WCMSA Web Portal Registration Now Available

Medicare Set-Aside Blog on November 30, 2011
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At long last, WCMSA can be submitted to CMS electronically through the newly developed web portal, finally opened to the public on November 29, 2011. Anyone may register to access the service: attorneys, Medicare beneficiaries, claimants, insurance carriers and WCMSA vendors alike. The portal can be used to enter case information directly or track submitted cases without the need to contact the COBC or CMS. To get started, one must first register in a process very similar to Section 111 reporting. All contact information will be submitted in the first step, following which an account ID and PIN will be assigned. Once received, the registrant will use that ID and PIN to complete the account setup. The user manual is located under Reference Materials in the menu bar on the login page. CMS recommends that you read the entire manual before attempting to make a submission via the portal.

Of special note, CMS announced in the town hall call that there would be a two strike policy for attempting to submit cases that do not meet the threshold for review.* CMS blames much of the 8,000+ backlog that currently exists to the wasted resources involved in identifying submitted cases that they will not ultimately review. If you fail to verify eligibility for Medicare or the reasonable anticipation thereof prior to submission and those cases are determined to be non-threshold more than once, you will be blocked from access to the web-portal indefinitely.

Register at: https://www.cob.cms.hhs.gov/WCMSA/login

* As a reminder, “threshold for review” means either:

The claimant is currently a Medicare beneficiary and the total settlement amount is greater than $25,000; OR
The claimant has a “reasonable expectation” of Medicare enrollment within 30 months of the settlement date and the anticipated total settlement amount for future medical expenses and disability/lost wages over the life or duration of the settlement agreement is expected to be greater than $250,000.