Medicare Set Asides
A Medicare Set-Aside Allocation (MSA) is the only mechanism approved by the federal Centers for Medicare and Medicaid Services (CMS) for protecting the interests of all parties to a workers’compensation settlement.
Our professional staff is dedicated to providing the highest level of MSA services to our clients, including exceptional customer service, communication and follow-up. Turn-around time is two weeks from when we receive all necessary records and documents. Open and consistent communication on each MSA file is critical, and it is a part of what makes our service unique.
At M Hayes, we believe a Medicare Set-Aside is a medical-legal product. Our team is composed of medical and legal professionals who carry the highest possible professional designations, experience and credentials.
Legal Oversight:
Our MSA program is directed by our general counsel, who prior to his tenure with M Hayes, was national group counsel for workers’ compensation for a major property and casualty insurance carrier. He developed and managed the MSA program for this carrier. He lectures extensively on MSA’s and teaches in the MSCC certification course. He sits on the Medicare Reform Task Force in Washington, D.C., and is a principal drafter of the bill currently being introduced in Congress to overhaul the MSA statute as it relates to workers’ compensation.
Medical Expertise:
All Medicare Set-Aside Allocations are prepared by registered nurses who hold national certification as Nurse Life Care Planners or Certified Case Managers and also undergo the training to become a Medicare Set-Aside Consultant Certified (MSCC). Unlike non-medical allocators, our nurses have the expertise and credibility to assess(and question if necessary) the appropriateness of a treatment plan, including the prescription drug component. This is especially important with the addition of Part D prescription medicines. With expertise to determine when a claimant’s medical conditions justify a reduced life expectancy, our nurses also coordinate rated ages.
Coordination:
Our dedicated MSA staff provides consistent handling and tracking of your MSA, from initial referral through filing and approval with CMS. We value each referral and our specialized team ensures it receives the highest level of attention.
Make a Referral
Referrals may be made online using our Referral Form, or the form may be printed and mailed to the address listed. To speak with one of our knowledgeable staff members about our MSA services, e-mail us at msa@mhayes.com or call:
800-254-0170 or 410-628-4050
We look forward to providing you with quality, personalized service.
CMS Policy Memoranda
July 23, 2001 Memorandum (PDF, 83 KB)
April 21, 2003 Memorandum (PDF, 935 KB)
May 23, 2003 Memorandum (PDF, 190 KB)
May 7, 2004 Memorandum (PDF, 9KB)
October 15, 2004 Memorandum (PDF, 192 KB)
December 30, 2005 Memorandum (PDF, 184 KB)
July 11, 2005 Memorandum (PDF, 137 KB)
April 25, 2006 Memorandum (PDF, 135KB)
July 24, 2006 Memorandum (PDF, 184 KB)
May 20, 2008 Memorandum (PDF, 54 KB)
August 25, 2008 Memorandum (PDF, 71KB)
April 3, 2009 Memorandum (PDF, 65KB)
Other
CMS Workers Compensation Agency Services Website
CMS Regional Office Contact List
National Alliance of Medicare Set-Aside Professionals