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Insurer Services What's New

Guidance for changes to Insurer requirements 2013-2015 and 2018.

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: April 25, 2019

This page is used to post notifications and highlight new information that is of interest to Insurers and Third Party Administrators.

July 1, 2024 – Updated Non-Group Health Plan (NGHP) Applicable Plan Appeals Reference Guide Now Available

The updated Non-Group Health Plan (NGHP) Applicable Plan Appeals Reference Guide is now available in the Download section of the NGHP Insurer Recovery Page. Refer to Chapter 1 for a summary of updates. 

June 10, 2024 – Special Outage Notification 

Please note that due to system modernization activities, the Medicare Secondary Payer Recovery Portal (MSPRP), the Commercial Repayment Center Portal (CRCP), and the Commercial Repayment Center (CRC) Call Center will be unavailable for the following days and times:

DateTimeAdditional Information
Friday, June 28, 2024, through Monday July 1, 20242:00 PM ET Friday through 7:00 AM ET Monday

Call Center Will Not Be Available; 

Operations Will Resume on Monday, July 1 at 8:00 AM ET.

We apologize for the inconvenience. 

May 9, 2024 – New CRC Case Closure Detail Document Now Available

A new CRC Case Closure Detail Document is now available in the Download section of the Insurer NGHP Recovery page. 

HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.