[Federal Register Volume 62, Number 85 (Friday, May 2, 1997)]
[Notices]
[Pages 24120-24126]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-11437]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
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, Health
Care Financing Administration (HCFA), (Federal Register, Vol. 59, No.
60, pp. 14628-14662, dated Tuesday, March 29, 1994, and subsequent
thereafter) is amended to reflect changes to the structure of HCFA.
HCFA has reorganized the way it operates for the following reasons:
Growth of managed care, changes in the Federal/State relationship, and
movement to a Medicare Transaction System environment. The Centers/
Offices are functionally grouped to support beneficiaries and be more
responsive to major changes in the health care market.
The specific amendments to Part F are described below:
Section F.10.A.5. (Organization) is amended to read as
follows:
1. Press Office (FAE)
2. Office of Legislation (FAF)
3. Office of Internal Customer Support (FAH)
4. Office of Equal Opportunity and Civil Rights (FAJ)
5. Office of Strategic Planning (FAK)
6. Office of Communications and Operations Support (FAL)
7. Office of Clinical Standards and Quality (FAM)
8. Office of Financial Management (FAN)
9. Office of Information Services (FAP)
10. Center for Beneficiary Services (FAQ)
11. Center for Health Plans and Providers (FAR)
12. Center for Medicaid and State Operations (FAS)
13. Consortium #1 (FAU)
14. Consortium #2 (FAV)
15. Consortium #3 (FAW)
16. Consortium #4 (FAX)
Section F.20.A.5. (Functions) is amended to read as follows:
1. Press Office (FAE)
Serves as the focal point for the Agency to the news
media.
Serves as senior counsel to the Administrator in all
activities related to the media. Provides consultation, advice, and
training to the Agency's senior staff with respect to relations with
the news media.
Develops and executes strategies to further the Agency's
relationship and dealings with the media. Maintains a broad based
knowledge of the Agency's structure, responsibilities, mission, goals,
programs, and initiatives in order to provide or arrange for rapid and
accurate response to news media needs.
Prepares and edits appropriate materials about the Agency,
its policies, actions and findings, and provides them to the public
through the print and broadcast media. Develops and directs media
relations' strategies for the Agency.
Responds to inquiries from a broad variety of news media,
including major newspapers, national television and radio networks,
national news magazines, local newspapers and radio and television
stations, publications directed toward the Agency's beneficiary
populations, and newsletters serving the health care industry.
Manages press inquiries, coordinates sensitive press
issues, and develops policies and procedures for how press and media
inquiries are handled.
Arranges formal interviews for journalists with the
Agency's Administrator or other appropriate senior Agency staff;
identifies for interviewees the issues to be addressed, and prepares or
obtains background materials as needed.
For significant Agency initiatives, issues media
advisories and arranges press conferences as appropriate; coordinates
material and personnel as necessary.
Serves as liaison with the Department of Health and Human
Services and White House press offices.
2. Office of Legislation (FAF)
Provides leadership and executive direction within the
Agency for legislative planning to address the Administration's agenda.
Tracks, evaluates and develops provisions of annual
legislative proposals for Medicare, Medicaid, Clinical Laboratory
Improvement Act (CLIA), Health Insurance Portability and Accountability
Act (HIPAA) and related statutes affecting health care financing
[[Page 24121]]
quality and access in concert with HCFA components, the Department and
the Office of Management and Budget (OMB).
Advances the legislative policy process through analysis,
review and development of health care initiatives and issues.
Develops the long-range legislative plans for the Agency
in collaboration with the HCFA Centers and Offices.
Participates with other HCFA components in the development
of Agency policy, including implementing regulations and administrative
actions.
Manages pro-actively the Agency's response in times of
heightened congressional oversight of HCFA in collaboration with the
Centers and Offices. Manages, coordinates and develops policies for
responding to congressional inquiries.
Coordinates activities with the Office of the Assistant
Secretary for Legislation (ASL) and serves as the ASL's principal
contact point on legislative and congressional relations.
In collaboration with HCFA Centers and Offices, provides
technical assistance, consultation and information services to
congressional committees and individual members of Congress on the
Medicare and Medicaid programs, new HCFA initiatives and pertinent
legislation.
