1. Centers For Medicare And Medicaid Services Address

The Centers for Medicare and Medicaid Services (CMS) is the agency within the U.S. Department of Health and Human Services (HHS) that administers the nation’s major health care programs. Health care programs include Medicare, Medicaid, the Children's Health Insurance Program (CHIP), and the state and federal health insurance marketplaces. CMS collects and analyzes data, produces research reports, and works to eliminate instances of fraud and abuse within the health care system.

Breaking Down Centers for Medicare and Medicaid Services (CMS)

• A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 7500 Security Boulevard, Baltimore, MD 21244.
• The federal agency is the single largest purchaser of health care in the world, with an estimated $476 billion paid for health care services in 2001 on behalf of 70 million disabled, elderly,.

Centers for Medicare and Medicaid Services manages many crucial national health care programs that affect the lives of millions of Americans. The agency’s goal is to provide “a high-quality health care system that ensures better care, access to coverage, and improved health.” CMS has offices at its headquarters in Maryland and in several cities throughout the United States, including Boston, Kansas City, San Francisco, and Atlanta, strategically positioned to serve each region.

CMS manages the Administrative Simplification Standards of the Health Insurance Portability and Accountability Act (HIPPA). The use of Administrative Simplification Standards strives to implement the adoption of national electronic health care records, guarantee patient privacy and security, and enforce HIPPA rules. CMS oversees quality in clinical laboratories, long-term care facilities, as well as providing oversight of the health insurance exchanges.

CMS & HHS Websites Visit other Centers for Medicare and Medicaid Services & Health and Human Services Websites section Expand. Medicare.gov Link to the medicare.gov website - Opens in a new window; MyMedicare.gov Link to the MyMedicare.gov website - Opens in a new window; Medicaid.gov - Opens in a new window; InsureKidsNow.gov - Opens in a new.

Medicare Program

President Lyndon B. Johnson created Medicare and Medicaid in 1965. Initially, other agencies managed these programs. Medicare is a taxpayer-funded program for seniors of age 65 and older. Eligibility requires the senior to have worked and paid into the system through the payroll tax. Medicare also provides health coverage for people with recognized disabilities as confirmed by the Social Security Administration (SSA) and those with specific end-stage diseases.

Medicare consists of four parts, titled A, B, C, and D. Part A covers inpatient hospital, skilled nursing, hospice, and home services. Medical coverage is provided under part B and includes physician, laboratory, outpatient, preventive care, and other services. Medicare Part C or Medicare Advantage is a combination of parts A and B. Part D (signed in 2003 by President George W. Bush), provides coverage for drugs and prescription medications.

Medicare enrollees share costs with taxpayers through premiums and out-of-pocket expenditures.

Medicaid and CHIP Programs

Through its Center for Consumer Information & Insurance Oversight, CMS plays a role in the federal and state health insurance marketplaces by helping to implement the Affordable Care Act’s laws about private health insurance and providing educational materials to the public.

Centers for Medicare & Medicaid Services

On July 1, 2001, the Health Care Financing Administration was reorganized and changed its name to the Centers for Medicare & Medicaid Services (CMS). CMS is an operating division of the Health and Human Services Department. It was established in 1977 to combine under one administration the oversight of the Medicare Program and the federal portion of the Medicaid Program (Reorg. Order of Mar. 9, 1977, 42 Fed. Reg. 13262).

As part of the 2001 reorganization, three new business centers were developed: the Center for Beneficiary Choices, the Center for Medicare Management, and the Center for Medicaid and State Operations. The Center for Beneficiary Choices provides beneficiaries with information about Medicare, Medicare Select, Medicare+Choice, and Medigap options. It also manages the Medicare+Choice plans, consumer research and demonstrations, and grievances and appeals. The Center for Medicare Management oversees the traditional fee-for-service Medicare program. This entails developing payment policies and managing Medicare fee-for-service contractors. The Center for Medicaid and State Operations oversees programs administered by the states, including Medicaid, the State Children's Health Insurance Program (SCHIP), insurance regulation functions, survey and certification, and the Clinical Laboratory Improvements Act (CLIA).

Medicare provides health insurance coverage for U.S. citizens age 65 or older, for younger people receiving Social Security benefits, and for persons needing dialysis or kidney transplants for the treatment of end-stage renal disease (42 U.S.C.A. § 1395 et seq.). Medicare beneficiaries may receive medical care through physicians of their own choosing or through health maintenance organizations and other medical plans that have contracts with Medicare.

Medicaid is a medical assistance program jointly financed by state and federal governments for low-income individuals (42 U.S.C.A. § 1396 et seq.). Medicaid covers health care expenses for recipients of Temporary Assistance for Needy Families (formerly Aid to Families with Dependent Children), as well as for low-income pregnant women and other individuals whose medical bills qualify them as medically needy. Most states also cover medical expenses for older U.S. citizens who are needy, as well as for individuals who are blind and disabled who receive assistance under the Supplemental Security Income Program. Coverage is further extended to some Infants and low-income pregnant women and, depending on the state, to other low-income individuals with medical bills that qualify them as medically needy.

The mission of the CMS is to promote the timely delivery of quality health care to Medicare and Medicaid beneficiaries and to ensure that the Medicare and Medicaid Programs are administered in an efficient manner. The agency must also ensure that program beneficiaries are aware of the services for which they are eligible, that those services are accessible and of high quality, and that agency policies and actions promote efficiency and quality within the total health care delivery system. A quality assurance program administered by the CMS is responsible for developing health and safety standards for providers of health care services authorized by Medicare and Medicaid legislation. This program helps to ensure that Medicare and Medicaid beneficiaries receive quality health care services at a reasonable cost.

Further readings

Centers for Medicare & Medicaid Services. Available online at <www.cms.hhs.gov> (accessed July 23, 2003).

Centers For Medicare And Medicaid Services Address

Medicare Resource Center. Available online at <www.medicare.gov> (accessed July 23, 2003).

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U.S. Government Manual Website. Available online at <www.gpoaccess.gov/gmanual> (accessed November 10, 2003).