Frequently Asked Questions

The rules for how Medicare Set-asides are administered are complex and can be confusing. The following 'Frequently Asked Questions' are available to help you to determine how these rules may apply to your case.
Part D and Medicare Set-asides
According to representatives from CMS, proposed MSA arrangements received by Medicare’s Coordination of Benefits Contractor (COBC) on or after January 1, 2006 must include a reasonable allocation to cover future prescription drug costs that would otherwise be covered by Medicare. CMS has release a memoranda that answers the most frequently asked questions in this area.
WCMSA
Workers Compensation Medicare Set-aside Arrangements (WCMSA) rules and guidlines are published periodically by CMS in a memoranda that answers the most frequently asked questions about WCMSAs .
Resources
Downloadable Forms
To download a form, right-click and choose 'save as'.
Workers' Compensation Claim File Referral
Liability Claim File Referral Form
Lien/Conditional Payment Consent to Release Form