virginia medicaid director

Dr. Jennifer Lee is the director of the Department of Medical Assistance Services. RICHMOND —Governor Ralph Northam today announced that Dr. Jennifer Lee, the Director of the Virginia Department of Medical Assistance Services (DMAS), will step down effective October 9 after successfully leading the Medicaid agency through the largest expansion of health coverage in Virginia in decades. DMAS launched a Medicaid Member Advisory Committee, completed a comprehensive review of forecasting and rate-setting, made investments in program research and evaluation, created a new Office of Value-Based Purchasing and an Office of Quality and Population Health, and tripled its investment in staff training and development. A big unknown for Lee as Jan. 1 approaches is when work requirements will be established. Office of the Governor: Alena Yarmosky, Alena.Yarmosky@governor.virginia.gov, Leading Virginia Forward - Week in Review, Director Dr. Jennifer Lee to Step Down After Leading DMAS Through Successful Expansion of Medicaid. In federal fiscal year (FFY) 2019, reported of 22 frequently reported health care quality measures in the CMS Medicaid/CHIP Child Core Set. In June, Lee’s department got to work amending a complex Medicaid state plan – a sort of contract with the federal government that dictates who is covered and what services are offered. DMAS staff were at the meeting to present to the group and take notes on what advice the members had. (Courtesy Department of Medical Assistance Services), Second stimulus check updates: Trump offers $600 direct payments, but would eliminate $300 unemployment boost in COVID-19 relief plan, Colonial Williamsburg archaeologists finding ‘full, human range of occupation’ at Custis Square dig site. “She has made a lasting positive impact, not only through Medicaid expansion, but through the transformative changes she has launched at DMAS to modernize the program and bring a renewed focus on Medicaid members. Financially, Medicaid isn’t attractive for private providers because of low reimbursement rates, so Lee’s department is looking at the possibility of increasing rates, which would impact both the state and federal budgets. Social services agencies have raised concerns about how to handle the influx of new people. 600 East Broad Street | Richmond, Virginia 23219 | (804) 786-7933 | www.dmas.virginia.gov . Jack Rollins. Lee has been traveling around the state holding provider information sessions to address concerns. Virginia Premier Elite Plus is our Commonwealth Coordinated Care Plus (CCC Plus) plan. This plan is for people who qualify for Medicaid and also may be 65 or older, get long-term services and supports, live in a nursing facility, be in a waiver program or have a disability. “We’re planning now for that,” she said. “We still have a tremendous need to get the word out,” Lee said. The passing vote marked a huge change in the state legislature’s stance on accepting federal Affordable Care Act dollars to expand Medicaid. Lindsey Browning, Program Director for Medicaid Operations November 3, 2020 Federal policymakers, like state leaders, have the difficult job of predicting the unpredictable. Director, Virginia D ;rlment of Medical Assistance Services Report on the Replacement of the Medicaid Management Information System The 2016 Appropriation Act, Chapter 780, 310 L, states: SUITE 1300 600 EAST BROAD STREET RICHMOND, VA23219 804/786-7933 800/343-0634 (TDD) www.dmas.virginia.gov “Dr. She plans to practice medicine and teach future physician and policy leaders. Child Quality Measure Data. Director Kimsey shared that DMAS was recently recognized for its work in diversity, equity, and inclusion by the National Association of Medicaid Directors, and that such distinction also encompassed the work by the MAC. Lee served an essential leadership role in Virginia’s historic expansion of the Medicaid program this year, bringing health care to more than 300,000 hard-working Virginians,” said Governor Northam. Dr. Jennifer Lee, Agency Director for the Department of Medical Assistance Services, Start your morning with today's local news. No matter when it’s approved, implementation of the work requirements will be phased. There’s a ton of work to do before the Jan. 1 implementation — entire systems to change, technology to upgrade and call center staff to hire. Dr. Lee will transition her responsibilities to Karen Kimsey, Chief Deputy Director, who will serve as the new Director of DMAS. of Virginia Medicaid,” featured a Committee member and the work by the MAC. But perhaps the most publicly visible work will be done in the next two months, when the department launches its direct-to-consumer campaign to seek eligible patients. “Is there some trepidation about the change? Allison Taylor, Director of Medicaid: 317-234-8725: Allison.taylor@fssa.in.gov: Iowa Department of Human Services: Mike Randol, Medicaid Director: 515-256-4640: mrandol@dhs.state.ia.us: Kansas Department of Health and Environment: Adam Proffitt, Medicaid Director and Interim Division Director: 785-296-3512: Kentucky Department for Medicaid Services: Vacant: 502-564-4321 Kimsey has a bachelor’s degree in social work from James Madison University, and a master’s degree in social work and gerontology from Virginia Commonwealth University. The policy decisions they make must anticipate how the COVID-19 pandemic will unfold and when we will ultimately emerge from it. Medicaid expansion headlined the General Assembly special session after lawmakers failed to agree on a budget during the regular session. Medicaid Enrollment 56.7M National Medicaid Enrollment 22.9M 946,000 Virginia Medicaid Enrollment 291,000 1990 1995 2000 2005 2010 Note: For the purposes of this presentation, the term “Medicaid” is used to represent both Virginia’s Title XIX Medicaid and Title XXI CHIP programs. Ralph Northam’s pen hit the Medicaid expansion bill June 7. I am so proud of the historic accomplishments we made together to change the landscape of health care in my home state of Virginia,” Dr. Lee said. Mailing Address for General Information. William & Mary students limited COVID-19 cases to 71 in the fall. Kimsey has served the agency for almost 25 years, in a variety of roles, including Deputy Director of Complex Care and Services, Director of Policy and Research, and Director of the Office of Behavioral Health. Tricia Van Rossum is the Director of Clinical Care Services of Magellan of Virginia. Eligibility was primarily for individuals