Centers for Medicare & Medicaid Services

E21287

United States government agency federal agency

The Centers for Medicare & Medicaid Services is a U.S. federal agency within the Department of Health and Human Services that administers the nation’s major public health insurance programs, including Medicare and Medicaid, and sets key standards for healthcare quality and reimbursement.

Try in SPARQL Jump to: Surface forms Disambiguation Statements Elicitation Referenced by

All labels observed (12)

Label	Occurrences
Centers for Medicare & Medicaid Services canonical	85
Health Care Financing Administration	5
Centers for Medicare & Medicaid Services headquarters	4
Center for Medicare	2
federal Centers for Medicare & Medicaid Services	2
Center for Medicaid and CHIP Services	1
Centers for Medicare & Medicaid Services Administrator	1
Centers for Medicare & Medicaid Services Center for Medicare and Medicaid Innovation (organizational umbrella of CMS)	1
Centers for Medicare & Medicaid Services Coverage and Analysis Group	1
Centers for Medicare & Medicaid Services Survey and Certification Group	1
Centers for Medicare & Medicaid Services headquarters (Woodlawn)	1
HCFA	1

How this entity was disambiguated

This entity first appeared as the object of triple T171470 — resolving that mention is where its identity was fixed. The disambiguator weighed these candidate entities and picked the highlighted one (or “None”, minting a new entity). This is how homonymy is resolved: the same surface form can point to different entities.

NED1 Entity disambiguation (via context triple) gpt-5-mini-2025-08-07

Target entity: Centers for Medicare & Medicaid Services
Context triple: [Joint Commission, collaboratesWith, Centers for Medicare & Medicaid Services]

A. United States Department of Health and Human Services
The United States Department of Health and Human Services is a federal executive department responsible for protecting the health of Americans and providing essential human services, particularly for those least able to help themselves.
B. Medicare
Medicare is a U.S. federal health insurance program primarily serving people aged 65 and older, as well as certain younger individuals with disabilities or specific medical conditions.
C. United States Department of Veterans Affairs
The United States Department of Veterans Affairs is a federal executive department responsible for providing healthcare, benefits, and other essential services to U.S. military veterans and their families.
D. Social Security Administration
The Social Security Administration is an independent U.S. government agency that oversees and delivers retirement, disability, and survivors’ benefits to eligible individuals.
E. Centers for Disease Control and Prevention
The Centers for Disease Control and Prevention (CDC) is the leading U.S. public health agency responsible for disease surveillance, prevention, and health promotion domestically and globally.
F. None of above. chosen
G. Unsure - the case is ambiguous/there is not enough information to decide.

NED2 Entity disambiguation (via description) gpt-5-mini-2025-08-07

Target entity: Centers for Medicare & Medicaid Services
Target entity description: The Centers for Medicare & Medicaid Services is a U.S. federal agency within the Department of Health and Human Services that administers the nation’s major public health insurance programs, including Medicare and Medicaid, and sets key standards for healthcare quality and reimbursement.

A. United States Department of Health and Human Services
The United States Department of Health and Human Services is a federal executive department responsible for protecting the health of Americans and providing essential human services, particularly for those least able to help themselves.
B. Medicare
Medicare is a U.S. federal health insurance program primarily serving people aged 65 and older, as well as certain younger individuals with disabilities or specific medical conditions.
C. United States Department of Veterans Affairs
The United States Department of Veterans Affairs is a federal executive department responsible for providing healthcare, benefits, and other essential services to U.S. military veterans and their families.
D. Social Security Administration
The Social Security Administration is an independent U.S. government agency that oversees and delivers retirement, disability, and survivors’ benefits to eligible individuals.
E. Centers for Disease Control and Prevention
The Centers for Disease Control and Prevention (CDC) is the leading U.S. public health agency responsible for disease surveillance, prevention, and health promotion domestically and globally.
F. None of above. chosen

Statements (50)

