WHAT IS THE REM PROGRAM?
The Rare and Expensive Case Management (REM) Program is a case managed service alternative, that is part of the Maryland Medicaid HealthChoice Program. The REM Program support individuals with specified rare & expensive conditions. Medicalincs (in partnership with The Coordinating Center) is a REM Provider.
SERVICES COVERED UNDER REM PROGRAM
The goal of the program is to provide integrated, community-based care coordination services for individuals living with these rare & expensive conditions.
Medicalincs (as a REM Provider) provides individuals in the REM program with specialized care coordination services that will improve their access to appropriate, high quality, cost-effective services, and also improve the overall individual care experience.
PHYSICIAN VISITS
HOME HEALTH SERVICES
PHARMACY
INPATIENT HOSPITAL SERVICES
DURABLE MEDICAL EQUIPMENT
RADIOLOGY & LAB SERVICES
THERAPIES /PT/OT/SLP/ASSISTIVE TECHNOLOGY
DISPOSABLE MEDICAL SUPPLIES
ELIGIBILITY | REFERRAL APPLICATION PROCESS
Eligibility
- Must be eligible for Medical Assistance (Medicaid)
- Must have a REM qualifying diagnosis
- REM Intake Referral Form
Referral
An individual can be referred by anyone for the REM program. Medicaid managed care organizations (MCOs) refer individuals when they identify those with REM qualifying diagnoses whose needs are outside the scope of the managed care organizations’ benefits and services.
HOW TO APPLY
Download and print the REM Intake Referral Form
Review eligibility criteria
Meet with your physician. The REM application must be completed and signed by the referring physician and include proper medical documentation supportive of the qualifying diagnosis
Submit completed form and all supporting clinical information to the:
Maryland Department of Health REM Intake Unit
201 W. Preston Street, Room 210
Baltimore, Maryland 21201-2399
Fax 410-333-5426
For questions, please call the REM Intake Unit at 1-800-565-8190.
An individual can be referred by anyone for the REM program. Medicaid managed care organizations (MCOs) refer individuals when they identify those with REM qualifying diagnoses whose needs are outside the scope of the managed care organizations’ benefits and services.
REM TEAM SPOTLIGHT
Clement Gyan
Director [ Population Health & Managed Care ]
Kristin Yirenkyi
Sr. Clinical Manager
Mekea Anderson
Lead Sr. Associate [ Clinical Coordinator ]
FOR MORE INFORMATION...
- Dr. Maria Uriyo, REM Program Director
- Phone: 240-200-0025 Ext 1
Nkem Okeke, MD, MBA, MPH, MSPM
Role: Chief Executive Officer & President
Experience: 20+ years
Favorite Quote: "Start by doing what's necessary; then do what's possible; and suddenly you are doing the impossible." -- SFoA
Education:
- Triple-Masters: Business Administration, & Project Management (George Washington University, DC); Public Health (Tulane University, LA)
- Doctor of Medicine: Nnamdi Azikiwe University, NGR
- Fellowship: Clinical Data Analytics, Johns Hopkins University, MD
- Certifications: Project Management (PMI); Lean Six Sigma (Johns Hopkins); Change Management (Prosci)
Core Values: What makes one THICK - Trusted, Hearty, Innovative, Committed, Kaizen
Happy Place: When I’m “dancing” like no one’s watching … being present and not overwhelmed or consumed by others’ expectations.
Dr. Okeke is the President/CEO & Owner of Medicalincs. Currently, through Medicalincs, Dr. Okeke advises and supports healthcare leaders and organizations on strategic solutions to enhance implementation framework strategy, improve operational efficiencies and outcomes, and increase revenue volume/revenue streams.
She has collectively spent two decades as a healthcare executive, advisor, physician, change management facilitator, an accomplished speaker & entrepreneur. During this time, she has delivered multi-million cost savings and improved population health outcomes. She has held several leadership positions notably at Kaiser Permanente, Booz Allen Hamilton, & Johns Hopkins.
She currently also serves as -- a senior advisor to the CEO at Priority Partners (Johns Hopkins Healthcare) on board priorities; a board member of Lasell Village; and a Maryland Health Care Commission Advisory Council member on Primary Care Transformation (appointed by the Maryland Secretary of Health).
Dr. Okeke considers herself a “Stone Caster” and is passionate about building leaders.
Favorite Quote: “I alone cannot change the world, but I can cast a stone across the water to create many ripples” -- MT
Angelica Ortman, MHA, MBA
Role: ssociate Vice President - Managed Care & Population Health Management
Experience: 13 + years
Favorite Quote: “The success of every woman should be the inspiration to another. We should raise each other up. Make sure you’re very courageous: be strong, be extremely kind, and above all, be humble.” – Serena Williams
Education:
- Dual Masters: Healthcare Administration & Business Administration; University of Maryland
- PhD Candidate: Community Health; Walden University
Core Values: Grace, Integrity, Humility, Perseverance
Happy Place: “Sand between my toes, sun shining, clear blue water, sounds of the waves… can you guess yet? The beach!”
