SESSION TWO – October 14, 2020, 10:00 a.m. – 12:00 p.m.



-485775-27859800The Virginia Association OF Community-Based Providers2020 FALL conference:THE FRONT LINES – MEETING THE BEHAVIORAL HEALTH NEEDS OF VIRGINIA’S MOST VULNERABLE October 13, 2020 - October 16, 2020AGENDA PACKETSESSION ONE – October 13, 2020, 1:00 p.m. – 3:00 p.m.THE TRAUMAS OF 2020: COVID-19, Racism, Economic and Political Turmoil Through a Trauma-Informed LensSponsor Spotlight: The Barry Robinson CenterFeaturing4067175927100009080500Kristin Lennox, LCSW Immediate Response Program SupervisorChildSaversand John Ricardson-Lauve, LCSWDirector of Mental Health and Lead Trauma and Resilience EducatorChildSaversDescriptionLed by expert trainers and lecturers, Kristin Lennox, LCSW, and John Richardson-Lauve, LCSW, both from ChildSavers in Richmond, this training session will include discussion related to the COVID-19 pandemic, racism and other issues, woven together under a trauma-informed theme.One of the first steps in effective mental health intervention is assuring a trauma-informed foundation for communities, organizations, schools, and systems is to educate everyone: practitioners, their system leaders, supervisors, teachers and educators, community members, and all those who care for and about those we serve. In a comprehensive approach, anyone touching the lives of a person who may have been touched by trauma needs to understand the basic principles of the impact of trauma and the hope of building individual and community resilience.Trauma creates changes to our biology, our genetics and epigenetics, our behavior, and ultimately a myriad of lifetime health outcomes. Looking through a trauma-informed lens allows us to have effective interventions to help individuals reach their full potential. A trauma-informed lens changes the narrative and helps us provide proper treatment for big behaviors and emotions.The events of the past six months have resulted in a shared experience of a global pandemic, closed businesses and schools, economic recession and record job loss, dramatic shifts to daily routines and how we function as a society, social unrest, racial injustice, and a constantly changing new-normal. We will spend the workshop time using a trauma-informed lens to unpack some of these issues of our current world to better build resilience in ourselves, our colleagues, and those we serve.Speaker BiographiesKristin Lennox, LCSWKristin Lennox (she/her/hers) is a licensed clinical social worker with five years of experience working in the field of community mental health, specifically in trauma and crises. Kristin believes in supporting individual and community resilience through individual and family treatment, as well as community outreach and engagement. Her experience includes Crisis Intervention, community-based crisis response, psychological first aid, and outpatient mental health. Kristin has experience delivering community trainings with educators and other helping professionals on the impact of trauma and chronic stress on the mind and body, and strategies for de-escalation and co-regulation. Kristin is the current Program Supervisor for the Immediate Response team at ChildSavers, an outpatient mental health clinic which has served children and families in the Richmond community for over 90 years. Kristin is personally motivated towards decolonizing mental wellness and advocating for mental health parity in communities of Black, Indigenous, and People of Color. John Richardson-Lauve, LCSWJohn Richardson-Lauve is a licensed clinical social worker with over 25 years of experience working in the field of community mental health. He is committed to the support and strengthening of individuals and communities that struggle with adversity. His experience includes work with chronically mentally ill adults, substance abuse, residential youth care, foster care, and outpatient mental health. He has worked with homeless veterans in New York City, in a hospice home for those with HIV in the early stages of the AIDS crisis, and 6 years living together with his wife in a home with 8 teenage girls in foster care. He is an experienced trainer, lecturer and keynote presenter. He is the Director of Mental Health and Lead Trauma and Resilience Educator at ChildSavers, an outpatient mental health clinic which has served children and families in the Richmond community for over 90 years. He and his wife have a 13-year-old son and have worked with over 50 children in foster care in their home.Learning ObjectivesParticipants will learn about the nature of trauma and chronic toxic stress and current body of research.Participants will be able to articulate three examples of applying a trauma-informed lens to the traumatic events of our current world, including COVID-19 and racism. Participants will learn at least three resilience strategies to apply to these shared traumas. These strategies will apply to self-care, care of our staff