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2016 National Training Program

This training module will help you identify and utilize the resources available for the CMS program, including websites, regulations, and guidance materials. Learn how to access training materials, research issues, and find information about Medicare coverage.

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2016 National Training Program

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  1. 2016 National Training Program Module 8 CMS Program Resources

  2. Session Objectives • This session should help you • Identify CMS program-related resources • Refer to Social Security’s resources • Review regulations • Use resources to help with questions and issues CMS Program Resources

  3. Helpful Websites Medicaid.gov CMS.gov Medicare.gov InsureKidsNow.gov HealthCare.gov Marketplace.cms.gov Regulations.gov SSA.gov CMS Program Resources eCFR.gov

  4. CMS.gov • Official website for the Centers for Medicare & Medicaid Services (CMS) • Primarily for partners, providers, researchers, etc. • You can use the website to • Access training materials and schedules • Research issues using CMS manuals and guidance • Find details about what Medicare covers CMS Program Resources

  5. CMS.gov Homepage In the Newsroom you can see press releases. FAQs provides answers to Frequently Asked Questions. The Spotlight features new and note-worthy content. CMS Program Resources

  6. Medicare CMS Program Resources

  7. Eligibility and Enrollment Guidance CMS issues guidance to outline who’s eligible to enroll in Medicare plans, when and how they’re able to enroll and disenroll, and more CMS Program Resources

  8. Medicare Coverage Database Select the link in the Top 5 Resources section CMS Program Resources

  9. Medicaid/CHIP Can also access directly at Medicaid.gov CMS Program Resources

  10. Medicare-Medicaid Coordination CMS Program Resources

  11. Private Insurance CMS Program Resources

  12. Innovation Center CMS Program Resources

  13. Regulations & Guidance CMS Program Resources

  14. CMS Manuals The manuals offer day-to-day operating instructions, policies, and procedures. Select the IOM link to access CMS manuals CMS Program Resources

  15. Internet-Only Manuals (IOMs) CMS has 25 Internet-Only Manuals covering a variety of topics Let’s say you want to know if Medicare will pay for a private hospital room CMS Program Resources

  16. Internet-Only Manuals (IOMs) Continued Each manual is broken up into chapters, according to topic CMS Program Resources

  17. Research, Statistics, Data & Systems CMS Program Resources

  18. CMS Training Materials CMS Program Resources

  19. CMS Training Materials By Audience • Additional training topics, accessed when you scroll down, include • Fraud and Abuse • Innovations • Insurance Oversight • Medicaid & state issues • Quality • Part C & D Compliance • Electronic Health Records • Transparency Provider focused including billing information Partner focused CMS Program Resources

  20. CMS National Training Program Access our materials Join the Listserv CMS Program Resources

  21. Product Ordering Website Visit productordering.cms.hhs.gov. Select Create an Account. For Questions, use the Contact Us link or email support@cms.pow.us. CMS Program Resources

  22. Medicare.gov • Official U.S. Government site for Medicare • Primarily for people with Medicare and their caregivers • You can use the website to • See what’s covered • Compare Medicare health and drug plans • Find a doctor, provider or supplier • Compare the quality of health care providers • Order publications or view them online • Find helpful contact information • Sign up for MyMedicare.gov CMS Program Resources

  23. Medicare.gov Homepage See what’s covered Clear navigation Yellow title bars convey new initiatives CMS Program Resources

  24. Find a Doctor, Provider, or Supplier Get contact information, helpful tips, and compare quality ratings CMS Program Resources

  25. Medicare Plan Finder Use Plan Finder to do a general or personalized plan search Select for Plan Finder CMS Program Resources

  26. Forms, Help, and Other Resources View, download, and order publications Better understand items you may receive in the mail about Medicare CMS Program Resources

  27. Mail You Get About Medicare CMS Program Resources

  28. Search for Publications Search by keyword on publication number Select language and order options CMS Program Resources

  29. Find Helpful Contact & Resources Locate contact information for helpful resources CMS Program Resources

  30. Sign Up for MyMedicare.gov CMS Program Resources

  31. Information in Other Languages CMS Program Resources

  32. Medicaid.gov • Operated by the Centers for Medicare & Medicaid Services (CMS) • You can use the website to • Read federal policy guidance • Find Medicaid and CHIP information by state, topic, or population • Access the State Resource Center • Learn how the Affordable Care Act impacts Medicaid and CHIP CMS Program Resources

  33. Medicaid.gov and CHIP CMS Program Resources

  34. InsureKidsNow.gov • Operated by CMS • Information about Medicaid and the Children’s Health Insurance Program (CHIP) for • Families seeking health insurance coverage for children and teens • Organizations interested in getting involved in the Connecting Kids to Coverage National Campaign CMS Program Resources

  35. InsureKidsNow.gov Homepage CMS Program Resources

  36. HealthCare.gov • Official U.S. Government resource to help you take health care into your own hands • Includes reports, videos, blogs, and a newsroom • You can use the website to • Sign up for health coverage • Find out about available insurance options • Learn about the health care law CMS Program Resources

  37. HealthCare.gov Homepage CMS Program Resources

  38. Marketplace.cms.gov • Official website for Marketplace information for assisters and outreach partners • You can use the website to • Access applications, forms, and notices • Locate technical assistance resources • Receive training • Access outreach and education materials CMS Program Resources

  39. Marketplace.cms.gov Homepage CMS Program Resources

  40. SSA.gov • Official website of the U.S. Social Security Administration • You can use the website to • Apply for benefits, including • Retirement, Medicare, Extra Help, and Disability • Order a replacement Medicare card • Research issues using SSA’s online manuals CMS Program Resources

  41. SSA.gov Homepage Select “Benefits” at the top, then “Medicare” to reach the Medicare page CMS Program Resources

  42. Medicare Services on SSA.gov CMS Program Resources

  43. SSA.gov Homepage for Publications Get a Publication CMS Program Resources

  44. SSA.gov Publications Page Search by publication number or title CMS Program Resources

  45. Regulations.gov • Source for U.S. Government Regulations from nearly 300 Federal agencies, including CMS • You can use the website to • Review and submit comments on Proposed Rules • Read Final Rules • View Regulatory Agendas that list regulations each agency plans to issue CMS Program Resources

  46. Regulations.gov Homepage Do a quick or advanced search Congress enacts laws which CMS writes as regulations CMS Program Resources

  47. Advanced Search Page • Use Advanced Search filters • Enter keywords • Select document type • Pick date range • Choose agency CMS Program Resources

  48. eCFR.gov • The Electronic Code of Federal Regulations (eCFR) is a current version of the Code of Federal Regulations (CFR) • Most up-to-date source for Medicare regulations • You can use the website to • Find regulations after Final Rules are put in place CMS Program Resources

  49. eCFR.gov Homepage The eCFR is categorized by agency and title Medicare is Title 42 CMS Program Resources

  50. Medicare Information on eCFR.gov Click on the links to browse the Medicare-related chapter/parts CMS Program Resources

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