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Agenda

#SMPSHIP2019

Monday, July 22, 2019—SHIP Day

10:00–4:30 p.m.
California Ballroom Foyer
Registration
12:00–12:10 p.m.
California Ballroom
Welcome and Opening
Rebecca KinneyRebecca Kinney is the Acting Director for the Administration for Community Living’s Office of Healthcare Information and Counseling (OHIC) and the Program Manager for the State Health Insurance Assistance Program and the Medicare Improvements for Patients and Providers Act (MIPPA) program. In her current role Rebecca is responsible for the administration of the three programs which reside within OHIC; SHIP, MIPPA, and the national Senior Medicare Patrol (SMP) program. She provides oversight and direction to the ACL project officers, the state grantees, various administrative contracts used to support the state grantee work, and the SHIP Technical Assistance Center to ensure that everyone is communicating effectively and moving in the same direction. Rebecca came to ACL in 2011 as the SMP Program Manager. Prior to that she worked with the Michigan SHIP, SMP, and MIPPA grantee as the statewide Trainer. In this role she was responsible for the education and certification of the volunteers statewide and became known for her expertise on both Medicare and Michigan Medicaid. Rebecca has spent her entire professional career working on these Medicare beneficiary focused programs at all levels (from local AAA to her current Federal position). Throughout it all she has persistently advocated for Medicare beneficiaries, constantly worked to strengthen partner relationships at all levels, and actively supported the program networks by providing training and technical assistance whenever possible. Rebecca acquired her Mater of Social Work with a focus in aging and management in 2006 from the University of Michigan where she was also a Geriatric Fellow. She also holds a Bachelor of Fine Arts with a focus in drawing and painting from Alma College. , Administration for Community Living (ACL)
12:10–12:50 p.m.
California Ballroom
ACL Updates
Rebecca Kinney, ACL,Ginny Paulson, SHIP TA Center and Maggie Flowers, ACL

Brief overview of the latest from ACL on SHIP and what to look forward to over the next year. Some of the things we’ll touch on include the 2020 SHIP application process and timeline, Medicare Advantage new supplemental benefits, the opioid epidemic, and the SHIP New Director orientation process and on-boarding.
Presentation
12:50–1:20 p.m.
California Ballroom
Medicare Savings Program (MSP) Modernization
Sara VitoloSara Vitolo is the Deputy Director of the Medicare-Medicaid Coordination Office (MMCO) within the Centers for Medicare & Medicaid Services (CMS). The Office works to bring together Medicare and Medicaid to effectively integrate benefits, eliminate administrative and regulatory barriers, and improve coordination between the Federal Government and states, enhancing access to quality services for over 11 million individuals who are enrolled in both Medicare and Medicaid. Prior to joining MMCO in 2015, Sara worked at the White House Office of Management and Budget in the Health Division, where she focused on Medicare policy. Within CMS, Sara previously served as Special Assistant to the Principal Deputy Administrator of CMS, as Acting Deputy Director of the Medicare Division of Acute Care leading the development of inpatient hospital payment policy, and as an analyst in the Medicare Division of Practitioner Services working on physician fee schedule rate-setting and payment policy. Prior to Federal service, Sara helped build global health programs at IntraHealth International. Sara received a B.S. in Biology from Stonehill College and an M.S.P.H. in Health Policy from the University of North Carolina at Chapel Hill., Centers for Medicare & Medicaid Services (CMS)

As part of the Better Care for Dually Eligible Individuals CMS strategic initiative, CMS is aiming to modernize the MSPs. CMS will discuss this work and would like to hear from you about your experience with the MSP eligibility determination and enrollment processes in your state, including best practices as well as administrative burdens and other barriers to efficient operation.
1:20–1:35 p.m. BREAK
1:35–2:35 p.m.
California Ballroom
The Subterranean World of Medigap: Come With Me Down the Rabbit Hole
Bonnie BurnsBonnie Burns is a consultant with 40 years of experience in Medicare, Medicare supplemental insurance (Medigap), and Long-Term Care Insurance. She actively promotes improved consumer protection in state and federal legislative efforts affecting Medigap and Long-Term Care insurance products. She has served as a consumer representative to the National Association of Insurance Commissioners (NAIC) since the beginning of the program in 1992, representing consumers in the development of Model Laws and Regulations used by states to regulate insurance companies and the marketing and sales of insurance products to older consumers. Ms. Burns is a consultant to California Health Advocates (CHA) providing training and technical assistance on long term care insurance and representing CHA on policy issues related to financing long term care for the middle class. She serves as a consumer representative to the California Partnership for Long-Term Care Task Force, a position she held during the 1992-93 formation of the program. She has been awarded a “Beneficiary Services Certificate of Merit” by the Centers for Medicare and Medicaid Services, received a service award from the NAIC, and has been honored as a Money Magazine “Hero.” Bonnie has been providing Long-Term Care Insurance, Medicare, and Medigap consulting for the SHIP National Technical Assistance Center since 2018., Independent Consultant

