New Workers’ Compensation Review Contractor Introduced: Capitol Bridge LLC Hopeful to Automate and Streamline WCMSA Review Process
Heather Sanderson
March 8, 2018
Yesterday, March 7th, the Centers for Medicare & Medicaid Services (CMS) conducted a webinar to discuss the transition of the new Workers’ Compensation Review Contractor (WCRC) from Provider Resources to Capitol Bridge LLC. Below is a summary of the relevant points of the webinar. 
  • Timing of Transition: Capitol Bridge LLC will fully take over on March 19, 2018.
  • New Contact Information: The mailing address will remain the same. The phone number, email, and fax number are as follows:
  • About Capitol Bridge LLC: Located in Pittsford, NY, Capitol Bridge LLC is a government services firm with extensive experience providing services in several areas including: Eligibility and Enrollment, Case Management, Claims Management, Records and Data Management, Cyber Security, Acquisition Support, and Financial Management.
  • Effect of Transition and Turnaround Times on Review of Workers’ Compensation Medicare Set-Asides (WCMSAs): Capitol Bridge stated on the webinar that they do not anticipate a backlog of WCMSA reviews due to the fact that it has a list of all the files that have been submitted to the WCRC since the beginning of March. Further Capitol Bridge will be taking over the review of submissions immediately (March 19th) including any files that are currently being reviewed or waiting on additional documents. Time frames for review of WCMSAs, Amended Reviews, and Re-Reviews will stay the same as with Provider Resources:
    • 10 days from receipt of the submission they can ask for additional documents
    • 20 days from the receipt of all needed documentation a determination will be made
  • Policy Changes and Review of LMSAs/NFMSAs: Capitol Bridge stated that any CMS review policy questions should be directed back to CMS. Regarding LMSAs and NFMSAs (as we know Capitol Bridge had to accept the potential to review LMSAs/NFMSAs in their RFP as early as July 1, 2018), Capitol Bridge would not answer any questions. Capitol Bridge did indicate without going into details that they are hopeful they will be able to automate and streamline the process, and “make it better.”