Ala. Admin. Code r. 560-X-47-.08

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

Section 560-X-47-.08 - Third Party Liability

(1) The rehabilitative services provider shall make all reasonable efforts to determine if there is a liable third party source, including Medicare, and in the case of liable third party source, utilize that source for payments and benefits prior to applying for Medicaid payments.

(2) Third party payments received after billing Medicaid for service for a Medicaid recipient shall be returned to the Alabama Medicaid Agency.

Author: Lynn Sharp

Ala. Admin. Code r. 560-X-47-.08

Rule effective August 11, 1990. Amended: Effective August 14, 1991.

Statutory Authority:42 C.F.R. §433.135; Social Security Act, Title XIX; State Plan for Medical Assistance, Attachment 4.19-B.