MARC Coalition

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  • Home
  • About
    • Accomplishments
  • MSP POLICY WINS
    • PAID ACT - 12/11/20
    • SMART ACT - 1/10/13
  • Membership
  • Policy Priorities
    • Private Cause of Action
    • PAID Act Implementation
    • Section 111 Penalties
    • Ongoing Responsibility for Medicals (ORM)
    • Treasury Offset Program (TOP)
    • Future Medicals in Liability Cases
  • Newsroom
  • Contact

Medicaid Secondary Payer

Issue

The Federal Medicaid statute requires each state participating in the Medicaid program to have a Medicaid Secondary Payer program, and each statutorily-required “State Plan” to include a CMS-approved secondary payer plan.

Many states, however, have found it cost effective to enforce their secondary payer programs, and have not aggressively sought recoveries from settlements or judgments.  The states, however, are beginning to shift their focus, and state Medicaid Directors, or contractors selling services to the states, are increasing secondary payer recovery activities.  Most recently, Rhode Island, Vermont, and West Virginia, as well as other states have been exploring settlement reporting.

Importantly, each state currently operates a different and unique Medicaid program, with individual secondary payer requirements.  MARC will engage with the Congress, states and other stakeholders to discuss ways in which the state systems can be uniform and streamlined.

Issue Brief 

Medicaid Secondary Payer Issue Brief
File Size: 337 kb
File Type: pdf
Download File

Reference Documents 

Rhode Island Interceptor Program
File Size: 7 kb
File Type: html
Download File

Federal Medicaid Statutes
File Size: 53 kb
File Type: html
Download File

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