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PrintFreedom of Information Act (FOIA) Service Center
Publicly Available Information A-Z Subject Index
Click on a letter below to view information beginning with that letter.
A
A/B MAC Jurisdictions
Medicare's claims processing operations have realized significant operational savings from the consolidation of state workloads and the efficiencies gained through integrating Part A and Part B functionality.
Medicare's claims processing operations have realized significant operational savings from the consolidation of state workloads and the efficiencies gained through integrating Part A and Part B functionality.
Acute Inpatient PPS Prospective Payment System (IPPS)
Fiscal year files that contain payment amounts and supporting files for services paid under the IPPS payment system.
Fiscal year files that contain payment amounts and supporting files for services paid under the IPPS payment system.
Ambulatory Surgical Center Payment System (ASC)
Calendar year files that contain payment amounts and supporting files for services paid under the ASC payment system.
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Calendar year files that contain payment amounts and supporting files for services paid under the ASC payment system.
B
Basic Stand Alone (BSA) Medicare Public Use Files (PUFs)
Medicare claims data of 2008 5% sample PUF for a variety of Medicare claim types. The claim types are Inpatient, Durable Medical Equipment (DME) Line Items, Prescription Drug Events (PDE), Hospice Beneficiary, Carrier Line Items, Home Health Agency (HHA), Outpatient Procedures and Skilled Nursing Facility (SNF) Beneficiary.
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Medicare claims data of 2008 5% sample PUF for a variety of Medicare claim types. The claim types are Inpatient, Durable Medical Equipment (DME) Line Items, Prescription Drug Events (PDE), Hospice Beneficiary, Carrier Line Items, Home Health Agency (HHA), Outpatient Procedures and Skilled Nursing Facility (SNF) Beneficiary.
C
Clinical Lab Fee Schedule (CLFS)
Clinical laboratory fee schedule files.
Clinical laboratory fee schedule files.
CMS Dashboards
Information on Medicare Inpatient Hospital and Medicare Prescription Drug Benefit Dashboard BETA.
Information on Medicare Inpatient Hospital and Medicare Prescription Drug Benefit Dashboard BETA.
CMS Form CMS 2567
Statement of Deficiencies and Plan of Correction for Nursing Homes.
Statement of Deficiencies and Plan of Correction for Nursing Homes.
- CMS Sample FOIA Letters:
- Sample FOIA Request Letter [PDF, 31 KB]
- Sample FOIA Request Letter for Your Own Medical Records [PDF, 20 KB]
- Sample FOIA Request Letter for Records on a Living Beneficiary from Someone Other Than the Beneficiary [PDF, 33 KB]
- Sample FOIA Request Letter for Records on a Deceased Beneficiary [PDF, 23 KB]
- Sample FOIA Appeal Letter [PDF, 20 KB]
Congressional Budget Office
Provides objective analyses on economic and budgetary decisions on the programs covered by the federal budget for the Congressional budget process.
Provides objective analyses on economic and budgetary decisions on the programs covered by the federal budget for the Congressional budget process.
Contract Enforcement Actions
Provides data on sanctions levied against Medicare Advantage and PDP sponsors for violations of CMS requirements since January 2006.
Provides data on sanctions levied against Medicare Advantage and PDP sponsors for violations of CMS requirements since January 2006.
Contracting With CMS
General contracting information and CMS awarded contracts.
General contracting information and CMS awarded contracts.
Cost Reports
These reports reflect data as reported to the Healthcare Cost Report Information System (HCRIS) by Medicare Fiscal Intermediaries.
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These reports reflect data as reported to the Healthcare Cost Report Information System (HCRIS) by Medicare Fiscal Intermediaries.
D
Data.gov Catalogs
Public access to machine readable datasets generated by the Executive Branch of the Federal Government. Use the Data.gov catalog link to easily download and use CMS datasets.
Public access to machine readable datasets generated by the Executive Branch of the Federal Government. Use the Data.gov catalog link to easily download and use CMS datasets.
