Statement of Organization, Functions, and Delegations of Authority, 73847-73850 [E7-25305]

Download as PDF Federal Register / Vol. 72, No. 248 / Friday, December 28, 2007 / Notices mstockstill on PROD1PC66 with NOTICES for a discussion of the substantial clinical improvement criteria on each of the FY 2009 new medical services and technology add-on payment applications. Information regarding the applications can be found on our Web site at http://www.cms.hhs.gov/ AcuteInpatientPPS/ 08_newtech.asp#TopOfPage. The majority of the meeting will be reserved for presentations of comments, recommendations, and data from registered presenters. The time for each presenter’s comments will be approximately 10 to 15 minutes and will be based on the number of registered presenters. Presenters will be scheduled to speak in the order in which they register and grouped by new technology applicant. Therefore, individuals who would like to present must register and submit their agenda item(s) to the address specified in the ADDRESSES section of this notice by the date specified in the DATES section of this notice. Comments from participants will be heard after scheduled statements if time permits. Once the agenda is completed, it will be posted on the CMS IPPS Web site at http:// www.cms.hhs.gov/AcuteInpatientPPS/ 08_newtech.asp#TopOfPage. For presenters or participants unable to attend the CMS for the meeting, an open toll-free phone line, (888) 970– 4128, is available. Persons who call in will be asked for the conference code by the conference operator. The conference code is ‘‘New Tech.’’ In addition, written comments will also be accepted and presented at the meeting if they are received at the address specified in the ADDRESSES section of this notice by the date specified in the DATES section of this notice. Written comments may also be submitted after the meeting. If the comments are to be considered before the publication of the proposed rule, the comments must be received at the address specified in the ADDRESSES section of this notice by the date specified in the DATES section of this notice. III. Registration Instructions The Division of Acute Care in CMS is coordinating the meeting registration for the Town Hall Meeting. While there is no registration fee, individuals must register to attend the Town Hall Meeting. Registration may be completed online at the following Web address: http://www.cms.hhs.gov/ AcuteInpatientPPS/ 08_newtech.asp#TopOfPage. Select the link at the bottom of the page ‘‘New Technology Town Hall Meeting’’ to VerDate Aug<31>2005 22:27 Dec 27, 2007 Jkt 214001 73847 complete the on-line registration. After completing the registration, on-line registrants should print the confirmation page and bring it with them to the meeting. If you are unable to register on-line, you may register by sending an email to the contacts listed in the FOR FURTHER INFORMATION CONTACT section of this notice. Please include your name, address, telephone number, email address and fax number. If seating capacity has been reached, you will be notified that the meeting has reached capacity. (Catalog of Federal Domestic Assistance Program No. 93.773, Medicare—Hospital Insurance; and Program No. 93.774, Medicare—Supplementary Medical Insurance Program) IV. Security, Building, and Parking Guidelines Centers for Medicare & Medicaid Services Because this meeting will be located on Federal property, for security reasons, any persons wishing to attend this meeting must register by close of business by the date listed in the DATES section of this notice. Please allow sufficient time to go through the security checkpoints. It is suggested that you arrive at 7500 Security Boulevard no later than 1 p.m., e.s.t. so that you will be able to arrive promptly at the meeting by 1:30 p.m., e.s.t. Security measures include the following: • Presentation of government-issued photographic identification to the Federal Protective Service or Guard Service personnel. • Interior and exterior inspection of vehicles (this includes engine and trunk inspection) at the entrance to the grounds. Parking permits and instructions will be issued after the vehicle inspection. • Passing through a metal detector and inspection of items brought into the building. We note that all items brought to CMS, whether personal or for the purpose of demonstration or to support a demonstration, are subject to inspection. We cannot assume responsibility for coordinating the receipt, transfer, transport, storage, setup, safety, or timely arrival of any personal belongings or items used for demonstration or to support a demonstration. Note: Individuals who are not registered in advance will not be permitted to enter the building and will be unable to attend the meeting. The public may not enter the building earlier than 30 to 45 minutes prior to the convening of the meeting. All visitors must be escorted in areas other than the lower and first floor levels in the Central Building. Seating capacity is limited to the first 250 registrants. Authority: Section 503 of Public Law 108– 173. PO 00000 Frm 00091 Fmt 4703 Sfmt 4703 Dated: December 6, 2007. Kerry Weems, Acting Administrator, Centers for Medicare and Medicaid Services. [FR Doc. E7–24267 Filed 12–27–07; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Statement of Organization, Functions, and Delegations of Authority Part F of the Statement of Organization, Functions, and Delegations of Authority for the Department of Health and Human Services, Centers for Medicare & Medicaid Services (CMS), (Federal Register, Vol. 72, No. 123, pp. 35246– 35247, dated Wednesday, June 27, 2007) is amended to reflect the abolishment of the 10 Regional Offices and the establishment of the Consortium for Medicare Health Plans Operations, the Consortium for Financial Management and Fee for Service Operations, the Consortium for Medicaid and Children’s Health Operations, and the Consortium for Quality Improvement and Survey and Certification Operations. Part F is described below: • Section F.10. (Organization) reads as follows: 1. Office of External Affairs (FAC) 2. Center for Beneficiary Choices (FAE) 3. Office of Legislation (FAF) 4. Center for Medicare Management (FAH) 5. Office of Equal Opportunity and Civil Rights (FAJ) 6. Office of Research, Development, and Information (FAK) 7. Office of Clinical Standards and Quality (FAM) 8. Office of the Actuary (FAN) 9. Center for Medicaid and State Operations (FAS) 10. Consortium for Medicare Health Plans Operations (FAU) 11. Consortium for Financial Management and Fee for Service Operations (FAV) 12. Consortium for Medicaid and Children’s Health Operations (FAW) 13. Consortium for Quality Improvement and Survey and Certification Operations (FAX) 14. Office of Operations Management (FAY) E:\FR\FM\28DEN1.SGM 28DEN1 73848 Federal Register / Vol. 72, No. 248 / Friday, December 28, 2007 / Notices 15. Office of Information Services (FBB) 16. Office of Financial Management (FBC) 17. Office of Strategic Operations and