Medicare Set-Aside Certified Consultant (MSCC) is a national certification, not a New York license. How a New York court weighs it is decided case by case under the forum's expert rules; this page covers the credential's scope, the New York venues where a plan is examined, and our planners who hold it and serve New York.
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 York's Supreme Court is the trial-level forum for personal injury and medical malpractice claims despite its name, with the five New York City counties among the highest-volume venues in the country. Workers' compensation claims are decided by the New York State Workers' Compensation Board.
Outside the civil courts, the New York State Workers' Compensation Board is the forum where a plan is most often examined in New York. KW Life Care Planning MSCC-credentialed experts apply nationally recognized standards while accounting for New York's practice environment.
MSCC-credentialed experts provide testimony in New York's courts, where expert qualification is determined case by case.
Highest court: Court of Appeals. Federal venues: S.D.N.Y., E.D.N.Y., N.D.N.Y., W.D.N.Y..
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.