CMS Modifies RFP for New WCRC; Issues Updated WCMSA Reference Guide
Jesse Hamby
April 19, 2016

Modified RFP for WCRCWe previously issued a blog that CMS had invited bids for an RFP for the contractor that reviews WCMSA submissions, the WCRC. For our prior blog, please click here. Just a few days ago on April 15th, CMS has modified the WCRC RFP with the following changes:

  1. The due date to bid on the RFP has been changed from April 8, 2016 to July 27, 2016.
  2. The award date for the new contractor has been changed from June 20, 2016 to November 7, 2016.
  3. CMS has stated within the modified RFP that it has adjusted the solicitation for the WCRC “[d]ue to updates that are currently being made to the Statement of Work (SOW) to include the processing of other Non-Group Health Plan (NGHP) Medicare Set-aside Arrangements.”

Updated WCMSA Reference GuideAdditionally, today CMS issued an alert with notification that it has issued WCMSA Reference Guide version 2.5. The updated WCMSA Reference Guide can be found here. The primary changes in the Reference Guide reflect that reported cases with ongoing responsibility for medical will be transferred to the Commercial Repayment Center (CRC) and either a CPN or CPL will issue in response. The prior WCMSA Reference Guide referenced the BCRC handling the reported claims so this change makes sense and is in line with prior guidance. This change is located in section 2.2. Lastly, the updated WCMSA Reference Guide incorporates the prior guidance issued from CMS with regard to usage of ICD-10 codes and are reflected in sections 9.4.4 and 10.4.2 of the WCMSA Reference Guide.

 

Heather Schwartz Sanderson, Esq., MSCC, CHPE, CLMP, CMSP

Chief Legal Officer, Franco Signor LLC