Which entity evaluates a facility's compliance with Medicare/Medicaid requirements as part of federal oversight?

• A. CMS
• B. State Department of Health
• C. Local City Council
• D. Environmental Protection Agency

Answer: (A)

This question tests who oversees federal compliance with Medicare and Medicaid requirements in healthcare facilities. The Centers for Medicare & Medicaid Services (CMS) is responsible for administering Medicare and Medicaid at the federal level and establishing the rules facilities must follow to participate and receive payments. CMS sets the Conditions of Participation and monitors compliance, typically through state survey agencies that conduct on-site inspections under CMS oversight. That combination—federal rule-setting plus oversight of surveys—is what ensures federal compliance standards are applied.

The other entities operate in different realms. The State Department of Health handles state-level health oversight but not the federal Medicare/Medicaid oversight described here. A Local City Council typically has no role in Medicare/Medicaid compliance for facilities. The Environmental Protection Agency regulates environmental issues, not Medicare/Medicaid requirements.