Medicare Set-Asides
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No More CMS Review of Zero WMSAs: What It Means for Settling Claims
by B. Smith As of July 17, 2025, the Centers for Medicare & Medicaid Services (CMS) will no longer review zero-dollar Workers’ Compensation Medicare Set-Asides (WCMSAs) as part of the...
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CMS Issues New WCMSA Reference Guide Version 4.4
The Centers for Medicare & Medicaid Services (CMS) recently issued an update to their Workers’ Compensation Medicare Set Aside (WCMSA) Reference Guide (version 4.4). Changes to this version of...
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Recap: CMS’ Introduction to WCMSAs Webinar
by M. Heberling On June 17, 2025, The Centers for Medicare & Medicaid Services (CMS) hosted a webinar that provided basic information related to Workers’ Compensation Medicare Set Asides (WCMSAs)....
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CMS to Begin Using 2022 Life Table
Starting June 14, 2025, the Centers for Medicare and Medicaid Services (CMS) will begin using the Center for Disease Control’s (CDC) “Table 1: Life Table for the total population:...
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CMS to Host Intro to Workers’ Compensation MSAs Webinar
The Centers for Medicare & Medicaid Services (CMS) announced they will be hosting an Introduction to Workers’ Compensation Medicare Set-Asides (WCMSAs) webinar on Tuesday, June 17, 2025 at...
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Recent Legislative Changes Impacting Mental Health Coverage for First Responders Injured at Work
by K. Kline When we think about workers’ compensation, we often think of cases involving bodily injury claims – traumatic physical injuries, occupational exposure, and similar examples immediately come to...
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CMS Issues New WCMSA Reference Guide and Self-Administration Toolkit
by B. Smith This week, the Centers for Medicare & Medicaid Services (CMS) updated their WCMSA Reference Guide and Self-Administration Toolkit. Below is a summary of the pertinent updates. WCMSA Reference...
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The Wait is Over: CMS Change to Amended Review Timing Begins in April
By M. Heberling April will bring impactful changes to the Centers for Medicare & Medicaid Services (CMS) review process. We wanted to highlight these changes and make sure your organization...
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CMS Issues NGHP User Guide Version 7.8
by B. Smith The Centers for Medicare & Medicaid Services (CMS) has issued a new Non-Group Health Plan (NGHP) User Guide, Version 7.8. CMS added a new language in Chapter...