New WCRC Contract Negotiations Continue

Recently, the Centers for Medicare & Medicaid Services (CMS) awarded a new contract for Workers' Compensation Review Contractor (WCRC) administration to Capital Bridge, LLC, a small government contactor with 2 employees, for review of Medicare Set Asides (MSAs). Two other companies submitting bids for the work have protested the award, and CMS has issued a stop work order.
The $60 Million, five year contract would support CMS to independently price future Medicare-covered medical services and prescription drug costs related to Workers’ Compensation injuries, illnesses, and diseases. It would appear that this is the first time CMS has awarded a prime contract to Capitol Bridge, a SBA 8 (a) certified company.
CMS is currently managing the protests from KEN Consulting, Inc. and Arch Systems, LLC. The final award is expected to be resolved by mid-December, 2017. In the meantime, the current WCRC, Provider Resources, will continue to review MSAs that are submitted to them for review and approval.
Stay tuned for updated information related to this important administrative MSA function as CMS negotiates the future WCRC. For specific details of the contract and stop work order, please click here >>