Conditions of Participation
To assure health care security for beneficiaries.
In serving beneficiaries, we open our programs to full partnership with the entire health community to improve quality and efficiency in an evolving health care system.
and improve beneficiary health and satisfaction
appropriate and predictable payments and high quality care
understanding of CMS programs among beneficiaries, the health care community
and the public
the fiscal integrity of CMS programs and be an accountable steward of public
excellence in the design and administration of CMS programs
leadership in the broader health care marketplace to improve health
the fiscal soundness of CMS programs.
and effectively manage CMS’ information systems and technology
CMS’ Medicare contractor management
and maintain payment processes that pay claims only for covered, medically
necessary services at correct payment amounts and in a timely manner
and refine payment systems to foster efficiency, promote innovative service
delivery and appropriate utilization, and ensure access to care for