MMSEA Non-Group Health Plan April 14 Technical Call Incorrectly Scheduled; Quick Reference Guide, Revised Medicare Secondary Payer Reporting Timeline Issued

Apr 7, 2010

The Centers for Medicare and Medicaid Services (“CMS”) has advised that a non-group health plan (“NGHP”) technical teleconference relating to Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (“MMSEA”) was incorrectly scheduled for April 14, 2010 and will not take place. However, the April 28 NGHP policy call will continue as planned.  All NGHP teleconferences take place from 1:00 p.m. to 3:00 p.m. (EST) unless otherwise noted.

On March 29, CMS released the following documents, which are attached for review: 

  • A revised implementation timeline for the Medicare Secondary Payer mandatory reporting provisions in MMSEA
  • A Quick Reference Guide for Section 111 registration for all Responsible Reporting Entities
  • Version 3 of the Non-Group Health Plan User Guide

MMSEA, which added new insurer reporting requirements to existing law, was designed to ensure that Medicare remains the secondary payer when a Medicare beneficiary has medical expenses that fall under the primary responsibility of a group health plan, or a liability, no-fault or workers’ compensation insurance plan (including those that are self-insured).  Under the Medicare Secondary Payer Act, Medicare can recover any conditional payments it has made that should have been paid by a primary insurance plan.

For NGHP-related updates, click here.

Colodny Fass is actively monitoring this issue and will continue to update clients on developments.

 

Should you have any questions or comments, please contact Jennifer Erdelyi at jerdelyi@cftlaw.com.

 

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