1. Overview and Original Medicare

1.1 Welcome to Medicare  

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.medicare.gov/Publications/Pubs/pdf/11095.pdf

10/06

32

CMS

Beneficiary

11095

This booklet is included in the Initial Enrollment Period (IEP) package that Medicare mails to people automatically enrolled in Medicare Part B. It gives a basic overview of the Medicare program and key decisions that people who are new to Medicare need to make.

1.2 Medicare & You 2007 Handbook  

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.medicare.gov/Publications/Pubs/pdf/10050.pdf

1/07

116

CMS

Beneficiary

10050

This booklet is the national version of the Medicare & You handbook and provides an overview of the Medicare program including coverage, eligibility, who to call for help, Part A, Part B, Ambulance, Hospital, doctor, assignment, Medicare Advantage, Prescription Drug Coverage, Supplemental Insurance, Preventive services, Hospice, Home Health, Skilled Nursing Facility (SNF), Outpatient, Medicare rights, etc.  NOTE:  When the new version is released mid-October, each year, the new handbook will eventually replace previous year’s version at this same web address – check last page of handbook for publication date.

Large Print (English)

Spanish

Braille

Large Print (Spanish)

Audiotape (English)

Audiotape (Spanish)

1.3 Medicare & You Location Specific Handbooks (English & Spanish)  

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/Partnerships/PFP/list.asp 

NOTE: scroll down to bottom of web page to find handbook for your state!

3/07

N/A

CMS

Beneficiary

Link

This library of booklets provides 2007 state-specific plan information of the national Medicare & You handbook; also called “geographic-specific versions”. The national handbook provides an overview of the Medicare program including coverage, eligibility, who to call for help, Part A, Part B, Ambulance, Hospital, doctor, assignment, Medicare Advantage, Prescription Drug Coverage, Supplemental Insurance, Preventive services, Hospice, Home Health, Skilled Nursing Facility (SNF), Outpatient, etc. The back of the booklet contains a list of locally available Medicare Advantage plans and stand-alone Prescription Drug Plans.  NOTE: These booklets generally are released mid to late October each year and are posted on both medicare.gov – click on More Medicare Spotlights - and on the partnership website. 

1.4 Medicare at a Glance 

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.medicare.gov/Publications/Pubs/pdf/11082.pdf

2/07

4

CMS

Beneficiary

11082

This fact sheet introduces the Medicare program and basic information about Medicare health plans.

Spanish

1.5 Medicare Drug Coverage Under Part A, Part B, and Part D

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/partnerships/downloads/determine.pdf

2/06

9

CMS

Partner

Tool

This Job aid, visual aid, or tool, was provided to doctors and practitioners and explains the coverage of prescription drugs under Parts A, B and D.

1.6 Medicare Basics: A guide for caregivers

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.medicare.gov/Publications/Pubs/pdf/11034.pdf

1/06

24

CMS

Beneficiary

11034

This booklet covers: Learning the basics, Planning for a healthy future, Seeking second opinions - Chronic illness, Paying for outpatient prescription drugs, Help with hospitalization and other billing questions, Home health care and community services, Nursing homes and housing options, and Considering hospice care.

1.7 CMS Mailing Lists – Listserv Updates

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/apps/mailinglists/ or

https://list.nih.gov/archives/

N/A

N/A

CMS

Partner

Link

This link takes you to the latest notices posted by CMS as an electronic mailing list service for those interested in subscribing to receive e-mails with news from the Centers for Medicare & Medicaid Services (CMS) on a variety of topics. The National Institutes of Health (NIH) hosts most CMS listservs. Popular listservs include: CMS_NMTP (Updates from the National Medicare Training Program), MMA_States (Updates to States on MMA issues), Pharmacy_MMA-L (Updates to pharmacies on Medicare Prescription Drug Coverage), CMS_NMEPoverall (Updates to geographically diverse partner audiences; subscribers have opportunity to preview draft sample or model letter, mailing or notice, or tools prior to making them available/sending them to beneficiaries). 

