Chief Financial Officer – The CFO provides oversight of the activities of the Division of Financial Management and represents the Department’s financial interests when working with the Governor’s Office, General Assembly, Board of Community Health, the Centers for Medicare and Medicaid Services, and other stakeholders. The CFO also serves as the primary financial advisor to the Commissioner.
Office of Planning and Fiscal Analyses – This office is the primary source of data for internal and external adhoc and routine data requests related to claims payments and the manager of the Department’s Decision Support System (DSS). The Office provides routine reports for programmatic monitoring by Policy staff and coordinates with Financial Services to perform payment reconciliations between claims data and the accounting interface with TPAs. This Office also provides health benefit payment projections for Medicaid, PeachCare for Kids, and the State Health Benefit Plan.
Financial Services (Accounting) – This unit is responsible for payments to providers, vendors, and employees and prepares financial reports to ensure receipt of Medicaid, PeachCare (SCHIP), and other federal funding. This unit prepares annual financial statements for the agency and ensures the department complies with generally accepted accounting principles.
Reimbursement Services – This unit performs rate setting functions for the Medicaid and PeachCare for Kids programs and is comprised of units that support Nursing Home and Long Term Care payments; Hospital Payments; and other non-institutional provider payments. This unit supports special financing projects such as the Upper Payment Limit and Disproportionate Share Hospital programs.
Budget Office – This office develops, requests, maintains, and monitors the department’s budget. The Budget Officer represents the agency in the budget development process as the agency’s request is reviewed by the Governor and General Assembly. The Budget Office ensures funding is available for departmental operations before liabilities are incurred and coordinates with the Office of Planning and Fiscal Analyses and Financial Services in budget development and expenditure monitoring, respectively.
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