Learning about MSAs

WCMSA Helpful Hints – Part 3 of 10

Submitting a Workers’ Compensation Medicare Set-Aside Allocation (WCMSA) is simpler in theory than in practice. Below is a common error often made when submitting a WCMSA to the Centers for Medicare & Medicaid Services (CMS), as well as some helpful hints to avoid the error. If you need more information or further help with settling claims or setting up a Medicare Set-Aside for a client, call 855.931.3003 or fill out the form.

Helpful Hint*

  • Please provide sufficient documentation in the form of legible, recently-dated pharmacy printouts or statements from all treating physicians specifying the medication name, strength/dosage, and frequency.
  • If you believe the medications the claimant is taking are not related to the work injury, please send the medication information with any necessary explanation.
  • If the claimant has used more than one pharmacy or has had multiple treating/prescribing physicians, ensure that all the physicians/pharmacies have been contacted and have provided medication information.
  • Provide physician dispense records for cases where the treating physician is dispensing medications that do not appear on the carrier pharmacy printout history.

Don’t take unnecessary risks during settlement! Protect your clients’ Medicare benefits with a MSA.  To get started or even if you just have questions about a particular case you’re working on, contact Medivest at 855.931.3003 or fill out the form.


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