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Key Responsibilities
Strategic Program Oversight
Coordinate the development and implementation of statewide policy and operational models for EPSDT and TCM service delivery to juvenile justice-involved youth.
Coordinate the internal collaborations for design and oversee a Medicaid delivery model that ensures care continuity 30 days before and after discharge from carceral settings.
Ensure Collaboration with Indiana Department of Correction (IDOC) Department of Child Services (DCS) courts providers and Managed Care Entities (MCEs).
Policy & Compliance
Ensure Collaboration on Medicaid Policy for implementation of Section 5121 (CAA 2023).
Assist state with the 1115 waiver preparation or other CMS deliverables as needed.
Ensure all activities comply with CMS EPSDT and TCM requirements and are audit-ready.
Care Coordination & Systems Integration
Develop workflows that connect juvenile facilities managed care behavioral health and primary care services.
Establish mechanisms for referral enrollment and follow-up during the pre- and post-release periods.
Ensure implementation of trauma-informed culturally competent care planning models.
Data Quality & Evaluation
Oversee development of key performance indicators (KPIs) dashboards and evaluation strategies.
Monitor metrics related to service access care continuity and health outcomes.
Work within FSSA to ensure eligibility claims and transition data are integrated.
Stakeholder Engagement & Technical Assistance
Facilitate statewide stakeholder groups task forces and training for cross-sector teams.
Provide technical assistance to MCEs juvenile justice staff and local partners.
Assist Government Affairs Director as needed with CMS discussions.
Full Time