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” Page 1 of 2 Safety Net Financing Division 1501 Capitol Avenue, P.O. Box 997436, Suite 71.3024, Sacramento, CA 95899-7436 Updated as of 7\/1\/18 John Mendoza, Division Chief (CEA B) 345-7932 Sugihara, Diana (HPS I) 345-7671 Cusick, Cathy (Division OT) 345-7874 Katie Stepanick, Chief (SSM III) 345-7937 MS 4504 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 Belinda Rowan, Chief (SSM III) 345-7939 Jillian Mongetta, Chief (SSM II) 345-7947 MS 4504 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 Erby, Serene (RA II) 345-7668 Shiela Mendiola, Chief (SSM II) 345-7933 Ong, Ernest (RPS II) 345-7672 Bower, Andrew (RPS II) 345-7673 Luong, Kelly (RPS I) 345-7667 Christie Schmalz, Chief (SSM I) 345-7880 Lee, Clinton (RPS II) 345-7674 Murray, Don (AGPA) 345-7202 Marley, George (RPS I) 345-7670 Giannini, Gina (AGPA) 345-7878 Fox, Stacy (AGPA) 345-7879 Vacant (AGPA) Crystal Janes, Chief (SSM I) 345-7681 Artica, Terry (AGPA) 345-7678 Phan, Kevin (RA II) 345-7679 Ken Lopez*, Chief (SSM I) 345-7852 Alires, Christina (OT) 345-7675 Newman, Beverley (AGPA) 345-7856 Keeling, Natalie (RA II) 345-7680 Nijjar, Kulbir (Kobe) (RA II) 345-7853 Werner, Brendan (RA II) 345-7677 Moreno, Patrick (AAA) 345-7857 Truong, Emile (SSA) 345-7676 Nita Saephan, Chief (SSM I) 345-7694 Angela Smith, Chief (SSM II) 345-7938 Kennedy, Breanne (AGPA) 345-7696 Heth-Tran, Brittney (RPS II) 345-7882 Sall, Matthew (AGPA) 345-7697 Gosaie, Lalita (HPA IV) 345-7881 Hornes, Antwan (AGPA) 345-7693 Huetter, Olivia (HPA IV) 345-7884 Lee, Tae Hyun (Student Assistant) 345-7692 Akpokli, Folly Bhathal, Jaspreet (Student Assistant) 345-7695 Shamal Williams, Chief (SSM I) 345-7864 Maria Jaya, Chief (SSM II) 345-7935 Vacant (RPS I) del Gallego, Karen (RPS II) 345-7905 Vacant (AGPA) Tysoe, Inna (HPS I) 345-7904 Schoch, Hayden (SSA) 345-7869 Sebastien, Brie-Anne (HPS I) 345-7891 Leung, Michelle (RA II) 345-7868 Anderson, Loni (HPS I) 345-7896 Shah, Abbas (SSA) 345-7871 Jim Mason, Chief (SSM I) 345-7897 Panayiotis \”Taki\” Fotopoulos, Chief (SSM I) 345-7685 Rodriguez, Genaro (RA II) 345-7903 Saechao, David (AGPA) 345-7684 Narayan, Edwin (AGPA) 345-7899 Gonzalez, Ian (AGPA) 345-7683 Lin, Joanna (RA II) 345-7901 Grewal, Jasmine (SSA) 345-7682 Griffin, Nzinga (AGPA) 345-7898 Vacant (AGPA) MS 4519 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 Safety Net Financing Division Main Line (916) 552.9113 Provider Payments and Policy Branch Hospital Financing Branch MS 4504 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 MS 4518 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 Disproportionate Share Hospital (DSH) Financing MS 4504 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 Safety Net Financing Division (SNFD)Safety Net Financing Division (SNFD) Central Security 445.3610Building 171 Security 445.3154 [email protected] MS 4504 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 & Non-Contract Hospital Recoupment Section MS 4518 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 Disproportionate Share Hospital (DSH) MS 4518 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 MS 4519 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 Realignment Unit (RU) Hospital Uninsured Demonstration Section (HUDS) 