AD Tobacco Cessation Providers

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Notice To: From: All PerformCare Network s Scott Daubert, PhD, VP Operations Date: November 1, 2018 Subject: AD 18 106 Tobacco Cessation s This notice is intended to inform all network providers of tobacco cessation resources available for Members. Please refer to the attached list by county of the current state-approved Tobacco Cessation Programs, contact information, and further instructions on making referrals. As you know, cigarette smoking harms nearly every organ of the body, causes many diseases, reduces health in general, and is a particularly serious issue for persons with serious and persistent mental illness and/or substance use disorders. Pennsylvania has set out to implement a statewide comprehensive tobacco-use prevention program. Each PH-MCO and BH-MCO has also developed work plans to assist in this statewide effort. State-level initiatives include a telephone quitline, efforts to counter tobacco marketing, surveillance of tobacco sales to minors, and assessment and treatment of tobacco addiction. For further information, please refer to the PA Department of Health materials at: https://www.health.pa.gov/topics/programs/tobacco/pages/tobacco.aspx PA Free Quitline 1-800-QUIT-NOW (784-8669) 1-855-DEJELO-YA (335-3569) If your agency would like to become a Tobacco Cessation eligible for MA reimbursement, please refer to the enrollment and billing information located at: http://www.dhs.pa.gov/provider/billinginformation/billingfortobaccocessationservices/ Additional tobacco cessation resources are also available on the PerformCare website at: http://pa.performcare.org/providers/resources-information/behavioral-health-topics.aspx cc: James Laughman, PerformCare Scott Suhring, Capital Area Behavioral Health Collaborative Tia Mann, Behavioral Health of Somerset & Bedford Counties Missy Reisinger, Tuscarora Managed Care Alliance PerformCare Account Executives AD 18 106 Tobacco Cessation

Smoking Cessation s County Name of Program Address Contact Information Counseling Provided Client Types Language/ Verbal Skills Special Comments Adams Allegheny American Lung Association Tobacco Free Allegheny Eileen Baade, MD, UPMC Heritage Valley Health System Auberle St. Clair Hospital Richard M. Celko 3001 Old Gettysburg Road Camp Hill, PA 17011 1501 Reedsdale Street Pittsburgh, PA 15233 2100 Jane Street, South, Suite 112 Pittsburgh, PA 15203 720 Blackburn Road Sewickley, PA 15143 1101 Hartman Street McKeesport, PA 15132 1000 Bower Hill Road Pittsburgh, PA 15243 2314 Buchanan Street Natrona Heights, PA 15065 (717) 541-5864 Group Adult (412) 322-8321 Group; Individual ; (412) 488-5300 Individual (412) 741-6600 (412) 673-5800 (412) 942-2000 Group; Individual (412) 480-4413 Individual Adult; Pregnant Woman ; Other - Adults ; Cessation provided at worksite locations only provided at various locations; call for further information Diabetes service only Asti's South Hills Pharmacy 250 Mt. Lebanon Boulevard Pittsburgh, PA 15234 (412) 561-2347 Armstrong Indiana Regional Medical Center Armstrong County Memorial Hospital RHJ Medical Center 835 Hospital Road Indiana, PA 157012 One Nolte Drive Kittanning, PA 16201 2994 River Road Vandergrift, PA 15690 (7 354-2746 (7 354-2746 (7 354-2746 ACMH Hospital One Nolte Drive Kittanning, PA 16201 (7 543-8445 Beaver Bedford Heritage Valley Health System No entries found 3 Peartree Way Beaver, PA 15009 (7 728-7000 Adult; Pregnant Woman

