Breaking CMS Medicare Updates

1/30/2026 - 7 min read

CMS’s S.111 daily CMPs rate for NGHP reporting increased to $1,512

The maximum daily CMP amount regarding NGHP Section 111 reporting has been increased by the Department of Health and Human Services.

Cms 3rd Nchp S111 1 26 Webinar Gettyimages 2121266631

1/20/2026 - 18 min read

CMS holds its third NGHP Section 111 Penalties Webinar

On 1/15, CMS held its NGHP Section 111 CMPs webinar. During this event, CMS discussed several different CMPs-related items pertaining to NGHP RREs.

12/9/2025 - 1 min read

CMS Will Hold a NGHP Section 111 Penalties Webinar – January 15, 2026, at 1:00 p.m. ET

Join CMS’s NGHP Section 111 Penalties webinar on Jan. 15, 2026, for updates on CMP audits, compliance reminders, and Q&A.

12/4/2025 - 7 min read

CMS Announces New WCMSA Part D Data Share and Part D Coordination of Benefits Option Starting February 2026

CMS will begin sharing WCMSA prescription data with Part D plans in 2026, introducing new prior authorization and coordination of benefits options.

Cms S111 Nghp Blog Image With People Standing And Smiling

11/20/2025 - 16 min read

CMS releases Section 111 NGHP User Guide (Version 8.2)

CMS released Section 111 NGHP User Guide 8.2, noting updates in policy, technical requirements, and appendices impacting NGHP reporting.

11/13/2025 - 8 min read

The Longest Federal Government Shutdown in History Ends

The longest federal shutdown in history ends. Learn what’s next for funding, Medicare, and compliance activities.

10/1/2025 - 6 min read

Federal Government Shuts Down – Information and Potential MSP Impact

Learn how the October 2025 federal government shutdown could affect Medicare, Social Security, and MSP compliance activities.

Man Wearing Headphones Smiling At Laptop While Writing

9/11/2025 - 1 min read

CMS to hold TPOC/WCMSA Reporting Webinar – October 1st at 2:00 p.m. ET

CMS has announced that it is holding a Workers’ Compensation Medicare Set-Aside Reporting Webinar. It is scheduled for October 1st at 2:00 p.m. (ET).

7/14/2025 - 8 min read

TPOC/WCMSA Reporting is Underway – Unexpected Issues and Considerations

Based on our handling of MSP claims and observations, we note these considerations and issues where further CMS clarity may be helpful.

6/20/2025 - 9 min read

CMS discusses general WCMSA compliance points on its June 17th webinar

On June 17th, the Centers for Medicare and Medicaid Services held an “Introduction to Workers’ Compensation Medicare Set-Asides (WCMSAs) Webinar.”

5/15/2025 - 12 min read

CMS’s New $0 WCMSA Policy Starts 7/17/25 – Key Points and How Verisk Can Help

Major changes are coming to $0 Workers’ Compensation Medicare set-asides (WCMSA) practices starting in July 2025.

5/7/2025 - 4 min read

CMS Releases Section 111 NGHP User Guide (Version 8.1)

CMS has released an updated Section 111 NGHP User Guide (Version 8.1, May 5, 2025) regarding Section 111 reporting related to non-group health plans.

4/11/2025 - 9 min read

CMS Releases Section 111 NGHP User Guide (Version 8.0) – Breaking Down CMS’s New Updates

CMS has released an updated Section 111 NGHP User Guide (Version 8.0, April 7, 2025) regarding S.111 reporting related to non-group health plans.

4/9/2025 - 4 min read

CMS Releases WCMSA Reference Guide and Self-Administration Tool-Kit

CMS released an updated WCMSA Reference Guide (Version 4.3) and a new WCMSA Self-Administration Tool Kit (Version 1.7).

Breaking CMS Medicare Updates

Partial Federal Government Shutdown Begins

CMS’s S.111 daily CMPs rate for NGHP reporting increased to $1,512

CMS holds its third NGHP Section 111 Penalties Webinar

CMS Will Hold a NGHP Section 111 Penalties Webinar – January 15, 2026, at 1:00 p.m. ET

CMS Announces New WCMSA Part D Data Share and Part D Coordination of Benefits Option Starting February 2026

CMS releases Section 111 NGHP User Guide (Version 8.2)

The Longest Federal Government Shutdown in History Ends

Federal Government Shuts Down – Information and Potential MSP Impact

CMS to hold TPOC/WCMSA Reporting Webinar – October 1st at 2:00 p.m. ET

TPOC/WCMSA Reporting is Underway – Unexpected Issues and Considerations

CMS discusses general WCMSA compliance points on its June 17th webinar

CMS’s New $0 WCMSA Policy Starts 7/17/25 – Key Points and How Verisk Can Help

CMS Releases Section 111 NGHP User Guide (Version 8.1)

CMS Releases Section 111 NGHP User Guide (Version 8.0) – Breaking Down CMS’s New Updates

CMS Releases WCMSA Reference Guide and Self-Administration Tool-Kit