Liability Insurance

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Introduction

The Liability Insurance (including Self-Insurance), No-Fault Insurance, and Workers’ Compensation User Guide, Version 3.4 has been written for use by all Section 111 liability insurance (including self-insurance), no-fault insurance, and workers’ compensation Responsible Reporting Entities (RREs). The five chapters of the User Guide - referred to collectively as the “Section 111 NGHP User Guide” - provide information and instructions for the Medicare Secondary Payer (MSP) NGHP reporting requirements mandated by Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007 (MMSEA) (P.L. 110-173).

This Technical Information Chapter of Version 3.4 of the MMSEA Section 111 NGHP User Guide provides detailed information on the technical requirements of Section 111 reporting for liability insurance (including self-insurance), no-fault insurance, and workers’ compensation Responsible Reporting Entities (RREs).The other four chapters of the NGHP User Guide: Introduction and Overview, Registration Procedures, Policy Guidance, and Appendices should be references as needed for applicable guidance.

Please note that CMS continues to implement the Section 111 reporting requirements in phases. New versions of the Section 111 User Guide will be issued, when necessary, to document revised requirements and add clarity. At times, certain information may be released in the form of an Alert document. Any Alert dated subsequent to the date of the currently published User Guide supersedes the applicable language in the User Guide.

All updated Section 111 policy and technical reporting requirements published in the form of an Alert will be incorporated into the next version of the User Guide. RREs must refer to the current User Guide and any subsequent Alerts for complete information on Section 111 reporting requirements. The NGHP User Guide Appendices Chapter (Appendix K) contains a list of all the applicable NGHP Alert posted prior to the publication of this User Guide.