Are You in Compliance with the New Medicaid Legislation?

By Kate O'Kelly  |  January 23, 2013

On September 4, 2012, Rhode Island implemented a mandatory reporting requirement for insurers — Article 11 — as part of Title 27, chapter 57.1-1, the Medical Assistance Intercept Act. Article 11 requires all insurers that write workers' compensation or liability policies in Rhode Island to participate in a data match program called the Medical Assistance Intercept System (MAIS). MAIS recovers and intercepts Medicaid payments that the agency issues on behalf of Medicaid recipients if an insurer pays on a claim.

You can comply with this new legislation by participating in the ISO ClaimSearch® Medicaid Reporting Service. If you’re an ISO ClaimSearch participant, there’s no additional fee. All you need to do is fill out a product supplement and data authorization form. The Service handles the MAIS reporting for you.

By reporting through the ISO ClaimSearch Medicaid Reporting Service, you’ll:

  • streamline workflow (if you already report to ISO ClaimSearch)
  • keep in compliance with the new mandate
  • save on internal programming costs for an initial program and updates because ISO ClaimSearch handles that for you

Plus, the legislation offers immunity for the reporting insurer.

Kate O'Kelly

Katherine O’Kelly is the ClaimSearch compliance manager. She is responsible for compliance and state regulatory matters involving ISO ClaimSearch, the property/casualty insurance industry’s “all claims” database. Katherine has five years of claims experience in the property/casualty industry, with a specialization in workers' compensation.