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Steven Lutzky, PhD, President

Steven Lutzky has extensive experience designing, implementing and evaluating home and community-based systems for older adults, individuals with disabilities and long-term illness for the federal government, states, and private sector clients.

He served as the Director of Division for Advocacy and Special Issues (DASI), within the Disabled and Elderly Health Program Group, Center for Medicaid and State Operations (CMSO), Center for Medicare and Medicaid Services (CMS).

Steve has also served as the Chief of the Office on Disabilities and Aging within the District of Columbia’s Medical Assistance Administration and was a Senior Manager with The Lewin Group.

He received his doctorate in Gerontology and Public Policy from the University of Southern California, Davis School of Gerontology.

Andrew Cieslinski, Senior Associate

Andrew Cieslinski is an Associate with HCBS Strategies. He joined the team in January 2013 during his first year of graduate school at the University of Michigan’s School of Public Health. He has gained a wide range of experience around Medicaid funded home and community based services. This experience includes developing standardized tools for intake, screening, assessment and support planning; development and redesign of 1915(c),(i),(k) and 1115 waivers; successfully working with states to procure a variety of competitive funding opportunities; planning and implementing major projects with States to meet the requirements for federally-funded programs including No Wrong Door (NWD) and Balancing Incentives Program (BIP); implementing and enhancing Aging and Disability Resource Centers (ADRCs); and creating and piloting initiatives to gain Federal Financial Participation (FFP) funding.

Andrew has played a primary role in developing assessment and support planning tools in several states and also conducts literature reviews and policy research and analysis, provides project management support, and assists with the development of a variety of project deliverables. As an Associate for HCBS Strategies, Andrew has been involved in projects for Alaska, Colorado, Hawaii, Illinois, Indiana, Maryland, Minnesota, Nebraska, Oregon, and Texas.

Prior to joining the HCBS Strategies team, Andrew worked as a clinical research assistant at the University of Michigan’s Institute of Gerontology. He also has experience working as a lead resident care provider in an adolescent residential psychiatric facility and as a resident aide at an assisted living facility.

Dr. Megan Coufal, PT, DPT

Dr. Megan Coufal, PT, DPT, is an analyst with HCBS Strategies. Prior to joining HCBS Strategies, Dr. Coufal worked as a pediatric physical therapist in various settings. She has experience working with children with disabilities in schools, outpatient and inpatient settings, and early intervention. She has experience working with children on Medicaid in both Washington, DC and Maryland. She has conducted training on safe transfers, providing physical therapist services under the Individuals with Disabilities Act, and evidence-based practice.

Dr. Coufal worked in an outpatient clinic with children with disabilities, many of whom had Medicaid, from 2014 to 2016. While working in the clinic, she networked with pediatricians to ensure that children were appropriately referred for services to limit the disparity in access to care that many families faced. She also worked as a contractor seeing children with disabilities from birth to age three for early intervention services in their homes through the Baltimore City Public School System. She then worked in a Title 1 school in the District of Columbia Public School System from 2016 to 2021. The children she worked with had multiple disabilities, and many were medically fragile. She worked to provide services within the school, collaborate with families, provide training to staff, and collaborate care with outside providers. Her work has focused on serving children with disabilities in socioeconomically disadvantaged areas to ensure that they received quality services.

Dr. Coufal is working to earn her Master of Public Health with a concentration in health systems and policy from Johns Hopkins University. She has a Bachelor of Science in Biology, Bachelor of Science in Health Sciences, and Doctor of Physical Therapy from Duquesne University.

Haley Gallo, Data Analyst

Haley joined the team in February 2021. She is a PhD candidate in the Leonard Davis School of Gerontology at the University of Southern California. She received her Bachelor of Science degree in Psychobiology with a minor in Gerontology from the University of California, Los Angeles. Haley’s research examines policies that help older adults and people with disabilities to live independently in their homes and communities, with a focus on the role of Area Agencies on Aging (AAAs), State Units on Aging, and Medicaid home and community-based services waivers. Her dissertation examines how the structure of Area Agencies on Aging allows for service delivery at the local level. She has experience analyzing quantitative, qualitative, and administrative health care data, and disseminating findings to policymakers at the federal, state, and local level. She is passionate about including older adults and service providers—particularly those from groups who are traditionally left out—in the development of research and policy that affects people of all ages.

