CMS Departures

As some members may have heard, two key Centers for Medicare and Medicaid Services (CMS) deputy administrator positions are to be soon vacated.

  • Center for Medicaid and CHIP Services (CMCS):  CMCS oversees and co-operates the Medicaid and CHIP programs with the states.  CMCS’ responsibilities include approval of waivers, approval of State Plan Amendments, and approval of and oversight of Medicaid managed care programs.  The current Deputy Administrator for CMCS, Cindy Mann, will depart CMS on January 31, 2015.  No acting deputy administrator has been announced to-date.

  • Medicare and Medicaid Coordination Office (MMCO):  Typically referred to as the “Duals Office,” MMCO is the lead on integration of Medicare and Medicaid coverage and services for pre, partial and full duals (e.g., people who will be, are partly, or are fully eligible for Medicare and Medicaid).  The Duals Office has lead the struggling Financial Alignment Demonstration and the Avoidable Nursing Home Hospital Re-Administration Demonstration.  The office also has underway a new “play book” for states interested in Dual Eligible Special Needs Plans (D-SNP) and D-SNP use for Medicare-Medicaid integration.  The current Deputy Administrator for MMCO, Melanie Bella, will depart CMS on January 31, 2015.  Her current deputy, Tim Engelhardt will serve as the acting MMCO head.

With two major departures, this leaves CMS with current Administrator, Marilyn Tavenner and deputy division administrator, Sean Cavanaugh, Center for Medicare.  The Center for Medicare and Medicaid Innovation (CMMI) and CCSQ will continue under the leadership of Patrick Conway while the Center for Consumer Information and Insurance Oversight (CCIIO – the Exchange Office) will continue under the current acting leadership.  Click here to view a CMS organizational chart