institution

Facility: Community Mental Health Clinic(CMHC)–Wilmington

Facility: Delaware Guidance Services-Newark

Facility: Delaware Psychiatric Center

Facility: Henrietta Johnson Medical

Facility: James T. Vaughn Correctional Center

Facility: Westside Health Services

Sussex County

Population Group: Low Income-Sussex County

Facility: La Red Health Center, Inc.

Facility: Sussex Correctional Institution

Page 38 of 263 Pages

MENTAL HEALTH: District of Columbia

County and County Equivalent Listing

District of Columbia

Service Area: Anacostia

Facility: Bread for the City, Inc.

Facility: Community of Hope

Facility: Elaine Ellis Center of Health

Facility: Family and Medical Counseling Services, Inc.

Facility: La Clinica Del Pueblo

Facility: Mary's Center for Maternal and Child Care

Facility: Unity Health Care, Inc.

Facility: Whc Bureau of Prisons (Halfway House Outpatient Services)

Facility: Whitman Walker Clinic

Page 39 of 263 Pages

MENTAL HEALTH: Florida County and County Equivalent Listing

Alachua County

Facility: Children's Medical Center @ Alachua

Baker County

Population Group: Low Income-Baker County

Facility: Children's Medical Center-Glen St. Mary

Bay County

Population Group: Low Income-Mental Health Catchment Area 2A

Facility: Bay Correctional Facility

Facility: CF-Bay Correctional Institute

Facility: Pancare of Florida, Inc.

Bradford County

Population Group: Low Income-Mental Health Catchment Area 3A

Brevard County

Population Group: Low Income-Brevard County

Facility: The Brevard Health Alliance, Inc.

Broward County

Population Group: Low Income - East Broward

Facility: Broward Community and Family Health Center

Facility: North Broward Hospital District/Homeless

Facility: Seminole Tribe of Florida-Health Admin

Calhoun County

Population Group: Low Income-Mental Health Catchment Area 2A

Facility: Calhoun Correctional Institution

Citrus County

Population Group: Low Income - Citrus County

Facility: Citrus County Health Department

Collier County

Facility: Collier Health Service

Facility: Immokalee Health Center

Columbia County

Population Group: Low Income-Mental Health Catchment Area 3A

Facility: Children's Medical Center - Lake City

Facility: Columbia Correctional Institution

Facility: Columbia County Health Center

DeSoto County

Service Area: Desoto County

Facility: Desoto Correctional Institution

Dixie County

Service Area: Dixie County

Facility: Cross City Correctional Institution

Duval County

Population Group: Low Income-Northwest Duval County

MENTAL HEALTH: Florida County and County Equivalent Listing

Page 40 of 263 Pages

Duval County

Population Group: Low Income-Southeast Duval County

Facility: Duval County Health Department

Facility: I.M. Sulzbacher Center for the Homeless

Escambia County

Population Group: Low Income - Escambia County

Facility: Century Correctional Institution

Facility: Escambia Community Clinics Inc.

Flagler County

Population Group: Low Income-Flagler County

Franklin County

Service Area: Franklin County

Facility: Franklin Correctional Institution

Gadsden County

Service Area: Gadsden County

Gilchrist County

Population Group: Low Income-Gilchrist County

Facility: Lancaster Correctional Institution

Facility: Trenton Medical Center

Glades County

Service Area: Glades/Hendry Catchment Area

Facility: Brighton Health Center

Gulf County

Population Group: Low Income-Mental Health Catchment Area 2A

Facility: Gulf Correctional Institution

Facility: Gulf County Health Department/St. Joseph

Hamilton County

Population Group: Low Income-Mental Health Catchment Area 3A

Facility: Hamilton Correctional Institution

Hardee County

Service Area: Hardee County

Facility: Hardee Correctional Institution

Hendry County

Service Area: Glades/Hendry Catchment Area

Facility: Big Cypress Indian Health Service Center

Facility: Urgent and Convenient Care Center

Hernando County

Population Group: Low Income-Hernando County

Facility: Nature Coast Community Health Center

Highlands County

Population Group: Low Income/Migrant Farmworker - Highlands County

Facility: Avon Park Correctional Institution

MENTAL HEALTH: Florida County and County Equivalent Listing

Page 41 of 263 Pages

Highlands County

Facility: Central Florida Health

Facility: Family Practice Center of Avon Park

Hillsborough County

Population Group: Low Income-Eastern Hillsborough County

Population Group: Low Income-Northwest Hillsborough County

Facility: Suncoast Community Health Centers

Facility: Tampa Family Health Centers, Inc.

Holmes County

Population Group: Low Income-Mental Health Catchment Area 2A

Facility: Holmes Correctional Institution

Indian River County

Population Group: Low Iincome - Indian River County

Facility: Treasure Coast Community Health Center

Jackson County

Population Group: Low Income-Mental Health Catchment Area 2A

Facility: Apalachee Correctional Institution

Facility: Federal Correctional Institution - Marianna

Facility: Graceville Correctional Facility

Facility: Jackson Correctional Institution

Jefferson County

Population Group: Low Income-Jefferson County

Lafayette County

Population Group: Low Income-Mental Health Catchment Area 3A

Facility: Mayo Correctional Institution

Lake County

Population Group: Low Income/Migrant Farmworker - Lake County

Facility: Gchn-Umatilla Health Clinic

Lee County

Population Group: Low Income-Lee County

Facility: Family Health Centers of Southwest Florida

Leon County

Population Group: Low Income/Migrant Farmworker - Leon County

Facility: Bond Community

Facility: Neighborhood Medical Center

Facility: North Florida Medical Centers, Inc.

Levy County

Facility: Chiefland Medical Center, Inc.

Liberty County

Service Area: Liberty County

Facility: Liberty Correctional Institution

MENTAL HEALTH: Florida County and County Equivalent Listing

Page 42 of 263 Pages

Madison County

Service Area: Madison County

Facility: Four Freedoms Health Services

Facility: Madison Correctional Institution

Manatee County

Population Group: Low Income-Manatee County

Facility: Manatee County Rural Health Services, Inc.

Marion County

Population Group: Low Income-Marion County

Facility: Heart of Florida Health Center, Inc.

Facility: Lowell Correctional Institution - Annex

Facility: Lowell Reception Center

Facility: Marion Correctional Institution

Martin County

Service Area: Indiantown Service Area

Facility: Martin Correctional Institution

Miami-Dade County

Population Group: Low Income-Sweetwater

Facility: Banyan Community Health Center

Facility: Borinquen Healthcare

Facility: Camillus Health Concern, Inc.

Facility: Center for Family and Child Enrichment

Facility: Citrus Health Network, Inc.

Facility: Community AIDS Resource/Dba Care Resourse

Facility: Community Health South Florida, Inc.

Facility: Dade Correctional Institution

Facility: Empower U, Incorporated

Facility: Federal Correctional Institution - Miami

Facility: Federal Detention Center-Miami

Facility: Immigration and Customs Enforcement - Krome

Facility: Jessie Trice Community Health Center, Inc.

Facility: Miami Beach Community Health Center

Monroe County

Population Group: Low Income-Lower Keys

Population Group: Low Income-Upper Keys

Facility: Rural Health Network of Monroe County Florida, Inc.

Nassau County

Population Group: Low Income-Nassau County

Okaloosa County

Population Group: Low Income-Okaloosa County

Facility: Okaloosa Correctional Institution

MENTAL HEALTH: Florida County and County Equivalent Listing

Page 43 of 263 Pages

Okeechobee County

Service Area: Okeechobee County

Facility: Okeechobee Correctional Institution

Orange County

Population Group: Low Income-Aspire Region 7 Mental Health Catchment Area

Facility: Central Florida Reception Center

Facility: Community Health Centers, Inc.

Facility: Health Care Center for the Homeless, Inc.

Osceola County

Population Group: Low Income-Aspire Region 7 Mental Health Catchment Area

Facility: Primary Care Medical Services of Poinciana

Palm Beach County

Service Area: Belle Glade/Pahokee

Population Group: Low Income-Palm Beach

Facility: Florida Community Health Centers, Inc.

Facility: Foundcare Health Center

Facility: Genesis Community Health

Facility: Health Care District of Palm Beach County

Pasco County

Population Group: Low Income-East Pasco

Population Group: Low Income-West Pasco

Facility: Premier Community Health Care Group

Facility: Zephyrhills Correctional Institution

Pinellas County

Population Group: Low Income-Pinellas

Population Group: Low Income-Tarpon Springs

Facility: Community Health Centers of Pinellas

Facility: Pinellas County Board of County Commissioners/Huma

Polk County

Population Group: Low Income-East Polk County

Population Group: Low Income-West Polk County

Facility: Polk Correctional Institution

Putnam County

Service Area: Putnam County

Facility: Rural Healthcare, Inc.

Facility: Sunrise Primary Care

Santa Rosa County

Population Group: Low Income-Milton

Facility: Santa Rosa Correctional Institution

Sarasota County

Facility: Sarasota County Health Department

MENTAL HEALTH: Florida County and County Equivalent Listing

Page 44 of 263 Pages

Seminole County

Population Group: Low Income-Aspire Region 7 Mental Health Catchment Area

Facility: Central Florida Family Health Center

St. Johns County

Service Area: St. Johns County

Facility: Northeast Florida Health Services

St. Lucie County

Population Group: Low Income-St. Lucie County

Sumter County

Population Group: Low Income-Sumter

Facility: Federal Correctional Complex-Coleman

Facility: Northwest Florida Reception Center

Facility: Sumter Correctional Institution

Facility: Thomas Langley Medical Center

Facility: Wildwood Medical Center

Suwannee County

Population Group: Low Income-Mental Health Catchment Area 3A

Facility: Children's Medical Center @ Branford

Facility: Children's Medical Center @ Live Oak

Facility: Suwannee Correctional Institution-Annex

Facility: Suwannee Correctional Institution-Main

Taylor County

Service Area: Taylor County

Facility: Doctors Memorial Family Practice

Facility: Doctors Memorial Internal Medicine

Facility: Little Pine Pediatrics, PLLC

Union County

Population Group: Low Income-Mental Health Catchment Area 3A

Facility: Reception and Medical Center (Rmc)

Facility: Union Chd/New River Community Health Care Center

Facility: Union County Health Department/New River Community Health Center

Volusia County

Population Group: Low Income-Volusia County

Wakulla County

Service Area: Wakulla County

Facility: Wakulla Correctional Institution

Walton County

Service Area: Walton County

Facility: Walton Correctional Institution

Washington County

Population Group: Low Income-Mental Health Catchment Area 2A

Page 45 of 263 Pages

MENTAL HEALTH: Georgia County and County Equivalent Listing

Appling County

Service Area: Pineland Catchment Area

Facility: Appling Medical Group

Facility: Appling Obstetrics and Gynecology

Facility: Appling Pediatrics

Facility: South GA Medical Associates

Atkinson County

Service Area: Satilla Catchment Area 32

Bacon County

Service Area: Satilla Catchment Area 32

Baker County

Service Area: Mental Health Catchment Area 20-Albany Area Community Service Board

Baldwin County

Service Area: Mental Health Catchment Area 13 - Oconee Community Service Board

Facility: Baldwin State Prison

Facility: Central State Hospital - Baldwin

Banks County

Population Group: Mental Health Catchment Area 3 - Low Income-Georgia Mountains

Service Area

Barrow County

Service Area: Mental Health Catchment Area 10-Advantage Behavioral Health Systems

Bartow County

Service Area: Mental Health Catchment Area 02-Highland Rivers

Ben Hill County

Service Area: Mental Health Catchment Area 22-Behavioral Health Services - South

Georgia

Berrien County

Service Area: Mental Health Catchment Area 22-Behavioral Health Services - South

Georgia

Bibb County

Population Group: Low Income-Mental Health Catchment Area River Edge

Facility: First Choice Primary Care, Inc.

Bleckley County

Service Area: Community Service Board of Middle Georgia

Brantley County

Service Area: Satilla Catchment Area 32

Brooks County

Service Area: Mental Health Catchment Area 22-Behavioral Health Services - South

Georgia

Bryan County

Population Group: Low Income-Mental Health Catchment Area 26-Gateway Behavioral

Health Services

Page 46 of 263 Pages

MENTAL HEALTH: Georgia County and County Equivalent Listing

Bulloch County

Service Area: Pineland Catchment Area

Burke County

Service Area: Ogeechee Catchment Area

Facility: Burke County Hospital

Facility: Keysville Family Health Center

Butts County

Service Area: Mental Health Catchment Area 16 - McIntosh Trail Community Service

Board

Facility: Georgia Diagnostic Prison

Calhoun County

Service Area: Mental Health Catchment Area 20-Albany Area Community Service Board

Camden County

Population Group: Low Income-Mental Health Catchment Area 26-Gateway Behavioral

Health Services

Candler County

Service Area: Pineland Catchment Area

Carroll County

Service Area: Mental Health Catchment Area 15-Pathways Center for Behavioral and

Developmental Growth

Facility: West Carroll Family Health Care Center

Catoosa County

Service Area: Lookout Mountain Catchment Area 1

Facility: North Georgia Healthcare Center, Inc.

Charlton County

Service Area: Satilla Catchment Area 32

Chatham County

Facility: Coastal State Prison

Facility: Curtis V Cooper Primary Health Care Inc.

Facility: J C Lewis Primary Health Care Center, Inc.

Chattahoochee County

Population Group: Low Income - Mental Health Catchment Area New Horizons

Chattooga County

Service Area: Lookout Mountain Catchment Area 1

Facility: Hays State Prison

Clarke County

Service Area: Mental Health Catchment Area 10-Advantage Behavioral Health Systems

Facility: Athens Neighborhood Health Center, Inc. (Anhc)

Clay County

Population Group: Low Income - Mental Health Catchment Area New Horizons

Clinch County

Service Area: Satilla Catchment Area 32

Page 47 of 263 Pages

MENTAL HEALTH: Georgia County and County Equivalent Listing

Cobb County

Facility: Good Samaritan Health Center of Cobb, Inc.

Coffee County

Service Area: Satilla Catchment Area 32

Facility: Coffee Regional First Care

Colquitt County

Service Area: Mental Health Catchment Area 21-Georgia Pines Mhmrsa

Facility: Colquitt Regional Medical Center Primary Care

Columbia County

Population Group: Low Income - Community Service Board of East Centr

Cook County

Service Area: Mental Health Catchment Area 22-Behavioral Health Services – South Georgia

Coweta County

Service Area: Mental Health Catchment Area 15-Pathways Center for Behavioral and

Developmental Growth

Crawford County

Population Group: Low Income - Phoenix Catchment Area

Crisp County

Service Area: Middle Flint Catchment Area 26

Facility: Georgia Department of Community Health Services

Dade County

Service Area: Lookout Mountain Catchment Area 1

Facility: Primary Health Care Centers of Dade

Dawson County

Population Group: Mental Health Catchment Area 3 - Low Income-Georgia Mountains

Service Area

Decatur County

Service Area: Mental Health Catchment Area 21-Georgia Pines Mhmrsa

DeKalb County

Population Group: Mental Health Catchment Area 8-Dekalb Community Service Board

Facility: Meridian Educational Resource Group

Facility: Oakhurst Medical Center

Dodge County

Service Area: Community Service Board of Middle Georgia

Dooly County

Service Area: Middle Flint Catchment Area 26

Dougherty County

Service Area: Mental Health Catchment Area 20-Albany Area Community Service Board

Facility: Albany Area Primary Health Care

Douglas County

Population Group: Low Income - Douglas

Page 48 of 263 Pages

MENTAL HEALTH: Georgia County and County Equivalent Listing

Early County

Service Area: Mental Health Catchment Area 20-Albany Area Community Service Board

Facility: Primary Care of Southwest Georgia, Inc.

Echols County

Service Area: Mental Health Catchment Area 22-Behavioral Health Services – South Georgia

Effingham County

Service Area: Effingham County

Elbert County

Service Area: Mental Health Catchment Area 10-Advantage Behavioral Health Systems

Facility: Medical Center of Elberton, LLC

Emanuel County

Service Area: Ogeechee Catchment Area

Facility: East Georgia Healthcare Center, Inc.

Facility: Emanuel Prompt Care

Evans County

Service Area: Pineland Catchment Area

Fannin County

Service Area: Mental Health Catchment Area 2-Georgia Highlands

Facility: Georgia Mountains Health Services

Fayette County

Service Area: Mental Health Catchment Area 16 - McIntosh Trail Community Service

Board

Floyd County

Service Area: Mental Health Catchment Area 02-Highland Rivers

Forsyth County

Population Group: Mental Health Catchment Area 3 - Low Income-Georgia Mountains

Service Area

Facility: Georgia Highlands Community Health Center

Franklin County

Population Group: Mental Health Catchment Area 3 - Low Income-Georgia Mountains

Service Area

Fulton County

Service Area: West Fulton Trail

Facility: Good Samaritan Health Center, Inc.

Facility: Health Education, Assessment and Leadership Inc.

Facility: Neighborhood Union Health Center

Facility: Palmetto Health Council, Inc.

Facility: Southside Medical Center

Facility: St. Joseph's Mercy Care Services

Facility: USP-Atlanta

Facility: West End Medical Centers, Inc.

Page 49 of 263 Pages

MENTAL HEALTH: Georgia County and County Equivalent Listing

Gilmer County

Service Area: Mental Health Catchment Area 2-Georgia Highlands

Glascock County

Service Area: Ogeechee Catchment Area

Glynn County

Population Group: Low Income-Mental Health Catchment Area 26-Gateway Behavioral

Health Services

Facility: Coastal Georgia Community Health Services

Gordon County

Service Area: Mental Health Catchment Area 02-Highland Rivers

Grady County

Service Area: Mental Health Catchment Area 21-Georgia Pines Mhmrsa

Greene County

Service Area: Mental Health Catchment Area 10-Advantage Behavioral Health Systems

Facility: Tender Care Clinic

Gwinnett County

Facility: Center for Pan Asian Community Services, Inc.

Facility: Cetpa

Facility: Four Corners Primary Care Center

Facility: Phillips State Prison

Habersham County

Population Group: Mental Health Catchment Area 3 - Low Income-Georgia Mountains

Service Area

Facility: Lee Arrendale State Prison

Hall County

Population Group: Mental Health Catchment Area 3 - Low Income-Georgia Mountains

Service Area

Hancock County

Service Area: Mental Health Catchment Area 13 - Oconee Community Service Board

Haralson County

Service Area: Haralson County Facility:

Tallapoose Family Healthcare

Facility: Tmc Buchanan Family Healthcare Center

Facility: Tmc Haralson Family Healthcare Center

Harris County

Population Group: Low Income - Mental Health Catchment Area New Horizons

Hart County

Population Group: Mental Health Catchment Area 3 - Low Income-Georgia Mountains

Service Area

Heard County

Service Area: Mental Health Catchment Area 15-Pathways Center for Behavioral and

Developmental Growth

Facility: Tanner Family Healthcare of Franklin

MENTAL HEALTH: Georgia County and County Equivalent Listing

Page 50 of 263 Pages

Henry County

Service Area: Mental Health Catchment Area 16 - McIntosh Trail Community Service

Board

Houston County

Population Group: Low Income - Phoenix Catchment Area

Irwin County

Service Area: Mental Health Catchment Area 22-Behavioral Health Services - South

Georgia

Facility: South Central Health Center

Jackson County

Service Area: Mental Health Catchment Area 10-Advantage Behavioral Health Systems

Jasper County

Service Area: Mental Health Catchment Area 13 - Oconee Community Service Board

Jeff Davis County

Service Area: Pineland Catchment Area

Jefferson County

Service Area: Ogeechee Catchment Area

Jenkins County

Service Area: Ogeechee Catchment Area

Facility: Jenkins County Family Medicine

Johnson County

Service Area: Community Service Board of Middle Georgia

Facility: Community Health Care Systems, Inc.

Facility: Johnson State Prison

Jones County

Population Group: Low Income-Mental Health Catchment Area River Edge

Lamar County

Service Area: Mental Health Catchment Area 16 - McIntosh Trail Community Service

Board

Lanier County

Service Area: Mental Health Catchment Area 22-Behavioral Health Services - South

Georgia

Laurens County

Service Area: Community Service Board of Middle Georgia

Lee County

Service Area: Mental Health Catchment Area 20-Albany Area Community Service Board

Liberty County

Population Group: Low Income-Mental Health Catchment Area 26-Gateway Behavioral

Health Services

Facility: Diversity Health Center, Inc.

Lincoln County

Population Group: Low Income - Community Service Board of East Centr

MENTAL HEALTH: Georgia County and County Equivalent Listing

Page 51 of 263 Pages

Long County

Population Group: Low Income-Mental Health Catchment Area 26-Gateway Behavioral

Health Services

Lowndes County

Service Area: Mental Health Catchment Area 22-Behavioral Health Services - South

Georgia

Facility: Valdosta State Prison

Lumpkin County

Population Group: Mental Health Catchment Area 3 - Low Income-Georgia Mountains

Service Area

Macon County

Service Area: Middle Flint Catchment Area 26

Madison County

Service Area: Mental Health Catchment Area 10-Advantage Behavioral Health Systems

Facility: Medlink Georgia, Inc.

Marion County

Service Area: Middle Flint Catchment Area 26

McDuffie County

Population Group: Low Income - Community Service Board of East Centr

McIntosh County

Population Group: Low Income-Mental Health Catchment Area 26-Gateway Behavioral

Health Services

Meriwether County

Service Area: Mental Health Catchment Area 15-Pathways Center for Behavioral and

Developmental Growth

Miller County

Service Area: Mental Health Catchment Area 20-Albany Area Community Service Board

Mitchell County

Service Area: Mental Health Catchment Area 21-Georgia Pines Mhmrsa

Facility: Autry State Prison

Facility: Phoebe Family Medical Center - Camilla

Facility: Phoebe Family Medical Center - Pelham

Monroe County

Population Group: Low Income-Mental Health Catchment Area River Edge

Montgomery County

Service Area: Community Service Board of Middle Georgia

Morgan County

Service Area: Mental Health Catchment Area 10-Advantage Behavioral Health Systems

Murray County

Service Area: Mental Health Catchment Area 2-Georgia Highlands

Muscogee County

Population Group: Low Income - Mental Health Catchment Area New Horizons

Facility: Valley Healthcare System

MENTAL HEALTH: Georgia County and County Equivalent Listing

Page 52 of 263 Pages

Oconee County

Service Area: Mental Health Catchment Area 10-Advantage Behavioral Health Systems

Oglethorpe County

Service Area: Mental Health Catchment Area 10-Advantage Behavioral Health Systems

Paulding County

Service Area: Mental Health Catchment Area 02-Highland Rivers

Peach County

Population Group: Low Income - Phoenix Catchment Area

Pickens County

Service Area: Mental Health Catchment Area 2-Georgia Highlands

Facility: Good Samaritan Health and Wellness Center

Pierce County

Service Area: Satilla Catchment Area 32

Pike County

Service Area: Mental Health Catchment Area 16 - McIntosh Trail Community Service

Board

Polk County

Service Area: Mental Health Catchment Area 02-Highland Rivers

Pulaski County

Service Area: Community Service Board of Middle Georgia

Putnam County

Service Area: Mental Health Catchment Area 13 - Oconee Community Service Board

Quitman County

Population Group: Low Income - Mental Health Catchment Area New Horizons

Rabun County

Population Group: Mental Health Catchment Area 3 - Low Income-Georgia Mountains

Service Area

Randolph County

Population Group: Low Income - Mental Health Catchment Area New Horizons

Richmond County

Population Group: Low Income - Community Service Board of East Centr

Facility: Christ Community Health Services Augusta, Inc.

Facility: Neighborhood Improvement Project, Inc.

Schley County

Service Area: Middle Flint Catchment Area 26

Screven County

Service Area: Ogeechee Catchment Area

Seminole County

Service Area: Mental Health Catchment Area 21-Georgia Pines Mhmrsa

Spalding County

Service Area: Mental Health Catchment Area 16 - McIntosh Trail Community Service

Board

MENTAL HEALTH: Georgia County and County Equivalent Listing

Page 53 of 263 Pages

Stephens County

Population Group: Service Area Mental Health Catchment Area 3 - Low Income-Georgia

Mountains

Stewart County

Population Group: Low Income - Mental Health Catchment Area New Horizons

Facility: Immigration and Customs Enforcement - Stewart

Facility: Southwest Georgia Health Care

Sumter County

Service Area: Middle Flint Catchment Area 26

Talbot County

Population Group: Low Income - Mental Health Catchment Area New Horizons

Taliaferro County

Population Group: Low Income - Community Service Board of East Centr

Tattnall County

Service Area: Pineland Catchment Area

Facility: CF - Georgia State Prison

Facility: Rogers State Prison

Taylor County

Service Area: Middle Flint Catchment Area 26

Telfair County

Service Area: Community Service Board of Middle Georgia

Terrell County

Service Area: Mental Health Catchment Area 20-Albany Area Community Service Board

Thomas County

Service Area: Mental Health Catchment Area 21-Georgia Pines Mhmrsa

Tift County

Service Area: Mental Health Catchment Area 22-Behavioral Health Services - South

Georgia

Toombs County

Service Area: Pineland Catchment Area

Towns County

Population Group: Mental Health Catchment Area 3 - Low Income-Georgia Mountains

Service Area

Treutlen County

Service Area: Community Service Board of Middle Georgia

Troup County

Service Area: Mental Health Catchment Area 15-Pathways Center for Behavioral and

Developmental Growth

Turner County

Service Area: Mental Health Catchment Area 22-Behavioral Health Services - South

Georgia

Twiggs County

Population Group: Low Income-Mental Health Catchment Area River Edge

MENTAL HEALTH: Georgia County and County Equivalent Listing

Page 54 of 263 Pages

Union County

Population Group: Mental Health Catchment Area 3 - Low Income-Georgia Mountains

Service Area

Upson County

Service Area: Mental Health Catchment Area 16 - McIntosh Trail Community Service

Board

Walker County

Service Area: Lookout Mountain Catchment Area 1

Walton County

Service Area: Mental Health Catchment Area 10-Advantage Behavioral Health Systems

Ware County

Service Area: Satilla Catchment Area 32

Facility: McKinney Community Health Center

Warren County

Population Group: Low Income - Community Service Board of East Centr

Facility: Tricounty Health Systems

Washington County

Service Area: Mental Health Catchment Area 13 - Oconee Community Service Board

Facility: Washington State Prison

Wayne County

Service Area: Pineland Catchment Area

Facility: Federal Correctional Institution - Jesup

Webster County

Service Area: Middle Flint Catchment Area 26

Wheeler County

Service Area: Community Service Board of Middle Georgia

Facility: Accord Family Medicine

White County

Population Group: Mental Health Catchment Area 3 - Low Income-Georgia Mountains

Service Area

Whitfield County

Service Area: Mental Health Catchment Area 2-Georgia Highlands

Wilcox County

Service Area: Community Service Board of Middle Georgia

Wilkes County

Population Group: Low Income - Community Service Board of East Centr

Wilkinson County

Service Area: Mental Health Catchment Area 13 - Oconee Community Service Board

Worth County

Service Area: Mental Health Catchment Area 20-Albany Area Community Service Board

Page 55 of 263 Pages

MENTAL HEALTH: Hawaii County and County Equivalent Listing

Hawaii County

Service Area: Kau Catchment Area

Population Group: Low Income - Puna

Facility: Bay Clinic

Facility: Hamakua Health Center

Facility: West Hawaii Community Health Center

Honolulu County

Facility: Castle Health Clinic of Laie

Facility: Federal Detention Center-Honolulu

Facility: Halawa Correctional Facility

Facility: Kalihi-Palama Health Center

Facility: Kokua Kalihi Valley Comprehensive Family

Facility: Ko'Olauloa Community Health and Wellness

Facility: Papa Ola Lokahi

Facility: The Wahiawa Center for Community Health

Facility: Waianae Coast Community Health Center

Facility: Waikiki Health Center

Facility: Waimanalo Health Center

Kalawao County

Service Area: Island of Molokai

Kauai County

Service Area: Waimea Service Area

Facility: Ho'Ola Lahui Hawai'I

Maui County

Service Area: Hana East Maui

Service Area: Island of Molokai

Facility: Community Clinic of Maui

Facility: Hana Community Health Center

Facility: Lana'I Community Health Center

Facility: Molokai General Hospital

Facility: Molokai Ohana Health Care, Inc.

Page 56 of 263 Pages

MENTAL HEALTH: Idaho County and County Equivalent Listing

Ada County

Population Group: Low Income-Mental Health Region IV

Facility: Family Practice Residency of ID

Facility: Idaho Correctional Center

Facility: Idaho Maximum Security Institution

Facility: Idaho State Correctional Institution

Adams County

Service Area: Catchment Area 3

Facility: Adams County Health Center

Bannock County

Service Area: Mental Health Region VI Multi-County

Facility: Health West, Inc.

Facility: Pocatello Women

Bear Lake County

Service Area: Mental Health Region VI Multi-County

Facility: Bear Lake Family Care and Ob-Gyn

Facility: Bear Lake Internal Medicine

Facility: Clay I Campbell, MD

Benewah County

Service Area: Mental Health Region I

Facility: Benewah Medical/Wellness Center

Facility: St Maries Family Medicine

Bingham County

Service Area: Mental Health Region VI Multi-County

Facility: First Choice Urgent Care and Medical Clinic

Facility: Idaho Physicians Clinic

Facility: Not-Tsoo Gah-Nee Indian Health Center

Facility: Physicians and Surgeons Clinic of Shelly

Facility: Shoshone-Bannock Tribes of the Fort Hall Reservation of Idaho

Facility: State Hospital South

Blaine County

Service Area: Mental Health Region V

Boise County

Population Group: Low Income-Mental Health Region IV

Bonner County

Service Area: Mental Health Region I

Bonneville County

Service Area: Mental Health Region VII

Boundary County

Service Area: Mental Health Region I

Facility: Bonners Ferry Family Medicine

Facility: Boundary Community Health Clinic

MENTAL HEALTH: Idaho County and County Equivalent Listing

Page 57 of 263 Pages

Boundary County

Facility: Boundary Regional Community Health Center

Butte County

Service Area: Mental Health Region VII

Facility: Lost Rivers Medical Center Outpatient Clinic - Arc

Camas County

Service Area: Mental Health Region V

Canyon County

Service Area: Catchment Area 3

Facility: Community Council of Idaho, Inc.

Facility: St. Alphonsus Medical Group - Elm

Facility: St. Alphonsus Medical Group - Iowa

Facility: St. Alphonsus Medical Group-Garrity

Facility: Terry Reilly Community Health Center

Caribou County

Service Area: Mental Health Region VI Multi-County

Cassia County

Service Area: Mental Health Region V

Clark County

Service Area: Mental Health Region VII

Clearwater County

Service Area: Mental Health Region II

Facility: Idaho Correctional Institution of Orofino

Facility: Pioneer Medical Clinic

Custer County

Service Area: Mental Health Region VII

Facility: Challis Area Health Center

Facility: Lost Rivers Medical Center Outpatient Clinic - Mac

Facility: Salmon River Clinic

Elmore County

Population Group: Low Income-Mental Health Region IV

Facility: Desert Sage Health Centers

Facility: St. Luke's Clinic-Trinity Mountain

Facility: Trinity Mountain Medical Clinic

Franklin County

Service Area: Mental Health Region VI Multi-County

Fremont County

Service Area: Mental Health Region VII

Facility: Upper Valley Free Clinic

Gem County

Service Area: Catchment Area 3

Facility: Emmett Medical Center

MENTAL HEALTH: Idaho County and County Equivalent Listing

Page 58 of 263 Pages

Gooding County

Service Area: Mental Health Region V

Idaho County

Service Area: Mental Health Region II

Facility: Syringa Kooskia Clinic

Facility: Syringa Primary Care Clinic

Jefferson County

Service Area: Mental Health Region VII

Facility: Upper Valley Family Medicine

Jerome County

Service Area: Mental Health Region V

Facility: St. Luke's Clinic-Jerome Family Medicine

Kootenai County

Service Area: Mental Health Region I

Facility: Dirne Community Health Clinic

Latah County

Service Area: Mental Health Region II

Facility: Kendrick Family Care

Facility: Moscow Medical

Facility: Potlatch Family Care

Lemhi County

Service Area: Mental Health Region VII

Facility: Steele Memorial Clinic

Lewis County

Service Area: Mental Health Region II

Lincoln County

Service Area: Mental Health Region V

Madison County

Service Area: Mental Health Region VII

Minidoka County

Service Area: Mental Health Region V

Facility: Minidoka Medical Center

Nez Perce County

Service Area: Mental Health Region II

Facility: Nimiipuu Health Center Nez Perce

Oneida County

Service Area: Mental Health Region VI Multi-County

Facility: Oneida County Clinic

Owyhee County

Service Area: Catchment Area 3

Payette County

Service Area: Catchment Area 3

MENTAL HEALTH: Idaho County and County Equivalent Listing

Page 59 of 263 Pages

Payette County

Facility: Valley Family Health Care

Power County

Service Area: Mental Health Region VI Multi-County

Facility: Power County Family Clinic

Shoshone County

Service Area: Mental Health Region I

Teton County

Service Area: Mental Health Region VII

Facility: Driggs Health Center

Facility: Victor Health Clinic

Twin Falls County

Service Area: Mental Health Region V

Facility: Family Health Services

Valley County

Population Group: Low Income-Mental Health Region IV

Washington County

Service Area: Catchment Area 3

Facility: Two Rivers Medical Clinic, PA

MENTAL HEALTH: Illinois

County and County Equivalent Listing

Page 60 of 263 Pages

Adams County

Service Area: Catchment Area 3-01-01

Alexander County

Service Area: Catchment Area 25

Facility: Tamms Correctional Facility

Bond County

Service Area: Catchment Area 04-01-01

Facility: Federal Correctional Institution - Greenville

Brown County

Service Area: Catchment Area 3-01-01

Facility: Quincy Medical Group-Mt. Sterling Rural Health

Facility: Western Illinois Correctional Center

Bureau County

Service Area: Mental Health Catchment Area 1-07-07

Calhoun County

Service Area: Catchment Area 3-02-02

Carroll County

Service Area: Whiteside/Lee-Catchment Area 1-03-03

Cass County

Service Area: Catchment Area 3-01-01

Facility: Cass County Health Department

Christian County

Service Area: Catchment Area 03-03-04

Clark County

Service Area: Catchment Area 03-07-07

Clay County

Service Area: Catchment Area 4-03-33

Clinton County

Service Area: Catchment Area 4-03-33

Facility: Centralia Correctional Center

Coles County

Service Area: Catchment Area 3

Cook County

Service Area: Auburn Gresham/Washington Heights

Service Area: Calumet_Park/Robbins/Hazel_Crest

Service Area: Chicago Central

Service Area: Cicero/Berwyn

Service Area: Roseland/Pullman/Riverdale

Service Area: South Chicago

Service Area: South Shore/Chatham/Avalon Park/Burnside

Service Area: West Englewood/Englewood

Population Group: Low Income - Chicago Near South

MENTAL HEALTH: Illinois

County and County Equivalent Listing

Page 61 of 263 Pages

Cook County

Population Group: Low Income - Chicago Northeast (1-8,13-22)

Population Group: Low Income - Franklin Park

Facility: Access Community Health Network

Facility: Alivio Medical Center

Facility: American Indian Health Service of Chicago, Inc.

Facility: Asian Human Services Family Health Center

Facility: Aunt Martha's Youth Service, Inc.

Facility: Beloved Community Family Wellness Center

Facility: Centro De Salud Esperanza

Facility: Chicago Family Health

Facility: Christian Community Health Center

Facility: Circle Family Care

Facility: City of Chicago Department of Health - Lower Wests

Facility: City of Chicago Department of Public Health

Facility: Community Health Partnership of Illinois

Facility: Community Nurse Health Association

Facility: Erie Family Health Center

Facility: Family Christian Health Center

Facility: Friend Family Health Center

Facility: Hamdard Center for Health and Human Services Nfp

Facility: Heartland Health Outreach

Facility: Heartland International Health Center

Facility: Howard Brown Health Center

Facility: Lawndale Christian Health

Facility: Legacy Medical Care, Inc.