and team members, and care of those we serve.SESSION TWO – October 14, 2020, 10:00 a.m. – 12:00 p.m.Vision for Virginia’s Behavioral Health SystemSponsor Spotlights: Family Insight and Braley and Thompson 47047154953000190504889500FeaturingAlison Land, Commissioner of the Department of Behavioral Health and Developmental Services (DBHDS)andVirginia Secretary of Health and Human Resources, Dr. Dan CareyDescription DBHDS Commissioner Alison Land last joined us in January, just weeks after being appointed as Commissioner. Now with nearly a year under her belt, we look forward to having Commissioner Land share her vision for Virginia’s behavioral health system, an update on DOJ Settlement Agreement implementation and a status report on ongoing state hospital challenges. We also look forward to hearing her insight into partnerships and collaboration she envisions with the private sector to strengthen the community-based system and address the significant challenges faced by those our members serve.In her short tenure at DBHDS, Commissioner Land has been a strong and steady leader, steadfast in her focus on ensuring the needs of Virginia’s most vulnerable residents are being met in the midst of truly extraordinary circumstances. We are grateful for the spirit of partnership and collaboration we share with Commissioner Land and senior members of her leadership team and look forward to building upon that in the coming months and years.Following Commissioner Land, attendees will receive an update from Virginia’s Secretary of Health and Human Resources, Dr. Dan Carey. Dr. Carey will brief the group on the Commonwealth’s efforts to ensure behavioral health needs for Virginia’s most vulnerable are being met in the midst of the pandemic as well as other COVID-related updates. He has become a central figure in the Commonwealth’s response to the COVID-19 pandemic and we are grateful he will be joining our conference with some timely updates.Speaker BiographiesCommissioner Alison LandCommissioner Land was appointed by Governor Northam in 2019 to lead DBHDS, which operates 13 hospitals and facilities with over 6,000 staff and provides strategic direction, financial resources and oversight for Virginia’s publicly-funded system serving individuals with mental illness, substance-use disorders or developmental disabilities. Before her appointment, Commissioner Land served as the Vice President for Behavioral Health Services for Sentara Healthcare, responsible for coordinating and implementing initiatives that improve access, quality, and efficiency in both the inpatient and outpatient settings within Behavioral Health. Prior to that, she served as the Vice President of Floyd Healthcare System in Rome, Ga., where she held responsibility for the Floyd Behavioral Health Center, and system level responsibility for functions including strategy, planning, quality, coordinated care, decision support, laboratory services, and the Floyd Centers of Excellence including joint, stroke, spine surgery, diabetes, and bariatric surgery. Commissioner Land is a Fellow of the American College of Healthcare Executives and has served on numerous committees and boards, including Georgia State University’s Institute for Health Administration, The Free Clinic of Rome, Georgia Hospital Association, and the Virginia Hospital and Healthcare Association. Secretary Dan Carey, MDDr. Carey was appointed Secretary of Health and Human Resources by Governor Ralph Northam in January 2018. Prior to his appointment, he worked as a cardiologist and served as Senior Vice President and Chief Medical Officer at Centra, where his responsibilities included information technology services, patient quality and safety efforts, performance improvement initiatives, and functions of the medical staff at Centra’s 3 acute care facilities. Dr. Carey held numerous leadership positions after joining Cardiology Associates of Central Virginia in 1997, which Centra later acquired in 2006. Within a year, he became Medical Director of the Acute MI Program, and went on to serve as Director of the Cardiac Cath Lab and Medical Director of the Stroobants Heart Center. Dr. Carey then went on to become the President/Chief Physician Executive of the Centra Medical Group.? In this capacity, he directed the acquisition of multiple physician practices, growing the medical group from 200 to 300+ providers. He also championed a new compensation model that integrated productivity, quality, service and group culture across specialties. Dr. Carey has special interest in medical leadership, and in addition to his roles at Centra, has also served as President of the Lynchburg Academy of Medicine, the Medical Society of Virginia and the MSV Foundation. In his current role, Dr. Carey is passionate about expanding access to affordable healthcare for Virginians; improving the Commonwealth’s behavioral health and developmental services programs; and making meaningful progress on