Predicate	Object
instanceOf	United States government agency ⓘ federal agency ⓘ
abbreviation	CMS ⓘ
budgetType	federal budget ⓘ
collaboratesWith	private health plans offering Medicare Part D ⓘ private health plans participating in Medicare Advantage ⓘ state Medicaid agencies ⓘ
country	United States of America ⓘ surface form: United States
dateFormed	1977 ⓘ
employs	civil servants ⓘ
headquartersLocation	Baltimore ⓘ surface form: Baltimore, Maryland Woodlawn, Maryland ⓘ
issues	Medicaid guidance to states ⓘ Medicare billing rules ⓘ National Coverage Determinations ⓘ
jurisdiction	United States government ⓘ surface form: federal government of the United States
overseesProgram	health insurance marketplace ⓘ surface form: Affordable Care Act health insurance exchanges Children's Health Insurance Program ⓘ Clinical Laboratory Improvement Amendments program ⓘ health insurance marketplace ⓘ surface form: Health Insurance Marketplace Medicaid ⓘ Medicare ⓘ Medicare Part C ⓘ surface form: Medicare Advantage Medicare Part D ⓘ
parentAgency	United States Department of Health and Human Services ⓘ
partOf	United States public health system ⓘ
predecessor	Centers for Medicare & Medicaid Services self-linksurface differs ⓘ surface form: Health Care Financing Administration
regulates	Medicare-participating home health agencies ⓘ Medicare-participating hospitals ⓘ Medicare-participating physicians ⓘ Medicare-participating skilled nursing facilities ⓘ
renamedFrom	Centers for Medicare & Medicaid Services self-linksurface differs ⓘ surface form: Health Care Financing Administration
renamedInYear	2001 ⓘ
responsibleFor	administering CHIP benefits ⓘ administering Medicaid benefits ⓘ administering Medicare benefits ⓘ establishing quality standards for healthcare providers in federal programs ⓘ implementing provisions of the Affordable Care Act related to coverage and payment ⓘ overseeing Medicare fee-for-service program ⓘ overseeing Medicare quality reporting programs ⓘ regulating health insurance standards for certain markets ⓘ setting Medicare reimbursement rates ⓘ survey and certification of healthcare facilities participating in Medicare and Medicaid ⓘ
sector	health insurance ⓘ healthcare ⓘ
supervises	Center for Clinical Standards and Quality ⓘ Center for Consumer Information and Insurance Oversight ⓘ Center for Medicare and Medicaid Innovation ⓘ surface form: Center for Medicaid and CHIP Services Centers for Medicare & Medicaid Services self-linksurface differs ⓘ surface form: Center for Medicare
website	https://www.cms.gov ⓘ

How these facts were elicited

Referenced by (105)

Full triples — surface form annotated when it differs from this entity's canonical label.

CMS → hasPart → Centers for Medicare & Medicaid Services ⓘ

subject surface form: Centers for Medicare & Medicaid Services

this entity surface form: Center for Medicaid and CHIP Services

Clinical Laboratory Improvement Amendments program → administeredBy → Centers for Medicare & Medicaid Services ⓘ

Clinical Laboratory Improvement Amendments program → overseenBy → Centers for Medicare & Medicaid Services ⓘ

this entity surface form: Centers for Medicare & Medicaid Services Survey and Certification Group

National Coverage Determinations → issuedBy → Centers for Medicare & Medicaid Services ⓘ

National Coverage Determinations → administeredBy → Centers for Medicare & Medicaid Services ⓘ

this entity surface form: Centers for Medicare & Medicaid Services Coverage and Analysis Group

Center for Clinical Standards and Quality → partOf → Centers for Medicare & Medicaid Services ⓘ

Federal Medical Assistance Percentage → administeredBy → Centers for Medicare & Medicaid Services ⓘ

Part D → administeredBy → Centers for Medicare & Medicaid Services ⓘ

subject surface form: Medicare Part D

General Enrollment Period → administeredBy → Centers for Medicare & Medicaid Services ⓘ

Medigap policies → regulatedBy → Centers for Medicare & Medicaid Services ⓘ

Medicare trust funds → monitoredBy → Centers for Medicare & Medicaid Services ⓘ

Annual Enrollment Period → governingBody → Centers for Medicare & Medicaid Services ⓘ

Special Enrollment Period → administeredBy → Centers for Medicare & Medicaid Services ⓘ

subject surface form: Special Enrollment Period (Medicare Part B)

Myriad Genetics → regulatoryBody → Centers for Medicare & Medicaid Services ⓘ

Georgia Department of Community Health → collaboratesWith → Centers for Medicare & Medicaid Services ⓘ

this entity surface form: federal Centers for Medicare & Medicaid Services

340B Drug Pricing Program → relatedAgency → Centers for Medicare & Medicaid Services ⓘ

