Since coming to PCG in 1992, Mr. Entrikin has assisted in the design, development and implementation of revenue projects for school-based health services; hospital-based and municipal projects for pregnant women, infants, and children; state services offered through youth services, child welfare, mental health, substance abuse, developmental disabilities, and public health agencies; and reimbursement systems for hospitals, long term care facilities, and home and community-based services waiver programs. He has made presentations on home and community-based services waiver programs at national conferences sponsored by the Robert Wood Johnson Foundation as well as presentations on Medicare/Medicaid claiming and waiver options at the National Association of Reimbursement Officers and the National Association of State Human Services Finance Officers.

Expertise

  • Medicaid and Medicare policy and programs

Experience and Honors

Mr. Entrikin has 40 years of experience with the Medicaid and Medicare programs. From 1981 to 1992, he was a Medicaid policy specialist with the US Health Care Financing Administration (HCFA), now the Centers for Medicare & Medicaid Services (CMS), providing technical assistance to states on Medicaid eligibility, coverage, and reimbursement; provider certification and enrollment; program integrity; recovery of third party liabilities; Medicaid Management Information System (MMIS) performance specifications and operations; interagency agreements; contracts with managed care organizations; health standards and certification requirements; and Medicaid waiver programs.


While at HCFA, Mr. Entrikin received a HCFA Administrator's Citation for his work achieving savings in Medicaid prescription drug reimbursement systems, including calculation of upper payment limits for multiple source and single source prescription drugs.

Education

Mr. Entrikin earned a Bachelor of Arts degree from the University of Massachusetts and a Master of Public Administration from the John F. Kennedy School of Government at Harvard University.

Published Work

Articles

  • Managed Care in the Medicaid Program -June 1994
  • Beyond Managed Care: An Owner's Manual for Self-Determination - T. Nerney, D. Shumway, M. Fenton, T. Entrikin, S. Morrill, G. Marburg, - published by Robert Wood Johnson Foundation, 1997

Recent Posts


Contact

To learn more about Tom Entrikin or other PCG Health Subject Matter Experts, contact us at info@publicconsultinggroup.com or 1-800-210-6113.