WV I/DD Waiver Reference Guide Served American Family Matters

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WV I/DD WaiverReference Guide Fiscal/EmployerAgent F/EAElectronicMonitoring/Surveillance and On-Site EMSCrisis Services Facility-Based DayHab. Respite-Agency Behavior redSupport-Family TransportationMilesEnvironmental Acc.Adaptations Page 1 of 30Direct Support Services(LPN may also be considereda direct support service)BSP/TCService Coordination SCSkilled Nursing-LPN NursingSkilled Nursing-RNHarrisonRandolphEAA Trans.Transportation-TripsDietary TherapyPhysical TherapyIPP PlanningSkilled Nursing-RNIPPBehavior erican Family Matters115 Aikens Center Suite 10Martinsburg, WV 25404O: (304) 350-1109 orF: (304) 350-8741Waiver Contact: Elizabeth Hitebhite@afmwv.comExecutive Director: Steven Runnellsbhite@afmwv.comAmerican Family MattersAmerican Family MattersAppalachian Community Health Center725 Yokum StreetElkins , WV 26241-1170O: (304) 636-1317 ext. 101 or(304) 636-3232F: (304) 636-9243Waiver Contact: Luke Strublelstruble@achcinc.comExecutive Director: Richard Kiley, Ph.D.rkiley@achinc.orgAppalachian Community Health CenterAppalachian Community Health CenterAppalachian Community Health CenterARC of Harrison CountyP.O. Box 764Clarksburg, WV 26302O: (304) 624-3641 F: (304) 624-3802Waiver Contact: Lori Champaignlmchampaign@arc-hc.comDirector: Greg Rabergaraber@arc-hc.comARC of Harrison CountyCountiesServedOccupationalTherapyWV I/DD WaiverReference GuideSpeech TherapyExtended ProfessionalServices 6/9/2015

Arc of Three Rivers1021 Quarrier Street, Suite 200Charleston, WV 25301O: (304) 344-3403 F: (304) 344-3417Waiver Contact: Kevin Dingesskdingess@arcthreerivers.orgExecutive Director: Tim Morristmorris@arcthreerivers.orgArc of Three RiversArc of Three RiversArc of Three RiversAutism Management Group4552 Rt. 152Lavalette, WV 25535O: (304) 586-6501 F: (304) 551-0109Waiver Contact: Torrey Bakertorrey.baker@autismgroup.orgCEO: Tyrone Phillipsphillips@autismgroup.orgAutism Management GroupAutism Management GroupAutism Management GroupAutism Management GroupAutism Management GroupAutism Management GroupAutism Management GroupAutism Management GroupAutism Management GroupAutism Management GroupAutism Management GroupAutism Services Center, Inc.P.O. Box 507Huntington, WV 25710O: (304) 525-8014 F: (304) 525-8026Waiver Contact: Barbara BraggBarbara@autismwv.orgDirector: Michael Gradymike@autismwv.orgAutism Services Center, Inc.Autism Services Center, Inc.Autism Services Center, Inc.WV I/DD WaiverReference GuideBooneClayKanawhaPutnam utnamRaleighWayneWoodCabellLincolnMasonWayne Page 2 of 30 6/9/2015

Behavioral Health Solutions, LLC700 6th AvenueSt. Albans, WV 25177O: (304) 727-9768 F: (304) 727-9769Director: Sam Walker-Mathewssam@bhswv.comWaiver Contact: Amber Belknapamberbe@bhswv.comBehavioral Health Solutions, LLCBehavioral Health Solutions, LLCBehavioral Health Solutions, LLCBehavioral Health Solutions, LLCBehavioral Health Solutions, LLCBehavioral Health Solutions, LLCBehavioral Health Solutions, LLCBehavioral Health Solutions, LLCBehavioral Health Solutions, LLCBehavioral Health Solutions, LLCBehavioral Health Solutions, LLCBehavioral Health Solutions, LLCBehavioral Health Solutions, LLCBehavioral Health Solutions, LLCBehavioral Health Solutions, LLCBehavioral Health Solutions, LLCBehavioral Health Solutions, LLCBehavioral Health Solutions, LLCBehavioral Health Solutions, LLCBehavioral Health Solutions, LLCBehavioral Health Solutions, LLCBehavioral Health Solutions, LLCWV I/DD WaiverReference sPutnamRaleighRitchieRoaneWayneWirtWoodWyoming Page 3 of 30 6/9/2015

