Centers for Medicare and Medicaid Services

CMS Releases Updated Guidance for Workers’ Compensation Medicare Set-Aside Reporting and Reviews

By |2024-04-04T20:48:19+00:00April 4th, 2024|Categories: Workers' Compensation|Tags: , , |

On April 1, 2024, the Centers for Medicare and Medicaid Services (CMS) released new detailed guidance for reporting workers’ compensation settlements involving individuals who are Medicare eligible. See NGHP User Guide | CMS. As part of a series of new detailed guidance, CMS provided specifics with respect to the information required by CMS when a workers’ compensation [...]

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CMS Expands Workers’ Compensation Reporting Requirements with No New Statutory or Regulatory Authority

By |2024-03-06T16:41:13+00:00March 4th, 2024|Categories: Workers' Compensation|Tags: , , |

On February 23, 2024 the Centers for Medicare and Medicaid Services (CMS) released an alert seeking to expand the Section 111 reporting requirements for Non Group Health Plans (NGHPs) See MMSEA S111 GHP Alert (cms.gov). The expansion goes well beyond the general statutory requirement in 42 U.S.C. 1395y(b)(7)&(b)(8), and would impact self-insured employers,  workers’ compensation plans, [...]

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Coalition Applauds Bi-Partisan Legislation To Improve Administration of Medicare With Workers’ Compensation

By |2024-02-15T23:24:13+00:00February 15th, 2024|Categories: Workers' Compensation|Tags: , , , |

Legislation supported by UWC and a coalition of stakeholders in workers’ compensation has been introduced to address the need for clarification when there are workers’ compensation settlements involving employees who are also Medicare eligible. The appropriate determination of amounts to be paid under the applicable workers’ compensation law and Medicare has been an issue for many [...]

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