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This webpage provides an overview of CIO documents, including policies, standards, directives, guidelines, and procedures. see more
Database Administration CMS Database Administration. see more CMS' Identity ManagementCMS' Identity Management CMS' Identity Management (IDM) system is an established, enterprise-wide, identity management solution. IDM is leveraged by CMS business… see more
Enterprise ArchitectureCMS Enterprise Architecture Strategy Group. EA definition and HHS workgroups that CMS participates. see more
Enterprise IT Investment ManagementThe CMS Integrated IT Investment & System Life Cycle Framework can be viewed as a hierarchy. see more
HIPAA Eligibility Transaction System (HETS)The HIPAA (Health Insurance Portability and Accountability Act) Eligibility Transaction System (HETS) allows you to check Medicare beneficiary eligibility data in real-time. Use HETS to prepare… see more
CMS Information Security and Privacy Overview"Holding Ourselves to a Higher Standard"What is the Information Security and Privacy Group (ISPG)?The Information Security and Privacy Group (ISPG) is within the CMS Office of Information Technology … see more
Section 508 and CMS overview of section 508 see more SPARC HomeThe Strategic Partners Acquisition Readiness Contract (SPARC) is a cost-effective, innovative solution for procuring information technology (IT) professional services from a pool of CMS… see more
TLC OverviewWelcome to the Target Life Cycle! TLC Overview The TLC is CMS's system development life cycle governance framework that promotes business flexibility and replaces point-in-time… see more
See all ( 12 )The Medicare Fee-for-Service (FFS) Compliance programs prevent, reduce, and measure improper payments through medical review. We provide a number of programs to educate and support Medicare… see more
Medicaid Data Sources - General Information Medicaid Data Sources - General Information see more EMDI OverviewElectronic Medical Documentation Interoperability (EMDI) Program The Centers for Medicare & Medicaid Services (CMS) Electronic Medical Documentation Interoperability (EMDI) Initiative… see more
Medicaid Information Technology Architecture (MITA)The Medicaid Information Technology Architecture (MITA) pages are currently being migrated to the Medicaid.gov website. In the interim, please use the following links from the CMS.gov Archive… see more
Minimum Data Set 3.0 Public Reports Minimum Data Set 3.0 Public Reports see more Transformed Medicaid Statistical Information System See all ( 6 )The Centers for Medicare & Medicaid Services (CMS) makes certain data files available for order. These data files include information collected through the operation of the Medicare and… see more
Identifiable Data Files Identifiable data files overview see more Limited Data Set (LDS) FilesThe Centers for Medicare & Medicaid Services (CMS) makes Limited Data Set (LDS) files available to researchers as allowed by federal laws and regulations as well as CMS policy. LDS files contain… see more
See all ( 4 )Background The Payment Integrity Information Act of 2019 (PIIA) (Public Law No. 116-117) requires government agencies to identify, report, and reduce improper payments in the government's programs… see more
Medicare Fee-for-Service Compliance ProgramsCMS 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… see more
Medicare Advantage Risk Adjustment Data Validation ProgramAbout the ProgramProtecting our programs' sustainability for future generations by serving as a responsible steward of public funds is a CMS Strategic pillar. The Medicare Advantage Risk Adjustment… see more