This session will focus on three difficult Medigap issues for SHIP counselors. First, eligibility criteria that affect the Medigap plans that a newly eligible Medicare beneficiary can buy in 2020. Second, faulty decisions made by beneficiaries about Medicare at the end of employment, and the resulting interaction between COBRA benefits and Medicare. And, third, the complexity of “new or innovative benefits” added to standardized Medigap benefit plans.
Presentation
2:35–3:25 p.m.
California Ballroom
Bi-Regional Breakouts With Project Officers
The SHIP Steering Committee will lead bi-regional breakout discussions
with ACL Project Officers and attendees. Breakout locations are:
Regions 1 and 2: California Ballroom
Regions 3 and 4: California Ballroom
Regions 5 and 7: Plaza A/B
Regions 6 and 8: Santa Fe
Regions 9 and 10: Sierra A/B
3:25–3:40 p.m. BREAK
3:40–4:40 p.m.
California Ballroom
SHIP Director Meeting
Rebecca Kinney, ACL

This session will be a closed meeting between SHIP Directors (or their representatives) and ACL.
4:50–5:50 p.m.
Plaza A/B
SHIP Director Meet and Greet
If you’re new to your SHIP Director role (within the past year), please join us for this informal session to get to know your ACL Project Officer and the SHIP Resource Center team. We'll answer your burning questions and help connect you with fellow SHIP Directors.
6:00 –7:00 p.m.
Sierra A/B
CMS Listening Session: Patients over Paperwork Initiative
As part of the CMS Patients over Paperwork Initiative, CMS will hold a listening session at the SMP/SHIP National Conference to hear from stakeholders on burdens related to Prior Authorization. We are in year two of our Patients over Paperwork initiative where we are putting patients first. CMS has established an internal process to evaluate and streamline regulations with a goal to reduce unnecessary burden, increase efficiencies, and improve the beneficiary, clinician and provider experiences. The listening session will focus on burden related to Prior Authorization. We want to hear from you on how prior authorization impacts beneficiaries and consumers including those with Medicare Advantage, Medicaid Advantage, and insurance through the Health Insurance Marketplace. This session is first come, first serve.


Tuesday, July 23, 2019—All Attendees

6:30–7:00 a.m.
California Ballroom
Chair Yoga
Join Jennifer Trussell, an RYT-200 certified yoga teacher for a refreshing Chair Yoga class Tuesday–Thursday mornings at 6:30 a.m. in the Ballroom area. This 30-minute class is appropriate for all fitness levels and abilities, including persons with limited mobility and balance concerns. Please dress in comfortable clothing, but no mat or special equipment is needed.
7:00 a.m.–4:30 p.m.
California Ballroom Foyer
Registration
7:30–8:30 a.m.
Plaza A/B
SMP Directors Meet and Greet
If you’re new to your SMP Director role (within the past year), please join us for this informal session to get to know your ACL Project Officer and the SMP Resource Center team. We’ll answer your burning questions and help connect you with fellow SMP Directors.
8:30–8:45 a.m.
California Ballroom
Welcome and Opening
Rebecca Kinney, ACL
8:45–9:15 a.m.
California Ballroom
Serving Medicare Beneficiaries Through Innovation and Partnership
Kelly CroninKelly Cronin is a Deputy Administrator and Director of the Center for Innovation and Partnership at ACL. She has been with HHS since 2001, in a variety of roles at the FDA, CMS and the Office of the National Coordinator for Health IT. She has coordinated federal policies to advance health IT adoption and interoperability in the health care system as a part of value-based care. She also led the implementation of the State and Community based HITECH Programs and helped establish the Center for Medicare and Medicaid Innovation. She’s served as staff to the House Energy and Commerce Committee, where she worked on the Medicare Modernization Act and the Patient Safety and Quality Improvement Act. Prior to government, she was a health services researcher and coordinated clinical trials in the pharmaceutical and medical technology industries. She holds a master of public health with a concentration in epidemiology and biostatistics and a master of science in health policy from the School of Public Health and Health Services at George Washington University., ACL

