Review of Medicare Contractor Information Security Program Evaluations for Fiscal Year 2015 

Federal law requires that each Medicare administrative contractor (MAC) have its information security program evaluated annually by an independent entity, and these evaluations must address the eight major requirements enumerated in the Federal Information Security Management Act of 2002 (FISMA). To comply with this provision, CMS contracted with PricewaterhouseCoopers (PwC) to evaluate information security programs at the MACs using a set of agreed-upon procedures. To satisfy the requirement to evaluate the information security controls for a subset of systems, CMS expanded the scope of its evaluations to test segments of the Medicare claims processing systems hosted at the Medicare data centers, which support each of the MACs.