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Survey & Certification > Program Background

CMS’s Role in Survey & Certification

Image shows a map of the eastern half of the United States. The location of Baltimore, MD is indicated. The label reads, "Responsible for national program direction."

Overall policy-making responsibility is centralized at CMS's Baltimore headquarters, where all aspects of the Medicare program & oversight of the State Medicaid programs are coordinated. CMS is responsible for:

  • Monitoring, surveillance, & overall administrative control of the certification process including its financial aspects
  • Establishing operational policy for the certification process
  • Conveying operational instructions & official interpretations of policy to the State Agencies (SA) & the CMS regional offices (ROs)

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