Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (PL 110-173) amends the Medicare Secondary Payer (MSP) provisions of the Social Security Act (Section 1862(b) of the Social Security Act; 42 U.S.C. 1395y(b)) to provide for mandatory reporting for group health plan arrangements, liability insurance (including self-insurance), no-fault insurance, and workers' compensation.  The provisions will be implemented January 1, 2009, for information about group health plan arrangements, and July 1, 2009, for information about liability insurance, no-fault insurance, and workers' compensation.

CMS will design a new and separate Webpage for information regarding these requirements.  The Web address will be provided on this page as soon as the new Webpage is available.

**ALERT/URGENT MESSAGE**: On September 13, 2007, CMS made a decision to not require use of the new COBA Medigap claim-based IDs on incoming Medicare claims until October 1, 2007. Please do not include these identifiers on incoming claims until October 1, 2007. **ALERT/URGENT**

**ALERT** Suppliers that bill our DME MACs (DMACs) prior to October 1, 2007, should include the "DMAC transitional ID" found on the "Medigap Claim-based COBA IDs for Billing Purposes" spreadsheet (e.g., 55001B001) among the COBA download documents when attempting to trigger Medigap claim-based crossovers for the insurers shown. They should not include the standard 4-byte "Z001" after the base Medigap claim-based COBA ID, as directed by change request 5662 or the accompanying Med-Learn Article. **ALERT**

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Medigap-insurer letter [PDF, 64Kb]
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Page Last Modified: 02/22/2008 2:24:08 PM
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