Notice2025-23588
Statement of Organization, Functions, and Delegations of Authority
Primary source
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Published
December 22, 2025
Effective
December 18, 2025
Issuing agencies
Health and Human Services DepartmentCenters for Medicare & Medicaid Services
Abstract
The Centers for Medicare & Medicaid Services (CMS), Center for Medicaid and CHIP Services, Office of Rural Health Transformation, has been established.
Full Text
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<title>Federal Register, Volume 90 Issue 243 (Monday, December 22, 2025)</title>
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[Federal Register Volume 90, Number 243 (Monday, December 22, 2025)]
[Notices]
[Pages 59837-59838]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-23588]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
Statement of Organization, Functions, and Delegations of
Authority
AGENCY: Centers for Medicare & Medicaid Services.
ACTION: Notice.
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SUMMARY: The Centers for Medicare & Medicaid Services (CMS), Center for
Medicaid and CHIP Services, Office of Rural Health Transformation, has
been established.
DATES: This new organizational structure was approved by the Secretary
of the Department of Health and Human Services and took effect on
December 18, 2025.
FOR FURTHER INFORMATION CONTACT: Joe Kane at (410) 786-0655; 7500
Security Blvd., Baltimore, MD.
SUPPLEMENTARY INFORMATION: 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 Federal Register, Vol. 87, No. 205, pp. 64492-64494,
dated October 25, 2022) is amended to reflect the establishment of the
Office of Rural Health Transformation within Center for Medicaid and
CHIP Services (CMCS).
Part F, Section FC. 10 (Organization) is revised as follows: Center
for Medicaid and CHIP Services, Office of Rural Health Transformation,
Office of Rural Health Transformation, Division of State Rural
Engagement.
Part F, Section FC. 20 (Functions) for the new organization is as
follows:
Office of Rural Health Transformation
* Establish and provide oversight for the Rural Health
Transformation Program (RHTP), which aims to improve healthcare access
and outcomes in rural communities.
* Develop Rural Health Transformation application process and
criteria to use in grant application reviews and awards, in accordance
with statutory requirements.
* In partnership with the Office of Acquisition and Grants
Management, (OAGM) distribute funds to states in accordance with
statutorily defined timelines.
* Partner with HHS entities, states, healthcare facilities,
healthcare advocacy groups, and other key stakeholders to ensure sound
guidance and program initiatives that improve rural residents' access
to healthcare services in support of making rural America healthy
again.
* Lead and/or support CMS interactions and collaborations with
States and local governments, territories, healthcare providers, key
stakeholders (e.g., consumer and policy organizations and the
healthcare provider community), and other Federal government entities
on making rural America again.
* Serve as CMS' lead for rural health transformation program
management, oversight, and performance issues related to interactions
with States and the stakeholder community.
* Serve as CMS's primary contact for RHTP public inquiries,
including but not limited to local congressional offices, and
providers.
* Advise the Administrator, Center Leadership, senior staff, and
other CMS components on matters that affect RHTP, including policy
analysis, Technical Advisory Group perspectives, consultation, and
information dissemination strategies.
Division of State Rural Engagement
* Provide Rural Health Transformation policy and operational
guidance to States and internal and external stakeholders to ensure
appropriate policy application.
* Collaborate with States in their implementation of approved rural
health transformation programs and conduct readiness assessment
reviews, ongoing monitoring, and oversight.
* Establish policy regarding program monitoring, quality and
performance management, and quality improvement for programs and
services to ensure
[[Page 59838]]
progress in improving health outcomes for rural populations.
* Monitor the implementation of states' rural health transformation
plans to ensure resources are appropriately used and hold states
accountable for achieving the goals outlined in the states' plans.
* Conduct training for internal and external stakeholders as
necessary.
* Work with the CMCS, Data and Systems Group (DSG), Division of
State Systems to leverage existing systems to develop and implement new
applications for state system enhancements and quality improvement
activities. For example, Medicaid Statistical Information System
(MSIS), Transformed-MSIS, and Medicaid & CHIP Program (MACPro),
DataConnect, Medicaid and CHIP Data Collection Tool and develop and
maintain the system for the collection, organization, review, and
analysis of data necessary for program integrity, program oversight,
and administration.
* Partners with the Center for Program Integrity (CPI), OAGM and
other CMS stakeholder offices to develop and implement a comprehensive
strategic plan, objectives, and measures to ensure program
vulnerabilities with waste, fraud, and abuse are identified and
resolved.
(Authority: 44 U.S.C. 3101)
Robert F. Kennedy Jr.,
Secretary, Department of Health and Human Services.
[FR Doc. 2025-23588 Filed 12-19-25; 8:45 am]
BILLING CODE 4150-28-P
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</html>Indexed from Federal Register on December 22, 2025.
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