Who Administers Medicare And Medicaid? 
The Centers for Medicare & Medicaid Services -LRB- CMS -RRB- provides all operations and oversight for these two programs and is a part of the Federal government . Medicare is for people who are 65 and over , or for individuals with certain disabilities and Medicaid is designed for low income individuals that would otherwise be unable to afford health care . Medicare only pays for services that are deemed `` medically necessary '' . 