In collaboration with the HCFA Centers and Offices,
provides technical, analytical, advisory and information services to
the Agency's components, the Department, the White House, OMB, other
government agencies, private organizations and the general public on
Agency legislation.
Tracks and reports on legislation relating to HCFA
programs and maintains legislative reference library.
Coordinates the Agency's participation in congressional
hearings, including preparation of testimony and briefing materials,
and covers all other congressional hearings on matters of interest to
the Agency except Appropriations Committee hearings specifically on the
appropriation budget.
3. Office of Internal Customer Support (FAH)
Serves as the focal point for providing the Agency's
internal customers (employees) with support in human resource
management, procurement management, logistics, and local area network
(LAN) services. Includes planning, organizing, coordinating, and
evaluating needed activities in each area.
Manages and directs the Agency's human resources programs
including: Human resources planning and development, position
classification, organizational analysis and development, administrative
and program delegations of authority, management support, labor
relations, employee assistance, employee benefits, and performance
management and awards.
Leads the assessment of staff development and support
requirements. Designs, develops and maintains staff development
programs to meet theses needs. Activities focus on: Development of
baseline information and an ongoing performance monitoring program of
staff satisfaction and functional competencies; development of
communications and feedback mechanisms within the Agency; and close
collaboration with other Federal and private sector groups with shared
interest in human resource management and development.
Develops and implements the Agency's policies, rules and
procedures related to effecting, managing and directing Agency
procurements. Ensures that procurement meet all legal, ethical and
financial requirements. Working with the project officer (technical
representative) in the components, evaluates the performance of
contractor/grantee, and ensures that required deliverables are produced
within prescribed guidelines.
Provides workstation, server, and local area network
support for HCFA-wide activities. Works with customer components to
develop requirements, needs and cost benefit analysis in support of the
LAN infrastructure including hardware, software and office automation
services.
Provides policy direction, coordination and support for
administrative services including space, property, records, printing
and facilities' management, safety and security, and teleproduction,
telecommunications and graphics services, and a centralized customer
service desk.
Serves as the organizational home of the Provider
Reimbursement Review Board (PRRB). Furnishes administrative support to
the PRRB and the Medicare Geographic Classification Review Board
(MGCRB). On behalf of the Secretary or the Administrator conducts
hearings that are not within the jurisdiction of the Departmental
Appeals Board, the Social Security Administration's Office of Hearings
and Appeals, PRRB, MGCRB, Medicare contractors, or the States.
Provides administrative support functions for Executive
Management Services.
Develops and maintains administrative systems for
personnel, property management, and related purposes.
4. Office of Equal Opportunity and Civil Rights (FAJ)
Provides agency-wide leadership and advice on issues of
diversity, civil right, and promotion of a supportive work environment
for Agency employees.
Develops, implements and manages affirmative employment
programs. Provides principal advisory, advocacy, and liaison services
for the Administrator to Agency leadership and employees concerning
equality in employment related issues to ensure a diverse workforce.
Develops Equal Employment Opportunity (EEO) and civil
rights compliance policy for the Agency. Assesses the Agency's
compliance with applicable civil rights statutes, executive orders,
regulations, policies, and programs.
Identifies policy and operational issues and proposes
solutions for resolving these issues in partnership with management,
Office of the General Counsel, and other organizational entities.
Receives and evaluates complaints for procedural
sufficiency; investigates, adjudicates and resolves such complaints.
Promotes the representation of minority groups, women, and
individuals with disabilities through community outreach and other
activities.
Resolves informal discrimination complaints by means of
EEO counseling and/or Alternative Dispute Resolution (ADR).
Develops and analyzes data for internal and external
reports reflecting the diversity of the Agency workforce and fairness
in employment related actions. Makes recommendations to management on
changes needed to ensure equal employment opportunity in every respect.
Serves as the internal advocate for civil rights and
related principles. Provides training, seminars, and technical guidance
to Agency staff.
5. Office of Strategic Planning (FAK)
Develops and manages the long-term strategic planning
process for the Agency; responsible for the Agency's conformance with
the requirements of the Government Performance and Results Act (GPRA).
