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Thread: MSA

  1. #1
    Join Date
    Mar 2011
    Posts
    75

    Default MSA

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

    How long is it taking for the state to issue a msa report. Requested it about 9 monthes ago. Is there a nomber I can call to check the status ?

  2. #2
    Join Date
    Feb 2007
    Location
    Calif
    Posts
    18,045

    Default Re: MSA

    The State doesn't review or 'do' a WCMSA.
    The proposal is prepared, based on your last 2 or 3 years of medical records, estimate of FMC/Future Med Care needs, and sent to COB/Coordinator Of Benefits R/O, Regional Office.

    If you can find the COB contact info for your region...you may/may not get info.

    The law does NOT require CMS/COB to review every proposal submitted, it's based on the volumn of work there. You can settle out the claim, if a MSA vendor or competant party has prepared an adequate proposal. The law... requires any/all settlement that include changes or closure of the medical benefits to address Medicare interests and report the settlement to CMS. The settlement is not complete or valid until CMS receives the documents, including the MSA proposal.
    If upon receipt of the documents, CMS reviews the proposal, and finds it does not adequately protect Medicare interests...they can just send it back, OR, go after the ER/IC to reimburse any payments Medicare makes.

    Who/how did you request from the state anything to do with MSA ? Maybe I'm answering a question you have not asked.

  3. #3
    Join Date
    Mar 2011
    Posts
    75

    Default Re: MSA

    My attorney sent my info to msa and asked for review. I spoke with him today, he say's he has heard nothing yet. That's why I was wondering how long it is taking now. i know it used to be about 6 monthes.

    I have read the rules, just don't know the timeline.

    Thank's B.

  4. #4
    Join Date
    Feb 2007
    Location
    Calif
    Posts
    18,045

    Default Re: MSA

    MSA proposals go to COB... there is no mandatory time frame... and as I said, CMS/COB doesn't even have to review. As long as Medicare interests are protected in a C&R, CMS will reivew if necessary.
    But no settlement is complete until CMS has been provided all of the C&R documents post Judges approval.

    Bottom line...there is no timeline.

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