Risk Mgt, Claims & Ins
Claims Management
Medicare Set-Aside

Frequently asked questions on the basics of MSA

Medicare Secondary Payer (MSP) is the term used by Medicare when Medicare is not responsible for paying first

Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) requirements

MSP provisions prohibit Medicare from making payment if payment can be expected by workers compensation

A series of articles on the subject

The portion of CMS that handles Workers Compensation Medicare Set-aside Arrangements (WCMSAs)

Non-profit association exclusively addressing current issues and challenges of Medicare Set-Aside arrangements

All WC settlements must consider prescription drug coverage costs

How to submit Workers Compensation Medicare Set-aside Arrangements (WCMSA)

WC occurrences that involve a Medicare beneficiary should be reported to the Coordination of Benefits Contractor COB

Includes helpful hints to avoid mistakes when submitting a Workers' Compensation Medicare Set-aside Arrangement

Names and phone numbers of Medicare personnel contacts for WCMSA

Covers common issues that arise when calculating prescription drug expenses for WCSMA proposals

CMS uses the average wholesale price (AWP) when calculating future prescription drug costs in WCSMA proposals

Medicare requirements for WC set-asides