Medicare Set-Asides
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Will Lower Drug Price Negotiations Impact MSAs?
by B. Smith In a press release issued this month, CMS noted that the Biden-Harris Administration reached an agreement for lowering pricing on 10 select medications. This new pricing will...
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CMS Releases WCMSA Reference Guide v4.1 and Self-Administration Toolkit v1.6
by D. Dietz CMS recently published Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide version 4.1, which is now available in the Download section of the Workers’ Compensation Medicare Set Aside...
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Success Spotlight: 96% Success Rate on Zero MSA Submissions
The Centers for Medicare & Medicaid Services (CMS) has no official policy when it comes to approval of a zero Medicare Set-Aside (MSA) waiver. Does CMS base approvals on...
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Success Spotlight: MSA Reduced by Over $600K Through Re-Review Process
At IMPAXX we advocate for our customers, which sometimes includes setting the record straight when the Centers for Medicare & Medicaid Services (CMS) includes treatments or medications in a...
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CMS Releases Updated Self-Administration Toolkit Version 1.5
by J. Shymanski While dated May 15, 2024, the Centers for Medicare & Medicaid Services (CMS) released version 1.5 of the Self-Administration Toolkit for Workers’ Compensation Medicare Set-Aside Arrangements (WCMSAs)...
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Is CMS Still Approving Zero-Waiver MSAs?
by D. Dietz Yes, the Centers for Medicare and Medicaid Services (CMS) is still approving Zero-Waiver Medicare Set-Asides (MSAs) on a case-by-case basis. Approval is based on documentation provided to...
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CMS Releases New WCMSA Reference Guide Version 4.0
by M. Heberling On April 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued version 4.0 of their Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) User Guide. CMS added...
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CMS Releases WCMSA 2023 Fiscal Year Statistics
by B. Smith The Centers for Medicare & Medicaid Services (CMS) released the fiscal year statistics (2020 to 2023) for Workers Compensation Medicare Set-Asides (WCMSAs) submitted to CMS as part...
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CMS Releases WCMSA Self-Administration Toolkit Version 1.4
by B. Smith On July 3, 2023, the Centers for Medicare & Medicaid Services (CMS) released an updated Self-Administration Toolkit for Workers’ Compensation Medicare Set-Aside Arrangements (WCMSAs), version 1.4. Below...