1115 Waiver Unit MS 4519 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 MS 4519 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 Hospital Quality Assurance Fee Unit (HQAF) MS 4504 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 Medi-Cal Supplemental Payments Unit (MSP) Medi-Cal Supplemental Payment Section MS 4504~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 Diagnosis Related & Fee Payments Section Diagnosis Related Group (DRG) Unit Supplemental Reimbursements Unit (SRU) MS 4504 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 Page 2 of 2 Safety Net Financing Division 1501 Capitol Avenue, P.O. Box 997436, Suite 71.3024, Sacramento, CA 95899-7436 Updated as of 7\/1\/18 Betty Lai, Chief (SSM III) 345-7940 Heather Everhart, Chief (SSM I) 345-7860 Sackett, Jason (OT) 345-7861 Hawkins, Dimi (AGPA) 345-7867 Jose Garcia, Chief (SSM II) 345-7936 Fan, Wen-Hsin (AGPA) 345-7862 Case, Joel (SSA) 345-7865 Recce, Autumn (AGPA) 345-7866 Herman \”Rick\” Record, Chief (SSM I) 345-7688 Schreiber, David (Student Assistant) 345-7863 Magee, Stephanie (AGPA) 345-7686 Terlesky, Dmitry (AGPA) 345-7855 Ward, Cheryl (RA II) 345-7687 Directory Key Division Section Chief & Above Tony Teresi, Chief (SSM I) 345-7887 Branch Supervisor Position Williams, Iveda (MST) 345-7964 Section Munir, Rida (AGPA) 345-7883 Unit Higgins, Levi (SSA) 345-7890 ** Speaks Spanish Vacant (SSA) 345-7885 Rooms If PH Phone in room Yanes, Francisco (RA II) 345-7886 Room 71.3003 Manzan ta (Common) 71.3003 no phone Armstrong, Stacey (AGPA) 345-7889 Room 71.3004 (near PED) 71.3004 650-6846 Nguyen, Thai Van (Student Assistant) 345-7225 Room 71.3095 (near UMD) 71.3095 650-6866 Room 71.2011 71 2011 no phone Room 71.4003 71.4003 650-6847 Susan Keller, Chief (SSM I) 345-7877 Room 71.5147 71.5147 no phone Sharma, Neha (AGPA) 345-7875 Room 71.5095 71.5095 no phone Hoerner, Shelby (SSA) 345-7187 Room 71.3033 71.3033 322-9282 Mallonee, Corinne (AGPA) 345-7870 Break Room 71.3060 N\/A Sanchez, Richard (AGPA) 345-7873 Break Room 71.3022 N\/A East End Security (Emergencies Only) 445-3610 Emergency Info Hotline 866-273-1344 Shelly Taunk, Chief (SSM II) 345-7934 IT Service Desk 440-7000 Security Desk 445-3154 Sara Schmid, Chief (SSM I) 345-7691 Banks, Candace (AGPA) 345-7690 Conference Line 1 Najarzadeh, Soudabeh (AISA) 345-7859 Leader Participant Vacant (SSA) 345-7858 Conference Line 2 Khan, Jennifer (Student Assistant) 345-7854 Leader Participant Pressler, Bruce (SSA) 345-7689 Conference Line 3 Leader Participant Arthur Rangel, Chief (SSM I) 345-7895 Geisen, Katie (AGPA) 345-7894 Index Code for SNFD 1700 On, Samantha (AGPA) 345-7893 PCA Code for SNFD 21610 Nguyen, Courtney (SSA) 345-7902 Billing Code for SNFD 85309 MS 4504~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 School Based Medi-Cal Admin Activities Unit (SMAA) Subacute Contracting Unit (SCU) MS 4603 ~ Main: (916) 552.9113 ~ Fax: (916) 552-9109 MS 4603 ~ Main: (916) 552.9113 ~ Fax: (916) 552-9109 MS 4504 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 County-Based Claiming & Inmate Services Section Targeted Case Management (TCM) Inmate Medi-Cal Claiming Unit MS 4603 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 MS 4603 ~ Main: (916) 552.9113 ~ Fax: (916) 552-9109 County-Based Medi-Cal