Skip to main content

Centers for Medicare and Medicaid Services (CMS)

Description
Operates the Medicare and Medicaid programs - two national healthcare programs that benefit millions of Americans. Part of the U.S. Department of Health and Human Services. Website includes access to research, statistics, and data related to their programs.
Phone
877.267.2323
Tagged as
Critical Access Hospitals · Federally Qualified Health Centers · Finding Statistics and Data Related to Rural Health · Healthcare Quality · Medicaid · Medicare · Oral Health · Rural Health Clinics

Upcoming Events (1)

  • 2018 CMS Quality Conference, Feb 12 - 14, 2018, view details

Funding & Opportunities (16)

  • Accountable Health Communities Model, view details
  • Accountable Health Communities: Track 1 – Awareness, view details
  • Comprehensive Primary Care Plus (CPC+) Model, view details
  • Connecting Kids to Coverage Outreach and Enrollment, view details
  • Connecting Kids to Coverage Outreach to American Indian and Alaska Native Children, view details
  • Frontier Community Health Integration Demonstration Program (FCHIP), view details
  • Grants to Support Hispanic Health Services Research, view details
  • Grants to Support the Historically Black Colleges and Universities Health Services Research, view details
  • Health Care Innovation Awards, view details
  • MACRA Quality Improvement Direct Technical Assistance (MQIDTA), view details
  • Medicare Incentive Payments in Health Professional Shortage Areas, view details
  • Medicare Program: Next Generation Accountable Care Organization (ACO) Model, view details
  • Rural Community Hospital Demonstration, view details
  • State Innovation Models: Funding for Model Design and Model Testing Assistance, view details
  • Transforming Clinical Practice Initiative - Practice Transformation Network (PTN), view details
  • Transforming Clinical Practices Initiative (TCPI) Support and Alignment Networks (SAN) 2.0, view details

Resources (149)

