In January 2012, David J. Dzielak, Ph.D. was named executive director of the Mississippi Division of Medicaid by Gov. Phil Bryant. Under his leadership, the Division of Medicaid has implemented new payment methodologies for inpatient and outpatient services, expanded coordinated care services and made a renewed priority to strengthen both internal and external relationships.
Prior to coming to the agency, Dzielak was appointed to the position of executive director of research at the University of Mississippi Medical Center (UMMC) in 1998. In this position, Dzielak organized the administrative processes associated with the research mission of UMMC.
In 2001, he became the associate vice chancellor for research, which allowed him to initiate several programs to promote the research mission of UMMC including a faculty incentive plan. During this time federal funding for research at the Medical Center campus quadrupled.
In 2005, he assumed the position of the associate vice chancellor for Strategic Research Alliances and focused on UMMC’s Washington, D.C. efforts to garner directed appropriations to enhance the infrastructure of the institution. Dzielak was instrumental in bringing over $74 million of directed appropriations to UMMC to enhance research infrastructure including funding for the newest research building on campus, the Arthur C. Guyton Laboratory Research Center.
A native of Syracuse, New York, Dzielak received an Associate of Applied Science degree from the State University of New York at Delhi and a Bachelor of Science degree from Cornell University. Dzielak received his Ph.D. from the University of Mississippi Medical Center in 1982. He completed a post-doctoral fellowship with Dr. Arthur Guyton in the Department of Physiology and Biophysics, and in 1984 became a faculty member in that department.
- View the most recent Division of Medicaid organizational chart
The executive administrator is responsible for Contract Compliance and Procurement, as well as managing DOM’s coordinated care program, MississippiCAN. The Office of Procurement is responsible for managing the selection of contracts that are awarded on a competitive basis through the Request for Proposal Process (RFP). They are responsible for ensuring that the competitive bidding process follows the rules and regulations set forth by the Personal Service Contract Review Board.
The Office of Eligibility is responsible for Medicaid and Children’s Health Insurance Program (CHIP) eligibility policy, coordination of policy, procedures and staff training. This office also oversees the administration of 30 regional offices throughout the state. Regional offices are responsible for the determination of eligibility for the aged, blind and disabled groups, as well as families and children. In addition, the Office of Provider Enrollment falls under eligibility and is responsible for provider enrollment and health services provider credentialing for the program.
The Office of Finance is responsible for effective fiscal management of the agency. A total of six offices within the Office of Finance contribute to this effort. Three offices establish institutional provider reimbursement rates and methodologies, perform financial and performance reviews related to providers and contractors, and maximize third party recovery efforts. Additionally, the Chief Financial Officer assists with responsibility for three offices covering the accounting functions, all financial reporting and the agency budget.
The Office of Health Services is responsible for the overall development, implementation and operation of all Medicaid health-care services and benefits. They also ensure that Medicaid beneficiaries are provided appropriate, accessible and quality services. This office also includes the areas of Clinical Support Services, Medical Services, Long Term Care, Community Based Services, Pharmacy, Mental Health, and Hospital Programs and Services.
The Office of Human Resources is responsible for coordinating all personnel matters including: recruitment of personnel, classification of positions, ensuring fair and adequate compensation, ensuring all disciplinary actions are carried out in a fair and legal manner, ensuring that the agency complies with relevant federal and state laws and regulations, overseeing leave and benefit matters, facilitating training of current employees and maintaining personnel files.
Information Technology (iTECH)
The Office of Information Technology Management (iTECH) is responsible for the operation of Medicaid’s eligibility and claims processing and payment systems. The Office of iTECH provides data analysis to support state health policy changes and health-care reform and is responsible for the design, implementation, operation and security of the Division’s networks. This office also manages software, equipment and technical support services and provides staff with access to data in a secure environment.
Administrative Appeals, Policy, and Program Integrity
Three office are centralized in this area. The Office of Administrative Appeals resolves conflicts that may arise when a Medicaid beneficiary questions services or categories of coverage for which they are eligible, or when a provider questions reimbursement, methodology for services provided or a decision affecting their enrollment in the program. The Office of Policy is responsible for the development and maintenance of policy for Medicaid programs and handles State Plan amendments, as well as the Administrative Code. The Office of Program Integrity investigates potential provider and beneficiary fraud and abuse of Medicaid programs and services.
The Office of Communications is responsible for the messaging to our internal and external audiences. This includes the design, writing, layout, editing and distribution process for the external DOM website, publications, collateral materials, and digital media. This area also handles public relations, issues official statements and is the contact for news media requests. Communications houses the official Requests for Information process, the Office of Project Coordination, Disaster Management, Operations and Property Management. The Office of Provider Beneficiary Relations is responsible for outreach and educational events for providers and beneficiaries about Medicaid programs and services. This office maintains DOM’s switchboard, the primary contact for the agency for provider, beneficiary and general inquiries. Additionally, this office is in charge of Health Insurance Portability and Accountability Act of 1996 (HIPAA) compliance and houses the privacy officer.
The Office of Legal is staffed by attorneys from the Office of the Attorney General, and is responsible for providing legal consultation and representation to DOM in a variety of areas including: personnel matters, statutory and regulatory issues, procurements and contracting, recovery efforts, garnishments, levies, bankruptcies and tax liens. The attorneys draft all DOM contracts, represent the agency at various administrative hearings, provide guidance on policy drafting and filing, assist the Requests for Information Officer with public records requests and serve as liaisons to the Medicaid Fraud Control Unit. In addition to administrative hearings, the attorneys also represent DOM before the Employee Appeals Board, United States Equal Employment Opportunity Commission and state and federal courts.
This office is the primary point of contact for legislative inquiries, handles requests and leads the Government Relations team.