WCMSA Self Administration Toolkit Good idea
A WCMSA self-administration toolkit for injured employees was a desperately needed item. Last week, the Centers for Medicaid and Medicare Services (CMS) created a page with quite an amount of documentation for Workers Comp Medicare/Medicaid Set Asides (WCMSA).
The page is for injured employees that wish to Self-Administer their MSA account. The CMS provided a laundry list of documents for claimants that did not wish to have an outside service handle their MSA account. Click here for the page. The PDF file for the toolkit is here.
The CMS does a great job of explaining the WCMSA process. The amount of tracking and materials may be too burdensome for some of the injured employees. CMS performed well for giving it a try. The Table of Contents of the guide is below. The page numbers were intentionally left off the Table.
There are a few interesting yet troubling areas in the guide. Those will be included in tomorrow’s article.
Table of Contents
Section 1: Introduction
Section 2: Setting Up the WCMSA Bank Account
Section 3: How Your WCMSA is Funded
Section 4: Using the Account
- What medical and prescription expenses can I pay for from this account?
- Can I use the account to pay for anything else?
Section 5: What to Tell Your Health Care Providers
- How should my health care providers calculate the bill?
- What if my health care provider is also treating me for other problems?
Section 6: Reviewing and Paying Your Bills
Section 7: Keeping Records
Section 8: Annual Attestation
- Final depletion of funds
Section 9: Reporting Changes
- Medicare entitlement status
Section 10: Inheritance
Section 11: Topics Unique to Structured WCMSA Accounts
- What if I do not use all the funds in a year?
- What happens if my funds run out before the next deposit?
Section 12: Where to Get Help
Section 13: Letters and Examples
- Letters for your health care providers: Medical providers
- Letters for your health care providers: Pharmacy providers
- Lump-sum annual attestation and expenditure letter
- Lump-sum annual attestation and expenditure letter: Exhausted lump-sum account
- Structured account attestation and expenditure letter: Annual attestation
- Structured account attestation and expenditure letter: Temporary exhaustion
- Structured account attestation and expenditure letter: Permanent exhaustion
- Transaction Record Sample
Section 14: Glossary
©J&L Risk Management Inc Copyright Notice