[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR433.137]



[Page 96]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 433_STATE FISCAL ADMINISTRATION--Table of Contents

 

                     Subpart D_Third Party Liability

 

Sec.  433.137  State plan requirements.



    (a) A State plan must provide that the requirements of Sec. Sec.  

433.138 and 433.139 are met for identifying third parties liable for 

payment of services under the plan and for payment of claims involving 

third parties.

    (b) A State plan must provide that--

    (1) The requirements of Sec. Sec.  433.145 through 433.148 are met 

for assignment of rights to benefits, cooperation with the agency in 

obtaining medical support or payments, and cooperation in identifying 

and providing information to assist the State in pursuing any liable 

third parties; and

    (2) The requirements of Sec. Sec.  433.151 through 433.154 are met 

for cooperative agreements and incentive payments for third party 

collections.

    (c) The requirements of paragraph (b)(1) of this section relating to 

assignment of rights to benefits and cooperation in obtaining medical 

support or payments and paragraph (b)(2) of this section are effective 

for medical assistance furnished on or after October 1, 1984. The 

requirements of paragraph (b)(1) of this section relating to cooperation 

in identifying and providing information to assist the State in pursuing 

liable third parties are effective for medical assistance furnished on 

or after July 1, 1986.



[50 FR 46665, Nov. 12, 1985, as amended at 55 FR 48606, Nov. 21, 1990; 

55 FR 52130, Dec. 19, 1990; 60 FR 35502, July 10, 1995]