The Official Medicare Set Aside Blog And Information Resource

CMS to Begin Using 2018 Life Table

CMS, Medicare Set-Aside Blog, MSAs, WCRC on March 4, 2021
Posted by Shannon Flynn

Starting March 27, 2021, 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: United States, 2018” for Workers’ Compensation Medicare Set Aside (WCMSA) life expectancy calculations. For any WCMSA proposal received by CMS through the voluntary review program, or […] Continue

CMS to Host Town Hall Meeting on Common NGHP Topics

CMS, Medicare Set-Aside Blog on February 26, 2021
Posted by Shannon Flynn

The Centers for Medicare & Medicaid Services (CMS) recently announced that it will be hosting a Benefits Coordination & Recovery Center (BCRC) and Commercial Repayment Center (CRC) Non-Group Health Plan (NGHP) town hall meeting on April 1, 2021 at 1:00 pm ET. The meeting will provide an opportunity to discuss common NGHP topics. During the […] Continue

Preparing for When the PAID Act Takes Effect in December 2021

CMS, Mandatory Insurer Reporting, Medicare Advantage, Medicare Set-Aside Blog on February 12, 2021
Posted by Jessica M. Wingenroth, JD

This week marks two months since the PAID Act became law. The act paves the way for Non-Group Health Plan (NGHP) Responsible Reporting Entities (RREs) to receive valuable Medicare Part C and Part D plan information for the injured parties they submit through the Centers for Medicare and Medicaid Services’ (CMS’) Section 111 query process. […] Continue

MSA Pearls: The Re-Review Process

CMS, Medicare Set-Aside Blog, Medicare Set-Asides, WCRC on January 29, 2021
Posted by Noel D. Sturtz, Client Program Manager

by Noel D. Sturtz, Client Program Manager, and Justin Boyd, Senior CMS Operations Specialist           In our 10/14/20 blog, we highlighted a client success story of a CMS Amended Review . But what about a CMS Re-Review? Or is this just a matter of semantics? According to the latest version of the Workers’ Compensation Medicare […] Continue

Version 6.2 of NGHP MMSEA Section 111 User Guide Released

CMS, Mandatory Insurer Reporting, Medicare Set-Aside Blog on January 22, 2021
Posted by Shannon Flynn

Recently, the Centers for Medicare & Medicaid Services (CMS) released Version 6.2 of the Non-Group Health Plan (NGHP) MMSEA Section 111 User Guide, a key resource for addressing Section 111 reporting requirements as mandated by Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007 (MMSEA). To help you stay up to date […] Continue