WCMSA Submission Guidelines and Requirements

This guide provides comprehensive instructions for the Workers' Compensation Medicare Set-Aside (WCMSA) process. It outlines the necessary steps for submitting a WCMSA, including the definition of the date of injury (DOI) for various claims such as ingestion and implants. The guide specifies the required contact information for all parties involved in the WCMSA submission, including the submitter, MSA administrator, claimant's attorney, employer, and insurance carrier. It details the settlement information that must be included, such as the total settlement amount and the proposed Medicare set-aside amount. The guide emphasizes the importance of accurately calculating these amounts and provides examples to illustrate the calculation process. Additionally, it addresses the handling of multiple settlements and the specific information needed for structured settlements. The document serves as a critical resource for ensuring compliance with Medicare requirements in the context of workers' compensation settlements.