Medicare Secondary Payer (MSP) Manual 
Chapter 1 - Background and Overview 
Crosswalk 
 
New  New  Int.  Carrier  HO  HHA  SNF  PMs  Subject 
Chap  Section  Pub. 13  Pub. 14  Pub. 10  Pub. 11  Pub. 12 
1  10  A3-3418.2  B3-3328  HO-263  HHA-252.13  SNF-335.12  AB-97-14  General Provisions 
A3-3491  B3-3329.1C  HO-263.12  SNF-336 
A3-3491.12  HO-264.12  SNF-336.12 
1  10.1  A3-3491  B3-3328.A.1  HO-262.2  HHA-251.2  SNF-332.2    Working Aged 
B3-3329.1.A  HO-263  HHA-253  SNF-336 
HO-263.1  HHA-253.1  SNF-336.1 
HO-264  HHA-252  SNF-335 
1  10.2  A3-3490  B3-3329.B  HO-264  HHA-252.1  SNF-335    End-Stage Renal Disease (ESRD) 
B3-3329.1  HO-264.1 
1  10.3    B3-3329.1.C      SNF-337    Disabled Beneficiaries Covered Under a 
Large Group Health Plan (LGHP) 
1  10.4  A3-3407  B3-3328.4  HO-289  HHA-250  SNF-325    Workers' Compensation (WC) 
B3-2370 
1  10.5    B3-3328.5  HO-262.8        No-Fault Insurance 
B3-2340 
1  10.6  A3-3418  B3-3328.6  HO-262  HHA-251  SNF-332    Liability Insurance 
A3-3418.2.F 
A3-3489  New  New  Int.  Carrier  HO  HHA  SNF  PMs  Subject 
Chap  Section  Pub. 13  Pub. 14  Pub. 10  Pub. 11  Pub. 12 
1  10.7  A3-3491.9A  B3-3328.C  HO-263.10  HHA-250.20  SNF-330.1    Conditional Primary Medicare Benefits 
A3-3415  B3-2370.6B  HO-289.21  HHA-253.10  SNF-336.10 
B3-3333.A 
1  10.7.1  A3-3491.9B  B3-3328.C  HO-263.10  HHA-253.10  SNF-336.10    When Conditional Primary Medicare 
B3-3338.3  Benefits May Be Paid 
1  10.7.2  A3-3491  B3-3328.C.2  HO-263  HHA-253  SNF-336    When Conditional Primary Medicare 
A3-3491.9  HO-263.10  HHA-253.10  SNF-336.10  Benefits May Not Be Paid 
1  10.8  IM3497  B3-3328.18          When Medicare Secondary Benefits Are 
IM3497.3  B3-3328.19  Payable and Not Payable 
IM3497.4 
1  10.9  A3-3491.6.C  B3-3328.10  HO-263.7  HHA-253.7  SNF-336.7    Multiple Insurers 
A3-3408.1.B  B3-3328.10.A  HO-289.12  HHA-250.12  SNF-327.1 
B3-3328.10.B 
1  20  A3-3407.1  B3-3329.2  HO-262.2  HHA-253.2  SNF-332.3  AB-00-27  Definitions 
A3-3490.1  B3-2370.1  HO-262.8  HHA-252.2  SNF-334.1 
A3-3491  B3-3328  HO-262.9  HHA-248.1  SNF-336 
A3-3418.2  B3-3340.2.D  HO-263  HHA-250.1  SNF-336.2 
A3-3489.1  B3-3338.2  HO-263.2  HHA-251.2  SNF-335.2 
A3-3418.2  B3-7080.1  HO-264.2  HHA-253  SNF-325.1 
A3-3492  HO-289.1 
A3-3491.1C 
A3-3218.2 
IM3492 
IM3497 
IM3497.1 
IM3497.6 
A3-3492B3  New  New  Int.  Carrier  HO  HHA  SNF  PMs  Subject 
Chap  Section  Pub. 13  Pub. 14  Pub. 10  Pub. 11  Pub. 12 
1  30  A3-3489.8  B3-3328.1  HO-262.14  HHA-248.7  SNF-334.7    Beneficiary's Rights and Responsibility 
A3-3490.15  B3-3338.8  HO-262.15  HHA-253.15  SNF-336.16 
A3-3492.G  B3-3328.12  HO-263.16  HHA-252.16  SNF-335.16 
A3-3489.9  B3-3338.9  HO-264.16  HHA-250.10  SNF-326.4 
