MSCC in Illinois

Reviewed by KW Life Care Planning Editorial Team

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

How the credential is weighed in Illinois

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.

Illinois personal injury and medical malpractice claims are tried in the Circuit Courts, with Cook County among the busiest venues in the country. Workers' compensation claims are heard by arbitrators of the Illinois Workers' Compensation Commission.

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

Illinois courts and venues

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

Highest court: Illinois Supreme Court. Federal venues: N.D. Ill., C.D. Ill., S.D. Ill..

Source: Illinois judiciary (illinoiscourts.gov)

MSCC experts for Illinois matters

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

Other credentials in Illinois

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 Illinois 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.