Jackie Garner, Consortium Administrator, 312-886-6432

John Hammarlund, Regional Administrator for Chicago and Seattle, 206-615-2306
David DuPre, Deputy Regional Administrator for Chicago, 312-886-6432
Gene Frogge, Deputy Regional Administrator for Seattle, 206-615-2306

Richard McGreal, Associate Regional Administrator, Boston, MCHO, 617-565-1226
Sue Kelly, Associate Regional Administrator for New York, MCHO, 212-616-2400
Ted Gallagher, Associate Regional Administrator for Philadelphia, MCHO, 215-861-4275
Mary Justis, (Acting) Associate Regional Administrator for Atlanta, MCHO, 404-562-7359
Verlon Johnson, Associate Regional Administrator for Chicago, MCHO, 312-353-1133
Bill Brooks, Associate Regional Administrator for Dallas, MCHO, 214-767-6495
James Scott, Associate Regional Administrator for Kansas City, MCHO, 816-426-5925
Richard Allen, Associate Regional Administrator for Denver, MCHO, 303-844-2111
Gloria Nagle, Associate Regional Administrator for San Francisco, MCHO, 415-744-3568
Barbara Richards, Associate Regional Administrator for Seattle, MCHO, 206-615-2326

Functional Statement 

• Serves as the Field focal point for all Centers for Medicare & Medicaid Services activities relating to Medicaid, the State Children's Health Insurance Program and all interactions with States and local governments (including the Territories).

• Implements national Medicaid program and fiscal policies and procedures which support and assure effective State program administration and beneficiary protection. In partnership with States, evaluates the success of State agencies in carrying out their responsibilities and, as necessary, assists States in correcting problems and improving the quality of their operations.

• Implements, interprets, and applies specific laws, regulations, and policies that directly govern the financial operation and management of the Medicaid program and the related interactions with States.

• Reviews, approves and conducts oversight of Medicaid managed care waiver programs. Provides assistance to States and external customers on all Medicaid managed care issues.

• Implements national policies and procedures on Medicaid automated claims/encounter processing and information retrieval systems such as the Medicaid Management Information System and integrated eligibility determination systems.

• Directs, coordinates, and monitors program integrity efforts and activities by States.

• Through administration of the home and community-based services program and policy collaboration with other Agency components and the States, promotes the appropriate choice and continuity of quality services available to frail elderly, disabled and chronically ill beneficiaries.

• Develops strategies to prevent and earlier detect improper payments, including fraud and abuse by providers and others, from Medicaid and SCHIP. Offers support and assistance to the States to combat provider fraud, waste, and abuse. Provides guidance and direction to State Medicaid programs based on the insights gained through MIP's efforts.

• 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 (Chicago – Seattle), CMCHO

• 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: 01/12/2009 6:56:52 AM
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