Children’s Home Society of WVAdministrative Office:1441 Kanawha Blvd. E.Charleston, WV 25330O: (304) 346-0795 F: (304) 346-1062Waiver Contact: George Jamesgjames@childhswv.orgCEO: Stephen Tuckstuck@childrenwv.orgChildren's' Crisis Beds: 5Southern WV Youth Emergency Shelter(EYES of Beckley)P. O. Box 361Daniel, WV 25832O: (304) 255-0408 F: (304) 252-3016Crisis Contact: William Perkinswillperkins@childhswv.orgAFTER HOURS: 1-800-642-3434Director: Michelle Vaughanmdelaney@childhswv.orgCommunity Services, Inc.1400 Ohio AvenueDunbar, WV 25064O: (304) 205-7978 F: (304) 205-7983Waiver Contact/Director: Chris Messengerchris.messenger@csiwv.comCommunity Services, Inc.Community Services, Inc.Community Services, Inc.Community Services, Inc.Community Services, Inc.Community Services, Inc.Community Services, Inc.Community Services, Inc.Community Services, Inc.Community Services, Inc.Community Services, Inc.Community Services, Inc.Community Services, Inc.Community Services, Inc.WV I/DD WaiverReference GuideEYES shelterlocated inRaleigh Countybut can servemembers fromall WVCounties yetteClayJacksonKanawhaLincolnPutnamRoane Page 4 of 30 6/9/2015

Coordinating Council for Independent LivingBeckley Area (CCIL-Beckley)P.O. Box 519Beaver, WV 25813O: (304) 252-3394 F: (304) 252-5244Waiver Contact: Ron Peckrpeck@mulberrystreetmanagement.comCEO: Sharon A. dinating Council for Independent LivingElkins Area (CCIL-Elkins)501 Wilson Lane, Suite 3Elkins, WV 26241O: (304) 636-9396 or 1-800-834- 8060F: (304) 630-0701Waiver Contact: Rebecca Wolferwolfe@mulberrystreetmanagement.comCEO: Sharon A. CCIL-ElkinsCCIL-ElkinsCCIL-ElkinsWV I/DD WaiverReference McDowellMercerMonroeNicholasRaleighSummersWyoming r Page 5 of 306/9/2015

Coordinating Council for Independent LivingHuntington Area (CCIL-Huntington)4329 Hughes Branch RdHuntington, WV 25701O: (304) 733-6415 F: (304) 733-6420Waiver Contact: Carissa CEO: Sharon A. ngtonCCIL-HuntingtonCCIL-HuntingtonCoordinating Council for Independent LivingMorgantown Area (CCIL-Morgantown)1097 Greenbag RoadMorgantown, WV 26508O: (304) 291-9066 F: (304) 291-9071Waiver Contact: Nick Brolinnbrolin@mulberrystreetmanagement.comCEO: Sharon A. ntownCCIL-MorgantownWV I/DD WaiverReference easantsPutnamRitchieRoaneWayneWirtWood onongaliaOhioPrestonTaylorTylerWetzel Page 6 of 306/9/2015

Council of the Southern Mountains148 McDowell St.Welch, WV 24801O: (304) 436-6800 F: (304) 436-6803Waiver Contact: Donna Turnerdonnaturner-csm@outlook.comDirector: Randal Johnsonrandalcsm@hotmail.comCouncil of the Southern MountainsCouncil of the Southern MountainsDaily Companions, Inc.1486 Winchester AvenueMartinsburg, WV 25405O: (304) 263-5008 F: (304) 263-5582Waiver Contact: Brian Ballb.ball@dailycompanionsinc.comCEO: Lee mDevelopmental Center & Workshop, Inc.50 Clary StreetKeyser, WV 26726O: (304) 788-3406 or (304) 788-1922F: (304) 788-4745Waiver Contact: Jessica Smithjesmith dcw@yahoo.comDirector: Annette Francisdcandw@frontier.comDevelopmental Center & Workshop, Inc.Developmental Center & Workshop, Inc.Developmental Center & Workshop, Inc.Developmental Center & Workshop, Inc.Diversified Assessment and Therapy Services(DATS)1401 Chestnut StreetKenova, WV 25530O: (304) 453-2800 F: 1-800-691-1679Waiver Contact: Kristy Ellisonkristylynn1@zoominternet.netCEO: Sandra Kiser-Griffithdiversecon@aol.comDiversified AssessmentDiversified AssessmentDiversified AssessmentDiversified AssessmentDiversified AssessmentDiversified AssessmentWV I/DD WaiverReference GuideMcDowellMercerWyoming Berkeley lnLoganMingoPutnamWayne Page 7 of 30 6/9/2015

