Tonya Moore, JD

Associate Principal

Health Management Associates

Baltimore, MD

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Tonya Moore is a lawyer and public healthcare professional with more than 28 years of government experience at the Centers for Medicare and Medicaid Services (CMS). Tonya’s expertise includes development, implementation, and monitoring of policy and operations pertaining to the financing and establishment of federal-state programs for those enrolled in Medicaid, Children’s Health Insurance Program (CHIP), or Medicare.

Prior to joining HMA, Tonya was a senior policy advisor with the State Demonstrations Group (SDG) at the Center for Medicaid & CHIP Services (CMCS). In this role, she formulated program policy, implementation strategies, financial policy, and guidance in support of federal-state initiatives aimed at addressing state-based needs under the section 1115 demonstration portfolio. She worked with states in the development of their alternative healthcare and delivery system reform initiatives, and managed care implementation, Medicaid, and CHIP expansion activities.

As the CMS expert on section 1115 demonstrations and federal transparency requirements, Tonya developed all operational guidance on section 1115 transparency and application requirements for internal staff and provided technical assistance to external stakeholders. She also directed proposal reviews, assisted with negotiations, and led all federal audit reviews pertaining to section 1115 demonstrations.

In the role of acting deputy division director for the Division of State Demonstrations and Waivers in the SDG, Tonya directed the management of state health and welfare reform demonstrations. This involved the testing of alternative public and private healthcare delivery models, which included health maintenance organizations (HMOs), preferred provider organizations (PPOs), and other integrated delivery systems. She developed the standards and establishment of CMS’ expedited Fast Track process for state section 1115 demonstration program renewals. She was also instrumental in the development and initial release of an electronic data collection and reporting system (Performance Metrics Database and Analytics /PMDA) for states to submit data on the performance of their section 1115 demonstration portfolios.

Tonya has a juris doctor from the University of Maryland, a Bachelor of Arts in criminology and a Bachelor of Arts in African and African American cultural studies from the University of Miami.