FPCA: SCHIP Mandatory Insurer Reporting Updates-February 2009

The Centers for Medicare & Medicaid Services (“CMS”) has posted updates below related to Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (“SCHIP”).  

SCHIP adds new mandatory reporting requirements for Group Health Plan (“GHP”) arrangements and Liability Insurance (Including Self-Insurance), No-Fault Insurance and Workers’ Compensation (“Liability Insurance”). 

The information below includes CMS SCHIP implementation plans as of June 1, 2008, as well as a brief overview of the provisions of the law.

 

General SCHIP Implementation Information

• January 1, 2009–Implementation date for GHP.
• July 1, 2009–Implementation date for Liability Insurance.
• August 1, 2008–A Paperwork Reduction Act Notice was published in the Federal Register (Volume 73, Number 149) with a link for associated documents. 
• Implementation may be “by program instruction or otherwise.”
• All instructions for implementation will be posted on the CMS Web site at  www.cms.hhs.gov/MandatoryInsRep, and will include both draft (when possible) and final documents, including information on how interested parties may comment on the documents and/or CMS’ implementation of SCHIP.

To view all recent CMS updates, click here.

 

Teleconferences

GHP Town Hall Teleconferences scheduled to be held in 2009 include:

• March 4, 2009
  • Agenda
• April 8, 2009
  • Agenda
• May 6, 2009
• June 4, 2009
• July 8, 2009
• August 12, 2009
• September 15, 2009

Liability Insurance Town Hall Teleconferences scheduled to be held in 2009 include:

• March 24, 2009
  • Agenda
• April 21, 2009
  • Agenda
• May 14, 2009
• June 9, 2009
• July 14, 2009
• August 18, 2009
• September 30, 2009
• October 22, 2009
• November 17, 2009
• December 15, 2009

Transcripts are available for the following GHP and Liability Insurance Town Hall Teleconferences:

• February 4, 2009 Question and Answer Session (GHP) 
• January 29, 2009 Question and Answer Session  (GHP)
• January 28, 2009 Question and Answer Session (Liability Insurance)
• January 22, 2009 Informational Session (Liability Insurance)
• December 11, 2008 Question and Answer Session (Liability Insurance)
• December 3, 2008 Technical Answers Session (GHP)
• November 5, 2008 Technical Answers Session (GHP)
• October 29, 2008 Question and Answer Session (Liability Insurance)
• October 22, 2008 Question and Answer Session (GHP)
• October 1, 2008 Overview and Introduction to the Implementation of Section 111 (Liability Insurance)

SCHIP Implementation Documents

SCHIP Implementation documents for GHP providers include:

• January 8, 2009 Alert–Section 111 Reporting Involving Group Health Plan Small Employer Exception Request Information
• GHP Responsible Reporting Entities Compliance Document
• GHP User Guide Version 2.0 (December 17, 2008)
• GHP User Guide (October 14, 2008)
• September 24, 2008 GHP Data Elements
• September 24, 2008 GHP Paper Registration Process
• September 22, 2008 Employer Size vs. Covered Lives and Small Employer Exception
• September 18, 2008 Transitioning Into Section 111 Reporting Guide

SCHIP Implementation documents for Liability Insurance providers include:

• December 5, 2008 Updated Interim Record Layout
• November 17, 2008 Updated Interim Record Layout
• October 21, 2008 Interim Record Layout Information

General SCHIP documents include:

• February 23, 2009 Re-Post–Introduction to Section 111 Mandatory Medicare Secondary Payer Reporting
• January 23, 2009 Alert–Requests for CMS Conference Participation for Section 111 Reporting Issues
• September 24, 2008 Registration Process
• September 5, 2008 Implementation Timeline
• August 1, 2008 PRA73 FR 45013 080108
• August 1, 2008 Supporting Statement
• July 2, 2008 What Medicare Claims Processing Contractors Need To Know
• June 23 , 2008 Collection of Social Security Numbers (SSNs), Medicare Health Insurance Claim Numbers (HICNs) and Employer Identification Numbers (EINs)(Tax Identification Numbers)
• June 15, 2008 Opportunity To Comment on CMS’ Plans For Implementing Section 111
• June 11, 2008 Statutory Language/Provisions

Should you have any questions or comments, please do not hesitate to contact Colodny Fass.