Cal. Code Regs. Tit. 22, § 53222 - Recovery from Other Sources

(a) Plans may recover and retain the cost of covered services rendered to a member under the terms of this Chapter, to the extent that such member is covered for such services, under any other state or federal medical care program or under other contractual or legal entitlement, including but not limited to, a private group or individual indemnification program.

(b) Plans shall not attempt recovery in circumstances involving casualty insurance, tort liability or worker's compensation. Circumstances which may result in casualty insurance payments, tort liability payments, or workers' compensation awards shall be reported to the Department within ten days after discovery by the plan.

Notes

Cal. Code Regs. Tit. 22, § 53222

1. New section filed 12-10-79; effective thirtieth day thereafter (Register 79, No. 50).
2. Amendment of subsection (b) filed 9-22-82; effective thirtieth day thereafter (Register 82, No. 39).

Note: Authority cited: Section 14124.71, Welfare and Institutions Code. Reference: Section 14452.6, Welfare and Institutions Code.

1. New section filed 12-10-79; effective thirtieth day thereafter (Register 79, No. 50).
2. Amendment of subsection (b) filed 9-22-82; effective thirtieth day thereafter (Register 82, No. 39).