1.8 Medicare Learning Network (MLN) Publications 

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/MLNProducts/MPUB/list.asp

3/07

N/A

CMS

Partner

Library

This library contains learning resources and products for the health care professional or medical provider. All products are free of charge (except where stated otherwise) and may be re-printed or re-distributed as necessary.

1.9 Medicare Physician Guide: A Resource for Residents, Practicing Physicians, and Other Health Care Professionals 

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/MLNProducts/downloads/qr_immun_bill.pdf

12/06

2

CMS

Partner

Chart

This two-sided laminated chart gives Medicare fee-for-service physicians, providers, suppliers, and other health care professionals quick information to assist with filing claims for influenza, Pneumococcal Polysaccharide (PPV), and Hepatitis B (HBV) vaccines and their administration.

1.10   Mymedicare.gov- CURRENTLY IN DEVELOPMENT 

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

TBD

CMS

Beneficiary

11297

This publication will provide information about how the various features of the MyMedicare.gov website. 

1.11   Information Partners Can Use About MyMedicare.gov-CURRENTLY IN DEVELOPMENT 

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

TBD

CMS

Partner

11301-P

This tip sheet will provide partners with information regarding the MyMedicare.gov website

1.12   Understanding the Choices You Have in How You Get Your Medicare Health Care Coverage 

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.medicare.gov/Publications/Pubs/pdf/11225.pdf

10/06

2

CMS

Beneficiary

11225

This pamphlet explains that people have a choice in how they get their Medicare health care coverage. Costs vary depending on their plan, coverage, and the services you use and this pamphlet explains some of the options.

1.13 MLN - Section 1011: Federal Reimbursement of Emergency Health Services

Furnished to Undocumented Aliens – An Update

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0633.pdf

5/06

2

CMS

Partner

Notice

This Medicare Learning Network – Latest Notice- provides information about the Medicare Prescription Drug Improvement and Modernization Act (MMA) (Section 1011) and that it provides $250 million each year, for Fiscal Years (FY) 2005-2008, for payments to eligible providers for emergency health services given to undocumented and other specified aliens.

1.14 Current State Funding for Undocumented Aliens 

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/UndocAliens/04_state_alloc.asp

12/06

N/A

CMS

Partner

Link

This site, web page, or URL contains information about FY 2006 and FY 2005 State Allocations for Section 1011 of the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (Federal Reimbursement of Emergency Health Services Furnished to Undocumented Aliens).

1.15 CMS Legislative Affairs Center & CMS Newsroom

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/center/legislative.asp &

 http://www.cms.hhs.gov/center/press.asp

N/A

N/A

CMS

Partner

Library

Legislative Affairs Center: this library serves as a resource to address questions from Congressional members, their staff, and their constituents about the administration of CMS programs. It includes Hill Notifications, which are summaries of hot policy topics; testimony before Congress by a CMS witness; and summaries of legislation relevant to CMS programs. Congressional staff may contact CMS' Congressional Affairs Group for additional information. CMS Newsroom: Press Releases, Fact Sheets, Speeches, Testimonies and Hearings.  See also HHS News:  all HHS press releases, fact sheets and other press materials http://www.hhs.gov/news

1.16 MMA Guide for State Legislators

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/States/Downloads/Package1.pdf

3/05

5

CMS

Partner

Fact Sheet

This historical fact sheet provides a brief overview of MMA provisions of interest for state legislative deliberations and planning.

1.17 Medicare Prescription Drug Improvement and Modernization Act of 2003 – Summary

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/MMAUpdate/downloads/PL108-173summary.pdf

4/04

163

CMS

Partner

Pub L 108-173

This is a historical reference of provisions included in the MMA of 2003.

1.18 Medicare Prescription Drug Improvement and Modernization Act of 2003 – The Law

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/EmplUnionPlanSponsorInfo/
downloads/hr1.pdf

12/03

415

CMS

Partner

H.R.1

Historical reference on the Medicare Prescription Drug Improvement and Modernization Act (MMA).

