WCMSAP Soon to be Open to All Submitters

waitOn July 5, 2011, CMS began pilot testing a program for the new Workers’ Compensation Medicare Set-Aside Portal (WCMSAP). Pilot testing of the WCMSAP has now been completed and CMS will be conducting a Town Hall conference call on November 29, 2011 from 1:00 to 3:00 pm (EST) to introduce the initiative to all submitters of proposed Workers’ Compensation Medicare Set-Asides (WCMSAs). During the conference call, CMS will answer questions regarding the WCMSAP. Submitters who wish to utilize the WCMSAP must first register and complete account setup.

After the Town Hall conference call, CMS will post links to the WCMSAP application and Computer Based Training (CBT) Modules on the WCMSAP section page under “Related Links Outside CMS.” The call in information for the WCMSAP Town Hall teleconference is:

  • Call in time: 1pm to 3pm
  • Call In Line: 1-800-603-1774
  • Conference ID: 29840615

PMSI was invited to participate in the pilot, along with select other submitters, and we have successfully submitted multiple claims via the WCMSAP. Implementation of the WCMSAP should improve the overall process by reducing turnaround times and the general delays experienced with the manual submission method. Users will be able to electronically submit the case as well as check the status and location of files. Receipt of the Case Control Number (CCN) will be immediate and all correspondence for cases submitted through the WCMSAP will be accessed through the portal rather than U.S. mail.

A couple of notable changes to the overall process are:

  • The WCMSAP will not accept cases that do not meet the review thresholds (the proposed total settlement amount is required to submit the case)
  • When CMS issues a developmental letter requesting additional information, submitters will only have 10 business days to respond prior to the case being closed by CMS

PMSI feels that the WCMSAP is an enhancement to the WCMSA submission process. The intent behind the WCMSAP is to provide better access to information pertaining to submitted cases and to allow for an improved experience when submitting MSAs to CMS. PMSI recommends that any organization or individual who frequently submits WCMSAs consider utilizing the portal.

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