- (1) Payment made by the Medicaid Program to a provider shall be considered to be payment in full for covered services rendered.
- (2) No Medicaid recipient shall be billed for covered Medicaid services for which Medicaid has been billed.
- (3) No person or entity, except a liable third-party source, shall be billed for covered Medicaid services.
Author: Mattie Jackson, Associate Director, Specialized Waiver Unit, LTC Healthcare Reform Division
Statutory Authority: 42 CFR Section 447, Subpart A – Payments: General Provisions.
History: New Rule: Published March 31, 2022; effective May 15, 2022.