Notice2026-11743
Statement of Organization, Functions, and Delegations of Authority
Primary source
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Published
June 11, 2026
Issuing agencies
Health and Human Services DepartmentCenters for Medicare & Medicaid Services
Abstract
The Centers for Medicare and Medicaid Services (CMS), Office of Health Technology and Products (OHTP), has been established. This new organizational component will provide enterprise leadership and oversight for CMS healthcare technology modernization, digital products, and transformation of platforms and services supporting Medicare, Medicaid, the Children's Health Insurance Program (CHIP), and other CMS-administered programs, in close coordination with the CMS Chief Information Officer (CIO) and subject to CIO-led enterprise information technology (IT) governance, cybersecurity, enterprise architecture, and capital planning and investment control responsibilities, as well as CIO-led digital service delivery, customer experience, and public digital experience responsibilities under applicable law.
Full Text
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<title>Federal Register, Volume 91 Issue 112 (Thursday, June 11, 2026)</title>
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[Federal Register Volume 91, Number 112 (Thursday, June 11, 2026)]
[Notices]
[Pages 35478-35482]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-11743]
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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, HHS.
ACTION: Notice.
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SUMMARY: The Centers for Medicare and Medicaid Services (CMS), Office
of
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Health Technology and Products (OHTP), has been established. This new
organizational component will provide enterprise leadership and
oversight for CMS healthcare technology modernization, digital
products, and transformation of platforms and services supporting
Medicare, Medicaid, the Children's Health Insurance Program (CHIP), and
other CMS-administered programs, in close coordination with the CMS
Chief Information Officer (CIO) and subject to CIO-led enterprise
information technology (IT) governance, cybersecurity, enterprise
architecture, and capital planning and investment control
responsibilities, as well as CIO-led digital service delivery, customer
experience, and public digital experience responsibilities under
applicable law.
DATES: This new organizational change was approved by the Secretary of
Health and Human Services on June 9, 2026, and became effective that
same day.
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, CMS (last amended at Federal Register, Vol. 90, No.
243, pp. 59837-59838, dated December 22, 2025) is amended to reflect
the establishment of the Office of Health Technology and Products
within CMS.
Part F, Section FC. 10 (Organization) is revised as follows:
Centers for Medicare & Medicaid Services, Office of Health Technology
and Products
Office of Health Technology and Products, Open Source Program Group
Office of Health Technology and Products, Standards & Interoperability
Group
Standards & Interoperability Group, Division of Data and
Interoperability Platforms
Standards & Interoperability Group, Division of Policy
Office of Health Technology and Products, Product Development Group
Product Development Group, Division of Core Products
Product Development Group, Division of External Products
Office of Health Technology and Products, Digital Service at CMS
Part F, Section FC. 20 (Functions) for the new organization are as
follows:
Office of Health Technology and Products
<bullet> Provides enterprise leadership for CMS healthcare
technology and digital product strategy in support of Medicare,
Medicaid, CHIP, and other CMS-administered programs.
<bullet> Coordinates with the CMS CIO to ensure fulfillment of
statutory responsibilities for IT governance, cybersecurity, capital
planning and investment control, enterprise architecture, and
acquisition oversight, consistent with applicable federal law and
policy.
<bullet> Oversees the design, development, delivery, and operation
of CMS digital products and platforms, including beneficiary-,
provider-, and state-facing systems.
<bullet> Leads beneficiary engagement and experience platforms,
including <a href="http://Medicare.gov">Medicare.gov</a> and related tools, to ensure accessible, user-
centered, and secure digital services.
<bullet> Leads modernization strategy and product strategy for
national healthcare infrastructure services, including the National
Provider Directory and associated systems such as the National Plan and
Provider Enumeration System (NPPES) and the Provider Enrollment, Chain,
and Ownership System (PECOS), in partnership with CMS Centers as
business owners and with CIO-led enterprise infrastructure and security
governance.
<bullet> Directs modernization and replatforming of claims and
payment systems, including Medicare claims processing platforms, to
improve scalability, security, and long-term sustainability, in close
coordination with the CMS CIO to ensure alignment with enterprise
security, privacy, and information assurance requirements.
