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Program Management Operating Plan

Centers for Medicare and Medicaid Services
Operating Plan for FY 2019
Dollars in Millions
Activities FY 2018 Final FY 2019 Final
     
Program Operations $2,509.959 $2,519.823
     
Additional Medicare Operations $305.000 $305.000
     
Federal Administration $732.533 $732.533
     
State Survey & Certification $397.334 $397.334
     
Research $20.054 $20.054
     
Total $3,964.880 $3,974.744
     
Discretionary $3,964.880 $3,974.744
     
Offsetting Collections: 1/    
CLIA User Fees $58.016 $46.900
Part D COB User Fees $30.399 $28.140
MA/PDP User Fees $53.953 $77.479
Recovery Audit Contracts $83.716 $536.536
Provider Enrollment User Fees $9.814 $22.512
Risk Adjustment User Fees $29.993 $35.644
Risk Corridors $22.001 $0.000
Exchanges $1,188.324 $902.356
CMPs/Other $11.730 $14.617
Sale of Data User Fees $18.199 $20.000
     
Total 1/ $1,506.144 $1,684.184
     
Totals    
Discretionary Budget Authority...... $3,964.880 $3,974.744
Offsetting Collections.................... $1,506.144 $1,684.184
Total, Program Level......................... $5,471.024 $5,658.928
1/ FY 2018 levels reflect obligations. FY 2019 levels include estimates from the 2019 Budget for offsetting collections and corresponding sequester amounts that will change based on actual collections.