United States Health System Organization Profile

How the health system is organized

This profile follows the organizational chain from national institutions and subnational authorities to purchasers, provider organizations, referral networks, and people using services.

Reported source

Actors and responsibilities

CMS's programme-history page supports a high-level federal and state Medicaid context. It does not establish a current division of every decision, a shared delivery organisation, or comparable state implementation.

Period: Historical programme description retrieved 2026-08-22
Territory: United States; federal Medicaid programme history with state participation
Locator: Page title and historical programme narrative.

Medicaid.gov, Program History and Prior Initiatives, retrieved 2026-08-22.

Open cited source

Reported source

Decision rights and autonomy

CMS's managed-care landing page identifies federal programme resources and state technical-assistance material. It does not establish a national allocation of state, plan, or provider decisions.

Period: Agency resource page retrieved 2026-08-22
Territory: United States Medicaid programme; state implementation context
Locator: Page title; Resources for States and Medicaid State Technical Assistance navigation.

Medicaid.gov, Managed Care, retrieved 2026-08-22.

Open cited source

Reported source

Decision rights and autonomy

The cited Physician Fee Schedule page is a Medicare payment-programme resource, not a provider-autonomy assessment. It does not support a classification of primary-care or hospital authority over operations or financial management.

Period: CMS programme page retrieved 2026-08-22
Territory: United States Medicare physician and other professional service payment context
Locator: Physician Fee Schedule page, title and care-management resource paragraph.

CMS, Physician Fee Schedule, retrieved 2026-08-22.

Open cited source

Formal source

Delivery and referrals

42 CFR 482.43 states a discharge-planning participation condition for its covered hospitals. It does not measure whether post-discharge services are received or establish a universal United States referral pathway.

Period: 2024-10-01 Code of Federal Regulations edition
Territory: United States hospitals subject to this Medicare condition of participation
Locator: 42 CFR 482.43, opening paragraph.

42 CFR 482.43, 2024 edition.

Open cited source

Formal source

Delivery and referrals

CMS describes EMTALA's emergency-service access purpose and the circumstances in which an appropriate transfer should be implemented. This is a formal emergency-transfer context, not an observed referral-completion or continuity-of-care result.

Period: Agency EMTALA description retrieved 2026-08-22
Territory: United States Medicare-participating hospitals with emergency departments; statutory and CMS description scope
Locator: EMTALA overview, statutory-obligations paragraph.

CMS, Emergency Medical Treatment & Labor Act (EMTALA), retrieved 2026-08-22.

Open cited source

Reported source

Delivery and referrals

CMS's Acute Inpatient PPS page identifies a Medicare hospital payment-programme resource and linked fiscal-year materials. It does not show the organisation, availability, activity, or performance of all United States hospitals.

Period: CMS programme page retrieved 2026-08-22
Territory: United States Medicare acute inpatient prospective payment system
Locator: Acute Inpatient PPS page, prospective-payment-system and final-rule links.

CMS, Acute Inpatient PPS, retrieved 2026-08-22.

Open cited source

Observed source

Delivery and referrals

NCHS provides 2022 NHAMCS emergency-department summary tables. They are bounded survey evidence about emergency-department visits, not a complete facility census or evidence of individual longitudinal referral completion.

Period: 2022 survey year; tables published 2024
Territory: United States emergency department visits represented by the 2022 NHAMCS
Locator: Document title and 2022 NHAMCS emergency-department table set.

NCHS, 2022 NHAMCS Emergency Department Summary Tables, 2024.

Open cited source

Formal source

Relationships and networks

CMS-0057-F describes API requirements with payer-specific compliance dates. The source supports a formal rule context, not a finding that data exchange or prior authorization has already improved for patients or providers.

Period: Final rule issued 2024-01-17; requirements generally begin 2027, with payer-specific dates
Territory: United States; payer types and compliance dates specified in CMS-0057-F
Locator: Fact sheet, API-policy and compliance-date paragraphs.

CMS, CMS Interoperability and Prior Authorization Final Rule CMS-0057-F, 2024-01-17.

Open cited source

Reported source

Relationships and networks

CMS maintains separate Medicare payment-programme resources for acute inpatient services and physician fee schedule services. These sources do not establish provider ownership, private-sector share, or all-payer purchasing relationships.

Period: CMS programme pages retrieved 2026-08-22
Territory: United States Medicare payment-programme scope
Locator: Acute Inpatient PPS and Physician Fee Schedule page titles and programme links.

CMS, Acute Inpatient PPS and Physician Fee Schedule, retrieved 2026-08-22.

Open cited source

Formal source

Reform and institutional change

CMS announced the CMS-0057-F final rule in 2024 and states that API requirements generally begin in 2027, with dates varying by payer type. This is a formal reform schedule, not evidence of completed implementation or effects.

Period: Final rule issued 2024-01-17; requirements generally begin 2027, with payer-specific dates
Territory: United States; payer types and compliance dates specified in CMS-0057-F
Locator: Fact sheet, publication, API-policy, and compliance-date paragraphs.

CMS, CMS Interoperability and Prior Authorization Final Rule CMS-0057-F, 2024-01-17.

Open cited source

Open the interactive organization graph and national-subnational decision matrix

Methods, evidence, and data

Source traceability, coverage, citations, locators, source versions, and annotation materials are grouped here so the organizational synthesis remains the primary reading flow.

Directly mapped computable objects

Source-linked mappings drive the visible country synthesis and remain open for annotation. Canonical registries are reported separately so a zero in that publication layer is never mistaken for absent evidence.

Structured country layers with explicit fields for analysis
Object	Count	Meaning
Source-linked analytical mappings	10	Cited mappings rendered across the organization, decision, delivery, network, autonomy, and reform views.
Source-linked analytical object rows	28	Named graph nodes and edges, function assignments, decision cells, autonomy cells, pathways, and reform events supplied by those mappings.
Actors	0	Actors with explicit identity, territory, time, and evidence lineage.
Relationships	0	Evidence-backed actor-to-actor or actor-to-provider edges.
Decision rights	0	Actor, function, decision, and role assignments.
Provider organizations	0	Named or typed providers with evidence-backed ownership and management.
Autonomy records	0	Decision-domain authority paired with an autonomous-from actor.
Accountability records	0	Accountable-to actor and mechanism.
Referral designs	0	Formal referral, choice, bypass, and counter-referral arrangements.
Observed flows	0	Observed referral, bypass, mobility, or network flows.

Source traceability and coverage

These six documentation measures describe the traceability available for displayed materials: domain coverage, public URLs, exact locators, source versions, and typed mappings. They do not measure health-system performance, source truth, institutional quality, or country success. A zero never means that an actor, authority, relationship, service, or activity is absent.

Documentation status: Explicit analytical mappings. All six source-traceability measures meet or exceed 80%. Materials remain open for annotation and country-specific refinement.

Domain leads: 100%17 of 17
Source layers: 100%3 of 3
Public URLs: 96%201 of 209
Exact locators: 92%193 of 209
Source versions: 94%197 of 209
Typed mapping: 100%5 of 5

Traceability gaps to address

Capture immutable source versions
12 of 209 displayed materials do not yet carry a source-version field.

Coverage by organizational domain

Source traceability across all 17 organizational domains

Displayed materials and source traceability by domain
Domain	State	Materials	URLs	Locators	Versions	Statements	Contexts	Typed
ActorsCritical	Direct typed mapping	8	8	8	8	8	5	3
Government responsibilitiesCritical	Direct typed mapping	12	12	12	12	12	6	6
Provider ownershipCritical	Direct typed mapping	11	11	6	11	6	1	1
Decision rightsCritical	Direct typed mapping	10	10	10	10	10	5	5
Provider autonomyCritical	Direct typed mapping	4	4	4	4	4	2	2
Primary care organizationCritical	Direct typed mapping	7	7	7	7	4	2	2
Hospital organizationCritical	Direct typed mapping	26	26	16	26	16	4	6
Referral designCritical	Direct typed mapping	7	7	7	7	7	3	4
Observed referral	Direct typed mapping	10	10	10	10	10	5	5
Provider networks	Direct typed mapping	45	45	35	45	35	3	2
Facility data	Direct typed mapping	4	4	4	4	4	2	2
Utilization	Direct typed mapping	5	5	5	5	5	3	2
Patient flows	Direct typed mapping	10	10	10	10	10	5	5
Governance and accountabilityCritical	Direct typed mapping	57	57	57	57	57	5	6
Market structure	Direct typed mapping	13	13	8	13	8	5	3
Reform historyCritical	Direct typed mapping	10	10	5	10	5	3	2
Authoritative review	Direct typed mapping	18	18	8	18	8	5	3

Materials with the most complete source traceability

The United States Health Care System is Sick: From Adam Smith to Overspecialization
Country Improvement Source Lead. Readiness checks: 5 of 5.
material:d9d559fdc00e82d79dbd86f4
Program History and Prior Initiatives
Country Improvement Source Lead. Readiness checks: 5 of 5.
material:cef5d680c3b8b678b9b57090
2022 National Hospital Ambulatory Medical Care Survey: Emergency Department Summary Tables
Country Improvement Source Lead. Readiness checks: 5 of 5.
material:c9d0a2026f5f92563cc1eea0
Managed Care
Country Improvement Source Lead. Readiness checks: 5 of 5.
material:a7fffd31c3db398a5488bcc0
Acute Inpatient PPS
Country Improvement Source Lead. Readiness checks: 5 of 5.
material:a12af2dce5b042a4328420d9

Complete country materials

Every collected library candidate, queue record, source lead, statement, context, machine flag, and public projection assigned to this country is rendered below. Each item remains open for text-anchored annotation. A missing direct analytical mapping never hides the broader material.

All material records: 209
Library documents: 13
Queue records: 167
Public-stage records: 29
Cited source records: 3
Source-linked statements: 26
Exact contexts: 0
Structured source-linked findings: 10
Direct typed relationships: 0

All collected materials

209 records are rendered in full. Stage duplicates remain visible because a document candidate, triage record, statement, and exact context are separately annotatable objects.

Library document candidate · Open for annotation

Reforming the public expenditure management system : medium-term expenditure framework, performance management, and fiscal transparency

Reforming the public expenditure management system : medium-term expenditure framework, performance management, and fiscal transparency. 2004. https://search.worldbank.org/api/v3/wds

Material reference: material:4b54d38bae6e1dab9288dc46
Pipeline stage: Global-Health-Systems-Library
Evidence mode: Not classified
Publication date: 2004-03-19
Institution: World Bank Documents and Reports
Document type: Working Paper
Territory: national
Period: Not supplied
Source layers: Global Literature
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Evidence Work Review State: Auto
Machine Screening State: Organization tag candidate
Organization Tag Confidence: 0.85
Page Locator Linked From Country Score Acquisition: True
Previous Visibility: Previously not projected unless selected
Source Version Linked From Country Score Acquisition: True
Download Status: Availability or relevance uncertain
Downloaded: False
Extracted: False
Paragraph Index On Page: 4
Physical Pdf Page: 5
Source Word Anchor: Performance Management in the Health Sector 147 1 Need for performance evaluation
Source Word Count: 12
Detected Media Type: application/pdf
Page Count: 341
Response Sha256: 7050e81bc2344a4f8f97ca9e42bfe00726d90556a60b8ff8e02e10debe16d1e2

Annotation prompts and machine flags

Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.
A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Library document candidate · Open for annotation

Institutional issues in grants design and administration - background paper for the study on intergovernmental grants design and administration

Institutional issues in grants design and administration - background paper for the study on intergovernmental grants design and administration. 1993. https://documents.worldbank.org/curated/en/209461468913788333

Material reference: material:a0d197e31536a3866cd5b91b
Pipeline stage: Global-Health-Systems-Library
Evidence mode: Not classified
Publication date: 1993-09-22
Institution: World Bank Documents and Reports
Document type: Working Paper
Territory: national
Period: Not supplied
Source layers: Global Literature
Coverage domains: Leadership Governance, Service Delivery
Current display status: Shown in full and open for annotation
Evidence Work Review State: Auto
Machine Screening State: Organization tag candidate
Organization Tag Confidence: 0.85
Page Locator Linked From Country Score Acquisition: True
Previous Visibility: Previously not projected unless selected
Source Version Linked From Country Score Acquisition: True
Download Status: Availability or relevance uncertain
Downloaded: False
Extracted: False
Paragraph Index On Page: 1
Physical Pdf Page: 2
Source Word Anchor: S State Comprehensive Mental Health Services Plans 17 Exhibit 1 Evaluation 18
Source Word Count: 12
Detected Media Type: application/pdf
Page Count: 47
Response Sha256: 22bcd4bc88def92754bf70bd931a7f17dd323939cc0574dc0409a1a4fee3929a

Annotation prompts and machine flags

Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.
A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Library document candidate · Open for annotation

Education vouchers in practice and principle : a world survey

Education vouchers in practice and principle : a world survey. 1996. https://search.worldbank.org/api/v3/wds

Material reference: material:a77a3acf576eaa90354273b2
Pipeline stage: Global-Health-Systems-Library
Evidence mode: Not classified
Publication date: 1996-02-29
Institution: World Bank Documents and Reports
Document type: Working Paper
Territory: national
Period: Not supplied
Source layers: Global Literature
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Evidence Work Review State: Auto
Machine Screening State: Organization tag candidate
Organization Tag Confidence: 0.85
Previous Visibility: Previously not projected unless selected
Source Version Linked From Country Score Acquisition: True
Download Status: Availability or relevance uncertain
Downloaded: False
Extracted: False
Detected Media Type: application/pdf
Page Count: 46
Response Sha256: eae06cc27dda89b3d5a967e864b90a0183d4393a52357638ce820aba6dc08a00

Annotation prompts and machine flags

Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Library document candidate · Open for annotation

Reforming health social security : proceedings of an international seminar sponsored by the Global Security Institute, Keio University, and the World Bank, June 27-29, 2005, Tokyo, Japan : Reforming health social security : proceedings of an international seminar

Reforming health social security : proceedings of an international seminar sponsored by the Global Security Institute, Keio University, and the World Bank, June 27-29, 2005, Tokyo, Japan : Reforming health social security : proceedings of an international seminar. 2005. https://search.worldbank.org/api/v3/wds

Material reference: material:883d70f92fe1a29bd505d8bd
Pipeline stage: Global-Health-Systems-Library
Evidence mode: Not classified
Publication date: 2005-06-01
Institution: World Bank Documents and Reports
Document type: Working Paper
Territory: national
Period: Not supplied
Source layers: Global Literature
Coverage domains: Accreditation Quality, Financial Protection, Health Financing, Health Information Systems, Leadership Governance, Pooling Insurance, Primary care organization, Provider Payment, Public Private Mix, Service Delivery
Current display status: Shown in full and open for annotation
Corpus Retrieval Verified: True
Evidence Work Review State: Auto
Machine Screening State: Organization tag candidate
Organization Tag Confidence: 0.7
Page Anchor Linked: True
Previous Visibility: Previously not projected unless selected
Download Status: Downloaded successfully
Downloaded: True
Extracted: True
Source Bytes Verified: True
Text Pages: 201
Text Words: 108016
Paragraph Index On Page: 4
Physical Pdf Page: 7
Source Word Anchor: the form of specific contract provisions for providers In contrast in Canada
Source Word Count: 12
Detected Media Type: application/pdf
File Sha256: 76b9063b46ff55b0f06104d324f3e83b532ac12eb5a32a3853815d9ff659866e
Page Count: 201
Text Sha256: e0a37c34520ff10e918d1487647e0db69bc746f5f2f514135f8957ddacd4633d

Annotation prompts and machine flags

Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.
Immutable corpus file and extracted-text hashes are linked to this document.
A machine-validated physical-page locator is linked to this document for annotation.

Source links

Library document candidate · Open for annotation

An international assessment of health care financing : lessons for developing countries

An international assessment of health care financing : lessons for developing countries. 1995. https://documents.worldbank.org/curated/en/487821468758149918

Material reference: material:5ae1d40352e0e0409d47b510
Pipeline stage: Global-Health-Systems-Library
Evidence mode: Not classified
Publication date: 1995-11-30
Institution: World Bank Documents and Reports
Document type: Health Financing Strategy
Territory: national
Period: Not supplied
Source layers: Global Literature
Coverage domains: Accreditation Quality, Health Financing, Hospital Referral, Leadership Governance, Pooling Insurance, Primary care organization, Provider Payment, Public Private Mix, Service Delivery
Current display status: Shown in full and open for annotation
Corpus Retrieval Verified: True
Evidence Work Review State: Auto
Machine Screening State: Organization tag candidate
Organization Tag Confidence: 0.7
Page Anchor Linked: True
Previous Visibility: Previously not projected unless selected
Download Status: Downloaded successfully
Downloaded: True
Extracted: True
Source Bytes Verified: True
Text Pages: 212
Text Words: 102861
Paragraph Index On Page: 1
Physical Pdf Page: 9
Source Word Anchor: Medical Authority Kyushu Region Ministry of Health and Welfare Hakataku Fukuoka City
Source Word Count: 12
Detected Media Type: application/pdf
File Sha256: 7a89827fed8434532844174f1a70fb9e9bfb7b5ba500ddb53b0efc2eab884eb8
Page Count: 212
Text Sha256: 4b66876927192cc8a04840583fc690c4348894c0fdad2d326c296014f8d98c26

Annotation prompts and machine flags

Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.
Immutable corpus file and extracted-text hashes are linked to this document.
A machine-validated physical-page locator is linked to this document for annotation.

