As the former Associate Regional Administrator for the New York Regional Office Division of Medicaid and Children’s Health Operations at the Centers for Medicare & Medicaid Services (CMS), Mr. Melendez has intimate knowledge of the Medicaid and Children’s Health Insurance programs, Medicare Advantage (Part C), and Medicare Prescription Drug Benefit (Part D).
During his tenure at CMS, he provided federal leadership to state Medicaid agencies, specifically New York State, New Jersey, Puerto Rico and the US Virgin Islands. As such, he has expertise in federal laws, regulations, guidelines and procedures regarding individual Medicaid and State Children’s Health Insurance Programs, which include the Medicaid State plan and State Plan amendments; Title XIX special initiatives; Maternal and Child Health; statewide 1115 waivers; 1915(b) Freedom of Choice waivers; 1915(c) Home and Community Based Services waivers; and operation of major management initiatives.
In addition, Mr. Melendez has extensive experience with intergovernmental negotiations; health care sector policy deliberation; community and advocacy dialogue, as well as public speaking on topics ranging from Medicaid, Medicaid managed care, and Part D to differences between Medicaid and Medicare programs in the Continental United States and in the US Territories and their impact on healthcare systems in these jurisdictions.
Some of the skills that Mike brings to MJM Contigo are:
Government Health Insurance Consulting
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