Berks Lebanon Family Health 615 Cumberland Street Lebanon, PA 17042 (717) 273-8893 Group; Individual ; Blair Blair Drug and Alcohol Partnerships 3001 Fairway Drive, Suite D Altoona, PA 16602 (814) 381-0921 Group Adult CenClear 601 Wilson Avenue Roaring Spring, PA 166730000 (814) 224-1380 Group; Individual Bradford Clinical Outcomes Group 437 North Centre Street Pottsville PA, 17954 (800) 264-1290 Individual; Bucks Penndel Mental Health Center 2005 West Cabot Boulevard Langhorne, PA 19047 (267) 587-2300 Group; Individual Adult Aldie Counseling Center 11 Welden Drive Doylestown, PA 18901 (215) 345-8530 Group; Individual ; Pregnant Woman Aldie Counseling Center 2291 Cabot Boulevard, West Langhorne, PA 19047 (215) 345-8530 Group; Individual ; Pregnant Woman St. Mary Wellness Center 2546 Knights Road Bensalem, PA (215) 245-8563 Group 19020 Grand View Hospital 700 Lawn Avenue Sellersville, PA (215) 453-4382 Group 18960 Today, Inc 3103 Hulmeville Road, Suite 103 (215) 244-7607 Bensalem, PA 19020 Group; Individual Adult; Youth (14-17) Lenape Valley Foundation 501 Bath Road Bristol, PA 19007 (215) 785-9765 Group; Individual Penn Foundation 807 Lawn Avenue Sellersville, PA (215) 257-6551 Group; Individual Adult 18960 The Wellness Connection www.connect2wellness.co m P.O. Box 904 Dublin, PA 18917 (800) 200-2229 Group; Individual ; Program Provides web-based video tobacco counseling services Robert A David MD Family Practice 174 North Main Street Dublin, PA 18917 (215) 249-9020 Individual Adult; Youth (14-17); The Council of Southeast PA, Inc 252 W. Swamp Road, Unit 12 Doylestown, PA 189010000 (215) 345-6644 Adult

Lenape Valley Foundation 500 North West Street Doylestown, PA 189010000 (215) 345-5300 Group; Individual Grand View Health 700 Lawn Avenue Sellersville, PA 18960000 (215) 452-4000 Individual St. Mary Medical Center 1201 Langhorne-Newtown Road Langhorne, PA 190470000 (215) 710-2264 Individual ; Aria-Jefferson Health - Bucks County Campus 380 North Oxford Valley Road Langhorne, PA 190470000 (215) 612-4000 Individual ; BCHIP Adult Health Clinic 2546 Knights Road Bensalem, PA 19020 (215) 633-8652 Individual ; Health Connections of Doylestown Health 942 West Street Road Warminster, PA 18974000 (215) 345-2200 Individual Doylestown Health 595 West State Street Doylestown, PA 189010000 (215) 345-2200 Individual ; Butler Community Health Challenge 1272 Mars Evans City Road, Suite 102 Evans City, PA 16033 (7 432-3474 Cambria Mainline Pharmacy 3720 New Germany Road Ebensburg, PA 159310000 (814) 472-9390 ; Mainline Pharmacy 1049 Shoemaker Street Nanty Glo, PA 159430000 (814) 419-6717 ; Cameron Adagio Health 306 Hazel Street Warren, PA 16365 (814) 706-1311 Carbon St. Luke's Miners Community Health Department 44 West Catawissa Street Newquehoning, PA 18240 (484) 526-2301 ; Other - HIV patients ;

Centre Clinical Outcomes Group 437 North Centre Street Pottsville, PA 17954 (800) 264-1290 Individual; Chester Phoenixville Hospital 140 Nutt Road Phoenixville, PA 19460 (610) 983-1000 ChesPenn Center for Family Health at Coatesville 744 East Lincoln Coatexville, PA 19320 (610) 380-4660 Group; Individual ; ; Phoenixville Hospital 140 Nutt Road Phoenixville, PA 19460 (610) 983-1021 Group; Individual Paoli Hospital 255 West Lancaster Avenue Paoli, PA 19301 (484) 337-3733 ; Pregnant Woman Clarion Armstrong-Indiana-Clarion D&A Commission 1350 East Main Street Clarion, PA 16214 (814) 226-6350 CenClear 44 South 7th Avenue Clarion, PA 16214 (814) 226-4171 Group; Individual Clearfield A/C Drug and Alcohol Commission, DuBois Regional Medical Center 100 Hospital Avenue, Suite 30 DuBois, PA 15801 (814) 226-6350 Lee Counseling 1661 Hardscrabble Road Munson, PA 16860 (814) 343-6098 Individual Penn Highlands Healthcare The Lung Center 100 Hospital Avenue, Suite 30 DuBois, PA 15801 (814) 375-3770 ; Youth (14-17) ; CenClear 60 Industrial Park Road Clearfield, PA 16830 (814) 765-1149 Group; Individual

