FPCA: SCHIP Mandatory Reporting for Group Health Plan Arrangements Forum Report

Oct 23, 2008

The Centers for Medicare & Medicaid Services (“CMS”) held a public question and answer session (“Session”) on October 22, 2008, to discuss mandatory reporting requirements related to Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (“SCHIP”).  To view the Session agenda, click here.

Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 adds new mandatory reporting requirements for group health plan arrangements, as well as liability insurance (including self-insurance), no-fault insurance, and workers’ compensation insurance. 

The Session was limited to audience questions regarding implementation of changes to group health plan reporting requirements.  Liability insurance, no-fault insurance and workers’ compensation insurance will be addressed in the second Session scheduled to be held on Wednesday, October 29, 2008.

Questions raised during the October 22 Session mainly focused on:

  • Data element requirements
  • File formatting/record layout requirements
  • Electronic format processing
  • Handling of reporting persons without social security numbers or persons that refuse to provide them
  • Medicare claims processing contractor reporting responsibilities
  • Time-frames for the completion of reporting

To view the CMS implementation plans for SCHIP as of June 1, 2008, as well as a brief overview of the provisions of the law, click here.

 

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

 

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