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Home » Medicaid » Overview of Medicare, Medicaid and Federal Exchange Contractors

Overview of Medicare, Medicaid and Federal Exchange Contractors

April 9, 2026

CMS and states use contractors to perform many tasks in Medicare, Medicaid, the Children’s Health Insurance Programs and the Exchanges. But there is much confusion as to what the contractors specifically do. This paper provides an overview of contractors related to eligibility determinations, data management systems, enrollment choices, program integrity efforts, and the collection and usage of personal information.

Overview of Medicare, Medicaid and Federal Exchange ContractorsDownload

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