When CMS approves a $0 MSA, Medicare will immediately pay for injury-related care post-settlement. CMS approval of the $0 MSA gives the parties, especially the injured worker, the assurance that CMS accepts the claim denial and a $0 MSA that facilitates settlement of the claim. (Credit: Graham Oliver/Adobe Stock)
A zero-dollar Medicare set-aside, or $0 MSA, means that no funds for future injury-related treatment are set aside when a workers' compensation claim settles. Workers' compensation payers frequently ask if it is possible to obtain a Centers for Medicare & Medicaid Services (CMS) approved $0 MSA. The answer is, yes — if certain criteria are met and the right documentation is provided.
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