Clinton Clinical Outcomes Group 437 North Centre Street Pottsville, PA 17954 (800) 264-1290 Individual; Columbia Clinical Outcomes Group 437 North Centre Street Pottsville, PA 17954 (800) 264-1290 Individual; Crawford DiGregory Clinic Titusville Area Hospital DiGregory Clinic YWCA Titusville 406 West Oak Street Titusville, PA 16354 212 North Franklin Street Titusville, PA 16354 (814) 758-1919 (814) 758-1919 ; ; Other - Rural/Amish ; Pregnant Woman' ; Other- Rural/Amish Cumberland Cumberland-Perry Drug & Alcohol Commission 16 West High Street Carlisle, PA 17103 (717) 240-6300 Group; Individual Youth (14-17); Other - School and Community Sadler Health Center 100 North Hanover Street (717) 218-6670 Corporation Carlisle, PA 17013 3001 Old Gettysburg Road Camp American Lung Association (717) 541-5864 Group Adult Hill, PA 17011 Cessation provided at worksite locations only Northern Dauphin County Branch YMCA 500 North Church Street Elizabethville, PA 17023 (717) 362-9494 Dauphin Pinnacle Health System 101 Washington Street Harrisburg, PA 17104 (717) 221-6268 ; Other - Worksites Northern Dauphin County Branch YMCA 500 North Church Street Elizabethville, PA 17023 (717) 362-9494 Delaware Northwestern Human (NHS) of Delaware County 800 Chester Pike Sharon Hill, PA 19079 (610) 637-5348 ;

Crozer Chester Medical Center, Community Hospital, Smoking Cessation Program 2600 West 9th Street, 3rd Floor Chester, PA 19013 (610) 497-7418 Group; Individual Adult; Pregnant Woman; Practice Patients Suburban Pulmonary Medicine, PC 16 West Sproul Road, Suite 207 Springfield, PA 19064 (610) 604-4400 Individual ; Other - Hospital Inpatient Suburban Pulmonary Medicine, PC 1 Bartol Avenue, Suite 14 RidleyPark, PA 19078 (610) 521-1300 Individual ; Other - Hospital Inpatient ChesPenn Center for Family Health at Eastside 125 East 9th Street Chester PA, 19013 (610) 874-6231 Group; Individual ; ; ChesPenn Center for Family Health at Community Hospital 2600 West 9th Street Chester, PA 19013 (610) 485-3800 Group; Individual ; ; ChesPenn Center for Family Health at Upper Darby 5 South State Road Upper Darby, PA 19082 (610) 352-6585 Group; Individual ; Northwestern Human (NHS) of Delaware County 800 Chester Pike Sharon Hill, PA 19079 (610) 537-5348 ; Family and Community Service of Delaware County 600 North Olive Street Media, PA 19063 (610) 566-7540 Group; Individual ; Riddle Hospital 1068 West Baltimore Pike Media, PA 19063 (484) 227-3733 ; Pregnant Woman Elk Adagio Health 776 Washington Street St. Mary's, PA 15857 (814) 834-3090 Erie Erie County Department of Health Erie County Department of Health UPMC Hamot Medical Center 606 West 2nd Street Erie, PA 16507 606 West 2nd Street Erie, PA 16507 (814) 451-6700 (814) 451-6700 Group; Individual 201 State Street Erie, PA 16550 (814) 877-2981 Group ; ; Youth (14-17) ;

