[Federal Register: February 20, 2003 (Volume 68, Number 34)]
[Notices]
[Page 8297-8299]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr20fe03-66]
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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. 67, No.
125, pp. 43632-43633, dated Friday, June 28, 2002; Vol. 67, No. 207, p.
65589, dated Friday, October 25, 2002) is amended to reflect a change
to the organizational structure of CMS by establishing the Office of
Health Insurance Portability and Accountability Act Standards.
The specific amendments to part F are described below:
[sbull] Section F.10. (Organization) is amended to read as follows:
1. Public Affairs Office (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, Demonstration, 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. Northeastern Consortium (FAU)
11. Southern Consortium (FAV)
12. Midwestern Consortium (FAW)
13. Western Consortium (FAX)
14. Office of Operations Management (FAY)
15. Office of Internal Customer Support (FBA)
16. Office of Information Services (FBB)
17. Office of Financial Management (FBC)
18. Office of Strategic Operations and Regulatory Affairs (FGA)
19. Office of Health Insurance Portability and Accountability Act
Standards (FHA)
[sbull] Section F.20. (Functions) is amended by deleting the
functional
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statement in its entirety for the Office of Operations Management. The
new functional statement reads as follows:
14. Office of Operations Management (FAY)
[sbull] Analyzes and evaluates project time lines, schedules, and
new methodologies. Evaluates and recommends project management
alternatives to the Deputy Administrator/COO and the Agency.
[sbull] Prepares and presents recommendations to the Administrator,
Deputy Administrator/COO and other high level CMS and Department
officials on planning, leadership, implementation and policy issues
concerning modifications to existing and proposed operating policies
that will improve the administration and operations of programs and the
Agency as a whole.
[sbull] Collaborates with appropriate CMS component(s) to collect
and disseminate data on health care and insurance market trends that
affect CMS' business risk profile. The Risk Management Staff has the
lead for monitoring indicators of risk associated with the operations
of CMS and our business partners.
[sbull] Surveys risk assessment techniques in use in the private
and public sectors and identifies and applies the most useful ones for
CMS. Helps develop new risk assessment techniques and keeps abreast of
methodological developments in the professional literature.
[sbull] Promotes and teaches risk assessment methods to business
owners throughout CMS. Promotes awareness of the importance of risk
analysis as a component of business planning and trains CMS staff in
specific techniques and their applicability in particular situations.
[sbull] Provides consulting services internally to Agency
management and staff to identify processes or contracts that need
improvement, to develop improvement strategies, and to monitor
processes and improvements over time.
[sbull] Participates in agency-wide initiatives to streamline
operations, improve accountability and performance, and implement
management best practices. Provides leadership, training, and coaching
in the implementation of the initiatives. Promotes a continuous
improvement ethos.
Specific Project Management Functions
[sbull] Develops, in conjunction with staff in CMS centers and
offices, major project plans, implementation schedules and post
implementation evaluations.
[sbull] Promotes project planning principles throughout the Agency
and provides technical guidance to the Agency on project planning and
management techniques.
[sbull] Reports to the COO and senior officials on progress of
Agency priority projects. Negotiates with and supports project and
component heads regarding project schedules, progress, etc.
[sbull] Prepares and presents recommendations to senior officials
regarding major projects.
[sbull] Analyzes and evaluates project time lines, schedules, and
new methodologies. Evaluates and recommends project management
alternatives to the Deputy Administrator/COO and the Agency.
[sbull] Collaborates with the Risk Management Staff, Operational
Review Staff, and CMS senior management to identify and address
enterprise-wide risk factors that lead to ineffective or inefficient
operations.
[sbull] Conducts process control analysis and tracking to ensure
projects are running smoothly.
[sbull] Prepares and presents recommendations to the Administrator,
Deputy Administrator/COO and other high level CMS and Department
officials on planning, leadership, implementation and policy issues
concerning modifications to existing and proposed operating policies
that will improve the administration and operations of programs and the
Agency as a whole.
Specific Operational Review Functions
[sbull] Identifies operational vulnerabilities in CMS and develops
and executes an internal audit plan for each fiscal year, subject to
approval by the Deputy Administrator and other senior leadership of
CMS.