Source links

Library document candidate · Open for annotation

Environmental management and institutions in OECD countries : lessons from experience

Environmental management and institutions in OECD countries : lessons from experience. 1998. https://documents.worldbank.org/curated/en/113061468775794726

Material reference: material:c4652988270545149fca54b9
Pipeline stage: Global-Health-Systems-Library
Evidence mode: Not classified
Publication date: 1998-05-31
Institution: World Bank Documents and Reports
Document type: Unknown
Territory: national
Period: Not supplied
Source layers: Global Literature
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Corpus Retrieval Verified: True
Evidence Work Review State: Auto
Machine Screening State: Organization tag candidate
Organization Tag Confidence: 0.7
Page Anchor Linked: True
Previous Visibility: Previously not projected unless selected
Download Status: Downloaded successfully
Downloaded: True
Extracted: True
Source Bytes Verified: True
Text Pages: 75
Text Words: 38171
Paragraph Index On Page: 1
Physical Pdf Page: 9
Source Word Anchor: the environment and human health underlying regulatory and institutional frameworks in has
Source Word Count: 12
Detected Media Type: application/pdf
File Sha256: 29e613dacf4347bc3815aa6b8a5ecaa0b2cbc5385348b889f5ec8a96f82cfca6
Page Count: 75
Text Sha256: 6eead3b7b95e394e92ff8e5aebecc51e1cfba071d683b68a6cd6b3fc2ea32124

Annotation prompts and machine flags

Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.
Immutable corpus file and extracted-text hashes are linked to this document.
A machine-validated physical-page locator is linked to this document for annotation.

Source links

Library document candidate · Open for annotation

Monitoring the learning outcomes of education systems

Monitoring the learning outcomes of education systems. 1996. https://search.worldbank.org/api/v3/wds

Material reference: material:310f1b65c9b31fe8f3d01c9b
Pipeline stage: Global-Health-Systems-Library
Evidence mode: Not classified
Publication date: 1996-11-30
Institution: World Bank Documents and Reports
Document type: Unknown
Territory: national
Period: Not supplied
Source layers: Global Literature
Coverage domains: Leadership Governance
Current display status: Shown in full and open for annotation
Corpus Retrieval Verified: True
Evidence Work Review State: Auto
Machine Screening State: Organization tag candidate
Organization Tag Confidence: 0.7
Previous Visibility: Previously not projected unless selected
Download Status: Downloaded successfully
Downloaded: True
Extracted: True
Source Bytes Verified: True
Text Pages: 100
Text Words: 34495
Detected Media Type: application/pdf
File Sha256: c2d47e9ff113c1d238a9c6760dafa92bd718de81eb6af54e7211ef65c809fec9
Page Count: 100
Text Sha256: 693932f98f8e21891a5df5af9f56c433da3ae9af036da693e49152c928aa9ab5

Annotation prompts and machine flags

Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.
Immutable corpus file and extracted-text hashes are linked to this document.

Source links

Candidate Analytical Mapping · Open for annotation

Acute inpatient payment-programme scope

CMS, Acute Inpatient PPS, retrieved 2026-08-22.

Statement or annotation question

Material reference: material:95ef4f4891e2f895abca3ebe
Pipeline stage: Candidate-Analytical-Mappings
Evidence mode: Reported
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: United States Medicare acute inpatient prospective payment system
Period: CMS programme page retrieved 2026-08-22
Source layers: Official
Coverage domains: Facility data, Government responsibilities, Hospital organization, Market structure, Utilization
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Description: Acute Inpatient PPS page, prospective-payment-system and final-rule links.
Detected Media Type: text/html
Response Sha256: 12ad999b2308abf221f5ce8ea1ade66b953f20a2d5b836e62a4e82a19fed4bb6

Annotation prompts and machine flags

Do not use a payment-programme page as a hospital delivery-performance observation.

Source links

Open Url

Candidate Analytical Mapping · Open for annotation

CMS interoperability and prior-authorization rule

CMS, CMS Interoperability and Prior Authorization Final Rule CMS-0057-F, 2024-01-17.

Statement or annotation question

Material reference: material:d43b7db9f95187d684aa68a5
Pipeline stage: Candidate-Analytical-Mappings
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: United States; payer types and compliance dates specified in CMS-0057-F
Period: Final rule issued 2024-01-17; requirements generally begin 2027, with payer-specific dates
Source layers: Official
Coverage domains: Authoritative review, Governance and accountability, Provider networks, Patient flows, Referral design, Reform history
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Description: Fact sheet, publication, API-policy, and compliance-date paragraphs.
Detected Media Type: text/html
Response Sha256: 3778631589b090d2c8a1a81c2fa00398e33f18652925a309621044e7b9791a7b

Annotation prompts and machine flags

Do not portray the stated schedule as completed implementation or measured benefit.

Source links

Open Url

Candidate Analytical Mapping · Open for annotation

Emergency appropriate-transfer obligation

CMS, Emergency Medical Treatment & Labor Act (EMTALA), retrieved 2026-08-22.

Statement or annotation question

Material reference: material:bd495cab6964e61042db1848
Pipeline stage: Candidate-Analytical-Mappings
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: United States Medicare-participating hospitals with emergency departments; statutory and CMS description scope
Period: Agency EMTALA description retrieved 2026-08-22
Source layers: Official
Coverage domains: Governance and accountability, Government responsibilities, Hospital organization, Observed referral, Patient flows, Referral design
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Description: EMTALA overview, statutory-obligations paragraph.
Detected Media Type: text/html
Response Sha256: 8b720ab3f4778953e958d840ab4d91b819875dc37a08a3e36be0f2ab8336838e

Annotation prompts and machine flags

Do not infer completion, emergency capacity, or routine outpatient referral performance from EMTALA obligations.

Source links

Open Url

Candidate Analytical Mapping · Open for annotation

Emergency-department visit survey evidence

NCHS, 2022 NHAMCS Emergency Department Summary Tables, 2024.

Statement or annotation question

Material reference: material:03409aef90f0094cc3ec889a
Pipeline stage: Candidate-Analytical-Mappings
Evidence mode: Observed
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: United States emergency department visits represented by the 2022 NHAMCS
Period: 2022 survey year; tables published 2024
Source layers: Official
Coverage domains: Authoritative review, Facility data, Hospital organization, Observed referral, Patient flows, Utilization
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Description: Document title and 2022 NHAMCS emergency-department table set.
Detected Media Type: application/pdf
File Sha256: 5b9bdfb7061a75eff9c1c3ff8a7ee2b03be8c707921287959219342971848c5e

Annotation prompts and machine flags

Maintain the visit-survey scope and avoid claims about individual pathways or provider ownership.

Source links

Open Url

Candidate Analytical Mapping · Open for annotation

Federal and state Medicaid context

Medicaid.gov, Program History and Prior Initiatives, retrieved 2026-08-22.

Statement or annotation question

Material reference: material:acaa9dc19752ea17c6ab5c58
Pipeline stage: Candidate-Analytical-Mappings
Evidence mode: Reported
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: United States; federal Medicaid programme history with state participation
Period: Historical programme description retrieved 2026-08-22
Source layers: Official
Coverage domains: Actors, Authoritative review, Decision rights, Governance and accountability, Government responsibilities
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Description: Page title and historical programme narrative.
Detected Media Type: text/html
Response Sha256: 5500ce63e6f9bc54b9a807b3d9606a6c32adac6dabab3ca46b90acaee58b7e22

Annotation prompts and machine flags

Do not infer uniform present-day state roles from programme history.

Source links

Open Url

Candidate Analytical Mapping · Open for annotation

Hospital discharge-planning condition

42 CFR 482.43, 2024 edition.

Statement or annotation question

Material reference: material:49cf29271f99ed8009048184
Pipeline stage: Candidate-Analytical-Mappings
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: United States hospitals subject to this Medicare condition of participation
Period: 2024-10-01 Code of Federal Regulations edition
Source layers: Official
Coverage domains: Decision rights, Governance and accountability, Hospital organization, Patient flows, Referral design
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Description: 42 CFR 482.43, opening paragraph.
Detected Media Type: application/xml
Response Sha256: e8d3090600e2f9edf1a1afd05d4f6f90ff01e6d8d00660bffeefce92411ef6fe

Annotation prompts and machine flags

Do not claim discharge-planning compliance, service receipt, or continuity outcomes.

Source links

Open Url

Candidate Analytical Mapping · Open for annotation

Interoperability-rule compliance context

CMS, CMS Interoperability and Prior Authorization Final Rule CMS-0057-F, 2024-01-17.

Statement or annotation question

Material reference: material:5370baf8ee701c1eca01559a
Pipeline stage: Candidate-Analytical-Mappings
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: United States; payer types and compliance dates specified in CMS-0057-F
Period: Final rule issued 2024-01-17; requirements generally begin 2027, with payer-specific dates
Source layers: Official
Coverage domains: Decision rights, Governance and accountability, Provider networks, Patient flows, Referral design, Reform history
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Description: Fact sheet, API-policy and compliance-date paragraphs.
Detected Media Type: text/html
Response Sha256: 3778631589b090d2c8a1a81c2fa00398e33f18652925a309621044e7b9791a7b

Annotation prompts and machine flags

Keep rule requirements distinct from observed implementation and patient experience.

Source links

Open Url

Candidate Analytical Mapping · Open for annotation

Managed-care resource boundary

Medicaid.gov, Managed Care, retrieved 2026-08-22.

Statement or annotation question

CMS's managed-care landing page identifies federal programme resources and state technical-assistance material. It does not establish a national allocation of state, plan, or provider decisions.

Material reference: material:2d3ba6525c5383b6e083df25
Pipeline stage: Candidate-Analytical-Mappings
Evidence mode: Reported
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: United States Medicaid programme; state implementation context
Period: Agency resource page retrieved 2026-08-22
Source layers: Official
Coverage domains: Actors, Provider autonomy, Decision rights, Governance and accountability, Government responsibilities, Market structure
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Description: Page title; Resources for States and Medicaid State Technical Assistance navigation.
Detected Media Type: text/html
Response Sha256: 029a87e6d57241885d8fa92719afe3a0b9cd7d3292ec04a04e3f296b9d21d9f7

Annotation prompts and machine flags

Keep the difference between a resource page and a decision-rights analysis explicit.

Source links

Open Url

Candidate Analytical Mapping · Open for annotation

Medicare payment-resource context

CMS, Acute Inpatient PPS and Physician Fee Schedule, retrieved 2026-08-22.

Statement or annotation question

Material reference: material:da719f42e45ec8c46613d168
Pipeline stage: Candidate-Analytical-Mappings
Evidence mode: Reported
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: United States Medicare payment-programme scope
Period: CMS programme pages retrieved 2026-08-22
Source layers: Official
Coverage domains: Actors, Government responsibilities, Hospital organization, Market structure, Provider ownership, Primary care organization
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Description: Acute Inpatient PPS and Physician Fee Schedule page titles and programme links.
Detected Media Type: text/html
Response Sha256: 12ad999b2308abf221f5ce8ea1ade66b953f20a2d5b836e62a4e82a19fed4bb6

Annotation prompts and machine flags

Do not interpret payment-programme pages as a public-private ownership or competition census.

Source links

Candidate Analytical Mapping · Open for annotation

Provider-autonomy evidence boundary

CMS, Physician Fee Schedule, retrieved 2026-08-22.

Statement or annotation question

Material reference: material:e5b779c21a5cbb084334e397
Pipeline stage: Candidate-Analytical-Mappings
Evidence mode: Reported
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: United States Medicare physician and other professional service payment context
Period: CMS programme page retrieved 2026-08-22
Source layers: Official
Coverage domains: Provider autonomy, Decision rights, Government responsibilities, Hospital organization, Primary care organization
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Description: Physician Fee Schedule page, title and care-management resource paragraph.
Detected Media Type: text/html
Response Sha256: 89cf9a83acec046e10e1cd622df3eb85fcdf63c5d55cd34f986fd5e5f4bcdee8

Annotation prompts and machine flags

Do not display the bounded absence of an autonomy classification as a substantive provider-autonomy finding.

Source links

Open Url

Candidate Claim · Open for annotation

A CMS hospital row cannot by itself establish a legal owner, asset owner, operating company, state license, corporate family, network contract, or every physical care site.

Material reference: material:0b24f3324cd4269b4f211325
Pipeline stage: Candidate-Claims
Evidence mode: Reported
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Frozen source scope
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Description: Metadata description, CSV schema, and absent relationship fields

Annotation prompts and machine flags

Join authoritative corporate, license, enrollment, ownership, contract, and site sources.

No external source URL was supplied for this material record.

Candidate Claim · Open for annotation

A Medicaid managed-care organization must give the state and Secretary assurances about service capacity and the number, mix, and geographic distribution of providers.

A Medicaid managed-care organization must give the state and Secretary assurances about service capacity and the number, mix, and geographic distribution of providers.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:e8d295076eed95ec843fa078
Pipeline stage: Candidate-Claims
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Description: Same source, 42 USC 1396u-2(b)(5) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

An assurance is not observed proof of network adequacy.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Claim · Open for annotation

A Medicaid state plan must designate or establish a single state agency to administer or supervise its administration.

A Medicaid state plan must designate or establish a single state agency to administer or supervise its administration.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:bcab71c7646ec5c909e0f0f1
Pipeline stage: Candidate-Claims
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Description: Same source, 42 USC 1396a(a)(5) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Acquire California's current approved page, statute, organization, and delegation instruments.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Claim · Open for annotation

A Medicaid state plan must operate in all political subdivisions of the state and be mandatory on them if they administer it.

A Medicaid state plan must operate in all political subdivisions of the state and be mandatory on them if they administer it.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:d6d4559f2511bb4d78006256
Pipeline stage: Candidate-Claims
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: 2024 annual edition
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(1) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Verify later law and the selected state's administrative structure.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Claim · Open for annotation

A Medicare Advantage plan cannot be elected or paid without a federal contract with its organization under section 1395w-27.

A Medicare Advantage plan cannot be elected or paid without a federal contract with its organization under section 1395w-27.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf

Material reference: material:c9cdfa432d4122e294be0720
Pipeline stage: Candidate-Claims
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Description: Same source, 42 USC 1395w-27(a) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Acquire the current contract, plan benefit package, service area, network, and effective period.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Claim · Open for annotation

A Medicare Advantage plan is linked to a geographic service area and enrollment generally depends on residence in that area.

A Medicare Advantage plan is linked to a geographic service area and enrollment generally depends on residence in that area.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf

Material reference: material:82ac14a6eaae7646172442a0
Pipeline stage: Candidate-Claims
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Description: Same source, 42 USC 1395w-21(b)(1) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Acquire current plan service-area data and exceptions.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Claim · Open for annotation

A state contracting with Medicaid managed-care organizations must implement a quality assessment and improvement strategy, while the Secretary sets standards and monitors implementation.

A state contracting with Medicaid managed-care organizations must implement a quality assessment and improvement strategy, while the Secretary sets standards and monitors implementation.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:d53024bd54227c87c2300023
Pipeline stage: Candidate-Claims
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Description: Same source, 42 USC 1396u-2(c)(1) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Acquire current 42 CFR Part 438 rules, California strategy, external review, and findings.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Claim · Open for annotation

A state health or other appropriate medical agency has specified responsibility for health standards for institutions where Medicaid recipients may receive care.

A state health or other appropriate medical agency has specified responsibility for health standards for institutions where Medicaid recipients may receive care.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:a6766f2eb7a72a2ec10a9c78
Pipeline stage: Candidate-Claims
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Description: Same source, 42 USC 1396a(a)(9) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Separate Medicaid participation standards from state facility licensing.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Claim · Open for annotation

A state may require eligible people to enroll with a managed-care entity when the entity, state contract, and statutory safeguards meet the applicable requirements.

A state may require eligible people to enroll with a managed-care entity when the entity, state contract, and statutory safeguards meet the applicable requirements.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:99208bf2706119944ac35619
Pipeline stage: Candidate-Claims
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Description: Same source, 42 USC 1396u-2(a)(1) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Verify population, state authority, waiver, contract, service area, and effective period.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Claim · Open for annotation

An eligible person may elect original Medicare or an available Medicare Advantage plan under the statutory conditions.

An eligible person may elect original Medicare or an available Medicare Advantage plan under the statutory conditions.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf

Material reference: material:b911277d1d7bc1dadae0345d
Pipeline stage: Candidate-Claims
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Description: Same source, 42 USC 1395w-21(a) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Verify current terminology, eligibility, plan availability, and regulations.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Claim · Open for annotation

CMS metadata describes Hospital General Information as a list of hospitals registered with Medicare and reports a 13 May 2026 release.

CMS metadata describes Hospital General Information as a list of hospitals registered with Medicare and reports a 13 May 2026 release.. https://data.cms.gov/provider-data/api/1/metastore/schemas/dataset/items/xubh-q36u

Material reference: material:53771906d5fb5e99eabd0562
Pipeline stage: Candidate-Claims
Evidence mode: Reported
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Metadata released 2026-05-13
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Description: USA-CMS-HOSPITAL-METADATA, dataset xubh-q36u | Public authoritative source: https://data.cms.gov/provider-data/api/1/metastore/schemas/dataset/items/xubh-q36u
Detected Media Type: application/json
Response Sha256: 31eea397b8bfe8207168cefda23256eb9cb3d5e49158d221eda8465a2d8e5f8c

Annotation prompts and machine flags

Acquire dataset methodology, update policy, and registration-status semantics.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Claim · Open for annotation

Except where Title XVIII provides otherwise, the HHS Secretary administers Medicare and may perform functions directly or by contract.

