Ala. Admin. Code r. 560-X-36-.12
The Third Party Division, Alabama Medicaid Agency, is responsible for fulfilling the requirements pertaining to third party liability. The purpose of the Third Party Division is to ensure that Medicaid is the payor of the last resort. 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.
Ala. Admin. Code r. 560-X-36-.12
Author: Ginger Wettingfeld, Administrator, LTC Project Development/Program Support Unit
Statutory Authority:42 CFR Section 433, Subpart D; Section 1902(a)(25), Social Security Act; Code of Ala. 1975, § 22-6-6.