module 8 cms program resources 2015 national training program

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Module 8 CMS Program Resources 2015 National Training Program

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Page 1: Module 8 CMS Program Resources 2015 National Training Program

Module 8

CMS Program Resources

2015 National Training Program

Page 2: Module 8 CMS Program Resources 2015 National Training Program

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

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Helpful Websites

eCFR.gov05/01/2015 CMS Program Resources

Regulations.govSSA.gov

Marketplace.cms.gov

3

HealthCare.govInsureKidsNow.gov

Medicaid.govMedicare.govCMS.gov

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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

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CMS.gov Homepage

In the Newsroom you can see press releases. FAQs provides answers to Frequently Asked Questions.

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Medicare

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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

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Medicare Coverage Database

Click on the link in the Top

5 Resources section

Provides detailed information and updates on all

Medicare covered benefits

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Medicaid/CHIP

Can also access directly at

Medicaid.gov

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Medicare-Medicaid Coordination

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Private Insurance

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Innovation CenterInnovation Center

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Regulations & GuidanceRegulations & Guidance

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CMS Manuals

The manuals offer day-to-

day operating instructions, policies, and procedures.

Click on the link in the Top 5 Resources

section

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CMS Manuals Continued

Click on the IOM link to access CMS manuals

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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

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Internet-Only Manuals (IOMs) Continued

Each manual is broken up into chapters, according to topic

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Research, Statistics, Data & Systems

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CMS National Training Program

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CMS National Training Program

Provider focused

including billing

information

Partner focused

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

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CMS National Training Program

Access our materials

Join the Listserv

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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 is 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

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Medicare.gov HomepageMedicare.gov Homepage

See what’s

covered

Clear navigation

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Find a Doctor, Provider, or SupplierFind a Doctor, Provider or Supplier

Get contact information,

helpful tips, and compare quality

ratings

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Medicare Plan Finder

Click here

Use Plan Finder to do a general or personalized plan search

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Forms, Help and Other ResourcesForms, Help and Other ResourcesFind forms and other resources

View, download, and

order publications

Select the language and order the publication or

read it online

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Product Ordering WebsiteProduct Ordering Website

Visit productordering.cms.hhs.gov.Select Create an Account.For Questions, use the Contact Us link or email [email protected].

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Find Helpful contacts and Resources

Find Helpful Contacts and Resources

Locate contact information for

helpful resources

Locate contact information for

helpful resources

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Sign Up For MyMedicare.govSign Up for MyMedicare.gov

Sign-in to MyMedicare.gov or

create a new account

Sign-in to MyMedicare.gov or

create a new account

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Information in Other Languages

Information in Other languages

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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

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Medicaid.gov/CHIP/CHIP-program-information.html

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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

Get involved in the Connecting Kids to Coverage National Campaign

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InsureKidsNow.gov Continued

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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 • Get help using your insurance• Learn about the health care law

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HealthCare.gov Homepage

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Partner Page for the Federally-facilitatedHealth Insurance Marketplace

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You can access it from CMS.gov

You can go to the site directly at Marketplac.cms.gov.

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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

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SSA.gov Homepage

Click on “Benefits” at the top, then

“Medicare” to reach the

Medicare page

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SSA.gov Homepage for Publications

Get a Publication

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SSA.gov Publications Page

Search by publication number or title

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SSA’s Medicare Tools

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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

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Regulations.gov Homepage

Congress enacts laws which CMS writes as

regulations

Do a quick search, or an advanced search

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Advanced Search Page

Use Advanced Search filters Enter keywords Select document

type Pick date range Choose agency

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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

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eCFR.gov 1

The eCFR is categorized by

agency and title

Medicare is Title 42

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eCFR.gov 2

Click on the links to browse the Medicare-

related chapters/parts

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eCFR.gov 3

Use the subpart titles to find the topic

you’re looking for

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Ways to Stay Connected

Join email listservs• Most websites provide a

link to sign up to get timely updates

Social Media

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Social Media

CMS has a Medicare presence on • You Tube - CMSHHSgov YouTube.com/CMSHHSGov• Twitter at Twitter.com/CMSGov Our ID: @CMSGov• Linkedin• facebook.com/Medicare.gov

CMS has a Marketplace presence on• facebook.com/HealthCare.gov • mobile.twitter.com/HealthCareGov • youtube.com/playlist?list

=PLaV7m2-zFKpgZDNCz7rZ3Xx7q2cDmpAm7

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CMS National Training Program (NTP)

To view all available NTP training materials, or to subscribe to our email list, visit

CMS.gov/Outreach-and-Education/Training/ CMSNationalTrainingProgram/index.html

For questions about training products email [email protected]

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