Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-57 - HOME AND COMMUNITY-BASED SERVICES FOR THE STATE OF ALABAMA INDEPENDENT LIVING (SAIL) WAIVER
Section 560-X-57-.11 - Third Party Liability

Universal Citation: AL Admin Code R 560-X-57-.11
Current through Register Vol. 43, No. 02, November 27, 2024

The Third Party Section, Alabama Medicaid Agency is responsible for fulfilling the requirements pertaining to third party liability. The purpose of the Third Party Section is to ensure that Medicaid is the last payor. Providers 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. Third party payments received after billing Medicaid for service for a Medicaid recipient shall be refunded to the Alabama Medicaid Agency within sixty days of receipt of Medicaid payment. For further information concerning Third Party Liability refer to Administrative Code Chapter 20 or the Homebound Policy and Procedures Manual Chapter 7.

Author: Richard Ahlgren

Statutory Authority: 42 C.F.R. §§432, 433; §1902(a)(25), Social Security Act; Code of Ala. 1975, § 22-6-6.

Disclaimer: These regulations may not be the most recent version. Alabama may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.