issues such as substance use and addiction, women’s health, and children’s issues. Learning ObjectivesParticipants will gain a better understanding of:The DBHDS Commissioner and HHR Secretary’s vision for the future of Virginia’s behavioral health systemDOJ settlement agreementStatus of ongoing state hospital challengesInsight into partnership opportunities for private-sector providersVirginia’s COVID-19 responseCOVID-19 testing capacity and updates on a vaccineEfforts to ensure access to behavioral health support during pandemic SESSION THREE – October 14, 2020, 1:00 p.m. – 3:00 p.m.OneVACBP: Fighting Racism and Promoting Diversity, Equity, Inclusion and EngagementSponsor Spotlight: Crescent Counseling and Casework ServicesFeaturing9525119316500412432510096500Sylisa Lambert-Woodard, EdD, FACASAC, LCSW, LSATP, CSACBoard Certified Diplomate-FellowPresident and CEO, Pathway Homes, Inc.andDr. A’Tasha ChristianDirector of OperationsGuided PathsDescriptionIn June of this year, the Board of the VACBP adopted a resolution creating the OneVACBP initiative, which is focused on fighting racism and promoting diversity, equity, inclusion and engagement in Virginia. Throughout the summer, members met virtually to further define the goals and structure for the OneVACBP initiative. Through this work, the following goals for OneVACBP were developed:Acknowledge and strongly support the statement: Black lives matterIncrease awareness of systemic barriers and unconscious bias that disadvantage the black community Acknowledge racism is a social determinant of health and identify strategies to change thisReduce the negative impact of racism on other social determinants of health Utilize data to achieve racial equity within our state and advance opportunity for all Increase access to medical and behavioral healthcare for all Virginia residents, particularly for black, indigenous and people of color (BIPOC) who experience disparate healthcare access based on race, ethnicity, national origin, English language proficiency, gender, gender identity, sexual orientation, religion, age, differing abilities and income Promote diversity, equity and inclusion within the VACBP and within VACBP member agenciesIncrease diversity in VACBP membership and leadership, including among BIPOC-owned and BIPOC-operated agencies Apply an equity lens to all aspects of our work, including governance, commitment, value alignment, policy, practice and service Advocate for policies that advance and promote anti-racism and social justice Three initial workgroups have been formed to enable substantive member engagement and work in the following areas:Individual, Structural and Systemic RacismDiversity, Equity and InclusionSocial Justice and Anti-Racism PolicyThis session will feature:An overview of the OneVACBP initiative and opportunities to participateDiscussion around the importance of terminology and intentional languageOverview of an equity lens, why its important and how it can be applied Presentation on the historical impact of microaggression on behavioral healthSpeaker BiographiesSylisa Lambert-Woodard, EdD, LCSW, LSATP, MACPresident & CEO, Pathway Homes, Inc.; President & CEO, Pathway Homes of Florida, Inc.; andPresident & CEO, Co-Founder, Alliance Therapy Center, LLC (Christian and Veteran Owned)Dr. Sylisa Lambert-Woodard has more than 30 years' experience?specializing with SMI, Addictions, Co-occurring, Habitual Offenders, and Veteran, providing Psychotherapy,?Forensics, Coaching, Pastoral Counseling, and Residential services. She has also provided education at local and international universities,?training?and keynote presentations.In 2014, Dr. Sylisa Lambert-Woodard was the recipient of the 10th Annual Gelman, Rosenberg and Freedman EXCEL Award.? This competitive award recognizes and spotlights outstanding leadership among Washington-area nonprofit chief executives.??She has recently been showcased in the Washington “Profiles for Success” featuring area CEO’s that make a difference.Prior to joining Pathway Homes, Dr. Lambert-Woodard served in several capacities. She is the Founder and current CEO of the Alliance Therapy Center, LLC which serves children, adolescents, and adults in Northern and Central VA for over 20 years. She is EMDR trained and works extensively with Veterans specializing in trauma. She directly worked in and managed federal, state and local programs and contracts with HUD, Department of Justice, and Department of Corrections, SAMSHA, and ASAP within the metropolitan area. She has directly served and developed substance use and co-occurring services for habitual offender’s inpatient and outpatient, as well as, directly provided forensic services within regional prisons.She currently sits on the Fairfax County Board of Supervisors Chairman?Jeff McKay’s Task Force on Equity and Opportunity. She serves as:Member of the George Washington University Transformative Leadership in Disruptive Times Certificate