Facility: Mercy Diagnostic and Treatment Center

Facility: Metropolitan Correctional Center-Chicago

Facility: Mile Square Community Health Center

Facility: Near North Health

Facility: PCC Community Wellness Center

Facility: Primecare Community Health

Facility: TCA Health, Inc. (Altgeld Clinic)

Facility: Turning Point Behavioral Healthcare Center

Crawford County

Service Area: Catchment Area 4-03-33

Cumberland County

Service Area: Catchment Area 3

Facility: Sbl - Neoga Clinic

De Witt County

Service Area: Catchment Area 3-05-05

MENTAL HEALTH: Illinois

County and County Equivalent Listing

Page 62 of 263 Pages

DeKalb County

Service Area: De Kalb County

Facility: Tri-County Community Health Center - Malta

Douglas County

Service Area: Catchment Area 3

DuPage County

Population Group: Low Income - Franklin Park

Edgar County

Service Area: Catchment Area 03-07-07

Edwards County

Service Area: Catchment Area 4-03-33

Effingham County

Service Area: Catchment Area 4-03-33

Fayette County

Service Area: Catchment Area 4-03-33

Ford County

Service Area: Ford County

Franklin County

Service Area: Catchment Area 4-04-04

Facility: Christopher Greater Area Rural Health Planning Corporation

Fulton County

Service Area: Catchment Area 1-08-08

Facility: CF - Illinois River State

Gallatin County

Service Area: Catchment Area 4-04-04

Greene County

Service Area: Catchment Area 3-02-02

Facility: Thomas H. Boyd Rural Health Clinic

Hamilton County

Service Area: Catchment Area 4-04-04

Hancock County

Service Area: Catchment Area 3-01-01

Hardin County

Service Area: Catchment Area 25

Henderson County

Service Area: Galesburg Catchment Area-1-06-06

Facility: Henderson County Rural Health

Henry County

Service Area: Galesburg Catchment Area-1-06-06

Iroquois County

Service Area: Catchment Area 03-07-07

MENTAL HEALTH: Illinois

County and County Equivalent Listing

Page 63 of 263 Pages

Jackson County

Service Area: Catchment Area 25

Facility: Community Health and Emergency Services

Jasper County

Service Area: Catchment Area 4-03-33

Jefferson County

Service Area: Catchment Area 4-04-04

Facility: CF - Big Muddy River

Jersey County

Service Area: Catchment Area 3-02-02

Jo Daviess County

Service Area: Jo Daviess/Stephenson Catchment Area 01-01-01

Johnson County

Service Area: Catchment Area 25

Facility: Shawnee Correctional Center

Kane County

Facility: Greater Elgin Family Care Center

Facility: Visiting Nurse Association of Fox Valley

Kankakee County

Population Group: Me – Kankakee County

Knox County

Service Area: Galesburg Catchment Area-1-06-06

Facility: CF - Hill Correctional Center

Facility: Knox County Health Department

La Salle County

Service Area: La Salle County

Facility: Sheridan Correctional Center

Lake County

Facility: Lake County Community Health Department and Commun

Lawrence County

Service Area: Catchment Area 4-03-33

Facility: Lawrence Correction Center

Facility: Lawrence County Health Department

Lee County

Service Area: Whiteside/Lee-Catchment Area 1-03-03

Livingston County

Service Area: McLean/Livingston Counties

Facility: CF - Pontiac Correctional Center

Logan County

Service Area: Mental Health Catchment Area 3-03-03

Facility: Logan Correctional Center

MENTAL HEALTH: Illinois

County and County Equivalent Listing

Page 64 of 263 Pages

Macon County

Service Area: Catchment Area 3-05-05

Facility: Community Health Improvement Center

Facility: Decatur Correctional Center

Macoupin County

Service Area: Catchment Area 03-03-04

Facility: Macoupin County Public Health Department

Madison County

Service Area: Catchment Area 04-01-01

Marion County

Service Area: Catchment Area 4-03-33

Marshall County

Service Area: Mental Health Catchment Area 1-07-07

Mason County

Service Area: Mental Health Catchment Area 3-03-03

Massac County

Service Area: Catchment Area 25

McDonough County

Service Area: Catchment Area 1-08-08

McLean County

Service Area: McLean/Livingston Counties

Facility: Chestnut Family Health Center

Menard County

Service Area: Mental Health Catchment Area 3-03-03

Monroe County

Service Area: Monroe County

Montgomery County

Service Area: Catchment Area 03-03-04

Facility: Graham Correctional Center

Morgan County

Service Area: Catchment Area 3-02-02

Moultrie County

Service Area: Catchment Area 3-05-05

Ogle County

Service Area: Whiteside/Lee-Catchment Area 1-03-03

Peoria County

Facility: Heartland Community Health Clinic

Perry County

Service Area: Catchment Area 25

Facility: Pinckneyville Correction Center

Piatt County

Service Area: Catchment Area 3-05-05

MENTAL HEALTH: Illinois

County and County Equivalent Listing

Page 65 of 263 Pages

Pike County

Service Area: Catchment Area 3-01-01

Facility: Quincy Medical Group - Pleasant Hill

Facility: Quincy Medical Group-Barry Rural Health

Facility: Quincy Medical Group-Pike County Family Practice

Facility: Quincy Medical Group-Pittsfield Rural Health

Pope County

Service Area: Catchment Area 25

Pulaski County

Service Area: Catchment Area 25

Putnam County

Service Area: Mental Health Catchment Area 1-07-07

Randolph County

Service Area: Catchment Area 25

Facility: Menard Correctional Center

Richland County

Service Area: Catchment Area 4-03-33

Saline County

Service Area: Catchment Area 4-04-04

Sangamon County

Facility: Andrew McFarland Mental Health Center

Facility: Board of Trustees of Southern IL University

Facility: Central Counties Health Centers

Schuyler County

Service Area: Catchment Area 3-01-01

Facility: Idhstreatment and Detention Facility

Scott County

Service Area: Catchment Area 3-02-02

Facility: Quincy Medical Group-Winchester FP

Shelby County

Service Area: Catchment Area 3

Facility: Family Healthcare Center

St. Clair County

Service Area: East St. Louis

Facility: Southern IL Regional Wellness Center

Facility: Southern Illinois Healthcare Foundation

Stark County

Service Area: Mental Health Catchment Area 1-07-07

Stephenson County

Service Area: Jo Daviess/Stephenson Catchment Area 01-01-01

Tazewell County

Facility: Federal Correctional Institution - Pekin

MENTAL HEALTH: Illinois

County and County Equivalent Listing

Page 66 of 263 Pages

Union County

Service Area: Catchment Area 25

Facility: Rural Health, Inc.

Vermilion County

Service Area: Catchment Area 03-07-07

Facility: Danville Correctional Center

Facility: Sabeeha Haque Ali MD LLC

Wabash County

Service Area: Catchment Area 4-03-33

Warren County

Service Area: Galesburg Catchment Area-1-06-06

Washington County

Service Area: Washington County

Wayne County

Service Area: Catchment Area 4-03-33

White County

Service Area: Catchment Area 4-04-04

Whiteside County

Service Area: Whiteside/Lee-Catchment Area 1-03-03

Facility: Morrison Community Hospital Family Care

Facility: Whiteside County Health Department - Rock Falls

Will County

Service Area: East Joliet

Facility: Will County Health Department/Will County Community Health Center

Williamson County

Service Area: Catchment Area 4-04-04

Facility: Shawnee Health Services Corporation

Facility: USP-Marion

Winnebago County

Facility: Crusaders Clinic

Page 67 of 263 Pages

MENTAL HEALTH: Indiana

County and County Equivalent Listing

Adams County

Service Area: Mental Health Catchment Area 20

Allen County

Service Area: Mental Health Catchment Area 20

Facility: Neighborhood Health Clinics, Inc.

Bartholomew County

Service Area: Mental Health Catchment Area 22

Benton County

Service Area: Region 30 Mental Health

Blackford County

Service Area: East Central Indiana

Brown County

Service Area: Mental Health Catchment Area 22

Carroll County

Service Area: Region 30 Mental Health

Cass County

Service Area: Four Counties - Catchment Area 10

Clark County

Facility: Family Health Center of Clark County, Indiana

Facility: Lifespring Health Systems

Clinton County

Service Area: Mental Health Catchment Area 14

Crawford County

Service Area: Southern Indiana Catchment Area

Daviess County

Service Area: Mental Health Catchment Area 15

De Kalb County

Service Area: Northeastern Catchment Area 18

Dearborn County

Service Area: Mental Health Catchment Area 4

Decatur County

Service Area: Mental Health Catchment Area 22

Delaware County

Service Area: East Central Indiana

Facility: Meridian Services Corporation

Facility: Open Door Health Services, Inc.

Dubois County

Service Area: Southern Indiana Catchment Area

Page 68 of 263 Pages

MENTAL HEALTH: Indiana

County and County Equivalent Listing

Elkhart County

Service Area: Mental Health Catchment Area 19

Facility: Heart City Health Center

Facility: Maple City Health Care Center, Inc.

Fayette County

Service Area: East Central Mental Health Catchment Area 8

Fountain County

Service Area: Region 30 Mental Health

Franklin County

Service Area: Mental Health Catchment Area 4

Fulton County

Service Area: Four Counties - Catchment Area 10

Gibson County

Facility: Oakland City Family Practice, LLC

Grant County

Service Area: East Central Indiana

Greene County

Service Area: Greene County

Facility: Greene County Health

Facility: Ridge Medical Center

Hendricks County

Service Area: Mental Health Catchment Area 7

Facility: CF-Plainfield Correctional Facility

Facility: Reception Diagnostic Center

Henry County

Service Area: East Central Indiana

Facility: CF-New Castle Correctional Facilty

Facility: Knightstown Family Health Care

Facility: New Castle Pediatrics

Howard County

Service Area: Mental Health Catchment Area 14

Huntington County

Service Area: Warsaw Mental Health Catchment Area 28

Jackson County

Service Area: Mental Health Catchment Area 22

Jasper County

Service Area: Region 30 Mental Health

Facility: Wheatfield Health Centre

Jay County

Service Area: East Central Indiana

Page 69 of 263 Pages

MENTAL HEALTH: Indiana

County and County Equivalent Listing

Jefferson County

Service Area: Mental Health Catchment Area 22

Facility: Madison Correctional Facility

Jennings County

Service Area: Mental Health Catchment Area 22

Johnson County

Facility: Trafalgar Family Health Center

Knox County

Service Area: Mental Health Catchment Area 15

Kosciusko County

Service Area: Warsaw Mental Health Catchment Area 28

La Porte County

Service Area: Mental Health Catchment Area 16-La Porte County

Facility: Indiana State Prison

Facility: Westville Correctional Facility

Lagrange County

Service Area: Northeastern Catchment Area 18

Lake County

Service Area: Mental Health Catchment Area 29

Facility: Community Healthnet, Inc./Dba Gary Community Healt

Facility: Southlake Community Mental Health Center

Lawrence County

Service Area: Mental Health Catchment Area 23

Madison County

Service Area: East Central Indiana

Facility: Aspire Indiana Health

Facility: Correctional Industrial Facility

Facility: Madison County Community Health Center

Facility: Pendleton Correctional Facility

Marion County

Facility: Adult and Child Mental Health Center, Inc.

Facility: Health and Hospital Corporation of Marion County

Facility: Healthnet Inc.

Facility: Indiana Health Centers

Facility: Indiana Women's Prison

Facility: Jane Pauley Community Health Center

Facility: Raphael Health Center

Facility: Shalom Health Care Center, Inc.

Marshall County

Service Area: Warsaw Mental Health Catchment Area 28

Martin County

Service Area: Mental Health Catchment Area 15

Page 70 of 263 Pages

MENTAL HEALTH: Indiana

County and County Equivalent Listing

Miami County

Service Area: Four Counties - Catchment Area 10

Facility: Miami Correctional Facility

Monroe County

Service Area: Mental Health Catchment Area 23

Montgomery County

Service Area: Region 30 Mental Health

Morgan County

Service Area: Mental Health Catchment Area 23

Newton County

Service Area: Region 30 Mental Health

Facility: Brook Health Center

Noble County

Service Area: Northeastern Catchment Area 18

Ohio County

Service Area: Mental Health Catchment Area 4

Orange County

Service Area: Southern Indiana Catchment Area

Facility: Southern Indiana Community Health Care, Inc.

Owen County

Service Area: Mental Health Catchment Area 23

Parke County

Service Area: Vermillion/Parke Counties

Facility: Rockville Correctional Facility

Perry County

Service Area: Southern Indiana Catchment Area

Facility: Branchville Correctional Facility

Pike County

Service Area: Mental Health Catchment Area 15

Porter County

Facility: Healthlinc, Inc. (Formerly Hilltop)

Facility: Northshore Health Centers, Inc.

Facility: Porter Starke Services, Inc.

Pulaski County

Service Area: Four Counties - Catchment Area 10

Facility: Knox Winamac Community Health Centers (Kwchc)

Putnam County

Service Area: Mental Health Catchment Area 7

Facility: Putnamville Correctional Facility

Randolph County

Service Area: East Central Mental Health Catchment Area 8

Ripley County

Service Area: Mental Health Catchment Area 4

Rush County

Service Area: East Central Mental Health Catchment Area 8

Scott County

Page 71 of 263 Pages

MENTAL HEALTH: Indiana

County and County Equivalent Listing

Service Area: Scott-Washington Counties

Scott County

Facility: Scottsburg Family Practice

Spencer County

Service Area: Southern Indiana Catchment Area

St. Joseph County

Service Area: Catchment Area 17 - St. Joseph County

Starke County

Facility: Knox Family Medical Center

Steuben County

Service Area: Northeastern Catchment Area 18

Sullivan County

Service Area: Sullivan County

Facility: Wabash Valley Correctional Facility

Switzerland County

Service Area: Mental Health Catchment Area 4

Tippecanoe County

Service Area: Region 30 Mental Health

Facility: Purdue University - Family Health Clinics

Facility: Riggs Community Health Center, Inc.

Tipton County

Service Area: Mental Health Catchment Area 14

Union County

Service Area: East Central Mental Health Catchment Area 8

Vanderburgh County

Facility: Echo Community Health Care

Vermillion County

Service Area: Vermillion/Parke Counties

Facility: Valley Professionals Community Health Center, Inc.

Vigo County

Facility: Federal Correctional Institution - Terre Haute

Facility: Wabash Valley Health Center, Inc.

Wabash County

Service Area: Warsaw Mental Health Catchment Area 28

Warren County

Service Area: Region 30 Mental Health

Washington County

Service Area: Scott-Washington Counties

Wayne County

Service Area: East Central Mental Health Catchment Area 8

Facility: Wayne County Community Health Center

Wells County

Service Area: Mental Health Catchment Area 20

Page 72 of 263 Pages

MENTAL HEALTH: Indiana

County and County Equivalent Listing

White County

Service Area: Region 30 Mental Health

Whitley County

Service Area: Warsaw Mental Health Catchment Area 28

Page 73 of 263 Pages

MENTAL HEALTH: Iowa County and County Equivalent Listing

Adair County

Service Area: Mental Health Catchment Area 9B

Adams County

Service Area: Mental Health Catchment Area 14

Facility: Alegent Health Rosary Clinic - Corning

Allamakee County

Service Area: Mental Health Catchment Area 03

Appanoose County

Service Area: Mental Health Catchment Area 15

Audubon County

Service Area: Mental Health Catchment Area 11

Benton County

Service Area: Mental Health Catchment Area 18

Black Hawk County

Facility: Peoples Community Health Clinic

Boone County

Service Area: Catchment Area 10

Bremer County

Service Area: Mental Health Catchment Area 03

Facility: Rohlf Memorial Clinic

Facility: Women's Clinic at Waverly Health Center

Buchanan County

Service Area: Mental Health Catchment Area 03

Buena Vista County

Service Area: Mental Health Catchment Area 1

Facility: United Community Health Center

Butler County

Service Area: Mental Health Catchment Area 03

Facility: Franklin Medical Center-Dumont

Facility: Shell Rock Clinic

Calhoun County

Service Area: Catchment Area 10

Facility: North Central Correctional Facility

Carroll County

Service Area: Mental Health Catchment Area 11

Cass County

Service Area: Mental Health Catchment Area 13B

Facility: Anita Medical Center

Facility: Atlantic Medical Center Rural Health Clinic

Facility: Griswold Medical Center

Facility: Massena Medical Center

Page 74 of 263 Pages

MENTAL HEALTH: Iowa County and County Equivalent Listing

Cedar County

Service Area: Mental Health Catchment Area 17

Cerro Gordo County

Service Area: Mental Health Catchment Area-02

Cherokee County

Service Area: Mental Health Catchment Area 1

Chickasaw County

Service Area: Mental Health Catchment Area 03

Clarke County

Service Area: Mental Health Catchment Area 14

Clay County

Service Area: Mental Health Catchment Area 1

Clayton County

Service Area: Mental Health Catchment Area 03

Facility: Regional Family Health - Strawberry Point

Clinton County

Service Area: Mental Health Catchment Area-04

Crawford County

Service Area: Mental Health Catchment Area 11

Dallas County

Facility: Redfield Medical Clinic

Davis County

Service Area: Mental Health Catchment Area 15

Decatur County

Service Area: Mental Health Catchment Area 14

Facility: Community Health Centers of Southern Iowa

Delaware County

Service Area: Mental Health Catchment Area 03

Des Moines County

Facility: Community Health Centers of Southeastern Iowa

Dickinson County

Service Area: Mental Health Catchment Area 1

Dubuque County

Service Area: Mental Health Catchment Area-04

Facility: Crescent Community Health Center

Emmet County

Service Area: Mental Health Catchment Area 1

Fayette County

Service Area: Mental Health Catchment Area 03

Floyd County

Service Area: Mental Health Catchment Area-02

Page 75 of 263 Pages

MENTAL HEALTH: Iowa County and County Equivalent Listing

Franklin County

Service Area: Mental Health Catchment Area-02

Facility: Franklin Medical Center - Hampton

Facility: Franklin Medical Center - Latimer

Fremont County

Service Area: Mental Health Catchment Area 13B

Facility: Medical Clinic, P.C.

Facility: Medical Clinic-Hamburg

Facility: Medical Clinic-Sidney

Greene County

Service Area: Catchment Area 10

Guthrie County

Service Area: Mental Health Catchment Area 11

Hamilton County

Service Area: Catchment Area 10

Hancock County

Service Area: Mental Health Catchment Area-02

Hardin County

Service Area: Mental Health Catchment Area-08

Harrison County

Service Area: Mental Health Catchment Area-12

Facility: Alegent Health Clinic Logan

Facility: Alegent Health Clinic Missouri Valley

Facility: Alegent Health-Dunlap Clinic

Facility: Alegent Health-Woodbine Clinic

Henry County

Service Area: Mental Health Catchment Area 16A

Facility: Mount Pleasant Correctional Facility

Howard County

Service Area: Mental Health Catchment Area 03

Facility: Cresco Clinic

Humboldt County

Service Area: Catchment Area 10

Ida County

Service Area: Mental Health Catchment Area 1

Iowa County

Service Area: Mental Health Catchment Area 18

Jackson County

Service Area: Mental Health Catchment Area-04

Jasper County

Service Area: Mental Health Catchment Area-08

Facility: Newton Correctional Facility

MENTAL HEALTH: Iowa County and County Equivalent Listing

Page 76 of 263 Pages

Jefferson County

Service Area: Mental Health Catchment Area 16A

Johnson County

Facility: Iowa Medical and Classification Center

Jones County

Service Area: Mental Health Catchment Area 17

Facility: Monticello Medical Center

Keokuk County

Service Area: Mental Health Catchment Area-08

Kossuth County

Service Area: Mental Health Catchment Area-02

Lee County

Facility: Iowa State Penitentiary

Linn County

Facility: Linn Community Care

Lucas County

Service Area: Mental Health Catchment Area 15

Facility: Lucas County Health Center

Lyon County

Service Area: Mental Health Catchment Area 1

Madison County

Service Area: Mental Health Catchment Area 9B

Mahaska County

Service Area: Mental Health Catchment Area-08

Marion County

Service Area: Mental Health Catchment Area-08

Marshall County

Service Area: Mental Health Catchment Area-08

Mitchell County

Service Area: Mental Health Catchment Area-02

Monona County

Service Area: Mental Health Catchment Area-12

Monroe County

Service Area: Mental Health Catchment Area 15

Montgomery County

Service Area: Mental Health Catchment Area 13B

Muscatine County

Service Area: Mental Health Catchment Area 17

O'Brien County

Service Area: Mental Health Catchment Area 1

Facility: Hartley Mercy Medical Center

Facility: Paullina Mercy Medical Center

MENTAL HEALTH: Iowa County and County Equivalent Listing

Page 77 of 263 Pages

O'Brien County

Facility: Primghar Mercy Medical Clinic

Facility: Sutherland Mercy Medical Clinic

Osceola County

Service Area: Mental Health Catchment Area 1

Page County

Service Area: Mental Health Catchment Area 13B

Facility: Clarinda Correctional Facility

Palo Alto County

Service Area: Mental Health Catchment Area 1

Plymouth County

Service Area: Mental Health Catchment Area 1

Pocahontas County

Service Area: Mental Health Catchment Area 1

Polk County

Facility: Iowa Correctional Institute for Women

Facility: Primary Health Care, Inc.

Facility: Proteus, Inc.

Pottawattamie County

Facility: Council Bluffs Community Health Center

Poweshiek County

Service Area: Mental Health Catchment Area-08

Ringgold County

Service Area: Mental Health Catchment Area 14

Sac County

Service Area: Mental Health Catchment Area 11

Scott County

Facility: Community Health Care, Inc.

Shelby County

Service Area: Mental Health Catchment Area 11

Sioux County

Service Area: Mental Health Catchment Area 1

Facility: Greater Sioux Community Health Center (Gschc)

Story County

Service Area: Catchment Area 10

Tama County

Service Area: Mental Health Catchment Area-08

Facility: Sac and Fox Tribe of the Mississippi in IA

Taylor County

Service Area: Mental Health Catchment Area 14

Facility: St. Francis Hardin Medical Clinic

MENTAL HEALTH: Iowa County and County Equivalent Listing

Page 78 of 263 Pages

Union County

Service Area: Mental Health Catchment Area 14

Van Buren County

Service Area: Mental Health Catchment Area 16A

Facility: Cantril Medical Clinic

Facility: Douds Medical Clinic

Facility: Farmington Rural Health

Facility: Keosauqua Rural Health

Wapello County

Service Area: Mental Health Catchment Area 15

Facility: River Hills Community Health Center

Washington County

Service Area: Mental Health Catchment Area 16A

Wayne County

Service Area: Mental Health Catchment Area 15

Webster County

Service Area: Catchment Area 10

Facility: Community Health Center of Fort Dodge

Facility: Fort Dodge Correctional Facility

Winnebago County

Service Area: Mental Health Catchment Area-02

Winneshiek County

Service Area: Mental Health Catchment Area 03

Woodbury County

Service Area: Mental Health Catchment Area-12

Facility: Siouxland Community Health Center

Worth County

Service Area: Mental Health Catchment Area-02

Wright County

Service Area: Mental Health Catchment Area-02

Facility: Franklin Medical Center - Dows

Page 79 of 263 Pages

MENTAL HEALTH: Kansas County and County Equivalent Listing

Allen County

Service Area: Mental Health Catchment Area 7

Anderson County

Service Area: Mental Health Catchment Area 7

Atchison County

Service Area: Mental Health Area 4

Facility: Atchison Clinic

Barber County

Service Area: Mental Health Catchment Area 21

Barton County

Service Area: Mental Health Catchment Area 20

Facility: We Care Project

Bourbon County

Service Area: Mental Health Catchment Area 7

Brown County

Service Area: Mental Health Area 3

Facility: Kickapoo Health Center

Facility: White Cloud Indian Health Station

Butler County

Service Area: Mental Health Catchment Area 17 - Butler County

Facility: Augusta Family Practice

Facility: Via Christi Clinic, PA

Chase County

Service Area: Mental Health Catchment Area 12

Chautauqua County

Service Area: Mental Health Area 13

Cherokee County

Service Area: Cherokee County

Facility: St John's Clinic-Columbus-Family Medicine

Cheyenne County

Service Area: Mental Health Catchment Area 23

Clark County

Service Area: Mental Health Catchment Area 22

Facility: Ashland Health Center

Clay County

Service Area: Mental Health Catchment Area 14

Facility: Clay Center Family Physicians

Cloud County

Service Area: Mental Health Catchment Area 14

Coffey County

Service Area: Mental Health Catchment Area 12

MENTAL HEALTH: Kansas County and County Equivalent Listing

Page 80 of 263 Pages

Comanche County

Service Area: Mental Health Catchment Area 22

Cowley County

Service Area: Cowley County

Facility: Community Health Center in Cowley County

Crawford County

Service Area: Crawford County

Facility: Community Health Center of Southeast Kansas

Decatur County

Service Area: Mental Health Catchment Area 23

Dickinson County

Service Area: Catchment Area 15

Facility: Heartland Health Care Center

Facility: Herington Area Health Clinic

Doniphan County

Service Area: Mental Health Area 3

Douglas County

Facility: Haskell PHS Indian Health Center

Facility: Heartland Medical Clinic, Inc.

Edwards County

Service Area: Mental Health Catchment Area 22

Elk County

Service Area: Mental Health Area 13

Ellis County

Service Area: Mental Health Catchment Area 23

Facility: First Care Clinic, Inc.

Ellsworth County

Service Area: Catchment Area 15

Finney County

Service Area: Mental Health Catchment Area 24

Ford County

Service Area: Mental Health Catchment Area 24

Geary County

Service Area: Mental Health Catchment Area 14

Facility: Konza Prairie Community Health

Gove County

Service Area: Mental Health Catchment Area 23

Graham County

Service Area: Mental Health Catchment Area 23

Grant County

Service Area: Mental Health Catchment Area 24

Facility: United Methodist Western Kansas Mexican American M

MENTAL HEALTH: Kansas County and County Equivalent Listing

Page 81 of 263 Pages

Gray County

Service Area: Mental Health Catchment Area 24

Greeley County

Service Area: Mental Health Catchment Area 24

Facility: Greeley County Family Practice Clinic

Greenwood County

Service Area: Mental Health Catchment Area 12

Hamilton County

Service Area: Mental Health Catchment Area 24

Harper County

Service Area: Mental Health Catchment Area 21

Harvey County

Population Group: Low Income-Mental Health Catchment Area 16

Facility: Health Ministries Clinic

Haskell County

Service Area: Mental Health Catchment Area 25

Hodgeman County

Service Area: Mental Health Catchment Area 24

Jackson County

Service Area: Mental Health Area 3

Facility: Holton Family Health Clinic

Facility: Prairie Band Potawatomi Tribe

Jefferson County

Service Area: Mental Health Area 4

Jewell County

Service Area: Mental Health Catchment Area 14

Johnson County

Facility: Health Partnership Clinic, Inc.

Kearny County

Service Area: Mental Health Catchment Area 24

Kingman County

Service Area: Mental Health Catchment Area 21

Kiowa County

Service Area: Mental Health Catchment Area 22

Labette County

Service Area: Labette County (MHCA10)

Lane County

Service Area: Mental Health Catchment Area 24

Facility: Lane County Medical Clinic

Leavenworth County

Service Area: Mental Health Area 4

Facility: CF-Lansing

MENTAL HEALTH: Kansas County and County Equivalent Listing

Page 82 of 263 Pages

Leavenworth County

Facility: USP-Leavenworth

Lincoln County

Service Area: Catchment Area 15

Linn County

Service Area: Mental Health Catchment Area 7

Logan County

Service Area: Mental Health Catchment Area 23

Facility: New Frontiers Health Services

Lyon County

Service Area: Mental Health Catchment Area 12

Facility: Flint Hills Community Health Center/Lyon

Marion County

Population Group: Low Income-Mental Health Catchment Area 16

Marshall County

Service Area: Mental Health Catchment Area 14

Facility: Downtown Medical Clinic

Facility: Marysville Clinic

McPherson County

Population Group: Low Income-Mental Health Catchment Area 16

Meade County

Service Area: Mental Health Catchment Area 25

Miami County

Facility: Associates in Family Care - Osawatomie

Facility: Associates in Family Care - Paola

Facility: Louisburg Family Care

Mitchell County

Service Area: Mental Health Catchment Area 14

Montgomery County

Service Area: Mental Health Area 13

Morris County

Service Area: Mental Health Catchment Area 12

Morton County

Service Area: Mental Health Catchment Area 24

Nemaha County

Service Area: Mental Health Area 3

Facility: Centralia Medical Clinic

Neosho County

Service Area: Mental Health Catchment Area 7

Facility: Handshy Medical Clinic - Chanute

Ness County

Service Area: Mental Health Catchment Area 23

MENTAL HEALTH: Kansas County and County Equivalent Listing

Page 83 of 263 Pages

Norton County

Service Area: Mental Health Catchment Area 23

Osage County

Service Area: Mental Health Catchment Area 12

Osborne County

Service Area: Mental Health Catchment Area 23

Ottawa County

Service Area: Catchment Area 15

Pawnee County

Service Area: Mental Health Catchment Area 20

Phillips County

Service Area: Mental Health Catchment Area 23

Facility: Logan Medical Clinic

Facility: Phillips County Medical Clinic

Pottawatomie County

Service Area: Mental Health Catchment Area 14

Facility: Onaga Clinic

Facility: St. Mary's Clinic

Pratt County

Service Area: Mental Health Catchment Area 21

Rawlins County

Service Area: Mental Health Catchment Area 23

Reno County

Service Area: Mental Health Catchment Area 21

Facility: Hutchinson Correctional Facility

Facility: Prairie Star Health Center

Republic County

Service Area: Mental Health Catchment Area 14

Rice County

Service Area: Mental Health Catchment Area 20

Riley County

Service Area: Mental Health Catchment Area 14

Rooks County

Service Area: Mental Health Catchment Area 23

Rush County

Service Area: Mental Health Catchment Area 23

Russell County

Service Area: Mental Health Catchment Area 23

Saline County

Service Area: Catchment Area 15

Facility: Salina Family Healthcare Center

MENTAL HEALTH: Kansas County and County Equivalent Listing

Page 84 of 263 Pages

Scott County

Service Area: Mental Health Catchment Area 24

Sedgwick County

Population Group: Low Income-Sedgwick County

Facility: Center for Health and Wellness

Facility: Gracemed Health Clinic, Inc.

Facility: Hunter Health Clinic

Seward County

Service Area: Mental Health Catchment Area 25

Shawnee County

Facility: Kansas Department of Health

Facility: Shawnee County Health Agency

Sheridan County

Service Area: Mental Health Catchment Area 23

Facility: County of Sheridan Dba Sheridan County Health Complex

Sherman County

Service Area: Mental Health Catchment Area 23

Smith County

Service Area: Mental Health Catchment Area 23

Stafford County

Service Area: Mental Health Catchment Area 20

Stanton County

Service Area: Mental Health Catchment Area 24

Stevens County

Service Area: Mental Health Catchment Area 25

Sumner County

Service Area: Sumner County

Facility: Bass Memorial Baptist Hospital Dba Caldwell Family Cli

Thomas County

Service Area: Mental Health Catchment Area 23

Trego County

Service Area: Mental Health Catchment Area 23

Wabaunsee County

Service Area: Mental Health Catchment Area 12

Wallace County

Service Area: Mental Health Catchment Area 23

Washington County

Service Area: Mental Health Catchment Area 14

Wichita County

Service Area: Mental Health Catchment Area 24

Wilson County

Service Area: Mental Health Area 13

MENTAL HEALTH: Kansas

County and County Equivalent Listing

Page 85 of 263 Pages

Woodson County

Service Area: Mental Health Catchment Area 7

MENTAL HEALTH: Kentucky

County and County Equivalent Listing

Page 86 of 263 Pages

Adair County

Service Area: Lake Cumberland Catchment Area

Allen County

Service Area: Barren River

Ballard County

Service Area: Western Kentucky

Barren County

Service Area: Barren River

Bath County

Service Area: Gateway Mental Health Catchment

Facility: St. Claire Regional Family Medicine – Owingsville

Bell County

Service Area: Cumberland River Mental Health Catchment

Facility: Red Bird Clinic

Bourbon County

Population Group: Low Income-Bourbon County

Boyd County

Population Group: Low Income - Fivco Mental Health Catchment Area #1

Boyle County

Population Group: Low Income - Danville Catchment Area

Bracken County

Service Area: Buffalo Trace Mental Health Catchment Area

Breathitt County

Service Area: Upper Kentucky River

Facility: Aaron K. Jonan Memorial Clinic, Inc.

Facility: Juniper Health, Inc.

Breckinridge County

Service Area: North Central Catchment Area

Butler County

Service Area: Barren River

Caldwell County

Service Area: Pennyroyal Mental Health Catchment Area

Facility: Pennyroyal Family Health

Calloway County

Service Area: Western Kentucky

Campbell County

Facility: Health Point Family Care

Carlisle County

Service Area: Western Kentucky

Carroll County

Service Area: Carroll/Gallatin Counties

MENTAL HEALTH: Kentucky

County and County Equivalent Listing

Page 87 of 263 Pages

Carter County

Population Group: Low Income - Fivco Mental Health Catchment Area #1

Facility: St. Claire Regional Family Medicine – Olive Hill

Casey County

Service Area: Lake Cumberland Catchment Area

Christian County

Service Area: Pennyroyal Mental Health Catchment Area

Clark County

Facility: Bluegrass Regional Mental Health/Mr Clark County

Facility: Clark Clinic Primary Care

Facility: Clark Family Care

Facility: Ertel Medicine and Pediatrics Winchester

Facility: Winchester Family Practice

Clay County

Service Area: Cumberland River Mental Health Catchment

Facility: Community Health Center-Clay County

Facility: Federal Correctional Institution - Manchester

Facility: Kate Ireland Health Center

Clinton County

Service Area: Lake Cumberland Catchment Area

Crittenden County

Service Area: Pennyroyal Mental Health Catchment Area

Cumberland County

Service Area: Lake Cumberland Catchment Area

Facility: Cumberland Family Medical Center

Daviess County

Facility: Audubon Area Community Care Clinic

Facility: Daviess County/River Valley Behavioral Health

Edmonson County

Service Area: Barren River

Elliott County

Population Group: Low Income - Fivco Mental Health Catchment Area #1

Estill County

Service Area: Estill County

Facility: Estill Medical Clinic

Facility: Mercy Primary Care - Irvine

Fayette County

Facility: Bluegrass Farmworker Health Center

Facility: Federal Medical Center-Lexington

Facility: Healthfirst Bluegrass Inc.

MENTAL HEALTH: Kentucky

County and County Equivalent Listing

Page 88 of 263 Pages

Fleming County

Service Area: Buffalo Trace Mental Health Catchment Area

Floyd County

Service Area: Mountain

Facility: Big Sandy Healthcare, Inc.

Facility: Eastern Kentucky Tender Care Pediatrics

Facility: Martin Clinic

Fulton County

Service Area: Western Kentucky

Gallatin County

Service Area: Carroll/Gallatin Counties

Garrard County

Population Group: Low Income - Danville Catchment Area

Grant County

Service Area: Grant/Pendleton

Graves County

Service Area: Western Kentucky

Grayson County

Service Area: North Central Catchment Area

Green County

Service Area: Lake Cumberland Catchment Area

Greenup County

Population Group: Low Income - Fivco Mental Health Catchment Area #1

Hardin County

Service Area: North Central Catchment Area

Harlan County

Service Area: Cumberland River Mental Health Catchment

Facility: Clover Fork Outpatient Medical Project

Harrison County

Service Area: Harrison County

Hart County

Service Area: Barren River

Henderson County

Service Area: Henderson County

Henry County

Service Area: Henry County

Hickman County

Service Area: Western Kentucky

Facility: Clinton Family Care Clinic

Hopkins County

Service Area: Pennyroyal Mental Health Catchment Area

MENTAL HEALTH: Kentucky

County and County Equivalent Listing

Page 89 of 263 Pages

Jackson County

Service Area: Cumberland River Mental Health Catchment

Facility: Health Help, Inc.

Jefferson County

Facility: Family Health Center, Inc.

Facility: Park Duvalle Community Health Center, Inc.

Facility: Shawnee Christian Healthcare Center, Inc.

Jessamine County

Population Group: Low Income-Jessamine County

Johnson County

Service Area: Mountain

Knott County

Service Area: Upper Kentucky River

Facility: Primary Care Centers of Eastern KY-Hindman

Knox County

Service Area: Cumberland River Mental Health Catchment

Facility: Barbourville Family Health Center

Facility: Grace Community Health Center, Inc.

Larue County

Service Area: North Central Catchment Area

Laurel County

Service Area: Cumberland River Mental Health Catchment

Facility: Corbin Pediatric Associates

Facility: London's Women's Care, PLLC

Lawrence County

Population Group: Low Income - Fivco Mental Health Catchment Area #1

Lee County

Service Area: Upper Kentucky River

Facility: United Clinics of Kentucky Beattyville

Leslie County

Service Area: Upper Kentucky River

Facility: Appalachian Clinic-Wooton

Facility: Primary Care Centers of Eastern KY-Hyden

Letcher County

Service Area: Upper Kentucky River

Facility: Mountain Comprehensive Health Corporation

Lewis County

Service Area: Buffalo Trace Mental Health Catchment Area

Facility: Lewis County Primary Care Center

Lincoln County

Population Group: Low Income - Danville Catchment Area

MENTAL HEALTH: Kentucky

County and County Equivalent Listing

Page 90 of 263 Pages

Livingston County

Service Area: Pennyroyal Mental Health Catchment Area

Logan County

Service Area: Barren River

Lyon County

Service Area: Pennyroyal Mental Health Catchment Area

Madison County

Facility: Berea Health Ministry, Inc.