<bullet> Provides stewardship of identity, access, and trust
services, including modern authentication and identity management
capabilities that protect beneficiaries and enable secure access to CMS
programs and services, in alignment with CIO/Chief Information Security
Officer (CISO)-led ICAM and zero-trust governance consistent with
Office of Management and Budget (OMB) Memoranda M-19-17 and M-22-09.
<bullet> Partners with states to support Medicaid and CHIP
technology modernization and digital engagement, including systems
supporting eligibility, enrollment, community engagement, data
exchange, and program administration.
<bullet> Promotes interoperability, open standards, and secure data
exchange across CMS programs and with states, providers, plans, and
entities traditionally regulated by CMS.
<bullet> Fosters collaboration with federal partners, states,
industry, and other stakeholders to encourage innovation, reuse, and
shared solutions within the health technology ecosystem.
<bullet> Provides coordination and supports governance across CMS
technology and product portfolios, establishing standards, best
practices, and performance measures for modernization and digital
product delivery while respecting Center and Office authorities and
while CIO-led enterprise IT governance, cybersecurity, and architecture
responsibilities remain with the CMS CIO.
<bullet> Oversees CMS digital service capabilities that provide
rapid delivery, surge capacity, and expert support for priority
initiatives.
<bullet> Leads enterprise strategy and implementation of artificial
intelligence across CMS digital products and platforms, and advises the
CMS Administrator and senior leadership on Artificial Intelligence (AI)
opportunities, risks, and governance, in coordination with the CIO as
required under statutory responsibilities.
<bullet> Advances patient experience, innovation, and responsible
use of emerging technologies, including artificial intelligence, to
improve service delivery, program integrity, and health outcomes.
<bullet> Advises the CMS Administrator and senior leadership on
healthcare technology, digital transformation, product delivery, and
innovation strategies.
<bullet> Supports CIO-led governance, category management, and
acquisition oversight for healthcare technology and digital product
investments, including preference for commercial off-the-shelf and
common contract solutions where they can meet mission needs, consistent
with OMB Memoranda M-19-13 and M-26-12, Executive Order 14271, and
applicable FITARA CIO approval requirements.
Open Source Program Group
<bullet> Coordinates the best-in-class private sector practices,
talent, and technology to transform the way to openly share new
technologies and deliver within and across CMS and the Department of
Health and Human Services (HHS).
<bullet> Recruits and hires software engineers, product managers,
and technical designers with specialized expertise in open source
technologies, frameworks, and community practices--building a mission-
driven team equipped to establish, maintain, and advance open source
standards,
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contribution models, and collaborative development practices across CMS
and HHS.
<bullet> The Open Source Program Group (OSPG) strategically engages
CMS, HHS, and the broader Federal Open Source community by establishing
and maintaining guidance, policies, and practices that foster
collaboration, transparency, and shared innovation across government.
Through targeted partnerships with CMS Centers and HHS components, OSPG
identifies and supports high-impact, short-term technology
initiatives--leveraging open source frameworks and reusable solutions
to accelerate delivery, reduce duplication, and strengthen
interoperability across agency technical priorities.
<bullet> Supports the OHTP by establishing and maintaining open
source guidance, policies, and practices that advance access, build
trust, and amplify impact across CMS and HHS--in alignment with key
federal mandates governing open source software and technology sharing.
Consistent with the SHARE IT Act (Strengthening and Harmonizing Agency
Research and Education through Information Technology), which requires
federal agencies to share and reuse software code across government,
OSPG promotes the development, publication, and reuse of open source
software to reduce duplication, lower costs, and accelerate delivery of
digital services. In accordance with OMB Memorandum M-16-21 (Federal
Source Code Policy), OSPG ensures that a minimum of 20% of newly
developed custom code is released as open source software, fostering
government-wide collaboration and transparency. Guided by Executive
Order 14271 on promoting competition and innovation, and consistent
with OMB M-19-13 (Category Management) and M-26-12 (acquisition
oversight), OSPG supports OHTP's preference for reusable, commercially
aligned technology solutions while championing open standards and
interoperability across the health technology ecosystem.
<bullet> By promoting interoperability, open standards, and
collaboration across the health technology ecosystem, OSPG complements
OHTP's enterprise modernization efforts--providing reusable open source
components, shared platforms, and delivery capacity that support
beneficiary-facing digital services, national infrastructure
modernization, AI strategy, and Medicaid and CHIP technology
initiatives--all while ensuring alignment with Federal IT governance,
cybersecurity, and acquisition oversight requirements.
