MMSEA Section 111 Reporting Updates

Medicare Set-Aside Blog on June 25, 2012 | Posted by


No, the new User Guide is not posted yet. This is just a notice, in case you also did not receive an email alert that something new was posted to the Mandatory Insurer Reporting page, that three new Alerts were posted on June 20, 2012 dealing with interim reporting thresholds. As you are aware, WC and Liability will catch up to one another on October 1, 2012 and all TPOCs reported in 2013 will have a minimum threshold of $5,000 and all TPOCs reported in 2014 will have a minimum threshold of $2,000. The TPOC amount for claims reported in 2015 was set at $600, but pursuant to two of these alerts, has dropped to $300.

The last alert extends the WC ORM exclusion indefinitely. These are the med only claims with no lost time and all medical payments of not more than $750 paid directly to the medical providers.

Look for these changes in the new User Guide which we have been promised no later than July 4th.