Provides analytic support and information to the
Administrator and
[[Page 24122]]
the Executive Council needed to establish Agency goals and directions.
Performs environmental scanning, identifying, evaluating,
and reporting emerging trends in health care delivery and financing and
their interactions with Agency programs.
Manages strategic, crosscutting initiatives.
Designs and conducts research and evaluations of health
care programs, studying their impacts on beneficiaries, providers,
plans, States and other partners and customers, designing and assessing
potential improvements, and developing new measurement tools.
Coordinates all Agency demonstration activities, including
development of the research and demonstration annual plan, evaluation
of all Agency demonstrations, and assistance to other components in the
design of demonstrations and studies.
Manages assigned demonstrations, including Federal review,
approval, and oversight; coordinates and participates with departmental
components in experimental health care delivery projects.
Conducts the Agency's actuarial program. Evaluates the
financial and actuarial status of HCFA programs for the annual Trustees
Reports and Administration budget, and under proposed legislation.
Develops macroeconomic analyses of health care financing issues;
conducts actuarial, economic, and demographic studies and develops
projections of health care costs.
Provides actuarial and other technical advice and
consultation to Agency components, governmental components, Congress,
and outside organizations.
Develops the official estimates of the Nation's health
care spending.
Develops actuarial, research, demonstration, and other
publications and papers related to health care issues.
Computes payment rates, indices, and copayments in support
of program operations.
6. Office of Communications and Operations Support (FAL)
Serves a neutral broker coordination role, including
scheduling meetings and briefings for the Administrator and
coordinating communications between and among central and regional
office, in order to ensure that emerging issues are identified early,
all concerned components are directly and fully involved in policy
development/decision making and that all points of view are presented.
Coordinates and monitors assigned Agency initiatives which
are generally tactical, short-term and cross-component in nature (e.g.,
legislative implementation).
Provides operational and analytical support to the
Executive Council.
Manages speaking and meeting requests for or on behalf of
the Administrator and Deputy Administrator and researches and writes
speeches.
Coordinates agency-wide communication policies to insure
that messages for external audiences appropriately incorporate Agency
themes.
Coordinates the preparation of manuals and other policy
instructions to insure accurate and consistent implementation of the
Agency's programs.
Manages the Agency's system for developing, clearing and
tracking regulations, setting regulation priorities and corresponding
work agendas; coordinates the review of regulations received for
concurrence from departmental and other government agencies and
develops routine and special reports on the Agency's regulatory
activities.
Manages the agency-wide clearance system to insure
appropriate involvement from Agency components and serves as a primary
focal point for liaison with the Executive Secretariat in the Office of
the Secretary.
Operates the agency-wide correspondence tracking and
control system and provides guidance and technical assistance on
standards for content of correspondence and memoranda.
Formulates strategies to advance overall communications
goals and coordinates the design and publication process in electronic
and other media for HCFA electronic information, publications and
reports to ensure consistency with other information.
Provides management and administrative support to the
Office of the Attorney Advisor and staff.
7. Office of Clinical Standards and Quality
Serves as the 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 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 indicators @) to evaluate care
provided to HCFA 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. Carries out the Health Care Quality
Improvement Program (HCQIP) for the Medicare, Medicaid, and CLIA
programs.
Leads in the specification and operational refinement of
an integrated HCFA 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.
Develops requirements of participation for providers and
plans in the Medicare, Medicaid, and CLIA programs. Revises
requirements based on statutory change and input from other components.
Operates the Medicare Peer Review Organization and End
Stage Renal Disease (ESRD) Network program in conjunction with regional
offices, 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 HCFA's Consumer Information Strategy;
collaborates with other components to develop comparative provider and
plan performance information for consumer choices.
Prepares the scientific, clinical, and procedural basis
for and recommends to the Administrator decisions regarding coverage of
new and established technologies and services. Coordinates activities
of the Agency's Technology Advisory Committee (TAC) and maintains
liaison with other departmental components regarding the safety and
effectiveness of technologies and services; prepares the scientific and
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clinical basis for, and recommends approaches to, quality-related
medical review activities of carriers and payment policies.
8. Office of Financial Management (FAN)
Serves as the Chief Financial Officer and Comptroller for
the Agency.
