Dr. David Kelley is the Chief Medical Officer for the Pennsylvania Department of Human Services Office of Medical Assistance Programs and Office of Long-Term Living. He helps manage the clinical and quality aspects of the Medical Assistance Programs for over 2.9 million beneficiaries. He provides clinical oversight of the HealthChoices program that contracts with eight physical health managed care organizations (MCOs) as well as the Community HealthChoices program that contracts with three Long Term Services and Supports MCOs. 

Working with the Medicaid senior management team over the past fifteen years, Dr. Kelley has helped to implement a multi-payer medical home collaborative, developed an efficiency adjustment program that has removed over one billion dollars from MCO base rates, initiated four pay for performance programs, developed a multi-state application for the Medicaid electronic health record incentive program, established nonpayment policies for readmissions and preventable serious adverse events in hospitals, developed telemedicine and pediatric weight management payment policies, implemented a pharmacy preferred drug management program, developed the MCO value-based purchasing program, and established the Opioid Centers of Excellence in response to the opioid crisis in Pennsylvania. 

As CMO for Pennsylvania’s Medical Assistance Programs, he helped develop quality measures for lead screening, adult dental access to care, tobacco reduction in pregnant women, perinatal screening and treatment of women for depression, and an opioid measurement dashboard. He participated on the CHIPRA pediatric and Medicaid adult 

quality core measure set work groups from the inception of both programs. He served four years on the National Quality Forum's Consensus Standards Approval Committee and is a member of NCQA’s Committee on Performance Measurement. He is a long-standing member and past chair of the Medicaid Medical Directors Network (MMDN). 

Prior to joining the Department, he worked for Aetna Health Inc. as the medical director responsible for utilization and quality management in Pennsylvania, served as Assistant Professor and Director of Clinical Quality Improvement at Penn State University’s College of Medicine, and clinically practiced at a FQHC, private practice, and a community based team approach to diabetes care in a Medicaid hospital clinic. 

Dr. Kelley received his BS degree at Elizabethtown College, completed medical school at the University of Pittsburgh, completed his residency training at Baylor College of Medicine in Houston, obtained his MPA at Penn State University, and is board certified in Internal Medicine and Geriatrics.