Frequently Asked Questions
Part D and Medicare Set-asides


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Q4. What happens if CMS closes its case because the submitter failed to provide requested information in a timely manner?

A4.If the WC case did not "settle" (as defined in Answer 2 above) prior to January 1, 2006, and the submitter provides additional documentation with regard to the closed case on or after January 1, 2006, the case is considered a new WCMSA submission and the requirements included in this memorandum related to: (1) future medical treatment; and, (2) future prescription drug treatment will be applied to the new WCMSA submission.

If the WC claim settled prior to January 1, 2006 and the submitter provides additional documentation with regard to a closed case, the case is considered a new WCMSA submission; however, the WCMSA proposal does not need to include an amount for future prescription drug treatment.