The Official Medicare Set Aside Blog And Information Resource

CMS to Begin Utilizing 2017 Life Table

CMS, Medicare Set-Aside Blog, MSAs, WCRC on March 18, 2020
Posted by Jean S. Goldstein, JD, CMSP

Starting April 25, 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, 2017” for Workers’ Compensation Medicare Set Aside (WCMSA) life expectancy calculations.  This means that for any WCMSA proposal received by CMS through the voluntary review […] Continue

Acupuncture Is Coming Soon to an MSA Near You: CMS Issues Decision to Cover Acupuncture for Medicare Beneficiaries

CMS, Medicare, Medicare Set-Aside Blog, MSP News, Opioids on January 22, 2020
Posted by Jean S. Goldstein, JD, CMSP

Yesterday, CMS issued a decision to cover acupuncture for Medicare patients with chronic low back pain (cLBP) to some extent.  You may recall that CMS previously issued a proposed decision to cover acupuncture, as we discussed here on our blog.  CMS’ final coverage decision memo can be found here, and indicates that acupuncture for chronic […] Continue

CMS Hosts Townhall Meeting to Address MSP Recovery Topics and Statute of Limitations

CMS, Conditional Payments, Mandatory Insurer Reporting, Medicare Set-Aside Blog on January 21, 2020
Posted by Jean S. Goldstein, JD, CMSP

Last week, on January 14th, the Centers for Medicare & Medicaid Services hosted a townhall meeting, complete with a slide presentation to discuss several Medicare Secondary Payer Recovery topics.  During the townhall meeting, CMS discussed the conditional payment recovery process along with providing time at the end of the presentation for questions.  The slides from […] Continue

CMS to Host Town Hall Meetings to Discuss Medicare Secondary Payer Recovery Topics

CMS, Conditional Payments, Medicare Set-Aside Blog, MSP News on December 5, 2019
Posted by Jean S. Goldstein, JD, CMSP

The Centers for Medicare & Medicaid Services issued an alert today that it will be hosting two town hall meetings to discuss common Commercial Repayment Center (CRC) Non-Group Health Plan (NGHP) Ongoing Responsibility for Medicals (ORM) and Group Health Plan (GHP) recovery topics. The first town hall will be held on January 14, 2020 at 1:00 […] Continue

UPDATED WCMSA REFERENCE GUIDE EXPANDS AMENDED REVIEW TIMEFRAME TO 6 YEARS AFTER A CMS APPROVAL HAS BEEN ISSUED

CMS, Medicare Set-Aside Blog, Medicare Set-Asides, WCRC on November 6, 2019
Posted by Jean S. Goldstein, JD, CMSP

Last week, in a pre-Halloween treat mode, CMS released a revised Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide.  The updated guide is version 3.0, dated October 10, 2019, and can be found here.  As with other versions of the guide, updates are found in Section 1.1.  Of the updates, there are two of great significance […] Continue