January 12, 2009 - Written Town Hall Transcripts for Liability (including Self-Insurances, No-Fault and Workers' Compensation have been transferred to the new "NGHP" section page.

Town Hall Teleconference Dates - All town hall teleconferences are held from 1:00pm to 3:00pm EST unless otherwise noted.

April 21, 2009 - Liability (including Self-Insurance) and No-Fault Questions Only

May 12, 2009 - NGHP Registration Issues Only

May 14, 2009

June 9, 2009

July 14, 2009                          

August 18, 2009

September 30, 2009

October 22, 2009

November 17, 2009

December 15, 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 - May 12, 2009 - Teleconference - Notice and Agenda [PDF, 42.8 KB] MMSEA 111 - May 14, 2009 - Teleconference - Notice and Agenda [PDF, 45 KB] MMSEA111- April 7, 2009 - Alert For Reporting Multiple Total Payment Obligation to the Claimant (TPOC) Amounts MMSEA111 - April 21,2009 - Teleconference - Notice and Agenda [PDF 41.8KB] MMSEA 111 - March 20, 2009 - Alert for Liability Insurance (Including Self_Insurance), No-Fault Insurance, and Workers' Compensation - [PDF 48KB] MMSEA 111 - User Guide - Liability (including Self-Insurance), No-Fault and Workers' Compensation, Version 1.0 - March 16, 2009 - [PDF 1MB]
Related Links Inside CMS
MMSEA111 - February 25, 2009 - Audio - Transcript - Teleconference Part 1 [MP3 93.4MB] MMSEA111 - February 25, 2009 - Audio - Transcript - Teleconference Part 2 [MP3 46.4MB] MMSEA111 - January 28, 2009 - Audio - Transcript - Teleconference Part 1 [MP3 90.7MB] MMSEA111 - January 28, 2009 - Audio - Transcript - Teleconference - Part 2 [MP3 41.7MB] MMSEA111 - January 22, 2009 - Audio - Transcript - Teleconference Part 1 [MP3 89.4MB] MMSEA111 - January 22, 2009 - Audio - Transcript Teleconference Part 2 [MP3 24.9MB] MMSEA111 - October 29, 2008 - Audio - Transcript - Teleconference Part 1 [MP3 65.4MB] MMMSEA - October 29, 2008 - Audio - Transcript - Teleconference Part 2 [MP3 34.5MB] MMSEA111 - October 1, 2008 - Audio - Transcript - Teleconference Part 1 [MP3 91.5MB] MMSEA111 - October 1, 2008 - Audio - Transcript - Teleconference - Part 2 [MP3 38.5MB]
Related Links Outside CMS
There are no Related Links Outside CMS