  • 2015 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report, 03/2015, view details
  • 2016 Physician Quality Reporting System (PQRS) Payment Adjustment, 09/2015, view details
  • 2017 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds, 07/2017, view details
  • 2017 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies and Final Call Letter, 04/2016, view details
  • 42 CFR Part 491, Subpart A - Rural Health Clinics: Conditions for Certification; and FQHCs Conditions for Coverage, 10/2014, view details
  • Acute Care Hospital Inpatient Prospective Payment System, view details
  • Acute Inpatient Prospective Payment System (IPPS) Regulations and Notices, view details
  • Ambulatory Surgical Center (ASC) Regulations and Notices, view details
  • Annual Report 1: HCIA Disease-Specific Evaluation, 11/2014, view details
  • CAH Method II Physician Participation in the Medicare EHR Incentive Program: Fact Sheet, 2013, view details
  • Calendar Year (CY) 2015 Rural Health Clinic (RHC) and Federally Qualified Health Centers (FQHC) Updates: Payment Rate Increases for RHCs and FQHCs Billing Under the All-Inclusive Rate System (AIR), and Urban and Rural Designations for FQHCs Billing Under, 01/2015, view details
  • Center for Medicare and Medicaid Innovation: Report to Congress, 12/2016, view details
  • Children's Health Insurance Program (CHIP), view details
  • Chronic Care Management (CCM) Services for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), 11/2015, view details
  • CMS Ambulances Services Center, view details
  • CMS American Indian/Alaska Native Center, view details
  • CMS Critical Access Hospitals Center, view details
  • CMS Data Navigator, view details
  • CMS Federally Qualified Health Centers (FQHC) Center, view details
  • CMS Home Health Agency (HHA) Center, view details
  • CMS Hospice Center, view details
  • CMS Innovation Center, view details
  • CMS Manual System: Revisions to Medicare State Operations Manual, Chapter 9 - Critical Access Hospital (CAH) Recertification Checklist: Rural and Distance or Necessary Provider Verification, 02/2016, view details
  • CMS Medicare Administrative Contractors, view details
  • CMS Medicare and Medicaid Electronic Health Records (EHR) Incentive Programs, view details
  • CMS Quality Initiatives - General Information, view details
  • CMS Regional Office Rural Health Coordinators, view details
  • CMS Regional Offices, view details
  • CMS Rural Health Clinics Center, view details
  • CMS State Operations Manual (SOM), view details
  • CMS: Rural Health, view details
  • Code of Federal Regulations: 42 CFR 485.601-645: Subpart F, Conditions of Participation: Critical Access Hospitals (CAHs), view details
  • Code of Federal Regulations: Title 42: Public Health, Chapter 4 Subchapter G: Standards and Certification Part 484 Home Health Services, view details
  • County by County Analysis of Plan Year 2018 Insurer Participation in Health Insurance Exchanges, 10/2017, view details
  • CPC Practice Spotlights, 01/2015, view details
  • Critical Access Hospital (CAH) Emergency Services and Telemedicine: Implications for Emergency Services Condition of Participation (CoPs) and Emergency Medical Treatment and Labor Act (EMTALA) On-Call Compliance, 06/2013, view details
  • Critical Access Hospitals (CAHs): Distance from Other Providers and Relocation of CAHs with a Necessary Provider Designation, 09/2007, view details
  • Emergency Preparedness Final Rule Interpretive Guidelines and Survey Procedures, 06/2017, view details
  • Emerging LTSS Issues in Indian Country: Alzheimer’s and Dementia, 05/2016, view details
  • End-Stage Renal Disease (ESRD) Payment Regulations and Notices, view details
  • Evaluating the HCIA - Behavioral Health/Substance Abuse Awards: First Annual Report, 12/2014, view details
  • Evaluating the HCIA - Behavioral Health/Substance Abuse Awards: Second Annual Report, 03/2016, view details
  • Evaluating the HCIA - Behavioral Health/Substance Abuse Awards: Third Annual Report, 01/2017, view details
  • Evaluation of Health Care Innovation Awards (HCIA): Primary Care Redesign Programs, First Annual Report, 11/2014, view details
  • Evaluation of Health Care Innovation Awards (HCIA): Primary Care Redesign Programs, Second Annual Report, 03/2016, view details
  • Evaluation of Health Care Innovation Awards (HCIA): Primary Care Redesign Programs, Third Annual Report, 03/2017, view details
  • Evaluation of Hospital-Setting HCIA Awards: First Annual Report, Final, 03/2015, view details
  • Evaluation of Hospital-Setting HCIA Awards: Second Annual Report, Final, 03/2016, view details
  • Evaluation of Hospital-Setting HCIA Awards: Third Annual Report, Final, 11/2016, view details
