Transcription of WCMSA Reference Guide - Home - Centers for Medicare ...
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Workers' Compensation Medicare Set-Aside Arrangement ( WCMSA ). Reference Guide Version May 11, 2020. WCMSA Reference Guide Table of Contents Table of Contents About This Reference Guide .. 1. Changes in This Version of the 1. Introduction to Workers' Compensation and 2. Medicare as Secondary Payer .. 2. Reporting a WC Case .. 2. Past and Future Medical 3. What Are Workers' Compensation Medicare Set-Aside Arrangements?.. 4. Should I Consider Submitting a WCMSA Proposal? .. 5. Considerations and Guidelines .. 5. Commutation and Compromise .. 5. Outstanding WC Claims .. 5. Other Health Coverage .. 5. Hearing on the Merits of a Case .. 5. Indications That Medicare 's Interests are Protected .. 6. WCMSA Funding Structures .. 6. Lump-Sum WCMSAs .. 7. Structured WCMSAs .. 7. Who Can Help with the WCMSA Process? .. 7. How is CMS Approval of a WCMSA Amount Obtained? .. 8. Should CMS Review a WCMSA ? .. 8. Review Thresholds .. 8. WCMSA Submission Process Overview.
The intent of this reference guide is to consolidate and supplant all historical memoranda in a single point of reference. Please discontinue the reference of prior documents. ... Oklahoma City, OK 73113-8897 . WCMSA Reference Guide . 3. NOTE: This mailing address is for reporting a WC occurrence, not for the submission of proposed WCMSA amounts.
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