TPL1
Application
CMS-required outcome
The system does the following: - Records third parties, - Determines the liability of third parties, - Avoids payment of third-party claims, - Recovers reimbursement from third parties after Medicaid claims payment, and - Records information and actions related to the plan.
Default metrics
- Percentage of Medicaid beneficiaries with stored potential third party liability information.
- Number of records of third-party liability reimbursements.
- Amount of recovered dollars from reimbursements.
Regulatory sources