The Official Medicare Set Aside Blog And Information Resource

Version 6.2 of NGHP MMSEA Section 111 User Guide Released

CMS, Mandatory Insurer Reporting, Medicare Set-Aside Blog on January 22, 2021
Posted by Shannon Flynn

Recently, the Centers for Medicare & Medicaid Services (CMS) released Version 6.2 of the Non-Group Health Plan (NGHP) MMSEA Section 111 User Guide, a key resource for addressing Section 111 reporting requirements as mandated by Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007 (MMSEA). To help you stay up to date […] Continue

New MSP Law Alert: The PAID Act

Conditional Payments, Mandatory Insurer Reporting, Medicare Advantage, Medicare Set-Aside Blog, MSP Litigation, MSP News on December 17, 2020
Posted by Jessica M. Wingenroth, JD

Medicare Advantage Plan and Prescription Drug Plan Information will be Disclosed to Section 111 NGHP RREs Beginning in December 2021 On 12/11/2020, President Trump signed into law H.R. 8900, which made headlines as a one-week continuing resolution (CR), to prevent a government shutdown. However, tucked away within H.R. 8900, the “Further Continuing Appropriations Act, 2021, […] Continue

MEDVAL Announces 111 Reporter

CMS, Compliance, Mandatory Insurer Reporting on December 15, 2020
Posted by Shannon Flynn

Today, MEDVAL announced the launch of their new Section 111 Mandatory Insurer Reporting solution, 111 Reporter, which allows organizations to effectively manage their Section 111 reporting to the Centers for Medicare & Medicaid Services (CMS). Successful Management of Mandatory Insurer Reporting is EssentialThe proactive and successful management of the Section 111 reporting process has never […] Continue

CMS Will Maintain $750 Recovery Threshold for 2021

CMS, Mandatory Insurer Reporting, Medicare Set-Aside Blog, MSP News on November 30, 2020
Posted by Shannon Flynn

The Strengthening Medicare and Repaying Taxpayers Act of 2012 (the SMART Act) requires the Centers for Medicare & Medicaid Services (CMS) to publish an annual threshold for recovery in November, each year.  This threshold amount reflects an amount for which CMS will not spend more on collections than a claim is likely to yield. On November […] Continue