Multicultural Community Resource Center 554 East 10th Street Erie, PA 16503 (814) 455-0212 Group; Individual ; LifeWorks Erie 406 Peach Street Erie, PA 16507 (814) 452-5072 Group Adult Fayette Adagio Health - Uniontown 22 Mill Street Uniontown, PA 15401 (7 437-1582 Adult; Youth (14-17); Fayette County Drug & Alcohol Commission, Inc. 100 New Salem Road Uniontown, PA 15401 (7 438-3576 Group; Individual ; Forest Adagio Health 306 Hazel Street Warren, PA 16365 (814) 706-1311 Franklin Fulton Healthy Communities Partnership Fulton County Medical Center 232 Lincoln Way East, Suite B Chambersburg, PA 17201 214 Peach Orchard Road McConnellsburg PA 17233 (717) 264-1470 (717) 485-3155 ; ; True North Wellness 119 Lincoln Way West McConnellsburg PA 17233 (717) 485-3264 ; Greene Huntingdon No entries found Huntingdon Counseling & Psychiatric 800 Bryan Street, Suite 5 Huntingdon, PA 16652 (866) 377-1234 Group; Individual J.C. Blair Memorial Hospital 1225 Warm Springs Avenue Huntingdon, PA 16652 (814) 643-2290 Adult; Youth (14-17); ; Young Adult (18- J.C. Blair Medical 1225 Warm Springs Avenue Huntingdon, PA 16652 (814) 643-2290 Adult; Youth (14-17); ; Young Adult (18- Indiana MedTech 1985 Route 22 Highway West Blairsville, PA 15717 (7 354-2746

Adagio Health - Indiana 1097 Oak Street Indiana PA 15701 (7 349-2022 Adult; Youth (14-17); Blairsville Pharmacy 135 East Market Street Suite 100 Blairsville, PA 15717 97400 ; Jefferson A/C Drug and Alcohol Commission, Brookville Hospital 100 Hospital Road Clarion, PA 15825 (814) 226-6350 CenClear 117 Ella Run Avenue Punxsutawney PA 15767 (814) 938-6340 Group; Individual CenClear 275A West Main Street Brookville PA 15825 (814) 715-7441 Group; Individual Juniata Lackawanna H/J/M Patch Program Drug & Alcohol Treatment O 900 Byran Street Suite 5 Huntingdon PA 16652 441 Wyoming Avenue Scranton PA 18503 (814) 643-6300 (570) 961-1997 ; ; ; The Wright Center Medical Group 5 South Washington Avenue Jermyn, PA 18433 (570) 383-9934 Individual ; ; Other-Hospital Inpatient The Wright Center Medical Group 640 Madison Avenue Scranton PA 18510 (570) 941-0630 Individual ; Other - Hospital Inpatient ; The Wright Center Medical Group 1145 Northern Boulevard Clarks Summit PA 18411 (570) 585-1300 Individual ; Other- Hospital Inpatient ;

RediCare Medical Center 648 North Main Avenue Taylor PA 18517 (570) 348-1101 Individual ; Other - All Walkin patients eligible Maternal & Family Health, Inc 640 Madison Avenue Scranton PA 18510 (570) 961-5550 Individual ; Youth (14-17) ; A Circle of Care; Medical Assistance Enrolled Maternal & Family Health 15 Public Square Suite 600, Inc. Circle of Care Wilkes-Barre PA 18701 (570) 826-1777 Individual ; Youth (14-17) Lancaster Lebanon Family Health 615 Cumberland Street Lebanon, PA 17042 (717) 273-8893 Individual ; Lancaster General Health Penn Medicine 2100 Harrisburg Pike Lancaster PA, 17604 (717) 544-3811 Individual ; ; Lawrence Adagio Health - New Castle 200 South Jefferson Street New Castle PA 16101 (7 658-6681 Adult; Youth (14-17); Mercer County Behavioral Health Commission, Inc 8406 Sharon-Mercer Road Mercer, PA 16137 (7 662-1550 are provided throughout Mercer and Lawrence Counties Lebanon Lebanon Family Health 615 Cumberland Street Lebanon, PA 17042 (717) 273-6741 Group; Individual ; Lehigh Weight Management Center 1243 Sough Cedar Crest Boulevard Suite 2000 Allentown PA 18103 (610) 402-5000 ; Community Health & Wellness Center, Lehigh Valley Health Network 17th & Chew Streets Allentown PA 18102 (610) 402-5000 ;

