Skip to main content
Centers for Medicare & Medicaid Services
CMS Newsroom
CMS Global Secondary Menu
About CMS
Newsroom
Data & Research
Search CMS.gov
Search
Search
Popular terms
Physician Fee Schedule
Local Coverage Determination
Medically Unlikely Edits
Telehealth
Covid-19
Agents and Brokers
CMS.gov main menu
Medicare
Back to main menu
section title h2
Enrollment & renewal
Back to
menu
section title h3
Original Medicare (Part A and B) Eligibility and Enrollment
Annual Medicare Participation Announcement
Providers & suppliers
Medicare Managed Care Eligibility and Enrollment
Part D Eligibility and Enrollment
Health plans
Coverage
Back to
menu
section title h3
Coverage Determination Process
Medicare Coverage Database
Approved facilities, trials, & registries
Telehealth
Medicare Summary Notice
Prescription drug coverage contracting
Coverage with evidence development
Investigational device exemption studies
Prescription drug coverage
Drug coverage claims data
Dental coverage
Preventive Services
Medicare Coverage Center
End Stage Renal Disease (ESRD) Center
Ambulances Services Center
Regulations & guidance
Back to
menu
section title h3
Manuals
Transmittals
CMS Records Schedule
Medicare Fee-for-Service payment regulations
National Provider Identifier Standard (NPI)
Advisory committees
Legislation
Promoting Interoperability Programs
CMS rulemaking
CMS Hearing Officer
Office of the Attorney Advisor (OAA)
Provider Reimbursement Review Board (PRRB)
Medicare Geographic Classification Review Board (MGCRB)
Physician Self-Referral
Quarterly provider updates
E-Prescribing
Coding & billing
Back to
menu
section title h3
Place of service codes
ICD-10 codes
Healthcare Common Procedure Coding System (HCPCS)
Integrated Outpatient Code Editor
National Correct Coding Initiative (NCCI) edits
NCCI for Medicaid
Electronic billing
Medicare Administrative Contractors (MACs)
Provider Customer Service Program
Skilled Nursing Facility (SNF) consolidated billing
Roster billing
Therapy services
Medicare claims & public health emergencies
Guide for Medical Technology Companies and Other Interested Parties
Payment
Back to
menu
section title h3
Medicare Part B Drug Average Sales Price
All Fee-For-Service-Providers
Fee schedules
Prospective Payment Systems
Opioid Treatment Programs (OTP)
Covid-19 Vaccine Toolkit
Bankruptcy
Sustainable Growth Rates & Conversion Factors
Medicare Advantage Rates & Statistics
Medicare-Medicaid coordination
Back to
menu
section title h3
Qualified Medicare beneficiary program
Resources
Qualified Medicare beneficiary program
Spotlight
Events
Financial alignment initiative
Initiative to reduce avoidable hospitalizations
Reports & Guidance
Program of All-Inclusive Care for the Elderly (PACE)
Reporting Fraud
Resources for Medicare-Medicaid plans
Resources for State Medicaid Agencies
Healthcare Fraud Prevention Partnership
Clinical Templates
Appeals & grievances
Back to
menu
section title h3
Original Medicare appeals
Managed Care appeals & grievances
Medicare Prescription drug appeals & grievances
Ombudsman Center
Appeals Decision Search (Part C & Part D)
Quality
Back to
menu
section title h3
Value-based programs
Person & Family Engagement
Quality improvement organizations
Nursing home quality improvement
Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP)
Home Health Quality Reporting Program
ESRD Quality Incentive Program
CMS National Quality Strategy
Hospice Quality Reporting Program
Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP)
Appropriate Use Criteria Program
Quality measures
Medicare Advantage quality improvement program
Physician compare initiative
Quality initiatives
Part C and D Performance Data
Skilled Nursing Facility (SNF) Quality Reporting Program (QRP)
Health & safety standards
Back to
menu
section title h3
Quality, Safety & Oversight Group (QSOG)
Quality, safety & oversight general information
Certification & compliance
Nursing Homes
Enforcement
