MSA News - Centers for Medicare and Medicaid Services (CMS) Releases an Updated MMSEA Section 111 User Guide

CMS’s Version 4.3 of the User Guide encompasses the most changes to date as compared to all prior versions since the inception. Medicare provides several downloadable files to keep up with all of the recent changes.

The Centers for Medicare and Medicaid Services (CMS) MMSEA Section 111 User Guide is available for download to review all of the revisions. It is made up of five chapters including:

- Introduction and Overview,

- Registration Procedures,

- Policy Guidance,

- Technical Information, and

- Appendices

Each chapter can be referenced independently from all of the downloaded files, but are designed to function together to provide complete information and instructions for NGHP reporting. Chapter I: Introduction and Overview of the NGHP User Guide provides an overview of the related Section 111 legislation, MSP rules, and the NGHP reporting process. Detailed instructions, policy and requirements are provided in subsequent chapters. File specifications, error code documentation and other reference materials are located in Chapter 5: Appendices. The first section of each chapter provides a list of updates made since the prior published version.

CMS indicates it is critical that each Non Group Health Plan (NGHP) Responsible Reporting Entity (RRE) read all chapters of the NGHP User Guide prior to attempting to register for Section 111 reporting. Comprehensive Computer-Based Training (CBT) modules covering all aspects of Section 111 reporting based on the NGHP User Guide can be found in the NGHP Training Materials.

Click here for the Updated Centers for Medicare and Medicaid Services (CMS) MMSEA User Guide >>