1.19 What's New – MMA Updates 

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/MMAUpdate/02_What's New January 2006.asp

11/06

N/A

CMS

Partner

Library

This library contains newsworthy monthly updates that track CMS key accomplishments in the ongoing implementation of the Medicare Modernization Act.

1.20 Coverage Issues Manual

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/Manuals/PBM/itemdetail.asp?
filterType=none&filterByDID=-
99&sortByDID=1&sortOrder=ascending&itemID=CMS021321

9/05

N/A

CMS

Partner

Reference

This reference was updated in response to changes in coverage for specific Medicare items and services. The link to the manual is provided – there are several components to the manual that you may find helpful.

1.21 National Medicare Training Program Library: Classroom Training Materials  

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/NationalMedicareTrainProg/TL/list.asp

4/07

N/A

CMS

Partner

Multimedia

This library is a complete list of the Train-the-Trainer modules available for face-to-face workshops, or training sessions, as PowerPoint slides with speaker’s notes. They are self-paced, individual learning tools for partners, information givers, and trainers who share in-depth information about the Medicare Program to people with Medicare. Topics include topics include: Welcome to Medicare; All About Medicare; Rights and Protections for People with Medicare; Medigap; Medicare Program Updates; Coordination of Benefits; Medicare Entitlement Because of End-Stage Renal Disease or Disability; Medicare Covered Preventive Services; Reaching Medicare Beneficiaries with a Focus on Addressing Issues of Language, Literacy, Location and Culture; Medicare Prescription Drug, Improvement, and Modernization Act of 2003; Medicare Prescription Drug Coverage.  Distance learning opportunities are also available – all you need to participate in audio-conferences is a telephone; see also webcasts and other multi-media training.

English (Zipped)

Spanish (Zipped)

1.22 CMS Event Calendar – Online Tool

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/apps/events/search.asp?type=2 see also https://www.nmtpworkshops.com/cms/NMTPRegister.asp

N/A

N/A

CMS

Partner

Link

These web tool lists past, current, and future events sponsored by CMS. 

1.23 CMS Provider Center 

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/center/provider.asp

9/06

N/A

CMS

Partner

Link

Provider/supplier-specific site, web page, or URL – a one-stop resource focused on the informational needs and interests of Medicare Fee-for-Service (FFS) providers, including physicians, other practitioners and suppliers.  See also Quarterly Provider Updates.       NEW:  The first Medicare Contractor Provider Satisfaction Survey (MCPSS) finds the vast majority of Medicare health care providers are satisfied with the customer service, claims processing and educational activities provided by the Medicare fee-for service contractors, - 85% respondents rated their contractors between 4 and 6 on a 6-point scale (September, 2006).

1.24   Print Ad- Parade Magazine 

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/partnerships/downloads/
91079_Fall06_ParadeMag_Nov26.pdf

11/06

1

CMS

Partner

Print Ad

This magazine advertisement explains the open enrollment timeframe and that people with Medicare have the opportunity to switch health and prescription plans during open enrollment.

1.25 Enrolling in Medicare

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.medicare.gov/Publications/Pubs/pdf/11036.pdf

6/04

60

CMS

Beneficiary

11036

This booklet provides information for people who are getting ready to enroll in Medicare.

Spanish

Braille

Audiotape (English)

1.26 Medicare Coverage of Durable Medical Equipment

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.medicare.gov/Publications/Pubs/pdf/11045.pdf

2/04

16

CMS

Beneficiary

11045

This booklet explains what durable medical equipment is, the durable medical equipment covered in the Original Medicare Plan, and where to get help with your questions.

Braille

Audiotape (English)

Spanish

Audiotape (Spanish)

1.27 Medicare Coverage of Skilled Nursing Facility Care

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.medicare.gov/Publications/Pubs/pdf/10153.pdf

8/04

48

CMS

Beneficiary

10153

The booklet explains Medicare covered skilled care, patient rights and protections, and where to get answers to questions.

Large Print (English)

Spanish

Braille

Large Print (Spanish)

Audiotape (English)

Audiotape (Spanish)

1.28 Medicare Hospice Benefits

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.medicare.gov/Publications/Pubs/pdf/02154.pdf

7/05

14

CMS

Beneficiary

02154

This booklet provides an explanation of Medicare's hospice care coverage.

