# 42 C.F.R. § 411.112 (2026): Documentation of conformance

> Federal · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/CFR_T42_P411_S411_112

## Section

- **Citation:** 42 C.F.R. § 411.112 (2026)
- **Heading:** Documentation of conformance
- **Jurisdiction:** Federal
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Title 42 CFR: Public Health / Chapter IV: CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES / Part 411: EXCLUSIONS FROM MEDICARE AND LIMITATIONS ON MEDICARE PAYMENT / Subpart E: Limitations on Payment for Services Covered Under Group Health Plans: General Provisions / § 411.112: § 411.112   Documentation of conformance.

## Text

(a)
Acceptable documentation.
CMS may require a GHP or LGHP to demonstrate that it has complied with the Medicare secondary payer provisions and to submit supporting documentation by an official authorized to act on behalf of the entity, under penalty of perjury. The following are examples of documentation that may be acceptable:
(1) A copy of the employer's plan or policy that specifies the services covered, conditions of coverage, benefit levels and limitations with respect to persons entitled to Medicare on the basis of ESRD, age, or disability as compared to the provisions applicable to other enrollees and potential enrollees.
(2) An explanation of the plan's allegation that it does not owe CMS any amount CMS claims the plan owes as repayment for conditional or mistaken Medicare primary payments.
(b)
Lack of acceptable documentation.
If a GHP or LGHP fails to provide acceptable evidence or documentation that it has complied with the MSP prohibitions and requirements set forth in § 411.110, CMS may make a determination of nonconformance for both the year in which the services were furnished and the year in which the request for information was made.

## Nearby sections

- [42 C.F.R. § 411.100 (2026) § 411.100   Basis and scope.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P411_S411_100.md)
- [42 C.F.R. § 411.101 (2026) § 411.101   Definitions.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P411_S411_101.md)
- [42 C.F.R. § 411.102 (2026) § 411.102   Basic prohibitions and requirements.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P411_S411_102.md)
- [42 C.F.R. § 411.103 (2026) § 411.103   Prohibition against financial and other incentives.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P411_S411_103.md)
- [42 C.F.R. § 411.104 (2026) § 411.104   Current employment status.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P411_S411_104.md)
- [42 C.F.R. § 411.106 (2026) § 411.106   Aggregation rules.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P411_S411_106.md)
- [42 C.F.R. § 411.108 (2026) § 411.108   Taking into account entitlement to Medicare.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P411_S411_108.md)
- [42 C.F.R. § 411.110 (2026) § 411.110   Basis for determination of nonconformance.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P411_S411_110.md)
- [42 C.F.R. § 411.112 (2026) § 411.112   Documentation of conformance.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P411_S411_112.md)
- [42 C.F.R. § 411.114 (2026) § 411.114   Determination of nonconformance.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P411_S411_114.md)
- [42 C.F.R. § 411.115 (2026) § 411.115   Notice of determination of nonconformance.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P411_S411_115.md)
- [42 C.F.R. § 411.120 (2026) § 411.120   Appeals.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P411_S411_120.md)
- [42 C.F.R. § 411.121 (2026) § 411.121   Hearing procedures.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P411_S411_121.md)
- [42 C.F.R. § 411.122 (2026) § 411.122   Hearing officer's decision.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P411_S411_122.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/CFR_T42_P411_S411_112. Check the current official text before relying on it. Not legal advice.