As a data analyst with HCBS Strategies, Haley has collaborated with stakeholders at the Nebraska State Unit on Aging and the Hawaii Executive Office on Aging to redesign the intrastate funding formulas (IFFs) that allocate funding to AAAs. She has also begun a business process analysis of California’s long-term services and supports programs to study the structure of aging services in the state, including the role of Medicaid 1915(c) and 1115 waivers.

Ariel Keklak, Analyst

Ms. Keklak joined the HCBS Strategies team in April 2020 while completing her undergraduate degree at the Johns Hopkins University. During this time, she has provided support on a variety of projects in several states related to the provision of home and community-based services and long-term services and supports. These projects include an operational review of aging and disability resources centers in Alaska, the development and implementation of a time study survey in Nebraska to facilitate Medicaid Administrative Claiming, and continuous support on work with state agencies in Hawaii, Colorado, and Alabama.

Ms. Keklak is currently completing her Master of Public Health from the University of Utah and earned her BS in Molecular and Cellular Biology from the Johns Hopkins University.

Caitlin Miranda, Analyst

Ms. Miranda is a graduate student from the University of Michigan School of Public Health. She joined the HCBS Strategies team in January of 2021 and has provided critical support throughout the Colorado Case Management Redesign process, including the construction of maps in ArcGIS for strategic catchment area recommendations and development of dynamic data modeling files for in-depth service analyses. She has also supported the development of deliverables and project operations in Alaska, Hawaii, and Alabama.

Trevor Wong, Analyst

Mr. Wong is a graduate student from the Johns Hopkins Bloomberg School of Public Health. He began his work with HCBS Strategies in October 2020 and has supported the development of an intrastate funding formula (IFF) in Nebraska, quality management reports and measures for Nebraska’s Medicaid Administrative Claiming time study, operations of regulatory updates and pilot management in Alaska, and performed data analyses for projects in Alaska, Colorado, Hawaii, and Nebraska. His previous experience includes working with Health Care for the Homeless, conducting survey administration for individuals experiencing homelessness with LTSS and Medicaid-related needs.

Arielle Gillman, PhD, MPH, Senior Analytic Consultant

Arielle Gillman joined HCBS Strategies in 2018. Arielle primarily provides data analytic support and quantitative methods expertise at HCBS Strategies to assist with projects involving the development and evaluation of assessment and support planning tools. She has been involved in projects for Alaska and Colorado. Arielle has a PhD in Social Psychology with a certificate in Quantitative Methods from the University of Colorado Boulder and a Masters in Public Health with a concentration in Epidemiology and Biostatistics from the Johns Hopkins Bloomberg School of Public Health

Kristy W. Michael, Consultant

Kristy Michael has extensive project management, meeting logistics, product development, marketing, and grant writing experience. She has conducted statistical data analysis, database creation, policy analysis, and research and literature reviews. She also has extensive experience working with fiscal management services (FMS) to enhance operations.

Prior to joining HCBS Strategies as a consultant, she managed the development and implementation of projects for nonprofit organizations at a knowledge management software company.

Kathy Koontz, R.N., Consultant

Kathy Koontz has over 30 years of health care experience in both the public and private sectors. Her areas of specialty are in analyzing and redesigning systems of care, project management, program development, implementation, and evaluation.

She has extensive experience in performance & quality improvement, Medicaid managed care, home and community based waiver and special needs populations, and children’s mental health systems.

Shirley Patterson York, Consultant

Shirley York specializes in the human services areas of policy development, funding and reimbursement, service planning and delivery, financial/operational management, quality initiatives, and organizational leadership/governance.

She has over 30 years of experience in human services. Prior to her consultancy, she held a 10-year tenure as Director for Disability Services and HIV/AIDS at the Minnesota Department of Human Services (DHS).