CMS Maintains its $750 Low Dollar Threshold for 2018

By Mark Popolizio December 4, 2017

The Centers for Medicare and Medicaid Services (CMS) has released a new Alert entitled “2018 Recovery Thresholds for Certain Liability Insurance, No-Fault Insurance and Workers’ Compensation Settlements, Judgments, Awards or Other Payments." Through this Alert, CMS has announced that it is maintaining the current $750.00 low dollar threshold in 2018 for certain settlement, judgments, awards or other payments.

CMS’ low threshold applies to (i) physical trauma-based liability insurance settlements of $750.00 or less and (ii) no-fault and workers compensations settlements of $750.00 or less, where the insurer does not otherwise have ongoing responsibility for medicals (ORM). Per CMS, “[t]his means that entities are not required to report, and CMS will not seek recovery on settlements as outlined above.” Excluded from this policy are liability (including self-insurance) settlements for alleged ingestion, implantation, or exposure cases.

A copy of CMS’ Alert can be obtained here.

Please contact the author if you have any questions at mpopolizio@iso.com or 786-459-9117.


Mark Popolizio

Mark Popolizio is the Vice President of MSP Compliance and Policy for ISO Claims Partners. Mark’s area of specialty is Medicare secondary payer compliance. He authors regular articles and provides educational presentations across the country on MSP issues. Mark's e-mail address is mpopolizio@iso.com.