CMS Extends MMSEA Reporting Deadline

Question
I understand that the reporting period for liability insurance cases has been moved back to 10-1-11. However, I am not sure how this affects ORM cases where the client is receiving treatment. I presume this only applies when the client is eligible for Medicare in any event. How does this affect uninsured motorist cases?

California Attorney

Answer
The extension of the trigger date and reporting date for reporting liability cases has been extended to October 1, 2011 and the first quarter of 2012, respectively. This extension only applies to liability cases that do not have an ongoing reporting obligation.

Workers' Compensation, no-fault (motorist) cases, and liability cases with ORM must still be reported during the applicable submission window during the first quarter of 2011. You will report cases where the ORM was assumed on or after January 1, 2010. The reporting is only required when the injured party is a Medicare beneficiary as of the date of the settlement or when ORM is assumed, if earlier. Go to the news section on our website to view our client advisory related to the extension of time to report.

Please let us know if you have any further questions.

Our best,
Marlene Wilson