2425 lines
180 KiB
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2425 lines
180 KiB
Text
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<meta name="description" content="CMS recognizes that it is important for stakeholders to understand how CMS anticipates performing medical review after the Public Health Emergency (PHE) has ended. Below is an FAQ that addresses how our review contractors (Medicare Administrative Contractors (MACs), Recovery Audit Contractors (RACs) and the Supplemental Medical Review Contractor (SMRC)) plan to conduct medical reviews post PHE." />
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<title>Medicare Fee-for-Service Compliance Programs | CMS</title>
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https://
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</strong>means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.</p>
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Centers for Medicare & Medicaid Services
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</div>
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<div class="newsroom-branding">
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<li class="menu-item">
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<a href="/about-cms/contact/newsroom" class="menu-item-link" data-drupal-link-system-path="node/43871">Newsroom</a>
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<li class="menu-item menu-item--active-trail">
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<a href="/data-research" class="menu-item-link" data-drupal-link-system-path="node/132891">Data & Research</a>
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<div class="search-block-form block block-search block-search-form-block header-search-block" data-drupal-selector="search-block-form" id="block-cms-evo-searchform" data-block-plugin-id="search_form_block" role="search" aria-label="header site search">
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<div class="content">
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<h2 class="ds-u-margin-top--0 ds-u-lg-display--none ds-u-border-bottom--0 ds-u-margin-bottom--2 ds-u-padding-bottom--0">Search CMS.gov</h2>
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<span id="list-header" class="cms-list-header">Popular terms</span>
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<ul aria-labelledby="list-header">
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<li><span class="term">Physician Fee Schedule</span><i class="far fa-long-arrow-right" focusable="false"></i></li> <li><span class="term">Local Coverage Determination</span><i class="far fa-long-arrow-right" focusable="false"></i></li> <li><span class="term">Medically Unlikely Edits</span><i class="far fa-long-arrow-right" focusable="false"></i></li> <li><span class="term">Telehealth</span><i class="far fa-long-arrow-right" focusable="false"></i></li> <li><span class="term">Covid-19</span><i class="far fa-long-arrow-right" focusable="false"></i></li> </ul>
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<div data-drupal-selector="edit-actions" class="form-actions js-form-wrapper form-wrapper" id="edit-actions--IF4ZucrjGyU"><div class="header-search-bar">
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</form>
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<button id="js-searchbar-toggle" class="searchbar-toggle ds-u-lg-display--none" aria-expanded="false" aria-label="Open Site Search" aria-haspopup="true">
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<h2 class="mobile-heading">CMS.gov main menu</h2>
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<span class="menu-item-element" aria-current="false">Medicare</span>
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<span class="back-to-main ds-u-lg-display--none">Back to main menu</span>
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<h2 class="subnav-title-h2" style="position:relative;text-align:left;width:auto;height:auto;">section title h2</h2>
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<ul class="menu">
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<li class="menu-item menu-item--l2 menu-item--expanded">
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<span class="menu-item-element" aria-current="false">Enrollment & renewal</span>
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<div class="subnav-wrapper--2 ds-u-display--none">
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<div class="subnav-header">
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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<li class="menu-item menu-item--l3 menu-item--collapsed">
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<a href="/medicare/enrollment-renewal/original-part-a-b" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171311">Original Medicare (Part A and B) Eligibility and Enrollment</a>
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</li>
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<li class="menu-item menu-item--l3">
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<a href="/medicare-participation" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1569911">Annual Medicare Participation Announcement</a>
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</li>
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<li class="menu-item menu-item--l3 menu-item--collapsed">
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<a href="/medicare/enrollment-renewal/providers-suppliers" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1316821">Providers & suppliers</a>
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</li>
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<li class="menu-item menu-item--l3">
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<a href="/medicare/enrollment-renewal/managed-care-eligibility-enrollment" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171286">Medicare Managed Care Eligibility and Enrollment</a>
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</li>
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<li class="menu-item menu-item--l3 menu-item--collapsed">
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<a href="/medicare/enrollment-renewal/part-d-enrollment-eligibility" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171306">Part D Eligibility and Enrollment</a>
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</li>
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<li class="menu-item menu-item--l3 menu-item--collapsed">
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<a href="/medicare/enrollment-renewal/health-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170951">Health plans</a>
|
||
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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|
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<a href="/medicare/coverage/determination-process" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169996">Coverage Determination Process</a>
|
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<a href="https://www.cms.gov/medicare-coverage-database/search.aspx" class="menu-item-element" aria-current="false">Medicare Coverage Database</a>
|
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|
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|
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|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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<a href="/medicare/coding-billing/place-of-service-codes" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171996">Place of service codes</a>
|
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|
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|
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<a href="/medicare/coding-billing/icd-10-codes" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171421">ICD-10 codes</a>
|
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|
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|
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<a href="/medicare/coding-billing/healthcare-common-procedure-system" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171561">Healthcare Common Procedure Coding System (HCPCS)</a>
|
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|
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|
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<a href="/medicare/coding-billing/outpatient-code-editor" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171341">Integrated Outpatient Code Editor</a>
|
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|
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|
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|
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|
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|
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<a href="/roster-billing" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1612841">Roster billing</a>
|
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<a href="/medicare/coding-billing/therapy-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170641">Therapy services</a>
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<a href="/medicare/coding-billing/claims-public-health-emergencies" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1620676">Medicare claims & public health emergencies</a>
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<a href="/medicare/coding-billing/guide-medical-technology-companies-other-interested-parties" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1899941">Guide for Medical Technology Companies and Other Interested Parties</a>
