State of California—Health and Human Services Agency ... · San Benito Maria Barrientos (831) 637-5367 [email protected] 17. Shasta Lydia Ramage John Barry (530) 225-5620 [email protected]

State of California—Health and Human Services Agency Department of Health Care Services

DAVID MAXWELL-JOLLY ARNOLD SCHWARZENEGGER Director Governor

Date: October 8, 2009 CCS Information Notice: 09-03 TO: CALIFORNIA CHILDREN’S SERVICES (CCS) ADMINISTRATORS,

MEDICAL CONSULTANTS, AND LIAISONS; HEALTHY FAMILIES (HF) PROGRAM HEALTH PLAN LIAISONS; AND CHILDREN’S MEDICAL SERVICES (CMS) REGIONAL OFFICE STAFF

SUBJECT: UPDATED LIST OF LIAISONS FOR HEALTHY FAMILIES (HF)

PROGRAM HEALTH PLANS AND LOCAL CCS PROGRAMS The purpose of this notice is to transmit the enclosed updated lists of liaisons within the HF health plans and local CCS programs. These listings contain the names, addresses, telephone numbers, fax numbers and e-mail addresses (if available) of health plan and CCS liaisons that have been designated to perform the referral and coordination of health care activities relating to the HF and CCS program interface. Please be sure to distribute these lists to the appropriate staff assigned to act as the liaison within your program. If you have any questions regarding this list or have information changes to communicate, please contact David Jimenez at (916) 327-2616 or e-mail [email protected]. Original Signed by Harvey Fry for Luis. R. Rico Luis R. Rico, Acting Chief Children’s Medical Services Branch

Children’s Medical Services Branch 1515 K Street, Suite 400, Sacramento, CA 95814, P.O. Box 997413, MS 8100 Sacramento, CA 95899-7413

(916) 327-1400 Internet Address: www.dhcs.ca.gov

http://www.dhcs.ca.gov/services/Pages/CMS.aspx

mailto:[email protected]

Revision Date: 10/2009 1

rNorthern California Region San Francisco Regional Office

Number County Name HF Liaison for CCS Phone Number E-mail Address

1. Alameda (I) Teresa Enns

(510) 267-3213

[email protected]

2. Contra Costa (I) Beverly Voorstad (925) 313-6943

[email protected]

3. Humboldt (I) Dian Pecora (707) 476-4916 [email protected]

4. Marin (I) Leal Lambert (415) 473-6887 [email protected]

5. Mendocino (I) Tonya Erickson (707) 472-2701

[email protected]

6. Monterey (I) Kathleen McCoy (831) 796-1384 [email protected]

7. Napa (I) Chris Smalley (707) 253-4055 [email protected]

8. San Francisco (I) Veronica Thorne-Dixson Denise Collins

(415) 575-5786 (415) 575-5762

[email protected] [email protected]

9. San Mateo (I) Joseph Delaguila Maria Brillantes

(650) 573-3428 (650) 573-3645


10. Santa Clara (I) Fran Bryan (408) 793-6211 [email protected]

11. Santa Cruz (I) Chris Dybdahl (831) 763-8914 main 831.763.8900

[email protected]

12. Solano (I) Pam Sakamoto (707) 784-8654

[email protected]

13. Sonoma (I) Naomi Louden (707) 565-4513

[email protected]

Regional Office Liaison for Independent Counties – Sharon Lambton, R.N. (510) 286-0729

[email protected] (I) = Independent County

mailto:[email protected]�


















Southern California Region Southern California Regional Office

Number County Name HF Liaison for CCS Phone Number

E-mail Address

1.

Imperial Michelle Schenck-Soto Eugenio Pitpitan

(760) 482-2978 (760) 482-2749


2. Inyo Nel Hecht (760) 873-7868

[email protected]

3. Kern (I) Loalea Underwood Christina Pruitt

(661) 868-0318 (661) 868-0236


4. Los Angeles (I) Joan Ng (626) 569-3947 [email protected]

5. Mono Hillary Bayliss (760) 924-1841

[email protected]

6. Orange (I) Elizabeth Fullmer, PHN Supervisor: Pauline Bui

(714) 347-0460 (714) 347-0429


7. Riverside (I) Susan Mora (951) 358-5033

[email protected]

8. San Bernardino (I) Jeannette McMurray, (909) 387-8400

[email protected]

9. San Diego (I) Maureen Brewer (619) 528-4082

[email protected]

10. San Luis Obispo (I) Lynn McCrudden, PHN (805) 788-2108

[email protected]

11.

