| Administration | Buprenorphine Program | Business Office | Care Coordination | Chronic Care Management | Clinical |

| Communications | Coordination of Benefits | Health Care Affordability | Information Technology | Pharmacy | 

| Policy | Program Integration | Program Integrity | Provider Relations | Reimbursements |  

ADMINISTRATION 

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

Joshua Slen, Director

Nancy Clermont, Deputy Director

• Global Commitment to Health Initiative
• Medicaid Management Information System (MMIS)

Ann Rugg, Deputy Director

• Medicare Modernization Act
• Pharmacy Benefit Management Program
• Pharmacy Initiatives

Sarah Gregorek, Executive Staff Assistant

Rebecca Bailey, Administrative Assistant A

BUPRENORPHINE PROGRAM     <back to top>

Phone: 802-879-5925    Fax: 802-879-5963

Karen LaFond, Health Programs Administrator

BUSINESS OFFICE     <back to top>

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

Michael Bishop, Administrative Services Technician III

Sarah Cadorette, Financial Administrator III

Bill Clark, Financial Director I

Rolenda Corrow, Financial Specialist I

Alena Crnalic, Business Manager

Stacey Drinkwine, Accountant C

Justin Gingras, Financial Specialist III

Carrie Hathaway, Financial Director II

Robert Larkin, Administrative Assistant A

Darcy McPherson, Administrative Assistant A

Suellen Squires, Administrative Secretary

Deb Stempel, Financial Manager II

• Contracts
• Request for Information (RFIs)
• Request for Proposals (RFPs)
• Related Documents

 Mylinda Trombley, Financial Administrator III

CARE COORDINATION     <back to top>

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

See the Care Coordination Map

Peter Baker, Medical Social Worker, Windham and Windsor Counties

Heather Bollman, Nurse Case Manager, Caledonia County

Georgette Coleman, Regional Supervisor

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

Maria Doon, Nurse Case Manager, Washington County

Mark Gagnon, Medical Social Worker, Rutland

Eileen Girling, Care Coordination Field Director

Keith Marino, Medical Social Worker, Washington County

Janice McCann, Regional Supervisor

Julie McDonald, Administrative Assistant A

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

Mark Nash, Medical Social Worker, Lamoille County

Melody Neun, Medical Social Worker, St. Johnsbury and Caledonia County

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

Janet Suker, Medical Social Worker, Franklin County (based in St. Albans)

Katie Wells, Nurse Case Manager, Chittenden County

Angie White, Nurse Case Manager, Franklin County (based in St. Albans)

CHRONIC CARE MANAGEMENT     <back to top>

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

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

• Medical Information
• Medical Interpretive Guidelines

Dr. Erin Cody, Associate Medical Director

• Drug Utilization Review (DUR) Board

Danielle Delong, Administrative Assistant A

Ramona Godfrey, Nurse Case Manager

Maureen Matthews, Nurse Case Manager

• Midwifery, Licensed
• Clinical Pharmacy Issues

Julie McDonald, Administrative Assistant A

Kristin Sprague, Nurse Case Manager

COMMUNICATIONS     <back to top>

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

Stephanie Beck, Communications Manager

• Consumer Feedback
• Media Inquiries
• Provider Relations

 Lorraine Siciliano, Legislative Liaison

COORDINATION OF BENEFITS (COB)     <back to top>

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

Debbie Austin, Senior COB Specialist

• COB Supervisor for,
  • Casualty
  • Estate Recoveries
  • Health Insurance
  • Hospice
  • Trusts/Annuities 

Lisa Botala, COB Specialist

• Trusts, Hospice and Casualty Recoveries

Jennifer Boyden, COB Specialist 

Lisa Carpenter, Senior COB Specialist

•  COB Supervisor for,
  • Medicare Part D/Prescription Drug Program

Lori Collins, COB Manager

• Medicare Advocacy Project Contract
• Medicare Benefits Coordination

Stacey Davis, COB Specialist

• Health Insurance Verification/Carrier Code Updates
• OCC Reports
• Outstanding A/R Recoveries
• Third Party Billing Issues

