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Workers' Compensation Medicare Set-Aside Arrangement ( WCMSA ). Reference Guide Version October 5, 2020. WCMSA Reference Guide Table of Contents Table of Contents About This Reference Guide .. 1. Changes in This Version of the Guide .. 1. Introduction to Workers' Compensation and Medicare .. 2. Medicare as Secondary Payer .. 2. Reporting a WC Case .. 2. Past and Future Medical services .. 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.

WCMSA Reference Guide . 1 . 1.0 About This Reference Guide This guide was written to help you understand the process used by the Centers for Medicare & Medicaid Services (CMS) for approving proposed Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) amounts and to serve as a reference for those choosing to submit such

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