(111)


  • Mandatory Insurer Reporting For Non-Group Health Plans

    Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) added mandatory reporting requirements with respect to Medicare beneficiaries who have coverage under group health plan (GHP) arrangements as well as for Medicare beneficiaries who receive settlements, judgments, awards or other payment from liability insurance (includin...

  • Who Must Report

    An organization that must report under Section 111 is referred to as a responsible reporting entity (RRE). In general terms, NGHP RREs include liability insurers, no-fault insurers, and workers’ compensation plans and insurers. RREs may also be organizations that are self-insured with respect to liability insurance, no-fault insurance, and workers’...

  • Reporting

    The purpose of Section 111 reporting is to enable CMS to pay appropriately for Medicare-covered items and services furnished to Medicare beneficiaries. Section 111 NGHP reporting of applicable liability insurance (including self-insurance), no-fault insurance, and workers’ compensation claim information helps CMS determine when other insurance cove...

  • Reporting Requirements – Nghp User Guide and Alerts

    Reporting requirements are documented in the NGHP User Guide which is available as a series of downloads on the NGHP User Guide page. The NGHP User Guide is made up of five chapters: Introduction and Overview, Registration Procedures, Policy Guidance, Technical Information, and Appendices. Each chapter can be referenced independently, but are desig...

  • Registration and The Section 111 COBSW

    Section 111 RREs are required to register for Section 111 reporting and fully test the data exchange before submitting production files. The registration process provides notification to CMS of the RRE’s intent to report data to comply with the requirements of Section 111 of the MMSEA. NGHP RREs must register on the Section 111 COB Secure Website (...

  • Reporting Assistance

    After registration, you will be assigned an Electronic Data Interchange (EDI) Representative to assist you with the reporting process and answer related technical questions. CMS conducts NGHP Town Hall Teleconferences to provide updated policy and technical information related to Section 111 reporting. Announcements for upcoming NGHP Town Hall even...

What is NFPA 111?

The 1993 edition reflected the adoption of NFPA 111, Standard on Stored Electrical Energy Emergency and Standby Power Systems, a basic requirement for one-step loading for all prime movers, an update on battery technology, restrictions on unnecessary transferring of loads, and the need for battery maintenance.

What is Section 111 reporting?

The purpose of Section 111 reporting is to enable CMS to pay appropriately for Medicare-covered items and services furnished to Medicare beneficiaries.

Where can I find the section 111 statutory language?

The Section 111 statutory language, Paperwork Reduction Act Federal Register Notice and Supporting Statement can be found in the Downloads section below. An organization that must report under Section 111 is referred to as a responsible reporting entity (RRE).

What is Section 111 of the Medicare & Medicaid extension act?

Note: Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 is sometimes referred to as “Section 111”. The term “Section 111” will be used on these pages for ease of reference. The provisions for Liability Insurance, No-Fault Insurance, and Workers’ Compensation found at 42 U.S.C. 1395y (b) (8):

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