Health Insurance Coverage in Pennsylvania
| Insurance Company | Pennsylvania Department of Human Services |
|---|---|
| State | Pennsylvania |
| Website | dhs.pa.gov |
| Number of Hospitals in Network | 8 |
| Number of Plans Offered | 6 |
6 plans
| Plan Name | Plan Type |
|---|---|
| DPW/Medicaid | MEDICAID |
| Medicaid - Pennsylvania | MEDICAID |
| Medicaid –PA – Access / Access Plus | MEDICAID |
| Medicaid HealthChoices Plan (Adult Benefit Package) | MEDICAID |
| Medical Assistance (Pennsylvania Medicaid) | MEDICAID |
| Medical Assistance of PA | MEDICAID |
Serves as the State Medicaid Director and Deputy Secretary for the Office of Medical Assistance Programs for the Department of Human Services. Has more than 15 years' experience with OMAP as well as time with the Office of Children, Youth and Families. In the private sector, led development, design, and execution of population health management programs, quality improvement initiatives, care management IT systems, and predictive modeling through health care analytics. Is also a registered nurse with experience in hospital and community-based care, including working for an FQHC.
Manages clinical and quality aspects of the programs. Previously served as a medical director for Aetna Health Inc. and as an assistant professor and director for Clinical Quality Improvement at Penn State's Hershey Medical Center. Is board certified in Internal Medicine and Geriatrics.
Oversees Pennsylvania's Medicaid state plan and the 1915(b) waiver that governs the statewide physical and behavioral health HealthChoices managed care programs, as well as the regulatory and policy development for physical health inpatient, outpatient, and ancillary Medical Assistance services. Has 27-year tenure with the Department, during which she also served as an eligibility caseworker and staff development specialist.
Oversees Pennsylvania's physical health Medicaid managed care organizations.