MMSEA 111 What's New

What's New

April 1, 2013

A written transcript of the March 26, 2013 GHP Town Hall teleconference has been posted to the GHP Transcripts page.

March 28, 2013

The Centers for Medicare & Medicaid Services (CMS) is restructuring its coordination of benefits (COB) and Medicare Secondary Payer recovery activities.

This action will provide:

• Improved customer service for stakeholders
• Consolidated and streamlined data collection and recovery operations
• Value-added efficiencies and enhanced resource utilization

First CMS will transition all Group Health Plan (GHP) recovery activity to a Commercial Repayment Center (CRC). The CRC will assume responsibility for GHP case work on May 13, 2013.  The Medicare Secondary Payer Recovery Contractor will continue to perform liability insurance (including self-insurance), no-fault insurance, and workers’ compensation (Non-Group Health Plan) recovery case work.  At a later date, CMS will transition all COB and Non-Group Health Plan recovery activities to a Business Process Operations Center. 

Visit this web site regularly for updated information related to the transition activities.  

March 26, 2013

• The revised MMSEA Section 111 GHP User Guide dated January 18, 2013 has been posted to the Downloads section of the Group Health Plan page.
• The NGHP Alert titled March 24, 2013, NGHP Alert - Batch File and DDE Submissions has been posted to the Downloads section of the Additional NGHP Alerts page.

March 18, 2013

• The notice and agenda for NGHP Town Hall teleconference scheduled for April 9, 2013 has been posted to the NGHP section page.

March 15, 2013

• The notice and agenda for the GHP Town Hall teleconference scheduled for Tuesday, March 26, 2013 has been posted to the GHP section page.

September 30, 2011 

Medicare Secondary Payer Program: Important Updates

As part of the Centers for Medicare & Medicaid Service (CMS) efforts to continuously improve its Medicare Secondary Payer (MSP) program; CMS has posted the following information to the MSP websites:

1. An alert delaying the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) Section 111 MSP reporting requirement for certain liability insurance (including self-insurance) settlements, judgments, awards, or other payments is posted posted at www.cms.gov/MandatoryInsRep on the Additional NGHP Alerts section page.
2. Policy guidance related to Exposure, Ingestion, and Implantation issues, and December 5, 1980, is now posted at www.cms.gov/MandatoryInsRep/NGHP Alerts section page and www.cms.gov/COBGeneralInformation.
3. An alert related to Qualified Settlement Funds, under Section 468B of the Internal Revenue Code, is now posted at www.cms.gov/MandatoryInsRep/MMSEA 111 Alerts section page.
4. A policy memorandum, for liability insurance (including self-insurance), on the acceptance of the treating physician’s certification, and its impact on the issue of protecting Medicare’s interests with respect to future medicals is now posted at www.cms.gov/COBGeneralInformation.