5513. THIRD PARTY LIABILITY RECOVERY

5513 THIRD PARTY LIABILITY RECOVERY 5513.1 The QO shall attempt and require its subcontractors to attempt to recover monies resulting from third party liability cases involving workman’s compensation, accidental injury suits and other subrogation of benefits settlements. 5513.2 The Department shall notify each QO of any reported third party payment sources. 5513.3 The QO shall verify third party payment sources directly, when appropriate. 5513.4 Each third party collection by a QO for a Medicaid enrollee shall be reported to the Department as revenue for rate-setting purposes. SOURCE: Final Rulemaking published at 34 DCR 1550, 1563 (March 6, 1987).