Nanette Foster Reilly, Consortium Administrator, 816-426-5233

Mark Gilbert, Regional Administrator for Denver and Kansas City, 303-844-2111
David Sayen, Regional Administrator for San Francisco, 415-744-3501
Diane Livesay, Deputy Regional Administrator, Denver, 303-844-7057
Carl Hawkins, Deputy Regional Administrator, Kansas City, 816-426-5233
Catherine Kortzeborn, Deputy Regional Administrator, San Francisco, 415-744-3501

Thomas Grannemann, Associate Regional Administrator, Boston Division of FMFFSO, 617-565-1331
Peter Reisman, Associate Regional Administrator, New York Division of FMFFSO, 212-616-2500
Charlotte Foster, Associate Regional Administrator, Philadelphia Division of FMFFSO, 215-861-4140
Dale Kendrick, Associate Regional Administrator, Atlanta Division of FMFFSO, 404-562-7347

Sean Johnson (Acting), Associate Regional Administrator, Chicago Division of FMFFSO, 312-353-9841
Jimmy Sigmund, Associate Regional Administrator, Dallas Division of FMFFSO, 214-767-6441
Lisa Goschen, Associate Regional Administrator, Kansas City and Denver Division of FMFFSO, 816-426-5033
Torris Smith, Associate Regional Administrator, San Francisco Division of FMFFSO, 415-744-3658
Mal White, Associate Regional Administrator, Seattle Division of FMFFSO, 206-615-2331

Functional Statement 

• Serves as the Field focal point for all interactions with the Office of Financial Management and assists in its overall responsibility for the fiscal integrity of all Agency programs.

• Implements all benefit integrity policy and operations in coordination with other Agency components in the field. Assists in the management of the Medicare program integrity contractors

• Performs the field's activities regarding Medicare Secondary Payer (MSP).

• Implements all civil money penalty policies in all programs.

• Oversees and coordinates the field's preparation of certification statements for Federal Managers Financial Integrity Act (FMFIA) and GPRA.

• Serves as the Field focal point for all Agency interactions between health care providers and Fee for Service contactors for issues relating to Part A and Part B fee-for-service policies and operations.

• Coordinates provider and physician centered Part A and Part B Fee for Service information, education, and service initiatives in the field.

• Responds to inquiries regarding Part A and Part B coverage and payment policies.

• Provides the Center for Medicare Management comments on Fee for Service current/proposed legislation in order to determine impact on providers.

• Performs activities related to the Medicare Part A and Part B processes (42 CFR Part 405, Subparts G and H), Part C (42 CFR Part 422, Subpart M), Part D (42 CFR Part 423, Subpart M) and the PACE program for claims-related hearings, appeals, grievances and other dispute resolution processes that are beneficiary-centered.

• Implements national policy for Medicare Parts A and B beneficiary eligibility, enrollment, entitlement; premium billing and collection; coordination of benefits; rights and protections; dispute resolution process to assure the effective administration of the Medicare program.

• Serves as the Consortium focal point for emergency preparedness for the field.

• Provides oversight in the areas of human resource procurement and logistics.

• Ensures the effective management of the Agency's information technology, and information systems and resources in the field.

• Implements the privacy and confidentiality policies pertaining to the collection, use, and release of individually identifiable data.

• Proactively establishes, manages, and fosters partnerships within the region with State and local governments, providers and provider associations, beneficiaries and their representatives, and the media that are focused on CMS' goals and objectives.

• Serves as the primary point of contact to appropriate members of Congress, State Governors, Federal, State, and local officials and tribal governments on matters concerning the Medicare and Medicaid programs.

• Oversees the coordination and integration of CMS activities with other Federal, state, local, and private health care agencies and organizations.

• Counsels, advises, and collaborates with top Agency officials on policy matters and major considerations in developing, implementing, and coordinating CMS' programs as they interrelate in addressing national and regional strategies.

• Advises the Office of the Administrator (OA) on special problems as they relate to national initiatives and programs and as they impact major constituents or their key representatives.

• Promotes accountability, communication, coordination and facilitation of cooperative corporate decision-making among CMS top senior staff on management, operational and programmatic issues cross-cutting organizational components with diverse functions and activities.

Functional Statement for the Office of the Regional Administrator

• Serves as the principal office for Regional operations of the Centers for Medicare & Medicaid Services.

• Serves as focal point among Regional Office components for special initiatives and broad cross-cutting issues.

• Develops and implements a media relations plan to market CMS programs to the diverse populations of the region.

• Coordinates environmental scanning and strategic planning for the region. Pursues activities which enable regional office staff to become knowledgeable regarding developments and trends in health care delivery within the region.

• Effectively implements CMS special initiatives at the regional level.

• Monitors the Regional administrative budget, including oversight of the Regional travel funding allocation.

• Manages procurement and contracting activities, and personnel administration for the region.

• Oversees facilities and property management, labor-management relations, EEO and staff training for the region.

• Initiates and directs the implementation of special regional projects.

• Assures effective relationships within the region with State and local governments.

• Fully coordinates with the DHHS Regional Director to assure effective relationships with Congressional representatives and other DHHS components.

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Page Last Modified: 01/13/2009 11:56:27 AM
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