Centers for Medicare & Medicaid Services (CMS)

4/22/2025 - 8 min read

CMS Conditional Payments – 5 Things to Know and How Verisk Can Help

Five essential tips into CMS’s recovery process works, considerations to improve your compliance practices, and how Verisk can help.

4/11/2025 - 9 min read

CMS Releases Section 111 NGHP User Guide (Version 8.0) – Breaking Down CMS’s New Updates

CMS has released an updated Section 111 NGHP User Guide (Version 8.0, April 7, 2025) regarding S.111 reporting related to non-group health plans.

4/9/2025 - 4 min read

CMS Releases WCMSA Reference Guide and Self-Administration Tool-Kit

CMS released an updated WCMSA Reference Guide (Version 4.3) and a new WCMSA Self-Administration Tool Kit (Version 1.7).

4/3/2025 - 7 min read

CMS Discusses General MSP Recovery Issues on its “MSP Intro” Webinar

On March 27, 2025, CMS held an “Introduction to MSP for Beneficiary Representatives” webinar.

3/25/2025 - 1 min read

Verisk’s TPOC/WCMSA Resource Center – Helping You Stay Compliant!

With CMS's new requirements in effect, we're thrilled to introduce Verisk's TPOC/WCMSA Resource Center, offering a variety of essential resources.

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3/19/2025 - 1 min read

CMS to Hold an MSP Intro Webinar on March 27th at 1:00 p.m. (ET)

CMS will host an Introduction to MSP for Beneficiary Representatives webinar on March 27, 2025, at 1 p.m.

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3/19/2025 - 5 min read

A New Day for WCMSA Amended Review Requests Start April 7th

Effective April 7, 2025, CMS will permit Amended Review requests any time after a WCMSA case approval.

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3/13/2025 - 18 min read

Section 111 Reporting: CMS’s Road Map to Conditional Payment Recovery

Insurers must understand CMS's use of Section 111 data in the conditional payment recovery process to avoid consequences and liability.

1/23/2025 - 5 min read

CMS Will End One-Year Waiting Period to File WCMSA Amended Review Requests

CMS has a released an Alert advising that effective 4/7/2025, Amended Review requests “will be allowed at any time a WCMSA case is approved.”

1/22/2025 - 11 min read

CMS Releases WCMSA Reference Guide 4.2-CMS to End Review of $0 WCMSAs

CMS releases an updated WCMSA Reference Guide (Version 4.2, January 17, 2025).

1/10/2025 - 4 min read

CMS Releases Updated MSPRP User Guide (Version 6.4)

CMS released an updated MSPRP User Guide with changes to the security protocols for the Multi-Factor Authentication process.

1/8/2025 - 3 min read

CMS Releases Section 111 NGHP User Guide (Version 7.9)

CMS has released an updated Section 111 NGHP User Guide regarding reporting related to NGHPs (liability, no-fault and workers’ compensation).

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12/19/2024 - 5 min read

CMS Retains its $750 “Low Dollar” Threshold for 2025

CMS has announced its low-dollar reporting and recovery thresholds for 2025, retaining the current $750 low-dollar threshold for certain cases.

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12/11/2024 - 8 min read

New Section 111 NGHP User Guide (Version 7.8) – CMS Adds New Section Regarding WCMSAs

CMS released an updated Section 111 NGHP User Guide (Version 7.8) regarding S.111 reporting related to non-group health plans.

10/28/2024 - 31 min read

CMS Unveils New Webpage Resource for NGHP Section 111 CMPs

CMS introduces two new resources related to NGHP Section 111 civil money penalties (CMPs): the NGHP Civil Money Penalties webpage and the CMPs workflow.