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What is NAMPI?

In 1985, states joined together to launch the National Association for Medicaid Program Integrity (NAMPI). Their intent was to create national Medicaid program integrity through the channeling of funds for required services.

Today, NAMPI encompasses all 50 states. Members are from various professional disciplines, including but not limited to, attorneys, nurses, contractors, investigators, managed care staff and pharmacists. Within our website is a National Directory providing information about NAMPI members and affiliates. Their primary task focuses on instances of fraud and abuse in the Medicaid Medical Assistance Program.

We are excited by the prospect of all that we are doing within the organization and look forward to the future of NAMPI with you as a partner.

The Back Story

The National Association of Surveillance and Utilization Review Officials (NASO) began in 1985 when a Group of Medicaid Program Integrity officials met to discuss how they could improve communication and information sharing among the states. These officials determined a method of connecting professionals responsible for Medicaid surveillance and utilization review functions through a single organization. NASO was founded and included one voting member from each of the 50 states. Voting members were limited to Medicaid single state agency staff or SURS Program Integrity Units. Other interested individuals were allowed to attend meetings and conferences sponsored by NASO. The first officers were elected from that group, and subsequent officers have been elected at each Annual Meeting. The officers include the president, vice-president, secretary, treasurer and chair of the regional representatives. In 2006, NASO changed its name to NAMPI, to better reflect it mission. Since its inception, NAMPI membership has grown to more than 200 members.

Our Objectives

Our Objectives

  • Actively participate in monitoring trends in Medicaid policy that affect the utilization of Medicaid services
  • Act as a single body in the presentation of information to other associations, federal and state agencies
  • Actively support member states by sharing information through a regularly published Newsletter
  • Prepare and disseminate an Annual Report of the membership’s accomplishments
  • Encourage all states to participate in the membership of the organization
  • Enhance membership participation in the organizationally sponsored Annual Conference
  • Create an atmosphere within membership to have connectivity and promote synergy

NAMPI BOARD

President

Lori Stiles

Idaho Department of Health and Welfare
Manager, Medicaid Program Integrity, Bureau of Audits and Investigations

Lori Stiles is the manager of Medicaid Program Integrity for the Idaho Department of Health and Welfare. She has worked in Medicaid program integrity for over 20 years. Prior to working for the state, she worked for 11 years in numerous program integrity management positions for CIGNA, the previous Part B Medicare carrier for Tennessee, North Carolina and Idaho. She is a certified professional coder. 

Vice President

Sharon Ormsby

Arizona Health Care Cost Containment System (AHCCCS), Office of Inspector General (OIG)
Inspector General

Ms. Ormsby has been the Inspector General for approximately five years in the Arizona Health Care Cost Containment System.  In this position, she is responsible for the programs and investigations related to Beneficiary Fraud; Member Compliance Fraud; Fraud Prevention related to Beneficiary programs; Provider Compliance Fraud; Data Analytics; Pharmacy Frauds related to the Opioid Crisis; and Provider Enrollment.  Previously, Ms. Ormsby retired from the Federal Bureau of Investigation, Senior Executive Service, as a Special Agent investigating White Collar Crime matters, to include Health Care Fraud.  Ms. Ormsby is the recipient of the United States Department of Health and Human Services, Office of the Inspector General, Exceptional Achievement Award regarding Health Care Fraud Investigations.

Treasurer

Dawn Mock, CFE

North Dakota Department of Human Services
Medicaid Program Integrity Administrator

Dawn Mock has been the Medicaid Program Integrity Administrator since 2009 and is a Certified Fraud Examiner.  Prior to working for the state of North Dakota, she worked with UnitedHealth Group and is a retired Major, in the Army National Guard. She graduated from North Dakota State University with a degree in Business Administration. Dawn currently serves as a governor-appointed member of the Task Force for Veterans Affairs.

Secretary

Joan Senatore, JD, CFE, CHC

Massachusetts Executive Office of Health and Human Services
Director, MassHealth Compliance, Office of Program Integrity

Joan Senatore has over twenty years’ experience working in the Medicaid Program Integrity arena. Currently Senatore is the liaison for Bureau of Special Investigation (member/beneficiary fraud) and the Medicaid Fraud Division, Office of the Attorney General (provider fraud) as well as overseeing the member integrity unit for the MassHealth agency. Senatore started her career working in the Massachusetts Medicaid Fraud Control Unit, Office of the Attorney General. Senatore is a licensed attorney in Massachusetts and received her Juris Doctorate from New England School of Law. She holds a Bachelor of Science and Master in Business Administration degree from the University of Massachusetts, Boston. Senatore serves on the Board of Directors of the Boston Chapter of Certified Fraud Examiners developing training for its members and serves on the faculty at the Medicaid Integrity Institute. She is also the former President of the National Association for Medicaid Program Integrity for 2011-2014.

Regional Representatives Chair

Kelly Bennett

Florida Agency for Health Care Administration
Chief, Medicaid Program Integrity, Office of the Inspector General

Kelly Bennett has been a member of the Florida Bar since 1997 and is a Certified Fraud Examiner (ACFE), Certified Inspector General (AIG), and an Accredited Health Care Fraud Investigator. She has been at the Agency for Health Care Administration since 2001 and has served in several roles, including as a Senior Attorney within the Medicaid Division of the Office of the General Counsel, the Assistant Bureau Chief for the Bureau of Medicaid Program Integrity, the Agency’s Medicaid Fraud Liaison, and is currently the Chief of Medicaid Program Integrity, where she has served since July of 2014.