<bullet> Establish and maintain guidance, policies, practices, and
talent pipelines that advance access, build trust, and amplify impact
across CMS, HHS, and Federal Open Source Ecosystems by working and
sharing openly.
Standards & Interoperability Group
<bullet> Leads CMS' enterprise interoperability strategy,
implementation direction, policy development, and standards advancement
to enable secure, scalable, and user-centered health data exchange.
<bullet> Establishes strategic direction for interoperability,
prioritizing API-based and patient-centered data exchange to support
access, care coordination, and program effectiveness.
<bullet> Guides priorities and oversees the design, development,
testing, and execution of interoperability solutions to validate
feasibility, usability, and impact, continuously informing policy
development.
<bullet> Ensures interoperability initiatives are informed by
implementation experience, operational performance, and stakeholder
input to promote usability, adoption, and effective outcomes.
<bullet> Oversees and sets strategic direction for the development
and promulgation of interoperability policies and regulations based on
validated implementation outcomes, operational insights, and strategic
priorities.
<bullet> Drives the transition toward modern data exchange by
advancing Application Programming Interface (API)-based
interoperability while supporting and evolving existing administrative
transaction standards.
<bullet> Coordinates interoperability efforts across CMS, HHS,
federal partners, and industry stakeholders to ensure alignment and
reduce burden.
<bullet> Establishes enterprise governance and feedback mechanisms
to ensure continuous alignment across strategy, implementation, policy,
and standards, including decision-making, prioritization, and
performance feedback processes.
<bullet> Promotes appropriate access to health data while ensuring
compliance with privacy, security, and regulatory requirements.
<bullet> Serves as the principal authority within CMS for
interoperability strategy, implementation, policy, and standards
alignment.
Division of Data and Interoperability Platforms
<bullet> Designs, develops, deploys, and continuously enhances
interoperability solutions, including Fast Healthcare Interoperability
Resources (FHIR)-based APIs and data exchange platforms, to enable
secure and scalable health data exchange.
<bullet> Implements interoperability capabilities to validate
feasibility, usability, and performance in real-world settings and
continuously inform policy development.
<bullet> Develops, operationalizes, and manages infrastructure that
enables beneficiaries and authorized entities to securely access and
share health data.
<bullet> Conducts testing, pilots, and iterative development to
assess interoperability solutions and support continuous improvement.
<bullet> Provides technical expertise and implementation support to
CMS components and external stakeholders adopting interoperability
solutions.
<bullet> Promotes reuse, transparency, and collaboration through
open-source technologies, shared services, and modern development
practices.
<bullet> Ensures compliance with CMS IT security, privacy, and
system authorization requirements.
<bullet> Monitors performance and adoption of interoperability
solutions and provides insights to inform strategy and policy.
<bullet> Advances API-first and standards-based architectures to
support scalable and interoperable data exchange.
Division of Policy
<bullet> Leads development and evolution of CMS interoperability
strategy across clinical and administrative data exchange ecosystems,
aligning policy direction with implementation evidence and industry
trends.
<bullet> Develops and promulgates interoperability policies,
regulations, and sub-regulatory guidance informed by validated
implementation outcomes and operational insights and supports adoption
of administrative and clinical data exchange standards.
<bullet> Reviews legislation, legislative proposals, and
regulations to assess interoperability implications and guide CMS
policy development using implementation-aligned insights.
<bullet> Leads CMS participation in federal and industry
interoperability and standards initiatives, including collaboration
with the Office of the National Coordinator for Health Information
Technology (ONC) and standards development organizations to advance
clinical and administrative data exchange.
<bullet> Drives adoption, alignment, and evolution of
interoperability standards across CMS programs and stakeholders,
including administrative transaction standards, to reduce burden and
support modern data exchange approaches.
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<bullet> Leads evaluation and modernization of administrative
interoperability standards, including electronic transactions, code
sets, and identifiers, to support efficient, secure, and scalable
exchange of healthcare data consistent with modern interoperability
approaches.
<bullet> Monitors adoption and performance of interoperability
standards and administrative transactions and recommends improvements
to enhance efficiency, reduce burden, and improve outcomes.