Large Print (English)

Spanish

Braille

Large Print (Spanish

Audiotape (English)

Audiotape (Spanish)

1.29 Medicare and Home Health

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.medicare.gov/Publications/Pubs/pdf/10969.pdf

8/04

32

CMS

Beneficiary

10969

This booklet provides an explanation of Medicare's home health care coverage.

Braille

Audiotape (English)

Spanish

Audiotape (Spanish)

1.30 Medicare and Your Mental Health Benefits

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.medicare.gov/Publications/Pubs/pdf/10184.pdf

8/05

16

CMS

Beneficiary

10184

This booklet explains the coverage and payment of mental health benefits under Medicare Part A and Part B in the Original Medicare Plan.

Spanish

1.31 Getting a Second Opinion Before Surgery

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.medicare.gov/Publications/Pubs/pdf/02173.pdf

6/04

4

CMS

Beneficiary

02173

A fact sheet on what you need to know before surgery and about getting a second opinion.

Spanish

1.32 Medicare & Clinical Trials – Brochure

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.medicare.gov/Publications/Pubs/pdf/02226.pdf

10/05

8

CMS

Beneficiary

02226

A fact sheet that explains the coverage of health care costs for people with Medicare enrolled in a covered clinical trial.

Spanish

1.33 Medicare Coverage of Diabetes Supplies and Services

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.medicare.gov/Publications/Pubs/pdf/11022.pdf

9/04

30

CMS

Beneficiary

11022

This booklet explains Medicare coverage of diabetes supplies and services and where to get more information.

Braille

Audiotape (English)

Spanish

Audiotape (Spanish)

1.34 Medicare Coverage of Ambulance Services 

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.medicare.gov/Publications/Pubs/pdf/11021.pdf

12/06

12

CMS

Beneficiary

11021

This booklet explains Medicare Part B coverage of ambulance services. It provides information on coverage, payment, and rights and protection issues.

Spanish

1.35 Medicare Coverage Outside the U.S.  

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.medicare.gov/Publications/Pubs/pdf/11037.pdf

9/06

8

CMS

Beneficiary

11037

This fact sheet provides information about Medicare's coverage of health care services and supplies when beneficiaries travel outside the U.S.

Spanish

1.36 Guide to Choosing a Nursing Home

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.medicare.gov/Publications/Pubs/pdf/02174.pdf

9/04

64

CMS

Beneficiary

02174

This booklet discusses what to look for in a nursing home. It includes an evaluation checklist and a list of helpful resources for choosing a nursing home.

Braille

Audiotape (English)

Spanish

Audiotape (Spanish

1.37 What is Medicare? What is Medicaid?-CURRENTLY IN DEVELOPMENT 

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

TBD

CMS

11306

This publication will provide a basic overview of the Medicare and Medicaid programs.  Note: Same as Reference #8.1

1.38 Official Open Enrollment Announcement 

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/partnerships/downloads/CMS_ad1_810.pdf

11/06

1

DHHS

Partner

Print Ad

This advertisement explains the open enrollment timeframe and that people with Medicare have the opportunity to switch health and prescription plans during open enrollment.

1.39 National Clearinghouse for Long Term Care Information  

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.longtermcare.gov

1/07

N/A

DHHS

Beneficiary

Resource

This web site provides a wide range of information and options to help people plan for future long-term care needs, but it cannot tell which ones will work best for everyone. Everyone's situation is different. Carefully review these options and each unique situation before making planning decisions.

1.40 Train-the-Trainer Module 1B: Medicare 101 

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/NationalMedicareTrainingProgram/TL/list.asp

4/07

32

CMS

Partner

Classroom

Introductory classroom training module, used at national Medicare workshops to inform new partners about Medicare for the first time an overview of the Medicare program and lets them know where they can get more information.  PowerPoint slides and speaker’s notes.  Visit the Training Library for updates.