|
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</li>
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</div>
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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<ul class="menu">
|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
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<a href="/medicare/payment/fee-for-service-providers/part-b-drugs/average-drug-sales-price" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170451">Medicare Part B Drug Average Sales Price</a>
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<a href="/medicare/payment/fee-for-service-providers" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193361">All Fee-For-Service-Providers</a>
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|
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|
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<a href="/medicare/payment/opioid-treatment-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1289826">Opioid Treatment Programs (OTP)</a>
|
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<a href="/covidvax-provider" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1483486">Covid-19 Vaccine Toolkit</a>
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<a href="/medicare/payment/bankruptcy" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/185906">Bankruptcy</a>
|
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|
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<li class="menu-item menu-item--l3">
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<a href="/medicare/payment/sustainable-growth-rates-conversion-factors" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169931">Sustainable Growth Rates & Conversion Factors</a>
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|
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<li class="menu-item menu-item--l2 menu-item--expanded">
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<span class="menu-item-element" aria-current="false">Medicare-Medicaid coordination</span>
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<a href="/medicaid-chip/medicare-coordination/financial-alignment" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/178246">Financial alignment initiative</a>
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|
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</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/medicaid-coordination/plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/178296">Resources for Medicare-Medicaid plans</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/medicaid-coordination/states" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1355341">Resources for state Medicaid agencies</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1313131">Healthcare Fraud Prevention Partnership</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/about-cms/information-systems/clinical-templates" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/189991">Clinical Templates</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Appeals & grievances</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/appeals-grievances/fee-for-service" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171221">Original Medicare appeals</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/appeals-grievances/managed-care" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169961">Managed Care appeals & grievances</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/appeals-grievances/prescription-drug" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171101">Medicare Prescription drug appeals & grievances</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/appeals-grievances/ombudsman-center" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193386">Ombudsman Center</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/appeals-grievances/appeals-decision-search-part-c-d" class="menu-item-element" aria-current="false" data-drupal-link-system-path="qic-decision-search">Appeals Decision Search (Part C & Part D)</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Quality</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/value-based-programs" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/188566">Value-based programs</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/quality/initiatives/hospital-quality-initiative/person-family-engagement" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/182996">Person & Family Engagement</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/quality-improvement-organizations" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169871">Quality improvement organizations</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/nursing-home-improvement" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171236">Nursing home quality improvement</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/inpatient-rehabilitation-facility" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175616">Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/home-health" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170541">Home Health Quality Reporting Program</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/end-stage-renal-disease-esrd-quality-incentive-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176126">ESRD Quality Incentive Program</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/meaningful-measures-initiative/cms-quality-strategy" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/178276">CMS National Quality Strategy</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/hospice" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175556">Hospice Quality Reporting Program</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/long-term-care-hospital" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175511">Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/appropriate-use-criteria-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/180421">Appropriate Use Criteria Program</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/measures" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172001">Quality measures</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/advantage-quality-improvement-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/177561">Medicare Advantage quality improvement program</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/physician-compare-initiative" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175221">Physician compare initiative</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/initiatives" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169636">Quality initiatives</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/health-drug-plans/part-c-d-performance-data" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171491">Part C and D Performance Data</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/snf-quality-reporting-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/180061"> Skilled Nursing Facility (SNF) Quality Reporting Program (QRP)</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Health & safety standards</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/clinical-laboratory-improvement-amendments" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172651">Clinical Laboratory Improvement Amendments (CLIA)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/health-safety-standards/quality-safety-oversight-group-qsog" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2085911">Quality, Safety & Oversight Group (QSOG)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-safety-standards/quality-safety-oversight-general-information" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169631">Quality, safety & oversight general information</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/health-safety-standards/accreditation-programs" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171481">Accreditation programs</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-safety-standards/quality-safety-oversight-emergency-preparedness" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172346">Emergency preparedness</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-safety-standards/certification-compliance" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171241">Certification & compliance</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-safety-standards/enforcement" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169811">Enforcement</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-safety-standards/guidance-for-laws-regulations" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170071">Regulations, Certification, & Compliance</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-safety-standards/conditions-coverage-participation" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172616">Conditions for coverage & participation</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Employers & plan sponsors</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/employers-plan-sponsors/creditable-coverage" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171701">Creditable coverage</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2">
|
||
<span class="menu-item-element" aria-current="false">IC-Placeholder-1</span>
