Future Town Hall Teleconference Dates

December 11, 2008            February 25, 2009

January 22, 2009            March 25, 2009

January 28, 2009            April 22, 2009

New Provisions For Liability Insurance (including Self-Insurance), No-Fault Insurance and Workers' Compensation, found at 42. U.S.C. 1395y(b)(8)

Section 111 adds reporting rules; it does not eliminate any existing statutory provisions or regulations.

The new provisions do not eliminate CMS' existing processes if a Medicare beneficiary (or his/her representative) wishes to obtain interim conditional payment amount information prior to a settlement, judgment, award,or other payment.

• It includes penalties for noncompliance.
• Who Must Report:  "an applicable plan."  ...[T]he term 'applicable plan' means the following laws, plans, or other arrangements, including the fiduciary or administrator for such law, plan, or arrangement: (i) Liability insurance (including self-insurance). (ii) No fault insurance. (iii) workers' compensation laws or plans."
• What Must Be Reported:  The identity of a Medicare beneficiary whose illness, injury, incident, or accident was at issue as well as such other information specified by the Secretary to enable an appropriate determination concerning coordination of benefits, including any applicable recovery claim.
• Data elements determined by the Secretary.
• When/How Reporting Must be Done:
  • In a form and manner,including frequency, specified by the Secretary.
  • Information shall be submitted within a time specified by the Secretary after the claim is resolved through a settlement, judgment, award, or other payment (regardless of whether or not there is a determination or admission of liability).
• Submissions will be in an electronic format.  

Please note:  Any information relative to implementing Mandatory Insurer Reporting can be found on the "Overview" page.

Downloads
MMSEA 111 - Updated Interim Record Layout - December 5, 2008  [PDF 538 KB] MMSEA111 - December 11, 2008 - Teleconference Agenda [PDF 11.6KB] MMSEA111 - December 11, 2008 - Teleconference - Questions and Answers Call In Information [PDF 23KB] November 17, 2008 - MMSEA111 - Update Interim Record Layout [PDF 467KB] MMSEA111 - Transcript - October 29, 2008 - Town Hall Teleconference [PDF 402 KB] October 21, 2008 - MMSEA111 - Interim Record Layout Information [PDF 456KB] MMSEA111 - Transcript - October 1, 2008 - Town Hall Teleconference [PDF 445KB]
Related Links Inside CMS
MMSEA111 - October 29, 2008 - Audio - Transcript - Teleconference Part 1 MMMSEA - October 29, 2008 - Audio - Transcript - Teleconference Part 2 MMSEA111 - October 1, 2008 - Audio - Transcript - Teleconference Part 1 MMSEA111 - October 1, 2008 - Audio - Transcript - Teleconference - Part 2
Related Links Outside CMS
There are no Related Links Outside CMS

Page Last Modified: 12/05/2008 1:34:23 PM
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