title: Medicare program; Medicare Secondary Payer (MSP) amendments--HCFA. General notice.
abstract: This notice--1. Describes the changes made to the MSP for the disabled provision by sections 13561(b) and 13561(e) of the Omnibus Budget Reconciliation Act of 1993, Public Law 103-66, hereafter referred to as OBRA '93; and 2. Provides guidance for employers and employer health plans so that they can provide to Medicare contractors and beneficiaries the information necessary to implement these changes. Section 13561(b) changes the sunset date of the MSP for the disabled provision from October 1, 1995 to October 1, 1998. Section 13561(e) modifies the MSP for the disabled provision to conform to the MSP for the working aged provision, so that for both groups, the MSP provision applies (and the group health plan is primary payer) only when coverage under the plan is based on "current employment status with an employer."
mesh_terms: D014487:Centers for Medicare and Medicaid Services, U.S.; D017047:Cost Sharing / Q000331:legislation & jurisprudence*; D006233:Persons with Disabilities / Q000331:legislation & jurisprudence*; D006264:Health Benefit Plans, Employee / Q000331:legislation & jurisprudence; D006278:Medicare / Q000331:legislation & jurisprudence*; D014481:United States