Regulatory Affairs (FGA) 18. Office of E-Health Standards and Services (FHA) 19. Office of Acquisition and Grants Management (FKA) 20. Office of Policy (FLA) 21. Office of Beneficiary Information Services (FMA) • Section F. 20. (Functions) reads as follows: mstockstill on PROD1PC66 with NOTICES 10. Consortium for Medicare Health Plans Operations (FAU) • Serves as the Field focal point for all interactions with managed health care organizations, Medicare Advantage (MA) plans, Medicare prescription drug plans (PDPs) and Medicare Advantage Prescription Drug (Part D) plans for issues relating to Agency programs, policy and operations. • Serves as the Field’s focal point for all Agency interactions with employers, employees, retirees and others operating on their behalf pertaining to issues related to Agency policies and operations concerning employersponsored prescription drug coverage for their retirees. • Serves as the Field focal point for all interactions with beneficiaries, their families, care givers, health care providers, and others operating on their behalf concerning improving beneficiaries’ ability to make informed decisions about their health and about program benefits administered by the Agency. These activities include strategic and implementation planning, execution, assessment and communications. • Implements national policy for Medicare Parts C and D beneficiary eligibility, enrollment, entitlement, premium billing and collection, coordination of benefits, rights and protections, and dispute resolution process, as well as policy for managed care enrollment and disenrollment to assure the effective administration of the Medicare program. • Participates in the development of national policies and procedures related to the development, qualification, and compliance of health maintenance organizations, competitive medical plans and other health care delivery systems and purchasing arrangements (such as prospective pay, case management, differential payment, selective contracting, etc.) necessary to assure the effective administration of the Agency’s programs, including the development of statutory proposals. VerDate Aug<31>2005 22:27 Dec 27, 2007 Jkt 214001 • In conjunction with the Center for Beneficiary Choices (CBC), handles all phases of contracts with managed health care organizations eligible to provide care to Medicare beneficiaries. • Responds to inquiries regarding Parts C and D coverage and payment policies. • Implements national policies and procedures to support and assure appropriate State implementation of the rules and processes governing group and individual health insurance markets and the sale of health insurance policies that supplement Medicare coverage. • In conjunction with CBC, implements regulations, guidelines, and instructions required for the dissemination of appeals policies to Medicare beneficiaries, MA plans, PDPs, CMS Consortia, beneficiary advocacy groups and other interested parties. • Assures, in coordination with other Consortium Administrators and Central Office Centers and Offices, that the activities of Medicare managed care plans, agents, and State Agencies meet the Agency’s requirements on matters concerning beneficiaries and other consumers. • In partnership with appropriate Central Office components, administers the contracts and grants related to beneficiary and customer service, including the State Health Insurance Assistance Program grants. • Participates in the formulation of strategies to advance overall beneficiary communications goals and coordinates the Field implementation of all beneficiary-centered information, education, and service initiatives. • Builds a range of partnerships with other national organizations for effective consumer outreach, awareness, and education efforts in support of Agency programs. • Serves as the Consortium focal point for emergency preparedness for the Field. • Provides oversight in the areas of human resource procurement and logistics. • Ensures the effective management of the Agency’s information technology and information systems and resources in the Field. • Implements the privacy and confidentiality policies pertaining to the collection, use, and release of individually identifiable data. • Proactively establishes, manages, and fosters partnerships within the Consortium with State and Local governments, providers and provider associations, beneficiaries and their representatives, and the media that are focused on CMS’ goals and objectives. PO 00000 Frm 00092 Fmt 4703 Sfmt 4703 • Serves as the primary point of contact to appropriate members of Congress, Federal, State, and Local officials and Tribal governments on matters concerning the Medicare program. • Oversees the coordination and integration of CMS’ activities with other Federal, State, Local, and private health care agencies and organizations. • Counsels, advises, and collaborates with top Agency officials on policy matters and major considerations in developing, implementing, and coordinating CMS’ programs as they interrelate in addressing national and regional strategies. • Advises the Office of the Administrator (OA) on special programs as they relate to national initiatives and as they impact major constituents or their key representatives. • Promotes accountability, communication, coordination and facilitation of cooperative corporate decision-making among CMS’ top senior staff on management, operational and programmatic issues cross-cutting organizational components with diverse functions and activities. 11. Consortium for Financial Management & Fee for Service Operations (FAV) • Serves as the Field focal point for all interactions with the Office of Financial Management and assists in its overall responsibility for the fiscal integrity of all Agency programs. • Implements all benefit integrity policies and operations in coordination with other Agency components in the Field. Assists in the management of the Medicare program integrity contractors. • Performs the Field’s activities regarding Medicare Secondary Payer. • Implements all civil money penalty policies in all CMS’ programs. • Oversees and coordinates the Field’s preparation of certification statements for the Federal Managers Financial Integrity Act and Government Performance and Results Act. • Serves as the Field focal point for all Agency interactions between health care providers and fee-for-service (FFS) contractors for issues relating to Part A and Part B FFS policies and operations. • Coordinates provider and physician-centered Part A and Part B FFS information, education, and service initiatives in the Field. • Responds to inquiries regarding Part A and Part B coverage and payment policies. • Provides the Center for Medicare Managementwith comments on FFS current/proposed legislation in order to determine impact on providers. E:\FR\FM\28DEN1.SGM 28DEN1 mstockstill on PROD1PC66 with NOTICES Federal Register / Vol. 72, No. 248 / Friday, December 28, 2007 / Notices • Performs activities related to the Medicare