Third Party Resource Requirements. For the purposes of this Agreement, the Payor and the Provider shall abide by the requirements of the related sections of the MDHHS/PIHP Contract. Medicaid is a payer of last resort. PIHPs are required to identify and seek recovery from all other liable third parties in order to make themselves whole. Third party liability (TPL) refers to any other health insurance plan or carrier (e.g., individual, group, employer-related, self-insured or self-funded plan or commercial carrier, automobile insurance and workers compensation) or program (e.g., Medicare) that has liability for all, or part of a recipients covered benefit.
Appears in 3 contracts
Sources: Medicaid Managed Specialty Supports and Services Agreement, Medicaid Managed Specialty Supports and Services Agreement, Medicaid Managed Specialty Supports and Services Agreement
Third Party Resource Requirements. For the purposes of this Agreement, the Payor and the Provider shall abide by the requirements of the related sections Subsections of the MDHHS/PIHP Contract. Medicaid is a payer of last resort. PIHPs are required to identify and seek recovery from all other liable third parties in order to make themselves whole. Third party liability (TPL) refers to any other health insurance plan or carrier (e.g., e.g. individual, group, employer-related, self-insured or self-funded plan or commercial carrier, automobile insurance and workers compensation) or program (e.g., Medicare) that has liability for all, all or part of a recipients covered benefit.
Appears in 3 contracts
Sources: Medicaid Managed Specialty Supports and Services Agreement, Medicaid Managed Specialty Supports and Services Agreement, Medicaid Managed Specialty Supports and Services Agreement
Third Party Resource Requirements. For the purposes of this Agreement, the Payor and the Provider shall abide by the requirements of the related sections of the MDHHS/PIHP Contract. Medicaid is a payer of last resort. PIHPs are required to identify and seek recovery from all other liable third parties in order to make themselves whole. Third party liability (TPL) refers to any other health insurance plan or carrier (e.g., e.g. individual, group, employer-related, self-insured or self-funded plan or commercial carrier, automobile insurance and workers compensation) or program (e.g., Medicare) that has liability for all, all or part of a recipients covered benefit.
Appears in 1 contract
Sources: Medicaid Managed Specialty Supports and Services Agreement