Santa Barbara (I) Dana Gamble (805) 681-5133 [email protected]

12. Ventura (I) Carmen Trerotola (805) 981-5204 [email protected]

Regional Office Liaison for Dependent Counties – Lynelle Buckner (213) 897-4497

[email protected] (I) = Independent County

















Program Case Management Section Also Known as Sacramento Regional Office

Number

County Name HF Liaison for CCS Phone Number

E-mail Address

1. Alpine Debbie Cheevers (530) 694-2146

[email protected]

2. Amador Connie Vaccarezza, P.H.N. (209) 223-6677

[email protected]

3. Calaveras Linda Winn (209) 754-6482

[email protected]

4. Colusa Lorri McKey (530) 458-0393

[email protected]

5. Del Norte Norma Williams (707) 464-3191

[email protected]

6.

El Dorado Paula Green (530) 621-6128 [email protected]

7. Glenn Edy Lowe, P.H.N (530) 934-6588

[email protected]

8.

Kings Pat Harder (559) 584-1401 Ext. 2619

[email protected]

9. Lake Katherine Lindsley (707) 263-1090

[email protected]

10. Lassen Laura Ng, PHN Marlo Britt

(530) 251-8183 (530) 251-8183


11.

Madera Sabrina Dickman, PHN (559) 675-4945 [email protected]

12.

Mariposa Kim Ballard (209) 966-3689 [email protected]

13. Modoc Stacy Sphar, RN (530) 233-6311

[email protected]

14. Nevada Alice Litton (530) 265-1717 [email protected]

15. Plumas Linda Dewolf, RN (530) 283-6341

[email protected]

16.

San Benito Maria Barrientos (831) 637-5367 [email protected]

17. Shasta Lydia Ramage John Barry

(530) 225-5620


18. Sierra Robin Jaquez, RN (530) 993-6704

[email protected]

19. Siskiyou Brenda Harris, P.H.N. (530) 841-2124

[email protected]

20. Sutter Carla Reynolds (530) 822-7215

[email protected]

21.

Tehama Linda Wilson, PHN (530) 528-3264

[email protected]

22. Tuolumne Jan Bacon (209) 533-7404

[email protected]

23. Trinity Carol Huang (530) 623-8218

[email protected]

24. Yuba Robert Hogan (530) 749-6831

[email protected]

Medical Case Management Unit Liaison for Dependent Counties

Cyd Ramirez, R.N. (916) 327-2411 [email protected]




























Northern California Region

Sacramento Office

Number

County Name HF Liaison for CCS Phone Number E-Mail Address

1. Butte (I) Barbara Demers, P.H.N.

(530) 895-6546

[email protected]

2. Fresno (I) Susan Dickson, SPHN Karen Nunez, HN

(559) 445-3300 (559) 445-3300


3. Merced (I) June Contreras Marie Kelly

(209) 381-1109 (209) 381-1117


4. Placer (I) Traci Corda, P.H.N. (530) 886-3633

[email protected]

5. Sacramento (I) Paul Tateishi Supervisor: Sue Nisbet

(916) 876-5178 (916) 875-9816


6. San Joaquin (I) Marianne Hernandez (209) 953-3602

[email protected]

7. Stanislaus (I) Darlene Wiseman (209) 558-8011

[email protected]

8. Tulare (I) Kathaleen Miller, P.H.N. Guillermina Andres, PHN

(559) 687-6915 ext 76838 (559) 687-6915 ext 76842


9. Yolo (I)

Jaime Ordonez (530) 666-8333

[email protected]

Northern California Region Liaison – Cyd Ramirez, R.N. (916) 327-2411

[email protected]















HEALTHY FAMILIES’ PLANS Medical Plan Contact Person Phone Fax Alameda Alliance for Health Julia Hutchins (510) 747-6196 (510) 747-4196 1240 South Loop [email protected] Alameda, CA 94502 Anthem Blue Cross Cheryl Sparks (805) 384-3650 (805) 383-7335 5151-A Camino Ruiz, [email protected] M.S. CC07-B Doris de la Huerta (805) 384-7629 (805) 383-7335 Camarillo, CA 93012 [email protected] Blue Shield Brenda Kaplan, RN (415) 229-5851 (415) 229-6292 50 Beale St., 21th Floor (Statewide Contact) San Francisco, CA 94105 [email protected] Joan Peet (415) 229-5549 (415) 229-6292 (Alternate Contact) [email protected] CalOptima Kids Michele Datwyler (714) 246-8577 (714) 481-6524 1120 West La Veta Ave. [email protected] Orange, CA 92868 Elaine King (714) 246-8776 (714) 481-6445

