Tim Engelhardt is the Director for the CMS Medicare-Medicaid Coordination Office. The Office was established under the Affordable Care Act to improve services for individuals dually eligible for Medicaid and Medicare. Prior to joining CMS in 2010, Tim was a consultant with The Lewin Group, where he supported a variety of health and long term care initiatives for federal, state, and local government agencies. Tim previously served as the Deputy Director for Long Term Care Financing at the Maryland Department of Health and Mental Hygiene (the state Medicaid agency). Tim received a BA in Sociology from the University of Notre Dame and an MHS from the Johns Hopkins School of Public Health.
FCHCO Functional Statement
- Manages the implementation and operation of the Federal Coordinated Health Care Office mandated in section 2602 of the Affordable Care Act, ensuring more effective integration of benefits under Medicare and Medicaid for individuals eligible for both programs and improving coordination between the Federal Government and States in the delivery of benefits for such individuals.
- Monitors and reports on annual total expenditures, health outcomes, and access to benefits for all dual eligible individuals, including subsets of the population.
- Facilitates the testing of various delivery systems, payment, service, and/or technology models to improve care coordination, reduce costs, and improve the beneficiary experience for individuals dually eligible for Medicare and Medicaid.
- Performs policy and program analysis of Federal and State statutes, policies, rules, and regulations impacting the dual-eligible population.
- Makes recommendations on eliminating administrative and regulatory barriers between the Medicare and Medicaid programs.
- Develops tools, resources and educational materials to increase dual eligibles' understanding of and satisfaction with coverage under the Medicare and Medicaid programs.
- Provides technical assistance to States, health plans, physicians, and other relevant entities of individuals with education and tools necessary for developing integrated programs for dual-eligible beneficiaries.
- Consults with the Medicare Payment Advisory Commission and the Medicaid and CHIP Payment Advisory Commission with respect to policies relating to the enrollment in and provision of benefits to dual-eligible beneficiaries under Medicare and Medicaid.
- Studies the provision of drug coverage for new full-benefit dual eligible individuals.
- Develops policy and program recommendations to eliminate cost-shifting between the Medicare and Medicaid programs and among related health care providers.
- Develops an annual report containing recommendations for legislation that would improve care coordination and benefits for dual eligible individuals.