Updated NGHP User Guide Version 6.2 Issued: $750 TPOC Threshold Confirmed for GL, WC, and NF
Heather Schwartz Sanderson
The Non-Group Health Plan (NGHP) User Guide is the primary source for Section 111 reporting requirements as mandated by Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007 (MMSEA). As the Centers for Medicare & Medicaid Services (CMS) does periodically, necessary updates are made to the Guide notifying Responsible Reporting Entities (RREs) of such changes in reporting requirements.
42 U.S.C. § 1395y(b)(8) provides that the “applicable plan” is the RRE and ...
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