Except where Title XVIII provides otherwise, the HHS Secretary administers Medicare and may perform functions directly or by contract.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf

Material reference: material:9734ee334596bf9da6a0e802
Pipeline stage: Candidate-Claims
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: 2024 annual edition
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Description: USA-USCODE-2024-T42-XVIII, 42 USC 1395kk(a) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Verify later law and current internal delegation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Claim · Open for annotation

Federal Medicaid payments are made to states with approved plans according to statutory matching and administrative formulas.

Federal Medicaid payments are made to states with approved plans according to statutory matching and administrative formulas.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:e8d858f92ab39da5a19a498b
Pipeline stage: Candidate-Claims
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Description: Same source, 42 USC 1396b(a) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Acquire current federal matching rates, state expenditures, and reconciliation records.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Claim · Open for annotation

For the section 1396u-2 framework, a managed-care entity is a Medicaid managed-care organization or primary care case manager meeting the incorporated definitions.

For the section 1396u-2 framework, a managed-care entity is a Medicaid managed-care organization or primary care case manager meeting the incorporated definitions.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:3fe11f954bd778b8788464fe
Pipeline stage: Candidate-Claims
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Description: Same source, 42 USC 1396u-2(a)(1)(B) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Preserve organization, plan product, subcontractor, network, and provider as distinct entities.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Claim · Open for annotation

Medicaid provider choice is a state-plan requirement subject to express managed-care, waiver, program, provider, and territorial exceptions.

Medicaid provider choice is a state-plan requirement subject to express managed-care, waiver, program, provider, and territorial exceptions.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:5461ab4b5d889c85ad2b0c26
Pipeline stage: Candidate-Claims
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Description: Same source, 42 USC 1396a(a)(23) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Never label a population free-choice or managed-care without its state authority and enrollment category.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Claim · Open for annotation

Medicare provider participation and payment eligibility depend on filing an agreement with the Secretary containing statutory commitments.

Medicare provider participation and payment eligibility depend on filing an agreement with the Secretary containing statutory commitments.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf

Material reference: material:94df9d4ad99d19216c4bc01b
Pipeline stage: Candidate-Claims
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Description: Same source, 42 USC 1395cc(a)(1) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Map provider type, agreement status, enrollment, certification, and sanctions separately.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Claim · Open for annotation

State payment and utilization methods must address efficiency, economy, quality, and sufficient provider participation for geographic access under the statutory standard.

State payment and utilization methods must address efficiency, economy, quality, and sufficient provider participation for geographic access under the statutory standard.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:1560eb48d2f26921c27b9ed2
Pipeline stage: Candidate-Claims
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Description: Same source, 42 USC 1396a(a)(30)(A) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Payment belongs in the Payment knob; observed access requires current data and litigation or compliance review.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Claim · Open for annotation

The 2024 edition carries an amendment note making specified public network-provider directory duties effective on 1 July 2025.

The 2024 edition carries an amendment note making specified public network-provider directory duties effective on 1 July 2025.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:ece0898072b127cbffc83e8f
Pipeline stage: Candidate-Claims
Evidence mode: Reported
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Effective-date note in 2024 edition
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Description: Same source, 42 USC 1396u-2 amendment of subsection (a)(5) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Verify current incorporated text, later amendments, federal rules, and state implementation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Claim · Open for annotation

The Secretary has statutory authority to terminate a Medicare Advantage organization contract under specified conditions.

The Secretary has statutory authority to terminate a Medicare Advantage organization contract under specified conditions.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf

Material reference: material:75861d73cc38f9eb16ac3d6d
Pipeline stage: Candidate-Claims
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Description: Same source, 42 USC 1395w-27(c)(2) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Review notice, appeal, regulation, and current enforcement records.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Claim · Open for annotation

The Secretary may contract with eligible entities as Medicare administrative contractors for specified payment, provider-service, and beneficiary-service functions.

The Secretary may contract with eligible entities as Medicare administrative contractors for specified payment, provider-service, and beneficiary-service functions.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf

Material reference: material:b332565327d5c14990a76ca9
Pipeline stage: Candidate-Claims
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Description: Same source, 42 USC 1395kk-1(a)(1) to (4) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Acquire current contract jurisdictions, awards, functions, and subcontractors.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Claim · Open for annotation

The Secretary must enter qualifying agreements to use willing state or local agencies for specified Medicare provider survey and certification functions.

The Secretary must enter qualifying agreements to use willing state or local agencies for specified Medicare provider survey and certification functions.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf

Material reference: material:1f3adf03ca1ed8def60e0112
Pipeline stage: Candidate-Claims
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Description: Same source, 42 USC 1395aa(a) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Review provider-type scope, accreditation alternatives, and current agreements.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Claim · Open for annotation

The acquired Title XVIII and XIX texts are 2024 annual Code editions and cannot alone establish the law in force on 10 August 2026.

Material reference: material:f4e2edabc109614f1ffac7cb
Pipeline stage: Candidate-Claims
Evidence mode: Reported
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: 2024 edition versus 2026 snapshot
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Description: Both GovInfo 2024 packages and excluded 2025 not-found artifacts

Annotation prompts and machine flags

Check all later public laws, current Compilation pages, regulations, and effective dates.

No external source URL was supplied for this material record.

Candidate Claim · Open for annotation

The dataset exposes facility name, address, hospital type, a reported hospital-ownership category, emergency-services status, and selected measures.

The dataset exposes facility name, address, hospital type, a reported hospital-ownership category, emergency-services status, and selected measures.. https://data.cms.gov/provider-data/sites/default/files/data_dictionaries/hospital/HOSPITAL_Data_Dictionary.pdf

Material reference: material:f1b3b5c2fa8e8e250b9bc175
Pipeline stage: Candidate-Claims
Evidence mode: Reported
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: April and May 2026 files
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Description: Same CSV header and dictionary Hospital General Information table | Public authoritative source: https://data.cms.gov/provider-data/sites/default/files/data_dictionaries/hospital/HOSPITAL_Data_Dictionary.pdf

Annotation prompts and machine flags

Validate null codes, category definitions, temporal meaning, and change history.

Source links

Open Embedded Source Url

Candidate Claim · Open for annotation

The federal managed-care framework generally requires a choice of at least two qualifying entities, subject to stated rural and other rules.

The federal managed-care framework generally requires a choice of at least two qualifying entities, subject to stated rural and other rules.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:8a385df611ac291b7f97aef4
Pipeline stage: Candidate-Claims
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Description: Same source, 42 USC 1396u-2(a)(3) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Verify current exceptions and California county model.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Claim · Open for annotation

The frozen CSV contains 5,432 rows and 5,432 unique six-character facility IDs.

The frozen CSV contains 5,432 rows and 5,432 unique six-character facility IDs.. https://data.cms.gov/provider-data/dataset/xubh-q36u

Material reference: material:73dcc6135a697dcda4656a07
Pipeline stage: Candidate-Claims
Evidence mode: Observed
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Frozen 2026-05-13 distribution
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Description: USA-CMS-HOSPITAL-CSV-2026-05-13, full-file row and first-field derivation | Public authoritative source: https://data.cms.gov/provider-data/dataset/xubh-q36u
Detected Media Type: text/html
Response Sha256: 11612c367d9de8eaa47ad3b9cda178477e7fc9e12a30113d0e52b3eb029a7ab2

Annotation prompts and machine flags

Store script, hash, exclusions, and leading-zero preservation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Claim · Open for annotation

The state agency must make reports required by the Secretary and comply with provisions needed to verify them.

The state agency must make reports required by the Secretary and comply with provisions needed to verify them.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:4000992a7d96901710703791
Pipeline stage: Candidate-Claims
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Description: Same source, 42 USC 1396a(a)(6) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Acquire current reporting regulations and California submissions.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Claim · Open for annotation

The state or designated licensing or survey agency determines institutional participation under the state plan, subject to the Secretary's validation and binding determination authority.

The state or designated licensing or survey agency determines institutional participation under the state plan, subject to the Secretary's validation and binding determination authority.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:7825abda035541a066e14193
Pipeline stage: Candidate-Claims
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Description: Same source, 42 USC 1396a(a)(33)(B) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Map the selected state's agency split and current survey agreements.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Claim · Open for annotation

The state plan must describe plan personnel, institutional standards, interagency cooperation, and quality-assurance methods.

The state plan must describe plan personnel, institutional standards, interagency cooperation, and quality-assurance methods.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:4732dfa35d004e232e5dcbc2
Pipeline stage: Candidate-Claims
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Description: Same source, 42 USC 1396a(a)(22) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Acquire the selected state's approved state-plan pages and amendments.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Evidence Statement · Open for annotation

A CMS hospital row cannot by itself establish a legal owner, asset owner, operating company, state license, corporate family, network contract, or every physical care site.

Material reference: material:bdd010d56fb1467691c5be1c
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Frozen source scope
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Triage Status: New
Description: Metadata description, CSV schema, and absent relationship fields

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.

No external source URL was supplied for this material record.

Candidate Evidence Statement · Open for annotation

A Medicaid managed-care organization must give the state and Secretary assurances about service capacity and the number, mix, and geographic distribution of providers.

Material reference: material:3c717f6ed043b254c98af964
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Description: Same source, 42 USC 1396u-2(b)(5) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Evidence Statement · Open for annotation

A Medicaid state plan must designate or establish a single state agency to administer or supervise its administration.

Material reference: material:bd2c7678b9dfb77886eb4356
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Description: Same source, 42 USC 1396a(a)(5) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Evidence Statement · Open for annotation

A Medicaid state plan must operate in all political subdivisions of the state and be mandatory on them if they administer it.

Material reference: material:d3083cc1f9c556ab7b6301d3
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: 2024 annual edition
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(1) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Evidence Statement · Open for annotation

A Medicare Advantage plan cannot be elected or paid without a federal contract with its organization under section 1395w-27.

Material reference: material:18b7a290a395a8b570d7f552
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Description: Same source, 42 USC 1395w-27(a) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Evidence Statement · Open for annotation

A Medicare Advantage plan is linked to a geographic service area and enrollment generally depends on residence in that area.

Material reference: material:9c07bb63936ada60235f059d
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Description: Same source, 42 USC 1395w-21(b)(1) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Evidence Statement · Open for annotation

A state contracting with Medicaid managed-care organizations must implement a quality assessment and improvement strategy, while the Secretary sets standards and monitors implementation.

Material reference: material:e39f91e1669a57a1a59a3c71
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Description: Same source, 42 USC 1396u-2(c)(1) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Evidence Statement · Open for annotation

A state health or other appropriate medical agency has specified responsibility for health standards for institutions where Medicaid recipients may receive care.

Material reference: material:27307e16449ada810b373b11
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Description: Same source, 42 USC 1396a(a)(9) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Evidence Statement · Open for annotation

A state may require eligible people to enroll with a managed-care entity when the entity, state contract, and statutory safeguards meet the applicable requirements.

Material reference: material:ade742235e8ea269185ec1ee
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Description: Same source, 42 USC 1396u-2(a)(1) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Evidence Statement · Open for annotation

An eligible person may elect original Medicare or an available Medicare Advantage plan under the statutory conditions.

Material reference: material:d17b48d3f297945aaa2dfff7
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Description: Same source, 42 USC 1395w-21(a) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Evidence Statement · Open for annotation

CMS metadata describes Hospital General Information as a list of hospitals registered with Medicare and reports a 13 May 2026 release.

Material reference: material:0ca29f2e8524fcc9e9caf3bb
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Metadata released 2026-05-13
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Description: USA-CMS-HOSPITAL-METADATA, dataset xubh-q36u | Public authoritative source: https://data.cms.gov/provider-data/api/1/metastore/schemas/dataset/items/xubh-q36u
Detected Media Type: application/json
Response Sha256: 31eea397b8bfe8207168cefda23256eb9cb3d5e49158d221eda8465a2d8e5f8c

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Evidence Statement · Open for annotation

Except where Title XVIII provides otherwise, the HHS Secretary administers Medicare and may perform functions directly or by contract.

Material reference: material:49f35acf679bfb1ee3938743
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: 2024 annual edition
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Description: USA-USCODE-2024-T42-XVIII, 42 USC 1395kk(a) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Evidence Statement · Open for annotation

Federal Medicaid payments are made to states with approved plans according to statutory matching and administrative formulas.

Material reference: material:a6fff6e74b159807fafcd768
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Description: Same source, 42 USC 1396b(a) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Evidence Statement · Open for annotation

For the section 1396u-2 framework, a managed-care entity is a Medicaid managed-care organization or primary care case manager meeting the incorporated definitions.

Material reference: material:9558a645e946ad5e172391ae
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Description: Same source, 42 USC 1396u-2(a)(1)(B) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Evidence Statement · Open for annotation

Medicaid provider choice is a state-plan requirement subject to express managed-care, waiver, program, provider, and territorial exceptions.

Material reference: material:45915c18a275df347e43e055
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Description: Same source, 42 USC 1396a(a)(23) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Evidence Statement · Open for annotation

Medicare provider participation and payment eligibility depend on filing an agreement with the Secretary containing statutory commitments.

Material reference: material:c96778d2e3d352ea552381e4
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Description: Same source, 42 USC 1395cc(a)(1) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Evidence Statement · Open for annotation

State payment and utilization methods must address efficiency, economy, quality, and sufficient provider participation for geographic access under the statutory standard.

Material reference: material:fed744b472c835e2005a8db3
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Description: Same source, 42 USC 1396a(a)(30)(A) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Evidence Statement · Open for annotation

The 2024 edition carries an amendment note making specified public network-provider directory duties effective on 1 July 2025.

Material reference: material:3974ab1f1206bfd7bba08599
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Effective-date note in 2024 edition
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Description: Same source, 42 USC 1396u-2 amendment of subsection (a)(5) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Evidence Statement · Open for annotation

The Secretary has statutory authority to terminate a Medicare Advantage organization contract under specified conditions.

Material reference: material:b57db6c3447c403adcebcc2b
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Description: Same source, 42 USC 1395w-27(c)(2) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Evidence Statement · Open for annotation

The Secretary may contract with eligible entities as Medicare administrative contractors for specified payment, provider-service, and beneficiary-service functions.

Material reference: material:a5dd6889e1b71c08a6febf84
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Description: Same source, 42 USC 1395kk-1(a)(1) to (4) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Evidence Statement · Open for annotation

The Secretary must enter qualifying agreements to use willing state or local agencies for specified Medicare provider survey and certification functions.

Material reference: material:433e5e0e2f490b1cccd3da1f
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Description: Same source, 42 USC 1395aa(a) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Evidence Statement · Open for annotation

The acquired Title XVIII and XIX texts are 2024 annual Code editions and cannot alone establish the law in force on 10 August 2026.

Material reference: material:435a2e55e4f90a62f2b73e1f
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: 2024 edition versus 2026 snapshot
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Triage Status: New
Description: Both GovInfo 2024 packages and excluded 2025 not-found artifacts

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.

No external source URL was supplied for this material record.

Candidate Evidence Statement · Open for annotation

The dataset exposes facility name, address, hospital type, a reported hospital-ownership category, emergency-services status, and selected measures.

Material reference: material:7876da71daf27a729ea80610
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: April and May 2026 files
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Triage Status: New
Description: Same CSV header and dictionary Hospital General Information table | Public authoritative source: https://data.cms.gov/provider-data/sites/default/files/data_dictionaries/hospital/HOSPITAL_Data_Dictionary.pdf

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.

Source links

Open Embedded Source Url

Candidate Evidence Statement · Open for annotation

The federal managed-care framework generally requires a choice of at least two qualifying entities, subject to stated rural and other rules.

Material reference: material:995893bb04a9b9f613238c45
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Description: Same source, 42 USC 1396u-2(a)(3) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Evidence Statement · Open for annotation

The frozen CSV contains 5,432 rows and 5,432 unique six-character facility IDs.

The frozen CSV contains 5,432 rows and 5,432 unique six-character facility IDs.. https://data.cms.gov/provider-data/dataset/xubh-q36u

Material reference: material:eda82d9db18cacf4d6168184
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Frozen 2026-05-13 distribution
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Description: USA-CMS-HOSPITAL-CSV-2026-05-13, full-file row and first-field derivation | Public authoritative source: https://data.cms.gov/provider-data/dataset/xubh-q36u
Detected Media Type: text/html
Response Sha256: 11612c367d9de8eaa47ad3b9cda178477e7fc9e12a30113d0e52b3eb029a7ab2

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Evidence Statement · Open for annotation

The state agency must make reports required by the Secretary and comply with provisions needed to verify them.

Material reference: material:602350023bf704bfd5043a71
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Description: Same source, 42 USC 1396a(a)(6) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Evidence Statement · Open for annotation

The state or designated licensing or survey agency determines institutional participation under the state plan, subject to the Secretary's validation and binding determination authority.

Material reference: material:1ecd3a080d56f2b148621fe4
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Description: Same source, 42 USC 1396a(a)(33)(B) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Candidate Evidence Statement · Open for annotation

The state plan must describe plan personnel, institutional standards, interagency cooperation, and quality-assurance methods.

Material reference: material:bbd8b04b1f9f5f6ddf8e4e7d
Pipeline stage: Candidate-Evidence
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Description: Same source, 42 USC 1396a(a)(22) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

The source version is not supplied here; this material is open for text-anchored annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Claim Quality Review Record · Open for annotation

A CMS hospital row cannot by itself establish a legal owner, asset owner, operating company, state license, corporate family, network contract, or every physical care site.