Joyce Desany, COB Specialist

• E.O.B.'s
• Estate Recoveries

Rheannon Dulac, COB Specialist

• ESI Team Member

Lori Fagnant, COB Specialist

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

Pamela Fontaine, COB Specialist

• ESI Team Member

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

Gary Sturgeon, Program Consultant

• Casualty 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-Premium Assistance Program

Hope Williams, Administrative Assistant A

HEALTH CARE AFFORDABILITY     <back to top>

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

Betsy Forrest, Health Care Affordability Director

INFORMATION TECHNOLOGY     <back to top>

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

Joseph Bucchere, Systems Developer II

Mark Garrand, Systems Developer III

Judy Higgins, Information Technology Director

• Information Technology Manager

Jeffrey Kahn, Systems Developer III

• Development Lead

Joseph Liscinsky, Project Manager

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

Sile Voyer, Information Technology Specialist II

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

PHARMACY     <back to top>

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

Stacey Baker, Health Programs Administrator

• Pharmacy Issues Liaison

Robin Farnsworth, Health Programs Administrator

Jennifer Mullikin, Health Programs Administrator

Ann Rugg, Director

POLICY     <back to top>

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

Keri Andersen, Health Programs Administrator

• Managed Care Organization (MCO) Grievance and Appeal Coordinator
• Rules and State Plan filings and distribution
• Forms

Leah Korce, Policy and Implementation Analyst

• Fair Hearing Lead
• Public Record Officer
• Medicaid State Plan

Gregory Needle, Health Program Administrator 

• M108 Lead
• Ombudsmen Contract
• OVHA Grievance and Appeal Coordinator

Esther Perelman, Policy Director

• Member Services Contract
• Primary Care (PC) Plus
• Coverage Rules

PROGRAM INTEGRATION     <back to top>

Phone: 802-879-5900     Fax: 802-879-5963

Ron Clark, Program Integration Director

Russell Frank, Health Programs Administrator

•  Behavior Health Lead with Other Departments
• Children with Special Health Needs Liaison
• Community Rehabilitation and Treatment (CRT) Waiver
• Healthy Babies Kids & Families
• External Quality Review Organization (EQRO)
• Health Resources and Services Administration (HRSA) 
• Mental Health & Substance Abuse Providers Council
• New England Partnership for Improved Behavioral Health Services
• State Children's Health Insurance Program (SCHIP)

Kelly Gordon, Health Programs Administrator

Kyle Mooney, Health Programs Administrator

• Long Term Care Coalitions

PROGRAM INTEGRITY     <back to top>

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

Mary Day, Program Integrity Manager

• Beneficiary Counts and Demographics
• Expenditure Information
• Financial Monitoring
• Utilization Information

Pat Densmore, Clinical Operations Administrator

Meesha Griffith, Health Data Administrator

Kimberly Harnois, Fiscal Analyst

Kelly Kroupa, Nurse Case Manager

Leanne Miles, Program and Operations Auditor

Christine Shepard, Data Analyst

PROVIDER RELATIONS     <back to top>

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

Stephanie Beck, Communications Manager

• Hospitals

Clark Eaton, Provider Relations Specialist

• Dentists
• Medicaid Advisory Board

Judy Jamieson, Provider Relations Specialist

• Audiologists
• Community Mental Health
• Chiropractors
• Durable Medical Equipment
• Opticians
• Optometrists
• School-based Providers

Peter McNichol, Provider Relations Specialist

• Physicians
• Transportation Providers

REIMBURSEMENTS     <back to top>

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

Mary Gover, Reimbursement Administrator

• New Codes
• Payment and Fee Issues
• Provider Enrollment  

Brenda Metivier, Medical Record Analyst

• Claims Payment
• New Codes

Ann Rugg, Assistant Director

• Pharmacy Issues