477 Neb. Admin. Code, ch. 12, § 001

Current through September 17, 2024

Section 477-12-001 - ASSIGNMENT OF THIRD PARTY RESOURCES

See 471 NAC 3-004.

The assignment of third-party resources gives the Department the right to pursue and receive payments from any third party liable to pay for the cost of medical care and services for the client or for any other household member, and which otherwise would be covered by Medicaid. The assignment of the rights to third party medical payments is effective with the date of Medicaid eligibility.

For Medicaid cases with a share of cost, the assignment becomes effective the first day of the month when the case status changes to "Share of Cost Met."

For third party payments received directly see Appendix 477-000-015.

12-001.01Third-Party Payments Not Assigned: The following third-party payments are not subject to the automatic assignment provision:

1. Medicare benefits; and

2. Payments from income-producing policies that subsidize the client's income while s/he is hospitalized or receiving care, regardless of the type of medical service being provided.

477 Neb. Admin. Code, ch. 12, § 001

Amended effective 3/13/2018