Eastridge Health Systems235 South Water StreetMartinsburg, WV 25401O: (304) 263-8954 x 7026 F: (304) 264-0763Waiver Contact: Kimberly Custerkcuster@eastridgehs.orgDirector: Paul Macompmacom@eastridgehs.orgEastridge Health ServicesEastridge Health ServicesEmpowerment Through Employment1430 Cost AveStonewood, WV 26301O: (304) 623-3757 F: (304) 623-3758Waiver Contact/Director: Janniece Ryanjryanh.c.s.w@gmail.comFMRS Health Systems, Inc.101 South Eisenhower Dr.Beckley, WV 25801O: (304) 256-7100 F: (304) 256-7136Waiver Contact: Sonya Simpsonssimpson@fmrs.orgDirector: Michael Maysmmays@fmrs.orgFMRS Health Systems, Inc.FMRS Health Systems, Inc.FMRS Health Systems, Inc.Global*Access, LLC922 Quarrier St, Suite 216Charleston, WV 25301O: (304) 421-0890 F: (304) 340-9146Waiver Contact/Director: Christine Dicksonglobalaccessllc@gmail.comGlobal*Access, LLCGlobal*Access, LLCGlobal*Access, LLCGlobal*Access, LLCGlobal*Access, LLCGlobal*Access, LLCGlobal*Access, LLCGlobal*Access, LLCGlobal*Access, LLCWV I/DD WaiverReference GuideBerkeleyJeffersonMorgan tteJacksonKanawhaLincolnPutnamRaleighRoaneWebster Page 8 of 30 6/9/2015

Hampshire County Special Services Center9 Industrial BlvdRomney, WV 26757O: (304) 822-7062 F: (304) 822-7007Waiver Contact/Director: Kevin Sanderskevin.ed@frontiernet.netHampshire County Special Services CenterHampshire County Special Services CenterHampshire County Special Services CenterHancock County Sheltered Workshop1100 Pennsylvania AveWeirton, WV 26062O: (304) 748-2370 F: (304) 748-3910Waiver Contact: Amanda Baileyamandahcsw@comcast.netDirector: Michael Haggmbhagg@comcast.netHancock County Sheltered WorkshopHealthways, Inc.501 Colliers WayWeirton, WV 26062-5003O: (304) 723-5440 F: (304) 723-0665Waiver Contact: Dane Watkinsdwatkins@healthwaysinc.comCEO: Terry Stempletstemple@healthwaysinc.comHealthways, Inc.Horizons Center for Independent Living, Inc.934 William StParkersburg, WV 26101O: (304) 428-7799 F: (304) 428-7766Waiver Contact: Jacqueline Purkeyhcil@suddenlinkmail.comDirector: Richard Kirkbridgehcil@suddenlinkmail.comHorizons Center for Independent Living, Inc.Horizons Center for Independent Living, Inc.Horizons Center for Independent Living, Inc.Horizons Center for Independent Living, Inc.Horizons Center for Independent Living, Inc.Horizons Center for Independent Living, Inc.WV I/DD WaiverReference GuideGrantHampshireHardyMineralBrookeHancock BrookeHancock CalhounJacksonPleasantsRitchieRoaneWirtWood Page 9 of 30 6/9/2015

