What's New
New information regarding Mandatory Insurer Reporting for Non-Group Health Plans (NGHPs) and NGHP Town Hall Events is posted here as it becomes available.
September 16, 2021 – PAID Act Testing Webinar Presentation Now Available
The presentation from the September 9th PAID Act testing webinar is now available in the Download section below.
August 13, 2021 - Important Updates to MMSEA Section 111 Non-Group Health Plan (NGHP) 270/271 Health Care Eligibility Benefit Inquiry and Response Companion Guide related to the Provide Accurate Information Directly (PAID) Act.
Important updates related to the PAID Act have been made to the MMSEA Section 111 Non-Group Health Plan (NGHP) 270/271 Health Care Eligibility Benefit Inquiry and Response Companion Guide which is available in the Download section of the NGHP User Guide page. Updates in Version 5.7 include updates to the Part C Medicare Advantage and Part D Prescription Drug Enrollment Data 271 eligibility response file tables to display the correct Segment IDs for Element IDs NM101-103. Additionally, Part D contract information has been added (Table 26 and Table 27).
August 8, 2021 – CMS to Host Provide Accurate Information Directly (PAID) Act Testing Webinar
CMS will be hosting a PAID Act testing webinar on September 9, 2021. Complete webinar information is available in the Downloads section below.
July 22, 2021 – Updated MMSEA Section 111 Non-Group Health Plan (NGHP) 270/271 Health Care Eligibility Benefit Inquiry and Response Companion Guide Now Available
The updated MMSEA Section 111 NGHP 270/271 Health Care Eligibility Benefit Inquiry and Response Companion Guide version 5.6 has been posted to the NGHP User Guide page. Refer to Chapter 1 for a summary of updates.
July 7, 2021 – Provide Accurate Information Directly (PAID) Act Webinar Presentation Now Available
The presentation from the June 23rd PAID Act Webinar is now available in the Download section below.
June 8, 2021 – Updated MMSEA Section 111 Non-Group Health Plan (NGHP) User Guide and NGHP 270/271 Health Care Eligibility Benefit Inquiry and Response Companion Guides Now Available
The updated MMSEA Section 111 NGHP User Guide version 6.4 as well as the updated NGHP 270/271 Health Care Eligibility Benefit Inquiry and Response Companion Guide version 5.5 have been posted to the NGHP User Guide page. Refer to Chapter 1 for a summary of updates.
June 8, 2021
A technical alert titled Implementation of the Provide Accurate Information Directly (PAID) Act has been posted to the NGHP Alerts page.
May 24, 2021 – CMS to Host Provide Accurate Information Directly (PAID) Act Webinar
CMS will be hosting a PAID Act webinar on June 23, 2021. Complete webinar information is available in the Downloads section below.
April 7, 2021 - Updated MMSEA Section 111 Medicare Beneficiary Identifier (MBI), Social Security Number (SSN) Collection Non-Group Health Plan (NGHP) Model Language Now Available.
The NGHP Model language for the collection of MBI and SSN under MMSEA Section 111 has been updated to not be specific for Medicare Parts A/B coverage and is available in the Download section of the Mandatory Insurer Reporting for Non-Group Health Plans page.
April 5, 2021 – Updated MMSEA Section 111 Non-Group Health Plan (NGHP) User Guide Now Available
The updated MMSEA Section 111 NGHP User Guide version 6.3 has been posted to the NGHP User Guide page. Refer to Chapter 1-1 of each chapter for a summary of updates.