Centers for Medicaid and Medicare Services

Programs Centers for Medicaid and Medicare Services

Providing efficient healthcare to its citizens should be one of the top priorities for any country.

The Centers for Medicare and Medicaid Services (CMS) is the agency under the U.S. Department of Health and Human Services responsible for managing the country’s major healthcare programs.

The CMS oversees federal or state-sponsored healthcare initiatives, including Medicaid, Medicare, CHIP (Children’s Health Insurance Program), and other state/federal health insurance providers.

Importance of Centers for Medicaid and Medicare Services

Importance of Centers for Medicaid and Medicare Services

CMS is responsible for collecting and analyzing data, producing research reports and eliminating instances of fraud and abuse within the U.S. healthcare system.

This federal agency aims to offer a healthcare system with excellent care, access and affordable health coverage.

Why is the Centers for Medicare and Medicaid Services (CMS) important

The Centers for Medicare and Medicaid Services (CMS) is a major U.S. Department of Health and Human Services agency. It is headquartered in Baltimore, Maryland and works with every state government to administer basic health services and insurance programs.

The CMS programs serve over 46 million Americans from incredibly diverse backgrounds and regions.

Beneficiaries of the CMS programs include infants, pregnant women, elderly citizens, low-income populations and people with significant disabilities.

Major Programs under the Centers for Medicare and Medicaid Services (CMS)

Now that you know what exactly CMS is, let’s take a detailed look at some of the major healthcare programs run through the agency and how they can benefit you:

1 – Medicaid

Medicaid is an affordable insurance initiative run jointly by the Center for Medicaid and CHIP, along with state or federal collaboration.

Essentially, Medicaid consists of over 50 specific programs. Every US state or territory creates specific rules for its citizens and works under the supervision of CMS.

CMCS (Center for Medicaid and CHIP Services) is a low-income program CMS offers.

Under this, federal funds are combined with state-sponsored funds to pay benefits for low-income citizens. Regular medication is vital to ensure the lowering of long-term medication costs.

CMS is focused on promoting prevention and early detection tools to lower healthcare costs and promote wellness and good health.

2 – Affordable Care Act

Recently, the Affordable Care Act included funds and supervision for CHIP sponsors and added dental care to children’s services.

It also includes early diagnostics, screening and detection, and inoculation services. This initiative is an excellent solution for those between Medicaid and Obamacare insurance segments.

CMS can develop and initiate the Basic Health Plan additions in the new Affordable Care Act.

These programs are available for state residents who are ineligible for insurance coverage under the CHIP or Medicaid programs.

Residents whose income range is between 133-200% of the designated federal poverty line are eligible for this program. A Basic Health Plan offers at least 10 essential benefits and exceeds the minimum economic value.

3 – Children’s Health Insurance Program (CHIP)

The Children’s Health Insurance Program (CHIP) was launched in 1998 and was formed as part of a national health insurance law.

Under this, the CMS matches the fund amount offered by the state government with federal funds to provide affordable health coverage for children from low-income households.

This is incredibly useful if your household’s income is too high for Medicaid but too low for private insurance coverage.

Under this law, every state has raised the eligibility for CHIP to 200% of the federal poverty guidelines. This ensures that CHIP is accessible to the largest possible number of beneficiaries.

4 – Medicare

CMS is responsible for supervising the Medicare program, too. This primary healthcare management initiative by the state is designed for the elderly.

This program supports public and private health insurance coverage with equal ease.

Some of the major Medicare programs that provide health insurance for elderly and disabled Americans include:

  • Original Medicare, including Medicare Part A and Medicare Part B and is comprehensive health insurance that meets the Individual Mandate.
  • Medicare Advantage – Part C
  • Prescription Drugs – Part D


The Centers for Medicaid and Medicare Services are incredibly important avenues for receiving optimal health insurance coverage, especially if you belong to the low-income household category or are classified as an elderly or disabled US citizen.

To know the specific benefits that you are eligible to receive under CMS within your state, it is highly advised to contact the CMS in your state or territory.

See Also

How to Get Medicare to Pay for Dental Implants?

Does Medicaid Cover Dermatology?

How to Register for NRMP?

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Current Version
July 6, 2018
Written By
Shubham Grover

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