1.41 Information Partners Can Use On: Medicare Basics: Frequently Asked Questions  

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/NationalMedicareTrainingProgram/

Downloads/PartnerTipSheet_MedicareBasicsFAQ11_8_06.pdf

11/06

6

CMS

Partner

11269

A tip sheet designed to serve as a desk aid for partners who provide information and assistance to people with Medicare, this tip sheet helps address Medicare's frequently asked questions. Questions refer to Medicare eligibility, Medicare advantage, open enrollment, extra help, important Medicare dates, and supplemental insurance.

1.42 CMS Forms  

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/CMSForms/CMSForms/list.asp

3/07

N/A

CMS

Partner

Link

This library provides access and/or information for many CMS forms in English and Spanish. You may also use the "Search" feature quickly locate information for a specific form number or form title. This site contains over 200 forms covering many topics related to the Medicare program targeting both providers and beneficiaries.

Spanish

1.43 Internet Only Manuals (IOM)  

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/Manuals/IOM/list.asp

3/07

N/A

CMS

Partner

Reference

This reference lists Internet-only Manuals (IOMs) that are a replica of the Agency's official record copy. They contain CMS' program issuances, day-to-day operating instructions, policies, and procedures based on statutes, regulations, guidelines, models, and directives. The CMS program components, providers, contractors, Medicare Advantage organizations and state survey agencies use the IOMs to administer CMS programs. They are also a good source of Medicare and Medicaid information for the public.  See also section 4. Chapters of the Prescription Drug Benefit Manual (September, 2006): Chapter 5: Benefits and Beneficiary Protections (50 pages) and Chapter 6: Part D Drugs and Formulary Requirements (86 pages).

1.44 Program Transmittals  

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/Transmittals/2007Trans/list.asp 

3/07

N/A

CMS

Partner

link

This reference library contains Program transmittals used to communicate new or changed policies, and/or procedures before they are incorporated into a specific CMS program manual. The cover page (or transmittal page) summarizes the new changed material, specifying what is changed.  2006 communications are posted here.

1.45 Do You Care for an Older Adult?

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/partnerships/downloads/olderadultposter.pdf

12/05

N/A

CMS

Partner

Tool

This job aid, visual aid, or tool consists of an outreach poster. See related resources on Caregiver Partnerships and Caregiver Workgroup

1.46 CMS State Health Insurance Assistance Program (SHIP) Contacts

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/partnerships/10_SHIPS.asp see also http://www.medicare.gov/contacts/static/allStateContacts.asp

12/05

N/A

CMS

Partner

Link

This online tool explains the SHIP program, and provides the name and telephone numbers for each SHIP across the country.

1.47 State Health Insurance Assistance Program (SHIP) Portal

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

www.shiptalk.org

N/A

N/A

CMS

Partner

Link

Official web site, web page, or URL for State Health Insurance Assistance Programs (SHIPs).  Online tool.

1.48 Medicare Learning Network (MLN) Products Catalog 

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/MLNProducts/02_Catalog.asp

1/07

N/A

CMS

Partner

Booklet

This booklet provides users with a list of products for healthcare professionals and medical providers that can be downloaded, ordered or copied free of charge. MLN products include various educational and instructional products such as brochures, training guides, and more.

1.49 Congressional Budget Office (CBO) Reports

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cbo.gov/publications/collections/medicare.cfm

N/A

N/A

CBO

Partner

Reference

This reference library contains agency reports published by the Congressional Budget Office (CBO) on topics affecting Presidential Budget, Monthly Budget Reviews, cost estimates and mandated reports.

1.50 Government Accountability Office (GAO) Reports

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.gao.gov/docsearch/agency.php

N/A

N/A

GAO

Partner

Reference

This reference library contains the GAO archives of its reports issued since 1971. All published agency reports, testimonies, correspondence, and special publications are included, as are some products issued as far back as 1922, although that part of the collection is not comprehensive. Products that are restricted or classified are not included.

