The Centers for Medicare and Medicaid Services (CMS) recently released an updated Workers’ Compensation Medicare Set-Aside Portal (WCMSAP) manual in conjunction with substantial changes to the portal. The most significant change is a new WCMSA re-review request option — please find a comprehensive analysis of this change here.
Features Affecting Beneficiaries
Two portal changes are notable for beneficiaries.
- Beneficiaries gain more access to view their WCMSA status and other information.
- Beneficiary Health Insurance Claim Numbers (HICNs) are now “Medicare ID,” in line with (SSNRI) to mitigate fraud and identify theft.
Features for Users
The WCSMA portal prevents a user from adding, replacing, and deleting documents for submissions that have been in closeout status for more than 12 months since the last close out letter. Users may submit a new file with current medical documentation through a required resubmission.
If you’d like more information, please e-mail Sid Wong at Sidney.Wong@verisk.com.