The Centers for Medicare & Medicaid Services, CMS, is part of the Department of Health and Human Services (HHS). Four sources are available for the Centers of Medicare and Medicaid Services:
The Medicare and Medicaid EHR Incentive Programs provide a financial incentive for the "meaningful use" of certified EHR technology to achieve health and efficiency goals. By putting into action and meaningfully using an EHR system, providers will reap benefits beyond financial incentives–such as reduction in errors, availability of records and data, reminders and alerts, clinical decision support, and e-prescribing/refill automation.
The Acceptable Risk Safeguards (ARS) contain a broad set of required security standards based upon NIST SP 800-53 Revision 1, Recommended Security Controls for Federal Information Systems, dated December 2006, and NIST 800-63 Version 1.0.2, Electronic Authentication Guideline, dated April 2006. The ARS contains additional standards based on CMS Policies, Procedures and Guidance, other Federal and non-Federal guidance resources and industry leading security practices. This document provides technical guidance to CMS and its contractors as to the minimum level of security controls that must be implemented to protect CMS information and information systems. All federal systems must incorporate IS controls to protect federal information assets. These controls cover areas of security ranging from the physical environment to auditing and logging. CMS developed the ARS utilizing the NIST SP 800-53 (as amended) as the primary resource to categorize the controls. The purpose of the ARS is to define information security minimum standards.
The Balanced Budget Act of 1997 (BBA) established a new Part C of the Medicare program, known then as the Medicare+Choice (M+C), effective January 1999. As part of the M+C program, the BBA authorized CMS to contract with public or private organizations to offer a variety of health plan options for beneficiaries, including both traditional managed care plans (such as those offered by HMOs under §1876 of the Social Security Act) and new options that were not previously authorized. This authoritative source content contains the Medicare Managed Care Manual (100-16).
Pub. 100-18 sets forth consolidated policy and operational guidance based on the current Part D program regulations. Except where specifically noted, the requirements in the manual apply to all Part D sponsors, including prescription drug plans (PDPs), Medicare Advantage prescription drug plans (MA-PD plans), and cost plans offering Part D coverage. This authoritative source content contains the Medicare Prescription Drug Manual (100-18).
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