| Administration | Buprenorphine Program | Chronic Care Initiative | Clinical | Coordination of Benefits |

  | Data & Reimbursement | Fiscal & Administrative Operations | Health Care Reform | Managed Care | 

  | Pharmacy | Policy | Provider & Member Services | Quality Improvement & Program Integrity |

ADMINISTRATION 

 Phone: 802-879-5901    Fax: 802-879-5962

Susan Besio, Director

Hunt Blair, Deputy Director

• Health Care Reform Division

Lori Collins, Deputy Director

• Policy, Fiscal and Support Services Division
• Medicaid Management Information System (MMIS)

Victoria Loner, Deputy Director

• Managed Care Organization Division

Michael Farber, Medical Director

Sarah Gregorek, Executive Staff Assistant

BUPRENORPHINE PROGRAM     <back to top>

Phone: 802-879-5903    Fax: 802-879-5963

CHRONIC CARE INITIATIVE     <back to top>

Phone: 802-879-5903     Fax: 802-879-5963

See the Chronic Care Team Map

Heather Bollman, Nurse Case Manager - Caledonia, Essex & Orleans Counties

Christine Bongartz, Nurse Case Manager - Bennington County

Maura Crandall, Nurse Case Manager - Chittenden County (Burlington Office)

Maria Doon, Nurse Case Manager - Orange & Washington Counties

Eileen Girling, Care Coordination Field Director

Keith Marino, Medical Social Worker - Orange & Washington Counties

Anastasia Mattsson, Nurse Case Manager - Addison & Rutland Counties

Julie McDonald, Administrative Assistant A

Ann Marie Miles, Medical Social Worker - Chittenden County (based in Williston/Burlington)

Mark Nash, Medical Social Worker - Franklin, Grand Isle & Lamoille Counties

Melody Neun, Medical Social Worker - Addison & Rutland Counties

Susan Read-Smith, Nurse Case Manager - Windham and Windsor Counties

Katie Wells, Nurse Case Manager - Chittenden County

Angie White, Nurse Case Manager - Franklin, Grand Isle & Lamoille Counties

CLINICAL     <back to top>

Phone: 802-879-5903    Fax: 802-879-5963

John Allard, Nurse Case Manager

• Medical Supplies, Technology or Equipment

Daljit Clark, Clinical Operations Director

Danielle Delong, Program Technician I

Ramona Godfrey, Nurse Case Manager

Amy Lumsden, Nurse Case Manager

Julie McDonald, Administrative Assistant A

Kristin Sprague, Nurse Case Manager

COORDINATION OF BENEFITS (COB)     <back to top>

Phone: 802-879-5900     Fax: 802-879-5959

Debbie Austin, COB Manager

• Casualty
• Estate Recoveries
• Health Insurance
• Hospice 
• Medicare Advocacy Project Contract
• Medicare Benefits Coordination
• Trusts/Annuities
• ESI/CHAP-Premium Assistance Program 

Lisa Botala, COB Specialist

• Annuities/Special Needs Trust
• Casualty Recoveries
• Hospice Drugs
• Over-Resource

Jennifer Boyden, COB Specialist

• ESI Team Member

Lisa Carpenter, Senior COB Specialist

• COB Supervisor
• Medicare Part D/Prescription Drug Program

Stacey Davis, COB Specialist

• E.O.B.'s
• Health Insurance Verification/Carrier Code Updates
• OCC Reports
• Outstanding A/R Recoveries
• Third Party Billing Issues

Joyce Desany, COB Specialist

• Estate Recoveries
• Health Insurance Checks
• HIPPS

Lori Fagnant, COB Specialist

• End-of-Month Processing and Reporting
• Health Insurance Recoveries
• IV-D/Court-Ordered Medical Support Insurance Updates