Organ Procurement and Transplantation Network → collaboratesWith → Centers for Medicare & Medicaid Services ⓘ

Senate Special Committee on Aging → relatedTo → Centers for Medicare & Medicaid Services ⓘ

CHIP → administeredBy → Centers for Medicare & Medicaid Services ⓘ

subject surface form: Children's Health Insurance Program

Mitre Corporation → client → Centers for Medicare & Medicaid Services ⓘ

Texas Health and Human Services Commission → coordinatesWith → Centers for Medicare & Medicaid Services ⓘ

this entity surface form: federal Centers for Medicare & Medicaid Services

21st Century Cures Act → affectsAgency → Centers for Medicare & Medicaid Services ⓘ

Public Law 104-191 → enforcedBy → Centers for Medicare & Medicaid Services ⓘ

Office of Audit Services, HHS OIG → worksWith → Centers for Medicare & Medicaid Services ⓘ

Office of Counsel to the Inspector General, HHS OIG → worksWith → Centers for Medicare & Medicaid Services ⓘ

state Medicaid Fraud Control Units → collaboratesWith → Centers for Medicare & Medicaid Services ⓘ

subject surface form: State Medicaid Fraud Control Units

OASH → worksWith → Centers for Medicare & Medicaid Services ⓘ

Office of Population Affairs → collaboratesWith → Centers for Medicare & Medicaid Services ⓘ

Office of HIV/AIDS and Infectious Disease Policy → coordinatesWith → Centers for Medicare & Medicaid Services ⓘ

Medicaid Division → coordinatesWith → Centers for Medicare & Medicaid Services ⓘ

Oregon State Hospital → regulatoryAuthority → Centers for Medicare & Medicaid Services ⓘ

Regenstrief Institute → collaboratedWith → Centers for Medicare & Medicaid Services ⓘ

Medicare Part A → administeredBy → Centers for Medicare & Medicaid Services ⓘ

Title XIX → administeredBy → Centers for Medicare & Medicaid Services ⓘ

Fisher-Titus Medical Center → regulatoryBody → Centers for Medicare & Medicaid Services ⓘ

Maryland Route 122 → providesAccessTo → Centers for Medicare & Medicaid Services ⓘ

this entity surface form: Centers for Medicare & Medicaid Services headquarters

Medicare secondary payer rules → administeredBy → Centers for Medicare & Medicaid Services ⓘ

Medicare secondary payer rules → enforcedBy → Centers for Medicare & Medicaid Services ⓘ

Windsor Mill, Maryland → nearbyFederalFacility → Centers for Medicare & Medicaid Services ⓘ

this entity surface form: Centers for Medicare & Medicaid Services headquarters (Woodlawn)

United States healthcare system → governedBy → Centers for Medicare & Medicaid Services ⓘ

American Medical Association CPT Editorial Panel → worksWith → Centers for Medicare & Medicaid Services ⓘ

HCPCS Level II → maintainedBy → Centers for Medicare & Medicaid Services ⓘ

Healthcare Common Procedure Coding System → administeredBy → Centers for Medicare & Medicaid Services ⓘ

Healthcare Common Procedure Coding System → governingBody → Centers for Medicare & Medicaid Services ⓘ

Healthcare Common Procedure Coding System → introducedBy → Centers for Medicare & Medicaid Services ⓘ

this entity surface form: Health Care Financing Administration

Healthcare Common Procedure Coding System → introducedBy → Centers for Medicare & Medicaid Services ⓘ

this entity surface form: HCFA

Medicaid Early and Periodic Screening, Diagnostic, and Treatment benefit → overseenBy → Centers for Medicare & Medicaid Services ⓘ

Deficit Reduction Act of 2005 → enforcedBy → Centers for Medicare & Medicaid Services ⓘ

Murdoch Developmental Center → regulatoryAuthority → Centers for Medicare & Medicaid Services ⓘ

Rutland Regional Medical Center → regulatesBy → Centers for Medicare & Medicaid Services ⓘ

All labels observed (12)

How this entity was disambiguated Show

Statements (50)

How these facts were elicited Show

Referenced by (105)

How this entity was disambiguated

How these facts were elicited