Published on: 27008794. The proposed rulemaking will update and amend the risk management trust fund requirements for payments made under the firefighter cancer benefits program. The proposed rulemaking will also amend forms used for claims made ....
Published on: 25202363. This rulemaking will update and clarify the requirements of the risk management trust fund and to make other updates as may be determined necessary.
Published on: 9218994. The Division of Risk Management adjusts claims for employees, volunteers, and other covered persons per Chapter 284, F.S. Currently, the Authorization to Release form DFS-D0-1407 does not state the reason for the requested medical records. This amendment will add a sentence to the form that explicitly states that the medical authorization release concerns a workers’ compensation claim. The additional language is needed for the Division to obtain crucial medical records and to ultimately perform its statutory authority to adjust and settle workers’ compensation claims for those covered persons under Section 284.31, F.S.
Published on: 8885023. The Division of Risk Management adjusts claims for employees, volunteers, and other covered persons per Chapter 284, F.S. Currently, the Authorization to Release form DFS-D0-1407 does not state the reason for the requested medical records. This amendment will add a sentence to the form that explicitly states that the medical authorization release concerns a workers’ compensation claim. The additional language is needed for the Division to obtain crucial medical records and to ultimately perform its statutory authority to adjust and settle workers’ compensation claims for those covered persons under Section 284.31, F.S.
Published on: 7296163. AND SUMMARY: The proposed rule is necessary in order to comply with federal mandates that will become effective on July 1, 2009. Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (Section 1862(b) of the Social Security Act (42 U.S.C. 1395(y)(b)) adds mandatory reporting requirements with respect to Medicare beneficiaries who receive settlements, judgments, awards, or other payments from liability insurance (including self-insurance), no-fault insurance, or workers’ compensation. The Division of Risk Management, as a required reporting entity, must identify any Medicare beneficiaries that have existing claims with the Division of Risk Management and collect certain data that will be reported to the Center for Medicare and Medicaid Services (CMS). The data collected under federal law will be used by CMS in processing claims billed to Medicare for reimbursement of items and services furnished to Medicare beneficiaries and for Medicare as a Secondary Payer recovery effort, as appropriate.
The simplest and most effective means to collect this data is to promulgate a form that will be sent to all applicable claimants.