Formulates, presents and executes all Agency budget
accounts; develops outlay plans and tracks contract and grant award
amounts; acts as liaison with the Congressional Budget Office (CBO) on
budget estimates; reviews demonstration waivers (except 1115) for
revenue neutrality. Is responsible for ensuring that the budget is
formulated in accordance with the Agency's strategic plan and the GPRA
goals and performance measures.
Acts as liaison with ASMB, OMB, and the Congressional
appropriations committees for all matters concerning the Agency's
operating budget.
Manages the Medicare financial management system, the
Medicare contractors' budgets, Peer Review Organizations' budgets,
research budgets, managed care payments, the issuance of State Medicaid
grants, and the funding of the State survey/certification and the CLIA
programs. Is responsible for all Agency disbursements.
Performs cash management activities and establishes and
maintains systems to control the obligation of funds and ensure that
the Anti-Deficiency Act is not violated.
Performs the Agency's debt management activities (e.g.,
accounts receivable, user fees, penalties, disallowances).
Reconciles all Agency financial data and prepares external
reports to other agencies such as HHS, Treasury, OMB, Internal Revenue
Service, General Services Administration, related to the Agency's
obligations, expenditures, prompt payment activities, debt and cash
management, and other administrative functions.
Has overall responsibility for the fiscal integrity of all
Agency programs. Develops and performs all benefit integrity policy and
operations in coordination with other Agency components. Manages the
Medicare program integrity contractors authorized by the HIPAA and
managed care financial audit and enforcement functions. In coordination
with the Center for State Operations, develops Medicaid program
integrity policy; and monitors Medicaid program integrity activities.
Working with other HCFA components, develops Agency
policies governing both Medicare Secondary Payer (MSP) and Medicaid
Third Party Liability.
Develops and implements all civil money penalty policies
in all programs.
Acts as audit liaison with the General Accounting Office
(GAO) and the HHS Office of Inspector General (OIG).
Prepares financial statements for Federal Managers
Financial Integrity Act (FMFIA) and GPRA.
9. Office of Information Services (FAP)
Serves as the focal point for the responsibilities of the
Agency's Chief Information Officer in planning, organizing, and
coordinating the activities required to maintain an agency-wide
Information Resources Management (IRM) program.
Ensures the effective management of the Agency's
information technology, and information systems and resources (e.g.,
implementation and administration of a change management process).
Serves as the lead for developing and enforcing the
Agency's information architecture, policies, standards, and practices
in all areas of information technology.
Develops and maintains enterprise-wide central databases,
statistical files, and general access paths, ensuring the quality of
information maintained in these data sources.
Develops and implements the Medicare Transaction System
(MTS).
Directs Medicare claims payment systems activities,
including CWF operation, as well as systems conversion activities.
Develops ADP standards and policies for use by internal
HCFA staff and contractor agents in such areas as applications
development and use of the infrastructure resources.
Manages and directs the operation of HCFA hardware
infrastructure, including the Agency's Data Center, data communications
networks, enterprise infrastructure, voice/data switch, audio
conferencing and other data centers supporting HCFA programs.
Leads the coordination, development, implementation and
maintenance of health care information standards in the health care
industry.
Provides Medicare and Medicaid information to the public,
within the parameters imposed by the Freedom of Information (FOIA) and
Privacy Acts.
Performs information collection analyses as necessary to
satisfy the requirements of the Paperwork Reduction Act.
Directs HCFA's ADP systems security program with respect
to data, hardware, and software.
Directs and advises the Administrator, senior staff, and
components on the requirements, policies, and administration of the
Freedom of Information Act and the Privacy Act.
10. Center for Beneficiary Services (FAQ)
Serves as the focal point for all Agency interactions with
beneficiaries, their families, care givers and other representatives
concerning improving beneficiary ability to make informed decisions
about their health and about program benefits administered by the
Agency. These activities include strategic and implementation planning
and evaluation, and communications.