Presentation
9:15–9:45 a.m.
California Ballroom
State of the Programs
Rebecca Kinney, ACL and Melissa Simpson, ACL

ACL will provide a brief overview of recent activities and achievements along with a quick look at what we’ll be focusing on over the course of the next year.
Presentation
9:45–10:00 a.m. BREAK
10:00–11:00 a.m.
California Ballroom
eMedicare Updates and Improvements to Medicare Plan Finder
Jon BoothJon Booth is the Director of the Web and New Media Group in the CMS Office of Communications (OC). In this position, Jon oversees the CMS public websites program, which includes Healthcare.gov, Medicare.gov, MyMedicare.gov CMS.gov, Medicaid.gov, InsureKidsNow.gov, and other websites. Jon is leading a team consisting of internal CMS staff and contract developers focused on an effort to modernize CMS’ public websites, including cloud migration, mobile optimization, development of public APIs, and improvements to the online services CMS offers to citizens under all of the programs the Agency oversees. Prior to this position, Jon was the Deputy Director of the Creative Services Group. In this position he led the launch of the Agency's social media channels as well as the Medicare & You Web project. Jon has worked throughout CMS through his career and has supported the launch of the Agency's websites, IT governance, and numerous communication initiatives. Jon has been at CMS for 20+ years. and Frances HarmatukFrances Harmatuk is the Director of the Call Center Operations Group, Office of Communications at the Centers for Medicare & Medicaid Services. Frances has been with CMS since 2005, but has been working with the Call Center Operations Group since 2000. Frances has management/technology expertise in the customer relationship management, and call center operations within the healthcare sector. Prior to joining CMS, Frances spent 10 years with Booz Allen Hamilton where she provided information technology management and consulting support to numerous Federal clients., CMS

CMS Office of Communications will provide attendees with an overview of the eMedicare initiative and an update on recent improvements to 1-800-MEDICARE and the Medicare.gov and MyMedicare.gov websites. CMS will also provide an overview of the redesigned Medicare Plan Finder (MPF) tool, which will be launching this summer on Medicare.gov. CMS will demonstrate the tool and explain the improvements that have been made to MPF in response to beneficiary, caregiver, and assister feedback.
11:00–11:45 a.m.
California Ballroom
Operation Deadly Drugs: The Opioid Crisis
Rebecca Kinney, ACL; and Michael CohenDr. Michael Cohen: As a Headquarters Operations Officer with the U.S. Department of Health and Human Services, Office of Inspector General (OIG), Office of Investigations, Dr. Cohen is responsible for pharmaceutical fraud law-enforcement program oversight in Washington, D.C. He has been at OIG headquarters for the past nine years. He previously worked for the U.S. Attorney’s Office in Miami, Florida in the Healthcare Fraud division. Current work includes schemes and analysis of newly approved pharmaceuticals subject to diversion. Dr. Cohen also has 30 years’ experience in clinical health care. He received undergraduate degrees in biology and chemistry from the University of Richmond, physician assistant training from George Washington University, a law degree with a specialty in Health Law, and Doctor of Health Sciences from A.T. Still University., U.S. Department of Health and Human Services (HHS), Office of Inspector General (OIG)

ACL and the OIG will provide an overview of the opioid crisis, what is happening within HHS to combat this crisis, and how SMPs and SHIPs can help through the everyday work you are already doing.
Presentation
11:45 a.m.–1:00 p.m. LUNCH
1:00–2:00 p.m.
California Ballroom
Trivia
Take a break from the usual conference routine with team trivia! Trivia questions will focus on grants processes, authorizing laws, and other program-specific facts and criteria—basically, things you already know or can get a quick and fun refresher on. This event will focus on networking with a friendly competitive appeal and has been organized by the 2019 Activities Subcommittee.
2:00–2:15 p.m. BREAK
2:15–3:15 p.m. Breakout Sessions
3:15–3:30 p.m. BREAK
3:30–4:30 p.m. Breakout Sessions


