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Area 12 Information
| Area Administrator: |
Edwin De Bardeleben |
| Office Address: |
210 N. Palmetto Ave., Suite 312
Daytona Beach, FL 32114 |
| Main Phone Number: |
(386) 947 - 4026 |
| Counties Served: |
Flagler, Volusia |
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Area News & Announcements
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Events
| Event |
Date/Time |
Location |
Quarterly Provider Meeting |
Friday, August 21, 2009
9:00 am – 12:00 pm |
UCF, 1200 W. International Speedway Blvd.
Daytona Beach, FL 32114
Building 150, Room 101
Auditorium, Parking in Lot Orange B |
Family Care Council |
Thursday, July 9, 2009
3:00 pm – 5:00 pm
DAYTONA
Thursday, August 12, 2009
7:00 pm – 9:00 pm
FLAGLER
Thursday, September 10, 2009
3:00 pm – 5:00 pm
DAYTONA |
210 N. Palmetto Avenue
Suite 312
Daytona Beach, FL 32114
Florida Hospital Flagler
60 Memorial Medical Parkway
Palm Coast, FL 32164, Education Room A
210 N. Palmetto Avenue
Suite 312
Daytona Beach, FL 32114
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Local Review Committee |
Last Tuesday of every month
1:00 pm – 5:00 pm |
210 N. Palmetto Avenue
Suite 312
Daytona Beach, FL 32114 |
Residential Planning Committee |
Second and Last Thursday of Every Month by appointment
9:00 am – 12: 00 pm |
210 N. Palmetto Avenue
Suite 312
Daytona Beach, FL 32114 |
Monthly Support Coordinator Meetings |
Thursday, July 16, 2009
Thursday, September 17, 2009
9:00 am - 12:00 pm |
210 N. Palmetto Avenue
Suite 312
Daytona Beach, FL 32114 |
Supported Employment & Supported Living Fair |
Second Friday Each Month |
For Information & Location: Please Contact Shae Porter (386) 226-0238 Lora_Porter@apd.state.fl.us |
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Area Training Information
Additional Provider Information
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Area Staff
| Area of Responsibility |
Staff Name |
Email Address |
Phone Number |
| Supervises Intake and Eligibility Determination, Wait List Case Management, the Medicaid Waiver Programs (HCBS, FSL, CDC+, etc.), and Forensic Case Management / Court Liaison / Administrative Hearing |
Leslie Richards |
Leslie_Richards@apd.state.fl.us |
(386) 238-4607 |
| Supervises Residential Licensing and Monitoring, Residential Planning, Medical Case Management, Behavioral Services, QSI Need Assessments |
Shelia Mott |
Shelia_Mott@apd.state.fl.us |
(386) 238-4607 |
| Supervises Quality Assurance, Provider Development and Enrollment, Professional Development / Training, Recoupment, Contract Management, Supported Employment, Supported Living, and Emergency Management Coordination |
Dylan Gale |
Dylan_Gale@apd.state.fl.us |
(386) 238-4607 |
| Area Quality Leader, Quality Assurance / Quality Improvement (QA/QI) Liaison, Facilitator of the Steering Committee, and Family Care Council Liaison |
Sandra Mills |
Sandra_Mills@apd.state.fl.us |
(386) 238-4607 |
| Quality Assurance Specialist, Contract Management, Recoupment, and Incident Reporting Liaison |
Diveka Anderson |
Diveka_Anderson@apd.state.fl.us |
(386) 238-4607 |
| Supported Living & Supported Employment Liaison |
Lora “Shae” Porter |
Lora_Porter@apd.state.fl.us |
(386) 238-4607 |
| Provider Enrollment Specialist |
Cindy Camplin |
Cynthia_Camplin@apd.state.fl.us |
(386) 238-4607 |
| Professional Development Specialist & Training Coordinator |
Vanessa Carter |
Vanessa_Carter@apd.state.fl.us |
(386) 238-4607 |
| Waiver Support Coordinator (WSC) Liaison |
Patrick Burwell |
Patrick_Burwell@apd.state.fl.us |
(386) 238-4607 |
| Consumer Directed Care (CDC+) Liaison |
Marta Lagomarsini |
Marta_Lagomarsini@apd.state.fl.us |
(386) 238-4607 |
| Intake Specialist |
Dave Cassady |
Harold_Cassady@apd.state.fl.us |
(386) 238-4607 |
| Medical Case Management |
Linda Cleary |
Linda_Cleary@apd.state.fl.us |
(386) 238-4607 |
| Behavioral Services |
Tom Freeman |
Thomas_Freeman@apd.state.fl.us |
(386) 238-4607 |
| Human Services Program Specialist |
Linda Basbagill |
Linda_Basbagill@apd.state.fl.us |
(386) 226-7893 |
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Area Steering Committee
Projects and Activities planned by the Steering Committee/Area Quality Leader
- Developing a single access point to apply for social services.
- Developing an orientation for consumers and families at the point of entry so they will
understand what is available and how the system works.
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Archives
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Family Care Council
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Provider Recruiting Opportunities
Area 12 is currently recruiting providers for the following services:
- Adult Behavioral Analysis Service (Levels 1, 2, & 3)
- Behavioral Assistance Service
- Dental Services (Adult / Child)
- Dietitian Services
- Environmental Accessibility Adaptations w/ Assessments
- Specialized Mental Health
- Support Coordination (Full / Limited / CDC+)
- Occupational Therapy
- Physical Therapy
- Residential Habilitation (Group Home - Behavior Focus and Intensive)
- Respiratory Therapy
- Speech Therapy
Feel free to contact Cynthia Camplin (Cynthia_Camplin@apd.state.fl.us), Human Services Program Specialist (Provider Enrollment Specialist), at the Area Office if you are interested in obtaining information about becoming a provider.
It is recommended, prior to contacting Mrs. Camplin, that you review the provider requirements in the Development Services Coverage and Limitations Handbook for the service(s) you are interested in becoming enrolled to provide to ensure you meet the minimum qualifications.
The Developmental Services Waiver Coverage and Limitations Handbook can be found on the APD website (http://apd.myflorida.com) under the Waiver Tab (http://www.apd.myflorida.com/waiver/) under Medicaid Waiver
Provider Handbook
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Additional Information
Emergency Services
Operating Procedures
Social Security Administration
Supported Living / Supported Employment
Presentations & Publications
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Return to Statewide Map of Areas
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