Updated WCMSA Reference Guide Issued; Addresses Recent Alarming Trends

An updated Workers’ Compensation Medicare Set-Aside Reference guide was issued today.   The revised guide, version 2.9 can be found here. The updates in this guide are as follows: To eliminate issues around Development Letter and Alert templates auto populating with individual Regional Office (RO) reviewer names and direct phone numbers, these will now display the generic “Workers’ Compensation Review Contractor (WCRC)” and the WCRC customer service number “(833) 295-3773” Per CMS’ request, certain references to memoranda on cms.gov have been removed. The CDC Life Table has been updated for 2015 (Section 10.3). (See our prior blog post here.) Updates have been provided for spinal cord stimulators and Lyrica (Sections 9.4.5 and 9.4.6.2). Of important note is the update to the portion of the guide that address spinal cord stimulators, as it includes the following revisions and clarification: Routine replacement of the…

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