Program Advisory CouncilMember of the Washington Regional Analysis and Impediments Advisory CommitteeCurrent Chair for the Center for Non-Profit Advancement, Washington, D.C.Past Board Chair for the Virginia Association of Community-Based Providers (VACBP)Past Chair of the Fair Housing Committee Fairfax, VAMember of the?Northern Virginia Affordable Housing Alliance (NVAHA) Leadership CouncilEducation:Bachelor of Science from George Mason University, Fairfax, VA,Master’s degree in Social Work from Catholic University, Washington D.C.?Doctor of Education in Counseling Psychology from Nova Southeastern University, Fort Lauderdale, pleted the Harvard University Business School Strategic Responsibilities in Non-Profit Management?Executives?Certificate program.Dr. A’tasha M. ChristianDr. A’tasha M. Christian has 15 years of experience working with children, adolescents and adults with a myriad of diagnoses such as bipolar disorder, depression, anxiety, ADHD, trauma and addictions. ?Dr. Christian’s clinical work is based largely in the community, especially within marginalized communities. ?Presently, Dr. Christian is employed as Director of Operations for a community-based mental health agency. Dr. Christian is an avid supporter of culturally sensitive treatment for marginalized communities and believes in the importance of intentional inclusivity to ensure that communities that are often overlooked are given a voice.Learning ObjectivesParticipants will gain a better understanding of:What the OneVACBP initiative is and opportunities to participateImportance of terminology and intentional languageWhat an equity lens is, why it’s important and how it can be appliedThe historical impact of microaggression on both counselors and clients in marginalized communitiesHow to process examples of microaggression in mental health treatment to include cultural pathology, treatment planning and quality of careHow to identify examples of microaggressions through case studies and small workgroupsSESSION FOUR – October 15, 2020, 10:00 a.m. – 12:00 p.m.Licensing and Emergency Standard ComplianceSponsor Spotlight: Lauris Online and CRiFeaturing459105082550190508191500Jennifer L. Rose, CSPVOSH Cooperative Programs DirectorVirginia Department of Labor and Industry andJae Benz, MSWDirector of the Office of LicensingDBHDSDescriptionThis session will begin with an overview of the emergency temporary standard on COVID-19 adopted by the Virginia Department of Labor and Industry (DOLI) this summer from Jennifer Rose, the VOSH Cooperative Programs Director at DOLI. The emergency temporary standard includes specific requirements with which all businesses in the Commonwealth must comply. The standards include requirements related to engineering controls, sanitation procedures, administrative and work practice, personal protection equipment, infectious disease preparedness and response planning, training, and return-to-work policies.Following Jennifer’s presentation, Jae Benz, Director of the Department of Licensing, with support from Emily Bowles, Associate Director for Licensing, Quality, Regulatory Compliance and Training, and John Cimino, Legal and Regulatory Affairs Manager in the Department of Licensing, will provide timely updates on licensing regulations, including risk management, quality improvement, serious incident reporting, corrective action plans, service modifications and more. The session will also include common provider mistakes and other important licensing updates.Speaker BiographiesJennifer L. Rose, CSP Jennifer is the VOSH Cooperative Programs Director for the Virginia Department of Labor and Industry, overseeing the agency’s Consultation and VPP divisions.? Her 16 years of experience with the Department of Labor and Industry includes Senior and Lead Safety Consultant, Consultation Program Manager, and VOSH enforcement division Program Director.? Jennifer is an authorized OSHA Outreach Trainer.? She received her B.S. from Virginia Tech, majoring in Industrial and Systems Engineering, and her M.S. from Columbia Southern University in Occupational Safety and Health.? Jennifer is a Certified Safety Professional.? She is a Professional Member of the American Society of Safety Engineers, having served in the past as the Colonial Virginia Chapter Treasurer and Secretary.Jae Benz, MSWJae Benz has worked for DBHDS?for the past 10?years, during this time she has spearheaded and successfully implemented several of the agency's initiatives for assisting the Commonwealth with DOJ compliance.?Jae currently serves as the Director of the Office of Licensing at the Department of Behavioral Health and Developmental Services (DBHDS).??She has served in this role since June of 2018.? In this position, she has overseen a complete restructuring within the Office of Licensing including the creation of the Incident Management Unit (IMU) and Specialized Investigation Unit (SIU). In addition,?she supervises a team of