{"abstract":"This final rule implements provisions of the Strengthening Medicare and Repaying Taxpayers Act of 2012 (SMART Act) which require us to provide a right of appeal and an appeal process for liability insurance (including self-insurance), no-fault insurance, and workers' compensation laws or plans when Medicare pursues a Medicare Secondary Payer (MSP) recovery claim directly from the liability insurance (including self-insurance), no-fault insurance, or workers' compensation law or plan.","action":"Final rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2015/02/27/2015-04143.html","cfr_references":[{"chapter":null,"citation_url":null,"part":405,"title":42}],"citation":"80 FR 10611","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective Date: These regulations are effective on April 28, 2015.","disposition_notes":null,"docket_ids":["CMS-6055-F"],"dockets":[],"document_number":"2015-04143","effective_on":"2015-04-28","end_page":10618,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2015/02/27/2015-04143.xml","html_url":"https://www.federalregister.gov/documents/2015/02/27/2015-04143/medicare-program-right-of-appeal-for-medicare-secondary-payer-determinations-relating-to-liability","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2015-04143?publication_date=2015-02-27","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2015-02-27/2015-04143/mods.xml","not_received_for_publication":null,"page_length":8,"page_views":{"count":4535,"last_updated":"2026-08-24 18:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2015-02-27/pdf/2015-04143.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2015-04143.pdf?1424958761","publication_date":"2015-02-27","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2015/02/27/2015-04143.txt","regulation_id_number_info":{"0938-AS03":{"issue":"201310","html_url":"https://www.federalregister.gov/regulations/0938-AS03/medicare-secondary-payer-applicable-plans-and-appeals-cms-6055-p-","title":"Medicare Secondary Payer-Applicable Plans and Appeals (CMS-6055-P)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201310&RIN=0938-AS03&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"}},"regulation_id_numbers":["0938-AS03"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AS03/medicare-secondary-payer-applicable-plans-and-appeals-cms-6055-p-","title":"Medicare Secondary Payer-Applicable Plans and Appeals (CMS-6055-P)"},"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2013-0270","supporting_documents_count":0,"docket_id":"CMS-2013-0270","regulation_id_number":"0938-AS03","title":"Medicare Program; Right of Appeal for Medicare Secondary Payer Determination Relating to Liability Insurance (Including Self-Insurance), No Fault Insurance, and Workers' Compensation Laws and Plans (CMS-6055-P)","checked_regulationsdotgov_at":"2015-03-19T06:00:09Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":10611,"subtype":null,"title":"Medicare Program; Right of Appeal for Medicare Secondary Payer Determinations Relating to Liability Insurance (Including Self-Insurance), No-Fault Insurance, and Workers' Compensation Laws and Plans","toc_doc":"Right of Appeal for Medicare Secondary Payer Determinations Relating to Liability Insurance (Including Self-Insurance), No-Fault Insurance, and Workers Compensation Laws and Plans","toc_subject":"Medicare Programs:","topics":["Administrative practice and procedure","Health facilities","Health professions","Kidney diseases","Medical devices","Medicare","Reporting and recordkeeping requirements","Rural areas","X-rays"],"type":"Rule","volume":80}