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A Note to Our Members: Account Security
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Pricing of Implantable Devices and Beneficiaries Requesting Termination of a WCMSA Account

The purpose of this memorandum is to include policy regarding the pricing of Implantable Devices and to replace the policies regarding “Beneficiaries that Request Termination of a Workers’ Compensation Medicare Set-Aside (WCMSA) Account” in Question and Answer 10 of the July 11, 2005 Associate Regional Administrator memorandum.

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Related Resources

Guides

Accepting Payment from Patients with a Medicare Set-Aside Arrangement

A MSA is a financial arrangement that allocates a portion of a settlement, judgment, award, or other payment to pay for future medical services.

Documents

CMS Prescription Drug Set-Aside Guidance for Submitters

Since the publication of the April 3, 2009 CMS policy memorandum announcing prescription drug reviews, which becomes effective June 1, 2009, submitters of Workers’ Compensation Medicare Set-aside Arrangements (“WCMSAs”) have raised several questions concerning how certain situations will be treated by CMS and the Workers’ Compensation Review Contractor (“WCRC”).

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