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CMS Updates Set-Aside Guide

Tuesday, January 21, 2025 | 0

The U.S. Centers for Medicare and Medicaid Services on Friday published an updated Workers' Compensation Medicare Set-Aside Arrangement Reference Guide. Among other things, the updated guide includes a revised policy regarding unfunded set-aside requests. "Effective July 17, CMS will no longer accept or review WCMSA proposals with a zero-dollar allocation," the guide says. CMS said reporting entities are never required to submit a proposed set-aside amount for review, but claimants must always protect Medicare's interest. A set-aside is not necessary when facts of the...

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