Centers for Medicare and Medicaid Services
Information and Support
Centers for Medicare and Medicaid Services - National Office
7500 Security Blvd, Baltimore, MD, 21244
Distance: 224 Miles
Learn more about a specific topic and how to connect to additional resources and services.
The Centers for Medicare and Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (DHHS) that administers and oversees Medicare. The Center operates a toll-free helpline and an official government website to help consumers understand and use Medicare.
Telephone assistance is available with a toll-free, 24/7/365 phone number
Get help with:
* Enrolling or comparing health and/or Part D drug plans using the Medicare Plan Finder Tool
* Signing-up for Medicare or changing plans
* Learning what Medicare does and does not cover
* Learning about Medicare health insurance and Medicare drug coverage (Part D)
* Claims and appeals
* Forms, publications
* Identity theft and how to report fraud and abuse
Centers for Medicare and Medicaid Services (CMS) also works in partnership with state governments to administer Medicaid, the State Children's Health Insurance Program, and health insurance portability standards.
- Free / no cost to everyone
- 24 hours a day
- Older adults
|Main - Report Medicare Fraud or Abuse||(800) 447-8477|
|TTY - CMS Administration||(866) 226-1819|
|TTY - Medicare Help||(877) 486-2048|
This provider does not offer this service at other locations.
Other Services or resources
Taxonomy Terms Used: Clicking a taxonomy term from the list below launches a new search.
FN-1700.3350-550Medicare Fraud Reporting Definition
Programs that provide a hotline, website or other mechanisms that persons with Medicare and the public at large can use to report health care providers or beneficiaries who make false statements or representations which result in an unauthorized payment by the Medicare program to themselves or another. Also included are organizations that accept and investigate reports about fraudulent entities that misrepresent themselves as approved Medicare Part D Prescription Drug Plans; approved plans that use aggressive marketing tactics, discriminate against a beneficiary (e.g., prevent them from signing up for a plan based on their age, health status, race or income), entice beneficiaries to enroll in a more costly plan than they require, or erroneously charge beneficiaries for medication provided under the plan they have selected; or pharmacies that provide a different drug than the one prescribed by the physician. Examples of Medicare fraud include incorrect reporting of diagnoses or procedures to maximize payments; billing for services, medical supplies, equipment or medications not provided; misrepresentation of the dates and descriptions of services or medications provided, the identity of the recipient or the individual furnishing services; and billing for noncovered or nonchargeable services as covered items. Also included are programs that provide consumer education, counseling and assistance with the objective of helping people identify instances of fraud.
LH-3500.5000Medicare Information/Counseling Definition
Programs that offer information and guidance for older adults and people with disabilities regarding their health insurance options with the objective of empowering them to make informed choices. Included is information about benefits covered (and not covered); the payment process; the rights of beneficiaries; the process for eligibility determinations, coverage denials and appeals; consumer safeguards; and options for filling the gap in Medicare coverage (Medigap supplement insurance). Also available is information relating to an individual's eligibility for benefits and assistance with evaluating their options and enrolling in a Medicare plan (A, B, C, and/or D) that will best meet their needs. These programs also address coordination of benefits when beneficiaries have other types of health insurance in addition to Medicare (e.g. Medicaid, employer coverage or retiree insurance) and provide counseling and assistance regarding the subsidies that are available to low income beneficiaries enrolled in the Part D Prescription Drug Benefit (which help pay for Part D premiums and reduce the cost of prescriptions at the pharmacy) and the Medicare Savings Programs which help pay for Medicare out-of-pocket costs. They may also provide information about Medicaid and the linkages between the two programs, referrals to appropriate state and local agencies involved in the Medicaid program, information about other Medicare-related entities (such as peer review organizations, Medicare-approved prescription drug plans, Medicare administrative contractors), and assistance in completing related Medicare insurance forms.
NS-8000.5000-520Medicare Appeals/Complaints Definition
Entities that are responsible for hearing appeals and resolving grievances that have been filed by people who have applied for or are receiving benefits through the Medicare program (including the Part D Prescription Drug Benefit and the subsidies that are available to low income beneficiaries enrolled in the Part D Benefit) and believe that an adverse action has been wrongly taken, including coverage denials, discrimination, violation of rights and/or failure to take an appropriate action.
TJ-3000.8000Specialized Information and Referral Definition
Programs that maintain information about community resources that are appropriate for a specific target group or human services sector (for example, youth programs or addiction services) and which link individuals who are in need of specialized services with appropriate resources and/or which provide information about community agencies and organizations that offer specialized services.
YB-9000Young Adults Definition
Individuals who are generally between the ages of 18 and 25 depending on the ages that specific programs use for qualification.
YC-5100Medicare Beneficiaries Definition
Individuals, age 65 and older or younger than age 65 with a disability, who have hospital, medical and prescription drug insurance through the federally-funded Medicare program.