Material reference: material:8029ebe0e94e6d32e75e0eca
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Reported
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Frozen source scope
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Status: Open for annotation
Description: Metadata description, CSV schema, and absent relationship fields

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
Join authoritative corporate, license, enrollment, ownership, contract, and site sources.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.

No external source URL was supplied for this material record.

Claim Quality Review Record · Open for annotation

A Medicaid managed-care organization must give the state and Secretary assurances about service capacity and the number, mix, and geographic distribution of providers.

Material reference: material:bcdd7b679c547ef5b8e53af5
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Open for annotation
Description: Same source, 42 USC 1396u-2(b)(5) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
An assurance is not observed proof of network adequacy.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Claim Quality Review Record · Open for annotation

A Medicaid state plan must designate or establish a single state agency to administer or supervise its administration.

Material reference: material:93cdbf5fd14f1646923a4522
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Open for annotation
Description: Same source, 42 USC 1396a(a)(5) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
Acquire California's current approved page, statute, organization, and delegation instruments.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.
multiple_predicate_markers
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Claim Quality Review Record · Open for annotation

A Medicaid state plan must operate in all political subdivisions of the state and be mandatory on them if they administer it.

Material reference: material:2ac990d0fd027c443710e853
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: 2024 annual edition
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Open for annotation
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(1) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
Verify later law and the selected state's administrative structure.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.
multiple_predicate_markers
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Claim Quality Review Record · Open for annotation

A Medicare Advantage plan cannot be elected or paid without a federal contract with its organization under section 1395w-27.

Material reference: material:5c36dfee1240098cf30e04e2
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Open for annotation
Description: Same source, 42 USC 1395w-27(a) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
Acquire the current contract, plan benefit package, service area, network, and effective period.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Claim Quality Review Record · Open for annotation

A Medicare Advantage plan is linked to a geographic service area and enrollment generally depends on residence in that area.

Material reference: material:0c7c1bcc4d332c8ee214be6d
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Open for annotation
Description: Same source, 42 USC 1395w-21(b)(1) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
Acquire current plan service-area data and exceptions.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Claim Quality Review Record · Open for annotation

A state contracting with Medicaid managed-care organizations must implement a quality assessment and improvement strategy, while the Secretary sets standards and monitors implementation.

Material reference: material:4f332e684ad8540159ea1252
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Open for annotation
Description: Same source, 42 USC 1396u-2(c)(1) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
Acquire current 42 CFR Part 438 rules, California strategy, external review, and findings.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.
while_clause_boundary
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Claim Quality Review Record · Open for annotation

A state health or other appropriate medical agency has specified responsibility for health standards for institutions where Medicaid recipients may receive care.

Material reference: material:ac804cce94a0da972d8fed60
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Open for annotation
Description: Same source, 42 USC 1396a(a)(9) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
Separate Medicaid participation standards from state facility licensing.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Claim Quality Review Record · Open for annotation

A state may require eligible people to enroll with a managed-care entity when the entity, state contract, and statutory safeguards meet the applicable requirements.

Material reference: material:5396579d601292900ed09063
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Open for annotation
Description: Same source, 42 USC 1396u-2(a)(1) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
Verify population, state authority, waiver, contract, service area, and effective period.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Claim Quality Review Record · Open for annotation

An eligible person may elect original Medicare or an available Medicare Advantage plan under the statutory conditions.

Material reference: material:79e5d181cd8f2fa96a6e9fb4
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Open for annotation
Description: Same source, 42 USC 1395w-21(a) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
Verify current terminology, eligibility, plan availability, and regulations.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Claim Quality Review Record · Open for annotation

CMS metadata describes Hospital General Information as a list of hospitals registered with Medicare and reports a 13 May 2026 release.

Material reference: material:2d1cda8e1f11089368330268
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Reported
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Metadata released 2026-05-13
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Open for annotation
Description: USA-CMS-HOSPITAL-METADATA, dataset xubh-q36u | Public authoritative source: https://data.cms.gov/provider-data/api/1/metastore/schemas/dataset/items/xubh-q36u
Detected Media Type: application/json
Response Sha256: 31eea397b8bfe8207168cefda23256eb9cb3d5e49158d221eda8465a2d8e5f8c

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
Acquire dataset methodology, update policy, and registration-status semantics.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Claim Quality Review Record · Open for annotation

Except where Title XVIII provides otherwise, the HHS Secretary administers Medicare and may perform functions directly or by contract.

Material reference: material:57ad93a26bde6f47f7f1b84c
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: 2024 annual edition
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Open for annotation
Description: USA-USCODE-2024-T42-XVIII, 42 USC 1395kk(a) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
Verify later law and current internal delegation.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.
multiple_predicate_markers
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

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Claim Quality Review Record · Open for annotation

Federal Medicaid payments are made to states with approved plans according to statutory matching and administrative formulas.

Material reference: material:a2b6cc3f086c053cde06e325
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Open for annotation
Description: Same source, 42 USC 1396b(a) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
Acquire current federal matching rates, state expenditures, and reconciliation records.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

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Claim Quality Review Record · Open for annotation

For the section 1396u-2 framework, a managed-care entity is a Medicaid managed-care organization or primary care case manager meeting the incorporated definitions.

Material reference: material:32fa6df5467a863d4a2919b5
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Open for annotation
Description: Same source, 42 USC 1396u-2(a)(1)(B) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
Preserve organization, plan product, subcontractor, network, and provider as distinct entities.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

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Claim Quality Review Record · Open for annotation

Medicaid provider choice is a state-plan requirement subject to express managed-care, waiver, program, provider, and territorial exceptions.

Material reference: material:1c6460704a668eac4ffac3a3
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Open for annotation
Description: Same source, 42 USC 1396a(a)(23) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
Never label a population free-choice or managed-care without its state authority and enrollment category.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

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Claim Quality Review Record · Open for annotation

Medicare provider participation and payment eligibility depend on filing an agreement with the Secretary containing statutory commitments.

Material reference: material:4e85389518152dbff984b728
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Open for annotation
Description: Same source, 42 USC 1395cc(a)(1) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
Map provider type, agreement status, enrollment, certification, and sanctions separately.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

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Claim Quality Review Record · Open for annotation

State payment and utilization methods must address efficiency, economy, quality, and sufficient provider participation for geographic access under the statutory standard.

Material reference: material:2873074bd86acbbaad1165ee
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Open for annotation
Description: Same source, 42 USC 1396a(a)(30)(A) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
Payment belongs in the Payment knob; observed access requires current data and litigation or compliance review.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

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Claim Quality Review Record · Open for annotation

The 2024 edition carries an amendment note making specified public network-provider directory duties effective on 1 July 2025.

Material reference: material:3b71cf49ff661dbbca2a2589
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Reported
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Effective-date note in 2024 edition
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Open for annotation
Description: Same source, 42 USC 1396u-2 amendment of subsection (a)(5) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
Verify current incorporated text, later amendments, federal rules, and state implementation.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Claim Quality Review Record · Open for annotation

The Secretary has statutory authority to terminate a Medicare Advantage organization contract under specified conditions.

Material reference: material:d267f36a9406d4a46bb3977c
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Open for annotation
Description: Same source, 42 USC 1395w-27(c)(2) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
Review notice, appeal, regulation, and current enforcement records.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

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Claim Quality Review Record · Open for annotation

The Secretary may contract with eligible entities as Medicare administrative contractors for specified payment, provider-service, and beneficiary-service functions.

Material reference: material:85eb3cf80c7485f9b4f09093
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Open for annotation
Description: Same source, 42 USC 1395kk-1(a)(1) to (4) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
Acquire current contract jurisdictions, awards, functions, and subcontractors.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

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Claim Quality Review Record · Open for annotation

The Secretary must enter qualifying agreements to use willing state or local agencies for specified Medicare provider survey and certification functions.

Material reference: material:84d3ecf4c85731d077a8409b
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Open for annotation
Description: Same source, 42 USC 1395aa(a) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
Review provider-type scope, accreditation alternatives, and current agreements.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

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Claim Quality Review Record · Open for annotation

The acquired Title XVIII and XIX texts are 2024 annual Code editions and cannot alone establish the law in force on 10 August 2026.

Material reference: material:d9cba07d25edbe2543b5a067
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Reported
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: 2024 edition versus 2026 snapshot
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Status: Open for annotation
Description: Both GovInfo 2024 packages and excluded 2025 not-found artifacts

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
Check all later public laws, current Compilation pages, regulations, and effective dates.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.

No external source URL was supplied for this material record.

Claim Quality Review Record · Open for annotation

The dataset exposes facility name, address, hospital type, a reported hospital-ownership category, emergency-services status, and selected measures.

Material reference: material:8f8229852ca992c58ebfe42a
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Reported
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: April and May 2026 files
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Status: Open for annotation
Description: Same CSV header and dictionary Hospital General Information table | Public authoritative source: https://data.cms.gov/provider-data/sites/default/files/data_dictionaries/hospital/HOSPITAL_Data_Dictionary.pdf

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
Validate null codes, category definitions, temporal meaning, and change history.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.

Source links

Open Embedded Source Url

Claim Quality Review Record · Open for annotation

The federal managed-care framework generally requires a choice of at least two qualifying entities, subject to stated rural and other rules.

Material reference: material:9d7b99796deb20e9403fcf85
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Open for annotation
Description: Same source, 42 USC 1396u-2(a)(3) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
Verify current exceptions and California county model.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Claim Quality Review Record · Open for annotation

The frozen CSV contains 5,432 rows and 5,432 unique six-character facility IDs.

The frozen CSV contains 5,432 rows and 5,432 unique six-character facility IDs.. https://data.cms.gov/provider-data/dataset/xubh-q36u

Material reference: material:7179a33d3bbd5b986d52615a
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Observed
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Frozen 2026-05-13 distribution
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Open for annotation
Description: USA-CMS-HOSPITAL-CSV-2026-05-13, full-file row and first-field derivation | Public authoritative source: https://data.cms.gov/provider-data/dataset/xubh-q36u
Detected Media Type: text/html
Response Sha256: 11612c367d9de8eaa47ad3b9cda178477e7fc9e12a30113d0e52b3eb029a7ab2

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
Store script, hash, exclusions, and leading-zero preservation.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Claim Quality Review Record · Open for annotation

The state agency must make reports required by the Secretary and comply with provisions needed to verify them.

Material reference: material:688da47fc414ed7ccce330d8
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Open for annotation
Description: Same source, 42 USC 1396a(a)(6) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
Acquire current reporting regulations and California submissions.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Claim Quality Review Record · Open for annotation

The state or designated licensing or survey agency determines institutional participation under the state plan, subject to the Secretary's validation and binding determination authority.

Material reference: material:3f60c38d7ff5cb52f171d0b4
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Open for annotation
Description: Same source, 42 USC 1396a(a)(33)(B) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
Map the selected state's agency split and current survey agreements.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Claim Quality Review Record · Open for annotation

The state plan must describe plan personnel, institutional standards, interagency cooperation, and quality-assurance methods.

Material reference: material:5c4c1052c65dcd6182387b28
Pipeline stage: Candidate-Claim-Qa-Queue
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Open for annotation
Description: Same source, 42 USC 1396a(a)(22) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Heuristic flags are prompts for annotation and do not alter the displayed source record.
Acquire the selected state's approved state-plan pages and amendments.
Administrative boundaries do not establish service territories
Do not infer territorial responsibility from administrative boundaries.
territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.
Common ownership does not establish service integration
Do not infer integration from common ownership.
evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.
Facility count does not establish private-sector dominance
Do not infer private dominance from facility count alone.
sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.
Federalism does not establish operational decentralization
Do not infer decentralization from federalism alone.
function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.
Legal authority does not establish implementation
Do not infer implementation from legal authority.
reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.
Ownership does not establish provider autonomy
Do not infer provider autonomy from ownership alone.
decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.
Primary care presence does not establish gatekeeping
Do not infer gatekeeping from primary care presence.
evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.
Provider count does not establish competition
Do not infer competition from provider count.
competition evidence with a defined market, dimension, denominator, territory, period, and limitations.
Referral policy does not establish observed compliance
Do not infer referral compliance from referral policy.
observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.
Reporting does not establish accountability
Do not infer accountability from reporting alone.
evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Corpus Page Anchor · Open for annotation

Reforming health social security : proceedings of an international seminar sponsored by the Global Security Institute, Keio University, and the World Bank, June 27-29, 2005, Tokyo, Japan : Reforming health social security : proceedings of an international seminar

Source context or anchor

the form of specific contract provisions for providers In contrast in Canada

Material reference: material:5313489f9b05fcc1a113c214
Pipeline stage: Global-Corpus-Excerpt-Queue
Evidence mode: Not classified
Publication date: 2005
Institution: not supplied
Document type: Not Supplied
Territory: not supplied
Period: Not supplied
Source layers: Not supplied
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Physical Pdf Page: 7
Source Word Anchor: the form of specific contract provisions for providers In contrast in Canada
Source Word Count: 12
Detected Media Type: application/pdf
File Sha256: 76b9063b46ff55b0f06104d324f3e83b532ac12eb5a32a3853815d9ff659866e
Page Count: 201
Text Sha256: e0a37c34520ff10e918d1487647e0db69bc746f5f2f514135f8957ddacd4633d

Source links

Open Stable Source Url

Country Improvement Source Lead · Open for annotation

2022 National Hospital Ambulatory Medical Care Survey: Emergency Department Summary Tables

National Center for Health Statistics. 2022 National Hospital Ambulatory Medical Care Survey: Emergency Department Summary Tables. 2024. https://www.cdc.gov/nchs/data/nhamcs/web_tables/2022-nhamcs-ed-web-tables.pdf

Statement or annotation question

The NCHS emergency-department summary tables provide survey-based 2022 visit data. They support a bounded observation about the survey's emergency-department visit domain, not an ownership census, a national outpatient network graph, individual longitudinal pathways, or referral completion.

Source context or anchor

Emergency Department Summary Tables

Material reference: material:c9d0a2026f5f92563cc1eea0
Pipeline stage: Country-Evidence-Improvement-Sources
Evidence mode: Observed
Publication date: 2024
Institution: National Center for Health Statistics, Centers for Disease Control and Prevention
Document type: Not Supplied
Territory: United States emergency department visits represented by the 2022 NHAMCS
Period: 2022 survey year; summary tables published 2024
Source layers: Official
Coverage domains: Authoritative review, Facility data, Hospital organization, Observed referral, Patient flows, Utilization
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Description: Document title and 2022 NHAMCS emergency-department table set.
Detected Media Type: application/pdf
File Sha256: 5b9bdfb7061a75eff9c1c3ff8a7ee2b03be8c707921287959219342971848c5e
Response Sha256: 5b9bdfb7061a75eff9c1c3ff8a7ee2b03be8c707921287959219342971848c5e

Annotation prompts and machine flags

Maintain the NHAMCS survey and visit-level scope; do not represent it as a provider census or a patient-level linked pathway dataset.

Source links

Open Url

Country Improvement Source Lead · Open for annotation

42 CFR 482.43: Condition of participation: Discharge planning

Office of the Federal Register. 42 CFR 482.43, Condition of participation: Discharge planning, 2024 edition. https://www.govinfo.gov/content/pkg/CFR-2024-title42-vol5/xml/CFR-2024-title42-vol5-sec482-43.xml

Statement or annotation question

The regulation requires a covered hospital to maintain an effective discharge-planning process focused on patient goals and treatment preferences, with patients and caregivers as active partners for post-discharge care. It states a participation condition, not measured discharge completion, a universal referral pathway, or an all-payer rule.

Source context or anchor

The hospital must have an effective discharge planning process

Material reference: material:5f9e1b23648c0b9d95620bef
Pipeline stage: Country-Evidence-Improvement-Sources
Evidence mode: Formal
Publication date: 2024
Institution: Office of the Federal Register and Government Publishing Office
Document type: Not Supplied
Territory: United States hospitals subject to this Medicare condition of participation
Period: 2024-10-01 Code of Federal Regulations edition
Source layers: Official
Coverage domains: Provider autonomy, Decision rights, Governance and accountability, Hospital organization, Patient flows, Referral design
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Description: 42 CFR 482.43, opening paragraph.
Detected Media Type: application/xml
Response Sha256: e8d3090600e2f9edf1a1afd05d4f6f90ff01e6d8d00660bffeefce92411ef6fe

Annotation prompts and machine flags

Do not turn a federal participation condition into evidence of discharge-planning quality, completed referral, or practice outside its legal scope.

Source links

Open Url

Country Improvement Source Lead · Open for annotation

Acute Inpatient PPS

Centers for Medicare & Medicaid Services. Acute Inpatient PPS. Retrieved 2026-08-22. https://www.cms.gov/medicare/medicare-fee-for-service-payment/acuteinpatientpps

Statement or annotation question

CMS's Acute Inpatient PPS page provides programme and fiscal-year final-rule resources for the Medicare acute inpatient prospective payment system. This agency resource does not describe payment for every hospital, Medicaid or commercial contract, hospital ownership, or service quality.