Data.Medicare.Gov
Used primarily by health policy researchers and the media to access data in an interactive format.
Used primarily by health policy researchers and the media to access data in an interactive format.
Durable Medical Equipment, Prosthetics/Orthotics
& Supplies (DMEPOS) Fee Schedules
Fee schedule amounts, floors, and ceilings for all procedure codes and payment category, jurisdiction, and short description assigned to each procedure code.
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Fee schedule amounts, floors, and ceilings for all procedure codes and payment category, jurisdiction, and short description assigned to each procedure code.
E
There is no information starting with the letter E.
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F
Federal Digital System (FDsys)
Replaced GPO Access as the official online repository of government laws, regulations, court decisions and Congressional deliberations.
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Replaced GPO Access as the official online repository of government laws, regulations, court decisions and Congressional deliberations.
G
There is no information starting with the letter G.
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H
Health Care Consumer Initiatives
Information on services rendered by Hospitals, Ambulatory Surgical Centers (ASCs), and Physicians.
Information on services rendered by Hospitals, Ambulatory Surgical Centers (ASCs), and Physicians.
Health Care Information
System (HCIS)
Contains Medicare Part A (Inpatient, Skilled Nursing Facility, Home Health Agency and Hospice) & Medicare Part B (Outpatient) based on the type and state of the institutional provider.
Contains Medicare Part A (Inpatient, Skilled Nursing Facility, Home Health Agency and Hospice) & Medicare Part B (Outpatient) based on the type and state of the institutional provider.
Health Insurance Portability and
Accountability Act (HIPAA) Privacy Rule
The Privacy Rule protects the privacy of your health information.
The Privacy Rule protects the privacy of your health information.
Health Plan
Finder Data
Consumer information about health insurance options and ensures better value for their premium dollars.
Consumer information about health insurance options and ensures better value for their premium dollars.
Healthcare Common
Procedure Coding System (HCPCS)
Amounts paid by Medicare for specific items, services, and equipment, by specialty, by locality or any combination on a calendar year basis.
Amounts paid by Medicare for specific items, services, and equipment, by specialty, by locality or any combination on a calendar year basis.
HealthCare.gov
Designed to help all Americans, not just those covered by Medicare or Medicaid, get the information they need to make the best choices about their health care (Insurance Options Finder, Health Finder & consumer rights).
Designed to help all Americans, not just those covered by Medicare or Medicaid, get the information they need to make the best choices about their health care (Insurance Options Finder, Health Finder & consumer rights).
HHS Assistant Secretary
for Planning and Evaluation's (ASPE) Policy Information Center
ASPE maintains a collection of about ten thousand research and evaluation studies of HHS programs in its Policy Information Center.
ASPE maintains a collection of about ten thousand research and evaluation studies of HHS programs in its Policy Information Center.
HHS Electronic FOIA Reading Room
Contains HHS material, including final opinions, Departmental Appeals Board decisions, policy statements, administrative manuals, and frequently requested records.
Contains HHS material, including final opinions, Departmental Appeals Board decisions, policy statements, administrative manuals, and frequently requested records.
- HHS FOIA Service Centers:
- Administration on Aging (AoA)
- Administration on Children and Families (ACF)
- Agency for Healthcare Research and Quality (AHRQ)
- Centers for Disease Control and Prevention (CDC)
- Food and Drug Administration (FDA)
- Health Resources and Services Administration (HRSA)
- Indian Health Service (IHS)
- National Institute of Health (NIH)
- Office of Inspector General (OIG)
- Program Support Center (PSC)
- Public Health Service (PHS)
- Substance Abuse and Mental Health Services Administration (SAMHSA)
HHS Information Resources Directory
Browse an alphabetical list of hundreds of HHS resources organized by topic (e.g., abuse, aging, civil rights, etc.) and find a link to web sites at HHS with information on those topics.
