Guidelines and Resources for Medicare Secondary Payer (MSP)

The CMS Web site and the CMS Internet Online Manuals (IOMs) provide additional guidelines and resources.  Select a link from the following topics to access additional MSP guidelines and resources from the CMS Web site and the Benefit Policy Manual (Pub. 100-02) and the Medicare Secondary Payer Manual (CMS Pub. 100-05) .

Billing MSP

• Ch. 3

Black Lung Disease

• Ch. 1 §10.4
• Ch. 2 §50
• Ch. 3 §30.2.3

Claim Submission

• Ch. 3 §30.5, 40 and §50

Conditional Payment

• Ch. 3 §40.3.1

Consolidated Omnibus Budget Reconciliation Act (COBRA)

• Ch. 2 §20.2

Coordination of Benefits Contractor (COBC)

• Ch. 4§10

Data Match

• Ch. 4 §30

Disability

• Ch. 2 §30

End Stage Renal Disease (ESRD)

• Ch. 2 §20

ESRD and COBRA

• Ch. 2 §20.2

Group Health Plan (GHP)

• Ch. 2 §10
• Ch. 3 §30.3

Large Group Health Plan (LGHP)

• Ch. 2 §§10.2 and 30.2

Liability Insurance

• Ch. 2 §40
• Ch. 3 §30.2.1.2

MSP Admission Questionnaire

• Ch. 3 §20

No-Fault Insurance

• Ch. 2 §60
  
• Ch. 3 §30.2.1

Overpayments

• Ch. 2 §70
  
• Ch. 3 §10.4

Right to Recovery

• Ch. 2 §40.1

Updating MSP Information/Records

• Ch. 4 §10.2

Veterans Administration

• Benefit Policy Manual (Pub. 100-02)
  Ch. 16 §50.1

Workers’ Compensation

• Ch. 1 §§10.4 and 20
  
• Ch. 2 §50
  
• Ch. 3 §§20.1 and 30.2.2

Working Aged

• Ch. 2 §10

Page last updated: April 1, 2008

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