FPCA UPDATE: Medicare, Medicaid and SCHIP Extension Act of 2007–October 28 Bulletin
Oct 28, 2008
The Centers for Medicare & Medicaid Services (“CMS”) has released the following informational papers related to Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (“SCHIP”):
This document provides information on the file layouts that will be used by entities responsible for complying with the reporting requirements at 42 U.S.C. 1395y(b)(8) for liability insurance (including self-insurance), no-fault insurance, and workers’ compensation. You must use the applicable statutory language in conjunction with “Attachment A – Definitions and Reporting Responsibilities” to the Supporting Statement for the Paperwork Reduction Act (“PRA”) Notice published in the Federal Register on August 1, 2008 in order to determine if you are a “responsible reporting entity” or “RRE” for purposes of these new provisions. The statutory language, the PRA Notice and the PRA Supporting Statement with Attachments are all available as downloads at www.cms.hhs.gov/MandatoryInsRep. “Attachment A” to the Supporting Statement provides details on definitions and exactly which entities must report.
Complete instructions and requirements will be published at a later date in the SCHIP Section 111 Liability Insurance (Including Self-Insurance), No-Fault Insurance, and Workers’ Compensation User Guide, and this user guide will be available as a download on the dedicated Section 111 Web page at www.cms.hhs.gov/MandatoryInsRep when completed.
This guide provides information and instructions for the Medicare Secondary Payer (“MSP”) Group Health Plan (“GHP”) reporting requirements mandated by Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007 (P.L. 110-173). An overview of Section 111 related legislation, MSP rules, and the GHP reporting process is followed by detailed instructions and process requirements. Complete explanations of what entities are required to report and how this reporting will be implemented are included in this guide. File specifications are located in appendices to this guide for easy reference.
REGULATION(S) RELEASED (October 24, 2008)
CMS-2896-FN entitled “Medicare and Medicaid Programs; Conditional Approval of the Joint Commission’s Continued Deeming Authority for Critical Access Hospitals,” was published. This regulation affects Hospitals.
CMS-3205-PN entitled “Medicare Program; Application by the American Association of Diabetes Educators (“AADE”) for Recognition as a National Accreditation Organization for Accrediting Entities To Furnish Outpatient Diabetes Self-Management Training,” was published. This regulation affects Other CMS Business.
CMS-1421-N entitled “Medicare Program; Plan To Transition to a Medicare Value-Based Purchasing Program for Physician and Other Professional Services: Listening Session, December 9, 2008,” was published. This regulation is a Meeting Notice and affects Physicians.
CMS-1559-N entitled “Medicare Program; Meeting of the Practicing Physicians Advisory Council, December 8, 2008,” was published. This regulation is a Meeting Notice and affects Physicians.
To read previous SCHIP updates or sign up to receive related bulletins, click here.
October 29, 2008 Forum
Mandatory Reporting for Liability Insurance (Including Self-Insurance), No-Fault Insurance, and Workers’ Compensation Insurance
This teleconference is scheduled to be held on Wednesday, October 29, 2008, from 1:00 p.m. through 2:30 p.m. The call-in number is: 800.988.9534; conference code: NGHP. To view the meeting notice, click here.
Advance questions for the teleconference may be submitted via email to PL110-173SEC111-comments@cms.hhs.gov.
The CMS strongly suggests that the supporting documents available on the above-referenced SCHIP Web page are reviewed by teleconference participants prior to the call.
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