<nobr>Aug 25, 2008</nobr>

CMS Provides Overview of Medicare Secondary Payer Mandatory Reporting Requirements

The Centers for Medicare and Medicaid Services has posted on its website an overview of the new mandatory reporting requirements for group health plan (GHP) arrangements and for liability insurance (including self-insurance), no-fault insurance, and workers' compensation, as added under the Medicare, Medicaid, and SCHIP Extension Act of 2007. The requirements allow Medicare to collect information needed for coordinating benefits of Medicare beneficiaries between plans and Medicare.

The site includes a section addressing CMS's implementation plans as of June 1, 2008, as well as a brief overview of the law. Beginning January 1, 2009, GHP insurers or third-party administrators, as well as plan administrators or fiduciaries of self-insured and self-administered GHPs, will be required to collect and submit electronically to the Department of Health and Human Services information from plan sponsors and plan participants to help CMS identify when the GHPs are (or have been) primary to Medicare. Similar requirements apply for non-GHP (liability insurance, no-fault insurance and workers' compensation programs) beginning July 1, 2009.


Websites:

Information on Medicare Secondary Payer Mandatory Reporting

CMS Supporting Statement for Reporting Requirements

Back to Previous Page