As required by Section 202 of the SMART Act, CMS is required to annually review its costs relating to recovering conditional payments as compared to recovery amounts. Since 2017, CMS has maintained its threshold of $750.00 across all Non-Group Health Plan (NGHP) lines...
Yesterday, CMS announced that the threshold for liability settlements will reduce to $750. CMS will also maintain the $750 threshold for no-fault and workers’ compensation settlements, where the no-fault insurer or workers’ compensation entity does not otherwise have...
In a move that was expected, on February 28, 2014, CMS issued the attached Alert clarifying the $1,000 / $2,000 issue we identified in our recent blog. The MIR threshold for TPOC’s in liability settlements remains at $2,000 until October 14, 2014 when it is reduced...
A revised Alert titled Change in Recovery Threshold for Certain Liability Insurance (including Self-Insurance) Settlements, Judgments Awards, or Other Payments, has been posted to the Downloads section of the Non-Group Health Plan Recovery page. The methodology used...
