Specialty Allocations sends Medicare Set Aside proposals to CMS upon the request of the referral source. A cover letter is generated notifying of the submission. We provide ongoing status updates of the submission until a decision is reached by CMS.
CMS’s Review Thresholds for WCMSAs:
Medicare Set Asides are recommended for submission to CMS when they meet the following criteria:
A claimant has a reasonable expectation of Medicare enrollment within 30 months if any of the following apply:
For MSAs that meet the mentioned criteria, we will send a Medicare Set Aside proposal to CMS upon the request of the referral source. A cover letter is always given to the referral source for their record keeping. We follow up with our proposals every two weeks until an approval is obtained.
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Maitland, FL 32751