100-05 Medicare Secondary Payer Manual: Chapter 2 Crosswalk

Medicare Secondary Payer (MSP) Manual
Chapter 2 - MSP Provisions
Crosswalk
New
Chap
New
Section
Int.
Pub. 13
Carrier
Pub. 14
HO
Pub. 10
HHA
Pub. 11
SNF
Pub. 12
PMs 	Description
2 	10 	A3-3491 	B3-3336
B3-3329
HO-263
HO-263.1
HHA-253
HHA-253.1
SNF-336
SNF-336.1
Medicare Secondary Payer Provisions
for Working Aged Individuals
2 	10.1 	A3-3491.2 	B3-3336.1
B3-4301
HO-263.3 	HHA-253.3 	SNF-336.3 	Individuals Subject to Limitations on
Payment
2 	10.2 	A3-3491.3 	B3-3336.1
B3-3336.9
HO-253.4 	HHA-253.4 	SNF-336.4 	Individuals Not Subject to the
Limitation on Payment
2 	10.3 	B3-3336.1
B3-3336.4
The 20-or-More Employees
Requirement
2 	10.4 	B3-3336.5 	Exception for Small Employers in
Multi-Employer and Multiple Employer
GHPs
2 	20 	A3-3490 	B3-3335
B3-3335.1
B3-3329
HO-264
HO-264.1
HHA-252
HHA-252.1
SNF-335
SNF-335.1
AB-97-14 	Medicare Secondary Payer Provisions
for ESRD Beneficiaries
2 	20.1 	A3-3490.4 	B3-3335.3 	HO-264.4 	HHA-252.4 	SNF-335.4 	AB-97-14 	Determining Period During Which
Medicare May Be Secondary Payer
2 	20.1.1 	B3-3335.3 	HO-264.4
HO-264.5
HHA-252.4
HHA-252.5
SNF-335.4
SNF-335.5
AB-97-14 	Duration of Coordination Period
2 	20.1.2 	A3-3490.6 	B3-3335.3 	HO-264.6 	HHA-252.6 	SNF-335.6 	Determination for Subsequent Periods
of ESRD Eligibility

New
Chap
New
Section
Int.
Pub. 13
Carrier
Pub. 14
HO
Pub. 10
HHA
Pub. 11
SNF
Pub. 12
PMs 	Description
2 	20.1.3 	A3-3490.5 	B3-3335.4
B3-3335.4A
B3-3336.9
HO-264.5 	HHA-252.5 	SNF-335.5 	Dual Eligibility/Entitlement Situations
2 	20.2 	B3-3335.5 	Effect of ESRD MSP on Consolidated
Omnibus Budget Reconciliation Act
(COBRA)
2 	30 	A3-3492 	B3-3337
B3-3329
HO-259A
HO IM-259
HHA IM-253 	SNF-337
SNF IM-336
Medicare Secondary Payer Provision
for Disabled Beneficiaries
2 	30.1 	A3-3492 	B3-3337.1
B3-3337.6
HO IM-
263.4
HHA IM-254 	SNF IM-337 	Items and Services Furnished Prior to
October 1, 1998
2 	30.2 	A3-3492C 	B3-3337.2 	Individuals Not Subject to MSP
Provision
2 	30.3 	B3-3337.3 	The 100 or More Employees
Requirement
2 	30.4 	B3-3337.4 	Disabled Individuals Who Return to
Work
2 	30.5 	B3-3337.5 	Dually Entitled Individuals
2 	40 	General Effect of Liability Insurance on
Medicare Payments
(New heading only)
2 	40.1 	A3-3418 	B3-3340 	HO-262 	HHA-251 	SNF-332 	Statutory Provisions
2 	40.2 	A3-3418 	B3-3340
B3-3340.B
B3-3340.3C
HO-262 	HHA-251 	SNF-332 	Conflicting Claims by Medicare and
Medicaid

New
Chap
New
Section
Int.
Pub. 13
Carrier
Pub. 14
HO
Pub. 10
HHA
Pub. 11
SNF
Pub. 12
PMs 	Description
2 	40.3 	B3-3340.3
B3-3340.3A
B3-3340.3B
HO-262.3 	HHA-251.3 	SNF-332.3 	Physician and Supplier Billing Rights
and Responsibilities
2 	40.3.1 	B3-3340.3D
B3-3340.3F
HO-262.3 	HHA-251.3 	SNF-332.3 	Physician or Supplier Prohibitions
Involving Liability Insurance
2 	50 	A3-3407
IM3497.3
B3-2370
B3-2340
HO-262.8
HO-289
HHA-232.14
HHA-250
SNF-280.13
SNF-325
Workers' Compensation (WC)
2 	50.1 	A3-3407
A3-3407.2
IM3497.3
A3-3407.3
A3-3407.4
A3-3407.5
A3-3407.6
A3-3407.3A
A3-3407.3C
IM3497.4
B3-2370.2
B3-2370.3
B3-2370.4
B3-2370.5
B3-2370.6
B3-2370.2B
B3-2370.C
HO-289
HO-289.2
HO-289.3
HO-289.4
HO-289.5
HO-289.6
HHA-250.2
HHA-250.3
HHA-250.4
HHA-250.5
HHA-250.6
SNF-325.2
SNF-325.3
SNF-325.4
SNF-325.5
SNF-325.6
Effect of Payments Under Workers'
Compensation Plan
2 	60 	A3-3489
A3-3489.A
B3-3338
B3-3338A
HO-262.8 	HHA-248 	SNF-334 	No-Fault Insurance