[email protected]

Care 1st Health Plan Laura Perez (800) 468-9935 (323) 889-6217 601 E. Potrero Grande Drive [email protected] Ext. 6305 Monterey Park, CA 91755 CenCal Health Martha Marquez, RN (805) 562-1629 (805) 685-5191 110 Castilian Drive [email protected] Goleta, CA 93117 Central Coast Alliance Lynol Elliott-Greenspan (831) 430-5562 (831) 430-5852 For Health [email protected] 1600 Green Hills Rd., Ste 101 Scotts Valley, CA 95066 Community Health Group Martha Jazo-Bajet, RN (619) 498-6430 (619) 498-3811 740 Bay Boulevard [email protected] Chula Vista, CA 91910 Community Health Plan Pamela Ricks-Hawkins, RN, BSN(626) 299-5543 (626) 299-7261 1000 S. Fremont Avenue [email protected] Building A-9 East East 2nd Floor, Unit 4 Alhambra, CA 91803-8859 Contra Costa Health Plan Beverly Jacobs (925) 313-9503 (925) 646-9907 595 Center Ave, Ste. 100 [email protected] Martinez, CA 94553-4636

Revision Date: 10/2009











Medical Plan Contact Person Phone Fax Health Net Ana Clark, RN (909) 890-4151 (909) 890-4166 650 E. Hospitality Lane [email protected] Suite 200 San Bernardino, CA 92408-3508 Health Plan of San Joaquin LeAnn To (209) 461-2269 (209) 942-6302 1550 W. Fremont St, Ste.200 [email protected] Stockton, CA 95203-2643 Health Plan of San Mateo Mari Baca, RN (650) 616-2144 (650) 829-2079 701 Gateway Blvd., Ste.400 [email protected] South San Francisco, CA 94080 Inland Empire Health Plan Gary Melton (909) 890-2040 (909) 890-2903 303 E. Vanderbilt Way, Ste.400 [email protected] San Bernardino, CA 92408 Kaiser Permanente See attached list Medi-Cal and State Programs Andrea Broughton, MBA (626) 421-8733 (626) 221-2460 393 E Walnut Street [email protected] Pasadena, CA 91188 Kern Family Health Care Deborah Murr (661) 664-5141 (661) 664-6522 9700 Stockdale Hwy. [email protected] Bakersfield, CA 93311 L.A. Care Health Plan Nanci Fulbright, RN, CCM (213) 694-1250 (213) 623-8669 555 W. 5th Street, 19th Floor [email protected] Ext 4345 Los Angeles, CA 90013 Molina Healthcare Edna De La Garza (800) 526-8196 (562) 499-6149 One Golden Shore Dr. Ext 126586 Long Beach, CA 90802 [email protected]

San Francisco Health Plan Susi Rugama, RN (415) 615-4208 (415) 357-1292 201 3rd Street, 7th Floor [email protected] San Francisco, CA 94103 Santa Clara Family Peggy Burns, RN (408) 874-1763 (408) 376-3532 Health Plan [email protected] 210 E. Hacienda Avenue Campbell, CA 95117













