- The MSPRC has responsibility for all new MSP recovery demand letters issued on or after October 2, 2006, as well as all subsequent CMS actions on those recovery claims. The MSPRC is also responsible for work on all pending MSP recovery cases where a recovery demand letter has not yet been issued, as well as all newly identified MSP recovery cases. The two exceptions to this are: (1) recovery demand letters issued by the MSP Recovery Audit Contractors (RACs) implemented as a demonstration under the Medicare Modernization Act of 2003; and (2) MSP recovery demand letters issued by the claims processing contractors to providers, physician, and other suppliers. The RACs continue to be responsible for certain MSP GHP- based recoveries for the States of California, Florida, and New York. The three MSP RACs are Diversified Collection Systems (California), Public Consulting Group (Florida), and Public Consulting Group (New York).
- The Medicare contractors listed immediately below continue to be responsible for all further CMS collection actions with respect to MSP recovery claims where the initial recovery demand letter was issued prior to October 2, 2006. This includes responsibility for the "Notice of Intent to Refer Debt to the Department of Treasury" where a recovery claim is not repaid timely. The RACs will also continue to have this responsibility for all RAC-initiated MSP recovery claims.
o Empire – Syracuse, NY or Harrisburg, PA o First Coast Service Options – Jacksonville, FL o Mutual of Omaha – Omaha, NE o Palmetto – Augusta GA, or Columbia, SC or Columbus, OH o Trailblazer – Denison, TX - The MSPRC is responsible for all further CMS collection actions for MSP recovery demand letters issued before the implementation date for the MSPRC (October 2, 2006) unless the recovery demand letter was: (1) issued by one of the Medicare contractors listed immediately above; (2) issued by one of the RACs; or (3) issued to a provider, physician, or other supplier.
Once a recovery claim is referred to the Department of the Treasury, the contractor which issued the recovery demand letter and the notice of intent to refer the debt to Treasury will take no further collection action. To resolve any additional questions you may have regarding whom to contact, see below: Contact the MSPRC regarding any of the following: - To obtain conditional payment amounts;
- To obtain Medicare's final recovery claim amount;
- To ask questions regarding MSP recovery demand letters;
- To ask questions with respect to a "Notice of Intent to Refer Debt to the Department of Treasury" letter;
- To ask questions regarding repaying Medicare;
- To requests a waiver of recovery with respect to a beneficiary MSP debt. (Note: A waiver of recovery request cannot be accepted or processed until a recovery demand letter is issued.);
- To request a first level appeal with respect to the determination contained in a beneficiary MSP recovery demand letter or a determination made on a waiver of recovery request from a beneficiary.
The MSPRC does not: - Process claims;
- Collect or manage information about beneficiaries' other coverage;
- Perform MSP recovery functions for debtors who are providers or suppliers; or
- Handle general Medicare inquiries or enroll individuals in the Medicare program.
Contact the Department of the Treasury (or its contractor if you have received correspondence from an entity under contract to the Department of the Treasury) to: - Respond to recovery claims that have been referred to the Department of the Treasury
Page Last Modified: 01/30/2009 10:32:52 AM
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