I have one sitting in front of me right now... approved by CMS/Medicare May/2007.
Just because the MSA has been submitted and reviewed/approved by CMS, does not mean you have settled your claim.
HAVE you signed a C&R/Compromise and Release to resolve/settle all issues in your claim?
That would trigger a check.
Are you fully aware of the reason for a WCMSA, and the amount of involvement of your time in administating the fund.?
If there is a significant amount of money for indemity, future medical...an account for non Medicare treatment and another for Medicare approved services, have you investigate the possibility of a Structured Settlement?
By doing so, you would be guaranteed a life long tax free stream of income, with an estate value if you die prior to the guarantee period. Lump sums of cash have a real tendancy to dissappear rather quickly...that is the reason Medicare decided to demand the WCMSA in the first place.