[sbull] Plans and conducts targeted internal audits and makes
recommendations to strengthen internal audits and improve the
operations of the Agency. The subjects of these reviews will be
determined through regular periodic consultation with the Project
Management Staff, Risk 3 Management Staff, the Director of the Office
of Operations Management, and the Deputy Administrator. Drafts written
reports summarizing conclusions and presents findings to appropriate
officials for follow-up actions.
[sbull] Monitors the implementation of corrective actions relative
to ORS recommendations, as well as those resulting from selected OIG/
GAO audits to assure results and accountability.
[sbull] Reviews and evaluates enterprise-wide programs, projects,
and processes to assess their effectiveness and efficiency, compliance
with laws, regulations, or adequacy of management processes.
[sbull] Provides consulting services internally to Agency
management and staff to identify processes or contracts that need
improvement, to develop improvement strategies, and to monitor
processes and improvements over time.
[sbull] Participates in agency-wide initiatives to streamline
operations, improve accountability and performance, and implement
management best practices. Provides leadership, training, and coaching
in the implementation of the initiatives. Promotes a continuous
improvement ethos.
[sbull] Collaborates with the Risk Management Staff, Project
Management Staff, and CMS senior management to identify and address
enterprise-wide risk factors that lead to ineffective or inefficient
operations.
[sbull] Serves as the Agency focal point for implementation of OMB
Circular A-76 and Federal Activities Reform Act and Competitive
Outsourcing Initiative.
[sbull] Coordinates the development of the Agency's submission to
the OMB mandated Performance Assessment Rating Tool that links Agency
program performance to the budget process. Serves as Agency liaison
with the Department and OMB.
Special Racial and Ethnic Health Initiatives Functions
[sbull] Develops and sustains external contacts and partnerships
regarding racial and ethnic health issues. Works collaboratively with
the DHHS Office of Minority Health with responsibility for coordinating
CMS activities with Departmental and White House initiatives that are
directed by Executive Orders. Collaborates with the academic community,
professional societies, civic, and social groups and non-government
agencies concerning health problems of special populations.
[sbull] Provides direction in setting priorities, establishing
goals and objectives, defining appropriate interventions, and assisting
in determining evaluation tools for racial and ethnic health
activities.
[sbull] Coordinates consolidated reporting on communication and
educational activities targeting racial and ethnic populations.
Faith-Based and Community Initiatives Functions
[sbull] Coordinates a comprehensive effort to incorporate faith-
based and other community organizations into CMS programs and
initiatives.
[sbull] Develops and coordinates effective outreach and education
efforts to
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disseminate information regarding CMS programs, contracting
opportunities, and other initiatives to faith-based and other community
organizations.
19. Office of Health Insurance Portability and Accountability Act
Standards (FHA)
[sbull] Develops, implements and administers the enforcement of the
Health Insurance Portability and Accountability Act (HIPAA) including
portability, transactions, code sets, identifiers, and security.
[sbull] Develops, implements and administers the enforcement of the
Administrative Simplification Compliance Act (ASCA).
[sbull] Develops regulations to enforce the provisions of the HIPAA
and the ASCA. Also develops regulations and guidance materials on HIPAA
standards.
[sbull] Educates and reaches out to the public and internal CMS
staff on HIPAA issues. Formulates and coordinates a public relations
campaign, prepares and delivers presentations and speeches, responds to
inquires on HIPAA issues, and liaisons with industry representatives.
[sbull] Works with Federal departments and agencies to identify and
adopt universal messaging and clinical health data standards, and
represents CMS and HHS in national projects supporting the national
health enterprise architecture and the National Health Information
Infrastructure.
[sbull] Provides technical assistance regarding HIPAA standards and
their implementation.
[sbull] Collaborates with the Department, especially the Office for
Civil Rights, on HIPAA policy issues.
[sbull] Coordinates and provides guidance on legislative and
regulatory issues.
[sbull] Provides assistance and guidance for HIPAA-related budget
formulation and execution activities.
[sbull] Oversees the enforcement of the insurance portability
provisions of HIPAA related to non-Federal governmental health plans
and States.
Dated: November 21, 2002.
Ruben J. King-Shaw, Jr.,
Deputy Administrator and Chief Operating Officer, Centers for Medicare
& Medicaid Services.
[FR Doc. 03-4086 Filed 2-19-03; 8:45 am]
BILLING CODE 4120-01-P