Md. Code Regs. 10.09.22.07

Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.09.22.07 - Recovery and Reimbursement

A. If the participant has insurance or if any other person is obligated either legally or contractually to pay for, or to reimburse for, any service covered by this chapter, the provider shall seek payment from that source. If payment is made by both the Program and by the insurace or other source, the provider shall refund the Department, within 60 days of receipt, the amount paid by the Program, or by the insurance or other source, whichever is less.

B. The provider shall reimburse the Department for any overpayment.

Regulation .07 amended effective 41:3 Md. R. 201, eff.2/17/2014
Regulation .07J amended as an emergency provision effective January 28, 1991 (18:3 Md. R. 301); emergency status expired April 8, 1991 (18:9 Md. R. 1004)
Regulation .07J amended as an emergency provision effective April 9, 1991 (18:9 Md. R. 1005); amended permanently effective October 7, 1991 (18:18 Md. R. 2004); amended effective 43:13 Md. R. 712, eff. 7/4/2016; amended and recodified from .08 effective 45:6 Md. R. 319, eff. 3/26/2018