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Peter Budetti, Deputy Administrator and Director Mary Agnes Laureno, Deputy Center Director Ted Doolittle, Deputy Policy Director Business Operations Staff - Michele Edmondson Parrott - Director Medicare Program Integrity Group - John Spiegel, Director
Division of Medicare Integrity Contractor Operations - John Spiegel, Acting Director
Division of Plan Oversight & Accountability - Tanette Downs, Director
Division of Policy & Regulatory Development- Cindy Moreno, Director Medicaid Program Integrity Group - Angela Brice-Smith, Director
Division of Medicaid Integrity Contracting - Crystal High, Acting Director
Division of Field Operations - Robb Miller, Director
Division of Fraud Research & Detection - Lyn Killman, Acting Director
Division of Audits and Accountability - Monica Harris, Director Provider Enrollment Operations Group - Zabeen Chong, Director Data Analytics and Control Group - David Nelson, Director
Systems Management Division - Maura McHale Allision, Director
Analytics Lab Division - Ray Wedgeworth, Director
Command Center Division - Devin Williams, Director Program Integrity Enforcement Group - Ted Doolittle, Acting Director
Western Program Integrity Los Angeles Staff - Brent Person, Acting Director
Southeastern Program Integrity Miami-Dade Staff - Cecilia Franco, Director
Northeastern Program Integrity New York Staff - Jean Stone, Director
Functional Statement • 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 vulnerabilities are identified and resolved.
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Page Last Modified: 01/13/2012 1:15:21 PM
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