Medicare Set-Aside Certified Consultant (MSCC) is a national certification, not a Virginia license. How a Virginia court weighs it is decided case by case under the forum's expert rules; this page covers the credential's scope, the Virginia venues where a plan is examined, and our planners who hold it and serve Virginia.
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.
Virginia civil claims are tried in the Circuit Courts, and medical malpractice review panels are available to either party before trial. Workers' compensation claims are decided by the Virginia Workers' Compensation Commission, where lifetime medical awards make future care costs a central issue.
Outside the civil courts, the Virginia Workers' Compensation Commission is the forum where a plan is most often examined in Virginia. KW Life Care Planning MSCC-credentialed experts apply nationally recognized standards while accounting for Virginia's practice environment.
MSCC-credentialed experts provide testimony in Virginia's courts, where expert qualification is determined case by case.
Highest court: Supreme Court of Virginia. Federal venues: E.D. Va., W.D. Va..
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.