CMS issues state guidance on 3rd party liability in Medicaid

The Centers for Medicare & Medicaid Services yesterday released for states on new Medicaid Third-Party Liability requirements resulting from recent legislative and court actions. Specifically, states are required to legally bar liable third-party payers from refusing payment solely on the basis that an item or service did not receive prior authorization under the third-party payer’s rules. They also can create a lien over injury settlement proceeds attributable to future medical expenses.
Related News Articles
Headline
The AHA April 30 released a report highlighting how hospitals and health systems continue to experience significant financial headwinds that can challenge…
News
The AHA April 29 urged majority and minority leaders in both the Senate and House to not make disruptive policy changes to Medicaid and other coverage options…
Headline
Twelve House Republicans April 14 sent a letter to House leadership voicing their opposition to potential Medicaid cuts. The lawmakers said they support “…
Headline
The AHA yesterday released two new resources highlighting the significance of Medicaid and the potential impacts if Congress makes cuts to the program. An…
Headline
The Centers for Medicare & Medicaid Services April 10 announced that it does not intend to approve new or extend existing requests for federal funds to…
Perspective
Congressional lawmakers are heading home for a two-week district work period after both the Senate and House passed a revised budget resolution for fiscal year…