Cal. Code Regs. Tit. 22, § 50771 - Recovery of Third Party Payments
(a) A beneficiary shall reimburse the
Department for any payment received for health care services which were paid by
Medi-Cal, if the payment received by the beneficiary is made by either of the
following:
(1) A federal or state
program.
(2) A legal or contractual
entitlement.
(b) A
beneficiary who receives health care services as a result of an accident or
injury caused by some other person's action or failure to act shall furnish the
Department with an assignment of rights to receive payment for those services,
if those services will be billed to Medi-Cal. If the beneficiary is unable to
make the assignment, the beneficiary's guardian, attorney or the person acting
on the beneficiary's behalf shall do so.
(c) The Department may file a lien against
the property of a beneficiary if the beneficiary fails to comply with the
requirement in (b).
(d) The county
department shall provide the following written information to the Department of
Benefit Payments concerning a beneficiary who may meet the conditions of (b).
(1) The name and address of the
beneficiary.
(2) The name and
address of the:
(A) Attorney handling the
case.
(B) Insurance carriers
responsible for payment.
Notes
2. Certificate of Compliance transmitted to OAL 4-29-83 and filed 6-3-83 (Register 83, No. 23).
Note: Authority cited: Sections 10725 and 14124.5, Welfare and Institutions Code; and Section 87, Chapter 1594, Statutes of 1982. Reference: Section 14006, Welfare and Institutions Code.
2. Certificate of Compliance transmitted to OAL 4-29-83 and filed 6-3-83 (Register 83, No. 23).
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