Ala. Admin. Code r. 560-X-40-.05
Current through Register Vol. 43, No. 1, October 31, 2024
The CMSP 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 filing a Medicaid claim. Third party payments received after billing Medicaid for service for a Medicaid recipient shall be refunded to the Alabama Medicaid Agency.
Author: Willie Johnson
Ala. Admin. Code r. 560-X-40-.05
Statutory Authority:42 C.F.R. Part 433; §1915(g), Social Security Act; State Plan for Medical Assistance, Attachment 3.1-A, Supplement 1; OMB No. 0939-0193.