Centers for Medicare & Medicaid Services
The Centers for Medicare & Medicaid Services administers the country's largest care programs and sets the Conditions of Participation that providers must meet to bill Medicare and Medicaid.
What CMS does
The main responsibilities of the Centers for Medicare & Medicaid Services.
Working with CMS
Keep Conditions of Participation evidence organised and inspection-ready in one place
Track quality, incident and staffing signals that map to CMS survey expectations
Maintain an audit trail across care, HR and operations for survey and certification
Sectors, programs & frameworks
The care sectors, federal programs and regulatory frameworks most connected to CMS. Applicability varies by provider type, program and jurisdiction.
Federal programs
Regulatory frameworks
- CoPs — Federal standards providers must meet to participate in Medicare/Medicaid.
- EMTALA — Emergency screening and stabilisation obligations.
- Stark — Restrictions on physician referral relationships.
- 1557 — Non-discrimination in health programs and activities.
Alongside federal agencies, US care is also shaped by state licensure, survey agencies and Medicaid programmes across all 50 states. Explore the 50-state directory for state-level intelligence.
One platform, from federal government to the front line
CareFocusIQ connects agencies, programs, states and sectors into a single intelligent platform for US care.
CareFocusIQ provides technology and intelligence to support care operations and compliance. It is not a medical device and does not provide legal advice. Regulatory requirements vary by provider type, program and jurisdiction, and remain the responsibility of each provider.