MSA. PD and C&R

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I don't think you understood the MSA rules correctly. all cases are reported to medicare.
CMS has a cutoff limit amount for prior approval/review purposes.
Medicare will still extract your settlement amount before extending any coverage of your comp injury regardless of the
amount.

time depends on their workload. SS doesn't review or care about MSA.
you don't understand the MSA process.
how do you know there are PD $$ stated in the C&R if you haven't seen the paperwork? what makes you think there is an itemization?
most C&Rs have just the settlement amount and no breakdowns.

I don't think you know much about settlement negotiation. did you do it ? or did you have a representative?
it's not a list of menu items you check off on your order and a settlement pops out of the computer.

If you don't have an atty, please get one that specializes in workers comp.
you can find one here
caaa.org