Who is the “Workers Compensation Joint Venture Contractor?
A49. CMS has contracted with a “joint venture” contractor reviewing pre-October 1, 2003, cases (which CMS refers to as “the backlog”) starting on November 10, 2003. The cases were sent to the CMS Regional Offices with a recommendation or additional information requested. Once this joint venture contractor has provided a recommendation to the CMS Regional Office, acknowledgement of the receipt of the Medicare Set-aside proposal is sent to the submitter, usually within a 2 – 3 day period, or additional information will be requested from the submitter. The joint venture contractor’s address is: 10830 Guilford Road, Ste. 307, Annapolis Junction, MD 20701. Tele: 301-575-0160 Fax: 646-458-6745 According to CMS this joint venture contractor is not actually making determinations as to the acceptability of the Medicare Set-aside amount. Rather, according to CMS this joint venture contractor is merely giving the CMS Regional Office recommendations (including suggestions for “more adequate” alloc