1.51 Medicare Payment Advisory Council Reports

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.medpac.gov/publications/publicationlinks.cfm

N/A

N/A

MedPAC

Partner

Reference

This reference library contains agency reports published by the Medicare Payment Advisory Commission (MedPAC), which is an independent federal body that advises the U.S. Congress on issues affecting the Medicare program. In addition to advising the Congress on payments to private health plans participating in Medicare and providers in Medicare's traditional fee-for-service program, MedPAC is also tasked with analyzing access to care, quality of care, and other issues affecting Medicare.

1.52 Health Care Financing Review Reports

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/HealthCareFinancingReview/

12/05

N/A

CMS

Partner

Reference

This reference library contains archived agency reports that highlight policy-relevant research and provide a forum for a broad range of viewpoints to stimulate discussion among a diverse audience that includes policymakers, planners, administrators, insurers, researchers, and health care providers. The Review is published quarterly, with an additional statistical supplement issue every year.

1.53 CMS Contact Information Directory

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/apps/contacts/

10/06

N/A

CMS

Partner

Link

Use this online tool, site, web page, or URL to locate organizations. Select a state/territory in which to search. Then select how you would like to search, Type of Organization, Organization Name or Contact Type.

1.54 Train-the-Trainer Module 1D: Understanding Medicare    

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/NationalMedicareTrainingProgram/TL/list.asp

4/07

87

CMS

Partner

Classroom

Introductory classroom training module, used at national Medicare workshops provides a brief overview of the Medicare program including a review of the benefits provided under Part A and Part B and the different ways people can get Medicare. PowerPoint slides and speaker’s notes.  Visit the Training Library for updates.

1.55 Practice Navigating MyMedicare.gov 

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/NationalMedicareTrainingProgram
/TL/itemdetail.asp?filterType=none&filterByDID=0&sortByDID
=1&sortOrder=descending&itemID=CMS1188337&intNumPerPage=10

10/06

1

CMS

Partner

Tools

Practice navigating MyMedicare.gov. This "hands-on" tool helps users learn and/or demonstrate key features of the portal. These test cases allow partners experience how the tool works for people with Medicare. There are six scenarios, representing different potential combination of eligibility and coverage for Medicare beneficiaries.

1.56 Guide to Choosing a Nursing Home

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.medicare.gov/Publications/Pubs/pdf/02174.pdf

9/04

64

CMS

Beneficiary

02174

A booklet to help Medicare beneficiaries make long term care (LTC) choices that are best and give good quality care.

Spanish

Audiotape (English)

Braille

1.57 Medicare Part B Premiums: New Rules For Beneficiaries With Higher Incomes  

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.socialsecurity.gov/pubs/10161.html

10/06

2

SSA

Beneficiary

05-10161

This fact sheet explains the new law regarding the income-related Medicare Part B premium.  In 2007, higher income beneficiaries will be responsible for only one-third of the income-related adjustment. By 2009, these higher income beneficiaries will pay a monthly premium equal to 35, 50, 65, or 80 percent of the total cost, depending on their income level.  It provides guidance on how to determine if a person with Medicare will pay a higher premium.  Also provided are the premium figures for 2007.

Spanish

1.58 Protecting Medicare's Power Wheelchair and Scooter Benefit

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.medicare.gov/Publications/Pubs/pdf/11046.pdf

3/04

2

CMS

Beneficiary

11046

This fact sheet explains the coverage guidelines of Medicare's reimbursement for Scooters.

Spanish

1.59 Medicare.gov Brochure

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.medicare.gov/Publications/Pubs/pdf/10108.pdf

6/06

4

CMS

Beneficiary

10108

Job aid, visual aid, or tool.  This fact sheet explains that Medicare.gov has useful information for people with Medicare and those who help them make health care decisions.

Spanish

1.60 Medicare Part B Premiums: New Rules for Beneficiaries with Higher Incomes - Frequently Asked Questions    

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.socialsecurity.gov/pubs/10116.html

12/06

2

SSA

Beneficiary

05-10116

This fact sheet provides frequently asked questions and answers for people with Medicare that most pay an increased Part B premium based on their income.