over 60 staff who are responsible for licensing providers that deliver?mental health, substance abuse and developmental?services; reviewing and triaging serious incidents;?conducting inspections and investigations; and renewing and modifying?provider?licenses.? Prior to this role,?Jae?worked in the Department’s?Settlement Agreement Office with the advisor and subject matter experts to strategize ways of demonstrating system change and monitoring the Commonwealth’s progress toward meeting the conditions of the Settlement Agreement. She also served as the Director of Training Center Discharges and Community Integration and was responsible for developing and implementing a plan to transition individuals from training centers to the community,? assuring that they were being served in the most integrated setting.??Prior to her time at DBHDS, Jae served as the?Executive Director of a private provider agency,?where?she was responsible for the development and implementation of the agency’s strategic and operational plans, as well as management of the annual budget.? Jae?earned her Bachelors’ Degree from the University of Virginia and?has a Master’s degree in social work from Virginia Commonwealth University with many years of experience working for private providers in the human services field.Emily?BowlesEmily?Bowles is the Associate?Director?for Licensing, Quality, Regulatory Compliance, and Training. In this position?Emily is responsible for ensuring that regulations are applied accurately and consistently across the office by all licensing specialists in all regions. In addition, she is responsible for developing and delivering training to providers and staff; updating and promulgating up to date guidance and FAQs; conducting studies and research to improve service quality; and driving quality improvement initiatives. In her time since joining the Office of Licensing,?Emily?has worked with licensing staff, agency leadership, and stakeholders to improve the legal and regulatory operations of the Office of Licensing. Emily?has extensive experience working in state offices within the Commonwealth and she has several years of experience regarding regulatory and statutory compliance in both the public and private sectors.?John CiminoJohn Cimino is the Legal and Regulatory Manager in the Office of Licensing. He is a licensed attorney who worked for nine years as a mental health specialist prior to attending law school. He was the deputy director of the Virginia Board for People with Disabilities before coming to the DBHDS Office of Licensing.?Learning ObjectivesParticipants will gain a better understanding of:The COVID-19 Emergency Temporary Standards adopted by the Virginia Department of Labor and Industry (DOLI) this summer and how they impact their agencies.Specific requirements related to engineering controls, sanitation procedures, administrative and work practice, personal protection equipment, infectious disease preparedness and response planning, training, and return-to-work policies.The status of efforts to make the emergency temporary standards permanent.Training opportunities related to the DOLI standards.What takes precedence where there are conflicts between the DOLI standards and licensing regulations.Updates to licensing regulations related to serious incident reporting, corrective action plans, quality improvement and risk management.How to avoid common mistakes related to DBHDS licensing regulations.SESSION FIVE – October 15, 2020, 1:00 p.m. – 3:00 p.m.WORKING TOGETHER: Dialogue with the Medicaid MCOsSponsor Spotlight: Genoa TelepsychiatryFeaturingRepresentatives from all six Medicaid MCOs, including:Aetna Better HealthHarry J. Keener, PhD, LPC, LMFT, LSATP, Director, Behavioral Health Services, AetnaLauren Bayes, Manager, Behavioral HealthAnthem HealthKeepers PlusLester Saltzberg, Ph.D.- Director of Behavioral Health, Virginia MedicaidKathleen Beers, Manager BH ServicesCourtnee Pelton, Psy.D., Psychologist ReviewerMagellan Complete CarePriscilla Smith, RN, MS, MBA, CPHQ, Director, Behavioral Health System of CareKim Harshman, RN, BSN, Regional Director, Utilization ManagementRon Lucas, LCSW, Manager, Utilization ManagementKirshwar Johnson, Manager, Provider RelationsOptima HealthBill Slone, Manager, Optima, Behavioral Health Behavioral Health ClinicalAshley Triplett, Network Educator United HealthCare Community Plan of VirginiaSteven M. Dixon, Psy.D., LCP, Behavioral Health Director, CCC PlusKaren Riccardi, M.Ed, MS, MBA, LPC, Behavioral Health Director, Medallion 4.0Ajah L. Amos, MBA, Network DirectorVirginia PremierBelle Childress, Interim Director of Clinical OperationsJessica Vermont, Interim Director of Clinical OperationsCassandra Arnold, Network Relations ManagerDescriptionThis session will include brief updates from each of the Medicaid MCOs, followed by a structured q&a session where plan contacts will respond to questions provided in advance by conference