US · guidance
CMS Pub. 100-16, ch. 10, § 40
Medicare Secondary Payer (MSP) Rules
A State cannot take away an MA organization’s right under Federal law and the MSP
regulations to bill, or to authorize providers and suppliers to bill, for the services for
which Medicare is not the primary payer. The MA organization may exercise the same
rights to recover from a primary plan, entity, or individual that the Secretary exercises
under the MSP regulations at 42 CFR Part 411, Subparts B through D. For more
information on the MSP regulations, refer to section 130 of Chapter 4 of this manual.
History
(Rev. 103, Issued: 11-04-11, Effective: 11-04-11, Implementation, 11-04-11)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
c692f692830a4c9d6f806457fbfb609de1a188e7121e5dade6da6a630429e4d1
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