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 Innovation Accelerator Program (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.
Children & Adults Health Programs Group
The Children & Adults Health Programs Group (CAHPG) houses the Center’s children and adult-focused Medicaid work, including eligibility, enrollment and outreach activities, section 1115 demonstrations, and federal leadership of CHIP and 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 leads CMCS’ efforts to improve the quality of health care provided through Medicaid and CHIP. CAHPG also manages the agency’s relationships with Indian tribes and tribal providers and coordinates policy development affecting the American Indian/Alaska Native community.
Disabled & Elderly Health Programs Group
The Disabled & Elderly Health Programs Group (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.
Data & Systems Group
The Data & Systems Group (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).
Financial Management Group
The Financial Management Group (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.
Operations Services Group
The Operations Services Group (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
The State Demonstrations Group (SDG) ensures that Medicaid and CHIP 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.
Regional Office Group
The Regional Operations Group (ROG) is integrated within the Centers for Medicaid and Children’s Services (CMCS) and serves as a focal point with formulation, coordination, integration, and implementation of all national program policies and operations relating to Medicaid, the Children’s Health Insurance Program (CHIP), and the Basic Health Program (BHP). This group is dedicated to providing financial and operational support to CMCS priority initiatives. Working in partnership with states, ROG provides technical assistance and ensures effective program administration and beneficiary protections. The ROG leads and supports all CMS interactions and collaboration relating to Medicaid, CHIP, and BHP with states and local governments, territories, Indian tribes and tribal healthcare providers, key stakeholders and other federal government entities
Regional Management Office
The Regional Management Office oversees the longstanding, externally-facing work of Region 5 (Chicago) and Region 10 (Seattle). The Office implements and facilitates all external affairs, stakeholder engagement, public awareness initiatives, and community partnering activities on behalf of the two regional offices. The Office serves as the primary point of contact with the U.S. Department of Health and Human Services (HHS) Regional Directors, other HHS regional operating divisions, and other federal agency partners in the two regions. The Office also provides executive leadership and administrative functions for the entire Chicago and Seattle offices including budget, office space, purchasing and contracting, information technology oversight, training, correspondence, Freedom of Information Act inquiries, emergency operations and Continuity of Operations Plan.
Innovation Accelerator Program
The Innovation Accelerator Program (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