<bullet> Leads stakeholder engagement and provides outreach,
education, and technical assistance to support interoperability
initiatives and policy implementation across federal agencies and
industry stakeholders, including providers, payers, technology
developers, and beneficiaries.
<bullet> Coordinates cross-agency interoperability initiatives and
provides consultation and technical guidance to CMS components and
federal partners implementing interoperability policies and standards.
<bullet> Collaborates with federal partners, standards development
organizations, and industry stakeholders to improve interoperability
and administrative transaction standards and reduce burden.
<bullet> Identifies and advances emerging interoperability
technologies, standards, and policy approaches, including modernization
of administrative data exchange and alignment with API-based and other
emerging interoperability frameworks.
<bullet> Evaluates interoperability policies, standards, and
initiatives to inform continuous improvement, future strategy, and
alignment with CMS priorities.
Product Development Group
<bullet> Serves as OHTP principal product delivery organization,
responsible for the end-to-end design, development, delivery,
operation, and continuous improvement of the CMS portfolio of digital
products and platforms--spanning enterprise and internal-facing core
products and beneficiary-, provider-, state-, and public-facing
external products.
<bullet> Applies modern product management, human-centered design,
and agile, iterative delivery practices to ensure CMS digital products
are reliable, secure, accessible, and outcome-driven.
<bullet> Serves as the primary product partner to CMS Centers and
Offices as business owners, translating program goals, policy
requirements, and user needs into clear product requirements,
priorities, and delivery plans.
<bullet> Engages beneficiaries, providers, plans, states, and the
public through user research, usability testing, and continuous
feedback to ensure products meet real-world needs.
<bullet> Promotes data-driven product decisions through product
analytics, instrumentation, controlled experimentation (e.g., A/B
testing), and key performance indicators tied to user and program
outcomes.
<bullet> Advances human-centered design, including a shared design
system, reusable patterns, and consistent, accessible user experiences
across CMS products.
<bullet> Provides enterprise oversight of the full product
lifecycle--discovery, design, development, launch, operations,
iteration, and retirement--across the CMS digital product and platform
portfolio.
<bullet> Aligns product strategy, roadmaps, and investments with
CMS mission priorities, OHTP's strategy, and the statutory
responsibilities of the agency. Establishes and maintains product
visions, roadmaps, and outcome-based objectives and key results (OKRs),
and manages product backlogs and prioritization for products under its
purview.
<bullet> Monitors product health, performance, reliability,
availability, and total cost of ownership against defined service
levels, and directs modernization, replatforming, and technical-debt
reduction where warranted.
<bullet> Manages stakeholder communication, expectation-setting,
and feedback loops throughout the product lifecycle, including product
demonstrations, status reporting, and release communications.
<bullet> Leads product management for CMS's enterprise and
internal-facing core products and foundational platforms that underpin
program operations and support other CMS digital products.
<bullet> Leads product management for CMS's beneficiary and public-
facing products and digital experiences.
<bullet> Coordinates product planning, release management,
deployment, and change management across product teams to ensure
orderly, low-risk delivery and integration.
<bullet> Coordinates across OHTP and with CIO-led infrastructure,
security, and architecture functions to align delivery with enterprise
standards, shared platforms, and interoperability requirements.
<bullet> Manages cross-product dependencies, integration points,
and shared services to ensure consistency and avoid duplication, and
supports transition, operations, and maintenance planning for delivered
products.
Division of Core Products
<bullet> Serves as the long-term organizational home and manages
CMS's enterprise and internal-facing core products and foundational
platforms--the systems that process and power CMS programs and on which
other CMS digital products depend.
<bullet> Oversees the end-to-end lifecycle of internal technology
products--from ideation and development through deployment,
maintenance, and long-term sustainment--ensuring products have a
defined and supported home within the organization.
<bullet> Coordinates across CMS components, facilitating
communication, managing competing priorities, and ensuring technology
products meet the needs of diverse business and operational partners.
<bullet> Stewards shared enterprise platforms, services, and
reusable components--such as common APIs, data services, and shared
product capabilities--that reduce duplication and accelerate delivery
across CMS.
<bullet> Champions the prioritization of internal technical
systems, identifying opportunities to modernize, consolidate, and
mature CMS's internal technology portfolio in a deliberate and
strategic manner.