falling into particular categories, such as low-income children, pregnant women, the elderly, individuals with disabilities, and … In two years under Dr. Lee’s leadership, DMAS has significantly expanded coverage and implemented new initiatives that will contribute to higher quality, more equitable and more affordable health care in Virginia. ... For Virginia Medicaid use only Director, Division of Program Operations Date Original Signature of Provider Date . Add your phone to the fight here. Medicaid Director, Office of Health Insurance Programs New York State Department of Health Caroline Ingram Associate Vice President Molina Healthcare Cindi Jones Director Virginia Department of Medical Assistance Services Kate McEvoy Interim Director, Division of Health Services Connecticut Department of Social Services Billy Millwee Luz Cruz-Romero, Executive Director, Puerto Rico Medicaid Program, Department of Health; Helen Sablan, Medicaid Director, Northern Mariana Islands; Gary Smith, Medicaid Director, Virgin Islands Medical Assistance Program, Department of Human Services 1:15PM – 1:45PM LUNCH Sponsored by UnitedHealthcare Join fellow attendees and UnitedHealthcare About half of the 1.4 million people who receive Medicaid in Virginia are children. www.dmas.virginia.gov Department of Medical Assistance Services PROGRAM INTEGRITY IN VIRGINIA MEDICAID MEDICAID INNOVATION REFORM COMMISSION . The waiver will also be sent to the chairmen of the House Appropriations Committee and the Senate Finance Committee before it’s sent to the federal government for review. Do Virginia’s policies and systems, including the use of the federal marketplace, ensure that eligibility for ... sufficiently low to qualify for regular Medicaid Virginia could be underpaying its share of the cost for ... HHR Unit Director Kate Agnelli, Senior Legislative Analyst * Agency responses attached. “As an emergency physician and a public servant, Dr. Lee has dedicated her life to disadvantaged individuals and families who have faced barriers in accessing quality health care. (The Center Square) – Virginia experienced a large uptick in total spending in fiscal year 2020, partially driven by federal funds to pay for COVID-19 relief and Medicaid expansion, according to a report published by the National Association of State Budget Officers (NASBO). They provide Medicaid-related guidance and clarify statutory and regulatory issues. [Top stories] William & Mary students limited COVID-19 cases to 71 in the fall. The department has also been in talks with managed care organizations like Anthem and Aetna to ensure their providers are up to speed on the expansion. These initiatives have put the Virginia Medicaid agency at the forefront of patient-centered, innovative reforms that serve as a national model.”, “Throughout my career, my patients and their families have inspired me to pursue policies that support access to health care and empower all people to achieve their greatest personal potential. Lee said she’s also relying on local social service agencies who will help screen patients to get the word out. Virginia’s Medicaid agency recently offered, and then withdrew, a one-time $2,000 bonus for each of its full-time and wage employees for their work this year in responding to the COVID-19 Christians turn to Advent as time of light and preparation, Army’s ritual of Block Leave lives on during pandemic; officials hope changes will keep new soldiers safe, Former Virginia Gov. DMAS has set aside $750,000 to advertise Medicaid expansion through radio spots, billboards, digital advertising and bus ads, and it will spend another $250,000 on brochures and posters starting in November. Director of Managed Care : Susan L. Hall : 558-1700: 4398 : Director of Medicaid Eligibility: Anita M. Hayes: 558-1700: 4398 Chief Financial Officer Becky A. Manning 558-1700 4398 Office of Budget and Accounting Services: Mandy Carpenter : 558-1700: 4398 Director of Procurement Services Jimmy Dowden 356-4861 4398 Medical Director: Dr. James B. Becker Dr. Lee is a board-certified emergency physician and policy expert who previously served as Deputy Secretary of Health and Human Resources under Governor Terry McAuliffe and as Deputy Under Secretary for Health at the Department of Veterans’ Affairs under President Obama. “This is a very aggressive timeline to implement expansion,” she said in an interview last week in her Richmond office. This oversight also includes the management of Addiction and Recovery Treatment Services, as well as other Community Based mental health services. The CHIP program in Virginia is called Family Access to Medical Insurance Security(Famis). Prior to her current role, Tricia served as the Senior Manage… These counts do not include the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Health Plan Survey 5.0H – Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items (CPC … Virginia Medicaid has temporarily postponed all provider revalidations at this time. The woman in charge of helping the nearly 400,000 Virginians who will soon be eligible for Medicaid said her department will be ready, despite an “aggressive” timeline. RICHMOND—Governor Ralph Northam today announced that Dr. Jennifer Lee, the Director of the Virginia Department of Medical Assistance Services (DMAS), will step down effective October 9 after successfully leading the Medicaid agency through the largest expansion of health coverage in Virginia in decades. Program Director for Federal Policy (202) 559-8365 jack.rollins@medicaiddirectors.org. And state officials are working with Virginia’s health care providers as they decide whether to expand their cap on Medicaid patients or start billing Medicaid if they aren’t already doing so. To learn about Virginia's Medicaid Managed Care, go to Learn To find a provider or compare health plans, go to Choose To enroll or check your case, go to Enroll You can learn answers to common questions at FAQs. Sure,” she said. It has been an honor to be a part of the DMAS team.”. Karen Kimsey | Richmond, Virginia Area | Director at Virginia Department of Medical Assistance Services | 500+ connections | View Karen's homepage, profile, activity, articles Lee thinks there’s a good chance the waiver won’t be approved before Jan. 1. Lee said qualifying patients can enroll a number of ways, such as by visiting their local social service agency, going to commonhelp.virginia.gov, calling the Cover VA call center or going to healthcare.gov. 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