Medicare Set-Asides
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Recent Decision in FL Court of Appeal: Dispensing Practitioners Do Not Meet Definition of Pharmacist
by M. Heberling Today we are highlighting an interesting case law development in the State of Florida First District Court of Appeal, which could potentially affect workers’ compensation claims and...
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Recap of CMS’ April 15 Webinar – TPOC Reporting of WCMSAs
by J. Shymanski On Wednesday, April 15, the Centers for Medicare & Medicaid Services (CMS) held the latest in a series of webinars on Section 111 Mandatory Insurer Reporting. This...
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CMS Releases WCMSA Reference Guide Version 4.5
by M. Heberling The Centers for Medicare & Medicaid Services (CMS) released an updated Workers’ Compensation Medicare Set-Aside Arrangements (WCMSA) Reference Guide version 4.5, on April 13, 2026. CMS made minimal...
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CMS to Host WCMSA Reporting Webinar on March 25
PLEASE NOTE: CMS has rescheduled this webinar for April 15, read our blog to learn more. The Centers for Medicare & Medicaid Services (CMS) announced they will be hosting a...
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CMS Implements Medicare Set-Aside Data Sharing for Part D Plans
by P. Czuprynski The Centers for Medicare & Medicaid Services (CMS) recently announced that beginning in February 2026, they will share data elements, including specific prescription drug information, with Part...
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CMS Postpones WCMSA Reporting Webinar
The Centers for Medicare & Medicaid Services (CMS) announced today that their Workers’ Compensation Medicare Set-Asides (WCMSA) Reporting webinar, originally scheduled for Wednesday, October 1, 2025 at 2:00 pm...
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CMS to Begin Using 2023 Life Table
Starting September 20, 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 Workers’ Compensation MSA Reporting Webinar
The Centers for Medicare & Medicaid Services (CMS) announced they will be hosting a Workers’ Compensation Medicare Set-Asides (WCMSA) Reporting webinar on Wednesday, October 1, 2025 at 2:00 pm...
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Fear, Uncertainty, and Doubt: Mixed Messages Around TPOC Reporting and Zero MSAs
by B. Smith There have been a lot of confusing and conflicting messages when it comes to Section 111 Reporting of Workers’ Compensation Medicare Set Asides (WCMSAs). This confusion has...