Part A and Part B processes (42 CFR part 405, subparts G and H), Part C (42 CFR part 422, subpart M), Part D (42 CFR part 423, subpart M) and the Program for All-Inclusive Care for the Elderly (PACE) for claims-related hearings, appeals, grievances and other dispute resolution processes that are beneficiary-centered. • Implements national policy for Medicare Parts A and B beneficiary eligibility, enrollment, entitlement; premium billing and collection; coordination of benefits; rights and protections; dispute resolution process to assure the effective administration of the Medicare program. • Serves as the Consortium focal point for emergency preparedness for the Field. • Provides oversight in the areas of human resource procurement and logistics. • Ensures the effective management of the Agency’s information technology and information systems and resources in the Field. • Implements the privacy and confidentiality policies pertaining to the collection, use, and release of individually identifiable data. • Proactively establishes, manages, and fosters partnerships within the Consortium with State and Local governments, providers and provider associations, beneficiaries and their representatives, and the media that are focused on CMS’ goals and objectives. • Serves as the primary point of contact to appropriate members of Congress, Federal, State, and Local officials and Tribal governments on matters concerning the Medicare program. • Oversees the coordination and integration of CMS’ activities with other Federal, State, Local, and private health care agencies and organizations. • Counsels, advises, and collaborates with top Agency officials on policy matters and major considerations in developing, implementing, and coordinating CMS’ programs as they interrelate in addressing national and regional strategies. • Advises OA on special problems as they relate to national initiatives and programs and as they impact major constituents or their key representatives. • Promotes accountability, communication, coordination and facilitation of cooperative corporate decision-making among CMS top senior staff on management, operational and programmatic issues cross-cutting organizational components with diverse functions and activities. VerDate Aug<31>2005 22:27 Dec 27, 2007 Jkt 214001 12. Consortium for Medicaid & Children’s Health Operations (FAW) • Serves as the Field focal point for all CMS activities relating to Medicaid and the State Children’s Health Insurance Program (SCHIP) with States and Local governments (including the Territories). • Implements national Medicaid program and fiscal policies and procedures which support and assure effective State program administration and beneficiary protection. In partnership with States, evaluates the success of State Agencies in carrying out their responsibilities and, as necessary, assists States in correcting problems and improving the quality of their operations. • Implements, interprets, and applies specific laws, regulations, and policies that directly govern the financial operation and management of the Medicaid program and the related interactions with States. • Reviews, approves and conducts oversight of Medicaid managed care waiver programs. Provides assistance to States and external customers on all Medicaid managed care issues. • Implements national policies and procedures on Medicaid automated claims/encounter processing and information retrieval systems such as the Medicaid Management Information System and integrated eligibility determination systems. • Through administration of the home and community-based services program and policy collaboration with other Agency components and the States, promotes the appropriate choice and continuity of quality services available to frail elderly, disabled and chronically ill beneficiaries. • Coordinates with and provides input into the Medicaid Integrity Program (MIP). Develops strategies to prevent and detect improper payments, including fraud and abuse by providers and others, from Medicaid and SCHIP. Offers support and assistance to the States to combat provider fraud, waste, and abuse. Provides guidance and direction to State Medicaid programs based on the insights gained through MIP’s efforts. • Serves as the Consortium focal point for emergency preparedness for the Field. • Provides oversight in the areas of human resource procurement and logistics. • Ensures the effective management of the Agency’s information technology and information systems and resources in the Field. • Implements the privacy and confidentiality policies pertaining to the PO 00000 Frm 00093 Fmt 4703 Sfmt 4703 73849 collection, use, and release of individually identifiable data. • Proactively establishes, manages, and fosters partnerships within the Consortium with State and Local governments, providers and provider associations, beneficiaries and their representatives, and the media that are focused on CMS’ goals and objectives. • Serves as the primary point of contact to appropriate members of Congress, State Governors, Federal, State, and Local officials and Tribal governments on matters concerning the Medicaid program. • Oversees the coordination and integration of CMS’ activities with other Federal, State, Local, and private health care agencies and organizations. • Counsels, advises, and collaborates with top Agency officials on policy matters and major considerations in developing, implementing, and coordinating CMS’ programs as they interrelate in addressing national and regional strategies. • Advises OA on special problems as they relate to national initiatives and programs and as they impact major constituents or their key representatives. • Promotes accountability, communication, coordination and facilitation of cooperative corporate decision-making among CMS’ top senior staff on management, operational and programmatic issues cross-cutting organizational components with diverse functions and activities. 13. Consortium for Quality Improvement & Survey & Certification Operations (FAX) • Serves as the Field focal point for all quality, clinical and medical science issues and policies for the Agency’s programs. Provides leadership and coordination for the development and implementation of a cohesive, Agencywide approach to measuring and promoting quality and leads the Agency’s priority-setting process for clinical quality improvement. Coordinates quality-related activities with outside organizations. Monitors quality of Medicare, Medicaid, and the Clinical Laboratory Improvement Amendments (CLIA). Evaluates the success of interventions. • Identifies and develops best practices and techniques in quality improvement; implementation of these techniques will be overseen by appropriate components. Develops and collaborates on demonstration projects to test and promote quality measurement and improvement. • Develops tests and evaluates, adopts and supports performance measurement systems (quality E:\FR\FM\28DEN1.SGM 28DEN1 mstockstill on PROD1PC66 with