Commercial Acute Care Hospital Care Management List

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Commercial Acute Care Hospital Care Management List Members of Uniformed Services Family Health Plan, contact Barbara Thompson Hospital Name Tufts Addison Gilbert Alice Peck Memorial Hospital Androscoggin Valley Hospital Anna Jaques Athol Memorial Baystate Franklin Medical Center Baystate Medical Center Berkshire Medical Center Center For all other HMO, POS, EPO products and all PPO products Jayne Larson (on site) Center Milton Jayne Larson Center Needham (Glover) Jayne Larson Center Plymouth Jayne Larson Beverly Hospital Revised 05/11/2016 1 Commercial Acute Care Hospital Care Management List

Tufts Boston Medical Center Brigham & Women s Hospital All other products Contact Mary Raimo ext. 53522 Mary Raimo (onsite) ext. 53522 Brigham & Womens Faulkner Hospital Contact Mary Raimo Ext. 53522 Brockton Hospital (See Signature Healthcare) Cambridge Health Alliance Cambridge Whidden Cape Cod Hospital Carney Hospital A Steward Hospital Catholic Memorial NH Charlton Memorial Cheshire Medical Center (Dartmouth Hitchcock Keene) Children s Hospital Clinton Concord Hospital Joanne Vozzella Cooley-Dickinson Dana Farber Cancer Institute Contact Mary Raimo (onsite) ext. 53522 Elliot Hospital NH Revised 05/11/2017 2 Commercial Acute Care Hospital Care Management List

Tufts Emerson (PU R0-R9, S0-S4, S8 & Melissa Moulaison 978.287.9392 All other products Contact Gabrielle Susi ext. 59828 Garbrielle Susi Ext. 59828 Exeter NH Fairview Falmouth Franklin Regional Hospital (Affiliated with Lakes Region) Frisbie Memorial Hospital Good Samaritan Medical Center, A Steward Hospital Hallmark/Lawrence Memorial Hallmark/Melrose Wakefield Harrington Health Alliance: Burbank/ Leominster Campus Heywood Holy Family, A Steward Hospital Holyoke Kent County RI Ext. 52195 Lahey Hospital Revised 05/11/2017 3 Commercial Acute Care Hospital Care Management List

Tufts Lakes Region General Hospital Landmark Medical Center RI Lawrence General Brook Cacciola ext. 43066 Lifespan-Miriam Hospital RI Jen Romano Lifespan-Newport Hospital RI Jen Romano Lifespan-Rhode Island Hospital Jen Romano Lowell General (Main Campus) Lowell General (Saints Campus) Brook Cacciola ext. 43066 Marlborough Hospital Martha s Vineyard Hospital Mary Hitchcock Memorial Hospital NH Mary Lane Mass Eye & Ear Mass General Contact Gabrielle Susi ext. 59828 Memorial Hospital of North Conway Memorial Hospital of Rhode Island Mercy Hospital MetroWest (Framingham Union/ Leonard Morse) Revised 05/11/2017 4 Commercial Acute Care Hospital Care Management List

Tufts Milford Whitinsville Medical Center Contact Gabrielle Susi ext. 59828 Morton Mount Auburn (PU R0-R9, S0-S4, S8 & Maria Drane 781.553.1123 Contact Patrick Hart 617.259.2126 All other products contact Michele Haggerty Michele Haggerty Nantucket Cottage Hospital Nashoba Valley New England Baptist Newton Wellesley Maureen Mulhers/Pat Struzziero 781.292.7661 Mary Raimo ext. 53522 Contact Mary Raimo ext. 53522 Noble North Adams Regional North Shore Children s Hospital North Shore Medical Center (Salem/Union) Nancy Keene Norwood Hospital, A Steward Hospital Lenora Levine 781.292.7678 Rebecca Robers ext. 53808 Parkland Medical Center NH Portsmouth Regional Hospital Roger Williams Hospital RI Revised 05/11/2017 5 Commercial Acute Care Hospital Care Management List

Tufts Saint Anne s A Steward Hospital Saint Elizabeth s Medical Center - A Steward Hospital Saint Joseph s NH Saint Joseph s RI Saint Luke s Hospital Saint Vincent s Saints Memorial (Lowell General) Medical Center Brooke Cacciola Ext. 43066 Signature Healthcare Brockton Hospital Michele Haggerty South County Hospital RI Southern New Hampshire Regional Medical Center South Shore Hospital Maureen Mulhern/Pat Struzziero 781.292.7661 Jen Romano Speare Hospital Sturdy Memorial Tobey Tufts Medical Center University of Mass Medical Center (University and Memorial) Nathalie Lariviere (on site) Revised 05/11/2017 6 Commercial Acute Care Hospital Care Management List

Tufts Wentworth-Douglass Hospital Westerly Hospital RI Winchester Hospital Lenora Levine 781.292.7678 Debra Mason Debra Mason Wing Women & Infants RI Revised 05/11/2017 7 Commercial Acute Care Hospital Care Management List