Medicare Set-Aside Certified Consultant (MSCC) is a national certification, not a New Jersey license. How a New Jersey court weighs it is decided case by case under the forum's expert rules; this page covers the credential's scope, the New Jersey venues where a plan is examined, and our planners who hold it and serve New Jersey.
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.
New Jersey personal injury and medical malpractice claims are tried in the Superior Court, Law Division, with malpractice claims requiring an affidavit of merit. Workers' compensation claims are decided by judges of compensation in the Division of Workers' Compensation, where a plan's future medical component is regularly contested.
Outside the civil courts, the New Jersey Division of Workers' Compensation is the forum where a plan is most often examined in New Jersey. KW Life Care Planning MSCC-credentialed experts apply nationally recognized standards while accounting for New Jersey's practice environment.
MSCC-credentialed experts provide testimony in New Jersey's courts, where expert qualification is determined case by case.
Highest court: Supreme Court of New Jersey. Federal venues: D.N.J..
Source: New Jersey Courts, Special Civil Part limits (njcourts.gov)
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.
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.
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.
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.