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.

Update: For the most up-to-date version of the WCMSA Refernce Guide and more – visit our MSA Resources page – here.

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

3414 Peachtree Road, NE
Suite 990
Atlanta, GA 30326
Office: 404-926-4160 x215
Fax: 404-926-4161
Email: Natalie Clark
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