Browse an alphabetical list of hundreds of HHS resources organized by topic (e.g., abuse, aging, civil rights, etc.) and find a link to web sites at HHS with information on those topics.
HHS Information Resources Guide
Read online information, learn how to request information, and find operating divisions' and program offices' publications contacts at this Guide to HHS Information Resources organized by HHS agency.
Read online information, learn how to request information, and find operating divisions' and program offices' publications contacts at this Guide to HHS Information Resources organized by HHS agency.
HHS Office of Inspector General (OIG)
OIG protects the integrity of the Department of Health and Human Services (HHS) programs. List of sanctioned physicians.
OIG protects the integrity of the Department of Health and Human Services (HHS) programs. List of sanctioned physicians.
HHS Open Government
Engage with HHS as it makes its operations more transparent to the public. Collaborate on data sets, tools and HHS initiatives to help us serve the public more effectively.
Engage with HHS as it makes its operations more transparent to the public. Collaborate on data sets, tools and HHS initiatives to help us serve the public more effectively.
Hospital Compare
Compare the quality of care that hospitals provide.
Compare the quality of care that hospitals provide.
Hospital Outpatient PPS
Calendar year files that contain payment amounts and supporting files for services paid under the OPPS.
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Calendar year files that contain payment amounts and supporting files for services paid under the OPPS.
I
Identifiable Data Files
Identifiable Data Files contain actual beneficiary-specific and physician-specific information. Identifiable Files require a formal request to be submitted to CMS for approval.
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Identifiable Data Files contain actual beneficiary-specific and physician-specific information. Identifiable Files require a formal request to be submitted to CMS for approval.
J
There is no information starting with the letter J.
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K
There is no information starting with the letter K.
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L
Limited Data Sets
Files that contain beneficiary level health information but exclude specified direct identifiers as outlined in the Health Insurance Portability and Accountability Act (HIPAA Privacy Rule).
Files that contain beneficiary level health information but exclude specified direct identifiers as outlined in the Health Insurance Portability and Accountability Act (HIPAA Privacy Rule).
Long Term Care Hospital Prospective Payment System
(LTCH PPS)
Fiscal year files that contain payment amounts and supporting files for services paid under the LTCH PPS payment system.
Fiscal year files that contain payment amounts and supporting files for services paid under the LTCH PPS payment system.
Low Income Subsidy (LIS) Enrollment by
Plan
Provides enrollment at the contract/plan level for all organizations offering Part D.
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Provides enrollment at the contract/plan level for all organizations offering Part D.
M
Medicaid Integrity Program -
General Information
Medicaid Integrity Audit Contractor, Medicaid Review Contractor, MIC Education and Training Support & Electronic Drug Database Licensing.
Medicaid Integrity Audit Contractor, Medicaid Review Contractor, MIC Education and Training Support & Electronic Drug Database Licensing.
Medicaid State Waivers and Program
Demonstrations
The Social Security Act authorizes multiple waiver and demonstration authorities to allow states flexibility in operating Medicaid programs. Access what kinds of waivers and demonstrations have been proposed and/or approved in your state.
The Social Security Act authorizes multiple waiver and demonstration authorities to allow states flexibility in operating Medicaid programs. Access what kinds of waivers and demonstrations have been proposed and/or approved in your state.
Medicare Ambulance Fee Schedule
Provides calendar year files that contain the payment amounts used to pay for services provided by ambulance providers and suppliers.
Provides calendar year files that contain the payment amounts used to pay for services provided by ambulance providers and suppliers.
Medicare Clinical Lab Fee Schedule
Provides calendar year files that contain the payment amounts used to pay for lab services paid under the Medicare Clinical Lab Fee Schedule.
Provides calendar year files that contain the payment amounts used to pay for lab services paid under the Medicare Clinical Lab Fee Schedule.
Medicare Contracting Reform
CMS will ensure that Medicare claims continue to be processed effectively, accurately and in a timely manner and contracts will be subject to the Federal Acquisition Regulation.