Life Safety Code & Health Care Facilities Code Requirements
Hospitals
Rural emergency hospitals
Termination Notices
Ambulatory Surgery Centers
Community Mental Health Centers
Critical Access Hospitals
End Stage Renal Disease Facility Providers
Home Health Agencies
Hospices
Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID)
Organ Transplant Program
Psychiatric Hospitals
Psychiatric Residential Treatment Facility Providers
Inpatient Rehabilitation Facilities
Outpatient Rehabilitation Providers
Comprehensive Outpatient Rehabilitation Facilities
Religious Nonmedical Health Care Institutions
Rural Health Clinics
Emergency preparedness
Clinical Laboratory Improvement Amendments (CLIA)
Accreditation programs
Conditions for coverage & participation
Home Health Agencies
Employers & plan sponsors
Back to
menu
section title h3
Creditable coverage
IC-Placeholder-1
Audits & Compliance
Back to
menu
section title h3
Part A cost report audit
Part C/Part D compliance & audits
Forms & notices
Back to
menu
section title h3
CMS forms
CMS forms list
Beneficiary Notices Initiative (BNI)
Health & drug plans
Back to
menu
section title h3
Plan payment
Plan payment data
Medical loss ratio
Coverage Gap Discount Program
Managed care marketing
Medicare Advantage application
Medigap (Medicare supplement health insurance)
Medical Savings Account (MSA)
Private Fee-for-Service Plans
Health Care Prepayment Plans (HCPPs)
Cost plans
Special needs plans
Network adequacy
Medicare Prescription Payment Plan
Coordination of benefits & recovery
Back to
menu
section title h3
Overview
Mandatory Insurer Reporting for Group Health Plans (GHP)
Mandatory insurer reporting (NGHP)
Workers' comp Medicare set aside arrangements
Attorney services
Beneficiary services
COBA Trading Partners
Employer services
Insurer services
Prescription drug assistance programs
Provider services
Settlements
Back to
menu
section title h3
Jimmo Settlement
Ryan Settlement
Medicaid/CHIP
Back to main menu
section title h2
What is Medicaid?
Back to
menu
section title h3
Visit Medicaid.gov
View Medicaid maps
Visit CHIP.gov
Medicare-Medicaid Coordination
Back to
menu
section title h3
Integrated care resources
Initiative to reduce avoidable hospitalizations
Financial alignment initiative
Medicaid Integrity Institute
RG-Placeholder-1
IC-Placeholder-2
Marketplace & Private Insurance
Back to main menu
section title h2
About the Marketplace
Back to
menu
section title h3
Marketplace oversight
Affordable Care Act
Overview of the exchanges
Exchange coverage maps
Medicare and the Marketplace
Private Health Insurance
Back to
menu
section title h3
Patient’s Bill of Rights
Medical loss ratio
Annual limits
Review of insurance rates
Market rating
Self-funded, non-federal governmental plans
Grandfathered plans
Health Reimbursement Arrangements
Coverage for young adults
Student health plans
Mental health parity and addiction equity
Prevention
Consumer protections & enforcement
Pre-existing condition insurance plan
Qualifying Health Coverage (QHC)
RG-Placeholder-2
In-person assisters
Back to
menu
section title h3
Information for Partners
Assister outreach & education
Applications, forms, & notices
Assister programs & procedures
Assister technical resources
Assister training & webinars
Agents & Brokers
Back to
menu
section title h3
Resources for Agent & Brokers
Registration & training
Open enrollment
Direct enrollment partners
General resources
Video Learning Center
Agent & Broker FAQ
Marketplace help desk & call centers
Registration Completion List
Marketplace Registration Tracker
AB Suspension & Termination List
Find local help
Issuer and direct enrollment partner directory
Help on demand
SHOP Resources
Health Plans & Issuers
Back to
menu
section title h3
Qualified health plan certification
Summary of benefits & coverage
Insurance programs
Premium stabilization programs
Health insurance market reforms
Minimum essential coverage
Drug Data, Pricing & Rebate Review
Employers & sponsors