Assesses beneficiary and other consumer needs, develops
and oversees interventions targeted to meet these needs, and documents
and disseminates results of these interventions. These activities focus
on Agency beneficiary service goals and objectives and include:
Development of baseline and ongoing monitoring information concerning
populations affected by Agency programs; development of performance
measures and evaluation programs; design and implementation of
beneficiary services initiatives; development of communications
channels and feedback mechanisms within the Agency and between the
Agency and its beneficiaries and their representatives; and close
collaboration with other Federal and State agencies and other
stakeholders with a shared interest in better serving our
beneficiaries.
Develops national Medicare eligibility, enrollment,
entitlement, coordination of benefits, managed care enrollment and
disenrollment and appeals process policies and procedures necessary to
assure the effective administration of the Medicare program, including
the development of related statutory proposals.
Coordinates beneficiary-centered information, education
and service initiatives.
Develops and tests new and innovative methods to improve
beneficiary aspects of health care delivery systems through Title XVIII
and XIX demonstrations and other creative approaches to meeting the
needs of Agency beneficiaries.
Assures in coordination with other Centers and Offices,
that the activities of Medicare contractors, including managed care
plans, agents and State Agencies meet the Agency's
[[Page 24124]]
requirements on matters concerning beneficiaries and other consumers.
Plans and administers the contracts and grants related to
beneficiary and customer service, including the Information Counseling
and Assistance grants.
During the period of transition to the Medicare
Transaction System, coordinates all aspects of program direction and
contract management and oversight of the current Medicare fiscal
intermediaries and carriers and MTSI contractors.
11. Center for Health Plans and Providers (FAR)
Serves as the focal point for all Agency interactions with
managed health care organizations and health care providers for issues
relating to Agency programs' policy and operations.
Develops purchasing strategies that will improve the
quality of health care choices for beneficiaries.
Develops 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.
Monitors providers', health plans' and other entities'
conformance with: Quality standards (other than those directly related
to survey and certification); policies related to scope of benefits;
and other statutory, regulatory, and contractual provisions.
Based on medical review data, develops payment mechanisms,
administrative mechanisms, and regulations to ensure that HCFA is
purchasing medically necessary services in both fee-for-service and
managed care.
Writes payment and benefit-related instructions for
Medicare contractors.
Handles all phases of contracts with managed health care
organizations eligible to provide care to Medicare beneficiaries.
Is the primary point of contact and liaison with other
public and private purchasers, except the States, for the purposes of
developing collaborative purchasing, management, quality assurance,
oversight, and other strategies and projects.
Defines the scope of Medicare benefits and develops
national payment policies as necessary to assure the effective
administration of the Agency's programs, including the development of
related statutory proposals.
Coordinates the administration of individual benefits to
assure appropriate focus on long term care, where applicable, and
assumes responsibility for the operational and demonstration efforts
related to the payment aspects of long term care and post-acute care
services.
Designs and conducts payment, purchasing, and benefits
demonstrations.
Develops Agency medical coding policies related to
payments.
Provides administrative support to the Practicing
Physician Advisory Council.
12. Center for Medicaid and State Operations (FAS)
Serves as the focal point for all Agency interactions with
States and local governments (including the Territories) and Native
American and Alaskan Native tribes.
Develops national Medicaid policies and procedures which
support and assure effective State program administration and
beneficiary protection. In partnership with the States, evaluates the
success of State agencies in carrying out their responsibilities and,
as necessary, assists the States in correcting problems and improving
the quality of their operations.
Develops, 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 the States and regional offices.
Develops 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 coordination with other components, develops,
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. Develops, implements and supports the data
collection and analysis systems needed by States to administer the
certification program.
Reviews, approves and conducts oversight of Medicaid
managed care waiver programs. Provides assistance to States and
external customers on all Medicaid managed care issues.
Develops national policies and procedures on Medicaid
automated claims/ encounter processing and information retrieval
systems such as the Medicaid Management Information System (MMIS) and
integrated eligibility determination systems.
In coordination with the Office of Financial Management,
directs, coordinates, and monitors program integrity efforts and
activities by States and regions. Works with the Office of Financial
Management to provide input in the development of program integrity
policy.
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.
Develops and tests new and innovative methods to improve
the Medicaid program through demonstrations and best practices
including managing review, approval, and oversight of the Section 1115
demonstrations.