Facility: Bluegrass.Organization

Facility: Kentucky River Foothills Development Council

Facility: Madison Family Clinic

Facility: Saint Joseph Berea Family Medicine

Facility: Strauss Family Practice

Magoffin County

Service Area: Mountain

Facility: Salyersville Medical Center, LLC

Marion County

Service Area: North Central Catchment Area

Marshall County

Service Area: Western Kentucky

Martin County

Service Area: Mountain

Facility: USP-Big Sandy

Mason County

Service Area: Buffalo Trace Mental Health Catchment Area

McCracken County

Service Area: Western Kentucky

McCreary County

Service Area: Lake Cumberland Catchment Area

Facility: McCreary Primary Care Center, Inc.

Facility: South Fork Medical Clinic PLLC

Facility: USP-McCreary

McLean County

Service Area: McLean County

Meade County

Service Area: North Central Catchment Area

Menifee County

Service Area: Gateway Mental Health Catchment

Facility: St. Claire Regional Family Medicine Frenchburg

Mercer County

Population Group: Low Income - Danville Catchment Area

Metcalfe County

Service Area: Barren River

MENTAL HEALTH: Kentucky

County and County Equivalent Listing

Page 91 of 263 Pages

Monroe County

Service Area: Barren River

Montgomery County

Service Area: Gateway Mental Health Catchment

Facility: Family Care Clinic - Mt. Sterling

Facility: Sterling Health Solutiions, Inc.

Morgan County

Service Area: Gateway Mental Health Catchment

Muhlenberg County

Service Area: Pennyroyal Mental Health Catchment Area

Facility: Community Health Centers of Western Kentucky

Nelson County

Service Area: North Central Catchment Area

Facility: Flaget Immediate Care Clinic

Nicholas County

Facility: Carlisle Clinic

Ohio County

Service Area: Ohio County

Oldham County

Facility: CF-Kentucky State Reformatory

Facility: Kentucky Correctional Institute for Women

Owen County

Service Area: Owen County

Facility: Triad Health Systems, Inc.

Owsley County

Service Area: Upper Kentucky River

Pendleton County

Service Area: Grant/Pendleton

Perry County

Service Area: Upper Kentucky River

Facility: Appalachian Physicians, PSC

Facility: Kentucky Mountain Health Alliance

Facility: Mountain After-Hours Clinic

Facility: Pediatric Associates of Hazard, LLC

Facility: Primary Care Centers of Eastern Kentucky-Vicco

Facility: Primary Care Centers of Eastern KY-Hazard

Facility: Primary Care Centers of Eastern KY-Vicco

Facility: University of Kentucky College of Medicine - North

Pike County

Service Area: Mountain

Facility: Pediatric Associates of Pikesville, LLC

MENTAL HEALTH: Kentucky

County and County Equivalent Listing

Page 92 of 263 Pages

Powell County

Service Area: Powell County

Facility: Casa San Pio

Pulaski County

Service Area: Lake Cumberland Catchment Area

Robertson County

Service Area: Buffalo Trace Mental Health Catchment Area

Rockcastle County

Service Area: Cumberland River Mental Health Catchment

Rowan County

Service Area: Gateway Mental Health Catchment

Russell County

Service Area: Lake Cumberland Catchment Area

Simpson County

Service Area: Barren River

Taylor County

Service Area: Lake Cumberland Catchment Area

Todd County

Service Area: Pennyroyal Mental Health Catchment Area

Facility: Helping Hands Health Clinic Dba Blount Rural Healt

Trigg County

Service Area: Pennyroyal Mental Health Catchment Area

Trimble County

Service Area: Trimble County

Union County

Service Area: Union County

Warren County

Service Area: Barren River

Washington County

Service Area: North Central Catchment Area

Wayne County

Service Area: Lake Cumberland Catchment Area

Webster County

Service Area: Webster County

Facility: Regional Health Care Affilates, Inc.

Whitley County

Service Area: Cumberland River Mental Health Catchment

Facility: Atienze-Acob Medical Clinic

Facility: Careplus Rural Health Clinic, LLC

Wolfe County

Service Area: Upper Kentucky River

Page 93 of 263 Pages

MENTAL HEALTH: Louisiana

County and County Equivalent Listing

Acadia Parish

Service Area: Acadia Parish

Allen Parish

Service Area: Allen Parish

Facility: CF-Allen

Facility: Federal Correctional Complex - Oakdale

Ascension Parish

Service Area: Ascension Parish

Facility: Reddy Family Clinic - Donaldsonville

Assumption Parish

Service Area: Assumption Parish

Facility: Reddy Family Medical Clinic Pierre Part

Facility: Reddy Family Medical Clinic-Napoleonville

Avoyelles Parish

Service Area: Avoyelles Parish

Facility: Tunica-Biolxi Indian Tribe of Louisiana

Beauregard Parish

Service Area: Beauregard Parish

Bienville Parish

Service Area: Bienville Parish

Bossier Parish

Service Area: Bossier Parish

Caddo Parish

Facility: David Raines Community Health Center

Calcasieu Parish

Service Area: Calcasieu Parish

Facility: C. Paul Phelps Correctional Center (PCC)

Facility: Southwest Louisiana Center for Health Services

Caldwell Parish

Service Area: Caldwell Parish

Cameron Parish

Service Area: Cameron Parish

Catahoula Parish

Service Area: Catahoula Parish

Facility: Catahoula Parish Hospital Service District

Claiborne Parish

Service Area: Claiborne Parish

Concordia Parish

Service Area: Concordia Parish

De Soto Parish

Facility: Casse Dental Health Institute

Page 94 of 263 Pages

MENTAL HEALTH: Louisiana

County and County Equivalent Listing

East Baton Rouge Parish

Population Group: Low Income-East Baton Rouge Parish

Facility: Baton Rouge Primary Care Collabrative

Facility: Capitol City Family Health Center

Facility: Haart, Inc.

East Carroll Parish

Service Area: East Carroll Parish

Facility: Family Medical Clinic

Facility: Family Practice Clinic

East Feliciana Parish

Service Area: East Feliciana Parish

Facility: Primary Care Providers for a Health Feliciana

Evangeline Parish

Service Area: Evangeline Parish

Franklin Parish

Service Area: Franklin Parish

Facility: Franklin Medical Center Rural Health Clinic-Winnsboro

Grant Parish

Service Area: Grant Parish

Facility: Federal Correctional Complex-Pollock

Iberia Parish

Service Area: Iberia Parish

Facility: Iberia Comprehensive Community Health Center

Iberville Parish

Population Group: Low Income-Iberville Parish

Facility: Elayn Hunt Correctional Center

Facility: Reddy Family Medical Clinic-Plaquemine

Facility: Reddy Family Medical Clinic-White Castle

Facility: St. Gabriel Health Clinic

Jackson Parish

Service Area: Jackson Parish

Jefferson Davis Parish

Service Area: Jefferson Davis Parish

Facility: Elton Rural Health Clinic

Page 95 of 263 Pages

MENTAL HEALTH: Louisiana

County and County Equivalent Listing

Jefferson Parish

Population Group: Low Income-Jefferson Parish

Facility: East Jefferson Community Health Center

Facility: Jefferson Community Health Centers, Inc.

Facility: Jefferson Parish Human Services Authority

Facility: Priority Health Care

Facility: St. Charles Community Health Center - Kenner Pedia

Lafayette Parish

Population Group: Low Income-Lafayette Parish

Lafourche Parish

Service Area: Lafourche Parish

LaSalle Parish

Service Area: LA Salle Parish

Facility: Immigration and Customs Enforcement - Jena

Lincoln Parish

Service Area: Lincoln Parish

Livingston Parish

Service Area: Livingston Parish

Madison Parish

Service Area: Madison Parish

Facility: Madison Parish Hospital Rural Health

Morehouse Parish

Service Area: Morehouse Parish

Facility: Morehouse Community Medical Center

Natchitoches Parish

Service Area: Natchitoches Parish

Facility: Natchitoches Out Patient

Orleans Parish

Population Group: Low Income-Orleans Parish

Facility: Common Ground Health Clinic

Facility: Excelth, Inc. Health Care

Facility: Healthcare for the Homeless

Facility: Marillac Community Health Centers

Facility: Mqvn Community Development Corporation/Noela Community Health Center

Facility: No/AIDS Task Force

Facility: Odyssey House Louisiana, Inc.

Facility: St. Thomas Community Health Center, Inc.

Ouachita Parish

Service Area: Ouachita Parish

Facility: Primary Health Service

Plaquemines Parish

Page 96 of 263 Pages

MENTAL HEALTH: Louisiana

County and County Equivalent Listing

Service Area: Plaquemines Parish

Pointe Coupee Parish

Service Area: Pointe Coupee Parish

Facility: Innis Community Health

Rapides Parish

Population Group: Low Income-Rapides Parish

Facility: Rapides Primary Health Care Center

Red River Parish

Service Area: Red River Parish

Richland Parish

Service Area: Richland Parish

Facility: Delhi Rural Health Clinic

Facility: Northeast Louisana Health Center

Facility: Parish of Richland/Dba Delhi Community Health Cent

Facility: Start Community Clinic

Sabine Parish

Service Area: Sabine Parish

St. Bernard Parish

Population Group: Low Income-St. Bernard Parish

St. Charles Parish

Facility: St. Charles Community Health Center, Inc.

St. Helena Parish

Service Area: St. Helena Parish

Facility: St. Helena Community Health Center

St. James Parish

Service Area: St. James Parish

St. John the Baptist Parish

Population Group: Low Income-St. John the Baptist Parish

St. Landry Parish

Service Area: St. Landry Parish

Facility: Southwest Louisianna Primary

St. Martin Parish

Service Area: St. Martin Parish

St. Mary Parish

Service Area: St. Mary Parish

Facility: Chitimacha Health Clinic

Facility: Teche Action Clinic

St. Tammany Parish

Service Area: St. Tammany Parish

Tangipahoa Parish

Service Area: Tangipahoa Parish

Page 97 of 263 Pages

MENTAL HEALTH: Louisiana

County and County Equivalent Listing

Tensas Parish

Service Area: Tensas Parish

Facility: Tensas Community Health Center

Terrebonne Parish

Service Area: Terrebonne Parish

Facility: Start Corporation

Union Parish

Service Area: Union Parish

Vermilion Parish

Service Area: Vermilion Parish

Vernon Parish

Service Area: Vernon Parish

Washington Parish

Service Area: Washington Parish

Facility: Rayburn Correctional Center

Webster Parish

Facility: North Webster Medical Clinic

Facility: Smc Doctors Clinic

West Baton Rouge Parish

Population Group: Low Income-West Baton Rouge Parish

West Carroll Parish

Service Area: West Carroll Parish

Facility: Oak Grove Medical Clinic

West Feliciana Parish

Population Group: Low Income-West Feliciana Parish

Facility: Louisiana State Penitentiary

Winn Parish

Service Area: Winn Parish

Facility: Winn Community Health Center, Inc.

Page 98 of 263 Pages

MENTAL HEALTH: Maine County and County Equivalent Listing

Androscoggin County

Service Area: Mental Health Catchment Area-14 Rumford

Facility: Community Clinical Services

Facility: DFD Russell Medical Center

Aroostook County

Service Area: Caribou/Presque Isle

Service Area: Fort Kent

Service Area: Houlton - Mental Health Analysis Area 30

Service Area: Lincoln/Millinocket

Facility: Fish River Rural Health

Facility: Pines Health Services

Cumberland County

Service Area: Bridgton

Facility: Health Care for Portland's Homeless

Franklin County

Service Area: Farmington

Service Area: Mental Health Catchment Area-14 Rumford

Hancock County

Facility: Bucksport Regional

Kennebec County

Service Area: Farmington

Service Area: Mental Health Catchment Area-14 Rumford

Facility: Healthreach Community Health Centers

Facility: Rural Health Centers of Maine, Inc.

Knox County

Facility: Islands Community Medical Center

Facility: Maine State Prison

Lincoln County

Facility: John F. Andrews Family Care Center

Facility: Lincoln Medical Partners-Damariscotta

Facility: Lincoln Medical Partners-Waldoboro

Oxford County

Service Area: Bridgton

Service Area: Farmington

Service Area: Mental Health Catchment Area-14 Rumford

Service Area: Norway Service Area

Page 99 of 263 Pages

MENTAL HEALTH: Maine County and County Equivalent Listing

Penobscot County

Service Area: Dover-Foxcroft

Service Area: Houlton - Mental Health Analysis Area 30

Service Area: Lincoln/Millinocket

Service Area: Pittsfield

Facility: Corinna Family Practice

Penobscot County

Facility: Dexter Internal Medicine

Facility: Health Access Network

Facility: Katahdin Valley Health

Facility: Newport Family Practice

Facility: Penobscot Community Health Center

Facility: Penobscot Indian Nation

Facility: Penobscot Valley Primary Care

Piscataquis County

Service Area: Dover-Foxcroft

Facility: Dover-Foxcroft Family Medicine

Facility: Guilford Medical Associates

Facility: Milo Family Practice

Somerset County

Service Area: Dover-Foxcroft

Service Area: Farmington

Service Area: Pittsfield

Facility: Dexter Family Practice

Facility: Sebasticook Family Doctors

Facility: Sebasticook Regional Family Care (Rural Health Cli

Waldo County

Facility: Arthur Jewell Community Health Center

Facility: Stockton Springs Regional Health Center

Facility: The Islesboro Health Center

Washington County

Service Area: Calais

Service Area: Houlton - Mental Health Analysis Area 30

Service Area: Machias

Facility: Calais Regional Medical Services

Facility: Eastport Healthcare

Facility: Harrington Family Health

Facility: Passamaquoddy Pleasant Point Health Center

Facility: Passamaquoddy Tribe Indian Township

Page 100 of 263 Pages

MENTAL HEALTH: Maine County and County Equivalent Listing

Facility: Regional Medical Center

Facility: St. Croix Regional Family Health

York County

Facility: Sacopee Valley Health

Facility: York County Community Action Corporation

Page 101 of 263 Pages

MENTAL HEALTH: Maryland

County and County Equivalent Listing

Allegany County

Population Group: Medicaid Eligible - Allegany County

Facility: Federal Correctional Institution – Cumberland

Facility: North Branch Correctional Institution

Facility: Western Correctional Institution

Anne Arundel County

Population Group: Me-Upper Anne Arundel and Lower Baltimore Counties

Facility: Maryland Correctional Institution - Jessup

Facility: Owensville Primary Care

Baltimore City

Population Group: Medicaid Eligible – Arlington

Population Group: Medicaid Eligible - East Baltimore City

Population Group: Medicaid Eligible - North Central Baltimore City

Population Group: Medicaid Eligible - South Baltimore

Population Group: Medicaid Eligible - West Central Baltimore City

Population Group: Me-Southeastern Baltimore City

Facility: Baltimore City Detention Center

Facility: Baltimore City Health Department/Northwest High Sc

Facility: Baltimore City Juvenile Detention Center

Facility: Baltimore Medical Systems

Facility: Central Booking and Intake Facility

Facility: Chase Brexton Health Services

Facility: Chesapeake Detention Facility

Facility: Family Health Center of Baltimore

Facility: Health Care for the Homeless, Inc.

Facility: Lifeline Foundation, Inc.

Facility: Maryland Reception and Diagnostic Center

Facility: Metro Transition Center

Facility: Park West Medical Center

Facility: People's Community Health Center

Facility: Total Health Care, Inc.

Baltimore County

Population Group: Me-Upper Anne Arundel and Lower Baltimore Counties

Facility: Charles H. Hickey Junior School

Caroline County

Population Group: Me-Caroline County

Facility: Choptank Community Health

Page 102 of 263 Pages

MENTAL HEALTH: Maryland

County and County Equivalent Listing

Cecil County

Service Area: Cecil County

Facility: West Cecil Health Center, Inc.

Charles County

Service Area: Charles County

Dorchester County

Population Group: Medicaid Eligible - Dorchester County

Frederick County

Population Group: Low Income-Downtown Frederick

Facility: Frederick Community Action Health Center

Garrett County

Service Area: Garrett County

Facility: Western Maryland Health Care Corporation

Harford County

Service Area: Harford County

Kent County

Service Area: Lower Kent County

Montgomery County

Population Group: Medicaid Eligible - Central Kensington/Wheaton

Facility: Community Clinic, Inc. (Cci)

Facility: Mobile Medical Care, Inc.

Prince George's County

Population Group: Me-Upper Prince George County

Facility: Greater Baden Medical Services

Queen Anne's County

Service Area: Queen Anne County

Somerset County

Service Area: Lower Eastern Shore

Facility: Three Lower Counties Community Services

St. Mary's County

Service Area: St. Marys County

Washington County

Service Area: Washington County

Facility: Roxbury Correctional Institution

Facility: Tri-State Community Health Center, Inc.

Facility: Walnut Street Community Health Center

Wicomico County

Service Area: Lower Eastern Shore

Worcester County

Service Area: Lower Eastern Shore

Page 103 of 263 Pages

MENTAL HEALTH: Massachusetts

County and County Equivalent Listing

Barnstable County

Facility: Cape Cod Free Clinic and Community Health Center

Facility: Duffy Health Center, Inc.

Facility: Mashpee Wampanoag Tribe

Facility: Outer Cape Health

Berkshire County

Facility: Community Health Program

Bristol County

Facility: Bristol County House of Corrections

Facility: Greater New Bedford

Facility: Healthfirst Family Care Center, Inc.

Dukes County

Service Area: Dukes County

Facility: Island Health Inc.

Facility: Wampanoag Tribe of Gay Head

Essex County

Population Group: Low Income – Lawrence

Facility: Greater Lawrence Family Health

Facility: Lynn Community Health Center

Facility: North Shore Community Health

Franklin County

Facility: Community Health Centers of Franklin County

Hampden County

Population Group: Low Income – Holyoke

Population Group: Low Income – Springfield

Facility: Caring Health Center, Inc.

Facility: Holyoke Health Center

Facility: Springfield Public Health Department

Facility: Springfield Southwest

Hampshire County

Facility: Hilltown Community Health Center, Inc.

Middlesex County

Population Group: Low Income – Lowell

Facility: Lowell Community Health Center

Facility: Massachusetts Corectional Institution – Concord

Facility: Massachusetts Correctional Institution – Shirley

Page 104 of 263 Pages

MENTAL HEALTH: Massachusetts

County and County Equivalent Listing

Norfolk County

Facility: Manet Community Health Center

Facility: Massachusetts Correctional Institution - Cedar Junction

Facility: Massachusetts Correctional Institution Norfolk

Plymouth County

Facility: Brockton Neighborhood

Plymouth County

Facility: Massachusetts Treatment Center

Facility: Old Colony Correctional Facility

Suffolk County

Facility: Boston Healthcare for the Homeless

Facility: Codman Square Health Center

Facility: Connecticut River Valley Farmworkers/Massachusetts

Facility: Dimock Community Health Center

Facility: Dorchester House Multi-Service Center

Facility: East Boston

Facility: Fenway Community Health Center

Facility: Harbor Health Services

Facility: Harvard Street Neighborhool Health Center

Facility: Joseph M. Smith Community Health

Facility: Mattapan Community Health

Facility: North End Community

Facility: South Boston Community Health Center

Facility: South Cove Community

Facility: South End Community Health Center

Facility: Upham's Corner Health Center

Facility: Whittier Street Health

Worcester County

Facility: Community Health Connections

Facility: Community Healthlink

Facility: Edward M. Kennedy Community Health Center

Facility: Family Health Center of Worcester, Inc.

Facility: Federal Medical Center-Devens

Facility: North Central Correctional Institution - Gardner

Page 105 of 263 Pages

MENTAL HEALTH: Michigan

County and County Equivalent Listing

Alcona County

Service Area: Alcona County

Facility: Alcona Health Center

Alger County

Service Area: Alger County

Facility: Alger Maximum Correctional Facility

Facility: Grand Island Chippewa Community Center

Allegan County

Facility: Allegan Medical Clinic

Facility: Borgess Women's Health

Facility: Match-East-Be-Nash-She-Wish Pottawatomi

Alpena County

Service Area: Alpena County

Facility: Alpena Medical Arts, Primary Care

Antrim County

Service Area: North Country Catchment Area

Facility: Kalkaska Family Practice Primary Care-Mancelona

Facility: Mancelona Family Practice

Facility: Omh Medical Group-Boyne Valley

Arenac County

Service Area: Bay/Arenac

Facility: Augres St. Joseph Family Clinic

Facility: Sterling Area Health

Baraga County

Service Area: Baraga County

Facility: Baraga Correctional Facility

Facility: Bcmh Physician Group

Facility: Keweenaw Bay Indian Community

Barry County

Service Area: Barry County

Facility: Spectrum Health Pennock Family Medicine - Gun Lake

Facility: Spectrum Health Pennock Family Medicine-Middlevill

Facility: Spectrum Health Pennock Family, Internal and Pediati

Facility: Spectrum Health Pennock Ob/Gyn - Hastings

Bay County

Service Area: Bay/Arenac

Facility: Pinconning Medical Care, Inc.

Benzie County

Service Area: Manistee/Benzie Service Area

Page 106 of 263 Pages

MENTAL HEALTH: Michigan

County and County Equivalent Listing

Berrien County

Service Area: Berrien County

Facility: Coloma Medical Center

Berrien County

Facility: Community Medical Center

Facility: Lakeland Community Hospital Dba Southwestern Medic

Facility: Lakeland Family Clinic-Benton Harbor

Branch County

Service Area: Coldwater/Hillsdale Service Area

Facility: Community Health Center Pediatric and Adolescent Center

Facility: Family Medicine Clinic

Calhoun County

Facility: Grace Health, Inc.

Facility: Nottawaseppi Huron Band of Potawatomi Southern Hea

Cass County

Service Area: Cass County

Facility: Borgess Lee Medical Group - Dowagiac Clinic

Facility: Borgess Lee Medical Group-Cassopolis Clinic

Facility: Borgess Lee Medical Group-Division Street Clinic

Facility: Bronson Lakeview Family Care-Marcellus

Facility: Lakeland Immediate Care Center

Facility: Pokagon Band of Potawatomi Health Services

Charlevoix County

Service Area: North Country Catchment Area

Facility: Beaver Island Rural Health Center

Facility: Boyne Area Medical Center

Facility: East Jordan Family Health

Cheboygan County

Service Area: North Country Catchment Area

Chippewa County

Service Area: Eastern Upper Peninsula

Facility: Bay Mills Indian Community

Facility: Chippewa Correctional Facility

Facility: Community Care Clinic

Facility: Community Care Clinic – Kinross

Facility: Inter-Tribal Council of Michigan, Inc.

Facility: Riverside Medical Associates Primary Care

Facility: Sault St. Marie Health and Human Services

Facility: Wmh-Community Care Clinic

Page 107 of 263 Pages

MENTAL HEALTH: Michigan

County and County Equivalent Listing

Clare County

Service Area: Central Michigan Service Area

Facility: Midmichigan Medical Offices-Clare

Facility: Midmichigan Medical Offices-Farwell

Facility: Midmichigan Medical Offices-Harrison

Crawford County

Service Area: North Central

Delta County

Service Area: Delta County

Facility: Osf Medical Group-Gladstone

Facility: Osf St. Francis Hospital and Medical Group-Escanaba

Facility: Osf St. Francis Women's Center

Dickinson County

Service Area: Iron Mountain

Facility: Dchs After Hours Care

Facility: Dickinson Family and Geriatric Clinic

Facility: Dickinson Family Practice Center – Norway

Facility: Dickinson Family Practice Clinic

Facility: Dickinson Internal Medicine/Nephrology Clinic

Facility: Dickinson Pediatric Clinic

Facility: MMC-Kingsford Clinic

Facility: Nordic Medical Center

Eaton County

Facility: Riverside Family Practice

Emmet County

Service Area: North Country Catchment Area

Facility: Little Traverse Bay Band of Odawa

Genesee County

Population Group: Low Income-Genesee County

Facility: Genesee County Community Mental Health

Facility: Hamilton Community Health Network, Inc.

Gladwin County

Service Area: Central Michigan Service Area

Facility: Midmichigan Medical Offices-Gladwin

Gogebic County

Service Area: Gogebic County

Facility: Aspirus Grand View Clinic – Ironwood

Facility: Lac Vieux Desert Health Clinic

Grand Traverse County

Facility: Traverse Health Clinic and Coalition

Page 108 of 263 Pages

MENTAL HEALTH: Michigan

County and County Equivalent Listing

Gratiot County

Population Group: Low Income-Gratiot County

Facility: Alma Internal Medicine

Facility: Center for Obstetrics and Gynecology

Facility: Family Medical Care Breckenridge

Facility: Gratiot Medical Center

Facility: Ithaca Family Practice

Gratiot County

Facility: Midmichigan Health Family Practice Center Alma

Facility: Sparrow Medical Group Ashley

Facility: Sparrow Medical Group Ithaca

Facility: St. Louis Correctional Facility

Facility: St. Louis Family Clinic

Hillsdale County

Service Area: Coldwater/Hillsdale Service Area

Facility: Primary Care Associates of Jonesville, LLC

Facility: Reading Health Clinic

Houghton County

Service Area: Houghton-Keweenaw

Facility: Portage Health Medical Group

Facility: Portage Health Medical Group-Hancock Clinic

Facility: Portage Health Medical Group-Houghton

Huron County

Service Area: Huron County

Ingham County

Facility: Ingham County Health Department

Ionia County

Service Area: Ionia County

Facility: Charles R. Barker

Facility: Dba Ionia Family Practice/Ionia Associates, LLC

Facility: Ionia Correctional Facility

Facility: Lakewood Family Health Care

Facility: Spectrum Health Belding Family Medicine

Facility: Spectrum Health Pennock Family Medicine – Ionia

Facility: The Family Health Center Portland

Iosco County

Service Area: Au Sable Valley

Facility: St. Joseph Health System Internal Medicine Clinic

Facility: St. Joseph's Health Systems-Oscoda Health Park

Facility: Tawas Bay Family Practice

Page 109 of 263 Pages

MENTAL HEALTH: Michigan

County and County Equivalent Listing

Iron County

Service Area: Iron Mountain

Facility: Aspirus Crystal Falls Clinic

Isabella County

Service Area: Central Michigan Service Area

Facility: Broadway Health Services

Facility: Isabella Citizens for Health, Inc.

Facility: Nimkee Memorial Wellness Center

Jackson County

Facility: Center for Family Health, Inc.

Facility: Charles Egeler Reception and Guidance Center

Facility: Cotton Correctional Facility

Facility: Springport Medical Clinic

Kalamazoo County

Facility: Family Health Center Inc.

Facility: Kalamazoo Psychiatric Hospital

Kalkaska County

Service Area: North Country Catchment Area

Kent County

Facility: Catherine's Health Center

Facility: Cherry Street Services

Facility: Nottawaseppi Huron Band of the Potawatomi-Grand Ra

Facility: Trinity Health Corporation-Dba Mercy Health-Saint Mary's Community Health Center

Facility: White Pines Family Medicine

Keweenaw County

Service Area: Houghton-Keweenaw

Lake County

Service Area: Lake County

Facility: Baldwin Family Health

Leelanau County

Facility: Grand Traverse Ottawa and Chippewa

Facility: Northwest Michigan Health Services, Inc.

Lenawee County

Service Area: Lenawee County

Facility: Health Specialists of Lenawee, P.C.

Luce County

Service Area: Luce County

Facility: Newberry Correctional Facility

Mackinac County

Service Area: Eastern Upper Peninsula

Facility: Lambert Tribal Clinic

Facility: St. Ignace Sault Tribal Health and Human Services Center

Page 110 of 263 Pages

MENTAL HEALTH: Michigan

County and County Equivalent Listing

Macomb County

Population Group: Low Income-South MacOmb Service Area

Facility: Mycare Health Center

Manistee County

Service Area: Manistee/Benzie Service Area

Facility: Little River Band of Ottawa Indians

Facility: Wellston Medical Center

Marquette County

Facility: Upper Great Lakes Family Health Center

Facility: Upper Peninsula Association of Rural Health

Mason County

Population Group: Low Income-Mason County

Facility: Primary Health Services

Facility: Spectrum Health Hospital Family Medicine – Ludington

Facility: Spectrum Health Hospital Internal Medicine - Ludington

Facility: Spectrum Health Ludington Hospital Family and Internal Medicine Ludington

Facility: Spectrum Health Ludington Hospital Ob/Gyn

Facility: Spectrum Health Ludington Hospital Pediatrics

Mecosta County

Service Area: Central Michigan Service Area

Facility: Eastside Family Medical

Facility: Spectrum Health Big Rapids Hospital Canadian Lakes

Facility: Spectrum Health Big Rapids Hospital Family Medicine

Facility: Spectrum Health Big Rapids Ob/Gyn

Menominee County

Service Area: Menominee County

Facility: Hannahville Indian Health Center

Facility: Northreach-Daggett Medical Clinic

Facility: Northreach-Menominee

Midland County

Service Area: Central Michigan Service Area

Missaukee County

Service Area: North Central

Monroe County

Facility: Family Medical Center

Page 111 of 263 Pages

MENTAL HEALTH: Michigan

County and County Equivalent Listing

Montcalm County

Service Area: Montcalm County

Facility: Center for Women's Healthcare (Ccwhc)

Facility: Edmore Care

Facility: Lakeview Family Medicine

Facility: Sheridan Care

Facility: Sparrow Medical Group Carson

Facility: Sparrow Medical Group Greenville

Facility: Sparrow Medical Group Stanton

Facility: Spectrum Health United Hospital Family Medicine and Ob/Gyn

Facility: Spectrum Health United Hospital IM and Ped Greenville

Facility: Stanton 1st Care

Montmorency County

Service Area: Montmorency County

Montmorency County

Facility: Omh Medical Group Lewiston Rural Health Clinic

Facility: Thunder Bay Community Health Services

Muskegon County

Service Area: Muskegon County

Facility: Hackley Community Care Center

Facility: Lakeshore Medical Center

Facility: Muskegon Family Care Center

Newaygo County

Service Area: Newaygo County

Facility: Hesperia Medical Center

Facility: Pine Medical Group Primary Care

Facility: Spectrum Health Gerber Memorial Fam Medical – Fremont

Facility: Spectrum Health Gerber Memorial Family Medicine Newaygo

Facility: Spectrum Health Gerber Memorial Multispecialty Clinic

Oakland County

Population Group: Low Income-Pontiac Service Area

Facility: Oakland Integrated Health Network (Oihn)

Facility: Oakland Primary Health Services

Oceana County

Service Area: Oceana County

Facility: Hart Family Medical Center

Facility: Lakeshore Medical Center - Shelby

Facility: Memorial Medical Center of West Michigan Dba Spectrum Health Hart Family Medicine

Facility: Shelby Family Care

Facility: Spectrum Health Family Medicine – Pentwater

Page 112 of 263 Pages

MENTAL HEALTH: Michigan

County and County Equivalent Listing

Ogemaw County

Service Area: Au Sable Valley

Facility: Primary Care Practice – Alger

Facility: Primary Care Practice - West Branch

Ontonagon County

Service Area: Ontonagon County

Facility: Aspirus Ontonagon Family Practice Clinic

Osceola County

Service Area: Central Michigan Service Area

Facility: Spectrum Health Evart Family Practice

Facility: Spectrum Health Reed City Family Practice

Facility: Spectrum Health Tustin Family Practice

Oscoda County

Service Area: Au Sable Valley

Otsego County

Service Area: North Country Catchment Area

Facility: Ostego Memorial Hospital Medicare Rural Health Clinic-Gaylord

Facility: Otsego Memorial Hospital Rural Health Clinic-Center Ave

Presque Isle County

Service Area: Presque Isle County

Roscommon County

Service Area: North Central

Facility: Midmichigan Health Services

Saginaw County

Service Area: Saginaw County

Facility: Health Delivery, Inc.

Facility: Saginaw Correctional Facility

Sanilac County

Service Area: Sanilac County

Facility: Deckerville Healthcare Services Inc.

Facility: Family Health of Brown City

Facility: McKenzie Rural Health Clinic

Schoolcraft County

Service Area: Schoolcraft County

Facility: Manistique Tribal Health Clinic

Facility: Schoolcraft Memorial Hospital Rural Health Clinic

Shiawassee County

Facility: Arnold Medical Clinic C/O Memorial Healthcare

Facility: Durand Family Health Center

St. Clair County

Facility: Downriver Community Service

Page 113 of 263 Pages

MENTAL HEALTH: Michigan

County and County Equivalent Listing

St. Joseph County

Service Area: St. Joseph County

Facility: Centreville Medical Care

Facility: Colon Medical Clinic

Facility: Covered Bridge Healthcare of St. Joseph County, in

Facility: Family Care Center-White Pigeon

Facility: Smg Practice

Facility: Sturgis Pediatrics

Facility: Three Rivers Health

Tuscola County

Service Area: Mental Health-Tuscola County

Facility: Cass City Family Practice

Facility: Cass City Medical Practice

Facility: Family Healthcare of Cass City

Facility: Kingston Family Healthcare

Tuscola County

Facility: Kingston Family Practice

Facility: Mayville Family Healthcare

Facility: Thumb Pediatrics

Van Buren County

Service Area: Van Buren County

Facility: Bronson Lakeview Family Care-Decatur

Facility: Bronson Lakeview Family Care-Lawton

Facility: Bronson Lakeview Family Care-Mattawan

Facility: Bronson Lakeview Family Care-Paw Paw

Facility: Hartford Medical Center

Facility: Intercare Community Health

Facility: Lakeview Medical Center

Facility: South Haven Community Hospital Cooper Rural Health Clinic

Facility: South Haven Community Hospital Rural Health Clinic

Washtenaw County

Service Area: Saline Service Area

Facility: Packard Health, Inc.

Page 114 of 263 Pages

MENTAL HEALTH: Michigan

County and County Equivalent Listing

Wayne County

Service Area: Dearborn Service Area

Service Area: East Detroit Service Area

Service Area: Hamtramck Service Area

Service Area: Inkster Service Area

Service Area: Northwest Detroit

Service Area: Romulus Service Area

Service Area: South Detroit Service Area

Facility: American Indian Health and Family Svs of Southeast MI

Facility: Charter County of Wayne

Facility: Community Health and Social Services

Facility: Covenant Community Care, Inc.

Facility: Detroit Central City Community Mental Health, Inc.

Facility: Detroit Community Health Connection

Facility: Detroit Health Care for the Homeless

Facility: Health Centers Detroit Foundation

Facility: The Wellness Plan

Facility: Western Wayne Family Health Center

Wexford County

Service Area: North Central

Facility: Northern Pines Health Center

Page 115 of 263 Pages

MENTAL HEALTH: Minnesota

County and County Equivalent Listing

Aitkin County

Service Area: Mental Health Service Area Region 3-Arrowhead

Anoka County

Facility: Anoka Metro Regional Treatment Center

Facility: Minnesota Correctional Facility - Lino Lakes

Becker County

Service Area: Region 4

Facility: White Earth Nation-Circle of Life Academy

Facility: White Earth PHS Indian Hospital

Facility: White Earth Tribal Mental Health

Beltrami County

Service Area: Mental Health Service Area Region 2

Facility: PHS Indian Hospital - Red Lake

Benton County

Service Area: Central Region

Big Stone County

Service Area: Southwest Central Region

Facility: Graceville Health Center Clinic

Blue Earth County

Service Area: South Central Region

Facility: Open Door Health Center

Brown County

Service Area: South Central Region

Facility: Sleepy Eye Medical Center

Carlton County

Service Area: Mental Health Service Area Region 3-Arrowhead

Facility: Fond Du Lac Min-No-Aya-Win Clinic

Facility: Minnesota Correctional Facility - Moose Lake

Facility: Moose Lake - Msop

Cass County

Service Area: Region 5 Mental Health Service Area

Facility: Cass Lake Indian Heath Service Hospital

Facility: Leech Lake Band of Ojibwe

Chippewa County

Service Area: Southwest Central Region

Chisago County

Service Area: Region 7E

Facility: Minnesota Correctional Facility - Rush City

Page 116 of 263 Pages

MENTAL HEALTH: Minnesota

County and County Equivalent Listing

Clay County

Service Area: Region 4

Facility: Community Health Service Inc.

Clearwater County

Service Area: Mental Health Service Area Region 2

Cook County

Service Area: Mental Health Service Area Region 3-Arrowhead

Facility: Grand Portage Health Center

Facility: Sawtooth Mountain Clinic

Cottonwood County

Service Area: Southwest Central Region

Crow Wing County

Service Area: Region 5 Mental Health Service Area

Douglas County

Service Area: Region 4

Faribault County

Service Area: South Central Region

Freeborn County

Service Area: South Central Region

Grant County

Service Area: Region 4

Hennepin County

Facility: Cedar Riverside People's Center

Facility: Community University Health Care Center

Facility: Hennepin County - Healthcare for the Homeless

Facility: Indian Health Board

Facility: Native American Community Clinic

Facility: Neighborhood Healthsource

Facility: Northpoint Health and Wellness Center

Facility: Southside Community

Facility: Universal Medical Services, Inc.

