Workers' Compensation Medicare Set Asides Portal Enhancement



Recently, the Centers for Medicare & Medicaid Services (CMS) issued an alert related to Workers’ Compensation Medicare Set Asides (WCMSAs). CMS announced a future enhancement to its WCMSA Portal (WCMSAP) which will allow users to enter prescription medication information directly into the WCMSAP. With this enhancement, users of the WCMSAP can input and calculate the prescription medication component to a WCMSA. With the government’s assistance, users will be able to calculate a WCMSA more accurately from the start, as many in the WCMSA industry have received an increase number of “counter-higher” letters from CMS where the WCMSA obligation was calculated incorrectly by the parties and/or their MSP compliance experts. This enhancement will be made available to users as of October 6, 2014.

CMS expects to provide more information prior to the October 6, 2014 enhancement date which may include images of the WCMSAP prescription medication pages of the site and other details. For more information, please see :

CMS continues to provide clarity around WCMSAs and what its expectations are of the parties resolving workers’ compensation claims. The WCMSAP enhancement is the most recent, but by no means the final piece to the future medicals puzzle. Garretson Resolution Group will continue to inform you of those changes as well as provide cutting edge technology solutions which allow our clients to fully protect Medicare’s future interest while minimizing or extinguishing their own exposure on WCMSA and other Medicare Secondary Payer compliance issues. For more information about how to accomplish that, call John V. Cattie Jr. at (704) 594-1778 or email him at & Resource Center

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