The Centers for Medicare & Medicaid Services yesterday released guidance 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
As Congress weighs significant changes and cuts to Medicaid, the AHA today hosted a Capitol Hill briefing for congressional staff featuring hospital and health…
Headline
The House Budget Committee May 16 voted 21-16 against advancing the fiscal year 2025 budget reconciliation bill, with five Republicans joining all Democrats in…
Perspective
Public
Three key House committees — Energy and Commerce, Ways and Means, and Agriculture — after long debates and discussions this week advanced their portions of a…
Headline
The House Energy and Commerce Committee today advanced by a 30-24 vote along party lines its portion of the fiscal year 2025 reconciliation bill following a…
Headline
The Centers for Medicare & Medicaid Services May 12 issued a proposed regulation that would change how states may structure provider taxes for purposes of…
Headline
The Coalition to Strengthen America’s Healthcare May 13 released a new 30-second television and digital advertisement about a family considering whether it can…