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Audits & Compliance</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/audits-compliance/part-a-cost-report" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/185256">Part A cost report audit</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/audits-compliance/part-c-d" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175921">Part C/Part D compliance & audits</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Forms & notices</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/forms-notices/cms-forms" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170166">CMS forms</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/forms-notices/cms-forms-list" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/174306">CMS forms list</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/forms-notices/beneficiary-notices-initiative" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170686">Beneficiary Notices Initiative (BNI)</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Health & drug plans</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-drug-plans/plan-payment" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171981">Plan payment</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/health-drug-plans/plan-payment-data" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175081">Plan payment data</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/health-drug-plans/medical-loss-ratio" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/180161">Medical loss ratio</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/health-drug-plans/coverage-gap-discount-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175906">Coverage Gap Discount Program</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-drug-plans/managed-care-marketing" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170611">Managed care marketing</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/health-drug-plans/medicare-advantage-application" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170651">Medicare Advantage application</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-drug-plans/medigap" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170466">Medigap (Medicare supplement health insurance)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/health-drug-plans/medical-savings-account" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172066">Medical Savings Account (MSA)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-drug-plans/private-fee-for-service-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170301">Private Fee-for-Service Plans</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/enrollment-renewal/health-plans/prepayment" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170521">Health Care Prepayment Plans (HCPPs)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/enrollment-renewal/health-plans/cost" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170656">Cost plans</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/enrollment-renewal/special-needs-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171676">Special needs plans</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/health-drug-plans/network-adequacy" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171301">Network adequacy</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Coordination of benefits & recovery</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/overview" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/177001">Overview</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/mandatory-insurer-reporting-group-health-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176856">Mandatory Insurer Reporting for Group Health Plans (GHP)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/mandatory-insurer-reporting" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176951">Mandatory insurer reporting (NGHP)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/workers-comp-set-aside-arrangements" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176641">Workers' comp Medicare set aside arrangements</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/attorney-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/177026">Attorney services</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/beneficiary-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/177036">Beneficiary services</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/coba-trading-partners" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176761">COBA Trading Partners</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/employer-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170361">Employer services</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/insurer-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170846">Insurer services</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/prescription-drug-assistance-programs" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176791">Prescription drug assistance programs</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/provider-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170406">Provider services</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Settlements</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/settlements/jimmo" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193381">Jimmo Settlement</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/settlements/ryan" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193486">Ryan Settlement</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l1 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Medicaid/CHIP</span>
|
||
<div class="subnav-wrapper--1 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-main ds-u-lg-display--none">Back to main menu</span>
|
||
<h2 class="subnav-title-h2" style="position:relative;text-align:left;width:auto;height:auto;">section title h2</h2>
|
||
</div>
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">What is Medicaid?</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.medicaid.gov" class="menu-item-element" aria-current="false">Visit Medicaid.gov</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.medicaid.gov/about-us/beneficiary-resources/index.html#statemenu" class="menu-item-element" aria-current="false">View Medicaid maps</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="http://www.medicaid.gov/chip/index.html" class="menu-item-element" aria-current="false">Visit CHIP.gov</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Medicare-Medicaid Coordination</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicaid-chip/medicare-coordination/integrated-care-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/174926">Integrated care resources</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicaid-chip/medicare-coordination/avoidable-hospitalizations" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/181236">Initiative to reduce avoidable hospitalizations</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicaid-chip/medicare-coordination/financial-alignment" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/178246">Financial alignment initiative</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicaid-chip/medicare-coordination/integrity-institute" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1315141">Medicaid Integrity Institute</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2">
|
||
<span class="menu-item-element" aria-current="false">RG-Placeholder-1</span>
|
||
</li>
|
||
<li class="menu-item menu-item--l2">
|
||
<span class="menu-item-element" aria-current="false">IC-Placeholder-2</span>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l1 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Marketplace & Private Insurance</span>
|
||
<div class="subnav-wrapper--1 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-main ds-u-lg-display--none">Back to main menu</span>
|
||
<h2 class="subnav-title-h2" style="position:relative;text-align:left;width:auto;height:auto;">section title h2</h2>
|
||
</div>
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">About the Marketplace</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/about/oversight" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191061">Marketplace oversight</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/about/affordable-care-act" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191416">Affordable Care Act</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/about/overview-exchanges" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190921">Overview of the exchanges</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/about/exchange-coverage-maps" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193086">Exchange coverage maps</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/about/medicare" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/179351">Medicare and the Marketplace</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Private Health Insurance</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/patient-bill-of-rights" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192591">Patient’s Bill of Rights</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/medical-loss-ratio" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190956">Medical loss ratio</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/annual-limits" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191976">Annual limits</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/review-insurance-rates" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192716">Review of insurance rates</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/market-rating-reforms" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191816">Market