Section R527-936-4 - Utah Third-Party Liability Program(1) The Utah Third-Party Liability Program establishes:(a) that private medical resources have been exhausted before a claim is paid by Medicaid; or(b) the agency shall seek reimbursement when the agency discovers a liable third-party after the payment of a claim.(2) Where appropriate, ORS provides third-party liability fund recovery required by the state plan for Medicaid by:(a) verifying private health care coverage for Medicaid recipients;(b) billing private health care coverage to reimburse Medicaid funds;(c) recovering Medicaid expenditures from tort settlements; and(d) recovering Medicaid expenditures from the estates of Medicaid beneficiaries.Utah Admin. Code R527-936-4
Amended by Utah State Bulletin Number 2022-05, effective 2/22/2022