NOTICES 73850 Federal Register / Vol. 72, No. 248 / Friday, December 28, 2007 / Notices indicators) to evaluate care provided to CMS’ beneficiaries except for demonstration projects residing in other components. • Assures that the Agency’s qualityrelated activities (survey and certification, technical assistance, beneficiary information, payment policies and provider/plan incentives) are fully and effectively integrated in the Field. Carries out the Health Care Quality Improvement Program for the Medicare, Medicaid, and CLIA programs. • Assists in the specification and operational refinement of an integrated CMS quality information system, which includes tools for measuring the coordination of care between health care settings; analyzes data supplied by that system to identify opportunities to improve care and assess success of improvement interventions. • Enforces the requirements of participation for providers and plans in the Medicare, Medicaid, and CLIA programs. Recommends revisions of the requirements based on statutory change and input from other components. • Operates the Medicare Quality Improvement Organization and End Stage Renal Disease Network program, providing policies and procedures, contract design, program coordination, and leadership in selected projects. • Identifies, prioritizes and develops content for clinical and health related aspects of CMS’ Consumer Information Strategy; and collaborates with other components to develop comparative provider and plan performance information for consumer choices. • Assists in the preparation of the scientific, clinical and procedural basis for, and recommends to the Administrator decisions regarding, coverage of new and established technologies and services. Maintains liaison with other Departmental components regarding the safety and effectiveness of technologies and services; prepares the scientific and clinical basis for, and recommends approaches to, quality-related medical review activities of contractors and payment policies. • Serves as the focal point for all CMS Field activities relating to CLIA and the survey and certification of health facilities with States and Local governments (including the Territories). • Implements, evaluates and refines standardized provider performance measures used within provider certification programs. Supports States in their use of standardized measures for provider feedback and quality improvement activities. Implements and supports the data collection and VerDate Aug<31>2005 22:27 Dec 27, 2007 Jkt 214001 analysis systems needed by States to administer the certification program. • Serves as the Consortium focal point for emergency preparedness for the Field. • Provides oversight in the areas of human resource procurement and logistics. • Ensures the effective management of the Agency’s information technology and information systems and resources in the Field. • Implements the privacy and confidentiality policies pertaining to the collection, use, and release of individually identifiable data. • Proactively establishes, manages, and fosters partnerships within the Consortium with State and Local governments, providers and provider associations, beneficiaries and their representatives, and the media that are focused on CMS’ goals and objectives. • Serves as the primary point of contact to appropriate members of Congress, State Governors, Federal, State, and Local officials and Tribal governments on matters concerning the Medicare and Medicaid programs. • Oversees the coordination and integration of CMS’ activities with other Federal, State, Local, and private health care agencies and organizations. • Counsels, advises, and collaborates with top Agency officials on policy matters and major considerations in developing, implementing, and coordinating CMS’ programs as they interrelate in addressing national and regional strategies. • Advises OA on special problems as they relate to national initiatives and programs and as they impact major constituents or their key representatives. • Promotes accountability, communication, coordination and facilitation of cooperative corporate decision-making among CMS top senior staff on management, operational and programmatic issues cross-cutting organizational components with diverse functions and activities. Dated: November 23, 2007. Charlene Frizzera, Chief Operating Officer, Centers for Medicare & Medicaid Services. [FR Doc. E7–25305 Filed 12–27–07; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration Cellular, Tissue and Gene Therapies Advisory Committee; Notice of Meeting AGENCY: Food and Drug Administration, HHS. PO 00000 Frm 00094 Fmt 4703 Sfmt 4703 ACTION: Notice. This notice announces a forthcoming meeting of a public advisory committee of the Food and Drug Administration (FDA). At least one portion of the meeting will be closed to the public. Name of Committee: Cellular, Tissue and Gene Therapies Advisory Committee. General Function of the Committee: To provide advice and recommendations to the agency on FDA’s regulatory issues. Date and Time: The meeting will be held by teleconference on February 5, 2008, from 12 noon to approximately 3:15 p.m. Eastern Time. Location: National Institutes of Health, Building 29B, Conference Room C, 9000 Rockville Pike, Bethesda, MD. This meeting will be held by teleconference. The public is welcome to attend the meeting at the specified location. A speakerphone will be provided at the specified location for public participation in the meeting, on site. Important information about transportation and directions to the NIH campus, parking, and security procedures is available on the Internet at http://www.nih.gov/about/visitor/ index.htm. Visitors must show two forms of identification, one of which must be a government-issued photo identification such as a Federal employee badge, driver’s license, passport, green card, etc. If you are planning to drive to and park on the NIH campus, you must enter at the South Dr. entrance of the campus which is located on Wisconsin Ave. (the Medical Center Metro entrance), and allow extra time for vehicle inspection. Detailed information about security procedures is located at http:// www.nih.gov/about/visitorsecurity.htm. Because of the limited available parking, visitors are encouraged to use public transportation. Contact Person: Gail Dapolito or Danielle Cubbage, Center for Biologics Evaluation and Research, Food and Drug Administration, 1401 Rockville Pike, Rockville, MD, 20852, 301–827– 0314, or FDA Advisory Committee Information Line, 1–800–741–8138 (301–443–0572 in the Washington, DC area), code 3014512389. Please call the Information Line for up-to-date information on this meeting. A notice in the Federal Register about last minute modifications that impact a previously announced advisory committee meeting cannot always be published quickly enough to provide timely notice. Therefore, you should always check the agency’s Web site and call the appropriate advisory committee hot E:\FR\FM\28DEN1.SGM 28DEN1