Hubbard County

Service Area: Mental Health Service Area Region 2

Isanti County

Service Area: Region 7E

Itasca County

Service Area: Mental Health Service Area Region 3-Arrowhead

Jackson County

Service Area: Southwest Central Region

Kanabec County

Service Area: Region 7E

Kandiyohi County

Service Area: Southwest Central Region

Page 117 of 263 Pages

MENTAL HEALTH: Minnesota

County and County Equivalent Listing

Kittson County

Service Area: Mental Health Service Area Region 1

Koochiching County

Service Area: Mental Health Service Area Region 3-Arrowhead

Lac qui Parle County

Service Area: Southwest Central Region

Lake County

Service Area: Mental Health Service Area Region 3-Arrowhead

Lake of the Woods County

Service Area: Mental Health Service Area Region 2

Le Sueur County

Service Area: South Central Region

Lincoln County

Service Area: Southwest Central Region

Lyon County

Service Area: Southwest Central Region

Mahnomen County

Service Area: Mental Health Service Area Region 1

Marshall County

Service Area: Mental Health Service Area Region 1

Martin County

Service Area: South Central Region

McLeod County

Service Area: Southwest Central Region

Meeker County

Service Area: Southwest Central Region

Mille Lacs County

Service Area: Region 7E

Facility: Mille Lacs Band of Ojibwe Behavioral Health

Facility: Mille Lacs Family Clinic-Onamia

Facility: Mille Lacs Health System-Isle

Facility: Ne-Ia-Shing Clinic

Morrison County

Service Area: Region 5 Mental Health Service Area

Facility: Mille Lacs Family Clinic-Hillman

Murray County

Service Area: Southwest Central Region

Nicollet County

Service Area: South Central Region

Facility: St. Peter – Msop

Nobles County

Service Area: Southwest Central Region

Norman County

Service Area: Mental Health Service Area Region 1

Page 118 of 263 Pages

MENTAL HEALTH: Minnesota

County and County Equivalent Listing

Olmsted County

Facility: Federal Medical Center-Rochester

Otter Tail County

Service Area: Region 4

Facility: Henning Medical Clinic

Pennington County

Service Area: Mental Health Service Area Region 1

Pine County

Service Area: Region 7E

Pipestone County

Service Area: Southwest Central Region

Polk County

Service Area: Mental Health Service Area Region 1

Pope County

Service Area: Region 4

Ramsey County

Facility: Open Cities Health Center

Facility: United Family Practice Health Center

Facility: Westside Community Health Center

Red Lake County

Service Area: Mental Health Service Area Region 1

Redwood County

Service Area: Southwest Central Region

Facility: Lower Sioux Community Council

Renville County

Service Area: Southwest Central Region

Rice County

Service Area: South Central Region

Facility: Minnesota Correctional Facility - Faribault

Rock County

Service Area: Southwest Central Region

Roseau County

Service Area: Mental Health Service Area Region 1

Scott County

Facility: Minnesota Correctional Facility – Shakopee

Facility: Shakopee Mdewakanton Sioux Community

Sherburne County

Service Area: Central Region

Facility: Minnesota Correctional Facility - St Cloud

Page 119 of 263 Pages

MENTAL HEALTH: Minnesota

County and County Equivalent Listing

Sibley County

Service Area: South Central Region

Facility: Ridgeview Arlington Clinic

Sibley County

Facility: Ridgeview Gaylord Clinic

Facility: Ridgeview Henderson Clinic

Facility: Ridgeview Winthrop Clinic

St. Louis County

Service Area: Mental Health Service Area Region 3-Arrowhead

Facility: Bois Forte Tribal Clinic

Facility: Cook Area Health Services, Inc.

Facility: Lake Superior Community Health Center

Stearns County

Service Area: Central Region

Facility: Albany Medical Center

Stevens County

Service Area: Region 4

Facility: Chokio Medical Center

Swift County

Service Area: Southwest Central Region

Todd County

Service Area: Region 5 Mental Health Service Area

Facility: Bertha Medical Clinic

Traverse County

Service Area: Region 4

Wadena County

Service Area: Region 5 Mental Health Service Area

Washington County

Facility: Minnesota Correctional Facility - Oak Park Heights

Facility: Minnesota Correctional Facility - Stillwater

Watonwan County

Service Area: South Central Region

Wilkin County

Service Area: Region 4

Wright County

Service Area: Southwest Central Region

Yellow Medicine County

Service Area: Southwest Central Region

Facility: Sanford Canby Clinic

Page 120 of 263 Pages

MENTAL HEALTH: Mississippi

County and County Equivalent Listing

Adams County

Service Area: Mental Health Catchment Area 11

Alcorn County

Service Area: Mental Health Catchment Area 4

Amite County

Service Area: Mental Health Catchment Area 11

Facility: Amite County Medical

Attala County

Service Area: Mental Health Catchment Area 6

Benton County

Service Area: Mental Health Catchment Area 3

Facility: North Benton County Health

Bolivar County

Service Area: Mental Health Catchment Area 5

Facility: Delta Health Center, Inc.

Calhoun County

Service Area: Mental Health Catchment Area 2

Carroll County

Service Area: Mental Health Catchment Area 6

Chickasaw County

Service Area: Mental Health Catchment Area 3

Choctaw County

Service Area: Mental Health Catchment Area 7

Claiborne County

Service Area: Mental Health Catchment Area 11

Facility: Claiborne County Family Health Center

Clarke County

Service Area: Mental Health Catchment Area 10

Facility: Outreach Health Services

Clay County

Service Area: Mental Health Catchment Area 7

Coahoma County

Service Area: Mental Health Catchment Area 1

Facility: Aaron E. Henry Community Health Center

Covington County

Service Area: Catchment Area 12

DeSoto County

Service Area: Mental Health Catchment Area 2

Forrest County

Service Area: Catchment Area 12

Facility: Southeast Mississippi Rural Health Initiative, Inc.

MENTAL HEALTH: Mississippi

County and County Equivalent Listing

Page 121 of 263 Pages

Franklin County

Service Area: Mental Health Catchment Area 11

George County

Service Area: Mental Health Catchment Area 14

Greene County

Service Area: Catchment Area 12

Facility: Greene Area Medical Extenders, Inc.

Facility: Mental Health-South MS Correctional Facility

Grenada County

Service Area: Mental Health Catchment Area 6

Hancock County

Service Area: Catchment Area 13

Harrison County

Service Area: Catchment Area 13

Facility: Coastal Family Health Center

Hinds County

Facility: Central Mississippi Civic Improvement

Facility: Central Mississippi Health Services

Holmes County

Service Area: Mental Health Catchment Area 6

Facility: Dr. Arelia C. Mallory Community Health Center

Humphreys County

Service Area: Mental Health Catchment Area 6

Issaquena County

Service Area: Mental Health Catchment Area 5

Itawamba County

Service Area: Mental Health Catchment Area 3

Facility: Mantachie Rural Health Care, Inc.

Jackson County

Service Area: Mental Health Catchment Area 14

Jasper County

Service Area: Mental Health Catchment Area 10

Jefferson County

Service Area: Mental Health Catchment Area 11

Facility: Jefferson Comprehensive

Jefferson Davis County

Service Area: Catchment Area 12

Jones County

Service Area: Catchment Area 12

Facility: Family Health Center, Inc.

MENTAL HEALTH: Mississippi

County and County Equivalent Listing

Page 122 of 263 Pages

Kemper County

Service Area: Mental Health Catchment Area 10

Lafayette County

Service Area: Mental Health Catchment Area 2

Lamar County

Service Area: Catchment Area 12

Lauderdale County

Service Area: Mental Health Catchment Area 10

Facility: East Mississippi Medical Clinic-Meridan

Facility: East Mississippi State Hospital

Facility: Greater Meridian Health Clinic

Lawrence County

Service Area: Mental Health Catchment Area 11

Leake County

Service Area: Mental Health Catchment Area 10

Lee County

Service Area: Mental Health Catchment Area 3

Leflore County

Service Area: Mental Health Catchment Area 6

Lincoln County

Service Area: Mental Health Catchment Area 11

Lowndes County

Service Area: Mental Health Catchment Area 7

Madison County

Facility: G. A. Carmichael Family Health Center

Marion County

Service Area: Catchment Area 12

Marshall County

Service Area: Mental Health Catchment Area 2

Facility: Mental Health-Marshall County Correctinal Facility

Facility: Northeast Mississippi

Monroe County

Service Area: Mental Health Catchment Area 3

Facility: Access Family Health Services

Facility: Chestnut Medical Clinic

Facility: Pioneer Family Medical

Montgomery County

Service Area: Mental Health Catchment Area 6

MENTAL HEALTH: Mississippi

County and County Equivalent Listing

Page 123 of 263 Pages

Neshoba County

Service Area: Mental Health Catchment Area 10

Facility: Choctaw Health Center

Facility: Mississippi Band of Choctaw Indians

Newton County

Service Area: Mental Health Catchment Area 10

Newton County

Facility: East Mississippi Medical Clinic-Newton

Noxubee County

Service Area: Mental Health Catchment Area 7

Oktibbeha County

Service Area: Mental Health Catchment Area 7

Panola County

Service Area: Mental Health Catchment Area 2

Pearl River County

Service Area: Catchment Area 13

Perry County

Service Area: Catchment Area 12

Pike County

Service Area: Mental Health Catchment Area 11

Pontotoc County

Service Area: Mental Health Catchment Area 3

Prentiss County

Service Area: Mental Health Catchment Area 4

Quitman County

Service Area: Mental Health Catchment Area 1

Rankin County

Facility: Family Healthcare Clinic

Facility: Mental Health-Central Correctional Facility

Scott County

Service Area: Mental Health Catchment Area 10

Facility: East Central Mississippi Health Care, Inc.

Sharkey County

Service Area: Mental Health Catchment Area 5

Smith County

Service Area: Mental Health Catchment Area 10

Stone County

Service Area: Catchment Area 13

Sunflower County

Service Area: Mental Health Catchment Area 6

Facility: Mississippi State Penitentiary (MSP)

Tallahatchie County

Service Area: Mental Health Catchment Area 1

MENTAL HEALTH: Mississippi

County and County Equivalent Listing

Page 124 of 263 Pages

Tate County

Service Area: Mental Health Catchment Area 2

Tippah County

Service Area: Mental Health Catchment Area 4

Tishomingo County

Service Area: Mental Health Catchment Area 4

Tunica County

Service Area: Mental Health Catchment Area 1

Union County

Service Area: Mental Health Catchment Area 3

Walthall County

Service Area: Mental Health Catchment Area 11

Warren County

Service Area: Mental Health Catchment Area 15

Washington County

Service Area: Mental Health Catchment Area 5

Wayne County

Service Area: Catchment Area 12

Webster County

Service Area: Mental Health Catchment Area 7

Wilkinson County

Service Area: Mental Health Catchment Area 11

Facility: Wilkinson County Correctional Facility (Wccf)

Winston County

Service Area: Mental Health Catchment Area 7

Yalobusha County

Service Area: Mental Health Catchment Area 2

Yazoo County

Service Area: Mental Health Catchment Area 15

Facility: Federal Correctional Institution - Yazoo City

Page 125 of 263 Pages

MENTAL HEALTH: Missouri

County and County Equivalent Listing

Adair County

Population Group: Low Income-Mental Health Service Area 14/Hannibal

Facility: Northeast Missouri Health Council

Facility: Preferred Family Healthcare Inc.

Andrew County

Population Group: Low Income-St. Joseph Catchment Area

Atchison County

Population Group: Low Income-St. Joseph Catchment Area

Audrain County

Population Group: Low Income-Mental Health Service Area 15/Mexico

Facility: East Central MO Behavioral Health Svs/Dba Arthur Center

Facility: Womens Eastern Reception Diagnostic Correctional

Barry County

Population Group: Low Income-Mental Health Catchment Area 8 (Nevada Catchment Area)

Barton County

Population Group: Low Income-Joplin Catchment Area

Bates County

Population Group: Low Income-Mental Health Catchment Area 8 (Nevada Catchment Area)

Benton County

Population Group: Low Income-Mental Health Catchment Area 8 (Nevada Catchment Area)

Bollinger County

Population Group: Low Income-Bollinger, Cape Girardeau, Madison, Perry, Ste

Genevieve Counties

Boone County

Population Group: Low Income-Columbia Mental Health Catchment Area

Facility: Family Health Center of Boone County

Buchanan County

Population Group: Low Income-St. Joseph Catchment Area

Facility: Northwest Health Services

Facility: Western Reception Diagnostic Correctional Center

Butler County

Population Group: Low Income-Poplar Bluff

Caldwell County

Service Area: Chillicothe Service Area

Callaway County

Population Group: Low Income-Mental Health Service Area 15/Mexico

Facility: Fulton Reception and Diagnostic Center

Page 126 of 263 Pages

MENTAL HEALTH: Missouri

County and County Equivalent Listing

Camden County

Population Group: Low Income-Cole Catchment Area

Facility: Lake Regioinal Clinic – Camdenton

Facility: Lake Regional Clinic - Lake Ozark

Facility: Lake Regional Clinic - Macks Creek

Camden County

Facility: Lake Regional Clinic - Osage

Cape Girardeau County

Population Group: Low Income-Bollinger, Cape Girardeau, Madison, Perry, Ste

Genevieve Counties

Facility: Cross Trails Medical Center

Carroll County

Population Group: Low Income-Columbia Mental Health Catchment Area

Carter County

Population Group: Low Income-Poplar Bluff

Cass County

Facility: Harrisonville Medical Clinic

Facility: Pleasant Hill Medical Clinic

Cedar County

Population Group: Low Income-Mental Health Catchment Area 8 (Nevada Catchment Area)

Chariton County

Population Group: Low Income-Columbia Mental Health Catchment Area

Christian County

Population Group: Low Income-Springfield Mental Health Service Area

Facility: Sparta Clinic

Facility: Sparta Health Clinic

Clark County

Population Group: Low Income-Mental Health Service Area 14/Hannibal

Clinton County

Population Group: Low Income-St. Joseph Catchment Area

Cole County

Population Group: Low Income-Cole Catchment Area

Facility: Algoa Correctional Center

Facility: Jefferson City Correctional Center

Cooper County

Population Group: Low Income-Columbia Mental Health Catchment Area

Facility: Boonville Correctional Center

Facility: Cooper County Rural Health Clinic

Crawford County

Population Group: Low Income-Rolla Catchment Area

Page 127 of 263 Pages

MENTAL HEALTH: Missouri

County and County Equivalent Listing

Dade County

Population Group: Low Income-Mental Health Catchment Area 8 (Nevada Catchment Area)

Dallas County

Population Group: Low Income-Springfield Mental Health Service Area

Daviess County

Service Area: Chillicothe Service Area

DeKalb County

Population Group: Low Income-St. Joseph Catchment Area

Facility: Crossroads Correctional Center

Facility: Western Missouri Correctional Center

Dent County

Population Group: Low Income-Rolla Catchment Area

Douglas County

Population Group: Low Income-West Plains Catchment Area

Facility: Douglas County Public Health Center

Dunklin County

Population Group: Low Income-Poplar Bluff

Franklin County

Population Group: Low Income-Franklin County

Gasconade County

Population Group: Low Income-Rolla Catchment Area

Facility: Associated Medical Arts – Hermann

Facility: Medical Clinic Owensville

Facility: Southwest Medical Association

Gentry County

Population Group: Low Income-St. Joseph Catchment Area

Facility: Northwest Medical Center (Stanberry)

Greene County

Population Group: Low Income-Springfield Mental Health Service Area

Facility: Advocates for a Healthy Community/Dba Jordan Valle

Facility: Mcfp-Springfield

Grundy County

Service Area: Chillicothe Service Area

Harrison County

Service Area: Chillicothe Service Area

Henry County

Population Group: Low Income-Mental Health Catchment Area 8 (Nevada Catchment Area) Facility:

Pathways Community Behavioral Healthcare Inc.

Hickory County

Population Group: Low Income-Mental Health Catchment Area 8 (Nevada Catchment Area)

Facility: Lake Area Primary Care Clinic

Facility: Ozarks Resource Group

Page 128 of 263 Pages

MENTAL HEALTH: Missouri

County and County Equivalent Listing

Holt County

Population Group: Low Income-St. Joseph Catchment Area

Howard County

Population Group: Low Income-Columbia Mental Health Catchment Area

Howell County

Population Group: Low Income-West Plains Catchment Area

Howell County

Facility: Rural Alliance for Better Health

Iron County

Population Group: Low Income-Rolla Catchment Area

Jackson County

Population Group: Low Income-Jackson County

Facility: Kansas City Care Clinic

Facility: Samuel U. Rodgers Health Center

Facility: Swope Health Services

Jasper County

Population Group: Low Income-Joplin Catchment Area

Jefferson County

Facility: Community Treatment Inc.

Johnson County

Population Group: Low Income-Johnson County

Knox County

Population Group: Low Income-Mental Health Service Area 14/Hannibal

Laclede County

Population Group: Low Income-Cole Catchment Area

Lafayette County

Service Area: Lafayette County

Facility: Family Health Medical Practice

Facility: Health Care Coalition of Lafayette County

Lawrence County

Population Group: Low Income-Mental Health Catchment Area 8 (Nevada Catchment Area)

Lewis County

Population Group: Low Income-Mental Health Service Area 14/Hannibal

Facility: Quincy Medical Group - Canton

Facility: Quincy Medical Group - Lewistown Rural Health

Facility: Quincy Medical Group-Labelle Rural Health

Lincoln County

Population Group: Low Income-Lincoln County

Linn County

Service Area: Chillicothe Service Area

Livingston County

Service Area: Chillicothe Service Area

Facility: Chillicothe Correctional Center

Page 129 of 263 Pages

MENTAL HEALTH: Missouri

County and County Equivalent Listing

Macon County

Population Group: Low Income-Mental Health Service Area 14/Hannibal

Madison County

Population Group: Low Income-Bollinger, Cape Girardeau, Madison, Perry, Ste Genevieve Counties

Maries County

Population Group: Low Income-Rolla Catchment Area

Marion County

Population Group: Low Income-Mental Health Service Area 14/Hannibal

Facility: Salt River Community Health Center

McDonald County

Population Group: Low Income-Joplin Catchment Area

Facility: Anderson Rural Health Clinic

Facility: Goodman Family Clinic

Facility: Ozark Tricounty Health Center

Facility: Pineville Medical Clinic

Facility: Southwest City Community Clinic

Mercer County

Service Area: Chillicothe Service Area

Miller County

Population Group: Low Income-Cole Catchment Area

Facility: Lake Regional Clinic - Eldon

Facility: Lake Regional Clinic - Iberia

Mississippi County

Service Area: Sikeston Mental Health Catchment Area

Facility: Southeast Correctional Center

Moniteau County

Population Group: Low Income-Columbia Mental Health Catchment Area

Monroe County

Population Group: Low Income-Mental Health Service Area 15/Mexico

Montgomery County

Population Group: Low Income-Mental Health Service Area 15/Mexico

Facility: Associated Medical Arts - Montgomery City

Morgan County

Population Group: Low Income-Columbia Mental Health Catchment Area

Facility: Lake Regional Clinic – Laurie

New Madrid County

Service Area: Sikeston Mental Health Catchment Area

Facility: Southeast Missouri Health Network, Inc.

Newton County

Population Group: Low Income-Joplin Catchment Area

Facility: Eastern Shawnee Tribe

Page 130 of 263 Pages

MENTAL HEALTH: Missouri

County and County Equivalent Listing

Nodaway County

Population Group: Low Income-St. Joseph Catchment Area

Oregon County

Population Group: Low Income-West Plains Catchment Area

Osage County

Population Group: Low Income-Cole Catchment Area

Facility: Community Health Center of Central Missouri

Ozark County

Population Group: Low Income-West Plains Catchment Area

Pemiscot County

Population Group: Low Income-Poplar Bluff

Perry County

Population Group: Low Income-Bollinger, Cape Girardeau, Madison, Perry, Ste

Genevieve Counties

Pettis County

Population Group: Low Income-Columbia Mental Health Catchment Area

Facility: Regional Health Care Clinic, Inc./Katy Trail

Phelps County

Population Group: Low Income-Rolla Catchment Area

Facility: South Central Missouri Community Health Center

Pike County

Population Group: Low Income-Mental Health Service Area 15/Mexico

Facility: Eastern Missouri Health Services

Facility: Northeast Correctional Center

Platte County

Population Group: Low Income-St. Joseph Catchment Area

Polk County

Population Group: Low Income-Springfield Mental Health Service Area

Pulaski County

Population Group: Low Income-Cole Catchment Area

Facility: Central Ozark Medical

Putnam County

Service Area: Chillicothe Service Area

Ralls County

Population Group: Low Income-Mental Health Service Area 15/Mexico

Randolph County

Population Group: Low Income-Columbia Mental Health Catchment Area

Facility: Moberly Correctional Center

Facility: Randolph County Health Department

Ray County

Service Area: Chillicothe Service Area

Page 131 of 263 Pages

MENTAL HEALTH: Missouri

County and County Equivalent Listing

Reynolds County

Population Group: Low Income-Poplar Bluff

Facility: Big Springs Medical Association, Inc.

Ripley County

Population Group: Low Income-Poplar Bluff

Saline County

Population Group: Low Income-Columbia Mental Health Catchment Area

Schuyler County

Population Group: Low Income-Mental Health Service Area 14/Hannibal

Scotland County

Population Group: Low Income-Mental Health Service Area 14/Hannibal

Scott County

Service Area: Sikeston Mental Health Catchment Area

Shannon County

Population Group: Low Income-West Plains Catchment Area

Shelby County

Population Group: Low Income-Mental Health Service Area 14/Hannibal

St. Charles County

Facility: Crider Health Center

St. Clair County

Population Group: Low Income-Mental Health Catchment Area 8 (Nevada Catchment Area)

Facility: Osceola Medical Center

Facility: Sac-Osage Hospital Tri-County Clinic

St. Francois County

Population Group: Low Income-Rolla Catchment Area

Facility: Eastern Reception and Diagnostic Correctional Cent

Facility: Farmington Correctional Center

St. Louis City

Population Group: Low Income-Catchment Area 24

Population Group: Low Income-St. Louis City Area 24-2

Facility: Affinia Health Centers

Facility: Family Care Health Centers

Facility: Myrtle Hilliard Davis Comprehensive Heal

Facility: People's Health Centers

St. Louis County

Population Group: Low Income-Berkeley/Ferguson/Jennings/Bridgeton

Population Group: Low Income-St. Louis City Area 24-2

Facility: Missouri Eastern Correctional Center

Facility: The Right Solution

Ste. Genevieve County

Population Group: Low Income-Bollinger, Cape Girardeau, Madison, Perry, Ste Genevieve

Counties

Page 132 of 263 Pages

MENTAL HEALTH: Missouri

County and County Equivalent Listing

Stoddard County

Service Area: Sikeston Mental Health Catchment Area

Stone County

Population Group: Low Income-Springfield Mental Health Service Area

Sullivan County

Service Area: Chillicothe Service Area

Taney County

Population Group: Low Income-Springfield Mental Health Service Area

Texas County

Population Group: Low Income-West Plains Catchment Area

Facility: Potosi Correctional Center

Facility: South Central Correctional Center

Vernon County

Population Group: Low Income-Mental Health Catchment Area 8 (Nevada Catchment Area)

Warren County

Population Group: Low Income-Warren County

Washington County

Population Group: Low Income-Rolla Catchment Area

Facility: Great Mines Health Center

Wayne County

Population Group: Low Income-Poplar Bluff

Webster County

Population Group: Low Income-Springfield Mental Health Service Area

Facility: Fordland Clinic Inc.

Facility: Ozark Correctional Center

Worth County

Population Group: Low Income-St. Joseph Catchment Area

Wright County

Population Group: Low Income-West Plains Catchment Area

Page 133 of 263 Pages

MENTAL HEALTH: Montana County and County Equivalent Listing

Beaverhead County

Service Area: Beaverhead County

Big Horn County

Service Area: Big Horn County

Facility: Big Horn Valley Health Center

Facility: Crow-Lodge Grass Clinic

Facility: Lodge Grass Health Clinic

Blaine County

Service Area: North-Central Montana

Facility: Fort Belknap PHS Indian Hospital

Facility: Harlem PHS Indian Hospital

Facility: Hays Clinic/Eagle Child Health Center

Facility: Sweet Medical Center, Inc.

Broadwater County

Service Area: Broadwater County

Carbon County

Service Area: Carbon County

Carter County

Service Area: Eastern Montana

Cascade County

Population Group: Low Income - Helena

Facility: Cascade City County Health Department

Facility: Indian Family Health Clinic

Chouteau County

Service Area: North-Central Montana

Custer County

Service Area: Eastern Montana

Facility: Custer County Community Health Center

Facility: Holy Rosary Healthcare Clinic

Daniels County

Service Area: Eastern Montana

Facility: Daniels Memorial Healthcare Center

Dawson County

Service Area: Eastern Montana

Deer Lodge County

Service Area: Silver Bow/Deer Lodge Counties

Facility: Montana State Hospital

Fallon County

Service Area: Eastern Montana

Page 134 of 263 Pages

MENTAL HEALTH: Montana County and County Equivalent Listing

Fergus County

Service Area: Lewistown

Facility: Central Montana Community Health Center

Flathead County

Population Group: Low Income - Flathead County

Facility: Flathead City-County Health Department

Gallatin County

Population Group: Low Income - Gallatin County

Garfield County

Service Area: Eastern Montana

Glacier County

Service Area: North-Central Montana

Facility: Blackfeet Tribal Health Department

Facility: Browning PHS Indian Hospital

Facility: Glacier Community Health Center

Granite County

Service Area: Granite County

Hill County

Service Area: North-Central Montana

Facility: Bullhook Community Health Center

Facility: Rocky Boy Tribal Health Department

Jefferson County

Service Area: Jefferson County

Facility: Elkhorn Mountain Health Services Dba Boulder Medical Clinic

Judith Basin County

Service Area: Lewistown

Lake County

Service Area: Lake County

Facility: Flathead Tribal Health and Human Services

Facility: The Confederated Salish and Kootenai Tribal Health D

Lewis and Clark County

Population Group: Low Income – Helena

Facility: Helena Indian Alliance

Facility: Lewis and Clark City/County Health Department

Liberty County

Service Area: North-Central Montana

Lincoln County

Service Area: Lincoln County

Facility: Libby Clinic, Pllp

Facility: Lincoln County Community Health Center

Page 135 of 263 Pages

MENTAL HEALTH: Montana County and County Equivalent Listing

Madison County

Service Area: Madison County

Facility: Madison Valley Clinic

Facility: Ruby Valley Medical Clinic

Facility: Twin Bridges Medical Clinic

McCone County

Service Area: Eastern Montana

Meagher County

Service Area: Meagher County

Mineral County

Service Area: Mineral County

Facility: Mineral Regional Health Center

Missoula County

Population Group: Low Income - Missoula County

Facility: Missoula City/County Health Department

Facility: Missoula Indian Center

Musselshell County

Service Area: Musselshell County

Park County

Population Group: Low Income-Park County

Facility: Community Health Partners

Facility: Livingston Health Care Dba Park Clinic

Facility: Park Clinic - West Crawford

Petroleum County

Service Area: Lewistown

Phillips County

Service Area: Eastern Montana

Pondera County

Service Area: North-Central Montana

Facility: Heart Butte Clinic

Facility: Heart Butte Health Station

Facility: Pondera Medical Center Clinic

Powder River County

Service Area: Eastern Montana

Powell County

Service Area: Powell County

Facility: Deerlodge State Prison

Prairie County

Service Area: Eastern Montana

Page 136 of 263 Pages

MENTAL HEALTH: Montana County and County Equivalent Listing

Ravalli County

Service Area: Ravalli County

Facility: Sapphire Community Health Inc.

Richland County

Service Area: Eastern Montana

Roosevelt County

Service Area: Eastern Montana

Facility: Fort Peck Tribal Health Project

Roosevelt County

Facility: Poplar PHS Indian Health Center

Facility: Roosevelt Memorial Clinic

Rosebud County

Service Area: Eastern Montana

Facility: Ashland Community Health Center

Facility: Lame Deer PHS Indian Health Center

Facility: Northern Cheyenne Tribal Health Department

Facility: Rosebud Health Care Center

Sanders County

Service Area: Sanders County

Sheridan County

Service Area: Eastern Montana

Silver Bow County

Service Area: Silver Bow/Deer Lodge Counties

Facility: Butte-Silverbow Primary Health Care

Facility: North American Indian Alliance

Stillwater County

Service Area: Stillwater County

Sweet Grass County

Service Area: Sweet Grass County

Teton County

Service Area: North-Central Montana

Toole County

Service Area: North-Central Montana

Facility: Marias Healthcare Services, Inc.

Treasure County

Service Area: Eastern Montana

Valley County

Service Area: Eastern Montana

Wheatland County

Service Area: Lewistown

Wibaux County

Service Area: Eastern Montana

Page 137 of 263 Pages

MENTAL HEALTH: Montana County and County Equivalent Listing

Yellowstone County

Facility: Indian Health Board of Billings

Facility: Montana Migrant

Facility: Yellowstone City/County Health Department

Page 138 of 263 Pages

MENTAL HEALTH: Nebraska

County and County Equivalent Listing

Adams County

Service Area: Mental Health Catchment Area 3

Antelope County

Service Area: Catchment Area 4

Arthur County

Service Area: Catchment Area 2

Banner County

Service Area: Catchment Area 1

Blaine County

Service Area: Mental Health Catchment Area 3

Boone County

Service Area: Catchment Area 4

Box Butte County

Service Area: Catchment Area 1

Boyd County

Service Area: Catchment Area 4

Brown County

Service Area: Catchment Area 4

Buffalo County

Service Area: Mental Health Catchment Area 3

Burt County

Service Area: Catchment Area 4

Facility: Cottonwood Rural Health Clinic

Facility: Lyons Mercy Medical Clinic

Facility: Oakland Family Practice

Facility: Oakland Mercy Medical Clinic

Facility: Tekamah Mercy Medical Clinic

Butler County

Service Area: Mental Health Catchment Area 5

Cass County

Facility: Weeping Water Medical Center

Cedar County

Service Area: Catchment Area 4

Facility: Avera Medical Group – Hartington

Facility: Laurel Mercy Medical Clinic

Chase County

Service Area: Catchment Area 2

Page 139 of 263 Pages

MENTAL HEALTH: Nebraska

County and County Equivalent Listing

Cherry County

Service Area: Catchment Area 4

Facility: Cherry County Clinic

Facility: Valentine Medical Clinic, LLC

Cheyenne County

Service Area: Catchment Area 1

Clay County

Service Area: Mental Health Catchment Area 3

Facility: Edgar Medical Center

Facility: Sutton Family Practice

Colfax County

Service Area: Catchment Area 4

Facility: Chi Health Clarkson Clinic

Facility: Chi Health Howells Clinic

Facility: Chi Health Schuyler Clinic

Facility: Howells Family Practice

Cuming County

Service Area: Catchment Area 4

Facility: Dinklage Medical Clinic

Facility: Wisner Family Practice

Custer County

Service Area: Mental Health Catchment Area 3

Facility: Callaway Medical Clinic

Dakota County

Service Area: Catchment Area 4

Dawes County

Service Area: Catchment Area 1

Facility: Legend Buttes Health Services Center

Dawson County

Service Area: Catchment Area 2

Facility: Family Medicine Specialists

Facility: Gothenburg Medical Arts Rural Health Clinic

Deuel County

Service Area: Catchment Area 1

Dixon County

Service Area: Catchment Area 4

Dodge County

Facility: Scribner Medical Clinic

Page 140 of 263 Pages

MENTAL HEALTH: Nebraska

County and County Equivalent Listing

Douglas County

Facility: Charles Drew Medical Clinic

Facility: Fred Leroy Health and Wellness Clinic\Ponca Tribe of

Facility: Nebraska Urban Indian Health Coalition

Facility: One World Community Health Center

Dundy County

Service Area: Catchment Area 2

Facility: Quality Healthcare Services Medical Clinic-Benkelm

Fillmore County

Service Area: Mental Health Catchment Area 5

Facility: Fillmore County Medical Center, P.C.

Franklin County

Service Area: Mental Health Catchment Area 3

Frontier County

Service Area: Catchment Area 2

Furnas County

Service Area: Mental Health Catchment Area 3

Gage County

Service Area: Mental Health Catchment Area 5

Facility: Adams Primary Care

Facility: Gage County Medical Clinic

Facility: The Beatrice Women's and Children's Clinic

Garden County

Service Area: Catchment Area 1

Facility: Regional West Garden County Clinic

Garfield County

Service Area: Mental Health Catchment Area 3

Facility: Burwell Family Practice Clinic

Gosper County

Service Area: Catchment Area 2

Grant County

Service Area: Catchment Area 2

Greeley County

Service Area: Mental Health Catchment Area 3

Hall County

Service Area: Mental Health Catchment Area 3

Facility: Heartland Health Center, Inc.

Hamilton County

Service Area: Mental Health Catchment Area 3

Harlan County

Service Area: Mental Health Catchment Area 3

Page 141 of 263 Pages

MENTAL HEALTH: Nebraska

County and County Equivalent Listing

Hayes County

Service Area: Catchment Area 2

Hitchcock County

Service Area: Catchment Area 2

Facility: Quality Healthcare Services Medical Clinic-Stratto

Holt County

Service Area: Catchment Area 4

Facility: Avera O'Neill Family Medicine

Facility: Greater Sandhills Family Healthcare - Atkinson

Holt County

Facility: Grtr Sandhills Family Healthcare-Stuart

Facility: West Holt Medical Clinic

Hooker County

Service Area: Catchment Area 2

Howard County

Service Area: Mental Health Catchment Area 3

Jefferson County

Service Area: Mental Health Catchment Area 5

Johnson County

Service Area: Mental Health Catchment Area 5

Facility: Tecumseh Family Health Care

Facility: Tecumseh State Corrections - Mental Health

Kearney County

Service Area: Mental Health Catchment Area 3

Keith County

Service Area: Catchment Area 2

Keya Paha County

Service Area: Catchment Area 4

Kimball County

Service Area: Catchment Area 1

Facility: Kimball County Hospital Clinic

Knox County

Service Area: Catchment Area 4

Facility: Santee Sioux Nation

Lancaster County

Service Area: Mental Health Catchment Area 5

Facility: Nebraska Urban Indian Medical Center

Facility: People's Health Center

Facility: Ponca Tribe of Nebraska

Page 142 of 263 Pages

MENTAL HEALTH: Nebraska

County and County Equivalent Listing

Lincoln County

Service Area: Catchment Area 2

Facility: Brady Rural Health Clinic

Logan County

Service Area: Catchment Area 2

Loup County

Service Area: Mental Health Catchment Area 3

Madison County

Service Area: Catchment Area 4

Facility: Midtown Health Center, Inc.

Facility: Ponca Hills Health and Wellness Center\Ponca Tribe O

McPherson County

Service Area: Catchment Area 2

Merrick County

Service Area: Mental Health Catchment Area 3

Facility: Lone Tree Medical Associates, P.C.

Morrill County

Service Area: Catchment Area 1

Nance County

Service Area: Catchment Area 4

Facility: Lone Tree Medical Associates – Fullerton

Facility: Park Street Medical Clinic

Nemaha County

Service Area: Mental Health Catchment Area 5

Nuckolls County

Service Area: Mental Health Catchment Area 3

Facility: Superior Family Medical Center – Nelson

Facility: Superior Family Medical Center - Superior

Otoe County

Service Area: Mental Health Catchment Area 5

Facility: Nebraska City Medical Clinic

Facility: Syracuse Medical Center

Pawnee County

Service Area: Mental Health Catchment Area 5

Facility: Pawnee County Rural Health Clinic

Perkins County

Service Area: Catchment Area 2

Phelps County

Service Area: Mental Health Catchment Area 3

Page 143 of 263 Pages

MENTAL HEALTH: Nebraska

County and County Equivalent Listing

Pierce County

Service Area: Catchment Area 4

Facility: Chi Health Plainview Clinic

Platte County

Service Area: Catchment Area 4

Facility: East Central District Health Department

Polk County

Service Area: Mental Health Catchment Area 5

Red Willow County

Service Area: Catchment Area 2

Richardson County

Service Area: Mental Health Catchment Area 5

Facility: Family Medicine

Facility: Humboldt Family Medicine

Rock County

Service Area: Catchment Area 4

Facility: Greater Sandhills Family Healthcare-Bass

Facility: Rock County Clinic

Saline County

Service Area: Mental Health Catchment Area 5

Saunders County

Service Area: Mental Health Catchment Area 5

Scotts Bluff County

Service Area: Catchment Area 1

Facility: Panhandle Community

Seward County

Service Area: Mental Health Catchment Area 5

Sheridan County

Service Area: Catchment Area 1

Facility: Gordon Clinic

Sherman County

Service Area: Mental Health Catchment Area 3

Sioux County

Service Area: Catchment Area 1

Stanton County

Service Area: Catchment Area 4

Page 144 of 263 Pages

MENTAL HEALTH: Nebraska

County and County Equivalent Listing

Thayer County

Service Area: Mental Health Catchment Area 5

Facility: Chester Medical Clinic

Facility: Davenport Medical Clinic

Facility: Deshler Medical Clinic

Facility: Tchs Bruning Medical Clinic

Facility: Thayer County Health Services

Thomas County

Service Area: Catchment Area 2

Thurston County

Service Area: Catchment Area 4

Facility: Carl T. Curtis Health Center

Facility: Winnebago PHS Indian Hospital

Valley County

Service Area: Mental Health Catchment Area 3

Facility: North Loup Medical Clinic

Facility: Vchs Medical Clinic (Formerly Ord Family Health Center)

Washington County

Facility: Fort Calhoun Clinic

Facility: Mch Physicians

Wayne County

Service Area: Catchment Area 4

Facility: Wayne Mercy Medical Clinic

Webster County

Service Area: Mental Health Catchment Area 3

Wheeler County

Service Area: Mental Health Catchment Area 3

York County

Service Area: Mental Health Catchment Area 5

Facility: Henderson Health Care Services

Page 145 of 263 Pages

MENTAL HEALTH: Nevada County and County Equivalent Listing

Carson City

Service Area: Mental Health Catchment Area Northern Rural and Frontier Nevada

Facility: Nevada Health Centers

Facility: Northern Nevada Correctional Center

Facility: Warm Springs Correctional Center

Churchill County

Service Area: Mental Health Catchment Area Northern Rural and Frontier Nevada

Facility: Fallon Health Center

Clark County

Service Area: Mental Health Catchment Area Laughlin Southern Clark

Service Area: Mental Health Catchment Area Northern Urban Clark

Service Area: Mental Health Catchment Area Northwestern Urban Clark

Service Area: Mental Health Catchment Area Southern Nevada Rural

Service Area: Mental Health Catchment Area Southern Urban Clark

Service Area: Mental Health Catchment Area Spring Valley

Facility: First Person Care Clinic

Facility: Firstmed Health and Wellness Center

Facility: Florence McClure Correctional Center

Facility: High Desert State Prison

Facility: Hope Christian Health Center Corporation

Facility: Las Vegas Paiute Tribe

Facility: Moapa Band of Paiutes

Facility: Moapa Health Clinic

Facility: Searchlight Healthcare, Inc.

