Workers’ Compensation Medicare Set-Aside (WCMSA)

CMS Will Use the 2015 CDC Life Table for WCMSAs Starting 1/5/19

In an alert dated December 5, 2018, the Centers for Medicare and Medicaid Services (CMS) announced that beginning January 5, 2019, they will use the new 2015 CDC Life Table to calculate adjusted li...

CMS Releases New WCMSA Reference Guide and NGHP Section 111 User Guide

The Centers for Medicare and Medicaid Services (CMS) has updated its Workers' Compensation Medicare Set-Aside (WCMSA) Reference Guide and Non-Group Health Plan (NGHP) Section 111 User Guide . These...

Workers’ Compensation Medicare Set-Aside Companion Bill Filed in House of Representatives

On July 26, 2018, Representative David Reichert (R-WA) and Representative Mike Thompson (D-CA) introduced H.R. 6619- Medicare Secondary Payer and Workers’ Compensation Settlement Agreements Act of...

Workers’ Compensation Medicare Set Aside Legislation Filed, Referred to Committee

On June 18, 2018, Senators Rob Portman (R-OH) and Bill Nelson (D-FL) introduced legislation aimed at reforming the Centers for Medicare and Medicaid Services’ (CMS) Workers’ Compensation Medicare...

Arizona Tweaks its "Full & Final" Workers' Comp Settlement Law - New Law Provides Opportunities to Settle Workers' Comp Claims

On October 31, 2017, Arizona Senate Bill (S.B.) 1332 became law allowing Arizona claims payers to reach “full and final” settlements of certain workers’ compensation (WC) claims. This new law...

Five Steps to Reduce Your WCMSA Costs

It is no secret that high Workers’ Compensation Medicare Set Aside (WCMSA) allocation amounts can complicate claim settlement. The culprits can range from the Centers for Medicare and Medicaid...

New Kentucky Workers’ Compensation Law Limits Treatment to 780 Weeks for Certain Claims

On March 30, 2018, Kentucky House Bill (HB-2) was signed into law which makes major changes to the Kentucky workers’ compensation statute. The most significant addition is language that limits...

CMS Issues New Regulations Aimed at Identifying and Limiting Potential Opioid Abuse

On April 2, 2018, the Centers for Medicare and Medicaid Services (CMS) issued a final rule which updated regulations for Medicare Advantage Plans (MAP) and Medicare Part D programs. The primary foc...

CMS Releases WCMSA Reference Guide (Version 2.7)

The Centers for Medicare and Medicaid Services (CMS) has released its latest WCMSA Reference Guide (Version 2.7). This is CMS’ ninth release of the guide to date. A copy of CMS’ new reference guide...

WCMSA Update: CMS Holds WCRC Transition Webinar

On March 7, 2018, the Centers for Medicare and Medicaid Services (CMS) held a transition webinar regarding its upcoming Workers’ Compensation Review Contractor (WCRC) transition. In late September...