Agencies

[Federal Register Volume 72, Number 248 (Friday, December 28, 2007)]
[Notices]
[Pages 73847-73850]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E7-25305]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services


Statement of Organization, Functions, and Delegations of 
Authority

    Part F of the Statement of Organization, Functions, and Delegations 
of Authority for the Department of Health and Human Services, Centers 
for Medicare & Medicaid Services (CMS), (Federal Register, Vol. 72, No. 
123, pp. 35246-35247, dated Wednesday, June 27, 2007) is amended to 
reflect the abolishment of the 10 Regional Offices and the 
establishment of the Consortium for Medicare Health Plans Operations, 
the Consortium for Financial Management and Fee for Service Operations, 
the Consortium for Medicaid and Children's Health Operations, and the 
Consortium for Quality Improvement and Survey and Certification 
Operations.
    Part F is described below:
     Section F.10. (Organization) reads as follows:

1. Office of External Affairs (FAC)
2. Center for Beneficiary Choices (FAE)
3. Office of Legislation (FAF)
4. Center for Medicare Management (FAH)
5. Office of Equal Opportunity and Civil Rights (FAJ)
6. Office of Research, Development, and Information (FAK)
7. Office of Clinical Standards and Quality (FAM)
8. Office of the Actuary (FAN)
9. Center for Medicaid and State Operations (FAS)
10. Consortium for Medicare Health Plans Operations (FAU)
11. Consortium for Financial Management and Fee for Service Operations 
(FAV)
12. Consortium for Medicaid and Children's Health Operations (FAW)
13. Consortium for Quality Improvement and Survey and Certification 
Operations (FAX)
14. Office of Operations Management (FAY)

[[Page 73848]]

