Division of Medical Services
Office of Long Term Care Mail Slot S409
P.O. Box 8059
Little Rock, Arkansas 72203-8059
Telephone (501) 682-8487 TDD (501) 682-6789 Fax (501) 682-6955
MEMORANDUM
LTC-A-2004-17
TO: Nursing Facilities; ICFs/MR 16 Bed & Over; HDCs;
ICFs/MR Under 16 Beds; RCFs; Adult Day Cares;
Interested Parties; DHSCounty Offices
FROM:Carol Shockley, Director, Office of Long Term Care
DATE:September 9, 2004
RE:OLTC Contact Persons and Telephone Numbers
______
The Office of Long Term Care (OLTC) is located on the fourth floor of the NewDonagheySouthPlaza at 700 Main Street in Little Rock.
In addressing correspondence to OLTC, please use the address listed below. The Slot Number can be identified from the listing of contact personnel.
OLTC Mail Slot______
PO Box 8059
Little RockAR72203-8059
Please send any checks for payment of licensure renewal fees, patient trust funds, annuals, etc., to the following address (unless otherwise instructed):
Department of Human Services
Office of Fiscal Management Mail Slot WG2
PO Box 8181
Little RockAR72203-8181
Make checks payable to the Department of Human Services.
LTC-A-2004-17
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To ensure prompt and efficient response to your inquiries, we are providing a revised list of programs and contact personnel with OLTC. Please share this information with your staff who routinely contact our office. We recommend that one copy of this memo be filed in your numbered memoranda file and that at least one copy be posted.
If you need this material in alternative format such as large print, please contact our Americans with Disabilities Act Coordinator at 501-682-8317 (voice) or 501-682-6789 (TDD).
CS/bcs
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LTC-A-2004-17
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Alphabetical Listing of Program Contacts, Phone Numbers and Mail Slots
Alzheimer’s Special Care Units
Sherri Proffer682-8471S408
Complaints
Nursing Facilities & ICF/MRsNadine Haley682-9862S407
Andrea Murdock682-8320S407
Residential Care Facilities &Sherri Proffer682-8471S408
Adult Day Care FacilitiesSue Hale682-6970S408
Continuing Education Units Approval
Jean Adams682-1873S402
Criminal Records Check
Tommy Wingard682-6117S405
Rhonda Hetland682-6285S405
Director’s Office
Carol Shockley682-8486S409
Brenda Styles682-8486S409
Employment Clearance Registry
Automated System682-8484S405
Elder Choices Medical Determination
Cindy Smith682-8428S406
Family Contacts/Social Worker
Nadine Haley682-9862S407
Andrea Murdock682-8320S407
Freedom of Information Requests
Stormy Smith682-8466S409
Level of Care & Review Dates
Shirley Flynn682-6973S406
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Licensure
AdministratorsJean Adams682-1873S402
Connie Harrison682-6291S402
Nursing Facilities, ICF/MRsSophie Fraser682-8424S404
RCFs, ALFs, Adult Day CareSue Hale682-6970S408
Sherri Proffer682-8471S408
MDS
Automation & Electronic SubmissionKatie Dinwiddie682-8463S407
Training & QuestionsSue Gaines682-8853S404
Cell phone837-8159
Diane Riley682-9861S407
Medical Necessity Denials & Appeals
Dorothy Ukegbu682-8481S406
Pam Leal682-7947S406
Nursing Assistant Certification, Training
Program & Reimbursement
Whitney Moore682-1807S405
Nursing Assistant Training, Technical
Assistance and Program Approvals
Renee Davison682-6172S405
Nursing Facility Admission Applications
Shirley Flynn682-6973S406
Nursing Facility Cost Reports
Lynn Burton682-1875S416
Nursing Facility Minimum Staffing Report
Carolyn Smart682-6969S404
Pre-Admission Screening/Resident Reviews
Dorothy Ukegbu682-8481S406
Pam Leal682-7947S406
Provider Reimbursement
Sandra Smith682-8479S416
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Regulations
Frank GoBell682-6298S409
Resident Abuse/Neglect Determination
Nancy Spaulding682-8566S404
Resident Assessment/MDS Assessment
Validation
Sue Gaines682-8853S404
Cell Phone837-8159
Residential Care/Assisted Living Program Operations
Sue Hale682-6970S408
Sherri Proffer682-8471S408
State Regulations for Nursing Home
Licensure/Surveys
Carolyn Smart682-6969S404
Survey & Certification Field Operations
Judy Johnston682-8419S404 Rose Tabor 682-9653 S404
Survey & Certification Reviewers
Sandra Broughton682-2164S404
Vicki Hinkson682-6309S404 Lori Hobbs 682-6522 S404
Jill Madden682-6290S404 Cindy Scoggins 682-6527 S404
Most staff can be reached by e-mail using the following address (no spaces):
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