MSP Termination Date Procedure

30.2 - MSP Termination Date Procedure (Rev. 12078; Issued:06-14-23; Effective: 05-29-23; Implementation: 05-29-23) A. Future Termination Dates For Non-GHP records, the termination date edits identified for GHP do not apply as the termination date may be more than 6-months from the MSP effective date. For GHP records, the termination date cannot be greater than the current date plus 6 months, except for MSP code = B; and for GHP records, the termination date cannot be greater than the first day the beneficiary turned 65 if the MSP code is B or G. For ESRD, CWF uses the following criteria: • MSP effective date prior to February 1, 1990, allows for termination date up to 12 months after the effective date; • MSP effective date February 1, 1990, through February 29, 1996, allows for termination date up to 18 months after the effective date; or • MSP effective date March 1, 1996, and later allows for termination date up to 30 months after the effective date. B. Termination for "Y" Validity Indicator A CWF MSP auxiliary record with a "Y" validity indicator establishes Medicare as the secondary payer. When posting a termination date to this record, the "Y" validity indicator should not be changed. The record indicates a valid MSP occurrence and all future claims submitted will edit against the time frame posted. The A/B MAC or DME MAC shall advise the MSP Contractor via ECRS when MSP no longer applies, and the MSP Contractor shall enter the termination date.