Workers’ Compensation Medicare Set-Aside (WCMSA)

Liability Medicare Set Asides – Bracing for the Storm

For years, the Liability Medicare Set-Aside (LMSA) issue has been the source of much debate and frustration for liability claims payers. To date, there remain lingering questions on several fronts and the Centers for...

CMS holds webinar on WCMSA Electronic Attestations for Professional Administration

On November 6 th , the Centers for Medicare and Medicaid Services (CMS) held an informational webinar entitled  Workers’ Compensation Medicare Set-Aside (WCMSA) Electronic Attestation Enhancement for Professional...

CMS holds webinar on WCMSA Electronic Attestations for Self-Administered Accounts

On October 30 th , the Centers for Medicare and Medicaid Services (CMS) held an informational webinar entitled WCMSA Electronic Attestation Enhancement Webinar .  CMS hosted this webinar to discuss recent enhancements...

CMS releases new WCMSA Reference Guide (Version 3.0)

The Centers for Medicare and Medicaid Services (CMS) has released a revised Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 3.0, October 10, 2019) . This guide replaces Version 2.9 of the gui...

CMS Releases WCMSA Self-Administration Toolkit 1.3

The Centers for Medicare and Medicaid Services (CMS) has released the latest edition of its Self-Administration Toolkit for Workers’ Compensation Medicare Set-Aside Arrangements (the Toolkit) (Version 1.3; October 10,...

Ninth Circuit: CIGA is not a “primary payer” under the MSP and does not have to reimburse Medicare

In a significant new case out of California, the United States Circuit Court of Appeals (Ninth Circuit) [1] in California Insurance Guarantee Association (CIGA) v. Azar , 2019 WL 5076945 (9 th Cir. Oct. 10, 2019)...

CMS Releases WCMSA Portal User Guide Version 5.9

The Centers for Medicare and Medicaid Services (CMS) has released the latest edition of its Workers’ Compensation Medicare Set-Aside Portal User Guide (WCMSAP) (Version 5.9; October 7, 2019). CMS outlines its full lis...

CMS Will Use the 2016 CDC Life Table for WCMSAs Starting 10/12/19

In an alert dated September 12, 2019, the Centers for Medicare and Medicaid Services (CMS) announced that beginning October 12, 2019, it will use the new 2016 CDC Life Table to calculate adjusted life expectancies in...

Proposed Workers’ Compensation Medicare Set Aside Reform Bill Filed in the U.S. House of Representatives

On August 2, 2019, Representatives Mike Thomson (D-CA) and George Holding (R-NC) introduced legislation aimed at reforming the Centers for Medicare and Medicaid Services’ (CMS) Workers’ Compensation Medicare Set-Aside...

WCMSA RX Update – FDA approves first generics of Lyrica

In a July 22, 2019 news release , the Food and Drug Administration (FDA) announced that it has approved the first generics of Lyrica. This announcement comes at a critical time as the Centers for Medicare and Medicaid...