attendees. Requested topics for the discussion include:How providers can receive feedback on what they are doing well and how they can improveCommon mistakes from providers What the MCOs are looking for from providers with respect to clinical documentation An overview of the functionality of MCO portal(s) and how providers should be using it/themOpportunities for providers to participate in trainings and/or access resources to inform how they are working with the MCOsTraining/documentation used as resources for those determining medical necessity for each service, eligibility for the service, service duration/unitsHow care coordinators and service authorization decision makers communicate and coordinate internally How MCOs are ensuring compliance with NCQA turn-around times, including determining urgent versus non-urgent submittalsHow the MCOs are communicating with providers, including notification of service approval/denialsStatus of the MCO networks How COVID-19 has impacted the MCOs to date and what is expected in the coming monthsOther issues or changes on the horizon that may impact providers MCO policy priorities/challenges where we may work together to advocate for solutionsFor the q&a portion of the session, all questions must be submitted in advance by no later than October 12. To submit a question, click here.Speaker Biographies4828540125730004762510350500Harry J. Keener, PhD, LPC, LMFT, LSATP, Director, Behavioral Health Services, Aetna Better HealthLauren Bayes, Manager, Behavioral Health, Aetna Better HealthLester Saltzberg, Ph.D.- Director of Behavioral Health, Virginia Medicaid, Anthem HealthKeepers Plus4829175129540Courtnee Pelton, Anthem HealthKeepers PlusCourtnee Pelton, Anthem HealthKeepers Plus47625127635Priscilla Smith, Magellan Complete Care0Priscilla Smith, Magellan Complete CareKathleen Beers, Manager BH Services, Anthem HealthKeepers PlusCourtnee Pelton, Psy.D., Psychologist Reviewer, Anthem HealthKeepers PlusDr. Courtnee Pelton, Psy.D. is a clinical psychologist at Anthem. In this setting, Dr. Pelton conducts medical necessity reviews, appeals, audits, and fair hearings for intensive psychological treatment programs within VA's Community Mental Health Rehabilitative Services initiative. Prior to Anthem, Dr. Pelton managed her private practice for 7 years where she specialized in the treatment of anxiety disorders and also conducted VA SSI disability evaluations, and compensation and pension exams for veterans. Dr. Pelton also served as the lead curriculum developer and instructor for military mental health trainings at the Center for Deployment Psychology, where she regularly trained behavioral health providers on best practices in military mental health treatment. She has extensive knowledge of military mental health, as she served on Active Duty in the Army as a clinical psychologist for four years prior to this, where she provided evidence-based care to soldiers, military spouses, and children as well as training in resiliency, conflict resolution, and improving wellbeing to military units.Priscilla Smith, RN, MS, MBA, CPHQ, System of Care Director, Behavioral Health, Magellan Complete Care of VirginiaKim Harshman, RN, BSN, Regional Director, Utilization Management, Magellan Complete Care of VirginiaRon Lucas, LCSW, Manager, Utilization Management, Magellan Complete Care of VirginiaKishwar Johnson, Network Manager, Magellan Complete Care of VirginiaBill Slone, Manager, Optima, Behavioral Health Behavioral Health Clinical, Optima HealthAshley Triple, Network Educator, Optima HealthSteven M. Dixon, Psy.D., LCP, Behavioral Health Director, CCC Plus, United HealthCare Community Plan of Virginia4570095447675Bill Slone, Optima HealthBill Slone, Optima Health448056000095250000Karen Riccardi, M.Ed, MS, MBA, LPC, Behavioral Health Director, Medallion 4.0, United HealthCare Community Plan of Virginia Ajah L. Amos, MBA, Network Director, United HealthCare Community Plan of VirginiaBelle Childress, Interim Director of Clinical Operations, Virginia Premier95250280670Steven Dixon, UnitedHealthCare Community Plan0Steven Dixon, UnitedHealthCare Community PlanJessica Vermont, Interim Director of Clinical Operations, Virginia Premier447611577470Karen Riccardi, UnitedHealthCare Community Plan0Karen Riccardi, UnitedHealthCare Community PlanCassandra Arnold, Network Relations Manager, Virginia PremierLearning ObjectivesParticipants will gain a better understanding of:How providers can work more effectively with the Medicaid MCOsHow to receive and provide feedback to the MCOsOpportunities to participate in trainings and/or access resources from the MCOsHow those determining medical necessity, eligibility for the service, service duration/units are being trained by each MCOHow care coordinators and service authorization decision makers communicate and coordinate internally How MCOs are ensuring compliance with NCQA turn-around times, including determining urgent versus non-urgent