Cypress Care’s Medicare Set-Aside Management Program Focuses on Maximizing Duration of Pharmacy and Ancillary Health Services Allocations
Through our Medicare Set-Aside (MSA) and Life Care Planning Programs (LCP), Cypress Care is committed to maintain an equal balance of protection for both the Centers for Medicare and Medicaid Services (CMS) and the payer’s interest. Cypress Care continues to enhance its knowledge and commitment to these programs by maintaining membership with the National Alliance of Medicare Set-Aside Professional (NAMSAP) and the National Structured Settlements Trade Association (NSSTA).
Cypress Care offers pharmacy and ancillary health services through a nationwide network of retail pharmacies, home delivery and ancillary health service providers. Our comprehensive program is focused to ensure pharmacy and ancillary health services are appropriately allocated as specified by CMS under the Medicare Secondary Payer (MSP) statute and the allocations are appropriately managed post-settlement.
Program Features
Cypress Care’s program utilizes our in-depth pharmacy and ancillary health services benefits management knowledge combined with our expert MSA specialists. Through an interdisciplinary team of registered nurses, adjusters, structured settlement consultants, legal counsel and physicians, Cypress Care ensures the most accurate allocation available. Our program includes:
- Report Compilation and Submission According to CMS Guidelines - When Cypress Care submits an MSA package to CMS, our team of experts follow through with the regional CMS office until acceptance. Each allocation report is prepared by registered nurses and customized to individual claim needs. Quality assurance is performed by MSA certified consultants.
- Dedicated Account Specialists - Our team of dedicated account specialists ensures your pre-settlement needs are met and the allocation process is seamlessly managed. With extended customer service hours, Cypress Care is here to answer pharmacy, ancillary services and other benefit questions.
- Internal Pharmacy and Ancillary Services Expertise - Cypress Care has a proven track record of managing pharmacy and ancillary health services through our proprietary technology platform – Sequoia, and our nationwide network of pharmacy and ancillary services providers.
- Clinical Rx - Retrospective Drug Utilization Review Program - Pharmacists review a patient’s prescription history to provide an expert opinion of the overview of the medication regimen. The pharmacist provides a retrospective review of file material.
Pharmacists Examine:- Medication dosages
- Potential interactions amongst the current regimen
- Other potential drug therapy concerns
- The appropriateness of the regimen for the diagnosis
- The long term pharmacological effects of the current medication regimen
Program Benefits
Cypress Care ensures timely turnaround time for MSA and LCP allocation report completion. Thorough reporting assures accuracy of MSA and post-settlement funding. With our proven track record of 100% CMS approval rating, Cypress Care is the MSA partner you can trust.
Through internal databases, Cypress Care has access to the most current usual and customary and/or Medicare allowable pricing. Sequoia allows a secure web-based view into the status of each
allocation report at any time. Completed reports can be quickly printed for further review. Most of all, Cypress Care’s experts help to provide the support and education adjusters need to efficiently manage the pre-settlement allocation process.
In addition, Cypress Care can work directly with injured patients and Trust and Custodial managers to assist with plans requiring post-settlement fund management. Learn more.
Contact a Cypress Care representative to learn how we can effectively manage your clients’ MSA allocations.
Cypress Care is proud to be qualified members of:
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