Ala. Admin. Code r. 560-X-43-.09

Current through Register Vol. 43, No. 1, October 31, 2024

Section 560-X-43-.09 - Third Party Liability

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 and benefits prior to applying for Medicaid payments. Third party payments received after billing Medicaid for service for a Medicaid recipient shall be refunded to the Alabama Medicaid Agency.

Adopted by Alabama Administrative Monthly Volume XL, Issue No. 06, March 31, 2022, eff. 5/15/2022.

Author: Mattie Jackson, Associate Director, Specialized Waiver Unit, LTC Healthcare Reform Unit

Statutory Authority:42 CFR, Section 433, Subpart D - Third Party Liability.