What’s New in Coordination of Benefits & Recovery

New information regarding upcoming Coordination of Benefits & Recovery activities are posted as the information becomes available.  Items remain on this page for the current year and are then moved to the Archive page.

UPDATE: Group Health Plan (GHP) Recovery Best Practices Webinar Rescheduled for September 30, 2026

CMS has rescheduled the September 10th, 2026, Group Health Plan (GHP) Recovery Best Practices webinar. We will be hosting the webinar on September 30, 2026. The intent of this webinar is to provide an overview of the best practices when a recovery case is initiated for GHPs, including a refresher about the recovery process, common pain points, and documentation requirements to support disputes. If you are still interested in attending, full webinar details can be found in the announcement located in the Download section below. 

August 27, 2026 – Updated ICD Code Lists Now Available

Updated ICD-9 and ICD-10 valid and excluded diagnosis code lists for FY2027 (October 2026) are now available on the ICD Code Lists page.

July 13, 2026 - Updated Group Health Plan (GHP) Defense Reference Guide Now Available

The updated Group Health Plan (GHP) Defense Reference Guide version 1.4 is now available in the Download section of the Group Health Plan Recovery page. Refer to Chapter 1 for a summary of updates.

June 15, 2026 - Request for Feedback - Coordination of Benefits & Recovery Webinar Topics

The Division of Medicare Secondary Payer Program Operations (DMPO) is soliciting feedback on webinar topics of interest from the COB&R stakeholder community (Group Health Plan and Non-Group Health Plan insurers, attorneys, beneficiaries, and more) to better align future webinar and other outreach topics with stakeholder needs and interests. A full explanation can be found in the Downloads section below.

November 18, 2025 - 2026 Recovery Thresholds for Certain Liability Insurance, No-Fault Insurance, and Workers’ Compensation Settlements, Judgments, Awards or Other Payments Alert 

An Alert titled 2026 Recovery Thresholds for Certain Liability Insurance, No-Fault Insurance, and Workers’ Compensation Settlements, Judgments, Awards or Other Payments has been posted to the Download section of the Non-Group Health Plan Recovery page. 

November 18, 2025 – Updated ICD Code Lists Now Available

Updated ICD-10 and ICD-9 valid and excluded liability and no-fault code lists for 2026 are now available on the ICD Code Lists page.

CMS will be hosting an Introduction to MSP for Beneficiary Representatives webinar. The intent of this webinar is to support the attorney and beneficiary representative communities and review the basics of MSP, Group Health vs. Non-Group Health Coordination of Benefits, and MSP recovery. Full webinar details can be found in the announcement located in the Download section below.

December 17, 2024 – Changes to Multi Factor Authentication (MFA) on the Medicare Secondary Payer Recovery Portal (MSPRP) and Commercial Repayment Center Portal (CRCP)

Effective January 2025, for increased security, the MSPRP and CRCP will change the way users complete MFA verification.  Current users who have previously completed the ID Proofing Process and have a Voice Call and/or Text Message (SMS) factor will need to activate a new MFA factor option of either Okta Verify or Google Authenticator by March 1st 2025, at which time the Voice Call/Text Message (SMS) options will be automatically deactivated.  Changing MFA factors can be done in the applications beginning January 6th and full details will be provided in the January versions of the MSPRP and CRCP user guides.

December 16, 2024 - New Alert Titled 2025 Recovery Thresholds for Certain Liability Insurance, No-Fault Insurance, and Workers’ Compensation Settlements, Judgments, Awards or Other Payments Now Available 

An Alert titled 2025 Recovery Thresholds for Certain Liability Insurance, No-Fault Insurance, and Workers’ Compensation Settlements, Judgments, Awards or Other Payments has been posted to the Download section of the Non-Group Health Plan Recovery page. 

October 21, 2024 – Updated ICD Code Lists Now Available

 Updated ICD-10 and ICD-9 valid and excluded liability and no-fault code lists for 2025 are now available on the ICD Code Lists page.