CMS WCMSA Reference Guide Version 4.0 Released

April 15, 2024 / 1 min read

The Centers for Medicare and Medicaid Services (CMS) has released an updated Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 4.0, April 1, 2024).

Per this update, CMS has updated the CDC Life Table link (Section 10.3).^[1] The life table correlates a person’s age with anticipated life expectancy, and CMS uses it to determine the appropriate length of medical treatment for MSAs.

In addition, CMS has added instructions specific to beneficiaries to encourage them to use their Medicare.gov access to the portal for the most efficient method of submitting attestations (Section 1.1).^[2]The MSA attestations detail the spend and exhaustion of the MSA funds over time, which the Benefits Coordination and Recovery Center (BCRC) utilizes to track post-settlement use of the MSA funds.

Questions?

Please contact the author if you have any questions at Sidney.Wong@verisk.com or (978) 825-8262.

[1] CMS’s Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 4.0, April 1, 2024), Section 1.1.

[2] CMS’s Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 4.0, April 1, 2024), Section 1.1.

CMS releases WCMSA Reference Guide (Version 4.0, April 1, 2024) – new changes include updated CDC Life Tables