Breaking CMS Medicare Updates
CMS releases its PAID Act implementation plans – what’s next and how we can help
The following provides a general overview of the PAID Act, CMS’s implementation plans, and related considerations as follows.
New NGHP Section 111 User Guide (6.4) – PAID Act, ORM termination, and other updates
The Centers for Medicare and Medicaid Services (CMS) has released an updated Section 111 NGHP User Guide (Version 6.4, June 11, 2021) regarding non-group health plans.
CMS to hold PAID Act webinar on June 23rd
CMS has announced it will be holding a webinar on June 23, 2021 at 1:00 p.m. (ET) regarding the PAID Act for NGHP responsible reporting entities (RREs).
CMS updates Chapter 7 of the Medicare secondary payer (MSP) recovery manual
The Centers for Medicare and Medicaid Services (CMS) has released an update to Chapter 7 of its Medicare secondary payer (MSP) recovery manual.
CMS releases new WCMSA Reference Guide (Version 3.3)
The Centers for Medicare and Medicaid Services (CMS) has just released their latest version of the WCMSA Reference Guide (Version 3.3, April 19, 2021).
CMS releases updated Section 111 Model Language document
The Centers for Medicare and Medicaid Services has released an updated Section 111 Model Language document dated March 10, 2021 (PDF version).
CMS’s Section 111 penalty proposals – current status and FAQs
There remains much anticipation regarding the current state of the Centers for Medicare and Medicaid Services’ (CMS’s) Section 111 civil money penalties proposals.
CMS releases new NGHP Section 111 User Guide (Version 6.3)
The Centers for Medicare and Medicaid Services (CMS) has released an updated Section 111 NGHP User Guide (Version 6.3, April 5, 2021).
CMS holds BCRC and CRC NGHP Town Hall session
The Centers for Medicare and Medicare Services held what it billed as a Benefits Coordination & Recovery and Commercial Repayment Center non-group health plan Town Hall.
The COMP Act is reintroduced in the U.S. Senate
On 3/10/21, Senators Ben Cardin (D-MD) and Rob Portman (R-OH) introduced the Coordination of Medicare Payments and Workers’ Compensation Act (COMP Act) (S. 653) into…
Starting March 27, 2021, CMS will use the 2018 CDC Life Table for WCMSAs
Starting 3/27/21, CMS has announced that it will use the new 2018 CDC Life Table to calculate adjusted life expectancies in Workers’ Compensation Medicare Set-Asides…
CMS to host BCRC and CRC NGHP town hall on April 1st
CMS has announced it will be holding a Benefits Coordination & Recovery Center and Commercial Repayment Center Non-Group Health Plan town hall on April 1, 2021.
CMS releases new NGHP Section 111 User Guide (Version 6.2, January 11, 2021)
CMS has released an updated Section 111 NGHP User Guide (Version 6.2, January 11, 2021) regarding non-group health plans (liability, no-fault, and workers’ compensation).
LMSA update: CMS’s “future medicals” proposals now scheduled for release in March 2021 | New LMSA case decision highlights continuing claims challenges
LMSA update: OIRA has issued an updated noticing indicating CMS’s “future medical” proposals are delayed again and projected for release in March 2021.
The PAID Act is now law
It requires CMS to expand its Section 111 Query Process to identify whether a claimant is currently entitled to.