www.cms.gov Open in urlscan Pro
2a02:26f0:3100:78b::28a  Public Scan

Form analysis
2 forms found in the DOM

GET /search/cms

<form region="cms_header_secondary" action="/search/cms" method="get" id="search-block-form" accept-charset="UTF-8">
  <div class="js-form-item form-item js-form-type-search form-item-keys js-form-item-keys form-no-label">
    <label for="edit-keys" class="ds-c-label visually-hidden">Search</label>
    <label class="ds-u-visibility--screen-reader" for="header-search-input">Search</label>
    <input title="Enter the terms you wish to search for." data-drupal-selector="edit-keys" class="form-autocomplete form-search ds-c-field ds-u-lg-display--none ui-autocomplete-input" data-autocomplete-path="/suggestion/autocomplete"
      data-region="cms_header_secondary" data-twig-suggestion="cms_header_secondary--search-form-block" type="search" id="header-search-input" name="keys" value="" maxlength="128" placeholder="Search for keywords, topics or resources"
      autocomplete="off" data-once="autocomplete placeholder">
    <button class="cms-clear-button ds-u-display--none" type="button" aria-controls="header-search-input hidden-header-list-wrapper" aria-label="Clear Search Terms"><i class="fal fa-times"></i></button>
    <div class="cms-popular-search-terms ds-u-display--block ds-u-lg-display--none" id="hidden-header-list-wrapper">
      <span id="list-header" class="cms-list-header">Popular terms</span>
      <ul aria-labelledby="list-header">
        <li data-once="headerSitewideTermMatch"><span class="term">Physician Fee Schedule</span><i class="far fa-long-arrow-right" focusable="false"></i></li>
        <li data-once="headerSitewideTermMatch"><span class="term">Local Coverage Determination</span><i class="far fa-long-arrow-right" focusable="false"></i></li>
        <li data-once="headerSitewideTermMatch"><span class="term">Medically Unlikely Edits</span><i class="far fa-long-arrow-right" focusable="false"></i></li>
        <li data-once="headerSitewideTermMatch"><span class="term">Telehealth</span><i class="far fa-long-arrow-right" focusable="false"></i></li>
        <li data-once="headerSitewideTermMatch"><span class="term">Covid-19</span><i class="far fa-long-arrow-right" focusable="false"></i></li>
      </ul>
    </div>
  </div>
  <div data-drupal-selector="edit-actions" class="form-actions js-form-wrapper form-wrapper" id="edit-actions--mV1JJ8sF4ks">
    <div class="header-search-bar">
      <input data-drupal-selector="edit-submit" data-twig-suggestion="cms_header_secondary--search-submit" type="submit" id="edit-submit--VBmHIchDOm8" value="Search" class="button js-form-submit form-submit ds-c-button ds-c-button--solid"
        aria-controls="header-search-input" role="button" data-once="buttonMatch headerSitewideInitiatedMatch" aria-expanded="false">
      <i class="fas fa-search" focusable="false"></i>
    </div>
  </div>
</form>

POST https://public.govdelivery.com/accounts/USCMS/subscribers/qualify

<form aria-label="Enter your email address for email updates" accept-charset="UTF-8" action="https://public.govdelivery.com/accounts/USCMS/subscribers/qualify" id="email-footer-form" method="post"
  data-drupal-form-fields="email-footer-input,email-submit">
  <div class="ds-u-display--flex" id="email-form">
    <div class="ds-u-display--flex ds-u-flex-direction--column flex-grow">
      <label for="email" class="ds-u-font-weight--bold ds-u-margin-bottom--1 ds-u-margin-top--3">Email</label>
      <input required="required" aria-label="Enter your email address:" name="email" type="text" placeholder="you@example.com" class="ds-c-field ds-u-margin-bottom--05">
    </div>
    <div class="submit-button ds-u-margin-top--2">
      <label id="email-submit-label" for="email-footer-submit" class="ds-u-visibility--screen-reader">Sign up - opens in a new window</label>
      <button id="email-submit" aria-labelledby="email-submit-label" class="ds-c-button ds-c-button--solid cms--external-button" name="email-footer-submit" type="submit" value="Sign up" data-once="signUpMatch">Sign up</button>
    </div>
  </div>
</form>

Text Content

Skip to main content

An official website of the United States government

Here's how you know

Here's how you know

Official websites use .gov
A .gov website belongs to an official government organization in the United
States.