Facility: Silver State Health Services

Facility: Southern Desert Correctional Center

Facility: Southern Nevada Adult Mental Health Services

Douglas County

Service Area: Mental Health Catchment Area Northern Rural and Frontier Nevada

Facility: Minden Family Medicine

Facility: Topaz Ranch Medical Clinic

Facility: Washoe Tribal Health Center-Gardnerville Health Center

Elko County

Service Area: Mental Health Catchment Area Northern Rural and Frontier Nevada

Facility: Elko Health Center

Facility: Owyhee Community Hospital

Facility: South Fork Band Council

Facility: Te-Moak Tribe of Western Shoshone

Esmeralda County

Service Area: Mental Health Catchment Area Southern Nevada Rural

Page 146 of 263 Pages

MENTAL HEALTH: Nevada County and County Equivalent Listing

Eureka County

Service Area: Mental Health Catchment Area Northern Rural and Frontier Nevada

Humboldt County

Service Area: Mental Health Catchment Area Northern Rural and Frontier Nevada

Facility: Fort McDermitt Tribal Health Center

Facility: Humboldt General Rural Health Clinic

Lander County

Service Area: Mental Health Catchment Area Northern Rural and Frontier Nevada

Facility: Battle Mountain Band

Facility: Battle Mountain Clinic

Facility: Yomba Shoshone Tribe

Lincoln County

Service Area: Mental Health Catchment Area Southern Nevada Rural

Lyon County

Service Area: Mental Health Catchment Area Northern Rural and Frontier Nevada

Facility: Silver Springs Rural Health Centers

Facility: Smith Valley Physicians Clinic

Facility: South Lyon Health Center – Barnett

Facility: South Lyon Physicians Clinic

Facility: Yerington Paiute Tribe

Mineral County

Service Area: Mental Health Catchment Area Northern Rural and Frontier Nevada

Facility: Walker River Paiute Tribal Health Center

Nye County

Service Area: Mental Health Catchment Area Northern Rural and Frontier Nevada

Service Area: Mental Health Catchment Area Southern Nevada Rural

Facility: Duck Valley Shoshone Tribe

Facility: Duckwater Shoshone Tribe

Pershing County

Service Area: Mental Health Catchment Area Northern Rural and Frontier Nevada

Facility: Lovelock Correctional Center

Facility: Lovelock Paiute Tribe

Facility: Pershing General Hospital and Nursing Home Physician Center

Storey County

Service Area: Mental Health Catchment Area Northern Rural and Frontier Nevada

Page 147 of 263 Pages

MENTAL HEALTH: Nevada County and County Equivalent Listing

Washoe County

Service Area: Mental Health Catchment Area Northern Washoe

Population Group: Mental Health Catchment Area-Urban Washoe

Facility: Community Health Alliance

Facility: Nevada Skies Youth Wellness Center

Facility: Nevada Urban Indians, Inc.

Facility: Northern Nevada Hopes

Facility: Pyramid Lake Tribal Health Center

Facility: Reno Sparks Shoshone Paiute Health Center

White Pine County

Service Area: Mental Health Catchment Area Northern Rural and Frontier Nevada

Facility: Ely Health Station

Facility: Ely State Prison

Facility: Newe Medical Clinic\Ely Shoshone Tribe

Facility: William Bee Ririe Hospital-Rural Health Clinic

Page 148 of 263 Pages

MENTAL HEALTH: New Hampshire

County and County Equivalent Listing

Belknap County

Service Area: Eastern Grafton

Carroll County

Service Area: Eastern Grafton

Coos County

Service Area: Eastern Coos

Service Area: Littleton Service Area

Facility: Coos County Family Health Services

Facility: Federal Correctional Institution – Berlin

Facility: Indian Stream Health Center

Facility: Weeks Medical Center – Groveton

Facility: Weeks Medical Center - Whitefield

Grafton County

Service Area: Eastern Grafton

Service Area: Littleton Service Area

Facility: Ammonoosuc Community Health Services

Facility: Mid State Health Center

Facility: Mid-State Health Center-Bristol

Hillsborough County

Facility: City of Manchester - Public Health Department – HCH

Facility: Harbor Homes, Inc.

Facility: Manchester Community Health Center

Merrimack County

Service Area: Eastern Grafton

Facility: Health First Family Care

Rockingham County

Facility: Families First of the Greater Seacoast

Facility: Lamprey Healthcare

Strafford County

Facility: Avis Goodwin Community Health Center

Sullivan County

Facility: Charlestown Family Medical

Facility: Newport Health Center

Page 149 of 263 Pages

MENTAL HEALTH: New Jersey

County and County Equivalent Listing

Atlantic County

Facility: Atlanticare Health Services

Facility: Southern Jersey Family Medical

Burlington County

Facility: Albert C. Wagner Youth Correctional Facility

Camden County

Facility: Camcare Health Corporation

Facility: Osborn Family Health Center

Facility: Project H.O.P.E. Inc.

Cumberland County

Facility: Bayside State Prison

Facility: Community Health Care, Inc.

Facility: Federal Correctional Institution – Fairton

Facility: Southern State Correctional Facility

Essex County

Facility: Newark City Health and Human Services

Facility: Newark Community Health

Facility: Northern State Prison

Facility: Rutgers, the State University of New Jersey – Newark

Facility: Saint James Health Inc.

Hudson County

Facility: Horizon Health Center

Facility: Metropolitan Family Health Network

Facility: North Hudson Community Action Corporation

Hunterdon County

Facility: Edna Mahan Correctional Facility for Women

Facility: Mountainview Youth Correctional Facility

Mercer County

Facility: Garden State Correctional Facility

Facility: Garden State Youth Correctional Facility

Facility: Henry J. Austin Health

Facility: New Jersey State Prison

Middlesex County

Facility: Adult Diagnostic and Treatment Center

Facility: Chandler Health

Facility: Jewish Renaissance Foundation Community Health Cen

Facility: Jewish Renaissance Medical Center

Facility: Rutgers the State University of New Jersey

Page 150 of 263 Pages

MENTAL HEALTH: New Jersey

County and County Equivalent Listing

Monmouth County

Facility: Monmouth Family Health Center

Facility: Visiting Nurse Association of Cent Jersy Community

Morris County

Facility: Zufall Community Clinic

Ocean County

Facility: Lakewood Resource and Referral Center Dba Chemed

Facility: Ocean Health Initiative, Inc.

Passaic County

Facility: Paterson Community Health Center

Union County

Facility: East Jersey State Prison

Facility: Immigration Customs Enforcement-Elizabeth

Facility: Plainfield Neighborhood Health Services

Page 151 of 263 Pages

MENTAL HEALTH: New Mexico

County and County Equivalent Listing

Bernalillo County

Service Area: Southwest Valley

Population Group: Low Income - North Valley

Facility: Albuquerque Behavioral Health

Facility: Albuquerque Healthcare

Facility: Albuquerque PHS Indian Hospital

Facility: First Choice Community Healthcare, Inc.

Facility: First Nations Community Health

Facility: Samaritan Counseling Center

Facility: Samaritian Counseling

Facility: University of New Mexico Psychiatric Center

Catron County

Service Area: Border Catchment Area

Chaves County

Service Area: Southeastern Catchment Area

Cibola County

Service Area: Cibola County

Facility: Acoma-Canoncito-Laguna PHS Health Center

Facility: New Mexico Womens Correctional Facility

Facility: New Sunrise Regional Treatment Center

Facility: Pine Hill Indian Health Center

Facility: Western New Mexico Correctional Facility

Colfax County

Service Area: Colfax County

Curry County

Service Area: Plains Mental Health Service Area

De Baca County

Service Area: Plains Mental Health Service Area

Facility: Debaca Hospital/Family Practice Center

Dona Ana County

Service Area: Dona Ana County

Facility: Ben Archer Community Health Center

Facility: La Clinica De Familia

Facility: St. Luke's Health Care Clinic

Eddy County

Service Area: Southeastern Catchment Area

Grant County

Service Area: Border Catchment Area

Guadalupe County

Service Area: Plains Mental Health Service Area

Facility: Guadalupe County Correctional Facility

Page 152 of 263 Pages

MENTAL HEALTH: New Mexico

County and County Equivalent Listing

Harding County

Service Area: Plains Mental Health Service Area

Hidalgo County

Service Area: Border Catchment Area

Facility: Hidalgo Medical Service

Lea County

Service Area: Southeastern Catchment Area

Lincoln County

Service Area: Southeastern Catchment Area

Facility: Carrizozo Health Center

Luna County

Service Area: Border Catchment Area

McKinley County

Service Area: Catchment Area 1

Facility: Crownpoint Comprehensive Health Center

Facility: Gallup Indian Medical Center

Facility: Presbyterian Medical Services

Facility: Pueblo Pintado Health Center

Facility: Zuni PHS Indian Hospital

Mora County

Service Area: Mora County

Facility: Mora Valley Community Health Services, Inc.

Otero County

Service Area: Southeastern Catchment Area

Facility: Mescalero PHS Indian Hospital

Quay County

Service Area: Plains Mental Health Service Area

Rio Arriba County

Service Area: Rio Arriba County

Facility: Circle of Life Behavioral Health

Facility: Eight Northern Indian Pueblos, Inc.

Facility: El Centro Family Health

Facility: Jicarilla PHS Indian Health Center

Facility: La Clinica Del Pueblo De Rio Arriba

Facility: Las Clinicas Del Norte

Roosevelt County

Service Area: Plains Mental Health Service Area

Facility: Las Casa De Buena Salud

Page 153 of 263 Pages

MENTAL HEALTH: New Mexico

County and County Equivalent Listing

San Juan County

Service Area: Catchment Area 1

Facility: Dzilth-Na-O-Dith-Hle PHS Indian Health Center

Facility: Northern Navajo Medical Center

San Miguel County

Service Area: San Miguel County

Facility: Pecos Valley Medical

Sandoval County

Service Area: Northern Sandoval

Facility: Cochiti Health Clinic

Facility: El Pueblo Health Services

Facility: Jemez Health and Human Services

Facility: Pueblo of Jemez

Facility: Sandia Health Clinic

Facility: Zia Health Clinic

Facility: Zia Pueblo Health Program

Santa Fe County

Population Group: Low Income - Santa Fe County

Facility: La Familia Medical Center

Facility: Penitentary of New Mexico

Facility: Sante Fe PHS Indian Hospital

Sierra County

Service Area: South Central Catchment Area

Socorro County

Service Area: South Central Catchment Area

Facility: Alamo Navajo Health Center

Taos County

Service Area: Taos County

Facility: Taos PHS Indian Health Center

Facility: Taos Picuris Health Center

Torrance County

Service Area: Torrance County

Union County

Service Area: Plains Mental Health Service Area

Valencia County

Service Area: Valencia County

Facility: Central New Mexico Correctional Facility

Facility: Pueblo of Laguna of Community Health and Wellness

Facility: To'Hajiilee Canoncito Health Center

Page 154 of 263 Pages

MENTAL HEALTH: New York County and County Equivalent Listing

Albany County

Facility: Whitney Young, Jr. Health Center

Allegany County

Service Area: Allegany County

Bronx County

Population Group: Medicaid Elgible - Parkchester/Throgs Neck

Population Group: Medicaid Eligible - Fordham/Norwood

Population Group: Medicaid Eligible - Hunts Point/Mott Haven

Population Group: Medicaid Eligible - Kingsbridge/Riverdale

Population Group: Medicaid Eligible - Soundview

Population Group: Medicaid Eligible - West Central Bronx

Facility: Bronx Community Health Network

Facility: Bronx Lebanon Integrated Services System

Facility: Help/Psi Services Corporation

Facility: La Casa De Salud, Inc.

Facility: Montefiore North Division Mental Health Clinic

Facility: Morris Heights Health Center, Inc.

Facility: Union Community Health Center

Facility: Urban Health Plan, Inc.

Facility: Vip Community Health Center

Broome County

Population Group: Medicaid Eligible - Broome County

Cattaraugus County

Service Area: Cattaraugus County

Facility: Lionel John/Allegany I.R. Health Center

Facility: Southern Tier Community Health Center Network D/B/

Cayuga County

Facility: Auburn Correctional Facility

Facility: East Hill Family Medical, Inc.

Chautauqua County

Population Group: Medicaid Eligible - Chautauqua County

Facility: The Chautauqua Center

Chemung County

Population Group: Medicaid Eligible - Chemung County

Facility: Elmira Correctional Facility

Facility: Elmira Psychiatric Center

Facility: Southport Correctional Facility

Chenango County

Population Group: Me-Chenango County

Page 155 of 263 Pages

MENTAL HEALTH: New York County and County Equivalent Listing

Clinton County

Population Group: Medicaid Eligible - Clinton County

Facility: Clinton Correctional Facility

Cortland County

Population Group: Medicaid Eligible - Cortland County

Facility: Family Health Network of Central New York

Delaware County

Population Group: Medicaid Eligible - Delaware County

Dutchess County

Facility: Downstate Correctional Facility

Erie County

Population Group: Medicaid Eligible - Buffalo Service Area

Facility: Cattaraugus Indian Reservation Health Center

Facility: Collins Correctional Facility

Facility: Community Health Center of Buffalo

Facility: Gowanda Correctional Facility

Facility: Jericho Road Ministries Inc.

Facility: Northwest Buffalo Community Health Center

Facility: Wende Correctional Facility

Essex County

Service Area: Essex County

Facility: Association Community Action of Northeast Adironda

Facility: Federal Correctional Institution - Ray Brook

Franklin County

Service Area: Franklin County

Facility: St. Regis Mohawk Health Services

Fulton County

Population Group: Medicaid Eligible - Fulton County

Genesee County

Facility: Immigration and Customs Enforcement - Buffalo

Greene County

Population Group: Medicaid Eligible - Greene County

Facility: Greenville Family Health Center

Hamilton County

Service Area: Hamilton County

Jefferson County

Population Group: Medicaid Eligible - Jefferson County

Facility: North Country Children's Clinic

Page 156 of 263 Pages

MENTAL HEALTH: New York County and County Equivalent Listing

Kings County

Population Group: Me-Bedford Stuyvesant

Population Group: Me-Bushwick

Population Group: Medicaid Eligible - Bay Ridge/Bensonhurst

Population Group: Me-East Flatbush/East New York

Facility: Bedford Stuyvesant Family Health Center, Inc. , the

Facility: Brooklyn Plaza Medical Center, Inc.

Kings County

Facility: Brownsville Community

Facility: Ezra Medical Center

Facility: Housing Works, Inc.

Facility: Icl Healthcare Choices, Inc.

Facility: Kings County Hospital Center

Facility: Lasante Health Center, Inc.

Facility: Metropolitan Detention Center – Brooklyn

Facility: ODA Primary Care Health

Facility: Sunset Park Family Health

Facility: Woodhull Mental Health Center

Lewis County

Service Area: Lewis County

Livingston County

Service Area: Southern Livingston County

Facility: Livingston County Mental Health Services

Madison County

Facility: Oneida Nation of New York Health Program

Monroe County

Population Group: Me-City of Rochester

Facility: Anthony Jordan Health Center

Facility: His Branches Health Services

Facility: Oak Orchard Community

Facility: Rochester Primary Care

Facility: St. Mary's Hospital of the Sisters

Facility: Trillium Health, Inc.

Montgomery County

Population Group: Medicaid Eligible - Montgomery County

Nassau County

Facility: Nassau Health Care Corporation

Page 157 of 263 Pages

MENTAL HEALTH: New York County and County Equivalent Listing

New York County

Population Group: Medicaid Eligible - Kingsbridge/Riverdale

Population Group: Medicaid Eligible - Lower East Side

Population Group: Medicaid Eligible - Upper Manhattan

Population Group: Medicaid Eligible - Washington Heights-Inwood

Facility: Ahrc Health Care, Inc.

Facility: American Indian Community House

Facility: Asian and Pacific Islander Coalition on HIV/AIDS, in

Facility: Bellevue Hospital

Facility: Betances Health Center

Facility: Boriken Neighborhood

Facility: Care for the Homeless

New York County

Facility: Charles B. Wang Community Health Center, Inc.

Facility: Community Healthcare Network

Facility: Covenant House

Facility: Heritage Health and Housing, Inc.

Facility: Institute for Family Health

Facility: Metropolitan Correctional Center-New York

Facility: New York Children's Health Project

Facility: New York Health and Hospitals Corporation

Facility: Project Renewal

Facility: Settlement Health

Facility: Upper Room AIDS Ministry, Inc.

Facility: William F. Ryan Community Health Center

Oneida County

Population Group: Medicaid Eligible - Oneida County

Facility: Mid-State Correctional Facility

Facility: Upstate Family Health Center, Inc.

Onondaga County

Population Group: Me - City of Syracuse

Facility: Hutchings Psychiatric Center

Facility: Syracuse Community Health Center

Ontario County

Population Group: Medicaid Eligible - Eastern Ontario/Wayne Service

Orange County

Facility: Ezras Cholim Health Center, Inc.

Facility: Federal Correctional Institution – Otisville

Facility: Greater Hudson Valley Family Health Center

Facility: Middletown Community Health Center

Page 158 of 263 Pages

MENTAL HEALTH: New York County and County Equivalent Listing

Orleans County

Service Area: Orleans County

Facility: Albion Correctional Facility

Oswego County

Service Area: Oswego County

Facility: Northern Oswego

Otsego County

Population Group: Medicaid Eligible - Otsego County

Queens County

Population Group: Me-Bushwick

Population Group: Medicaid Eligible - Long Island City/Woodside

Population Group: Me-South Jamaica

Facility: Hunts Point Multi-Service Center, Inc.

Facility: J. P. Addabbo Family

New York County

Facility: Charles B. Wang Community Health Center, Inc.

Facility: Community Healthcare Network

Facility: Covenant House

Facility: Heritage Health and Housing, Inc.

Facility: Institute for Family Health

Facility: Metropolitan Correctional Center-New York

Facility: New York Children's Health Project

Facility: New York Health and Hospitals Corporation

Facility: Project Renewal

Facility: Settlement Health

Facility: Upper Room AIDS Ministry, Inc.

Facility: William F. Ryan Community Health Center

Oneida County

Population Group: Medicaid Eligible - Oneida County

Facility: Mid-State Correctional Facility

Facility: Upstate Family Health Center, Inc.

Onondaga County

Population Group: Me - City of Syracuse

Facility: Hutchings Psychiatric Center

Facility: Syracuse Community Health Center

Ontario County

Population Group: Medicaid Eligible - Eastern Ontario/Wayne Service

Page 159 of 263 Pages

MENTAL HEALTH: New York County and County Equivalent Listing

Orange County

Facility: Ezras Cholim Health Center, Inc.

Facility: Federal Correctional Institution – Otisville

Facility: Greater Hudson Valley Family Health Center

Facility: Middletown Community Health Center

Orleans County

Service Area: Orleans County

Facility: Albion Correctional Facility

Oswego County

Service Area: Oswego County

Facility: Northern Oswego

Otsego County

Population Group: Medicaid Eligible - Otsego County

Queens County

Population Group: Me-Bushwick

Population Group: Medicaid Eligible - Long Island City/Woodside

Population Group: Me-South Jamaica

Facility: Hunts Point Multi-Service Center, Inc.

Facility: J. P. Addabbo Family

Queens County

Facility: Project Samaritan Health Services

Facility: The Floating Hospital

Richmond County

Population Group: Me-Port Richmond

Facility: Beacon Christian Community Health Center

Facility: Community Health Center of Richmond

Rockland County

Population Group: Medicaid Eligible - Monsey-New Square

Facility: Community Medical and Dental Care, Inc.

Facility: Refuah Health Center

Schenectady County

Population Group: Medicaid Eligible - City of Schenectady

Facility: Schenectady Family Health Services/Dba Hometown He

Schoharie County

Service Area: Schoharie County

Schuyler County

Population Group: Me-Schuyler County

Seneca County

Population Group: Me-Seneca County

Facility: Five Points Correctional Facility

Page 160 of 263 Pages

MENTAL HEALTH: New York County and County Equivalent Listing

St. Lawrence County

Population Group: Medicaid Eligible - St. Lawrence County

Facility: Cerebral Palsy Association of North Country

Steuben County

Population Group: Medicaid Eligible - Steuben County

Facility: Tri County Family Medicine Program

Suffolk County

Facility: Shinnecock Indian Nation

Tompkins County

Population Group: Medicaid Eligible - Tompkins County

Ulster County

Facility: Ulster Correctional Facility

Warren County

Population Group: Me - Washington/Warren Counties

Facility: Hudson Headwaters Health Network

Washington County

Population Group: Me - Washington/Warren Counties

Facility: Great Meadow Correctional Facility

Wayne County

Population Group: Medicaid Eligible - Eastern Ontario/Wayne Service

Westchester County

Population Group: Medicaid Eligible - City of Yonkers

Facility: Hudson River Healthcare

Facility: Mt. Vernon Neighborhood Health Center

Facility: Open Door Family Medical Center

Wyoming County

Facility: Attica Correctional Facility

Yates County

Population Group: Medicaid Eligible - Yates County

Facility: Finger Lakes Migrant Health Proj

Page 161 of 263 Pages

MENTAL HEALTH: North Carolina

County and County Equivalent Listing

Alamance County

Population Group: Mi-Alamance County

Alexander County

Population Group: Mi-Alexander County

Facility: CF-Alexander Correctional Institution

Alleghany County

Service Area: Alleghany County

Facility: Appalachian District Health Department

Anson County

Population Group: Low Income-Anson County

Facility: Anson Regional Medical Services, Inc.

Facility: Brown Creek Correctional Institution

Facility: Lanesboro Correctional Institution

Ashe County

Population Group: Mi-Ashe County

Avery County

Population Group: Mi-Avery County

Facility: Avery-Mitchell Correctional Institution

Facility: Mountain View Correctional Institution

Beaufort County

Population Group: Low Income-Beaufort County

Facility: Metropolitan Community Health

Bertie County

Service Area: Roanoke-Chowan

Facility: Bertie County Rural Health Association

Bladen County

Service Area: Southeast Regional Mental Health Catchment Area

Brunswick County

Population Group: Mi-Brunswick County

Buncombe County

Population Group: Mi - Western Highlands Catchment a

Facility: Appalachian Mountain Community Health Centers

Facility: Craggy Correctional Center

Facility: Western North Carolina Community Health

Burke County

Population Group: Mi-Burke County

Facility: Foothills Correctional Institution

Facility: Western Youth Institution

Cabarrus County

Facility: Cabarrus Community Health Center

Page 162 of 263 Pages

MENTAL HEALTH: North Carolina

County and County Equivalent Listing

Caldwell County

Population Group: Low Income-Caldwell County

Caldwell County

Facility: Collettsville Medical Center

Facility: West Caldwell Health Council, Inc.

Carteret County

Population Group: Low Income-Carteret County

Caswell County

Population Group: Low Income-Caswell County

Facility: Caswell Family Medical Center

Catawba County

Population Group: Mi Catawba

Chatham County

Population Group: Low Income-Chatham County

Cherokee County

Service Area: Cherokee County

Chowan County

Service Area: Chowan County

Clay County

Population Group: Low Income-Clay County

Columbus County

Service Area: Southeast Regional Mental Health Catchment Area

Facility: Chadbourn Family Practice Center

Facility: Columbus County Community Health Center

Facility: Tabor Correctional Institution

Craven County

Population Group: Mi-Craven County

Facility: Craven County Government

Cumberland County

Population Group: Low Income-Cumberland County

Facility: Community Health Interventions and Sickle Cell Agenc

Facility: Stedman-Wade Health Services

Currituck County

Service Area: Currituck County

Davie County

Population Group: Low Income-Davie County

Duplin County

Service Area: Duplin and Sampson Counties

Facility: Goshen Medical Center

Page 163 of 263 Pages

MENTAL HEALTH: North Carolina

County and County Equivalent Listing

Durham County

Population Group: Mi-Durham County

Facility: Lincoln Community Health Center

Edgecombe County

Service Area: Edgecombe/Nash

Edgecombe County

Facility: Opportunities Industrialization Center Inc.

Facility: Rocky Mount OIC Family Medical Center

Forsyth County

Population Group: Low Income-Winston-Salem

Facility: Southside United Health Center

Franklin County

Population Group: Low Income-Franklin County

Gaston County

Population Group: Mi-Gaston County

Facility: Gaston Family Health Services, Inc.

Gates County

Service Area: Roanoke-Chowan

Facility: Gateway Community Health Centers, Inc.

Graham County

Service Area: Graham County

Granville County

Population Group: Mi-Granville County

Facility: Federal Correctional Complex-Butner

Facility: Granville Internal Medical and Geriatrics

Greene County

Population Group: Low Income-Greene County

Facility: Greene County Health Care, Inc.

Guilford County

Facility: Triad Adult and Pediatric Medicine

Halifax County

Population Group: Low Income-Halifax County

Facility: Rural Health Group, Inc.

Harnett County

Population Group: Mi-Harnett County

Facility: First Choice Community Health Centers

Facility: Harnett Correctional Institution

Haywood County

Population Group: Low Income-Haywood County

Page 164 of 263 Pages

MENTAL HEALTH: North Carolina

County and County Equivalent Listing

Henderson County

Population Group: Mi - Western Highlands Catchment a

Facility: Blue Ridge Community Health Services, Inc.

Hertford County

Service Area: Roanoke-Chowan

Facility: Roanoke-Chowan Community Health Center

Hoke County

Population Group: Low Income-Hoke County

Hyde County

Facility: Ocracoke Health Center

Iredell County

Population Group: Mi-Iredell County

Facility: Harmony Medical Care PA

Jackson County

Service Area: Jackson County

Johnston County

Population Group: Mi-Johnston County

Facility: Benson Area Medical Center

Lee County

Population Group: Low Income-Lee County

Lenoir County

Population Group: Low Income-Lenoir County

Facility: Kinston Community Health Center

Lincoln County

Population Group: Low Income - Lincoln County

Macon County

Service Area: Macon County

Madison County

Population Group: Mi - Western Highlands Catchment a

Facility: Hot Springs Health Program

Martin County

Service Area: Martin County

McDowell County

Service Area: McDowell County

Mecklenburg County

Facility: C.W. Williams Community Health Center

Facility: Charlotte Community Health Clinic

Mitchell County

Population Group: Mi - Western Highlands Catchment a

Facility: Bakersville Community Medical Clinic

Page 165 of 263 Pages

MENTAL HEALTH: North Carolina

County and County Equivalent Listing

Montgomery County

Service Area: Montgomery County

Facility: Southern Correctional Institution

Nash County

Service Area: Edgecombe/Nash

New Hanover County

Population Group: Mi-New Hanover County

Facility: New Hanover

Northampton County

Service Area: Roanoke-Chowan

Onslow County

Service Area: Onslow County

Orange County

Facility: Piedmont Health Services

Pender County

Population Group: Low Income - Pender County

Facility: Black River Family Practice-Burgaw

Facility: Black River Health Center

Facility: Black River Health Services Inc.

Facility: Maple Hill Medical Center

Perquimans County

Service Area: Perquimans County

Person County

Population Group: Low Income-Person County

Facility: Person Family Medical Center

Pitt County

Population Group: Low Income-Pitt County

Polk County

Population Group: Mi - Western Highlands Catchment a

Randolph County

Population Group: Low Income-Randolph County

Facility: Medical Resource Center for Randolph County, Inc.

Richmond County

Service Area: Richmond County

Page 166 of 263 Pages

MENTAL HEALTH: North Carolina

County and County Equivalent Listing

Robeson County

Service Area: Southeast Regional Mental Health Catchment Area

Facility: Dr. Arthur Jr. Robinson Medical Clinic

Facility: Fairmont Medical Clinic

Facility: Johnson Medical Clinic

Facility: Lumberton Correctional Institution

Facility: Riverquest Medical Care

Facility: Robeson Healthcare Corporation

Facility: Rowland Medical Clinic

Rockingham County

Population Group: Mi-Rockingham County

Facility: RMSA Health Center, Inc.

Rowan County

Population Group: Mi-Rowan County

Facility: Piedmont Correctional Institution

Rutherford County

Population Group: Mi - Western Highlands Catchment a

Facility: Community Clinic of Rutherford County

Sampson County

Service Area: Duplin and Sampson Counties

Facility: Tri-County Community

Scotland County

Service Area: Southeast Regional Mental Health Catchment Area

Facility: Laurel Hill Medical Clinic

Facility: Maxton Family Practice Center

Facility: Scotland Correctional Institution

Stokes County

Population Group: Low Income-Stokes County

Surry County

Service Area: Surry County

Swain County

Service Area: Swain County

Facility: Analenisigi Center

Facility: PHS Indian Hospital - Cherokee

Transylvania County

Population Group: Mi - Western Highlands Catchment a

Tyrrell County

Population Group: Low Income-Tyrrell County

Vance County

Population Group: Mi-Vance County

Page 167 of 263 Pages

MENTAL HEALTH: North Carolina

County and County Equivalent Listing

Wake County

Facility: North Carolina Department of Health and Human Services

Facility: Wake Health Services, Inc.

Warren County

Service Area: Warren County

Facility: Warren Correctional Institution

Washington County

Service Area: Washington County

Watauga County

Population Group: Low Income-Watauga County

Facility: High Country Community Health

Wayne County

Population Group: Low Income-Wayne County

Wilkes County

Service Area: Wilkes County

Facility: Wilkes County of

Wilson County

Population Group: Mi-Wilson County

Facility: Carolina Family Health Centers, Inc.

Yadkin County

Population Group: Mi-Yadkin County

Yancey County

Population Group: Mi - Western Highlands Catchment a

Page 168 of 263 Pages

MENTAL HEALTH: North Dakota

County and County Equivalent Listing

Adams County

Service Area: Region VIII Badlands Catchment

Barnes County

Service Area: Jamestown Catchment Area

Benson County

Service Area: Region III Devils Lake Catchment

Facility: Fort Totten PHS Indian Health Center

Facility: Spirit Lake Tribe

Billings County

Service Area: Region VIII Badlands Catchment

Bottineau County

Service Area: Bottineau County

Facility: St. Andrews Bottineau Clinic

Bowman County

Service Area: Region VIII Badlands Catchment

Burke County

Service Area: Burke County

Burleigh County

Facility: North Dakota State Penitentiary

Facility: West Central Human Service Center

Cass County

Facility: Family Healthcare Center

Facility: Southeast Human Service Center

Cavalier County

Service Area: Region III Devils Lake Catchment

Dickey County

Service Area: Jamestown Catchment Area

Divide County

Service Area: Region 1 Catchment Area

Dunn County

Service Area: Region VIII Badlands Catchment

Eddy County

Service Area: Region III Devils Lake Catchment

Emmons County

Service Area: Emmons County

Foster County

Service Area: Jamestown Catchment Area

Golden Valley County

Service Area: Region VIII Badlands Catchment

Page 169 of 263 Pages

MENTAL HEALTH: North Dakota

County and County Equivalent Listing

Grand Forks County

Facility: Northeast Human Service Center

Facility: Valley Community Health Center

Grant County

Service Area: Grant County

Griggs County

Service Area: Jamestown Catchment Area

Hettinger County

Service Area: Region VIII Badlands Catchment

Kidder County

Service Area: Kidder County

LaMoure County

Service Area: Jamestown Catchment Area

Facility: Rural Health Kulm

Logan County

Service Area: Jamestown Catchment Area

Facility: Rural Health – Gackle

Facility: Rural Health Napoleon

McHenry County

Service Area: McHenry County

McIntosh County

Service Area: Jamestown Catchment Area

Facility: Rural Health Wishek

McKenzie County

Service Area: Region 1 Catchment Area

Facility: Fort Berthold PHS Indian Health Center

McLean County

Service Area: McLean County

Facility: Northland Health Partners Community Health Center

Mercer County

Service Area: Mercer County

Facility: Coal Country Community Health Center

Facility: Sakakawea Beulah Clinic

Facility: Sakakawea Hazen Clinic

Mountrail County

Service Area: Mountrail County

Nelson County

Service Area: Nelson County

Oliver County

Service Area: Oliver County

Page 170 of 263 Pages

MENTAL HEALTH: North Dakota

County and County Equivalent Listing

Pembina County

Service Area: Pembina County

Pierce County

Service Area: Pierce County

Ramsey County

Service Area: Region III Devils Lake Catchment

Ransom County

Service Area: Ransom County

Renville County

Service Area: Renville County

Richland County

Service Area: Richland County

Rolette County

Service Area: Region III Devils Lake Catchment

Facility: Belcourt PHS Indian Hospital

Sargent County

Service Area: Sargent County

Sheridan County

Service Area: Sheridan County

Sioux County

Service Area: Sioux County

Facility: Fort Yates PHS Indian Hospital

Slope County

Service Area: Region VIII Badlands Catchment

Facility: Southwest Medical Clinic

Stark County

Service Area: Region VIII Badlands Catchment

Steele County

Service Area: Steele County

Stutsman County

Service Area: Jamestown Catchment Area

Facility: James River Correctional Center

Facility: Smh-North Dakota State Hospital

Towner County

Service Area: Region III Devils Lake Catchment

Traill County

Service Area: Traill County

Walsh County

Service Area: Walsh County

Ward County

Facility: North Central Human Service Center

Page 171 of 263 Pages

MENTAL HEALTH: North Dakota

County and County Equivalent Listing

Wells County

Service Area: Jamestown Catchment Area

Williams County

Service Area: Region 1 Catchment Area

Facility: Trenton Indian Service Unit

Page 172 of 263 Pages

MENTAL HEALTH: Ohio County and County Equivalent Listing

Adams County

Service Area: Catchment Area 53

Allen County

Population Group: Low Income - Mental Health Catchment Area 62

Facility: Allen Oakwood Correctional Institution

Facility: Health Partners of Western Ohio

Ashtabula County

Service Area: Ashtabula County

Athens County

Population Group: Medicaid Eligible - Catchment Area 33

Auglaize County

Population Group: Low Income - Mental Health Catchment Area 62

Belmont County

Population Group: Medicaid Eligible - Catchment Area 8

Facility: Belmont Correctional Institution

Facility: Ohio Hills Health

Brown County

Service Area: Brown County

Facility: All About Kids Pediatrics, LLC

Butler County

Facility: Butler County Community Health/Dba Primary Health

Carroll County

Service Area: Catchment Area 31

Champaign County

Service Area: Mental Health Catchment Area 63

Clark County

Undetermined: Rocking Horse Children's Health Center

Clermont County

Facility: Clermont Pediatric Center

Facility: Healthsource of Ohio, Inc.

Columbiana County

Population Group: Medicaid Eligible - Columbiana County

Facility: Community Action Agency of Columbiana County

Coshocton County

Service Area: Catchment Area 32

Crawford County

Service Area: Crawford County

Page 173 of 263 Pages

MENTAL HEALTH: Ohio County and County Equivalent Listing

Cuyahoga County

Facility: Asian Services in Action-International Community Health Center

Facility: Care Alliance

Facility: Neighborhood Health Care

Facility: Northeast Ohio Neighborhood Health Services

Cuyahoga County

Facility: The Free Medical Clinic of Greater Cleveland

Darke County

Service Area: Catchment Area 64 - Darke/Miami/Shelby Counties

Facility: Family Health Services of Darke County

Erie County

Service Area: Ottawa/Erie

Facility: Erie County Health Department (Echd)

Facility: Family Health Services of Erie County

Fairfield County

Service Area: Fairfield County

Facility: Fairfield County Combines General Health Distric

Fayette County

Population Group: Medicaid Eligible - Catchment Area 52

Franklin County

Facility: Capital Park Family Health Center

Facility: Columbus Neighborhood Health Center

Facility: Lower Lights Christian Health Center

Facility: Lutheran Social Services of Central Ohio

Facility: Ohio State University Total Health and Wellness

Facility: Southeast, Inc.

