Notification to Affiliated Contractors of the establishment of Medicare Secondary Payer (MSP) Recovery Audit Contractors (RACs) and the impact to the Affiliated Contractors current MSP recovery processes.
A demonstration project is being initiated and will utilize
RACs in the identification of new Medicare Secondary Payer (MSP) Group Health Plan (GHP)
occurrences and the recovery of the associated Medicare mistaken primary payments.
Affiliated contractors shall interact with its RAC to ensure duplicate recovery activities do not
take place. Affiliated contractors are those carriers and intermediaries who have paid claims for
beneficiaries in the RAC assigned states associated with the contractor. A DMERC affiliated
contractor are those DMERCs who have paid claims for beneficiaries with their primary
residence as one of the RAC assigned states (i.e.; CA, FL, NY)
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: February 18, 2005
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.