Secure .gov websites use HTTPS
A lock ( ) or https:// means you've safely connected to the .gov website. Share
sensitive information only on official, secure websites.

Centers for Medicare & Medicaid Services


CMS NEWSROOM

Header
 * About CMS
 * Newsroom
 * Data & Research


SEARCH CMS.GOV

Search Search
Popular terms
 * Physician Fee Schedule
 * Local Coverage Determination
 * Medically Unlikely Edits
 * Telehealth
 * Covid-19




CMS.GOV MAIN MENU

 * Medicare
   Back to main menu
   
   
   MEDICARE
   
    * Enrollment & renewal
      Back to menu
      
      
      ENROLLMENT & RENEWAL
      
       * 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
      
      
      COVERAGE
      
       * PrEP
       * 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
      
      
      REGULATIONS & GUIDANCE
      
       * 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
      
      
      CODING & BILLING
      
       * 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
      
      
      PAYMENT
      
       * 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
      
      
      MEDICARE-MEDICAID COORDINATION
      
       * Medicare-Medicaid Coordination Office
       * 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
      
      
      APPEALS & GRIEVANCES
      
       * 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
      
      
      QUALITY
      
       * 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
       * Clinical Laboratory Improvement Amendments (CLIA)
       * 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
      
      
      HEALTH & SAFETY STANDARDS
      
       * Quality, safety & oversight - General information
       * Accreditation programs
       * Civil monetary penalties
       * Quality, safety & oversight - Emergency preparedness
       * State survey agencies
       * Certification & compliance
       * Enforcement
       * Quality, safety & oversight - Guidance for laws & regulations
       * Promising practices project
       * Quality, safety & oversight - Education division (QSED)
       * Conditions for coverage & participation
   
    * Employers & plan sponsors
      Back to menu
      
      
      EMPLOYERS & PLAN SPONSORS
      
       * Creditable coverage
   
    * Innovation Center
      Back to menu
      
      
      INNOVATION CENTER
      
       * Overview
   
    * Audits & Compliance
      Back to menu
      
      
      AUDITS & COMPLIANCE
      
       * Part A cost report audit
       * Part C/Part D compliance & audits
   
    * Forms & notices
      Back to menu
      
      
      FORMS & NOTICES
      
       * CMS forms
       * CMS forms list
       * Beneficiary Notices Initiative (BNI)
   
    * Health & drug plans
      Back to menu
      
      
      HEALTH & DRUG PLANS
      
       * 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
   
    * Coordination of benefits & recovery
      Back to menu
      
      
      COORDINATION OF BENEFITS & RECOVERY
      
       * 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
      
      
      SETTLEMENTS
      
       * Jimmo Settlement
       * Ryan Settlement
   
   Close this menu
 * Medicaid/CHIP
   Back to main menu
   
   
   MEDICAID/CHIP
   
    * What is Medicaid?
      Back to menu
      
      
      WHAT IS MEDICAID?
      
