Medicare Secondary Payer (MSP) Manual 
Chapter 2 - MSP Provisions
 
Crosswalk 
New  New  Int.  Carrier  HO  HHA  SNF  PMs  Description 
Chap  Section  Pub. 13  Pub. 14  Pub. 10  Pub. 11  Pub. 12 
2  10  A3-3491  B3-3336  HO-263  HHA-253  SNF-336    Medicare Secondary Payer Provisions 
B3-3329  HO-263.1  HHA-253.1  SNF-336.1  for Working Aged Individuals 
2  10.1  A3-3491.2  B3-3336.1  HO-263.3  HHA-253.3  SNF-336.3    Individuals Subject to Limitations on 
B3-4301  Payment 
2  10.2  A3-3491.3  B3-3336.1  HO-253.4  HHA-253.4  SNF-336.4    Individuals Not Subject to the 
B3-3336.9  Limitation on Payment 
2  10.3    B3-3336.1          The 20-or-More Employees 
B3-3336.4  Requirement 
2  10.4    B3-3336.5          Exception for Small Employers in 
Multi-Employer and Multiple Employer 
GHPs 
2  20  A3-3490  B3-3335  HO-264  HHA-252  SNF-335  AB-97-14  Medicare Secondary Payer Provisions 
B3-3335.1  HO-264.1  HHA-252.1  SNF-335.1  for ESRD Beneficiaries 
B3-3329 
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  HHA-252.4  SNF-335.4  AB-97-14  Duration of Coordination Period 
HO-264.5  HHA-252.5  SNF-335.5 
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  New  Int.  Carrier  HO  HHA  SNF  PMs  Description 
Chap  Section  Pub. 13  Pub. 14  Pub. 10  Pub. 11  Pub. 12 
2  20.1.3  A3-3490.5  B3-3335.4  HO-264.5  HHA-252.5  SNF-335.5    Dual Eligibility/Entitlement Situations 
B3-3335.4A 
B3-3336.9 
2  20.2    B3-3335.5          Effect of ESRD MSP on Consolidated 
Omnibus Budget Reconciliation Act 
(COBRA) 
2  30  A3-3492  B3-3337  HO-259A  HHA IM-253  SNF-337    Medicare Secondary Payer Provision 
B3-3329  HO IM-259  SNF IM-336  for Disabled Beneficiaries 
2  30.1  A3-3492  B3-3337.1  HO IM- HHA IM-254  SNF IM-337    Items and Services Furnished Prior to 
B3-3337.6  263.4  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  HO-262  HHA-251  SNF-332    Conflicting Claims by Medicare and 
B3-3340.B  Medicaid 
B3-3340.3C  New  New  Int.  Carrier  HO  HHA  SNF  PMs  Description 
Chap  Section  Pub. 13  Pub. 14  Pub. 10  Pub. 11  Pub. 12 
2  40.3    B3-3340.3  HO-262.3  HHA-251.3  SNF-332.3    Physician and Supplier Billing Rights 
B3-3340.3A  and Responsibilities 
B3-3340.3B   
2  40.3.1    B3-3340.3D  HO-262.3  HHA-251.3  SNF-332.3    Physician or Supplier Prohibitions 
B3-3340.3F  Involving Liability Insurance 
2  50  A3-3407  B3-2370  HO-262.8  HHA-232.14  SNF-280.13    Workers' Compensation (WC) 
IM3497.3  B3-2340  HO-289  HHA-250  SNF-325 
2  50.1  A3-3407  B3-2370.2  HO-289  HHA-250.2  SNF-325.2    Effect of Payments Under Workers' 
A3-3407.2  B3-2370.3  HO-289.2  HHA-250.3  SNF-325.3  Compensation Plan 
IM3497.3  B3-2370.4  HO-289.3  HHA-250.4  SNF-325.4 
A3-3407.3  B3-2370.5  HO-289.4  HHA-250.5  SNF-325.5 
A3-3407.4  B3-2370.6  HO-289.5  HHA-250.6  SNF-325.6 
A3-3407.5  B3-2370.2B  HO-289.6 
A3-3407.6  B3-2370.C 
A3-3407.3A 
A3-3407.3C 
IM3497.4 
2  60  A3-3489  B3-3338  HO-262.8  HHA-248  SNF-334    No-Fault Insurance 
A3-3489.A  B3-3338A