Back to
menu
section title h3
Coverage
Regulation & guidance
Small business tax credit & premium assistance
Appeals
Small Business Health Options Program (SHOP)
Early retiree reinsurance program
Employer initiatives
States
Back to
menu
section title h3
Planning & establishing a Marketplace
Territory cooperative agreements
Early innovator program
State flexibility to stabilize the Market
Exchange establishment grants
Pre-existing condition insurance plan
Resources
Back to
menu
section title h3
About Us
Data resources
Letters
Regulations & Guidance
Training resources
Marketplace Coverage Transitions
Initiatives
Back to main menu
section title h2
Burden Reduction
Back to
menu
section title h3
Overview
Crushing Fraud, Waste, & Abuse
Back to
menu
section title h3
Overview
E-health
Back to
menu
section title h3
Overview
Flu
Back to
menu
section title h3
Overview
Health Equity
Back to
menu
section title h3
Coverage to Care
Minority health
Cobertura de atención
Grants & awards
Health Technology Ecosystem
Back to
menu
section title h3
Overview
Healthplan price transparency
Back to
menu
section title h3
Overview
Hospital price transparency
Back to
menu
section title h3
Overview
Innovation Center
Back to
menu
section title h3
Overview
About
Key Concepts
Model Data
Value-Based Care Spotlight
Innovation Models
Where Innovation is Happening
Evaluations & Research Reports
Lookup tools
Back to
menu
section title h3
Overview
Marketplace Open Enrollment
Back to
menu
section title h3
Overview
Maternal Health
Back to
menu
section title h3
Overview
Medicare OE partner resources
Back to
menu
section title h3
Overview
Medicare Open Enrollment
Back to
menu
section title h3
Overview
Medicare Prescription Drug Affordability
Back to
menu
section title h3
Overview
Medicare Drug Price Negotiation Program
Medicare Inflation Rebate Program
Medicare Part D Improvements
No Surprise Billing
Back to
menu
section title h3
Overview
Nursing Home Careers
Back to
menu
section title h3
Overview
Open Payments
Back to
menu
section title h3
Overview
Opioids
Back to
menu
section title h3
Overview
Rural Health Transformation (RHT) Program
Back to
menu
section title h3
Overview
Your Patient Rights
Back to
menu
section title h3
Emergency Room Rights
Medical bill rights
Training & Education
Back to main menu
section title h2
CMS National Training Program
Back to
menu
section title h3
National Training Program resources
Class modules
Partner outreach resources
Back to
menu
section title h3
Partner with CMS
National Medicare Education Program (NMEP)
Low-Income Subsidy (LIS) outreach
Faith-Based Partners
Rural Health Partners
American Indian/Alaska Native
Partnering with CMS Center
Medicare Learning Network® (MLN)
Back to
menu
section title h3
Resources & training
Newsletter
Partnerships
Compliance
Medicare Provider Compliance Tips
CMS Open Door Forums
Back to
menu
section title h3
About Open Door Forums
Ambulance
End-Stage Renal Disease (ESRD) Dialysis Facility Care Compare
Home Health, Hospice & Durable Medical Equipment (DME)
Hospital
Long-Term Services & Supports
Physicians, Nurses and Allied Health Professionals
Rural Health
Skilled Nursing Facilities (SNFs)/Long-Term Care
Special Open Door forums
Look up topics
Back to
menu
section title h3
Medicare
Medicaid
CHIP
American Indian/Alaska Native Center
Quality of care
Special populations
Fraud & abuse
States
Privacy
Health conditions & campaigns
New Medicare Card
HIPAA Administrative Simplification
Learn More
Back to
menu
section title h3
Attend events
Find resources
Get training
Find tools to help you help others
Get digital media
Find your provider type
Back to
menu
section title h3
Physicians & other health professionals
Facilities
Health & drug plans
Employers & unions
Medicare
Medicare and The Marketplace
Medicare and The Marketplace - Overview
Medicare and the Marketplace - Overview
"
Page Last Modified:
09/10/2024 06:08 PM
Help with File Formats and Plug-Ins