Admin Activities Unit (CMAA) LEA Program Unit Safety Net Financing Division Main Line (916) 552.9113 Building 171 Security 445.3154 [email protected] Central Security 445.3610 Safety Net Financing Division (SNFD) MS 4504 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 Safety Net Financing Division (SNFD) MS 4504 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 Medi-Cal Claims and Services Branch MS 4603 ~ Main: (916) 552.9113 ~ Fax: (916) 552-9109 School-Based Claiming & Subacute Services Section MS 4603 ~ Main: (916) 552.9113 ~ Fax: (916) 552-9109 MS 4603 ~ Main: (916) 552.9113 ~ Fax: (916) 324.0738 ”

” Revised 10\/27\/2017 EV Page 1 G:\\_Division Folders\\_Division Phone Lists\\TPLRD Important Phone and Fax Numbers.pdf Third Party Liability and Recovery Division Important Phone and Fax Numbers OFFICE OF COMMUNICATIONS (Media Calls) …………………………… 440-7660 TPLRD MAINLINE (Auto Attendant)…………………………………………….. 650-0490 Security Desk ……………………………………………………………………… 323-0456 TPLRD Mailroom…………………………………………………………………….. 650-6472 TPLRD Voicemail (VoIP) EFT ……………………………………………………………………………………….. 650-0547 ER ……………………………………………………………………………………….. 650-0590 HIPP…………………………………………………………………………………………. 445-8322 OP ……………………………………………………………………………………….. 650-0575 CIS ……………………………………………………………………………………….. 650-0576 QAF ……………………………………………………………………………………….. 650-0583 WDP ……………………………………………………………………………………….. 319-9574 WC ……………………………………………………………………………………….. 750-1173 TPLRD CONFERENCE ROOMS (VoIP) 3rd Floor \uf0b7 (3.003) Quiet Room . 750-0652 \uf0b7 (3.004) Quiet Room . 750-0653 \uf0b7 (3.005) Conference Room .. 323-6535 o With computer and projector \uf0b7 (3.008) Conference Room .. 323-6517 o With computer and projector \uf0b7 (3.016) Conference Room .. 750-0654 o With computer and TV monitor \uf0b7 (3.021) Quiet Room . 750-0655 4th Floor \uf0b7 (4.013) Conference Room………………………………. 750-0692 o With computer and dual TV monitors TPLRD FAX NUMBERS & LOCATIONS (Outgoing Faxes Only) Estate Recovery Operations Section (EROS) (3.006)…………………. 650-6583* *Fax forwards to 916-440-5650(ER Rightfax) Casualty Insurance Operations Section (CIOS) (3.026) ……………… 650-6584* *Fax forwards to 916-440-5650(ER Rightfax) Administration Section (AS) (3.157) ………………………………………… 650-6585* *Fax forwards to 916-440-5667(DHCS-TPLRD.General Rightfax) Revised 10\/27\/2017 EV Page 2 G:\\_Division Folders\\_Division Phone Lists\\TPLRD Important Phone and Fax Numbers.pdf Training, Quality & Support Section (TQSS) (4.143)…. .. . 650-6620* *Fax forwards to 916-440-5650(ER Rightfax) RIGHT FAX & SHARED EMAIL ADDRESS Administration Section Electronic Funds Transfer (EFT) [email protected] DHCS HCP TPLRD Recovery Inquiries [email protected] DHCS TPLRD Training [email protected] FTB Offsets [email protected] TPLRD General………………………………………………………………………. 440-5667 [email protected] Working Disabled Program (WDP) [email protected] Casualty Insurance Operations Section Casualty Insurance Section [email protected] DHCS TPL Managed Care [email protected] Medi-Cal Personal Injury Program (MCPIP) [email protected] Personal Injury (PI)………………………………………………………………….. 440-5673 [email protected] TPLPISupport [email protected] Cost Avoidance Section Buy-In Cost Avoidance Unit (BICAU) [email protected]…………………………………………………………. 