We’ll keep watching as the reorg takes shape. If more policy decisions are made by regional offices, that could lead to even greater variation in Medicaid and CHIP, widening existing disparities by region, state and zip code. Nine out of ten children covered by Medicaid/CHIP are in some type of managed care delivery system and thorough, consistent oversight is needed to make sure children are getting all of the services needed to grow and thrive. For example, regional offices are tasked with reviewing Medicaid managed care contracts and this move could make those reviews more consistent across the country. What we’d like to know is what does this reorganization mean? How will it impact day-to-day operations of Medicaid and CHIP? How will it impact Medicaid and CHIP policy decisions? Thankfully we’re not here to keep tabs on the org chart (groups, centers, and administrators, oh my!). Under the new model, CMCHO is one of seven groups that report up to the CMCS Director, who in turn reports up to the CMS Administrator. Meanwhile the CMS Administrator also oversaw six Centers responsible for running Medicare and Medicaid, including CMCS. Here’s how these pieces fit into the org chart under the old model – the CMCHO Administrator reported up to the Chief Operating Officer, who in turn reported up to the CMS Administrator. Nationally, Medicaid and CHIP policy and operations are overseen by the Baltimore-based Center for Medicaid and CHIP Services (CMCS), but the local regional offices plus the Chicago-based Consortium for Medicaid and Children’s Health Operations (CMCHO) serve as the local contacts. The Centers for Medicare & Medicaid Services (CMS) Region X and the Seattle Area Indian Health Service (IHS) invite you to the 2019 CMS Outreach & Education. But much of the federal work ensuring smooth operations of Medicare and Medicaid happens in these regional offices, and the regional offices are the first point of contact for state Medicaid policy staff when connecting with their federal counterparts. You may not have even realized that CMS has ten regional offices, spread across the country and organized by four consortia. It’s too soon to tell how the re-org will impact the day-to-day operations of Medicaid and CHIP, but the federal register notice says that the new structure will support consistent policy implementation and accountability. View the ICD-9 to ICD-10 LCD number crosswalk. Click on the blue download arrow on the right side of page when LCD or Article appears. Her interest in public health began while she served as a Peace Corps Volunteer in Mauritania, West Africa from 1992 to 1994.CMS recently announced a reorganization of the regional and central offices that oversee Medicaid and CHIP. Print the LCD or Article: Select the LCD or Article number in the table below to view the policy or article on the Medicare Coverage Database (MCD). Bouvion held various positions in the recruitment division of Peace Corps in Seattle, WA and Washington, DC. She received a Master of Public Health from the University of Washington in 2001. CMS is headquartered in Maryland and has 10 regional offices throughout the U.S. Bouvion held a position as a research analyst with the Washington Department of Social and Health Services. How the Centers for Medicare and Medicaid Services (CMS) Works. These changes are effective for claims with dates of service on or after Maand for the duration of the COVID-19 Public Health Emergency (PHE). As RHA, she leads regional federal interagency meetings to enhance efforts to address the opioid crisis and convenes meetings with stakeholders on public health priorities. On May 8, 2020, CMS published CMS-5531-IFC extending non-enforcement of the clinical indications for coverage to therapeutic continuous glucose monitors (CGMs). During her time in Region 10, she has established key relationships with state and local public health stakeholders to catalyze action on a broad range of issues including chronic disease prevention, immunization, and adolescent health. Bouvion joined the regional office in 2002 and previously held positions as a public health advisor and Deputy RHA. Bouvion and her team work with a broad range of public health and community stakeholders to address the Department of Health and Human Services (HHS) and regional priorities through partnership and collaboration. She provides strategic direction and oversight to the office. Renée Bouvion, Bouvion, MPH is the Regional Health Administrator (RHA) for Region 10.
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