1. (1) Payment made by the Medicaid Program to a provider shall be considered to be payment in full for covered services rendered.
2. (2) No Medicaid recipient shall be billed for covered Medicaid services for which Medicaid has been billed.
3. (3) No person or entity, except a liable third party source, shall be billed for covered Medicaid services.

Author: Felecia Barrow, Associate Director, LTC Project Development Unit

Statutory Authority: Social Security Act §1915(c); 42 C.F.R. −Section 441, Subpart G Home and Community-Based Services: Waiver Requirements.

Editor’s Note: Entire chapter was repealed as per certification filed December 7, 1995; effective January 11, 1996.

History: New Rule: Filed November 21, 2002; effective December 26, 2002.