Resource Center / Medicare

Medicare, Set-Asides & MSP

Official Medicare resources relevant to workers' compensation settlements, Medicare Set-Aside arrangements and Medicare Secondary Payer considerations.

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Workers' compensation Medicare Set-Asides

Verified September 18, 2026

Workers' Compensation Medicare Set-Asides

CMS explains Workers' Compensation Medicare Set-Aside Arrangements (WCMSAs), review criteria and the process for considering Medicare's interests when workers' compensation settlements include future medical expenses.

Current guidance: WCMSA Reference Guide v4.6 — July 13, 2026

Source
Centers for Medicare & Medicaid Services
View official CMS guidance on cms.gov(opens in a new tab)

Verified September 18, 2026

WCMSA Reference Guide — Version 4.6

CMS's current reference guide covering the WCMSA review process, submission requirements, administration and related policies.

Source
Centers for Medicare & Medicaid Services
Current version / dataset
Version 4.6 — July 13, 2026
View current guide on cms.gov(opens in a new tab)

Verified September 18, 2026

WCMSA Portal

The Workers' Compensation Medicare Set-Aside Portal allows eligible users to electronically submit WCMSA information, upload documentation and review submission status.

Source
Centers for Medicare & Medicaid Services
WCMSA portal information on cms.gov(opens in a new tab)

CMS guidance and reference materials are not reproduced here. Each link goes directly to the agency’s own page, which is always the version to rely on.

Sources last checkedSeptember 18, 2026

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