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Home Member Home Workers' Compensation Medicare Set-Aside Reference Guide v. 2.6


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Workers' Compensation Medicare Set-Aside Reference Guide v. 2.6
Course Code: MS7002

Author: Department of Health and Human Services

Hours: 10



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Course Objectives:
  1. Workers' Compensation Medicare Set-Aside Arrangement Reference Guide - Version 2.6

  2. Explain the WCMSA submission process, variations in the process and identify the information needed for approval

  3. Discuss the 10 WCRC medical review steps

Course Overview:
  1. About This Reference Guide

  2. Introduction to Workers’ Compensation and Medicare

  3. What Are Workers’ Compensation Medicare Set-Aside Arrangements?

  4. Should I Consider Submitting a WCMSA Proposal?

  5. WCMSA Funding Structures

  6. Who Can Help with the WCMSA Process?

  7. How is CMS Approval of a WCMSA Amount Obtained?

  8. Should CMS Review a WCMSA?

  9. WCMSA Submission Process Overview

  10. Information Needed for WCMSA Submission

  11. How do I submit a WCMSA?

  12. What Happens after a WCMSA Has Been Submitted?

  13. Sample Submission

  14. Tips for Improving Your WCMSA Review Process

  15. Review Process and Policies

  16. Re-Review

  17. Account Set-Up and Administration

  18. CMS’ Monitoring

  19. What Happens if Circumstances Change?

  20. Appendix

  21. Figures

  22. Tables
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