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[Federal Register Volume 85, Number 250 (Wednesday, December 30, 2020)]
[Notices]
[Pages 86568-86569]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-28795]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

Statement of Organization, Functions, and Delegations of 
Authority

    Part F of the Statement of Organization, Functions, and Delegations 
of Authority for the Department of Health and Human Services, Centers 
for Medicare & Medicaid Services (CMS) (last amended at 75 FR 14176-
14178, dated March 24, 2010), is republished to realign functions in 
the Center for Program Integrity (CPI).
    CPI is the focal point for all national and State-wide Medicare and 
Medicaid programs and integrity fraud and abuse issues related to the 
Children's Health Insurance Program (CHIP). It promotes the integrity 
of the Medicare and Medicaid programs and CHIP through provider/
contractor audits, policy reviews, identification and monitoring of 
program vulnerabilities, and provides support and technical assistance 
to States. In addition, it recommends modifications to programs and 
operations as necessary and works with CMS Centers, Offices, and the 
Chief Operating Officer to affect changes as appropriate, and 
collaborates with the Office of Legislation on the development and 
advancement of new legislative initiatives and improvements to deter, 
reduce, and eliminate fraud, waste and abuse.
    Part F, Section FC. 20 (Functions) is as follows:

Center for Program Integrity

     Serves as CMS' focal point for all national and State-wide 
Medicare and Medicaid programs and CHIP integrity fraud and abuse 
issues.
     Promotes the integrity of the Medicare and Medicaid 
programs and CHIP through provider/contractor audits and policy 
reviews, identification and monitoring of program vulnerabilities, and 
providing support and assistance to States. Recommends modifications to 
programs and operations as necessary and works with CMS Centers, 
Offices, and the Chief Operating Officer (COO) to affect changes as 
appropriate. Collaborates with the Office of Legislation on the 
development and advancement of new legislative initiatives and 
improvements to deter, reduce, and eliminate fraud, waste and abuse.
     Oversees all CMS interactions and collaboration with key 
stakeholders relating to program integrity (i.e., U.S. Department of 
Justice, DHHS Office of Inspector General, State law enforcement 
agencies, other Federal entities, CMS components) for the purposes of 
detecting, deterring, monitoring and combating fraud and abuse, as well 
as taking action against those that commit or participate in fraudulent 
or other unlawful activities.
     In collaboration with other CMS Centers, Offices, and the 
COO, develops and implements a comprehensive strategic plan, objectives 
and measures to carry out CMS' Medicare, Medicaid and CHIP program 
integrity mission and goals, and ensure program

[[Page 86569]]

vulnerabilities are identified and resolved.

    Authority: 44 U.S.C. 3101.

    The Administrator of the Centers for Medicare & Medicaid Services 
(CMS), Seema Verma, having reviewed and approved this document, 
authorizes Lynette Wilson, who is the Federal Register Liaison, to 
electronically sign this document for purposes of publication in the 
Federal Register.

    Dated: December 22, 2020.
Lynette Wilson,
Federal Register, Centers for Medicare & Medicaid Services.
[FR Doc. 2020-28795 Filed 12-28-20; 8:45 am]
BILLING CODE 4120-01-P
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