PDF Department of Health Services

DEPARTMENT OF HEALTH

AND HUMAN SERVICES

FISCAL YEAR

2015

Centers for Medicare & Medicaid Services

Justification of Estimates for

Appropriations Committees

DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services

Table of Contents Organization Chart

Page

Executive Summary

Introduction

1

Mission

2

FY 2015 Budget Overview

2

FY 2015 Performance Budget Overview

8

All-Purpose Table

10

Discretionary Appropriations CMS Program Management

Budget Exhibits

Appropriations Language Language Analysis Amounts Available for Obligation Summary of Changes Budget Authority by Activity Authorizing Legislation Appropriations History Table Appropriations Not Authorized by Law Summary of the Request Proposed Law Summary Proposed Law Appropriation Table

Narrative by Activity

Program Operations Federal Administration Medicare Survey and Certification Program High Risk Pools

13

15

16

17

18

19

20

22

23

25

27

28

106

114

129

Mandatory Appropriations Medicaid Payments to the Health Care Trust Funds

135

176

Other Accounts HCFAC CLIA QIO Medicare Benefits Children's Health Insurance Program State Grants and Demonstrations Center for Consumer Information and Insurance Oversight (CCIIO)

Affordable Insurance Exchange Grants Pre-Existing Condition Insurance Plan program Early Retiree Reinsurance Program Consumer Operated and Oriented Plan (CO-OP) Program Health Insurance Rate Review Grants

189

224

228

239

244

255

281

286

289

291

294

DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services

Page

Temporary Reinsurance Program Payments Risk Adjustment Program CMMI Information Technology

Office of National Drug Control Policy Resource Summary

Supplementary Materials

Budget Authority by Object Class Salaries and Expenses Detail of Full-Time Equivalent Employees Detail of Positions Programs Proposed for Elimination Federal Employment Funded by the PPACA Physicians' Comparability Allowance (PCA) Worksheet

Significant Items in Appropriations Committee Reports

CMS - Specific Materials

FY 2015 Health Insurance Marketplaces Reporting Discontinued Performance Measures

297

298

299

309

317

323

324

325

327

328

329

330

335

349

352

Central Office Org Chart Text Version

Consortia Org Chart Text Version

OFFICE OF EQUAL OPPORTUNITY

AND CIVIL RIGHTS

Anita Pinder, Director

Vacant, Dep. Dir.

OFFICE OF COMMUNICATIONS Julie Bataille, Director

Michele Patrick, Dep. Dir. Mary Wallace, Dep. Dir.

OFFICE OF LEGISLATION Lauren Aronson, Director Jennifer Boulanger, Dep. Dir.

FEDERAL COORDINATED HEALTH CARE OFFICE

Melanie Bella, Director Cheryl Powell, Dep. Dir.

OFFICE OF MINORITY HEALTH

Cara V. James, Director Vacant, Dep. Dir.

OFFICE OF THE ACTUARY Paul Spitalnic, Chief Actuary

DEPARTMENT OF HEALTH AND HUMAN SERVICES

CENTERS FOR MEDICARE & MEDICAID SERVICES

APPROVED LEADERSHIP As of March 3, 2014 * Acting

**Reports to Offices of Enterprise Management ***Reports to Deputy Admin. for Innovation and Quality

Marilyn Tavenner

ADMINISTRATOR

Jonathan Blum PRINCIPAL DEPUTY ADMINISTRATOR

Tim Love CHIEF OPERATING OFFICER

Aryana Khalid CHIEF OF STAFF

David Nelson DEPUTY CHIEF OPERATING OFFICER

Patrick Conway, M.D.

DEPUTY ADMINISTRATOR FOR INNOVATION AND QUALITY AND

CMS CHIEF MEDICAL OFFICER

CENTER FOR STRATEGIC PLANNING

Tim Love * Deputy Administrator and Director

Vacant Deputy Center Director

***CENTER FOR CLINICAL STANDARDS AND QUALITY

Wesley Perich, Dep. Dir. Shari Ling, M.D., Dep. Chief Medical Officer

OPERATIONS Tim Love, Chief Operating Officer David Nelson, Deputy Chief Operating Officer & CMS Chief

Information Officer OAGM--Daniel Kane, Director OFM--Deborah Taylor, Director & Chief Financial Officer

OIS--Janet Vogel, Director OOM--James Weber, Director CFMFFSO--Nanette Foster Reilly, Consortium Administrator CMCHO--Jackie Garner, Consortium Administrator CMHPO--James T. Kerr, Consortium Administrator CQISCO--James Randolph Farris, M.D., Consortium Admin. OHI--Angela Brice-Smith, Director * OEM--Niall Brennan, Director * **OEP-Sandra Kraft, Director **OESS-Robert Tagalicod, Director **OEB-Todd Lawson, Director * **OIPDA-Christine Cox, Director *

OFFICE OF STRATEGIC OPERATIONS

AND REGULATORY AFFAIRS

Kathleen Cantwell, Director

Olen Clybourn, Dep. Dir.

CENTER FOR MEDICARE

Liz Richter * Deputy Administrator and Director

Liz Richter Deputy Center Director

Cynthia Tudor * Deputy Center Director

CENTER FOR MEDICAID AND CHIP SERVICES

Cindy Mann Deputy Administrator and Director

Julie Boughn Deputy Center Director

Penny Thompson Deputy Center Director

CENTER FOR PROGRAM INTEGRITY

Shantanu Agrawal, M.D. Deputy Administrator and Director

Ted Doolittle Deputy Policy Director

Elisabeth Handley Deputy Operations Director

CENTER FOR CONSUMER INFORMATION AND

INSURANCE OVERSIGHT

Gary Cohen Deputy Administrator and Director

Chiquita Brooks-Lasure Deputy Center & Policy Director

Cynthia MacDonald Deputy Center & Operations Director

***CENTER FOR MEDICARE AND MEDICAID INNOVATION

Sean Cavanaugh Deputy Director for Programs & Policy

Karen Jackson * Deputy Director for Operations

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