440-5677 Health Insurance Premium Payment (HIPP)………………………………. 440-5676 [email protected] Other Coverage Unit (OCU) [email protected] Out of State Request Revised 10\/27\/2017 EV Page 3 G:\\_Division Folders\\_Division Phone Lists\\TPLRD Important Phone and Fax Numbers.pdf [email protected] Wide Area Telephone System (WATS) [email protected] Estate Recovery Section Estate Recovery (ER)………………………………………………………………. 440-5650 [email protected] Hardshipwaiver [email protected] Special Collections & Process Innovation Section Class Action [email protected] Special Collections Unit (SCU) [email protected] Special Needs Trust (SNT)…………………………………………………………. 440-5231 [email protected] TPLSubpoena [email protected] Trust Malpractice Unit (TMU)……………………………………………………… 440-5674 [email protected] Worker’s Compensation (WC) [email protected] General Collections Section Overpayments (OP)………………………………………………………………… 440-5670 [email protected] Quality Assurance Fee (QAF)…………………………………………………… 440-5671 [email protected] EMAIL DISTRIBUTION LISTS DHCS TPLStaffChanges [email protected] DHCS TPL Unit Chiefs and Above [email protected] DHCS EEC 172 TPLRD [email protected] DHCS TPLRD Section Chiefs and Above [email protected] ”

” DHCS Executive Staff Telephone List LOCATION DIRECT LINE NAME !PROGRAM 4 4 0 -7475 4 4 0 -7868 4 4 0 -7418 3 2 7 -2754 3 2 4 -5870 5 5 2 -8533 3 2 2 -9202 31 -9363 -7 1 3 7-3 7 65 -0 71 0-750 440-7745 322-3589 322-3589 5 5 2 -8290 4 4 0 -7528 3 7 3 -7719 5 5 2 -9050 5 5 2 -9185 6 5 0 -0582 319-8115 552-8559 701-8193 440-7947 324-5321 440-7557 4 4 9 -5235 445-1490 I : I 3 2 7 -3 75 4 4 9 -5234 7 0 1 -8210 5 5 2 -9316 3 1 9 -9247 5 5 2 -9619 8 9 1 -3676 4 4 0 -7385 3 2 2 -9893 324-6462 3 4 1 -6576 4 4 0 -7657 4 4 5 -6938 4 4 0 -7529 Jennifer Kent Chief Deputy Director, Policy & Program Support Chief Deputy Director, Health Care Programs & State Medicaid Director Don Braeger Chief, SUD, Program, Policy, & Fiscal Division Sarah Brooks Deputy Director, Health Care Delivery Systems Carlos Quant Chief, Financial Management Branch Toquyen Collier Acting Deputy Direct or, Enterprise Innovation Technology Services Division Jae y Coop r ssis ant Dep Dir ct , He I h Car e e Sys e s nas sia Do o ssoci te D \u00b7 ec or S E e har t-R\u00b7os ief, I t rate Syste s of Care ivis\”on Co ie F orez Carol all e uty Dire tor, L gisl iv & Go r e al A irs Jared Goldman Deputy Director & Chief Counsel, Office of Legal Services Brenda Grealish Acting Deputy Director, Mental Health & Substance Use Disorder Services Brenda Grealish Asst. Deputy Director, Mental Health & Substance Use Disorder Services Darci Haesche Chief, Human Resources Branch Lindy Harrington Deputy Director, Health Care F inancing Melody Hayes Deputy Director, CA-MMIS Division Philip Heinrich Chief, Office of HIPAA Compliance Harry Hendrix Chief, Pharmacy Benefits Division Margaret Hoffeditz Chief, Third Party Liability & Recovery Division Tanya Homman Chief, Provider Enrollment Division Alani Jackson Chief, Medi-Cal Dental Services Division Julia Logan Acting Medical Director, Office of the Medical Director Dina Kokkos-Gonzales Chief, Mental He alth Services Division Lisa Lassetter Bruce Lim Jennifer Lopez Marc Lowry Ben McGowan John Mendoza Shelly Menzel Ren ol o Chr\” ti oren vi a ha lie P