A3-3407.10  B3-2370.11  HO-289.10  HHA-337 
A3-3491.16 
1  40  A3-3491.8  B3-3328.22  HO-262. 1  HHA-252.13  SNF-336.12    Effect of GHPs Payments on 
A3-3418.1.A  B3-3338.B  HO-262.8  HHA-253.9  SNF-335.12  Deductible, Coinsurance, and 
A3-3418.1.B  HO-263.9  SNF-335.13  Utilization  
A3-3490.9  HO-264.12  SNF-336.9 
A3-3490.10  HO-264.13 
IM3497.7  HO-263.12 
A3-3489.B 
A3-3497.7 
A3-3191.12 
A3-3329.3 
1  40.1    B3-3328.22          Crediting Deductible for Non-Inpatient 
Psychiatric Services Rules Defining 
Employees Covered by GHPs and 
LGHPs 
1  50  A3-3491.1.B  B3-3329.3  HO-2632  HHA-253.2  SNF-336.2    Rules Defining Employees Covered by 
A3-3491.1.  B3-3329.3A  GHPs and LGHPs 
A3-3492.B.3  B3-3329.3B 
A3-3492B3b  B3-3336.8 
A3-3492B3c  B3-3329.3.C  New  New  Int.  Carrier  HO  HHA  SNF  PMs  Subject 
Chap  Section  Pub. 13  Pub. 14  Pub. 10  Pub. 11  Pub. 12 
1  50.1  A3-3491  B3-3329.3D  HO-263  HHA-253  SNF-336    Clarification of Current Employment 
IM3491  B3-3329.3E  Status for Specific Groups 
A3-3492.B3e  B3-3329.3F 
A3-3492.B3f  B3-3329.3G 
A3-3492.B3g  B3-3329.3H 
A3-3492.B3h  B3-3329.3I 
A3-3492.B3i  B3-3329.3k 
A3-3491.2  B3-3336.7 
B3-3336.6 
1  60    B3-3329.3J1          Aggregation Rules Applicable to 
B3-3329.3J2  Determine the Employer Size 
B3-3329.3J2.A 
B3-3329.3J2b 
B3-3329.3J3 
1  70    B3-3329.5          Prohibitions Applicable to Employers 
B3-3329.5A  Offering GHP Coverage 
B3-3336.2 
B3-3336.3 
1  70.1    B3-3329.5          Financial Incentives 
1  70.2  A3-3491  B3-3336.3  HO-263  HHA-253  SNF-336    Discrimination in Offering Equal 
IM3491.B2  B3-3329.6B  Benefits for Older and Younger 
Employees and Spouses 
1  70.3  A3-3490.14  B3-3329.6.C          Differentiation for ESRD 
B3-3335.2  New  New  Int.  Carrier  HO  HHA  SNF  PMs  Subject 
Chap  Section  Pub. 13  Pub. 14  Pub. 10  Pub. 11  Pub. 12 
1  70.3.1    B3-3335.2D          Paying Benefits Secondary to Medicare 
1  70.4  A3-3491.1  B3-3329.6A  HO-263.2  HHA-253.2  SNF-336.2    Taking Into Account Medicare 
A3-3490.14  B3-3335.2A  Entitlement 
IM3491.B.1  B3-3336.2 
B3-3329.6D 
1  70.5    B3-3335.2.C          Permissible Distinctions in Coverage 
B3-3329.6E  Allowed a GHP or LGHP 
1  80  A3-3496  B3-3329.6.G      SNF-337    Actions Resulting from GHP or LGHP 
A3-3492H  B3-3329.7  Nonconformance 
A3-3496  B3-3329.8 
A3-3492  B3-3329.6I 
B3-3329.5B 
B3-3329.7 
B3-3329.8 
1  90  A3-3490.14  B3-3329.6G          GHP or LGHP Actions to Document 
Conformance 
1  100  A3-3492.K  B3-3329.5C    HHA-337      Referral to the Regional Office 
A3-3492J  B3-3329.6H 
IM3491C 
1  100.1  A3-3490.14B            Job Discrimination 
1  110  A3-3495  B3-3328.17          Federal Government's Right to Sue and 
Collect Double Damages