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7/20/2026 - 4 min read
CMS Releases New WCMSA Reference Guide (Version 4.6)
The Centers for Medicare and Medicaid Services (CMS) has released WCMSA Reference Guide (Version 4.6, July 13, 2026).
7/17/2026 - 15 min read
CMS Releases Section 111 NGHP User Guide (Version 8.5)
CMS has released an updated Section 111 NGHP User Guide (Version 8.5, July 13th) regarding Section 111 reporting related to non-group health plans.
3/4/2026 - 2 min read
CMS to hold TPOC/WCMSA Reporting Webinar
CMS has announced that it is holding a Workers’ Compensation Medicare Set-Aside Reporting Webinar. It is scheduled for March 25, at 1:00 p.m. (ET).
2/2/2026 - 12 min read
Partial Federal Government Shutdown Begins
The federal government has partially shutdown as of 1/31 as Congress was unable to pass the required funding provisions to keep the government open.
1/30/2026 - 7 min read
CMS’s Section 111 Daily CMPs Maximum Rate for NGHP Reporting Increased to $1,512
The maximum daily CMP amount regarding NGHP Section 111 reporting has been increased by the Department of Health and Human Services.
1/20/2026 - 18 min read
CMS Holds its Third NGHP Section 111 Penalties Webinar
On 1/15, CMS held its NGHP Section 111 CMPs webinar. During this event, CMS discussed several different CMPs-related items pertaining to NGHP RREs.
12/9/2025 - 1 min read
CMS Will Hold a NGHP Section 111 Penalties Webinar – January 15, 2026, at 1:00 p.m. ET
Join CMS’s NGHP Section 111 Penalties webinar on Jan. 15, 2026, for updates on CMP audits, compliance reminders, and Q&A.
12/4/2025 - 7 min read
CMS Announces New WCMSA Part D Data Share and Part D Coordination of Benefits Option Starting February 2026
CMS will begin sharing WCMSA prescription data with Part D plans in 2026, introducing new prior authorization and coordination of benefits options.
11/20/2025 - 16 min read
CMS releases Section 111 NGHP User Guide (Version 8.2)
CMS released Section 111 NGHP User Guide 8.2, noting updates in policy, technical requirements, and appendices impacting NGHP reporting.
11/13/2025 - 8 min read
The Longest Federal Government Shutdown in History Ends
The longest federal shutdown in history ends. Learn what’s next for funding, Medicare, and compliance activities.
10/1/2025 - 6 min read
Federal Government Shuts Down – Information and Potential MSP Impact
Learn how the October 2025 federal government shutdown could affect Medicare, Social Security, and MSP compliance activities.
9/11/2025 - 1 min read
CMS to hold TPOC/WCMSA Reporting Webinar – October 1st at 2:00 p.m. ET
CMS has announced that it is holding a Workers’ Compensation Medicare Set-Aside Reporting Webinar. It is scheduled for October 1st at 2:00 p.m. (ET).
7/14/2025 - 8 min read
TPOC/WCMSA Reporting is Underway – Unexpected Issues and Considerations
Based on our handling of MSP claims and observations, we note these considerations and issues where further CMS clarity may be helpful.
6/20/2025 - 9 min read
CMS discusses general WCMSA compliance points on its June 17th webinar
On June 17th, the Centers for Medicare and Medicaid Services held an “Introduction to Workers’ Compensation Medicare Set-Asides (WCMSAs) Webinar.”
5/15/2025 - 12 min read
CMS’s New $0 WCMSA Policy Starts 7/17/25 – Key Points and How Verisk Can Help
Major changes are coming to $0 Workers’ Compensation Medicare set-asides (WCMSA) practices starting in July 2025.