Facility: Twin Valley Behavioral Healthcare

Gallia County

Service Area: Catchment Area 35 - Gallia/Jackson/Meigs Counties

Guernsey County

Service Area: Catchment Area 32

Hamilton County

Undetermined: City of Cincinnati Department of Health

Facility: Christian Community Health Svs/Dba Crossroad Health

Facility: Cincinnati Health Network

Facility: Lincoln Heights Health Center

Facility: Neighborhood Health Center

Facility: Winton Hills Medical Center

Page 174 of 263 Pages

MENTAL HEALTH: Ohio County and County Equivalent Listing

Hardin County

Population Group: Low Income - Mental Health Catchment Area 62

Harrison County

Population Group: Medicaid Eligible - Catchment Area 8

Highland County

Population Group: Medicaid Eligible - Catchment Area 52

Facility: Greenfield Medical Services

Facility: Highland Family Healthcare

Facility: Highland Health Providers Corporation

Hocking County

Population Group: Medicaid Eligible - Catchment Area 33

Facility: Southeastern Correctional Camp

Holmes County

Service Area: Wayne/Holmes (Catchment Area 27)

Huron County

Service Area: Huron County

Jackson County

Service Area: Catchment Area 35 - Gallia/Jackson/Meigs Counties

Knox County

Service Area: Knox County

Facility: Knox County Health Department

Lake County

Facility: Signature Health, Inc.

Lawrence County

Service Area: Catchment Area 53

Facility: Ironton-Lawrence County Community Action Organizat

Logan County

Service Area: Mental Health Catchment Area 63

Facility: Community Health and Wellness Partners of Logan Coun

Lorain County

Facility: Lorain Correctional Institution

Facility: Lorain County Health and Dentistry

Facility: Mercy Allen Rural Health Clinic Lagrange

Facility: Mercy Allen Rural Health Clinic Wellington

Lucas County

Facility: Lucas, County of

Facility: Neighborhood Health Association of Toledo

Facility: Northwest Ohio Psychiatric Hospital

Facility: Toledo Correctional Institution

Page 175 of 263 Pages

MENTAL HEALTH: Ohio County and County Equivalent Listing

Madison County

Facility: London Correctional Institution

Facility: Madison Correctional Institution

Mahoning County

Facility: Ohio Northeast Health System, Inc.

Marion County

Facility: Center Street Community Clinic, Inc.

Facility: Marion Correctional Institution

Facility: North Central Correctional Institution

Meigs County

Service Area: Catchment Area 35 - Gallia/Jackson/Meigs Counties

Mercer County

Service Area: Catchment Area 61

Miami County

Service Area: Catchment Area 64 - Darke/Miami/Shelby Counties

Monroe County

Population Group: Medicaid Eligible - Catchment Area 8

Montgomery County

Facility: Community Health Centers of Greater Dayt

Facility: Dayton Correctional Institution

Facility: Five Rivers Health Centers Family Health Center

Facility: Good Samaritan Hospital Homeless

Morgan County

Service Area: Catchment Area 32

Facility: Muskingum Valley Health Centers

Morrow County

Service Area: Morrow County

Muskingum County

Service Area: Catchment Area 32

Noble County

Service Area: Catchment Area 32

Facility: Noble Correctional Institution

Ottawa County

Service Area: Ottawa/Erie

Paulding County

Service Area: Catchment Area 61

Perry County

Service Area: Catchment Area 32

Pickaway County

Population Group: Medicaid Eligible - Catchment Area 52

Facility: Ohio Doc Correctional Reception Center

Page 176 of 263 Pages

MENTAL HEALTH: Ohio County and County Equivalent Listing

Pike County

Population Group: Medicaid Eligible - Catchment Area 52

Facility: Community Action of Pike County

Preble County

Service Area: Preble County

Putnam County

Service Area: Putnam County

Richland County

Facility: Mansfield Correctional Institution

Facility: Richland Correctional Institution

Facility: Third Street Community

Ross County

Population Group: Medicaid Eligible - Catchment Area 52

Facility: Chillicothe Correctional Institution

Facility: Family Healthcare

Facility: Ross Correctional Institution

Sandusky County

Population Group: Low Income - Seneca/Sandusky/Wyandot Counties

Facility: Community Health Services

Scioto County

Service Area: Catchment Area 53

Facility: Community Action Organization of Scioto County Hlt

Facility: Compass Community Health

Facility: Southern Ohio Correctional Institution

Seneca County

Population Group: Low Income - Seneca/Sandusky/Wyandot Counties

Shelby County

Service Area: Catchment Area 64 - Darke/Miami/Shelby Counties

Stark County

Facility: Canton Community Clinic, Inc.

Facility: Heartland Behavioral Healthcare

Summit County

Facility: Axesspointe Community Health Center, Inc.

Facility: Community Support Services, Inc.

Facility: Northcoast Behavioral Healthcare

Trumbull County

Facility: Trumbull Correctional Institution

Page 177 of 263 Pages

MENTAL HEALTH: Ohio County and County Equivalent Listing

Tuscarawas County

Service Area: Catchment Area 31

Facility: Community Mental Healthcare Inc.

Facility: Trinity Hospital Twin City Dba Trinity Medical Group – Dennison

Facility: Trinity Hospital Twin City Dba Trinity Medical Group – Gnadenhutten

Facility: Tuscarawas County Health Department

Union County

Service Area: Union County

Facility: Ohio Reformatory for Women

Van Wert County

Service Area: Catchment Area 61

Facility: Family Health Care of Northwest Ohio, Inc.

Vinton County

Population Group: Medicaid Eligible - Catchment Area 33

Warren County

Facility: Lebanon Correctional Institution

Warren County

Facility: Talbert House Health Center

Facility: Warren Correctional Institution

Washington County

Population Group: Medicaid Eligible - Washington County

Wayne County

Service Area: Wayne/Holmes (Catchment Area 27)

Wood County

Facility: Wood County Community Health and Wellness Center

Wyandot County

Population Group: Low Income - Seneca/Sandusky/Wyandot Counties

Page 178 of 263 Pages

MENTAL HEALTH: Oklahoma

County and County Equivalent Listing

Adair County

Population Group: Low Income - Catchment Area 21

Facility: Neochc-Westville

Alfalfa County

Service Area: Catchment Area 10

Facility: Great Salt Plains Health Center

Facility: James Crabtree Correctional Center

Atoka County

Service Area: Catchment Area 6

Facility: ABC Medical Clinic, Inc.

Facility: Mack Alford Correctional Center

Beaver County

Service Area: Catchment Area 10

Beckham County

Population Group: Low Income - Catchment Area 9

Blaine County

Population Group: Low Income - Catchment Area 9

Facility: Watonga Indian Heath Service Clinic

Bryan County

Service Area: Catchment Area 7

Facility: Choctaw Nation of Oklahoma-Durant

Facility: Durant Health Center

Caddo County

Population Group: Low Income - Catchment Area 8

Population Group: Low Income - Catchment Area 9

Facility: Anadarko PHS Indian Health Center

Facility: Carnegie Indian Health Center

Canadian County

Facility: El Reno PHS Indian Health Clinic

Facility: Federal Correctional Institution - El Reno

Carter County

Service Area: Catchment Area 7

Facility: Ardmore Chickasaw Health Clinic

Facility: Mercy Hospital Healdton Primary Care

Cherokee County

Population Group: Low Income - Catchment Area 21

Facility: Cherokee Nation of Oklahoma

Facility: Northeastern Oklahoma Community Health Center

Facility: W.W. Hastings Indian Hospital

Page 179 of 263 Pages

MENTAL HEALTH: Oklahoma

County and County Equivalent Listing

Choctaw County

Service Area: Catchment Area 6

Facility: Choctaw Nation Health Clinic-Hugo

Cimarron County

Service Area: Catchment Area 10

Cleveland County

Facility: Absentee Shawnee Tribal Clinic - Little Axe

Facility: Joseph Harp Correctional Center

Facility: Lexington Correctional Center (Lark)

Coal County

Service Area: Catchment Area 6

Comanche County

Population Group: Low Income - Catchment Area 8

Facility: Comanche County Hospital Authority

Facility: Comanche Tribe of Oklahoma

Facility: Lawton PHS Indian Health Hospital

Cotton County

Population Group: Low Income - Catchment Area 8

Craig County

Population Group: Low Income-Catchment Area 1

Facility: Cherokee Nation Vinita Health Clinic

Creek County

Population Group: Low Income - Catchment Area 13

Facility: Cmhi Grant

Facility: Sapulpa Behavioral Health

Facility: Sapulpa Health Center

Custer County

Population Group: Low Income - Catchment Area 9

Facility: Clinton PHS Indian Hospital

Delaware County

Population Group: Low Income-Catchment Area 1

Facility: Cherokee Nation Sam Hider Health Center

Dewey County

Service Area: Catchment Area 10

Ellis County

Service Area: Catchment Area 10

Garfield County

Service Area: Catchment Area 10

Garvin County

Service Area: Catchment Area 7

Facility: So. Central Medical and Resource Center (Scmr)

Page 180 of 263 Pages

MENTAL HEALTH: Oklahoma

County and County Equivalent Listing

Grant County

Service Area: Catchment Area 10

Greer County

Population Group: Low Income - Catchment Area 9

Greer County

Facility: Oklahoma State Reformatory

Harmon County

Population Group: Low Income - Catchment Area 8

Facility: Shortgrass Community Health Center, Inc.

Harper County

Service Area: Catchment Area 10

Haskell County

Service Area: Catchment Area 6

Facility: Choctaw Nation Health Center – Stigler

Facility: Stigler Health and Wellness Center

Hughes County

Service Area: Catchment Area 6

Facility: East Central Oklahoma Family Health Center, Inc.

Facility: Wetumka Behavioral Health

Jackson County

Population Group: Low Income - Catchment Area 8

Jefferson County

Population Group: Low Income - Catchment Area 8

Johnston County

Service Area: Catchment Area 7

Facility: Family Health Center of Southern Oklahoma

Facility: Tishomingo Chickasaw Htlh Center

Kay County

Service Area: Catchment Area 11

Facility: Kanza Health Clinic

Facility: Tonkawa Tribe of Oklahoma

Facility: White Eagle Indian Health Center

Kingfisher County

Service Area: Catchment Area 10

Kiowa County

Population Group: Low Income - Catchment Area 9

Latimer County

Service Area: Catchment Area 6

Facility: Choctaw Nation Health Care Center-Talihina

Facility: Diabetes Treatment Center

Page 181 of 263 Pages

MENTAL HEALTH: Oklahoma

County and County Equivalent Listing

Le Flore County

Service Area: Catchment Area 6

Facility: Choctaw Nation Indian Health - Poteau

Lincoln County

Population Group: Low Income - Lincoln County

Facility: Black Hawk Health Center

Lincoln County

Facility: Kickapoo Tribal Health Center

Logan County

Service Area: Catchment Area 10

Facility: Mary Mahoney Health Center @ Langston

Love County

Service Area: Catchment Area 7

Major County

Service Area: Catchment Area 10

Marshall County

Service Area: Catchment Area 7

Mayes County

Population Group: Low Income-Catchment Area 1

Facility: A-Mo Health Center

Facility: Grand Lake Medical Park

McClain County

Facility: Chickasaw Nation Health Clinic-Purcell

McCurtain County

Service Area: Catchment Area 6

Facility: Choctaw Nation Indian Health - Broken Bow

Facility: Kiamichi Family Medical Center

McIntosh County

Population Group: Low Income - Catchment Area 16

Facility: Eufaula Health Center

Facility: Muscogee (Creek) Nation Behavioral Health - Eufaula

Murray County

Service Area: Catchment Area 7

Muskogee County

Population Group: Low Income - Catchment Area 16

Facility: Muskogee Indian Health Center

Noble County

Service Area: Catchment Area 11

Facility: Otoe-Missouri Tribe

Page 182 of 263 Pages

MENTAL HEALTH: Oklahoma

County and County Equivalent Listing

Nowata County

Population Group: Low Income-Catchment Area 1

Facility: Cherokee Nation Will Rogers Health Center

Okfuskee County

Population Group: Low Income - Catchment Area 13

Facility: Joh H Lilley Correctional Center

Facility: Okemah Behavioral Health

Facility: Okemah Indian Health Center

Oklahoma County

Facility: Community Health Centers, Inc.

Facility: FTC-Oklahoma City

Facility: Oklahoma City Indian Clinic

Facility: Oklahoma Community Health Services

Okmulgee County

Population Group: Low Income - Catchment Area 13

Facility: Muscogee (Creek) Nation Â?? Youth Wellness Program

Facility: Muscogee (Creek) Nation Div. Of Health a

Facility: Okmulgee Behavioral Health

Facility: Okmulgee Health Center

Osage County

Service Area: Catchment Area 11

Facility: Dick Conner Correctional Center

Facility: Fairfax Medical Facilities, Inc.

Facility: Osage Nation

Facility: Pawhuska PHS Indian Health Center

Ottawa County

Population Group: Low Income-Catchment Area 1

Facility: Community Health Center of Northeast Oklahoma, Inc.

Facility: Modoc Tribal Council

Facility: Northeastern Tribal Health System

Facility: Northeastern Tribal Health System – Peoria

Facility: Northeastern Tribal Health System-Miami

Facility: Northeastern Tribal Health System-Seneca-Cayuga

Facility: Quapaw Tribe of Oklahoma

Facility: Wyandotte Nation/Bearskin Health Center

Pawnee County

Service Area: Catchment Area 11

Facility: Pawnee Nation of Oklahoma

Facility: Pawnee PHS Indian Health Center

Page 183 of 263 Pages

MENTAL HEALTH: Oklahoma

County and County Equivalent Listing

Payne County

Service Area: Catchment Area 11

Facility: Iowa Tribe of Oklahoma

Pittsburg County

Service Area: Catchment Area 6

Facility: Caring Hands Healthcare Centers, Inc.

Facility: Choctaw Nation Indian Health – McAlester

Facility: Oklahoma State Penitentiary-McAlester

Pontotoc County

Service Area: Catchment Area 7

Facility: Chickasaw Nation Medical Center

Pottawatomie County

Population Group: Low Income-Pottawatomie County

Facility: Absentee Shawnee Tribal Clinic

Facility: Citizen Pottawatomie Nation Health Service

Facility: Mabel Bassett Correctional Center

Pushmataha County

Service Area: Catchment Area 6

Facility: Pushmataha Family Medical Center

Roger Mills County

Population Group: Low Income - Catchment Area 9

Rogers County

Population Group: Low Income-Catchment Area 1

Facility: Claremore Indian Hospital

Seminole County

Service Area: Catchment Area 7

Facility: Central Oklahoma Family Medical Center

Facility: Wewoka PHS Indian Health Center

Sequoyah County

Population Group: Low Income - Catchment Area 21

Facility: Cherokee Nation Redbird Smith Health Center

Stephens County

Population Group: Low Income - Catchment Area 8

Texas County

Service Area: Catchment Area 10

Facility: Panhandle Counseling and Health Center, Inc.

Tillman County

Population Group: Low Income - Catchment Area 8

Page 184 of 263 Pages

MENTAL HEALTH: Oklahoma

County and County Equivalent Listing

Tulsa County

Population Group: Low Income-Tulsa County

Facility: Community Health Connection Inc.

Facility: Indian Health Care Resource Center of Tulsa

Facility: Morton Comprehensive

Wagoner County

Population Group: Low Income - Catchment Area 21

Facility: Arkansas Verdigris Valley Health Centers

Facility: Muskogee-Creek Nation-Koweta Facility

Washington County

Population Group: Low Income-Catchment Area 1

Facility: Cherokee Nation Bartlesville Health Center

Facility: Cherokee Nation Cooweescoowee Health Clinic

Washita County

Population Group: Low Income - Catchment Area 9

Woods County

Service Area: Catchment Area 10

Woodward County

Service Area: Catchment Area 10

Page 185 of 263 Pages

MENTAL HEALTH: Oregon County and County Equivalent Listing

Baker County

Service Area: Northeastern Oregon Service Area

Facility: Saint Alphonsus Group - Baker Clinic

Facility: Saint Alphonsus Group - Valley Medical

Facility: St. Luke's Clinic - Eastern Oregon Medical Associa

Benton County

Population Group: Low Income/Migrant Farmworker-Linn/Benton Counties

Facility: Alsea Rural Health Care, Inc.

Facility: Benton County Health Department

Clackamas County

Facility: Canby Healthcare Clinic LLC

Facility: Clackamas County Community Health Division

Facility: Coffee Creek Correctional Facility

Facility: Orchid Health Wade Creek Clinic

Clatsop County

Service Area: Clatsop County

Facility: Coastal Family Health Center

Facility: Providence North Coast Clinic

Columbia County

Population Group: Low Income-Columbia County

Facility: Oregon Health and Science University Family Medicine at Scappoose

Facility: Vernonia Health Center

Coos County

Service Area: South Coast

Facility: Bandon Community Health Center

Facility: Coos Bay Tribal Clinic

Facility: Coquille Community Health Center

Facility: Waterfall Clinic, Inc.

Crook County

Service Area: Central Oregon

Facility: Casade Direct Care

Facility: Mosaic Medical

Facility: St. Charles Family Care

Curry County

Service Area: South Coast

Deschutes County

Population Group: Low Income - Deschutes County

Facility: Lapine Community Health Center

Page 186 of 263 Pages

MENTAL HEALTH: Oregon County and County Equivalent Listing

Douglas County

Service Area: Douglas County

Facility: Adapt

Facility: Cow Creek Tribal Clinic

Douglas County

Facility: Umpqua Community Health

Gilliam County

Service Area: East Columbia

Grant County

Service Area: East Columbia

Harney County

Service Area: Southeastern Oregon

Facility: Burns-Paiute Health Clinic

Facility: Wadatika Health Center

Hood River County

Population Group: Low Income-Mid Columbia Catchment Area

Facility: La Clinica Del Carino/Dba One Community Health

Jackson County

Population Group: Low Income/Migrant Seasonal Farmworkers-Jackson County

Facility: Community Health Center, Inc.

Facility: La Clinica Del Valle

Jefferson County

Service Area: Central Oregon

Josephine County

Service Area: Josephine County

Facility: Siskiyou Community Health

Klamath County

Service Area: Southcentral Oregon

Facility: Klamath Health Partnership

Facility: Klamath Tribal Health Center

Lake County

Service Area: Southcentral Oregon

Lane County

Service Area: Oakridge

Service Area: West Lane County

Facility: Community Health Centers of Lane County

Facility: Peacehealth Medical Group-Dexter

Facility: White Bird Clinic

Page 187 of 263 Pages

MENTAL HEALTH: Oregon County and County Equivalent Listing

Lincoln County

Service Area: Lincoln County

Facility: Adventist Health Bayshore Medical - Lincoln City

Facility: Coastal Health Practitioners

Facility: Lincoln City Medical Center

Facility: Lincoln County Health and Human Services

Facility: Siletz Community Health Clinic

Linn County

Population Group: Low Income/Migrant Farmworker-Linn/Benton Counties

Malheur County

Service Area: Southeastern Oregon

Facility: CF-Snake River Correctional Institution

Marion County

Population Group: Low Income/Migrant Farmworker/Homeless-Marion/Polk

Facility: Chemawa Indian Health Center

Facility: Northwest Human Services

Facility: Oregon State Correctional Institution

Morrow County

Service Area: East Columbia

Facility: Columbia River Community Health Services

Facility: Irrigon Medical Clinic

Facility: Pioneer Memorial Clinic

Multnomah County

Population Group: Low Income/Homeless - Multnomah County

Facility: Central City Concern

Facility: Multnomah County Health Department

Facility: Native American Rehabilitation Association

Facility: Neighborhood Health Center

Facility: Oregon Health and Science University Richmond Community Health Center

Facility: Outside In

Facility: Portland Area Office

Facility: The Wallace Medical Concern

Polk County

Population Group: Low Income/Migrant Farmworker/Homeless-Marion/Polk

Facility: Grand Ronde Health Center

Sherman County

Population Group: Low Income-Mid Columbia Catchment Area

Page 188 of 263 Pages

MENTAL HEALTH: Oregon County and County Equivalent Listing

Tillamook County

Service Area: Tillamook County

Facility: Adventist Health Bayshore Medical - Pacific City

Facility: Adventist Health Tillamook Medical Group

Facility: Adventist Health Tillamook Medical Group - Bay Ocean

Facility: Adventist Health Tillamook Medical Group Manzanita

Facility: The Rinehart Clinic

Facility: Tillamook County Health Department

Umatilla County

Service Area: East Columbia

Facility: Confederated Umatilla Tribes Yellowhawk Clinic

Facility: Eastern Oregon Correctional Institution

Umatilla County

Facility: Two Rivers Correctional Institution

Union County

Service Area: Northeastern Oregon Service Area

Wallowa County

Service Area: Northeastern Oregon Service Area

Facility: Winding Waters Medical Clinic

Wasco County

Population Group: Low Income-Mid Columbia Catchment Area

Facility: Warm Springs PHS Indian Health Center

Washington County

Facility: Virginia Garcia Memorial Health Center

Wheeler County

Service Area: East Columbia

Facility: Asher Clinic

Yamhill County

Service Area: Yamhill County

Facility: Federal Correctional Institution - Sheridan

Page 189 of 263 Pages

MENTAL HEALTH: Pennsylvania

County and County Equivalent Listing

Allegheny County

Facility: East Liberty Family Health Care Center

Facility: For Sto Rox

Facility: Metro Community Health Center

Facility: Metro Family Practice, Inc.

Facility: North Side Christian Health Center

Facility: Primary Care Health Services

Facility: Squirrel Hill Health Center

Facility: University of Pittsburgh - Matilda Theiss Health C

Armstrong County

Service Area: Armstrong County

Facility: Armstrong Primary Care Center-Leechburg

Facility: Armstrong Primary Care Center-Rural Valley

Beaver County

Service Area: Beaver County

Bedford County

Service Area: Bedford County

Facility: Hyndman Area Health Center, Inc.

Berks County

Facility: Berks Community Health Center

Blair County

Service Area: Blair County

Bradford County

Population Group: Low Income - Bradford/Sullivan Mental Health Catchment Area

Cambria County

Service Area: Cambria County

Facility: Portage Health Center

Facility: State Correctional Institution - Cresson

Cameron County

Service Area: Elk/Cameron Mental Health Catchment Area

Facility: Keystone Ruralhealth Consortia, Inc.

Carbon County

Facility: St. Luke's Miners Health Center

Chester County

Facility: La Communidad Hispana Inc.

Clarion County

Service Area: Clarion County

Clearfield County

Service Area: Clearfield County

Facility: Glendale Area Medical Center

Facility: State Correctional Institution - Houtzdale

Page 190 of 263 Pages

MENTAL HEALTH: Pennsylvania

County and County Equivalent Listing

Clinton County

Service Area: Clinton/Lycoming Counties

Crawford County

Service Area: Crawford County

Facility: Cambridge Springs Health Center

Facility: Conneaut Lake Health Center

Facility: Conneaut Valley Health Center

Facility: John E. Balmer D O Canadohta Health Clinic

Facility: John E. Balmer Do, Spartansburg Medical Center

Facility: Meadville Community Health Center

Cumberland County

Facility: Sadler Health Care Corporation

Facility: State Correctional Institution - Camp Hill

Dauphin County

Facility: Hamilton Health Center

Delaware County

Facility: Chespenn Health Services

Facility: State Correctional Institution - Chester

Elk County

Service Area: Elk/Cameron Mental Health Catchment Area

Erie County

Facility: Community Health Net

Facility: State Correctional Institution - Albion

Fayette County

Facility: State Correctional Institution - Fayette

Forest County

Service Area: Forest/Warren

Facility: State Correctional Institution - Forest

Franklin County

Facility: Keystone Rural Health Center

Fulton County

Service Area: Fulton County

Greene County

Facility: Cornerstone Care, Inc.

Facility: State Correctional Institution - Greene

Facility: Washington Physician Services Organization Family

Huntingdon County

Service Area: Huntingdon/Mifflin/Junita Mental Health Catchment

Facility: Broadtop Area Medical Center

Facility: Mount Union Area Medical Center

Facility: Southern Huntingdon County Medical Center

Facility: State Correctional Institution - Huntingdon

Page 191 of 263 Pages

MENTAL HEALTH: Pennsylvania

County and County Equivalent Listing

Indiana County

Service Area: Indiana County

Jefferson County

Service Area: Jefferson County

Facility: Allegheny Health Center

Facility: Phillips States MD Family Practice

Juniata County

Service Area: Huntingdon/Mifflin/Junita Mental Health Catchment

Lackawanna County

Facility: Scranton Primary Health Care Center

Lancaster County

Facility: Southeast Lancaster Health Services

Facility: Welsh Mountain Medical and Dental Center

Lehigh County

Facility: Neighborhood Health Centers (Nhclv) of Lehigh Vall

Luzerne County

Facility: Rural Health Corporation of Northeast Pennsylvania

Facility: State Correctional Institution - Dallas

Facility: State Correctional Institution - Retreat

Lycoming County

Service Area: Clinton/Lycoming Counties

Facility: State Correctional Institution - Muncy

Facility: Susquehanna Community Health and Dental Clinic

McKean County

Service Area: McKean County

Facility: Federal Correctional Institution - McKean

Mercer County

Facility: Mercer Family Medicine Center

Facility: Primary Health Network, Inc.

Facility: Sharon Community Health Center

Mifflin County

Service Area: Huntingdon/Mifflin/Junita Mental Health Catchment

Montgomery County

Facility: Community Health and Dental Care

Northumberland County

Facility: Miller Family Health Center

Facility: State Correctional Institution - Coal Township

Page 192 of 263 Pages

MENTAL HEALTH: Pennsylvania

County and County Equivalent Listing

Philadelphia County

Facility: Covenant House Health Services

Facility: Delaware Valley Community Health, Inc.

Facility: Department of Public Health-City of Philadelphia

Facility: Esperanza Health Center

Philadelphia County

Facility: Federal Detention Center-Philadelphia

Facility: Greater Philadelphia Health Action

Facility: Philadelphia Fight

Facility: Philadelphia Health Management Corporation

Facility: Project H.O.M.East

Facility: Quality Community Health

Facility: Resources for Human Development

Facility: Sayre Health Center

Facility: Spectrum Health Services, Inc.

Facility: Urban Health Initiatives Inc.

Pike County

Facility: Pinnacle Health Partners-Tafton

Potter County

Service Area: Potter County

Facility: Coudersport Pediatric Health Center

Schuylkill County

Facility: Cornerstone Coordinated Health Care, LLC

Facility: Federal Correctional Institution – Schuylkill

Facility: St. Luke's Miners Health Center-Hometown

Facility: St. Luke's Miners Health Center-McAdoo

Facility: State Correctional Institution – Frackville

Facility: State Correctional Institution - Mahanoy

Somerset County

Service Area: Somerset County

Facility: Family Health Care Meyersdale

Facility: Highlands Family Medicine

Facility: State Correctional Institution - Somerset

Sullivan County

Population Group: Low Income - Bradford/Sullivan Mental Health Catchment Area

Susquehanna County

Service Area: Susquehanna County

Facility: Barnes-Kasson Health Center, Inc.

Facility: Family Health Clinic of Barnes Kasson Hospital

Page 193 of 263 Pages

MENTAL HEALTH: Pennsylvania

County and County Equivalent Listing

Tioga County

Service Area: Tioga County

Facility: North Pennsylvania Comprehensive

Union County

Facility: Federal Correctional Complex-Allenwood

Facility: USP-Lewisburg

Venango County

Service Area: Venango County

Warren County

Service Area: Forest/Warren

Washington County

Facility: Centerville Clinics

Facility: Wpso/McDonald Family Medicine

Wayne County

Service Area: Wayne County

Facility: Highland Physicians, Ltd.

Facility: USP-Canaan

Facility: Wayne Memorial Community Health Center

Westmoreland County

Facility: Community Health Clinic

Facility: Mon Valley Community Health Services, Inc.

York County

Service Area: York City

Facility: Family First Health

Page 194 of 263 Pages

MENTAL HEALTH: Rhode Island

County and County Equivalent Listing

Newport County

Service Area: Newport County

Facility: East Bay Community Action Program

Providence County

Population Group: Low Income-Providence County

Facility: Blackstone Valley Community

Facility: Comprehensive Community Action, Inc.

Facility: Northwest Community Health Center

Facility: Providence Community Health Center

Facility: Rhode Island Adult Correctional Institution

Facility: Thundermist Healthcare

Facility: Tri-Town Community Action Program

Washington County

Service Area: Washington Cty

Facility: Narragansett Indian Tribe Health Pgm

Facility: Wood River Health Services

Page 195 of 263 Pages

MENTAL HEALTH: South Carolina

County and County Equivalent Listing

Abbeville County

Service Area: Beckman Service Area

Aiken County

Population Group: Low Income - Aiken/Barnwell Counties

Facility: Rural Health Services Inc.

Allendale County

Population Group: Low Income - Coastal Empire Service Area

Facility: Allendale Correctional Institution

Facility: Low Country Health

Anderson County

Population Group: Low Income - Anderson/Oconee/Pickens Counties

Facility: Patrick B. Harris Psychiatric Hospital

Bamberg County

Service Area: Orangeburg Service Area

Facility: F. Marion Dwight Rural Health Clinic

Barnwell County

Population Group: Low Income - Aiken/Barnwell Counties

Beaufort County

Population Group: Low Income - Coastal Empire Service Area

Berkeley County

Population Group: Low Income-Berkeley County

Facility: CF-MacDougall Correctional Institution

Calhoun County

Service Area: Orangeburg Service Area

Charleston County

Facility: Franklin C. Fetter Family Health Center

Facility: St. James-Santee Family Health Center

Cherokee County

Population Group: Low Income-Cherokee County

Chester County

Population Group: Low Income - Catawba Service Area

Chesterfield County

Service Area: Tri - County Service Area

Facility: Sandhills Medical Foundation

Clarendon County

Service Area: Mental Health Catchment Area Santee-Wateree

Facility: CF-Turbeville Correctional Institution

Colleton County

Population Group: Low Income - Coastal Empire Service Area

Page 196 of 263 Pages

MENTAL HEALTH: South Carolina

County and County Equivalent Listing

Darlington County

Service Area: Pee Dee Service Area

Facility: Caresouth

Dillon County

Service Area: Tri - County Service Area

Dorchester County

Facility: CF-Lieber Correctional Institution

Edgefield County

Service Area: Beckman Service Area

Facility: CF-Trenton Correctional Institution

Facility: Federal Correctional Institution - Edgefield

Fairfield County

Service Area: Fairfield County

Florence County

Service Area: Pee Dee Service Area

Facility: Hopehealth, Inc.

Georgetown County

Service Area: Georgetown/Williamsburg Counties

Greenville County

Facility: CF-Perry Correctional Institution

Facility: New Horizon Family Health

Greenwood County

Service Area: Beckman Service Area

Facility: Carolina Health Centers, Inc.

Hampton County

Population Group: Low Income - Coastal Empire Service Area

Facility: Dba Harrison Peeples Health Care Center, Inc.

Facility: Federal Correctional Institution - Estill

Horry County

Population Group: Low Income - Horry County

Facility: Healthcare Partners

Facility: Little River Medical Center

Jasper County

Population Group: Low Income - Coastal Empire Service Area

Facility: Beaufort Jasper Comprehensive

Facility: CF-Ridgeland Correctional Institution

Kershaw County

Service Area: Mental Health Catchment Area Santee-Wateree

Page 197 of 263 Pages

MENTAL HEALTH: South Carolina

County and County Equivalent Listing

Lancaster County

Population Group: Low Income - Catawba Service Area

Facility: Carenet of Lancaster

Facility: CF-Kershaw Correctional Institution

Laurens County

Service Area: Beckman Service Area

Lee County

Service Area: Mental Health Catchment Area Santee-Wateree

Facility: CF-Lee Correctional Institution

Lexington County

Service Area: Batesburg-Leesville

Population Group: Low Income - Pelion-Swansea

Marion County

Service Area: Pee Dee Service Area

Facility: Fowler Rural Medical

Marlboro County

Service Area: Tri - County Service Area

Facility: CF-Evans Correctional Institution

Facility: Federal Correctional Institution - Bennettsville

McCormick County

Service Area: Beckman Service Area

Facility: CF-McCormick Correctional Institution

Newberry County

Service Area: Beckman Service Area

Oconee County

Population Group: Low Income - Anderson/Oconee/Pickens Counties

Facility: Rosa Clark Medical Clinic Inc.

Orangeburg County

Service Area: Orangeburg Service Area

Facility: Family Health Centers

Pickens County

Population Group: Low Income - Anderson/Oconee/Pickens Counties

Facility: Foothills Community Health Care

Richland County

Facility: CF-Broad River Correctional Institution

Facility: CF-Camille Griffin Graham Correctional Institution

Facility: Eau Claire Cooperative

Facility: Genesis Health Care, Inc.

Facility: Genesis Healthcare, Inc.

Facility: South Carolina Migrant Health Program

Page 198 of 263 Pages

MENTAL HEALTH: South Carolina

County and County Equivalent Listing

Saluda County

Service Area: Beckman Service Area

Spartanburg County

Population Group: Low Income - Spartanburg County

Facility: CF-Tyger River Correctional Institution

Facility: Regenesis Community Health Center

Sumter County

Service Area: Mental Health Catchment Area Santee-Wateree

Sumter County

Facility: CF-Wateree Correctional Institution

Facility: Sumter Family Health Center

Union County

Service Area: Union County

Williamsburg County

Service Area: Georgetown/Williamsburg Counties

Facility: Federal Correctional Institution - Williamsburg

York County

Population Group: Low Income - Catawba Service Area

Facility: Affinity Health Center

Facility: Catawba Indian Nation

Facility: Community Medicine Foundation

MENTAL HEALTH: South Dakota

County and County Equivalent Listing

Page 199 of 263 Pages

Aurora County

Service Area: Catchment Area 4

Beadle County

Service Area: Catchment Area Ccs 3A

Bennett County

Service Area: Shannon/Bennett/Jackson County

Bon Homme County

Service Area: Catchment Area 12

Facility: Mike Durfee State Prison - Springfield

Brookings County

Service Area: Brookings County

Brown County

Population Group: Low Income-Nemhc Mental Health Catchment Area

Facility: South Dakota Urban Indian Health, Inc.

