CMS Memos

MSP Medical Provider Fact Sheet

List of valid ICD9 codes accepted by CMS for Section 111 reporting

CMS-MMSEA What's New


CMS Memo 8/1/2012
Impact of the Removal of coverage of Transcutaneous Electrical Nerve Stimulation (TENS) Units for Chronic Low Back Pain (CLBP) on Workers’ Compensation Medicare Set-Aide Arrangement (WCMSA) proposals

CMS Memo 9/30/2011
Revised Implementation Timeline for Certain Liability Insurance
(Including Self-Insurance) Total Payment Obligation to the Claimant (TPOC)
Settlements, Judgments, Awards or Other Payments

CMS Memo 9/29/2011
Medicare Secondary Payer—Liability Insurance (Including Self-Insurance) Settlements, Judgments, Awards, or Other Payments and Future Medicals -- INFORMATION

CMS Memo 5/25/2011
Texas CMS Regional Office Memo on Liability MSAs

CMS Memo 5/11/2011
Medicare Secondary Payer--Workers’ Compensation--INFORMATION

CMS Memo 11/9/2010
Medicare Secondary Payer Manditory Reporting:
Revised Implementation Timeline for TPOC Liability Insurance.
Extension of Current Dollar Thresholds for Liability Insurance.

CMS Memo 6/8/2010
Medicare Secondary Payer--Workers’ Compensation--INFORMATION: Clarification of 5/14/2010 Rated Age Language

CMS Memo 5/25/2010
ALERT: New Direct Data Entry (DDE) Option for Liability Insurance (Including Self-Insurance), No-Fault Insurance, and Workers’ Compensation

CMS Memo 5/14/2010
Medicare Secondary Payer--Workers’ Compensation--INFORMATION: The purpose of this memorandum is to clarify guidance provided in the Centers for Medicare & Medicaid Services’ (CMS’) April 3, 2009 and July 1, 2009 procedure memoranda regarding prescription drugs administered to Medicare beneficiaries for off-label and/or unlabeled outpatient uses and whether these drugs are considered covered by Medicare Part D and, therefore, appropriately included in a Medicare Workers’ Compensation Set-aside Agreement (WCMSA) proposal.

CMS/COBC Memo February 2010
270/271 Health Care Eligibility Benefit Inquiry and Response Companion Guide for Mandatory Reporting Non-GHP Entities

CMS Memo 8/24/2009
ALERT: Compliance Guidance Regarding Obtaining Individual HICNs and/or SSNs for Non-Group Health Plan (NGHP) Reporting

CMS Memo 6/1/2009
CMS Prescription Drug Set-Aside Guidance for Submitters

CMS Memo 4/3/2009
Medicare Secondary Payer--Workers’ Compensation--INFORMATION
The purpose of this memorandum is to set forth the Centers for Medicare & Medicaid Services’ (CMS’) procedures regarding the methodology of pricing future prescription drug treatment costs/expenses in Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) proposals.

CMS Memo 3/20/2009
ALERT for Liability Insurance (Including Self-Insurance), No-Fault Insurance, and Workers’ Compensation

CMS Memo 8/25/2008
Medicare Secondary Payer -- Workers' Compensation -- INFORMATION

CMS Memo 5/20/2008
CMS will only use the CDC Table 1 in its WCMSA review process.

CMS Memo 7/24/2006
Questions and Answers for Part D and Workers’ Compensation Medicare Set-aside Arrangements

CMS Memo 04/25/2006
Workers' Compensation Medicare Set-Aside Arrangements (WCMSAs) and Revision of the Low Dollar Threshold for Medicare Beneficiaries

CMS Memo 12/30/2005
Part D and Workers' Compensation Medicare Set-aside Arrangements (WCMSAs) Questions and Answers

CMS Memo 07/11/2005
Medicare Secondary Payer (MSP) -- Workers' Compensation (WC) Additional Frequently Asked Questions

CMS Memo 10/15/2004
Medicare Secondary Payer (MSP) -- Workers' Compensation (WC) Additional Frequently Asked Questions

CMS Memo 05/07/2004
Medicare Secondary Payer -- Workers' Compensation (WC) -- INFORMATION

CMS Memo 05/23/2003
Medicare Secondary Payer -- Workers' Compensation (WC) Additional Frequently Asked Questions

CMS Memo 04/21/2003
Medicare Secondary Payer -- Workers' Copensation (WC) Frequently Asked Questions

CMS Memo 07/23/2001
Workers Compensation: Commutation of Future Benefits