Wednesday, July 24, 2019—All Attendees

6:30–7:00 a.m.
California Ballroom
Chair Yoga
Join Jennifer Trussell, an RYT-200 certified yoga teacher for a refreshing Chair Yoga class Tuesday–Thursday mornings at 6:30 a.m. in the Ballroom area. This 30-minute class is appropriate for all fitness levels and abilities, including persons with limited mobility and balance concerns. Please dress in comfortable clothing, but no mat or special equipment is needed.
7:30 a.m.–4:15 p.m.
California Ballroom Foyer
Registration
8:30–9:30 a.m. Breakout Sessions
9:30–9:45 a.m. BREAK
9:45–10:45 a.m. Breakout Sessions
10:45–11:00 a.m. BREAK
11:00 a.m.–12:00 p.m. Breakout Sessions
12:00–1:30 p.m. LUNCH
1:30–2:45 p.m.
California Ballroom
Medicare Fraud: A Multi-Agency Perspective
Jennifer Trussell, Independent Consultant (moderator); Mike Cohen, HHS OIG; Larry BallLarry Ball is the Director for the Division of Field Operations West (DFOW), Investigation and Audits Group (IAG). He has an overall responsibility for providing technical guidance on all Medicare and Medicaid program integrity enforcement activities in the Western U.S. This includes the planning, coordinating, and implementing activities and procedures to provide for the oversight of fraud, waste, and abuse. He has been in the investigation field for the majority of his career including positions with government contractors and private industry. He holds a BA Degree in Criminal Justice and certifications as a Certified Fraud Examiner (CFE) and Accredited Health Care Fraud Investigator (AHFI)., CMS; and Tangita DaramolaTangita Daramola has worked as the Competitive Acquisition Ombudsman, as mandated by the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA), since June 2009. Her responsibilities through this role include responding to complaints and inquiries made by suppliers and individuals relating to the application of the DMEPOS Competitive Bidding Program, and to submit an annual report to Congress. Ms. Daramola holds a Bachelor of Science Degree from Howard University and a Master's degree in Administration from the University of Maryland, College Park., CMS

This session will provide an overview of Medicare fraud trends and anti-fraud efforts from multiple perspectives, and include the SMP’s new initiatives to work collaboratively with agency program integrity partners. It will cover an Ombudsman perspective of the complaint escalation process in 1-800-MEDICARE and updates regarding the Durable Medical Equipment (DME) Competitive Bidding process. The CMS Center for Program Integrity will discuss existing fraud trends in home health, hospice, and DME; and HHS OIG will cover enforcement efforts across a broad range of programs.
Presentation
2:45–3:00 p.m. BREAK
3:00–4:00 p.m.
California Ballroom
Looking Forward
As we close the main conference, we will spend some time highlighting broader ACL initiatives and will explore how these activities may impact the SMP and SHIP programs and beneficiaries. In addition, we will take some time to spotlight innovative practices across the networks with the goal of sparking new ideas and promising challenges for future consideration.
4:00–4:15 p.m.
California Ballroom
Wrap-up and Closing
Rebecca Kinney, ACL


Thursday, July 25, 2019—SMP Day

6:30–7:00 a.m.
California Ballroom
Chair Yoga
Join Jennifer Trussell, an RYT-200 certified yoga teacher for a refreshing Chair Yoga class Tuesday–Thursday mornings at 6:30 a.m. in the Ballroom area. This 30-minute class is appropriate for all fitness levels and abilities, including persons with limited mobility and balance concerns. Please dress in comfortable clothing, but no mat or special equipment is needed.
7:30 a.m.–12:15 p.m.
California Ballroom Foyer
Registration
8:00–9:00 a.m.
California Ballroom
SMP Director Meeting
Rebecca Kinney, ACL

This session will be a closed meeting between SMP Directors (or their representatives) and ACL.
9:00–10:10 a.m.
California Ballroom
Future of SMP
Rebecca Kinney, ACL and Marissa Whitehouse, ACL

