"WE ASSURE HEALTH CARE SECURITY

FOR BENEFICIARIES."

Mission Statement From

The Centers for Medicare & Medicaid Services

For questions or comments on the CMS Annual Performance Plan/Annual Performance Report, please contact:

PERFORMANCE PLAN AND REPORT

EXECUTIVE SUMMARY

PART I - INTRODUCTION: AGENCY CONTEXT FOR PERFORMANCE
MEASUREMENT

1.1 AGENCY MISSION AND LONG-TERM GOALS.........
1.2 ORGANIZATION, Programs, OPERATIONS, STRATEGIES, AND Resources .
1.3 PARTNERships and COORDINATION.....................

V-1

.............

V-6

V-7

1.4 SUMMARY OF FY 2001 PERformance RepORT ..........

V-7

PART II - PROGRAM PLANNING AND ASSESSMENT

V-9

MEDICARE BENEFITS

V-1 1

Performance Goal MB1-03

Improve Satisfaction of Medicare Beneficiaries with the
Health Care Services they Reccive.....

V-16

Performance Goal MB3-03

Improve Medicare's Administration of the Beneficiary
Appeals Process.

Process Medicare+Choice Organization Elections in
Compliance with the BBA Beneficiary Election Provisions.....
Performance Goal MB4-03

V-20

V-23

Performance Goal MB5-03

Improve Beneficiary Understanding of Basic Features

Improve Heart Attack Survival Rates By Decreasing Mortality ....
Performance Goal QP2-03

V-31

Increase the Percentage of Medicare Beneficiaries Age 65 Years
and Older Who Receive an Annual Vaccination for Influenza
and a Lifetime Vaccination for Pneumococcal.

V-33

Performance QP3-03

Increase the Percentage of Medicare Beneficiaries Age 65 Years
and Older Who Receive a Mammogram

Decrease the Prevalence of Pressure Ulcers in Nursing Homes.............
Performance Goal OSC3-03

V-46

V-48

PERFORMANCE PLAN AND REPORT

GRANTS TO States for MEDICAID/MEDICAID AGENCIES
Performance Goal MMAI-01

Improve Access to Care for Elderly and Disabled Medicare
Beneficiaries Who Do Not Have Public or Private

Supplemental Insurance..

Performance Goal MMA2-03

Increase the Percentage of Medicaid Two-Year Old Children
Who Are Fully Immunized.

Performance Goal MMA3-02

Provide to States Linked Medicare and Medicaid Data Files
for Dually Eligible Beneficiaries..................
Performance Goal MMA4-03

Assist States in Conducting Medicaid Payment Accuracy....
Studies for the Purpose of Measuring and Ultimately Reducing
Medicaid Payment Error Rates......

Performance Goal MMA5-03

Improve Health Care Quality Across the Medicaid and State
Children's Health Insurance Program (SCHIP) Through

the CMS/State Performance Measurement Partnership Project...

STATE CHILDREN'S Health INSURANCE PROGRAM.
Performance Goal SCHIP1-03

Decrease the Number of Uninsured Children by Working

with States to Implement SCHIP and by Enrolling Children
in Medicaid....

CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA)..........................................................

Performance Goal CLIAI-03

Sustain Improved Laboratory Testing Accuracy

MEDICARE INTEGRITY PROGRAM......

Performance Goal MIP1-03

Reduce

the Percentage of Improper Payments Made Under the Medicare Fee-for-Service Program

Performance Goal MIP2-03

Develop and Implement Methods for Measuring Program
Integrity Outcomes

.....V-55

....... V-57

V-60

V-62

V-62

V-64

.... V-66

V-68

V-72

...V-74

.......... V-77

V-83

V-85

Performance Goal MIP3-01

Improve the Effectiveness of Program Integrity Activities

through the Successful Implementation of the Comprehensive

Plan for Program Integrity

Performance Goal MIPS-03

Increase Medicare Secondary Payer Credit Balance

Dollar Recoveries

Recoveries and/or Decrease Recovery Time to Recoup

Performance Goal MIP6-03

Assess Program Integrity Customer Service.

Performance Goal MIP7-03

V-87

V-95

V-98

PERFORMANCE PLAN AND REPORT

Performance Goal 27-00

Reduce the Percentage of Medicare Home Health Services
Provided for which Improper Payment is Made...........

MEDICARE OPERATIONS.....

Performance Goal MO1-03

...V-102

V-104

Improve Beneficiary Telephone Customer Service..........

V-113

Performance Goal MO2-03

Sustain Medicare Payment Timeliness Consistent with

Statutory Floor and Ceiling Requirements.

V-115

Performance Goal MO3-03

Increase the Use of Electronic Commerce/Standards

in Medicare....

V-117

Performance Goal MO4-03

Maintain CMS's Improved Rating on Financial Statements..

V-120

Performance Goal MO5-03

Improve CMS Oversight of Medicare Fee-for-Service

Information to Beneficiaries in Fee-for-Service..........

Develop and Implement an Information Technology Architecture............... V-141

Performance Goal FAC3-03

Improve CMS' Information Systems Security...

V-143

Performance Goal FAC4-03

Develop New Medicare Payment Systems in Fee-for-Service

PERFORMANCE PLAN AND REPORT

Performance Goal FAC9-03

Increase Awareness of the Opportunity to Enroll in the

Medicare Savings Programs

V-156

Performance Goal FAC10-03

Implement CMS Restructuring Plan to Create a More
Citizen-Centered Organization.

V-158

V-160

RESEARCH, DEMONSTRATION, AND EVALUATION
Performance Goal R1-03

Assess the Relationship between CMS Research Investments
and Program Improvements.....................

PART III - APPENDIX TO THE PERFORMANCE PLAN.
A. APPROACH TO PERFORMANCE MEASUREMENT.
A.2. A CHANGES IN ANNUAL Performance Plan (APP) GOALS.
A.2. B REVISED FINAL FY 2002 GPRA ANNUAL PERFORMANCE
PLAN GOALS.........

A.3 LINKAGE TO HHS AND CMS STARTEGIC PLANS.
A.4 PERFORMANCE MEASUREMENT LINKAGES WITH BUDGET,

COST ACCOUNTING, INFORMATION TECHNOLOGY PLANNING,
CAPITAL PLANNING, AND PROGRAM EVALUATION
A.5 DEVELOPMENTAL GOALS TIMELINE ..

APPENDIX B ..

V-180

V-182

V-189