Medicare, Medicaid, and SCHIP Extension Act of 2007

Regulation Reference Cite Public Law No. 110-173
Report Due Date (Actual) N/A
Level Requirement
Oversight Unit RISK & INSURANCE
Person Responsible Andrew Zerbel
Secondary Person Responsible Jill Compton
President / VP Level Finance
Description

This requirement is posted twice - once for HR and once for Risk Management, since they separately handle workers compensation plans and personal injury liability claims.  

In general, the University, as a provider of self-insured group health and workers compensation plans, must determine whether a claimant is entitled to benefits under Medicare on any basis, and if so, must submit to the Secretary of the Department of Health and Human Services the claimants identity and other information (e.g. SSNs, date of birth, sex, and address) specified by the Secretary for coordination of benefits and recovery claims purposes. 

The University must have an authorized representative who is legally responsible and signs a contract with the government, and also an account manager (must be a different person) who is collecting data and reporting on a quarterly basis. $1,000 per day civil penalty for each claimant for whom information should have been submitted, but was not.

Contacts and Data Sources

NMU Risk Management utilizes a third party administrator to adhere to the reporting requirements.
Internal Notes

This compliance item has notes that are available internally to the oversight unit. Please contact the Risk Management Department for more information