Providing quality, results oriented, innovative, personalized vocational and case management services, MVS offers creative solutions and personalized service developed for your specific needs.

Our service areas of expertise include Vocational Rehabilitation, Medicare Set-Asides, Telephonic Case Management, Benefits and Work Incentives Advisement and Career Counseling.

Medicare Set-Asides

Maine Vocational Solutions offers a Certified Medicare Set-Aside Consultant to write Workers' Compensation Medicare Set-Aside Trust Allocation Report Services.


In 1980, Congress enacted the Medicare Secondary Payer Act (MSP) in effort to slow the rising cost of Medicare. The MSP prohibited Medicare from paying for medical treatment that was also covered by other insurers. In these instances, Medicare becomes the 'secondary payer' for medical care. Medicare demands that their interest be taken into consideration when settling cases – where the settlement funds include money for future medical care. If not, Medicare can take legal action and the Medicare benefits can be forfeited. Medicare strongly recommends compliance of the MSP to set-aside money from the settlement funds that would cover future medical care otherwise covered by Medicare. And, Medicare even recommends that some of these cases be submitted to Medicare to review / approve the adequacy of the amount. This is the conception of a Medicare Set-Aside (MSA) Allocation. The Medicare Set-Aside Allocation is a detailed report which determines future medical care and what is acceptable / covered by Medicare. During the settlement process, it is imperative that you understand when and how the case should be evaluated to assure Medicare's interest has been taken into consideration. Prior to settlement, MVS works with you and reviews the claim. The goal is to identify if a Set-Aside Trust Allocation is indicated based upon criteria promulgated by Medicare. MVS offers many service levels from initial assessment to full Set-Aside Trust Allocation report completion. Coordination and submission of this report for approval by your local Center for Medicare Services office are also available.

Services Available

  • Evaluate case to determine if Set-Aside Allocation will be required by CMS
  • If a Set-Aside is required, review medical records & prepare cost analysis report for CMS approval
  • Obtain Approval of Set-Aside amount from CMS / Medicare
  • Secure confirmation of any Medicare liens and assess SSD status & date of entitlement (with appropriate releases)
  • Secure Rated Age / Standard or Substandard Rate
  • Obtain Medical Release
  • Obtain Signed "Letter Style" Medicare / CMS release
  • Obtain Social Security release or SSA 3288

Vocational Case Management

Maine Vocational Solutions, LLC offers a CRC to assist the employee in re-entering the workforce in a suitable position considering their functional abilities, work experience, education and vocational skill level.

Telephonic Case Management

Telephonic Case Management Services are designed for early intervention and constant communication to the employer, adjuster and physician. Our CRC has the experience and skill to interact with injured workers, employers and providers.

Employment Network Services

As a National Employment Network (EN) provider with the American Dream Employment Network (ADEN), a SSA approved EN, I address the unique needs of jobseekers with disabilities between the ages of 18 through 64 who receive Social Security Disability Insurance (SSDI) and/or Supplemental Security Income (SSI). SSA offers free support services through the Ticket to Work program to individuals looking to achieve financial self-sufficiency. Ticket to Work connects you with employment services to help you decide if working is right for you, prepare to work, find a job or maintain success while you are working.

Medicare Set-Asides: 

Services Available

  • Evaluate case to determine if Set-Aside Allocation will be required by CMS
  • If a Set-Aside is required, review medical records & prepare cost analysis report for CMS approval
  • Obtain Approval of Set-Aside amount from CMS / Medicare
  • Secure confirmation of any Medicare liens and assess SSD status & date of entitlement (with appropriate releases)
  • Secure Rated Age / Standard or Substandard Rate
  • Obtain Medical Release
  • Obtain Signed "Letter Style" Medicare / CMS Release
  • Obtain Social Security release or SSA 3288

Telephonic Case Management: Services Available

  • Telephonic Medical Case Management
  • Professional Rehabilitation Counselor Assessment
  • On & Offsite Case Management Services
  • Transitional Work Development
  • Telephonic / written communication with Providers
  • Telephonic clarification of return to work activity guidelines with supervisors and employers

Employment Network Services: Services Available

  • Career Counseling
  • Benefits and Work Incentives Advisement
  • Job Placement
  • Financial Wellness Strategies
  • Long-term Employment Support