Rimkus Consulting Group, Inc

Plotting A Compliance Course: What To Consider When Determining Whether Or Not To Submit An MSA To CMS

 Thursday, October 3, 2019

 CLM Magazine

For Workers Compensation Medicare Set-Asides (WCMSA), there is no requirement that they be submitted to the Centers for Medicare & Medicaid Services (CMS) for approval, although it is common for settling parties to do so.

What are the benefits of not submitting a WCMSA to CMS, and when does it make sense to take that course of action?

In 2001, CMS issued a memorandum—referred to as the “Patel Memo”—that introduced a voluntary review and approval process for WCMSAs.

Where a workers compensation settlement involves a Medicare beneficiary or an injured worker who has a reasonable expectation of Medicare entitlement within 30 months of the settlement, and CMS’ settlement-review threshold is met, the WCMSA may be submitted to CMS for review and approval.

A WCMSA allocates a portion of a workers compensation settlement for all future work injury-related medical expenses that are covered and otherwise reimbursable by Medicare (Medicare-covered).
Education & TrainingWorkers' Compensation

California Considers Whether To Continue Participation In FEMA’s NFIP

 Wednesday, March 22, 2017

 Live Insurance News

Siouxland farmers gauge whether to replant in flood-damaged fields

 Wednesday, July 2, 2014

 Sioux City Journal

Oklahoma Court Rules for Whataburger in Hot Gravy Lawsuit

 Thursday, March 20, 2014

 Insurance Journal

NFL’s $914 Million Concussion Deal Submitted for Approval

 Wednesday, January 8, 2014


Fraud to blame for costly insurance

 Tuesday, September 7, 2010