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HCFA: Medicare, Medicaid, and the State Children's Health Insurance Program

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Welcome to the Health Care Financing Administration (HCFA), the federal agency that administers Medicare, Medicaid and the State Children's Health Insurance Program (SCHIP).

HCFA provides health insurance for over 74 million Americans through Medicare, Medicaid and SCHIP. The majority of these individuals receive their benefits through the fee-for-service delivery system, however, an increasing number are choosing managed care plans.

In addition to providing health insurance, HCFA also performs a number of quality-focused activities, including regulation of laboratory testing (CLIA), development of coverage policies, and quality-of-care improvement. HCFA maintains oversight of the survey and certification of nursing homes and continuing care providers (including home health agencies, intermediate care facilities for the mentally retarded, and hospitals), and makes available to beneficiaries, providers, researchers and State surveyors information about these activities and nursing home quality.

To ensure public and expert involvement in running our programs, HCFA maintains a number of chartered advisory committees. These committees, whose meetings are open to the public, are used to provide advice or make recommendations on a variety of issues relating to HCFA's responsibilities and activities.

DHHS/HCFA Initiatives include:


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