www.dmas.virginia.gov Department of Medical Assistance Services PROGRAM INTEGRITY IN VIRGINIA MEDICAID MEDICAID INNOVATION REFORM COMMISSION . Virginia Medicaid / Family Access to Medical Insurance Security Plan (FAMIS) enrollment application and any required documents, your application will be processed. Lee is an extraordinary physician leader who is dedicated to excellence,” said Virginia Secretary of Health and Human Resources Dr. Daniel Carey. 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. Dr. Jennifer Lee, Agency Director for the Department of Medical Assistance Services, Start your morning with today's local news. 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. Virginia Medicaid Expansion and 2019 Affordable Care Act (ACA) Presented at Quarterly Contractors’ Meeting 5 September 2018 Kimberly Scott, Director HIV Care Services. Louis Elie, Director Program Integrity Division . Dr. Jennifer Lee, director of the Department of Medical Assistance Services, and her staff has been working feverishly since before Gov. State Medicaid Director Letters State Medicaid Director (SMD) letters further clarify and communicate policies set forth in regulations. Consumer Direct Care Network Virginia . Marie Albiges writes about state government and politics. 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. And then there’s the actual screening and enrolling of new patients. I am grateful for her commitment to those she serves, and for her tremendous work on behalf of our Commonwealth.”. 6802 Paragon Place, Suite 430 Richmond, VA 23230 IF YOU NEED SITE ACCESSIBILITY SUPPORT, PLEASE CONTACT 888-532-1907. “Dr. 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 “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. Dr. Lee will transition her responsibilities to Karen Kimsey, Chief Deputy Director, who will serve as the new Director of DMAS. 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. “I want to thank Governor Northam and Secretary Carey for their support as well as the amazing staff I have had the privilege of serving with at DMAS. Coronavirus (COVID-19) Response • Have you downloaded COVIDWISE, Virginia's COVID-19 exposure notification app? Medicaid was created to assist people who have lower incomes, but coverage is dependent upon other criteria as well. No matter when it’s approved, implementation of the work requirements will be phased. DMAS staff were at the meeting to present to the group and take notes on what advice the members had. Processing of your application may take up to ten business days. 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. 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. They bring their best to work every day because they care about the people they serve. 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. 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. Program Director for Federal Policy (202) 559-8365 jack.rollins@medicaiddirectors.org. In federal fiscal year (FFY) 2019, reported of 22 frequently reported health care quality measures in the CMS Medicaid/CHIP Child Core Set. [Top stories] Colonial Williamsburg archaeologists finding ‘full, human range of occupation’ at Custis Square dig site, Virginia Beach state Sen. Bill DeSteph sues over constraints of 2021 General Assembly session, VMI removes statue of Confederate Gen. Thomas “Stonewall” Jackson, Breonna Taylor’s family praises Virginia’s ban on no-knock warrants, Virginia sets record with 3,793 new coronavirus cases; officials say it’s partially because of backlog, [Top stories] After more than 3 years of construction, Atkinson Boulevard is open in Newport News, Real-time flooding alerts for drivers? 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. 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. Prior to her current role, Tricia served as the Senior Manage… 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 A graduate of Christopher Newport University, Marie has previously covered local government, courts, breaking news and education in Williamsburg and Texas. “We’re planning now for that,” she said. Virginia Premier Elite Plus is our Commonwealth Coordinated Care Plus (CCC Plus) plan. About half of the 1.4 million people who receive Medicaid in Virginia are children. 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. She said another concern she hears is whether there are enough providers that accept Medicaid. Karen Kimsey | Richmond, Virginia Area | Director at Virginia Department of Medical Assistance Services | 500+ connections | View Karen's homepage, profile, activity, articles Medicaid expansion headlined the General Assembly special session after lawmakers failed to agree on a budget during the regular session. ... For Virginia Medicaid use only Director, Division of Program Operations Date Original Signature of Provider Date . 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. For up-to-date information, assistance, and resources from across state government, click here. 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. 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. 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. 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 Formal communication will be provided to all providers before the restart of the required revalidation process, to include the 90, 60, and 30 day revalidation notices that are currently sent to all providers. Discussion Points •Overview of Virginia’s Medicaid Expansion •Medicaid Eligibility Criteria •VDH’s preparation for Medicaid In this role, Tricia is responsible for oversight of the Clinical team, which includes the management of Residential Treatment Services and Treatment Foster Care Case Management for all Virginia Medicaid members. Child Quality Measure Data. Virginia Premier’s mission is to inspire healthy living within the communities we serve with a focus on those in need. Jack Rollins joined NAMD in April 2014. 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. 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. “Is there some trepidation about the change? 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. Lee has been traveling around the state holding provider information sessions to address concerns. The CHIP program in Virginia is called Family Access to Medical Insurance Security(Famis). William & Mary students limited COVID-19 cases to 71 in the fall. It has been an honor to be a part of the DMAS team.”. 