Spanish

1.61 Medicaid At-a-Glance 2005

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/MedicaidDataSourcesGenInfo/
Downloads/maag2005.pdf

3/05

12

CMS

Partner

11024 – 05

This fact sheet provides general information regarding the Medicaid program's eligibility groups, mandatory state plan services, Federal poverty level charts, and a chart that details the optional state plan services that states have elected to include under their plans and managed care waivers.

1.62 Locate a Social Security Office Near You – Online Tool

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

https://s044a90.ssa.gov/apps6z/FOLO/fo001.jsp

N/A

N/A

SSA

Partner

Tool

This online tool, or site, web page, or URL, will allow you to locate the nearest Social Security Office by entering your zip code. SSA offices are the official places where people with Medicare can change their address of record, or obtain a replacement Medicare card.

1.63 MyMedicare.Gov Portal – Online Tool  

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://mymedicare.gov/

9/06

N/A

CMS

Partner

Tool

This site, web page, or URL, is an online tool that provides a person with Medicare access to personalized information regarding Medicare benefits and services. They may use MyMedicare.gov to: View claim status (excluding Part D claims), Order a duplicate Medicare Summary Notice (MSN) or replacement Medicare card, View eligibility, entitlement and preventive services information, View enrollment information including prescription drug plans, View address of record with Medicare and Part B deductible status, and Access online forms, publications and messages sent by CMS.  The Your Personalized Medicare Manager is Waiting for you Online fact sheet explains the functionalities of and the information available on the MyMedicare.gov website and includes step-by-step instructions on how to enroll to use this web tool. 

1.64 Questions & Answers – Online Tool

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://questions.cms.hhs.gov/cgi-
bin/cmshhs.cfg/php/enduser/std_alp.php?p_sid=L_C67t9i

N/A

N/A

CMS

Partner

Tool

This FAQ tool provides answers by topic to frequently asked questions (FAQs, Q&A, or QA) regarding the Medicare program.

1.65 National Medicare Training Program  

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/NationalMedicareTrainingProgram/

4/07

N/A

CMS

Partner

Link

This beneficiary-focused training library, site, web page, or URL is the home page for the National Medicare Training Program - a component of the National Medicare Education Program (NMEP) and supports the agency’s Medicare education efforts and is your official source for consistent, accurate, and reliable training on the Medicare program. Training staff conducts face-to-face Train-the-Trainer workshops, live and archived series of Audio-Conference Call training events, online presentations, and Webcasts. Sessions feature opportunity to interact with CMS policy experts who provide in-depth information on topics of current interest, such as Medicare Rx and Medicare Preventive Services. It describes training materials designed to equip community-level organizations with clear, accurate information and assistance to their clients on the Medicare program and the new Medicare prescription drug coverage. Often distributed at national workshops, they include Power Point slides with speaker’s notes, handouts, and related activities; customized information folders for special events, or diverse audiences.

1.66 Medicare Learning Network – MLN Matters Articles   

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/MLNMattersArticles/

3/07

N/A

CMS

Partner

Notice

This library of latest notices provides MLN Matters Articles, which are national articles helping healthcare professionals or medical providers understand new or changed Medicare policy on a wide range of topics, from billing and coding to prevention.  Recent examples include: 2006 - 2007 Influenza (flu) Season Resources for Health care professionals (SE0667); or CMS Announces Part D Low Income Subsidy (LIS) Redetermination Information

1.67 Medicare Learning Network (MLN) – Library 

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/MLNGenInfo/

3/07

N/A

CMS

Partner

Library

Provider-focused training library listing resources made available by the Medicare Learning Network: MLN Products Catalog - a downloadable document that lists all available items by media format; MLN Product Ordering page, available free of charge; MLN Publications List - electronic version of MLN publications downloadable free of charge. You can sort the list by date, format, topic, key word, or publication title; MLN Web-Based Training Modules for healthcare professionals and medical providers, which offer continuing education credits; WBT topics include World of Medicare, Medicare Preventive Services, Medicare Fraud and Abuse, HIPAA. The Medicare Learning Network (MLN) is a brand name for official CMS national provider education products designed to promote national consistency of Medicare provider information developed for CMS initiatives. MLN provides a variety of training and educational materials that provide Medicare policy into plain language with actionable tips for providers to use in day-to-day work. MLN uses a variety of mechanisms, such as the Internet, national educational articles, brochures, fact sheets, web-based training courses, and videos, to deliver a planned and coordinated provider education program.