15. Office of Information Services (FBB)
16. Office of Financial Management (FBC)
17. Office of Strategic Operations and Regulatory Affairs (FGA)
18. Office of E-Health Standards and Services (FHA)
19. Office of Acquisition and Grants Management (FKA)
20. Office of Policy (FLA)
21. Office of Beneficiary Information Services (FMA)

     Section F. 20. (Functions) reads as follows:

10. Consortium for Medicare Health Plans Operations (FAU)

     Serves as the Field focal point for all interactions with 
managed health care organizations, Medicare Advantage (MA) plans, 
Medicare prescription drug plans (PDPs) and Medicare Advantage 
Prescription Drug (Part D) plans for issues relating to Agency 
programs, policy and operations.
     Serves as the Field's focal point for all Agency 
interactions with employers, employees, retirees and others operating 
on their behalf pertaining to issues related to Agency policies and 
operations concerning employer-sponsored prescription drug coverage for 
their retirees.
     Serves as the Field focal point for all interactions with 
beneficiaries, their families, care givers, health care providers, and 
others operating on their behalf concerning improving beneficiaries' 
ability to make informed decisions about their health and about program 
benefits administered by the Agency. These activities include strategic 
and implementation planning, execution, assessment and communications.
     Implements national policy for Medicare Parts C and D 
beneficiary eligibility, enrollment, entitlement, premium billing and 
collection, coordination of benefits, rights and protections, and 
dispute resolution process, as well as policy for managed care 
enrollment and disenrollment to assure the effective administration of 
the Medicare program.
     Participates in the development of national policies and 
procedures related to the development, qualification, and compliance of 
health maintenance organizations, competitive medical plans and other 
health care delivery systems and purchasing arrangements (such as 
prospective pay, case management, differential payment, selective 
contracting, etc.) necessary to assure the effective administration of 
the Agency's programs, including the development of statutory 
proposals.
     In conjunction with the Center for Beneficiary Choices 
(CBC), handles all phases of contracts with managed health care 
organizations eligible to provide care to Medicare beneficiaries.
     Responds to inquiries regarding Parts C and D coverage and 
payment policies.
     Implements national policies and procedures to support and 
assure appropriate State implementation of the rules and processes 
governing group and individual health insurance markets and the sale of 
health insurance policies that supplement Medicare coverage.
     In conjunction with CBC, implements regulations, 
guidelines, and instructions required for the dissemination of appeals 
policies to Medicare beneficiaries, MA plans, PDPs, CMS Consortia, 
beneficiary advocacy groups and other interested parties.
     Assures, in coordination with other Consortium 
Administrators and Central Office Centers and Offices, that the 
activities of Medicare managed care plans, agents, and State Agencies 
meet the Agency's requirements on matters concerning beneficiaries and 
other consumers.
     In partnership with appropriate Central Office components, 
administers the contracts and grants related to beneficiary and 
customer service, including the State Health Insurance Assistance 
Program grants.
     Participates in the formulation of strategies to advance 
overall beneficiary communications goals and coordinates the Field 
implementation of all beneficiary-centered information, education, and 
service initiatives.
     Builds a range of partnerships with other national 
organizations for effective consumer outreach, awareness, and education 
efforts in support of Agency programs.
     Serves as the Consortium focal point for emergency 
preparedness for the Field.
     Provides oversight in the areas of human resource 
procurement and logistics.
     Ensures the effective management of the Agency's 
information technology and information systems and resources in the 
Field.
     Implements the privacy and confidentiality policies 
pertaining to the collection, use, and release of individually 
identifiable data.
     Proactively establishes, manages, and fosters partnerships 
within the Consortium with State and Local governments, providers and 
provider associations, beneficiaries and their representatives, and the 
media that are focused on CMS' goals and objectives.
     Serves as the primary point of contact to appropriate 
members of Congress, Federal, State, and Local officials and Tribal 
governments on matters concerning the Medicare program.
     Oversees the coordination and integration of CMS' 
activities with other Federal, State, Local, and private health care 
agencies and organizations.
     Counsels, advises, and collaborates with top Agency 
officials on policy matters and major considerations in developing, 
implementing, and coordinating CMS' programs as they interrelate in 
addressing national and regional strategies.
     Advises the Office of the Administrator (OA) on special 
programs as they relate to national initiatives and as they impact 
major constituents or their key representatives.
     Promotes accountability, communication, coordination and 
facilitation of cooperative corporate decision-making among CMS' top 
senior staff on management, operational and programmatic issues cross-
cutting organizational components with diverse functions and 
activities.

