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To carry out its mission of ensuring health care security for beneficiaries, the Centers for Medicare & Medicaid Services (CMS) relies heavily on information technology (IT) systems. In fiscal year 2005, CMS's total IT appropriations was about $2.
The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 replaced the Aid to Families With Dependent Children program with a block grant to states that provide Temporary Assistance for Needy Families (TANF).
Congress has questioned whether the Centers for Medicare and Medicaid Services (CMS), formerly the Health Care Financing Administration, adequately implemented new payment methods, effectively safeguarded program payments, and adequately oversaw the quality of care provided to beneficiaries.