Directs the planning, coordination, and implementation of
the survey, certification, and enforcement programs for all Medicare
and Medicaid providers and suppliers, and for laboratories under the
auspices of the Clinical Laboratory Improvement Act (CLIA). Reviews and
approves applications by States for ``exemption'' from CLIA and
applications from private accreditation organizations for deeming
authority. Develops assessment techniques and protocols for
periodically evaluating the performance of these entities. Monitors the
performance of proficiency testing programs under the auspices of CLIA.
Provides leadership for the Agency in the area of
intergovernmental affairs. Advises the Administrator and other Agency
components on program matters which affect other units and levels of
government. Coordinates activities with the Office of the Secretary's
intergovernmental affairs officials.
13. Northeastern Consortium (FAU)
Directs the planning, coordination, and implementation of
the programs under Titles XI, XVIII, and XIX of the Social Security Act
and related statutes within the Agency's regional/field offices that
comprise the Consortium.
Provides executive leadership and direction to the
Agency's Regional Administrator(s) in the Consortium.
Assures that the Agency's programs are carried out in the
most effective and efficient manner within the Consortium, and that
they are coordinated both at the
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consortium level and with the Agency's headquarters' offices.
Provides a Consortium-wide perspective to the Agency's
Administrator and other members of the Executive Council in such
activities as strategic planning, determining the effectiveness of the
Agency's programs and policies, budget formulation and execution,
legislation, and administrative management.
Assures that the Agency's national policies, programs and
special initiatives are implemented effectively throughout the
Consortium. Conducts local projects to improve the quality of medical
care provided to beneficiaries and to control fraud, abuse and waste in
the Agency's programs.
Evaluates progress in the administration of the Agency's
programs in the Consortium, ensuring that required actions are taken to
direct or redirect efforts and/or resources to achieve program
objectives.
Working with the Regional Administrator(s) in the
Consortium and the Agency's headquarters' leadership, assures that the
information needs of the Medicare and Medicaid beneficiaries are fully
understood and met, to the maximum degree possible. In association with
other Agency components, maintains an understanding of the health care
market that is operating in the Consortium in order to allow the Agency
to adapt to changes in that market when appropriate.
Assures that the Regional Administrator(s) in the
Consortium Fully coordinate the Agency's programs with other Health and
Human Services' components, other Federal agencies, the Agency's
contractors, State and local governments, professional associations,
other interested groups, and the Agency's beneficiaries and/or
representatives in their respective region.
Working with the Agency's headquarters, manages the
Consortium's administrative budget, to include the planning and
allocation of resources to the regional offices comprising the
Consortium.
14. Southern Consortium (FAV)
Directs the planning, coordination, and implementation of
the programs under Titles XI, XVIII, and XIX of the Social Security Act
and related statutes within the Agency's regional/field offices that
comprise the Consortium.
Provides executive leadership and direction to the
Agency's Regional Administrator(s) in the Consortium.
Assures that the Agency's programs are carried out in the
most effective and efficient manner within the Consortium, and that
they are coordinated both at the consortium level and with the Agency's
headquarters' offices.
Provides a Consortium-wide perspective to the Agency's
Administrator and other members of the Executive Council in such
activities as strategic planning, determining the effectiveness of the
Agency's programs and policies, budget formulation and execution,
legislation, and administrative management.
Assures that the Agency's national policies, programs and
special initiatives are implemented effectively throughout the
Consortium. Conducts local projects to improve the quality of medical
care provided to beneficiaries and to control fraud, abuse and waste in
the Agency's programs.
Evaluates progress in the administration of the Agency's
programs in the Consortium, ensuring that required actions are taken to
direct or redirect efforts and/or resources to achieve program
objectives.
Working with the Regional Administrator(s) in the
Consortium and the Agency's headquarters' leadership, assures that the
information needs of the Medicare and Medicaid beneficiaries are fully
understood and met, to the maximum degree possible. In association with
other Agency components, maintains an understanding of the health care
market that is operating in the Consortium in order to allow the Agency
to adapt to changes in that market when appropriate.
Assures that the Regional Administrator(s) in the
Consortium fully coordinate the Agency's programs with other Health and
Human Services' components, other Federal agencies, the Agency's
contractors, State and local governments, professional associations,
other interested groups, and the Agency's beneficiaries and/or
representatives in their respective region.
