The Center for Medicaid and CHIP Services (CMCS) is organized into seven groups that are responsible for the various components of policy development and operations for Medicaid, the Children’s Health Insurance Program (CHIP), and the Basic Health Program (BHP). CMCS also has an IAP team dedicated to supporting innovation and enhancing partnerships with states. Explore the Center's organizational chart for a more detailed view of the organization.
The Children and Adults Health Programs Group (CAHPG)
CAHPG houses the Center’s children and adult-focused Medicaid work, including eligibility, enrollment and outreach activities, section 1115 demonstrations, and federal leadership of the Children’s Health Insurance Program (CHIP) and the Basic Health Program (BHP). CAHPG plays a leading role in working with states on the implementation of the Affordable Care Act’s Medicaid eligibility expansion to provide health coverage to low-income adults. The group also leads CMCS’ efforts to improve the quality of health care provided through Medicaid and CHIP.
Disabled and Elderly Health Programs Group (DEHPG)
DEHPG leads the Center’s work on Medicaid coverage and care coordination for the elderly and individuals with disabilities. This includes initiatives to promote community-based care options and to enhance the availability of long-term services and supports. DEHPG also manages the Medicaid prescription drug benefit and manufacturer rebates, and oversees benefits and managed care delivery system issues across the Medicaid program, including development of the new alternative benefit plans (ABPs) associated with the Affordable Care Act.
The Data & Systems Group (DSG)
DSG houses the data and systems work of CMCS. DSG is responsible for overseeing the collection of information from the states as is necessary for effective administration of the Medicaid and CHIP programs and to ensure program integrity. DSG is supporting states as they develop new and modernize existing eligibility and enrollment systems and the new Transformed Medicaid Statistical Information System (T-MSIS).
Gregory McGuigan, Deputy Director
Financial Management Group (FMG)
FMG is responsible for Medicaid and CHIP financing issues, including program oversight and operations, review and approval of states’ reimbursement rates, section 1115 waiver negotiations, and work with states on new financing initiatives such as payment and delivery system reform and efforts to improve access to care while lowering costs.
Intergovernmental and External Affairs Group (IEAG)
IEAG provides a focal point for CMCS’ interactions with state and local governments and external stakeholders including consumer groups, health policy researchers, the healthcare provider community and philanthropic organizations. IEAG also manages the agency’s relationships with Indian tribes and tribal providers and coordinates policy development affecting the American Indian/Alaska Native community. Finally, the group is responsible for the Medicaid.gov and InsureKidsNow.gov websites.
Jackie Glaze, Acting Director
Operations Services Group (OSG)
OSG manages the internal business, financial, human resource and administrative processes within the Center for Medicaid and CHIP Services.
Angela Corbin, Director
State Demonstrations Group (SDG)
SDG ensures that Medicaid and Children’s Health Insurance Program (CHIP) Section 1115 Demonstrations (Section 1115 Demonstrations) support the goals of the Medicaid statute and the Affordable Care Act, including supporting states that are interested in expanding Medicaid and/or reforming their service delivery or provider payment systems through the use of demonstration authorities.
Innovation Accelerator Program (IAP)
IAP supports states’ ongoing efforts related to payment and delivery system reforms to help improve health and health care for Medicaid beneficiaries.
Karen LLanos, Director