Integrated ResourcesPO Box 835Mullens, WV 25882O: (304) 294-5610 F: (304) 294-5617Waiver Contact: Violet Burdettevburdette@int-res-inc.comDirector: Earl Smithesmith@mountainheartwv.orgIntegrated ResourcesIntegrated ResourcesIntegrated ResourcesIntegrated ResourcesJackson County Developmental Center260 Jack Burlingame Dr.Millwood, WV 25262O: (304) 273-9311 F: (304) 273-5131Waiver Contact: Jon Sassijsassi@jcdcworks.comDirector: Craig Greeningcgreening@jcdcworks.comJackson County Developmental CenterJackson County Developmental CenterJackson County Developmental CenterJackson County Developmental CenterJackson County Developmental CenterJefferson County Council on AgingPhysical Address:301 North Mildred St, Suite 3Charles Town, WV 25414Mailing Address:103 W 5th AvenueRanson, WV 25438O: (304) 728-1076 F: (304) 725-9500Waiver Contact/CEO: Haley Lairdjccoajcdirector@frontier.comJob Squad, Inc. (Charleston Area)120 Hills PlazaCharleston, WV 25312O: (304) 641-4211 F: (304) 720-0329Waiver Contact: Lisa O'Nealloneal@jobsquadinc.orgDirector: Brenda Hellwigbhellwig@jobsquadinc.orgWV I/DD WaiverReference MasonRoaneWirtWoodJefferson KanawhaPage 10 of 30 6/9/2015

Job Squad, Inc. (Bridgeport Area)102 2nd StBridgeport, WV 26330O: (304) 848-0850 F: (304) 848-0851Waiver Contact: Shannon Corsoscorso@jobsquadinc.orgDirector: Brenda Hellwigbhellwig@jobsquadinc.orgJob Squad, Inc.Job Squad, Inc.Job Squad, Inc.Job Squad, Inc.Job Squad, Inc.Job Squad, Inc.Job Squad, Inc.Job Squad, Inc.Job Squad, Inc.Job Squad, Inc.Job Squad, Inc.Job Squad, Inc.Logan-Mingo Mental Health ServicesPO Box 176Logan, WV 25601O: (304) 792-7130 F: (304) 792-7138Waiver Contact: Marian Laynemlayne@lmamh.orgDirector: Donna Cookedcooke@lmamh.orgLogan-Mingo Mental Health ServicesMainstream Services4757 Route 152 Ste 2Lavalette, WV 25535O: (304) 522-1945 F: (304) 522-1946Waiver Contact: Raechel Princerprince@mainstreamservices.orgDirector: Raechel Princerprince@mainstreamservices.orgMainstream ServicesMainstream ServicesMainstream ServicesWV I/DD WaiverReference ngaliaPrestonRitchieTaylorTuckerTylerUpshur LoganMingo CabellLincolnMingoWayne Page 11 of 30 6/9/2015

Mid-Valley Healthcare111 19th StPO Box 6400Wheeling, WV 26003O: (304) 234-3500 F: (304) 234-3511Waiver Contact: Tedi Ferrelltferrell@northwoodhealth.comDirector: Mark Gamesmark.garnes@corp.northwoodhealth.comNew Hope Residential Services, Inc.PO Box 366Summersville, WV 26651O: (304) 872-9531 F: (304) 872-0757Waiver Contact/Director: Robert Goldsteinministry@nhrsi.orgNew Hope Residential Services, Inc.New Hope Residential Services, Inc.New Hope Residential Services, Inc.New Hope Residential Services, Inc.New Hope Residential Services, Inc.Northwood Health Systems111 19th StWheeling, WV 26003O: (304) 234-3500 F: (304) 234-3511Waiver Contact: Tedi Ferrelltferrell@northwoodhealth.comDirector: Mark Gamesmark.games@corp.northwoodhealth.comNorthwood Health SystemsNorthwood Health SystemsNorthwood Health SystemsOpen Doors Inc.211 Washington StLewisburg, WV 24901O: (304) 645-2130 F: (304) 647-9943Waiver Contact/Director: Amber Hinkleahinkle@suddenlinkmail.comOpen Doors Inc.Open Doors Inc.Open Doors Inc.Open Doors Inc.WV I/DD WaiverReference GuideWetzel FayetteGreenbrierNicholasRaleighSummersWebster BrookeHancockMarshallOhio GreenbrierMonroeNicholasPocahontasWebster Page 12 of 30 6/9/2015