rating</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/self-funded-non-federal-governmental-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191111">Self-funded, non-federal governmental plans</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/grandfathered-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191456">Grandfathered plans</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/health-reimbursement-arrangements" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193216">Health Reimbursement Arrangements</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/coverage-young-adults" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190931">Coverage for young adults</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/student-health-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190946">Student health plans</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/mental-health-parity-addiction-equity" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192601">Mental health parity and addiction equity</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/prevention" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191071">Prevention</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/consumer-protections-enforcement" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192701">Consumer protections & enforcement</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/pre-existing-condition-plan" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191056">Pre-existing condition insurance plan</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.healthcare.gov/glossary/qualifying-health-coverage" class="menu-item-element" aria-current="false">Qualifying Health Coverage (QHC)</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2">
|
||
<span class="menu-item-element" aria-current="false">RG-Placeholder-2</span>
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">In-person assisters</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/in-person-assisters/information-partners" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2078851">Information for Partners</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/in-person-assisters/outreach-education" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073436">Assister outreach & education</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/in-person-assisters/applications-forms-notices" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073441">Applications, forms, & notices</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/in-person-assisters/programs-procedures" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073446">Assister programs & procedures</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/in-person-assisters/technical-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073231">Assister technical resources</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/in-person-assisters/training-webinars" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073451">Assister training & webinars</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Agents & Brokers</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/agents-brokers/resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192876">Resources for Agent & Brokers</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/agents-brokers/registration-training" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1290426">Registration & training</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/agents-brokers/open-enrollment" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193226">Open enrollment</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/agents-brokers/direct-enrollment-partners" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1550226">Direct enrollment partners</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/agents-brokers/general-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/185021">General resources</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.youtube.com/playlist?list=PLaV7m2-zFKpgUK9AqdbnOdW69-WwodvRj" class="menu-item-element" aria-current="false">Video Learning Center</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.agentbrokerfaq.cms.gov/s/" class="menu-item-element" aria-current="false">Agent & Broker FAQ</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/files/document/agent/broker-help-desks.pdf" class="menu-item-element" aria-current="false" data-drupal-link-system-path="media/112386">Marketplace help desk & call centers</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://data.healthcare.gov/ffm_ab_registration_lists" class="menu-item-element" aria-current="false">Registration Completion List</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://data.healthcare.gov/ab-registration-tracker/" class="menu-item-element" aria-current="false">Marketplace Registration Tracker</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://data.healthcare.gov/ab-suspension-and-termination-list" class="menu-item-element" aria-current="false">AB Suspension & Termination List</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://localhelp.healthcare.gov/" class="menu-item-element" aria-current="false">Find local help</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://data.healthcare.gov/issuer-partner-lookup" class="menu-item-element" aria-current="false">Issuer and direct enrollment partner directory</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/agents-brokers/help-on-demand" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193196">Help on demand</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/agents-brokers/shop-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193096">SHOP Resources</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Health Plans & Issuers</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/health-plans-issuers/qualified-health-plan-certification" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191371">Qualified health plan certification </a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/health-plans-issuers/summary-benefits-coverage" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191461">Summary of benefits & coverage</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/health-plans-issuers/insurance-programs" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192101">Insurance programs</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/health-plans-issuers/premium-stabilization-programs" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191326">Premium stabilization programs</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/health-plans-issuers/insurance-market-reforms" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191421">Health insurance market reforms</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/health-plans-issuers/minimum-essential-coverage" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192891">Minimum essential coverage</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace-private-insurance/health-plans-issuers/pbm-drug-pricing-review" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2088761">Drug pricing & rebate review</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Employers & sponsors</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.healthcare.gov/small-businesses/other-coverage" class="menu-item-element" aria-current="false">Coverage</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.healthcare.gov/small-businesses/choose-and-enroll/shop-marketplace-overview" class="menu-item-element" aria-current="false">Regulation & guidance</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.healthcare.gov/small-businesses/choose-and-enroll/qualify-for-shop-marketplace" class="menu-item-element" aria-current="false">Small business tax credit & premium assistance</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.healthcare.gov/small-businesses/choose-and-enroll/appeal-a-shop-decision" class="menu-item-element" aria-current="false">Appeals</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/employers-sponsors/small-business-health-options-program-shop" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192901">Small Business Health Options Program (SHOP)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/employers-sponsors/early-retiree-reinsurance-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191651">Early retiree reinsurance program</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/employer-initiatives" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192916">Employer initiatives</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">States</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/states/state-marketplace-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190916">Planning & establishing a Marketplace</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/states/territory-cooperative-agreements" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190926">Territory cooperative agreements</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/states/early-innovator-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191691">Early innovator program</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/states/state-flexibility-stabilize-market" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193246">State flexibility to stabilize the Market </a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/states/creating-competitive-marketplace" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192231">Exchange establishment grants</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.healthcare.gov/coverage/pre-existing-conditions" class="menu-item-element" aria-current="false">Pre-existing condition insurance plan</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Resources</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/resources/about-us" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192721">About Us</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/resources/data" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191741">Data resources</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/resources/letters" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191646">Letters</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/resources/regulations-guidance" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191366">Regulations & Guidance</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/resources/training" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191466">Training resources</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace-private-insurance/resources/marketplace-coverage-transitions" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2100621">Marketplace Coverage Transitions</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l1 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Initiatives</span>