1.68 CMS Partner Center

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/center/partner.asp

N/A

N/A

CMS

Partner

Link

This site, web page, or URL is a resource center for those who wish to collaborate with CMS in any of a number of partnership communities, programs, and workgroups. Partnership activities are an integral part of the CMS mission. Developing and sustaining partnerships is central to collaborative outreach effort, sharing information, and leveraging resources. Here, one can get partnership news and events, download tools to use in outreach efforts, find meetings and forums to participate in, download contact information on collaborating.

1.69 Medicare Trustees Report

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/ReportsTrustFunds/

5/06

225

CMS

Partner

Reference

This reference is a detailed, lengthy document, containing a substantial amount of information on the past and estimated future financial operations of the Hospital Insurance and Supplementary Medical Insurance Trust Funds The Boards of Trustees for Medicare report annually to Congress on the financial operations and actuarial status of the program. Beginning in 2002, there is one combined report discussing both the Hospital Insurance program (Medicare Part A) and the Supplementary Medical Insurance program (Medicare Part B and Prescription Drug Coverage). The Office of the Actuary in the Centers for Medicare & Medicaid Services (CMS) prepares the report under the direction of the Boards.

1.70 The Facilitator's Guide (companion to the 1.9 Medicare Physician Guide)  

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/MLNProducts/MPUB/
itemdetail.asp?filterType=none&filterByDID=-
99&sortByDID=1&sortOrder=ascending&itemID=CMS061390

1/07

N/A

CMS

Partner

Reference

This reference, or manual (ICN 006352), includes all the information and instructions necessary to prepare for and present a Medicare Resident, Practicing Physician, and Other Health Care Professional Training Program including instructions for facilitators, customization guide, two PowerPoint presentations with speaker notes, pre- and post-assessments, master assessment answer keys, and evaluation tools. It is a companion to the Medicare Physician Guide: A Resource for Residents, Practicing Physicians, and Other Health Care Professionals and is now available in downloadable format on the MLN Publication Page.

1.71 National Provider Identifier Standard (NPI) Educational Resources

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/NationalProvIdentStand/04_education.asp

9/06

N/A

CMS

Partner

Link

This site, web page, or URL provides a training package for NPI that will assist providers with self-education, as well as education of staff. This package is also useful to national and local medical societies for group presentations and training. The entire package will consist of five modules: General Information, Electronic File Interchange (EFI), Subparts, Data Dissemination and Medicare Implementation. Each Module consists of a PowerPoint presentation (with speaker's notes) designed to stand alone, or be combined with other Modules for a training session tailored to the particular audience. Modules are posted to this page when completed.  Read NPI Roundtable transcript.  Download Module 5 of NPI Training Package.  More on WEDI.

1.72 Health Care Consumer Initiatives – Ambulatory Surgical Center (ASC) 

Web Address

Pub Date

No. of Pages

Published By

Appropriate

Audience

Pub Number/ Type

http://www.cms.hhs.gov/HealthCareConInit/03_ASC.asp

11/06

N/A

CMS

Partner

Reference

This reference (see zipped, Excel files) is the first in a series released by CMS on June 1, 2006 to make cost and quality data available to the public. They contain charge and Medicare payment data for 30 common elective procedures and other hospital admissions performed in ambulatory surgery centers. These ASC facility costs represent a limited set of services rendered in U.S. states and counties. Codes/services directly related to the types of services that may be rendered during an inpatient hospital stay, and correlate to 41 Diagnosis Related Groups (DRGs). Later this fall, CMS will also post payment information for common hospital outpatient and physician services this.  See press release.  Another related example of the initiative is the quality measures on hospitals across the nation currently reported to the public at www.HospitalCompare.hhs.gov and supported by the Hospital Quality Alliance.