Effects of Sandy Spreads to the South: Delays in Medicaid Crossover Claims

A Medicaid crossover claim is when a Medicare recipient, who is also covered by Medicaid, visits a health care professional, and the provider submits the medical claims to Medicare. After Medicare processes the claims, the claims automatically crossover to Medicaid.  A crossover claim lifts some of the paperwork burden off the Medicare/Medicaid recipient.

Crossover claim files in NC are all sent to the Centers for Medicare and Medicaid Services‘ (CMS) Coordination of Benefits Contractor (COBC), which has a New York data center. The New York data center used by the COBC to produce and transmit crossover claim files experienced flooding due to Hurricane Sandy.  As a result of this flooding and the need for the COBC to switch over to a disaster recovery site, there have been delays in sending out crossover claim files to the NC Division of Medical Assistance (DMA) and its fiscal agent.  CMS is sending regular updates on its recovery process.

While this delay is concerning for our North Carolina Medicare/Medicaid recipients, let’s remember the disaster and devastation that many people in New York are still facing. We can take the delay. But it is nice to know the reason.

About kemanuel

Medicare and Medicaid Regulatory Compliance Litigator

Posted on November 30, 2012, in Medicaid, Medicaid Funds, North Carolina and tagged , , , , , , , . Bookmark the permalink. Leave a comment.

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