Statement of Organization, Functions and Delegations of Authority, 510 [2019-28267]
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Federal Register / Vol. 85, No. 3 / Monday, January 6, 2020 / Notices
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Statement of Organization, Functions
and Delegations of Authority
This notice amends Part R of the
Statement of Organization, Functions
and Delegations of Authority of the
Department of Health and Human
Services (HHS), Health Resources and
Services Administration (HRSA) (60 FR
56605, as amended November 6, 1995;
as last amended at 84 FR 49535–49540
dated September 20, 2019).
HRSA is making changes within their
Healthcare Systems Bureau, Division of
National Hansen’s Program, to improve
the delivery of patient services, increase
management and administrative
efficiencies, and optimize use of staff
resources within the Division.
Specifically this reorganization
updates the functions of the Division of
National Hansen’s Disease Program
(RRH).
Chapter RRH—Division of National
Hansen’s Disease Program
lotter on DSKBCFDHB2PROD with NOTICES
Section RRH.20 Function
Delete the functional statement for the
Division of National Hansen’s Disease
Program (RRH) in its entirety and
replace with the following:
Division of National Hansen’s Disease
Program (RRH)
The National Hansen’s Disease
Program (NHDP) in accordance with
regulations and the Public Health
Service (PHS) Act, Sec. 320 as amended
by Public Law 105–78, Sec. 211, (1)
provides care and treatment for persons
with Hansen’s Disease (leprosy),
including managing a national shortterm and outpatient health care delivery
program providing specialized services
to persons with Hansen’s Disease; (2)
conducts and promotes the coordination
of research (including clinical research),
investigations, demonstrations, and
studies relating to the causes, diagnosis,
treatment, control, and prevention of
Hansen’s disease and other
mycobacterial diseases and
complications related to such diseases;
(3) conducts training in the diagnosis
and management of Hansen’s disease
and related complications; (4) provides
education and training to staff from the
outpatient Hansen’s Disease Clinics and
to private physicians; (5) operates and
oversees the National Hansen’s Disease
Museum and Cemetery; (6) consults on
the coordination of activities within
HRSA and HHS, and with other federal
VerDate Sep<11>2014
17:53 Jan 03, 2020
Jkt 250001
agencies, state and local governments,
and other public and private
organizations involved in Hansen’s
Disease activities; (7) manages a
network of contracted outpatient clinics
providing care to persons with Hansen’s
Disease; and (8) manages and
coordinates the National Hansen’s
Disease Program’s administrative and
operational activities with HRSA and
HHS, other federal agencies, state and
local governments, and other public and
private organizations involved in
Hansen’s Disease activities.
Section RRH.30, Delegation of Authority
All delegations of authority and redelegations of authority made to
officials and employees of affected
organizational components will
continue in them or their successors
pending further redelegation, if allowed,
provided they are consistent with this
reorganization.
This reorganization is effective upon
date of signature.
(Authority: 44 U.S.C. 3101)
Dated: December 18, 2019.
Thomas J. Engels,
Administrator.
[FR Doc. 2019–28267 Filed 1–3–20; 8:45 am]
BILLING CODE 4165–15–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
[OMHA–1903–N]
Medicare Program; Administrative Law
Judge Hearing Program for Medicare
Claim and Entitlement Appeals;
Quarterly Listing of Program
Issuances—July Through September
2019
Office of Medicare Hearings
and Appeals (OMHA), HHS.
AGENCY:
ACTION:
Notice.
This quarterly notice lists the
OMHA Case Processing Manual (OCPM)
instructions that were published from
July through September 2019. This
manual standardizes the day-to-day
procedures for carrying out adjudicative
functions, in accordance with
applicable statutes, regulations, and
OMHA directives, and gives OMHA
staff direction for processing appeals at
the OMHA level of adjudication.
SUMMARY:
FOR FURTHER INFORMATION CONTACT:
Dorman, by telephone at (571) 457–
7220, or by email at jon.dorman@
hhs.gov.
SUPPLEMENTARY INFORMATION:
PO 00000
Frm 00018
Fmt 4703
Sfmt 4703
Jon
I. Background
The Office of Medicare Hearings and
Appeals (OMHA), a staff division within
the Office of the Secretary within the
U.S. Department of Health and Human
Services (HHS), administers the
nationwide Administrative Law Judge
hearing program for Medicare claim;
organization, coverage, and at-risk
determination; and entitlement appeals
under sections 1869, 1155,
1876(c)(5)(B), 1852(g)(5), and 1860D–
4(h) of the Social Security Act (the Act).