Facility: Youth Regional Treatment Center

Brule County

Service Area: Catchment Area 4

Buffalo County

Service Area: Catchment Area 2

Facility: Crow Creek Sioux Tribe

Facility: Fort Thompson PHS Indian Hospital

Butte County

Service Area: Butte County

Campbell County

Population Group: Low Income-Nemhc Mental Health Catchment Area

Charles Mix County

Service Area: Catchment Area 12

Facility: Wagner PHS Indian Hospital

Facility: Yankton Sioux Tribe

Clark County

Service Area: Mental Health Catchment Area 5A

Clay County

Service Area: Catchment Area 12

Codington County

Service Area: Mental Health Catchment Area 5A

Corson County

Service Area: Catchment Area 8

Facility: McLaughlin PHS Indian Hospital

Custer County

Service Area: Custer County

Davison County

Service Area: Catchment Area 4

MENTAL HEALTH: South Dakota

County and County Equivalent Listing

Page 200 of 263 Pages

Day County

Population Group: Low Income-Nemhc Mental Health Catchment Area

Deuel County

Service Area: Mental Health Catchment Area 5A

Dewey County

Service Area: Catchment Area 8

Facility: Cheyenne River Sioux Tribe

Facility: Eagle Butte PHS Indian Hospital

Facility: Isabel Community Clinic

Facility: West Dakota Health Center

Douglas County

Service Area: Catchment Area 12

Edmunds County

Population Group: Low Income-Nemhc Mental Health Catchment Area

Faulk County

Population Group: Low Income-Nemhc Mental Health Catchment Area

Grant County

Service Area: Mental Health Catchment Area 5A

Gregory County

Service Area: Catchment Area 10

Haakon County

Service Area: Catchment Area 2

Facility: Philip Clinic

Hamlin County

Service Area: Mental Health Catchment Area 5A

Hand County

Service Area: Catchment Area Ccs 3A

Hanson County

Service Area: Catchment Area 4

Harding County

Service Area: Harding County

Hughes County

Service Area: Catchment Area 2

Facility: Rural Health Care

Facility: South Dakota Women's Prison

Hutchinson County

Service Area: Catchment Area 12

Hyde County

Service Area: Catchment Area 2

Jackson County

Service Area: Shannon/Bennett/Jackson County

Facility: Kyle PHS Health Center

MENTAL HEALTH: South Dakota

County and County Equivalent Listing

Page 201 of 263 Pages

Jackson County

Facility: Wanblee PHS Indian Health Center

Jerauld County

Service Area: Catchment Area Ccs 3A

Jones County

Service Area: Catchment Area 2

Kingsbury County

Service Area: Catchment Area Ccs 3A

Facility: Arlington Medical Clinic

Lake County

Service Area: Catchment Area Ccs 3A

Lawrence County

Service Area: Lawrence and Meade Counties

Lyman County

Service Area: Catchment Area 2

Facility: Lower Brule Sioux Tribe

Marshall County

Population Group: Low Income-Nemhc Mental Health Catchment Area

McPherson County

Population Group: Low Income-Nemhc Mental Health Catchment Area

Meade County

Service Area: Lawrence and Meade Counties

Mellette County

Service Area: Catchment Area 10

Miner County

Service Area: Catchment Area Ccs 3A

Facility: Horizon Health Care

Minnehaha County

Facility: City of Sioux Falls Health

Facility: SD State Penitentiary - Minnehaha

Moody County

Service Area: Catchment Area Ccs 3A

Facility: Flandreau Santee Sioux Tribe

Not Determined

Service Area: Shannon/Bennett/Jackson County

Oglala Lakota County

Facility: Oglala Sioux Tribe

Facility: Pine Ridge PHS Indian Hospital

Pennington County

Facility: Community Health Center of Black Hill

Facility: Rapid City PHS Indian Health Hospital

MENTAL HEALTH: South Dakota

County and County Equivalent Listing

Page 202 of 263 Pages

Perkins County

Service Area: Catchment Area 8

Potter County

Population Group: Low Income-Nemhc Mental Health Catchment Area

Roberts County

Service Area: Mental Health Catchment Area 5A

Facility: Sisseton PHS Indian Hospital

Facility: Sisseton-Wahpeton Oyate Tribe

Sanborn County

Service Area: Catchment Area 4

Spink County

Population Group: Low Income-Nemhc Mental Health Catchment Area

Facility: South Dakota Development Center

Stanley County

Service Area: Catchment Area 2

Sully County

Service Area: Catchment Area 2

Todd County

Service Area: Catchment Area 10

Facility: Rosebud PHS Indian Hospital

Facility: Rosebud Sioux Tribe

Tripp County

Service Area: Catchment Area 10

Turner County

Facility: Parker Medical Clinic

Union County

Service Area: Catchment Area 12

Facility: Union County Health

Walworth County

Population Group: Low Income-Nemhc Mental Health Catchment Area

Yankton County

Service Area: Catchment Area 12

Facility: South Dakota Human Services Center

Ziebach County

Service Area: Catchment Area 8

MENTAL HEALTH: Tennessee

County and County Equivalent Listing

Page 203 of 263 Pages

Anderson County

Population Group: Low Income-Mental Health Catchment Area #6

Bedford County

Service Area: Mental Health Catchment Area 19

Facility: Bedford Urgent Care

Facility: Lynette M. Adams, MD

Facility: Unionville Family Practice

Benton County

Service Area: Mental Health Catchment Area 21

Bledsoe County

Population Group: Low Income-Mental Health Catchment Area 12

Blount County

Population Group: Low Income-Mental Health Catchment Area #8

Bradley County

Population Group: Low Income-Mental Health Catchment Area 10

Campbell County

Population Group: Low Income-Mental Health Catchment Area #6

Facility: Community Health of East Tennessee

Facility: Dayspring Family Health

Cannon County

Service Area: Mental Health Catchment Area 9

Carroll County

Service Area: Mental Health Catchment Area 21

Carter County

Service Area: Mental Health Catchment Area # 1

Cheatham County

Service Area: Mental Health Catchment Area 14

Facility: Family Health Center - Ashland City

Chester County

Service Area: Mental Health Catchment Area 24

Claiborne County

Service Area: Mental Health Catchment Area 5

Clay County

Service Area: Mental Health Catchment Area 9

Cocke County

Service Area: Mental Health Catchment Area 5

Facility: Rural Medical Services

Coffee County

Service Area: Mental Health Catchment Area 19

Crockett County

Service Area: Mental Health Catchment Area 22

MENTAL HEALTH: Tennessee

County and County Equivalent Listing

Page 204 of 263 Pages

Cumberland County

Service Area: Mental Health Catchment Area 9

Davidson County

Population Group: Low Income-Davidson County

Facility: Dba Vine Hill/University Community Health Services

Facility: Matthew Walker Comprehensive Health Center, Inc.

Facility: Middle Tennessee Mental Health Institute

Facility: United Neighborhood Health

Decatur County

Service Area: Mental Health Catchment Area 24

Facility: Jennings Family Medical Clinic

DeKalb County

Service Area: Mental Health Catchment Area 9

Dickson County

Service Area: Mental Health Catchment Area 14

Dyer County

Service Area: Mental Health Catchment Area 22

Facility: Dyersburg Family Walk-in Clinic-Taylorsburg

Fayette County

Population Group: Low Income-Mental Health Catchment Area 25

Fentress County

Service Area: Mental Health Catchment Area 9

Franklin County

Service Area: Mental Health Catchment Area 19

Gibson County

Service Area: Mental Health Catchment Area 21

Facility: Gibson County Community Health Center, Tdh

Giles County

Population Group: Low Income-Mental Health Catchment Area 20

Facility: One Stop Medical, LLC

Grainger County

Service Area: Mental Health Catchment Area 5

Greene County

Service Area: Mental Health Catchment Area 4

Grundy County

Population Group: Low Income-Mental Health Catchment Area 12

Hamblen County

Service Area: Mental Health Catchment Area 5

Facility: Cherokee Health Systems

MENTAL HEALTH: Tennessee

County and County Equivalent Listing

Page 205 of 263 Pages

Hamilton County

Population Group: Low Income-Hamilton County

Facility: Chattanooga/Hamilton County Health Department

Hamilton County

Facility: Erlanger Health Systems

Facility: Moccasin Bend Mental Health Institute

Hancock County

Service Area: Mental Health Catchment Area 4

Hardeman County

Service Area: Mental Health Catchment Area 24

Facility: Hardeman County Community Health Center

Facility: Western Mental Health Institute

Hardin County

Service Area: Mental Health Catchment Area 24

Facility: Hardin County Regional Health Center

Hawkins County

Service Area: Mental Health Catchment Area 4

Facility: Rural Health Services Consortium

Haywood County

Service Area: Mental Health Catchment Area 23

Henderson County

Service Area: Mental Health Catchment Area 23

Henry County

Service Area: Mental Health Catchment Area 21

Hickman County

Population Group: Low Income-Mental Health Catchment Area 20

Houston County

Service Area: Mental Health Catchment Area 14

Humphreys County

Service Area: Mental Health Catchment Area 14

Jackson County

Service Area: Mental Health Catchment Area 9

Jefferson County

Service Area: Mental Health Catchment Area 5

Johnson County

Service Area: Mental Health Catchment Area # 1

Knox County

Population Group: Low Income-Knox County

Lake County

Service Area: Mental Health Catchment Area 22

Facility: Lake County Primary Care

MENTAL HEALTH: Tennessee

County and County Equivalent Listing

Page 206 of 263 Pages

Lauderdale County

Population Group: Low Income-Mental Health Catchment Area 25

Facility: Christian Family Medicine, Inc.

Facility: Rural Health Clinics of West Tennessee-West M

Lauderdale County

Facility: Rural Health Clinics of West TN-Anthony Site

Lawrence County

Population Group: Low Income-Mental Health Catchment Area 20

Facility: One Stop Medical, LLC

Lewis County

Population Group: Low Income-Mental Health Catchment Area 20

Facility: Maury Regional Hospital

Lincoln County

Service Area: Mental Health Catchment Area 19

Loudon County

Population Group: Low Income-Mental Health Catchment Area #8

Macon County

Service Area: Mental Health Catchment Area 9

Facility: Hope Family Health Services

Madison County

Service Area: Mental Health Catchment Area 23

Marion County

Population Group: Low Income-Mental Health Catchment Area 12

Marshall County

Population Group: Low Income-Mental Health Catchment Area 20

Maury County

Population Group: Low Income-Mental Health Catchment Area 20

McMinn County

Population Group: Low Income-Mental Health Catchment Area 10

McNairy County

Service Area: Mental Health Catchment Area 24

Meigs County

Population Group: Low Income-Mental Health Catchment Area 10

Monroe County

Population Group: Low Income-Mental Health Catchment Area #8

Facility: Chota Community Health Services

Facility: Women's Wellness and Maternity Center

Montgomery County

Service Area: Mental Health Catchment Area 14

Moore County

Service Area: Mental Health Catchment Area 19

MENTAL HEALTH: Tennessee

County and County Equivalent Listing

Page 207 of 263 Pages

Morgan County

Population Group: Low Income-Mental Health Catchment Area #6

Facility: Morgan County Health Council, Inc.

Obion County

Service Area: Mental Health Catchment Area 22

Overton County

Service Area: Mental Health Catchment Area 9

Perry County

Population Group: Low Income-Mental Health Catchment Area 20

Facility: Perry County Medical

Pickett County

Service Area: Mental Health Catchment Area 9

Polk County

Population Group: Low Income-Mental Health Catchment Area 10

Facility: Ocoee Regional Health

Putnam County

Service Area: Mental Health Catchment Area 9

Facility: Upper Cumberland Primary Care Project

Rhea County

Population Group: Low Income-Mental Health Catchment Area 12

Roane County

Population Group: Low Income-Mental Health Catchment Area #6

Robertson County

Service Area: Mental Health Catchment Area 14

Rutherford County

Facility: Rutherford County Primary Care/Dbaprimary Care and H

Scott County

Population Group: Low Income-Mental Health Catchment Area #6

Facility: Mountain Peoples Health Council

Sequatchie County

Population Group: Low Income-Mental Health Catchment Area 12

Sevier County

Population Group: Low Income-Mental Health Catchment Area #8

Shelby County

Population Group: Low Income-Macon/Mullins Station

Population Group: Low Income-Millington/Woodstock-Lucy

Population Group: Low Income-Northwest Memphis-Frayser-Raleigh

Population Group: Low Income-Parkway Village/Fox Meadows

Population Group: Low Income-South Memphis/Whitehaven-Levi

Facility: Christ Community Health Services, Inc.

Facility: Federal Correctional Institution – Memphis

Facility: Memphis Health Center, Inc.

MENTAL HEALTH: Tennessee

County and County Equivalent Listing

Page 208 of 263 Pages

Facility: Tri State Community Health Center

Smith County

Service Area: Mental Health Catchment Area 9

Stewart County

Service Area: Mental Health Catchment Area 14

Stewart County

Facility: Tennessee Department of Health - Stewart County Health Center

Sullivan County

Service Area: Mental Health Catchment Area # 1

Tipton County

Population Group: Low Income-Mental Health Catchment Area 25

Unicoi County

Service Area: Mental Health Catchment Area # 1

Union County

Service Area: Mental Health Catchment Area 5

Van Buren County

Service Area: Mental Health Catchment Area 9

Warren County

Service Area: Mental Health Catchment Area 9

Facility: Pioneer Pediatrics

Washington County

Service Area: Mental Health Catchment Area # 1

Facility: East Tennessee State University

Wayne County

Population Group: Low Income-Mental Health Catchment Area 20

Weakley County

Service Area: Mental Health Catchment Area 22

White County

Service Area: Mental Health Catchment Area 9

Williamson County

Facility: Mercy Health Services

Facility: Prohealth Rural Health Services, Inc.

MENTAL HEALTH: Texas County and County Equivalent Listing

Page 209 of 263 Pages

Anderson County

Service Area: Anderson County

Facility: CF-George Beto Unit

Facility: CF-H.H. Coffield Unit

Facility: CF-Joe F. Gurney Unit

Facility: CF-Louis C Powledge Unit

Facility: CF-Mark West Michael Unit

Facility: Etmc First Physicians Clinic Frankston

Andrews County

Service Area: Andrews County

Angelina County

Service Area: Angelina County

Armstrong County

Service Area: Armstrong County

Atascosa County

Service Area: Atascosa County

Facility: Atascosa Healthcare

Austin County

Service Area: Austin County

Bailey County

Service Area: Bailey County

Facility: Muleshoe Family Clinic

Bandera County

Service Area: Bandera County

Bastrop County

Service Area: Bastrop County

Baylor County

Service Area: Baylor County

Facility: Seymour Hospital Rural Health Clinic

Bee County

Service Area: Bee County

Facility: Beeville Family Practice

Facility: CF-William G. McConnell Unit

Facility: Christus Spohn Women's Health Center

Facility: La Bahia Clinic

Bexar County

Service Area: San Antonio South West

Facility: Barrio Comprehensive Health Center

Facility: CF-Fabian Dale Dominguez State Jail

Facility: El Centro Del Barrio

MENTAL HEALTH: Texas County and County Equivalent Listing

Page 210 of 263 Pages

Blanco County

Service Area: Blanco County

Borden County

Service Area: Borden County

Bosque County

Service Area: Bosque County

Bowie County

Facility: CF-Barry B Telford Unit

Brazoria County

Facility: CF-a.M. "Mac" Stringfellow Unit

Facility: CF-C.T. Terrell Unit

Facility: CF-Clemens

Facility: CF-Darrington Unit

Facility: CF-Ramsey Unit

Facility: CF-Wayne Scott Unit

Facility: Stephen F. Austin Community Health Center,

Brazos County

Facility: Brazos Valley Community Action

Brewster County

Facility: Marathon Rural Health Center

Briscoe County

Service Area: Briscoe County

Brooks County

Service Area: Brooks County

Burleson County

Service Area: Burleson County

Burnet County

Facility: Seton Highland Lakes Clinic Marbles Fall

Facility: Seton Highland Lakes Dba Marble Falls Health Center

Caldwell County

Facility: Children's Care-a-Van

Calhoun County

Service Area: Calhoun County

Facility: Memorial Medical Center

Callahan County

Service Area: Callahan County

Cameron County

Service Area: Cameron County

Facility: Brownsville Community Health Center

Facility: Immigration and Customs Enforcement - Port Isabel

Facility: Su Clinica Familia

MENTAL HEALTH: Texas County and County Equivalent Listing

Page 211 of 263 Pages

Camp County

Service Area: Camp County

Carson County

Service Area: Carson County

Cass County

Service Area: Cass County

Castro County

Service Area: Castro County

Chambers County

Service Area: Chambers County

Facility: Chambers County Public Hospital District

Cherokee County

Service Area: Cherokee County

Facility: CF-Hodge Unit

Facility: Etmc First Physicians Clinic Jacksonville

Facility: Etmc First Physicians Clinic Rusk

Childress County

Service Area: Childress County

Facility: Fox Rural Health Clinic

Cochran County

Service Area: Cochran County

Coke County

Service Area: Coke County

Coleman County

Service Area: Coleman County

Collin County

Facility: Collin County Adult Clinic

Collingsworth County

Service Area: Collingsworth County

Colorado County

Service Area: Colorado County

Facility: Rice Medical Associates

Comanche County

Service Area: Comanche County

Facility: Cross Timbers Healthcare

Concho County

Service Area: Concho County

Facility: Frontera Healthcare Network

MENTAL HEALTH: Texas County and County Equivalent Listing

Page 212 of 263 Pages

Cooke County

Service Area: Cooke County

Facility: Cooke County Medical Center

Facility: Gainesville State School

Coryell County

Facility: CF-Alfred D Hughes

Coryell County

Facility: CF-Christina Melton Crain

Facility: CF-Dr. Lane Murray Unit

Facility: CF-Mountain View Unit

Cottle County

Service Area: Cottle County

Crane County

Service Area: Crane County

Crockett County

Service Area: Crockett County

Crosby County

Service Area: Crosby County

Culberson County

Service Area: Culberson County

Facility: Van Horn Rural Health Clinic

Dallam County

Service Area: Dallam County

Dallas County

Service Area: South Irving Service Area

Service Area: West Dallas

Facility: CF-Hutchins State Jail

Facility: Dallas County Hosptial District Homeless Programs

Facility: Healing Hands Ministries, Inc.

Facility: Los Barrios Unidos Community Health Center

Facility: Mission East Dallas (Medical) and Metroplex Project

Facility: MLK Jr. Family Center

Facility: Urban Inter-Tribal Center of Texas

Dawson County

Service Area: Dawson County

Deaf Smith County

Service Area: Deaf Smith County

Denton County

Facility: Health Services of North Texas, Inc.

MENTAL HEALTH: Texas County and County Equivalent Listing

Page 213 of 263 Pages

DeWitt County

Service Area: Dewitt County

Facility: CF - Clarence North Stevenson Facility

Facility: Cuero Medical Clinic

Dickens County

Service Area: Dickens County

Dimmit County

Service Area: Dimmit County

Facility: Women's Clinic of Dimmit and Zavala

Donley County

Service Area: Donley County

Facility: Clarendon Family Medical Center

Duval County

Service Area: Duval County

Eastland County

Service Area: Eastland County

Ector County

Facility: Ector County Hospital District

Edwards County

Service Area: Edwards County

El Paso County

Service Area: El Paso

Facility: Centro De Salud Familiar La Fe, Inc.

Facility: Centro San Vicente Health Center

Facility: Immigration and Customs Enforcement - El Paso

Facility: Project Vida Health Center

Facility: Ysleta Del Sur Pueblo

Ellis County

Facility: Ellis County Coalition for Health Option

Erath County

Service Area: Erath County

Falls County

Service Area: Falls County

Fannin County

Service Area: Fannin County

Facility: CF - Buster Cole State Jail

Facility: CF-Choice Moore Transfer Facility

Fayette County

Service Area: Fayette County

Facility: Tejas Health Care (Thc)

MENTAL HEALTH: Texas County and County Equivalent Listing

Page 214 of 263 Pages

Fisher County

Service Area: Fisher County

Facility: Clearfork Health Clinic

Facility: Roby Rural Health Clinic

Floyd County

Service Area: Floyd County

Foard County

Service Area: Foard County

Fort Bend County

Facility: CF-Jester 1 Unit

Facility: CF-Jester 3 Unit

Fort Bend County

Facility: CF-Vance Unit

Facility: The Access Health Richmond Center

Freestone County

Service Area: Freestone County

Facility: CF-William R. Boyd Unit

Frio County

Service Area: Frio County

Facility: Immigration Customs Enforcement-South Texas/Pearsall

Gaines County

Service Area: Gaines County

Galveston County

Facility: Coastal Health and Wellness

Garza County

Service Area: Garza County

Gillespie County

Service Area: Gillespie County

Glasscock County

Service Area: Glasscock County

Gonzales County

Service Area: Gonzales County

Facility: Community Health Centers of South Central Texas

Gray County

Service Area: Gray County

Facility: CF-Jordan/Baten Unit

Grayson County

Population Group: Low Income - Grayson County

Gregg County

Facility: Longview Wellness Center

Facility: Special Health Resources of Texas

MENTAL HEALTH: Texas County and County Equivalent Listing

Page 215 of 263 Pages

Grimes County

Facility: CF-Luther Facility

Facility: CF-Pack Facility

Guadalupe County

Service Area: Guadalupe County

Hale County

Service Area: Hale County

Facility: Regence Health Network

Hall County

Service Area: Hall County

Hamilton County

Service Area: Hamilton County

Hansford County

Service Area: Hansford County

Facility: Family Medical Clinic of Hansford County

Hardeman County

Service Area: Hardeman County

Harris County

Service Area: Acres Home

Service Area: Aldine

Service Area: Ripley Service Area

Service Area: South Central Houston

Service Area: Third Ward Service Area

Facility: Asian Am. Health Coalition of Gtr Houston/Dba Hope C

Facility: Bee Busy Wellness Center

Facility: CF-Joe Kegans State Jail

Facility: El Centro De Corazon

Facility: Federal Detention Center-Houston

Facility: Fourth Ward Clinic Dba Good Neighbor Hcc

Facility: Harris Health System - Homeless Outreach

Facility: Houston Area Community Services, Inc.

Facility: Houston Community Health Center

Facility: Houston Health Care for the Homeless

Facility: Immigration and Customs Enforcement – Houston

Facility: Legacy Community Health Systems, Inc.

Facility: Montrose Counseling Center

Facility: Pasadena Health Center

Facility: Smh-Houston-Harris County Psychiatric Center

Facility: South Central Houston Action Council, Inc.

Facility: Spring Branch Community Health Center

Facility: St. Hope Foundation

MENTAL HEALTH: Texas County and County Equivalent Listing

Page 216 of 263 Pages

Harrison County

Facility: East Texas Border Health Clinics

Facility: East Texas Pediatrics

Facility: Marshall Health Clinic

Facility: Marshall Pediatric Clinic

Hartley County

Service Area: Hartley County

Facility: Dalhart Family Medicine Clinic

Haskell County

Service Area: Haskell County

Hemphill County

Service Area: Hemphill County

Henderson County

Service Area: Henderson County

Hidalgo County

Service Area: Hidalgo County

Facility: Nuestra Clinica Del Valle

Hill County

Service Area: Hill County

Facility: Goodall Witcher Hospital Authority

Hockley County

Service Area: Hockley County

Facility: Family Medicine of Levelland

Facility: South Plains Rural Health

Hood County

Service Area: Hood County

Houston County

Service Area: Houston County

Facility: CF-Eastham Unit

Hudspeth County

Service Area: Hudspeth County

Hunt County

Facility: Community Health Service Agency, Inc.

Hutchinson County

Service Area: Hutchinson County

Jack County

Service Area: Jack County

Facility: CF-John R. Lindsey State Jail

MENTAL HEALTH: Texas County and County Equivalent Listing

Page 217 of 263 Pages

Jasper County

Service Area: Jasper County

Facility: Christus Family Practice Center – Rayburn

Facility: Christus Family Practice Clinic – Jasper

Facility: Christus Family Practice Clinic – Kirbyville

Facility: Christus Jasper Family Practice Clinic

Jeff Davis County

Service Area: Jeff Davis County

Jefferson County

Facility: CF-Larry Gist State Jail

Facility: CF-Leblanc Unit

Facility: CF-Mark W. Stiles

Facility: Federal Correctional Complex – Beaumont

Facility: Gulf Coast Health Center

Facility: Triangle AIDS Network

Jim Hogg County

Service Area: Jim Hogg County

Jim Wells County

Service Area: Jim Wells County

Facility: Community Action Corporation of South Texas

Johnson County

Facility: CF-Sanders Estes Unit

Jones County

Service Area: Jones County

Facility: Anson Family Wellness Clinic

Facility: Kapu Medical Clinic

Facility: Memorial Health Clinic

Karnes County

Service Area: Karnes County

Facility: CF - John B Connally Jr Facility

Kenedy County

Service Area: Kenedy County

Kent County

Service Area: Kent County

Facility: Kent County Rural Health Clinic

Kerr County

Service Area: Kerr County

Kimble County

Service Area: Kimble County

King County

Service Area: King County

MENTAL HEALTH: Texas County and County Equivalent Listing

Page 218 of 263 Pages

Kinney County

Service Area: Kinney County

Kleberg County

Service Area: Kleberg County

Knox County

Service Area: Knox County

Facility: Munday Clinic

La Salle County

Service Area: La Salle County

Facility: South Texas Rural Health Services

Lamb County

Service Area: Lamb County

Lampasas County

Service Area: Lampasas County

Lee County

Service Area: Lee County

Lee County

Facility: Giddings State School

Leon County

Service Area: Leon County

Liberty County

Facility: CF-Henley State Jail

Facility: CF-Lucile Plane State Jail

Facility: CF-Lv Hightower

Facility: Health Center of Southeast Texas

Limestone County

Service Area: Limestone County

Facility: Family Medicine Center

Facility: Parkview Regional Health Clinic

Lipscomb County

Service Area: Lipscomb County

Live Oak County

Service Area: Live Oak County

Facility: Federal Correctional Institution - Three Rivers

Llano County

Service Area: Llano County

Facility: Horseshoe Bay Clinic

Loving County

Service Area: Loving County

Lubbock County

Facility: Community Health Center of Lubbock

Facility: Texas Tech University Health Sciences Center

MENTAL HEALTH: Texas County and County Equivalent Listing

Page 219 of 263 Pages

Lynn County

Service Area: Lynn County

Madison County

Service Area: Madison County

Facility: CF - Jim Ferguson Unit

Marion County

Service Area: Marion County

Martin County

Service Area: Martin County

Mason County

Service Area: Mason County

Matagorda County

Service Area: Matagorda County

Facility: Matagorda Episcopal Health Outreach Prog

Facility: Palacios Medical Clinic

Maverick County

Service Area: Maverick County

Facility: United Medical Centers

McCulloch County

Service Area: McCulloch County

McLennan County

Population Group: Low Income McLennan County

Facility: Heart of Texas Community Health

Facility: McLennan County State Juvenile Correctional Facili

McMullen County

Service Area: McMullen County

Medina County

Service Area: Medina County

Menard County

Service Area: Menard County

Midland County

Facility: Midland Community Healthcare Services, Inc.

Milam County

Service Area: Milam County

Mills County

Service Area: Mills County

Mitchell County

Service Area: Mitchell County

Montague County

Service Area: Montague County

Montgomery County

Facility: Lone Star Community Health Center

MENTAL HEALTH: Texas County and County Equivalent Listing

Page 220 of 263 Pages

Moore County

Service Area: Moore County

Motley County

Service Area: Motley County

Nacogdoches County

Service Area: Nacogdoches County

Facility: East Texas Community Health Services

Navarro County

Service Area: Navarro County

Newton County

Service Area: Newton County

Nolan County

Service Area: Nolan County

Nueces County

Population Group: Low Income - Nueces County

Nueces County

Facility: Amistad Community Health Center

Facility: Coastal Bend AIDS Foundation

Ochiltree County

Service Area: Ochiltree County

Oldham County

Service Area: Oldham County

Palo Pinto County

Service Area: Palo Pinto County

Panola County

Service Area: Panola County

Parmer County

Service Area: Parmer County

Facility: Friona Rural Health Clinic

Pecos County

Service Area: Pecos County

Facility: Cactus Health Services, Inc.

Facility: Family Care Center

Polk County

Service Area: Polk County

Facility: CF-Polunsky Unit

Presidio County

Service Area: Presidio County

Facility: Presidio County Health Clinic

Rains County

Service Area: Rains County

MENTAL HEALTH: Texas County and County Equivalent Listing

Page 221 of 263 Pages

Reagan County

Service Area: Reagan County

Real County

Service Area: Real County

Red River County

Service Area: Red River County

Facility: Bogata Medical Clinic

Reeves County

Service Area: Reeves County

Roberts County

Service Area: Roberts County

Robertson County

Service Area: Robertson County

Runnels County

Service Area: Runnels County

Facility: Ballinger Hospital Clinic

Rusk County

Service Area: Rusk County

Facility: CF-Billy Moore Correctional Facility

Facility: CF-James Bradshaw State Jail

Facility: East Texas Medical Center-Henderson

Facility: Mt. Enterprise Community Health Center

Sabine County

Service Area: Sabine County

San Augustine County

Service Area: San Augustine County

San Jacinto County

Service Area: San Jacinto County

San Patricio County

Service Area: San Patricio County

San Saba County

Service Area: San Saba County

Schleicher County

Service Area: Schleicher County

Facility: Schleicher County Family Clinic

Scurry County

Service Area: Scurry County

Shackelford County

Service Area: Shackelford County

Facility: Shackelford County Community Resource Center

MENTAL HEALTH: Texas County and County Equivalent Listing

Page 222 of 263 Pages

Shelby County

Service Area: Shelby County

Facility: The Hope Project Inc.

Sherman County

Service Area: Sherman County

Smith County

Facility: Tyler Family Circle of Care

Somervell County

Service Area: Somervell County

Starr County

Service Area: Starr County

Facility: Family Health Center, LLP

Facility: Family Health Clinic ROMA

Facility: Family Medical and Specialty Clinic

Facility: Pediatric Practice Association - Rio Grande City

Facility: Pediatric Practice Association - Roma

Stephens County

Service Area: Stephens County

Stephens County

Facility: Stephens County Medical Clinic

Stonewall County

Service Area: Stonewall County

Facility: Stonewall Rural Health Clinic

Sutton County

Service Area: Sutton County

Swisher County

Service Area: Swisher County

Tarrant County

Facility: Federal Medical Center-Carswell

Facility: North Texas Area Community Health Center, Inc.

Taylor County

Service Area: Taylor County

Terrell County

Service Area: Terrell County

Facility: Sanderson Rural Health Center

Terry County

Service Area: Terry County

Throckmorton County

Service Area: Throckmorton County

Facility: Throckmorton County Rural Health Care Clinic

Tom Green County

Facility: La Esperanza Clinic, Inc.

MENTAL HEALTH: Texas County and County Equivalent Listing

Page 223 of 263 Pages

Travis County

Facility: People's Community Clinic

Facility: Travis County Healthcare District/Dba Communitycar

Trinity County

Service Area: Trinity County

Facility: Groveton Family Health Clinic

Tyler County

Service Area: Tyler County

Facility: CF-Gib Lewis Unit

Upton County

Service Area: Upton County

Uvalde County

Service Area: Uvalde County

Facility: Community Health Development, Inc.

Val Verde County

Service Area: Val Verde County

Van Zandt County

Service Area: Van Zandt County

Victoria County

Service Area: Victoria County

Walker County

Facility: CF - Rev Catchment Area Holliday Transfer Facility

Facility: CF-Huntsville Unit

Facility: CF-James H. Byrd Unit

Facility: CF-John M. Wynne Unit

Facility: CF-O.B. Ellis Unit

Facility: CF-Thomas Goree Unit

Facility: CF-W.J. Estelle Unit

Waller County

Service Area: Waller County

Ward County

Service Area: Ward County

Washington County

Service Area: Washington County

Webb County

Facility: Gateway Community Health Center

Wheeler County

Service Area: Wheeler County

Wichita County

Service Area: Wichita County

Facility: North Central Texas Community Health Center

Wilbarger County

Service Area: Wilbarger County

MENTAL HEALTH: Texas County and County Equivalent Listing

Page 224 of 263 Pages

Willacy County

Service Area: Willacy County

Williamson County

Facility: Immigration and Customs Enforcement – Taylor

Facility: Lone Star Circle of Care

Wilson County

Service Area: Wilson County

Winkler County

Service Area: Winkler County

Wise County

Service Area: Wise County

Facility: CF-Bridgeport Correctional Center

Wood County

Service Area: Wood County

Facility: CF-Clyde M Johnston Unit

Facility: Etmc First Physician Health Clinic

Yoakum County

Service Area: Yoakum County

Young County

Service Area: Young County

Facility: Lovett-Meredith Rural Health Clinic

Zapata County

Service Area: Zapata County

Zavala County

Service Area: Zavala County

Facility: Eduardo Moreno, Rural Health Clinic

Facility: Vida Y Salud Health System

MENTAL HEALTH: Utah County and County Equivalent Listing

Page 225 of 263 Pages

Beaver County

Service Area: Five County Mental Health Catchment Area (Southwes

Box Elder County

Service Area: Bear River Mental Health Catchment Area

Cache County

Service Area: Bear River Mental Health Catchment Area

Carbon County

Service Area: Four Corners Mental Health Catchment Area

Facility: Carbon Medical Services

Daggett County

Service Area: Uintah Basin

Davis County

Service Area: Davis County

Duchesne County

Service Area: Uintah Basin

Emery County

Service Area: Four Corners Mental Health Catchment Area

Facility: Green River Medical Center

Garfield County

Service Area: Five County Mental Health Catchment Area (Southwes

Grand County

Service Area: Four Corners Mental Health Catchment Area

Iron County

Service Area: Five County Mental Health Catchment Area (Southwes

Facility: Paiute Indian Tribe of UT

Juab County

Service Area: Six County Mental Health Catchment Area

Facility: Goshute Tribe

Kane County

Service Area: Five County Mental Health Catchment Area (Southwes

Millard County

Service Area: Six County Mental Health Catchment Area

Morgan County

Population Group: Low Income - Weber/Morgan Counties

Piute County

Service Area: Six County Mental Health Catchment Area

Rich County

Service Area: Bear River Mental Health Catchment Area

Facility: Bear Lake Community Health Center Inc.

MENTAL HEALTH: Utah County and County Equivalent Listing

Page 226 of 263 Pages

Salt Lake County

Service Area: Northwest Salt Lake County

Facility: Community Health Centers, Inc.

Salt Lake County

Facility: Indian Walk-in Center

Facility: Midvale Family Health Clinic

Facility: Sacred Circle Health Care

Facility: Utah Partners for Health (Upfh)

Facility: Utah State Prison – Draper

Facility: Wasatch Homeless

San Juan County

Service Area: San Juan County

Facility: Blanding Medical Clinic

Facility: San Juan Clinic

Facility: Utah Navajo Health System, Inc.

Sanpete County

Service Area: Six County Mental Health Catchment Area

Facility: Central Utah Correctional Facility

Sevier County

Service Area: Six County Mental Health Catchment Area

Summit County

Service Area: Summit County

Tooele County

Service Area: Tooele County

Uintah County

Service Area: Uintah Basin

Facility: Fort Duchesne PHS Indian Health Center

Facility: Ute Indian Tribe

Facility: Ute Indian Tribe-Alch/Service Area

Utah County

Service Area: Northeastern Utah County

Facility: Mountainlands Community Health Center, Inc.

Wasatch County

Service Area: Wasatch County

Washington County

Service Area: Five County Mental Health Catchment Area (Southwes

Facility: Enterprise Valley Medical

Facility: Shivwits Paiute Medical Clinic

Facility: Southwest Utah Community Health Center

MENTAL HEALTH: Utah County and County Equivalent Listing

Page 227 of 263 Pages

Wayne County

Service Area: Six County Mental Health Catchment Area

Facility: Wayne Community Health

Weber County

Population Group: Low Income - Weber/Morgan Counties

Facility: Midtown Community Health Center

MENTAL HEALTH: Vermont County and County Equivalent Listing

Page 228 of 263 Pages

Bennington County

Facility: Battenkill Valley Health Center Inc.

Facility: Michael Welther Dba Arlington Family Practice

Caledonia County

Facility: Nvrh Corner Medical

Facility: Nvrh St. Johnsbury Pediatrics

Chittenden County

Facility: Community Health Center of Burlington, Inc.

Essex County

Facility: Northern Counties Health Care

Franklin County

Facility: Richford Health Center, Inc.

Lamoille County

Facility: Copley Professional Services Group

Facility: Ryder Brook Pediatrics

Orange County

Facility: Gifford Health Care, Inc.

Facility: Little Rivers Health Care

Orleans County

Facility: Community Medical Associates-186

Facility: Community Medical Associates-41

Facility: Family Practice of Newport

Facility: Family Practice of Newport-186

Facility: Newport Pediatrics and Adolescent Medicine

Facility: North Country OB/GYN Practice

Facility: North Country OB/GYN Services

Facility: The Barton Clinic

Rutland County

Facility: Community Health Centers of the Rutland Region

Washington County

Facility: Northeast Washington County Community Health Cente

Windham County

Facility: Dba Mountain Valley Medical Clinic

Facility: Otis Health Care Dba Grace Cottage Family Health

Windsor County

Facility: Springfield Medical Care Systems, Inc.

MENTAL HEALTH: Virginia

County and County Equivalent Listing

Page 229 of 263 Pages

Accomack County

Service Area: Eastern Shore Service Area

Alexandria City

Facility: Alexandria Neighborhood Health Services

Alleghany County

Service Area: Alleghany Highlands Service Area

Amelia County

Service Area: Crossroads Service Area

Amherst County

Population Group: Low Income - Central Virginia Service Area

Appomattox County

Population Group: Low Income - Central Virginia Service Area

Augusta County

Facility: Augusta Correctional Center

Bath County

Service Area: Rockbridge Service Area

Bedford County

Population Group: Low Income - Central Virginia Service Area

Bland County

Service Area: Mount Rogers Service Area

Facility: Bland County Medical

Botetourt County

Service Area: Craig-Botetourt Counties

Bristol City

Service Area: Highlands Service Area

Brunswick County

Service Area: Southside Planning District

Facility: Lawrenceville Correctional Center

Buchanan County

Service Area: Cumberland Mountain Service Area

Facility: Keen Mountain Correctional Center

Buckingham County

Service Area: Crossroads Service Area

Facility: Buckingham Correctional Center

Facility: Central Virginia Health Services

Facility: Dillwyn Correctional Center

Buena Vista City

Service Area: Rockbridge Service Area

Campbell County

Population Group: Low Income - Central Virginia Service Area

MENTAL HEALTH: Virginia

County and County Equivalent Listing

Page 230 of 263 Pages

Carroll County

Service Area: Mount Rogers Service Area

Carroll County

Facility: Tri-Area/Laurel Fork Health Clinic

Charlotte County

Service Area: Crossroads Service Area

Chesapeake City

Facility: St. Brides Correctional Center

Covington City

Service Area: Alleghany Highlands Service Area

Craig County

Service Area: Craig-Botetourt Counties

Culpeper County

Service Area: Rappahannock/Rapidan Service Area

Facility: Coffeewood Correctional Center

Cumberland County

Service Area: Crossroads Service Area

Danville City

Population Group: Low Income - Danville/Pittsylvania Service Area

Facility: Piedmont Access to Health Services (Path)

Dickenson County

Service Area: Cumberland Mountain Service Area

Dinwiddie County

Facility: Smh-Central State Hospital

Essex County

Service Area: Middle Peninsula/Northern Neck Service Area

Fairfax County

Facility: Smh-Northern Virginia Mental Health Institute

Fauquier County

Service Area: Rappahannock/Rapidan Service Area

Floyd County

Population Group: Low Income - New River Valley Service Area

Franklin City

Service Area: Western Tidewater Service Area

Franklin County

Population Group: Low Income - Piedmont Service Area

Galax City

Service Area: Mount Rogers Service Area

Giles County

Population Group: Low Income - New River Valley Service Area

Gloucester County

Service Area: Middle Peninsula/Northern Neck Service Area

MENTAL HEALTH: Virginia

County and County Equivalent Listing

Page 231 of 263 Pages

Goochland County

Facility: Virginia Correctional Center for Women-Mental

Grayson County

Service Area: Mount Rogers Service Area

Greensville County

Facility: Greensville Correctional Center

Halifax County

Service Area: Southside Planning District

Harrisonburg City

Facility: Harrisonburg Community Health Center

Henry County

Population Group: Low Income - Piedmont Service Area

Highland County

Facility: Highland Medical Center

Isle of Wight County

Service Area: Western Tidewater Service Area

James City County

Facility: Olde Towne Medical Center

King and Queen County

Service Area: Middle Peninsula/Northern Neck Service Area

King William County

Service Area: Middle Peninsula/Northern Neck Service Area

Lancaster County

Service Area: Middle Peninsula/Northern Neck Service Area

Lee County

Service Area: Planning District I Mental Health Catchment Area

Facility: Stone Mountain Health Services

Facility: USP-Lee

Lexington City

Service Area: Rockbridge Service Area

Loudoun County

Facility: Loudoun Community Health Center

Louisa County

Service Area: Louisa County

Lunenburg County

Service Area: Crossroads Service Area

Facility: Lunenburg Correctional Center

Facility: Southern Dominion Health Systems, Inc.