This session will provide an overview of the direction of the SMP program over the next year. Some of the things we’ll touch on include the new ACL Fraud Alerts to OIG and SMP Consumer Alerts, potential enhancements to the OIG SMP Report, updates to SIRS, and the opioid epidemic.
Presentation
10:10–10:20 a.m.
California Ballroom
Barbara McGinity Award
Nicole LiebauMs. Nicole Liebau has been with Northeast Iowa Area Agency on Aging (NEI3A) since June 2012. In October of 2015, she was provided the opportunity to work with the SMP National Resource Center at NEI3A. Ms. Liebau has worked in non-profit agencies for 12 years, with an emphasis in program and grant management. In her career, Ms. Liebau spent her first four years as a marketing and membership manager throughout six counties in Northeast Iowa for a non-profit organization. Her program and management role prepared her regional area with consistent training, funding, and membership opportunities. Working in a volunteer-based organization also shaped her skill base on strategic program planning and role administration to enhance and promote mission centered goals and outcomes. For the next four years she worked in direct care management assisting individuals with Home and Community Based Services, gaining knowledge of our health care systems and the ability to maintain on-going relationships with service providers. She conducted assessments to assist clients, of all ages, in obtaining proper supports and resources to ensure improved quality of life. In her role as Director, she is responsible for providing management, guidance, direction, and technical assistance of Center staff in conducting work outlined in the grant’s plan of work which also includes, the Center’s grant management, contract management, and technical assistance in developing written materials, webinars, and other Center products., Northeast Iowa Area Agency on Aging

This award recognizes an SMP Project Director whose contributions to the SMP program exert strong influence within the SMP project and community. This leadership award recognizes an individual who inspires others and serves as “a champion for all” by being an active advocate for beneficiaries, their families, and caregivers in the fight against health care fraud, error, and abuse.
Presentation
10:20–10:35 a.m. BREAK
10:35 a.m.–12:00 p.m.
California Ballroom
The Life of a Case
Rebecca Kinney, ACL; Juliana PayiatasJuliana Payiatas is a Technical Advisor in the Division of Financial Management and Fee for Service Operations at the Centers for Medicare & Medicaid Services’ San Francisco Regional Office. She is the Medicare program integrity policy and outreach lead for the regional offices. She has been with CMS since 2005 implementing the Medicare Prescription Drug Program in the mid-west states and served as the Kaiser Account Manager. Julie has worked for the federal government for over 15 years beginning as a Public Health Advisor at the National Institutes of Health. She holds a Master of Science degree in Public Health Communication from Tufts University School of Medicine., CMS; and Nenette DayNenette Day: Assistant Special Agent in Charge (ASAC) Nenette Day is the Director of Hotline Operations for Health and Human Services Office of Inspector General (HHS OIG). Prior to HHS OIG, she was the ASAC of the Financial Intelligence Unit for the Special Inspector General for the Trouble Asset Relief Program (SIGTARP) where she managed a team of analysts in support of large scale bank fraud investigations. As a Senior Special Agent for SIGTARP she investigated nationwide fraud schemes related to mortgage fraud and was a certified Computer Forensic Examiner. Prior to working for SIGTARP, ASAC Day was an Instructor at Harvard University’s Extension School, an Internal Investigator for State Street Bank and Trust Corporation and was a Special Agent for the Federal Bureau of Investigation (FBI) for ten years where she investigated computer crimes, intellectual property rights violations, theft of trade secrets, child pornography, extortion and foreign counter intelligence. ASAC Day conducted international investigations including the FBI’s first undercover operation in India and was a certified police instructor, an assistant Media Coordinator, a team leader for the FBI’s Evidence Response Team and an Information Systems Security Officer. Prior to entering federal law enforcement, ASAC Day worked for the Department of the Navy for six years as a Computer Systems Analyst and has a Bachelor’s degree from Texas Tech University and a Master’s degree from Troy University., HHS OIG
This session will include a step-by-step overview of the updated process for referring SMP cases. Each presenter will provide details on their piece of the case management process including an overview of what SMPs can expect when referrals are made to CMS and the OIG.
Presentation
12:00–12:15 p.m.
California Ballroom
Wrap-up and Closing
Rebecca Kinney, ACL