Skip to Main Content

WCMSA update: New WCRC takes over March 19th – webinar set for March 7th

The Centers for Medicare and Medicaid Services (CMS) has announced that its new Workers' Compensation Review Contractor (WCRC), Capitol Bridge, LLC will assume WCRC responsibilities on March 19, 2018. CMS is holding a WCRC “transition webinar” on March 7, 2018 at 1:00 p.m. EST to address this new change. Click here for CMS’ notice related to this matter, including how to register for the webinar.

By way of background, the WCRC is tasked with reviewing workers’ compensation Medicare Set-Asides (WCMSAs) in accordance with CMS guidelines. In 2017, CMS put the WCRC contract out to bid and selected Capitol Bridge, LLC to replace the current WCRC contractor, Provider Resources, Inc. After CMS selected Capitol Bridge, LLC, bid protests were filed by Arch Systems, LLC and KEN Consulting, Inc. which were ultimately rejected. The big question since has been when Capitol Bridge, LLC would assume WCRC duties? This date will be March 19th per CMS’ new release.

J Kelly Brito Peujyoylfe4 Unsplash (1)

CMS did not provide much detail in terms of what it plans to address during this session. However, some issues of likely interest include how the transition will impact the WCMSA review process and turnaround times, the handling of amended reviews, whether there will be changes to CMS’ methodology for projecting future treatment, and where CMS may (or may not) head next regarding its possible plans to expand the MSA process to liability claims. It is unknown whether these topics will be addressed. A question/answer segment is also planned.

ISO Claims Partners is attending the webinar and will provide a summary following the session. In the meantime, contact Sid Wong at 978-825-8262 or if you have any questions.

Sid Wong, J.D.

Sid Wong is vice president of policy, Casualty Solutions at Verisk. You can contact Sid at

Visualize Subscribe

Get the best of Visualize!

Get the latest news and insights straight to your inbox.

Subscribe now

You will soon be redirected to the 3E website. If the page has not redirected, please visit the 3E site here. Please visit our newsroom to learn more about this agreement: Verisk Announces Sale of 3E Business to New Mountain Capital.