Trends affecting Workers’ Compensation Medicare Set-Aside Allocations

Capitol Bridge, LLC, the newest Workers’ Compensation Review Contractor (WCRC) for the Centers for Medicare and Medicaid Services (CMS), officially took over on March 19, 2018. Since that time, the Medicare Set-Aside (MSA) industry has noticed aggressive changes in the Workers’ Compensation Medicare Set-Aside (WCMSA) review process, resulting in an increase in WCMSA allocations. At … Read moreTrends affecting Workers’ Compensation Medicare Set-Aside Allocations

WCMSAP Now Allowing Users to Directly Input Prescription Drug Information

As of yesterday, October 6, 2014, users of the Workers’ Compensation Medicare Set-Aside Portal (WCMSAP) can now directly input prescription drug information and calculate the proposed prescription drug portion of a WCMSA proposal. Please see our prior blogs for more information on this release: our blog discussing the initial alert issued by CMS announcing this … Read moreWCMSAP Now Allowing Users to Directly Input Prescription Drug Information

CMS Clears WCMSA Backlog

Yesterday afternoon, PMSI received several hundred WCMSA determinations which were noted to have been reviewed as part of a streamlined review process. The vast majority of these determinations appear to be “rubber-stamped” (approved as submitted) and related to files in which CMS had previously issued a development letter requesting additional information. No official statement regarding … Read moreCMS Clears WCMSA Backlog

CMS Seeking to Expand its WCMSA Re-Review Process

On February 11, 2014, CMS issued an alert regarding a proposed expansion of the WCMSA re-review process. The alert states the following: The Centers for Medicare and Medicaid Services (CMS) announced on February 11th that it is seeking comments on the manner in which CMS plans to expand the Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) re-review … Read moreCMS Seeking to Expand its WCMSA Re-Review Process