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Medicare - Administration

The U.S. Department of Health and Human Services (DHHS) has the overall responsibility for administration of the Medicare program. Within DHHS, responsibility for administering Medicare rests with CMS. SSA assists, however, by initially determining an individual's Medicare entitlement, by withholding Part B premiums from the Social Security benefit checks of beneficiaries, and by maintaining Medicare data on the master beneficiary record, which is SSA's primary record of beneficiaries. The Internal Revenue Service in the Department of the Treasury collects the HI payroll taxes from workers and their employers.

A Board of Trustees, composed of two appointed members of the public and four members who serve by virtue of their positions in the Federal Government, oversees the financial operations of the HI and SMI trust funds. The Secretary of the Treasury is the managing trustee. The Board of Trustees reports to Congress on the financial and actuarial status of the Medicare trust funds on or about the first day of April each year.

State agencies (usually State Health Departments under agreements with CMS) identify, survey, and inspect provider and supplier facilities or institutions wishing to participate in the Medicare program. In consultation with CMS, these agencies then certify the facilities that are qualified.

See these topics for additional information:

·   Medicare - Overview

·   Medicare - Coverage

·   Medicare - Managed Care Plans

·   Medicare - Financing, Liabilities, and Payments

·   Medicare - Claims Processing

·   Medicare - Data Summary

·   Medicare - Other Considerations

·   Relationship of Medicaid and Medicare

·   Medicare (Part D) Prescription Drug Coverage

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