Centers for Medicare & Medicaid Services (CMS)

6/9/2025 - 1 min read

Starting June 14, 2025 CMS Will Use the 2022 CDC Life Table for WCMSAs

CMS has announced that it will use the “Table 1: Life Table for the total population: United States, 2022” to calculate an adjusted life expectancy.

6/2/2025 - 1 min read

CMS to Hold Intro to WCMSAs Webinar – June 17th at 2:00 p.m. ET

CMS has announced that it is holding an Introduction to workers’ compensation Medicare set-asides Webinar scheduled for June 17th at 2:00 p.m. (ET).

Coworkers Reviewing Data On Laptop Screens

5/28/2025 - 7 min read

Treasury Recovery Claims – 5 Things to Know and How Verisk Can Help

Treasury actions can take several forms, and take insurers by surprise, so it is important to keep in mind these five things and how Verisk can help.

5/15/2025 - 12 min read

CMS’s New $0 WCMSA Policy Starts 7/17/25 – Key Points and How Verisk Can Help

Major changes are coming to $0 Workers’ Compensation Medicare set-asides (WCMSA) practices starting in July 2025.

5/7/2025 - 4 min read

CMS Releases Section 111 NGHP User Guide (Version 8.1)

CMS has released an updated Section 111 NGHP User Guide (Version 8.1, May 5, 2025) regarding Section 111 reporting related to non-group health plans.

4/22/2025 - 8 min read

CMS Conditional Payments – 5 Things to Know and How Verisk Can Help

Five essential tips into CMS’s recovery process works, considerations to improve your compliance practices, and how Verisk can help.

4/11/2025 - 9 min read

CMS Releases Section 111 NGHP User Guide (Version 8.0) – Breaking Down CMS’s New Updates

CMS has released an updated Section 111 NGHP User Guide (Version 8.0, April 7, 2025) regarding S.111 reporting related to non-group health plans.

4/9/2025 - 4 min read

CMS Releases WCMSA Reference Guide and Self-Administration Tool-Kit

CMS released an updated WCMSA Reference Guide (Version 4.3) and a new WCMSA Self-Administration Tool Kit (Version 1.7).

4/3/2025 - 7 min read

CMS Discusses General MSP Recovery Issues on its “MSP Intro” Webinar

On March 27, 2025, CMS held an “Introduction to MSP for Beneficiary Representatives” webinar.

3/25/2025 - 1 min read

Verisk’s TPOC/WCMSA Resource Center – Helping You Stay Compliant!

With CMS's new requirements in effect, we're thrilled to introduce Verisk's TPOC/WCMSA Resource Center, offering a variety of essential resources.

Happy Person Working Wearing Headphones 1

3/19/2025 - 1 min read

CMS to Hold an MSP Intro Webinar on March 27th at 1:00 p.m. (ET)

CMS will host an Introduction to MSP for Beneficiary Representatives webinar on March 27, 2025, at 1 p.m.

Office Working Concentrating On Laptop Screen Article

3/19/2025 - 5 min read

A New Day for WCMSA Amended Review Requests Start April 7th

Effective April 7, 2025, CMS will permit Amended Review requests any time after a WCMSA case approval.

Colleagues Conversing Around Conference Table 3

3/13/2025 - 18 min read

Section 111 Reporting: CMS’s Road Map to Conditional Payment Recovery

Insurers must understand CMS's use of Section 111 data in the conditional payment recovery process to avoid consequences and liability.

1/23/2025 - 5 min read

CMS Will End One-Year Waiting Period to File WCMSA Amended Review Requests

CMS has a released an Alert advising that effective 4/7/2025, Amended Review requests “will be allowed at any time a WCMSA case is approved.”

1/22/2025 - 11 min read

CMS Releases WCMSA Reference Guide 4.2-CMS to End Review of $0 WCMSAs

CMS releases an updated WCMSA Reference Guide (Version 4.2, January 17, 2025).