OMHA ensures that Medicare
beneficiaries and the providers and
suppliers that furnish items or services
to Medicare beneficiaries, as well as
Medicare Advantage organizations
(MAOs), Medicaid State agencies, and
applicable plans, have a fair and
impartial forum to address
disagreements with Medicare coverage
and payment determinations made by
Medicare contractors, MAOs, or Part D
plan sponsors (PDPSs), and
determinations related to Medicare
eligibility and entitlement, Part B late
enrollment penalty, and income-related
monthly adjustment amounts (IRMAA)
made by the Social Security
Administration (SSA).
The Medicare claim, organization
determination, coverage determination,
and at-risk determination appeals
processes consist of four levels of
administrative review, and a fifth level
of review with the Federal district
courts after administrative remedies
under HHS regulations have been
exhausted. The first two levels of review
are administered by the Centers for
Medicare & Medicaid Services (CMS)
and conducted by Medicare contractors
for claim appeals, by MAOs and an
Independent Review Entity (IRE) for
Part C organization determination
appeals, or by PDPSs and an IRE for Part
D coverage determination and at-risk
determination appeals. The third level
of review is administered by OMHA and
conducted by Administrative Law
Judges and attorney adjudicators. The
fourth level of review is administered by
the HHS Departmental Appeals Board
(DAB) and conducted by the Medicare
Appeals Council (Council). In addition,
OMHA and the DAB administer the
second and third levels of appeal,
respectively, for Medicare eligibility,
entitlement, Part B late enrollment
penalty, and IRMAA reconsiderations
made by SSA; a fourth level of review
with the Federal district courts is
available after administrative remedies
within SSA and HHS have been
exhausted.
Sections 1869, 1155, 1876(c)(5)(B),
1852(g)(5), and 1860D–4(h) of the Act
E:\FR\FM\06JAN1.SGM
06JAN1
]]>Agencies
[Federal Register Volume 85, Number 3 (Monday, January 6, 2020)]
[Notices]
[Page 510]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-28267]
[[Page 510]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Statement of Organization, Functions and Delegations of Authority
This notice amends Part R of the Statement of Organization,
Functions and Delegations of Authority of the Department of Health and
Human Services (HHS), Health Resources and Services Administration
(HRSA) (60 FR 56605, as amended November 6, 1995; as last amended at 84
FR 49535-49540 dated September 20, 2019).
HRSA is making changes within their Healthcare Systems Bureau,
Division of National Hansen's Program, to improve the delivery of
patient services, increase management and administrative efficiencies,
and optimize use of staff resources within the Division.
Specifically this reorganization updates the functions of the
Division of National Hansen's Disease Program (RRH).
Chapter RRH--Division of National Hansen's Disease Program
Section RRH.20 Function
Delete the functional statement for the Division of National
Hansen's Disease Program (RRH) in its entirety and replace with the
following:
Division of National Hansen's Disease Program (RRH)
The National Hansen's Disease Program (NHDP) in accordance with
regulations and the Public Health Service (PHS) Act, Sec. 320 as
amended by Public Law 105-78, Sec. 211, (1) provides care and treatment
for persons with Hansen's Disease (leprosy), including managing a
national short-term and outpatient health care delivery program
providing specialized services to persons with Hansen's Disease; (2)
conducts and promotes the coordination of research (including clinical
research), investigations, demonstrations, and studies relating to the
causes, diagnosis, treatment, control, and prevention of Hansen's
disease and other mycobacterial diseases and complications related to
such diseases; (3) conducts training in the diagnosis and management of
Hansen's disease and related complications; (4) provides education and
training to staff from the outpatient Hansen's Disease Clinics and to
private physicians; (5) operates and oversees the National Hansen's
Disease Museum and Cemetery; (6) consults on the coordination of
activities within HRSA and HHS, and with other federal agencies, state
and local governments, and other public and private organizations
involved in Hansen's Disease activities; (7) manages a network of
contracted outpatient clinics providing care to persons with Hansen's
Disease; and (8) manages and coordinates the National Hansen's Disease
Program's administrative and operational activities with HRSA and HHS,
other federal agencies, state and local governments, and other public
and private organizations involved in Hansen's Disease activities.
Section RRH.30, Delegation of Authority
All delegations of authority and re-delegations of authority made
to officials and employees of affected organizational components will
continue in them or their successors pending further redelegation, if
allowed, provided they are consistent with this reorganization.
This reorganization is effective upon date of signature.
(Authority: 44 U.S.C. 3101)
Dated: December 18, 2019.
Thomas J. Engels,
Administrator.
[FR Doc. 2019-28267 Filed 1-3-20; 8:45 am]
BILLING CODE 4165-15-P