11. Consortium for Financial Management & Fee for Service Operations 
(FAV)

     Serves as the Field focal point for all interactions with 
the Office of Financial Management and assists in its overall 
responsibility for the fiscal integrity of all Agency programs.
     Implements all benefit integrity policies and operations 
in coordination with other Agency components in the Field. Assists in 
the management of the Medicare program integrity contractors.
     Performs the Field's activities regarding Medicare 
Secondary Payer.
     Implements all civil money penalty policies in all CMS' 
programs.
     Oversees and coordinates the Field's preparation of 
certification statements for the Federal Managers Financial Integrity 
Act and Government Performance and Results Act.
     Serves as the Field focal point for all Agency 
interactions between health care providers and fee-for-service (FFS) 
contractors for issues relating to Part A and Part B FFS policies and 
operations.
     Coordinates provider and physician-centered Part A and 
Part B FFS information, education, and service initiatives in the 
Field.
     Responds to inquiries regarding Part A and Part B coverage 
and payment policies.
     Provides the Center for Medicare Managementwith comments 
on FFS current/proposed legislation in order to determine impact on 
providers.

[[Page 73849]]

     Performs activities related to the Medicare Part A and 
Part B processes (42 CFR part 405, subparts G and H), Part C (42 CFR 
part 422, subpart M), Part D (42 CFR part 423, subpart M) and the 
Program for All-Inclusive Care for the Elderly (PACE) for claims-
related hearings, appeals, grievances and other dispute resolution 
processes that are beneficiary-centered.
     Implements national policy for Medicare Parts A and B 
beneficiary eligibility, enrollment, entitlement; premium billing and 
collection; coordination of benefits; rights and protections; dispute 
resolution process to assure the effective administration of the 
Medicare program.
     Serves as the Consortium focal point for emergency 
preparedness for the Field.
     Provides oversight in the areas of human resource 
procurement and logistics.
     Ensures the effective management of the Agency's 
information technology and information systems and resources in the 
Field.
     Implements the privacy and confidentiality policies 
pertaining to the collection, use, and release of individually 
identifiable data.
     Proactively establishes, manages, and fosters partnerships 
within the Consortium with State and Local governments, providers and 
provider associations, beneficiaries and their representatives, and the 
media that are focused on CMS' goals and objectives.
     Serves as the primary point of contact to appropriate 
members of Congress, Federal, State, and Local officials and Tribal 
governments on matters concerning the Medicare program.
     Oversees the coordination and integration of CMS' 
activities with other Federal, State, Local, and private health care 
agencies and organizations.
     Counsels, advises, and collaborates with top Agency 
officials on policy matters and major considerations in developing, 
implementing, and coordinating CMS' programs as they interrelate in 
addressing national and regional strategies.
     Advises OA on special problems as they relate to national 
initiatives and programs and as they impact major constituents or their 
key representatives.
     Promotes accountability, communication, coordination and 
facilitation of cooperative corporate decision-making among CMS top 
senior staff on management, operational and programmatic issues cross-
cutting organizational components with diverse functions and 
activities.

12. Consortium for Medicaid & Children's Health Operations (FAW)

     Serves as the Field focal point for all CMS activities 
relating to Medicaid and the State Children's Health Insurance Program 
(SCHIP) with States and Local governments (including the Territories).
     Implements national Medicaid program and fiscal policies 
and procedures which support and assure effective State program 
administration and beneficiary protection. In partnership with States, 
evaluates the success of State Agencies in carrying out their 
responsibilities and, as necessary, assists States in correcting 
problems and improving the quality of their operations.
     Implements, interprets, and applies specific laws, 
regulations, and policies that directly govern the financial operation 
and management of the Medicaid program and the related interactions 
with States.
     Reviews, approves and conducts oversight of Medicaid 
managed care waiver programs. Provides assistance to States and 
external customers on all Medicaid managed care issues.
     Implements national policies and procedures on Medicaid 
automated claims/encounter processing and information retrieval systems 
such as the Medicaid Management Information System and integrated 
eligibility determination systems.
     Through administration of the home and community-based 
services program and policy collaboration with other Agency components 
and the States, promotes the appropriate choice and continuity of 
quality services available to frail elderly, disabled and chronically 
ill beneficiaries.
     Coordinates with and provides input into the Medicaid 
Integrity Program (MIP). Develops strategies to prevent and detect 
improper payments, including fraud and abuse by providers and others, 
from Medicaid and SCHIP. Offers support and assistance to the States to 
combat provider fraud, waste, and abuse. Provides guidance and 
direction to State Medicaid programs based on the insights gained 
through MIP's efforts.
     Serves as the Consortium focal point for emergency 
preparedness for the Field.
     Provides oversight in the areas of human resource 
procurement and logistics.
     Ensures the effective management of the Agency's 
information technology and information systems and resources in the 
Field.
     Implements the privacy and confidentiality policies 
pertaining to the collection, use, and release of individually 
identifiable data.
     Proactively establishes, manages, and fosters partnerships 
within the Consortium with State and Local governments, providers and 
provider associations, beneficiaries and their representatives, and the 
media that are focused on CMS' goals and objectives.
     Serves as the primary point of contact to appropriate 
members of Congress, State Governors, Federal, State, and Local 
officials and Tribal governments on matters concerning the Medicaid 
program.
     Oversees the coordination and integration of CMS' 
activities with other Federal, State, Local, and private health care 
agencies and organizations.
     Counsels, advises, and collaborates with top Agency 
officials on policy matters and major considerations in developing, 
implementing, and coordinating CMS' programs as they interrelate in 
addressing national and regional strategies.
     Advises OA on special problems as they relate to national 
initiatives and programs and as they impact major constituents or their 
key representatives.
     Promotes accountability, communication, coordination and 
facilitation of cooperative corporate decision-making among CMS' top 
senior staff on management, operational and programmatic issues cross-
cutting organizational components with diverse functions and 
activities.

