On December 11, 2020, the Provide Accurate Information Directly (PAID) Act was signed into law by then-President Trump, with the express intent to assist settling parties to identify.
03/12/21
Mark Popolizio, Kate Riordan, Jeremy Farquhar
A major Medicare secondary payer (MSP) watch-list item for 2021 continues to be how and when CMS will implement the Provide Accurate Information Directly (PAID) Act. Signed into law on December 11, 2020, the PAID Act will make changes to CMS s Section 111 Query Process. In general, under the PAID Act, CMS will be required to provide RREs with information regarding a claimant s Medicare Part C (Medicare Advantage) and Medicare Part D (prescription drug) enrollment status through the Section 111 Query Process.
At this time, the industry is waiting for CMS to release its PAID Act implementation plan, which will require yet to be released technical updates to its Section 111 Query Process. Thus, until CMS provides more information, RREs remain in a holding pattern regarding what technical updates may be necessary.
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The Provide Accurate Information Directly ( PAID ) Act was signed into law on December 11, 2020, as part of H.R. 8900, which extended the government s fiscal deadlines. Title III of the PAID Act requires the Centers for Medicare & Medicaid Services (CMS) to increase its process in identifying whether a claimant is currently entitled to, or during the preceding 3-year period has been entitled to, Medicare Part C and/or Medicare Part D.
Under 42 U.S.C. §1395y(b)(8)(G), providers for liability insurance, no-fault insurance, and workers compensation are required to report settlements, judgments, awards, or other payment from liability insurers received by, or on behalf of, Medicare beneficiaries. The Section 111 Query Process[1] has been expanded by the Act and CMS is required to provide the names and addresses of any Medicare plans that a claimant is entitled to, within the Act’s newly established time frame.
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US Food and Drug Administrationauthorized the first COVID-19 vaccine for emergency use in the United States. Millions of doses of the
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