Latinos for Healthy Communities 716 West Chew Street Allentown PA 18102 (610) 434-6890 ; St. Luke's Family Health Center 1501 Lehigh Street Suite 103 Allentown PA 18103 (484) 526-2301 ; Other- HIV patients ; Sacred Heart Hospital 421 Chew Street Allentown PA 18102 (610) 776-4500 ; Luzerne Wyoming Valley Alcohol & Drug 437 North Main Street Wilkes Barre PA 18705 (570) 820-8888 Serento Gardens Alcohol and Drug 145 West Broad Street 2nd floor Hazleton PA 18201 (570) 455-9902 Rural Health Corporation of Northeastern PA 1084 Route 315 Wilkes-Barre PA 187027012 (570) 825-8741 Individual; Maternal & Family Health, Inc 10 West Chestnut Street, Suite 6 Hazleton PA 18201 (570) 501-2941 Individual Individual ; Lycoming Clinical Outcomes Group 437 North Centre Street Pottsville PA 17954 (800) 264-1290 Individual; Pain Management of Williamsport 553 East 3rd Street Williamsport PA 17701 (570) 323-3106 ; Other - Language: Hindi, Urdu

McKean Adagio Health 70 1/2 Mechanic Street Bradford (814) 368-6129 PA 16701 ; youth (14-17); Mercer Mercer County Behavioral Health Commission, Inc 8406 Sharon-Mercer Road Mercer, PA 16137 (7 662-1550 Group; Mercer County Behavioral Health Commission, Inc 8406 Sharon-Mercer Road Mercer, PA 16137 (7 662-1550 Mifflin Lewistown Hospital Highland Avenue Lewistown PA 17044 Monroe Pocono Medical Center 206 East Brown Street East Stroudsburg PA 18301 (866) 377-1234 Group; Individual (570) 476-3680 Individual; Montgomery Shawnee Medical Group Advanced Dentistry of Collegeville 106 Shawnee Square Drive Suite 101 Shawnee-On-Del Drive PA 18356 399 Arcola Road, Suite 100 Collegeville, PA 19426 (570) 421-3900 Adult; Youth (14-17) (610) 489-5555 Individual ; Central Montgomery MH/MR Center Central Montgomery MH/MR Center Creative Health Holy Redeemer Health System Bryn Mawr Hospital Community Health Bryn Mawr Hospital Community Health Lankenau Medical Center 1100 Powell Street Norristown PA 19401 1201 Dekalb Street Norristown PA 19401 11 Robinson Street Pottstown PA 19469 1648 Huntingdon Pike Meadowbrook PA 19046 933 Haverford Road Bryn Mawr PA 19010 933 Haverford Road Bryn Mawr PA 19010 100 East Lancaster Avenue Wynnewood PA 19096 (610) 277-4600 (610) 277-4600 (610) 326-9250 Group; Individual (215) 938-3551 ; (484) 227-3733 (484) 227-3733 (484) 227-3733 ; Pregnant Woman ; Pregnant Woman ; Pregnant Woman

Suburban Community Hospital 2701 DeKalb Pike East Norriton PA 19401 Montour Clinical Outcomes Group 437 North Centre Street Pottsville PA 17954 (610) 270-8390 Group; Individual ; ; Other - behavioral health (800) 264-1290 Individual; Northampton New Directions Treatment 2442 Broadhead Road Bethlehem PA 18020 (610) 758-8011 ; St. Luke's Community Health Department 1530 8th Avenue Bethlehem PA 18018 (484) 526-2301 ; Other - HIV patients ; St. Luke's Southside Medical Center Northampton 511 East 3rd Street Bethlehem PA 18015 (484) 526-2301 ; Other - HIV patients ; St. Luke's Dental Health Center Bethlehem Health Bureau 511 East 3rd Street, Suite 301 Bethlehem PA 18015 10 East Church Street Bethlehem PA 18018 Northumberland Clinical Outcomes Group 437 North Center Street Pottsville PA 17954 (484) 526-2460 Individual (610) 865-7083 Individual ; ; (800) 264-1290 Individual; Perry Cumberland-Perry Drug & Alcohol Commission 16 West High Street Carlisle, PA 17103 (717) 240-6300 Group; Individual Youth (14-17); Other - School and Community Northern Dauphin County Branch YMCA 500 North Church Street Elizabethville, PA 17023 (717) 362-9494

