[Federal Register Volume 68, Number 34 (Thursday, February 20, 2003)]
[Notices]
[Pages 8297-8299]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-4086]


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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

[[Page 8298]]

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

[[Page 8299]]

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