The passage of the Strengthening Medicare and Repaying Taxpayers Act of 2012 (SMART Act) was expected to provide settling parties with easier access to conditional payment information. Although the implementation of the provisions has been an arduous process, CMS has made great strides towards this in 2015. CMS not only established a formal conditional payment appeal process for applicable plans, it also plans to transition a portion of the non-group health plan recovery workload to the Commercial Repayment Center in order to expedite conditional payment claims processing. This transition should occur in October of 2015.
CMS’ most recent accomplishment was announced on July 21, 2015 when CMS rolled out its Multi-factor Authentication (MFA) services for use on the Medicare Secondary Payer Recovery Portal (MSPRP). This service will now allow non-beneficiary users to access conditional payment information that was previously unavailable through the portal. Non-beneficiary users of the portal will need to complete the Identity Proofing and MFA process prior to viewing the more comprehensive conditional payment information.
Details regarding the new MFA process are outlined in CMS’ User Guides. We will continue to keep you advised of further developments as they arise.