Medicare Set-Aside Certified Consultant (MSCC) is a national certification, not a West Virginia license. How a West Virginia court weighs it is decided case by case under the forum's expert rules; this page covers the credential's scope, the West Virginia venues where a plan is examined, and our planners who hold it and serve West 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.
West Virginia personal injury and medical malpractice claims are tried in the Circuit Courts, with malpractice claims requiring pre-suit notice and a screening certificate of merit. Workers' compensation is regulated by the Offices of the Insurance Commissioner, with contested claims heard by the Workers' Compensation Board of Review.
Outside the civil courts, the West Virginia Offices of the Insurance Commissioner is the forum where a plan is most often examined in West Virginia. KW Life Care Planning MSCC-credentialed experts apply nationally recognized standards while accounting for West Virginia's practice environment.
MSCC-credentialed experts provide testimony in West Virginia's courts, where expert qualification is determined case by case.
Highest court: Supreme Court of Appeals of West Virginia. Federal venues: N.D.W. Va., S.D.W. Va..
KW Life Care Planning provides MSCC-credentialed life care planners for West Virginia cases, including remote consultation and on-site evaluation where required. Contact us to discuss availability for your matter.
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.