PA HCBS Membership Meeting – July 12, 2016

PA HCBS Membership,

The next PA HCBS quarterly meeting will be held on Tuesday July 12, 2016 at the Radisson Hotel and Conference Center in Camp Hill Pennsylvania.

Our agenda is below. Please RSVP no later than July 1, 2016 using the survey monkey link below. See you in July !

https://www.surveymonkey.com/r/PAPCA72016
QUARTERLY MEETING

July 12, 2016

8:00 a.m. to 4:00 p.m.

LOCATION: Radisson Hotel and Conference Center, Camp Hill, PA

Registration and breakfast: 8:00 am – 8:45 am

Agenda
8:45 a.m.
1. Introductions
2. Approval of April 2016 Meeting Minutes – Kristy Dovichow
3. Approval of Financial Statement – Dan Watson

PA HCBS Committee Reports
Tracy Hunt – Policy Committee
Jennifer Rogers – Program Committee
Carl Berry – Finance Committee

9:15 a.m. NCQA accreditation information presentation
Diane Cagney, Joan Hardaway and Tina Seidel

10:00 a.m. Open Minds Training information presentation
Kristy Dovichow and Beth Hennigan

11:00 a.m. Office of Long Term Living
Kevin Hancock
Pennsylvania Association of Home and Community Based Services Providers
Promoting Community Long Term Living Solutions

Lunch Provided– 12:00 pm to 1:00 pm

1:00pm
Health Management Associates – “Opportunity in the Midst of Change”
Diana Criss , Senior Consultant Diana came to HMA from Consumers Mutual Insurance  of Michigan where she has served as the Senior Director of Operations and
Clinical Management for the past three years. In this role, Diana was responsible for the development of the Customer Service, Claims, Quality, and Clinical Operations Departments; submission of the Qualified Health Plans process with CMS, including taking the lead with the Department of Insurance and Financial Services for Michigan approval as the first Michigan Health Insurance Co-Op; leading the NCQA accreditation; and overseeing all audit processes for claims and customer service as well as the Federal
Complaint System (HICS).

Prior to her role with Consumers Mutual, Diana was the Director of Governmental Programs with Priority Health for eight years.  Here Diana was responsible for the direction of the Medicaid and MI-Child program including compliance with all State and Federal contract requirements, MDCH re-bid process, compliance audits, and the financial stability of the program. Diana spent many years working with State Medicaid Program in Michigan to bring community partners together with the Health Plans to ensure as additional services were incorporated into the Health Pan contract, members would have continuity, and continue to receive services from community based service and support agencies.

Additional roles in which Diana has served includes Program Director, Director of Clinical Operations, and Director of Network Development for Community Care Plan Medicaid HMO; Director of Operations and Regulatory Compliance for McLaren Health Plan; Medicaid Project Manager for Priority Health; and Product Manager for Medicare/Medicaid for Care Choices.  Diana received her degree in business from MSU. She has also developed and taught the “Physicians in Medicaid Managed Care” curriculum at Michigan State University and Wayne State University.
Member Networking / Emergent Issues

4. Survey

5. Open Discussion