CMS Revises Recent Statement on Rated Ages

The Centers for Medicare and Medicaid Services (CMS) recently issued a revised statement to be included as part of a Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) proposal.  Effective immediately, the Rated Age certification originated by the May 14, 2010 memo is revised to state the following:

“Our organization certifies that all rated ages we have obtained and/or have knowledge of regarding the claimant, and generated at any time on or after the Date of Incident for the alleged accident/illness/injury/incident at issue, have been included as part of this submission of a proposed amount for a Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) to the Centers for Medicare and Medicaid Services.”

As was true with the prior statement released on May 14, 2010, The CMS goes onto to state that they will not accept any variations of this latest statement.  If a WCMSA proposal is submitted without this exact wording, they will not accept the rated ages provided and will estimate the claimant’s remaining life expectancy using actual age.  The CMS will continue to accept WCMSA proposals using the previous wording up to and including June 30, 2010.  All other requirements of acceptable proof of a rated age remain unchanged.

To view this latest memo, please click here.


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