Ms. Ortman is a healthcare professional with over a decade’s worth of experience in the healthcare industry. Her main areas of focus have involved quality improvement programs and methods, practice transformation, health plan payer experience, and project/program management. In her role, she serves as the Director of Accountable Care & Care Transformation Portfolio.
Angelica is currently pursuing her PhD, and is conducting her research on type 2 diabetes patients’ experience with accessing primary care in rural and urban settings. In her spare time, Angelica enjoys cooking, spin class, and traveling.
Clement Gyan, MBA, MSW
Role: Director, Population Health & Managed Care
Experience: 9 years
Favorite Quote: ““If you’re going through hell, keep going.” – Winston Churchill
Education:
- Master of Business Administration: University of Pittsburgh Joseph M. Katz School of Business
- Master of Social Work: University of Pennsylvania School of Social Policy and Practice
- Bachelor of Arts in Sociology and History: Bucknell University
Core Values: Persistence, Balance, Resilience
Happy Place: “Hiking/Nature – I like seeing how the trails transform with the season.”
Clement ‘Clem’ Gyan is a problem solver at heart. He is at his best when figuring out how to solve a multipronged problem that requires creativity. Prior to Medicalincs, Clement was part of the Strategy team at UPMC Health Plan. Clement was part of UPMC CHC strategic efforts to provide quality home and community-based services while increasing revenue.
Prior to UPMC, Clem was the Director of Multicultural Health Initiatives at the American Heart Association where he run multiple programs and projects covering five different states--Pennsylvania, Ohio, West Virginia, Kentucky, and Delaware. Clement was charged with executing AHA’s programming geared towards reducing cardiovascular diseases in the most vulnerable population in these areas.
Clement has worked in a variety of settings including small, large, non-profit and startup firms and has a lot of insight into the mechanization of organizations. He is excited to bring his insight to Medicalincs to provide data driven solution to our clients.
Maria Uriyo, PhD, MHSA, PMP, CCMP
Role: Executive Consultant
Experience: 16 + years
Favorite Quote: “Whether you believe you can or believe you can’t, you are absolutely right.” ~ Henry Ford
Education:
- Masters: Health Systems Administration; Georgetown University, DC
- Doctor of Philosophy: Food Science; Virginia Tech, Blacksburg, VA
- Certifications: Project Management (PMI); Change Management (Prosci)
Core Values: Growth, Creativity, Authenticity
Happy Place: “Nature. I like contemplating how magnificent it is.”
Dr. Uriyo is a data scientist and quality improvement lead at heart. She led the NCQA re-accreditation for Johns Hopkins HealthCare lines of business; achieving Commendable to Excellent accreditation status. She is also an expert in Learning Design & Delivery.
Dr. Uriyo oversees Special Projects including Medicalincs’ Maryland's Rare and Expensive Case Management (REM) Program subcontract; and Learning Technical logistics for our Learning academy program. Dr. Uriyo is the cofounder and executive director of Abacus Robotics, a non-profit STEM organization.
She is also an Assistant professor at George Mason University’s Department of Health Administration & Policy. Previously, she worked with the US Federal Healthcare Informatics Group at HP. Maria enjoys baking!
Jay Jelenke, MBA
Role: Director of Finance
Experience: 15 + years
Favorite Quote: “The client’s interest is the center of everything we do”
Education:
- Masters: Business Administration; NYU Stern School of Business
- Masters: Accounting and Internal Auditing: University of Maryland
- Bachelors: Accounting; Lagos State University, Nigeria
- Certifications: Value Management in Healthcare (Harvard Business School); Financial Modeling (Investment Banking Institute, New York)
Core Values: Highest performance culture; Integrity; Respect; Agility & Accountability; and Value driven
Happy Place: “My home!”
Mr. Jelenke is a business advisor and investment professional who has built a career in corporate finance, accounting, tax, and investment experience. As an expert business advisor, he has leveraged opportunities with small and mid-sized companies, improving profitability, while saving firms millions.
He has secured over $50 million in project financing and working capital for a number of organizations. He is the founder of a hybrid advisory firm that focuses on strategic partnerships. Previously, Mr. Jelenke served as senior managing principal at a boutique business and management consulting firm in the DC area.
He is an avid volunteer for non-profit organizations, and enjoys networking in the DC community.
Sharlene Choi, BA
Role: Lead Senior Associate; Care Transformation & Strategy Development
Experience: 5 + years
Favorite Quote: “Our backs tell stories no books have the spine to carry” – Rupi Kaur
Education: Bachelors: Neuroscience & Behavior, Economics
Core Values: Honesty, Diversity, Creativity, Open-Mindedness, Balance
Happy Place: “Any place where I can learn, help others, and explore and pursue my passions.”
Ms. Choi is an effective leader with experience in quantitative and qualitative data analysis, research, patient care, health care policy, and community development. Drawing on her experience working with hospitals and clinics, research labs, government agencies, and mentorship programs, Sharlene has developed a noted expertise in primary care transformation, data analytics (quantitative and qualitative) and project management.
In her role, leads most of Medicalincs’ data analytics and business analysis efforts. Sharlene enjoys art, photography, and cooking in her spare time.
