CMS Clarifies Use of Rated Ages in MSAs

On April 21, 2009, CMS released a memo to help clarify the issues surrounding the submission of rated ages in a Medicare Set Aside arrangement. Effective immediately, submitted rates ages that do not conform to CMS’ standards for acceptable proof of rated age will be priced using actual age, and CMS will not consider re-pricing the Workers’ Compensation case using the new or corrected rated age information provided by submitters.

To conform to CMS guidelines, rated ages must be independent, on the letterhead of an insurance carrier or a settlement broker, and must also include a statement from the submitter that all rated ages obtained on the claimant have been included in the submission.

To view the memo in it’s entirety, please click here.


Comments are closed