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

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.

History: Rule effective July 12, 1988. Amended: effective April 17, 1990.