TPL11
MCO TPL Recovery
CMS-required outcome
As determined by the state policies, system(s) enables the state to manage and oversee TPL recoveries made by its MCOs.
Default metrics
- Number of dollars recovered due to MCO TPL recovery.
- Percentage of recovered reimbursement attributed to MCOs.
- Response time for MCOs to respond to SME regarding TPL recovery.
Regulatory sources
- COB/TPL Training and Handbook- 2020 (pg. 53-55)