MMSEA111 - Future Town Hall Teleconference Dates - All town hall teleconferences are held from 1:00pm to 3:00pm EST, unless otherwise noted.

July 8, 2009             

August 12, 2009

September 15, 2009                           

New Section 111 Provisions For GHP Arrangements, found at U.S.C. 1395y(b)(7)

Section 111 adds reporting rules; it does not eliminate any existing statutory provisions or regulations.

• It includes penalties for non-compliance.
• It includes provisions for the Secretary to share information on Part A entitlement and enrollment under Part B.
• Who Must Report: "an entity serving as an insurer or third party administrator for a group health plan...and, in the case of a group health plan that is self-insured and self-administered, a plan administrator or fiduciary."
• What Must Be Reported:  Data elements determined by the Secretary.
• A voluntary GHP insurer reporting process is already in place.  The mandatory reporting process will build upon the existing voluntary process.
• When/How reporting must be done:
  • In a form and manner, including frequency, specified by the Secretary.
  • GHP reporting will be no more than quarterly.
  • Submission will be in an electronic format.

Please note: Any information relative to implementing Mandatory Insurer Reporting can be found on the "Overview" page. 

Downloads
MMSEA May 27, 2009 - Notice and Agenda For Remaining Teleconferences in 2009 [PDF 37.7KB] MMSEA 111 - Revised - June 18, 2009 - 270/271 Health Care Eligibility Benefit Inquiry and Response; HIPAA Guidelines for Electronic Transactions - Companion Document for Mandatory Reporting GHP Entities [PDF 158KB] MMSEA - Revised - May 22, 2009 - GHP User Guide Version 2.3 [PDF 986KB] MMSEA 111 - May 8, 2009 - Quick Reference Guide for Section 111 Registration For All Responsible Reporting Entities [PDF 246KB] ALERT - April 6, 2009 - MMSEA Section 111 GHP RRE Registration: Coordination of Benefits Secure Website (COBSW) Version 2 [PDF 26.7KB] ALERT - January 8, 2009 - Section 111 Reporting Involving Group Health Plan Small Employer Exception (SEE) Request Information [PDF 37.6KB] MMSEA111 - December 16, 2008 - GHP Responsible Reporting Entities Compliance Document [PDF 30.4KB] September 25, 2008 - GHP Data Elements [PDF 51KB] September 22, 2008 - GHP - Employer Size vs Covered Lives and Small Employer Exception [PDF 53KB]
Related Links Inside CMS
Coordination of Benefits Secure Website MMSEA111 - December 3, 2008 - Audio - Transcript - Part 1 [MP3 85.2MB] MMSEA111 - December 3, 2008 -  Audio - Transcript - Part 2 [MP3 58.7MB] MMSEA111 - November 5, 2008 - Audio - Transcript - Part 1 [MP3 89.6MB] MMSEA111 - November 5, 2008 - Audio - Transcript- Part 2 [MP3 54.7MB] MMSEA111 - October 22, 2008 - Audio - Transcript - Part 1 [MP3 90.3MB] MMSEA111 - October 22, 2008 - Audio - Transcript - Part 2 [MP3 39.9MB]
Related Links Outside CMS
There are no Related Links Outside CMS

Page Last Modified: 06/19/2009 2:59:21 PM
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