|
||
<div class="subnav-wrapper--1 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-main ds-u-lg-display--none">Back to main menu</span>
|
||
<h2 class="subnav-title-h2" style="position:relative;text-align:left;width:auto;height:auto;">section title h2</h2>
|
||
</div>
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Burden Reduction</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/key-initiatives/burden-reduction" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2085596">Overview</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">E-health</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/key-initiatives/e-health" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171276">Overview</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Flu</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/priorities/key-initiativess/flu" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1399001">Overview</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Health Equity</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/health-equity/c2c" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1974361">Coverage to Care</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/health-equity/minority-health" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1620916">Minority health</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/health-equity/c2c/es" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2072591">Cobertura de atención</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/health-equity/grants-awards" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1612961">Grants & awards</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Healthplan price transparency</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/priorities/key-initiatives/healthplan-price-transparency" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1567426">Overview</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Hospital price transparency</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/priorities/key-initiatives/hospital-price-transparency" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1417856">Overview</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Innovation Center</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/priorities/innovation/overview" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2090631">Overview</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/innovation/about" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2074091">About</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/innovation/key-concepts" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2072461">Key Concepts</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/priorities/innovation-center/model-data" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2087691">Model Data</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/innovation-center/value-based-care-spotlight" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2082926">Value-Based Care Spotlight</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/innovation/models" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2072436">Innovation Models</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/priorities/innovation/where-innovation-happening" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2072451">Where Innovation is Happening</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/innovation/evaluation-research-reports" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2072446">Evaluations & Research Reports</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Lookup tools</span>
|
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<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
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|
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<li class="menu-item menu-item--l3">
|
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<a href="/medicare/quality/value-based-programs/quality-payment-program/lookup-tools" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/189536">Overview</a>
|
||
</li>
|
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</ul>
|
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</div>
|
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</div>
|
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|
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</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Marketplace Open Enrollment</span>
|
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<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
||
|
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|
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<li class="menu-item menu-item--l3">
|
||
<a href="https://www.healthcare.gov/quick-guide/dates-and-deadlines" class="menu-item-element" aria-current="false">Overview</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
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</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Maternal Health</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
||
|
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|
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<li class="menu-item menu-item--l3">
|
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<a href="/maternal-health" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2089266">Overview</a>
|
||
</li>
|
||
</ul>
|
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</div>
|
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</div>
|
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|
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</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
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<span class="menu-item-element" aria-current="false">Medicare OE partner resources</span>
|
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<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
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|
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<li class="menu-item menu-item--l3">
|
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<a href="/outreach-and-education/reach-out/find-tools-to-help-you-help-others/open-enrollment-outreach-and-media-materials" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/180386">Overview</a>
|
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</li>
|
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</ul>
|
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</div>
|
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</div>
|
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|
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</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
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<span class="menu-item-element" aria-current="false">Medicare Open Enrollment</span>
|
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<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
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|
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|
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<li class="menu-item menu-item--l3">
|
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<a href="/priorities/key-initiatives/medicare-open-enrollment-partner-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/180361">Overview</a>
|
||
</li>
|
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</ul>
|
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</div>
|
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</div>
|
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|
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</li>
|
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<li class="menu-item menu-item--l2 menu-item--expanded">
|
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<span class="menu-item-element" aria-current="false">Nursing Home Careers</span>
|
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<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
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|
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|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/priorities/key-initiatives/nursing-home-careers" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2089791">Overview</a>
|
||
</li>
|
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</ul>
|
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</div>
|
