Report Shows Difficulty Meeting Medicaid Third-Party Liability Requirements

Report Shows Difficulty Meeting Medicaid Third-Party Liability Requirements

The Department of Health and Human Services (HHS) Office of the Inspector General (OIG) released a report on challenges meeting the Medicaid payer of last resort requirement. In general, if a Medicaid enrollee has another source of health care coverage, that source should pay the full extent of its liability before Medicaid pays, which is referred to as third-party liability (TPL)…. (McClurg, October 31, 2023) #Program Integrity