The Official Medicare Set Aside Blog And Information Resource


Liability, MSAs, MSP News on August 6, 2019
Posted by Jean S. Goldstein, JD, CMSP

In the end of 2018, we reported that the Centers for Medicare & Medicaid Services (CMS) added an item to the Unified Agenda, which is semiannual compilation of information about regulations under development by federal agencies.  The Unified Agenda is published in both the spring and fall.  The item added was a notice regarding an […] Continue

Rumor Has It……a Formal Review Program for Liability/No Fault MSAs Is on Hold….

Liability, Medicare, Medicare Set-Aside Blog, MSP News on July 12, 2018
Posted by Jean S. Goldstein, JD, CMSP

You may have seen the recent chatter among the Medicare Secondary Payer community that implementation of a formal voluntary Liability MSA (LMSA) and No-Fault MSA (NFMSA) review program is on hold. Some in the industry have even discussed that the program is on hold for another eighteen months. Recall that in 2016, we first blogged […] Continue

Another Court Case, Perpetuating the Confusion Surrounding LMSAs

CMS, Liability, Medicare Set-Aside Blog, MSP Litigation on November 29, 2017
Posted by Jean S. Goldstein, JD, CMSP

Yesterday, a decision came out of the District Court for New Mexico, based upon an action to determine whether a Medicare Set-Aside was needed in a matter involving a personal injury suit.  (Silva v. Burwell, No. 16-cv-488 JCH/KK, 2017 U.S. Dist. LEXIS 195032, (D.N.M. Nov. 28, 2017).)  The applicability of the Medicare Secondary Payer act […] Continue

CMS Considering Voluntary Review of Liability MSAs, Again

CMS, Liability, Medicare Set-Aside Blog, Medicare Set-Asides, MSP News on October 26, 2017
Posted by Jean S. Goldstein, JD, CMSP

On October 26, CMS once again issued an alert indicating it would be considering expanding the review of voluntary Medicare Set-Asides (MSAs) to include liability insurance and no-fault insurance (LMSAs and NFMSAs).  Just as with other alerts, today’s alert also states that CMS will work closely with the stakeholder community to identify how best to […] Continue

Countdown to October – Are You Ready for LMSAs and NFMSAs?   

CMS, Liability, Medicare Set-Aside Blog, Medicare Set-Asides, MSP News on June 5, 2017
Posted by Jennifer Alvarez, JD, RN, MSCC, CMSP

We are currently four months away from CMS implementing their new workflows for Medicare Administrative Contractors (MACs), which outline how they will handle bills when there is a Liability Insurance Medicare Set-Aside Arrangement (LMSA) or No-Fault Insurance Medicare Set-Aside Arrangement (NFMSA) involved in the settlement.  You may be aware that, in February 2017, CMS took […] Continue