Ala. Admin. Code r. 560-X-57-.11

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

Section 560-X-57-.11 - Third Party Liability

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

Ala. Admin. Code r. 560-X-57-.11

Emergency rule effective April 1, 1992. Permanent rule effective June 12, 1992.

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