CMS will ensure that Medicare claims continue to be processed effectively, accurately and in a timely manner and contracts will be subject to the Federal Acquisition Regulation.
Medicare Coverage
Database
Contains all National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs), local articles, and proposed NCD decisions. The database also includes National Coverage policy related documents, including National Coverage Analyses (NCAs), Coding Analyses for Labs (CALs), Medicare Evidence Development & Coverage Advisory Committee (MEDCAC) proceedings, and Medicare coverage guidance documents.
Contains all National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs), local articles, and proposed NCD decisions. The database also includes National Coverage policy related documents, including National Coverage Analyses (NCAs), Coding Analyses for Labs (CALs), Medicare Evidence Development & Coverage Advisory Committee (MEDCAC) proceedings, and Medicare coverage guidance documents.
Medicare Fee-for-Service Payment
Listing of fees used by Medicare to pay doctors or other providers/suppliers.
Listing of fees used by Medicare to pay doctors or other providers/suppliers.
Medicare Fee-for-Service Statistics
for Parts A & B
Medicare Home Health Utilization by State for Calendar Years 2005 - 2007. Additional tables for Medicare utilization for Part A and Medicare utilization for Part B.
Medicare Home Health Utilization by State for Calendar Years 2005 - 2007. Additional tables for Medicare utilization for Part A and Medicare utilization for Part B.
Medicare Ombudsman
Working to ensure people with Medicare get the information and help they need to understand their Medicare options, and to apply their rights and protections.
Working to ensure people with Medicare get the information and help they need to understand their Medicare options, and to apply their rights and protections.
Medicare Part B Drugs
Quarterly files contain the payment amounts used to pay for Medicare Part B covered drugs.
Quarterly files contain the payment amounts used to pay for Medicare Part B covered drugs.
Medicare Physician Feedback/Value Based Payment
Modifier
Provides information about current and future phases of the Physician Feedback Program, the impact of the Affordable Care Act of 2010, as well as plans for the implementation of the value-based modifier.
Provides information about current and future phases of the Physician Feedback Program, the impact of the Affordable Care Act of 2010, as well as plans for the implementation of the value-based modifier.
Medicare Plan Finder
Compare options for joining health and drug plans under the Medicare program, including Medicare Advantage and Medicare Prescription Drug plans.
Compare options for joining health and drug plans under the Medicare program, including Medicare Advantage and Medicare Prescription Drug plans.
Medicare Prescription Drug Coverage
Prescription Drug Coverage general information.
Prescription Drug Coverage general information.
Medicare Provider-Supplier Enrollment
Provide Medicare enrollment information for providers, physicians, non-physician practitioners, and other suppliers.
Provide Medicare enrollment information for providers, physicians, non-physician practitioners, and other suppliers.
Medicare Shared Savings Program
Facilitates coordination and cooperation among providers to improve the quality of care for Medicare fee-for-service beneficiaries and reduce unnecessary costs.
Facilitates coordination and cooperation among providers to improve the quality of care for Medicare fee-for-service beneficiaries and reduce unnecessary costs.
Medicare Supplier Directory
Provides names, addresses and contact information for suppliers that provide services or products under the Medicare program.
Provides names, addresses and contact information for suppliers that provide services or products under the Medicare program.
MyMedicare.gov
For specific questions about your claims, records, or expenses, visit, or call 1-800-MEDICARE.
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For specific questions about your claims, records, or expenses, visit, or call 1-800-MEDICARE.
N
National Coverage Determinations (NCD)
Information on how to request a NCD & Local Coverage Determinations.
Information on how to request a NCD & Local Coverage Determinations.
Nursing Home Compare
Find nursing homes in your area. This tool has detailed information about every Medicare and Medicaid-certified nursing home in the country.
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Find nursing homes in your area. This tool has detailed information about every Medicare and Medicaid-certified nursing home in the country.
