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Office of Managed Care, Centers for Medicare and Medicaid Services (formerly the Health Care Financing Administration)

Contact Information

Director
7500 Security Boulevard
C4-23-07
Baltimore, MD 21244

410-786-3000 (Voice),
410-786-0727 (Voice - TTY),
866-226-1819 (Voice - TTY),

Internet Resources

Abstract

The Office of Managed Care (OMC), an office of the Centers for Medicare and Medicaid Services (CMS), formerly the Health Care Financing Administration (HCFA), serves as the Departmental focal point to advance the managed care concept under Medicare and Medicaid, and has regulatory authority over Federally qualified health maintenance organizations (HMOs). Specific activities are carried out in the areas of Federal qualification of HMOs and compliance with provisions of the Public Health Service Act dealing with Federally qualified HMOs; granting and administration of Medicare contracts between CMS and Federally qualified HMOs, "competitive medical plans" (CMPs), and other types of managed care plans; granting and administration of 81915 (b) waivers; and policy direction and technical assistance to CMS regional offices and State agencies on Medicaid managed care issues.

Publications

OMC distributes materials on health maintenance organizations and competitive medical plans and maintains financial information on such plans, enrollment information, and service area information.

Keywords

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Notes

Authorizing Legislation: Public Law 93-222, Health Maintenance Organizations Act of 1973 and amendments. Section 1876 of the Social Security Act (Medicare) and Section 1903 and 1915 of the Social Security Act (Medicaid).

Audit

Date Entered: 3/1/1998
Date Edited: 10/1/2004
Date Revised: 4/30/2002
Health Referral Number: HR0065
Accession Number: DP91A0053
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