600 East Broad Street | Richmond, Virginia 23219 | (804) 786-7933 | www.dmas.virginia.gov . Department of Medical Assistance Services Attn: Director's Office 600 East Broad Street Richmond, VA 23219 “Dr. Dr. Jennifer Lee, director of the Department of Medical Assistance Services, and her staff has been working feverishly since before Gov. ODU researchers are using machine learning to make it happen, Newport News fire leaves one person seriously injured. 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. virginia medicaid web portal DMAS offers a web-based Internet option to access information regarding Medicaid or FAMIS member eligibility, claims status, payment status, service limits, service authorizations, and electronic copies of remittance advices. 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. Social services agencies have raised concerns about how to handle the influx of new people. Work requirements aren’t part of the federal Medicaid law, so Virginia has to seek a waiver to be allowed to mandate that Medicaid patients show they work or are actively seeking employment. The public can comment on the waiver until Oct. 20 and will get a response from the state. A big unknown for Lee as Jan. 1 approaches is when work requirements will be established. “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. 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. 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. Sure,” she said. Right now, practices have to come up with billing plans, credential physicians and use electronic patient records to accept the federal insurance. She plans to practice medicine and teach future physician and policy leaders. The mission of the Virginia Department of Medical Assistance Services (DMAS) is improving the health and well-being of Virginians through access to high-quality health care coverage. Director, Virginia 1 ent of Medical Assistance Services Report on the Replacement of the Medicaid Management Information System The 2017 Appropriation Act, Chapter 836, 310 L, states: SUITE 1300 600 EAST BROAD STREET RICHMOND, VA 23219 804/786-7933 800/343-0634 (TDD) www.dmas.virginia.gov “Dr. 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. Mailing Address for General Information. The policy decisions they make must anticipate how the COVID-19 pandemic will unfold and when we will ultimately emerge from it. 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. We do this through innovation, strategic partnerships and industry-leading health care. 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 Virginia Medicaid has temporarily postponed all provider revalidations at this time. A federal lawsuit challenging West Virginia’s blanket exclusions of coverage for gender-confirming care in West Virginia’s Medicaid and state employee health insurance plans was filed today. Lee said she’s also relying on local social service agencies who will help screen patients to get the word out. Here’s how they did it. December 17, 2013 “It’s why we exist: we’re here for our members,” said Dr. Jennifer Lee, the director of Virginia’s Medicaid … Lee thinks there’s a good chance the waiver won’t be approved before Jan. 1. 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. 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 of Virginia Medicaid,” featured a Committee member and the work by the MAC. Tricia Van Rossum is the Director of Clinical Care Services of Magellan of Virginia. 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. Dr. Jennifer Lee is the director of the Department of Medical Assistance Services. 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. The bill uses federal dollars and a hospital tax to pay for the cost of health care. 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 … “We’ll have to monitor it very carefully, especially in rural places where there might not be a very strong health care workforce,” she said. Add your phone to the fight here. 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. Dr. Lee recently married and has been commuting from northern Virginia where she and her husband and their families reside. 888-444-8182 877-747-7764 Contact Us Visit Care Network Ralph Northam’s pen hit the Medicaid expansion bill June 7. Lee is also looking into making it administratively easier to accept Medicaid. Welcome to the Department of Medical Assistance Services’ (DMAS) homepage. Ralph Northam’s pen … This oversight also includes the management of Addiction and Recovery Treatment Services, as well as other Community Based mental health services. “This is a very aggressive timeline to implement expansion,” she said in an interview last week in her Richmond office. DMAS is the agency that administers Medicaid and the State Children’s Health Insurance Program (CHIP) in Virginia. Here’s how they did it. 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 Lindsey Browning, Program Director for Medicaid Operations November 3, 2020 Federal policymakers, like state leaders, have the difficult job of predicting the unpredictable. “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. Virginia Department of Social Services (VDSS) 801 E. Main Street Richmond, VA 23219-2901 General Information: Ask VDSS (804) 726-7000 (Main Agency) (800) 552-3431 (SNAP Hotline) citizen.services@dss.virginia.gov; All Other Inquiries: Telephone Numbers - Benefits & Services; Web Malfunctions Unrelated to Child Support Eligibility was primarily for individuals falling into particular categories, such as low-income children, pregnant women, the elderly, individuals with disabilities, and … Jack Rollins. (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). In 2019, Virginia Medicaid celebrated its 50th anniversary and successfully oversaw the largest expansion in its history. (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. Terry McAuliffe set to announce bid to get his old job back, A prehistoric endangered fish washed up at the Virginia Beach Oceanfront, After more than 3 years of construction, Atkinson Boulevard is open in Newport News, Burial remains uncovered at First Baptist Church site in Colonial Williamsburg, Second stimulus check updates: White House offers COVID-19 relief package that would send $600 direct payment to most Americans, He’s protecting his 89-year-old parents from coronavirus by not coaching Tabb this season, Norfolk Naval Shipyard can go ahead with power and steam plant, state air quality regulators say, Williamsburg-James City County schools to return to remote learning after spike in COVID-19 cases, Newport News City Council makes Juneteenth a city holiday, [Top stories] Second stimulus check updates: Trump offers $600 direct payments, but would eliminate $300 unemployment boost in COVID-19 relief plan. 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