Medical Plan Contact Person Phone Fax Ventura County Joan Araujo (805) 981-5058 (805) 981-5057 Health Care Plan [email protected] 2020 E. Gonzales Rd, Suite 210B Oxnard, CA 93036 Dental Contact Person Phone Fax Access Dental and Salvador Cortes (916) 563-6012 (916) 646-9000 Premier Access [email protected] 8890 Cal Center Drive Sacramento, CA 95826 Delta Dental Jennifer Corrales (916) 861-2432 (866) 828-4122 11155 International Drive [email protected] Rancho Cordova, CA 95670 Safeguard Dental Christina Escobar (949) 425-4351 (949) 425-4584 95 Enterprise, Suite 100 [email protected] Aliso Viejo, CA 92656-2601 Universal Care Dental Plan Marcela Ramirez (562) 981-4049 (562) 424-9807 1600 East Hill Street [email protected] Signal Hill, CA 90806-3682 Western Dental Kelly Duniven (714) 571-3488 (714) 571-3647 530 South Main Street [email protected] Orange, CA 92868 Vision Contact Person Phone Fax EyeMed Vision Lisa Bohannan (877) 224-0835 (866) 710-6125 4518 Van Nuys Blvd. [email protected] Sherman Oaks, CA 91403 Safeguard Vision Daniel Romo (949) 425-5229 (949) 425-4584 95 Enterprise, Suite 100 [email protected] Aliso Viejo, CA 92656-2601 VSP Mel Scott (916) 858-5352 (916) 463-3987 3333 Quality Drive [email protected] Rancho Cordova, CA 95670-7985










California Children’s Services (CCS) Liaisons

HPRS/SP-cw Page 1 Revised 10/2009

County CCS Liaison Address Alameda

Lynne Callen

Kaiser Permanente Continuing Care Dept. 235 West MacArthur Blvd., 6th floor Oakland, CA 94612 Ph. (510) 752-2755 Fax (510) 752-1690 Email: [email protected]

Amador Vicky Walker or Mary Pat Sherman

Kaiser Permanente CCS Valley Point Building 6600 Bruceville Road Sacramento, CA 95823 Ph. (916) 525-4830 Fax (916) 525-4838 Email: [email protected] Ph (916) 525-4836 Fax (916) 525-4838 Email: [email protected]

Contra Costa Lynne Callen (Richmond) Lisa Peoples (Walnut Creek, Antioch, Park Shadelands, Pleasanton, Martinez)

Kaiser Permanente Continuing Care Dept. 235 West MacArthur Blvd., 6th floor Oakland, CA 94612 Ph. (510) 752-2755 Fax (510) 752-1690 Email: [email protected] Kaiser Permanente Walnut Creek Medical Center Maternal Child 1425 South Main Street Walnut Creek, CA 94596 Ph. (925) 295-6971 Fax (925) 295-6119 Email: [email protected]

El Dorado Vicky Walker or Mary Pat Sherman

Kaiser Permanente CCS Valley Point Building. 6600 Bruceville Road Sacramento, CA 95823 Ph. (916) 525-4830 Fax (916) 525-4838 Email: [email protected] Ph (916) 525-4836 Fax (916) 525-4838 Email: [email protected]

Fresno Lynn Campama Kaiser Permanente Clovis Medical Office Building 2071 Herndon Avenue Clovis, CA 93611 Ph. (559) 324-5168 Fax (559) 324-5166 Email: [email protected]

Kern Monique Garcia

Kaiser Permanente Behavioral Health Dept. 4900 California Avenue Bakersfield, CA 93301 Ph. (661) 852-2742 Fax (661) 852-2877 Email: [email protected]









County CCS Liaison Address King Monique Garcia Kaiser Permanente

Behavioral Health Dept. 4900 California Avenue Bakersfield, CA 93301 Ph. (661) 852-2742 Fax (661) 852-2877 Email: [email protected]

Los Angeles

Susan Martinez (Los Angeles) Monique Garcia (Panorama City, Antelope Valley, Woodland Hills, and Western Ventura) Virginia LaFleur Silver (Harbor City/South Bay, West Los Angeles) Rochelle “Rocky” Manago-Marples, RN, CPN, BSN (Bellflower/imperial) Debra D. Dubose (Fontana)

Kaiser Permanente Social Medicine Dept. 1505 N. Edgemont, 1st Floor Los Angeles, CA 90027 Ph. (323) 783-1636 Fax (323) 783-1914 Email: [email protected] Kaiser Permanente Behavioral Health Dept. 4900 California Avenue Bakersfield, CA 93301 Ph. (661) 852-2742 Fax (661) 852-2877 Email: [email protected] Kaiser Permanente Social Medicine Dept. 13652 Cantara Street Panorama City, CA 91402 Ph. (818) 375-2977 Fax (818) 375-3852 Email: [email protected] Kaiser Permanente Pediatric Dept. 9449 E. Imperial Highway Downey, CA 90242 Ph. (562) 657-2251 (Tie Line 325 & 327) Fax (562) 657-2983 Email: [email protected] Kaiser Permanente State Programs Contracts & Compliance Dept. Marigold Education Trailer 9961 Sierra Avenue Fontana, CA 92335 Ph. (909) 427-4689 Fax (909)427-3070 Email: [email protected]