Source context or anchor

FY 2026 IPPS Final Rule Home Page

Material reference: material:a12af2dce5b042a4328420d9
Pipeline stage: Country-Evidence-Improvement-Sources
Evidence mode: Reported
Publication date: 2026
Institution: Centers for Medicare & Medicaid Services
Document type: Not Supplied
Territory: United States Medicare acute inpatient prospective payment system
Period: CMS programme page retrieved 2026-08-22; the page links FY 2025, FY 2026, and FY 2027 rule materials
Source layers: Official
Coverage domains: Actors, Facility data, Government responsibilities, Hospital organization, Market structure, Utilization
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Description: Acute Inpatient PPS page, prospective-payment-system and final-rule links.
Detected Media Type: text/html
Response Sha256: ce656a026df31ae92afff74a7fcf4302aa6cd1250b300d5fc09b6e9b38fcca3c

Annotation prompts and machine flags

Keep the Medicare acute-inpatient payment scope explicit; do not infer hospital-wide financing, ownership, utilisation, or performance.

Source links

Open Url

Country Improvement Source Lead · Open for annotation

CMS Interoperability and Prior Authorization Final Rule CMS-0057-F

Centers for Medicare & Medicaid Services. CMS Interoperability and Prior Authorization Final Rule CMS-0057-F. 2024-01-17. https://www.cms.gov/newsroom/fact-sheets/cms-interoperability-and-prior-authorization-final-rule-cms-0057-f

Statement or annotation question

CMS describes CMS-0057-F as a final rule advancing interoperability and prior-authorization processes, including API requirements. CMS states that requirements generally begin in 2027 and that exact compliance dates vary by payer type; the fact sheet is not evidence of completed implementation or patient-level information exchange.

Source context or anchor

exact compliance dates vary by the type of payer

Material reference: material:235d796cf1f85d97fe5b5e45
Pipeline stage: Country-Evidence-Improvement-Sources
Evidence mode: Formal
Publication date: 2024
Institution: Centers for Medicare & Medicaid Services
Document type: Not Supplied
Territory: United States; payer types and compliance dates specified in CMS-0057-F
Period: Final rule issued 2024-01-17; CMS states API requirements generally begin 2027, with payer-specific dates
Source layers: Official
Coverage domains: Authoritative review, Decision rights, Governance and accountability, Provider networks, Patient flows, Referral design, Reform history
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Description: Fact sheet, API-policy and compliance-date paragraphs.
Detected Media Type: text/html
Response Sha256: 9c4b603c9544a3dcb8ddcec2f2d18eb27d0ed492228676bbddd300692e55e81f

Annotation prompts and machine flags

Treat this as a rule and planned compliance schedule, not proof of interoperable referral operation or observed administrative burden reduction.

Source links

Open Url

Country Improvement Source Lead · Open for annotation

Emergency Medical Treatment & Labor Act (EMTALA)

Centers for Medicare & Medicaid Services. Emergency Medical Treatment & Labor Act (EMTALA). Retrieved 2026-08-22. https://www.cms.gov/medicare/regulations-guidance/legislation/emergency-medical-treatment-labor-act

Statement or annotation question

CMS states that EMTALA was enacted to ensure public access to emergency services regardless of ability to pay and describes obligations for Medicare-participating hospitals. It says an appropriate transfer should be implemented when a hospital cannot stabilize within its capability or when a patient requests one; it does not measure transfers or establish routine outpatient referral performance.

Source context or anchor

an appropriate transfer should be implemented

Material reference: material:370f78303ed1ca49acaeca95
Pipeline stage: Country-Evidence-Improvement-Sources
Evidence mode: Formal
Publication date: 2026
Institution: Centers for Medicare & Medicaid Services
Document type: Not Supplied
Territory: United States Medicare-participating hospitals with emergency departments; statutory and CMS description scope
Period: Agency EMTALA description retrieved 2026-08-22
Source layers: Official
Coverage domains: Governance and accountability, Government responsibilities, Hospital organization, Observed referral, Patient flows, Referral design
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Description: EMTALA overview, statutory-obligations paragraph.
Detected Media Type: text/html
Response Sha256: effd56be18b6accc5aad249a4c892dc4760f14363a750c542ab938647d69452d

Annotation prompts and machine flags

Do not equate emergency-transfer obligations with patient-level completion, continuity, emergency capacity, or all-provider referral practice.

Source links

Open Url

Country Improvement Source Lead · Open for annotation

Health Insurance Coverage in the United States: 2024

U.S. Census Bureau. Health Insurance Coverage in the United States: 2024. 2025. https://www.census.gov/library/publications/2025/demo/p60-288.html

Statement or annotation question

The Census Bureau describes this publication as health-insurance coverage statistics based on the Current Population Survey Annual Social and Economic Supplement. It is a population-survey coverage source, not a provider ownership inventory, a contract record, a referral database, or a causal reform evaluation.

Source context or anchor

health insurance coverage in the United States

Material reference: material:423ddd3d1e07bf3010e102e0
Pipeline stage: Country-Evidence-Improvement-Sources
Evidence mode: Observed
Publication date: 2025
Institution: U.S. Census Bureau
Document type: Not Supplied
Territory: United States civilian noninstitutional population represented by the CPS ASEC
Period: Health-insurance coverage in 2024, using 2025 CPS ASEC information
Source layers: Official
Coverage domains: Actors, Authoritative review, Government responsibilities, Market structure, Utilization
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Description: Publication title and report-description paragraph.
Detected Media Type: text/html
Response Sha256: fffe02f79eecc9ca9c2209d2759797678c48bad14ac334929c30d4c200127410

Annotation prompts and machine flags

Preserve the CPS ASEC population-survey scope and do not infer provider use, network adequacy, or individual insurance transitions.

Source links

Country Improvement Source Lead · Open for annotation

Managed Care

Medicaid.gov. Managed Care. Retrieved 2026-08-22. https://www.medicaid.gov/medicaid/managed-care/index.html

Statement or annotation question

CMS's Medicaid managed-care page is a federal programme-resource landing page that includes state technical-assistance and managed-care review material. It does not identify a single national managed-care contract, ownership pattern, provider network, or enrollee pathway.

Source context or anchor

Managed Care Review

Material reference: material:a7fffd31c3db398a5488bcc0
Pipeline stage: Country-Evidence-Improvement-Sources
Evidence mode: Reported
Publication date: 2026
Institution: Centers for Medicare & Medicaid Services
Document type: Not Supplied
Territory: United States Medicaid programme; state implementation context
Period: Agency resource page retrieved 2026-08-22
Source layers: Official
Coverage domains: Actors, Decision rights, Governance and accountability, Government responsibilities, Market structure, Provider networks, Provider ownership
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Description: Page title; Resources for States and Medicaid State Technical Assistance navigation.
Detected Media Type: text/html
Response Sha256: 029a87e6d57241885d8fa92719afe3a0b9cd7d3292ec04a04e3f296b9d21d9f7

Annotation prompts and machine flags

Treat this as a federal resource index, not evidence of a common state contracting or network arrangement.

Source links

Open Url

Country Improvement Source Lead · Open for annotation

Physician Fee Schedule

Centers for Medicare & Medicaid Services. Physician Fee Schedule. Retrieved 2026-08-22. https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched

Statement or annotation question

CMS's Physician Fee Schedule page provides fee-schedule and care-management programme resources, including material for a proposed CY 2027 rule. The page does not classify the autonomy of primary-care practices or hospitals, or describe Medicaid, commercial, or all-professional payment arrangements.

Source context or anchor

Physician Fee Schedule

Material reference: material:822bf953e07e1deba71c6a83
Pipeline stage: Country-Evidence-Improvement-Sources
Evidence mode: Reported
Publication date: 2026
Institution: Centers for Medicare & Medicaid Services
Document type: Not Supplied
Territory: United States Medicare physician and other professional service payment context
Period: CMS programme page retrieved 2026-08-22; page includes CY 2027 proposed-rule material
Source layers: Official
Coverage domains: Actors, Provider autonomy, Decision rights, Government responsibilities, Market structure, Primary care organization
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Description: Physician Fee Schedule page, title and care-management resource paragraph.
Detected Media Type: text/html
Response Sha256: 82c0b908ba1148319a6c18384440c1a2ce73b095d96c69ed01c7fa8582667068

Annotation prompts and machine flags

Do not convert a CMS payment-resource page into a provider-autonomy, primary-care attachment, or all-payer market classification.

Source links

Open Url

Country Improvement Source Lead · Open for annotation

Program History and Prior Initiatives

Medicaid.gov. Program History and Prior Initiatives. Retrieved 2026-08-22. https://www.medicaid.gov/about-us/program-history/index.html

Statement or annotation question

CMS's Medicaid programme-history page is an agency description of the programme's historical development. It is suitable for a high-level federal and state programme context, but it does not supply a current, state-by-state operational map or provider-performance measure.

Source context or anchor

Program History and Prior Initiatives

Material reference: material:cef5d680c3b8b678b9b57090
Pipeline stage: Country-Evidence-Improvement-Sources
Evidence mode: Reported
Publication date: 2026
Institution: Centers for Medicare & Medicaid Services
Document type: Not Supplied
Territory: United States; federal Medicaid programme history with state participation
Period: Historical programme description retrieved 2026-08-22
Source layers: Official
Coverage domains: Actors, Authoritative review, Decision rights, Governance and accountability, Government responsibilities, Reform history
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Description: Page title and historical programme narrative.
Detected Media Type: text/html
Response Sha256: 5500ce63e6f9bc54b9a807b3d9606a6c32adac6dabab3ca46b90acaee58b7e22

Annotation prompts and machine flags

Do not infer a uniform current Medicaid organisation, state benefit, or provider arrangement from this historical agency page.

Source links

Open Url

Country Improvement Source Lead · Open for annotation

The United States Health Care System is Sick: From Adam Smith to Overspecialization

Anderlini D. The United States Health Care System is Sick: From Adam Smith to Overspecialization. Cureus. 2018;10(5):e2720. https://www.ebi.ac.uk/europepmc/webservices/rest/PMC6067811/fullTextXML

Statement or annotation question

This 2018 narrative review discusses fragmentation, the family-doctor role and specialization in United States health care. It is contextual review literature, not a current nationally representative measure, a legal authority, or evidence that a particular current delivery model operates nationwide.

Source context or anchor

The failure of the US health care system

Material reference: material:d9d559fdc00e82d79dbd86f4
Pipeline stage: Country-Evidence-Improvement-Sources
Evidence mode: Reported
Publication date: 2018
Institution: Cureus; Europe PMC open-access full-text service
Document type: Not Supplied
Territory: United States; narrative review discussion
Period: Review published 2018
Source layers: Review Literature
Coverage domains: Authoritative review, Market structure, Provider networks, Patient flows, Primary care organization, Reform history
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Description: Abstract and Review section.
Detected Media Type: application/xml
Response Sha256: 85bfa70187b23a4bd5c54397d76aa2bd016e6e8f33640fc48897f25253a854a0

Annotation prompts and machine flags

Use only as dated contextual review literature and do not turn its narrative interpretation into a current performance or causal claim.

Source links

Open Url

Displayed source-linked statement · Open for annotation

A Medicaid managed-care organization must give the state and Secretary assurances about service capacity and the number, mix, and geographic distribution of providers.

Material reference: display-evidence:USA:0116cf6dc8c9d57488e7
Pipeline stage: Current-Public-Fact-Projection
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Candidate Fact
Territory: Federal
Period: Same
Source layers: Country Source Locator
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Direct Text Checkable: False
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396u-2(b)(5)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

An assurance is not observed proof of network adequacy.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Displayed source-linked statement · Open for annotation

A Medicaid state plan must designate or establish a single state agency to administer or supervise its administration.

Material reference: display-evidence:USA:ac105770cb403e21e4aa
Pipeline stage: Current-Public-Fact-Projection
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Candidate Fact
Territory: Federal
Period: Same
Source layers: Country Source Locator
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Direct Text Checkable: False
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(5)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Acquire California's current approved page, statute, organization, and delegation instruments.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Displayed source-linked statement · Open for annotation

A Medicaid state plan must operate in all political subdivisions of the state and be mandatory on them if they administer it.

Material reference: display-evidence:USA:c020f609a495630b7d4e
Pipeline stage: Current-Public-Fact-Projection
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Candidate Fact
Territory: Federal
Period: 2024 annual edition
Source layers: Country Source Locator
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Direct Text Checkable: False
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(1)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Verify later law and the selected state's administrative structure.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Displayed source-linked statement · Open for annotation

A Medicare Advantage plan cannot be elected or paid without a federal contract with its organization under section 1395w-27.

Material reference: display-evidence:USA:d464ab55dd0e02c89793
Pipeline stage: Current-Public-Fact-Projection
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Candidate Fact
Territory: Federal
Period: Same
Source layers: Country Source Locator
Coverage domains: Legal Authority, Provider Contracting, Provider Organization
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Direct Text Checkable: False
Description: USA-USCODE-2024-T42-XVIII, 42 USC 1395w-27(a)
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Acquire the current contract, plan benefit package, service area, network, and effective period.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Displayed source-linked statement · Open for annotation

A Medicare Advantage plan is linked to a geographic service area and enrollment generally depends on residence in that area.

Material reference: display-evidence:USA:12d70058a255ac450271
Pipeline stage: Current-Public-Fact-Projection
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Candidate Fact
Territory: Federal
Period: Same
Source layers: Country Source Locator
Coverage domains: Legal Authority, Provider Contracting, Provider Organization
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Direct Text Checkable: False
Description: USA-USCODE-2024-T42-XVIII, 42 USC 1395w-21(b)(1)
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Acquire current plan service-area data and exceptions.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Displayed source-linked statement · Open for annotation

A state contracting with Medicaid managed-care organizations must implement a quality assessment and improvement strategy, while the Secretary sets standards and monitors implementation.

Material reference: display-evidence:USA:20f5de358a3c91b04887
Pipeline stage: Current-Public-Fact-Projection
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Candidate Fact
Territory: Federal
Period: Same
Source layers: Country Source Locator
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Direct Text Checkable: False
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396u-2(c)(1)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Acquire current 42 CFR Part 438 rules, California strategy, external review, and findings.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Displayed source-linked statement · Open for annotation

A state health or other appropriate medical agency has specified responsibility for health standards for institutions where Medicaid recipients may receive care.

Material reference: display-evidence:USA:9d13a97bafb42854e358
Pipeline stage: Current-Public-Fact-Projection
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Candidate Fact
Territory: Federal
Period: Same
Source layers: Country Source Locator
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Direct Text Checkable: False
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(9)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Separate Medicaid participation standards from state facility licensing.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Displayed source-linked statement · Open for annotation

A state may require eligible people to enroll with a managed-care entity when the entity, state contract, and statutory safeguards meet the applicable requirements.

Material reference: display-evidence:USA:da7cc25d5559282cea59
Pipeline stage: Current-Public-Fact-Projection
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Candidate Fact
Territory: Federal
Period: Same
Source layers: Country Source Locator
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Direct Text Checkable: False
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396u-2(a)(1)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Verify population, state authority, waiver, contract, service area, and effective period.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Displayed source-linked statement · Open for annotation

An eligible person may elect original Medicare or an available Medicare Advantage plan under the statutory conditions.

Material reference: display-evidence:USA:4ad059ca94f7948127a4
Pipeline stage: Current-Public-Fact-Projection
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Candidate Fact
Territory: Federal
Period: Same
Source layers: Country Source Locator
Coverage domains: Legal Authority, Provider Contracting, Provider Organization
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Direct Text Checkable: False
Description: USA-USCODE-2024-T42-XVIII, 42 USC 1395w-21(a)
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Verify current terminology, eligibility, plan availability, and regulations.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Displayed source-linked statement · Open for annotation

CMS metadata describes Hospital General Information as a list of hospitals registered with Medicare and reports a 13 May 2026 release.

Material reference: display-evidence:USA:01635e18bb2766bab299
Pipeline stage: Current-Public-Fact-Projection
Evidence mode: Reported
Publication date: not supplied
Institution: not supplied
Document type: Candidate Fact
Territory: Federal
Period: Metadata released 2026-05-13
Source layers: Country Source Locator
Coverage domains: Hospital organization
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Direct Text Checkable: False
Description: USA-CMS-HOSPITAL-METADATA, dataset xubh-q36u
Detected Media Type: application/json
Response Sha256: 31eea397b8bfe8207168cefda23256eb9cb3d5e49158d221eda8465a2d8e5f8c

Annotation prompts and machine flags

Acquire dataset methodology, update policy, and registration-status semantics.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Displayed source-linked statement · Open for annotation

Except where Title XVIII provides otherwise, the HHS Secretary administers Medicare and may perform functions directly or by contract.

Material reference: display-evidence:USA:6d49b11cae931c2f2d54
Pipeline stage: Current-Public-Fact-Projection
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Candidate Fact
Territory: Federal
Period: 2024 annual edition
Source layers: Country Source Locator
Coverage domains: Legal Authority, Provider Contracting, Provider Organization
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Direct Text Checkable: False
Description: USA-USCODE-2024-T42-XVIII, 42 USC 1395kk(a)
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Verify later law and current internal delegation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Displayed source-linked statement · Open for annotation

Federal Medicaid payments are made to states with approved plans according to statutory matching and administrative formulas.

Material reference: display-evidence:USA:1613af5bac5cf27c64b1
Pipeline stage: Current-Public-Fact-Projection
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Candidate Fact
Territory: Federal
Period: Same
Source layers: Country Source Locator
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Direct Text Checkable: False
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396b(a)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Acquire current federal matching rates, state expenditures, and reconciliation records.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Displayed source-linked statement · Open for annotation

For the section 1396u-2 framework, a managed-care entity is a Medicaid managed-care organization or primary care case manager meeting the incorporated definitions.

