Medicare Reporting Requirements July 20 Rule Hearing Canceled

Jul 21, 2009

The Florida Department of Financial Services Division of Risk Management (“Division”) Hearing on proposed Rule 69H-2.008, entitled “Other Forms Adopted” that was scheduled for Monday, July 20, 2009, was not held because it was not requested. 

The proposed Rule relates to forms that will be used for requesting information from workers’ compensation claimants pursuant to the enactment of Section 111 of the Medicare, Medicaid, and State Children’s Health Insurance Program Extension Act of 2007 (“SCHIP”), which became effective on July 1, 2009.

SCHIP adds mandatory reporting requirements with respect to Medicare beneficiaries who receive settlements, judgments, awards, or other payments from liability insurance (including self-insurance), no-fault insurance, or workers’ compensation.  The Division must identify any Medicare beneficiaries with existing claims and must collect certain data that will be reported to the Center for Medicare and Medicaid Services (“CMS”).  The collected data will be used by CMS in processing claims billed to Medicare for reimbursement of items and services furnished to Medicare beneficiaries, as well as for the Medicare as a Secondary Payer recovery effort.

To view the Hearing notice, click here.


Should you have any questions or comments, please contact Colodny Fass.


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