CMS Creates One Medicaid Team; Striving To Be More Effective > Hospital Association of Pennsylvania


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CMS Creates One Medicaid Team; Striving To Be More Effective

February 20, 2019

The Centers for Medicare & Medicaid Services (CMS) announced that it is integrating the Consortium for Medicaid and Children’s Health Operations (CMCHO) and the Center for Medicaid and CHIP Services (CMCS) into one, unified Medicaid team. The goals of this integration are to:

  • Improve integration between the central and regional offices
  • Adopt common performance objectives and metrics across the Medicaid program
  • Support greater integration of the work that is being done by the regions into overall policy development efforts

CMS says this change reflects its continued focus on transforming the Medicaid program by offering greater flexibility to states and territories, while increasing accountability, and improving transparency and program integrity. It is striving to be more effective at transforming the health care delivery system.

This realignment will not change how states interact with the regional offices. Staff will continue to work with the current Associate Regional Administrators and their teams as they do today. However, the CMCHO regional office staff will now be reporting directly to CMCS as the Regional Operations Group (ROG). ROG staff will continue to physically reside within the ten regional offices.

CMS is consolidating the ten current Medicaid Field Operations Divisions to four based on the four broad regions of the country:

  • The North Division, consisting of Chicago and Kansas
  • The South Division, consisting of Atlanta and Dallas
  • The East Division, consisting of Boston, New York, and Philadelphia
  • The West Division, consisting of Denver, San Francisco, and Seattle

These four Medicaid Field Operations Divisions will reside in the ROG and, therefore, report directly to CMCS. CMS says this change should improve customer service to beneficiaries and stakeholders.

For more information, contact Jolene Calla, HAP’s vice president, health care finance and insurance, or Laura Stevens Kent, HAP’s vice president, federal advocacy.

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