1. (a) All third party obligations shall be exhausted before medicaid is billed, in accordance with 42 CFR 433.139.
2. (b) All providers shall determine if third party liability exists and file a claim with the third party before billing medicaid.
3. (c) If third party liability exists, and the provider is not enrolled with the third party in a manner that allows the provider to submit a claim for service, the provider shall not bill medicaid or the CFI participant.

Source. #13340, eff 1-29-22 (formerly He-E 801.33)