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OVHA Contacts

last modified 11/05/2009 - 05:03 PM

  

  | Administration | Buprenorphine ProgramChronic Care InitiativeClinical | Coordination of Benefits |

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

  | Pharmacy | Policy | Provider & Member ServicesQuality 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