Ala. Admin. Code r. 560-X-35-.10

Current through Register Vol. 42, No. 12, September 30, 2024

Section 560-X-35-.10 - 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.

Author: Willie J. Johnson

Rule effective July 9, 1985. Amended: effective November 18, 1987, June 6, 1990.

Statutory Authority:42 C.F.R., §441, Subpart G; Home- and Community-Based Waiver for the Mentally Retarded and Developmentally Disabled.