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  1. #1
    Join Date
    May 2007
    Posts
    408

    Default Time Frame for MSA Approval

    My workers compensation claim was made in the State of: Louisiana

    Has anyone had to get a MSA approved from CMS lately?
    If so, approx. How long did it take to get approval?

  2. #2
    Join Date
    Feb 2007
    Location
    Calif
    Posts
    18,011

    Default Re: Time Frame for Msa Approval

    It would depend on the COB office back log..Coordination Of Benefits Contractor ...there is contact information...
    Who to Contact
    Once you have submitted a WCMSA proposal, you will receive an acknowledgement letter. If you do not receive an acknowledgement letter, please contact the Coordination of Benefits (COB) Contractor. Customer Service Representatives are available to provide you with quality service Monday through Friday, from 8:00 a.m. to 8:00 p.m., Eastern Time, except holidays. The COB Contractor's toll free number is 1 (800) 999-1118 or TTY/TDD: 1 (800) 318-8782 for the hearing and speech impaired. http://www.cms.hhs.gov/WorkersCompAg....asp#TopOfPage
    After the proposal is submitted....
    The most efficient method for submission of a WCMSA proposal is on a CD-ROM. The Coordination of Benefits (COB) Contractor's enhanced processing system has the ability to directly import the documentation on a CD-ROM; managing the documentation more effectively.The WCMSA proposals will then be recorded in a national, centralized database, and electronically forwarded to CMS' Review Contractor.
    If you have not received any contact from the COB regarding receipt of the proposal... call them.

    Once the MSA is received and reviewed... you will get a letter, along with the AA, CA/DA advising of the determination.
    The time it takes...is the time it takes... there isn't much to do to expediate this... that's why it's important to get the details of the settlement taken care of prior to all the negotiations.

    You don't have to wait on this...
    The parties can proceed with the settlement of the medical expenses portion of a WC claim before CMS actually reviews the proposed WCMSA and determines an amount that adequately protects Medicare's interests. However, any statement in the settlement of the amount needed to fund the WCMSA is not binding upon CMS unless/until the parties provide CMS with documentation that the WCMSA has actually been funded for the full amount as specified by CMS that adequately protects Medicare's interests as a result of its review.
    ...though IMHO... I would wait for the CMS approval notification... I'd not choose to take the ER/IC estimate of the MSA funding SWAG... nothing is firm until the CMS 'fat lady' has finished singing....

  3. #3
    Join Date
    May 2007
    Posts
    408

    Default Re: Time Frame for Msa Approval

    Quote Quoting BvIA View Post
    It would depend on the COB office back log..Coordination Of Benefits Contractor ...there is contact information...
    After the proposal is submitted....

    If you have not received any contact from the COB regarding receipt of the proposal... call them.

    Once the MSA is received and reviewed... you will get a letter, along with the AA, CA/DA advising of the determination.
    The time it takes...is the time it takes... there isn't much to do to expediate this... that's why it's important to get the details of the settlement taken care of prior to all the negotiations.

    You don't have to wait on this......though IMHO... I would wait for the CMS approval notification... I'd not choose to take the ER/IC estimate of the MSA funding SWAG... nothing is firm until the CMS 'fat lady' has finished singing....

    A Independent Agency will be used to help determine the amount of the MSA. After approval from all parties, The MSA proposal will be sent to CMS for approval.

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