Which federal law outlines the requirements for participation in Medicare and Medicaid?

The Social Security Act is the federal law that establishes the framework for participation in both Medicare and Medicaid programs. Enacted in 1935 and later amended, the Social Security Act outlines the eligibility criteria, benefits, and standards for these vital healthcare programs. Medicare provides health insurance primarily for individuals aged 65 and older, while Medicaid offers coverage to low-income individuals and families.

The importance of the Social Security Act lies in its foundational role in shaping the structure of these programs, including financing, administration, and the policies that govern them. It is crucial for any healthcare provider or administrator to understand this Act, as compliance with its requirements is essential for participation in Medicare and Medicaid.

Other options do not encompass the specific legal framework for Medicare and Medicaid. For instance, the Affordable Care Act primarily focuses on expanding healthcare access and adjusting health insurance regulations, but it does not outline the core requirements for Medicare and Medicaid participation. Similarly, the Patient Protection Act and the Public Health Service Act address different aspects of healthcare but do not serve as the primary legislation concerning Medicare and Medicaid eligibility and operations.