Kate Riordan, J.D.
Medicaid expansion makes recovery efforts more urgent
Within broad federal requirements, states and territories have significant flexibility in program design and administration, resulting in 56 unique Medicaid programs.
PAID Act Reintroduced in 116th Congress
On 2/26/19, Congressmen Ron Kind (D-WI) and Guy Bilirakis (R-FL) reintroduced the PAID Act as H.R. 1375 into the U.S. House of Representatives.
Government shutdown – MSP update
As the partial government shutdown continues, questions are being raised as to the shutdown’s impact on CMS activities concerning Medicare Secondary Payer compliance.
MSPRP update: CMS announces a new self-reporting option and updates to the multi-factor authentication process
The Centers for Medicare and Medicaid Services (CMS) hosted a webinar focusing on enhancements to its Medicare Secondary Payer Recovery Portal (MSPRP) on December 18,…
CMS hosts Medicare Secondary Payer Recovery Portal (MSPRP) Webinar
On August 16, 2018, the Centers for Medicare and Medicaid Services (CMS) hosted a webinar focusing on its Medicare Secondary Payer Recovery Portal (MSPRP).
Workers’ compensation medicare set-aside companion bill filed in House of Representatives
On July 26, 2018, H.R. 6619- Medicare Secondary Payer and Workers’ Compensation Settlement Agreements Act of 2018 in the U.S. House of Representatives were introduced.
Drug formularies continue to expand in workers’ comp systems
Balancing rising medical and pharmaceutical costs with appropriate and timely treatment for injured workers has been an ongoing struggle for workers’ compensation…
Minor changes in newly released Medicare Secondary Payer Recovery Portal User Guide
The Centers for Medicare and Medicaid Services (CMS) has released an updated version of its Medicare Secondary Payer Recovery Portal (MSPRP) User Guide (Version 4.2). The…
Workers’ Compensation Medicare Set Aside Legislation Filed, Referred to Committee
On June 18, 2018, Senators Rob Portman (R-OH) and Bill Nelson (D-FL) introduced legislation aimed at reforming the Centers for Medicare and Medicaid Services’ (CMS)…
Budget Act of 2018 limits Medicaid third-party recovery rights
While most of the headlines focused on the deal’s impact on military expenditures and other issues, the new law also contained an update regarding MSP compliance.
Now hear this: Medicaid Secondary Payer recovery on the rise
Historically, state Medicaid agencies have been rather flat-footed in making efforts to identify and recoup erroneous payments from non-group health entities. In recent…
Expansion of Medicaid Secondary Payer poses new compliance challenges
After numerous delays, it appears inevitable that the expansion of Medicaid Secondary Payer rights will begin on October 1, 2017.
Amended review and other takeaways from the latest WCMSA reference guide
On July 31st 2017, CMS released its most recent version of the Workers’ Compensation Medicare Set-Aside Reference Guide—and there’s a lot to digest.
Arkansas passes bill affecting future medical benefit settlements for Medicare beneficiaries
The Arkansas Legislature quickly moved a relatively unknown bill addressing workers’ comp settlements in the final days of its 2017 legislative session.
SPARC Act reintroduced in Congress
The SPARC Act seeks to ensure that Medicare Part D is adequately reimbursed when another entity is determined to be the primary payer.