White House Financial & Settlement Consulting, LLC helps families live an easier and less stressful life through the achievement of their financial goals by providing comprehensive, fee-only, client focused financial advice and exceptional service.
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CMS MAKES MAJOR ANNOUNCEMENT IN LIABILITY AND NO-FAULT CASES!
Are You and Your Clients Compliant?
Thismonth CMS publishedMatter#MM9893,datedFebruary3,2017with
NoFault MSAs (“NFMSA”).
Partiesshould notetheprovisionthatthecontractorwouldreviewothernon-grouphealthplan set-asides,whichwouldbereviewsof
MSAson liability cases.TheLMSAreviewwouldbe broken downintofullreviews(similar
towhatiscurrentlydoneon workers'compensation MSAs)anda cursoryreviewwhich would only requirethat allrequireddocuments were providedforan
aseriesof indicationsfrom CMS thattheyareonce again
LMSAs.Thefirstwasin May2016whenCMSreleasedtheRFP-CMS-2016-8A-0008PRE- SOLICITATIONnotice,whichamendedtheStatementof
Non-GroupHealthPlanMedicareSetAsidesArrangements.Thiswas followedin Junewhen CMSupdateditswebsitewith
a noticetitled:"Considerationfor ExpansionofMedicareSet-
AsideArrangements."Thenoticestatesthat"the CentersforMedicareand Medicaid Services
process toincludethereviewof proposedliabilityinsurance(includingself-insurance)and no-
amounts.CMSplansto workcloselywiththestakeholdercommunityto identifyhowbesttoimplementthispotentialexpansion.CMS will
year. Pleasecontinuetomonitorthis websiteforadditionalupdates."
attorneysshould note thatCMSdoes not neednewlawtoimplementLMSAsor NFMSAs.Under42 U.S.C.Sections1395y(b)(2)and 1862(b)(2)(A)(ii)ofthe Social SecurityAct, Medicareisprecludedfrommakingpaymentwhenpayment“hasbeen madeor canreasonably be expectedtobemadeundera workers’compensationplan,an
or liability insurancepolicyorplan
insurance.”MSAs have beenusedinworkers'compensationsettlementsfornearly15 years,and
regularconsiderationinliability and nofaultsettlements.
changessincelast year and havebeen
preparingourclients accordingly. Whileothersmayadvocateusing the
workers'compensation methodology fora
is bothinappropriate and
thelegal equivalent of
a round hole.LMSAsand
administratorwithextensiveexperiencein liability and
no fault cases.CMShasannounceda targetdateofOctober1st,2017.If you wouldlike
assistance in settingup a LMSAor NFMSAcomplianceprogram,please
we wouldbe pleasedto assist you. We can be reached at (734) 433-1670 or email@example.com
You probably know us best for our Plaintiff Focused Structured Settlement Consulting services. You may not know that we also help plaintiff attorneys and their clients resolve those nasty LIENS that threaten your hard won settlements through our partnership with PROVIDIO!
Please click the link below for more information on our lien resolution services:
We were recently engaged on a case by one of our plaintiff attorney clients. The case involved a young lady who was severely injured in an ATV accident when she was in high school. She is currently 19 years old. There was a facilitation in the case where she was presented with structured settlement proposals by the defendant insurer's structured settlement broker. These proposals only confused the young lady because they had nothing to do with her actual goals and financial needs. We met with her and her mother at their home and crafted a customized financial plan that included both structured settlement annuity and other investment vehicles to secure both her short and long term financial needs. We were very happy to be able to help this young lady and her family by taking some of the confusion and worry out of her future!