{"id":679,"date":"2026-03-20T22:40:22","date_gmt":"2026-03-20T16:40:22","guid":{"rendered":"https:\/\/ptm.services\/?page_id=679"},"modified":"2026-03-23T23:53:30","modified_gmt":"2026-03-23T17:53:30","slug":"state-cms-programs","status":"publish","type":"page","link":"https:\/\/ptm.services\/state-cms-programs\/","title":{"rendered":"State CMS Programs"},"content":{"rendered":"\n<div class=\"wp-block-cover\"><img decoding=\"async\" class=\"wp-block-cover__image-background wp-image-746\" alt=\"State Team revewing EQRO statistics\" src=\"https:\/\/test.ptm.services\/wp-content\/uploads\/sites\/6\/2026\/03\/EQRO.png\" style=\"object-position:49% 1%\" data-object-fit=\"cover\" data-object-position=\"49% 1%\"\/><span aria-hidden=\"true\" class=\"wp-block-cover__background has-background-dim-20 has-background-dim\"><\/span><div class=\"wp-block-cover__inner-container is-layout-flow wp-block-cover-is-layout-flow\">\n<h2 class=\"wp-block-heading alignwide has-text-align-center has-white-color has-text-color has-link-color has-large-font-size wp-elements-9bc7bb08e3a1063e2f44468d65bdcea6\">State CMS programs<\/h2>\n<\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-light-green-cyan-color has-alpha-channel-opacity has-light-green-cyan-background-color has-background\"\/>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">The&nbsp;<strong>Centers for Medicare &amp; Medicaid Services (CMS)<\/strong>&nbsp;manages several major healthcare programs that provide coverage to millions of Americans. These programs are&nbsp;often operated in partnership with state governments.<\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">CMS state-level healthcare programs focus on improving care quality, reducing costs, and expanding access<\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">PROTeam management has direct experience operating:<\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"has-light-green-cyan-color has-text-color has-link-color has-medium-font-size wp-elements-bb4a78390ad3a483dda4275abd8e2f8c wp-block-paragraph\">External Quality of Care Review Organizations (EQROs)<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color has-medium-font-size wp-elements-e3bd2d3d9b56b7d801402e0e37bfde03 wp-block-paragraph\">Independent entities contracted by state Medicaid agencies, analyze and evaluate the quality, timeliness, and access to healthcare services provided by Managed Care Organizations (MCOs).<\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-light-green-cyan-color has-text-color has-link-color has-medium-font-size wp-elements-7e40af64c3e789fd78a177045815c78c wp-block-paragraph\">Independent Informal Dispute Resolution (IIDR)<\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">Independent Informal Dispute Resolution (IIDR) is a process for nursing homes to contest Medicare\/Medicaid citations when a Civil Money Penalty (CMP) is imposed.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/test.ptm.services\/wp-content\/uploads\/sites\/6\/2026\/03\/IIDR.png\" alt=\"\" class=\"wp-image-748\" style=\"width:384px;height:auto\"\/><\/figure>\n<\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-custom-width wp-block-button__width-50\"><a class=\"wp-block-button__link has-white-color has-light-green-cyan-background-color has-text-color has-background has-link-color wp-element-button\" href=\"https:\/\/ptm.services\/contact\/\">Continue the Conversation<\/a><\/div>\n<\/div>\n\n\n\n<div style=\"height:24px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div style=\"height:24px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>The&nbsp;Centers for Medicare &amp; Medicaid Services (CMS)&nbsp;manages several major healthcare programs that provide coverage to millions of Americans. These programs are&nbsp;often operated in partnership with state governments. CMS state-level healthcare programs focus on improving care quality, reducing costs, and expanding access PROTeam management has direct experience operating: External Quality of Care Review Organizations (EQROs) Independent [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-679","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/ptm.services\/wp-json\/wp\/v2\/pages\/679","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ptm.services\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ptm.services\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ptm.services\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ptm.services\/wp-json\/wp\/v2\/comments?post=679"}],"version-history":[{"count":2,"href":"https:\/\/ptm.services\/wp-json\/wp\/v2\/pages\/679\/revisions"}],"predecessor-version":[{"id":724,"href":"https:\/\/ptm.services\/wp-json\/wp\/v2\/pages\/679\/revisions\/724"}],"wp:attachment":[{"href":"https:\/\/ptm.services\/wp-json\/wp\/v2\/media?parent=679"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}