Material reference: display-evidence:USA:e60b4458e28e52db37fb
Pipeline stage: Current-Public-Fact-Projection
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Candidate Fact
Territory: Federal
Period: Same
Source layers: Country Source Locator
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Direct Text Checkable: False
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396u-2(a)(1)(B)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Preserve organization, plan product, subcontractor, network, and provider as distinct entities.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Displayed source-linked statement · Open for annotation

Medicaid provider choice is a state-plan requirement subject to express managed-care, waiver, program, provider, and territorial exceptions.

Material reference: display-evidence:USA:f90152e5ca811ebfd275
Pipeline stage: Current-Public-Fact-Projection
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Candidate Fact
Territory: Federal
Period: Same
Source layers: Country Source Locator
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Direct Text Checkable: False
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(23)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Never label a population free-choice or managed-care without its state authority and enrollment category.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Displayed source-linked statement · Open for annotation

Medicare provider participation and payment eligibility depend on filing an agreement with the Secretary containing statutory commitments.

Material reference: display-evidence:USA:20b599851b17cabd634d
Pipeline stage: Current-Public-Fact-Projection
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Candidate Fact
Territory: Federal
Period: Same
Source layers: Country Source Locator
Coverage domains: Legal Authority, Provider Contracting, Provider Organization
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Direct Text Checkable: False
Description: USA-USCODE-2024-T42-XVIII, 42 USC 1395cc(a)(1)
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Map provider type, agreement status, enrollment, certification, and sanctions separately.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Displayed source-linked statement · Open for annotation

State payment and utilization methods must address efficiency, economy, quality, and sufficient provider participation for geographic access under the statutory standard.

Material reference: display-evidence:USA:4f7bb9e198ca2177299b
Pipeline stage: Current-Public-Fact-Projection
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Candidate Fact
Territory: Federal
Period: Same
Source layers: Country Source Locator
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Direct Text Checkable: False
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(30)(A)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Payment belongs in the Payment knob; observed access requires current data and litigation or compliance review.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Displayed source-linked statement · Open for annotation

The 2024 edition carries an amendment note making specified public network-provider directory duties effective on 1 July 2025.

Material reference: display-evidence:USA:dacb936e28494d2e046d
Pipeline stage: Current-Public-Fact-Projection
Evidence mode: Reported
Publication date: not supplied
Institution: not supplied
Document type: Candidate Fact
Territory: Federal
Period: Effective-date note in 2024 edition
Source layers: Country Source Locator
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Direct Text Checkable: False
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396u-2 amendment of subsection (a)(5)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Verify current incorporated text, later amendments, federal rules, and state implementation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Displayed source-linked statement · Open for annotation

The Secretary has statutory authority to terminate a Medicare Advantage organization contract under specified conditions.

Material reference: display-evidence:USA:90e17b7b193fd19023fc
Pipeline stage: Current-Public-Fact-Projection
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Candidate Fact
Territory: Federal
Period: Same
Source layers: Country Source Locator
Coverage domains: Legal Authority, Provider Contracting, Provider Organization
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Direct Text Checkable: False
Description: USA-USCODE-2024-T42-XVIII, 42 USC 1395w-27(c)(2)
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Review notice, appeal, regulation, and current enforcement records.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Displayed source-linked statement · Open for annotation

The Secretary may contract with eligible entities as Medicare administrative contractors for specified payment, provider-service, and beneficiary-service functions.

Material reference: display-evidence:USA:e19a6d22fdf9aac17b5b
Pipeline stage: Current-Public-Fact-Projection
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Candidate Fact
Territory: Federal
Period: Same
Source layers: Country Source Locator
Coverage domains: Legal Authority, Provider Contracting, Provider Organization
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Direct Text Checkable: False
Description: USA-USCODE-2024-T42-XVIII, 42 USC 1395kk-1(a)(1) to (4)
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Acquire current contract jurisdictions, awards, functions, and subcontractors.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Displayed source-linked statement · Open for annotation

The Secretary must enter qualifying agreements to use willing state or local agencies for specified Medicare provider survey and certification functions.

Material reference: display-evidence:USA:b23f0aedc5cd915a056e
Pipeline stage: Current-Public-Fact-Projection
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Candidate Fact
Territory: Federal
Period: Same
Source layers: Country Source Locator
Coverage domains: Legal Authority, Provider Contracting, Provider Organization
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Direct Text Checkable: False
Description: USA-USCODE-2024-T42-XVIII, 42 USC 1395aa(a)
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Review provider-type scope, accreditation alternatives, and current agreements.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Displayed source-linked statement · Open for annotation

The dataset exposes facility name, address, hospital type, a reported hospital-ownership category, emergency-services status, and selected measures.

Material reference: display-evidence:USA:e4d473966af739edc440
Pipeline stage: Current-Public-Fact-Projection
Evidence mode: Reported
Publication date: not supplied
Institution: not supplied
Document type: Candidate Fact
Territory: Federal
Period: April and May 2026 files
Source layers: Country Source Locator
Coverage domains: Facility Organization, Hospital organization, Ownership Boundary
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Direct Text Checkable: False
Description: USA-CMS-HOSPITAL-CSV-2026-05-13, Same CSV header and dictionary Hospital General Information table
Detected Media Type: text/html
Response Sha256: 11612c367d9de8eaa47ad3b9cda178477e7fc9e12a30113d0e52b3eb029a7ab2

Annotation prompts and machine flags

Validate null codes, category definitions, temporal meaning, and change history.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Displayed source-linked statement · Open for annotation

The federal managed-care framework generally requires a choice of at least two qualifying entities, subject to stated rural and other rules.

Material reference: display-evidence:USA:e5060d77853a9f2aa739
Pipeline stage: Current-Public-Fact-Projection
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Candidate Fact
Territory: Federal
Period: Same
Source layers: Country Source Locator
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Direct Text Checkable: False
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396u-2(a)(3)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Verify current exceptions and California county model.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Displayed source-linked statement · Open for annotation

The frozen CSV contains 5,432 rows and 5,432 unique six-character facility IDs.

The frozen CSV contains 5,432 rows and 5,432 unique six-character facility IDs.. https://data.cms.gov/provider-data/dataset/xubh-q36u

Material reference: display-evidence:USA:e056e8d3bf523ba9621e
Pipeline stage: Current-Public-Fact-Projection
Evidence mode: Observed
Publication date: not supplied
Institution: not supplied
Document type: Candidate Fact
Territory: Federal
Period: Frozen 2026-05-13 distribution
Source layers: Country Source Locator
Coverage domains: Facility Organization, Hospital organization, Ownership Boundary
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Direct Text Checkable: False
Description: USA-CMS-HOSPITAL-CSV-2026-05-13, full-file row and first-field derivation
Detected Media Type: text/html
Response Sha256: 11612c367d9de8eaa47ad3b9cda178477e7fc9e12a30113d0e52b3eb029a7ab2

Annotation prompts and machine flags

Store script, hash, exclusions, and leading-zero preservation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Displayed source-linked statement · Open for annotation

The state agency must make reports required by the Secretary and comply with provisions needed to verify them.

Material reference: display-evidence:USA:2094518dd631a471d027
Pipeline stage: Current-Public-Fact-Projection
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Candidate Fact
Territory: Federal
Period: Same
Source layers: Country Source Locator
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Direct Text Checkable: False
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(6)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Acquire current reporting regulations and California submissions.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Displayed source-linked statement · Open for annotation

The state or designated licensing or survey agency determines institutional participation under the state plan, subject to the Secretary's validation and binding determination authority.

Material reference: display-evidence:USA:aa61c4a9eb9d046cf788
Pipeline stage: Current-Public-Fact-Projection
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Candidate Fact
Territory: Federal
Period: Same
Source layers: Country Source Locator
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Direct Text Checkable: False
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(33)(B)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Map the selected state's agency split and current survey agreements.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Displayed source-linked statement · Open for annotation

The state plan must describe plan personnel, institutional standards, interagency cooperation, and quality-assurance methods.

Material reference: display-evidence:USA:d6c79bb2ceaf5fb99153
Pipeline stage: Current-Public-Fact-Projection
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Candidate Fact
Territory: Federal
Period: Same
Source layers: Country Source Locator
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Direct Text Checkable: False
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(22)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Acquire the selected state's approved state-plan pages and amendments.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Displayed source projection · Open for annotation

Cost, Quality, and Utilization After Hospital-Physician and Hospital-Post Acute Care Vertical Integration: A Systematic Review

Harris A, Philbin S, Post B, Jordan N, Beestrum M, Epstein R et al. Cost, Quality, and Utilization After Hospital-Physician and Hospital-Post Acute Care Vertical Integration: A Systematic Review. Medical care research and review : MCRR. 2025. doi:10.1177/10775587241247682.

Material reference: candidate-source:USA:60ba2e9888f1d0c1352e
Pipeline stage: Current-Public-Source-Projection
Evidence mode: Not classified
Publication date: 2025
Institution: not supplied
Document type: Candidate Source Metadata
Territory: not supplied
Period: Not supplied
Source layers: Candidate Source Metadata, Review Literature
Coverage domains: Authoritative review, Hospital organization, Market structure, Provider networks, Provider ownership
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Detected Media Type: text/xml
Response Sha256: cebcf15e36788c139ea43dd4a4c2135a7d0c2c8c423f43accca428aed64f42b8

Annotation prompts and machine flags

Public source projection retained as a distinct stage record.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Url

Displayed source projection · Open for annotation

Reforming health social security : proceedings of an international seminar sponsored by the Global Security Institute, Keio University, and the World Bank, June 27-29, 2005, Tokyo, Japan : Reforming health social security : proceedings of an international seminar

Material reference: candidate-source:USA:5f99458df3635fed8414
Pipeline stage: Current-Public-Source-Projection
Evidence mode: Not classified
Publication date: 2005
Institution: not supplied
Document type: Candidate Corpus Source
Territory: not supplied
Period: Not supplied
Source layers: Candidate Corpus Page Locator, Grey Literature
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Physical Pdf Page: 7
Source Word Anchor: the form of specific contract provisions for providers In contrast in Canada
File Sha256: 76b9063b46ff55b0f06104d324f3e83b532ac12eb5a32a3853815d9ff659866e
Text Sha256: e0a37c34520ff10e918d1487647e0db69bc746f5f2f514135f8957ddacd4633d

Annotation prompts and machine flags

Public source projection retained as a distinct stage record.

Source links

Open Url

Displayed source projection · Open for annotation

The First Decade of ACO Model Evaluations in the Medicare Program: A Systematic Review

Nyweide DJ. The First Decade of ACO Model Evaluations in the Medicare Program: A Systematic Review. Medical care research and review : MCRR. 2026. doi:10.1177/10775587251325914.

Material reference: candidate-source:USA:f3439bc36e3db605529e
Pipeline stage: Current-Public-Source-Projection
Evidence mode: Not classified
Publication date: 2026
Institution: not supplied
Document type: Candidate Source Metadata
Territory: not supplied
Period: Not supplied
Source layers: Candidate Source Metadata, Review Literature
Coverage domains: Authoritative review, Hospital organization, Provider networks, Reform history
Current display status: Shown in full and open for annotation
Previous Visibility: Previously projected
Source Version Linked From Country Score Acquisition: True
Detected Media Type: text/xml
Response Sha256: cf07f21d89e27823881e6eca72f68609f014718545baecb52313d80821182548

Annotation prompts and machine flags

Public source projection retained as a distinct stage record.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Url

Evidence Gap Record · Open for annotation

Acquire California's current approved page, statute, organization, and delegation instruments.

Acquire California's current approved page, statute, organization, and delegation instruments.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:ebb4c4c12c87a438c1a63a83
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Queued
Description: Same source, 42 USC 1396a(a)(5) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Evidence Gap Record · Open for annotation

Acquire current 42 CFR Part 438 rules, California strategy, external review, and findings.

Acquire current 42 CFR Part 438 rules, California strategy, external review, and findings.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:713650fa3c57ad7162aaaceb
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Queued
Description: Same source, 42 USC 1396u-2(c)(1) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Evidence Gap Record · Open for annotation

Acquire current contract jurisdictions, awards, functions, and subcontractors.

Acquire current contract jurisdictions, awards, functions, and subcontractors.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf

Material reference: material:cf7abe2b65b4932ecd813995
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Queued
Description: Same source, 42 USC 1395kk-1(a)(1) to (4) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Evidence Gap Record · Open for annotation

Acquire current federal matching rates, state expenditures, and reconciliation records.

Acquire current federal matching rates, state expenditures, and reconciliation records.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:51d7e02e49bfb926cc4e9754
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Queued
Description: Same source, 42 USC 1396b(a) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Evidence Gap Record · Open for annotation

Acquire current plan service-area data and exceptions.

Acquire current plan service-area data and exceptions.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf

Material reference: material:1e19fbdc8471f1a5adc4818e
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Queued
Description: Same source, 42 USC 1395w-21(b)(1) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Evidence Gap Record · Open for annotation

Acquire current reporting regulations and California submissions.

Acquire current reporting regulations and California submissions.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:4e655e442e9399bc916479b8
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Queued
Description: Same source, 42 USC 1396a(a)(6) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Evidence Gap Record · Open for annotation

Acquire dataset methodology, update policy, and registration-status semantics.

Acquire dataset methodology, update policy, and registration-status semantics.. https://data.cms.gov/provider-data/api/1/metastore/schemas/dataset/items/xubh-q36u

Material reference: material:b46e854d99ae2f4a91e70167
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Queued
Description: USA-CMS-HOSPITAL-METADATA, dataset xubh-q36u | Public authoritative source: https://data.cms.gov/provider-data/api/1/metastore/schemas/dataset/items/xubh-q36u
Detected Media Type: application/json
Response Sha256: 31eea397b8bfe8207168cefda23256eb9cb3d5e49158d221eda8465a2d8e5f8c

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Evidence Gap Record · Open for annotation

Acquire the current contract, plan benefit package, service area, network, and effective period.

Acquire the current contract, plan benefit package, service area, network, and effective period.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf

Material reference: material:136044ee945cce98cff24805
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Queued
Description: Same source, 42 USC 1395w-27(a) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Evidence Gap Record · Open for annotation

Acquire the selected state's approved state-plan pages and amendments.

Acquire the selected state's approved state-plan pages and amendments.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:02ae4f578f61928e4fcbafd2
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Queued
Description: Same source, 42 USC 1396a(a)(22) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Evidence Gap Record · Open for annotation

An assurance is not observed proof of network adequacy.

An assurance is not observed proof of network adequacy.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:6217c53e237242f6b7ff69c1
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Queued
Description: Same source, 42 USC 1396u-2(b)(5) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Evidence Gap Record · Open for annotation

Check all later public laws, current Compilation pages, regulations, and effective dates.

Material reference: material:2fbd18054a481b2c48d26a85
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Status: Queued

No external source URL was supplied for this material record.

Evidence Gap Record · Open for annotation

Join authoritative corporate, license, enrollment, ownership, contract, and site sources.

Material reference: material:6d97c305c00b3861041681e2
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Status: Queued

No external source URL was supplied for this material record.

Evidence Gap Record · Open for annotation

Map provider type, agreement status, enrollment, certification, and sanctions separately.

Map provider type, agreement status, enrollment, certification, and sanctions separately.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf

Material reference: material:e65218f4deaf9d9c2735d13a
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Queued
Description: Same source, 42 USC 1395cc(a)(1) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Evidence Gap Record · Open for annotation

Map the selected state's agency split and current survey agreements.

Map the selected state's agency split and current survey agreements.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:cf0172186b226e1b230de730
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Queued
Description: Same source, 42 USC 1396a(a)(33)(B) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Evidence Gap Record · Open for annotation

Never label a population free-choice or managed-care without its state authority and enrollment category.

Never label a population free-choice or managed-care without its state authority and enrollment category.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:c2568e68f3980b696f417ac7
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Queued
Description: Same source, 42 USC 1396a(a)(23) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Evidence Gap Record · Open for annotation

Payment belongs in the Payment knob; observed access requires current data and litigation or compliance review.

Payment belongs in the Payment knob; observed access requires current data and litigation or compliance review.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:99ff283fb7ce45c7b3e37ac4
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Queued
Description: Same source, 42 USC 1396a(a)(30)(A) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Evidence Gap Record · Open for annotation

Preserve organization, plan product, subcontractor, network, and provider as distinct entities.

Preserve organization, plan product, subcontractor, network, and provider as distinct entities.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:4d048b7952e3dc0a7a3dfbdd
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Queued
Description: Same source, 42 USC 1396u-2(a)(1)(B) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Evidence Gap Record · Open for annotation

Review notice, appeal, regulation, and current enforcement records.

Review notice, appeal, regulation, and current enforcement records.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf

Material reference: material:a53084fa8849907db997c433
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Queued
Description: Same source, 42 USC 1395w-27(c)(2) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Evidence Gap Record · Open for annotation

Review provider-type scope, accreditation alternatives, and current agreements.

Review provider-type scope, accreditation alternatives, and current agreements.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf

Material reference: material:f7410db1279e8bfb5424363d
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Queued
Description: Same source, 42 USC 1395aa(a) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Evidence Gap Record · Open for annotation

Separate Medicaid participation standards from state facility licensing.

Separate Medicaid participation standards from state facility licensing.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:00646714411ad95f593db688
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Queued
Description: Same source, 42 USC 1396a(a)(9) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Evidence Gap Record · Open for annotation

Store script, hash, exclusions, and leading-zero preservation.