PACE Enterprises Inc.889 Mylan Park LnPO Box 4241Morgantown, WV 26501O: (304) 983-7223 F: (304) 893-2843Waiver Contact: Samual Snyderssnyder@paceenterprises.orgDirector: Greg Morrisgmorris@paceenterprises.orgMarionMonongalia Potomac Center, Inc.1 Blue StRomney, WV 26757O: (304) 822-3861 F: (304) 822-4297Waiver Contact: Betsy Nelsonbnelson@potomaccenter.comDirector: Rick s' Crisis Beds: 3Contact: Betsy NelsonO: (304) 822-3861 ext. 176 or 152Potomac Center, Inc.Potomac Center, Inc.Potomac Center, Inc.Potomac Center, Inc.Potomac Center, Inc.Potomac Center, Inc.Potomac Center, Inc.Potomac Center, Inc.Potomac Center, Inc.Potomac Center, Inc.Potomac Center, Inc.Potomac Highlands Guild6 Park StPO Box 1119Petersburg, WV 26847O: (304) 788-2241 F: (304) 257-1945Waiver Contact: Sharon Englesharone@phgmail.netDirector: Craig Curtiscraigc@phgmail.netPotomac Highlands GuildPotomac Highlands GuildPotomac Highlands GuildPotomac Highlands GuildWV I/DD WaiverReference hireHardyMineralPendleton Page 13 of 30 6/9/2015

Prestera Center for Mental Health Services, Inc.(Prestera)Huntington Area:625 8th StHuntington, WV 25701O: (304) 697-2190 F: (304) 697-6407Charleston Area:911 Michael AveCharleston, WV 25301O: (304) 414-2065Waiver Contact: Joyel Finleyjoyel.finley@prestera.orgDirector: Karen nawhaLincolnMasonPutnamWaynePsychological Assessment & Intervention Services,Inc. Barboursville Area (PAIS-Barboursville)6351 Route 60 East, Suite 8Barboursville, WV 25504O: (304) 302-2010 F: (304) 302-2011Waiver Contact/Director: Dale boursvilleBooneCabellLincolnMasonPutnamWayne Psychological Assessment & Intervention Services,Inc. Barboursville SC (PAIS-Barboursville SC)6349 Route 60 East, Suite 4Barboursville, WV 25504O: (304) 736-2626 F: (304) 736-2627Director: Dale Ricedrice@paiswv.comWaiver Contact: Sharon Stephansstephan@paiswv.comBoonePAIS-Barboursville SC CabellPAIS-Barboursville SC KanawhaWV I/DD WaiverReference Guide Page 14 of 30 6/9/2015

PAIS-Barboursville SCPAIS-Barboursville SCPAIS-Barboursville SCPAIS-Barboursville SCPAIS-Barboursville SCPAIS-Barboursville SCPsychological Assessment & Intervention Services,Inc. Beckley Area (PAIS-Beckley)330 Harper Park Rd., Suite 1Beckley, WV 25801O: (304) 256-0444 F: (304) 256-0344Waiver Contact/Director: Dale logical Assessment & Intervention Services,Inc. Beckley SC (PAIS-Beckley SC)Physical Adress:379 Glenview RdCrab Orchard, WV 25827Mailing Address:PO Box 206Crab Orchard, WV 25827O: (844) 440-9475 F: (681) 238-5956Director: Dale Ricedrice@paiswv.comWaiver Contact: Sharon Stephansstephan@paiswv.comPAIS-Beckley SCPAIS-Beckley SCPAIS-Beckley SCPAIS-Beckley SCPAIS-Beckley SCPAIS-Beckley SCPAIS-Beckley SCPAIS-Beckley SCPAIS-Beckley SCPAIS-Beckley SCWV I/DD WaiverReference ghWyoming ontasRaleighSummersWebsterWyoming Page 15 of 30 6/9/2015

