MSCC in California

Reviewed by KW Life Care Planning Editorial Team

Medicare Set-Aside Certified Consultant (MSCC) is a national certification, not a California license. How a California court weighs it is decided case by case under the forum's expert rules; this page covers the credential's scope, the California venues where a plan is examined, and our planners who hold it and serve California.

How the credential is weighed in California

The MSCC certifies professionals in the preparation of Medicare Set-Aside allocations for workers' compensation and liability settlements. Scope includes identifying injury-related, Medicare-covered future care, pricing it under the applicable fee schedule, and documenting the allocation in a form that satisfies Medicare's review process and protects the parties' interests.

California's unified Superior Court hears personal injury and medical malpractice claims, and medical malpractice matters proceed under a long-standing state-specific framework that counsel should confirm. Workers' compensation claims are administered by the Division of Workers' Compensation and litigated before the Workers' Compensation Appeals Board.

Outside the civil courts, the California Division of Workers' Compensation is the forum where a plan is most often examined in California. KW Life Care Planning MSCC-credentialed experts apply nationally recognized standards while accounting for California's practice environment.

California courts and venues

MSCC-credentialed experts provide testimony in California's courts, where expert qualification is determined case by case.

Highest court: Supreme Court of California. Federal venues: N.D. Cal., E.D. Cal., C.D. Cal., S.D. Cal..

Source: California judiciary (courts.ca.gov)

MSCC experts for California matters

KW Life Care Planning provides MSCC-credentialed life care planners for California cases, including remote consultation and on-site evaluation where required. Contact us to discuss availability for your matter.

Other credentials in California

Frequently Asked Questions

When is a Medicare Set-Aside required?

When a settlement closes future medical benefits and the claimant is a Medicare beneficiary or has a reasonable expectation of enrollment within the period Medicare's guidance addresses. Counsel and the MSCC confirm the review thresholds and current guidance for the specific settlement.

How does a Medicare Set-Aside relate to a life care plan?

Both project future injury-related care from the same records and physician recommendations. The set-aside is limited to Medicare-covered items priced under the fee schedule; the life care plan covers all reasonable future care at the pricing appropriate to the case.

Can an MSCC prepare allocations for liability settlements as well as workers' compensation?

Yes. The methodology is similar, though liability allocations involve additional judgment about apportionment and the absence of a formal review program comparable to the workers' compensation process.

References

  1. ICHCC - Medicare Set-Aside Certified Consultant (MSCC)
  2. CMS - Workers' Compensation Medicare Set-Aside Arrangements

Ready to Get Started on California matters?

Contact our team to discuss how KW Life Care Planning can support your case with certified life care planning expertise. Request a Consultation or call (201) 343-0700.