rez Javier Portela Raul Ramirez Doug Robins Linette Scott Cynthia Smiley Sharon Stevenson Michele Villados Jim Watkins Laurie Weaver Sam Willburn Norman Will iams Sandra Williams Ryan Witz Deputy Director, Administration Division Deputy Director, Audits & Investigations Division Chief, Capitated Rates Develop ment Chief, Fiscal Forecasting Division Deputy Chief Counsel, Office of Legal Services Chief, Safety Net F inancing Division Chief, Strategic Planning and Workforce Development Branch Dep ty Director, Heal h Care e e ,t Eligibi \u00b7 ief, ffice f F ii Plan ng ief, ffice f e i-Cal r cur e t ief, a aged Care Quali & o i ori g ivision ief, S D Co plia ce Di isi Chief, Managed Care Operations Divis ion Chief, Office of Health Information Technology Chief, Clinical Assurance & Administrative Support Deputy Director & Chief Medical Info Officer, Information Mgmt. Div. Chief, Benefits Division Deputy Director & Chief AU, Office of Administrative Hearings & Appeals Deputy Director, Office of Civil Rights Chief, Research & Analytic Studies Division Assistant Deputy Director, Health Care Benefits & Eligibility Chief, Primary, Rural, and Indian Health Division Deputy Director, Office of Communications Chief, Medi-Cal Eligibility Division Assistant Deputy Director, Health Care Financing MAIN LINE ASSISTANT Patti Henderson 440-7400 emrm . . . – . 440-7400 327-8608 440-7800 552-8395 440-7340 0 -78 0-74 5 2 -9 05 552- 0 0 -750 440-7700 4 4 0 -7800 440-7800 552-8270 322-4831 373-2600 552-9444 552-9500 650-0490 323-1945 4 6 4 -3888 7 5 0 -3591 322-7445 4 4 0 -7525 440-7550 322-5831 440-7525 4 4 0 -7700 552-9113 324-8544 4 0-78 6 5 0 – 1 552- 006 4 -50 4 5-1 3 449-5000 552-9181 552-9100 750-3589 552-9400 322-5603 4 4 0 -7370 445-2107 4 4 0 -7800 449-5770 4 4 0 -7660 552-9430 322-4831 I . . \ufffd .. Rebekah Miranda Ashley Leaphart Merissa Ubag Jamal Patton s le Leaph s le Fai o alin a elc R\”c ura hia B Josette Venegas Michele Taylor Michele Taylor Vacant Karen Williams Jade Grimes Leslie Keesling Tierra Holloway May Tang Claudia Madrigal Janice Nasarro Eric Williams Tin a Leonard Libby Williams Cynthia Facio-Ortiz Renee Lewis Libby Williams Josette Venegas Cathy Cusick Vacant i ee Ri g ber e es L\”a o uchi ad I n Clyb Dare e oore Renee Day Vacant Tina Accettola Laura Davidson JoAnn Lytle Stephanie Irby Vacant Lia Noguchi Aimee Ring Kim Gregg Chanel Harris Derek Soiu Karen Williams Updated: 5\/1\/2018 DIRECT LINE MAIL STOP 440-7420 440-7411 440-7411 327-8608 440-7871 552-8396 440-7263 -7 71 552-871 327-1 0 552-8280 32 -63 1 440-7747 440-7566 440-7566 552-8270 440-7527 373-2666 449-5120 552-9527 323-6528 319-8035 552-8497 750-3595 323-3582 558-1776 440-7552 449-5003 558-1776 440-7747 552-9103 552-964 70 -8 75 5-2 0 7 – 5 45 327-8579 633-0165 445-6913 750-3589 552-9626 891-3662 440-7383 445-2107 552-9644 322-1359 440-7573 552-9429 440-7527 MS 0000 MS 0000 MS 2621 MS4050 MS 1101 MS 6304 S 5 S 0 S 502 S 0 S 0006 MS 0011 MS4000 MS4000 MS 1300 MS4050 MS4727 MS4722 MS 4604 MS 4718 MS 4704 MS4900 MS 0020 MS 2702 MS 1000 MS 2000 MS 4413 MS 1200 MS 0010 MS4504 MS 1303 S 0 S 0 S 20 S 0 S 2 0 MS 4401 MS 0004 MS4500 MS 0021 MS 4601 MS 0016 MS 0009 MS 1250 MS4000 MS 8502 MS 0025 MS 4607 MS 4050 ”

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