The Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide is written and published by the Centers for Medicare & Medicaid Services (CMS) for the purpose of explaining the Workers’ Compensation MSA development and approval process.

The guide, updated routinely, provides a good amount of information regarding the submission and approval process, and how CMS reviews files. It defines a Medicare Set-Aside (MSA), provides the thresholds for submission of workers’ compensation MSAs (set forth infra), discusses lump-sum vs. structured plans, provides administration guidance, reviews the medical and pharmacy review guidelines, and supplies technical submission guidance.  The guide also provides a sample submission and checklist.  It is a solid resource for issues that arise in the WCMSA process.

Click here for the most current version.

Natalie Clark
Natalie Clark
Atlas Settlement Group, Inc.
Medicare Compliance Services

3565 Piedmont Road NE
Building 1, Suite 525
Atlanta, GA 30305
Office: 404-926-4160 x215
Fax: 404-926-4161
Email: Natalie Clark
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