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</div>
|
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|
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</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
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<span title="Open Payments landing page" class="menu-item-element" aria-current="false">Open Payments</span>
|
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<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
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|
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|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/priorities/key-initiatives/open-payments" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/188426">Overview</a>
|
||
</li>
|
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</ul>
|
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</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Opioids</span>
|
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<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
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|
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|
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<li class="menu-item menu-item--l3">
|
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<a href="/priorities/key-initiatives/opioids" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1620416">Overview</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
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</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Your Patient Rights</span>
|
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<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
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|
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|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/priorities/your-patient-rights/emergency-room-rights" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2083831">Emergency Room Rights</a>
|
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</li>
|
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<li class="menu-item menu-item--l3">
|
||
<a href="/medical-bill-rights" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1912576">Medical bill rights</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l1 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Training & Education</span>
|
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<div class="subnav-wrapper--1 ds-u-display--none">
|
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<div class="subnav-header">
|
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<span class="back-to-main ds-u-lg-display--none">Back to main menu</span>
|
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<h2 class="subnav-title-h2" style="position:relative;text-align:left;width:auto;height:auto;">section title h2</h2>
|
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</div>
|
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<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">CMS National Training Program</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
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|
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|
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<li class="menu-item menu-item--l3">
|
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<a href="https://cmsnationaltrainingprogram.cms.gov/resources" class="menu-item-element" aria-current="false">National Training Program resources</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
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<a href="https://cmsnationaltrainingprogram.cms.gov/?q=global-search&combine=classroom%20modules" class="menu-item-element" aria-current="false">Class modules</a>
|
||
</li>
|
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</ul>
|
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</div>
|
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</div>
|
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|
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</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
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<span class="menu-item-element" aria-current="false">Partner outreach resources</span>
|
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<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
||
|
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|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/training-education/partner-outreach-resources/partner-with-cms" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172236">Partner with CMS</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/partner-outreach-resources/national-medicare-education-program-nmep" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/180046">National Medicare Education Program (NMEP)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/training-education/partner-outreach-resources/low-income-subsidy-lis" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171051">Low-Income Subsidy (LIS) outreach</a>
|
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</li>
|
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<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/assisters-navigators/enrollment/champion" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073456">Become a champion for coverage</a>
|
||
</li>
|
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<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/partner-outreach-resources/faith-based" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/182296">Faith-Based Partners</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/partner-outreach-resources/rural-health" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/185591">Rural Health Partners</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/training-education/partner-outreach-resources/american-indian-alaska-native" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172176">American Indian/Alaska Native</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/partner-outreach-resources/center" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193436">Partnering with CMS Center</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Medicare Learning Network® (MLN)</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
||
<ul class="menu">
|
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|
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|
||
<li class="menu-item menu-item--l3">
|
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<a href="/training-education/medicare-learning-network/resources-training" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/188581">Resources & training</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/medicare-learning-network/newsletter" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/181061">Newsletter</a>
|
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</li>
|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/training-education/medicare-learning-network/compliance" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/181006">Compliance</a>
|
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</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/medicare-learning-network/partnerships" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/177061">Partnerships</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">CMS Open Door Forums</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/training-education/open-door-forums/about" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172171">About Open Door Forums</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
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<a href="/training-education/open-door-forums/ambulance" title="The Ambulance Open Door Forum (ODF) addresses issues related to the payment, billing, coverage and delivery of services in the ambulance industry." class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172296">Ambulance</a>
|
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</li>
|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/esrd" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172241">End-Stage Renal Disease (ESRD) Dialysis Facility Care Compare</a>
|
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</li>
|
||
<li class="menu-item menu-item--l3">
|
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<a href="/training-education/open-door-forums/home-health-hospice-durable-medical-equipment-dme" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/173651">Home Health, Hospice & Durable Medical Equipment (DME)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/open-door-forums/hospitals" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172276">Hospital</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/open-door-forums/long-term-services-supports" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172251">Long-Term Services & Supports</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
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<a href="/training-education/open-door-forums/physicians-nurses-allied-health-professionals" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172306">Physicians, Nurses and Allied Health Professionals</a>
|
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</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/open-door-forums/rural-health" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172291">Rural Health</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/open-door-forums/skilled-nursing-facilities-snf" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172316">Skilled Nursing Facilities (SNFs)/Long-Term Care</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/open-door-forums/special" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/174026">Special Open Door forums</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
