Cases & Points Blog

CMS Issues New WCMSA Reference Guide 3.1

May 19, 2020 by Bridget Smith, JD CMS has released a new Workers’ Compensation Medicare Set-Aside Reference Guide, Version 3.1, May 11, 2020, COBR-Q2-2020-v3.1 a link to which can be found here:  https://www.cms.gov/files/document/wcmsa-reference-guide-version-31.pdf  This version of the Guide contained the new reference to  the CDC life table 2017 that CMS has been utilizing for the […]

Today is the Day!

April 1, 2020 – As of today, CMS will no longer be accepting Consent to Release Notes that do not include the following additional language: “Further, I have had the Workers’ Compensation Medicare Set-Aside Arrangement need and process explained to me, and I approve the contents of the submission.  Beneficiary initials_______.” If you have Workers’ […]

CMS Updates Regarding MSP Compliance Operations

March 25, 2020 – NuQuest has reached out to CMS to confirm operation functions for both conditional lien recovery and Workers’ Compensation Medicare Set-Aside submissions and approvals.  In addition, to our prior blog posting regarding CMS accepting electronic signatures that comply with the ESIGN Act, CMS has also confirmed the following: The WCRC is fully […]

Medication Pricing Updates

March 24, 2020 – The Red Book Average Wholesale Price (AWP)  for Meloxicam 7.5mg and 15mg is currently listed at $0.05 per pill.  This is a significant decrease from the prior listing price of $4.25 per pill.  If you have a WCMSAs that have not been submitted for CMS review or a NuShield MSA and […]

CMS Accepting Electronically Signed Documents

March 23, 2020 – CMS has confirmed that the COB&R will accept electronically signed documents that conform to the requirements of the Electronic Signatures in Global and National Commerce Act (ESIGN Act) 15 U.S.C. §§ 7001-7006 (2000) for obtaining signatures which ensures that consents are properly obtained and documented. CMS noted that the use of […]

New Life Tables for Workers’ Compensation Medicare Set-Asides

March 19, 2020 – Beginning April 25, 2020, CMS will convert to the CDC’s “Table 1: Life Table for the total population: United States, 2017” for the Workers’ Compensation Medicare Set Aside life expectancy calculations. Only minor or no increase in life expectancy amounts will be seen with the implementation of the new life table […]

Social Security Office Announcement

March 18, 2020 – The Social Security Administration (SSA) has issued a press release noting that effective, March 17, 2020, Social Security Offices will be closed to the public for in-person service starting Tuesday March 17, 2020. The SSA will still be able to provide critical services and will make certain exceptions for specific “dire […]

Reminder: New Consent To Release Language Required by CMS on 04/01/2020

March 18, 2020 – As a reminder, beginning April 1, 2020,  new language will need to be included in the Consent to Release Note that is required for all CMS Workers’ Compensation Medicare Set-Aside (WCMSA) submissions.  The additional language  that the claimant will need to initial is as follows: “Further, I have had the Workers’ […]