Store script, hash, exclusions, and leading-zero preservation.. https://data.cms.gov/provider-data/dataset/xubh-q36u

Material reference: material:17a059dd24107a6857399493
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Queued
Description: USA-CMS-HOSPITAL-CSV-2026-05-13, full-file row and first-field derivation | Public authoritative source: https://data.cms.gov/provider-data/dataset/xubh-q36u
Detected Media Type: text/html
Response Sha256: 11612c367d9de8eaa47ad3b9cda178477e7fc9e12a30113d0e52b3eb029a7ab2

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Evidence Gap Record · Open for annotation

Validate null codes, category definitions, temporal meaning, and change history.

Validate null codes, category definitions, temporal meaning, and change history.. https://data.cms.gov/provider-data/sites/default/files/data_dictionaries/hospital/HOSPITAL_Data_Dictionary.pdf

Material reference: material:730ad2ac0d26cefe4e82578e
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Status: Queued
Description: Same CSV header and dictionary Hospital General Information table | Public authoritative source: https://data.cms.gov/provider-data/sites/default/files/data_dictionaries/hospital/HOSPITAL_Data_Dictionary.pdf

Source links

Open Embedded Source Url

Evidence Gap Record · Open for annotation

Verify current exceptions and California county model.

Verify current exceptions and California county model.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:21e4efedb8bd767f042cdd28
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Queued
Description: Same source, 42 USC 1396u-2(a)(3) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Evidence Gap Record · Open for annotation

Verify current incorporated text, later amendments, federal rules, and state implementation.

Verify current incorporated text, later amendments, federal rules, and state implementation.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:d47ac67010fbc020d3a8a0ff
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Queued
Description: Same source, 42 USC 1396u-2 amendment of subsection (a)(5) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Evidence Gap Record · Open for annotation

Verify current terminology, eligibility, plan availability, and regulations.

Verify current terminology, eligibility, plan availability, and regulations.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf

Material reference: material:bcc491447b8d3bd09764987a
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Queued
Description: Same source, 42 USC 1395w-21(a) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Evidence Gap Record · Open for annotation

Verify later law and current internal delegation.

Verify later law and current internal delegation.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf

Material reference: material:08644db02ea9dab825c8808d
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Queued
Description: USA-USCODE-2024-T42-XVIII, 42 USC 1395kk(a) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Evidence Gap Record · Open for annotation

Verify later law and the selected state's administrative structure.

Verify later law and the selected state's administrative structure.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:8b609bf6f5e959fd028b9bea
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Queued
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(1) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Evidence Gap Record · Open for annotation

Verify population, state authority, waiver, contract, service area, and effective period.

Verify population, state authority, waiver, contract, service area, and effective period.. https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:fcdb4db2400d5a99499bf7c4
Pipeline stage: Discovery-Tasks
Evidence mode: Not classified
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Not supplied
Source layers: Not supplied
Coverage domains: Claim Review
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously not projected
Source Version Linked From Country Score Acquisition: True
Status: Queued
Description: Same source, 42 USC 1396u-2(a)(1) | Public authoritative source: https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Embedded Source Url

Library document candidate · Open for annotation

Development committee closing press conference by Jim Yong Kim, Christine Lagarde, and Marek Belka

Development committee closing press conference by Jim Yong Kim, Christine Lagarde, and Marek Belka. 2013. https://documents.worldbank.org/curated/en/951141468190443680

Material reference: material:64740fb6af8c24ba97ed693d
Pipeline stage: Global-Health-Systems-Library
Evidence mode: Not classified
Publication date: 2013-10-12
Institution: World Bank Documents and Reports
Document type: Unknown
Territory: national
Period: Not supplied
Source layers: Global Literature
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Evidence Work Review State: Auto
Machine Screening State: Organization tag candidate
Organization Tag Confidence: 0.85
Page Locator Linked From Country Score Acquisition: True
Previous Visibility: Previously not projected unless selected
Source Version Linked From Country Score Acquisition: True
Download Status: Availability or relevance uncertain
Downloaded: False
Extracted: False
Paragraph Index On Page: 1
Physical Pdf Page: 10
Source Word Anchor: the sign of improving health of the global economy or improving health
Source Word Count: 12
Detected Media Type: application/pdf
Page Count: 11
Response Sha256: 8cb8b7096a3ece17c6b1c733831d252e21193e8e8f6b755206880a64f29d5ba4

Annotation prompts and machine flags

Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.
A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Library document candidate · Open for annotation

Media teleconference on carbon pricing with World Bank Group President Jim Yong Kim and Vice President and special envoy for climate change Rachel Kyte

Media teleconference on carbon pricing with World Bank Group President Jim Yong Kim and Vice President and special envoy for climate change Rachel Kyte. 2014. https://documents.worldbank.org/curated/en/896771468190445338

Material reference: material:f6539f29dd60ae1388966eeb
Pipeline stage: Global-Health-Systems-Library
Evidence mode: Not classified
Publication date: 2014-09-22
Institution: World Bank Documents and Reports
Document type: Unknown
Territory: national
Period: Not supplied
Source layers: Global Literature
Coverage domains: Not classified
Current display status: Shown in full and open for annotation
Evidence Work Review State: Auto
Machine Screening State: Organization tag candidate
Organization Tag Confidence: 0.85
Previous Visibility: Previously not projected unless selected
Source Version Linked From Country Score Acquisition: True
Download Status: Availability or relevance uncertain
Downloaded: False
Extracted: False
Detected Media Type: application/pdf
Page Count: 5
Response Sha256: 370400b1d8ad0ddc0cbd4be5495c40a8aa7076c3863f24495483510507c42043

Annotation prompts and machine flags

Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Library document candidate · Open for annotation

Participation, choice, and accountability in local government : LAC and the U.S.

Participation, choice, and accountability in local government : LAC and the U.S.. 1993. https://search.worldbank.org/api/v3/wds

Material reference: material:7d8c89f76242a1fd65d6b138
Pipeline stage: Global-Health-Systems-Library
Evidence mode: Not classified
Publication date: 1993-05-11
Institution: World Bank Documents and Reports
Document type: Working Paper
Territory: national
Period: Not supplied
Source layers: Global Literature
Coverage domains: Leadership Governance, Primary care organization, Service Delivery
Current display status: Shown in full and open for annotation
Evidence Work Review State: Auto
Machine Screening State: Organization tag candidate
Organization Tag Confidence: 0.85
Page Locator Linked From Country Score Acquisition: True
Previous Visibility: Previously not projected unless selected
Source Version Linked From Country Score Acquisition: True
Download Status: Availability or relevance uncertain
Downloaded: False
Extracted: False
Paragraph Index On Page: 1
Physical Pdf Page: 9
Source Word Anchor: candidates attention on children's health isues during mayoral campaign The program madeimproving
Source Word Count: 12
Detected Media Type: application/pdf
Page Count: 21
Response Sha256: f90320fbda0fb801db469f18e9962cd936f41673031d79b48c1a584b5c25b1e7

Annotation prompts and machine flags

Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.
A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Library document candidate · Open for annotation

Race, immigration, and the U.S. labor marke t: contrasting the outcomes of foreign born and native blacks

Race, immigration, and the U.S. labor marke t: contrasting the outcomes of foreign born and native blacks. 2008. https://documents.worldbank.org/curated/en/377561468318271894

Material reference: material:9b5fd0d0cb9bf88ad53fb081
Pipeline stage: Global-Health-Systems-Library
Evidence mode: Not classified
Publication date: 2008-10-01
Institution: World Bank Documents and Reports
Document type: National Health Policy
Territory: national
Period: Not supplied
Source layers: Global Literature
Coverage domains: Service Delivery
Current display status: Shown in full and open for annotation
Evidence Work Review State: Auto
Machine Screening State: Organization tag candidate
Organization Tag Confidence: 0.85
Previous Visibility: Previously not projected unless selected
Source Version Linked From Country Score Acquisition: True
Download Status: Availability or relevance uncertain
Downloaded: False
Extracted: False
Detected Media Type: application/pdf
Page Count: 40
Response Sha256: 1fedfcac5e2d572ed58c330e4781a0518e5a7ebe4ae759e191e4402c75045821

Annotation prompts and machine flags

Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Library document candidate · Open for annotation

Rethinking the World Bank's social insurance analysis

Rethinking the World Bank's social insurance analysis. 1994. https://documents.worldbank.org/curated/en/273911468761417027

Material reference: material:796c15b4c3436004b4d16376
Pipeline stage: Global-Health-Systems-Library
Evidence mode: Not classified
Publication date: 1994-06-30
Institution: World Bank Documents and Reports
Document type: Working Paper
Territory: national
Period: Not supplied
Source layers: Global Literature
Coverage domains: Health Financing, Pooling Insurance
Current display status: Shown in full and open for annotation
Evidence Work Review State: Auto
Machine Screening State: Organization tag candidate
Organization Tag Confidence: 0.85
Page Locator Linked From Country Score Acquisition: True
Previous Visibility: Previously not projected unless selected
Source Version Linked From Country Score Acquisition: True
Download Status: Availability or relevance uncertain
Downloaded: False
Extracted: False
Paragraph Index On Page: 1
Physical Pdf Page: 10
Source Word Anchor: by the government of health care services Assume these services are financed
Source Word Count: 12
Detected Media Type: application/pdf
Page Count: 34
Response Sha256: 728fcabec0b6cb80521d79104b297e86f512da23b045945ed36c9513573542b7

Annotation prompts and machine flags

Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.
A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Library document candidate · Open for annotation

The life insurance industry in the United States : an analysis of economic and regulatory issues

The life insurance industry in the United States : an analysis of economic and regulatory issues. 1992. https://search.worldbank.org/api/v3/wds

Material reference: material:6ae4cc185539cd4731f64b8b
Pipeline stage: Global-Health-Systems-Library
Evidence mode: Not classified
Publication date: 1992-02-29
Institution: World Bank Documents and Reports
Document type: National Health Policy
Territory: national
Period: Not supplied
Source layers: Global Literature
Coverage domains: Health Financing, Pooling Insurance
Current display status: Shown in full and open for annotation
Evidence Work Review State: Auto
Machine Screening State: Organization tag candidate
Organization Tag Confidence: 0.85
Page Locator Linked From Country Score Acquisition: True
Previous Visibility: Previously not projected unless selected
Source Version Linked From Country Score Acquisition: True
Download Status: Availability or relevance uncertain
Downloaded: False
Extracted: False
Paragraph Index On Page: 1
Physical Pdf Page: 12
Source Word Anchor: and annuities Reserves against health insurance operations however were less than 3
Source Word Count: 12
Detected Media Type: application/pdf
Page Count: 54
Response Sha256: fd0ecf304174c9dcbfcc5f7834dcf46f247d97c8d296946fe8f9f14c06b2ca66

Annotation prompts and machine flags

Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.
A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Review Literature Context · Open for annotation

Review Literature Context

Material reference: material:487e0e8cadf7772bef1e41bf
Pipeline stage: Global-Review-Evidence-Context
Evidence mode: Not classified
Publication date: 2025
Institution: not supplied
Document type: Not Supplied
Territory: not supplied
Period: Not supplied
Source layers: Not supplied
Coverage domains: Authoritative review, Hospital organization, Market structure, Provider networks, Provider ownership
Current display status: Shown in full and open for annotation
Context Status: Metadata only
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Detected Media Type: text/xml
Response Sha256: cebcf15e36788c139ea43dd4a4c2135a7d0c2c8c423f43accca428aed64f42b8

Annotation prompts and machine flags

Citation metadata identifies a country-scoped review lead, but no locally acquired full text was selected for an exact excerpt.
No country statement is created from title or bibliographic metadata alone.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Review Literature Context · Open for annotation

Review Literature Context

Nyweide DJ. The First Decade of ACO Model Evaluations in the Medicare Program: A Systematic Review. Medical care research and review : MCRR. 2026. doi:10.1177/10775587251325914.

Material reference: material:980d57a179c22eebfd5b256e
Pipeline stage: Global-Review-Evidence-Context
Evidence mode: Not classified
Publication date: 2026
Institution: not supplied
Document type: Not Supplied
Territory: not supplied
Period: Not supplied
Source layers: Not supplied
Coverage domains: Authoritative review, Hospital organization, Provider networks, Reform history
Current display status: Shown in full and open for annotation
Context Status: Metadata only
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Detected Media Type: text/xml
Response Sha256: cf07f21d89e27823881e6eca72f68609f014718545baecb52313d80821182548

Annotation prompts and machine flags

Citation metadata identifies a country-scoped review lead, but no locally acquired full text was selected for an exact excerpt.
No country statement is created from title or bibliographic metadata alone.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Review Literature Source Lead · Open for annotation

Cost, Quality, and Utilization After Hospital-Physician and Hospital-Post Acute Care Vertical Integration: A Systematic Review

Material reference: material:4c1c8fc71b97d29c8bbe9e19
Pipeline stage: Global-Review-Source-Leads
Evidence mode: Not classified
Publication date: 2025
Institution: Medical care research and review : MCRR
Document type: Systematic Review
Territory: not supplied
Period: Not supplied
Source layers: Not supplied
Coverage domains: Authoritative review, Hospital organization, Market structure, Provider networks, Provider ownership
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Metadata Only: True
Source Bytes Verified: False
Detected Media Type: text/xml
Response Sha256: cebcf15e36788c139ea43dd4a4c2135a7d0c2c8c423f43accca428aed64f42b8

Annotation prompts and machine flags

Discovery metadata only. Full-text retrieval, appraisal, and claim-level review remain required.
Review literature is not formal authority for jurisdictional rules.
Exact citation metadata is available in the curated PubMed snapshot.
US-focused synthesis of hospital-physician and hospital-post-acute integration.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Review Literature Source Lead · Open for annotation

The First Decade of ACO Model Evaluations in the Medicare Program: A Systematic Review

Nyweide DJ. The First Decade of ACO Model Evaluations in the Medicare Program: A Systematic Review. Medical care research and review : MCRR. 2026. doi:10.1177/10775587251325914.

Material reference: material:966ba5841708201787c9af03
Pipeline stage: Global-Review-Source-Leads
Evidence mode: Not classified
Publication date: 2026
Institution: Medical care research and review : MCRR
Document type: Systematic Review
Territory: not supplied
Period: Not supplied
Source layers: Not supplied
Coverage domains: Authoritative review, Hospital organization, Provider networks, Reform history
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Metadata Only: True
Source Bytes Verified: False
Detected Media Type: text/xml
Response Sha256: cf07f21d89e27823881e6eca72f68609f014718545baecb52313d80821182548

Annotation prompts and machine flags

Discovery metadata only. Full-text retrieval, appraisal, and claim-level review remain required.
Review literature is not formal authority for jurisdictional rules.
Exact citation metadata is available in the curated PubMed snapshot.
Recent synthesis of Medicare accountable-care organization models.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Source Lead · Open for annotation

Cost, Quality, and Utilization After Hospital-Physician and Hospital-Post Acute Care Vertical Integration: A Systematic Review

Cost, Quality, and Utilization After Hospital-Physician and Hospital-Post Acute Care Vertical Integration: A Systematic Review. 2025. https://pubmed.ncbi.nlm.nih.gov/38708895/

Material reference: material:8e2c330a5da7eaa28471e923
Pipeline stage: Source-Leads
Evidence mode: Not classified
Publication date: 2025
Institution: Medical care research and review : MCRR
Document type: Systematic Review
Territory: not supplied
Period: Not supplied
Source layers: Not supplied
Coverage domains: Authoritative review, Hospital organization, Market structure, Provider networks, Provider ownership
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Detected Media Type: text/xml
Response Sha256: cebcf15e36788c139ea43dd4a4c2135a7d0c2c8c423f43accca428aed64f42b8

Annotation prompts and machine flags

This was a targeted supplementary search, not a systematic review of the literature.
Full text, review methods, included-study scope, and applicability require human appraisal.
Review literature can support contextual or reported synthesis about observed practice but cannot establish current formal authority.
No exact locator or atomic claim has been reviewed from this record.
Selected through the targeted supplementary review-literature search.
Structured evidence synthesis.
Directly relevant to a proof-of-concept jurisdiction.
Published in 2023 or later.
US-focused synthesis of hospital-physician and hospital-post-acute integration.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Source Lead · Open for annotation

The First Decade of ACO Model Evaluations in the Medicare Program: A Systematic Review

The First Decade of ACO Model Evaluations in the Medicare Program: A Systematic Review. 2026. https://pubmed.ncbi.nlm.nih.gov/40338021/

Material reference: material:accab8e7ff9f077ce8631504
Pipeline stage: Source-Leads
Evidence mode: Not classified
Publication date: 2026
Institution: Medical care research and review : MCRR
Document type: Systematic Review
Territory: not supplied
Period: Not supplied
Source layers: Not supplied
Coverage domains: Authoritative review, Hospital organization, Provider networks, Reform history
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Triage Status: New
Detected Media Type: text/xml
Response Sha256: cf07f21d89e27823881e6eca72f68609f014718545baecb52313d80821182548

Annotation prompts and machine flags

This was a targeted supplementary search, not a systematic review of the literature.
Full text, review methods, included-study scope, and applicability require human appraisal.
Review literature can support contextual or reported synthesis about observed practice but cannot establish current formal authority.
No exact locator or atomic claim has been reviewed from this record.
Selected through the targeted supplementary review-literature search.
Structured evidence synthesis.
Directly relevant to a proof-of-concept jurisdiction.
Published in 2023 or later.
Recent synthesis of Medicare accountable-care organization models.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Source Linked Statement Projection · Open for annotation

A Medicaid managed-care organization must give the state and Secretary assurances about service capacity and the number, mix, and geographic distribution of providers.