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<span class="menu-item-element" aria-current="false">Look up topics</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
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|
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|
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<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/partner-outreach-resources/medicare" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/178086">Medicare</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/partner-outreach-resources/medicaid" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/178156">Medicaid</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
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<span class="field field--name-title field--type-string field--label-visually_hidden alternate-page-title ds-u-margin-bottom--0 ds-u-font-size--3xl ds-u-font-weight--semibold">Medicare Fee-for-Service Compliance Programs</span>
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<div class="field field--name-body field--type-text-with-summary field--label-hidden field__item"><div class="ds-u-margin-bottom--4"><div class="ds-u-border--1 ds-u-padding--2 ds-u-radius"><p>CMS recognizes that it is important for stakeholders to understand how CMS anticipates performing medical review after the Public Health Emergency (PHE) has ended. Below is an FAQ that addresses how our review contractors (Medicare Administrative Contractors (MACs), Recovery Audit Contractors (RACs) and the Supplemental Medical Review Contractor (SMRC)) plan to conduct medical reviews post PHE.</p><p>Q. At the end of the Public Health Emergency (PHE) how will CMS’ review contractors conduct medical reviews for claims billed during the PHE based on approved waivers or flexibilities?</p><p>A. CMS contractors (MACs, RACs, and SMRC) review a very small percentage of Medicare Fee-for-Service claims each year. During the PHE, flexibilities were applied across claim types. For certain DME items, this included the non-enforcement of clinical indications for coverage. Since clinical indications for coverage were not enforced for certain DME items provided during the PHE, once the PHE ends CMS plans to primarily focus reviews on claims with dates of service outside of the PHE, for which clinical indications of coverage are applicable. We note that we may still review these DME items, as well as other items or services rendered during the PHE, if needed to address aberrant billing behaviors or potential fraud. The HHS-Office of the Inspector General may perform reviews as well. All claims will be reviewed using the applicable rules in place at the time for the claim dates of service.</p></div><p>The Medicare Fee-for-Service Compliance programs prevent, reduce, and measure improper payments in FFS Medicare through medical review. We provide a number of programs to educate and support Medicare providers in understanding and applying Medicare FFS policies while reducing provider burden.</p><div class="ds-l-row ds-u-justify-content--center ds-u-text-align--center ds-u-color--primary-darker ds-u-padding-top--4 ds-u-lg-margin-top--2" id="top"><div class="ds-l-col--12 ds-l-md-col--4 ds-l-lg-col--2 ds-u-lg-padding-left--0 ds-u-padding-bottom--4"><div class="align-center media media--type-image media--view-mode-embedded"><div class="ds-u-lg-margin-left--1 ds-u-lg-margin-right--1 field field--name-image field--type-image field--label-hidden field__item"><img class="ds-u-margin--0" src="/files/image/pcg-homeclinical-templates.png" alt="Image depicting clinical templates" width="100" height="100" loading="lazy"></div></div><div><a class="ds-u-text-decoration--none" href="#medical-review-and-education" title="Medical Review and Education">Medical Review & Education</a></div></div><div class="ds-l-col--12 ds-l-md-col--4 ds-l-lg-col--2 ds-u-padding-bottom--4"><div class="align-center media media--type-image media--view-mode-embedded"><div class="ds-u-margin--0 field field--name-image field--type-image field--label-hidden field__item"><div class="align-center media media--type-image media--view-mode-embedded"><article class="align-center media media--type-image media--view-mode-embedded">
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<div mid="/files/image/pcg-homerecovery-auditing.png" class="field field--name-image field--type-image field--label-hidden field__item"> <img loading="lazy" src="/sites/default/files/2020-06/PCG%20icon.png" width="100" height="100" alt="Image Depicting Recovery Auditing" title="Image Depicting Recovery Auditing">
|
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|
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</div>
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|
||
</article>
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</div></div></div><div><a class="ds-u-text-decoration--none" href="#recovery-auditing" title="Law Enforcement Partners">Recovery Auditing</a></div></div><div class="ds-l-col--12 ds-l-md-col--6 ds-l-lg-col--2 ds-u-padding-bottom--4 ds-u-lg-padding-left--1 ds-u-lg-padding-right--1"><div class="align-center media media--type-image media--view-mode-embedded"><div class="ds-u-lg-margin-left--1 ds-u-lg-margin-right--1 field field--name-image field--type-image field--label-hidden field__item"><img class="ds-u-margin--0" src="/files/image/pcg-homeprior-authorization-and-review.png" alt="Image depicting prior authorization and review" width="100" height="100" loading="lazy"></div></div><div><a class="ds-u-text-decoration--none" href="#prior-auth" title="Education and Outreach">Prior Authorization & Pre-Claim Review</a></div></div><div class="ds-l-col--12 ds-l-md-col--4 ds-l-lg-col--2 ds-u-padding-bottom--4"><div class="align-center media media--type-image media--view-mode-embedded"><div class="ds-u-margin--0 field field--name-image field--type-image field--label-hidden field__item"><img class="ds-u-margin--0" src="/files/image/pcg-homeeducation-and-outreach.png" alt="Image depicting education and outreach" width="100" height="100" loading="lazy"></div></div><div><a class="ds-u-text-decoration--none" href="#outreach" title="Clinical Templates">Outreach & Education</a></div></div><div class="ds-l-col--12 ds-l-md-col--4 ds-l-lg-col--2 ds-u-padding-bottom--4"><div class="align-center media media--type-image media--view-mode-embedded"><div class="ds-u-margin--0 field field--name-image field--type-image field--label-hidden field__item"><img class="ds-u-margin--0" src="/files/image/pcg-homereducing-provider-burden.png" alt="Image depicting reducing provider burden" width="100" height="100" loading="lazy"></div></div><div><a class="ds-u-text-decoration--none" href="#improving-experience" title="Improving Provider Experience">Improving Provider Experience</a></div></div></div><div class="ds-u-padding-bottom--3 ds-u-border-bottom--1 ds-u-margin-bottom--4" id="medical-review-and-education"><h2 class="ds-u-color--primary-darker">Medical Review & Education</h2><p>Medical reviews involve the collection and clinical review of medical records and related information to ensure that payment is made only for services that meet all Medicare coverage, coding, billing, and medical necessity requirements.</p><ul><li>CMS's <a href="/data-research/monitoring-programs/medicare-fee-service-compliance-programs/medical-review-and-education/targeted-probe-and-educate-tpe" title="Targeted Probe and Educate (TPE)" data-entity-type="node" data-entity-uuid="0fe2b56b-a775-4252-a298-f2d0975a95f5" data-entity-substitution="canonical">Targeted Probe and Educate (TPE) program</a> is designed to help providers and suppliers reduce claim denials and appeals through one-on-one help.</li><li><a href="/data-research/monitoring-programs/medicare-fee-service-compliance-programs/medical-review-and-education" title="Medical Review & Education" data-entity-type="node" data-entity-uuid="797ab637-24fb-458b-9797-8f65410fc5fb" data-entity-substitution="canonical">Learn more</a> about our Medical Review and Education programs</li></ul><div class="ds-u-text-align--right ds-u-padding-right--1 ds-u-padding-top--2 ds-u-padding-bottom--1"><a href="#top">back to top</a></div></div><div class="ds-u-padding-bottom--3 ds-u-border-bottom--1 ds-u-margin-bottom--4" id="recovery-auditing"><h2 class="ds-u-color--primary-darker">Recovery Auditing</h2><p>Medicare Fee-for-Service (FFS) Recovery Audit Contractors (RACs) review claims on a post-payment basis. The RACs detect and correct past improper payments so that CMS can implement actions that will prevent future improper payments in all 50 states.</p><p><a href="/data-research/monitoring-programs/medicare-fee-service-compliance-programs/medicare-fee-service-recovery-audit-program" title="Medicare Fee for Service Recovery Audit Program" data-entity-type="node" data-entity-uuid="1ec8e3b5-6c14-4c69-b515-caa4dec8c2bc" data-entity-substitution="canonical">Read more</a> about the Medicare FFS Recovery Audit Program.</p><p class="ds-u-margin-bottom--0 ds-u-leading--heading ds-u-color--primary ds-u-font-size--h3 ds-u-text-align--left ds-u-font-weight--normal"> </p><div class="ds-u-text-align--right ds-u-padding-right--1 ds-u-padding-top--2 ds-u-padding-bottom--1"><a href="#top">back to top</a></div></div><div class="ds-u-padding-bottom--3 ds-u-border-bottom--1 ds-u-margin-bottom--4" id="prior-auth"><h2 class="ds-u-color--primary-darker">Prior Authorization & Pre-Claim Review</h2><p>Through prior authorization and pre-claim review initiatives, CMS helps ensure compliance with Medicare rules.