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Medicaid Changes: Third-Party Liability and Insurance Verification

This bill amends the Medicaid program to streamline the recovery of medical costs from other insurers. This means if you have private insurance, Medicaid will be able to more easily seek reimbursement from your insurer, potentially affecting how your healthcare benefits are processed. Additionally, states will be required to verify if individuals applying for Medicaid assistance have other health insurance coverage.
Key points
Simplifies Medicaid's ability to recover funds from private insurers for medical services provided.
Increases flexibility for states in managing the process of recovering costs from third parties.
States must verify if Medicaid applicants have other health insurance, which may impact eligibility.
Insurers will be required to respond faster to inquiries regarding payment responsibility.
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Additional Information
Print number: 117_HR_6622
Sponsor: Rep. Burgess, Michael C. [R-TX-26]
Process start date: 2022-02-07