CMS Issues News Update regarding New Rated Age Policy


** Alert December 5, 2008 ** For Cases with Rated Ages!

Cases that close for insufficient information, withdrawal, or some other reason will automatically reopen when new information is received. Such cases are considered new WCMSA submissions as of the date the new information is received. (See CMS Memorandum dated July 24, 2006, Question and Answer 4.) Submitters should be aware that the new rules announced in the CMS August 25, 2008 memorandum – including the requirement for a statement that all rated ages obtained on the claimant have been included – will apply to cases reopened October 1, 2008 or later. Therefore, submitters of cases with rated ages may wish to consider including the required statement, where applicable, in all correspondence sent in response to CMS development requests, to avoid an unintended application of the new rated age rules and the use of actual age in cases closed before the development reply was received.

 

MEDVAL1-888-SET-ASIDE (1-888-738-2743)
Medicare Set-Aside Allocation/Arrangement Recommendations
Submissions to Centers for Medicare and Medicaid Services
Post-Settlement Administration
Pharmacy Benefit Management


 

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