</p><ul><li><a href="/data-research/monitoring-programs/medicare-fee-service-compliance-programs/prior-authorization-and-pre-claim-review-initiatives" title="Prior Authorization and Pre-Claim Review Initiatives" data-entity-type="node" data-entity-uuid="44952f87-d6fd-4909-a0ac-9daea67e7187" data-entity-substitution="canonical">Learn more</a> about how Prior Authorization and Pre-Claim Review programs work</li><li>Get information and resources about <a href="/node/1355581#current">current initiatives</a></li><li>Understand <a href="/node/1355581#previous">previous initiatives</a> and their results</li></ul><h3 class="ds-u-color--primary ds-u-font-weight--normal">Prior Authorization Lookup Service</h3><p>Use the <a href="/node/671121" data-entity-type="node" data-entity-uuid="97490fdd-d0ee-4db5-9b2e-d27aeec5ce7a" data-entity-substitution="canonical" title="Prior Authorization Lookup Service">Prior Authorization Lookup Service</a> to determine if Medicare Fee-for-Service requires Prior Authorization for certain items or services in your state.</p><p> </p><div class="ds-u-text-align--right ds-u-padding-right--1 ds-u-padding-top--2 ds-u-padding-bottom--1"><a href="#top">back to top</a></div></div><div class="ds-u-padding-bottom--3 ds-u-border-bottom--1 ds-u-margin-bottom--4" id="outreach"><h2 class="ds-u-color--primary-darker">Outreach & Education</h2><h3 class="ds-u-color--primary ds-u-font-weight--normal">Annual Wellness Visit (AWV) Video</h3><p>The AWV video provides health care professionals with guidance to understand expectations and requirements when submitting AWV documentation for Medicare beneficiaries.</p><p><a href="https://youtu.be/r7yOUaMJyJU" target="_blank" title="Annual Wellness Visits video">Watch the video</a>.</p><p>For more information about health risk assessments and other AWV components, read this <a href="/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/AWV_Chart_ICN905706.pdf" title="MLN Matters booklet"><span>MLN Matters®</span> booklet (PDF)</a>.</p><h3 class="ds-u-color--primary ds-u-font-weight--normal">Improving the Documentation of Chiropractic Services</h3><p><a href="https://www.youtube.com/watch?v=tMiw1X9KvDA&feature=youtu.be" target="_blank">In this video</a>, learn more about documentation requirements for chiropractors to help reduce the improper payment rate for chiropractic services, which have the highest rate of improper payments for Medicare Part B services.</p><h3 class="ds-u-color--primary ds-u-font-weight--normal">Program to Evaluate Payment Patterns Electronic Report – PEPPER</h3><p><em>There will be a temporary pause in distributing CBRs and PEPPERs as CMS works to improve and update the program and reporting system. This pause will remain in effect through the fall of 2024. We recognize the importance of these reports to your practice. Therefore, during this time, CMS will be working diligently to enhance the quality and accessibility of the reports. In fulfilling this commitment, your feedback is requested. In the near future, CMS will release a Request for Information (RFI) to obtain information from you, the provider community, about how the program can better serve you.</em></p><p><em>Please visit the CBR or PEPPER website for periodic updates. If you have any further questions please send them to</em> <a class="external-link" href="mailto:CBRPEPPERInquiries@cms.hhs.gov" target="_blank" title="Follow link"><em>CBRPEPPERInquiries@cms.hhs.gov</em></a><em>.</em></p><p>PEPPER provides provider-specific Medicare data for services vulnerable to improper payments. It can be used as a guide for auditing and monitoring efforts to help providers identify and prevent payment errors. </p><h3 class="ds-u-color--primary ds-u-font-weight--normal">Comparative Billing Report – CBR</h3><p>A CBR provides data on Medicare billing trends, allowing a health care provider to compare their billing practices to peers in the same state and across the nation. A CBR educates providers about Medicare’s coverage, coding, and billing rules and acts as a self-audit tool for providers.</p><h3 class="ds-u-color--primary ds-u-font-weight--normal">Help Improve the Program for Evaluating Payment Patterns Electronic Reports & Comparative Billing Reports</h3><p>The Center for Medicare & Medicaid Services (CMS) seeks information for a reevaluation of the Comparative Billing Reports (CBRs) and Program for Evaluating Payment Patterns Electronic Reports (PEPPERs) to improve the effectiveness and accessibility of the programs. CMS seeks responses to a series of questions listed in the <a href="/files/document/cbr-pepper-rfi-final-august-2024.pdf" title="CBR PEPPER Request for Information" data-entity-type="media" data-entity-uuid="04895b52-6cb3-48b2-ace8-f705363e75fc" data-entity-substitution="canonical"><span>Request for Information (RFI)</span> (PDF)</a> and may use the information collected to make changes to the design of the program.</p><p>Responses are due on or before 08/19/2024 and must be provided via on-line submission to the following mailbox: <a href="mailto:CBRPEPPERInquiries@cms.hhs.gov" title="Mail To: CBRPEPPERInquiries@cms.hhs.gov">CBRPEPPERInquiries@cms.hhs.gov</a>.</p><h3 class="ds-u-color--primary ds-u-font-weight--normal">Provider Compliance Tips</h3><p>Provider Compliance Tips are quick reference fact sheets to educate and provide high-level guidance to providers about claim denial issues and provide claim submission and documentation guidance. The tips cover Part A, B, and DME services with high Medicare improper payment rates. Access these tips and more on the <a href="/training-education/medicare-learning-network/compliance" data-entity-type="node" data-entity-uuid="f583f370-7867-4c64-b120-1b27bde78f8f" data-entity-substitution="canonical" title="MLN Publications & Multimedia">Medicare Learning Network.</a></p><div class="ds-u-text-align--right ds-u-padding-right--1 ds-u-padding-top--2 ds-u-padding-bottom--1"><a href="#top">back to top</a></div></div><div class="ds-u-padding-bottom--3" id="improving-experience"><h2 class="ds-u-color--primary-darker">Improving Provider Experience</h2><h3 class="ds-u-color--primary ds-u-font-weight--normal">Electronic Submission of Medical Documentation – esMD</h3><p class="text-align-left"><span>The esMD system enables providers to send medical documentation to review contractors electronically. Using the esMD system decreases costs, increases efficiency, helps improve payment turnaround time, and reduces the administrative burden of medical documentation requests and responses. </span><a href="/data-research/computer-data-systems/esmd" title="esMD" data-entity-type="node" data-entity-uuid="1ed62f4d-ac85-4e15-8e50-17fe47f1890a" data-entity-substitution="canonical"><span>Learn more about esMD</span></a><a>.</a></p><h3 class="ds-u-color--primary ds-u-font-weight--normal">Electronic <span>Medical Documentation Interoperability – EMDI</span></h3><p class="text-align-left">EMDI engages key healthcare stakeholders in the advancement of interoperability of electronic medical records between hospitals, physicians, labs, and vendors. The primary focus of EMDI is Provider-to-Provider communications using standards similar to esMD. <a href="/data-research/computer-data-systems/emdi" title="EMDI" data-entity-type="node" data-entity-uuid="4dd11372-0cac-4e2a-b3d0-d3dd8475a837" data-entity-substitution="canonical">Learn more about EMDI.</a></p><h3 class="ds-u-color--primary ds-u-font-weight--normal">Simplifying Documentation Requirements</h3><p class="text-align-left">Medicare is simplifying documentation requirements so that you spend less time on paperwork, allowing you to focus more on your patients and less on confusing and time-consuming claims documentation. <a href="/data-research/monitoring-programs/medicare-fee-service-compliance-programs/simplifying-documentation-requirements" title="Simplifying Documentation Requirements" data-entity-type="node" data-entity-uuid="2218989c-3315-444c-b12d-5806256c106d" data-entity-substitution="canonical">Learn about what we are doing.</a></p><h3 class="ds-u-color--primary ds-u-font-weight--normal">Clinical Templates</h3><p class="text-align-left">These templates and suggested clinical data elements (CDEs) are intended to help reduce the risk of claim denials and ensure that medical record documentation is more complete. <a href="/about-cms/information-systems/clinical-templates" title="Clinical Templates" data-entity-type="node" data-entity-uuid="3f88f1f4-239b-45de-81c8-fc677177e04b" data-entity-substitution="canonical">Download and learn more about the clinical templates and CDEs.</a></p><h3 class="ds-u-color--primary ds-u-font-weight--normal">Documentation Requirement Lookup Service Initiative</h3><p class="text-align-left">CMS is collaborating with ongoing industry efforts to streamline workflow access to coverage requirements, starting with developing a prototype Medicare Fee for Service (FFS) <a href="/data-research/monitoring-programs/medicare-fee-service-compliance-programs/documentation-requirement-lookup-service-initiative" data-entity-type="node" data-entity-uuid="7a2093ea-ea47-4204-a6ee-68514ce92b3e" data-entity-substitution="canonical" title="Documentation Requirement Lookup Service Initiative">Documentation Requirement Lookup Service (DRLS)</a>.</p><div class="ds-u-text-align--right ds-u-padding-right--1 ds-u-padding-top--2 ds-u-padding-bottom--1"><a href="#top">back to top</a></div></div></div></div>
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