Medicare, Medicaid and SCHIP Extension Act UPDATES
Posted Aug.17, 2009 in General, News
In an effort to reduce Medicare costs, Congress passed the Medicare, Medicaid and SCHIP Extension Act of 2007 (MMSEA) on December 29, 2007. Because Medicare has been unable to identify primary payers consistently, Section 111 of the new Act (MMSEA) imposes mandatory reporting requirements for fully insured and self-funded group health plans.
These requirements impose an obligation on primary payers to identify claimants entitled to Medicare and to report those claims to Medicare electronically.
As of July 1, 2009. Health plans are required to report specific member eligibility data for members who meet certain age or disability criteria. The reporting rules apply to covered individuals age 45 and older for groups with 20 or more full or part-time active employees. (continue reading…)
