Autism Waiver Provider Liaison
Education Program Specialist I
Recruitment #24-005055-0015
Department | MSDE - Division of Spec Educ/Early Intervent Svcs |
---|---|
Date Opened | 7/2/2024 12:00:00 PM |
Filing Deadline | 7/16/2024 11:59:00 PM |
Salary | $84,229.00 - $136,003.00/year |
Employment Type |
Full-Time
|
HR Analyst | Christopher King |
Work Location |
Baltimore City
|
Telework Eligible | Yes |
Introduction
The Maryland State Department of Education is dedicated to supporting a world-class educational system that prepares all students for college and career success in the 21st century. With excellent stewardship from our divisions, we oversee State and federal programs that support the needs of a diverse population – students, teachers, principals, and other educators throughout Maryland.
GRADE
LOCATION OF POSITION
Main Purpose of Job
POSITION DUTIES
- Supports the Department and the MDH in the implementation of the quality assurance program for the provision of Medicaid services for children on the AW per COMAR 10.09.56 and the Centers for Medicare and Medicaid Services (CMS) Application for the AW.
- Analyzes Medicaid paid claims, select sample size and records for review, prepare monitoring tracking spreadsheets, and ensure PIMMT is prepared for monitoring reviews.
- Leads the PIMMT and conducts on-site visits and monitoring reviews with AW provider agencies across the State to determine compliance with applicable Medicaid and COMAR requirements.
- Provides technical assistance and acquires corrective action plans (CAP) from providers, as appropriate for compliance related issues.
- Tracks submission of CAPs, approve CAPs, and follow-up to ensure identified issues are resolved.
- Tracks data, analyze trends, and prepare quarterly performance reports as per the CMS approved Application.
- Develops written monitoring reports for all monitoring visits that includes an analysis of findings, percentage of compliance, supporting documentation, and required actions.
- Makes recommendations to the MDH for administrative actions, as appropriate and as part of the Interagency Collaboration Branch, collaborate with MDH, Medicaid Fraud Unit, and other Maryland entities to ensure compliance with Medicaid, and applicable COMAR.
- Serves as an advisor on the expansion of the AW on matters requiring interpretation of policy across Branches, agencies, and with stakeholders, including AW renewal.
- Prepares revisions to applicable COMAR and assists with the implementation of the HCBS Final Rule to achieve community integration.
- Works with MDH to monitor provider billing submissions and resolve Medicaid payment discrepancies.
- Develops draft guidance, transmittals, and regulations to ensure program implementation in compliance with State and federal regulations and requirements.
- Develops and implements training for all providers and provides initial provider orientation to all incoming Autism Waiver providers.
- Provides individualized technical assistance to providers to ensure compliance with State and federal regulations and to prospective providers on the application process to become a provider.
- Demonstrates understanding of Long-Term Services and Support (LTSS) system and Electronic Visit Verification (EVV) process and works closely with MDH to provide technical assistance to assist providers in using this system.
MINIMUM QUALIFICATIONS
- Two additional years of experience directly related to the position option may be substituted for the required Master’s Degree.
- Possession of a Doctorate in a field related to the position may be substituted for one year of the required experience.
- The required field of education and experience are unique for each option and are established by MSDE in accordance with Education Article, Section 2-104 of the Annotated Code of Maryland. The specific education and experience qualifications for each position are on record in the Human Resource Management Branch of the Division of Business Services of the Department of Education.
- Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer in Education Program classifications or Education Program specialty codes in the Education field of work on a year-for-year basis for the required experience and education.
SELECTIVE QUALIFICATIONS
DESIRED OR PREFERRED QUALIFICATIONS
- Knowledge of trends, regulations, policies, and issues governing programs for students with Autism Spectrum Disorder (ASD)
- Knowledge of implementing, monitoring, and program evaluation
- Knowledge of Maryland’s 1915(c) Home and Community Based Services (HCBS) Waiver for Children with ASD, specifically AW provider requirements
- Skill in establishing and maintaining effective working relationships
- Ability to interpret and apply laws and regulations governing AW programs
- Ability to manage multiple tasks
- Ability to communicate clearly and effectively both orally and in writing, through the presentation of concise yet comprehensive training, analyses, and reports.
SPECIAL REQUIREMENTS
SELECTION PROCESS
Please make sure that you provide
sufficient information on your application to show that you meet the
qualifications for this recruitment. All information concerning your
qualifications must be submitted by the closing date. Successful candidates
will be ranked as Best Qualified, Better Qualified, or Qualified. The resulting
list of qualified candidates will be in effect for at least one year.
BENEFITS
FURTHER INSTRUCTIONS
Click on a link below to apply for this position:
Fill out the Application NOW using the Internet. | Apply Online |
Apply via Paper Application. | You may also download and complete the Paper Application here. |