Working with the Agency's headquarters, manages the
Consortium's administrative budget, to include the planning and
allocation of resources to the regional offices comprising the
Consortium.
15. Midwestern Consortium (FAW)
Directs the planning, coordination, and implementation of
the programs under Titles XI, XVIII, and XIX of the Social Security Act
and related statutes within the Agency's regional/field offices that
comprise the Consortium.
Provides executive leadership and direction to the
Agency's Regional Administrator(s) in the Consortium.
Assures that the Agency's programs are carried out in the
most effective and efficient manner within the Consortium, and that
they are coordinated both at the consortium level and with the Agency's
headquarters' offices.
Provides a Consortium-wide perspective to the Agency's
Administrator and other members of the Executive Council in such
activities as strategic planning, determining the effectiveness of the
Agency's programs and policies, budget formulation and execution,
legislation, and administrative management.
Assures that the Agency's national policies, programs and
special initiatives are implemented effectively throughout the
Consortium. Conducts local projects to improve the quality of medical
care provided to beneficiaries and to control fraud, abuse and waste in
the Agency's programs.
Evaluates progress in the administration of the Agency's
programs in the Consortium, ensuring that required actions are taken to
direct or redirect efforts and/or resources to achieve program
objectives.
Working with the Regional Administrator(s) in the
Consortium and the Agency's headquarters' leadership, assures that the
information needs of the Medicare and Medicaid beneficiaries are fully
understood and met, to the maximum degree possible. In association with
other Agency components, maintains an understanding of the health care
market that is operating in the Consortium in order to allow the Agency
to adapt to changes in that market when appropriate.
Assures that the Regional Administrator(s) in the
Consortium fully coordinate the Agency's programs with other Health and
Human Services' components, other Federal agencies, the Agency's
contractors, State and local governments, professional associations,
other interested groups, and the Agency's beneficiaries and/or
representatives in their respective region.
Working with the Agency's headquarters, manages the
Consortium's administrative budget, to include the planning and
allocation of resources to the regional offices comprising the
Consortium.
16. Western Consortium (FAX)
Directs the planning, coordination, and implementation of
the programs under Titles XI, XVIII, and XIX of the Social Security Act
and related statutes within the Agency's regional/field offices that
comprise the Consortium.
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Provides executive leadership and direction to the
Agency's Regional Administrator(s) in the Consortium.
Assures that the Agency's programs are carried out in the
most effective and efficient manner within the Consortium, and that
they are coordinated both at the consortium level and with the Agency's
headquarters' offices.
Provides a Consortium-wide perspective to the Agency's
Administrator and other members of the Executive Council in such
activities as strategic planning, determining the effectiveness of the
Agency's programs and policies, budget formulation and execution,
legislation, and administrative management.
Assures that the Agency's national policies, programs and
special initiatives are implemented effectively throughout the
Consortium. Conducts local projects to improve the quality of medical
care provided to beneficiaries and to control fraud, abuse and waste in
the Agency's programs.
Evaluates progress in the administration of the Agency's
programs in the Consortium, ensuring that required actions are taken to
direct or redirect efforts and/or resources to achieve program
objectives.
Working with the Regional Administrator(s) in the
Consortium and the Agency's headquarters' leadership, assures that the
information needs of the Medicare and Medicaid beneficiaries are fully
understood and met, to the maximum degree possible. In association with
other Agency components, maintains an understanding of the health care
market that is operating in the Consortium in order to allow the Agency
to adapt to changes in that market when appropriate.
Assures that the Regional Administrator(s) in the
Consortium fully coordinate the Agency's programs with other Health and
Human Services' components, other Federal agencies, the Agency's
contractors, State and local governments, professional associations,
other interested groups, and the Agency's beneficiaries and/or
representatives in their respective region.
Working with the Agency's headquarters, manages the
Consortium's administrative budget, to include the planning and
allocation of resources to the regional offices comprising the
Consortium.
Dated: April 19, 1997.
Bruce Vladeck
Administrator, Health Care Financing Administration.
[FR Doc. 97-11437 Filed 5-1-97; 8:45 am]
BILLING CODE 4120-01-P