USA-GOVINFO-USCODE-2024-T42-SS19. USA-USCODE-2024-T42-XIX, 42 USC 1396u-2(b)(5). https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:33342373e4385370de2d44eb
Pipeline stage: Candidate-Fact-Projections
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Status: Source-linked candidate
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396u-2(b)(5)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Source Linked Statement Projection · Open for annotation

A Medicaid state plan must designate or establish a single state agency to administer or supervise its administration.

USA-GOVINFO-USCODE-2024-T42-SS19. USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(5). https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:5f8cae1cc8af441184df3740
Pipeline stage: Candidate-Fact-Projections
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Status: Source-linked candidate
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(5)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Source Linked Statement Projection · Open for annotation

A Medicaid state plan must operate in all political subdivisions of the state and be mandatory on them if they administer it.

USA-GOVINFO-USCODE-2024-T42-SS19. USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(1). https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:ed476ca87e40afbc2d07b088
Pipeline stage: Candidate-Fact-Projections
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: 2024 annual edition
Source layers: Not supplied
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Status: Source-linked candidate
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(1)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Source Linked Statement Projection · Open for annotation

A Medicare Advantage plan cannot be elected or paid without a federal contract with its organization under section 1395w-27.

USA-GOVINFO-USCODE-2024-T42-SS18. USA-USCODE-2024-T42-XVIII, 42 USC 1395w-27(a). https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf

Material reference: material:fe34b27a28c74208c69f08e2
Pipeline stage: Candidate-Fact-Projections
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Legal Authority, Provider Contracting, Provider Organization
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Status: Source-linked candidate
Description: USA-USCODE-2024-T42-XVIII, 42 USC 1395w-27(a)
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Source Linked Statement Projection · Open for annotation

A Medicare Advantage plan is linked to a geographic service area and enrollment generally depends on residence in that area.

USA-GOVINFO-USCODE-2024-T42-SS18. USA-USCODE-2024-T42-XVIII, 42 USC 1395w-21(b)(1). https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf

Material reference: material:124df96f083fad280b6ca9ef
Pipeline stage: Candidate-Fact-Projections
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Legal Authority, Provider Contracting, Provider Organization
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Status: Source-linked candidate
Description: USA-USCODE-2024-T42-XVIII, 42 USC 1395w-21(b)(1)
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Source Linked Statement Projection · Open for annotation

A state contracting with Medicaid managed-care organizations must implement a quality assessment and improvement strategy, while the Secretary sets standards and monitors implementation.

USA-GOVINFO-USCODE-2024-T42-SS19. USA-USCODE-2024-T42-XIX, 42 USC 1396u-2(c)(1). https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:6ceda1a966d138408c643196
Pipeline stage: Candidate-Fact-Projections
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Status: Source-linked candidate
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396u-2(c)(1)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Source Linked Statement Projection · Open for annotation

A state health or other appropriate medical agency has specified responsibility for health standards for institutions where Medicaid recipients may receive care.

USA-GOVINFO-USCODE-2024-T42-SS19. USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(9). https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:ab65ad3c6050414088a4c8e4
Pipeline stage: Candidate-Fact-Projections
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Status: Source-linked candidate
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(9)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Source Linked Statement Projection · Open for annotation

A state may require eligible people to enroll with a managed-care entity when the entity, state contract, and statutory safeguards meet the applicable requirements.

USA-GOVINFO-USCODE-2024-T42-SS19. USA-USCODE-2024-T42-XIX, 42 USC 1396u-2(a)(1). https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:a16f342a7b479e9d9f6c1c79
Pipeline stage: Candidate-Fact-Projections
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Status: Source-linked candidate
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396u-2(a)(1)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Source Linked Statement Projection · Open for annotation

An eligible person may elect original Medicare or an available Medicare Advantage plan under the statutory conditions.

USA-GOVINFO-USCODE-2024-T42-SS18. USA-USCODE-2024-T42-XVIII, 42 USC 1395w-21(a). https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf

Material reference: material:a32be3257a1bebf741ee97b1
Pipeline stage: Candidate-Fact-Projections
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Legal Authority, Provider Contracting, Provider Organization
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Status: Source-linked candidate
Description: USA-USCODE-2024-T42-XVIII, 42 USC 1395w-21(a)
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Source Linked Statement Projection · Open for annotation

CMS metadata describes Hospital General Information as a list of hospitals registered with Medicare and reports a 13 May 2026 release.

USA-CMS-HOSPITAL-DATASET-METADATA. USA-CMS-HOSPITAL-METADATA, dataset xubh-q36u. https://data.cms.gov/provider-data/api/1/metastore/schemas/dataset/items/xubh-q36u

Material reference: material:fa60e23e5bc58385aa949764
Pipeline stage: Candidate-Fact-Projections
Evidence mode: Reported
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Metadata released 2026-05-13
Source layers: Not supplied
Coverage domains: Hospital organization
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Status: Source-linked candidate
Description: USA-CMS-HOSPITAL-METADATA, dataset xubh-q36u
Detected Media Type: application/json
Response Sha256: 31eea397b8bfe8207168cefda23256eb9cb3d5e49158d221eda8465a2d8e5f8c

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Source Linked Statement Projection · Open for annotation

Except where Title XVIII provides otherwise, the HHS Secretary administers Medicare and may perform functions directly or by contract.

USA-GOVINFO-USCODE-2024-T42-SS18. USA-USCODE-2024-T42-XVIII, 42 USC 1395kk(a). https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf

Material reference: material:cc17d8da46b7ec15eaae1b19
Pipeline stage: Candidate-Fact-Projections
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: 2024 annual edition
Source layers: Not supplied
Coverage domains: Legal Authority, Provider Contracting, Provider Organization
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Status: Source-linked candidate
Description: USA-USCODE-2024-T42-XVIII, 42 USC 1395kk(a)
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Source Linked Statement Projection · Open for annotation

Federal Medicaid payments are made to states with approved plans according to statutory matching and administrative formulas.

USA-GOVINFO-USCODE-2024-T42-SS19. USA-USCODE-2024-T42-XIX, 42 USC 1396b(a). https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:ad795376e660f5ea3d484d12
Pipeline stage: Candidate-Fact-Projections
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Status: Source-linked candidate
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396b(a)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Source Linked Statement Projection · Open for annotation

For the section 1396u-2 framework, a managed-care entity is a Medicaid managed-care organization or primary care case manager meeting the incorporated definitions.

USA-GOVINFO-USCODE-2024-T42-SS19. USA-USCODE-2024-T42-XIX, 42 USC 1396u-2(a)(1)(B). https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:14784cd96944d23b954c0161
Pipeline stage: Candidate-Fact-Projections
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Status: Source-linked candidate
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396u-2(a)(1)(B)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Source Linked Statement Projection · Open for annotation

Medicaid provider choice is a state-plan requirement subject to express managed-care, waiver, program, provider, and territorial exceptions.

USA-GOVINFO-USCODE-2024-T42-SS19. USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(23). https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:2e4a4fa5d3c6c075434b048b
Pipeline stage: Candidate-Fact-Projections
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Status: Source-linked candidate
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(23)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Source Linked Statement Projection · Open for annotation

Medicare provider participation and payment eligibility depend on filing an agreement with the Secretary containing statutory commitments.

USA-GOVINFO-USCODE-2024-T42-SS18. USA-USCODE-2024-T42-XVIII, 42 USC 1395cc(a)(1). https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf

Material reference: material:6aec371ea9c57096e78f1b86
Pipeline stage: Candidate-Fact-Projections
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Legal Authority, Provider Contracting, Provider Organization
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Status: Source-linked candidate
Description: USA-USCODE-2024-T42-XVIII, 42 USC 1395cc(a)(1)
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Source Linked Statement Projection · Open for annotation

State payment and utilization methods must address efficiency, economy, quality, and sufficient provider participation for geographic access under the statutory standard.

USA-GOVINFO-USCODE-2024-T42-SS19. USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(30)(A). https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:eca2b4756d0a6c5dde198a88
Pipeline stage: Candidate-Fact-Projections
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Status: Source-linked candidate
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(30)(A)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Source Linked Statement Projection · Open for annotation

The 2024 edition carries an amendment note making specified public network-provider directory duties effective on 1 July 2025.

USA-GOVINFO-USCODE-2024-T42-SS19. USA-USCODE-2024-T42-XIX, 42 USC 1396u-2 amendment of subsection (a)(5). https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:4be44c4fd84aa8ced5d33035
Pipeline stage: Candidate-Fact-Projections
Evidence mode: Reported
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Effective-date note in 2024 edition
Source layers: Not supplied
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Status: Source-linked candidate
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396u-2 amendment of subsection (a)(5)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Source Linked Statement Projection · Open for annotation

The Secretary has statutory authority to terminate a Medicare Advantage organization contract under specified conditions.

USA-GOVINFO-USCODE-2024-T42-SS18. USA-USCODE-2024-T42-XVIII, 42 USC 1395w-27(c)(2). https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf

Material reference: material:34798d3da98dfaa41130c2d8
Pipeline stage: Candidate-Fact-Projections
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Legal Authority, Provider Contracting, Provider Organization
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Status: Source-linked candidate
Description: USA-USCODE-2024-T42-XVIII, 42 USC 1395w-27(c)(2)
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Source Linked Statement Projection · Open for annotation

The Secretary may contract with eligible entities as Medicare administrative contractors for specified payment, provider-service, and beneficiary-service functions.

USA-GOVINFO-USCODE-2024-T42-SS18. USA-USCODE-2024-T42-XVIII, 42 USC 1395kk-1(a)(1) to (4). https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf

Material reference: material:f8dd2cb6b2fa6df46be1db99
Pipeline stage: Candidate-Fact-Projections
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Legal Authority, Provider Contracting, Provider Organization
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Status: Source-linked candidate
Description: USA-USCODE-2024-T42-XVIII, 42 USC 1395kk-1(a)(1) to (4)
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Source Linked Statement Projection · Open for annotation

The Secretary must enter qualifying agreements to use willing state or local agencies for specified Medicare provider survey and certification functions.

USA-GOVINFO-USCODE-2024-T42-SS18. USA-USCODE-2024-T42-XVIII, 42 USC 1395aa(a). https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXVIII.pdf

Material reference: material:133e056d6012ece0ee9eaa3f
Pipeline stage: Candidate-Fact-Projections
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Legal Authority, Provider Contracting, Provider Organization
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Status: Source-linked candidate
Description: USA-USCODE-2024-T42-XVIII, 42 USC 1395aa(a)
Detected Media Type: application/pdf
Page Count: 1119
Response Sha256: 46e30dc26aa99ac2357a6bb0c9a4ba6fb5e986a0b5a479277bae141c88b1ed45

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Source Linked Statement Projection · Open for annotation

The dataset exposes facility name, address, hospital type, a reported hospital-ownership category, emergency-services status, and selected measures.

CMS Hospital General Information. USA-CMS-HOSPITAL-CSV-2026-05-13, Same CSV header and dictionary Hospital General Information table. https://data.cms.gov/provider-data/dataset/xubh-q36u

Material reference: material:fd98ebd7947da7f94fd9c3bf
Pipeline stage: Candidate-Fact-Projections
Evidence mode: Reported
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: April and May 2026 files
Source layers: Not supplied
Coverage domains: Facility Organization, Hospital organization, Ownership Boundary
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Status: Source-linked candidate
Description: USA-CMS-HOSPITAL-CSV-2026-05-13, Same CSV header and dictionary Hospital General Information table
Detected Media Type: text/html
Response Sha256: 11612c367d9de8eaa47ad3b9cda178477e7fc9e12a30113d0e52b3eb029a7ab2

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Source Linked Statement Projection · Open for annotation

The federal managed-care framework generally requires a choice of at least two qualifying entities, subject to stated rural and other rules.

USA-GOVINFO-USCODE-2024-T42-SS19. USA-USCODE-2024-T42-XIX, 42 USC 1396u-2(a)(3). https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:ed37588cbdf95981f876ee79
Pipeline stage: Candidate-Fact-Projections
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Status: Source-linked candidate
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396u-2(a)(3)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Source Linked Statement Projection · Open for annotation

The frozen CSV contains 5,432 rows and 5,432 unique six-character facility IDs.

CMS Hospital General Information. USA-CMS-HOSPITAL-CSV-2026-05-13, full-file row and first-field derivation. https://data.cms.gov/provider-data/dataset/xubh-q36u

Material reference: material:760a293b566f25b2b639db1b
Pipeline stage: Candidate-Fact-Projections
Evidence mode: Observed
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Frozen 2026-05-13 distribution
Source layers: Not supplied
Coverage domains: Facility Organization, Hospital organization, Ownership Boundary
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Status: Source-linked candidate
Description: USA-CMS-HOSPITAL-CSV-2026-05-13, full-file row and first-field derivation
Detected Media Type: text/html
Response Sha256: 11612c367d9de8eaa47ad3b9cda178477e7fc9e12a30113d0e52b3eb029a7ab2

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Source Linked Statement Projection · Open for annotation

The state agency must make reports required by the Secretary and comply with provisions needed to verify them.

USA-GOVINFO-USCODE-2024-T42-SS19. USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(6). https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:5a54f1a425120d070bb07daf
Pipeline stage: Candidate-Fact-Projections
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Status: Source-linked candidate
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(6)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Source Linked Statement Projection · Open for annotation

The state or designated licensing or survey agency determines institutional participation under the state plan, subject to the Secretary's validation and binding determination authority.

USA-GOVINFO-USCODE-2024-T42-SS19. USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(33)(B). https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:734c038c0b34eb68c72463d1
Pipeline stage: Candidate-Fact-Projections
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Status: Source-linked candidate
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(33)(B)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Source Linked Statement Projection · Open for annotation

The state plan must describe plan personnel, institutional standards, interagency cooperation, and quality-assurance methods.

USA-GOVINFO-USCODE-2024-T42-SS19. USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(22). https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX.pdf

Material reference: material:07f6d1c282b52a9fcd8087b9
Pipeline stage: Candidate-Fact-Projections
Evidence mode: Formal
Publication date: not supplied
Institution: not supplied
Document type: Not Supplied
Territory: Federal
Period: Same
Source layers: Not supplied
Coverage domains: Care Networks, Legal Authority, Payment Relationship, Provider Organization, Quality Regulation
Current display status: Shown in full and open for annotation
Previous Boundary Detected: False
Previous Visibility: Previously projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Status: Source-linked candidate
Description: USA-USCODE-2024-T42-XIX, 42 USC 1396a(a)(22)
Detected Media Type: application/pdf
Page Count: 414
Response Sha256: c1b77993734e5cea3ac50ea22b469e7d24475e7b2b805bb872d259fa8f0c3ef4

Annotation prompts and machine flags

Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Source Reference

Source Triage Record · Open for annotation

Cost, Quality, and Utilization After Hospital-Physician and Hospital-Post Acute Care Vertical Integration: A Systematic Review

Material reference: material:767ac09f3381fc77489bdf2b
Pipeline stage: Global-Source-Triage-Queue
Evidence mode: Not classified
Publication date: 2025
Institution: not supplied
Document type: Not Supplied
Territory: not supplied
Period: Not supplied
Source layers: Pubmed Country Review Seed
Coverage domains: Authoritative review, Hospital organization, Market structure, Provider networks, Provider ownership
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Detected Media Type: text/xml
Response Sha256: cebcf15e36788c139ea43dd4a4c2135a7d0c2c8c423f43accca428aed64f42b8

Annotation prompts and machine flags

Verify the exact bibliographic citation against the original source.
Confirm that the document applies to the named country and intended territorial scope.
Confirm document type, issuing institution, authority, and claim-specific suitability.
Retrieve and hash the exact source version when it is not already verified.
Check publication date, effective period, currency, and supersession risk.
Confirm only domains directly supported by the reviewed source.
Add substantive feedback directly through the text-anchored annotation layer.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Url

Source Triage Record · Open for annotation

The First Decade of ACO Model Evaluations in the Medicare Program: A Systematic Review

Nyweide DJ. The First Decade of ACO Model Evaluations in the Medicare Program: A Systematic Review. Medical care research and review : MCRR. 2026. doi:10.1177/10775587251325914.

Material reference: material:b8b9a95b6731f00534776967
Pipeline stage: Global-Source-Triage-Queue
Evidence mode: Not classified
Publication date: 2026
Institution: not supplied
Document type: Not Supplied
Territory: not supplied
Period: Not supplied
Source layers: Pubmed Country Review Seed
Coverage domains: Authoritative review, Hospital organization, Provider networks, Reform history
Current display status: Shown in full and open for annotation
Previous Boundary Detected: True
Previous Visibility: Previously not projected
Earlier source-record status: Open for annotation
Source Version Linked From Country Score Acquisition: True
Detected Media Type: text/xml
Response Sha256: cf07f21d89e27823881e6eca72f68609f014718545baecb52313d80821182548

Annotation prompts and machine flags

Verify the exact bibliographic citation against the original source.
Confirm that the document applies to the named country and intended territorial scope.
Confirm document type, issuing institution, authority, and claim-specific suitability.
Retrieve and hash the exact source version when it is not already verified.
Check publication date, effective period, currency, and supersession risk.
Confirm only domains directly supported by the reviewed source.
Add substantive feedback directly through the text-anchored annotation layer.
Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Open Url