O
There is no information starting with the letter O.
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P
Personal Computer (PC) Pricer
Tool used to estimate Medicare Prospective Payment System (PPS) payments for ESRD, Inpatient Hospital, SNF, Home Health, IRF, IPF, LTCH, and Outpatient.
Tool used to estimate Medicare Prospective Payment System (PPS) payments for ESRD, Inpatient Hospital, SNF, Home Health, IRF, IPF, LTCH, and Outpatient.
Physician Fee Schedule (PFS)
Includes PFS National Payment files, Physician Fee Schedule Relative Value Unit (RVU) files and PFS Carrier Specific files.
Includes PFS National Payment files, Physician Fee Schedule Relative Value Unit (RVU) files and PFS Carrier Specific files.
Prescription Drug Coverage
- Part D Performance Data Page
Contains performance data related to the Medicare Part C and Part D program.
Contains performance data related to the Medicare Part C and Part D program.
Provider Reimbursement Review Board (PRRB) Decisions
The PRRB is an independent panel to which a Medicare provider of services may appeal if it is dissatisfied with a final determination of its fiscal intermediary or the Centers for Medicaid & Medicare Services (CMS).
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The PRRB is an independent panel to which a Medicare provider of services may appeal if it is dissatisfied with a final determination of its fiscal intermediary or the Centers for Medicaid & Medicare Services (CMS).
Q
R
Recovery Audit Program –Recent
Updates
Quarterly Recovery Audit Activity including Demanded and Corrected Amounts by Contractor, Number of Additional Documentation Requests and Top Issues and Problems identified by CMS.
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Quarterly Recovery Audit Activity including Demanded and Corrected Amounts by Contractor, Number of Additional Documentation Requests and Top Issues and Problems identified by CMS.
S
There is no information starting with the letter S.
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T
There is no information starting with the letter T.
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U
U.S. Department of Health and Human Services (HHS)
The parent agency of CMS operates many Web sites aimed at helping find health-related or program-related information.
The parent agency of CMS operates many Web sites aimed at helping find health-related or program-related information.
U.S. General Accountability Office (GAO)
Supports Congress in meeting its constitutional responsibilities and helps improve the performance and accountability of the federal government.
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Supports Congress in meeting its constitutional responsibilities and helps improve the performance and accountability of the federal government.
V
There is no information starting with the letter V.
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W
There is no information starting with the letter W.
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X
There is no information starting with the letter X.
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Y
There is no information starting with the letter Y.
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Z
There is no information starting with the letter Z.
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Categories
- Medicare.gov:
- Medigap Policy Search
- Medicare Eligibility Tool
- Medicare Coverage
- Medicare Summary Notices (MSNs)
- Quality Care Finder Tools:
- Hospital Compare
- Nursing Home Compare
- Home Health Compare
- Dialysis Facility Compare
- Physician Compare
- Medicare Plan Finder
- HHS FOIA Service Centers:
- Administration on Aging (AoA)
- Administration on Children and Families (ACF)
- Agency for Healthcare Research and Quality (AHRQ)
- Centers for Disease Control and Prevention (CDC)
- Food and Drug Administration (FDA)
- Health Resources and Services Administration (HRSA)
- Indian Health Service (IHS)
- National Institute of Health (NIH)
- Office of Inspector General (OIG)
- Program Support Center (PSC)
- Public Health Service (PHS)
- Substance Abuse and Mental Health Services Administration (SAMHSA)
- CMS Sample FOIA Letters:
- Sample FOIA Request Letter [PDF, 31 KB]
- Sample FOIA Request Letter for Your Own Medical Records [PDF, 20 KB]
- Sample FOIA Request Letter for Records on a Living Beneficiary from Someone Other Than the Beneficiary [PDF, 33 KB]
- Sample FOIA Request Letter for Records on a Deceased Beneficiary [PDF, 23 KB]
- Sample FOIA Appeal Letter [PDF, 20 KB]
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