Jeannie Tarver

Supervises the auditing of eligibility enrollment of all Medicaid programs statewide.

Reviews work of eligibility review staff for quality assurance.

Plans, coordinates, and controls small or less complex statewide program(s).

Plans, develops, implements and monitors comprehensive Medicaid program policies.

Conducts and directs studies/special projects pertaining to the programs assigned.

Analyzes the impact of federal, state, and local legislation; advises agency officials; prepares position statements; presents testimony at hearings; writes legislation.

Reviews and analyzes complex data and system reports to ensure compliance with program regulations.

Administers the day-to-day operational functions of the Medicaid fee for service programs. Assures that program policy and procedures are properly applies in accordance with federal and state laws and regulations.

Develops and writes agency rules and regulations governing the administration of all supervised Medicaid programs and submit them for publishing in the official state publication in accordance with the requirements of the Administrative Procedures Act.

Implements Medicaid regulations directing provider participation standards and recipient benefits. Analyzes multi-mullion dollar Medicaid claim data and project the fiscal impact for budget forecasting.

Identifies, verifies and analyzes the various revenue sources for the program(s). Determines and/or confirms match requirements. Monitors availability of revenue sources and promptly identifies existing or potential financing problems.

Conducts audits of eligibility enrollment applications; prepares reports on results of each audit.

Prepares, interprets and clarifies eligibility policies and procedures.

Revises rules, regulations, and procedures to meet changes in law or policy.

Compiles data and proposes budgets for subprogram studies and proposed legislation; determines programmatic impact and composes response for
fiscal statements and fiscal notes.

Reviews current and proposed state and federal regulations and/or revisions to those regulations for hospitals and home health providers.

Evaluates new and/or revised regulations to determine the impact to the state Medicaid program.

Reviews audits performed by the contracted auditor to determine compliance with federal and/or state policies and regulations, which affect allowable costs.

Coordinates compliance monitoring of Medicaid Application Centers statewide.

Receives, approves and schedules all requests for Application Center Representative training.

Advises and assists field staff in performing on-site monitoring reviews to ensure that the Application Centers adhere to federal, state and agency
rules and regulations.

Assist in negotiating contractual agreements between the Department of Health and Hospitals and the Application Centers.

Provides functional supervision over contract staff.

Monitors and evaluates training provided by contract staff.

Prepares the annual budget request utilizing the prescribed format and addendums issued by the Office of Planning and Budget. Prepares detailed analyses
and narratives supporting and/or justifying the request as submitted. Responds to requests for additional information and modifications to the budget during
the legislative approval process.

Trains staff of all Medical Vendor Administration sections in fiscal management, budget development and variance reporting.

Develops training module and provides essential guidance to managers regarding preparing accurate, pertinent and substantiated data.

Directs and coordinates the implementation of multiple Medicaid programs.

Prepares annual budget request package based on analysis of office expenditures and projections of future operational needs.

Secures and maintains office(s), including all equipment and services necessary for office operations and the delivery of services to clients.

Recruits and selects professional and support staff.

Develops and maintains working relationships with medical personnel and administrators, community leaders, and state and federal agencies to encourage the development of resources and integration of the agency with the surrounding community.

Addresses questions and complaints from Medicaid applicants and recipients, medical providers and the general public.

Conducts periodic meetings to keep administrators aware of activities in service areas.

Collaborates with agency personnel to ensure program coordination.

Supervises a unit of Medicaid Analysts with responsibility for the maintenance of acceptable standards of assistance.

Ensures strict adherence to all rules and regulations by all personnel in the unit.

Ensures that work production and quality meet state, regional, and national goals established by the respective administrators.

Assists Medicaid Analysts in especially sensitive or difficult applications by advising on procedural issues, policy, and decisions.

Plans and coordinates in-service training for personnel in the unit.

Monitors case development through reviews as directed by agency policy, previous review findings, and quality control findings.

Interprets program policy to subordinates to ensure consistency with federal rules, regulations, and guidelines.

Monitors work flow in the unit including controlling distribution of cases and completing weekly and monthly statistical reports.

Interviews applicants and recipients concerning their rights in relation to fair hearings.

Interviews complainants and investigates possible adjustments.

Responds to requests in accordance with the Privacy Act and the Freedom of Information Act.

Conducts special investigations and studies.

Develops and maintains files for corrective action.