submittalsHow the MCOs are communicating with providers, including notification of service approval/denialsStatus of your network – has action taken to date adequately optimized your network and/or if future efforts are plannedHow COVID-19 has impacted the MCOs and what is expected in the coming monthsMCO policy priorities/challenges where we may work together to advocate for solutionsSESSION SIX – October 16, 2020, 9:00 a.m. – 11:00 a.m.VIRGINIA MEDICAID DURING THE PANDEMIC: System-Level Observations and Policy UpdatesSponsor Spotlight: National Counseling GroupFeaturing47244003683000857259144000Alyssa M. Ward, Ph.D., LCP Behavioral Health Clinical DirectorVirginia Department of Medical Assistance ServicesDaniel PlainDivision Director, Health Care ServicesVirginia Department of Medical Assistance ServicesJason Rachel, Ph.D.8509062865Dr. Alyssa Ward, DMAS00Dr. Alyssa Ward, DMAS477202563500Daniel Plain, DMAS00Daniel Plain, DMASDirector, Integrated Care DivisionVirginia Department of Medical Assistance ServicesDescriptionThis session will provide an opportunity to hear from members of the senior leadership team at DMAS on both the clinical and healthcare services divisions at the agency. Dr. Alyssa Ward will present first, providing an overview of Medicaid behavioral health during COVID-19, what they have observed in terms of service utilization and telehealth and updates on telehealth going into the future.Following Dr. Ward, Daniel Plain and Dr. Jason Rachel will provide an overview of managed care compliance, which will include DMAS’s compliance monitoring process and compliance enforcement.Speaker BiographyDr. Alyssa WardAlyssa Ward, Ph.D., LCP is the Behavioral Health Clinical Director at the Department of Medical Assistance Services and serves as the agency lead for system enhancement. Dr. Ward is a Licensed Clinical Psychologist with experiences as a clinician, supervisor, trainer, administrator and implementation researcher in the areas of evidence-based practice (EBP) and trauma-informed care. Dr. Ward received her Ph.D. from Virginia Commonwealth University (VCU). Most recently, Dr. Ward was an Assistant Professor of Pediatrics at VCU and she continues to be affiliate faculty and maintain one afternoon of clinical practice at the Children’s Hospital of Richmond serving youth with medical and psychological challenges. Dr. Ward has a deep appreciation for the power of teamwork and alignment in the work for system change. She is looking forward to continued development of relationships with stakeholders by listening, learning and sharing experience and ideas to improve behavioral health care access and outcomes for the Commonwealth. Daniel PlainDaniel Plain, Division Director, Health Care Services, DMAS currently oversees the operation of the Medallion 4.0 managed care program which is the traditional Medicaid program covering approximately 1.2 million women, children and Expansion members.? Dan also has oversight of the Maternal and Child Health and dental programs for Medicaid. Dan has 30 years of experience in managing compliance, government affairs and managed care operations in both the public and private settings.? In addition to his 18 years of experience with Virginia Medicaid programs, his past experience includes work at both Anthem Blue Cross and Blue Shield, United Healthcare, and the Virginia Bureau of Insurance.? Dan is a graduate of Virginia Tech.Dr. Jason RachelLearning ObjectivesParticipants will gain a better understanding of:Medicaid behavioral health during COVID-19Service utilization during the pandemicTelehealth observations and utilizationUpdates on telehealth going into the futureManaged care complianceDMAS’s compliance monitoring processMCO compliance enforcement-----------------------------------------------------For those seeking? CEs, you must complete the CE registration form here, which will be provided to NASW following the conference. If you do not plan to seek CEs, you do not need to complete this form. Additional information on how to obtain your CEs is provided below:This training has been approved by the National Association of Social Workers – Virginia Chapter for 12 (includes 10 Ethics) Category I Continuing Education Contact Hours (Approval code:? 201013-16VACBP)Individuals may purchase their CE certificates through the NASW online store by selecting “CE Certificate, Individual, New and Replacement” on the Chapter’s website:? . ?The direct link to the NASW store is available here -- . The cost is $7 for NASW members and $12 for non-members.? The certificate will be processed and emailed within 2-4 weeks.? SPECIAL THANKS TO CONFERENCE SPONSORSSignature SponsorsSpotlight SponsorsVirtual Display Sponsors25330154953000190504216404067175208915002457450612140????? ?????? ??????????????? 1971675125730269557521590000THANKS TO OUR TRAINING SPONSOR: THANKS TO OUR ANNUAL SPONSOR:21621756413500 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download