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Submitted URL: https://links-2.govdelivery.com/CL0/http:%2F%2Fwww.cms.gov%2F/1/01010192e973c4f6-c9d5e30c-5d75-44eb-9876-0da0d93d06c8-000000/tu3...
Effective URL: https://www.cms.gov/
Submission: On November 01 via api from US — Scanned from DE
Effective URL: https://www.cms.gov/
Submission: On November 01 via api from US — Scanned from DE
Form analysis
3 forms found in the DOMGET /search/cms
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<div class="js-form-item form-item js-form-type-search form-item-keys js-form-item-keys form-no-label">
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<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>
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aria-controls="header-search-input" role="button" data-once="buttonMatch headerSitewideInitiatedMatch" aria-expanded="false">
<i class="fas fa-search" focusable="false"></i>
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GET /search/cms
<form region="hidden" action="/search/cms" method="get" id="hero-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">
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<input title="Enter the terms you wish to search for." data-drupal-selector="edit-keys" class="form-autocomplete form-search ds-c-field ui-autocomplete-input" data-autocomplete-path="/suggestion/autocomplete" data-region="hidden"
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<i class="far fa-search"></i>
<button class="cms-clear-button ds-u-display--none" type="button" aria-controls="hero-search-input hidden-hero-list-wrapper" aria-label="clear search entry"><i class="fal fa-times"></i></button>
<div class="cms-popular-search-terms ds-u-display--none" id="hidden-hero-list-wrapper">
<span id="hidden-list-header" class="cms-list-header">Popular terms</span>
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<li data-once="heroSitewideTermMatch"><span class="term">Physician Fee Schedule</span><i class="far fa-long-arrow-right" focusable="false"></i></li>
<li data-once="heroSitewideTermMatch"><span class="term">Local Coverage Determination</span><i class="far fa-long-arrow-right" focusable="false"></i></li>
<li data-once="heroSitewideTermMatch"><span class="term">Medically Unlikely Edits</span><i class="far fa-long-arrow-right" focusable="false"></i></li>
<li data-once="heroSitewideTermMatch"><span class="term">Telehealth</span><i class="far fa-long-arrow-right" focusable="false"></i></li>
<li data-once="heroSitewideTermMatch"><span class="term">Covid-19</span><i class="far fa-long-arrow-right" focusable="false"></i></li>
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data-once="heroSitewideInitiatedMatch" role="button">Search</button>
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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"
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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 - 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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 HOME - CENTERS FOR MEDICARE & MEDICAID SERVICES WHAT ARE YOU LOOKING FOR TODAY? SEARCH RESULTS Search Search Popular terms * Physician Fee Schedule * Local Coverage Determination * Medically Unlikely Edits * Telehealth * Covid-19 Search Spotlight Initiatives * Inflation Reduction Act * Medicaid renewals * Innovation Center * No Surprise Billing * Nursing home resources Inflation Reduction Act INFLATION REDUCTION ACT This law helps save money for people with Medicare, improves access to affordable treatments, and strengthens the Medicare program. Learn what’s changing Medicaid renewals MEDICAID RENEWALS As states resume normal operations, we’re working to make sure people stay covered. Learn more Innovation Center INNOVATION CENTER We support the development and testing of innovative health care payment and service delivery models. See what’s new No Surprise Billing NO SURPRISE BILLING 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. Review the details Nursing home resources NURSING HOME RESOURCES Get the latest policy information and learn about initiatives to enable safe and quality care in nursing homes. Get resources CMS Slider Panel Title STRATEGIC PLAN OVERVIEW Panel Content Panel Copy CMS serves the public as a trusted partner and steward, dedicated to advancing health equity, expanding coverage, and improving health outcomes. Panel Call to Action Read our strategic plan Panel Title ADVANCE EQUITY Panel Content Panel Copy Advance health equity by addressing the health disparities that underlie our health system Panel Call to Action Learn more Panel Title EXPAND ACCESS Panel Content Panel Copy Build on the Affordable Care Act and expand access to quality, affordable health coverage and care Panel Call to Action Learn more Panel Title ENGAGE PARTNERS Panel Content Panel Copy Engage our partners and the communities we serve throughout the policymaking and implementation process Panel Title DRIVE INNOVATION Panel Content Panel Copy Drive Innovation to tackle our health system challenges and promote value-based, person-centered care. Panel Title PROTECT PROGRAM Panel Content Panel Copy Protect our programs' sustainability for future generations by serving as a responsible steward of public funds Panel Title FOSTER EXCELLENCE Panel Content Panel Copy Foster a positive and inclusive workplace and workforce, and promote excellence in all aspects of CMS's operations PreviousNext 1 of 7 TOP RESOURCES MEDICARE FEE SCHEDULES Check the fee schedules to find billing codes. Show links * Physician fee schedule lookup tool * Physician fee schedule * Clinical Laboratory Fee Schedule * Durable Medical Equipment Fee Schedule * Ambulatory Surgical Center (ASC) Payment CODES FOR CLAIM REIMBURSEMENT Find codes to be reimbursed for clinical services. Show links * Medicare Coverage Database * List of CPT/HCPCS codes * 2023 ICD-10 Procedure Coding System * 2023 ICD-10-CM * National correct coding initiative edits * Place of service code set MARKETPLACE PARTNER RESOURCES Get helpful materials for agents, brokers, and partners. Show links * Marketplace registration and training * Resources for Agents and Brokers in the Health Insurance Marketplaces * Agent and Broker FAQ’s * Information on Essential Health Benefits (EHB) Benchmark Plans * 2023 Projected Health Insurance Exchange Coverage Maps MANUALS, FORMS, & TRANSMITTALS Find current resources to complete your tasks. Show links * CMS Forms list * Internet Only Manuals * Transmittals * Become a medicare provider or supplier * National Provider Identifier (NPI) application/update form PRIVACY INCIDENT May 2023 Medicare Privacy Incident Learn more Notice: Nondiscrimination in health There have been recent court decisions staying or enjoining provisions of the 2024 Final Rule implementing Section 1557 of the ACA. Learn more RECENT ARTICLES Visit the newsroom * 31 Oct Press Releases 10/31/2024 CFPB and CMS Take Action to Stop Illegal Billing of Lowest-Income Medicare Recipients * 29 Oct Press Releases 10/29/2024 Medicare Shared Savings Program Continues to Deliver Meaningful Savings and High-Quality Health Care * 25 Oct Fact Sheets 10/25/2024 Marketplace 2025 Open Enrollment Fact Sheet * 25 Oct Press Releases 10/25/2024 Affordability and Choice Anchor Biden-Harris Administration’s Launch of Window-shopping for 12th HealthCare.gov Marketplace Open Enrollment * 21 Oct Press Releases 10/21/2024 Biden-Harris Administration Proposes Expanding Coverage of Birth Control and Other Preventive Services * 21 Oct Fact Sheets 10/21/2024 Enhancing Coverage of Preventive Services Under the Affordable Care Act Proposed Rules Visit the newsroom MEDICARE.GOV Information for people over 65, and younger people with a disability, who want to sign up for Medicare. INSUREKIDSNOW.GOV Information for children up to the age of 19 who need health care or a local dental provider. HEALTHCARE.GOV Information for people who need health insurance and want to apply or enroll in the Marketplace or Medicaid. MEDICAID.GOV Information about the program and policy details of Medicaid and the Children's Health Insurance Program. 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