Hometown Health Administrative Guidelines | Page 10

To implement the various statutes on which the CMS contract is based , CMS issues regulations under authority granted by the Secretary of the Department of Health and Human Services and related provisions of the Social Security Act . CMS also issues various manuals , memoranda and statements necessary to administer the programs . Each MAO and PDP must comply with these requirements . CMS conducts routine regulatory audits to review MAOs and PDP ’ s procedures to ensure compliance with federal regulations .
Workers Choice
Workers Choice is a part of Hometown Health Providers Insurance Company , Inc ., and functions as a third-party administrator to self-funded employers for their Workers Compensation Program .
7