  • Evaluation of the Health Care Innovation Awards: Community Resource Planning, Prevention, and Monitoring: Annual Report, 10/2014, view details
  • Evaluation of the Health Care Innovation Awards: Community Resource Planning, Prevention, and Monitoring: Second Annual Report, 03/2016, view details
  • Evaluation of the Health Care Innovation Awards: Community Resource Planning, Prevention, and Monitoring: Third Annual Report, 03/2017, view details
  • Evaluation of the Medication Management (MM) Health Care Innovation Awardees: Third Annual Report, 02/2017, view details
  • Evaluation of the Round Two Health Care Innovation Awards (HCIA R2): First Annual Report, 08/2016, view details
  • Evaluation of the Round Two Health Care Innovation Awards (HCIA R2): Second Annual Report, 08/2017, view details
  • Evaluation of the Shared Decision Making (SDM) & Medication Management (MM) Health Care Innovation Awardees: Annual Report 1, 10/2014, view details
  • Evaluation of the Shared Decision Making (SDM) & Medication Management (MM) Health Care Innovation Awardees: Second Annual Report, 03/2016, view details
  • Federally Qualified Health Center: Rural Health Fact Sheet Series, view details
  • Flexibilities and Support for Small Practices, 05/2016, view details
  • Frontier Community Health Integration Project (FCHIP) Demonstration Fact Sheet, 08/2016, view details
  • Frontier Community Health Integration Project Demonstration (FCHIP), view details
  • Frontier Extended Stay Clinics (FESC) Demonstration, view details
  • Getting Started with the Quality Payment Program: An Overview of MIPS for Small, Rural, and Underserved Practices, 02/2017, view details
  • Grandfathered Tribal (GFT) Federally Qualified Health Center (FQHC) Training: Overview of Requirements and Policies, 12/2015, view details
  • Guidance on the Physician Quality Reporting System (PQRS) 2013 Reporting Year and 2015 Payment Adjustment for Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), and Critical Access Hospitals (CAHs), 2015, view details
  • Guidance on the Physician Quality Reporting System (PQRS) 2014 Reporting Year and 2016 Payment Adjustment for Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), and Critical Access Hospitals (CAHs), 2016, view details
  • HCIA Complex/High-Risk Patient Targeting: First Annual Report, 11/2014, view details
  • HCIA Complex/High-Risk Patient Targeting: Second Annual Report, 03/2016, view details
  • HCIA Complex/High-Risk Patient Targeting: Third Annual Report, 02/2017, view details
  • Health Care Innovation Awards (HCIA), view details
  • Health Care Innovation Awards (HCIA) Meta-Analysis and Evaluators Collaborative: Annual Report Year 1, 11/2015, view details
  • Health Care Innovation Awards (HCIA) Meta-Analysis and Evaluators Collaborative: Annual Report Year 2, 03/2017, view details
  • Health Care Reform: Tracking Tribal, Federal, and State Implementation, 05/2011, view details
  • Health Homes, view details
  • Health Insurance Marketplace (For Professionals), view details
  • Health Professional Shortage Area Physician Bonus Program, 01/2017, view details
  • HealthCare.gov: Health coverage for American Indians & Alaska Natives, view details
  • Home Health Prospective Payment System Regulations and Notices, view details
  • Home Health Prospective Payment System: Payment System Fact Sheet Series, 02/2015, view details
  • Home Health Study Report: Literature Review, 01/2011, view details
  • Hospice Regulations and Notices, view details
  • Hospital Outpatient Prospective Payment System: Payment System Fact Sheet Series, 12/2014, view details
  • Hospital Outpatient Regulations and Notices, view details
  • Hurricane Response: CMS Waivers and Exceptions for Facilities, 2017, view details
  • The ICD-10 Transition: An Introduction, 08/2014, view details
  • Innovators' Guide to Navigating Medicare, 2015, view details
  • Inpatient Rehabilitation Facility Prospective Payment System, 01/2017, view details
  • Integrated Care Resource Center, view details
  • List of Medicare Certified Rural Health Clinics, view details
  • List of Skilled Nursing Facility (SNF) Federal Regulations, view details
  • Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) Regulations and Notices, view details
  • Mapping Medicare Disparities, view details
  • Market Saturation and Utilization Data Tool, view details
  • Medicare & Medicaid Research Review (MMRR), view details
  • Medicare and Medicaid Programs; Electronic Health Record Incentive Program—Stage 2 (Final Rule), 09/2012, view details
  • Medicare Benefit Policy Manual: Chapter 13 - Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Services, 01/2016, view details
  • Medicare Benefit Policy Manual: Chapter 7 - Home Health Services, view details