Past President

Jacqueline Thomas

Alabama Medicaid Agency
Director, Program Integrity Division

Jacqueline Thomas is responsible for the oversight of all activities surrounding the identification and prevention of fraud, waste, and abuse. The units within Program Integrity include the Director’s Office, Investigations, Provider Review, Recipient Review, Enrollment and Sanction, and Medicaid Eligibility Quality Control (MEQC). Prior to her current position, she held various positions within the Medicaid Agency to include Medicaid Eligibility Specialist (MES) – Eligibility Division and Associate Director of the Plan Monitoring Unit – Managed Care Division. In her position as an MES, she was responsible for determining recipient eligibility for various Medicaid programs. Later she was responsible for developing policy for the Elderly/Disabled/SSI Eligibility Division. She went on to become the Associate Director of Plan Monitoring where she was responsible for the management of two major Medicaid programs. Her duties included the preparation of waivers, conducting readiness reviews, developing claims processing specifications, monitoring claims processing, and conducting onsite administrative reviews. Jacqueline holds a degree in Business Administration from Alabama A&M University. She is a Certified Public Manager and was awarded the designation, Professional, Academy for Healthcare Management (PAHM).
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NAMPI REGIONAL REPRESENTATIVES

Regional Representative Chair

Kelly Bennett (FL)

Region I

Steve Short (VT)

ME, NH, VT, MA, CT, RI

Region II

Erin Ives (NY)

NY, NJ, Puerto Rico, Virgin Islands

Region III

Ethel Belfon (DE)

PA, WV, MD, VA, DE, DC

Region IV

Elizabeth Brooks (GA)

FL, GA, KY, TN, NC, SC, MS, AL

Region V

Renee Gallagher (IN)

IL, WI, MN, MI, OH, IN

Region VI

Alicia Adkins (TX)

TX, NM, OK, AR, LA

Region VII

Dale Carr (MO)

NE, IA, KS, MO

Region VIII

Donna Kellow (CO)

CO, UT, WY, MT, ND, SD

Region IX

Vanessa Templeman

CA, NV, AZ, HI, Commonwealth of Northern Marianas, Guam, American Samoa

Region X

Fritz Jenkins (OR)

WA, OR, ID, AK

PAST PRESIDENTS & CONFERENCES

1st 1985 [Denver, CO]

Marianne Seddon (CO)

2nd 1986 [St. Paul, MN]

Marianne Seddon (CO)

3rd 1987 [Clearwater, FL]

Jim Campbell (MN)

4th 1988 [Dearborn, MI]

Margaret Ross (ME)

5th 1989 [Niagara Falls, NY]

Rita Biddle-Bouma (MI)

6th 1990 [Kellispell, MT]

Mike Zegarelli (NY)

7th 1991 [Austin, TX]

Marianne Seddon (CO)

8th 1992 [Charleston, SC]

Carolyn Jordan (SC)

9th 1993 [Bismarck, ND]

Bruce Gomez (LA)

10th 1994 [Seattle, WA]

Yvonne Wood (TN)

11th 1995 [Nashville, TN]

Patsy Meek (AL)

12th 1996 [New Orleans, LA]

Jim Dyer (OH)

13th 1997 [Portland, ME]

Jim Dyer (OH)

14th 1998 [Bloomington, MN]

John Walter (PA)

15th 1999 [Kansas City, MO]

Tom McKeever (MN)

16th 2000 [Jackson Hole, WY]

Marc Fecteau (ME)

17th 2001 [Boston, MA]

Anne Cybulski (WY)

18th 2002 [Savannah, GA]

Don Gregory (LA)

19th 2003 [Santa Fe, NM]

Carlis Faler (MS)

20th 2004 [Bismarck, ND]

Carlis Faler (MS)

21st 2005 [Columbus, OH]

Alan White (WI)

22nd 2006 [Lexington, KY]

Alan White (WI)

23rd 2007 [San Diego, CA]

Alan White (WI)

24th 2008 [Williamsburg, VA]

Heidi Robbins Brown [WA]

25th 2009 [Portland, ME]

Heidi Robbins Brown [WA]

26th 2010 [New Orleans, LA]

Heidi Robbins Brown [WA]

27th 2011 [Denver, CO]

Alex Yei [UT]

28th 2012 [Oklahoma City, OK]

Joan Senatore (MA)

29th 2013 [Baltimore, MD]

Joan Senatore (MA)

30th 2014 [San Antonio, TX]

Joan Senatore (MA)

31st 2015 [New Orleans, LA]

John McCormick (CT)

32nd 2016 [Baltimore, MD]

John McCormick (CT)

33rd 2017 [Miami, Florida]

Jacqueline Thomas (AL)

34th 2018 [Austin, Texas]

Jacqueline Thomas (AL)

THE NAMPI MISSION

To safeguard the fiscal, operational and program integrity of Medicaid programs while enhancing communication between members and other agencies, utilizing most current technology and methodology in the dissemination of collective information to members and the federal government.

NAMPI MEMBERSHIP

Become a NAMPI Member today!

By joining the NAMPI Network you will receive up-to-date information regarding the National Association of Medicaid Program Integrity as well as access to member only resources on NAMPI.net.