Philadelphia Andante Center, Inc 6404 Roosevelt Boulevard, Suite 1C Philadelphia PA 19149 (215) 613-7813 Group; Individual Adult; Pregnant Woman, Shalom, Inc 1080 North Delaware Avenue Philadelphia, PA 19125 (215) 425-7727 Group; Individual Best Behavioral Healthcare, Inc 5043 Frankford Avenue Philadelphia PA 19124 (215) 744-4343 ; CHOP Karabots Pediatric Care Center 4865 Market Street Philadelphia PA 19139 (267) 425-9840 Individual : Penn Medicine - J. Edwin Wood Clinic Nazareth Hospital 700 Spruce Street Philadelphia PA 19106 2601 Holme Avenue Philadelphia PA 19152 (215) 829-3521 Individual; (215) 335-7727 Group; Individual ; ; Pike No entries found Potter Clinical Outcomes Group 437 North Centre Street Pottsville PA 17954 (800) 264-1290 Individual; Schuylkill Schuylkill Health Counseling Center 502 South Second Street St. Clair PA 17970 (570) 622-5898 Group; Individual Lebanon Family Health 615 Cumberland Street Lebanon, PA 17042 (717) 273-8893 Group; Individual ; Maternal & Family Health Inc 2510 West Market Street Pottsville PA 17901 (570) 622-1244 Individual,

Snyder Clinical Outcomes Group 437 North Center Street Pottsville PA 17954 (800) 264-1290 Individual; Somerset No entries found Sullivan Clinical Outcomes Group 437 North Center Street Pottsville PA 17954 (800) 264-1290 Individual; Susquehanna No entries found Tioga Clinical Outcomes Group 437 North Centre Street Pottsville PA 17954 (800) 264-1290 Individual; Union Clinical Outcomes Group 437 North Centre Street Pottsville PA 17954 (800) 264-1290 Individual; Venango Oil City Library /Oil Creek Library District 2 Central Avenue Oil City PA 16301 Warren Adagio Health Inc 306 Hazel Street Warren, PA 16365 (814) 758-1919 ; ; Other - Rural/Amish (814) 723-5852 Group Adagio Health 306 Hazel Street Warren, PA 16365 (814) 723-5852 Washington Therapeutic Interventional Pain Center 100 Stoops Drive, Suite 240 Monongahela PA 15063 (7 483-4282 Individual Wayne Maternal & Family Health, Inc 8 Silk Mill Drive, Suite 226 Hawley PA 18428 (570) 390-5000 Individual, Westmoreland Penn State Extension 214 Donooe Road Suite E Greensburg PA 15658 (7 837-1402 Adult; Pregnant Woman;

Saint Vincent College Prevention Projects No entries found 300 Fraser Purchase Road Latrobe PA 156502690 Wyoming York Wellspan Health York 605 South George Street, Suite 160 York PA 17401 (7 805-2050 Group ; Youth (14-17) (717) 851-5857 Hanover Hospital 300 Highland Avenue Hanover PA 17331 (717) 316-3711 Hanover Hospital Lung & Sleep Center 250 Fame Avenue Hanover PA 17331 (717) 316-2199 American Lung Association 3001 Old Gettysburg Road Camp (717) 541-5864 Group Adult Cessation provided at Hill, PA 17011 worksite locations only Memorial Hospital 325 South Belmont Street York PA 17405 (717) 849-5463 True North Wellness 625 West Elm Avenue Hanover PA 17331 (717) 632-4900