       * Visit Medicaid.gov
       * View Medicaid maps
       * Visit CHIP.gov
   
    * Medicare-Medicaid Coordination
      Back to menu
      
      
      MEDICARE-MEDICAID COORDINATION
      
       * Integrated care resources
       * Initiative to reduce avoidable hospitalizations
       * Financial alignment initiative
       * Medicaid Integrity Institute
   
    * Regulations & guidance
      Back to menu
      
      
      REGULATIONS & GUIDANCE
      
       * 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
   
    * Innovation Center
      Back to menu
      
      
      INNOVATION CENTER
      
       * Overview
   
   Close this menu
 * Marketplace & Private Insurance
   Back to main menu
   
   
   MARKETPLACE & PRIVATE INSURANCE
   
    * About the Marketplace
      Back to menu
      
      
      ABOUT THE MARKETPLACE
      
       * Marketplace oversight
       * Affordable Care Act
       * Overview of the exchanges
       * Exchange coverage maps
       * Medicare and the Marketplace
   
    * Private Health Insurance
      Back to menu
      
      
      PRIVATE HEALTH INSURANCE
      
       * 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)
   
    * Regulations & guidance
      Back to menu
      
      
      REGULATIONS & GUIDANCE
      
       * CCIIO Regulations & Guidance
       * 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
   
    * In-person assisters
      Back to menu
      
      
      IN-PERSON ASSISTERS
      
       * Information for Partners
       * Assister outreach & education
       * Applications, forms, & notices
       * Assister programs & procedures
       * Assister technical resources
       * Assister training & webinars
   
    * Agents & Brokers
      Back to menu
      
      
      AGENTS & BROKERS
      
       * 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
      
      
      HEALTH PLANS & ISSUERS
      
       * Qualified health plan certification
       * Summary of benefits & coverage
       * Insurance programs
       * Premium stabilization programs
       * Health insurance market reforms
       * Minimum essential coverage
       * Drug pricing & rebate review
   
    * Employers & sponsors
      Back to menu
      
      
      EMPLOYERS & SPONSORS
      
       * 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
      
      
      STATES
      
       * 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
      
      
      RESOURCES
      
       * About Us
       * Data resources
       * Fact sheets & FAQs
       * Forms, reports, & other resources
       * Funding opportunities
       * Letters
       * Regulations & Guidance
       * Training resources
   
   Close this menu
 * Priorities
   Back to main menu
   
   
   PRIORITIES
   
    * Innovation Center
      Back to menu
      
      
      INNOVATION CENTER
      
       * Overview
       * About
       * Key Concepts
       * Model Data
       * Value-Based Care Spotlight
       * Innovation Models
       * Where Innovation is Happening
       * Evaluations & Research Reports
   
    * Health Equity
      Back to menu
      
      
      HEALTH EQUITY
      
       * Coverage to Care
       * Minority health
       * Cobertura de atención
       * Grants & awards
   
    * Recent Legislation
      Back to menu
      
      
      RECENT LEGISLATION
      
       * Inflation Reduction Act and Medicare
       * No Surprises Act
   
    * Key Initiatives
      Back to menu
      
      
      KEY INITIATIVES
      
       * Opioids
       * Flu
       * Medicare Open Enrollment
       * Medicare OE partner resources
       * Marketplace Open Enrollment
       * E-health
       * Open Payments
       * Returning to regular operations after COVID-19
       * Healthplan price transparency
       * Burden Reduction
          * About OBRHI
          * Stakeholder Engagement
          * Administrative Simplification
          * Interoperability
          * Spotlight
          * Contact OBRHI
      
       * Hospital price transparency
       * Lookup tools
   
    * Your Patient Rights
      Back to menu
      
      
      YOUR PATIENT RIGHTS
      
       * Emergency Room Rights
       * Medical bill rights
   
   Close this menu
 * Training & Education
   Back to main menu
   
   
   TRAINING & EDUCATION
   
    * CMS National Training Program
      Back to menu
      
      
      CMS NATIONAL TRAINING PROGRAM
      
       * National Training Program resources
       * Class modules
   
    * Partner outreach resources
      Back to menu
      
      
      PARTNER OUTREACH RESOURCES
      
       * Partner with CMS
       * National Medicare Education Program (NMEP)
       * Low-Income Subsidy (LIS) outreach
       * Become a champion for coverage
       * Faith-Based Partners
       * Rural Health Partners
       * American Indian/Alaska Native
       * Partnering with CMS Center
   
