Updated MSPRP User Guide Issued

CMS, Conditional Payments, Medicare Secondary Payer Recovery Portal on April 4, 2019
Posted by Jean S. Goldstein, JD

Earlier this week, the Centers for Medicare & Medicaid Services released an updated Medicare Secondary Payer Recovery Portal (MSPRP) user guide, which can be found here.  The most significant updates relate to the electronic payment process for demands on the MSPRP, as we discussed here on our blog, however as noted by CMS in the summary section of the guide the following are the noteworthy updates to the User Guide:

  • To allow users to submit electronic payments for demands via the MSPRP, functionality has been added to the Payment Information tab on the Case Information page to start the payment process. Additionally, a new read-only Electronic Payment History tab has been added so users can track these payments (Sections 14.1.1, 14.1.1.1, and 14.1.1.2);
  • To comply with the Social Security Number (SSN) Fraud Prevention Act of 2017, the first five numbers of the SSN and Health Insurance Claim Number (HICN) will be masked (hidden from view) with asterisks on all outgoing hardcopy and electronic letters and attachments;
  • The Benefits Coordination & Recovery Center (BCRC) contact address for mailing additional supporting documentation has been updated (Chapter 16 and Figure 7-17).
  • To clarify the role of Account Representatives (ARs) in the MSPRP, the guide has been updated to more clearly explain restrictions for ARs (Sections 2.3.1, 2.3.2, and 3.2, and Chapter 4 and Chapter 5).

Electronic payment information begins on page 14-7 with instructions on how to make a payment, along with definitions of the fields for the new functionality.  Also, included within the updated guide are helpful screenshots for the electronic payment process, such as the below:

Whether or not an MSPRP user chooses to utilize this new feature, there are some enhanced features that have accompanied the electronic payment functionality. Specifically, the MSPRP is now listing the principal amount and showing the amount of interest accrued, with an area to show the rate of interest for which interest accrues.  This certainly will prove to be helpful for those attempting to resolve a case, and will be mailing a check.  It will certainly also reduce the amount of calls made to the call center to obtain this updated information. 

Please feel free to reach out to a member of our team if we may provide any additional information or answer any questions about this recently issued guidance.