GHP What’s New

New information regarding Mandatory Insurer Reporting for Group Health Plans (GHPs) and GHP Town Hall Events is posted here as it becomes available.

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. 

July 13, 2026 - Updated MMSEA Section 111 Group Health Plan (GHP) User Guide Now Available

The updated MMSEA Section 111 GHP User Guide version 7.9 is now available in the Download section of the GHP User Guide page. Refer to Chapter 1 for a summary of updates.

March 26, 2026 – January 13th Medicare Secondary Payer and Certain Civil Money Penalties (Group Health Plan) Webinar Presentation Updated with Q&A Now Available

The presentation from the January 13th Medicare Secondary Payer and Certain Civil Money Penalties (Group Health) Plan webinar has been updated to include Q&A from the webinar and is now available in the Download section below.

January 5, 2026 – Updated MMSEA Section 111 Group Health Plan (GHP) User Guide version 7.7 and MMSEA Section 111- 270/271 Health Care Eligibility Benefit Inquiry and Response Companion Guide for Mandatory Reporting GHP Entities version 5.8 Now Available

The updated MMSEA Section 111 GHP User Guide version 7.7 and MMSEA Section 111- 270/271 Health Care Eligibility Benefit Inquiry and Response Companion Guide for Mandatory Reporting GHP Entities version 5.8  is now available in the Download section of the GHP User Guide page. Refer to Chapter 1 for a summary of updates.

December 8, 2025 – CMS to Host Medicare Secondary Payer and Certain Civil Money Penalties Informational Webinar 

CMS will be hosting a webinar regarding Certain Civil Money Penalties Final Rule for Group Health Plan (GHP) Responsible Reporting Entities (RREs). Full details including log in information is available in the announcement located in the Download section below. 

January 6, 2025 – October 15th Medicare Secondary Payer and Certain Civil Money Penalties Group Health Plan Webinar Presentation Updated with Q&A Now Available

The presentation from the September 15th Medicare Secondary Payer and Certain Civil Money Penalties Group Health Plan webinar has been updated to include Q&A from the webinar and is now available in the Download section below.