Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-40 - OPTIONAL TARGETED CASE MANAGEMENT
Section 560-X-40-.05 - Third Party Liability
Universal Citation: AL Admin Code R 560-X-40-.05
Current through Register Vol. 43, No. 02, November 27, 2024
The CMSP shall make all reasonable efforts to determine if there is a liable third party source, including Medicare, and in the case of a liable third party source, utilize that source for payments and benefits prior to filing a Medicaid claim. Third party payments received after billing Medicaid for service for a Medicaid recipient shall be refunded to the Alabama Medicaid Agency.
Author: Willie Johnson
Statutory Authority: 42 C.F.R. Part 433; §1915(g), Social Security Act; State Plan for Medical Assistance, Attachment 3.1-A, Supplement 1; OMB No. 0939-0193.
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