County CCS Liaison Address Madera Lynn Campama Kaiser Permanente

Clovis Medical Office Building 2071 Herndon Avenue Clovis, CA 93611 Ph. (559) 324-5168 Fax (559) 324-5166 Email: [email protected]

Marin Mary Teresa Kessler (San Rafael)

Kaiser Permanente Pediatrics Dept. 99 Monticello Road San Rafael, CA 94903 Ph. (415) 444-2332 Fax (415) 444-2369 Email: [email protected]

Napa Lisa Peoples Kaiser Permanente Walnut Creek Medical Center Maternal Child 1425 South Main Street Walnut Creek, 94569 Ph. (925) 295-6971 Fax (925) 295-6119 Email: [email protected]

Nevada Vicky Walker or Mary Pat Sherman


Orange Florence Ng

Kaiser Permanente Parsons Office 75 N. Fair Oaks, 1st Floor Pasadena, CA 91103 Ph. (626) 381-6162 Fax (626) 381-6519 Email: Florence.W.Ng

Placer Vicky Walker or Mary Pat Sherman


Riverside Jack Kwan Kaiser Permanente Parsons Office 75 N. Fair Oaks, 1st Floor Pasadena, CA 91103 Ph. (626) 381-5857 Fax (626) 381-6519 Email: [email protected]










County CCS Liaison Address

Sacramento Vicky Walker or Mary Pat Sherman


San Bernardino Debra Du Bose Kaiser Permanente State Programs Contracts & Compliance Dept. 9961 Sierra Avenue Fontana, CA 92335 Ph. (909) 427-4689 Fax (909) 427-3070 Email: [email protected]

San Diego Bernadette Cunanan Kaiser Permanente Patient Business Service 8010 Parkway Drive La Mesa, CA 91941 Ph. (619) 589-3018 Fax (619) 589-4925 Email: [email protected]

San Francisco Patricia Keightley, RN

Kaiser Permanente Hospital Nursing/ICN Dept 2425 Gary Blvd. San Francisco, CA 94115 Ph. (415) 833-2533 Fax (415) 833-4237 Email: [email protected]

San Joaquin Sylvia Hodge Kaiser Permanente 7373 West Lane Pediatric Chronic Conditions Case Manager Stockton, CA 95210 Ph. (209) 476-3034 Fax (209) 476-5913 Email: [email protected]

San Mateo Judy O’Neill

Kaiser Permanente CCS Program 700 Lawrence Expressway Santa Clara, CA 94603 Ph. (408) 851-7468 Fax (408) 851-7472 Email: Judy.O’[email protected]

Santa Clara Judy O’Neill Kaiser Permanente CCS Program 700 Lawrence Expressway Santa Clara, CA 94603 Ph. (408) 851-7468 Fax (408) 851-7472 Email: Judy.O’[email protected]




mailto:Peggy.Inokuchi/CA/KAIPERM@KAIPERM




County CCS Liaison Address

Solano Lisa Peoples Kaiser Permanente Walnut Creek Medical Center Maternal Child 1425 South Main Street Walnut Creek, 94569 Ph. (925) 295-6971 Fax (925) 295-6119 Email: [email protected]

Sonoma Barbara Keefer (Santa Rosa) Anna George (Petaluma)

Kaiser Permanente Richard Stein Med. Bldg.--Pediatric Dept. 3925 Old Redwood Highway Santa Rosa, CA 95403 Ph. (707) 566-5246 Fax (707) 566-5293 Email: [email protected] Kaiser Permanente Pediatrics Dept. 3900 Lakeville Highway Petaluma, CA 94954 Ph. (707) 765-3472 Fax (707) 765-3461 Email: [email protected]

Sutter Vicky Walker or Mary Pat Sherman


Tehama Vicky Walker or Mary Pat Sherman


Yolo Vicky Walker or Mary Pat Sherman










County CCS Liaison Address Yuba Vicky Walker or

Mary Pat Sherman



Documents

State of California—Health and Human Services Agency ... · San Benito Maria Barrientos (831) 637-5367 [email protected] 17. Shasta Lydia Ramage John Barry (530) 225-5620 [email protected]