CMS Issues Alert on Section 111 Reporting of WCMSA Information

On February 23, 2024, CMS issued an Alert on the expansion of the Section 111 reporting process to include MSA information in workers’ compensation cases.  The Alert explains that workers’ compensation TPOCs with a TPOC date on or after April 4, 2025, will be subject to the new reporting requirements to include additional fields with MSA information.  The new fields for Claim Input files are fields 37 (MSA Amount), 38 (MSA Period), 39 (Lump Sum or Annuity Payout Indicator), 40 (Initial Deposit Amount), 41 (Anniversary (Annual) Deposit Amount), 42 (Case Control Number), and 43 (Professional Administrator EIN).  The information in these fields must be reported regardless of whether CMS approval was obtained.

CMS will begin allowing testing of the new fields with Claim Input files beginning October 7, 2024.  Records submitted on test files with a TPOC date on or after October 7, 2024, will be subject to edits for the new fields.

The Alert is available at https://www.cms.gov/files/document/technical-alert-change-workers-compensation-reporting.pdf.  Please do not hesitate to contact us with any questions about the changes to the reporting process.