Expert ResourcesServices
Medicare Set-Aside Services (MSAs)
Express Scripts strives to consistently execute and deliver the highest quality MSA services in the business.* Through careful coordination, focused execution and a commitment to honing our capabilities as your medical advocate with the Centers for Medicare & Medicaid Services (CMS), we will be your best full-service Medicare compliance partner. Our offering and performance will redefine your expectations for MSA-related services.
Key Performance Metrics
- MSA turnaround time: 3 days
- CMS submission average turnaround time: 66 days**
- CMS acceptance rate: 86%
Other Resources
Services
We offer a suite of services to meet all of your Medicare-related needs.
- Medicare Set-Aside (MSA) Allocation
- Includes Medicare Beneficiary Check
- MSA Revisions
- MSA CMS Submission
- Medicare Lien Research
- Social Security Eligibility Verification
- Medical Cost Projection
- Pharmacist Drug Review (PDRx)
- Comprehensive Life Care Plan
- SCHIP Services: Mandatory Insurer Reporting
- Standard Reporting:
- Turnaround Time Analysis
- Year-to-date Summary — by type of service and branch office
- Monthly CMS Summary Score Card
Online Referral Form
Complete our online referral form to expedite the services we provide.
Printable Referral Forms
Download the referral forms below, then submit along with any supplemental documents.
- Print MSA Referral Form (DOC file)
- CMS/Medicare Authorization for Release of Information Form (PDF file)
- SSA-3288 Form (PDF file)
*Medicare Set-Asides are offered through Express Scripts MSA, LLC
**As of fourth quarter 2008.
DOC files require Microsoft Word®.
PDF files require Adobe Acrobat Reader.