13. Consortium for Quality Improvement & Survey & Certification 
Operations (FAX)

     Serves as the Field focal point for all quality, clinical 
and medical science issues and policies for the Agency's programs. 
Provides leadership and coordination for the development and 
implementation of a cohesive, Agency-wide approach to measuring and 
promoting quality and leads the Agency's priority-setting process for 
clinical quality improvement. Coordinates quality-related activities 
with outside organizations. Monitors quality of Medicare, Medicaid, and 
the Clinical Laboratory Improvement Amendments (CLIA). Evaluates the 
success of interventions.
     Identifies and develops best practices and techniques in 
quality improvement; implementation of these techniques will be 
overseen by appropriate components. Develops and collaborates on 
demonstration projects to test and promote quality measurement and 
improvement.
     Develops tests and evaluates, adopts and supports 
performance measurement systems (quality

[[Page 73850]]

indicators) to evaluate care provided to CMS' beneficiaries except for 
demonstration projects residing in other components.
     Assures that the Agency's quality-related activities 
(survey and certification, technical assistance, beneficiary 
information, payment policies and provider/plan incentives) are fully 
and effectively integrated in the Field. Carries out the Health Care 
Quality Improvement Program for the Medicare, Medicaid, and CLIA 
programs.
     Assists in the specification and operational refinement of 
an integrated CMS quality information system, which includes tools for 
measuring the coordination of care between health care settings; 
analyzes data supplied by that system to identify opportunities to 
improve care and assess success of improvement interventions.
     Enforces the requirements of participation for providers 
and plans in the Medicare, Medicaid, and CLIA programs. Recommends 
revisions of the requirements based on statutory change and input from 
other components.
     Operates the Medicare Quality Improvement Organization and 
End Stage Renal Disease Network program, providing policies and 
procedures, contract design, program coordination, and leadership in 
selected projects.
     Identifies, prioritizes and develops content for clinical 
and health related aspects of CMS' Consumer Information Strategy; and 
collaborates with other components to develop comparative provider and 
plan performance information for consumer choices.
     Assists in the preparation of the scientific, clinical and 
procedural basis for, and recommends to the Administrator decisions 
regarding, coverage of new and established technologies and services. 
Maintains liaison with other Departmental components regarding the 
safety and effectiveness of technologies and services; prepares the 
scientific and clinical basis for, and recommends approaches to, 
quality-related medical review activities of contractors and payment 
policies.
     Serves as the focal point for all CMS Field activities 
relating to CLIA and the survey and certification of health facilities 
with States and Local governments (including the Territories).
     Implements, evaluates and refines standardized provider 
performance measures used within provider certification programs. 
Supports States in their use of standardized measures for provider 
feedback and quality improvement activities. Implements and supports 
the data collection and analysis systems needed by States to administer 
the certification program.
     Serves as the Consortium focal point for emergency 
preparedness for the Field.
     Provides oversight in the areas of human resource 
procurement and logistics.
     Ensures the effective management of the Agency's 
information technology and information systems and resources in the 
Field.
     Implements the privacy and confidentiality policies 
pertaining to the collection, use, and release of individually 
identifiable data.
     Proactively establishes, manages, and fosters partnerships 
within the Consortium with State and Local governments, providers and 
provider associations, beneficiaries and their representatives, and the 
media that are focused on CMS' goals and objectives.
     Serves as the primary point of contact to appropriate 
members of Congress, State Governors, Federal, State, and Local 
officials and Tribal governments on matters concerning the Medicare and 
Medicaid programs.
     Oversees the coordination and integration of CMS' 
activities with other Federal, State, Local, and private health care 
agencies and organizations.
     Counsels, advises, and collaborates with top Agency 
officials on policy matters and major considerations in developing, 
implementing, and coordinating CMS' programs as they interrelate in 
addressing national and regional strategies.
     Advises OA on special problems as they relate to national 
initiatives and programs and as they impact major constituents or their 
key representatives.
     Promotes accountability, communication, coordination and 
facilitation of cooperative corporate decision-making among CMS top 
senior staff on management, operational and programmatic issues cross-
cutting organizational components with diverse functions and 
activities.

    Dated: November 23, 2007.
Charlene Frizzera,
Chief Operating Officer, Centers for Medicare & Medicaid Services.
[FR Doc. E7-25305 Filed 12-27-07; 8:45 am]
BILLING CODE 4120-01-P