Psychological Assessment & Intervention Services,Inc. Charleston Area (PAIS-Charleston)4834 MacCorkle AveSouth Charleston, WV 25309O: (304) 346-9586 F: (304) 344-2169Waiver Contact: Dale l Assessment & Intervention Services,Inc. Clarksburg SC (PAIS-Clarksburg SC)215 S. 3rd Street, Suite 900Clarksburg, WV 26301O: (304) 623-9920 F: (304) 623-9930Director: Dale Ricedrice@paiswv.comWaiver Contact: Sharon Stephansstephan@paiswv.comPAIS-Clarksburg SCPAIS-Clarksburg SCPAIS-Clarksburg SCPAIS-Clarksburg SCPAIS-Clarksburg SCPAIS-Clarksburg SCPAIS-Clarksburg SCPAIS-Clarksburg SCPAIS-Clarksburg SCPAIS-Clarksburg SCPAIS-Clarksburg SCPAIS-Clarksburg SCPAIS-Clarksburg sychological Assessment & Intervention Services,Inc. Lewisburg Area (PAIS-Lewisburg)101 Goheen StFairlea, WV 24902O: (304) 645-7135 F: (304) 793-2009Waiver Contact: Dale IS-LewisburgGreenbrierMonroePocahontasSummersWV I/DD WaiverReference Guide Page 16 of 30 6/9/2015

Psychological Assessment & Intervention Services,Inc. Parkersburg Area (PAIS-Parkersburg)2108A Camden AveParkersburg, WV 26101O: (304) 422-0997 F: (304) 865-2055Waiver Contact: Dale rgPAIS-ParkersburgPAIS-ParkersburgPsychological Assessment & Intervention Services,Inc. Parkersburg SC (PAIS-Parkersburg SC)1509 Grand Central Ave Suite 10Vienna, WV 26105O: (304) 917-4439 F: (304) 917-4450Director: Dale Ricedrice@paiswv.comWaiver Contact: Sharon Stephansstephan@paiswv.comPAIS-Parkersburg SCPAIS-Parkersburg SCPAIS-Parkersburg SCPAIS-Parkersburg SCPAIS-Parkersburg SCPAIS-Parkersburg SCPAIS-Parkersburg SCPAIS-Parkersburg SCPsychological Assessment & Intervention Services,Inc. Princeton Area (PAIS-Princeton)109 Thorn StPrinceton, WV 24740O: (304) 425-3222 F: (304) 431-2450Waiver Contact: Dale Ricedrice@paiswv.comPAIS-PrincetonPAIS-PrincetonWV I/DD WaiverReference GuidePleasantsRitchieTylerWirtWood odMcDowellMercerWyoming Page 17 of 30 6/9/2015

Psychological Assessment & Intervention Services,Inc. Ripley Area (PAIS-Ripley)229 South Church St., Suite CRipley, WV 25271O: (304) 373-1011 F: (304) 373-1012Waiver Contact: Dale leyPAIS-RipleyCalhounJacksonKanawhaMasonRoane Psychological Assessment & Intervention Services,Inc. Summersville Area (PAIS-Summersville)425A Main StreetSummersville, WV 26651O: (304) 883-2048 F: (304) 883-2029Waiver Contact: Dale Ricedrice@paiswv.comClayPAIS-Summersville NicholasPAIS-Summersville Webster Public Partnerships, LLC601-3 E. Brockway AvenueMorgantown, WV 26501O: (877) 908-1757 or (681) 215-7789200 Association Drive Suite 130Charleston, WV 25311O: 304-988-4200 F: 304-988-4201All WVCounties--PPLis theFiscal/Employer Agentcontracted byBMS for thosemembers whochoosePersonalOptionsServices ONLYContact: Randall K. Hillrkhill@pcgus.comREM Community Options, Inc. Beckley Area (REMBeckley)200 New River Town Center, Suite 500Beckley, WV 25801O: (304) 254-8420 F: (304) 254-8422Waiver Contact: Ann Iamsann.iams@thementornetwork.comDirector: Jane -Beckley GreenbrierREM-Beckley MonroeWV I/DD WaiverReference Guide Page 18 of 30 6/9/2015