Melissa Guiles, Program Consultant

• Medicare Part D/Prescription Drug Program Team Member

Samantha Haley, COB Specialist

• ESI Team Member

Wendy Haskell, COB Specialist

• ESI Team Member

Kathy Haskins, COB Specialist

• Eligibility File Maintenance
• Nursing Home Eligibility File Maintenance

Matthew Laudin, Program Consultant

• Medicare Part D/Prescription Drug Program Team Member

Hillary Peirce, COB Specialist

• ESI Team Member

Rheannon Sicely, COB Specialist

• ESI Team Member

Gary Sturgeon, Senior COB Specialist

• COB Supervisor
• Medicaid Recoveries

Carolyn Sweet, Program Consultant

• Medicare Part D/Prescription Drug Program Team Member

Carla Vecchione, COB Specialist

• ESI Team Member

Nicole Weidman, Senior COB Specialist

• COB Supervisor
• ESI/CHAP-Premium Assistance Program

Hope Williams, Administrative Assistant A

DATA ANALYSIS & REIMBURSEMENT  <back to top>

Phone: 802-879-5900     Fax: 802-879-5651

Mary Andes, Data Analysis & Reimbursement Director

Mary Gover, Reimbursement Administrator

• Provider Enrollment
• Reimbursement Policy

Brenda Metivier, Health Data Administrator

Christine Shepard, Data Director

Deborah Stempel, Medicaid Operations Administrator

 FISCAL & ADMINISTRATIVE OPERATIONS <back to top>

Phone: 802-879-5900    Fax: 802-879-5961

Joseph Bucchere, Information Technology Systems Developer II 

Sarah Cadorette, Financial Administrator III

Bill Clark, Financial Director I

Rolenda Corrow, Financial Specialist I

Stacey Drinkwine, Financial Manager I

Justin Gingras, Financial Specialist III

Carrie Hathaway, Financial Director II

Melissa Jenkins, Financial Manager II

Robert Larkin, Administrative Assistant A

Darcy McPherson, Administrative Assistant A

Suellen Squires, Administrative Secretary

Sile Torres, Information Technology Specialist II

• Account Creation / Deletion Requests (ACCESS, MMIS, GCR)
• Data Reconciliation
• Global Clinical Record (GCR) Technical Support
• Password Reset Requests (GCR, MMIS)

Mylinda Trombley, Financial Administrator III

HEALTH CARE REFORM     <back to top>

Phone: 802-879-5900     Fax: 802-879-5651

Hunt Blair, Deputy Director, Health Care Reform Division

Betsy Forrest, Health Care Project Director

Diane Hawkins, Executive Staff Assistant

Joseph Liscinsky, Information Technology Project Management

• Modernization of Vermont's Enterprise (MOVE) Project Manager

MANAGED CARE OPERATIONS     <back to top>

  Phone: 802-879-5900     Fax: 802-879-5651

Kelly Gordon, Health Programs Administrator

Victoria Loner, Deputy Director, Managed Care Organization Division

PHARMACY     <back to top>

Phone: 802-879-5900     Fax: 802-879-5651

Stacey Baker, Health Programs Administrator

• Pharmacy Issues Liaison

Robin Farnsworth, Health Programs Administrator

Cindy LaWare, Pharmacy Manager

Jennifer Mullikin, Health Programs Administrator

POLICY     <back to top>

Phone: 802-879-5900     Fax: 802-879-5651

Keri Andersen, Health Programs Administrator

• Rules & Rulemaking
• Fair Hearing Lead
• Managed Care Organization (MCO) Grievance and Appeal Coordinator
• State Plan - Coverage

Stephanie Beck, Policy Director

• Coverage Policy / Rules
• HIPAA / Consumer Information & Privacy Standards
• Maximus (Member Services) Contract
• State Plan

 Russell Frank, Health Programs Administrator

• Children & Youth
• Mental Health
• Substance Abuse
• SCHIP

Gregory Needle, Health Programs Administrator

• M108 Lead
• Ombudsmen Contract
• OVHA Grievance and Appeal Coordinator
• Public Record Requests 

Lorraine Siciliano, Legislative Liaison

• Legislative Requests & Activities
• Media Inquiries

PROVIDER & MEMBER SERVICES     <back to top>

Phone: 802-879-5900     Fax: 802-879-5919

Alena Crnalic, Administrative Services Technician IV

• Out-of-State/Out-of-Area Transportation Referrals

Clark Eaton, Provider Relations Specialist

• Dentists
• Medicaid Advisory Board (MAB)
• Transportation Providers

Judy Jamieson, Provider Relations Specialist

• Ambulance
• Audiologists
• Community Mental Health
• Chiropractors
• Drug Utilization Review (DUR) Board
• Durable Medical Equipment
• Naturopaths
• Opticians
• Optometrists
• Physical Therapists
• School-Based Providers
• Speech-Language Pathologists

Peter McNichol, Provider Relations Specialist

• Transportation Providers
• Physicians
• Hospitals     

QUALITY IMPROVEMENT & PROGRAM INTEGRITY     <back to top>

Phone: 802-879-5900     Fax: 802-879-5651

Ron Clark, Quality Improvement & Program Integrity Director

Pat Densmore, Operations Administrator 

Kelly Kroupa, Nurse Case Manager

Leanne Miles, Program and Operations Auditor

Kyle Mooney, Health Programs Administrator

• Long Term Care Coalitions

Cynthia Thomas, Quality Improvement & Behavioral Health Coordinator