<bullet> Leads product management for core processing platforms,
including Medicare claims and payment processing systems, and directs
their modernization, replatforming, scalability, performance, security,
and long-term sustainability.
<bullet> Leads product strategy for national healthcare
infrastructure services with provider-facing components, including the
National Provider Directory and associated systems, in partnership with
CMS Centers as business owners and with CIO-led enterprise
infrastructure and security governance.
<bullet> Leads digital engagements that advance Medicaid and CHIP
modernization, including eligibility, enrollment, data exchange,
community engagement, and program administration capabilities.
<bullet> Ensures all internal technology products adhere to
applicable federal regulations, CMS security and privacy requirements,
and enterprise architecture standards throughout development and
operations.
Division of External Products
<bullet> Serves as the long-term organizational home and manages
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CMS's beneficiary and public-facing digital products and experiences.
<bullet> Oversees the end-to-end lifecycle of external technology
products--from ideation and development through deployment,
maintenance, and long-term sustainment--ensuring products have a
defined, supported, and strategically aligned home within the
organization.
<bullet> Coordinates across CMS components and external partners to
align priorities, manage dependencies, and ensure technology products
meet the diverse needs of beneficiaries and other external users.
<bullet> Leads product management for beneficiary engagement and
experience platforms, including <a href="http://Medicare.gov">Medicare.gov</a> and related tools such as
the Medicare Plan Finder, ensuring accessible, user-centered, and
secure digital experiences.
<bullet> Supports all beneficiary-facing products and services
across CMS.
<bullet> Champions the prioritization of external technical
systems, identifying opportunities to modernize, consolidate, and
mature CMS's public-facing technology portfolio in a deliberate and
strategic manner.
<bullet> Builds and maintains strategic partnerships with industry
stakeholders to drive innovation, adopt emerging technologies, and
ensure CMS external products remain modern, scalable, and competitive
within the evolving health technology landscape.
<bullet> Advances public digital experience and customer experience
for CMS's external audiences, consistent with the 21st Century IDEA and
customer experience governance.
<bullet> Ensures all external technology products adhere to
applicable federal regulations, CMS security and privacy requirements,
and enterprise architecture standards throughout development and
operations.
Digital Service at CMS
<bullet> Strategically engages on focused sets of short-term
discovery sprints to enable high-impact technology projects across the
Centers for Medicare & Medicaid Services (CMS) and the Department of
Health and Human Services (HHS), prioritizing initiatives that address
critical healthcare system needs, support vulnerable populations, and
strengthen agency operations. Through agile, iterative delivery cycles.
DSAC publishes reports with the outcomes of the sprints, along with
recommendations, for business owners to evaluate priorities and
potential future work.
<bullet> Supports OHTP implementing best-in-class private sector
practices and transforming the way software products are built and
delivered within and across CMS and HHS.
<bullet> Goals for improving effective CMS digital services are:
understand what people need; address the whole experience, from start
to finish; make it simple and intuitive; build the service using agile
and iterative practices; structure budgets and contracts to support
delivery; bring in experienced teams; choose a modern technology stack;
deploy in a flexible hosting environment; automate testing and
deployments; manage security and privacy through reusable processes;
and use data to drive decisions.
<bullet> Supports OHTP in implementation of programs under Titles
XI, XVIII, XIX, and XXI of the Social Security Act and related
statutes, as amended. This includes fostering effective relationships
between these programs and other private and federally supported
health-related programs.
<bullet> In alignment with OHTP's enterprise leadership
responsibilities, DSAC contributes surge capacity to support healthcare
technology and digital product strategy, beneficiary-facing digital
services, Medicaid and CHIP technology modernization, interoperability
initiatives, and the advancement of artificial intelligence across CMS
digital products and platforms--supporting OHTP's longer-term
modernization and governance functions while ensuring rapid, user-
centered delivery of short-term technical engagements.
<bullet> Assists by providing guidance, policies, practices, and
talent pipelines that build trust and amplify impact across OHTP, CMS,
and HHS.
Authority: 44 U.S.C. 3101.
Robert F. Kennedy, Jr.,
Secretary, Department of Health and Human Services.
[FR Doc. 2026-11743 Filed 6-10-26; 8:45 am]
BILLING CODE 4150-28-P
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