RaleighSummers MarshallOhio HarrisonREM-Bridgeport MarionREM Community Options, Inc. Charleston Area(REM-Charleston)6404 MacCorkle Ave., Suite 1St Albans, WV 25177O: (304) 768-5575 F: (304) 768-7748Waiver Contact: Jason Jones/Jordan ott@thementornetwork.comDirector: Jane Charleston ClayREM-Charleston JacksonREM-Charleston KanawhaREM-Charleston LincolnREM-Charleston LoganREM-Charleston Mingo REM-BeckleyREM-BeckleyREM Community Options, Inc. Benwood Area(REM-Benwood)748 McMechen StBenwood, WV 26031O: (304) 233-3474 F: (304) 233-3558Waiver Contact: Cynthia ector: Jane d REM Community Options, Inc. Bridgeport Area(REM-Bridgeport)1400 Johnson Ave, Suite 2ABridgeport, WV 26330O: (304) 292-2108 F: (304) 842-9062Waiver Contact: Mark HattenMark.Hatten@thementornetwork.comRegional Director: Rosemary ctor: Jane Ketchamjane.ketcham@thementornetwork.comAdult Crisis Beds: 3408 East Main StreetBridgeport, WV 26330Contact: Michael SchwartzO: (304) 842-9054WV I/DD WaiverReference Guide Page 19 of 30 6/9/2015

REM-CharlestonREM-CharlestonREM-CharlestonREM Community Option, Inc. Danville Area (REMDanville)85 Town SquareDanville, WV 25053O: (304) 369-9840 F: (304) 369-9839Waiver Contact: Jason Jonesjason.jones@thementornetwork.comDirector: Jane Ketchamjane.ketcham@thementornetwork.comREM Community Options, Inc. Follansbee Area(REM-Follansbee)227 Rockdale RdFollansbee, WV 26037O: (304) 527-2754 F: (304) 527-2758Waiver Contact: Jason Corrickjason.corrick@thementornetwork.comDirector: Jane sbeeREM Community Options, Inc. Keyser Area (REMKeyser)Crisis Services: 3 adult Crisis beds87 North Main StreetKeyser, WV 26726O (304) 788-9730 or 788-5557F: (304) 788-9731Waiver Contact: Scott Baughmanscott.baughman@thementornetwork.comArea Director: Cathy Murraycathy.murray@thementornetwork.comDirector: Jane REM-KeyserREM Community Options, Inc. Martinsburg Area(REM-Martinsburg)200 Lutz AvenueMartinsburg, WV 25401O: (304) 260-5720 F: (304) 260-5721Waiver Contact: Scott r: Jane KetchamJane.Ketcham@TheMentorNetwork.comWV I/DD WaiverReference GuidePutnamRoaneWayne Boone BrookeHancockHampshireHardyMineralBerkeley, Page 20 of 30 6/9/2015

REM-MartinsburgREM-MartinsburgREM Community Options, Inc. Moorefield Area(REM-Moorefield)1929 State Route 55, Suite 5Moorefield, WV 26836O: (304) 538-2098 F: (304) 538-5946Waiver Contact: Scott r: Jane ieldREM-MoorefieldREM Community Options, Inc. Morgantown Area965 Hartman Run RdMorgantown, WV 26505O: (304) 292-2108 F: (304) 291-3139Waiver Contact: Mark Hattenmark.hatten@thementornetwork.comDirector: Jane Ketchamjane.ketcham@thementornetwork.comREM Community Options, Inc. Paden City Area(REM-Paden City)533 South 4th AvePaden City, WV 26159O: (304) 337-9230 F: (304) 337-9236Waiver Contact: Maranda tor: Jane Ketchamjane.ketcham@thementornetwork.comREM-Paden CityREM Community Options, Inc. Parkersburg Area(REM-Parkersburg)2242 Williams Highway, Suite 3Williamstown, WV 26187O: (304) 375-6480 F: (304) 375-9914Waiver Contact: Lyndon Koskeylyndon.koskey@thementornetwork.comDirector: Jane REM-ParkersburgWV I/DD WaiverReference GuideJeffersonMorganGrantHampshireHardy Monongalia TylerWetzel CalhounJacksonMasonRoaneWirtWood Page 21 of 30 6/9/2015

REM Community Options, Inc. St Mary's Area(REM-St. Mary's)210 2nd St, Suite 2PO Box 70St Mary's, WV 26170O: (

Environmental Acc. Adaptations Skilled Nursing-RN Skilled Nursing-LPN; . Behavioral Health Solutions, LLC. 700 6th Avenue St. Albans, WV 25177 O: (304) 727-9768 F: (304) 727-9769. . Beaver, WV 25813 O: (304) 252-3394 F: (304) 252-5244 . Waiver Contact: Ron Peck rpeck@mulberrystreetmanagement.com .