Lynchburg City

Population Group: Low Income - Central Virginia Service Area

Facility: Community Access Network

Facility: Johnson Health Center

MENTAL HEALTH: Virginia

County and County Equivalent Listing

Page 232 of 263 Pages

Madison County

Service Area: Rappahannock/Rapidan Service Area

Martinsville City

Population Group: Low Income - Piedmont Service Area

Facility: Martinsville Henry County Coalition Health and Human Services

Mathews County

Service Area: Middle Peninsula/Northern Neck Service Area

Mecklenburg County

Service Area: Southside Planning District

Facility: CF-Baskerville

Middlesex County

Service Area: Middle Peninsula/Northern Neck Service Area

Montgomery County

Population Group: Low Income - New River Valley Service Area

Facility: Free Clinic of the New River Valley, Inc.

Nelson County

Service Area: Nelson County

Facility: Blue Ridge Medical Center, Inc.

Newport News City

Facility: Peninsula Institute for Community Health

Norfolk City

Population Group: Low Income-Norfolk City

Northampton County

Service Area: Eastern Shore Service Area

Facility: Eastern Shore Rural Health

Northumberland County

Service Area: Middle Peninsula/Northern Neck Service Area

Norton City

Service Area: Planning District I Mental Health Catchment Area

Nottoway County

Service Area: Crossroads Service Area

Facility: CF-Nottoway Center

Facility: Smh-Virginia Center for Behavioral Rehabilitation

Orange County

Service Area: Rappahannock/Rapidan Service Area

Page County

Service Area: Shenandoah/Page Counties

Patrick County

Population Group: Low Income - Piedmont Service Area

Pittsylvania County

Population Group: Low Income - Danville/Pittsylvania Service Area

Facility: Green Rock Correctional Center

MENTAL HEALTH: Virginia

County and County Equivalent Listing

Page 233 of 263 Pages

Portsmouth City

Facility: Portsmouth Community Health Center

Prince Edward County

Service Area: Crossroads Service Area

Facility: Smh-Piedmont Geriatric Hospital

Prince George County

Facility: Federal Correctional Institution - Petersburg

Prince William County

Facility: Greater Prince William Community Health Ct

Pulaski County

Population Group: Low Income - New River Valley Service Area

Radford City

Population Group: Low Income - New River Valley Service Area

Rappahannock County

Service Area: Rappahannock/Rapidan Service Area

Richmond City

Population Group: Low Income-Richmond City

Facility: Daily Planet

Facility: Vernon J. Harris East End Community Health Center

Richmond County

Service Area: Middle Peninsula/Northern Neck Service Area

Roanoke City

Population Group: Low Income-Roanoke-Salem

Facility: Kuumba Community Health

Roanoke County

Population Group: Low Income-Roanoke-Salem

Facility: Smh-Catawba Hospital

Rockbridge County

Service Area: Rockbridge Service Area

Facility: Rockbridge Area Free Clinic

Russell County

Service Area: Cumberland Mountain Service Area

Salem City

Population Group: Low Income-Roanoke-Salem

Scott County

Service Area: Planning District I Mental Health Catchment Area

Facility: Clinch River Health Services

Shenandoah County

Service Area: Shenandoah/Page Counties

MENTAL HEALTH: Virginia

County and County Equivalent Listing

Page 234 of 263 Pages

Smyth County

Service Area: Mount Rogers Service Area

Facility: CF-Marion Correctional Center

Facility: Smh-Southern Virginia Mental Health Institute

Facility: Southwest Virginia Community Health Services

Southampton County

Service Area: Western Tidewater Service Area

Facility: Deerfield Correctional Center

Facility: Horizon Health Services

Staunton City

Facility: Smh-Western State Hospital

Suffolk City

Service Area: Western Tidewater Service Area

Sussex County

Facility: Stony Creek Community Health Center

Facility: Sussex 1 State Prison

Facility: Sussex II State Prison

Tazewell County

Service Area: Cumberland Mountain Service Area

Facility: Pocahontas State Correctional Center

Washington County

Service Area: Highlands Service Area

Westmoreland County

Service Area: Middle Peninsula/Northern Neck Service Area

Wise County

Service Area: Planning District I Mental Health Catchment Area

Facility: Wallens Ridge State Prison

Wythe County

Service Area: Mount Rogers Service Area

MENTAL HEALTH: Washington

County and County Equivalent Listing

Page 235 of 263 Pages

Adams County

Service Area: Adams County

Facility: Columbia Basin Health Association

Asotin County

Service Area: Asotin County

Benton County

Service Area: Benton and Franklin Counties

Chelan County

Service Area: Chelan/Douglas Counties

Facility: Columbia Valley Community Health Center

Clallam County

Service Area: Clallam County

Facility: Clallam Bay Corrections Center

Facility: Jamestown South'Klallam Tribe

Facility: Lower Elwha Klallam Health Clinic

Facility: Makah - Sophie Trettevick Indian Health Center

Facility: North Olympic Healthcare Network, Primary Care

Facility: Peninsula Children's Clinic, Inc.

Facility: Quileute Clinic

Clark County

Population Group: Low Income-Northern Clark County

Population Group: Low Income-Southern Clark County

Columbia County

Service Area: Columbia County

Cowlitz County

Population Group: Low Income-Cowlitz/Wahkiakum Counties

Facility: Cowlitz Family Health

Facility: Cowlitz Tribe

Douglas County

Service Area: Chelan/Douglas Counties

Ferry County

Service Area: Ferry County

Facility: Colville Confederated Tribes

Franklin County

Service Area: Benton and Franklin Counties

Facility: CF - Coyote Ridge

Facility: La Clinica Community Health Center

Garfield County

Service Area: Garfield County

MENTAL HEALTH: Washington

County and County Equivalent Listing

Page 236 of 263 Pages

Grant County

Service Area: Grant County

Facility: Grant County Public Hospital (Gcphd)Dba Mattawa Communit

Grant County

Facility: Moses Lake Community Health Center

Facility: Quincy Valley Clinic/Dba Sageview Family Care

Facility: Samaritan Clinic

Facility: Samaritan Parkview Pediatrics

Grays Harbor County

Service Area: Grays Harbor County

Facility: Chehalis Tribal Clinic

Facility: Elma Family Medicine

Facility: McClearly Health Care Center

Facility: Roger Saux Health Center

Facility: Stafford Creek Correctional Center

Facility: Summit Pacific Medical Center

Island County

Service Area: Island County

Jefferson County

Service Area: Jefferson County

King County

Facility: Country Doctors Community Clinic

Facility: Federal Detention Center-Seatac

Facility: Healthpoint

Facility: International Community Health Services

Facility: Muckleshoot Tribal Clinic

Facility: Neighborcare Health (Formerly Puget Sound)

Facility: Sea Mar Community Health Center

Facility: Seattle Indian Health

Facility: Seattle King County Department of Public Health

Facility: Snoqualmie-North Bend Family Clinic

Facility: Snoqualmie-Tolt Community Clinic

Kitsap County

Service Area: Kitsap County

Facility: Peninsula Community Health

Facility: Port Gamble South'Klallam Tribal Clinic

Facility: Suquamish Tribe

Kittitas County

Service Area: Kittitas County

MENTAL HEALTH: Washington

County and County Equivalent Listing

Page 237 of 263 Pages

Klickitat County

Service Area: Klickitat County

Facility: Northshore Medical Group - White Salmon

Lewis County

Service Area: Lewis County

Facility: Valley View Health Center

Lincoln County

Service Area: Lincoln County

Mason County

Service Area: Mason County

Facility: Skokomish Tribal Health Clinic

Facility: Squaxin Island Health Center

Facility: Washington Corrections Center

Okanogan County

Service Area: Okanogan County

Facility: Colville PHS Indian Health Center

Facility: Family Health Centers

Facility: Omak Clinic

Pacific County

Service Area: Pacific County

Facility: Ocean Beach Medical Clinic

Facility: Shoalwater Bay Health Clinic

Pend Oreille County

Service Area: Pend Oreille County

Facility: Family Health Center Newport

Facility: Kalispel Tribe

Pierce County

Service Area: Longbranch

Facility: CF-Washington Corrections Center for Women

Facility: Community Health Care Delivery

Facility: Immigration and Customs Enforcement – Tacoma

Facility: Metropolitan Development Council

Facility: Puyallup Tribal Health Authority

Facility: Special Committment Center

Facility: Western State Hospital

San Juan County

Service Area: San Juan County

MENTAL HEALTH: Washington

County and County Equivalent Listing

Page 238 of 263 Pages

Skagit County

Population Group: Low Income/H/Migrant Farmworker - Skagit County

Facility: Sauk-Suiattle Health Clinic

Facility: Swinomish Health Clinic

Facility: Upper Skagit Tribal Clinic

Skamania County

Service Area: Skamania County

Facility: Northshore Medical Group - Stevenson

Snohomish County

Service Area: Monroe/Sultan

Service Area: Northwest Snohomish

Snohomish County

Facility: CF-Monroe Correctional Complex

Facility: Community Health Center of Snohomish

Facility: Stillaguamish Tribal Clinic

Facility: Tulalip Clinic

Spokane County

Service Area: Deer Park Service Area

Service Area: Southeast Spokane County

Service Area: Southwest Spokane

Population Group: Low Income/H-City of Spokane

Facility: CF-Airway Heights Corrections Center

Facility: Community Health Association of Spokane

Facility: Healing Lodge of Seven Nations

Facility: N.A.T.I.V.E. Project of Spokane

Stevens County

Service Area: Stevens County

Facility: David C. Wynecoop Memorial Clinic

Facility: N.E.W. Health Programs

Facility: Spokane Tribe

Thurston County

Service Area: North Thurston County

Service Area: South Thurston County

Facility: Nisqually Health Clinic

Wahkiakum County

Population Group: Low Income-Cowlitz/Wahkiakum Counties

Walla Walla County

Service Area: Walla Walla County

Facility: Adventist Health/Medical Group

Facility: CF-Washington State Penitentiary

MENTAL HEALTH: Washington

County and County Equivalent Listing

Page 239 of 263 Pages

Whatcom County

Population Group: Low Income/H/Migrant Farmworker-Whatcom County

Facility: Indian Tribal Consortium

Facility: Interfaith Community Health Center

Facility: Lummi Tribal Health Center

Facility: Nooksack Tribal Health Center

Whitman County

Service Area: Whitman County

Yakima County

Service Area: Yakima County

Facility: Central Washington Family Medicine

Facility: Grandview Medical Center

Facility: John Hughes Student Health Center

Yakima County

Facility: Lincoln Ave Fam Medical

Facility: Sunnyside Pediatrics

Facility: Valley Internal Medicine

Facility: Valley Regional Rural Health Clinic V

Facility: White Swan Clinic

Facility: Yakima Indian Health Center

Facility: Yakima Neighborhood Health Services

Facility: Yakima Valley Farmworkers Clinic

MENTAL HEALTH: West Virginia

County and County Equivalent Listing

Page 240 of 263 Pages

Barbour County

Population Group: Low Income - Barbour County

Facility: Belington Community Medical Services

Facility: The Myers Clinic, Inc.

Berkeley County

Facility: Shenandoah Valley Medical Center

Boone County

Population Group: Low Income-Boone County

Facility: Boone County Hospital Medical Clinic

Facility: Boone Memorial Hospital Rural Health Clinic

Facility: Hygeia Facilities Foundation

Braxton County

Population Group: Low Income - Braxton County

Cabell County

Population Group: Low Income - Cabell County

Facility: Prestera Center 625

Facility: Prestera Center Cabell County Office

Facility: Prestera Center Margarette R. Leach Center

Facility: Valley Health Systems

Calhoun County

Population Group: Low Income-Calhoun County

Facility: Minnie Hamilton Health Center

Clay County

Population Group: Low Income - Clay County

Facility: Prestera Center Clay County Office

Doddridge County

Population Group: Low Income-Doddridge County

Fayette County

Population Group: Low Income - Fayette County

Facility: Mount Olive Correctional Center

Facility: New River Family Health Center

Gilmer County

Population Group: Low Income - Gilmer County

Facility: Federal Correctional Institution - Gilmer

Grant County

Population Group: Low Income - Petersburg (VIII)

MENTAL HEALTH: West Virginia

County and County Equivalent Listing

Page 241 of 263 Pages

Greenbrier County

Population Group: Low Income-Greenbrier County

Facility: Northern Greenbrier Health Clinic

Facility: Rainelle Medical Center

Facility: Rupert Primary Care

Hampshire County

Population Group: Low Income - Petersburg (VIII)

Facility: Hampshire Memorial Hospital

Hancock County

Facility: Change Inc. , Dba Family Medical Care

Hardy County

Population Group: Low Income - Petersburg (VIII)

Facility: E.A. Hawse Health Center

Harrison County

Population Group: Low Income-Harrison County

Jackson County

Population Group: Low Income-Jackson County

Kanawha County

Population Group: Low Income - Kanawha County

Facility: Cabin Creek Health Center

Lewis County

Population Group: Low Income-Lewis County

Facility: William R. Sharpe Hospital

Lincoln County

Population Group: Low Income - Lincoln County

Facility: Lincoln County Primary Care Center

Logan County

Service Area: Logan/Mingo (II-1)

Facility: Family Healthcare Associates, Inc.-Man

Facility: Rural Health Access Corporation/Dba Coalfield Health Center

Marion County

Population Group: Low Income - Marion County

Facility: Douglas D. Wolfe Do, Inc.

Facility: Monongahela Valley Association of Health Centers

Facility: North Marion Medical Associates

Marshall County

Population Group: Low Income - Marshall County

Facility: Northern Correctional Facility

MENTAL HEALTH: West Virginia

County and County Equivalent Listing

Page 242 of 263 Pages

Mason County

Service Area: Mason County

Facility: Lakin Correctional Center

McDowell County

Service Area: McDowell County

Facility: Bradshaw Medical Rural Health Clinic

Facility: Federal Correctional Institution – McDowell

Facility: Tug River Health Association

Facility: Welch Emergency Hospital Rural Health Clinic

McDowell County

Facility: Yukon Medical Clinic

Mercer County

Population Group: Low Income-Mercer County

Facility: Athens Medical Center

Facility: Bluestone Health Center

Facility: Jana Peters, Do

Mineral County

Population Group: Low Income - Petersburg (VIII)

Mingo County

Service Area: Logan/Mingo (II-1)

Facility: Williamson Health and Wellness Center

Monongalia County

Facility: Clay-Battelle Health Services

Monroe County

Population Group: Low Income-Monroe County

Facility: Miller Family Practice

Facility: Monroe County Health Center

Morgan County

Service Area: Morgan County

Facility: Mountaineer Community Health Center, Inc.

Nicholas County

Population Group: Low Income-Nicholas County

Pendleton County

Population Group: Low Income - Petersburg (VIII)

Facility: Pendleton Community Center

Pleasants County

Population Group: Low Income-Pleasants County

Facility: Saint Marys Correctional Center

MENTAL HEALTH: West Virginia

County and County Equivalent Listing

Page 243 of 263 Pages

Pocahontas County

Population Group: Low Income-Pocahontas County

Facility: Pocahontas Memorial Hospital Medical Practice

Preston County

Service Area: Preston County

Facility: Federal Correctional Complex-Hazelton

Putnam County

Facility: Family Care, Inc.

Facility: Prestera Center Putnam County Office

Raleigh County

Population Group: Low Income - Raleigh County

Facility: Community Health Systems

Facility: Federal Correctional Institution - Beckley

Randolph County

Population Group: Low Income - Randolph County

Facility: Huttonsville Correctional Center

Facility: Valley Health Care, Inc.

Ritchie County

Population Group: Low Income-Ritchie County

Facility: Ritchie County Primary Care Association Inc.

Roane County

Population Group: Low Income-Roane County

Facility: Roane County Family Health Center

Facility: Roane General Medical Associates

Facility: Roane General Medical Clinic

Facility: Southern Roane Medical Clinic

Summers County

Service Area: Summers County

Facility: Family Care Clinic

Facility: S.K. Shammaa, MD

Taylor County

Population Group: Low Income-Taylor County

Facility: Pinewood Medical Center

Facility: Preston-Taylor Community Health Center

Facility: Pruntytown Correctional Center

Facility: Tygart Valley Total Care Clinic

Tucker County

Population Group: Low Income - Tucker County

Facility: St. George Medical Clinic, Inc.

MENTAL HEALTH: West Virginia

County and County Equivalent Listing

Page 244 of 263 Pages

Tyler County

Population Group: Low Income-Tyler County

Upshur County

Population Group: Low Income-Upshur County

Facility: Community Care of West Virginia

Wayne County

Population Group: Low Income-Wayne County

Webster County

Population Group: Low Income - Webster County

Facility: Camden-on-Gauley Medical Center

Facility: Webster County Memorial Hospital

Wetzel County

Population Group: Low Income - Wetzel County

Facility: Pine Grove Health Center

Wirt County

Service Area: Wirt County

Wirt County

Facility: Wirt County Health Services Association

Wood County

Population Group: Low Income-Wood County

Wyoming County

Service Area: Wyoming County

Facility: Family Healtcare Associates, Inc.

Facility: Family Healthcare Associates, Inc.-Mullens

MENTAL HEALTH: Wisconsin

County and County Equivalent Listing

Page 245 of 263 Pages

Adams County

Service Area: Adams County

Facility: Federal Correctional Institution - Oxford

Ashland County

Facility: Bad River Health Svs

Barron County

Service Area: Barron County

Facility: Turtle Lake Medical Clinic

Bayfield County

Service Area: Bayfield County

Facility: Red Cliff Health Services

Facility: The Lakes Community Health Center, Inc.

Brown County

Facility: Green Bay Correctional Institution

Facility: N.E.W. Community Clinic

Facility: Oneida Community Health Center

Buffalo County

Service Area: Buffalo County

Burnett County

Service Area: Burnett County

Facility: Burnett Medical Center Clinic

Facility: Ingalls - St. Croix Regional Medical Center

Facility: St. Croix Tribal Health Dpt

Chippewa County

Service Area: Chippewa County

Facility: Stanley Correctional Institution

Clark County

Service Area: Clark County

Facility: Memorial Medical Center – Greenwood

Facility: Memorial Medical Center – Loyal

Facility: Memorial Medical Clinic-Neillsville

Columbia County

Service Area: Columbia County

Facility: Columbia Correctional Institution

Crawford County

Facility: Kickapoo Valley Medical Clinic

Facility: Prairie Du Chien Correctional Institution

Dane County

Facility: Madison Community Health Center

MENTAL HEALTH: Wisconsin

County and County Equivalent Listing

Page 246 of 263 Pages

Dodge County

Service Area: Dodge County

Facility: Dodge Correctional Institution

Dodge County

Facility: Fox Lake Correctional Institution

Facility: Waupun Correctional Institution

Door County

Service Area: Door County

Douglas County

Service Area: Douglas County

Florence County

Service Area: Florence County

Forest County

Service Area: Forest County

Facility: Potawatomi Health and Wellness Center

Facility: Sokaogon Chippewa Indian Community

Grant County

Service Area: Grant County

Facility: Boscobel Area Health Center Bluff Street Clinic

Facility: Riverside Family Practice

Facility: Upland Hills Health Clinic – Mortfort

Facility: Wisconsin Secure Program Correction Facility

Green Lake County

Service Area: Green Lake County

Iowa County

Service Area: Iowa County

Facility: Upland Hills Health Clinic - Highland

Iron County

Service Area: Iron County

Facility: Aspirus Grand View Clinic - Hurley

Jackson County

Service Area: Jackson County

Facility: Ho-Chunk Nation Health Department

Facility: Jackson Correctional Institution

Jefferson County

Service Area: Jefferson County

MENTAL HEALTH: Wisconsin

County and County Equivalent Listing

Page 247 of 263 Pages

Juneau County

Service Area: Juneau County

Facility: Elroy Family Medical Center

Facility: Mile Bluff Clinic, LLP

Facility: Necedah Family Medical Center

Facility: New Lisbon Clinic

Facility: New Lisbon Correctional Institution

Facility: St. Joseph's Health Services, Inc. Dba Gundersen St. Joseph's Hospital

and Clinic Elroy Clinic

Juneau County

Facility: St. Joseph's Health Services, Inc. Dba Gundersen St. Joseph's Hospital and

Clinic Wonewoc Clinic

Kenosha County

Service Area: Kenosha County

Facility: Kenosha Community Health Center

Kewaunee County

Service Area: Kewaunee County

Lafayette County

Service Area: Lafayette County

Lincoln County

Service Area: Lincoln County

Facility: Lincoln Hills School

Marathon County

Service Area: Marathon County

Facility: Bridge Community Health Center

Marinette County

Service Area: Marinette County

Marquette County

Service Area: Marquette County

Menominee County

Facility: Menominee Tribal Clinic-Wolf River

MENTAL HEALTH: Wisconsin

County and County Equivalent Listing

Page 248 of 263 Pages

Milwaukee County

Service Area: Milwaukee Upper North

Service Area: Near North Side - Milwaukee

Facility: 16th Street Community Health Center

Facility: Gerald I. Ignace Health Center

Facility: Milwaukee County Behavioral Health Division

Facility: Milwaukee Health Services

Facility: Milwaukee Secure Detention

Facility: Outreach Community Health Centers, Inc.

Facility: Progressive Community Health Centers, Inc.

Facility: Transitional Living Services

Monroe County

Facility: Scenic Bluffs Health Center

Oconto County

Service Area: Oconto County

Facility: Northern Health Centers, Inc.

Facility: St. Clare Memorial Hospital - Gillett Health Center

Facility: St. Clare Memorial Hospital - Lena Health Center

Facility: St. Clare Memorial Hospital - Mountain Health Center

Facility: St. Clare Memorial Hospital - Suring Health Center

Pepin County

Service Area: Pepin County

Pierce County

Service Area: Pierce County

Polk County

Facility: Clear Lake Clinic

Facility: Frederic Clinic - St Croix Regional Medical Center

Facility: Luck Medical Clinic

Price County

Service Area: Price County

Racine County

Facility: Racine Correctional Institution

Facility: Racine Youthful Offender Correctional Facility

Richland County

Service Area: Richland County

Rock County

Facility: Community Health Systems

Rusk County

Service Area: Rusk County

MENTAL HEALTH: Wisconsin

County and County Equivalent Listing

Page 249 of 263 Pages

Sauk County

Service Area: Sauk County

Facility: House of Wellness Clinic

Facility: Spring Green Medical Center

Facility: Upland Hills Health Clinic - Spring Green

Sawyer County

Service Area: Sawyer County

Facility: Lac Courte Oreilles Tribal Health Center

Shawano County

Service Area: Shawano County

Facility: Stockbridge-Munsee Tribal Health Center

Sheboygan County

Service Area: Sheboygan County

Facility: Kettle Moraine Correctional Institution

Facility: Sheboygan Area Community Clinics

St. Croix County

Facility: Baldwin Clinic

Taylor County

Service Area: Taylor County

Trempealeau County

Service Area: Trempealeau County

Vernon County

Service Area: Vernon County

Vernon County

Facility: Bland Clinic – Vmh

Facility: Hirsch Clinic - Vhm

Facility: La Farge Medical Clinic - Vhm

Facility: St. Joseph's Health Services, Inc. Dba Gundersen St. Joseph's Hospital and

Clinic Hillsboro Clinic

Vilas County

Service Area: Vilas County

Facility: Great Lakes Inter-Tribal Council

Facility: Peter Christensen Health Center

Walworth County

Service Area: Walworth County

Washburn County

Service Area: Washburn County

Waupaca County

Service Area: Waupaca County

MENTAL HEALTH: Wisconsin

County and County Equivalent Listing

Page 250 of 263 Pages

Waushara County

Service Area: Waushara County

Facility: La Clinica De Los Campesinos, Inc.

Facility: Redgranite Correctional Institution

Winnebago County

Facility: Fox Cities Community Health Center

Facility: Oshkosh Correctional Institution

Facility: Winnebago Mental Health Institute

Facility: Wisconsin Resource Center - Men

Wood County

Facility: Marshfield Family Health

MENTAL HEALTH: Wyoming County and County Equivalent Listing

Page 251 of 263 Pages

Albany County

Service Area: Southeast Wyoming

Facility: University of Wyoming

Big Horn County

Service Area: Northwest Wyoming Mental Health Area

Facility: North Big Horn Hospital Clinic

Campbell County

Service Area: Northeast Wyoming Mental Health Catchment Area

Carbon County

Service Area: Southeast Wyoming

Converse County

Service Area: Central Wyoming

Crook County

Service Area: Northeast Wyoming Mental Health Catchment Area

Facility: Hulett Clinic

Facility: Moorcroft Clinic

Facility: Sundance Clinic

Fremont County

Service Area: Central Wyoming

Facility: Arapaho Clinic

Facility: Arapahoe PHS Indian Health Center

Facility: Ft. Washakie PHS Indian Health Center

Facility: Shoshone Tribal Health Dpt

Goshen County

Service Area: Southeast Wyoming

Hot Springs County

Service Area: Northwest Wyoming Mental Health Area

Facility: Red Rock Family Practice - Thermopolis

Johnson County

Service Area: Northeast Wyoming Mental Health Catchment Area

Laramie County

Service Area: Southeast Wyoming

Facility: Cheyenne Health and Wellness Center

Facility: Community Action of Laramie County

Facility: University of Wyoming

Facility: Wyoming Migrant Health

Lincoln County

Service Area: Southwest Wyoming

MENTAL HEALTH: Wyoming County and County Equivalent Listing

Page 252 of 263 Pages

Natrona County

Service Area: Central Wyoming

Facility: Community Action Partnership of Natrona

Facility: Community Health Center

Niobrara County

Service Area: Central Wyoming

Park County

Service Area: Northwest Wyoming Mental Health Area

Facility: Powell Health Care Coalition

Platte County

Service Area: Southeast Wyoming

Sheridan County

Service Area: Northeast Wyoming Mental Health Catchment Area

Sublette County

Service Area: Southwest Wyoming

Sweetwater County

Service Area: Southwest Wyoming

Facility: Sweetwater County Community Health Clinic

Teton County

Service Area: Southwest Wyoming

Uinta County

Service Area: Southwest Wyoming

Washakie County

Service Area: Northwest Wyoming Mental Health Area

Facility: Red Rock Family Practice - Worland

Weston County

Service Area: Northeast Wyoming Mental Health Catchment Area

MENTAL HEALTH: American Samoa

County and County Equivalent Listing

Page 253 of 263 Pages

Eastern District

Service Area: American Samoa Service Area

Manu'a District

Service Area: American Samoa Service Area

Rose Island

Service Area: American Samoa Service Area

Swains Island

Service Area: American Samoa Service Area

Western District

Service Area: American Samoa Service Area

Facility: American Samoa Department of Health

MENTAL HEALTH: Federated States of Micronesia

County and County Equivalent Listing

Page 254 of 263 Pages

Chuuk State

Service Area: Chuuk State

Facility: Chuuk State Department of Health Services

Kosrae State

Service Area: Kosrae State

Facility: Kosrae Department of Health Services

Pohnpei State

Service Area: Pohnpei State

Facility: Pohnpei Community Health Center

Yap State

Service Area: Yap State

Facility: Wa'Ab Community Health Center/Yap State Department of Health Services

MENTAL HEALTH: Guam County and County Equivalent Listing

Page 255 of 263 Pages

Guam

Service Area: Guam is

Facility: Guam Department of Public Health

MENTAL HEALTH: Marshall Islands

County and County Equivalent Listing

Page 256 of 263 Pages

Not Determined

Facility: Ministry of Health

MENTAL HEALTH: Northern Mariana Islands

County and County Equivalent Listing

Page 257 of 263 Pages

Northern Islands Municipality

Service Area: Commonwealth Northern Mariana Islands

Rota Municipality

Service Area: Commonwealth Northern Mariana Islands

Saipan Municipality

Service Area: Commonwealth Northern Mariana Islands

Facility: Cnmi Department of Public Health

Facility: Kagman Community Health Center

Tinian Municipality

Service Area: Commonwealth Northern Mariana Islands

MENTAL HEALTH: Republic of Palau

County and County Equivalent Listing

Page 258 of 263 Pages

Aimeliik State

Service Area: Palau Mental Health Care

Airai State

Service Area: Palau Mental Health Care

Angaur State

Service Area: Palau Mental Health Care

Hatoboheit State

Service Area: Palau Mental Health Care

Kayangel State

Service Area: Palau Mental Health Care

Koror State

Service Area: Palau Mental Health Care

Facility: Ministry of Health

Melekeok State

Service Area: Palau Mental Health Care

Ngaraard State

Service Area: Palau Mental Health Care

Ngarchelong State

Service Area: Palau Mental Health Care

Ngardmau State

Service Area: Palau Mental Health Care

Ngatpang State

Service Area: Palau Mental Health Care

Ngchesar State

Service Area: Palau Mental Health Care

Ngernmlengui State

Service Area: Palau Mental Health Care

Ngiwal State

Service Area: Palau Mental Health Care

Peleliu State

Service Area: Palau Mental Health Care

Sonsorol State

Service Area: Palau Mental Health Care

MENTAL HEALTH: Puerto Rico

County and County Equivalent Listing

Page 259 of 263 Pages

Adjuntas Municipio

Population Group: Low Income-Ponce/Adjuntas/Jayuya Municipios

Aguas Buenas Municipio

Population Group: Low Income-Barranquitas Area

Anasco Municipio

Population Group: Low Income - Mayaguez Area

Arecibo Municipio

Population Group: Low Income - Arecibo Area

Facility: Anexo Sabana Hoyos 384

Facility: Institucion Correccional Sabana Hoyos

Arroyo Municipio

Population Group: Low Income-Arroyo, Maunabo, Patillas, and San Lorenzo

Facility: Centro De Salud Familia

Barceloneta Municipio

Population Group: Low Income - Arecibo Area

Facility: Barceloneta Primary Health

Barranquitas Municipio

Population Group: Low Income-Barranquitas Area

Bayamo'n Municipio

Facility: Centro De Detencion Bayamon (1072)

Facility: CF-Institucion Bayamon (501)

Facility: Community Health Foundation of PR, Inc.

Facility: Institucion Correccional Bayamon 308/448

Cabo Rojo Municipio

Population Group: Low Income - Southwest

Caguas Municipio

Population Group: Low Income - Trujillo Alto-Gurabo Area

Facility: Sanos

Camuy Municipio

Population Group: Low Income-Quebradillas, Isabela, Camuy, Hatillo, Utuado, Lares

Facility: Camuy Health Services

Ceiba Municipio

Population Group: Low Income - Fajardo

Ciales Municipio

Population Group: Low Income-Manati/Ciales

Facility: Ciales Primary Health

Cidra Municipio

Population Group: Low Income-Barranquitas Area

Facility: COSSMA Corporation

MENTAL HEALTH: Puerto Rico

County and County Equivalent Listing

Page 260 of 263 Pages

Comerio Municipio

Population Group: Low Income-Barranquitas Area

Corozal Municipio

Population Group: Low Income-Barranquitas Area

Dorado Municipio

Population Group: Low Income-Dorado Area

Fajardo Municipio

Population Group: Low Income - Fajardo

Florida Municipio

Population Group: Low Income - Arecibo Area

Facility: Centro De Servicios Primarios De Salud Inc.

Guaynabo Municipio

Facility: Metropolitan Detention Center - Guaynabo

Gurabo Municipio

Population Group: Low Income - Trujillo Alto-Gurabo Area

Facility: Gurabo Community Health Center

Hatillo Municipio

Population Group: Low Income-Quebradillas, Isabela, Camuy, Hatillo, Utuado, Lares

Facility: Centro De Servicios Primarios Y Prevencion De Hatillo

Hormigueros Municipio

Population Group: Low Income - Southwest

Jayuya Municipio

Population Group: Low Income-Ponce/Adjuntas/Jayuya Municipios

Lajas Municipio

Population Group: Low Income - Southwest

Lares Municipio

Population Group: Low Income-Quebradillas, Isabela, Camuy, Hatillo, Utuado, Lares

Facility: Castaner General Hospital

Facility: Lares Health Center

Las Marias Municipio

Population Group: Low Income - Mayaguez Area

Las Piedras Municipio

Population Group: Low Income - Fajardo

Loiza Municipio

Facility: Concilio De Salud Integral De Loiza

lsabela Municipio

Population Group: Low Income-Quebradillas, Isabela, Camuy, Hatillo, Utuado, Lares

Manati Municipio

Population Group: Low Income-Manati/Ciales

Maricao Municipio

Population Group: Low Income - Mayaguez Area

MENTAL HEALTH: Puerto Rico

County and County Equivalent Listing

Page 261 of 263 Pages

Maunabo Municipio

Population Group: Low Income-Arroyo, Maunabo, Patillas, and San Lorenzo

Mayaguez Municipio

Population Group: Low Income - Mayaguez Area

Facility: Western Region/Migrant Health

Morovis Municipio

Population Group: Low Income-Barranquitas Area

Facility: Morovis Community Health

Naguabo Municipio

Population Group: Low Income - Fajardo

Naranjito Municipio

Population Group: Low Income-Barranquitas Area

Facility: Salud Integral En La Montane

Orocovis Municipio

Population Group: Low Income-Barranquitas Area

Patillas Municipio

Population Group: Low Income-Arroyo, Maunabo, Patillas, and San Lorenzo

Facility: Centro Servicios Primarios De Salud De Patillas in

Ponce Municipio

Population Group: Low Income-Ponce/Adjuntas/Jayuya Municipios

Facility: Consejo De Salud

Facility: Institucion Adultos Ponce

Facility: Institucion Correccional Ponce

Facility: Institucion Correccional Ponce 500

Quebradillas Municipio

Population Group: Low Income-Quebradillas, Isabela, Camuy, Hatillo, Utuado, Lares

Rincon Municipio

Population Group: Low Income - Mayaguez Area

Facility: Costa Salud Community Health Center

Sabana Grande Municipio

Population Group: Low Income - Southwest

San German Municipio

Population Group: Low Income - Southwest

San Juan Municipio

Facility: Healthpromed Foundation, Inc.

Facility: San Juan Comprehensive

San Lorenzo Municipio

Population Group: Low Income-Arroyo, Maunabo, Patillas, and San Lorenzo

Toa Alta Municipio

Population Group: Low Income-Dorado Area

MENTAL HEALTH: Puerto Rico

County and County Equivalent Listing

Page 262 of 263 Pages

Toa Baja Municipio

Population Group: Low Income-Dorado Area

Trujillo Alto Municipio

Population Group: Low Income - Trujillo Alto-Gurabo Area

Utuado Municipio

Population Group: Low Income-Quebradillas, Isabela, Camuy, Hatillo, Utuado, Lares

Vega Baja Municipio

Population Group: Low Income-Barranquitas Area

Vieques Municipio

Service Area: Vieques County

Yabucoa Municipio

Population Group: Low Income-Arroyo, Maunabo, Patillas, and San Lorenzo

Page 263 of 263 Pages

MENTAL HEALTH: U.S. Virgin Islands

County and County Equivalent Listing

St. Croix

Service Area: St. Croix Island

Facility: Frederiksted Healthcare

St. John

Service Area: St. John Island

St. Thomas

Service Area: St. Thomas/Water Island District

Facility: East End Family Health Center