    * Medicare Learning Network (MLN)
      Back to menu
      
      
      MEDICARE LEARNING NETWORK (MLN)
      
       * Resources & training
       * Newsletter
       * Compliance
       * Partnerships
   
    * CMS Open Door Forums
      Back to menu
      
      
      CMS OPEN DOOR FORUMS
      
       * 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
      
      
      LOOK UP TOPICS
      
       * 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
      
      
      LEARN MORE
      
       * Attend events
       * Find resources
       * Get training
       * Find tools to help you help others
       * Get digital media
   
    * Find your provider type
      Back to menu
      
      
      FIND YOUR PROVIDER TYPE
      
       * Physicians & other health professionals
       * Facilities
       * Health & drug plans
       * Employers & unions
   
   Close this menu

 * 
 * Marketplace & Private Insurance
 * About the Marketplace
 * Marketplace oversight


CONSUMER INFORMATION AND INSURANCE OVERSIGHT





PAGES IN THIS SECTION

 * * * Marketplace oversight
     * * Other Insurance Protections

Consumer Information and Insurance Oversight


ENSURING THE AFFORDABLE CARE ACT SERVES THE AMERICAN PEOPLE

The Center for Consumer Information and Insurance Oversight (CCIIO) is charged
with helping implement many reforms of the Affordable Care Act, the historic
health reform bill that was signed into law March 23, 2010. CCIIO oversees the
implementation of the provisions related to private health insurance. In
particular, CCIIO is working with states to establish new Health Insurance
Marketplaces.

CCIIO works closely with state regulators, consumers, and other stakeholders to
ensure the Affordable Care Act best serves the American people.


MARKETPLACE RESOURCES

 * Further information for partners is available on the CMS Health Insurance
   Marketplace website.
 * Consumer friendly information about new coverage options through the Health
   Insurance Marketplace is available at www.HealthCare.gov - Opens in a new
   window .
 * For information about employer related programs please click here.

Ending Surprise Medical Bills

Starting January 1, 2022, consumers have new billing protections when getting
emergency care, non-emergency care from out-of-network providers at in-network
facilities, and air ambulance services from out-of-network providers. Through
new rules aimed to protect consumers, excessive out-of-pocket costs are
restricted, and emergency services must continue to be covered without any prior
authorization, and regardless of whether or not a provider or facility is
in-network. See how new rules help protect people from surprise medical bills
and remove consumers from payment disputes between a provider or health care
facility and their health plan, visit: cms.gov/nosurprises.


 


Page Last Modified:
09/10/2024 06:18 PM
Help with File Formats and Plug-Ins


GET EMAIL UPDATES

Sign up to get the latest information about your choice of CMS topics. You can
decide how often to receive updates.

Email
Sign up - opens in a new window Sign up
CMS & HHS Websites CMS & HHS Websites
 * Medicare.gov
 * Medicaid.gov
 * InsureKidsNow.gov
 * HealthCare.gov
 * HHS.gov
 * HHS.gov/Open

About CMS About CMS
 * About Us
 * Careers
 * Newsroom
 * Blog

Tools Tools
 * Acronyms
 * Archive
 * Contacts
 * Glossary

Helpful Links Helpful Links
 * Privacy Policy
 * Plain Language
 * Privacy Settings Privacy Settings
 * Nondiscrimination & Accessibility
 * Developer Information
 * Vulnerability Disclosure Policy

USA Government Sites USA Government Sites
 * Freedom of Information Act
 * No Fear Act
 * Inspector General
 * USA.gov


CONNECT WITH CMS

 * Linkedin link
 * Youtube link
 * Facebook link
 * Twitter link
 * RSS Feed link

A federal government website managed and paid for by the U.S. Centers for
Medicare & Medicaid Services.

7500 Security Boulevard, Baltimore, MD 21244