  • Medicare Billing Information for Rural Providers and Suppliers, 08/2014, view details
  • Medicare Chronic Conditions Dashboards, view details
  • Medicare Claims Processing Manual: Chapter 9 - Rural Health Clinics / Federally Qualified Health Centers, 07/2014, view details
  • Medicare Fee-For-Service Beneficiaries with Disabilities, by End Stage Renal Disease Status, 2014, 07/2017, view details
  • Medicare Geographic Variation Dashboards: State and County, view details
  • Medicare Learning Network, view details
  • Medicare Learning Network: Ambulance Fee Schedule, 12/2017, view details
  • Medicare Learning Network: Critical Access Hospital, 08/2017, view details
  • Medicare Learning Network: Long-Term Care Hospital Prospective Payment System, 09/2017, view details
  • Medicare Learning Network: Medicare Disproportionate Share Hospital, view details
  • Medicare Part D Opioid Drug Mapping Tool, view details
  • Medicare Physician Fee Schedule: Payment System Fact Sheet Series, 12/2014, view details
  • Medicare Program: Changes to the Hospital Outpatient Prospective Payment System, Ambulatory Surgical Center System, Graduate Medical Education and Critical Access Hospital; Interim and Final Rule with Comment Period, 11/2007, view details
  • Medicare Program; Prospective Payment System for FQHCs; Changes to Contracting Policies for RHCs; and Changes to Clinical Laboratory Improvement Amendments of 1988 Enforcement Actions for Proficiency Testing Referral, 05/2014, view details
  • Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2016, 11/2015, view details
  • Medicare Quarterly Provider Compliance Newsletter, view details
  • Medicare Shared Savings Program and Rural Providers, 03/2016, view details
  • MLN Matters, view details
  • MLN Suite of Products & Resources for Rural Health Providers, 01/2017, view details
  • MMA - Medicare Prescription Drug, Improvement and Modernization Act of 2003 Information for Medicare Rural Health Providers, Suppliers, and Physicians, 12/2004, view details
  • Nursing Home Compare, view details
  • An Overview of Home Health Aides: United States, 2007, 05/2011, view details
  • Payment Adjustments & Hardship Exceptions Tipsheet for Eligible Professionals, view details
  • Physician Bonuses, view details
  • Physician Fee Schedule (PFS) Federal Regulation Notices, view details
  • Physician Quality Reporting System, view details
  • Primary Care Incentive Payment Program (PCIP) 2011, 05/2012, view details
  • Program of All-Inclusive Care for the Elderly (PACE), view details
  • QualityNet, view details
  • Required Billing Updates for Rural Health Clinics, 02/2016, view details
  • Revisions to State Operations Manual (SOM) Appendices A, G, L and T Related to Hospitals, Rural Health Clinics, Ambulatory Surgical Centers and Swing Beds, 04/2015, view details
  • Revisions to State Operations Manual (SOM), Appendix W for Critical Access Hospitals, 04/2015, view details
  • Rural Community Hospital Demonstration, view details
  • Rural Health Clinic and Federally Qualified Health Center - Medicare Benefit Policy Manual Chapter 13 Update, 12/2016, view details
  • Rural Health Clinic: Rural Health Fact Sheet Series, view details
  • Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Billing Guide, view details
  • Rural Health Clinics (RHCs) Healthcare Common Procedure Coding System (HCPCS) Reporting Requirement and Billing Updates, 10/2016, view details
  • Second Annual Report: HCIA Disease-Specific Evaluation, 03/2016, view details
  • State Innovation Models (SIM), view details
  • State Innovation Models (SIM) Initiative Evaluation: Model Design and Model Pre-Test Evaluation Report, 07/2014, view details
  • State Innovation Models (SIM) Initiative Evaluation: Model Test Base Year Annual Report, 11/2014, view details
  • State Innovation Models (SIM) Initiative Evaluation: Model Test Year Three Annual Report, 09/2017, view details
  • State Innovation Models (SIM) Initiative Evaluation: Model Test Year Two Annual Report, 08/2016, view details
  • State Innovation Models (SIM) Round 2: Model Design Final Report, 08/2017, view details
  • State Survey Agency Directory, view details
  • Strengthening the Direct Service Workforce in Rural Areas, 08/2011, view details
  • Survey & Certification - Certification & Compliance: Critical Access Hospitals, view details
  • Survey & Certification - Certification & Compliance: Rural Health Clinics, view details
  • Swing Bed Services: Rural Health Fact Sheet Series, view details
  • Telehealth Services: Rural Health Fact Sheet Series, view details
  • Third Annual Report: HCIA Disease-Specific Evaluation, 02/2017, view details
  • Tribal Nursing Homes: Best Practices for Patients with Dementia and Alzheimer’s Disease, 03/2017, view details