23 MAC Pt. 102, R. 6.31

Assignment of Third-Party Rights

Last amended: 2020Year: 2026Length: 227 wordsOfficial source

Cite as 23 Miss. Admin. Code Pt. 102, R. 6.31

Assignment of Third-Party Rights A. Federal law requires that all Medicaid and/or Children’s Health Insurance Program (CHIP) applicants and recipients must cooperate with the Medicaid Agency in identifying, to the extent they are able, potentially liable insurers and other third parties who may be liable to pay for care and services covered by Medicaid and/or CHIP. B. As a condition of eligibility, each applicant/recipient must: 1. Disclose all potential third-party liability sources, 2. Assign to the Division of Medicaid the applicant’s/recipient’s individual rights to medical support and other third-party payments, and such rights of any other eligible individuals for whom the applicant/recipient has legal authority, 3. Cooperate in establishing paternity and obtaining medical support or payments, when applicable, and 4. Cooperate in identifying and providing information to obtain third-party payments. C. By accepting Medicaid in Mississippi, each applicant/recipient is deemed to have made an assignment to the Mississippi Medicaid Program of the applicant’s/recipient’s rights to medical support or any third-party benefits, including hospitalization, accident, medical or health benefits owed to the individual, as well as rights to such benefits owed by any third party to the children or any other person for whom the applicant/recipient has legal authority to execute such an assignment. D. The individual’s signature on the application form at initial application and each redetermination of eligibility acknowledges the automatic assignment of all third-party rights.
23 MAC Pt. 102, R. 6.31: Assignment of Third-Party Rights | Justis AI